Procedures & surgery prices at Saint Alphonsus Medical Center Ontario
Ontario, OR · every code in this section with a posted price and a Medicare benchmark.
292 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $1,329.90 | $2,046 | 1.3× |
| Acne surgery (10040) | $150.15 | $231 | 0.7× |
| Anoscopy Control Bleeding (46614) | $890.50 | $1,370 | 0.7× |
| Anoscopy diagnostic (46600) | $182 | $280 | 1.2× |
| Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
$218.40–$327.60 | $336–$504 | varies |
| Application finger splint static (29130) range across 3 matching MRF lines |
$133.25–$200.20 | $205–$308 | varies |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$148.20–$222.30 | $228–$342 | varies |
| Application of cylinder cast (thigh to ankle) (29365) range across 3 matching MRF lines |
$187.85–$282.10 | $289–$434 | varies |
| Application of long leg cast (29345) range across 3 matching MRF lines |
$224.90–$337.35 | $346–$519 | varies |
| Application of rigid total contact leg cast (29445) range across 3 matching MRF lines |
$235.95–$354.25 | $363–$545 | varies |
| Application Short Arm Splint Dynamic (29126) range across 3 matching MRF lines |
$134.55–$202.15 | $207–$311 | varies |
| Application short arm splint forearm-hand static (29125) range across 18 matching MRF lines |
$97.50–$251.55 | $150–$387 | varies |
| Application short leg splint calf foot (29515) range across 12 matching MRF lines |
$118.95–$369.85 | $183–$569 | varies |
| Apply long arm cast (29065) range across 4 matching MRF lines |
$183.30–$274.95 | $282–$423 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 9 matching MRF lines |
$107.90–$196.95 | $166–$303 | varies |
| Apply Short Leg Cast (29405) range across 6 matching MRF lines |
$183.30–$274.95 | $282–$423 | varies |
| Arterial puncture (36600) | $159.90 | $246 | 1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 6 matching MRF lines |
$356.20–$534.30 | $548–$822 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 3 matching MRF lines |
$468.65–$676.65 | $721–$1,041 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 11 matching MRF lines |
$495.30–$742.95 | $762–$1,143 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 6 matching MRF lines |
$506.35–$759.85 | $779–$1,169 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 6 matching MRF lines |
$311.35–$467.35 | $479–$719 | varies |
| Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
$1,155.70–$1,733.55 | $1,778–$2,667 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $222.95 | $343 | 0.7× |
| Aspiration bladder insert suprapubic catheter (51102) | $3,006.25 | $4,625 | 1.3× |
| Avulsion nail plate partial/complete simple 1 (11730) | $92.30 | $142 | 0.4× |
| Biopsy Abdominal Mass (49180) | $1,817.40 | $2,796 | 1.0× |
| Biopsy muscle percutaneous needle (20206) | $1,589.25 | $2,445 | 0.9× |
| Biopsy of lip (40490) | $189.15 | $291 | 0.7× |
| Biopsy of liver, needle; percutaneous (47000) | $1,903.20 | $2,928 | 1.0× |
| Biopsy Salivary Gland Incisional (42405) | $1,119.30 | $1,722 | 0.6× |
| Biopsy Salivary Gland Needle (42400) | $1,008.15 | $1,551 | 1.3× |
| Biopsy soft tissue neck/thorax (21550) | $1,065.35 | $1,639 | 0.6× |
| Biopsy, vestibule of mouth (40808) | $384.80 | $592 | 0.6× |
| Bladder Irrigation (51700) | $237.90 | $366 | 0.9× |
| Bladder Scan (51798) | $120.25 | $185 | 1.8× |
| Blood Transfusion Service (36430) | $683.15 | $1,051 | 1.4× |
| Bx breast 1st lesion us imag (19083) range across 6 matching MRF lines |
$2,499.90–$3,749.20 | $3,846–$5,768 | varies |
| Catheter aspiration nasotracheal spx (31720) | $180.05 | $277 | 0.7× |
| Change of Windpipe Airway (31502) | $175.50 | $270 | 0.7× |
| Chemical Cautery Tissue (17250) | $145.60 | $224 | 0.7× |
| Chemodenerv Musc Migraine (64615) | $231.40 | $356 | 0.7× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) | $252.20 | $388 | 0.7× |
| Chemodenervation of internal anal sphincter (46505) | $890.50 | $1,370 | 0.7× |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$109.85–$165.10 | $169–$254 | varies |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) range across 3 matching MRF lines |
