Procedures & surgery prices at Good Samaritan Hospital
Cincinnati, OH · every code in this section with a posted price and a Medicare benchmark.
774 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) | $2,265.85 | $3,021.13 | 2.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $1,505 | $2,006.66 | 1.7× |
| Abdomen Surgery Procedure (22999) | $722.25 | $963 | 3.0× |
| Ablate Pulm Tumor Perq Crybl (32994) unusually low: confirm this is the full procedure |
$3,353.39 | $4,471.19 | 0.3× |
| Ablation 1/> liver tumor perq cryoablation (47383) unusually low: confirm this is the full procedure |
$3,354.12 | $4,472.16 | 0.3× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) likely a partial charge, not the full procedure |
$4,117.88 | $5,490.50 | 0.2× |
| Ablation ire liver 1+ tumors w/img gdn perq (47384) | $24,435.16 | $32,580.21 | 2.4× |
| Ablation ire prst8 1 or more tumors percutaneous (55877) | $23,307.73 | $31,076.97 | 2.3× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) | $4,117.88 | $5,490.50 | 0.6× |
| Abrasion single lesion (15786) | $195 | $260 | 1.0× |
| Amniocentesis diagnostic (59000) | $1,443.75 | $1,925 | 1.6× |
| Amniocentesis therapeutic (59001) | $996.68 | $1,328.90 | 3.4× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) range across 2 matching MRF lines |
$77.25–$603.31 | $103–$804.41 | varies |
| Anoscopy diagnostic (46600) | $285.75 | $381 | 2.2× |
| Anoscopy; with biopsy, single or multiple (46606) | $2,652.75 | $3,537 | 2.3× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) | $2,652.75 | $3,537 | 2.3× |
| Apheresis Platelets (36513) | $2,196.80 | $2,929.07 | 5.1× |
| Appl cranial tong/strtctc frame w/removal spx (20660) | $1,134.38 | $1,512.50 | 0.7× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $146.25 | $195 | 0.9× |
| Application cast elbow finger short arm (29075) | $203.77 | $271.70 | 0.7× |
| Application finger splint static (29130) | $66.75 | $89 | 0.5× |
| Application long arm splint shoulder hand (29105) | $118.50 | $158 | 0.7× |
| Application Long Leg Splint (29505) | $94.50 | $126 | 0.6× |
| Application of long leg cast (29345) | $203.77 | $271.70 | 0.7× |
| Application of rigid total contact leg cast (29445) | $308.55 | $411.40 | 1.1× |
| Application short arm splint forearm-hand static (29125) | $80.25 | $107 | 0.6× |
| Application short leg splint calf foot (29515) | $99.75 | $133 | 0.6× |
| Apply long arm cast (29065) | $203.77 | $271.70 | 0.7× |
| Apply Multlay Comprs Lwr Leg (29581) range across 3 matching MRF lines |
$135.04–$270.80 | $180.05–$361.06 | varies |
| Apply Short Leg Cast (29405) | $203.77 | $271.70 | 0.7× |
| Apply short leg cast (29425) | $308.55 | $411.40 | 1.1× |
| Arterial puncture (36600) | $90.75 | $121 | 0.7× |
| Arteriovenous Anastomosis Open Direct (36821) | $1,577.25 | $2,103 | 0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$195.75–$558 | $261–$744 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $1,299.54 | $1,732.72 | 1.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 3 matching MRF lines |
$345.75–$558 | $461–$744 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$1,181.40–$1,299.54 | $1,575.20–$1,732.72 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$78–$195.75 | $104–$261 | varies |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) likely a partial charge, not the full procedure |
$3,538.50 | $4,718 | 0.2× |
| Aspirate pleura w/ imaging (32555) | $1,687.50 | $2,250 | 2.8× |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$968.48–$1,391.25 | $1,291.31–$1,855 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $367.50 | $490 | 1.2× |
| Aspiration & Injection Treatment Bone Cyst (20615) | $718.90 | $958.54 | 1.0× |
| Aspiration and/or injection thyroid cyst (60300) | $571.36 | $761.82 | 0.8× |
| Aspiration bladder insert suprapubic catheter (51102) | $1,587.04 | $2,116.05 | 0.8× |
| Aspiration Bladder Needle (51100) | $438.50 | $584.67 | 1.8× |
| Aspiration bladder trocar/intracatheter (51101) | $720.20 | $960.26 | 0.9× |
| Avulsion nail plate partial/complete simple 1 (11730) | $195 | $260 | 1.0× |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) unusually low: confirm this is the full procedure |
$2,509.34 | $3,345.78 | 0.4× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) unusually low: confirm this is the full procedure |
$3,692.62 | $4,923.50 | 0.4× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) unusually low: confirm this is the full procedure |
$2,509.34 | $3,345.78 | 0.4× |
| Biopsy Abdominal Mass (49180) | $1,188.05 | $1,584.07 | 0.7× |
| Biopsy bone open superficial (20240) | $1,188.05 | $1,584.07 | 0.4× |
| Biopsy bone trocar/needle deep (20225) | $1,249.45 | $1,665.93 | 0.8× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $1,188.05 | $1,584.07 | 0.7× |
| Biopsy muscle percutaneous needle (20206) | $1,188.05 | $1,584.07 | 0.7× |
| Biopsy Muscle Superficial (20200) | $1,695.94 | $2,261.25 | 1.1× |
| Biopsy nail unit (11755) | $577.50 | $770 | 0.8× |
| Biopsy of liver, needle; percutaneous (47000) | $1,139.82 | $1,519.76 | 0.7× |
| Biopsy Pleura Percutaneous Needle (32400) | $1,188.05 | $1,584.07 | 0.7× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) | $7,729.11 | $10,305.48 | 2.3× |
| Biopsy Salivary Gland Needle (42400) | $672.28 | $896.37 | 1.0× |
| Biopsy soft tissue neck/thorax (21550) | $2,074.90 | $2,766.54 | 1.3× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) | $1,117.31 | $1,489.75 | 0.7× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) | $1,155.80 | $1,541.06 | 0.7× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) | $2,231.60 | $2,975.46 | 0.8× |
| Biopsy soft tissue thigh/knee area superficial (27323) | $1,262.91 | $1,683.88 | 0.8× |
| Biopsy Vaginal Mucosa Extensive (57105) | $2,137.50 | $2,850 | 0.7× |
| Biopsy Vaginal Mucosa Simple (57100) | $562.50 | $750 | 0.6× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) range across 2 matching MRF lines |
$548.13–$678.75 | $730.84–$905 | varies |
| Bladder instillation anticarcinogenic agent (51720) | $342.62 | $456.83 | 0.5× |
| Bladder Irrigation (51700) | $283.87 | $378.49 | 1.2× |
| Bladder Scan (51798) | $108.60 | $144.80 | 1.9× |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) | $6,817.80 | $9,090.40 | 4.5× |
| Blood Transfusion Service (36430) | $687.72 | $916.96 | 1.6× |
| Bone Marrow Biopsy (38221) range across 2 matching MRF lines |
$201–$1,079.56 | $268–$1,439.42 | varies |
| Bone Marrow; Aspiration Only (38220) range across 2 matching MRF lines |
$201–$1,188 | $268–$1,584 | varies |
| Brnchsc Brushing/Protected Brushings (31623) | $3,879.75 | $5,173 | 2.2× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) | $6,912.75 | $9,217 | 1.9× |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) | $6,912.75 | $9,217 | 1.9× |
| Bronchoscopy Clear Airways (31645) | $3,879.75 | $5,173 | 2.2× |
| Bronchoscopy W/Biopsy(S) (31625) | $3,879.75 | $5,173 | 2.2× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) | $6,912.75 | $9,217 | 1.9× |
| Bronchoscopy/Needle Bx Each (31629) | $6,912.75 | $9,217 | 1.9× |
| Bx breast 1st lesion mr imag (19085) | $1,927.53 | $2,570.04 | 1.2× |
| Bx breast 1st lesion strtctc (19081) | $1,927.53 | $2,570.04 | 1.2× |
| Bx breast 1st lesion us imag (19083) | $1,927.53 | $2,570.04 | 1.2× |
| Bx Cervix (57500) | $1,275 | $1,700 | 1.4× |
| Bx prostate in-bore CT/MRI trgt les only 1st (55714) | $11,756.66 | $15,675.54 | 2.3× |
| Bx prostate tprnl MRI-us gid trgt les 1st (55712) | $7,729.11 | $10,305.48 | 2.3× |
| Bx prostate transperineal ultrasound-guided (55709) | $7,729.11 | $10,305.48 | 2.3× |
