Procedures & surgery prices at Jefferson Medical Center

Ranson, WV · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,276 $2,552 1.4×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,150 $2,300 1.2×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure
$6,540 $13,080 0.4×
Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) $156 $312 0.9×
Application finger splint static (29130) $155.75 $311.50 1.1×
Application long arm splint shoulder hand (29105) $262 $524 1.6×
Application short arm splint forearm-hand static (29125) $155.75 $311.50 1.1×
Apply long leg splint (29505) $231 $462 1.4×
Apply short leg splint (29515) $231 $462 1.4×
Arterial puncture (36600) $114 $228 0.8×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $294 $588 0.9×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $382.25 $764.50 1.2×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $410.75 $821.50 1.3×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $294 $588 0.9×
Arthrodesis sacroiliac joint percutaneous (27279)
unusually low: confirm this is the full procedure
$6,540 $13,080 0.4×
Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278)
unusually low: confirm this is the full procedure
$6,540 $13,080 0.4×
Aspirate pleura w/ imaging (32555) $601 $1,202 0.9×
Avulsion nail plate partial/complete simple 1 (11730) $267.25 $534.50 1.3×
Biopsy external ear (69100) $227 $454 0.9×
Biopsy Nail Unit Separate Procedure (11755) $678.50 $1,357 0.9×
Biopsy of breast; open, incisional (19101) $3,750 $7,500 0.9×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $882.25 $1,764.50 0.9×
Blood patch (62273) $676.25 $1,352.50 0.9×
Blood transfusion service (36430) $645.50 $1,291 1.4×
Bx breast 1st lesion mr imag (19085) $1,980.50 $3,961 1.2×
Bx breast 1st lesion strtctc (19081) $3,418.50 $6,837 2.0×
Bx breast 1st lesion us imag (19083) $991 $1,982 0.6×
Change of cystostomy tube simple (51705) $183 $366 0.7×
Chemical cautery tissue (17250) $192.50 $385 0.9×
Chemodenerv Musc Neck Dyston (64616) $294 $588 0.9×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $294 $588 0.9×
Circumcision Neonate (54160) $668 $1,336 0.9×
Closed treatment of trimalleolar ankle fracture with manipulation (27818) $2,218.50 $4,437 1.3×
Closed tx knee dislocation w/o anesthesia (27550) $328.50 $657 1.3×
Closed tx patellar dislocation w/o anesthesia (27560) $328.50 $657 1.3×
Closed tx radial&ulnar shaft fractures w/manj (25565) $2,272.50 $4,545 1.4×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $328.50 $657 1.3×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,272.50 $4,545 1.4×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $328.50 $657 1.3×
Cltx dstl fibular fx lat malls w/manj (27788) $325.50 $651 1.3×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $238.50 $477 0.9×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,556 $3,112 0.9×
Cltx iphal jt dislc w/manj w/o anes (26770) $328.50 $657 1.3×
Cltx metacarpal fx w/manipulation each bone (26605) $423 $846 1.7×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $1,591 $3,182 1.0×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $350 $700 1.4×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $2,272.50 $4,545 1.4×
Cltx metatarsophlngl jt dislc w/o anes (28630) $371 $742 1.5×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $328.50 $657 1.3×
Cltx post hip arthrp dislc req anes (27266) $1,906.25 $3,812.50 1.1×
Cltx post hip arthrp dislc w/o anes (27265) $238.50 $477 0.9×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $328.50 $657 1.3×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $2,218.50 $4,437 1.3×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $2,272.50 $4,545 1.4×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $292 $584 0.9×
Colposcopy cervix upper/adjacent vagina (57452) $194 $388 0.9×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $292 $584 0.9×
