Procedures & surgery prices at Mosaic Life Care at St. Joseph - Medical Center

St. Joseph, MO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $2,720 $3,200 3.0×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,275 $1,500 1.4×
Ablate Pulm Tumor Perq Crybl (32994) $10,200 $12,000 1.0×
Ablation 1/> liver tumor perq cryoablation (47383) $17,698.70 $20,822 1.7×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure
$8,500 $10,000 0.5×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $12,144.80 $14,288 1.7×
Acne surgery (10040) $136 $160 0.7×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,550 $3,000 1.2×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $2,550 $3,000 1.2×
Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) $1,912.50 $2,250 2.1×
Anosc Rmvl Mult Tumors Cautery/Snare (46612) $2,975 $3,500 1.1×
Anoscopy Ablation Lesion (46615) $5,950 $7,000 2.1×
Anoscopy Control Bleeding (46614) $2,550 $3,000 2.1×
Anoscopy diagnostic (46600) $637.50 $750 4.8×
Anoscopy remove lesion (46610) $3,230 $3,800 1.2×
Anoscopy W/Rmvl Foreign Body (46608) $1,912.50 $2,250 2.1×
Anoscopy; with biopsy, single or multiple (46606) $3,230 $3,800 2.7×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $2,890 $3,400 2.4×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $212.50 $250 1.3×
Application cast elbow finger short arm (29075) $297.50 $350 1.1×
Application Finger Splint Dynamic (29131) $102 $120 1.7×
Application finger splint static (29130) $127.50 $150 1.0×
Application long arm splint shoulder hand (29105) $127.50 $150 0.8×
Application Long Leg Splint (29505) $127.50 $150 0.8×
Application of long leg cast (29345) $401.20 $472 1.4×
Application of rigid total contact leg cast (29445) $637.50 $750 2.3×
Application Short Arm Splint Dynamic (29126) $420.75 $495 3.2×
Application short arm splint forearm-hand static (29125) $127.50 $150 1.0×
Application short leg splint calf foot (29515) $127.50 $150 0.8×
Application uniplane external fixation system (20690) $8,755 $10,300 1.2×
Apply long arm cast (29065) $191.25 $225 0.7×
Apply Multlay Comprs Lwr Leg (29581) $467.50 $550 2.9×
Apply Short Leg Cast (29405) $401.20 $472 1.4×
Apply short leg cast (29425) $403.75 $475 1.4×
Arterial puncture (36600) $170 $200 1.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $637.50 $750 2.1×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,275 $1,500 1.8×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $1,190 $1,400 3.9×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $1,190 $1,400 3.9×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $637.50 $750 2.1×
Aspirate pleura w/ imaging (32555) $2,720 $3,200 4.3×
Aspirate Pleura W/O Imaging (32554) $1,275 $1,500 2.0×
Aspirate/Inj Ganglion Cyst (20612) $1,190 $1,400 3.9×
Avulsion nail plate partial/complete simple 1 (11730) $276.25 $325 1.4×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555) $3,825 $4,500 0.6×
Biopsy Abdominal Mass (49180) $5,100 $6,000 3.1×
Biopsy bone trocar/needle deep (20225) $4,930 $5,800 3.0×
Biopsy Bone Trocar/Needle Superficial (20220) $4,930 $5,800 3.0×
Biopsy external ear (69100) $357 $420 1.5×
Biopsy muscle percutaneous needle (20206) $5,100 $6,000 3.1×
Biopsy nail unit (11755) $510 $600 0.7×
Biopsy of breast; open, incisional (19101) $4,080 $4,800 1.0×
Biopsy of lip (40490) $340 $400 1.4×
Biopsy of liver, needle; percutaneous (47000) $5,100 $6,000 3.1×
Biopsy of palate, uvula (42100) $1,275 $1,500 0.8×
Biopsy of rectum (45100) $2,975 $3,500 1.1×
Biopsy Salivary Gland Needle (42400) $5,100 $6,000 7.2×
Biopsy soft tissue forearm&/wrist deep (25066) $2,210 $2,600 0.8×
Biopsy soft tissue forearm&/wrist superficial (25065) $382.50 $450 0.2×
Biopsy soft tissue neck/thorax (21550) $5,100 $6,000 3.1×
Biopsy soft tissue thigh/knee area superficial (27323) $1,700 $2,000 1.0×
Biopsy Tongue Anterior Two-Thirds (41100) $1,190 $1,400 2.2×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $1,275 $1,500 1.4×
Biopsy, vestibule of mouth (40808) $1,105 $1,300 2.0×
Bladder Irrigation (51700) $552.50 $650 2.2×
Bladder Scan (51798) $212.50 $250 3.6×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $2,482 $2,920 1.2×
Blood Transfusion Service (36430) $935 $1,100 2.1×
Bone Marrow; Aspiration Only (38220) $1,615 $1,900 1.0×
Brnchsc Brushing/Protected Brushings (31623) $5,100 $6,000 2.9×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $6,120 $7,200 1.6×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $6,375 $7,500 1.7×
Brnchsc Removal Bronchial Valve Ea Addl (31649) $2,550 $3,000 1.4×
Brnchsc Removal Bronchial Valve Initial (31648) $11,900 $14,000 3.2×
Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638) $5,525 $6,500 0.8×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $6,375 $7,500 1.7×
Bronch Thermoplsty 1 Lobe (31660) $17,000 $20,000 2.4×
Bronchial Valve Init Insert (31647) $21,250 $25,000 3.0×
Bronchoscopic Thermoplasty 2/> Lobes (31661) $17,000 $20,000 2.4×
Bronchoscopy Balloon Occlusion (31634) $20,400 $24,000 2.9×
Bronchoscopy Bronch Stents (31636) $6,800 $8,000 1.0×
Bronchoscopy Clear Airways (31645) $3,060 $3,600 1.7×
Bronchoscopy Dilate W/Stent (31631) $16,150 $19,000 2.3×
Bronchoscopy W/Biopsy(S) (31625) $3,400 $4,000 1.9×
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) $15,300 $18,000 2.2×
Bronchoscopy W/Removal Foreign Body (31635) $2,890 $3,400 1.6×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $3,230 $3,800 0.9×
Bronchoscopy/Needle Bx Each (31629) $3,230 $3,800 0.9×
Bx breast 1st lesion mr imag (19085) $4,675 $5,500 2.8×
Bx breast 1st lesion strtctc (19081) $5,355 $6,300 3.2×
Bx breast 1st lesion us imag (19083) $5,100 $6,000 3.1×
Bx Cervix (57500) $1,105 $1,300 1.2×
Canthotomy Separate Procedure (67715) $3,825 $4,500 1.6×
Carpal Tunnel Surgery (64721)
range across 2 matching MRF lines
$2,550–$2,975 $3,000–$3,500 varies
Catheter aspiration nasotracheal spx (31720) $255 $300 1.2×
Cautery Cervix Cryocautery Initial/Repeat (57511)
range across 2 matching MRF lines
$255–$382.50 $300–$450 varies
Cessj Therapy Cath Removal (37214) $4,122.50 $4,850 1.3×
Change Cystostomy Tube Complicated (51710) $1,275 $1,500 1.8×
Change Cystostomy Tube Simple (51705) $195.50 $230 0.8×
Change of Windpipe Airway (31502) $340 $400 1.4×
Change ureter stent percut (50382) $7,650 $9,000 3.7×
Chemical Cautery Tissue (17250) $233.75 $275 1.2×
Chemodenerv 1 extrem 5/> mus (64644) $510 $600 0.7×
Chemodenerv 1 extremity 1-4 (64642) $510 $600 0.7×
Chemodenerv Musc Migraine (64615) $276.25 $325 0.9×
Chemodenerv musc neck dyston (64616)
range across 2 matching MRF lines
$573.75–$595 $675–$700 varies
Chemodenerv trunk musc 1-5 (64646) $850 $1,000 1.2×
Chemodenerv trunk musc 6/> (64647) $510 $600 0.7×
Chemodenervation Muscle Larynx Unilat W/Emg (64617) $850 $1,000 1.2×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $243.95 $287 0.8×