| Bx prostate transrectal MRI-us gid trgt les 1st (55711) | $7,729.11 | $10,305.48 | 2.3× |
| Bx prst8 in-bore CT/MRI bx 1 (55713) | $11,756.66 | $15,675.54 | 2.3× |
| Bx prst8 tprn us w/MRI fus 1 (55710) | $7,729.11 | $10,305.48 | 2.3× |
| Bx prst8 trct us w/MRI fus 1 (55708) | $7,729.11 | $10,305.48 | 2.3× |
| Car-t admn autologous (38228) | $3,510.41 | $4,680.55 | 10.9× |
| Catheter aspiration nasotracheal spx (31720) | $535.50 | $714 | 2.5× |
| Cerclage cervix pregnancy vaginal (59320) | $3,300 | $4,400 | 1.0× |
| Cessj Therapy Cath Removal (37214) | $2,110.49 | $2,813.99 | 0.7× |
| Change Cystostomy Tube Complicated (51710) range across 2 matching MRF lines |
$524.42–$1,501.50 | $699.22–$2,002 | varies |
| Change Cystostomy Tube Simple (51705) | $461.74 | $615.65 | 1.9× |
| Change of Windpipe Airway (31502) | $124.50 | $166 | 0.5× |
| Change ureter stent percut (50382) | $2,840.84 | $3,787.78 | 1.4× |
| Chemical Cautery Tissue (17250) | $181.50 | $242 | 0.9× |
| Chemical Pleurodesis (32560) | $872.66 | $1,163.54 | 1.4× |
| Chemodenerv 1 extrem 5/> mus (64644) | $1,560.75 | $2,081 | 2.3× |
| Chemodenerv 1 extremity 1-4 (64642) | $1,560.75 | $2,081 | 2.3× |
| Chemodenerv Musc Migraine (64615) | $642.75 | $857 | 2.1× |
| Chemodenerv musc neck dyston (64616) | $642.75 | $857 | 2.1× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) | $642.75 | $857 | 2.1× |
| Chemodenerv trunk musc 1-5 (64646) range across 2 matching MRF lines |
$258–$522.97 | $344–$697.29 | varies |
| Chemodenerv trunk musc 6/> (64647) | $522.97 | $697.29 | 0.8× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $642.75 | $857 | 2.1× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) | $1,314.06 | $1,752.08 | 0.6× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $2,545.67 | $3,394.23 | 0.7× |
| Chorionic Villus Sampling (59015) | $1,510.81 | $2,014.41 | 1.7× |
| Cl Tx Tib Shft Fx W Manip (27752) | $700.50 | $934 | 0.4× |
| Clear outer ear canal (69200) | $213.44 | $284.59 | 1.6× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $799.50 | $1,066 | 3.3× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $667.50 | $890 | 0.4× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $697.50 | $930 | 2.9× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $335.25 | $447 | 1.4× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $660 | $880 | 2.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $540 | $720 | 2.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $710.25 | $947 | 0.5× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $387.75 | $517 | 1.6× |
| Closed tx femoral fracture prox head w/o manj (27267) | $717.75 | $957 | 0.2× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) | $829.50 | $1,106 | 3.5× |
| Closed tx knee dislocation w/o anesthesia (27550) | $777.75 | $1,037 | 3.2× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $929.25 | $1,239 | 0.6× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $5,004 | $6,672 | 3.3× |
| Closed tx patellar dislocation w/anesthesia (27562) | $708.75 | $945 | 2.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $519 | $692 | 2.2× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $390 | $520 | 1.6× |
| Closed tx radial head/neck fx w/manipulation (24655) | $597.75 | $797 | 0.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $297.75 | $397 | 1.2× |
| Closed tx radial shaft fracture w/manipulation (25505) | $706.50 | $942 | 0.5× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $336 | $448 | 1.4× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $769.50 | $1,026 | 0.5× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $335.25 | $447 | 1.4× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $470.25 | $627 | 0.3× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) | $876.75 | $1,169 | 3.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $79.50 | $106 | 0.3× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $640.50 | $854 | 0.4× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $345.75 | $461 | 1.4× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $286.50 | $382 | 1.2× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $498 | $664 | 0.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $284.25 | $379 | 1.2× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $811.50 | $1,082 | 3.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $3,600.75 | $4,801 | 2.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $469.50 | $626 | 2.0× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) | $897.75 | $1,197 | 3.7× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $620.25 | $827 | 0.4× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $520.50 | $694 | 0.3× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $557.25 | $743 | 2.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $609 | $812 | 2.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $387.75 | $517 | 1.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $421.50 | $562 | 1.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $232.50 | $310 | 1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $359.25 | $479 | 1.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $3,600.75 | $4,801 | 2.3× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $1,290.75 | $1,721 | 0.8× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $809.25 | $1,079 | 3.4× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) | $757.50 | $1,010 | 3.2× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $1,497 | $1,996 | 1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $216 | $288 | 0.9× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $156 | $208 | 0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $204.75 | $273 | 0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $156 | $208 | 0.6× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $892.50 | $1,190 | 0.6× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $689.25 | $919 | 0.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $510 | $680 | 2.1× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $751.50 | $1,002 | 0.5× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $383.25 | $511 | 1.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $172.50 | $230 | 0.7× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $435 | $580 | 1.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $408.75 | $545 | 1.7× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $729 | $972 | 0.5× |
| Cltx Medial Ankle Fx (27760) | $411 | $548 | 1.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $388.50 | $518 | 1.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $330 | $440 | 1.4× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $498 | $664 | 0.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $464.25 | $619 | 1.9× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $464.25 | $619 | 1.9× |
| Cltx post hip arthrp dislc req anes (27266) | $1,038 | $1,384 | 0.7× |
| Cltx post hip arthrp dislc w/o anes (27265) | $699 | $932 | 2.9× |
| Cltx prox fibula/shft fx w/o manj (27780) | $363.75 | $485 | 1.5× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $650.25 | $867 | 0.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $163.50 | $218 | 0.7× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $570.75 | $761 | 0.4× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $3,759.75 | $5,013 | 2.4× |
| Cltx tibial fx proximal w/o manipulation (27530) | $528.75 | $705 | 2.2× |
| Cltx tibial shaft fx w/o manipulation (27750) | $434.25 | $579 | 1.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $3,600.75 | $4,801 | 2.3× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $394.50 | $526 | 1.6× |
| Collect Blood From Catheter Venous Nos (36592) | $225 | $300 | 1.7× |
