Procedures & surgery prices at Saint James Hospital
Pontiac, IL · every code in this section with a posted price and a Medicare benchmark.
418 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) range across 2 matching MRF lines |
$2,260.80–$2,292.80 | $2,826–$2,866 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$2,470.40–$2,688.80 | $3,088–$3,361 | varies |
| Amniocentesis diagnostic (59000) range across 3 matching MRF lines |
$672–$731.20 | $840–$914 | varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $5,005.60 | $6,257 | 1.4× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) range across 9 matching MRF lines |
$215.20–$524 | $269–$655 | varies |
| Application cast elbow finger short arm (29075) | $347.20 | $434 | 1.2× |
| Application finger splint static (29130) | $557.60 | $697 | 3.9× |
| Application long arm splint shoulder hand (29105) range across 4 matching MRF lines |
$390.40–$598.40 | $488–$748 | varies |
| Application Long Leg Cast Walker/Ambulatory Type (29355) | $538.40 | $673 | 1.8× |
| Application Long Leg Splint (29505) range across 3 matching MRF lines |
$558.40–$598.40 | $698–$748 | varies |
| Application of long leg cast (29345) | $410.40 | $513 | 1.4× |
| Application of rigid total contact leg cast (29445) | $955.20 | $1,194 | 3.2× |
| Application short arm splint forearm-hand static (29125) range across 4 matching MRF lines |
$312.80–$689.60 | $391–$862 | varies |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$693.60–$743.20 | $867–$929 | varies |
| Apply hand/wrist cast (29085) | $246.40 | $308 | 1.4× |
| Apply long arm cast (29065) | $347.20 | $434 | 1.2× |
| Apply Multlay Comprs Lwr Leg (29581) range across 9 matching MRF lines |
$280–$505.60 | $350–$632 | varies |
| Apply Short Leg Cast (29405) range across 5 matching MRF lines |
$396–$1,237.60 | $495–$1,547 | varies |
| Arterial puncture (36600) | $107.20 | $134 | 0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 8 matching MRF lines |
$698.40–$1,114.40 | $873–$1,393 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 6 matching MRF lines |
$1,128.80–$1,892.80 | $1,411–$2,366 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 9 matching MRF lines |
$678.40–$2,516.80 | $848–$3,146 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 3 matching MRF lines |
$1,582.40–$1,892.80 | $1,978–$2,366 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 4 matching MRF lines |
$688.80–$698.40 | $861–$873 | varies |
| Aspirate pleura w/ imaging (32555) range across 6 matching MRF lines |
$1,116–$4,432.80 | $1,395–$5,541 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 3 matching MRF lines |
$1,004.80–$1,508 | $1,256–$1,885 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$196–$378.40 | $245–$473 | varies |
| Biopsy Abdominal Mass (49180) | $2,802.40 | $3,503 | 1.6× |
| Biopsy bone trocar/needle deep (20225) | $3,564 | $4,455 | 2.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $2,624.80 | $3,281 | 1.5× |
| Biopsy muscle percutaneous needle (20206) | $3,140.80 | $3,926 | 1.8× |
| Biopsy of liver, needle; percutaneous (47000) | $5,514.40 | $6,893 | 3.1× |
| Biopsy Pleura Percutaneous Needle (32400) | $3,041.60 | $3,802 | 1.7× |
| Bladder instillation anticarcinogenic agent (51720) | $572 | $715 | 0.8× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$991.20–$1,022.40 | $1,239–$1,278 | varies |
| Bladder Scan (51798) range across 2 matching MRF lines |
$280.80–$371.20 | $351–$464 | varies |
| Blepharotomy drainage abscess eyelid (67700) range across 4 matching MRF lines |
$504.80–$1,667.20 | $631–$2,084 | varies |
| Blood Transfusion Service (36430) range across 2 matching MRF lines |
$1,416.80–$1,487.20 | $1,771–$1,859 | varies |
| Bone Marrow Biopsy (38221) | $1,176.80 | $1,471 | 0.7× |
| Bone Marrow; Aspiration Only (38220) | $1,356 | $1,695 | 0.8× |
| Bronchoscopy Balloon Occlusion (31634) | $5,451.20 | $6,814 | 0.7× |
| Bx breast 1st lesion mr imag (19085) range across 3 matching MRF lines |
$1,732–$3,459.20 | $2,165–$4,324 | varies |
| Bx breast 1st lesion strtctc (19081) range across 3 matching MRF lines |
$1,732–$3,459.20 | $2,165–$4,324 | varies |
| Bx breast 1st lesion us imag (19083) range across 3 matching MRF lines |
$1,732–$3,459.20 | $2,165–$4,324 | varies |
| Catheter aspiration nasotracheal spx (31720) | $85.60 | $107 | 0.4× |
| Cessj Therapy Cath Removal (37214) | $2,655.20 | $3,319 | 0.8× |
| Change Cystostomy Tube Simple (51705) | $665.60 | $832 | 2.5× |
