Procedures & surgery prices at Northeastern Health System

Tahlequah, OK · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,023.75 $1,365 1.2×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $983.62 $1,311.50 1.1×
Amniocentesis diagnostic (59000) $366.75 $489 0.4×
Amputation Finger/Thumb (26951) $5,017.50 $6,690 1.6×
Amputation metatarsal with toe single (28810) $4,687.50 $6,250 1.5×
Anoscopy control bleeding (46614) $1,950.75 $2,601 1.7×
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) $3,696 $4,928 0.8×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $202.50 $270 1.3×
Application Finger Splint Dynamic (29131) $102.75 $137 1.8×
Application finger splint static (29130) $96 $128 0.8×
Application long arm splint shoulder hand (29105) $232.50 $310 1.5×
Application long leg splint thigh ankle/toes (29505) $241.88 $322.50 1.5×
Application Of Rigid Total Contact Leg Cast (29445) $384.38 $512.50 1.4×
Application Short Arm Splint Dynamic (29126) $155.62 $207.50 1.2×
Application short arm splint forearm-hand static (29125) $148.50 $198 1.2×
Application short leg splint calf foot (29515) $246 $328 1.6×
Arterial puncture (36600) $112.50 $150 0.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $2,407.88 $3,210.50 8.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $453.75 $605 1.5×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $465 $620 1.6×
Avulsion nail plate partial/complete simple 1 (11730) $235.12 $313.50 1.2×
Biopsy bone open superficial (20240) $562.50 $750 0.2×
Biopsy bone trocar/needle deep (20225) $1,767.75 $2,357 1.1×
Biopsy Bone Trocar/Needle Superficial (20220) $883.50 $1,178 0.6×
Biopsy muscle percutaneous needle (20206) $2,186.25 $2,915 1.4×
Biopsy Pancrea Percutaneous Needle (48102) $1,285.50 $1,714 0.8×
Bladder Instillation Anticarcinogenic Agent (51720) $321 $428 0.5×
Bladder Irrigation Simple (51700) $208.88 $278.50 0.9×
Bladder Scan (51798) $88.12 $117.50 1.6×
Blood patch (62273) $1,004.25 $1,339 1.5×
Blood transfusion service (36430) $512.25 $683 1.2×
Bone marrow aspiration only (38220) $2,409.75 $3,213 1.5×
Bone Marrow Biopsy (38221) $1,662.38 $2,216.50 1.0×
Breast augmentation with implant (19325)
likely a partial charge, not the full procedure
$1,575 $2,100 0.2×
Bronchosc dx w/w/o fluor&wash (31622) $2,934 $3,912 1.7×
Bronchoscopy W/Biopsy(S) (31625) $1,047 $1,396 0.6×
Bronchoscopy,Diagnostic W Lavage (31624) $2,613 $3,484 1.5×
Bx abdl/retroperitoneal mass prq needle (49180) $1,084.88 $1,446.50 0.7×
Bx breast 1st lesion us imag (19083) $1,606.50 $2,142 1.0×
Bx/exc lymph node needle superficial (38505) $1,702.50 $2,270 1.1×
Canthotomy Separate Procedure (67715) $4,047.08 $5,396.10 1.8×
Cerclage cervix pregnancy vaginal (59320) $1,205.25 $1,607 0.4×
Cessj Therapy Cath Removal (37214) $2,410.50 $3,214 0.8×
Change Cystostomy Tube Simple (51705) $321 $428 1.3×
Chemical Cautery Tissue (17250) $318 $424 1.6×
Chest tube placement (32551) $642.75 $857 0.4×
Chg Collect Blood From Catheter Venous Nos (36592) $94.50 $126 0.7×
Cholecystostomy,Percutaneous, Complete (47490) $5,522.25 $7,363 1.6×
Circum 28 days or older (54161) $3,109.50 $4,146 1.5×
Circumcision (54150) $723 $964 0.4×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $463.50 $618 0.3×
Closed Rx Shldr Disloc,Gr Tub Fx (23665) $2,351.25 $3,135 1.5×
Closed Rx Spontaneous Hip Disloc (27256) $402 $536 1.7×
Closed Rx Trauma Hip Disloc,Anesth (27252) $2,346.75 $3,129 1.5×
Closed Rx Trimalleolar Fx (27816) $366 $488 1.5×
Closed treatment pst malleolus fracture w/manj (27768) $2,467.50 $3,290 1.6×
Closed tx ankle dislocation w/o anesthesia (27840) $309 $412 1.3×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $2,351.25 $3,135 1.5×
Closed tx knee dislocation w/o anesthesia (27550) $358.50 $478 1.5×
Closed tx nasal fracture w/o stabilization (21315) $2,347.50 $3,130 1.6×
