Procedures & surgery prices at Essentia Health St. Mary's-Detroit Lakes

Detroit Lakes, MN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,019.50 $1,588 1.1×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $821.12 $1,279 0.9×
Amniocentesis diagnostic (59000) $373.64 $582 0.4×
Amputation Finger/Thumb (26951) $1,251.26 $1,949 0.4×
Anoscopy diagnostic (46600) $471.23 $734 3.4×
Anoscopy; with biopsy, single or multiple (46606) $1,669.20 $2,600 1.4×
Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) $164.35 $256 1.0×
Application cast elbow finger short arm (29075) $228.55 $356 0.8×
Application cast shoulder hand long arm (29065) $247.17 $385 0.9×
Application Finger Splint Dynamic (29131) $100.79 $157 1.7×
Application finger splint static (29130) $148.30 $231 1.1×
Application long arm splint shoulder hand (29105) $229.84 $358 1.4×
Application of long leg cast (29345) $168.20 $262 0.6×
Application Short Arm Splint Dynamic (29126) $131.61 $205 1.0×
Application short arm splint forearm-hand static (29125) $197.09 $307 1.4×
Apply long leg splint (29505) $249.10 $388 1.5×
Apply short leg cast (29405) $292.75 $456 1.0×
Apply short leg splint (29515) $211.86 $330 1.3×
Arterial puncture (36600) $109.14 $170 0.8×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $265.15 $413 0.8×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $475.72 $741 0.7×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $277.99 $433 0.9×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $529.01 $824 1.7×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $300.46 $468 0.9×
Aspirate pleura w/ imaging (32555) $1,122.86 $1,749 1.7×
Aspirate/Inj Ganglion Cyst (20612) $251.02 $391 0.8×
Aspiration bladder insert suprapubic catheter (51102) $3,201.01 $4,986 1.5×
Avulsion nail plate partial/complete simple 1 (11730) $251.66 $392 1.2×
Biopsy muscle percutaneous needle (20206) $1,230.71 $1,917 0.7×
Biopsy Salivary Gland,Needle (42400) $916.13 $1,427 1.3×
Bladder instillation anticarcinogenic agent (51720) $283.12 $441 0.4×
Bladder Irrigation Simple (51700) $288.90 $450 1.1×
Blood patch (62273) $1,108.73 $1,727 1.5×
Blood transfusion service (36430) $563.68 $878 1.2×
Bx abdl/retroperitoneal mass prq needle (49180) $1,309.68 $2,040 0.8×
Bx breast 1st lesion mr imag (19085) $1,498.43 $2,334 0.9×
Bx breast 1st lesion strtctc (19081) $2,049.91 $3,193 1.2×
Bx breast 1st lesion us imag (19083) $1,469.54 $2,289 0.9×
Bx/exc lymph node needle superficial (38505) $1,273.73 $1,984 0.7×
Catheter Aspiration Nasotracheal Spx (31720) $223.42 $348 1.0×
Change Cystostomy Tube Complicated (51710) $522.59 $814 0.7×
Change of cystostomy tube simple (51705) $385.20 $600 1.5×
Chemodenerv 1 extrem 5/> mus (64644) $513.60 $800 0.7×
Chemodenerv trunk musc 1-5 (64646) $394.83 $615 0.5×
Chemodenerv trunk musc 6/> (64647) $389.05 $606 0.5×
Chemodenervation of one extremity; 1-4 muscle(s) (64642) $765.26 $1,192 1.1×
Circumcision (54150) $218.28 $340 0.1×
Close Rx Prox/Mid Fing Shft Fx (26720) $252.95 $394 1.0×
Closed Rx Humer Epicondylr Fx,Manip (24565) $1,221.08 $1,902 0.7×
Closed Rx Mandible Fx+Manipulatn (21451) $1,696.81 $2,643 1.1×
Closed Treat Vert Body Fract (22310) $199.02 $310 0.8×
Closed treatment of greater humeral tuberosity fracture; with manipulation (23625) $1,327.66 $2,068 0.8×
Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) $164.35 $256 0.6×
Closed treatment of trimalleolar ankle fracture with manipulation (27818) $771.04 $1,201 0.5×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $215.71 $336 0.8×
Closed Treatment Ulnar Styloid Fracture (25650) $335.77 $523 1.3×
