Procedures & surgery prices at Shriners Children’s St. Louis

St. Louis, MO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $15,341.34 $15,341.34 4.3×
Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) $8,626.65 $8,626.65 4.2×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $8,139.16 $8,139.16 3.9×
Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) $8,139.16 $8,139.16 3.9×
Adjustment/Revj Xtrnl Fixation System Req Anes (20693) $10,391.30 $10,391.30 1.4×
Amputation Finger/Thumb (26951) $14,037.93 $14,037.93 4.3×
Amputation of finger/thumb (26952) $14,037.93 $14,037.93 4.3×
Amputation, leg, through tibia and fibula; re-amputation (27886) $9,223.50 $9,223.50 2.8×
Analyze infusn pump+reprogram (62368) $1,304.68 $1,304.68 4.2×
Application cast elbow finger short arm (29075) $1,177.80 $1,177.80 4.2×
Application Cast Finger (29086) $687.40 $687.40 4.2×
Application Cast Hand & Lower Forearm Gauntlet (29085) $687.40 $687.40 4.2×
Application cast shoulder hand long arm (29065) $1,177.80 $1,177.80 4.2×
Application Cast Shoulder Spica (29055) $1,131.42 $1,131.42 4.0×
Application Finger Splint Dynamic (29131) $291.10 $291.10 4.9×
Application finger splint static (29130) $547.57 $547.57 4.1×
Application Hip Spica Cast 1 Leg (29305) $1,252.48 $1,252.48 4.5×
Application long arm splint shoulder hand (29105) $687.40 $687.40 4.2×
Application Long Leg Cast Walker/Ambulatory Type (29355) $1,262.70 $1,262.70 4.5×
Application long leg splint thigh ankle/toes (29505) $687.40 $687.40 4.2×
Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) $17,027.77 $17,027.77 2.3×
Application of cylinder cast (thigh to ankle) (29365) $1,177.80 $1,177.80 4.2×
Application of hip spica cast; one and one-half spica or both legs (29325) $8,830.12 $8,830.12 31.5×
Application of long leg cast (29345) $1,177.80 $1,177.80 4.2×
Application Of Rigid Total Contact Leg Cast (29445) $1,177.80 $1,177.80 4.2×
Application Short Arm Splint Dynamic (29126) $533.70 $533.70 4.0×
Application short arm splint forearm-hand static (29125) $547.57 $547.57 4.1×
Application short leg splint calf foot (29515) $687.40 $687.40 4.2×
Apply Body Cast,Risser Jacket (29010) $10,975.20 $10,975.20 39.2×
Apply of clubfoot cast (29450) $814.75 $814.75 5.0×
Apply patella tendon bearing cast (29435) $1,177.80 $1,177.80 4.2×
Apply short leg cast (29405) $1,177.80 $1,177.80 4.2×
Apply short leg cast (29425) $1,206.73 $1,206.73 4.3×
Arrest Epiphyseal Open Distal Tibia (27730) $4,903.70 $4,903.70 1.5×
Arrest, epiphyseal, any method, (epiphydiodesis); distal femur (27475) $8,055.70 $8,055.70 1.1×
Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus) (27485) $12,217.30 $12,217.30 1.7×
Arterial puncture (36600) $573.98 $573.98 4.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $1,282.23 $1,282.23 4.2×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $3,038.71 $3,038.71 4.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $6,562.58 $6,562.58 21.3×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $1,392.12 $1,392.12 4.5×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $1,282.23 $1,282.23 4.2×
Arthrodeses, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments (22800)
likely a partial charge, not the full procedure
$4,660.05 $4,660.05 0.3×
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) $5,692.14 $5,692.14 0.8×
Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) (29914) $6,947.35 $6,947.35 1.0×
Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) $4,903.70 $4,903.70 1.5×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $5,020.83 $5,020.83 1.5×
Aspir/inj thyroid cyst (60300) $3,060.54 $3,060.54 4.3×
Aspirat/Injection Ganglion Cyst(S) (20612) $1,282.23 $1,282.23 4.2×
Avulsion nail plate partial/complete simple 1 (11730) $966.69 $966.69 4.8×
Biopsy pleura percutaneous needle (32400) $7,071.88 $7,071.88 4.3×
Bladder Scan (51798) $322.50 $322.50 5.5×
Blood transfusion service (36430) $1,845.50 $1,845.50 4.2×
Capsulotomy Midfoot W/Tendon Lengthening (28261) $3,035.75 $3,035.75 1.9×
Capsulotomy, midfoot; medial release only (separate procedure) Other Surgical Services (28260) $4,242.30 $4,242.30 1.3×
Catheter Aspiration Nasotracheal Spx (31720) $151.50 $151.50 0.7×
Chemical Cautery Tissue (17250) $314.60 $314.60 1.6×
Chemodenerv 1 extrem 5/> mus (64644) $3,038.71 $3,038.71 4.3×
Chemodenerv 1 extremity 1-4 (64642) $5,255.26 $5,255.26 7.4×
Chemodenerv Musc Neck Dyston (64616) $1,282.23 $1,282.23 4.2×
Chemodenerv trunk musc 1-5 (64646) $604.50 $604.50 0.9×
Chemodenerv trunk musc 6/> (64647) $604.50 $604.50 0.9×
Chemodenervation eccrine glands oth area per day (64653) $1,282.23 $1,282.23 4.2×
Chemodenervation internal anal sphincter (46505) $5,107 $5,107 4.3×
Chemodenervation of parotid and submandibular salivary glands, bilateral (64611) $1,282.23 $1,282.23 4.2×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $1,282.23 $1,282.23 4.2×
Circum 28 days or older (54161) $8,747.61 $8,747.61 4.2×
Closed Rx Gr Tuberosity Hum Fx (23620) $976.26 $976.26 4.0×
Closed Rx Humer Epicondylr Fx,Manip (24565) $6,765.20 $6,765.20 4.2×
Closed Rx Humeral Supracondylar Fx (24530) $976.26 $976.26 4.0×
Closed Rx Med Malleolus Fx (27760) $976.26 $976.26 4.0×
Closed Rx Med Malleolus Fx,Manip (27762) $6,765.20 $6,765.20 4.2×
Closed Rx Mid Humerus Fx,Manipulatn (24505) $6,765.20 $6,765.20 4.2×
Closed rx prox/neck femur fx,manip (27232) $976.26 $976.26 0.6×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $8,907.35 $8,907.35 5.5×
Closed Rx Radial Shaft Fx (25500) $976.26 $976.26 4.0×
Closed Rx Radial Shaft Fx W/Dislocation (25520) $6,765.20 $6,765.20 4.2×
Closed Rx Shldr Disloc,Gr Tub Fx (23665) $6,765.20 $6,765.20 4.2×
Closed Rx Spontaneous Hip Disloc (27256) $976.26 $976.26 4.0×
Closed Rx Tibia Shaft Fx (27750) $976.26 $976.26 4.0×
Closed Rx Tibial Plateau Fx (27530) $976.26 $976.26 4.0×
Closed Rx Trimalleolar Fx (27816) $976.26 $976.26 4.0×
Closed treat wrist dislocation (25660) $976.26 $976.26 4.0×
Closed treatment of broken top of shin bone at knee (27538) $976.26 $976.26 4.0×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $976.26 $976.26 4.0×
Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) $976.26 $976.26 4.0×
Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) $976.26 $976.26 4.0×
Closed treatment of talus fracture; without manipulation (28430) $976.26 $976.26 4.0×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $976.26 $976.26 4.0×
Closed treatment pst malleolus fracture w/manj (27768) $6,765.20 $6,765.20 4.2×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $976.26 $976.26 4.0×
Closed Treatment Sesamoid Fracture (28530) $976.26 $976.26 4.0×
Closed Treatment Ulnar Styloid Fracture (25650) $976.26 $976.26 4.0×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $6,765.20 $6,765.20 4.2×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $976.26 $976.26 4.0×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $976.26 $976.26 4.0×
