Procedures & surgery prices at Osf Saint Paul Medical Center
Mendota, IL · every code in this section with a posted price and a Medicare benchmark.
419 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) range across 2 matching MRF lines |
$1,244.80–$1,296.80 | $1,556–$1,621 | varies |
| Amniocentesis diagnostic (59000) range across 3 matching MRF lines |
$670.40–$731.20 | $838–$914 | varies |
| Anoscopy diagnostic (46600) | $190.40 | $238 | 1.3× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) range across 9 matching MRF lines |
$215.20–$337.60 | $269–$422 | varies |
| Application cast elbow finger short arm (29075) | $347.20 | $434 | 1.2× |
| Application Finger Splint Dynamic (29131) | $276.80 | $346 | 4.4× |
| Application finger splint static (29130) | $152.80 | $191 | 1.1× |
| Application long arm splint shoulder hand (29105) range across 4 matching MRF lines |
$173.60–$338.40 | $217–$423 | 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 |
$194.40–$203.20 | $243–$254 | 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 |
$146.40–$152.80 | $183–$191 | varies |
| Application short leg splint calf foot (29515) range across 4 matching MRF lines |
$175.20–$203.20 | $219–$254 | 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 |
$280–$528 | $350–$660 | varies |
| Apply Short Leg Cast (29405) | $396 | $495 | 1.3× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$107.20–$137.60 | $134–$172 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 7 matching MRF lines |
$280.80–$504 | $351–$630 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 5 matching MRF lines |
$954.40–$1,107.20 | $1,193–$1,384 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 10 matching MRF lines |
$292.80–$756 | $366–$945 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 4 matching MRF lines |
$424.80–$636.80 | $531–$796 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 6 matching MRF lines |
$252–$416.80 | $315–$521 | varies |
| Aspirate pleura w/ imaging (32555) range across 13 matching MRF lines |
$876.80–$3,718.40 | $1,096–$4,648 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 6 matching MRF lines |
$756.80–$1,376 | $946–$1,720 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $415.20 | $519 | 1.3× |
| Aspiration and/or injection thyroid cyst (60300) | $1,310.40 | $1,638 | 1.7× |
| Avulsion nail plate partial/complete simple 1 (11730) | $224.80 | $281 | 1.0× |
| Biopsy Abdominal Mass (49180) | $1,426.40 | $1,783 | 0.8× |
| Biopsy bone trocar/needle deep (20225) | $2,388 | $2,985 | 1.3× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $1,358.40 | $1,698 | 0.8× |
| Biopsy muscle percutaneous needle (20206) | $1,094.40 | $1,368 | 0.6× |
| Biopsy of liver, needle; percutaneous (47000) | $1,426.40 | $1,783 | 0.8× |
| Biopsy Pleura Percutaneous Needle (32400) | $2,167.20 | $2,709 | 1.2× |
| Biopsy Salivary Gland Needle (42400) | $1,584 | $1,980 | 2.1× |
| Bladder instillation anticarcinogenic agent (51720) | $577.60 | $722 | 0.8× |
| Bladder Irrigation (51700) | $340 | $425 | 1.3× |
| Bladder Scan (51798) range across 2 matching MRF lines |
$108–$202.40 | $135–$253 | varies |
| Blepharotomy drainage abscess eyelid (67700) range across 3 matching MRF lines |
$408–$424.80 | $510–$531 | varies |
| Blood Transfusion Service (36430) range across 2 matching MRF lines |
$1,140–$1,341.60 | $1,425–$1,677 | varies |
| Bone Marrow Biopsy (38221) range across 3 matching MRF lines |
$162.40–$950.40 | $203–$1,188 | varies |
| Bone Marrow; Aspiration Only (38220) range across 3 matching MRF lines |
$479.20–$1,359.20 | $599–$1,699 | varies |
| Bronchoscopy Balloon Occlusion (31634) | $5,601.60 | $7,002 | 0.7× |
| Bx breast 1st lesion us imag (19083) range across 3 matching MRF lines |
$2,531.20–$3,796.80 | $3,164–$4,746 | varies |
| Catheter aspiration nasotracheal spx (31720) | $185.60 | $232 | 0.8× |
| Cessj Therapy Cath Removal (37214) | $2,728 | $3,410 | 0.8× |
| Change Cystostomy Tube Simple (51705) | $404.80 | $506 | 1.5× |
| Chemodenerv Musc Migraine (64615) | $504 | $630 | 1.5× |
| Chemodenerv musc neck dyston (64616) range across 3 matching MRF lines |
$504–$756 | $630–$945 | varies |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) | $870.40 | $1,088 | 2.6× |
