Procedures & surgery prices at Mount St. Mary's Hospital and Health Center

Lewiston, NY · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines
$605.55–$1,657 $1,657 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,657 $1,657 1.5×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $3,507 $3,507 1.4×
Amniocentesis diagnostic (59000) $1,298 $1,298 1.1×
Anoscopy diagnostic (46600) $231 $231 1.4×
Apheresis Platelets (36513) $813 $813 1.5×
Application cast elbow finger short arm (29075) $494 $494 1.4×
Application Cast Finger (29086) $164 $164 0.8×
Application Cast Shoulder Spica (29055) $269 $269 0.8×
Application Finger Splint Dynamic (29131) $65 $65 0.9×
Application finger splint static (29130) $231 $231 1.4×
Application long arm splint shoulder hand (29105) $289 $289 1.4×
Application Long Leg Cast Brace (29358) $269 $269 0.8×
Application Long Leg Cast Walker/Ambulatory Type (29355) $450 $450 1.3×
Application Long Leg Splint (29505) $289 $289 1.4×
Application of cylinder cast (thigh to ankle) (29365) $269 $269 0.8×
Application of long leg cast (29345) $494 $494 1.4×
Application of rigid total contact leg cast (29445) $512 $512 1.5×
Application Patellar Tendon Bearing Cast (29435) $269 $269 0.8×
Application Short Arm Splint Dynamic (29126) $231 $231 1.4×
Application short arm splint forearm-hand static (29125)
range across 4 matching MRF lines
$231–$346.50 $231–$346.50 varies
Application short leg splint calf foot (29515) $289 $289 1.4×
Apply hand/wrist cast (29085) $164 $164 0.8×
Apply long arm cast (29065)
range across 2 matching MRF lines
$304–$494 $304–$494 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 18 matching MRF lines
$289–$433.50 $289–$433.50 varies
Apply Short Leg Cast (29405) $494 $494 1.4×
Apply short leg cast (29425) $494 $494 1.4×
Arterial puncture (36600) $231 $231 1.4×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 4 matching MRF lines
$535–$802.50 $535–$802.50 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,300 $1,300 1.5×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 15 matching MRF lines
$535–$802.50 $535–$802.50 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $535 $535 1.4×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 4 matching MRF lines
$535–$802.50 $535–$802.50 varies
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $3,662 $3,662 0.9×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $2,852 $2,852 1.4×
Aspirate pleura w/ imaging (32555) $1,107 $1,107 1.4×
Aspirate Pleura W/O Imaging (32554) $1,107 $1,107 1.4×
Aspirate/Inj Ganglion Cyst (20612) $535 $535 1.4×
Aspiration bladder insert suprapubic catheter (51102) $3,666 $3,666 1.4×
Avulsion nail plate partial/complete simple 1 (11730)
range across 4 matching MRF lines
$368–$552 $368–$552 varies
Biopsy Abdominal Mass (49180) $2,881 $2,881 1.4×
Biopsy bone trocar/needle deep (20225) $2,881 $2,881 1.4×
Biopsy Bone Trocar/Needle Superficial (20220) $2,881 $2,881 1.4×
Biopsy external ear (69100) $433 $433 1.5×
Biopsy muscle percutaneous needle (20206) $2,881 $2,881 1.4×
Biopsy of liver, needle; percutaneous (47000) $2,881 $2,881 1.4×
Biopsy of palate, uvula (42100) $2,770 $2,770 1.4×
Biopsy Oropharynx (42800) $2,770 $2,770 1.4×
Biopsy Pleura Percutaneous Needle (32400) $2,881 $2,881 1.4×
Biopsy Salivary Gland Needle (42400) $1,274 $1,274 1.4×
Biopsy Tongue Posterior One-Third (41105) $5,602 $5,602 1.4×
Biopsy Vaginal Mucosa Extensive (57105) $5,372 $5,372 1.3×
Biopsy Vaginal Mucosa Simple (57100) $1,298 $1,298 1.1×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $1,298 $1,298 1.1×
Bladder Irrigation (51700) $545 $545 1.7×
Bladder Scan (51798) $114 $114 1.5×
Blepharotomy drainage abscess eyelid (67700) $536 $536 1.4×
Blood Transfusion Service (36430) $555.68 $813 1.0×
Bone Marrow Biopsy (38221) $2,881 $2,881 1.4×
Bone Marrow; Aspiration Only (38220) $2,881 $2,881 1.4×
Bx breast 1st lesion strtctc (19081) $2,881 $2,881 1.4×
Bx breast 1st lesion us imag (19083) $2,881 $2,881 1.4×
Bx Cervix (57500) $1,298 $1,298 1.1×
Canthotomy Separate Procedure (67715) $4,098 $4,098 1.4×
Cerclage cervix pregnancy vaginal (59320) $5,372 $5,372 1.3×
Cessj Therapy Cath Removal (37214) $5,862 $5,862 1.5×
Change Cystostomy Tube Complicated (51710) $773 $773 0.9×
Change Cystostomy Tube Simple (51705) $545 $545 1.7×
Change of Windpipe Airway (31502) $433 $433 1.5×
Chemical Cautery Tissue (17250) $368 $368 1.5×
Chemodenerv 1 extrem 5/> mus (64644)
range across 2 matching MRF lines
$783–$1,300 $783–$1,300 varies
Chemodenerv 1 extremity 1-4 (64642) $1,300 $1,300 1.5×
Chemodenerv Musc Migraine (64615)
range across 3 matching MRF lines
$535–$802.50 $535–$802.50 varies
Chemodenerv musc neck dyston (64616) $535 $535 1.4×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $535 $535 1.4×
Chest tube placement (32551) $2,879 $2,879 1.5×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $6,515 $6,515 1.5×
Circumcision 28 days or older (54161) $3,666 $3,666 1.4×
Circumcision Neonate (54160) $1,178 $1,178 1.4×
Circumcision w/clamp/oth dev w/block (54150) $3,666 $3,666 1.4×
