Procedures & surgery prices at La Paz Regional Hospital

Parker, AZ · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $4,200.06
Acne Surgery (10040) $150,355.83
Amp leg thru tibia&fibula sec closure/scar rev (27884) $37,601.70
Amputation Finger/Thumb (26951) $69,461.94
Amputation Foot Midtarsal (28800) $1,704
Amputation metatarsal with toe single (28810) $1,362
Amputation of finger/thumb (26952) $2,259
Amputation toe interphalangeal joint (28825) $85,974.34
Amputation Toe Metatarsophalangeal Joint (28820) $542
Amputation, foot; transmetatarsal (28805) $2,282
Amputation, leg, through tibia and fibula; (27880) $2,880
Anoscopy diagnostic (46600) $191
Appendectomy (44950) $3,103
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $407
Application Finger Splint Dynamic (29131) $261
Application finger splint static (29130) $276
Application long arm splint shoulder hand (29105) $569
Application long leg splint thigh ankle/toes (29505) $464
Application Short Arm Splint Dynamic (29126) $402
Application short arm splint forearm-hand static (29125) $402
Application short leg splint calf foot (29515) $486
Apply short leg cast (29405) $561
Apply short leg cast (29425) $560
Arterial puncture (36600) $295
Arteriovenous Anastomosis Open Direct (36821) $2,084
Artery-vein autograft (36825) $1,133
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $883
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,508
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $3,325.11
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $26,059.10
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $400
Arthrodesis, great toe; metatarsophalangeal joint (28750) $182,339.98
Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) $149,826.79
Arthroscopy ankle; ext debridem (29898) $138,084.29
Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) $56,629.74
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $110,111.96
Arthrt rdcrpl/midcarpl jt w/expl drg/rmvl fb (25040) $2,699
Aspiration Bladder Insert Suprapubic Catheter (51102) $911
Av fistula revision (36833) $2,547
Avulsion nail plate partial/complete simple 1 (11730) $657
Biopsy Bone Open Deep (20245) $1,108
Biopsy bone open superficial (20240) $453
Biopsy bone trocar/needle deep (20225) $3,384
Biopsy Bone Trocar/Needle Superficial (20220) $2,414
Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) $1,257
Biopsy muscle percutaneous needle (20206) $3,449
Biopsy of bowel (44100) $55,720.86
Biopsy of nail unit (11755) $1,291
Biopsy of uterus lining (58100) $260
Biopsy Pancrea Percutaneous Needle (48102) $3,449
Biopsy pleura percutaneous needle (32400) $3,449
Biopsy soft tissue neck/thorax (21550) $3,449
Biopsy/removal lymph nodes (38525) $118,583.74
Bl push transfuse 2 yr/< (36440) $39,512.46
Bladder Scan (51798) $242
Blood transfusion service (36430) $2,436
Bone Marrow Biopsy (38221) $3,449
Bx abdl/retroperitoneal mass prq needle (49180) $3,449
Bx anorectal wall anal approach (45100) $49,597.49
Bx breast 1st lesion mr imag (19085) $891
Bx breast 1st lesion strtctc (19081) $4,388
Bx breast 1st lesion us imag (19083) $2,647.80
Bx breast needle core w/o imaging guidance spx (19100) $5,156.24
Bx vulva/perineum 1 lesion (56605) $239
Bx/exc lymph node needle superficial (38505) $3,023
Cataract surgery complex (66982) $14,892.67
Cessj Therapy Cath Removal (37214) $11,081
Change Cystostomy Tube Complicated (51710) $2,125
Change Cystostomy Tube Simple (51705) $793.10
Chest tube placement (32551) $3,026
Chng urtrost tube/xtrnlly accessible stent ileal (50688) $4,855
Claviculectomy; partial (23120) $107,747.41
Closed Rx Mid Humerus Fx,Manipulatn (24505) $688
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $983
Closed Rx Shldr Disloc,Gr Tub Fx (23665) $5,022
Closed treatment of talus fracture; without manipulation (28430) $693
Closed Treatment Sesamoid Fracture (28530) $477
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $2,243
Closed tx metatarsal fracture w/o manipulation (28470) $704
Closed tx radial head/neck fx w/manipulation (24655) $679
Closed tx radial shaft fracture w/manipulation (25505) $1,589
Closed tx temporomandibular dislocation 1st/sbsq (21480) $1,266
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,583
Clsd tx shoulder dislc w/manipulation req anes (23655) $5,022
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $2,691
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $3,348
Cltx fx grt toe phlx/phlg w/o manj (28490) $478
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $1,075
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $477
Cltx hip dislocation traumatic w/o anesthesia (27250) $5,178