Colposcopy vulva (56820) $194 $388 0.9×
Colposcopy vulva w/biopsy (56821) $292 $584 0.9×
Colposcopy,Cervix W/Adj Vagina, Curettag (57456) $292 $584 0.9×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $882.50 $1,765 0.9×
Control Nasal Hemorrhage Anterior Simple (30901) $184 $368 1.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $176 $352 1.3×
Cysto w/irrig & evac multple obstructing clots (52001) $2,881 $5,762 0.8×
Cystostomy Cystotomy W/Drainage (51040) $2,458 $4,916 1.1×
Cystourethroscopy (52000) $571 $1,142 0.8×
Dcmprn prq rmv lig flv 1lmbr (62330) $4,834 $9,668 0.6×
Debride nail 6 or more (11721) $56.50 $113 0.9×
Debride tissue/muscle (11043) $708 $1,416 0.9×
Debridement subcutaneous tissue 20 sq cm/< (11042) $389.50 $779 0.9×
Declot vascular device (36593) $527.50 $1,055 1.5×
Destroy cerv/thor facet jnt (64633) $1,870.50 $3,741 0.9×
Destroy lumb/sac facet jnt (64635) $1,870.50 $3,741 0.9×
Destruction Benign Lesions Up To 14 (17110) $192.50 $385 0.9×
Destruction by neurolytic agent, intercostal nerve (64620) $847.50 $1,695 0.9×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $847.50 $1,695 0.9×
Destruction Lesions Vulva Simple (56501) $1,976.50 $3,953 0.9×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $192.50 $385 0.9×
Destruction neurolytic agt genicular nerve w/img (64624) $1,870.50 $3,741 0.9×
Destruction premalignant lesion 1st (17000) $192.50 $385 0.9×
Dilate Urethra Stricture (53620) $668 $1,336 0.9×
Dilate urethra stricture (53621) $239.50 $479 0.9×
Dilate urethra stricture (53600) $239.50 $479 0.9×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $1,028 $2,056 1.4×
Drain/inj small joint/bursa w/us (20604) $294 $588 0.9×
Drainage Finger Abscess Simple (26010) $257.75 $515.50 1.2×
Drainage Mouth Roof Lesion (42000) $337.50 $675 1.4×
Drainage of gum lesion (41800) $184 $368 1.3×
Drainage of hematoma/fluid (10140) $1,582 $3,164 0.9×
Drainage of scrotal wall abscess (55100) $1,582 $3,164 0.9×
Draw blood off venous device (36591) $127.50 $255 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $342 $684 1.6×
Dstrj Neurolytic Agent Pudendal Nerve (64630) $847.50 $1,695 0.9×
Endometrial Biopsy (58100) $194 $388 0.9×
Evacuation of subungual hematoma (11740) $184 $368 1.3×
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) $1,581.50 $3,163 0.9×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,582 $3,164 0.9×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $1,582 $3,164 0.9×
Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) $678.50 $1,357 0.9×
Exc back tum deep < 5 cm (21932) $2,782 $5,564 0.9×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $678.50 $1,357 0.9×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $678.50 $1,357 0.9×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $389.50 $779 0.9×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $678.50 $1,357 0.9×
Exc thigh/knee les sc 3 cm/> (27337) $2,782.50 $5,565 0.9×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,582 $3,164 0.9×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $2,782 $5,564 0.9×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $389.50 $779 0.9×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $678.50 $1,357 0.9×
Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) $1,582 $3,164 0.9×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,582 $3,164 0.9×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $1,910.25 $3,820.50 1.1×
Fetal contraction stress test (59020) $401.50 $803 1.9×
Fetal non-stress test (59025) $230.50 $461 1.1×
Fine needle aspiration without imaging guidance (10021) $1,090.50 $2,181 2.6×
Fit/Insert Intravag Support Device (57160) $194 $388 0.9×
I&D Abscess Peritonsillar (42700) $330 $660 1.3×
I&d abscess simple (10060) $257.50 $515 1.2×
I&d epididymis tstis&/scrotal space (54700) $2,036 $4,072 0.9×
