Procedures & surgery prices at Good Samaritan Hospital
Vincennes, IN · every code in this section with a posted price and a Medicare benchmark.
664 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) | $1,400.40 | $2,334 | 1.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $896.40 | $1,494 | 0.9× |
| Ablate Pulm Tumor Perq Crybl (32994) | $9,057 | $15,095 | 0.8× |
| Ablation 1/> liver tumor perq cryoablation (47383) | $8,384.40 | $13,974 | 0.7× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) | $13,462.80 | $22,438 | 0.7× |
| Ablation ire liver 1+ tumors w/img gdn perq (47384) | $8,145 | $13,575 | 0.7× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) | $6,288 | $10,480 | 0.8× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $3,283.20 | $5,472 | 0.9× |
| Amputation toe metatarsophalangeal joint (28820) | $3,283.20 | $5,472 | 0.9× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$82.80–$190.80 | $138–$318 | varies |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) range across 10 matching MRF lines |
$181.80–$272.40 | $303–$454 | varies |
| Application cast elbow finger short arm (29075) | $174 | $290 | 0.6× |
| Application finger splint static (29130) | $127.20 | $212 | 0.9× |
| Application long arm splint shoulder hand (29105) | $174 | $290 | 1.0× |
| Application Long Leg Splint (29505) | $184.80 | $308 | 1.1× |
| Application of long leg cast (29345) | $163.80 | $273 | 0.6× |
| Application of rigid total contact leg cast (29445) | $419.40 | $699 | 1.4× |
| Application short arm splint forearm-hand static (29125) | $100.80 | $168 | 0.7× |
| Application short leg splint calf foot (29515) | $100.80 | $168 | 0.6× |
| Apply long arm cast (29065) | $174 | $290 | 0.6× |
| Apply Multlay Comprs Lwr Leg (29581) range across 12 matching MRF lines |
$198–$364.20 | $330–$607 | varies |
| Apply Short Leg Cast (29405) | $174 | $290 | 0.6× |
| Arterial puncture (36600) | $102 | $170 | 0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$190.80–$701.40 | $318–$1,169 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $784.20 | $1,307 | 1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 6 matching MRF lines |
$190.80–$684.30 | $318–$1,140.50 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 4 matching MRF lines |
$190.80–$701.40 | $318–$1,169 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$190.80–$456.60 | $318–$761 | varies |
| Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
$390.30–$1,013.40 | $650.50–$1,689 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 3 matching MRF lines |
$344.40–$655.20 | $574–$1,092 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $158.40 | $264 | 0.5× |
| Aspiration bladder insert suprapubic catheter (51102) | $2,899.20 | $4,832 | 1.3× |
| Aspiration Bladder Needle (51100) | $628.20 | $1,047 | 2.4× |
| Aspiration bladder trocar/intracatheter (51101) | $1,498.20 | $2,497 | 1.6× |
| Avulsion nail plate partial/complete simple 1 (11730) | $158.40 | $264 | 0.7× |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) | $5,781.60 | $9,636 | 0.8× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) | $9,057 | $15,095 | 0.8× |
| Biopsy Abdominal Mass (49180) | $2,497.80 | $4,163 | 1.4× |
| Biopsy bone open deep (20245) | $3,177.60 | $5,296 | 1.0× |
| Biopsy bone trocar/needle deep (20225) | $1,864.20 | $3,107 | 1.1× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $1,326.60 | $2,211 | 0.8× |
| Biopsy muscle percutaneous needle (20206) | $2,497.80 | $4,163 | 1.4× |
| Biopsy of breast; open, incisional (19101) | $2,435.40 | $4,059 | 0.6× |
| Biopsy of liver, needle; percutaneous (47000) | $1,600.20 | $2,667 | 0.9× |
| Biopsy Pleura Percutaneous Needle (32400) | $1,561.20 | $2,602 | 0.9× |
| Biopsy Salivary Gland Needle (42400) | $638.40 | $1,064 | 0.9× |
| Biopsy soft tissue neck/thorax (21550) | $1,075.20 | $1,792 | 0.6× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) | $1,600.20 | $2,667 | 0.9× |
| Biopsy soft tissue thigh/knee area superficial (27323) | $1,730.40 | $2,884 | 1.0× |
| Biopsy Spinal Cord Percutaneous Needle (62269) | $1,443 | $2,405 | 0.8× |
| Bladder instillation anticarcinogenic agent (51720) | $1,020 | $1,700 | 1.4× |
| Bladder Irrigation (51700) | $210.60 | $351 | 0.8× |
| Bladder Scan (51798) | $134.40 | $224 | 2.2× |
| Blepharotomy drainage abscess eyelid (67700) | $230.40 | $384 | 0.7× |
| Blood Transfusion Service (36430) | $714 | $1,190 | 1.5× |
| Bone Marrow Biopsy (38221) range across 3 matching MRF lines |
$1,027.20–$1,662.60 | $1,712–$2,771 | varies |
| Bone Marrow; Aspiration Only (38220) | $1,836 | $3,060 | 1.1× |
| Bronchoscopy Dilate W/Stent (31631) | $8,811 | $14,685 | 1.2× |
| Bx breast 1st lesion mr imag (19085) | $1,978.20 | $3,297 | 1.1× |
| Bx breast 1st lesion strtctc (19081) | $5,110.20 | $8,517 | 2.9× |
| Bx breast 1st lesion us imag (19083) | $2,399.40 | $3,999 | 1.4× |
| Bx breast needle core w/o imaging guidance spx (19100) range across 2 matching MRF lines |
$998.70–$1,900.20 | $1,664.50–$3,167 | varies |
| Canthotomy Separate Procedure (67715) | $2,551.80 | $4,253 | 1.0× |
| Carpal Tunnel Surgery (64721) | $850.50 | $1,417.50 | 0.4× |
| Catheter aspiration nasotracheal spx (31720) | $150 | $250 | 0.6× |
| Cessj Therapy Cath Removal (37214) | $1,911.60 | $3,186 | 0.6× |
| Change Cystostomy Tube Complicated (51710) | $1,413 | $2,355 | 1.9× |
| Change Cystostomy Tube Simple (51705) | $1,122 | $1,870 | 4.2× |
| Change of Windpipe Airway (31502) | $201 | $335 | 0.8× |
| Change ureter stent percut (50382) | $1,710.60 | $2,851 | 0.8× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$98.40–$236.70 | $164–$394.50 | varies |
| Chemodenerv 1 extrem 5/> mus (64644) | $1,066.80 | $1,778 | 1.4× |
| Chemodenerv 1 extremity 1-4 (64642) | $1,066.80 | $1,778 | 1.4× |
| Chemodenerv Musc Migraine (64615) | $448.80 | $748 | 1.4× |
| Chemodenerv musc neck dyston (64616) | $448.80 | $748 | 1.4× |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) | $448.80 | $748 | 0.6× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $448.80 | $748 | 1.4× |
| Chest tube placement (32551) | $1,060.20 | $1,767 | 0.6× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) | $2,389.80 | $3,983 | 1.1× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $3,802.80 | $6,338 | 1.0× |
| Circumcision w/clamp/oth dev w/block (54150) | $2,751 | $4,585 | 1.2× |
| Cl Tx Scapular Fx; W Manip (23575) | $1,917.60 | $3,196 | 1.1× |
| Cl Tx Tib Shft Fx W Manip (27752) | $1,500 | $2,500 | 0.9× |
| Claviculectomy; total (23125) | $219.60 | $366 | 0.1× |
