Procedures & surgery prices at Osf Saint Anthony's Health Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines
$2,236.80–$2,278.80 $3,728–$3,798 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines
$1,115.40–$2,463 $1,859–$4,105 varies
Amniocentesis diagnostic (59000)
range across 2 matching MRF lines
$984.60–$1,026 $1,641–$1,710 varies
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $2,044.20 $3,407 0.6×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $161.40 $269 0.9×
Application cast elbow finger short arm (29075) $260.40 $434 0.9×
Application Finger Splint Dynamic (29131) $821.40 $1,369 13.0×
Application finger splint static (29130) $774 $1,290 5.4×
Application long arm splint shoulder hand (29105)
range across 4 matching MRF lines
$303–$492.60 $505–$821 varies
Application Long Leg Splint (29505)
range across 3 matching MRF lines
$714–$762 $1,190–$1,270 varies
Application of rigid total contact leg cast (29445) $1,097.40 $1,829 3.7×
Application short arm splint forearm-hand static (29125)
range across 4 matching MRF lines
$706.80–$828 $1,178–$1,380 varies
Application short leg splint calf foot (29515)
range across 4 matching MRF lines
$706.80–$828 $1,178–$1,380 varies
Apply hand/wrist cast (29085) $184.80 $308 1.1×
Apply long arm cast (29065) $260.40 $434 0.9×
Apply Multlay Comprs Lwr Leg (29581)
range across 6 matching MRF lines
$210–$319.80 $350–$533 varies
Apply Short Leg Cast (29405) $821.40 $1,369 2.7×
Arterial puncture (36600)
range across 2 matching MRF lines
$81–$83.40 $135–$139 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 8 matching MRF lines
$876–$1,113 $1,460–$1,855 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 4 matching MRF lines
$909–$1,138.20 $1,515–$1,897 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines
$872.40–$1,022.40 $1,454–$1,704 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 4 matching MRF lines
$1,011–$1,263.60 $1,685–$2,106 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 5 matching MRF lines
$909–$970.80 $1,515–$1,618 varies
Aspirate pleura w/ imaging (32555)
range across 3 matching MRF lines
$2,015.40–$2,823.60 $3,359–$4,706 varies
Aspirate Pleura W/O Imaging (32554)
range across 6 matching MRF lines
$1,404–$1,675.20 $2,340–$2,792 varies
Aspiration and/or injection thyroid cyst (60300) $1,835.40 $3,059 2.4×
Aspiration bladder insert suprapubic catheter (51102) $1,642.80 $2,738 0.7×
Avulsion nail plate partial/complete simple 1 (11730) $487.20 $812 2.3×
Biopsy Abdominal Mass (49180) $2,110.20 $3,517 1.2×
Biopsy bone trocar/needle deep (20225)
range across 2 matching MRF lines
$1,735.80–$3,318 $2,893–$5,530 varies
Biopsy Bone Trocar/Needle Superficial (20220) $2,272.80 $3,788 1.3×
Biopsy muscle percutaneous needle (20206) $1,529.40 $2,549 0.9×
Biopsy of liver, needle; percutaneous (47000) $2,103.60 $3,506 1.2×
Biopsy Salivary Gland Needle (42400) $2,719.20 $4,532 3.6×
Biopsy soft tissue neck/thorax (21550) $2,362.20 $3,937 1.3×
Bladder instillation anticarcinogenic agent (51720) $925.80 $1,543 1.2×
Bladder Irrigation (51700)
range across 2 matching MRF lines
$595.80–$682.20 $993–$1,137 varies
Bladder Scan (51798) $244.20 $407 3.9×
Blepharotomy drainage abscess eyelid (67700) $381 $635 1.1×
Blood Transfusion Service (36430) $1,434 $2,390 3.0×
Bone Marrow Biopsy (38221) $1,336.80 $2,228 0.8×
Bone Marrow; Aspiration Only (38220) $1,015.20 $1,692 0.6×
Brnchsc Brushing/Protected Brushings (31623) $1,537.80 $2,563 0.8×
Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) $3,347.40 $5,579 0.8×
Bronchoscopy Dilate W/Stent (31631) $3,824.40 $6,374 0.5×
Bronchoscopy W/Biopsy(S) (31625) $2,769 $4,615 1.5×
Bronchoscopy W/Removal Foreign Body (31635) $2,709 $4,515 1.4×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $1,901.40 $3,169 0.5×
Bronchoscopy/Needle Bx Each (31629) $2,025.60 $3,376 0.5×
Bx breast 1st lesion mr imag (19085)
range across 3 matching MRF lines
$3,300–$4,125 $5,500–$6,875 varies
Bx breast 1st lesion strtctc (19081)
range across 3 matching MRF lines
$4,987.80–$6,235.20 $8,313–$10,392 varies
Bx breast 1st lesion us imag (19083)
range across 3 matching MRF lines
$3,539.40–$4,425 $5,899–$7,375 varies
Bx breast needle core w/o imaging guidance spx (19100) $5,865.60 $9,776 3.3×
Catheter aspiration nasotracheal spx (31720) $136.80 $228 0.6×
Change Cystostomy Tube Simple (51705) $589.80 $983 2.2×