| Change of Windpipe Airway (31502) | $275.20 | $344 | 1.1× |
| Chemical Cautery Tissue (17250) | $605.60 | $757 | 2.8× |
| Chemodenerv Musc Migraine (64615) | $1,468 | $1,835 | 4.5× |
| Chest tube placement (32551) range across 6 matching MRF lines |
$1,320.80–$2,888.80 | $1,651–$3,611 | varies |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $3,120 | $3,900 | 0.8× |
| Circumcision w/clamp/oth dev w/block (54150) | $1,720.80 | $2,151 | 0.8× |
| Cl Tx Scapular Fx; W Manip (23575) | $2,372.80 | $2,966 | 1.4× |
| Cl Tx Tib Shft Fx W Manip (27752) range across 3 matching MRF lines |
$4,127.20–$4,420.80 | $5,159–$5,526 | varies |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$380–$406.40 | $475–$508 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $426.40 | $533 | 1.6× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $2,624 | $3,280 | 1.5× |
| Closed Treatment Sternum Fracture (21820) | $201.60 | $252 | 0.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 3 matching MRF lines |
$800.80–$857.60 | $1,001–$1,072 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $2,132 | $2,665 | 1.2× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $1,344 | $1,680 | 0.8× |
| Closed tx knee dislocation w/o anesthesia (27550) range across 3 matching MRF lines |
$365.60–$391.20 | $457–$489 | varies |
| Closed Tx Lunate Dislocation W/Manipulation (25690) range across 3 matching MRF lines |
$4,256–$4,559.20 | $5,320–$5,699 | varies |
| Closed tx mandibular fracture w/manipulation (21451) | $2,411.20 | $3,014 | 1.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $359.20 | $449 | 1.4× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $1,344 | $1,680 | 0.8× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $6,515.20 | $8,144 | 3.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 3 matching MRF lines |
$895.20–$958.40 | $1,119–$1,198 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) range across 3 matching MRF lines |
$1,521.60–$1,630.40 | $1,902–$2,038 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 3 matching MRF lines |
$821.60–$879.20 | $1,027–$1,099 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 3 matching MRF lines |
$1,344–$2,372.80 | $1,680–$2,966 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $1,344 | $1,680 | 0.8× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 3 matching MRF lines |
$398.40–$426.40 | $498–$533 | varies |
| Closed Tx Talus Fracture W/Manipulation (28435) range across 3 matching MRF lines |
$1,897.60–$2,032 | $2,372–$2,540 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 4 matching MRF lines |
$717.60–$1,072.80 | $897–$1,341 | varies |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) range across 3 matching MRF lines |
$1,581.60–$1,693.60 | $1,977–$2,117 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 3 matching MRF lines |
$398.40–$426.40 | $498–$533 | varies |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $1,216 | $1,520 | 4.8× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $1,936.80 | $2,421 | 3.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 3 matching MRF lines |
$4,382.40–$4,694.40 | $5,478–$5,868 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 3 matching MRF lines |
$1,220–$1,306.40 | $1,525–$1,633 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) range across 3 matching MRF lines |
$2,629.60–$2,816 | $3,287–$3,520 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $1,344 | $1,680 | 0.8× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) range across 3 matching MRF lines |
$365.60–$391.20 | $457–$489 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 3 matching MRF lines |
$1,263.20–$1,354.40 | $1,579–$1,693 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 3 matching MRF lines |
$841.60–$901.60 | $1,052–$1,127 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $697.60 | $872 | 2.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 3 matching MRF lines |
$370.40–$396.80 | $463–$496 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $1,344 | $1,680 | 0.8× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $1,344 | $1,680 | 0.8× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $1,344 | $1,680 | 0.8× |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 3 matching MRF lines |
$800.80–$857.60 | $1,001–$1,072 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 3 matching MRF lines |
$398.40–$426.40 | $498–$533 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $891.20 | $1,114 | 3.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $301.60 | $377 | 1.1× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 3 matching MRF lines |
