Procedures & surgery prices at Fulton County Health Center
Wauseon, OH · every code in this section with a posted price and a Medicare benchmark.
438 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 3 matching MRF lines |
$1,156.13–$1,187.47 | $1,651.61–$1,696.38 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $744.86 | $1,064.09 | 0.9× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $2,376.37 | $3,394.82 | 0.8× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $2,376.37 | $3,394.82 | 0.8× |
| Amputation toe interphalangeal joint (28825) | $2,680.31 | $3,829.01 | 0.9× |
| Amputation toe metatarsophalangeal joint (28820) | $2,907.30 | $4,153.29 | 0.9× |
| Anal/Urinary Muscle Study (51784) | $196.80 | $281.14 | 1.6× |
| Anoscopy diagnostic (46600) | $100.39 | $143.41 | 0.8× |
| Application Finger Splint Dynamic (29131) | $111.34 | $159.05 | 2.0× |
| Application finger splint static (29130) | $104.58 | $149.40 | 0.8× |
| Application long arm splint shoulder hand (29105) | $229.01 | $327.16 | 1.5× |
| Application Long Leg Splint (29505) | $229.01 | $327.16 | 1.5× |
| Application of rigid total contact leg cast (29445) | $423.40 | $604.86 | 1.6× |
| Application Short Arm Splint Dynamic (29126) | $211.72 | $302.46 | 1.7× |
| Application short arm splint forearm-hand static (29125) | $213.74 | $305.35 | 1.7× |
| Application short leg splint calf foot (29515) range across 4 matching MRF lines |
$145.04–$190.85 | $207.20–$272.64 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$229.01–$307.37 | $327.16–$439.10 | varies |
| Apply short leg cast (29425) range across 3 matching MRF lines |
$209.93–$267.18 | $299.90–$381.69 | varies |
| Arterial puncture (36600) | $190.85 | $272.64 | 1.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$327.87–$475.58 | $468.38–$679.40 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $605.35 | $864.79 | 0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$419.86–$514.89 | $599.80–$735.56 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $381.69 | $545.27 | 1.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$287.41–$435.88 | $410.59–$622.69 | varies |
| Aspirate pleura w/ imaging (32555) | $838.94 | $1,198.49 | 1.4× |
| Aspiration bladder insert suprapubic catheter (51102) | $1,711.48 | $2,444.97 | 0.9× |
| Aspiration Bladder Needle (51100) | $253.25 | $361.79 | 1.1× |
| Avulsion nail plate partial/complete simple 1 (11730) | $246.99 | $352.84 | 1.3× |
| Biopsy Abdominal Mass (49180) | $1,159.56 | $1,656.52 | 0.7× |
| Biopsy bone trocar/needle deep (20225) | $2,213.78 | $3,162.54 | 1.4× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $1,274.06 | $1,820.09 | 0.8× |
| Biopsy muscle percutaneous needle (20206) | $1,342.78 | $1,918.25 | 0.9× |
| Biopsy of liver, needle; percutaneous (47000) range across 2 matching MRF lines |
$1,120–$1,342.78 | $1,600–$1,918.25 | varies |
| Biopsy Salivary Gland Needle (42400) | $889.33 | $1,270.47 | 1.3× |
| Biopsy soft tissue neck/thorax (21550) | $2,377.52 | $3,396.46 | 1.5× |
| Bladder instillation anticarcinogenic agent (51720) | $455 | $650 | 0.7× |
| Bladder Irrigation (51700) | $270.99 | $387.13 | 1.1× |
| Bladder Scan (51798) | $110.69 | $158.13 | 2.0× |
| Blood Transfusion Service (36430) | $641.38 | $916.26 | 1.5× |
| Bone Marrow Biopsy (38221) | $1,310.71 | $1,872.44 | 0.8× |
| Bone Marrow; Aspiration Only (38220) | $1,310.71 | $1,872.44 | 0.8× |
| Bx breast 1st lesion strtctc (19081) | $1,388.95 | $1,984.22 | 0.9× |
| Bx breast 1st lesion us imag (19083) | $1,700.41 | $2,429.16 | 1.1× |
| Bx Cervix (57500) | $825.24 | $1,178.91 | 0.9× |
| Bx/exc lymph node open superficial (38500) | $3,013.03 | $4,304.33 | 0.8× |
| Cerclage cervix pregnancy vaginal (59320) | $2,302.86 | $3,289.80 | 0.8× |
| Cessj Therapy Cath Removal (37214) | $4,297.86 | $6,139.80 | 1.4× |
| Change Cystostomy Tube Simple (51705) | $343.52 | $490.74 | 1.5× |
| Chemical Cautery Tissue (17250) | $229.01 | $327.16 | 1.2× |
| Chemodenerv trunk musc 1-5 (64646) | $591.57 | $845.10 | 0.9× |
| Chemodenerv trunk musc 6/> (64647) | $591.57 | $845.10 | 0.9× |
| Chest tube placement (32551) | $1,342 | $1,917.15 | 0.9× |
| Circumcision w/clamp/oth dev w/block (54150) | $2,046.42 | $2,923.45 | 1.0× |
| Cl Tx Scapular Fx; W Manip (23575) | $1,206.13 | $1,723.04 | 0.8× |
