Procedures & surgery prices at Grand Itasca Clinic and Hospital

Grand Rapids, MN · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $869.55 $2,046 0.9×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $833.85 $1,962 0.9×
Anoscopy diagnostic (46600) $132.18 $311 1.0×
Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) $108.15 $254.46 0.6×
Application cast elbow finger short arm (29075) $127.13 $299.13 0.4×
Application cast shoulder hand long arm (29065) $136.85 $322 0.5×
Application finger splint static (29130) $148.75 $350 1.1×
Application long arm splint shoulder hand (29105) $235.03 $553 1.4×
Application of long leg cast (29345) $172.98 $407 0.6×
Application of rigid total contact leg cast (29445) $165.33 $389 0.6×
Application Short Arm Splint Dynamic (29126) $91.80 $216 0.7×
Application short arm splint forearm-hand static (29125) $229.82 $540.74 1.7×
Apply long leg splint (29505) $229.14 $539.12 1.4×
Apply short leg cast (29405) $118.58 $279 0.4×
Apply short leg splint (29515) $235.66 $554.50 1.4×
Arterial puncture (36600) $143.31 $337.20 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $343.40 $808 1.1×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $735.47 $1,730.50 1.0×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $106.08 $249.60 0.3×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $278.70 $655.75 0.9×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $129.42 $304.50 0.4×
Artificial Insemination Intra-Uterine (58322) $121.13 $285 0.6×
Aspirate pleura w/ imaging (32555) $821.95 $1,934 1.3×
Aspirate/Inj Ganglion Cyst (20612) $99.03 $233 0.3×
Aspiration bladder insert suprapubic catheter (51102) $2,274.18 $5,351 1.1×
Avulsion nail plate partial/complete simple 1 (11730) $252.45 $594 1.2×
Biopsy bone trocar/needle deep (20225) $1,838.55 $4,326 1.1×
Biopsy Bone Trocar/Needle Superficial (20220) $1,838.55 $4,326 1.1×
Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) $249.48 $587 0.3×
Biopsy external ear (69100) $132.60 $312 0.5×
Biopsy muscle percutaneous needle (20206) $1,838.55 $4,326 1.1×
Biopsy of lip (40490) $156.40 $368 0.6×
Biopsy of mouth lesion (40808) $248.20 $584 0.4×
Biopsy of palate, uvula (42100) $258.40 $608 0.2×
Biopsy of tongue (41100) $269.03 $633 0.5×
Biopsy or excision of lymph node(s); open, superficial (38500) $599.25 $1,410 0.1×
Biopsy Oropharynx (42800) $277.95 $654 0.2×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $167.03 $393 0.2×
Bladder instillation anticarcinogenic agent (51720) $148.75 $350 0.2×
Bladder Irrigation Simple (51700) $254.68 $599.25 1.0×
Blood patch (62273) $762.03 $1,793 1.0×
Blood transfusion service (36430) $498.23 $1,172.30 1.1×
Bronchoscopy W/Removal Foreign Body (31635) $1,724.23 $4,057 0.9×
Bx abdl/retroperitoneal mass prq needle (49180) $1,838.55 $4,326 1.1×
Bx breast 1st lesion mr imag (19085) $1,838.55 $4,326 1.1×
Bx breast 1st lesion strtctc (19081) $1,838.55 $4,326 1.1×
Bx breast 1st lesion us imag (19083) $2,298.19 $5,407.50 1.3×
Bx/exc lymph node needle superficial (38505) $1,838.55 $4,326 1.1×
Capsulotomy Iphal Joint Each Joint Spx (28272) $584.80 $1,376 0.4×
Catheter Aspiration Nasotracheal Spx (31720) $324.28 $763 1.4×
Change Cystostomy Tube Complicated (51710) $217.60 $512 0.3×
Change of cystostomy tube simple (51705) $132.60 $312 0.5×
Chemical cautery tissue (17250) $116.92 $275.11 0.6×
Chemodenerv Eccrine Glands (64650) $124.53 $293 0.4×
Chemodenerv musc migraine (64615) $646.85 $1,522 2.0×
Chemodenerv Musc Neck Dyston (64616) $656.63 $1,545 2.1×
Circumcision (54150) $2,269.50 $5,340 1.1×
Close Rx Prox/Mid Fing Shft Fx (26720) $209.10 $492 0.8×
Closed Rx Gr Tuberosity Hum Fx (23620) $242.68 $571 1.0×
Closed Rx Humeral Supracondylar Fx (24530) $279.65 $658 1.1×
Closed Rx Tibia Shaft Fx (27750) $269.45 $634 1.1×
Closed Rx Tibial Plateau Fx (27530) $255.43 $601 1.0×
Closed treatment of calcaneal fracture; without manipulation (28400) $229.93 $541 0.9×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $755.23 $1,777 3.0×