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $1,087
Cltx iphal jt dislc w/manj w/o anes (26770) $645
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $4,809
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $645
Cltx Post Hip Arthrp Dislc Req Anes (27266) $5,022
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $615
Cltx scapular fx w/mnpj w/wo skeletal traction (23575) $1,046
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $2,309
Cltx trimalleolar ankle fx w/manipulation (27818) $1,929
Colonoscopy flex w/rem forcep (45384) $728
Colonoscopy thru stoma (44388) $9,297.93
Colonoscopy w/ablation (45388) $864
Complex Drainage, Wound (10180) $598
Contrast Inj Cent Ven Cath, Inc Flouro (36598) $804
Control Nasal Hemorrhage Anterior Simple (30901) $654
Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132) $188,607.83
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $3,449
Correction hammertoe (28285) $183,807.54
Crtj arven fstl xcp dir arven anast nonautog grf (36830) $955
Cystostomy Cystotomy W/Drainage (51040) $888
Debride Assoc Open Fx/Disloc Skin/Subq (11010) $84,646.74
Debride nail 1-5 (11720) $136
Debride nail 6 or more (11721) $170
Debridement subcutaneous tissue 20 sq cm/< (11042) $58,740.89
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $493
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $716
Declot vascular device (36593) $36,163.56
Decompression of tibia nerve (28035) $1,163
Destroy cerv/thor facet jnt (64633) $701
Destroy lumb/sac facet jnt (64635) $691
Destruction benign lesions 15 or more (17111) $374
Destruction Benign Lesions Up To 14 (17110) $196
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $289
Destruction by neurolytic agent; plantar common digital nerve (64632) $819
Destruction premalignant lesion 1st (17000) $168
Diagnostic sigmoidoscopy (45330) $9,103.09
Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) $3,751
Drain Ext Ear Absc/Blood,Complic (69005) $1,678
Drain/inj small joint/bursa w/us (20604) $26,059.10
Drainage External Ear Abscess/Hematoma Simple (69000) $813
Drainage Finger Abscess Simple (26010) $1,033
Drainage of eyelid abscess (67700) $1,120
Drainage of hematoma/fluid (10140) $3,652
Drainage of hydrocele (55000) $2,028
Drainage of perirenal or renal abscess, open (50020) $3,150
Draw blood off venous device (36591) $363
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $1,081
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $519
Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) $19,119.82
Egd Balloon Dil Esoph30 Mm/> (43233) $729
Egd balloon dilation esophagus <30 mm diam (43249) $491
Egd Dilation Gastric/Duodenal Stricture - Egd (43245) $559
Egd Endo Mucosal Resection (43254) $19,119.82
Egd endoscopic stent place (43266) $694
Egd flexible foreign body removal (43247) $565
Egd guide wire insertion (43248) $530
Egd injection varices (43243) $19,119.82
Egd intrmural us needle aspirate/biopsy esophags (43238) $33,341.05
Egd place gastrostomy tube (43246) $638
Egd rem tumr/polyp forcep (43250) $1,460
Egd remove lesion snare (43251) $19,119.82
Egd Transoral Control Bleeding Any Method - Egd (43255) $14,223.29
Egd tube/cath insertion (43241) $33,341.05
Egd us exam duodenum/jejunum (43259) $33,341.05
Egd us fine needle bx/aspir (43242) $33,341.05
Egd us transmural injxn/mark (43253) $382
Egd Varices Ligation (43244) $781
Egd w/transmural drain cyst (43240) $19,119.82
Embedded ip cath exit-site (49436) $174,383.23
Emblc/thrmbc ax brach innominate subcla art (34101) $1,885
Endoscopic us exam esoph (43237) $19,119.82
Endoscopy of bowel pouch (44385) $38,081.46
Endoscopy Upper Small Intestine - Enteroscopy (44360) $38,081.46
Epididymectomy bilateral (54861) $842
Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) $5,365
Esoph optical endomicroscopy (43206) $38,081.46
Esophagogastroduodenoscopy submucosal injection (43236) $33,341.05
Esophagoscop mucosal resect (43211) $38,081.46
Esophagoscopy flexible transnasal diagnostic (43197) $38,081.46
Esophagoscopy flexible transoral diagnostic (43200) $38,081.46
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $38,081.46
Esophagoscopy Rigid Balloon (43195) $38,081.46
Esophagoscopy rigid trnso dx (43191) $38,081.46
Esophagoscopy Transoral Stent Placement (43212) $38,081.46
Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) $2,616
Evacuation of subungual hematoma (11740) $188
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $2,009
Exc abd les sc 3 cm/> (22903) $62,247.35
Exc arm/elbow les sc 3 cm/> (24071) $49,232.98
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $503
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $713
Exc back les sc < 3 cm (21930) $1,180