Change of Windpipe Airway (31502) $821.40 $1,369 3.2×
Chemical Cautery Tissue (17250) $517.80 $863 2.4×
Chest tube placement (32551)
range across 7 matching MRF lines
$1,241.40–$1,580.40 $2,069–$2,634 varies
Circumcision Neonate (54160) $2,812.80 $4,688 3.8×
Circumcision w/clamp/oth dev w/block (54150) $2,304 $3,840 1.0×
Cl Tx Tib Shft Fx W Manip (27752) $1,129.20 $1,882 0.7×
Clear outer ear canal (69200)
range across 4 matching MRF lines
$782.40–$952.20 $1,304–$1,587 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $300 $500 1.1×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,989.60 $3,316 1.2×
Closed tx ankle dislocation w/o anesthesia (27840)
range across 3 matching MRF lines
$821.40–$877.20 $1,369–$1,462 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,129.20 $1,882 0.7×
Closed tx knee dislocation w/o anesthesia (27550) $283.20 $472 1.1×
Closed tx mandibular fracture w/manipulation (21451) $1,870.80 $3,118 1.1×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,642.80 $2,738 1.0×
Closed tx patellar dislocation w/o anesthesia (27560)
range across 3 matching MRF lines
$821.40–$877.20 $1,369–$1,462 varies
Closed tx radial head/neck fx w/manipulation (24655) $1,008 $1,680 0.6×
Closed tx radial head/neck fx w/o manipulation (24650)
range across 3 matching MRF lines
$821.40–$877.20 $1,369–$1,462 varies
Closed tx radial shaft fracture w/manipulation (25505) $1,821.60 $3,036 1.1×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,008 $1,680 0.6×
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 3 matching MRF lines
$300–$320.40 $500–$534 varies
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 4 matching MRF lines
$717.60–$897 $1,196–$1,495 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 3 matching MRF lines
$1,821.60–$1,944 $3,036–$3,240 varies
Closed tx ulnar shaft fracture w/o manipulation (25530) $300 $500 1.1×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $1,213.20 $2,022 4.8×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $1,008 $1,680 0.6×
Clsd tx clavicular fracture w/o manipulation (23500)
range across 4 matching MRF lines
$762–$952.20 $1,270–$1,587 varies
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,547.40 $2,579 0.9×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 4 matching MRF lines
$706.80–$828 $1,178–$1,380 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,874.40 $3,124 1.1×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $821.40 $1,369 3.1×
Cltx dstl fibular fx lat malls w/manj (27788) $600 $1,000 2.3×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $821.40 $1,369 3.1×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $877.20 $1,462 3.3×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $280.20 $467 1.1×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,143 $1,905 0.7×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,806 $3,010 1.0×
Cltx fx grt toe phlx/phlg w/manj (28495) $300 $500 1.1×
Cltx fx grt toe phlx/phlg w/o manj (28490) $300 $500 1.1×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $821.40 $1,369 3.1×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $774 $1,290 2.9×
Cltx greater humeral tuberosity fx w/o manj (23620)
range across 4 matching MRF lines
$283.20–$426 $472–$710 varies
Cltx hip dislocation traumatic req anesthesia (27252) $1,821.60 $3,036 1.1×
Cltx hip dislocation traumatic w/o anesthesia (27250) $821.40 $1,369 3.1×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $1,909.80 $3,183 1.1×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $301.80 $503 1.1×
Cltx iphal jt dislc w/manj w/o anes (26770) $826.20 $1,377 3.1×
Cltx Med Ankle Fx W/Mnpj (27762)
range across 3 matching MRF lines
$1,198.80–$1,279.80 $1,998–$2,133 varies
Cltx Medial Ankle Fx (27760) $279 $465 1.1×
Cltx metacarpal fx w/manipulation each bone (26605)
range across 3 matching MRF lines
$821.40–$877.20 $1,369–$1,462 varies
Cltx metacarpal fx w/o manipulation each bone (26600) $821.40 $1,369 3.1×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $826.20 $1,377 3.1×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $877.20 $1,462 3.3×
Cltx post hip arthrp dislc req anes (27266) $1,008 $1,680 0.6×
Cltx post hip arthrp dislc w/o anes (27265)
range across 3 matching MRF lines
$600–$640.20 $1,000–$1,067 varies
Cltx prox fibula/shft fx w/o manj (27780) $283.20 $472 1.1×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 3 matching MRF lines
