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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 2 matching MRF lines |
$978.60–$991.80 | $1,631–$1,653 | varies |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) | $5,598.60 | $9,331 | 0.7× |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$174–$257.40 | $290–$429 | varies |
| 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) range across 5 matching MRF lines |
$925.80–$938.40 | $1,543–$1,564 | varies |
| Aspirate Pleura W/O Imaging (32554) | $1,319.40 | $2,199 | 1.8× |
| 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 ndsc prq t-tube dilat strix w/stent (47556) unusually low: confirm this is the full procedure |
$4,488 | $7,480 | 0.4× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) unusually low: confirm this is the full procedure |
$2,373 | $3,955 | 0.3× |
| Biopsy Abdominal Mass (49180) | $1,153.20 | $1,922 | 0.6× |
| 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 muscle percutaneous needle (20206) | $1,173.60 | $1,956 | 0.6× |
| Biopsy Muscle Superficial (20200) | $1,542 | $2,570 | 0.8× |
| Biopsy of liver, needle; percutaneous (47000) | $1,340.40 | $2,234 | 0.7× |
| Biopsy Pleura Percutaneous Needle (32400) | $1,044.60 | $1,741 | 0.5× |
| Biopsy Prostate Any Approach Nonimaging-Guided (55705) | $5,122.80 | $8,538 | 1.2× |
| 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× |
| Bladder instillation anticarcinogenic agent (51720) | $471 | $785 | 0.6× |
| Blood Transfusion Service (36430) range across 4 matching MRF lines |
$700.20–$1,084.20 | $1,167–$1,807 | varies |
| Bone Marrow Biopsy (38221) range across 2 matching MRF lines |
$1,480.80–$1,504.80 | $2,468–$2,508 | varies |
| Bone Marrow; Aspiration Only (38220) range across 2 matching MRF lines |
$1,307.40–$1,328.40 | $2,179–$2,214 | varies |
| Brnchsc Brushing/Protected Brushings (31623) | $1,251 | $2,085 | 0.6× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) | $2,796 | $4,660 | 0.6× |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) | $2,400 | $4,000 | 0.5× |
| 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/Plmt Cath Intrcv Radioelmnt Appl (31643) | $1,131.60 | $1,886 | 0.5× |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) | $2,080.20 | $3,467 | 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× |
| 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 Clear Airways (31645) | $1,131.60 | $1,886 | 0.5× |
| Bronchoscopy Dilate W/Stent (31631) likely a partial charge, not the full procedure |
$2,461.80 | $4,103 | 0.3× |
| Bronchoscopy Reclear Airway (31646) | $760.80 | $1,268 | 1.6× |
| Bronchoscopy W/Biopsy(S) (31625) range across 2 matching MRF lines |
$1,158–$1,558.80 | $1,930–$2,598 | varies |
| Bronchoscopy W/Excision Tumor (31640) | $2,080.20 | $3,467 | 0.5× |
| Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) unusually low: confirm this is the full procedure |
$2,544 | $4,240 | 0.3× |
| Bronchoscopy W/Removal Foreign Body (31635) | $1,131.60 | $1,886 | 0.5× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) | $1,774.20 | $2,957 | 0.4× |
| Bronchoscopy/Needle Bx Each (31629) | $1,773.60 | $2,956 | 0.4× |
| Bx breast 1st lesion mr imag (19085) range across 4 matching MRF lines |
$1,646.40–$2,007.60 | $2,744–$3,346 | varies |
| Bx breast 1st lesion strtctc (19081) range across 4 matching MRF lines |
$1,297.20–$1,582.20 | $2,162–$2,637 | varies |
| Bx breast 1st lesion us imag (19083) range across 4 matching MRF lines |
$1,297.20–$1,434 | $2,162–$2,390 | varies |
| Bx Cervix (57500) | $181.80 | $303 | 0.2× |
| Bx prostate in-bore CT/MRI trgt les only 1st (55714) | $7,792.20 | $12,987 | 1.2× |
| Bx prostate tprnl MRI-us gid trgt les 1st (55712) | $5,122.80 | $8,538 | 1.2× |
| Bx prostate transperineal ultrasound-guided (55709) | $5,122.80 | $8,538 | 1.2× |
| Bx prostate transrectal MRI-us gid trgt les 1st (55711) | $5,122.80 | $8,538 | 1.2× |
| Bx prst8 in-bore CT/MRI bx 1 (55713) | $7,792.20 | $12,987 | 1.2× |
| Bx prst8 tprn us w/MRI fus 1 (55710) | $5,122.80 | $8,538 | 1.2× |
