Procedures & surgery prices at Memorial Hospital & Manor

Bainbridge, GA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,142.40 $1,632 1.4×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,142.40 $1,632 1.4×
Amniocentesis diagnostic (59000) $184.80 $264 0.2×
Amputation Finger/Thumb (26951) $1,838.90 $2,627 0.6×
Amputation of finger/thumb (26952) $1,838.90 $2,627 0.6×
Amputation toe interphalangeal joint (28825) $1,673 $2,390 0.6×
Anoscopy diagnostic (46600) $144.90 $207 1.2×
Anoscopy W/Rmvl Foreign Body (46608) $1,145.90 $1,637 1.4×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $257.95 $368.50 1.8×
Application cast elbow finger short arm (29075) $322 $460 1.3×
Application Cast Hand & Lower Forearm Gauntlet (29085) $186.90 $267 1.3×
Application cast shoulder hand long arm (29065) $322 $460 1.3×
Application Cast Shoulder Spica (29055) $203.70 $291 0.8×
Application Finger Splint Dynamic (29131) $77 $110 1.5×
Application finger splint static (29130) $161 $230 1.4×
Application long arm splint shoulder hand (29105) $222.60 $318 1.6×
Application long leg splint thigh ankle/toes (29505) $326.90 $467 2.3×
Application of long leg cast (29345) $203.70 $291 0.8×
Application Of Rigid Total Contact Leg Cast (29445) $367.85 $525.50 1.5×
Application Short Arm Splint Dynamic (29126) $190.40 $272 1.6×
Application short arm splint forearm-hand static (29125) $215.60 $308 1.8×
Application short leg splint calf foot (29515) $299.60 $428 2.1×
Application, cast; figure-of-eight (29049) $151.90 $217 0.6×
Apply of clubfoot cast (29450) $169.40 $242 1.2×
Apply short leg cast (29405) $203.70 $291 0.8×
Arrest Epiphyseal Open Distal Tibia (27730) $2,557.80 $3,654 0.9×
Arterial puncture (36600) $132.30 $189 1.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $137.20 $196 0.5×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $497.70 $711 1.9×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $80.15 $114.50 0.3×
Aspiration Bladder Insert Suprapubic Catheter (51102) $2,086 $2,980 1.1×
Avulsion nail plate partial/complete simple 1 (11730) $362.60 $518 2.1×
Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) $1,451.80 $2,074 1.4×
Biopsy Bone Trocar/Needle Superficial (20220) $2,228.10 $3,183 1.5×
Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) $542.50 $775 0.7×
Biopsy muscle percutaneous needle (20206) $2,433.20 $3,476 1.7×
Biopsy of uterus lining (58100) $278.60 $398 1.6×
Bladder Irrigation Simple (51700) $488.60 $698 2.2×
Bladder Scan (51798) $95.20 $136 1.8×
Blood patch (62273) $950.60 $1,358 1.5×
Blood transfusion service (36430) $472.50 $675 1.2×
Bronchosc dx w/w/o fluor&wash (31622) $1,399.30 $1,999 0.9×
Bx anorectal wall anal approach (45100) $282.80 $404 0.1×
Bx breast 1st lesion strtctc (19081) $1,969.80 $2,814 1.4×
Bx breast 1st lesion us imag (19083) $3,066.70 $4,381 2.1×
Bx vulva/perineum 1 lesion (56605) $542.50 $775 0.7×
Bx/exc lymph node needle superficial (38505) $2,163 $3,090 1.5×
Capsulectomy/capsulotomy mtcarphlngl joint each (26520) $1,253 $1,790 0.4×
Cerclage cervix pregnancy vaginal (59320) $2,734.90 $3,907 1.0×
Change Cystostomy Tube Simple (51705) $310.80 $444 1.4×
Chemical Cautery Tissue (17250) $225.75 $322.50 1.3×
Chest tube placement (32551) $2,283.40 $3,262 1.7×
Chg Collect Blood From Catheter Venous Nos (36592) $152.60 $218 1.3×
Circumcision Neonate (54160) $605.50 $865 1.0×
Close Rx Fingr Articular Fx,Manip (26742) $255.50 $365 0.2×
Closed Rx Acetabular Fx,Manipulatn (27222) $1,178.80 $1,684 5.5×
Closed Rx Humer Epicondylr Fx,Manip (24565) $170.10 $243 0.1×
Closed Rx Humeral Supracondylar Fx (24530) $255.50 $365 1.2×
Closed Rx Med Malleolus Fx (27760) $255.50 $365 1.2×
