Procedures & surgery prices at Essentia Health St. Mary's Hospital - Superior

Superior, WI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,172.79 $1,587 1.3×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,080.42 $1,462 1.2×
Acne surgery (10040) $173.66 $235 0.9×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $3,384.62 $4,580 1.0×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $2,805.24 $3,796 1.4×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,680.49 $2,274 0.8×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $2,550.29 $3,451 1.3×
Anoscopy diagnostic (46600) $375.41 $508 2.9×
Anoscopy; with biopsy, single or multiple (46606) $1,300.64 $1,760 1.1×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $996.91 $1,349 0.9×
Application cast elbow finger short arm (29075) $263.08 $356 1.0×
Application Finger Splint Dynamic (29131) $121.20 $164 2.1×
Application finger splint static (29130) $219.48 $297 1.7×
Application long arm splint shoulder hand (29105) $287.47 $389 1.8×
Application Long Leg Splint (29505) $325.16 $440 2.0×
Application Short Arm Splint Dynamic (29126) $211.35 $286 1.6×
Application short arm splint forearm-hand static (29125) $226.13 $306 1.7×
Application short leg splint calf foot (29515) $243.87 $330 1.5×
Apply hand/wrist cast (29085) $220.22 $298 1.4×
Apply long arm cast (29065) $284.52 $385 1.0×
Apply Multlay Comprs Lwr Leg (29581) $250.52 $339 1.6×
Apply Short Leg Cast (29405) $336.98 $456 1.2×
Arterial puncture (36600)
range across 2 matching MRF lines
$116.02–$124.89 $157–$169 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $305.21 $413 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $707.96 $958 1.0×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $363.59 $492 1.2×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $768.56 $1,040 2.6×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $345.85 $468 1.2×
Aspirate pleura w/ imaging (32555) $1,292.51 $1,749 2.1×
Aspirate Pleura W/O Imaging (32554) $1,421.10 $1,923 2.3×
Aspiration Bladder Needle (51100) $205.44 $278 0.8×
Avulsion nail plate partial/complete simple 1 (11730) $365.80 $495 1.9×
Biopsy of liver, needle; percutaneous (47000) $1,557.07 $2,107 1.0×
Bladder instillation anticarcinogenic agent (51720) $605.98 $820 0.9×
Bladder Irrigation (51700) $323.68 $438 1.3×
Bladder Scan (51798) $118.98 $161 2.1×
Blepharotomy drainage abscess eyelid (67700) $237.22 $321 0.8×
Blood Transfusion Service (36430) $839.50 $1,136 1.9×
Bronchoscopy Clear Airways (31645) $1,659.06 $2,245 1.0×
Bx breast 1st lesion mr imag (19085) $954.05 $1,291 0.6×
Bx breast 1st lesion strtctc (19081) $1,639.10 $2,218 1.0×
Bx breast 1st lesion us imag (19083) $954.05 $1,291 0.6×
Bx breast needle core w/o imaging guidance spx (19100) $1,381.93 $1,870 0.9×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $2,346.32 $3,175 0.7×
Catheter aspiration nasotracheal spx (31720) $355.46 $481 1.7×
Change Cystostomy Tube Simple (51705) $443.40 $600 1.8×
Change of Windpipe Airway (31502) $227.61 $308 1.0×
Chemical Cautery Tissue (17250) $178.10 $241 0.9×
Chemodenerv 1 extrem 5/> mus (64644) $902.32 $1,221 1.3×
Chemodenerv 1 extremity 1-4 (64642) $756 $1,023 1.1×
Chemodenerv Musc Migraine (64615) $662.88 $897 2.2×
Chemodenerv musc neck dyston (64616) $568.29 $769 1.9×
Chemodenerv trunk musc 1-5 (64646) $633.32 $857 0.9×
Chemodenerv trunk musc 6/> (64647) $972.52 $1,316 1.4×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $273.43 $370 0.9×
Chest tube placement (32551) $1,389.32 $1,880 0.9×
Circumcision w/clamp/oth dev w/block (54150) $243.87 $330 0.1×
Cl Tx Tib Shft Fx W Manip (27752) $1,932.48 $2,615 1.2×
Clear outer ear canal (69200) $199.53 $270 1.5×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $325.90 $441 1.4×
Closed tx ankle dislocation w/o anesthesia (27840) $1,011.69 $1,369 4.2×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,503.86 $2,035 1.0×
Closed tx knee dislocation w/o anesthesia (27550) $240.18 $325 1.0×
Closed tx patellar dislocation w/o anesthesia (27560) $818.81 $1,108 3.4×
Closed tx radial head/neck fx w/manipulation (24655) $1,571.85 $2,127 1.0×
Closed tx radial shaft fracture w/manipulation (25505) $1,563.72 $2,116 1.0×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,607.32 $2,175 1.0×
