Procedures & surgery prices at Pali Momi Medical Center

Aiea, HI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $985.20 $1,642 0.9×
Ablation renal tumor unilateral perq cryotherapy (50593)
unusually low: confirm this is the full procedure		 $5,043 $8,405 0.4×
Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) $5,598.60 $9,331 0.7×
Abltj 1/> lvr tum prq rf (47382) $4,488 $7,480 0.6×
Application short arm splint forearm-hand static (29125) $216.60 $361 1.4×
Arterial puncture (36600) $168.60 $281 1.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $462.60 $771 1.3×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,252.20 $2,087 1.5×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $597 $995 1.6×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $588.60 $981 1.6×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $455.40 $759 1.3×
Aspirate pleura w/ imaging (32555) $925.80 $1,543 1.2×
Aspirate/Inj Ganglion Cyst (20612) $468 $780 1.3×
Aspiration and/or injection thyroid cyst (60300) $973.80 $1,623 1.2×
Aspiration bladder insert suprapubic catheter (51102) $2,272.80 $3,788 0.9×
Biliary endoscopy percut,dil strict (47555)
unusually low: confirm this is the full procedure		 $2,373 $3,955 0.3×
Biliary ndsc prq t-tube dilat strix w/stent (47556)
unusually low: confirm this is the full procedure		 $4,488 $7,480 0.4×
Biopsy bone trocar/needle deep (20225) $1,733.40 $2,889 0.9×
Biopsy Bone Trocar/Needle Superficial (20220) $1,173.60 $1,956 0.6×
Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) $181.80 $303 0.2×
Biopsy muscle deep (20205) $1,567.20 $2,612 0.5×
Biopsy muscle percutaneous needle (20206) $1,173.60 $1,956 0.6×
Biopsy Muscle Superficial (20200) $1,542 $2,570 0.8×
Biopsy pleura percutaneous needle (32400) $1,044.60 $1,741 0.5×
Biopsy Prostate Transrectal Ultrasound-Guided (55707) $5,122.80 $8,538 1.2×
Biopsy Salivary Gland,Needle (42400) $1,501.20 $2,502 1.8×
Biopsy soft tissue neck/thorax (21550) $1,522.80 $2,538 0.8×
Biopsy soft tissue pelvis&hip area superficial (27040) $976.20 $1,627 0.5×
Biopsy Vaginal Mucosa Simple (57100) $87 $145 0.1×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $91.20 $152 0.1×
Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion (55712) $5,122.80 $8,538 1.2×
Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion (55710) $5,122.80 $8,538 1.2×
Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion (55711) $5,122.80 $8,538 1.2×
Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion (55708) $5,122.80 $8,538 1.2×
Biopsy, prostate; incisional, any approach Facility (55705) $5,122.80 $8,538 1.2×
Bladder instillation anticarcinogenic agent (51720) $471 $785 0.6×
Blood patch (62273) $912 $1,520 1.1×
Blood transfusion service (36430) $858.90 $1,431.50 1.6×
Bone marrow aspiration only (38220) $1,317.90 $2,196.50 0.7×
Bone Marrow Biopsy (38221) $1,492.80 $2,488 0.8×
Breast surgery procedure (19499) $868.50 $1,447.50 0.2×
Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) $1,358.40 $2,264 0.6×
Brnchsc Brushing/Protected Brushings (31623) $1,251 $2,085 0.6×
Brnchsc Removal Bronchial Valve Ea Addl (31649) $1,084.20 $1,807 0.5×
Brnchsc removal bronchial valve initial (31648) $1,700.40 $2,834 0.4×
Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638)
likely a partial charge, not the full procedure		 $2,461.80 $4,103 0.3×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $2,300.40 $3,834 0.5×
Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) $2,080.20 $3,467 0.5×
Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628) $1,774.20 $2,957 0.4×