| Cl Tx Tib Shft Fx W Manip (27752) range across 2 matching MRF lines |
$1,567.36–$5,977.96 | $2,239.08–$8,539.95 | varies |
| Clear outer ear canal (69200) | $150.15 | $214.50 | 1.2× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $503.82 | $719.75 | 2.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $259.92 | $371.32 | 1.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,328.27 | $1,897.53 | 0.9× |
| Closed tx knee dislocation w/o anesthesia (27550) | $312.87 | $446.96 | 1.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $289.32 | $413.31 | 1.2× |
| Closed tx radial head/neck fx w/manipulation (24655) | $1,328.27 | $1,897.53 | 0.9× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $1,328.27 | $1,897.53 | 0.9× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $1,074.46 | $1,534.95 | 0.7× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $312.98 | $447.12 | 1.3× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $1,091.62 | $1,559.46 | 0.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $1,328.27 | $1,897.53 | 0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $354.82 | $506.88 | 1.5× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $1,328.27 | $1,897.53 | 0.9× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $385.01 | $550.01 | 1.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $328.25 | $468.93 | 1.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $196.95 | $281.36 | 0.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $1,328.27 | $1,897.53 | 0.9× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $1,694.38 | $2,420.54 | 1.1× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $313.63 | $448.04 | 1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $339.51 | $485.01 | 1.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $416.04 | $594.34 | 1.8× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $352.84 | $504.05 | 1.5× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $459.55 | $656.50 | 1.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $332.84 | $475.48 | 1.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $400.77 | $572.53 | 1.7× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) | $1,328.27 | $1,897.53 | 0.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $400.77 | $572.53 | 1.7× |
| Cltx post hip arthrp dislc req anes (27266) | $1,266.28 | $1,808.97 | 0.8× |
| Cltx post hip arthrp dislc w/o anes (27265) | $402.30 | $574.71 | 1.7× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $1,328.27 | $1,897.53 | 0.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $354.82 | $506.88 | 1.5× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $1,328.27 | $1,897.53 | 0.9× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $1,068.72 | $1,526.74 | 0.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $1,328.27 | $1,897.53 | 0.9× |
| Collect Blood From Catheter Venous Nos (36592) | $106.88 | $152.68 | 0.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $250.92 | $358.46 | 2.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $236.65 | $338.07 | 1.9× |
| Control oropharyngeal hemorrhage simple (42960) | $380.16 | $543.09 | 0.7× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $1,353.84 | $1,934.06 | 0.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $252.48 | $360.69 | 2.0× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $196.04 | $280.05 | 0.9× |
| Cystometrogram W/Vp (51728) | $568.44 | $812.06 | 0.9× |
| Cystometrogram W/Vp&Up (51729) | $568.44 | $812.06 | 0.9× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $784.06 | $1,120.08 | 1.1× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $1,526.74 | $2,181.06 | 1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $615.50 | $879.29 | 1.6× |
| Declot vascular device (36593) | $553.18 | $790.25 | 1.8× |
| Delivery of placenta (59414) | $2,503.10 | $3,575.85 | 0.8× |
| Destroy cerv/thor facet jnt (64633) range across 3 matching MRF lines |
$1,646.55–$3,293.07 | $2,352.22–$4,704.39 | varies |
| Destroy lumb/sac facet jnt (64635) range across 3 matching MRF lines |
$1,646.55–$3,293.07 | $2,352.22–$4,704.39 | varies |
| Destruct B9 Lesion 1-14 (17110) | $169.77 | $242.53 | 0.9× |
| Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) | $235.24 | $336.05 | 1.0× |
| Dilate Urethra Stricture (53620) | $1,775.91 | $2,537.01 | 2.7× |
