Procedures & surgery prices at Prosser Memorial Health Hospital
Prosser, WA · every code in this section with a posted price and a Medicare benchmark.
454 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $1,359.60 | $2,472 | 1.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $609.95 | $1,109 | 0.6× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) likely a partial charge, not the full procedure |
$1,747.90 | $3,178 | 0.1× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) | $4,868.05 | $8,851 | 0.6× |
| Acne surgery (10040) | $131.45 | $239 | 0.6× |
| Amniocentesis diagnostic (59000) | $166.65 | $303 | 0.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $1,595 | $2,900 | 0.4× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $1,595 | $2,900 | 0.4× |
| Anoscopy diagnostic (46600) | $65.45 | $119 | 0.4× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $111.65 | $203 | 0.6× |
| Application cast elbow finger short arm (29075) | $228.25 | $415 | 0.7× |
| Application finger splint static (29130) range across 2 matching MRF lines |
$77–$194.70 | $140–$354 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$154–$286.55 | $280–$521 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$165–$283.80 | $300–$516 | varies |
| Application of rigid total contact leg cast (29445) | $477.40 | $868 | 1.5× |
| Application Short Arm Splint Dynamic (29126) | $261.80 | $476 | 1.8× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$124.30–$301.40 | $226–$548 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$133.10–$314.05 | $242–$571 | varies |
| Apply long arm cast (29065) | $228.25 | $415 | 0.7× |
| Apply Multlay Comprs Lwr Leg (29581) range across 3 matching MRF lines |
$81.40–$301.95 | $148–$549 | varies |
| Apply Short Leg Cast (29405) | $234.30 | $426 | 0.8× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$99–$111.65 | $180–$203 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$89.65–$276.65 | $163–$503 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 3 matching MRF lines |
$194.70–$530.75 | $354–$965 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 3 matching MRF lines |
$116.05–$269.50 | $211–$490 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 3 matching MRF lines |
$200.75–$591.25 | $365–$1,075 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $341.55 | $621 | 1.0× |
| Artificial insemination intra-uterine (58322) | $177.10 | $322 | 0.8× |
| Aspirate pleura w/ imaging (32555) | $1,244.10 | $2,262 | 1.8× |
| Aspirate Pleura W/O Imaging (32554) | $661.10 | $1,202 | 0.9× |
| Aspirate/Inj Ganglion Cyst (20612) | $118.25 | $215 | 0.3× |
| Aspiration bladder insert suprapubic catheter (51102) | $2,014.65 | $3,663 | 0.9× |
| Aspiration bladder trocar/intracatheter (51101) | $631.95 | $1,149 | 0.7× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$108.35–$284.35 | $197–$517 | varies |
| Biopsy Abdominal Mass (49180) | $961.40 | $1,748 | 0.5× |
| Biopsy bone trocar/needle deep (20225) | $1,629.10 | $2,962 | 0.9× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $915.20 | $1,664 | 0.5× |
| Biopsy muscle percutaneous needle (20206) | $1,338.70 | $2,434 | 0.7× |
| Biopsy of liver, needle; percutaneous (47000) | $1,240.80 | $2,256 | 0.7× |
| Biopsy Pleura Percutaneous Needle (32400) | $968.55 | $1,761 | 0.5× |
| Biopsy Salivary Gland Needle (42400) | $1,747.90 | $3,178 | 2.2× |
| Biopsy soft tissue neck/thorax (21550) | $1,341.45 | $2,439 | 0.7× |
| Biopsy Vaginal Mucosa Simple (57100) | $225.50 | $410 | 0.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $180.40 | $328 | 0.2× |
| Biopsy/removal lymph nodes (38510) | $5,033.60 | $9,152 | 1.2× |
| Bladder Irrigation (51700) | $120.45 | $219 | 0.4× |
| Bladder Scan (51798) range across 2 matching MRF lines |
$140.80–$167.20 | $256–$304 | varies |
| Blepharotomy drainage abscess eyelid (67700) | $492.25 | $895 | 1.4× |
| Blood Transfusion Service (36430) | $356.40 | $648 | 0.7× |
| Blood/Lymph System Procedure (38999) | $2,410.10 | $4,382 | 4.9× |
| Bone Marrow Biopsy (38221) | $1,162.15 | $2,113 | 0.6× |
| Bx breast 1st lesion mr imag (19085) | $2,097.70 | $3,814 | 1.1× |
| Bx breast 1st lesion strtctc (19081) | $1,489.40 | $2,708 | 0.8× |
| Bx breast 1st lesion us imag (19083) | $2,508.55 | $4,561 | 1.4× |
