Procedures & surgery prices at Froedtert Holy Family Memorial Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,345.85 $2,447 1.5×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,104.95 $2,009 1.2×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $4,533.65 $8,243 1.4×
Anoscopy Control Bleeding (46614) $686.40 $1,248 0.6×
Anoscopy diagnostic (46600) $735.90 $1,338 5.7×
Anoscopy W/Rmvl Foreign Body (46608) $1,472.35 $2,677 1.6×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584)
range across 2 matching MRF lines
$158.95–$203.50 $289–$370 varies
Application cast elbow finger short arm (29075) $222.75 $405 0.8×
Application finger splint static (29130) $216.15 $393 1.7×
Application long arm splint shoulder hand (29105) $341 $620 2.2×
Application Long Leg Cast Walker/Ambulatory Type (29355) $452.10 $822 1.7×
Application Long Leg Splint (29505) $303.60 $552 1.9×
Application of long leg cast (29345) $452.10 $822 1.7×
Application of rigid total contact leg cast (29445) $426.25 $775 1.6×
Application short arm splint forearm-hand static (29125) $260.15 $473 2.0×
Application short leg splint calf foot (29515) $298.65 $543 1.9×
Apply long arm cast (29065) $222.75 $405 0.8×
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines
$249.70–$303.60 $454–$552 varies
Apply Short Leg Cast (29405) $452.10 $822 1.7×
Apply short leg cast (29425) $452.10 $822 1.7×
Arterial puncture (36600) $133.65 $243 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $286.55 $521 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $501.60 $912 0.7×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $700.15 $1,273 2.3×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $960.85 $1,747 3.2×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $905.85 $1,647 3.0×
Aspirate pleura w/ imaging (32555) $756.25 $1,375 1.2×
Aspirate/Inj Ganglion Cyst (20612) $222.75 $405 0.7×
Aspiration bladder insert suprapubic catheter (51102) $1,458.05 $2,651 0.7×
Avulsion nail plate partial/complete simple 1 (11730) $416.35 $757 2.1×
Biopsy Abdominal Mass (49180) $1,212.20 $2,204 0.8×
Biopsy bone trocar/needle deep (20225) $2,647.70 $4,814 1.6×
Biopsy Bone Trocar/Needle Superficial (20220) $1,772.10 $3,222 1.1×
Biopsy muscle percutaneous needle (20206) $1,526.25 $2,775 0.9×
Biopsy of liver, needle; percutaneous (47000) $2,343.55 $4,261 1.5×
Biopsy Pleura Percutaneous Needle (32400) $1,986.05 $3,611 1.2×
Biopsy Salivary Gland Needle (42400) $1,397 $2,540 2.0×
Biopsy soft tissue back/flank deep (21925) $2,152.70 $3,914 1.3×
Bladder instillation anticarcinogenic agent (51720) $608.85 $1,107 0.9×
Bladder Irrigation (51700) $284.90 $518 1.2×
Bladder Scan (51798) $134.20 $244 2.3×
Blood Transfusion Service (36430) $330 $600 0.8×
Bx breast 1st lesion strtctc (19081) $3,026.65 $5,503 1.9×
Bx breast 1st lesion us imag (19083) $1,998.15 $3,633 1.2×
Catheter aspiration nasotracheal spx (31720) $271.70 $494 1.3×
Cessj Therapy Cath Removal (37214) $2,840.20 $5,164 0.9×
Change Cystostomy Tube Complicated (51710) $452.10 $822 0.7×
Change Cystostomy Tube Simple (51705) $464.75 $845 1.9×
Change of Windpipe Airway (31502) $222.75 $405 1.0×
Chemical Cautery Tissue (17250) $283.80 $516 1.5×
Chest tube placement (32551) $1,429.45 $2,599 0.9×
Cl Tx Tib Shft Fx W Manip (27752) $2,000.90 $3,638 1.3×
Clear outer ear canal (69200) $233.20 $424 1.8×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,014.75 $1,845 4.2×
Closed tx ankle dislocation w/o anesthesia (27840) $2,763.75 $5,025 11.5×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $3,849.45 $6,999 2.5×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $452.10 $822 1.9×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $1,014.75 $1,845 4.2×
Closed tx knee dislocation w/o anesthesia (27550) $556.05 $1,011 2.3×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $2,176.90 $3,958 1.4×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,014.75 $1,845 0.7×
