Procedures & surgery prices at Gundersen St. Josephs Hospital and Clinics

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

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $175.68 $334 0.2×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $214.61 $408 0.2×
Acne surgery (10040) $72.06 $137 0.4×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $875.26 $1,664 0.4×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $3,151.79 $5,992 1.0×
Anoscopy diagnostic (46600) $99.94 $190 0.8×
Application cast elbow finger short arm (29075) $124.66 $237 0.5×
Application Cast Finger (29086) $55.76 $106 0.4×
Application Finger Splint Dynamic (29131) $122.03 $232 2.1×
Application finger splint static (29130) $115.19 $219 0.9×
Application long arm splint shoulder hand (29105) $231.44 $440 1.5×
Application Long Leg Splint (29505) $223.02 $424 1.4×
Application of long leg cast (29345) $115.19 $219 0.4×
Application of rigid total contact leg cast (29445) $243.54 $463 0.9×
Application Short Arm Splint Dynamic (29126) $105.20 $200 0.8×
Application short arm splint forearm-hand static (29125) $76.80 $146 0.6×
Application short leg splint calf foot (29515) $41.03 $78 0.3×
Apply hand/wrist cast (29085) $127.82 $243 0.8×
Apply long arm cast (29065) $130.45 $248 0.5×
Apply Multlay Comprs Lwr Leg (29581) $131.50 $250 0.8×
Apply Short Leg Cast (29405) $96.26 $183 0.4×
Apply short leg cast (29425) $96.78 $184 0.4×
Arterial puncture (36600) $147.81 $281 1.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $108.88 $207 0.4×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $49.97 $95 0.2×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $246.69 $469 0.8×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $107.83 $205 0.4×
Aspirate Pleura W/O Imaging (32554) $394.50 $750 0.6×
Aspirate/Inj Ganglion Cyst (20612) $109.41 $208 0.4×
Aspiration bladder insert suprapubic catheter (51102) $1,684.25 $3,202 0.8×
Avulsion nail plate partial/complete simple 1 (11730) $72.59 $138 0.4×
Biopsy External Auditory Canal (69105) $192.52 $366 0.1×
Biopsy external ear (69100) $83.63 $159 0.4×
Biopsy of floor of mouth (41108) $124.66 $237 0.1×
Biopsy of lip (40490) $169.37 $322 0.7×
Biopsy of palate, uvula (42100) $86.79 $165 0.1×
Biopsy of penis (54100)
range across 2 matching MRF lines
$286.14–$414.49 $544–$788 varies
Biopsy Salivary Gland Incisional (42405) $732.19 $1,392 0.5×
Biopsy Tongue Anterior Two-Thirds (41100) $298.24 $567 0.6×
Biopsy Tongue Posterior One-Third (41105) $305.08 $580 0.1×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $181.47 $345 0.2×
Biopsy, vestibule of mouth (40808) $178.84 $340 0.3×
Bladder Irrigation (51700) $264.05 $502 1.1×
Bladder Scan (51798) $124.66 $237 2.2×
Blood Transfusion Service (36430)
range across 7 matching MRF lines
$370.30–$1,046.21 $704–$1,989 varies
Bone Marrow Biopsy (38221) $572.29 $1,088 0.4×
Bone Marrow; Aspiration Only (38220) $640.14 $1,217 0.4×
Bx breast 1st lesion us imag (19083) $1,361.81 $2,589 0.8×
Bx breast needle core w/o imaging guidance spx (19100) $1,551.70 $2,950 1.0×
Bx Cervix (57500) $265.63 $505 0.3×
Catheter aspiration nasotracheal spx (31720) $173.58 $330 0.8×
Change Cystostomy Tube Simple (51705) $330.85 $629 1.4×
Chemical Cautery Tissue (17250) $72.59 $138 0.4×
Chemodenerv Eccrine Glands (64650) $108.88 $207 0.4×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $252.48 $480 0.8×
Chest tube placement (32551) $1,699.51 $3,231 1.1×
Clear outer ear canal (69200) $46.29 $88 0.4×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $443.42 $843 1.9×
Closed Treatment Sesamoid Fracture (28530) $348.74 $663 1.5×
Closed Treatment Ulnar Styloid Fracture (25650) $271.94 $517 1.1×
Closed tx ankle dislocation w/o anesthesia (27840) $484.45 $921 2.0×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,239.78 $2,357 0.8×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $229.86 $437 1.0×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $448.15 $852 1.9×
Closed tx carpal scaphoid fracture w/manj (25624) $564.92 $1,074 0.4×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $330.33 $628 1.4×