| Dilate Urethra Stricture (53600) | $492.03 | $702.90 | 2.1× |
| Drain Cerebro Spinal Fluid (62272) | $557.26 | $796.09 | 0.8× |
| Drain/inj small joint/bursa w/us (20604) | $327.87 | $468.38 | 1.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $650.78 | $929.68 | 1.0× |
| Drainage Finger Abscess Complicated (26011) | $1,342.78 | $1,918.25 | 0.9× |
| Drainage of finger abscess simple (26010) | $294.05 | $420.07 | 1.5× |
| Drainage of gum lesion (41800) | $287.79 | $411.13 | 2.3× |
| Drainage of hematoma/fluid (10140) | $2,202.44 | $3,146.34 | 1.4× |
| Drainage of scrotum (54700) | $2,352.18 | $3,360.25 | 1.2× |
| Draw Blood Off Venous Device (36591) | $97.25 | $138.93 | 0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $328.52 | $469.31 | 0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $297.18 | $424.55 | 1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $276 | $394.28 | 1.5× |
| Dx Bone Marrow Bx & Aspir (38222) | $2,261.87 | $3,231.24 | 0.8× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $529.02 | $755.74 | 0.8× |
| Egd Endoscopic Stent Place (43266) | $4,798.56 | $6,855.08 | 0.8× |
| Electro-Uroflowmetry First (51741) | $199.96 | $285.66 | 1.0× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) | $2,792.83 | $3,989.76 | 1.4× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) | $2,961.80 | $4,231.15 | 1.5× |
| Epidural Blood Patch (62273) | $704.10 | $1,005.85 | 1.1× |
| Escharotomy; initial incision (16035) | $369.32 | $527.60 | 1.0× |
| Evacuation of subungual hematoma (11740) | $114.51 | $163.58 | 0.9× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $762.92 | $1,089.88 | 1.1× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $945.97 | $1,351.39 | 1.4× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $1,259.57 | $1,799.38 | 0.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $1,191.02 | $1,701.45 | 1.8× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $1,522.50 | $2,175 | 1.3× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $407.72 | $582.45 | 1.1× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) range across 3 matching MRF lines |
$1,710.72–$2,148.93 | $2,443.88–$3,069.90 | varies |
| Explo/Drain Breast Abscess (19020) | $1,235.14 | $1,764.48 | 0.8× |
| External cephalic version (59412) | $2,100 | $3,000 | 0.7× |
| Fetal non-stress test (59025) | $155.65 | $222.36 | 0.8× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $1,074.83 | $1,535.47 | 1.6× |
| Fine needle aspiration without imaging guidance (10021) | $274.81 | $392.59 | 0.7× |
| Fluid Pressure Muscle (20950) | $497.91 | $711.30 | 0.7× |
| Fluoro exam of g/colon tube (49465) | $438.29 | $626.13 | 1.9× |
| Fna bx w/us gdn 1st les (10005) | $803.83 | $1,148.33 | 1.2× |
| Foreskin manipulation (54450) | $381.46 | $544.94 | 1.6× |
| Grafting of autologous soft tiss by direct exc (15769) | $4,155.53 | $5,936.47 | 1.2× |
| Guide Cathet Fluid Drainage (10030) range across 3 matching MRF lines |
$761.84–$972.75 | $1,088.35–$1,389.64 | varies |
| Head Surgery Procedure (21499) | $1,342.78 | $1,918.25 | 6.0× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $654.71 | $935.30 | 0.7× |
| I&d abscess peritonsillar (42700) | $410.84 | $586.92 | 1.8× |
| I&d abscess simple (10060) | $353.25 | $504.64 | 1.9× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) | $2,700.81 | $3,858.30 | 0.9× |
| I&d perianal abscess superficial (46050) | $685.28 | $978.97 | 0.8× |
| I&d pilonidal cyst simple (10080) | $522.91 | $747.01 | 0.8× |
| Icd Pocket Revision (33223) | $2,707.65 | $3,868.07 | 1.4× |
| Image Cath Fluid Colxn Visc (49405) | $2,261.87 | $3,231.24 | 1.4× |
| Image Cath Fluid Peri/Retro (49406) | $1,984 | $2,834.29 | 1.3× |
| Implant Neuroelectrodes (64561) | $4,725 | $6,750 | 0.8× |
| Implant Periph/Gastric Neurostim/Receiver (64590) | $15,750 | $22,500 | 0.9× |
| Incise external hemorrhoid (46083) | $410.84 | $586.92 | 1.7× |
| Incision & drainage abscess complicated/multiple (10061) | $485.73 | $693.90 | 1.3× |
| Incision & removal foreign body subq tiss simple (10120) | $368.90 | $527 | 1.0× |
| Incision and drainage of bartholin's gland abscess (56420) | $171.76 | $245.37 | 0.9× |
| Incision and drainage of vulva or perineal abscess (56405) | $364.89 | $521.27 | 1.3× |
