Procedures & surgery prices at Emanate Health Foothill Presbyterian Hospital

Glendora, CA · every code in this section with a posted price and a Medicare benchmark.

556 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $2,731 $2,731 2.3×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,062 $1,062 0.9×
Abdomen Surgery Procedure (22999) $2,725 $2,725 8.6×
Ablate Pulm Tumor Perq Crybl (32994) $15,844 $15,844 1.2×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure		 $7,801 $7,801 0.3×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $7,801 $7,801 0.8×
Acne surgery (10040) $524.19 $524.19 2.0×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $6,388 $6,388 2.4×
Amniocentesis diagnostic (59000) $1,405 $1,405 1.2×
Anoscopy diagnostic (46600) $1,625 $1,625 9.5×
Anoscopy W/Rmvl Foreign Body (46608) $1,625 $1,625 1.4×
Apheresis Platelets (36513) $6,741 $6,741 11.9×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $312 $312 1.5×
Application Finger Splint Dynamic (29131)
range across 2 matching MRF lines		 $288–$320 $288–$320 varies
Application finger splint static (29130) $288 $288 1.7×
Application long arm splint shoulder hand (29105) $1,063 $1,063 5.1×
Application of rigid total contact leg cast (29445) $943 $943 2.6×
Application Short Arm Splint Dynamic (29126) $288 $288 1.7×
Application short arm splint forearm-hand static (29125) $288 $288 1.7×
Apply Multlay Comprs Lwr Leg (29581)
range across 5 matching MRF lines		 $450–$1,570 $450–$1,570 varies
Arterial puncture (36600) $1,663 $1,663 9.7×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 5 matching MRF lines		 $548.67–$2,254 $548.67–$2,254 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $2,269 $2,269 2.5×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 7 matching MRF lines		 $665.75–$1,743 $665.75–$1,743 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 3 matching MRF lines		 $712.90–$2,380 $712.90–$2,380 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 4 matching MRF lines		 $665.75–$1,743 $665.75–$1,743 varies
Aspirate pleura w/ imaging (32555) $4,892 $4,892 6.1×
Aspirate Pleura W/O Imaging (32554) $3,839 $3,839 4.8×
Aspirate/Inj Ganglion Cyst (20612)
range across 3 matching MRF lines		 $494.96–$1,814 $494.96–$1,814 varies
Aspiration & Injection Treatment Bone Cyst (20615) $2,463 $2,463 2.7×
Aspiration and/or injection thyroid cyst (60300) $2,015 $2,015 2.2×
Aspiration bladder insert suprapubic catheter (51102) $7,880 $7,880 2.9×
Av Fistula Revision Open (36832) $12,135 $12,135 1.7×
Avulsion nail plate partial/complete simple 1 (11730) $506.85 $506.85 2.0×
Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) $11,244 $11,244 0.8×
Biliary ndsc prq t-tube dilat strix w/stent (47556) $8,824 $8,824 0.6×
Biliary ndsc prq t-tube w/bx single/multiple (47553) $8,824 $8,824 1.1×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555) $5,404 $5,404 0.6×
Biopsy Abdominal Mass (49180) $2,906 $2,906 1.4×
Biopsy bone trocar/needle deep (20225) $3,755 $3,755 1.8×
Biopsy Bone Trocar/Needle Superficial (20220) $3,197 $3,197 1.5×
Biopsy muscle percutaneous needle (20206) $7,034 $7,034 3.3×
Biopsy of breast; open, incisional (19101) $7,498 $7,498 1.5×
Biopsy of liver, needle; percutaneous (47000) $2,955 $2,955 1.4×
Biopsy of rectum (45100) $12,112 $12,112 3.4×
Biopsy Pleura Percutaneous Needle (32400) $4,069 $4,069 1.9×
Biopsy Salivary Gland Needle (42400) $4,418 $4,418 4.9×
Biopsy soft tissue neck/thorax (21550) $6,578 $6,578 3.1×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $7,053 $7,053 3.3×
Blood Transfusion Service (36430)
range across 2 matching MRF lines		 $912–$1,645 $912–$1,645 varies
Blood/Lymph System Procedure (38999) $1,980 $1,980 3.5×
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines		 $540–$3,699 $540–$3,699 varies
Bone Marrow; Aspiration Only (38220)
range across 2 matching MRF lines		 $513–$3,003 $513–$3,003 varies
Brnchsc Brushing/Protected Brushings (31623) $5,589 $5,589 2.4×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $10,235 $10,235 2.1×
Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl (31643) $7,567 $7,567 3.3×
Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) $6,140 $6,140 1.3×
Bronchoscopy Clear Airways (31645) $5,433 $5,433 2.4×
Bronchoscopy Dilate W/Stent (31631) $9,760 $9,760 1.1×
Bronchoscopy Reclear Airway (31646) $5,433 $5,433 10.8×
Bronchoscopy W/Biopsy(S) (31625) $5,433 $5,433 2.4×
Bronchoscopy W/Excision Tumor (31640) $10,235 $10,235 2.1×
Bronchoscopy W/Removal Foreign Body (31635) $10,235 $10,235 4.5×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $5,433 $5,433 1.1×
Bronchoscopy/Needle Bx Each (31629) $6,140 $6,140 1.3×
