Procedures & surgery prices at Osf Saint Clare Medical Center

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

308 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
$720–$1,255.20 $900–$1,569 varies
Amniocentesis diagnostic (59000)
range across 3 matching MRF lines
$639.20–$731.20 $799–$914 varies
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584)
range across 9 matching MRF lines
$215.20–$343.20 $269–$429 varies
Application cast elbow finger short arm (29075) $347.20 $434 1.2×
Application finger splint static (29130) $268 $335 1.9×
Application long arm splint shoulder hand (29105)
range across 4 matching MRF lines
$271.20–$421.60 $339–$527 varies
Application Long Leg Cast Walker/Ambulatory Type (29355) $538.40 $673 1.8×
Application Long Leg Splint (29505)
range across 3 matching MRF lines
$271.20–$280.80 $339–$351 varies
Application of long leg cast (29345) $410.40 $513 1.4×
Application of rigid total contact leg cast (29445) $409.60 $512 1.4×
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines
$265.60–$280.80 $332–$351 varies
Application short leg splint calf foot (29515)
range across 3 matching MRF lines
$271.20–$280.80 $339–$351 varies
Apply hand/wrist cast (29085) $246.40 $308 1.4×
Apply long arm cast (29065) $347.20 $434 1.2×
Apply Multlay Comprs Lwr Leg (29581)
range across 9 matching MRF lines
$228.80–$343.20 $286–$429 varies
Apply Short Leg Cast (29405)
range across 5 matching MRF lines
$271.20–$396 $339–$495 varies
Arterial puncture (36600) $122.40 $153 0.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines
$726.40–$1,091.20 $908–$1,364 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 6 matching MRF lines
$726.40–$1,091.20 $908–$1,364 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 10 matching MRF lines
$397.60–$1,091.20 $497–$1,364 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 7 matching MRF lines
$391.20–$1,091.20 $489–$1,364 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $726.40 $908 2.2×
Aspirate pleura w/ imaging (32555)
range across 4 matching MRF lines
$872.80–$1,308.80 $1,091–$1,636 varies
Aspirate Pleura W/O Imaging (32554)
range across 3 matching MRF lines
$832.80–$1,250.40 $1,041–$1,563 varies
Aspiration and/or injection thyroid cyst (60300) $924.80 $1,156 1.2×
Avulsion nail plate partial/complete simple 1 (11730) $280.80 $351 1.3×
Biopsy Abdominal Mass (49180) $1,288.80 $1,611 0.7×
Biopsy Bone Trocar/Needle Superficial (20220) $1,288.80 $1,611 0.7×
Biopsy muscle percutaneous needle (20206) $1,737.60 $2,172 1.0×
Biopsy of liver, needle; percutaneous (47000) $1,288.80 $1,611 0.7×
Biopsy Salivary Gland Needle (42400) $2,681.60 $3,352 3.5×
Bladder instillation anticarcinogenic agent (51720) $553.60 $692 0.7×
Bladder Scan (51798) $92.80 $116 1.5×
Blepharotomy drainage abscess eyelid (67700)
range across 3 matching MRF lines
$408–$422.40 $510–$528 varies
Blood Transfusion Service (36430) $1,011.20 $1,264 2.1×
Bone Marrow; Aspiration Only (38220) $1,288.80 $1,611 0.7×
Bronchoscopy Balloon Occlusion (31634) $5,118.40 $6,398 0.7×
Bx breast 1st lesion us imag (19083)
range across 3 matching MRF lines
$1,727.20–$1,824 $2,159–$2,280 varies
Catheter aspiration nasotracheal spx (31720)
range across 2 matching MRF lines
$80.80–$131.20 $101–$164 varies
Cessj Therapy Cath Removal (37214) $2,492.80 $3,116 0.7×
Change Cystostomy Tube Simple (51705) $308.80 $386 1.2×
Chemical Cautery Tissue (17250) $291.20 $364 1.4×
Chemodenerv 1 extrem 5/> mus (64644) $3,077.60 $3,847 4.1×
Chemodenerv 1 extremity 1-4 (64642) $3,077.60 $3,847 4.1×
Chemodenerv trunk musc 1-5 (64646) $3,077.60 $3,847 4.1×
Chemodenerv trunk musc 6/> (64647) $3,077.60 $3,847 4.1×
Chest tube placement (32551)
range across 6 matching MRF lines
$1,272.80–$1,304.80 $1,591–$1,631 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $2,929.60 $3,662 0.8×
Cl Tx Scapular Fx; W Manip (23575) $1,974.40 $2,468 1.1×
Cl Tx Tib Shft Fx W Manip (27752)
range across 3 matching MRF lines
$2,075.20–$2,148 $2,594–$2,685 varies
Clear outer ear canal (69200)