Closed tx ankle dislocation w/o anesthesia (27840) $500.76 $780 2.0×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,110.02 $1,729 0.7×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $374.29 $583 1.5×
Closed tx carpal scaphoid fracture w/manj (25624) $1,204.39 $1,876 0.7×
Closed tx knee dislocation w/o anesthesia (27550) $163.07 $254 0.6×
Closed tx lunate dislocation w/manipulation (25690) $1,204.39 $1,876 0.7×
Closed tx metatarsal fracture w/o manipulation (28470) $272.21 $424 1.1×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,507.42 $2,348 0.9×
Closed tx nasal fracture w/o stabilization (21315) $1,236.49 $1,926 0.8×
Closed tx patellar dislocation w/o anesthesia (27560) $586.79 $914 2.3×
Closed tx radial head/neck fx w/manipulation (24655) $996.38 $1,552 0.6×
Closed tx radial head/neck fx w/o manipulation (24650) $324.85 $506 1.3×
Closed tx radial shaft fracture w/manipulation (25505) $1,081.13 $1,684 0.7×
Closed tx radial&ulnar shaft fractures w/manj (25565) $1,396.99 $2,176 0.8×
Closed Tx Scapular Fracture W/O Manipulation (23570) $227.27 $354 0.9×
Closed Tx Talus Fracture W/Manipulation (28435) $1,412.40 $2,200 0.9×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $890.45 $1,387 3.5×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $255.52 $398 1.0×
Clsd tx clavicular fracture w/o manipulation (23500) $300.46 $468 1.2×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,495.22 $2,329 0.9×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $585.50 $912 2.3×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $556.61 $867 2.2×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,165.23 $1,815 0.7×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $347.32 $541 1.4×
Cltx dstl fibular fx lat malls w/manj (27788) $152.15 $237 0.6×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $387.13 $603 1.5×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $227.27 $354 0.9×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $290.18 $452 1.1×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,074.71 $1,674 0.6×
Cltx fem fx dstl end medial/lat condyle w/manj (27510) $1,264.74 $1,970 0.8×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) $187.46 $292 0.7×
Cltx fx grt toe phlx/phlg w/manj (28495) $154.72 $241 0.6×
Cltx fx grt toe phlx/phlg w/o manj (28490) $217.64 $339 0.9×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $182.33 $284 0.7×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $235.61 $367 0.9×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,569.05 $2,444 0.9×
Cltx hip dislocation traumatic w/o anesthesia (27250) $643.28 $1,002 2.5×
Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) $165.64 $258 0.1×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $204.16 $318 0.8×
Cltx iphal jt dislc w/manj w/o anes (26770) $391.62 $610 1.5×
Cltx metacarpal fx w/manipulation each bone (26605) $428.86 $668 1.7×
Cltx metacarpal fx w/o manipulation each bone (26600) $284.41 $443 1.1×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $340.26 $530 1.3×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $378.14 $589 1.5×
Cltx post hip arthrp dislc req anes (27266) $1,512.55 $2,356 0.9×
Cltx post hip arthrp dislc w/o anes (27265) $589.36 $918 2.3×
Cltx prox fibula/shft fx w/manj (27781) $1,372.60 $2,138 0.8×
Cltx prox fibula/shft fx w/o manj (27780) $278.63 $434 1.1×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,372.60 $2,138 0.8×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $198.38 $309 0.8×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,302.62 $2,029 0.8×
Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) $1,151.11 $1,793 0.7×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $349.89 $545 0.2×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $1,678.83 $2,615 1.0×
Collect Blood From Catheter Venous Nos (36592) $104 $162 0.8×
Colonoscopy flex w/blln dilat (45386) $844.87 $1,316 0.7×
Colonoscopy flex w/inj submuc (45381) $1,581.89 $2,464 1.3×
Colonoscopy flex w/rem forcep (45384) $1,492.01 $2,324 1.2×
Colonoscopy Flexible With Decompression - Colonoscopy (45393) $1,476.60 $2,300 1.2×
Colonoscopy Stoma Control Bleeding (44391) $984.19 $1,533 0.8×
Colonoscopy stoma w/biopsy (44389) $1,052.88 $1,640 0.9×
Colonoscopy thru stoma (44388) $1,059.94 $1,651 1.1×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $1,719.28 $2,678 1.4×
Colonoscopy w/ablation (45388) $1,136.34 $1,770 0.9×
Colonoscopy w/band ligation (45398) $1,219.16 $1,899 1.0×
Colonoscopy, flexible; with control of bleeding, any method (45382) $1,788.61 $2,786 1.4×
Colonoscopy, flexible; with endoscopic mucosal resection (45390) $2,307.35 $3,594 0.8×
Colporrhaphy Suture Injury Vagina (57200) $2,125.66 $3,311 0.6×
Colposcopy cervix upper/adjacent vagina (57452) $182.97 $285 0.9×
Conization of cervix (57522) $2,374.12 $3,698 0.7×
Control Nasal Hemorrhage Anterior Complex (30903) $131.61 $205 1.0×
Control Nasal Hemorrhage Anterior Simple (30901) $246.53 $384 1.8×
Costotransversectomy (separate procedure) Facility (21610) $2,484.54 $3,870 0.7×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $138.03 $215 1.0×
Cystourethroscopy (52000) $1,260.89 $1,964 1.8×
Debride Assoc Open Fx/Disloc Skin/Subq (11010) $1,475.96 $2,299 2.0×
Debride nail 6 or more (11721) $82.82 $129 1.4×
Debride tissue/muscle (11043) $432.71 $674 0.6×
Debridement subcutaneous tissue 20 sq cm/< (11042) $408.95 $637 1.0×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $1,297.48 $2,021 0.8×
Declot vascular device (36593) $366.58 $571 1.1×
Delivery placenta separate procedure (59414) $1,801.45 $2,806 0.5×
Destroy cerv/thor facet jnt (64633) $2,136.58 $3,328 1.1×
Destroy lumb/sac facet jnt (64635) $2,223.89 $3,464 1.1×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $1,011.15 $1,575 1.1×
Destruction neurolytic agt genicular nerve w/img (64624) $1,647.37 $2,566 0.8×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $758.84 $1,182 1.0×
Diagnostic sigmoidoscopy (45330) $1,087.87 $1,694.50 1.1×
Dilation esoph unguided sound/bougie 1/mult pass (43450) $636.86 $992 0.7×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $502.04 $782 0.7×
Drain/inj small joint/bursa w/us (20604) $471.87 $735 1.5×
Drainage External Ear Abscess/Hematoma Simple (69000) $677.95 $1,056 0.9×
Drainage Finger Abscess Complicated (26011) $1,108.73 $1,727 0.7×
Drainage Finger Abscess Simple (26010) $179.12 $279 0.9×
Drainage Mouth Roof Lesion (42000) $267.07 $416 1.1×
Drainage of gum lesion (41800) $546.34 $851 4.0×
Drainage of hematoma/fluid (10140) $1,372.60 $2,138 0.8×
Draw blood off venous device (36591) $115.56 $180 0.8×
Dressing change under anesthesia (15852) $37.88 $59 0.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $381.35 $594 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $211.86 $330 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $199.66 $311 1.0×
Dstrj lesion anus simple surg excision (46922) $2,232.88 $3,478 0.8×
Egd Balloon Dil Esoph30 Mm/> (43233) $1,624.90 $2,531 0.8×
Egd balloon dilation esophagus <30 mm diam (43249) $2,379.25 $3,706 1.2×
Egd control bleeding any (43255) $2,245.72 $3,498 1.1×
Egd dilate stricture (43245) $2,222.60 $3,462 1.1×