Chest tube placement (32551) $4,675 $5,500 3.0×
Chg onc prst8 ca alys all PSA structural isoforms (0359U) $1,615 $1,900 2.1×
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $2,125 $2,500 1.0×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $3,825 $4,500 1.1×
Circumcision Neonate (54160) $2,380 $2,800 3.4×
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines
$255–$2,975 $300–$3,500 varies
Cl Tx Tib Shft Fx W Manip (27752) $340 $400 0.2×
Clear outer ear canal (69200) $212.50 $250 1.6×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $510 $600 2.1×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,105 $1,300 0.7×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $382.50 $450 1.5×
Closed tx ankle dislocation w/o anesthesia (27840) $403.75 $475 1.6×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $340 $400 0.2×
Closed tx knee dislocation w/o anesthesia (27550) $340 $400 1.4×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $2,890 $3,400 1.9×
Closed tx patellar dislocation w/anesthesia (27562) $850 $1,000 3.4×
Closed tx patellar dislocation w/o anesthesia (27560) $340 $400 1.4×
Closed tx radial head/neck fx w/manipulation (24655) $318.75 $375 0.2×
Closed tx radial head/neck fx w/o manipulation (24650) $382.50 $450 1.5×
Closed tx radial shaft fracture w/manipulation (25505) $2,040 $2,400 1.3×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $2,125 $2,500 1.3×
Closed Tx Talus Fracture W/Manipulation (28435) $2,550 $3,000 1.6×
Closed tx talus fracture w/o manipulation (28430) $408 $480 1.7×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $340 $400 1.4×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $382.50 $450 1.6×
Clsd tx shoulder dislc w/manipulation req anes (23655) $340 $400 0.2×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $807.50 $950 3.3×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,445 $1,700 0.9×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $850 $1,000 0.5×
Cltx dstl fibular fx lat malls w/manj (27788) $361.25 $425 1.5×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $510 $600 2.1×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $382.50 $450 1.5×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $297.50 $350 1.2×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $2,210 $2,600 1.4×
Cltx fx grt toe phlx/phlg w/manj (28495) $340 $400 1.4×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $297.50 $350 1.2×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $340 $400 0.2×
Cltx hip dislocation traumatic req anesthesia (27252) $1,700 $2,000 1.1×
Cltx hip dislocation traumatic w/o anesthesia (27250) $340 $400 1.4×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $318.75 $375 1.3×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $510 $600 1.8×
Cltx iphal jt dislc w/manj w/o anes (26770) $573.75 $675 2.3×
Cltx Med Ankle Fx W/Mnpj (27762) $340 $400 0.2×
Cltx metacarpal fx w/manipulation each bone (26605) $425 $500 1.7×
Cltx metacarpal fx w/o manipulation each bone (26600) $382.50 $450 1.5×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $680 $800 2.8×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $340 $400 1.4×
Cltx post hip arthrp dislc req anes (27266) $2,210 $2,600 1.4×
Cltx post hip arthrp dislc w/o anes (27265) $340 $400 1.4×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $340 $400 1.4×
Cltx trimalleolar ankle fx w/manipulation (27818) $340 $400 0.2×
Collect Blood From Catheter Venous Nos (36592) $170 $200 1.3×
Collection of venous blood by venipuncture (36415) $17 $20 1.8×
Colonoscopy Flexible With Decompression (45393) $2,295 $2,700 1.9×
Colonoscopy Stoma Ablation Lesion (44401) $2,499 $2,940 2.1×
Colonoscopy Stoma Control Bleeding (44391) $2,499 $2,940 2.1×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $2,499 $2,940 2.1×
Colonoscopy stoma w/balloon dilation (44405) $2,550 $3,000 2.1×
Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) $4,037.50 $4,750 3.4×
Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402) $12,750 $15,000 2.1×
Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) $2,779.50 $3,270 2.3×
Colonoscopy Stoma W/Rmvl Foreign Body (44390) $1,955 $2,300 2.1×
Colonoscopy Stoma W/Submucosal Injection (44404) $2,720 $3,200 2.3×
Colonoscopy Through Stoma With Decompression (44408) $1,487.50 $1,750 1.6×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $1,275 $1,500 1.1×
Colonoscopy thru stoma (44388) $1,700 $2,000 1.8×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $3,145 $3,700 2.6×
Colonoscopy w/ablation (45388) $1,700 $2,000 1.4×
Colonoscopy W/Band Ligation (45398) $1,275 $1,500 1.1×
Colonoscopy w/fb removal (45379) $3,145 $3,700 2.6×
Colonoscopy w/ndl aspir/bx (44407) $2,635 $3,100 2.2×
Colonoscopy W/Resection (45390) $7,225 $8,500 2.6×
Colonoscopy w/stent plcmt (45389) $13,005 $15,300 2.1×
Colonoscopy w/submucosal inj (45381) $1,615 $1,900 1.3×
Colporrhaphy (57200) $5,015 $5,900 1.5×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $1,190 $1,400 3.9×
Colposcopy Cervix Endocervical Curettage (57456)
range across 2 matching MRF lines
$340–$403.75 $400–$475 varies
Colposcopy cervix upper/adjacent vagina (57452) $170 $200 0.8×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $340 $400 1.1×
Colposcopy cervix vag eltrd conization cervix (57461) $1,955 $2,300 0.6×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460)
range across 2 matching MRF lines
$1,955–$2,380 $2,300–$2,800 varies
Colposcopy entire vagina w/cervix if present (57420) $357 $420 1.2×
Colposcopy of vulva (56820) $170 $200 0.8×
Colposcopy Vulva W/Biopsy (56821) $1,105 $1,300 3.6×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $1,105 $1,300 1.2×
Colsc Flexible W/Control Bleeding Any Method (45382) $1,020 $1,200 0.9×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $1,530 $1,800 1.3×
Colsc flx w/removal lesion by hot bx forceps (45384) $2,499 $2,940 2.1×
Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) $2,550 $3,000 2.1×
Complex drainage wound (10180) $2,125 $2,500 0.7×
Conization cervix w/wo d&c rpr eltrd exc (57522) $3,400 $4,000 1.0×
Control Nasal Hemorrhage Anterior Complex (30903) $425 $500 3.2×
Control Nasal Hemorrhage Anterior Simple (30901) $425 $500 3.2×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $2,125 $2,500 1.1×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 2 matching MRF lines
$3,179–$4,675 $3,740–$5,500 varies
Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) $3,272.50 $3,850 0.9×
Create Eardrum Opening (69433) $850 $1,000 1.6×
Csf shunt reprogram (62252) $403.75 $475 1.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $191.25 $225 1.4×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $127.50 $150 0.5×
Curettage postpartum (59160) $3,400 $4,000 1.0×
Cysto Bladder W/Ureteral Catheterization (52005) $3,400 $4,000 1.6×
