Procedures & surgery prices at Oklahoma Spine Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,195 $2,062 1.4×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) $9,555 $11,000 0.6×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $9,555 $11,000 1.4×
Application multiplane external fixation system (20692) $16,900 $50,373 1.4×
Arterial puncture (36600) $15 $91 0.1×
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) $16,900 $21,600 1.4×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $405 $1,896 1.4×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $405 $756 1.4×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $405 $1,067 1.4×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $405 $1,930 1.4×
Arthrodesis great toe metatarsophalangeal joint (28750) $9,555 $11,000 1.4×
Arthrodesis Posterior Interbody Lumbar (22630) $23,085 $27,800 0.9×
Arthrodesis Posterior/Posterolateral Lumbar (22612) $16,900 $21,600 1.0×
Arthrodesis Posterior/Posterolateral Thoracic (22610) $23,085 $27,800 1.4×
Arthrodesis sacroiliac joint percutaneous (27279) $23,085 $29,000 1.4×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) $23,085 $27,800 0.9×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22556) $23,085 $27,800 1.4×
Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for… (22532) $9,070 $14,940 0.7×
Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for… (22533)
likely a partial charge, not the full procedure		 $4,925 $12,806 0.3×
Arthrodesis, posterior technique, atlas-axis (C1-C2) Facility (22595) $9,070 $14,940 0.7×
Arthrodesis, posterior technique, craniocervical (occiput-C2) Facility (22590) $9,555 $11,000 0.8×
Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments Facility (22804)
likely a partial charge, not the full procedure		 $2,308 $8,350 0.1×
Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments Facility (22802) $23,085 $27,800 1.4×
Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments Facility (22800) $23,085 $27,800 1.4×
Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280) $23,085 $27,800 1.4×
Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) $23,085 $31,073 1.4×
Arthroplasty glenohumeral joint total shoulder (23472) $23,085 $33,866 1.4×
Arthroscopy Elbow Surgical Debridement Extensive (29838) $4,310 $5,000 1.4×
Arthroscopy shoulder distal claviculectomy (29824) $4,310 $5,000 1.4×
Arthroscopy shoulder surgical capsulorrhaphy (29806) $9,555 $11,000 1.4×
Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) $9,555 $11,000 1.4×
Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) $4,310 $5,000 1.4×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $9,555 $11,000 1.4×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $4,310 $5,000 1.4×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $4,310 $5,000 1.4×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $9,555 $11,000 1.4×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $9,555 $11,000 1.4×
Aspirate/Inj Ganglion Cyst (20612) $405 $1,045 1.4×
Avulsion nail plate partial/complete simple 1 (11730) $265 $358 1.4×
Biopsy Abdominal Mass (49180) $2,175 $4,709.90 1.4×
Biopsy bone trocar/needle deep (20225) $2,175 $2,993 1.4×
Biopsy Bone Trocar/Needle Superficial (20220) $2,175 $2,500 1.4×
Biopsy muscle percutaneous needle (20206) $2,175 $2,500 1.4×
Biopsy of liver, needle; percutaneous (47000) $2,175 $2,500 1.4×
Biopsy Salivary Gland Needle (42400) $935 $1,617.33 1.4×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $2,175 $3,592 1.4×
Biopsy Spinal Cord Percutaneous Needle (62269) $2,175 $2,515 1.4×
Bladder Scan (51798) $80 $231 1.4×
Blood Transfusion Service (36430)
range across 2 matching MRF lines		 $101–$120 $302–$360 varies
Bone Marrow; Aspiration Only (38220) $2,175 $5,490 1.4×
Bx Arm/Elbow Soft Tissue,Deep (24066) $3,825 $6,256 1.4×
Bx breast 1st lesion us imag (19083) $2,175 $2,700 1.4×
Carpal Tunnel Surgery (64721) $2,575 $3,100 1.4×
Cerv artific diskectomy (22856) $23,085 $27,800 1.4×
Chemodenerv 1 extremity 1-4 (64642) $930 $1,269 1.4×
Chemodenerv musc neck dyston (64616) $405 $1,067 1.4×
