Procedures & surgery prices at Franciscan Health Mooresville
Mooresville, IN · every code in this section with a posted price and a Medicare benchmark.
454 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $2,110.49 | $8,309 | 2.2× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $509.27 | $2,005 | 0.5× |
| Ablate Pulm Tumor Perq Crybl (32994) | $6,819.65 | $26,849 | 0.6× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) unusually low: confirm this is the full procedure |
$5,848.86 | $23,027 | 0.3× |
| Amniocentesis diagnostic (59000) | $233.17 | $918 | 0.2× |
| Amputation toe metatarsophalangeal joint (28820) | $4,933.66 | $19,423.85 | 1.4× |
| Apheresis Platelets (36513) | $1,703.07 | $6,705 | 3.6× |
| Apply Multlay Comprs Lwr Leg (29581) | $98.81 | $389 | 0.6× |
| Apply Short Leg Cast (29405) | $173.74 | $684 | 0.6× |
| Arterial puncture (36600) range across 3 matching MRF lines |
$86.87–$149.35 | $342–$588 | varies |
| Arteriovenous Anastomosis Open Direct (36821) | $6,633.79 | $26,117.30 | 2.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) | $309.12 | $1,217 | 1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $376.94 | $1,484 | 0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) | $657.07 | $2,586.90 | 2.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $528.07 | $2,079 | 1.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $226.31 | $891 | 0.7× |
| Arthrodesis subtalar (28725) | $22,467.54 | $88,454.90 | 1.7× |
| Arthroplasty glenohumeral joint total shoulder (23472) | $23,715.27 | $93,367.21 | 1.3× |
| Arthroscopy hip w/femoroplasty (29914) | $14,887.70 | $58,613 | 1.9× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) range across 2 matching MRF lines |
$15,352.45–$20,856.19 | $60,442.70–$82,111 | varies |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) range across 2 matching MRF lines |
$16,655.67–$27,810.40 | $65,573.50–$109,489.75 | varies |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) | $13,420.66 | $52,837.25 | 1.7× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $6,382.85 | $25,129.35 | 1.8× |
| Aspirate pleura w/ imaging (32555) | $2,110.49 | $8,309 | 3.2× |
| Aspirate Pleura W/O Imaging (32554) | $545.85 | $2,149 | 0.8× |
| Aspirate/Inj Ganglion Cyst (20612) | $1,808.99 | $7,122 | 5.6× |
| Aspiration & Injection Treatment Bone Cyst (20615) | $452.37 | $1,781 | 0.6× |
| Aspiration and/or injection thyroid cyst (60300) | $452.37 | $1,781 | 0.6× |
| Aspiration bladder insert suprapubic catheter (51102) | $1,470.41 | $5,789 | 0.7× |
| Av Fistula Revision Open (36832) | $8,562.66 | $33,711.25 | 1.5× |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) likely a partial charge, not the full procedure |
$727.46 | $2,864 | 0.1× |
| Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) likely a partial charge, not the full procedure |
$1,127.51 | $4,439 | 0.1× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) likely a partial charge, not the full procedure |
$2,412.49 | $9,498 | 0.2× |
| Biliary ndsc prq t-tube w/bx single/multiple (47553) | $4,145.03 | $16,319 | 0.6× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) likely a partial charge, not the full procedure |
$1,130.81 | $4,452 | 0.2× |
| Biopsy Abdominal Mass (49180) | $678.43 | $2,671 | 0.4× |
| Biopsy bone trocar/needle deep (20225) | $1,017.78 | $4,007 | 0.6× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $754.13 | $2,969 | 0.4× |
| Biopsy muscle percutaneous needle (20206) | $791.46 | $3,116 | 0.5× |
| Biopsy of liver, needle; percutaneous (47000) | $791.46 | $3,116 | 0.5× |
| Biopsy Pleura Percutaneous Needle (32400) | $791.46 | $3,116 | 0.5× |
| Biopsy Salivary Gland Needle (42400) | $376.94 | $1,484 | 0.5× |
| Bladder Irrigation (51700) | $204.72 | $806 | 0.8× |
| Bladder Scan (51798) range across 2 matching MRF lines |
$87.63–$92.71 | $345–$365 | varies |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) | $1,130.81 | $4,452 | 0.7× |
| Blood Transfusion Service (36430) range across 7 matching MRF lines |
$334.77–$1,273.05 | $1,318–$5,012 | varies |
| Blood/Lymph System Procedure (38999) | $678.43 | $2,671 | 1.5× |
| Bone Marrow Biopsy (38221) | $565.40 | $2,226 | 0.3× |
| Bone marrow harvest allogen (38230) | $4,145.03 | $16,319 | 2.5× |
| Bone Marrow; Aspiration Only (38220) | $641.10 | $2,524 | 0.4× |
| Bx breast 1st lesion mr imag (19085) | $2,525.27 | $9,942 | 1.4× |
| Bx breast 1st lesion strtctc (19081) | $2,261.11 | $8,902 | 1.3× |
| Bx breast 1st lesion us imag (19083) range across 2 matching MRF lines |
$2,826.26–$5,652.52 | $11,127–$22,254 | varies |
| Bx/exc lymph node open deep axillary node (38525) | $4,968.49 | $19,561 | 1.2× |
