Procedures & surgery prices at HSHS St. Elizabeth's Hospital
O Fallon, IL · every code in this section with a posted price and a Medicare benchmark.
616 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $2,250.72 | $3,126 | 2.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $1,513.44 | $2,102 | 1.6× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) | $25,992 | $36,100 | 1.4× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) | $13,115.52 | $18,216 | 1.7× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) | $3,369.60 | $4,680 | 2.0× |
| Amniocentesis diagnostic (59000) | $2,142 | $2,975 | 2.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $9,136.80 | $12,690 | 2.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $8,286.48 | $11,509 | 2.4× |
| Anoscopy diagnostic (46600) | $370.80 | $515 | 2.6× |
| Apheresis Platelets (36513) | $5,792.40 | $8,045 | 12.3× |
| Application cast elbow finger short arm (29075) range across 4 matching MRF lines |
$1,097.28–$1,644.48 | $1,524–$2,284 | varies |
| Application Finger Splint Dynamic (29131) | $310.32 | $431 | 4.9× |
| Application finger splint static (29130) | $357.12 | $496 | 2.5× |
| Application long arm splint shoulder hand (29105) | $1,097.28 | $1,524 | 6.3× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) | $1,097.28 | $1,524 | 3.7× |
| Application Long Leg Splint (29505) | $1,252.80 | $1,740 | 7.2× |
| Application of cylinder cast (thigh to ankle) (29365) | $1,185.84 | $1,647 | 4.0× |
| Application of long leg cast (29345) | $1,097.28 | $1,524 | 3.7× |
| Application of rigid total contact leg cast (29445) range across 6 matching MRF lines |
$400.32–$2,692.80 | $556–$3,740 | varies |
| Application Short Arm Splint Dynamic (29126) | $506.88 | $704 | 3.6× |
| Application short arm splint forearm-hand static (29125) range across 4 matching MRF lines |
$780.48–$1,290.96 | $1,084–$1,793 | varies |
| Application short leg splint calf foot (29515) range across 4 matching MRF lines |
$663.84–$889.92 | $922–$1,236 | varies |
| Apply hand/wrist cast (29085) | $1,122.48 | $1,559 | 6.4× |
| Apply long arm cast (29065) | $1,122.48 | $1,559 | 3.7× |
| Apply Multlay Comprs Lwr Leg (29581) range across 4 matching MRF lines |
$66.24–$1,214.64 | $92–$1,687 | varies |
| Apply Short Leg Cast (29405) | $1,252.80 | $1,740 | 4.2× |
| Apply short leg cast (29425) | $1,097.28 | $1,524 | 3.7× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$225.36–$228.96 | $313–$318 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$1,235.52–$1,734.48 | $1,716–$2,409 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $1,470.24 | $2,042 | 1.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$1,296.72–$1,828.80 | $1,801–$2,540 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 3 matching MRF lines |
$1,296.72–$1,715.04 | $1,801–$2,382 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 4 matching MRF lines |
$1,543.68–$2,600.64 | $2,144–$3,612 | varies |
| Aspirate pleura w/ imaging (32555) | $2,592.72 | $3,601 | 3.9× |
| Aspirate Pleura W/O Imaging (32554) range across 3 matching MRF lines |
$1,902.96–$2,254.32 | $2,643–$3,131 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $372.24 | $517 | 1.1× |
| Aspiration & Injection Treatment Bone Cyst (20615) | $2,706.48 | $3,759 | 3.6× |
| Aspiration and/or injection thyroid cyst (60300) | $2,681.28 | $3,724 | 3.5× |
| Aspiration bladder insert suprapubic catheter (51102) | $8,187.84 | $11,372 | 3.7× |
| Aspiration Bladder Needle (51100) | $2,733.84 | $3,797 | 10.2× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$132.48–$1,204 | $184–$1,204 | varies |
| Biopsy Abdominal Mass (49180) | $2,985.12 | $4,146 | 1.7× |
| Biopsy bone open superficial (20240) range across 2 matching MRF lines |
$360–$6,683.04 | $500–$9,282 | varies |
| Biopsy bone trocar/needle deep (20225) | $6,357.60 | $8,830 | 3.6× |
| Biopsy Bone Trocar/Needle Superficial (20220) range across 2 matching MRF lines |
$212.40–$4,513.68 | $295–$6,269 | varies |
| Biopsy external ear (69100) | $116.64 | $162 | 0.5× |
| Biopsy muscle percutaneous needle (20206) | $2,683.44 | $3,727 | 1.5× |
| Biopsy of liver, needle; percutaneous (47000) | $4,744.80 | $6,590 | 2.7× |
| Biopsy Pleura Percutaneous Needle (32400) | $2,583.36 | $3,588 | 1.5× |
| Biopsy Salivary Gland Needle (42400) | $2,278.80 | $3,165 | 3.0× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) | $4,435.92 | $6,161 | 2.5× |
| Biopsy soft tissue neck/thorax (21550) | $2,649.60 | $3,680 | 1.5× |
| Biopsy Spinal Cord Percutaneous Needle (62269) | $2,041.20 | $2,835 | 1.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $1,937.52 | $2,691 | 2.0× |
| Bladder instillation anticarcinogenic agent (51720) | $1,937.52 | $2,691 | 2.6× |
| Bladder Irrigation (51700) | $1,326.24 | $1,842 | 5.0× |
| Bladder Scan (51798) | $475.20 | $660 | 7.5× |
| Blepharotomy drainage abscess eyelid (67700) | $1,335.60 | $1,855 | 3.9× |
| Blood Transfusion Service (36430) | $1,641.60 | $2,280 | 3.5× |
| Blood/Lymph System Procedure (38999) | $678.96 | $943 | 1.4× |
| Bone Marrow Biopsy (38221) range across 4 matching MRF lines |
$2,494.08–$4,189.68 | $3,464–$5,819 | varies |
| Bone Marrow; Aspiration Only (38220) range across 3 matching MRF lines |
$2,293.92–$3,443.04 | $3,186–$4,782 | varies |
| Brnchsc Brushing/Protected Brushings (31623) | $4,510.80 | $6,265 | 2.4× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) | $6,533.28 | $9,074 | 1.6× |
| Bronchoscopy Reclear Airway (31646) | $2,857.68 | $3,969 | 6.8× |
| Bronchoscopy W/Biopsy(S) (31625) | $4,730.40 | $6,570 | 2.5× |
| Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) | $9,595.41 | $13,326.96 | 1.3× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) | $5,440.32 | $7,556 | 1.4× |
| Bx breast 1st lesion mr imag (19085) | $4,857.12 | $6,746 | 2.7× |
| Bx breast 1st lesion strtctc (19081) | $4,857.12 | $6,746 | 2.7× |
| Bx breast 1st lesion us imag (19083) | $3,617.28 | $5,024 | 2.0× |
| Canthotomy Separate Procedure (67715) | $4,775.04 | $6,632 | 1.9× |
