Procedures & surgery prices at Rady Children's Hospital

Mission Viejo, CA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $4,251 $4,251 3.6×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $4,251 $4,251 3.6×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $13,155 $13,155 3.1×
Amputation metatarsal with toe single (28810) $8,052 $8,052 1.9×
Anoscopy diagnostic (46600) $406 $406 2.4×
Application cast elbow finger short arm (29075) $2,204 $2,204 6.1×
Application Finger Splint Dynamic (29131) $863 $863 11.4×
Application finger splint static (29130) $863 $863 5.0×
Application long arm splint shoulder hand (29105) $1,459 $1,459 7.0×
Application Long Leg Splint (29505) $2,204 $2,204 10.5×
Application of long leg cast (29345) $3,048 $3,048 8.5×
Application Short Arm Splint Dynamic (29126) $863 $863 5.0×
Application short arm splint forearm-hand static (29125) $1,459 $1,459 8.5×
Application short leg splint calf foot (29515) $2,204 $2,204 10.5×
Apply hand/wrist cast (29085) $662 $662 3.2×
Apply long arm cast (29065) $5,099 $5,099 14.2×
Apply Short Leg Cast (29405) $3,343 $3,343 9.3×
Arterial puncture (36600) $210 $210 1.2×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $1,873 $1,873 4.7×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $1,958–$2,817 $1,958–$2,817 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $2,502–$3,510 $2,502–$3,510 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $1,873 $1,873 4.7×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $2,642–$4,758 $2,642–$4,758 varies
Aspirate Pleura W/O Imaging (32554) $4,226 $4,226 5.2×
Aspiration and/or injection thyroid cyst (60300) $1,662 $1,662 1.8×
Aspiration bladder insert suprapubic catheter (51102) $7,143 $7,143 2.7×
Avulsion nail plate partial/complete simple 1 (11730) $625 $625 2.4×
Biopsy Abdominal Mass (49180) $4,709 $4,709 2.2×
Biopsy bone trocar/needle deep (20225) $3,828 $3,828 1.8×
Biopsy Bone Trocar/Needle Superficial (20220) $3,381 $3,381 1.6×
Biopsy muscle percutaneous needle (20206) $2,599 $2,599 1.2×
Biopsy of liver, needle; percutaneous (47000) $4,709 $4,709 2.2×
Biopsy Pleura Percutaneous Needle (32400) $3,774 $3,774 1.8×
Bladder Irrigation (51700) $1,312 $1,312 4.1×
Bladder Scan (51798)
range across 2 matching MRF lines		 $313–$365 $313–$365 varies
Blepharotomy drainage abscess eyelid (67700) $1,940 $1,940 4.8×
Blood Transfusion Service (36430) $2,323 $2,323 4.1×
Bx breast 1st lesion us imag (19083) $9,800 $9,800 4.6×
Canthotomy Separate Procedure (67715) $11,553 $11,553 3.8×
Cessj Therapy Cath Removal (37214) $14,211 $14,211 3.5×
Change Cystostomy Tube Simple (51705) $1,416 $1,416 4.4×
Change of Windpipe Airway (31502) $960 $960 3.2×
Change ureter stent percut (50382) $11,039 $11,039 4.1×
Chemical Cautery Tissue (17250) $1,267 $1,267 4.9×
Chest tube placement (32551)
range across 3 matching MRF lines		 $3,077–$4,333 $3,077–$4,333 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $3,408 $3,408 1.3×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $5,847 $5,847 1.3×
Circumcision w/clamp/oth dev w/block (54150) $803 $803 0.3×
Cl Tx Tib Shft Fx W Manip (27752) $15,994 $15,994 7.7×
Clear outer ear canal (69200) $432 $432 2.5×
Closed Rx Spontaneous Hip Disloc (27256) $979 $979 3.1×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $1,200 $1,200 3.8×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,200 $1,200 3.8×
Closed tx ankle dislocation w/o anesthesia (27840) $4,950 $4,950 15.6×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $4,592 $4,592 2.2×
Closed tx carpal scaphoid fracture w/manj (25624) $4,551 $4,551 2.2×
Closed Tx Knee Dislocation W/Anesthesia (27552) $10,842 $10,842 5.2×
Closed tx knee dislocation w/o anesthesia (27550) $1,194 $1,194 3.8×