Cysto calibration dilat urtl strix/stenosis (52281) $3,400 $4,000 1.6×
Cysto w/insert ureteral stent (52332) $1,020 $1,200 0.3×
Cysto w/irrig & evac multple obstructing clots (52001) $3,400 $4,000 1.0×
Cysto W/Simple Removal Stone & Stent (52310) $3,400 $4,000 1.6×
Cystourethroscopy (52000) $1,955 $2,300 2.8×
Cystourethroscopy w/rmvl ureteral calculus (52320) $7,650 $9,000 2.2×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $2,210 $2,600 0.8×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,275 $1,500 1.7×
Debride nail 1-5 (11720) $170 $200 2.9×
Debride nail 6 or more (11721) $127.50 $150 2.2×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $2,465 $2,900 1.5×
Debridement Mastoidectomy Cavity Simple (69220) $1,190 $1,400 5.9×
Debridement subcutaneous tissue 20 sq cm/< (11042) $935 $1,100 2.3×
Declot vascular device (36593) $510 $600 1.5×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $2,550 $3,000 1.2×
Delivery of placenta (59414) $4,250 $5,000 1.3×
Destr W Neurolytic; Celiac Plexus (64680)
range across 2 matching MRF lines
$4,250–$4,675 $5,000–$5,500 varies
Destroy cerv/thor facet jnt (64633) $807.50 $950 0.4×
Destroy lumb/sac facet jnt (64635) $786.25 $925 0.4×
Destruct B9 Lesion 1-14 (17110) $255 $300 1.3×
Destruction Benign Lesions 15/> (17111) $255 $300 1.3×
Destruction by neurolytic agent; plantar common digital nerve (64632) $255 $300 0.8×
Destruction Internal Hemorrhoid Thermal Energy (46930) $1,105 $1,300 0.9×
Destruction Lesions Vulva Extensive (56515) $3,825 $4,500 1.9×
Destruction Lesions Vulva Simple (56501) $2,125 $2,500 1.0×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281)
range across 2 matching MRF lines
$148.75–$250.75 $175–$295 varies
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282)
range across 2 matching MRF lines
$250.75–$361.25 $295–$425 varies
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $467.50 $550 1.1×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $148.75 $175 0.7×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $148.75 $175 0.7×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $212.50 $250 1.1×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $425 $500 1.0×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $148.75 $175 0.7×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $148.75 $175 0.7×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $148.75 $175 0.7×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $148.75 $175 0.7×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $148.75 $175 0.4×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $148.75 $175 0.7×
Destruction neurolytic agt genicular nerve w/img (64624) $2,975 $3,500 1.5×
Destruction of skin lesions (17106) $1,190 $1,400 2.9×
Destruction Premalignant Lesion 15/> (17004) $297.50 $350 0.7×
Destruction premalignant lesion 1st (17000) $212.50 $250 1.1×
Diagnostic sigmoidoscopy (45330) $1,445 $1,700 1.6×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $2,890 $3,400 2.4×
Dilat rct strix spx under anes oth/thn local (45910) $3,400 $4,000 2.8×
Dilat Xst Trc New Access Rcs (50437) $8,075 $9,500 2.3×
Dilate Esophagus 1/Mult Pass (43450) $1,326 $1,560 1.5×
Dilation Cervical Canal (57800) $1,955 $2,300 0.6×
Dilation Esophagus Guide Wire (43453) $3,910 $4,600 2.0×
Drain shoulder bursa (23031) $1,955 $2,300 0.7×
Drain/inj small joint/bursa w/us (20604) $637.50 $750 2.1×
Drainage External Ear Abscess/Hematoma Simple (69000) $935 $1,100 1.3×
Drainage Mouth Roof Lesion (42000) $1,275 $1,500 5.4×
Drainage of finger abscess simple (26010) $255 $300 1.3×
Drainage of gum lesion (41800) $680 $800 5.1×
Drainage of hematoma/fluid (10140) $4,930 $5,800 3.0×
Drainage of scrotal wall abscess (55100) $2,550 $3,000 1.5×
Drainage of scrotum (54700) $3,485 $4,100 1.7×
Draw Blood Off Venous Device (36591) $233.75 $275 1.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $361.25 $425 1.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $399.50 $470 2.0×
Dstrj lesion anus simple cryosurgery (46916)
range across 2 matching MRF lines
$148.75–$153 $175–$180 varies
Dstrj Lesion Penis Simple Chemical (54050) $191.25 $225 0.5×
Dstrj Lesion Penis Simple Cryosurgery (54056)
range across 2 matching MRF lines
$127.50–$212.50 $150–$250 varies
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines
$1,095.65–$1,275 $1,289–$1,500 varies
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $1,360 $1,600 1.5×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $1,275 $1,500 1.4×
Duodenal intubat w/imag guided multiple specimen (43757) $2,890 $3,400 3.2×
Dx Bone Marrow Bx & Aspir (38222) $5,270 $6,200 1.8×
Dx Bronchoscope/Lavage (31624) $5,525 $6,500 3.1×
Dx Bronchoscope/Wash (31622) $3,230 $3,800 1.8×
Dx lmbr spi pnxr w/fluor/CT (62328) $2,550 $3,000 3.6×
Egd Balloon Dil Esoph30 Mm/> (43233) $3,910 $4,600 2.0×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $2,465 $2,900 1.3×
Egd cautery tumor polyp (43250) $4,250 $5,000 2.2×
Egd control bleeding any (43255) $4,930 $5,800 2.6×
Egd dilation gastric/duodenal stricture (43245) $1,700 $2,000 0.9×
Egd endo mucosal resection (43254) $3,230 $3,800 1.7×
Egd Endoscopic Stent Place (43266) $15,300 $18,000 2.5×
Egd Flexible Foreign Body Removal (43247) $1,615 $1,900 1.8×
Egd guide wire insertion (43248) $1,700 $2,000 1.9×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $4,250 $5,000 2.2×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $4,930 $5,800 2.6×
Egd intrmural us needle aspirate/biopsy esophags (43238) $4,845 $5,700 2.5×
Egd lesion ablation (43270) $4,930 $5,800 2.6×
Egd Optical Endomicroscopy (43252) $3,400 $4,000 1.8×
Egd Partial/Compl Esophagogastric Fundoplasty (43210) $6,120 $7,200 0.6×
Egd place gastrostomy tube (43246) $4,930 $5,800 2.6×
Egd remove lesion snare (43251) $2,040 $2,400 1.1×
Egd Tube/Cath Insertion (43241) $2,975 $3,500 1.5×
Egd us exam duodenum/jejunum (43259) $4,930 $5,800 2.6×
Egd us transmural injxn/mark (43253) $4,250 $5,000 2.2×
Egd Varices Ligation (43244) $2,465 $2,900 1.3×
Egd W/Thrml Txmnt Gerd (43257) $2,295 $2,700 0.6×
Egd W/Transmural Drain Cyst (43240) $15,300 $18,000 2.5×
Endocervical curettage (57505) $1,105 $1,300 1.2×
Endometrial Biopsy (58100) $680 $800 3.4×
Endoscopic us exam esoph (43237) $4,675 $5,500 2.4×
Endoscopy Upper Small Intestine (44360) $4,930 $5,800 2.6×
Endoscopy upper small intestine w/biopsy (44361) $4,930 $5,800 2.6×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $5,100 $6,000 1.6×
Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) $3,910 $4,600 2.0×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) $3,910 $4,600 2.0×
Enteroscopy > 2nd prtn conv gstrst tube (44373) $3,910 $4,600 2.0×
Enteroscopy > 2nd prtn ileum control bleeding (44378) $3,910 $4,600 2.0×