| Incision of labial frenum (frenotomy) (40806) | $573.17 | $818.82 | 1.1× |
| Incision of lingual frenum (frenotomy) (41010) | $1,254.53 | $1,792.18 | 0.9× |
| Incision of rectal abscess (46040) | $981.66 | $1,402.37 | 0.9× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $1,371.02 | $1,958.60 | 0.9× |
| Incisional biopsy skin single lesion (11106) | $473.17 | $675.96 | 0.7× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $207.79 | $296.84 | 1.1× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 3 matching MRF lines |
$668.41–$1,132.19 | $954.87–$1,617.42 | varies |
| Inj W/Fluor Eval Cv Device (36598) | $262.68 | $375.25 | 1.3× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) range across 4 matching MRF lines |
$1,018.49–$1,431.91 | $1,454.99–$2,045.58 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 3 matching MRF lines |
$900.13–$1,568.12 | $1,285.90–$2,240.17 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$227.50–$252.48 | $325–$360.69 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 5 matching MRF lines |
$810.70–$1,374.07 | $1,158.14–$1,962.96 | varies |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) range across 4 matching MRF lines |
$1,077.12–$1,431.91 | $1,538.74–$2,045.58 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 2 matching MRF lines |
$832.84–$887.19 | $1,189.77–$1,267.42 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 4 matching MRF lines |
$737.03–$1,271.45 | $1,052.90–$1,816.36 | varies |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) range across 5 matching MRF lines |
$1,062.42–$1,357.40 | $1,517.75–$1,939.15 | varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $457.90 | $654.15 | 1.6× |
| Injection anesthetic agent suprascapular nerve (64418) | $698.40 | $997.72 | 1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $305.35 | $436.21 | 1.1× |
| Injection single/mlt trigger point 3/> muscles (20553) | $338.74 | $483.92 | 1.2× |
| Injection therapeutic carpal tunnel (20526) | $281.50 | $402.14 | 1.0× |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 4 matching MRF lines |
$973.30–$1,289.36 | $1,390.43–$1,841.94 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 5 matching MRF lines |
$737.03–$1,145.06 | $1,052.90–$1,635.80 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$653.45–$655.74 | $933.50–$936.77 | varies |
| Ins cath ren art 1st bilat (36252) | $6,731.95 | $9,617.07 | 2.3× |
| Ins cath ren art 1st unilat (36251) | $4,341.33 | $6,201.90 | 1.5× |
| Ins cath ren art 2nd+ bilat (36254) | $6,731.95 | $9,617.07 | 2.3× |
| Ins cath ren art 2nd+ unilat (36253) | $4,578.13 | $6,540.19 | 0.9× |
| Ins endovas vena cava filtr (37191) | $6,575.15 | $9,393.07 | 1.2× |
| Ins/Rep Subq Defibrillator (33270) | $23,280.08 | $33,257.25 | 0.8× |
| Insert 1 Electrode Pm-Defib (33216) | $6,446.79 | $9,209.70 | 0.8× |
| Insert Bladder Cath Complex (51703) | $171.76 | $245.37 | 1.4× |
| Insert cath pleura w/ image (32557) | $1,396.97 | $1,995.67 | 0.9× |
| Insert cath pleura w/o image (32556) | $1,384.26 | $1,977.52 | 0.8× |
| Insert cervical dilator (59200) | $312.87 | $446.96 | 1.1× |
| Insert Gastrostomy Tube Percutaneous (49440) | $1,360.99 | $1,944.27 | 0.7× |
| Insert Heart Pm Atrial (33206) | $8,953.88 | $12,791.25 | 0.9× |
| Insert Heart Pm Ventricular (33207) | $8,232.62 | $11,760.88 | 0.8× |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$2,289.35–$2,664.93 | $3,270.50–$3,807.04 | varies |
| Insert Pacing Lead & Connect (33224) | $7,951.04 | $11,358.63 | 0.8× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $1,332.93 | $1,904.18 | 0.9× |
| Insert pulse gen dual leads (33213) | $8,953.88 | $12,791.25 | 0.9× |
| Insert pulse gen mult leads (33221) | $14,326.20 | $20,466 | 0.8× |
| Insert Pulse Gen Sngl Lead (33212) | $6,625.87 | $9,465.53 | 0.8× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$105.46–$152.68 | $150.66–$218.11 | varies |
| Insert tun ip cath perc (49418) | $3,653.18 | $5,218.83 | 1.1× |
| Insert tunneled cv cath (36561) | $3,413.03 | $4,875.76 | 1.1× |