Exc back tum deep < 5 cm (21932) $3,186
Exc face les sbq 2 cm/> (21012) $1,356
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $412
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $710
Exc foot/toe tum sc < 1.5 cm (28043) $391
Exc forearm les sc 3 cm/> (25071) $58,789.91
Exc forearm les sc < 3 cm (25075) $63,836.27
Exc neck tum deep < 5 cm (21556) $2,124
Exc Rect Tum Transanal Full (45172) $3,280
Exc rect tum transanal part (45171) $177,367.96
Exc skin abd (15830) $1,737
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $864
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $324
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $576
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $454
Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) $895
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $500
Exc Skin Benig >4 Cm Face,Facial (11446) $1,219
Exc Skin Benig >4 Cm Remaindr Body (11426) $1,056
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $757
Exc Skin Malig 2.1-3 Cm Face,Facial (11643) $990
Exc Skin Malig >4 Cm Face,Facial (11646) $1,590
Exc Skin Malig >4 Cm Remaindr Body (11626) $945
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,025
Exc Sweat Gland Lesn Perineal,Complx (11471) $523
Exc thigh/knee les sc 3 cm/> (27337) $58,944.91
Exc thigh/knee tum dep 5cm/> (27339) $94,601.58
Exc tr-ext b9+marg 0.5 cm or less (11400) $347
Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) $794
Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) $2,982
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $92,405.98
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $65,352.57
Exc tumor soft tissue leg/ankle subfascial <5cm (27619) $94,601.58
Exc tumor soft tissue leg/ankle subq <3cm (27618) $94,601.58
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,228
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) $915
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $2,228
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $94,601.58
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $5,884
Exchange nephrostomy cath (50435) $2,371
Excis Tendon Sheath Lesion, Hand/Finger (26160) $1,035
Excision external ear partial simple repair (69110) $1,716
Excision h/p/p/u simple/intermediate repair (11470) $428
Excision hidradenitis axillary complex repair (11451) $1,072
Excision hidradenitis inguinal smpl/intrm rpr (11462) $375
Excision hydrocele bilateral (55041) $2,058
Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) $901
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $477
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $521
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $623
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $684
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $407
Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) $663
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $583
Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) $1,222
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $395
Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) $482
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $901
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) $675
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $766
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $522
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $579
Excision of Epiphyseal Bar (20150) $194,960.27
Excision of ganglion, wrist (dorsal or volar); recurrent (25112) $1,856
Excision of hydrocele; unilateral (55040) $1,087
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $438
Excision of lesion other than skin tag </= 0.5 cm (11420) $864
Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) $464
Excision of nail fold toe (11765) $195
Excision of pilonidal cyst or sinus; simple (11770) $1,318
Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach (45160) $177,367.96
Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair (11463) $493
Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) $845
Excision of urachal cyst or sinus, with or without umbilical hernia repair (51500) $174,383.23
Excision olecranon bursa (24105) $53,917.01
Excision pilonidal cyst/sinus complicated (11772) $2,327
Excision Synovial Cyst Popliteal Space (27345) $737
Excision tumor soft tis back/flank subq 3 cm/> (21931) $2,009
Excision tumor soft tissue thigh/knee subq <3cm (27327) $94,601.58
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $1,655
Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) $503
Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) $806
Excision, tumor, soft tissue of leg or ankle area, subfascial (e g, intramuscular); 5 cm or greater (27634) $94,601.58
