Procedures & surgery prices at Northwestern Medicine Valley West Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abdomen Surgery Procedure (22999) $3,161.20 $4,516 12.0×
Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) $3,546.90 $5,067 2.0×
Allogeneic lymphocyte infusions (38242) $2,433.20 $3,476 1.5×
Amniocentesis therapeutic (59001) $607.60 $868 1.9×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $4,022.90 $5,747 1.1×
Amputation toe interphalangeal joint (28825) $7,468.30 $10,669 2.1×
Anal Sp Inf Pmp W/Reprg&Fill (62369)
range across 2 matching MRF lines
$1,070.30–$7,629.12 $1,529–$10,898.74 varies
Anoscopy diagnostic (46600) $261.80 $374 1.8×
Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) $3,735.90 $5,337 2.9×
Anoscopy W/Rmvl Foreign Body (46608) $340.20 $486 0.3×
Anoscopy; with biopsy, single or multiple (46606) $2,254.70 $3,221 1.8×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $3,705.80 $5,294 2.9×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $7,100.10 $10,143 2.4×
Application Cast Finger (29086) $257.60 $368 1.5×
Application Finger Splint Dynamic (29131) $556.50 $795 8.8×
Application finger splint static (29130) $234.50 $335 1.6×
Application Halo Cranial Including Removal (20661) $1,486.80 $2,124 0.9×
Application long arm splint shoulder hand (29105) $263.90 $377 1.5×
Application Long Leg Splint (29505) $263.90 $377 1.5×
Application of cylinder cast (thigh to ankle) (29365) $401.80 $574 1.3×
Application Short Arm Splint Dynamic (29126) $550.20 $786 3.9×
Application short arm splint forearm-hand static (29125) $248.50 $355 1.7×
Application short leg splint calf foot (29515) $214.90 $307 1.2×
Apply hand/wrist cast (29085) $471.10 $673 2.7×
Arterial puncture (36600)
range across 3 matching MRF lines
$162.40–$2,034.20 $232–$2,906 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $479.50 $685 1.5×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $1,347.50 $1,925 4.1×
Arthroscopy hip w/femoroplasty (29914) $67,134.85 $95,906.93 8.6×
Arthroscopy knee synovectomy limited spx (29875) $17,255.47 $24,650.67 4.9×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $26,242.07 $37,488.67 7.5×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $15,431.32 $22,044.74 4.4×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $66,414.12 $94,877.31 8.5×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $72,699.56 $103,856.51 20.7×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $64,677.09 $92,395.84 18.4×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $66,414.12 $94,877.31 8.5×
Aspirate Pleura W/O Imaging (32554) $2,157.40 $3,082 3.2×
Aspirate/Inj Ganglion Cyst (20612) $535.50 $765 1.6×
Aspiration & Injection Treatment Bone Cyst (20615) $3,620.40 $5,172 4.8×
Aspiration and/or injection thyroid cyst (60300) $1,792 $2,560 2.4×
Aspiration bladder insert suprapubic catheter (51102) $9,058.10 $12,940.14 4.0×
Aspiration bladder trocar/intracatheter (51101) $556.50 $795 0.6×
Avulsion nail plate partial/complete simple 1 (11730) $398.30 $569 1.9×
Beta amyloid ab42/40 imprcip (0412U) $1,848 $2,640 2.5×
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552)
unusually low: confirm this is the full procedure
$2,288.30 $3,269 0.3×
Biliary ndsc prq t-tube dilat strix w/stent (47556) $6,652.10 $9,503 0.6×
Biliary ndsc prq t-tube w/bx single/multiple (47553) $6,700.40 $9,572 1.0×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555) $3,804.50 $5,435 0.5×
Biopsy bone open deep (20245) $7,266.70 $10,381 2.3×
Biopsy Muscle Superficial (20200) $6,603.10 $9,433 3.7×
Biopsy nail unit (11755) $2,163 $3,090 2.9×
Biopsy of breast; open, incisional (19101) $7,942.90 $11,347 1.9×
Biopsy of intestine by capsule, tube, peroral (1 or more specimens) (44100) $2,052.40 $2,932 2.1×
Biopsy of nerve (64795) $6,381.90 $9,117 3.0×
Biopsy of palate, uvula (42100) $2,534 $3,620 1.5×
Biopsy of penis (54100) $4,982.60 $7,118 2.8×
Biopsy of rectum (45100) $6,904.80 $9,864 2.3×
Biopsy Prostate Transrectal Ultrasound-Guided (55707) $7,932.40 $11,332 2.1×
Biopsy soft tissue leg/ankle area superficial (27613) $3,856.30 $5,509 2.2×
Biopsy soft tissue thigh/knee area superficial (27323) $3,185 $4,550 1.8×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $2,491.30 $3,559 2.5×
Biopsy, vestibule of mouth (40808) $1,097.60 $1,568 1.9×
Biopsy/removal lymph nodes (38510) $9,992.50 $14,275 2.4×
Bladder instillation anticarcinogenic agent (51720)
range across 2 matching MRF lines
$3,056.90–$4,131.22 $4,367–$5,901.74 varies
Bladder Irrigation (51700) $343 $490 1.3×
Bladder Scan (51798)
range across 2 matching MRF lines
$124.60–$16,476.09 $178–$23,537.27 varies
Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) $5,121.20 $7,316 3.1×
Blood Transfusion Service (36430)
range across 2 matching MRF lines
$751.80–$3,136.70 $1,074–$4,481 varies
Blood/Lymph System Procedure (38999) $23,921.80 $34,174 50.6×
Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638)
likely a partial charge, not the full procedure
$380.10 $543 0.1×
Bronchial Valve Init Insert (31647)
unusually low: confirm this is the full procedure
$2,534 $3,620 0.3×
Bronchoscopic Thermoplasty 2/> Lobes (31661) $6,534.50 $9,335 0.9×
Bronchoscopy Bronch Stents (31636)
unusually low: confirm this is the full procedure
$2,534 $3,620 0.3×
Bronchoscopy Dilate W/Stent (31631)
unusually low: confirm this is the full procedure
$2,723.70 $3,891 0.4×
Bx breast 1st lesion us imag (19083) $5,994.10 $8,563 3.4×
Bx Cervix (57500) $3,561.60 $5,088 3.6×
Bx prostate strtctc saturation sampling img gid (55706) $13,791.30 $19,701.86 3.7×
Bx/exc lymph node open deep axillary node (38525) $8,311.10 $11,873 2.0×
Bx/exc lymph node open superficial (38500) $6,826.40 $9,752 1.6×
Ca vi psp&sp1 antb elisa semiql bld sjogren synd (0472U) $1,814.40 $2,592 65.0×
Carpal Tunnel Surgery (64721) $8,775.65 $12,536.64 4.2×