Closed Rx Mid Humerus Fx,Manipulatn (24505) $255.50 $365 0.2×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $1,897 $2,710 1.3×
Closed Rx Radial Shaft Fx (25500) $188.30 $269 0.9×
Closed Rx Shldr Disloc,Gr Tub Fx (23665) $660.10 $943 0.5×
Closed Rx Tibia Shaft Fx (27750) $255.50 $365 1.2×
Closed Rx Tibial Plateau Fx (27530) $255.50 $365 1.2×
Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) $255.50 $365 1.2×
Closed treatment of talus fracture; without manipulation (28430) $188.30 $269 0.9×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $255.50 $365 1.2×
Closed Treatment Sesamoid Fracture (28530) $188.30 $269 0.9×
Closed Treatment Ulnar Styloid Fracture (25650) $255.50 $365 1.2×
Closed tx ankle dislocation w/o anesthesia (27840) $144.90 $207 0.7×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $863.80 $1,234 0.6×
Closed tx calcaneal fracture w/o manipulation (28400) $255.50 $365 1.2×
Closed tx knee dislocation w/anesthesia (27552) $1,693.30 $2,419 1.2×
Closed tx knee dislocation w/o anesthesia (27550) $144.90 $207 0.7×
Closed tx metatarsal fracture w/o manipulation (28470) $255.50 $365 1.2×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,841 $2,630 1.3×
Closed tx nasal fracture w/o stabilization (21315) $801.50 $1,145 0.6×
Closed tx patellar dislocation w/anesthesia (27562) $765.80 $1,094 3.5×
Closed tx patellar dislocation w/o anesthesia (27560) $416.50 $595 1.9×
Closed tx patellar fracture w/o manipulation (27520) $255.50 $365 1.2×
Closed tx radial head/neck fx w/manipulation (24655) $443.80 $634 0.3×
Closed tx radial head/neck fx w/o manipulation (24650) $255.50 $365 1.2×
Closed tx radial shaft fracture w/manipulation (25505) $660.10 $943 0.5×
Closed tx scapular fracture w/o manipulation (23570) $280.70 $401 1.3×
Closed tx septal&nose fx (21337) $1,790.60 $2,558 0.6×
Closed Tx Talus Fracture W/Manipulation (28435) $2,259.60 $3,228 1.6×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $123.90 $177 0.6×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $188.30 $269 0.1×
Closed tx ulnar fracture prox end w/o manipulate (24670) $188.30 $269 0.9×
Closed tx ulnar shaft fracture w/o manipulation (25530) $188.30 $269 0.9×
Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) $384.30 $549 1.9×
Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) $801.50 $1,145 1.7×
Clsd tx acromioclavicular dislc w/manipulation (23545) $255.50 $365 1.2×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $144.90 $207 0.7×
Clsd tx clavicular fracture w/o manipulation (23500) $280.70 $401 1.3×
Clsd tx pelvic ring fx w/manipulation w/anes (27198) $349.30 $499 1.6×
Clsd tx pelvic ring fx w/o manipulation (27197) $349.30 $499 1.6×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,593.50 $3,705 1.8×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $234.50 $335 1.1×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,098.30 $1,569 0.8×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $374.50 $535 1.7×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $79.80 $114 0.1×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $188.30 $269 0.9×
Cltx dstl fibular fx lat malls w/manj (27788) $528.50 $755 2.4×
Cltx dstl fibular fx lat malls w/o manj (27786) $255.50 $365 1.2×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $308 $440 1.4×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $280.70 $401 1.3×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $255.50 $365 1.2×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,897 $2,710 1.3×
Cltx fem fx dstl end medial/lat condyle w/manj (27510) $322 $460 0.2×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $255.50 $365 1.2×
Cltx fx grt toe phlx/phlg w/manj (28495) $255.50 $365 1.2×