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines
$2,158–$2,852 $2,158–$2,852 varies
Clear outer ear canal (69200)
range across 6 matching MRF lines
$231–$346.50 $231–$346.50 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $422 $422 1.4×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,778 $1,778 0.9×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $413 $413 1.3×
Closed Treatment Ulnar Styloid Fracture (25650) $787 $787 2.6×
Closed tx ankle dislocation w/o anesthesia (27840) $422 $422 1.4×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $2,852 $2,852 1.4×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $1,436 $1,436 4.7×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines
$1,058–$1,079 $1,058–$1,079 varies
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $422 $422 1.4×
Closed Tx Knee Dislocation W/Anesthesia (27552) $1,867 $1,867 0.9×
Closed tx knee dislocation w/o anesthesia (27550) $422 $422 1.4×
Closed Tx Lunate Dislocation W/Manipulation (25690) $2,852 $2,852 1.4×
Closed tx metatarsal fracture w/o manipulation (28470) $480 $480 1.6×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $2,770 $2,770 1.4×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $5,602 $5,602 1.4×
Closed tx patellar dislocation w/anesthesia (27562) $422 $422 1.4×
Closed tx patellar dislocation w/o anesthesia (27560) $422 $422 1.4×
Closed Tx Patellar Fracture W/O Manipulation (27520) $422 $422 1.4×
Closed tx radial head/neck fx w/manipulation (24655) $2,852 $2,852 1.4×
Closed tx radial head/neck fx w/o manipulation (24650) $641 $641 2.1×
Closed tx radial shaft fracture w/manipulation (25505) $2,852 $2,852 1.4×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $614 $614 2.0×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $2,852 $2,852 1.4×
Closed tx radial&ulnar shaft fractures w/o man (25560) $402 $402 1.3×
Closed Tx Scapular Fracture W/O Manipulation (23570) $422 $422 1.4×
Closed tx talus fracture w/o manipulation (28430) $993 $993 3.2×
Closed tx temporomandibular dislc comp 1st/sbsq (21485) $2,770 $2,770 1.4×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $422 $422 1.4×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $2,852 $2,852 1.4×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $414 $414 1.3×
Closed tx ulnar shaft fracture w/o manipulation (25530) $850 $850 2.8×
Clsd tx clavicular fracture w/o manipulation (23500) $422 $422 1.4×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,852 $2,852 1.4×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $422 $422 1.4×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $422 $422 1.4×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,530 $1,530 0.8×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,529 $1,529 0.8×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $869 $869 2.8×
Cltx dstl fibular fx lat malls w/manj (27788) $422 $422 1.4×
Cltx dstl fibular fx lat malls w/o manj (27786) $422 $422 1.4×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $422 $422 1.4×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $422 $422 1.4×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $856 $856 2.8×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $2,852 $2,852 1.4×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $1,793 $1,793 5.8×
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 2 matching MRF lines
$480–$489 $480–$489 varies
Cltx fx grt toe phlx/phlg w/o manj (28490) $422 $422 1.4×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $480 $480 1.6×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $296 $296 1.0×
Cltx greater humeral tuberosity fx w/o manj (23620) $447 $447 1.5×
Cltx hip dislocation traumatic req anesthesia (27252) $2,852 $2,852 1.4×
Cltx hip dislocation traumatic w/o anesthesia (27250) $422 $422 1.4×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $422 $422 1.4×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $848 $848 2.8×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $422 $422 1.4×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $543 $543 1.6×
Cltx iphal jt dislc w/manj w/o anes (26770) $535 $535 1.7×
Cltx Med Ankle Fx W/Mnpj (27762) $2,852 $2,852 1.4×
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines
$422–$1,360 $422–$1,360 varies
Cltx metacarpal fx w/manipulation each bone (26605) $422 $422 1.4×
Cltx metacarpal fx w/o manipulation each bone (26600) $450 $450 1.5×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $2,852 $2,852 1.4×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $422 $422 1.4×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $422 $422 1.4×
Cltx post hip arthrp dislc req anes (27266) $2,852 $2,852 1.4×
Cltx post hip arthrp dislc w/o anes (27265)
range across 3 matching MRF lines
$422–$516 $422–$516 varies
Cltx prox fibula/shft fx w/o manj (27780) $422 $422 1.4×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,778 $1,778 0.9×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $422 $422 1.4×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $422 $422 1.4×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $2,852 $2,852 1.4×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,786 $1,786 0.9×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines
$422–$900 $422–$900 varies
Cltx tibial fx proximal w/o manipulation (27530) $422 $422 1.4×
Cltx tibial shaft fx w/o manipulation (27750) $422 $422 1.4×
Cltx trimalleolar ankle fx w/manipulation (27818) $2,852 $2,852 1.4×
Cltx trimalleolar ankle fx w/o manipulation (27816) $422 $422 1.4×
Collect Blood From Catheter Venous Nos (36592) $231 $231 1.4×
Collection of venous blood by venipuncture (36415) $10 $10 1.1×
Colporrhaphy (57200) $5,372 $5,372 1.3×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $578 $578 1.5×
Colposcopy Cervix Endocervical Curettage (57456) $578 $578 1.5×
Colposcopy cervix upper/adjacent vagina (57452) $349 $349 1.4×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $578 $578 1.5×
Colposcopy entire vagina w/cervix if present (57420) $578 $578 1.5×
Colposcopy of vulva (56820) $349 $349 1.4×
Colposcopy Vulva W/Biopsy (56821) $578 $578 1.5×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $1,298 $1,298 1.1×
Colpotomy; with drainage of pelvic abscess (57010) $5,372 $5,372 1.3×
Conization of cervix (57520) $5,372 $5,372 1.3×
Control Nasal Hemorrhage Anterior Complex (30903) $231 $231 1.4×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 6 matching MRF lines
$244–$366 $244–$366 varies
Control oropharyngeal hemorrhage simple (42960) $926 $926 1.4×
Conversion ext bil drg cath (47535) $6,515 $6,515 1.5×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $3,326 $3,326 1.4×
Convert Nephrostomy Catheter (50434) $3,666 $3,666 1.4×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,881 $2,881 1.4×
Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) $3,418 $3,418 0.8×
Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) $6,296 $6,296 1.4×
Create Eardrum Opening (69433)
range across 6 matching MRF lines
$926–$1,389 $926–$1,389 varies
Csf shunt reprogram (62252) $559 $559 1.5×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $231 $231 1.4×
Curettage postpartum (59160) $5,372 $5,372 1.3×
Cysto calibration dilat urtl strix/stenosis (52281) $3,666 $3,666 1.4×
Cysto w/insert ureteral stent (52332) $6,296 $6,296 1.4×
Cysto w/irrig & evac multple obstructing clots (52001) $6,296 $6,296 1.4×
Cystometrogram W/Vp&Up (51729) $1,178 $1,178 1.4×
Cystourethroscopy (52000) $1,178 $1,178 1.4×
Cystourethroscopy w/dil bladder general anesth (52260) $1,978 $1,978 0.8×
Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) $1,978 $1,978 0.8×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $1,072 $1,072 2.1×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $1,274 $1,274 1.4×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,072 $1,072 1.2×
Debride nail 1-5 (11720) $114 $114 1.5×
Debride nail 6 or more (11721)
range across 2 matching MRF lines
$114–$116 $114–$116 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $2,881 $2,881 1.4×
Debridement Mastoidectomy Cavity Simple (69220) $368 $368 1.5×
Debridement subcutaneous tissue 20 sq cm/< (11042) $708 $708 1.4×
Declot vascular device (36593) $653 $653 1.6×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $2,263 $2,263 0.9×
Delivery of placenta (59414) $5,372 $5,372 1.3×
Destroy cerv/thor facet jnt (64633) $3,596 $3,596 1.5×
Destroy lumb/sac facet jnt (64635) $3,596 $3,596 1.5×
Destruct B9 Lesion 1-14 (17110) $368 $368 1.5×
Destruction Benign Lesions 15/> (17111) $368 $368 1.5×
Destruction Lesions Vulva Extensive (56515) $3,507 $3,507 1.4×
Destruction Lesions Vulva Simple (56501) $3,507 $3,507 1.4×
Destruction neurolytic agt genicular nerve w/img (64624) $3,596 $3,596 1.5×
Destruction premalignant lesion 1st (17000) $368 $368 1.5×
Destruction Vaginal Lesions Simple (57061) $5,372 $5,372 1.3×
Dilate Esophagus 1/Mult Pass (43450) $1,026 $1,026 0.9×
Dilate Urethra Stricture (53600) $545 $545 1.7×
Dilation Cervical Canal (57800) $3,538 $3,538 0.9×
Drain Cerebro Spinal Fluid (62272) $687 $687 0.8×
Drain Hand Tendon Sheath (26020) $5,799 $5,799 1.4×
Drainage Abscess/Hematoma Nasal Septum (30020) $926 $926 1.4×
Drainage External Ear Abscess/Hematoma Simple (69000) $1,274 $1,274 1.4×
Drainage Finger Abscess Complicated (26011) $2,881 $2,881 1.4×
Drainage Mouth Roof Lesion (42000) $433 $433 1.5×
Drainage of finger abscess simple (26010) $368 $368 1.5×
Drainage of gum lesion (41800) $231 $231 1.4×
Drainage of hematoma/fluid (10140) $2,881 $2,881 1.4×
Drainage of hydrocele (55000) $796 $796 0.9×
Drainage of nose lesion (30000) $433 $433 1.5×
Drainage of rectal abscess (45005) $2,123 $2,123 1.4×
Drainage of scrotal wall abscess (55100) $2,881 $2,881 1.4×
Drainage of scrotum (54700) $3,666 $3,666 1.4×
Drainage of throat abscess (42725) $10,414 $10,414 1.4×
Draw Blood Off Venous Device (36591) $231 $231 1.4×
Dressing Change Under Anesthesia (15852) $1,072 $1,072 1.2×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $1,274 $1,274 1.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $398 $398 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $368 $368 1.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $368 $368 1.5×
