Procedures & surgery prices at Holy Cross Hospital - Salt Lake
Salt Lake City, UT · every code in this section with a posted price and a Medicare benchmark.
407 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $859.54 | $2,148.85 | 0.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $1,209.06 | $3,022.65 | 1.3× |
| Amniocentesis diagnostic (59000) | $868.18 | $2,170.44 | 0.9× |
| Amniocentesis therapeutic (59001) | $1,324.13 | $3,310.31 | 4.3× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) | $655.34 | $1,638.34 | 2.1× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$337.18–$505.78 | $842.95–$1,264.43 | varies |
| Application Finger Splint Dynamic (29131) range across 3 matching MRF lines |
$82.66–$123.99 | $206.63–$309.97 | varies |
| Application finger splint static (29130) range across 4 matching MRF lines |
$54.88–$120.86 | $137.20–$302.15 | varies |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$95.98–$206.38 | $239.94–$515.95 | varies |
| Application Long Leg Splint (29505) | $199.06 | $497.65 | 1.2× |
| Application of long leg cast (29345) | $333.55 | $833.86 | 1.2× |
| Application of rigid total contact leg cast (29445) range across 2 matching MRF lines |
$323.27–$484.90 | $808.16–$1,212.23 | varies |
| Application Short Arm Splint Dynamic (29126) range across 6 matching MRF lines |
$110.37–$165.54 | $275.91–$413.84 | varies |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$77.69–$81.58 | $194.22–$203.94 | varies |
| Application short leg splint calf foot (29515) | $224.13 | $560.31 | 1.4× |
| Apply hand/wrist cast (29085) range across 3 matching MRF lines |
$207.14–$310.70 | $517.83–$776.75 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 4 matching MRF lines |
$190.55–$318.32 | $476.36–$795.80 | varies |
| Apply short leg cast (29425) range across 2 matching MRF lines |
$337.18–$505.78 | $842.95–$1,264.43 | varies |
| Arterial puncture (36600) range across 2 matching MRF lines |
$206.69–$213.45 | $516.72–$533.61 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$294.86–$618.04 | $737.14–$1,545.09 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 2 matching MRF lines |
$929.48–$1,394.22 | $2,323.69–$3,485.53 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 3 matching MRF lines |
$289.01–$433.52 | $722.52–$1,083.78 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 4 matching MRF lines |
$390.19–$687.84 | $975.46–$1,719.60 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$290.65–$435.97 | $726.62–$1,089.92 | varies |
| Aspirate pleura w/ imaging (32555) range across 4 matching MRF lines |
$868.71–$1,328.61 | $2,171.76–$3,321.52 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 3 matching MRF lines |
$920.73–$1,296.80 | $2,301.81–$3,242 | varies |
| Aspiration and/or injection thyroid cyst (60300) | $1,322.91 | $3,307.26 | 1.8× |
| Aspiration bladder insert suprapubic catheter (51102) | $2,405.58 | $6,013.93 | 1.1× |
| Avulsion nail plate partial/complete simple 1 (11730) | $259.51 | $648.76 | 1.3× |
| Biopsy Abdominal Mass (49180) | $878.48 | $2,196.19 | 0.5× |
| Biopsy bone trocar/needle deep (20225) | $1,245.75 | $3,114.36 | 0.7× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $1,891.22 | $4,728.04 | 1.1× |
| Biopsy muscle percutaneous needle (20206) | $2,226.89 | $5,567.22 | 1.3× |
| Biopsy of liver, needle; percutaneous (47000) | $2,260.07 | $5,650.16 | 1.4× |
| Biopsy Pleura Percutaneous Needle (32400) | $757.79 | $1,894.46 | 0.5× |
| Biopsy soft tissue neck/thorax (21550) | $2,564.60 | $6,411.50 | 1.5× |
| Bladder Irrigation (51700) | $374.85 | $937.11 | 1.5× |
| Bladder Scan (51798) | $91.63 | $229.07 | 1.5× |
| Blepharotomy drainage abscess eyelid (67700) | $394.28 | $985.70 | 1.2× |
| Blood Transfusion Service (36430) | $701.23 | $1,753.06 | 1.6× |
| Bone Marrow Biopsy (38221) range across 2 matching MRF lines |
$2,180.95–$3,271.43 | $5,452.37–$8,178.57 | varies |
| Bone Marrow; Aspiration Only (38220) | $2,191.63 | $5,479.07 | 1.3× |
| Brnchsc Brushing/Protected Brushings (31623) | $1,220.78 | $3,051.93 | 0.7× |
| Bronchoscopic Thermoplasty 2/> Lobes (31661) unusually low: confirm this is the full procedure |
$3,472.76 | $8,681.90 | 0.5× |
| Bronchoscopy Clear Airways (31645) | $2,268.76 | $5,671.88 | 1.3× |
| Bronchoscopy Reclear Airway (31646) | $820.33 | $2,050.81 | 2.1× |
| Bronchoscopy W/Biopsy(S) (31625) | $2,130.29 | $5,325.71 | 1.2× |
| Bronchoscopy W/Removal Foreign Body (31635) | $2,238.49 | $5,596.21 | 1.2× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) | $4,701.56 | $11,753.90 | 1.2× |
| Bx breast 1st lesion mr imag (19085) range across 2 matching MRF lines |