Closed tx radial&ulnar shaft fractures w/o man (25560) $765.60 $1,036 3.2×
Closed tx talotarsal joint dislc w/o anes (28570) $232.78 $315 1.0×
Closed Tx Talus Fracture W/Manipulation (28435) $1,354.59 $1,833 0.9×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $1,024.99 $1,387 4.3×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $2,269.47 $3,071 1.4×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $444.14 $601 1.9×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $1,073.03 $1,452 2.0×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $300.03 $406 1.2×
Clsd tx clavicular fracture w/o manipulation (23500) $375.41 $508 1.6×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,772.86 $2,399 1.1×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $673.23 $911 2.8×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,471.35 $1,991 0.9×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,097.42 $1,485 0.7×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $118.24 $160 0.5×
Cltx dstl fibular fx lat malls w/manj (27788) $1,121.80 $1,518 4.7×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $757.48 $1,025 3.1×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $308.90 $418 1.3×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $593.42 $803 2.5×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,236.35 $1,673 0.8×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,471.35 $1,991 0.9×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $2,034.47 $2,753 1.3×
Cltx fx grt toe phlx/phlg w/manj (28495) $423.45 $573 1.8×
Cltx fx grt toe phlx/phlg w/o manj (28490) $174.40 $236 0.7×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $407.19 $551 1.7×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $174.40 $236 0.7×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $2,504.47 $3,389 1.6×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $1,197.18 $1,620 0.8×
Cltx hip dislocation traumatic req anesthesia (27252) $1,723.35 $2,332 1.1×
Cltx hip dislocation traumatic w/o anesthesia (27250) $740.48 $1,002 3.1×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,405.58 $1,902 0.9×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $255.69 $346 0.9×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $184.75 $250 0.8×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $167.01 $226 0.6×
Cltx iphal jt dislc w/manj w/o anes (26770) $450.79 $610 1.9×
Cltx Med Ankle Fx W/Mnpj (27762) $1,884.45 $2,550 1.2×
Cltx Medial Ankle Fx (27760) $93.85 $127 0.4×
Cltx metacarpal fx w/manipulation each bone (26605) $715.35 $968 3.0×
Cltx metacarpal fx w/o manipulation each bone (26600) $243.87 $330 1.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $687.27 $930 2.9×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $377.63 $511 1.6×
Cltx post hip arthrp dislc req anes (27266) $1,741.08 $2,356 1.1×
Cltx post hip arthrp dislc w/o anes (27265) $814.38 $1,102 3.4×
Cltx prox fibula/shft fx w/manj (27781) $1,695.27 $2,294 1.1×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $2,966.35 $4,014 1.9×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $385.02 $521 1.6×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $2,272.43 $3,075 1.4×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,378.24 $1,865 0.9×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $235.74 $319 1.0×
Cltx tibial fx proximal w/o manipulation (27530) $320.73 $434 1.3×
Cltx tibial shaft fx w/o manipulation (27750) $362.85 $491 1.5×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,325.77 $1,794 0.8×
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines
$118.98–$128.59 $161–$174 varies
Collection of venous blood by venipuncture (36415)
range across 4 matching MRF lines
$23.65–$31.04 $32–$42 varies
Colonoscopy through stoma; with biopsy, single or multiple (44389) $887.54 $1,201 0.8×
Colonoscopy thru stoma (44388) $2,113.54 $2,860 2.3×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $1,017.60 $1,377 0.9×
Colonoscopy w/ablation (45388) $1,865.98 $2,525 1.6×
Colonoscopy W/Band Ligation (45398) $2,763.86 $3,740 2.4×
Colonoscopy w/fb removal (45379) $758.95 $1,027 0.6×
Colonoscopy W/Resection (45390) $2,655.97 $3,594 1.0×
