Procedures & surgery prices at Mercy Hospital Ada
Ada, OK · every code in this section with a posted price and a Medicare benchmark.
479 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 2 matching MRF lines |
$1,291.55–$3,452.15 | $1,987–$5,311 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $1,408.55 | $2,167 | 1.6× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) unusually low: confirm this is the full procedure |
$7,505.55 | $11,547 | 0.4× |
| Anterior colporraphy rpr cystocele w/cysto (57240) | $14,801.68 | $22,771.81 | 3.1× |
| Apheresis Platelets (36513) | $3,535.35 | $5,439 | 8.3× |
| Application of rigid total contact leg cast (29445) | $505.05 | $777 | 1.9× |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$250.25–$375.70 | $385–$578 | varies |
| Arterial puncture (36600) range across 3 matching MRF lines |
$63.70–$348.07 | $98–$535.50 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$371.15–$586.30 | $571–$902 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$2,480.40–$2,976.35 | $3,816–$4,579 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $3,121.30 | $4,802 | 10.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$375.05–$533 | $577–$820 | varies |
| Arthroscopy knee synovectomy limited spx (29875) | $9,954.55 | $15,314.69 | 3.2× |
| Arthroscopy shoulder distal claviculectomy (29824) | $20,817.52 | $32,026.95 | 6.6× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) | $26,903.57 | $41,390.11 | 8.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) | $24,479.21 | $37,660.32 | 7.8× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) | $20,017.11 | $30,795.55 | 2.9× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) | $23,546.82 | $36,225.88 | 3.4× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) | $24,374.46 | $37,499.17 | 3.5× |
| Arthrs knee debridement/shaving artclr crtlg (29877) | $23,202.81 | $35,696.63 | 7.4× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $17,615.94 | $27,101.45 | 5.6× |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$674.70–$1,779.70 | $1,038–$2,738 | varies |
| Aspirate Pleura W/O Imaging (32554) | $662.35 | $1,019 | 1.1× |
| Aspiration and/or injection thyroid cyst (60300) | $378.95 | $583 | 0.6× |
| Aspiration bladder insert suprapubic catheter (51102) | $9,719.45 | $14,953 | 4.8× |
| Avulsion nail plate partial/complete simple 1 (11730) | $350.35 | $539 | 1.8× |
| Biopsy Abdominal Mass (49180) range across 2 matching MRF lines |
$1,640.60–$4,192.50 | $2,524–$6,450 | varies |
| Biopsy bone open superficial (20240) | $6,149.65 | $9,461 | 2.2× |
| Biopsy bone trocar/needle deep (20225) | $3,644.55 | $5,607 | 2.3× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $2,872.35 | $4,419 | 1.8× |
| Biopsy muscle percutaneous needle (20206) | $2,628.60 | $4,044 | 1.7× |
| Biopsy Muscle Superficial (20200) | $6,441.50 | $9,910 | 4.1× |
| Biopsy of liver, needle; percutaneous (47000) range across 2 matching MRF lines |
$1,147.25–$2,799.55 | $1,765–$4,307 | varies |
| Biopsy Pleura Percutaneous Needle (32400) | $2,119.65 | $3,261 | 1.3× |
| Biopsy Salivary Gland Needle (42400) | $617.50 | $950 | 0.9× |
| Biopsy soft tissue leg/ankle area superficial (27613) | $1,092 | $1,680 | 0.7× |
| Biopsy soft tissue neck/thorax (21550) | $3,009.50 | $4,630 | 1.9× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) | $1,133.60 | $1,744 | 0.7× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) | $1,940.25 | $2,985 | 1.2× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$321.75–$8,503.90 | $495–$13,082.93 | varies |
| Bladder Scan (51798) range across 2 matching MRF lines |
$115.70–$9,997.81 | $178–$15,381.24 | varies |
| Blood Transfusion Service (36430) range across 3 matching MRF lines |
$427.70–$2,613.65 | $658–$4,021 | varies |
| Bone Marrow Biopsy (38221) | $1,985.10 | $3,054 | 1.2× |
| Bx breast 1st lesion strtctc (19081) | $1,579.50 | $2,430 | 1.0× |
| Bx breast 1st lesion us imag (19083) | $1,207.05 | $1,857 | 0.8× |
| Bx/exc lymph node open deep axillary node (38525) | $24,066.17 | $37,024.88 | 6.4× |
| Bx/exc lymph node open superficial (38500) | $7,632.49 | $11,742.30 | 2.0× |
| Carpal Tunnel Surgery (64721) | $6,852.22 | $10,541.88 | 3.6× |
| Catheter aspiration nasotracheal spx (31720) range across 3 matching MRF lines |
$116.35–$416.65 | $179–$641 | varies |
| Cessj Therapy Cath Removal (37214) | $4,767.10 | $7,334 | 1.6× |
| Change Cystostomy Tube Simple (51705) | $5,053.75 | $7,775 | 21.0× |
| Change ureter stent percut (50382) | $2,909.40 | $4,476 | 1.4× |
| Chemical Cautery Tissue (17250) | $1,382.55 | $2,127 | 7.2× |
| Chemodenerv Musc Migraine (64615) | $339.30 | $522 | 1.1× |
| Chemodenerv musc neck dyston (64616) | $584.35 | $899 | 2.0× |
| Chemodenervation of internal anal sphincter (46505) | $4,986.94 | $7,672.21 | 4.3× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $527.15 | $811 | 1.8× |