$1,449.90–$2,174.85 | $3,624.74–$5,437.11 | varies |
| Bx breast 1st lesion strtctc (19081) range across 2 matching MRF lines |
$1,449.90–$2,174.85 | $3,624.74–$5,437.12 | varies |
| Bx breast 1st lesion us imag (19083) range across 2 matching MRF lines |
$1,449.90–$2,174.85 | $3,624.74–$5,437.12 | varies |
| Carpal Tunnel Surgery (64721) | $2,533.28 | $6,333.20 | 1.3× |
| Cessj Therapy Cath Removal (37214) | $3,775 | $9,437.49 | 1.2× |
| Change of Windpipe Airway (31502) | $293 | $732.50 | 1.2× |
| Chemical Cautery Tissue (17250) | $322.35 | $805.86 | 1.6× |
| Chest tube placement (32551) range across 4 matching MRF lines |
$1,559.86–$2,385.66 | $3,899.63–$5,964.13 | varies |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $4,732.99 | $11,832.46 | 1.3× |
| Circumcision 28 days or older (54161) | $2,682.18 | $6,705.43 | 1.3× |
| Cl Tx Tib Shft Fx W Manip (27752) | $2,008.82 | $5,022.04 | 1.2× |
| Closed Rx Spontaneous Hip Disloc (27256) | $300.35 | $750.87 | 1.2× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $299.89 | $749.71 | 1.2× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) range across 2 matching MRF lines |
$1,985.23–$2,977.84 | $4,963.06–$7,444.60 | varies |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 2 matching MRF lines |
$318.89–$478.33 | $797.21–$1,195.82 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$302.52–$453.77 | $756.29–$1,134.42 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$1,985.23–$2,977.84 | $4,963.06–$7,444.60 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $311.12 | $777.78 | 1.2× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 2 matching MRF lines |
$315.85–$473.78 | $789.62–$1,184.43 | varies |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 2 matching MRF lines |
$315.85–$473.78 | $789.62–$1,184.43 | varies |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) | $295.20 | $737.98 | 1.2× |
| Closed tx knee dislocation w/o anesthesia (27550) range across 2 matching MRF lines |
$315.85–$473.78 | $789.62–$1,184.43 | varies |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $2,039.36 | $5,098.40 | 1.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$318.89–$478.33 | $797.21–$1,195.82 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 2 matching MRF lines |
$315.85–$473.78 | $789.62–$1,184.43 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) range across 2 matching MRF lines |
$999.09–$1,999.16 | $2,497.72–$4,997.89 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 2 matching MRF lines |
$315.85–$449.82 | $789.62–$1,124.55 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$1,955.50–$2,933.25 | $4,888.73–$7,333.11 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $302 | $755 | 1.2× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$2,039.36–$3,026.08 | $5,098.40–$7,565.20 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines |
$301.33–$414.68 | $753.32–$1,036.69 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 2 matching MRF lines |
$307.92–$442.72 | $769.80–$1,106.78 | varies |
| Closed Tx Talus Fracture W/Manipulation (28435) range across 2 matching MRF lines |
$1,955.50–$2,933.25 | $4,888.73–$7,333.11 | varies |
| Closed tx talus fracture w/o manipulation (28430) range across 2 matching MRF lines |
$302–$453 | $755–$1,132.50 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 2 matching MRF lines |
$315.85–$473.78 | $789.62–$1,184.43 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $302 | $755 | 1.2× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $300.56 | $751.39 | 1.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $315.85 | $789.62 | 1.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$2,017.39–$3,026.08 | $5,043.46–$7,565.20 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$318.89–$478.33 | $797.21–$1,195.82 | varies |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $292 | $730 | 1.2× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 2 matching MRF lines |
$311.12–$444.08 | $777.78–$1,110.19 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$316.38–$474.57 | $790.94–$1,186.41 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$315.85–$473.78 | $789.62–$1,184.43 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) range across 2 matching MRF lines |
$301.83–$449.82 | $754.57–$1,124.55 | varies |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) | $299.89 | $749.71 | 1.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 2 matching MRF lines |
$301.33–$452 | $753.32–$1,129.99 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$314.11–$471.16 | $785.27–$1,177.89 | varies |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 2 matching MRF lines |
