Procedures & surgery prices at Saint Joseph Regional Medical Center - Plymouth
Plymouth, IN · every code in this section with a posted price and a Medicare benchmark.
391 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $1,417 | $2,180 | 1.5× |
| Ablation 1/> liver tumor perq cryoablation (47383) | $8,752.90 | $13,466 | 0.8× |
| Amputation foot transmetarsal (28805) | $18,411.54 | — | 5.3× |
| Amputation toe interphalangeal joint (28825) | $12,251 | — | 3.5× |
| Amputation toe metatarsophalangeal joint (28820) | $12,089.90 | — | 3.5× |
| Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
$330.20–$495.30 | $508–$762 | varies |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$351.65–$527.15 | $541–$811 | varies |
| Application of rigid total contact leg cast (29445) range across 6 matching MRF lines |
$374.40–$1,062.75 | $576–$1,635 | varies |
| Application short arm splint forearm-hand static (29125) range across 6 matching MRF lines |
$217.75–$328.25 | $335–$505 | varies |
| Application short leg splint calf foot (29515) range across 6 matching MRF lines |
$260.65–$391.30 | $401–$602 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 6 matching MRF lines |
$356.20–$534.30 | $548–$822 | varies |
| Arterial puncture (36600) | $900.25 | — | 6.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$482.95–$724.75 | $743–$1,115 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 3 matching MRF lines |
$506.35–$753.35 | $779–$1,159 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$2,695.81–$3,572.24 | — | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 3 matching MRF lines |
$1,684.15–$2,816.45 | $2,591–$4,333 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$277.55–$417.30 | $427–$642 | varies |
| Arthrodesis subtalar (28725) | $30,692.72 | — | 2.3× |
| Arthroplasty glenohumeral joint total shoulder (23472) | $47,726.96 | — | 2.6× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) | $18,128.79 | — | 5.2× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) | $24,678.71 | — | 7.1× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) | $25,789.89 | — | 7.4× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) | $32,965.71 | — | 4.3× |
| Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) | $13,975.55 | — | 4.0× |
| Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
$1,219.40–$1,830.40 | $1,876–$2,816 | varies |
| Aspiration bladder insert suprapubic catheter (51102) | $3,024.45 | $4,653 | 1.4× |
| Avulsion nail plate partial/complete simple 1 (11730) | $13,561.44 | — | 63.9× |
| Biopsy Abdominal Mass (49180) | $1,639.95 | $2,523 | 0.9× |
| Biopsy bone open superficial (20240) | $3,897.40 | $5,996 | 1.3× |
| Biopsy bone trocar/needle deep (20225) | $1,676.35 | $2,579 | 1.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $14,100.22 | — | 8.1× |
| Biopsy muscle percutaneous needle (20206) | $1,097.85 | $1,689 | 0.6× |
| Biopsy Muscle Superficial (20200) | $1,630.20 | $2,508 | 0.9× |
| Biopsy of liver, needle; percutaneous (47000) | $1,649.70 | $2,538 | 0.9× |
| Biopsy Pleura Percutaneous Needle (32400) | $1,275.30 | $1,962 | 0.7× |
| Biopsy Salivary Gland Needle (42400) | $1,817.40 | $2,796 | 2.4× |
| Biopsy soft tissue neck/thorax (21550) | $1,873.30 | $2,882 | 1.1× |
| Bladder instillation anticarcinogenic agent (51720) | $16,896.05 | — | 22.9× |
| Bladder Irrigation (51700) | $10,654.80 | — | 40.3× |
| Bladder Scan (51798) | $143.65 | — | 2.3× |
| Blood Transfusion Service (36430) | $3,709.26 | — | 7.9× |
| Bx breast 1st lesion mr imag (19085) range across 3 matching MRF lines |
$3,583.45–$5,374.85 | $5,513–$8,269 | varies |
| Bx breast 1st lesion strtctc (19081) range across 3 matching MRF lines |
$4,139.20–$6,208.80 | $6,368–$9,552 | varies |
| Bx breast 1st lesion us imag (19083) range across 3 matching MRF lines |
$3,583.45–$5,375.50 | $5,513–$8,270 | varies |
| Bx breast needle core w/o imaging guidance spx (19100) range across 3 matching MRF lines |
$1,287–$1,608.75 | $1,980–$2,475 | varies |