| Chest tube placement (32551) | $1,048.45 | $1,613 | 0.7× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) | $1,170.65 | $1,801 | 0.6× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $2,226.25 | $3,425 | 0.6× |
| Circumcision 28 days or older (54161) | $5,270.75 | $8,108.85 | 2.6× |
| Circumcision Neonate (54160) | $473.01 | $727.71 | 0.7× |
| Circumcision w/clamp/oth dev w/block (54150) range across 3 matching MRF lines |
$448.50–$527.80 | $690–$812 | varies |
| Collect Blood From Catheter Venous Nos (36592) range across 2 matching MRF lines |
$101.40–$1,657.50 | $156–$2,550 | varies |
| Collection of venous blood by venipuncture (36415) range across 4 matching MRF lines |
$9.75–$264.39 | $15–$406.75 | varies |
| Colonoscopy thru stoma (44388) | $5,898.40 | $9,074.46 | 6.6× |
| Colonoscopy w/submucosal inj (45381) | $4,130.72 | $6,354.96 | 3.6× |
| Colposcopy of vulva (56820) | $12,556.19 | $19,317.22 | 64.6× |
| Colposcopy Vulva W/Biopsy (56821) | $6,810.86 | $10,478.24 | 23.2× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $2,883.14 | $4,435.60 | 2.5× |
| Conization of cervix (57520) | $10,227.15 | $15,734.07 | 3.3× |
| Conversion ext bil drg cath (47535) | $7,260.50 | $11,170 | 2.1× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $967.20 | $1,488 | 0.5× |
| Convert Nephrostomy Catheter (50434) range across 2 matching MRF lines |
$1,314.30–$5,872.93 | $2,022–$9,035.28 | varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) range across 2 matching MRF lines |
$793–$3,810.30 | $1,220–$5,862 | varies |
| Cysto Bladder W/Ureteral Catheterization (52005) | $10,163.12 | $15,635.57 | 5.1× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $9,051.41 | $13,925.25 | 4.5× |
| Cysto w/destruction of lesions (52214) | $7,731.52 | $11,894.65 | 2.3× |
| Cysto w/insert ureteral stent (52332) | $10,283.70 | $15,821.08 | 3.0× |
| Cysto w/irrig & evac multple obstructing clots (52001) | $9,997.81 | $15,381.24 | 2.9× |
| Cysto W/Simple Removal Stone & Stent (52310) | $8,563.72 | $13,174.95 | 4.3× |
| Cysto w/ureteroscopy w/lithotripsy (52353) | $11,155.35 | $17,162.08 | 2.2× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) | $8,107.89 | $12,473.68 | 2.4× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) | $9,977.90 | $15,350.61 | 2.9× |
| Cysto/uretero w/lithotripsy (52356) | $10,938.04 | $16,827.75 | 2.1× |
| Cystourethroscopy (52000) | $695.50 | $1,070 | 1.0× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) | $12,476.52 | $19,194.65 | 3.7× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) | $12,422.44 | $19,111.45 | 2.4× |
| Cystourethroscopy with biopsy (52204) | $7,731.52 | $11,894.65 | 3.8× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $3,130.40 | $4,816 | 4.4× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $1,030.90 | $1,586 | 0.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $640.90 | $986 | 1.6× |
| Declot vascular device (36593) range across 3 matching MRF lines |
$269.10–$4,068.90 | $414–$6,259.85 | varies |
| Deep Muscle Biopsy (20205) | $5,930.60 | $9,124 | 2.1× |
| Destr W Neurolytic; Celiac Plexus (64680) range across 2 matching MRF lines |
$2,984.80–$5,916.30 | $4,592–$9,102 | varies |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$2,393.30–$2,676.70 | $3,682–$4,118 | varies |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$2,146.95–$2,622.75 | $3,303–$4,035 | varies |
| Destruction by neurolytic agent, intercostal nerve (64620) | $4,850.30 | $7,462 | 5.7× |
| Diagnostic sigmoidoscopy (45330) range across 2 matching MRF lines |
$1,838.85–$2,756.64 | $2,829–$4,240.99 | varies |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) | $6,483.75 | $9,975 | 5.6× |
| Dilat rct strix spx under anes oth/thn local (45910) | $5,705.05 | $8,777 | 5.0× |
| Dilat Xst Trc New Access Rcs (50437) | $6,718.40 | $10,336 | 2.0× |
| Dilate Esophagus 1/Mult Pass (43450) range across 2 matching MRF lines |
$1,581.45–$3,826.78 | $2,433–$5,887.35 | varies |
| Drain Cerebro Spinal Fluid (62272) | $2,104.70 | $3,238 | 3.1× |
| Drainage of hematoma/fluid (10140) | $5,049.85 | $7,769 | 3.2× |
| Drainage of salivary cyst (42409) | $4,202.27 | $6,465.03 | 1.3× |
| Draw Blood Off Venous Device (36591) range across 4 matching MRF lines |
$101.40–$4,044.14 | $156–$6,221.75 | varies |
| Dressing Change Under Anesthesia (15852) | $950.30 | $1,462 | 1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $984.10 | $1,514 | 2.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $373.75 | $575 | 1.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $258.70 | $398 | 1.3× |
| Dstrj lesion anus simple surg excision (46922) | $3,004.03 | $4,621.58 | 1.1× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) | $3,898.64 | $5,997.91 | 2.0× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 2 matching MRF lines |
$1,040.65–$1,151.15 | $1,601–$1,771 | varies |
| Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) | $2,771.60 | $4,264 | 3.3× |
| Dx Bone Marrow Bx & Aspir (38222) range across 2 matching MRF lines |
$1,664.65–$9,378.85 | $2,561–$14,429 | varies |
| Dx Bronchoscope/Lavage (31624) | $5,859 | $9,013.85 | 3.4× |
| Dx Bronchoscope/Wash (31622) range across 3 matching MRF lines |
$1,847.30–$11,928.42 | $2,842–$18,351.41 | varies |
| Dx lmbr spi pnxr w/fluor/CT (62328) range across 2 matching MRF lines |
$1,588.60–$4,577.95 | $2,444–$7,043 | varies |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $4,235.69 | $6,516.45 | 2.3× |
| Egd cautery tumor polyp (43250) | $2,353.62 | $3,620.95 | 1.3× |
| Egd dilation gastric/duodenal stricture (43245) | $5,272.98 | $8,112.27 | 2.9× |
| Egd Flexible Foreign Body Removal (43247) | $3,564.57 | $5,483.95 | 4.1× |
| Egd guide wire insertion (43248) | $3,857.10 | $5,934 | 4.4× |
| Egd place gastrostomy tube (43246) range across 2 matching MRF lines |
$4,716.40–$5,135.55 | $7,256–$7,900.84 | varies |
| Egd remove lesion snare (43251) | $3,303.27 | $5,081.96 | 1.8× |
| Endoscopic injection/implant (51715) | $6,662.03 | $10,249.27 | 2.0× |
| Endoscopic plantar fasciotomy (29893) | $8,439.13 | $12,983.28 | 2.7× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) | $24,235.90 | $37,286 | 2.2× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) | $4,648.15 | $7,151 | 2.3× |
| Epidural Blood Patch (62273) | $2,444.65 | $3,761 | 3.6× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) range across 2 matching MRF lines |
$1,502.15–$4,568.75 | $2,311–$7,028.85 | varies |
| Esophagoscopy rigid trnso dx (43191) | $4,460.42 | $6,862.18 | 2.4× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $5,181.15 | $7,971 | 3.3× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $6,698.90 | $10,306 | 1.9× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) range across 2 matching MRF lines |
$4,692.35–$5,442.84 | $7,219–$8,373.60 | varies |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $2,292.55 | $3,527 | 1.2× |
| Excision Multiple External Papillae/Tags Anus (46230) | $9,377.18 | $14,426.43 | 3.5× |
| Excision of single external papilla or tag, anus (46220) | $7,330.91 | $11,278.33 | 6.4× |
| Excision of submandibular (submaxillary) gland (42440) | $13,529.65 | $20,814.85 | 2.4× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) | $11,982.19 | $18,434.14 | 2.1× |
| External cephalic version (59412) | $4,104.10 | $6,314 | 1.3× |
| Fetal Contraction Stress Test (59020) range across 2 matching MRF lines |
$1,085.50–$4,082.49 | $1,670–$6,280.76 | varies |
| Fetal non-stress test (59025) range across 2 matching MRF lines |
$326.30–$953.55 | $502–$1,467 | varies |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $1,817.40 | $2,796 | 2.7× |
| Fine needle aspiration without imaging guidance (10021) | $599.30 | $922 | 1.5× |
| Fluoro exam of g/colon tube (49465) | $650.65 | $1,001 | 2.8× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $1,348.10 | $2,074 | 2.0× |
| Fna bx w/us gdn 1st les (10005) range across 2 matching MRF lines |
$1,051.70–$1,938.95 | $1,618–$2,983 | varies |
| Guide Cathet Fluid Drainage (10030) | $2,970.50 | $4,570 | 4.4× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $7,813.85 | $12,021.31 | 2.9× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $8,449.47 | $12,999.18 | 3.2× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 2 matching MRF lines |
$1,004.25–$3,454.07 | $1,545–$5,313.95 | varies |
| Hemorrhoidopexy by stapling (46947) | $9,605 | $14,776.92 | 3.6× |
| Hysteroscopy Biopsy (58558) | $10,105.37 | $15,546.73 | 3.2× |
| Hysteroscopy Dx Sep Proc (58555) | $12,721.20 | $19,571.08 | 4.1× |
| Hysteroscopy Endometrial Ablation (58563) | $8,792.63 | $13,527.12 | 1.8× |
| Hysteroscopy Removal Impacted Foreign Body (58562) | $5,820.04 | $8,953.91 | 1.9× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) | $10,048.23 | $15,458.81 | 2.1× |
| I&d abscess simple (10060) | $1,084.20 | $1,668 | 5.6× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $7,373.60 | $11,344 | 2.6× |
| Image Cath Fluid Colxn Visc (49405) | $1,283.75 | $1,975 | 0.8× |
| Image Cath Fluid Peri/Retro (49406) range across 2 matching MRF lines |
$3,198–$6,658.60 | $4,920–$10,244 | varies |
| Image Cath Fluid Trns/Vgnl (49407) | $3,797.95 | $5,843 | 2.4× |
| Implant neuroelectrodes (63650) | $5,776.55 | $8,887 | 0.9× |
| Implant Neuroelectrodes (64561) | $34,242.08 | $52,680.12 | 5.6× |
| Implant Periph/Gastric Neurostim/Receiver (64590) | $18,450.29 | $28,385.06 | 1.0× |
| Incision & drainage abscess complicated/multiple (10061) | $1,405.30 | $2,162 | 3.6× |
| Incision & removal foreign body subq tiss simple (10120) | $1,293.50 | $1,990 | 3.3× |
| Incisional biopsy skin single lesion (11106) | $2,306.85 | $3,549 | 3.2× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$1,352–$2,001.35 | $2,080–$3,079 | varies |