| Clear outer ear canal (69200) | $138 | $230 | 1.0× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $422.40 | $704 | 1.6× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $2,458.20 | $4,097 | 1.4× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $153.60 | $256 | 0.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $381 | $635 | 1.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,917.60 | $3,196 | 1.1× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $153.60 | $256 | 0.6× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $153.60 | $256 | 0.6× |
| Closed tx knee dislocation w/o anesthesia (27550) | $214.80 | $358 | 0.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $153.60 | $256 | 0.6× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $1,433.40 | $2,389 | 0.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $232.20 | $387 | 0.9× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $153.60 | $256 | 0.6× |
| Closed tx radial head/neck fx w/manipulation (24655) range across 2 matching MRF lines |
$1,000.20–$1,478.40 | $1,667–$2,464 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) | $153.60 | $256 | 0.6× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $153.60 | $256 | 0.6× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$986.70–$1,917.60 | $1,644.50–$3,196 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $153.60 | $256 | 0.6× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $153.60 | $256 | 0.6× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $878.40 | $1,464 | 0.5× |
| Closed tx talus fracture w/o manipulation (28430) | $153.60 | $256 | 0.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $215.40 | $359 | 0.8× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $153.60 | $256 | 0.6× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $153.60 | $256 | 0.6× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $297 | $495 | 1.2× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $1,000.20 | $1,667 | 0.6× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $153.60 | $256 | 0.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $1,294.80 | $2,158 | 0.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $367.20 | $612 | 1.4× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $1,918.20 | $3,197 | 1.1× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $153.60 | $256 | 0.6× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $153.60 | $256 | 0.6× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $214.80 | $358 | 0.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $151.80 | $253 | 0.6× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $153.60 | $256 | 0.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $340.80 | $568 | 1.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$153.60–$422.40 | $256–$704 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $153.60 | $256 | 0.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$986.70–$2,458.20 | $1,644.50–$4,097 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $1,650 | $2,750 | 1.0× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $153.30 | $255.50 | 0.6× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $1,193.40 | $1,989 | 0.7× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $403.20 | $672 | 1.5× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $153.60 | $256 | 0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $340.80 | $568 | 1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $153.60 | $256 | 0.6× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $2,122.20 | $3,537 | 1.2× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 2 matching MRF lines |
$153.60–$221.70 | $256–$369.50 | varies |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $164.40 | $274 | 0.6× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $1,723.20 | $2,872 | 1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $214.80 | $358 | 0.8× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $153.60 | $256 | 0.6× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $1,333.80 | $2,223 | 0.8× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $153.60 | $256 | 0.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $304.80 | $508 | 1.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $360.60 | $601 | 1.4× |
| Cltx Med Ankle Fx W/Mnpj (27762) range across 2 matching MRF lines |
$1,000.20–$1,575.60 | $1,667–$2,626 | varies |
| Cltx Medial Ankle Fx (27760) | $276.30 | $460.50 | 1.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $244.20 | $407 | 0.9× |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$153.60–$230.40 | $256–$384 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$118.50–$375.60 | $197.50–$626 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $153.60 | $256 | 0.6× |
| Cltx post hip arthrp dislc w/o anes (27265) | $249 | $415 | 1.0× |
| Cltx prox fibula/shft fx w/manj (27781) | $2,644.80 | $4,408 | 1.6× |
| Cltx prox fibula/shft fx w/o manj (27780) | $153.60 | $256 | 0.6× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $1,817.40 | $3,029 | 1.1× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $403.80 | $673 | 1.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $235.20 | $392 | 0.9× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $1,917.60 | $3,196 | 1.1× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $1,917.60 | $3,196 | 1.1× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $1,767 | $2,945 | 1.0× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $153.60 | $256 | 0.6× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) | $97.80 | $163 | 0.4× |
| Cltx tibial fx proximal w/o manipulation (27530) | $153.60 | $256 | 0.6× |
| Cltx tibial shaft fx w/o manipulation (27750) | $153.60 | $256 | 0.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $2,458.20 | $4,097 | 1.4× |
| Collect Blood From Catheter Venous Nos (36592) | $93.60 | $156 | 0.7× |
| Collection of venous blood by venipuncture (36415) | $11.40 | $19 | 1.2× |
| Colporrhaphy (57200) | $2,569.80 | $4,283 | 0.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $168 | $280 | 1.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $185.40 | $309 | 1.3× |
| Conversion ext bil drg cath (47535) | $4,290 | $7,150 | 1.1× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $2,591.40 | $4,319 | 1.3× |
| Convert Nephrostomy Catheter (50434) | $2,519.40 | $4,199 | 1.1× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $1,554 | $2,590 | 0.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $168 | $280 | 1.2× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $168 | $280 | 0.7× |