Catheter aspiration nasotracheal spx (31720) $397.60 $568 1.7×
Change Cystostomy Tube Complicated (51710) $3,265.50 $4,665 4.4×
Change Cystostomy Tube Simple (51705) $1,088.50 $1,555 4.1×
Change of Windpipe Airway (31502) $2,222.50 $3,175 8.8×
Chemodenerv 1 extremity 1-4 (64642) $1,084.30 $1,549 1.4×
Chemodenerv Musc Migraine (64615)
range across 2 matching MRF lines
$177.10–$3,159.62 $253–$4,513.74 varies
Chemodenerv musc neck dyston (64616)
range across 2 matching MRF lines
$858.20–$3,549.35 $1,226–$5,070.50 varies
Chemodenerv trunk musc 6/> (64647) $1,827.70 $2,611 2.4×
Chemodenervation of internal anal sphincter (46505) $3,590.30 $5,129 2.8×
Chest tube placement (32551) $1,231.30 $1,759 0.7×
Chg onc prst8 ca alys all PSA structural isoforms (0359U) $1,596 $2,280 2.1×
Chorionic Villus Sampling (59015) $1,399.30 $1,999 1.4×
Ciliary body dstrj cyclophotocoag transsceral (66710) $5,567.80 $7,954 2.2×
Circumcision 28 days or older (54161) $11,281.63 $16,116.61 5.0×
Circumcision Neonate (54160) $4,342.10 $6,203 5.8×
Clear outer ear canal (69200) $166.60 $238 1.2×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $525 $750 2.0×
Closed tx ankle dislocation w/o anesthesia (27840) $805 $1,150 3.0×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $779.80 $1,114 0.5×
Closed tx carpal scaphoid fracture w/manj (25624) $829.50 $1,185 0.5×
Closed Tx Femoral Fracture Prox Head W/Manj (27268) $2,366.70 $3,381 1.4×
Closed tx knee dislocation w/o anesthesia (27550) $886.90 $1,267 3.4×
Closed tx metatarsal fracture w/o manipulation (28470) $829.50 $1,185 3.1×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $2,746.80 $3,924 1.6×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $3,790.50 $5,415 1.1×
Closed tx patellar dislocation w/o anesthesia (27560) $1,096.20 $1,566 4.1×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $998.20 $1,426 0.6×
Closed tx radial&ulnar shaft fractures w/o man (25560) $930.30 $1,329 3.5×
Closed tx septal&nose fx (21337) $4,728.50 $6,755 1.3×
Closed tx talotarsal joint dislc w/o anes (28570) $741.30 $1,059 2.8×
Closed Tx Talus Fracture W/Manipulation (28435) $3,503.50 $5,005 2.0×
Closed tx tarsometatarsal dislocation w/o anes (28600) $541.80 $774 2.0×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $760.90 $1,087 2.9×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $445.20 $636 1.8×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $1,115.10 $1,593 1.9×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $3,256.40 $4,652 1.9×
Clsd tx shoulder dislc w/manipulation req anes (23655) $3,084.20 $4,406 1.8×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $774.20 $1,106 2.9×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $886.90 $1,267 0.5×
Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) $2,933 $4,190 1.7×
Cltx dstl fibular fx lat malls w/manj (27788) $1,329.30 $1,899 5.0×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $658 $940 0.4×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $742 $1,060 0.4×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,733.90 $2,477 1.0×
Cltx fx grt toe phlx/phlg w/manj (28495) $1,302 $1,860 4.9×
Cltx fx grt toe phlx/phlg w/o manj (28490) $336.70 $481 1.3×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $675.50 $965 2.6×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $829.50 $1,185 3.1×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $808.50 $1,155 3.1×
Cltx hip dislocation traumatic w/o anesthesia (27250) $1,145.90 $1,637 4.3×
Cltx humeral condylar fx medial/lateral w/manj (24577) $2,967.30 $4,239 1.7×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $298.20 $426 1.1×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,141.70 $1,631 3.8×
Cltx iphal jt dislc w/manj w/o anes (26770) $305.90 $437 1.2×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $1,183 $1,690 4.5×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $609 $870 2.3×
Cltx post hip arthrp dislc w/o anes (27265) $1,191.40 $1,702 4.5×
Cltx prox fibula/shft fx w/manj (27781) $5,644.80 $8,064 3.3×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $653.10 $933 2.5×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $653.80 $934 2.5×
Cltx trimalleolar ankle fx w/manipulation (27818) $706.30 $1,009 0.4×
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines
$151.20–$768.60 $216–$1,098 varies
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines
$30.80–$675.50 $44–$965 varies
Colonoscopy Stoma Ablation Lesion (44401) $4,067 $5,810 3.2×
Colonoscopy stoma w/balloon dilation (44405) $1,415.40 $2,022 1.1×
Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) $1,449 $2,070 1.1×
Colonoscopy Through Stoma With Decompression (44408) $1,572.20 $2,246 1.6×
Colonoscopy w/ablation (45388)
range across 2 matching MRF lines
$1,793.40–$15,808.76 $2,562–$22,583.94 varies
Colonoscopy W/Band Ligation (45398)
range across 2 matching MRF lines
$3,303.30–$10,976.27 $4,719–$15,680.39 varies
Colonoscopy w/ndl aspir/bx (44407) $5,565.70 $7,951 4.3×
Colonoscopy w/submucosal inj (45381)
range across 2 matching MRF lines
$1,793.40–$11,448.50 $2,562–$16,355 varies
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $6,466.60 $9,238 1.9×
Colposcopy cervix upper/adjacent vagina (57452) $327.60 $468 1.5×
Colposcopy cervix vag eltrd conization cervix (57461) $3,504.90 $5,007 1.0×
Colposcopy entire vagina w/cervix if present (57420) $393.40 $562 1.2×
Colposcopy of vulva (56820) $676.90 $967 3.1×
Colsc Flexible W/Control Bleeding Any Method (45382)
range across 2 matching MRF lines
$1,793.40–$9,385.79 $2,562–$13,408.27 varies
Colsc Flexible W/Transendoscopic Balloon Dilat (45386)
range across 2 matching MRF lines
$4,622.80–$20,123.08 $6,604–$28,747.26 varies
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 2 matching MRF lines
$1,793.40–$10,156.52 $2,562–$14,509.31 varies
Control Nasal Hemorrhage Anterior Complex (30903) $729.40 $1,042 5.1×