Enteroscopy > 2nd prtn tndsc stent plmt (44370) $12,155 $14,300 2.0×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $3,910 $4,600 2.0×
Enteroscopy > 2nd prtn w/rmvl foreign body (44363) $3,910 $4,600 2.0×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) $3,910 $4,600 2.0×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $3,910 $4,600 2.0×
Epidural Blood Patch (62273) $2,125 $2,500 3.0×
Episiotomy or vaginal repair (59300) $4,675 $5,500 1.4×
Ercp Destruction/Lithotripsy Calculi Any Method (43265) $13,005 $15,300 2.1×
Ercp duct stent placement (43274) $15,300 $18,000 2.5×
Ercp Dx Collection Specimen Brushing/Washing (43260) $8,500 $10,000 2.2×
Ercp ea duct/ampulla dilate (43277) $9,350 $11,000 2.4×
Ercp remove calculi/debris biliary/pancreas duct (43264) $9,350 $11,000 2.4×
Ercp remove forgn body duct (43275) $9,350 $11,000 4.9×
Ercp Stent Exchange W/Dilate (43276) $15,300 $18,000 2.5×
Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) $7,395 $8,700 1.9×
Ercp W/Biopsy Single/Multiple (43261) $8,500 $10,000 2.2×
Ercp w/pressure measurement sphincter of oddi (43263) $7,395 $8,700 3.8×
Ercp,Sphincterotomy (43262) $9,350 $11,000 2.4×
Esoph Optical Endomicroscopy (43206) $3,727.25 $4,385 1.9×
Esoph Scope W/Submucous Inj (43201) $3,825 $4,500 2.0×
Esophagogastroduodenoscopy Submucosal Injection (43236) $2,040 $2,400 2.2×
Esophagosc Dilate Balloon 30 (43214) $3,825 $4,500 2.0×
Esophagoscop Mucosal Resect (43211) $3,910 $4,600 2.0×
Esophagoscop Stent Placement (43212) $3,400 $4,000 0.6×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $4,930 $5,800 2.6×
Esophagoscopy Flex Transoral Injection Varices (43204) $3,910 $4,600 2.0×
Esophagoscopy Flex Transoral Lesion Ablation (43229) $4,046 $4,760 1.0×
Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) $3,910 $4,600 2.0×
Esophagoscopy Flexible Guide Wire Dilation (43226) $3,910 $4,600 2.0×
Esophagoscopy Flexible Transnasal Diagnostic (43197) $1,955 $2,300 2.2×
Esophagoscopy Flexible Transnasal With Biopsy (43198) $2,125 $2,500 2.3×
Esophagoscopy Flexible Transoral Diagnostic (43200) $2,125 $2,500 2.3×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $3,910 $4,600 2.0×
Esophagoscopy Flexible W/Bleeding Control (43227) $3,910 $4,600 2.0×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) $3,910 $4,600 2.0×
Esophagoscopy Retro Balloon (43213) $3,910 $4,600 2.0×
Esophagoscopy rig transoral removal foreign body (43194) $3,400 $4,000 1.8×
Esophagoscopy Rigid Balloon (43195) $7,395 $8,700 1.9×
Esophagoscopy rigid trnso dx (43191) $3,527.50 $4,150 1.8×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $3,825 $4,500 2.0×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $4,675 $5,500 2.4×
Esophagoscp Guide Wire Dilat (43196) $7,395 $8,700 3.8×
Esophagoscp Rig Trnso Biopsy (43193) $3,527.50 $4,150 1.8×
Esophagoscp Rig Trnso Inject (43192) $3,527.50 $4,150 1.8×
Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) $3,910 $4,600 2.0×
Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) $3,910 $4,600 2.0×
Evacuate mole of uterus (59870) $935 $1,100 0.3×
Evacuation of subungual hematoma (11740) $136 $160 1.0×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $1,870 $2,200 1.1×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $1,190 $1,400 1.7×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,700 $2,000 1.0×
Exc Back Les Sc < 3 Cm (21930) $2,380 $2,800 1.4×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $1,190 $1,400 1.7×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 2 matching MRF lines
$680–$1,147.50 $800–$1,350 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $1,870 $2,200 1.1×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $1,105 $1,300 1.6×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $1,190 $1,400 1.7×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $1,020 $1,200 1.4×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,700 $2,000 1.0×
Exc Forearm Les Sc 3 Cm/> (25071) $2,550 $3,000 1.5×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,615 $1,900 1.0×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $1,700 $2,000 2.4×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $1,870 $2,200 1.1×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $2,720 $3,200 1.7×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $2,890 $3,400 0.9×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,785 $2,100 2.5×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $2,550 $3,000 1.5×
Exc Skin Benig >4 Cm Remaindr Body (11426) $2,380 $2,800 0.8×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $2,805 $3,300 1.7×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $1,275 $1,500 0.8×
Exc Skin Malig >4 Cm Remaindr Body (11626) $2,550 $3,000 0.9×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $2,720 $3,200 1.6×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $1,275 $1,500 3.1×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $1,020 $1,200 1.4×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,785 $2,100 1.1×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $2,550 $3,000 0.9×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $1,700 $2,000 1.0×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $2,210 $2,600 0.8×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $2,380 $2,800 0.8×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $2,975 $3,500 1.8×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $2,975 $3,500 1.8×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $2,550 $3,000 1.5×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $1,700 $2,000 0.6×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $5,100 $6,000 1.4×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $5,525 $6,500 2.6×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $2,380 $2,800 1.2×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $2,720 $3,200 1.8×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $1,615 $1,900 2.3×
Excision H/P/P/U Simple/Intermediate Repair (11470) $2,550 $3,000 0.9×
Excision Lingual Frenum Frenectomy (41115) $1,275 $1,500 0.8×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $1,615 $1,900 2.3×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $1,275 $1,500 1.8×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $1,275 $1,500 3.1×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,700 $2,000 2.4×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,870 $2,200 1.1×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $2,499 $2,940 0.9×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $1,700 $2,000 1.0×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $1,700 $2,000 2.4×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $1,275 $1,500 1.8×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,870 $2,200 1.1×
Excision of bartholin's gland or cyst (56740) $3,145 $3,700 1.0×
Excision of neuroma; digital nerve, 1 or both, same digit (64776) $1,785 $2,100 0.9×
