Procedures & surgery prices at Providence Medical Center

Wayne, NE · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $985.62 $1,037.50 1.0×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,330 $1,400 1.4×
Ablate inf turbinate submuc (30802) $805.60 $848 0.5×
Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) $3,419.05 $3,599 2.1×
Acne Surgery (10040) $207.10 $218 1.0×
Analyze infusn pump+reprogram (62368) $195.54 $205.82 0.6×
Analyze spine infus pump (62367) $217.55 $229 0.7×
Anoscopy diagnostic (46600) $254.60 $268 1.8×
Anoscopy W/Rmvl Foreign Body (46608) $521.55 $549 0.5×
Anoscopy; with biopsy, single or multiple (46606) $1,602.65 $1,687 1.3×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $212.80 $224 1.3×
Application cast elbow finger short arm (29075) $216.60 $228 0.7×
Application Cast Finger (29086) $212.80 $224 1.3×
Application Cast Hand & Lower Forearm Gauntlet (29085) $308.75 $325 1.8×
Application cast shoulder hand long arm (29065) $239.40 $252 0.8×
Application Finger Splint Dynamic (29131) $278.82 $293.50 4.6×
Application finger splint static (29130) $110.31 $116.11 0.8×
Application long arm splint shoulder hand (29105) $286.90 $302 1.7×
Application long leg splint thigh ankle/toes (29505) $247.48 $260.50 1.5×
Application of long leg cast (29345) $242.25 $255 0.8×
Application Of Rigid Total Contact Leg Cast (29445) $1,195.10 $1,258 4.1×
Application Short Arm Splint Dynamic (29126) $260.30 $274 1.9×
Application short arm splint forearm-hand static (29125) $163.88 $172.50 1.2×
Application short leg splint calf foot (29515) $229.42 $241.50 1.4×
Apply multlay comprs arm/hand (29584) $319.20 $336 1.9×
Apply short leg cast (29405) $203.30 $214 0.7×
Apply short leg cast (29425) $558.60 $588 1.9×
Arterial puncture (36600) $165.78 $174.50 1.2×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $336.30 $354 1.1×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $681.15 $717 0.9×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $270.75 $285 0.8×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $541.50 $570 1.7×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $279.30 $294 0.9×
Aspirat/Injection Ganglion Cyst(S) (20612) $163.40 $172 0.5×
Aspiration Bladder Insert Suprapubic Catheter (51102) $1,003.20 $1,056 0.5×
Avulsion nail plate partial/complete simple 1 (11730) $267.90 $282 1.3×
Biopsy bone open superficial (20240) $5,000.80 $5,264 1.7×
Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) $316.35 $333 0.3×
Biopsy external ear (69100) $184.30 $194 0.7×
Biopsy muscle percutaneous needle (20206) $681.15 $717 0.4×
Biopsy of lip (40490) $231.80 $244 0.9×
Biopsy of mouth lesion (40808) $317.30 $334 0.6×
Biopsy of nail unit (11755) $955.70 $1,006 1.3×
Biopsy of uterus lining (58100) $354.82 $373.50 1.7×
Biopsy Salivary Gland,Needle (42400) $681.15 $717 0.9×
Biopsy Vaginal Mucosa Simple (57100) $372.40 $392 0.4×
Bladder Instillation Anticarcinogenic Agent (51720) $410.40 $432 0.6×
Bladder Irrigation Simple (51700) $335.35 $353 1.3×
Bladder Scan (51798) $296.40 $312 4.8×
Blood patch (62273) $631.75 $665 0.9×
Blood transfusion service (36430) $804.65 $847 1.8×
Bone marrow aspiration only (38220) $351.50 $370 0.2×
Bone Marrow Biopsy (38221) $176.70 $186 0.1×
Bx anorectal wall anal approach (45100) $2,086.20 $2,196 0.7×
Bx breast 1st lesion us imag (19083) $2,089.05 $2,199 1.2×
Bx vulva/perineum 1 lesion (56605) $231.80 $244 0.2×
Bx/exc lymph node needle superficial (38505) $2,685.65 $2,827 1.6×
Cataract surgery complex (66982) $2,627.70 $2,766 1.1×
Cautery Cervix Cryocautery Initial or Repeat (57511) $581.40 $612 1.8×
Change Cystostomy Tube Simple (51705) $243.20 $256 0.9×
Chemical Cautery Tissue (17250) $431.30 $454 2.1×