Closed tx patellar dislocation w/anesthesia (27562) $402.75 $537 1.7×
Closed tx patellar dislocation w/o anesthesia (27560) $390 $520 1.6×
Closed tx radial shaft fracture w/manipulation (25505) $381.75 $509 0.2×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $366 $488 1.5×
Clsd tx acromioclavicular dislc w/manipulation (23545) $390 $520 1.6×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,415 $3,220 1.6×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $562.50 $750 2.4×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,687.50 $2,250 1.1×
Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) $360 $480 1.5×
Cltx dstl fibular fx lat malls w/manj (27788) $358.50 $478 1.5×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $426.75 $569 1.8×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $366 $488 1.5×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $358.50 $478 1.5×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,205.25 $1,607 0.8×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $402 $536 1.7×
Cltx iphal jt dislc w/manj w/o anes (26770) $392.62 $523.50 1.7×
Cltx metacarpal fx w/manipulation each bone (26605) $351.75 $469 1.5×
Cltx metacarpal fx w/o manipulation each bone (26600) $360 $480 1.5×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $1,158.75 $1,545 0.7×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $359.25 $479 1.5×
Cltx metatarsophlngl jt dislc w/o anes (28630) $375 $500 1.6×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $360 $480 1.5×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $358.50 $478 1.5×
Cltx Post Hip Arthrp Dislc Req Anes (27266) $2,346.75 $3,129 1.5×
Cltx post hip arthrp dislc w/o anes (27265) $378 $504 1.6×
Cltx prox tibfib jt dislc w/o anes (27830) $416.25 $555 1.8×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $366 $488 1.5×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $2,415 $3,220 1.6×
Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) $366 $488 1.5×
Cltx trimalleolar ankle fx w/manipulation (27818) $2,421.75 $3,229 1.6×
Colonoscopy stoma w/snare (44394) $1,878.75 $2,505 1.6×
Colposcopy cervix upper/adjacent vagina (57452) $201 $268 1.0×
Complete replacement picc rs&i (36584) $963.75 $1,285 0.6×
Complex Drainage, Wound (10180) $2,946.38 $3,928.50 1.1×
Complex Uroflowmetry (51741) $243 $324 1.2×
Contrast Inj Cent Ven Cath, Inc Flouro (36598) $281.25 $375 1.4×
Control Nasal Hemorrhage Anterior Complex (30903) $210.75 $281 1.6×
Control Nasal Hemorrhage Anterior Simple (30901) $136.50 $182 1.1×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,491.88 $3,322.50 1.6×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $201 $268 1.6×
Cysto Bladder W/Ureteral Catheterization (52005) $3,109.50 $4,146 1.5×
Cysto w fulg of minor lesions <0.5cm (52224) $3,109.50 $4,146 0.9×
Cysto w fulgertn lg bladder tumor(s) (52240) $7,184.25 $9,579 1.4×
Cysto w/removal of tumors small (52234) $5,227.50 $6,970 1.5×
Cysto W/Simple Removal Stone & Stent (52310) $3,109.50 $4,146 1.5×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $5,229 $6,972 1.5×
Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) $7,183.50 $9,578 1.4×
Cystometrogram w/vp (51728) $1,004.25 $1,339 1.5×
Cystometrogram W/Vp&Up (51729) $1,004.25 $1,339 1.5×
Cystoscopy implant stent (52282) $5,229 $6,972 1.5×
Cystoscopy,Dil Urethral Stricture (52281) $3,109.50 $4,146 1.5×
Cystoscopy,insert ureteral stent (52332) $2,811.75 $3,749 0.8×
Cystostomy Cystotomy W/Drainage (51040) $3,109.50 $4,146 1.5×
Cystourethroscopy w/dil bladder general anesth (52260) $3,108.75 $4,145 1.5×
Cystourethroscopy W/Irrig & Evac Clots (52001) $5,394 $7,192 1.6×
Cystourethroscopy w/rmvl ureteral calculus (52320) $5,229.75 $6,973 1.5×
Cystourethroscopy with direct vision internal urethrotomy (52276) $3,109.50 $4,146 1.5×
Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) $5,229.75 $6,973 1.5×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $317.25 $423 0.8×
Debride nail 1-5 (11720) $87 $116 1.5×
Debride nail 6 or more (11721) $97.50 $130 1.7×
Debridement subcutaneous tissue 20 sq cm/< (11042) $461.25 $615 1.2×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $679.88 $906.50 1.0×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $1,622.62 $2,163.50 1.0×
Declot vascular device (36593) $301.12 $401.50 0.9×
Delivery placenta separate procedure (59414) $1,205.25 $1,607 0.4×
Destruction Benign Lesions Up To 14 (17110) $315.75 $421 1.6×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $819 $1,092 1.2×
Dilation Esophagus Guide Wire (43453) $2,783.25 $3,711 1.5×
Division of fallopian tube (58600) $375 $500 0.1×
Drain bladder by trocar/cath (51101) $337.50 $450 0.4×
Drain shoulder lesion (23030) $4,696.50 $6,262 1.7×
Drainage External Ear Abscess/Hematoma Simple (69000) $1,102.50 $1,470 1.6×
Drainage Finger Abscess Simple (26010) $231.75 $309 1.2×
Drainage of eyelid abscess (67700) $481.50 $642 1.6×
Drainage of gum lesion (41800) $253.50 $338 2.0×
Drainage of hematoma/fluid (10140) $2,492.25 $3,323 1.6×
Drainage of hydrocele (55000) $1,035 $1,380 1.5×
Drainage of scrotal wall abscess (55100) $2,441.25 $3,255 1.5×
Draw blood off venous device (36591) $195.75 $261 1.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $531.38 $708.50 1.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $281.62 $375.50 1.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $216.75 $289 1.1×
Dry Needling 3+ Muscles (20561) $45 $60 1.6×
Dx bone marrow bx & aspir (38222) $2,476.88 $3,302.50 0.9×
Egd place gastrostomy tube (43246) $2,441.25 $3,255 1.3×
Emblc/thrmbc ax brach innominate subcla art (34101) $8,916 $11,888 1.7×
EMG stds anal/urtl sphnctr oth/thn ndl (51784) $243 $324 2.0×
Endoven ther chem adhes 1st (36482) $4,056 $5,408 0.8×
Endovenous rf 1st vein (36475) $4,047.75 $5,397 1.3×
Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) $3,454.50 $4,606 1.0×
Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) $2,931 $3,908 1.5×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $2,509.88 $3,346.50 1.3×
Episiotomy or vaginal repair (59300) $4,333.50 $5,778 1.4×
Evacuation of subungual hematoma (11740) $147 $196 1.1×
Exc shoulder tum deep 5 cm/> (23073) $4,248.75 $5,665 1.5×
Exc skin abd (15830)
unusually low: confirm this is the full procedure
$2,306.25 $3,075 0.4×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $3,294 $4,392 1.0×
Excise excess skin fat pad (15838) $1,575 $2,100 0.6×
Excise excess skin tissue,thigh (15832) $4,631.25 $6,175 1.7×
Excise excessive skin arm (15836) $2,568.75 $3,425 0.9×
Excise excessive skin buttck (15835) $4,275 $5,700 1.5×
Excision of lesion other than skin tag </= 0.5 cm (11420) $2,457 $3,276 1.5×
Excision of nail fold toe (11765) $87.75 $117 0.2×
Excision of spermatocele, with or without epididymectomy (54840) $2,329.50 $3,106 1.2×
Excision or fulguration; urethral caruncle (53265) $3,108.75 $4,145 1.5×
Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) $1,276.50 $1,702 0.5×
Explo/Drain Breast Abscess (19020) $2,492.25 $3,323 1.6×
Exploration Penetrating Wound Spx Neck (20100) $883.42 $1,177.89 1.7×
External Cephalic Version (59412) $2,926.88 $3,902.50 0.9×
Fetal Contraction Stress Test (59020) $120.75 $161 0.6×
Fetal non-stress test (59025) $180.75 $241 0.9×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $804.38 $1,072.50 1.2×
Fine needle aspiration without imaging guidance (10021) $604.88 $806.50 1.5×
Gastric Intubation/Aspiration, Therapeutic (43753) $147.75 $197 0.7×
Gastrostomy opn w/o constj gstr tube spx (43830) $2,649.75 $3,533 1.4×
Graft ear crtlg autogenous nose/ear (21235)