| Chest tube placement (32551) range across 6 matching MRF lines |
$1,301.60–$1,348 | $1,627–$1,685 | varies |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $3,206.40 | $4,008 | 0.8× |
| Cl Tx Scapular Fx; W Manip (23575) | $2,061.60 | $2,577 | 1.2× |
| Cl Tx Tib Shft Fx W Manip (27752) range across 3 matching MRF lines |
$2,992–$3,112.80 | $3,740–$3,891 | varies |
| Clear outer ear canal (69200) range across 6 matching MRF lines |
$178.40–$206.40 | $223–$258 | varies |
| Closed Treat Vert Body Fract (22310) | $1,095.20 | $1,369 | 4.1× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $334.40 | $418 | 1.3× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $2,219.20 | $2,774 | 1.3× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) range across 3 matching MRF lines |
$872–$907.20 | $1,090–$1,134 | varies |
| Closed Treatment Sternum Fracture (21820) | $556 | $695 | 2.1× |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 3 matching MRF lines |
$872–$907.20 | $1,090–$1,134 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 3 matching MRF lines |
$451.20–$469.60 | $564–$587 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,609.60 | $2,012 | 0.9× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 3 matching MRF lines |
$451.20–$469.60 | $564–$587 | varies |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 3 matching MRF lines |
$806.40–$839.20 | $1,008–$1,049 | varies |
| 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 |
$644.80–$671.20 | $806–$839 | varies |
| Closed tx mandibular fracture w/manipulation (21451) | $2,084 | $2,605 | 1.3× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) | $1,450.40 | $1,813 | 2.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $852.80 | $1,066 | 3.2× |
| 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) | $1,377.60 | $1,722 | 0.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 3 matching MRF lines |
$451.20–$469.60 | $564–$587 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 3 matching MRF lines |
$451.20–$469.60 | $564–$587 | 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 |
$700.80–$728.80 | $876–$911 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 3 matching MRF lines |
$1,344–$2,061.60 | $1,680–$2,577 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 3 matching MRF lines |
$1,516–$1,577.60 | $1,895–$1,972 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $1,301.60 | $1,627 | 0.8× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 3 matching MRF lines |
$732–$762.40 | $915–$953 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 3 matching MRF lines |
$693.60–$722.40 | $867–$903 | varies |
| Closed Tx Talus Fracture W/Manipulation (28435) range across 3 matching MRF lines |
$2,154.40–$2,241.60 | $2,693–$2,802 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $201.60 | $252 | 0.8× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) range across 3 matching MRF lines |
$2,061.60–$2,144.80 | $2,577–$2,681 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 3 matching MRF lines |
$763.20–$794.40 | $954–$993 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 3 matching MRF lines |
$689.60–$718.40 | $862–$898 | varies |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $507.20 | $634 | 2.0× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) range across 3 matching MRF lines |
$774.40–$804 | $968–$1,005 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 4 matching MRF lines |
$675.20–$968.80 | $844–$1,211 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 3 matching MRF lines |
$2,407.20–$2,504.80 | $3,009–$3,131 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 4 matching MRF lines |
$871.20–$1,307.20 | $1,089–$1,634 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $1,340 | $1,675 | 0.8× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 3 matching MRF lines |
$812–$844 | $1,015–$1,055 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) range across 3 matching MRF lines |
$316–$329.60 | $395–$412 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 3 matching MRF lines |
$892–$928 | $1,115–$1,160 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 3 matching MRF lines |