$5,300.80–$5,676.80 | $6,626–$7,096 | varies |
| Cltx greater humeral tuberosity fx w/o manj (23620) range across 4 matching MRF lines |
$391.20–$588 | $489–$735 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) range across 3 matching MRF lines |
$2,687.20–$2,878.40 | $3,359–$3,598 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 3 matching MRF lines |
$504.80–$540 | $631–$675 | varies |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $2,372.80 | $2,966 | 1.4× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) | $2,558.40 | $3,198 | 1.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $220 | $275 | 0.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $301.60 | $377 | 1.1× |
| Cltx Medial Ankle Fx (27760) | $359.20 | $449 | 1.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 3 matching MRF lines |
$463.20–$496 | $579–$620 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $903.20 | $1,129 | 3.4× |
| Cltx post hip arthrp dislc req anes (27266) | $1,344 | $1,680 | 0.8× |
| Cltx post hip arthrp dislc w/o anes (27265) range across 3 matching MRF lines |
$1,120–$1,199.20 | $1,400–$1,499 | varies |
| Cltx prox fibula/shft fx w/manj (27781) | $1,344 | $1,680 | 0.8× |
| Cltx prox fibula/shft fx w/o manj (27780) range across 3 matching MRF lines |
$365.60–$391.20 | $457–$489 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 3 matching MRF lines |
$3,600–$3,856.80 | $4,500–$4,821 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
$800.80–$857.60 | $1,001–$1,072 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) range across 3 matching MRF lines |
$1,344–$2,740 | $1,680–$3,425 | varies |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) range across 3 matching MRF lines |
$2,470.40–$2,646.40 | $3,088–$3,308 | varies |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $1,344 | $1,680 | 0.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $1,344 | $1,680 | 0.8× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 3 matching MRF lines |
$359.20–$384.80 | $449–$481 | varies |
| Collection of venous blood by venipuncture (36415) | $34.40 | $43 | 3.7× |
| Colporrhaphy (57200) | $4,012 | $5,015 | 1.2× |
| Complex drainage wound (10180) range across 2 matching MRF lines |
$2,568–$3,492.80 | $3,210–$4,366 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) | $371.20 | $464 | 2.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $250.40 | $313 | 1.8× |
| Convert Nephrostomy Catheter (50434) | $1,634.40 | $2,043 | 0.7× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $2,840 | $3,550 | 1.6× |
| Csf shunt reprogram (62252) | $477.60 | $597 | 1.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $497.60 | $622 | 3.5× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $497.60 | $622 | 2.0× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $3,402.40 | $4,253 | 1.5× |
| Cystourethroscopy (52000) | $1,005.60 | $1,257 | 1.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $514.40 | $643 | 1.2× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $2,404 | $3,005 | 0.8× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $1,352.80 | $1,691 | 1.8× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $1,416.80 | $1,771 | 1.9× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) range across 2 matching MRF lines |
$17,300–$17,878.40 | $21,625–$22,348 | varies |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$1,008.80–$1,094.40 | $1,261–$1,368 | varies |
| Debride nail 1-5 (11720) | $396 | $495 | 6.3× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $2,335.20 | $2,919 | 1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$811.20–$1,272.80 | $1,014–$1,591 | varies |
| Declot vascular device (36593) range across 2 matching MRF lines |
$1,799.20–$2,113.60 | $2,249–$2,642 | varies |
| Delivery of placenta (59414) range across 3 matching MRF lines |
$2,671.20–$4,895.20 | $3,339–$6,119 | varies |
| Destr W Neurolytic; Celiac Plexus (64680) | $3,051.20 | $3,814 | 3.2× |
| Destroy cerv/thor facet jnt (64633) range across 3 matching MRF lines |
$5,015.20–$6,712.80 | $6,269–$8,391 | varies |
| Destroy lumb/sac facet jnt (64635) range across 3 matching MRF lines |
$5,015.20–$6,712.80 | $6,269–$8,391 | varies |
| Destruction by neurolytic agent, intercostal nerve (64620) | $5,818.40 | $7,273 | 6.1× |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 3 matching MRF lines |