$1,547.40–$1,651.20 $2,579–$2,752 varies
Cltx prox tibfib jt dislc w/o anes (27830) $821.40 $1,369 3.1×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 3 matching MRF lines
$821.40–$877.20 $1,369–$1,462 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,909.80 $3,183 1.1×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,917 $3,195 1.1×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,821.60 $3,036 1.1×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,008 $1,680 0.6×
Cltx trimalleolar ankle fx w/o manipulation (27816) $279 $465 1.1×
Collection of venous blood by venipuncture (36415) $25.80 $43 2.8×
Complex drainage wound (10180) $1,803 $3,005 0.6×
Control Nasal Hemorrhage Anterior Complex (30903) $821.40 $1,369 5.8×
Control Nasal Hemorrhage Anterior Simple (30901) $762 $1,270 5.3×
Convert Nephrostomy Catheter (50434)
range across 3 matching MRF lines
$2,814.60–$3,518.40 $4,691–$5,864 varies
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,683 $2,805 1.0×
Csf shunt reprogram (62252) $362.40 $604 1.1×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $877.20 $1,462 6.2×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $821.40 $1,369 3.2×
Cysto calibration dilat urtl strix/stenosis (52281) $2,464.20 $4,107 1.1×
Cystometrogram W/Vp (51728) $2,703.60 $4,506 3.6×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $731.40 $1,219 1.7×
Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) $9,703.20 $16,172 4.6×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,028.40 $1,714 1.3×
Debride nail 1-5 (11720) $478.80 $798 7.6×
Debride nail 6 or more (11721) $492 $820 7.8×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $2,226 $3,710 1.3×
Debridement subcutaneous tissue 20 sq cm/< (11042) $787.20 $1,312 1.8×
Declot vascular device (36593)
range across 2 matching MRF lines
$463.80–$789.60 $773–$1,316 varies
Delivery of placenta (59414) $3,564.60 $5,941 1.0×
Destr W Neurolytic; Celiac Plexus (64680) $1,992.60 $3,321 2.1×
Destroy cerv/thor facet jnt (64633)
range across 3 matching MRF lines
$3,409.20–$4,261.80 $5,682–$7,103 varies
Destroy lumb/sac facet jnt (64635)
range across 3 matching MRF lines
$3,409.20–$4,261.80 $5,682–$7,103 varies
Drain/inj small joint/bursa w/us (20604)
range across 4 matching MRF lines
$818.40–$1,020.60 $1,364–$1,701 varies
Drainage external auditory canal abscess (69020) $906 $1,510 1.2×
Drainage External Ear Abscess/Hematoma Simple (69000) $1,143 $1,905 1.5×
Drainage Mouth Roof Lesion (42000) $299.40 $499 1.2×
Drainage of finger abscess simple (26010) $1,213.20 $2,022 5.6×
Drainage of gum lesion (41800) $782.40 $1,304 5.5×
Drainage of hematoma/fluid (10140) $1,112.40 $1,854 0.6×
Drainage of scrotal wall abscess (55100) $1,143 $1,905 0.6×
Drainage of scrotum (54700) $2,464.20 $4,107 1.1×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $1,143 $1,905 1.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $859.80 $1,433 2.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $780 $1,300 3.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $300 $500 1.4×
Dx Bone Marrow Bx & Aspir (38222) $1,743.60 $2,906 0.6×
Dx Bronchoscope/Lavage (31624) $2,365.20 $3,942 1.2×
Dx Bronchoscope/Wash (31622) $3,071.40 $5,119 1.6×
Dx Laryngoscopy Excl Nb (31525) $1,086.60 $1,811 0.6×
Dx lmbr spi pnxr w/fluor/CT (62328)
range across 2 matching MRF lines
$1,874.40–$1,962.60 $3,124–$3,271 varies
Egd place gastrostomy tube (43246) $1,831.20 $3,052 0.9×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $5,084.40 $8,474 1.5×
Endoven ther chem adhes 1st (36482) $7,095.60 $11,826 1.2×
Epidural Blood Patch (62273)
range across 2 matching MRF lines
$1,509.60–$1,538.40 $2,516–$2,564 varies
Evacuation of subungual hematoma (11740) $826.20 $1,377 5.8×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $2,058.60 $3,431 1.2×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 3 matching MRF lines
$2,461.20–$3,693 $4,102–$6,155 varies
Excision of gum flap (41821) $1,870.80 $3,118 1.1×
External cephalic version (59412) $843 $1,405 0.2×
Fetal Contraction Stress Test (59020) $1,290.60 $2,151 6.0×
Fetal non-stress test (59025) $1,122.60 $1,871 5.2×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $2,229 $3,715 2.9×
Fine needle aspiration bx w/mr gdn 1st lesion (10011) $3,060 $5,100 4.0×
Fine needle aspiration without imaging guidance (10021) $774 $1,290 1.8×
Fluid Pressure Muscle (20950) $874.80 $1,458 1.2×