$1,120.80–$1,166.40 | $1,401–$1,458 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $897.60 | $1,122 | 3.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $673.60 | $842 | 2.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 3 matching MRF lines |
$905.60–$942.40 | $1,132–$1,178 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $1,424 | $1,780 | 0.8× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) | $1,887.20 | $2,359 | 1.1× |
| 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 |
$2,044–$2,126.40 | $2,555–$2,658 | varies |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 3 matching MRF lines |
$438.40–$456 | $548–$570 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 3 matching MRF lines |
$328.80–$341.60 | $411–$427 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $608 | $760 | 2.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $376 | $470 | 1.4× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 3 matching MRF lines |
$614.40–$639.20 | $768–$799 | varies |
| Cltx greater humeral tuberosity fx w/o manj (23620) range across 4 matching MRF lines |
$329.60–$494.40 | $412–$618 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) range across 3 matching MRF lines |
$2,061.60–$2,144.80 | $2,577–$2,681 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 3 matching MRF lines |
$451.20–$469.60 | $564–$587 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) range across 3 matching MRF lines |
$837.60–$871.20 | $1,047–$1,089 | varies |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) | $2,077.60 | $2,597 | 1.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $408 | $510 | 1.5× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $1,284.80 | $1,606 | 4.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $820.80 | $1,026 | 3.1× |
| Cltx Med Ankle Fx W/Mnpj (27762) range across 3 matching MRF lines |
$2,790.40–$2,903.20 | $3,488–$3,629 | varies |
| Cltx Medial Ankle Fx (27760) range across 3 matching MRF lines |
$451.20–$469.60 | $564–$587 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 3 matching MRF lines |
$319.20–$332.80 | $399–$416 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 3 matching MRF lines |
$205.60–$214.40 | $257–$268 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $201.60 | $252 | 0.8× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $643.20 | $804 | 2.4× |
| 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 |
$614.40–$639.20 | $768–$799 | 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 |
$1,120.80–$1,166.40 | $1,401–$1,458 | 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 |
$278.40–$290.40 | $348–$363 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) range across 3 matching MRF lines |
$2,077.60–$2,162.40 | $2,597–$2,703 | varies |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) range across 3 matching MRF lines |
$2,136–$2,222.40 | $2,670–$2,778 | varies |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) range across 3 matching MRF lines |
$1,344–$2,061.60 | $1,680–$2,577 | varies |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 3 matching MRF lines |
$995.20–$1,035.20 | $1,244–$1,294 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) range across 3 matching MRF lines |
$614.40–$639.20 | $768–$799 | 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 |
$451.20–$469.60 | $564–$587 | 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) | $531.20 | $664 | 3.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 4 matching MRF lines |
$315.20–$470.40 | $394–$588 | varies |
| Control oropharyngeal hemorrhage simple (42960) | $520 | $650 | 0.9× |
| Convert Nephrostomy Catheter (50434) | $1,679.20 | $2,099 | 0.7× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $1,811.20 | $2,264 | 1.0× |
| Create Eardrum Opening (69433) range across 3 matching MRF lines |
$428–$585.60 | $535–$732 | varies |
| Csf shunt reprogram (62252) | $404.80 | $506 | 1.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $961.60 | $1,202 | 6.7× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $388.80 | $486 | 1.5× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $2,857.60 | $3,572 | 1.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 2 matching MRF lines |
$491.20–$514.40 | $614–$643 | varies |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) | $9,057.60 | $11,322 | 4.3× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $872.80 | $1,091 | 1.1× |