Bx breast 1st lesion mr imag (19085) $8,005 $8,005 3.8×
Bx breast 1st lesion strtctc (19081) $8,005 $8,005 3.8×
Bx breast 1st lesion us imag (19083) $5,119 $5,119 2.4×
Bx breast needle core w/o imaging guidance spx (19100) $3,255 $3,255 1.5×
Cerclage cervix pregnancy vaginal (59320) $11,990 $11,990 2.9×
Cessj Therapy Cath Removal (37214) $11,318 $11,318 2.8×
Change of Windpipe Airway (31502) $1,389 $1,389 4.6×
Change ureter stent percut (50382) $15,752 $15,752 5.9×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $572.25–$1,044 $572.25–$1,044 varies
Chemical Pleurodesis (32560) $3,244 $3,244 4.0×
Chemodenerv 1 extremity 1-4 (64642) $2,077.56 $2,077.56 2.3×
Chemodenerv Musc Migraine (64615) $785.31 $785.31 2.0×
Chemodenerv musc neck dyston (64616) $650 $650 1.6×
Chemodenerv trunk musc 6/> (64647) $1,933.02 $1,933.02 2.1×
Chest tube placement (32551) $5,722 $5,722 2.8×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $8,096 $8,096 1.8×
Circumcision Neonate (54160) $1,260 $1,260 1.4×
Clear outer ear canal (69200) $280 $280 1.6×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $932 $932 2.9×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $5,868 $5,868 2.8×
Collect Blood From Catheter Venous Nos (36592) $469 $469 2.7×
Collection of venous blood by venipuncture (36415)
range across 5 matching MRF lines		 $1.06–$94 $1.06–$94 varies
Colonoscopy Flexible With Decompression (45393) $5,209 $5,209 3.4×
Colonoscopy Stoma Ablation Lesion (44401) $5,388 $5,388 3.5×
Colonoscopy Stoma Control Bleeding (44391) $3,874 $3,874 2.5×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $4,320 $4,320 2.8×
Colonoscopy stoma w/balloon dilation (44405) $6,061 $6,061 3.9×
Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402) $9,156 $9,156 1.2×
Colonoscopy Stoma W/Rmvl Foreign Body (44390) $3,874 $3,874 3.2×
Colonoscopy Stoma W/Submucosal Injection (44404) $6,061 $6,061 3.9×
Colonoscopy Through Stoma With Decompression (44408) $6,734 $6,734 5.6×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $4,551 $4,551 3.0×
Colonoscopy thru stoma (44388) $3,550 $3,550 3.0×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $5,181 $5,181 3.4×
Colonoscopy w/ablation (45388) $4,489 $4,489 2.9×
Colonoscopy W/Band Ligation (45398) $4,689 $4,689 3.0×
Colonoscopy w/fb removal (45379) $4,190 $4,190 2.7×
Colonoscopy W/Resection (45390) $6,004 $6,004 1.7×
Colonoscopy w/stent plcmt (45389) $9,156 $9,156 1.2×
Colonoscopy w/submucosal inj (45381) $2,082 $2,082 1.4×
Colsc Flexible W/Control Bleeding Any Method (45382) $4,320 $4,320 2.8×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $1,907 $1,907 1.2×
Colsc flx w/removal lesion by hot bx forceps (45384) $5,181 $5,181 3.4×
Control Nasal Hemorrhage Anterior Simple (30901) $716 $716 4.2×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $5,737 $5,737 2.3×
Convert Nephrostomy Catheter (50434) $6,815 $6,815 2.5×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $3,292 $3,292 1.5×
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $100.29 $100.29 1.3×
Cysto w/complex removal stone & stent (52315) $7,360 $7,360 2.7×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $8,122 $8,122 2.2×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $2,011 $2,011 2.2×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $2,011 $2,011 2.2×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $636.03–$1,664 $636.03–$1,664 varies
Debride nail 1-5 (11720) $428 $428 5.6×
Debride nail 6 or more (11721) $428 $428 5.6×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $4,818–$4,987 $4,818–$4,987 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 3 matching MRF lines		 $1,608–$1,664 $1,608–$1,664 varies
Declot vascular device (36593) $1,000 $1,000 2.4×
Delivery of placenta (59414) $9,736 $9,736 2.3×
Destr W Neurolytic; Celiac Plexus (64680) $1,026 $1,026 0.9×
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines		 $4,853–$5,392.56 $4,853–$5,392.56 varies
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines		 $5,392.56–$5,581 $5,392.56–$5,581 varies
Destruct B9 Lesion 1-14 (17110) $506.85 $506.85 2.0×
Destruction by neurolytic agent, intercostal nerve (64620) $2,556.54 $2,556.54 2.2×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 2 matching MRF lines		 $5,392.56–$5,581 $5,392.56–$5,581 varies
Destruction Premalignant Lesion 15/> (17004) $628.16 $628.16 1.2×
Destruction premalignant lesion 1st (17000) $352.90 $352.90 1.4×
Diagnostic sigmoidoscopy (45330) $1,429 $1,429 1.2×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $5,803 $5,803 3.8×
Dilate Esophagus 1/Mult Pass (43450) $1,948 $1,948 1.7×
Drain Cerebro Spinal Fluid (62272)
range across 2 matching MRF lines		 $1,531–$1,778 $1,531–$1,778 varies
