Procedures & surgery prices at Rockcastle Regional Hospital and Respiratory Care Center

Mount Vernon, KY · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $234.08 $308 0.3×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $212.04 $279 0.2×
Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) $120.08 $158 0.1×
Acne Surgery (10040) $104.12 $137 0.6×
Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) $1,852.88 $2,438 1.0×
Anoscopy diagnostic (46600) $151.24 $199 1.2×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $63.08 $83 0.4×
Application cast elbow finger short arm (29075) $99.56 $131 0.4×
Application Finger Splint Dynamic (29131) $234.08 $308 4.2×
Application finger splint static (29130) $167.20 $220 1.3×
Application long arm splint shoulder hand (29105) $275.12 $362 1.8×
Application long leg splint thigh ankle/toes (29505) $401.28 $528 2.6×
Application Short Arm Splint Dynamic (29126) $378.48 $498 3.0×
Application short arm splint forearm-hand static (29125) $136.80 $180 1.1×
Application short leg splint calf foot (29515) $237.12 $312 1.6×
Apply multlay comprs arm/hand (29584) $37.24 $49 0.2×
Apply short leg cast (29425) $114 $150 0.4×
Arterial puncture (36600) $120.84 $159 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $171 $225 0.6×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $123.88 $163 0.4×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $152.76 $201 0.5×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $149.72 $197 0.5×
Artif insemination,intra-cervical (58321) $96.52 $127 0.3×
Artificial insemination (58322) $123.12 $162 0.6×
Aspirat/Injection Ganglion Cyst(S) (20612) $84.36 $111 0.3×
Aspiration Bladder Insert Suprapubic Catheter (51102) $426.36 $561 0.2×
Aspiration bladder needle (51100) $291.84 $384 1.2×
Avulsion nail plate partial/complete simple 1 (11730) $291.84 $384 1.6×
Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) $221.92 $292 0.3×
Biopsy external ear (69100) $139.08 $183 0.6×
Biopsy of penis (54100) $333.64 $439 0.2×
Biopsy of prostate (55705) $329.08 $433 0.1×
Biopsy of uterus lining (58100) $205.20 $270 1.1×
Biopsy soft tissue neck/thorax (21550) $384.56 $506 0.2×
Biopsy Vaginal Mucosa Simple (57100) $181.64 $239 0.2×
Biopsy/removal lymph nodes (38525) $670.32 $882 0.2×
Biopsy/removal lymph nodes (38510) $882.36 $1,161 0.2×
Bladder Instillation Anticarcinogenic Agent (51720) $231.04 $304 0.4×
Bladder Irrigation Simple (51700) $41.04 $54 0.2×
Bladder Scan (51798) $32.68 $43 0.6×
Blood transfusion service (36430) $279.68 $368 0.7×
Bone Marrow Biopsy (38221) $265.24 $349 0.2×
Bx breast 1st lesion mr imag (19085) $2,167.52 $2,852 1.4×
Bx breast 1st lesion strtctc (19081) $1,441.72 $1,897 0.9×
Bx breast 1st lesion us imag (19083) $1,406.76 $1,851 0.9×
Bx breast needle core w/o imaging guidance spx (19100) $177.08 $233 0.1×
Bx vulva/perineum 1 lesion (56605) $206.72 $272 0.2×
Bx/exc lymph node needle superficial (38505) $160.36 $211 0.1×
Cautery Cervix Cryocautery Initial or Repeat (57511) $224.20 $295 0.8×
Cervical lymphadenectomy (complete) (38720)
unusually low: confirm this is the full procedure
$2,093.04 $2,754 0.3×
Change Cystostomy Tube Complicated (51710) $237.88 $313 0.4×
Change Cystostomy Tube Simple (51705) $169.48 $223 0.7×
Chemical Cautery Tissue (17250) $80.94 $106.50 0.4×
Chemodenerv Musc Migraine (64615) $199.12 $262 0.7×
Chemodenerv Musc Neck Dyston (64616) $223.44 $294 0.8×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $228 $300 0.8×
Chest tube placement (32551) $454.48 $598 0.3×
Circumcision (54150) $296.40 $390 0.2×
Close Rx Fingr Articular Fx,Manip (26742) $772.16 $1,016 0.5×
Closed Rx Mid Humerus Fx,Manipulatn (24505) $961.40 $1,265 0.6×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $944.68 $1,243 0.6×
Closed Rx Shldr Disloc,Gr Tub Fx (23665) $688.70 $906.18 0.5×
Closed Rx Spontaneous Hip Disloc (27256) $521.36 $686 2.3×
Closed Rx Trauma Hip Disloc,Anesth (27252) $1,824 $2,400 1.2×
Closed Treatment Coccygeal Fracture (27200) $532 $700 2.3×
Closed treatment nasal fracture w/stabilization (21320) $366.32 $482 0.1×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $977.36 $1,286 4.2×
