Procedures & surgery prices at PeaceHealth United General Medical Center
Sedro-Woolley, WA · every code in this section with a posted price and a Medicare benchmark.
390 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $1,931.15 | $2,971 | 1.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $1,358.50 | $2,090 | 1.3× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) | $2,123.88 | $3,267.50 | 0.5× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $5,255.25 | $8,085 | 1.4× |
| Application Finger Splint Dynamic (29131) | $137.80 | $212 | 2.1× |
| Application finger splint static (29130) range across 3 matching MRF lines |
$141.05–$239.20 | $217–$368 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$301.60–$406.25 | $464–$625 | varies |
| Application Long Leg Splint (29505) range across 3 matching MRF lines |
$301.60–$379.60 | $464–$584 | varies |
| Application of long leg cast (29345) | $388.05 | $597 | 1.2× |
| Application Short Arm Splint Dynamic (29126) | $273.65 | $421 | 1.8× |
| Application short arm splint forearm-hand static (29125) | $230.75 | $355 | 1.6× |
| Application short leg splint calf foot (29515) | $301.60 | $464 | 1.7× |
| Apply Multlay Comprs Lwr Leg (29581) | $187.20 | $288 | 1.0× |
| Apply Short Leg Cast (29405) | $345.80 | $532 | 1.1× |
| Apply short leg cast (29425) | $453.05 | $697 | 1.5× |
| Arterial puncture (36600) | $102.05 | $157 | 0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$533.65–$1,555.67 | $821–$2,393.34 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $874.25 | $1,345 | 1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) | $565.50 | $870 | 1.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$757.25–$1,514.50 | $1,165–$2,330 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$427.70–$855.40 | $658–$1,316 | varies |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) | $11,810.50 | $18,170 | 3.2× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) | $8,908.25 | $13,705 | 1.1× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) | $6,191.25 | $9,525 | 1.7× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) range across 2 matching MRF lines |
$9,002.50–$10,172.50 | $13,850–$15,650 | varies |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) range across 4 matching MRF lines |
$1,759.06–$11,576.50 | $2,706.25–$17,810 | varies |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) range across 2 matching MRF lines |
$15,491.67–$16,217.50 | $23,833.34–$24,950 | varies |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) | $1,759.06 | $2,706.25 | 0.5× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) range across 2 matching MRF lines |
$6,217.25–$8,557.25 | $9,565–$13,165 | varies |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) | $12,382.50 | $19,050 | 1.5× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) range across 2 matching MRF lines |
$5,013.67–$8,768.50 | $7,713.34–$13,490 | varies |
| Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
$1,567.80–$3,135.60 | $2,412–$4,824 | varies |
| Aspirate Pleura W/O Imaging (32554) | $1,267.50 | $1,950 | 1.8× |
| Aspirate/Inj Ganglion Cyst (20612) | $1,245.83 | $1,916.66 | 3.6× |
| Aspiration bladder insert suprapubic catheter (51102) | $3,856.45 | $5,933 | 1.7× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 4 matching MRF lines |
$314.60–$3,883.75 | $484–$5,975 | varies |
| Biopsy Abdominal Mass (49180) | $2,756.65 | $4,241 | 1.5× |
| Biopsy bone trocar/needle deep (20225) | $3,662.75 | $5,635 | 2.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $1,935.05 | $2,977 | 1.1× |
| Biopsy muscle percutaneous needle (20206) | $1,732.25 | $2,665 | 0.9× |
| Biopsy of liver, needle; percutaneous (47000) | $2,358.85 | $3,629 | 1.3× |
| Biopsy Pleura Percutaneous Needle (32400) | $2,261.35 | $3,479 | 1.2× |
| Biopsy Salivary Gland Needle (42400) | $1,140.10 | $1,754 | 1.4× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) | $1,784.90 | $2,746 | 1.0× |
