Procedures & surgery prices at Saint Joseph Hospital-elgin

Elgin, IL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $967 $2,166 1.0×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $967 $1,205 1.0×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) $18,697 $29,126 1.0×
Amputation foot transmetarsal (28805) $3,489 $17,072 1.0×
Amputation metatarsal with toe single (28810) $3,489 $24,168 1.0×
Amputation thigh through femur any level (27590) $3,489 $6,059.50 1.0×
Amputation toe interphalangeal joint (28825) $3,489 $19,158 1.0×
Amputation toe metatarsophalangeal joint (28820) $3,489 $17,072 1.0×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $2,959 $15,298 1.0×
Application finger splint static (29130) $141 $645 1.0×
Application long arm splint shoulder hand (29105) $173 $789 1.0×
Application Long Leg Splint (29505) $173 $789 1.0×
Application of rigid total contact leg cast (29445) $298 $879 1.0×
Application short arm splint forearm-hand static (29125) $141 $645 1.0×
Application short leg splint calf foot (29515) $173 $789 1.0×
Application uniplane external fixation system (20690) $7,737 $12,119 1.0×
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines
$173 $427–$641 1.0×
Apply Short Leg Cast (29405) $298 $6,653.81 1.0×
Apply short leg cast (29425) $298 $4,958.27 1.0×
Arterial puncture (36600) $141 $142 1.0×
Arteriovenous Anastomosis Open Direct (36821) $3,367 $32,297 1.0×
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) $5,933 $30,081 1.0×
Artery-vein autograft (36825) $5,933 $35,522 1.0×
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) $13,690 $52,198 1.0×
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554)
range across 2 matching MRF lines
$13,690 $11,087.78–$11,087.80 1.0×
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735)
range across 2 matching MRF lines
$13,690 $14,223.25–$14,223.30 1.0×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) $13,690 $24,238 1.0×
Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) $7,737 $7,113 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines
$327 $331–$684 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $752 $833 1.0×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 5 matching MRF lines
$327 $651–$7,794 1.0×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $327 $1,808 1.0×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $327 $592 1.0×
Arthrodesis ankle open (27870) $13,690 $56,454 1.0×
Arthrodesis great toe interphalangeal joint (28755) $7,737 $22,225 1.0×
Arthrodesis great toe metatarsophalangeal joint (28750) $7,737 $28,484 1.0×
Arthrodesis Posterior Interbody Lumbar (22630)
range across 2 matching MRF lines
$28,934 $30,240.38–$30,240.40 1.0×
Arthrodesis Posterior/Posterolateral Lumbar (22612)
range across 2 matching MRF lines
$18,697 $23,453.39–$23,453.40 1.0×
Arthrodesis sacroiliac joint percutaneous (27279) $18,697 $33,027 1.0×
Arthrodesis subtalar (28725) $13,690 $28,265 1.0×
Arthrodesis triple (28715)
range across 2 matching MRF lines
$13,690 $21,899.09–$21,899.10 1.0×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) $28,934 $36,870 1.0×
Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280) $18,697 $27,858 1.0×
Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) $18,697 $32,364 1.0×
Arthroplasty Ankle (27700) $7,737 $40,132 1.0×
Arthroplasty Ankle W/Implant (27702) $28,934 $44,301 1.0×
Arthroplasty glenohumeral joint total shoulder (23472) $18,697 $38,303 1.0×
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) $13,690 $43,307 1.0×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $3,489 $26,659 1.0×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $3,489 $23,631 1.0×
Arthroscopy Ankle Surgical Debridement Limited (29897) $3,489 $4,936.10 1.0×
Arthroscopy Elbow Surgical Debridement Extensive (29838) $3,489 $16,771.50 1.0×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $3,489 $13,518 1.0×
Arthroscopy knee synovectomy limited spx (29875) $3,489 $11,676 1.0×
Arthroscopy shoulder distal claviculectomy (29824) $3,489 $28,265 1.0×
Arthroscopy shoulder surgical capsulorrhaphy (29806) $7,737 $31,161 1.0×
Arthroscopy Wrist Surgical Synovectomy Complete (29845) $3,489 $22,810 1.0×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895)
range across 2 matching MRF lines
$3,489 $11,857–$11,857.05 1.0×
Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836)
range across 2 matching MRF lines
$7,737 $18,486.18–$18,486.20 1.0×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $3,489 $18,846 1.0×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $3,489 $19,837.50 1.0×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $7,737 $36,319 1.0×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $3,489 $25,580 1.0×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $3,489 $8,073 1.0×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $7,737 $26,654 1.0×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $3,489 $16,146 1.0×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $7,737 $33,758 1.0×
Arthrotomy ankle w/expl drainage/removal fb (27610) $3,489 $4,310.84 1.0×
Arthrotomy W/Synovectomy Ankle (27625) $3,489 $5,630.52 1.0×
Arthrotomy wrist joint with synovectomy (25105) $3,489 $4,153.83 1.0×
Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) $3,489 $20,681 1.0×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) $13,690 $40,798 1.0×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) $13,690 $47,184 1.0×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $7,737 $24,147 1.0×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $3,489 $25,123 1.0×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $3,489 $13,929 1.0×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $3,489 $29,360 1.0×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $1,714 $10,687 1.0×
Aspirate pleura w/ imaging (32555) $668 $1,458 1.0×
Aspirate Pleura W/O Imaging (32554) $668 $1,205 1.0×
Aspiration and/or injection thyroid cyst (60300) $755 $2,920 1.0×
Aspiration bladder insert suprapubic catheter (51102) $2,229 $20,066 1.0×
Av fistula revision (36833) $5,933 $42,683 1.0×
Av Fistula Revision Open (36832) $5,933 $43,556 1.0×
Av Fuse Uppr Arm Basilic (36819) $5,933 $47,047 1.0×
Avulsion nail plate partial/complete simple 1 (11730)
range across 3 matching MRF lines
$213 $299–$359 1.0×
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) $6,903 $6,003 1.0×
Biliary ndsc prq t-tube dilat strix w/stent (47556) $11,335 $8,194 1.0×
Biopsy Abdominal Mass (49180) $1,761 $3,884 1.0×