Chemodenerv 1 extrem 5/> mus (64644) $938.60 $988 1.3×
Chemodenerv 1 extremity 1-4 (64642) $631.75 $665 0.9×
Chemodenerv Musc Migraine (64615) $420.38 $442.50 1.3×
Chemodenerv Musc Neck Dyston (64616) $743.85 $783 2.3×
Chemodenerv trunk musc 1-5 (64646) $584.25 $615 0.8×
Chemodenerv trunk musc 6/> (64647) $684.95 $721 0.9×
Chemodenervation of eccrine glands; both axillae (64650) $142.50 $150 0.4×
Chemodenervation of parotid and submandibular salivary glands, bilateral (64611) $459.80 $484 1.4×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $787.55 $829 2.5×
Chest tube placement (32551) $1,463.95 $1,541 0.9×
Chg Collect Blood From Catheter Venous Nos (36592) $58.90 $62 0.4×
Circum 28 days or older (54161) $1,381.30 $1,454 0.6×
Circumcision Neonate (54160) $927.20 $976 1.3×
Clean out mastoid cavity (69222) $540.55 $569 1.0×
Close Rx Fingr Articular Fx,Manip (26742) $665 $700 0.4×
Closed Rx Mid Humerus Fx,Manipulatn (24505) $771.40 $812 0.5×
Closed Rx Spontaneous Hip Disloc (27256) $1,064 $1,120 4.2×
Closed Rx Trauma Hip Disloc,Anesth (27252) $2,261 $2,380 1.4×
Closed Rx Trimalleolar Fx (27816) $1,276.80 $1,344 5.0×
Closed Treatment Ulnar Styloid Fracture (25650) $700.15 $737 2.7×
Closed tx ankle dislocation w/o anesthesia (27840) $532 $560 2.1×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $2,242.95 $2,361 1.3×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $452.20 $476 1.8×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $793.25 $835 3.1×
Closed tx nasal fracture w/o stabilization (21315) $319.20 $336 0.2×
Closed tx patellar dislocation w/anesthesia (27562) $1,195.10 $1,258 4.7×
Closed tx patellar dislocation w/o anesthesia (27560) $1,373.70 $1,446 5.4×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $319.20 $336 1.2×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,687.68 $1,776.50 1.0×
Closed tx ulnar fracture prox end w/o manipulate (24670) $1,064 $1,120 4.2×
Clsd tx clavicular fracture w/manipulation (23505) $405.65 $427 0.2×
Clsd tx clavicular fracture w/o manipulation (23500) $345.80 $364 1.4×
Clsd tx pelvic ring fx w/o manipulation (27197) $791.35 $833 3.1×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,184.05 $2,299 1.3×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $405.65 $427 1.6×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $2,553.60 $2,688 1.5×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $532 $560 2.1×
Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) $944.30 $994 3.7×
Cltx dstl fibular fx lat malls w/manj (27788) $705.85 $743 2.8×
Cltx dstl fibular fx lat malls w/o manj (27786) $388.55 $409 1.5×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $399 $420 1.6×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $660.25 $695 2.6×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $340.10 $358 1.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,362.80 $1,434.52 0.8×
Cltx fem fx dstl end medial/lat condyle w/manj (27510) $1,660.60 $1,748 1.0×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,276.80 $1,344 0.8×
Cltx fx grt toe phlx/phlg w/manj (28495) $368.60 $388 1.4×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $765.70 $806 3.0×
Cltx hip dislocation traumatic w/o anesthesia (27250) $957.60 $1,008 3.7×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $396.15 $417 1.4×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $306.85 $323 1.2×
Cltx iphal jt dislc w/manj w/o anes (26770) $1,048.80 $1,104 4.1×
Cltx metacarpal fx w/manipulation each bone (26605) $415.15 $437 1.6×
