Procedures & surgery prices at Kettering Health Dayton
Dayton, OH · every code in this section with a posted price and a Medicare benchmark.
483 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) | $791.60 | $1,979 | 0.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $372.40 | $931 | 0.4× |
| Ablate Pulm Tumor Perq Crybl (32994) | $7,564.40 | $18,911 | 0.7× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) | $13,721.20 | $34,303 | 0.8× |
| Amniocentesis diagnostic (59000) | $995.60 | $2,489 | 1.1× |
| Amniocentesis therapeutic (59001) | $1,140.80 | $2,852 | 3.8× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$272.40–$984.80 | $681–$2,462 | varies |
| Application Cast Finger (29086) | $563.20 | $1,408 | 3.5× |
| Application long arm splint shoulder hand (29105) | $159.60 | $399 | 1.0× |
| Application of cylinder cast (thigh to ankle) (29365) | $984.80 | $2,462 | 3.6× |
| Application of long leg cast (29345) | $984.80 | $2,462 | 3.6× |
| Application of rigid total contact leg cast (29445) range across 3 matching MRF lines |
$313.20–$1,102.80 | $783–$2,757 | varies |
| Application short arm splint forearm-hand static (29125) | $126.40 | $316 | 1.0× |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$159.60–$204.40 | $399–$511 | varies |
| Apply hand/wrist cast (29085) range across 2 matching MRF lines |
$159.60–$563.20 | $399–$1,408 | varies |
| Apply long arm cast (29065) range across 2 matching MRF lines |
$272.40–$984.80 | $681–$2,462 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 3 matching MRF lines |
$444.82–$445.20 | $1,112.05–$1,113 | varies |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$272.40–$984.80 | $681–$2,462 | varies |
| Apply short leg cast (29425) range across 2 matching MRF lines |
$313.20–$522 | $783–$1,305 | varies |
| Arterial puncture (36600) | $140 | $350 | 1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$368–$1,159.20 | $920–$2,898 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $2,426.80 | $6,067 | 3.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 3 matching MRF lines |
$391.20–$1,327.60 | $978–$3,319 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$425.60–$2,594.40 | $1,064–$6,486 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$340.40–$861.60 | $851–$2,154 | varies |
| Arthrodesis sacroiliac joint percutaneous (27279) | $21,432.40 | $53,581 | 1.2× |
| Aspirate pleura w/ imaging (32555) | $4,806 | $12,015 | 7.8× |
| Aspirate Pleura W/O Imaging (32554) | $3,383.20 | $8,458 | 5.5× |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$294.80–$1,485.60 | $737–$3,714 | varies |
| Aspiration and/or injection thyroid cyst (60300) | $2,067.20 | $5,168 | 3.0× |
| Aspiration bladder insert suprapubic catheter (51102) | $12,573.20 | $31,433 | 6.1× |
| Av Fistula Revision Open (36832) | $6,098.80 | $15,247 | 1.1× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$232.80–$636 | $582–$1,590 | varies |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) | $5,332 | $13,330 | 0.8× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) unusually low: confirm this is the full procedure |
$4,673.60 | $11,684 | 0.4× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) unusually low: confirm this is the full procedure |
$2,480 | $6,200 | 0.4× |
| Biopsy Abdominal Mass (49180) | $1,643.20 | $4,108 | 1.0× |
| Biopsy bone trocar/needle deep (20225) | $2,560.40 | $6,401 | 1.6× |
| Biopsy Bone Trocar/Needle Superficial (20220) range across 3 matching MRF lines |
$1,669.20–$2,242.80 | $4,173–$5,607 | varies |
| Biopsy muscle percutaneous needle (20206) | $1,643.20 | $4,108 | 1.0× |
| Biopsy of liver, needle; percutaneous (47000) | $1,643.20 | $4,108 | 1.0× |
| Biopsy Pleura Percutaneous Needle (32400) | $646.80 | $1,617 | 0.4× |
| Biopsy Salivary Gland Needle (42400) | $1,396.40 | $3,491 | 2.0× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) | $4,636 | $11,590 | 2.8× |
| Biopsy soft tissue neck/thorax (21550) | $1,859.20 | $4,648 | 1.1× |
| Biopsy Soft Tissue Shoulder Superficial (23065) | $3,645.20 | $9,113 | 2.2× |
| Biopsy soft tissue thigh/knee area superficial (27323) | $4,082.80 | $10,207 | 2.5× |
| Biopsy Vaginal Mucosa Simple (57100) range across 2 matching MRF lines |
$714.80–$889.60 | $1,787–$2,224 | varies |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) range across 2 matching MRF lines |
$755.60–$822 | $1,889–$2,055 | varies |
| Bladder instillation anticarcinogenic agent (51720) | $578.40 | $1,446 | 0.8× |
| Bladder Irrigation (51700) | $1,106 | $2,765 | 4.5× |
| Bladder Scan (51798) | $407.60 | $1,019 | 7.0× |
| Blepharotomy drainage abscess eyelid (67700) | $316 | $790 | 1.0× |
| Blood Transfusion Service (36430) | $1,900.80 | $4,752 | 4.4× |
| Bone Marrow Biopsy (38221) | $1,971.20 | $4,928 | 1.2× |