| Cerclage cervix pregnancy vaginal (59320) | $12,923.28 | $17,949 | 3.7× |
| Cessj Therapy Cath Removal (37214) | $6,973.20 | $9,685 | 2.1× |
| Change Cystostomy Tube Complicated (51710) | $2,733.84 | $3,797 | 3.7× |
| Change Cystostomy Tube Simple (51705) | $1,131.84 | $1,572 | 4.2× |
| Change of Windpipe Airway (31502) | $768.96 | $1,068 | 3.0× |
| Change ureter stent percut (50382) | $7,966.80 | $11,065 | 3.6× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$91.44–$1,704.24 | $127–$2,367 | varies |
| Chemodenerv 1 extremity 1-4 (64642) | $2,522.16 | $3,503 | 3.3× |
| Chemodenerv Musc Migraine (64615) | $1,408.32 | $1,956 | 4.3× |
| Chemodenerv musc neck dyston (64616) | $994.32 | $1,381 | 3.0× |
| Chemodenerv trunk musc 1-5 (64646) | $1,836.72 | $2,551 | 2.4× |
| Chest tube placement (32551) range across 4 matching MRF lines |
$2,592.72–$3,890.16 | $3,601–$5,403 | varies |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) | $8,187.84 | $11,372 | 3.7× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $8,319.60 | $11,555 | 2.2× |
| Circumcision Neonate (54160) | $731.52 | $1,016 | 1.0× |
| Cl Tx Scapular Fx; W Manip (23575) | $2,016.72 | $2,801 | 1.2× |
| Cl Tx Tib Shft Fx W Manip (27752) | $4,542.48 | $6,309 | 2.6× |
| Clear outer ear canal (69200) | $905.04 | $1,257 | 6.3× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $2,016.72 | $2,801 | 1.2× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $995.76 | $1,383 | 3.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $1,268.64 | $1,762 | 4.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $2,858.40 | $3,970 | 1.7× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) | $3,576.24 | $4,967 | 13.5× |
| Closed tx knee dislocation w/o anesthesia (27550) | $1,268.64 | $1,762 | 4.8× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $4,175.28 | $5,799 | 2.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $645.12 | $896 | 2.4× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $2,016.72 | $2,801 | 1.2× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $5,275.44 | $7,327 | 3.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $1,030.32 | $1,431 | 3.9× |
| Closed tx radial head/neck fx w/manipulation (24655) | $3,411.36 | $4,738 | 2.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $1,396.80 | $1,940 | 5.3× |
| Closed tx radial shaft fracture w/manipulation (25505) | $4,175.28 | $5,799 | 2.4× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 3 matching MRF lines |
$3,136.32–$6,507.36 | $4,356–$9,038 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $961.20 | $1,335 | 3.6× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) | $1,268.64 | $1,762 | 4.8× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $3,615.12 | $5,021 | 2.1× |
| Closed tx talus fracture w/o manipulation (28430) | $895.68 | $1,244 | 3.4× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $895.68 | $1,244 | 3.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $768.96 | $1,068 | 2.9× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $1,104.48 | $1,534 | 4.2× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $792 | $1,100 | 3.1× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $3,780 | $5,250 | 2.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $450.72 | $626 | 1.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $5,681.52 | $7,891 | 3.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 4 matching MRF lines |
$1,268.64–$1,699.20 | $1,762–$2,360 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $6,097.68 | $8,469 | 3.5× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $2,016.72 | $2,801 | 1.2× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $1,131.84 | $1,572 | 4.3× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $895.68 | $1,244 | 3.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $1,373.76 | $1,908 | 5.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $732.24 | $1,017 | 2.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $1,396.80 | $1,940 | 5.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $895.68 | $1,244 | 3.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $1,268.64 | $1,762 | 4.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 4 matching MRF lines |
$4,233.60–$8,467.20 | $5,880–$11,760 | varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $3,841.20 | $5,335 | 2.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $1,131.84 | $1,572 | 4.3× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $5,720.40 | $7,945 | 3.3× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $984.96 | $1,368 | 3.7× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) | $5,011.20 | $6,960 | 2.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $1,131.84 | $1,572 | 4.3× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $1,131.84 | $1,572 | 4.3× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $5,011.20 | $6,960 | 2.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $895.68 | $1,244 | 3.4× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $1,182.96 | $1,643 | 3.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $905.04 | $1,257 | 3.4× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $4,175.28 | $5,799 | 2.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $1,268.64 | $1,762 | 4.8× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $1,131.84 | $1,572 | 4.3× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $6,006.96 | $8,343 | 3.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $1,131.84 | $1,572 | 4.3× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $895.68 | $1,244 | 3.4× |
| Cltx post hip arthrp dislc req anes (27266) | $4,524.48 | $6,284 | 2.6× |
| Cltx post hip arthrp dislc w/o anes (27265) | $856.80 | $1,190 | 3.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $8,800.56 | $12,223 | 5.1× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $618.48 | $859 | 2.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 4 matching MRF lines |
