Procedures & surgery prices at Samaritan Pacific Community Hospital

Newport, OR · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines		 $166.40–$2,112 $208–$2,640 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $120–$936 $150–$1,170 varies
Ablation 1/> liver tumor perq cryoablation (47383) $6,040 $7,550 0.5×
Acne surgery (10040) $57.60 $72 0.3×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $369.60 $462 0.2×
Amniocentesis diagnostic (59000) $1,056 $1,320 1.0×
Anoscopy diagnostic (46600) $67.20 $84 0.5×
Anoscopy W/Rmvl Foreign Body (46608) $1,760 $2,200 1.7×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $4,664 $5,830 1.5×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $184 $230 1.0×
Application cast elbow finger short arm (29075)
range across 3 matching MRF lines		 $48–$456 $60–$570 varies
Application finger splint static (29130) $22.40 $28 0.2×
Application long arm splint shoulder hand (29105)
range across 3 matching MRF lines		 $44.80–$576 $56–$720 varies
Application Long Leg Splint (29505)
range across 3 matching MRF lines		 $49.60–$496 $62–$620 varies
Application of cylinder cast (thigh to ankle) (29365) $67.20 $84 0.2×
Application of rigid total contact leg cast (29445) $392 $490 1.3×
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines		 $36.80–$464 $46–$580 varies
Application short leg splint calf foot (29515)
range across 3 matching MRF lines		 $40–$496 $50–$620 varies
Apply hand/wrist cast (29085) $52.80 $66 0.3×
Apply long arm cast (29065)
range across 3 matching MRF lines		 $52.80–$592 $66–$740 varies
Apply Multlay Comprs Lwr Leg (29581) $328 $410 1.8×
Apply Short Leg Cast (29405) $43.20 $54 0.1×
Apply short leg cast (29425) $41.60 $52 0.1×
Arterial puncture (36600) $160 $200 1.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $30.40–$360 $38–$450 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,152 $1,440 1.5×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines		 $35.20–$312 $44–$390 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $52.80–$592 $66–$740 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $28.80–$648 $36–$810 varies
Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) $3,640 $4,550 1.0×
Artificial insemination intra-uterine (58322) $46.40 $58 0.2×
Aspirate pleura w/ imaging (32555) $2,192 $2,740 3.1×
Aspirate Pleura W/O Imaging (32554) $896 $1,120 1.3×
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $35.20–$304 $44–$380 varies
Aspiration and/or injection thyroid cyst (60300) $1,112 $1,390 1.4×
Aspiration bladder insert suprapubic catheter (51102) $3,136 $3,920 1.3×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $56–$224 $70–$280 varies
Biopsy Abdominal Mass (49180) $3,456 $4,320 1.9×
Biopsy muscle percutaneous needle (20206)
range across 2 matching MRF lines		 $118.40–$1,824 $148–$2,280 varies
Biopsy of breast; open, incisional (19101) $160 $200 0.0×
Biopsy of lip (40490) $68.80 $86 0.3×
Biopsy of liver, needle; percutaneous (47000) $2,592 $3,240 1.4×
Biopsy Oropharynx (42800) $1,919.20 $2,399 1.1×
Biopsy Pleura Percutaneous Needle (32400) $2,664 $3,330 1.5×
Biopsy soft tissue leg/ankle area superficial (27613) $1,736 $2,170 0.9×
Biopsy soft tissue neck/thorax (21550) $144 $180 0.1×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $1,952 $2,440 1.1×
Biopsy Vaginal Mucosa Extensive (57105) $89.60 $112 0.0×
Biopsy Vaginal Mucosa Simple (57100) $52.80 $66 0.1×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $49.60 $62 0.0×
Bladder instillation anticarcinogenic agent (51720) $728 $910 0.9×
Bladder Irrigation (51700)
range across 3 matching MRF lines		 $48–$496 $60–$620 varies
Bladder Scan (51798)
range across 3 matching MRF lines		 $34.40–$208 $43–$260 varies
Blood Transfusion Service (36430)
range across 2 matching MRF lines		 $840–$1,040 $1,050–$1,300 varies
Blood/Lymph System Procedure (38999) $592 $740 1.2×
Bone Marrow Biopsy (38221) $78.40 $98 0.0×
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) $7,592 $9,490 1.0×
Bx breast 1st lesion mr imag (19085) $2,008 $2,510 1.1×
Bx breast 1st lesion strtctc (19081) $2,632 $3,290 1.4×
Bx breast 1st lesion us imag (19083) $2,688 $3,360 1.5×
Bx breast needle core w/o imaging guidance spx (19100) $73.60 $92 0.0×
Bx Cervix (57500) $71.20 $89 0.1×
Catheter aspiration nasotracheal spx (31720) $256 $320 1.1×
Cautery Cervix Cryocautery Initial/Repeat (57511) $100.80 $126 0.3×
Cerclage cervix pregnancy vaginal (59320) $4,544 $5,680 1.3×
Cessj Therapy Cath Removal (37214) $3,392 $4,240 1.0×
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $60.80–$424 $76–$530 varies
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $43.20–$336 $54–$420 varies
Chemodenerv Musc Migraine (64615) $424 $530 1.2×
Chemodenerv musc neck dyston (64616) $440 $550 1.3×
Chest tube placement (32551) $1,736 $2,170 1.0×
