Procedures & surgery prices at Riverview Health

Noblesville, IN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,914 $3,190 2.0×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,914 $3,190 2.0×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) $13,245 $22,075 0.7×
Amniocentesis diagnostic (59000) $1,972.80 $3,288 2.0×
Amniocentesis therapeutic (59001) $818.40 $1,364 2.5×
Amputation toe interphalangeal joint (28825) $5,960.40 $9,934 1.7×
Amputation toe metatarsophalangeal joint (28820) $5,960.40 $9,934 1.7×
Anoscopy diagnostic (46600) $268.80 $448 1.9×
Application finger splint static (29130) $325.20 $542 2.3×
Application long arm splint shoulder hand (29105) $408.60 $681 2.4×
Application Long Leg Splint (29505) $408.60 $681 2.4×
Application of rigid total contact leg cast (29445) $672.60 $1,121 2.3×
Application Short Arm Splint Dynamic (29126) $325.20 $542 2.3×
Application short arm splint forearm-hand static (29125) $325.20 $542 2.3×
Application short leg splint calf foot (29515) $408.60 $681 2.4×
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines		 $408.60–$532.80 $681–$888 varies
Arterial puncture (36600) $325.20 $542 2.3×
Arteriovenous Anastomosis Open Direct (36821) $6,906.60 $11,511 2.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines		 $762.60–$994.20 $1,271–$1,657 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines		 $1,807.20–$2,357.40 $3,012–$3,929 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines		 $762.60–$994.20 $1,271–$1,657 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $762.60–$994.20 $1,271–$1,657 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines		 $762.60–$1,144.20 $1,271–$1,907 varies
Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) $40,605 $67,675 2.2×
Aspirate pleura w/ imaging (32555) $1,621.80 $2,703 2.4×
Aspirate Pleura W/O Imaging (32554) $1,621.80 $2,703 2.4×
Aspiration & Injection Treatment Bone Cyst (20615) $1,819.20 $3,032 2.4×
Aspiration and/or injection thyroid cyst (60300) $1,819.20 $3,032 2.4×
Aspiration bladder insert suprapubic catheter (51102) $5,201.40 $8,669 2.4×
Aspiration bladder trocar/intracatheter (51101) $2,620.80 $4,368 2.9×
Av Fistula Revision Open (36832) $11,916 $19,860 2.0×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $463.20–$506.40 $772–$844 varies
Biopsy Abdominal Mass (49180) $4,204.80 $7,008 2.4×
Biopsy bone trocar/needle deep (20225) $4,204.80 $7,008 2.4×
Biopsy Bone Trocar/Needle Superficial (20220) $4,204.80 $7,008 2.4×
Biopsy muscle percutaneous needle (20206) $4,204.80 $7,008 2.4×
Biopsy of liver, needle; percutaneous (47000) $4,204.80 $7,008 2.4×
Biopsy Pleura Percutaneous Needle (32400) $3,476.40 $5,794 2.0×
Biopsy Salivary Gland Needle (42400) $1,819.20 $3,032 2.4×
Biopsy soft tissue leg/ankle area superficial (27613) $4,204.80 $7,008 2.4×
Biopsy soft tissue neck/thorax (21550) $4,204.80 $7,008 2.4×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $4,204.80 $7,008 2.4×
Biopsy Soft Tissue Shoulder Superficial (23065) $4,204.80 $7,008 2.4×
Biopsy soft tissue thigh/knee area superficial (27323) $4,204.80 $7,008 2.4×
Bladder instillation anticarcinogenic agent (51720) $1,449.60 $2,416 2.0×
Bladder Irrigation (51700) $603 $1,005 2.3×
Bladder Scan (51798) $162 $270 2.6×
Blood Transfusion Service (36430) $1,143.60 $1,906 2.5×
Bone Marrow Biopsy (38221) $4,204.80 $7,008 2.4×
Bone Marrow; Aspiration Only (38220) $4,204.80 $7,008 2.4×
Bx Arm/Elbow Soft Tissue,Deep (24066) $7,243.20 $12,072 2.4×
Bx breast 1st lesion mr imag (19085) $3,476.40 $5,794 2.0×
Bx breast 1st lesion strtctc (19081) $3,476.40 $5,794 2.0×
Bx breast 1st lesion us imag (19083) $3,476.40 $5,794 2.0×
Catheter aspiration nasotracheal spx (31720) $537 $895 2.3×
Cessj Therapy Cath Removal (37214) $6,906.60 $11,511 2.1×
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $163.80–$603 $273–$1,005 varies
Change ureter stent percut (50382) $5,201.40 $8,669 2.4×
Chemical Cautery Tissue (17250) $506.40 $844 2.4×
Chemodenerv Musc Migraine (64615) $790.80 $1,318 2.4×
