Procedures & surgery prices at Lucile Salter Packard Children's Hsp at Stanford

Palo Alto, CA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Pulm Tumor Perq Crybl (32994)
unusually low: confirm this is the full procedure
$4,852.50 $9,705 0.3×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) $13,415 $26,830 0.5×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $13,415 $26,830 1.3×
Allogeneic lymphocyte infusions (38242) $1,469.50 $2,939 0.6×
Amniocentesis diagnostic (59000) $745.50 $1,491 0.6×
Amniocentesis therapeutic (59001) $677 $1,354 1.5×
Anal/Urinary Muscle Study (51784) $597 $1,194 3.2×
Application Finger Splint Dynamic (29131) $237.50 $475 2.7×
Application finger splint static (29130)
range across 2 matching MRF lines
$238.50 $164–$477 1.2×
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines
$354.50 $340–$709 1.5×
Application Long Leg Cast Walker/Ambulatory Type (29355) $774 $1,548 1.9×
Application Long Leg Splint (29505) $390 $780 1.6×
Application of rigid total contact leg cast (29445) $972 $1,944 2.4×
Application Short Arm Splint Dynamic (29126) $315 $630 1.6×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines
$245.50 $267–$491 1.3×
Application short leg splint calf foot (29515) $380 $760 1.6×
Apply Short Leg Cast (29405) $502 $1,004 1.2×
Arterial puncture (36600)
range across 2 matching MRF lines
$66.50–$1,364 $133–$2,728 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,247.50 $2,495 1.2×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $798 $1,596 1.8×
Aspirate Pleura W/O Imaging (32554) $1,655 $3,310 1.8×
Aspiration & Injection Treatment Bone Cyst (20615) $2,768 $5,536 2.7×
Aspiration and/or injection thyroid cyst (60300)
range across 2 matching MRF lines
$2,388–$2,768 $4,776–$5,536 varies
Aspiration Bladder Needle (51100) $2,664.50 $5,329 7.3×
Aspiration bladder trocar/intracatheter (51101) $2,664.50 $5,329 2.1×
Biopsy of liver, needle; percutaneous (47000) $2,197 $4,394 0.9×
Bladder Irrigation (51700) $902 $1,804 2.5×
Bladder Scan (51798) $385 $770 4.4×
Blood Transfusion Service (36430)
range across 4 matching MRF lines
$796–$2,068.50 $1,592–$4,137 varies
Blood/Lymph System Procedure (38999) $3,326.50 $6,653 5.1×
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines
$1,557–$1,561 $3,114–$3,122 varies
Bone Marrow; Aspiration Only (38220)
range across 3 matching MRF lines
$1,160–$1,561 $787–$3,122 varies
Bronchoscopy W/Biopsy(S) (31625) $3,946 $7,892 1.5×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $2,799 $5,598 0.5×
Bronchoscopy/Needle Bx Each (31629) $3,177 $6,354 0.6×
Car-t admn autologous (38228) $6,456 $12,912 13.3×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines
$683.50 $380–$1,367 2.3×
Chemodenerv 1 extremity 1-4 (64642) $4,718.50 $9,437 4.5×
Chemodenerv Musc Migraine (64615) $2,707.50 $5,415 6.0×
Chemodenerv musc neck dyston (64616) $2,707.50 $5,415 6.0×
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $1,280.50 $2,561 2.8×
Chemodenerv trunk musc 1-5 (64646) $4,245.50 $8,491 4.1×
Chemodenerv trunk musc 6/> (64647) $3,834.50 $7,669 3.7×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $3,968.50 $7,937 0.8×
Chorionic Villus Sampling (59015) $604.50 $1,209 0.4×
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines
$3,176 $878–$6,352 1.0×
Collect Blood From Catheter Venous Nos (36592) $171.50 $343 0.9×
Collection of venous blood by venipuncture (36415) $30.50 $61 3.3×
Complex Cystometrogram (51726) $1,460.50 $2,921 4.0×
Cordocentesis (59012) $5,068 $10,136 11.3×
Cystometrogram W/Vp (51728) $1,809 $3,618 1.8×
