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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ProcedurePosted cashPosted gross× 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 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 (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 Patellar Tendon Bearing Cast (29435) $54.90 $183 0.2×
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 hand/wrist cast (29085) $54.90 $183 0.4×
Apply long arm cast (29065) $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×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $3,408.63 $11,362.12 1.2×
Arthroscopy shoulder surgical capsulorrhaphy (29806) $5,068.17 $16,893.91 0.8×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $6,074.18 $20,247.26 0.9×
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×
Arthrs knee debridement/shaving artclr crtlg (29877) $3,329.03 $11,096.76 1.1×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $3,614.73 $12,049.09 1.2×
Aspirate pleura w/ imaging (32555) $739.80 $2,466 1.3×
Aspirate Pleura W/O Imaging (32554) $779.40 $2,598 1.4×
Aspiration bladder insert suprapubic catheter (51102) $1,379.70 $4,599 0.7×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines
$19.20–$141.90 $64–$473 varies
Biopsy bone open superficial (20240) $2,585.70 $8,619 1.0×
Biopsy Bone Trocar/Needle Superficial (20220) $396.90 $1,323 0.3×
Biopsy of rectum (45100) $2,297.70 $7,659 0.9×
Bladder instillation anticarcinogenic agent (51720) $276.90 $923 0.4×
Bladder Irrigation (51700) $127.20 $424 0.6×
Bladder Scan (51798) $240.90 $803 4.5×
Blepharotomy drainage abscess eyelid (67700) $165.30 $551 0.6×
Blood Transfusion Service (36430) $259.50 $865 0.6×
Bone Marrow; Aspiration Only (38220) $1,185.60 $3,952 0.8×
Carpal Tunnel Surgery (64721) $2,029.34 $6,764.48 1.1×
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×
Circumcision Neonate (54160) $735.90 $2,453 1.2×
Circumcision w/clamp/oth dev w/block (54150) $735.90 $2,453 0.4×
Cl Tx Scapular Fx; W Manip (23575) $93.90 $313 0.1×
Cl Tx Tib Shft Fx W Manip (27752) $216 $720 0.1×
Clear outer ear canal (69200)
range across 2 matching MRF lines
$59.40–$94.50 $198–$315 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $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 Bone Fx W/Mnpj 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 Radial&Ulnar Shaft Fractures W/Manj (25565) $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 Laceration Vestibule Mouth 2.5 Cm/< (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 artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $123.30 $411 0.1×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $123.30 $411 0.1×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $314.10 $1,047 1.4×
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 req anesthesia (27252) $1,530.90 $5,103 1.1×
Cltx hip dislocation traumatic w/o anesthesia (27250) $123.30 $411 0.6×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $123.30 $411 0.6×
Cltx humeral condylar fx medial/lateral w/manj (24577) $123.30 $411 0.1×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $123.30 $411 0.1×
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 Med Ankle Fx W/Mnpj (27762) $123.30 $411 0.1×
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 Metatarsophlngl Jt Dislc Req Anes (28635) $1,530.90 $5,103 1.1×
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 Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $233.70 $779 1.0×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $120.30 $401 0.5×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $123.30 $411 0.1×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,173.60 $3,912 0.8×
Cltx tibial shaft fx w/o manipulation (27750) $123.30 $411 0.6×
Cltx trimalleolar ankle fx w/manipulation (27818) $123.30 $411 0.1×
Collect Blood From Catheter Venous Nos (36592) $40.80 $136 0.3×
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines
$2.40–$9.30 $8–$31 varies
Colonoscopy thru stoma (44388) $439.20 $1,464 0.5×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $439.20 $1,464 0.4×
Colonoscopy w/ablation (45388) $543.60 $1,812 0.5×
Colonoscopy W/Resection (45390) $1,352.40 $4,508 0.5×