I&d pilonidal cyst simple (10080) $853.25 $1,706.50 1.2×
I&D Upper Arm/Elbow Bursa (23931) $1,610.50 $3,221 0.9×
I&d vulva/perineal abscess (56405) $462.50 $925 1.5×
Implant neuroelectrodes (63650)
unusually low: confirm this is the full procedure
$3,018 $6,036 0.5×
Incise external hemorrhoid (46083) $346 $692 1.3×
Incision & drainage abscess complicated/multiple (10061) $431.50 $863 1.0×
Incision & drainage pilonidal cyst complicated (10081) $1,028 $2,056 1.4×
Incision & removal foreign body subq tiss simple (10120) $389.50 $779 0.9×
Incision and drainage of bartholin's gland abscess (56420) $282 $564 1.3×
Incision and drainage perianal abscess superficial (46050) $891 $1,782 0.9×
Incision and drainage, complex, postoperative wound infection (10180) $2,782.50 $5,565 0.9×
Incision of rectal abscess (46040) $1,969.50 $3,939 1.6×
Incisional biopsy skin single lesion (11106) $708 $1,416 0.9×
Inj paravert f jnt c/t 1 lev (64490) $847.50 $1,695 0.9×
Inj tendon sheath/ligament (20550) $294 $588 0.9×
Inj therapeutic carpal tunnel (20526) $294 $588 0.9×
Inj,Anes Agent,Brachial Plexus,Single (64415) $1,220.25 $2,440.50 1.3×
Inj,Ther Agent Into Tenon's Capsule (67515) $304.50 $609 0.9×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $847.50 $1,695 0.9×
Inject Nerv Blck,Axillary Nerv (64417) $847.50 $1,695 0.9×
Inject Nerv Blck,Celiac Plexus (64530) $847.50 $1,695 0.9×
Inject Nerv Blck,Intercost,Multpl (64421) $847.50 $1,695 0.9×
Inject Nerv Blck,Intercostal,One (64420) $676.50 $1,353 0.9×
Inject Nerv Blck,Paravert Sympath (64520) $847.50 $1,695 0.9×
Inject Tendon Origin/Insert (20551) $294 $588 0.9×
Injection aa&/strd genicular nrv branches w/img (64454) $676.50 $1,353 0.9×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $676.50 $1,353 0.9×
Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) $951.50 $1,903 1.3×
Injection aa&/strd pudendal nerve (64430) $847.50 $1,695 0.9×
Injection aa&/strd trigeminal nerve each branch (64400) $404 $808 1.3×
Injection Anes Agent Sphenopalatine Ganglion (64505) $294 $588 0.9×
Injection Anes Superior Hypogastric Plexus (64517) $847.50 $1,695 0.9×
Injection anesthetic agent femoral nerve single (64447) $951.50 $1,903 1.3×
Injection anesthetic agent suprascapular nerve (64418) $676.50 $1,353 0.9×
Injection single/mlt trigger point 1/2 muscles (20552) $294 $588 0.9×
Injection single/mlt trigger point 3/> muscles (20553) $294 $588 0.9×
Ins/Rep Subq Defibrillator (33270)
likely a partial charge, not the full procedure
$8,735 $17,470 0.3×
Insert cath pleura w/o image (32556) $3,361 $6,722 1.7×
Insert cervical dilator (59200) $501 $1,002 1.6×
Insert Drug Implant Device (11981) $127.50 $255 0.9×
Insert non-tunnel cv cath (36556) $2,388 $4,776 0.7×
Insert pulse gen dual leads (33213)
unusually low: confirm this is the full procedure
$4,157 $8,314 0.4×
Insert subq implantable defib electrode (33271)
likely a partial charge, not the full procedure
$2,502.50 $5,005 0.3×
Insert Temp Bladder Cath (51702) $229.50 $459 1.7×
Insert,Non-Indwelling Bladder Catheter (51701) $127.50 $255 0.9×
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
unusually low: confirm this is the full procedure
$2,619.50 $5,239 0.3×
Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216)
unusually low: confirm this is the full procedure
$2,628 $5,256 0.3×
Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217)
likely a partial charge, not the full procedure
$2,502.50 $5,005 0.3×
Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen (33224)
unusually low: confirm this is the full procedure
$4,157 $8,314 0.4×
Insj picc rs&i 5 yr+ (36573) $1,508 $3,016 0.9×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $2,387.75 $4,775.50 0.7×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
likely a partial charge, not the full procedure
$2,502.50 $5,005 0.3×