Control Nasal Hemorrhage Anterior Simple (30901) $710.50 $1,015 5.0×
Control oropharyngeal hemorrhage simple (42960) $3,236.10 $4,623 5.6×
Convert Nephrostomy Catheter (50434) $4,249 $6,070 1.9×
Cordocentesis (59012) $648.90 $927 2.0×
Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) $4,459.70 $6,371 1.2×
Crd ceramides liq chrom plsm (0119U) $175.70 $251 2.1×
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) $18,019.40 $25,742 3.0×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $767.90 $1,097 5.4×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $573.30 $819 2.3×
Curettage postpartum (59160) $5,761 $8,230 1.7×
Cysto Bladder W/Ureteral Catheterization (52005) $7,205.80 $10,294 3.2×
Cysto calibration dilat urtl strix/stenosis (52281) $7,727.30 $11,039 3.4×
Cysto w/insert ureteral stent (52332) $20,122.37 $28,746.24 5.3×
Cysto W/Simple Removal Stone & Stent (52310) $5,858.27 $8,368.96 2.6×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $20,122.37 $28,746.24 5.3×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $25,065.96 $35,808.51 6.6×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $12,333.64 $17,619.49 3.3×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) $19,413.19 $27,733.13 3.4×
Cysto/uretero w/lithotripsy (52356) $17,713.31 $25,304.73 3.1×
Cystourethroscopy (52000)
range across 2 matching MRF lines
$1,366.40–$7,011.90 $1,952–$10,017 varies
Cystourethroscopy inj chemodenervation bladder (52287) $5,490.80 $7,844 2.5×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $18,335.04 $26,192.91 4.9×
Cystourethroscopy with biopsy (52204) $8,453.05 $12,075.79 3.8×
Cystourethroscopy with direct vision internal urethrotomy (52276) $8,661.48 $12,373.54 3.9×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $1,899.80 $2,714 4.4×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $1,523.20 $2,176 0.5×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $1,985.90 $2,837 2.6×
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $7,102.90 $10,147 2.0×
Debride nail 1-5 (11720) $160.30 $229 2.5×
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,843.80 $2,634 4.2×
Declot vascular device (36593)
range across 2 matching MRF lines
$533.40–$2,195.72 $762–$3,136.74 varies
Decompression of leg (27894) $7,102.90 $10,147 2.0×
Delivery of placenta (59414) $2,444.40 $3,492 0.7×
Destroy cerv/thor facet jnt (64633) $12,208.20 $17,440.29 5.8×
Destroy lumb/sac facet jnt (64635) $12,903.37 $18,433.39 6.2×
Destruct B9 Lesion 1-14 (17110) $154.70 $221 0.7×
Destruction by neurolytic agent; pudendal nerve (64630) $2,856 $4,080 3.0×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $425.60 $608 2.0×
Destruction neurolytic agt genicular nerve w/img (64624) $4,709.61 $6,728.01 2.3×
Diagnostic anoscopy (46601) $618.80 $884 1.3×
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines
$2,330.30–$8,821.94 $3,329–$12,602.77 varies
Dilat rct strix spx under anes oth/thn local (45910) $3,345.30 $4,779 2.6×
Dilat Xst Trc New Access Rcs (50437) $7,464.80 $10,664 2.0×
Dilate Esophagus 1/Mult Pass (43450)
range across 2 matching MRF lines
$1,918–$7,590.56 $2,740–$10,843.66 varies
Dilate Urethra Stricture (53600) $1,451.10 $2,073 5.4×
Dilation and catheterization of salivary duct, with or without injection (42660) $6,040.30 $8,629 10.5×
Dilation Cervical Canal (57800) $4,780.30 $6,829 1.4×
Drain Hand Tendon Sheath (26020) $3,556 $5,080 1.0×
Drain Spinal Cord Cyst (62268) $1,634.50 $2,335 1.7×
Drainage external auditory canal abscess (69020) $1,531.60 $2,188 2.0×
Drainage external ear abscess/hematoma cmplx (69005) $3,717 $5,310 2.1×
Drainage External Ear Abscess/Hematoma Simple (69000) $402.50 $575 0.5×
Drainage Mouth Roof Lesion (42000) $1,015 $1,450 4.0×
Drainage of eye (65800) $5,379.50 $7,685 2.2×
Drainage of finger abscess simple (26010) $796.60 $1,138 3.7×
Drainage of gum lesion (41800) $536.90 $767 3.8×
Drainage of hydrocele (55000) $2,342.20 $3,346 3.1×
Drainage of nose lesion (30000) $742.70 $1,061 2.9×
Drainage of salivary gland (42305) $5,553.10 $7,933 1.6×
Drainage of scrotum (54700) $7,662.20 $10,946 3.4×
Drainage of skene's gland abscess or cyst (53060) $3,805.20 $5,436 1.7×
Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) $5,700.80 $8,144 1.6×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines
$168–$870.10 $240–$1,243 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $275.80 $394 1.3×
Dstrj Lesion Anus Simple Chemical (46900) $678.30 $969 1.6×
Dstrj lesion anus simple surg excision (46922) $3,147.90 $4,497 1.1×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $4,953.90 $7,077 2.2×
Dstrj lesion penis simple laser (54057) $12,803.13 $18,290.19 5.8×
Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) $4,208.40 $6,012 2.0×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $4,952.49 $7,074.99 5.2×
Dx Laryngoscopy Excl Nb (31525) $3,365.60 $4,808 1.8×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 2 matching MRF lines
$2,196.60–$10,082.25 $3,138–$14,403.21 varies
Egd cautery tumor polyp (43250)
range across 2 matching MRF lines
$3,056.20–$12,889.18 $4,366–$18,413.11 varies
Egd control bleeding any (43255)
range across 2 matching MRF lines
$2,592.10–$11,411.99 $3,703–$16,302.84 varies
Egd Flexible Foreign Body Removal (43247) $8,605.83 $12,294.04 8.9×
Egd lesion ablation (43270)
range across 2 matching MRF lines
$3,362.10–$15,224.52 $4,803–$21,749.31 varies
Egd Optical Endomicroscopy (43252) $2,372.30 $3,389 1.2×
Egd Partial/Compl Esophagogastric Fundoplasty (43210) $9,573.90 $13,677 0.8×
Egd place gastrostomy tube (43246)
range across 2 matching MRF lines
$5,068–$12,808.77 $7,240–$18,298.24 varies
Egd remove lesion snare (43251)
range across 2 matching MRF lines
$2,592.10–$14,426.89 $3,703–$20,609.84 varies
Egd Varices Ligation (43244)
range across 2 matching MRF lines
$2,592.10–$4,797.30 $3,703–$6,853.29 varies