Egd flex removal lesion(s) by hot biopsy forceps (43250) $1,226.22 $1,910 0.6×
Egd flexible foreign body removal (43247) $2,175.10 $3,388 2.3×
Egd guide wire insertion (43248) $1,721.20 $2,681 1.8×
Egd place gastrostomy tube (43246) $1,879.78 $2,928 0.9×
Egd remove lesion snare (43251) $2,270.75 $3,537 1.1×
Egd us exam duodenum/jejunum (43259) $1,740.46 $2,711 0.9×
Endoscopy bowel pouch/biop (44386) $1,719.28 $2,678 1.8×
Endoscopy Upper Small Intestine (44360) $902.01 $1,405 0.5×
Esophagogastroduodenoscopy submucosal injection (43236) $1,554.28 $2,421 1.7×
Esophagoscopy flex balloon dilat <30 mm diam (43220) $676.03 $1,053 0.3×
Esophagoscopy Flexible Transoral Diagnostic (43200) $823.69 $1,283 0.9×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $726.74 $1,132 0.4×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $1,568.41 $2,443 0.8×
Evacuation of subungual hematoma (11740) $109.78 $171 0.8×
Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) $513.60 $800 0.7×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $427.57 $666 0.6×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $199.02 $310 0.5×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,084.98 $1,690 0.6×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,382.87 $2,154 0.8×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $2,695.12 $4,198 0.9×
Excision Lingual Frenum Frenectomy (41115) $1,235.85 $1,925 0.8×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $586.15 $913 0.8×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $522.59 $814 0.7×
Excision of thrombosed hemorrhoid, external (46320) $2,849.84 $4,439 2.3×
Exploration penetrating wound spx extremity (20103) $1,069.57 $1,666 0.6×
External cephalic version (59412) $1,911.88 $2,978 0.6×
Fetal non-stress test (59025) $381.35 $594 1.8×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $959.15 $1,494 1.3×
Fine needle aspiration without imaging guidance (10021) $256.80 $400 0.6×
Fit/Insert Intravag Support Device (57160) $142.52 $222 0.7×
Fluoro exam of g/colon tube (49465) $211.86 $330 0.9×
Gastric Intubation/Aspiration, Therapeutic (43753) $195.81 $305 0.9×
Guide Cathet Fluid Drainage (10030) $1,215.31 $1,893 1.7×
Hysteroscopy biopsy (58558) $2,085.22 $3,248 0.6×
I&D Abscess Peritonsillar (42700) $504.61 $786 2.1×
I&d abscess simple (10060) $250.38 $390 1.2×
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,683.97 $2,623 0.6×
I&d pilonidal cyst simple (10080) $498.83 $777 0.7×
I&d vulva/perineal abscess (56405) $399.97 $623 1.3×
Incise external hemorrhoid (46083) $413.45 $644 1.6×
Incision & drainage abscess complicated/multiple (10061) $545.06 $849 1.3×
Incision & drainage pilonidal cyst complicated (10081) $1,041.32 $1,622 1.4×
Incision & removal foreign body subq tiss compl (10121) $1,408.55 $2,194 0.8×
Incision & removal foreign body subq tiss simple (10120) $532.86 $830 1.3×
Incision and drainage of bartholin's gland abscess (56420) $300.46 $468 1.4×
Incision and drainage perianal abscess superficial (46050) $1,310.96 $2,042 1.4×
Incision and drainage, complex, postoperative wound infection (10180) $1,571.62 $2,448 0.5×
Incision of labial frenum (frenotomy) (40806) $474.44 $739 0.9×
Incision of lingual frenum (frenotomy) (41010) $909.07 $1,416 0.6×
Incision of rectal abscess (46040) $2,589.19 $4,033 2.1×
Initial tx 1st degree burn local tx (16000) $186.18 $290 0.9×
Inj paravert f jnt c/t 1 lev (64490) $1,363.61 $2,124 1.5×
Inj tendon sheath/ligament (20550) $345.40 $538 1.1×
Inj,Anes Agent,Brachial Plexus,Single (64415) $621.46 $968 0.7×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,344.99 $2,095 1.5×
