Procedures & surgery prices at EvergreenHealth Monroe

Monroe, WA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,512 $1,890 1.5×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,896.80 $2,371 1.8×
Amputation Finger/Thumb (26951) $2,312 $2,890 0.6×
Anoscopy diagnostic (46600) $693.60 $867 4.6×
Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) $176.80 $221 1.0×
Application finger splint static (29130) $137.60 $172 0.9×
Application long arm splint shoulder hand (29105) $327.20 $409 1.8×
Application of rigid total contact leg cast (29445) $328.80 $411 1.0×
Application short arm splint forearm-hand static (29125) $343.20 $429 2.3×
Apply long leg splint (29505) $355.20 $444 1.9×
Apply short leg cast (29405) $668.80 $836 2.1×
Apply short leg splint (29515) $355.20 $444 1.9×
Arterial puncture (36600) $132.80 $166 0.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $1,012 $1,265 2.9×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,776 $2,220 2.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $1,144 $1,430 3.3×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $864 $1,080 2.5×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $1,016 $1,270 2.9×
Aspirate pleura w/ imaging (32555) $1,717.60 $2,147 2.4×
Avulsion nail plate partial/complete simple 1 (11730) $275.20 $344 1.2×
Biopsy of lip (40490) $527.20 $659 2.0×
Biopsy of mouth lesion (40808) $1,252.80 $1,566 2.0×
Biopsy of palate, uvula (42100) $4,324 $5,405 2.4×
Biopsy of tongue (41100) $1,165.60 $1,457 1.9×
Biopsy Prostate Transrectal Ultrasound-Guided (55707) $8,186.40 $10,233 2.0×
Biopsy Salivary Gland Incisional (42405) $3,603.20 $4,504 2.0×
Biopsy Salivary Gland,Needle (42400) $1,703.20 $2,129 2.1×
Biopsy Tongue Posterior One-Third (41105) $9,240 $11,550 2.4×
Bl push transfuse 2 yr/< (36440) $1,423.20 $1,779 2.8×
Bladder Irrigation Simple (51700) $420.80 $526 1.5×
Blood transfusion service (36430) $592 $740 1.2×
Catheter Aspiration Nasotracheal Spx (31720) $240 $300 1.0×
Change of cystostomy tube simple (51705) $397.60 $497 1.4×
Chemical cautery tissue (17250) $528 $660 2.3×
Chemodenerv musc migraine (64615) $654.40 $818 1.9×
Chemodenerv Musc Neck Dyston (64616) $796 $995 2.3×
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $907.20 $1,134 2.6×
Chemodenervation of one extremity; 1-4 muscle(s) (64642) $1,776.80 $2,221 2.2×
Close Rx Prox/Mid Fing Shft Fx (26720) $792 $990 2.8×
Closed Rx Humer Epicondylr Fx,Manip (24565) $308.80 $386 0.2×
Closed Rx Radial Shaft Fx W/Dislocation (25520) $3,637.60 $4,547 2.0×
Closed Rx Tibia Shaft Fx (27750) $689.60 $862 2.5×
Closed Rx Tibial Plateau Fx (27530) $484.80 $606 1.7×
Closed Treatment Nasal Fracture W/Stabilization (21320) $3,647.20 $4,559 1.0×
Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) $4,527.20 $5,659 2.5×
Closed treatment of patellar fracture, without manipulation (27520) $854.40 $1,068 3.0×
Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) $616 $770 2.2×
Closed treatment of trimalleolar ankle fracture with manipulation (27818) $1,396 $1,745 0.8×
Closed tx ankle dislocation w/o anesthesia (27840) $627.20 $784 2.2×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,494.40 $1,868 0.8×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $472.80 $591 1.7×
Closed tx knee dislocation w/o anesthesia (27550) $790.40 $988 2.8×
Closed tx metatarsal fracture w/o manipulation (28470) $730.40 $913 2.6×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,744 $2,180 1.0×
Closed tx nasal fracture w/o stabilization (21315) $2,357.60 $2,947 1.3×
Closed tx patellar dislocation w/anesthesia (27562) $683.20 $854 2.4×
Closed tx patellar dislocation w/o anesthesia (27560) $286.40 $358 1.0×
Closed tx radial head/neck fx w/manipulation (24655) $2,400 $3,000 1.3×
Closed tx radial head/neck fx w/o manipulation (24650) $704 $880 2.5×
