Procedures & surgery prices at Northwest Community Hospital 1

Arlington Heights, IL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $2,627 $2,627 2.7×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $2,170 $2,170 2.2×
Ablate Pulm Tumor Perq Crybl (32994) $10,890 $10,890 1.0×
Ablation 1/> liver tumor perq cryoablation (47383) $10,491 $10,491 0.9×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure		 $7,318 $7,318 0.4×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $9,731 $9,731 1.3×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,703.34 $2,703.34 1.2×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $1,266 $1,266 0.6×
Amniocentesis diagnostic (59000) $1,610 $1,610 1.6×
Anal/Urinary Muscle Study (51784) $433 $433 3.1×
Anoscopy Control Bleeding (46614) $3,694 $3,694 2.9×
Anoscopy diagnostic (46600) $51 $51 0.4×
Anoscopy W/Rmvl Foreign Body (46608) $4,535 $4,535 4.6×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $3,694 $3,694 2.9×
Application cast elbow finger short arm (29075) $831 $831 2.8×
Application Finger Splint Dynamic (29131) $173 $173 2.7×
Application finger splint static (29130) $294 $294 2.1×
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $323–$461 $323–$461 varies
Application Long Leg Splint (29505) $803 $803 4.6×
Application of long leg cast (29345)
range across 2 matching MRF lines		 $523–$747 $523–$747 varies
Application of rigid total contact leg cast (29445) $832 $832 2.8×
Application Short Arm Splint Dynamic (29126) $527 $527 3.7×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $297–$425 $297–$425 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $226–$324 $226–$324 varies
Apply hand/wrist cast (29085) $438 $438 2.5×
Apply long arm cast (29065) $642 $642 2.1×
Apply Multlay Comprs Lwr Leg (29581) $552 $552 3.2×
Apply Short Leg Cast (29405) $524 $524 1.7×
Apply short leg cast (29425) $374 $374 1.2×
Arterial puncture (36600) $202 $202 1.4×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines		 $301–$607 $301–$607 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $651 $651 0.9×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $227–$326 $227–$326 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $304 $304 0.9×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $191–$273 $191–$273 varies
Aspirate pleura w/ imaging (32555) $2,955 $2,955 4.4×
Aspirate Pleura W/O Imaging (32554) $656 $656 1.0×
Aspirate/Inj Ganglion Cyst (20612) $655 $655 2.0×
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines		 $3,882–$5,546 $3,882–$5,546 varies
Aspiration Bladder Needle (51100) $824 $824 3.1×
Avulsion nail plate partial/complete simple 1 (11730) $612 $612 2.8×
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) $8,211 $8,211 1.2×
Biliary ndsc prq t-tube dilat strix w/stent (47556) $11,982 $11,982 1.1×
Biliary ndsc prq t-tube w/bx single/multiple (47553) $8,553 $8,553 1.2×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555) $7,483 $7,483 1.1×
Biopsy Abdominal Mass (49180) $3,665 $3,665 2.1×
Biopsy bone trocar/needle deep (20225) $4,358 $4,358 2.5×
Biopsy Bone Trocar/Needle Superficial (20220) $4,358 $4,358 2.5×
Biopsy External Auditory Canal (69105) $2,842 $2,842 1.7×
Biopsy muscle percutaneous needle (20206) $2,501 $2,501 1.4×
Biopsy of lip (40490) $262 $262 1.0×
Biopsy of liver, needle; percutaneous (47000) $3,865 $3,865 2.2×
Biopsy of palate, uvula (42100) $2,871 $2,871 1.7×
Biopsy Oropharynx (42800) $1,367 $1,367 0.8×
Biopsy Pleura Percutaneous Needle (32400) $1,769 $1,769 1.0×
Biopsy soft tissue leg/ankle area superficial (27613) $3,101 $3,101 1.8×
Biopsy Tongue Anterior Two-Thirds (41100) $597 $597 1.0×
Biopsy, vestibule of mouth (40808) $262 $262 0.5×
Bladder instillation anticarcinogenic agent (51720) $3,022 $3,022 4.0×
Bladder Irrigation (51700) $715 $715 2.7×
Bladder Scan (51798)
range across 4 matching MRF lines		 $140–$214 $140–$214 varies
Blepharotomy drainage abscess eyelid (67700) $1,182 $1,182 3.5×
Blood Transfusion Service (36430)
range across 2 matching MRF lines		 $47–$1,078 $47–$1,078 varies
Bone Marrow Biopsy (38221) $4,358 $4,358 2.5×
Bone Marrow; Aspiration Only (38220)
range across 2 matching MRF lines		 $1,314–$4,358 $1,314–$4,358 varies
Bx breast 1st lesion mr imag (19085) $4,519 $4,519 2.6×
Bx breast 1st lesion strtctc (19081) $4,689 $4,689 2.6×
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines		 $4,286–$8,088 $4,286–$8,088 varies
Canthotomy Separate Procedure (67715) $6,199 $6,199 2.4×
Catheter aspiration nasotracheal spx (31720) $582 $582 2.5×
Cessj Therapy Cath Removal (37214) $3,167 $3,167 0.9×
Change Cystostomy Tube Complicated (51710) $2,592 $2,592 3.5×
Change Cystostomy Tube Simple (51705) $477 $477 1.8×
Change of Windpipe Airway (31502) $827 $827 3.3×
Change ureter stent percut (50382) $5,127 $5,127 2.3×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $516–$737 $516–$737 varies
Chemodenerv 1 extrem 5/> mus (64644) $1,351 $1,351 1.8×
Chemodenerv Musc Migraine (64615) $808 $808 2.5×
Chemodenerv musc neck dyston (64616) $562 $562 1.7×
Chest tube placement (32551) $2,443 $2,443 1.4×
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $5,546 $5,546 2.5×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $3,527 $3,527 0.9×
Clear outer ear canal (69200) $320 $320 2.2×
Closed Treat Vert Body Fract (22310) $467 $467 1.8×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $639 $639 2.4×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,604 $1,604 6.1×
Closed Treatment Sesamoid Fracture (28530) $639 $639 2.4×
Closed Treatment Sternum Fracture (21820) $1,131 $1,131 4.3×
Closed Treatment Ulnar Styloid Fracture (25650) $639 $639 2.4×