Egd W/Transmural Drain Cyst (43240) $4,375 $6,250 0.7×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $677.60 $968 2.1×
Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) $15,229.20 $21,756 2.6×
Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) $13,282.50 $18,975 2.2×
Endoscopy upper small intestine w/biopsy (44361)
range across 2 matching MRF lines
$4,013.80–$8,437.13 $5,734–$12,053.04 varies
Endovasc Temp Balloon Occlus,Head/Nck (61623) $7,317.80 $10,454 0.6×
Endoven abltj incmptnt vein mchnchem 1st vein (36473) $8,828.40 $12,612 2.6×
Endoven ther chem adhes 1st (36482) $12,296.90 $17,567 2.1×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376)
range across 2 matching MRF lines
$5,555.90–$14,834.80 $7,937–$21,192.57 varies
Enteroscopy > 2nd prtn ileum control bleeding (44378) $4,866.40 $6,952 2.4×
Enteroscopy > 2nd prtn w/rmvl foreign body (44363) $3,824.80 $5,464 1.9×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) $3,395 $4,850 1.7×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $4,805.50 $6,865 2.3×
Epididymectomy unilateral (54860) $17,987.56 $25,696.51 4.8×
Epidural Blood Patch (62273) $2,622.90 $3,747 3.5×
Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) $6,370.70 $9,101 1.5×
Esoph Optical Endomicroscopy (43206) $6,174 $8,820 3.0×
Esophagogastroduodenoscopy Submucosal Injection (43236)
range across 2 matching MRF lines
$2,566.20–$12,889.18 $3,666–$18,413.11 varies
Esophagosc Dilate Balloon 30 (43214) $2,403.80 $3,434 1.2×
Esophagoscop Mucosal Resect (43211) $4,972.10 $7,103 2.4×
Esophagoscop Stent Placement (43212) $4,491.20 $6,416 0.7×
Esophagoscopy Flex Transoral Injection Varices (43204) $1,724.10 $2,463 0.8×
Esophagoscopy Flexible Transnasal Diagnostic (43197) $2,194.50 $3,135 2.3×
Esophagoscopy Flexible Transnasal With Biopsy (43198) $4,008.20 $5,726 4.1×
Esophagoscopy Retro Balloon (43213) $5,180.70 $7,401 2.5×
Esophagoscopy rigid trnso dx (43191) $3,994.20 $5,706 1.9×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202)
range across 2 matching MRF lines
$2,100.70–$9,375.11 $3,001–$13,393.01 varies
Esophagoscp Guide Wire Dilat (43196) $6,645.80 $9,494 3.2×
Esophagoscp Rig Trnso Biopsy (43193) $5,497.80 $7,854 2.7×
Esophagoscp Rig Trnso Inject (43192) $5,570.60 $7,958 2.7×
Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) $3,875.90 $5,537 1.9×
Evacuation of subungual hematoma (11740) $147 $210 1.0×
Exc arm/elbow les sc < 3 cm (24075) $5,827.50 $8,325 3.3×
Exc Back Les Sc < 3 Cm (21930) $6,570.20 $9,386 3.7×
Exc Back Tum Deep 5 Cm/> (21933) $5,334.70 $7,621 1.7×
Exc Face Les Sbq 2 Cm/> (21012) $2,972.90 $4,247 1.7×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $2,813.30 $4,019 3.7×
Exc Forearm Les Sc 3 Cm/> (25071) $7,167.30 $10,239 4.0×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $3,463.60 $4,948 4.6×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $3,959.20 $5,656 2.2×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $5,509 $7,870 2.6×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $3,920 $5,600 5.2×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $5,852 $8,360 3.3×
Exc Skin Benig >4 Cm Remaindr Body (11426) $6,308.40 $9,012 2.0×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $5,797.40 $8,282 3.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $6,339.90 $9,057 3.6×
Exc thigh/knee les sc 3 cm/> (27337) $7,861 $11,230 2.5×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $2,552.20 $3,646 5.9×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $4,666.20 $6,666 2.6×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $7,609.70 $10,871 2.4×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $5,503.40 $7,862 3.1×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $5,107.20 $7,296 2.9×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $7,004.20 $10,006 4.0×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $6,657 $9,510 3.8×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $6,335 $9,050 2.0×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $5,856.90 $8,367 1.9×
Exchange Transfusion (36455) $851.90 $1,217 1.8×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $3,430 $4,900 4.5×
Excision Chalazion Single (67800) $1,122.10 $1,603 3.3×
Excision Infected Graft Extremity (35903) $16,016 $22,880 4.7×
Excision Lingual Frenum Frenectomy (41115) $2,961.70 $4,231 1.8×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $3,039.40 $4,342 4.0×
Excision Multiple External Papillae/Tags Anus (46230) $3,198.30 $4,569 1.1×
Excision of hydrocele; unilateral (55040) $12,616.76 $18,023.94 3.3×
Excision of local lesion of epididymis (54830) $16,970.85 $24,244.07 4.5×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $7,009.10 $10,013 4.0×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $8,011.50 $11,445 4.5×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $6,636 $9,480 3.7×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $7,265.30 $10,379 2.3×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $2,744.70 $3,921 1.6×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $7,757.40 $11,082 2.5×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $9,697.10 $13,853 3.1×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $7,278.60 $10,398 4.1×
Explore treat shoulder joint (23107) $16,329.60 $23,328 2.1×
External cephalic version (59412) $3,833.20 $5,476 1.1×
Eye surgery procedure (67299) $8,799.70 $12,571 3.6×
Fetal Contraction Stress Test (59020) $403.20 $576 1.9×
Fetal non-stress test (59025) $658 $940 3.0×
Fluid Pressure Muscle (20950) $1,124.20 $1,606 1.5×
Foreskin manipulation (54450) $2,587.20 $3,696 9.7×
Gstr Rstcv Px Trnsorl Esg W/Argon Plasma Coagj (43889) $23,921.10 $34,173 2.1×
Hem cgen neutropenia gen seq alys 24 genes (0271U) $3,298.40 $4,712 5.4×
Hem genetic bld do 60 genes (0272U) $3,973.20 $5,676 6.5×
Hem inh thrombocytopenia 42 (0276U) $3,298.40 $4,712 1.3×
Hem vw factor&clgn iii bndg (0279U)