| Insert tunneled cv cath (36563) | $3,740.52 | $5,343.60 | 0.7× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) | $3,740.52 | $5,343.60 | 0.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $133.60 | $190.85 | 1.1× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $1,316.06 | $1,880.08 | 0.9× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $11,366.25 | $16,237.50 | 1.5× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $6,804.94 | $9,721.35 | 0.9× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $2,289.35 | $3,270.50 | 0.8× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $2,711.50 | $3,873.57 | 0.9× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) | $2,511.49 | $3,587.84 | 0.8× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $1,316.06 | $1,880.08 | 0.9× |
| Insj Subq Impltbl Dfb Elctrd (33271) | $10,386.50 | $14,837.85 | 1.3× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) | $2,391.42 | $3,416.31 | 0.8× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) | $3,740.52 | $5,343.60 | 0.7× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) | $3,413.03 | $4,875.76 | 1.1× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $2,705.01 | $3,864.30 | 0.9× |
| Insj/Rplcmt Defib W/Lead(S) (33249) | $23,100 | $33,000 | 0.8× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $6,446.68 | $9,209.54 | 0.8× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) | $6,446.79 | $9,209.70 | 0.8× |
| Insrt heart pm atrial & vent (33208) | $10,317.46 | $14,739.23 | 1.0× |
| Insrt Pulse Gen W/Dual Leads (33230) | $16,654.21 | $23,791.73 | 0.8× |
| Insrt Pulse Gen W/Mult Leads (33231) | $23,638.23 | $33,768.90 | 0.8× |
| Insrt Pulse Gen W/Singl Lead (33240) | $16,833.28 | $24,047.55 | 0.8× |
| Intro cath dialysis circuit (36901) | $4,157.90 | $5,939.85 | 2.8× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $10,709.50 | $15,299.28 | 1.0× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $9,401.69 | $13,430.98 | 1.7× |
| Intro Gastrointestinal Tube (44500) | $679.40 | $970.57 | 0.8× |
| Intubation endotracheal emergency procedure (31500) | $515.12 | $735.89 | 2.3× |
| Irrigation of corpora cavernosa for priapism (54220) | $450.39 | $643.41 | 1.9× |
| Laryngoscopy diagnostic (31505) | $1,321.55 | $1,887.93 | 7.0× |
| Laryngoscopy flexible diagnostic (31575) range across 4 matching MRF lines |
$210–$236.65 | $300–$338.07 | varies |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) | $680.50 | $972.14 | 1.8× |
| Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) | $454.78 | $649.68 | 1.2× |
| Ligation of a-v fistula (37607) | $4,274.69 | $6,106.70 | 1.4× |
| Lithotripsy, extracorporeal shock wave (50590) range across 2 matching MRF lines |
$8,040.94–$9,781.92 | $11,487.05–$13,974.17 | varies |
| Marsupialization of bartholin's gland cyst (56440) | $3,486.32 | $4,980.45 | 1.1× |
| Maternity Care Procedure (59899) | $156.84 | $224.05 | 0.8× |
| Myelography Lumbar Injection (62305) | $1,249.26 | $1,784.66 | 1.7× |
| Myelography Lumbar Injection (62304) | $999.64 | $1,428.05 | 1.3× |
| Myelography via lumbar injection rs&i cervical (62302) | $1,030.55 | $1,472.22 | 1.4× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $999.64 | $1,428.05 | 1.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 3 matching MRF lines |
$695.47–$744.29 | $993.53–$1,063.27 | varies |
| N block inj intercost sng (64420) range across 3 matching MRF lines |
$603.34–$746.57 | $861.91–$1,066.53 | varies |
| N Block Inj Plantar Digit (64455) | $214.18 | $305.97 | 0.7× |
| Nasal/Orogastric W/Tube Plmt (43752) | $319.09 | $455.84 | 0.8× |
| Needle Biopsy Lymph Nodes (38505) range across 3 matching MRF lines |
$1,120–$1,179.41 | $1,600–$1,684.87 | varies |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $27.87 | $39.81 | 1.0× |
| Needle insertion w/o injection 3 or more muscles (20561) | $34.36 | $49.08 | 1.3× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) | $2,604.66 | $3,720.94 | 1.4× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $540.84 | $772.63 | 1.3× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $412.22 | $588.89 | 1.4× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $2,671.80 | $3,816.86 | 0.8× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 3 matching MRF lines |
$668.41–$1,132.19 | $954.87–$1,617.42 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) | $862.50 | $1,232.14 | 1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $619.82 | $885.46 | 0.9× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $862.50 | $1,232.14 | 1.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $619.82 | $885.46 | 0.9× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $1,030.55 | $1,472.22 | 1.6× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) | $368.90 | $527 | 1.0× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) | $409.28 | $584.69 | 1.1× |