Closed tx radial shaft fracture w/manipulation (25505) $801.60 $1,002 0.4×
Closed tx radial&ulnar shaft fractures w/manj (25565) $1,760 $2,200 1.0×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $607.20 $759 2.2×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,647.20 $2,059 0.9×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $640 $800 2.3×
Clsd tx clavicular fracture w/o manipulation (23500) $670.40 $838 2.4×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $1,390.40 $1,738 4.9×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $455.20 $569 0.2×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $3,964 $4,955 2.2×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $857.60 $1,072 3.1×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $554.40 $693 2.0×
Cltx dstl fibular fx lat malls w/manj (27788) $1,320 $1,650 4.7×
Cltx dstl fibular fx lat malls w/o manj (27786) $792 $990 2.8×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $1,320 $1,650 4.7×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $720 $900 2.6×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $1,177.60 $1,472 4.2×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $2,338.40 $2,923 1.3×
Cltx fem fx dstl end medial/lat condyle w/manj (27510) $1,832.80 $2,291 1.0×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $615.20 $769 2.2×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $5,629.60 $7,037 3.1×
Cltx fx grt toe phlx/phlg w/manj (28495) $1,200 $1,500 4.3×
Cltx fx grt toe phlx/phlg w/o manj (28490) $587.20 $734 2.1×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $1,200 $1,500 4.3×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $587.20 $734 2.1×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,408 $1,760 0.8×
Cltx hip dislocation traumatic w/o anesthesia (27250) $554.40 $693 2.0×
Cltx humeral condylar fx medial/lateral w/manj (24577) $560 $700 0.3×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $952 $1,190 3.4×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $717.60 $897 2.3×
Cltx iphal jt dislc w/manj w/o anes (26770) $672 $840 2.4×
Cltx Medial Malleolus Fx W/O Manipulation (27760) $1,044.80 $1,306 3.7×
Cltx metacarpal fx w/manipulation each bone (26605) $1,320 $1,650 4.7×
Cltx metacarpal fx w/o manipulation each bone (26600) $704 $880 2.5×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $726.40 $908 2.6×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $1,320 $1,650 4.7×
Cltx post hip arthrp dislc req anes (27266) $4,068 $5,085 2.2×
Cltx post hip arthrp dislc w/o anes (27265) $695.20 $869 2.5×
Cltx prox fibula/shft fx w/manj (27781) $1,932.80 $2,416 1.1×
Cltx prox fibula/shft fx w/o manj (27780) $574.40 $718 2.0×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $2,314.40 $2,893 1.3×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $575.20 $719 2.0×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $931.20 $1,164 0.5×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $1,492.80 $1,866 0.8×
Collect Blood From Catheter Venous Nos (36592) $179.20 $224 1.2×
Colonoscopy flex w/inj submuc (45381) $3,117.60 $3,897 2.3×
Colonoscopy flex w/rem forcep (45384) $3,117.60 $3,897 2.3×
Colonoscopy thru stoma (44388) $2,408 $3,010 2.3×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $3,178.40 $3,973 2.3×
Colonoscopy w/ablation (45388) $3,117.60 $3,897 2.3×
Colonoscopy, flexible; with endoscopic mucosal resection (45390) $2,493.60 $3,117 0.8×
Control Nasal Hemorrhage Anterior Complex (30903) $862.40 $1,078 5.7×
Control Nasal Hemorrhage Anterior Simple (30901) $436.80 $546 2.9×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $803.20 $1,004 5.3×
Debride nail 1-5 (11720) $145.60 $182 2.2×
Debride tissue/muscle (11043) $2,600 $3,250 3.1×
Debridement Mastoidectomy Cavity Simple (69220) $423.20 $529 1.9×
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,672 $2,090 3.6×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $3,775.20 $4,719 2.0×