| Debride nail 1-5 (11720) | $87.20 | $109 | 1.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$336–$524.80 | $420–$656 | varies |
| Declot vascular device (36593) range across 2 matching MRF lines |
$517.60–$676.80 | $647–$846 | varies |
| Delivery of placenta (59414) | $2,671.20 | $3,339 | 0.8× |
| Destr W Neurolytic; Celiac Plexus (64680) | $1,393.60 | $1,742 | 1.5× |
| Destroy cerv/thor facet jnt (64633) range across 3 matching MRF lines |
$3,922.40–$5,881.60 | $4,903–$7,352 | varies |
| Destroy lumb/sac facet jnt (64635) range across 3 matching MRF lines |
$3,411.20–$5,114.40 | $4,264–$6,393 | varies |
| Destruction by neurolytic agent, intercostal nerve (64620) | $1,393.60 | $1,742 | 1.5× |
| Drain Cerebro Spinal Fluid (62272) | $832 | $1,040 | 1.1× |
| Drain/inj small joint/bursa w/us (20604) range across 3 matching MRF lines |
$504–$756 | $630–$945 | varies |
| Drainage external auditory canal abscess (69020) range across 3 matching MRF lines |
$969.60–$1,008.80 | $1,212–$1,261 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 3 matching MRF lines |
$564.80–$591.20 | $706–$739 | varies |
| Drainage Finger Abscess Complicated (26011) | $1,360.80 | $1,701 | 0.8× |
| Drainage Mouth Roof Lesion (42000) | $324 | $405 | 1.3× |
| Drainage of finger abscess simple (26010) | $424 | $530 | 2.0× |
| Drainage of gum lesion (41800) | $428.80 | $536 | 3.0× |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$1,358.40–$1,360.80 | $1,698–$1,701 | varies |
| Drainage of scrotal wall abscess (55100) | $1,360.80 | $1,701 | 0.8× |
| Drainage of scrotum (54700) | $2,857.60 | $3,572 | 1.3× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $564.80 | $706 | 0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$365.60–$580.80 | $457–$726 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$339.20–$452.80 | $424–$566 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$172.80–$327.20 | $216–$409 | varies |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 3 matching MRF lines |
$1,393.60–$2,092 | $1,742–$2,615 | varies |
| Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) | $1,393.60 | $1,742 | 1.5× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) | $1,393.60 | $1,742 | 1.5× |
| Dx Bone Marrow Bx & Aspir (38222) range across 2 matching MRF lines |
$950.40–$2,366.40 | $1,188–$2,958 | varies |
| Dx Laryngoscopy Excl Nb (31525) | $1,448.80 | $1,811 | 0.8× |
| Dx lmbr spi pnxr w/fluor/CT (62328) range across 3 matching MRF lines |
$620–$1,474.40 | $775–$1,843 | varies |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) | $551.20 | $689 | 1.7× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) | $551.20 | $689 | 1.7× |
| Epidural Blood Patch (62273) | $1,107.20 | $1,384 | 1.5× |
| Evacuation of subungual hematoma (11740) | $154.40 | $193 | 1.1× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $1,358.40 | $1,698 | 0.8× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $2,184 | $2,730 | 1.2× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $591.20 | $739 | 0.8× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $3,206.40 | $4,008 | 0.8× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $1,712.80 | $2,141 | 0.8× |
| Excision of gum flap (41821) | $2,084 | $2,605 | 1.3× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $2,403.20 | $3,004 | 1.1× |
| Exploration penetrating wound spx chest (20101) | $2,300 | $2,875 | 1.0× |
| Exploration penetrating wound spx extremity (20103) | $3,188.80 | $3,986 | 1.8× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $1,228 | $1,535 | 1.6× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) | $1,228 | $1,535 | 1.6× |
| Fine needle aspiration without imaging guidance (10021) | $336 | $420 | 0.8× |
| Fluid Pressure Muscle (20950) range across 3 matching MRF lines |
$973.60–$1,014.40 | $1,217–$1,268 | varies |
| Fluoro exam of g/colon tube (49465) | $443.20 | $554 | 1.7× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $1,297.60 | $1,622 | 1.7× |
| Fna bx w/us gdn 1st les (10005) | $1,297.60 | $1,622 | 1.7× |
| Foreskin manipulation (54450) | $340.80 | $426 | 1.3× |
| Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) range across 2 matching MRF lines |