| Collection of venous blood by venipuncture (36415) | $9.23 | $12.30 | 1.0× |
| Colonoscopy Flexible With Decompression (45393) | $2,617.50 | $3,490 | 2.2× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) | $2,588.25 | $3,451 | 2.2× |
| Colonoscopy thru stoma (44388) | $1,849.50 | $2,466 | 2.0× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) | $2,588.25 | $3,451 | 2.2× |
| Colonoscopy w/submucosal inj (45381) | $2,617.50 | $3,490 | 2.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $590.96 | $787.95 | 2.0× |
| Colposcopy Cervix Endocervical Curettage (57456) | $430.52 | $574.02 | 1.4× |
| Colposcopy cervix upper/adjacent vagina (57452) | $230.86 | $307.82 | 1.2× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $402.20 | $536.27 | 1.4× |
| Colposcopy cervix vag eltrd conization cervix (57461) | $2,137.50 | $2,850 | 0.7× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | $2,137.50 | $2,850 | 0.7× |
| Colposcopy entire vagina w/cervix if present (57420) | $430.52 | $574.02 | 1.4× |
| Colposcopy of vulva (56820) | $143.12 | $190.82 | 0.7× |
| Colposcopy Vulva W/Biopsy (56821) | $243.75 | $325 | 0.8× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $543.75 | $725 | 0.6× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) | $2,617.50 | $3,490 | 2.2× |
| Complex drainage wound (10180) | $2,062.50 | $2,750 | 0.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $227.25 | $303 | 1.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $175.50 | $234 | 1.4× |
| Conversion ext bil drg cath (47535) | $2,945.74 | $3,927.66 | 0.8× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $1,233.84 | $1,645.12 | 0.7× |
| Convert Nephrostomy Catheter (50434) | $3,522.26 | $4,696.35 | 1.7× |
| Cordocentesis (59012) | $922.75 | $1,230.33 | 3.1× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $1,383.04 | $1,844.05 | 0.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $282.75 | $377 | 2.2× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $273.75 | $365 | 1.2× |
| Cystourethroscopy (52000) | $1,501.50 | $2,002 | 2.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $453 | $604 | 1.1× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $558 | $744 | 0.8× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) | $3,598.06 | $4,797.41 | 1.9× |
| Dcmprn perq prtl rmvl liga flavm bi 1ntrspc lmbr (62330) | $15,910.49 | $21,213.99 | 2.2× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $825 | $1,100 | 1.1× |
| Debride nail 1-5 (11720) | $110.35 | $147.14 | 1.9× |
| Debride nail 6 or more (11721) | $110.35 | $147.14 | 1.9× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $1,687.50 | $2,250 | 1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$503.12–$525 | $670.82–$700 | varies |
| Declot vascular device (36593) | $595.32 | $793.76 | 1.8× |
| Delivery of placenta (59414) | $2,400 | $3,200 | 0.8× |
| Destr W Neurolytic; Celiac Plexus (64680) range across 2 matching MRF lines |
$354–$1,284.29 | $472–$1,712.39 | varies |
| Destroy cerv/thor facet jnt (64633) range across 3 matching MRF lines |
$418.50–$2,850 | $558–$3,800 | varies |
| Destroy lumb/sac facet jnt (64635) range across 3 matching MRF lines |
$419.25–$4,077.22 | $559–$5,436.29 | varies |
| Destruct B9 Lesion 1-14 (17110) | $180 | $240 | 0.9× |
| Destruction by neurolytic agent, intercostal nerve (64620) | $1,303.17 | $1,737.56 | 1.5× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) | $371.25 | $495 | 1.2× |
| Destruction Lesions Vulva Extensive (56515) | $1,907.60 | $2,543.46 | 0.9× |
| Destruction Lesions Vulva Simple (56501) | $1,345.50 | $1,794 | 0.7× |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 2 matching MRF lines |
$318.75–$1,412.73 | $425–$1,883.64 | varies |
| Destruction Vaginal Lesions Extensive (57065) | $2,137.50 | $2,850 | 0.7× |
| Destruction Vaginal Lesions Simple (57061) | $2,137.50 | $2,850 | 0.7× |
| Diagnostic sigmoidoscopy (45330) | $2,051.25 | $2,735 | 2.3× |
| Diaphragm or cervical cap fitting with instructions (57170) | $243.94 | $325.25 | 1.2× |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) | $2,652.75 | $3,537 | 2.3× |
| Dilat Xst Trc New Access Rcs (50437) | $5,117.48 | $6,823.30 | 1.5× |
| Dilate Esophagus 1/Mult Pass (43450) | $2,086.50 | $2,782 | 2.4× |
| Dilation Cervical Canal (57800) | $2,137.50 | $2,850 | 0.7× |
| Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) unusually low: confirm this is the full procedure |
$2,067 | $2,756 | 0.4× |
| Drain Cerebro Spinal Fluid (62272) | $1,375.50 | $1,834 | 2.0× |
| Drain Spinal Cord Cyst (62268) | $768.75 | $1,025 | 0.9× |
| Drain/inj small joint/bursa w/us (20604) | $1,299.54 | $1,732.72 | 4.3× |
| Drainage external ear abscess/hematoma cmplx (69005) | $293.25 | $391 | 0.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $1,583.25 | $2,111 | 2.3× |
| Drainage Finger Abscess Complicated (26011) | $287.25 | $383 | 0.2× |
| Drainage Mouth Roof Lesion (42000) | $149.25 | $199 | 0.6× |
| Drainage of finger abscess simple (26010) | $211.50 | $282 | 1.1× |
| Drainage of gum lesion (41800) | $174 | $232 | 1.3× |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$1,536.95–$1,650 | $2,049.26–$2,200 | varies |
| Drainage of scrotum (54700) | $250.50 | $334 | 0.1× |
| Draw Blood Off Venous Device (36591) | $225 | $300 | 1.7× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $1,583.25 | $2,111 | 2.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $334.69 | $446.25 | 0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $195 | $260 | 1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $187.50 | $250 | 1.0× |
| Dstrj Lesion Anus Simple Chemical (46900) | $588.06 | $784.08 | 1.5× |
| Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) | $1,278.49 | $1,704.65 | 0.7× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 2 matching MRF lines |
$258.75–$837.08 | $345–$1,116.10 | varies |
| Dx Bone Marrow Bx & Aspir (38222) | $2,100 | $2,800 | 0.7× |
| Dx Bronchoscope/Lavage (31624) | $3,879.75 | $5,173 | 2.2× |
| Dx Bronchoscope/Wash (31622) | $3,879.75 | $5,173 | 2.2× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,265.30 | $1,687.06 | 1.8× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $4,268.25 | $5,691 | 2.3× |
| Egd control bleeding any (43255) | $4,268.25 | $5,691 | 2.3× |
| Egd dilation gastric/duodenal stricture (43245) | $4,268.25 | $5,691 | 2.3× |
| Egd Flexible Foreign Body Removal (43247) | $2,544 | $3,392 | 2.9× |
| Egd guide wire insertion (43248) | $2,544 | $3,392 | 2.9× |
| Egd place gastrostomy tube (43246) | $4,268.25 | $5,691 | 2.3× |
| Egd remove lesion snare (43251) | $4,268.25 | $5,691 | 2.3× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) | $603.31 | $804.41 | 2.0× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) range across 2 matching MRF lines |
$76.50–$318.71 | $102–$424.95 | varies |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) range across 2 matching MRF lines |
$53.25–$331.81 | $71–$442.41 | varies |
| Endocervical curettage (57505) range across 2 matching MRF lines |
$591.69–$600 | $788.92–$800 | varies |
| Endometrial Biopsy (58100) | $311.25 | $415 | 1.6× |
| Endoscopy Upper Small Intestine (44360) | $4,218.75 | $5,625 | 2.3× |
| Endoscopy upper small intestine w/biopsy (44361) | $4,218.75 | $5,625 | 2.3× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) | $7,788.52 | $10,384.70 | 0.7× |
| Epidural Blood Patch (62273) | $692.60 | $923.47 | 1.0× |
| Episiotomy or vaginal repair (59300) | $2,268.75 | $3,025 | 0.7× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) | $1,823.25 | $2,431 | 1.0× |