Fluoro exam of g/colon tube (49465) $1,650.60 $2,751 6.5×
Fna Bx W/Fluor Gdn 1St Les (10007) $2,142.60 $3,571 2.8×
Fna bx w/us gdn 1st les (10005) $1,988.40 $3,314 2.6×
Foreskin manipulation (54450) $661.80 $1,103 2.5×
Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U)
range across 2 matching MRF lines
$757.80–$773.40 $1,263–$1,289 varies
Guide Cathet Fluid Drainage (10030) $1,001.40 $1,669 1.3×
I&d abscess peritonsillar (42700) $1,294.80 $2,158 5.1×
I&d abscess simple (10060) $1,054.80 $1,758 4.9×
I&d perianal abscess superficial (46050) $1,143 $1,905 1.1×
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines
$871.20–$952.20 $1,452–$1,587 varies
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines
$718.20–$1,143 $1,197–$1,905 varies
Icd Pocket Revision (33223) $2,792.40 $4,654 1.3×
Image Cath Fluid Peri/Retro (49406) $2,881.20 $4,802 1.6×
Image Cath Fluid Trns/Vgnl (49407) $2,573.40 $4,289 1.5×
Incise external hemorrhoid (46083) $1,294.80 $2,158 4.8×
Incision & drainage abscess complicated/multiple (10061) $1,236.60 $2,061 2.8×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines
$1,203.60–$1,336.80 $2,006–$2,228 varies
Incision & removal foreign body subq tiss simple (10120)
range across 3 matching MRF lines
$1,135.80–$1,213.20 $1,893–$2,022 varies
Incision and drainage of bartholin's gland abscess (56420) $1,294.80 $2,158 6.0×
Incision and drainage of vulva or perineal abscess (56405) $1,294.80 $2,158 4.0×
Incision of rectal abscess (46040) $1,143 $1,905 0.9×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,020.60 $1,701 0.6×
Incisional biopsy skin single lesion (11106) $370.20 $617 0.5×
Initial Tx 1st Degree Burn Local Tx (16000) $862.80 $1,438 4.0×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 3 matching MRF lines
$2,164.20–$2,704.80 $3,607–$4,508 varies
Inj W/Fluor Eval Cv Device (36598)
range across 3 matching MRF lines
$989.40–$1,237.20 $1,649–$2,062 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines
$1,468.80–$1,836 $2,448–$3,060 varies
Injection 1 tendon sheath/ligament aponeurosis (20550) $475.80 $793 1.4×
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 4 matching MRF lines
$821.40–$1,605 $1,369–$2,675 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 4 matching MRF lines
$1,384.80–$1,731.60 $2,308–$2,886 varies
Injection Anes Superior Hypogastric Plexus (64517) $3,632.40 $6,054 3.8×
Injection for identification of sentinel node (38792)
range across 3 matching MRF lines
$1,294.80–$1,942.20 $2,158–$3,237 varies
Injection single tendon origin/insertion (20551) $303 $505 0.9×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines
$823.20–$878.40 $1,372–$1,464 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines
$682.80–$987 $1,138–$1,645 varies
Injection therapeutic carpal tunnel (20526) $366 $610 1.1×
Injection, anesthetic agent; brachial plexus, single (64415) $1,020.60 $1,701 1.1×
Injection, anesthetic agent; femoral nerve, single (64447) $886.20 $1,477 1.2×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $927.60 $1,546 1.2×
Ins cath ren art 1st bilat (36252) $4,794 $7,990 1.4×
Ins cath ren art 1st unilat (36251) $4,270.20 $7,117 1.3×
Ins endovas vena cava filtr (37191) $7,930.20 $13,217 1.3×
Ins/Rep Subq Defibrillator (33270) $27,787.80 $46,313 0.8×
Insert 1 Electrode Pm-Defib (33216) $5,398.80 $8,998 0.6×
Insert Bladder Cath Complex (51703) $306 $510 2.2×
Insert cath pleura w/ image (32557)
range across 3 matching MRF lines
$3,768–$4,236.60 $6,280–$7,061 varies
Insert cath pleura w/o image (32556)
range across 4 matching MRF lines
$1,531.20–$1,792.80 $2,552–$2,988 varies
Insert cervical dilator (59200) $441.60 $736 1.4×
Insert Gastrostomy Tube Percutaneous (49440) $2,506.20 $4,177 1.2×
Insert Heart Pm Atrial (33206)
unusually low: confirm this is the full procedure
$4,846.20 $8,077 0.4×
Insert Heart Pm Ventricular (33207) $6,529.20 $10,882 0.6×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines
$2,187.60–$2,247 $3,646–$3,745 varies
Insert pulse gen dual leads (33213)
likely a partial charge, not the full procedure
$3,288 $5,480 0.3×
Insert Pulse Gen Sngl Lead (33212)
likely a partial charge, not the full procedure
$2,523.60 $4,206 0.3×
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines
$240–$288.60 $400–$481 varies
Insert tunneled cv cath (36561) $4,620 $7,700 1.4×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 3 matching MRF lines