$204.75–$307.45 | $315–$473 | varies |
| Closed Treatment Ulnar Styloid Fracture (25650) | $327.60 | $504 | 1.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $273.65 | $421 | 1.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 3 matching MRF lines |
$208–$312 | $320–$480 | varies |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $304.20 | $468 | 1.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $181.35 | $279 | 0.7× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 3 matching MRF lines |
$224.25–$390 | $345–$600 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 3 matching MRF lines |
$255.45–$383.50 | $393–$590 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 3 matching MRF lines |
$181.35–$272.35 | $279–$419 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $319.15 | $491 | 1.2× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 3 matching MRF lines |
$453.05–$679.90 | $697–$1,046 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 3 matching MRF lines |
$376.35–$564.85 | $579–$869 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 3 matching MRF lines |
$190.45–$286 | $293–$440 | varies |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) range across 3 matching MRF lines |
$485.55–$728.65 | $747–$1,121 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 3 matching MRF lines |
$235.30–$352.95 | $362–$543 | varies |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $214.50 | $330 | 0.8× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) range across 3 matching MRF lines |
$234–$351 | $360–$540 | varies |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $264.55 | $407 | 1.0× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 3 matching MRF lines |
$184.60–$276.90 | $284–$426 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 3 matching MRF lines |
$344.50–$516.75 | $530–$795 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $259.35 | $399 | 0.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 3 matching MRF lines |
$172.25–$258.70 | $265–$398 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) range across 3 matching MRF lines |
$229.45–$344.50 | $353–$530 | varies |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) | $250.90 | $386 | 0.9× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 3 matching MRF lines |
$181.35–$238.55 | $279–$367 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $181.35 | $279 | 0.7× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $304.20 | $468 | 1.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $230.10 | $354 | 0.8× |
| Cltx Medial Ankle Fx (27760) range across 3 matching MRF lines |
$237.25–$356.20 | $365–$548 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) | $181.35 | $279 | 0.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $248.95 | $383 | 0.9× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $227.50 | $350 | 0.8× |
| Cltx prox fibula/shft fx w/o manj (27780) | $325 | $500 | 1.2× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 3 matching MRF lines |
$321.75–$482.95 | $495–$743 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) range across 3 matching MRF lines |
$181.35–$258.70 | $279–$398 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 3 matching MRF lines |
$187.85–$282.10 | $289–$434 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $113.10 | $174 | 0.8× |
| Collection of venous blood by venipuncture (36415) | $22.10 | $34 | 2.4× |
| Complex drainage wound (10180) | $2,161.90 | $3,326 | 0.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $202.15 | $311 | 1.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 6 matching MRF lines |
$191.10–$286.65 | $294–$441 | varies |
| Conversion ext bil drg cath (47535) | $4,594.85 | $7,069 | 1.2× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $1,415.05 | $2,177 | 0.8× |
| Create Eardrum Opening (69433) range across 3 matching MRF lines |
$384.80–$553.80 | $592–$852 | varies |
| Curettage postpartum (59160) | $1,861.60 | $2,864 | 0.5× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $462.15 | $711 | 1.0× |