$1,998.50–$2,997.26 | $4,996.25–$7,493.15 | varies |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 2 matching MRF lines |
$311.12–$466.68 | $777.78–$1,166.69 | varies |
| Cltx greater humeral tuberosity fx w/o manj (23620) range across 2 matching MRF lines |
$315.85–$473.78 | $789.62–$1,184.43 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) range across 2 matching MRF lines |
$2,004.32–$3,006.48 | $5,010.78–$7,516.18 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$315.85–$473.78 | $789.62–$1,184.43 | varies |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) range across 2 matching MRF lines |
$315.85–$473.78 | $789.62–$1,184.43 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) range across 2 matching MRF lines |
$105.97–$158.96 | $264.92–$397.38 | varies |
| Cltx Medial Ankle Fx (27760) range across 2 matching MRF lines |
$315.85–$473.78 | $789.62–$1,184.43 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$315.85–$473.78 | $789.62–$1,184.43 | varies |
| Cltx prox fibula/shft fx w/manj (27781) range across 2 matching MRF lines |
$2,039.36–$3,059.04 | $5,098.40–$7,647.60 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) | $314.11 | $785.27 | 1.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $315.85 | $789.62 | 1.3× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) range across 2 matching MRF lines |
$1,955.50–$2,933.25 | $4,888.73–$7,333.11 | varies |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $2,006.32 | $5,015.79 | 1.2× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) | $304.02 | $760.04 | 1.2× |
| Cltx tibial fx proximal w/o manipulation (27530) range across 2 matching MRF lines |
$315.85–$473.78 | $789.62–$1,184.43 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) range across 2 matching MRF lines |
$302.52–$453.77 | $756.29–$1,134.42 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$2,017.39–$3,026.08 | $5,043.46–$7,565.20 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 2 matching MRF lines |
$316.38–$474.57 | $790.94–$1,186.41 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $171.98 | $429.93 | 1.3× |
| Collection of venous blood by venipuncture (36415) | $30.69 | $76.72 | 3.3× |
| Colonoscopy thru stoma (44388) | $1,632.90 | $4,082.23 | 1.7× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $1,835.11 | $4,587.76 | 0.9× |
| Convert Nephrostomy Catheter (50434) | $2,695.13 | $6,737.82 | 1.3× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $2,246.95 | $5,617.36 | 1.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $159.70 | $399.24 | 1.2× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $1,664.64 | $4,161.58 | 0.6× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $891.40 | $2,228.48 | 1.2× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $891.40 | $2,228.48 | 1.2× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$370.66–$377.92 | $926.64–$944.80 | varies |
| Debride nail 1-5 (11720) | $86.30 | $215.73 | 1.4× |
| Debride nail 6 or more (11721) | $102 | $254.99 | 1.7× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $1,005.31 | $2,513.26 | 0.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$390.47–$585.70 | $976.16–$1,464.24 | varies |
| Declot vascular device (36593) | $465.19 | $1,162.97 | 1.4× |
| Destr W Neurolytic; Celiac Plexus (64680) | $1,978.33 | $4,945.82 | 2.2× |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$2,795.14–$4,190.58 | $6,987.83–$10,476.44 | varies |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$2,639.99–$3,992.04 | $6,599.96–$9,980.10 | varies |
| Destruction by neurolytic agent, intercostal nerve (64620) | $1,225.53 | $3,063.82 | 1.4× |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 2 matching MRF lines |
$2,752.67–$3,928.45 | $6,881.66–$9,821.12 | varies |
| Dilat Xst Trc New Access Rcs (50437) range across 2 matching MRF lines |
$5,323.48–$6,920.53 | $13,308.68–$17,301.32 | varies |
| Drain Cerebro Spinal Fluid (62272) | $923.15 | $2,307.86 | 1.3× |
| Drain/inj small joint/bursa w/us (20604) | $374.25 | $935.62 | 1.2× |
| Drainage external auditory canal abscess (69020) range across 2 matching MRF lines |
$908.96–$1,363.44 | $2,272.40–$3,408.60 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 2 matching MRF lines |
$893.48–$1,340.22 | $2,233.69–$3,350.53 | varies |
| Drainage of hematoma/fluid (10140) | $1,661.21 | $4,153.01 | 1.0× |