Closed tx ankle dislocation w/o anesthesia (27840) $1,649 $1,649 6.2×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $6,779 $6,779 3.9×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $639 $639 2.4×
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 2 matching MRF lines		 $447–$639 $447–$639 varies
Closed tx carpal scaphoid fracture w/manj (25624) $4,315 $4,315 2.5×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines		 $447–$639 $447–$639 varies
Closed tx knee dislocation w/o anesthesia (27550) $1,024 $1,024 3.9×
Closed Tx Mandibular Fracture W/O Manipulation (21450)
range across 2 matching MRF lines		 $981–$1,401 $981–$1,401 varies
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines		 $447–$639 $447–$639 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $4,315 $4,315 2.5×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $2,741 $2,741 1.6×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $5,826 $5,826 1.6×
Closed tx patellar dislocation w/o anesthesia (27560) $1,004 $1,004 3.8×
Closed Tx Patellar Fracture W/O Manipulation (27520) $1,024 $1,024 3.9×
Closed tx radial head/neck fx w/manipulation (24655) $6,779 $6,779 3.9×
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $447–$639 $447–$639 varies
Closed tx radial shaft fracture w/manipulation (25505) $5,967 $5,967 3.5×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 2 matching MRF lines		 $447–$639 $447–$639 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,782 $1,782 1.0×
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $447–$639 $447–$639 varies
Closed Tx Scapular Fracture W/O Manipulation (23570) $1,131 $1,131 4.3×
Closed tx talotarsal joint dislc w/o anes (28570) $1,261 $1,261 4.8×
Closed Tx Talus Fracture W/Manipulation (28435) $4,315 $4,315 2.5×
Closed tx talus fracture w/o manipulation (28430) $639 $639 2.4×
Closed tx tarsometatarsal dislocation w/o anes (28600) $738 $738 2.8×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $1,119 $1,119 4.2×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $639 $639 2.4×
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines		 $447–$639 $447–$639 varies
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $1,104 $1,104 4.3×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $2,572 $2,572 4.5×
Clsd tx acromioclavicular dislc w/manipulation (23545) $639 $639 2.4×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $4,315 $4,315 2.5×
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines		 $447–$639 $447–$639 varies
Clsd tx fx orbit except blowout w/o manipulation (21400)
range across 2 matching MRF lines		 $981–$1,401 $981–$1,401 varies
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $639 $639 2.4×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $3,020–$4,315 $3,020–$4,315 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $940 $940 3.6×
Clsd tx sternoclavicular dislc w/o manipulation (23520)
range across 2 matching MRF lines		 $3,020–$4,315 $3,020–$4,315 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $5,882 $5,882 3.4×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $4,315 $4,315 2.5×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 2 matching MRF lines		 $447–$639 $447–$639 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $639 $639 2.4×
Cltx dstl fibular fx lat malls w/manj (27788) $1,503 $1,503 5.7×
Cltx dstl fibular fx lat malls w/o manj (27786) $135 $135 0.5×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $639 $639 2.4×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $639 $639 2.4×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $639 $639 2.4×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $2,100 $2,100 1.2×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508)
range across 2 matching MRF lines		 $447–$639 $447–$639 varies
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $303 $303 0.2×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $2,941 $2,941 1.7×
Cltx fx grt toe phlx/phlg w/manj (28495) $639 $639 2.4×
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 2 matching MRF lines		 $447–$639 $447–$639 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $639 $639 2.4×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $639 $639 2.4×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $7,250 $7,250 4.2×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 2 matching MRF lines		 $447–$639 $447–$639 varies
Cltx greater humeral tuberosity fx w/o manj (23620)
range across 2 matching MRF lines		 $447–$639 $447–$639 varies
Cltx hip dislocation traumatic w/o anesthesia (27250) $897 $897 3.4×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576)
range across 2 matching MRF lines		 $447–$639 $447–$639 varies
Cltx humeral condylar fx medial/lateral w/manj (24577) $4,315 $4,315 2.5×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $468 $468 1.8×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $722 $722 2.7×
Cltx iphal jt dislc w/manj w/o anes (26770) $822 $822 3.1×
Cltx Med Ankle Fx W/Mnpj (27762) $4,315 $4,315 2.5×
Cltx Medial Ankle Fx (27760) $639 $639 2.4×
Cltx metacarpal fx w/manipulation each bone (26605) $935 $935 3.5×
Cltx metacarpal fx w/o manipulation each bone (26600) $1,000 $1,000 3.8×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $561–$802 $561–$802 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $639 $639 2.4×
Cltx post hip arthrp dislc w/o anes (27265) $1,253 $1,253 4.7×