Closed Tx Lunate Dislocation W/Manipulation (25690) $10,068 $10,068 4.9×
Closed tx mandibular fracture w/manipulation (21451) $9,900 $9,900 5.0×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $26,694 $26,694 3.5×
Closed tx metatarsal fracture w/o manipulation (28470) $1,200 $1,200 3.8×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $13,221 $13,221 6.4×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $10,180 $10,180 5.1×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $10,180 $10,180 2.4×
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) $30,555 $30,555 7.2×
Closed tx patellar dislocation w/anesthesia (27562) $12,533 $12,533 39.5×
Closed tx patellar dislocation w/o anesthesia (27560) $1,200 $1,200 3.8×
Closed Tx Patellar Fracture W/O Manipulation (27520) $1,041 $1,041 3.3×
Closed tx radial head/neck fx w/manipulation (24655) $4,950 $4,950 2.4×
Closed tx radial head/neck fx w/o manipulation (24650) $800 $800 2.5×
Closed tx radial shaft fracture w/manipulation (25505) $4,950 $4,950 2.4×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $991 $991 3.1×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $4,869 $4,869 2.4×
Closed tx radial&ulnar shaft fractures w/o man (25560) $1,200 $1,200 3.8×
Closed Tx Scapular Fracture W/O Manipulation (23570) $979 $979 3.1×
Closed tx talotarsal joint dislc w/o anes (28570) $979 $979 3.1×
Closed Tx Talus Fracture W/Manipulation (28435) $2,015 $2,015 1.0×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $742 $742 2.3×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $2,288 $2,288 1.1×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $991 $991 3.1×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $2,470 $2,470 8.1×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $12,179 $12,179 5.9×
Clsd tx clavicular fracture w/o manipulation (23500) $1,200 $1,200 3.8×
Clsd tx shoulder dislc w/manipulation req anes (23655) $9,542 $9,542 4.6×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $1,200 $1,200 3.8×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $10,842 $10,842 5.2×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $2,748 $2,748 1.3×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $991 $991 3.1×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $1,200 $1,200 3.8×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $1,200 $1,200 3.8×
Cltx dstl fibular fx lat malls w/manj (27788) $1,267 $1,267 4.0×
Cltx dstl fibular fx lat malls w/o manj (27786) $277 $277 0.9×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $1,200 $1,200 3.8×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $1,200 $1,200 3.8×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $1,200 $1,200 3.8×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $4,551 $4,551 2.2×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $3,472 $3,472 1.7×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $2,928 $2,928 1.4×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $13,010 $13,010 6.3×
Cltx fx grt toe phlx/phlg w/manj (28495) $1,200 $1,200 3.8×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $1,200 $1,200 3.8×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $15,994 $15,994 7.7×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $1,267 $1,267 4.0×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $2,012 $2,012 1.0×
Cltx hip dislocation traumatic req anesthesia (27252) $9,543 $9,543 4.6×
Cltx hip dislocation traumatic w/o anesthesia (27250) $979 $979 3.1×
Cltx humeral condylar fx medial/lateral w/manj (24577) $4,950 $4,950 2.4×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $11,271 $11,271 31.3×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $1,200 $1,200 3.8×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $12,334 $12,334 34.3×