| Bx/exc lymph node open deep axillary node (38525) | $28,726.44 | — | 6.9× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) | $2,211.95 | $3,403 | 1.3× |
| Carpal Tunnel Surgery (64721) | $10,008.41 | — | 4.8× |
| Cataract surgery complex (66982) | $10,569.16 | — | 4.3× |
| Catheter aspiration nasotracheal spx (31720) | $100.10 | $154 | 0.4× |
| Cessj Therapy Cath Removal (37214) | $3,456.05 | $5,317 | 1.0× |
| Change of Windpipe Airway (31502) | $328.90 | $506 | 1.3× |
| Chemical Cautery Tissue (17250) | $1,120.60 | — | 5.3× |
| Chest tube placement (32551) range across 3 matching MRF lines |
$2,187.25–$3,280.55 | $3,365–$5,047 | varies |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) | $1,402.70 | $2,158 | 0.6× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $2,711.80 | $4,172 | 0.7× |
| Circumcision w/clamp/oth dev w/block (54150) | $712.40 | $1,096 | 0.3× |
| Collect Blood From Catheter Venous Nos (36592) | $152.10 | $234 | 1.1× |
| Collection of venous blood by venipuncture (36415) | $542.10 | — | 58.0× |
| Colonoscopy w/ablation (45388) | $5,831.12 | — | 4.6× |
| Colonoscopy W/Band Ligation (45398) range across 2 matching MRF lines |
$6,327.68–$6,553.49 | — | varies |
| Colonoscopy w/submucosal inj (45381) | $7,120.91 | — | 5.6× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $6,279.62 | — | 5.0× |
| Conversion ext bil drg cath (47535) | $4,072.25 | $6,265 | 1.1× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $1,247.35 | $1,919 | 0.6× |
| Convert Nephrostomy Catheter (50434) range across 3 matching MRF lines |
$1,135.55–$1,704.30 | $1,747–$2,622 | varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $2,392.65 | $3,681 | 1.4× |
| Correction hammertoe (28285) | $15,903.09 | — | 4.6× |
| Cysto Bladder W/Ureteral Catheterization (52005) | $17,809.99 | — | 8.1× |
| Cysto w/insert ureteral stent (52332) range across 2 matching MRF lines |
$14,290.55–$16,143.32 | — | varies |
| Cysto w/removal of tumors small (52234) | $16,292.15 | — | 4.4× |
| Cysto W/Simple Removal Stone & Stent (52310) | $12,738.93 | — | 5.8× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) | $16,300.04 | — | 4.4× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) | $16,162.84 | — | 4.3× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) | $19,091.98 | — | 3.4× |
| Cysto/uretero w/lithotripsy (52356) range across 2 matching MRF lines |
$17,691.23–$17,762.88 | — | varies |
| Cystourethroscopy (52000) | $10,455.25 | — | 14.2× |
| Cystourethroscopy inj chemodenervation bladder (52287) | $15,199.89 | — | 6.9× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) | $16,276.36 | — | 4.4× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) | $20,903.40 | — | 3.7× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $3,843.45 | — | 4.9× |
| Debride nail 1-5 (11720) | $202.15 | $311 | 3.2× |
| Debride nail 6 or more (11721) | $217.75 | $335 | 3.5× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $6,297.20 | — | 3.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $2,109.90 | — | 4.9× |
| Declot vascular device (36593) | $800.15 | $1,231 | 2.3× |
| Deep Muscle Biopsy (20205) | $1,732.90 | $2,666 | 0.6× |
| Delivery of placenta (59414) | $780 | $1,200 | 0.2× |
| Destroy cerv/thor facet jnt (64633) range across 6 matching MRF lines |
$2,555.15–$3,615.95 | $3,931–$5,563 | varies |
| Destroy lumb/sac facet jnt (64635) range across 6 matching MRF lines |
$2,032.55–$3,047.85 | $3,127–$4,689 | varies |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 3 matching MRF lines |
$997.75–$1,496.30 | $1,535–$2,302 | varies |
| Drain Cerebro Spinal Fluid (62272) | $939.90 | $1,446 | 1.3× |
| Drainage of hematoma/fluid (10140) | $1,580.80 | $2,432 | 0.9× |
| Drainage of hydrocele (55000) range across 3 matching MRF lines |
$965.90–$1,448.85 | $1,486–$2,229 | varies |
| Draw Blood Off Venous Device (36591) | $159.90 | $246 | 1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $585.65 | $901 | 1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $1,736.80 | — | 8.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $1,109.55 | — | 5.2× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) | $1,413.75 | $2,175 | 1.5× |