| Bx Cervix (57500) | $228.80 | $416 | 0.2× |
| Catheter aspiration nasotracheal spx (31720) | $168.85 | $307 | 0.7× |
| Cessj Therapy Cath Removal (37214) | $6,384.95 | $11,609 | 1.8× |
| Change Cystostomy Tube Simple (51705) | $281.60 | $512 | 1.0× |
| Change of Windpipe Airway (31502) | $82.50 | $150 | 0.3× |
| Change ureter stent percut (50382) | $2,802.25 | $5,095 | 1.2× |
| Chemical Cautery Tissue (17250) range across 3 matching MRF lines |
$163.90–$250.80 | $298–$456 | varies |
| Chemodenerv Musc Migraine (64615) | $228.25 | $415 | 0.7× |
| Chemodenerv musc neck dyston (64616) | $250.80 | $456 | 0.7× |
| Chest tube placement (32551) | $347.60 | $632 | 0.2× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) | $1,906.85 | $3,467 | 0.8× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $2,994.75 | $5,445 | 0.8× |
| Circumcision w/clamp/oth dev w/block (54150) | $187.55 | $341 | 0.1× |
| Cl Tx Scapular Fx; W Manip (23575) | $1,063.70 | $1,934 | 0.6× |
| Cl Tx Tib Shft Fx W Manip (27752) | $1,474 | $2,680 | 0.8× |
| Clear outer ear canal (69200) | $75.35 | $137 | 0.5× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $659.45 | $1,199 | 2.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $400.40 | $728 | 1.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $460.35 | $837 | 0.3× |
| Closed tx carpal scaphoid fracture w/manj (25624) | $875.60 | $1,592 | 0.5× |
| Closed tx knee dislocation w/o anesthesia (27550) | $204.60 | $372 | 0.7× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $858 | $1,560 | 0.5× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $1,140.15 | $2,073 | 0.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $177.10 | $322 | 0.6× |
| Closed tx radial head/neck fx w/manipulation (24655) | $400.40 | $728 | 0.2× |
| Closed tx radial shaft fracture w/manipulation (25505) | $400.40 | $728 | 0.2× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $400.40 | $728 | 0.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $177.10 | $322 | 0.6× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $1,249.60 | $2,272 | 0.7× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $177.10 | $322 | 0.6× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $1,282.60 | $2,332 | 0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $210.65 | $383 | 0.8× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $724.90 | $1,318 | 0.4× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $383.90 | $698 | 1.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $204.05 | $371 | 0.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $344.30 | $626 | 1.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $786.50 | $1,430 | 0.4× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $1,167.10 | $2,122 | 0.7× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $177.10 | $322 | 0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $177.10 | $322 | 0.6× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $1,384.90 | $2,518 | 0.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $515.90 | $938 | 1.9× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $400.40 | $728 | 0.2× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $2,707.65 | $4,923 | 1.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $129.25 | $235 | 0.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $205.15 | $373 | 0.7× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $770 | $1,400 | 0.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $938.85 | $1,707 | 3.4× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $722.70 | $1,314 | 0.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $353.10 | $642 | 1.3× |
| Cltx post hip arthrp dislc req anes (27266) | $2,054.25 | $3,735 | 1.1× |
| Cltx post hip arthrp dislc w/o anes (27265) | $472.45 | $859 | 1.7× |
| Cltx prox fibula/shft fx w/manj (27781) | $383.90 | $698 | 0.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $1,282.60 | $2,332 | 0.7× |
| Cltx prox tibfib jt dislc w/o anes (27830) | $216.15 | $393 | 0.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $353.10 | $642 | 1.3× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $1,466.30 | $2,666 | 0.8× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $749.65 | $1,363 | 0.4× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $842.60 | $1,532 | 0.5× |