$1,268.64–$1,953.36 | $1,762–$2,713 | varies |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) | $3,190.32 | $4,431 | 1.9× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $5,681.52 | $7,891 | 3.3× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $4,911.12 | $6,821 | 2.9× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) | $3,791.52 | $5,266 | 2.2× |
| Cltx tibial fx proximal w/o manipulation (27530) | $1,131.84 | $1,572 | 4.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $2,858.40 | $3,970 | 1.7× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $741.60 | $1,030 | 2.8× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) | $4,088.16 | $5,678 | 1.2× |
| Collect Blood From Catheter Venous Nos (36592) | $292.32 | $406 | 2.1× |
| Collection of venous blood by venipuncture (36415) | $26.64 | $37 | 2.9× |
| Colporrhaphy (57200) | $5,712.48 | $7,934 | 1.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $403.20 | $560 | 2.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 4 matching MRF lines |
$440.64–$1,173.60 | $612–$1,630 | varies |
| Conversion ext bil drg cath (47535) | $8,319.60 | $11,555 | 2.2× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $6,646.32 | $9,231 | 3.2× |
| Convert Nephrostomy Catheter (50434) | $2,581.20 | $3,585 | 1.2× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $5,062.32 | $7,031 | 2.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $768.96 | $1,068 | 5.4× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $761.76 | $1,058 | 3.0× |
| Curettage postpartum (59160) | $4,304.88 | $5,979 | 1.2× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $4,781.52 | $6,641 | 2.1× |
| Cystourethroscopy (52000) | $1,454.40 | $2,020 | 1.9× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $6,277.68 | $8,719 | 2.0× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $4,594.32 | $6,381 | 6.1× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $6,683.04 | $9,282 | 8.8× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$387.36–$2,147.76 | $538–$2,983 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$36–$456.48 | $50–$634 | varies |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$61.92–$630.72 | $86–$876 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$570.24–$7,719.12 | $792–$10,721 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$148.32–$2,147.76 | $206–$2,983 | varies |
| Declot vascular device (36593) | $1,429.92 | $1,986 | 4.0× |
| Delivery of placenta (59414) | $9,782.64 | $13,587 | 2.8× |
| Destroy cerv/thor facet jnt (64633) range across 3 matching MRF lines |
$2,460.24–$3,201.84 | $3,417–$4,447 | varies |
| Destroy lumb/sac facet jnt (64635) range across 3 matching MRF lines |
$3,765.60–$5,647.68 | $5,230–$7,844 | varies |
| Destruction neurolytic agt genicular nerve w/img (64624) | $7,163.28 | $9,949 | 3.4× |
| Dilate Urethra Stricture (53620) | $2,908.08 | $4,039 | 3.9× |
| Dilate Urethra Stricture (53600) | $690.48 | $959 | 2.6× |
| Drain Cerebro Spinal Fluid (62272) | $1,906.56 | $2,648 | 2.5× |
| Drain/inj small joint/bursa w/us (20604) | $1,004.40 | $1,395 | 3.1× |
| Drainage external auditory canal abscess (69020) | $2,399.76 | $3,333 | 3.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $1,216.08 | $1,689 | 1.6× |
| Drainage Finger Abscess Complicated (26011) | $4,589.28 | $6,374 | 2.6× |
| Drainage Mouth Roof Lesion (42000) | $1,660.32 | $2,306 | 6.5× |
| Drainage of finger abscess simple (26010) | $961.20 | $1,335 | 4.5× |
| Drainage of gum lesion (41800) | $961.20 | $1,335 | 6.7× |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$286.56–$1,775.52 | $398–$2,466 | varies |
| Drainage of scrotal wall abscess (55100) | $5,140.80 | $7,140 | 2.9× |
| Drainage of scrotum (54700) | $6,418.08 | $8,914 | 2.9× |
| Drainage of skene's gland abscess or cyst (53060) | $2,581.20 | $3,585 | 1.2× |
| Draw Blood Off Venous Device (36591) | $266.40 | $370 | 1.9× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $2,210.40 | $3,070 | 2.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$332.64–$1,267.20 | $462–$1,760 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$273.60–$1,199.52 | $380–$1,666 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$131.76–$1,098 | $183–$1,525 | varies |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 3 matching MRF lines |
$5,486.40–$8,228.88 | $7,620–$11,429 | varies |
| Dx Bone Marrow Bx & Aspir (38222) | $8,792.64 | $12,212 | 2.8× |
| Dx Bronchoscope/Lavage (31624) | $4,490.64 | $6,237 | 2.4× |
| Dx Bronchoscope/Wash (31622) | $5,196.96 | $7,218 | 2.7× |
| Dx gastr intub w/asp spec (43754) | $486.72 | $676 | 2.1× |
| Dx Laryngoscopy Excl Nb (31525) | $3,550.32 | $4,931 | 1.9× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $2,604.96 | $3,618 | 3.4× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) | $757.44 | $1,052 | 2.3× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) | $5,875.20 | $8,160 | 1.7× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) | $8,904.24 | $12,367 | 2.6× |
| Epidural Blood Patch (62273) | $2,090.88 | $2,904 | 2.8× |
| Episiotomy or vaginal repair (59300) | $7,395.12 | $10,271 | 2.1× |
| Evacuation of subungual hematoma (11740) | $357.12 | $496 | 2.5× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $4,390.56 | $6,098 | 5.8× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $193.68 | $269 | 0.1× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $4,381.20 | $6,085 | 2.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $354.96 | $493 | 0.5× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $3,082.32 | $4,281 | 7.1× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$272.88–$3,965.04 | $379–$5,507 | varies |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $8,319.60 | $11,555 | 2.2× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $2,733.84 | $3,797 | 1.2× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $3,879.36 | $5,388 | 1.9× |
| Excision Lesion Tongue W/O Closure (41110) | $4,086 | $5,675 | 1.2× |
