Procedures & surgery prices at Osf Saint Luke Medical Center
Kewanee, IL · every code in this section with a posted price and a Medicare benchmark.
345 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $1,247.20 | $1,559 | 1.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$787.20–$1,404.80 | $984–$1,756 | varies |
| Amniocentesis diagnostic (59000) range across 3 matching MRF lines |
$663.20–$731.20 | $829–$914 | varies |
| Anoscopy diagnostic (46600) | $108 | $135 | 0.8× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $215.20 | $269 | 1.2× |
| Application cast elbow finger short arm (29075) | $347.20 | $434 | 1.2× |
| Application finger splint static (29130) | $336 | $420 | 2.4× |
| Application long arm splint shoulder hand (29105) range across 4 matching MRF lines |
$320–$349.60 | $400–$437 | 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 |
$308.80–$320.80 | $386–$401 | varies |
| Application of long leg cast (29345) | $410.40 | $513 | 1.4× |
| Application short arm splint forearm-hand static (29125) range across 4 matching MRF lines |
$349.60–$525.60 | $437–$657 | varies |
| Application short leg splint calf foot (29515) range across 4 matching MRF lines |
$349.60–$525.60 | $437–$657 | varies |
| Apply hand/wrist cast (29085) range across 5 matching MRF lines |
$246.40–$349.60 | $308–$437 | varies |
| Apply long arm cast (29065) | $347.20 | $434 | 1.2× |
| Apply Multlay Comprs Lwr Leg (29581) | $280 | $350 | 1.6× |
| Apply Short Leg Cast (29405) | $396 | $495 | 1.3× |
| Arterial puncture (36600) | $104 | $130 | 0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$300–$311.20 | $375–$389 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $950.40 | $1,188 | 1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 7 matching MRF lines |
$604–$904.80 | $755–$1,131 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 7 matching MRF lines |
$400.80–$888.80 | $501–$1,111 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 4 matching MRF lines |
$311.20–$466.40 | $389–$583 | varies |
| Aspirate pleura w/ imaging (32555) range across 7 matching MRF lines |
$809.60–$1,310.40 | $1,012–$1,638 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 5 matching MRF lines |
$693.60–$1,229.60 | $867–$1,537 | varies |
| Aspiration and/or injection thyroid cyst (60300) | $1,361.60 | $1,702 | 1.8× |
| Avulsion nail plate partial/complete simple 1 (11730) | $349.60 | $437 | 1.6× |
| Biopsy Abdominal Mass (49180) | $1,336.80 | $1,671 | 0.8× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $1,336.80 | $1,671 | 0.8× |
| Biopsy of liver, needle; percutaneous (47000) | $1,336.80 | $1,671 | 0.8× |
| Bladder instillation anticarcinogenic agent (51720) | $563.20 | $704 | 0.8× |
| Bladder Irrigation (51700) | $604 | $755 | 2.3× |
| Bladder Scan (51798) range across 2 matching MRF lines |
$76.80–$110.40 | $96–$138 | varies |
| Blepharotomy drainage abscess eyelid (67700) range across 3 matching MRF lines |
$400.80–$415.20 | $501–$519 | varies |
| Blood Transfusion Service (36430) | $747.20 | $934 | 1.6× |
| Bone Marrow Biopsy (38221) | $740 | $925 | 0.4× |
| Bone Marrow; Aspiration Only (38220) | $1,336.80 | $1,671 | 0.8× |
| Bronchoscopy Balloon Occlusion (31634) | $5,256 | $6,570 | 0.7× |
| Bx breast 1st lesion us imag (19083) range across 3 matching MRF lines |
$1,834.40–$2,749.60 | $2,293–$3,437 | varies |
| Cessj Therapy Cath Removal (37214) | $2,560 | $3,200 | 0.8× |
| Change Cystostomy Tube Simple (51705) | $604 | $755 | 2.3× |
| Chest tube placement (32551) range across 6 matching MRF lines |
$1,296–$1,320 | $1,620–$1,650 | varies |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $3,008.80 | $3,761 | 0.8× |
| Cl Tx Scapular Fx; W Manip (23575) | $1,954.40 | $2,443 | 1.1× |
| Cl Tx Tib Shft Fx W Manip (27752) | $1,344 | $1,680 | 0.8× |
| Clear outer ear canal (69200) range across 4 matching MRF lines |
$116.80–$175.20 | $146–$219 | varies |
| Closed Rx Spontaneous Hip Disloc (27256) range across 3 matching MRF lines |
$2,311.20–$2,399.20 | $2,889–$2,999 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $309.60 | $387 | 1.2× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $2,210.40 | $2,763 | 1.3× |
| Closed Treatment Sternum Fracture (21820) | $201.60 | $252 | 0.8× |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 3 matching MRF lines |
$728.80–$756.80 | $911–$946 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 3 matching MRF lines |