Closed treatment of patellar fracture, without manipulation (27520) $262.23 $617 1.0×
Closed treatment of talus fracture; without manipulation (28430) $226.95 $534 0.9×
Closed treatment of trimalleolar ankle fracture with manipulation (27818) $1,759.08 $4,139 1.1×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $737.16 $1,734.50 2.9×
Closed Treatment Ulnar Styloid Fracture (25650) $265.20 $624 1.0×
Closed tx ankle dislocation w/o anesthesia (27840) $733.13 $1,725 2.9×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,717 $4,040 1.0×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $263.93 $621 1.0×
Closed tx metatarsal fracture w/o manipulation (28470) $215.48 $507 0.8×
Closed tx nasal fracture w/o stabilization (21315) $1,799.88 $4,235 1.1×
Closed tx patellar dislocation w/o anesthesia (27560) $665.13 $1,565 2.6×
Closed tx radial head/neck fx w/o manipulation (24650) $238.85 $562 0.9×
Closed tx radial shaft fracture w/manipulation (25505) $1,759.08 $4,139 1.1×
Closed tx radial&ulnar shaft fractures w/manj (25565) $1,759.08 $4,139 1.1×
Closed Tx Scapular Fracture W/O Manipulation (23570) $226.95 $534 0.9×
Closed tx talotarsal joint dislc w/o anes (28570) $728.45 $1,714 2.9×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $274.13 $645 1.1×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,496.85 $3,522 0.9×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $250.75 $590 1.0×
Closed tx ulnar shaft fracture w/o manipulation (25530) $238.43 $561 0.9×
Clsd tx clavicular fracture w/o manipulation (23500) $221.85 $522 0.9×
Clsd tx pelvic ring fx w/o manipulation (27197) $164.90 $388 0.6×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,759.08 $4,139 1.1×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $654.38 $1,539.72 2.6×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $224.83 $529 0.9×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $1,688.53 $3,973 1.0×
Cltx dstl fibular fx lat malls w/manj (27788) $742.05 $1,746 2.9×
Cltx dstl fibular fx lat malls w/o manj (27786) $257.55 $606 1.0×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $563.98 $1,327 2.2×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $202.30 $476 0.8×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $264.74 $622.93 1.0×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,754.40 $4,128 1.1×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,759.08 $4,139 1.1×
Cltx fx grt toe phlx/phlg w/o manj (28490) $168.73 $397 0.7×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $501.93 $1,181 2.0×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $153 $360 0.6×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,759.08 $4,139 1.1×
Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) $260.95 $614 1.0×
Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) $1,759.08 $4,139 1.1×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $374.64 $881.50 1.5×
Cltx iphal jt dislc w/manj w/o anes (26770) $452.84 $1,065.50 1.8×
Cltx Medial Malleolus Fx W/O Manipulation (27760) $262.65 $618 1.0×
Cltx metacarpal fx w/manipulation each bone (26605) $432.86 $1,018.50 1.7×
Cltx metacarpal fx w/o manipulation each bone (26600) $252.88 $595 1.0×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $602.23 $1,417 2.4×
Cltx metatarsophlngl jt dislc w/o anes (28630) $395.68 $931 1.6×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $642.60 $1,512 2.5×
Cltx post hip arthrp dislc req anes (27266) $1,759.08 $4,139 1.1×
Cltx post hip arthrp dislc w/o anes (27265) $782.85 $1,842 3.1×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $665.13 $1,565 2.6×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,759.08 $4,139 1.1×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $293.25 $690 1.2×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $1,759.08 $4,139 1.1×
Collect Blood From Catheter Venous Nos (36592) $102 $240 0.7×
Colonoscopy flex w/blln dilat (45386) $1,412.28 $3,323 1.1×
Colonoscopy flex w/inj submuc (45381) $1,120.73 $2,637 0.9×