| Draw Blood Off Venous Device (36591) | $89.52 | $223.79 | 0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $465.93 | $1,164.81 | 1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $248.15 | $620.37 | 1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $389.69 | $974.22 | 1.9× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 4 matching MRF lines |
$1,243.69–$1,910.80 | $3,109.21–$4,776.99 | varies |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) | $1,158.28 | $2,895.68 | 1.3× |
| Dx Bone Marrow Bx & Aspir (38222) range across 2 matching MRF lines |
$2,388.29–$3,271.43 | $5,970.72–$8,178.57 | varies |
| Dx Bronchoscope/Lavage (31624) | $2,140.58 | $5,351.45 | 1.2× |
| Dx Bronchoscope/Wash (31622) | $1,323.09 | $3,307.71 | 0.7× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $953.88 | $2,384.70 | 1.3× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) | $409.57 | $1,023.91 | 1.3× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) | $2,251.47 | $5,628.67 | 1.1× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) | $1,938.70 | $4,846.73 | 0.9× |
| Epidural Blood Patch (62273) | $1,129.88 | $2,824.70 | 1.6× |
| Episiotomy or vaginal repair (59300) | $241.17 | $602.92 | 0.1× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $4,720.70 | $11,801.75 | 1.3× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) range across 2 matching MRF lines |
$2,395.24–$3,592.86 | $5,988.09–$8,982.15 | varies |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $2,355.04 | $5,887.58 | 1.2× |
| Exploration penetrating wound spx extremity (20103) | $899.30 | $2,248.25 | 0.5× |
| External cephalic version (59412) | $3,931.79 | $9,829.46 | 1.2× |
| Fasciectomy Plantar Fascia Partial Spx (28060) | $4,136.18 | $10,340.43 | 1.2× |
| Fetal Contraction Stress Test (59020) | $350.79 | $876.96 | 1.7× |
| Fetal non-stress test (59025) range across 2 matching MRF lines |
$226.41–$230.85 | $566.01–$577.11 | varies |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $344.47 | $861.17 | 0.5× |
| Fine needle aspiration without imaging guidance (10021) | $512.85 | $1,282.11 | 1.2× |
| Fluoro exam of g/colon tube (49465) | $290.61 | $726.52 | 1.2× |
| Fna bx w/us gdn 1st les (10005) | $946.39 | $2,365.96 | 1.3× |
| Guide Cathet Fluid Drainage (10030) | $936.68 | $2,341.68 | 1.3× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $3,606.17 | $9,015.42 | 1.3× |
| I&d abscess simple (10060) | $214.74 | $536.83 | 1.1× |
| Icd Pocket Revision (33223) | $2,543.73 | $6,359.31 | 1.2× |
| Image Cath Fluid Colxn Visc (49405) | $2,240.56 | $5,601.40 | 1.3× |
| Image Cath Fluid Peri/Retro (49406) | $2,323.17 | $5,807.92 | 1.4× |
| Implant neuroelectrodes (63650) | $9,797.92 | $24,494.78 | 1.5× |
| Incise tendon(s) & muscle(s) (23406) | $7,027.86 | $17,569.63 | 1.0× |
| Incision & drainage abscess complicated/multiple (10061) | $200.64 | $501.58 | 0.5× |
| Incision & drainage leg/ankle abscess/hematoma (27603) range across 2 matching MRF lines |
$3,329.50–$4,994.25 | $8,323.75–$12,485.62 | varies |
| Incision & removal foreign body subq tiss simple (10120) | $204.54 | $511.33 | 0.5× |
| Incision of lingual frenum (frenotomy) (41010) | $2,370.05 | $5,925.12 | 1.5× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $2,015.49 | $5,038.71 | 1.2× |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$463.08–$472.16 | $1,157.69–$1,180.39 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$1,255.68–$1,883.50 | $3,139.18–$4,708.74 | varies |
| Inj W/Fluor Eval Cv Device (36598) range across 2 matching MRF lines |
$297.01–$445.51 | $742.52–$1,113.76 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 2 matching MRF lines |
$1,202.31–$1,803.47 | $3,005.77–$4,508.66 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 4 matching MRF lines |
$380.70–$856.57 | $951.73–$2,141.42 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $1,603.08 | $4,007.68 | 1.8× |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 2 matching MRF lines |
$949.30–$1,423.95 | $2,373.25–$3,559.86 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 2 matching MRF lines |
$1,124.66–$1,687 | $2,811.65–$4,217.49 | varies |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) range across 2 matching MRF lines |
$941.04–$1,411.56 | $2,352.59–$3,528.89 | varies |
| Injection Anes Superior Hypogastric Plexus (64517) | $1,202.31 | $3,005.77 | 1.3× |
| Injection anesthetic agent suprascapular nerve (64418) range across 2 matching MRF lines |
$927.43–$1,391.15 | $2,318.57–$3,477.87 | varies |
| Injection for identification of sentinel node (38792) range across 2 matching MRF lines |