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $1,912 $2,390 0.8×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $5,408 $6,760 1.4×
Circumcision 28 days or older (54161) $94.40 $118 0.0×
Circumcision Neonate (54160) $264 $330 0.3×
Circumcision w/clamp/oth dev w/block (54150) $2,784 $3,480 1.2×
Cl Tx Tib Shft Fx W Manip (27752) $292.80 $366 0.2×
Clear outer ear canal (69200) $40 $50 0.3×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $161.60 $202 0.6×
Closed Treatment Ulnar Styloid Fracture (25650) $184 $230 0.7×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $260.80 $326 0.1×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $187.20 $234 0.7×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $137.60 $172 0.5×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $172.80 $216 0.6×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $284.80 $356 1.0×
Closed tx metatarsal fracture w/o manipulation (28470) $121.60 $152 0.4×
Closed Tx Patellar Fracture W/O Manipulation (27520) $182.40 $228 0.7×
Closed tx radial head/neck fx w/o manipulation (24650) $148.80 $186 0.5×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $286.40 $358 0.2×
Closed tx radial&ulnar shaft fractures w/o man (25560) $163.20 $204 0.6×
Closed Tx Scapular Fracture W/O Manipulation (23570) $131.20 $164 0.5×
Closed tx talus fracture w/o manipulation (28430) $132.80 $166 0.5×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $163.20 $204 0.6×
Closed tx ulnar shaft fracture w/o manipulation (25530) $148.80 $186 0.5×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $200 $250 0.1×
Clsd tx clavicular fracture w/o manipulation (23500) $124.80 $156 0.5×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $131.20 $164 0.5×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $171.20 $214 0.6×
Cltx dstl fibular fx lat malls w/o manj (27786) $174.40 $218 0.6×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $105.60 $132 0.4×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $190.40 $238 0.7×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $297.60 $372 0.2×
Cltx fx grt toe phlx/phlg w/o manj (28490) $78.40 $98 0.3×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $91.20 $114 0.3×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $67.20 $84 0.2×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $174.40 $218 0.6×
Cltx greater humeral tuberosity fx w/o manj (23620) $152 $190 0.6×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $214.40 $268 0.1×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $254.40 $318 0.1×
Cltx iphal jt dislc w/manj w/o anes (26770) $161.60 $202 0.6×
Cltx Medial Ankle Fx (27760) $185.60 $232 0.7×
Cltx metacarpal fx w/manipulation each bone (26605) $184 $230 0.7×
Cltx metacarpal fx w/o manipulation each bone (26600) $169.60 $212 0.6×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $190.40 $238 0.7×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $113.60 $142 0.4×
Cltx prox fibula/shft fx w/o manj (27780) $172.80 $216 0.6×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $259.20 $324 0.1×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $212.80 $266 0.8×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $273.60 $342 1.0×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $171.20 $214 0.0×
Cltx tibial fx proximal w/o manipulation (27530) $171.20 $214 0.6×
Cltx tibial shaft fx w/o manipulation (27750) $193.60 $242 0.7×
Cltx trimalleolar ankle fx w/manipulation (27818) $270.40 $338 0.2×
Cltx trimalleolar ankle fx w/o manipulation (27816) $185.60 $232 0.7×
Collect Blood From Catheter Venous Nos (36592) $120 $150 0.8×
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines		 $18.40–$25.60 $23–$32 varies
Colonoscopy w/fb removal (45379) $3,024 $3,780 2.3×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $84.80 $106 0.3×
Colposcopy Cervix Endocervical Curettage (57456) $76.80 $96 0.2×
Colposcopy cervix upper/adjacent vagina (57452) $64 $80 0.3×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $81.60 $102 0.2×
Colposcopy cervix vag eltrd conization cervix (57461) $177.60 $222 0.0×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $89.60 $112 0.1×
Complex drainage wound (10180) $128 $160 0.0×
Conization cervix w/wo d&c rpr eltrd exc (57522) $153.60 $192 0.0×
Control Nasal Hemorrhage Anterior Complex (30903) $57.60 $72 0.4×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $43.20–$160 $54–$200 varies
Conversion ext bil drg cath (47535) $5,280 $6,600 1.3×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $3,224 $4,030 1.5×
Convert Nephrostomy Catheter (50434) $2,008 $2,510 0.9×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $3,456 $4,320 1.9×
Crd ceramides liq chrom plsm (0119U) $161.60 $202 1.9×
Curettage postpartum (59160) $3,016 $3,770 0.8×
Cysto w/dilat rx balo cath urtl strix/sten male (52284) $7,016 $8,770 1.2×
Cystometrogram W/Up (51727) $777.60 $972 1.0×
Cystometrogram W/Vp&Up (51729) $772 $965 1.0×