Chemodenervation of internal anal sphincter (46505) $1,792.20 $2,987 1.4×
Chest tube placement (32551) $4,172.40 $6,954 2.5×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $8,211.60 $13,686 2.2×
Circumcision w/clamp/oth dev w/block (54150) $5,201.40 $8,669 2.4×
Clear outer ear canal (69200) $325.20 $542 2.3×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,093.80 $1,823 0.6×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $158.40 $264 0.6×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $158.40 $264 0.6×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $158.40 $264 0.6×
Closed tx radial head/neck fx w/manipulation (24655) $1,093.80 $1,823 0.6×
Closed tx radial head/neck fx w/o manipulation (24650) $158.40 $264 0.6×
Closed Tx Talus Fracture W/Manipulation (28435) $1,093.80 $1,823 0.6×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $158.40 $264 0.6×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $158.40 $264 0.6×
Cltx humeral condylar fx medial/lateral w/manj (24577) $1,093.80 $1,823 0.6×
Cltx metacarpal fx w/o manipulation each bone (26600) $158.40 $264 0.6×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $158.40 $264 0.6×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,093.80 $1,823 0.6×
Cltx tibial shaft fx w/o manipulation (27750) $158.40 $264 0.6×
Collect Blood From Catheter Venous Nos (36592) $325.20 $542 2.3×
Collection of venous blood by venipuncture (36415) $46.80 $78 5.0×
Complex drainage wound (10180) $7,243.20 $12,072 2.4×
Control Nasal Hemorrhage Anterior Complex (30903) $325.20 $542 2.3×
Control Nasal Hemorrhage Anterior Simple (30901) $325.20 $542 2.3×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $4,883.40 $8,139 2.4×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $4,204.80 $7,008 2.4×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,629 $2,715 2.1×
Debride nail 1-5 (11720) $162 $270 2.6×
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $162–$325.20 $270–$542 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $4,204.80 $7,008 2.4×
Debridement subcutaneous tissue 20 sq cm/< (11042) $978 $1,630 2.3×
Declot vascular device (36593) $932.40 $1,554 2.7×
Delivery of placenta (59414) $7,928.40 $13,214 2.3×
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines		 $4,167.60–$5,435.40 $6,946–$9,059 varies
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines		 $4,167.60–$5,435.40 $6,946–$9,059 varies
Destruct B9 Lesion 1-14 (17110) $438.60 $731 2.1×
Destruction by neurolytic agent, intercostal nerve (64620) $2,389.80 $3,983 2.6×
Destruction by neurolytic agent; plantar common digital nerve (64632) $762.60 $1,271 2.3×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $506.40 $844 2.4×
Destruction neurolytic agt genicular nerve w/img (64624) $5,040.60 $8,401 2.4×
Destruction premalignant lesion 1st (17000) $506.40 $844 2.4×
Diagnostic sigmoidoscopy (45330) $2,389.20 $3,982 2.4×
Dilat Xst Trc New Access Rcs (50437) $7,431 $12,385 2.0×
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines		 $762.60–$994.20 $1,271–$1,657 varies
Drainage external auditory canal abscess (69020) $1,879.80 $3,133 2.5×
Drainage External Ear Abscess/Hematoma Simple (69000) $1,819.20 $3,032 2.4×
Drainage Finger Abscess Complicated (26011) $1,143 $1,905 0.7×
Drainage of finger abscess simple (26010) $138 $230 0.7×
Drainage of gum lesion (41800) $89.40 $149 0.6×
Drainage of hematoma/fluid (10140) $4,204.80 $7,008 2.4×
Drainage of scrotum (54700) $5,201.40 $8,669 2.4×
Draw Blood Off Venous Device (36591) $325.20 $542 2.3×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $1,819.20 $3,032 2.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $1,046.40 $1,744 2.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $506.40 $844 2.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $506.40 $844 2.4×
Dstrj lesion anus simple surg excision (46922) $7,501.80 $12,503 2.6×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines		 $2,389.80–$3,117.60 $3,983–$5,196 varies