Closed tx ankle dislocation w/o anesthesia (27840) $748.60 $985 3.2×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $941.64 $1,239 0.6×
Closed tx knee dislocation w/o anesthesia (27550) $846.64 $1,114 3.7×
Closed tx metatarsal fracture w/o manipulation (28470) $769.12 $1,012 3.3×
Closed tx nasal fracture w/o stabilization (21315) $399.76 $526 0.3×
Closed tx patellar dislocation w/anesthesia (27562) $1,228.16 $1,616 5.3×
Closed tx patellar dislocation w/o anesthesia (27560) $1,065.52 $1,402 4.6×
Closed tx radial head/neck fx w/manipulation (24655) $843.60 $1,110 0.6×
Closed tx scapular fracture w/o manipulation (23570) $627.76 $826 2.7×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $291.84 $384 1.3×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $823.84 $1,084 0.5×
Closure cystostomy separate procedure (51880) $828.40 $1,090 0.3×
Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) $370.50 $487.50 1.7×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $652.08 $858 2.8×
Clsd tx clavicular fracture w/manipulation (23505) $598.12 $787 0.4×
Clsd tx clavicular fracture w/o manipulation (23500) $627.76 $826 2.7×
Clsd tx shoulder dislc w/manipulation req anes (23655) $773.68 $1,018 0.5×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $883.12 $1,162 3.8×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,006.24 $1,324 0.7×
Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) $951.52 $1,252 4.1×
Cltx dstl fibular fx lat malls w/manj (27788) $1,181.04 $1,554 5.1×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $649.04 $854 2.8×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $532 $700 2.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,185.60 $1,560 0.8×
Cltx fx grt toe phlx/phlg w/manj (28495) $312.36 $411 1.3×
Cltx fx grt toe phlx/phlg w/o manj (28490) $366.32 $482 1.6×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $337.44 $444 1.5×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $341.24 $449 1.5×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,181.04 $1,554 0.8×
Cltx hip dislocation traumatic w/o anesthesia (27250) $1,430.32 $1,882 6.2×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $475 $625 2.1×
Cltx iphal jt dislc w/manj w/o anes (26770) $478.04 $629 2.1×
Cltx metacarpal fx w/manipulation each bone (26605) $674.12 $887 2.9×
Cltx metacarpal fx w/o manipulation each bone (26600) $443.84 $584 1.9×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $609.52 $802 0.4×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $883.12 $1,162 3.8×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $342 $450 0.2×
Cltx metatarsophlngl jt dislc w/o anes (28630) $413.44 $544 1.8×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $728.08 $958 3.1×
Cltx Post Hip Arthrp Dislc Req Anes (27266) $1,006.24 $1,324 0.7×
Cltx post hip arthrp dislc w/o anes (27265) $798.76 $1,051 3.5×
Cltx prox fibula/shft fx w/manj (27781) $829.92 $1,092 0.6×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $990.28 $1,303 0.7×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $552.52 $727 2.4×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $1,286.68 $1,693 0.9×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,006.24 $1,324 0.7×
Colonoscopy flex w/rem forcep (45384) $755.82 $994.50 0.7×
Colonoscopy stoma w/snare (44394) $497.80 $655 0.4×
Colonoscopy through stoma; with directed submucosal injection(s), any substance (44404) $566.58 $745.50 0.5×
Colonoscopy thru stoma (44388) $433.20 $570 0.5×
Colonoscopy w/ablation (45388) $3,558.32 $4,682 3.2×
Colonoscopy w/band ligation (45398) $1,193.96 $1,571 1.1×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $332.12 $437 1.2×
Colposcopy cervix upper/adjacent vagina (57452) $245.48 $323 1.3×
Colposcopy cervix vag loop eltrd bx cervix (57460) $480.32 $632 0.2×
Colposcopy entire vagina w/cervix if present (57420) $168.72 $222 0.6×
Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) $307.80 $405 1.1×
Colposcopy vulva (56820) $158.08 $208 0.8×
Colposcopy vulva w/biopsy (56821) $211.28 $278 0.7×
Colposcopy,Cervix W/Adj Vagina, Curettag (57456) $271.32 $357 0.9×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $224.96 $296 0.3×
Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) $1,127.84 $1,484 1.0×
Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) $907.44 $1,194 0.8×
Colsc flx with directed submucosal njx any sbst (45381) $337.06 $443.50 0.3×
Complete replacement picc rs&i (36584) $172.52 $227 0.1×
Complex Drainage, Wound (10180) $411.92 $542 0.2×
Conization of cervix (57522) $462.84 $609 0.2×
Control Nasal Hemorrhage Anterior Complex (30903) $383.80 $505 3.1×
Control Nasal Hemorrhage Anterior Simple (30901) $264.48 $348 2.1×
Cryotherapy of skin (17340) $74.48 $98 1.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $554.04 $729 4.4×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $346.56 $456 1.6×
Cysto Bladder W/Ureteral Catheterization (52005) $272.84 $359 0.1×
Cysto insj urtrl gd wire prq nfros rtrgr (52334) $281.96 $371 0.1×
Cysto w fulg of minor lesions <0.5cm (52224) $1,376.36 $1,811 0.4×
Cysto w/destruction of lesions (52214) $1,293.52 $1,702 0.4×
Cysto w/removal of tumors small (52234) $416.10 $547.50 0.1×
Cysto W/Simple Removal Stone & Stent (52310) $520.60 $685 0.3×
Cysto w/tx ureteropelvic junction stricture (52342) $581.40 $765 0.2×
Cysto w/ureter stricture tx (52341) $504.64 $664 0.2×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $546.82 $719.50 0.2×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $562.40 $740 0.2×
Cysto w/urtroscopy w/tx urtropel junct strix (52345) $747.08 $983 0.2×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
likely a partial charge, not the full procedure
$652.08 $858 0.1×
Cysto/uretero w/lithotripsy (52356)
likely a partial charge, not the full procedure
$635.74 $836.50 0.1×
Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353)
likely a partial charge, not the full procedure
$672.60 $885 0.1×
Cystoscopy and treatment (52330) $430.16 $566 0.1×
Cystoscopy stone removal (52325)
likely a partial charge, not the full procedure
$547.20 $720 0.1×
Cystoscopy w/biopsy (52204) $677.16 $891 0.3×
Cystoscopy w/complex removal stone & stent (52315) $801.80 $1,055 0.4×
Cystoscopy,Dil Urethral Stricture (52281) $469.68 $618 0.2×
Cystoscopy,insert ureteral stent (52332) $642.96 $846 0.2×
Cystostomy Cystotomy W/Drainage (51040) $513 $675 0.3×
Cystourethroscopy (52000) $371.64 $489 0.6×
Cystourethroscopy Inj Chemodenervation Bladder (52287) $645.24 $849 0.3×
Cystourethroscopy w/dil bladder general anesth (52260) $373.92 $492 0.2×
Cystourethroscopy W/Irrig & Evac Clots (52001) $762.28 $1,003 0.2×
Cystourethroscopy w/rmvl ureteral calculus (52320) $421.80 $555 0.1×
Cystourethroscopy with direct vision internal urethrotomy (52276) $470.44 $619 0.2×
Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) $637.64 $839 0.3×
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) $571.52 $752 0.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $76.76 $101 0.2×
Debride nail 1-5 (11720) $66.88 $88 1.2×
Debride nail 6 or more (11721) $69.92 $92 1.3×
Debridement subcutaneous tissue 20 sq cm/< (11042) $142.12 $187 0.4×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $321.86 $423.50 0.5×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $494.76 $651 0.3×
Delivery placenta separate procedure (59414) $188.48 $248 0.1×
Destroy cerv/thor facet jnt (64633) $571.90 $752.50 0.3×
Destroy lumb/sac facet jnt (64635) $565.82 $744.50 0.3×
Destruc Benign/Premal,15+ Lesions (17004) $316.92 $417 0.8×
Destruction benign lesions 15 or more (17111) $177.84 $234 0.9×
Destruction Benign Lesions Up To 14 (17110) $120.08 $158 0.6×
Destruction Lesions Vulva Simple (56501) $209 $275 0.1×
Destruction premalignant lesion 1st (17000) $104.88 $138 0.6×
Diagnostic sigmoidoscopy (45330) $304 $400 0.3×
Drain Ext Ear Absc/Blood,Complic (69005) $398.24 $524 0.3×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $397.48 $523 0.6×
Drain outer ear canal lesion (69020) $381.52 $502 0.6×
Drain/inj small joint/bursa w/us (20604) $122.36 $161 0.4×
Drainage Abscess/Hematoma Nasal Septum (30020) $300.20 $395 0.6×
Drainage External Ear Abscess/Hematoma Simple (69000) $289.56 $381 0.4×
Drainage Finger Abscess Complicated (26011) $769.12 $1,012 0.5×
Drainage Finger Abscess Simple (26010) $532 $700 2.8×
Drainage of eyelid abscess (67700) $285 $375 1.0×
Drainage of gum lesion (41800) $288.04 $379 2.3×