unusually low: confirm this is the full procedure
$2,231.25 $2,975 0.4×
Grafting of autologous fat by lipo 25 cc or less (15773) $1,200 $1,600 0.6×
I&D Abscess Peritonsillar (42700) $358.50 $478 1.6×
I&d abscess simple (10060) $315 $420 1.6×
I&d epididymis tstis&/scrotal space (54700) $3,366 $4,488 1.7×
I&d pilonidal cyst simple (10080) $657.38 $876.50 1.0×
I&D Upper Arm/Elbow Bursa (23931) $2,601 $3,468 1.6×
Image Cath Fluid Peri/Retro (49406) $1,687.50 $2,250 1.1×
Immediate breast prosthesis (19340)
likely a partial charge, not the full procedure
$1,950 $2,600 0.2×
Incision & drainage abscess complicated/multiple (10061) $473.25 $631 1.2×
Incision & drainage pilonidal cyst complicated (10081) $1,220.25 $1,627 1.8×
Incision & removal foreign body subq tiss simple (10120) $620.62 $827.50 1.6×
Incision and drainage of bartholin's gland abscess (56420) $296.25 $395 1.5×
Incision and drainage of vulva or perineal abscess (56405) $487.50 $650 1.7×
Incision of rectal abscess (46040) $1,837.50 $2,450 1.6×
Incision thrombosed hemorrhoid external (46083) $471 $628 2.0×
Incision&drainage bursa foot (28001) $2,601 $3,468 1.6×
Incisional biopsy skin single lesion (11106) $1,008.75 $1,345 1.4×
Initial tx 1st degree burn local tx (16000) $322.50 $430 1.7×
Inj,Anes Agent,Femoral Nerve,Single (64447) $1,101 $1,468 1.6×
Inject Nerv Blck,Pudendal (64430) $1,367.25 $1,823 1.6×
Injection aa&/strd trigeminal nerve each branch (64400) $453.75 $605 1.5×
Injection anes other peripheral nerve/branch (64450) $859.88 $1,146.50 1.3×
Injection single/mlt trigger point 1/2 muscles (20552) $453.75 $605 1.5×
Injection(s) spider veins (36468) $647.25 $863 1.7×
Ins cath ren art 1st bilat (36252) $4,017 $5,356 1.3×
Ins cath ren art 1st unilat (36251) $3,213.75 $4,285 1.1×
Ins endovas vena cava filtr (37191)
unusually low: confirm this is the full procedure
$2,651.25 $3,535 0.5×
Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) $10,042.50 $13,390 1.0×
Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) $10,042.50 $13,390 1.0×
Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) $12,453 $16,604 1.2×
Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) $12,453 $16,604 1.2×
Ins Pm Pls Gen W/Exist Single Lead (33212) $10,042.50 $13,390 1.3×
Ins/Rep Subq Defibrillator (33270) $56,962.50 $75,950 1.9×
Insert 1 electrode pm-defib (33216) $4,635 $6,180 0.6×
Insert Bladder Cath Complex (51703) $243 $324 2.0×
Insert cervical dilator (59200) $168.75 $225 0.6×
Insert Gastrostomy Tube Percutaneous (49440) $2,818.50 $3,758 1.5×
Insert hepatic shunt (tips) (37182) $17,422.50 $23,230 1.0×
Insert non-tunnel cv cath (36556) $963.75 $1,285 0.3×
Insert pacing lead & connect (33224) $7,467.38 $9,956.50 0.7×
Insert picc cath (36569) $1,700.62 $2,267.50 1.1×
Insert pulse gen mult leads (33221) $17,273.25 $23,031 0.9×
Insert Temp Bladder Cath (51702) $111 $148 0.9×
Insert tun ip cath perc (49418) $3,736.60 $4,982.14 1.1×
Insert tunneled cv cath (36561) $2,892 $3,856 1.0×
Insert,Non-Indwelling Bladder Catheter (51701) $136.50 $182 1.1×
Insertion indwelling tunneled pleural catheter (32550) $5,522.25 $7,363 1.6×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,954.50 $2,606 1.3×
Insertion picc w/rs&i < 5 yr (36572) $1,108.50 $1,478 1.8×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $14,143.13 $18,857.50 1.8×
Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) $24,102 $32,136 1.1×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $3,133.50 $4,178 1.0×
Insj/rplcmt defib w/lead(s) (33249) $25,652.25 $34,203 0.8×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $4,173 $5,564 0.5×
Insrt pulse gen w/dual leads (33230) $24,102 $32,136 1.1×
Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) $963.75 $1,285 0.6×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $9,670.50 $12,894 0.9×