| Curettage postpartum (59160) | $3,427.80 | $5,713 | 1.0× |
| Cystostomy Cystotomy W/Drainage (51040) | $4,041.60 | $6,736 | 1.8× |
| Cystourethroscopy (52000) | $414 | $690 | 0.6× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $926.40 | $1,544 | 1.2× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) | $8,384.40 | $13,974 | 4.1× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$459.60–$464.70 | $766–$774.50 | varies |
| Debride nail 1-5 (11720) | $96.60 | $161 | 1.5× |
| Debride nail 6 or more (11721) | $109.80 | $183 | 1.8× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $998.70 | $1,664.50 | 0.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $252.60 | $421 | 0.6× |
| Declot vascular device (36593) | $448.80 | $748 | 1.3× |
| Delivery of placenta (59414) | $2,905.20 | $4,842 | 0.8× |
| Destr W Neurolytic; Celiac Plexus (64680) | $1,626.60 | $2,711 | 1.7× |
| Destroy cerv/thor facet jnt (64633) | $1,640.40 | $2,734 | 0.8× |
| Destroy lumb/sac facet jnt (64635) | $1,640.40 | $2,734 | 0.8× |
| Destruct B9 Lesion 1-14 (17110) | $210 | $350 | 1.0× |
| Dilat Xst Trc New Access Rcs (50437) | $3,739.80 | $6,233 | 1.0× |
| Dilate Urethra Stricture (53620) | $1,570.80 | $2,618 | 2.1× |
| Dilation Esophagus Guide Wire (43453) | $1,728 | $2,880 | 0.9× |
| Drain/inj small joint/bursa w/us (20604) range across 2 matching MRF lines |
$182.10–$273 | $303.50–$455 | varies |
| Drainage Abscess/Hematoma Nasal Septum (30020) | $793.20 | $1,322 | 1.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $1,404 | $2,340 | 1.9× |
| Drainage Finger Abscess Complicated (26011) | $1,230.60 | $2,051 | 0.7× |
| Drainage Mouth Roof Lesion (42000) | $314.40 | $524 | 1.3× |
| Drainage of finger abscess simple (26010) | $147.90 | $246.50 | 0.7× |
| Drainage of gum lesion (41800) | $231 | $385 | 1.6× |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$1,027.20–$1,899 | $1,712–$3,165 | varies |
| Drainage of nose lesion (30000) | $795 | $1,325 | 3.2× |
| Drainage of scrotal wall abscess (55100) | $1,614.60 | $2,691 | 0.9× |
| Draw Blood Off Venous Device (36591) | $182.40 | $304 | 1.3× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $615 | $1,025 | 0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $511.20 | $852 | 1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $220.80 | $368 | 1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $201.30 | $335.50 | 0.9× |
| Dx Bone Marrow Bx & Aspir (38222) range across 3 matching MRF lines |
$1,764.30–$2,104.80 | $2,940.50–$3,508 | varies |
| Dx Bronchoscope/Lavage (31624) | $1,966.20 | $3,277 | 1.0× |
| Dx Bronchoscope/Wash (31622) | $1,642.80 | $2,738 | 0.9× |
| Dx Laryngoscopy Excl Nb (31525) | $2,655.60 | $4,426 | 1.4× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,166.40 | $1,944 | 1.6× |
| Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) | $4,849.80 | $8,083 | 0.8× |
| Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) | $5,550.60 | $9,251 | 0.9× |
| Endometrial Biopsy (58100) | $315.60 | $526 | 1.5× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) | $5,760 | $9,600 | 1.7× |
| Endoven ther chem adhes 1st (36482) | $6,657 | $11,095 | 1.1× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) | $2,883.60 | $4,806 | 1.3× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) | $2,813.40 | $4,689 | 1.3× |
| Epidural Blood Patch (62273) | $954.60 | $1,591 | 1.3× |
| Episiotomy or vaginal repair (59300) | $3,910.80 | $6,518 | 1.1× |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) | $5,305.80 | $8,843 | 0.8× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) | $3,061.20 | $5,102 | 0.8× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) | $2,632.80 | $4,388 | 0.6× |
| Ercp W/Biopsy Single/Multiple (43261) | $4,492.80 | $7,488 | 1.1× |
| Ercp,Sphincterotomy (43262) | $2,441.40 | $4,069 | 0.6× |
| Evacuation of subungual hematoma (11740) | $190.80 | $318 | 1.4× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$440.40–$1,206 | $734–$2,010 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $1,027.20 | $1,712 | 0.6× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $440.40 | $734 | 0.6× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $440.40 | $734 | 0.6× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $433.80 | $723 | 0.6× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $440.40 | $734 | 0.6× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $440.40 | $734 | 0.6× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $1,027.20 | $1,712 | 0.6× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$1,027.20–$1,412.40 | $1,712–$2,354 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$433.80–$440.40 | $723–$734 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $1,027.20 | $1,712 | 0.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $440.40 | $734 | 0.6× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $1,027.20 | $1,712 | 0.6× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $2,455.80 | $4,093 | 0.8× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $998.70 | $1,664.50 | 0.6× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $999 | $1,665 | 0.6× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $1,564.80 | $2,608 | 1.2× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $252.60 | $421 | 0.6× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $440.40 | $734 | 0.6× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$1,027.20–$1,721.70 | $1,712–$2,869.50 | varies |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $4,290 | $7,150 | 1.1× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) range across 3 matching MRF lines |
$1,252.80–$3,059.40 | $2,088–$5,099 | varies |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $1,150.80 | $1,918 | 0.6× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $433.80 | $723 | 0.6× |
| Excision Lingual Frenum Frenectomy (41115) | $1,765.20 | $2,942 | 1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $440.40 | $734 | 0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $440.40 | $734 | 0.6× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$252.60–$377.40 | $421–$629 | varies |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $440.40 | $734 | 0.6× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $1,027.20 | $1,712 | 0.6× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $440.40 | $734 | 0.6× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $1,027.20 | $1,712 | 0.6× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $2,500.80 | $4,168 | 1.1× |