| Cltx tibial shaft fx w/o manipulation (27750) | $204.05 | $371 | 0.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $525.80 | $956 | 0.3× |
| Collect Blood From Catheter Venous Nos (36592) | $69.85 | $127 | 0.5× |
| Collection of venous blood by venipuncture (36415) range across 6 matching MRF lines |
$23.65–$30.25 | $43–$55 | varies |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $254.10 | $462 | 0.7× |
| Colposcopy cervix upper/adjacent vagina (57452) | $252.45 | $459 | 1.1× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $311.85 | $567 | 0.9× |
| Colposcopy entire vagina w/cervix if present (57420) | $266.20 | $484 | 0.8× |
| Complex drainage wound (10180) | $4,246 | $7,720 | 1.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $324.50 | $590 | 2.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $144.65 | $263 | 1.0× |
| Control oropharyngeal hemorrhage simple (42960) | $799.70 | $1,454 | 1.3× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $1,332.65 | $2,423 | 0.6× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $925.10 | $1,682 | 0.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $144.65 | $263 | 1.0× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $125.95 | $229 | 0.5× |
| Cystostomy Cystotomy W/Drainage (51040) | $383.90 | $698 | 0.2× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 3 matching MRF lines |
$452.65–$1,210.55 | $823–$2,201 | varies |
| Debride nail 1-5 (11720) | $76.45 | $139 | 1.2× |
| Debride nail 6 or more (11721) | $131.45 | $239 | 2.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $2,231.90 | $4,058 | 1.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$814–$1,580.70 | $1,480–$2,874 | varies |
| Declot vascular device (36593) | $291.50 | $530 | 0.8× |
| Delivery of placenta (59414) | $1,706.10 | $3,102 | 0.5× |
| Destruct B9 Lesion 1-14 (17110) | $157.30 | $286 | 0.7× |
| Destruction Lesions Vulva Simple (56501) | $304.70 | $554 | 0.1× |
| Destruction premalignant lesion 1st (17000) | $140.25 | $255 | 0.6× |
| Destruction Vaginal Lesions Simple (57061) | $275 | $500 | 0.1× |
| Drain Cerebro Spinal Fluid (62272) | $1,116.50 | $2,030 | 1.4× |
| Drain/inj small joint/bursa w/us (20604) range across 2 matching MRF lines |
$161.70–$447.70 | $294–$814 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $155.10 | $282 | 0.2× |
| Drainage Finger Abscess Complicated (26011) | $1,191.30 | $2,166 | 0.6× |
| Drainage Mouth Roof Lesion (42000) | $376.75 | $685 | 1.4× |
| Drainage of finger abscess simple (26010) | $155.10 | $282 | 0.7× |
| Drainage of gum lesion (41800) | $164.45 | $299 | 1.1× |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$1,384.35–$2,544.30 | $2,517–$4,626 | varies |
| Drainage of scrotal wall abscess (55100) | $1,244.10 | $2,262 | 0.7× |
| Draw Blood Off Venous Device (36591) | $58.30 | $106 | 0.4× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $151.80 | $276 | 0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$490.60–$503.25 | $892–$915 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$128.70–$402.05 | $234–$731 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $323.95 | $589 | 1.4× |
| Dx Bone Marrow Bx & Aspir (38222) | $1,162.15 | $2,113 | 0.4× |
| Dx Laryngoscopy Excl Nb (31525) | $2,392.50 | $4,350 | 1.2× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,268.85 | $2,307 | 1.6× |
| Egd Flexible Foreign Body Removal (43247) | $323.40 | $588 | 0.3× |
| Embedded ip cath exit-site (49436) | $3,109.70 | $5,654 | 1.5× |
| Endometrial Biopsy (58100) range across 2 matching MRF lines |
$190.30–$265.65 | $346–$483 | varies |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) | $2,356.20 | $4,284 | 1.0× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) | $2,576.20 | $4,684 | 1.1× |
| Epidural Blood Patch (62273) range across 3 matching MRF lines |
$316.80–$932.80 | $576–$1,696 | varies |
| Evacuation of subungual hematoma (11740) | $78.10 | $142 | 0.5× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $201.85 | $367 | 0.3× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $491.15 | $893 | 0.6× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $317.35 | $577 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $259.05 | $471 | 0.3× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$287.10–$1,700.05 | $522–$3,091 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $609.95 | $1,109 | 0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $601.15 | $1,093 | 0.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 2 matching MRF lines |