Biopsy bone open superficial (20240) $3,097 $2,803.60 1.0×
Biopsy bone trocar/needle deep (20225) $1,761 $6,044 1.0×
Biopsy Bone Trocar/Needle Superficial (20220)
range across 3 matching MRF lines
$1,761 $2,636–$13,524 1.0×
Biopsy muscle percutaneous needle (20206)
range across 2 matching MRF lines
$1,761 $2,984–$13,930 1.0×
Biopsy nail unit (11755) $755 $8,374.33 1.0×
Biopsy of breast; open, incisional (19101) $4,175 $13,930 1.0×
Biopsy of liver, needle; percutaneous (47000) $1,761 $5,933 1.0×
Biopsy Pleura Percutaneous Needle (32400) $1,761 $5,558 1.0×
Biopsy Salivary Gland Needle (42400) $755 $1,210 1.0×
Biopsy soft tissue neck/thorax (21550)
range across 2 matching MRF lines
$1,761 $2,830–$13,930 1.0×
Biopsy/removal lymph nodes (38510)
range across 2 matching MRF lines
$4,175 $17,704.80–$17,704.82 1.0×
Bladder instillation anticarcinogenic agent (51720) $743 $602 1.0×
Bladder Irrigation (51700)
range across 3 matching MRF lines
$266 $666–$9,144 1.0×
Bladder Scan (51798) $62 $243 1.0×
Blepharotomy drainage abscess eyelid (67700) $338 $7,794 1.0×
Blood Transfusion Service (36430) $470 $921 1.0×
Blood/Lymph System Procedure (38999) $470 $2,388 1.0×
Bone Graft Any Donor Area Major/Large (20902) $7,737 $6,770.93 1.0×
Bone Graft Any Donor Area Minor/Small (20900) $7,737 $6,461.45 1.0×
Bone Marrow; Aspiration Only (38220) $1,761 $2,097 1.0×
Bx breast 1st lesion mr imag (19085)
range across 3 matching MRF lines
$1,761 $4,350–$12,152 1.0×
Bx breast 1st lesion strtctc (19081)
range across 3 matching MRF lines
$1,761 $6,525–$12,152 1.0×
Bx breast 1st lesion us imag (19083)
range across 4 matching MRF lines
$1,761 $5,778–$13,930 1.0×
Bx prostate strtctc saturation sampling img gid (55706)
range across 2 matching MRF lines
$3,758 $5,500–$13,067 1.0×
Bx/exc lymph node open deep axillary node (38525) $4,175 $16,795 1.0×
Bx/exc lymph node open superficial (38500)
range across 2 matching MRF lines
$4,175 $5,742–$36,870 1.0×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $3,489 $6,491.15 1.0×
Capsulorrhaphy Anterior With Bone Block (23460) $7,737 $36,319 1.0×
Capsulotomy Iphal Joint Each Joint Spx (28272) $1,714 $6,252.80 1.0×
Carpal Tunnel Surgery (64721) $2,082 $10,862 1.0×
Carpectomy All Bones Proximal Row (25215) $3,489 $11,567 1.0×
Cataract surgery complex (66982) $2,460 $13,527 1.0×
Cerv artific diskectomy (22856) $18,697 $47,209 1.0×
Cessj Therapy Cath Removal (37214) $3,367 $4,594 1.0×
Change Cystostomy Tube Simple (51705) $266 $952 1.0×
Change of Windpipe Airway (31502) $252 $813 1.0×
Change ureter stent percut (50382) $2,229 $3,915 1.0×
Chemical Cautery Tissue (17250) $213 $982 1.0×
Chest tube placement (32551) $1,678 $1,599 1.0×
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $2,229 $3,322 1.0×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $3,818 $3,833 1.0×
Circumcision 28 days or older (54161)
range across 2 matching MRF lines
$2,229 $10,817.26–$10,817.30 1.0×
Circumcision w/clamp/oth dev w/block (54150) $2,229 $14,438 1.0×
Claviculectomy partial (23120)
range across 2 matching MRF lines
$3,489 $18,801.10–$18,801.11 1.0×
Clear outer ear canal (69200) $141 $452 1.0×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,714 $12,601 1.0×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $263 $27,447 1.0×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $263 $20,620 1.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $263 $17,696 1.0×
Cltx prox fibula/shft fx w/manj (27781) $1,714 $20,173 1.0×
Collect Blood From Catheter Venous Nos (36592) $141 $403 1.0×
Collection of venous blood by venipuncture (36415) $9 $69 1.0×
Colonoscopy W/Band Ligation (45398) $1,276 $13,792 1.0×
Colonoscopy w/submucosal inj (45381) $1,276 $5,895 1.0×
Colpopexy extraperitoneal (57282) $7,907 $11,929.60 1.0×
Colporrhaphy (57200) $3,451 $32,755 1.0×
Combined anteroposterior colporrhaphy; (57260) $5,334 $11,929.60 1.0×
Complex drainage wound (10180) $3,097 $24,203 1.0×
Contour of face bone lesion (21029) $3,535 $20,620 1.0×
Control Nasal Hemorrhage Anterior Complex (30903) $141 $1,146 1.0×
Control Nasal Hemorrhage Anterior Simple (30901) $141 $529 1.0×
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) $13,690 $57,147 1.0×
Conversion ext bil drg cath (47535) $3,818 $5,729 1.0×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $2,046 $2,640 1.0×
Convert Nephrostomy Catheter (50434)
range across 3 matching MRF lines
$2,229 $2,263–$4,226 1.0×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,761 $5,885 1.0×
Correction hammertoe (28285) $3,489 $19,976 1.0×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $3,489 $37,464 1.0×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) $13,690 $31,503 1.0×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) $7,737 $17,072 1.0×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $3,489 $7,249.26 1.0×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $7,737 $28,899 1.0×
Cysto Bladder W/Ureteral Catheterization (52005) $2,229 $13,365.50 1.0×
Cysto calibration dilat urtl strix/stenosis (52281) $2,229 $19,423 1.0×
Cysto w/insert ureteral stent (52332) $3,758 $10,048 1.0×
Cysto w/irrig & evac multple obstructing clots (52001) $3,758 $10,862 1.0×
Cysto w/removal of lesions small (52224) $3,758 $8,078 1.0×
Cysto w/removal of tumors small (52234) $3,758 $17,307 1.0×
Cysto W/Simple Removal Stone & Stent (52310) $2,229 $10,862 1.0×
Cysto w/ureter stricture tx (52341) $3,758 $7,530 1.0×
Cysto w/ureteroscopy w/lithotripsy (52353) $5,717 $17,072 1.0×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $3,758 $7,794 1.0×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $3,758 $5,431 1.0×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) $5,717 $8,499 1.0×
Cysto/uretero w/lithotripsy (52356) $5,717 $17,812 1.0×
Cystourethroscopy (52000) $743 $7,794 1.0×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $3,758 $16,375 1.0×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $5,717 $29,295 1.0×
Cystourethroscopy w/dil bladder general anesth (52260) $2,229 $15,464 1.0×
Cystourethroscopy with biopsy (52204) $2,229 $10,503 1.0×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines
$788 $1,413–$27,858 1.0×
Debride nail 1-5 (11720) $62 $292 1.0×
Debride nail 6 or more (11721) $62 $358 1.0×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines
$1,761 $2,995–$17,072 1.0×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines
$433 $2,909–$18,265 1.0×
Declot vascular device (36593) $352 $778 1.0×
Decompress Spinal Cord Lmbr (63056) $7,737 $22,941 1.0×
