Procedures & surgery prices at Ochsner St. Martin Hospital

Breaux Bridge, LA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $691.50 $2,305 0.8×
Anoscopy diagnostic (46600) $80.40 $268 0.7×
Anoscopy; with biopsy, single or multiple (46606) $617.70 $2,059 0.6×
Application cast elbow finger short arm (29075) $54.90 $183 0.2×
Application Cast Finger (29086) $54.90 $183 0.4×
Application Cast Hand & Lower Forearm Gauntlet (29085) $54.90 $183 0.4×
Application cast shoulder hand long arm (29065) $54.90 $183 0.2×
Application Finger Splint Dynamic (29131) $54.90 $183 1.0×
Application finger splint static (29130) $54.90 $183 0.5×
Application long arm splint shoulder hand (29105) $54.90 $183 0.4×
Application Long Leg Cast Walker/Ambulatory Type (29355) $54.90 $183 0.2×
Application long leg splint thigh ankle/toes (29505) $162 $540 1.1×
Application of cylinder cast (thigh to ankle) (29365) $54.90 $183 0.2×
Application of long leg cast (29345) $54.90 $183 0.2×
Application Of Rigid Total Contact Leg Cast (29445) $349.50 $1,165 1.4×
Application Short Arm Splint Dynamic (29126) $54.90 $183 0.5×
Application short arm splint forearm-hand static (29125) $54.90 $183 0.5×
Application short leg splint calf foot (29515) $162 $540 1.1×
Apply patella tendon bearing cast (29435) $54.90 $183 0.2×
Apply short leg cast (29405) $54.90 $183 0.2×
Apply short leg cast (29425) $54.90 $183 0.2×
Arterial puncture (36600) $12.60 $42 0.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $120.30 $401 0.4×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $120.30 $401 0.4×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $354.60 $1,182 1.3×
Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) $3,329.03 $11,096.76 1.1×
Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) $3,614.73 $12,049.09 1.2×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $6,074.18 $20,247.26 0.9×
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) $5,068.17 $16,893.91 0.8×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $4,955.16 $16,517.22 1.7×
Arthrp intercarpal/carp/mtcrpl jt suspension (25448) $3,309.19 $11,030.63 1.1×
Aspiration Bladder Insert Suprapubic Catheter (51102) $1,379.70 $4,599 0.7×
Avulsion nail plate partial/complete simple 1 (11730) $80.55 $268.50 0.4×
Biopsy bone open superficial (20240) $2,585.70 $8,619 1.0×
Biopsy Bone Trocar/Needle Superficial (20220) $396.90 $1,323 0.3×
Bladder Instillation Anticarcinogenic Agent (51720) $276.90 $923 0.4×
Bladder Irrigation Simple (51700) $127.20 $424 0.6×
Bladder Scan (51798) $240.90 $803 4.5×
Blood patch (62273) $550.80 $1,836 0.9×
Blood transfusion service (36430) $259.50 $865 0.6×
Bone marrow aspiration only (38220) $1,185.60 $3,952 0.8×
Bx anorectal wall anal approach (45100) $2,297.70 $7,659 0.9×
Cataract surgery complex (66982) $3,720.17 $12,400.56 1.8×
Catheter Aspiration Nasotracheal Spx (31720) $77.10 $257 0.4×
Change Cystostomy Tube Simple (51705) $354.60 $1,182 1.6×
Chemical Cautery Tissue (17250) $13.50 $45 0.1×
Chest tube placement (32551) $316.80 $1,056 0.2×
Chg Collect Blood From Catheter Venous Nos (36592) $40.80 $136 0.3×
Circumcision (54150) $735.90 $2,453 0.4×
Circumcision Neonate (54160) $735.90 $2,453 1.2×
Close Rx Fingr Articular Fx,Manip (26742) $123.30 $411 0.1×
Closed Rx Humer Epicondylr Fx,Manip (24565) $123.30 $411 0.1×
Closed Rx Med Malleolus Fx,Manip (27762) $123.30 $411 0.1×
Closed Rx Mid Humerus Fx,Manipulatn (24505) $123.30 $411 0.1×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $216 $720 0.1×
Closed Rx Shldr Disloc,Gr Tub Fx (23665) $123.30 $411 0.1×
Closed Rx Tibia Shaft Fx (27750) $123.30 $411 0.6×
Closed Rx Trauma Hip Disloc,Anesth (27252) $1,530.90 $5,103 1.1×
Closed treat wrist dislocation (25660) $233.70 $779 1.0×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $123.30 $411 0.6×
Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) $123.30 $411 0.6×