Cltx prox fibula/shft fx w/o manj (27780) $639 $639 2.4×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $3,067 $3,067 1.8×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $639 $639 2.4×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $603–$861 $603–$861 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $4,315 $4,315 2.5×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $4,315 $4,315 2.5×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675)
range across 2 matching MRF lines		 $3,020–$4,315 $3,020–$4,315 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $455 $455 1.7×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $738 $738 2.8×
Cltx tibial fx proximal w/o manipulation (27530) $639 $639 2.4×
Cltx tibial shaft fx w/o manipulation (27750) $639 $639 2.4×
Cltx trimalleolar ankle fx w/manipulation (27818) $6,779 $6,779 3.9×
Cltx trimalleolar ankle fx w/o manipulation (27816) $1,024 $1,024 3.9×
Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) $2,816 $2,816 0.8×
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines		 $37–$219 $37–$219 varies
Collection of venous blood by venipuncture (36415)
range across 4 matching MRF lines		 $4–$46 $4–$46 varies
Colporrhaphy (57200) $8,127 $8,127 2.3×
Complex Cystometrogram (51726) $514 $514 1.9×
Composite Skin Graft (15760) $5,306 $5,306 2.4×
Control Nasal Hemorrhage Anterior Complex (30903) $790 $790 5.5×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $395–$565 $395–$565 varies
Control oropharyngeal hemorrhage simple (42960) $4,301 $4,301 7.4×
Conversion ext bil drg cath (47535) $5,547 $5,547 1.4×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $2,885 $2,885 1.4×
Convert Nephrostomy Catheter (50434) $5,285 $5,285 2.4×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $4,103 $4,103 2.3×
Create Eardrum Opening (69433) $597 $597 1.0×
Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) $494 $494 1.9×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $480 $480 3.4×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $655 $655 2.6×
Cysto calibration dilat urtl strix/stenosis (52281) $8,054 $8,054 3.6×
Cysto w/complex removal stone & stent (52315) $6,378 $6,378 2.8×
Cysto w/irrig & evac multple obstructing clots (52001) $1,490 $1,490 0.4×
Cysto W/Simple Removal Stone & Stent (52310) $3,378 $3,378 1.5×
Cystometrogram W/Vp (51728) $3,914 $3,914 5.2×
Cystometrogram W/Vp&Up (51729) $1,782 $1,782 2.4×
Cystourethroscopy (52000) $2,420 $2,420 3.2×
Cystourethroscopy inj chemodenervation bladder (52287) $6,378 $6,378 2.8×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $8,306 $8,306 2.2×
Cystourethroscopy with biopsy (52204) $8,722 $8,722 3.9×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $335 $335 0.8×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $1,244 $1,244 0.4×
Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) $6,594 $6,594 3.2×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $2,174–$3,105 $2,174–$3,105 varies
Debride nail 1-5 (11720) $118 $118 1.9×
Debride nail 6 or more (11721) $207 $207 3.3×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $3,289 $3,289 1.9×
Debridement Mastoidectomy Cavity Cmplx (69222) $955 $955 1.7×
Debridement Mastoidectomy Cavity Simple (69220) $61 $61 0.3×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $1,441–$2,057 $1,441–$2,057 varies
Declot vascular device (36593) $1,072 $1,072 3.0×
Delivery of placenta (59414) $6,456 $6,456 1.9×
Derma-fat-fascia graft (15770) $6,660 $6,660 1.8×
Destroy lumb/sac facet jnt (64635) $4,388 $4,388 2.1×
Destruct B9 Lesion 1-14 (17110) $537 $537 2.5×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $83 $83 0.6×
Dilat Xst Trc New Access Rcs (50437) $9,524 $9,524 2.5×
Dilate Urethra Stricture (53620) $1,782 $1,782 2.4×
Dilate Urethra Stricture (53600) $824 $824 3.1×
Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) $9,524 $9,524 2.5×
Drain Cerebro Spinal Fluid (62272) $1,967 $1,967 2.6×
Drain/inj small joint/bursa w/us (20604) $809 $809 2.5×
Drainage Abscess/Hematoma Nasal Septum (30020) $1,061.70 $1,061.70 1.8×
Drainage External Ear Abscess/Hematoma Simple (69000) $3,314 $3,314 4.4×
Drainage of finger abscess simple (26010) $1,025 $1,025 4.8×
Drainage of gum lesion (41800) $710 $710 5.0×
Drainage of hematoma/fluid (10140) $2,305 $2,305 1.3×
Drainage of salivary cyst (42409) $5,778 $5,778 1.6×
Drainage of scrotal wall abscess (55100) $6,718 $6,718 3.8×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines		 $32–$200 $32–$200 varies
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $714 $714 0.9×
Drg Absc Submaxillary/Sublingual Intraoral (42310) $955 $955 1.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $439 $439 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $439 $439 2.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $596 $596 2.8×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $2,373 $2,373 2.5×
Dx Bone Marrow Bx & Aspir (38222) $3,039 $3,039 1.0×
Dx Bronchoscope/Wash (31622) $5,376 $5,376 2.8×
Dx lmbr spi pnxr w/fluor/CT (62328) $2,318 $2,318 3.1×
Electro-Uroflowmetry First (51741) $433 $433 1.9×
Endometrial Biopsy (58100) $1,245 $1,245 5.7×
Endovasc Temp Balloon Occlus,Head/Nck (61623) $14,753 $14,753 1.2×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $8,990 $8,990 2.7×
Endoven ther chem adhes 1st (36482) $12,977 $12,977 2.2×
Epidural Blood Patch (62273) $1,122 $1,122 1.5×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $3,430 $3,430 1.7×
Esophagoscopy Flexible Transoral Diagnostic (43200) $686 $686 0.7×