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $405 $1,067 1.4×
Chemodenerv trunk musc 1-5 (64646) $930 $2,594 1.4×
Chemodenerv trunk musc 6/> (64647) $930 $2,594 1.4×
Coccygectomy, primary (27080) $4,310 $4,465 1.4×
Collect Blood From Catheter Venous Nos (36592) $33 $199 0.3×
Collection of venous blood by venipuncture (36415) $3.50 $21 0.4×
Complex drainage wound (10180) $3,825 $4,100 1.4×
Contour cranial bone lesion (21181) $7,795 $9,090 1.4×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,175 $2,500 1.4×
Correction hammertoe (28285) $4,310 $5,000 1.4×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $4,310 $5,000 1.4×
Debridement subcutaneous tissue 20 sq cm/< (11042) $540 $560 1.4×
Decompress Spinal Cord Lmbr (63056) $9,555 $11,000 1.4×
Destr W Neurolytic; Celiac Plexus (64680) $1,165 $6,606 1.4×
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines		 $2,575–$2,803 $4,512–$9,024 varies
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines		 $405–$2,803 $4,512–$9,024 varies
Destruction by neurolytic agent, intercostal nerve (64620) $1,165 $4,283 1.4×
Destruction by neurolytic agent; pudendal nerve (64630) $1,165 $3,363 1.4×
Destruction neurolytic agt genicular nerve w/img (64624) $2,575 $3,438 1.4×
Dilate Urethra Stricture (53620) $920 $1,166 1.4×
Dilate Urethra Stricture (53600) $330 $600 1.4×
Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075) $9,555 $11,000 1.4×
Drain Cerebro Spinal Fluid (62272) $930 $1,135 1.4×
Drain chest lesion (21502) $4,310 $9,920 1.4×
Drain Spinal Cord Cyst (62268) $1,165 $1,286.45 1.4×
Drainage of hematoma/fluid (10140) $2,175 $2,500 1.4×
Draw Blood Off Venous Device (36591) $12 $72 0.1×
Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) $2,575 $3,300 1.4×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,165 $2,829 1.4×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $1,165 $4,238 1.4×
Dx Bone Marrow Bx & Aspir (38222) $3,825 $4,100 1.4×
Dx lmbr spi pnxr w/fluor/CT (62328) $930 $2,594 1.4×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $405 $500 1.4×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $405 $757.89 1.4×
Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201)
unusually low: confirm this is the full procedure		 $2,575 $3,234 0.5×
Epidural Blood Patch (62273) $930 $2,829 1.4×
Exc Back Les Sc < 3 Cm (21930) $2,175 $3,400 1.4×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $935 $2,993 1.4×
Exc Forearm Les Sc 3 Cm/> (25071) $2,175 $2,500 1.4×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $2,175 $3,592 1.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $935 $1,600 1.4×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $2,175 $3,592 1.4×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $2,175 $3,400 1.4×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $935 $1,600 1.4×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $3,825 $4,743 1.4×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $3,825 $4,100 1.4×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $2,175 $7,478 1.4×
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) $3,825 $6,177 1.4×
Excise intraspinal lesion (63267) $9,555 $11,000 1.4×
Excise intraspinl lesion crv (63265) $9,555 $11,000 1.4×
Excise Neurofibroma Extensive (64792) $4,500 $10,813 1.4×
Excision of hydrocele; unilateral (55040) $4,715 $10,598 1.4×
Excision olecranon bursa (24105) $4,310 $5,000 1.4×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $2,175 $3,400 1.4×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $2,175 $2,462 1.4×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $2,175 $3,000 1.4×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $3,825 $6,430 1.4×
Exploration of spinal fusion (22830) $9,555 $21,600 1.4×
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) $8,525 $9,268 1.4×
Explore/Treat Elbow Joint (24101) $4,310 $6,500 1.4×
Fasciotomy, foot and/or toe (28008) $4,310 $7,361 1.4×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $935 $1,100 1.4×
Fine needle aspiration without imaging guidance (10021) $94 $564 0.2×
Fna Bx W/Fluor Gdn 1St Les (10007) $267 $1,600 0.4×
Guide Cathet Fluid Drainage (10030)
