Procedures & surgery prices at DMC Huron Valley-Sinai Hospital
Commerce Township, MI · every code in this section with a posted price and a Medicare benchmark.
226 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) | $18,705.75 | $24,941 | 1.1× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) | $21,934.50 | $29,246 | 3.0× |
| Amniocentesis diagnostic (59000) | $2,642.25 | $3,523 | 2.9× |
| Apheresis Platelets (36513) | $4,879.50 | $6,506 | 11.1× |
| Application long arm splint shoulder hand (29105) | $338.25 | $451 | 2.1× |
| Application of long leg cast (29345) | $864.75 | $1,153 | 3.1× |
| Application Short Arm Splint Dynamic (29126) | $257.25 | $343 | 1.9× |
| Apply hand/wrist cast (29085) | $256.50 | $342 | 1.6× |
| Arterial puncture (36600) | $282 | $376 | 2.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) | $1,409.25 | $1,879 | 4.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$491.25–$1,724.25 | $655–$2,299 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$1,275–$1,947.75 | $1,700–$2,597 | varies |
| Biopsy Bone Trocar/Needle Superficial (20220) | $4,206 | $5,608 | 2.6× |
| Biopsy muscle percutaneous needle (20206) range across 2 matching MRF lines |
$1,619.25–$3,485.25 | $2,159–$4,647 | varies |
| Biopsy of liver, needle; percutaneous (47000) | $4,179.75 | $5,573 | 2.5× |
| Biopsy Pleura Percutaneous Needle (32400) | $3,182.25 | $4,243 | 1.9× |
| Biopsy Salivary Gland Needle (42400) | $2,703.75 | $3,605 | 3.8× |
| Biopsy soft tissue leg/ankle area superficial (27613) | $6,364.50 | $8,486 | 3.9× |
| Biopsy soft tissue neck/thorax (21550) | $5,823 | $7,764 | 3.5× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) | $4,221 | $5,628 | 2.6× |
| Biopsy Soft Tissue Shoulder Deep (23066) | $8,965.08 | $11,953.44 | 3.1× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) | $6,220.50 | $8,294 | 3.8× |
| Biopsy/removal lymph nodes (38510) | $5,989.50 | $7,986 | 1.5× |
| Bladder instillation anticarcinogenic agent (51720) range across 2 matching MRF lines |
$4,178.25–$4,302.75 | $5,571–$5,737 | varies |
| Bladder Irrigation (51700) | $671.25 | $895 | 2.7× |
| Blood Transfusion Service (36430) range across 4 matching MRF lines |
$1,121.25–$1,968 | $1,495–$2,624 | varies |
| Bone Marrow Biopsy (38221) | $1,529.25 | $2,039 | 0.9× |
| Bone Marrow; Aspiration Only (38220) | $5,331 | $7,108 | 3.2× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) | $8,049 | $10,732 | 2.2× |
| Bronchoscopy Clear Airways (31645) | $5,841.75 | $7,789 | 3.3× |
| Bx breast 1st lesion us imag (19083) | $5,652 | $7,536 | 3.4× |
| Carpal Tunnel Surgery (64721) | $8,677.50 | $11,570 | 4.5× |
| Cessj Therapy Cath Removal (37214) range across 2 matching MRF lines |
$9,597–$10,497.75 | $12,796–$13,997 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $2,721 | $3,628 | 11.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $1,249.50 | $1,666 | 5.1× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $5,315.25 | $7,087 | 3.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $1,306.50 | $1,742 | 5.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $867 | $1,156 | 3.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $1,262.25 | $1,683 | 5.1× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $3,321 | $4,428 | 2.1× |
| Collect Blood From Catheter Venous Nos (36592) | $316.50 | $422 | 2.4× |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$32.25–$36 | $43–$48 | varies |
| Complex drainage wound (10180) | $4,947 | $6,596 | 1.7× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $4,263 | $5,684 | 2.6× |
| Declot vascular device (36593) range across 2 matching MRF lines |