Closed Treatment Ulnar Styloid Fracture (25650) $123.30 $411 0.6×
Closed tx ankle dislocation w/o anesthesia (27840) $183.60 $612 0.8×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $123.30 $411 0.1×
Closed tx knee dislocation w/anesthesia (27552) $942.90 $3,143 0.6×
Closed tx knee dislocation w/o anesthesia (27550) $354.60 $1,182 1.6×
Closed tx nasal fracture w/o stabilization (21315) $683.40 $2,278 0.5×
Closed tx patellar dislocation w/anesthesia (27562) $1,346.40 $4,488 6.0×
Closed tx patellar dislocation w/o anesthesia (27560) $120.30 $401 0.5×
Closed tx radial head/neck fx w/manipulation (24655) $120.30 $401 0.1×
Closed tx radial shaft fracture w/manipulation (25505) $216 $720 0.1×
Closed Tx Talus Fracture W/Manipulation (28435) $123.30 $411 0.1×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $95.70 $319 0.4×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $123.30 $411 0.1×
Closed tx ulnar shaft fracture w/o manipulation (25530) $233.70 $779 1.0×
Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) $314.10 $1,047 1.5×
Clsd tx clavicular fracture w/o manipulation (23500) $108.30 $361 0.5×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,201.80 $4,006 0.8×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $350.40 $1,168 1.6×
Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) $367.20 $1,224 1.6×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $172.50 $575 0.8×
Cltx dstl fibular fx lat malls w/manj (27788) $123.30 $411 0.6×
Cltx dstl fibular fx lat malls w/o manj (27786) $123.30 $411 0.6×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $93.90 $313 0.4×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $216 $720 1.0×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $493.80 $1,646 0.3×
Cltx fem fx dstl end medial/lat condyle w/manj (27510) $1,173.60 $3,912 0.8×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $949.20 $3,164 0.7×
Cltx fx grt toe phlx/phlg w/manj (28495) $161.40 $538 0.7×
Cltx fx grt toe phlx/phlg w/o manj (28490) $93.90 $313 0.4×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $93.90 $313 0.4×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $123.30 $411 0.1×
Cltx hip dislocation traumatic w/o anesthesia (27250) $123.30 $411 0.6×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $93.90 $313 0.4×
Cltx iphal jt dislc w/manj w/o anes (26770) $102.60 $342 0.5×
Cltx metacarpal fx w/manipulation each bone (26605) $123.30 $411 0.6×
Cltx metacarpal fx w/o manipulation each bone (26600) $123.30 $411 0.6×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $93.90 $313 0.4×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $1,530.90 $5,103 1.1×
Cltx metatarsophlngl jt dislc w/o anes (28630) $93.90 $313 0.4×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $93.90 $313 0.4×
Cltx post hip arthrp dislc w/o anes (27265) $123.30 $411 0.6×
Cltx prox fibula/shft fx w/manj (27781) $123.30 $411 0.1×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $120.30 $401 0.5×
Cltx scapular fx w/mnpj w/wo skeletal traction (23575) $93.90 $313 0.1×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,173.60 $3,912 0.8×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $216 $720 0.1×
Cltx trimalleolar ankle fx w/manipulation (27818) $123.30 $411 0.1×
Colonoscopy flex w/rem forcep (45384) $543.60 $1,812 0.5×
Colonoscopy stoma w/snare (44394) $439.20 $1,464 0.4×
Colonoscopy thru stoma (44388) $439.20 $1,464 0.5×
Colonoscopy w/ablation (45388) $543.60 $1,812 0.5×
Colonoscopy w/resection (45390) $1,352.40 $4,508 0.5×
Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) $439.20 $1,464 0.4×
Colsc flx with directed submucosal njx any sbst (45381) $543.60 $1,812 0.5×
Complete replacement picc rs&i (36584) $878.70 $2,929 0.6×
Control Nasal Hemorrhage Anterior Simple (30901) $124.80 $416 1.0×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $129.90 $433 1.1×
Debride nail 1-5 (11720) $29.70 $99 0.6×