Declot vascular device (36593) $1,547.50 $3,095 3.2×
Delivery of placenta (59414) $2,359.50 $4,719 0.5×
Destruction Lesions Vulva Simple (56501) $2,664.50 $5,329 0.9×
Dilat Xst Trc New Access Rcs (50437) $4,346 $8,692 0.8×
Dilation and catheterization of salivary duct, with or without injection (42660) $2,799 $5,598 3.5×
Drain Cerebro Spinal Fluid (62272) $2,056.50 $4,113 2.0×
Drain/inj small joint/bursa w/us (20604) $985 $1,970 2.2×
Drainage of hematoma/fluid (10140) $3,312 $6,624 1.4×
Draw Blood Off Venous Device (36591) $192.50 $385 1.0×
Dressing Change Under Anesthesia (15852) $1,459 $2,918 1.3×
Dx Bronchoscope/Lavage (31624) $2,905.50 $5,811 1.1×
Electro-Uroflowmetry First (51741) $597 $1,194 1.9×
Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Facility (58356) $4,937.50 $9,875 0.7×
Endovasc Temp Balloon Occlus,Head/Nck (61623) $13,517.50 $27,035 0.8×
Endoven abltj incmptnt vein mchnchem 1st vein (36473) $3,057.50 $6,115 0.7×
Endoven ther chem adhes 1st (36482) $4,245.50 $8,491 0.5×
Epidural Blood Patch (62273) $2,030.50 $4,061 2.0×
Episiotomy or vaginal repair (59300) $644 $1,288 0.1×
Exchange Transfusion (36455) $192 $384 0.3×
Exchange Transfusion Blood Newborn (36450) $2,072 $4,144 3.2×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $3,483 $6,966 1.2×
Excision Lingual Frenum Frenectomy (41115) — $1,104 —
Expl po hemrrg thrombosis/infctj xtr (35860) $6,941 $13,882 1.5×
External cephalic version (59412) $2,784.50 $5,569 0.6×
Fetal Contraction Stress Test (59020) $805.50 $1,611 2.7×
Fetal Fluid Drainage W/Ultrasound Guidance (59074) $1,417.50 $2,835 3.2×
Fetal non-stress test (59025) $676 $1,352 2.3×
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines
$1,094.50–$1,462.50 $2,189–$2,925 varies
Fluoro exam of g/colon tube (49465) $2,768 $5,536 7.9×
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines
$2,532.50–$3,297 $5,065–$6,594 varies
Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) $96.05 $192.10 2.6×
Guide Cathet Fluid Drainage (10030) $12,004 $24,008 11.5×
Icd Pocket Revision (33223) $22,422 $44,844 7.4×
Initial Tx 1st Degree Burn Local Tx (16000) $360.50 $721 1.2×
Injection Sinus Tract Therapeutic Separate Proc (20500) $2,390 $4,780 1.0×
Ins cath ren art 1st bilat (36252) $5,583 $11,166 1.2×
Ins cath ren art 1st unilat (36251) $4,491 $8,982 1.0×
Ins cath ren art 2nd+ bilat (36254) $10,257.50 $20,515 2.2×
Ins cath ren art 2nd+ unilat (36253) $6,849.50 $13,699 0.8×
Ins endovas vena cava filtr (37191) $12,004 $24,008 1.5×
Ins/Rep Subq Defibrillator (33270) $72,993.50 $145,987 1.6×
Insert 1 Electrode Pm-Defib (33216) $17,686.50 $35,373 1.5×
Insert Bladder Cath Complex (51703) $1,074.50 $2,149 5.7×
Insert cath pleura w/o image (32556) — $3,088 —
Insert Drug Implant Device (11981) $392 $784 2.0×
Insert Heart Pm Atrial (33206) $29,053.50 $58,107 1.9×
Insert Heart Pm Ventricular (33207) $29,053.50 $58,107 1.9×
Insert hepatic shunt (tips) (37182) $17,727 $35,454 0.7×
Insert Pacing Lead & Connect (33224) $12,004 $24,008 0.8×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $4,016 $8,032 1.7×
Insert pulse gen dual leads (33213)
range across 2 matching MRF lines
$17,686.50 $1,638–$35,373 1.2×
Insert pulse gen mult leads (33221) $17,686.50 $35,373 0.6×
Insert Pulse Gen Sngl Lead (33212) $17,686.50 $35,373 1.5×
Insert Temp Bladder Cath (51702) $427.50 $855 2.2×
Insert,Non-Indwelling Bladder Catheter (51701) $370 $740 1.9×
Insertion Picc W/Rs&I 5 Yr/> (36573) $5,376 $10,752 2.3×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $17,686.50 $35,373 1.5×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $22,422 $44,844 1.8×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) — $1,338 —