| Explo/Drain Breast Abscess (19020) range across 3 matching MRF lines |
$998.70–$1,764.60 | $1,664.50–$2,941 | varies |
| Exploration penetrating wound spx extremity (20103) | $1,902 | $3,170 | 1.1× |
| Exploration Penetrating Wound Spx Neck (20100) | $741.60 | $1,236 | 1.3× |
| External cephalic version (59412) | $2,638.80 | $4,398 | 0.8× |
| Fetal Contraction Stress Test (59020) | $334.20 | $557 | 1.6× |
| Fetal non-stress test (59025) | $286.80 | $478 | 1.3× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $1,254 | $2,090 | 1.7× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) | $924.60 | $1,541 | 1.2× |
| Fine needle aspiration without imaging guidance (10021) | $335.40 | $559 | 0.8× |
| Fluid Pressure Muscle (20950) | $1,111.20 | $1,852 | 1.5× |
| Fluoro exam of g/colon tube (49465) | $517.20 | $862 | 2.0× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $924.60 | $1,541 | 1.2× |
| Fna bx w/us gdn 1st les (10005) | $1,254 | $2,090 | 1.7× |
| Foreskin manipulation (54450) | $829.20 | $1,382 | 3.1× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) | $2,216.40 | $3,694 | 1.0× |
| Fusion of foot bones (28740) | $6,429 | $10,715 | 0.8× |
| Gi malabs eval aat calprotectin pncrtc elastase (0430U) | $685.20 | $1,142 | 11.1× |
| Guide Cathet Fluid Drainage (10030) | $1,125 | $1,875 | 1.5× |
| I&d abscess peritonsillar (42700) | $280.80 | $468 | 1.1× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$124.80–$588 | $208–$980 | varies |
| I&d perianal abscess superficial (46050) | $1,147.80 | $1,913 | 1.2× |
| I&d pilonidal cyst complicated (10081) range across 2 matching MRF lines |
$440.40–$954.60 | $734–$1,591 | varies |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$377.40–$440.40 | $629–$734 | varies |
| Image Cath Fluid Colxn Visc (49405) | $2,953.20 | $4,922 | 1.7× |
| Image Cath Fluid Peri/Retro (49406) | $2,953.20 | $4,922 | 1.7× |
| Implant neuroelectrodes (63650) | $6,011.40 | $10,019 | 0.9× |
| Incise external hemorrhoid (46083) | $274.80 | $458 | 1.0× |
| Incise finger tendon sheath (26055) | $878.40 | $1,464 | 0.5× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$252.60–$455.40 | $421–$759 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$1,027.20–$1,708.80 | $1,712–$2,848 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$252.60–$630.60 | $421–$1,051 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $160.20 | $267 | 0.7× |
| Incision and drainage of vulva or perineal abscess (56405) | $391.80 | $653 | 1.2× |
| Incision of lingual frenum (frenotomy) (41010) | $1,140.60 | $1,901 | 0.7× |
| Incision of rectal abscess (46040) | $1,940.40 | $3,234 | 1.5× |
| Incision&drainage bursa foot (28001) | $1,568.40 | $2,614 | 0.9× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 3 matching MRF lines |
$864.60–$1,497.60 | $1,441–$2,496 | varies |
| Incisional biopsy skin single lesion (11106) | $97.20 | $162 | 0.1× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $321.30 | $535.50 | 1.5× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $1,003.80 | $1,673 | 1.1× |
| Inj W/Fluor Eval Cv Device (36598) | $340.50 | $567.50 | 1.5× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) | $1,603.80 | $2,673 | 1.7× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $1,104 | $1,840 | 1.2× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 3 matching MRF lines |
$190.80–$273 | $318–$455 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $859.80 | $1,433 | 0.9× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) | $1,244.40 | $2,074 | 1.7× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $511.80 | $853 | 1.6× |
| Injection for identification of sentinel node (38792) | $1,176.60 | $1,961 | 2.8× |
| Injection Into Brain Canal (61055) | $726 | $1,210 | 2.2× |
| Injection single tendon origin/insertion (20551) range across 3 matching MRF lines |
$182.10–$511.20 | $303.50–$852 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) | $190.80 | $318 | 0.6× |
| Injection single/mlt trigger point 3/> muscles (20553) | $470.40 | $784 | 1.4× |
| Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines |
$190.80–$273 | $318–$455 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) | $1,572 | $2,620 | 1.7× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $1,148.40 | $1,914 | 1.5× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $1,024.80 | $1,708 | 1.4× |
| Injection, intralesional; up to and including 7 lesions (11900) | $259.80 | $433 | 1.2× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) | $1,573.20 | $2,622 | 1.7× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) | $1,405.20 | $2,342 | 1.5× |
| Injx/Infusion Neurolytic Substance Subarachnoid (62280) | $616.80 | $1,028 | 0.7× |
| Ins cath ren art 1st bilat (36252) | $4,759.20 | $7,932 | 1.4× |
| Ins cath ren art 1st unilat (36251) range across 3 matching MRF lines |
$2,734.80–$3,664.20 | $4,558–$6,107 | varies |
| Ins cath ren art 2nd+ bilat (36254) | $4,039.20 | $6,732 | 1.2× |
| Ins cath ren art 2nd+ unilat (36253) range across 3 matching MRF lines |
$4,039.20–$4,759.20 | $6,732–$7,932 | varies |
| Ins endovas vena cava filtr (37191) | $5,283 | $8,805 | 0.9× |
| Ins Vag Brachytx Device (57156) | $603 | $1,005 | 1.9× |
| Insert 1 Electrode Pm-Defib (33216) | $6,082.20 | $10,137 | 0.7× |
| Insert Bladder Cath Complex (51703) | $192.60 | $321 | 1.4× |
| Insert cath pleura w/ image (32557) | $962.40 | $1,604 | 0.6× |
| Insert cath pleura w/o image (32556) | $2,114.40 | $3,524 | 1.0× |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) | $2,903.40 | $4,839 | 2.3× |
| Insert cervical dilator (59200) | $447.60 | $746 | 1.4× |
| Insert Drug Implant Device (11981) | $189.60 | $316 | 1.3× |
| Insert Gastrostomy Tube Percutaneous (49440) | $1,854.60 | $3,091 | 0.9× |
| Insert Heart Pm Atrial (33206) | $8,120.40 | $13,534 | 0.7× |
| Insert Heart Pm Ventricular (33207) | $7,428.60 | $12,381 | 0.7× |
| Insert hepatic shunt (tips) (37182) | $13,439.40 | $22,399 | 0.7× |
| Insert non-tunnel cv cath (36556) | $1,587.60 | $2,646 | 0.5× |
| Insert Pulse Gen Sngl Lead (33212) | $6,462.60 | $10,771 | 0.7× |
| Insert Temp Bladder Cath (51702) | $117 | $195 | 0.8× |
| Insert tun ip cath perc (49418) | $3,160.20 | $5,267 | 0.8× |
| Insert tunneled cv cath (36561) | $3,352.80 | $5,588 | 1.0× |
| Insert tunneled cv cath (36563) | $6,645 | $11,075 | 1.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $146.40 | $244 | 1.0× |