| Debride nail 1-5 (11720) | $66.30 | $102 | 1.0× |
| Debride nail 6 or more (11721) | $59.80 | $92 | 0.9× |
| Debridement Mastoidectomy Cavity Simple (69220) range across 3 matching MRF lines |
$156–$234 | $240–$360 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $333.45 | $513 | 0.7× |
| Declot vascular device (36593) | $583.70 | $898 | 1.6× |
| Deep Muscle Biopsy (20205) | $2,161.90 | $3,326 | 0.7× |
| Delivery of placenta (59414) | $2,369.90 | $3,646 | 0.7× |
| Destruct B9 Lesion 1-14 (17110) | $157.30 | $242 | 0.7× |
| Destruction Benign Lesions 15/> (17111) | $180.70 | $278 | 0.8× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $203.45 | $313 | 0.9× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $190.45 | $293 | 0.9× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $200.85 | $309 | 0.9× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $150.15 | $231 | 0.7× |
| Destruction Premalignant Lesion 15/> (17004) | $301.60 | $464 | 0.7× |
| Diagnostic sigmoidoscopy (45330) | $689 | $1,060 | 0.7× |
| Drain/inj small joint/bursa w/us (20604) range across 3 matching MRF lines |
$222.95–$295.10 | $343–$454 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $531.70 | $818 | 0.7× |
| Drainage of finger abscess simple (26010) | $360.10 | $554 | 1.6× |
| Drainage of hematoma/fluid (10140) | $1,223.95 | $1,883 | 0.7× |
| Draw Blood Off Venous Device (36591) | $149.50 | $230 | 1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $301.60 | $464 | 0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $121.55 | $187 | 0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $144.30 | $222 | 0.6× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 3 matching MRF lines |
$570.70–$725.40 | $878–$1,116 | varies |
| Dx Bone Marrow Bx & Aspir (38222) range across 4 matching MRF lines |
$1,214.85–$1,822.60 | $1,869–$2,804 | varies |
| Dx Bronchoscope/Lavage (31624) | $2,174.90 | $3,346 | 1.1× |
| Dx Bronchoscope/Wash (31622) | $2,005.90 | $3,086 | 1.0× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,103.05 | $1,697 | 1.4× |
| Epidural Blood Patch (62273) | $1,235 | $1,900 | 1.6× |
| Exc arm/elbow les sc < 3 cm (24075) | $1,236.95 | $1,903 | 0.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $1,223.95 | $1,883 | 0.7× |
| Exc Face Les Sbq 2 Cm/> (21012) | $1,223.95 | $1,883 | 0.7× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $209.95 | $323 | 0.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $1,223.95 | $1,883 | 0.7× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $531.70 | $818 | 0.7× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $1,223.95 | $1,883 | 0.7× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $1,223.95 | $1,883 | 0.7× |
| Exc Skin Benig >4cm Face,Facial (11446) | $2,161.90 | $3,326 | 0.7× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $1,223.95 | $1,883 | 0.7× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $2,161.90 | $3,326 | 0.7× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $1,223.95 | $1,883 | 0.7× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $890.50 | $1,370 | 0.7× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $301.60 | $464 | 0.7× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $1,223.95 | $1,883 | 0.7× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $1,223.95 | $1,883 | 0.7× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $1,812.85 | $2,789 | 1.0× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $2,961.40 | $4,556 | 1.4× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $531.70 | $818 | 0.7× |
| Excision Lesion Tongue W/O Closure (41110) | $2,449.85 | $3,769 | 0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $531.70 | $818 | 0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $531.70 | $818 | 0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $326.95 | $503 | 0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $531.70 | $818 | 0.7× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $1,223.95 | $1,883 | 0.7× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $531.70 | $818 | 0.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $531.70 | $818 | 0.7× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $1,223.95 | $1,883 | 0.7× |