$275–$398.75 | $500–$725 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $245.30 | $446 | 0.5× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $1,430.55 | $2,601 | 0.4× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $1,972.85 | $3,587 | 0.8× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $1,629.10 | $2,962 | 0.8× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $574.75 | $1,045 | 0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $372.35 | $677 | 0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $541.75 | $985 | 0.7× |
| Excision of vaginal cyst or tumor (57135) | $328.35 | $597 | 0.1× |
| Excision/destruction intranasal lesion int appr (30117) | $2,895.75 | $5,265 | 0.8× |
| Exploration penetrating wound spx extremity (20103) | $1,071.95 | $1,949 | 0.6× |
| External cephalic version (59412) | $1,697.30 | $3,086 | 0.5× |
| Fetal non-stress test (59025) range across 2 matching MRF lines |
$194.70–$277.75 | $354–$505 | varies |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $1,246.30 | $2,266 | 1.6× |
| Fine needle aspiration without imaging guidance (10021) | $396 | $720 | 0.9× |
| Fluoro exam of g/colon tube (49465) | $450.45 | $819 | 1.7× |
| Fna bx w/us gdn 1st les (10005) | $997.70 | $1,814 | 1.3× |
| Foreskin manipulation (54450) range across 2 matching MRF lines |
$123.75–$467.50 | $225–$850 | varies |
| Guide Cathet Fluid Drainage (10030) | $1,147.30 | $2,086 | 1.5× |
| Hysteroscopy Biopsy (58558) | $1,430 | $2,600 | 0.4× |
| Hysteroscopy Endometrial Ablation (58563) unusually low: confirm this is the full procedure |
$2,734.05 | $4,971 | 0.5× |
| Hysteroscopy Removal Impacted Foreign Body (58562) | $772.20 | $1,404 | 0.2× |
| I&d abscess peritonsillar (42700) | $213.95 | $389 | 0.8× |
| I&d abscess simple (10060) range across 4 matching MRF lines |
$231.55–$399.30 | $421–$726 | varies |
| I&d perianal abscess superficial (46050) | $1,187.45 | $2,159 | 1.1× |
| I&d pilonidal cyst complicated (10081) range across 2 matching MRF lines |
$798.05–$1,595 | $1,451–$2,900 | varies |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$155.10–$396 | $282–$720 | varies |
| Icd Pocket Revision (33223) | $2,290.75 | $4,165 | 1.0× |
| Image Cath Fluid Colxn Visc (49405) | $3,531.55 | $6,421 | 1.9× |
| Image Cath Fluid Peri/Retro (49406) | $3,348.95 | $6,089 | 1.8× |
| Incise external hemorrhoid (46083) | $159.50 | $290 | 0.6× |
| Incision & drainage abscess complicated/multiple (10061) range across 4 matching MRF lines |
$414.15–$647.35 | $753–$1,177 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$1,531.20–$3,088.80 | $2,784–$5,616 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$226.60–$573.10 | $412–$1,042 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$283.25–$331.65 | $515–$603 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$163.90–$245.30 | $298–$446 | varies |
| Incision of lingual frenum (frenotomy) (41010) range across 2 matching MRF lines |
$415.25–$2,516.25 | $755–$4,575 | varies |
| Incision of rectal abscess (46040) | $2,414.50 | $4,390 | 1.8× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $1,863.95 | $3,389 | 1.0× |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$218.90–$728.20 | $398–$1,324 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $102.85 | $187 | 0.5× |
| Inj W/Fluor Eval Cv Device (36598) | $577.50 | $1,050 | 2.4× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $507.65 | $923 | 0.5× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $623.15 | $1,133 | 1.8× |
| Injection for identification of sentinel node (38792) | $64.35 | $117 | 0.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$100.10–$289.85 | $182–$527 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) | $333.30 | $606 | 1.0× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $1,636.25 | $2,975 | 2.1× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $583 | $1,060 | 0.7× |
| Ins cath ren art 1st bilat (36252) | $8,210.40 | $14,928 | 2.3× |