Colonoscopy flex w/rem forcep (45384) $1,120.73 $2,637 0.9×
Colonoscopy Flexible With Decompression - Colonoscopy (45393) $1,124.13 $2,645 0.9×
Colonoscopy w/ablation (45388) $1,124.13 $2,645 0.9×
Colonoscopy, flexible; with control of bleeding, any method (45382) $1,293.70 $3,044 1.0×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $213.78 $503 0.7×
Colposcopy cervix upper/adjacent vagina (57452) $149.60 $352 0.7×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $205.96 $484.60 0.7×
Colposcopy vulva (56820) $148.33 $349 0.7×
Colposcopy vulva w/biopsy (56821) $212.50 $500 0.7×
Colposcopy,Cervix W/Adj Vagina, Curettag (57456) $199.33 $469 0.6×
Complex Uroflowmetry (51741) $14.03 $33 0.1×
Conization of cervix (57522) $535.08 $1,259 0.2×
Contrast Inj Cent Ven Cath, Inc Flouro (36598) $646.85 $1,522 2.9×
Control Nasal Hemorrhage Anterior Complex (30903) $201.48 $474.06 1.5×
Control Nasal Hemorrhage Anterior Simple (30901) $150.70 $354.57 1.1×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,871.28 $4,403 1.1×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $284.60 $669.64 2.1×
Cysto calibration dilat urtl strix/stenosis (52281) $539.75 $1,270 0.3×
Cysto W/Simple Removal Stone & Stent (52310) $528.70 $1,244 0.2×
Cystometrogram w/vp (51728) $359.98 $847 0.5×
Cystometrogram W/Vp&Up (51729) $431.38 $1,015 0.6×
Cystourethroscopy (52000) $339.15 $798 0.5×
Cystourethroscopy inj chemodenervation bladder (52287) $626.88 $1,475 0.3×
Debride nail 1-5 (11720) $40.80 $96 0.7×
Debride nail 6 or more (11721) $48.88 $115 0.8×
Debride tissue/muscle (11043) $324.28 $763 0.4×
Debridement Mastoidectomy Cavity Cmplx (69222) $298.35 $702 0.5×
Debridement Mastoidectomy Cavity Simple (69220) $108.38 $255 0.5×
Debridement subcutaneous tissue 20 sq cm/< (11042) $185.73 $437 0.4×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $498.95 $1,174 0.3×
Declot vascular device (36593) $341.87 $804.40 1.0×
Destroy cerv/thor facet jnt (64633) $2,203.63 $5,185 1.1×
Destroy lumb/sac facet jnt (64635) $2,785.35 $6,553.75 1.4×
Destruction Benign Lesions 15/> (17111) $151.30 $356 0.7×
Destruction Benign Lesions Up To 14 (17110) $137.68 $323.96 0.7×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $1,543.82 $3,632.50 1.7×
Destruction Lesions Vulva Simple (56501) $338.30 $796 0.2×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $236.73 $557 1.1×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $258.83 $609 1.2×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $300.48 $707 0.7×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $161.50 $380 0.8×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $179.35 $422 0.9×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $155.98 $367 0.8×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $163.20 $384 0.8×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $172.55 $406 0.8×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $127.50 $300 0.6×
Destruction Premalignant Lesion 15/> (17004) $227.38 $535 0.5×
Destruction premalignant lesion 1st (17000) $96.05 $226 0.5×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $989.40 $2,328 1.4×
Diagnostic sigmoidoscopy (45330) $860.20 $2,024 0.9×
Drain/inj small joint/bursa w/us (20604) $124.44 $292.80 0.4×
Drainage Finger Abscess Simple (26010) $254.15 $598 1.2×
Drainage Mouth Roof Lesion (42000) $381.65 $898 1.6×
Drainage of gum lesion (41800) $205.70 $484 1.5×
Drainage of hematoma/fluid (10140) $1,816.67 $4,274.50 1.1×
Drainage of hydrocele (55000) $197.20 $464 0.3×
Drainage of scrotal wall abscess (55100) $1,112.44 $2,617.50 0.7×
Draw blood off venous device (36591) $51.86 $122.04 0.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $313.23 $737 1.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $216.42 $509.22 1.0×
Dstrj lesion anus simple surg excision (46922) $546.55 $1,286 0.2×
Dstrj Lesion Penis Simple Cryosurgery (54056) $158.10 $372 0.8×
Dx bone marrow bx & aspir (38222) $316.20 $744 0.1×
Egd balloon dilation esophagus <30 mm diam (43249) $1,883.34 $4,431.36 1.0×