| Bone Marrow; Aspiration Only (38220) | $1,643.20 | $4,108 | 1.0× |
| Bronch Thermoplsty 1 Lobe (31660) | $6,603.20 | $16,508 | 0.9× |
| Bronchoscopic Thermoplasty 2/> Lobes (31661) | $13,202.80 | $33,007 | 1.9× |
| Bx breast 1st lesion mr imag (19085) | $1,620 | $4,050 | 1.0× |
| Bx breast 1st lesion strtctc (19081) | $2,798.40 | $6,996 | 1.7× |
| Bx breast 1st lesion us imag (19083) | $1,733.60 | $4,334 | 1.1× |
| Bx Cervix (57500) range across 2 matching MRF lines |
$822–$889.60 | $2,055–$2,224 | varies |
| Cessj Therapy Cath Removal (37214) | $5,139.20 | $12,848 | 1.7× |
| Change Cystostomy Tube Complicated (51710) | $1,992 | $4,980 | 2.9× |
| Change Cystostomy Tube Simple (51705) | $583.20 | $1,458 | 2.4× |
| Change ureter stent percut (50382) | $4,900 | $12,250 | 2.4× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$232.40–$232.80 | $581–$582 | varies |
| Chemodenerv Musc Migraine (64615) | $339.20 | $848 | 1.1× |
| Chemodenerv musc neck dyston (64616) | $339.20 | $848 | 1.1× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $294.80 | $737 | 1.0× |
| Chest tube placement (32551) | $3,374.40 | $8,436 | 2.2× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) | $4,970 | $12,425 | 2.4× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $5,904.40 | $14,761 | 1.7× |
| Ciliary body dstrj cyclophotocoag transsceral (66710) | $2,325.20 | $5,813 | 1.0× |
| Circumcision Neonate (54160) | $2,808.40 | $7,021 | 4.1× |
| Circumcision w/clamp/oth dev w/block (54150) | $2,808.40 | $7,021 | 1.4× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $219.60 | $549 | 0.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $267.60 | $669 | 1.1× |
| Clsr Lacrimal Punctum Plug Each (68761) | $303.60 | $759 | 1.0× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $232.80 | $582 | 1.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $267.60 | $669 | 1.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $232.80 | $582 | 1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $232.80 | $582 | 1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $232.80 | $582 | 1.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $232.80 | $582 | 1.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $232.80 | $582 | 1.0× |
| Collect Blood From Catheter Venous Nos (36592) | $266.80 | $667 | 2.0× |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$11.20–$14.80 | $28–$37 | varies |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) range across 2 matching MRF lines |
$327.60–$336.80 | $819–$842 | varies |
| Colposcopy Cervix Endocervical Curettage (57456) range across 2 matching MRF lines |
$327.60–$410 | $819–$1,025 | varies |
| Colposcopy cervix upper/adjacent vagina (57452) range across 2 matching MRF lines |
$198.40–$203.20 | $496–$508 | varies |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $327.60 | $819 | 1.1× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | $2,649.60 | $6,624 | 0.8× |
| Colposcopy entire vagina w/cervix if present (57420) range across 2 matching MRF lines |
$365.60–$1,159.20 | $914–$2,898 | varies |
| Colposcopy of vulva (56820) | $568.40 | $1,421 | 2.9× |
| Colposcopy Vulva W/Biopsy (56821) range across 2 matching MRF lines |
$309.20–$646.80 | $773–$1,617 | varies |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) range across 2 matching MRF lines |
$714.80–$1,159.20 | $1,787–$2,898 | varies |
| Complex drainage wound (10180) | $8,736.40 | $21,841 | 3.1× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $2,959.20 | $7,398 | 0.9× |
| Conversion ext bil drg cath (47535) | $2,121.20 | $5,303 | 0.6× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $5,237.20 | $13,093 | 2.8× |
| Convert Nephrostomy Catheter (50434) | $2,375.60 | $5,939 | 1.2× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $4,282.40 | $10,706 | 2.6× |
| Cornea Scraping Diagnostic Smear &/Culture (65430) | $313.60 | $784 | 0.7× |
| Correction of trichiasis; epilation, by forceps only (67820) | $145.20 | $363 | 1.1× |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) | $6,934.40 | $17,336 | 1.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 2 matching MRF lines |
$182.80–$1,414 | $457–$3,535 | varies |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) | $8,388 | $20,970 | 4.4× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 3 matching MRF lines |
$700.40–$1,448.40 | $1,751–$3,621 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$72.80–$242.40 | $182–$606 | varies |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$72.80–$299.60 | $182–$749 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 4 matching MRF lines |
$1,825.60–$2,121.60 | $4,564–$5,304 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$448.80–$1,204 | $1,122–$3,010 | varies |
| Declot vascular device (36593) | $2,415.60 | $6,039 | 7.4× |