Closed tx calcaneal fracture w/o manipulation (28400) $797.93 $797.93 3.2×
Closed tx carpal scaphoid fracture w/manj (25624) $6,765.20 $6,765.20 4.2×
Closed tx femoral fracture prox head w/o manj (27267) $17,345.50 $17,345.50 5.3×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $976.26 $976.26 4.0×
Closed tx knee dislocation w/o anesthesia (27550) $976.26 $976.26 4.0×
Closed tx metatarsal fracture w/o manipulation (28470) $976.26 $976.26 4.0×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $6,765.20 $6,765.20 4.2×
Closed tx patellar dislocation w/o anesthesia (27560) $976.26 $976.26 4.0×
Closed tx patellar fracture w/o manipulation (27520) $976.26 $976.26 4.0×
Closed tx radial head/neck fx w/manipulation (24655) $6,765.20 $6,765.20 4.2×
Closed tx radial head/neck fx w/o manipulation (24650) $976.26 $976.26 4.0×
Closed tx radial shaft fracture w/manipulation (25505) $14,037.93 $14,037.93 8.7×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $976.26 $976.26 4.0×
Closed Tx Talus Fracture W/Manipulation (28435) $6,765.20 $6,765.20 4.2×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $6,765.20 $6,765.20 4.2×
Closed tx ulnar fracture prox end w/o manipulate (24670) $976.26 $976.26 4.0×
Closed tx ulnar shaft fracture w/o manipulation (25530) $976.26 $976.26 4.0×
Clsd tx acromioclavicular dislc w/manipulation (23545) $976.26 $976.26 4.0×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $976.26 $976.26 4.0×
Clsd tx clavicular fracture w/manipulation (23505) $6,765.20 $6,765.20 4.2×
Clsd tx clavicular fracture w/o manipulation (23500) $976.26 $976.26 4.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $976.26 $976.26 4.0×
Cltx dstl fibular fx lat malls w/manj (27788) $976.26 $976.26 4.0×
Cltx dstl fibular fx lat malls w/o manj (27786) $976.26 $976.26 4.0×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $976.26 $976.26 4.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $797.93 $797.93 3.2×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $8,639.60 $8,639.60 5.4×
Cltx fem fx dstl end medial/lat condyle w/manj (27510) $6,765.20 $6,765.20 4.2×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $976.26 $976.26 4.0×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $976.26 $976.26 4.0×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $6,765.20 $6,765.20 4.2×
Cltx fx grt toe phlx/phlg w/manj (28495) $976.26 $976.26 4.0×
Cltx fx grt toe phlx/phlg w/o manj (28490) $976.26 $976.26 4.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $976.26 $976.26 4.0×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $976.26 $976.26 4.0×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $6,765.20 $6,765.20 4.2×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $976.26 $976.26 4.0×
Cltx grter humeral tuberosity fx w/manipulation (23625) $6,765.20 $6,765.20 4.2×
Cltx hip dislocation traumatic w/o anesthesia (27250) $976.26 $976.26 4.0×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $6,765.20 $6,765.20 4.2×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $1,131.42 $1,131.42 4.0×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $976.26 $976.26 4.0×
Cltx iphal jt dislc w/manj w/o anes (26770) $1,131.27 $1,131.27 4.6×
Cltx metacarpal fx w/manipulation each bone (26605) $976.26 $976.26 4.0×
Cltx metacarpal fx w/o manipulation each bone (26600) $976.26 $976.26 4.0×
Cltx metatarsophlngl jt dislc w/o anes (28630) $976.26 $976.26 4.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $976.26 $976.26 4.0×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $976.26 $976.26 4.0×
