Procedures & surgery prices at Logan Health - Chester

Chester, MT · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 4 matching MRF lines
$471.90–$1,601.28 $726–$2,463.50 varies
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983)
likely a partial charge, not the full procedure
$523.25 $805 0.1×
Acne surgery (10040) $152.10 $234 0.7×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $1,013.19 $1,558.75 0.5×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,343.71 $2,067.25 0.6×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $1,225.58 $1,885.50 0.6×
Application cast elbow finger short arm (29075) $141.38 $217.50 0.5×
Application finger splint static (29130)
range across 2 matching MRF lines
$78.98–$110.18 $121.50–$169.50 varies
Application long arm splint shoulder hand (29105)
range across 3 matching MRF lines
$159.90–$221.65 $246–$341 varies
Application Long Leg Splint (29505)
range across 2 matching MRF lines
$151.45–$220.19 $233–$338.75 varies
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines
$127.08–$220.19 $195.50–$338.75 varies
Application short leg splint calf foot (29515)
range across 3 matching MRF lines
$122.69–$220.19 $188.75–$338.75 varies
Apply hand/wrist cast (29085) $187.20 $288 1.1×
Apply long arm cast (29065) $149.82 $230.50 0.5×
Apply Short Leg Cast (29405) $130 $200 0.5×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 7 matching MRF lines
$100.42–$415.19 $154.50–$638.75 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $135.20 $208 0.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 8 matching MRF lines
$110.50–$415.19 $170–$638.75 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 4 matching MRF lines
$150.80–$156.49 $232–$240.75 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 6 matching MRF lines
$79.30–$415.19 $122–$638.75 varies
Aspirate pleura w/ imaging (32555) $499.85 $769 0.8×
Aspirate/Inj Ganglion Cyst (20612) $95.39 $146.75 0.3×
Aspiration bladder insert suprapubic catheter (51102) $374.40 $576 0.2×
Avulsion nail plate partial/complete simple 1 (11730)
range across 3 matching MRF lines
$150.64–$339.46 $231.75–$522.25 varies
Biopsy Abdominal Mass (49180) $267.80 $412 0.2×
Biopsy bone trocar/needle deep (20225) $632.45 $973 0.4×
Biopsy Bone Trocar/Needle Superficial (20220) $384.15 $591 0.2×
Biopsy external ear (69100) $148.85 $229 0.6×
Biopsy muscle percutaneous needle (20206) $370.50 $570 0.2×
Biopsy of lip (40490) $192.40 $296 0.8×
Biopsy of liver, needle; percutaneous (47000) $484.25 $745 0.3×
Biopsy Pleura Percutaneous Needle (32400) $249.60 $384 0.1×
Biopsy Vaginal Mucosa Simple (57100) $156 $240 0.2×
Bladder instillation anticarcinogenic agent (51720) $452.89 $696.75 0.6×
Bladder Irrigation (51700) $416.81 $641.25 1.6×
Bladder Scan (51798)
range across 5 matching MRF lines
$109.85–$118.46 $169–$182.25 varies
Blood Transfusion Service (36430) $746.69 $1,148.75 1.7×
Bone Marrow; Aspiration Only (38220) $257.40 $396 0.2×
Bx breast 1st lesion mr imag (19085) $1,349.40 $2,076 0.8×
Bx breast 1st lesion strtctc (19081) $877.50 $1,350 0.5×
Bx breast 1st lesion us imag (19083) $878.80 $1,352 0.5×
Cessj Therapy Cath Removal (37214) $185.25 $285 0.1×
Change Cystostomy Tube Simple (51705)
range across 4 matching MRF lines
$148.85–$410.64 $229–$631.75 varies
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines
$96.20–$133.58 $148–$205.50 varies
Chemodenerv trunk musc 1-5 (64646) $248.95 $383 0.3×
Chest tube placement (32551)
range across 5 matching MRF lines
$237.90–$2,271.75 $366–$3,495 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $506.35 $779 0.1×
Clear outer ear canal (69200)
range across 3 matching MRF lines
$115.54–$133.58 $177.75–$205.50 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $602.88 $927.50 2.4×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $508.95 $783 2.0×
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines
$330.04–$502.61 $507.75–$773.25 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $718.90 $1,106 0.4×
Closed Tx Lunate Dislocation W/Manipulation (25690)
range across 2 matching MRF lines
$284.05–$403.16 $437–$620.25 varies
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines
$330.04–$508.95 $507.75–$783 varies
Closed Tx Patellar Fracture W/O Manipulation (27520) $374.56 $576.25 1.5×
Closed tx radial shaft fracture w/manipulation (25505) $836.06 $1,286.25 0.5×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 4 matching MRF lines
$853.45–$2,733.25 $1,313–$4,205 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 3 matching MRF lines
$330.04–$488.96 $507.75–$752.25 varies
Clsd tx acromioclavicular dislc w/manipulation (23545) $314.28 $483.50 1.2×