| Ins cath ren art 1st unilat (36251) | $6,828.25 | $12,415 | 1.9× |
| Ins endovas vena cava filtr (37191) | $4,389 | $7,980 | 0.7× |
| Ins/Rep Subq Defibrillator (33270) | $33,059.95 | $60,109 | 0.9× |
| Insert 1 Electrode Pm-Defib (33216) | $5,519.25 | $10,035 | 0.6× |
| Insert Bladder Cath Complex (51703) | $284.35 | $517 | 2.0× |
| Insert cath pleura w/ image (32557) range across 2 matching MRF lines |
$1,345.85–$1,721.50 | $2,447–$3,130 | varies |
| Insert cath pleura w/o image (32556) | $768.90 | $1,398 | 0.4× |
| Insert Drug Implant Device (11981) | $245.85 | $447 | 1.7× |
| Insert Gastrostomy Tube Percutaneous (49440) | $1,863.95 | $3,389 | 0.9× |
| Insert Heart Pm Atrial (33206) | $10,142 | $18,440 | 0.9× |
| Insert Heart Pm Ventricular (33207) | $10,155.75 | $18,465 | 0.9× |
| Insert non-tunnel cv cath (36556) | $1,576.30 | $2,866 | 0.4× |
| Insert Pacing Lead & Connect (33224) | $14,876.95 | $27,049 | 1.3× |
| Insert pessary/other device (57160) | $136.95 | $249 | 0.6× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $1,227.60 | $2,232 | 0.7× |
| Insert Temp Bladder Cath (51702) | $257.95 | $469 | 1.7× |
| Insert tun ip cath perc (49418) | $3,069.55 | $5,581 | 0.8× |
| Insert tunneled cv cath (36561) | $1,905.20 | $3,464 | 0.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $92.95 | $169 | 0.6× |
| Insertion indwelling tunneled pleural catheter (32550) | $3,534.85 | $6,427 | 0.9× |
| Insertion of cannula (36800) | $4,473.15 | $8,133 | 0.7× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $899.80 | $1,636 | 0.5× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $6,741.35 | $12,257 | 0.7× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $1,350.80 | $2,456 | 0.8× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $2,631.75 | $4,785 | 0.7× |
| Insj/Rplcmt Defib W/Lead(S) (33249) | $41,712 | $75,840 | 1.2× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $5,525.30 | $10,046 | 0.6× |
| Insrt heart pm atrial & vent (33208) | $13,599.85 | $24,727 | 1.2× |
| Insrt Pulse Gen W/Mult Leads (33231) | $30,126.80 | $54,776 | 0.9× |
| Insrt Pulse Gen W/Singl Lead (33240) | $28,387.15 | $51,613 | 1.1× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) | $2,302.30 | $4,186 | 1.5× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $364.65 | $663 | 0.8× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $2,399.65 | $4,363 | 5.3× |
| Intro cath dialysis circuit (36901) | $2,858.90 | $5,198 | 1.6× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $10,068.30 | $18,306 | 0.8× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $9,649.75 | $17,545 | 1.5× |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$532.95–$542.85 | $969–$987 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $498.30 | $906 | 1.8× |
| Laryngoscopy diagnostic (31505) | $207.35 | $377 | 0.9× |
| Laryngoscopy flexible diagnostic (31575) | $350.90 | $638 | 1.6× |
| Myelography Lumbar Injection (62305) | $1,324.40 | $2,408 | 1.5× |
| Myelography Lumbar Injection (62304) | $1,163.80 | $2,116 | 1.3× |
| Myelography via lumbar injection rs&i cervical (62302) | $1,163.80 | $2,116 | 1.3× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $1,163.80 | $2,116 | 1.3× |
| Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$70.40–$70.95 | $128–$129 | varies |
| Needle Biopsy Lymph Nodes (38505) | $1,015.30 | $1,846 | 0.6× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $718.85 | $1,307 | 1.7× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $98.45 | $179 | 0.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $1,269.40 | $2,308 | 1.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $535.70 | $974 | 0.7× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $872.30 | $1,586 | 1.1× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $464.75 | $845 | 0.6× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) | $464.75 | $845 | 0.6× |
| Occipital Nerve Block (64405) | $451 | $820 | 1.3× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $2,417.25 | $4,395 | 0.7× |
| Open/Perq Place Stent 1St (37236) | $8,957.30 | $16,286 | 0.7× |
| Open/Perq Place Stent Same (37238) | $8,957.30 | $16,286 | 0.7× |
| Penile Injection (54235) | $291.50 | $530 | 1.0× |
| Perc Cryo Ablate Renal Tum (50593) unusually low: confirm this is the full procedure |