Cltx fx grt toe phlx/phlg w/o manj (28490) $188.30 $269 0.9×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $562.10 $803 2.6×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $252 $360 1.2×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $977.20 $1,396 0.7×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $255.50 $365 1.2×
Cltx hip dislocation traumatic w/o anesthesia (27250) $385 $550 1.8×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $203.70 $291 0.8×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $163.10 $233 0.8×
Cltx iphal jt dislc w/manj w/o anes (26770) $206.50 $295 1.0×
Cltx metacarpal fx w/manipulation each bone (26605) $255.50 $365 1.2×
Cltx metacarpal fx w/o manipulation each bone (26600) $207.90 $297 1.0×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $562.10 $803 2.6×
Cltx metatarsophlngl jt dislc w/o anes (28630) $255.50 $365 1.2×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $562.10 $803 2.6×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $280.70 $401 1.3×
Cltx Post Hip Arthrp Dislc Req Anes (27266) $1,640.10 $2,343 1.2×
Cltx post hip arthrp dislc w/o anes (27265) $816.90 $1,167 3.8×
Cltx prox fibula/shft fx w/o manj (27780) $255.50 $365 1.2×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $2,362.50 $3,375 1.7×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $144.90 $207 0.7×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $255.50 $365 1.2×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $1,371.30 $1,959 0.5×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $1,325.10 $1,893 0.9×
Cltx trimalleolar ankle fx w/manipulation (27818) $2,593.50 $3,705 1.8×
Colonoscopy w/band ligation (45398) $5,513.20 $7,876 5.3×
Complex Drainage, Wound (10180) $4,886 $6,980 1.9×
Control Nasal Hemorrhage Anterior Complex (30903) $68.60 $98 0.6×
Control Nasal Hemorrhage Anterior Simple (30901) $215.60 $308 1.8×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,969.80 $2,814 1.4×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $223.30 $319 1.9×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $1,014.30 $1,449 2.8×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $942.90 $1,347 0.4×
Debride Assoc Open Fx/Disloc Skin/Subq (11010) $942.90 $1,347 1.5×
Debride nail 1-5 (11720) $114.80 $164 2.2×
Debride nail 6 or more (11721) $88.20 $126 1.7×
Debride skin musc at fx site (11011) $942.90 $1,347 1.5×
Debridement subcutaneous tissue 20 sq cm/< (11042) $245 $350 0.7×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $462.70 $661 0.7×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $2,825.90 $4,037 2.0×
Declot vascular device (36593) $541.80 $774 1.9×
Delivery placenta separate procedure (59414) $1,613.50 $2,305 0.6×
Destruction Benign Lesions Up To 14 (17110) $160.65 $229.50 0.9×
Destruction of skin lesions (17106) $404.60 $578 1.1×
Destruction premalignant lesion 1st (17000) $72.10 $103 0.4×
Diagnostic sigmoidoscopy (45330) $1,303.40 $1,862 1.6×
Dilate urethra stricture (53620) $779.10 $1,113 1.3×
Dilate Urethra Stricture (53600) $310.80 $444 1.4×
Dilation esoph unguided sound/bougie 1/mult pass (43450) $317.80 $454 0.4×
Dilation of cervical canal (57800) $1,536.50 $2,195 0.5×
Drain hand tendon sheath (26020) $1,316 $1,880 0.5×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $234.50 $335 0.4×
Drain outer ear canal lesion (69020) $234.50 $335 0.4×
Drain shoulder lesion (23030) $2,307.20 $3,296 0.9×
Drainage abscess/hematoma nasal int approach (30000) $283.50 $405 1.4×
Drainage External Ear Abscess/Hematoma Simple (69000) $809.90 $1,157 1.3×
Drainage Finger Abscess Complicated (26011) $602.70 $861 0.4×
Drainage Finger Abscess Simple (26010) $628.60 $898 3.6×
Drainage of eyelid abscess (67700) $375.90 $537 1.4×