Closed tx patellar dislocation w/o anesthesia (27560) $452.10 $822 1.9×
Closed Tx Patellar Fracture W/O Manipulation (27520) $380.60 $692 1.6×
Closed tx radial head/neck fx w/manipulation (24655) $2,953.50 $5,370 1.9×
Closed tx radial head/neck fx w/o manipulation (24650) $1,014.75 $1,845 4.2×
Closed tx radial shaft fracture w/manipulation (25505) $1,014.75 $1,845 0.6×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $1,014.75 $1,845 4.2×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $977.90 $1,778 0.6×
Closed tx radial&ulnar shaft fractures w/o man (25560) $279.95 $509 1.2×
Closed Tx Talus Fracture W/Manipulation (28435) $2,648.80 $4,816 1.7×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $454.85 $827 1.9×
Closed tx ulnar shaft fracture w/o manipulation (25530) $452.10 $822 1.9×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $222.75 $405 1.0×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $556.05 $1,011 1.1×
Clsd tx clavicular fracture w/o manipulation (23500) $222.75 $405 0.9×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $1,423.40 $2,588 5.9×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $922.35 $1,677 0.6×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $452.10 $822 1.9×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $452.10 $822 1.9×
Cltx dstl fibular fx lat malls w/manj (27788) $279.95 $509 1.2×
Cltx dstl fibular fx lat malls w/o manj (27786) $319.55 $581 1.3×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $452.10 $822 1.9×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $222.75 $405 0.9×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $2,314.95 $4,209 9.6×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $2,499.75 $4,545 1.6×
Cltx fx grt toe phlx/phlg w/manj (28495) $222.75 $405 0.9×
Cltx fx grt toe phlx/phlg w/o manj (28490) $222.75 $405 0.9×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $1,027.40 $1,868 4.3×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $222.75 $405 0.9×
Cltx greater humeral tuberosity fx w/o manj (23620) $319.55 $581 1.3×
Cltx hip dislocation traumatic w/o anesthesia (27250) $1,014.75 $1,845 4.2×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $663.85 $1,207 2.8×
Cltx iphal jt dislc w/manj w/o anes (26770) $1,259.50 $2,290 5.2×
Cltx metacarpal fx w/manipulation each bone (26605) $2,175.80 $3,956 9.0×
Cltx metacarpal fx w/o manipulation each bone (26600) $452.10 $822 1.9×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $2,249.50 $4,090 9.4×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $222.75 $405 0.9×
Cltx post hip arthrp dislc req anes (27266) $2,035.55 $3,701 1.3×
Cltx post hip arthrp dislc w/o anes (27265) $1,313.40 $2,388 5.5×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $2,000.90 $3,638 1.3×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $592.35 $1,077 2.5×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,106.60 $2,012 0.7×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $383.90 $698 1.6×
Cltx tibial shaft fx w/o manipulation (27750) $1,014.75 $1,845 4.2×
Cltx trimalleolar ankle fx w/manipulation (27818) $3,211.45 $5,839 2.0×
Cltx trimalleolar ankle fx w/o manipulation (27816) $452.10 $822 1.9×
Collect Blood From Catheter Venous Nos (36592) $154.55 $281 1.2×
Collection of venous blood by venipuncture (36415) $12.10 $22 1.3×
Complex drainage wound (10180) $2,757.70 $5,014 1.0×
Control Nasal Hemorrhage Anterior Complex (30903) $383.90 $698 3.0×
Control Nasal Hemorrhage Anterior Simple (30901) $238.70 $434 1.8×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,488.75 $4,525 1.5×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $779.90 $1,418 6.0×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $1,005.95 $1,829 4.4×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $483.45 $879 1.2×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $3,127.30 $5,686 1.1×