Delivery of placenta (59414) $3,451 $4,860 1.0×
Destruct B9 Lesion 1-14 (17110) $213 $13,967 1.0×
Destruction neurolytic agt genicular nerve w/img (64624) $2,082 $7,297 1.0×
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines
$991 $4,559–$9,976 1.0×
Dilat Xst Trc New Access Rcs (50437) $3,758 $9,513 1.0×
Dilation & curettage dx&/ther nonobstetric (58120) $3,451 $13,524 1.0×
Drain/inj small joint/bursa w/us (20604) $327 $764 1.0×
Drainage External Ear Abscess/Hematoma Simple (69000) $755 $3,518 1.0×
Drainage of hematoma/fluid (10140)
range across 3 matching MRF lines
$1,761 $225–$21,099 1.0×
Drainage of hydrocele (55000) $755 $1,261 1.0×
Draw Blood Off Venous Device (36591) $141 $360 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $433 $773 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines
$213 $644–$867 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 3 matching MRF lines
$213 $310–$1,998 1.0×
Dstrj lesion anus simple surg excision (46922) $2,959 $13,524 1.0×
Dx Bone Marrow Bx & Aspir (38222) $3,097 $3,515 1.0×
Dx lmbr spi pnxr w/fluor/CT (62328) $752 $2,613 1.0×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $2,046 $9,485 1.0×
Egd Flexible Foreign Body Removal (43247) $967 $4,688 1.0×
Egd remove lesion snare (43251) $2,046 $9,485 1.0×
Egd Varices Ligation (43244) $2,046 $9,485 1.0×
Emblc/thrmbc ax brach innominate subcla art (34101) $5,933 $10,210 1.0×
Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) $5,933 $17,496 1.0×
Endoscopic plantar fasciotomy (29893) $3,489 $17,072 1.0×
Endoven abltj incmptnt vein mchnchem 1st vein (36473) $3,367 $4,606 1.0×
Endoven abltj incmptnt vein xtr laser 1st vein (36478)
range across 2 matching MRF lines
$3,367 $5,453–$5,616 1.0×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $3,367 $11,398 1.0×
Epidural Blood Patch (62273) $752 $2,424 1.0×
Ercp Destruction/Lithotripsy Calculi Any Method (43265) $6,473 $7,219 1.0×
Ercp remove calculi/debris biliary/pancreas duct (43264) $4,111 $5,396.30 1.0×
Ercp remove forgn body duct (43275) $2,046 $9,328 1.0×
Ercp Stent Exchange W/Dilate (43276) $6,473 $7,219 1.0×
Ercp,Sphincterotomy (43262) $4,111 $9,328 1.0×
Evacuation of subungual hematoma (11740) $141 $452 1.0×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $755 $16,998 1.0×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,761 $6,263 1.0×
Exc Back Tum Deep 5 Cm/> (21933) $3,097 $15,464 1.0×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $4,175 $16,788 1.0×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $755 $4,795.60 1.0×
Exc Forearm Les Sc 3 Cm/> (25071) $1,761 $9,576.66 1.0×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $755 $6,837.44 1.0×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $1,761 $7,904 1.0×
Exc Hand Les Sc < 1.5 Cm (26115) $1,761 $9,976 1.0×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $1,714 $9,884.71 1.0×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $1,714 $10,687 1.0×
Exc neuroma hand/foot xcp digital nerve (64782) $2,082 $6,627.33 1.0×
Exc neuroma major peripheral nrv xcp sciatic (64784) $2,082 $8,314.33 1.0×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $755 $13,524 1.0×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,761 $13,930 1.0×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,761 $6,582.10 1.0×
Exc thigh/knee les sc 3 cm/> (27337) $3,097 $13,930 1.0×
Exc thigh/knee tum dep 5cm/> (27339) $3,097 $13,723.50 1.0×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $1,276 $17,072 1.0×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $755 $16,998 1.0×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,761 $10,862 1.0×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $3,097 $18,846 1.0×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,761 $6,965 1.0×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $3,097 $21,374 1.0×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,761 $13,930 1.0×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $3,097 $10,862 1.0×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $3,097 $10,494 1.0×
Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) $7,737 $17,072 1.0×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104)
range across 2 matching MRF lines
$3,489 $11,580.20–$11,580.24 1.0×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $1,714 $5,802 1.0×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $3,818 $4,519 1.0×
Exchange Intraocular Lens (66986) $2,460 $14,018 1.0×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 3 matching MRF lines
$2,229 $2,263–$3,101 1.0×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $2,046 $2,517 1.0×
Excise intraspinal lesion (63267) $7,737 $33,027 1.0×
Excision Chest Wall Tumor Including Ribs (21601) $3,097 $6,965 1.0×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $3,097 $11,258 1.0×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $433 $16,998 1.0×
Excision Multiple External Papillae/Tags Anus (46230) $2,959 $17,696 1.0×
Excision of extraparenchymal lesion of testis (54512) $3,758 $17,072 1.0×
Excision of hydrocele; unilateral (55040) $3,818 $16,422 1.0×
Excision of pilonidal cyst or sinus; simple (11770)
range across 2 matching MRF lines
$3,097 $5,289–$14,953 1.0×
Excision olecranon bursa (24105) $3,489 $20,949 1.0×
Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106)
range across 2 matching MRF lines
$7,737 $10,802.66–$10,802.70 1.0×
Excision Pilonidal Cyst/Sinus Complicated (11772) $3,097 $29,270 1.0×
Excision Pilonidal Cyst/Sinus Extensive (11771)
range across 2 matching MRF lines
$3,097 $14,441–$14,441.03 1.0×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,761 $16,998 1.0×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $3,097 $22,394 1.0×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,761 $13,524 1.0×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $1,761 $8,078 1.0×
Excision, interdigital (morton) neuroma, single, each (28080) $1,714 $14,640 1.0×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $3,097 $13,930 1.0×
Excision; trochanteric bursa or calcification (27062)
range across 2 matching MRF lines
$3,489 $18,964.30–$18,964.33 1.0×
Exploration of spinal fusion (22830) $7,737 $7,925.50 1.0×
Fasciotomy Plantar Fascia Radical Spx (28062) $3,489 $10,477 1.0×
Fasciotomy, foot and/or toe (28008) $3,489 $15,298 1.0×
Fasciotomy, hip or thigh, any type (27025) $3,489 $27,858 1.0×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $755 $1,883 1.0×
Fluoro exam of g/colon tube (49465) $254 $584 1.0×