Drainage of gum lesion (41800) $303.10 $433 2.6×
Drainage of hematoma/fluid (10140) $284.90 $407 0.2×
Drainage of scrotal wall abscess (55100) $885.50 $1,265 0.6×
Draw blood off venous device (36591) $132.30 $189 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $645.40 $922 1.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $362.60 $518 2.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $417.90 $597 2.4×
Dry Needling 3+ Muscles (20561) $42 $60 1.7×
Egd balloon dilation esophagus <30 mm diam (43249) $2,855.30 $4,079 1.7×
Egd flexible foreign body removal (43247) $986.30 $1,409 1.2×
Egd place gastrostomy tube (43246) $979.30 $1,399 0.6×
Egd rem tumr/polyp forcep (43250) $2,595.60 $3,708 1.5×
Egd remove lesion snare (43251) $2,595.60 $3,708 1.5×
Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) $2,433.55 $3,476.50 1.3×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $2,440.90 $3,487 1.3×
Episiotomy or vaginal repair (59300) $2,420.60 $3,458 0.9×
Evacuation of subungual hematoma (11740) $68.60 $98 0.6×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $942.90 $1,347 0.7×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $1,685.60 $2,408 1.2×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $469 $670 0.8×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $942.90 $1,347 0.7×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $266 $380 0.4×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $254.10 $363 0.7×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $282.80 $404 0.5×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $348.60 $498 0.6×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $3,520.30 $5,029 2.4×
Exc Skin Benig >4 Cm Remaindr Body (11426) $2,552.90 $3,647 1.0×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $3,520.30 $5,029 2.4×
Exc Skin Malig >4 Cm Face,Facial (11646) $3,345.30 $4,779 1.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $492.10 $703 0.3×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $2,087.40 $2,982 2.0×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $1,920.10 $2,743 0.6×
Excis Tendon Sheath Lesion, Hand/Finger (26160) $1,316 $1,880 0.9×
Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) $261.45 $373.50 0.4×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $469 $670 0.8×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $469 $670 1.3×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $942.90 $1,347 1.5×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $942.90 $1,347 1.5×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $959.70 $1,371 1.5×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $627.20 $896 1.0×
Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) $1,685.60 $2,408 1.2×
Excision Multiple External Papillae/Tags Anus (46230) $2,087.40 $2,982 0.9×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $469 $670 0.8×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $367.50 $525 0.6×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $942.90 $1,347 0.7×
Excision of lesion other than skin tag </= 0.5 cm (11420) $942.90 $1,347 0.7×
Excision of nail fold toe (11765) $281.40 $402 0.8×
Excision of tendon, finger, flexor or extensor, each tendon (26180) $1,032.50 $1,475 0.7×
Expl penetrating wound spx abdomen/flank/back (20102) $2,016 $2,880 1.1×
Expl retroperitoneum w/wo bx spx (49010)
unusually low: confirm this is the full procedure
$2,604 $3,720 0.5×
Explo/Drain Breast Abscess (19020) $2,307.20 $3,296 1.6×
Exploration penetrating wound spx chest (20101) $2,016 $2,880 1.1×
Exploration penetrating wound spx extremity (20103) $108.50 $155 0.1×
Exploration Penetrating Wound Spx Neck (20100) $801.50 $1,145 1.7×
Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical… (66991) $7,871.50 $11,245 1.7×
Fetal non-stress test (59025) $432.25 $617.50 2.4×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $960.40 $1,372 1.5×
Gastric Intubation/Aspiration, Therapeutic (43753) $521.50 $745 2.8×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $7,220.50 $10,315 1.6×
I&D Abscess Peritonsillar (42700) $384.30 $549 1.9×
I&d abscess simple (10060) $263.90 $377 1.5×
I&d deep absc bursa/hematoma thigh/knee region (27301) $2,307.20 $3,296 0.9×
I&d epididymis tstis&/scrotal space (54700) $2,790.20 $3,986 1.5×
I&d perianal abscess superficial (46050) $695.80 $994 0.9×
I&d pilonidal cyst simple (10080) $1,190 $1,700 1.9×
I&D Upper Arm/Elbow Bursa (23931) $1,241.80 $1,774 0.9×
Incision & drainage abscess complicated/multiple (10061) $469.70 $671 1.3×
Incision & drainage pilonidal cyst complicated (10081) $1,190 $1,700 1.9×
Incision & removal foreign body subq tiss compl (10121) $2,825.90 $4,037 2.0×
Incision & removal foreign body subq tiss simple (10120) $263.90 $377 0.7×
Incision and drainage of bartholin's gland abscess (56420) $232.40 $332 1.3×
Incision and drainage of vulva or perineal abscess (56405) $359.45 $513.50 1.3×
Incision of rectal abscess (46040) $3,930.50 $5,615 3.7×
Incision thrombosed hemorrhoid external (46083) $667.80 $954 3.1×
Incisional biopsy skin single lesion (11106) $217 $310 0.3×
Initial tx 1st degree burn local tx (16000) $113.40 $162 0.6×
Inj tendon sheath/ligament (20550) $217 $310 0.8×
Inj,Anes Agent,Brachial Plexus,Single (64415) $1,944.60 $2,778 2.5×
Inj,Anes Agent,Femoral Nerve,Single (64447) $364 $520 0.6×
Inject Nerv Blck,Axillary Nerv (64417) $1,789.20 $2,556 2.3×
Inject Nerv Blck,Pudendal (64430) $1,024.10 $1,463 1.3×
Inject Tendon Origin/Insert (20551) $297.50 $425 1.1×
Injection aa&/strd trigeminal nerve each branch (64400) $297.50 $425 1.1×
Injection anes other peripheral nerve/branch (64450) $520.80 $744 0.8×
Injection single/mlt trigger point 1/2 muscles (20552) $366.10 $523 1.4×
Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or… (62325) $1,117.90 $1,597 1.4×
Insert Bladder Cath Complex (51703) $310.80 $444 2.8×
Insert cervical dilator (59200) $576.10 $823 2.2×
Insert Drug Implant Device (11981) $241.50 $345 2.1×
Insert non-tunnel cv cath (36556) $2,040.50 $2,915 0.7×
Insert Non-Tunnel Cv Cath < 5 Y/O (36555) $1,248.80 $1,784 0.5×
Insert picc cath (36569) $2,343.60 $3,348 1.7×
Insert Temp Bladder Cath (51702) $198.10 $283 1.7×
Insert,Non-Indwelling Bladder Catheter (51701) $193.90 $277 1.7×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,040.50 $2,915 1.5×
Insertion picc w/rs&i < 5 yr (36572) $1,085 $1,550 2.0×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $3,879.40 $5,542 1.4×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $2,828.70 $4,041 1.0×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $6,765.50 $9,665 0.9×
Intraoral i&d tongue/floor lingual (41000) $801.50 $1,145 1.7×
Intraoral i&d tongue/floor submndblr space (41008) $1,790.60 $2,558 0.6×
Intubation endotracheal emergency procedure (31500) $284.90 $407 1.4×
Irrigate corpora cavernosa for priapism (54220) $310.80 $444 1.4×
Laryngoscopy Direct Aspiration (31515) $1,788.50 $2,555 5.2×
Laryngoscopy indirect w/removal foreign body (31511) $221.90 $317 1.3×
Laryngoscopy W/Foreign Body Removal (31530) $1,788.50 $2,555 1.1×
Laryngoscopy,Direct,Diagnostic (31525) $1,788.50 $2,555 1.1×
Late closure of wound (13160) $5,056.10 $7,223 1.6×
Ligation of hemorrhoid(s) (46221) $1,203.30 $1,719 1.5×
Ligation or biopsy temporal artery (37609) $1,685.60 $2,408 1.2×
Lithotripsy (50590) $10,395 $14,850 3.4×
Liver Biopsy (47000) $2,228.10 $3,183 1.5×