Colonoscopy w/submucosal inj (45381) $2,116.50 $2,864 1.8×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $773.73 $1,047 2.6×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $249.78 $338 0.8×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $622.24 $842 0.7×
Colsc Flexible W/Control Bleeding Any Method (45382) $2,102.46 $2,845 1.8×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $1,300.64 $1,760 1.1×
Colsc flx w/removal lesion by hot bx forceps (45384) $2,239.17 $3,030 1.9×
Complex drainage wound (10180) $3,331.41 $4,508 1.2×
Control Nasal Hemorrhage Anterior Complex (30903) $475.18 $643 3.7×
Control Nasal Hemorrhage Anterior Simple (30901) $311.12 $421 2.4×
Control oropharyngeal hemorrhage simple (42960) $444.14 $601 0.8×
Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) $3,016.60 $4,082 0.9×
Correction hammertoe (28285) $2,346.32 $3,175 0.7×
Crd ceramides liq chrom plsm (0119U) $84.25 $114 1.0×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $436.75 $591 3.4×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $747.13 $1,011 3.2×
Curettage postpartum (59160) $2,716.56 $3,676 0.9×
Cysto w/insert ureteral stent (52332) $3,666.18 $4,961 1.1×
Cysto W/Simple Removal Stone & Stent (52310) $2,582.07 $3,494 1.3×
Cystourethroscopy (52000) $1,451.40 $1,964 2.1×
Cystourethroscopy inj chemodenervation bladder (52287) $2,909.44 $3,937 1.4×
Cystourethroscopy with biopsy (52204) $2,228.08 $3,015 1.1×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $587.50 $795 1.5×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $2,601.28 $3,520 0.9×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $3,007.73 $4,070 4.3×
Debride nail 1-5 (11720) $82.03 $111 1.4×
Debride nail 6 or more (11721) $95.33 $129 1.7×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $2,138.67 $2,894 1.3×
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,126.97 $1,525 2.8×
Declot vascular device (36593) $421.97 $571 1.3×
Delivery of placenta (59414) $2,389.93 $3,234 0.8×
Destr W Neurolytic; Celiac Plexus (64680) $857.24 $1,160 1.0×
Destroy cerv/thor facet jnt (64633) $3,103.06 $4,199 1.6×
Destroy lumb/sac facet jnt (64635) $2,893.18 $3,915 1.5×
Destruct B9 Lesion 1-14 (17110) $274.17 $371 1.4×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $172.93 $234 0.9×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $172.93 $234 0.9×
Destruction neurolytic agt genicular nerve w/img (64624) $2,055.16 $2,781 1.1×
Destruction premalignant lesion 1st (17000) $202.49 $274 1.0×
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines
$1,267.38–$1,720.39 $1,715–$2,328 varies
Dilat Urethral Strix Dilator Male Sbsq (53601) $139.67 $189 1.1×
Dilate Esophagus 1/Mult Pass (43450) $805.51 $1,090 0.9×
Dilate Urethra Stricture (53600) $116.02 $157 0.5×
Drain Spinal Cord Cyst (62268) $807.73 $1,093 0.9×
Drain/inj small joint/bursa w/us (20604) $707.96 $958 2.4×
Drainage external auditory canal abscess (69020) $719.05 $973 1.0×
Drainage external ear abscess/hematoma cmplx (69005) $1,464.70 $1,982 0.9×
Drainage External Ear Abscess/Hematoma Simple (69000) $780.38 $1,056 1.1×
Drainage Finger Abscess Complicated (26011) $1,776.56 $2,404 1.1×
Drainage Mouth Roof Lesion (42000) $317.77 $430 1.4×
Drainage of finger abscess simple (26010) $632.58 $856 3.2×
Drainage of gum lesion (41800) $404.23 $547 3.1×
Drainage of hematoma/fluid (10140) $2,245.82 $3,039 1.4×
Drainage of scrotal wall abscess (55100) $1,972.39 $2,669 1.2×
Drainage of scrotum (54700) $2,993.69 $4,051 1.5×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines
$128.59–$132.28 $174–$179 varies
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $563.12 $762 1.1×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $542.43 $734 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $410.14 $555 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $404.97 $548 2.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $276.39 $374 1.4×
Dstrj lesion anus simple surg excision (46922) $2,805.98 $3,797 1.0×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,496.48 $2,025 1.7×
Dx Bronchoscope/Wash (31622) $1,659.06 $2,245 1.0×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $2,738 $3,705 1.5×
Egd control bleeding any (43255) $2,585.02 $3,498 1.4×
Egd dilation gastric/duodenal stricture (43245) $2,831.85 $3,832 1.5×
Egd endo mucosal resection (43254) $1,989.39 $2,692 1.1×