$995.20–$1,015.20 | $1,244–$1,269 | varies |
| Guide Cathet Fluid Drainage (10030) range across 2 matching MRF lines |
$940.80–$2,894.40 | $1,176–$3,618 | varies |
| I&d abscess peritonsillar (42700) | $584 | $730 | 2.3× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$284–$290.40 | $355–$363 | varies |
| I&d perianal abscess superficial (46050) | $765.60 | $957 | 0.8× |
| I&d pilonidal cyst complicated (10081) | $972 | $1,215 | 1.3× |
| I&d pilonidal cyst simple (10080) | $564.80 | $706 | 0.7× |
| Image Cath Fluid Colxn Visc (49405) | $5,283.20 | $6,604 | 3.0× |
| Image Cath Fluid Peri/Retro (49406) range across 2 matching MRF lines |
$1,562.40–$1,952.80 | $1,953–$2,441 | varies |
| Image Cath Fluid Trns/Vgnl (49407) range across 2 matching MRF lines |
$2,519.20–$3,150.40 | $3,149–$3,938 | varies |
| Implant neuroelectrodes (63650) | $14,410.40 | $18,013 | 2.1× |
| Incise external hemorrhoid (46083) | $321.60 | $402 | 1.2× |
| Incision & drainage abscess complicated/multiple (10061) | $535.20 | $669 | 1.2× |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$1,360.80–$1,708.80 | $1,701–$2,136 | varies |
| Incision & removal foreign body subq tiss simple (10120) | $504 | $630 | 1.2× |
| Incision and drainage of bartholin's gland abscess (56420) | $277.60 | $347 | 1.3× |
| Incision and drainage of vulva or perineal abscess (56405) | $634.40 | $793 | 1.9× |
| Incision of lingual frenum (frenotomy) (41010) | $1,368 | $1,710 | 0.8× |
| Incision of rectal abscess (46040) | $1,871.20 | $2,339 | 1.5× |
| 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 |
$491.20–$527.20 | $614–$659 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $168.80 | $211 | 0.8× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 3 matching MRF lines |
$1,393.60–$2,092 | $1,742–$2,615 | varies |
| Inj W/Fluor Eval Cv Device (36598) range across 3 matching MRF lines |
$560.80–$869.60 | $701–$1,087 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $1,393.60 | $1,742 | 1.5× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $504 | $630 | 1.5× |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $1,483.20 | $1,854 | 1.6× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 3 matching MRF lines |
$1,393.60–$1,934.40 | $1,742–$2,418 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $1,107.20 | $1,384 | 1.5× |
| Injection Anes Superior Hypogastric Plexus (64517) | $1,393.60 | $1,742 | 1.5× |
| Injection anesthetic agent suprascapular nerve (64418) | $1,107.20 | $1,384 | 1.5× |
| Injection for identification of sentinel node (38792) range across 3 matching MRF lines |
$363.20–$500 | $454–$625 | varies |
| Injection single tendon origin/insertion (20551) | $236.80 | $296 | 0.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$504–$558.40 | $630–$698 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$504–$773.60 | $630–$967 | varies |
| Injection therapeutic carpal tunnel (20526) | $409.60 | $512 | 1.2× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $1,084.80 | $1,356 | 1.1× |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 3 matching MRF lines |
$943.20–$1,107.20 | $1,179–$1,384 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 8 matching MRF lines |
$596–$1,156.80 | $745–$1,446 | varies |
| Insert 1 Electrode Pm-Defib (33216) | $7,388.80 | $9,236 | 0.8× |
| Insert Bladder Cath Complex (51703) | $194.40 | $243 | 1.4× |
| Insert Heart Pm Ventricular (33207) | $9,350.40 | $11,688 | 0.8× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$2,480–$2,696 | $3,100–$3,370 | varies |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) range across 2 matching MRF lines |
$1,347.20–$1,580 | $1,684–$1,975 | varies |
| Insert Temp Bladder Cath (51702) | $108 | $135 | 0.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $108 | $135 | 0.8× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 2 matching MRF lines |
$1,987.20–$2,285.60 | $2,484–$2,857 | varies |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $7,388.80 | $9,236 | 0.8× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) range across 2 matching MRF lines |
$2,518.40–$2,696 | $3,148–$3,370 | varies |
| Insj Picc Rs&I <5 Yr (36572) range across 2 matching MRF lines |
