Procedures & surgery prices at Roswell Park Comprehensive Cancer Center

Buffalo, NY · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $7,143.95 $7,143.95 6.3×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $2,199.57 $2,199.57 1.9×
Abdomen Surgery Procedure (22999) $24,067.82 $24,067.82 78.2×
Ablate Pulm Tumor Perq Crybl (32994) $19,090.28 $19,090.28 1.4×
Ablation 1/> liver tumor perq cryoablation (47383) $19,090.28 $19,090.28 1.4×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) $21,327.94 $21,327.94 1.0×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $19,090.28 $19,090.28 2.1×
Acne surgery (10040) $505.21 $505.21 2.0×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $2,876.17 $2,876.17 1.1×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $2,479.46 $2,479.46 1.0×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $9,634.23 $9,634.23 2.2×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $5,363.02 $5,363.02 2.1×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $3,204.93 $3,204.93 1.2×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $2,479.46 $2,479.46 1.0×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $4,268.05 $4,268.05 1.7×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $2,792.71 $2,792.71 1.1×
Allogeneic lymphocyte infusions (38242)
range across 2 matching MRF lines
$359.64–$1,000 $359.64–$1,000 varies
Alveolectomy W/Curtg Osteitis/Sequestrectomy (41830) $10,503.52 $10,503.52 2.5×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $6,803.77 $6,803.77 1.7×
Amputation metatarsal with toe single (28810) $9,474 $9,474 2.3×
Anal/Urinary Muscle Study (51784) $348.44 $348.44 2.2×
Anoscopy Ablation Lesion (46615) $6,674.63 $6,674.63 1.9×
Anoscopy diagnostic (46600) $146.08 $146.08 0.9×
Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) $7,611.57 $7,611.57 5.1×
Anoscopy; with biopsy, single or multiple (46606) $6,343.01 $6,343.01 4.2×
Apheresis Platelets (36513) $5,834.98 $5,834.98 10.6×
Arterial puncture (36600) $148.86 $148.86 0.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $591.84 $591.84 1.5×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $445.99 $445.99 0.5×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines
$1,386.27–$1,473.12 $1,386.27–$1,473.12 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $2,460.31 $2,460.31 6.4×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $591.84 $591.84 1.5×
Aspirate pleura w/ imaging (32555)
range across 3 matching MRF lines
$5,640.46–$6,218.60 $5,640.46–$6,218.60 varies
Aspirate Pleura W/O Imaging (32554)
range across 4 matching MRF lines
$5,412.22–$5,716.86 $5,412.22–$5,716.86 varies
Aspiration & Injection Treatment Bone Cyst (20615) $1,960 $1,960 2.2×
Aspiration and/or injection thyroid cyst (60300) $3,076.13 $3,076.13 3.5×
Aspiration bladder insert suprapubic catheter (51102) $3,703.98 $3,703.98 1.4×
Avulsion nail plate partial/complete simple 1 (11730) $359.35 $359.35 1.4×
Biliary ndsc prq t-tube dilat strix w/stent (47556)
unusually low: confirm this is the full procedure
$4,487.08 $4,487.08 0.3×
Biliary ndsc prq t-tube w/bx single/multiple (47553) $4,685.63 $4,685.63 0.6×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555)
unusually low: confirm this is the full procedure
$3,931.89 $3,931.89 0.5×
Biopsy Abdominal Mass (49180) $2,255.46 $2,255.46 1.1×
Biopsy bone trocar/needle deep (20225) $1,950.05 $1,950.05 0.9×
Biopsy Bone Trocar/Needle Superficial (20220) $1,939.43 $1,939.43 0.9×
Biopsy external ear (69100) $1,124.48 $1,124.48 3.8×
Biopsy muscle percutaneous needle (20206) $1,651.17 $1,651.17 0.8×
Biopsy nail unit (11755) $1,065.49 $1,065.49 1.2×
Biopsy of breast; open, incisional (19101) $4,755.24 $4,755.24 1.0×
Biopsy of floor of mouth (41108) $1,620.31 $1,620.31 0.8×
Biopsy of intestine by capsule, tube, peroral (1 or more specimens) (44100) $2,090.17 $2,090.17 1.8×
Biopsy of lip (40490) $1,724.99 $1,724.99 5.8×
Biopsy of liver, needle; percutaneous (47000) $2,283.42 $2,283.42 1.1×
Biopsy of palate, uvula (42100) $1,620.31 $1,620.31 0.8×
Biopsy of penis (54100) $3,437.45 $3,437.45 1.7×
Biopsy of rectum (45100) $4,085.73 $4,085.73 1.2×
Biopsy of urethra (53200) $2,201.99 $2,201.99 0.8×
Biopsy Oropharynx (42800) $3,691.58 $3,691.58 1.9×
Biopsy Pleura Percutaneous Needle (32400) $1,324.73 $1,324.73 0.6×
Biopsy Salivary Gland Needle (42400) $1,857.98 $1,857.98 2.1×
Biopsy soft tissue neck/thorax (21550) $3,437.45 $3,437.45 1.7×
Biopsy Tongue Anterior Two-Thirds (41100) $1,950.05 $1,950.05 2.9×
Biopsy Tongue Posterior One-Third (41105) $3,209.79 $3,209.79 0.8×
Biopsy Vaginal Mucosa Simple (57100) $3,781.35 $3,781.35 3.3×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $1,289.11 $1,289.11 1.1×
Biopsy, vestibule of mouth (40808) $801.20 $801.20 1.2×
Biopsy/removal lymph nodes (38510) $8,719.55 $8,719.55 1.8×
Bladder instillation anticarcinogenic agent (51720) $911.83 $911.83 1.0×
Bladder Irrigation (51700) $750.90 $750.90 2.4×
Bladder Scan (51798) $146.08 $146.08 2.0×
Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) $2,224.53 $2,224.53 1.1×
Blood Transfusion Service (36430)
range across 3 matching MRF lines
$791.86–$873.02 $791.86–$873.02 varies
Blood/Lymph System Procedure (38999)
range across 4 matching MRF lines
$1,088.11–$48,850 $1,088.11–$48,850 varies
Bone Marrow Biopsy (38221) $2,861.63 $2,861.63 1.4×