$536.46–$804.69 | $1,341.14–$2,011.71 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$482.15–$491.61 | $1,205.37–$1,229.01 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) | $401.66 | $1,004.14 | 1.3× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $1,305.23 | $3,263.07 | 1.5× |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 5 matching MRF lines |
$915.51–$1,393.46 | $2,288.77–$3,483.63 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$928.32–$1,392.49 | $2,320.80–$3,481.21 | varies |
| Ins cath ren art 1st bilat (36252) range across 2 matching MRF lines |
$3,084.04–$4,626.06 | $7,710.08–$11,565.13 | varies |
| Ins cath ren art 1st unilat (36251) | $4,648.40 | $11,621 | 1.5× |
| Ins cath ren art 2nd+ unilat (36253) | $4,758.65 | $11,896.62 | 0.8× |
| Ins endovas vena cava filtr (37191) | $6,887.53 | $17,218.81 | 1.2× |
| Ins Vag Brachytx Device (57156) | $578.18 | $1,445.45 | 1.9× |
| Ins/Rep Subq Defibrillator (33270) | $21,118.77 | $52,796.91 | 0.7× |
| Insert 1 Electrode Pm-Defib (33216) | $11,518.85 | $28,797.11 | 1.4× |
| Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
$205.74–$209.77 | $514.33–$524.42 | varies |
| Insert cath pleura w/ image (32557) range across 2 matching MRF lines |
$2,475.41–$3,713.12 | $6,188.52–$9,282.79 | varies |
| Insert cath pleura w/o image (32556) range across 2 matching MRF lines |
$2,236.14–$3,354.21 | $5,590.35–$8,385.52 | varies |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) | $1,509.50 | $3,773.74 | 1.2× |
| Insert cervical dilator (59200) | $326.72 | $816.79 | 1.1× |
| Insert Gastrostomy Tube Percutaneous (49440) | $1,128.20 | $2,820.50 | 0.6× |
| Insert Heart Pm Atrial (33206) | $8,228.56 | $20,571.39 | 0.8× |
| Insert Heart Pm Ventricular (33207) | $8,681.13 | $21,702.82 | 0.8× |
| Insert hepatic shunt (tips) (37182) | $14,657.49 | $36,643.71 | 0.8× |
| Insert non-tunnel cv cath (36556) | $1,982.15 | $4,955.36 | 0.6× |
| Insert Pacing Lead & Connect (33224) | $15,369.88 | $38,424.68 | 1.5× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $1,296.18 | $3,240.43 | 0.8× |
| Insert pulse gen dual leads (33213) | $16,756.31 | $41,890.76 | 1.6× |
| Insert pulse gen mult leads (33221) | $27,504.27 | $68,760.67 | 1.4× |
| Insert Pulse Gen Sngl Lead (33212) | $11,518.85 | $28,797.11 | 1.4× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$181.72–$185.29 | $454.30–$463.22 | varies |
| Insert tun ip cath perc (49418) | $4,755.38 | $11,888.43 | 1.3× |
| Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$4,449.24–$6,673.86 | $11,123.09–$16,684.63 | varies |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) range across 2 matching MRF lines |
$6,830.99–$10,246.48 | $17,077.47–$25,616.20 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$169.10–$172.36 | $422.75–$430.88 | varies |
| Insertion indwelling tunneled pleural catheter (32550) | $4,732.99 | $11,832.46 | 1.3× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $2,045.30 | $5,113.24 | 1.3× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $8,049.49 | $20,123.71 | 1.0× |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) | $6,888.37 | $17,220.92 | 1.2× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) | $3,786.36 | $9,465.90 | 0.7× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $11,519.02 | $28,797.53 | 1.4× |
| Insj Picc Rs&I <5 Yr (36572) | $950.66 | $2,376.65 | 1.5× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) range across 2 matching MRF lines |
$4,040.59–$6,060.88 | $10,101.47–$15,152.20 | varies |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) range across 2 matching MRF lines |
$1,964.57–$2,946.86 | $4,911.42–$7,367.14 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 3 matching MRF lines |
$1,824.40–$1,938.42 | $4,560.99–$4,846.04 | varies |
| Insj Subq Impltbl Dfb Elctrd (33271) | $10,210.09 | $25,525.22 | 1.2× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) | $6,266.97 | $15,667.41 | 1.1× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 2 matching MRF lines |
$2,763.60–$4,145.41 | $6,909–$10,363.51 | varies |
| Insj/Rplcmt Defib W/Lead(S) (33249) | $51,997.29 | $129,993.21 | 1.6× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $12,558.32 | $31,395.79 | 1.5× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) | $11,144.90 | $27,862.23 | 1.3× |
| Insrt heart pm atrial & vent (33208) | $9,081.31 | $22,703.27 | 0.9× |
| Insrt Pulse Gen W/Dual Leads (33230) | $34,220.48 | $85,551.20 | 1.5× |
| Insrt Pulse Gen W/Mult Leads (33231) | $19,681.12 | $49,202.79 | 0.6× |
| Insrt Pulse Gen W/Singl Lead (33240) | $34,220.48 | $85,551.20 | 1.5× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) | $1,010.46 | $2,526.13 | 0.7× |
| Intro cath dialysis circuit (36901) | $1,206.30 | $3,015.75 | 0.8× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $8,826.78 | $22,066.93 | 1.5× |