Expl penetrating wound spx abdomen/flank/back (20102) $174,383.23
Explo/Drain Breast Abscess (19020) $1,013
Exploration penetrating wound spx extremity (20103) $3,508
Explore parathyroid glands (60500) $1,430
Fasciectomy, plantar fascia; radical (separate procedure) (28062) $79,669.32
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $2,303
Fine needle aspiration bx w/us gdn 1st lesion (10005) $1,404
Fine needle aspiration without imaging guidance (10021) $272
Fixation of knee joint (27570) $32,704.32
Fixation of shoulder (23700) $29,939.85
Fluoro exam of g/colon tube (49465) $731
Fna bx w/fluor gdn 1st les (10007) $2,082
Guide Cathet Fluid Drainage (10030) $2,028
Hemiarthroplasty Hip Partial (27125) $172,300.66
Hemorrhoidectomy (46255) $1,111
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy (46261) $792
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) $623
I&d abscess simple (10060) $607
I&d deep absc bursa/hematoma thigh/knee region (27301) $52,387.03
I&D Deep Absc/Hematoma Neck/Chest (21501) $1,309
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $2,074
I&d forearm/wrist bursa (25031) $560
I&d pilonidal cyst simple (10080) $512
I&D Rectal Abscess + Fistulectomy (46060) $1,942
I&D Upper Arm/Elbow Bursa (23931) $496
I&d upper arm/elbow deep abscess/hematoma (23930) $1,714
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) $38,081.46
Image Cath Fluid Colxn Visc (49405) $5,448
Image Cath Fluid Peri/Retro (49406) $5,448
Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) $4,720
Incise finger tendon sheath (26055) $42,582.77
Incision & drainage abscess complicated/multiple (10061) $1,371
Incision & drainage leg/ankle abscess/hematoma (27603) $1,268
Incision & drainage pilonidal cyst complicated (10081) $2,821
Incision & removal foreign body subq tiss compl (10121) $562
Incision & removal foreign body subq tiss simple (10120) $1,224
Incision and drainage of bartholin's gland abscess (56420) $1,164
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral (22015) $3,073
Incision bone cortex foot (28005) $1,941
Incision extensor tendon sheath wrist (25000) $43,798.32
Incision of rectal abscess (46040) $1,698
Incision thrombosed hemorrhoid external (46083) $739
Incision&drainage bursa foot (28001) $143
Incisional biopsy skin single lesion (11106) $418
Initial tx 1st degree burn local tx (16000) $490
Inj paravert f jnt c/t 1 lev (64490) $26,059.10
Inj tendon sheath/ligament (20550) $290
Inject Anes/Steroid Plantar Common Digital Nerve (64455) $819
Inject Nerv Blck,Paravert Sympath (64520) $252
Inject Tendon Origin/Insert (20551) $152
Injection aa&/strd genicular nrv branches w/img (64454) $3,885
Injection aa&/strd trigeminal nerve each branch (64400) $1,050
Injection anes other peripheral nerve/branch (64450) $1,575
Injection single/mlt trigger point 1/2 muscles (20552) $883
Injection single/mlt trigger point 3/> muscles (20553) $219
Ins cath ren art 1st bilat (36252) $8,706
Ins cath ren art 1st unilat (36251) $11,449
Ins endovas vena cava filtr (37191) $14,965
Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) $1,525
Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) $1,452
Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) $31,031
Insert non-tunnel cv cath (36556) $3,799
Insert pessary/other device (57160) $178
Insert picc cath (36569) $25,858.29
Insert picvad cath (36570) $488
Insert Temp Bladder Cath (51702) $1,211.10
Insert tunneled cv cath (36561) $1,062
Insert Tunneled Cv Cath With Pump (36563) $131,186.94
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $131,186.94
Insertion Picc W/Rs&I 5 Yr/> (36573) $5,240
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $25,439
Insj prph ctr vad w/subq port age 5 yr/> (36571) $5,806
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $131,186.94
Insj tun vad req 2 cath 2 sits w/subq port (36566) $131,186.94
Insj tunneled ctr vad w/subq port under 5 yr (36560) $131,186.94
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $2,126
Intubation endotracheal emergency procedure (31500) $1,456
Lap ing hernia repair init (49650) $47,753.10
Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; (58553) $5,310
Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554) $8,372
Laparoscopy appendectomy (44970) $96,076.59
Laparoscopy biopsy (49321) $1,667
Laparoscopy gastrostomy (43653) $19,119.82
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) $4,675
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) $335
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) $5,227
Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric band (gastric band and… (43770) $19,119.82
Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device… (43773) $19,119.82
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) $19,119.82
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $731
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) $4,530
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $1,713
Laps Gastric Restrictive Px Remove Device & Port (43774) $19,119.82
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) $2,380
Laps vaginal hysterectomy uterus 250 gm/< (58550) $4,156
Laps W/Revision Intraperitoneal Catheter (49325) $174,383.23
Late closure of wound (13160) $112,748.09
Ligate leg veins radical (37760) $830
Ligation or biopsy temporal artery (37609) $658
Ligatn perforators,subfasc,open, incl u/s, 1 leg (37761) $94,601.58
Liver Biopsy (47000) $3,449
Mast mod rad (19307) $3,801
Mastectomy gynecomastia (19300) $644
Mastectomy partial (19301) $118,583.74
Mastectomy simple complete (19303) $3,085
Myelography Lumbar Injection (62305) $2,821
Myelography Lumbar Injection (62304) $2,821
Myelography Via Lumbar Injection Rs&I Cervical (62302) $2,844
Myelography via lumbar injection rs&i thoracic (62303) $2,821
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $1,505
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $10,006
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $284
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $5,838
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) $5,838
Open thrombect av fistula (36831) $1,944
Open treatment metatarsal fracture each (28485) $152,210.90
Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236) $150,509.50
Open treatment of greater trochanteric fracture, includes internal fixation, when performed (27248) $150,509.50
Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) $150,509.50
Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning Other Surgical Services (27178) $147,989.56
Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft) (27177) $147,989.56
Open Tx Femoral Fracture Proximal End He (27269) $147,989.56
Open tx fracture great toe/phalanx/phalanges (28505) $133,945.94
Open Tx Metacarpal Fracture Single Ea Bone (26615) $97,249.56
Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) $150,030.69
Open/Perq Place Stent Same (37238) $12,880
Osteoplasty, femur; shortening (excluding 64876) (27465) $150,509.50
Osteotomy, femoral neck (separate procedure) Other Surgical Services (27161) $147,989.56
Partial Removal Foot Fascia (28060) $79,669.32
Pelvic exam under anesthesia (57410) $514
Percut Drain/Inject Renal Cyst (50390) $3,433
Percut Mech Thrombectomy, Venous (37187) $14,566
Pericardiocentesis W/Imaging (33016) $710
Perq av fistula creation uxtr sep access sites (36837) $662
Perq av fistula creation uxtr single access (36836) $513
Perq dev breast 1st us imag (19285) $2,173
Perq device breast 1st imag (19281) $1,403
Perq Drainage Pleura Insert Cath W/Imaging (32557) $3,227
Perq Drainage Pleura Insert Cath W/O Imaging (32556) $3,981
Perq replacement gtube not req revj gstrst trc (43762) $32,019.35
Place Cath Subclavian Art (36225) $9,189
Place Cath Thoracic Aorta (36221) $11,169
Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (44300) $4,073
Plmt bile duct stent prq new access w/sep cath (47540) $11,783
Plmt nephrostomy cath prq new access rs&i (50432) $6,922
Plmt nephroureteral cath prq new access rs&i (50433) $5,519
PR Amputation Thigh Through Femur Any Level Open Circular (Guillotine)|ASSISTANT AT SURGERY SERVICE (27592) $989
PR Egd Partial/Compl Esophagogastric Fundoplasty (43210) $19,119.82
Pr rmvl lens material phacofragmentation aspir (66850) $22,785.10
Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238) $260,909.89
Proctopexy Perineal Approach (45541) $74,991.44
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $5,777
Punch biopsy skin single lesion (11104) $345
Puncture Aspiration (10160) $301
Puncture Aspiration Cyst Breast (19000) $1,177.29
Rad Resection Tumor Soft Tis Thigh/Knee 5 Cm/> (27364) $94,601.58
Rad resection tumor soft tissue foot/toe <3cm (28046) $1,054
Rad Resection Tumor Soft Tissue Leg/Ankle 5 Cm/> (27616) $94,601.58
Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure) .… (24149) $3,825
Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater (28047) $1,540
Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; 3 cm or greater (25078) $1,727
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $8,086
Reconstruct Shoulder Joint (23470) $146,905.51
Rem endovas vena cava filter (37193) $8,676
Removal fb intranasal (30300) $585
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $4,860.72
Removal impacted cerumen irrigation/lvg unilat (69209) $258