range across 2 matching MRF lines		 $232–$935 $695–$4,330 varies
I&d abscess simple (10060) $265 $500 1.4×
I&D Deep Absc/Hematoma Neck/Chest (21501) $3,825 $4,100 1.4×
Implant neuroelectrodes (63650)
range across 2 matching MRF lines		 $8,390 $10,800–$18,561 1.4×
Implant Periph/Gastric Neurostim/Receiver (64590) $25,540 $51,500 1.4×
Implant Spine Infusion Pump (62362)
likely a partial charge, not the full procedure		 $663 $3,980 0.0×
Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361) $23,730 $29,800 1.4×
Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62351) $9,555 $10,964 1.4×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) $4,500 $10,000 0.5×
Incision & removal foreign body subq tiss simple (10120) $530 $530 1.4×
Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010) $9,555 $11,000 1.4×
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) $9,555 $11,000 1.4×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $1,165–$1,905 $2,829–$5,658 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines		 $1,165–$1,905 $2,829–$5,658 varies
Injection 1 tendon sheath/ligament aponeurosis (20550) $405 $2,306 1.4×
Injection aa&/strd axillary nerve w/img gdn (64417) $1,165 $2,436 1.4×
Injection aa&/strd genicular nrv branches w/img (64454) $930 $1,875 1.4×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,165 $2,829 1.4×
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) $1,165 $1,471 1.4×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $930 $1,875 1.4×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $930 $3,350 1.4×
Injection Anes Agent Sphenopalatine Ganglion (64505) $405 $500 1.4×
Injection Anes Superior Hypogastric Plexus (64517) $1,165 $2,829 1.4×
Injection anesthetic agent suprascapular nerve (64418) $930 $1,864 1.4×
Injection Into Brain Canal (61055) $405 $1,067 1.4×
Injection single tendon origin/insertion (20551) $405 $2,306 1.4×
Injection single/mlt trigger point 1/2 muscles (20552) $405 $2,306 1.4×
Injection single/mlt trigger point 3/> muscles (20553) $405 $1,930 1.4×
Injection therapeutic carpal tunnel (20526) $405 $700 1.4×
Injection, anesthetic agent; brachial plexus, single (64415) $1,165 $1,864 1.4×
Injection, anesthetic agent; femoral nerve, single (64447) $930 $1,135 1.4×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $930 $3,173 1.4×
Injection, intralesional; up to and including 7 lesions (11900) $265 $536 1.4×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $1,165 $4,283 1.4×
Ins endovas vena cava filtr (37191) $7,325 $13,058 1.4×
Insert spine infusion device (62360) $23,730 $29,800 1.4×
Insert Temp Bladder Cath (51702) $180 $231 1.4×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $2,075 $2,500–$3,915 1.4×
Insj Stablj Dev W/Dcmprn (22867) $23,085 $27,800 1.4×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $40,620 $51,500 1.4×
Install spinal shunt (63741) $4,500 $10,000 0.5×
Lam facetec & foramot lumbar (63047) $9,555 $11,000 1.4×
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral Facility (63268) $9,555 $9,922 1.4×
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic Facility (63266) $9,555 $11,195 1.4×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) $9,555 $11,000 1.4×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) $9,555 $11,000 1.4×
Laminotomy Single Lumbar (63042) $9,555 $11,000 1.4×
Late closure of wound (13160) $2,720 $3,400 0.8×
Low Back Disk Surgery (63030) $9,555 $11,000 1.4×
Lumbar spine fusion combined (22633) $16,900 $21,600 0.6×
Manipulation Elbow Under Anesthesia (24300) $2,120 $2,510 1.4×
Myelography Lumbar Injection (62305) $1,035 $2,538 1.4×
Myelography Lumbar Injection (62304)
range across 2 matching MRF lines		 $1,035 $1,300–$2,538 1.4×
Myelography via lumbar injection rs&i cervical (62302) $1,035 $2,538 1.4×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $1,035 $2,538 1.4×
N Block Inj Celiac Pelus (64530) $1,165 $2,829 1.4×
N Block Inj Ilio-Ing/Hypogi (64425) $930 $1,770 1.4×
N block inj intercost sng (64420) $930 $1,930 1.4×
N Block Inj Plantar Digit (64455) $405 $1,047 1.4×
N Block Inj Pudendal (64430) $1,165 $2,828 1.4×