Colonoscopy w/submucosal inj (45381) $543.60 $1,812 0.5×
Colsc Flexible W/Control Bleeding Any Method (45382) $439.20 $1,464 0.4×
Colsc flx w/removal lesion by hot bx forceps (45384) $543.60 $1,812 0.5×
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×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines
$55.50–$279.90 $185–$933 varies
Debride nail 1-5 (11720)
range across 2 matching MRF lines
$5.40–$54 $18–$180 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines
$8.70–$85.20 $29–$284 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines
$81.30–$751.50 $271–$2,505 varies
Debridement subcutaneous tissue 20 sq cm/< (11042) $21.30 $71 0.1×
Declot vascular device (36593) $132 $440 0.4×
Destr W Neurolytic; Celiac Plexus (64680) $604.80 $2,016 0.8×
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines
$887.70–$1,775.40 $2,959–$5,918 varies
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines
$950.40–$1,900.80 $3,168–$6,336 varies
Destruct B9 Lesion 1-14 (17110) $196.20 $654 1.1×
Destruction neurolytic agt genicular nerve w/img (64624) $1,959.90 $6,533 1.1×
Diagnostic sigmoidoscopy (45330) $151.80 $506 0.2×
Dilate Esophagus 1/Mult Pass (43450) $695.10 $2,317 0.8×
Drain Cerebro Spinal Fluid (62272) $219.30 $731 0.3×
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 of finger abscess simple (26010) $114 $380 0.6×
Drainage of gum lesion (41800) $95.70 $319 0.8×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines
$87.90–$227.70 $293–$759 varies
Drainage of nose lesion (30000) $314.10 $1,047 1.5×
Drainage of scrotal wall abscess (55100) $1,809 $6,030 1.2×
Drainage of scrotum (54700) $1,038.60 $3,462 0.5×
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×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $416.10 $1,387 0.5×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $734.70 $2,449 0.4×
Egd cautery tumor polyp (43250) $1,368.60 $4,562 0.8×
Egd control bleeding any (43255) $734.70 $2,449 0.4×
Egd dilation gastric/duodenal stricture (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 Sclerosis Esophgl/Gastric Varices (43243) $1,368.60 $4,562 0.8×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $593.40 $1,978 0.3×
Egd lesion ablation (43270) $1,368.30 $4,561 0.8×
Egd place gastrostomy tube (43246) $711.60 $2,372 0.4×
Egd remove lesion snare (43251) $593.40 $1,978 0.3×
Egd Tube/Cath Insertion (43241) $490.50 $1,635 0.3×
Egd us exam duodenum/jejunum (43259) $593.40 $1,978 0.3×
Egd Varices Ligation (43244) $734.70 $2,449 0.4×
Egd W/Thrml Txmnt Gerd (43257) $1,001.10 $3,337 0.3×
Endoscopy Upper Small Intestine (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×
Epidural Blood Patch (62273) $550.80 $1,836 0.9×
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 (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,Sphincterotomy (43262) $1,434 $4,780 0.4×
Esophagogastroduodenoscopy Submucosal Injection (43236) $396.30 $1,321 0.5×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $734.70 $2,449 0.4×
Esophagoscopy Flexible Guide Wire Dilation (43226) $734.70 $2,449 0.4×
Esophagoscopy Flexible Transoral Diagnostic (43200) $396.30 $1,321 0.5×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $1,368.60 $4,562 0.8×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $1,368.60 $4,562 0.8×
Evacuation of subungual hematoma (11740) $76.50 $255 0.6×
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 Face-Mm B9+Marg 0.6-1 Cm (11441) $1,774.12 $5,913.72 2.8×
Exc ganglion wrist recurrent (25112) $1,995.84 $6,652.81 1.4×
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 >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 tendon shth lesion leg/ankle (27630) $2,313.53 $7,711.76 0.8×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $137.40 $458 0.1×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $2,413.93 $8,046.44 1.6×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $2,821.97 $9,406.58 1.1×
Exchange Intraocular Lens (66986) $3,784.40 $12,614.67 1.8×
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 ganglion, wrist (dorsal or volar); primary (25111) $2,395.11 $7,983.69 1.6×
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×
Fluoro exam of g/colon tube (49465) $179.40 $598 0.8×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $459.90 $1,533 0.5×