Drainage of hematoma/fluid (10140) $7,864 $7,864 3.7×
Draw Blood Off Venous Device (36591) $469 $469 2.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $2,296 $2,296 4.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $1,723 $1,723 6.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $1,148 $1,148 4.4×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $989.92 $989.92 0.9×
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $1,026 $1,026 0.9×
Dx Bone Marrow Bx & Aspir (38222)
range across 2 matching MRF lines		 $608–$4,825 $608–$4,825 varies
Dx Bronchoscope/Lavage (31624) $5,219 $5,219 2.3×
Dx Bronchoscope/Wash (31622) $5,126 $5,126 2.2×
Dx lmbr spi pnxr w/fluor/CT (62328) $4,780 $4,780 5.3×
Egd Balloon Dil Esoph30 Mm/> (43233) $5,348 $5,348 2.2×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $2,816 $2,816 1.1×
Egd cautery tumor polyp (43250) $1,724 $1,724 0.7×
Egd control bleeding any (43255) $2,867 $2,867 1.2×
Egd dilation gastric/duodenal stricture (43245) $2,270 $2,270 0.9×
Egd endo mucosal resection (43254) $6,782 $6,782 2.7×
Egd Endoscopic Stent Place (43266) $11,266 $11,266 1.4×
Egd Flexible Foreign Body Removal (43247) $2,001 $2,001 1.7×
Egd guide wire insertion (43248) $2,816 $2,816 2.4×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $3,555 $3,555 1.4×
Egd lesion ablation (43270) $4,813 $4,813 2.0×
Egd place gastrostomy tube (43246) $1,925 $1,925 0.8×
Egd remove lesion snare (43251) $1,915 $1,915 0.8×
Egd Tube/Cath Insertion (43241) $3,555 $3,555 1.4×
Egd Varices Ligation (43244) $4,740 $4,740 1.9×
Egd W/Transmural Drain Cyst (43240)
unusually low: confirm this is the full procedure		 $3,136 $3,136 0.4×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $2,811 $2,811 7.1×
Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) $40,905 $40,905 5.7×
Endoscopy Upper Small Intestine (44360) $3,070 $3,070 1.2×
Endoscopy upper small intestine w/biopsy (44361) $3,356 $3,356 1.4×
Endovasc Temp Balloon Occlus,Head/Nck (61623) $14,399 $14,399 1.0×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $13,693 $13,693 3.4×
Endoven ther chem adhes 1st (36482) $13,609 $13,609 1.9×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) $3,024 $3,024 1.2×
Enteroscopy > 2nd prtn conv gstrst tube (44373) $4,339 $4,339 1.8×
Enteroscopy > 2nd prtn tndsc stent plmt (44370) $15,484 $15,484 2.0×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $5,787 $5,787 2.3×
Enteroscopy > 2nd prtn w/rmvl foreign body (44363) $6,117 $6,117 2.5×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) $3,685 $3,685 1.5×
Epidural Blood Patch (62273)
range across 3 matching MRF lines		 $1,809–$4,439 $1,809–$4,439 varies
Ercp Destruction/Lithotripsy Calculi Any Method (43265) $11,901 $11,901 1.5×
Ercp duct stent placement (43274) $10,207 $10,207 1.3×
Ercp Dx Collection Specimen Brushing/Washing (43260) $3,485 $3,485 0.7×
Ercp ea duct/ampulla dilate (43277) $10,207 $10,207 2.1×
Ercp remove calculi/debris biliary/pancreas duct (43264) $4,622 $4,622 0.9×
Ercp remove forgn body duct (43275) $10,207 $10,207 4.1×
Ercp Stent Exchange W/Dilate (43276) $9,186 $9,186 1.2×
Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) $9,186 $9,186 1.9×
Ercp W/Biopsy Single/Multiple (43261) $3,485 $3,485 0.7×
Ercp,Sphincterotomy (43262) $3,485 $3,485 0.7×
Esophagogastroduodenoscopy Submucosal Injection (43236) $1,723 $1,723 1.5×
Esophagoscop Stent Placement (43212) $11,266 $11,266 1.4×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $1,724 $1,724 0.7×
Esophagoscopy Flex Transoral Lesion Ablation (43229) $9,354 $9,354 1.9×
Esophagoscopy Flexible Transoral Diagnostic (43200) $2,269 $2,269 1.9×
Esophagoscopy Retro Balloon (43213) $4,813 $4,813 2.0×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $4,635 $4,635 1.9×
Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) $4,635 $4,635 1.9×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $436 $436 0.5×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $2,720 $2,720 1.3×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $2,010 $2,010 2.2×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $2,751 $2,751 1.3×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,900 $1,900 2.1×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $2,299 $2,299 1.1×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $7,612 $7,612 4.9×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $628.16 $628.16 1.2×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $1,158.68 $1,158.68 1.3×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $2,090 $2,090 1.0×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536)
range across 2 matching MRF lines		 $3,577–$7,070 $3,577–$7,070 varies