Cltx iphal jt dislc w/manj w/o anes (26770) $1,200 $1,200 3.8×
Cltx metacarpal fx w/manipulation each bone (26605) $1,200 $1,200 3.8×
Cltx metacarpal fx w/o manipulation each bone (26600) $1,200 $1,200 3.8×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $2,288 $2,288 1.1×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $10,644 $10,644 5.1×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $1,200 $1,200 3.8×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $1,200 $1,200 3.8×
Cltx post hip arthrp dislc req anes (27266) $12,334 $12,334 6.0×
Cltx post hip arthrp dislc w/o anes (27265) $1,267 $1,267 4.0×
Cltx prox fibula/shft fx w/manj (27781) $15,837 $15,837 7.7×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $15,994 $15,994 7.7×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $942 $942 3.0×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $1,200 $1,200 3.8×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $3,306 $3,306 1.6×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $991 $991 3.1×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $1,289 $1,289 4.1×
Cltx tibial shaft fx w/o manipulation (27750) $930 $930 2.9×
Cltx trimalleolar ankle fx w/manipulation (27818) $4,869 $4,869 2.4×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines		 $6–$48 $6–$48 varies
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $8,348 $8,348 2.0×
Colporrhaphy (57200) $10,076 $10,076 2.4×
Control Nasal Hemorrhage Anterior Complex (30903) $1,105 $1,105 6.5×
Control Nasal Hemorrhage Anterior Simple (30901) $1,355 $1,355 7.9×
Control oropharyngeal hemorrhage simple (42960) $897 $897 1.3×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $7,795 $7,795 3.2×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $7,152 $7,152 3.4×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $1,355 $1,355 7.9×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $1,355 $1,355 4.4×
Cysto Bladder W/Ureteral Catheterization (52005) $10,432 $10,432 3.9×
Cystostomy Cystotomy W/Drainage (51040)
range across 2 matching MRF lines		 $13,605–$19,395 $13,605–$19,395 varies
Cystourethroscopy (52000) $2,889 $2,889 3.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $2,057 $2,057 3.9×
Debridement subcutaneous tissue 20 sq cm/< (11042) $2,057 $2,057 3.9×
Declot vascular device (36593)
range across 2 matching MRF lines		 $2,610–$2,761 $2,610–$2,761 varies
Destruction by neurolytic agent, intercostal nerve (64620) $4,228 $4,228 3.7×
Drain Cerebro Spinal Fluid (62272) $2,922 $2,922 3.2×
Drainage External Ear Abscess/Hematoma Simple (69000) $1,063 $1,063 1.2×
Drainage of finger abscess simple (26010) $1,063 $1,063 4.1×
Drainage of gum lesion (41800) $1,137 $1,137 6.6×
Drainage of hematoma/fluid (10140) $8,889 $8,889 4.2×
Drainage of scrotal wall abscess (55100) $7,463 $7,463 3.5×
Drainage of scrotum (54700) $10,913 $10,913 4.1×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $1,063 $1,063 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $2,064 $2,064 3.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $1,919 $1,919 7.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $1,178–$1,215 $1,178–$1,215 varies
Dx Bronchoscope/Wash (31622) $5,774 $5,774 2.5×
Dx lmbr spi pnxr w/fluor/CT (62328) $2,724 $2,724 3.0×
Egd Flexible Foreign Body Removal (43247) $4,860 $4,860 4.2×
Epidural Blood Patch (62273) $3,408 $3,408 3.8×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $7,418 $7,418 3.0×
Evacuation of subungual hematoma (11740) $318 $318 1.9×
Exchange Transfusion Blood Newborn (36450) $2,429 $2,429 4.3×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $5,067 $5,067 2.1×
Fine needle aspiration without imaging guidance (10021) $740 $740 1.4×