Bronch ebus samplng 1/2 node (31652) $2,796 $4,660 0.6×
Bronch ebus samplng 3/> node (31653) $2,400 $4,000 0.5×
Bronch Thermoplsty 1 Lobe (31660)
likely a partial charge, not the full procedure		 $2,461.80 $4,103 0.3×
Bronchial valve init insert (31647)
likely a partial charge, not the full procedure		 $2,461.80 $4,103 0.3×
Bronchosc dx w/w/o fluor&wash (31622) $1,251 $2,085 0.6×
Bronchoscopic Thermoplasty 2/> Lobes (31661)
unusually low: confirm this is the full procedure		 $3,342 $5,570 0.4×
Bronchoscopy Bronch Stents (31636)
likely a partial charge, not the full procedure		 $2,461.80 $4,103 0.3×
Bronchoscopy needle bx trachea main stem&/bron (31629) $1,773.60 $2,956 0.4×
Bronchoscopy w/markers (31626)
unusually low: confirm this is the full procedure		 $2,544 $4,240 0.3×
Bronchoscopy W/Placement Tracheal Stent (31631)
likely a partial charge, not the full procedure		 $2,461.80 $4,103 0.3×
Bronchoscopy W/Removal Foreign Body (31635) $1,131.60 $1,886 0.5×
Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) $1,131.60 $1,886 0.5×
Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) $760.80 $1,268 1.6×
Bronchoscopy w/tumor excise (31640) $2,080.20 $3,467 0.5×
Bronchoscopy,Diagnostic W Lavage (31624) $1,191.30 $1,985.50 0.6×
Bronchoscopy,Rx W Place Catheter (31643) $1,131.60 $1,886 0.5×
Bx abdl/retroperitoneal mass prq needle (49180) $1,153.20 $1,922 0.6×
Bx breast 1st lesion mr imag (19085) $1,766.70 $2,944.50 0.9×
Bx breast 1st lesion strtctc (19081) $1,378.20 $2,297 0.7×
Bx breast 1st lesion us imag (19083) $1,378.20 $2,297 0.7×
Bx Prostate Transperineal Ultrasound-Guided (55709) $5,122.80 $8,538 1.2×
Bx prst8 in-bore CT/MRI 1 (55714) $7,792.20 $12,987 1.2×
Bx prst8 in-bore CT/MRI bx 1 (55713) $7,792.20 $12,987 1.2×
Bx/exc lymph node needle superficial (38505) $1,365 $2,275 0.7×
Cessj Therapy Cath Removal (37214) $2,448.60 $4,081 0.7×
Change Cystostomy Tube Complicated (51710) $620.40 $1,034 0.8×
Change of cystostomy tube simple (51705) $373.80 $623 1.3×
Chemodenerv musc migraine (64615) $630 $1,050 1.7×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $552.60 $921 1.5×
Chng urtrost tube/xtrnlly accessible stent ileal (50688) $1,478.40 $2,464 0.6×
Cholecystostomy,Percutaneous, Complete (47490) $2,412.60 $4,021 0.6×
Collect Blood From Catheter Venous Nos (36592) $148.80 $248 0.9×
Colposcopy cervix upper/adjacent vagina (57452) $111.60 $186 0.5×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $141.60 $236 0.4×
Colposcopy vulva (56820) $113.40 $189 0.5×
Contrast Inj Cent Ven Cath, Inc Flouro (36598) $412.20 $687 1.6×
Conversion ext bil drg cath (47535) $2,373 $3,955 0.6×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $1,185.60 $1,976 0.5×
Convert nephrostomy catheter (50434) $2,095.80 $3,493 0.8×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,365 $2,275 0.7×
Cysto w/insert ureteral stent (52332) $2,583.60 $4,306 0.6×
Cysto W/Simple Removal Stone & Stent (52310) $1,341.60 $2,236 0.5×
Debridement subcutaneous tissue 20 sq cm/< (11042) $423.60 $706 0.9×
Declot vascular device (36593) $614.10 $1,023.50 1.6×
Destroy cerv/thor facet jnt (64633) $1,444.80 $2,408 0.6×
Destroy lumb/sac facet jnt (64635) $1,240.20 $2,067 0.5×
Destruction neurolytic agt genicular nerve w/img (64624) $2,318.40 $3,864 1.0×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $1,477.80 $2,463 1.8×
Drain/inj small joint/bursa w/us (20604) $455.40 $759 1.3×
Drainage of hematoma/fluid (10140) $2,689.20 $4,482 1.4×
Draw blood off venous device (36591) $134.70 $224.50 0.9×
Dx bone marrow bx & aspir (38222) $1,735.80 $2,893 0.5×
Egd place gastrostomy tube (43246) $1,311 $2,185 0.6×