| Evacuation of subungual hematoma (11740) | $120.38 | $160.50 | 0.9× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $616.37 | $821.83 | 0.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $1,800 | $2,400 | 1.1× |
| Exc Back Les Sc < 3 Cm (21930) | $1,173.69 | $1,564.92 | 0.7× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $862.50 | $1,150 | 1.2× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $862.50 | $1,150 | 1.2× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $1,800 | $2,400 | 1.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $862.50 | $1,150 | 1.2× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $862.50 | $1,150 | 1.2× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $862.50 | $1,150 | 1.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $1,800 | $2,400 | 1.1× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $1,800 | $2,400 | 1.1× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $1,800 | $2,400 | 1.1× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $862.50 | $1,150 | 1.2× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $1,800 | $2,400 | 1.1× |
| Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) | $2,217.75 | $2,957 | 0.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $561 | $748 | 0.8× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $1,800 | $2,400 | 1.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $1,987.50 | $2,650 | 0.7× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $1,800 | $2,400 | 1.1× |
| Exc Skin Benig >4cm Face,Facial (11446) | $1,987.50 | $2,650 | 0.7× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $1,800 | $2,400 | 1.1× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) range across 2 matching MRF lines |
$2,032.80–$2,700 | $2,710.40–$3,600 | varies |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$1,597.20–$1,800 | $2,129.60–$2,400 | varies |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $212.25 | $283 | 0.2× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $334.50 | $446 | 0.8× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $561 | $748 | 0.8× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $1,245.75 | $1,661 | 0.8× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $1,998 | $2,664 | 0.7× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $2,509.34 | $3,345.78 | 0.7× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $1,874.61 | $2,499.48 | 0.9× |
| Exchange Transfusion (36455) | $687.72 | $916.96 | 1.6× |
| Exchange Transfusion Blood Newborn (36450) | $946.44 | $1,261.92 | 2.2× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $1,233.86 | $1,645.14 | 0.7× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 2 matching MRF lines |
$862.50–$907.50 | $1,150–$1,210 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $862.50 | $1,150 | 1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $862.50 | $1,150 | 1.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $862.50 | $1,150 | 2.2× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $862.50 | $1,150 | 1.2× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $862.50 | $1,150 | 1.2× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $1,800 | $2,400 | 1.1× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $1,987.50 | $2,650 | 0.7× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $1,800 | $2,400 | 1.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $862.50 | $1,150 | 1.2× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $862.50 | $1,150 | 1.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $1,800 | $2,400 | 1.1× |
| Excision of pilonidal cyst or sinus; simple (11770) | $358.50 | $478 | 0.1× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $962.25 | $1,283 | 0.3× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $797.25 | $1,063 | 0.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $1,173.69 | $1,564.92 | 0.7× |
| Explo/Drain Breast Abscess (19020) | $1,173.69 | $1,564.92 | 0.7× |
| Exploration penetrating wound spx extremity (20103) | $534 | $712 | 0.3× |
| External cephalic version (59412) | $2,400 | $3,200 | 0.8× |
| Fetal Contraction Stress Test (59020) | $487.74 | $650.32 | 2.5× |
| Fetal Fluid Drainage W/Ultrasound Guidance (59074) | $985.90 | $1,314.54 | 3.3× |
| Fetal non-stress test (59025) | $356.25 | $475 | 1.8× |
| Fetal Shunt Placement W/Ultrasound Guidance (59076) | $1,413.30 | $1,884.40 | 4.8× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $567.60 | $756.80 | 0.8× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) | $567.60 | $756.80 | 0.8× |
| Fine needle aspiration without imaging guidance (10021) | $357.92 | $477.22 | 0.9× |
| Fluoro exam of g/colon tube (49465) | $182.96 | $243.94 | 0.8× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $567.60 | $756.80 | 0.8× |
| Fna bx w/us gdn 1st les (10005) | $567.60 | $756.80 | 0.8× |
| Guide Cathet Fluid Drainage (10030) | $2,498.90 | $3,331.86 | 3.6× |
| I&d abscess peritonsillar (42700) | $579.75 | $773 | 2.5× |
| I&d abscess simple (10060) | $378.98 | $505.30 | 1.9× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $518.25 | $691 | 0.2× |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$159–$1,966.80 | $212–$2,622.40 | varies |
| I&d pilonidal cyst complicated (10081) | $1,091.90 | $1,455.87 | 1.6× |
| I&d pilonidal cyst simple (10080) | $562.50 | $750 | 0.8× |
| I&d vaginal hematoma obstetrical/postpartum (57022) | $1,987.50 | $2,650 | 0.7× |
| Icd Pocket Revision (33223) | $1,818.21 | $2,424.28 | 0.9× |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) | $1,829.25 | $2,439 | 2.1× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) | $1,943.25 | $2,591 | 2.2× |
| Image Cath Fluid Colxn Visc (49405) | $2,498.90 | $3,331.86 | 1.6× |
| Image Cath Fluid Peri/Retro (49406) | $2,978.77 | $3,971.70 | 1.9× |
| Image Cath Fluid Trns/Vgnl (49407) | $2,853.18 | $3,804.24 | 1.8× |
| Implant neuroelectrodes (63650) range across 2 matching MRF lines |
$910.50–$15,881.25 | $1,214–$21,175 | varies |
| Implant Periph/Gastric Neurostim/Receiver (64590) likely a partial charge, not the full procedure |
$353.25 | $471 | 0.0× |
| Implant Spine Infusion Pump (62362) likely a partial charge, not the full procedure |
$855.75 | $1,141 | 0.0× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) likely a partial charge, not the full procedure |
$881.25 | $1,175 | 0.1× |
| Incise external hemorrhoid (46083) | $792.07 | $1,056.09 | 3.3× |
| Incision & drainage abscess complicated/multiple (10061) | $487.50 | $650 | 1.2× |
| Incision & removal foreign body subq tiss compl (10121) | $1,687.95 | $2,250.60 | 1.0× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$334.69–$412.50 | $446.25–$550 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $300.56 | $400.75 | 1.5× |
| Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) | $1,987.50 | $2,650 | 0.7× |
| Incision and drainage of vulva or perineal abscess (56405) | $236.68 | $315.57 | 0.8× |
| Incision of lingual frenum (frenotomy) (41010) | $548.62 | $731.50 | 0.4× |
| Incision of rectal abscess (46040) | $2,652.75 | $3,537 | 2.3× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $3,645.75 | $4,861 | 2.3× |
| Incisional biopsy skin single lesion (11106) range across 3 matching MRF lines |
$334.69–$606.75 | $446.25–$809 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $452.25 | $603 | 2.3× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 3 matching MRF lines |
$229.50–$1,857.10 | $306–$2,476.14 | varies |
| Inj W/Fluor Eval Cv Device (36598) | $298.39 | $397.85 | 1.4× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 3 matching MRF lines |
$285.75–$2,362.50 | $381–$3,150 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 3 matching MRF lines |