| Destruc retinal lesn,photocoag (67210) | $585.20 | $1,463 | 1.1× |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$202.40–$424 | $506–$1,060 | varies |
| Destruction Lesions Vulva Simple (56501) | $1,934.80 | $4,837 | 1.0× |
| Destruction of lesion of lid margin (up to 1 cm) (67850) | $913.20 | $2,283 | 0.9× |
| Destruction premalignant lesion 1st (17000) | $202.40 | $506 | 1.0× |
| Destruction Vaginal Lesions Simple (57061) | $2,959.20 | $7,398 | 0.9× |
| Dilat Xst Trc New Access Rcs (50437) | $4,895.60 | $12,239 | 1.4× |
| Dilation Lacrimal Punctum W/WO Irrgation (68801) | $399.60 | $999 | 0.9× |
| Drain Cerebro Spinal Fluid (62272) range across 2 matching MRF lines |
$606.40–$680.40 | $1,516–$1,701 | varies |
| Drain Spinal Cord Cyst (62268) | $904.80 | $2,262 | 1.0× |
| Drain/inj small joint/bursa w/us (20604) | $2,104.80 | $5,262 | 7.0× |
| Drainage of eye (65800) | $2,415.60 | $6,039 | 1.1× |
| Drainage of finger abscess simple (26010) | $103.20 | $258 | 0.5× |
| Drainage of hematoma/fluid (10140) range across 5 matching MRF lines |
$1,692.40–$1,880 | $4,231–$4,700 | varies |
| Draw Blood Off Venous Device (36591) | $386.80 | $967 | 3.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $790 | $1,975 | 2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$232.80–$316 | $582–$790 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$232.80–$304.40 | $582–$761 | varies |
| Dstrj Lesion Anus Simple Chemical (46900) | $390.40 | $976 | 1.0× |
| Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) | $7,559.60 | $18,899 | 3.9× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) | $3,156 | $7,890 | 3.6× |
| Dx Bone Marrow Bx & Aspir (38222) | $3,614.80 | $9,037 | 1.3× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $2,276.80 | $5,692 | 3.3× |
| Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) | $6,724.80 | $16,812 | 1.2× |
| Endocervical curettage (57505) | $822 | $2,055 | 0.9× |
| Endometrial Biopsy (58100) range across 2 matching MRF lines |
$221.60–$373.60 | $554–$934 | varies |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) | $17,960.80 | $44,902 | 1.6× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) | $3,440 | $8,600 | 1.1× |
| Endoven ther chem adhes 1st (36482) | $7,546.80 | $18,867 | 1.4× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) | $2,536 | $6,340 | 1.2× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) | $2,415.20 | $6,038 | 1.2× |
| Epidural Blood Patch (62273) | $1,507.60 | $3,769 | 2.2× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $682.40 | $1,706 | 0.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $1,587.60 | $3,969 | 1.0× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $702 | $1,755 | 1.0× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $807.20 | $2,018 | 1.2× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $702 | $1,755 | 1.0× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $1,634.80 | $4,087 | 1.0× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) range across 2 matching MRF lines |
$891.60–$990 | $2,229–$2,475 | varies |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $702 | $1,755 | 1.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $1,587.60 | $3,969 | 1.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $2,121.20 | $5,303 | 0.6× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $6,615.20 | $16,538 | 3.2× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $712.80 | $1,782 | 0.4× |
| Excision Chalazion Multiple Same Lid (67801) | $940.80 | $2,352 | 1.0× |
| Excision Chalazion Single (67800) | $303.60 | $759 | 1.0× |
| Excision Lesion Cornea Xcp Pterygium (65400) | $3,113.60 | $7,784 | 3.2× |
| Excision of chalazion; multiple, different lids (67805) | $370 | $925 | 1.2× |
| Excision of vaginal cyst or tumor (57135) | $1,404 | $3,510 | 0.4× |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) | $4,688.40 | $11,721 | 1.6× |
| Explo/Drain Breast Abscess (19020) | $1,587.60 | $3,969 | 1.0× |
| External cephalic version (59412) | $1,266 | $3,165 | 0.4× |
| Fetal Contraction Stress Test (59020) | $803.60 | $2,009 | 4.0× |
| Fetal Fluid Drainage W/Ultrasound Guidance (59074) | $456.80 | $1,142 | 1.5× |
| Fetal non-stress test (59025) range across 2 matching MRF lines |
$221.60–$798 | $554–$1,995 | varies |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $699.20 | $1,748 | 1.0× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) | $699.20 | $1,748 | 1.0× |
| Fine needle aspiration without imaging guidance (10021) | $366 | $915 | 0.9× |
| Fluoro exam of g/colon tube (49465) | $904.40 | $2,261 | 3.8× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $699.20 | $1,748 | 1.0× |
| Fna bx w/us gdn 1st les (10005) | $699.20 | $1,748 | 1.0× |
| Guide Cathet Fluid Drainage (10030) | $1,311.60 | $3,279 | 1.9× |