| Excision of pilonidal cyst or sinus; simple (11770) | $7,050.96 | $9,793 | 2.3× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $7,086.24 | $9,842 | 3.2× |
| Explo/Drain Breast Abscess (19020) | $9,224.64 | $12,812 | 5.2× |
| Exploration penetrating wound spx chest (20101) | $7,086.24 | $9,842 | 3.2× |
| Exploration penetrating wound spx extremity (20103) | $4,589.28 | $6,374 | 2.6× |
| Exploration Penetrating Wound Spx Neck (20100) | $3,423.60 | $4,755 | 5.9× |
| Expression of conjunctival follicles (eg, for trachoma) Facility (68040) | $1,098 | $1,525 | 3.2× |
| External cephalic version (59412) | $4,006.08 | $5,564 | 1.2× |
| Fetal Contraction Stress Test (59020) | $1,251.36 | $1,738 | 5.8× |
| Fetal non-stress test (59025) | $1,522.80 | $2,115 | 7.0× |
| Fine needle aspiration without imaging guidance (10021) | $1,612.80 | $2,240 | 3.7× |
| Fluoro exam of g/colon tube (49465) | $1,122.48 | $1,559 | 4.4× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $2,607.84 | $3,622 | 3.4× |
| Fna bx w/us gdn 1st les (10005) | $2,401.92 | $3,336 | 3.2× |
| Guide Cathet Fluid Drainage (10030) | $1,075.68 | $1,494 | 1.4× |
| I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) | $9,930.24 | $13,792 | 2.8× |
| I&d abscess peritonsillar (42700) | $7,494.48 | $10,409 | 29.5× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$236.88–$851.04 | $329–$1,182 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $8,400.96 | $11,668 | 2.7× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $10,696.32 | $14,856 | 3.4× |
| I&d perianal abscess superficial (46050) | $2,345.04 | $3,257 | 2.4× |
| I&d pilonidal cyst complicated (10081) | $2,683.44 | $3,727 | 3.5× |
| I&d pilonidal cyst simple (10080) | $886.32 | $1,231 | 1.2× |
| Icd Pocket Revision (33223) | $3,883.68 | $5,394 | 1.8× |
| Image Cath Fluid Colxn Visc (49405) | $3,592.80 | $4,990 | 2.0× |
| Image Cath Fluid Peri/Retro (49406) | $3,592.80 | $4,990 | 2.0× |
| Image Cath Fluid Trns/Vgnl (49407) | $3,592.80 | $4,990 | 2.0× |
| Implant neuroelectrodes (63650) | $11,290.32 | $15,681 | 1.7× |
| Incise external hemorrhoid (46083) | $1,153.44 | $1,602 | 4.3× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$437.04–$961.20 | $607–$1,335 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $7,494.48 | $10,409 | 4.2× |
| Incision & removal foreign body subq tiss simple (10120) | $643.68 | $894 | 1.5× |
| Incision and drainage of bartholin's gland abscess (56420) | $798.48 | $1,109 | 3.7× |
| Incision and drainage of vulva or perineal abscess (56405) | $1,699.92 | $2,361 | 5.2× |
| Incision of eardrum (69420) | $879.12 | $1,221 | 3.5× |
| Incision of lingual frenum (frenotomy) (41010) | $5,364.72 | $7,451 | 3.2× |
| Incision of rectal abscess (46040) | $3,638.16 | $5,053 | 2.8× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $3,080.88 | $4,279 | 1.7× |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$141.84–$1,161.36 | $197–$1,613 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $519.84 | $722 | 2.4× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 4 matching MRF lines |
$4,574.16–$6,861.60 | $6,353–$9,530 | varies |
| Inj W/Fluor Eval Cv Device (36598) | $411.84 | $572 | 1.8× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) | $3,584.88 | $4,979 | 3.8× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 4 matching MRF lines |
$3,821.04–$5,730.48 | $5,307–$7,959 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $1,054.08 | $1,464 | 3.2× |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $3,179.52 | $4,416 | 3.4× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) | $3,594.96 | $4,993 | 3.8× |
| Injection aa&/strd genicular nrv branches w/img (64454) | $1,149.84 | $1,597 | 1.5× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $4,354.56 | $6,048 | 4.6× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) | $2,329.20 | $3,235 | 3.1× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $2,686.32 | $3,731 | 3.6× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $1,149.12 | $1,596 | 3.5× |
| Injection for identification of sentinel node (38792) | $871.20 | $1,210 | 2.0× |
| Injection single tendon origin/insertion (20551) | $948.24 | $1,317 | 2.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $1,523.52 | $2,116 | 4.6× |
| Injection single/mlt trigger point 3/> muscles (20553) | $1,549.44 | $2,152 | 4.7× |
| Injection therapeutic carpal tunnel (20526) | $1,435.68 | $1,994 | 4.4× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $3,179.52 | $4,416 | 3.4× |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 5 matching MRF lines |
$2,504.88–$4,207.68 | $3,479–$5,844 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 4 matching MRF lines |
$2,450.16–$3,286.08 | $3,403–$4,564 | varies |
| Ins cath ren art 1st bilat (36252) | $5,369.04 | $7,457 | 1.6× |
| Ins cath ren art 1st unilat (36251) | $3,965.76 | $5,508 | 1.2× |
| Ins cath ren art 2nd+ bilat (36254) | $6,860.88 | $9,529 | 2.0× |
| Ins cath ren art 2nd+ unilat (36253) | $6,811.20 | $9,460 | 1.1× |
| Ins endovas vena cava filtr (37191) | $11,266.56 | $15,648 | 1.9× |
| Ins/Rep Subq Defibrillator (33270) | $40,397.76 | $56,108 | 1.2× |
| Insert 1 Electrode Pm-Defib (33216) | $18,257.76 | $25,358 | 2.1× |
| Insert Bladder Cath Complex (51703) | $671.76 | $933 | 4.9× |
| Insert cath pleura w/ image (32557) | $3,407.04 | $4,732 | 2.0× |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) | $4,366.80 | $6,065 | 3.4× |
| Insert cervical dilator (59200) | $699.12 | $971 | 2.1× |
| Insert Gastrostomy Tube Percutaneous (49440) | $6,646.32 | $9,231 | 3.2× |
| Insert Heart Pm Atrial (33206) | $24,144.48 | $33,534 | 2.2× |
| Insert Heart Pm Ventricular (33207) | $24,144.48 | $33,534 | 2.2× |
| Insert non-tunnel cv cath (36556) | $4,638.24 | $6,442 | 1.4× |
| Insert Pacing Lead & Connect (33224) | $24,144.48 | $33,534 | 2.2× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $4,469.76 | $6,208 | 2.6× |
| Insert pulse gen dual leads (33213) | $24,144.48 | $33,534 | 2.2× |
| Insert pulse gen mult leads (33221) | $43,318.80 | $60,165 | 2.1× |