$150.60–$172.80 $251–$288 varies
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 3 matching MRF lines
$3,531.60–$3,769.80 $5,886–$6,283 varies
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $7,321.20 $12,202 0.8×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $5,318.40 $8,864 0.6×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $1,891.80 $3,153 0.6×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines
$2,775.60–$3,085.80 $4,626–$5,143 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $4,452.60 $7,421 1.3×
Insj/Rplcmt Defib W/Lead(S) (33249)
range across 2 matching MRF lines
$21,215.40–$21,747.60 $35,359–$36,246 varies
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
range across 2 matching MRF lines
$5,398.80–$11,938.20 $8,998–$19,897 varies
Insrt heart pm atrial & vent (33208) $6,855.60 $11,426 0.6×
Insrt Pulse Gen W/Singl Lead (33240)
range across 2 matching MRF lines
$1,243.80–$15,187.20 $2,073–$25,312 varies
Interdental fixation (21110) $1,870.80 $3,118 1.1×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,213.20 $2,022 2.8×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,213.20 $2,022 2.8×
Intraoral i&d tongue/floor submndblr space (41008) $4,134.60 $6,891 1.2×
Intro Gastrointestinal Tube (44500) $716.40 $1,194 0.7×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines
$583.80–$598.80 $973–$998 varies
Irrigation of corpora cavernosa for priapism (54220) $541.80 $903 2.0×
Laryngoscopy flexible diagnostic (31575) $458.40 $764 2.1×
Myelography Lumbar Injection (62305)
range across 2 matching MRF lines
$1,264.20–$1,288.20 $2,107–$2,147 varies
Myelography Lumbar Injection (62304) $1,303.20 $2,172 1.6×
Myelography via lumbar injection rs&i cervical (62302)
range across 2 matching MRF lines
$1,198.20–$1,221 $1,997–$2,035 varies
Myelography Via Lumbar Injection Rs&I Thoracic (62303)
range across 2 matching MRF lines
$1,198.20–$1,221 $1,997–$2,035 varies
N Block Inj Celiac Pelus (64530) $1,989.60 $3,316 2.1×
N block inj intercost sng (64420)
range across 4 matching MRF lines
$693.60–$868.80 $1,156–$1,448 varies
N Block Inj Pudendal (64430) $1,148.40 $1,914 1.2×
N Block Lumbar/Thoracic (64520) $1,495.20 $2,492 1.6×
Nasal Endoscopy Dx (31231) $254.40 $424 1.2×
Nasal/Orogastric W/Tube Plmt (43752) $1,481.40 $2,469 3.1×
Needle Biopsy Lymph Nodes (38505)
range across 3 matching MRF lines
$1,909.20–$2,865 $3,182–$4,775 varies
Needle insertion w/o injection 1 or 2 muscles (20560) $30 $50 1.0×
Needle insertion w/o injection 3 or more muscles (20561) $30 $50 1.0×
Neuro csf detcj prion prtn quakg conf conv qual (0584U)
range across 2 matching MRF lines
$967.20–$1,398 $1,612–$2,330 varies
Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) $957 $1,595 1.3×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U)
range across 2 matching MRF lines
$750–$842.40 $1,250–$1,404 varies
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $3,436.80 $5,728 1.6×
Njx anes stellate ganglion crv sympathetic (64510) $3,276 $5,460 3.5×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 5 matching MRF lines
$801–$1,001.40 $1,335–$1,669 varies
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $3,195.60 $5,326 0.8×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 3 matching MRF lines
$2,382.60–$2,978.40 $3,971–$4,964 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325)
range across 2 matching MRF lines
$3,874.20–$3,948 $6,457–$6,580 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $2,627.40 $4,379 3.5×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,727.40 $2,879 2.3×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324)
range across 3 matching MRF lines
$1,942.80–$2,613.60 $3,238–$4,356 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327)
range across 2 matching MRF lines
$3,874.20–$3,948 $6,457–$6,580 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 3 matching MRF lines
$3,012.60–$3,276 $5,021–$5,460 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326)
range across 2 matching MRF lines
$2,565–$2,613.60 $4,275–$4,356 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 3 matching MRF lines
$979.80–$1,225.20 $1,633–$2,042 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430)
range across 3 matching MRF lines
$979.80–$1,225.20 $1,633–$2,042 varies
Njx Sclrsnt Mlt Incmptnt Vn (36471) $633 $1,055 1.5×