Egd control bleeding any (43255) $1,887.43 $4,441 1.0×
Egd flexible foreign body removal (43247) $1,226.13 $2,885 1.3×
Egd place gastrostomy tube (43246) $1,887.43 $4,441 1.0×
EMG stds anal/urtl sphnctr oth/thn ndl (51784) $111.78 $263 0.8×
Endocervical Curettage (57505) $251.60 $592 0.3×
Endometrial Biopsy (58100) $174.04 $409.50 0.8×
Endoven ther chem adhes 1st (36482) $6,300.63 $14,825 1.1×
Evacuation of subungual hematoma (11740) $142.80 $336 1.0×
Exc arm/elbow les sc < 3 cm (24075) $775.63 $1,825 0.5×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $208.25 $490 0.3×
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) $227.80 $536 0.1×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $349.35 $822 0.2×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $395.25 $930 0.2×
Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) $264.78 $623 0.4×
Exc back les sc < 3 cm (21930) $739.50 $1,740 0.4×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $223.12 $525 0.3×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $384.63 $905 0.2×
Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) $393.55 $926 0.1×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $250.75 $590 0.3×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $215.05 $506 0.5×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $297.03 $698.89 0.4×
Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) $462.83 $1,089 0.3×
Exc Skin Benig >4 Cm Remaindr Body (11426) $569.50 $1,340 0.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $512.55 $1,206 0.3×
Exc Skin Malig >4 Cm Face,Facial (11646) $824.50 $1,940 0.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $672.78 $1,583 0.4×
Exc thigh/knee les sc 3 cm/> (27337) $708.05 $1,666 0.2×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $378.88 $891.46 0.2×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $686.80 $1,616 0.2×
Excise pharynx lesion (42808) $399.93 $941 0.1×
Excise/repair mouth lesion (40812) $458.15 $1,078 0.3×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $329.80 $776 0.5×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $288.58 $679 0.7×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $382.08 $899 0.5×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $412.68 $971 0.6×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $301.75 $710 0.4×
Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) $339.15 $798 0.5×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $370.60 $872 0.5×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $506.18 $1,191 0.3×
Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) $600.95 $1,414 0.4×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $354.88 $835 0.5×
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) $480.25 $1,130 0.3×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $535.50 $1,260 0.3×
Excision Multiple External Papillae/Tags Anus (46230) $542.73 $1,277 0.2×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $267.75 $630 0.4×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $291.13 $685 0.4×
Excision of lesion of tongue without closure (41110) $416.08 $979 0.1×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $311.10 $732 0.2×
Excision of single external papilla or tag, anus (46220) $1,573.35 $3,702 1.3×
Excision of thrombosed hemorrhoid, external (46320) $1,289.56 $3,034.25 1.0×
Excision of tongue lesion (41112) $592.45 $1,394 0.2×
Excision of vaginal cyst or tumor (57135) $445.83 $1,049 0.1×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $646.85 $1,522 0.4×
Excision tumor soft tissue thigh/knee subq <3cm (27327) $739.50 $1,740 0.4×
Excision, nasal polyp(s), simple Facility (30110) $413.53 $973 0.3×
Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) $541.88 $1,275 0.3×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $583.95 $1,374 0.3×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $692.75 $1,630 0.2×
Excision/destruction intranasal lesion int appr (30117) $1,426.73 $3,357 0.4×