Deb Musc/Fascia 20 Sq Cm/< (11043) $996.05 $1,811 1.4×
Debride nail 1-5 (11720) $90.75 $165 1.6×
Debride nail 6 or more (11721) $78.65 $143 1.4×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $2,571.80 $4,676 1.6×
Debridement subcutaneous tissue 20 sq cm/< (11042) $351.45 $639 0.9×
Declot vascular device (36593) $451 $820 1.4×
Destroy cerv/thor facet jnt (64633) $2,453 $4,460 1.3×
Destroy lumb/sac facet jnt (64635) $2,686.20 $4,884 1.4×
Destruction neurolytic agt genicular nerve w/img (64624) $2,142.80 $3,896 1.1×
Drain/inj small joint/bursa w/us (20604) $932.80 $1,696 3.1×
Drainage Abscess/Hematoma Nasal Septum (30020) $637.45 $1,159 1.2×
Drainage external auditory canal abscess (69020) $444.95 $809 0.6×
Drainage External Ear Abscess/Hematoma Simple (69000) $889.90 $1,618 1.3×
Drainage Finger Abscess Complicated (26011) $1,248.50 $2,270 0.8×
Drainage of finger abscess simple (26010) $682.55 $1,241 3.5×
Drainage of gum lesion (41800) $1,144 $2,080 8.8×
Drainage of hematoma/fluid (10140) $1,804 $3,280 1.1×
Drainage of scrotal wall abscess (55100) $1,200.65 $2,183 0.7×
Draw Blood Off Venous Device (36591) $94.60 $172 0.7×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $996.05 $1,811 1.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $1,049.95 $1,909 2.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $365.20 $664 1.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $354.75 $645 1.8×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $861.85 $1,567 1.0×
Dx Bone Marrow Bx & Aspir (38222) $2,850.65 $5,183 1.0×
Dx Laryngoscopy Excl Nb (31525) $1,219.35 $2,217 0.7×
Dx lmbr spi pnxr w/fluor/CT (62328) $894.85 $1,627 1.3×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $404.25 $735 1.4×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $4,769.60 $8,672 1.5×
Epidural Blood Patch (62273) $722.15 $1,313 1.0×
Evacuation of subungual hematoma (11740) $246.95 $449 1.9×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $564.85 $1,027 0.8×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $2,053.15 $3,733 1.3×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $857.45 $1,559 1.2×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $685.30 $1,246 1.7×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $857.45 $1,559 1.2×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,976.15 $3,593 1.2×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $1,723.70 $3,134 0.8×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $3,004.10 $5,462 1.6×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $857.45 $1,559 1.2×
Explo/Drain Breast Abscess (19020) $929.50 $1,690 0.6×
Fasciotomy, foot and/or toe (28008) $4,152.50 $7,550 1.3×
Fine needle aspiration without imaging guidance (10021) $364.65 $663 0.9×
Fluid Pressure Muscle (20950) $452.10 $822 0.7×
Fluoro exam of g/colon tube (49465) $276.65 $503 1.2×
Fna bx w/us gdn 1st les (10005) $1,003.75 $1,825 1.5×
Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) $22 $40 0.6×
Hem heprn nduc trmbctpna srm (0275U) $365.75 $665 19.9×
I&d abscess peritonsillar (42700) $222.75 $405 1.0×
I&d abscess simple (10060) $572 $1,040 2.9×
I&d deep absc bursa/hematoma thigh/knee region (27301) $3,463.35 $6,297 1.2×
I&d perianal abscess superficial (46050) $890.45 $1,619 1.0×
I&d pilonidal cyst simple (10080) $694.10 $1,262 1.0×
I&d thyroglossal duct cyst infected (60000) $1,931.60 $3,512 1.3×
Image Cath Fluid Peri/Retro (49406) $3,103.10 $5,642 1.9×
Incise external hemorrhoid (46083) $798.05 $1,451 3.3×
Incision & drainage abscess complicated/multiple (10061) $894.30 $1,626 2.3×
Incision & removal foreign body subq tiss compl (10121) $1,594.45 $2,899 1.0×
Incision & removal foreign body subq tiss simple (10120) $962.50 $1,750 2.4×
Incision and drainage of bartholin's gland abscess (56420) $674.30 $1,226 3.4×