| Excision Multiple External Papillae/Tags Anus (46230) | $2,071.55 | $3,187 | 0.7× |
| Excision of single external papilla or tag, anus (46220) | $890.50 | $1,370 | 0.7× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) range across 3 matching MRF lines |
$1,223.95–$1,287 | $1,883–$1,980 | varies |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) range across 3 matching MRF lines |
$1,223.95–$1,630.20 | $1,883–$2,508 | varies |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $2,161.90 | $3,326 | 0.7× |
| Fetal non-stress test (59025) | $220.35 | $339 | 1.0× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $531.70 | $818 | 0.7× |
| Fna bx w/us gdn 1st les (10005) | $1,000.35 | $1,539 | 1.3× |
| Guide Cathet Fluid Drainage (10030) | $852.80 | $1,312 | 1.1× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $689 | $1,060 | 0.7× |
| I&d abscess simple (10060) | $200.20 | $308 | 0.9× |
| I&d pilonidal cyst simple (10080) | $318.50 | $490 | 0.4× |
| Image Cath Fluid Colxn Visc (49405) | $3,053.05 | $4,697 | 1.7× |
| Image Cath Fluid Peri/Retro (49406) | $2,692.95 | $4,143 | 1.5× |
| Implant neuroelectrodes (63650) unusually low: confirm this is the full procedure |
$3,322.80 | $5,112 | 0.5× |
| Incision & drainage abscess complicated/multiple (10061) | $365.95 | $563 | 0.8× |
| Incision & removal foreign body subq tiss compl (10121) | $299 | $460 | 0.2× |
| Incision & removal foreign body subq tiss simple (10120) | $274.95 | $423 | 0.6× |
| Incision and drainage of bartholin's gland abscess (56420) | $282.10 | $434 | 1.3× |
| Incision of eardrum (69420) range across 3 matching MRF lines |
$252.20–$378.30 | $388–$582 | varies |
| Incisional biopsy skin single lesion (11106) | $462.15 | $711 | 0.6× |
| Inj W/Fluor Eval Cv Device (36598) range across 3 matching MRF lines |
$429.65–$644.80 | $661–$992 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 9 matching MRF lines |
$434.85–$652.60 | $669–$1,004 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 3 matching MRF lines |
$1,021.80–$1,532.70 | $1,572–$2,358 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 3 matching MRF lines |
$459.55–$689.65 | $707–$1,061 | varies |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) range across 3 matching MRF lines |
$1,063.40–$1,595.10 | $1,636–$2,454 | varies |
| Injection anesthetic agent suprascapular nerve (64418) range across 3 matching MRF lines |
$1,021.80–$1,532.70 | $1,572–$2,358 | varies |
| Injection for identification of sentinel node (38792) range across 3 matching MRF lines |
$375.70–$563.55 | $578–$867 | varies |
| Injection single tendon origin/insertion (20551) | $148.20 | $228 | 0.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $151.45 | $233 | 0.4× |
| Injection therapeutic carpal tunnel (20526) range across 6 matching MRF lines |
$181.35–$272.35 | $279–$419 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $150.15 | $231 | 0.7× |
| Insert cath pleura w/o image (32556) range across 3 matching MRF lines |
$2,611.70–$3,917.55 | $4,018–$6,027 | varies |
| Insert cervical dilator (59200) | $230.10 | $354 | 0.7× |
| Insert Drug Implant Device (11981) | $166.40 | $256 | 1.1× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $2,769 | $4,260 | 1.6× |
| Insert Temp Bladder Cath (51702) | $193.70 | $298 | 1.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $193.70 | $298 | 1.3× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $3,851.90 | $5,926 | 2.2× |
| Insj Picc Rs&I <5 Yr (36572) | $1,292.85 | $1,989 | 1.9× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) range across 3 matching MRF lines |
$5,406.05–$8,109.40 | $8,317–$12,476 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $2,769 | $4,260 | 1.6× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 3 matching MRF lines |
$4,614.25–$6,921.72 | $7,098.84–$10,648.80 | varies |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) | $2,539.55 | $3,907 | 1.7× |