Cltx post hip arthrp dislc w/o anes (27265) $976.26 $976.26 4.0×
Cltx prox fibula/shft fx w/manj (27781) $6,765.20 $6,765.20 4.2×
Cltx prox fibula/shft fx w/o manj (27780) $976.26 $976.26 4.0×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $6,765.20 $6,765.20 4.2×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $976.26 $976.26 4.0×
Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) $6,765.20 $6,765.20 4.2×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $6,765.20 $6,765.20 4.2×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $976.26 $976.26 4.0×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $6,765.20 $6,765.20 4.2×
Cltx trimalleolar ankle fx w/manipulation (27818) $6,765.20 $6,765.20 4.2×
Comp ext fixate strut change (20697) $7,547.53 $7,547.53 4.7×
Complex Cystometrogram (51726) $1,228.80 $1,228.80 4.9×
Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral… (51727) $2,949.10 $2,949.10 4.2×
Complex Uroflowmetry (51741) $425.10 $425.10 2.0×
Construct thumb replacement (26550) $11,559.10 $11,559.10 3.5×
Correction of bunion (28292) $7,239.30 $7,239.30 2.2×
Correction of bunion (28297) $7,239.30 $7,239.30 0.6×
Cystometrogram w/vp (51728) $2,949.10 $2,949.10 4.2×
Cystometrogram W/Vp&Up (51729) $3,359.68 $3,359.68 4.8×
Cystourethroscopy (52000) $3,359.68 $3,359.68 4.8×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $12,182.61 $12,182.61 4.2×
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,759.40 $1,759.40 4.3×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $9,223.50 $9,223.50 12.5×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $7,071.88 $7,071.88 4.3×
Delay flap trunk (15600) $15,341.34 $15,341.34 4.3×
Destruction Benign Lesions Up To 14 (17110) $851.62 $851.62 4.2×
Destruction Lesions Vulva Simple (56501) $8,139.16 $8,139.16 3.9×
Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm (17108) $8,626.65 $8,626.65 4.2×
Destruction premalignant lesion 1st (17000) $851.62 $851.62 4.2×
Divisn plantar fascia/muscle (28250) $3,035.75 $3,035.75 0.9×
Drain Ext Ear Absc/Blood,Complic (69005) $7,071.88 $7,071.88 4.3×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $3,060.54 $3,060.54 4.3×
Drain outer ear canal lesion (69020) $3,060.54 $3,060.54 4.3×
Drain/inj small joint/bursa w/us (20604) $1,478.94 $1,478.94 4.8×
Drainage External Ear Abscess/Hematoma Simple (69000) $3,060.54 $3,060.54 4.3×
Dressing change under anesthesia (15852) $2,739.76 $2,739.76 3.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $1,759.40 $1,759.40 4.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $314.60 $314.60 1.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $314.60 $314.60 1.6×
Dry Needling 3+ Muscles (20561) $137.10 $137.10 4.7×
Elbow arthroscopy/surgery (29838) $13,969 $13,969 4.3×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $1,304.68 $1,304.68 4.2×
Electronic analysis reprogramming refill of spinal canal drug infusion (62369) $604.50 $604.50 2.0×
EMG stds anal/urtl sphnctr oth/thn ndl (51784) $425.10 $425.10 3.3×
Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur (27185) $4,903.70 $4,903.70 1.5×
Evacuation of subungual hematoma (11740) $607.90 $607.90 4.6×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $4,319.80 $4,319.80 2.6×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $3,060.54 $3,060.54 4.3×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $7,071.88 $7,071.88 4.3×