Myelography Lumbar Injection (62304) $1,338.40 $1,912 1.9×
Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) $221.90 $317 1.3×
Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) $1,788.50 $2,555 1.1×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $454.30 $649 1.2×
Needle insertion w/o injection 1 or 2 muscles (20560) $31.50 $45 1.2×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,050 $1,500 2.5×
Njx c/p/a cavernosa w/pharmacologic agt (54235) $310.80 $444 1.4×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $448 $640 0.1×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $886.90 $1,267 1.4×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) $886.90 $1,267 1.4×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) $1,117.90 $1,597 1.4×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) $1,117.90 $1,597 1.4×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $886.90 $1,267 1.4×
Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) $1,117.90 $1,597 1.4×
Open biopsy/excision inguinofemoral nodes (38531) $5,301.10 $7,573 1.5×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $1,371.30 $1,959 0.5×
Open Tx Distal Phalangeal Fracture Each (26765) $1,718.50 $2,455 0.6×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $3,975.30 $5,679 1.4×
Open tx phalangeal shaft fracture prox/middle ea (26735) $1,371.30 $1,959 0.5×
Orbitotomy w/o bone flap w/removal lesion (67412) $2,977.80 $4,254 1.4×
Pelvic exam under anesthesia (57410) $1,570.80 $2,244 0.6×
Pericardiocentesis W/Imaging (33016) $2,569 $3,670 1.9×
Perq dev breast 1st us imag (19285) $1,136.80 $1,624 1.8×
Perq device breast 1st imag (19281) $1,136.80 $1,624 0.8×
Perq Drainage Pleura Insert Cath W/Imaging (32557) $325.50 $465 0.2×
Perq replacement gtube not req revj gstrst trc (43762) $405.30 $579 1.9×
Pin knuckle dislocation (26706) $883.40 $1,262 0.3×
Placement of needle for intraosseous infusion (36680) $609 $870 1.6×
Proctosgmdsc Rigid Control Bleeding (45317) $1,145.90 $1,637 1.1×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $2,436 $3,480 1.0×
Punch biopsy skin single lesion (11104) $362.60 $518 1.0×
Puncture Aspiration (10160) $645.40 $922 1.8×
Puncture Aspiration Cyst Breast (19000) $1,136.80 $1,624 1.8×
Reconstruction of nail bed with graft (11762) $2,016 $2,880 1.1×
Reduction of rectal prolapse (45900) $488.60 $698 0.6×
Removal fb intranasal (30300) $86.10 $123 0.7×
Removal Foreign Body Deep Thigh/Knee (27372) $2,552.90 $3,647 1.0×
Removal foreign body foot deep (28192) $1,685.60 $2,408 1.2×
Removal foreign body foot subcutaneous (28190) $942.90 $1,347 1.5×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $942.90 $1,347 0.7×
Removal foreign body pharynx (42809) $144.90 $207 0.4×
Removal impacted cerumen irrigation/lvg unilat (69209) $77 $110 1.5×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $96.60 $138 1.9×
Removal impacted vag fb spx w/anes oth/thn local (57415) $4,749.50 $6,785 1.7×
Removal of arm foreign body (24200) $942.90 $1,347 0.7×
Removal of intrauterine device (iud) (58301) $278.60 $398 1.0×
Removal of nail bed (11750) $294.70 $421 0.8×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $305.90 $437 1.7×
Removal/bivalving full arm/full leg cast (29705) $147 $210 0.6×
Removal/bivalving gauntlet boot/body cast (29700) $147 $210 0.6×
Remove by ligat int hem grp (46945) $3,691.80 $5,274 1.5×
Remove cerclage suture (59871) $2,734.90 $3,907 1.0×
Remove drug implant device (11982) $1,913.80 $2,734 4.9×
Remove Eyelid Foreign Body (67938) $268.10 $383 1.0×
Remove foreign body from eye (65210) $182 $260 0.5×
Remv Ext Canal Foreign Body (69200) $263.20 $376 2.3×
Remv F.B.,Eye,Superf Conjunc (65205) $153.30 $219 1.3×
Repair Blood Vessel Direct Hand Finger (35207) $2,116.80 $3,024 0.8×