| Car-t admn autologous (38228) | $2,480.56 | $9,766 | 7.1× |
| Cessj Therapy Cath Removal (37214) | $4,899.15 | $19,288 | 1.5× |
| Change Cystostomy Tube Complicated (51710) | $240.28 | $946 | 0.3× |
| Change Cystostomy Tube Simple (51705) | $414.78 | $1,633 | 1.6× |
| Change ureter stent percut (50382) | $2,336.80 | $9,200 | 1.1× |
| Chemical Pleurodesis (32560) | $565.40 | $2,226 | 0.9× |
| Chest tube placement (32551) | $905 | $3,563 | 0.5× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) | $905 | $3,563 | 0.4× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $4,899.15 | $19,288 | 1.3× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) | $252.98 | $996 | 1.0× |
| Collect Blood From Catheter Venous Nos (36592) | $145.03 | $571 | 1.0× |
| Collection of venous blood by venipuncture (36415) | $9.14 | $36 | 1.0× |
| Complex drainage wound (10180) range across 2 matching MRF lines |
$1,733.80–$1,962.40 | $6,826–$7,726 | varies |
| Conversion ext bil drg cath (47535) | $1,997.46 | $7,864 | 0.5× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $791.46 | $3,116 | 0.4× |
| Convert Nephrostomy Catheter (50434) | $716.03 | $2,819 | 0.3× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $1,419.10 | $5,587 | 0.8× |
| Cysto w/insert ureteral stent (52332) | $5,252.26 | $20,678.20 | 1.4× |
| Cystouretero w/renal strict (52346) likely a partial charge, not the full procedure |
$1,273.05 | $5,012 | 0.2× |
| Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) | $2,138.17 | $8,418 | 0.6× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $10,726.59 | $42,230.65 | 13.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $979.93 | $3,858 | 2.3× |
| Declot vascular device (36593) | $25,637.85 | $100,936.40 | 73.4× |
| Destr W Neurolytic; Celiac Plexus (64680) | $1,092.96 | $4,303 | 1.2× |
| Destruction neurolytic agt genicular nerve w/img (64624) | $1,888.49 | $7,435 | 0.9× |
| Dilat rct strix spx under anes oth/thn local (45910) | $1,545.08 | $6,083 | 1.2× |
| Dilat Xst Trc New Access Rcs (50437) | $3,354.32 | $13,206 | 0.9× |
| Dilate Urethra Stricture (53600) | $297.94 | $1,173 | 1.1× |
| Dilation and catheterization of salivary duct, with or without injection (42660) | $565.40 | $2,226 | 1.0× |
| Dilation Esophagus Guide Wire (43453) | $1,130.81 | $4,452 | 0.6× |
| Drain Cerebro Spinal Fluid (62272) | $592.58 | $2,333 | 0.8× |
| Drain Spinal Cord Cyst (62268) | $694.94 | $2,736 | 0.7× |
| Drain/inj small joint/bursa w/us (20604) | $320.80 | $1,263 | 1.0× |
| Drainage of hematoma/fluid (10140) | $3,637.19 | $14,319.65 | 2.1× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) | $1,959.86 | $7,716 | 0.6× |
| Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) | $1,922.02 | $7,567 | 0.6× |
| Draw Blood Off Venous Device (36591) | $159.51 | $628 | 1.1× |
| Dx Bone Marrow Bx & Aspir (38222) | $641.10 | $2,524 | 0.2× |
| Dx Bronchoscope/Lavage (31624) | $3,897.72 | $15,345.35 | 2.1× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $746.76 | $2,940 | 1.0× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $3,439.43 | $13,541.05 | 1.7× |
| Egd place gastrostomy tube (43246) | $979.93 | $3,858 | 0.5× |
| Egd Tube/Cath Insertion (43241) | $836.68 | $3,294 | 0.4× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) | $2,713.23 | $10,682 | 0.8× |
| Epidural Blood Patch (62273) | $490.22 | $1,930 | 0.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $3,013.32 | $11,863.45 | 4.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $4,463.10 | $17,571.25 | 2.6× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $3,196.20 | $12,583.45 | 4.3× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $3,389.02 | $13,342.60 | 1.9× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $2,223.52 | $8,754 | 0.6× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $1,017.78 | $4,007 | 0.5× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $979.93 | $3,858 | 0.5× |
| Explo/Drain Breast Abscess (19020) | $420.62 | $1,656 | 0.2× |
| Fetal Fluid Drainage W/Ultrasound Guidance (59074) | $259.33 | $1,021 | 0.8× |
| Fetal non-stress test (59025) | $353.57 | $1,392 | 1.7× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $678.43 | $2,671 | 0.9× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) | $678.43 | $2,671 | 0.9× |
| Fluoro exam of g/colon tube (49465) | $1,017.78 | $4,007 | 4.0× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $678.43 | $2,671 | 0.9× |
| Fna bx w/us gdn 1st les (10005) | $678.43 | $2,671 | 0.9× |
| Fusion of foot bones (28740) | $22,467.54 | $88,454.90 | 2.9× |
| Gastrocnemius recession (27687) | $22,467.54 | $88,454.90 | 6.5× |