| I&d abscess simple (10060) range across 4 matching MRF lines |
$232.80–$369.20 | $582–$923 | varies |
| I&D Below Fascia Foot 1 Bursal Space (28002) | $3,491.20 | $8,728 | 2.2× |
| I&d pilonidal cyst simple (10080) | $722.80 | $1,807 | 1.0× |
| Icd Pocket Revision (33223) | $720.40 | $1,801 | 0.4× |
| Image Cath Fluid Colxn Visc (49405) | $3,296.80 | $8,242 | 2.0× |
| Image Cath Fluid Peri/Retro (49406) | $3,296.80 | $8,242 | 2.0× |
| Image Cath Fluid Trns/Vgnl (49407) | $2,143.60 | $5,359 | 1.3× |
| Implant neuroelectrodes (63650) | $4,628.40 | $11,571 | 0.7× |
| Implant Neuroelectrodes (64561) | $10,205.60 | $25,514 | 1.6× |
| Implant Periph/Gastric Neurostim/Receiver (64590) | $23,700 | $59,250 | 1.2× |
| Incise/Drain Conjunctiva (68020) | $888 | $2,220 | 0.9× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$448.80–$500.40 | $1,122–$1,251 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$448.80–$1,312.40 | $1,122–$3,281 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $192.80 | $482 | 1.0× |
| Incision and drainage of vulva or perineal abscess (56405) | $365.60 | $914 | 1.2× |
| Incision&drainage bursa foot (28001) | $2,625.60 | $6,564 | 1.6× |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$680.40–$1,141.20 | $1,701–$2,853 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $3,042.80 | $7,607 | 3.5× |
| Inj W/Fluor Eval Cv Device (36598) | $95.20 | $238 | 0.5× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $3,825.20 | $9,563 | 4.4× |
| Inject Intravitreal Pharmcologic (67028) | $361.20 | $903 | 1.1× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 3 matching MRF lines |
$339.20–$1,115.60 | $848–$2,789 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $1,946.40 | $4,866 | 2.8× |
| Injection for identification of sentinel node (38792) | $152.80 | $382 | 0.4× |
| Injection into disk lesion (62292) | $2,729.20 | $6,823 | 1.4× |
| Injection medication/other subst tenon capsule (67515) | $303.60 | $759 | 1.0× |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$294.80–$1,299.60 | $737–$3,249 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$294.80–$938.80 | $737–$2,347 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$303.60–$1,119.20 | $759–$2,798 | varies |
| Injection therapeutic carpal tunnel (20526) | $339.20 | $848 | 1.1× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$695.20–$822.80 | $1,738–$2,057 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $232.80 | $582 | 1.2× |
| Injx Anterior Chamber Eye Medication Spx (66030) | $2,284.80 | $5,712 | 1.0× |
| Ins cath ren art 1st bilat (36252) | $3,318.80 | $8,297 | 1.1× |
| Ins cath ren art 1st unilat (36251) | $3,242 | $8,105 | 1.0× |
| Ins cath ren art 2nd+ bilat (36254) | $3,318.80 | $8,297 | 1.1× |
| Ins cath ren art 2nd+ unilat (36253) | $3,242 | $8,105 | 0.6× |
| Ins endovas vena cava filtr (37191) | $5,536.40 | $13,841 | 1.0× |
| Ins Vag Brachytx Device (57156) | $3,190.80 | $7,977 | 10.6× |
| Ins/Rep Subq Defibrillator (33270) | $46,634 | $116,585 | 1.5× |
| Insert 1 Electrode Pm-Defib (33216) | $4,213.60 | $10,534 | 0.5× |
| Insert cath pleura w/ image (32557) | $4,806 | $12,015 | 3.1× |
| Insert cath pleura w/o image (32556) | $3,383.20 | $8,458 | 1.8× |
| Insert cervical dilator (59200) | $710.80 | $1,777 | 2.4× |
| Insert Drug Implant Device (11981) | $149.60 | $374 | 1.1× |
| Insert Gastrostomy Tube Percutaneous (49440) | $5,444.40 | $13,611 | 2.9× |
| Insert Heart Pm Atrial (33206) | $7,400.80 | $18,502 | 0.7× |
| Insert Heart Pm Ventricular (33207) | $6,196 | $15,490 | 0.6× |
| Insert hepatic shunt (tips) (37182) unusually low: confirm this is the full procedure |
$7,164 | $17,910 | 0.4× |
| Insert non-tunnel cv cath (36556) | $3,257.60 | $8,144 | 1.0× |
| Insert Pacing Lead & Connect (33224) | $5,524.40 | $13,811 | 0.5× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $4,108 | $10,270 | 2.6× |
| Insert pulse gen dual leads (33213) unusually low: confirm this is the full procedure |
$4,236 | $10,590 | 0.4× |
| Insert pulse gen mult leads (33221) unusually low: confirm this is the full procedure |
$7,725.60 | $19,314 | 0.4× |
| Insert Pulse Gen Sngl Lead (33212) unusually low: confirm this is the full procedure |
$3,865.20 | $9,663 | 0.5× |
| Insert spine infusion device (62360) | $35,842.40 | $89,606 | 2.0× |
| Insert Temp Bladder Cath (51702) | $319.20 | $798 | 2.4× |
| Insert tun ip cath perc (49418) | $13,094.40 | $32,736 | 3.7× |
| Insert tunneled cv cath (36561) | $4,755.20 | $11,888 | 1.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $319.20 | $798 | 2.4× |
| Insertion indwelling tunneled pleural catheter (32550) | $6,519.20 | $16,298 | 1.8× |
| Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including… (64596) | $22,747.60 | $56,869 | 2.1× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $4,572 | $11,430 | 2.9× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $4,213.60 | $10,534 | 0.5× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) | $1,852 | $4,630 | 0.4× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) unusually low: confirm this is the full procedure |
$3,424.40 | $8,561 | 0.4× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $5,192 | $12,980 | 1.7× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $4,108 | $10,270 | 2.6× |
| Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) | $20,836 | $52,090 | 1.6× |
| Insj Subq Impltbl Dfb Elctrd (33271) | $12,539.20 | $31,348 | 1.5× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) | $4,686 | $11,715 | 1.5× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $3,237.60 | $8,094 | 1.0× |
| Insj/Rplcmt Defib W/Lead(S) (33249) | $29,412.40 | $73,531 | 1.0× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) unusually low: confirm this is the full procedure |
$14,026.40 | $35,066 | 0.5× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) unusually low: confirm this is the full procedure |
$3,424.40 | $8,561 | 0.4× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) unusually low: confirm this is the full procedure |
$3,424.40 | $8,561 | 0.4× |
| Insrt heart pm atrial & vent (33208) | $8,327.60 | $20,819 | 0.8× |
| Insrt Pulse Gen W/Dual Leads (33230) | $26,208 | $65,520 | 1.2× |
| Insrt Pulse Gen W/Mult Leads (33231) | $26,782.40 | $66,956 | 0.9× |
| Insrt Pulse Gen W/Singl Lead (33240) | $25,633.20 | $64,083 | 1.2× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) | $412.80 | $1,032 | 1.7× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) | $3,081.20 | $7,703 | 2.3× |
| Intro cath dialysis circuit (36901) | $1,146 | $2,865 | 0.7× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $16,338.40 | $40,846 | 1.4× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $8,084 | $20,210 | 1.4× |
| Intro Gastrointestinal Tube (44500) | $2,397.20 | $5,993 | 2.7× |
| Intubation endotracheal emergency procedure (31500) | $251.60 | $629 | 1.1× |
| Iridotomy/irridectomy laser surg per session (66761) | $585.20 | $1,463 | 1.1× |
| Laryngoscopy flexible diagnostic (31575) | $534.40 | $1,336 | 2.7× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) | $1,674.80 | $4,187 | 4.3× |
| Laser Surgery,Sever Vitreous Strands (67031) | $585.20 | $1,463 | 1.1× |
| Late closure of wound (13160) | $3,652.40 | $9,131 | 1.0× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) | $2,858.40 | $7,146 | 1.8× |
| Mech remov tunneled cv cath (36595) | $15,634.80 | $39,087 | 5.0× |
| Mrgfus Stereotactic Ablation Target Intracranial (61715) | $19,952.80 | $49,882 | 1.8× |
| Myelography Lumbar Injection (62305) | $3,864 | $9,660 | 5.0× |
| Myelography Lumbar Injection (62304) | $3,864 | $9,660 | 5.0× |
| Myelography via lumbar injection rs&i cervical (62302) | $3,864 | $9,660 | 5.0× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $3,864 | $9,660 | 5.0× |
| N Block Inj Celiac Pelus (64530) | $3,540.80 | $8,852 | 4.1× |
| N block inj intercost sng (64420) | $1,262.40 | $3,156 | 1.8× |
| N Block Inj Plantar Digit (64455) | $294.80 | $737 | 1.0× |
| N Block Lumbar/Thoracic (64520) | $1,484.40 | $3,711 | 1.7× |
| Nasal/Orogastric W/Tube Plmt (43752) | $402 | $1,005 | 0.9× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) | $810.40 | $2,026 | 3.3× |
| Needle Biopsy Lymph Nodes (38505) | $1,926.40 | $4,816 | 1.2× |
| Needle Biopsy Pancreas (48102) | $668.40 | $1,671 | 0.4× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $61.60 | $154 | 2.2× |
| Needle insertion w/o injection 3 or more muscles (20561) | $61.60 | $154 | 2.2× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $1,296.40 | $3,241 | 3.1× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$250.40–$1,149.20 | $626–$2,873 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $1,337.20 | $3,343 | 0.4× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $1,337.20 | $3,343 | 0.4× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $3,085.60 | $7,714 | 3.5× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) | $2,707.20 | $6,768 | 3.1× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $2,020 | $5,050 | 2.9× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $2,148 | $5,370 | 3.1× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $2,707.20 | $6,768 | 3.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $2,707.20 | $6,768 | 3.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,580.80 | $3,952 | 2.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $2,707.20 | $6,768 | 3.1× |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) | $6,474 | $16,185 | 3.2× |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) | $6,474 | $16,185 | 3.2× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $1,192.40 | $2,981 | 1.7× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) | $1,192.40 | $2,981 | 1.7× |