| Dx Bone Marrow Bx & Aspir (38222) range across 4 matching MRF lines |
$2,949.70–$4,645.55 | $4,538–$7,147 | varies |
| Dx Bronchoscope/Wash (31622) | $2,270.45 | $3,493 | 1.2× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,432.60 | $2,204 | 1.9× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $6,847.16 | — | 3.4× |
| Egd control bleeding any (43255) | $6,187.92 | — | 3.0× |
| Egd Flexible Foreign Body Removal (43247) | $6,227.97 | — | 6.5× |
| Egd guide wire insertion (43248) | $6,418.65 | — | 6.7× |
| Egd remove lesion snare (43251) | $8,237.03 | — | 4.1× |
| Egd Varices Ligation (43244) | $5,259.21 | — | 2.6× |
| Epidural Blood Patch (62273) | $1,397.50 | $2,150 | 1.9× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $11,408.96 | — | 15.2× |
| Exc Back Les Sc < 3 Cm (21930) | $10,798.22 | — | 6.2× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $15,580.63 | — | 3.8× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $8,057.63 | — | 10.8× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $10,676.44 | — | 6.1× |
| Exc Frenum Labial/Buccal (40819) | $19,368.93 | — | 11.8× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $11,408.96 | — | 15.2× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) | $12,015.31 | — | 3.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $9,737 | — | 13.0× |
| Exc thigh/knee les sc 3 cm/> (27337) | $11,918.07 | — | 3.9× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $9,737 | — | 13.0× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $11,647.38 | — | 6.7× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $11,280.16 | — | 3.7× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $8,531.25 | — | 4.9× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $11,351.14 | — | 3.7× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $4,541.55 | $6,987 | 1.2× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) range across 3 matching MRF lines |
$1,363.05–$1,704.30 | $2,097–$2,622 | varies |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $2,375.10 | $3,654 | 1.2× |
| Excision gum each quadrant (41820) | $19,225.28 | — | 5.5× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) | $12,017.09 | — | 3.9× |
| Excision Lingual Frenum Frenectomy (41115) | $19,454.21 | — | 11.9× |
| Excision of hydrocele; unilateral (55040) | $13,142.90 | — | 3.5× |
| Excision of local lesion of epididymis (54830) | $17,279.21 | — | 4.6× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $14,989.49 | — | 4.9× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $12,886.44 | — | 7.4× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) | $11,975.27 | — | 6.9× |
| External cephalic version (59412) | $1,198.60 | $1,844 | 0.3× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) | $13,089.67 | — | 3.8× |
| Fetal non-stress test (59025) | $569.40 | $876 | 2.7× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $1,117.35 | $1,719 | 1.5× |
| Fluoro exam of g/colon tube (49465) | $303.55 | $467 | 1.2× |
| Fna bx w/us gdn 1st les (10005) | $1,117.35 | $1,719 | 1.5× |
| Fusion Finger Joint (26860) | $22,096.52 | — | 6.4× |
| Gastrocnemius recession (27687) | $25,221.38 | — | 7.3× |
| Guide Cathet Fluid Drainage (10030) | $550.55 | $847 | 0.7× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $5,507.38 | — | 5.6× |
| Hemorrhoidopexy by stapling (46947) | $15,382.57 | — | 5.2× |
| I&d abscess simple (10060) | $336.05 | $517 | 1.6× |
| Icd Pocket Revision (33223) | $3,385.20 | $5,208 | 1.6× |
| Image Cath Fluid Colxn Visc (49405) | $3,061.50 | $4,710 | 1.8× |
| Image Cath Fluid Peri/Retro (49406) | $3,367.65 | $5,181 | 1.9× |
| Incise finger tendon sheath (26055) | $9,735.96 | — | 5.7× |
| Incision & drainage abscess complicated/multiple (10061) | $592.15 | $911 | 1.4× |
| Incision & removal foreign body subq tiss simple (10120) | $10,791.53 | — | 25.1× |
| Incision and drainage of vulva or perineal abscess (56405) | $414.70 | $638 | 1.3× |
| Incision of labial frenum (frenotomy) (40806) | $18,326 | — | 32.1× |