| Intro Gastrointestinal Tube (44500) | $1,195.23 | $2,988.06 | 1.3× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$1,927.54–$1,965.34 | $4,818.84–$4,913.33 | varies |
| Laryngoscopy flexible diagnostic (31575) | $255.11 | $637.76 | 1.3× |
| Lithotripsy, extracorporeal shock wave (50590) range across 2 matching MRF lines |
$5,085.83–$7,628.74 | $12,714.56–$19,071.84 | varies |
| Lyse chest fibrin init day (32561) | $743.97 | $1,859.92 | 1.2× |
| Lyse Chest Fibrin Subq Day (32562) | $743.86 | $1,859.65 | 1.2× |
| Myelography Lumbar Injection (62305) | $1,103.28 | $2,758.19 | 1.4× |
| Myelography Lumbar Injection (62304) | $1,185.60 | $2,963.98 | 1.5× |
| Myelography via lumbar injection rs&i cervical (62302) | $1,098.25 | $2,745.61 | 1.4× |
| N Block Inj Celiac Pelus (64530) | $1,202.31 | $3,005.77 | 1.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines |
$931.61–$1,397.42 | $2,329.01–$3,493.53 | varies |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$867.54–$1,301.30 | $2,168.83–$3,253.25 | varies |
| N Block Inj Plantar Digit (64455) range across 2 matching MRF lines |
$384.06–$576.10 | $960.15–$1,440.23 | varies |
| N Block Lumbar/Thoracic (64520) | $1,092.84 | $2,732.08 | 1.2× |
| Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$548.67–$557.84 | $1,371.66–$1,394.60 | varies |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) | $255.86 | $639.64 | 1.0× |
| Needle Biopsy Lymph Nodes (38505) range across 2 matching MRF lines |
$2,139.95–$3,209.92 | $5,349.86–$8,024.80 | varies |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $37.12 | $92.80 | 1.3× |
| Needle insertion w/o injection 3 or more muscles (20561) | $37.12 | $92.80 | 1.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $836.57 | $2,091.41 | 2.0× |
| Njx anes stellate ganglion crv sympathetic (64510) | $689.12 | $1,722.79 | 0.8× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $4,585.32 | $11,463.30 | 1.3× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $4,646.14 | $11,615.33 | 1.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$1,228.41–$1,803.04 | $3,071.01–$4,507.58 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $947.02 | $2,367.55 | 1.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $781.36 | $1,953.39 | 1.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $1,202.31 | $3,005.77 | 1.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $931.08 | $2,327.69 | 1.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $1,248.18 | $3,120.43 | 1.4× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) range across 2 matching MRF lines |
$785.99–$1,246.56 | $1,964.97–$3,116.38 | varies |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) range across 2 matching MRF lines |
$659.23–$779.66 | $1,648.06–$1,949.14 | varies |
| Obstructive material removal from gi tube (49460) | $1,220.40 | $3,050.98 | 1.3× |
| Open/Perq Place Stent 1St (37236) range across 2 matching MRF lines |
$20,057.28–$30,085.92 | $50,143.19–$75,214.79 | varies |
| Open/Perq Place Stent Same (37238) range across 2 matching MRF lines |
$18,742.58–$28,113.88 | $46,856.45–$70,284.68 | varies |
| Percut Cath Occlusn Non Cns Lesn (61626) | $7,106.89 | $17,767.21 | 0.6× |
| Percut Drain/Inject Renal Cyst (50390) | $838.74 | $2,096.85 | 1.2× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) | $5,711.48 | $14,278.69 | 1.8× |
| Pericardiocentesis W/Imaging (33016) | $2,451.84 | $6,129.59 | 1.5× |
| Perq dev breast 1st mr guide (19287) | $898.90 | $2,247.23 | 1.3× |
| Perq dev breast 1st strtctc (19283) | $908.87 | $2,272.17 | 1.3× |
| Perq dev breast 1st us imag (19285) range across 2 matching MRF lines |
$914.38–$1,371.57 | $2,285.94–$3,428.91 | varies |
| Perq device breast 1st imag (19281) range across 2 matching MRF lines |
$911–$1,366.49 | $2,277.48–$3,416.22 | varies |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $912.53 | $2,281.32 | 1.3× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $10,988.25 | $27,470.62 | 1.5× |
| Perq Vertebral Augmentation (22513) | $10,988.25 | $27,470.62 | 1.5× |
| Place Cath Subclavian Art (36225) range across 2 matching MRF lines |
$4,903.20–$7,354.78 | $12,257.99–$18,386.95 | varies |
| Place Cath Thoracic Aorta (36221) | $4,767.52 | $11,918.78 | 1.5× |
| Place Cath Vertebral Art (36226) | $7,903.78 | $19,759.43 | 1.4× |
| Place Duod/Jej Tube Perc (49441) | $2,276.18 | $5,690.44 | 1.2× |
| Place Rt Device/Marker Pros (55876) | $1,451.58 | $3,628.95 | 1.0× |
| Placement of needle for intraosseous infusion (36680) | $524.58 | $1,311.43 | 1.2× |