$1,921.60–$2,622.40 | $2,402–$3,278 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 3 matching MRF lines |
$1,576.80–$2,532 | $1,971–$3,165 | varies |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 2 matching MRF lines |
$470.40–$990.40 | $588–$1,238 | varies |
| Insj/Rplcmt Defib W/Lead(S) (33249) range across 2 matching MRF lines |
$20,785.60–$29,036.80 | $25,982–$36,296 | varies |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) range across 2 matching MRF lines |
$6,952–$7,388.80 | $8,690–$9,236 | varies |
| Insrt heart pm atrial & vent (33208) | $9,350.40 | $11,688 | 0.8× |
| Insrt Pulse Gen W/Singl Lead (33240) | $20,785.60 | $25,982 | 0.9× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $899.20 | $1,124 | 2.1× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $1,126.40 | $1,408 | 2.6× |
| Intraoral i&d tongue/floor submndblr space (41008) | $4,606.40 | $5,758 | 1.3× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$674.40–$679.20 | $843–$849 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $322.40 | $403 | 1.2× |
| Laryngoscopy diagnostic (31505) | $288 | $360 | 1.3× |
| Laryngoscopy flexible diagnostic (31575) range across 2 matching MRF lines |
$224–$316 | $280–$395 | varies |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) | $1,424.80 | $1,781 | 3.4× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) | $408.80 | $511 | 1.9× |
| N Block Inj Celiac Pelus (64530) | $1,393.60 | $1,742 | 1.5× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $1,107.20 | $1,384 | 1.5× |
| N block inj intercost sng (64420) range across 6 matching MRF lines |
$967.20–$1,451.20 | $1,209–$1,814 | varies |
| N Block Inj Plantar Digit (64455) | $504 | $630 | 1.5× |
| N Block Inj Pudendal (64430) range across 4 matching MRF lines |
$1,280–$2,092 | $1,600–$2,615 | varies |
| N Block Lumbar/Thoracic (64520) | $1,393.60 | $1,742 | 1.5× |
| Needle Biopsy Lymph Nodes (38505) range across 4 matching MRF lines |
$1,350.40–$1,669.60 | $1,688–$2,087 | varies |
| Needle Biopsy Pancreas (48102) | $2,083.20 | $2,604 | 1.2× |
| 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) | $1,254.40 | $1,568 | 1.7× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) range across 2 matching MRF lines |
$1,000–$1,104 | $1,250–$1,380 | varies |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) | $4,687.20 | $5,859 | 2.2× |
| Njx anes stellate ganglion crv sympathetic (64510) | $1,393.60 | $1,742 | 1.5× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 5 matching MRF lines |
$292.80–$1,156.80 | $366–$1,446 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $3,207.20 | $4,009 | 0.8× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $3,207.20 | $4,009 | 0.8× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 3 matching MRF lines |
$1,393.60–$2,092 | $1,742–$2,615 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) | $1,393.60 | $1,742 | 1.5× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,107.20 | $1,384 | 1.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $1,107.20 | $1,384 | 1.5× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $1,393.60 | $1,742 | 1.5× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $1,393.60 | $1,742 | 1.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$967.20–$1,107.20 | $1,209–$1,384 | varies |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $1,393.60 | $1,742 | 1.5× |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) | $1,648.80 | $2,061 | 0.7× |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) | $1,648.80 | $2,061 | 0.7× |
| Njx Sclrsnt Spider Veins (36468) | $1,506.40 | $1,883 | 3.5× |
| Occipital Nerve Block (64405) range across 7 matching MRF lines |
$423.20–$756 | $529–$945 | varies |
| Open/Perq Place Stent 1St (37236) | $9,609.60 | $12,012 | 0.8× |
| Percut Cath Occlusn Non Cns Lesn (61626) | $9,609.60 | $12,012 | 0.8× |
| Percut Drain/Inject Renal Cyst (50390) range across 3 matching MRF lines |
$1,440.80–$2,196 | $1,801–$2,745 | varies |
| Pericardiocentesis W/Imaging (33016) | $2,181.60 | $2,727 | 1.3× |
| Peritoneal Lavage (49084) | $1,162.40 | $1,453 | 1.2× |
| Perm Occlusion/Embolization,Percut,Cns (61624) | $15,550.40 | $19,438 | 0.8× |
| Perq dev breast 1st us imag (19285) range across 3 matching MRF lines |
$1,782.40–$2,674.40 | $2,228–$3,343 | varies |