Evacuation of subungual hematoma (11740) $336 $336 2.4×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $664 $664 0.9×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $1,260 $1,260 0.7×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $355 $355 0.5×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $355 $355 0.5×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $664 $664 0.4×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $664 $664 0.4×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $664 $664 0.9×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $664 $664 0.4×
Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) $5,778 $5,778 1.6×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $1,260 $1,260 0.7×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $4,940 $4,940 3.9×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $355 $355 0.5×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $5,237 $5,237 1.4×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $2,616 $2,616 1.2×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $5,031 $5,031 2.4×
Excis Mouth Complex,Exc Thru Muscle (40816) $5,778 $5,778 1.6×
Excis Mouth Mucosa/Sub,No Repair (40810) $5,778 $5,778 1.6×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $3,679 $3,679 2.2×
Excision Lesion Tongue W/O Closure (41110) $5,778 $5,778 1.6×
Excision Lingual Frenum Frenectomy (41115) $4,191 $4,191 2.5×
Excision of sublingual salivary cyst (ranula) (42408) $5,778 $5,778 1.6×
Excision soft tissue lesion, external auditory canal (69145) $5,008 $5,008 1.6×
Excision/destruction intranasal lesion int appr (30117) $5,778 $5,778 1.6×
Explo/Drain Breast Abscess (19020) $2,217 $2,217 1.3×
Exploration maxillary sinus (31020) $5,825 $5,825 1.6×
External cephalic version (59412) $3,569 $3,569 1.0×
Fasciotomy, foot and/or toe (28008) $4,631 $4,631 1.3×
Fetal Contraction Stress Test (59020) $553 $553 2.6×
Fetal non-stress test (59025) $802 $802 3.7×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $2,753 $2,753 3.6×
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $749–$1,071 $749–$1,071 varies
Fluid Pressure Muscle (20950) $3,206 $3,206 4.2×
Fluoro exam of g/colon tube (49465) $619 $619 2.4×
Fna bx w/us gdn 1st les (10005) $2,628 $2,628 3.5×
Foreskin manipulation (54450) $824 $824 3.1×
Fracture Nasal Inferior Turbinate Therapeutic (30930) $5,778 $5,778 1.6×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $1,266 $1,266 0.6×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $1,266 $1,266 0.6×
Guide Cathet Fluid Drainage (10030) $1,049 $1,049 1.4×
I&d abscess peritonsillar (42700) $1,809 $1,809 7.1×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $375–$536 $375–$536 varies
I&d perianal abscess superficial (46050) $2,458 $2,458 2.5×
I&d pilonidal cyst complicated (10081) $2,983 $2,983 3.9×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $485–$693 $485–$693 varies
Icd Pocket Revision (33223) $4,735 $4,735 2.1×
Image Cath Fluid Colxn Visc (49405) $3,554 $3,554 2.0×
Image Cath Fluid Peri/Retro (49406) $4,358 $4,358 2.5×
Image Cath Fluid Trns/Vgnl (49407) $5,194 $5,194 2.9×
Incise external hemorrhoid (46083) $251 $251 0.9×
Incision & drainage abscess complicated/multiple (10061) $899 $899 2.1×
Incision & removal foreign body subq tiss compl (10121) $4,311 $4,311 2.4×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $470–$671 $470–$671 varies
Incision and drainage of bartholin's gland abscess (56420) $610 $610 2.8×
Incision and drainage of vulva or perineal abscess (56405) $737 $737 2.3×
Incision of lingual frenum (frenotomy) (41010) $997 $997 0.6×
Incision of rectal abscess (46040) $3,955 $3,955 3.1×
Incisional biopsy skin single lesion (11106) $2,321 $2,321 2.9×
Initial Tx 1st Degree Burn Local Tx (16000) $909 $909 4.2×
Inj W/Fluor Eval Cv Device (36598) $1,037 $1,037 4.5×
Injection 1 tendon sheath/ligament aponeurosis (20550) $1,047 $1,047 3.2×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $971 $971 1.0×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $4,023 $4,023 5.3×
Injection for identification of sentinel node (38792) $3,628 $3,628 8.5×
Injection Into Brain Canal (61055) $1,786 $1,786 5.4×
Injection into disk lesion (62292) $5,439 $5,439 2.6×
Injection single/mlt trigger point 1/2 muscles (20552) $1,017 $1,017 3.1×
Injection single/mlt trigger point 3/> muscles (20553) $3,971 $3,971 12.1×
Injection Sinus Tract Therapeutic Separate Proc (20500) $1,526 $1,526 0.9×
Injection, anesthetic agent; brachial plexus, single (64415) $1,060 $1,060 1.1×
Injection, anesthetic agent; femoral nerve, single (64447) $1,463 $1,463 1.9×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $1,828 $1,828 2.4×
Ins cath ren art 1st bilat (36252) $9,034 $9,034 2.7×
Ins cath ren art 1st unilat (36251) $8,867 $8,867 2.6×
Ins cath ren art 2nd+ bilat (36254) $5,200 $5,200 1.5×
Ins cath ren art 2nd+ unilat (36253) $5,882 $5,882 1.0×
Ins endovas vena cava filtr (37191) $10,954 $10,954 1.8×
Ins Vag Brachytx Device (57156) $874 $874 2.7×
Ins/Rep Subq Defibrillator (33270) $87,257 $87,257 2.6×
Insert 1 Electrode Pm-Defib (33216) $14,842 $14,842 1.7×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $301–$430 $301–$430 varies
Insert cath pleura w/ image (32557) $4,355 $4,355 2.6×
Insert cervical dilator (59200) $874 $874 2.7×
Insert Gastrostomy Tube Percutaneous (49440) $5,031 $5,031 2.4×
Insert Heart Pm Atrial (33206) $31,948 $31,948 2.9×
Insert Heart Pm Ventricular (33207) $32,652 $32,652 2.9×
Insert hepatic shunt (tips) (37182)
unusually low: confirm this is the full procedure		 $7,068 $7,068 0.4×
Insert Nasal Septal Button (30220) $2,857 $2,857 1.7×
Insert non-tunnel cv cath (36556) $8,867 $8,867 2.6×
Insert Pacing Lead & Connect (33224) $49,151 $49,151 4.4×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $4,355 $4,355 2.6×
Insert pulse gen dual leads (33213) $23,973 $23,973 2.1×