range across 3 matching MRF lines
$271.20–$280.80 $339–$351 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $333.60 $417 1.3×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $2,224.80 $2,781 1.3×
Closed Treatment Sternum Fracture (21820) $201.60 $252 0.8×
Closed tx ankle dislocation w/o anesthesia (27840)
range across 3 matching MRF lines
$298.40–$308 $373–$385 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,344 $1,680 0.8×
Closed Tx Knee Dislocation W/Anesthesia (27552) $1,344 $1,680 0.8×
Closed tx knee dislocation w/o anesthesia (27550)
range across 3 matching MRF lines
$303.20–$314.40 $379–$393 varies
Closed tx mandibular fracture w/manipulation (21451) $2,000.80 $2,501 1.2×
Closed tx metatarsal fracture w/o manipulation (28470) $298.40 $373 1.1×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,344 $1,680 0.8×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $2,185.60 $2,732 1.3×
Closed tx patellar dislocation w/o anesthesia (27560)
range across 3 matching MRF lines
$516.80–$534.40 $646–$668 varies
Closed tx radial head/neck fx w/manipulation (24655) $1,344 $1,680 0.8×
Closed tx radial shaft fracture w/manipulation (25505)
range across 3 matching MRF lines
$1,344–$1,974.40 $1,680–$2,468 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,344 $1,680 0.8×
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 3 matching MRF lines
$321.60–$333.60 $402–$417 varies
Closed Tx Talus Fracture W/Manipulation (28435)
range across 3 matching MRF lines
$2,068–$2,140.80 $2,585–$2,676 varies
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 4 matching MRF lines
$294.40–$442.40 $368–$553 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 3 matching MRF lines
$1,974.40–$2,044 $2,468–$2,555 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 3 matching MRF lines
$321.60–$333.60 $402–$417 varies
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $534.40 $668 2.1×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,344 $1,680 0.8×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 3 matching MRF lines
$516.80–$534.40 $646–$668 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,344 $1,680 0.8×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 3 matching MRF lines
$303.20–$314.40 $379–$393 varies
Cltx dstl fibular fx lat malls w/manj (27788)
range across 3 matching MRF lines
$516.80–$534.40 $646–$668 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 3 matching MRF lines
$321.60–$333.60 $402–$417 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 3 matching MRF lines
$365.60–$377.60 $457–$472 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,344 $1,680 0.8×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,344 $1,680 0.8×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 3 matching MRF lines
$1,956.80–$2,025.60 $2,446–$2,532 varies
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 3 matching MRF lines
$321.60–$333.60 $402–$417 varies
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 3 matching MRF lines
$321.60–$333.60 $402–$417 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $298.40 $373 1.1×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $318.40 $398 1.2×
Cltx greater humeral tuberosity fx w/o manj (23620)
range across 4 matching MRF lines
$314.40–$472 $393–$590 varies
Cltx hip dislocation traumatic req anesthesia (27252)
range across 3 matching MRF lines
$1,974.40–$2,044 $2,468–$2,555 varies
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $2,075.20 $2,594 1.2×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $318.40 $398 1.2×
Cltx iphal jt dislc w/manj w/o anes (26770) $510.40 $638 1.9×
Cltx Medial Ankle Fx (27760) $298.40 $373 1.1×
Cltx metacarpal fx w/manipulation each bone (26605)
range across 3 matching MRF lines
$362.40–$375.20 $453–$469 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $300 $375 1.1×
Cltx post hip arthrp dislc req anes (27266) $1,344 $1,680 0.8×
Cltx post hip arthrp dislc w/o anes (27265)
range across 3 matching MRF lines
$298.40–$308 $373–$385 varies