| Obstructive material removal from gi tube (49460) | $620 | $1,550 | 0.7× |
| Occipital Nerve Block (64405) | $339.20 | $848 | 1.1× |
| Open/Perq Place Stent 1St (37236) | $16,999.60 | $42,499 | 1.5× |
| Open/Perq Place Stent Same (37238) | $16,999.60 | $42,499 | 1.5× |
| Ostectomy calcaneus (28118) | $6,298.80 | $15,747 | 2.0× |
| Penile Plethysmography (54240) | $468.40 | $1,171 | 2.2× |
| Perc Cryo Ablate Renal Tum (50593) | $15,700 | $39,250 | 1.5× |
| Perc Rf Ablate Renal Tumor (50592) | $20,273.60 | $50,684 | 3.4× |
| Percut Ablate Liver Rf (47382) | $6,440.80 | $16,102 | 1.1× |
| Percut Cath Occlusn Non Cns Lesn (61626) unusually low: confirm this is the full procedure |
$5,540.80 | $13,852 | 0.5× |
| Percut Drain/Inject Renal Cyst (50390) | $1,490 | $3,725 | 2.1× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) | $2,562 | $6,405 | 0.8× |
| Percutaneous implantation of neurostimulator electrode array; cranial nerve Facility (64553) | $34,196.80 | $85,492 | 3.1× |
| Pericardiocentesis W/Imaging (33016) | $2,498.80 | $6,247 | 1.6× |
| Peritoneal Lavage (49084) | $688.40 | $1,721 | 0.8× |
| Perm Occlusion/Embolization,Percut,Cns (61624) unusually low: confirm this is the full procedure |
$7,752.40 | $19,381 | 0.4× |
| Perq Cervicothoracic Inject (22510) | $2,560.40 | $6,401 | 0.8× |
| Perq dev breast 1st strtctc (19283) | $1,678.80 | $4,197 | 2.4× |
| Perq dev breast 1st us imag (19285) | $944.40 | $2,361 | 1.4× |
| Perq device breast 1st imag (19281) | $1,126.80 | $2,817 | 0.7× |
| Perq dilation xst trc endourologic px w/img (50436) | $2,910 | $7,275 | 0.8× |
| Perq Lumbosacral Injection (22511) | $2,132 | $5,330 | 0.7× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) | $7,565.20 | $18,913 | 1.3× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $842.80 | $2,107 | 1.2× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $16,338.40 | $40,846 | 1.4× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $8,084 | $20,210 | 1.4× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $4,914 | $12,285 | 0.7× |
| Perq Vertebral Augmentation (22513) | $4,914 | $12,285 | 0.7× |
| Place Cath Subclavian Art (36225) | $5,255.60 | $13,139 | 1.7× |
| Place Cath Thoracic Aorta (36221) | $2,837.20 | $7,093 | 0.9× |
| Place Cath Vertebral Art (36226) | $5,255.60 | $13,139 | 1.0× |
| Place Duod/Jej Tube Perc (49441) | $4,273.60 | $10,684 | 2.3× |
| Plmt Bile Duct Stent Prq Existing Access (47538) | $4,830 | $12,075 | 0.8× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) | $4,285.60 | $10,714 | 0.7× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) | $6,478.40 | $16,196 | 1.1× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $2,375.60 | $5,939 | 1.2× |
| Plmt Nephroureteral Catheter (50433) | $2,732 | $6,830 | 0.8× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) | $6,064 | $15,160 | 1.7× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) | $6,064 | $15,160 | 1.7× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) | $6,064 | $15,160 | 1.7× |
| Prim art mech thrombectomy (37184) likely a partial charge, not the full procedure |
$4,615.60 | $11,539 | 0.3× |
| Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) | $585.20 | $1,463 | 1.1× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $2,386 | $5,965 | 3.4× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) | $9,771.60 | $24,429 | 1.6× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $4,900.80 | $12,252 | 1.4× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $7,239.60 | $18,099 | 2.1× |
| Pseudoaneurysm Injection Trt (36002) | $548.80 | $1,372 | 0.9× |
| Punch biopsy skin single lesion (11104) range across 3 matching MRF lines |
$448.80–$642.80 | $1,122–$1,607 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 5 matching MRF lines |
$448.80–$714.80 | $1,122–$1,787 | varies |
| Puncture Aspiration Cyst Breast (19000) | $1,423.60 | $3,559 | 2.0× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $1,663.20 | $4,158 | 2.4× |
| Redo Endovas Vena Cava Filtr (37192) | $3,390 | $8,475 | 1.1× |
| Relocation Pocket Pacemaker (33222) | $720.40 | $1,801 | 0.4× |
| Rem Endovas Vena Cava Filter (37193) | $4,171.20 | $10,428 | 1.3× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $2,227.20 | $5,568 | 2.5× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$807.20–$1,311.60 | $2,018–$3,279 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
$63.20–$86.80 | $158–$217 | varies |
| Removal implantable contraceptive capsules (11976) | $702 | $1,755 | 1.0× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$448.80–$959.60 | $1,122–$2,399 | varies |
| Removal of tunneled intraperitoneal catheter (49422) | $11,040.80 | $27,602 | 3.5× |