EMG anal/urethral sphincter (51785) $371.40 $619 1.3×
Endometrial Biopsy (58100) $87.60 $146 0.4×
Endoven ther chem adhes 1st (36482) $4,426.20 $7,377 0.7×
Ep Relocate Skin Pocket Implantable Defibrillator (33223) $3,616.80 $6,028 1.5×
Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) $2,385.60 $3,976 0.5×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $445.20 $742 0.2×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $2,667.60 $4,446 0.6×
Exchange nephrostomy cath (50435) $3,032.40 $5,054 1.2×
Exchng absc/cst drg cath rad gid spx (49423) $1,478.40 $2,464 0.7×
Excision Breast Lesion (19125) $2,997.60 $4,996 0.6×
Fine needle aspiration biopsy, including MR guidance; first lesion (10011) $935.40 $1,559 1.1×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $935.40 $1,559 1.1×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $948.60 $1,581 1.1×
Fluoro exam of g/colon tube (49465) $229.80 $383 0.8×
Fna bx w/fluor gdn 1st les (10007) $935.40 $1,559 1.1×
Guide Cathet Fluid Drainage (10030) $1,501.20 $2,502 1.8×
I&d abscess simple (10060) $341.40 $569 1.4×
I&D Deep Absc/Hematoma Neck/Chest (21501) $1,542 $2,570 0.4×
Image Cath Fluid Colxn Visc (49405) $1,134.60 $1,891 0.6×
Image Cath Fluid Peri/Retro (49406) $1,705.20 $2,842 0.9×
Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) $1,026 $1,710 0.5×
Incision of rectal abscess (46040) $2,515.80 $4,193 1.8×
Incision of windpipe (31601) $5,568 $9,280 0.8×
Incisional biopsy skin single lesion (11106) $714 $1,190 0.8×
Initial open implantation of baroreflex activation therapy (bat) modulation system, including lead placement onto the… (64654)
likely a partial charge, not the full procedure		 $1,806.60 $3,011 0.0×
Inj paravert f jnt c/t 1 lev (64490) $1,665.60 $2,776 1.6×
Inj tendon sheath/ligament (20550) $522.60 $871 1.4×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,187.40 $1,979 1.1×
Inject Intravitreal Pharmcologic (67028) $490.80 $818 1.3×
Inject Nerv Blck,Celiac Plexus (64530) $1,666.80 $2,778 1.6×
Inject Nerv Blck,Intercost,Multpl (64421) $1,413.60 $2,356 1.4×
Inject Nerv Blck,Intercostal,One (64420) $1,089 $1,815 1.3×
Inject Nerv Blck,Paravert Sympath (64520) $1,186.80 $1,978 1.1×
Inject Rx Celiac Plexus Nerve (64680) $1,666.80 $2,778 1.6×
Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) $1,252.20 $2,087 1.5×
Injection Anes Superior Hypogastric Plexus (64517) $1,666.80 $2,778 1.6×
Injection for identification of sentinel node (38792) $345 $575 0.7×
Injection Rx Extremity Pseudoaneurysm (36002) $1,080 $1,800 1.5×
Injection single/mlt trigger point 1/2 muscles (20552) $455.40 $759 1.3×
Injection single/mlt trigger point 3/> muscles (20553) $454.80 $758 1.3×
Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) $1,665.60 $2,776 1.6×
Ins cath ren art 1st bilat (36252) $2,963.40 $4,939 0.8×
Ins cath ren art 1st unilat (36251) $2,963.40 $4,939 0.8×
Ins cath ren art 2nd+ bilat (36254) $2,373 $3,955 0.6×
Ins cath ren art 2nd+ unilat (36253)
unusually low: confirm this is the full procedure		 $3,012 $5,020 0.5×
Ins endovas vena cava filtr (37191) $4,649.40 $7,749 0.7×
Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) $10,420.80 $17,368 0.8×
Ins/Rep Subq Defibrillator (33270) $22,761.60 $37,936 0.6×
Insert cath pleura w/ image (32557) $648 $1,080 0.3×
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $2,518.80 $4,198 1.8×
Insert gastrostomy tube percutaneous (49440) $1,332.60 $2,221 0.6×
Insert heart pm atrial (33206)
unusually low: confirm this is the full procedure		 $5,044.20 $8,407 0.4×
Insert heart pm ventricular (33207)