Egd Endoscopic Stent Place (43266) $5,034.81 $6,813 0.8×
Egd Flexible Foreign Body Removal (43247) $2,746.12 $3,716 3.1×
Egd Flx Trnsorl W/Dplmnt Ntrgstr Bariatric Balo (43290) $1,822.37 $2,466 1.0×
Egd guide wire insertion (43248) $2,157.14 $2,919 2.4×
Egd lesion ablation (43270) $2,003.43 $2,711 1.1×
Egd place gastrostomy tube (43246) $2,540.68 $3,438 1.4×
Egd remove lesion snare (43251) $2,613.84 $3,537 1.4×
Egd Tube/Cath Insertion (43241) $1,735.17 $2,348 0.9×
Egd us exam duodenum/jejunum (43259) $2,003.43 $2,711 1.1×
Egd Varices Ligation (43244) $1,321.33 $1,788 0.7×
Endometrial Biopsy (58100) $554.99 $751 2.8×
Endoscopic injection/implant (51715) $3,225.74 $4,365 0.9×
Endoscopy upper small intestine w/biopsy (44361) $2,550.29 $3,451 1.4×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $2,342.63 $3,170 0.8×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $3,801.42 $5,144 1.2×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) $1,265.91 $1,713 0.7×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $1,381.19 $1,869 0.7×
Epidural Blood Patch (62273) $1,276.25 $1,727 1.9×
Episiotomy or vaginal repair (59300) $2,856.24 $3,865 0.9×
Ercp Dx Collection Specimen Brushing/Washing (43260) $1,673.10 $2,264 0.4×
Esophagogastroduodenoscopy Submucosal Injection (43236) $1,736.65 $2,350 2.0×
Esophagoscopy Flexible Transoral Diagnostic (43200) $743.43 $1,006 0.8×
Esophagoscopy rig transoral removal foreign body (43194) $1,266.65 $1,714 0.7×
Esophagoscopy rigid trnso dx (43191) $694.66 $940 0.4×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $2,147.53 $2,906 1.1×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $1,302.86 $1,763 0.7×
Evacuation of subungual hematoma (11740) $165.54 $224 1.3×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $733.83 $993 1.1×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,383.41 $1,872 0.9×
Exc Back Les Sc < 3 Cm (21930) $1,381.93 $1,870 0.9×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $1,182.40 $1,600 1.7×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $1,406.32 $1,903 2.0×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $594.90 $805 0.9×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $674.71 $913 1.0×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $1,073.77 $1,453 1.6×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $637.76 $863 0.4×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,689.35 $2,286 1.0×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $1,275.51 $1,726 1.8×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $1,522.34 $2,060 0.9×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $943.70 $1,277 1.4×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,801.68 $2,438 1.1×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $2,376.62 $3,216 1.5×
Exc thigh/knee les sc 3 cm/> (27337) $2,749.82 $3,721 1.0×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $1,673.84 $2,265 1.4×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $584.55 $791 1.5×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $985.83 $1,334 1.4×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,441.05 $1,950 0.9×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $3,852.41 $5,213 1.4×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,857.85 $2,514 1.2×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,559.29 $2,110 1.0×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $2,601.28 $3,520 0.9×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $3,012.16 $4,076 0.9×
Excis Mouth Mucosa/Sub,No Repair (40810) $3,115.62 $4,216 1.0×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $2,551.77 $3,453 1.7×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $1,232.65 $1,668 1.8×
Excision Lesion Tongue W/O Closure (41110) $3,115.62 $4,216 1.0×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $779.64 $1,055 1.1×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $779.64 $1,055 1.1×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $904.54 $1,224 2.3×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $1,124.76 $1,522 1.6×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $723.48 $979 0.4×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $2,351.50 $3,182 0.8×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $594.16 $804 0.9×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $1,176.49 $1,592 1.7×