| Guide Cathet Fluid Drainage (10030) range across 3 matching MRF lines |
$185.93–$1,281.68 | $732–$5,046 | varies |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $6,048.24 | $23,811.95 | 2.1× |
| Hysteroscopy Biopsy (58558) | $5,266.18 | $20,733 | 1.5× |
| Hysteroscopy Endometrial Ablation (58563) | $3,797.26 | $14,949.85 | 0.7× |
| I&d abscess simple (10060) | $490.22 | $1,930 | 2.3× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $1,963.93 | $7,732 | 0.6× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $2,525.27 | $9,942 | 0.8× |
| I&d perianal abscess superficial (46050) | $254.76 | $1,003 | 0.3× |
| Icd Pocket Revision (33223) | $3,392.17 | $13,355 | 1.6× |
| Image Cath Fluid Colxn Visc (49405) range across 2 matching MRF lines |
$791.46–$1,362.20 | $3,116–$5,363 | varies |
| Image Cath Fluid Peri/Retro (49406) range across 4 matching MRF lines |
$386.84–$2,110.49 | $1,523–$8,309 | varies |
| Image Cath Fluid Trns/Vgnl (49407) | $2,562.86 | $10,090 | 1.5× |
| Implant neuroelectrodes (63650) | $7,953.59 | $31,313.35 | 1.2× |
| Incision & removal foreign body subq tiss compl (10121) | $1,394.46 | $5,490 | 0.8× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$302.01–$641.10 | $1,189–$2,524 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $791.46 | $3,116 | 0.8× |
| Inj W/Fluor Eval Cv Device (36598) | $979.93 | $3,858 | 4.4× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $565.40 | $2,226 | 0.6× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $565.40 | $2,226 | 1.7× |
| Injection aa&/strd genicular nrv branches w/img (64454) | $686.56 | $2,703 | 0.9× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $678.43 | $2,671 | 0.7× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) | $686.56 | $2,703 | 0.9× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $12,459.26 | $49,052.20 | 16.7× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $294.39 | $1,159 | 0.9× |
| Injection Anes Superior Hypogastric Plexus (64517) | $867.16 | $3,414 | 0.9× |
| Injection for identification of sentinel node (38792) | $452.37 | $1,781 | 1.1× |
| Injection Into Brain Canal (61055) | $678.43 | $2,671 | 2.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $185.17 | $729 | 0.6× |
| Injection Sinus Tract Therapeutic Separate Proc (20500) | $1,281.68 | $5,046 | 0.8× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $23,545.60 | $92,699.21 | 25.2× |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$18,896.66–$34,767.34 | $74,396.30–$136,879.30 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $16,677.03 | $65,657.60 | 22.3× |
| Ins cath ren art 1st bilat (36252) range across 2 matching MRF lines |
$3,434.08–$6,406.64 | $13,520–$25,223 | varies |
| Ins cath ren art 1st unilat (36251) range across 2 matching MRF lines |
$2,628.14–$4,522.47 | $10,347–$17,805 | varies |
| Ins cath ren art 2nd+ bilat (36254) range across 2 matching MRF lines |
$3,504.18–$9,421.11 | $13,796–$37,091 | varies |
| Ins cath ren art 2nd+ unilat (36253) range across 2 matching MRF lines |
$2,768.35–$9,421.11 | $10,899–$37,091 | varies |
| Ins endovas vena cava filtr (37191) | $7,536.94 | $29,673 | 1.3× |
| Ins/Rep Subq Defibrillator (33270) | $29,784.04 | $117,260 | 0.9× |
| Insert 1 Electrode Pm-Defib (33216) | $7,536.94 | $29,673 | 0.9× |
| Insert cath pleura w/ image (32557) | $1,695.96 | $6,677 | 1.0× |
| Insert cath pleura w/o image (32556) | $1,168.40 | $4,600 | 0.6× |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) | $2,148.08 | $8,457 | 1.7× |
| Insert Gastrostomy Tube Percutaneous (49440) | $1,017.78 | $4,007 | 0.5× |
| Insert Heart Pm Atrial (33206) | $6,406.64 | $25,223 | 0.6× |
| Insert Heart Pm Ventricular (33207) unusually low: confirm this is the full procedure |
$4,899.15 | $19,288 | 0.4× |
| Insert hepatic shunt (tips) (37182) | $12,812.78 | $50,444 | 0.7× |
| Insert non-tunnel cv cath (36556) | $1,281.68 | $5,046 | 0.4× |
| Insert Pacing Lead & Connect (33224) unusually low: confirm this is the full procedure |
$5,275.83 | $20,771 | 0.5× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $1,281.68 | $5,046 | 0.8× |
| Insert pulse gen dual leads (33213) | $6,029.71 | $23,739 | 0.5× |
| Insert pulse gen mult leads (33221) unusually low: confirm this is the full procedure |
$8,291.07 | $32,642 | 0.4× |
| Insert Pulse Gen Sngl Lead (33212) unusually low: confirm this is the full procedure |
$3,052.83 | $12,019 | 0.3× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$73.66–$169.67 | $290–$668 | varies |
| Insert tun ip cath perc (49418) | $3,392.17 | $13,355 | 0.9× |
| Insert tunneled cv cath (36561) | $21,710.99 | $85,476.35 | 6.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$49.02–$128.52 | $193–$506 | varies |