| Bx prst8 trct us w/MRI fus 1 (55708) | $5,122.80 | $8,538 | 1.2× |
| Cessj Therapy Cath Removal (37214) | $2,448.60 | $4,081 | 0.7× |
| Change Cystostomy Tube Complicated (51710) | $620.40 | $1,034 | 0.8× |
| Change 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× |
| Chest tube placement (32551) range across 2 matching MRF lines |
$629.40–$639.60 | $1,049–$1,066 | varies |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) | $1,478.40 | $2,464 | 0.6× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $2,412.60 | $4,021 | 0.6× |
| Collect Blood From Catheter Venous Nos (36592) range across 2 matching MRF lines |
$147.60–$150 | $246–$250 | varies |
| Collection of venous blood by venipuncture (36415) range across 5 matching MRF lines |
$9–$13.80 | $15–$23 | varies |
| 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 of vulva (56820) | $113.40 | $189 | 0.5× |
| 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) range across 2 matching MRF lines |
$487.80–$740.40 | $813–$1,234 | varies |
| Deep Muscle Biopsy (20205) | $1,567.20 | $2,612 | 0.5× |
| Destr W Neurolytic; Celiac Plexus (64680) | $1,666.80 | $2,778 | 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× |
| Dilat Xst Trc New Access Rcs (50437) | $2,892 | $4,820 | 0.7× |
| Drain Cerebro Spinal Fluid (62272) | $757.20 | $1,262 | 0.9× |
| 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) range across 2 matching MRF lines |
$133.80–$135.60 | $223–$226 | varies |
| Dstrj Lesion Choroid Photodynamic Therapy (67221) | $1,253.40 | $2,089 | 1.9× |
| Dx Bone Marrow Bx & Aspir (38222) range across 3 matching MRF lines |
$164.40–$2,901.60 | $274–$4,836 | varies |
| Dx Bronchoscope/Lavage (31624) range across 2 matching MRF lines |
$1,131.60–$1,251 | $1,886–$2,085 | varies |
| Dx Bronchoscope/Wash (31622) | $1,251 | $2,085 | 0.6× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,477.80 | $2,463 | 1.8× |
| Egd place gastrostomy tube (43246) | $1,311 | $2,185 | 0.6× |
| Endometrial Biopsy (58100) | $87.60 | $146 | 0.4× |
| Endoven ther chem adhes 1st (36482) | $4,426.20 | $7,377 | 0.7× |
| Epidural Blood Patch (62273) | $912 | $1,520 | 1.1× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) | $2,385.60 | $3,976 | 0.5× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $2,997.60 | $4,996 | 0.6× |
| 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 Catheter Prq W/Img Gid Rs&I (50435) range across 2 matching MRF lines |
$2,355.60–$3,709.20 | $3,926–$6,182 | varies |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $1,478.40 | $2,464 | 0.7× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $935.40 | $1,559 | 1.1× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) | $935.40 | $1,559 | 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× |
| Fna bx w/us gdn 1st les (10005) | $948.60 | $1,581 | 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× |
| Icd Pocket Revision (33223) | $3,616.80 | $6,028 | 1.5× |
| 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 Cath Fluid Trns/Vgnl (49407) | $1,026 | $1,710 | 0.5× |
| Incision of rectal abscess (46040) | $2,515.80 | $4,193 | 1.8× |
| 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 Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $1,665.60 | $2,776 | 1.6× |
| Inj W/Fluor Eval Cv Device (36598) | $412.20 | $687 | 1.6× |
| 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× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $522.60 | $871 | 1.4× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $1,413.60 | $2,356 | 1.4× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $1,477.80 | $2,463 | 1.8× |
| 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 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× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $1,252.20 | $2,087 | 1.5× |
| 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/Rep Subq Defibrillator (33270) | $22,761.60 | $37,936 | 0.6× |
| Insert 1 Electrode Pm-Defib (33216) unusually low: confirm this is the full procedure |