Inject Intravitreal Pharmcologic (67028) $313.94 $489 0.9×
Inject Nerv Blck,Axillary Nerv (64417) $840.38 $1,309 0.9×
Inject Nerv Blck,Intercost,Multpl (64421) $1,075.35 $1,675 1.2×
Inject Nerv Blck,Intercostal,One (64420) $771.04 $1,201 1.1×
Inject Nerv Blck,Paravert Sympath (64520) $1,090.12 $1,698 1.2×
Inject Tendon Origin/Insert (20551) $229.84 $358 0.7×
Injection aa&/strd genicular nrv branches w/img (64454) $758.84 $1,182 1.0×
Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) $546.34 $851 0.7×
Injection aa&/strd trigeminal nerve each branch (64400) $452.61 $705 1.4×
Injection Anes Agent Sphenopalatine Ganglion (64505) $177.83 $277 0.6×
Injection anesthetic agent femoral nerve single (64447) $469.30 $731 0.6×
Injection for identification of sentinel node (38792) $544.42 $848 1.3×
Injection single/mlt trigger point 1/2 muscles (20552) $310.09 $483 1.0×
Injection single/mlt trigger point 3/> muscles (20553) $373 $581 1.2×
Insert Bladder Cath Complex (51703) $95.66 $149 0.7×
Insert cath pleura w/ image (32557) $1,309.68 $2,040 0.8×
Insert cath pleura w/o image (32556) $1,436.15 $2,237 0.7×
Insert cervical dilator (59200) $205.44 $320 0.7×
Insert non-tunnel cv cath (36556) $1,626.83 $2,534 0.5×
Insert Non-Tunnel Cv Cath < 5 Y/O (36555) $943.74 $1,470 0.3×
Insert Temp Bladder Cath (51702) $158.57 $247 1.2×
Insert,Non-Indwelling Bladder Catheter (51701) $136.10 $212 1.0×
Insj picc rs&i 5 yr+ (36573) $1,609.49 $2,507 1.0×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $3,039.87 $4,735 0.9×
Interdental Fixation (21110) $1,236.49 $1,926 0.8×
Intubation endotracheal emergency procedure (31500) $399.97 $623 1.6×
Irrigation of corpora cavernosa for priapism (54220) $202.87 $316 0.8×
Laryngoscopy diagnostic (31505) $130.97 $204 0.6×
Laryngoscopy flexible diagnostic (31575) $208.01 $324 1.0×
Ligation of hemorrhoid(s) (46221) $756.92 $1,179 0.8×
Liver Biopsy (47000) $1,481.09 $2,307 0.9×
Myelography Lumbar Injection (62305) $928.33 $1,446 1.1×
Myelography Lumbar Injection (62304) $1,314.17 $2,047 1.6×
Myelography Via Lumbar Injection Rs&I Cervical (62302) $1,352.69 $2,107 1.7×
Myelography via lumbar injection rs&i thoracic (62303) $659.98 $1,028 0.8×
N Block Inj Ilio-Ing/Hypogi (64425) $513.60 $800 0.7×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $364.66 $568 0.8×
Ndsc njx implt matrl urt&/bldr nck (51715) $2,838.28 $4,421 0.8×
Njx aa&/strd sciatic nerve (64445) $739.58 $1,152 1.0×
Njx anes stellate ganglion crv sympathetic (64510) $887.89 $1,383 1.0×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,196.05 $1,863 1.3×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $1,067 $1,662 1.2×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $1,321.24 $2,058 1.8×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) $800.57 $1,247 1.1×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) $721.61 $1,124 0.8×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $1,214.02 $1,891 1.7×
Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) $1,203.75 $1,875 1.3×
Njx noncmpnd sclerosant multiple incmptnt veins (36466) $1,449.64 $2,258 0.7×
Occipital Nerve Block (64405) $569.45 $887 1.8×
Open Tx Distal Phalangeal Fracture Each (26765) $2,370.91 $3,693 0.7×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
likely a partial charge, not the full procedure
$1,204.39 $1,876 0.2×
Pelvic examination under anesthesia (other than local) (57410) $1,739.82 $2,710 0.5×
Pericardiocentesis W/Imaging (33016) $1,823.28 $2,840 1.1×
Perq dev breast 1st us imag (19285) $816.62 $1,272 1.1×