N Block Lumbar/Thoracic (64520) $1,165 $2,829 1.4×
Neck spine disk surgery (63020) $9,555 $11,195 1.4×
Neck spine fusion (22600) $23,085 $27,800 1.4×
Needle Biopsy Lymph Nodes (38505) $2,175 $3,126 1.4×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $2,575 $3,100 1.4×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $2,575 $3,300 1.4×
Njx anes stellate ganglion crv sympathetic (64510) $1,165 $2,829 1.4×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $405 $913.05 1.4×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $1,165–$1,905 $2,829–$5,658 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $1,165 $3,194.65 1.4×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $930 $2,535.95 1.4×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $930 $2,538 1.4×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $1,165 $3,194.65 1.4×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $1,165 $1,471 1.4×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $930 $2,535.95 1.4×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $1,165 $3,194.65 1.4×
Occipital Nerve Block (64405) $405 $2,306 1.4×
Open bone biopsy (20251)
likely a partial charge, not the full procedure		 $1,072 $6,430 0.2×
Open bone biopsy (20250) $4,310 $5,000 1.4×
Open Implantation Nea Peripheral Nerve (64575) $14,670 $19,700 1.4×
Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior… (22318) $16,900 $21,600 1.4×
Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior… (22319) $16,900 $21,600 1.4×
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22327) $16,900 $22,954 1.4×
Open treatment of acromioclavicular dislocation acute or chronic (23550) $9,555 $11,000 1.4×
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) $9,555 $11,576 1.4×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $9,555 $11,000 1.4×
Open Tx Radial Head/Neck Fracture (24665) $9,555 $11,000 1.4×
Open tx ulnar fx proximal end (24685) $9,555 $11,000 1.4×
Ostectomy, complete excision; fifth metatarsal head (28113) $4,310 $5,000 1.4×
Osteotomy Clavicle W Bone Graft (23485) $16,900 $33,866 1.4×
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar Facility (22214) $9,555 $11,000 1.4×
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; thoracic Facility (22212) $9,555 $11,000 1.4×
Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body… (22206) $9,555 $11,000 1.4×
Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body… (22207) $9,555 $11,000 1.4×
Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22112) $9,555 $15,050 1.4×
Perq Lumbosacral Injection (22511) $4,310 $11,000 1.4×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $9,555 $11,000 1.4×
Perq Vertebral Augmentation (22513) $9,555 $11,000 1.4×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $935 $1,100 1.4×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) $8,390 $18,561 1.4×
Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) $1,165 $1,471 1.4×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $4,310 $5,000 1.4×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $540 $600–$798 1.4×
Puncture shunt tube/reservoir aspiration/inj px (61070) $930 $1,100 1.4×
Rad resect elbow caps/sr bone w rels (24149) $9,555 $11,000 1.4×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $2,575 $2,828 1.4×
Reconstruct elbow lat ligmnt (24344) $9,555 $25,588 1.4×
Reconstruct elbow med ligmnt (24346) $16,900 $50,373 1.4×
Reinsert spinal fixation (22849) $16,900 $27,800 1.4×
Relieve Pressure on Nerve(S) (64722) $2,550 $3,219 1.4×
Removal Implant Deep (20680) $3,825 $4,521 1.4×
Removal Implant Superficial Separate Procedure (20670) $2,175 $3,400 1.4×
Removal of anterior instrumentation (22855) $9,555 $21,600 1.4×
Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64570) $4,500 $10,813 1.4×
Removal of posterior segmental instrumentation Facility (22852) $9,555 $21,600 1.4×
Removal of sesamoid bone (28315) $4,310 $5,000 1.4×
Removal of sperm cord lesion (55520) $4,640 $5,609 1.4×
Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical Facility (22864) $9,555 $21,600 1.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $265 $500 1.4×