Excision of single external papilla or tag, anus (46220) $1,300.64 $1,760 1.1×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $1,801.68 $2,438 1.1×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $1,485.39 $2,010 0.9×
Explo/Drain Breast Abscess (19020) $3,245.69 $4,392 2.0×
Exploration penetrating wound spx extremity (20103) $1,199.40 $1,623 0.7×
External cephalic version (59412) $2,574.68 $3,484 0.8×
Fetal non-stress test (59025) $438.97 $594 2.2×
Fine needle aspiration without imaging guidance (10021) $340.68 $461 0.9×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $1,647.97 $2,230 0.8×
Guide Cathet Fluid Drainage (10030) $779.64 $1,055 1.1×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $3,203.56 $4,335 1.2×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $2,347.06 $3,176 0.9×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $1,310.25 $1,773 1.4×
I&d abscess peritonsillar (42700) $580.85 $786 2.5×
I&d abscess simple (10060) $288.21 $390 1.5×
I&d deep absc bursa/hematoma thigh/knee region (27301) $2,601.28 $3,520 0.9×
I&d perianal abscess superficial (46050) $1,721.13 $2,329 1.9×
I&d pilonidal cyst complicated (10081) $2,057.38 $2,784 3.0×
I&d pilonidal cyst simple (10080) $574.20 $777 0.8×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $829.90 $1,123 0.9×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $779.64 $1,055 0.9×
Image Cath Fluid Peri/Retro (49406) $1,367.15 $1,850 0.8×
Image Cath Fluid Trns/Vgnl (49407) $1,351.63 $1,829 0.8×
Implant neuroelectrodes (63650) $6,266.72 $8,480 1.0×
Incise external hemorrhoid (46083) $557.21 $754 2.3×
Incision & drainage abscess complicated/multiple (10061) $941.49 $1,274 2.4×
Incision & removal foreign body subq tiss compl (10121) $1,936.92 $2,621 1.2×
Incision & removal foreign body subq tiss simple (10120) $612.63 $829 1.5×
Incision and drainage of bartholin's gland abscess (56420) $379.11 $513 1.9×
Incision and drainage of vulva or perineal abscess (56405) $724.22 $980 2.4×
Incision of labial frenum (frenotomy) (40806) $491.44 $665 0.9×
Incision of lingual frenum (frenotomy) (41010) $1,486.87 $2,012 1.0×
Incision of rectal abscess (46040) $3,617.40 $4,895 3.1×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,182.40 $1,600 0.7×
Initial Tx 1st Degree Burn Local Tx (16000) $214.31 $290 1.1×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $1,727.78 $2,338 2.0×
Inj W/Fluor Eval Cv Device (36598) $807.73 $1,093 3.9×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $3,915.22 $5,298 4.5×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,687.88 $2,284 2.0×
Injection 1 tendon sheath/ligament aponeurosis (20550) $397.58 $538 1.3×
Injection aa&/strd axillary nerve w/img gdn (64417) $1,884.45 $2,550 2.2×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $1,823.85 $2,468 2.1×
Injection aa&/strd genicular nrv branches w/img (64454) $1,377.50 $1,864 2.0×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,155.80 $1,564 1.3×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,371.58 $1,856 2.0×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,910.32 $2,585 2.8×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $876.45 $1,186 1.0×
Injection Anes Superior Hypogastric Plexus (64517) $1,726.30 $2,336 2.0×
Injection anesthetic agent suprascapular nerve (64418) $991 $1,341 1.4×
Injection for identification of sentinel node (38792) $292.64 $396 0.7×
Injection single tendon origin/insertion (20551) $397.58 $538 1.3×
Injection single/mlt trigger point 1/2 muscles (20552) $356.94 $483 1.2×
Injection single/mlt trigger point 3/> muscles (20553) $429.36 $581 1.4×
Injection, anesthetic agent; brachial plexus, single (64415) $2,429.83 $3,288 2.8×
Injection, anesthetic agent; femoral nerve, single (64447) $2,048.51 $2,772 3.0×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $763.39 $1,033 1.1×
Injection, intralesional; up to and including 7 lesions (11900) $253.48 $343 1.3×
Insert Bladder Cath Complex (51703) $449.31 $608 3.6×
Insert cath pleura w/ image (32557) $846.89 $1,146 0.6×
Insert cath pleura w/o image (32556) $479.61 $649 0.3×
Insert cervical dilator (59200) $770.04 $1,042 2.6×
Insert non-tunnel cv cath (36556) $2,171.92 $2,939 0.7×