$6,415.20–$9,624 | $8,019–$12,030 | varies |
| Drain penis lesion (54015) | $1,360.80 | $1,701 | 0.8× |
| Drain/inj small joint/bursa w/us (20604) range across 3 matching MRF lines |
$1,582.40–$1,892.80 | $1,978–$2,366 | varies |
| Drainage external auditory canal abscess (69020) range across 4 matching MRF lines |
$788.80–$1,285.60 | $986–$1,607 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $680.80 | $851 | 0.9× |
| Drainage Finger Abscess Complicated (26011) | $1,360.80 | $1,701 | 0.8× |
| Drainage Mouth Roof Lesion (42000) | $387.20 | $484 | 1.5× |
| Drainage of finger abscess simple (26010) | $766.40 | $958 | 3.6× |
| Drainage of gum lesion (41800) | $292.80 | $366 | 2.1× |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$1,360.80–$2,397.60 | $1,701–$2,997 | varies |
| Drainage of scrotal wall abscess (55100) | $5,422.40 | $6,778 | 3.1× |
| Drainage of scrotum (54700) | $3,402.40 | $4,253 | 1.5× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $660.80 | $826 | 0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$336–$488 | $420–$610 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$488–$564 | $610–$705 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$523.20–$557.60 | $654–$697 | varies |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 3 matching MRF lines |
$2,508.80–$2,890.40 | $3,136–$3,613 | varies |
| Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) | $7,538.40 | $9,423 | 8.0× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) | $5,818.40 | $7,273 | 6.1× |
| Dx Bone Marrow Bx & Aspir (38222) | $2,376 | $2,970 | 0.8× |
| Dx lmbr spi pnxr w/fluor/CT (62328) range across 2 matching MRF lines |
$1,564–$3,226.40 | $1,955–$4,033 | varies |
| Egd Flexible Foreign Body Removal (43247) | $4,513.60 | $5,642 | 4.6× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) | $2,219.20 | $2,774 | 1.1× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) | $1,505.60 | $1,882 | 4.6× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) | $1,384.80 | $1,731 | 4.2× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) range across 2 matching MRF lines |
$1,384.80–$1,411.20 | $1,731–$1,764 | varies |
| Epidural Blood Patch (62273) range across 3 matching MRF lines |
$2,286.40–$2,544.80 | $2,858–$3,181 | varies |
| Escharotomy; initial incision (16035) | $819.20 | $1,024 | 1.9× |
| Evacuation of subungual hematoma (11740) | $152 | $190 | 1.1× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $591.20 | $739 | 0.8× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $1,321.60 | $1,652 | 0.7× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $2,768 | $3,460 | 1.6× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $336 | $420 | 0.8× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $563.20 | $704 | 0.7× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $3,120 | $3,900 | 0.8× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $1,666.40 | $2,083 | 0.7× |
| Excision of gum flap (41821) | $2,411.20 | $3,014 | 1.5× |
| Eye Surg Ant Sgmt Proc Unlisted (66999) | $1,916 | $2,395 | 0.8× |
| Fetal non-stress test (59025) | $585.60 | $732 | 2.7× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $1,078.40 | $1,348 | 1.4× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) | $1,078.40 | $1,348 | 1.4× |
| Fine needle aspiration without imaging guidance (10021) | $712 | $890 | 1.6× |
| Fluid Pressure Muscle (20950) range across 3 matching MRF lines |
$1,127.20–$1,207.20 | $1,409–$1,509 | varies |
| Fluoro exam of g/colon tube (49465) | $725.60 | $907 | 2.8× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $1,114.40 | $1,393 | 1.5× |
| Fna bx w/us gdn 1st les (10005) | $1,114.40 | $1,393 | 1.5× |
| Foreskin manipulation (54450) | $403.20 | $504 | 1.5× |
| Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) range across 2 matching MRF lines |
$1,000–$1,020 | $1,250–$1,275 | varies |
| I&d abscess peritonsillar (42700) | $250.40 | $313 | 1.0× |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$547.20–$812.80 | $684–$1,016 | varies |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$765.60–$2,792.80 | $957–$3,491 | varies |
| I&d pilonidal cyst complicated (10081) | $1,148.80 | $1,436 | 1.5× |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$591.20–$812.80 | $739–$1,016 | varies |
| Implant neuroelectrodes (63650) | $26,125.60 | $32,657 | 3.8× |