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $1,820.40 $3,034 1.9×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $2,389.80 $3,983 2.6×
Dx Bone Marrow Bx & Aspir (38222) $7,243.20 $12,072 2.4×
Dx Bronchoscope/Wash (31622) $3,706.20 $6,177 2.0×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,807.20 $3,012 2.4×
Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) $11,916 $19,860 2.0×
Endometrial Biopsy (58100) $356.40 $594 1.7×
Endoscopy Upper Small Intestine (44360) $4,037.40 $6,729 2.0×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $6,906.60 $11,511 2.1×
Endoven ther chem adhes 1st (36482) $12,552.60 $20,921 2.1×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) $4,037.40 $6,729 2.0×
Epidural Blood Patch (62273) $1,807.20 $3,012 2.4×
Episiotomy or vaginal repair (59300) $7,928.40 $13,214 2.3×
Ercp Dx Collection Specimen Brushing/Washing (43260) $9,373.80 $15,623 2.3×
Esophagoscopy Flexible Transoral Diagnostic (43200) $2,373.60 $3,956 2.5×
Evacuation of subungual hematoma (11740) $325.20 $542 2.3×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $4,204.80 $7,008 2.4×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $1,273.20 $2,122 1.7×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $1,819.20 $3,032 2.4×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $7,278.60 $12,131 1.9×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $5,201.40 $8,669 2.4×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $4,037.40 $6,729 2.0×
Excision of pilonidal cyst or sinus; simple (11770) $7,591.80 $12,653 2.5×
Excision Pilonidal Cyst/Sinus Complicated (11772) $1,968.60 $3,281 0.6×
External cephalic version (59412) $6,555 $10,925 1.9×
Fasciectomy Plantar Fascia Partial Spx (28060) $8,347.20 $13,912 2.4×
Fetal Contraction Stress Test (59020) $499.80 $833 2.3×
Fetal non-stress test (59025) $499.80 $833 2.3×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,819.20 $3,032 2.4×
Fine needle aspiration without imaging guidance (10021) $794.40 $1,324 1.8×
Fluoro exam of g/colon tube (49465) $654.60 $1,091 2.6×
Fna bx w/us gdn 1st les (10005) $1,819.20 $3,032 2.4×
Guide Cathet Fluid Drainage (10030) $1,819.20 $3,032 2.4×
I&d abscess simple (10060) $506.40 $844 2.4×
I&d deep absc bursa/hematoma thigh/knee region (27301) $7,243.20 $12,072 2.4×
I&D Deep Absc/Hematoma Neck/Chest (21501) $7,243.20 $12,072 2.4×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $8,347.20 $13,912 2.4×
I&d pilonidal cyst complicated (10081) $494.40 $824 0.7×
I&d pilonidal cyst simple (10080) $1,819.20 $3,032 2.4×
Icd Pocket Revision (33223) $4,001.40 $6,669 1.8×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $1,914 $3,190 2.0×
Image Cath Fluid Colxn Visc (49405) $3,476.40 $5,794 2.0×
Image Cath Fluid Peri/Retro (49406) $3,476.40 $5,794 2.0×
Implant neuroelectrodes (63650) $15,310.20 $25,517 2.3×
Implant Spine Infusion Pump (62362) $47,499 $79,165 2.5×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) $17,325.60 $28,876 1.9×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $163.80–$649.80 $273–$1,083 varies
Incision & drainage abscess complicated/multiple (10061) $1,046.40 $1,744 2.4×
Incision & drainage leg/ankle abscess/hematoma (27603) $7,243.20 $12,072 2.4×
Incision & removal foreign body subq tiss simple (10120) $1,046.40 $1,744 2.4×
Incision and drainage of bartholin's gland abscess (56420) $136.20 $227 0.6×
Incision and drainage of vulva or perineal abscess (56405) $222.60 $371 0.7×
Incision of lingual frenum (frenotomy) (41010) $3,892.20 $6,487 2.4×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $825–$2,603.40 $1,375–$4,339 varies
Incisional biopsy skin single lesion (11106) $1,629 $2,715 2.1×
Initial Tx 1st Degree Burn Local Tx (16000) $506.40 $844 2.4×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $2,183.40–$3,117.60 $3,639–$5,196 varies