| Plmt expandable cath brst following prtl mast (19296) | $4,295.58 | $10,738.93 | 0.5× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 2 matching MRF lines |
$1,857.98–$3,155.44 | $4,644.94–$7,888.59 | varies |
| Plmt Nephroureteral Catheter (50433) range across 2 matching MRF lines |
$4,441.20–$6,661.80 | $11,103–$16,654.50 | varies |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) | $3,885.18 | $9,712.95 | 1.1× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) range across 2 matching MRF lines |
$4,363.34–$6,545 | $10,908.33–$16,362.49 | varies |
| Prim art mech thrombectomy (37184) range across 2 matching MRF lines |
$6,245.64–$9,368.47 | $15,614.10–$23,421.17 | varies |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $929.64 | $2,324.09 | 1.3× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) | $8,826.79 | $22,066.97 | 1.4× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $4,607.48 | $11,518.69 | 1.3× |
| Pseudoaneurysm Injection Trt (36002) | $964.59 | $2,411.46 | 1.5× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$288.16–$293.82 | $720.39–$734.53 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $513.14 | $1,282.84 | 1.2× |
| Puncture Aspiration Cyst Breast (19000) range across 2 matching MRF lines |
$928.18–$946.39 | $2,320.45–$2,365.96 | varies |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) range across 2 matching MRF lines |
$2,626.59–$3,972.66 | $6,566.46–$9,931.65 | varies |
| Rem Endovas Vena Cava Filter (37193) | $4,670.70 | $11,676.73 | 1.5× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $1,200.56 | $3,001.40 | 1.3× |
| Removal Embedded Foreign Body Eyelid (67938) range across 2 matching MRF lines |
$394.28–$591.43 | $985.70–$1,478.56 | varies |
| Removal Foreign Body Deep Thigh/Knee (27372) | $1,139.54 | $2,848.84 | 0.4× |
| Removal foreign body foot deep (28192) range across 2 matching MRF lines |
$2,010.44–$3,015.66 | $5,026.08–$7,539.13 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$614.27–$837.40 | $1,535.67–$2,093.48 | varies |
| Removal Pacemaker Electrode (33235) | $4,871.09 | $12,177.71 | 1.3× |
| Removal ppm generator only (33233) | $11,519.02 | $28,797.53 | 1.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $247.61 | $619.02 | 1.2× |
| Removal subcutaneous cardiac rhythm monitor (33286) | $1,448.43 | $3,621.07 | 2.0× |
| Removal/bivalving gauntlet boot/body cast (29700) | $343.79 | $859.47 | 1.2× |
| Remove & Replace Indwell Ureteral Stent Trurthrl (50385) | $963.29 | $2,408.21 | 0.5× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$159.70–$239.55 | $399.24–$598.86 | varies |
| Remove intrvas foreign body (37197) | $5,071.60 | $12,679 | 1.6× |
| Remove lung catheter (32552) | $991.14 | $2,477.84 | 1.6× |
| Remove renal tube w/fluoro (50389) range across 2 matching MRF lines |
$984.18–$1,476.27 | $2,460.43–$3,690.66 | varies |
| Remove&replace pm gen singl (33227) | $13,604.98 | $34,012.44 | 1.6× |
| Remv&replc cvd gen dual lead (33263) | $47,133.94 | $117,834.83 | 2.1× |
| Remv&replc cvd gen mult lead (33264) | $52,259.08 | $130,647.68 | 1.6× |
| Remv&replc cvd gen sing lead (33262) | $28,541.43 | $71,353.57 | 1.3× |
| Remv&replc pm gen dual lead (33228) | $16,679.81 | $41,699.52 | 1.6× |
| Remv&replc pm gen mult leads (33229) | $27,504.29 | $68,760.72 | 1.4× |
| Renal Biopsy Perq (50200) range across 2 matching MRF lines |
$2,004.71–$2,976.65 | $5,011.77–$7,441.61 | varies |
| Repair Elbow Perc (24357) | $4,234.06 | $10,585.15 | 1.3× |
| Repair lead pace-defib dual (33220) | $3,765.49 | $9,413.72 | 1.0× |
| Repair Lead Pace-Defib One (33218) | $4,683.04 | $11,707.59 | 1.2× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $1,220.40 | $3,050.98 | 1.3× |
| Replace G-J Tube Perc (49452) | $1,220.40 | $3,050.98 | 1.3× |
| Replace g/c tube perc (49450) | $1,220.40 | $3,050.98 | 1.3× |
| Reposition Gastrostomy Tube (43761) | $483.69 | $1,209.21 | 1.9× |
| Reposition Pacing-Defib Lead (33215) | $2,580.16 | $6,450.39 | 0.8× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) | $7,238.88 | $18,097.18 | 1.3× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) | $2,695.13 | $6,737.82 | 1.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$529.62–$794.42 | $1,324.03–$1,986.05 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$159.70–$239.55 | $399.24–$598.86 | varies |
| Rmvl of subq implantable defibrillator electrode (33272) | $4,191.39 | $10,478.46 | 1.1× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $4,871.09 | $12,177.71 | 1.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $1,607.33 | $4,018.32 | 1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $969.71 | $2,424.26 | 1.5× |