Dstrj les/scar vestibule mouth physical meths (40820) $5,602 $5,602 1.4×
Dx Bone Marrow Bx & Aspir (38222) $4,855 $4,855 1.3×
Dx Bronchoscope/Wash (31622) $3,064 $3,064 1.4×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,300 $1,300 1.5×
Egd control bleeding any (43255) $1,857 $1,857 0.8×
Egd Flexible Foreign Body Removal (43247) $1,657 $1,657 1.5×
Electro-Uroflowmetry First (51741) $286 $286 1.1×
Endocervical curettage (57505) $1,298 $1,298 1.1×
Endometrial Biopsy (58100) $349 $349 1.4×
Endovasc Temp Balloon Occlus,Head/Nck (61623) $20,568 $20,568 1.4×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $5,862 $5,862 1.5×
Endoven ther chem adhes 1st (36482) $9,765 $9,765 1.4×
Epidural Blood Patch (62273) $1,300 $1,300 1.5×
Esophagoscopy Flexible Transoral Diagnostic (43200) $1,657 $1,657 1.5×
Evacuation of subungual hematoma (11740) $231 $231 1.4×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $1,274 $1,274 1.4×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $2,881 $2,881 1.4×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $1,274 $1,274 1.4×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $2,881 $2,881 1.4×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $1,274 $1,274 1.4×
Exc Hand Les Sc < 1.5 Cm (26115) $2,881 $2,881 1.4×
Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) $5,602 $5,602 1.4×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $5,602 $5,602 1.4×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $2,123 $2,123 1.4×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $708 $708 1.4×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $1,274 $1,274 1.4×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $6,515 $6,515 1.5×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $3,666 $3,666 1.4×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $3,326 $3,326 1.4×
Excis Mouth Mucosa/Sub,No Repair (40810) $5,602 $5,602 1.4×
Excision Lingual Frenum Frenectomy (41115) $2,770 $2,770 1.4×
Excision nasal polyp(s) simple (30110) $2,770 $2,770 1.4×
Excision of pilonidal cyst or sinus; simple (11770) $4,855 $4,855 1.3×
Excision of vaginal cyst or tumor (57135) $5,372 $5,372 1.3×
Excision Pilonidal Cyst/Sinus Complicated (11772) $4,855 $4,855 1.3×
Excision Pilonidal Cyst/Sinus Extensive (11771) $4,855 $4,855 1.3×
Explo/Drain Breast Abscess (19020) $2,881 $2,881 1.4×
External cephalic version (59412) $5,372 $5,372 1.3×
Fetal non-stress test (59025)
range across 2 matching MRF lines
$389–$500 $389–$500 varies
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,274 $1,274 1.4×
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines
$398–$708 $398–$708 varies
Fluoro exam of g/colon tube (49465) $471 $471 1.6×
Fna Bx W/Fluor Gdn 1St Les (10007) $1,274 $1,274 1.4×
Fna bx w/us gdn 1st les (10005) $1,274 $1,274 1.4×
Foreskin manipulation (54450) $340 $340 1.1×
Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) $2,263 $2,263 0.9×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $3,507 $3,507 1.4×
Gene analysis for detection of infectious agent and drug resistance gene (0112U) $678 $678 1.9×
Guide Cathet Fluid Drainage (10030) $1,274 $1,274 1.4×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $5,002 $5,002 1.4×
Hysteroscopy Dx Sep Proc (58555) $5,372 $5,372 1.3×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $5,602 $5,602 1.4×
I&d abscess peritonsillar (42700) $433 $433 1.5×
I&d abscess simple (10060) $368 $368 1.5×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $5,799 $5,799 1.4×
I&D Mouth/Tong Intra,Masticator (41009) $1,462 $1,462 2.2×
I&d perianal abscess superficial (46050) $1,625 $1,625 1.4×
I&d pilonidal cyst complicated (10081) $1,274 $1,274 1.4×
I&d pilonidal cyst simple (10080) $1,274 $1,274 1.4×
I&d upper arm/elbow deep abscess/hematoma (23930) $4,855 $4,855 1.3×
Icd Pocket Revision (33223) $3,507 $3,507 1.4×
Image Cath Fluid Colxn Visc (49405) $2,881 $2,881 1.4×
Image Cath Fluid Peri/Retro (49406) $2,881 $2,881 1.4×
Image Cath Fluid Trns/Vgnl (49407) $2,881 $2,881 1.4×
Implant neuroelectrodes (63650) $12,495.52 $12,622 1.6×
Incise external hemorrhoid (46083) $545 $545 1.7×
Incision & drainage abscess complicated/multiple (10061) $708 $708 1.4×
Incision & drainage leg/ankle abscess/hematoma (27603) $4,855 $4,855 1.3×
Incision & removal foreign body subq tiss compl (10121) $2,881 $2,881 1.4×
Incision & removal foreign body subq tiss simple (10120) $708 $708 1.4×
Incision and drainage of bartholin's gland abscess (56420) $349 $349 1.4×
Incision and drainage of vulva or perineal abscess (56405) $578 $578 1.5×
Incision of eardrum (69420) $433 $433 1.5×
Incision of lingual frenum (frenotomy) (41010) $2,770 $2,770 1.4×
Incision of rectal abscess (46040) $2,123 $2,123 1.4×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,835 $1,835 0.9×
Incisional biopsy skin single lesion (11106) $1,072 $1,072 1.2×
Initial Tx 1st Degree Burn Local Tx (16000) $368 $368 1.5×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $1,686 $1,686 1.5×