Destroy cerv/thor facet jnt (64633) $3,596 $4,495 1.6×
Destroy lumb/sac facet jnt (64635) $3,477.60 $4,347 1.6×
Destruction neurolytic agt genicular nerve w/img (64624) $5,352.80 $6,691 2.4×
Diagnostic sigmoidoscopy (45330) $2,592.80 $3,241 2.4×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $588 $735 0.7×
Drainage External Ear Abscess/Hematoma Simple (69000) $424 $530 0.5×
Drainage Finger Abscess Complicated (26011) $1,855.20 $2,319 1.0×
Drainage Finger Abscess Simple (26010) $721.60 $902 3.2×
Drainage of gum lesion (41800) $301.60 $377 2.0×
Drainage of hematoma/fluid (10140) $2,455.20 $3,069 1.3×
Draw blood off venous device (36591) $142.40 $178 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $687.20 $859 1.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $504.80 $631 2.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $288 $360 1.3×
Dx Laryngoscopy Excl Nb (31525) $3,640 $4,550 1.8×
Egd balloon dilation esophagus <30 mm diam (43249) $2,972 $3,715 1.4×
Egd flexible foreign body removal (43247) $2,596 $3,245 2.5×
Egd w/transmural drain cyst (43240) $11,804.80 $14,756 1.7×
Evacuation of subungual hematoma (11740) $218.40 $273 1.4×
Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) $1,624.80 $2,031 2.0×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $1,196.80 $1,496 1.5×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $2,640 $3,300 3.3×
Excise/repair mouth lesion (40812) $3,228.80 $4,036 1.8×
Excision external ear partial simple repair (69110) $8,095.20 $10,119 2.4×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $1,388.80 $1,736 1.7×
Excision of lesion of tongue without closure (41110) $7,363.20 $9,204 2.0×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $3,344 $4,180 1.8×
Excision of thrombosed hemorrhoid, external (46320) $5,420 $6,775 4.0×
Excision of tongue lesion (41112) $6,816.80 $8,521 1.8×
Excision/destruction intranasal lesion int appr (30117) $7,700 $9,625 2.0×
Fine needle aspiration without imaging guidance (10021) $599.20 $749 1.3×
Fluid pressure muscle (20950) $1,637.60 $2,047 2.0×
Gastric Intubation/Aspiration, Therapeutic (43753) $266.40 $333 1.1×
Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) $469.60 $587 12.8×
I&D Abscess Peritonsillar (42700) $448 $560 1.7×
I&d abscess simple (10060) $367.20 $459 1.6×
I&d epididymis tstis&/scrotal space (54700) $6,451.20 $8,064 2.7×
I&d pilonidal cyst simple (10080) $904 $1,130 1.1×
I&D Upper Arm/Elbow Bursa (23931) $3,935.20 $4,919 2.1×
I&d vulva/perineal abscess (56405) $582.40 $728 1.7×
Image Cath Fluid Colxn Visc (49405) $4,737.60 $5,922 2.5×
Implant neuroelectrodes (63650) $7,253.60 $9,067 1.0×
Incise external hemorrhoid (46083) $648.80 $811 2.3×
Incision & drainage abscess complicated/multiple (10061) $678.40 $848 1.5×
Incision & drainage pilonidal cyst complicated (10081) $3,686.40 $4,608 4.6×
Incision & removal foreign body subq tiss compl (10121) $1,734.40 $2,168 0.9×
Incision & removal foreign body subq tiss simple (10120) $838.40 $1,048 1.8×
Incision and drainage of bartholin's gland abscess (56420) $339.20 $424 1.5×
Incision and drainage perianal abscess superficial (46050) $1,846.40 $2,308 1.7×
Incision of eardrum (69420) $517.60 $647 1.9×
Incision of rectal abscess (46040) $2,627.20 $3,284 1.9×
Initial tx 1st degree burn local tx (16000) $176 $220 0.8×
Inj paravert f jnt c/t 1 lev (64490) $2,681.60 $3,352 2.7×
Inj,Anes Agent,Brachial Plexus,Single (64415) $1,211.20 $1,514 1.2×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $2,681.60 $3,352 2.7×
Inject Nerv Blck,Axillary Nerv (64417) $2,488.80 $3,111 2.5×
Inject Nerv Blck,Intercost,Multpl (64421) $2,124 $2,655 2.1×
Inject Nerv Blck,Paravert Sympath (64520) $2,198.40 $2,748 2.2×
Inject/treat eye socket (67500) $665.60 $832 1.8×