Intro cath dialysis circuit w/trluml balo angiop (36902) $5,623.50 $7,498 1.0×
Intubation endotracheal emergency procedure (31500) $321 $428 1.4×
Irrigate corpora cavernosa for priapism (54220) $461.25 $615 1.9×
Laps Gastric Restrictive Px Remove Device & Port (43774) $5,046.75 $6,729 1.4×
Laryngoscopy Flexible Diagnostic (31575) $281.25 $375 1.5×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $212.25 $283 0.6×
Laryngoscopy Indirect Diagnostic Spx (31505) $352.50 $470 1.8×
Ligation of a-v fistula (37607) $4,965 $6,620 1.6×
Ligation of hemorrhoid(s) (46221) $1,406.25 $1,875 1.6×
Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) $5,167.50 $6,890 1.7×
Lithotripsy (50590) $5,463 $7,284 1.6×
Liver Biopsy (47000) $1,125 $1,500 0.7×
Manipulation, wrist, under anesthesia (25259) $2,421.75 $3,229 1.6×
Mastopexy (19316) $3,525 $4,700 0.6×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $1,953 $2,604 1.3×
Mech remov pericath obstr cv dev via ven access (36595) $4,718.25 $6,291 1.6×
Myelography Lumbar Injection (62305) $883.50 $1,178 1.2×
Myelography Lumbar Injection (62304) $883.50 $1,178 1.2×
Myelography Via Lumbar Injection Rs&I Cervical (62302) $883.50 $1,178 1.2×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $124.50 $166 0.3×
Needle insertion w/o injection 1 or 2 muscles (20560) $47.25 $63 1.7×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $351.75 $469 0.1×
Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) $1,086 $1,448 1.3×
Open rx distal radius fx, intra-articular, 2 frag (25608) $11,475 $15,300 1.6×
Open Tx Distal Phalangeal Fracture Each (26765) $5,628.75 $7,505 1.8×
Open/Perq Place Stent Same (37238) $9,640.50 $12,854 0.9×
Open/Perq Placement Intravascular Stent Initial (37236) $13,657.50 $18,210 1.2×
Percut Mech Thrombectomy, Venous (37187) $17,795.63 $23,727.50 1.6×
Percut Mech Thrombectomy, Venous, Repeat (37188) $3,538.50 $4,718 1.2×
Peri-implant capsulectomy breast complete (19371) $1,575 $2,100 0.4×
Pericardiocentesis W/Imaging (33016) $2,511 $3,348 1.7×
Perq dev breast 1st us imag (19285) $963.75 $1,285 1.4×
Perq device breast 1st imag (19281) $193.50 $258 0.1×
Perq Drainage Pleura Insert Cath W/O Imaging (32556) $3,021 $4,028 1.6×
Perq replacement gtube not req revj gstrst trc (43762) $422.25 $563 1.8×
Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) $16,456.50 $21,942 0.9×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $13,672.50 $18,230 1.2×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $6,748.50 $8,998 1.2×
Perq vert agmntj cavity crtj uni/bi cannulation (22513) $10,867.50 $14,490 1.6×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $10,867.50 $14,490 1.6×
Place Cath Subclavian Art (36225) $4,728 $6,304 1.6×
Place Cath Thoracic Aorta (36221) $3,615 $4,820 1.2×
Place Cath Vertebral Art (36226) $8,448.75 $11,265 1.6×
Placement of needle for intraosseous infusion (36680) $322.50 $430 0.8×
Plmt bile duct stent prq new access w/sep cath (47540) $6,314.25 $8,419 1.1×
Plmt interstitial dev radiat tx prostate 1/mult (55876) $2,129.25 $2,839 1.6×
Plmt nephrostomy cath prq new access rs&i (50432) $1,928.25 $2,571 1.0×
Preputial Stretching (54450) $421.91 $562.55 1.8×
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure
$3,538.50 $4,718 0.2×
Prostatectomy (turp) (52601) $3,454.50 $4,606 0.7×
Prostatic microwave thermotx (53850) $5,229.75 $6,973 1.5×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $5,522.25 $7,363 1.6×
Puncture Aspiration (10160) $592.50 $790 1.5×
Puncture Aspiration Cyst Breast (19000) $1,162.50 $1,550 1.7×
Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; 5 cm or greater (22905) $4,248.75 $5,665 1.5×
Reconstruction of nose (30400)
unusually low: confirm this is the full procedure
$1,725 $2,300 0.3×