| Insertion indwelling tunneled pleural catheter (32550) | $1,695.96 | $6,677 | 0.4× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $1,243.58 | $4,896 | 0.7× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $7,919.47 | $31,179 | 0.9× |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) unusually low: confirm this is the full procedure |
$1,884.43 | $7,419 | 0.3× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $7,913.62 | $31,156 | 0.9× |
| Insj Picc Rs&I <5 Yr (36572) | $716.03 | $2,819 | 1.1× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $905 | $3,563 | 0.5× |
| Insj Subq Impltbl Dfb Elctrd (33271) | $5,256.02 | $20,693 | 0.6× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $2,261.11 | $8,902 | 0.7× |
| Insj/Rplcmt Defib W/Lead(S) (33249) unusually low: confirm this is the full procedure |
$15,073.88 | $59,346 | 0.5× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) | $30,145.90 | $118,684.65 | 0.9× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) unusually low: confirm this is the full procedure |
$4,145.03 | $16,319 | 0.5× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) | $7,913.62 | $31,156 | 0.9× |
| Insrt heart pm atrial & vent (33208) | $6,783.32 | $26,706 | 0.6× |
| Insrt Pulse Gen W/Dual Leads (33230) range across 2 matching MRF lines |
$2,697.99–$24,118.82 | $10,622–$94,956 | varies |
| Insrt Pulse Gen W/Mult Leads (33231) range across 2 matching MRF lines |
$2,768.35–$30,147.77 | $10,899–$118,692 | varies |
| Insrt Pulse Gen W/Singl Lead (33240) | $20,726.91 | $81,602 | 0.9× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) | $186.69 | $735 | 0.7× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) | $1,055.62 | $4,156 | 0.7× |
| Intro cath dialysis circuit (36901) | $1,017.78 | $4,007 | 0.6× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $7,160.26 | $28,190 | 0.6× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $5,275.83 | $20,771 | 0.9× |
| Intro Gastrointestinal Tube (44500) | $376.94 | $1,484 | 0.4× |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$262.89–$363.47 | $1,035–$1,431 | varies |
| Lap insert tunnel ip cath (49324) | $8,672.92 | $34,145.35 | 1.4× |
| Lap paraesoph her rpr w/mesh (43282) | $26,690.80 | $105,081.90 | 2.4× |
| Lap paraesophag hern repair (43281) range across 2 matching MRF lines |
$19,947.62–$20,969.08 | $78,533.95–$82,555.45 | varies |
| Laparo ablate renal cyst (50541) likely a partial charge, not the full procedure |
$3,018.28 | $11,883 | 0.3× |
| Laparo ablate renal mass (50542) | $8,667.75 | $34,125 | 0.8× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 2 matching MRF lines |
$18,464–$20,745.53 | $72,692.90–$81,675.30 | varies |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) | $14,768.53 | $58,143.80 | 1.3× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) | $14,301.22 | $56,304 | 1.3× |
| Laparoscopy w/rmvl adnexal structures (58661) | $10,991.22 | $43,272.50 | 1.7× |
| Laparoscopy, surgical, appendectomy (44970) | $10,079.81 | $39,684.30 | 1.6× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) | $20,778.69 | $81,805.85 | 1.8× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) | $12,421.41 | $48,903.20 | 1.1× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) | $19,097.35 | $75,186.40 | 3.0× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) | $7,892.94 | $31,074.55 | 1.2× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) | $24,080.70 | $94,805.90 | 3.8× |
| Laryngoscopy flexible diagnostic (31575) | $222.50 | $876 | 1.1× |
| Lyse chest fibrin init day (32561) | $565.40 | $2,226 | 0.9× |
| Manipulation knee joint under general anesthesia (27570) | $5,588.85 | $22,003.35 | 3.3× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) | $942.09 | $3,709 | 1.3× |
| Mastectomy partial (19301) | $4,968.49 | $19,561 | 1.2× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) | $189.99 | $748 | 0.1× |
| Mech remov tunneled cv cath (36595) | $1,695.96 | $6,677 | 0.5× |
| Muscle-skin graft trunk (15734) | $9,590.01 | $37,755.95 | 2.6× |
| Myelography Lumbar Injection (62305) | $1,293.88 | $5,094 | 1.6× |
| Myelography Lumbar Injection (62304) | $1,293.88 | $5,094 | 1.6× |
| Myelography via lumbar injection rs&i cervical (62302) | $953.26 | $3,753 | 1.1× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $851.41 | $3,352 | 1.0× |
| N Block Inj Celiac Pelus (64530) | $791.46 | $3,116 | 0.8× |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines |
$8,135.24–$15,490.55 | $32,028.50–$60,986.40 | varies |
| N block inj intercost sng (64420) | $528.07 | $2,079 | 0.7× |
| N Block Inj Pudendal (64430) | $791.46 | $3,116 | 0.8× |