Insj Picc Rs&I <5 Yr (36572) $5,376 $10,752 5.8×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $4,016 $8,032 1.7×
Insj Subq Impltbl Dfb Elctrd (33271) $19,371.50 $38,743 1.6×
Insj/Rplcmt Defib W/Lead(S) (33249) $65,669 $131,338 1.4×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $17,686.50 $35,373 1.5×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) $23,370 $46,740 1.9×
Insrt heart pm atrial & vent (33208) $34,735.50 $69,471 2.3×
Insrt Pulse Gen W/Dual Leads (33230) $22,422 $44,844 0.7×
Insrt Pulse Gen W/Mult Leads (33231)
unusually low: confirm this is the full procedure
$22,422 $44,844 0.5×
Insrt Pulse Gen W/Singl Lead (33240) $25,264 $50,528 0.8×
Install spinal shunt (63741)
unusually low: confirm this is the full procedure
$5,754.50 $11,509 0.4×
Intro cath dialysis circuit (36901) $2,490.50 $4,981 1.1×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $23,308.50 $46,617 1.4×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $12,499 $24,998 1.5×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines
$1,654.50 $543–$3,309 4.7×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $473 $946 0.8×
Maternity Care Procedure (59899) $1,185.50 $2,371 4.0×
Multifetal Pregnancy Reduction (59866) $604.50 $1,209 1.3×
N Block Inj Plantar Digit (64455) $3,834.50 $7,669 8.5×
Nasal/Orogastric W/Tube Plmt (43752)
range across 3 matching MRF lines
$1,065.50–$4,019 $2,131–$8,038 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $2,803.50 $5,607 2.2×
Njx Sclrsnt 1 Incmptnt Vein (36470) $3,483 $6,966 5.8×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $4,197 $8,394 7.0×
Njx Sclrsnt Spider Veins (36468) $4,911.50 $9,823 8.2×
Onc pncrs DNA&mrna seq 74 (0313U) $500 $1,000 0.1×
Open/Perq Place Stent 1St (37236) $27,471 $54,942 1.6×
Open/Perq Place Stent Same (37238) $27,477.50 $54,955 1.6×
Percut Ablate Liver Rf (47382)
range across 3 matching MRF lines
$13,415–$13,936 $26,830–$27,872 varies
Percut Cath Occlusn Non Cns Lesn (61626) $34,735.50 $69,471 2.0×
Perm Occlusion/Embolization,Percut,Cns (61624) $34,735.50 $69,471 1.3×
Perq av fistula creation uxtr sep access sites (36837)
likely a partial charge, not the full procedure
$5,366.50 $10,733 0.2×
Perq av fistula creation uxtr single access (36836)
likely a partial charge, not the full procedure
$5,366.50 $10,733 0.2×
Perq Elec Nrv Field Stimj Cranial Nrv W/O Impltj (64567)
range across 2 matching MRF lines
$439–$3,027.50 $878–$6,055 varies
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) $12,069.50 $24,139 0.9×
Perq p-art revsc 1 nm nt uni (33900) $17,720.50 $35,441 1.0×
Perq p-art revsc st 1st abnor connj unilateral (33902) $17,720.50 $35,441 0.7×
Perq p-art revsc st 1st abnormal connj bilateral (33903) $17,720.50 $35,441 1.0×
Perq p-art revsc st 1st nml native connj bi (33901) $17,720.50 $35,441 1.0×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $20,908 $41,816 1.2×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $11,516 $23,032 1.4×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $19,562 $39,124 1.8×
Perq Vertebral Augmentation (22513) $19,562 $39,124 1.8×
Place Cath Subclavian Art (36225) $11,696 $23,392 2.5×
Place Cath Thoracic Aorta (36221) $6,849.50 $13,699 1.5×
Place Cath Vertebral Art (36226) $15,370.50 $30,741 1.9×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555)
unusually low: confirm this is the full procedure
$3,934 $7,868 0.4×