Fluoro exam of g/colon tube (49465) $5,067 $5,067 16.5×
Foreskin manipulation (54450) $2,219 $2,219 6.9×
Guide Cathet Fluid Drainage (10030) $6,023 $6,023 6.6×
I&d abscess peritonsillar (42700) $2,621 $2,621 8.6×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $1,559–$3,343 $1,559–$3,343 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $11,882 $11,882 3.2×
I&d perianal abscess superficial (46050) $9,673 $9,673 8.1×
I&d pilonidal cyst complicated (10081) $4,596 $4,596 5.0×
I&d pilonidal cyst simple (10080) $3,288 $3,288 3.6×
Icd Pocket Revision (33223) $8,137 $8,137 3.1×
Image Cath Fluid Colxn Visc (49405) $4,709 $4,709 2.2×
Image Cath Fluid Peri/Retro (49406) $4,709 $4,709 2.2×
Image Cath Fluid Trns/Vgnl (49407) $5,434 $5,434 2.6×
Incise external hemorrhoid (46083) $1,145 $1,145 3.6×
Incision & drainage abscess complicated/multiple (10061) $3,343 $3,343 6.4×
Incision & removal foreign body subq tiss compl (10121) $10,147 $10,147 4.8×
Incision & removal foreign body subq tiss simple (10120) $3,288 $3,288 6.3×
Incision and drainage of bartholin's gland abscess (56420) $1,079 $1,079 4.1×
Incision and drainage of vulva or perineal abscess (56405) $2,384 $2,384 6.1×
Incision of rectal abscess (46040) $13,797 $13,797 9.0×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $14,585 $14,585 6.9×
Initial Tx 1st Degree Burn Local Tx (16000) $663 $663 2.6×
Inj W/Fluor Eval Cv Device (36598) $2,026 $2,026 7.4×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $3,408 $3,408 3.0×
Injection 1 tendon sheath/ligament aponeurosis (20550) $1,548 $1,548 3.9×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $2,979 $2,979 2.6×
Injection Anes Superior Hypogastric Plexus (64517) $6,639 $6,639 5.8×
Injection single/mlt trigger point 1/2 muscles (20552) $1,498 $1,498 3.8×
Injection Sinus Tract Therapeutic Separate Proc (20500) $1,360 $1,360 0.7×
Injection, anesthetic agent; femoral nerve, single (64447) $2,641 $2,641 2.9×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $3,408 $3,408 3.8×
Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) $3,170 $3,170 2.8×
Ins cath ren art 2nd+ unilat (36253) $10,208 $10,208 1.4×
Insert Bladder Cath Complex (51703) $776 $776 4.7×
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines		 $4,058–$5,287 $4,058–$5,287 varies
Insert cath pleura w/o image (32556) $2,976 $2,976 1.2×
Insert Gastrostomy Tube Percutaneous (49440)
range across 2 matching MRF lines		 $7,512–$8,403 $7,512–$8,403 varies
Insert Heart Pm Ventricular (33207) $16,319 $16,319 1.2×
Insert hepatic shunt (tips) (37182) $24,136 $24,136 1.0×
Insert non-tunnel cv cath (36556) $6,737 $6,737 1.7×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $7,143 $7,143 3.5×
Insert Pulse Gen Sngl Lead (33212) $48,919 $48,919 4.6×
Insert Temp Bladder Cath (51702) $821 $821 4.8×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $27,621 $27,621 3.9×
Insert,Non-Indwelling Bladder Catheter (51701) $512 $512 3.0×
Insertion indwelling tunneled pleural catheter (32550) $4,058 $4,058 0.9×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $6,779–$8,124 $6,779–$8,124 varies
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $6,282 $6,282 1.4×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555)
range across 2 matching MRF lines		 $4,106–$6,737 $4,106–$6,737 varies
Insj Picc Rs&I <5 Yr (36572)
range across 2 matching MRF lines		 $5,240–$7,229 $5,240–$7,229 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $5,535 $5,535 2.7×
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $18,104 $18,104 4.5×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $19,475 $19,475 2.7×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines		 $9,421–$12,821 $9,421–$12,821 varies
Insrt heart pm atrial & vent (33208) $36,851 $36,851 2.7×