Insert pulse gen mult leads (33221) $25,734 $25,734 1.2×
Insert Pulse Gen Sngl Lead (33212) $22,225 $22,225 2.5×
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines		 $265–$378 $265–$378 varies
Insert tun ip cath perc (49418) $6,431 $6,431 1.7×
Insert tunneled cv cath (36561) $8,867 $8,867 2.6×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $216–$308 $216–$308 varies
Insertion indwelling tunneled pleural catheter (32550) $5,139 $5,139 1.3×
Insertion Picc W/Rs&I 5 Yr/> (36573) $3,596 $3,596 2.1×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $18,474 $18,474 2.1×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $6,942 $6,942 1.8×
Insertion Uterine Tandem&/Vaginal Ovoids (57155) $5,108 $5,108 1.0×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $26,497 $26,497 3.0×
Insj Picc Rs&I <5 Yr (36572) $3,204 $3,204 4.8×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $4,990 $4,990 1.5×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $4,026 $4,026 2.4×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $5,120 $5,120 1.5×
Insj/Rplcmt Defib W/Lead(S) (33249) $64,141 $64,141 1.9×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $21,020 $21,020 2.4×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) $26,497 $26,497 3.0×
Insrt heart pm atrial & vent (33208) $27,836 $27,836 2.5×
Insrt Pulse Gen W/Dual Leads (33230) $74,892 $74,892 3.1×
Insrt Pulse Gen W/Mult Leads (33231) $82,384 $82,384 2.4×
Insrt Pulse Gen W/Singl Lead (33240) $76,455 $76,455 3.2×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $4,800 $4,800 3.2×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,147 $1,147 2.6×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,623 $1,623 3.7×
Intro cath dialysis circuit (36901) $7,092 $7,092 4.2×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $31,989 $31,989 2.6×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $18,728 $18,728 3.1×
Intro Gastrointestinal Tube (44500) $1,317 $1,317 1.4×
Intubation endotracheal emergency procedure (31500) $1,346 $1,346 5.3×
Irrigation of corpora cavernosa for priapism (54220) $1,321 $1,321 4.9×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $7,928 $7,928 2.0×
Laryngoscope Injection Vocal Cord Therapeutic (31570) $7,928 $7,928 2.0×
Laryngoscopy diagnostic (31505) $424 $424 2.0×
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $421–$426 $421–$426 varies
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $1,339 $1,339 3.2×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $1,434 $1,434 3.4×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $718 $718 3.4×
Laryngoscopy W/Foreign Body Removal (31530) $5,330 $5,330 2.8×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $1,339 $1,339 3.2×
Laser treatment of retina (67040) $12,131 $12,131 2.7×
Ligation Of Neck Artery (37615) $9,297 $9,297 2.7×
Ligation or biopsy temporal artery (37609) $3,166 $3,166 1.8×
Lithotripsy, extracorporeal shock wave (50590) $9,524 $9,524 2.5×
Lyse chest fibrin init day (32561) $1,936 $1,936 2.9×
Lyse Chest Fibrin Subq Day (32562) $1,936 $1,936 2.9×
Lysis Intranasal Synechia (30560) $854 $854 1.5×
Maternity Care Procedure (59899) $393 $393 1.8×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $1,584 $1,584 0.9×
Mech remov tunneled cv cath (36595) $3,180 $3,180 0.9×
Musc myocutaneous/fasciocutaneous flap uxtr (15736) $1,581 $1,581 0.7×
Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) $7,437 $7,437 2.0×
Myelography Lumbar Injection (62305) $2,871 $2,871 3.4×
Myelography Lumbar Injection (62304) $2,870 $2,870 3.4×
Myelography via lumbar injection rs&i cervical (62302) $2,707 $2,707 3.2×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $2,216 $2,216 2.6×
N Block Inj Celiac Pelus (64530) $1,558 $1,558 1.6×
N block inj intercost sng (64420) $863 $863 1.1×
N Block Lumbar/Thoracic (64520) $2,191 $2,191 2.3×
Nasal Endoscopy Dx (31231) $426 $426 2.0×
Nasal surgery procedure (30999) $447 $447 1.8×
Nasal/Orogastric W/Tube Plmt (43752) $1,047 $1,047 2.2×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $3,801 $3,801 2.0×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $7,905 $7,905 4.1×
Needle Biopsy Lymph Nodes (38505) $3,352 $3,352 1.9×
Needle Biopsy Pancreas (48102) $3,653 $3,653 2.1×
Needle insertion w/o injection 1 or 2 muscles (20560) $77 $77 2.5×
Needle insertion w/o injection 3 or more muscles (20561) $77 $77 2.5×
Neuroeltrd Stim Post Tibial (64566) $351 $351 1.1×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $600 $600 1.8×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $3,161 $3,161 0.8×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $6,046 $6,046 1.6×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $3,533 $3,533 3.7×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $3,266 $3,266 4.3×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $3,652 $3,652 3.9×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $3,176 $3,176 4.2×
Njx Noncmpnd Sclrsnt Mlt Vn (36466) $7,882 $7,882 3.6×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $4,170 $4,170 5.6×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $2,985 $2,985 4.0×
Njx Sclrsnt 1 Incmptnt Vein (36470) $418 $418 1.0×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $600 $600 1.4×
Njx Sclrsnt Spider Veins (36468) $392 $392 0.9×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) $14,570 $14,570 1.9×
Obstructive material removal from gi tube (49460) $1,600 $1,600 1.6×
Occipital Nerve Block (64405) $1,828 $1,828 5.6×
Open Tx Distal Phalangeal Fracture Each (26765) $8,772 $8,772 2.5×
Open tx interphalangeal joint dislocation (26785) $8,772 $8,772 2.5×