Injection aa&/strd brach plex cont nfs cath img (64416) $2,054.40 $2,568 2.0×
Injection aa&/strd genicular nrv branches w/img (64454) $1,947.20 $2,434 2.4×
Injection aa&/strd lumbar plexus cont nfs cath (64449) $2,054.40 $2,568 2.0×
Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) $961.60 $1,202 1.2×
Injection aa&/strd trigeminal nerve each branch (64400) $796.80 $996 2.3×
Injection anesthetic agent femoral nerve single (64447) $1,828.80 $2,286 2.3×
Injection anesthetic agent suprascapular nerve (64418) $2,116 $2,645 2.6×
Injection single/mlt trigger point 1/2 muscles (20552) $697.60 $872 2.0×
Injection single/mlt trigger point 3/> muscles (20553) $783.20 $979 2.2×
Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) $1,981.60 $2,477 2.0×
Insert Bladder Cath Complex (51703) $395.20 $494 2.7×
Insert cath pleura w/ image (32557) $1,872.80 $2,341 1.0×
Insert non-tunnel cv cath (36556) $1,688 $2,110 0.5×
Insert Temp Bladder Cath (51702) $185.60 $232 1.2×
Insert,Non-Indwelling Bladder Catheter (51701) $132.80 $166 0.9×
Insj picc rs&i 5 yr+ (36573) $3,331.20 $4,164 1.9×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $5,230.40 $6,538 1.5×
Intubation endotracheal emergency procedure (31500) $744.80 $931 2.8×
Irrigation of corpora cavernosa for priapism (54220) $392 $490 1.4×
Klhl11 antb serum/csf cell binding assay qual (0432U) $132 $165 3.6×
Labyrinthotomy Transcanal (69801) $3,874.40 $4,843 2.2×
Laryngoscopy flexible diagnostic (31575) $969.60 $1,212 4.3×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $3,845.60 $4,807 1.9×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $1,099.20 $1,374 2.5×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $864 $1,080 1.9×
N Block Inj Ilio-Ing/Hypogi (64425) $1,815.20 $2,269 2.3×
Nasal endoscopy dx (31231) $472 $590 2.1×
Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) $3,593.60 $4,492 1.8×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $3,593.60 $4,492 1.8×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $728.80 $911 1.4×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $2,416.80 $3,021 5.8×
Njx aa&/strd sciatic nerve (64445) $2,056 $2,570 2.6×
Njx anes stellate ganglion crv sympathetic (64510) $1,938.40 $2,423 1.9×
Njx c/p/a cavernosa w/pharmacologic agt (54235) $757.60 $947 2.7×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,822.40 $2,278 1.8×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $2,681.60 $3,352 3.3×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) $1,981.60 $2,477 2.0×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $1,568 $1,960 2.0×
Occipital Nerve Block (64405) $968.80 $1,211 2.8×
Partial Excision Distal Phalanx Finger (26236) $3,344 $4,180 1.8×
Peritoneal Lavage (49084) $1,934.40 $2,418 1.9×
Perq replacement gtube not req revj gstrst trc (43762) $622.40 $778 2.2×
Picc line placement (36569) $1,706 $2,132.50 1.0×
Punch biopsy skin single lesion (11104) $297.60 $372 0.6×
Puncture aspiration of abscess hematoma bulla or cyst (10160) $748 $935 1.6×
Removal foreign body foot subcutaneous (28190) $2,579.20 $3,224 3.2×
Removal foreign body intranasal (30300) $183.20 $229 1.2×
Removal foreign body muscle/tendon sheath simple (20520) $541.60 $677 0.3×
Removal foreign body pharynx (42809) $803.20 $1,004 1.6×
Removal impacted cerumen irrigation/lvg unilat (69209) $160.80 $201 2.4×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $250.40 $313 3.7×
Removal Implantable Contraceptive Capsules (11976) $468 $585 0.6×
Removal of embedded foreign body, eyelid (67938) $324 $405 0.9×
Removal of foreign body, external eye; corneal, without slit lamp (65220) $249.60 $312 0.5×
Removal of iud (58301) $354.40 $443 1.0×
Removal of nail bed (11750) $720.80 $901 1.6×
Removal of salivary stone (42330) $6,816.80 $8,521 1.8×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $420.80 $526 1.8×
Remv Ext Canal Foreign Body (69200) $425.60 $532 2.8×
