Procedures & surgery prices at Elmhurst Memorial Hospital
Elmhurst, IL · every code in this section with a posted price and a Medicare benchmark.
550 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 2 matching MRF lines |
$806–$3,133 | $806–$3,133 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$450–$2,170 | $450–$2,170 | varies |
| Ablation 1/> liver tumor perq cryoablation (47383) | $10,491 | $10,491 | 0.9× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) unusually low: confirm this is the full procedure |
$7,318 | $7,318 | 0.4× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) | $13,712 | $13,712 | 1.8× |
| Amniocentesis diagnostic (59000) | $2,240 | $2,240 | 2.3× |
| Amniocentesis therapeutic (59001) | $978 | $978 | 3.0× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) | $928 | $928 | 2.8× |
| Anal/Urinary Muscle Study (51784) | $1,447 | $1,447 | 10.5× |
| Anoscopy W/Rmvl Foreign Body (46608) | $4,535 | $4,535 | 4.6× |
| Apheresis Platelets (36513) | $913 | $913 | 1.9× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) range across 3 matching MRF lines |
$299–$389 | $299–$389 | varies |
| Application cast elbow finger short arm (29075) | $831 | $831 | 2.8× |
| Application finger splint static (29130) range across 2 matching MRF lines |
$125–$294 | $125–$294 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$345–$1,083 | $345–$1,083 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$345–$803 | $345–$803 | varies |
| Application of rigid total contact leg cast (29445) range across 3 matching MRF lines |
$523–$832 | $523–$832 | varies |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$272–$857 | $272–$857 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$345–$886 | $345–$886 | varies |
| Apply long arm cast (29065) | $642 | $642 | 2.1× |
| Apply Multlay Comprs Lwr Leg (29581) range across 4 matching MRF lines |
$340–$1,109 | $340–$1,109 | varies |
| Apply Short Leg Cast (29405) | $524 | $524 | 1.7× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$256–$346 | $256–$346 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$633–$873 | $633–$873 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $1,591 | $1,591 | 2.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$714–$1,175 | $714–$1,175 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $1,923 | $1,923 | 5.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $1,772 | $1,772 | 5.4× |
| Aspirate pleura w/ imaging (32555) | $2,220 | $2,220 | 3.3× |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$1,377–$3,153 | $1,377–$3,153 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $655 | $655 | 2.0× |
| Aspiration bladder insert suprapubic catheter (51102) | $6,747 | $6,747 | 3.0× |
| Av Fistula Revision Open (36832) | $19,907 | $19,907 | 3.3× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$452–$612 | $452–$612 | varies |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) | $8,211 | $8,211 | 1.2× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) | $7,483 | $7,483 | 1.1× |
| Biopsy Abdominal Mass (49180) | $4,922 | $4,922 | 2.8× |
| Biopsy bone open deep (20245) | $9,913 | $9,913 | 3.2× |
| Biopsy bone open superficial (20240) | $2,957 | $2,957 | 0.9× |
| Biopsy bone trocar/needle deep (20225) | $5,883 | $5,883 | 3.3× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $4,922 | $4,922 | 2.8× |
| Biopsy muscle percutaneous needle (20206) | $4,922 | $4,922 | 2.8× |
| Biopsy of liver, needle; percutaneous (47000) | $5,660 | $5,660 | 3.2× |
| Biopsy Pleura Percutaneous Needle (32400) | $1,769 | $1,769 | 1.0× |
| Biopsy Salivary Gland Needle (42400) | $2,315 | $2,315 | 3.1× |
| Biopsy soft tissue neck/thorax (21550) | $3,867 | $3,867 | 2.2× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) | $4,697 | $4,697 | 2.7× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $1,046 | $1,046 | 1.1× |
| Bladder instillation anticarcinogenic agent (51720) | $4,269 | $4,269 | 5.7× |
| Bladder Irrigation (51700) | $1,026 | $1,026 | 3.8× |
| Bladder Scan (51798) | $293 | $293 | 4.6× |
| Blood Transfusion Service (36430) | $1,828 | $1,828 | 3.9× |
| Bone Marrow Biopsy (38221) | $5,521 | $5,521 | 3.1× |
| Bone Marrow; Aspiration Only (38220) | $5,521 | $5,521 | 3.1× |
| Bx breast 1st lesion mr imag (19085) | $7,750 | $7,750 | 4.4× |
| Bx breast 1st lesion strtctc (19081) | $7,110 | $7,110 | 4.0× |
| Bx breast 1st lesion us imag (19083) | $5,660 | $5,660 | 3.2× |
| Bx breast needle core w/o imaging guidance spx (19100) | $1,623 | $1,623 | 0.9× |
| Canthotomy Separate Procedure (67715) | $574 | $574 | 0.2× |
| Cerclage cervix pregnancy vaginal (59320) | $9,715 | $9,715 | 2.8× |
| Cessj Therapy Cath Removal (37214) | $3,167 | $3,167 | 0.9× |
| Change Cystostomy Tube Complicated (51710) | $2,592 | $2,592 | 3.5× |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$340–$477 | $340–$477 | varies |
| Change of Windpipe Airway (31502) | $827 | $827 | 3.3× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$452–$750 | $452–$750 | varies |
| Chest tube placement (32551) range across 2 matching MRF lines |
$3,007–$3,914 | $3,007–$3,914 | varies |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) | $6,224 | $6,224 | 2.8× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $10,288 | $10,288 | 2.7× |