| Incision of lingual frenum (frenotomy) (41010) | $18,326 | — | 11.2× |
| Incisional biopsy skin single lesion (11106) | $673.40 | $1,036 | 0.9× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 8 matching MRF lines |
$1,147.90–$1,721.85 | $1,766–$2,649 | varies |
| Inj W/Fluor Eval Cv Device (36598) range across 3 matching MRF lines |
$464.75–$697.45 | $715–$1,073 | varies |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) range across 3 matching MRF lines |
$831.35–$1,246.05 | $1,279–$1,917 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 6 matching MRF lines |
$1,367.60–$2,052.05 | $2,104–$3,157 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 3 matching MRF lines |
$798.85–$1,198.60 | $1,229–$1,844 | varies |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) range across 3 matching MRF lines |
$1,675.05–$2,512.25 | $2,577–$3,865 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 3 matching MRF lines |
$997.75–$1,496.30 | $1,535–$2,302 | varies |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) range across 3 matching MRF lines |
$997.75–$1,496.30 | $1,535–$2,302 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 3 matching MRF lines |
$807.30–$1,212.25 | $1,242–$1,865 | varies |
| Injection anesthetic agent suprascapular nerve (64418) range across 3 matching MRF lines |
$642.20–$963.30 | $988–$1,482 | varies |
| Injection for identification of sentinel node (38792) range across 3 matching MRF lines |
$484.90–$726.70 | $746–$1,118 | varies |
| Injection single tendon origin/insertion (20551) | $564.20 | $868 | 1.7× |
| Injection Sinus Tract Therapeutic Separate Proc (20500) | $2,017.60 | $3,104 | 1.2× |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 3 matching MRF lines |
$1,675.05–$2,512.25 | $2,577–$3,865 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 3 matching MRF lines |
$642.20–$963.30 | $988–$1,482 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$761.80–$1,143.35 | $1,172–$1,759 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $271.05 | $417 | 1.3× |
| Ins cath ren art 1st unilat (36251) | $5,526.95 | $8,503 | 1.7× |
| Ins cath ren art 2nd+ unilat (36253) | $5,526.95 | $8,503 | 0.9× |
| Ins endovas vena cava filtr (37191) | $8,098.35 | $12,459 | 1.4× |
| Ins/Rep Subq Defibrillator (33270) | $40,303.90 | $62,006 | 1.2× |
| Insert 1 Electrode Pm-Defib (33216) | $7,827.30 | $12,042 | 0.9× |
| Insert Bladder Cath Complex (51703) | $472.55 | $727 | 3.5× |
| Insert cath pleura w/ image (32557) range across 3 matching MRF lines |
$978.90–$1,469.65 | $1,506–$2,261 | varies |
| Insert cath pleura w/o image (32556) range across 3 matching MRF lines |
$815.75–$1,223.95 | $1,255–$1,883 | varies |
| Insert cervical dilator (59200) | $231.40 | $356 | 0.7× |
| Insert Gastrostomy Tube Percutaneous (49440) | $3,628.30 | $5,582 | 1.8× |
| Insert Heart Pm Atrial (33206) | $12,277.20 | $18,888 | 1.1× |
| Insert Heart Pm Ventricular (33207) | $11,688.95 | $17,983 | 1.1× |
| Insert hepatic shunt (tips) (37182) unusually low: confirm this is the full procedure |
$8,405.15 | $12,931 | 0.4× |
| Insert non-tunnel cv cath (36556) | $2,358.20 | $3,628 | 0.7× |
| Insert Pacing Lead & Connect (33224) unusually low: confirm this is the full procedure |
$3,322.15 | $5,111 | 0.3× |
| Insert pessary/other device (57160) | $263.90 | $406 | 1.2× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $1,604.20 | $2,468 | 1.0× |
| Insert Pulse Gen Sngl Lead (33212) | $11,699.35 | $17,999 | 1.3× |
| Insert Temp Bladder Cath (51702) | $302.90 | — | 2.2× |
| Insert tun ip cath perc (49418) | $4,727.45 | $7,273 | 1.2× |
| Insert tunneled cv cath (36561) | $15,540.91 | — | 4.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $176.80 | — | 1.3× |
| Insertion indwelling tunneled pleural catheter (32550) | $5,028.40 | $7,736 | 1.3× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $2,131.35 | $3,279 | 1.3× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $6,253 | $9,620 | 0.7× |
| Insj Picc Rs&I <5 Yr (36572) | $1,788.15 | $2,751 | 2.7× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) range across 3 matching MRF lines |