Exc hand les sc < 1.5 cm (26115) $5,841.82 $5,841.82 3.5×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $3,060.54 $3,060.54 4.3×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $1,759.40 $1,759.40 4.3×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $3,060.54 $3,060.54 4.3×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $3,060.54 $3,060.54 4.3×
Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) $7,071.88 $7,071.88 4.3×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $7,071.88 $7,071.88 4.3×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $7,071.88 $7,071.88 4.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $7,071.88 $7,071.88 4.3×
Exc tr-ext b9+marg 0.5 cm or less (11400) $3,060.54 $3,060.54 4.3×
Excise cutaneous neurofibroma (64788) $8,477.10 $8,477.10 4.3×
Excision constricting tissue (26596) $4,319.80 $4,319.80 1.3×
Excision Lingual Frenum Frenectomy (41115) $6,985.72 $6,985.72 4.5×
Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) $3,060.54 $3,060.54 4.3×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $3,060.54 $3,060.54 4.3×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $3,060.54 $3,060.54 4.3×
Excision of Epiphyseal Bar (20150) $6,071.50 $6,071.50 1.9×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $7,071.88 $7,071.88 4.3×
Excision of nail fold toe (11765) $1,759.40 $1,759.40 4.3×
Excision of neuroma; sciatic nerve (64786) $10,975.20 $10,975.20 3.2×
Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) $4,611.75 $4,611.75 1.4×
Exploration of ankle joint (27612) $10,975.20 $10,975.20 3.3×
Fasciotomy foot and/or toe (28008) $4,718.98 $4,718.98 1.4×
Fill contour defct <1cc (11950) $851.62 $851.62 4.2×
Fine needle aspiration without imaging guidance (10021) $1,759.40 $1,759.40 4.3×
Finger tendon transfer (26497) $9,807.40 $9,807.40 3.0×
Fluid pressure muscle (20950) $3,318.13 $3,318.13 4.7×
Fna bx w/fluor gdn 1st les (10007) $267.70 $267.70 0.4×
Frmj dir/tube pedcl w/wotr fh/ch/ch/m/n/ax/g/h/f (15574) $8,139.16 $8,139.16 3.9×
Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) $6,592.38 $6,592.38 3.2×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $4,903.70 $4,903.70 2.4×
Fth/gft free w/direct closure trunk 20 cm/< (15200) $8,139.16 $8,139.16 3.9×
Fusion of knuckle (26850)
unusually low: confirm this is the full procedure
$3,463.78 $3,463.78 0.5×
Gastrocnemius Recession (27687) $13,275.31 $13,275.31 4.1×
Hip arthro w/labral repair (29916) $6,947.35 $6,947.35 1.0×
I&D Abscess Peritonsillar (42700) $980.13 $980.13 4.1×
I&d abscess simple (10060) $314.60 $314.60 1.6×
I&d pilonidal cyst simple (10080) $3,060.54 $3,060.54 4.3×
Incise finger tendon sheath (26055) $4,027.85 $4,027.85 2.5×
Incision & drainage abscess complicated/multiple (10061) $1,759.40 $1,759.40 4.3×
Incision extensor tendon sheath wrist (25000) $6,765.20 $6,765.20 4.2×
Incision of achilles tendon (27605) $8,055.70 $8,055.70 5.0×
Incision of heel bone (28300) $5,779.55 $5,779.55 0.8×
Incision of lingual frenum (41010) $6,985.72 $6,985.72 4.5×
Incision of tibia (27705) $4,826.20 $4,826.20 0.7×
Incision of tibia & fibula (27709) $7,402.58 $7,402.58 0.6×
Initial tx 1st degree burn local tx (16000) $851.62 $851.62 4.2×
Inj paravert f jnt c/t 1 lev (64490) $4,018.88 $4,018.88 4.5×
Inj subq fill material 1.1-5.0 (11951) $2,739.76 $2,739.76 3.7×
Inj tendon sheath/ligament (20550) $1,282.23 $1,282.23 4.2×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $4,261.51 $4,261.51 4.8×