Closed tx metatarsal fracture w/o manipulation (28470) $390.82 $743 1.6×
Closed tx patellar dislocation w/anesthesia (27562) $533.36 $1,014 2.2×
Closed tx patellar dislocation w/o anesthesia (27560) $833.71 $1,585 3.5×
Closed Tx Patellar Fracture W/O Manipulation (27520) $442.89 $842 1.8×
Closed tx radial head/neck fx w/manipulation (24655) $564.40 $1,073 0.4×
Closed tx radial head/neck fx w/o manipulation (24650) $200.41 $381 0.8×
Closed tx radial shaft fracture w/manipulation (25505) $564.92 $1,074 0.4×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $232.49 $442 1.0×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $565.45 $1,075 0.4×
Closed tx radial&ulnar shaft fractures w/o man (25560) $231.44 $440 1.0×
Closed Tx Scapular Fracture W/O Manipulation (23570) $222.50 $423 0.9×
Closed tx talotarsal joint dislc w/o anes (28570) $432.37 $822 1.8×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $163.06 $310 0.7×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $564.92 $1,074 0.4×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $219.87 $418 0.9×
Closed tx ulnar shaft fracture w/o manipulation (25530) $218.29 $415 0.9×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $249.85 $475 1.0×
Clsd tx clavicular fracture w/o manipulation (23500) $696.42 $1,324 2.9×
Clsd tx shoulder dislc w/manipulation req anes (23655) $847.91 $1,612 0.5×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $930.49 $1,769 3.9×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $200.41 $381 0.8×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $259.32 $493 1.1×
Cltx dstl fibular fx lat malls w/manj (27788) $559.66 $1,064 2.3×
Cltx dstl fibular fx lat malls w/o manj (27786) $604.37 $1,149 2.5×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $226.71 $431 0.9×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $155.17 $295 0.6×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $378.72 $720 1.6×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $673.81 $1,281 0.4×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,489.63 $2,832 1.0×
Cltx fx grt toe phlx/phlg w/o manj (28490) $265.10 $504 1.1×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $369.78 $703 1.5×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $396.08 $753 1.7×
Cltx greater humeral tuberosity fx w/o manj (23620) $209.87 $399 0.9×
Cltx hip dislocation traumatic req anesthesia (27252) $1,239.78 $2,357 0.8×
Cltx hip dislocation traumatic w/o anesthesia (27250) $893.67 $1,699 3.7×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $581.23 $1,105 2.4×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $207.77 $395 0.9×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $312.97 $595 1.2×
Cltx iphal jt dislc w/manj w/o anes (26770) $249.85 $475 1.0×
Cltx Med Ankle Fx W/Mnpj (27762) $547.57 $1,041 0.4×
Cltx metacarpal fx w/manipulation each bone (26605) $244.06 $464 1.0×
Cltx metacarpal fx w/o manipulation each bone (26600) $233.54 $444 1.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $251.43 $478 1.0×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $154.12 $293 0.6×
Cltx post hip arthrp dislc req anes (27266) $1,209.80 $2,300 0.8×
Cltx post hip arthrp dislc w/o anes (27265) $641.19 $1,219 2.7×
Cltx prox fibula/shft fx w/o manj (27780) $268.26 $510 1.1×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $355.05 $675 0.2×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $232.49 $442 1.0×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $677.49 $1,288 0.4×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $708 $1,346 0.5×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $443.94 $844 1.9×
Cltx tibial fx proximal w/o manipulation (27530) $201.98 $384 0.8×
Cltx tibial shaft fx w/o manipulation (27750) $264.58 $503 1.1×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,239.78 $2,357 0.8×
Cltx trimalleolar ankle fx w/o manipulation (27816) $701.68 $1,334 2.9×
Collect Blood From Catheter Venous Nos (36592) $113.09 $215 0.9×
Collection of venous blood by venipuncture (36415) $24.72 $47 2.6×
Colonoscopy W/Band Ligation (45398) $1,620.08 $3,080 1.4×