| Perq device breast 1st imag (19281) range across 3 matching MRF lines |
$1,947.20–$3,039.20 | $2,434–$3,799 | varies |
| Placement of needle for intraosseous infusion (36680) | $335.20 | $419 | 0.7× |
| Plmt Nephroureteral Catheter (50433) | $2,901.60 | $3,627 | 0.8× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) range across 3 matching MRF lines |
$6,079.20–$9,119.20 | $7,599–$11,399 | varies |
| Prim art mech thrombectomy (37184) | $14,601.60 | $18,252 | 0.7× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $1,266.40 | $1,583 | 1.3× |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) | $1,393.60 | $1,742 | 1.5× |
| Pseudoaneurysm Injection Trt (36002) | $526.40 | $658 | 0.8× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$336–$445.60 | $420–$557 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 3 matching MRF lines |
$651.20–$880 | $814–$1,100 | varies |
| Removal Embedded Foreign Body Eyelid (67938) range across 3 matching MRF lines |
$356–$370.40 | $445–$463 | varies |
| Removal foreign body foot deep (28192) range across 3 matching MRF lines |
$1,534.40–$1,596 | $1,918–$1,995 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$799.20–$832 | $999–$1,040 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $1,360.80 | $1,701 | 0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 7 matching MRF lines |
$91.20–$244.80 | $114–$306 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 7 matching MRF lines |
$88–$261.60 | $110–$327 | varies |
| Removal of foreign body from pharynx (42809) | $320 | $400 | 0.7× |
| Removal of nail bed (11750) | $708 | $885 | 1.6× |
| Removal or bivalving full arm or full leg cast (29705) range across 4 matching MRF lines |
$223.20–$227.20 | $279–$284 | varies |
| Removal ppm generator only (33233) | $7,388.80 | $9,236 | 0.8× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $271.20 | $339 | 1.3× |
| Removal/bivalving gauntlet boot/body cast (29700) range across 3 matching MRF lines |
$303.20–$316 | $379–$395 | varies |
| Remove foreign body from eye (65205) range across 4 matching MRF lines |
$156.80–$233.60 | $196–$292 | varies |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$256–$332.80 | $320–$416 | varies |
| Remove Nasal Foreign Body (30300) | $308 | $385 | 2.2× |
| Remove Shoulder Foreign Body (23330) | $1,360.80 | $1,701 | 0.8× |
| Remv&replc cvd gen sing lead (33262) | $20,884.80 | $26,106 | 0.9× |
| Remv&replc pm gen mult leads (33229) | $16,904 | $21,130 | 0.8× |
| Renal Biopsy Perq (50200) range across 3 matching MRF lines |
$1,543.20–$2,092 | $1,929–$2,615 | varies |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $635.20 | $794 | 0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $768.80 | $961 | 1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $670.40 | $838 | 1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $840.80 | $1,051 | 1.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $584 | $730 | 1.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $716.80 | $896 | 1.6× |
| Repair complex trunk 1.1-2.5 cm (13100) | $527.20 | $659 | 0.7× |
| Repair complex trunk 2.6-7.5 cm (13101) | $684 | $855 | 0.9× |
| Repair extensor tendon finger w/o graft each (26418) | $2,287.20 | $2,859 | 1.3× |
| Repair Hand Tendon (26410) | $1,344 | $1,680 | 0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $626.40 | $783 | 1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $744.80 | $931 | 1.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $652 | $815 | 1.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $1,061.60 | $1,327 | 2.4× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $1,126.40 | $1,408 | 2.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $814.40 | $1,018 | 1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $526.40 | $658 | 1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $681.60 | $852 | 1.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $589.60 | $737 | 0.7× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $1,539.20 | $1,924 | 0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $1,016.80 | $1,271 | 2.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $442.40 | $553 | 1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $569.60 | $712 | 1.3× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $1,215.20 | $1,519 | 1.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $732 | $915 | 1.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $1,539.20 | $1,924 | 0.7× |