Excision of pilonidal cyst or sinus; simple (11770) $238 $280 0.1×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $2,975 $3,500 1.8×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $2,550 $3,000 1.5×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $3,145 $3,700 1.9×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $2,125 $2,500 1.3×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $2,380 $2,800 0.8×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $2,550 $3,000 1.5×
Excision/curettage cyst/tumor phalanx finger (26210) $1,751 $2,060 1.1×
Excision/destruction intranasal lesion int appr (30117) $2,720 $3,200 0.8×
Expl Po Hemrrg Thrombosis/Infctj Nck (35800)
likely a partial charge, not the full procedure
$297.50 $350 0.1×
Explo/Drain Breast Abscess (19020) $2,762.50 $3,250 1.7×
External cephalic version (59412) $5,525 $6,500 1.7×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $4,420 $5,200 1.3×
Fetal non-stress test (59025)
range across 2 matching MRF lines
$425–$467.50 $500–$550 varies
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $2,635 $3,100 3.7×
Fine needle aspiration without imaging guidance (10021) $340 $400 0.8×
Flap; neurovascular pedicle (15750) $5,100 $6,000 1.4×
Fluoro exam of g/colon tube (49465) $510 $600 2.1×
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines
$2,040–$4,080 $2,400–$4,800 varies
Foreskin manipulation (54450) $340 $400 1.4×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $2,380 $2,800 1.2×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $2,550 $3,000 1.2×
Guide Cathet Fluid Drainage (10030) $4,250 $5,000 6.0×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $1,360 $1,600 1.5×
Hysteroscopy Biopsy (58558) $3,400 $4,000 1.0×
Hysteroscopy Dx Sep Proc (58555) $3,145 $3,700 1.0×
I&d abscess peritonsillar (42700) $1,190 $1,400 5.0×
I&d abscess simple (10060) $510 $600 2.5×
I&d deep absc bursa/hematoma thigh/knee region (27301) $2,550 $3,000 0.9×
I&d perianal abscess superficial (46050) $1,105 $1,300 1.2×
I&d pilonidal cyst complicated (10081) $1,275 $1,500 1.8×
I&d pilonidal cyst simple (10080) $1,003 $1,180 1.4×
I&d shoulder deep abscess/hematoma (23030) $2,380 $2,800 0.8×
Icd Pocket Revision (33223) $4,250 $5,000 2.1×
Ileoscopy Stoma W/Balloon Dilation (44381) $2,125 $2,500 1.1×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $2,125 $2,500 2.3×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $1,870 $2,200 2.1×
Image Cath Fluid Colxn Visc (49405) $5,950 $7,000 3.6×
Image Cath Fluid Peri/Retro (49406) $6,120 $7,200 3.7×
Incise external hemorrhoid (46083) $1,190 $1,400 4.8×
Incise finger tendon sheath (26055)
range across 2 matching MRF lines
$2,550–$2,805 $3,000–$3,300 varies
Incision & drainage abscess complicated/multiple (10061) $871.25 $1,025 2.1×
Incision & removal foreign body subq tiss compl (10121) $2,380 $2,800 1.4×
Incision & removal foreign body subq tiss simple (10120) $595 $700 1.5×
Incision and drainage of bartholin's gland abscess (56420) $221 $260 1.1×
Incision and drainage of vulva or perineal abscess (56405) $1,105 $1,300 3.6×
Incision of eardrum (69421) $1,870 $2,200 0.6×
Incision of eardrum (69420) $340 $400 1.4×
Incision of labial frenum (frenotomy) (40806) $1,190 $1,400 2.2×
Incision of lingual frenum (frenotomy) (41010)
range across 2 matching MRF lines
$1,190–$1,275 $1,400–$1,500 varies
Incision of rectal abscess (46040) $2,975 $3,500 2.5×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $425 $500 0.3×
Incisional biopsy skin single lesion (11106) $488.75 $575 0.7×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $680 $800 0.8×
Inj W/Fluor Eval Cv Device (36598) $1,020 $1,200 4.8×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,615 $1,900 1.8×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines
$297.50–$1,190 $350–$1,400 varies
Injection aa&/strd genicular nrv branches w/img (64454) $1,275 $1,500 1.8×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,615 $1,900 1.8×
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) $1,382.95 $1,627 1.6×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,049.75 $1,235 1.5×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,615 $1,900 2.3×
Injection Anes Agent Sphenopalatine Ganglion (64505) $382.50 $450 1.2×
Injection enzyme palmar fascial cord (20527) $1,190 $1,400 3.9×
Injection for identification of sentinel node (38792) $1,870 $2,200 4.7×
Injection of sclerosing solution, hemorrhoids (46500) $637.50 $750 0.7×
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines
$510–$1,190 $600–$1,400 varies
Injection single/mlt trigger point 1/2 muscles (20552) $1,105 $1,300 3.6×
Injection single/mlt trigger point 3/> muscles (20553) $1,700 $2,000 5.5×
Injection therapeutic carpal tunnel (20526) $1,190 $1,400 3.9×
Injection, anesthetic agent; brachial plexus, single (64415) $1,544.45 $1,817 1.7×
Injection, anesthetic agent; femoral nerve, single (64447) $1,870 $2,200 2.6×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $1,020 $1,200 1.4×
Injection, Intralesional; More Than 7 Lesions (11901) $136 $160 0.7×
Injection, intralesional; up to and including 7 lesions (11900) $1,190 $1,400 5.9×
Ins cath ren art 1st bilat (36252) $9,350 $11,000 3.0×
Ins cath ren art 1st unilat (36251) $5,355 $6,300 1.7×
Ins cath ren art 2nd+ unilat (36253) $5,015 $5,900 0.9×
Ins endovas vena cava filtr (37191) $8,500 $10,000 1.5×
Ins Vag Brachytx Device (57156) $331.50 $390 1.1×
Ins/Rep Subq Defibrillator (33270) $25,500 $30,000 0.8×
Insert 1 Electrode Pm-Defib (33216) $11,900 $14,000 1.4×
Insert Bladder Cath Complex (51703) $119 $140 0.9×
Insert cath pleura w/ image (32557) $4,760 $5,600 3.0×
Insert cath pleura w/o image (32556) $4,250 $5,000 2.2×
Insert cervical dilator (59200) $765 $900 2.5×
Insert Drug Implant Device (11981) $85 $100 0.6×
Insert Gastrostomy Tube Percutaneous (49440) $2,975 $3,500 1.5×
Insert Heart Pm Atrial (33206) $18,700 $22,000 1.8×
Insert Heart Pm Ventricular (33207) $18,275 $21,500 1.7×
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure
$4,080 $4,800 0.2×
Insert non-tunnel cv cath (36556) $2,210 $2,600 0.7×
Insert Pacing Lead & Connect (33224) $15,300 $18,000 1.5×
Insert pessary/other device (57160) $161.50 $190 0.8×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $4,250 $5,000 2.7×
Insert Temp Bladder Cath (51702) $382.50 $450 2.9×
Insert tun ip cath perc (49418) $6,120 $7,200 1.7×
Insert tunneled cv cath (36561) $5,270 $6,200 1.7×
Insert tunneled cv cath (36563) $3,017.50 $3,550 0.5×
Insert,Non-Indwelling Bladder Catheter (51701) $255 $300 1.9×
Insertion indwelling tunneled pleural catheter (32550) $3,867.50 $4,550 1.1×