Cltx metacarpal fx w/o manipulation each bone (26600) $282.15 $297 1.1×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $1,545.18 $1,626.50 0.9×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $268.85 $283 1.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $343.90 $362 1.3×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $224.20 $236 0.9×
Cltx Post Hip Arthrp Dislc Req Anes (27266) $1,469.65 $1,547 0.9×
Cltx post hip arthrp dislc w/o anes (27265) $399 $420 1.6×
Cltx prox fibula/shft fx w/manj (27781) $957.60 $1,008 0.6×
Cltx prox fibula/shft fx w/o manj (27780) $798 $840 3.1×
Cltx prox tibfib jt dislc req anes (27831) $2,959.25 $3,115 0.9×
Cltx prox tibfib jt dislc w/o anes (27830) $532 $560 2.1×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $352.92 $371.50 1.4×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $1,072.55 $1,129 0.6×
Cltx trimalleolar ankle fx w/manipulation (27818) $2,274.30 $2,394 1.4×
Colonoscopy flex w/rem forcep (45384) $3,734.45 $3,931 3.0×
Colonoscopy stoma w/biopsy (44389) $2,340.80 $2,464 1.9×
Colonoscopy thru stoma (44388) $2,234.40 $2,352 2.3×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $616.55 $649 1.9×
Colposcopy cervix upper/adjacent vagina (57452) $433.20 $456 2.1×
Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) $537.22 $565.50 1.7×
Colposcopy,Cervix W/Adj Vagina, Curettag (57456) $536.75 $565 1.7×
Colsc flx with directed submucosal njx any sbst (45381) $2,569.75 $2,705 2.1×
Control Nasal Hemorrhage Anterior Complex (30903) $321.10 $338 2.3×
Control Nasal Hemorrhage Anterior Simple (30901) $327.28 $344.50 2.4×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $813.20 $856 5.9×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $246.05 $259 1.0×
Cysto Bladder W/Ureteral Catheterization (52005) $2,765.45 $2,911 1.3×
Cysto w fulg of minor lesions <0.5cm (52224) $4,732.90 $4,982 1.3×
Cysto w/destruction of lesions (52214) $3,187.25 $3,355 0.9×
Cysto w/removal of tumors small (52234) $1,701.45 $1,791 0.5×
Cysto W/Simple Removal Stone & Stent (52310) $552.90 $582 0.3×
Cystoscopy,Dil Urethral Stricture (52281) $2,332.72 $2,455.50 1.1×
Cystoscopy,insert ureteral stent (52332) $3,960.08 $4,168.50 1.1×
Cystourethroscopy (52000) $507.30 $534 0.7×
Cystourethroscopy Inj Chemodenervation Bladder (52287) $2,666.65 $2,807 1.2×
Cystourethroscopy w/dil bladder general anesth (52260) $2,765.45 $2,911 1.3×
Debride nail 1-5 (11720) $91.20 $96 1.5×
Debride nail 6 or more (11721) $122.55 $129 2.0×
Debridement Mastoidectomy Cavity Simple (69220) $200.45 $211 1.0×
Debridement subcutaneous tissue 20 sq cm/< (11042) $714.40 $752 1.7×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $1,813.55 $1,909 2.4×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $2,633.40 $2,772 1.5×
Declot vascular device (36593) $537.70 $566 1.6×
Destroy cerv/thor facet jnt (64633) $2,931.22 $3,085.50 1.4×
Destroy lumb/sac facet jnt (64635) $2,621.05 $2,759 1.3×
Destruc Benign/Premal,15+ Lesions (17004) $386.65 $407 0.9×
Destruction benign lesions 15 or more (17111) $322.05 $339 1.5×
Destruction Benign Lesions Up To 14 (17110) $261.25 $275 1.3×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $393.30 $414 0.4×
Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) $407.55 $429 2.0×
Destruction of multiple growths of penis (54065) $605.15 $637 0.3×
Destruction premalignant lesion 1st (17000) $214.70 $226 1.0×
Diagnostic sigmoidoscopy (45330) $1,805.95 $1,901 1.9×
Dil urethra,female,subsequent (53661) $282.15 $297 2.0×
Dilate Urethra Stricture (53600) $443.65 $467 1.7×
Dilation esoph unguided sound/bougie 1/mult pass (43450) $1,311.95 $1,381 1.4×
Dilation of female urethra including suppository and/or instillation; initial (53660) $288.80 $304 2.2×
Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) $371.45 $391 2.7×
Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) $1,656.32 $1,743.50 0.9×