Cystoscopy and radiotracer (52250) $142.40 $178 0.0×
Cystostomy Cystotomy W/Drainage (51040) $179.20 $224 0.1×
Cystourethroscopy (52000) $147.20 $184 0.2×
Cystourethroscopy inj chemodenervation bladder (52287) $238.40 $298 0.1×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $28.80 $36 0.1×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $112–$1,064 $140–$1,330 varies
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $16–$88 $20–$110 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $22.40–$136 $28–$170 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $150.40–$2,440 $188–$3,050 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $62.40–$744 $78–$930 varies
Declot vascular device (36593)
range across 2 matching MRF lines		 $488–$640 $610–$800 varies
Delivery of placenta (59414) $2,552 $3,190 0.7×
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $56–$208 $70–$260 varies
Destruction Benign Lesions 15/> (17111) $65.60 $82 0.3×
Destruction Lesions Vulva Simple (56501) $97.60 $122 0.0×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $88 $110 0.4×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $100.80 $126 0.5×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $72 $90 0.3×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $88 $110 0.4×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $94.40 $118 0.4×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $73.60 $92 0.3×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $81.60 $102 0.4×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $92.80 $116 0.4×
Destruction neurolytic agt genicular nerve w/img (64624) $2,920 $3,650 1.3×
Destruction of skin lesions (17106) $168 $210 0.4×
Destruction Premalignant Lesion 15/> (17004) $83.20 $104 0.2×
Destruction premalignant lesion 1st (17000) $33.60 $42 0.2×
Diagnostic sigmoidoscopy (45330) $137.60 $172 0.1×
Dilate Esophagus 1/Mult Pass (43450) $2,136 $2,670 2.1×
Dilation & curettage dx&/ther nonobstetric (58120) $113.60 $142 0.0×
Drain Cerebro Spinal Fluid (62272)
range across 2 matching MRF lines		 $1,120–$1,200 $1,400–$1,500 varies
Drain/inj small joint/bursa w/us (20604) $496 $620 1.5×
Drainage of finger abscess simple (26010) $272 $340 1.2×
Drainage of hematoma/fluid (10140)
range across 3 matching MRF lines		 $1,648–$1,728 $104–$2,160 varies
Drainage of hydrocele (55000) $59.20 $74 0.1×
Drainage of scrotal wall abscess (55100) $2,800 $3,500 1.5×
Drainage of scrotum (54700) $2,654.40 $3,318 1.1×
Draw Blood Off Venous Device (36591) $104 $130 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $472–$784 $590–$980 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 3 matching MRF lines		 $360–$504 $450–$630 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $41.60–$344 $52–$430 varies
Dstrj lesion anus simple surg excision (46922) $5,480 $6,850 1.8×
Dstrj Lesion Penis Simple Chemical (54050) $70.40 $88 0.2×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,736 $2,170 1.8×
Dx Bone Marrow Bx & Aspir (38222) $2,840 $3,550 0.9×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,536 $1,920 2.0×
Egd Flexible Foreign Body Removal (43247) $2,256 $2,820 2.2×
Egd place gastrostomy tube (43246) $2,168 $2,710 1.0×
Electro-Uroflowmetry First (51741) $16 $20 0.1×
Endocervical curettage (57505) $78.40 $98 0.1×
Endometrial Biopsy (58100) $38.40 $48 0.2×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $4,344 $5,430 1.2×
Endoven ther chem adhes 1st (36482) $6,472 $8,090 1.0×
Episiotomy or vaginal repair (59300) $3,016 $3,770 0.8×
Evacuation of subungual hematoma (11740) $27.20 $34 0.2×
Exc arm/elbow les sc < 3 cm (24075) $284.80 $356 0.2×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $62.40–$928 $78–$1,160 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $99.20 $124 0.1×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $116.80 $146 0.1×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $131.20 $164 0.2×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $188.80 $236 0.1×
Exc Face Les Sbq 2 Cm/> (21012) $180.80 $226 0.1×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $70.40 $88 0.1×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $84.80 $106 0.1×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $94.40 $118 0.1×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $112 $140 0.1×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $62.40 $78 0.0×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $78.40 $98 0.1×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $88 $110 0.0×
Exc Hand Les Sc < 1.5 Cm (26115) $297.60 $372 0.2×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $192 $240 0.1×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $96 $120 0.1×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $115.20 $144 0.1×
Exc Skin Benig >4 Cm Remaindr Body (11426) $160 $200 0.0×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $153.60 $192 0.1×