Debride nail 6 or more (11721) $46.95 $156.50 0.9×
Debridement subcutaneous tissue 20 sq cm/< (11042) $21.30 $71 0.1×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $167.70 $559 0.3×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $416.40 $1,388 0.3×
Declot vascular device (36593) $132 $440 0.4×
Destroy cerv/thor facet jnt (64633) $1,331.55 $4,438.50 0.8×
Destroy lumb/sac facet jnt (64635) $1,425.60 $4,752 0.8×
Destruction Benign Lesions Up To 14 (17110) $196.20 $654 1.1×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $416.10 $1,387 0.5×
Destruction neurolytic agt genicular nerve w/img (64624) $1,959.90 $6,533 1.1×
Diagnostic sigmoidoscopy (45330) $151.80 $506 0.2×
Dilation esoph unguided sound/bougie 1/mult pass (43450) $695.10 $2,317 0.8×
Drainage abscess/hematoma nasal int approach (30000) $314.10 $1,047 1.5×
Drainage External Ear Abscess/Hematoma Simple (69000) $86.10 $287 0.1×
Drainage Finger Abscess Complicated (26011) $1,245.90 $4,153 0.8×
Drainage Finger Abscess Simple (26010) $114 $380 0.6×
Drainage of eyelid abscess (67700) $165.30 $551 0.6×
Drainage of gum lesion (41800) $95.70 $319 0.8×
Drainage of hematoma/fluid (10140) $157.80 $526 0.1×
Drainage of scrotal wall abscess (55100) $1,809 $6,030 1.2×
Draw blood off venous device (36591) $9 $30 0.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $104.40 $348 0.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $88.20 $294 0.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $119.10 $397 0.7×
Dry Needling 3+ Muscles (20561) $314.10 $1,047 12.0×
Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) $1,368.30 $4,561 0.8×
Egd balloon dilation esophagus <30 mm diam (43249) $734.70 $2,449 0.4×
Egd Dilation Gastric/Duodenal Stricture - Egd (43245) $734.70 $2,449 0.4×
Egd endoscopic stent place (43266) $4,059.90 $13,533 0.7×
Egd flexible foreign body removal (43247) $490.50 $1,635 0.6×
Egd guide wire insertion (43248) $490.50 $1,635 0.6×
Egd injection varices (43243) $1,368.60 $4,562 0.8×
Egd place gastrostomy tube (43246) $711.60 $2,372 0.4×
Egd rem tumr/polyp forcep (43250) $1,368.60 $4,562 0.8×
Egd remove lesion snare (43251) $593.40 $1,978 0.3×
Egd Transoral Control Bleeding Any Method - Egd (43255) $734.70 $2,449 0.4×
Egd tube/cath insertion (43241) $490.50 $1,635 0.3×
Egd us exam duodenum/jejunum (43259) $593.40 $1,978 0.3×
Egd us fine needle bx/aspir (43242) $593.40 $1,978 0.3×
Egd Varices Ligation (43244) $734.70 $2,449 0.4×
Endoscopy Upper Small Intestine - Enteroscopy (44360) $1,368.60 $4,562 0.8×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $1,880.70 $6,269 1.0×
Ercp Duct Stent Placement (43274)
unusually low: confirm this is the full procedure
$2,722.50 $9,075 0.5×
Ercp ea duct/ampulla dilate (43277) $2,587.20 $8,624 0.7×
Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) $2,587.20 $8,624 0.7×
Ercp remove forgn body duct (43275) $1,696.50 $5,655 1.0×
Ercp W/Biopsy Single/Multiple (43261) $2,587.20 $8,624 0.7×
Ercp w/sphincterotomy/papillotomy (43262) $1,434 $4,780 0.4×
Esoph endoscopy dilation (43226) $734.70 $2,449 0.4×
Esophagogastroduodenoscopy submucosal injection (43236) $396.30 $1,321 0.5×
Esophagoscopy flex biopsy (43202) $1,368.60 $4,562 0.8×
Esophagoscopy flexible transoral diagnostic (43200) $396.30 $1,321 0.5×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $1,368.60 $4,562 0.8×
Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) $734.70 $2,449 0.4×
Evacuation of subungual hematoma (11740) $76.50 $255 0.6×
Exc arm/elbow les sc 3 cm/> (24071) $2,821.97 $9,406.58 1.1×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,622.37 $5,407.91 1.1×
Exc hand les sc < 1.5 cm (26115) $2,275.86 $7,586.21 1.5×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,636.68 $5,455.60 2.6×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $2,413.93 $8,046.44 1.6×
Exc Skin Benig >4 Cm Remaindr Body (11426) $2,375.83 $7,919.42 0.9×