Incision and drainage of vulva or perineal abscess (56405) $534.60 $972 1.8×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $2,263.80 $4,116 1.4×
Incisional biopsy skin single lesion (11106) $809.60 $1,472 1.1×
Initial Tx 1st Degree Burn Local Tx (16000) $346.50 $630 1.8×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $1,124.75 $2,045 1.3×
Inj W/Fluor Eval Cv Device (36598) $401.50 $730 1.9×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $1,448.15 $2,633 1.7×
Injection aa&/strd axillary nerve w/img gdn (64417) $1,338.15 $2,433 1.6×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $1,448.15 $2,633 1.7×
Injection aa&/strd genicular nrv branches w/img (64454) $1,047.20 $1,904 1.5×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,165.45 $2,119 1.7×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $1,448.15 $2,633 1.7×
Injection anesthetic agent suprascapular nerve (64418) $1,234.75 $2,245 1.8×
Injection single/mlt trigger point 1/2 muscles (20552) $485.65 $883 1.6×
Injection single/mlt trigger point 3/> muscles (20553) $583.55 $1,061 2.0×
Injection, anesthetic agent; brachial plexus, single (64415) $1,311.75 $2,385 1.5×
Injection, anesthetic agent; femoral nerve, single (64447) $712.80 $1,296 1.0×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $619.30 $1,126 0.9×
Injection, intralesional; up to and including 7 lesions (11900) $253.55 $461 1.3×
Injx Anterior Chamber Eye Medication Spx (66030) $2,951.30 $5,366 1.3×
Ins cath ren art 1st bilat (36252) $4,030.40 $7,328 1.3×
Ins cath ren art 1st unilat (36251) $4,958.25 $9,015 1.6×
Ins endovas vena cava filtr (37191) $6,341.50 $11,530 1.2×
Insert 1 Electrode Pm-Defib (33216) $6,645.10 $12,082 0.8×
Insert Bladder Cath Complex (51703) $211.75 $385 1.7×
Insert cath pleura w/ image (32557) $3,180.65 $5,783 2.1×
Insert Heart Pm Ventricular (33207) $6,798 $12,360 0.7×
Insert non-tunnel cv cath (36556) $2,331.45 $4,239 0.8×
Insert Temp Bladder Cath (51702) $210.65 $383 1.6×
Insert tunneled cv cath (36561) $3,083.85 $5,607 1.0×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $3,801.05 $6,911 0.7×
Insert,Non-Indwelling Bladder Catheter (51701) $185.35 $337 1.4×
Insertion indwelling tunneled pleural catheter (32550) $5,384.50 $9,790 1.5×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,231.45 $2,239 0.8×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $14,549.15 $26,453 1.8×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $5,402.10 $9,822 0.7×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $4,075.50 $7,410 1.3×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,431.10 $2,602 0.9×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $3,451.80 $6,276 1.1×
Insj/Rplcmt Defib W/Lead(S) (33249) $54,723.35 $99,497 1.8×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $5,402.10 $9,822 0.7×
Insrt heart pm atrial & vent (33208) $6,798 $12,360 0.7×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,540 $2,800 3.9×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,632.40 $2,968 4.1×
Intraoral i&d tongue/floor sublngl supfc (41005) $289.85 $527 1.3×
Intro cath dialysis circuit (36901) $2,862.75 $5,205 1.9×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $18,927.15 $34,413 1.7×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $10,624.90 $19,318 1.9×
Intro Gastrointestinal Tube (44500) $1,310.10 $2,382 1.5×
Intubation endotracheal emergency procedure (31500) $932.25 $1,695 4.0×
Laryngoscopy flexible diagnostic (31575) $306.35 $557 1.6×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $452.10 $822 2.3×
Laryngoscopy W/Foreign Body Removal (31530) $2,269.85 $4,127 1.3×
Late closure of wound (13160) $2,223.10 $4,042 0.6×
Myelography Lumbar Injection (62305) $1,321.10 $2,402 1.7×
Myelography Lumbar Injection (62304) $582.45 $1,059 0.8×
Myelography via lumbar injection rs&i cervical (62302) $1,191.30 $2,166 1.6×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $1,084.05 $1,971 1.4×