Occipital Nerve Block (64405)
range across 6 matching MRF lines
$366–$1,291.20 $610–$2,152 varies
Open Tx Distal Phalangeal Fracture Each (26765) $2,044.20 $3,407 0.6×
Open/Perq Place Stent 1St (37236)
unusually low: confirm this is the full procedure
$3,878.40 $6,464 0.3×
Open/Perq Place Stent Same (37238) $13,719.60 $22,866 1.1×
Percut Drain/Inject Renal Cyst (50390)
range across 3 matching MRF lines
$1,044.60–$1,648.80 $1,741–$2,748 varies
Pericardiocentesis W/Imaging (33016)
range across 2 matching MRF lines
$1,396.80–$1,927.80 $2,328–$3,213 varies
Peritoneal Lavage (49084) $2,095.80 $3,493 2.2×
Perq Cervicothoracic Inject (22510)
range across 2 matching MRF lines
$3,858–$3,931.20 $6,430–$6,552 varies
Perq dev breast 1st us imag (19285)
range across 3 matching MRF lines
$1,845–$2,161.80 $3,075–$3,603 varies
Perq device breast 1st imag (19281)
range across 3 matching MRF lines
$1,729.20–$2,307 $2,882–$3,845 varies
Perq Lumbosacral Injection (22511) $4,740 $7,900 1.4×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $8,971.80 $14,953 1.2×
Perq Vertebral Augmentation (22513) $8,971.80 $14,953 1.2×
Place Cath Subclavian Art (36225)
range across 3 matching MRF lines
$4,216.20–$5,271 $7,027–$8,785 varies
Place Cath Thoracic Aorta (36221)
range across 2 matching MRF lines
$4,454.40–$4,539 $7,424–$7,565 varies
Place Cath Vertebral Art (36226)
range across 6 matching MRF lines
$3,598.80–$4,583.40 $5,998–$7,639 varies
Place Rt Device/Marker Pros (55876) $2,008.20 $3,347 1.4×
Placement of needle for intraosseous infusion (36680) $826.20 $1,377 1.7×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 3 matching MRF lines
$2,814.60–$3,518.40 $4,691–$5,864 varies
Plmt Nephroureteral Catheter (50433)
range across 3 matching MRF lines
$2,814.60–$3,518.40 $4,691–$5,864 varies
Prim art mech thrombectomy (37184) $10,756.80 $17,928 0.5×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $1,092.60 $1,821 1.1×
Pseudoaneurysm Injection Trt (36002)
range across 3 matching MRF lines
$630–$945 $1,050–$1,575 varies
Punch biopsy skin single lesion (11104) $311.40 $519 0.7×
Puncture aspiration abscess hematoma bulla/cyst (10160) $1,213.20 $2,022 2.8×
Puncture Aspiration Cyst Breast (19000)
range across 3 matching MRF lines
$626.40–$783 $1,044–$1,305 varies
Relocation Pocket Pacemaker (33222) $2,784 $4,640 1.3×
Rem Endovas Vena Cava Filter (37193) $5,257.80 $8,763 1.6×
Removal Foreign Body Foot Subcutaneous (28190)
range across 5 matching MRF lines
$1,077–$1,149.60 $1,795–$1,916 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $1,143 $1,905 0.6×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 7 matching MRF lines
$135–$821.40 $225–$1,369 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 7 matching MRF lines
$386.40–$952.20 $644–$1,587 varies
Removal of foreign body from pharynx (42809) $364.20 $607 0.8×
Removal of nail bed (11750) $970.20 $1,617 2.2×
Removal or bivalving full arm or full leg cast (29705)
range across 4 matching MRF lines
$402–$505.20 $670–$842 varies
Removal Pacemaker Electrode (33235) $2,326.20 $3,877 0.6×
Removal ppm generator only (33233)
likely a partial charge, not the full procedure
$2,127.60 $3,546 0.2×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $238.80 $398 1.1×
Removal subcutaneous cardiac rhythm monitor (33286) $1,933.20 $3,222 2.5×
Removal/bivalving gauntlet boot/body cast (29700) $774 $1,290 2.6×
Remove foreign body from eye (65205)
range across 4 matching MRF lines
$590.40–$738.60 $984–$1,231 varies
Remove Intrauterine Device (58301) $774 $1,290 2.4×
Remove Nasal Foreign Body (30300) $877.20 $1,462 6.2×
Remove Pulse Generator (33241) $2,326.20 $3,877 0.6×
Remove&replace pm gen singl (33227)
unusually low: confirm this is the full procedure
$3,388.20 $5,647 0.4×
Remv&replc cvd gen dual lead (33263) $14,463.60 $24,106 0.6×
Remv&replc cvd gen mult lead (33264) $20,616 $34,360 0.6×
Remv&replc cvd gen sing lead (33262)
likely a partial charge, not the full procedure
$3,446.40 $5,744 0.1×
Remv&replc pm gen dual lead (33228) $6,550.80 $10,918 0.6×
Renal Biopsy Perq (50200) $2,478 $4,130 1.4×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,213.20 $2,022 1.5×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,294.80 $2,158 1.6×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $821.40 $1,369 1.9×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,294.80 $2,158 3.0×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $774 $1,290 1.8×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $877.20 $1,462 2.0×