$580.80–$604 | $726–$755 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,344 | $1,680 | 0.8× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) range across 3 matching MRF lines |
$1,482.40–$1,539.20 | $1,853–$1,924 | varies |
| Closed tx knee dislocation w/o anesthesia (27550) range across 3 matching MRF lines |
$335.20–$348 | $419–$435 | varies |
| Closed tx mandibular fracture w/manipulation (21451) | $1,968 | $2,460 | 1.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $293.60 | $367 | 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) | $2,026.40 | $2,533 | 1.2× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $2,724 | $3,405 | 0.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 3 matching MRF lines |
$336.80–$349.60 | $421–$437 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) | $1,344 | $1,680 | 0.8× |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 3 matching MRF lines |
$478.40–$496.80 | $598–$621 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 3 matching MRF lines |
$1,344–$1,954.40 | $1,680–$2,443 | 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 |
$336.80–$349.60 | $421–$437 | varies |
| Closed Tx Talus Fracture W/Manipulation (28435) range across 3 matching MRF lines |
$2,033.60–$2,111.20 | $2,542–$2,639 | varies |
| Closed tx tarsometatarsal dislocation w/o anes (28600) range across 3 matching MRF lines |
$605.60–$908 | $757–$1,135 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 4 matching MRF lines |
$336–$504.80 | $420–$631 | varies |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $1,344 | $1,680 | 0.8× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 3 matching MRF lines |
$298.40–$309.60 | $373–$387 | varies |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $507.20 | $634 | 2.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 3 matching MRF lines |
$2,933.60–$3,045.60 | $3,667–$3,807 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 4 matching MRF lines |
$349.60–$525.60 | $437–$657 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $1,344 | $1,680 | 0.8× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $349.60 | $437 | 1.3× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) range across 3 matching MRF lines |
$336.80–$349.60 | $421–$437 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 3 matching MRF lines |
$1,032–$1,071.20 | $1,290–$1,339 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 3 matching MRF lines |
$298.40–$309.60 | $373–$387 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $349.60 | $437 | 1.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $349.60 | $437 | 1.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 3 matching MRF lines |
$336.80–$349.60 | $421–$437 | 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) | $1,344 | $1,680 | 0.8× |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 3 matching MRF lines |
$335.20–$348 | $419–$435 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 3 matching MRF lines |
$298.40–$309.60 | $373–$387 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $604 | $755 | 2.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $526.40 | $658 | 2.0× |
| Cltx greater humeral tuberosity fx w/o manj (23620) range across 4 matching MRF lines |
$310.40–$465.60 | $388–$582 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) range across 3 matching MRF lines |
$1,629.60–$1,692.80 | $2,037–$2,116 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 3 matching MRF lines |
$478.40–$496.80 | $598–$621 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $1,344 | $1,680 | 0.8× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) | $1,930.40 | $2,413 | 1.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $580 | $725 | 2.2× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $1,088.80 | $1,361 | 3.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $336 | $420 | 1.3× |
| Cltx Med Ankle Fx W/Mnpj (27762) range across 3 matching MRF lines |
$2,034.40–$2,112 | $2,543–$2,640 | varies |
| Cltx Medial Ankle Fx (27760) | $293.60 | $367 | 1.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 3 matching MRF lines |
$335.20–$348 | $419–$435 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $336 | $420 | 1.3× |
| 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 |
$424.80–$440.80 | $531–$551 | 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 |
$299.20–$310.40 | $374–$388 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $1,344 | $1,680 | 0.8× |