| Biopsy Soft Tissue Leg/Ankle Area Deep (27614) | $4,059.25 | $6,245 | 1.3× |
| Biopsy/removal lymph nodes (38510) | $2,974.83 | $4,576.66 | 0.7× |
| Bladder Irrigation (51700) | $445.25 | $685 | 1.6× |
| Bladder Scan (51798) | $96.20 | $148 | 1.5× |
| Blepharotomy drainage abscess eyelid (67700) | $761.80 | $1,172 | 2.2× |
| Blood Transfusion Service (36430) range across 2 matching MRF lines |
$750.75–$1,501.50 | $1,155–$2,310 | varies |
| Bone Marrow Biopsy (38221) | $2,066.35 | $3,179 | 1.1× |
| Bone Marrow; Aspiration Only (38220) | $2,140.45 | $3,293 | 1.2× |
| Bx breast 1st lesion us imag (19083) | $3,315 | $5,100 | 1.8× |
| Bx/exc lymph node open deep axillary node (38525) range across 3 matching MRF lines |
$1,721.41–$3,078.83 | $2,648.33–$4,736.66 | varies |
| Bx/exc lymph node open superficial (38500) range across 3 matching MRF lines |
$2,240.88–$3,156.83 | $3,447.50–$4,856.66 | varies |
| Carpal Tunnel Surgery (64721) range across 3 matching MRF lines |
$3,347.50–$5,063.50 | $5,150–$7,790 | varies |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$545.35–$549.90 | $839–$846 | varies |
| Change of Windpipe Airway (31502) | $542.10 | $834 | 2.1× |
| Chest tube placement (32551) range across 2 matching MRF lines |
$715.65–$1,560 | $1,101–$2,400 | varies |
| Cl Tx Scapular Fx; W Manip (23575) | $3,123.25 | $4,805 | 1.7× |
| Cl Tx Tib Shft Fx W Manip (27752) | $2,530.45 | $3,893 | 1.4× |
| Clear outer ear canal (69200) | $288.60 | $444 | 1.9× |
| Closed Rx Metacarpal Fx,Percut (26608) | $9,314.50 | $14,330 | 2.6× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $657.15 | $1,011 | 2.4× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $1,337.70 | $2,058 | 4.9× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $630.50 | $970 | 2.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $1,058.20 | $1,628 | 3.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,776.45 | $2,733 | 1.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $672.75 | $1,035 | 2.4× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $431.60 | $664 | 1.6× |
| Closed tx knee dislocation w/o anesthesia (27550) | $1,271.40 | $1,956 | 4.6× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $3,326.05 | $5,117 | 1.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $535.60 | $824 | 1.9× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $2,878.20 | $4,428 | 1.6× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $2,614.30 | $4,022 | 1.5× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $570.05 | $877 | 2.1× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $509.60 | $784 | 1.9× |
| Closed tx radial head/neck fx w/manipulation (24655) | $1,915.55 | $2,947 | 1.1× |
| Closed tx radial shaft fracture w/manipulation (25505) range across 3 matching MRF lines |
$1,899.95–$4,049.50 | $2,923–$6,230 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 3 matching MRF lines |
$2,268.50–$5,648.50 | $3,490–$8,690 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $530.40 | $816 | 1.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $472.55 | $727 | 1.7× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $2,022.80 | $3,112 | 1.1× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $409.50 | $630 | 1.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $2,542.15 | $3,911 | 1.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $953.55 | $1,467 | 3.5× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $530.40 | $816 | 1.9× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $2,556.45 | $3,933 | 1.4× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $1,132.95 | $1,743 | 4.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $734.50 | $1,130 | 2.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $639.60 | $984 | 2.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $575.25 | $885 | 2.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $531.05 | $817 | 1.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$530.40–$1,298.70 | $816–$1,998 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 3 matching MRF lines |