Inj W/Fluor Eval Cv Device (36598) $478.80 $798 2.1×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $2,389.80 $3,983 2.6×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines		 $2,389.80–$3,117.60 $3,983–$5,196 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $762.60–$994.20 $1,271–$1,657 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $1,820.40 $3,034 1.9×
Injection aa&/strd genicular nrv branches w/img (64454) $1,807.20 $3,012 2.4×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $2,389.80 $3,983 2.6×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,807.20 $3,012 2.4×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines		 $1,807.20–$2,357.40 $3,012–$3,929 varies
Injection Anes Agent Sphenopalatine Ganglion (64505) $762.60 $1,271 2.3×
Injection Anes Superior Hypogastric Plexus (64517) $2,389.80 $3,983 2.6×
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines		 $1,807.20–$2,357.40 $3,012–$3,929 varies
Injection for identification of sentinel node (38792)
range across 2 matching MRF lines		 $901.20–$1,175.40 $1,502–$1,959 varies
Injection single tendon origin/insertion (20551) $762.60 $1,271 2.3×
Injection single/mlt trigger point 1/2 muscles (20552) $762.60 $1,271 2.3×
Injection single/mlt trigger point 3/> muscles (20553) $762.60 $1,271 2.3×
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines		 $790.80–$981 $1,318–$1,635 varies
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines		 $1,820.40–$3,117.60 $3,034–$5,196 varies
Injection, anesthetic agent; femoral nerve, single (64447) $1,807.20 $3,012 2.4×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 4 matching MRF lines		 $762.60–$2,357.40 $1,271–$3,929 varies
Injection, intralesional; up to and including 7 lesions (11900) $506.40 $844 2.4×
Ins cath ren art 1st bilat (36252) $6,906.60 $11,511 2.1×
Ins cath ren art 1st unilat (36251) $6,906.60 $11,511 2.1×
Ins cath ren art 2nd+ bilat (36254) $6,906.60 $11,511 2.1×
Ins cath ren art 2nd+ unilat (36253) $9,097.20 $15,162 1.5×
Ins endovas vena cava filtr (37191) $9,097.20 $15,162 1.5×
Ins/Rep Subq Defibrillator (33270) $74,365.80 $123,943 2.2×
Insert 1 Electrode Pm-Defib (33216) $18,924.60 $31,541 2.2×
Insert Bladder Cath Complex (51703) $408 $680 3.0×
Insert cath pleura w/ image (32557) $4,172.40 $6,954 2.5×
Insert cath pleura w/o image (32556) $4,883.40 $8,139 2.4×
Insert cervical dilator (59200) $818.40 $1,364 2.5×
Insert Drug Implant Device (11981) $340.80 $568 2.4×
Insert Gastrostomy Tube Percutaneous (49440) $4,883.40 $8,139 2.4×
Insert Heart Pm Atrial (33206) $23,946.60 $39,911 2.2×
Insert Heart Pm Ventricular (33207) $23,946.60 $39,911 2.2×
Insert non-tunnel cv cath (36556) $8,353.80 $13,923 2.5×
Insert Pacing Lead & Connect (33224) $23,946.60 $39,911 2.2×
Insert pulse gen dual leads (33213) $23,946.60 $39,911 2.2×
Insert pulse gen mult leads (33221) $43,289.40 $72,149 2.1×
Insert Pulse Gen Sngl Lead (33212) $18,924.60 $31,541 2.2×
Insert Temp Bladder Cath (51702) $325.20 $542 2.3×
Insert tun ip cath perc (49418) $9,932.40 $16,554 2.6×
Insert tunneled cv cath (36561) $8,353.80 $13,923 2.5×
Insert,Non-Indwelling Bladder Catheter (51701) $325.20 $542 2.3×
Insertion indwelling tunneled pleural catheter (32550) $9,932.40 $16,554 2.6×
Insertion Picc W/Rs&I 5 Yr/> (36573) $4,172.40 $6,954 2.5×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $18,924.60 $31,541 2.2×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $8,211.60 $13,686 2.2×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $18,924.60 $31,541 2.2×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $4,172.40 $6,954 2.5×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $8,353.80 $13,923 2.5×
Insj/Rplcmt Defib W/Lead(S) (33249) $74,365.80 $123,943 2.2×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $68,064.60 $113,441 2.1×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $18,924.60 $31,541 2.2×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) $18,924.60 $31,541 2.2×
Insrt heart pm atrial & vent (33208) $23,946.60 $39,911 2.2×
Insrt Pulse Gen W/Dual Leads (33230) $52,902 $88,170 2.2×
Insrt Pulse Gen W/Mult Leads (33231) $74,365.80 $123,943 2.2×
Insrt Pulse Gen W/Singl Lead (33240) $52,902 $88,170 2.2×