$4,269.85–$6,404.45 | $6,569–$9,853 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $3,499.83 | — | 2.1× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 3 matching MRF lines |
$4,319.25–$6,479.85 | $6,645–$9,969 | varies |
| Insj/Rplcmt Defib W/Lead(S) (33249) unusually low: confirm this is the full procedure |
$15,548.65 | $23,921 | 0.5× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $7,138.95 | $10,983 | 0.8× |
| Insrt heart pm atrial & vent (33208) | $15,087.80 | $23,212 | 1.4× |
| Insrt Pulse Gen W/Singl Lead (33240) unusually low: confirm this is the full procedure |
$7,668.70 | $11,798 | 0.3× |
| Intro cath dialysis circuit (36901) | $2,033.85 | $3,129 | 1.2× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $26,345.80 | $40,532 | 2.2× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $13,687.05 | $21,057 | 2.3× |
| Intubation endotracheal emergency procedure (31500) | $648.70 | $998 | 2.6× |
| Laparoscopy, surgical, appendectomy (44970) | $17,647.28 | — | 2.8× |
| Litholapaxy comp/lg > 2.5 cm (52318) | $15,961.76 | — | 4.3× |
| Litholapaxy smpl/sm <2.5 cm (52317) | $18,720.54 | — | 5.0× |
| Lithotripsy, extracorporeal shock wave (50590) | $13,330.82 | — | 3.6× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) range across 3 matching MRF lines |
$1,996.15–$2,994.55 | $3,071–$4,607 | varies |
| Mastectomy for gynecomastia (19300) | $19,254.32 | — | 4.6× |
| Mastectomy partial (19301) | $25,407.91 | — | 6.1× |
| Mech remov tunneled cv cath (36595) | $1,605.50 | $2,470 | 0.5× |
| Muscle-skin graft trunk (15734) | $23,654.51 | — | 6.3× |
| Myelography Lumbar Injection (62305) | $1,791.40 | $2,756 | 2.2× |
| Myelography Lumbar Injection (62304) | $1,475.50 | $2,270 | 1.8× |
| Myelography via lumbar injection rs&i cervical (62302) | $1,475.50 | $2,270 | 1.8× |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 3 matching MRF lines |
$763.75–$1,146.60 | $1,175–$1,764 | varies |
| N block inj intercost sng (64420) range across 3 matching MRF lines |
$362.70–$679.90 | $558–$1,046 | varies |
| N Block Lumbar/Thoracic (64520) range across 3 matching MRF lines |
$1,249.95–$1,874.60 | $1,923–$2,884 | varies |
| Nasal/Orogastric W/Tube Plmt (43752) | $477.75 | $735 | 1.0× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) | $516.75 | $795 | 2.0× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) | $13,029.44 | — | 7.7× |
| Needle Biopsy Lymph Nodes (38505) range across 4 matching MRF lines |
$1,659.45–$2,488.85 | $2,553–$3,829 | varies |
| Needle Biopsy Pancreas (48102) | $1,336.40 | $2,056 | 0.8× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $43.55 | $67 | 1.4× |
| Needle insertion w/o injection 3 or more muscles (20561) | $45.50 | $70 | 1.5× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) | $13,186.87 | — | 6.4× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $820.95 | — | 2.0× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) | $2,902.25 | $4,465 | 1.4× |
| Njx anes stellate ganglion crv sympathetic (64510) range across 3 matching MRF lines |
$1,295.45–$1,942.85 | $1,993–$2,989 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $2,535 | $3,900 | 0.7× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $3,053.70 | $4,698 | 0.8× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 8 matching MRF lines |
$1,147.90–$1,857.05 | $1,766–$2,857 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) | $1,725.10 | $2,654 | 1.8× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,369.55 | $2,107 | 1.8× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $1,725.10 | $2,654 | 1.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,369.55 | $2,107 | 1.8× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $1,725.10 | $2,654 | 1.8× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) range across 3 matching MRF lines |
$1,092–$1,489.80 | $1,680–$2,292 | varies |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) range across 3 matching MRF lines |
$978.90–$1,335.10 | $1,506–$2,054 | varies |