Exc Skin Malig >4 Cm Remaindr Body (11626) $2,097.59 $6,991.97 0.8×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $137.40 $458 0.1×
Exchange intraocular lens (66986) $3,784.40 $12,614.67 1.8×
Excis Tendon Sheath Lesion, Hand/Finger (26160) $1,869.78 $6,232.58 1.3×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $1,691.97 $5,639.91 2.6×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $1,962.85 $6,542.82 5.3×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $1,774.12 $5,913.72 2.8×
Excision of ganglion, wrist (dorsal or volar); recurrent (25112) $1,995.84 $6,652.81 1.4×
Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) $2,313.53 $7,711.76 0.8×
Excision of nail fold toe (11765) $106.20 $354 0.3×
Excision olecranon bursa (24105) $2,564.13 $8,547.09 0.9×
Excision Prepatellar Bursa (27340) $3,709.71 $12,365.70 1.3×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $2,569.26 $8,564.20 1.7×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $3,046.90 $10,156.35 1.0×
Fetal non-stress test (59025) $173.10 $577 0.9×
Fixation of knee joint (27570) $1,530.90 $5,103 1.1×
Fluoro exam of g/colon tube (49465) $179.40 $598 0.8×
Gastric Intubation/Aspiration, Therapeutic (43753) $50.70 $169 0.3×
I&d abscess simple (10060) $87.90 $293 0.5×
I&d deep absc bursa/hematoma thigh/knee region (27301) $350.10 $1,167 0.1×
I&d epididymis tstis&/scrotal space (54700) $1,038.60 $3,462 0.5×
I&d perianal abscess superficial (46050) $133.20 $444 0.2×
I&d pilonidal cyst simple (10080) $114 $380 0.2×
Incise finger tendon sheath (26055) $1,632.80 $5,442.66 1.1×
Incision & drainage abscess complicated/multiple (10061) $291.30 $971 0.8×
Incision & drainage pilonidal cyst complicated (10081) $114 $380 0.2×
Incision & removal foreign body subq tiss compl (10121) $370.20 $1,234 0.2×
Incision & removal foreign body subq tiss simple (10120) $74.85 $249.50 0.2×
Incision and drainage of bartholin's gland abscess (56420) $149.40 $498 0.8×
Incision and drainage of vulva or perineal abscess (56405) $150.60 $502 0.5×
Incision extensor tendon sheath wrist (25000) $1,961.75 $6,539.16 1.3×
Incision of lingual frenum (41010) $1,029.30 $3,431 0.7×
Incision of rectal abscess (46040) $644.40 $2,148 0.6×
Incision thrombosed hemorrhoid external (46083) $389.10 $1,297 1.7×
Incisional biopsy skin single lesion (11106) $20.10 $67 0.0×
Initial tx 1st degree burn local tx (16000) $104.40 $348 0.6×
Inj paravert f jnt c/t 1 lev (64490) $826.20 $2,754 1.0×
Inj,Anes Agent,Brachial Plexus,Single (64415) $693.60 $2,312 0.9×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $826.20 $2,754 1.0×
Inject Intravitreal Pharmcologic (67028) $542.70 $1,809 1.8×
Inject Nerv Blck,Intercostal,One (64420) $534.90 $1,783 0.8×
Inject Nerv Blck,Paravert Sympath (64520) $826.20 $2,754 1.0×
Inject Rx Celiac Plexus Nerve (64680) $604.80 $2,016 0.8×
Injection aa&/strd genicular nrv branches w/img (64454) $1,681.50 $5,605 2.6×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,070.10 $3,567 1.7×
Injection aa&/strd suprascapular nerve (64418) $321 $1,070 0.5×
Injection aa&/strd trigeminal nerve each branch (64400) $135.45 $451.50 0.5×
Injection anes other peripheral nerve/branch (64450) $534.90 $1,783 0.8×
Injection single/mlt trigger point 1/2 muscles (20552) $132 $440 0.5×
Injection, anesthetic agent; greater occipital nerve (64405) $220.20 $734 0.8×
Injection, anesthetic agent; sphenopalatine ganglion (64505) $220.20 $734 0.8×
Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) $7,635.30 $25,451 0.8×
Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) $8,926.50 $29,755 0.9×
Insert Bladder Cath Complex (51703) $142.80 $476 1.2×
Insert Gastrostomy Tube Percutaneous (49440) $50.70 $169 0.0×
Insert non-tunnel cv cath (36556) $764.10 $2,547 0.3×
Insert Non-Tunnel Cv Cath < 5 Y/O (36555) $855.60 $2,852 0.3×
Insert picc cath (36569) $431.40 $1,438 0.3×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $431.40 $1,438 0.3×