Reduction of Large Breast (19318) $4,312.50 $5,750 0.7×
Relocation of skin pocket for pacemaker (33222) $1,928.25 $2,571 1.0×
Rem endovas vena cava filter (37193) $3,454.50 $4,606 1.1×
Removal fb intranasal (30300) $195 $260 1.5×
Removal foreign body foot subcutaneous (28190) $1,208.25 $1,611 1.8×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $4,697.25 $6,263 3.0×
Removal impacted cerumen irrigation/lvg unilat (69209) $99 $132 1.7×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $63.75 $85 1.1×
Removal Implantable Defib Pulse Generator Only (33241) $3,454.50 $4,606 1.0×
Removal Intact Mammary Implant (19328) $1,575 $2,100 0.4×
Removal of arm foreign body (24200) $2,492.25 $3,323 1.6×
Removal of intrauterine device (iud) (58301) $506.25 $675 1.7×
Removal of nail bed (11750) $613.50 $818 1.6×
Removal of skin wrinkles (15829) $2,250 $3,000 0.7×
Removal ppm generator only (33233) $7,230.75 $9,641 0.9×
Removal subq cardiac rhythm monitor (33286) $1,125 $1,500 1.7×
Removal Sutures/Staples Requiring Anesthesia (15851) $3,014.25 $4,019 1.5×
Removal Tunneled Intraperitoneal Catheter (49422) $4,718.25 $6,291 1.6×
Removal/bivalving gauntlet boot/body cast (29700) $424.88 $566.50 1.6×
Remove bladder stone (52318) $5,229.75 $6,973 1.5×
Remove foreign body from eye (65235) $3,678.75 $4,905 1.7×
Remove intrvas foreign body (37197) $2,811.75 $3,749 0.9×
Remove renal tube w/fluoro (50389) $883.50 $1,178 1.3×
Remove&replace pm gen singl (33227) $10,042.50 $13,390 1.3×
Remv Ext Canal Foreign Body (69200) $311.25 $415 2.4×
Remv F.B.,Eye,Superf Conjunc (65205) $100.50 $134 0.8×
Remv&replc cvd gen dual lead (33263) $41,169 $54,892 1.9×
Remv&replc cvd gen mult lead (33264)
unusually low: confirm this is the full procedure
$10,344 $13,792 0.3×
Remv&replc cvd gen sing lead (33262) $44,067 $58,756 2.1×
Remv&replc pm gen dual lead (33228) $12,051 $16,068 1.2×
Remv&replc pm gen mult leads (33229) $31,768.50 $42,358 1.7×
Renal biopsy (50200) $1,108.50 $1,478 0.7×
Repair brow defect (67900) $2,362.50 $3,150 1.0×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,038.75 $1,385 1.5×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $789.38 $1,052.50 2.0×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $909.75 $1,213 2.3×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $6,122.25 $8,163 1.8×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $600 $800 1.5×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $600 $800 1.5×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $613.50 $818 1.6×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $613.50 $818 1.6×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $613.50 $818 1.6×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $347.25 $463 0.9×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,007.25 $1,343 1.4×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $658.50 $878 1.7×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $647.25 $863 1.7×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $600 $800 1.5×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,038.75 $1,385 1.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $562.50 $750 1.4×
Repair of nail bed (11760) $909.75 $1,213 1.3×
Repair Tongue Laceration (41250) $468.75 $625 1.1×
Repos Previously Implanted Subq Implantable Dfb (33273) $3,294 $4,392 0.9×
Reposition gastrostomy tube (43761) $415.50 $554 1.7×
Reposition pacing-defib lead (33215) $1,807.50 $2,410 0.6×
Rerepair ing hernia reduce (49520) $6,122.25 $8,163 1.8×
Revise external ear (69300) $2,793.75 $3,725 0.9×
Revise median n/carpal tunnel surg (64721) $2,983.50 $3,978 1.6×
Revision of colostomy simple (44340) $5,643.75 $7,525 1.7×
Revision of lower eyelid (15821) $1,575 $2,100 0.8×
Revision of upper eyelid (15823) $2,128.12 $2,837.50 1.1×
Revision of urethra (53460) $3,109.50 $4,146 0.9×