$3,713.40 | $6,189 | 0.4× |
| 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) range across 2 matching MRF lines |
$1,341.60–$1,363.20 | $2,236–$2,272 | varies |
| Insert Pacing Lead & Connect (33224) unusually low: confirm this is the full procedure |
$4,005 | $6,675 | 0.3× |
| 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 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) range across 2 matching MRF lines |
$1,125–$3,631.20 | $1,875–$6,052 | varies |
| 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) range across 3 matching MRF lines |
$129–$207.60 | $215–$346 | varies |
| Insertion indwelling tunneled pleural catheter (32550) | $2,667.60 | $4,446 | 0.6× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $1,761 | $2,935 | 0.9× |
| 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 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) unusually low: confirm this is the full procedure |
$4,391.40 | $7,319 | 0.4× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$1,017–$1,218.60 | $1,695–$2,031 | varies |
| Insj Subq Impltbl Dfb Elctrd (33271) | $7,298.40 | $12,164 | 0.7× |
| 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 heart pm atrial & vent (33208) | $10,420.80 | $17,368 | 0.8× |
| 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× |
| Insrt Pulse Gen W/Singl Lead (33240) | $14,886.60 | $24,811 | 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) range across 2 matching MRF lines |
$538.80–$547.80 | $898–$913 | varies |
| Laryngoscopy flexible diagnostic (31575) | $409.80 | $683 | 1.7× |
| Ligation Of Inf Vena Cava (37619) | $4,135.80 | $6,893 | 0.6× |
| 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× |
| N Block Inj Celiac Pelus (64530) | $1,666.80 | $2,778 | 1.6× |
| N block inj intercost sng (64420) | $1,089 | $1,815 | 1.3× |
| N Block Lumbar/Thoracic (64520) | $1,186.80 | $1,978 | 1.1× |
| Nasal Endoscopy Dx (31231) | $414 | $690 | 1.8× |
| Nasal/Orogastric W/Tube Plmt (43752) | $187.20 | $312 | 0.4× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) | $371.40 | $619 | 1.3× |
| Needle Biopsy Lymph Nodes (38505) | $1,365 | $2,275 | 0.7× |
| Needle Biopsy 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 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) range across 2 matching MRF lines |
$439.80–$913.80 | $733–$1,523 | varies |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) range across 2 matching MRF lines |
$211.20–$913.80 | $352–$1,523 | varies |
| 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) range across 2 matching MRF lines |
$444–$913.80 | $740–$1,523 | varies |
| 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× |
| Open/Perq Place Stent 1St (37236) | $9,214.80 | $15,358 | 0.7× |
| Open/Perq Place Stent Same (37238) | $8,638.20 | $14,397 | 0.6× |
| Perc Cryo Ablate Renal Tum (50593) unusually low: confirm this is the full procedure |
$5,043 | $8,405 | 0.4× |
| Perc Rf Ablate Renal Tumor (50592) | $4,488 | $7,480 | 0.6× |
| Percut Ablate Liver Rf (47382) | $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, Repeat (37188) range across 2 matching MRF lines |
$87.60–$130.20 | $146–$217 | varies |
| Pericardiocentesis W/Imaging (33016) | $1,761 | $2,935 | 0.9× |
| Peritoneal Lavage (49084) | $925.80 | $1,543 | 0.9× |
| Perq Cervicothoracic Inject (22510) | $2,610.60 | $4,351 | 0.7× |
| 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 Lumbosacral Injection (22511) | $2,133.60 | $3,556 | 0.6× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $675 | $1,125 | 0.8× |
| 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× |
| Place Cath Subclavian Art (36225) range across 2 matching MRF lines |
$3,436.20–$5,497.80 | $5,727–$9,163 | varies |
| Place Cath Thoracic Aorta (36221) | $3,107.40 | $5,179 | 0.8× |
| Place Cath Vertebral Art (36226) range across 2 matching MRF lines |
$4,788–$7,661.40 | $7,980–$12,769 | varies |
| 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 Catheter (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× |