External cephalic version (59412) $3,271.23 $7,697 1.0×
Fetal non-stress test (59025) $289.43 $681 1.4×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $818.98 $1,927 1.1×
Fine needle aspiration without imaging guidance (10021) $155.98 $367 0.4×
Fit/Insert Intravag Support Device (57160) $104.98 $247 0.5×
Fluid pressure muscle (20950) $759.90 $1,788 1.0×
Fluoro exam of g/colon tube (49465) $598.83 $1,409 2.4×
Foreskin manipulation (54450) $560.58 $1,319 2.2×
Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) $2,652 $6,240 0.9×
I&D Abscess Peritonsillar (42700) $381.65 $898 1.6×
I&d abscess simple (10060) $225.34 $530.21 1.1×
I&D Deep Absc/Hematoma Neck/Chest (21501) $3,167.10 $7,452 1.1×
I&d pilonidal cyst simple (10080) $530.62 $1,248.50 0.7×
I&D Vaginal Hematoma Obstetrical/Postpartum (57022) $3,757.85 $8,842 1.3×
I&d vulva/perineal abscess (56405) $349.78 $823 1.1×
Image Cath Fluid Peri/Retro (49406) $1,838.55 $4,326 1.1×
Incise external hemorrhoid (46083) $264.14 $621.50 1.0×
Incision & drainage abscess complicated/multiple (10061) $433.43 $1,019.83 1.0×
Incision & drainage pilonidal cyst complicated (10081) $1,524.05 $3,586 2.1×
Incision & removal foreign body subq tiss compl (10121) $436.48 $1,027 0.3×
Incision & removal foreign body subq tiss simple (10120) $421.39 $991.50 1.0×
Incision and drainage perianal abscess superficial (46050) $611.36 $1,438.50 0.6×
Incision of eardrum (69420) $204.85 $482 0.8×
Incision of lingual frenum (frenotomy) (41010) $368.90 $868 0.2×
Incision of rectal abscess (46040) $1,902.73 $4,477 1.5×
Incisional biopsy skin single lesion (11106) $236.98 $557.60 0.3×
Inj paravert f jnt c/t 1 lev (64490) $1,543.82 $3,632.50 1.7×
Inj tendon sheath/ligament (20550) $116.35 $273.75 0.4×
Inj therapeutic carpal tunnel (20526) $123.68 $291 0.4×
Inj,Anes Agent,Brachial Plexus,Single (64415) $1,291.58 $3,039 1.4×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,219.75 $2,870 1.3×
Inject Nerv Blck,Intercostal,One (64420) $792.20 $1,864 1.1×
Inject Tendon Origin/Insert (20551) $91.91 $216.25 0.3×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,410.15 $3,318 1.9×
Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) $1,290.21 $3,035.78 1.8×
Injection aa&/strd pudendal nerve (64430) $1,092.68 $2,571 1.2×
Injection aa&/strd trigeminal nerve each branch (64400) $663 $1,560 2.1×
Injection Anes Agent Sphenopalatine Ganglion (64505) $395.78 $931.25 1.2×
Injection anesthetic agent femoral nerve single (64447) $827.05 $1,946 1.1×
Injection for identification of sentinel node (38792) $467.08 $1,099 1.1×
Injection into skin lesions (11900) $85 $200 0.4×
Injection single/mlt trigger point 1/2 muscles (20552) $316.24 $744.10 1.0×
Injection single/mlt trigger point 3/> muscles (20553) $287.30 $676 0.9×
Injection, anesthetic agent; vagus nerve (64408) $123.68 $291 0.4×
Insert Bladder Cath Complex (51703) $150.60 $354.33 1.1×
Insert cath pleura w/o image (32556) $1,887.43 $4,441 1.0×
Insert Drug Implant Device (11981) $108.05 $254.22 0.8×
Insert non-tunnel cv cath (36556) $2,194.36 $5,163.18 0.7×
Insert Temp Bladder Cath (51702) $143.23 $337.01 1.0×
Insert,Non-Indwelling Bladder Catheter (51701) $103.70 $244 0.8×
Insj picc rs&i 5 yr+ (36573) $1,824.53 $4,293 1.1×
Int hrhc by ligation single hroid w/o img gdn (46945) $2,784.60 $6,552 1.0×
Intraoral i&d tongue/floor lingual (41000) $646.85 $1,522 1.2×
Intro Gastrointestinal Tube (44500) $847.88 $1,995 0.9×
Intubation endotracheal emergency procedure (31500) $357.84 $841.98 1.5×
Irrigation of corpora cavernosa for priapism (54220) $312.38 $735 1.2×
Laryngoscopy flexible diagnostic (31575) $150.03 $353 0.7×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $447.95 $1,054 0.2×
Ligation of hemorrhoid(s) (46221) $637.92 $1,501 0.7×
Liver Biopsy (47000) $1,388.90 $3,268 0.8×
Myelography Lumbar Injection (62304) $766.70 $1,804 0.9×
Myelography Via Lumbar Injection Rs&I Cervical (62302) $766.70 $1,804 0.9×
Myelography via lumbar injection rs&i thoracic (62303) $798.15 $1,878 1.0×