| Rplc Gtube No Revj Trc (43762) | $646.91 | $1,617.27 | 2.6× |
| Rplc gtube revj gstrst trc (43763) | $403.94 | $1,009.85 | 1.6× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $2,201.56 | $5,503.89 | 1.4× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $2,035.38 | $5,088.44 | 1.3× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $2,092.16 | $5,230.40 | 0.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $209.45 | $523.61 | 1.0× |
| Skin sub graft face/nk/hf/g (15275) | $2,653.56 | $6,633.88 | 3.5× |
| Skin sub graft trnk/arm/leg (15271) | $2,667.71 | $6,669.27 | 3.6× |
| Skin sub grft t/arm/lg child (15273) | $4,453.80 | $11,134.49 | 2.1× |
| Skn sub grft f/n/hf/g child (15277) | $2,479.62 | $6,199.05 | 1.2× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) range across 2 matching MRF lines |
$7,108.20–$10,662.30 | $17,770.48–$26,655.74 | varies |
| Slctv cath carotid/innom art angio xtrcranl art (36222) range across 2 matching MRF lines |
$4,833.15–$7,249.74 | $12,082.87–$18,124.33 | varies |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) range across 2 matching MRF lines |
$7,903.78–$11,855.66 | $19,759.43–$29,639.15 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $280.98 | $702.45 | 1.4× |
| Spinal puncture lumbar diagnostic (62270) | $773.21 | $1,933.01 | 1.1× |
| Strapping knee (29530) range across 2 matching MRF lines |
$166.82–$250.22 | $417.04–$625.55 | varies |
| Strapping shoulder (29240) range across 4 matching MRF lines |
$166.69–$254.93 | $416.71–$637.32 | varies |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$150.01–$225.01 | $375.02–$562.51 | varies |
| Tangential biopsy skin single lesion (11102) | $353.10 | $882.74 | 0.9× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) | $24,030.50 | $60,076.24 | 1.2× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) | $2,450.42 | $6,126.04 | 1.5× |
| Tenotomy shoulder area single tendon (23405) | $7,521.47 | $18,803.66 | 1.0× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $917.26 | $2,293.13 | 1.3× |
| Therapeutic plasma exchange (36514) | $1,980.04 | $4,950.09 | 1.3× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) | $6,771.66 | $16,929.14 | 0.5× |
| Thrombolytic Art Therapy (37211) range across 4 matching MRF lines |
$6,900.62–$10,350.92 | $17,251.53–$25,877.29 | varies |
| Thrombolytic Therapy Stroke (37195) | $454.24 | $1,135.59 | 1.4× |
| Thrombolytic Venous Therapy (37212) range across 3 matching MRF lines |
$2,020.02–$6,049.84 | $5,050.04–$15,124.60 | varies |
| Thyroid biopsy (60100) | $898.90 | $2,247.23 | 1.3× |
| Tprnl Plmt Biodegrdabl Matrl (55874) | $6,289.16 | $15,722.89 | 1.2× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) | $791.63 | $1,979.06 | 2.6× |
| Treat humerus fracture (24500) | $302 | $755 | 1.2× |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
$453–$1,973.28 | $1,132.50–$4,933.18 | varies |
| Treat humerus fracture (23600) range across 2 matching MRF lines |
$315.85–$473.78 | $789.62–$1,184.43 | varies |
| Treat knee fracture (27532) range across 2 matching MRF lines |
$4,152.64–$6,228.96 | $10,381.59–$15,572.38 | varies |
| Treat Thumb Dislocation (26641) | $301.33 | $753.32 | 1.2× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $1,946.10 | $4,865.24 | 1.2× |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$315.85–$473.78 | $789.62–$1,184.43 | varies |
| Trim skin lesion (11055) | $129.66 | $324.14 | 0.6× |
| Trim skin lesions 2 to 4 (11056) | $261.39 | $653.46 | 1.3× |
| Trim skin lesions over 4 (11057) | $261.39 | $653.46 | 1.3× |
| Trimming Nondystrophic Nails Any Number (11719) | $82.30 | $205.73 | 1.4× |
| Trluml Balo Angiop 1St Art (37246) range across 2 matching MRF lines |
$8,508.07–$12,762.10 | $21,270.16–$31,905.24 | varies |
| Trluml Balo Angiop 1St Vein (37248) | $8,508.05 | $21,270.12 | 1.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $777.30 | $1,943.24 | 1.0× |
| Unlisted procedure breast (19499) | $3,525.95 | $8,814.86 | 0.9× |
| Unlisted procedure femur or knee (27599) | $301.03 | $752.57 | 1.2× |
| Upgrade of pacemaker system (33214) | $8,864.13 | $22,160.32 | 0.8× |
| Vasc embolize/occlude artery (37242) | $18,261.06 | $45,652.63 | 1.0× |
| Vasc Embolize/Occlude Bleed (37244) | $19,448.02 | $48,620.05 | 1.7× |
| Vasc Embolize/Occlude Organ (37243) | $18,521.92 | $46,304.78 | 1.6× |
| Vasc embolize/occlude venous (37241) | $18,173.26 | $45,433.15 | 1.6× |
| Venous Mech Thrombectomy (37187) range across 2 matching MRF lines |
$6,298.52–$9,447.77 | $15,746.28–$23,619.42 | varies |
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.