Exc Skin Benig >4cm Face,Facial (11446) $185.60 $232 0.1×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $144 $180 0.1×
Exc Skin Malig >4 Cm Remaindr Body (11626) $196.80 $246 0.1×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $216 $270 0.1×
Exc thigh/knee les sc 3 cm/> (27337) $224 $280 0.1×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $76.80 $96 0.2×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $84.80 $106 0.1×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $108.80 $136 0.1×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $236.80 $296 0.1×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $300.80 $376 0.1×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $252.80 $316 0.1×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $278.40 $348 0.2×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $233.60 $292 0.1×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $233.60 $292 0.1×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $4,120 $5,150 1.0×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $2,584 $3,230 1.1×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $2,280 $2,850 1.1×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $136 $170 0.2×
Excision Lesion Tongue W/O Closure (41110) $131.20 $164 0.0×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $96 $120 0.1×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $112 $140 0.1×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $120 $150 0.3×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $152 $190 0.2×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $99.20 $124 0.1×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $153.60 $192 0.1×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $244.80 $306 0.1×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $97.60 $122 0.1×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $112 $140 0.1×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $123.20 $154 0.2×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $164.80 $206 0.1×
Excision Multiple External Papillae/Tags Anus (46230) $6,352 $7,940 2.1×
Excision of bartholin's gland or cyst (56740) $4,232 $5,290 1.2×
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030)
likely a partial charge, not the full procedure		 $248 $310 0.0×
Excision of single external papilla or tag, anus (46220) $1,120 $1,400 0.8×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $249.60 $312 0.1×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $224 $280 0.1×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $201.60 $252 0.1×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $217.60 $272 0.1×
Expl po hemrrg thrombosis/infctj xtr (35860) $3,608 $4,510 1.0×
Exploration of knee joint (27310) $14,072 $17,590 3.9×
External cephalic version (59412) $3,480 $4,350 1.0×
Fasciotomy, foot and/or toe (28008) $3,440 $4,300 0.9×
Fetal Contraction Stress Test (59020)
range across 2 matching MRF lines		 $88–$648 $110–$810 varies
Fetal non-stress test (59025)
range across 3 matching MRF lines		 $52–$616 $65–$770 varies
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,304 $1,630 1.7×
Fine needle aspiration without imaging guidance (10021) $49.60 $62 0.1×
Fluid Pressure Muscle (20950) $1,096 $1,370 1.4×
Fluoro exam of g/colon tube (49465) $304 $380 1.1×
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines		 $65.60–$1,200 $82–$1,500 varies
Guide Cathet Fluid Drainage (10030) $1,496 $1,870 1.9×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $3,960 $4,950 1.3×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $160 $200 0.2×
Hysteroscopy Biopsy (58558) $610.40 $763 0.2×
Hysteroscopy Dx Sep Proc (58555) $139.20 $174 0.0×
Hysteroscopy Endometrial Ablation (58563)
likely a partial charge, not the full procedure		 $968 $1,210 0.2×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $60.80–$416 $76–$520 varies
I&D Deep Absc/Hematoma Neck/Chest (21501) $3,248 $4,060 1.0×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $134.40–$1,157.60 $168–$1,447 varies
I&d pilonidal cyst simple (10080) $123.20 $154 0.2×
I&d upper arm/elbow deep abscess/hematoma (23930) $193.60 $242 0.1×
Icd Pocket Revision (33223) $2,152 $2,690 0.9×
Image Cath Fluid Colxn Visc (49405) $2,056 $2,570 1.1×
Image Cath Fluid Peri/Retro (49406) $2,056 $2,570 1.1×
Image Cath Fluid Trns/Vgnl (49407) $1,688 $2,110 0.9×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $116.80–$544 $146–$680 varies
Incise finger tendon sheath (26055) $318.40 $398 0.2×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $104–$512 $130–$640 varies
Incision & removal foreign body subq tiss compl (10121) $129.60 $162 0.1×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $73.60–$448 $92–$560 varies
Incision and drainage of bartholin's gland abscess (56420) $72 $90 0.3×
Incision and drainage of vulva or perineal abscess (56405) $75.20 $94 0.2×