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $347
Removal Implant Deep (20680) $8,027
Removal Implant Superficial Separate Procedure (20670) $3,282
Removal of anal fissure (46200) $45,809.18
Removal of anorectal lesion (45108) $177,367.96
Removal of arm artery clot (34111) $1,892
Removal of arm foreign body (24200) $1,722
Removal of bone lesion (23140) $837
Removal of heel bone (28118) $170,605.13
Removal of heel spur (28119) $2,531
Removal of intrauterine device (iud) (58301) $537
Removal of nail bed (11750) $1,421
Removal Of Peritoneal-Venous Shunt (49429) $174,383.23
Removal of pressure sore (15999) $84,646.74
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $164
Removal subq cardiac rhythm monitor (33286) $5,554
Removal/bivalving full arm/full leg cast (29705) $406
Remove drug implant device (11982) $440
Remove in/ex hem groups 2+ (46260) $62,910.52
Remove intrvas foreign body (37197) $7,784
Remove Pilonidal Cyst Exten (11771) $1,451
Remove wrist tendon lesion (25111) $1,066
Remv Ext Canal Foreign Body (69200) $569
Remv&replc cvd gen sing lead (33262) $137,722.87
Remv&replc pm gen dual lead (33228) $28,845
Remv&replc pm gen mult leads (33229) $1,194
Renal biopsy (50200) $3,446
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,129
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,359
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $784
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,955
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $933
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,955
Repair complex trunk 1.1-2.5 cm (13100) $1,078
Repair complex trunk 2.6-7.5 cm (13101) $998
Repair defect of artery (35011) $1,441
Repair inguinal hernia, sliding, any age (49525) $1,856
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $83,144.43
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $1,210
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $1,529
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $1,722
Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) $1,550
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $867
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $886
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,713
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,084
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $1,398
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $1,650
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $2,009
Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) $1,414
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $2,201
Repair intermediate s/a/t/e 2.5 cm/< (12031) $1,318
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $1,216
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $865
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $1,845
Repair intermediate s/a/t/e >30.0 cm (12037) $1,001
Repair iris & ciliary body (66680) $7,209
Repair of ankle ligament (27695) $155,952.41
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) $69,112.51
Repair of nail bed (11760) $806
Repair of shoulder (23420) $96,036.58
Repair of sperm duct (55400) $741
Repair secondary achilles tendon w/wo graft (27654) $170,605.13
Repair Tongue Laceration (41250) $1,430
Repair umbilical lesion (49600) $1,086
Repair webbed toe(s) (28345) $79,669.32
Repositioning io lens prosthesis req inc spx (66825) $8,343
Rerepair ing hernia blocked (49521) $6,194.87
Rerepair ing hernia reduce (49520) $63,359.82
Resect leg/ankle tum < 5 cm (27615) $94,601.58
Revise head/neck of femur (27179) $147,989.56
Revise median n/carpal tunnel surg (64721) $54,400.02
Revise ulnar nerve at elbow (64718) $61,175.79
Revision of colostomy simple (44340) $927
Revision of colostomy; with repair of paracolostomy hernia (separate procedure) (44346) $1,735
Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Other Surgical Services (44314) $3,020
Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134) $237,529.35
Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) $599,781.56
Revj clst comp rcnstj in-depth spx (44345) $1,543
Revj Ileostomy Simple Rls Superficial Scar Spx (44312) $881
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $415
Rmvl fecal impaction/fb spx under anes (45915) $1,603
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $608
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $438
Rplcmt compl prph ctr vad w/subq port (36585) $8,883
Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500) $6,194.87
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $93,854.82
Rpr aa hernia 1st 3-10 cm reducible (49593) $76,166.26
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) $1,981