$2,278.90–$2,767.05 | $3,506–$4,257 | varies |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $689.65 | $1,061 | 2.5× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $700.70 | $1,078 | 2.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $599.95 | $923 | 2.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $518.05 | $797 | 1.9× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) | $2,223 | $3,420 | 1.2× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $2,468.05 | $3,797 | 1.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $858.65 | $1,321 | 3.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $577.20 | $888 | 2.1× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $576.55 | $887 | 1.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $640.90 | $986 | 2.3× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $2,570.75 | $3,955 | 1.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $780.65 | $1,201 | 2.8× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $388.05 | $597 | 1.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $826.80 | $1,272 | 3.0× |
| Cltx post hip arthrp dislc req anes (27266) | $2,571.40 | $3,956 | 1.4× |
| Cltx post hip arthrp dislc w/o anes (27265) | $540.80 | $832 | 2.0× |
| Cltx prox fibula/shft fx w/manj (27781) | $2,390.05 | $3,677 | 1.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $3,040.05 | $4,677 | 1.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $492.05 | $757 | 1.8× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $2,000.05 | $3,077 | 1.1× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $2,587 | $3,980 | 1.4× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $2,359.50 | $3,630 | 1.3× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $523.90 | $806 | 1.9× |
| Cltx tibial fx proximal w/o manipulation (27530) | $597.35 | $919 | 2.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 3 matching MRF lines |
$2,637.05–$3,695.25 | $4,057–$5,685 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $670.80 | $1,032 | 2.4× |
| Collect Blood From Catheter Venous Nos (36592) | $100.10 | $154 | 0.7× |
| Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$36.40–$109.20 | $56–$168 | varies |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) | $1,619.15 | $2,491 | 1.2× |
| Colonoscopy w/submucosal inj (45381) range across 2 matching MRF lines |
$404.79–$455.43 | $622.75–$700.66 | varies |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $539.71 | $830.33 | 0.4× |
| Complex drainage wound (10180) | $4,455.10 | $6,854 | 1.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $607.10 | $934 | 4.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$230.75–$308.10 | $355–$474 | varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $2,944.50 | $4,530 | 1.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $385.45 | $593 | 2.6× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $641.55 | $987 | 2.4× |
| Cysto w/ureteroscopy w/lithotripsy (52353) | $7,039.50 | $10,830 | 1.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $355.55 | $547 | 0.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $800.80 | $1,232 | 1.8× |
| Declot vascular device (36593) | $503.75 | $775 | 1.4× |
| Destr W Neurolytic; Celiac Plexus (64680) | $2,619.50 | $4,030 | 2.7× |
| Destruction Vaginal Lesions Extensive (57065) | $8,417.50 | $12,950 | 2.3× |
| Diagnostic sigmoidoscopy (45330) | $645.45 | $993 | 0.6× |
| Drain Cerebro Spinal Fluid (62272) | $1,310.40 | $2,016 | 1.7× |
| Drain/inj small joint/bursa w/us (20604) | $410.80 | $632 | 1.2× |
| Drainage Abscess/Hematoma Nasal Septum (30020) | $1,502.15 | $2,311 | 2.5× |
| Drainage external auditory canal abscess (69020) | $861.90 | $1,326 | 1.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $943.15 | $1,451 | 1.2× |
| Drainage Finger Abscess Complicated (26011) | $2,174.90 | $3,346 | 1.2× |
| Drainage of finger abscess simple (26010) | $395.20 | $608 | 1.8× |