Insrt Pulse Gen W/Mult Leads (33231) $52,345 $52,345 1.3×
Insrt Pulse Gen W/Singl Lead (33240) $50,918 $50,918 1.8×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $3,185 $3,185 6.1×
Intraoral i&d tongue/floor lingual (41000) $8,337 $8,337 12.0×
Intraoral i&d tongue/floor submndblr space (41008) $14,000 $14,000 3.3×
Intro Gastrointestinal Tube (44500) $3,317 $3,317 2.8×
Intubation endotracheal emergency procedure (31500)
range across 3 matching MRF lines		 $3,531–$5,336 $3,531–$5,336 varies
Irrigation of corpora cavernosa for priapism (54220) $1,145 $1,145 3.6×
Laryngoscopy flexible diagnostic (31575) $1,159 $1,159 4.5×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $740 $740 2.9×
Manipulation Elbow Under Anesthesia (24300) $3,621 $3,621 1.8×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $7,143 $7,143 3.5×
Mech remov tunneled cv cath (36595) $7,143 $7,143 1.8×
N Block Inj Celiac Pelus (64530) $9,657 $9,657 8.5×
N block inj intercost sng (64420) $3,408 $3,408 3.8×
Nasal/Orogastric W/Tube Plmt (43752) $722 $722 1.3×
Needle Biopsy Lymph Nodes (38505) $1,864 $1,864 0.9×
Needle Biopsy Pancreas (48102) $6,639 $6,639 3.1×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $219 $219 0.5×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $1,773 $1,773 4.5×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $4,499 $4,499 5.0×
Njx Sclrsnt 1 Incmptnt Vein (36470) $2,863 $2,863 5.5×
Obstructive material removal from gi tube (49460) $5,071 $5,071 4.3×
Open Tx Distal Phalangeal Fracture Each (26765) $16,601 $16,601 3.9×
Percut Cath Occlusn Non Cns Lesn (61626) $20,125 $20,125 1.4×
Percut Drain/Inject Renal Cyst (50390) $2,506 $2,506 2.8×
Percut Mech Thrombectomy, Venous, Repeat (37188) $28,564 $28,564 7.0×
Perm Occlusion/Embolization,Percut,Cns (61624) $21,424 $21,424 0.9×
Perq Cervicothoracic Inject (22510) $14,609 $14,609 3.5×
Perq Lumbosacral Injection (22511) $14,609 $14,609 3.5×
Perq skel fixj distal radial fx/epiphysl sep (25606) $11,024 $11,024 2.6×
Place Cath Vertebral Art (36226) $22,301 $22,301 3.1×
Place Duod/Jej Tube Perc (49441) $9,352 $9,352 3.8×
Placement of needle for intraosseous infusion (36680) $1,550 $1,550 2.7×
Pseudoaneurysm Injection Trt (36002) $1,648 $1,648 2.0×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $1,375–$3,343 $1,375–$3,343 varies
Puncture Aspiration Cyst Breast (19000) $1,601 $1,601 1.8×
Reduction of rectal prolapse (45900) $3,593 $3,593 3.0×
Relocation Pocket Pacemaker (33222) $9,056 $9,056 3.4×
Rem Endovas Vena Cava Filter (37193) $10,590 $10,590 2.6×
Removal Embedded Foreign Body Eyelid (67938) $1,707 $1,707 4.2×
Removal Foreign Body Deep Thigh/Knee (27372) $11,386 $11,386 3.0×
Removal foreign body foot deep (28192) $13,107 $13,107 6.2×
Removal Foreign Body Foot Subcutaneous (28190) $6,538 $6,538 7.2×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $3,753 $3,753 1.8×
Removal impacted cerumen irrigation/lvg unilat (69209) $496 $496 6.5×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $486 $486 6.4×
Removal impacted vag fb spx w/anes oth/thn local (57415) $9,600 $9,600 2.3×
Removal Implant Deep (20680) $12,494 $12,494 3.3×
Removal of foreign body from pharynx (42809) $512 $512 0.9×
Removal of implant from finger or hand (26320) $9,818 $9,818 4.6×
Removal of nail bed (11750) $3,604 $3,604 6.9×
Removal ppm generator only (33233) $18,151 $18,151 1.7×
Removal Sutures/Staples Requiring Anesthesia (15851) $9,111 $9,111 3.4×
Removal/bivalving gauntlet boot/body cast (29700) $863 $863 2.4×
Remove Forearm Foreign Body (25248) $11,892 $11,892 5.8×
Remove foreign body from eye (65235) $12,627 $12,627 4.3×
Remove foreign body from eye (65205) $1,158 $1,158 6.8×
Remove Intrauterine Device (58301) $921 $921 2.3×