Remv F.B.,Eye,Superf Conjunc (65205) $330.40 $413 2.2×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,486.80 $1,858.50 1.8×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,524 $1,905 1.8×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,057.60 $1,322 2.3×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,164 $1,455 2.5×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,524 $1,905 3.3×
Repair complex trunk 2.6-7.5 cm (13101) $7,872 $9,840 9.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $885.60 $1,107 1.9×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $992 $1,240 2.1×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,097.60 $1,372 2.4×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,204 $1,505 2.6×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $860 $1,075 1.9×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $992 $1,240 2.1×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,097.60 $1,372 1.3×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,211.20 $1,514 2.6×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $896.80 $1,121 1.9×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $999.20 $1,249 2.2×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,540 $1,925 1.8×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $1,105.60 $1,382 2.4×
Repair of nail bed (11760) $519.20 $649 0.6×
Repair Tongue Laceration (41250) $420.80 $526 0.8×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $317.60 $397 2.1×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $2,276 $2,845 2.1×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $2,939.20 $3,674 2.2×
Sigmoidoscopy w/biopsy (45331) $2,208.80 $2,761 2.1×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $1,319.20 $1,649 2.8×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $647.20 $809 2.8×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $724.80 $906 3.2×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $917.60 $1,147 4.0×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $1,081.60 $1,352 4.7×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $566.40 $708 2.5×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $1,097.60 $1,372 4.8×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $780 $975 3.4×
Skin sub graft face/nk/hf/g (15275) $3,578.40 $4,473 4.3×
Skin sub graft trnk/arm/leg (15271) $3,326.40 $4,158 4.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $673.60 $842 2.9×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $884.80 $1,106 1.9×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $991.20 $1,239 2.1×
Spinal puncture lumbar diagnostic (62270) $783.20 $979 1.0×
Strapping shoulder (29240) $172 $215 1.1×
Strapping unna boot (29580) $245.60 $307 1.3×
Thoracentesis needle/cath pleura w/o imaging (32554) $1,509.60 $1,887 2.1×
Thrombolytic Therapy Stroke (37195) $707.20 $884 1.9×
Tracheotomy tube change (31502) $769.60 $962 2.9×
Treat humerus fracture (24500) $600.80 $751 2.1×
Treat humerus fracture (23600) $983.20 $1,229 3.5×
Treat Thumb Dislocation (26641) $512.80 $641 1.8×
Treat wrist bone fracture (25622) $587.20 $734 2.1×
Treat Wrist Bone Fracture (25630) $587.20 $734 2.1×
Treatment closed elbow dislocation w/o anes (24600) $607.20 $759 2.2×
Trim skin lesion (11055) $264.80 $331 1.2×
Tube thoracostomy includes water seal (32551) $1,921.60 $2,402 1.1×
Tx Superficial Wound Dehiscence Simple Closure (12020) $731.20 $914 0.9×
Tympanostomy (69433) $1,165.60 $1,457 1.9×
Unlisted Procedure Accessory Sinuses (31299) $462.40 $578 1.7×
Unlisted Procedure External Ear (69399) $1,252.80 $1,566 4.6×
Unlisted procedure nervous system (64999) $1,434.40 $1,793 4.1×
Us urine capacity measure (51798) $106.40 $133 1.6×
Vaginal delivery only (59409) $4,745.60 $5,932 1.3×
Venipuncture (36415) $39.20 $49 4.2×
Wedge excision skin nail fold (11765) $335.20 $419 0.7×