unusually low: confirm this is the full procedure		 $4,655.40 $7,759 0.4×
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure		 $4,051.80 $6,753 0.2×
Insert non-tunnel cv cath (36556) $1,352.40 $2,254 0.4×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,109.40 $1,849 0.6×
Insert pulse gen dual leads (33213) $11,007 $18,345 0.9×
Insert pulse gen mult leads (33221)
unusually low: confirm this is the full procedure		 $7,240.20 $12,067 0.3×
Insert pulse gen sngl lead (33212) $8,157.60 $13,596 0.8×
Insert subq implantable defib electrode (33271) $7,298.40 $12,164 0.7×
Insert Temp Bladder Cath (51702) $121.20 $202 0.8×
Insert tun ip cath perc (49418) $2,667.60 $4,446 0.6×
Insert tunneled cv cath (36561) $2,378.10 $3,963.50 0.6×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
likely a partial charge, not the full procedure		 $171 $285 0.0×
Insert,Non-Indwelling Bladder Catheter (51701) $130.80 $218 0.8×
Insertion indwelling tunneled pleural catheter (32550) $2,667.60 $4,446 0.6×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $7,635 $12,725 0.8×
Insertion Uterine Tandem&/Vaginal Ovoids (57155) $7,269.60 $12,116 1.2×
Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216)
unusually low: confirm this is the full procedure		 $3,713.40 $6,189 0.4×
Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217)
unusually low: confirm this is the full procedure		 $4,391.40 $7,319 0.4×
Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen (33224)
unusually low: confirm this is the full procedure		 $4,005 $6,675 0.3×
Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) $14,886.60 $24,811 0.6×
Insj picc rs&i 5 yr+ (36573) $1,761 $2,935 0.9×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $2,818.20 $4,697 0.8×
Insj/rplcmt defib w/lead(s) (33249)
unusually low: confirm this is the full procedure		 $18,307.80 $30,513 0.5×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure		 $1,878.60 $3,131 0.2×
Insrt pulse gen w/dual leads (33230) $14,886.60 $24,811 0.6×
Insrt pulse gen w/mult leads (33231) $22,038.60 $36,731 0.6×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $2,583.60 $4,306 1.6×
Intro cath dialysis circuit (36901) $852.60 $1,421 0.5×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $7,704 $12,840 0.6×
Intro cath dialysis circuit w/trluml balo angiop (36902) $5,488.80 $9,148 0.8×
Intro Gastrointestinal Tube (44500) $978.60 $1,631 0.9×
Intubation endotracheal emergency procedure (31500) $543.30 $905.50 1.9×
Laryngoscopy flexible diagnostic (31575) $409.80 $683 1.7×
Ligation Of Inf Vena Cava (37619) $4,135.80 $6,893 0.6×
Liver Biopsy (47000) $1,340.40 $2,234 0.7×
Lyse chest fibrin init day (32561) $1,319.40 $2,199 1.8×
Lyse Chest Fibrin Subq Day (32562) $1,205.40 $2,009 1.6×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $1,635.60 $2,726 0.9×
Mech remov tunneled cv cath (36595) $2,963.40 $4,939 0.8×
Myelography Lumbar Injection (62305) $739.20 $1,232 0.8×
Myelography Lumbar Injection (62304) $817.80 $1,363 0.9×
Myelography Via Lumbar Injection Rs&I Cervical (62302) $817.80 $1,363 0.9×
Myelography via lumbar injection rs&i thoracic (62303) $804.60 $1,341 0.9×
Nasal endoscopy dx (31231) $414 $690 1.8×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $187.20 $312 0.4×
Needle biopsy of pancreas (48102) $1,019.40 $1,699 0.5×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,652.40 $2,754 4.0×
Njx aa&/strd sciatic nerve (64445) $1,477.80 $2,463 1.8×