Incision extensor tendon sheath wrist (25000) $190.40 $238 0.1×
Incision of Foot Tendon (28234) $1,920 $2,400 1.1×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $2,200 $2,750 1.2×
Incisional biopsy eyelid skin & lid margin (67810) $92.80 $116 0.3×
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $76.80–$824 $96–$1,030 varies
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $38.40–$224 $48–$280 varies
Inj W/Fluor Eval Cv Device (36598) $472 $590 2.0×
Injection 1 tendon sheath/ligament aponeurosis (20550) $30.40 $38 0.1×
Injection aa&/strd genicular nrv branches w/img (64454) $920.80 $1,151 1.2×
Injection for identification of sentinel node (38792) $656 $820 1.5×
Injection single tendon origin/insertion (20551) $30.40 $38 0.1×
Injection single/mlt trigger point 1/2 muscles (20552) $28.80 $36 0.1×
Injection single/mlt trigger point 3/> muscles (20553) $32 $40 0.1×
Injection Sinus Tract Therapeutic Separate Proc (20500) $1,560 $1,950 0.9×
Injection therapeutic carpal tunnel (20526) $44.80 $56 0.1×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $32 $40 0.0×
Injection, intralesional; up to and including 7 lesions (11900) $27.20 $34 0.1×
Ins cath ren art 1st bilat (36252) $5,472 $6,840 1.6×
Ins cath ren art 1st unilat (36251) $3,392 $4,240 1.0×
Ins cath ren art 2nd+ unilat (36253) $3,720 $4,650 0.6×
Ins endovas vena cava filtr (37191) $5,744 $7,180 0.9×
Ins/Rep Subq Defibrillator (33270) $43,080 $53,850 1.2×
Insert cath pleura w/ image (32557) $2,056 $2,570 1.2×
Insert cath pleura w/o image (32556) $3,136 $3,920 1.5×
Insert cervical dilator (59200) $464 $580 1.4×
Insert Drug Implant Device (11981)
range across 2 matching MRF lines		 $48–$152 $60–$190 varies
Insert Gastrostomy Tube Percutaneous (49440) $3,224 $4,030 1.5×
Insert Heart Pm Atrial (33206) $13,912 $17,390 1.2×
Insert Heart Pm Ventricular (33207) $12,920 $16,150 1.1×
Insert Nasal Septal Button (30220) $235.20 $294 0.1×
Insert non-tunnel cv cath (36556) $3,568 $4,460 1.0×
Insert pessary/other device (57160) $38.40 $48 0.2×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $2,028 $2,535 1.2×
Insert pulse gen dual leads (33213) $12,920 $16,150 1.1×
Insert pulse gen mult leads (33221) $22,064 $27,580 1.0×
Insert Pulse Gen Sngl Lead (33212) $11,928 $14,910 1.3×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $38.40–$208 $48–$260 varies
Insert tun ip cath perc (49418)
range across 2 matching MRF lines		 $561.60–$4,120 $702–$5,150 varies
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $246.40–$4,760 $308–$5,950 varies
Insert,Non-Indwelling Bladder Catheter (51701) $27.20 $34 0.2×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,376 $2,970 1.4×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $14,936 $18,670 1.6×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $3,568 $4,460 1.0×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $3,696 $4,620 1.1×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $2,168 $88–$2,710 1.2×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $4,984 $6,230 1.4×
Insj/Rplcmt Defib W/Lead(S) (33249) $39,160 $48,950 1.1×
Insrt heart pm atrial & vent (33208) $16,000 $20,000 1.4×
Insrt Pulse Gen W/Dual Leads (33230) $37,776 $47,220 1.5×
Insrt Pulse Gen W/Mult Leads (33231) $40,800 $51,000 1.2×
Intro cath dialysis circuit (36901) $2,088 $2,610 1.2×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $12,472 $15,590 1.0×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $14,912 $18,640 2.4×
Intro Gastrointestinal Tube (44500) $1,880 $2,350 1.9×
Intubation endotracheal emergency procedure (31500)
range across 3 matching MRF lines		 $816–$912 $1,020–$1,140 varies
Iridotomy/irridectomy laser surg per session (66761) $1,304 $1,630 2.1×
Irrigation maxillary sinus (31000) $41.54 $51.92 0.2×
Laryngoscopy flexible diagnostic (31575) $52.80 $66 0.2×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $211.20 $264 0.5×
Late closure of wound (13160) $382.40 $478 0.1×
Lig&div long saph vein saphfem junct/interrupj (37700) $3,304 $4,130 0.9×
Ligation or biopsy temporal artery (37609) $153.60 $192 0.1×
Marsupialization of bartholin's gland cyst (56440) $91.20 $114 0.0×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $1,992 $2,490 1.1×
Mech remov tunneled cv cath (36595) $3,376 $4,220 1.0×
Myelography Lumbar Injection (62305) $1,688 $2,110 1.9×
Myelography Lumbar Injection (62304) $1,688 $2,110 1.9×
Myelography via lumbar injection rs&i cervical (62302) $1,384 $1,730 1.6×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $1,488 $1,860 1.7×
N Block Inj Celiac Pelus (64530) $1,624 $2,030 1.7×
N Block Inj Plantar Digit (64455) $25.60 $32 0.1×
N Block Lumbar/Thoracic (64520) $1,064 $1,330 1.1×
Nasal Endoscopy Dx (31231) $352 $440 1.6×
Nasal/Orogastric W/Tube Plmt (43752) $624 $780 1.3×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $2,304 $2,880 1.2×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $592 $740 2.1×