Intro cath dialysis circuit (36901) $3,449.40 $5,749 2.1×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $24,610.20 $41,017 2.0×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $12,091.80 $20,153 2.0×
Intro Gastrointestinal Tube (44500) $2,314.80 $3,858 2.4×
Intubation endotracheal emergency procedure (31500)
range across 3 matching MRF lines		 $235.80–$481.80 $393–$803 varies
Late closure of wound (13160) $4,839.60 $8,066 1.3×
Ligation of a-v fistula (37607) $6,906.60 $11,511 2.1×
Manipulation knee joint under general anesthesia (27570) $4,294.20 $7,157 2.5×
Maternity Care Procedure (59899) $413.40 $689 1.9×
Mech remov tunneled cv cath (36595) $8,110.80 $13,518 2.4×
Myelography Lumbar Injection (62305) $2,077.20 $3,462 2.5×
Myelography Lumbar Injection (62304) $2,077.20 $3,462 2.5×
Myelography via lumbar injection rs&i cervical (62302) $2,077.20 $3,462 2.5×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $2,077.20 $3,462 2.5×
N Block Inj Celiac Pelus (64530) $2,389.80 $3,983 2.6×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines		 $1,807.20–$2,357.40 $3,012–$3,929 varies
N block inj intercost sng (64420) $1,807.20 $3,012 2.4×
N Block Inj Plantar Digit (64455) $762.60 $1,271 2.3×
N Block Inj Pudendal (64430) $2,389.80 $3,983 2.6×
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines		 $2,389.80–$3,117.60 $3,983–$5,196 varies
Nasal/Orogastric W/Tube Plmt (43752) $1,057.80 $1,763 2.2×
Needle Biopsy Lymph Nodes (38505) $4,204.80 $7,008 2.4×
Needle Biopsy Pancreas (48102) $2,656.20 $4,427 1.5×
Needle insertion w/o injection 1 or 2 muscles (20560) $70.20 $117 2.3×
Needle insertion w/o injection 3 or more muscles (20561) $70.20 $117 2.3×
Njx anes stellate ganglion crv sympathetic (64510) $2,389.80 $3,983 2.6×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 3 matching MRF lines		 $762.60–$994.20 $1,271–$1,657 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $5,863.80 $9,773 1.5×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $5,863.80 $9,773 1.5×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $2,183.40–$3,117.60 $3,639–$5,196 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,807.20 $3,012 2.4×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,807.20 $3,012 2.4×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,807.20 $3,012 2.4×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $1,449.60 $2,416 2.0×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $1,473.60 $2,456 2.0×
Obstructive material removal from gi tube (49460) $1,914 $3,190 2.0×
Occipital Nerve Block (64405)
range across 3 matching MRF lines		 $762.60–$994.20 $1,271–$1,657 varies
Open/Perq Place Stent 1St (37236) $24,610.20 $41,017 2.0×
Open/Perq Place Stent Same (37238) $24,610.20 $41,017 2.0×
Percut Drain/Inject Renal Cyst (50390) $1,819.20 $3,032 2.4×
Percut Mech Thrombectomy, Venous, Repeat (37188) $6,906.60 $11,511 2.1×
Pericardiocentesis W/Imaging (33016) $3,449.40 $5,749 2.1×
Perq Cervicothoracic Inject (22510) $6,901.20 $11,502 2.0×
Perq dev breast 1st strtctc (19283) $1,504.20 $2,507 2.0×
Perq dev breast 1st us imag (19285) $1,504.20 $2,507 2.0×
Perq device breast 1st imag (19281) $3,476.40 $5,794 2.0×
Perq dilation xst trc endourologic px w/img (50436) $7,431 $12,385 2.0×
Perq Lumbosacral Injection (22511) $6,901.20 $11,502 2.0×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $24,610.20 $41,017 2.0×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $12,091.80 $20,153 2.0×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $15,335.40 $25,559 2.0×
Perq Vertebral Augmentation (22513) $15,335.40 $25,559 2.0×
Place Cath Subclavian Art (36225)
range across 2 matching MRF lines		 $6,906.60–$9,009 $11,511–$15,015 varies
Place Cath Thoracic Aorta (36221) $6,906.60 $11,511 2.1×
Place Cath Vertebral Art (36226)
range across 3 matching MRF lines		 $11,916–$15,543 $19,860–$25,905 varies
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $4,300.20 $7,167 1.9×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693)