Bone marrow harvest allogen (38230)
range across 2 matching MRF lines
$892.08–$2,685.23 $892.08–$2,685.23 varies
Bone Marrow; Aspiration Only (38220) $2,861.63 $2,861.63 1.4×
Bx breast 1st lesion mr imag (19085) $8,518.97 $8,518.97 4.1×
Bx breast 1st lesion strtctc (19081) $8,518.97 $8,518.97 4.1×
Bx breast 1st lesion us imag (19083) $8,518.97 $8,518.97 4.1×
Bx breast needle core w/o imaging guidance spx (19100) $1,915.37 $1,915.37 0.9×
Bx Cervix (57500) $1,235.38 $1,235.38 1.1×
Bx/exc lymph node open superficial (38500) $4,042.84 $4,042.84 0.8×
Cessj Therapy Cath Removal (37214) $9,680.33 $9,680.33 2.5×
Change Cystostomy Tube Complicated (51710)
range across 2 matching MRF lines
$1,570.94–$1,649.48 $1,570.94–$1,649.48 varies
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines
$748.50–$837.49 $748.50–$837.49 varies
Change of Windpipe Airway (31502) $797.64 $797.64 2.7×
Change ureter stent percut (50382) $4,536.25 $4,536.25 1.7×
Chemical Cautery Tissue (17250) $1,716.28 $1,716.28 6.9×
Chemical peel face dermal (15789) $930.69 $930.69 1.0×
Chemical peel nonfacial dermal (15793) $379.27 $379.27 0.7×
Chemical peel nonfacial epidermal (15792) $298.01 $298.01 0.3×
Chemical peel, facial; epidermal (15788) $477.88 $477.88 0.9×
Chemical Pleurodesis (32560) $8,517.84 $8,517.84 10.9×
Chemodenerv musc neck dyston (64616) $805.20 $805.20 2.1×
Chest tube placement (32551) $3,315.93 $3,315.93 1.7×
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $5,989.55 $5,989.55 2.3×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $2,876.61 $2,876.61 0.6×
Collect Blood From Catheter Venous Nos (36592) $254.52 $254.52 1.5×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines
$14.79–$27.59 $14.79–$27.59 varies
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $2,281 $2,281 6.0×
Colposcopy Cervix Endocervical Curettage (57456)
range across 2 matching MRF lines
$1,032.33–$1,119.49 $1,032.33–$1,119.49 varies
Colposcopy cervix upper/adjacent vagina (57452) $2,102.69 $2,102.69 8.3×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $690.42 $690.42 1.8×
Colposcopy cervix vag eltrd conization cervix (57461) $4,722.01 $4,722.01 1.2×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $4,041.25 $4,041.25 1.0×
Colposcopy entire vagina w/cervix if present (57420) $826.79 $826.79 2.2×
Colposcopy of vulva (56820) $634.69 $634.69 2.5×
Colposcopy Vulva W/Biopsy (56821) $605.87 $605.87 1.6×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $690.42 $690.42 0.6×
Complex drainage wound (10180) $2,874.60 $2,874.60 0.8×
Composite Skin Graft (15760) $9,468.10 $9,468.10 3.7×
Conization cervix w/wo d&c rpr eltrd exc (57522) $5,266.33 $5,266.33 1.3×
Conization of cervix (57520) $5,082.13 $5,082.13 1.3×
Constj tracheoesophgl fstl&insj sp prosth (31611) $5,245.30 $5,245.30 1.3×
Conversion ext bil drg cath (47535) $6,689.91 $6,689.91 1.5×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $2,508.63 $2,508.63 1.0×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $3,103.68 $3,103.68 1.5×
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $477.88 $477.88 6.5×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $582.38 $582.38 3.5×
Cysto w/removal of lesions small (52224) $8,599.54 $8,599.54 2.0×
Cysto W/Simple Removal Stone & Stent (52310) $4,013.14 $4,013.14 1.5×
Cystometrogram W/Vp (51728) $4,757.35 $4,757.35 5.5×
Cystometrogram W/Vp&Up (51729) $868.21 $868.21 1.0×
Cystourethroscopy (52000) $1,946.72 $1,946.72 2.2×
Cystourethroscopy inj chemodenervation bladder (52287) $6,446.32 $6,446.32 2.5×
Cystourethroscopy with biopsy (52204) $3,836.15 $3,836.15 1.5×
Debridement subcutaneous tissue 20 sq cm/< (11042) $2,047.58 $2,047.58 4.0×
Declot vascular device (36593) $901.31 $901.31 2.2×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $3,969.62 $3,969.62 1.5×
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $12,116.72 $12,116.72 4.7×
Dermabrasion regional other than face (15782) $2,780.35 $2,780.35 0.8×
Dermabrasion segmental face (15781) $3,213.92 $3,213.92 3.6×
Dermabrasion total face (15780) $4,200.47 $4,200.47 1.2×
Destr W Neurolytic; Celiac Plexus (64680) $2,138.72 $2,138.72 1.9×
Destroy cerv/thor facet jnt (64633) $6,342.15 $6,342.15 2.6×
Destroy lumb/sac facet jnt (64635) $6,342.15 $6,342.15 2.6×
Destruct B9 Lesion 1-14 (17110) $1,582.48 $1,582.48 6.3×
Destruction Benign Lesions 15/> (17111)
range across 2 matching MRF lines
$316.47–$332.29 $316.47–$332.29 varies
Destruction by neurolytic agent, intercostal nerve (64620) $6,342.15 $6,342.15 5.7×
Destruction Lesions Vulva Simple (56501) $4,977.51 $4,977.51 1.9×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $1,106.44 $1,106.44 4.4×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $1,503.10 $1,503.10 6.0×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $1,799.23 $1,799.23 3.5×
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) $1,582.48 $1,582.48 1.7×
Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) $1,344 $1,344 1.5×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $389.96 $389.96 1.6×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262)
range across 2 matching MRF lines
$1,375.69–$1,484.05 $1,375.69–$1,484.05 varies
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263)
range across 2 matching MRF lines
$937.18–$999.90 $937.18–$999.90 varies