Remove Nasal Foreign Body (30300) $512 $512 3.0×
Remove renal tube w/fluoro (50389) $2,236 $2,236 2.5×
Remove ureter stent percut (50384) $11,039 $11,039 4.1×
Renal Biopsy Perq (50200) $4,709 $4,709 2.2×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $3,507 $3,507 3.7×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $3,507 $3,507 3.7×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $3,507 $3,507 6.7×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $3,507 $3,507 6.7×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $3,507 $3,507 6.7×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $3,562 $3,562 6.8×
Repair complex trunk 1.1-2.5 cm (13100) $3,507 $3,507 3.7×
Repair complex trunk 2.6-7.5 cm (13101) $3,507 $3,507 3.7×
Repair extensor tendon finger w/o graft each (26418) $12,408 $12,408 6.0×
Repair Eyelid Wound (67935) $12,294 $12,294 4.0×
Repair Hand Tendon (26410) $13,368 $13,368 6.5×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $3,185 $3,185 6.1×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $3,185 $3,185 6.1×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $3,185 $3,185 6.1×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $3,185 $3,185 6.1×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $3,185 $3,185 3.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $3,185 $3,185 6.1×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $3,185 $3,185 6.1×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $3,185 $3,185 3.4×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $3,185 $3,185 1.2×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $3,185 $3,185 6.1×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $3,185 $3,185 6.1×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $3,185 $3,185 6.1×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $3,185 $3,185 3.4×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $3,185 $3,185 6.1×
Repair intermediate s/a/t/e >30.0 cm (12037) $3,185 $3,185 1.2×
Repair Laceration Palate </2 Cm (42180) $2,304 $2,304 3.3×
Repair of nail bed (11760) $2,771 $2,771 2.9×
Repair tongue laceration (41252) $3,607 $3,607 11.8×
Repair tongue laceration (41250) $882 $882 1.5×
Replace duodenostomy/jejunostomy tube perq (49451) $5,067 $5,067 4.3×
Replace G-J Tube Perc (49452) $5,067 $5,067 4.3×
Replace g/c tube perc (49450)
range across 2 matching MRF lines		 $1,083–$4,137 $1,083–$4,137 varies
Reposition Gastrostomy Tube (43761) $4,569 $4,569 14.2×
Reposition Pacing-Defib Lead (33215) $13,666 $13,666 3.4×
Reposition Venous Catheter (36597) $4,546 $4,546 2.2×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $20,190 $20,190 2.8×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $7,143 $7,143 2.7×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $512 $512 0.4×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $8,474 $8,474 4.0×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $1,217 $1,217 2.1×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $1,158 $1,158 6.8×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $1,029 $1,029 1.8×
Rmvl fecal impaction/fb spx under anes (45915) $13,797 $13,797 9.0×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $461 $461 0.1×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $3,753 $3,753 1.8×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $9,093 $9,093 4.5×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $7,143 $7,143 8.9×
Rplc Gtube No Revj Trc (43762)
range across 7 matching MRF lines		 $1,265–$4,468 $1,265–$4,468 varies
Rplc gtube revj gstrst trc (43763)
range across 2 matching MRF lines		 $2,817–$3,191 $2,817–$3,191 varies
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $5,198 $5,198 2.6×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584)