Fna bx w/us gdn 1st les (10005) $755 $1,883 1.0×
Fusion of foot bones (28740) $7,737 $28,873 1.0×
Fusion of knuckle (26850) $7,737 $21,374 1.0×
Gastrocnemius recession (27687) $3,489 $8,636.87 1.0×
Guide Cathet Fluid Drainage (10030) $755 $2,430 1.0×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) $7,737 $23,008 1.0×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $2,959 $17,072 1.0×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $2,959 $17,072 1.0×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $2,959 $19,910 1.0×
Hysteroscopy Biopsy (58558) $3,451 $15,298 1.0×
Hysteroscopy Endometrial Ablation (58563) $5,334 $13,524 1.0×
I&d abscess simple (10060)
range across 3 matching MRF lines
$213 $344–$13,524 1.0×
I&D Below Fascia Foot 1 Bursal Space (28002) $1,714 $20,620 1.0×
I&d deep absc bursa/hematoma thigh/knee region (27301) $3,097 $28,873 1.0×
I&D Deep Absc/Hematoma Neck/Chest (21501) $3,097 $16,998 1.0×
I&d pilonidal cyst complicated (10081) $755 $1,485 1.0×
I&d pilonidal cyst simple (10080) $755 $851 1.0×
I&d shoulder deep abscess/hematoma (23030) $3,097 $23,807 1.0×
I&d upper arm/elbow deep abscess/hematoma (23930) $3,097 $20,066 1.0×
Icd Pocket Revision (33223) $2,200 $4,708 1.0×
Image Cath Fluid Colxn Visc (49405) $1,761 $4,341 1.0×
Image Cath Fluid Peri/Retro (49406) $1,761 $4,775 1.0×
Image Cath Fluid Trns/Vgnl (49407) $1,761 $5,478 1.0×
Incise external hemorrhoid (46083) $266 $943 1.0×
Incise finger tendon sheath (26055) $1,714 $12,637 1.0×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines
$433 $584–$936 1.0×
Incision & removal foreign body subq tiss compl (10121) $1,761 $293 1.0×
Incision & removal foreign body subq tiss simple (10120)
range across 3 matching MRF lines
$433 $250–$13,930 1.0×
Incision and drainage of bartholin's gland abscess (56420) $215 $705 1.0×
Incisional biopsy skin single lesion (11106) $788 $3,061 1.0×
Inj W/Fluor Eval Cv Device (36598) $226 $519 1.0×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $943 $1,259 1.0×
Injection 1 tendon sheath/ligament aponeurosis (20550) $327 $532 1.0×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $943 $1,396 1.0×
Injection aa&/strd genicular nrv branches w/img (64454) $752 $2,613 1.0×
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) $943 $3,200 1.0×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $752 $2,613 1.0×
Injection for identification of sentinel node (38792) $426 $3,261 1.0×
Injection single tendon origin/insertion (20551) $327 $1,245 1.0×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines
$943 $1,148–$36,319 1.0×
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines
$752 $1,116–$3,463 1.0×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines
$752 $803–$3,463 1.0×
Ins cath ren art 1st bilat (36252) $3,367 $14,689 1.0×
Ins cath ren art 1st unilat (36251) $3,367 $9,205 1.0×
Ins endovas vena cava filtr (37191) $5,933 $12,443 1.0×
Ins/Rep Subq Defibrillator (33270) $33,472 $64,669 1.0×
Insert Bladder Cath Complex (51703) $137 $602 1.0×
Insert cath pleura w/ image (32557) $1,678 $3,031 1.0×
Insert cath pleura w/o image (32556)
range across 2 matching MRF lines
$2,046 $742–$2,435 1.0×
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $1,276 $4,363 1.0×
Insert Gastrostomy Tube Percutaneous (49440) $2,046 $3,855 1.0×
Insert Heart Pm Atrial (33206) $11,145 $12,847 1.0×
Insert Heart Pm Ventricular (33207) $11,145 $14,057 1.0×
Insert hepatic shunt (tips) (37182) $19,548 $16,263 1.0×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines
$3,367 $2,758–$5,668 1.0×
Insert Pacing Lead & Connect (33224) $11,145 $21,120 1.0×
Insert pulse gen dual leads (33213) $11,145 $12,847 1.0×
Insert pulse gen mult leads (33221) $20,540 $22,987 1.0×
Insert Pulse Gen Sngl Lead (33212) $8,824 $9,628 1.0×
Insert Temp Bladder Cath (51702) $141 $286 1.0×
Insert tun ip cath perc (49418) $3,818 $5,493 1.0×
Insert tunneled cv cath (36561)
range across 2 matching MRF lines
$3,367 $9,388–$9,919 1.0×
Insert,Non-Indwelling Bladder Catheter (51701) $141 $243 1.0×
Insertion indwelling tunneled pleural catheter (32550) $3,818 $4,470 1.0×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,678 $2,715 1.0×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $8,824 $24,066 1.0×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $3,818 $23,352 1.0×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $8,824 $10,611 1.0×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $3,367 $11,017 1.0×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $3,367 $4,594 1.0×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $5,933 $10,363 1.0×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $3,367 $3,820 1.0×
Insj/Rplcmt Defib W/Lead(S) (33249) $33,472 $44,063 1.0×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $32,905 $23,352 1.0×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $8,824 $9,628 1.0×
Insrt heart pm atrial & vent (33208) $11,145 $16,952 1.0×
Insrt Pulse Gen W/Dual Leads (33230) $23,719 $74,114 1.0×
Insrt Pulse Gen W/Mult Leads (33231) $33,472 $77,142 1.0×
Intro cath dialysis circuit (36901) $1,678 $1,549 1.0×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $12,310 $13,725 1.0×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $6,069 $8,451 1.0×
Intubation endotracheal emergency procedure (31500) $252 $751 1.0×
Irrigation of corpora cavernosa for priapism (54220) $266 $884 1.0×
Knee Arthroscopy/Surgery (29885) $7,737 $8,079.34 1.0×
Knee Arthroscopy/Surgery (29874) $3,489 $25,123 1.0×
Lam facetec & foramot lumbar (63047) $7,737 $41,968 1.0×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) $7,737 $31,271 1.0×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) $7,737 $27,447 1.0×
Laminotomy Single Lumbar (63042) $7,737 $35,368 1.0×
Lap insert tunnel ip cath (49324) $6,446 $30,862 1.0×
Laparo-vag hyst incl t/o (58552) $11,335 $31,264 1.0×
Laparoscopic myomectomy (58545) $6,446 $37,645 1.0×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) $6,446 $44,777 1.0×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $11,335 $86,340 1.0×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) $11,335 $56,454 1.0×
Laparoscopy, surgical, appendectomy (44970) $6,446 $18,438 1.0×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $6,446 $33,507 1.0×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $6,446 $28,899 1.0×
Laparoscopy, surgical; with biopsy (single or multiple) (49321) $6,446 $28,873 1.0×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $6,446 $20,211 1.0×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $6,446 $37,326 1.0×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) $11,335 $26,213.50 1.0×