| Insertion indwelling tunneled pleural catheter (32550) | $2,313 | $3,855 | 0.6× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 2 matching MRF lines |
$2,035.80–$2,036.10 | $3,393–$3,393.50 | varies |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $6,643.20 | $11,072 | 0.8× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) | $3,540.60 | $5,901 | 0.9× |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) | $6,447 | $10,745 | 1.1× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) | $5,761.20 | $9,602 | 1.1× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $11,013.60 | $18,356 | 1.3× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $3,739.80 | $6,233 | 1.1× |
| Insj Picc Rs&I <5 Yr (36572) | $1,770 | $2,950 | 2.7× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $4,340.40 | $7,234 | 1.3× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $1,060.20 | $1,767 | 0.6× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) | $6,645 | $11,075 | 1.1× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) | $2,133.60 | $3,556 | 0.6× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $3,350.40 | $5,584 | 1.0× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) | $27,293.40 | $45,489 | 0.8× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $6,462.60 | $10,771 | 0.7× |
| Insrt heart pm atrial & vent (33208) | $12,136.80 | $20,228 | 1.1× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) | $1,957.20 | $3,262 | 1.3× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $384.30 | $640.50 | 0.9× |
| Intro cath dialysis circuit (36901) | $1,060.20 | $1,767 | 0.6× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $9,847.20 | $16,412 | 0.8× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $5,118.60 | $8,531 | 0.9× |
| Intro Gastrointestinal Tube (44500) | $717.60 | $1,196 | 0.7× |
| Intubation endotracheal emergency procedure (31500) | $411.60 | $686 | 1.6× |
| Irrigation of corpora cavernosa for priapism (54220) | $646.20 | $1,077 | 2.4× |
| Laryngoscopy flexible diagnostic (31575) | $479.40 | $799 | 2.3× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) | $183 | $305 | 0.9× |
| Ligation Major Artery Abdomen (37617) | $3,733.80 | $6,223 | 0.6× |
| Lyse chest fibrin init day (32561) | $1,382.40 | $2,304 | 2.1× |
| Lyse Chest Fibrin Subq Day (32562) | $850.20 | $1,417 | 1.3× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) | $1,165.20 | $1,942 | 1.6× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) | $1,409.40 | $2,349 | 0.8× |
| Mech remov tunneled cv cath (36595) | $2,759.40 | $4,599 | 0.8× |
| Myelography Lumbar Injection (62305) | $1,329 | $2,215 | 1.6× |
| Myelography Lumbar Injection (62304) | $886.80 | $1,478 | 1.1× |
| Myelography via lumbar injection rs&i cervical (62302) | $886.80 | $1,478 | 1.1× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $1,546.20 | $2,577 | 1.9× |
| N Block Inj Celiac Pelus (64530) | $1,613.40 | $2,689 | 1.7× |
| N block inj intercost sng (64420) | $452.40 | $754 | 0.6× |
| Nasal/Orogastric W/Tube Plmt (43752) | $265.80 | $443 | 0.6× |
| Needle Biopsy Lymph Nodes (38505) range across 2 matching MRF lines |
$998.70–$2,497.80 | $1,664.50–$4,163 | varies |
| Needle Biopsy Pancreas (48102) | $1,600.20 | $2,667 | 0.9× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $24.60 | $41 | 0.8× |
| Needle insertion w/o injection 3 or more muscles (20561) | $36.60 | $61 | 1.2× |
| Neuro alz ds beta amyl&tau prtn bld lc-ms/ms alg (0503U) | $1,305 | $2,175 | 1.7× |
| Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) | $573.60 | $956 | 0.8× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) range across 2 matching MRF lines |
$470.40–$480 | $784–$800 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $251.40 | $419 | 0.8× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $3,854.40 | $6,424 | 1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $3,854.40 | $6,424 | 1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 3 matching MRF lines |
$1,149–$1,417.80 | $1,915–$2,363 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) | $787.20 | $1,312 | 0.8× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $787.20 | $1,312 | 1.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $655.20 | $1,092 | 0.9× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $655.20 | $1,092 | 0.7× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $787.20 | $1,312 | 1.1× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) range across 2 matching MRF lines |
$1,065.60–$1,599 | $1,776–$2,665 | varies |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) range across 2 matching MRF lines |
$828.60–$1,664.40 | $1,381–$2,774 | varies |
| Njx Sclrsnt 1 Incmptnt Vein (36470) | $419.40 | $699 | 1.0× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) | $702 | $1,170 | 1.6× |
| Njx Sclrsnt Spider Veins (36468) | $1,124.40 | $1,874 | 2.6× |
| Obstructive material removal from gi tube (49460) | $710.40 | $1,184 | 0.7× |
| Occipital Nerve Block (64405) | $392.10 | $653.50 | 1.2× |
| Onc nonsm cll lng ca 37 gen (0388U) | $3,150 | $5,250 | 0.9× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) | $4,011.30 | $6,685.50 | 1.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $2,353.80 | $3,923 | 0.7× |
| Open tx interphalangeal joint dislocation (26785) | $2,795.40 | $4,659 | 0.8× |
| Open/Perq Place Stent 1St (37236) range across 2 matching MRF lines |
$16,267.20–$16,674 | $27,112–$27,790 | varies |
| Open/Perq Place Stent Same (37238) range across 3 matching MRF lines |
$16,624.80–$24,151.80 | $27,708–$40,253 | varies |
| Penile Injection (54235) | $450 | $750 | 1.7× |
| Perc Cryo Ablate Renal Tum (50593) | $6,864.90 | $11,441.50 | 0.6× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) | $2,473.80 | $4,123 | 1.7× |
| Perc Rf Ablate Renal Tumor (50592) | $5,658.60 | $9,431 | 0.9× |
| Percut Ablate Liver Rf (47382) | $5,127.60 | $8,546 | 0.8× |
| Percut Cath Occlusn Non Cns Lesn (61626) | $7,814.40 | $13,024 | 0.6× |
| Percut Drain/Inject Renal Cyst (50390) | $880.20 | $1,467 | 1.2× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) | $5,261.40 | $8,769 | 1.6× |
| Pericardiocentesis W/Imaging (33016) | $2,571.60 | $4,286 | 1.5× |
| Perq Cervicothoracic Inject (22510) | $3,793.20 | $6,322 | 1.1× |
| Perq dev breast 1st strtctc (19283) | $1,827.60 | $3,046 | 2.4× |
| Perq dev breast 1st us imag (19285) | $1,485.60 | $2,476 | 2.0× |
| Perq device breast 1st imag (19281) | $1,503.60 | $2,506 | 0.9× |
| Perq dilation xst trc endourologic px w/img (50436) | $2,212.20 | $3,687 | 0.6× |