| Cltx prox tibfib jt dislc w/o anes (27830) range across 3 matching MRF lines |
$342.40–$355.20 | $428–$444 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
$336.80–$349.60 | $421–$437 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) range across 3 matching MRF lines |
$1,930.40–$2,004 | $2,413–$2,505 | varies |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) range across 3 matching MRF lines |
$2,016.80–$2,093.60 | $2,521–$2,617 | varies |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) range across 3 matching MRF lines |
$1,344–$1,954.40 | $1,680–$2,443 | varies |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) range across 3 matching MRF lines |
$478.40–$496.80 | $598–$621 | varies |
| 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 |
$3,241.60–$3,366.40 | $4,052–$4,208 | varies |
| 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) | $349.60 | $437 | 2.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $155.20 | $194 | 1.1× |
| Convert Nephrostomy Catheter (50434) | $1,575.20 | $1,969 | 0.7× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $1,336.80 | $1,671 | 0.8× |
| Csf shunt reprogram (62252) | $403.20 | $504 | 1.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $349.60 | $437 | 2.5× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $349.60 | $437 | 1.4× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $2,692 | $3,365 | 1.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $514.40 | $643 | 1.2× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $824 | $1,030 | 1.0× |
| Debride nail 1-5 (11720) | $81.60 | $102 | 1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $336 | $420 | 0.8× |
| Declot vascular device (36593) range across 2 matching MRF lines |
$321.60–$595.20 | $402–$744 | varies |
| Delivery of placenta (59414) | $2,671.20 | $3,339 | 0.8× |
| Drainage external auditory canal abscess (69020) range across 3 matching MRF lines |
$897.60–$932 | $1,122–$1,165 | 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) | $604 | $755 | 2.4× |
| Drainage of finger abscess simple (26010) | $298.40 | $373 | 1.4× |
| Drainage of gum lesion (41800) | $349.60 | $437 | 2.5× |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$1,336.80–$2,988 | $1,671–$3,735 | varies |
| Drainage of scrotal wall abscess (55100) | $1,957.60 | $2,447 | 1.1× |
| Drainage of scrotum (54700) | $2,692 | $3,365 | 1.2× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $591.20 | $739 | 0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $336 | $420 | 0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $188.80 | $236 | 0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $349.60 | $437 | 1.6× |
| Dx Bone Marrow Bx & Aspir (38222) | $2,342.40 | $2,928 | 0.8× |
| Dx lmbr spi pnxr w/fluor/CT (62328) range across 3 matching MRF lines |
$660.80–$1,068 | $826–$1,335 | varies |
| Epidural Blood Patch (62273) | $1,784 | $2,230 | 2.4× |
| Evacuation of subungual hematoma (11740) | $336 | $420 | 2.4× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $1,274.40 | $1,593 | 0.7× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $2,024.80 | $2,531 | 1.1× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $3,008.80 | $3,761 | 0.8× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $1,607.20 | $2,009 | 0.7× |
| Excision of gum flap (41821) | $1,968 | $2,460 | 1.2× |
| Explo/Drain Breast Abscess (19020) | $1,360.80 | $1,701 | 0.8× |
| Exploration penetrating wound spx extremity (20103) | $2,687.20 | $3,359 | 1.5× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $898.40 | $1,123 | 1.2× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) | $898.40 | $1,123 | 1.2× |
| Fine needle aspiration without imaging guidance (10021) | $336 | $420 | 0.8× |
| Fluid Pressure Muscle (20950) range across 3 matching MRF lines |
$920–$955.20 | $1,150–$1,194 | varies |
| Fluoro exam of g/colon tube (49465) | $759.20 | $949 | 3.0× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $900 | $1,125 | 1.2× |
| Fna bx w/us gdn 1st les (10005) | $900 | $1,125 | 1.2× |
| Foreskin manipulation (54450) | $340 | $425 | 1.3× |
| Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) range across 2 matching MRF lines |
$990.40–$1,010.40 | $1,238–$1,263 | varies |
| I&d abscess simple (10060) | $349.60 | $437 | 1.6× |
| I&d perianal abscess superficial (46050) | $765.60 | $957 | 0.8× |
| I&d pilonidal cyst complicated (10081) | $968 | $1,210 | 1.3× |
| I&d pilonidal cyst simple (10080) | $591.20 | $739 | 0.8× |
| Incise external hemorrhoid (46083) | $543.20 | $679 | 2.0× |