$87–$195.75 | $116–$261 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 2 matching MRF lines |
$140.25–$744.88 | $187–$993.17 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 2 matching MRF lines |
$180–$834.17 | $240–$1,112.23 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 2 matching MRF lines |
$54–$834.17 | $72–$1,112.23 | varies |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) range across 2 matching MRF lines |
$757.94–$947.43 | $1,010.59–$1,263.24 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 2 matching MRF lines |
$162–$757.94 | $216–$1,010.59 | varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) range across 2 matching MRF lines |
$229.50–$744.88 | $306–$993.17 | varies |
| Injection Anes Superior Hypogastric Plexus (64517) range across 2 matching MRF lines |
$276–$677.16 | $368–$902.88 | varies |
| Injection anesthetic agent suprascapular nerve (64418) | $123.75 | $165 | 0.2× |
| Injection for identification of sentinel node (38792) | $265.72 | $354.29 | 0.7× |
| Injection Into Brain Canal (61055) | $475.53 | $634.04 | 1.6× |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$677.16–$744.88 | $902.88–$993.17 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$320.10–$352.11 | $426.80–$469.48 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 3 matching MRF lines |
$93.75–$195.75 | $125–$261 | varies |
| Injection therapeutic carpal tunnel (20526) | $195.75 | $261 | 0.7× |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 3 matching MRF lines |
$153.75–$834.17 | $205–$1,112.23 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$139.50–$834.17 | $186–$1,112.23 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$92.25–$834.17 | $123–$1,112.23 | varies |
| Ins cath ren art 1st bilat (36252) | $5,498 | $7,330.66 | 1.8× |
| Ins cath ren art 1st unilat (36251) | $2,989.66 | $3,986.22 | 1.0× |
| Ins cath ren art 2nd+ bilat (36254) | $6,985.58 | $9,314.10 | 2.3× |
| Ins cath ren art 2nd+ unilat (36253) | $4,477.96 | $5,970.62 | 0.8× |
| Ins endovas vena cava filtr (37191) | $6,227.62 | $8,303.50 | 1.1× |
| Ins Vag Brachytx Device (57156) | $1,404.81 | $1,873.08 | 4.7× |
| Ins/Rep Subq Defibrillator (33270) | $37,125 | $49,500 | 1.2× |
| Insert 1 Electrode Pm-Defib (33216) | $12,375 | $16,500 | 1.5× |
| Insert cath pleura w/ image (32557) | $3,012.90 | $4,017.20 | 2.0× |
| Insert cath pleura w/o image (32556) | $1,281.22 | $1,708.30 | 0.7× |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) | $1,441.84 | $1,922.45 | 1.2× |
| Insert cervical dilator (59200) | $316.54 | $422.05 | 1.1× |
| Insert Drug Implant Device (11981) | $108.90 | $145.20 | 0.8× |
| Insert Gastrostomy Tube Percutaneous (49440) | $1,233.86 | $1,645.14 | 0.7× |
| Insert Heart Pm Atrial (33206) | $12,375 | $16,500 | 1.2× |
| Insert Heart Pm Ventricular (33207) | $12,375 | $16,500 | 1.2× |
| Insert hepatic shunt (tips) (37182) unusually low: confirm this is the full procedure |
$7,197 | $9,596 | 0.4× |
| Insert non-tunnel cv cath (36556) | $2,110.49 | $2,813.99 | 0.7× |
| Insert Pacing Lead & Connect (33224) | $16,500 | $22,000 | 1.6× |
| Insert pessary/other device (57160) | $196.02 | $261.36 | 1.0× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $1,719.16 | $2,292.22 | 1.1× |
| Insert pulse gen dual leads (33213) | $12,375 | $16,500 | 1.2× |
| Insert pulse gen mult leads (33221) | $12,375 | $16,500 | 0.7× |
| Insert Pulse Gen Sngl Lead (33212) | $12,375 | $16,500 | 1.5× |
| Insert Temp Bladder Cath (51702) | $204.60 | $272.80 | 1.6× |
| Insert tun ip cath perc (49418) | $5,132.09 | $6,842.79 | 1.5× |
| Insert tunneled cv cath (36561) | $2,637.56 | $3,516.74 | 0.9× |
| Insert tunneled cv cath (36563) | $3,166.09 | $4,221.45 | 0.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $204.60 | $272.80 | 1.6× |
| Insertion indwelling tunneled pleural catheter (32550) | $3,057.19 | $4,076.25 | 0.9× |
| Insertion phrenic nerve stimulator system (33276) | $34,436.82 | $45,915.76 | 0.8× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $2,163.66 | $2,884.88 | 1.4× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $6,112.50 | $8,150 | 0.8× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) | $166.25 | $221.67 | 0.0× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $12,375 | $16,500 | 1.5× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $2,110.49 | $2,813.99 | 0.7× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $1,719.16 | $2,292.22 | 1.1× |
| Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) likely a partial charge, not the full procedure |
$948.75 | $1,265 | 0.1× |
| Insj Subq Impltbl Dfb Elctrd (33271) | $12,375 | $16,500 | 1.5× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $3,317.09 | $4,422.79 | 1.1× |
| Insj/Rplcmt Defib W/Lead(S) (33249) | $16,500 | $22,000 | 0.5× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) likely a partial charge, not the full procedure |
$801.75 | $1,069 | 0.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $6,395.40 | $8,527.20 | 0.8× |
| Insrt heart pm atrial & vent (33208) | $12,375 | $16,500 | 1.2× |
| Insrt Pulse Gen W/Dual Leads (33230) | $16,500 | $22,000 | 0.8× |
| Insrt Pulse Gen W/Mult Leads (33231) | $16,500 | $22,000 | 0.5× |
| Insrt Pulse Gen W/Singl Lead (33240) | $16,500 | $22,000 | 0.8× |
| Int hrhc by ligation single hroid w/o img gdn (46945) | $247.50 | $330 | 0.1× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) | $1,258.16 | $1,677.54 | 0.9× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $591.75 | $789 | 1.5× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $699.75 | $933 | 1.8× |
| Intro cath dialysis circuit (36901) | $1,926.54 | $2,568.72 | 1.3× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $8,820.90 | $11,761.20 | 0.8× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $5,802.20 | $7,736.26 | 1.0× |
| Intro Gastrointestinal Tube (44500) | $657.76 | $877.02 | 0.7× |
| Intubation endotracheal emergency procedure (31500) | $707.85 | $943.80 | 3.1× |
| Irrigation of corpora cavernosa for priapism (54220) | $719.25 | $959 | 3.0× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) | $345 | $460 | 0.9× |
| Lyse chest fibrin init day (32561) | $1,648.75 | $2,198.33 | 2.7× |
| Lyse Chest Fibrin Subq Day (32562) | $1,016.40 | $1,355.20 | 1.7× |
| Maternity Care Procedure (59899) | $505.85 | $674.47 | 2.6× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) | $1,101.34 | $1,468.46 | 0.7× |
| Mech remov tunneled cv cath (36595) | $2,256.40 | $3,008.54 | 0.7× |
| Myelography Lumbar Injection (62305) | $1,746.03 | $2,328.04 | 2.3× |
| Myelography Lumbar Injection (62304) | $1,298.08 | $1,730.78 | 1.7× |
| Myelography via lumbar injection rs&i cervical (62302) | $1,385.20 | $1,846.94 | 1.8× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $1,241.46 | $1,655.28 | 1.6× |
| N Block Inj Celiac Pelus (64530) range across 2 matching MRF lines |
$207–$744.88 | $276–$993.17 | varies |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines |
$120.75–$834.17 | $161–$1,112.23 | varies |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$129–$834.17 | $172–$1,112.23 | varies |
| N Block Inj Paracervical (64435) | $705.68 | $940.90 | 1.0× |
| N Block Inj Pudendal (64430) | $834.17 | $1,112.23 | 1.0× |
| N Block Lumbar/Thoracic (64520) range across 2 matching MRF lines |
$183.75–$744.88 | $245–$993.17 | varies |
| Nasal/Orogastric W/Tube Plmt (43752) | $520.54 | $694.06 | 1.2× |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) | $2,051.25 | $2,735 | 2.3× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) | $2,051.25 | $2,735 | 2.3× |
| Needle Biopsy Lymph Nodes (38505) | $1,188.05 | $1,584.07 | 0.7× |