| Inj W/Fluor Eval Cv Device (36598) | $192.40 | $296 | 0.9× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) range across 2 matching MRF lines |
$2,565.55–$28,963.58 | $3,947–$44,559.35 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $4,113.85 | $6,329 | 13.9× |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $3,677.05 | $5,657 | 4.3× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $868.40 | $1,336 | 1.0× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $15,410.36 | $23,708.25 | 22.7× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) | $2,403.05 | $3,697 | 2.8× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $722.15 | $1,111 | 2.4× |
| Injection Anes Superior Hypogastric Plexus (64517) | $1,097.20 | $1,688 | 1.3× |
| Injection anesthetic agent suprascapular nerve (64418) | $4,672.20 | $7,188 | 6.9× |
| Injection for identification of sentinel node (38792) | $2,689.70 | $4,138 | 7.0× |
| Injection single tendon origin/insertion (20551) | $328.25 | $505 | 1.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $302.90 | $466 | 1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) | $171.60 | $264 | 0.6× |
| Injection therapeutic carpal tunnel (20526) | $243.10 | $374 | 0.8× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $2,286.05 | $3,517 | 2.7× |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$2,281.50–$25,430 | $3,510–$39,123.07 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$6,253–$30,021.57 | $9,620–$46,187.03 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $246.35 | $379 | 1.3× |
| Ins cath ren art 1st bilat (36252) | $8,724.95 | $13,423 | 2.9× |
| Ins cath ren art 1st unilat (36251) | $7,451.60 | $11,464 | 2.5× |
| Ins endovas vena cava filtr (37191) | $4,498.65 | $6,921 | 0.8× |
| Insert 1 Electrode Pm-Defib (33216) | $10,240.75 | $15,755 | 1.3× |
| Insert Bladder Cath Complex (51703) | $245.70 | $378 | 2.0× |
| Insert cath pleura w/ image (32557) range across 2 matching MRF lines |
$1,515.80–$3,182.40 | $2,332–$4,896 | varies |
| Insert cath pleura w/o image (32556) | $1,310.40 | $2,016 | 0.7× |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) | $1,515.15 | $2,331 | 1.3× |
| Insert cervical dilator (59200) | $230.10 | $354 | 0.8× |
| Insert Gastrostomy Tube Percutaneous (49440) | $939.25 | $1,445 | 0.5× |
| Insert Heart Pm Atrial (33206) | $11,651.25 | $17,925 | 1.2× |
| Insert Heart Pm Ventricular (33207) | $13,797.55 | $21,227 | 1.4× |
| Insert non-tunnel cv cath (36556) | $1,073.15 | $1,651 | 0.4× |
| Insert Pacing Lead & Connect (33224) | $16,476.20 | $25,348 | 1.6× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $1,129.70 | $1,738 | 0.7× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$169–$3,964.01 | $260–$6,098.47 | varies |
| Insert tun ip cath perc (49418) range across 2 matching MRF lines |
$5,627.05–$7,975.79 | $8,657–$12,270.45 | varies |
| Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$6,762.60–$7,549.74 | $10,404–$11,614.99 | varies |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) | $6,372.60 | $9,804 | 1.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$100.75–$25,657.35 | $155–$39,472.85 | varies |
| Insertion indwelling tunneled pleural catheter (32550) | $6,297.85 | $9,689 | 1.8× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 2 matching MRF lines |
$1,618.50–$1,794 | $2,490–$2,760 | varies |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) range across 2 matching MRF lines |
$7,440.55–$16,104.33 | $11,447–$24,775.90 | varies |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) | $9,985.95 | $15,363 | 2.9× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $9,447.10 | $14,534 | 1.2× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $3,307.20 | $5,088 | 1.1× |
| Insj Picc Rs&I <5 Yr (36572) range across 2 matching MRF lines |
$2,085.20–$4,115.80 | $3,208–$6,332 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$1,001.65–$1,677.65 | $1,541–$2,581 | varies |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $5,753.80 | $8,852 | 1.9× |
| Insj/Rplcmt Defib W/Lead(S) (33249) | $39,516.10 | $60,794 | 1.3× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) likely a partial charge, not the full procedure |
$8,008 | $12,320 | 0.3× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $7,886.45 | $12,133 | 1.0× |
| Insrt heart pm atrial & vent (33208) | $15,894.45 | $24,453 | 1.6× |
| Insrt Pulse Gen W/Dual Leads (33230) | $41,928.25 | $64,505 | 2.0× |
| Insrt Pulse Gen W/Singl Lead (33240) | $40,773.20 | $62,728 | 1.9× |
| Intro Gastrointestinal Tube (44500) | $1,295.45 | $1,993 | 1.5× |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$423.15–$764.40 | $651–$1,176 | varies |
| Lap insert tunnel ip cath (49324) | $21,695.50 | $33,377.69 | 3.7× |
| Lap revision perm ip cath (49325) | $9,464.99 | $14,561.52 | 1.6× |