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $4,117 $4,117 1.5×
Exchange Transfusion Blood Newborn (36450) $545 $545 1.0×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $1,896 $1,896 0.8×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $2,010 $2,010 2.2×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $2,010 $2,010 2.2×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $2,010 $2,010 2.2×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $1,137 $1,137 2.2×
Excision of single external papilla or tag, anus (46220) $3,508 $3,508 2.3×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $4,860.72 $4,860.72 2.3×
External cephalic version (59412) $6,226 $6,226 1.5×
Fetal non-stress test (59025) $641 $641 2.5×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $4,545 $4,545 5.0×
Fine needle aspiration bx w/mr gdn 1st lesion (10011) $4,545 $4,545 5.0×
Fine needle aspiration without imaging guidance (10021) $1,156 $1,156 2.2×
Fluoro exam of g/colon tube (49465) $2,867 $2,867 9.3×
Fna Bx W/Fluor Gdn 1St Les (10007) $4,545 $4,545 5.0×
Fna bx w/us gdn 1st les (10005) $4,545 $4,545 5.0×
Guide Cathet Fluid Drainage (10030) $2,463 $2,463 2.7×
Head Surgery Procedure (21499) $381 $381 1.3×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $1,647 $1,647 1.4×
I&d abscess simple (10060) $352.90 $352.90 1.4×
I&d upper arm/elbow deep abscess/hematoma (23930) $2,751 $2,751 0.7×
I&d vaginal hematoma obstetrical/postpartum (57022) $4,650 $4,650 1.2×
Icd Pocket Revision (33223) $10,660 $10,660 4.0×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $3,211 $3,211 2.8×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $2,502 $2,502 2.1×
Image Cath Fluid Colxn Visc (49405) $6,505 $6,505 3.1×
Image Cath Fluid Peri/Retro (49406) $4,643 $4,643 2.2×
Implant neuroelectrodes (63650)
likely a partial charge, not the full procedure		 $1,179 $1,179 0.1×
Incision & drainage abscess complicated/multiple (10061) $958.53 $958.53 1.8×
Incision & removal foreign body subq tiss simple (10120) $2,157 $2,157 4.1×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $2,556.54–$2,646 $2,556.54–$2,646 varies
Inj W/Fluor Eval Cv Device (36598) $476 $476 1.7×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines		 $2,556.54–$2,646 $2,556.54–$2,646 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $734.10–$1,468.20 $734.10–$1,468.20 varies
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines		 $1,933.02–$2,001 $1,933.02–$2,001 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines		 $2,556.54–$2,646 $2,556.54–$2,646 varies
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449)
range across 2 matching MRF lines		 $2,556.54–$2,646 $2,556.54–$2,646 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 2 matching MRF lines		 $1,933.02–$2,001 $1,933.02–$2,001 varies
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 2 matching MRF lines		 $815.67–$844 $815.67–$844 varies
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines		 $1,933.02–$2,001 $1,933.02–$2,001 varies
Injection Into Brain Canal (61055) $1,544 $1,544 3.9×
Injection single tendon origin/insertion (20551) $734.10 $734.10 1.9×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 5 matching MRF lines		 $633.63–$1,656 $633.63–$1,656 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 3 matching MRF lines		 $494.96–$989.92 $494.96–$989.92 varies
Injection Sinus Tract Therapeutic Separate Proc (20500) $4,279 $4,279 2.1×
Injection therapeutic carpal tunnel (20526) $815.67 $815.67 2.1×
Injection, anesthetic agent; brachial plexus, single (64415) $2,404 $2,404 2.1×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $1,197.62–$1,779 $1,197.62–$1,779 varies
Injection, Intralesional; More Than 7 Lesions (11901) $542 $542 2.1×
Injection, intralesional; up to and including 7 lesions (11900) $524.19 $524.19 2.0×
Ins cath ren art 1st bilat (36252) $17,178 $17,178 4.2×
Ins cath ren art 1st unilat (36251) $7,707 $7,707 1.9×
Ins cath ren art 2nd+ bilat (36254) $17,176 $17,176 4.2×
Ins cath ren art 2nd+ unilat (36253) $17,176 $17,176 2.4×
Ins endovas vena cava filtr (37191)
range across 3 matching MRF lines		 $10,805–$12,006 $10,805–$12,006 varies
Ins Vag Brachytx Device (57156) $1,886 $1,886 4.8×
Ins/Rep Subq Defibrillator (33270) $79,331 $79,331 2.0×
Insert 1 Electrode Pm-Defib (33216) $23,411 $23,411 2.2×
Insert Bladder Cath Complex (51703) $999 $999 6.0×
Insert cath pleura w/ image (32557) $6,951 $6,951 3.4×
Insert cath pleura w/o image (32556) $6,319 $6,319 2.6×
Insert cervical dilator (59200) $2,142 $2,142 5.5×
Insert Gastrostomy Tube Percutaneous (49440) $3,449 $3,449 1.4×
Insert Heart Pm Atrial (33206) $31,184 $31,184 2.3×