| Intubation endotracheal emergency procedure (31500) | $412.75 | $635 | 1.6× |
| Labyrinthotomy Transcanal (69801) | $1,119.30 | $1,722 | 0.6× |
| Laryngoscopy flexible diagnostic (31575) | $135.20 | $208 | 0.6× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) | $1,302.60 | $2,004 | 0.7× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) range across 2 matching MRF lines |
$293.15–$316.55 | $451–$487 | varies |
| Late closure of wound (13160) | $1,721.85 | $2,649 | 0.4× |
| Lyse Chest Fibrin Subq Day (32562) | $1,051.70 | $1,618 | 1.5× |
| Myelography Lumbar Injection (62305) | $1,151.15 | $1,771 | 1.3× |
| Myelography Lumbar Injection (62304) | $1,200.55 | $1,847 | 1.4× |
| Myelography via lumbar injection rs&i cervical (62302) | $1,200.55 | $1,847 | 1.4× |
| N Block Inj Celiac Pelus (64530) | $1,517.10 | $2,334 | 1.5× |
| N block inj intercost sng (64420) range across 3 matching MRF lines |
$546–$819 | $840–$1,260 | varies |
| N Block Inj Plantar Digit (64455) | $222.95 | $343 | 0.7× |
| Nasal Endoscopy Dx (31231) | $200.85 | $309 | 0.9× |
| Nasal/Orogastric W/Tube Plmt (43752) | $323.70 | $498 | 0.7× |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) range across 3 matching MRF lines |
$4,198.35–$6,297.85 | $6,459–$9,689 | varies |
| Needle Biopsy Lymph Nodes (38505) range across 3 matching MRF lines |
$1,623.70–$2,436.20 | $2,498–$3,748 | varies |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $22.10 | $34 | 0.7× |
| Needle insertion w/o injection 3 or more muscles (20561) | $25.35 | $39 | 0.8× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $858.65 | $1,321 | 2.1× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $1,671.15 | $2,571 | 0.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $1,324.05 | $2,037 | 1.3× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $1,241.50 | $1,910 | 1.6× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) range across 3 matching MRF lines |
$1,099.15–$1,649.05 | $1,691–$2,537 | varies |
| Partical Excision Bone Phalanx Toe (28124) range across 6 matching MRF lines |
$1,354.60–$2,031.90 | $2,084–$3,126 | varies |
| Perc Cryo Ablate Renal Tum (50593) range across 3 matching MRF lines |
$6,932.90–$10,399.35 | $10,666–$15,999 | varies |
| Perq dev breast 1st us imag (19285) range across 3 matching MRF lines |
$2,110.55–$3,166.15 | $3,247–$4,871 | varies |
| Perq device breast 1st imag (19281) range across 3 matching MRF lines |
$2,110.55–$3,166.15 | $3,247–$4,871 | varies |
| Perq Lumbosacral Injection (22511) | $5,845.45 | $8,993 | 1.6× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $1,324.05 | $2,037 | 1.7× |
| Phalangectomy toe each toe (28150) | $1,114.75 | $1,715 | 0.3× |
| Plmt Bile Duct Stent Prq Existing Access (47538) | $9,820.20 | $15,108 | 1.5× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) range across 3 matching MRF lines |
$6,764.55–$10,147.15 | $10,407–$15,611 | varies |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) | $890.50 | $1,370 | 0.7× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $5,779.15 | $8,891 | 1.5× |
| Punch biopsy skin single lesion (11104) | $193.70 | $298 | 0.4× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $715.65 | $1,101 | 1.6× |
| Puncture Aspiration Cyst Breast (19000) | $653.25 | $1,005 | 0.8× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$567.45–$851.50 | $873–$1,310 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 6 matching MRF lines |
$78–$117 | $120–$180 | varies |
| Removal Implant Superficial Separate Procedure (20670) | $1,223.95 | $1,883 | 0.7× |
| Removal of tunneled intraperitoneal catheter (49422) | $3,907.15 | $6,011 | 1.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $150.15 | $231 | 0.7× |
| Remove intrvas foreign body (37197) | $3,515.20 | $5,408 | 1.0× |
| Remove lung catheter (32552) | $1,018.55 | $1,567 | 1.5× |
| Remove renal tube w/fluoro (50389) range across 3 matching MRF lines |
$1,319.50–$1,979.25 | $2,030–$3,045 | varies |
| Remove/Insert Drug Implant (11983) | $301.60 | $464 | 0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $630.50 | $970 | 1.4× |