Drain/inj small joint/bursa w/us (20604) $342.95 $361 1.1×
Drainage Abscess/Hematoma Nasal Septum (30020) $739.10 $778 1.3×
Drainage Finger Abscess Complicated (26011) $403.75 $425 0.2×
Drainage of gum lesion (41800) $947.15 $997 6.9×
Drainage of hematoma/fluid (10140) $534.38 $562.50 0.3×
Drainage of hydrocele (55000) $181.45 $191 0.2×
Draw blood off venous device (36591) $110.31 $116.11 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $464.55 $489 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $368.60 $388 1.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $332.98 $350.50 1.6×
Dry Needling 3+ Muscles (20561) $42.75 $45 1.4×
Dx bone marrow bx & aspir (38222) $1,759.04 $1,851.62 0.6×
Egd balloon dilation esophagus <30 mm diam (43249) $3,420 $3,600 1.7×
Egd Dilation Gastric/Duodenal Stricture - Egd (43245) $4,253.15 $4,477 2.1×
Egd flexible foreign body removal (43247) $2,340.80 $2,464 2.5×
Egd place gastrostomy tube (43246) $1,915.20 $2,016 1.0×
Electronic analysis reprogramming refill of spinal canal drug infusion (62369) $263.15 $277 0.8×
Endocervical Curettage (57505) $262.20 $276 0.3×
Endometrial abltj thermal w/o hysteroscopic guid (58353) $3,971.95 $4,181 0.8×
Endoscopic Injection/Implant (51715) $2,137.50 $2,250 0.6×
Evacuation of subungual hematoma (11740) $263.15 $277 1.9×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $500.65 $527 0.3×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $2,287.60 $2,408 1.3×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $317.30 $334 0.4×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $446.50 $470 0.3×
Exc frenum labial/buccal (40819) $1,213.15 $1,277 0.8×
Exc neck tum deep < 5 cm (21556) $1,915.20 $2,016 0.6×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $1,649.20 $1,736 2.2×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $1,037.40 $1,092 2.5×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $739.10 $778 1.0×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,090.12 $1,147.50 1.5×
Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) $527.25 $555 0.3×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $1,014.60 $1,068 0.6×
Exc Skin Benig >4 Cm Face,Facial (11446) $627.95 $661 0.2×
Exc Skin Benig >4 Cm Remaindr Body (11426) $2,447.20 $2,576 0.8×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $2,234.40 $2,352 1.3×
Exc Skin Malig 2.1-3 Cm Face,Facial (11643) $794.20 $836 0.5×
Exc Skin Malig >4 Cm Face,Facial (11646) $1,273.95 $1,341 0.4×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,996.90 $2,102 1.2×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $744.80 $784 0.6×
Exc tr-ext b9+marg 0.5 cm or less (11400) $1,702.40 $1,792 2.3×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $4,468.80 $4,704 1.5×
Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) $1,596 $1,680 0.5×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $3,724 $3,920 2.2×
Excision hydrocele bilateral (55041) $3,585.30 $3,774 1.0×
Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) $755.25 $795 1.0×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $936.70 $986 1.3×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $1,026 $1,080 2.4×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $1,228.35 $1,293 1.7×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,347.10 $1,418 1.8×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $500.65 $527 0.7×
Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) $591.85 $623 0.8×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $675.45 $711 0.9×
Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) $979.45 $1,031 0.6×