I&d abscess simple (10060)
range across 3 matching MRF lines
$83.40–$217.80 $278–$726 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $350.10 $1,167 0.1×
I&d perianal abscess superficial (46050) $133.20 $444 0.2×
I&d pilonidal cyst complicated (10081) $114 $380 0.2×
I&d pilonidal cyst simple (10080) $114 $380 0.2×
Incise external hemorrhoid (46083) $389.10 $1,297 1.7×
Incise finger tendon sheath (26055) $1,632.80 $5,442.66 1.1×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines
$147.90–$434.70 $493–$1,449 varies
Incision & removal foreign body subq tiss compl (10121) $370.20 $1,234 0.2×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines
$35.70–$114 $119–$380 varies
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 (frenotomy) (41010) $1,029.30 $3,431 0.7×
Incision of rectal abscess (46040) $644.40 $2,148 0.6×
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 Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines
$550.80–$1,101.60 $1,836–$3,672 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines
$550.80–$1,101.60 $1,836–$3,672 varies
Inject Intravitreal Pharmcologic (67028) $542.70 $1,809 1.8×
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 Anes Agent Sphenopalatine Ganglion (64505) $220.20 $734 0.8×
Injection anesthetic agent suprascapular nerve (64418) $321 $1,070 0.5×
Injection single/mlt trigger point 1/2 muscles (20552) $132 $440 0.5×
Injection, anesthetic agent; brachial plexus, single (64415) $693.60 $2,312 0.9×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $534.90 $1,783 0.8×
Insert Bladder Cath Complex (51703) $142.80 $476 1.2×
Insert cath pleura w/o image (32556) $705.90 $2,353 0.4×
Insert Gastrostomy Tube Percutaneous (49440) $50.70 $169 0.0×
Insert Heart Pm Ventricular (33207) $7,635.30 $25,451 0.8×
Insert non-tunnel cv cath (36556) $764.10 $2,547 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 Non-Tunneled Central Venous Cath Age < 5 Y (36555) $855.60 $2,852 0.3×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $431.40 $1,438 0.3×
Insj/Rplcmt Defib W/Lead(S) (33249) $24,816.60 $82,722 0.9×
Insrt heart pm atrial & vent (33208) $8,926.50 $29,755 0.9×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $203.40 $678 0.6×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $223.50 $745 0.6×
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×
Irrigation of corpora cavernosa for priapism (54220) $228.60 $762 1.0×
Late closure of wound (13160) $2,637.30 $8,791 0.8×
Manipulation knee joint under general anesthesia (27570) $1,530.90 $5,103 1.1×
N block inj intercost sng (64420) $534.90 $1,783 0.8×
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines
$550.80–$1,101.60 $1,836–$3,672 varies
Nasal/Orogastric W/Tube Plmt (43752) $91.80 $306 0.2×
Needle insertion w/o injection 1 or 2 muscles (20560) $314.10 $1,047 12.0×
Needle insertion w/o injection 3 or more muscles (20561) $314.10 $1,047 12.0×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $2,314.59 $7,715.30 1.3×
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 Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines
$90.30–$180.60 $301–$602 varies
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)
range across 2 matching MRF lines
$550.80–$1,101.60 $1,836–$3,672 varies
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×
Occipital Nerve Block (64405) $220.20 $734 0.8×
Open Repair of Rotator Cuff Acute (23410) $5,633.94 $18,779.81 0.9×
Open Treatment Medial Malleolus Fracture (27766) $4,058.76 $13,529.20 0.6×
Open treatment metacarpophalangeal dislocation (26715) $3,860.10 $12,867 1.3×
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 Tibiofibular Joint Disruption (27829) $6,049.75 $20,165.83 0.9×
Open/Perq Place Stent 1St (37236) $16,356.90 $54,523 1.6×
Open/Perq Place Stent Same (37238) $16,356.90 $54,523 1.6×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $5,713.96 $19,046.52 0.9×
Partial Excision Distal Phalanx Finger (26236) $1,777.85 $5,926.16 1.2×
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 skel fixj distal radial fx/epiphysl sep (25606) $1,833.96 $6,113.21 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)
range across 2 matching MRF lines