Colonoscopy w/submucosal inj (45381) $1,620.08 $3,080 1.4×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $155.17 $295 0.5×
Colposcopy Cervix Endocervical Curettage (57456) $305.61 $581 1.0×
Colposcopy cervix upper/adjacent vagina (57452) $429.22 $816 2.2×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $300.87 $572 1.0×
Colposcopy cervix vag eltrd conization cervix (57461) $1,692.67 $3,218 0.5×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $1,692.67 $3,218 0.5×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $1,620.08 $3,080 1.4×
Conization cervix w/wo d&c rpr eltrd exc (57522) $1,561.69 $2,969 0.5×
Conization of cervix (57520) $1,211.90 $2,304 0.4×
Control Nasal Hemorrhage Anterior Complex (30903) $133.08 $253 1.0×
Control Nasal Hemorrhage Anterior Simple (30901) $98.36 $187 0.8×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,415.47 $2,691 0.9×
Correction of trichiasis; epilation, by forceps only (67820) $48.92 $93 0.4×
Create Eardrum Opening (69433) $515.48 $980 1.0×
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $47.87 $91 0.8×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $206.19 $392 1.6×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $203.04 $386 0.9×
Cysto calibration dilat urtl strix/stenosis (52281) $722.20 $1,373 0.4×
Cysto w/removal of lesions small (52224) $2,220.77 $4,222 0.6×
Cysto W/Simple Removal Stone & Stent (52310) $741.13 $1,409 0.4×
Cystourethroscopy (52000) $611.74 $1,163 0.9×
Cystourethroscopy with biopsy (52204) $901.04 $1,713 0.4×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $205.67 $391 0.5×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $632.78 $1,203 0.9×
Deb Musc/Fascia 20 Sq Cm/< (11043) $264.58 $503 0.4×
Debride nail 1-5 (11720) $47.34 $90 0.8×
Debride nail 6 or more (11721) $83.63 $159 1.5×
Debridement Mastoidectomy Cavity Cmplx (69222) $246.17 $468 0.5×
Debridement Mastoidectomy Cavity Simple (69220) $135.18 $257 0.7×
Debridement subcutaneous tissue 20 sq cm/< (11042) $160.96 $306 0.4×
Declot vascular device (36593) $130.97 $249 0.4×
Delivery of placenta (59414) $1,563.27 $2,972 0.5×
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines
$62.59–$124.66 $119–$237 varies
Destruction Benign Lesions 15/> (17111) $72.59 $138 0.4×
Destruction Internal Hemorrhoid Thermal Energy (46930) $983.09 $1,869 0.8×
Destruction Lesions Vulva Simple (56501) $677.49 $1,288 0.3×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $199.35 $379 1.0×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $107.83 $205 0.6×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $194.09 $369 1.0×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $139.92 $266 0.7×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $150.44 $286 0.4×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $231.97 $441 1.2×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $175.68 $334 0.9×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $269.84 $513 0.7×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $97.31 $185 0.5×
Destruction Premalignant Lesion 15/> (17004) $163.06 $310 0.4×
Destruction premalignant lesion 1st (17000) $78.90 $150 0.4×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $259.32 $493 2.1×
Dilate Urethra Stricture (53620) $384.51 $731 0.6×
Dilate Urethra Stricture (53600) $210.93 $401 0.9×
Drainage External Ear Abscess/Hematoma Simple (69000) $254.06 $483 0.4×
Drainage of eye (65800) $1,204.54 $2,290 0.5×
Drainage of finger abscess simple (26010) $114.14 $217 0.6×
Drainage of gum lesion (41800) $225.13 $428 1.7×
Drainage of hematoma/fluid (10140) $577.02 $1,097 0.4×
Drainage of scrotum (54700) $739.03 $1,405 0.4×
Draw Blood Off Venous Device (36591) $105.20 $200 0.8×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $335.06 $637 0.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $564.40 $1,073 1.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $233.54 $444 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $123.08 $234 0.6×
Dstrj Lesion Penis Simple Cryosurgery (54056) $131.50 $250 0.7×
Dx Laryngoscopy Excl Nb (31525) $894.20 $1,700 0.5×
Egd Balloon Dil Esoph30 Mm/> (43233) $1,620.08 $3,080 0.9×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $1,620.08 $3,080 0.9×