$880.50–$1,554 | $1,174–$2,072 | varies |
| Destroy cerv/thor facet jnt (64633) | $5,144.25 | $6,859 | 2.6× |
| Destroy lumb/sac facet jnt (64635) | $3,586.50 | $4,782 | 1.8× |
| Destruction by neurolytic agent, intercostal nerve (64620) | $5,895.75 | $7,861 | 6.7× |
| Destruction neurolytic agt genicular nerve w/img (64624) | $11,322.75 | $15,097 | 5.8× |
| Dilat Xst Trc New Access Rcs (50437) | $10,269.75 | $13,693 | 2.9× |
| Draw Blood Off Venous Device (36591) | $241.50 | $322 | 1.8× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $3,847.50 | $5,130 | 4.4× |
| Dx Bone Marrow Bx & Aspir (38222) | $5,005.50 | $6,674 | 1.7× |
| Dx Bronchoscope/Wash (31622) | $6,486.75 | $8,649 | 3.7× |
| Dx lmbr spi pnxr w/fluor/CT (62328) range across 2 matching MRF lines |
$2,986.50–$4,061.25 | $3,982–$5,415 | varies |
| Epidural Blood Patch (62273) | $1,327.50 | $1,770 | 1.9× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $1,068.75 | $1,425 | 0.9× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $9,356.25 | $12,475 | 2.6× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $5,452.50 | $7,270 | 2.6× |
| Fetal non-stress test (59025) range across 3 matching MRF lines |
$812.25–$1,047 | $1,083–$1,396 | varies |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $2,243.25 | $2,991 | 3.2× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) | $2,243.25 | $2,991 | 3.2× |
| Fine needle aspiration without imaging guidance (10021) | $414 | $552 | 1.0× |
| Fluoro exam of g/colon tube (49465) | $2,165.25 | $2,887 | 9.1× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $2,243.25 | $2,991 | 3.2× |
| Fna bx w/us gdn 1st les (10005) | $2,243.25 | $2,991 | 3.2× |
| Icd Pocket Revision (33223) range across 2 matching MRF lines |
$6,255–$9,995.25 | $8,340–$13,327 | varies |
| Image Cath Fluid Peri/Retro (49406) range across 2 matching MRF lines |
$5,586.75–$6,705.75 | $7,449–$8,941 | varies |
| Image Cath Fluid Trns/Vgnl (49407) | $2,210.25 | $2,947 | 1.3× |
| Implant neuroelectrodes (63650) range across 2 matching MRF lines |
$10,215–$13,278 | $13,620–$17,704 | varies |
| Incise finger tendon sheath (26055) | $6,227.25 | $8,303 | 3.9× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $993 | $1,324 | 5.0× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $3,659.25 | $4,879 | 4.2× |
| Inj W/Fluor Eval Cv Device (36598) | $1,134 | $1,512 | 5.4× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $4,093.50 | $5,458 | 4.6× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $3,362.25 | $4,483 | 11.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) | $3,808.50 | $5,078 | 5.4× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $3,470.25 | $4,627 | 3.9× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) | $4,117.50 | $5,490 | 5.9× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $4,488 | $5,984 | 6.4× |
| Injection anesthetic agent suprascapular nerve (64418) | $4,117.50 | $5,490 | 5.9× |
| Injection for identification of sentinel node (38792) | $3,000 | $4,000 | 7.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $1,350 | $1,800 | 4.4× |
| Injection single/mlt trigger point 3/> muscles (20553) | $1,196.25 | $1,595 | 3.9× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $7,506 | $10,008 | 10.7× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$1,683–$2,992.50 | $2,244–$3,990 | varies |
| Ins cath ren art 1st bilat (36252) | $13,052.25 | $17,403 | 4.1× |
| Ins cath ren art 1st unilat (36251) | $15,579 | $20,772 | 5.0× |
| Ins endovas vena cava filtr (37191) | $14,893.50 | $19,858 | 2.7× |
| Ins/Rep Subq Defibrillator (33270) | $62,588.25 | $83,451 | 2.0× |