| Drainage of gum lesion (41800) | $893.10 | $1,374 | 6.0× |
| Drainage of hematoma/fluid (10140) | $3,074.50 | $4,730 | 1.7× |
| Drainage of scrotal wall abscess (55100) | $2,275 | $3,500 | 1.2× |
| Draw Blood Off Venous Device (36591) | $120.90 | $186 | 0.8× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $754 | $1,160 | 1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $542.75 | $835 | 1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $473.20 | $728 | 2.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $414.70 | $638 | 1.9× |
| Dx Bone Marrow Bx & Aspir (38222) range across 3 matching MRF lines |
$261.30–$5,388.50 | $402–$8,290 | varies |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,567.80 | $2,412 | 2.0× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $876.64 | $1,348.67 | 0.4× |
| Egd control bleeding any (43255) | $651.30 | $1,002 | 0.3× |
| Egd guide wire insertion (43248) | $876.64 | $1,348.67 | 0.9× |
| Epidural Blood Patch (62273) | $1,534.65 | $2,361 | 2.0× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) | $438.31 | $674.33 | 0.4× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) | $1,314.95 | $2,023 | 1.3× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$201.50–$226.85 | $310–$349 | varies |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) | $9,899.50 | $15,230 | 5.4× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) range across 3 matching MRF lines |
$4,517.50–$9,548.50 | $6,950–$14,690 | varies |
| Exc arm/elbow les sc < 3 cm (24075) | $5,453.50 | $8,390 | 3.0× |
| Exc Back Tum Deep 5 Cm/> (21933) | $4,595.50 | $7,070 | 1.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $1,363.70 | $2,098 | 1.7× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $4,829.50 | $7,430 | 2.6× |
| Exc Hand Les Sc < 1.5 Cm (26115) range across 3 matching MRF lines |
$3,971.50–$6,077.50 | $6,110–$9,350 | varies |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $2,129.83 | $3,276.66 | 2.7× |
| Exc thigh/knee les sc 3 cm/> (27337) | $7,247.50 | $11,150 | 2.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $2,710.50 | $4,170 | 2.0× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $3,737.50 | $5,750 | 2.0× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $2,633.15 | $4,051 | 1.2× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 3 matching MRF lines |
$1,772.88–$6,155.50 | $2,727.50–$9,470 | varies |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $8,183.50 | $12,590 | 2.5× |
| Excision tendon finger flexor/extensor each (26180) | $3,350.75 | $5,155 | 1.9× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $8,261.50 | $12,710 | 4.5× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $3,835 | $5,900 | 1.2× |
| Excision/curettage cyst/tumor carpal bones (25130) | $8,612.50 | $13,250 | 2.4× |
| Excision/curettage cyst/tumor phalanx finger (26210) | $7,286.50 | $11,210 | 4.1× |
| Exploration penetrating wound spx extremity (20103) | $9,685 | $14,900 | 5.3× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) range across 2 matching MRF lines |
$3,269.50–$21,287.50 | $5,030–$32,750 | varies |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) | $1,129.70 | $1,738 | 1.4× |
| Fine needle aspiration without imaging guidance (10021) | $535.60 | $824 | 1.2× |
| Fluoro exam of g/colon tube (49465) | $584.35 | $899 | 2.2× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $1,129.70 | $1,738 | 1.4× |
| Fna bx w/us gdn 1st les (10005) | $1,784.90 | $2,746 | 2.3× |
| Fusion Finger Joint (26860) | $11,888.50 | $18,290 | 3.3× |
| Guide Cathet Fluid Drainage (10030) | $2,857.40 | $4,396 | 3.6× |
| Hysteroscopy Biopsy (58558) | $3,453.67 | $5,313.34 | 1.0× |
| Hysteroscopy Endometrial Ablation (58563) | $4,790.50 | $7,370 | 0.9× |
| Hysteroscopy Removal Impacted Foreign Body (58562) | $5,024.50 | $7,730 | 1.4× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) | $6,818.50 | $10,490 | 1.2× |
| I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