Inj W/Fluor Eval Cv Device (36598) $419 $419 1.6×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,686 $1,686 1.5×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines
$336–$535 $336–$535 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,300 $1,300 1.5×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,300 $1,300 1.5×
Injection Anes Agent Sphenopalatine Ganglion (64505) $336 $336 0.9×
Injection for identification of sentinel node (38792) $772 $772 1.5×
Injection single tendon origin/insertion (20551) $336 $336 0.9×
Injection single/mlt trigger point 1/2 muscles (20552) $535 $535 1.4×
Injection single/mlt trigger point 3/> muscles (20553) $535 $535 1.4×
Injection therapeutic carpal tunnel (20526)
range across 8 matching MRF lines
$535–$802.50 $535–$802.50 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 6 matching MRF lines
$1,300–$1,950 $1,300–$1,950 varies
Injection, anesthetic agent; vagus nerve (64408) $535 $535 1.4×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $1,686 $1,686 1.5×
Ins cath ren art 1st bilat (36252) $5,862 $5,862 1.5×
Ins cath ren art 1st unilat (36251) $5,862 $5,862 1.5×
Ins cath ren art 2nd+ bilat (36254) $5,862 $5,862 1.5×
Ins cath ren art 2nd+ unilat (36253) $9,765 $9,765 1.4×
Ins endovas vena cava filtr (37191) $9,765 $9,765 1.4×
Ins/Rep Subq Defibrillator (33270) $67,261 $67,261 1.7×
Insert 1 Electrode Pm-Defib (33216) $16,706 $16,706 1.6×
Insert Bladder Cath Complex (51703) $366 $366 2.3×
Insert cath pleura w/ image (32557) $2,713 $2,713 1.4×
Insert cath pleura w/o image (32556) $3,326 $3,326 1.4×
Insert Gastrostomy Tube Percutaneous (49440) $3,326 $3,326 1.4×
Insert Heart Pm Atrial (33206) $21,291 $21,291 1.6×
Insert Heart Pm Ventricular (33207) $21,291 $21,291 1.6×
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure
$2,646 $2,646 0.1×
Insert Nasal Septal Button (30220) $2,770 $2,770 1.4×
Insert non-tunnel cv cath (36556) $5,862 $5,862 1.5×
Insert Pacing Lead & Connect (33224) $21,291 $21,291 1.6×
Insert pessary/other device (57160) $349 $349 1.4×
Insert pulse gen dual leads (33213) $13,272 $13,272 1.0×
Insert pulse gen mult leads (33221) $23,772 $23,772 1.0×
Insert Pulse Gen Sngl Lead (33212) $10,414 $10,414 1.0×
Insert Temp Bladder Cath (51702) $261 $261 1.6×
Insert tun ip cath perc (49418) $6,515 $6,515 1.5×
Insert tunneled cv cath (36561) $1,252.08 $5,862 0.3×
Insert,Non-Indwelling Bladder Catheter (51701) $231 $231 1.4×
Insertion indwelling tunneled pleural catheter (32550)
range across 2 matching MRF lines
$3,827–$6,515 $3,827–$6,515 varies
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,879 $2,879 1.5×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $16,706 $16,706 1.6×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $16,706 $16,706 1.6×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $5,862 $5,862 1.5×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $300.68 $2,879 0.2×
Insj Subq Impltbl Dfb Elctrd (33271) $16,706 $16,706 1.6×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $5,862 $5,862 1.5×
Insj/Rplcmt Defib W/Lead(S) (33249) $67,261 $67,261 1.7×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $16,706 $16,706 1.6×
Insrt heart pm atrial & vent (33208) $21,291 $21,291 1.6×
Insrt Pulse Gen W/Dual Leads (33230) $28,290 $28,290 1.0×
Insrt Pulse Gen W/Singl Lead (33240) $28,442 $28,442 1.0×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $708 $708 1.4×
Intranasal Biopsy (30100) $2,770 $2,770 1.4×
Intraoral i&d tongue/floor submndblr space (41008) $3,034 $3,034 0.7×
Intro cath dialysis circuit (36901) $2,879 $2,879 1.5×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $20,568 $20,568 1.4×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $10,149 $10,149 1.4×
Intro Gastrointestinal Tube (44500) $1,657 $1,657 1.5×
Intubation endotracheal emergency procedure (31500) $433 $433 1.5×
Irrigation of corpora cavernosa for priapism (54220) $545 $545 1.7×
Laryngoscopy diagnostic (31505) $337 $337 1.4×
Laryngoscopy flexible diagnostic (31575) $337 $337 1.4×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $3,064 $3,064 1.4×
Laryngoscopy W/Foreign Body Removal (31530) $3,064 $3,064 1.4×
Ligation of a-v fistula (37607) $5,862 $5,862 1.5×
Litholapaxy comp/lg > 2.5 cm (52318) $6,296 $6,296 1.4×
Lithotripsy, extracorporeal shock wave (50590) $6,296 $6,296 1.4×
Lyse chest fibrin init day (32561) $1,107 $1,107 1.4×
Lyse Chest Fibrin Subq Day (32562) $1,107 $1,107 1.4×
Marsupialization of bartholin's gland cyst (56440) $5,372 $5,372 1.3×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $2,879 $2,879 1.5×
Myelography Lumbar Injection (62305) $1,465 $1,465 1.5×
Myelography Lumbar Injection (62304) $1,465 $1,465 1.5×
Myelography via lumbar injection rs&i cervical (62302) $1,465 $1,465 1.5×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $1,465 $1,465 1.5×
N Block Inj Celiac Pelus (64530) $1,686 $1,686 1.5×
N Block Inj Ilio-Ing/Hypogi (64425) $1,300 $1,300 1.5×
N Block Inj Plantar Digit (64455) $290 $290 0.8×
Nasal Endoscopy Dx (31231) $337 $337 1.4×