| Repair of nail bed (11760) | $735.20 | $919 | 0.9× |
| Repair tongue laceration (41252) | $2,315.20 | $2,894 | 9.1× |
| Repair tongue laceration (41250) | $488 | $610 | 1.0× |
| Replace g/c tube perc (49450) | $1,251.20 | $1,564 | 1.3× |
| Replace/Revise Brain Shunt (62230) | $9,200.80 | $11,501 | 1.0× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) | $5,512.80 | $6,891 | 0.8× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $787.20 | $984 | 0.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 4 matching MRF lines |
$328.80–$335.20 | $411–$419 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 4 matching MRF lines |
$186.40–$280.80 | $233–$351 | varies |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) | $3,922.40 | $4,903 | 1.9× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $1,347.20 | $1,684 | 0.8× |
| Rplc Gtube No Revj Trc (43762) | $256 | $320 | 1.0× |
| Rplc gtube revj gstrst trc (43763) | $256 | $320 | 1.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $1,008.80 | $1,261 | 0.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $448 | $560 | 2.1× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $1,348 | $1,685 | 1.7× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $752 | $940 | 1.1× |
| 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 20.1cm-30.0 Cm (12017) | $453.60 | $567 | 1.0× |
| 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) | $603.20 | $754 | 2.8× |
| 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 trnk/arm/leg (15271) | $2,702.40 | $3,378 | 3.4× |
| 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 3 matching MRF lines |
$570.40–$1,107.20 | $713–$1,384 | varies |
| Strapping ankle (29540) range across 3 matching MRF lines |
$128–$132.80 | $160–$166 | varies |
| Strapping Unna Boot (29580) range across 6 matching MRF lines |
$229.60–$432.80 | $287–$541 | varies |
| Tangential biopsy skin single lesion (11102) | $271.20 | $339 | 0.6× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $965.60 | $1,207 | 1.3× |
| Thromblytic art/ven therapy (37213) | $2,728 | $3,410 | 0.8× |
| Thrombolytic Art Therapy (37211) | $4,654.40 | $5,818 | 0.8× |
| Thrombolytic Therapy Stroke (37195) range across 2 matching MRF lines |
$660–$703.20 | $825–$879 | varies |
| Thrombolytic Venous Therapy (37212) | $2,728 | $3,410 | 0.8× |
| Thyroid biopsy (60100) | $682.40 | $853 | 0.9× |
| Tracheostoma revj smpl w/o flap rotation (31613) | $5,220.80 | $6,526 | 1.5× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $2,261.60 | $2,827 | 8.9× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $1,187.20 | $1,484 | 0.7× |
| Transcatheter biopsy (37200) | $4,653.60 | $5,817 | 0.8× |
| Treat Dental Ridge Fracture (21440) | $4,360 | $5,450 | 1.2× |
| Treat humerus fracture (24500) range across 3 matching MRF lines |
$943.20–$981.60 | $1,179–$1,227 | varies |
| Treat Humerus Fracture (24505) | $2,077.60 | $2,597 | 1.2× |
| Treat Knuckle Dislocation (26700) | $859.20 | $1,074 | 3.3× |
| Treat Metatarsal Fracture (28475) | $2,389.60 | $2,987 | 9.0× |
| Treat Tail Bone Fracture (27200) | $567.20 | $709 | 2.1× |
| Treat Thumb Fracture (26645) range across 3 matching MRF lines |
$2,044–$2,126.40 | $2,555–$2,658 | varies |
| Treat toe dislocation (28630) | $524 | $655 | 2.0× |
| Treatment closed elbow dislocation w/o anes (24600) range across 3 matching MRF lines |
$968.80–$1,008 | $1,211–$1,260 | varies |
| Tx Gastro Intub W/Asp (43753) | $261.60 | $327 | 1.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $638.40 | $798 | 0.8× |
| Unlisted Procedure Casting/Strapping (29799) | $133.60 | $167 | 0.8× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $431.20 | $539 | 1.7× |
| Unlisted px female genital system nonobstetrical (58999) | $719.20 | $899 | 3.3× |
| Vaginal delivery only (59409) | $3,208 | $4,010 | 0.9× |
| Venous Cutdown >1 Y/O (36425) | $335.20 | $419 | 0.7× |
| Venous Mech Thrombectomy (37187) | $9,609.60 | $12,012 | 0.8× |
| Wedge excision skin nail fold (11765) | $404 | $505 | 0.9× |
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.