$673.40–$789.75 | $1,036–$1,215 | varies |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$336.70–$5,687.50 | $518–$8,750 | varies |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) | $5,313.10 | $8,174 | 1.5× |
| I&d perianal abscess superficial (46050) | $2,121.60 | $3,264 | 2.0× |
| I&d pilonidal cyst complicated (10081) | $1,588.60 | $2,444 | 2.0× |
| I&d pilonidal cyst simple (10080) | $774.80 | $1,192 | 1.0× |
| Image Cath Fluid Peri/Retro (49406) | $2,857.40 | $4,396 | 1.6× |
| Incise external hemorrhoid (46083) | $655.85 | $1,009 | 2.4× |
| Incise finger tendon sheath (26055) range across 10 matching MRF lines |
$1,246.38–$3,347.50 | $1,917.50–$5,150 | varies |
| Incise flexor carpi radialis (25001) range across 3 matching MRF lines |
$1,973.83–$4,439.50 | $3,036.66–$6,830 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$575.90–$769.60 | $886–$1,184 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$2,885.35–$4,907.50 | $4,439–$7,550 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$569.40–$681.20 | $876–$1,048 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$354.25–$573.30 | $545–$882 | varies |
| Incision and drainage of vulva or perineal abscess (56405) | $768.95 | $1,183 | 2.3× |
| Incision extensor tendon sheath wrist (25000) range across 3 matching MRF lines |
$1,402.38–$3,971.50 | $2,157.50–$6,110 | varies |
| Incision of rectal abscess (46040) | $4,191.20 | $6,448 | 3.1× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $3,317.60 | $5,104 | 1.8× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $329.55 | $507 | 1.5× |
| Inj W/Fluor Eval Cv Device (36598) | $643.50 | $990 | 2.7× |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 2 matching MRF lines |
$1,800.50–$2,610.83 | $2,770–$4,016.66 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $1,547.65 | $2,381 | 1.6× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 2 matching MRF lines |
$3,546.83–$3,786.25 | $5,456.66–$5,825 | varies |
| Injection anesthetic agent suprascapular nerve (64418) | $2,231.13 | $3,432.50 | 2.8× |
| Injection for identification of sentinel node (38792) range across 3 matching MRF lines |
$254.15–$895.05 | $391–$1,377 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) | $493.35 | $759 | 1.4× |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 2 matching MRF lines |
$4,278.63–$4,454.13 | $6,582.50–$6,852.50 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 3 matching MRF lines |
$1,578.20–$4,300.83 | $2,428–$6,616.66 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$1,212.90–$2,441.83 | $1,866–$3,756.66 | varies |
| Insert Bladder Cath Complex (51703) | $328.25 | $505 | 2.3× |
| Insert cath pleura w/ image (32557) | $2,608.45 | $4,013 | 1.5× |
| Insert Gastrostomy Tube Percutaneous (49440) | $3,905.85 | $6,009 | 1.8× |
| Insert non-tunnel cv cath (36556) | $2,176.20 | $3,348 | 0.6× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $1,987.70 | $3,058 | 1.1× |
| Insert Temp Bladder Cath (51702) | $259.35 | $399 | 1.7× |
| Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$5,949.67–$12,902.50 | $9,153.34–$19,850 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$230.75–$231.40 | $355–$356 | varies |
| Insertion indwelling tunneled pleural catheter (32550) | $4,128.80 | $6,352 | 1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $2,374.45 | $3,653 | 1.4× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $3,251.95 | $5,003 | 0.9× |
| Insj Picc Rs&I <5 Yr (36572) | $1,169.35 | $1,799 | 1.7× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $2,285.40 | $3,516 | 1.3× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) | $2,887.95 | $4,443 | 1.9× |
| Intraoral i&d tongue/floor lingual (41000) | $910 | $1,400 | 1.5× |
| Intro Gastrointestinal Tube (44500) | $1,209.65 | $1,861 | 1.2× |
| Intubation endotracheal emergency procedure (31500) | $634.40 | $976 | 2.4× |
| Irrigation of corpora cavernosa for priapism (54220) | $599.30 | $922 | 2.2× |