$43.50–$392.70 $145–$1,309 varies
Puncture aspiration abscess hematoma bulla/cyst (10160) $201.90 $673 0.5×
Release of big toe (28240) $1,472.70 $4,909 0.5×
Removal Embedded Foreign Body Eyelid (67938) $160.20 $534 0.6×
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 Foreign Body Scrotum (55120) $2,592.30 $8,641 1.4×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines
$15–$108.90 $50–$363 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines
$37.80–$105 $126–$350 varies
Removal Implant Deep (20680) $3,264.40 $10,881.32 1.2×
Removal of nail bed (11750)
range across 2 matching MRF lines
$35.40–$548.70 $118–$1,829 varies
Removal phrenic nerve stimulator system (33278) $2,677.50 $8,925 0.8×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $63 $210 0.3×
Removal subcutaneous cardiac rhythm monitor (33286) $1,039.20 $3,464 1.6×
Remove foreign body from eye (65205) $150 $500 1.2×
Remove Nasal Foreign Body (30300) $87 $290 0.7×
Remove Shoulder Foreign Body (23330) $741 $2,470 0.5×
Remove Tendon Sheath Lesion (26160) $1,869.78 $6,232.58 1.3×
Remove&replace pm gen singl (33227) $11,832.60 $39,442 1.6×
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 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 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)
range across 2 matching MRF lines
$153–$180.30 $510–$601 varies
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 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 Chronic (23412) $5,411.59 $18,038.64 0.8×
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×
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 No Revj Trc (43762) $145.20 $484 0.6×
Rplc gtube revj gstrst trc (43763) $402 $1,340 1.8×
Rplcmt cath ctr vad subq port/pmp (36578) $36.90 $123 0.0×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $878.70 $2,929 0.6×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $184.80 $616 1.0×
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 Injection Air/Other Gas (67110) $3,095.84 $10,319.46 1.5×
Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) $3,904.87 $13,016.22 1.0×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $2,122.43 $7,074.77 0.7×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $292.20 $974 0.3×
Sigmoidoscopy, flexible; with biopsy, single or 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 >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)
range across 2 matching MRF lines
$27–$168.60 $90–$562 varies
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×
Strapping knee (29530) $36.90 $123 0.3×
Strapping Unna Boot (29580)
range across 2 matching MRF lines
$174.60–$349.20 $582–$1,164 varies
Subcutaneous Hormone Pellet Implantation (11980) $314.10 $1,047 0.8×
Tenotomy Percutaneous Toe Single Tendon (28010) $1,472.70 $4,909 1.0×
Tooth extraction (41899) $1,833.55 $6,111.83 8.5×
Tracheostomy Emergency Procedure Transtracheal (31603) $864.90 $2,883 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 (24505) $123.30 $411 0.1×
Treat knee fracture (27532) $123.30 $411 0.0×
Treat Knuckle Dislocation (26700) $93.90 $313 0.4×
Treat Thumb Dislocation (26641) $367.20 $1,224 1.6×
Treat Thumb Fracture (26645) $93.90 $313 0.1×
Treat toe dislocation (28630) $93.90 $313 0.4×
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)
range across 2 matching MRF lines
$6–$93 $20–$310 varies
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines
$8.10–$84.60 $27–$282 varies
Trim skin lesions over 4 (11057) $113.40 $378 0.6×
Trimming Nondystrophic Nails Any Number (11719) $63.90 $213 1.2×
Tx Gastro Intub W/Asp (43753) $50.70 $169 0.3×
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 nervous system (64999) $528.60 $1,762 1.9×
Unlisted Procedure Vascular Surgery (37799) $12.60 $42 0.0×
Vasc embolize/occlude venous (37241)
unusually low: confirm this is the full procedure
$3,947.40 $13,158 0.4×
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×
Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039) $3,219.48 $10,731.60 0.9×
Wedge excision skin nail fold (11765) $106.20 $354 0.3×
Wound Prep F/N/Hf/G (15004) $683.40 $2,278 1.9×
Wound Prep Trk/Arm/Leg (15002) $666.30 $2,221 1.0×

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.