Egd Flexible Foreign Body Removal (43247) $1,620.08 $3,080 1.8×
Egd Partial/Compl Esophagogastric Fundoplasty (43210)
likely a partial charge, not the full procedure
$787.95 $1,498 0.1×
Egd Tube/Cath Insertion (43241) $1,620.08 $3,080 0.9×
Endocervical curettage (57505) $265.63 $505 0.3×
Endometrial Biopsy (58100) $107.30 $204 0.5×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $2,165.02 $4,116 0.7×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $2,807.26 $5,337 0.9×
Epidural Blood Patch (62273) $875.26 $1,664 1.3×
Esophagoscopy Flexible Transoral Diagnostic (43200) $1,620.08 $3,080 1.8×
Evacuation of subungual hematoma (11740) $46.29 $88 0.4×
Exc arm/elbow les sc < 3 cm (24075) $1,382.33 $2,628 0.9×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $254.06 $483 0.4×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $522.84 $994 0.3×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $372.93 $709 0.5×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $491.81 $935 0.7×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $729.04 $1,386 0.5×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $254.06 $483 0.4×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $372.93 $709 0.5×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $491.81 $935 0.7×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $610.69 $1,161 0.4×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $729.04 $1,386 0.5×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $74.17 $141 0.0×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $226.18 $430 0.3×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $374.51 $712 0.2×
Exc Hand Les Sc < 1.5 Cm (26115) $732.19 $1,392 0.5×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $412.91 $785 0.6×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $670.12 $1,274 0.4×
Exc Skin Benig >4 Cm Remaindr Body (11426) $966.79 $1,838 0.3×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $572.29 $1,088 0.4×
Exc Skin Benig >4cm Face,Facial (11446) $966.26 $1,837 0.3×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $769.54 $1,463 0.5×
Exc Skin Malig >4 Cm Remaindr Body (11626) $965.74 $1,836 0.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $572.29 $1,088 0.4×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $412.38 $784 0.4×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $306.66 $583 0.8×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $360.31 $685 0.5×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $466.04 $886 0.3×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $966.79 $1,838 0.3×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $1,414.41 $2,689 0.5×
Excis Mouth Mucosa/Sub,No Repair (40810) $190.41 $362 0.1×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $1,260.82 $2,397 0.8×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $412.91 $785 0.6×
Excision Chalazion Multiple Same Lid (67801) $336.11 $639 0.3×
Excision Chalazion Single (67800) $113.09 $215 0.4×
Excision lesion mouth roof (42104) $186.20 $354 0.1×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $254.06 $483 0.4×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $306.66 $583 0.4×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $360.31 $685 0.9×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $466.04 $886 0.7×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $254.06 $483 0.4×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $610.69 $1,161 0.4×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $966.26 $1,837 0.3×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $575.44 $1,094 0.4×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $638.04 $1,213 0.9×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $703.79 $1,338 1.0×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $835.29 $1,588 0.5×
Excision of chalazion; multiple, different lids (67805) $149.38 $284 0.5×
Excision of pilonidal cyst or sinus; simple (11770) $612.26 $1,164 0.2×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $787.42 $1,497 0.5×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $571.76 $1,087 0.4×