Excision Multiple External Papillae/Tags Anus (46230) $282.15 $297 0.1×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $359.10 $378 0.5×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $421.80 $444 0.6×
Excision of hydrocele; unilateral (55040) $2,370.25 $2,495 0.6×
Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) $1,170.40 $1,232 1.1×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $1,862 $1,960 1.1×
Excision of lesion other than skin tag </= 0.5 cm (11420) $1,489.60 $1,568 0.9×
Excision of nail fold toe (11765) $236.55 $249 0.6×
Excision of single external papilla or tag, anus (46220) $3,404.80 $3,584 2.7×
Excision of vaginal cyst or tumor (57135) $767.60 $808 0.2×
Excision/destruction intranasal lesion int appr (30117) $3,617.60 $3,808 1.1×
External Cephalic Version (59412) $2,962.58 $3,118.50 0.9×
Fetal non-stress test (59025) $396.15 $417 1.9×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $955.70 $1,006 1.3×
Fine needle aspiration without imaging guidance (10021) $217.55 $229 0.5×
Fluoro exam of g/colon tube (49465) $398.05 $419 1.6×
Gastric Intubation/Aspiration, Therapeutic (43753) $426.55 $449 1.9×
Hysteroscopy biopsy (58558) $5,990.70 $6,306 1.8×
I&d abscess simple (10060) $542.45 $571 2.6×
I&d pilonidal cyst simple (10080) $447.45 $471 0.6×
Implant neuroelectrodes (63650) $9,329.95 $9,821 1.4×
Incise finger tendon sheath (26055) $2,218.25 $2,335 1.3×
Incision & drainage abscess complicated/multiple (10061) $1,104.85 $1,163 2.6×
Incision & removal foreign body subq tiss compl (10121) $1,824.95 $1,921 1.1×
Incision & removal foreign body subq tiss simple (10120) $575.70 $606 1.4×
Incision and drainage of bartholin's gland abscess (56420) $247.95 $261 1.2×
Incision extensor tendon sheath wrist (25000) $2,691.35 $2,833 1.6×
Incision of eardrum (69420) $470.25 $495 1.9×
Incision of rectal abscess (46040) $1,602.65 $1,687 1.3×
Incision of urethra (53020) $671.65 $707 0.3×
Incision thrombosed hemorrhoid external (46083) $798 $840 3.1×
Incisional biopsy skin single lesion (11106) $596.60 $628 0.8×
Initial tx 1st degree burn local tx (16000) $133 $140 0.6×
Inj paravert f jnt c/t 1 lev (64490) $1,237.85 $1,303 1.3×
Inj tendon sheath/ligament (20550) $399.95 $421 1.3×
Inj,Anes Agent,Brachial Plexus,Single (64415) $1,045 $1,100 1.1×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $451.25 $475 0.5×
Inj,Anes Agent,Femoral Nerve,Single (64447) $583.78 $614.50 0.8×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,089.18 $1,146.50 1.2×
Inject Anes/Steroid Plantar Common Digital Nerve (64455) $96.90 $102 0.3×
Inject Nerv Blck,Axillary Nerv (64417) $809.58 $852.18 0.9×
Inject Nerv Blck,Intercost,Multpl (64421) $114.95 $121 0.1×
Inject Nerv Blck,Intercostal,One (64420) $452.20 $476 0.6×
Inject Nerv Blck,Paravert Sympath (64520) $1,077.30 $1,134 1.2×
Inject Tendon Origin/Insert (20551) $270.75 $285 0.8×
Injection aa&/strd genicular nrv branches w/img (64454) $612.13 $644.34 0.8×
Injection aa&/strd sciatic nerve w/img gdn (64445) $1,234.05 $1,299 1.7×
Injection aa&/strd suprascapular nerve (64418) $558.60 $588 0.8×
Injection aa&/strd trigeminal nerve each branch (64400) $669.75 $705 2.1×
Injection anes other peripheral nerve/branch (64450) $275.98 $290.50 0.4×
Injection Rx Extremity Pseudoaneurysm (36002) $406.60 $428 0.6×
Injection single/mlt trigger point 1/2 muscles (20552) $303.05 $319 1.0×
Injection single/mlt trigger point 3/> muscles (20553) $324.42 $341.50 1.0×
Injection therapeutic carpal tunnel (20526) $220.40 $232 0.7×
Injection, anesthetic agent; greater occipital nerve (64405) $301.15 $317 0.9×
Injection, anesthetic agent; sphenopalatine ganglion (64505) $209 $220 0.7×
Injection, Intralesional; More Than 7 Lesions (11901) $181.45 $191 0.9×