| Insert 1 Electrode Pm-Defib (33216) | $18,450.75 | $24,601 | 2.2× |
| Insert Gastrostomy Tube Percutaneous (49440) | $5,029.50 | $6,706 | 2.6× |
| Insert Heart Pm Atrial (33206) | $29,709.75 | $39,613 | 2.9× |
| Insert Heart Pm Ventricular (33207) range across 2 matching MRF lines |
$30,765.75–$31,200.75 | $41,021–$41,601 | varies |
| Insert non-tunnel cv cath (36556) | $4,326 | $5,768 | 1.4× |
| Insert pulse gen dual leads (33213) range across 2 matching MRF lines |
$27,532.50–$28,579.50 | $36,710–$38,106 | varies |
| Insert pulse gen mult leads (33221) | $34,056.75 | $45,409 | 1.8× |
| Insert Pulse Gen Sngl Lead (33212) | $19,579.50 | $26,106 | 2.4× |
| Insert Temp Bladder Cath (51702) | $233.25 | $311 | 1.8× |
| Insert tun ip cath perc (49418) | $11,218.50 | $14,958 | 3.1× |
| Insert tunneled cv cath (36561) | $3,466.50 | $4,622 | 1.1× |
| Insertion indwelling tunneled pleural catheter (32550) | $4,877.25 | $6,503 | 1.4× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 2 matching MRF lines |
$4,239.75–$5,028.75 | $5,653–$6,705 | varies |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $23,433 | $31,244 | 2.8× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $4,465.50 | $5,954 | 1.4× |
| Insj Picc Rs&I <5 Yr (36572) | $4,239.75 | $5,653 | 6.8× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $3,108 | $4,144 | 2.0× |
| Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) | $30,777 | $41,036 | 2.4× |
| Insj Subq Impltbl Dfb Elctrd (33271) | $12,436.50 | $16,582 | 1.5× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) | $11,175.75 | $14,901 | 3.6× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $8,436 | $11,248 | 2.7× |
| Insj/Rplcmt Defib W/Lead(S) (33249) range across 3 matching MRF lines |
$79,893.75–$90,525.75 | $106,525–$120,701 | varies |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) range across 3 matching MRF lines |
$15,329.25–$16,496.25 | $20,439–$21,995 | varies |
| Insrt heart pm atrial & vent (33208) range across 2 matching MRF lines |
$32,454.75–$35,061.75 | $43,273–$46,749 | varies |
| Insrt Pulse Gen W/Dual Leads (33230) | $48,225 | $64,300 | 2.2× |
| Insrt Pulse Gen W/Mult Leads (33231) | $48,225 | $64,300 | 1.5× |
| Insrt Pulse Gen W/Singl Lead (33240) | $58,509 | $78,012 | 2.6× |
| Intro cath dialysis circuit (36901) range across 2 matching MRF lines |
$1,559.25–$2,235 | $2,079–$2,980 | varies |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $35,077.50 | $46,770 | 3.0× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) range across 2 matching MRF lines |
$14,898–$22,505.25 | $19,864–$30,007 | varies |
| Late closure of wound (13160) | $9,891 | $13,188 | 2.8× |
| Lyse Chest Fibrin Subq Day (32562) | $2,966.25 | $3,955 | 4.7× |
| Mech remov tunneled cv cath (36595) | $5,232 | $6,976 | 1.7× |
| Myelography Lumbar Injection (62305) | $4,569.75 | $6,093 | 5.9× |
| Myelography Lumbar Injection (62304) | $3,668.25 | $4,891 | 4.7× |
| N Block Inj Celiac Pelus (64530) | $1,470 | $1,960 | 1.7× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $2,171.25 | $2,895 | 3.1× |
| N block inj intercost sng (64420) | $3,348 | $4,464 | 4.8× |
| N Block Inj Pudendal (64430) range across 2 matching MRF lines |
$2,799.75–$4,036.50 | $3,733–$5,382 | varies |
| N Block Lumbar/Thoracic (64520) | $4,788.75 | $6,385 | 5.4× |
| Needle Biopsy Lymph Nodes (38505) | $3,360 | $4,480 | 2.0× |