| Laparo-vag hyst incl t/o (58552) | $22,971.90 | $35,341.38 | 2.2× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) | $15,496.94 | $23,841.45 | 2.7× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) | $26,461.21 | $40,709.56 | 2.6× |
| Laparoscopy W/Lysis Of Adhesions (58660) | $8,680.18 | $13,354.13 | 1.5× |
| Laparoscopy w/rmvl adnexal structures (58661) | $18,456.30 | $28,394.31 | 3.2× |
| Laparoscopy, surgical, appendectomy (44970) | $15,099.78 | $23,230.43 | 2.6× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) | $22,955.19 | $35,315.67 | 3.9× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $13,868.56 | $21,336.24 | 2.4× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) | $20,836.55 | $32,056.23 | 2.0× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) | $15,550.96 | $23,924.55 | 2.7× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) | $13,917.32 | $21,411.26 | 2.4× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) | $12,721.20 | $19,571.08 | 2.2× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) | $16,610.31 | $25,554.33 | 2.9× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) | $23,683.99 | $36,436.91 | 2.3× |
| Laryngoscopy flexible diagnostic (31575) | $294.45 | $453 | 1.5× |
| Laryngoscopy W/Biopsy (31535) | $6,912.54 | $10,634.68 | 1.9× |
| Laryngoscopy w/biopsy microscope/telescope (31536) | $6,001.25 | $9,232.70 | 1.7× |
| Litholapaxy smpl/sm <2.5 cm (52317) | $11,617.12 | $17,872.50 | 3.4× |
| Lithotripsy, extracorporeal shock wave (50590) | $9,261.01 | $14,247.71 | 2.7× |
| Lrt iad 18bct/8vir&7arg RNA (0528U) | $408.85 | $629 | 0.6× |
| Maternity Care Procedure (59899) range across 3 matching MRF lines |
$809.25–$1,195.35 | $1,245–$1,839 | varies |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) | $1,144 | $1,760 | 0.8× |
| Mech remov tunneled cv cath (36595) | $1,740.70 | $2,678 | 0.6× |
| Myelography Lumbar Injection (62305) | $653.90 | $1,006 | 0.9× |
| Myelography Lumbar Injection (62304) | $794.30 | $1,222 | 1.1× |
| Myelography via lumbar injection rs&i cervical (62302) | $846.30 | $1,302 | 1.1× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $1,255.15 | $1,931 | 1.7× |
| Myringoplasty (69620) | $5,010.60 | $7,708.61 | 1.6× |
| N Block Inj Celiac Pelus (64530) | $3,892.85 | $5,989 | 4.6× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $5,508.75 | $8,475 | 8.1× |
| N block inj intercost sng (64420) | $1,235.65 | $1,901 | 1.8× |
| N Block Lumbar/Thoracic (64520) | $4,027.40 | $6,196 | 4.7× |
| Nasal/Orogastric W/Tube Plmt (43752) | $517.40 | $796 | 1.2× |
| Needle Biopsy Lymph Nodes (38505) range across 2 matching MRF lines |
$2,221.05–$5,168.15 | $3,417–$7,951 | varies |
| Needle Biopsy Pancreas (48102) | $1,614.60 | $2,484 | 1.0× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) | $8,334.15 | $12,821.77 | 4.4× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $590.85 | $909 | 1.4× |
| Njx anes stellate ganglion crv sympathetic (64510) range across 2 matching MRF lines |
$2,406.95–$25,103.62 | $3,703–$38,620.96 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $1,008.80 | $1,552 | 3.4× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $3,337.10 | $5,134 | 1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $6,865.30 | $10,562 | 2.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$1,267.50–$1,453.40 | $1,950–$2,236 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $2,828.15 | $4,351 | 4.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $1,697.80 | $2,612 | 2.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $2,694.90 | $4,146 | 4.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $1,106.95 | $1,703 | 1.7× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) | $2,042.30 | $3,142 | 3.0× |
| Obstructive material removal from gi tube (49460) | $696.15 | $1,071 | 0.8× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$568.10–$999.05 | $874–$1,537 | varies |
| Open Implantation Nea Sacral Nerve (64581) | $18,450.29 | $28,385.06 | 3.0× |
| Open/Perq Place Stent 1St (37236) | $6,871.15 | $10,571 | 0.6× |
| Open/Perq Place Stent Same (37238) | $17,467.45 | $26,873 | 1.6× |
| Partial removal of thyroid (60220) | $13,752.34 | $21,157.44 | 2.4× |
| Pelvic examination under anesthesia (other than local) (57410) | $46,472.40 | $71,496 | 14.9× |
| Perc Cryo Ablate Renal Tum (50593) | $15,954.25 | $24,545 | 1.6× |
| Percut Cath Occlusn Non Cns Lesn (61626) | $8,375.25 | $12,885 | 0.8× |
| Percut Drain/Inject Renal Cyst (50390) | $528.45 | $813 | 0.8× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) | $6,800.30 | $10,462 | 2.2× |
| Pericardiocentesis W/Imaging (33016) | $1,568.45 | $2,413 | 1.0× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) | $9,159.72 | $14,091.88 | 2.9× |
| Peritoneal Lavage (49084) | $3,607.50 | $5,550 | 4.1× |
| Perm Occlusion/Embolization,Percut,Cns (61624) likely a partial charge, not the full procedure |
$3,615.95 | $5,563 | 0.2× |