Needle Biopsy Lymph Nodes (38505) $1,688 $2,110 0.9×
Needle Biopsy Pancreas (48102) $1,728 $2,160 0.9×
Neuro alz ds beta amyl&tau prtn bld lc-ms/ms alg (0503U) $1,508 $1,885 2.0×
Neuroeltrd Stim Post Tibial (64566)
range across 2 matching MRF lines		 $53.60–$544 $67–$680 varies
Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) $1,846.40 $2,308 2.5×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U)
range across 2 matching MRF lines		 $712–$1,040 $890–$1,300 varies
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U)
range across 2 matching MRF lines		 $2,432–$2,552 $3,040–$3,190 varies
Njx anes stellate ganglion crv sympathetic (64510) $1,024 $1,280 1.0×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $2,816 $3,520 0.7×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $4,120 $5,150 1.0×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $816 $1,020 1.1×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $816 $1,020 1.1×
Njx Sclrsnt 1 Incmptnt Vein (36470) $432 $540 1.0×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $520 $650 1.2×
Obstructive material removal from gi tube (49460) $1,280 $1,600 1.3×
Occipital Nerve Block (64405) $40 $50 0.1×
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507)
likely a partial charge, not the full procedure		 $512 $640 0.1×
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure		 $472 $590 0.0×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure		 $347.20 $434 0.0×
Open/Perq Place Stent 1St (37236) $13,912 $17,390 1.1×
Open/Perq Place Stent Same (37238) $13,912 $17,390 1.1×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
likely a partial charge, not the full procedure		 $444.80 $556 0.1×
Perc Cryo Ablate Renal Tum (50593) $8,880 $11,100 0.8×
Percut Cath Occlusn Non Cns Lesn (61626) $15,152 $18,940 1.2×
Percut Drain/Inject Renal Cyst (50390) $1,496 $1,870 1.9×
Pericardiocentesis W/Imaging (33016)
range across 2 matching MRF lines		 $2,304–$2,464 $2,880–$3,080 varies
Perq Cervicothoracic Inject (22510) $3,968 $4,960 1.1×
Perq dev breast 1st mr guide (19287) $696 $870 0.9×
Perq dev breast 1st strtctc (19283) $968 $1,210 1.2×
Perq dev breast 1st us imag (19285) $1,024 $1,280 1.3×
Perq device breast 1st imag (19281) $712 $890 0.4×
Perq Lumbosacral Injection (22511) $3,968 $4,960 1.1×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $888 $1,110 1.1×
Perq skel fixj distal radial fx/epiphysl sep (25606) $361.60 $452 0.1×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $22,856 $28,570 1.8×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $11,256 $14,070 1.8×
Phleb Veins - Extrem 20+ (37766) $4,224 $5,280 1.2×
Photopheresis extracorporeal (36522) $6,824 $8,530 1.4×
Place Cath Subclavian Art (36225) $5,176 $6,470 1.5×
Place Cath Thoracic Aorta (36221) $4,344 $5,430 1.2×
Place Cath Vertebral Art (36226) $6,128 $7,660 1.0×
Place Duod/Jej Tube Perc (49441) $2,008 $2,510 0.9×
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines		 $448–$488 $560–$610 varies
Plmt Bile Duct Stent Prq Existing Access (47538) $6,552 $8,190 1.0×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $6,240 $7,800 0.9×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $6,752 $8,440 1.0×
Plmt expandable cath brst following prtl mast (19296) $14,152 $17,690 1.6×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $2,288 $2,860 1.0×
Plmt Nephroureteral Catheter (50433) $3,672 $4,590 0.9×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $3,776 $4,720 1.0×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $3,576 $4,470 0.9×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $3,576 $4,470 0.9×
Prim art mech thrombectomy (37184) $12,016 $15,020 0.6×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $73.60 $92 0.1×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $4,840 $6,050 1.6×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $1,472 $1,840 1.9×
Prq skel fixj femoral fx prox end neck (27235)
likely a partial charge, not the full procedure		 $483.20 $604 0.1×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $62.40–$536 $78–$670 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $64–$496 $80–$620 varies
Puncture Aspiration Cyst Breast (19000)
range across 3 matching MRF lines		 $49.60–$1,448 $62–$1,810 varies
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $2,768 $3,460 1.3×
Reduction of rectal prolapse (45900) $2,296 $2,870 2.2×
Relocation Pocket Pacemaker (33222) $2,880 $3,600 1.3×
Rem Endovas Vena Cava Filter (37193) $3,488 $4,360 1.0×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $1,064 $1,330 1.1×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $129.60–$1,432 $162–$1,790 varies
Removal impacted cerumen irrigation/lvg unilat (69209) $37.60 $47 0.6×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $112 $140 1.7×
Removal impacted vag fb spx w/anes oth/thn local (57415) $4,888 $6,110 1.4×