| Insert Pulse Gen Sngl Lead (33212) | $18,257.76 | $25,358 | 2.1× |
| Insert Temp Bladder Cath (51702) | $583.20 | $810 | 4.1× |
| Insert tun ip cath perc (49418) | $14,251.68 | $19,794 | 3.7× |
| Insert tunneled cv cath (36561) | $11,748.96 | $16,318 | 3.5× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) | $9,880.56 | $13,723 | 1.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $780.48 | $1,084 | 5.5× |
| Insertion indwelling tunneled pleural catheter (32550) | $14,251.68 | $19,794 | 3.7× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $6,850.08 | $9,514 | 4.1× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $18,257.76 | $25,358 | 2.1× |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) | $19,531.44 | $27,127 | 3.3× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $18,257.76 | $25,358 | 2.1× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $3,965.76 | $5,508 | 1.2× |
| Insj Picc Rs&I <5 Yr (36572) | $1,779.84 | $2,472 | 2.6× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $11,748.96 | $16,318 | 3.5× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $5,034.24 | $6,992 | 3.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $6,917.04 | $9,607 | 2.0× |
| Insj/Rplcmt Defib W/Lead(S) (33249) | $76,687.20 | $106,510 | 2.3× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $18,257.76 | $25,358 | 2.1× |
| Insrt heart pm atrial & vent (33208) | $24,144.48 | $33,534 | 2.2× |
| Insrt Pulse Gen W/Dual Leads (33230) | $54,761.76 | $76,058 | 2.3× |
| Insrt Pulse Gen W/Mult Leads (33231) | $76,687.20 | $106,510 | 2.3× |
| Insrt Pulse Gen W/Singl Lead (33240) | $54,761.76 | $76,058 | 2.3× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) | $4,011.84 | $5,572 | 2.7× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $1,753.92 | $2,436 | 4.0× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $1,869.12 | $2,596 | 4.3× |
| Intro cath dialysis circuit (36901) | $2,585.52 | $3,591 | 1.5× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $17,691.84 | $24,572 | 1.4× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $11,927.52 | $16,566 | 2.0× |
| Intubation endotracheal emergency procedure (31500) | $379.44 | $527 | 1.5× |
| Irrigation of corpora cavernosa for priapism (54220) | $1,144.08 | $1,589 | 4.3× |
| Laryngoscopy diagnostic (31505) | $415.44 | $577 | 1.9× |
| Laryngoscopy flexible diagnostic (31575) | $424.08 | $589 | 2.0× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) | $952.56 | $1,323 | 2.3× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) | $1,088.64 | $1,512 | 2.6× |
| Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) | $958.32 | $1,331 | 2.3× |
| Ligation of a-v fistula (37607) | $10,738.08 | $14,914 | 3.2× |
| Lithotripsy, extracorporeal shock wave (50590) range across 2 matching MRF lines |
$17,382.24–$22,947.12 | $24,142–$31,871 | varies |
| Lyse Chest Fibrin Subq Day (32562) | $1,812.24 | $2,517 | 2.7× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) | $4,548.24 | $6,317 | 2.7× |
| Mech remov tunneled cv cath (36595) | $3,965.76 | $5,508 | 1.2× |
| Myelography Lumbar Injection (62305) | $5,492.16 | $7,628 | 6.5× |
| Myelography Lumbar Injection (62304) | $5,127.12 | $7,121 | 6.1× |
| Myelography via lumbar injection rs&i cervical (62302) | $4,775.76 | $6,633 | 5.7× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $5,071.68 | $7,044 | 6.0× |
| N Block Inj Celiac Pelus (64530) | $3,153.60 | $4,380 | 3.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $2,722.32 | $3,781 | 3.6× |
| N block inj intercost sng (64420) | $2,471.04 | $3,432 | 3.3× |
| N Block Inj Pudendal (64430) | $3,179.52 | $4,416 | 3.4× |
| N Block Lumbar/Thoracic (64520) | $2,815.92 | $3,911 | 3.0× |
| Nasal/Orogastric W/Tube Plmt (43752) | $1,554.48 | $2,159 | 3.2× |
| Needle Biopsy Lymph Nodes (38505) | $2,407.68 | $3,344 | 1.4× |
| Needle Biopsy Pancreas (48102) | $3,592.80 | $4,990 | 2.0× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $30.96 | $43 | 1.0× |
| Needle insertion w/o injection 3 or more muscles (20561) range across 2 matching MRF lines |
$41.76–$80.64 | $58–$112 | varies |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $93.60 | $130 | 0.2× |
| Njx anes stellate ganglion crv sympathetic (64510) | $2,815.92 | $3,911 | 3.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $1,153.44 | $1,602 | 3.5× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $3,866.40 | $5,370 | 1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $4,754.16 | $6,603 | 1.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 4 matching MRF lines |
$2,921.76–$3,810.96 | $4,058–$5,293 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $2,831.76 | $3,933 | 3.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $3,669.84 | $5,097 | 4.9× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $2,831.76 | $3,933 | 3.7× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $1,248.48 | $1,734 | 1.7× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) | $1,248.48 | $1,734 | 1.7× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) | $1,457.28 | $2,024 | 3.3× |
| Obstructive material removal from gi tube (49460) | $1,509.12 | $2,096 | 1.6× |
| Occipital Nerve Block (64405) range across 4 matching MRF lines |
$782.64–$3,322.08 | $1,087–$4,614 | varies |
| Onc pan-tumor DNA&RNA next-generation sequencing (0211U) | $6,087.60 | $8,455 | 0.7× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) | $10,825.92 | $15,036 | 3.1× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $10,825.92 | $15,036 | 3.1× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $9,918 | $13,775 | 2.8× |
| Open/Perq Place Stent 1St (37236) | $26,032.32 | $36,156 | 2.1× |
| Open/Perq Place Stent Same (37238) | $26,032.32 | $36,156 | 2.1× |
| Pelvic examination under anesthesia (other than local) (57410) | $9,294.48 | $12,909 | 2.7× |
| Penile Injection (54235) | $668.16 | $928 | 2.5× |
| Perc Cryo Ablate Renal Tum (50593) | $34,693.92 | $48,186 | 3.0× |