Nasal/Orogastric W/Tube Plmt (43752) $556 $556 1.0×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237)
range across 4 matching MRF lines
$3,064–$4,596 $3,064–$4,596 varies
Needle Biopsy Lymph Nodes (38505) $2,881 $2,881 1.4×
Needle Biopsy Pancreas (48102) $2,881 $2,881 1.4×
Neuroeltrd Stim Post Tibial (64566) $535 $535 1.4×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $535 $535 1.4×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $6,515 $6,515 1.5×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $6,515 $6,515 1.5×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $565.42 $1,686 0.5×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,300 $1,300 1.5×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,300 $1,300 1.5×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $1,178 $1,178 1.4×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $1,178 $1,178 1.4×
Occipital Nerve Block (64405)
range across 6 matching MRF lines
$535–$802.50 $535–$802.50 varies
Open Tx Distal Phalangeal Fracture Each (26765) $5,799 $5,799 1.4×
Open/Perq Place Stent 1St (37236) $20,568 $20,568 1.4×
Open/Perq Place Stent Same (37238) $20,568 $20,568 1.4×
Partial removal of tibia (27640) $3,662 $3,662 0.9×
Penile Injection (54235) $545 $545 1.7×
Percut Cath Occlusn Non Cns Lesn (61626) $20,568 $20,568 1.4×
Percut Drain/Inject Renal Cyst (50390) $1,274 $1,274 1.4×
Pericardiocentesis W/Imaging (33016) $2,879 $2,879 1.5×
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure
$4,649 $4,649 0.2×
Perq dev breast 1st us imag (19285) $1,274 $1,274 1.4×
Perq device breast 1st imag (19281)
range across 3 matching MRF lines
$1,220.36–$1,274 $1,274 varies
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $20,568 $20,568 1.4×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $10,149 $10,149 1.4×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $12,826 $12,826 1.4×
Perq Vertebral Augmentation (22513) $12,826 $12,826 1.4×
Place Cath Subclavian Art (36225) $5,862 $5,862 1.5×
Place Cath Thoracic Aorta (36221) $5,862 $5,862 1.5×
Place Cath Vertebral Art (36226) $9,765 $9,765 1.4×
Place Duod/Jej Tube Perc (49441) $364 $364 0.2×
Placement of needle for intraosseous infusion (36680) $556 $556 1.0×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $10,361 $10,361 1.4×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $3,666 $3,666 1.4×
Plmt Nephroureteral Catheter (50433) $6,296 $6,296 1.4×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $6,296 $6,296 1.4×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $6,296 $6,296 1.4×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $6,296 $6,296 1.4×
Prim art mech thrombectomy (37184) $20,568 $20,568 0.9×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $1,274 $1,274 1.4×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $6,515 $6,515 1.5×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $6,515 $6,515 1.5×
Pseudoaneurysm Injection Trt (36002) $1,107 $1,107 1.4×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines
$452–$708 $452–$708 varies
Puncture aspiration abscess hematoma bulla/cyst (10160) $708 $708 1.4×
Puncture Aspiration Cyst Breast (19000) $1,274 $1,274 1.4×
Puncture shunt tube/reservoir aspiration/inj px (61070) $1,300 $1,300 1.5×
Reduction of rectal prolapse (45900) $887 $887 0.8×
Relocation Pocket Pacemaker (33222) $3,507 $3,507 1.4×
Rem Endovas Vena Cava Filter (37193) $5,862 $5,862 1.5×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $1,657 $1,657 1.5×
Removal Foreign Body Deep Thigh/Knee (27372) $4,855 $4,855 1.3×
Removal foreign body foot deep (28192) $1,599 $1,599 0.8×
Removal Foreign Body Foot Subcutaneous (28190) $1,274 $1,274 1.4×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $2,881 $2,881 1.4×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 9 matching MRF lines
$114–$171 $114–$171 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 8 matching MRF lines
$123–$184.50 $123–$184.50 varies
Removal implantable contraceptive capsules (11976)
range across 2 matching MRF lines
$692–$1,274 $692–$1,274 varies
Removal of foreign body from pharynx (42809) $556 $556 1.0×
Removal of nail bed (11750)
range across 4 matching MRF lines
$708–$1,062 $708–$1,062 varies
Removal of tunneled intraperitoneal catheter (49422) $5,862 $5,862 1.5×
Removal Pacemaker Electrode (33235) $7,051 $7,051 1.5×
Removal ppm generator only (33233) $16,706 $16,706 1.6×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $368 $368 1.5×
Removal subcutaneous cardiac rhythm monitor (33286) $1,274 $1,274 1.4×
Remove brain canal fluid (61050) $285 $285 0.7×
Remove cerclage suture (59871) $5,372 $5,372 1.3×
Remove drug implant device (11982) $556 $556 1.0×
Remove Elctrd Transvenously (33244) $7,051 $7,051 1.5×
Remove foreign body from eye (65235) $3,854 $3,854 1.3×
Remove foreign body from eye (65205) $231 $231 1.4×
Remove Intrauterine Device (58301) $578 $578 1.5×
Remove intrvas foreign body (37197) $5,862 $5,862 1.5×
Remove lung catheter (32552) $1,107 $1,107 1.4×
Remove Nasal Foreign Body (30300) $231 $231 1.4×