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $1,582.48 $1,582.48 3.1×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $1,430.82 $1,430.82 2.8×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $805.05 $805.05 3.2×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $615.13 $615.13 2.5×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $522.19 $522.19 2.1×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $666.57 $666.57 2.7×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273)
range across 2 matching MRF lines
$1,268.28–$1,331.69 $1,268.28–$1,331.69 varies
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) $1,040.64 $1,040.64 2.1×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $430.79 $430.79 1.7×
Destruction of rectal tumor transanal approach (45190) $8,532.39 $8,532.39 2.5×
Destruction of skin lesions (17106) $1,763 $1,763 3.5×
Destruction Premalignant Lesion 15/> (17004)
range across 3 matching MRF lines
$1,061.56–$1,141.82 $1,061.56–$1,141.82 varies
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines
$1,185.02–$1,266.60 $1,185.02–$1,266.60 varies
Destruction Vaginal Lesions Simple (57061) $6,659.21 $6,659.21 1.6×
Diagnostic anoscopy (46601) $2,156.68 $2,156.68 3.9×
Diagnostic sigmoidoscopy (45330) $1,946.72 $1,946.72 1.7×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $262.94 $262.94 1.6×
Dilat Urethral Strix Dilator Male Sbsq (53601) $262.94 $262.94 1.6×
Dilat Xst Trc New Access Rcs (50437) $8,704.53 $8,704.53 2.0×
Dilate Esophagus 1/Mult Pass (43450) $1,605.94 $1,605.94 1.4×
Dilate Urethra Stricture (53600) $631.41 $631.41 2.0×
Drainage of hematoma/fluid (10140) $2,543.45 $2,543.45 1.2×
Draw Blood Off Venous Device (36591) $254.49 $254.49 1.5×
Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) $1,525.98 $1,525.98 1.7×
Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) $2,648.33 $2,648.33 1.0×
Dstrj Lesion Anus Extensive (46924) $6,343.01 $6,343.01 1.8×
Dstrj Lesion Anus Simple Chemical (46900) $6,343.01 $6,343.01 12.5×
Dstrj lesion anus simple surg excision (46922) $6,343.01 $6,343.01 1.8×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $6,343.01 $6,343.01 2.5×
Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) $2,026.26 $2,026.26 4.0×
Dx Bone Marrow Bx & Aspir (38222) $6,369.32 $6,369.32 1.8×
Dx Laryngoscopy Excl Nb (31525) $3,418.35 $3,418.35 1.5×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,711.41 $1,711.41 1.9×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $2,082.89 $2,082.89 5.4×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $3,063.54 $3,063.54 8.0×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $435.65 $435.65 1.1×
Electro-Uroflowmetry First (51741) $202.58 $202.58 0.8×
Endocervical curettage (57505) $5,895.24 $5,895.24 5.1×
Endometrial Biopsy (58100) $4,147.58 $4,147.58 16.4×
Epidural Blood Patch (62273) $934.61 $934.61 1.1×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $1,172.86 $1,172.86 1.3×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines
$7,199.92–$7,681.85 $7,199.92–$7,681.85 varies
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $1,473.24 $1,473.24 1.7×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $1,383.71 $1,383.71 1.6×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $2,963.31 $2,963.31 1.4×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $1,391.32 $1,391.32 1.6×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines
$1,287.88–$1,352.27 $1,287.88–$1,352.27 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines
$1,403.09–$1,473.24 $1,403.09–$1,473.24 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,922.47 $1,922.47 0.9×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $1,922.47 $1,922.47 0.9×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,760.56 $1,760.56 0.9×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines
$1,797.10–$1,886.96 $1,797.10–$1,886.96 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 3 matching MRF lines
$1,401.66–$1,545.33 $1,401.66–$1,545.33 varies
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112)
range across 2 matching MRF lines
$3,157.79–$3,315.68 $3,157.79–$3,315.68 varies
Exc Lesion Tongue W/Clsr Posterior One-Third (41113) $8,477.27 $8,477.27 2.0×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines
$1,365.51–$1,473.24 $1,365.51–$1,473.24 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 2 matching MRF lines
$2,687.81–$2,963.31 $2,687.81–$2,963.31 varies
Exc Skin Benig >4 Cm Remaindr Body (11426) $3,584.83 $3,584.83 1.0×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 4 matching MRF lines
$2,791.03–$3,077.11 $2,791.03–$3,077.11 varies
Exc Skin Benig >4cm Face,Facial (11446) $3,584.83 $3,584.83 1.0×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)
range across 2 matching MRF lines
$2,687.81–$2,963.31 $2,687.81–$2,963.31 varies
Exc Skin Malig >4 Cm Remaindr Body (11626)
range across 2 matching MRF lines
$3,284.42–$3,621.07 $3,284.42–$3,621.07 varies
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 3 matching MRF lines
$3,136.88–$3,359.60 $3,136.88–$3,359.60 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $1,510.46 $1,510.46 3.0×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 3 matching MRF lines
$1,187.72–$1,289.11 $1,187.72–$1,289.11 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines
$2,549.55–$2,810.87 $2,549.55–$2,810.87 varies
Exc tumor soft tissue abdominal wall subq <3cm (22902) $4,706.90 $4,706.90 2.3×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $6,689.91 $6,689.91 1.5×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $6,689.91 $6,689.91 2.6×
Exchange Transfusion (36455)
range across 2 matching MRF lines
$1,120.28–$1,191.77 $1,120.28–$1,191.77 varies
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $3,794.60 $3,794.60 1.6×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 2 matching MRF lines
$1,532.17–$1,668.36 $1,532.17–$1,668.36 varies
Excision lesion mouth roof (42104) $8,477.27 $8,477.27 2.0×
Excision Lesion Tongue W/O Closure (41110) $6,600.02 $6,600.02 1.6×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $1,409.19 $1,409.19 1.6×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)
range across 2 matching MRF lines
$1,456.37–$1,529.19 $1,456.37–$1,529.19 varies
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 2 matching MRF lines
$1,277.66–$1,352.27 $1,277.66–$1,352.27 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,810.49 $1,810.49 2.0×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $1,305.87 $1,305.87 1.5×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,903.28 $1,903.28 0.9×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $3,621.07 $3,621.07 1.0×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $1,517.74 $1,517.74 0.7×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $1,165.74 $1,165.74 1.3×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $1,610.44 $1,610.44 1.8×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $2,963.31 $2,963.31 1.4×
Excision of single external papilla or tag, anus (46220) $4,085.73 $4,085.73 2.7×
Excision of vaginal cyst or tumor (57135) $9,375.93 $9,375.93 2.3×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $9,965 $9,965 2.7×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $8,477.27 $8,477.27 4.1×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $9,680.33 $9,680.33 2.7×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,223.52 $1,223.52 1.4×
Fine needle aspiration bx w/mr gdn 1st lesion (10011) $1,351.72 $1,351.72 1.5×
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines
$7,316.05–$7,681.85 $7,316.05–$7,681.85 varies
Fluoro exam of g/colon tube (49465) $1,730.81 $1,730.81 5.8×
Fna Bx W/Fluor Gdn 1St Les (10007) $1,103.89 $1,103.89 1.2×
Fna bx w/us gdn 1st les (10005)
range across 3 matching MRF lines
$868.70–$1,103.89 $868.70–$1,103.89 varies
Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Facility (15572) $9,468.10 $9,468.10 2.1×
Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) $5,098.66 $5,098.66 2.0×
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) $5,098.66 $5,098.66 2.0×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $4,540.54 $4,540.54 1.8×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $2,479.46 $2,479.46 1.0×
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $3,009 $3,009 1.2×
Graft Ear Crtlg Autogenous Nose/Ear (21235) $18,998.06 $18,998.06 2.6×
Guide Cathet Fluid Drainage (10030) $6,343.01 $6,343.01 7.2×
Hem vw factor&clgn iii bndg (0279U) $195 $195 16.9×
Hem Vwd Propeptide Ag Lvl (0281U) $240.50 $240.50 13.9×
I&d abscess simple (10060) $798.25 $798.25 3.2×
I&D Deep Absc/Hematoma Neck/Chest (21501) $3,550.40 $3,550.40 1.0×
I&d thyroglossal duct cyst infected (60000) $1,636.58 $1,636.58 0.8×
Image Cath Fluid Colxn Visc (49405) $6,343.01 $6,343.01 3.1×
Image Cath Fluid Peri/Retro (49406) $8,518.97 $8,518.97 4.1×
Image Cath Fluid Trns/Vgnl (49407) $9,727.96 $9,727.96 4.7×
Impression & Preparation Auricular Prosthesis (21086) $12,729.69 $12,729.69 3.1×
Impression & Preparation Nasal Prosthesis (21087)
range across 2 matching MRF lines
$12,729.69–$13,886.91 $12,729.69–$13,886.91 varies
Impression & Preparation Oral Surgical Splint (21085) $4,595.92 $4,595.92 15.5×
Impression & Prepj Palatal Augmentation Prosthes (21082) $10,657.74 $10,657.74 2.6×
Impression and custom preparation; definitive obturator prosthesis Facility (21080) $12,821.67 $12,821.67 3.1×
Impression and custom preparation; facial prosthesis Facility (21088) $28,957.77 $28,957.77 7.0×
Impression and custom preparation; interim obturator prosthesis Facility (21079)
range across 2 matching MRF lines
$10,531.17–$11,488.55 $10,531.17–$11,488.55 varies
Impression and custom preparation; mandibular resection prosthesis Facility (21081) $11,683.93 $11,683.93 1.6×
Impression and custom preparation; orbital prosthesis Facility (21077) $16,415.61 $16,415.61 2.2×
Impression and custom preparation; palatal lift prosthesis Facility (21083) $9,859.86 $9,859.86 2.4×
Impression and custom preparation; speech aid prosthesis Facility (21084) $11,502.18 $11,502.18 2.8×
Impression&Preparation Surg Obturator Prosthes (21076) $6,526.88 $6,526.88 3.4×
Incision & drainage abscess complicated/multiple (10061) $793.68 $793.68 1.6×
Incision & removal foreign body subq tiss simple (10120) $798.25 $798.25 1.6×
Incision and drainage of bartholin's gland abscess (56420) $1,837.67 $1,837.67 7.3×
Incision and drainage of vulva or perineal abscess (56405) $1,532.22 $1,532.22 4.0×
Incision of rectal abscess (46040) $3,534.62 $3,534.62 2.4×
Incisional biopsy eyelid skin & lid margin (67810) $886.12 $886.12 2.2×