| Perc Rf Ablate Renal Tumor (50592) | $20,904.48 | $29,034 | 3.2× |
| Percut Ablate Liver Rf (47382) | $12,202.56 | $16,948 | 1.9× |
| Percut Cath Occlusn Non Cns Lesn (61626) | $28,341.36 | $39,363 | 2.3× |
| Percut Drain/Inject Renal Cyst (50390) | $2,389.68 | $3,319 | 3.1× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) | $6,859.44 | $9,527 | 2.0× |
| Pericardiocentesis W/Imaging (33016) | $4,417.92 | $6,136 | 2.6× |
| Perm Occlusion/Embolization,Percut,Cns (61624) unusually low: confirm this is the full procedure |
$6,845.76 | $9,508 | 0.3× |
| Perq Cervicothoracic Inject (22510) | $7,889.04 | $10,957 | 2.2× |
| Perq dev breast 1st mr guide (19287) | $4,260.24 | $5,917 | 5.6× |
| Perq dev breast 1st us imag (19285) | $4,181.76 | $5,808 | 5.5× |
| Perq device breast 1st imag (19281) | $4,899.60 | $6,805 | 2.8× |
| Perq Lumbosacral Injection (22511) | $8,339.76 | $11,583 | 2.4× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) | $12,199.68 | $16,944 | 1.9× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $19,203.12 | $26,671 | 1.6× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $9,470.88 | $13,154 | 1.6× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $15,494.40 | $21,520 | 2.0× |
| Perq Vertebral Augmentation (22513) | $15,438.24 | $21,442 | 2.0× |
| Phleb Veins - Extrem 20+ (37766) | $12,132.72 | $16,851 | 3.6× |
| Place Cath Subclavian Art (36225) | $4,595.76 | $6,383 | 1.4× |
| Place Cath Thoracic Aorta (36221) | $4,461.84 | $6,197 | 1.3× |
| Place Cath Vertebral Art (36226) range across 2 matching MRF lines |
$9,483.12–$12,851.28 | $13,171–$17,849 | varies |
| Place Duod/Jej Tube Perc (49441) | $6,646.32 | $9,231 | 3.2× |
| Placement of needle for intraosseous infusion (36680) | $696.24 | $967 | 1.5× |
| Plmt Bile Duct Stent Prq Existing Access (47538) | $12,986.64 | $18,037 | 2.0× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) | $10,632.24 | $14,767 | 1.6× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) | $13,133.52 | $18,241 | 2.0× |
| Plmt expandable cath brst following prtl mast (19296) | $20,635.92 | $28,661 | 2.4× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $4,779.36 | $6,638 | 2.1× |
| Plmt Nephroureteral Catheter (50433) | $4,779.36 | $6,638 | 1.3× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) | $9,569.52 | $13,291 | 2.5× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) | $9,569.52 | $13,291 | 2.5× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) | $9,569.52 | $13,291 | 2.5× |
| Prim art mech thrombectomy (37184) | $22,625.28 | $31,424 | 1.2× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $10,775.52 | $14,966 | 2.8× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $10,775.52 | $14,966 | 2.8× |
| Pseudoaneurysm Injection Trt (36002) range across 3 matching MRF lines |
$872.64–$1,500.48 | $1,212–$2,084 | varies |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$118.08–$503.28 | $164–$699 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $1,216.08 | $1,689 | 2.8× |
| Puncture Aspiration Cyst Breast (19000) | $1,844.64 | $2,562 | 2.4× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $2,522.16 | $3,503 | 3.3× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) | $5,541.84 | $7,697 | 2.6× |
| Reconstruct finger joint (26545) | $9,918 | $13,775 | 2.8× |
| Redo Endovas Vena Cava Filtr (37192) | $9,230.40 | $12,820 | 2.7× |
| Relocation Pocket Pacemaker (33222) | $3,883.68 | $5,394 | 1.8× |
| Rem Endovas Vena Cava Filter (37193) | $9,506.88 | $13,204 | 2.8× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $2,031.84 | $2,822 | 2.1× |
| Removal Embedded Foreign Body Eyelid (67938) range across 4 matching MRF lines |
$1,098–$1,645.92 | $1,525–$2,286 | varies |
| Removal Foreign Body Foot Complicated (28193) range across 4 matching MRF lines |
$5,829.84–$8,745.12 | $8,097–$12,146 | varies |
| Removal foreign body foot deep (28192) | $8,764.56 | $12,173 | 5.0× |
| Removal Foreign Body Foot Subcutaneous (28190) | $4,381.20 | $6,085 | 5.8× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $4,589.28 | $6,374 | 2.6× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 4 matching MRF lines |
$310.32–$464.40 | $431–$645 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 5 matching MRF lines |
$82.80–$464.40 | $115–$645 | varies |
| Removal Implant Deep (20680) | $10,368.72 | $14,401 | 3.3× |
| Removal of foreign body from pharynx (42809) | $696.24 | $967 | 1.5× |
| Removal of nail bed (11750) range across 4 matching MRF lines |
$240.48–$2,171 | $334–$2,788 | varies |
| Removal of tunneled intraperitoneal catheter (49422) | $11,748.96 | $16,318 | 3.5× |
| Removal Pacemaker Electrode (33235) | $7,103.52 | $9,866 | 1.8× |
| Removal ppm generator only (33233) | $18,257.76 | $25,358 | 2.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $726.48 | $1,009 | 3.4× |
| Removal subcutaneous cardiac rhythm monitor (33286) | $945.36 | $1,313 | 1.2× |
| Remove & Replace Indwell Ureteral Stent Trurthrl (50385) | $4,779.36 | $6,638 | 2.1× |
| Remove Elctrd Transvenously (33244) | $7,103.52 | $9,866 | 1.8× |
| Remove foreign body from eye (65205) | $415.44 | $577 | 2.9× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) | $4,779.36 | $6,638 | 2.1× |
| Remove Intrauterine Device (58301) | $1,198.08 | $1,664 | 3.7× |
| Remove intrvas foreign body (37197) | $6,864.48 | $9,534 | 2.0× |
| Remove lung catheter (32552) | $3,407.04 | $4,732 | 5.1× |
| Remove Nasal Foreign Body (30300) | $859.68 | $1,194 | 6.0× |
| Remove Pulse Generator (33241) | $7,103.52 | $9,866 | 1.8× |
| Remove renal tube w/fluoro (50389) | $922.32 | $1,281 | 1.2× |
| Remove Shoulder Foreign Body (23330) | $4,381.20 | $6,085 | 2.5× |
| Remove ureter stent percut (50384) | $7,966.80 | $11,065 | 3.6× |
| Remove&replace pm gen singl (33227) | $18,257.76 | $25,358 | 2.1× |
| Remv&replc cvd gen dual lead (33263) | $54,761.76 | $76,058 | 2.3× |
| Remv&replc cvd gen mult lead (33264) | $76,687.20 | $106,510 | 2.3× |
| Remv&replc cvd gen sing lead (33262) | $54,761.76 | $76,058 | 2.3× |