Repair Blood Vessel Direct Upper Extremity (35206) $4,184.60 $5,978 1.5×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $698.60 $998 1.1×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $760.20 $1,086 1.2×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $380.10 $543 1.1×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,014.30 $1,449 2.8×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $292.60 $418 0.8×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,016.40 $1,452 2.9×
Repair complex trunk 1.1-2.5 cm (13100) $602 $860 0.9×
Repair complex trunk 2.6-7.5 cm (13101) $698.60 $998 1.1×
Repair extensor tendon finger w/o graft each (26418) $1,316 $1,880 0.9×
Repair forearm tendon/muscle (25270) $2,436 $3,480 0.8×
Repair hand tendon (26410) $898.80 $1,284 0.6×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $643.30 $919 1.8×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $354.90 $507 1.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $213.50 $305 0.6×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $533.40 $762 1.5×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $602 $860 1.7×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $602 $860 0.9×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $592.90 $847 1.7×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $213.50 $305 0.6×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $533.40 $762 0.8×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $240.80 $344 0.7×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $213.50 $305 0.6×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $459.90 $657 1.3×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,014.30 $1,449 1.6×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $841.40 $1,202 2.4×
Repair Of Foot Tendon (28208) $1,757 $2,510 0.6×
Repair of knee ligaments (27409) $6,191.50 $8,845 1.0×
Repair of nail bed (11760) $1,014.30 $1,449 1.6×
Repair Tongue Laceration (41250) $184.10 $263 0.5×
Reposition gastrostomy tube (43761) $986.30 $1,409 4.5×
Revision of major vein (37650) $3,144.40 $4,492 1.1×
Rmvl embedded fb vestibule mouth comp (40805) $2,733.50 $3,905 5.8×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $144.90 $207 0.2×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $224 $320 0.6×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $76.30 $109 0.7×
Rmvl foreign body muscle/tendon sheath deep/comp (20525) $2,552.90 $3,647 1.0×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $686 $980 1.2×
Rmvl vitreous ant appr subtot rmvl mech vitrect (67010) $3,077.90 $4,397 1.5×
Rplc gtube revj gstrst trc (43763) $405.30 $579 1.9×
Rpr blood vessel direct lower extremity (35226) $942.90 $1,347 1.5×
Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) $1,316 $1,880 0.5×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $801.50 $1,145 1.7×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $801.50 $1,145 0.6×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $2,291.80 $3,274 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $150.15 $214.50 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $133.70 $191 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $135.80 $194 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $149.10 $213 0.4×
Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) $65.80 $94 0.2×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $107.80 $154 0.6×