Injection, intralesional; up to and including 7 lesions (11900) $171.56 $180.58 0.8×
Insert Drug Implant Device (11981) $293.08 $308.50 2.1×
Insert non-tunnel cv cath (36556) $2,830.05 $2,979 0.9×
Insert Temp Bladder Cath (51702) $161.50 $170 1.2×
Insert,Non-Indwelling Bladder Catheter (51701) $126.35 $133 0.9×
Insertion indwelling tunneled pleural catheter (32550) $3,544.42 $3,730.96 1.0×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,174.55 $2,289 1.3×
Insj io lens prosthesis not w/concurrent rmvl (66985) $2,470 $2,600 1.0×
Intubation endotracheal emergency procedure (31500) $360.05 $379 1.5×
Laryngoscopy direct, with or without tracheoscopy; with dilation, initial (31528) $3,085.60 $3,248 0.8×
Laryngoscopy Flexible Diagnostic (31575) $447.45 $471 2.2×
Late closure of wound (13160) $5,165.15 $5,437 1.4×
Ligation of hemorrhoid(s) (46221) $636.50 $670 0.7×
Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) $2,830.05 $2,979 0.9×
Litholapaxy smpl/sm <2.5 cm (52317) $1,369.90 $1,442 0.4×
Mohs 1 stage head neck hands feet or genitals up to 5 blocks (17311) $1,235 $1,300 1.6×
Myringoplasty (69620) $1,218.85 $1,283 0.4×
Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) $643.15 $677 3.1×
Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) $651.70 $686 0.4×
Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) $1,492.92 $1,571.50 0.8×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $540.55 $569 1.2×
Needle insertion w/o injection 1 or 2 muscles (20560) $42.75 $45 1.4×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $734.35 $773 1.8×
Njx anes stellate ganglion crv sympathetic (64510) $540.55 $569 0.6×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $492.10 $518 0.1×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,237.85 $1,303 1.3×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $1,458.72 $1,535.50 2.0×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $1,509.55 $1,589 2.1×
Njx Sclrsnt 1 Incmptnt Vein (36470) $659.30 $694 1.6×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $741 $780 1.8×
Open rx distal radius fx, intra-articular, 2 frag (25608) $5,320 $5,600 0.7×
Pelvic exam under anesthesia (57410) $1,562.28 $1,644.50 0.5×
Perq dev breast 1st us imag (19285) $1,215.05 $1,279 1.7×
Perq device breast 1st imag (19281) $1,878.62 $1,977.50 1.1×
Perq replacement gtube not req revj gstrst trc (43762) $505.40 $532 1.9×
Placement of needle for intraosseous infusion (36680) $560.50 $590 1.2×
Pr rmvl lens material phacofragmentation aspir (66850) $3,800 $4,000 1.6×
Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) $2,234.40 $2,352 1.8×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $2,447.20 $2,576 0.8×
Proctosigmoidoscopy removal (45308) $2,766.40 $2,912 1.0×
Proctosigmoidoscopy w/bx (45305) $2,447.20 $2,576 2.0×
Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) $1,702.40 $1,792 1.8×
Prostatectomy (turp) (52601) $5,082.50 $5,350 0.9×
Prq impltj neurostim eltrd sacral nrve w/imaging (64561)
unusually low: confirm this is the full procedure
$2,101.40 $2,212 0.3×
Punch biopsy skin single lesion (11104) $189.05 $199 0.4×
Puncture Aspiration (10160) $596.60 $628 1.4×
Puncture Aspiration Cyst Breast (19000) $955.70 $1,006 1.3×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $589.95 $621 0.3×
Reforearm tend/musc,exten,second (25272) $904.40 $952 0.3×
Removal fb intranasal (30300) $257.92 $271.50 1.9×
Removal foreign body foot subcutaneous (28190) $293.55 $309 0.4×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $1,482 $1,560 0.9×
Removal impacted cerumen irrigation/lvg unilat (69209) $65.55 $69 1.1×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $216.60 $228 3.5×
Removal Implant Superficial Separate Procedure (20670) $316.35 $333 0.2×