Insertion Picc W/Rs&I 5 Yr/> (36573) $3,230 $3,800 2.0×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $10,200 $12,000 1.2×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $13,600 $16,000 4.3×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,615 $1,900 1.0×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $4,675 $5,500 1.5×
Insj/Rplcmt Defib W/Lead(S) (33249) $28,050 $33,000 0.9×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $11,900 $14,000 1.4×
Insrt heart pm atrial & vent (33208) $19,550 $23,000 1.9×
Insrt Pulse Gen W/Mult Leads (33231) $24,650 $29,000 0.8×
Int hrhc by ligation single hroid w/o img gdn (46945) $2,975 $3,500 1.1×
Intranasal Biopsy (30100) $765 $900 0.5×
Intro cath dialysis circuit (36901) $1,785 $2,100 1.1×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $18,700 $22,000 1.6×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $10,200 $12,000 1.8×
Intro Gastrointestinal Tube (44500) $1,700 $2,000 1.9×
Intubation endotracheal emergency procedure (31500) $531.25 $625 2.2×
Irrigation of corpora cavernosa for priapism (54220) $510 $600 2.0×
Laryngoscopy flexible diagnostic (31575) $510 $600 2.6×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $595 $700 1.5×
Ligation of hemorrhoids (46946) $5,950 $7,000 2.1×
Maniplatn palar fascial crd post inj single cord (26341) $1,105 $1,300 4.5×
Mastectomy partial (19301) $3,825 $4,500 1.0×
Maternity Care Procedure (59899) $467.50 $550 2.3×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $2,805 $3,300 1.8×
Mech remov tunneled cv cath (36595) $4,420 $5,200 1.4×
Myelography Lumbar Injection (62305) $3,400 $4,000 4.3×
Myelography Lumbar Injection (62304) $2,975 $3,500 3.8×
Myelography via lumbar injection rs&i cervical (62302) $2,805 $3,300 3.6×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $2,635 $3,100 3.4×
Myringoplasty (69620) $2,550 $3,000 0.8×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines
$748–$820.25 $880–$965 varies
N block inj intercost sng (64420) $1,275 $1,500 1.8×
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines
$425–$488.75 $500–$575 varies
Nasal Endoscopy Dx (31231) $1,020 $1,200 5.1×
Nasal/Orogastric W/Tube Plmt (43752) $297.50 $350 0.7×
Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) $9,350 $11,000 1.6×
Nasal/Sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv (31242) $9,350 $11,000 1.6×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $2,550 $3,000 1.4×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $170 $200 0.1×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $1,275 $1,500 1.4×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $1,275 $1,500 1.4×
Needle Biopsy Lymph Nodes (38505) $5,100 $6,000 3.1×
Needle Biopsy Pancreas (48102) $4,250 $5,000 2.6×
Needle insertion w/o injection 1 or 2 muscles (20560) $80.75 $95 2.8×
Needle insertion w/o injection 3 or more muscles (20561) $114.75 $135 4.0×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $1,615 $1,900 0.8×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $518.50 $610 1.2×
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $2,031.50 $2,390 1.0×
Nipple/areola reconstruction (19350) $4,080 $4,800 1.0×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $680 $800 2.2×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $2,380 $2,800 0.7×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $3,995 $4,700 1.1×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $2,125 $2,500 2.4×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,955 $2,300 2.8×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines
$1,640.50–$1,955 $1,930–$2,300 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $4,675 $5,500 6.7×
Njx Sclrsnt 1 Incmptnt Vein (36470) $680 $800 1.7×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $773.50 $910 1.9×
Njx Sclrsnt Spider Veins (36468) $127.50 $150 0.3×
Occipital Nerve Block (64405) $595 $700 1.9×
Open Treatment Bimalleolar Ankle Fracture (27814) $8,500 $10,000 1.2×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $9,350 $11,000 1.3×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $6,800 $8,000 0.9×
Open/Perq Place Stent 1St (37236) $11,475 $13,500 1.0×
Open/Perq Place Stent Same (37238) $28,050 $33,000 2.4×
Partial Excision Distal Phalanx Finger (26236) $2,125 $2,500 1.3×
Perc Cryo Ablate Renal Tum (50593) $12,325 $14,500 1.2×
Perc Rf Ablate Renal Tumor (50592) $17,000 $20,000 2.8×
Percut Ablate Liver Rf (47382) $17,000 $20,000 2.8×
Percut Cath Occlusn Non Cns Lesn (61626) $18,700 $22,000 1.6×
Percut Drain/Inject Renal Cyst (50390) $2,975 $3,500 4.2×
Percut Mech Thrombectomy, Venous, Repeat (37188) $4,250 $5,000 1.3×
Pericardiocentesis W/Imaging (33016) $5,525 $6,500 3.5×
Peritoneal Lavage (49084) $1,224 $1,440 1.3×
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure
$2,014.50 $2,370 0.1×
Perq dev breast 1st mr guide (19287) $2,295 $2,700 3.2×
Perq dev breast 1st us imag (19285) $3,825 $4,500 5.4×
Perq device breast 1st imag (19281) $3,995 $4,700 2.4×
Perq dilation xst trc endourologic px w/img (50436) $4,250 $5,000 1.2×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $2,890 $3,400 4.1×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $19,550 $23,000 1.7×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $7,650 $9,000 1.3×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $13,600 $16,000 1.9×
Perq Vertebral Augmentation (22513) $13,600 $16,000 1.9×
Place Cath Subclavian Art (36225) $7,055 $8,300 2.2×
Place Cath Thoracic Aorta (36221) $3,400 $4,000 1.1×
Place Cath Vertebral Art (36226) $10,200 $12,000 1.8×
Place Duod/Jej Tube Perc (49441) $2,890 $3,400 1.5×
Plmt Bile Duct Stent Prq Existing Access (47538) $8,755 $10,300 1.4×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $9,775 $11,500 4.7×
Plmt Nephroureteral Catheter (50433) $6,970 $8,200 2.0×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $6,120 $7,200 1.7×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $7,055 $8,300 2.0×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $6,120 $7,200 1.7×
Prim art mech thrombectomy (37184) $21,250 $25,000 1.2×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $1,149.20 $1,352 1.2×
Proctosgmdsc Rigid Control Bleeding (45317) $2,550 $3,000 2.1×
Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) $5,950 $7,000 2.1×
Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) $2,499 $2,940 2.1×
Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) $2,499 $2,940 2.1×
Proctosgmdsc rigid w/dilation (45303) $1,300.50 $1,530 1.1×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $5,950 $7,000 2.1×
Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) $5,950 $7,000 2.1×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $2,499 $2,940 2.1×
Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) $5,950 $7,000 2.1×
Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Facility (45327) $12,155 $14,300 2.0×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $4,250 $5,000 1.2×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $7,225 $8,500 2.0×