Removal Implant Superficial Separate Procedure (20670) $192 $240 0.1×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $78.40–$400 $98–$500 varies
Removal or bivalving full arm or full leg cast (29705) $33.60 $42 0.1×
Removal Pacemaker Electrode (33235) $4,064 $5,080 1.0×
Removal ppm generator only (33233) $9,936 $12,420 1.1×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $44.80 $56 0.2×
Removal subcutaneous cardiac rhythm monitor (33286) $1,544 $1,930 2.0×
Remove & Replace Indwell Ureteral Stent Trurthrl (50385) $2,408 $3,010 1.0×
Remove drug implant device (11982) $608 $760 1.2×
Remove Elctrd Transvenously (33244) $3,976 $4,970 1.0×
Remove foreign body from eye (65205) $14.40 $18 0.1×
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $56–$408 $70–$510 varies
Remove intrvas foreign body (37197) $3,392 $4,240 1.0×
Remove lung catheter (32552) $960 $1,200 1.4×
Remove Pulse Generator (33241) $3,976 $4,970 1.0×
Remove ureter stent percut (50384) $2,400 $3,000 1.0×
Remove&replace pm gen singl (33227) $10,368 $12,960 1.1×
Remove/Insert Drug Implant (11983)
range across 2 matching MRF lines		 $80.80–$560 $101–$700 varies
Remv&replc cvd gen dual lead (33263) $38,640 $48,300 1.6×
Remv&replc cvd gen mult lead (33264) $52,776 $65,970 1.5×
Remv&replc cvd gen sing lead (33262) $36,760 $45,950 1.5×
Remv&replc pm gen dual lead (33228) $16,016 $20,020 1.4×
Remv&replc pm gen mult leads (33229) $26,392 $32,990 1.2×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $208–$2,440 $260–$3,050 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $190.40 $238 0.4×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $230.40 $288 0.5×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $208 $260 0.5×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $139.20 $174 0.3×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $155.20–$504 $194–$630 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $129.60 $162 0.3×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $152 $190 0.3×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $188.80 $236 0.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $129.60–$504 $162–$630 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $148.80–$520 $186–$650 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $163.20 $204 0.4×
Repair of nail bed (11760) $1,248 $1,560 1.5×
Replace duodenostomy/jejunostomy tube perq (49451) $1,680 $2,100 1.7×
Replace G-J Tube Perc (49452) $1,680 $2,100 1.7×
Replace g/c tube perc (49450) $1,680 $2,100 1.7×
Reposition Gastrostomy Tube (43761) $952 $1,190 3.4×
Reposition Pacing-Defib Lead (33215) $3,232 $4,040 0.9×
Reposition Venous Catheter (36597) $2,168 $2,710 1.2×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $2,416 $3,020 1.0×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $22.40 $28 0.0×
Rmvl fecal impaction/fb spx under anes (45915) $2,448 $3,060 1.8×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $4,248 $5,310 1.0×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $140.80 $176 0.1×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $102.40 $128 0.1×
Rplc Gtube No Revj Trc (43762) $544 $680 2.0×
Rplcmt cath ctr vad subq port/pmp (36578)
range across 3 matching MRF lines		 $3,232–$3,696 $4,040–$4,620 varies
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $1,728 $2,160 1.0×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584)
range across 2 matching MRF lines		 $1,864–$1,928 $2,330–$2,410 varies
Rplcmt compl tun ctr vad w/subq port (36582) $3,512 $4,390 1.0×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $4,760 $5,950 1.4×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $2,096 $2,620 1.2×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $83.20 $104 0.4×
Sclerotx Fluid Collection (49185) $1,360 $1,700 0.7×
Shave skin lesion 0.5 cm/< (11300)
range across 2 matching MRF lines		 $49.60–$496 $62–$620 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310)
range across 2 matching MRF lines		 $57.60–$240 $72–$300 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $89.60 $112 0.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305)
range across 2 matching MRF lines		 $52.80–$240 $66–$300 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $60.80 $76 0.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $68.80 $86 0.3×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $67.20 $84 0.3×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $76.80 $96 0.2×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $59.20 $74 0.3×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $75.20 $94 0.2×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $67.20 $84 0.3×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $156.80 $196 0.2×
Simple Cystometrogram (51725)