| Obstructive material removal from gi tube (49460) | $1,276.60 | $1,964 | 1.3× |
| Open treatment metatarsal fracture each (28485) | $29,127.38 | — | 3.8× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) | $37,335.40 | — | 4.9× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) | $37,335.40 | — | 4.9× |
| Open/Perq Place Stent 1St (37236) range across 3 matching MRF lines |
$22,826.05–$34,238.75 | $35,117–$52,675 | varies |
| Open/Perq Place Stent Same (37238) range across 4 matching MRF lines |
$22,826.05–$34,238.75 | $35,117–$52,675 | varies |
| Orchiopexy Ingun/Scrot Appr (54640) | $14,040.91 | — | 3.7× |
| Ostectomy calcaneus (28118) | $25,221.38 | — | 7.3× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) | $12,712.86 | — | 3.7× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) | $14,947.24 | — | 4.3× |
| Percut Ablate Liver Rf (47382) | $8,752.90 | $13,466 | 1.4× |
| Percut Cath Occlusn Non Cns Lesn (61626) unusually low: confirm this is the full procedure |
$5,563.35 | $8,559 | 0.5× |
| Percut Drain/Inject Renal Cyst (50390) range across 3 matching MRF lines |
$1,359.80–$2,039.05 | $2,092–$3,137 | varies |
| Pericardiocentesis W/Imaging (33016) | $3,251.95 | $5,003 | 2.0× |
| Perq Cervicothoracic Inject (22510) | $5,560.10 | $8,554 | 1.6× |
| Perq dev breast 1st mr guide (19287) range across 3 matching MRF lines |
$1,370.20–$2,055.30 | $2,108–$3,162 | varies |
| Perq dev breast 1st strtctc (19283) range across 3 matching MRF lines |
$2,466.10–$3,698.50 | $3,794–$5,690 | varies |
| Perq dev breast 1st us imag (19285) range across 3 matching MRF lines |
$1,370.20–$2,055.30 | $2,108–$3,162 | varies |
| Perq device breast 1st imag (19281) range across 3 matching MRF lines |
$1,704.95–$2,555.80 | $2,623–$3,932 | varies |
| Perq dilation xst trc endourologic px w/img (50436) range across 3 matching MRF lines |
$3,456.05–$5,185.05 | $5,317–$7,977 | varies |
| Perq Lumbosacral Injection (22511) | $6,200.35 | $9,539 | 1.8× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) range across 3 matching MRF lines |
$6,193.20–$9,290.45 | $9,528–$14,293 | varies |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $26,345.80 | $40,532 | 2.2× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $13,687.05 | $21,057 | 2.3× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $14,190.15 | $21,831 | 1.8× |
| Perq Vertebral Augmentation (22513) | $15,066.35 | $23,179 | 2.0× |
| Place Cath Vertebral Art (36226) range across 3 matching MRF lines |
$6,416.15–$9,623.25 | $9,871–$14,805 | varies |
| Place Duod/Jej Tube Perc (49441) | $2,583.75 | $3,975 | 1.3× |
| Placement of needle for intraosseous infusion (36680) | $421.20 | $648 | 0.9× |
| Placement of seton (46020) | $7,479.58 | — | 2.5× |
| Plmt Bile Duct Stent Prq Existing Access (47538) | $10,173.15 | $15,651 | 1.6× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 3 matching MRF lines |
$4,594.85–$6,891.30 | $7,069–$10,602 | varies |
| Plmt Nephroureteral Catheter (50433) range across 3 matching MRF lines |
$2,497.30–$3,406.65 | $3,842–$5,241 | varies |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) range across 3 matching MRF lines |
$3,950.05–$5,924.75 | $6,077–$9,115 | varies |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) range across 3 matching MRF lines |
$4,404.40–$6,606.60 | $6,776–$10,164 | varies |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) range across 3 matching MRF lines |
$3,950.05–$5,924.75 | $6,077–$9,115 | varies |
| Prim art mech thrombectomy (37184) range across 3 matching MRF lines |
$7,522.45–$11,284 | $11,573–$17,360 | varies |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $1,729.65 | $2,661 | 2.3× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $4,541.55 | $6,987 | 1.2× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $15,534.58 | — | 4.5× |
| Pseudoaneurysm Injection Trt (36002) range across 4 matching MRF lines |
$570.05–$855.40 | $877–$1,316 | varies |
| Punch biopsy skin single lesion (11104) | $615.55 | $947 | 1.4× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $602.55 | $927 | 1.4× |