| N Block Lumbar/Thoracic (64520) | $22,719.46 | $89,446.70 | 24.3× |
| Nasal/Orogastric W/Tube Plmt (43752) | $339.60 | $1,337 | 0.7× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) | $197.36 | $777 | 0.7× |
| Needle Biopsy Lymph Nodes (38505) | $678.43 | $2,671 | 0.4× |
| Needle Biopsy Pancreas (48102) | $1,281.68 | $5,046 | 0.7× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $6.35 | $25 | 0.2× |
| Needle insertion w/o injection 3 or more muscles (20561) | $7.62 | $30 | 0.2× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $272.54 | $1,073 | 0.7× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $905 | $3,563 | 0.2× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $3,768.60 | $14,837 | 1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $754.13 | $2,969 | 0.8× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $603 | $2,374 | 0.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $16,871.05 | $66,421.45 | 22.6× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $979.93 | $3,858 | 1.3× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) | $942.09 | $3,709 | 1.3× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) | $297.94 | $1,173 | 0.7× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) | $215.39 | $848 | 0.5× |
| Obstructive material removal from gi tube (49460) | $528.07 | $2,079 | 0.6× |
| Occipital Nerve Block (64405) | $754.13 | $2,969 | 2.3× |
| Open biopsy/excision inguinofemoral nodes (38531) | $3,127.25 | $12,312 | 0.8× |
| Open Treatment Bimalleolar Ankle Fracture (27814) | $11,173.70 | $43,990.95 | 1.5× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) | $13,514.08 | $53,205.05 | 1.8× |
| Open Treatment Proximal Humeral Fracture (23615) | $14,655.15 | $57,697.45 | 1.1× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) | $11,173.70 | $43,990.95 | 1.5× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) | $11,347.41 | $44,674.85 | 1.5× |
| Open/Perq Place Stent 1St (37236) | $9,421.11 | $37,091 | 0.8× |
| Open/Perq Place Stent Same (37238) | $6,783.32 | $26,706 | 0.6× |
| Perc Cryo Ablate Renal Tum (50593) | $7,068.57 | $27,829 | 0.6× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) | $1,168.40 | $4,600 | 0.8× |
| Perc Rf Ablate Renal Tumor (50592) | $4,145.03 | $16,319 | 0.6× |
| Percut Ablate Liver Rf (47382) | $3,392.17 | $13,355 | 0.5× |
| Percut Cath Occlusn Non Cns Lesn (61626) | $7,160.26 | $28,190 | 0.6× |
| Percut Drain/Inject Renal Cyst (50390) | $678.43 | $2,671 | 0.9× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) | $3,768.60 | $14,837 | 1.1× |
| Pericardiocentesis W/Imaging (33016) | $1,017.78 | $4,007 | 0.6× |
| Perm Occlusion/Embolization,Percut,Cns (61624) likely a partial charge, not the full procedure |
$2,072.89 | $8,161 | 0.1× |
| Perq av fistula creation uxtr sep access sites (36837) | $12,482.32 | $49,143 | 0.6× |
| Perq av fistula creation uxtr single access (36836) | $12,482.32 | $49,143 | 0.6× |
| Perq Cervicothoracic Inject (22510) | $2,939.80 | $11,574 | 0.8× |
| Perq dev breast 1st mr guide (19287) | $603 | $2,374 | 0.8× |
| Perq dev breast 1st strtctc (19283) | $905 | $3,563 | 1.2× |
| Perq dev breast 1st us imag (19285) | $1,658.11 | $6,528 | 2.2× |
| Perq device breast 1st imag (19281) | $942.09 | $3,709 | 0.5× |
| Perq dilation xst trc endourologic px w/img (50436) | $1,997.46 | $7,864 | 0.5× |
| Perq Lumbosacral Injection (22511) | $2,939.80 | $11,574 | 0.8× |
| Perq p-art revsc 1 nm nt uni (33900) | $7,713.98 | $30,370 | 0.6× |
| Perq p-art revsc st 1st abnor connj unilateral (33902) | $12,482.32 | $49,143 | 0.6× |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) | $7,713.98 | $30,370 | 0.6× |
| Perq p-art revsc st 1st nml native connj bi (33901) | $7,713.98 | $30,370 | 0.6× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) | $4,899.15 | $19,288 | 0.8× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $678.43 | $2,671 | 0.9× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $6,406.64 | $25,223 | 0.5× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $4,145.03 | $16,319 | 0.7× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $10,928.86 | $43,027 | 1.4× |
| Perq Vertebral Augmentation (22513) | $11,305.54 | $44,510 | 1.5× |
| Phleb Veins - Extrem 20+ (37766) | $1,851.41 | $7,289 | 0.6× |
| Photopheresis extracorporeal (36522) | $8,515.35 | $33,525 | 1.8× |
| Place Cath Subclavian Art (36225) | $4,145.03 | $16,319 | 1.2× |
| Place Cath Thoracic Aorta (36221) | $3,014.98 | $11,870 | 0.9× |
| Place Cath Vertebral Art (36226) | $5,652.77 | $22,255 | 1.0× |
| Place Duod/Jej Tube Perc (49441) | $2,110.49 | $8,309 | 1.0× |