range across 2 matching MRF lines		 $424–$530.40 $530–$663 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $54.40 $68 0.2×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $57.60 $72 0.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $46.40–$256 $58–$320 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $64 $80 0.3×
Skin Pinch Graft (15050) $776 $970 0.9×
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines		 $76.80–$2,864 $96–$3,580 varies
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines		 $75.20–$2,968 $94–$3,710 varies
Skin sub grft t/arm/lg child (15273) $3,672 $4,590 1.6×
Skn sub grft f/n/hf/g child (15277) $3,360 $4,200 1.5×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $8,120 $10,150 1.3×
Slctv cath carotid/innom art angio xtrcranl art (36222) $4,200 $5,250 1.2×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $7,552 $9,440 1.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $56–$256 $70–$320 varies
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $1,312–$1,528 $1,640–$1,910 varies
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $3,624 $4,530 1.0×
Strapping ankle (29540)
range across 2 matching MRF lines		 $168–$184 $210–$230 varies
Strapping elbow or wrist (29260) $48.80 $61 0.7×
Strapping hand/finger (29280) $48.80 $61 0.7×
Strapping Hip (29520) $104 $130 0.7×
Strapping knee (29530)
range across 2 matching MRF lines		 $88–$104 $110–$130 varies
Strapping shoulder (29240)
range across 2 matching MRF lines		 $104–$120 $130–$150 varies
Strapping thorax (29200)
range across 2 matching MRF lines		 $168–$184 $210–$230 varies
Strapping toes (29550)
range across 3 matching MRF lines		 $10.40–$73.60 $13–$92 varies
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $35.20–$328 $44–$410 varies
Tangential biopsy skin single lesion (11102) $344 $430 0.8×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $50,896 $63,620 1.6×
Tcat Insj/Rpl Perm Ldls Pm (33274) $22,624 $28,280 1.1×
Tcat Rmvl Perm Ldls Pm (33275) $3,496 $4,370 1.0×
Tenotomy Percutaneous Toe Single Tendon (28010) $1,920 $2,400 1.1×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $2,192 $2,740 1.2×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,792 $2,240 2.3×
Therapeutic plasma exchange (36514)
range across 2 matching MRF lines		 $339.20–$2,160 $424–$2,700 varies
Thrmbc/Nfs Dialysis Circuit (36906) $18,880 $23,600 0.9×
Thromblytic art/ven therapy (37213) $3,392 $4,240 1.0×
Thrombolytic Art Therapy (37211) $5,656 $7,070 0.9×
Thrombolytic Venous Therapy (37212) $2,456 $3,070 0.7×
Thyroid biopsy (60100) $1,448 $1,810 1.8×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $374.40 $468 0.2×
Tracheostomy Emergency Procedure Transtracheal (31603) $3,232 $4,040 1.9×
Treat Fx Rad Extra-Articul (25607)
likely a partial charge, not the full procedure		 $400 $500 0.0×
Treat humerus fracture (24500) $201.60 $252 0.7×
Treat Humerus Fracture (24505) $278.40 $348 0.2×
Treat humerus fracture (23600) $185.60 $232 0.7×
Treat Metatarsal Fracture (28475) $144 $180 0.5×
Treatment of gum lesion (41850) $67.20 $84 0.0×
Trim skin lesion (11055)
range across 3 matching MRF lines		 $35.20–$256 $44–$320 varies
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines		 $40–$280 $50–$350 varies
Trim skin lesions over 4 (11057)
range across 2 matching MRF lines		 $44.80–$312 $56–$390 varies
Trimming Nondystrophic Nails Any Number (11719)
range across 3 matching MRF lines		 $7.20–$136 $9–$170 varies
Trluml Balo Angiop 1St Art (37246) $8,552 $10,690 1.4×
Trluml Balo Angiop 1St Vein (37248) $6,360 $7,950 1.0×
Tx Gastro Intub W/Asp (43753) $368 $460 1.5×
Tx Incomplete Abortion Any Trimester Surgical (59812) $147.20 $184 0.0×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245)
likely a partial charge, not the full procedure		 $649.60 $812 0.1×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $233.60 $292 0.1×
Tx Superficial Wound Dehiscence Simple Closure (12020) $824 $1,030 1.0×
Unlisted Cardiac Surgery (33999) $16,016 $20,020 23.0×
Unlisted procedure anus (46999) $1,240 $1,550 1.2×
Unlisted Procedure Biliary Tract (47999) $2,928 $3,660 2.9×
Unlisted procedure excision pressure ulcer (15999) $1,272 $1,590 1.6×
Unlisted procedure liver (47399) $1,360 $1,700 1.7×
Unlisted Procedure Vascular Surgery (37799)
range across 2 matching MRF lines		 $888–$1,168 $1,110–$1,460 varies
Unlisted Procedure, Urinary System (53899) $1,560 $1,950 5.6×
Upgrade of pacemaker system (33214) $15,624 $19,530 1.3×
Vasc embolize/occlude artery (37242) $13,912 $17,390 0.7×
Vasc Embolize/Occlude Bleed (37244) $13,912 $17,390 1.1×
Vasc Embolize/Occlude Organ (37243) $16,896 $21,120 1.3×
Vasc embolize/occlude venous (37241) $13,912 $17,390 1.1×
Vasectomy uni/bi spx w/postop semen exams (55250) $163.20 $204 0.1×
Venous Mech Thrombectomy (37187) $11,928 $14,910 0.9×
Wedge excision skin nail fold (11765) $81.60 $102 0.2×
Wound Prep F/N/Hf/G (15004) $192 $240 0.4×
Wound Prep Trk/Arm/Leg (15002) $168 $210 0.2×

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.