Pseudoaneurysm Injection Trt (36002) $2,635 $3,100 4.2×
Punch biopsy skin single lesion (11104) $297.50 $350 0.7×
Puncture aspiration abscess hematoma bulla/cyst (10160) $2,210 $2,600 5.4×
Puncture Aspiration Cyst Breast (19000) $2,635 $3,100 3.7×
Pvb thoracic cont infusion (64463) $1,049.75 $1,235 1.5×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $1,049.75 $1,235 1.5×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $850 $1,000 0.4×
Reduction of rectal prolapse (45900) $1,530 $1,800 1.6×
Relocation Pocket Pacemaker (33222) $5,355 $6,300 2.6×
Rem Endovas Vena Cava Filter (37193) $6,375 $7,500 2.0×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $884 $1,040 1.0×
Removal Foreign Body Foot Subcutaneous (28190) $1,700 $2,000 2.4×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $2,550 $3,000 1.5×
Removal impacted cerumen irrigation/lvg unilat (69209) $110.50 $130 1.9×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $148.75 $175 2.5×
Removal Implant Superficial Separate Procedure (20670) $2,720 $3,200 1.6×
Removal implantable contraceptive capsules (11976) $255 $300 0.4×
Removal of kidney stone (50081) $15,300 $18,000 1.6×
Removal of nail bed (11750) $850 $1,000 2.1×
Removal of tunneled intraperitoneal catheter (49422) $4,420 $5,200 1.4×
Removal or bivalving full arm or full leg cast (29705) $106.25 $125 0.4×
Removal Pacemaker Electrode (33235) $6,800 $8,000 1.8×
Removal ppm generator only (33233) $12,325 $14,500 1.5×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $340 $400 1.7×
Removal subcutaneous cardiac rhythm monitor (33286) $2,975 $3,500 4.2×
Removal Sutures/Staples Requiring Anesthesia (15851) $191.25 $225 0.1×
Remove drug implant device (11982) $233.75 $275 0.5×
Remove Elctrd Transvenously (33244) $8,500 $10,000 2.3×
Remove foreign body from eye (65205) $191.25 $225 1.4×
Remove Intrauterine Device (58301)
range across 2 matching MRF lines
$510–$680 $600–$800 varies
Remove intrvas foreign body (37197) $3,697.50 $4,350 1.2×
Remove lung catheter (32552) $935 $1,100 1.5×
Remove Nasal Foreign Body (30300) $191.25 $225 1.4×
Remove Pulse Generator (33241) $8,500 $10,000 2.3×
Remove renal tube w/fluoro (50389) $1,785 $2,100 2.6×
Remove Shoulder Foreign Body (23330) $2,125 $2,500 1.3×
Remove Tendon Sheath Lesion (26160) $2,550 $3,000 1.6×
Remove ureter stent percut (50384) $3,570 $4,200 1.7×
Remove&replace pm gen singl (33227) $13,600 $16,000 1.6×
Remove/Insert Drug Implant (11983) $233.75 $275 0.5×
Remv&replc cvd gen dual lead (33263) $27,200 $32,000 1.2×
Remv&replc cvd gen mult lead (33264) $22,950 $27,000 0.7×
Remv&replc cvd gen sing lead (33262) $18,700 $22,000 0.8×
Remv&replc pm gen dual lead (33228) $17,850 $21,000 1.7×
Remv&replc pm gen mult leads (33229) $17,255 $20,300 0.9×
Renal Biopsy Perq (50200) $5,100 $6,000 3.1×
Repair brow ptosis (67900) $2,465 $2,900 1.0×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,275 $1,500 1.7×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,275 $1,500 1.7×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,275 $1,500 3.1×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,020 $1,200 2.5×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,190 $1,400 2.9×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,275 $1,500 3.1×
Repair complex trunk 2.6-7.5 cm (13101) $1,275 $1,500 1.7×
Repair extensor tendon finger w/o graft each (26418) $2,380 $2,800 1.5×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $850 $1,000 2.1×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $935 $1,100 2.3×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,275 $1,500 3.1×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,275 $1,500 3.1×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $935 $1,100 1.3×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $1,020 $1,200 2.5×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $1,020 $1,200 2.5×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,105 $1,300 1.5×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,275 $1,500 3.1×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $935 $1,100 2.3×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $1,020 $1,200 2.5×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,275 $1,500 1.7×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $1,105 $1,300 2.7×
Repair of nail bed (11760) $765 $900 1.0×
Repair tongue laceration (41250) $1,190 $1,400 2.7×
Replace duodenostomy/jejunostomy tube perq (49451) $1,360 $1,600 1.5×
Replace G-J Tube Perc (49452) $1,360 $1,600 1.5×
Replace g/c tube perc (49450) $1,105 $1,300 1.2×
Reposition Gastrostomy Tube (43761) $641.75 $755 2.6×
Reposition L Ventric Lead (33226) $6,375 $7,500 2.0×
Reposition Pacing-Defib Lead (33215) $2,380 $2,800 0.8×
Revise external ear (69300) $2,720 $3,200 0.8×
Revise ulnar nerve at wrist (64719) $2,550 $3,000 1.3×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $9,775 $11,500 1.7×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $1,105 $1,300 1.2×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $2,550 $3,000 1.5×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $191.25 $225 0.4×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $1,275 $1,500 9.6×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $573.75 $675 1.3×
Rmvl fecal impaction/fb spx under anes (45915) $2,125 $2,500 1.8×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $1,190 $1,400 0.7×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $9,350 $11,000 2.5×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,615 $1,900 1.0×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,020 $1,200 1.6×
Rplc Gtube No Revj Trc (43762) $582.25 $685 2.3×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $3,400 $4,000 1.1×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,700 $2,000 1.1×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $2,805 $3,300 0.9×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $425 $500 2.1×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $935 $1,100 1.7×
Rpr Lip Full Thickness Vermilion Only (40650) $850 $1,000 1.6×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $2,465 $2,900 1.6×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $5,270 $6,200 1.6×
Sclerotx Fluid Collection (49185) $2,210 $2,600 1.3×
Scrotal exploration (55110) $5,355 $6,300 1.5×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $1,190 $1,400 1.3×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,275 $1,500 1.1×
Shave skin lesion 0.5 cm/< (11300) $136 $160 0.3×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310)
range across 2 matching MRF lines
$212.50–$1,105 $250–$1,300 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313)
range across 2 matching MRF lines