| Removal Pacemaker Electrode (33235) | $1,445.20 | $3,613 | 0.4× |
| Removal ppm generator only (33233) unusually low: confirm this is the full procedure |
$3,424.40 | $8,561 | 0.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$232.80–$498.80 | $582–$1,247 | varies |
| Removal subcutaneous cardiac rhythm monitor (33286) | $796.80 | $1,992 | 1.1× |
| Remove drug implant device (11982) range across 2 matching MRF lines |
$350–$1,285.60 | $875–$3,214 | varies |
| Remove Elctrd Transvenously (33244) | $1,612.80 | $4,032 | 0.4× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) | $3,398 | $8,495 | 1.6× |
| Remove Intrauterine Device (58301) | $365.60 | $914 | 1.2× |
| Remove intrvas foreign body (37197) | $3,587.20 | $8,968 | 1.2× |
| Remove lung catheter (32552) | $2,763.20 | $6,908 | 4.5× |
| Remove Pulse Generator (33241) | $1,552 | $3,880 | 0.4× |
| Remove renal tube w/fluoro (50389) | $349.60 | $874 | 0.5× |
| Remove ureter stent percut (50384) | $4,900 | $12,250 | 2.4× |
| Remove&replace pm gen singl (33227) | $8,148.80 | $20,372 | 1.0× |
| Remove/Insert Drug Implant (11983) | $350 | $875 | 0.8× |
| Remv&replc cvd gen dual lead (33263) | $28,116 | $70,290 | 1.3× |
| Remv&replc cvd gen mult lead (33264) | $28,690.40 | $71,726 | 0.9× |
| Remv&replc cvd gen sing lead (33262) | $27,541.60 | $68,854 | 1.3× |
| Remv&replc pm gen dual lead (33228) | $8,517.20 | $21,293 | 0.8× |
| Remv&replc pm gen mult leads (33229) | $10,480.40 | $26,201 | 0.6× |
| Renal Biopsy Perq (50200) | $2,498.80 | $6,247 | 1.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $3,176 | $7,940 | 7.9× |
| Repair detached retina (67105) | $585.20 | $1,463 | 1.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $639.60 | $1,599 | 1.6× |
| Repair lead pace-defib dual (33220) | $5,070.40 | $12,676 | 1.4× |
| Repair Lead Pace-Defib One (33218) | $5,070.40 | $12,676 | 1.4× |
| Repair retinal detach cplx (67113) | $13,739.60 | $34,349 | 2.6× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $2,452.80 | $6,132 | 2.7× |
| Replace G-J Tube Perc (49452) | $2,071.20 | $5,178 | 2.3× |
| Replace g/c tube perc (49450) | $2,076.40 | $5,191 | 2.3× |
| Repos Previously Implanted Subq Implantable Dfb (33273) | $4,297.60 | $10,744 | 1.2× |
| Reposition Gastrostomy Tube (43761) | $1,041.60 | $2,604 | 4.2× |
| Reposition L Ventric Lead (33226) | $1,612.80 | $4,032 | 0.5× |
| Reposition Pacing-Defib Lead (33215) | $1,612.80 | $4,032 | 0.5× |
| Reposition Venous Catheter (36597) | $1,293.60 | $3,234 | 0.8× |
| Retrobulbar injection (67500) | $303.60 | $759 | 1.0× |
| Rev/rmv prph sac/gstr npg/r (64595) | $9,968.80 | $24,922 | 2.9× |
| Revise/Remove Neurostimulator Electrode Array, Peripheral Nerve, W Neurostimulator (64598) | $5,682.40 | $14,206 | 1.6× |
| Revision of eyelid (67880) | $2,236.80 | $5,592 | 1.0× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) | $9,438 | $23,595 | 1.5× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) | $10,600 | $26,500 | 1.9× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | $4,534 | $11,335 | 1.3× |
| Revj/rmvl peripheral neurostimulator electrode (64585) | $12,037.20 | $30,093 | 3.5× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) | $9,844.40 | $24,611 | 4.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $130 | $325 | 1.0× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $313.60 | $784 | 0.7× |
| Rmvl of subq implantable defibrillator electrode (33272) | $4,497.20 | $11,243 | 1.2× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) | $3,221.20 | $8,053 | 1.7× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $1,778.40 | $4,446 | 0.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $2,163.20 | $5,408 | 1.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $1,262.40 | $3,156 | 2.0× |
| Rplc Gtube No Revj Trc (43762) | $654.40 | $1,636 | 2.7× |
| Rplc gtube revj gstrst trc (43763) | $600.80 | $1,502 | 2.4× |
| Rplcmt cath ctr vad subq port/pmp (36578) | $3,130.80 | $7,827 | 1.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $3,188.80 | $7,972 | 2.1× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) | $3,188.80 | $7,972 | 1.0× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $3,237.60 | $8,094 | 2.1× |
| Rplcmt compl tun ctr vad w/subq pmp (36583) | $7,096.40 | $17,741 | 1.3× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $7,096.40 | $17,741 | 2.3× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $3,237.60 | $8,094 | 1.0× |
| Rpr blood vessel direct lower extremity (35226) | $885.60 | $2,214 | 1.3× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $1,293.60 | $3,234 | 0.8× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $1,226 | $3,065 | 2.0× |
| Sclerotx Fluid Collection (49185) | $5,014 | $12,535 | 3.1× |