$3,730.65 | $6,783 | 0.3× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) | $520.30 | $946 | 0.3× |
| Perc Rf Ablate Renal Tumor (50592) | $5,268.45 | $9,579 | 0.8× |
| Percut Ablate Liver Rf (47382) | $3,523.30 | $6,406 | 0.5× |
| Percut Drain/Inject Renal Cyst (50390) | $975.15 | $1,773 | 1.2× |
| Perq Cervicothoracic Inject (22510) | $3,644.85 | $6,627 | 1.0× |
| Perq dev breast 1st us imag (19285) | $1,155.55 | $2,101 | 1.5× |
| Perq device breast 1st imag (19281) | $691.35 | $1,257 | 0.4× |
| Perq Lumbosacral Injection (22511) | $3,644.85 | $6,627 | 1.0× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $1,060.95 | $1,929 | 1.3× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $10,068.30 | $18,306 | 0.8× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $9,086.55 | $16,521 | 1.4× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $8,717.50 | $15,850 | 1.1× |
| Perq Vertebral Augmentation (22513) | $7,924.40 | $14,408 | 1.0× |
| Place Cath Subclavian Art (36225) | $11,844.25 | $21,535 | 3.4× |
| Place Cath Thoracic Aorta (36221) | $11,857.45 | $21,559 | 3.4× |
| Place Cath Vertebral Art (36226) | $12,948.65 | $23,543 | 2.1× |
| Placement of needle for intraosseous infusion (36680) | $173.25 | $315 | 0.3× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $2,852.85 | $5,187 | 1.2× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) | $2,245.10 | $4,082 | 0.6× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) | $4,248.75 | $7,725 | 1.1× |
| Prim art mech thrombectomy (37184) likely a partial charge, not the full procedure |
$4,183.30 | $7,606 | 0.2× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $626.45 | $1,139 | 0.8× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $2,913.90 | $5,298 | 0.7× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $2,913.90 | $5,298 | 0.7× |
| Pseudoaneurysm Injection Trt (36002) | $492.25 | $895 | 0.7× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$185.90–$337.70 | $338–$614 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$192.50–$422.40 | $350–$768 | varies |
| Puncture Aspiration Cyst Breast (19000) | $592.35 | $1,077 | 0.8× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $524.70 | $954 | 0.7× |
| Relocation Pocket Pacemaker (33222) | $2,006.95 | $3,649 | 0.9× |
| Rem Endovas Vena Cava Filter (37193) | $3,038.20 | $5,524 | 0.9× |
| Removal Embedded Foreign Body Eyelid (67938) | $1,188 | $2,160 | 3.4× |
| Removal Foreign Body Deep Thigh/Knee (27372) | $5,045.70 | $9,174 | 1.6× |
| Removal foreign body foot deep (28192) | $845.90 | $1,538 | 0.5× |
| Removal Foreign Body Foot Subcutaneous (28190) | $674.85 | $1,227 | 0.9× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $2,044.90 | $3,718 | 1.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 3 matching MRF lines |
$20.35–$119.90 | $37–$218 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
$65.45–$122.10 | $119–$222 | varies |
| Removal of foreign body from pharynx (42809) | $275.55 | $501 | 0.6× |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$228.80–$800.25 | $416–$1,455 | varies |
| Removal of tunneled intraperitoneal catheter (49422) | $2,190.65 | $3,983 | 0.6× |
| Removal Pacemaker Electrode (33235) | $2,653.75 | $4,825 | 0.6× |
| Removal ppm generator only (33233) | $5,511 | $10,020 | 0.6× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$105.60–$181.50 | $192–$330 | varies |
| Removal subcutaneous cardiac rhythm monitor (33286) | $403.70 | $734 | 0.5× |
| Removal Sutures/Staples Requiring Anesthesia (15851) | $1,342.55 | $2,441 | 0.6× |
| Removal/bivalving gauntlet boot/body cast (29700) | $271.70 | $494 | 0.9× |
| Remove drug implant device (11982) | $232.10 | $422 | 0.5× |
| Remove Elctrd Transvenously (33244) | $2,305.60 | $4,192 | 0.6× |
| Remove foreign body from eye (65205) | $169.95 | $309 | 1.1× |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$152.90–$263.45 | $278–$479 | varies |
| Remove intrvas foreign body (37197) | $5,507.15 | $10,013 | 1.6× |
| Remove lung catheter (32552) | $612.70 | $1,114 | 0.9× |
| Remove Nasal Foreign Body (30300) | $77.55 | $141 | 0.5× |
| Remove Pulse Generator (33241) | $2,701.60 | $4,912 | 0.6× |
| Remove renal tube w/fluoro (50389) | $745.25 | $1,355 | 1.0× |
| Remove ureter stent percut (50384) | $2,221.45 | $4,039 | 1.0× |