Insert Heart Pm Ventricular (33207) $31,184 $31,184 2.3×
Insert hepatic shunt (tips) (37182) $37,594 $37,594 1.6×
Insert heyman uteri capsule (58346) $17,170 $17,170 2.7×
Insert non-tunnel cv cath (36556) $5,774 $5,774 1.4×
Insert Pacing Lead & Connect (33224) $53,540 $53,540 4.0×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $12,580 $12,580 6.2×
Insert pulse gen mult leads (33221) $46,178 $46,178 1.9×
Insert Pulse Gen Sngl Lead (33212) $25,746 $25,746 2.4×
Insert Temp Bladder Cath (51702) $358 $358 2.1×
Insert tun ip cath perc (49418) $8,378 $8,378 1.8×
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $5,879–$10,456 $5,879–$10,456 varies
Insert,Non-Indwelling Bladder Catheter (51701) $834 $834 4.9×
Insertion indwelling tunneled pleural catheter (32550) $19,666 $19,666 4.3×
Insertion Picc W/Rs&I 5 Yr/> (36573) $10,646 $10,646 5.3×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $21,410 $21,410 2.0×
Insertion Uterine Tandem&/Vaginal Ovoids (57155) $17,170 $17,170 2.7×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $23,411 $23,411 2.2×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $6,619 $6,619 1.6×
Insj Picc Rs&I <5 Yr (36572) $13,406 $13,406 16.6×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $5,879 $5,879 1.4×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $7,834 $7,834 3.9×
Insj Subq Impltbl Dfb Elctrd (33271) $24,079 $24,079 2.3×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $9,929 $9,929 1.4×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $9,769 $9,769 2.4×
Insj/Rplcmt Defib W/Lead(S) (33249) $127,748 $127,748 3.2×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $23,408 $23,408 2.2×
Insrt heart pm atrial & vent (33208) $37,287 $37,287 2.8×
Insrt Pulse Gen W/Dual Leads (33230) $85,461 $85,461 3.0×
Insrt Pulse Gen W/Mult Leads (33231) $85,461 $85,461 2.1×
Int hrhc by ligation single hroid w/o img gdn (46945) $4,999 $4,999 1.4×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $4,319 $4,319 2.4×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,001 $1,001 1.9×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,102 $1,102 2.1×
Intro cath dialysis circuit (36901) $9,085 $9,085 4.5×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $92,497 $92,497 6.2×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $19,657 $19,657 2.7×
Intubation endotracheal emergency procedure (31500) $1,066 $1,066 3.5×
Irrigation of corpora cavernosa for priapism (54220) $821 $821 2.6×
Laryngoscopy diagnostic (31505) $846 $846 3.3×
Laryngoscopy flexible diagnostic (31575) $938 $938 3.7×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $1,785 $1,785 3.5×
Ligation of hemorrhoids (46946) $4,999 $4,999 1.4×
Ligation Of Inf Vena Cava (37619) $12,135 $12,135 1.7×
Maternity Care Procedure (59899) $688 $688 2.6×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $3,767 $3,767 1.9×
Mech remov tunneled cv cath (36595) $5,879 $5,879 1.4×
Myelography Lumbar Injection (62305) $1,746 $1,746 1.7×
Myelography Lumbar Injection (62304) $1,746 $1,746 1.7×
Myelography via lumbar injection rs&i cervical (62302) $1,746 $1,746 1.7×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $1,746 $1,746 1.7×
N Block Inj Celiac Pelus (64530) $4,301 $4,301 3.8×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines		 $1,933.02–$2,001 $1,933.02–$2,001 varies
N block inj intercost sng (64420)
range across 2 matching MRF lines		 $1,933.02–$2,001 $1,933.02–$2,001 varies
N Block Inj Plantar Digit (64455) $494.96 $494.96 1.3×
N Block Lumbar/Thoracic (64520) $2,404 $2,404 2.1×
Nasal/Orogastric W/Tube Plmt (43752) $600 $600 1.0×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $3,862 $3,862 3.2×
Needle Biopsy Lymph Nodes (38505) $4,900 $4,900 2.3×
Needle Biopsy Pancreas (48102) $1,677 $1,677 0.8×
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines		 $2,556.54–$2,646 $2,556.54–$2,646 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $815.67–$1,278 $815.67–$1,278 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $3,935 $3,935 0.9×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $10,366 $10,366 2.3×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 4 matching MRF lines		 $2,556.54–$7,723 $2,556.54–$7,723 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines		 $1,933.02–$5,764 $1,933.02–$5,764 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 4 matching MRF lines		 $1,933.02–$5,764 $1,933.02–$5,764 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $3,924 $3,924 4.4×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $3,924 $3,924 4.4×
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 $742.44–$769 $742.44–$769 varies
Open/Perq Place Stent 1St (37236) $87,464 $87,464 5.9×