Pseudoaneurysm Injection Trt (36002) $12,004 $24,008 13.0×
Puncture aspiration abscess hematoma bulla/cyst (10160) $3,483 $6,966 5.8×
Puncture shunt tube/reservoir aspiration/inj px (61070) — $318 —
Push Transfusion Blood 2 Yr/Under (36440) $1,059 $2,118 1.6×
Pvb thoracic cont infusion (64463) $1,758 $3,516 1.7×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $3,933 $7,866 3.8×
Redo Endovas Vena Cava Filtr (37192) $5,250 $10,500 1.1×
Relocation Pocket Pacemaker (33222) $22,422 $44,844 7.4×
Rem Endovas Vena Cava Filter (37193) $4,945.50 $9,891 1.1×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $483.50 $967 5.6×
Removal Implant Deep (20680) — $2,637 —
Removal or bivalving full arm or full leg cast (29705) $402 $804 1.0×
Removal Pacemaker Electrode (33235) $25,264 $50,528 4.6×
Removal ppm generator only (33233) $22,422 $44,844 1.8×
Removal subcutaneous cardiac rhythm monitor (33286) $17,686.50 $35,373 17.0×
Removal/bivalving gauntlet boot/body cast (29700) $508 $1,016 1.2×
Remove Elctrd Transvenously (33244) $23,370 $46,740 4.3×
Remove intrvas foreign body (37197) $34,735.50 $69,471 7.5×
Remove lung catheter (32552) $2,676.50 $5,353 2.9×
Remove Pulse Generator (33241) $22,422 $44,844 4.1×
Remove&replace pm gen singl (33227) $22,422 $44,844 1.8×
Remove/Insert Drug Implant (11983) $494 $988 0.8×
Remv&replc cvd gen dual lead (33263) $59,652 $119,304 1.8×
Remv&replc cvd gen mult lead (33264) $64,594.50 $129,189 1.4×
Remv&replc cvd gen sing lead (33262) $59,425 $118,850 1.8×
Remv&replc pm gen dual lead (33228) $22,422 $44,844 1.5×
Remv&replc pm gen mult leads (33229) $22,422 $44,844 0.8×
Renal Biopsy Perq (50200) $2,649 $5,298 1.1×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $2,359 $4,718 3.9×
Repair Lead Pace-Defib One (33218) $17,686.50 $35,373 3.2×
Repair of sternum separation (21750) — $2,782 —
Repair Spica/Body/Jacket Cast (29720) $808.50 $1,617 3.4×
Reposition L Ventric Lead (33226) $22,422 $44,844 4.8×
Reposition Pacing-Defib Lead (33215) $17,686.50 $35,373 3.8×
Reposition Venous Catheter (36597) $1,820.50 $3,641 0.8×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $16,597 $33,194 2.0×
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) $10,541.40 $21,082.80 1.3×
Revsc evasc fpvt angiop uni sf les 1st vsl (37263) $8,784.50 $17,569 1.0×
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) $18,840 $37,680 0.7×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271) $15,700 $31,400 0.6×
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) $28,771.80 $57,543.60 1.1×
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) $23,976.50 $47,953 0.9×
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) $19,027.80 $38,055.60 1.1×
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) $15,856.50 $31,713 0.9×
Revsc evasc ivt angiop uni cplx les 1st vsl (37256) $15,598.80 $31,197.60 1.9×
Revsc evasc ivt angiop uni sf les 1st vsl (37254) $12,999 $25,998 1.6×
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) $29,989.20 $59,978.40 1.8×
Revsc evasc ivt st plmt uni sf les 1st vsl (37258) $24,991 $49,982 1.5×
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) $16,221 $32,442 1.0×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280) $13,517.50 $27,035 0.8×
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) $24,587.40 $49,174.80 0.9×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $20,489.50 $40,979 0.8×
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) $27,567 $55,134 1.0×
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) $22,972.50 $45,945 0.9×