| Remv&replc pm gen dual lead (33228) | $24,144.48 | $33,534 | 2.2× |
| Remv&replc pm gen mult leads (33229) | $43,318.80 | $60,165 | 2.1× |
| Renal Biopsy Perq (50200) | $2,949.84 | $4,097 | 1.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $2,278.80 | $3,165 | 2.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $2,278.80 | $3,165 | 2.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $2,136.24 | $2,967 | 4.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $2,218.32 | $3,081 | 5.1× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $1,166.40 | $1,620 | 2.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $2,136.24 | $2,967 | 4.9× |
| Repair complex trunk 1.1-2.5 cm (13100) | $2,278.80 | $3,165 | 2.9× |
| Repair complex trunk 2.6-7.5 cm (13101) | $2,278.80 | $3,165 | 2.9× |
| Repair Eyelid Wound (67935) | $4,868.64 | $6,762 | 1.9× |
| Repair Hand Joint (26540) | $6,509.52 | $9,041 | 1.9× |
| Repair Hand Tendon (26410) | $8,125.92 | $11,286 | 4.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $1,506.96 | $2,093 | 3.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $1,431.36 | $1,988 | 3.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $1,522.80 | $2,115 | 3.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $1,656 | $2,300 | 3.8× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $1,869.12 | $2,596 | 4.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $2,367.36 | $3,288 | 3.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $1,451.52 | $2,016 | 3.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $1,638.72 | $2,276 | 3.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $2,114.64 | $2,937 | 2.7× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $5,946.48 | $8,259 | 2.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $2,278.80 | $3,165 | 5.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $1,306.08 | $1,814 | 3.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $1,306.08 | $1,814 | 3.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $2,278.80 | $3,165 | 2.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $1,306.08 | $1,814 | 3.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $2,304.72 | $3,201 | 1.0× |
| Repair intrinsic muscles hand each muscle (26591) | $7,657.20 | $10,635 | 2.2× |
| Repair lead pace-defib dual (33220) | $7,103.52 | $9,866 | 1.8× |
| Repair Lead Pace-Defib One (33218) | $7,103.52 | $9,866 | 1.8× |
| Repair of nail bed (11760) | $1,166.40 | $1,620 | 1.5× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $8,742.96 | $12,143 | 2.5× |
| Repair tongue laceration (41252) | $2,000.16 | $2,778 | 7.9× |
| Repair tongue laceration (41250) | $688.32 | $956 | 1.4× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $3,481.92 | $4,836 | 3.6× |
| Replace G-J Tube Perc (49452) | $8,482.32 | $11,781 | 8.7× |
| Replace g/c tube perc (49450) | $3,481.92 | $4,836 | 3.6× |
| Reposition Gastrostomy Tube (43761) | $2,020.32 | $2,806 | 7.5× |
| Reposition L Ventric Lead (33226) | $6,174.72 | $8,576 | 1.8× |
| Reposition Pacing-Defib Lead (33215) | $6,174.72 | $8,576 | 1.8× |
| Reposition Venous Catheter (36597) | $1,957.68 | $2,719 | 1.2× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) | $8,187.84 | $11,372 | 3.7× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $1,626.48 | $2,259 | 1.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $653.76 | $908 | 1.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $535.68 | $744 | 3.8× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $914.40 | $1,270 | 1.9× |
| Rmvl fecal impaction/fb spx under anes (45915) | $5,040.72 | $7,001 | 3.9× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $9,185.04 | $12,757 | 3.0× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) | $4,381.20 | $6,085 | 1.4× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $4,161.60 | $5,780 | 2.4× |
| Rmvl of subq implantable defibrillator electrode (33272) | $9,463.68 | $13,144 | 2.4× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $7,103.52 | $9,866 | 1.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $3,401.28 | $4,724 | 2.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $3,401.28 | $4,724 | 5.1× |
| Rplc Gtube No Revj Trc (43762) | $929.52 | $1,291 | 3.5× |
| Rplc gtube revj gstrst trc (43763) | $618.48 | $859 | 2.3× |
| Rplcmt cath ctr vad subq port/pmp (36578) | $11,748.96 | $16,318 | 3.5× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $4,638.24 | $6,442 | 2.7× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) | $11,748.96 | $16,318 | 3.5× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $2,262.24 | $3,142 | 1.3× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $11,748.96 | $16,318 | 3.5× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $11,748.96 | $16,318 | 3.5× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $925.92 | $1,286 | 4.3× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $2,201.76 | $3,058 | 2.8× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $851.04 | $1,182 | 3.4× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $1,429.20 | $1,985 | 2.5× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $8,125.92 | $11,286 | 2.3× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) | $8,125.92 | $11,286 | 2.3× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $1,452.96 | $2,018 | 2.2× |
| Sclerotx Fluid Collection (49185) | $2,260.80 | $3,140 | 1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $519.84 | $722 | 2.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $1,121.04 | $1,557 | 2.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $684.72 | $951 | 3.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $732.96 | $1,018 | 3.4× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $1,717.20 | $2,385 | 3.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $848.88 | $1,179 | 3.9× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $1,883.52 | $2,616 | 8.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $655.20 | $910 | 3.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $1,295.28 | $1,799 | 6.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $794.16 | $1,103 | 3.7× |