Remove Pulse Generator (33241) $7,051 $7,051 1.5×
Remove&replace pm gen singl (33227) $16,706 $16,706 1.6×
Remv&replc cvd gen dual lead (33263) $47,219 $47,219 1.7×
Remv&replc cvd gen mult lead (33264) $67,261 $67,261 1.7×
Remv&replc cvd gen sing lead (33262) $47,219 $47,219 1.7×
Remv&replc pm gen dual lead (33228) $21,291 $21,291 1.6×
Remv&replc pm gen mult leads (33229) $38,136 $38,136 1.6×
Renal Biopsy Perq (50200) $2,881 $2,881 1.4×
Repair Achilles Tendon (27650) $8,094 $8,094 0.9×
Repair Blood Vessel Direct Upper Extremity (35206) $3,177 $3,177 0.8×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $724 $724 0.8×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,072 $1,072 1.2×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $708 $708 1.4×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,072 $1,072 2.1×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,072 $1,072 2.1×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,072 $1,072 2.1×
Repair complex trunk 1.1-2.5 cm (13100) $711 $711 0.8×
Repair extensor tendon finger w/o graft each (26418) $2,852 $2,852 1.4×
Repair Finger/Hand Tendon (26350) $5,799 $5,799 1.4×
Repair Hand Tendon (26410) $2,852 $2,852 1.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $708 $708 1.4×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $708 $708 1.4×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $708 $708 1.4×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $708 $708 1.4×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $651 $651 0.7×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $708 $708 1.4×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $708 $708 1.4×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,072 $1,072 1.2×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $1,933 $1,933 0.8×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $708 $708 1.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $708 $708 1.4×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $708 $708 1.4×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,072 $1,072 1.2×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $708 $708 1.4×
Repair intermediate s/a/t/e >30.0 cm (12037) $3,507 $3,507 1.4×
Repair intrinsic muscles hand each muscle (26591) $5,799 $5,799 1.4×
Repair lead pace-defib dual (33220) $4,395 $4,395 0.9×
Repair Lead Pace-Defib One (33218) $7,051 $7,051 1.5×
Repair of nail bed (11760) $1,072 $1,072 1.2×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $5,799 $5,799 1.4×
Repair tongue laceration (41252) $277 $277 0.9×
Repair tongue laceration (41250) $556 $556 1.0×
Replace duodenostomy/jejunostomy tube perq (49451) $1,657 $1,657 1.5×
Replace G-J Tube Perc (49452) $1,657 $1,657 1.5×
Replace g/c tube perc (49450) $1,657 $1,657 1.5×
Repos Previously Implanted Subq Implantable Dfb (33273) $7,051 $7,051 1.5×
Reposition Gastrostomy Tube (43761) $545 $545 1.7×
Reposition L Ventric Lead (33226) $5,862 $5,862 1.5×
Reposition Pacing-Defib Lead (33215) $5,862 $5,862 1.5×
Reposition Venous Catheter (36597) $2,879 $2,879 1.5×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $10,578 $10,578 1.5×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $3,666 $3,666 1.4×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $1,657 $1,657 1.5×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $556 $556 1.0×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $144 $144 0.9×
Rmvl fecal impaction/fb spx under anes (45915) $1,132 $1,132 0.8×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $2,754 $2,754 0.8×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $1,599 $1,599 0.8×
Rmvl of subq implantable defibrillator electrode (33272) $7,051 $7,051 1.5×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $7,051 $7,051 1.5×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $2,879 $2,879 1.5×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,107 $1,107 1.4×
Rplc Gtube No Revj Trc (43762) $545 $545 1.7×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $2,879 $2,879 1.5×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $2,879 $2,879 1.5×
Rplcmt compl tun ctr vad w/subq port (36582) $5,862 $5,862 1.5×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $5,862 $5,862 1.5×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $763 $763 3.0×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,503 $1,503 1.6×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $926 $926 1.4×
Rpr Lip Full Thickness Vermilion Only (40650) $926 $926 1.4×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $2,770 $2,770 1.4×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $5,799 $5,799 1.4×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $5,799 $5,799 1.4×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $3,174 $3,174 0.8×
Sclerotx Fluid Collection (49185) $1,274 $1,274 0.6×
Shave skin lesion 0.5 cm/< (11300) $708 $708 1.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $368 $368 1.5×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $5,602 $5,602 1.4×