| Incision & drainage abscess complicated/multiple (10061) | $349.60 | $437 | 0.8× |
| Incision & removal foreign body subq tiss compl (10121) | $1,360.80 | $1,701 | 0.8× |
| Incision & removal foreign body subq tiss simple (10120) | $336.80 | $421 | 0.8× |
| Incision and drainage of bartholin's gland abscess (56420) | $349.60 | $437 | 1.6× |
| Incision and drainage of vulva or perineal abscess (56405) | $604 | $755 | 1.8× |
| Incision of rectal abscess (46040) | $2,296 | $2,870 | 1.8× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $2,143.20 | $2,679 | 1.2× |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$514.40–$518.40 | $643–$648 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $349.60 | $437 | 1.6× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 6 matching MRF lines |
$1,339.20–$2,166.40 | $1,674–$2,708 | varies |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) range across 3 matching MRF lines |
$878.40–$1,318.40 | $1,098–$1,648 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $1,339.20 | $1,674 | 1.4× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $404.80 | $506 | 1.2× |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $1,355.20 | $1,694 | 1.4× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 4 matching MRF lines |
$862.40–$1,934.40 | $1,078–$2,418 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 5 matching MRF lines |
$572.80–$862.40 | $716–$1,078 | varies |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) range across 3 matching MRF lines |
$878.40–$1,318.40 | $1,098–$1,648 | varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $522.40 | $653 | 1.6× |
| Injection anesthetic agent suprascapular nerve (64418) range across 5 matching MRF lines |
$572.80–$604 | $716–$755 | varies |
| Injection for identification of sentinel node (38792) range across 3 matching MRF lines |
$1,699.20–$2,549.60 | $2,124–$3,187 | varies |
| Injection single tendon origin/insertion (20551) | $248 | $310 | 0.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$320.80–$377.60 | $401–$472 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 3 matching MRF lines |
$468–$773.60 | $585–$967 | varies |
| Injection therapeutic carpal tunnel (20526) | $408 | $510 | 1.2× |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 4 matching MRF lines |
$740.80–$991.20 | $926–$1,239 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 6 matching MRF lines |
$572.80–$862.40 | $716–$1,078 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 8 matching MRF lines |
$581.60–$913.60 | $727–$1,142 | varies |
| Insert 1 Electrode Pm-Defib (33216) | $6,934.40 | $8,668 | 0.8× |
| Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
$348–$349.60 | $435–$437 | varies |
| Insert Heart Pm Ventricular (33207) | $8,773.60 | $10,967 | 0.8× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$2,480–$2,530.40 | $3,100–$3,163 | varies |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $1,264 | $1,580 | 0.7× |
| Insert Temp Bladder Cath (51702) range across 4 matching MRF lines |
$202.40–$342.40 | $253–$428 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 3 matching MRF lines |
$108–$202.40 | $135–$253 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $1,398.40 | $1,748 | 0.8× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $6,934.40 | $8,668 | 0.8× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) range across 2 matching MRF lines |
$2,530.40–$2,644 | $3,163–$3,305 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$1,295.20–$2,026.40 | $1,619–$2,533 | varies |
| Insj/Rplcmt Defib W/Lead(S) (33249) range across 2 matching MRF lines |
$27,247.20–$27,930.40 | $34,059–$34,913 | varies |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) range across 2 matching MRF lines |
$6,934.40–$11,740.80 | $8,668–$14,676 | varies |
| Insrt heart pm atrial & vent (33208) | $8,773.60 | $10,967 | 0.8× |
| Insrt Pulse Gen W/Singl Lead (33240) | $19,504.80 | $24,381 | 0.8× |
| Intraoral i&d tongue/floor submndblr space (41008) | $4,349.60 | $5,437 | 1.2× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$679.20–$766.40 | $849–$958 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $304.80 | $381 | 1.1× |
| N block inj intercost sng (64420) range across 7 matching MRF lines |
$572.80–$1,148.80 | $716–$1,436 | varies |
| N Block Inj Pudendal (64430) | $1,208 | $1,510 | 1.3× |
| N Block Lumbar/Thoracic (64520) | $1,339.20 | $1,674 | 1.4× |
| Nasal Endoscopy Dx (31231) | $268 | $335 | 1.3× |