Removal Sutures/Staples Requiring Anesthesia (15851) $2,720 $3,400 1.4×
Remove lamina/facets lumbar (63012) $9,555 $11,000 1.4×
Remove part of neck vertebra (22110)
unusually low: confirm this is the full procedure		 $2,308 $8,348 0.3×
Remove part thorax vertebra (22101) $9,555 $10,964 1.4×
Remove spine eltrd plate (63662) $4,605 $5,700 1.4×
Remove spine fixation device (22850) $9,555 $21,600 1.4×
Remove/graft forearm lesion (25126) $4,310 $4,338 1.4×
Renal Biopsy Perq (50200) $2,175 $3,568 1.4×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $540 $887 1.4×
Repair complex trunk 2.6-7.5 cm (13101) $975 $1,300 1.4×
Repair Elbow Perc (24357) $4,310 $12,009 1.4×
Repair inguinal hernia, sliding, any age (49525) $4,715 $5,600 1.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $150 $460 0.4×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $540 $2,357 1.4×
Repair of Ruptured Tendon (24342) $9,555 $11,000 1.4×
Repair of shoulder (23420) $9,555 $9,596 1.4×
Repair recurrent femoral hernia; reducible Facility (49555) $4,715 $5,600 1.4×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) $8,525 $9,776 1.4×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $4,310 $5,000 1.4×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $9,555 $11,195 1.4×
Repr elbow lat ligmnt w/tiss (24343) $4,310 $5,000 1.4×
Rerepair ing hernia reduce (49520) $4,715 $4,874 1.4×
Rev/rmv prph sac/gstr npg/r (64595) $4,605 $5,700 1.4×
Revis shoulder arthrplsty humeral&glenoid compnt (23474) $16,900 $17,000 1.4×
Revise Spine Eltrd Plate (63664) $14,670 $19,700 1.4×
Revise/remove neuroelectrode (61880) $4,605 $14,609 1.4×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $8,390 $10,800 1.4×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $4,605 $5,700 1.4×
Revj/rmvl neurostimulator pulse generator (61888)
likely a partial charge, not the full procedure		 $3,191 $8,881 0.3×
Revj/rmvl peripheral neurostimulator electrode (64585) $4,605 $5,700 1.4×
Rmvl Previously Implted Ithcl/Edrl Cath (62355) $2,575 $3,100 1.4×
Rmvl spinal nstim eltrd prq array incl fluor (63661)
range across 2 matching MRF lines		 $510–$2,575 $3,031–$3,100 varies
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $4,500 $10,000 1.4×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $7,960 $9,800 1.4×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $4,715 $5,313 1.4×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) $3,500 $6,198 0.6×
Rpr aa hernia recr 3-10 cm reducible (49615) $4,715 $5,313 0.8×
Rpr aa hrn 1st 3-10 rdc (49593) $4,715 $5,313 0.8×
Rpr blood vessel direct lower extremity (35226) $935 $7,806 1.4×
Rpr Component Inflatable Penile Prosthesis (54408) $2,744 $7,053 0.5×
Sequestrectomy Olecranon Process (24138) $9,555 $11,000 1.4×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $92 $275 0.5×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $74–$265 $221.45–$887 varies
Skin sub graft trnk/arm/leg (15271) $975 $6,135 1.4×
Spinal puncture lumbar diagnostic (62270) $930 $1,512 1.4×
Subcutaneous injection filling matrl 1.1-5.0 cc (11951) $900 $900 1.3×
Surg Implnt Neuroelect,Epidural (63655) $25,540 $35,800 1.4×
Tenodesis long tendon biceps (23430) $9,555 $11,576 1.4×
Tenotomy Adductor Hip Percutaneous Spx (27000) $2,120 $3,693 1.4×
Ther Spi Pnxr Csf Fluor/Ct (62329) $930 $2,538 1.4×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) $16,900 $22,038 1.4×
Thyroid biopsy (60100) $935 $1,728 1.4×
Tnot elbow lateral/medial debride open tdn rpr (24359) $4,310 $5,000 1.4×
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857) $23,085 $27,800 1.4×
Tracheostomy Emergency Procedure Transtracheal (31603) $2,045 $6,605 1.4×
Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) $9,555 $11,000 1.4×
Treat scapula fracture (23585) $9,555 $11,000 1.4×
Tx Superficial Wound Dehiscence Simple Closure (12020) $975 $1,300 1.4×
Unlisted procedure nervous system (64999) $405 $4,512 1.4×
Unlisted procedure pelvis/hip joint (27299) $325 $29,000 1.4×
Unlisted procedure spine (22899) $325 $3,500 1.4×

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.