Removal of arm foreign body (24200) $518.70 $546 0.3×
Removal of eye lesion (65400) $2,612.50 $2,750 2.5×
Removal of indwelling tunneled pleural catheter with cuff (32552) $399 $420 0.6×
Removal of intrauterine device (iud) (58301) $863.55 $909 2.7×
Removal of nail bed (11750) $387.60 $408 0.9×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $224.20 $236 1.1×
Remove drug implant device (11982) $394.25 $415 0.8×
Remove Eyelid Foreign Body (67938) $798 $840 2.4×
Remove foreign body from eye (65235) $1,804.05 $1,899 0.8×
Remv Ext Canal F.B.,Gen Anesth (69205) $1,482 $1,560 0.9×
Remv Ext Canal Foreign Body (69200) $205.20 $216 1.5×
Remv F.B.,Eye,Superf Conjunc (65205) $373.35 $393 2.7×
Repair Blood Vessel Direct Hand Finger (35207) $2,340.80 $2,464 0.7×
Repair Blood Vessel Direct Upper Extremity (35206) $4,548.60 $4,788 1.4×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,318.60 $1,388 1.7×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,170.40 $1,232 1.5×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,170.40 $1,232 2.8×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,500.05 $1,579 3.6×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,089.18 $1,146.50 2.6×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,073.50 $1,130 2.5×
Repair complex trunk 1.1-2.5 cm (13100) $1,280.60 $1,348 1.7×
Repair complex trunk 2.6-7.5 cm (13101) $1,575.10 $1,658 2.1×
Repair Entropion Suture (67921) $3,138.80 $3,304 1.3×
Repair forearm tendon/muscle (25270) $1,949.40 $2,052 0.6×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $1,156.15 $1,217 2.7×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $602.78 $634.50 1.4×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $934.80 $984 2.2×
Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) $1,330 $1,400 3.2×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,038.35 $1,093 2.5×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $720.10 $758 1.7×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,436.40 $1,512 3.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $324.90 $342 0.8×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $913.90 $962 2.2×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $573.80 $604 0.7×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $547.20 $576 1.3×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $719.15 $757 1.7×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $914.38 $962.50 2.2×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $611.32 $643.50 1.4×
Repair of nail bed (11760) $603.72 $635.50 0.8×
Repair of nasal septum (30520) $2,436.75 $2,565 0.7×
Repair tympanic membrane (69610) $704.90 $742 0.4×
Revise median n/carpal tunnel surg (64721) $4,646.45 $4,891 2.3×
Revision of urethra (53450) $2,786.88 $2,933.56 0.8×
Revision/Rmvl Peripheral/Gastric Npgr (64595) $4,619.85 $4,863 1.3×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $192.38 $202.50 0.4×
Rmvl foreign body muscle/tendon sheath deep/comp (20525) $2,700.85 $2,843 0.9×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $547.20 $576 0.3×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $465.50 $490 0.7×
Rmvl vitreous ant appr partial removal (67005) $3,325 $3,500 1.4×
Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) $571.90 $602 1.2×
Rpr blood vessel direct lower extremity (35226) $2,660 $2,800 3.6×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $1,136.20 $1,196 1.2×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $3,192 $3,360 2.6×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $180.50 $190 0.9×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $380 $400 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $153.90 $162 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $197.60 $208 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $251.75 $265 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $285.95 $301 0.7×
Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) $135.85 $143 0.3×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $247.95 $261 1.2×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $294.50 $310 0.7×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $202.35 $213 1.0×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $281.20 $296 0.7×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $237.50 $250 1.1×
Sigmoidoscopy flx w/biopsy single/multiple (45331) $2,116.60 $2,228 2.2×
Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) $2,553.60 $2,688 2.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $305.90 $322 1.5×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $318.72 $335.50 1.5×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $399 $420 1.9×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $454.10 $478 2.2×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $246.05 $259 1.2×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $608.95 $641 2.9×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $377.15 $397 1.8×
Skin sub graft face/nk/hf/g (15275) $1,127.65 $1,187 1.5×
Skin sub graft trnk/arm/leg (15271) $987.05 $1,039 1.3×
Skin Sub Grft T/Arm/Lg Child (15273) $2,301.85 $2,423 1.1×
Slitting of prepuce (54001) $986.10 $1,038 0.5×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $313.50 $330 1.5×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $425.60 $448 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $505.40 $532 1.2×
Spinal puncture lumbar diagnostic (62270) $471.68 $496.50 0.6×
Spinal Puncture Therapeutic (62272) $505.40 $532 0.7×
Strapping ankle (29540) $118.75 $125 0.7×
Strapping elbow/wrist (29260) $53.20 $56 0.9×
Strapping hand/finger (29280) $53.20 $56 0.9×
Strapping Hip (29520) $53.20 $56 0.4×
Strapping knee (29530) $59.85 $63 0.4×
Strapping shoulder (29240) $53.20 $56 0.4×
Strapping thorax (29200) $53.20 $56 0.3×
Strapping unna boot (29580) $316.35 $333 1.9×
Subcutaneous Hormone Pellet Implantation (11980) $195.70 $206 0.4×
Tangential biopsy skin single lesion (11102) $152 $160 0.4×
Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) $1,582.70 $1,666 0.9×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $952.38 $1,002.50 1.5×
Thoracentesis needle/cath pleura w/o imaging (32554) $957.60 $1,008 1.5×
Thrombolytic Therapy, Stroke (37195) $748.60 $788 2.2×
Tracheobrnchsc Thru Est Trachs Inc (31615) $281.20 $296 0.5×
Tracheostomy emergency cricothyroid membrane (31605) $744.80 $784 3.0×
Treat finger dislocation (26775) $691.60 $728 2.4×
Treat fx rad extra-articul (25607)
likely a partial charge, not the full procedure
$1,821.15 $1,917 0.2×
Treat humerus fracture (24500) $586.15 $617 2.3×
Treat Thumb Fx/Disloc,Manip (26645) $1,057.35 $1,113 0.6×
Treatment closed elbow dislocation req anes (24605) $2,370.25 $2,495 1.4×
Treatment closed elbow dislocation w/o anes (24600) $505.40 $532 2.0×
Treatment mouth roof lesion (42160) $266 $280 0.1×
Trim skin lesion (11055) $192.85 $203 0.9×
Trim skin lesions 2 to 4 (11056) $271.70 $286 1.3×
Trim skin lesions over 4 (11057) $351.50 $370 1.7×
Trimming Of Nondystrophic Nails, Any Number (11719) $93.10 $98 1.5×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $1,780.30 $1,874 1.1×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $1,596 $1,680 1.0×
Tx Superficial Wound Dehiscence Simple Closure (12020) $734.35 $773 1.0×
Tympanostomy (69433) $497.80 $524 0.9×
Vasectomy (55250) $2,765.45 $2,911 1.3×
Venipuncture (36415) $35.15 $37 3.8×