Cltx prox fibula/shft fx w/manj (27781) $1,344 $1,680 0.8×
Cltx prox fibula/shft fx w/o manj (27780)
range across 3 matching MRF lines
$303.20–$314.40 $379–$393 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,344 $1,680 0.8×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 3 matching MRF lines
$516.80–$534.40 $646–$668 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 3 matching MRF lines
$2,075.20–$2,148 $2,594–$2,685 varies
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675)
range across 3 matching MRF lines
$2,049.60–$2,121.60 $2,562–$2,652 varies
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,344 $1,680 0.8×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,344 $1,680 0.8×
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 3 matching MRF lines
$3,294.40–$3,411.20 $4,118–$4,264 varies
Collect Blood From Catheter Venous Nos (36592) $101.60 $127 0.7×
Collection of venous blood by venipuncture (36415) $34.40 $43 3.7×
Complex drainage wound (10180) $2,404 $3,005 0.8×
Control Nasal Hemorrhage Anterior Complex (30903) $280.80 $351 2.0×
Control Nasal Hemorrhage Anterior Simple (30901) $280.80 $351 2.0×
Convert Nephrostomy Catheter (50434) $1,534.40 $1,918 0.7×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,288.80 $1,611 0.7×
Csf shunt reprogram (62252) $405.60 $507 1.2×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $280.80 $351 2.0×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $280.80 $351 1.1×
Cysto calibration dilat urtl strix/stenosis (52281) $2,728 $3,410 1.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $514.40 $643 1.2×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines
$837.60–$850.40 $1,047–$1,063 varies
Debride nail 1-5 (11720) $83.20 $104 1.3×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $2,281.60 $2,852 1.3×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines
$336–$539.20 $420–$674 varies
Declot vascular device (36593)
range across 2 matching MRF lines
$484–$516 $605–$645 varies
Delivery of placenta (59414) $2,671.20 $3,339 0.8×
Destroy cerv/thor facet jnt (64633)
range across 3 matching MRF lines
$2,612–$3,918.40 $3,265–$4,898 varies
Destroy lumb/sac facet jnt (64635)
range across 3 matching MRF lines
$2,612–$3,918.40 $3,265–$4,898 varies
Destruct B9 Lesion 1-14 (17110) $223.20 $279 1.0×
Drain/inj small joint/bursa w/us (20604)
range across 3 matching MRF lines
$726.40–$1,091.20 $908–$1,364 varies
Drainage external auditory canal abscess (69020)
range across 3 matching MRF lines
$970.40–$1,004.80 $1,213–$1,256 varies
Drainage External Ear Abscess/Hematoma Simple (69000) $591.20 $739 0.8×
Drainage Finger Abscess Complicated (26011) $1,360.80 $1,701 0.8×
Drainage Mouth Roof Lesion (42000) $308.80 $386 1.2×
Drainage of finger abscess simple (26010) $534.40 $668 2.5×
Drainage of gum lesion (41800) $172 $215 1.2×
Drainage of hematoma/fluid (10140)
range across 3 matching MRF lines
$1,288.80–$3,032 $1,611–$3,790 varies
Drainage of scrotal wall abscess (55100) $1,977.60 $2,472 1.1×
Drainage of scrotum (54700) $2,728 $3,410 1.2×
Draw Blood Off Venous Device (36591) $108 $135 0.8×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $591.20 $739 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines
$432–$493.60 $540–$617 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines
$280.80–$372 $351–$465 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines
$280.80–$555.20 $351–$694 varies
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 3 matching MRF lines
$2,612–$3,918.40 $3,265–$4,898 varies
Dx Bone Marrow Bx & Aspir (38222) $2,258.40 $2,823 0.7×
Endoven ther chem adhes 1st (36482) $5,180 $6,475 0.9×
Epidural Blood Patch (62273) $1,557.60 $1,947 2.1×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,240.80 $1,551 0.7×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $2,170.40 $2,713 1.2×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $2,929.60 $3,662 0.8×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $1,564.80 $1,956 0.7×