Revision peri-implant capsule breast (19370) $1,575 $2,100 0.4×
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) $9,890.65 $13,187.53 1.8×
Revsc evasc fpvt angiop uni sf les 1st vsl (37263) $9,890.65 $13,187.53 1.8×
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) $31,150.22 $41,533.63 1.8×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271) $31,150.22 $41,533.63 1.8×
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) $31,150.22 $41,533.63 1.8×
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) $19,672.94 $26,230.58 1.8×
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) $19,672.94 $26,230.58 1.8×
Revsc evasc imvt angiop uni cplx les 1st vsl (37298) $19,672.94 $26,230.58 1.8×
Revsc evasc imvt angiop uni sf les 1st vsl (37296) $19,672.94 $26,230.58 1.8×
Revsc evasc ivt angiop uni cplx les 1st vsl (37256) $9,890.65 $13,187.53 1.8×
Revsc evasc ivt angiop uni sf les 1st vsl (37254) $9,890.65 $13,187.53 1.8×
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) $19,672.94 $26,230.58 1.8×
Revsc evasc ivt st plmt uni sf les 1st vsl (37258) $19,672.94 $26,230.58 1.8×
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) $19,672.94 $26,230.58 1.8×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280) $19,672.94 $26,230.58 1.8×
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) $31,150.22 $41,533.63 1.8×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $31,150.22 $41,533.63 1.8×
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) $31,150.22 $41,533.63 1.8×
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) $31,150.22 $41,533.63 1.8×
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) $31,150.22 $41,533.63 1.8×
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) $31,150.22 $41,533.63 1.8×
Rhinoplasty, Primary; Including Major Septal Repair (30420)
unusually low: confirm this is the full procedure
$2,250 $3,000 0.4×
Rhytidectomy; Cheek, Chin, & Neck (15828) $2,137.50 $2,850 0.6×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $1,359.75 $1,813 1.6×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $474.38 $632.50 1.1×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $195 $260 1.5×
Rmvl foreign body muscle/tendon sheath deep/comp (20525) $4,697.25 $6,263 1.7×
Rmvl of subq defibrillator (33272) $5,962.50 $7,950 1.7×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $3,454.50 $4,606 1.0×
Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) $3,454.50 $4,606 1.0×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,085.25 $1,447 0.7×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $642.75 $857 1.1×
Rplc gtube revj gstrst trc (43763) $441.75 $589 1.8×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $1,406.25 $1,875 0.9×
Rplcmt compl tun ctr vad w/subq port (36582) $5,072.25 $6,763 1.7×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $2,329.50 $3,106 0.8×
Rpr blood vessel direct lower extremity (35226) $1,220.55 $1,627.40 1.8×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $1,125 $1,500 0.7×
Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) $375 $500 1.6×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $675 $900 1.1×
Rvsc evsc fpvt st athrc sf 1 (37275) $31,150.22 $41,533.63 1.8×
Simple destruction of growth of penis using electric current (54055) $2,767.50 $3,690 1.4×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $236.25 $315 0.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $315 $420 1.6×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $315 $420 1.6×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $307.50 $410 1.6×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $303.75 $405 1.6×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $313.12 $417.50 1.6×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $318.75 $425 1.7×