Repair complex trunk 1.1-2.5 cm (13100) $1,143 $1,905 1.4×
Repair complex trunk 2.6-7.5 cm (13101) $1,213.20 $2,022 1.5×
Repair Finger/Hand Tendon (26350) $2,044.20 $3,407 0.6×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $1,143 $1,905 2.6×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $1,213.20 $2,022 2.8×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,213.20 $2,022 2.8×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,213.20 $2,022 2.8×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,213.20 $2,022 2.8×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,213.20 $2,022 1.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $1,143 $1,905 2.6×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $1,294.80 $2,158 3.0×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,143 $1,905 1.4×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $1,111.20 $1,852 0.5×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,213.20 $2,022 2.8×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $1,143 $1,905 2.6×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $993.60 $1,656 2.3×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,213.20 $2,022 1.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $1,294.80 $2,158 3.0×
Repair intermediate s/a/t/e >30.0 cm (12037) $1,111.20 $1,852 0.5×
Repair of nail bed (11760) $774 $1,290 1.0×
Repair tongue laceration (41252) $280.20 $467 1.1×
Repair tongue laceration (41250) $1,143 $1,905 2.4×
Replace g/c tube perc (49450)
range across 2 matching MRF lines
$1,122.60–$1,275.60 $1,871–$2,126 varies
Replace/Revise Brain Shunt (62230) $8,247.60 $13,746 0.9×
Reposition Gastrostomy Tube (43761) $877.20 $1,462 3.3×
Reposition L Ventric Lead (33226) $3,633 $6,055 1.1×
Reposition Pacing-Defib Lead (33215) $2,379.60 $3,966 0.7×
Reposition Venous Catheter (36597) $3,075.60 $5,126 1.8×
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265)
range across 3 matching MRF lines
$12,054–$18,081 $20,090–$30,135 varies
Revsc evasc fpvt angiop uni sf les 1st vsl (37263)
range across 3 matching MRF lines
$8,896.80–$13,345.80 $14,828–$22,243 varies
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273)
range across 3 matching MRF lines
$40,213.20–$60,319.80 $67,022–$100,533 varies
Revsc evasc fpvt athrc uni sf les 1st vsl (37271)
range across 3 matching MRF lines
$28,655.40–$42,983.40 $47,759–$71,639 varies
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269)
range across 3 matching MRF lines
$30,418.20–$45,627.60 $50,697–$76,046 varies
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267)
range across 3 matching MRF lines
$18,045–$27,067.20 $30,075–$45,112 varies
Revsc evasc imvt angiop uni cplx les 1st vsl (37298)
range across 3 matching MRF lines
$22,474.20–$33,711.60 $37,457–$56,186 varies
Revsc evasc imvt angiop uni sf les 1st vsl (37296)
range across 3 matching MRF lines
$18,045–$27,067.20 $30,075–$45,112 varies
Revsc evasc ivt angiop uni cplx les 1st vsl (37256)
range across 3 matching MRF lines
$13,102.20–$19,653 $21,837–$32,755 varies
Revsc evasc ivt angiop uni sf les 1st vsl (37254)
range across 3 matching MRF lines
$8,896.80–$13,345.80 $14,828–$22,243 varies
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260)
range across 3 matching MRF lines
$26,170.20–$39,255 $43,617–$65,425 varies
Revsc evasc ivt st plmt uni sf les 1st vsl (37258)
range across 3 matching MRF lines
$18,045–$27,067.20 $30,075–$45,112 varies
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282)
range across 3 matching MRF lines
$22,666.20–$33,999.60 $37,777–$56,666 varies
Revsc evasc tpvt angiop uni sf les 1st vsl (37280)
range across 3 matching MRF lines
$18,045–$27,067.20 $30,075–$45,112 varies
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286)
range across 3 matching MRF lines
$38,570.40–$57,855.60 $64,284–$96,426 varies
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284)
range across 3 matching MRF lines
$28,655.40–$42,983.40 $47,759–$71,639 varies
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $774 $1,290 0.8×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 4 matching MRF lines
$556.20–$696 $927–$1,160 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 3 matching MRF lines