Excision of gum flap (41821) $2,000.80 $2,501 1.2×
Fine needle aspiration without imaging guidance (10021) $336 $420 0.8×
Fluid Pressure Muscle (20950)
range across 3 matching MRF lines
$935.20–$968 $1,169–$1,210 varies
Fna bx w/us gdn 1st les (10005) $709.60 $887 0.9×
Foreskin manipulation (54450) $341.60 $427 1.3×
Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U)
range across 2 matching MRF lines
$996.80–$1,016.80 $1,246–$1,271 varies
Guide Cathet Fluid Drainage (10030) $909.60 $1,137 1.2×
I&d abscess simple (10060)
range across 2 matching MRF lines
$446.40–$534.40 $558–$668 varies
I&d perianal abscess superficial (46050) $765.60 $957 0.8×
I&d pilonidal cyst complicated (10081) $974.40 $1,218 1.3×
I&d pilonidal cyst simple (10080) $591.20 $739 0.8×
Incise external hemorrhoid (46083) $534.40 $668 2.0×
Incision & drainage abscess complicated/multiple (10061) $558.40 $698 1.3×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines
$1,360.80–$3,138.40 $1,701–$3,923 varies
Incision & removal foreign body subq tiss simple (10120) $516.80 $646 1.2×
Incision and drainage of bartholin's gland abscess (56420) $280.80 $351 1.3×
Incision and drainage of vulva or perineal abscess (56405) $753.60 $942 2.3×
Incision of rectal abscess (46040) $990.40 $1,238 0.8×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $2,063.20 $2,579 1.2×
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines
$499.20–$514.40 $624–$643 varies
Initial Tx 1st Degree Burn Local Tx (16000) $269.60 $337 1.3×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 3 matching MRF lines
$1,557.60–$2,338.40 $1,947–$2,923 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,557.60 $1,947 1.6×
Injection 1 tendon sheath/ligament aponeurosis (20550) $726.40 $908 2.2×
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 3 matching MRF lines
$1,557.60–$2,338.40 $1,947–$2,923 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 4 matching MRF lines
$1,557.60–$2,338.40 $1,947–$2,923 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 3 matching MRF lines
$1,557.60–$2,338.40 $1,947–$2,923 varies
Injection anesthetic agent suprascapular nerve (64418)
range across 3 matching MRF lines
$1,557.60–$2,338.40 $1,947–$2,923 varies
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines
$248–$732.80 $310–$916 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines
$391.20–$726.40 $489–$908 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines
$726.40–$773.60 $908–$967 varies
Injection therapeutic carpal tunnel (20526)
range across 4 matching MRF lines
$410.40–$726.40 $513–$908 varies
Injection, anesthetic agent; brachial plexus, single (64415)
range across 3 matching MRF lines
$1,487.20–$2,338.40 $1,859–$2,923 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 7 matching MRF lines
$928–$2,338.40 $1,160–$2,923 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 8 matching MRF lines
$886.40–$2,338.40 $1,108–$2,923 varies
Insert 1 Electrode Pm-Defib (33216) $6,752 $8,440 0.8×
Insert Heart Pm Ventricular (33207) $8,544 $10,680 0.8×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines
$2,464–$2,480 $3,080–$3,100 varies
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,230.40 $1,538 0.7×
Insert Temp Bladder Cath (51702) $176 $220 1.2×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $6,752 $8,440 0.8×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555)
range across 2 matching MRF lines
$2,464–$2,644 $3,080–$3,305 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines
$2,047.20–$2,092 $2,559–$2,615 varies
Insj/Rplcmt Defib W/Lead(S) (33249)
range across 2 matching MRF lines
$26,532.80–$27,199.20 $33,166–$33,999 varies
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
range across 2 matching MRF lines
$6,752–$12,586.40 $8,440–$15,733 varies
Insrt heart pm atrial & vent (33208) $8,544 $10,680 0.8×
Insrt Pulse Gen W/Singl Lead (33240) $18,993.60 $23,742 0.8×
Interdental fixation (21110) $2,000.80 $2,501 1.2×
Intraoral i&d tongue/floor submndblr space (41008) $4,420.80 $5,526 1.2×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines
$679.20–$704 $849–$880 varies
Irrigation of corpora cavernosa for priapism (54220) $308.80 $386 1.2×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 3 matching MRF lines
$1,557.60–$2,338.40 $1,947–$2,923 varies
N block inj intercost sng (64420)
range across 7 matching MRF lines
$928–$2,338.40 $1,160–$2,923 varies
N Block Inj Pudendal (64430)
range across 4 matching MRF lines
$1,228–$2,338.40 $1,535–$2,923 varies
N Block Lumbar/Thoracic (64520) $1,557.60 $1,947 1.6×
Nasal Endoscopy Dx (31231) $272 $340 1.3×
Needle Biopsy Lymph Nodes (38505)
range across 3 matching MRF lines
$1,288.80–$1,879.20 $1,611–$2,349 varies
Needle Biopsy Pancreas (48102) $1,241.60 $1,552 0.7×
Needle insertion w/o injection 1 or 2 muscles (20560) $40 $50 1.3×
Needle insertion w/o injection 3 or more muscles (20561) $40 $50 1.3×
Neuro csf detcj prion prtn quakg conf conv qual (0584U)
range across 2 matching MRF lines
$1,289.60–$1,864 $1,612–$2,330 varies
Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) $1,249.60 $1,562 1.7×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U)
range across 2 matching MRF lines
$1,000–$1,060 $1,250–$1,325 varies
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $4,475.20 $5,594 2.1×
Njx anes stellate ganglion crv sympathetic (64510) $1,557.60 $1,947 1.6×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 4 matching MRF lines
$534.40–$802.40 $668–$1,003 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $2,930.40 $3,663 0.8×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $2,930.40 $3,663 0.8×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 3 matching MRF lines
$1,557.60–$2,338.40 $1,947–$2,923 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,557.60 $1,947 2.1×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines
$928–$1,557.60 $1,160–$1,947 varies
Occipital Nerve Block (64405)
range across 6 matching MRF lines
$410.40–$1,091.20 $513–$1,364 varies
Open/Perq Place Stent 1St (37236) $8,780.80 $10,976 0.7×
Percut Cath Occlusn Non Cns Lesn (61626) $8,780.80 $10,976 0.7×
Pericardiocentesis W/Imaging (33016) $2,168.80 $2,711 1.3×
Perm Occlusion/Embolization,Percut,Cns (61624) $14,208.80 $17,761 0.7×
Perq dev breast 1st us imag (19285)
range across 3 matching MRF lines
$685.60–$1,029.60 $857–$1,287 varies
Perq device breast 1st imag (19281)
range across 3 matching MRF lines
$1,288.80–$1,346.40 $1,611–$1,683 varies
Placement of needle for intraosseous infusion (36680) $419.20 $524 0.9×
Plmt Nephroureteral Catheter (50433) $2,651.20 $3,314 0.7×
Prim art mech thrombectomy (37184) $13,933.60 $17,417 0.7×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $1,208.80 $1,511 1.2×
Pseudoaneurysm Injection Trt (36002) $480.80 $601 0.7×
Punch biopsy skin single lesion (11104) $560.80 $701 1.3×
Puncture aspiration abscess hematoma bulla/cyst (10160) $336 $420 0.8×
Puncture Aspiration Cyst Breast (19000)
range across 3 matching MRF lines
$704.80–$1,095.20 $881–$1,369 varies
Removal Embedded Foreign Body Eyelid (67938)
range across 2 matching MRF lines
$564–$583.20 $705–$729 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 3 matching MRF lines
$728–$753.60 $910–$942 varies
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 4 matching MRF lines
$90.40–$271.20 $113–$339 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 4 matching MRF lines
$280.80–$421.60 $351–$527 varies
Removal of foreign body from pharynx (42809) $335.20 $419 0.7×
Removal of nail bed (11750) $558.40 $698 1.3×
Removal ppm generator only (33233) $6,752 $8,440 0.8×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $260.80 $326 1.2×
Remove foreign body from eye (65205)
range across 3 matching MRF lines
$271.20–$280.80 $339–$351 varies
Remove Intrauterine Device (58301) $245.60 $307 0.8×
Remove lung catheter (32552) $1,465.60 $1,832 2.2×
Remove Nasal Foreign Body (30300) $280.80 $351 2.0×
Remv&replc cvd gen sing lead (33262) $19,084 $23,855 0.8×