Njx anes stellate ganglion crv sympathetic (64510) $1,186.80 $1,978 1.1×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $723 $1,205 0.2×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $2,373 $3,955 0.6×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,665.60 $2,776 1.6×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $391.80 $653 0.4×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $676.80 $1,128 0.8×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) $562.50 $937.50 0.7×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) $153.60 $256 0.1×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) $457.80 $763 0.4×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $678.90 $1,131.50 0.8×
Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) $124.80 $208 0.1×
Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) $627 $1,045 0.8×
Njx px antegrde nfrosgrm &/urtrgrm new access (50430) $580.80 $968 0.7×
Obstructive material removal from gi tube (49460) $978.60 $1,631 0.9×
Occipital Nerve Block (64405) $454.80 $758 1.3×
Ocular photodynamic ther (67221) $1,253.40 $2,089 1.9×
Open/Perq Place Stent Same (37238) $8,638.20 $14,397 0.6×
Open/Perq Placement Intravascular Stent Initial (37236) $9,214.80 $15,358 0.7×
Perc Radiofreq Ablate Renal Tumor (50592) $4,488 $7,480 0.6×
Percut Cath Occlusn Non Cns Lesn (61626) $10,399.20 $17,332 0.8×
Percut Drain/Inject Renal Cyst (50390) $1,501.20 $2,502 1.8×
Percut Mech Thrombectomy, Venous (37187)
unusually low: confirm this is the full procedure		 $4,135.80 $6,893 0.3×
Percut Mech Thrombectomy, Venous, Repeat (37188) $108.90 $181.50 0.0×
Pericardiocentesis W/Imaging (33016) $1,761 $2,935 0.9×
Peritoneal Lavage (49084) $925.80 $1,543 0.9×
Perq dev breast 1st mr guide (19287) $715.80 $1,193 0.9×
Perq dev breast 1st strtctc (19283) $704.40 $1,174 0.8×
Perq dev breast 1st us imag (19285) $791.40 $1,319 0.9×
Perq device breast 1st imag (19281) $715.80 $1,193 0.4×
Perq dilation xst trc endourologic px w/img (50436) $2,076.60 $3,461 0.5×
Perq dilation xst trc new access renal coltj sys (50437) $2,892 $4,820 0.7×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $675 $1,125 0.8×
Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) $13,203 $22,005 0.6×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $9,643.20 $16,072 0.7×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $4,665 $7,775 0.7×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $6,292.20 $10,487 0.7×
Perq Vertebral Augmentation (22513) $6,292.20 $10,487 0.7×
Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) $2,133.60 $3,556 0.6×
Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) $2,610.60 $4,351 0.7×
Picc line placement (36569) $1,117.80 $1,863 0.6×
Place Cath Subclavian Art (36225) $4,467 $7,445 1.2×
Place Cath Thoracic Aorta (36221) $3,107.40 $5,179 0.8×
Place Cath Vertebral Art (36226) $6,224.70 $10,374.50 0.9×
Place duod/jej tube perc (49441) $1,185.60 $1,976 0.5×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541)
unusually low: confirm this is the full procedure		 $2,373 $3,955 0.3×
Plmt Bile Duct Stent Prq Existing Access (47538) $4,488 $7,480 0.6×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $4,488 $7,480 0.6×
Plmt bile duct stent prq new access w/sep cath (47540) $4,488 $7,480 0.6×
Plmt nephrostomy cath prq new access rs&i (50432) $1,844.40 $3,074 0.7×
Plmt nephroureteral cath prq new access rs&i (50433) $1,668 $2,780 0.4×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $2,747.40 $4,579 0.7×
Plmt urtrl stent prq pre-existing nfros tract (50693) $2,747.40 $4,579 0.7×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $2,445 $4,075 0.6×