Insert pessary/other device (57160) $164.06 $222 0.8×
Insert Temp Bladder Cath (51702) $182.53 $247 1.4×
Insert tun ip cath perc (49418) $4,612.10 $6,241 1.3×
Insert tunneled cv cath (36561) $4,028.29 $5,451 1.3×
Insert,Non-Indwelling Bladder Catheter (51701) $156.67 $212 1.2×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,195.57 $2,971 1.4×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $3,023.99 $4,092 1.0×
Insj Picc Rs&I <5 Yr (36572) $576.42 $780 0.9×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,749.21 $2,367 1.1×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $2,493.39 $3,374 0.8×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $532.08 $720 1.3×
Intraoral i&d tongue/floor submndblr space (41008) $3,245.69 $4,392 1.0×
Intubation endotracheal emergency procedure (31500) $651.06 $881 2.8×
Irrigation of corpora cavernosa for priapism (54220) $445.62 $603 1.8×
Laryngoscopy diagnostic (31505) $247.56 $335 1.3×
Laryngoscopy flexible diagnostic (31575) $479.61 $649 2.5×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $667.32 $903 1.7×
Late closure of wound (13160) $3,962.52 $5,362 1.1×
Manipulation knee joint under general anesthesia (27570) $1,760.30 $2,382 1.1×
Manipulation tmj therapeutic require anesthesia (21073) $1,197.18 $1,620 0.8×
Maternity Care Procedure (59899) $196.57 $266 1.0×
Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) $1,274.04 $1,724 1.8×
Mohs trunk/arm/leg 1st stage 5 blocks (17313) $767.82 $1,039 1.1×
Myelography Lumbar Injection (62304) $1,213.44 $1,642 1.6×
N Block Inj Celiac Pelus (64530) $642.19 $869 0.7×
N Block Inj Ilio-Ing/Hypogi (64425) $809.20 $1,095 1.2×
N block inj intercost sng (64420) $1,024.25 $1,386 1.5×
N Block Inj Pudendal (64430) $623.72 $844 0.7×
N Block Lumbar/Thoracic (64520) $1,855.63 $2,511 2.1×
Nasal Endoscopy Dx (31231) $181.79 $246 0.9×
Nasal/Orogastric W/Tube Plmt (43752) $590.46 $799 1.4×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $762.65 $1,032 0.8×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $778.91 $1,054 0.9×
Needle insertion w/o injection 1 or 2 muscles (20560)
range across 2 matching MRF lines
$24.39–$33.26 $33–$45 varies
Needle insertion w/o injection 3 or more muscles (20561)
range across 2 matching MRF lines
$30.30–$33.26 $41–$45 varies
Neuro alz ds beta amyl&tau prtn bld lc-ms/ms alg (0503U) $1,285.86 $1,740 1.7×
Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) $419.01 $567 0.6×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $543.16 $735 1.3×
Njx anes stellate ganglion crv sympathetic (64510) $1,526.77 $2,066 1.8×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $521 $705 1.7×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,631.71 $2,208 1.9×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,520.86 $2,058 2.2×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $836.55 $1,132 1.2×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $1,534.90 $2,077 1.8×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,396.71 $1,890 2.0×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $643.67 $871 0.7×
Occipital Nerve Block (64405) $654.75 $886 2.2×
Open Tx Distal Phalangeal Fracture Each (26765) $2,963.39 $4,010 0.9×
Partial Excision Distal Phalanx Finger (26236) $3,717.17 $5,030 2.4×
Pelvic examination under anesthesia (other than local) (57410) $2,573.94 $3,483 0.8×
Penile Injection (54235) $226.87 $307 0.9×
Pericardiocentesis W/Imaging (33016) $1,446.22 $1,957 0.9×
Perineoplasty rpr perineum nonobstetrical spx (56810) $2,716.56 $3,676 0.9×
Perq dev breast 1st strtctc (19283) $515.08 $697 0.7×
Perq dev breast 1st us imag (19285) $399.80 $541 0.6×
Perq device breast 1st imag (19281) $1,084.85 $1,468 0.7×
Placement of needle for intraosseous infusion (36680) $387.98 $525 0.9×
Placement of seton (46020) $2,635.27 $3,566 1.0×
Plastic operation on penis for epispadias distal to external sphincter; with incontinence Facility (54385) $1,722.61 $2,331 0.8×
Probe lacrimal canaliculi w/wo irrigation (68840) $251.26 $340 0.8×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $809.20 $1,095 0.9×
Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) $2,635.27 $3,566 1.0×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) $6,447.04 $8,724 1.0×