| Perq av fistula creation uxtr sep access sites (36837) | $14,308.45 | $22,013 | 0.8× |
| Perq Cervicothoracic Inject (22510) | $5,305.95 | $8,163 | 1.7× |
| Perq dev breast 1st strtctc (19283) | $1,403.35 | $2,159 | 2.1× |
| Perq dev breast 1st us imag (19285) | $1,164.15 | $1,791 | 1.7× |
| Perq device breast 1st imag (19281) | $1,015.30 | $1,562 | 0.6× |
| Perq Lumbosacral Injection (22511) | $2,899.65 | $4,461 | 0.9× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $1,474.85 | $2,269 | 2.2× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $22,528.35 | $34,659 | 3.2× |
| Perq Vertebral Augmentation (22513) | $19,494.80 | $29,992 | 2.8× |
| Place Cath Subclavian Art (36225) | $7,775.30 | $11,962 | 2.6× |
| Place Cath Thoracic Aorta (36221) | $4,312.10 | $6,634 | 1.4× |
| Place Cath Vertebral Art (36226) range across 3 matching MRF lines |
$6,876.35–$9,823.45 | $10,579–$15,113 | varies |
| Place Duod/Jej Tube Perc (49441) | $3,055 | $4,700 | 1.7× |
| Placement of needle for intraosseous infusion (36680) | $709.80 | $1,092 | 1.7× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) | $7,545.20 | $11,608 | 1.2× |
| Plmt Bile Duct Stent Prq Existing Access (47538) | $9,105.20 | $14,008 | 1.6× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) | $7,924.80 | $12,192 | 1.4× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) | $9,452.95 | $14,543 | 1.6× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 2 matching MRF lines |
$5,955.95–$6,079.42 | $9,163–$9,352.95 | varies |
| Plmt Nephroureteral Catheter (50433) | $8,258.90 | $12,706 | 2.4× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) | $6,582.55 | $10,127 | 1.9× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) | $5,929.30 | $9,122 | 1.7× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) | $7,364.50 | $11,330 | 2.2× |
| Proctosgmdsc rigid w/dilation (45303) | $3,796.52 | $5,840.80 | 3.3× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $1,216.80 | $1,872 | 1.8× |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) | $2,773.55 | $4,267 | 3.3× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $5,689.45 | $8,753 | 1.7× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $6,529.90 | $10,046 | 1.9× |
| Pseudoaneurysm Injection Trt (36002) | $1,042.60 | $1,604 | 1.7× |
| Punch biopsy skin single lesion (11104) | $1,105 | $1,700 | 2.8× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $388.05 | $597 | 1.0× |
| Puncture Aspiration Cyst Breast (19000) | $439.40 | $676 | 0.6× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $1,447.55 | $2,227 | 2.1× |
| Push Transfusion Blood 2 Yr/Under (36440) | $1,688.70 | $2,598 | 4.0× |
| Redo Endovas Vena Cava Filtr (37192) | $7,237.10 | $11,134 | 2.4× |
| Relocation Pocket Pacemaker (33222) | $7,526.35 | $11,579 | 3.8× |
| Rem Endovas Vena Cava Filter (37193) | $4,699.50 | $7,230 | 1.5× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $4,858.75 | $7,475 | 5.6× |
| Removal of adenoids (42830) | $4,991.11 | $7,678.63 | 1.6× |
| Removal of nail bed (11750) | $1,103.05 | $1,697 | 2.8× |
| Removal of tunneled intraperitoneal catheter (49422) range across 3 matching MRF lines |
$4,435.60–$5,502.11 | $6,824–$8,464.78 | varies |
| Removal of vein clot (34490) | $12,504.05 | $19,237 | 4.1× |
| Removal or bivalving full arm or full leg cast (29705) | $650 | $1,000 | 2.4× |
| Removal Pacemaker Electrode (33235) | $4,379.05 | $6,737 | 1.2× |
| Removal ppm generator only (33233) | $5,922.80 | $9,112 | 0.7× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $3,413.80 | $5,252 | 17.7× |
| Removal subcutaneous cardiac rhythm monitor (33286) range across 2 matching MRF lines |
$9,960.60–$11,115.54 | $15,324–$17,100.83 | varies |
| Remove & Replace Indwell Ureteral Stent Trurthrl (50385) | $3,874 | $5,960 | 1.9× |
| Remove drug implant device (11982) | $2,956.20 | $4,548 | 6.9× |
| Remove Elctrd Transvenously (33244) | $3,794.05 | $5,837 | 1.1× |
| Remove intrvas foreign body (37197) | $5,715.45 | $8,793 | 1.9× |
| Remove lung catheter (32552) | $1,069.90 | $1,646 | 1.8× |
| Remove prostate regrowth (52630) | $7,445.01 | $11,453.86 | 1.4× |
| Remove Pulse Generator (33241) | $21,518.90 | $33,106 | 6.0× |
| Remove renal tube w/fluoro (50389) | $878.15 | $1,351 | 1.3× |
| Remove&replace pm gen singl (33227) | $5,842.85 | $8,989 | 0.7× |
| Remv&replc cvd gen dual lead (33263) | $14,832.35 | $22,819 | 0.7× |
| Remv&replc cvd gen mult lead (33264) range across 2 matching MRF lines |
$24,644.75–$62,256.84 | $37,915–$95,779.76 | varies |
| Remv&replc cvd gen sing lead (33262) | $12,238.20 | $18,828 | 0.6× |
| Remv&replc pm gen dual lead (33228) range across 2 matching MRF lines |
$10,217.35–$20,135.73 | $15,719–$30,978.05 | varies |
| Remv&replc pm gen mult leads (33229) range across 2 matching MRF lines |
$8,561.80–$22,602.20 | $13,172–$34,772.61 | varies |
| Renal Biopsy Perq (50200) range across 2 matching MRF lines |