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure		 $4,573.20 $7,622 0.2×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $2,373 $3,955 0.6×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $2,623.80 $4,373 0.6×
Punch biopsy skin single lesion (11104) $399.60 $666 0.8×
Puncture Aspiration Cyst Breast (19000) $1,133.40 $1,889 1.4×
Puncture aspiration of abscess hematoma bulla or cyst (10160) $681 $1,135 1.4×
Relocation of skin pocket for pacemaker (33222) $3,512.40 $5,854 1.4×
Rem Endovas Vena Cava Filter (37193) $2,753.40 $4,589 0.7×
Removal biliary drg cath (47537) $581.40 $969 0.5×
Removal of indwelling tunneled pleural catheter with cuff (32552) $690 $1,150 0.9×
Removal ppm generator only (33233) $8,240.40 $13,734 0.8×
Removal subcutaneous cardiac rhythm monitor (33286) $502.80 $838 0.6×
Remove intrvas foreign body (37197) $2,002.20 $3,337 0.5×
Remove pulse generator (33241) $4,003.20 $6,672 0.9×
Remove renal tube w/fluoro (50389) $581.40 $969 0.7×
Remove ureter stent, percut (50384) $2,153.70 $3,589.50 0.9×
Remove&replace pm gen singl (33227) $8,240.40 $13,734 0.8×
Remv&replc cvd gen dual lead (33263) $18,307.80 $30,513 0.7×
Remv&replc cvd gen mult lead (33264)
unusually low: confirm this is the full procedure		 $18,343.80 $30,573 0.5×
Remv&replc cvd gen sing lead (33262) $16,461.60 $27,436 0.6×
Remv&replc pm gen dual lead (33228) $10,420.80 $17,368 0.8×
Remv&replc pm gen mult leads (33229) $18,990 $31,650 0.8×
Renal Biopsy Percutaneous (50200) $1,733.40 $2,889 0.9×
Repair lead pace-defib dual (33220) $5,914.80 $9,858 1.3×
Repair lead pace-defib one (33218) $5,914.80 $9,858 1.3×
Replace duodenostomy/jejunostomy tube perq (49451) $991.80 $1,653 0.9×
Replace gastrostomy/cecostomy tube percutaneous (49450) $1,043.40 $1,739 1.0×
Replacement gastro-jejunostomy tube percutaneous (49452) $991.80 $1,653 0.9×
Repos Previously Implanted Subq Implantable Dfb (33273) $5,049 $8,415 1.1×
Reposition cv cath w/fluoro (36597) $1,102.20 $1,837 0.6×
Reposition gastric feeding tube thru duodenum (43761) $593.40 $989 2.0×
Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) $2,448.60 $4,081 0.7×
Revision of tips (37183) $5,003.40 $8,339 0.7×
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) $8,271.60 $13,786 1.2×
Revsc evasc fpvt angiop uni sf les 1st vsl (37263) $8,271.60 $13,786 1.2×
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) $26,641.20 $44,402 1.2×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271) $26,641.20 $44,402 1.2×
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) $26,641.20 $44,402 1.2×
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) $26,641.20 $44,402 1.2×
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) $16,777.20 $27,962 1.2×
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) $16,777.20 $27,962 1.2×
Revsc evasc imvt angiop uni cplx les 1st vsl (37298) $16,777.20 $27,962 1.2×
Revsc evasc imvt angiop uni sf les 1st vsl (37296) $16,777.20 $27,962 1.2×
Revsc evasc ivt angiop uni cplx les 1st vsl (37256) $8,271.60 $13,786 1.2×
Revsc evasc ivt angiop uni sf les 1st vsl (37254) $8,271.60 $13,786 1.2×
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) $16,777.20 $27,962 1.2×
Revsc evasc ivt st plmt uni sf les 1st vsl (37258) $16,777.20 $27,962 1.2×
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) $16,777.20 $27,962 1.2×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280) $16,777.20 $27,962 1.2×
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) $26,641.20 $44,402 1.2×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $26,641.20 $44,402 1.2×
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) $26,641.20 $44,402 1.2×
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) $26,641.20 $44,402 1.2×