| Needle Biopsy Pancreas (48102) | $1,188.05 | $1,584.07 | 0.7× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $31.50 | $42 | 1.1× |
| Needle insertion w/o injection 3 or more muscles (20561) | $45.75 | $61 | 1.6× |
| Njx anes stellate ganglion crv sympathetic (64510) range across 2 matching MRF lines |
$167.25–$708.58 | $223–$944.77 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $834.17 | $1,112.23 | 2.8× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $2,509.34 | $3,345.78 | 0.7× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $2,509.34 | $3,345.78 | 0.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 3 matching MRF lines |
$198–$2,485.82 | $264–$3,314.43 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) | $1,575.42 | $2,100.56 | 1.8× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$234–$1,890.50 | $312–$2,520.67 | varies |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $1,411.34 | $1,881.79 | 1.6× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$217.50–$1,587.04 | $290–$2,116.05 | varies |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $1,089 | $1,452 | 1.3× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $681.43 | $908.57 | 1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) | $1,176.12 | $1,568.16 | 1.7× |
| Obstructive material removal from gi tube (49460) | $584.84 | $779.79 | 0.7× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$117.75–$744.88 | $157–$993.17 | varies |
| Open tx interphalangeal joint dislocation (26785) | $851.25 | $1,135 | 0.3× |
| Open/Perq Place Stent 1St (37236) | $8,838 | $11,784 | 0.8× |
| Open/Perq Place Stent Same (37238) | $8,009.24 | $10,678.98 | 0.7× |
| Osteotomy Metacarpal Each (26565) | $7,614 | $10,152 | 2.4× |
| Perc Cryo Ablate Renal Tum (50593) | $5,760.81 | $7,681.08 | 0.6× |
| Perc Rf Ablate Renal Tumor (50592) | $5,711.44 | $7,615.26 | 1.0× |
| Percut Ablate Liver Rf (47382) | $3,599.50 | $4,799.34 | 0.6× |
| Percut Cath Occlusn Non Cns Lesn (61626) | $25,312.50 | $33,750 | 2.2× |
| Percut Drain/Inject Renal Cyst (50390) | $803.68 | $1,071.58 | 1.2× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) | $2,110.49 | $2,813.99 | 0.7× |
| Pericardiocentesis W/Imaging (33016) | $1,104.40 | $1,472.54 | 0.7× |
| Perm Occlusion/Embolization,Percut,Cns (61624) | $40,194.75 | $53,593 | 2.2× |
| Perq Cervicothoracic Inject (22510) | $3,517.47 | $4,689.96 | 1.1× |
| Perq dev breast 1st mr guide (19287) | $2,847.38 | $3,796.50 | 4.1× |
| Perq dev breast 1st strtctc (19283) | $3,504.40 | $4,672.54 | 5.1× |
| Perq dev breast 1st us imag (19285) range across 2 matching MRF lines |
$2,860.44–$2,923.60 | $3,813.92–$3,898.14 | varies |
| Perq device breast 1st imag (19281) range across 2 matching MRF lines |
$2,583.83–$2,647 | $3,445.11–$3,529.33 | varies |
| Perq dilation xst trc endourologic px w/img (50436) | $5,117.48 | $6,823.30 | 1.5× |
| Perq Lumbosacral Injection (22511) | $3,517.47 | $4,689.96 | 1.1× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) | $3,969.77 | $5,293.02 | 0.7× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $2,583.83 | $3,445.11 | 3.7× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $10,315.01 | $13,753.34 | 0.9× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $5,324.48 | $7,099.31 | 1.0× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) range across 2 matching MRF lines |
$1,053–$4,686.23 | $1,404–$6,248.31 | varies |
| Perq Vertebral Augmentation (22513) range across 2 matching MRF lines |
$1,130.25–$5,391.28 | $1,507–$7,188.37 | varies |
| Place Cath Subclavian Art (36225) range across 2 matching MRF lines |
$6,312.57–$9,999.20 | $8,416.76–$13,332.26 | varies |
| Place Cath Thoracic Aorta (36221) | $3,760.68 | $5,014.24 | 1.2× |
| Place Cath Vertebral Art (36226) range across 2 matching MRF lines |
$6,312.57–$9,999.20 | $8,416.76–$13,332.26 | varies |
| Place Duod/Jej Tube Perc (49441) | $1,233.84 | $1,645.12 | 0.7× |
| Place Rt Device/Marker Pros (55876) | $1,595.74 | $2,127.66 | 1.2× |
| Placement of needle for intraosseous infusion (36680) | $301.12 | $401.50 | 0.7× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) unusually low: confirm this is the full procedure |
$2,509.34 | $3,345.78 | 0.4× |
| Plmt Bile Duct Stent Prq Existing Access (47538) | $3,692.62 | $4,923.50 | 0.6× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) | $3,692.62 | $4,923.50 | 0.6× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) | $5,112.57 | $6,816.76 | 0.9× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $3,517.47 | $4,689.96 | 1.7× |
| Plmt Nephroureteral Catheter (50433) | $3,552.03 | $4,736.04 | 1.0× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) | $7,484.33 | $9,979.11 | 2.2× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) | $2,556.03 | $3,408.04 | 0.7× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) | $3,966.86 | $5,289.15 | 1.2× |
| Prim art mech thrombectomy (37184) range across 2 matching MRF lines |
$4,512.82–$60,292.69 | $6,017.09–$80,390.25 | varies |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $1,011 | $1,348 | 1.1× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $718.90 | $958.54 | 1.0× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) range across 2 matching MRF lines |
$717–$10,246.21 | $956–$13,661.61 | varies |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) | $834.17 | $1,112.23 | 1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $3,388.17 | $4,517.56 | 1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $5,933.45 | $7,911.27 | 1.7× |
| Pseudoaneurysm Injection Trt (36002) | $521.05 | $694.73 | 0.9× |
| Punch biopsy skin single lesion (11104) | $375 | $500 | 0.9× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$304.26–$360 | $405.68–$480 | varies |
| Puncture Aspiration Cyst Breast (19000) | $554.66 | $739.55 | 0.8× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) range across 3 matching MRF lines |
$124.50–$456.50 | $166–$608.66 | varies |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) | $987.36 | $1,316.48 | 1.4× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) range across 3 matching MRF lines |
$426–$1,255.62 | $568–$1,674.16 | varies |
| Reconstruction Nail Bed W/Graft (11762) | $1,843.88 | $2,458.50 | 0.9× |
| Redo Endovas Vena Cava Filtr (37192) | $2,800.90 | $3,734.54 | 0.9× |
| Relocation Pocket Pacemaker (33222) | $1,800.13 | $2,400.17 | 0.9× |
| Rem Endovas Vena Cava Filter (37193) | $3,108.01 | $4,144.01 | 1.0× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $1,790.68 | $2,387.57 | 2.0× |
| Removal Foreign Body Deep Thigh/Knee (27372) | $6,401.25 | $8,535 | 2.3× |
| Removal Foreign Body Foot Complicated (28193) | $772.50 | $1,030 | 0.5× |
| Removal foreign body foot deep (28192) | $639 | $852 | 0.4× |
| Removal Foreign Body Foot Subcutaneous (28190) | $1,583.25 | $2,111 | 2.3× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $3,645.75 | $4,861 | 2.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$38.25–$67.50 | $51–$90 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $145.50 | $194 | 2.5× |
| Removal of nail bed (11750) | $616.37 | $821.83 | 1.6× |
| Removal of tunneled intraperitoneal catheter (49422) | $2,110.49 | $2,813.99 | 0.7× |
| Removal Pacemaker Electrode (33235) | $4,174.39 | $5,565.85 | 1.1× |
| Removal phrenic nerve stimulator system (33278) | $2,654.32 | $3,539.09 | 0.8× |
| Removal ppm generator only (33233) | $7,091.70 | $9,455.60 | 0.9× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $407.29 | $543.05 | 2.1× |
| Removal subcutaneous cardiac rhythm monitor (33286) | $1,028.90 | $1,371.87 | 1.5× |
| Remove & Replace Indwell Ureteral Stent Trurthrl (50385) | $2,368.94 | $3,158.58 | 1.2× |