| Incise external hemorrhoid (46083) | $406.40 | $508 | 1.5× |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$547.20–$812.80 | $684–$1,016 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$1,360.80–$3,344 | $1,701–$4,180 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$497.60–$812.80 | $622–$1,016 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $936.80 | $1,171 | 4.3× |
| Incision and drainage of vulva or perineal abscess (56405) | $1,667.20 | $2,084 | 5.1× |
| Incision of rectal abscess (46040) | $4,208 | $5,260 | 3.3× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 3 matching MRF lines |
$6,764–$7,245.60 | $8,455–$9,057 | varies |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$493.60–$525.60 | $617–$657 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $464.80 | $581 | 2.2× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 3 matching MRF lines |
$3,051.20–$4,568 | $3,814–$5,710 | varies |
| Inj W/Fluor Eval Cv Device (36598) | $796 | $995 | 3.5× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $3,051.20 | $3,814 | 3.2× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $1,093.60 | $1,367 | 3.3× |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 3 matching MRF lines |
$1,093.60–$1,606.40 | $1,367–$2,008 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 3 matching MRF lines |
$2,332–$3,499.20 | $2,915–$4,374 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 3 matching MRF lines |
$2,276–$2,735.20 | $2,845–$3,419 | varies |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) range across 3 matching MRF lines |
$2,332–$3,499.20 | $2,915–$4,374 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $1,093.60 | $1,367 | 1.4× |
| Injection Anes Superior Hypogastric Plexus (64517) | $2,903.20 | $3,629 | 3.1× |
| Injection anesthetic agent suprascapular nerve (64418) range across 3 matching MRF lines |
$1,093.60–$1,544.80 | $1,367–$1,931 | varies |
| Injection for identification of sentinel node (38792) | $1,860.80 | $2,326 | 4.3× |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$248–$1,080 | $310–$1,350 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$472–$1,093.60 | $590–$1,367 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$910.40–$1,093.60 | $1,138–$1,367 | varies |
| Injection therapeutic carpal tunnel (20526) range across 3 matching MRF lines |
$483.20–$752.80 | $604–$941 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 3 matching MRF lines |
$1,041.60–$1,175.20 | $1,302–$1,469 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 3 matching MRF lines |
$1,020–$2,137.60 | $1,275–$2,672 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 9 matching MRF lines |
$851.20–$4,568 | $1,064–$5,710 | varies |
| Insert 1 Electrode Pm-Defib (33216) | $7,190.40 | $8,988 | 0.8× |
| Insert Bladder Cath Complex (51703) | $835.20 | $1,044 | 6.1× |
| Insert Heart Pm Ventricular (33207) | $9,098.40 | $11,373 | 0.8× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$2,624–$2,916.80 | $3,280–$3,646 | varies |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $2,093.60 | $2,617 | 1.2× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$172–$227.20 | $215–$284 | varies |
| Insert tunneled cv cath (36561) | $4,511.20 | $5,639 | 1.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$223.20–$227.20 | $279–$284 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $6,297.60 | $7,872 | 3.7× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $7,190.40 | $8,988 | 0.8× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) range across 2 matching MRF lines |
$2,624–$2,644 | $3,280–$3,305 | varies |
| Insj Picc Rs&I <5 Yr (36572) | $3,330.40 | $4,163 | 5.0× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 4 matching MRF lines |
$2,242.40–$6,220.80 | $2,803–$7,776 | varies |
| Insj/Rplcmt Defib W/Lead(S) (33249) range across 2 matching MRF lines |
$28,255.20–$28,964 | $35,319–$36,205 | varies |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) range across 2 matching MRF lines |
$7,190.40–$16,051.20 | $8,988–$20,064 | varies |
| Insrt heart pm atrial & vent (33208) | $9,098.40 | $11,373 | 0.8× |
| Insrt Pulse Gen W/Singl Lead (33240) | $20,226.40 | $25,283 | 0.8× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $991.20 | $1,239 | 2.3× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $1,296 | $1,620 | 3.0× |
| Intraoral i&d tongue/floor submndblr space (41008) | $5,328 | $6,660 | 1.5× |
| Intro Gastrointestinal Tube (44500) | $2,113.60 | $2,642 | 2.2× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$798.40–$1,063.20 | $998–$1,329 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $808.80 | $1,011 | 3.0× |