Inj,Anes Agent,Femoral Nerve,Single (64447) $653.21 $653.21 0.9×
Inject Tendon Origin/Insert (20551) $1,282.23 $1,282.23 4.2×
Injection anes other peripheral nerve/branch (64450) $3,038.71 $3,038.71 4.3×
Injection single/mlt trigger point 1/2 muscles (20552) $1,282.23 $1,282.23 4.2×
Injection single/mlt trigger point 3/> muscles (20553) $1,282.23 $1,282.23 4.2×
Injection therapeutic carpal tunnel (20526) $1,282.23 $1,282.23 4.2×
Injection, intralesional; up to and including 7 lesions (11900) $851.62 $851.62 4.2×
Insert and remove bone pin (20650) $14,037.93 $14,037.93 4.3×
Insert picc cath (36569) $7,326.02 $7,326.02 4.6×
Insert Temp Bladder Cath (51702) $702.90 $702.90 5.3×
Insert,Non-Indwelling Bladder Catheter (51701) $247.40 $247.40 1.9×
Insertion Picc W/Rs&I 5 Yr/> (36573) $7,689.20 $7,689.20 4.9×
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) $16,034.28 $16,034.28 2.2×
Lap ing hernia repair init (49650) $24,580.50 $24,580.50 4.1×
Laryngoscopy Flexible Diagnostic (31575) $842.99 $842.99 4.2×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $1,778.59 $1,778.59 4.5×
Lateral canthopexy (21282) $13,417.16 $13,417.16 4.0×
Lateral retinacular release open (27425) $4,631.56 $4,631.56 1.4×
Ligamentous reconstruction (augmentation), knee; extra-articular (27427) $5,020.84 $5,020.84 0.7×
Manipulation, hip joint, requiring general anesthesia (27275) $5,816.70 $5,816.70 3.6×
Muscle-skin graft arm (15736) $8,139.16 $8,139.16 3.9×
Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) $314.60 $314.60 1.6×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $779.30 $779.30 3.1×
Needle insertion w/o injection 1 or 2 muscles (20560) $137.10 $137.10 4.7×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,965.53 $1,965.53 4.7×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $4,018.88 $4,018.88 4.5×
Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540) $13,385.10 $13,385.10 1.8×
Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) $17,760.79 $17,760.79 2.4×
Open Tx Humeral Epicondylar Fracture (24575) $9,436.35 $9,436.35 0.7×
Optx orb floor blwt fx pri/bital appr w/allplstc (21390) $25,181.88 $25,181.88 4.2×
Osteoplasty, radius OR ulna; shortening (25390) $5,487.60 $5,487.60 0.8×
Osteot w/wo lngth shrt/corrj 1st metar (28306) $4,242.30 $4,242.30 0.6×
Osteotomy Phalanx Finger Each (26567) $6,343.63 $6,343.63 1.9×
Osteotomy Radius Distal Third (25350) $14,991.80 $14,991.80 2.1×
Osteotomy, femur, shaft or supracondylar; with fixation (27450) $13,310.80 $13,310.80 1.8×
Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast (27165) $16,304.60 $16,304.60 2.2×
Osteotomy, tarsal bones, other than calcaneus or talus; (28304) $4,733.84 $4,733.84 0.7×
Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) $14,037.93 $14,037.93 4.3×
Perq replacement gtube not req revj gstrst trc (43762) $1,013.33 $1,013.33 4.0×
Pin finger fracture each (26756) $4,027.85 $4,027.85 1.2×
Pr tenotomy prq achilles tendon spx general anes (27606) $10,804.80 $10,804.80 3.3×
Prep face/oral prost temp obturator (21079) $15,294.32 $15,294.32 4.6×
Puncture Aspiration (10160) $1,759.40 $1,759.40 4.3×
Quadricepsplasty (eg, Bennett or Thompson type) (27430) $12,662.18 $12,662.18 1.7×
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) $8,639.60 $8,639.60 1.2×
Reconstruct extra finger (26587) $12,801.20 $12,801.20 3.9×
Reconstruction of dislocating patella; (eg, Hauser type procedure) (27420) $4,631.56 $4,631.56 0.6×