Incisional biopsy skin single lesion (11106) $1,653.68 $1,653.68 1.8×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $1,344.89 $1,344.89 1.2×
Inj W/Fluor Eval Cv Device (36598) $775.03 $775.03 2.9×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $6,281.89 $6,281.89 5.7×
Injection 1 tendon sheath/ligament aponeurosis (20550) $486.91 $486.91 1.3×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $6,342.15 $6,342.15 5.7×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $6,627.53 $6,627.53 7.5×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,043.02 $1,043.02 1.2×
Injection for identification of sentinel node (38792) $2,349.47 $2,349.47 4.7×
Injection Into Brain Canal (61055) $956.21 $956.21 2.5×
Injection single tendon origin/insertion (20551) $503.40 $503.40 1.3×
Injection single/mlt trigger point 1/2 muscles (20552) $514.23 $514.23 1.3×
Injection single/mlt trigger point 3/> muscles (20553) $635.12 $635.12 1.7×
Injection Sinus Tract Therapeutic Separate Proc (20500) $1,841.29 $1,841.29 1.0×
Injection, anesthetic agent; femoral nerve, single (64447) $2,116.19 $2,116.19 2.4×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $900.63 $900.63 1.0×
Injection, Intralesional; More Than 7 Lesions (11901) $305.13 $305.13 1.2×
Injection, intralesional; up to and including 7 lesions (11900) $676.58 $676.58 2.7×
Ins cath ren art 1st bilat (36252) $608.61 $608.61 0.2×
Ins cath ren art 1st unilat (36251) $467.18 $467.18 0.1×
Ins cath ren art 2nd+ bilat (36254) $701.25 $701.25 0.2×
Ins cath ren art 2nd+ unilat (36253)
likely a partial charge, not the full procedure
$649.97 $649.97 0.1×
Ins endovas vena cava filtr (37191) $7,477.48 $7,477.48 1.1×
Ins Vag Brachytx Device (57156) $5,916.09 $5,916.09 15.6×
Insert Bladder Cath Complex (51703) $815.90 $815.90 5.1×
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines
$5,538.98–$5,815.93 $5,538.98–$5,815.93 varies
Insert cath pleura w/o image (32556) $5,538.98 $5,538.98 2.3×
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $3,122.50 $3,122.50 2.1×
Insert Drug Implant Device (11981) $350.16 $350.16 2.1×
Insert Gastrostomy Tube Percutaneous (49440) $1,220.29 $1,220.29 0.5×
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure
$1,403.45 $1,403.45 0.1×
Insert non-tunnel cv cath (36556) $3,596.07 $3,596.07 0.9×
Insert Temp Bladder Cath (51702) $484.24 $484.24 2.9×
Insert tun ip cath perc (49418) $5,357.60 $5,357.60 1.2×
Insert tunneled cv cath (36561) $6,164.33 $6,164.33 1.6×
Insert,Non-Indwelling Bladder Catheter (51701) $309.56 $309.56 1.9×
Insertion indwelling tunneled pleural catheter (32550)
range across 2 matching MRF lines
$9,649.22–$10,131.68 $9,649.22–$10,131.68 varies
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,613.52 $1,613.52 0.8×
Insertion Tunnel Intraperitoneal Cath W Subq Port (49419)
unusually low: confirm this is the full procedure
$2,166 $2,166 0.3×
Insertion Uterine Tandem&/Vaginal Ovoids (57155)
likely a partial charge, not the full procedure
$1,071.48 $1,071.48 0.2×
Insj Picc Rs&I <5 Yr (36572) $1,968.51 $1,968.51 2.5×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $3,596.07 $3,596.07 0.9×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure
$2,251.12 $2,251.12 0.2×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $5,386.40 $5,386.40 3.1×
Intranasal Biopsy (30100) $1,636.58 $1,636.58 0.8×
Intro Gastrointestinal Tube (44500) $3,995.70 $3,995.70 3.5×
Laryngoscopy flexible diagnostic (31575) $748.95 $748.95 3.0×
Laryngoscopy Flexible Therapeutic Injection Uni (31573) $5,940 $5,940 2.7×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $4,771.34 $4,771.34 2.1×
Laryngoscopy Flexible W/Injection Agmntj Uni (31574) $8,477.27 $8,477.27 3.8×
Laser Surgery of Cervix (57513) $4,722.01 $4,722.01 1.2×
Lyse chest fibrin init day (32561) $1,975.58 $1,975.58 2.5×
Maxillary impression for palatal prosthesis Facility (42280) $791.48 $791.48 1.2×
Mech remov tunneled cv cath (36595) $8,600.01 $8,600.01 2.2×
Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) $1,405.67 $1,405.67 1.5×
Mohs trunk/arm/leg 1st stage 5 blocks (17313) $1,080.02 $1,080.02 1.2×
Myelography Lumbar Injection (62305) $8,266.66 $8,266.66 8.4×
Myelography Lumbar Injection (62304) $8,266.66 $8,266.66 8.4×
Myelography via lumbar injection rs&i cervical (62302) $8,266.66 $8,266.66 8.4×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $8,266.66 $8,266.66 8.4×
N Block Inj Celiac Pelus (64530) $7,813.52 $7,813.52 7.1×
N Block Inj Ilio-Ing/Hypogi (64425) $563.60 $563.60 0.6×
N block inj intercost sng (64420) $6,311.93 $6,311.93 7.2×
N Block Inj Pudendal (64430) $14,521.89 $14,521.89 13.2×
N Block Lumbar/Thoracic (64520) $6,627.53 $6,627.53 6.0×
Nasal Endoscopy Dx (31231) $490.54 $490.54 2.0×
Nasal/Orogastric W/Tube Plmt (43752) $688.12 $688.12 1.2×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $5,801.55 $5,801.55 2.6×
Needle Biopsy Lymph Nodes (38505) $1,679.86 $1,679.86 0.8×
Needle Biopsy Pancreas (48102) $2,648.79 $2,648.79 1.3×
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $2,600 $2,600 1.2×