range across 2 matching MRF lines
$24.50–$232.40 $35–$332 varies
Hematology (genetic platelet function disorder), genomic sequence analysis of 31 genes, blood, buccal swab, or amniotic… (0277U) $3,298.40 $4,712 5.4×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $6,119.40 $8,742 2.1×
Hip arthro acetabuloplasty (29915) $65,180.42 $93,114.89 8.4×
Hip arthro w/labral repair (29916) $66,506.84 $95,009.77 8.6×
I&d abscess simple (10060) $954.10 $1,363 4.4×
I&D Below Fascia Foot 1 Bursal Space (28002) $5,389.30 $7,699 3.1×
I&d deep absc bursa/hematoma thigh/knee region (27301) $5,505.50 $7,865 1.8×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $2,965.20 $4,236 0.8×
I&d perianal abscess superficial (46050) $1,400 $2,000 1.4×
I&d pilonidal cyst simple (10080) $520.10 $743 0.7×
Ileoscopy Stoma W/Balloon Dilation (44381) $2,164.40 $3,092 1.1×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $10,424.41 $14,892.01 10.7×
Implant Periph/Gastric Neurostim/Receiver (64590)
unusually low: confirm this is the full procedure
$9,175.60 $13,108 0.4×
Incision & drainage abscess complicated/multiple (10061) $1,132.60 $1,618 2.6×
Incision & removal foreign body subq tiss simple (10120) $1,335.60 $1,908 3.1×
Incision and drainage of vulva or perineal abscess (56405) $506.80 $724 1.6×
Incision Drainage Lacrimal Sac (68420) $4,734.80 $6,764 1.9×
Incision of lingual frenum (frenotomy) (41010) $2,961.70 $4,231 1.8×
Induced abortion dilation and curettage (59840) $6,291.60 $8,988 1.8×
Initial Tx 1st Degree Burn Local Tx (16000) $213.50 $305 1.0×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $3,241.45 $4,630.64 3.4×
Inject Intravitreal Pharmcologic (67028) $3,068.80 $4,384 8.7×
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines
$2,487.80–$3,379.45 $3,554–$4,827.79 varies
Injection aa&/strd genicular nrv branches w/img (64454) $3,053.60 $4,362.29 4.0×
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) $2,783.90 $3,977 2.9×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $2,058 $2,940 2.7×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $2,487.80 $3,554 2.6×
Injection anesthetic agent suprascapular nerve (64418) $3,379.45 $4,827.79 4.5×
Injection single/mlt trigger point 1/2 muscles (20552) $492.80 $704 1.5×
Injection single/mlt trigger point 3/> muscles (20553) $945.70 $1,351 2.9×
Injection therapeutic carpal tunnel (20526) $423.50 $605 1.3×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines
$2,524.20–$64,809.28 $3,606–$92,584.69 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines
$2,058–$46,923.68 $2,940–$67,033.83 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines
$1,803.20–$5,401.99 $2,576–$7,717.13 varies
Injection, intralesional; up to and including 7 lesions (11900) $371 $530 1.7×
Injx Anterior Chamber Eye Medication Spx (66030) $4,273.50 $6,105 1.7×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $5,803 $8,290 6.1×
Ins cath ren art 2nd+ bilat (36254) $6,309.80 $9,014 1.9×
Ins/Rep Subq Defibrillator (33270) $74,400.20 $106,286 2.2×
Insert Bladder Cath Complex (51703) $488.60 $698 3.5×
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $2,580.90 $3,687 2.0×
Insert non-tunnel cv cath (36556) $2,069.20 $2,956 0.6×
Insert pessary/other device (57160) $343 $490 1.6×
Insert pulse gen mult leads (33221) $32,985.40 $47,122 1.6×
Insert Pulse Gen Sngl Lead (33212) $11,116 $15,880 1.3×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines
$263.90–$4,338.04 $377–$6,197.20 varies
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $10,021.20 $14,316 1.7×
Insert,Non-Indwelling Bladder Catheter (51701) $214.90 $307 1.5×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $3,597.30 $5,139 0.9×
Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) $4,081 $5,830 0.7×
Insj Subq Impltbl Dfb Elctrd (33271) $18,418.40 $26,312 2.1×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) $7,725.20 $11,036 2.3×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
range across 2 matching MRF lines
$14,517.30–$97,877.01 $20,739–$139,824.30 varies
Insrt Pulse Gen W/Dual Leads (33230) $13,707.40 $19,582 0.6×
Insrt Pulse Gen W/Mult Leads (33231) $54,215.70 $77,451 1.6×
Insrt Pulse Gen W/Singl Lead (33240) $12,433.40 $17,762 0.5×
Intraoral i&d tongue/floor sublngl supfc (41005) $751.80 $1,074 3.0×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines
$404.60–$14,097.11 $578–$20,138.73 varies
Irrigation of corpora cavernosa for priapism (54220) $1,115.80 $1,594 4.2×
Klhl11 antb serum/csf cell binding assay qual (0432U) $86.10 $123 2.4×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $14,162.40 $20,232 2.2×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $13,423.20 $19,176 2.1×
Laryngoscopy Flexible Therapeutic Injection Uni (31573) $4,407.90 $6,297 2.3×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $4,039.70 $5,771 2.1×
Laryngoscopy Flexible W/Injection Agmntj Uni (31574) $4,148.20 $5,926 2.2×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $879.90 $1,257 2.1×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $1,690.50 $2,415 7.9×
Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) $408.80 $584 1.0×
Late closure of wound (13160) $6,640.90 $9,487 1.7×
Ligation of hemorrhoids (46946) $10,749.90 $15,357 3.6×
Ligation or biopsy temporal artery (37609) $6,973.40 $9,962 3.9×
Lithotripsy, extracorporeal shock wave (50590) $9,506.70 $13,581 2.5×
Manipulation knee joint under general anesthesia (27570) $4,830 $6,900 2.8×
Maternity Care Procedure (59899) $6,693.40 $9,562 30.9×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $3,122 $4,460 1.9×
Mrgfus Stereotactic Ablation Target Intracranial (61715) $80,831.10 $115,473 6.8×
Multifetal Pregnancy Reduction (59866) $606.90 $867 1.9×
N Block Inj Ilio-Ing/Hypogi (64425) $3,341.27 $4,773.24 4.4×
N block inj intercost sng (64420)
range across 2 matching MRF lines
$1,954.40–$6,206.55 $2,792–$8,866.50 varies