| Skin sub graft face/nk/hf/g (15275) range across 3 matching MRF lines |
$234.72–$2,004.48 | $326–$2,784 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 3 matching MRF lines |
$212.40–$2,304.72 | $295–$3,201 | varies |
| Skin sub grft t/arm/lg child (15273) range across 2 matching MRF lines |
$509.76–$4,613.04 | $708–$6,407 | varies |
| Skn sub grft f/n/hf/g child (15277) range across 3 matching MRF lines |
$578.88–$2,304.72 | $804–$3,201 | varies |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) range across 2 matching MRF lines |
$9,483.12–$14,225.04 | $13,171–$19,757 | varies |
| Slctv cath carotid/innom art angio xtrcranl art (36222) | $4,595.76 | $6,383 | 1.4× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) range across 2 matching MRF lines |
$9,483.12–$12,851.28 | $13,171–$17,849 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $706.32 | $981 | 3.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $1,033.92 | $1,436 | 2.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $1,143.36 | $1,588 | 2.6× |
| Sperm washing artificial insemination (58323) | $537.12 | $746 | 2.5× |
| Spinal puncture lumbar diagnostic (62270) | $1,789.92 | $2,486 | 2.4× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) | $10,339.92 | $14,361 | 3.1× |
| Strapping ankle (29540) | $745.92 | $1,036 | 4.3× |
| Strapping elbow or wrist (29260) | $342 | $475 | 5.4× |
| Strapping knee (29530) | $310.32 | $431 | 2.2× |
| Strapping shoulder (29240) | $342 | $475 | 2.4× |
| Strapping thorax (29200) | $678.24 | $942 | 3.9× |
| Strapping toes (29550) range across 11 matching MRF lines |
$276.48–$384 | $384 | varies |
| Strapping Unna Boot (29580) range across 4 matching MRF lines |
$69.84–$1,214.64 | $97–$1,687 | varies |
| Tangential biopsy skin single lesion (11102) | $538.56 | $748 | 1.2× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) | $80,812.80 | $112,240 | 2.6× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) | $39,679.20 | $55,110 | 1.9× |
| Tcat Rmvl Perm Ldls Pm (33275) | $7,099.92 | $9,861 | 2.1× |
| Ther Apheresis,Red Blood Cells (36512) | $5,090.40 | $7,070 | 3.1× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $2,369.52 | $3,291 | 3.1× |
| Therapeutic Apheresis White Blood Cells (36511) | $5,792.40 | $8,045 | 3.5× |
| Therapeutic plasma exchange (36514) range across 2 matching MRF lines |
$5,567.76–$6,104.16 | $7,733–$8,478 | varies |
| Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) | $6,811.20 | $9,460 | 1.1× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $22,625.28 | $31,424 | 1.2× |
| Thromblytic art/ven therapy (37213) | $3,965.76 | $5,508 | 1.2× |
| Thrombolytic Art Therapy (37211) range across 2 matching MRF lines |
$9,079.20–$11,676.24 | $12,610–$16,217 | varies |
| Thrombolytic Therapy Stroke (37195) | $511.92 | $711 | 1.4× |
| Thrombolytic Venous Therapy (37212) | $4,806.72 | $6,676 | 1.4× |
| Thyroid biopsy (60100) | $1,833.12 | $2,546 | 2.4× |
| Tooth extraction (41899) | $607.68 | $844 | 2.4× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $4,500 | $6,250 | 2.7× |
| Transcatheter biopsy (37200) | $11,404.80 | $15,840 | 1.9× |
| Transoral lower esophageal myotomy (43497) | $11,082.24 | $15,392 | 1.7× |
| Treat humerus fracture (24500) | $1,247.04 | $1,732 | 4.7× |
| Treat humerus fracture (23600) | $1,131.84 | $1,572 | 4.3× |
| Treat Knuckle Dislocation (26700) | $1,191.60 | $1,655 | 4.5× |
| Treat Metatarsal Fracture (28475) | $1,992.24 | $2,767 | 7.5× |
| Treat Tail Bone Fracture (27200) | $895.68 | $1,244 | 3.4× |
| Treat Thumb Dislocation (26641) | $1,131.84 | $1,572 | 4.3× |
| Treat toe dislocation (28630) | $1,301.76 | $1,808 | 4.9× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $6,006.96 | $8,343 | 3.5× |
| Treatment closed elbow dislocation w/o anes (24600) | $1,268.64 | $1,762 | 4.8× |
| Treatment of penis lesion (54115) | $7,106.40 | $9,870 | 2.3× |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$39.60–$658.08 | $55–$914 | varies |
| Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines |
$58.32–$777.60 | $81–$1,080 | varies |
| Trim skin lesions over 4 (11057) range across 2 matching MRF lines |
$72.72–$895.68 | $101–$1,244 | varies |
| Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$18.72–$231.84 | $26–$322 | varies |
| Trluml Balo Angiop 1St Art (37246) | $11,927.52 | $16,566 | 2.0× |
| Trluml Balo Angiop 1St Vein (37248) | $10,567.44 | $14,677 | 1.7× |
| Tx Gastro Intub W/Asp (43753) | $1,015.20 | $1,410 | 4.4× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $6,017.04 | $8,357 | 1.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $2,424.96 | $3,368 | 3.1× |
| Tx superficial wound dehiscence w/packing (12021) | $1,105.92 | $1,536 | 2.5× |
| Unlisted Cardiac Surgery (33999) | $44,329.68 | $61,569 | 65.9× |
| Unlisted Procedure Endocrine System (60699) | $12,202.56 | $16,948 | 1.9× |
| Unlisted procedure nervous system (64999) | $723.60 | $1,005 | 2.2× |
| Unlisted procedure pancreas (48999) | $1,566 | $2,175 | 2.1× |
| Unlisted Procedure Vascular Surgery (37799) | $1,632.24 | $2,267 | 2.4× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $7,072.56 | $9,823 | 7.3× |
| Upgrade of pacemaker system (33214) | $24,144.48 | $33,534 | 2.2× |
| Vaginal delivery only (59409) | $5,712.48 | $7,934 | 1.6× |
| Vasc embolize/occlude artery (37242) | $22,625.28 | $31,424 | 1.2× |
| Vasc Embolize/Occlude Bleed (37244) | $14,289.12 | $19,846 | 1.2× |
| Vasc Embolize/Occlude Organ (37243) | $14,289.12 | $19,846 | 1.2× |
| Vasc embolize/occlude venous (37241) | $14,289.12 | $19,846 | 1.2× |
| Venous Mech Thrombectomy (37187) range across 3 matching MRF lines |
$14,289.12–$19,340.64 | $19,846–$26,862 | varies |
| Wedge excision skin nail fold (11765) | $772.56 | $1,073 | 1.8× |
| Xtroral I&D Floor Masticator Space (41018) | $4,273.92 | $5,936 | 2.6× |
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.