Drainage of hematoma/fluid (10140) $215.46 $283.50 0.1×
Drainage of scrotal wall abscess (55100) $399 $525 0.3×
Drg absc cst hmtma vestibule mouth comp (40801) $498.56 $656 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $136.80 $180 0.7×
Dry Needling 3+ Muscles (20561) $101.84 $134 3.8×
Dstrj lesion anus simple surg excision (46922) $433.20 $570 0.2×
Dx bone marrow bx & aspir (38222) $304 $400 0.1×
Egd balloon dilation esophagus <30 mm diam (43249) $1,484.66 $1,953.50 0.8×
Egd Dilation Gastric/Duodenal Stricture - Egd (43245) $765.70 $1,007.50 0.4×
Egd flexible foreign body removal (43247) $604.96 $796 0.7×
Egd place gastrostomy tube (43246) $622.82 $819.50 0.3×
Egd remove lesion snare (43251) $969 $1,275 0.5×
Egd Transoral Control Bleeding Any Method - Egd (43255) $1,086.04 $1,429 0.6×
Egd tube/cath insertion (43241) $226.48 $298 0.1×
EMG stds anal/urtl sphnctr oth/thn ndl (51784) $308.56 $406 2.6×
Endocervical Curettage (57505) $167.20 $220 0.2×
Endoscopic Injection/Implant (51715) $619.40 $815 0.2×
Enterorrhaphy single perforation (44602) $2,164.48 $2,848 0.6×
Escharotomy initial incision (16035) $480.32 $632 1.3×
Evacuation of subungual hematoma (11740) $234.08 $308 1.9×
Exc abd les sc 3 cm/> (22903) $634.60 $835 0.2×
Exc arm/elbow les sc 3 cm/> (24071) $620.16 $816 0.2×
Exc arm/elbow les sc < 3 cm (24075) $664.24 $874 0.4×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $104.88 $138 0.1×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $403.56 $531 0.3×
Exc back les sc < 3 cm (21930) $556.32 $732 0.4×
Exc back tum deep < 5 cm (21932) $798 $1,050 0.3×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $224.20 $295 0.3×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $241.68 $318 0.2×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $411.92 $542 0.3×
Exc neck tum deep < 5 cm (21556) $617.88 $813 0.2×
Exc shoulder les sc 3 cm/> (23071) $504.64 $664 0.3×
Exc shoulder tum deep 5 cm/> (23073) $706.04 $929 0.3×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $177.84 $234 0.3×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $177.84 $234 0.5×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $236.74 $311.50 0.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $297.16 $391 0.4×
Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) $282.72 $372 0.2×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $282.72 $372 0.2×
Exc Skin Benig >4 Cm Remaindr Body (11426) $525.92 $692 0.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $262.96 $346 0.2×
Exc Skin Malig >4 Cm Remaindr Body (11626) $430.92 $567 0.2×
Exc thigh/knee les sc 3 cm/> (27337) $1,617.28 $2,128 0.6×
Exc thigh/knee tum dep 5cm/> (27339) $1,151.40 $1,515 0.4×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $532 $700 0.5×
Exc tr-ext b9+marg 0.5 cm or less (11400) $140.60 $185 0.2×
Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) $942.40 $1,240 0.3×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $839.04 $1,104 0.3×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $852.72 $1,122 0.3×
Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) $665.76 $876 0.2×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $541.12 $712 0.3×
Exc varicocele/ligation spermatic veins spx (55530) $580.64 $764 0.2×
Excision h/p/p/u simple/intermediate repair (11470) $710.60 $935 0.3×
Excision hydrocele bilateral (55041) $878.56 $1,156 0.3×
Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) $135.28 $178 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $177.84 $234 0.3×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $282.72 $372 0.7×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $368.60 $485 0.6×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $337.44 $444 0.5×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $299.44 $394 0.5×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $213.56 $281 0.3×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $383.80 $505 0.6×
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) $317.68 $418 0.2×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $197.60 $260 0.3×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $254.60 $335 0.4×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $262.96 $346 0.2×