| Place Rt Device/Marker Pros (55876) | $1,281.68 | $5,046 | 0.9× |
| Plmt Bile Duct Stent Prq Existing Access (47538) unusually low: confirm this is the full procedure |
$2,939.80 | $11,574 | 0.5× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) unusually low: confirm this is the full procedure |
$2,939.80 | $11,574 | 0.5× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) | $3,429.51 | $13,502 | 0.5× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $1,695.96 | $6,677 | 0.8× |
| Plmt Nephroureteral Catheter (50433) | $2,110.49 | $8,309 | 0.6× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) | $2,939.80 | $11,574 | 0.8× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) | $2,939.80 | $11,574 | 0.8× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) | $2,374.14 | $9,347 | 0.6× |
| Prim art mech thrombectomy (37184) likely a partial charge, not the full procedure |
$4,899.15 | $19,288 | 0.3× |
| Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) | $2,336.80 | $9,200 | 0.8× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $1,281.68 | $5,046 | 1.7× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $3,768.60 | $14,837 | 1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $2,939.80 | $11,574 | 0.8× |
| Pseudoaneurysm Injection Trt (36002) | $565.40 | $2,226 | 0.9× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $215.39 | $848 | 0.5× |
| Puncture Aspiration Cyst Breast (19000) | $678.43 | $2,671 | 0.9× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $414.78 | $1,633 | 0.6× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) | $1,888.49 | $7,435 | 0.9× |
| Redo Endovas Vena Cava Filtr (37192) range across 2 matching MRF lines |
$2,733.04–$4,522.47 | $10,760–$17,805 | varies |
| Relocation Pocket Pacemaker (33222) | $2,110.49 | $8,309 | 1.0× |
| Rem Endovas Vena Cava Filter (37193) range across 2 matching MRF lines |
$2,733.04–$3,315.97 | $10,760–$13,055 | varies |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $565.40 | $2,226 | 0.6× |
| Removal foreign body foot deep (28192) | $1,583.18 | $6,233 | 0.9× |
| Removal Implant Deep (20680) | $15,187.73 | $59,794.20 | 4.9× |
| Removal of tunneled intraperitoneal catheter (49422) | $2,826.26 | $11,127 | 0.8× |
| Removal Pacemaker Electrode (33235) | $2,525.27 | $9,942 | 0.6× |
| Removal ppm generator only (33233) unusually low: confirm this is the full procedure |
$3,392.17 | $13,355 | 0.4× |
| Removal subcutaneous cardiac rhythm monitor (33286) | $630.68 | $2,483 | 0.8× |
| Remove & Replace Indwell Ureteral Stent Trurthrl (50385) | $1,695.96 | $6,677 | 0.8× |
| Remove Elctrd Transvenously (33244) | $2,525.27 | $9,942 | 0.6× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) | $1,770.89 | $6,972 | 0.8× |
| Remove intrvas foreign body (37197) range across 2 matching MRF lines |
$2,628.14–$3,392.17 | $10,347–$13,355 | varies |
| Remove lung catheter (32552) | $641.10 | $2,524 | 1.0× |
| Remove Pulse Generator (33241) | $2,525.27 | $9,942 | 0.6× |
| Remove renal tube w/fluoro (50389) | $1,055.62 | $4,156 | 1.4× |
| Remove ureter stent percut (50384) | $2,525.27 | $9,942 | 1.1× |
| Remove&replace pm gen singl (33227) range across 2 matching MRF lines |
$2,593.09–$3,768.60 | $10,209–$14,837 | varies |
| Remv&replc cvd gen dual lead (33263) range across 2 matching MRF lines |
$3,854.70–$11,305.54 | $15,176–$44,510 | varies |
| Remv&replc cvd gen mult lead (33264) range across 2 matching MRF lines |
$4,205.22–$14,320.52 | $16,556–$56,380 | varies |
| Remv&replc cvd gen sing lead (33262) range across 2 matching MRF lines |
$19,272.25–$27,509.98 | $75,875–$108,307 | varies |
| Remv&replc pm gen dual lead (33228) range across 2 matching MRF lines |
$3,364.23–$7,160.26 | $13,245–$28,190 | varies |
| Remv&replc pm gen mult leads (33229) range across 2 matching MRF lines |
$3,364.23–$8,291.07 | $13,245–$32,642 | varies |
| Renal Biopsy Perq (50200) | $1,017.78 | $4,007 | 0.6× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $7,293.98 | $28,716.45 | 1.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $7,290.69 | $28,703.50 | 17.0× |
| Repair lead pace-defib dual (33220) | $4,145.03 | $16,319 | 1.0× |
| Repair Lead Pace-Defib One (33218) | $4,899.15 | $19,288 | 1.2× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $1,017.78 | $4,007 | 1.1× |
| Replace G-J Tube Perc (49452) | $829.06 | $3,264 | 0.9× |
| Replace g/c tube perc (49450) | $414.78 | $1,633 | 0.4× |
| Repos Previously Implanted Subq Implantable Dfb (33273) | $1,927.35 | $7,588 | 0.5× |
| Reposition Gastrostomy Tube (43761) | $979.93 | $3,858 | 3.7× |
| Reposition L Ventric Lead (33226) | $2,148.08 | $8,457 | 0.6× |