Remv&replc pm gen mult leads (33229) $15,445.60 $19,307 0.7×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $514.40 $643 1.2×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $753.60 $942 1.7×
Repair complex trunk 2.6-7.5 cm (13101) $753.60 $942 1.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $336 $420 0.8×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $516.80 $646 1.2×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $556 $695 1.3×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $493.60 $617 1.1×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $536.80 $671 1.2×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $514.40 $643 0.6×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $336 $420 0.8×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $514.40 $643 1.2×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $534.40 $668 0.7×
Repair of nail bed (11760) $508 $635 0.6×
Repair tongue laceration (41252) $308.80 $386 1.2×
Repair tongue laceration (41250) $335.20 $419 0.7×
Replace g/c tube perc (49450) $1,188.80 $1,486 1.2×
Replace/Revise Brain Shunt (62230) $9,221.60 $11,527 1.0×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $335.20 $419 0.7×
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 3 matching MRF lines
$271.20–$280.80 $339–$351 varies
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,272.80 $1,591 0.8×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,168 $1,460 1.7×
Rplc Gtube No Revj Trc (43762) $308.80 $386 1.2×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $448 $560 2.1×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $632 $790 1.5×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $380 $475 1.8×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $380 $475 1.8×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $407.20 $509 1.9×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $380 $475 1.8×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $584 $730 2.7×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $445.60 $557 2.1×
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines
$3,657.60–$3,748.80 $4,572–$4,686 varies
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines
$3,657.60–$3,748.80 $4,572–$4,686 varies
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines
$6,531.20–$6,692.80 $8,164–$8,366 varies
Skn sub grft f/n/hf/g child (15277) $3,748.80 $4,686 1.7×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines
$213.60–$391.20 $267–$489 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $477.60 $597 1.1×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $436 $545 1.0×
Spinal puncture lumbar diagnostic (62270) $581.60 $727 0.8×
Strapping Unna Boot (29580)
range across 6 matching MRF lines
$305.60–$444.80 $382–$556 varies
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines
$260.80–$291.20 $326–$364 varies
Thromblytic art/ven therapy (37213) $2,492.80 $3,116 0.7×
Thrombolytic Art Therapy (37211) $4,252 $5,315 0.7×
Thrombolytic Therapy Stroke (37195) $289.60 $362 0.8×
Thrombolytic Venous Therapy (37212) $2,492.80 $3,116 0.7×
Thyroid biopsy (60100) $1,408 $1,760 1.9×
Tracheostoma revj smpl w/o flap rotation (31613) $5,200 $6,500 1.5×
Tracheostomy Emergency Cricothyroid Membrane (31605) $299.20 $374 1.2×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,244 $1,555 0.7×
Transcatheter biopsy (37200) $4,367.20 $5,459 0.7×
Treat Dental Ridge Fracture (21440) $4,369.60 $5,462 1.2×
Treat Humerus Fracture (24505) $2,075.20 $2,594 1.2×
Treat Knuckle Dislocation (26700) $300 $375 1.1×
Treat Thumb Fracture (26645)
range across 3 matching MRF lines
$1,956.80–$2,025.60 $2,446–$2,532 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 3 matching MRF lines
$516.80–$534.40 $646–$668 varies
Trim skin lesion (11055) $260.80 $326 1.2×
Tx Superficial Wound Dehiscence Simple Closure (12020) $514.40 $643 0.6×
Vaginal delivery only (59409) $3,890.40 $4,863 1.1×
Venous Mech Thrombectomy (37187) $8,780.80 $10,976 0.7×
Wedge excision skin nail fold (11765) $336 $420 0.8×

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