Excision of lesion other than skin tag </= 0.5 cm (11420) $155.80 $205 0.1×
Excision of pilonidal cyst or sinus; simple (11770) $943.16 $1,241 0.3×
Excision of single external papilla or tag, anus (46220) $349.60 $460 0.3×
Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) $652.08 $858 0.2×
Excision of spermatocele, with or without epididymectomy (54840) $531.24 $699 0.3×
Excision of Umbilicus (49250) $654.36 $861 0.2×
Excision of urachal cyst or sinus, with or without umbilical hernia repair (51500)
likely a partial charge, not the full procedure
$1,021.06 $1,343.50 0.2×
Excision pilonidal cyst/sinus complicated (11772) $957.60 $1,260 0.4×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $691.60 $910 0.4×
Expl penetrating wound spx abdomen/flank/back (20102) $663.48 $873 0.3×
Expl Po Hemrrg Thrombosis/Infctj Nck (35800)
unusually low: confirm this is the full procedure
$1,599.04 $2,104 0.3×
Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) $896.80 $1,180 0.6×
Explo/Drain Breast Abscess (19020) $766.08 $1,008 0.5×
Exploration penetrating wound spx chest (20101) $749.36 $986 0.4×
Exploration penetrating wound spx extremity (20103) $693.12 $912 0.4×
Exploration Penetrating Wound Spx Neck (20100) $1,361.92 $1,792 2.7×
Explore/Treat Interphalangeal Jt,Ea (26080) $1,073.12 $1,412 0.7×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $337.44 $444 0.5×
Fine needle aspiration without imaging guidance (10021) $190 $250 0.5×
Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) $1,979.80 $2,605 1.0×
Gastric Intubation/Aspiration, Therapeutic (43753) $132.24 $174 0.7×
Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) $2,091.52 $2,752 0.6×
Hemorrhoidectomy (46255) $795.72 $1,047 0.3×
Hemorrhoidectomy external complete (46250) $657.40 $865 0.3×
I&d abscess simple (10060) $206.72 $272 1.1×
I&d deep absc bursa/hematoma thigh/knee region (27301) $972.80 $1,280 0.4×
I&D Deep Absc/Hematoma Neck/Chest (21501) $747.84 $984 0.3×
I&d epididymis tstis&/scrotal space (54700) $665 $875 0.3×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $1,616.52 $2,127 0.5×
I&d perianal abscess superficial (46050) $345.04 $454 0.4×
I&d pilonidal cyst simple (10080) $230.66 $303.50 0.3×
I&D Upper Arm/Elbow Bursa (23931) $341.24 $449 0.2×
I&d upper arm/elbow deep abscess/hematoma (23930) $522.88 $688 0.2×
Image Cath Fluid Colxn Visc (49405) $1,385.48 $1,823 0.9×
Image Cath Fluid Peri/Retro (49406) $470.44 $619 0.3×
Implant neuroelectrodes (63650) $3,030.50 $3,987.50 0.5×
Incise/drain eyelid lining (68020) $99.56 $131 0.1×
Incision & drainage abscess complicated/multiple (10061) $383.04 $504 1.0×
Incision & drainage pilonidal cyst complicated (10081) $425.60 $560 0.6×
Incision & removal foreign body subq tiss compl (10121) $452.20 $595 0.3×
Incision & removal foreign body subq tiss simple (10120) $250.80 $330 0.7×
Incision and drainage of bartholin's gland abscess (56420) $274.36 $361 1.4×
Incision and drainage of vulva or perineal abscess (56405) $228.38 $300.50 0.8×
Incision of rectal abscess (46040) $247.76 $326 0.2×
Incision thrombosed hemorrhoid external (46083) $304.38 $400.50 1.3×
Incisional biopsy skin single lesion (11106) $192.28 $253 0.3×
Initial tx 1st degree burn local tx (16000) $234.08 $308 1.2×
Inj paravert f jnt c/t 1 lev (64490) $417.24 $549 0.5×
Inj tendon sheath/ligament (20550) $106.02 $139.50 0.4×
Inj,Anes Agent,Femoral Nerve,Single (64447) $199.88 $263 0.3×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $403.56 $531 0.5×
Inject Nerv Blck,Ilioingu/Iliohyp (64425) $183.16 $241 0.3×
Inject Nerv Blck,Intercostal,One (64420) $183.16 $241 0.3×
Inject Nerv Blck,Pudendal (64430) $329.08 $433 0.4×
Inject Tendon Origin/Insert (20551) $88.16 $116 0.3×
Injection aa&/strd suprascapular nerve (64418) $160.36 $211 0.2×
Injection aa&/strd trigeminal nerve each branch (64400) $131.48 $173 0.5×
Injection anes other peripheral nerve/branch (64450) $145.16 $191 0.2×
Injection single/mlt trigger point 1/2 muscles (20552) $86.64 $114 0.3×
Injection single/mlt trigger point 3/> muscles (20553) $141.36 $186 0.5×
Injection, anesthetic agent; greater occipital nerve (64405) $174.04 $229 0.6×
Injection, Intralesional; More Than 7 Lesions (11901) $69.92 $92 0.4×