| Remove cerclage suture (59871) | $2,475 | $3,300 | 0.8× |
| Remove drug implant device (11982) range across 4 matching MRF lines |
$300–$1,020.03 | $400–$1,360.04 | varies |
| Remove Elctrd Transvenously (33244) | $3,113.83 | $4,151.77 | 0.9× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) | $1,314.12 | $1,752.16 | 0.6× |
| Remove Intrauterine Device (58301) | $275.88 | $367.84 | 0.9× |
| Remove intrvas foreign body (37197) | $3,108.01 | $4,144.01 | 1.0× |
| Remove lung catheter (32552) | $450 | $600 | 0.7× |
| Remove Nasal Foreign Body (30300) | $305.25 | $407 | 2.4× |
| Remove Pulse Generator (33241) | $3,113.83 | $4,151.77 | 0.9× |
| Remove renal tube w/fluoro (50389) | $969.21 | $1,292.28 | 1.4× |
| Remove ureter stent percut (50384) | $2,840.84 | $3,787.78 | 1.4× |
| Remove&replace pm gen singl (33227) | $12,375 | $16,500 | 1.5× |
| Remove/Insert Drug Implant (11983) | $311.25 | $415 | 0.7× |
| Remv&replc cvd gen dual lead (33263) | $16,500 | $22,000 | 0.8× |
| Remv&replc cvd gen mult lead (33264) | $18,000 | $24,000 | 0.6× |
| Remv&replc cvd gen sing lead (33262) | $16,500 | $22,000 | 0.8× |
| Remv&replc pm gen dual lead (33228) | $12,375 | $16,500 | 1.2× |
| Remv&replc pm gen mult leads (33229) | $12,375 | $16,500 | 0.7× |
| Renal Biopsy Perq (50200) | $1,079.56 | $1,439.42 | 0.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $578.25 | $771 | 0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $832.50 | $1,110 | 1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $899.25 | $1,199 | 2.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$624.75–$856.50 | $833–$1,142 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $426 | $568 | 1.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $653.57 | $871.43 | 1.6× |
| Repair complex trunk 2.6-7.5 cm (13101) | $551.21 | $734.94 | 0.8× |
| Repair extensor tendon finger w/o graft each (26418) | $565.50 | $754 | 0.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $334.69 | $446.25 | 0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $334.69 | $446.25 | 0.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $334.69 | $446.25 | 0.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $463.50 | $618 | 1.2× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $796.50 | $1,062 | 2.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $486.75 | $649 | 0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $334.69 | $446.25 | 0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $334.69 | $446.25 | 0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $511.06 | $681.42 | 0.7× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $621.75 | $829 | 0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $459 | $612 | 1.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $334.69 | $446.25 | 0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $334.69 | $446.25 | 0.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $549.75 | $733 | 0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $334.69 | $446.25 | 0.8× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $624 | $832 | 0.3× |
| Repair lead pace-defib dual (33220) | $5,653.55 | $7,538.07 | 1.6× |
| Repair Lead Pace-Defib One (33218) | $5,653.55 | $7,538.07 | 1.6× |
| Repair of nail bed (11760) | $563.47 | $751.30 | 0.8× |
| Repair tongue laceration (41252) | $755.25 | $1,007 | 3.3× |
| Repair tongue laceration (41250) | $898.50 | $1,198 | 2.1× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $584.84 | $779.79 | 0.7× |
| Replace G-J Tube Perc (49452) | $584.84 | $779.79 | 0.7× |
| Replace g/c tube perc (49450) | $584.84 | $779.79 | 0.7× |
| Replantation digit complete (20822) | $229.50 | $306 | 0.1× |
| Repos Previously Implanted Subq Implantable Dfb (33273) | $2,673.14 | $3,564.18 | 0.7× |
| Reposition Gastrostomy Tube (43761) | $569.18 | $758.91 | 2.3× |
| Reposition L Ventric Lead (33226) | $2,775.70 | $3,700.93 | 0.9× |
| Reposition Pacing-Defib Lead (33215) | $2,400.55 | $3,200.74 | 0.8× |
| Reposition Venous Catheter (36597) | $1,112.96 | $1,483.94 | 0.7× |
| Repositioning phrenic nrv stimulator transvns ld (33281) | $2,483.46 | $3,311.28 | 0.7× |
| Rev/rmv prph sac/gstr npg/r (64595) | $278.25 | $371 | 0.1× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) likely a partial charge, not the full procedure |
$997.50 | $1,330 | 0.2× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) | $3,992.27 | $5,323.03 | 0.7× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | $828.75 | $1,105 | 0.2× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) | $12,479.72 | $16,639.62 | 2.3× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) | $12,479.72 | $16,639.62 | 2.3× |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) | $40,195.24 | $53,593.65 | 2.3× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) | $40,195.24 | $53,593.65 | 2.3× |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) | $40,195.24 | $53,593.65 | 2.3× |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) | $40,195.24 | $53,593.65 | 2.3× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) | $25,312.59 | $33,750.12 | 2.3× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) | $25,312.59 | $33,750.12 | 2.3× |
| Revsc evasc imvt angiop uni cplx les 1st vsl (37298) | $25,312.59 | $33,750.12 | 2.3× |
| Revsc evasc imvt angiop uni sf les 1st vsl (37296) | $37,968.88 | $50,625.18 | 3.4× |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) | $12,479.72 | $16,639.62 | 2.3× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) | $12,479.72 | $16,639.62 | 2.3× |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) | $25,312.59 | $33,750.12 | 2.3× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) | $25,312.59 | $33,750.12 | 2.3× |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) | $25,312.59 | $33,750.12 | 2.3× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) | $25,312.59 | $33,750.12 | 2.3× |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) | $40,195.24 | $53,593.65 | 2.3× |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) | $40,195.24 | $53,593.65 | 2.3× |
| Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) | $40,195.24 | $53,593.65 | 2.3× |
| Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) | $40,195.24 | $53,593.65 | 2.3× |
| Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) | $40,195.24 | $53,593.65 | 2.3× |
| Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) | $40,195.24 | $53,593.65 | 2.3× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) | $2,840.84 | $3,787.78 | 1.4× |
| Rmvl fecal impaction/fb spx under anes (45915) | $588.75 | $785 | 0.5× |
| Rmvl of subq implantable defibrillator electrode (33272) | $3,113.83 | $4,151.77 | 0.9× |
| Rmvl Phrenic Nrv Stimulator Pulse Generator Only (33280) | $2,483.46 | $3,311.28 | 0.7× |
| Rmvl phrnc nrv stimulator transvns stimj/snsg ld (33279) | $2,483.46 | $3,311.28 | 0.7× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) | $1,971.09 | $2,628.12 | 1.0× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $3,113.83 | $4,151.77 | 0.9× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $1,101.34 | $1,468.46 | 0.7× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $1,101.34 | $1,468.46 | 1.8× |
| Rmvl&rplcmt phrenic nrv stimulator pls generator (33287) | $22,664.56 | $30,219.42 | 0.8× |
| Rmvl&rplcmt phrnc nrv stim trnsvns stimj/snsg ld (33288) | $9,942.53 | $13,256.71 | 0.9× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$562.50–$569.25 | $750–$759 | varies |
| Rplc gtube revj gstrst trc (43763) | $646.80 | $862.40 | 2.7× |