| Njx anes stellate ganglion crv sympathetic (64510) | $3,420.75 | $4,561 | 3.9× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $1,143 | $1,524 | 3.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$1,619.25–$3,615.75 | $2,159–$4,821 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) | $4,332 | $5,776 | 4.9× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $5,175.75 | $6,901 | 5.9× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $1,335 | $1,780 | 1.9× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$1,387.50–$1,824.75 | $1,850–$2,433 | varies |
| Open/Perq Place Stent 1St (37236) | $25,922.25 | $34,563 | 2.3× |
| Open/Perq Place Stent Same (37238) | $23,943.75 | $31,925 | 2.1× |
| Percut Drain/Inject Renal Cyst (50390) | $2,215.50 | $2,954 | 3.1× |
| Pericardiocentesis W/Imaging (33016) | $6,358.50 | $8,478 | 4.1× |
| Perq dev breast 1st strtctc (19283) | $3,839.25 | $5,119 | 5.4× |
| Perq dev breast 1st us imag (19285) | $3,187.50 | $4,250 | 4.5× |
| Perq dilation xst trc endourologic px w/img (50436) | $10,269.75 | $13,693 | 2.9× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $35,077.50 | $46,770 | 3.0× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $17,538.75 | $23,385 | 3.1× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $19,835.25 | $26,447 | 2.7× |
| Perq Vertebral Augmentation (22513) | $19,835.25 | $26,447 | 2.7× |
| Place Cath Subclavian Art (36225) | $7,181.25 | $9,575 | 2.3× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 2 matching MRF lines |
$7,817.25–$9,217.50 | $10,423–$12,290 | varies |
| Plmt Nephroureteral Catheter (50433) | $8,898 | $11,864 | 2.5× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) | $8,100 | $10,800 | 2.3× |
| Prim art mech thrombectomy (37184) | $17,890.50 | $23,854 | 1.0× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) | $18,557.25 | $24,743 | 2.9× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $5,213.25 | $6,951 | 1.5× |
| Pseudoaneurysm Injection Trt (36002) | $1,921.50 | $2,562 | 3.1× |
| Puncture Aspiration Cyst Breast (19000) | $911.25 | $1,215 | 1.3× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) | $3,114.75 | $4,153 | 1.6× |
| Relocation Pocket Pacemaker (33222) range across 2 matching MRF lines |
$6,312–$9,257.25 | $8,416–$12,343 | varies |
| Rem Endovas Vena Cava Filter (37193) | $9,482.25 | $12,643 | 3.0× |
| Removal implantable contraceptive capsules (11976) | $1,149.75 | $1,533 | 1.6× |
| Removal Pacemaker Electrode (33235) | $9,922.50 | $13,230 | 2.7× |
| Removal ppm generator only (33233) | $15,695.25 | $20,927 | 1.9× |
| Removal subcutaneous cardiac rhythm monitor (33286) | $5,931 | $7,908 | 8.4× |
| Remove Brain Cavity Fluid (61020) | $1,492.50 | $1,990 | 1.7× |
| Remove Elctrd Transvenously (33244) range across 2 matching MRF lines |
$8,721.75–$12,191.25 | $11,629–$16,255 | varies |
| Remove foreign body from eye (65205) | $454.50 | $606 | 3.4× |
| Remove intrvas foreign body (37197) | $8,637 | $11,516 | 2.7× |
| Remove lung catheter (32552) | $509.25 | $679 | 0.8× |
| Remove Pulse Generator (33241) | $5,750.25 | $7,667 | 1.5× |
| Remove renal tube w/fluoro (50389) | $4,512 | $6,016 | 6.5× |
| Remove&replace pm gen singl (33227) | $28,401 | $37,868 | 3.4× |
| Remv&replc cvd gen dual lead (33263) | $34,569.75 | $46,093 | 1.6× |
| Remv&replc cvd gen mult lead (33264) | $85,137.75 | $113,517 | 2.7× |
| Remv&replc cvd gen sing lead (33262) | $40,966.50 | $54,622 | 1.8× |
| Remv&replc pm gen dual lead (33228) | $32,647.50 | $43,530 | 3.1× |
| Remv&replc pm gen mult leads (33229) | $38,122.50 | $50,830 | 2.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $980.25 | $1,307 | 2.4× |
| Repair complex trunk 2.6-7.5 cm (13101) | $903 | $1,204 | 1.2× |
| Repair Elbow Perc (24357) | $11,248.50 | $14,998 | 3.5× |
| Repair Lead Pace-Defib One (33218) | $6,724.50 | $8,966 | 1.8× |