| Chorionic Villus Sampling (59015) | $2,006 | $2,006 | 2.0× |
| Circumcision 28 days or older (54161) | $3,903 | $3,903 | 1.7× |
| Circumcision w/clamp/oth dev w/block (54150) | $3,225 | $3,225 | 1.4× |
| Cl Tx Tib Shft Fx W Manip (27752) range across 2 matching MRF lines |
$2,914–$9,397 | $2,914–$9,397 | varies |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$272–$320 | $272–$320 | varies |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) range across 2 matching MRF lines |
$959–$1,020 | $959–$1,020 | varies |
| Closed Treatment Sternum Fracture (21820) range across 2 matching MRF lines |
$575–$1,131 | $575–$1,131 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$575–$1,649 | $575–$1,649 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$2,819–$6,779 | $2,819–$6,779 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 2 matching MRF lines |
$550–$961 | $550–$961 | varies |
| Closed tx knee dislocation w/o anesthesia (27550) range across 2 matching MRF lines |
$575–$1,024 | $575–$1,024 | varies |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
$575–$1,807 | $575–$1,807 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) range across 2 matching MRF lines |
$518–$2,856 | $518–$2,856 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$575–$1,004 | $575–$1,004 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $950 | $950 | 3.6× |
| Closed tx radial head/neck fx w/manipulation (24655) | $6,779 | $6,779 | 3.9× |
| Closed tx radial shaft fracture w/manipulation (25505) | $5,967 | $5,967 | 3.5× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$3,523–$10,543 | $3,523–$10,543 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 2 matching MRF lines |
$575–$1,131 | $575–$1,131 | varies |
| Closed tx talotarsal joint dislc w/o anes (28570) | $501 | $501 | 1.9× |
| Closed tx talus fracture w/o manipulation (28430) | $803 | $803 | 3.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 2 matching MRF lines |
$575–$1,119 | $575–$1,119 | varies |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $1,104 | $1,104 | 4.3× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $2,572 | $2,572 | 4.5× |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$575–$1,807 | $575–$1,807 | varies |
| Clsd tx fx orbit except blowout w/o manipulation (21400) range across 2 matching MRF lines |
$540–$2,379 | $540–$2,379 | varies |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) range across 2 matching MRF lines |
$550–$961 | $550–$961 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$898–$1,853 | $898–$1,853 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 2 matching MRF lines |
$2,640–$5,882 | $2,640–$5,882 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$898–$1,503 | $898–$1,503 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 2 matching MRF lines |
$898–$2,327 | $898–$2,327 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$575–$1,853 | $575–$1,853 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$3,351–$8,637 | $3,351–$8,637 | varies |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) range across 2 matching MRF lines |
$2,914–$9,168 | $2,914–$9,168 | varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) range across 2 matching MRF lines |
$2,914–$2,941 | $2,914–$2,941 | varies |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 2 matching MRF lines |
$621–$1,806 | $621–$1,806 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$575–$1,807 | $575–$1,807 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$621–$1,852 | $621–$1,852 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 2 matching MRF lines |
$575–$1,807 | $575–$1,807 | varies |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $7,250 | $7,250 | 4.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$575–$897 | $575–$897 | varies |
| Cltx humeral condylar fx medial/lateral w/manj (24577) range across 2 matching MRF lines |
$550–$2,951 | $550–$2,951 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $2,957 | $2,957 | 1.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$575–$722 | $575–$722 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$822–$898 | $822–$898 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$898–$935 | $898–$935 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $1,000 | $1,000 | 3.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$898–$2,327 | $898–$2,327 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines |
$575–$1,329 | $575–$1,329 | varies |
| Cltx post hip arthrp dislc req anes (27266) | $8,747 | $8,747 | 5.1× |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$575–$1,253 | $575–$1,253 | varies |
| Cltx prox fibula/shft fx w/manj (27781) | $8,637 | $8,637 | 5.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $3,081 | $3,081 | 1.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$575–$1,763 | $575–$1,763 | varies |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) | $3,081 | $3,081 | 1.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$3,076–$6,779 | $3,076–$6,779 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $373 | $373 | 2.6× |
| Collection of venous blood by venipuncture (36415) | $49 | $49 | 5.2× |
| Complex Cystometrogram (51726) | $514 | $514 | 1.9× |