range across 2 matching MRF lines		 $6,418.20–$9,626.40 $10,697–$16,044 varies
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $8,988 $14,980 2.4×
Prim art mech thrombectomy (37184) $24,610.20 $41,017 1.3×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) $18,518.40 $30,864 2.7×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $7,092.60 $11,821 1.9×
Pseudoaneurysm Injection Trt (36002) $1,341 $2,235 2.0×
Punch biopsy skin single lesion (11104) $1,046.40 $1,744 2.4×
Puncture aspiration abscess hematoma bulla/cyst (10160) $1,046.40 $1,744 2.4×
Puncture Aspiration Cyst Breast (19000) $1,819.20 $3,032 2.4×
Puncture shunt tube/reservoir aspiration/inj px (61070) $1,807.20 $3,012 2.4×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $1,849.20 $3,082 2.5×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625)
range across 2 matching MRF lines		 $5,040.60–$6,251.40 $8,401–$10,419 varies
Rbc DNA gntyp 12 bld grp gen (0282U) $4,410 $7,350 6.1×
Redo Endovas Vena Cava Filtr (37192) $6,906.60 $11,511 2.1×
Relocation Pocket Pacemaker (33222) $4,001.40 $6,669 1.8×
Rem Endovas Vena Cava Filter (37193) $6,906.60 $11,511 2.1×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $2,070 $3,450 2.2×
Removal Foreign Body Foot Subcutaneous (28190) $1,878.60 $3,131 2.5×
Removal impacted cerumen irrigation/lvg unilat (69209) $162 $270 2.6×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $162 $270 2.6×
Removal of nail bed (11750) $1,046.40 $1,744 2.4×
Removal of tunneled intraperitoneal catheter (49422) $8,353.80 $13,923 2.5×
Removal Pacemaker Electrode (33235) $7,768.80 $12,948 2.0×
Removal ppm generator only (33233) $18,924.60 $31,541 2.2×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $506.40 $844 2.4×
Removal subcutaneous cardiac rhythm monitor (33286) $1,504.20 $2,507 2.0×
Removal/bivalving gauntlet boot/body cast (29700) $183 $305 0.6×
Remove drug implant device (11982) $1,057.80 $1,763 2.2×
Remove Elctrd Transvenously (33244) $24,277.80 $40,463 6.1×
Remove foreign body from eye (65205) $268.80 $448 1.9×
Remove intrvas foreign body (37197) $6,906.60 $11,511 2.1×
Remove lung catheter (32552) $1,621.80 $2,703 2.4×
Remove Nasal Foreign Body (30300) $325.20 $542 2.3×
Remove Pulse Generator (33241) $7,768.80 $12,948 2.0×
Remove renal tube w/fluoro (50389) $1,449.60 $2,416 2.0×
Remove ureter stent percut (50384) $5,201.40 $8,669 2.4×
Remove&replace pm gen singl (33227) $18,924.60 $31,541 2.2×
Remv&replc cvd gen dual lead (33263) $52,902 $88,170 2.2×
Remv&replc cvd gen mult lead (33264) $74,365.80 $123,943 2.2×
Remv&replc cvd gen sing lead (33262) $52,902 $88,170 2.2×
Remv&replc pm gen dual lead (33228) $23,946.60 $39,911 2.2×
Remv&replc pm gen mult leads (33229) $43,289.40 $72,149 2.1×
Renal Biopsy Perq (50200) $4,204.80 $7,008 2.4×
Repair Blood Vessel Direct Upper Extremity (35206) $6,906.60 $11,511 2.1×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $442.80 $738 1.0×
Repair complex trunk 1.1-2.5 cm (13100) $1,629 $2,715 2.1×
Repair complex trunk 2.6-7.5 cm (13101) $1,629 $2,715 2.1×
Repair Elbow Perc (24357) $6,901.20 $11,502 2.0×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,046.40 $1,744 2.4×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,046.40 $1,744 2.4×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $1,046.40 $1,744 2.4×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,046.40 $1,744 2.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $285–$1,046.40 $475–$1,744 varies
Repair lead pace-defib dual (33220) $7,768.80 $12,948 2.0×
Repair Lead Pace-Defib One (33218) $7,768.80 $12,948 2.0×
Repair of nail bed (11760) $1,629 $2,715 2.1×
Repair tongue laceration (41252) $238.20 $397 1.0×
Repair tongue laceration (41250) $288 $480 0.6×
Replace duodenostomy/jejunostomy tube perq (49451) $2,314.80 $3,858 2.4×
Replace G-J Tube Perc (49452) $2,314.80 $3,858 2.4×
Replace g/c tube perc (49450) $2,314.80 $3,858 2.4×
Reposition Gastrostomy Tube (43761) $603 $1,005 2.3×