| Severing tarsorrhaphy (67710) | $3,774.80 | $9,437 | 3.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$190.80–$232.80 | $477–$582 | varies |
| Skin sub graft face/nk/hf/g (15275) | $966.40 | $2,416 | 1.3× |
| Skin sub graft trnk/arm/leg (15271) | $966.40 | $2,416 | 1.3× |
| Skin sub grft t/arm/lg child (15273) | $1,619.60 | $4,049 | 0.8× |
| Skn sub grft f/n/hf/g child (15277) | $976.80 | $2,442 | 0.5× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) | $4,922.80 | $12,307 | 0.9× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) | $4,922.80 | $12,307 | 1.6× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) | $7,588.80 | $18,972 | 1.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$205.20–$232.80 | $513–$582 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$606.40–$881.20 | $1,516–$2,203 | varies |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) range across 2 matching MRF lines |
$4,402.40–$4,612 | $11,006–$11,530 | varies |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) range across 2 matching MRF lines |
$11,170–$12,846 | $27,925–$32,115 | varies |
| Strapping Unna Boot (29580) range across 4 matching MRF lines |
$183.60–$426 | $459–$1,065 | varies |
| Tangential biopsy skin single lesion (11102) range across 3 matching MRF lines |
$232.80–$642.80 | $582–$1,607 | varies |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) | $32,226 | $80,565 | 1.1× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) | $24,671.60 | $61,679 | 1.3× |
| Tcat Rmvl Perm Ldls Pm (33275) | $3,838.80 | $9,597 | 1.2× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $2,276.80 | $5,692 | 3.3× |
| Therapeutic Apheresis White Blood Cells (36511) | $15,026.40 | $37,566 | 9.8× |
| Therapeutic plasma exchange (36514) | $13,066.40 | $32,666 | 8.5× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) | $22,049.20 | $55,123 | 1.7× |
| Thoracoscopy w/bx pleura (32609) | $10,769.60 | $26,924 | 1.8× |
| Thrmbc Dir/W/Cath V/C Iliac Fempop Vein Leg Inc (34421) | $3,773.20 | $9,433 | 1.2× |
| Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) unusually low: confirm this is the full procedure |
$2,222 | $5,555 | 0.4× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $24,764.80 | $61,912 | 1.4× |
| Thromblytic art/ven therapy (37213) | $5,139.20 | $12,848 | 1.7× |
| Thrombolytic Art Therapy (37211) | $5,139.20 | $12,848 | 0.9× |
| Thrombolytic Therapy Stroke (37195) | $472.80 | $1,182 | 1.5× |
| Thrombolytic Venous Therapy (37212) | $5,139.20 | $12,848 | 1.7× |
| Thyroid biopsy (60100) | $1,110.40 | $2,776 | 1.6× |
| Trabeculoplasty by laser surgery (65855) | $585.20 | $1,463 | 1.1× |
| Transcatheter biopsy (37200) unusually low: confirm this is the full procedure |
$2,192.80 | $5,482 | 0.4× |
| Treatment extensive retinopathy photocoagulation (67228) | $585.20 | $1,463 | 1.1× |
| Treatment of foot infection (28003) | $5,211.60 | $13,029 | 1.6× |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$227.60–$232.80 | $569–$582 | varies |
| Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines |
$232.80–$243.20 | $582–$608 | varies |
| Trim skin lesions over 4 (11057) range across 2 matching MRF lines |
$232.80–$284.40 | $582–$711 | varies |
| Trimming Nondystrophic Nails Any Number (11719) range across 3 matching MRF lines |
$72.80–$96 | $182–$240 | varies |
| Trluml Balo Angiop 1St Art (37246) | $7,709.20 | $19,273 | 1.4× |
| Trluml Balo Angiop 1St Vein (37248) | $7,709.20 | $19,273 | 1.4× |
| Tx Gastro Intub W/Asp (43753) | $308.80 | $772 | 1.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 3 matching MRF lines |
$633.60–$2,251.60 | $1,584–$5,629 | varies |
| Unlisted Cardiac Surgery (33999) range across 3 matching MRF lines |
$2,579.60–$35,196 | $6,449–$87,990 | varies |
| Unlisted Procedure Endocrine System (60699) | $8,541.60 | $21,354 | 1.4× |
| Unlisted procedure nervous system (64999) | $420.40 | $1,051 | 1.4× |
| Unlisted procedure spine (22899) | $4,166.80 | $10,417 | 17.1× |
| Unlisted procedure stomach (43999) | $373.60 | $934 | 0.4× |
| Unlisted Procedure Vascular Surgery (37799) | $948 | $2,370 | 1.5× |
| Unlisted Procedure, Urinary System (53899) | $163.20 | $408 | 0.7× |
| Upgrade of pacemaker system (33214) | $9,982.40 | $24,956 | 1.0× |
| Urinary Reflex Study (51792) | $170.40 | $426 | 2.9× |
| Vasc embolize/occlude artery (37242) | $18,037.60 | $45,094 | 1.0× |
| Vasc Embolize/Occlude Bleed (37244) | $18,939.20 | $47,348 | 1.7× |
| Vasc Embolize/Occlude Organ (37243) | $18,037.60 | $45,094 | 1.6× |
| Vasc embolize/occlude venous (37241) | $18,037.60 | $45,094 | 1.6× |
| Venous Mech Thrombectomy (37187) unusually low: confirm this is the full procedure |
$4,615.60 | $11,539 | 0.4× |
| Wound Prep Trk/Arm/Leg (15002) | $929.60 | $2,324 | 1.3× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.