| Complex drainage wound (10180) | $1,296 | $1,296 | 0.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$362–$857 | $362–$857 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$553–$857 | $553–$857 | varies |
| Control oropharyngeal hemorrhage simple (42960) | $4,301 | $4,301 | 7.4× |
| Conversion ext bil drg cath (47535) | $5,547 | $5,547 | 1.4× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $2,885 | $2,885 | 1.4× |
| Convert Nephrostomy Catheter (50434) | $5,285 | $5,285 | 2.4× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $8,372 | $8,372 | 4.7× |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) | $12,305 | $12,305 | 2.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$480–$696 | $480–$696 | varies |
| Curettage postpartum (59160) | $8,175 | $8,175 | 2.4× |
| Curette/treat cornea (65435) | $2,799 | $2,799 | 2.6× |
| Cystometrogram W/Up (51727) | $5,364 | $5,364 | 7.2× |
| Cystometrogram W/Vp (51728) | $3,914 | $3,914 | 5.2× |
| Cystometrogram W/Vp&Up (51729) | $2,408 | $2,408 | 3.2× |
| Cystourethroscopy (52000) | $5,062 | $5,062 | 6.8× |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) | $8,207 | $8,207 | 2.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $335 | $335 | 0.8× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $3,827 | $3,827 | 4.8× |
| Debride nail 1-5 (11720) | $149 | $149 | 2.4× |
| Debride nail 6 or more (11721) | $207 | $207 | 3.3× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $3,289 | $3,289 | 1.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$698–$3,192 | $698–$3,192 | varies |
| Declot vascular device (36593) | $1,255 | $1,255 | 3.5× |
| Delivery of placenta (59414) | $6,456 | $6,456 | 1.9× |
| Destr W Neurolytic; Celiac Plexus (64680) | $5,018 | $5,018 | 5.3× |
| Destruct B9 Lesion 1-14 (17110) | $537 | $537 | 2.5× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) | $120 | $120 | 0.6× |
| Dilat Xst Trc New Access Rcs (50437) | $10,472 | $10,472 | 2.8× |
| Drain Cerebro Spinal Fluid (62272) | $5,568 | $5,568 | 7.4× |
| Drain/inj small joint/bursa w/us (20604) | $1,228 | $1,228 | 3.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 2 matching MRF lines |
$614–$3,314 | $614–$3,314 | varies |
| Drainage Finger Abscess Complicated (26011) range across 2 matching MRF lines |
$1,528–$3,060 | $1,528–$3,060 | varies |
| Drainage Mouth Roof Lesion (42000) range across 2 matching MRF lines |
$459–$1,476 | $459–$1,476 | varies |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$452–$1,025 | $452–$1,025 | varies |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$433–$710 | $433–$710 | varies |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$819–$2,305 | $819–$2,305 | varies |
| Drainage of scrotal wall abscess (55100) range across 2 matching MRF lines |
$1,585–$6,718 | $1,585–$6,718 | varies |
| Drainage of scrotum (54700) range across 2 matching MRF lines |
$557–$3,817 | $557–$3,817 | varies |
| Draw Blood Off Venous Device (36591) | $373 | $373 | 2.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $439 | $439 | 1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $439 | $439 | 2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$453–$596 | $453–$596 | varies |
| Dx Bone Marrow Bx & Aspir (38222) | $5,521 | $5,521 | 1.8× |
| Dx Bronchoscope/Wash (31622) | $3,253 | $3,253 | 1.7× |
| Dx Laryngoscopy Excl Nb (31525) | $5,340 | $5,340 | 2.8× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $4,864 | $4,864 | 6.4× |
| Egd place gastrostomy tube (43246) | $4,256 | $4,256 | 2.1× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) | $703 | $703 | 2.1× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) | $973 | $973 | 3.0× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) | $1,075 | $1,075 | 3.3× |
| Electro-Uroflowmetry First (51741) | $1,411 | $1,411 | 6.1× |
| Endometrial Biopsy (58100) | $1,245 | $1,245 | 5.7× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) | $5,329 | $5,329 | 1.6× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) | $8,990 | $8,990 | 2.7× |
| Endoven ther chem adhes 1st (36482) | $12,977 | $12,977 | 2.2× |
| Enteroscopy > 2nd prtn conv gstrst tube (44373) | $2,685 | $2,685 | 1.3× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) | $5,543 | $5,543 | 2.5× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) | $5,543 | $5,543 | 2.5× |
| Epidural Blood Patch (62273) | $2,405 | $2,405 | 3.2× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$272–$336 | $272–$336 | varies |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $355 | $355 | 0.5× |
| Exc Frenum Labial/Buccal (40819) | $4,575 | $4,575 | 2.8× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $12,125 | $12,125 | 3.2× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $6,224 | $6,224 | 2.8× |
| Exchange Transfusion Blood Newborn (36450) | $1,222 | $1,222 | 2.6× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $5,954 | $5,954 | 2.9× |
| External cephalic version (59412) | $9,476 | $9,476 | 2.7× |
| Fetal Fluid Drainage W/Ultrasound Guidance (59074) | $1,124 | $1,124 | 3.4× |
| Fetal non-stress test (59025) | $1,822 | $1,822 | 8.4× |
| Fetal Shunt Placement W/Ultrasound Guidance (59076) | $978 | $978 | 3.0× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $3,539 | $3,539 | 4.7× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) | $2,075 | $2,075 | 2.7× |