| Occipital Nerve Block (64405) | $461.84 | $659.77 | 1.6× |
| Open Implantation Nea Sacral Nerve (64581) | $4,899.30 | $6,999 | 0.8× |
| Open/Perq Place Stent 1St (37236) | $10,788.65 | $15,412.36 | 1.0× |
| Open/Perq Place Stent Same (37238) | $10,788.65 | $15,412.36 | 1.0× |
| Perc Rf Ablate Renal Tumor (50592) | $4,442.82 | $6,346.89 | 0.8× |
| Percut Drain/Inject Renal Cyst (50390) | $593.14 | $847.34 | 0.9× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) | $5,014.17 | $7,163.10 | 1.7× |
| Pericardiocentesis W/Imaging (33016) | $1,332.93 | $1,904.18 | 0.9× |
| Perq dev breast 1st us imag (19285) | $659.55 | $942.21 | 1.0× |
| Perq device breast 1st imag (19281) | $1,155 | $1,650 | 0.7× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $659.55 | $942.21 | 1.0× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $10,801.71 | $15,431.02 | 1.0× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $8,595.72 | $12,279.60 | 1.6× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $5,880.44 | $8,400.63 | 0.9× |
| Perq Vertebral Augmentation (22513) | $5,880.44 | $8,400.63 | 0.9× |
| Place Cath Subclavian Art (36225) | $6,312.09 | $9,017.27 | 2.1× |
| Place Cath Thoracic Aorta (36221) | $12,139.97 | $17,342.82 | 4.1× |
| Place Cath Vertebral Art (36226) | $6,312.09 | $9,017.27 | 1.2× |
| Placement of needle for intraosseous infusion (36680) | $274.44 | $392.05 | 0.6× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 3 matching MRF lines |
$2,290.11–$2,352.18 | $3,271.59–$3,360.25 | varies |
| Prim art mech thrombectomy (37184) | $11,900 | $17,000 | 0.7× |
| Punch biopsy skin single lesion (11104) | $394.39 | $563.42 | 1.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$381.69–$392.03 | $545.27–$560.04 | varies |
| Puncture Aspiration Cyst Breast (19000) | $522.91 | $747.01 | 0.8× |
| Redo Endovas Vena Cava Filtr (37192) | $3,581.55 | $5,116.50 | 1.2× |
| Relocation Pocket Pacemaker (33222) | $2,507.08 | $3,581.55 | 1.3× |
| Rem Endovas Vena Cava Filter (37193) | $5,729.14 | $8,184.49 | 1.9× |
| Removal Embedded Foreign Body Eyelid (67938) | $235.24 | $336.05 | 0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $127.83 | $182.61 | 2.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $129.40 | $184.85 | 2.3× |
| Removal of foreign body from pharynx (42809) | $313.63 | $448.04 | 0.7× |
| Removal of nail bed (11750) | $305.35 | $436.21 | 0.8× |
| Removal Pacemaker Electrode (33235) | $3,939.70 | $5,628.15 | 1.1× |
| Removal ppm generator only (33233) | $6,088.64 | $8,698.05 | 0.8× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $151.15 | $215.93 | 0.8× |
| Removal subcutaneous cardiac rhythm monitor (33286) | $1,710.83 | $2,444.04 | 2.6× |
| Remove Elctrd Transvenously (33244) | $3,724.81 | $5,321.16 | 1.1× |
| Remove foreign body from eye (65235) | $1,641.26 | $2,344.65 | 0.8× |
| Remove foreign body from eye (65205) | $196.04 | $280.05 | 1.6× |
| Remove Intrauterine Device (58301) | $288.17 | $411.67 | 1.0× |
| Remove intrvas foreign body (37197) | $4,297.86 | $6,139.80 | 1.4× |
| Remove Nasal Foreign Body (30300) | $208.59 | $297.98 | 1.7× |
| Remove Pulse Generator (33241) | $3,581.55 | $5,116.50 | 1.0× |
| Remove&replace pm gen singl (33227) | $7,879.41 | $11,256.30 | 1.0× |
| Remv&replc cvd gen dual lead (33263) | $16,100 | $23,000 | 0.8× |
| Remv&replc cvd gen mult lead (33264) | $23,280.08 | $33,257.25 | 0.8× |
| Remv&replc cvd gen sing lead (33262) | $16,833.28 | $24,047.55 | 0.8× |
| Remv&replc pm gen dual lead (33228) | $8,595.72 | $12,279.60 | 0.9× |
| Remv&replc pm gen mult leads (33229) | $14,326.20 | $20,466 | 0.8× |
| Renal Biopsy Perq (50200) range across 2 matching MRF lines |
$1,458.42–$1,497.96 | $2,083.46–$2,139.95 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $497.91 | $711.30 | 1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $491.23 | $701.76 | 1.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $677.46 | $967.80 | 1.8× |
| Repair extensor tendon finger w/o graft each (26418) | $1,328.27 | $1,897.53 | 0.9× |