Sigmoidoscopy flx w/biopsy single/multiple (45331) $1,701.70 $2,431 2.1×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $300.30 $429 0.8×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $543.20 $776 3.1×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $417.90 $597 2.4×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $113.40 $162 0.6×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $278.60 $398 1.6×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $361.20 $516 2.1×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $331.10 $473 1.9×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $417.90 $597 2.4×
Skin sub graft face/nk/hf/g (15275) $1,120.70 $1,601 1.7×
Skin sub graft trnk/arm/leg (15271) $1,106.70 $1,581 1.7×
Skin Sub Grft T/Arm/Lg Child (15273) $3,415.65 $4,879.50 1.9×
Skin Tissue Procedure (17999) $278.60 $398 1.6×
Skn sub grft f/n/hf/g child (15277) $1,287.65 $1,839.50 0.7×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $543.20 $776 3.1×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $417.90 $597 1.2×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $300.30 $429 0.8×
Spinal puncture lumbar diagnostic (62270) $1,384.60 $1,978 2.2×
Spinal Puncture Therapeutic (62272) $380.10 $543 0.6×
Strapping ankle (29540) $186.90 $267 1.3×
Strapping elbow/wrist (29260) $128.10 $183 2.5×
Strapping hand/finger (29280) $128.10 $183 2.5×
Strapping Hip (29520) $93.10 $133 0.8×
Strapping knee (29530) $152.60 $218 1.3×
Strapping shoulder (29240) $158.90 $227 1.4×
Strapping toes (29550) $123.90 $177 2.4×
Strapping unna boot (29580) $196 $280 1.4×
Subconjunctival injection (68200) $67.90 $97 0.2×
Subcutaneous Hormone Pellet Implantation (11980) $144.90 $207 0.4×
Suture Eyelid Wound,Full Thick (67935) $2,131.50 $3,045 1.0×
Tangential biopsy skin single lesion (11102) $144.55 $206.50 0.4×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $1,335.60 $1,908 2.4×
Thoracentesis needle/cath pleura w/o imaging (32554) $882.70 $1,261 1.6×
Thrombolytic Therapy, Stroke (37195) $270.90 $387 0.9×
Trach Tube Change (31502) $284.90 $407 1.4×
Tracheostomy emergency cricothyroid membrane (31605) $320.60 $458 1.5×
Tracheostomy Emergency Procedure Transtracheal (31603) $801.50 $1,145 0.6×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $453.60 $648 1.7×
Treat finger dislocation (26775) $764.40 $1,092 3.1×
Treat Fracture Radius & Ulna (25560) $188.30 $269 0.9×
Treat fx distal radial (25606) $1,362.20 $1,946 0.5×
Treat humerus fracture (24500) $392 $560 1.8×
Treat humerus fracture (24577) $255.50 $365 0.2×
Treat humerus fracture (23600) $255.50 $365 1.2×
Treat knee fracture (27532) $740.60 $1,058 0.3×
Treat Thumb Fx/Disloc,Manip (26645) $267.40 $382 0.2×
Treat Vaginal Bleeding (57180) $193.20 $276 1.1×
Treat Wrist Bone Fracture (25630) $255.50 $365 1.2×
Treatment closed elbow dislocation req anes (24605) $764.40 $1,092 0.5×
Treatment closed elbow dislocation w/o anes (24600) $654.50 $935 3.0×
Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) $188.30 $269 0.9×
Trim skin lesion (11055) $46.20 $66 0.3×
Trim skin lesions 2 to 4 (11056) $209.65 $299.50 1.2×
Trim skin lesions over 4 (11057) $218.40 $312 1.2×
Trimming Of Nondystrophic Nails, Any Number (11719) $27.30 $39 0.5×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,014.30 $1,449 1.6×
Tx superficial wound dehiscence w/packing (12021) $292.60 $418 0.8×
Unlisted procedure anus (46999) $1,164.80 $1,664 1.4×
Unlisted Procedure Casting/Strapping (29799) $186.90 $267 1.3×
Unlisted procedure maternity care & delivery (59899) $107.10 $153 0.6×
Unlisted Procedure Vascular Surgery (37799) $84 $120 0.2×
Unlisted px female genital system nonobstetrical (58999) $10.50 $15 0.1×
Vaginal delivery only (59409) $2,021.60 $2,888 0.7×
Venipuncture (36415) $18.20 $26 1.9×
Venipuncture Cutdown Younger Than 1 Year (36420) $144.90 $207 1.2×
Venipuncture, cutdown; age 1 or over (36425) $58.10 $83 0.1×
Wound prep trk/arm/leg 1st 100 sq cm (15002) $2,175.25 $3,107.50 3.4×