N block inj intercost sng (64420) $1,025.20 $1,864 1.5×
N Block Lumbar/Thoracic (64520) $1,553.75 $2,825 1.8×
Nasal/Orogastric W/Tube Plmt (43752) $382.80 $696 0.9×
Needle Biopsy Lymph Nodes (38505) $1,894.20 $3,444 1.2×
Needle insertion w/o injection 1 or 2 muscles (20560)
range across 4 matching MRF lines
$16.50–$27.50 $30–$50 varies
Needle insertion w/o injection 3 or more muscles (20561) $27.50 $50 1.0×
Nfct ds bct fngl/vir infctj semiq biomchn assmt (0441U) $105.60 $192 0.2×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $511.50 $930 1.2×
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $1,851.03 $3,365.50 0.9×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $586.85 $1,067 2.0×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $3,581.60 $6,512 1.0×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,124.75 $2,045 1.3×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,527.90 $2,778 2.2×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $875.60 $1,592 1.3×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $762.30 $1,386 0.9×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,071.95 $1,949 1.6×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $762.30 $1,386 0.9×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $801.35 $1,457 1.2×
Open/Perq Place Stent 1St (37236) $12,806.20 $23,284 1.1×
Open/Perq Place Stent Same (37238) $12,806.20 $23,284 1.1×
Partial removal of tibia (27640) $5,210.70 $9,474 1.6×
Pericardiocentesis W/Imaging (33016) $2,556.95 $4,649 1.7×
Perq dev breast 1st us imag (19285) $1,227.05 $2,231 1.8×
Perq device breast 1st imag (19281) $1,902.45 $3,459 1.2×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $843.15 $1,533 1.2×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $20,230.65 $36,783 1.8×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $8,137.25 $14,795 1.5×
Place Cath Subclavian Art (36225) $2,948.55 $5,361 1.0×
Place Cath Vertebral Art (36226) $4,408.80 $8,016 0.8×
Placement of needle for intraosseous infusion (36680) $433.40 $788 1.0×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $2,524.50 $4,590 1.2×
Prim art mech thrombectomy (37184) $10,449.45 $18,999 0.6×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $1,062.05 $1,931 1.2×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $3,555.75 $6,465 1.3×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $983.13 $1,787.50 1.4×
Punch biopsy skin single lesion (11104) $381.70 $694 1.0×
Puncture aspiration abscess hematoma bulla/cyst (10160) $377.85 $687 1.0×
Puncture Aspiration Cyst Breast (19000) $517 $940 0.7×
Redo Endovas Vena Cava Filtr (37192) $4,355.45 $7,919 1.4×
Reduction of rectal prolapse (45900) $1,158.85 $2,107 1.3×
Relocation Pocket Pacemaker (33222) $3,761.45 $6,839 1.9×
Rem Endovas Vena Cava Filter (37193) $5,354.25 $9,735 1.7×
Removal Embedded Foreign Body Eyelid (67938) $452.10 $822 1.5×
Removal Foreign Body Deep Thigh/Knee (27372) $3,603.60 $6,552 1.3×
Removal Foreign Body Foot Subcutaneous (28190) $673.75 $1,225 1.0×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $1,983.85 $3,607 1.2×
Removal impacted cerumen irrigation/lvg unilat (69209) $92.95 $169 1.6×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $302.50 $550 5.3×
Removal of foreign body from pharynx (42809) $452.10 $822 1.0×
Removal or bivalving full arm or full leg cast (29705) $303.60 $552 1.1×
Removal Pacemaker Electrode (33235) $2,804.45 $5,099 0.8×
Removal ppm generator only (33233) $6,645.10 $12,082 0.8×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $244.20 $444 1.2×
Removal subcutaneous cardiac rhythm monitor (33286) $927.85 $1,687 1.3×
Removal/bivalving gauntlet boot/body cast (29700) $340.45 $619 1.2×
Remove drug implant device (11982) $579.43 $1,053.50 1.3×
Remove foreign body from eye (65205) $222.75 $405 1.7×
Remove Intrauterine Device (58301) $616 $1,120 2.1×
Remove intrvas foreign body (37197) $3,606.35 $6,557 1.2×