Open/Perq Place Stent Same (37238) $87,464 $87,464 5.9×
Penile Plethysmography (54240) $2,162 $2,162 7.8×
Perc Cryo Ablate Renal Tum (50593) $11,092 $11,092 0.8×
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) $4,319 $4,319 2.4×
Perc Rf Ablate Renal Tumor (50592) $17,068 $17,068 2.2×
Percut Ablate Liver Rf (47382) $14,441 $14,441 1.9×
Percut Cath Occlusn Non Cns Lesn (61626) $29,057 $29,057 2.0×
Percut Drain/Inject Renal Cyst (50390) $2,463 $2,463 2.7×
Percut Mech Thrombectomy, Venous, Repeat (37188) $14,581 $14,581 3.6×
Pericardiocentesis W/Imaging (33016) $3,552 $3,552 1.8×
Peritoneal Lavage (49084) $2,620 $2,620 2.2×
Perm Occlusion/Embolization,Percut,Cns (61624)
range across 2 matching MRF lines		 $2,768–$20,493 $2,768–$20,493 varies
Perq Cervicothoracic Inject (22510) $7,983 $7,983 1.9×
Perq dev breast 1st mr guide (19287) $2,207 $2,207 2.4×
Perq dev breast 1st us imag (19285) $2,218 $2,218 2.4×
Perq device breast 1st imag (19281) $2,207 $2,207 1.0×
Perq dilation xst trc endourologic px w/img (50436) $4,263 $4,263 0.9×
Perq Lumbosacral Injection (22511) $7,983 $7,983 1.9×
Perq Radiofreq Ablation Tx, Pul Tumor (32998) $14,441 $14,441 1.9×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $2,743 $2,743 3.0×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $36,574 $36,574 2.5×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $28,558 $28,558 3.9×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
range across 2 matching MRF lines		 $16,920–$19,843.89 $16,920–$19,843.89 varies
Perq Vertebral Augmentation (22513)
range across 2 matching MRF lines		 $16,920–$19,843.89 $16,920–$19,843.89 varies
Place breast rad tube/caths (19298) $22,017 $22,017 1.2×
Place Cath Subclavian Art (36225) $15,854 $15,854 3.9×
Place Cath Thoracic Aorta (36221) $15,854 $15,854 3.9×
Place Cath Vertebral Art (36226) $17,284 $17,284 2.4×
Place Duod/Jej Tube Perc (49441) $4,846 $4,846 2.0×
Place ndl musc/tis for rt (20555) $9,598 $9,598 2.3×
Place Rt Device/Marker Pros (55876) $4,967 $4,967 2.8×
Placement needle head/neck radioelement applicat (41019) $19,781 $19,781 2.6×
Placement Needle Pelvic Organ Radioelement Appl (55920) $14,931 $14,931 2.3×
Placement of needle for intraosseous infusion (36680) $1,663 $1,663 2.9×
Plmt Bile Duct Stent Prq Existing Access (47538) $21,544 $21,544 2.8×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $12,429 $12,429 1.6×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $13,810 $13,810 1.8×
Plmt expandable cath brst following prtl mast (19296) $32,621 $32,621 3.1×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 2 matching MRF lines		 $4,632–$5,147 $4,632–$5,147 varies
Plmt Nephroureteral Catheter (50433) $5,147 $5,147 1.1×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $17,604 $17,604 3.9×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $15,209 $15,209 3.4×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $19,949 $19,949 4.4×
Prim art mech thrombectomy (37184) $17,541 $17,541 0.7×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $5,396 $5,396 4.5×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $2,663 $2,663 2.9×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) $17,720 $17,720 2.2×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $11,390 $11,390 2.5×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $11,390 $11,390 2.5×
Pseudoaneurysm Injection Trt (36002) $1,481 $1,481 1.8×
Punch biopsy skin single lesion (11104) $439 $439 0.8×
Puncture aspiration abscess hematoma bulla/cyst (10160) $2,296 $2,296 4.4×
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines		 $1,216–$1,258 $1,216–$1,258 varies
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625)
range across 2 matching MRF lines		 $5,392.56–$5,581 $5,392.56–$5,581 varies
Redo Endovas Vena Cava Filtr (37192) $11,813 $11,813 2.9×
Relocation Pocket Pacemaker (33222) $15,705 $15,705 5.9×
Rem Endovas Vena Cava Filter (37193) $21,448 $21,448 5.3×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $5,080 $5,080 4.4×
Removal impacted cerumen irrigation/lvg unilat (69209) $111.80 $111.80 1.5×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $181 $181 2.4×
Removal Implant Deep (20680) $4,756.58 $4,756.58 1.3×
Removal Implant Superficial Separate Procedure (20670) $2,751 $2,751 1.3×
Removal of tunneled intraperitoneal catheter (49422) $8,805 $8,805 2.2×
Removal Pacemaker Electrode (33235) $11,703 $11,703 2.4×
Removal ppm generator only (33233) $23,917 $23,917 2.2×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $529.35 $529.35 2.1×
Removal subcutaneous cardiac rhythm monitor (33286) $8,232 $8,232 9.0×
Remove brain canal fluid (61050) $1,544 $1,544 3.9×