| Fine needle aspiration without imaging guidance (10021) | $1,817 | $1,817 | 4.2× |
| Fluid Pressure Muscle (20950) | $3,206 | $3,206 | 4.2× |
| Fluoro exam of g/colon tube (49465) | $619 | $619 | 2.4× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $2,075 | $2,075 | 2.7× |
| Fna bx w/us gdn 1st les (10005) | $2,419 | $2,419 | 3.2× |
| Foreskin manipulation (54450) | $1,068 | $1,068 | 4.0× |
| Guide Cathet Fluid Drainage (10030) | $3,100 | $3,100 | 4.1× |
| I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
$534–$1,809 | $534–$1,809 | varies |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$452–$951 | $452–$951 | varies |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$1,901–$5,981 | $1,901–$5,981 | varies |
| I&d pilonidal cyst complicated (10081) range across 2 matching MRF lines |
$1,479–$4,767 | $1,479–$4,767 | varies |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$1,286–$4,044 | $1,286–$4,044 | varies |
| I&d vaginal hematoma obstetrical/postpartum (57022) | $4,922 | $4,922 | 1.6× |
| Icd Pocket Revision (33223) | $4,735 | $4,735 | 2.1× |
| Image Cath Fluid Colxn Visc (49405) | $5,734 | $5,734 | 3.2× |
| Image Cath Fluid Peri/Retro (49406) | $6,040 | $6,040 | 3.4× |
| Image Cath Fluid Trns/Vgnl (49407) | $5,194 | $5,194 | 2.9× |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$251–$592 | $251–$592 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$803–$1,200 | $803–$1,200 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $5,446 | $5,446 | 1.7× |
| Incision & removal foreign body subq tiss compl (10121) | $4,067 | $4,067 | 2.3× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$803–$2,586 | $803–$2,586 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$425–$610 | $425–$610 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$698–$737 | $698–$737 | varies |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$2,174–$3,955 | $2,174–$3,955 | varies |
| Incisional biopsy skin single lesion (11106) | $2,321 | $2,321 | 2.9× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$392–$909 | $392–$909 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $4,528 | $4,528 | 4.8× |
| Inj W/Fluor Eval Cv Device (36598) | $1,037 | $1,037 | 4.5× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) | $4,922 | $4,922 | 5.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $2,154 | $2,154 | 2.3× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $1,047 | $1,047 | 3.2× |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $1,484 | $1,484 | 1.6× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $971 | $971 | 1.0× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $4,023 | $4,023 | 5.3× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) | $3,842 | $3,842 | 4.1× |
| Injection anesthetic agent suprascapular nerve (64418) | $849 | $849 | 1.1× |
| Injection Into Brain Canal (61055) | $1,786 | $1,786 | 5.4× |
| Injection single tendon origin/insertion (20551) | $1,252 | $1,252 | 3.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$633–$1,329 | $633–$1,329 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) | $1,396 | $1,396 | 4.2× |
| Injection Sinus Tract Therapeutic Separate Proc (20500) | $1,526 | $1,526 | 0.9× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $3,948 | $3,948 | 4.2× |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$847–$3,050 | $847–$3,050 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$661–$4,318 | $661–$4,318 | varies |
| Ins cath ren art 1st bilat (36252) | $18,155 | $18,155 | 5.4× |
| Ins cath ren art 1st unilat (36251) | $11,557 | $11,557 | 3.4× |
| Ins cath ren art 2nd+ bilat (36254) | $5,200 | $5,200 | 1.5× |
| Ins cath ren art 2nd+ unilat (36253) | $5,882 | $5,882 | 1.0× |
| Ins endovas vena cava filtr (37191) | $15,657 | $15,657 | 2.6× |
| Ins/Rep Subq Defibrillator (33270) | $87,257 | $87,257 | 2.6× |
| Insert 1 Electrode Pm-Defib (33216) | $14,842 | $14,842 | 1.7× |
| Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
$802–$806 | $802–$806 | varies |
| Insert cath pleura w/ image (32557) | $5,315 | $5,315 | 3.2× |
| Insert cath pleura w/o image (32556) range across 2 matching MRF lines |
$3,292–$5,178 | $3,292–$5,178 | varies |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) | $5,154 | $5,154 | 4.0× |
| Insert cervical dilator (59200) | $978 | $978 | 3.0× |
| Insert Gastrostomy Tube Percutaneous (49440) | $5,178 | $5,178 | 2.5× |
| Insert Heart Pm Atrial (33206) | $31,948 | $31,948 | 2.9× |
| Insert Heart Pm Ventricular (33207) | $32,652 | $32,652 | 2.9× |
| Insert hepatic shunt (tips) (37182) unusually low: confirm this is the full procedure |
$7,068 | $7,068 | 0.4× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$2,426–$3,914 | $2,426–$3,914 | varies |
| Insert Pacing Lead & Connect (33224) | $49,151 | $49,151 | 4.4× |
| Insert pessary/other device (57160) | $693 | $693 | 3.2× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $2,220 | $2,220 | 1.3× |
| Insert pulse gen dual leads (33213) | $23,973 | $23,973 | 2.1× |
| Insert pulse gen mult leads (33221) | $25,734 | $25,734 | 1.2× |
| Insert Pulse Gen Sngl Lead (33212) | $22,225 | $22,225 | 2.5× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$237–$475 | $237–$475 | varies |
| Insert tun ip cath perc (49418) | $10,545 | $10,545 | 2.7× |