Skin splt grft trnk/arm/leg (15100) $2,931 $3,908 1.5×
Skin sub graft face/nk/hf/g (15275) $2,931 $3,908 4.1×
Skin sub graft trnk/arm/leg (15271) $2,962.88 $3,950.50 4.2×
Skin Sub Grft T/Arm/Lg Child (15273) $6,000 $8,000 3.0×
Skn splt a-grft fac/nck/hf/g (15120) $5,643.76 $7,525.01 1.7×
Skn sub grft f/n/hf/g child (15277) $2,982.38 $3,976.50 1.5×
Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) $3,615 $4,820 1.2×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $8,276.25 $11,035 1.5×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $3,133.50 $4,178 0.7×
Small bowel endoscopy (44366) $3,144.75 $4,193 1.7×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $317.62 $423.50 1.6×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $555 $740 1.4×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $600 $800 1.5×
Spinal puncture lumbar diagnostic (62270) $494.25 $659 0.7×
Stimulus evoked response (51792) $100.50 $134 1.8×
Strapping unna boot (29580) $247.12 $329.50 1.6×
Subcutaneous Hormone Pellet Implantation (11980) $621.75 $829 1.4×
Suction assisted lipectomy lower extremity (15879) $1,950 $2,600 0.6×
Suction assisted lipectomy upper extremity (15878) $1,800 $2,400 0.9×
Suction assisted lipectomy; trunk (15877) $1,837.50 $2,450 0.5×
Surgical closure tracheostomy or fistula; without plastic repair (31820) $4,543.50 $6,058 1.4×
Tangential biopsy skin single lesion (11102) $239.62 $319.50 0.6×
Tcat insj/rpl perm leadless pacemaker rv w/img (33274) $27,435 $36,580 1.5×
Tenotomy Percutaneous Toe Single Tendon (28010) $2,606.25 $3,475 1.7×
Ther Apheresis,Plasma Pheresis (36514) $1,125 $1,500 0.8×
Ther Apheresis,Platelets (36513) $1,125 $1,500 2.7×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $864.38 $1,152.50 1.4×
Thoracentesis needle/cath pleura w/o imaging (32554) $402 $536 0.7×
Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) $8,385 $11,180 1.4×
Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) $2,410.50 $3,214 0.8×
Thrombolytic Art Therapy (37211)
likely a partial charge, not the full procedure
$1,205.25 $1,607 0.2×
Thrombolytic Therapy, Stroke (37195) $555 $740 1.7×
Thrombolytic Venous Therapy (37212) $2,410.50 $3,214 0.8×
Thyroid biopsy (60100) $562.50 $750 0.8×
Trach Tube Change (31502) $352.50 $470 1.5×
Tracheostomy emergency cricothyroid membrane (31605) $369 $492 1.6×
Transurethral resection of bladder neck (52500) $5,229.75 $6,973 1.5×
Treat finger dislocation (26775) $418.50 $558 1.6×
Treat Fracture Radius & Ulna (25560) $358.50 $478 1.5×
Treat knee fracture (27532) $4,911 $6,548 1.6×
Treat Metatarsal Fracture (28475) $358.50 $478 1.5×
Treatment of ankle fracture (27792) $11,824.50 $15,766 1.7×
Treatment of penis lesion (54205) $7,184.25 $9,579 1.4×
Trim skin lesion (11055) $203.25 $271 1.1×
Trim skin lesions 2 to 4 (11056) $203.25 $271 1.1×
Trim skin lesions over 4 (11057) $239.62 $319.50 1.2×
Trlml balo angiop open/perq img s&i 1st art (37246) $7,230.75 $9,641 1.3×
Trlml balo angiop open/perq w/img s&i 1st vein (37248) $6,829.12 $9,105.50 1.2×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $2,346.75 $3,129 1.5×
Tx Superficial Wound Dehiscence Simple Closure (12020) $968.62 $1,291.50 1.4×
Unlisted Procedure External Ear (69399) $403.50 $538 1.8×
Unlisted procedure foot or toes (28899) $393.75 $525 1.7×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $1,362 $1,816 1.6×
Vasc embolize/occlude artery (37242) $13,546.50 $18,062 0.8×
Vasc Embolize/Occlude Bleed (37244) $17,422.50 $23,230 1.6×
Vasc embolize/occlude organ (37243) $17,422.50 $23,230 1.6×
Vasc embolize/occlude venous (37241) $13,546.50 $18,062 1.2×
Vasectomy (55250) $2,571 $3,428 1.3×
Venipuncture (36415) $12 $16 1.3×
Wound Prep F/N/Hf/G (15004) $1,008.75 $1,345 2.6×
Wound prep trk/arm/leg 1st 100 sq cm (15002) $1,716.75 $2,289 2.4×