Injection, intralesional; up to and including 7 lesions (11900) $94.24 $124 0.5×
Insert Drug Implant Device (11981) $153.52 $202 1.2×
Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) $1,516.20 $1,995 0.8×
Insert Gastrostomy Tube Percutaneous (49440) $1,111.12 $1,462 0.6×
Insert non-tunnel cv cath (36556) $333.64 $439 0.1×
Insert Non-Tunnel Cv Cath < 5 Y/O (36555) $361.76 $476 0.1×
Insert pessary/other device (57160) $112.48 $148 0.6×
Insert picc cath (36569) $505.40 $665 0.3×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $276.64 $364 0.2×
Insert Temp Bladder Cath (51702) $91.20 $120 0.7×
Insert tunneled cv cath (36561) $1,860.48 $2,448 0.6×
Insert,Non-Indwelling Bladder Catheter (51701) $59.28 $78 0.5×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $2,011.72 $2,647 0.7×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $1,200.04 $1,579 0.4×
Intubation endotracheal emergency procedure (31500) $153.52 $202 0.7×
Lap ing hernia repair init (49650) $3,239.88 $4,263 0.6×
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure
$877.04 $1,154 0.2×
Laparoscopy w/lysis of adhesions (58660)
likely a partial charge, not the full procedure
$1,010.80 $1,330 0.2×
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
likely a partial charge, not the full procedure
$529.72 $697 0.1×
Laryngoscopy W/Foreign Body Removal (31530) $514.90 $677.50 0.3×
Laryngoscopy,Direct,Diagnostic (31525) $342 $450 0.2×
Ligation of hemorrhoid(s) (46221) $449.92 $592 0.5×
Ligation Of Neck Artery (37615) $1,121 $1,475 0.4×
Litholapaxy smpl/sm <2.5 cm (52317) $1,548.88 $2,038 0.5×
Lithotripsy (50590) $1,309.48 $1,723 0.4×
Liver Biopsy (47000) $497.80 $655 0.3×
Mastectomy partial (19301) $1,475.16 $1,941 0.4×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $63.08 $83 0.2×
Needle insertion w/o injection 1 or 2 muscles (20560) $101.84 $134 3.8×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $102.22 $134.50 0.0×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $351.12 $462 0.4×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $459.04 $604 0.7×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) $292.60 $385 0.4×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $455.62 $599.50 0.7×
Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) $547.96 $721 0.8×
Obstructive material removal from gi tube (49460) $1,144.56 $1,506 1.3×
Open biopsy/excision inguinofemoral nodes (38531) $645.24 $849 0.2×
Orchiectomy radical tumor inguinal approach (54530) $948.48 $1,248 0.3×
Perc nephros/pylos w/wo dila, endo,litho,stent/bask extr up to 2 cm (50080)
likely a partial charge, not the full procedure
$1,492.64 $1,964 0.2×
Perq dev breast 1st us imag (19285) $580.64 $764 0.9×
Perq device breast 1st imag (19281) $529.72 $697 0.3×
Perq replacement gtube not req revj gstrst trc (43762) $304 $400 1.3×
Placement of needle for intraosseous infusion (36680) $154.66 $203.50 0.4×
Placement of seton (46020) $471.96 $621 0.2×
Plmt urtrl stent prq pre-existing nfros tract (50693) $1,691.76 $2,226 0.5×
Preputial Stretching (54450) $137.56 $181 0.6×
Punch biopsy skin single lesion (11104) $203.68 $268 0.5×
Puncture Aspiration (10160) $211.66 $278.50 0.6×
Puncture Aspiration Cyst Breast (19000) $101.84 $134 0.2×
Reconstruction of dislocating patella; (eg, Hauser type procedure) (27420)
likely a partial charge, not the full procedure
$1,824 $2,400 0.3×
Removal fb intranasal (30300) $312.74 $411.50 2.5×
Removal foreign body foot subcutaneous (28190) $275.88 $363 0.4×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $404.32 $532 0.3×
Removal foreign body pharynx (42809) $478.04 $629 1.1×
Removal impacted cerumen irrigation/lvg unilat (69209) $23.56 $31 0.4×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $137.56 $181 2.5×
Removal of indwelling tunneled pleural catheter with cuff (32552) $264.48 $348 0.4×
Removal of intrauterine device (iud) (58301) $114 $150 0.4×
Removal of kidney stone (50081)
likely a partial charge, not the full procedure
$2,197.16 $2,891 0.2×
Removal of nail bed (11750) $246.62 $324.50 0.6×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $122.36 $161 0.6×
Removal of sperm cord lesion (55520) $1,315.18 $1,730.50 0.4×