N Block Inj Ilio-Ing/Hypogi (64425) $1,115.63 $2,625 1.5×
N Block Inj, Plantar Digit (64455) $102 $240 0.3×
Nasal endoscopy dx (31231) $184.92 $435.10 0.9×
Nasal surgery procedure (30999) $2,600.15 $6,118 10.6×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $420.75 $990 0.2×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
unusually low: confirm this is the full procedure
$2,600.15 $6,118 0.4×
Njx aa&/strd sciatic nerve (64445) $961.78 $2,263 1.3×
Njx c/p/a cavernosa w/pharmacologic agt (54235) $126.23 $297 0.5×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,660.19 $3,906.32 1.8×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $753.53 $1,773 1.0×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $796.88 $1,875 1.1×
Occipital Nerve Block (64405) $1,080.56 $2,542.50 3.4×
Open Tx Distal Phalangeal Fracture Each (26765) $3,649.05 $8,586 1.1×
Partical Excision Bone Phalanx Toe (28124) $787.53 $1,853 0.2×
Perq dev breast 1st strtctc (19283) $773.08 $1,819 1.1×
Perq dev breast 1st us imag (19285) $773.08 $1,819 1.1×
Perq device breast 1st imag (19281) $916.30 $2,156 0.5×
Perq replacement gtube not req revj gstrst trc (43762) $290.54 $683.60 1.1×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $8,109 $19,080 1.1×
Perq Vertebral Augmentation (22513) $8,109 $19,080 1.1×
Placement of needle for intraosseous infusion (36680) $438.60 $1,032 1.0×
Post Tibial Neurostimulation,Perc Needle Electrode (64566) $161.16 $379.18 0.5×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $2,784.60 $6,552 1.0×
Punch biopsy skin single lesion (11104) $183.60 $432 0.4×
Puncture Aspiration Cyst Breast (19000) $472.39 $1,111.50 0.6×
Puncture aspiration of abscess hematoma bulla or cyst (10160) $368.90 $868 0.9×
Removal foreign body foot deep (28192) $677.45 $1,594 0.4×
Removal foreign body foot subcutaneous (28190) $341.28 $803 0.5×
Removal foreign body intranasal (30300) $374.85 $882 2.7×
Removal foreign body pharynx (42809) $672.35 $1,582 1.5×
Removal impacted cerumen irrigation/lvg unilat (69209) $44.63 $105 0.7×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $76.98 $181.11 1.3×
Removal of arm foreign body (24200) $367.63 $865 0.2×
Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) $1,120.73 $2,637 0.9×
Removal of foreign body, external eye; corneal, without slit lamp (65220) $337.45 $794 0.7×
Removal of iud (58301) $158.68 $373.36 0.5×
Removal of nail bed (11750) $216.33 $509 0.5×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $119.43 $281 0.6×
Removal subcutaneous cardiac rhythm monitor (33286) $215.05 $506 0.3×
Remove anal fist subq (46270) $867.43 $2,041 0.3×
Remove drug implant device (11982) $169.58 $399 0.4×
Remove ext hem groups 2+ (46250) $1,820.28 $4,283 0.6×
Remove/Insert Drug Implant (11983) $215.37 $506.75 0.5×
Remv Ext Canal Foreign Body (69200) $113.69 $267.50 0.8×
Remv F.B.,Eye,Superf Conjunc (65205) $139.40 $328 1.0×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $680.43 $1,601 0.9×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $712.30 $1,676 0.9×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $716.98 $1,687 1.7×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $672.35 $1,582 1.6×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $712.30 $1,676 1.7×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $416.08 $979 1.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $386.54 $909.50 0.9×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $473.88 $1,115 1.1×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $579.28 $1,363 1.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $441.36 $1,038.50 1.1×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $489.39 $1,151.50 1.2×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $712.30 $1,676 0.9×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $726.75 $1,710 1.7×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $390.79 $919.50 0.9×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $327.68 $771 0.8×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $544.57 $1,281.33 1.3×