| Repair Hand Tendon (26410) | $1,225 | $1,750 | 0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $341.98 | $488.55 | 0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $366.95 | $524.22 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $429.07 | $612.96 | 1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $341.98 | $488.55 | 0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $357.26 | $510.37 | 0.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $486.12 | $694.45 | 0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $305.35 | $436.21 | 0.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $352.84 | $504.05 | 0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $366.95 | $524.22 | 1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $534.36 | $763.37 | 0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $372.53 | $532.18 | 1.0× |
| Repair lead pace-defib dual (33220) | $3,581.55 | $5,116.50 | 1.0× |
| Repair Lead Pace-Defib One (33218) | $3,939.70 | $5,628.15 | 1.1× |
| Repair of nail bed (11760) | $460.31 | $657.59 | 0.7× |
| Repair tongue laceration (41252) | $423.40 | $604.86 | 1.9× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) | $5,977.96 | $8,539.95 | 0.9× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $716.65 | $1,023.79 | 0.8× |
| Replace g/c tube perc (49450) range across 3 matching MRF lines |
$758.41–$778.98 | $1,083.44–$1,112.83 | varies |
| Repos Previously Implanted Subq Implantable Dfb (33273) | $3,581.55 | $5,116.50 | 1.0× |
| Reposition Gastrostomy Tube (43761) range across 2 matching MRF lines |
$691.61–$710.36 | $988.02–$1,014.80 | varies |
| Reposition L Ventric Lead (33226) | $2,865.24 | $4,093.20 | 1.0× |
| Reposition Pacing-Defib Lead (33215) | $3,223.40 | $4,604.85 | 1.1× |
| Reposition Venous Catheter (36597) | $1,523.46 | $2,176.37 | 1.0× |
| Rev/rmv prph sac/gstr npg/r (64595) | $2,809.21 | $4,013.16 | 0.8× |
| Revj/rmvl peripheral neurostimulator electrode (64585) | $2,450 | $3,500 | 0.7× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) | $1,187.04 | $1,695.77 | 0.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $354.82 | $506.88 | 0.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $313.63 | $448.04 | 2.5× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $2,567.79 | $3,668.27 | 0.9× |
| Rmvl of subq implantable defibrillator electrode (33272) | $3,151.76 | $4,502.52 | 0.9× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $3,939.70 | $5,628.15 | 1.1× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $1,679.42 | $2,399.17 | 1.1× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $869.94 | $1,242.77 | 1.5× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$208.59–$427.49 | $297.98–$610.70 | varies |
| Rplc gtube revj gstrst trc (43763) | $431.27 | $616.10 | 1.8× |
| Rplcmt cath ctr vad subq port/pmp (36578) | $2,638.22 | $3,768.88 | 0.9× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $2,195.38 | $3,136.26 | 1.5× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) | $2,511.49 | $3,587.84 | 0.8× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $1,254.53 | $1,792.18 | 0.8× |
| Rplcmt compl tun ctr vad w/subq pmp (36583) | $3,740.52 | $5,343.60 | 0.7× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $3,628.30 | $5,183.29 | 1.2× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $2,148.93 | $3,069.90 | 0.7× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $1,646.55 | $2,352.22 | 1.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $294.05 | $420.07 | 1.5× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $157.59 | $225.13 | 0.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $343.52 | $490.74 | 0.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $291.61 | $416.59 | 1.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $304.58 | $435.12 | 1.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $312.98 | $447.12 | 1.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $278.63 | $398.04 | 1.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $257.87 | $368.39 | 1.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $307.64 | $439.49 | 1.6× |
| Skin sub graft face/nk/hf/g (15275) | $1,508.92 | $2,155.60 | 2.2× |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$916.05–$1,374.07 | $1,308.64–$1,962.96 | varies |