Removal/bivalving gauntlet boot/body cast (29700) $87.40 $115 0.3×
Remove anal fist subq (46270) $1,883.28 $2,478 0.7×
Remove bladder stone (52318) $896.80 $1,180 0.3×
Remove by ligat int hem grp (46945) $530.48 $698 0.2×
Remove by ligat int hem grps (46946) $537.32 $707 0.2×
Remove drug implant device (11982) $174.04 $229 0.4×
Remove Eyelid Foreign Body (67938) $279.68 $368 0.9×
Remove foreign body from eye (65235) $1,668.20 $2,195 0.8×
Remove foreign body from eye (65210) $242.82 $319.50 0.6×
Remove in/ex hem groups 2+ (46260) $1,664.40 $2,190 0.6×
Remove in/ex hem grp w/fistu (46258) $556.32 $732 0.2×
Remove Pilonidal Cyst Exten (11771) $1,535.96 $2,021 0.6×
Remove wrist tendon lesion (25111) $373.92 $492 0.2×
Remv Ext Canal Foreign Body (69200) $152.76 $201 1.2×
Remv F.B.,Eye,Superf Conjunc (65205) $213.56 $281 1.7×
Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561)
likely a partial charge, not the full procedure
$812.44 $1,069 0.2×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,100.48 $1,448 1.6×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,496.44 $1,969 2.2×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,004.72 $1,322 2.6×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,078.82 $1,419.50 2.8×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $677.16 $891 1.8×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $727.70 $957.50 1.9×
Repair complex trunk 1.1-2.5 cm (13100) $769.12 $1,012 1.1×
Repair complex trunk 2.6-7.5 cm (13101) $943.16 $1,241 1.4×
Repair extensor tendon finger w/o graft each (26418) $1,719.88 $2,263 1.1×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $1,155.58 $1,520.50 3.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $592.04 $779 1.6×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $652.08 $858 1.7×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $550.62 $724.50 1.4×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $485.64 $639 1.3×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $953.80 $1,255 1.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $413.06 $543.50 1.1×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $518.32 $682 1.4×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $824.60 $1,085 1.2×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $519.08 $683 1.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $372.78 $490.50 1.0×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $375.44 $494 1.0×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $696.92 $917 1.0×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $648.28 $853 1.7×
Repair Laceration Palate </2 Cm (42180) $433.96 $571 0.9×
Repair of hydrocele (55060) $638.78 $840.50 0.2×
Repair of nail bed (11760) $378.48 $498 0.5×
Repair Tongue Laceration (41250) $629.28 $828 1.5×
Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) $684 $900 0.2×
Replace g/c tube perc (49450) $554.04 $729 0.7×
Rerepair ing hernia reduce (49520) $1,407.14 $1,851.50 0.4×
Respir iadna 18 viral&2 bact (0115U) $1,152.92 $1,517 4.2×
Revise median n/carpal tunnel surg (64721) $771.40 $1,015 0.4×
Revise ulnar nerve at elbow (64718) $1,019.92 $1,342 0.6×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $601.16 $791 1.4×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $516.80 $680 4.1×
Rmvl foreign body muscle/tendon sheath deep/comp (20525) $845.50 $1,112.50 0.3×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $494 $650 0.3×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $288.80 $380 0.5×
Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) $217.36 $286 0.5×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $276.64 $364 0.2×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $1,007.76 $1,326 0.3×
Rpr aa hernia 1st 3-10 cm reducible (49593)
likely a partial charge, not the full procedure
$703 $925 0.1×
Rpr aa hernia 1st < 3 cm reducible (49591) $488.68 $643 0.1×
Rpr blood vessel direct lower extremity (35226) $1,639.32 $2,157 2.5×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $363.28 $478 0.2×
Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) $449.92 $592 2.0×