| Reposition Pacing-Defib Lead (33215) | $2,939.80 | $11,574 | 0.9× |
| Reposition Venous Catheter (36597) | $1,130.81 | $4,452 | 0.7× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) | $7,160.26 | $28,190 | 1.2× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) | $9,110.73 | $35,869 | 1.5× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) | $9,110.73 | $35,869 | 1.5× |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) unusually low: confirm this is the full procedure |
$9,110.73 | $35,869 | 0.5× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) unusually low: confirm this is the full procedure |
$9,110.73 | $35,869 | 0.5× |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) | $19,973.29 | $78,635 | 1.0× |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) | $19,973.29 | $78,635 | 1.0× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) | $11,563.35 | $45,525 | 0.9× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) | $11,563.35 | $45,525 | 0.9× |
| Revsc evasc imvt angiop uni cplx les 1st vsl (37298) | $10,476.74 | $41,247 | 0.9× |
| Revsc evasc imvt angiop uni sf les 1st vsl (37296) | $9,524.24 | $37,497 | 0.8× |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) | $6,307.33 | $24,832 | 1.0× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) | $6,307.33 | $24,832 | 1.0× |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) | $11,563.35 | $45,525 | 0.9× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) | $11,563.35 | $45,525 | 0.9× |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) | $9,110.73 | $35,869 | 0.7× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) | $9,110.73 | $35,869 | 0.7× |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) | $12,702.03 | $50,008 | 0.7× |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) | $10,161.52 | $40,006 | 0.5× |
| Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) | $12,702.03 | $50,008 | 0.7× |
| Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) | $12,702.03 | $50,008 | 0.7× |
| Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) | $10,161.52 | $40,006 | 0.5× |
| Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) | $10,161.52 | $40,006 | 0.5× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) | $1,130.81 | $4,452 | 0.5× |
| Rmvl of subq implantable defibrillator electrode (33272) | $2,452.88 | $9,657 | 0.6× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $2,525.27 | $9,942 | 0.6× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $867.16 | $3,414 | 0.5× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines |
$385.57–$678.43 | $1,518–$2,671 | varies |
| Rplc Gtube No Revj Trc (43762) | $1,209.55 | $4,762 | 4.6× |
| Rplcmt cath ctr vad subq port/pmp (36578) | $654.81 | $2,578 | 0.2× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $1,168.40 | $4,600 | 0.7× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) | $799.85 | $3,149 | 0.2× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $791.46 | $3,116 | 0.5× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $2,110.49 | $8,309 | 0.6× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $2,381.76 | $9,377 | 0.7× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) | $7,436.69 | $29,278.30 | 1.2× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $6,201.84 | $24,416.70 | 1.6× |
| Rpr aa hrn 1st 3-10 rdc (49593) | $9,335.40 | $36,753.55 | 1.4× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) | $7,524.69 | $29,624.75 | 1.2× |
| Rpr blood vessel direct lower extremity (35226) | $1,089.91 | $4,291 | 1.5× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $2,412.49 | $9,498 | 1.4× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $716.03 | $2,819 | 1.1× |
| Sclerotx Fluid Collection (49185) | $678.43 | $2,671 | 0.4× |
| Skin sub graft trnk/arm/leg (15271) | $4,180.70 | $16,459.45 | 5.3× |
| Skin Tissue Procedure (17999) | $105.66 | $416 | 0.5× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) | $3,768.60 | $14,837 | 0.6× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) | $3,768.60 | $14,837 | 1.1× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) | $5,652.77 | $22,255 | 1.0× |
| Spinal puncture lumbar diagnostic (62270) | $528.07 | $2,079 | 0.7× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) | $2,713.23 | $10,682 | 0.8× |
| Strapping ankle (29540) range across 2 matching MRF lines |
$98.30–$102.11 | $387–$402 | varies |
| Strapping elbow or wrist (29260) | $77.72 | $306 | 1.2× |
| Strapping hand/finger (29280) | $81.03 | $319 | 1.3× |
| Strapping Hip (29520) range across 2 matching MRF lines |
$56.39–$102.11 | $222–$402 | varies |
| Strapping knee (29530) range across 2 matching MRF lines |