Open/Perq Place Stent 1St (37236) $25,366 $25,366 2.1×
Open/Perq Place Stent Same (37238) $27,306 $27,306 2.2×
Penile Injection (54235) $148 $148 0.6×
Perc Cryo Ablate Renal Tum (50593) $9,200 $9,200 0.8×
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) $4,064 $4,064 2.7×
Perc Rf Ablate Renal Tumor (50592) $5,629 $5,629 0.9×
Percut Ablate Liver Rf (47382) $7,932 $7,932 1.2×
Percut Cath Occlusn Non Cns Lesn (61626) $9,833 $9,833 0.8×
Percut Drain/Inject Renal Cyst (50390) $2,806 $2,806 3.7×
Percut Mech Thrombectomy, Venous, Repeat (37188) $7,696 $7,696 2.3×
Pericardiocentesis W/Imaging (33016) $4,078 $4,078 2.4×
Peritoneal Lavage (49084) $2,644 $2,644 2.7×
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure		 $5,651 $5,651 0.3×
Perq av fistula creation uxtr single access (36836) $36,192 $36,192 1.8×
Perq Cervicothoracic Inject (22510) $5,650 $5,650 1.6×
Perq dev breast 1st mr guide (19287) $2,118 $2,118 2.8×
Perq dev breast 1st strtctc (19283) $1,972 $1,972 2.6×
Perq dev breast 1st us imag (19285) $1,878 $1,878 2.5×
Perq device breast 1st imag (19281) $1,885 $1,885 1.1×
Perq Lumbosacral Injection (22511) $5,650 $5,650 1.6×
Perq Radiofreq Ablation Tx, Pul Tumor (32998) $7,134 $7,134 1.1×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,928 $1,928 2.5×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $31,662 $31,662 2.6×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $19,041 $19,041 3.1×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $13,184 $13,184 1.7×
Perq Vertebral Augmentation (22513) $11,325 $11,325 1.5×
Place Cath Subclavian Art (36225) $9,854 $9,854 2.9×
Place Cath Thoracic Aorta (36221) $7,705 $7,705 2.3×
Place Cath Vertebral Art (36226) $12,836 $12,836 2.2×
Place Duod/Jej Tube Perc (49441) $3,942 $3,942 1.9×
Place Rt Device/Marker Pros (55876) $3,054 $3,054 2.1×
Placement of needle for intraosseous infusion (36680) $690 $690 1.4×
Plmt Bile Duct Stent Prq Existing Access (47538) $7,269 $7,269 1.1×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $7,517 $7,517 1.2×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $15,674 $15,674 2.4×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $8,338 $8,338 3.7×
Plmt Nephroureteral Catheter (50433) $9,524 $9,524 2.5×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $9,524 $9,524 2.5×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $9,524 $9,524 2.5×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $9,524 $9,524 2.5×
Prim art mech thrombectomy (37184) $31,114 $31,114 1.6×
Probing nasolacrimal duct (68810) $936 $936 2.8×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $445 $445 0.4×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $7,567 $7,567 2.5×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $1,667 $1,667 2.2×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $9,855 $9,855 2.6×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $5,453 $5,453 1.4×
Pseudoaneurysm Injection Trt (36002) $1,376 $1,376 2.0×
Punch biopsy skin single lesion (11104) $996 $996 2.3×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $535–$764 $535–$764 varies
Puncture Aspiration Cyst Breast (19000) $1,161 $1,161 1.5×
Puncture shunt tube/reservoir aspiration/inj px (61070) $1,654 $1,654 2.2×
Redo Endovas Vena Cava Filtr (37192) $8,404 $8,404 2.5×
Relocation Pocket Pacemaker (33222) $2,898 $2,898 1.3×
Rem Endovas Vena Cava Filter (37193) $8,550 $8,550 2.5×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $2,616 $2,616 2.7×
Removal Embedded Foreign Body Eyelid (67938)
range across 2 matching MRF lines		 $567–$810 $567–$810 varies
Removal Foreign Body Foot Subcutaneous (28190) $655 $655 0.9×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $2,649 $2,649 1.5×
Removal impacted cerumen irrigation/lvg unilat (69209) $334 $334 5.3×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $212 $212 3.4×
Removal of a lesion from the floor of the mouth (41116) $5,778 $5,778 1.6×
Removal of foreign body from pharynx (42809) $514 $514 1.1×
Removal of nail bed (11750) $1,883 $1,883 4.3×
Removal of tunneled intraperitoneal catheter (49422) $6,268 $6,268 1.9×
Removal or bivalving full arm or full leg cast (29705) $405 $405 1.4×
Removal Pacemaker Electrode (33235) $7,824 $7,824 2.0×
Removal peritoneal-venous shunt (49429) $6,271 $6,271 1.9×
Removal ppm generator only (33233) $12,621 $12,621 1.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $426 $426 2.0×
Removal subcutaneous cardiac rhythm monitor (33286) $4,660 $4,660 6.1×
Removal Submand Stone,Complicated (42335) $5,778 $5,778 1.6×
Removal/bivalving gauntlet boot/body cast (29700) $716 $716 2.4×
Remove brain canal fluid (61050) $809 $809 2.5×
Remove Elctrd Transvenously (33244) $8,541 $8,541 2.1×
Remove foreign body from eye (65205) $511 $511 3.6×
Remove Intrauterine Device (58301) $565 $565 1.7×
Remove intrvas foreign body (37197) $3,613 $3,613 1.1×
Remove lung catheter (32552) $937 $937 1.4×
Remove Nasal Foreign Body (30300) $344 $344 2.4×
Remove palate/lesion (42120) $11,043 $11,043 1.7×
Remove Pulse Generator (33241) $10,270 $10,270 2.6×
Remove renal tube w/fluoro (50389) $1,927 $1,927 2.6×
Remove ureter stent percut (50384) $2,490 $2,490 1.1×
Remove&replace pm gen singl (33227) $25,388 $25,388 2.9×
Remv&replc cvd gen dual lead (33263) $56,098 $56,098 2.4×
Remv&replc cvd gen mult lead (33264) $61,657 $61,657 1.8×
Remv&replc cvd gen sing lead (33262) $44,302 $44,302 1.9×
Remv&replc pm gen dual lead (33228) $27,893 $27,893 2.5×
Remv&replc pm gen mult leads (33229) $30,712 $30,712 1.5×
Renal Biopsy Perq (50200) $2,800 $2,800 1.6×
Repair Blood Vessel Direct Hand Finger (35207) $9,297 $9,297 2.7×