Remove Elctrd Transvenously (33244) $16,142 $16,142 3.4×
Remove intrvas foreign body (37197) $8,872 $8,872 2.2×
Remove lung catheter (32552) $3,236 $3,236 4.0×
Remove Pulse Generator (33241) $11,703 $11,703 2.4×
Remove renal tube w/fluoro (50389) $2,366 $2,366 2.6×
Remove&replace pm gen singl (33227) $25,746 $25,746 2.4×
Remv&replc cvd gen dual lead (33263) $85,230 $85,230 3.0×
Remv&replc cvd gen mult lead (33264) $98,019 $98,019 2.4×
Remv&replc cvd gen sing lead (33262) $73,516 $73,516 2.6×
Remv&replc pm gen dual lead (33228) $29,646 $29,646 2.2×
Remv&replc pm gen mult leads (33229) $46,178 $46,178 1.9×
Renal Biopsy Perq (50200) $3,699 $3,699 1.7×
Repair Blood Vessel Direct Upper Extremity (35206) $9,337 $9,337 2.3×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,139.76 $1,139.76 2.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $684 $684 1.3×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $752 $752 1.4×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $827 $827 1.6×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $910 $910 1.7×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,211 $1,211 2.3×
Repair lead pace-defib dual (33220) $23,411 $23,411 4.9×
Repair Lead Pace-Defib One (33218) $23,411 $23,411 4.9×
Replace duodenostomy/jejunostomy tube perq (49451) $3,744 $3,744 3.2×
Replace G-J Tube Perc (49452) $3,659 $3,659 3.1×
Replace g/c tube perc (49450) $5,491 $5,491 4.7×
Repos Previously Implanted Subq Implantable Dfb (33273) $10,761 $10,761 2.2×
Reposition Gastrostomy Tube (43761) $1,948 $1,948 6.1×
Reposition L Ventric Lead (33226) $16,265 $16,265 4.0×
Reposition Pacing-Defib Lead (33215) $11,703 $11,703 2.9×
Reposition Venous Catheter (36597) $6,667 $6,667 3.3×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $37,594 $37,594 5.1×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $5,692 $5,692 2.1×
Rmvl fecal impaction/fb spx under anes (45915) $4,658 $4,658 3.0×
Rmvl of subq implantable defibrillator electrode (33272) $10,761 $10,761 2.2×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $11,703 $11,703 2.4×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $3,003 $3,003 1.5×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $3,450 $3,450 4.3×
Rplc Gtube No Revj Trc (43762) $524 $524 1.6×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $7,834 $7,834 3.9×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $12,580 $12,580 6.2×
Rplcmt compl tun ctr vad w/subq port (36582) $17,635 $17,635 4.3×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $5,879 $5,879 1.4×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $7,713 $7,713 3.8×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $627 $627 2.4×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $3,767 $3,767 4.7×
Sclerotx Fluid Collection (49185) $4,786 $4,786 2.3×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $1,845 $1,845 1.5×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $2,033 $2,033 1.3×
Shave skin lesion 0.5 cm/< (11300) $354 $354 0.7×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $380 $380 1.5×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $506 $506 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $366 $366 1.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $426 $426 1.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $480 $480 1.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $525 $525 1.0×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $418 $418 1.6×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $460 $460 0.9×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $423 $423 1.6×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $690 $690 1.3×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $540 $540 2.1×
Sigmoidoscopy & decompress (45337) $2,421 $2,421 2.0×
Sigmoidoscopy & Polypectomy (45333) $2,179 $2,179 1.8×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $4,842 $4,842 3.1×
Sigmoidoscopy flx tndsc balo dilat (45340) $1,921 $1,921 1.2×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $4,243 $4,243 2.8×
Sigmoidoscopy w/fb removal (45332) $1,907 $1,907 1.2×
Sigmoidoscopy w/plcmt stent (45347) $14,847 $14,847 1.9×
Sigmoidoscopy W/Resection (45349) $4,964 $4,964 1.4×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $1,573 $1,573 1.3×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $2,421 $2,421 1.6×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $1,139.76 $1,139.76 2.2×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $524 $524 2.0×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $577–$1,510 $577–$1,510 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $1,139.76 $1,139.76 2.2×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $602 $602 2.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $524 $524 2.0×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $570 $570 2.2×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $582 $582 2.3×