Rpsg previously placed cvc under fluor gdnce (36597) $160.36 $211 0.1×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $318.44 $419 0.4×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $453.72 $597 0.4×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $112.48 $148 0.6×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $197.60 $260 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $91.96 $121 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $104.88 $138 0.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $155.80 $205 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $165.68 $218 0.4×
Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) $64.60 $85 0.2×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $173.28 $228 0.9×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $199.12 $262 0.5×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $114 $150 0.6×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $218.88 $288 0.6×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $84.36 $111 0.4×
Sigmoidoscopy flx w/biopsy single/multiple (45331) $440.80 $580 0.5×
Sigmoidoscopy w/fb removal (45332) $310.84 $409 0.3×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $902.12 $1,187 2.4×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $345.42 $454.50 1.8×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $420.66 $553.50 2.2×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $652.08 $858 3.5×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $522.50 $687.50 2.8×
Simple repair f/e/e/n/l/m >30.0 cm (12018) $886.92 $1,167 4.7×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $248.90 $327.50 1.3×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $666.52 $877 3.5×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $552.52 $727 2.9×
Skin Tissue Procedure (17999) $1,095.92 $1,442 5.8×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $372.78 $490.50 2.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $471.58 $620.50 1.2×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $629.28 $828 1.6×
Sphincterotomy (46080) $430.54 $566.50 0.2×
Spinal puncture lumbar diagnostic (62270) $213.56 $281 0.3×
Spinal Puncture Therapeutic (62272) $144.40 $190 0.2×
Strapping ankle (29540) $81.32 $107 0.5×
Strapping elbow/wrist (29260) $97.28 $128 1.8×
Strapping hand/finger (29280) $181.64 $239 3.3×
Strapping knee (29530) $95.76 $126 0.8×
Strapping shoulder (29240) $105.64 $139 0.8×
Strapping toes (29550) $172.52 $227 3.1×
Strapping unna boot (29580) $132.62 $174.50 0.9×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $926.44 $1,219 0.4×
Tangential biopsy skin single lesion (11102) $124.64 $164 0.3×
Therapeutic pneumothorax (32960) $668.80 $880 1.1×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $247.76 $326 0.4×
Thoracentesis needle/cath pleura w/o imaging (32554) $327.56 $431 0.6×
Trach Tube Change (31502) $141.36 $186 0.6×
Tracheobrnchsc Thru Est Trachs Inc (31615) $449.92 $592 0.9×
Tracheostomy emergency cricothyroid membrane (31605) $433.96 $571 2.0×
Tracheostomy Emergency Procedure Transtracheal (31603) $625.10 $822.50 0.4×
Treat finger dislocation (26775) $693.88 $913 2.6×
Treat Metatarsal Fracture (28475) $422.56 $556 1.8×
Treat Thumb Fx/Disloc,Manip (26645) $739.48 $973 0.5×
Treatment closed elbow dislocation req anes (24605) $860.32 $1,132 0.6×
Treatment closed elbow dislocation w/o anes (24600) $748.60 $985 3.2×
Trim skin lesion (11055) $64.60 $85 0.3×
Trim skin lesions 2 to 4 (11056) $69.92 $92 0.4×
Trimming Of Nondystrophic Nails, Any Number (11719) $28.88 $38 0.5×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $867.16 $1,141 0.6×
Tx Superficial Wound Dehiscence Simple Closure (12020) $489.44 $644 0.7×
Tx superficial wound dehiscence w/packing (12021) $456 $600 1.2×
Unlisted laparoscopic procedure liver (47379)
unusually low: confirm this is the full procedure
$1,765.48 $2,323 0.3×
Unlisted procedure anus (46999) $944.68 $1,243 1.1×
Unlisted procedure neck or thorax (21899) $2,692.68 $3,543 12.1×
Unlisted Procedure Nervous System (64999) $288.04 $379 1.0×
Unlisted Procedure Vascular Surgery (37799) $929.48 $1,223 1.6×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $1,361.92 $1,792 1.6×
Vaginal delivery only (59409) $2,591.98 $3,410.50 0.9×
Vasectomy (55250) $557.84 $734 0.3×
Venipuncture (36415) $6.08 $8 0.7×