| Rplcmt cath ctr vad subq port/pmp (36578) | $2,110.49 | $2,813.99 | 0.7× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $1,719.16 | $2,292.22 | 1.1× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) | $1,923.90 | $2,565.20 | 0.6× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $2,390.02 | $3,186.70 | 1.6× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $2,904 | $3,872 | 0.9× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $2,110.49 | $2,813.99 | 0.7× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $1,101.34 | $1,468.46 | 0.7× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $429 | $572 | 2.2× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $568.50 | $758 | 0.8× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $600.75 | $801 | 2.6× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $577.50 | $770 | 1.1× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $1,101.34 | $1,468.46 | 1.8× |
| Sclerotx Fluid Collection (49185) | $1,062.38 | $1,416.50 | 0.7× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $2,652.75 | $3,537 | 2.3× |
| Shave skin lesion 0.5 cm/< (11300) | $69 | $92 | 0.2× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) | $1,223.25 | $1,631 | 1.0× |
| Sigmoidoscopy flx tndsc balo dilat (45340) | $1,223.25 | $1,631 | 1.0× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $2,051.25 | $2,735 | 2.3× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) | $1,223.25 | $1,631 | 1.0× |
| Simple Cystometrogram (51725) | $1,120.94 | $1,494.59 | 4.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $525.75 | $701 | 1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $240.75 | $321 | 1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $270.75 | $361 | 1.4× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $627.75 | $837 | 1.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $334.50 | $446 | 1.7× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $738 | $984 | 3.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $206.25 | $275 | 1.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $550.50 | $734 | 2.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $306.75 | $409 | 1.6× |
| Skin Pinch Graft (15050) | $563.47 | $751.30 | 0.8× |
| Skin sub graft face/nk/hf/g (15275) | $1,650 | $2,200 | 2.3× |
| Skin sub graft trnk/arm/leg (15271) | $1,650 | $2,200 | 2.3× |
| Skin sub grft t/arm/lg child (15273) range across 2 matching MRF lines |
$2,909.80–$2,962.50 | $3,879.74–$3,950 | varies |
| Skn sub grft f/n/hf/g child (15277) | $2,426.25 | $3,235 | 1.2× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) range across 2 matching MRF lines |
$5,613.44–$8,314.16 | $7,484.58–$11,085.54 | varies |
| Slctv cath carotid/innom art angio xtrcranl art (36222) range across 2 matching MRF lines |
$6,013.46–$6,590.62 | $8,017.94–$8,787.50 | varies |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) range across 2 matching MRF lines |
$5,613.44–$8,314.16 | $7,484.58–$11,085.54 | varies |
| Small bowel endoscopy (44366) | $3,956.25 | $5,275 | 2.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $255 | $340 | 1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $899.25 | $1,199 | 2.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $496.50 | $662 | 1.3× |
| Spinal puncture lumbar diagnostic (62270) | $553.22 | $737.62 | 0.8× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $2,962.50 | $3,950 | 0.9× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $2,426.25 | $3,235 | 1.2× |
| Strapping shoulder (29240) | $96 | $128 | 0.7× |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$145.93–$290.40 | $194.57–$387.20 | varies |
| Tangential biopsy skin single lesion (11102) | $178.54 | $238.06 | 0.5× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) | $15,000 | $20,000 | 0.5× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) | $15,000 | $20,000 | 0.8× |
| Tcat Rmvl Perm Ldls Pm (33275) | $2,180.64 | $2,907.52 | 0.7× |
| Thaw preserved stem cells (38208) | $6,817.80 | $9,090.40 | 15.9× |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) | $5,553.25 | $7,404.33 | 1.3× |
| Ther Apheresis,Red Blood Cells (36512) | $2,386.03 | $3,181.37 | 1.6× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $1,361.13 | $1,814.84 | 2.0× |
| Therapeutic Apheresis White Blood Cells (36511) | $2,196.80 | $2,929.07 | 1.4× |
| Therapeutic plasma exchange (36514) | $3,154.47 | $4,205.96 | 2.1× |
| Therapeutic pneumothorax (32960) | $546.67 | $728.90 | 0.9× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) | $10,125.22 | $13,500.30 | 0.8× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $13,333.72 | $17,778.29 | 0.7× |
| Thromblytic art/ven therapy (37213) | $7,540.24 | $10,053.65 | 2.5× |
| Thrombolytic Art Therapy (37211) | $7,540.24 | $10,053.65 | 1.4× |
| Thrombolytic Therapy Stroke (37195) | $777.55 | $1,036.73 | 2.4× |
| Thrombolytic Venous Therapy (37212) | $7,540.24 | $10,053.65 | 2.5× |
| Thyroid biopsy (60100) | $502.40 | $669.86 | 0.7× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $592.35 | $789.80 | 2.6× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) | $966.31 | $1,288.41 | 3.3× |
| Transcatheter biopsy (37200) | $3,641.34 | $4,855.12 | 0.7× |
| Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) | $2,003.14 | $2,670.86 | 0.6× |
| Transfusion Intrauterine Fetal (36460) | $1,012.19 | $1,349.59 | 2.4× |
| Treat humerus fracture (24500) | $440.25 | $587 | 1.8× |
| Treat Humerus Fracture (24505) | $696 | $928 | 0.4× |
| Treat Knuckle Dislocation (26700) | $498 | $664 | 2.1× |
| Treat toe dislocation (28630) | $660 | $880 | 2.7× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $3,600.75 | $4,801 | 2.3× |
| Treatment closed elbow dislocation w/o anes (24600) | $569.25 | $759 | 2.4× |
| Trim skin lesion (11055) | $206.25 | $275 | 1.1× |
| Trim skin lesions 2 to 4 (11056) | $356.25 | $475 | 1.8× |
| Trim skin lesions over 4 (11057) | $375 | $500 | 1.9× |
| Trimming Nondystrophic Nails Any Number (11719) | $63.60 | $84.80 | 1.1× |
| Trluml Balo Angiop 1St Art (37246) | $7,106.81 | $9,475.75 | 1.3× |
| Trluml Balo Angiop 1St Vein (37248) | $6,193.51 | $8,258.01 | 1.1× |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) | $6,817.80 | $9,090.40 | 15.9× |
| Trnsplj autologous hematopoietic cells per donor (38241) | $6,817.80 | $9,090.40 | 4.5× |
| Tx Gastro Intub W/Asp (43753) | $416.70 | $555.60 | 2.0× |
| Tx open tendon flexor toe 1 tendon spx (28232) | $2,062.50 | $2,750 | 1.3× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) | $2,062.50 | $2,750 | 1.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $352.50 | $470 | 0.5× |
| Tx superficial wound dehiscence w/packing (12021) | $250.50 | $334 | 0.6× |
| Unlisted procedure nervous system (64999) | $1,217.50 | $1,623.34 | 4.1× |
| Unlisted Procedure, Urinary System (53899) | $1,006.24 | $1,341.65 | 4.1× |
| Upgrade of pacemaker system (33214) | $12,375 | $16,500 | 1.2× |
| Vasc embolize/occlude artery (37242) | $9,000 | $12,000 | 0.5× |
| Vasc Embolize/Occlude Bleed (37244) | $7,896.70 | $10,528.94 | 0.7× |
| Vasc Embolize/Occlude Organ (37243) | $8,853.57 | $11,804.76 | 0.8× |
| Vasc embolize/occlude venous (37241) | $7,896.70 | $10,528.94 | 0.7× |
| Venous Mech Thrombectomy (37187) unusually low: confirm this is the full procedure |
$4,512.82 | $6,017.09 | 0.4× |
| Wedge excision skin nail fold (11765) | $616.37 | $821.83 | 1.6× |
| Wound Prep F/N/Hf/G (15004) | $675 | $900 | 1.7× |
| Wound Prep Trk/Arm/Leg (15002) | $1,650 | $2,200 | 2.3× |
| Xtrnl Cannula Decltng Spx W/Balo Cath (36861) | $3,641.34 | $4,855.12 | 0.7× |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) | $2,802.36 | $3,736.48 | 1.8× |
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.