Laser vaporization of prostate (52648) $5,717 $22,844 1.0×
Late closure of wound (13160) $3,778 $20,620 1.0×
Ligamentous Reconstruction Knee Extra-Articular (27427) $7,737 $19,800 1.0×
Ligate/strip long leg vein (37722) $3,367 $24,200 1.0×
Litholapaxy comp/lg > 2.5 cm (52318) $3,758 $24,168 1.0×
Litholapaxy smpl/sm <2.5 cm (52317) $3,758 $14,018 1.0×
Lithotripsy, extracorporeal shock wave (50590) $3,758 $21,036 1.0×
Low Back Disk Surgery (63030) $7,737 $35,305 1.0×
Lumbar spine fusion combined (22633) $28,934 $48,759 1.0×
Manipulation hip joint general anesthesia (27275) $1,714 $5,714 1.0×
Manipulation knee joint under general anesthesia (27570) $1,714 $5,670 1.0×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $1,714 $5,816 1.0×
Mast mod rad (19307)
range across 2 matching MRF lines
$7,080 $21,074.10–$21,074.14 1.0×
Mastectomy partial (19301) $4,175 $13,930 1.0×
Mastectomy simple complete (19303) $7,080 $24,238 1.0×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $1,678 $2,416 1.0×
Mech remov tunneled cv cath (36595) $3,367 $4,594 1.0×
Muscle transfer, any type, shoulder or upper arm; single Facility (23395)
range across 2 matching MRF lines
$7,737 $15,439.08–$15,439.10 1.0×
Myelography Lumbar Injection (62305) $835 $1,728 1.0×
Myelography Lumbar Injection (62304) $835 $1,652 1.0×
Myelography via lumbar injection rs&i cervical (62302) $835 $1,685 1.0×
N Block Inj Plantar Digit (64455) $327 $13,858 1.0×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $1,714 $21,831 1.0×
Neck spine disk surgery (63020)
range across 2 matching MRF lines
$7,737 $18,819.67–$18,819.70 1.0×
Neck spine fusion (22600)
range across 2 matching MRF lines
$18,697 $10,163.10–$10,163.13 1.0×
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines
$1,761 $1,789–$10,494 1.0×
Needle Biopsy Pancreas (48102) $1,761 $1,815 1.0×
Needle insertion w/o injection 1 or 2 muscles (20560) $30 $103 1.0×
Needle insertion w/o injection 3 or more muscles (20561) $30 $103 1.0×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 2 matching MRF lines
$2,082 $14,895.30–$14,895.33 1.0×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $327 $1,034 1.0×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $3,818 $3,833 1.0×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $3,818 $5,729 1.0×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $752 $1,985 1.0×
Njx Noncmpnd Sclrsnt 1 Vein (36465) $2,200 $6,337 1.0×
Njx Noncmpnd Sclrsnt Mlt Vn (36466) $2,200 $6,337 1.0×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 3 matching MRF lines
$743 $1,380–$2,072 1.0×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430)
range across 3 matching MRF lines
$743 $1,380–$2,072 1.0×
Njx Sclrsnt 1 Incmptnt Vein (36470) $433 $596 1.0×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $433 $700 1.0×
Njx Sclrsnt Spider Veins (36468) $433 $1,326 1.0×
Obstructive material removal from gi tube (49460) $967 $1,205 1.0×
Open biopsy/excision inguinofemoral nodes (38531) $4,175 $13,930 1.0×
Open Repair of Rotator Cuff Acute (23410)
range across 2 matching MRF lines
$7,737 $17,307.80–$17,307.84 1.0×
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22327) $13,690 $28,873 1.0×
Open Treatment Bimalleolar Ankle Fracture (27814) $7,737 $24,607 1.0×
Open treatment calcaneal fracture (28415)
range across 2 matching MRF lines
$7,737 $28,602.28–$28,602.30 1.0×
Open Treatment Fracture Distal Tibia & Fibula (27828) $13,690 $15,275.20 1.0×
Open treatment fracture distal tibia only (27827) $13,690 $88,670 1.0×
Open Treatment Humeral Condylar Fracture (24579) $13,690 $40,346 1.0×
Open treatment interphalangeal joint dislocation (28675) $3,489 $5,690 1.0×
Open Treatment Medial Malleolus Fracture (27766) $7,737 $6,931.23 1.0×
Open treatment metatarsal fracture each (28485) $7,737 $26,674 1.0×
Open treatment of acromioclavicular dislocation acute or chronic (23550) $7,737 $36,834 1.0×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $7,737 $41,119 1.0×
Open treatment of sesamoid fracture, with or without internal fixation Facility (28531) $7,737 $8,536 1.0×
Open Treatment Proximal Humeral Fracture (23615) $13,690 $55,144 1.0×
Open tx carpal bone fracture oth/thn scaphoid ea (25645) $3,489 $10,310 1.0×
Open tx carpal scaphoid navicular fracture (25628) $7,737 $32,292 1.0×
Open Tx Carpometacarpal Dislocate Not Thumb (26685) $3,489 $10,310 1.0×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $7,737 $24,017 1.0×
Open Tx Distal Phalangeal Fracture Each (26765) $3,489 $25,052 1.0×
Open Tx Distal Tibiofibular Joint Disruption (27829)
range across 2 matching MRF lines
$7,737 $14,590.15–$14,590.20 1.0×
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) $13,690 $30,781.50 1.0×
Open tx femoral supracondylar fracture w/o xtn (27511) $13,690 $56,893 1.0×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $3,489 $75,573 1.0×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735)
range across 2 matching MRF lines
$3,489 $23,894.67–$23,894.70 1.0×
Open tx tarsal fracture xcp talus & calcaneus ea (28465) $7,737 $5,974.14 1.0×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $7,737 $40,714 1.0×
Open tx ulnar fx proximal end (24685) $7,737 $45,438 1.0×
Open/Perq Place Stent 1St (37236) $12,310 $28,810 1.0×
Open/Perq Place Stent Same (37238) $12,310 $14,813 1.0×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
range across 2 matching MRF lines
$7,737 $24,261.25–$24,261.30 1.0×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $7,737 $32,182 1.0×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236) $7,737 $48,687 1.0×
Optx humeral shft fx w/plate/screws w/wocerclage (24515) $13,690 $47,771 1.0×
Ostc compl all metar heads w/prtl prox phalangc (28114) $3,489 $6,873.33 1.0×
Ostc prtl exostc/condylc metar head (28288) $3,489 $9,648 1.0×
Ostectomy calcaneus (28118) $3,489 $40,169 1.0×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $3,489 $9,766.53 1.0×
Ostectomy, complete excision; fifth metatarsal head (28113) $3,489 $9,543.54 1.0×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $3,489 $24,168 1.0×
Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) $7,737 $8,350.66 1.0×
Osteot w/wo lngth shrt/corrj 1st metar (28306) $7,737 $7,369.08 1.0×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $3,489 $29,367 1.0×
Osteotomy calcaneus w/wo internal fixation (28300) $7,737 $20,211 1.0×