Skin sub graft face/nk/hf/g (15275) $2,152 $2,152 2.3×
Skin sub graft trnk/arm/leg (15271) $2,131 $2,131 2.2×
Skin sub grft t/arm/lg child (15273) $3,938 $3,938 1.5×
Skin Tissue Procedure (17999) $2,463 $2,463 9.5×
Skn sub grft f/n/hf/g child (15277) $3,226 $3,226 1.2×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $15,854 $15,854 2.2×
Slctv cath carotid/innom art angio xtrcranl art (36222) $15,854 $15,854 3.9×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $17,284 $17,284 2.4×
Small bowel endoscopy (44366) $3,685 $3,685 1.5×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $5,459 $5,459 2.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $577 $577 2.2×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $1,137 $1,137 2.2×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $1,137 $1,137 2.2×
Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) $8,025.72 $8,025.72 2.2×
Spinal puncture lumbar diagnostic (62270)
range across 4 matching MRF lines		 $472–$2,290 $472–$2,290 varies
Strapping elbow or wrist (29260) $288 $288 3.8×
Strapping hand/finger (29280) $288 $288 3.8×
Strapping shoulder (29240) $288 $288 1.7×
Strapping Unna Boot (29580)
range across 7 matching MRF lines		 $389–$781 $389–$781 varies
Tangential biopsy skin single lesion (11102) $524.19 $524.19 1.0×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $188,728 $188,728 5.1×
Tcat Insj/Rpl Perm Ldls Pm (33274) $102,431 $102,431 4.1×
Tcat Rmvl Perm Ldls Pm (33275) $20,070 $20,070 4.9×
Ther Spi Pnxr Csf Fluor/Ct (62329) $4,780 $4,780 5.3×
Therapeutic Apheresis White Blood Cells (36511) $9,045 $9,045 4.5×
Therapeutic plasma exchange (36514) $6,741 $6,741 3.4×
Thrmbc/Nfs Dialysis Circuit (36906) $111,903 $111,903 4.7×
Thromblytic art/ven therapy (37213) $10,814 $10,814 2.7×
Thrombolytic Art Therapy (37211) $8,742 $8,742 1.2×
Thrombolytic Therapy Stroke (37195) $1,656 $1,656 3.9×
Thrombolytic Venous Therapy (37212) $10,814 $10,814 2.7×
Thyroid biopsy (60100) $2,686 $2,686 2.9×
Tprnl Plmt Biodegrdabl Matrl (55874) $10,143 $10,143 1.5×
Tracheobrnchsc Thru Est Trachs Inc (31615)
range across 2 matching MRF lines		 $2,012–$5,126 $2,012–$5,126 varies
Tracheostomy Emergency Cricothyroid Membrane (31605) $3,123 $3,123 10.3×
Tracheostomy Emergency Procedure Transtracheal (31603) $3,123 $3,123 1.6×
Transcatheter biopsy (37200) $6,073 $6,073 0.8×
Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) $17,419 $17,419 2.5×
Trim skin lesion (11055) $600 $600 2.3×
Trim skin lesions 2 to 4 (11056) $801 $801 3.1×
Trim skin lesions over 4 (11057) $1,202 $1,202 4.7×
Trluml Balo Angiop 1St Art (37246) $34,692 $34,692 4.7×
Trluml Balo Angiop 1St Vein (37248) $23,811 $23,811 3.3×
Tx Gastro Intub W/Asp (43753) $1,516 $1,516 5.5×
Tx Incomplete Abortion Any Trimester Surgical (59812) $14,606 $14,606 3.5×
Tx Superficial Wound Dehiscence Simple Closure (12020) $2,526 $2,526 2.7×
Unlisted procedure breast (19499) $3,745 $3,745 0.7×
Unlisted procedure colon (45399) $2,976 $2,976 2.5×
Unlisted Procedure Endocrine System (60699) $18,059 $18,059 2.3×
Unlisted Procedure Intestine (44799) $4,076 $4,076 3.5×
Unlisted procedure liver (47399) $2,404 $2,404 2.6×
Unlisted procedure lungs and pleura (32999) $2,144 $2,144 2.7×
Unlisted procedure neck or thorax (21899) $770 $770 2.5×
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines		 $762–$815.67 $762–$815.67 varies
Unlisted Procedure Rectum (45999) $3,078 $3,078 2.6×
Unlisted procedure stomach (43999)
range across 2 matching MRF lines		 $2,111–$4,065 $2,111–$4,065 varies
Unlisted Procedure Trachea Bronchi (31899) $1,421 $1,421 5.5×
Unlisted Procedure Vascular Surgery (37799) $4,205 $4,205 5.2×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $3,942 $3,942 3.4×
Unlisted px female genital system nonobstetrical (58999) $661 $661 2.5×
Upgrade of pacemaker system (33214) $37,287 $37,287 2.8×
Vasc embolize/occlude artery (37242) $40,032 $40,032 1.7×
Vasc Embolize/Occlude Bleed (37244) $40,032 $40,032 2.7×
Vasc Embolize/Occlude Organ (37243) $40,032 $40,032 2.7×
Vasc embolize/occlude venous (37241) $40,032 $40,032 2.7×
Venous Mech Thrombectomy (37187) $16,648 $16,648 1.1×
Wedge excision skin nail fold (11765) $958.53 $958.53 1.8×
Wound Prep F/N/Hf/G (15004) $1,138 $1,138 2.2×
Xtrnl Cannula Decltng Spx W/Balo Cath (36861) $12,135 $12,135 1.7×
Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) $3,671 $3,671 1.8×

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.