Perq device breast 1st imag (19281) $632.37 $985 0.4×
Perq replacement gtube not req revj gstrst trc (43762) $317.15 $494 1.2×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $803.78 $1,252 1.1×
Picc line placement (36569) $1,475.96 $2,299 0.9×
Placement of needle for intraosseous infusion (36680) $337.05 $525 0.7×
Proctosigmoid w/biopsy (45305) $934.11 $1,455 0.8×
Punch biopsy skin single lesion (11104) $297.89 $464 0.7×
Puncture Aspiration Cyst Breast (19000) $512.96 $799 0.7×
Puncture aspiration of abscess hematoma bulla or cyst (10160) $352.46 $549 0.8×
Removal foreign body foot deep (28192) $1,177.43 $1,834 0.7×
Removal foreign body foot subcutaneous (28190) $1,032.98 $1,609 1.4×
Removal foreign body intranasal (30300) $185.54 $289 1.4×
Removal foreign body pharynx (42809) $95.66 $149 0.2×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $158.57 $247 2.6×
Removal of embedded foreign body, eyelid (67938) $306.23 $477 0.9×
Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) $990.61 $1,543 0.8×
Removal of foreign body, external eye; corneal, without slit lamp (65220) $322.28 $502 0.7×
Removal of iud (58301) $205.44 $320 0.7×
Removal of nail bed (11750) $602.84 $939 1.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $175.27 $273 0.8×
Removal/bivalving full arm/full leg cast (29705) $96.94 $151 0.3×
Removal/bivalving gauntlet boot/body cast (29700) $175.27 $273 0.6×
Remove foreign body from eye (65235) $1,673.69 $2,607 0.7×
Remv Ext Canal F.B.,Gen Anesth (69205) $1,447.07 $2,254 0.8×
Remv Ext Canal Foreign Body (69200) $173.34 $270 1.3×
Remv F.B.,Eye,Superf Conjunc (65205) $273.49 $426 2.0×
Repair blood vessel direct hand finger (35207) $2,798.48 $4,359 0.9×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,010.51 $1,574 1.3×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,352.69 $2,107 1.8×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $462.88 $721 1.1×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $579.08 $902 1.4×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $360.16 $561 0.9×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,011.79 $1,576 2.4×
Repair complex trunk 1.1-2.5 cm (13100) $421.79 $657 0.6×
Repair complex trunk 2.6-7.5 cm (13101) $449.40 $700 0.6×
Repair extensor tendon finger w/o graft each (26418) $1,137.62 $1,772 0.7×
Repair forearm tendon/muscle (25260) $2,427.40 $3,781 0.7×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $420.51 $655 1.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $481.50 $750 1.1×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $570.74 $889 1.4×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $514.24 $801 1.2×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $469.30 $731 1.1×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $313.30 $488 0.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $523.23 $815 1.2×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $559.18 $871 1.3×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $482.14 $751 0.6×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $550.19 $857 1.3×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $574.59 $895 1.4×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $511.03 $796 1.2×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $406.39 $633 0.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $543.77 $847 1.3×
Repair intermediate s/a/t/e >30.0 cm (12037) $872.48 $1,359 0.4×
Repair of nail bed (11760) $408.95 $637 0.5×
Repair tongue laceration (41252) $785.81 $1,224 3.2×
Repair Tongue Laceration (41250) $473.80 $738 1.0×
Repeat control of nosebleed (30906) $194.53 $303 0.8×