| Replace G-J Tube Perc (49452) | $2,849.25 | $3,799 | 3.2× |
| Reposition L Ventric Lead (33226) | $10,418.25 | $13,891 | 3.3× |
| Reposition Pacing-Defib Lead (33215) | $10,686 | $14,248 | 3.4× |
| Reposition Venous Catheter (36597) | $3,893.25 | $5,191 | 2.5× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | $13,569 | $18,092 | 3.9× |
| Revj/rmvl peripheral neurostimulator electrode (64585) | $7,051.50 | $9,402 | 2.0× |
| Rmvl of subq implantable defibrillator electrode (33272) | $6,339.75 | $8,453 | 1.7× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) | $10,887.75 | $14,517 | 5.6× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) | $9,695.25 | $12,927 | 5.0× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) range across 2 matching MRF lines |
$7,276.50–$11,817.75 | $9,702–$15,757 | varies |
| Rplc Gtube No Revj Trc (43762) | $1,683.75 | $2,245 | 6.8× |
| Rplc gtube revj gstrst trc (43763) | $1,683.75 | $2,245 | 6.8× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) | $11,070.75 | $14,761 | 3.5× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $2,444.25 | $3,259 | 1.6× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $7,666.50 | $10,222 | 2.4× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $7,367.25 | $9,823 | 2.3× |
| Sclerotx Fluid Collection (49185) | $3,850.50 | $5,134 | 2.3× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) | $8,097 | $10,796 | 1.5× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) range across 2 matching MRF lines |
$8,097–$16,978.50 | $10,796–$22,638 | varies |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) | $45,067.50 | $60,090 | 8.1× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$999–$1,193.25 | $1,332–$1,591 | varies |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) | $66,247.50 | $88,330 | 2.3× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) | $38,568.75 | $51,425 | 2.0× |
| Tenotomy Adductor Hip Percutaneous Spx (27000) | $6,363.75 | $8,485 | 4.0× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) | $6,009 | $8,012 | 3.8× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) | $5,295.75 | $7,061 | 1.6× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $4,061.25 | $5,415 | 5.8× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) | $29,199 | $38,932 | 2.3× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $52,614.75 | $70,153 | 2.9× |
| Thromblytic art/ven therapy (37213) range across 2 matching MRF lines |
$9,597–$11,442 | $12,796–$15,256 | varies |
| Thrombolytic Art Therapy (37211) range across 2 matching MRF lines |
$8,317.50–$9,096 | $11,090–$12,128 | varies |
| Thrombolytic Venous Therapy (37212) | $8,317.50 | $11,090 | 2.6× |
| Tooth extraction (41899) | $948 | $1,264 | 4.0× |
| Trluml Balo Angiop 1St Art (37246) | $17,538.75 | $23,385 | 3.1× |
| Trluml Balo Angiop 1St Vein (37248) | $16,239 | $21,652 | 2.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $5,426.25 | $7,235 | 7.4× |
| Unlisted procedure femur or knee (27599) | $5,991.75 | $7,989 | 24.4× |
| Unlisted procedure foot or toes (28899) | $9,728.25 | $12,971 | 39.6× |
| Unlisted procedure shoulder (23929) | $11,248.50 | $14,998 | 45.8× |
| Unlisted procedure spine (22899) | $15,875.25 | $21,167 | 64.6× |
| Vasc embolize/occlude artery (37242) | $25,800.75 | $34,401 | 1.4× |
| Vasc Embolize/Occlude Bleed (37244) range across 2 matching MRF lines |
$22,401–$25,800.75 | $29,868–$34,401 | varies |
| Vasc embolize/occlude venous (37241) | $25,800.75 | $34,401 | 2.2× |
| Wedge excision skin nail fold (11765) | $378 | $504 | 0.9× |
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.