N Block Inj Plantar Digit (64455) $343 $490 1.0×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $2,237.90 $3,197 1.2×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $3,669.40 $5,242 1.9×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $617.40 $882 2.3×
Needle insertion w/o injection 1 or 2 muscles (20560) $25.20 $36 0.8×
Needle insertion w/o injection 3 or more muscles (20561) $25.20 $36 0.8×
Neu prksn msfl a-syncln prtn (0393U) $1,136.10 $1,623 2.1×
Neuro alys b-amyl 1-42&1-40 (0358U) $1,029 $1,470 4.0×
Neuro alz ds beta amyl&tau prtn bld lc-ms/ms alg (0503U) $2,142 $3,060 2.9×
Neurofilament light chain ultrsens ia serum/csf (0443U) $231 $330 2.0×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $12,241.39 $17,487.70 5.8×
Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) $1,522.50 $2,175 2.1×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $320.60 $458 0.8×
Nfct ds csf metagenomic ngs bioinformatic alys (0480U) $4,465.30 $6,379 2.1×
Njx anes stellate ganglion crv sympathetic (64510) $3,972.31 $5,674.73 4.2×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $580.30 $829 1.8×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $5,539.80 $7,914 1.4×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $3,226.60 $4,609.43 3.4×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $3,127.31 $4,467.59 4.1×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320)
range across 3 matching MRF lines
$2,676.10–$4,206.16 $3,823–$6,008.80 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $2,818.20 $4,026 3.0×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $3,326.39 $4,751.99 4.4×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $2,810.50 $4,015 3.8×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $871.50 $1,245 1.2×
Njx Sclrsnt 1 Incmptnt Vein (36470) $465.50 $665 1.1×
Ob preeclampsia biochem asy sflt-1&plgf serum (0482U) $270.20 $386 2.1×
Occipital Nerve Block (64405)
range across 2 matching MRF lines
$1,498–$3,657.85 $2,140–$5,225.50 varies
Onc pan-tumor DNA&RNA next-generation sequencing (0211U) $17,755.50 $25,365 2.1×
Onc Sld Org Neo Trgt Gen Seq Dna Alys 505 Genes (0250U) $2,415 $3,450 0.8×
Oncology (ovarian), biochemical assays of 7 proteins (follicle stimulating hormone, human epididymis protein 4,… (0375U) $661.50 $945 0.7×
Open biopsy/excision inguinofemoral nodes (38531) $7,700 $11,000 1.8×
Open Tx Mandibular Fx W/Interdental Fixation (21462) $17,292.10 $24,703 2.7×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $8,633.80 $12,334 2.5×
Partical Excision Bone Phalanx Toe (28124) $6,665.40 $9,522 1.9×
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) $1,250.90 $1,787 0.8×
Percut Mech Thrombectomy, Venous, Repeat (37188) $6,379.10 $9,113 1.9×
Perm Occlusion/Embolization,Percut,Cns (61624) $37,463.30 $53,519 1.9×
Perq dev breast 1st mr guide (19287) $2,340.80 $3,344 3.1×
Perq dilation xst trc endourologic px w/img (50436) $3,789.80 $5,414 1.0×
Perq Elec Nrv Field Stimj Cranial Nrv W/O Impltj (64567) $2,227.40 $3,182 2.3×
Perq p-art revsc 1 nm nt uni (33900) $26,104.40 $37,292 2.1×
Perq p-art revsc st 1st abnor connj unilateral (33902) $42,242.20 $60,346 2.2×
Perq Radiofreq Ablation Tx, Pul Tumor (32998) $4,677.40 $6,682 0.7×
Phleb Veins - Extrem 20+ (37766) $3,544.10 $5,063 1.0×
Photopheresis extracorporeal (36522) $12,718.30 $18,169 2.7×
Place Amniotic Membra Ocular Surface W/O Sutures (65778) $3,536.40 $5,052 3.3×
Place Rt Device/Marker Pros (55876) $3,446.10 $4,923 2.3×
Placement of seton (46020) $6,757.80 $9,654 2.3×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541)
likely a partial charge, not the full procedure
$2,047.50 $2,925 0.3×
Plmt Bile Duct Stent Prq Existing Access (47538) $11,519.20 $16,456 1.8×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539)
unusually low: confirm this is the full procedure
$2,047.50 $2,925 0.3×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540)
unusually low: confirm this is the full procedure
$2,047.50 $2,925 0.3×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $3,910.20 $5,586 3.9×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $5,969.60 $8,528 2.0×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $5,770.10 $8,243 4.5×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555)
range across 2 matching MRF lines
$8,836.80–$25,734.17 $12,624–$36,763.10 varies
Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) $3,359.30 $4,799 3.5×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $5,811.40 $8,302 1.7×
Puncture aspiration abscess hematoma bulla/cyst (10160) $394.80 $564 0.9×
Pvb thoracic cont infusion (64463) $1,834 $2,620 2.4×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $4,444.30 $6,349 2.1×
Rbc DNA gntyp 12 bld grp gen (0282U) $1,512 $2,160 2.1×
Redo Endovas Vena Cava Filtr (37192) $4,610.90 $6,587 1.4×
Removal Anal Seton Other Marker (46030) $5,293.40 $7,562 4.1×
Removal foreign body foot deep (28192) $4,672.50 $6,675 2.6×
Removal Foreign Body Foot Subcutaneous (28190) $1,758.40 $2,512 2.3×
Removal foreign body upper arm/elbow deep (24201) $5,679.80 $8,114 1.8×
Removal impacted cerumen irrigation/lvg unilat (69209) $142.80 $204 2.3×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $335.30 $479 5.3×
Removal implantable contraceptive capsules (11976) $1,030.40 $1,472 1.4×
Removal or bivalving full arm or full leg cast (29705) $237.30 $339 0.8×
Removal ppm generator only (33233) $13,111.70 $18,731 1.5×
Removal/bivalving gauntlet boot/body cast (29700) $476 $680 1.6×
Remove & Replace Indwell Ureteral Stent Trurthrl (50385) $6,201.30 $8,859 2.8×
Remove Brain Cavity Fluid (61020) $1,391.60 $1,988 1.5×
Remove cerclage suture (59871) $5,912.20 $8,446 1.7×
Remove foreign body from eye (65205) $568.40 $812 4.0×
Remove Int Dwell Ureteral Stent Transurethral (50386) $4,777.50 $6,825 2.1×
Remove Intrauterine Device (58301) $1,842.40 $2,632 5.6×