Clsd tx clavicular fracture w/o manipulation (23500) $299.65 $461 1.2×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 4 matching MRF lines
$330.04–$422.82 $507.75–$650.50 varies
Cltx dstl fibular fx lat malls w/o manj (27786) $330.04 $507.75 1.3×
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines
$330.04–$576.22 $507.75–$886.50 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines
$603.52–$921.38 $928.50–$1,417.50 varies
Cltx fx grt toe phlx/phlg w/o manj (28490) $330.04 $507.75 1.3×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $385.12 $592.50 1.5×
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines
$225.06–$409.66 $346.25–$630.25 varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $327.76 $504.25 1.3×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 3 matching MRF lines
$382.85–$409.82 $589–$630.50 varies
Cltx Medial Ankle Fx (27760) $317.36 $488.25 1.3×
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines
$332.48–$518.21 $511.50–$797.25 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 3 matching MRF lines
$330.04–$516.91 $507.75–$795.25 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $274.62 $422.50 1.1×
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines
$327.92–$551.20 $504.50–$848 varies
Cltx prox fibula/shft fx w/o manj (27780) $330.04 $507.75 1.3×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 3 matching MRF lines
$164.45–$330.04 $253–$507.75 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 2 matching MRF lines
$607.75–$979.06 $935–$1,506.25 varies
Cltx trimalleolar ankle fx w/manipulation (27818) $625.14 $961.75 0.4×
Collection of venous blood by venipuncture (36415)
range across 9 matching MRF lines
$17.22–$63.38 $26.50–$97.50 varies
Colonoscopy W/Band Ligation (45398) $1,196.81 $1,841.25 1.0×
Complex drainage wound (10180)
range across 3 matching MRF lines
$397.31–$411.45 $611.25–$633 varies
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines
$218.56–$308.26 $336.25–$474.25 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines
$194.35–$218.56 $299–$336.25 varies
Conversion ext bil drg cath (47535) $1,502.80 $2,312 0.4×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $1,362.40 $2,096 0.7×
Convert Nephrostomy Catheter (50434) $1,466.40 $2,256 0.7×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,441.05 $2,217 0.9×
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $104.81 $161.25 1.7×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines
$218.56–$456.62 $336.25–$702.50 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $410.80 $632 1.7×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $84.01 $129.25 0.2×
Debride nail 1-5 (11720) $53.79 $82.75 0.9×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 4 matching MRF lines
$170.62–$369.04 $262.50–$567.75 varies
Destr W Neurolytic; Celiac Plexus (64680) $542.10 $834 0.6×
Destruct B9 Lesion 1-14 (17110)
range across 3 matching MRF lines
$172.90–$333.12 $266–$512.50 varies
Destruction Benign Lesions 15/> (17111) $203.61 $313.25 1.0×
Destruction Internal Hemorrhoid Thermal Energy (46930) $349.38 $537.50 0.3×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $240.18 $369.50 1.2×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $187.20 $288 0.9×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $131.30 $202 0.6×
Destruction Premalignant Lesion 15/> (17004) $266.82 $410.50 0.6×
Destruction premalignant lesion 1st (17000)
range across 3 matching MRF lines
$127.08–$333.12 $195.50–$512.50 varies
Drain Cerebro Spinal Fluid (62272)
range across 2 matching MRF lines
$295.10–$1,171.95 $454–$1,803 varies
Drain Spinal Cord Cyst (62268) $392.60 $604 0.4×
Drainage External Ear Abscess/Hematoma Simple (69000) $144.30 $222 0.2×
Drainage of gum lesion (41800) $168.51 $259.25 1.2×
Drainage of hematoma/fluid (10140)
range across 4 matching MRF lines
$246.68–$262.60 $379.50–$404 varies
Draw Blood Off Venous Device (36591) $146.25 $225 1.1×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $231.56 $356.25 0.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $250.90 $386 0.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 3 matching MRF lines
$227.99–$290.06 $350.75–$446.25 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 3 matching MRF lines
$126.26–$290.06 $194.25–$446.25 varies
Dstrj Lesion Anus Simple Chemical (46900) $174.36 $268.25 0.4×
Dx Bone Marrow Bx & Aspir (38222) $270.40 $416 0.1×
Dx Laryngoscopy Excl Nb (31525) $393.25 $605 0.2×
Dx lmbr spi pnxr w/fluor/CT (62328) $399.10 $614 0.6×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines
$75.40–$135.04 $116–$207.75 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $189.96 $292.25 0.3×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $310.38 $477.50 0.2×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $321.26 $494.25 0.4×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 2 matching MRF lines
$364.81–$422.82 $561.25–$650.50 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $562.58 $865.50 0.3×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $205.89 $316.75 0.3×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines
$258.05–$273.16 $397–$420.25 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $290.39 $446.75 0.4×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $344.01 $529.25 0.2×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $430.95 $663 0.3×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $188.66 $290.25 0.1×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $240.99 $370.75 0.3×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $268.78 $413.50 0.2×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $292.50 $450 0.4×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $355.71 $547.25 0.2×
Exc Skin Benig >4 Cm Remaindr Body (11426) $685.91 $1,055.25 0.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $471.74 $725.75 0.3×
Exc Skin Benig >4cm Face,Facial (11446) $640.09 $984.75 0.2×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $476.61 $733.25 0.3×
Exc Skin Malig >4 Cm Remaindr Body (11626) $625.14 $961.75 0.2×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $636.51 $979.25 0.4×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $229.45 $353 0.6×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $253.18 $389.50 0.3×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $331.34 $509.75 0.2×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $814.94 $1,253.75 0.5×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $1,073.15 $1,651 0.3×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $944.45 $1,453 0.4×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $968.50 $1,490 0.5×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $440.21 $677.25 0.6×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600)
range across 2 matching MRF lines
$266.82–$329.06 $410.50–$506.25 varies
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $309.72 $476.50 0.4×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $333.29 $512.75 0.8×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $426.40 $656 0.6×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)
range across 2 matching MRF lines
$268.12–$319.96 $412.50–$492.25 varies
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $443.62 $682.50 0.3×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $789.91 $1,215.25 0.3×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $267.48 $411.50 0.2×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $305.50 $470 0.4×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 2 matching MRF lines
$339.79–$398.78 $522.75–$613.50 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $518.21 $797.25 0.3×
Explo/Drain Breast Abscess (19020) $1,662.21 $2,557.25 1.0×
Fine needle aspiration without imaging guidance (10021) $194.35 $299 0.5×
Fluoro exam of g/colon tube (49465) $226.85 $349 0.9×
Fna bx w/us gdn 1st les (10005) $208 $320 0.3×
Guide Cathet Fluid Drainage (10030) $1,015.95 $1,563 1.4×
I&d abscess peritonsillar (42700) $312.81 $481.25 1.3×
I&d abscess simple (10060)
range across 3 matching MRF lines
$177.12–$308.10 $272.50–$474 varies
I&d pilonidal cyst simple (10080) $284.70 $438 0.4×
Image Cath Fluid Colxn Visc (49405) $1,420.90 $2,186 0.8×
Image Cath Fluid Peri/Retro (49406) $1,421.55 $2,187 0.8×
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines
$347.59–$682.50 $534.75–$1,050 varies
Incision & removal foreign body subq tiss compl (10121) $378.46 $582.25 0.2×
Incision & removal foreign body subq tiss simple (10120)
range across 4 matching MRF lines
$230.26–$682.50 $354.25–$1,050 varies
Incisional biopsy skin single lesion (11106) $207.19 $318.75 0.3×
Initial Tx 1st Degree Burn Local Tx (16000) $109.04 $167.75 0.5×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $297.70 $458 0.3×
Inj W/Fluor Eval Cv Device (36598) $190.45 $293 0.9×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $410.15 $631 0.5×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 5 matching MRF lines
$85.80–$415.19 $132–$638.75 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $114.72 $176.50 0.2×
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines
$87.75–$95.39 $135–$146.75 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 5 matching MRF lines
$83.20–$415.19 $128–$638.75 varies