$926.90–$7,806.53 | $1,426–$12,010.04 | varies |
| Reopen fallopian tube (58350) | $15,879.41 | $24,429.86 | 3.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $11,836.78 | $18,210.43 | 3.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $10,432.59 | $16,050.14 | 26.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $6,267.52 | $9,642.34 | 16.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $5,900.24 | $9,077.29 | 15.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $10,424.03 | $16,036.97 | 26.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $6,068.92 | $9,336.80 | 15.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $6,243.97 | $9,606.11 | 16.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $7,267.12 | $11,180.19 | 18.6× |
| Repair lead pace-defib dual (33220) | $4,561.70 | $7,018 | 1.3× |
| Repair Lead Pace-Defib One (33218) | $3,545.10 | $5,454 | 1.0× |
| Repair of anal fistula with fibrin glue (46706) | $6,560.93 | $10,093.74 | 2.5× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $608.40 | $936 | 0.7× |
| Replace G-J Tube Perc (49452) | $566.80 | $872 | 0.6× |
| Replace g/c tube perc (49450) | $1,325.35 | $2,039 | 1.5× |
| Reposition Gastrostomy Tube (43761) | $3,839.55 | $5,907 | 16.0× |
| Reposition Pacing-Defib Lead (33215) | $8,201.70 | $12,618 | 2.7× |
| Reposition Venous Catheter (36597) | $3,829.15 | $5,891 | 2.5× |
| Rerepair ing hernia reduce (49520) | $15,821.32 | $24,340.50 | 4.6× |
| Revj Colostomy Smpl Rls Supfc Scar Spx (44340) | $8,815.85 | $13,562.85 | 2.6× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) | $7,385.95 | $11,363 | 1.3× |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) | $36,982.40 | $56,896 | 2.1× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) | $22,815.65 | $35,101 | 1.3× |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) | $9,451 | $14,540 | 0.5× |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) | $36,982.40 | $56,896 | 2.1× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) | $22,815.65 | $35,101 | 2.1× |
| Revsc evasc imvt angiop uni cplx les 1st vsl (37298) | $13,196.30 | $20,302 | 1.2× |
| Revsc evasc imvt angiop uni sf les 1st vsl (37296) | $45,256.90 | $69,626 | 4.1× |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) | $11,112.40 | $17,096 | 2.0× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) | $11,112.40 | $17,096 | 2.0× |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) | $16,141.45 | $24,833 | 1.5× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) | $16,141.45 | $24,833 | 1.5× |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) | $45,256.90 | $69,626 | 2.6× |
| Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) | $45,256.90 | $69,626 | 2.6× |
| Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) | $45,256.90 | $69,626 | 2.6× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) range across 2 matching MRF lines |
$1,389.70–$2,876.55 | $2,138–$4,425.46 | varies |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $2,990.13 | $4,600.20 | 1.9× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) | $9,523.15 | $14,651 | 5.1× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $4,484.35 | $6,899 | 1.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$5,241.33–$6,123.65 | $8,063.58–$9,421 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines |
$4,052.33–$4,083.30 | $6,234.35–$6,282 | varies |
| Rplc Gtube No Revj Trc (43762) | $503.10 | $774 | 2.1× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $1,157.65 | $1,781 | 0.8× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $1,139.45 | $1,753 | 0.8× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $7,939.10 | $12,214 | 2.6× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $6,474 | $9,960 | 2.1× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $8,846.86 | $13,610.55 | 2.6× |
| Rpr aa hernia recr 3-10 cm reducible (49615) | $12,786.78 | $19,671.97 | 2.1× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) | $14,901.05 | $22,924.70 | 2.6× |
| Rpr aa hrn 1st 3-10 rdc (49593) | $12,000.33 | $18,462.04 | 1.9× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) | $9,805.88 | $15,085.97 | 1.7× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $8,522.80 | $13,112 | 5.6× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $1,303.25 | $2,005 | 2.2× |
| Sclerotx Fluid Collection (49185) | $1,246.70 | $1,918 | 0.8× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $3,422.36 | $5,265.17 | 3.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $525.20 | $808 | 2.7× |
| Skin sub graft face/nk/hf/g (15275) | $3,179.80 | $4,892 | 4.5× |
| Skin sub graft trnk/arm/leg (15271) | $3,069.95 | $4,723 | 4.3× |
| Skin sub grft t/arm/lg child (15273) | $6,168.50 | $9,490 | 3.1× |
| Skin Tissue Procedure (17999) | $3,698.50 | $5,690 | 19.2× |