| Repair complex trunk 1.1-2.5 cm (13100) | $462.80 | $712 | 0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $424.45 | $653 | 0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $373.75 | $575 | 0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $319.15 | $491 | 0.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $368.55 | $567 | 0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $403 | $620 | 0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $451.75 | $695 | 1.0× |
| Reposition Gastrostomy Tube (43761) | $798.85 | $1,229 | 2.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $301.60 | $464 | 0.6× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $1,223.95 | $1,883 | 0.7× |
| Rplc Gtube No Revj Trc (43762) | $588.25 | $905 | 2.1× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $1,087.45 | $1,673 | 1.6× |
| Shave skin lesion 0.5 cm/< (11300) | $301.60 | $464 | 0.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $149.50 | $230 | 0.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $301.60 | $464 | 0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $163.15 | $251 | 0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $187.85 | $289 | 0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $207.35 | $319 | 0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $301.60 | $464 | 0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $204.10 | $314 | 0.9× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $301.60 | $464 | 0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $185.25 | $285 | 0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $301.60 | $464 | 0.7× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $204.10 | $314 | 0.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $150.15 | $231 | 0.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $188.50 | $290 | 0.8× |
| Skin sub graft face/nk/hf/g (15275) | $1,882.40 | $2,896 | 2.3× |
| Skin sub graft trnk/arm/leg (15271) | $1,882.40 | $2,896 | 2.3× |
| Spinal puncture lumbar diagnostic (62270) | $1,008.80 | $1,552 | 1.3× |
| Strapping ankle (29540) range across 6 matching MRF lines |
$159.25–$239.20 | $245–$368 | varies |
| Strapping elbow or wrist (29260) range across 6 matching MRF lines |
$131.30–$197.60 | $202–$304 | varies |
| Strapping hand/finger (29280) range across 9 matching MRF lines |
$131.30–$197.60 | $202–$304 | varies |
| Strapping knee (29530) range across 6 matching MRF lines |
$149.50–$224.90 | $230–$346 | varies |
| Strapping shoulder (29240) range across 3 matching MRF lines |
$76.05–$113.75 | $117–$175 | varies |
| Strapping toes (29550) range across 6 matching MRF lines |
$159.25–$239.20 | $245–$368 | varies |
| Strapping Unna Boot (29580) range across 18 matching MRF lines |
$104.65–$176.80 | $161–$272 | varies |
| Tangential biopsy skin single lesion (11102) | $164.45 | $253 | 0.4× |
| Tattooing incl micropigmentation 6.1-20.0 cm (11921) | $462.15 | $711 | 0.6× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $1,063.40 | $1,636 | 1.4× |
| Thromblytic art/ven therapy (37213) | $3,185.65 | $4,901 | 0.9× |
| Thyroid biopsy (60100) | $945.10 | $1,454 | 1.2× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) | $413.40 | $636 | 0.7× |
| Treat humerus fracture (24500) range across 3 matching MRF lines |
$344.50–$516.75 | $530–$795 | varies |
| Treat humerus fracture (23600) range across 3 matching MRF lines |
$195.65–$293.80 | $301–$452 | varies |
| Trim skin lesion (11055) | $81.90 | $126 | 0.4× |
| Trim skin lesions 2 to 4 (11056) | $150.15 | $231 | 0.7× |
| Trim skin lesions over 4 (11057) | $150.15 | $231 | 0.7× |
| Trimming Nondystrophic Nails Any Number (11719) | $40.30 | $62 | 0.6× |
| Tx open tendon flexor toe 1 tendon spx (28232) | $2,240.55 | $3,447 | 1.3× |
| Unlisted procedure nervous system (64999) | $2,166.45 | $3,333 | 6.3× |
| Uvulectomy excision of uvula (42140) | $2,449.85 | $3,769 | 0.7× |
| Wedge excision skin nail fold (11765) | $218.40 | $336 | 0.5× |
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.