| Insert tunneled cv cath (36561) | $9,451 | $9,451 | 2.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $449 | $449 | 3.1× |
| Insertion indwelling tunneled pleural catheter (32550) | $10,545 | $10,545 | 2.7× |
| Insertion phrenic nerve stimulator system (33276) | $89,550 | $89,550 | 1.9× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $4,559 | $4,559 | 2.7× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $18,474 | $18,474 | 2.1× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) | $6,942 | $6,942 | 1.8× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $26,497 | $26,497 | 3.0× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $5,288 | $5,288 | 1.6× |
| Insj Picc Rs&I <5 Yr (36572) | $3,204 | $3,204 | 4.8× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $4,990 | $4,990 | 1.5× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $3,914 | $3,914 | 2.3× |
| Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) | $42,372 | $42,372 | 3.1× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $9,451 | $9,451 | 2.8× |
| Insj/Rplcmt Defib W/Lead(S) (33249) | $64,141 | $64,141 | 1.9× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $21,020 | $21,020 | 2.4× |
| Insrt heart pm atrial & vent (33208) | $27,836 | $27,836 | 2.5× |
| Insrt Pulse Gen W/Dual Leads (33230) | $74,892 | $74,892 | 3.1× |
| Insrt Pulse Gen W/Mult Leads (33231) | $82,384 | $82,384 | 2.4× |
| Insrt Pulse Gen W/Singl Lead (33240) | $76,455 | $76,455 | 3.2× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) | $4,800 | $4,800 | 3.2× |
| Intro cath dialysis circuit (36901) | $7,092 | $7,092 | 4.2× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $31,989 | $31,989 | 2.6× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $18,728 | $18,728 | 3.1× |
| Intro Gastrointestinal Tube (44500) | $1,317 | $1,317 | 1.4× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$909–$1,368 | $909–$1,368 | varies |
| Irrigation of corpora cavernosa for priapism (54220) range across 2 matching MRF lines |
$592–$1,321 | $592–$1,321 | varies |
| Laryngoscopy diagnostic (31505) | $424 | $424 | 2.0× |
| Laryngoscopy flexible diagnostic (31575) | $1,047 | $1,047 | 4.9× |
| Ligation of a-v fistula (37607) | $12,583 | $12,583 | 3.7× |
| Lyse chest fibrin init day (32561) | $1,936 | $1,936 | 2.9× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) | $1,584 | $1,584 | 0.9× |
| Mech remov tunneled cv cath (36595) | $3,180 | $3,180 | 0.9× |
| Myelography Lumbar Injection (62305) | $4,978 | $4,978 | 5.9× |
| Myelography Lumbar Injection (62304) | $4,240 | $4,240 | 5.0× |
| Myelography via lumbar injection rs&i cervical (62302) | $4,240 | $4,240 | 5.0× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $2,778 | $2,778 | 3.3× |
| N Block Inj Celiac Pelus (64530) | $1,558 | $1,558 | 1.6× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $849 | $849 | 1.1× |
| N block inj intercost sng (64420) | $863 | $863 | 1.1× |
| N Block Inj Pudendal (64430) | $1,901 | $1,901 | 2.0× |
| Nasal Endoscopy Dx (31231) | $856 | $856 | 4.0× |
| Nasal/Orogastric W/Tube Plmt (43752) | $1,047 | $1,047 | 2.2× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) | $512 | $512 | 1.9× |
| Needle Biopsy Lymph Nodes (38505) | $4,803 | $4,803 | 2.7× |
| Needle Biopsy Pancreas (48102) | $3,653 | $3,653 | 2.1× |
| Neuroeltrd Stim Post Tibial (64566) | $941 | $941 | 2.9× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $760 | $760 | 1.8× |
| Njx anes stellate ganglion crv sympathetic (64510) | $2,671 | $2,671 | 2.8× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$600–$633 | $600–$633 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $10,130 | $10,130 | 2.6× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $6,046 | $6,046 | 1.6× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $5,666 | $5,666 | 6.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $3,191 | $3,191 | 4.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $2,634 | $2,634 | 3.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $3,176 | $3,176 | 4.2× |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) | $5,543 | $5,543 | 2.5× |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) | $7,882 | $7,882 | 3.6× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $3,027 | $3,027 | 4.1× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) | $2,985 | $2,985 | 4.0× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) | $418 | $418 | 1.0× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) | $600 | $600 | 1.4× |
| Obstructive material removal from gi tube (49460) | $1,600 | $1,600 | 1.6× |
| Occipital Nerve Block (64405) | $2,719 | $2,719 | 8.3× |
| Open/Perq Place Stent 1St (37236) | $25,366 | $25,366 | 2.1× |
| Open/Perq Place Stent Same (37238) | $27,306 | $27,306 | 2.2× |
| Penile Injection (54235) range across 2 matching MRF lines |
$148–$592 | $148–$592 | varies |
| Perc Cryo Ablate Renal Tum (50593) | $27,694 | $27,694 | 2.4× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) | $4,064 | $4,064 | 2.7× |
| Perc Rf Ablate Renal Tumor (50592) | $5,629 | $5,629 | 0.9× |
| Percut Ablate Liver Rf (47382) | $17,273 | $17,273 | 2.7× |
| Percut Cath Occlusn Non Cns Lesn (61626) | $33,745 | $33,745 | 2.7× |
| Percut Drain/Inject Renal Cyst (50390) | $2,806 | $2,806 | 3.7× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) | $7,696 | $7,696 | 2.3× |