Excision/destruction intranasal lesion int appr (30117) $1,652.17 $3,141 0.5×
Exploration penetrating wound spx extremity (20103) $901.04 $1,713 0.6×
Eye Surg Ant Sgmt Proc Unlisted (66999)
range across 2 matching MRF lines
$520.74–$1,041.48 $990–$1,980 varies
Fasciotomy palmar percutaneous (26040) $1,031.49 $1,961 0.7×
Fetal non-stress test (59025) $292.46 $556 1.5×
Fine needle aspiration without imaging guidance (10021) $133.60 $254 0.3×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $1,834.16 $3,487 0.9×
Hem vw factor&clgn iii bndg (0279U) $63.65 $121 5.5×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $226.71 $431 0.3×
I&d abscess simple (10060) $112.56 $214 0.6×
I&d pilonidal cyst complicated (10081) $525.47 $999 0.8×
I&d pilonidal cyst simple (10080) $276.68 $526 0.4×
Implant eye drug system (67027) $16,598.46 $31,556 1.2×
Incise external hemorrhoid (46083) $183.57 $349 0.8×
Incise finger tendon sheath (26055) $714.31 $1,358 0.5×
Incision & drainage abscess complicated/multiple (10061) $162.01 $308 0.4×
Incision & removal foreign body subq tiss compl (10121) $573.34 $1,090 0.4×
Incision & removal foreign body subq tiss simple (10120) $160.43 $305 0.4×
Incision and drainage of bartholin's gland abscess (56420) $304.03 $578 1.5×
Incision and drainage of vulva or perineal abscess (56405) $454.99 $865 1.5×
Incision of eardrum (69420) $457.09 $869 2.0×
Incision of rectal abscess (46040) $1,189.81 $2,262 1.0×
Incision of urethra (53020) $1,736.85 $3,302 0.9×
Incisional biopsy eyelid skin & lid margin (67810) $182 $346 0.6×
Incisional biopsy skin single lesion (11106) $142.55 $271 0.2×
Initial Tx 1st Degree Burn Local Tx (16000) $183.57 $349 0.9×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $460.78 $876 0.5×
Inject Intravitreal Pharmcologic (67028) $443.42 $843 1.4×
Injection 1 tendon sheath/ligament aponeurosis (20550) $108.88 $207 0.4×
Injection aa&/strd axillary nerve w/img gdn (64417) $641.19 $1,219 0.7×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,207.17 $2,295 1.4×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $403.97 $768 0.6×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $508.12 $966 0.7×
Injection enzyme palmar fascial cord (20527) $105.20 $200 0.4×
Injection for identification of sentinel node (38792) $419.75 $798 1.1×
Injection medication/other subst tenon capsule (67515) $82.06 $156 0.3×
Injection single tendon origin/insertion (20551) $164.11 $312 0.6×
Injection single/mlt trigger point 1/2 muscles (20552) $108.88 $207 0.4×
Injection single/mlt trigger point 3/> muscles (20553) $109.41 $208 0.4×
Injection therapeutic carpal tunnel (20526) $109.41 $208 0.4×
Injection Turbinate Therapeutic (30200) $62.59 $119 0.1×
Injection, anesthetic agent; brachial plexus, single (64415) $238.28 $453 0.3×
Injection, anesthetic agent; femoral nerve, single (64447) $640.14 $1,217 0.9×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $197.25 $375 0.3×
Injection, Intralesional; More Than 7 Lesions (11901) $72.59 $138 0.4×
Injection, intralesional; up to and including 7 lesions (11900) $73.11 $139 0.4×
Insert Bladder Cath Complex (51703) $385.56 $733 3.1×
Insert Drug Implant Device (11981) $125.19 $238 1.0×
Insert non-tunnel cv cath (36556) $2,572.67 $4,891 0.8×
Insert pessary/other device (57160) $52.60 $100 0.3×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $540.20 $1,027 0.4×
Insert Temp Bladder Cath (51702) $252.48 $480 2.0×
Insert,Non-Indwelling Bladder Catheter (51701) $62.59 $119 0.5×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $540.20 $1,027 0.4×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $412.38 $784 1.0×
Intranasal Biopsy (30100) $561.77 $1,068 0.4×
Intubation endotracheal emergency procedure (31500) $587.54 $1,117 2.6×
Iridotomy/irridectomy laser surg per session (66761) $690.64 $1,313 1.3×
Labyrinthotomy Transcanal (69801) $1,028.33 $1,955 0.7×
Laryngoscopy flexible diagnostic (31575) $209.87 $399 1.1×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $312.44 $594 0.8×
Manipulation, finger joint, under anesthesia, each joint (26340) $564.40 $1,073 0.4×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $560.72 $1,066 0.4×
Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) $605.95 $1,152 0.8×
N Block Inj Ilio-Ing/Hypogi (64425) $210.40 $400 0.3×
N block inj intercost sng (64420) $686.43 $1,305 1.0×
N Block Inj Plantar Digit (64455) $162.53 $309 0.5×
Nasal Endoscopy Dx (31231) $318.23 $605 1.6×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $440.79 $838 0.3×
Needle Biopsy Lymph Nodes (38505) $909.45 $1,729 0.6×
Needle insertion w/o injection 1 or 2 muscles (20560) $13.15 $25 0.5×
Needle insertion w/o injection 3 or more muscles (20561) $16.83 $32 0.6×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,370.23 $2,605 3.3×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $402.92 $766 1.4×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $501.80 $954 0.6×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $843.18 $1,603 1.2×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $988.35 $1,879 1.4×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $302.45 $575 0.4×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $408.18 $776 0.6×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $734.30 $1,396 1.1×
Njx Sclrsnt 1 Incmptnt Vein (36470) $81.53 $155 0.2×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $108.88 $207 0.3×
Occipital Nerve Block (64405) $379.77 $722 1.3×
Perq dev breast 1st us imag (19285) $763.75 $1,452 1.1×
Perq device breast 1st imag (19281) $1,361.81 $2,589 0.8×
Phleb Veins - Extrem 20+ (37766) $886.31 $1,685 0.3×
Placement of needle for intraosseous infusion (36680) $378.72 $720 0.9×
Punch biopsy skin single lesion (11104) $118.35 $225 0.3×
Puncture aspiration abscess hematoma bulla/cyst (10160) $133.08 $253 0.3×
Removal foreign body foot deep (28192) $857.38 $1,630 0.5×
Removal Foreign Body Foot Subcutaneous (28190) $301.92 $574 0.4×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $699.05 $1,329 0.4×
Removal impacted cerumen irrigation/lvg unilat (69209) $34.19 $65 0.6×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $55.76 $106 1.0×
Removal of foreign body from pharynx (42809) $490.23 $932 1.1×
Removal of nail bed (11750) $229.86 $437 0.6×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $73.64 $140 0.4×
Remove drug implant device (11982) $167.79 $319 0.4×
Remove foreign body from eye (65205) $56.81 $108 0.4×
Remove Intrauterine Device (58301) $169.37 $322 0.6×
Remove Nasal Foreign Body (30300) $95.21 $181 0.7×
Remove/Insert Drug Implant (11983) $285.62 $543 0.7×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $629.62 $1,197 0.9×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $934.18 $1,776 1.3×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $363.47 $691 0.9×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $555.46 $1,056 1.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $409.75 $779 1.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $210.40 $400 0.5×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $243.01 $462 0.6×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $285.62 $543 0.7×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $328.22 $624 0.8×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $290.35 $552 0.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $155.70 $296 0.4×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $189.89 $361 0.5×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $223.55 $425 0.3×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $404.49 $769 1.0×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $133.08 $253 0.3×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $223.55 $425 0.6×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $494.97 $941 0.7×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $314.02 $597 0.8×
Repair intermediate s/a/t/e >30.0 cm (12037) $1,012.55 $1,925 0.5×
Repair of nail bed (11760) $433.95 $825 0.6×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $65.22 $124 0.2×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $82.06 $156 0.6×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $1,870.98 $3,557 0.7×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,351.29 $2,569 0.9×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $263 $500 0.4×