| Perq Lumbosacral Injection (22511) | $3,219.60 | $5,366 | 0.9× |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) | $10,406.40 | $17,344 | 1.0× |
| Perq p-art revsc 1 nm nt uni (33900) | $8,160.60 | $13,601 | 0.7× |
| Perq p-art revsc st 1st abnor connj unilateral (33902) | $13,205.40 | $22,009 | 0.7× |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) | $8,160.60 | $13,601 | 0.7× |
| Perq p-art revsc st 1st nml native connj bi (33901) | $8,160.60 | $13,601 | 0.7× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) | $4,122 | $6,870 | 0.6× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $8,853 | $14,755 | 0.7× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $3,741.60 | $6,236 | 0.6× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $6,288 | $10,480 | 0.8× |
| Perq Vertebral Augmentation (22513) | $6,288 | $10,480 | 0.8× |
| Phleb Veins - Extrem 20+ (37766) | $4,986 | $8,310 | 1.5× |
| Place Cath Subclavian Art (36225) range across 2 matching MRF lines |
$2,863.20–$4,981.80 | $4,772–$8,303 | varies |
| Place Cath Thoracic Aorta (36221) | $2,490.60 | $4,151 | 0.7× |
| Place Cath Vertebral Art (36226) | $4,005 | $6,675 | 0.7× |
| Place Duod/Jej Tube Perc (49441) | $2,436.60 | $4,061 | 1.2× |
| Placement of needle for intraosseous infusion (36680) | $262.20 | $437 | 0.6× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) | $5,781.60 | $9,636 | 0.8× |
| Plmt Bile Duct Stent Prq Existing Access (47538) | $4,057.20 | $6,762 | 0.6× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) | $4,057.20 | $6,762 | 0.6× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) | $4,057.20 | $6,762 | 0.6× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 2 matching MRF lines |
$2,389.80–$2,775 | $3,983–$4,625 | varies |
| Plmt Nephroureteral Catheter (50433) | $4,085.40 | $6,809 | 1.1× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) | $3,926.40 | $6,544 | 1.1× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) | $3,926.40 | $6,544 | 1.1× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) | $3,928.20 | $6,547 | 1.1× |
| Prim art mech thrombectomy (37184) | $16,707.60 | $27,846 | 0.9× |
| Proctopexy Perineal Approach (45541) | $2,793 | $4,655 | 1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $3,797.40 | $6,329 | 1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $4,290 | $7,150 | 1.1× |
| Pseudoaneurysm Injection Trt (36002) | $598.20 | $997 | 0.9× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$246.30–$252.60 | $410.50–$421 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$252.60–$706.80 | $421–$1,178 | varies |
| Puncture Aspiration Cyst Breast (19000) | $440.40 | $734 | 0.6× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $2,030.40 | $3,384 | 2.7× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) | $1,050.60 | $1,751 | 1.4× |
| Rbc DNA gntyp 12 bld grp gen (0282U) | $648 | $1,080 | 0.9× |
| Rem Endovas Vena Cava Filter (37193) | $2,220.60 | $3,701 | 0.7× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $1,413 | $2,355 | 1.5× |
| Removal Embedded Foreign Body Eyelid (67938) | $230.40 | $384 | 0.7× |
| Removal foreign body foot deep (28192) | $1,497.60 | $2,496 | 0.9× |
| Removal Foreign Body Foot Subcutaneous (28190) | $733.20 | $1,222 | 1.0× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$998.70–$1,296.90 | $1,664.50–$2,161.50 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $127.20 | $212 | 2.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $103.80 | $173 | 1.7× |
| Removal implantable contraceptive capsules (11976) | $1,127.40 | $1,879 | 1.5× |
| Removal of foreign body from pharynx (42809) | $631.20 | $1,052 | 1.3× |
| Removal of kidney stone (50081) | $7,038.60 | $11,731 | 0.7× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$246.60–$363.60 | $411–$606 | varies |
| Removal of tunneled intraperitoneal catheter (49422) range across 2 matching MRF lines |
$1,551.60–$3,655.20 | $2,586–$6,092 | varies |
| Removal or bivalving full arm or full leg cast (29705) | $466.20 | $777 | 1.6× |
| Removal Pacemaker Electrode (33235) | $3,818.40 | $6,364 | 1.0× |
| Removal ppm generator only (33233) | $6,026.40 | $10,044 | 0.7× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$124.80–$256.80 | $208–$428 | varies |
| Removal subcutaneous cardiac rhythm monitor (33286) | $1,290.60 | $2,151 | 1.7× |
| Removal/bivalving gauntlet boot/body cast (29700) | $215.40 | $359 | 0.7× |
| Remove brain canal fluid (61050) | $1,192.80 | $1,988 | 3.7× |
| Remove drug implant device (11982) | $535.80 | $893 | 1.1× |
| Remove Forearm Foreign Body (25248) | $1,500 | $2,500 | 0.9× |
| Remove foreign body from eye (65205) | $219 | $365 | 1.6× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) | $2,493 | $4,155 | 1.1× |
| Remove Intrauterine Device (58301) | $175.20 | $292 | 0.5× |
| Remove intrvas foreign body (37197) range across 2 matching MRF lines |
$4,531.80–$5,339.40 | $7,553–$8,899 | varies |
| Remove lung catheter (32552) range across 2 matching MRF lines |
$304.80–$1,382.40 | $508–$2,304 | varies |
| Remove Nasal Foreign Body (30300) | $160.20 | $267 | 1.1× |
| Remove Pulse Generator (33241) | $3,910.20 | $6,517 | 1.0× |
| Remove renal tube w/fluoro (50389) range across 2 matching MRF lines |
$1,271.40–$1,907.40 | $2,119–$3,179 | varies |
| Remove Tendon Sheath Lesion (26160) | $1,000.20 | $1,667 | 0.6× |
| Remove ureter stent percut (50384) | $1,743.60 | $2,906 | 0.8× |
| Remove&replace pm gen singl (33227) | $11,013.60 | $18,356 | 1.3× |
| Remv&replc cvd gen mult lead (33264) | $24,046.20 | $40,077 | 0.7× |
| Remv&replc pm gen dual lead (33228) | $14,915.40 | $24,859 | 1.3× |
| Remv&replc pm gen mult leads (33229) | $12,444 | $20,740 | 0.6× |
| Renal Biopsy Perq (50200) | $2,128.80 | $3,548 | 1.2× |
| Repair Blood Vessel Direct Hand Finger (35207) | $2,659.80 | $4,433 | 0.8× |
| Repair Blood Vessel Direct Upper Extremity (35206) | $2,274.60 | $3,791 | 0.7× |
| Repair blood vessel with vein graft; lower extremity Facility (35256) | $6,645 | $11,075 | 1.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $595.50 | $992.50 | 0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $595.50 | $992.50 | 0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $384.30 | $640.50 | 0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $517.80 | $863 | 1.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $517.80 | $863 | 1.2× |
| Repair extensor tendon finger w/o graft each (26418) | $4,924.20 | $8,207 | 2.9× |