Reposition L Ventric Lead (33226) $6,906.60 $11,511 2.1×
Reposition Pacing-Defib Lead (33215) $6,906.60 $11,511 2.1×
Reposition Venous Catheter (36597) $4,172.40 $6,954 2.5×
Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg,… (35883) $11,935.80 $19,893 2.0×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $15,310.20 $25,517 2.3×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $11,426.40 $19,044 1.9×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $5,738.40 $9,564 1.6×
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) $26,041.80 $43,403 4.3×
Revsc evasc fpvt angiop uni sf les 1st vsl (37263) $6,420 $10,700 1.1×
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) $41,353.20 $68,922 2.1×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271) $41,353.20 $68,922 2.1×
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277)
unusually low: confirm this is the full procedure		 $6,420 $10,700 0.3×
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) $41,353.20 $68,922 2.1×
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) $41,353.20 $68,922 3.4×
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) $26,041.80 $43,403 2.1×
Revsc evasc imvt angiop uni cplx les 1st vsl (37298) $41,353.20 $68,922 3.4×
Revsc evasc imvt angiop uni sf les 1st vsl (37296) $26,041.80 $43,403 2.1×
Revsc evasc ivt angiop uni cplx les 1st vsl (37256) $12,839.40 $21,399 2.1×
Revsc evasc ivt angiop uni sf les 1st vsl (37254) $12,839.40 $21,399 2.1×
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) $26,041.80 $43,403 2.1×
Revsc evasc ivt st plmt uni sf les 1st vsl (37258) $26,041.80 $43,403 2.1×
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) $41,353.20 $68,922 3.4×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280) $26,041.80 $43,403 2.1×
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) $41,353.20 $68,922 2.1×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $41,353.20 $68,922 2.1×
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) $26,041.80 $43,403 1.3×
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) $41,353.20 $68,922 2.1×
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) $41,353.20 $68,922 2.1×
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) $41,353.20 $68,922 2.1×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $5,201.40 $8,669 2.4×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $2,314.80 $3,858 2.4×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $874.80 $1,458 1.9×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $874.80 $1,458 1.9×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $4,204.80 $7,008 2.4×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $4,167.60 $6,946 2.0×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $14,324.40 $23,874 4.0×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $7,768.80 $12,948 2.0×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $4,172.40 $6,954 2.5×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,621.80 $2,703 2.4×
Rplc Gtube No Revj Trc (43762) $603 $1,005 2.3×
Rplc gtube revj gstrst trc (43763) $603 $1,005 2.3×
Rplcmt cath ctr vad subq port/pmp (36578) $8,353.80 $13,923 2.5×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $4,172.40 $6,954 2.5×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $4,172.40 $6,954 2.5×
Rplcmt compl tun ctr vad w/subq port (36582) $8,353.80 $13,923 2.5×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $8,353.80 $13,923 2.5×
Rpr blood vessel direct lower extremity (35226) $1,504.20 $2,507 2.0×
Rpr blvsl w/grf other/than vein lower extremity (35286) $11,916 $19,860 2.0×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $506.40 $844 2.4×
Rpr Lip Full Thickness Vermilion Only (40650) $1,281 $2,135 2.2×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $1,599 $2,665 2.4×