Rplc Gtube No Revj Trc (43762) $356.10 $677 1.5×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $236.17 $449 1.2×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,620.08 $3,080 1.4×
Shave skin lesion 0.5 cm/< (11300) $73.11 $139 0.2×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $72.59 $138 0.4×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $133.08 $253 0.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $73.11 $139 0.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $88.37 $168 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $103.10 $196 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $133.08 $253 0.3×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $88.37 $168 0.5×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $103.10 $196 0.3×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $88.37 $168 0.5×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $133.08 $253 0.3×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $103.10 $196 0.5×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $526.53 $1,001 0.2×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $303.50 $577 0.8×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $135.71 $258 0.7×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $169.37 $322 0.9×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $202.51 $385 1.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $94.68 $180 0.5×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $441.84 $840 2.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $159.38 $303 0.8×
Skin sub graft face/nk/hf/g (15275) $1,211.90 $2,304 1.7×
Skin sub graft trnk/arm/leg (15271) $1,081.98 $2,057 1.5×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $126.77 $241 0.7×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $191.46 $364 0.5×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $224.08 $426 0.6×
Spinal puncture lumbar diagnostic (62270) $260.37 $495 0.4×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $1,627.97 $3,095 0.5×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $693.27 $1,318 0.2×
Strapping ankle (29540) $83.11 $158 0.5×
Strapping shoulder (29240) $142.02 $270 1.1×
Strapping Unna Boot (29580) $89.95 $171 0.6×
Subconjunctival injection (68200) $77.32 $147 0.2×
Surg tx anal fistula subq (46270) $1,294.49 $2,461 0.5×
Tangential biopsy skin single lesion (11102) $93.63 $178 0.2×
Tenotomy Percutaneous Toe Single Tendon (28010) $250.90 $477 0.2×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $564.40 $1,073 0.4×
Thrombolytic Therapy Stroke (37195) $715.36 $1,360 2.2×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $1,471.75 $2,798 0.7×
Tracheobrnchsc Thru Est Trachs Inc (31615) $312.97 $595 0.6×
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,263.45 $2,402 5.5×
Treat Big Toe Fracture (28505) $1,711.08 $3,253 0.5×
Treat fracture radius/ulna (25575) $6,005.34 $11,417 0.9×
Treat humerus fracture (24500) $627.52 $1,193 2.6×
Treat humerus fracture (23600) $257.74 $490 1.1×
Treat Knuckle Dislocation (26700) $474.45 $902 2.0×
Treat Metatarsal Fracture (28475) $604.37 $1,149 2.5×
Treat Tail Bone Fracture (27200) $559.66 $1,064 2.3×
Treat Thumb Fracture (26645) $846.86 $1,610 0.5×
Treat toe dislocation (28630) $292.46 $556 1.2×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,250.83 $2,378 0.8×
Treatment closed elbow dislocation w/o anes (24600) $294.03 $559 1.2×
Trim skin lesion (11055) $70.48 $134 0.4×
Trim skin lesions 2 to 4 (11056) $81 $154 0.4×
Trim skin lesions over 4 (11057) $96.78 $184 0.5×
Trimming Nondystrophic Nails Any Number (11719) $22.62 $43 0.4×
Tx open tendon flexor toe 1 tendon spx (28232) $1,255.56 $2,387 0.8×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $1,414.41 $2,689 0.9×
Unlisted Procedure Tongue Floor Mouth (41599) $235.12 $447 1.0×
Vasectomy uni/bi spx w/postop semen exams (55250) $733.24 $1,394 0.4×
Venous Cutdown >1 Y/O (36425) $384.51 $731 0.9×
Wedge excision skin nail fold (11765) $133.60 $254 0.3×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.