| Needle Biopsy Lymph Nodes (38505) range across 3 matching MRF lines |
$1,945.60–$2,919.20 | $2,432–$3,649 | varies |
| Needle Biopsy Pancreas (48102) | $1,275.20 | $1,594 | 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) | $1,158.40 | $1,448 | 1.6× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) range across 2 matching MRF lines |
$1,000–$1,042.40 | $1,250–$1,303 | varies |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) | $4,416 | $5,520 | 2.1× |
| Njx anes stellate ganglion crv sympathetic (64510) | $1,784 | $2,230 | 1.9× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 4 matching MRF lines |
$298.40–$447.20 | $373–$559 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $3,009.60 | $3,762 | 0.8× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $3,009.60 | $3,762 | 0.8× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 6 matching MRF lines |
$1,339.20–$2,166.40 | $1,674–$2,708 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$1,339.20–$3,191.20 | $1,674–$3,989 | varies |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $1,339.20 | $1,674 | 1.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 3 matching MRF lines |
$913.60–$987.20 | $1,142–$1,234 | varies |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) | $1,543.20 | $1,929 | 0.7× |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) | $1,543.20 | $1,929 | 0.7× |
| Njx Sclrsnt Spider Veins (36468) | $438.40 | $548 | 1.0× |
| Occipital Nerve Block (64405) range across 6 matching MRF lines |
$408–$862.40 | $510–$1,078 | varies |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $4,768.80 | $5,961 | 1.4× |
| Open/Perq Place Stent 1St (37236) | $9,017.60 | $11,272 | 0.7× |
| Percut Cath Occlusn Non Cns Lesn (61626) | $9,017.60 | $11,272 | 0.7× |
| Pericardiocentesis W/Imaging (33016) | $2,023.20 | $2,529 | 1.2× |
| Perm Occlusion/Embolization,Percut,Cns (61624) | $14,591.20 | $18,239 | 0.7× |
| Perq dev breast 1st us imag (19285) range across 3 matching MRF lines |
$1,834.40–$2,749.60 | $2,293–$3,437 | varies |
| Perq device breast 1st imag (19281) range across 3 matching MRF lines |
$1,798.40–$2,800 | $2,248–$3,500 | varies |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $720 | $900 | 0.9× |
| Placement of needle for intraosseous infusion (36680) | $508 | $635 | 1.1× |
| Plmt Nephroureteral Catheter (50433) | $2,723.20 | $3,404 | 0.7× |
| Prim art mech thrombectomy (37184) | $14,452 | $18,065 | 0.7× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $1,192.80 | $1,491 | 1.2× |
| Pseudoaneurysm Injection Trt (36002) | $493.60 | $617 | 0.7× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $324 | $405 | 0.7× |
| Puncture Aspiration Cyst Breast (19000) range across 3 matching MRF lines |
$605.60–$858.40 | $757–$1,073 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$920–$955.20 | $1,150–$1,194 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 4 matching MRF lines |
$137.60–$206.40 | $172–$258 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 4 matching MRF lines |
$116.80–$175.20 | $146–$219 | varies |
| Removal of foreign body from pharynx (42809) | $335.20 | $419 | 0.7× |
| Removal of nail bed (11750) | $579.20 | $724 | 1.3× |
| Removal or bivalving full arm or full leg cast (29705) range across 4 matching MRF lines |
$349.60–$525.60 | $437–$657 | varies |
| Removal ppm generator only (33233) | $6,934.40 | $8,668 | 0.8× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $259.20 | $324 | 1.2× |
| Removal/bivalving gauntlet boot/body cast (29700) | $223.20 | $279 | 0.7× |
| Remove foreign body from eye (65205) range across 4 matching MRF lines |
$267.20–$400 | $334–$500 | varies |
| Remove Intrauterine Device (58301) | $255.20 | $319 | 0.8× |
| Remove Nasal Foreign Body (30300) | $349.60 | $437 | 2.5× |
| Remv&replc cvd gen sing lead (33262) | $19,597.60 | $24,497 | 0.8× |
| Remv&replc pm gen mult leads (33229) | $15,860.80 | $19,826 | 0.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $558.40 | $698 | 0.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $654.40 | $818 | 0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $467.20 | $584 | 1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $604 | $755 | 1.4× |
| 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) | $604 | $755 | 1.4× |
| Repair complex trunk 1.1-2.5 cm (13100) | $788.80 | $986 | 1.0× |
| Repair extensor tendon finger w/o graft each (26418) | $2,902.40 | $3,628 | 1.7× |