range across 2 matching MRF lines		 $4,774–$5,421 $4,774–$5,421 varies
Rplcmt compl tun cvc w/o subq port/pmp (36581) $16,818 $16,818 4.1×
Rpr blood vessel direct lower extremity (35226) $4,822 $4,822 5.3×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $2,484 $2,484 9.6×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $3,185 $3,185 3.4×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $5,969 $5,969 8.6×
Rpr Lip Full Thickness Vermilion Only (40650) $5,969 $5,969 8.6×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $5,969 $5,969 3.0×
Sclerotx Fluid Collection (49185) $8,117 $8,117 3.8×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $2,484 $2,484 4.8×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $2,444 $2,444 9.5×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $2,444 $2,444 9.5×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $2,444 $2,444 9.5×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $1,894 $1,894 7.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $2,444 $2,444 9.5×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $2,444 $2,444 9.5×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $2,444 $2,444 9.5×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $36,501 $36,501 5.1×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $2,444 $2,444 9.5×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $2,444 $2,444 4.7×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $2,444 $2,444 4.7×
Spinal puncture lumbar diagnostic (62270) $2,897 $2,897 3.2×
Strapping ankle (29540) $761 $761 3.6×
Strapping hand/finger (29280) $777 $777 10.2×
Strapping knee (29530) $690 $690 4.0×
Strapping toes (29550) $601 $601 7.9×
Strapping Unna Boot (29580) $863 $863 4.1×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $12,866 $12,866 4.2×
Therapeutic plasma exchange (36514) $12,981 $12,981 6.5×
Thromblytic art/ven therapy (37213) $14,212 $14,212 3.5×
Thyroid biopsy (60100) $3,170 $3,170 3.5×
Tooth extraction (41899)
range across 2 matching MRF lines		 $882–$897 $882–$897 varies
Treat Dental Ridge Fracture (21440) $17,538 $17,538 4.1×
Treat humerus fracture (24500) $970 $970 3.1×
Treat Humerus Fracture (24505) $2,288 $2,288 1.1×
Treat knee fracture (27532) $13,010 $13,010 3.1×
Treat Knee Fracture(S) (27538) $979 $979 3.1×
Treat Knuckle Dislocation (26700) $1,200 $1,200 3.8×
Treat Metatarsal Fracture (28475) $979 $979 3.1×
Treat Thumb Dislocation (26641) $1,200 $1,200 3.8×
Treat Thumb Fracture (26645) $4,949 $4,949 2.4×
Treat toe dislocation (28630) $1,200 $1,200 3.8×
Treatment Closed Elbow Dislocation Req Anes (24605) $12,334 $12,334 6.0×
Treatment closed elbow dislocation w/o anes (24600) $1,200 $1,200 3.8×
Tx Gastro Intub W/Asp (43753) $3,774 $3,774 13.6×
Tx Incomplete Abortion Any Trimester Surgical (59812) $12,711 $12,711 3.1×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $12,334 $12,334 6.0×
Tx Superficial Wound Dehiscence Simple Closure (12020) $3,562 $3,562 3.7×
Unlisted Procedure Esophagus (43499) $3,390 $3,390 2.9×
Unlisted Procedure Leg/Ankle (27899) $1,267 $1,267 4.0×
Unlisted procedure nervous system (64999) $1,873 $1,873 4.7×
Unlisted Procedure Vascular Surgery (37799) $6,639 $6,639 8.2×
Unlisted Procedure, Urinary System (53899) $7,795 $7,795 24.3×
Unlisted px female genital system nonobstetrical (58999) $700 $700 2.7×
Upgrade of pacemaker system (33214) $11,307 $11,307 0.8×
Vasc embolize/occlude artery (37242) $74,527 $74,527 3.2×
Vasc Embolize/Occlude Bleed (37244) $69,815 $69,815 4.7×
Vasc Embolize/Occlude Organ (37243) $69,491 $69,491 4.7×
Venous Mech Thrombectomy (37187) $28,564 $28,564 1.9×
Wedge excision skin nail fold (11765) $668 $668 1.3×

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.