| Puncture Aspiration Cyst Breast (19000) | $615.55 | $947 | 0.8× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) range across 3 matching MRF lines |
$1,376.70–$2,064.40 | $2,118–$3,176 | varies |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) range across 3 matching MRF lines |
$1,197.95–$1,795.95 | $1,843–$2,763 | varies |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) | $17,030.18 | — | 4.9× |
| Relocation Pocket Pacemaker (33222) | $3,286.40 | $5,056 | 1.5× |
| Rem Endovas Vena Cava Filter (37193) | $7,946.25 | $12,225 | 2.4× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $713.70 | $1,098 | 0.7× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$966.55–$1,448.85 | $1,487–$2,229 | varies |
| Removal Implant Deep (20680) | $15,602.83 | — | 5.1× |
| Removal of nail bed (11750) | $9,361.72 | — | 21.8× |
| Removal of sperm cord lesion (55520) | $15,211.20 | — | 4.1× |
| Removal ppm generator only (33233) unusually low: confirm this is the full procedure |
$3,277.95 | $5,043 | 0.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $270.40 | $416 | 1.3× |
| Removal subcutaneous cardiac rhythm monitor (33286) | $6,331 | $9,740 | 8.5× |
| Remove cerclage suture (59871) | $3,464.50 | $5,330 | 1.0× |
| Remove Intrauterine Device (58301) | $418.60 | $644 | 1.3× |
| Remove intrvas foreign body (37197) | $4,390.10 | $6,754 | 1.3× |
| Remove renal tube w/fluoro (50389) range across 3 matching MRF lines |
$1,063.40–$1,595.10 | $1,636–$2,454 | varies |
| Remove Tendon Sheath Lesion (26160) | $8,246.22 | — | 4.8× |
| Remove&replace pm gen singl (33227) | $12,941.50 | $19,910 | 1.5× |
| Remv&replc cvd gen dual lead (33263) | $38,655.50 | $59,470 | 1.6× |
| Remv&replc cvd gen mult lead (33264) | $55,004.30 | $84,622 | 1.7× |
| Remv&replc cvd gen sing lead (33262) | $38,655.50 | $59,470 | 1.6× |
| Remv&replc pm gen dual lead (33228) | $17,455.10 | $26,854 | 1.6× |
| Remv&replc pm gen mult leads (33229) | $31,162.30 | $47,942 | 1.5× |
| Renal Biopsy Perq (50200) range across 3 matching MRF lines |
$1,710.15–$2,541.50 | $2,631–$3,910 | varies |
| Repair Collat Ankle Ligmnt,Secondary (27698) | $26,614.25 | — | 3.5× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) | $24,678.71 | — | 7.1× |
| Repair initial femoral hernia, any age; reducible (49550) | $16,170.41 | — | 4.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $17,699.69 | — | 4.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $8,057.63 | — | 18.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $9,737 | — | 22.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $12,136.57 | — | 28.2× |
| Repair lead pace-defib dual (33220) | $6,945.90 | $10,686 | 1.8× |
| Repair Lead Pace-Defib One (33218) | $4,296.50 | $6,610 | 1.1× |
| Repair Nonunion/Malunion Tibia W/O Graft (27720) | $44,555.80 | — | 5.8× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) | $44,555.80 | — | 5.8× |
| Repair secondary achilles tendon w/wo graft (27654) | $27,316.17 | — | 3.6× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $1,749.80 | $2,692 | 1.8× |
| Replace G-J Tube Perc (49452) | $1,749.80 | $2,692 | 1.8× |
| Replace g/c tube perc (49450) | $1,863.55 | $2,867 | 1.9× |
| Reposition Gastrostomy Tube (43761) | $321.75 | $495 | 1.2× |
| Reposition Pacing-Defib Lead (33215) | $3,629.60 | $5,584 | 1.1× |
| Reposition Venous Catheter (36597) | $1,106.95 | $1,703 | 0.7× |
| Revision of lower leg tendon (27685) | $17,594.59 | — | 5.1× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $2,835.95 | $4,363 | 0.7× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $1,821.30 | $2,802 | 1.1× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $1,692.60 | $2,604 | 2.6× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $1,938.95 | $2,983 | 1.2× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $549.25 | $845 | 0.3× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $3,078.40 | $4,736 | 0.9× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) | $17,188.44 | — | 2.7× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $17,772.19 | — | 4.7× |