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure
$4,998 $9,996 0.2×
Intubation endotracheal emergency procedure (31500) $805 $1,610 3.3×
Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn Facility (31520) $374.50 $749 0.9×
Laryngoscopy flexible diagnostic (31575) $191.50 $383 0.9×
Manipulation knee joint under general anesthesia (27570) $1,540.50 $3,081 0.9×
N Block Inj Ilio-Ing/Hypogi (64425) $676.50 $1,353 0.9×
N Block Inj, Plantar Digit (64455) $294 $588 0.9×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $598 $1,196 1.3×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $534 $1,068 1.3×
Njx aa&/strd sciatic nerve (64445) $676.50 $1,353 0.9×
Njx anes stellate ganglion crv sympathetic (64510) $847.50 $1,695 0.9×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $847.50 $1,695 0.9×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $676.50 $1,353 0.9×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) $676.50 $1,353 0.9×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) $847 $1,694 0.9×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $688 $1,376 0.9×
Occipital Nerve Block (64405) $294 $588 0.9×
Onc Sld Org Neo Trgt Gen Seq Dna Alys 505 Genes (0250U) $2,250 $4,500 0.8×
Ostectomy complete 5th metatarsal head (28113) $3,134 $6,268 0.9×
Perq dev breast 1st us imag (19285) $767.50 $1,535 1.0×
Perq device breast 1st imag (19281) $1,519 $3,038 0.9×
Perq replacement gtube not req revj gstrst trc (43762) $337 $674 1.3×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $4,834 $9,668 0.6×
Perq Vertebral Augmentation (22513) $4,834 $9,668 0.6×
Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) $3,134 $6,268 0.9×
Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) $3,134 $6,268 0.9×
Placement of needle for intraosseous infusion (36680) $550.50 $1,101 1.2×
Probe Nasolac Duct,Insert Tube/Stent (68815) $2,277.50 $4,555 0.9×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555)
unusually low: confirm this is the full procedure
$3,018 $6,036 0.5×
Punch biopsy skin single lesion (11104) $389.50 $779 0.9×
Puncture Aspiration Cyst Breast (19000) $678.50 $1,357 0.9×
Puncture aspiration of abscess hematoma bulla or cyst (10160) $490.25 $980.50 1.2×
Puncture shunt tube/reservoir aspiration/inj px (61070) $676.50 $1,353 0.9×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $1,870.50 $3,741 0.9×
Reduce testis torsion (54600) $3,428 $6,856 0.9×
Relocation of skin pocket for pacemaker (33222) $1,715 $3,430 0.8×
Removal Anal Seton Other Marker (46030) $1,146.50 $2,293 0.9×
Removal foreign body foot subcutaneous (28190) $1,057 $2,114 1.4×
Removal foreign body intranasal (30300) $184 $368 1.3×
Removal impacted cerumen irrigation/lvg unilat (69209) $82.75 $165.50 1.4×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $82.50 $165 1.4×
Removal impacted vag fb spx w/anes oth/thn local (57415) $3,160 $6,320 0.9×
Removal Implantable Contraceptive Capsules (11976) $678.50 $1,357 0.9×
Removal of foreign body, external eye; corneal, without slit lamp (65220) $500.50 $1,001 1.1×
Removal of iud (58301) $292 $584 0.9×
Removal of nail bed (11750) $591 $1,182 1.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $192.50 $385 0.9×
Remove drug implant device (11982) $428 $856 0.9×
Remove spine eltrd perq aray (63661) $1,870.50 $3,741 0.9×
Remove/Insert Drug Implant (11983) $428 $856 0.9×
Remv Ext Canal Foreign Body (69200) $155.75 $311.50 1.1×
Remv F.B.,Eye,Superf Conjunc (65205) $154 $308 1.1×
Repair Blood Vessel Direct Upper Extremity (35206) $2,449.50 $4,899 0.7×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $623 $1,246 1.5×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $889.50 $1,779 2.1×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $943 $1,886 2.2×