| Laryngoscopy flexible diagnostic (31575) | $206.40 | $258 | 1.0× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) | $323.20 | $404 | 1.5× |
| Myelography via lumbar injection rs&i cervical (62302) | $15,196.80 | $18,996 | 18.1× |
| N Block Inj Celiac Pelus (64530) range across 2 matching MRF lines |
$3,051.20–$3,150.40 | $3,814–$3,938 | varies |
| N Block Inj Ilio-Ing/Hypogi (64425) | $1,093.60 | $1,367 | 1.4× |
| N block inj intercost sng (64420) range across 6 matching MRF lines |
$1,093.60–$1,679.20 | $1,367–$2,099 | varies |
| N Block Inj Plantar Digit (64455) | $1,667.20 | $2,084 | 5.1× |
| N Block Inj Pudendal (64430) range across 4 matching MRF lines |
$1,093.60–$1,632.80 | $1,367–$2,041 | varies |
| N Block Lumbar/Thoracic (64520) | $3,051.20 | $3,814 | 3.2× |
| Nasal Endoscopy Dx (31231) | $328 | $410 | 1.5× |
| Needle Biopsy Lymph Nodes (38505) | $1,976 | $2,470 | 1.1× |
| Needle Biopsy Pancreas (48102) | $1,322.40 | $1,653 | 0.7× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $40 | $50 | 1.3× |
| Needle insertion w/o injection 3 or more muscles (20561) | $40 | $50 | 1.3× |
| Neuro csf detcj prion prtn quakg conf conv qual (0584U) range across 2 matching MRF lines |
$1,289.60–$1,864 | $1,612–$2,330 | varies |
| Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) | $1,358.40 | $1,698 | 1.9× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) range across 2 matching MRF lines |
$1,000–$1,085.60 | $1,250–$1,357 | varies |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) | $4,744 | $5,930 | 2.2× |
| Njx anes stellate ganglion crv sympathetic (64510) | $3,051.20 | $3,814 | 3.2× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 6 matching MRF lines |
$976.80–$1,407.20 | $1,221–$1,759 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $3,120.80 | $3,901 | 0.8× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $3,120.80 | $3,901 | 0.8× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 3 matching MRF lines |
$3,051.20–$4,568 | $3,814–$5,710 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) | $4,503.20 | $5,629 | 4.8× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $4,503.20 | $5,629 | 6.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $3,051.20 | $3,814 | 4.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $3,051.20 | $3,814 | 3.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $4,503.20 | $5,629 | 4.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$1,120–$2,573.60 | $1,400–$3,217 | varies |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $3,051.20 | $3,814 | 3.2× |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) | $1,651.20 | $2,064 | 0.7× |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) | $1,651.20 | $2,064 | 0.7× |
| Njx Sclrsnt Spider Veins (36468) | $961.60 | $1,202 | 2.2× |
| Occipital Nerve Block (64405) range across 5 matching MRF lines |
$1,093.60–$3,537.60 | $1,367–$4,422 | varies |
| Open Tx Distal Phalangeal Fracture Each (26765) | $13,283.20 | $16,604 | 3.8× |
| Open/Perq Place Stent 1St (37236) | $9,350.40 | $11,688 | 0.8× |
| Percut Cath Occlusn Non Cns Lesn (61626) | $9,350.40 | $11,688 | 0.8× |
| Pericardiocentesis W/Imaging (33016) range across 2 matching MRF lines |
$1,673.60–$5,796 | $2,092–$7,245 | varies |
| Peritoneal Lavage (49084) | $780.80 | $976 | 0.8× |
| Perm Occlusion/Embolization,Percut,Cns (61624) | $15,131.20 | $18,914 | 0.8× |
| Perq Cervicothoracic Inject (22510) range across 2 matching MRF lines |
$12,180.80–$12,355.20 | $15,226–$15,444 | varies |
| Perq dev breast 1st mr guide (19287) | $2,432 | $3,040 | 3.2× |
| Perq dev breast 1st strtctc (19283) | $2,432 | $3,040 | 3.2× |
| Perq dev breast 1st us imag (19285) | $2,432 | $3,040 | 3.2× |
| Perq device breast 1st imag (19281) range across 3 matching MRF lines |
$2,270.40–$2,432 | $2,838–$3,040 | varies |
| Perq Lumbosacral Injection (22511) range across 2 matching MRF lines |
$12,180.80–$12,355.20 | $15,226–$15,444 | varies |
| Placement of needle for intraosseous infusion (36680) | $533.60 | $667 | 1.1× |
| Plmt Nephroureteral Catheter (50433) | $2,824 | $3,530 | 0.7× |
| Prim art mech thrombectomy (37184) | $14,662.40 | $18,328 | 0.7× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $1,508 | $1,885 | 1.5× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) | $24,595.20 | $30,744 | 3.6× |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) range across 2 matching MRF lines |
$7,538.40–$7,786.40 | $9,423–$9,733 | varies |