Punch biopsy skin single lesion (11104) $342.90 $464 0.9×
Puncture aspiration abscess hematoma bulla/cyst (10160) $405.71 $549 1.0×
Puncture Aspiration Cyst Breast (19000) $549.82 $744 0.8×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $665.84 $901 1.0×
Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) $2,392.88 $3,238 0.8×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $2,158.62 $2,921 1.1×
Removal Embedded Foreign Body Eyelid (67938) $240.18 $325 0.8×
Removal foreign body foot deep (28192) $1,217.87 $1,648 0.8×
Removal Foreign Body Foot Subcutaneous (28190) $1,443.27 $1,953 2.1×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $373.20 $505 0.2×
Removal impacted cerumen irrigation/lvg unilat (69209) $80.55 $109 1.4×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $182.53 $247 3.2×
Removal impacted vag fb spx w/anes oth/thn local (57415) $3,395.70 $4,595 1.1×
Removal implantable contraceptive capsules (11976) $513.60 $695 0.7×
Removal of foreign body from pharynx (42809) $275.65 $373 0.6×
Removal of nail bed (11750) $693.92 $939 1.7×
Removal or bivalving full arm or full leg cast (29705) $236.48 $320 0.9×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $396.84 $537 2.0×
Removal Sutures/Staples Requiring Anesthesia (15851) $2,073.63 $2,806 1.0×
Removal/bivalving gauntlet boot/body cast (29700) $241.65 $327 0.9×
Remove drug implant device (11982) $365.80 $495 0.8×
Remove Forearm Foreign Body (25248) $1,367.15 $1,850 0.9×
Remove foreign body from eye (65205) $184.01 $249 1.4×
Remove Intrauterine Device (58301) $908.23 $1,229 3.1×
Remove Nasal Foreign Body (30300) $452.27 $612 3.5×
Remove Tendon Sheath Lesion (26160) $1,378.24 $1,865 0.9×
Repair Blood Vessel Direct Hand Finger (35207) $2,956 $4,000 1.0×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,337.59 $1,810 1.9×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $546.86 $740 0.8×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,186.83 $1,606 3.0×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,325.77 $1,794 3.3×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,378.24 $1,865 3.5×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,438.09 $1,946 3.6×
Repair complex trunk 1.1-2.5 cm (13100) $271.95 $368 0.4×
Repair complex trunk 2.6-7.5 cm (13101) $504 $682 0.7×
Repair extensor tendon finger w/o graft each (26418) $2,820.02 $3,816 1.8×
Repair initial femoral hernia, any age; reducible (49550) $3,392.01 $4,590 1.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $637.76 $863 1.6×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $656.97 $889 1.7×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $560.16 $758 1.4×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $866.85 $1,173 2.2×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $646.62 $875 0.9×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $602.28 $815 1.5×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $745.65 $1,009 1.9×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $768.56 $1,040 1.1×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,163.19 $1,574 2.9×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $661.40 $895 1.7×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $755.26 $1,022 1.9×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,642.06 $2,222 2.3×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $877.19 $1,187 2.2×
Repair intermediate s/a/t/e >30.0 cm (12037) $2,360.37 $3,194 1.2×
Repair of nail bed (11760) $968.09 $1,310 1.3×
Repair tongue laceration (41252) $1,039.03 $1,406 4.5×
Repair tongue laceration (41250) $257.17 $348 0.6×
Reposition Gastrostomy Tube (43761) $554.25 $750 2.3×
Revj/rmvl peripheral neurostimulator electrode (64585) $3,828.02 $5,180 1.1×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $1,057.51 $1,431 1.2×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $450.05 $609 1.0×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $338.46 $458 2.6×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $295.60 $400 0.7×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $1,933.22 $2,616 1.0×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,863.02 $2,521 1.2×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,279.21 $1,731 2.1×
Rplc Gtube No Revj Trc (43762) $1,200.14 $1,624 4.9×