| Remove&replace pm gen singl (33227) | $12,931.60 | $23,512 | 1.4× |
| Remove/Insert Drug Implant (11983) | $392.15 | $713 | 0.8× |
| Remv&replc cvd gen dual lead (33263) | $38,790.40 | $70,528 | 1.6× |
| Remv&replc cvd gen mult lead (33264) | $39,639.60 | $72,072 | 1.1× |
| Remv&replc cvd gen sing lead (33262) | $37,051.85 | $67,367 | 1.5× |
| Remv&replc pm gen dual lead (33228) | $14,225.20 | $25,864 | 1.2× |
| Remv&replc pm gen mult leads (33229) | $15,511.10 | $28,202 | 0.7× |
| Renal Biopsy Perq (50200) | $1,057.10 | $1,922 | 0.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $400.40 | $728 | 0.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $642.40 | $1,168 | 0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $400.40 | $728 | 0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $1,079.10 | $1,962 | 2.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $306.90 | $558 | 0.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $474.65 | $863 | 1.0× |
| Repair complex trunk 2.6-7.5 cm (13101) | $1,378.85 | $2,507 | 1.7× |
| Repair extensor tendon finger w/o graft each (26418) | $2,670.80 | $4,856 | 1.5× |
| Repair Finger/Hand Tendon (26350) | $3,237.85 | $5,887 | 0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $509.85 | $927 | 1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $509.85 | $927 | 1.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $509.85 | $927 | 1.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $159.50 | $290 | 0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$189.20–$288.75 | $344–$525 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $509.85 | $927 | 1.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $189.20 | $344 | 0.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $159.50 | $290 | 0.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $189.20 | $344 | 0.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $365.20 | $664 | 0.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $1,157.20 | $2,104 | 1.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $189.20 | $344 | 0.4× |
| Repair Lead Pace-Defib One (33218) | $4,836.15 | $8,793 | 1.2× |
| Repair of nail bed (11760) | $159.50 | $290 | 0.2× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $4,196.50 | $7,630 | 1.2× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) likely a partial charge, not the full procedure |
$498.30 | $906 | 0.1× |
| Repair tongue laceration (41252) | $733.15 | $1,333 | 2.8× |
| Repair tongue laceration (41250) | $265.10 | $482 | 0.5× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $478.50 | $870 | 0.5× |
| Replace G-J Tube Perc (49452) | $749.10 | $1,362 | 0.7× |
| Replace g/c tube perc (49450) | $1,116.50 | $2,030 | 1.1× |
| Reposition Pacing-Defib Lead (33215) | $2,669.70 | $4,854 | 0.8× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $351.45 | $639 | 0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $169.95 | $309 | 0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $169.95 | $309 | 1.1× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $278.85 | $507 | 0.6× |
| Rmvl fecal impaction/fb spx under anes (45915) | $2,592.70 | $4,714 | 1.9× |
| Rmvl of subq implantable defibrillator electrode (33272) | $3,059.10 | $5,562 | 0.7× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $2,416.15 | $4,393 | 0.6× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $1,227.60 | $2,232 | 0.7× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $701.80 | $1,276 | 1.0× |
| Rplc Gtube No Revj Trc (43762) | $379.50 | $690 | 1.4× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $1,227.60 | $2,232 | 0.7× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $1,350.80 | $2,456 | 0.8× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $1,770.45 | $3,219 | 0.5× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $2,467.85 | $4,487 | 0.7× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $464.20 | $844 | 2.1× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $1,280.95 | $2,329 | 2.1× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $811.80 | $1,476 | 1.4× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $778.25 | $1,415 | 0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $257.40 | $468 | 1.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $464.75 | $845 | 1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $394.90 | $718 | 1.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $431.20 | $784 | 1.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $452.65 | $823 | 2.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$233.75–$377.30 | $425–$686 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $627.55 | $1,141 | 2.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $431.20 | $784 | 1.9× |