$255–$382.50 $300–$450 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $136 $160 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $136 $160 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $212.50 $250 1.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $233.75 $275 0.6×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $212.50 $250 1.1×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $318.75 $375 0.8×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $136 $160 0.7×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303)
range across 2 matching MRF lines
$212.50–$233.75 $250–$275 varies
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $136 $160 0.7×
Sigmoidoscopy & decompress (45337) $5,100 $6,000 5.5×
Sigmoidoscopy & Polypectomy (45333) $1,912.50 $2,250 2.1×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $2,252.50 $2,650 1.9×
Sigmoidoscopy flx tndsc balo dilat (45340) $2,720 $3,200 2.3×
Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) $2,550 $3,000 2.1×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $3,230 $3,800 2.7×
Sigmoidoscopy w/fb removal (45332) $3,145 $3,700 2.6×
Sigmoidoscopy w/plcmt stent (45347) $12,155 $14,300 2.0×
Sigmoidoscopy W/Resection (45349) $6,035 $7,100 2.2×
Sigmoidoscopy W/Ultrasound (45341) $2,380 $2,800 2.6×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $1,445 $1,700 1.6×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $3,145 $3,700 2.6×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $233.75 $275 0.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $255 $300 1.3×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $255 $300 1.3×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $425 $500 2.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $255 $300 1.3×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $221 $260 1.1×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $255 $300 1.3×
Skin sub graft face/nk/hf/g (15275) $2,975 $3,500 4.0×
Skin sub graft trnk/arm/leg (15271) $3,400 $4,000 4.6×
Skin Tissue Procedure (17999) $1,275 $1,500 6.3×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $9,775 $11,500 1.8×
Slctv cath carotid/innom art angio xtrcranl art (36222) $6,630 $7,800 2.1×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $20,400 $24,000 3.7×
Small bowel endoscopy (44384) $2,380 $2,800 1.2×
Small bowel endoscopy (44366) $4,930 $5,800 2.6×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $4,930 $5,800 2.6×
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379) $12,155 $14,300 2.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $255 $300 1.3×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $425 $500 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $255 $300 0.6×
Sphincterotomy anal division sphincter spx (46080) $2,975 $3,500 1.1×
Spinal puncture lumbar diagnostic (62270) $1,530 $1,800 2.2×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $3,825 $4,500 1.2×
Strapping ankle (29540) $59.50 $70 0.4×
Strapping elbow or wrist (29260) $63.75 $75 1.1×
Strapping hand/finger (29280) $63.75 $75 1.1×
Strapping knee (29530) $63.75 $75 0.5×
Strapping shoulder (29240) $68 $80 0.5×
Strapping thorax (29200) $153 $180 0.9×
Strapping Unna Boot (29580) $425 $500 2.6×
Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) $4,250 $5,000 1.3×
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines
$467.50–$531.25 $550–$625 varies
Tcat Insj/Rpl Perm Ldls Pm (33274) $17,850 $21,000 0.9×
Tcat Rmvl Perm Ldls Pm (33275) $7,650 $9,000 2.4×
Therapeutic plasma exchange (36514) $3,060 $3,600 2.0×
Thrmbc/Nfs Dialysis Circuit (36906) $28,050 $33,000 1.5×
Thrombolytic Art Therapy (37211) $5,780 $6,800 1.0×
Thrombolytic Venous Therapy (37212) $1,419.50 $1,670 0.4×
Thyroid biopsy (60100) $2,975 $3,500 4.2×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $2,550 $3,000 1.2×
Tracheostomy Emergency Cricothyroid Membrane (31605) $394.40 $464 1.7×
Transcatheter biopsy (37200) $6,375 $7,500 1.1×
Transoral lower esophageal myotomy (43497) $6,800 $8,000 1.1×
Treat Dental Ridge Fracture (21440) $5,100 $6,000 1.5×
Treat Hip Socket Fracture (27222) $2,125 $2,500 8.6×
Treat Humerus Fracture (24505) $340 $400 0.2×
Treat knee fracture (27532) $340 $400 0.1×
Treat Knuckle Dislocation (26700) $616.25 $725 2.5×
Treat Thumb Dislocation (26641) $620.50 $730 2.5×
Treatment closed elbow dislocation w/o anes (24600) $340 $400 1.4×
Trim skin lesion (11055) $297.50 $350 1.5×
Trim skin lesions 2 to 4 (11056) $212.50 $250 1.1×
Trim skin lesions over 4 (11057) $637.50 $750 3.2×
Trimming Nondystrophic Nails Any Number (11719) $106.25 $125 1.8×
Trluml Balo Angiop 1St Art (37246) $7,225 $8,500 1.3×
Trluml Balo Angiop 1St Vein (37248) $11,050 $13,000 1.9×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $5,780 $6,800 2.1×
Tx open tendon flexor toe 1 tendon spx (28232) $2,720 $3,200 1.7×
Tx Superficial Wound Dehiscence Simple Closure (12020) $467.50 $550 0.6×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $3,740 $4,400 2.4×
Unlisted Cardiac Surgery (33999) $4,250 $5,000 6.8×
Unlisted procedure anus (46999) $1,190 $1,400 1.3×
Unlisted Procedure Biliary Tract (47999) $3,442.50 $4,050 3.8×
Unlisted procedure colon (45399) $1,870 $2,200 2.0×
Unlisted Procedure Esophagus (43499) $2,125 $2,500 2.3×
Unlisted procedure foot or toes (28899) $1,105 $1,300 4.5×
Unlisted Procedure Intestine (44799) $2,380 $2,800 2.6×
Unlisted procedure larynx (31599) $9,775 $11,500 41.2×
Unlisted procedure lungs and pleura (32999) $1,045.50 $1,230 1.7×
Unlisted Procedure Muscskeletal System General (20999)
range across 2 matching MRF lines
$127.50–$8,925 $150–$10,500 varies
Unlisted procedure nervous system (64999) $1,275 $1,500 4.1×
Unlisted procedure pancreas (48999) $3,825 $4,500 5.4×
Unlisted procedure pelvis/hip joint (27299) $425 $500 1.7×
Unlisted Procedure Rectum (45999) $1,190 $1,400 1.3×
Unlisted procedure stomach (43999) $1,190 $1,400 1.3×
Unlisted Procedure Vascular Surgery (37799) $148.75 $175 0.2×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $765 $900 0.8×
Unlisted Procedure, Urinary System (53899) $3,400 $4,000 13.6×
Upgrade of pacemaker system (33214) $15,300 $18,000 1.5×
Vaginal Delivery After Cesarean Delivery (59612) $3,400 $4,000 1.0×
Vaginal delivery only (59409)
range across 3 matching MRF lines
$3,825–$4,675 $4,500–$5,500 varies
Vasc embolize/occlude artery (37242) $21,250 $25,000 1.2×
Vasc Embolize/Occlude Bleed (37244) $15,300 $18,000 1.3×
Vasc Embolize/Occlude Organ (37243) $21,250 $25,000 1.8×
Vasc embolize/occlude venous (37241) $21,250 $25,000 1.8×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 2 matching MRF lines
$2,805–$2,975 $3,300–$3,500 varies
Venous Mech Thrombectomy (37187) $8,925 $10,500 0.8×
Wedge excision skin nail fold (11765) $255 $300 0.6×
Windowing of cast (29730) $127.50 $150 0.8×

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.