| Pseudoaneurysm Injection Trt (36002) | $512 | $640 | 0.8× |
| Punch biopsy skin single lesion (11104) | $406.40 | $508 | 0.9× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$632–$1,809.60 | $790–$2,262 | varies |
| Puncture Aspiration Cyst Breast (19000) | $1,335.20 | $1,669 | 1.8× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) range across 3 matching MRF lines |
$6,415.20–$9,624 | $8,019–$12,030 | varies |
| Removal Embedded Foreign Body Eyelid (67938) range across 3 matching MRF lines |
$1,035.20–$1,108.80 | $1,294–$1,386 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 5 matching MRF lines |
$1,546.40–$2,171.20 | $1,933–$2,714 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 7 matching MRF lines |
$124.80–$323.20 | $156–$404 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 4 matching MRF lines |
$406.40–$811.20 | $508–$1,014 | varies |
| Removal of foreign body from pharynx (42809) | $467.20 | $584 | 1.0× |
| Removal of nail bed (11750) | $1,462.40 | $1,828 | 3.4× |
| Removal ppm generator only (33233) | $7,190.40 | $8,988 | 0.8× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $303.20 | $379 | 1.4× |
| Removal/bivalving gauntlet boot/body cast (29700) range across 3 matching MRF lines |
$532–$569.60 | $665–$712 | varies |
| Remove foreign body from eye (65205) range across 3 matching MRF lines |
$454.40–$486.40 | $568–$608 | varies |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$250.40–$288 | $313–$360 | varies |
| Remove Nasal Foreign Body (30300) | $216 | $270 | 1.5× |
| Remv&replc cvd gen sing lead (33262) | $20,321.60 | $25,402 | 0.9× |
| Remv&replc pm gen mult leads (33229) | $16,448 | $20,560 | 0.8× |
| Repair Blood Vessel Direct Hand Finger (35207) | $4,139.20 | $5,174 | 1.2× |
| Repair Blood Vessel Direct Upper Extremity (35206) | $4,596 | $5,745 | 1.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $968 | $1,210 | 1.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $968 | $1,210 | 1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $564 | $705 | 1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $1,172.80 | $1,466 | 2.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $514.40 | $643 | 1.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $788.80 | $986 | 1.8× |
| Repair extensor tendon finger w/o graft each (26418) | $3,936.80 | $4,921 | 2.3× |
| Repair Finger/Hand Tendon (26350) range across 3 matching MRF lines |
$7,260.80–$7,777.60 | $9,076–$9,722 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $553.60 | $692 | 1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $489.60 | $612 | 1.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $524.80 | $656 | 1.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $801.60 | $1,002 | 1.8× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $1,474.40 | $1,843 | 3.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $700 | $875 | 0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $336 | $420 | 0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $396 | $495 | 0.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $514.40 | $643 | 0.6× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $1,550.40 | $1,938 | 0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $700 | $875 | 1.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $336 | $420 | 0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $352 | $440 | 0.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $835.20 | $1,044 | 1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $457.60 | $572 | 1.1× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $1,550.40 | $1,938 | 0.7× |
| Repair Laceration Palate </2 Cm (42180) | $1,184.80 | $1,481 | 2.1× |
| Repair of nail bed (11760) | $514.40 | $643 | 0.6× |
| Repair tongue laceration (41252) | $387.20 | $484 | 1.5× |
| Repair tongue laceration (41250) | $335.20 | $419 | 0.7× |
| Replace g/c tube perc (49450) range across 2 matching MRF lines |
$1,480–$1,700 | $1,850–$2,125 | varies |
| Replace/Revise Brain Shunt (62230) | $10,876 | $13,595 | 1.2× |
| Replantation digit complete (20822) | $8,969.60 | $11,212 | 5.2× |
| Reposition Venous Catheter (36597) | $2,113.60 | $2,642 | 1.3× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) | $6,623.20 | $8,279 | 1.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $787.20 | $984 | 0.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $946.40 | $1,183 | 2.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 3 matching MRF lines |