Remove lung catheter (32552) $2,722.30 $3,889 4.0×
Remove tissue expander (11971) $268.10 $383 0.1×
Repair blood vessel direct neck (35201) $11,812.50 $16,875 2.0×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,575.70 $2,251 2.0×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,584.10 $2,263 2.0×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $2,576 $3,680 5.9×
Repair complex trunk 2.6-7.5 cm (13101) $1,581.30 $2,259 2.0×
Repair Elbow Perc (24357) $3,236.10 $4,623 0.9×
Repair Hand Tendon (26410) $3,878 $5,540 2.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $872.90 $1,247 2.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $1,339.80 $1,914 3.1×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,441.30 $2,059 3.3×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $1,512 $2,160 3.5×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $852.60 $1,218 2.0×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $2,171.40 $3,102 5.0×
Repair intermediate s/a/t/e >30.0 cm (12037) $3,810.80 $5,444 1.7×
Repair Laceration Palate </2 Cm (42180) $1,138.20 $1,626 2.0×
Repair Laceration Palate >2 Cm/Complex (42182) $10,322.20 $14,746 1.6×
Repair lead pace-defib dual (33220) $5,669.30 $8,099 1.4×
Repair of anal fistula with fibrin glue (46706) $6,136.20 $8,766 2.1×
Repair of nail bed (11760) $504.70 $721 0.6×
Repair tongue laceration (41250) $742 $1,060 1.5×
Replace/Revise Brain Shunt (62230) $14,140 $20,200 1.5×
Repos Previously Implanted Subq Implantable Dfb (33273) $8,514.10 $12,163 2.1×
Reposition Gastrostomy Tube (43761) $417.20 $596 1.6×
Reposition L Ventric Lead (33226) $13,172.60 $18,818 3.9×
Revj/rmvl peripheral neurostimulator electrode (64585) $6,669.60 $9,528 1.8×
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) $12,808.60 $18,298 2.1×
Revsc evasc fpvt angiop uni sf les 1st vsl (37263) $12,808.60 $18,298 2.1×
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) $41,253.80 $58,934 2.1×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271) $41,253.80 $58,934 2.1×
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) $41,253.80 $58,934 2.1×
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) $41,253.80 $58,934 2.1×
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) $25,979.10 $37,113 2.1×
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) $25,979.10 $37,113 2.1×
Revsc evasc imvt angiop uni cplx les 1st vsl (37298) $25,979.10 $37,113 2.1×
Revsc evasc imvt angiop uni sf les 1st vsl (37296) $25,979.10 $37,113 2.1×
Revsc evasc ivt angiop uni cplx les 1st vsl (37256) $12,808.60 $18,298 2.1×
Revsc evasc ivt angiop uni sf les 1st vsl (37254) $12,808.60 $18,298 2.1×
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) $25,979.10 $37,113 2.1×
Revsc evasc ivt st plmt uni sf les 1st vsl (37258) $25,979.10 $37,113 2.1×
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) $25,979.10 $37,113 2.1×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280) $25,979.10 $37,113 2.1×
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) $41,253.80 $58,934 2.1×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $41,253.80 $58,934 2.1×
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) $41,253.80 $58,934 2.1×
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) $41,253.80 $58,934 2.1×
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) $41,253.80 $58,934 2.1×
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) $41,253.80 $58,934 2.1×
Rhinoplasty primary w/major septal repair (30420) $10,589.60 $15,128 1.7×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $198.80 $284 1.4×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $1,514.80 $2,164 0.5×
Rmvl Previously Implted Ithcl/Edrl Cath (62355) $9,067.80 $12,954 4.3×
Rplc Gtube No Revj Trc (43762) $1,148 $1,640 4.3×
Rplcmt/irrigation ventricular catheter (62225) $2,947 $4,210 0.8×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $7,725.20 $11,036 2.0×
Rpr blood vessel direct lower extremity (35226) $4,632.60 $6,618 6.1×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $903.70 $1,291 4.2×
Rpr Lip Full Thickness Vermilion Only (40650) $1,250.90 $1,787 2.2×
Rpr Retinal Dtchmnt Injection Air/Other Gas (67110) $6,741.70 $9,631 2.7×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $2,085.30 $2,979 2.1×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338)
range across 2 matching MRF lines
$2,417.80–$10,196.33 $3,454–$14,566.19 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $208.60 $298 1.0×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $291.20 $416 1.4×
Sigmoidoscopy & Polypectomy (45333) $2,308.60 $3,298 2.3×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346)
range across 2 matching MRF lines
$3,388–$6,384.64 $4,840–$9,120.91 varies
Sigmoidoscopy flx tndsc balo dilat (45340)
range across 2 matching MRF lines
$3,187.80–$6,956.90 $4,554–$9,938.43 varies
Sigmoidoscopy Flx With With Band Ligation(S) (45350)
range across 2 matching MRF lines
$2,308.60–$4,965.65 $3,298–$7,093.79 varies
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 2 matching MRF lines
$1,173.20–$4,149.26 $1,676–$5,927.51 varies
Sigmoidoscopy,Flex,W/Control,Bleeding (45334)
range across 2 matching MRF lines
$3,351.60–$5,653.97 $4,788–$8,077.10 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $698.60 $998 3.2×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $778.40 $1,112 3.6×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $721 $1,030 1.7×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $893.90 $1,277 4.2×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $331.10 $473 1.5×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $351.40 $502 1.6×
Skin sub grft t/arm/lg child (15273) $4,857.30 $6,939 2.2×
Skin Tissue Procedure (17999)
range across 5 matching MRF lines
$378–$10,215.80 $540–$14,594 varies
Small bowel endoscopy (44384) $2,193.10 $3,133 1.1×