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) $26,641.20 $44,402 1.2×
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) $26,641.20 $44,402 1.2×
Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) $2,062.20 $3,437 0.8×
Rmvl of subq defibrillator (33272) $2,713.20 $4,522 0.6×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $4,134.60 $6,891 0.9×
Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) $3,916.20 $6,527 0.9×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,642.80 $2,738 0.9×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $831.60 $1,386 1.1×
Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) $3,937.80 $6,563 0.9×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $1,408.20 $2,347 0.8×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,119.60 $1,866 0.6×
Rplcmt compl tun ctr vad w/subq port (36582) $2,975.40 $4,959 0.8×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $2,868.60 $4,781 0.8×
Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) $3,685.20 $6,142 0.5×
Rpsg prev implted car ven sys l ventr eltrd (33226) $3,945.60 $6,576 1.1×
Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode (33215) $2,644.80 $4,408 0.7×
Sclerotx Fluid Collection (49185) $1,222.20 $2,037 0.6×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $4,467 $7,445 0.7×
Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) $4,039.80 $6,733 1.1×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $7,304.70 $12,174.50 1.1×
Spinal puncture lumbar diagnostic (62270) $1,187.40 $1,979 1.4×
Spinal Puncture Therapeutic (62272) $757.20 $1,262 0.9×
Stimulus evoked response (51792) $327 $545 4.7×
T-cell depletion of harvest (38210) $3,443.40 $5,739 6.6×
Tangential biopsy skin single lesion (11102) $424.20 $707 0.9×
Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289)
unusually low: confirm this is the full procedure		 $16,818.60 $28,031 0.5×
Tcat insj/rpl perm leadless pacemaker rv w/img (33274) $11,881.20 $19,802 0.5×
Tcat removal perm leadless pm right ventr w/img (33275) $3,726 $6,210 1.0×
Ther Apheresis,Plasma Pheresis (36514) $2,088 $3,480 1.1×
Ther Apheresis,White Blood Cells (36511) $2,116.20 $3,527 1.2×
Thoracentesis needle/cath pleura w/o imaging (32554) $1,319.40 $2,199 1.8×
Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) $2,448.60 $4,081 0.7×
Thrombolytic Art Therapy (37211) $4,136.40 $6,894 0.6×
Thrombolytic Venous Therapy (37212) $1,155 $1,925 0.3×
Thyroid biopsy (60100) $938.40 $1,564 1.1×
Tracheostomy emergency cricothyroid membrane (31605) $559.20 $932 2.0×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,761 $2,935 1.0×
Tracheostomy planned (31600) $4,884 $8,140 1.2×
Transcatheter biopsy (37200) $4,135.80 $6,893 0.6×
Trlml balo angiop open/perq img s&i 1st art (37246) $5,033.40 $8,389 0.7×
Trlml balo angiop open/perq w/img s&i 1st vein (37248) $3,813 $6,355 0.6×
Tube thoracostomy includes water seal (32551) $634.50 $1,057.50 0.3×
Unlisted Procedure Biliary Tract (47999) $1,594.80 $2,658 1.5×
Unlisted Procedure Small Intestine (44799) $1,345.80 $2,243 1.3×
Unlisted Procedure Vascular Surgery (37799) $163.80 $273 0.2×
Upgrade of pacemaker system (33214) $11,007 $18,345 0.9×
Urology Surgery Procedure (53899) $675.60 $1,126 2.3×
Vasc embolize/occlude artery (37242)
unusually low: confirm this is the full procedure		 $10,399.20 $17,332 0.5×
Vasc Embolize/Occlude Bleed (37244) $10,569.60 $17,616 0.8×
Vasc embolize/occlude organ (37243) $10,569.60 $17,616 0.8×
Vasc embolize/occlude venous (37241) $10,399.20 $17,332 0.8×
Venipuncture (36415) $12 $20 1.3×