$993.60–$1,063.20 | $1,242–$1,329 | varies |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) | $6,954.40 | $8,693 | 3.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$2,093.60–$5,659.20 | $2,617–$7,074 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $2,242.40 | $2,803 | 3.3× |
| Rplc Gtube No Revj Trc (43762) | $464.80 | $581 | 1.7× |
| Rplc gtube revj gstrst trc (43763) | $464.80 | $581 | 1.7× |
| Rpr blood vessel direct lower extremity (35226) | $4,596 | $5,745 | 6.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $527.20 | $659 | 2.5× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $857.60 | $1,072 | 1.1× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $1,799.20 | $2,249 | 1.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $743.20 | $929 | 1.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $446.40 | $558 | 2.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $446.40 | $558 | 2.1× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $1,080 | $1,350 | 2.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $478.40 | $598 | 2.2× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $1,228.80 | $1,536 | 5.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $446.40 | $558 | 2.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $686.40 | $858 | 3.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$524.80–$774.40 | $656–$968 | varies |
| Skin sub graft face/nk/hf/g (15275) | $1,628 | $2,035 | 2.1× |
| Skin sub graft trnk/arm/leg (15271) | $1,628 | $2,035 | 2.1× |
| Skin sub grft t/arm/lg child (15273) | $3,345.60 | $4,182 | 1.5× |
| Skin Tissue Procedure (17999) | $2,448.80 | $3,061 | 11.4× |
| Skn sub grft f/n/hf/g child (15277) | $1,891.20 | $2,364 | 0.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $460 | $575 | 2.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $561.60 | $702 | 1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $512.80 | $641 | 1.2× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$1,116.80–$2,421.60 | $1,396–$3,027 | varies |
| Strapping shoulder (29240) range across 3 matching MRF lines |
$241.60–$259.20 | $302–$324 | varies |
| Strapping Unna Boot (29580) range across 6 matching MRF lines |
$305.60–$606.40 | $382–$758 | varies |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$313.60–$354.40 | $392–$443 | varies |
| Therapeutic plasma exchange (36514) | $5,917.60 | $7,397 | 3.5× |
| Thromblytic art/ven therapy (37213) | $2,655.20 | $3,319 | 0.8× |
| Thrombolytic Art Therapy (37211) | $4,528 | $5,660 | 0.8× |
| Thrombolytic Therapy Stroke (37195) | $467.20 | $584 | 1.3× |
| Thrombolytic Venous Therapy (37212) | $2,655.20 | $3,319 | 0.8× |
| Tooth extraction (41899) | $569.60 | $712 | 2.2× |
| Tracheostoma revj smpl w/o flap rotation (31613) | $5,650.40 | $7,063 | 1.6× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $361.60 | $452 | 1.4× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $1,244 | $1,555 | 0.7× |
| Transcatheter biopsy (37200) | $4,595.20 | $5,744 | 0.8× |
| Treat Dental Ridge Fracture (21440) | $5,153.60 | $6,442 | 1.5× |
| Treat humerus fracture (24500) range across 3 matching MRF lines |
$809.60–$867.20 | $1,012–$1,084 | varies |
| Treat Humerus Fracture (24505) | $1,344 | $1,680 | 0.8× |
| Treat Knuckle Dislocation (26700) | $301.60 | $377 | 1.1× |
| Treat Thumb Fracture (26645) range across 3 matching MRF lines |
$2,352.80–$2,520 | $2,941–$3,150 | varies |
| Treat toe dislocation (28630) | $322.40 | $403 | 1.2× |
| Treatment closed elbow dislocation w/o anes (24600) range across 3 matching MRF lines |
$800.80–$857.60 | $1,001–$1,072 | varies |
| Trim skin lesion (11055) | $251.20 | $314 | 1.2× |
| Tx Gastro Intub W/Asp (43753) | $308.80 | $386 | 1.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$801.60–$1,389.60 | $1,002–$1,737 | varies |
| Unlisted Procedure Casting/Strapping (29799) | $577.60 | $722 | 3.3× |
| Unlisted procedure nervous system (64999) range across 3 matching MRF lines |
$1,093.60–$1,494.40 | $1,367–$1,868 | varies |
| Unlisted procedure shoulder (23929) | $1,424 | $1,780 | 5.4× |
| Unlisted Procedure Trachea Bronchi (31899) | $3,258.40 | $4,073 | 15.2× |
| Unlisted Procedure Vascular Surgery (37799) | $3,987.20 | $4,984 | 5.9× |
| Vaginal delivery only (59409) range across 4 matching MRF lines |
$1,530.40–$4,676.80 | $1,913–$5,846 | varies |
| Venous Mech Thrombectomy (37187) | $9,350.40 | $11,688 | 0.8× |
| Wedge excision skin nail fold (11765) | $627.20 | $784 | 1.4× |
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.