| Skn sub grft f/n/hf/g child (15277) | $3,604.90 | $5,546 | 1.8× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) | $14,372.80 | $22,112 | 2.7× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) | $10,361 | $15,940 | 3.4× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) | $20,798.70 | $31,998 | 3.9× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) | $22,823.64 | $35,113.29 | 4.7× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$2,509.65–$4,796.99 | $3,861–$7,379.98 | varies |
| Strapping ankle (29540) | $178.75 | $275 | 1.1× |
| Strapping elbow or wrist (29260) | $118.95 | $183 | 2.1× |
| Strapping hand/finger (29280) | $118.95 | $183 | 2.1× |
| Strapping Hip (29520) | $162.50 | $250 | 1.3× |
| Strapping knee (29530) | $203.45 | $313 | 1.6× |
| Strapping shoulder (29240) | $178.75 | $275 | 1.4× |
| Strapping thorax (29200) | $203.45 | $313 | 1.3× |
| Strapping toes (29550) | $650 | $1,000 | 11.5× |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$282.75–$423.80 | $435–$652 | varies |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) | $7,471.59 | $11,494.75 | 2.3× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) | $7,735.96 | $11,901.48 | 2.9× |
| Tangential biopsy skin single lesion (11102) | $263.25 | $405 | 0.7× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) range across 2 matching MRF lines |
$15,535.65–$41,817.70 | $23,901–$64,334.92 | varies |
| Ther Apheresis,Red Blood Cells (36512) | $3,037.45 | $4,673 | 2.0× |
| Therapeutic Apheresis White Blood Cells (36511) | $3,007.55 | $4,627 | 2.0× |
| Therapeutic plasma exchange (36514) | $3,852.55 | $5,927 | 2.6× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) | $4,243.85 | $6,529 | 0.8× |
| Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) | $12,870 | $19,800 | 2.4× |
| Thrmbc Dir/W/Cath V/C Iliac Fempop Vein Leg Inc (34421) | $7,933.90 | $12,206 | 2.6× |
| Thromblytic art/ven therapy (37213) | $6,917.95 | $10,643 | 2.3× |
| Thrombolytic Art Therapy (37211) | $7,150 | $11,000 | 1.3× |
| Thrombolytic Therapy Stroke (37195) | $498.55 | $767 | 1.6× |
| Thrombolytic Venous Therapy (37212) | $3,582.80 | $5,512 | 1.2× |
| Thyroid biopsy (60100) | $828.10 | $1,274 | 1.2× |
| Thyroidectomy, total or complete (60240) | $15,442.14 | $23,757.14 | 2.7× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) | $6,298.39 | $9,689.83 | 2.0× |
| Tooth extraction (41899) | $4,338.58 | $6,674.74 | 19.0× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $2,024.10 | $3,114 | 1.4× |
| Transcatheter biopsy (37200) | $4,052.75 | $6,235 | 0.8× |
| Transur electr resection of prostate (52601) | $9,593.40 | $14,759.08 | 1.9× |
| Transurethral resection bladder neck (52500) | $8,792.15 | $13,526.38 | 2.6× |
| Treat ectopic pregnancy (59151) | $17,144.80 | $26,376.61 | 2.9× |
| Treatment of anal fissure (46940) | $5,381.34 | $8,278.99 | 2.0× |
| Trluml Balo Angiop 1St Art (37246) | $12,207.65 | $18,781 | 2.2× |
| Trluml Balo Angiop 1St Vein (37248) | $7,638.15 | $11,751 | 1.4× |
| Tx Gastro Intub W/Asp (43753) | $189.15 | $291 | 0.9× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $5,608.23 | $8,628.05 | 1.8× |
| Tx Missed Abortion First Trimester Surgical (59820) | $5,490.60 | $8,447.08 | 1.8× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) | $3,269.60 | $5,030.15 | 2.2× |
| Tympanostomy general anesthesia (69436) | $3,202.28 | $4,926.58 | 2.1× |
| Unlisted Cardiac Surgery (33999) | $2,902.90 | $4,466 | 4.8× |
| Unlisted laparoscopic procedure liver (47379) | $14,200.41 | $21,846.78 | 2.4× |
| Unlisted laparoscopy procedure appendix (44979) | $21,902.44 | $33,696.06 | 3.8× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) | $14,898.05 | $22,920.08 | 2.6× |
| Unlisted procedure arthroscopy (29999) | $18,387.68 | $28,288.74 | 77.5× |
| Unlisted Procedure Casting/Strapping (29799) | $271.70 | $418 | 1.7× |
| Unlisted Procedure Endocrine System (60699) unusually low: confirm this is the full procedure |
$2,501.20 | $3,848 | 0.4× |
| Unlisted Procedure Intestine (44799) | $3,476.20 | $5,348 | 4.0× |
| Unlisted procedure nervous system (64999) | $1,734.20 | $2,668 | 5.9× |
| Unlisted Procedure Vascular Surgery (37799) | $5,959.85 | $9,169 | 9.9× |
| Vaginal delivery only (59409) | $130 | $200 | 0.0× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) | $13,828.02 | $21,273.87 | 2.9× |
| Vasc embolize/occlude artery (37242) | $19,188 | $29,520 | 1.1× |
| Vasc Embolize/Occlude Bleed (37244) | $7,929.35 | $12,199 | 0.7× |
| Vasc Embolize/Occlude Organ (37243) | $8,949.20 | $13,768 | 0.8× |
| Vasc embolize/occlude venous (37241) | $18,743.40 | $28,836 | 1.7× |
| Venous Mech Thrombectomy (37187) | $7,242.30 | $11,142 | 0.7× |
| Vulvectomy simple partial (56620) | $8,621.92 | $13,264.50 | 2.8× |
| Wound Prep F/N/Hf/G (15004) | $1,762.80 | $2,712 | 4.5× |
| Wound Prep Trk/Arm/Leg (15002) | $3,822.65 | $5,881 | 5.4× |
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.