| Pericardiocentesis W/Imaging (33016) | $4,078 | $4,078 | 2.4× |
| Peritoneal Lavage (49084) | $2,644 | $2,644 | 2.7× |
| Perm Occlusion/Embolization,Percut,Cns (61624) | $28,084 | $28,084 | 1.4× |
| Perq Cervicothoracic Inject (22510) | $5,650 | $5,650 | 1.6× |
| Perq dev breast 1st mr guide (19287) | $2,118 | $2,118 | 2.8× |
| Perq dev breast 1st us imag (19285) | $2,476 | $2,476 | 3.3× |
| Perq device breast 1st imag (19281) | $3,733 | $3,733 | 2.1× |
| Perq dilation xst trc endourologic px w/img (50436) | $3,838 | $3,838 | 1.0× |
| Perq Lumbosacral Injection (22511) | $5,650 | $5,650 | 1.6× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) | $7,134 | $7,134 | 1.1× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $2,348 | $2,348 | 3.1× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $31,662 | $31,662 | 2.6× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $19,041 | $19,041 | 3.1× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $20,390 | $20,390 | 2.6× |
| Perq Vertebral Augmentation (22513) | $20,390 | $20,390 | 2.6× |
| Phleb Veins - Extrem 20+ (37766) | $4,562 | $4,562 | 1.3× |
| Place Cath Subclavian Art (36225) | $18,604 | $18,604 | 5.5× |
| Place Cath Thoracic Aorta (36221) | $7,705 | $7,705 | 2.3× |
| Place Cath Vertebral Art (36226) range across 2 matching MRF lines |
$20,069–$27,872 | $20,069–$27,872 | varies |
| Place Duod/Jej Tube Perc (49441) | $3,942 | $3,942 | 1.9× |
| Place Rt Device/Marker Pros (55876) | $3,054 | $3,054 | 2.1× |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$690–$773 | $690–$773 | varies |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) | $5,547 | $5,547 | 0.8× |
| Plmt Bile Duct Stent Prq Existing Access (47538) | $16,441 | $16,441 | 2.5× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) | $16,441 | $16,441 | 2.5× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) | $16,441 | $16,441 | 2.5× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $11,404 | $11,404 | 5.1× |
| Plmt Nephroureteral Catheter (50433) | $8,692 | $8,692 | 2.3× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) | $10,472 | $10,472 | 2.8× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) | $7,639 | $7,639 | 2.0× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) | $10,472 | $10,472 | 2.8× |
| Prim art mech thrombectomy (37184) | $16,609 | $16,609 | 0.8× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $1,667 | $1,667 | 2.2× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $10,545 | $10,545 | 2.7× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $11,105 | $11,105 | 2.9× |
| Pseudoaneurysm Injection Trt (36002) | $1,376 | $1,376 | 2.0× |
| Punch biopsy skin single lesion (11104) | $996 | $996 | 2.3× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$803–$992 | $803–$992 | varies |
| Puncture Aspiration Cyst Breast (19000) | $2,325 | $2,325 | 3.1× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $1,654 | $1,654 | 2.2× |
| Rbc DNA gntyp 12 bld grp gen (0282U) | $4,120 | $4,120 | 5.7× |
| Redo Endovas Vena Cava Filtr (37192) | $8,404 | $8,404 | 2.5× |
| Relocation Pocket Pacemaker (33222) | $2,898 | $2,898 | 1.3× |
| Rem Endovas Vena Cava Filter (37193) | $8,550 | $8,550 | 2.5× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $2,616 | $2,616 | 2.7× |
| Removal foreign body foot deep (28192) | $2,909 | $2,909 | 1.6× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$655–$898 | $655–$898 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$144–$293 | $144–$293 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$144–$212 | $144–$212 | varies |
| Removal of foreign body from pharynx (42809) range across 2 matching MRF lines |
$514–$772 | $514–$772 | varies |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$803–$1,883 | $803–$1,883 | varies |
| Removal of tunneled intraperitoneal catheter (49422) | $6,268 | $6,268 | 1.9× |
| Removal or bivalving full arm or full leg cast (29705) range across 3 matching MRF lines |
$405–$602 | $405–$602 | varies |
| Removal Pacemaker Electrode (33235) | $7,824 | $7,824 | 2.0× |
| Removal ppm generator only (33233) | $12,621 | $12,621 | 1.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$426–$453 | $426–$453 | varies |
| Removal subcutaneous cardiac rhythm monitor (33286) | $4,660 | $4,660 | 6.1× |
| Removal/bivalving gauntlet boot/body cast (29700) range across 2 matching MRF lines |
$523–$716 | $523–$716 | varies |
| Remove cerclage suture (59871) | $8,448 | $8,448 | 2.4× |
| Remove Elctrd Transvenously (33244) | $8,541 | $8,541 | 2.1× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$272–$511 | $272–$511 | varies |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$431–$959 | $431–$959 | varies |
| Remove intrvas foreign body (37197) | $3,613 | $3,613 | 1.1× |
| Remove lung catheter (32552) | $937 | $937 | 1.4× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$344–$410 | $344–$410 | varies |
| Remove Pulse Generator (33241) | $10,270 | $10,270 | 2.6× |
| Remove renal tube w/fluoro (50389) | $1,927 | $1,927 | 2.6× |
| Remove ureter stent percut (50384) | $2,490 | $2,490 | 1.1× |
| Remove&replace pm gen singl (33227) | $25,388 | $25,388 | 2.9× |
| Remv&replc cvd gen dual lead (33263) | $56,098 | $56,098 | 2.4× |