Njx anes stellate ganglion crv sympathetic (64510) $1,093.31 $1,093.31 1.0×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $2,217.36 $2,217.36 0.5×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $3,022.48 $3,022.48 0.7×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,339.07 $1,339.07 1.2×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $6,433.19 $6,433.19 7.3×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $756.35 $756.35 0.7×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $6,433.19 $6,433.19 7.3×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $5,900.97 $5,900.97 6.8×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $5,900.97 $5,900.97 6.8×
Njx Sclrsnt 1 Incmptnt Vein (36470) $1,877.84 $1,877.84 3.7×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $354.64 $354.64 0.7×
Occipital Nerve Block (64405) $886.07 $886.07 2.3×
Onc brst ca DNA pik3ca gene (0155U) $1,430 $1,430 5.2×
Oncology (breast), semiquantitative measurement of thymidine kinase activity by immunoassay, serum, results as risk of… (0404U) $1,163.50 $1,163.50 3.6×
Open biopsy/excision inguinofemoral nodes (38531) $8,329.66 $8,329.66 1.7×
Open/Perq Place Stent 1St (37236) $19,376.58 $19,376.58 1.3×
Open/Perq Place Stent Same (37238) $19,376.58 $19,376.58 1.3×
Perc Cryo Ablate Renal Tum (50593) $19,000.63 $19,000.63 1.4×
Perc Rf Ablate Renal Tumor (50592) $9,546.40 $9,546.40 1.3×
Percut Ablate Liver Rf (47382) $11,821.46 $11,821.46 1.6×
Percut Cath Occlusn Non Cns Lesn (61626) $7,563.03 $7,563.03 0.5×
Percut Drain/Inject Renal Cyst (50390) $2,126.68 $2,126.68 2.4×
Percut Mech Thrombectomy, Venous, Repeat (37188) $9,543.09 $9,543.09 2.4×
Pericardiocentesis W/Imaging (33016) $1,231.17 $1,231.17 0.6×
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure
$5,523.82 $5,523.82 0.2×
Perq Cervicothoracic Inject (22510) $9,292.37 $9,292.37 2.3×
Perq dev breast 1st mr guide (19287) $7,108.86 $7,108.86 8.0×
Perq dev breast 1st strtctc (19283) $7,108.86 $7,108.86 8.0×
Perq dev breast 1st us imag (19285) $7,108.86 $7,108.86 8.0×
Perq device breast 1st imag (19281) $6,343.01 $6,343.01 3.1×
Perq dilation xst trc endourologic px w/img (50436) $8,704.53 $8,704.53 2.0×
Perq Lumbosacral Injection (22511) $9,292.37 $9,292.37 2.3×
Perq Radiofreq Ablation Tx, Pul Tumor (32998) $9,285.56 $9,285.56 1.2×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $2,074.15 $2,074.15 2.3×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $22,354.25 $22,354.25 2.5×
Perq Vertebral Augmentation (22513) $22,354.25 $22,354.25 2.5×
Photopheresis extracorporeal (36522) $5,417.82 $5,417.82 1.0×
Place Cath Subclavian Art (36225) $13,845.88 $13,845.88 3.5×
Place Cath Thoracic Aorta (36221) $13,845.88 $13,845.88 3.5×
Place Cath Vertebral Art (36226) $13,845.88 $13,845.88 2.0×
Place Duod/Jej Tube Perc (49441) $6,342.15 $6,342.15 2.6×
Place Rt Device/Marker Pros (55876) $785.98 $785.98 0.5×
Plmt Bile Duct Stent Prq Existing Access (47538) $10,988.81 $10,988.81 1.5×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $14,936.86 $14,936.86 2.0×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $10,988.81 $10,988.81 1.5×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $6,597.81 $6,597.81 2.5×
Plmt Nephroureteral Catheter (50433) $6,597.81 $6,597.81 1.5×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $6,668.92 $6,668.92 1.5×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $6,668.92 $6,668.92 1.5×
Prepare face/oral prosthesis (21089)
range across 20 matching MRF lines
$446.83–$3,312.65 $446.83–$3,312.65 varies
Prim art mech thrombectomy (37184) $33,491.33 $33,491.33 1.5×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $957.59 $957.59 0.8×
Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) $1,724.22 $1,724.22 0.5×
Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) $1,724.22 $1,724.22 1.2×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $2,078.48 $2,078.48 1.4×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $9,408.70 $9,408.70 2.1×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $10,988.81 $10,988.81 2.5×
Pseudoaneurysm Injection Trt (36002) $439.72 $439.72 0.6×
Punch biopsy skin single lesion (11104) $1,653.68 $1,653.68 3.3×
Puncture aspiration abscess hematoma bulla/cyst (10160) $373.84 $373.84 0.7×
Puncture Aspiration Cyst Breast (19000) $804.41 $804.41 0.9×
Puncture shunt tube/reservoir aspiration/inj px (61070) $1,791.80 $1,791.80 2.0×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $6,342.15 $6,342.15 2.6×
Rbc DNA gntyp 12 bld grp gen (0282U) $370.50 $370.50 0.5×
Rcnstj Mandible/Maxl Endosteal Implant Partial (21248) $6,708.42 $6,708.42 0.9×
Reconstruction of jaw (21249) $11,209.81 $11,209.81 1.5×
Redo Endovas Vena Cava Filtr (37192) $623.25 $623.25 0.2×
Rem Endovas Vena Cava Filter (37193) $8,157.80 $8,157.80 2.1×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $6,689.91 $6,689.91 5.9×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $233.53 $233.53 3.2×
Removal of nail bed (11750) $1,550.20 $1,550.20 3.1×
Removal of tunneled intraperitoneal catheter (49422) $2,711.91 $2,711.91 0.7×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $298.82 $298.82 1.2×
Remove brain canal fluid (61050) $753.14 $753.14 2.0×
Remove Intrauterine Device (58301) $5,716.86 $5,716.86 15.0×
Remove intrvas foreign body (37197) $8,767.68 $8,767.68 2.2×
Remove lung catheter (32552)
range across 2 matching MRF lines
$587.82–$8,477.27 $587.82–$8,477.27 varies
Remove renal tube w/fluoro (50389) $5,319.20 $5,319.20 6.1×
Remove tissue expander (11971) $5,457.48 $5,457.48 1.5×
Remove ureter stent percut (50384) $408.59 $408.59 0.2×