Osteotomy tarsal bones oth/thn calcaneus/talus (28304) $7,737 $6,458.40 1.0×
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) $7,737 $9,941 1.0×
Part remv talus or calcaneus (28120)
range across 2 matching MRF lines
$3,489 $10,677.39–$10,677.40 1.0×
Partial Excision Distal Phalanx Finger (26236) $1,714 $10,687 1.0×
Partial removal of fibula (27641) $3,489 $6,052.30 1.0×
Partial removal of thyroid (60220) $6,446 $31,264 1.0×
Partial removal of tibia (27640) $3,489 $22,713 1.0×
Partial removal of toe (28160) $3,489 $13,524 1.0×
Partical Excision Bone Phalanx Toe (28124) $3,489 $13,524 1.0×
Perc Cryo Ablate Renal Tum (50593) $11,335 $10,187 1.0×
Perc Rf Ablate Renal Tumor (50592) $6,446 $8,194 1.0×
Percut Ablate Liver Rf (47382) $6,446 $9,003 1.0×
Percut Drain/Inject Renal Cyst (50390) $755 $1,814 1.0×
Percut Mech Thrombectomy, Venous, Repeat (37188) $3,367 $6,252 1.0×
Pericardiocentesis W/Imaging (33016) $1,678 $6,821 1.0×
Perq av fistula creation uxtr single access (36836) $19,548 $33,229 1.0×
Perq Cervicothoracic Inject (22510) $3,489 $4,101 1.0×
Perq dev breast 1st us imag (19285)
range across 3 matching MRF lines
$755 $5,277–$5,567 1.0×
Perq device breast 1st imag (19281)
range across 3 matching MRF lines
$1,761 $2,127–$12,152 1.0×
Perq dilation xst trc endourologic px w/img (50436) $3,758 $5,656 1.0×
Perq Radiofreq Ablation Tx, Pul Tumor (32998) $6,446 $8,354 1.0×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $12,310 $13,725 1.0×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $6,069 $8,451 1.0×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $7,737 $20,608 1.0×
Perq Vertebral Augmentation (22513) $7,737 $22,414 1.0×
Phleb Veins - Extrem 20+ (37766) $3,367 $10,978 1.0×
Place Cath Subclavian Art (36225)
range across 3 matching MRF lines
$3,367 $9,728–$14,594 1.0×
Place Cath Thoracic Aorta (36221)
range across 4 matching MRF lines
$3,367 $6,485–$9,728 1.0×
Place Cath Vertebral Art (36226)
range across 3 matching MRF lines
$5,933 $15,480–$23,221 1.0×
Place Duod/Jej Tube Perc (49441) $2,046 $2,640 1.0×
Place Rt Device/Marker Pros (55876) $1,475 $3,873 1.0×
Placement of needle for intraosseous infusion (36680) $476 $453 1.0×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541) $6,903 $5,729 1.0×
Plmt Bile Duct Stent Prq Existing Access (47538) $6,446 $10,837 1.0×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $6,446 $14,655 1.0×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $6,446 $17,510 1.0×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 3 matching MRF lines
$2,229 $3,887–$5,829 1.0×
Plmt Nephroureteral Catheter (50433)
range across 3 matching MRF lines
$3,758 $3,966–$5,947 1.0×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695)
range across 3 matching MRF lines
$3,758 $13,174–$19,762 1.0×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693)
range across 3 matching MRF lines
$3,758 $7,851–$11,777 1.0×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694)
range across 3 matching MRF lines
$3,758 $10,277–$15,415 1.0×
Prim art mech thrombectomy (37184) $19,548 $9,439 1.0×
Prosthesis Removal Humeral/Glenoid Component (23334) $7,737 $16,771.50 1.0×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $755 $1,210 1.0×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $3,818 $5,729 1.0×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $3,818 $7,592 1.0×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $3,489 $21,269 1.0×
Pseudoaneurysm Injection Trt (36002) $668 $826 1.0×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines
$433 $581–$612 1.0×
Puncture Aspiration Cyst Breast (19000) $755 $1,397 1.0×
Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) $3,489 $8,092 1.0×
Rad resect elbow caps/sr bone w rels (24149) $7,737 $21,441.50 1.0×
Radical resection of tumor; fibula Facility (27646) $3,489 $8,735.51 1.0×
Radical resection of tumor; tibia Facility (27645) $3,489 $9,275.91 1.0×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $2,082 $7,191 1.0×
Rcnstj angular dfrm toe soft tiss px only (28313) $3,489 $6,119.09 1.0×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Local Tiss (26542) $3,489 $17,618 1.0×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238)
range across 2 matching MRF lines
$7,737 $14,305.16–$14,305.20 1.0×
Rdctj torsion tstis w/wo fixj clat testis (54600) $3,758 $17,072 1.0×
Reinforce tibia (27745) $7,737 $7,467.63 1.0×
Rem Endovas Vena Cava Filter (37193) $3,367 $13,328 1.0×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $967 $1,274 1.0×
Removal foreign body foot deep (28192) $1,761 $38,360 1.0×
Removal Foreign Body Foot Subcutaneous (28190) $755 $14,279 1.0×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines
$62 $147–$221 1.0×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $62 $376 1.0×
Removal Implant Deep (20680) $3,097 $31,204 1.0×
Removal of foot joint lining (28072) $3,489 $6,375.03 1.0×
Removal of heel spur (28119) $3,489 $25,942 1.0×
Removal of knee prosthesis (27488) $13,690 $58,477 1.0×
Removal of nail bed (11750)
range across 2 matching MRF lines
$433 $1,072–$13,524 1.0×
Removal of posterior segmental instrumentation Facility (22852) $7,737 $36,870 1.0×
Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) $7,737 $52,232 1.0×
Removal of sesamoid bone (28315) $3,489 $16,868 1.0×
Removal of sperm cord lesion (55520) $3,758 $8,809 1.0×
Removal of tunneled intraperitoneal catheter (49422) $3,367 $13,375 1.0×
Removal Pacemaker Electrode (33235) $3,984 $6,392 1.0×
Removal peritoneal-venous shunt (49429) $3,367 $5,261 1.0×
Removal subcutaneous cardiac rhythm monitor (33286) $755 $1,883 1.0×
Removal sweat gland lesion (11450) $3,097 $43,442 1.0×
Removal, under anesthesia, of external fixation system (20694) $1,714 $6,533.68 1.0×
Remove & Replace Indwell Ureteral Stent Trurthrl (50385) $2,229 $8,542 1.0×
Remove Ankle Joint Lining (27626) $3,489 $7,298.68 1.0×
Remove drug implant device (11982) $476 $11,258 1.0×
Remove Elctrd Transvenously (33244) $3,984 $5,417 1.0×
Remove foreign body from eye (65205) $141 $452 1.0×
Remove intrvas foreign body (37197) $3,367 $5,783 1.0×
Remove knee joint lining (27334) $3,489 $8,079.33 1.0×
Remove Lower Leg Bone Lesion (27635) $3,489 $12,084 1.0×
Remove Nasal Foreign Body (30300) $141 $452 1.0×
Remove Pulse Generator (33241) $3,984 $5,266 1.0×
Remove renal tube w/fluoro (50389) $743 $1,378 1.0×
Remove spine eltrd plate (63662) $3,728 $45,882 1.0×
Remove spine fixation device (22850) $7,737 $38,213 1.0×
Remove spine lamina 1/2 lmbr (63005) $7,737 $27,858 1.0×