Insert Temp Bladder Cath (51702) $98.40 $328 0.8×
Insert,Non-Indwelling Bladder Catheter (51701) $40.20 $134 0.3×
Insertion Phrenic Nerve Stimulator System (33276) $37,125.60 $123,752 0.9×
Insertion Picc W/Rs&I 5 Yr/> (36573) $536.70 $1,789 0.4×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $5,627.10 $18,757 0.8×
Insj/rplcmt defib w/lead(s) (33249) $24,816.60 $82,722 0.9×
Intraoral i&d tongue/floor submndblr space (41008) $1,784.40 $5,948 0.6×
Intubation endotracheal emergency procedure (31500) $264.60 $882 1.2×
Irrigate corpora cavernosa for priapism (54220) $228.60 $762 1.0×
Laser treatment of retina (67039) $3,219.48 $10,731.60 0.9×
Late closure of wound (13160) $2,637.30 $8,791 0.8×
Ligation of hemorrhoid(s) (46221) $459.90 $1,533 0.5×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $91.80 $306 0.2×
Needle insertion w/o injection 1 or 2 muscles (20560) $314.10 $1,047 12.0×
Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) $324 $1,080 0.4×
Nfct agt sti mult amp prb tq vag endocrv/male ur (0402U) $117.90 $393 0.8×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $343.80 $1,146 0.8×
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $3,070.20 $10,234 1.4×
Njx anes stellate ganglion crv sympathetic (64510) $550.80 $1,836 0.7×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $1,791 $5,970 0.6×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $826.20 $2,754 1.0×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $1,364.40 $4,548 2.1×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) $550.80 $1,836 0.9×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) $350.48 $1,168.26 0.4×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $1,364.40 $4,548 2.1×
Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) $950.40 $3,168 1.2×
Open Treatment Medial Malleolus Fracture (27766) $4,058.76 $13,529.20 0.6×
Open treatment metatarsal fracture each (28485) $3,622.79 $12,075.97 0.6×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $8,269.61 $27,565.36 1.3×
Open Tx Distal Phalangeal Fracture Each (26765) $1,306.50 $4,355 0.4×
Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) $5,713.96 $19,046.52 0.9×
Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) $6,049.75 $20,165.83 0.9×
Open/Perq Place Stent Same (37238) $16,356.90 $54,523 1.6×
Open/Perq Placement Intravascular Stent Initial (37236) $16,356.90 $54,523 1.6×
Partial Excision Distal Phalanx Finger (26236) $1,777.85 $5,926.16 1.2×
Perq Drainage Pleura Insert Cath W/O Imaging (32556) $705.90 $2,353 0.4×
Perq p-art revsc 1 nm nt uni (33900) $8,757.90 $29,193 0.8×
Perq p-art revsc st 1st abnor connj unilateral (33902) $14,171.70 $47,239 0.9×
Perq p-art revsc st 1st abnormal connj bilateral (33903) $8,757.90 $29,193 0.8×
Perq p-art revsc st 1st nml native connj bi (33901) $8,757.90 $29,193 0.8×
Perq replacement gtube not req revj gstrst trc (43762) $145.20 $484 0.6×
Placement of needle for intraosseous infusion (36680) $228.60 $762 0.6×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $214.50 $715 0.3×
Punch biopsy skin single lesion (11104) $218.10 $727 0.6×
Puncture Aspiration (10160) $201.90 $673 0.5×
Release of big toe (28240) $1,472.70 $4,909 0.5×
Removal fb intranasal (30300) $87 $290 0.7×
Removal Foreign Body Foot Complicated (28193) $741 $2,470 0.5×
Removal foreign body foot deep (28192) $596.40 $1,988 0.4×
Removal foreign body foot subcutaneous (28190) $227.70 $759 0.4×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $336.30 $1,121 0.2×
Removal impacted cerumen irrigation/lvg unilat (69209) $30 $100 0.6×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $61.20 $204 1.1×
Removal Implant Deep (20680) $3,264.40 $10,881.32 1.2×
Removal of foreign body in scrotum (55120) $2,592.30 $8,641 1.4×
Removal of nail bed (11750) $292.05 $973.50 0.8×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $63 $210 0.3×