| Pseudoaneurysm Injection Trt (36002) | $1,080 | $1,800 | 1.5× |
| Punch biopsy skin single lesion (11104) | $399.60 | $666 | 0.8× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $681 | $1,135 | 1.4× |
| Puncture Aspiration Cyst Breast (19000) | $1,133.40 | $1,889 | 1.4× |
| Redo Endovas Vena Cava Filtr (37192) | $2,448.60 | $4,081 | 0.7× |
| Relocation Pocket 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 Catheter Req Fluor Gid Rs&I (47537) | $581.40 | $969 | 0.5× |
| Removal Pacemaker Electrode (33235) | $3,916.20 | $6,527 | 0.9× |
| Removal ppm generator only (33233) | $8,240.40 | $13,734 | 0.8× |
| Removal subcutaneous cardiac rhythm monitor (33286) range across 2 matching MRF lines |
$87–$918.60 | $145–$1,531 | varies |
| Remove Elctrd Transvenously (33244) | $3,937.80 | $6,563 | 0.9× |
| Remove intrvas foreign body (37197) | $2,002.20 | $3,337 | 0.5× |
| Remove lung catheter (32552) | $690 | $1,150 | 0.9× |
| 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) range across 2 matching MRF lines |
$1,393.20–$2,914.20 | $2,322–$4,857 | varies |
| 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 Perq (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 G-J Tube Perc (49452) | $991.80 | $1,653 | 0.9× |
| Replace g/c tube perc (49450) | $1,043.40 | $1,739 | 1.0× |
| Repos Previously Implanted Subq Implantable Dfb (33273) | $5,049 | $8,415 | 1.1× |
| Reposition Gastrostomy Tube (43761) | $593.40 | $989 | 2.0× |
| Reposition L Ventric Lead (33226) | $3,945.60 | $6,576 | 1.1× |
| Reposition Pacing-Defib Lead (33215) | $2,644.80 | $4,408 | 0.7× |
| Reposition Venous Catheter (36597) | $1,102.20 | $1,837 | 0.6× |
| Revj Transvns Intrahepatic Portosystemic Shunt (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 implantable defibrillator electrode (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 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× |
| 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× |
| Sclerotx Fluid Collection (49185) | $1,222.20 | $2,037 | 0.6× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) range across 2 matching MRF lines |
$3,436.20–$5,497.80 | $5,727–$9,163 | varies |
| Slctv cath carotid/innom art angio xtrcranl art (36222) range across 2 matching MRF lines |
$3,107.40–$4,972.20 | $5,179–$8,287 | varies |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) range across 2 matching MRF lines |
$5,618.40–$8,991 | $9,364–$14,985 | varies |
| Spinal puncture lumbar diagnostic (62270) | $1,187.40 | $1,979 | 1.4× |
| 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 Ldls Pm (33274) | $11,881.20 | $19,802 | 0.5× |
| Tcat Rmvl Perm Ldls Pm (33275) | $3,726 | $6,210 | 1.0× |
| Therapeutic Apheresis White Blood Cells (36511) | $2,116.20 | $3,527 | 1.2× |
| Therapeutic plasma exchange (36514) | $2,088 | $3,480 | 1.1× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $13,203 | $22,005 | 0.6× |
| Thromblytic art/ven therapy (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× |
| Tracheostomy Planned Under 2 Years Spx (31601) | $5,568 | $9,280 | 0.8× |
| Transcatheter biopsy (37200) | $4,135.80 | $6,893 | 0.6× |
| Trluml Balo Angiop 1St Art (37246) | $5,033.40 | $8,389 | 0.7× |
| Trluml Balo Angiop 1St Vein (37248) | $3,813 | $6,355 | 0.6× |
| Unlisted Procedure Biliary Tract (47999) | $1,594.80 | $2,658 | 1.5× |
| Unlisted procedure breast (19499) range across 2 matching MRF lines |
$592.80–$1,144.20 | $988–$1,907 | varies |
| Unlisted Procedure Intestine (44799) range across 2 matching MRF lines |
$1,178.40–$1,513.20 | $1,964–$2,522 | varies |
| Unlisted Procedure Vascular Surgery (37799) | $163.80 | $273 | 0.2× |
| Unlisted Procedure, Urinary System (53899) | $675.60 | $1,126 | 2.3× |
| Upgrade of pacemaker system (33214) | $11,007 | $18,345 | 0.9× |
| Urinary Reflex Study (51792) | $327 | $545 | 4.7× |
| 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× |
| Venous Mech Thrombectomy (37187) unusually low: confirm this is the full procedure |
$4,135.80 | $6,893 | 0.3× |
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.