Repair eyelid defect (67916) $2,277.50 $4,555 0.9×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $591 $1,182 1.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $591 $1,182 1.4×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $490.25 $980.50 1.2×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $591 $1,182 1.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $591 $1,182 1.4×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $591 $1,182 1.4×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $700 $1,400 0.9×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $591 $1,182 1.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $591 $1,182 1.4×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $490.25 $980.50 1.2×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $591 $1,182 1.4×
Repair lead pace-defib dual (33220) $2,537.50 $5,075 0.7×
Repair lead pace-defib one (33218) $2,537.50 $5,075 0.7×
Repair of nail bed (11760) $889.50 $1,779 1.2×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $7,099 $14,198 0.9×
Repeat control of nosebleed (30906) $227 $454 0.9×
Repos Previously Implanted Subq Implantable Dfb (33273) $2,537.50 $5,075 0.7×
Revise spine eltrd perq aray (63663)
unusually low: confirm this is the full procedure
$3,018 $6,036 0.5×
Revise/Remove Neuroreceiver (63688) $2,843 $5,686 0.8×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $160.50 $321 1.2×
Rmvl of subq defibrillator (33272) $2,537.50 $5,075 0.7×
Shave skin lesion 0.5 cm/< (11300) $389.50 $779 0.9×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $192.50 $385 0.9×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $192.50 $385 0.9×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $551 $1,102 1.3×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $342 $684 1.6×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $286 $572 1.4×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $286 $572 1.4×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $286 $572 1.4×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $286 $572 1.4×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $342 $684 1.6×
Skin sub graft face/nk/hf/g (15275) $708 $1,416 0.9×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $286 $572 1.4×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $591 $1,182 1.4×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $591 $1,182 1.4×
Spinal puncture lumbar diagnostic (62270) $1,135.50 $2,271 1.6×
Strapping unna boot (29580) $156 $312 0.9×
Tangential biopsy skin single lesion (11102) $389.50 $779 0.9×
Tenotomy open extensor foot/toe each tendon (28234) $1,540 $3,080 0.9×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628)
unusually low: confirm this is the full procedure
$6,332 $12,664 0.5×
Thoracentesis needle/cath pleura w/o imaging (32554) $614.50 $1,229 0.9×
Thrombolytic Therapy Stroke (37195) $533.50 $1,067 1.6×
Total hip arthroplasty (27130)
unusually low: confirm this is the full procedure
$6,331.50 $12,663 0.5×
Tracheostoma Revj Smpl W/O Flap Rotation (31613) $3,175.50 $6,351 0.9×
Tracheostomy planned (31600) $3,175.50 $6,351 0.9×
Treatment closed elbow dislocation req anes (24605) $2,272.50 $4,545 1.4×
Treatment closed elbow dislocation w/o anes (24600) $328.50 $657 1.3×
Trim skin lesion (11055) $192.50 $385 0.9×
Tube thoracostomy includes water seal (32551) $1,502 $3,004 0.9×
Unlisted Procedure Conjunctiva (68399) $304 $608 0.9×
Unlisted procedure nervous system (64999) $294 $588 0.9×
Unlisted procedure, maternity care and delivery (59899) $103.50 $207 0.5×
Upgrade of pacemaker system (33214)
unusually low: confirm this is the full procedure
$4,157 $8,314 0.4×
Us urine capacity measure (51798) $74.25 $148.50 1.2×
Vaginal Delivery Only, After Previous Cesarean Delivery (59612) $3,160 $6,320 0.9×
Vasectomy uni/bi spx w/postop semen exams (55250) $2,002.50 $4,005 0.9×
Venipuncture (36415) $9 $18 1.0×
Wound Prep F/N/Hf/G (15004) $389.50 $779 0.9×