Repair of nail bed (11760) $712.30 $1,676 0.9×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $283.05 $666 0.3×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $144.08 $339 1.0×
Rmvl foreign body muscle/tendon sheath deep/comp (20525) $770.95 $1,814 0.3×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $377.40 $888 0.2×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $855.95 $2,014 1.3×
Rplj Dgt Excluding Thmb Sublimis Tdn Compl Amp (20822) $4,759.15 $11,198 2.9×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $818.12 $1,925 1.5×
Rpr Lip Full Thickness Vermilion Only (40650) $801.98 $1,887 1.4×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,122 $2,640 0.9×
Shave skin lesion 0.5 cm/< (11300) $155.55 $366 0.4×
Shave skin lesion 0.5 cm/< (11305) $132.18 $311 0.6×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $141.10 $332 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $145.78 $343 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $157.25 $370 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $206.13 $485 0.5×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $155.55 $366 0.8×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $215.90 $508 0.5×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $144.93 $341 0.7×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $211.23 $497 0.5×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $155.13 $365 0.7×
Sigmoidoscopy w/biopsy (45331) $1,200.20 $2,824 1.3×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $193.81 $456.02 0.9×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $257.36 $605.53 1.2×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $258.40 $608 1.2×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $273.70 $644 1.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $230.49 $542.32 1.1×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $258.40 $608 1.2×
Skin sub graft face/nk/hf/g (15275) $280.24 $659.36 0.4×
Skin sub graft trnk/arm/leg (15271) $272.43 $641 0.4×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $256.42 $603.34 1.2×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $436.90 $1,028 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $426.49 $1,003.50 1.0×
Spinal puncture lumbar diagnostic (62270) $790.10 $1,859.06 1.1×
Strapping unna boot (29580) $85.85 $202 0.5×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $525.30 $1,236 0.2×
Tangential biopsy skin single lesion (11102) $128.92 $303.32 0.3×
Tenotomy Percutaneous Toe Single Tendon (28010) $388.45 $914 0.2×
Thoracentesis needle/cath pleura w/o imaging (32554) $918 $2,160 1.4×
Throat Surgery Procedure (42999) $485.78 $1,143 2.0×
Thrombolytic Therapy Stroke (37195) $593.40 $1,396.22 1.7×
Treat humerus fracture (24500) $272.85 $642 1.1×
Treat humerus fracture (23600) $257.98 $607 1.0×
Treat Thigh Fracture (27246) $284.33 $669 1.1×
Treat Thumb Fx/Disloc,Manip (26645) $1,572.08 $3,699 0.9×
Treat wrist bone fracture (25622) $255.43 $601 1.0×
Treat Wrist Bone Fracture (25630) $256.28 $603 1.0×
Treatment closed elbow dislocation w/o anes (24600) $665.13 $1,565 2.6×
Trim skin lesion (11055) $101.16 $238.03 0.5×
Trim skin lesions 2 to 4 (11056) $111.36 $262.04 0.5×
Trim skin lesions over 4 (11057) $118.15 $278 0.6×
Trimming Of Nondystrophic Nails, Any Number (11719) $76.72 $180.50 1.3×
Tube thoracostomy includes water seal (32551) $1,560.78 $3,672.42 1.0×
Tx Superficial Wound Dehiscence Simple Closure (12020) $551.02 $1,296.50 0.7×
Tympanostomy (69433) $355.41 $836.25 0.6×
Unlisted procedure anus (46999) $960.72 $2,260.50 1.0×
Unlisted procedure nervous system (64999) $459.64 $1,081.50 1.5×
Unlisted procedure, stomach (43999) $330.23 $777 0.4×
Urine flow measurement (51736) $12.75 $30 0.1×
Us urine capacity measure (51798) $52.28 $123.02 0.9×
Vasectomy uni/bi spx w/postop semen exams (55250) $549.95 $1,294 0.3×
Venipuncture (36415) $19.98 $47 2.1×
Wedge excision skin nail fold (11765) $306.43 $721 0.7×