| Skin sub graft face/nk/hf/g (15275) | $2,493.15 | $4,533 | 3.0× |
| Skin sub graft trnk/arm/leg (15271) | $2,337.50 | $4,250 | 2.8× |
| Skin sub grft t/arm/lg child (15273) | $2,398 | $4,360 | 1.0× |
| Skn sub grft f/n/hf/g child (15277) | $2,014.65 | $3,663 | 0.9× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) | $11,857.45 | $21,559 | 1.9× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) | $5,606.15 | $10,193 | 1.6× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) | $12,948.65 | $23,543 | 2.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$226.60–$400.40 | $412–$728 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $545.05 | $991 | 1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $562.10 | $1,022 | 1.2× |
| Spinal puncture lumbar diagnostic (62270) | $265.65 | $483 | 0.3× |
| Strapping shoulder (29240) | $191.95 | $349 | 1.3× |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$99–$293.70 | $180–$534 | varies |
| Subcutaneous Hormone Pellet Implantation (11980) | $210.10 | $382 | 0.4× |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$211.75–$288.75 | $385–$525 | varies |
| Therapeutic plasma exchange (36514) | $2,318.80 | $4,216 | 1.3× |
| Thrmbc/Nfs Dialysis Circuit (36906) unusually low: confirm this is the full procedure |
$8,957.30 | $16,286 | 0.4× |
| Thromblytic art/ven therapy (37213) | $4,720.65 | $8,583 | 1.3× |
| Thrombolytic Art Therapy (37211) | $4,551.25 | $8,275 | 0.7× |
| Thrombolytic Therapy Stroke (37195) | $383.90 | $698 | 1.0× |
| Thrombolytic Venous Therapy (37212) | $4,534.75 | $8,245 | 1.3× |
| Thyroid biopsy (60100) | $908.60 | $1,652 | 1.2× |
| Transcatheter biopsy (37200) unusually low: confirm this is the full procedure |
$3,032.70 | $5,514 | 0.5× |
| Treat Humerus Fracture (24505) | $177.10 | $322 | 0.1× |
| Treat Knuckle Dislocation (26700) | $502.15 | $913 | 1.8× |
| Treat Thumb Dislocation (26641) | $177.10 | $322 | 0.6× |
| Treat toe dislocation (28630) | $216.15 | $393 | 0.8× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $1,234.75 | $2,245 | 0.7× |
| Treatment closed elbow dislocation w/o anes (24600) | $177.10 | $322 | 0.6× |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$83.60–$184.80 | $152–$336 | varies |
| Trim skin lesions 2 to 4 (11056) | $177.65 | $323 | 0.8× |
| Trim skin lesions over 4 (11057) | $154.55 | $281 | 0.7× |
| Trimming Nondystrophic Nails Any Number (11719) | $92.95 | $169 | 1.4× |
| Trluml Balo Angiop 1St Art (37246) | $9,859.85 | $17,927 | 1.6× |
| Trluml Balo Angiop 1St Vein (37248) | $9,859.85 | $17,927 | 1.6× |
| Tubal ligation (58600) | $715.55 | $1,301 | 0.2× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $534.05 | $971 | 0.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $567.60 | $1,032 | 0.7× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $723.25 | $1,315 | 2.7× |
| Unlisted procedure stomach (43999) | $932.80 | $1,696 | 0.9× |
| Unlisted Procedure Vascular Surgery (37799) | $99 | $180 | 0.1× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $17.05 | $31 | 0.0× |
| Upgrade of pacemaker system (33214) | $9,047.50 | $16,450 | 0.8× |
| Vaginal delivery only (59409) | $2,424.95 | $4,409 | 0.7× |
| Vasc embolize/occlude artery (37242) unusually low: confirm this is the full procedure |
$8,985.35 | $16,337 | 0.4× |
| Vasc Embolize/Occlude Bleed (37244) | $8,985.35 | $16,337 | 0.7× |
| Vasc Embolize/Occlude Organ (37243) | $8,985.35 | $16,337 | 0.7× |
| Vasc embolize/occlude venous (37241) | $8,985.35 | $16,337 | 0.7× |
| Venous Mech Thrombectomy (37187) likely a partial charge, not the full procedure |
$3,819.75 | $6,945 | 0.3× |
| Vulvectomy simple partial (56620) | $834.90 | $1,518 | 0.2× |
| Wedge excision skin nail fold (11765) | $114.40 | $208 | 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.