Rpr aa hernia 1st < 3 cm reducible (49591) $1,025
Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) $75,429.52
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $2,378
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $1,244
Rpr hern preemie reduc (49491) $1,179
Rpr ing hern premie blocked (49492) $1,415
Rpr ing hernia baby blocked (49496) $6,194.87
Rpr Ing Hernia Baby, Reduc (49495) $607
Rpr ing hernia init blocked (49501) $6,194.87
Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) $1,268
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $269
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $269
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $229
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $340
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $340
Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) $164
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $269
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $164
Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) $252
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $692
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $1,096
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $1,017
Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) $494
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $1,505
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $1,926
Simple repair f/e/e/n/l/m >30.0 cm (12018) $255
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $1,017
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $448
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $416
Skin splt grft trnk/arm/leg (15100) $2,619
Skin sub graft face/nk/hf/g (15275) $52,370.01
Skin sub graft trnk/arm/leg (15271) $83,192.42
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $13,930
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $17,482
Small bowel endoscopy (44376) $38,081.46
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $1,177
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $1,771
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $1,791
Sphincterotomy (46080) $235
Spinal puncture lumbar diagnostic (62270) $1,412
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $858
Strapping ankle (29540) $267
Strapping knee (29530) $309
Strapping shoulder (29240) $198
Strapping toes (29550) $267
Strapping unna boot (29580) $560
Suspension of testis (54640) $2,318
Tangential biopsy skin single lesion (11102) $274
Tcat insj/rpl perm leadless pacemaker rv w/img (33274) $1,528
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $2,246
Thoracentesis needle/cath pleura w/o imaging (32554) $2,629
Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) $3,069
Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) $8,478
Thrombolytic Therapy, Stroke (37195) $3,329
Thyroid biopsy (60100) $3,942.69
Thyroidectomy, total or complete (60240) $5,860
Total hip arthroplasty (27130) $194,131.12
Total knee arthroplasty (27447) $183,228.03
Transfusion intrauterine fetal (36460) $1,311.54
Treat clavicle dislocation (23532) $84,646.74
Treat clavicle dislocation (23552) $84,646.74
Treat finger dislocation (26775) $5,022
Treat forearm bone lesion (25035) $887
Treat slipped epiphysis (27181) $147,989.56
Treatment closed elbow dislocation req anes (24605) $5,022
Treatment of ankle fracture (27792) $172,214.82
Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245) $150,509.50
Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) $150,509.50
Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) $587
Trim skin lesion (11055) $321
Trim skin lesions 2 to 4 (11056) $339
Trim skin lesions over 4 (11057) $598
Trimming Of Nondystrophic Nails, Any Number (11719) $170
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $1,913
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) $138,212.20
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,845
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) $9,018
Unlisted laparoscopy procedure, stomach (43659) $19,119.82
Unlisted Procedure Endocrine System (60699) $7,080
Unlisted procedure femur or knee (27599) $431,242.13
Unlisted procedure leg/ankle (27899) $96,644.57
Unlisted Procedure Trachea Bronchi (31899) $60,889.50
Unlisted Procedure Vascular Surgery (37799) $2,176
Upper Gastrointestinal Endoscopy Including Esophagus, Stomach, And Either The Duodenum And/Or Jejunum As Appropriate;… (43257) $19,119.82
Uppr gi opticl endomicrscopy (43252) $33,341.05
Us bone stimulation (20979) $220
Vasectomy (55250) $914
Venipuncture (36415) $49
Wound Prep F/N/Hf/G (15004) $52,370.01
Wound prep trk/arm/leg 1st 100 sq cm (15002) $83,192.42