| Remv&replc cvd gen mult lead (33264) | $61,657 | $61,657 | 1.8× |
| Remv&replc cvd gen sing lead (33262) | $44,302 | $44,302 | 1.9× |
| Remv&replc pm gen dual lead (33228) | $27,893 | $27,893 | 2.5× |
| Remv&replc pm gen mult leads (33229) | $30,712 | $30,712 | 1.5× |
| Renal Biopsy Perq (50200) | $5,660 | $5,660 | 3.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $2,568 | $2,568 | 3.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $2,568 | $2,568 | 3.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $1,433 | $1,433 | 3.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $3,101 | $3,101 | 7.1× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $273 | $273 | 0.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$346–$1,150 | $346–$1,150 | varies |
| Repair extensor tendon finger w/o graft each (26418) | $4,213 | $4,213 | 2.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$803–$1,043 | $803–$1,043 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$907–$1,147 | $907–$1,147 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$969–$1,147 | $969–$1,147 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$1,036–$1,147 | $1,036–$1,147 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $1,618 | $1,618 | 3.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$803–$1,717 | $803–$1,717 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$1,073–$1,208 | $1,073–$1,208 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$1,036–$1,391 | $1,036–$1,391 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$803–$1,013 | $803–$1,013 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$907–$1,208 | $907–$1,208 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $2,678 | $2,678 | 3.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$1,012–$1,262 | $1,012–$1,262 | varies |
| Repair Lead Pace-Defib One (33218) | $9,964 | $9,964 | 2.5× |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$1,062–$1,232 | $1,062–$1,232 | varies |
| Repair tongue laceration (41252) range across 2 matching MRF lines |
$459–$962 | $459–$962 | varies |
| Repair tongue laceration (41250) range across 2 matching MRF lines |
$436–$762 | $436–$762 | varies |
| Replace duodenostomy/jejunostomy tube perq (49451) | $2,571 | $2,571 | 2.6× |
| Replace G-J Tube Perc (49452) | $1,311 | $1,311 | 1.3× |
| Replace g/c tube perc (49450) | $2,726 | $2,726 | 2.8× |
| Reposition Gastrostomy Tube (43761) | $1,067 | $1,067 | 4.0× |
| Reposition Pacing-Defib Lead (33215) | $6,336 | $6,336 | 1.9× |
| Reposition Venous Catheter (36597) | $2,862 | $2,862 | 1.7× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) | $10,127 | $10,127 | 1.7× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) | $5,944 | $5,944 | 2.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$529–$1,332 | $529–$1,332 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$272–$553 | $272–$553 | varies |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $12,330 | $12,330 | 4.0× |
| Rmvl of subq implantable defibrillator electrode (33272) | $12,381 | $12,381 | 3.1× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $9,970 | $9,970 | 2.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $3,942 | $3,942 | 2.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $3,209 | $3,209 | 4.8× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$1,264–$1,859 | $1,264–$1,859 | varies |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $2,759 | $2,759 | 1.6× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) | $4,818 | $4,818 | 1.4× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $5,010 | $5,010 | 3.0× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $4,492 | $4,492 | 1.3× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $9,220 | $9,220 | 2.7× |
| Rplcmt/irrigation ventricular catheter (62225) | $12,767 | $12,767 | 3.5× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $2,911 | $2,911 | 1.7× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$898–$1,453 | $898–$1,453 | varies |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) range across 2 matching MRF lines |
$1,082–$2,572 | $1,082–$2,572 | varies |
| Rpr Lip Full Thickness Vermilion Only (40650) range across 2 matching MRF lines |
$1,243–$2,624 | $1,243–$2,624 | varies |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $1,930 | $1,930 | 2.9× |
| Sclerotx Fluid Collection (49185) | $2,746 | $2,746 | 1.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$967–$2,436 | $967–$2,436 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$452–$1,329 | $452–$1,329 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$727–$1,385 | $727–$1,385 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$784–$1,453 | $784–$1,453 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$452–$1,329 | $452–$1,329 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $1,051 | $1,051 | 4.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$754–$1,418 | $754–$1,418 | varies |
| Skin Pinch Graft (15050) | $1,265 | $1,265 | 1.6× |
| Skin sub graft face/nk/hf/g (15275) range across 3 matching MRF lines |
$1,004–$4,842 | $1,004–$4,842 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 3 matching MRF lines |
$1,004–$4,224 | $1,004–$4,224 | varies |
| Skin sub grft t/arm/lg child (15273) | $3,741 | $3,741 | 1.7× |