Simple Cystometrogram (51725) $545 $545 1.7×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $708 $708 1.4×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $368 $368 1.5×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $405 $405 1.6×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $418 $418 0.8×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $573 $573 2.3×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $203 $203 0.8×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $368 $368 1.5×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 2 matching MRF lines
$203–$1,368 $203–$1,368 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $419 $419 1.7×
Skin Full Grft Face/Genit/Hf (15240) $3,507 $3,507 1.4×
Skin Pinch Graft (15050) $620 $620 0.7×
Skin sub graft face/nk/hf/g (15275) $3,507 $3,507 3.8×
Skin sub graft trnk/arm/leg (15271) $3,507 $3,507 3.8×
Skin Tissue Procedure (17999) $368 $368 1.5×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $9,765 $9,765 1.4×
Slctv cath carotid/innom art angio xtrcranl art (36222) $5,862 $5,862 1.5×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $9,765 $9,765 1.4×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $368 $368 1.5×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $708 $708 1.4×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $708 $708 1.4×
Spinal puncture lumbar diagnostic (62270) $1,300 $1,300 1.5×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $3,507 $3,507 1.4×
Strapping elbow or wrist (29260) $65 $65 0.9×
Strapping hand/finger (29280) $65 $65 0.9×
Strapping knee (29530) $231 $231 1.4×
Strapping shoulder (29240) $231 $231 1.4×
Strapping thorax (29200) $164 $164 0.8×
Strapping Unna Boot (29580)
range across 18 matching MRF lines
$289–$433.50 $289–$433.50 varies
Suture infrapatellar tendon primary (27380) $12,826 $12,826 1.4×
Tangential biopsy skin single lesion (11102) $368 $368 0.7×
Tcat Insj/Rpl Perm Ldls Pm (33274) $32,886 $32,886 1.4×
Tcat Rmvl Perm Ldls Pm (33275) $5,862 $5,862 1.5×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,300 $1,300 1.5×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) $25,249 $25,249 1.6×
Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy Facility (32604) $10,361 $10,361 0.8×
Thrmbc/Nfs Dialysis Circuit (36906) $32,886 $32,886 1.4×
Thromblytic art/ven therapy (37213) $5,862 $5,862 1.5×
Thrombolytic Art Therapy (37211) $9,765 $9,765 1.4×
Thrombolytic Venous Therapy (37212) $5,862 $5,862 1.5×
Thyroid biopsy (60100) $1,274 $1,274 1.4×
Tracheobrnchsc Thru Est Trachs Inc (31615) $651 $651 1.0×
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,603 $1,603 5.4×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,726 $1,726 0.9×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $1,188 $1,188 3.1×
Transcatheter biopsy (37200) $6,087 $6,087 0.9×
Transur electr resection of prostate (52601) $9,034 $9,034 1.3×
Treat ectopic pregnancy (59151) $10,361 $10,361 1.4×
Treat humerus fracture (24500) $422 $422 1.4×
Treat Humerus Fracture (24505) $2,852 $2,852 1.4×
Treat humerus fracture (23600) $422 $422 1.4×
Treat Knuckle Dislocation (26700) $819 $819 2.7×
Treat Metatarsal Fracture (28475) $776 $776 2.5×
Treat Thumb Dislocation (26641) $600 $600 1.9×
Treat Thumb Fracture (26645) $1,506 $1,506 0.8×
Treat toe dislocation (28630) $422 $422 1.4×
Treat Vaginal Bleeding (57180) $349 $349 1.4×
Treatment Closed Elbow Dislocation Req Anes (24605) $2,852 $2,852 1.4×
Treatment closed elbow dislocation w/o anes (24600) $422 $422 1.4×
Trim skin lesion (11055) $368 $368 1.5×
Trim skin lesions 2 to 4 (11056) $193 $193 0.8×
Trluml Balo Angiop 1St Art (37246) $10,149 $10,149 1.4×
Trluml Balo Angiop 1St Vein (37248) $10,149 $10,149 1.4×
Tx Gastro Intub W/Asp (43753) $542 $542 2.0×
Tx Incomplete Abortion Any Trimester Surgical (59812) $5,372 $5,372 1.3×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $2,852 $2,852 1.4×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,072 $1,072 1.2×
Unlisted Cardiac Surgery (33999) $1,107 $1,107 1.4×
Unlisted procedure lungs and pleura (32999) $617 $617 0.8×
Unlisted procedure nervous system (64999) $290 $290 0.8×
Unlisted Procedure Tongue Floor Mouth (41599) $231 $231 0.8×
Unlisted Procedure Vascular Surgery (37799) $1,107 $1,107 1.4×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $1,657 $1,657 1.5×
Unlisted Procedure, Urinary System (53899) $545 $545 1.7×
Unlisted px female genital system nonobstetrical (58999) $226 $226 0.9×
Upgrade of pacemaker system (33214) $21,291 $21,291 1.6×
Urine Flow Measurement (51736) $236 $236 1.4×
Vaginal delivery only (59409) $5,372 $5,372 1.3×
Vasc embolize/occlude artery (37242) $20,568 $20,568 0.9×
Vasc Embolize/Occlude Bleed (37244) $20,568 $20,568 1.4×
Vasc Embolize/Occlude Organ (37243) $20,568 $20,568 1.4×
Vasc embolize/occlude venous (37241) $20,568 $20,568 1.4×
Venous Mech Thrombectomy (37187) $20,568 $20,568 1.4×
Wedge excision skin nail fold (11765) $398 $398 0.8×
Xtrnl Cannula Decltng Spx W/Balo Cath (36861) $9,765 $9,765 1.4×

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.