Injection single/mlt trigger point 3/> muscles (20553) $137.15 $211 0.4×
Injection therapeutic carpal tunnel (20526) $117.65 $181 0.4×
Injection, anesthetic agent; femoral nerve, single (64447) $147.88 $227.50 0.2×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $119.60 $184 0.2×
Injection, Intralesional; More Than 7 Lesions (11901) $110.50 $170 0.5×
Injection, intralesional; up to and including 7 lesions (11900) $89.70 $138 0.4×
Ins cath ren art 1st unilat (36251) $2,164.50 $3,330 0.7×
Ins cath ren art 2nd+ bilat (36254) $3,332.55 $5,127 1.0×
Ins cath ren art 2nd+ unilat (36253) $3,393.65 $5,221 0.6×
Ins endovas vena cava filtr (37191) $3,590.60 $5,524 0.6×
Insert cath pleura w/ image (32557) $1,030.90 $1,586 0.6×
Insert Gastrostomy Tube Percutaneous (49440) $1,414.40 $2,176 0.7×
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure
$1,225.90 $1,886 0.1×
Insert non-tunnel cv cath (36556) $341.25 $525 0.1×
Insert Temp Bladder Cath (51702)
range across 5 matching MRF lines
$111.15–$197.60 $171–$304 varies
Insert tun ip cath perc (49418) $1,750.45 $2,693 0.5×
Insert tunneled cv cath (36561) $1,658.80 $2,552 0.5×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 5 matching MRF lines
$91.16–$197.60 $140.25–$304 varies
Insertion indwelling tunneled pleural catheter (32550) $1,281.15 $1,971 0.4×
Insertion Picc W/Rs&I 5 Yr/> (36573) $632.45 $973 0.4×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $141.70 $218 0.1×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $1,328.60 $2,044 0.4×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $767 $1,180 0.5×
Intro cath dialysis circuit (36901) $1,127.75 $1,735 0.7×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $7,677.80 $11,812 0.7×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902)
unusually low: confirm this is the full procedure
$2,026.05 $3,117 0.3×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines
$249.60–$318.66 $384–$490.25 varies
Late closure of wound (13160) $1,448.52 $2,228.50 0.4×
Lysis/excision penile postcircumcision adhesions (54162) $324.35 $499 0.2×
Mech remov tunneled cv cath (36595) $981.50 $1,510 0.3×
Myelography Lumbar Injection (62305) $435.50 $670 0.5×
Myelography Lumbar Injection (62304) $400.40 $616 0.5×
Myelography via lumbar injection rs&i cervical (62302) $405.60 $624 0.5×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $412.10 $634 0.5×
N block inj intercost sng (64420) $172.09 $264.75 0.2×
N Block Inj Plantar Digit (64455) $81.09 $124.75 0.3×
Nasal/Orogastric W/Tube Plmt (43752)
range across 3 matching MRF lines
$61.75–$461.18 $95–$709.50 varies
Needle Biopsy Lymph Nodes (38505) $187.85 $289 0.1×
Needle insertion w/o injection 1 or 2 muscles (20560) $15.28 $23.50 0.5×
Needle insertion w/o injection 3 or more muscles (20561) $19.01 $29.25 0.6×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $660.40 $1,016 0.2×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $273 $420 0.3×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $408.20 $628 0.6×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $474.50 $730 0.7×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $966.55 $1,487 1.4×
Njx Sclrsnt 1 Incmptnt Vein (36470) $175.50 $270 0.4×
Obstructive material removal from gi tube (49460) $1,134.25 $1,745 1.2×
Occipital Nerve Block (64405) $149.82 $230.50 0.5×
Open/Perq Place Stent 1St (37236)
unusually low: confirm this is the full procedure
$4,944.55 $7,607 0.4×
Open/Perq Place Stent Same (37238) $5,927.35 $9,119 0.5×
Perc Cryo Ablate Renal Tum (50593) $6,578 $10,120 0.6×
Perc Rf Ablate Renal Tumor (50592) $4,898.40 $7,536 0.8×
Percut Ablate Liver Rf (47382) $6,479.85 $9,969 1.0×
Percut Drain/Inject Renal Cyst (50390) $143.65 $221 0.2×
Perq dev breast 1st us imag (19285) $659.75 $1,015 0.9×
Perq device breast 1st imag (19281) $377 $580 0.2×
Perq Lumbosacral Injection (22511) $2,922.40 $4,496 0.9×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905)
unusually low: confirm this is the full procedure
$3,805.75 $5,855 0.3×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $2,977 $4,580 0.5×
Place Cath Subclavian Art (36225) $2,461.55 $3,787 0.8×
Place Cath Thoracic Aorta (36221) $1,546.35 $2,379 0.5×
Placement of needle for intraosseous infusion (36680) $779.51 $1,199.25 1.7×
Plmt Bile Duct Stent Prq Existing Access (47538) $6,553.95 $10,083 1.1×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $1,442.35 $2,219 0.7×
Plmt Nephroureteral Catheter (50433) $1,830.40 $2,816 0.5×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $2,196.35 $3,379 0.6×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $308.75 $475 0.1×
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure
$2,948.40 $4,536 0.2×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $319.80 $492 0.3×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $415.35 $639 0.6×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $1,944.15 $2,991 0.5×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $2,154.75 $3,315 0.6×
Pseudoaneurysm Injection Trt (36002) $231.40 $356 0.4×
Punch biopsy skin single lesion (11104) $172.09 $264.75 0.4×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 6 matching MRF lines
$198.74–$508.46 $305.75–$782.25 varies
Puncture Aspiration Cyst Breast (19000)
range across 3 matching MRF lines
$165.10–$172.09 $254–$264.75 varies
Puncture shunt tube/reservoir aspiration/inj px (61070) $85.80 $132 0.1×
Rem Endovas Vena Cava Filter (37193) $2,476.50 $3,810 0.8×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $765.05 $1,177 0.8×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $309.08 $475.50 0.2×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines
$24.54–$54.60 $37.75–$84 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $68.09 $104.75 1.1×
Removal of nail bed (11750)
range across 2 matching MRF lines
$219.54–$252.20 $337.75–$388 varies
Removal of tunneled intraperitoneal catheter (49422) $339.95 $523 0.1×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 4 matching MRF lines
$136.18–$226.04 $209.50–$347.75 varies
Removal subcutaneous cardiac rhythm monitor (33286) $1,201.69 $1,848.75 1.7×
Remove drug implant device (11982)
range across 2 matching MRF lines
$173.71–$272.84 $267.25–$419.75 varies
Remove foreign body from eye (65205)
range across 2 matching MRF lines
$104–$220.19 $160–$338.75 varies
Remove Intrauterine Device (58301) $155.68 $239.50 0.5×
Remove intrvas foreign body (37197) $2,549.95 $3,923 0.8×
Remove lung catheter (32552)
range across 3 matching MRF lines
$281.45–$357.82 $433–$550.50 varies
Remove Nasal Foreign Body (30300)
range across 3 matching MRF lines
$218.56–$309.08 $336.25–$475.50 varies
Remove Pulse Generator (33241) $330.20 $508 0.1×
Remove renal tube w/fluoro (50389) $650 $1,000 0.9×
Remove ureter stent percut (50384) $1,416.35 $2,179 0.7×
Renal Biopsy Perq (50200) $847.60 $1,304 0.5×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines
$663–$784.22 $1,020–$1,206.50 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines
$721.50–$784.22 $1,110–$1,206.50 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 3 matching MRF lines
$508.46–$676.65 $782.25–$1,041 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 3 matching MRF lines
$834.92–$1,045.36 $1,284.50–$1,608.25 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines
$613.60–$746.69 $944–$1,148.75 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 3 matching MRF lines
$746.69–$748.31 $1,148.75–$1,151.25 varies
Repair complex trunk 1.1-2.5 cm (13100) $586.95 $903 0.8×
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines
$693.22–$784.22 $1,066.50–$1,206.50 varies
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 3 matching MRF lines
$452.40–$508.46 $696–$782.25 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines
$508.46–$516.91 $782.25–$795.25 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines
$489.61–$604.99 $753.25–$930.75 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines
$508.46–$632.29 $782.25–$972.75 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,045.52 $1,608.50 1.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines
$323.38–$508.46 $497.50–$782.25 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 3 matching MRF lines
$508.46–$508.95 $782.25–$783 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $627.90 $966 0.8×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines
$483.76–$668.69 $744.25–$1,028.75 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 3 matching MRF lines
$410.80–$508.46 $632–$782.25 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 4 matching MRF lines
$407.88–$682.50 $627.50–$1,050 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $742.62 $1,142.50 1.0×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines
$508.46–$549.09 $782.25–$844.75 varies
Repair of nail bed (11760) $351.16 $540.25 0.5×
Replace duodenostomy/jejunostomy tube perq (49451) $1,092 $1,680 1.2×
Replace G-J Tube Perc (49452) $1,328.60 $2,044 1.4×
Replace g/c tube perc (49450) $1,014.65 $1,561 1.1×
Reposition Gastrostomy Tube (43761) $189.15 $291 0.7×
Reposition Venous Catheter (36597) $189.80 $292 0.1×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $9,824.10 $15,114 1.7×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $899.60 $1,384 0.4×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 3 matching MRF lines