Reconstruction Toe Polydactyly (28344) $4,242.30 $4,242.30 1.3×
Release elbow joint (24006) $6,071.50 $6,071.50 1.9×
Release i-p jt contracture (26525) $3,658.40 $3,658.40 2.3×
Removal fb intranasal (30300) $547.57 $547.57 4.1×
Removal impacted cerumen irrigation/lvg unilat (69209) $280.13 $280.13 4.7×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $271.08 $271.08 4.6×
Removal Implant Deep (20680) $4,573 $4,573 1.6×
Removal Implant From Finger/Hand (26320) $7,471.80 $7,471.80 4.5×
Removal Implant Superficial Separate Procedure (20670) $7,271.84 $7,271.84 4.4×
Removal of external bone stabilizing device under anesthesia (20694) $9,418.51 $9,418.51 5.8×
Removal of finger lesion (26210) $7,410.45 $7,410.45 4.6×
Removal of Head of Radius (24130) $4,903.70 $4,903.70 1.5×
Removal of humerus lesion (23150) $15,597.42 $15,597.42 4.8×
Removal of nail bed (11750) $4,027.85 $4,027.85 9.9×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $4,477.10 $4,477.10 22.3×
Removal Sutures/Staples Requiring Anesthesia (15851) $8,049.93 $8,049.93 3.9×
Removal/bivalving full arm/full leg cast (29705) $1,131.42 $1,131.42 4.0×
Remove femur lesion (27355) $4,449.32 $4,449.32 1.4×
Remove femur lesion/bursa (27062) $5,487.60 $5,487.60 1.7×
Remove tissue expander (11971) $12,182.61 $12,182.61 4.2×
Remv Ext Canal Foreign Body (69200) $547.57 $547.57 4.1×
Remv/revisn shldr/hip spica cast (29710) $1,206.73 $1,206.73 4.3×
Repair arm/leg nerve (64857) $29,138.51 $29,138.51 8.5×
Repair complex trunk 2.6-7.5 cm (13101) $2,739.76 $2,739.76 3.7×
Repair finger/hand tendon (26350) $14,037.93 $14,037.93 4.3×
Repair flex tendon,zone 2,secon,hand,ea (26357) $14,037.93 $14,037.93 4.3×
Repair foot dislocation (28585) $13,026.85 $13,026.85 1.8×
Repair forearm tendon/muscle (25270) $14,037.93 $14,037.93 4.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $1,759.40 $1,759.40 4.3×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $1,759.40 $1,759.40 4.3×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $1,759.40 $1,759.40 4.3×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $1,759.40 $1,759.40 4.3×
Repair nonunion radius/ulna w autogrft (25405) $14,971.88 $14,971.88 2.1×
Repair of nail bed (11760) $4,027.85 $4,027.85 5.4×
Repair of web finger (26562) $3,712.02 $3,712.02 1.1×
Repair of web finger (26560) $12,217.30 $12,217.30 7.6×
Repair of web finger (26561) $6,071.50 $6,071.50 1.9×
Repair wrist joints (25447) $14,037.93 $14,037.93 4.3×
Repair/graft wrist bone (25440) $13,873.08 $13,873.08 1.9×
Replace g/c tube perc (49450) $4,421.53 $4,421.53 4.9×
Repr elbow lat ligmnt w/tiss (24343) $4,903.70 $4,903.70 1.5×
Reprgrmg Programmable Cerebrospinal Shunt (62252) $1,304.68 $1,304.68 4.2×
Respir iadna 18 viral&2 bact (0115U) $1,298.55 $1,298.55 4.7×
Revise arm/leg nerve (64708) $4,903.70 $4,903.70 2.5×
Revise median n/carpal tunnel surg (64721) $8,477.10 $8,477.10 4.3×
Revise radius & ulna (25365) $9,807.40 $9,807.40 0.8×
Revision of big toe (28310)
unusually low: confirm this is the full procedure
$2,662.16 $2,662.16 0.4×
Revision of foot and ankle (28262) $4,826.20 $4,826.20 0.7×
Revision of humerus (24400) $14,562.01 $14,562.01 2.0×
Revision of lower leg tendon (27685) $9,223.50 $9,223.50 2.8×
Rhinp Prim Complete Xtrnl Parts (30410) $25,181.88 $25,181.88 4.2×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $14,037.93 $14,037.93 4.3×
Simple Cystometrogram (51725) $1,228.80 $1,228.80 4.9×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $851.62 $851.62 4.2×