Rpr blood vessel direct lower extremity (35226) $983.61 $1,331 1.4×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $548.34 $742 2.8×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $275.65 $373 0.4×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $1,387.84 $1,878 2.6×
Rpr Lip Full Thickness Vermilion Only (40650) $1,566.68 $2,120 3.0×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $3,049.11 $4,126 2.0×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $1,101.85 $1,491 1.2×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,947.26 $2,635 1.7×
Shave skin lesion 0.5 cm/< (11300) $384.28 $520 1.0×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $217.27 $294 1.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $202.49 $274 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $202.49 $274 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $177.36 $240 0.9×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $205.44 $278 1.0×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $198.79 $269 1.0×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $198.79 $269 1.0×
Sigmoidoscopy & decompress (45337) $1,101.85 $1,491 1.2×
Sigmoidoscopy & Polypectomy (45333) $1,209 $1,636 1.3×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $1,092.98 $1,479 0.9×
Sigmoidoscopy flx tndsc balo dilat (45340) $1,134.36 $1,535 1.0×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $1,916.97 $2,594 1.6×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $1,654.62 $2,239 1.8×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $1,625.06 $2,199 1.4×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $422.71 $572 1.1×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $329.59 $446 1.7×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $432.32 $585 2.2×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $385.76 $522 2.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines
$302.25–$311.12 $409–$421 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $524.69 $710 2.7×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $436.01 $590 2.2×
Skin Pinch Graft (15050) $504 $682 0.7×
Skin sub graft face/nk/hf/g (15275) $1,757.34 $2,378 2.4×
Skin sub graft trnk/arm/leg (15271) $1,757.34 $2,378 2.4×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $439.70 $595 2.2×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $565.34 $765 1.4×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $540.21 $731 1.4×
Spinal puncture lumbar diagnostic (62270) $930.40 $1,259 1.3×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $2,457.91 $3,326 0.8×
Strapping hand/finger (29280) $101.98 $138 1.8×
Strapping Unna Boot (29580) $162.58 $220 1.0×
Tangential biopsy skin single lesion (11102) $263.08 $356 0.7×
Ther Spi Pnxr Csf Fluor/Ct (62329) $623.72 $844 0.9×
Thrombolytic Therapy Stroke (37195) $669.53 $906 2.1×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $2,805.24 $3,796 1.4×
Tracheostomy planned (31600) $535.04 $724 0.2×
Treat Dental Ridge Fracture (21440) $3,116.36 $4,217 1.0×
Treat Humerus Fracture (24505) $1,681.22 $2,275 1.1×
Treat humerus fracture (23600) $464.09 $628 1.9×
Treat Knuckle Dislocation (26700) $698.36 $945 2.9×
Treat Metatarsal Fracture (28475) $877.19 $1,187 3.6×
Treat Thumb Dislocation (26641) $216.53 $293 0.9×
Treat toe dislocation (28630) $285.25 $386 1.2×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,146.93 $1,552 0.7×
Treatment closed elbow dislocation w/o anes (24600) $546.12 $739 2.3×
Treatment of gum lesion (41850) $1,396.71 $1,890 0.9×
Trim skin lesion (11055) $177.36 $240 0.9×
Trim skin lesions 2 to 4 (11056) $175.14 $237 0.9×
Trimming Nondystrophic Nails Any Number (11719) $75.38 $102 1.3×
Trurl dstrj prst8 tiss rf wv thermotherapy (53854) $3,966.95 $5,368 1.2×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,877.80 $2,541 2.6×
Tx superficial wound dehiscence w/packing (12021) $365.07 $494 0.9×
Unlisted Procedure Vascular Surgery (37799) $59.12 $80 0.1×
Vaginal Delivery After Cesarean Delivery (59612) $3,055.76 $4,135 1.0×
Vaginal delivery only (59409) $2,094.33 $2,834 0.7×
Vasectomy uni/bi spx w/postop semen exams (55250) $1,722.61 $2,331 0.8×
Wedge excision skin nail fold (11765) $220.22 $298 0.6×

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.