$99.78–$159.90 $153.50–$246 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $176.48 $271.50 1.3×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $347.75 $535 0.2×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines
$257.40–$1,055.92 $396–$1,624.50 varies
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $325 $500 0.2×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $548.60 $844 0.3×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $1,285.05 $1,977 0.4×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 4 matching MRF lines
$269.91–$284.70 $415.25–$438 varies
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $249.60 $384 0.4×
Sclerotx Fluid Collection (49185) $1,992.25 $3,065 1.2×
Shave skin lesion 0.5 cm/< (11300) $136.18 $209.50 0.3×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $157.79 $242.75 0.8×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $258.05 $397 0.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $142.68 $219.50 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $169.98 $261.50 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $205.89 $316.75 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $210.11 $323.25 0.5×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $186.39 $286.75 0.9×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $223.11 $343.25 0.5×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $167.05 $257 0.8×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $216.61 $333.25 0.5×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $195.81 $301.25 1.0×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $359.94 $553.75 0.9×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 3 matching MRF lines
$176.48–$372.78 $271.50–$573.50 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 3 matching MRF lines
$184.28–$271.54 $283.50–$417.75 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 4 matching MRF lines
$223.60–$261.62 $344–$402.50 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 3 matching MRF lines
$147.88–$240.34 $227.50–$369.75 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 4 matching MRF lines
$204.26–$339.46 $314.25–$522.25 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 3 matching MRF lines
$173.55–$240.34 $267–$369.75 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 3 matching MRF lines
$263.90–$508.46 $406–$782.25 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $317.69 $488.75 0.8×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines
$207.35–$229.94 $319–$353.75 varies
Strapping ankle (29540)
range across 3 matching MRF lines
$39.49–$220.19 $60.75–$338.75 varies
Strapping elbow or wrist (29260) $71.66 $110.25 1.2×
Strapping knee (29530) $212.06 $326.25 1.6×
Strapping shoulder (29240) $212.06 $326.25 1.6×
Strapping toes (29550) $36.72 $56.50 0.6×
Strapping Unna Boot (29580) $69.71 $107.25 0.4×
Surgery to stop leg growth (27479)
likely a partial charge, not the full procedure
$1,518.56 $2,336.25 0.2×
Tangential biopsy skin single lesion (11102) $137.15 $211 0.3×
Ther Spi Pnxr Csf Fluor/Ct (62329) $504.40 $776 0.7×
Thrmbc/Nfs Dialysis Circuit (36906) $9,620.65 $14,801 0.5×
Thromblytic art/ven therapy (37213) $351 $540 0.1×
Thrombolytic Art Therapy (37211)
likely a partial charge, not the full procedure
$583.05 $897 0.1×
Thrombolytic Venous Therapy (37212) $509.60 $784 0.2×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $1,371.66 $2,110.25 0.7×
Transcatheter biopsy (37200)
likely a partial charge, not the full procedure
$325 $500 0.1×
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines
$330.04–$505.38 $507.75–$777.50 varies
Trim skin lesion (11055)
range across 2 matching MRF lines
$86.12–$110.50 $132.50–$170 varies
Trim skin lesions 2 to 4 (11056) $101.89 $156.75 0.5×
Trim skin lesions over 4 (11057) $110.50 $170 0.5×
Trimming Nondystrophic Nails Any Number (11719) $36.72 $56.50 0.6×
Trluml Balo Angiop 1St Art (37246) $3,096.60 $4,764 0.5×
Trluml Balo Angiop 1St Vein (37248)
unusually low: confirm this is the full procedure
$2,295.15 $3,531 0.4×
Tx Gastro Intub W/Asp (43753) $461.18 $709.50 2.1×
Tx Superficial Wound Dehiscence Simple Closure (12020) $493.19 $758.75 0.7×
Vasc embolize/occlude artery (37242) $12,026.30 $18,502 0.6×
Vasc Embolize/Occlude Bleed (37244) $11,094.20 $17,068 0.9×
Vasc Embolize/Occlude Organ (37243) $14,803.75 $22,775 1.3×
Vasc embolize/occlude venous (37241) $7,688.85 $11,829 0.7×
Venous Mech Thrombectomy (37187)
likely a partial charge, not the full procedure
$2,942.55 $4,527 0.2×
Wedge excision skin nail fold (11765) $227.99 $350.75 0.5×

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.