$636.60–$679.80 $1,061–$1,133 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $636.60 $1,061 1.3×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $2,542.20 $4,237 0.6×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $3,789 $6,315 2.2×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $3,156.60 $5,261 4.7×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines
$760.20–$762 $1,267–$1,270 varies
Rplc gtube revj gstrst trc (43763)
range across 2 matching MRF lines
$819.60–$821.40 $1,366–$1,369 varies
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $3,175.20 $5,292 1.9×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $395.40 $659 1.8×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,213.20 $2,022 1.5×
Shave skin lesion 0.5 cm/< (11300) $252 $420 0.6×
Simple Cystometrogram (51725) $2,071.20 $3,452 7.7×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $557.40 $929 1.3×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $334.80 $558 1.6×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $334.80 $558 1.6×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $1,213.20 $2,022 2.8×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $358.80 $598 1.7×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $1,213.20 $2,022 5.6×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $334.80 $558 1.6×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $514.80 $858 2.4×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines
$393.60–$1,213.20 $656–$2,022 varies
Skin sub graft face/nk/hf/g (15275) $1,179.60 $1,966 1.5×
Skin sub graft trnk/arm/leg (15271) $1,179.60 $1,966 1.5×
Skin sub grft t/arm/lg child (15273) $2,424 $4,040 1.1×
Skn sub grft f/n/hf/g child (15277) $1,347 $2,245 0.6×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 6 matching MRF lines
$4,014.60–$5,114.40 $6,691–$8,524 varies
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 6 matching MRF lines
$4,076.40–$5,190 $6,794–$8,650 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $345 $575 1.6×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $421.20 $702 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $384.60 $641 0.9×
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines
$1,413–$1,500 $2,355–$2,500 varies
Strapping shoulder (29240) $253.80 $423 1.8×
Strapping Unna Boot (29580)
range across 3 matching MRF lines
$234.60–$293.40 $391–$489 varies
Tangential biopsy skin single lesion (11102) $311.40 $519 0.7×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $37,873.80 $63,123 1.2×
Tcat Insj/Rpl Perm Ldls Pm (33274) $29,082.60 $48,471 1.4×
Therapeutic plasma exchange (36514) $4,023 $6,705 2.4×
Thrombolytic Art Therapy (37211) $4,937.40 $8,229 0.8×
Thrombolytic Therapy Stroke (37195) $458.40 $764 1.3×
Thyroid biopsy (60100) $3,231.60 $5,386 4.3×
Tracheostoma revj smpl w/o flap rotation (31613) $3,981.60 $6,636 1.1×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,032 $1,720 0.6×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $862.80 $1,438 2.6×
Treat Dental Ridge Fracture (21440) $3,907.80 $6,513 1.1×
Treat Humerus Fracture (24505) $1,909.80 $3,183 1.1×
Treat humerus fracture (23600)
range across 4 matching MRF lines
$762–$952.20 $1,270–$1,587 varies
Treat Knuckle Dislocation (26700) $826.20 $1,377 3.1×
Treat Thumb Fracture (26645) $1,806 $3,010 1.0×
Treat toe dislocation (28630) $309.60 $516 1.2×
Treatment closed elbow dislocation w/o anes (24600)
range across 3 matching MRF lines
$821.40–$877.20 $1,369–$1,462 varies
Trim skin lesion (11055) $223.20 $372 1.0×
Trim skin lesions 2 to 4 (11056) $216.60 $361 1.0×
Trim skin lesions over 4 (11057) $277.20 $462 1.3×
Trimming Nondystrophic Nails Any Number (11719) $230.40 $384 3.6×
Trluml Balo Angiop 1St Art (37246) $5,091 $8,485 0.8×
Tx Gastro Intub W/Asp (43753) $774 $1,290 3.3×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines
$838.80–$890.40 $1,398–$1,484 varies
Unlisted Procedure Casting/Strapping (29799) $547.80 $913 3.1×
Unlisted procedure nervous system (64999) $621 $1,035 1.9×
Unlisted Procedure Vascular Surgery (37799) $432 $720 0.6×
Vaginal delivery only (59409) $2,570.40 $4,284 0.7×
Wedge excision skin nail fold (11765) $774 $1,290 1.8×
Wound Prep F/N/Hf/G (15004)
range across 2 matching MRF lines
$1,329–$1,354.20 $2,215–$2,257 varies
Wound Prep Trk/Arm/Leg (15002)
range across 2 matching MRF lines
$1,377.60–$1,404 $2,296–$2,340 varies

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.