Sclerotx Fluid Collection (49185) $3,003 $5,005 1.7×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $1,046.40 $1,744 2.4×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $506.40 $844 2.4×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $506.40 $844 2.4×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $506.40 $844 2.4×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $506.40 $844 2.4×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $506.40 $844 2.4×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $506.40 $844 2.4×
Skin sub graft face/nk/hf/g (15275) $4,001.40 $6,669 5.1×
Skin sub graft trnk/arm/leg (15271) $4,001.40 $6,669 5.1×
Skin sub grft t/arm/lg child (15273) $7,542 $12,570 3.5×
Skn sub grft f/n/hf/g child (15277) $4,001.40 $6,669 1.8×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 2 matching MRF lines		 $11,916–$15,543 $19,860–$25,905 varies
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 2 matching MRF lines		 $6,906.60–$9,009 $11,511–$15,015 varies
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $11,916 $19,860 2.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $506.40 $844 2.4×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $1,046.40 $1,744 2.4×
Spinal puncture lumbar diagnostic (62270) $1,807.20 $3,012 2.4×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $4,423.20 $7,372 2.0×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $8,406 $14,010 2.5×
Strapping ankle (29540) $408.60 $681 2.4×
Strapping elbow or wrist (29260) $162 $270 2.6×
Strapping hand/finger (29280) $162 $270 2.6×
Strapping knee (29530) $325.20 $542 2.3×
Strapping shoulder (29240) $325.20 $542 2.3×
Strapping toes (29550) $162 $270 2.6×
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $408.60–$532.80 $681–$888 varies
Tangential biopsy skin single lesion (11102) $506.40 $844 1.2×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $63,304.20 $105,507 2.1×
Tenotomy Percutaneous Toe Single Tendon (28010) $2,871.60 $4,786 1.7×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) $28,410 $47,350 2.1×
Thrmbc/Nfs Dialysis Circuit (36906) $39,825 $66,375 2.1×
Thromblytic art/ven therapy (37213) $6,906.60 $11,511 2.1×
Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) $13,066.20 $21,777 2.2×
Thrombolytic Art Therapy (37211)
range across 2 matching MRF lines		 $11,916–$15,543 $19,860–$25,905 varies
Thrombolytic Venous Therapy (37212) $6,906.60 $11,511 2.1×
Thyroid biopsy (60100) $1,819.20 $3,032 2.4×
Tracheostomy planned (31600) $6,596.40 $10,994 1.9×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $676.80 $1,128 2.1×
Transcatheter biopsy (37200) $9,309.60 $15,516 1.6×
Treat humerus fracture (24500) $158.40 $264 0.6×
Treat humerus fracture (23600) $158.40 $264 0.6×
Treatment closed elbow dislocation w/o anes (24600) $158.40 $264 0.6×
Trim skin lesion (11055) $506.40 $844 2.4×
Trim skin lesions 2 to 4 (11056) $506.40 $844 2.4×
Trim skin lesions over 4 (11057) $506.40 $844 2.4×
Trimming Nondystrophic Nails Any Number (11719) $162 $270 2.6×
Trluml Balo Angiop 1St Art (37246) $12,091.80 $20,153 2.0×
Trluml Balo Angiop 1St Vein (37248) $12,091.80 $20,153 2.0×
Tx Gastro Intub W/Asp (43753) $786 $1,310 3.4×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,629 $2,715 2.1×
Unlisted Procedure Casting/Strapping (29799) $408.60 $681 2.4×
Unlisted procedure foot or toes (28899) $342.60 $571 1.3×
Unlisted procedure nervous system (64999)
range across 4 matching MRF lines		 $630.60–$822 $1,051–$1,370 varies
Unlisted Procedure Vascular Surgery (37799) $1,365 $2,275 2.1×
Upgrade of pacemaker system (33214) $23,946.60 $39,911 2.2×
Vaginal delivery only (59409)
range across 2 matching MRF lines		 $2,725.80–$2,968.20 $4,543–$4,947 varies
Vasc embolize/occlude artery (37242) $24,610.20 $41,017 1.3×
Vasc Embolize/Occlude Bleed (37244) $24,610.20 $41,017 2.0×
Vasc Embolize/Occlude Organ (37243) $24,610.20 $41,017 2.0×
Vasc embolize/occlude venous (37241) $24,610.20 $41,017 2.0×
Venous Mech Thrombectomy (37187) $24,610.20 $41,017 2.0×
Wedge excision skin nail fold (11765) $285 $475 0.7×
Wound Prep F/N/Hf/G (15004) $1,347 $2,245 3.1×
Wound Prep Trk/Arm/Leg (15002) $4,001.40 $6,669 5.1×

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.