| Skin sub grft t/arm/lg child (15273) | $2,957.30 | $4,224.71 | 1.5× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) range across 2 matching MRF lines |
$8,224.41–$12,344.63 | $11,749.16–$17,635.19 | varies |
| Slctv cath carotid/innom art angio xtrcranl art (36222) range across 2 matching MRF lines |
$5,738.53–$8,607.82 | $8,197.90–$12,296.88 | varies |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) | $8,224.41 | $11,749.16 | 1.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $295.43 | $422.04 | 1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $358.02 | $511.46 | 0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $368.52 | $526.46 | 1.0× |
| Spinal puncture lumbar diagnostic (62270) | $605.35 | $864.79 | 0.9× |
| Strapping ankle (29540) | $121.38 | $173.40 | 0.8× |
| Strapping elbow or wrist (29260) | $120.76 | $172.52 | 2.2× |
| Strapping hand/finger (29280) | $120.76 | $172.52 | 2.2× |
| Strapping knee (29530) range across 3 matching MRF lines |
$95.54–$120.76 | $136.48–$172.52 | varies |
| Strapping shoulder (29240) | $190.85 | $272.64 | 1.5× |
| Strapping thorax (29200) | $131.30 | $187.57 | 0.9× |
| Strapping Unna Boot (29580) range across 9 matching MRF lines |
$152.68–$248.09 | $218.11–$354.42 | varies |
| Tangential biopsy skin single lesion (11102) | $276 | $394.28 | 0.7× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) | $14,326.20 | $20,466 | 0.8× |
| Tcat Rmvl Perm Ldls Pm (33275) | $3,581.55 | $5,116.50 | 1.2× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $17,907.75 | $25,582.50 | 1.0× |
| Thromblytic art/ven therapy (37213) | $2,865.24 | $4,093.20 | 1.0× |
| Thrombolytic Art Therapy (37211) | $5,014.17 | $7,163.10 | 1.0× |
| Thrombolytic Therapy Stroke (37195) | $368.90 | $527 | 1.2× |
| Thrombolytic Venous Therapy (37212) | $2,865.24 | $4,093.20 | 1.0× |
| Thyroid biopsy (60100) | $593.14 | $847.34 | 0.9× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $518.29 | $740.42 | 2.3× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) | $274.44 | $392.05 | 1.0× |
| Treat Humerus Fracture (24505) | $1,328.27 | $1,897.53 | 0.9× |
| Treat Knuckle Dislocation (26700) | $400.77 | $572.53 | 1.7× |
| Treat Thumb Dislocation (26641) | $400.77 | $572.53 | 1.7× |
| Treat Thumb Fracture (26645) | $1,146.10 | $1,637.28 | 0.8× |
| Treat toe dislocation (28630) | $189.82 | $271.17 | 0.8× |
| Treat Vaginal Bleeding (57180) | $171.76 | $245.37 | 0.9× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $1,106.89 | $1,581.27 | 0.7× |
| Treatment closed elbow dislocation w/o anes (24600) | $393.14 | $561.63 | 1.7× |
| Trim skin lesion (11055) | $196.04 | $280.05 | 1.0× |
| Trim skin lesions 2 to 4 (11056) | $150.38 | $214.83 | 0.8× |
| Trim skin lesions over 4 (11057) | $154.85 | $221.22 | 0.8× |
| Trluml Balo Angiop 1St Art (37246) | $6,540.64 | $9,343.77 | 1.2× |
| Trluml Balo Angiop 1St Vein (37248) | $5,108.94 | $7,298.48 | 0.9× |
| Tx Gastro Intub W/Asp (43753) | $214.47 | $306.39 | 1.0× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $2,734.01 | $3,905.73 | 0.9× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $1,050 | $1,500 | 0.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $460.31 | $657.59 | 0.7× |
| Tx superficial wound dehiscence w/packing (12021) | $280.79 | $401.13 | 0.7× |
| Unlisted procedure anus (46999) | $654.71 | $935.30 | 0.7× |
| Unlisted Procedure Casting/Strapping (29799) | $110.69 | $158.13 | 0.7× |
| Unlisted procedure humerus/elbow (24999) | $757.42 | $1,082.03 | 3.2× |
| Unlisted Procedure Rectum (45999) | $757.26 | $1,081.80 | 0.9× |
| Unlisted Procedure, Urinary System (53899) | $402.22 | $574.60 | 1.7× |
| Upgrade of pacemaker system (33214) | $11,460.96 | $16,372.80 | 1.2× |
| Vaginal Delivery After Cesarean Delivery (59612) | $2,503.10 | $3,575.85 | 0.8× |
| Vaginal delivery only (59409) | $2,137.44 | $3,053.49 | 0.7× |
| Vasc embolize/occlude artery (37242) unusually low: confirm this is the full procedure |
$8,391.02 | $11,987.17 | 0.5× |
| Vasc Embolize/Occlude Bleed (37244) | $8,589.38 | $12,270.54 | 0.8× |
| Vasc Embolize/Occlude Organ (37243) | $12,177.27 | $17,396.10 | 1.1× |
| Vasc embolize/occlude venous (37241) | $8,391.02 | $11,987.17 | 0.8× |
| Venous Mech Thrombectomy (37187) | $10,744.65 | $15,349.50 | 1.0× |
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.