Renal Biopsy Perq (50200) $2,283.42 $2,283.42 1.1×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,888.90 $1,888.90 2.0×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $2,582.91 $2,582.91 2.8×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,576.25 $1,576.25 3.1×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $2,183.81 $2,183.81 4.3×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,328.01 $1,328.01 2.6×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,692.94 $1,692.94 3.3×
Repair complex trunk 1.1-2.5 cm (13100) $1,295.36 $1,295.36 1.4×
Repair complex trunk 2.6-7.5 cm (13101) $1,569.99 $1,569.99 1.7×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $633.90 $633.90 1.2×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $1,145.67 $1,145.67 2.3×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,307.94 $1,307.94 2.6×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,572.21 $1,572.21 3.1×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $582.07 $582.07 1.1×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $723.44 $723.44 1.4×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $430.84 $430.84 0.5×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,325.37 $1,325.37 2.6×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $555.79 $555.79 1.1×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $1,469.24 $1,469.24 2.9×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $1,572.21 $1,572.21 3.1×
Replace duodenostomy/jejunostomy tube perq (49451) $6,402.96 $6,402.96 5.7×
Replace G-J Tube Perc (49452) $3,513.51 $3,513.51 3.1×
Replace g/c tube perc (49450) $2,377.23 $2,377.23 2.1×
Reposition Gastrostomy Tube (43761) $845.97 $845.97 2.7×
Reposition Venous Catheter (36597) $771.73 $771.73 0.4×
Revj Transvns Intrahepatic Portosystemic Shunt (37183)
likely a partial charge, not the full procedure
$634.66 $634.66 0.1×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $2,934.24 $2,934.24 1.1×
Rmvl Previously Implted Ithcl/Edrl Cath (62355) $6,706.44 $6,706.44 2.8×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $2,143.23 $2,143.23 1.1×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $3,744.91 $3,744.91 4.8×
Rplc Gtube No Revj Trc (43762) $1,773.85 $1,773.85 5.7×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $1,413.53 $1,413.53 0.7×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,333.73 $1,333.73 0.7×
Rplcmt compl tun ctr vad w/subq port (36582) $5,636.05 $5,636.05 1.4×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $2,976.46 $2,976.46 0.8×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $6,289.23 $6,289.23 3.2×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $928.80 $928.80 1.2×
Sclerotx Fluid Collection (49185) $1,525.04 $1,525.04 0.7×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,978.18 $1,978.18 1.3×
Shave skin lesion 0.5 cm/< (11300) $197.30 $197.30 0.4×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $355.76 $355.76 1.4×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $699.84 $699.84 1.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $312.07 $312.07 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $365.59 $365.59 1.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $366.57 $366.57 1.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $315.22 $315.22 0.6×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $345.24 $345.24 1.4×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $424.05 $424.05 0.8×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $281.22 $281.22 1.1×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $479.65 $479.65 0.9×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $341.57 $341.57 1.4×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $3,691.58 $3,691.58 0.9×
Sigmoidoscopy & Polypectomy (45333) $1,707.03 $1,707.03 1.5×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 2 matching MRF lines
$157.50–$1,860.89 $157.50–$1,860.89 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $592.33 $592.33 2.4×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $614.23 $614.23 2.5×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $3,324.49 $3,324.49 13.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $602.43 $602.43 2.4×
Skin Full Grft Face/Genit/Hf (15240) $3,797.45 $3,797.45 1.5×
Skin Pedicle Flap Trunk (15570) $5,098.66 $5,098.66 2.0×
Skin Pinch Graft (15050) $1,902.75 $1,902.75 2.1×
Skin sub graft face/nk/hf/g (15275) $8,822.52 $8,822.52 9.6×
Skin sub graft trnk/arm/leg (15271) $5,052.94 $5,052.94 5.5×
Skin sub grft t/arm/lg child (15273) $2,651.70 $2,651.70 1.0×
Skn sub grft f/n/hf/g child (15277) $2,651.70 $2,651.70 1.0×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $13,845.88 $13,845.88 2.0×
Slctv cath carotid/innom art angio xtrcranl art (36222) $13,845.88 $13,845.88 3.5×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $13,845.88 $13,845.88 2.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $601.72 $601.72 2.4×
Spinal puncture lumbar diagnostic (62270) $1,711.41 $1,711.41 1.9×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $4,595.99 $4,595.99 1.0×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $3,895.44 $3,895.44 1.5×
Strapping Unna Boot (29580) $442.91 $442.91 2.2×
Subcutaneous Injection Filling Material 1 Cc/< (11950) $528.36 $528.36 2.1×