Remove Nasal Foreign Body (30300) $522.50 $950 4.0×
Remove renal tube w/fluoro (50389) $1,073.60 $1,952 1.6×
Remove Shoulder Foreign Body (23330) $954.25 $1,735 0.6×
Remove tissue expander (11971) $3,598.65 $6,543 1.3×
Remove&replace pm gen singl (33227) $13,169.20 $23,944 1.6×
Remv&replc pm gen dual lead (33228) $16,809.65 $30,563 1.6×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $449.90 $818 0.6×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,014.75 $1,845 1.4×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $398.75 $725 1.0×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $556.05 $1,011 1.4×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $535.70 $974 1.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $2,002.55 $3,641 5.1×
Repair complex trunk 1.1-2.5 cm (13100) $771.10 $1,402 1.1×
Repair complex trunk 2.6-7.5 cm (13101) $556.05 $1,011 0.8×
Repair Elbow Perc (24357) $3,945.15 $7,173 1.2×
Repair extensor tendon finger w/o graft each (26418) $1,248.50 $2,270 0.8×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $1,247.40 $2,268 3.1×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $1,284.80 $2,336 3.2×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,388.20 $2,524 3.5×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,485 $2,700 3.7×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $2,269.85 $4,127 5.7×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $994.95 $1,809 1.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $316.25 $575 0.8×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $965.80 $1,756 2.4×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $985.05 $1,791 1.4×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $1,134.10 $2,062 0.6×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,026.85 $1,867 2.6×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $940.50 $1,710 2.4×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $968.55 $1,761 2.4×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,101.10 $2,002 1.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $997.15 $1,813 2.5×
Repair intermediate s/a/t/e >30.0 cm (12037) $1,148.40 $2,088 0.6×
Repair Laceration Palate </2 Cm (42180) $452.10 $822 0.9×
Repair Laceration Palate >2 Cm/Complex (42182) $7,416.75 $13,485 1.3×
Repair of nail bed (11760) $568.15 $1,033 0.8×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $9,060.15 $16,473 1.3×
Repair tongue laceration (41252) $452.10 $822 2.0×
Repair tongue laceration (41250) $773.30 $1,406 1.8×
Replace G-J Tube Perc (49452) $1,348.05 $2,451 1.5×
Reposition Gastrostomy Tube (43761) $803.55 $1,461 3.3×
Reposition Pacing-Defib Lead (33215) $2,565.75 $4,665 0.8×
Reposition Venous Catheter (36597) $15,191 $27,620 9.9×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $256.30 $466 0.6×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $399.30 $726 3.1×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $296.45 $539 0.7×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $3,603.60 $6,552 1.3×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $1,007.05 $1,831 0.6×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $3,509 $6,380 1.0×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,703.90 $3,098 1.1×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,111.55 $2,021 1.8×
Rplc Gtube No Revj Trc (43762) $443.30 $806 1.8×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,163.80 $2,116 0.8×
Rplcmt compl tun ctr vad w/subq port (36582) $4,283.95 $7,789 1.4×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $3,264.25 $5,935 1.1×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $674.85 $1,227 3.5×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,101.10 $2,002 1.5×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $452.10 $822 2.0×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $452.10 $822 0.9×