| Skn sub grft f/n/hf/g child (15277) | $2,391 | $2,391 | 1.1× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) | $26,144 | $26,144 | 4.4× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) | $6,182 | $6,182 | 1.8× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) range across 2 matching MRF lines |
$20,069–$23,499 | $20,069–$23,499 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$605–$1,385 | $605–$1,385 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$905–$2,523 | $905–$2,523 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$1,004–$2,580 | $1,004–$2,580 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$1,528–$2,464 | $1,528–$2,464 | varies |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) | $4,889 | $4,889 | 1.4× |
| Strapping elbow or wrist (29260) | $86 | $86 | 1.4× |
| Strapping hand/finger (29280) | $151 | $151 | 2.4× |
| Strapping knee (29530) | $383 | $383 | 2.7× |
| Strapping shoulder (29240) | $247 | $247 | 1.7× |
| Strapping toes (29550) | $255 | $255 | 4.0× |
| Strapping Unna Boot (29580) | $640 | $640 | 3.7× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) | $61,190 | $61,190 | 2.0× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) | $45,503 | $45,503 | 2.2× |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) | $6,186 | $6,186 | 1.3× |
| Ther Apheresis,Red Blood Cells (36512) | $913 | $913 | 0.5× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $6,996 | $6,996 | 9.2× |
| Therapeutic Apheresis White Blood Cells (36511) | $913 | $913 | 0.5× |
| Therapeutic plasma exchange (36514) | $6,222 | $6,222 | 3.7× |
| Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) | $22,623 | $22,623 | 3.8× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $44,992 | $44,992 | 2.3× |
| Thromblytic art/ven therapy (37213) | $4,022 | $4,022 | 1.2× |
| Thrombolytic Art Therapy (37211) | $15,275 | $15,275 | 2.6× |
| Thrombolytic Therapy Stroke (37195) | $1,198 | $1,198 | 3.4× |
| Thrombolytic Venous Therapy (37212) | $3,572 | $3,572 | 1.1× |
| Thyroid biopsy (60100) | $2,540 | $2,540 | 3.3× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $1,299 | $1,299 | 0.6× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $3,705 | $3,705 | 14.6× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) | $978 | $978 | 3.0× |
| Transcatheter biopsy (37200) | $15,275 | $15,275 | 2.6× |
| Transfusion Intrauterine Fetal (36460) | $1,802 | $1,802 | 3.8× |
| Transrectal Drainage of Pelvic Abscess (45000) | $3,504 | $3,504 | 2.7× |
| Treat Humerus Fracture (24505) | $3,067 | $3,067 | 1.8× |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$898–$1,307 | $898–$1,307 | varies |
| Treat Tail Bone Fracture (27200) range across 2 matching MRF lines |
$575–$1,300 | $575–$1,300 | varies |
| Treat Thumb Dislocation (26641) range across 2 matching MRF lines |
$898–$1,004 | $898–$1,004 | varies |
| Treat Thumb Fracture (26645) range across 2 matching MRF lines |
$1,340–$3,081 | $1,340–$3,081 | varies |
| Treat toe dislocation (28630) range across 2 matching MRF lines |
$486–$575 | $486–$575 | varies |
| Treat vagina infection (57150) | $598 | $598 | 9.5× |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$575–$1,004 | $575–$1,004 | varies |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$236–$392 | $236–$392 | varies |
| Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines |
$236–$453 | $236–$453 | varies |
| Trim skin lesions over 4 (11057) range across 2 matching MRF lines |
$291–$512 | $291–$512 | varies |
| Trimming Nondystrophic Nails Any Number (11719) | $133 | $133 | 2.1× |
| Trluml Balo Angiop 1St Art (37246) | $14,512 | $14,512 | 2.4× |
| Trluml Balo Angiop 1St Vein (37248) | $16,285 | $16,285 | 2.7× |
| Tx Gastro Intub W/Asp (43753) | $399 | $399 | 1.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$827–$1,771 | $827–$1,771 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) range across 2 matching MRF lines |
$502–$1,020 | $502–$1,020 | varies |
| Unlisted Cardiac Surgery (33999) | $1,844 | $1,844 | 2.7× |
| Unlisted procedure breast (19499) range across 2 matching MRF lines |
$4,983–$5,807 | $4,983–$5,807 | varies |
| Unlisted procedure liver (47399) | $8,214 | $8,214 | 10.8× |
| Unlisted Procedure Muscskeletal System General (20999) | $4,585 | $4,585 | 17.3× |
| Unlisted procedure nervous system (64999) | $2,885 | $2,885 | 8.8× |
| Unlisted procedure pelvis/hip joint (27299) | $15,419 | $15,419 | 58.3× |
| Unlisted Procedure Vascular Surgery (37799) range across 2 matching MRF lines |
$3,799–$9,010 | $3,799–$9,010 | varies |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $2,210 | $2,210 | 2.3× |
| Upgrade of pacemaker system (33214) | $28,012 | $28,012 | 2.5× |
| Vaginal delivery only (59409) | $5,240 | $5,240 | 1.5× |
| Vasc embolize/occlude artery (37242) | $33,745 | $33,745 | 1.7× |
| Vasc Embolize/Occlude Bleed (37244) | $34,589 | $34,589 | 2.8× |
| Vasc Embolize/Occlude Organ (37243) | $34,589 | $34,589 | 2.8× |
| Vasc embolize/occlude venous (37241) | $34,589 | $34,589 | 2.8× |
| Venous Mech Thrombectomy (37187) | $16,329 | $16,329 | 1.3× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$803–$1,653 | $803–$1,653 | varies |
| Windowing of cast (29730) | $965 | $965 | 5.5× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.