Remove Tendon Sheath Lesion (26160) $1,714 $8,344.50 1.0×
Remove&replace pm gen singl (33227) $8,824 $28,469 1.0×
Remove/graft leg bone lesion (27637)
range across 2 matching MRF lines
$7,737 $20,436.75–$20,436.80 1.0×
Remv&replc cvd gen dual lead (33263) $23,719 $47,934 1.0×
Remv&replc cvd gen mult lead (33264) $33,472 $49,958 1.0×
Remv&replc cvd gen sing lead (33262) $23,719 $36,311 1.0×
Remv&replc pm gen dual lead (33228) $11,145 $29,777 1.0×
Remv&replc pm gen mult leads (33229) $20,540 $31,551 1.0×
Renal Biopsy Perq (50200) $1,761 $4,622 1.0×
Repair Achilles Tendon (27650) $7,737 $33,073 1.0×
Repair Collat Ankle Ligmnt,Secondary (27698) $7,737 $24,238 1.0×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $433 $13,723.50 1.0×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $3,489 $5,745.94 1.0×
Repair Foot Dislocation (28615) $7,737 $9,573.22 1.0×
Repair Hallux Rigidus (28289) $3,489 $20,212 1.0×
Repair Hand Joint (26540) $3,489 $24,168 1.0×
Repair initial femoral hernia, any age; reducible (49550) $3,818 $18,229.50 1.0×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $3,818 $22,350 1.0×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $433 $6,762 1.0×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $433 $7,032.24 1.0×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $433 $546 1.0×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $788 $7,711.33 1.0×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $433 $6,326.65 1.0×
Repair lead pace-defib dual (33220) $3,984 $4,903 1.0×
Repair Lead Pace-Defib One (33218) $3,984 $5,479 1.0×
Repair Leg Fascia Defect (27656)
range across 2 matching MRF lines
$3,489 $17,394.50–$17,394.54 1.0×
Repair lower leg tendons (27676) $7,737 $4,039.66 1.0×
Repair Nonunion/Malunion Tarsal Bones (28320) $13,690 $8,350.66 1.0×
Repair of biceps tendon (24340) $7,737 $24,238 1.0×
Repair of fibula nonunion and/or malunion with internal fixation (27726) $7,737 $5,720.75 1.0×
Repair of metatarsals (28322) $7,737 $31,201 1.0×
Repair of nail bed (11760) $788 $763 1.0×
Repair of Ruptured Tendon (24342) $7,737 $30,868 1.0×
Repair radius & ulna (25415)
range across 2 matching MRF lines
$7,737 $104,127.57–$104,128 1.0×
Repair secondary achilles tendon w/wo graft (27654) $7,737 $47,168 1.0×
Repair shoulder capsule (23462) $7,737 $24,200 1.0×
Repair shoulder capsule (23466) $7,737 $27,447 1.0×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $3,489 $19,528 1.0×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $7,737 $36,319 1.0×
Repair Toe Dislocation (28645) $3,489 $4,124 1.0×
Repair, primary, disrupted ligament, ankle; collateral (27695) $7,737 $7,739.14 1.0×
Repair/graft achilles tendon (27652) $7,737 $24,168 1.0×
Replace duodenostomy/jejunostomy tube perq (49451) $967 $1,205 1.0×
Replace G-J Tube Perc (49452) $967 $1,205 1.0×
Replace g/c tube perc (49450) $967 $1,685 1.0×
Reposition Gastrostomy Tube (43761) $266 $1,958 1.0×
Reposition L Ventric Lead (33226) $3,367 $6,216 1.0×
Reposition Venous Catheter (36597) $1,678 $1,817 1.0×
Repr Elbw Med Ligmnt W/Tiss (24345) $7,737 $28,730 1.0×
Rerepair ing hernia reduce (49520) $3,818 $18,021 1.0×
Revis reconst shoulder joint (23473)
range across 2 matching MRF lines
$13,690 $28,810.47–$28,810.50 1.0×
Revis shoulder arthrplsty humeral&glenoid compnt (23474) $13,690 $38,874 1.0×
Revise/Repair Finger/Toe Nerve (64702)
range across 2 matching MRF lines
$2,082 $10,780.30–$10,780.33 1.0×
Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22862)
range across 2 matching MRF lines
$18,697 $38,555.10–$38,555.11 1.0×
Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22861) $18,697 $32,364 1.0×
Revision of big toe (28310)
range across 2 matching MRF lines
$7,737 $12,028.66–$12,028.70 1.0×
Revision of foot (28116) $3,489 $6,059.50 1.0×
Revision of foot bones (28737)
range across 2 matching MRF lines
$13,690 $23,700.90–$23,700.92 1.0×
Revision of lower leg tendon (27685)
range across 2 matching MRF lines
$3,489 $11,811.80–$11,811.84 1.0×
Revision of toe (28312) $3,489 $4,039.66 1.0×
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) $13,690 $51,890 1.0×
Revj tot hip arthrp bth w/wo agrft/algrft (27134) $13,690 $45,381 1.0×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) $18,697 $60,267 1.0×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) $13,690 $38,774 1.0×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $6,069 $22,386 1.0×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $967 $3,282 1.0×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $476 $1,397 1.0×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $141 $452 1.0×
Rmvl of subq implantable defibrillator electrode (33272) $3,984 $13,601 1.0×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $3,984 $4,903 1.0×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines
$1,678 $3,738–$6,350 1.0×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $668 $2,330 1.0×
Rplc Gtube No Revj Trc (43762) $266 $754 1.0×
Rplc gtube revj gstrst trc (43763) $266 $852 1.0×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $1,678 $1,946 1.0×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,678 $1,946 1.0×
Rplcmt compl tun ctr vad w/subq port (36582) $3,367 $5,129 1.0×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $3,367 $3,436 1.0×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $6,446 $21,933 1.0×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $3,818 $27,073 1.0×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) $6,903 $27,346 1.0×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $3,818 $17,072 1.0×
Rpr aa hrn 1st 3-10 rdc (49593) $6,903 $22,298 1.0×
Rpr aa hrn 1st < 3 ncr/strn (49592) $6,446 $19,733 1.0×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $1,678 $2,135 1.0×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) $3,489 $5,498.30 1.0×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) $7,737 $9,421.67 1.0×
Rpr flexor tendon leg secondary w/o graft each (27659) $7,737 $6,291.55 1.0×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) $7,737 $7,474.40 1.0×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $3,489 $16,184 1.0×
Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) $7,737 $38,360 1.0×
Rpr Tendon Xtnsr Foot Sec W/Free Graft Ea Tendon (28210)
range across 2 matching MRF lines
$7,737 $16,825.80–$16,825.82 1.0×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $668 $1,205 1.0×
Sclerotx Fluid Collection (49185) $1,761 $1,965 1.0×
Shoulder arthroscopy diagnostic (29805) $3,489 $20,949 1.0×