Removal phrenic nerve stimulator system (33278) $2,677.50 $8,925 0.8×
Removal subq cardiac rhythm monitor (33286) $1,039.20 $3,464 1.6×
Remove Eyelid Foreign Body (67938) $160.20 $534 0.6×
Remove shoulder foreign body (23330) $741 $2,470 0.5×
Remove wrist tendon lesion (25111) $2,395.11 $7,983.69 1.6×
Remove&replace pm gen singl (33227) $11,832.60 $39,442 1.6×
Remv Ext Canal Foreign Body (69200) $76.95 $256.50 0.6×
Remv F.B.,Eye,Superf Conjunc (65205) $150 $500 1.2×
Remv&replc cvd gen dual lead (33263) $18,528.60 $61,762 0.9×
Remv&replc cvd gen sing lead (33262) $18,528.60 $61,762 0.9×
Remv&replc pm gen dual lead (33228) $12,977.70 $43,259 1.4×
Repair achilles tendon (27650) $4,239.79 $14,132.62 0.6×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $212.40 $708 0.3×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $232.80 $776 0.3×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $213 $710 0.6×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $234 $780 0.6×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $212.40 $708 0.6×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $233.70 $779 0.6×
Repair complex trunk 1.1-2.5 cm (13100) $212.40 $708 0.3×
Repair complex trunk 2.6-7.5 cm (13101) $233.70 $779 0.3×
Repair detached retina (67105) $2,109.72 $7,032.40 4.2×
Repair detached retina (67110) $3,095.84 $10,319.46 1.5×
Repair forearm tendon/muscle (25270) $2,122.43 $7,074.77 0.7×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $203.40 $678 0.6×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $138.90 $463 0.4×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $153 $510 0.4×
Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) $223.50 $745 0.6×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $168.60 $562 0.5×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $184.80 $616 0.5×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $184.80 $616 0.3×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $146.70 $489 0.4×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $153 $510 0.4×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $168.60 $562 0.3×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $184.80 $616 0.5×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $138.90 $463 0.4×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $166.65 $555.50 0.5×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $203.40 $678 0.3×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $430.50 $1,435 1.2×
Repair intermediate s/a/t/e >30.0 cm (12037) $223.50 $745 0.1×
Repair of nail bed (11760) $314.10 $1,047 0.5×
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) $5,411.59 $18,038.64 0.8×
Repair retinal detach cplx (67113) $4,387.80 $14,625.98 0.9×
Repair Retinal Detachment Scleral Buckling (67107) $4,091.36 $13,637.86 1.1×
Repair rotator cuff acute (23410) $5,633.94 $18,779.81 0.9×
Repair wrist joints (25447) $3,408.63 $11,362.12 1.2×
Replace g/c tube perc (49450) $367.20 $1,224 0.4×
Repositioning phrenic nrv stimulator transvns ld (33281) $2,677.50 $8,925 0.8×
Revise median n/carpal tunnel surg (64721) $2,029.34 $6,764.48 1.1×
Revise ulnar nerve at elbow (64718) $2,314.59 $7,715.30 1.3×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $150 $500 0.4×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $150 $500 1.2×
Rmvl fecal impaction/fb spx under anes (45915) $873.60 $2,912 0.8×
Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) $1,637.70 $5,459 1.2×
Rmvl phrenic nrv stimulator pulse generator only (33280) $2,677.50 $8,925 0.8×
Rmvl phrnc nrv stimulator transvns stimj/snsg ld (33279) $2,677.50 $8,925 0.8×
Rmvl&rplcmt phrenic nrv stimulator pls generator (33287) $24,434.10 $81,447 0.9×
Rmvl&rplcmt phrnc nrv stim trnsvns stimj/snsg ld (33288) $10,719 $35,730 1.1×
Rplc gtube revj gstrst trc (43763) $402 $1,340 1.8×
Rplcmt cath ctr vad subq port/pmp (36578) $36.90 $123 0.0×
Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) $203.40 $678 0.3×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $858.60 $2,862 1.8×
Rpr Lip Full Thickness Vermilion Only (40650) $899.70 $2,999 1.8×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $899.70 $2,999 0.6×
Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) $3,904.87 $13,016.22 1.0×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $292.20 $974 0.3×
Sigmoidoscopy flx w/biopsy single/multiple (45331) $292.20 $974 0.3×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $203.10 $677 0.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $138.90 $463 0.8×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $153 $510 0.8×
Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) $223.50 $745 0.6×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $168.60 $562 0.9×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $184.80 $616 1.0×
Simple repair f/e/e/n/l/m >30.0 cm (12018) $245.70 $819 1.4×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $138.90 $463 0.8×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $223.50 $745 1.2×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $97.80 $326 0.5×
Skin Sub Grft T/Arm/Lg Child (15273) $618.60 $2,062 0.3×
Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) $3,981.60 $13,272 1.4×
Small bowel endoscopy (44366) $609 $2,030 0.4×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $153 $510 0.8×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $184.80 $616 0.5×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $203.40 $678 0.6×
Spinal puncture lumbar diagnostic (62270) $322.20 $1,074 0.5×
Spinal Puncture Therapeutic (62272) $219.30 $731 0.3×
Strapping knee (29530) $36.90 $123 0.3×
Strapping unna boot (29580) $261.90 $873 1.8×
Subcutaneous Hormone Pellet Implantation (11980) $314.10 $1,047 0.8×
Tenotomy Percutaneous Toe Single Tendon (28010) $1,472.70 $4,909 1.0×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $739.80 $2,466 1.3×
Thoracentesis needle/cath pleura w/o imaging (32554) $779.40 $2,598 1.4×
Tracheostomy Emergency Procedure Transtracheal (31603) $864.90 $2,883 0.6×
Treat fx distal radial (25606) $1,833.96 $6,113.21 0.6×
Treat fx rad extra-articul (25607) $4,120.59 $13,735.31 0.6×
Treat humerus fracture (24500) $123.30 $411 0.6×
Treat humerus fracture (24577) $123.30 $411 0.1×
Treat knee fracture (27532) $123.30 $411 0.0×
Treat knuckle dislocation (26715) $3,860.10 $12,867 1.3×
Treat Thumb Fx/Disloc,Manip (26645) $93.90 $313 0.1×
Treat wrist bone fracture (25635) $123.30 $411 0.1×
Treat Wrist Bone Fracture (25630) $314.10 $1,047 1.4×
Treatment closed elbow dislocation req anes (24605) $627 $2,090 0.4×
Treatment closed elbow dislocation w/o anes (24600) $123.30 $411 0.6×
Treatment extensive retinopathy photocoagulation (67228) $2,040.80 $6,802.67 4.1×
Trim skin lesion (11055) $49.50 $165 0.3×
Trim skin lesions 2 to 4 (11056) $46.35 $154.50 0.3×
Trim skin lesions over 4 (11057) $113.40 $378 0.6×
Trimming Of Nondystrophic Nails, Any Number (11719) $63.90 $213 1.2×
Tx Superficial Wound Dehiscence Simple Closure (12020) $142.20 $474 0.2×
Tx superficial wound dehiscence w/packing (12021) $142.20 $474 0.4×
Unlisted Procedure Dentoalveolar Structures (41899) $1,833.55 $6,111.83 8.5×
Unlisted Procedure Nervous System (64999) $528.60 $1,762 1.9×
Unlisted Procedure Vascular Surgery (37799) $12.60 $42 0.0×
Upper Gastrointestinal Endoscopy Including Esophagus, Stomach, And Either The Duodenum And/Or Jejunum As Appropriate;… (43257) $1,001.10 $3,337 0.3×
Vasc embolize/occlude venous (37241)
unusually low: confirm this is the full procedure
$3,947.40 $13,158 0.4×
Venipuncture (36415) $5.10 $17 0.5×
Vitrectomy mechanical pars plana (67036) $3,390.76 $11,302.52 0.9×
Vitrectomy pars plana remove int memb retina (67042) $3,469.97 $11,566.57 0.9×
Wound Prep F/N/Hf/G (15004) $683.40 $2,278 1.9×
Wound prep trk/arm/leg 1st 100 sq cm (15002) $666.30 $2,221 1.0×