Skin splt grft trnk/arm/leg (15100) $8,139.16 $8,139.16 3.9×
Skin sub graft face/nk/hf/g (15275) $8,626.65 $8,626.65 11.7×
Skin Tissue Procedure (17999) $2,739.76 $2,739.76 13.6×
Skin tissue rearrangement (14040) $8,139.16 $8,139.16 3.9×
Skn splt a-grft fac/nck/hf/g (15120) $15,341.34 $15,341.34 4.3×
Skn sub grft f/n/hf/g child (15277) $9,941.19 $9,941.19 4.8×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $851.62 $851.62 4.2×
Spinal puncture lumbar diagnostic (62270) $2,992.02 $2,992.02 4.2×
Spinal Puncture Therapeutic (62272) $2,992.02 $2,992.02 4.2×
Stimulus evoked response (51792) $404.90 $404.90 6.9×
Strapping ankle (29540) $708.01 $708.01 4.4×
Strapping elbow/wrist (29260) $274.85 $274.85 4.7×
Strapping hand/finger (29280) $274.85 $274.85 4.7×
Strapping knee (29530) $573.98 $573.98 4.3×
Strapping shoulder (29240) $573.98 $573.98 4.3×
Strapping toes (29550) $291.10 $291.10 4.9×
Surgery to stop leg growth (27477) $8,639.60 $8,639.60 1.2×
Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including… (11921) $2,739.76 $2,739.76 3.7×
Tendon lengthening upper arm/elbow ea tendon (24305) $6,071.50 $6,071.50 1.9×
Tendon shortening (26477) $13,175.44 $13,175.44 4.0×
Tenolysis ext tendon,hand/finger,ea (26445) $14,037.93 $14,037.93 4.3×
Tenotomy Adductor Hip Open (27001) $2,662.16 $2,662.16 0.8×
Tenotomy, flexor, finger, open, each tendon (26455) $2,868.33 $2,868.33 1.8×
Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) $2,662.16 $2,662.16 1.7×
Tenotomy,Uni Hamstr,Knee-Thigh,Multi (27391) $2,662.16 $2,662.16 0.8×
Thoracentesis needle/cath pleura w/o imaging (32554) $2,728.21 $2,728.21 4.3×
Thyroid biopsy (60100) $3,060.54 $3,060.54 4.3×
Tr/trnspl 1 tdn w/musc redirion/rerouting supfc (27690)
unusually low: confirm this is the full procedure
$3,035.75 $3,035.75 0.4×
Trach Tube Change (31502) $502.90 $502.90 2.1×
Treat cheek bone fracture CMS CORRECTION 5/30/03 (21365) $25,181.88 $25,181.88 4.2×
Treat Fracture Radius & Ulna (25560) $976.26 $976.26 4.0×
Treat humerus fracture (24500) $976.26 $976.26 4.0×
Treat humerus fracture (24577) $6,765.20 $6,765.20 4.2×
Treat humerus fracture (23600) $976.26 $976.26 4.0×
Treat knee fracture (27532) $14,037.93 $14,037.93 4.3×
Treat Lower Leg Fracture (27827) $15,527.08 $15,527.08 1.2×
Treat Metatarsal Fracture (28475) $976.26 $976.26 4.0×
Treat thumb fracture (26650) $14,037.93 $14,037.93 4.3×
Treat wrist bone fracture (25635) $6,765.20 $6,765.20 4.2×
Treat wrist bone fracture (25622) $976.26 $976.26 4.0×
Treat Wrist Bone Fracture (25630) $976.26 $976.26 4.0×
Treatment closed elbow dislocation w/o anes (24600) $976.26 $976.26 4.0×
Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) $976.26 $976.26 4.0×
Unlisted Procedure External Ear (69399) $1,095.15 $1,095.15 4.6×
Unlisted procedure foot or toes (28899) $10,480.12 $10,480.12 42.4×
Unlisted procedure humerus/elbow (24999) $976.26 $976.26 4.0×
Unlisted procedure spine (22899) $976.26 $976.26 4.0×
Unlisted procedure, hands or fingers (26989) $6,603.80 $6,603.80 26.7×
Venipuncture (36415) $16.70 $16.70 1.8×
Wedging of cast (29740) $1,131.42 $1,131.42 4.0×
Windowing of cast (29730) $687.40 $687.40 4.2×
Wound Prep F/N/Hf/G (15004) $3,892.68 $3,892.68 9.6×
Wound prep trk/arm/leg 1st 100 sq cm (15002) $4,903.70 $4,903.70 6.6×
Wrist arthroscop,excis triang cart (29846) $9,762.76 $9,762.76 3.0×
Xfer single deep low leg tendon (27691) $4,826.20 $4,826.20 0.7×