| Rpr aa hrn 1st 3-10 rdc (49593) | $23,347.54 | — | 3.4× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) | $19,912.91 | — | 3.1× |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) | $39,873.79 | — | 11.5× |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) | $26,614.25 | — | 3.5× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) | $19,789.41 | — | 5.7× |
| Sclerotx Fluid Collection (49185) | $2,036.45 | $3,133 | 1.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $258.70 | $398 | 1.2× |
| Skin sub graft face/nk/hf/g (15275) | $7,536.10 | — | 9.6× |
| Skin sub graft trnk/arm/leg (15271) | $8,775.65 | — | 11.2× |
| Skin sub grft t/arm/lg child (15273) | $5,534.10 | $8,514 | 2.5× |
| Skin Tissue Procedure (17999) | $853.45 | $1,313 | 4.0× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) range across 3 matching MRF lines |
$7,367.10–$11,050.65 | $11,334–$17,001 | varies |
| Slctv cath carotid/innom art angio xtrcranl art (36222) range across 3 matching MRF lines |
$3,925.35–$5,888.35 | $6,039–$9,059 | varies |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) | $20,274.88 | — | 3.8× |
| Spinal puncture lumbar diagnostic (62270) | $1,087.45 | $1,673 | 1.5× |
| Strapping ankle (29540) range across 3 matching MRF lines |
$232.05–$349.05 | $357–$537 | varies |
| Strapping knee (29530) range across 3 matching MRF lines |
$169.65–$294.45 | $261–$453 | varies |
| Strapping Unna Boot (29580) range across 12 matching MRF lines |
$240.50–$464.75 | $370–$715 | varies |
| Tangential biopsy skin single lesion (11102) | $585.65 | $901 | 1.4× |
| Tenodesis long tendon biceps (23430) | $23,263.04 | — | 3.0× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $2,179.45 | $3,353 | 1.3× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) range across 3 matching MRF lines |
$3,089.45–$4,634.50 | $4,753–$7,130 | varies |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $1,432.60 | $2,204 | 1.9× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $35,813.05 | $55,097 | 1.8× |
| Thromblytic art/ven therapy (37213) | $3,456.05 | $5,317 | 1.0× |
| Thrombolytic Art Therapy (37211) range across 3 matching MRF lines |
$1,704.30–$2,555.80 | $2,622–$3,932 | varies |
| Thyroid biopsy (60100) | $820.30 | $1,262 | 1.1× |
| Tooth extraction (41899) | $18,876.97 | — | 75.3× |
| Transcatheter biopsy (37200) likely a partial charge, not the full procedure |
$893.10 | $1,374 | 0.2× |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) | $17,260.33 | — | 8.4× |
| Transur electr resection of prostate (52601) | $21,137.45 | — | 3.7× |
| Treat ankle fracture (28445) | $39,873.79 | — | 5.2× |
| Trim skin lesion (11055) | $304.85 | $469 | 1.4× |
| Trimming Nondystrophic Nails Any Number (11719) | $144.95 | $223 | 2.3× |
| Trluml Balo Angiop 1St Art (37246) range across 4 matching MRF lines |
$13,035.75–$19,552 | $20,055–$30,080 | varies |
| Trluml Balo Angiop 1St Vein (37248) range across 4 matching MRF lines |
$8,689.85–$13,035.75 | $13,369–$20,055 | varies |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $4,075.50 | $6,270 | 1.2× |
| Tx Missed Abortion First Trimester Surgical (59820) | $4,075.50 | $6,270 | 1.2× |
| Tx Missed Abortion Second Trimester Surgical (59821) | $4,075.50 | $6,270 | 1.2× |
| Unlisted procedure anus (46999) | $12,218.76 | — | 12.4× |
| Unlisted procedure lungs and pleura (32999) range across 2 matching MRF lines |
$923.65–$1,899.30 | $1,421–$2,922 | varies |
| Unlisted procedure nervous system (64999) | $700.05 | $1,077 | 2.2× |
| Vasc embolize/occlude artery (37242) | $22,131.85 | $34,049 | 1.1× |
| Vasc Embolize/Occlude Bleed (37244) | $22,131.85 | $34,049 | 1.8× |
| Vasc Embolize/Occlude Organ (37243) | $22,131.85 | $34,049 | 1.8× |
| Vasc embolize/occlude venous (37241) | $22,131.85 | $34,049 | 1.8× |
| Venous Mech Thrombectomy (37187) range across 4 matching MRF lines |
$7,164.95–$11,392.55 | $11,023–$17,527 | varies |
| Xcapsl ctrc rmvl insj io lens prosth cplx w/ecp (66987) | $8,638.63 | — | 2.0× |
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.