Subcutaneous injection filling matrl 1.1-5.0 cc (11951) $789.33 $789.33 0.9×
Subcutaneous Injection Filling Matrl >10.0 Cc (11954) $920.97 $920.97 1.0×
Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) $859.01 $859.01 0.9×
Tangential biopsy skin single lesion (11102) $1,653.68 $1,653.68 3.3×
Tattooing incl micropigmentation 6.0 cm/< (11920) $590.66 $590.66 0.6×
Tattooing incl micropigmentation 6.1-20.0 cm (11921) $980.02 $980.02 1.1×
Thaw preserved stem cells (38208) $556.80 $556.80 1.0×
Ther Apheresis W/Extracorporeal Immunoadsorption (36516) $5,776.64 $5,776.64 1.1×
Ther Apheresis,Red Blood Cells (36512) $2,100 $2,100 1.1×
Ther Spi Pnxr Csf Fluor/Ct (62329) $2,120.11 $2,120.11 2.4×
Therapeutic Apheresis White Blood Cells (36511)
range across 5 matching MRF lines
$849.09–$5,776.64 $849.09–$5,776.64 varies
Therapeutic plasma exchange (36514) $5,776.64 $5,776.64 3.0×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628)
unusually low: confirm this is the full procedure
$4,969.24 $4,969.24 0.3×
Thromblytic art/ven therapy (37213) $3,995.70 $3,995.70 1.0×
Thrombolytic Art Therapy (37211) $3,995.70 $3,995.70 0.6×
Thrombolytic Venous Therapy (37212) $3,995.70 $3,995.70 1.0×
Thyroid biopsy (60100) $5,205.72 $5,205.72 5.9×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $3,237.31 $3,237.31 1.3×
Tooth extraction (41899) $133.25 $133.25 0.5×
Transcatheter biopsy (37200)
unusually low: confirm this is the full procedure
$2,122.77 $2,122.77 0.3×
Transfer skin pedicle flap (15650) $9,468.10 $9,468.10 3.7×
Trgt gen seq alys sld orgn neo cll-fr DNA 311+ (0239U)
range across 2 matching MRF lines
$6,879.01–$7,540 $6,879.01–$7,540 varies
Trluml Balo Angiop 1St Art (37246) $5,448.56 $5,448.56 0.8×
Trluml Balo Angiop 1St Vein (37248) $5,448.56 $5,448.56 0.8×
Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207)
range across 4 matching MRF lines
$5,800–$8,161.19 $5,800–$8,161.19 varies
Trnspl Prepj Hematop Progen Concentration Plsm (38215)
range across 2 matching MRF lines
$325–$1,829.23 $325–$1,829.23 varies
Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) $232 $232 0.4×
Trnspl Prepj Hematop Progen Red Bld Cell Rmvl (38212) $377 $377 0.7×
Trnsplj allogeneic hematopoietic cells per donor (38240)
range across 2 matching MRF lines
$584.85–$1,000 $584.85–$1,000 varies
Trnsplj autologous hematopoietic cells per donor (38241)
range across 3 matching MRF lines
$1,000–$1,050 $1,000–$1,050 varies
Trnsplj Hematopoietic Cell Boost (38243)
range across 2 matching MRF lines
$1,000–$1,050 $1,000–$1,050 varies
Tx Gastro Intub W/Asp (43753) $858.75 $858.75 3.2×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,267.62 $1,267.62 1.4×
Tx superficial wound dehiscence w/packing (12021) $602.43 $602.43 1.2×
Unlisted Procedure Biliary Tract (47999) $2,679.08 $2,679.08 2.4×
Unlisted procedure breast (19499) $8,478.90 $8,478.90 1.7×
Unlisted procedure colon (45399) $2,697.82 $2,697.82 2.3×
Unlisted Procedure Endocrine System (60699)
range across 2 matching MRF lines
$10,722.41–$18,180.23 $10,722.41–$18,180.23 varies
Unlisted procedure foot or toes (28899) $681.35 $681.35 2.2×
Unlisted procedure larynx (31599) $4,830.46 $4,830.46 16.3×
Unlisted Procedure Leg/Ankle (27899)
range across 2 matching MRF lines
$8,518.97–$19,090.28 $8,518.97–$19,090.28 varies
Unlisted procedure liver (47399)
range across 3 matching MRF lines
$970.44–$12,060.05 $970.44–$12,060.05 varies
Unlisted procedure lungs and pleura (32999)
range across 3 matching MRF lines
$1,597.35–$5,416.27 $1,597.35–$5,416.27 varies
Unlisted Procedure Muscskeletal System General (20999)
range across 3 matching MRF lines
$648.90–$19,345.07 $648.90–$19,345.07 varies
Unlisted procedure neck or thorax (21899)
range across 4 matching MRF lines
$4,600.44–$12,364.50 $4,600.44–$12,364.50 varies
Unlisted procedure nervous system (64999)
range across 3 matching MRF lines
$622.58–$2,148.98 $622.58–$2,148.98 varies
Unlisted procedure pelvis/hip joint (27299) $699.10 $699.10 2.3×
Unlisted Procedure Tongue Floor Mouth (41599)
range across 2 matching MRF lines
$4,830.46–$6,492.34 $4,830.46–$6,492.34 varies
Unlisted Procedure Trachea Bronchi (31899) $4,830.46 $4,830.46 19.4×
Unlisted procedure, abdomen, peritoneum and omentum (49999)
range across 3 matching MRF lines
$4,892.74–$15,631.88 $4,892.74–$15,631.88 varies
Unlisted Procedure, Urinary System (53899) $9,546.40 $9,546.40 30.6×
Unlisted px female genital system nonobstetrical (58999)
range across 2 matching MRF lines
$1,024.74–$1,806.32 $1,024.74–$1,806.32 varies
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961) $12,330.41 $12,330.41 1.8×
Ureteral endoscopy via ureterostomy (50951) $6,787.15 $6,787.15 1.5×
Vasc embolize/occlude artery (37242) $19,000.63 $19,000.63 0.8×
Vasc Embolize/Occlude Bleed (37244) $19,000.63 $19,000.63 1.3×
Vasc Embolize/Occlude Organ (37243) $19,000.63 $19,000.63 1.3×
Vasc embolize/occlude venous (37241) $19,000.63 $19,000.63 1.3×
Venous Mech Thrombectomy (37187) $33,491.33 $33,491.33 2.3×
Von willebrand factor type 2b plasma (0283U) $305.50 $305.50 16.6×
Vw factor type 2n eval plsm (0284U) $219.05 $219.05 12.7×
Wash harvest stem cells (38209)
range across 2 matching MRF lines
$730–$4,108.72 $730–$4,108.72 varies
Wound Prep Trk/Arm/Leg (15002) $1,972.57 $1,972.57 2.1×

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.