Repair blood vessel direct neck (35201) $15,488 $15,488 2.6×
Repair Blood Vessel Direct Upper Extremity (35206) $9,297 $9,297 2.7×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,261.60 $1,261.60 1.6×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $2,568 $2,568 3.2×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,433 $1,433 3.3×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $3,101 $3,101 7.1×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $346 $346 0.8×
Repair Elbow Perc (24357) $6,630 $6,630 1.9×
Repair Extensor Tendon Finger W/Graft Each (26420) $6,156 $6,156 1.8×
Repair extensor tendon finger w/o graft each (26418) $3,101 $3,101 1.8×
Repair Finger/Hand Tendon (26350) $6,183 $6,183 1.8×
Repair Hand Joint (26540) $6,156 $6,156 1.8×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $1,043 $1,043 2.4×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $1,147 $1,147 2.6×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,147 $1,147 2.6×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,147 $1,147 2.6×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $755 $755 1.7×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,262 $1,262 1.6×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $1,618 $1,618 3.7×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $1,717 $1,717 3.9×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,208 $1,208 1.5×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $2,170 $2,170 1.0×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,391 $1,391 3.2×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $1,013 $1,013 2.3×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $1,208 $1,208 2.8×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $2,678 $2,678 3.4×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $1,262 $1,262 2.9×
Repair intermediate s/a/t/e >30.0 cm (12037) $755 $755 0.3×
Repair Laceration Palate </2 Cm (42180) $1,401 $1,401 2.4×
Repair lead pace-defib dual (33220) $10,947 $10,947 2.7×
Repair Lead Pace-Defib One (33218) $9,964 $9,964 2.5×
Repair of nail bed (11760) $1,062 $1,062 1.3×
Repair tongue laceration (41252) $962 $962 3.8×
Repair tongue laceration (41250) $762 $762 1.6×
Repair Tooth Socket (41874) $5,778 $5,778 1.6×
Replace duodenostomy/jejunostomy tube perq (49451) $2,571 $2,571 2.6×
Replace G-J Tube Perc (49452) $1,311 $1,311 1.3×
Replace g/c tube perc (49450) $2,148 $2,148 2.2×
Replantation, thumb (includes distal tip to MP joint), complete amputation Facility (20827) $12,934 $12,934 7.5×
Repos Previously Implanted Subq Implantable Dfb (33273) $11,486 $11,486 2.9×
Reposition Gastrostomy Tube (43761) $1,067 $1,067 4.0×
Reposition L Ventric Lead (33226) $3,879 $3,879 1.1×
Reposition Pacing-Defib Lead (33215) $6,336 $6,336 1.9×
Reposition Venous Catheter (36597) $2,862 $2,862 1.7×
Revise Abdomen-Venous Shunt (49426) $7,604 $7,604 2.0×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $10,127 $10,127 1.7×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $5,546 $5,546 2.5×
Rmvl embedded fb vestibule mouth comp (40805) $1,401 $1,401 2.4×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804)
range across 2 matching MRF lines		 $1,754–$2,506 $1,754–$2,506 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $1,332 $1,332 2.8×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $553 $553 3.9×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $404 $404 0.8×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $12,330 $12,330 4.0×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $4,445 $4,445 2.5×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $9,970 $9,970 2.5×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $4,891 $4,891 2.9×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $2,642 $2,642 3.9×
Rplc Gtube No Revj Trc (43762) $1,192 $1,192 4.5×
Rplcmt cath ctr vad subq port/pmp (36578) $3,356 $3,356 1.0×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $2,759 $2,759 1.6×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $5,097 $5,097 3.0×
Rplcmt compl tun ctr vad w/subq port (36582) $4,492 $4,492 1.3×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $7,771 $7,771 2.3×
Rpr blood vessel direct lower extremity (35226) $2,021 $2,021 2.7×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $1,071 $1,071 5.0×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,391 $1,391 1.8×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $2,572 $2,572 4.5×
Rpr Lip Full Thickness Vermilion Only (40650) $2,624 $2,624 4.5×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $4,191 $4,191 2.5×
Rpr Nsl Vlv Collapse W/Implt (30468) $10,742 $10,742 1.7×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $1,930 $1,930 2.9×
Sclerotx Fluid Collection (49185) $1,930 $1,930 1.1×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $6,287 $6,287 1.8×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $82 $82 0.4×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $556 $556 2.6×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $749–$1,071 $749–$1,071 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $606–$865 $606–$865 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $635–$907 $635–$907 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $1,071 $1,071 2.5×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $655–$935 $655–$935 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $1,071 $1,071 5.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $606–$865 $606–$865 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $1,071 $1,071 5.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $655–$935 $655–$935 varies