| Repair Hand Tendon (26410) | $4,924.20 | $8,207 | 2.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $595.80 | $993 | 1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $327.60 | $546 | 0.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $334.20 | $557 | 0.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $334.20 | $557 | 0.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $517.80 | $863 | 0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $384.30 | $640.50 | 0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$252.60–$334.20 | $421–$557 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $595.50 | $992.50 | 0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $595.50 | $992.50 | 1.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$246.30–$327.60 | $410.50–$546 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$252.60–$376.80 | $421–$628 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $502.20 | $837 | 0.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $625.80 | $1,043 | 1.5× |
| Repair of nail bed (11760) | $1,044.60 | $1,741 | 1.3× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $3,797.40 | $6,329 | 1.1× |
| Repair tongue laceration (41252) | $1,014 | $1,690 | 4.0× |
| Repair tongue laceration (41250) | $595.20 | $992 | 1.3× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $1,000.80 | $1,668 | 1.0× |
| Replace G-J Tube Perc (49452) | $1,413 | $2,355 | 1.5× |
| Replace g/c tube perc (49450) | $1,413 | $2,355 | 1.5× |
| Reposition Gastrostomy Tube (43761) | $444.60 | $741 | 1.7× |
| Reposition Pacing-Defib Lead (33215) | $2,713.80 | $4,523 | 0.8× |
| Reposition Venous Catheter (36597) | $1,060.20 | $1,767 | 0.6× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) | $6,011.40 | $10,019 | 0.9× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) | $7,873.80 | $13,123 | 1.3× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | $3,987.60 | $6,646 | 1.1× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) range across 2 matching MRF lines |
$5,233.50–$7,850.40 | $8,722.50–$13,084 | varies |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) range across 2 matching MRF lines |
$5,233.50–$7,850.40 | $8,722.50–$13,084 | varies |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) range across 2 matching MRF lines |
$14,046.60–$21,069.90 | $23,411–$35,116.50 | varies |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) range across 2 matching MRF lines |
$14,046.60–$21,069.90 | $23,411–$35,116.50 | varies |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) range across 2 matching MRF lines |
$14,046.60–$21,069.90 | $23,411–$35,116.50 | varies |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) range across 2 matching MRF lines |
$14,046.60–$21,069.90 | $23,411–$35,116.50 | varies |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) range across 2 matching MRF lines |
$8,845.80–$13,268.70 | $14,743–$22,114.50 | varies |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) range across 2 matching MRF lines |
$8,845.80–$13,268.70 | $14,743–$22,114.50 | varies |
| Revsc evasc imvt angiop uni cplx les 1st vsl (37298) range across 2 matching MRF lines |
$4,422.90–$13,268.70 | $7,371.50–$22,114.50 | varies |
| Revsc evasc imvt angiop uni sf les 1st vsl (37296) range across 2 matching MRF lines |
$8,845.80–$13,268.70 | $14,743–$22,114.50 | varies |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) range across 2 matching MRF lines |
$5,233.50–$7,850.40 | $8,722.50–$13,084 | varies |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) range across 2 matching MRF lines |
$5,233.50–$7,850.40 | $8,722.50–$13,084 | varies |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) range across 2 matching MRF lines |
$8,845.80–$13,268.70 | $14,743–$22,114.50 | varies |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) range across 2 matching MRF lines |
$8,845.80–$13,268.70 | $14,743–$22,114.50 | varies |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) range across 2 matching MRF lines |
$8,845.80–$13,268.70 | $14,743–$22,114.50 | varies |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) range across 2 matching MRF lines |
$8,845.80–$13,268.70 | $14,743–$22,114.50 | varies |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) range across 2 matching MRF lines |
$14,046.60–$21,069.90 | $23,411–$35,116.50 | varies |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) range across 2 matching MRF lines |
$14,046.60–$21,069.90 | $23,411–$35,116.50 | varies |
| Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) range across 2 matching MRF lines |
$14,046.60–$21,069.90 | $23,411–$35,116.50 | varies |
| Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) range across 2 matching MRF lines |
$14,046.60–$21,069.90 | $23,411–$35,116.50 | varies |
| Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) range across 2 matching MRF lines |
$14,046.60–$21,069.90 | $23,411–$35,116.50 | varies |
| Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) range across 2 matching MRF lines |
$14,046.60–$21,069.90 | $23,411–$35,116.50 | varies |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) | $2,215.20 | $3,692 | 1.0× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) | $1,249.20 | $2,082 | 0.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $736.20 | $1,227 | 1.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $219 | $365 | 1.6× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $431.40 | $719 | 0.9× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) range across 2 matching MRF lines |
$2,211–$2,335.20 | $3,685–$3,892 | varies |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $3,906 | $6,510 | 1.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$854.10–$2,083.80 | $1,423.50–$3,473 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines |
$381–$1,165.20 | $635–$1,942 | varies |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$155.40–$817.80 | $259–$1,363 | varies |
| Rplc gtube revj gstrst trc (43763) | $155.40 | $259 | 0.6× |
| Rplcmt cath ctr vad subq port/pmp (36578) | $2,637.60 | $4,396 | 0.8× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) range across 2 matching MRF lines |
$1,324.20–$1,560 | $2,207–$2,600 | varies |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $1,214.40 | $2,024 | 0.7× |
| Rplcmt compl tun ctr vad w/subq pmp (36583) | $4,855.20 | $8,092 | 0.8× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $4,830.60 | $8,051 | 1.4× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $2,732.40 | $4,554 | 0.8× |
| Rpr blood vessel direct lower extremity (35226) | $1,195.80 | $1,993 | 1.6× |