| 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) | $336.80 | $421 | 0.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $604 | $755 | 1.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $349.60 | $437 | 0.8× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $548 | $685 | 1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $336 | $420 | 0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $349.60 | $437 | 0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $514.40 | $643 | 0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $349.60 | $437 | 0.8× |
| 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) | $336 | $420 | 0.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $548 | $685 | 0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $349.60 | $437 | 0.8× |
| Repair of nail bed (11760) | $514.40 | $643 | 0.6× |
| Repair tongue laceration (41252) | $1,657.60 | $2,072 | 6.5× |
| Repair tongue laceration (41250) | $324 | $405 | 0.7× |
| Replace g/c tube perc (49450) | $1,246.40 | $1,558 | 1.3× |
| Replace/Revise Brain Shunt (62230) | $9,163.20 | $11,454 | 1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 4 matching MRF lines |
$335.20–$398.40 | $419–$498 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 4 matching MRF lines |
$256.80–$384.80 | $321–$481 | varies |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $1,360.80 | $1,701 | 0.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $1,389.60 | $1,737 | 0.8× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $1,248.80 | $1,561 | 1.9× |
| Rplc Gtube No Revj Trc (43762) | $604 | $755 | 2.3× |
| Rplc gtube revj gstrst trc (43763) | $604 | $755 | 2.3× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $448 | $560 | 2.1× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $941.60 | $1,177 | 1.6× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $2,239.20 | $2,799 | 1.3× |
| 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 20.1cm-30.0 Cm (12017) | $349.60 | $437 | 0.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $407.20 | $509 | 1.9× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $315.20 | $394 | 1.5× |
| 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) | $2,564.80 | $3,206 | 3.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $391.20 | $489 | 1.8× |
| 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) range across 4 matching MRF lines |
$581.60–$802.40 | $727–$1,003 | varies |
| Strapping Unna Boot (29580) range across 3 matching MRF lines |
$305.60–$432.80 | $382–$541 | varies |
| Tangential biopsy skin single lesion (11102) | $256.80 | $321 | 0.6× |
| Thromblytic art/ven therapy (37213) | $2,560 | $3,200 | 0.8× |
| Thrombolytic Art Therapy (37211) | $4,367.20 | $5,459 | 0.7× |
| Thrombolytic Therapy Stroke (37195) | $527.20 | $659 | 1.5× |
| Thrombolytic Venous Therapy (37212) | $2,560 | $3,200 | 0.8× |
| Thyroid biopsy (60100) | $1,361.60 | $1,702 | 1.8× |
| Tooth extraction (41899) | $411.20 | $514 | 1.6× |
| Tracheostoma revj smpl w/o flap rotation (31613) | $4,820.80 | $6,026 | 1.4× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $294.40 | $368 | 1.2× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $1,244 | $1,555 | 0.7× |
| Transcatheter biopsy (37200) | $4,528.80 | $5,661 | 0.8× |
| Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) | $137.60 | $172 | 0.0× |
| Treat Dental Ridge Fracture (21440) | $4,341.60 | $5,427 | 1.2× |
| Treat humerus fracture (24500) range across 3 matching MRF lines |
$478.40–$496.80 | $598–$621 | varies |
| Treat Humerus Fracture (24505) | $1,344 | $1,680 | 0.8× |
| Treat Knuckle Dislocation (26700) | $336 | $420 | 1.3× |
| Treat Thumb Dislocation (26641) range across 3 matching MRF lines |
$400–$414.40 | $500–$518 | varies |
| Treat Thumb Fracture (26645) | $1,344 | $1,680 | 0.8× |
| Treat toe dislocation (28630) | $580 | $725 | 2.2× |
| Treatment closed elbow dislocation w/o anes (24600) range across 3 matching MRF lines |
$335.20–$348 | $419–$435 | varies |
| Trim skin lesion (11055) | $349.60 | $437 | 1.6× |
| Tx Gastro Intub W/Asp (43753) | $432 | $540 | 1.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $514.40 | $643 | 0.6× |
| Tx superficial wound dehiscence w/packing (12021) | $340.80 | $426 | 0.8× |
| Unlisted procedure nervous system (64999) | $349.60 | $437 | 1.1× |
| Vaginal delivery only (59409) | $3,252.80 | $4,066 | 0.9× |
| Venous Mech Thrombectomy (37187) | $9,017.60 | $11,272 | 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.