| Laparoscopy Enterolysis Separate Procedure (44180) | $8,125 | $12,500 | 1.2× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 3 matching MRF lines |
$4,983.33–$10,855 | $7,666.66–$16,700 | varies |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) range across 2 matching MRF lines |
$8,320–$13,097.50 | $12,800–$20,150 | varies |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) range across 3 matching MRF lines |
$4,918.33–$12,415 | $7,566.66–$19,100 | varies |
| Lyse chest fibrin init day (32561) | $2,367.95 | $3,643 | 3.4× |
| Lyse Chest Fibrin Subq Day (32562) | $2,367.95 | $3,643 | 3.4× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) | $1,787.50 | $2,750 | 1.0× |
| Marsupialization of bartholin's gland cyst (56440) | $4,139.20 | $6,368 | 1.1× |
| Mastectomy partial (19301) range across 2 matching MRF lines |
$6,311.50–$6,701.50 | $9,710–$10,310 | varies |
| Mastectomy simple complete (19303) range across 3 matching MRF lines |
$4,481.75–$14,789.67 | $6,895–$22,753.34 | varies |
| Myelography Lumbar Injection (62304) | $1,820 | $2,800 | 2.1× |
| N block inj intercost sng (64420) | $1,129.05 | $1,737 | 1.4× |
| Nasal/Orogastric W/Tube Plmt (43752) | $497.25 | $765 | 1.0× |
| Needle Biopsy Lymph Nodes (38505) range across 2 matching MRF lines |
$990.60–$1,974.70 | $1,524–$3,038 | varies |
| Needle insertion w/o injection 1 or 2 muscles (20560) range across 2 matching MRF lines |
$49.40–$98.80 | $76–$152 | varies |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) range across 2 matching MRF lines |
$5,169.67–$6,053.67 | $7,953.34–$9,313.34 | varies |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $636.35 | $979 | 1.5× |
| Nipple Exploration (19110) | $3,893.50 | $5,990 | 0.9× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $615.55 | $947 | 1.8× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $2,119 | $3,260 | 0.5× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $5,578.95 | $8,583 | 1.4× |
| Occipital Nerve Block (64405) | $700.70 | $1,078 | 2.0× |
| Open Treatment Bimalleolar Ankle Fracture (27814) | $7,093.67 | $10,913.34 | 0.9× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) range across 3 matching MRF lines |
$14,696.50–$22,028.50 | $22,610–$33,890 | varies |
| Open Treatment of Ulnar Shaft Fracture (25545) | $5,106.83 | $7,856.66 | 0.6× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) | $8,601.67 | $13,233.34 | 1.1× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) | $9,953.67 | $15,313.34 | 1.2× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) | $7,821.67 | $12,033.34 | 2.1× |
| Open tx ulnar fx proximal end (24685) | $13,526.50 | $20,810 | 1.7× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) | $14,150.50 | $21,770 | 1.8× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) | $11,888.50 | $18,290 | 1.5× |
| Osteotomy Metacarpal Each (26565) | $3,910.83 | $6,016.66 | 1.1× |
| Perq dev breast 1st us imag (19285) range across 3 matching MRF lines |
$1,308.45–$2,616.90 | $2,013–$4,026 | varies |
| Perq device breast 1st imag (19281) | $683.80 | $1,052 | 0.4× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $1,520.35 | $2,339 | 1.9× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) | $5,221.67 | $8,033.34 | 1.4× |
| Placement of needle for intraosseous infusion (36680) | $510.25 | $785 | 1.0× |
| Punch biopsy skin single lesion (11104) | $621.40 | $956 | 1.4× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $573.30 | $882 | 1.3× |
| Puncture Aspiration Cyst Breast (19000) | $915.85 | $1,409 | 1.2× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) | $2,176.41 | $3,348.33 | 2.8× |
| Rad resect hand tumor 3 cm/> (26118) | $7,013.50 | $10,790 | 2.2× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) | $5,843.50 | $8,990 | 1.8× |
| Removal Foreign Body Deep Thigh/Knee (27372) | $4,455.10 | $6,854 | 1.4× |
| Removal foreign body foot deep (28192) | $2,622.75 | $4,035 | 1.4× |