Shoulder Arthroscopy/Surgery (29825) $3,489 $22,369 1.0×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $991 $4,559 1.0×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $213 $994 1.0×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $213 $994 1.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines
$213 $454–$994 1.0×
Skin sub graft face/nk/hf/g (15275) $788 $3,130 1.0×
Skin sub graft trnk/arm/leg (15271) $788 $3,130 1.0×
Skin sub grft t/arm/lg child (15273) $2,200 $5,352 1.0×
Skin Tissue Procedure (17999) $213 $51,112 1.0×
Skn sub grft f/n/hf/g child (15277) $2,200 $5,567 1.0×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 3 matching MRF lines
$5,933 $12,232–$18,350 1.0×
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 3 matching MRF lines
$3,367 $6,485–$9,728 1.0×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 3 matching MRF lines
$5,933 $14,186–$21,278 1.0×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $5,334 $24,424.80 1.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines
$213 $471–$994 1.0×
Sphincterotomy anal division sphincter spx (46080) $2,959 $9,639 1.0×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines
$752 $2,034–$2,150 1.0×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $3,778 $8,536 1.0×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $3,367 $10,978 1.0×
Strapping shoulder (29240) $141 $452 1.0×
Strapping Unna Boot (29580)
range across 2 matching MRF lines
$173 $315–$473 1.0×
Surg tx anal fistula subq (46270) $2,959 $17,072 1.0×
Surgery to stop leg growth (27477) $7,737 $36,870 1.0×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $2,959 $15,610 1.0×
Suture of quadriceps or hamstring muscle rupture primary (27385) $7,737 $28,265 1.0×
Synovectomy Tendon Sheath Foot Extensor (28088) $3,489 $8,124.88 1.0×
Synovectomy Tendon Sheath Foot Flexor (28086) $3,489 $4,073.13 1.0×
Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070) $7,737 $5,950.69 1.0×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $1,714 $9,108.89 1.0×
Tangential biopsy skin single lesion (11102) $433 $574 1.0×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $30,587 $123,902 1.0×
Tenodesis long tendon biceps (23430)
range across 2 matching MRF lines
$7,737 $13,462.60–$13,462.63 1.0×
Tenolysis extensor foot single tendon (28225) $3,489 $6,369.44 1.0×
Tenolysis flexor foot single tendon (28220) $1,714 $5,629.12 1.0×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $3,489 $6,539.61 1.0×
Tenolysis, extensor, foot; multiple tendons Facility (28226) $3,489 $5,653 1.0×
Tenotomy Prq Achilles Tendon Spx General Anes (27606)
range across 2 matching MRF lines
$3,489 $20,610.66–$20,610.70 1.0×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $1,714 $33,372 1.0×
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) $3,489 $50,388 1.0×
Tenotomy shoulder area single tendon (23405) $7,737 $25,123 1.0×
Ther Apheresis,Red Blood Cells (36512) $1,660 $4,190 1.0×
Ther Spi Pnxr Csf Fluor/Ct (62329) $752 $2,613 1.0×
Therapeutic Apheresis White Blood Cells (36511) $1,660 $4,142 1.0×
Therapeutic plasma exchange (36514) $1,660 $4,142 1.0×
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) $5,933 $8,296 1.0×
Thrmbc Dir/W/Cath V/C Iliac Fempop Vein Leg Inc (34421) $3,367 $8,853 1.0×
Thrmbc/Nfs Dialysis Circuit (36906) $19,548 $19,964 1.0×
Thromblytic art/ven therapy (37213) $3,367 $5,123 1.0×
Thrombolytic Art Therapy (37211) $5,933 $8,296 1.0×
Thrombolytic Therapy Stroke (37195) $352 $576 1.0×
Thrombolytic Venous Therapy (37212) $3,367 $3,436 1.0×
Thyroid biopsy (60100) $755 $1,200 1.0×
Thyroidectomy, total or complete (60240) $6,446 $45,216 1.0×
Tissue Expander Placement Breast Reconstruction (19357)
range across 2 matching MRF lines
$14,695 $25,862.09–$25,862.10 1.0×
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857) $18,697 $28,446.50 1.0×
Total Knee Arthroplasty (27447) $13,690 $46,200 1.0×
Tracheostomy Emergency Cricothyroid Membrane (31605) $252 $1,446 1.0×
Transcatheter biopsy (37200) $5,933 $5,692 1.0×
Transur electr resection of prostate (52601) $5,717 $26,731 1.0×
Treat ankle fracture (28445) $7,737 $31,953 1.0×
Treat Fx Rad Extra-Articul (25607) $7,737 $42,883 1.0×
Treat knee fracture (27532) $3,489 $12,119 1.0×
Treat Kneecap Fracture (27524) $7,737 $37,645 1.0×
Treat Metatarsal Fracture (28475)
range across 2 matching MRF lines
$263 $21,502.66–$21,502.70 1.0×
Treatment of foot infection (28003) $3,489 $25,123 1.0×
Trim skin lesion (11055) $213 $282 1.0×
Trim skin lesions 2 to 4 (11056) $213 $401 1.0×
Trim skin lesions over 4 (11057) $213 $596 1.0×
Trimming Nondystrophic Nails Any Number (11719) $62 $148 1.0×
Trluml Balo Angiop 1St Art (37246) $6,069 $8,451 1.0×
Trluml Balo Angiop 1St Vein (37248) $6,069 $8,451 1.0×
Tx Superficial Wound Dehiscence Simple Closure (12020) $788 $32,364 1.0×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $263 $16,184 1.0×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) $13,690 $20,173 1.0×
Unlisted laparoscopy procedure, intestine (except rectum) (44238)
range across 2 matching MRF lines
$6,446 $27,117.67–$27,117.70 1.0×
Unlisted procedure anus (46999) $991 $20,620 1.0×
Unlisted procedure arthroscopy (29999) $263 $16,146 1.0×
Unlisted procedure colon (45399) $991 $8,848 1.0×
Unlisted procedure femur or knee (27599) $263 $16,182 1.0×
Unlisted procedure foot or toes (28899) $263 $12,157 1.0×
Unlisted procedure forearm or wrist (25999) $263 $22,810 1.0×
Unlisted Procedure Leg/Ankle (27899)
range across 2 matching MRF lines
$263 $27,580.25–$27,580.30 1.0×
Unlisted procedure nervous system (64999) $327 $358 1.0×
Unlisted procedure pelvis/hip joint (27299) $263 $41,376 1.0×
Unlisted Procedure Vascular Surgery (37799)
range across 5 matching MRF lines
$668 $1,890–$4,008 1.0×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $967 $17,072 1.0×
Upgrade of pacemaker system (33214) $11,145 $35,504 1.0×
Vag hyst w/t/o & vag repair (58263) $5,334 $32,755 1.0×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $5,334 $59,648 1.0×
Vasc embolize/occlude artery (37242) $19,548 $18,828 1.0×
Vasc Embolize/Occlude Bleed (37244) $12,310 $26,159 1.0×
Vasc Embolize/Occlude Organ (37243) $12,310 $22,219 1.0×
Vasc embolize/occlude venous (37241) $12,310 $17,326 1.0×
Venous Mech Thrombectomy (37187) $12,310 $7,225 1.0×
Wound Prep F/N/Hf/G (15004) $433 $2,803.60 1.0×
Wound Prep Trk/Arm/Leg (15002) $788 $8,306.20 1.0×
Xfer Single Deep Low Leg Tendon (27691) $7,737 $7,266.73 1.0×

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.