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) $24,587.40 $49,174.80 0.9×
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) $20,489.50 $40,979 0.8×
Rmvl of subq implantable defibrillator electrode (33272) $19,371.50 $38,743 3.5×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $22,422 $44,844 4.1×
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) $402 $804 1.0×
Rplc Gtube No Revj Trc (43762) $1,118 $2,236 3.0×
Rplc gtube revj gstrst trc (43763) $1,678 $3,356 4.6×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $3,021 $6,042 1.3×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $1,820.50 $3,641 2.0×
Skin Tissue Procedure (17999) $2,334.50 $4,669 7.9×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $14,491.50 $28,983 1.8×
Slctv cath carotid/innom art angio xtrcranl art (36222) $11,369 $22,738 2.4×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $17,079.50 $34,159 2.1×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines
$2,873 $703–$5,746 2.8×
Strapping thorax (29200) $245.50 $491 1.0×
Subcutaneous Hormone Pellet Implantation (11980) $392 $784 0.6×
T-cell depletion of harvest (38210) $32,229 $64,458 49.7×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $25,501.50 $51,003 0.6×
Tcat Insj/Rpl Perm Ldls Pm (33274) $34,062.50 $68,125 1.2×
Thaw preserved stem cells (38208) $7,568.50 $15,137 11.7×
Thrmbc/Nfs Dialysis Circuit (36906) $29,725.50 $59,451 1.1×
Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) $2,890.50 $5,781 0.6×
Trluml Balo Angiop 1St Art (37246) $8,935 $17,870 1.1×
Trluml Balo Angiop 1St Vein (37248) $8,335 $16,670 1.0×
Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) $8,253 $16,506 12.7×
Trnspl Prepj Hematop Progen Concentration Plsm (38215) $10,322 $20,644 15.9×
Trnsplj allogeneic hematopoietic cells per donor (38240)
likely a partial charge, not the full procedure
$4,360 $8,720 0.0×
Trnsplj autologous hematopoietic cells per donor (38241) $4,360 $8,720 1.9×
Unlisted Cardiac Surgery (33999) $23,370 $46,740 25.3×
Unlisted laparoscopy procedure, renal (50549) $5,820.50 $11,641 0.7×
Unlisted Procedure Biliary Tract (47999) $2,996 $5,992 2.2×
Unlisted Procedure Endocrine System (60699) $4,718.50 $9,437 0.5×
Unlisted Procedure Leg/Ankle (27899) $3,491.50 $6,983 9.6×
Unlisted procedure liver (47399)
range across 2 matching MRF lines
$2,996–$17,885 $5,992–$35,770 varies
Unlisted procedure lungs and pleura (32999) $4,862.50 $9,725 5.3×
Unlisted Procedure Muscskeletal System General (20999) $3,491.50 $6,983 9.6×
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines
$2,695.50–$3,326.50 $5,391–$6,653 varies
Unlisted procedure pancreas (48999) $2,996 $5,992 2.9×
Unlisted procedure spine (22899) $4,718.50 $9,437 13.0×
Unlisted Procedure Vascular Surgery (37799)
range across 4 matching MRF lines
$192.50–$34,735.50 $385–$69,471 varies
Unlisted procedure, abdomen, peritoneum and omentum (49999) $2,664.50 $5,329 2.0×
Unlisted Procedure, Urinary System (53899) $4,718.50 $9,437 12.8×
Upgrade of pacemaker system (33214) $22,422 $44,844 1.5×
Vasc embolize/occlude artery (37242) $26,433.50 $52,867 1.0×
Vasc Embolize/Occlude Bleed (37244) $34,735.50 $69,471 2.0×
Vasc Embolize/Occlude Organ (37243) $20,164.50 $40,329 1.2×
Vasc embolize/occlude venous (37241) $25,089.50 $50,179 1.5×
Vein Access Cutdown < 1 Yr (36420) $143.50 $287 0.7×
Venous Cutdown >1 Y/O (36425) $143.50 $287 0.2×
Wash harvest stem cells (38209) $5,219.50 $10,439 8.0×
Wedging of cast (29740) $305.50 $611 0.7×
Windowing of cast (29730) $305.50 $611 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.