| Removal Foreign Body Foot Subcutaneous (28190) | $1,413.75 | $2,175 | 1.8× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $2,652.65 | $4,081 | 1.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $120.25 | $185 | 1.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $150.15 | $231 | 2.3× |
| Removal Implant Deep (20680) range across 2 matching MRF lines |
$8,456.50–$11,420.50 | $13,010–$17,570 | varies |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$848.90–$5,960.50 | $1,306–$9,170 | varies |
| Removal or bivalving full arm or full leg cast (29705) | $432.25 | $665 | 1.4× |
| Removal/bivalving gauntlet boot/body cast (29700) | $525.20 | $808 | 1.7× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$284.70–$290.55 | $438–$447 | varies |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$469.95–$1,856.83 | $723–$2,856.66 | varies |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$551.20–$775.45 | $848–$1,193 | varies |
| Remove renal tube w/fluoro (50389) | $1,361.75 | $2,095 | 1.8× |
| Remove Tendon Sheath Lesion (26160) range across 4 matching MRF lines |
$1,402.38–$6,779.50 | $2,157.50–$10,430 | varies |
| Renal Biopsy Perq (50200) | $3,924.05 | $6,037 | 2.1× |
| Repair Achilles Tendon (27650) | $14,755 | $22,700 | 1.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $1,296.75 | $1,995 | 1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $741 | $1,140 | 1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $1,488.50 | $2,290 | 3.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $1,287 | $1,980 | 2.8× |
| Repair complex trunk 2.6-7.5 cm (13101) | $3,843.67 | $5,913.34 | 4.7× |
| Repair extensor tendon finger w/o graft each (26418) | $7,832.50 | $12,050 | 4.4× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $6,467.50 | $9,950 | 1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $725.40 | $1,116 | 1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $771.55 | $1,187 | 1.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $811.20 | $1,248 | 1.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $969.15 | $1,491 | 2.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $1,082.25 | $1,665 | 1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $605.80 | $932 | 1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $729.95 | $1,123 | 1.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $1,012.05 | $1,557 | 1.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $887.25 | $1,365 | 2.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $666.90 | $1,026 | 1.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $739.70 | $1,138 | 1.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $1,158.95 | $1,783 | 1.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $811.20 | $1,248 | 1.8× |
| Repair of nail bed (11760) | $1,028.30 | $1,582 | 1.2× |
| Repair of Ruptured Tendon (24342) | $12,902.50 | $19,850 | 1.6× |
| Repair tongue laceration (41250) | $1,001.65 | $1,541 | 2.0× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) | $4,976.83 | $7,656.66 | 0.6× |
| Replace g/c tube perc (49450) | $1,598.35 | $2,459 | 1.6× |
| Reposition Gastrostomy Tube (43761) | $1,227.20 | $1,888 | 4.4× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $934.05 | $1,437 | 0.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $477.10 | $734 | 1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $361.40 | $556 | 2.4× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $494 | $760 | 1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $1,484.60 | $2,284 | 2.1× |
| Rplc Gtube No Revj Trc (43762) | $502.45 | $773 | 1.8× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) | $6,623.50 | $10,190 | 1.0× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) range across 2 matching MRF lines |
$3,650.83–$3,715.83 | $5,616.66–$5,716.66 | varies |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) | $15,632.50 | $24,050 | 2.2× |
| Rpr aa hernia recr 3-10 cm reducible (49615) | $5,687.50 | $8,750 | 0.8× |