Replace gastrostomy/cecostomy tube percutaneous (49450) $1,029.77 $1,604 1.1×
Replace tunneled cv cath (36578) $2,627.06 $4,092 0.8×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $251.66 $392 1.8×
Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) $317.15 $494 0.7×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,167.80 $1,819 1.8×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $898.16 $1,399 1.6×
Rpr Lip Full Thickness Vermilion Only (40650) $555.33 $865 1.0×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $609.26 $949 0.4×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $789.66 $1,230 0.8×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,642.88 $2,559 1.3×
Sigmoidoscopy & decompress (45337) $1,289.14 $2,008 1.3×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $1,368.74 $2,132 1.1×
Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) $1,089.47 $1,697 0.9×
Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) $963 $1,500 1.0×
Sigmoidoscopy w/biopsy (45331) $1,653.79 $2,576 1.7×
Sigmoidoscopy w/fb removal (45332) $954.65 $1,487 0.8×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $398.04 $620 0.9×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $292.11 $455 1.4×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $315.22 $491 1.5×
Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) $450.68 $702 1.1×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $359.52 $560 1.7×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $369.15 $575 1.8×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $270.28 $421 1.3×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $321.64 $501 1.6×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $347.32 $541 1.7×
Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) $1,232 $1,919 0.6×
Small bowel endoscopy/biopsy (44377) $1,445.14 $2,251 0.7×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $313.94 $489 1.5×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $411.52 $641 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $340.90 $531 0.8×
Spinal puncture lumbar diagnostic (62270) $742.15 $1,156 1.0×
Spinal Puncture Therapeutic (62272) $775.54 $1,208 1.1×
Strapping unna boot (29580) $109.14 $170 0.7×
Thoracentesis needle/cath pleura w/o imaging (32554) $637.51 $993 1.0×
Thrombolytic Therapy Stroke (37195) $1,102.31 $1,717 3.2×
Thyroid biopsy (60100) $669.61 $1,043 0.9×
Tracheostomy emergency cricothyroid membrane (31605) $188.11 $293 0.8×
Tracheotomy tube change (31502) $233.05 $363 1.0×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $284.41 $443 0.9×
Treat humerus fracture (24500) $137.39 $214 0.5×
Treat humerus fracture (23600) $443.62 $691 1.7×
Treatment closed elbow dislocation req anes (24605) $1,328.94 $2,070 0.8×
Treatment closed elbow dislocation w/o anes (24600) $474.44 $739 1.9×
Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) $156.65 $244 0.6×
Trim skin lesion (11055) $102.72 $160 0.5×
Trimming Of Nondystrophic Nails, Any Number (11719) $55.21 $86 0.9×
Trurl dstrj prst8 tiss rf wv thermotherapy (53854) $1,816.22 $2,829 0.5×
Tube thoracostomy includes water seal (32551) $897.52 $1,398 0.6×
Tx Incomplete Abortion Any Trimester Surgical (59812) $2,489.03 $3,877 0.7×
Tx Superficial Wound Dehiscence Simple Closure (12020) $529.01 $824 0.7×
Tx superficial wound dehiscence w/packing (12021) $275.42 $429 0.7×
Unlisted procedure, maternity care and delivery (59899) $175.91 $274 0.8×
Us urine capacity measure (51798) $75.76 $118 1.2×
Venipuncture (36415) $20.54 $32 2.2×
Wedge excision skin nail fold (11765) $243.32 $379 0.6×