Rpr Lip Full Thickness Vermilion Only (40650) $452.10 $822 0.9×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $2,069.65 $3,763 1.4×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $4,533.65 $8,243 1.4×
Shave skin lesion 0.5 cm/< (11300) $486.20 $884 1.2×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $695.20 $1,264 1.8×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $414.70 $754 2.1×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $427.35 $777 2.2×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $794.75 $1,445 2.0×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $505.45 $919 2.6×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $1,014.75 $1,845 5.2×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $397.10 $722 2.0×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $1,014.75 $1,845 5.2×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $437.25 $795 2.2×
Skin sub graft face/nk/hf/g (15275) $2,892.45 $5,259 4.0×
Skin sub graft trnk/arm/leg (15271) $1,947 $3,540 2.7×
Skin sub grft t/arm/lg child (15273) $4,626.60 $8,412 2.3×
Skn sub grft f/n/hf/g child (15277) $2,352.35 $4,277 1.2×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $4,203.65 $7,643 0.8×
Slctv cath carotid/innom art angio xtrcranl art (36222) $2,696.10 $4,902 0.9×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $5,423 $9,860 1.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $402.05 $731 2.1×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $682.55 $1,241 1.7×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $702.90 $1,278 1.8×
Spinal puncture lumbar diagnostic (62270) $587.40 $1,068 0.9×
Strapping Hip (29520) $90.75 $165 0.7×
Strapping Unna Boot (29580)
range across 2 matching MRF lines
$249.70–$326.15 $454–$593 varies
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $3,259.85 $5,927 1.4×
Tangential biopsy skin single lesion (11102) $258.50 $470 0.7×
Thrmbc/Nfs Dialysis Circuit (36906) $24,929.85 $45,327 1.4×
Thromblytic art/ven therapy (37213) $2,840.20 $5,164 0.9×
Thrombolytic Art Therapy (37211) $3,705.35 $6,737 0.7×
Thrombolytic Therapy Stroke (37195) $431.75 $785 1.3×
Thrombolytic Venous Therapy (37212) $1,895.30 $3,446 0.6×
Thyroid biopsy (60100) $614.90 $1,118 0.9×
Tooth extraction (41899) $331.10 $602 1.4×
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,014.75 $1,845 4.4×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,049.95 $1,909 0.7×
Treat humerus fracture (24500) $1,014.75 $1,845 4.2×
Treat humerus fracture (23600) $288.75 $525 1.2×
Treat Knuckle Dislocation (26700) $452.10 $822 1.9×
Treat Metatarsal Fracture (28475) $319.55 $581 1.3×
Treat Thumb Dislocation (26641) $452.10 $822 1.9×
Treat Thumb Fracture (26645) $922.35 $1,677 0.6×
Treat Vaginal Bleeding (57180) $222.75 $405 1.1×
Treatment closed elbow dislocation w/o anes (24600) $1,642.30 $2,986 6.8×
Trim skin lesion (11055) $308 $560 1.6×
Trim skin lesions 2 to 4 (11056) $317.35 $577 1.6×
Trim skin lesions over 4 (11057) $317.35 $577 1.6×
Trimming Nondystrophic Nails Any Number (11719) $78.65 $143 1.4×
Trluml Balo Angiop 1St Art (37246) $10,008.90 $18,198 1.8×
Trluml Balo Angiop 1St Vein (37248) $8,137.25 $14,795 1.5×
Tx Gastro Intub W/Asp (43753) $488.40 $888 2.3×
Tx Superficial Wound Dehiscence Simple Closure (12020) $616.55 $1,121 0.9×
Unlisted procedure nervous system (64999)
range across 8 matching MRF lines
$412.50–$1,448.15 $750–$2,633 varies
Unlisted Procedure Vascular Surgery (37799) $440 $800 0.7×
Upgrade of pacemaker system (33214) $6,885.45 $12,519 0.7×
Vasc embolize/occlude artery (37242) $13,465.10 $24,482 0.8×
Vasc embolize/occlude venous (37241) $13,465.10 $24,482 1.2×
Vein Access Cutdown < 1 Yr (36420) $222.75 $405 1.7×
Venous Cutdown >1 Y/O (36425) $526.90 $958 1.2×
Wedge excision skin nail fold (11765) $714.45 $1,299 1.8×
Windowing of cast (29730) $203.50 $370 1.3×

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.