| Rpr aa hrn 1st 3-10 rdc (49593) | $5,063.50 | $7,790 | 0.7× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $759.85 | $1,169 | 3.4× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $1,909.70 | $2,938 | 3.2× |
| Rpr Lip Full Thickness Vermilion Only (40650) range across 2 matching MRF lines |
$1,521.65–$1,970.15 | $2,341–$3,031 | varies |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $2,458.95 | $3,783 | 1.4× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) | $17,290 | $26,600 | 4.7× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $1,358.50 | $2,090 | 1.9× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) | $215.15 | $331 | 0.2× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $430.30 | $662 | 0.3× |
| Shoulder arthroscopy diagnostic (29805) | $2,231.13 | $3,432.50 | 0.6× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 2 matching MRF lines |
$645.45–$1,619.15 | $993–$2,491 | varies |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $808.60 | $1,244 | 1.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$297.70–$595.40 | $458–$916 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $297.70 | $458 | 1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $733.85 | $1,129 | 3.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $314.60 | $484 | 1.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $742.95 | $1,143 | 3.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$297.70–$544.05 | $458–$837 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $297.70 | $458 | 1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$715.65–$791.05 | $1,101–$1,217 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $905.45 | $1,393 | 2.0× |
| Spinal puncture lumbar diagnostic (62270) | $1,465.10 | $2,254 | 1.9× |
| Strapping ankle (29540) | $275.60 | $424 | 1.5× |
| Strapping elbow or wrist (29260) range across 2 matching MRF lines |
$76.70–$176.15 | $118–$271 | varies |
| Strapping hand/finger (29280) | $63.05 | $97 | 1.0× |
| Strapping knee (29530) | $214.50 | $330 | 1.4× |
| Strapping shoulder (29240) | $312 | $480 | 2.1× |
| Tenodesis long tendon biceps (23430) range across 2 matching MRF lines |
$2,436.41–$4,454.13 | $3,748.33–$6,852.50 | varies |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) | $1,402.38 | $2,157.50 | 0.4× |
| Therapeutic plasma exchange (36514) | $2,689.05 | $4,137 | 1.5× |
| Thrombolytic Therapy Stroke (37195) range across 2 matching MRF lines |
$611.65–$816.40 | $941–$1,256 | varies |
| Thyroid biopsy (60100) | $1,426.75 | $2,195 | 1.8× |
| Transplant hand tendon (26480) | $15,827.50 | $24,350 | 4.3× |
| Treat Finger Fracture Each (26727) range across 4 matching MRF lines |
$7,052.50–$13,370.50 | $10,850–$20,570 | varies |
| Treat Hip Socket Fracture (27222) | $3,453.45 | $5,313 | 12.6× |
| Treat Humerus Fracture (24505) | $2,188.55 | $3,367 | 1.2× |
| Treat humerus fracture (23600) | $689 | $1,060 | 2.5× |
| Treat Kneecap Fracture (27524) | $12,044.50 | $18,530 | 1.5× |
| Treat Knuckle Dislocation (26700) | $585 | $900 | 2.1× |
| Treat Metatarsal Fracture (28475) | $714.35 | $1,099 | 2.6× |
| Treat Thumb Dislocation (26641) | $826.80 | $1,272 | 3.0× |
| Treat toe dislocation (28630) | $595.40 | $916 | 2.2× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $1,929.20 | $2,968 | 1.1× |
| Treatment closed elbow dislocation w/o anes (24600) | $670.80 | $1,032 | 2.4× |
| Trimming Nondystrophic Nails Any Number (11719) | $111.15 | $171 | 1.7× |
| Tx Gastro Intub W/Asp (43753) | $635.05 | $977 | 2.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $1,300 | $2,000 | 1.6× |
| Unlisted procedure arthroscopy (29999) | $2,506.83 | $3,856.66 | 9.1× |
| Unlisted procedure breast (19499) range across 2 matching MRF lines |
$1,721.41–$1,817.83 | $2,648.33–$2,796.66 | varies |
| Unlisted Procedure Muscskeletal System General (20999) | $553.80 | $852 | 2.0× |
| Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$1,235–$2,311.83 | $1,900–$3,556.66 | varies |
| Wedge excision skin nail fold (11765) | $428.35 | $659 | 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.