Small bowel endoscopy (44366) $2,893.80 $4,134 1.4×
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379)
unusually low: confirm this is the full procedure
$2,002 $2,860 0.3×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $343 $490 1.6×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $474.60 $678 1.1×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $810.60 $1,158 1.9×
Spinal puncture lumbar diagnostic (62270) $839.30 $1,199 1.1×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $3,458 $4,940 1.0×
Strapping ankle (29540) $592.90 $847 3.4×
Strapping shoulder (29240) $554.40 $792 3.9×
Surg tx anal fistula subq (46270) $7,119 $10,170 2.4×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $4,668.30 $6,669 1.8×
Tcat Rmvl Perm Ldls Pm (33275) $7,154 $10,220 2.1×
Tenotomy Percutaneous Toe Single Tendon (28010) $3,136.70 $4,481 1.8×
Tenotomy shoulder area single tendon (23405) $6,385.40 $9,122 0.8×
Ther Apheresis W/Extracorporeal Immunoadsorption (36516) $8,842.40 $12,632 1.9×
Ther Apheresis,Red Blood Cells (36512) $5,313.70 $7,591 3.2×
Therapeutic Apheresis White Blood Cells (36511) $4,558.40 $6,512 2.7×
Therapeutic plasma exchange (36514) $5,313.70 $7,591 3.2×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) $26,989.20 $38,556 2.0×
Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) $11,188.10 $15,983 1.7×
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) $13,806.80 $19,724 2.3×
Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) $13,281.80 $18,974 2.2×
Thrombolytic Therapy Stroke (37195) $721 $1,030 2.0×
Tooth extraction (41899) $4,157.30 $5,939 16.4×
Tprnl Plmt Biodegrdabl Matrl (55874) $9,430.40 $13,472 1.6×
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,806.70 $2,581 7.1×
Tracheostomy Emergency Procedure Transtracheal (31603) $2,365.30 $3,379 1.4×
Transfusion Intrauterine Fetal (36460) $550.20 $786 1.2×
Transoral lower esophageal myotomy (43497) $7,436.10 $10,623 1.1×
Treat knee fracture (27532) $5,628.70 $8,041 1.6×
Treat Metatarsal Fracture (28475) $829.50 $1,185 3.1×
Treat Thumb Fracture (26645) $1,339.80 $1,914 0.8×
Treatment Closed Elbow Dislocation Req Anes (24605) $2,202.20 $3,146 1.3×
Treatment closed elbow dislocation w/o anes (24600) $1,603.70 $2,291 6.1×
Trim skin lesions 2 to 4 (11056) $264.60 $378 1.2×
Trimming Nondystrophic Nails Any Number (11719) $113.40 $162 1.8×
Trnsplj allogeneic hematopoietic cells per donor (38240)
likely a partial charge, not the full procedure
$4,373.60 $6,248 0.1×
Trnsplj autologous hematopoietic cells per donor (38241) $4,373.60 $6,248 2.6×
Trnsplj Hematopoietic Cell Boost (38243) $2,987.60 $4,268 1.8×
Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) $2,944.90 $4,207 1.5×
Tx Missed Abortion First Trimester Surgical (59820) $5,276.60 $7,538 1.5×
Tx open tendon flexor toe 1 tendon spx (28232) $3,664.50 $5,235 2.1×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $2,779.70 $3,971 1.6×
Tx superficial wound dehiscence w/packing (12021) $1,691.90 $2,417 3.9×
Unlisted Cardiac Surgery (33999)
range across 7 matching MRF lines
$7,118.30–$41,293.70 $10,169–$58,991 varies
Unlisted fetal invasive px w/ultrasound (59897) $606.90 $867 2.8×
Unlisted procedure anus (46999) $5,707.80 $8,154 5.7×
Unlisted procedure arthroscopy (29999) $64,809.28 $92,584.69 245.2×
Unlisted Procedure Biliary Tract (47999)
range across 33 matching MRF lines
$3,619–$23,227.40 $5,170–$33,182 varies
Unlisted procedure breast (19499) $825.30 $1,179 0.2×
Unlisted procedure colon (45399)
range across 4 matching MRF lines
$1,715.70–$10,896.20 $2,451–$15,566 varies
Unlisted Procedure Endocrine System (60699)
range across 2 matching MRF lines
$10,561.60–$12,087.60 $15,088–$17,268 varies
Unlisted Procedure Esophagus (43499)
range across 14 matching MRF lines
$1,566.60–$15,993.60 $2,238–$22,848 varies
Unlisted Procedure Intestine (44799)
range across 64 matching MRF lines
$708.40–$12,495.70 $1,012–$17,851 varies
Unlisted Procedure Leg/Ankle (27899)
range across 2 matching MRF lines
$6,036.80–$13,652.80 $8,624–$19,504 varies
Unlisted procedure liver (47399)
range across 2 matching MRF lines
$323.40–$26,043.50 $462–$37,205 varies
Unlisted procedure lungs and pleura (32999)
range across 4 matching MRF lines
$2,153.20–$3,252.20 $3,076–$4,646 varies
Unlisted Procedure Muscskeletal System General (20999)
range across 2 matching MRF lines
$3,718.40–$7,770.70 $5,312–$11,101 varies
Unlisted procedure nervous system (64999)
range across 23 matching MRF lines
$1,084.30–$47,961.20 $1,549–$68,516 varies
Unlisted procedure pancreas (48999)
range across 5 matching MRF lines
$4,021.50–$8,447.60 $5,745–$12,068 varies
Unlisted Procedure Rectum (45999)
range across 4 matching MRF lines
$2,832.90–$12,129.60 $4,047–$17,328 varies
Unlisted procedure stomach (43999)
range across 16 matching MRF lines
$1,245.30–$22,791.30 $1,779–$32,559 varies
Unlisted Procedure Trachea Bronchi (31899)
range across 2 matching MRF lines
$800.80–$1,944.60 $1,144–$2,778 varies
Unlisted Procedure Vascular Surgery (37799)
range across 15 matching MRF lines
$2,159.50–$25,858.70 $3,085–$36,941 varies
Unlisted procedure, abdomen, peritoneum and omentum (49999)
range across 11 matching MRF lines
$1,510.60–$10,561.60 $2,158–$15,088 varies
Unlisted Procedure, Urinary System (53899)
range across 4 matching MRF lines
$2,213.40–$7,735 $3,162–$11,050 varies
Unlisted px female genital system nonobstetrical (58999) $132.30 $189 0.6×
Vaginal delivery only (59409) $4,699.80 $6,714 1.4×
Vasectomy uni/bi spx w/postop semen exams (55250) $9,910.35 $14,157.64 4.4×
Ventricular puncture previous burr hole w/inj (61026) $1,261.40 $1,802 1.7×
Von willebrand factor type 2b plasma (0283U) $451.50 $645 24.5×
Vw factor type 2n eval plsm (0284U) $36.40 $52 2.1×
Wound Prep F/N/Hf/G (15004) $3,892 $5,560 8.9×
Wound Prep Trk/Arm/Leg (15002) $4,596.20 $6,566 5.8×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.