| Rpr blvsl w/grf other/than vein lower extremity (35286) | $3,352.80 | $5,588 | 0.6× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $3,499.80 | $5,833 | 2.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $201.30 | $335.50 | 0.9× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $714 | $1,190 | 1.3× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $983.40 | $1,639 | 1.5× |
| Sclerotx Fluid Collection (49185) | $1,137 | $1,895 | 0.7× |
| Shave skin lesion 0.5 cm/< (11300) | $252.60 | $421 | 0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $719.10 | $1,198.50 | 1.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $124.80 | $208 | 0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $124.80 | $208 | 0.6× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $124.80 | $208 | 0.6× |
| Sigmoidoscopy & decompress (45337) | $1,363.80 | $2,273 | 1.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $595.80 | $993 | 1.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $237.60 | $396 | 1.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $237.60 | $396 | 1.1× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $345 | $575 | 0.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $237.60 | $396 | 1.1× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $215.40 | $359 | 1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $232.80 | $388 | 1.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $175.20 | $292 | 0.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $201.30 | $335.50 | 0.9× |
| Skin sub graft face/nk/hf/g (15275) | $1,396.20 | $2,327 | 1.8× |
| Skin sub graft trnk/arm/leg (15271) | $1,396.20 | $2,327 | 1.8× |
| Skin sub grft t/arm/lg child (15273) | $2,302.80 | $3,838 | 1.1× |
| Skn sub grft f/n/hf/g child (15277) | $1,362.30 | $2,270.50 | 0.6× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) range across 2 matching MRF lines |
$6,289.80–$8,207.40 | $10,483–$13,679 | varies |
| Slctv cath carotid/innom art angio xtrcranl art (36222) | $2,863.20 | $4,772 | 0.9× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) | $4,005 | $6,675 | 0.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $124.80 | $208 | 0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $384.30 | $640.50 | 0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $334.20 | $557 | 0.8× |
| Spinal puncture lumbar diagnostic (62270) | $808.80 | $1,348 | 1.1× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $5,755.80 | $9,593 | 1.5× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $5,139 | $8,565 | 2.4× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) | $3,052.80 | $5,088 | 0.9× |
| Strapping ankle (29540) | $107.70 | $179.50 | 0.6× |
| Strapping knee (29530) | $107.70 | $179.50 | 0.8× |
| Strapping shoulder (29240) | $127.20 | $212 | 0.9× |
| Strapping Unna Boot (29580) range across 16 matching MRF lines |
$96.60–$151.20 | $161–$252 | varies |
| Tangential biopsy skin single lesion (11102) | $232.20 | $387 | 0.5× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) | $20,479.20 | $34,132 | 0.7× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $1,919.10 | $3,198.50 | 1.1× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) | $2,415.60 | $4,026 | 1.4× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $1,166.40 | $1,944 | 1.6× |
| Therapeutic plasma exchange (36514) range across 2 matching MRF lines |
$1,206.60–$1,421.40 | $2,011–$2,369 | varies |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) | $9,650.10 | $16,083.50 | 0.7× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $12,785.40 | $21,309 | 0.7× |
| Thromblytic art/ven therapy (37213) | $1,662.60 | $2,771 | 0.5× |
| Thrombolytic Art Therapy (37211) | $5,287.80 | $8,813 | 0.9× |
| Thrombolytic Therapy Stroke (37195) | $405 | $675 | 1.2× |
| Thrombolytic Venous Therapy (37212) | $2,521.80 | $4,203 | 0.8× |
| Thyroid biopsy (60100) | $1,047 | $1,745 | 1.4× |
| Tprnl Plmt Biodegrdabl Matrl (55874) | $5,140.80 | $8,568 | 0.9× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $1,670.40 | $2,784 | 6.7× |
| Transcatheter biopsy (37200) | $5,282.40 | $8,804 | 0.9× |
| Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) | $3,667.80 | $6,113 | 1.1× |
| Treat humerus fracture (24500) | $153.60 | $256 | 0.6× |
| Treat humerus fracture (23600) | $147.90 | $246.50 | 0.6× |
| Treat knee fracture (27532) | $4,924.20 | $8,207 | 1.4× |
| Treat Knee Fracture(S) (27538) | $153.60 | $256 | 0.6× |
| Treat Knuckle Dislocation (26700) | $226.80 | $378 | 0.9× |
| Treat Metatarsal Fracture (28475) | $129.60 | $216 | 0.5× |
| Treat Thumb Dislocation (26641) | $403.80 | $673 | 1.5× |
| Treat toe dislocation (28630) | $192 | $320 | 0.7× |
| Treat Vaginal Bleeding (57180) | $267.60 | $446 | 1.3× |
| Treatment closed elbow dislocation w/o anes (24600) | $235.20 | $392 | 0.9× |
| Trim skin lesion (11055) | $158.40 | $264 | 0.7× |
| Trim skin lesions 2 to 4 (11056) | $190.80 | $318 | 0.9× |
| Trim skin lesions over 4 (11057) | $232.20 | $387 | 1.1× |
| Trimming Nondystrophic Nails Any Number (11719) | $56.10 | $93.50 | 0.9× |
| Trluml Balo Angiop 1St Art (37246) | $5,202 | $8,670 | 0.9× |
| Trluml Balo Angiop 1St Vein (37248) | $5,202 | $8,670 | 0.9× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $2,909.40 | $4,849 | 0.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $387 | $645 | 0.5× |
| Tx superficial wound dehiscence w/packing (12021) | $261.60 | $436 | 0.6× |
| Unlisted Cardiac Surgery (33999) | $1,033.20 | $1,722 | 1.6× |
| Unlisted Procedure Endocrine System (60699) range across 2 matching MRF lines |
$4,957.80–$5,250.90 | $8,263–$8,751.50 | varies |
| Unlisted procedure humerus/elbow (24999) | $290.40 | $484 | 1.1× |
| Unlisted procedure lungs and pleura (32999) | $1,176.60 | $1,961 | 1.8× |
| Upgrade of pacemaker system (33214) | $10,824.60 | $18,041 | 1.0× |
| Vaginal delivery only (59409) | $2,909.40 | $4,849 | 0.8× |
| Vasc embolize/occlude artery (37242) | $15,196.20 | $25,327 | 0.8× |
| Vasc Embolize/Occlude Bleed (37244) | $11,204.40 | $18,674 | 0.9× |
| Vasc Embolize/Occlude Organ (37243) range across 2 matching MRF lines |
$9,493.80–$9,742.80 | $15,823–$16,238 | varies |
| Vasc embolize/occlude venous (37241) | $8,489.40 | $14,149 | 0.7× |
| Venous Mech Thrombectomy (37187) range across 2 matching MRF lines |
$8,353.80–$9,828 | $13,923–$16,380 | varies |
| Wedge excision skin nail fold (11765) | $369.60 | $616 | 0.9× |
| Wound Prep F/N/Hf/G (15004) | $624.90 | $1,041.50 | 1.5× |
| Wound Prep Trk/Arm/Leg (15002) | $1,073.10 | $1,788.50 | 1.4× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.