Skin Full Grft Face/Genit/Hf (15240) $3,519 $3,519 1.6×
Skin sub graft face/nk/hf/g (15275) $5,268 $5,268 6.7×
Skin sub graft trnk/arm/leg (15271) $5,306 $5,306 6.7×
Skin Tissue Procedure (17999) $7,791 $7,791 36.2×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 2 matching MRF lines		 $9,913–$20,410 $9,913–$20,410 varies
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 3 matching MRF lines		 $6,182–$16,942 $6,182–$16,942 varies
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 2 matching MRF lines		 $12,081–$18,307 $12,081–$18,307 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $635–$907 $635–$907 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $749–$1,071 $749–$1,071 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $1,071 $1,071 2.5×
Spinal puncture lumbar diagnostic (62270) $1,458 $1,458 1.9×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $1,581 $1,581 0.4×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $1,581 $1,581 0.7×
Strapping ankle (29540) $452 $452 2.6×
Strapping elbow or wrist (29260) $86 $86 1.4×
Strapping hand/finger (29280) $151 $151 2.4×
Strapping knee (29530) $383 $383 2.7×
Strapping shoulder (29240)
range across 3 matching MRF lines		 $247–$349 $247–$349 varies
Strapping toes (29550) $255 $255 4.0×
Strapping Unna Boot (29580) $438 $438 2.5×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $5,825 $5,825 1.6×
Surg nasopharyngoscopy dilat eustachian tube bi (69706) $10,742 $10,742 1.7×
Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) $10,742 $10,742 1.7×
Tangential biopsy skin single lesion (11102) $182 $182 0.4×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $61,190 $61,190 2.0×
Tcat Insj/Rpl Perm Ldls Pm (33274) $45,503 $45,503 2.2×
Tcat Rmvl Perm Ldls Pm (33275) $10,009 $10,009 3.0×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $4,631 $4,631 2.7×
Tenotomy shoulder area single tendon (23405) $6,630 $6,630 0.9×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,967 $1,967 2.6×
Therapeutic plasma exchange (36514) $3,595 $3,595 2.2×
Therapeutic pneumothorax (32960) $1,674 $1,674 2.5×
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) $15,488 $15,488 2.6×
Thrmbc/Nfs Dialysis Circuit (36906) $44,992 $44,992 2.3×
Thromblytic art/ven therapy (37213) $4,022 $4,022 1.2×
Thrombolytic Art Therapy (37211) $14,772 $14,772 2.5×
Thrombolytic Venous Therapy (37212) $3,572 $3,572 1.1×
Thyroid biopsy (60100) $2,540 $2,540 3.3×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $2,798 $2,798 1.3×
Tprnl Plmt Biodegrdabl Matrl (55874) $4,596 $4,596 0.8×
Tracheobrnchsc Thru Est Trachs Inc (31615) $2,542 $2,542 4.4×
Tracheostomy Emergency Cricothyroid Membrane (31605) $3,705 $3,705 14.6×
Tracheostomy Emergency Procedure Transtracheal (31603) $4,191 $4,191 2.5×
Transcatheter biopsy (37200) $3,951 $3,951 0.7×
Treat Dental Ridge Fracture (21440) $3,623 $3,623 1.0×
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $447–$639 $447–$639 varies
Treat Humerus Fracture (24505) $3,067 $3,067 1.8×
Treat humerus fracture (23600) $955 $955 3.6×
Treat knee fracture (27532) $8,772 $8,772 2.5×
Treat Knuckle Dislocation (26700) $1,307 $1,307 4.9×
Treat Metatarsal Fracture (28475) $639 $639 2.4×
Treat Tail Bone Fracture (27200) $455 $455 1.7×
Treat Thumb Dislocation (26641) $1,004 $1,004 3.8×
Treat Thumb Fracture (26645)
range across 2 matching MRF lines		 $3,020–$4,315 $3,020–$4,315 varies
Treat toe dislocation (28630) $486 $486 1.8×
Treatment Closed Elbow Dislocation Req Anes (24605) $4,315 $4,315 2.5×
Treatment closed elbow dislocation w/o anes (24600) $1,004 $1,004 3.8×
Trim skin lesion (11055) $236 $236 1.1×
Trim skin lesions 2 to 4 (11056) $236 $236 1.1×
Trim skin lesions over 4 (11057) $291 $291 1.4×
Trluml Balo Angiop 1St Art (37246) $14,512 $14,512 2.4×
Trluml Balo Angiop 1St Vein (37248) $16,285 $16,285 2.7×
Tx Gastro Intub W/Asp (43753) $399 $399 1.7×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,771 $1,771 2.2×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $4,315 $4,315 2.5×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $639 $639 2.4×
Unlisted Cardiac Surgery (33999) $1,755 $1,755 2.6×
Unlisted Procedure Accessory Sinuses (31299) $447 $447 1.8×
Unlisted Procedure Biliary Tract (47999) $2,962 $2,962 3.0×
Unlisted Procedure Endocrine System (60699) $5,723 $5,723 0.9×
Unlisted Procedure Hands/Fingers (26989) $2,957 $2,957 11.2×
Unlisted Procedure Intestine (44799) $4,611 $4,611 4.7×
Unlisted procedure lungs and pleura (32999) $1,288.98 $1,288.98 1.9×
Unlisted procedure nervous system (64999) $2,885 $2,885 8.8×
Unlisted procedure pelvis/hip joint (27299) $623 $623 2.4×
Unlisted procedure spine (22899) $4,586 $4,586 17.3×
Unlisted procedure stomach (43999)
range across 2 matching MRF lines		 $12,646–$12,758 $12,646–$12,758 varies
Unlisted Procedure Tongue Floor Mouth (41599) $447 $447 1.8×
Unlisted Procedure Vascular Surgery (37799) $1,254 $1,254 1.9×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $3,229 $3,229 3.3×
Unlisted Procedure, Urinary System (53899) $2,740 $2,740 10.2×
Upgrade of pacemaker system (33214) $28,012 $28,012 2.5×
Vaginal delivery only (59409) $3,871 $3,871 1.1×
Vasc embolize/occlude artery (37242) $12,040 $12,040 0.6×
Vasc Embolize/Occlude Bleed (37244) $31,114 $31,114 2.5×
Vasc Embolize/Occlude Organ (37243) $15,772 $15,772 1.3×
Vasc embolize/occlude venous (37241) $31,114 $31,114 2.5×
Venous Mech Thrombectomy (37187) $31,114 $31,114 2.5×
Wedge excision skin nail fold (11765) $1,653 $1,653 3.8×
Wedging of cast (29740) $747 $747 2.5×
Wound Prep F/N/Hf/G (15004) $1,536 $1,536 3.5×

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.