$81.03–$102.11 | $319–$402 | varies |
| Strapping shoulder (29240) range across 2 matching MRF lines |
$49.02–$81.03 | $193–$319 | varies |
| Strapping thorax (29200) range across 2 matching MRF lines |
$91.19–$98.30 | $359–$387 | varies |
| Strapping toes (29550) range across 2 matching MRF lines |
$98.30–$105.16 | $387–$414 | varies |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$122.68–$126.24 | $483–$497 | varies |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) | $31,326.33 | $123,332 | 1.0× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) | $16,399 | $64,563 | 0.8× |
| Tcat Rmvl Perm Ldls Pm (33275) | $2,838.70 | $11,176 | 0.8× |
| Tenodesis long tendon biceps (23430) | $24,024.96 | $94,586.45 | 3.1× |
| Thaw preserved stem cells (38208) | $560.58 | $2,207 | 1.2× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $817.63 | $3,219 | 1.1× |
| Therapeutic Apheresis White Blood Cells (36511) | $1,703.07 | $6,705 | 1.0× |
| Therapeutic plasma exchange (36514) range across 2 matching MRF lines |
$1,733.80–$2,739.90 | $6,826–$10,787 | varies |
| Thrmbc/Nfs Dialysis Circuit (36906) | $10,552.18 | $41,544 | 0.5× |
| Thromblytic art/ven therapy (37213) | $7,160.26 | $28,190 | 2.1× |
| Thrombolytic Art Therapy (37211) | $3,768.60 | $14,837 | 0.6× |
| Thrombolytic Venous Therapy (37212) | $2,525.27 | $9,942 | 0.8× |
| Thyroid biopsy (60100) | $716.03 | $2,819 | 1.0× |
| Total Knee Arthroplasty (27447) range across 3 matching MRF lines |
$8,636.75–$34,767.34 | $34,002.95–$136,879.30 | varies |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) | $592.58 | $2,333 | 1.8× |
| Transcatheter biopsy (37200) unusually low: confirm this is the full procedure |
$2,638.30 | $10,387 | 0.4× |
| Trluml Balo Angiop 1St Art (37246) | $4,145.03 | $16,319 | 0.7× |
| Trluml Balo Angiop 1St Vein (37248) | $4,145.03 | $16,319 | 0.7× |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) range across 2 matching MRF lines |
$925.58–$962.66 | $3,644–$3,790 | varies |
| Trnspl Prepj Hematop Progen Concentration Plsm (38215) | $1,331.72 | $5,243 | 2.9× |
| Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) | $1,962.40 | $7,726 | 4.2× |
| Trnspl Prepj Hematop Progen Red Bld Cell Rmvl (38212) | $1,402.08 | $5,520 | 3.0× |
| Trnsplj allogeneic hematopoietic cells per donor (38240) unusually low: confirm this is the full procedure |
$25,248.87 | $99,405 | 0.4× |
| Trnsplj autologous hematopoietic cells per donor (38241) | $2,525.27 | $9,942 | 1.5× |
| Trnsplj Hematopoietic Cell Boost (38243) | $1,132.33 | $4,458 | 0.7× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $4,298.38 | $16,922.77 | 1.3× |
| Tx Missed Abortion First Trimester Surgical (59820) | $3,436.66 | $13,530.15 | 1.0× |
| Unlisted Cardiac Surgery (33999) | $966.47 | $3,805 | 1.5× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) | $19,071.81 | $75,085.85 | 3.0× |
| Unlisted procedure anus (46999) | $1,658.11 | $6,528 | 1.7× |
| Unlisted Procedure Biliary Tract (47999) | $2,675.89 | $10,535 | 2.8× |
| Unlisted Procedure Casting/Strapping (29799) range across 2 matching MRF lines |
$63.25–$98.30 | $249–$387 | varies |
| Unlisted Procedure Esophagus (43499) | $754.13 | $2,969 | 0.8× |
| Unlisted Procedure Intestine (44799) | $1,470.41 | $5,789 | 1.5× |
| Unlisted procedure liver (47399) | $518.67 | $2,042 | 0.7× |
| Unlisted procedure lungs and pleura (32999) | $369.32 | $1,454 | 0.6× |
| Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$18,333–$34,767.34 | $72,177.15–$136,879.30 | varies |
| Unlisted procedure pelvis/hip joint (27299) | $37.59 | $148 | 0.1× |
| Unlisted procedure spine (22899) | $2,750.82 | $10,830 | 10.5× |
| Unlisted procedure stomach (43999) | $867.16 | $3,414 | 0.9× |
| Unlisted Procedure Trachea Bronchi (31899) | $181.86 | $716 | 0.9× |
| Unlisted Procedure Vascular Surgery (37799) | $1,092.96 | $4,303 | 1.6× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $2,939.80 | $11,574 | 3.1× |
| Unlisted Procedure, Urinary System (53899) | $128.52 | $506 | 0.5× |
| Upgrade of pacemaker system (33214) unusually low: confirm this is the full procedure |
$4,522.47 | $17,805 | 0.4× |
| Vasc embolize/occlude artery (37242) | $10,928.86 | $43,027 | 0.6× |
| Vasc Embolize/Occlude Bleed (37244) | $10,928.86 | $43,027 | 0.9× |
| Vasc Embolize/Occlude Organ (37243) | $10,928.86 | $43,027 | 0.9× |
| Vasc embolize/occlude venous (37241) | $9,044.69 | $35,609 | 0.7× |
| Venous Mech Thrombectomy (37187) likely a partial charge, not the full procedure |
$2,525.27 | $9,942 | 0.2× |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) | $618.49 | $2,435 | 0.4× |
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.