Procedures & surgery prices at Shriners Hospitals For Children

Galveston, TX · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) $2,393.69 $2,393.69 1.2×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $13,921.38 $13,921.38 3.9×
Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) $5,510.52 $5,510.52 2.7×
Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) $3,033.68 $3,033.68 1.5×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $7,385.82 $7,385.82 3.6×
Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) $5,140.14 $5,140.14 2.5×
Amputation Finger/Thumb (26951) $12,738.62 $12,738.62 3.9×
Amputation of finger/thumb (26952) $12,738.62 $12,738.62 3.9×
Amputation, arm through humerus; re-amputation Other Surgical Services (24930) $10,464.20 $10,464.20 1.4×
Amputation, leg, through tibia and fibula; re-amputation (27886) $2,649.69 $2,649.69 0.8×
Analyze infusn pump+reprogram (62368) $1,183.92 $1,183.92 3.8×
Application cast elbow finger short arm (29075) $1,068.80 $1,068.80 3.8×
Application Cast Finger (29086) $623.78 $623.78 3.8×
Application Cast Hand & Lower Forearm Gauntlet (29085) $623.78 $623.78 3.8×
Application cast shoulder hand long arm (29065) $1,068.80 $1,068.80 3.8×
Application Cast Shoulder Spica (29055) $1,026.70 $1,026.70 3.7×
Application Finger Splint Dynamic (29131) $264.10 $264.10 4.5×
Application finger splint static (29130) $496.89 $496.89 3.7×
Application Hip Spica Cast 1 Leg (29305) $1,136.55 $1,136.55 4.0×
Application long arm splint shoulder hand (29105) $623.78 $623.78 3.8×
Application Long Leg Cast Walker/Ambulatory Type (29355) $1,145.84 $1,145.84 4.1×
Application long leg splint thigh ankle/toes (29505) $623.78 $623.78 3.8×
Application of cylinder cast (thigh to ankle) (29365) $1,068.80 $1,068.80 3.8×
Application of hip spica cast; one and one-half spica or both legs (29325) $1,095.04 $1,095.04 3.9×
Application of long leg cast (29345) $1,068.80 $1,068.80 3.8×
Application Of Rigid Total Contact Leg Cast (29445) $1,068.80 $1,068.80 3.8×
Application Short Arm Splint Dynamic (29126) $484.20 $484.20 3.6×
Application short arm splint forearm-hand static (29125) $496.89 $496.89 3.7×
Application short leg splint calf foot (29515) $465.74 $465.74 2.9×
Apply of clubfoot cast (29450) $623.78 $623.78 3.8×
Apply patella tendon bearing cast (29435) $1,068.80 $1,068.80 3.8×
Apply short leg cast (29405) $1,068.80 $1,068.80 3.8×
Apply short leg cast (29425) $1,047.74 $1,047.74 3.7×
Arrest Epiphyseal Open Distal Tibia (27730) $5,510.53 $5,510.53 1.7×
Arrest, epiphyseal, any method (eg, epiphydiodesis); cmbined distal femur prox (27479) $10,464.20 $10,464.20 1.4×
Arterial puncture (36600) $520.86 $520.86 3.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $1,163.55 $1,163.55 3.8×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $2,757.45 $2,757.45 3.9×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $1,163.55 $1,163.55 3.8×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $1,263.27 $1,263.27 4.1×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $1,163.55 $1,163.55 3.8×
Arthrodesis great toe interphalangeal joint (28755) $18,912.99 $18,912.99 2.6×
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) $29,170.48 $29,170.48 4.0×
Aspir/inj thyroid cyst (60300) $2,777.27 $2,777.27 3.9×
Aspirat/Injection Ganglion Cyst(S) (20612) $1,163.55 $1,163.55 3.8×
Avulsion nail plate partial/complete simple 1 (11730) $877.21 $877.21 4.4×
Biopsy pleura percutaneous needle (32400) $6,417.32 $6,417.32 3.9×
Bladder Scan (51798) $300.20 $300.20 5.1×
Blood transfusion service (36430) $2,476.30 $2,476.30 5.6×
Bronchosc dx w/w/o fluor&wash (31622) $3,429 $3,429 1.9×
Catheter Aspiration Nasotracheal Spx (31720) $144.40 $144.40 0.7×
Chemical Cautery Tissue (17250) $772.79 $772.79 3.8×
Chemodenerv 1 extrem 5/> mus (64644) $2,757.45 $2,757.45 3.9×
Chemodenerv 1 extremity 1-4 (64642) $2,757.45 $2,757.45 3.9×
Chemodenerv Musc Neck Dyston (64616) $1,163.55 $1,163.55 3.8×
Chemodenerv trunk musc 1-5 (64646) $2,757.45 $2,757.45 3.9×
Chemodenerv trunk musc 6/> (64647) $2,757.45 $2,757.45 3.9×
Chemodenervation eccrine glands oth area per day (64653) $1,163.55 $1,163.55 3.8×
Chemodenervation internal anal sphincter (46505) $4,634.31 $4,634.31 3.9×
Chemodenervation of parotid and submandibular salivary glands, bilateral (64611) $1,163.55 $1,163.55 3.8×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $1,163.55 $1,163.55 3.8×
Circum 28 days or older (54161) $7,937.96 $7,937.96 3.8×
Closed Rx Gr Tuberosity Hum Fx (23620) $885.90 $885.90 3.6×
Closed Rx Humer Epicondylr Fx,Manip (24565) $6,139.03 $6,139.03 3.8×
Closed Rx Humeral Supracondylar Fx (24530) $885.90 $885.90 3.6×
Closed Rx Med Malleolus Fx (27760) $885.90 $885.90 3.6×
Closed Rx Med Malleolus Fx,Manip (27762) $6,139.03 $6,139.03 3.8×
Closed Rx Mid Humerus Fx,Manipulatn (24505) $6,139.03 $6,139.03 3.8×
Closed rx prox/neck femur fx,manip (27232) $885.90 $885.90 0.5×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $6,139.03 $6,139.03 3.8×
Closed Rx Radial Shaft Fx (25500) $885.90 $885.90 3.6×
Closed Rx Radial Shaft Fx W/Dislocation (25520) $6,139.03 $6,139.03 3.8×
Closed Rx Shldr Disloc,Gr Tub Fx (23665) $6,139.03 $6,139.03 3.8×
Closed Rx Spontaneous Hip Disloc (27256) $885.90 $885.90 3.6×
Closed Rx Tibia Shaft Fx (27750) $885.90 $885.90 3.6×
Closed Rx Tibial Plateau Fx (27530) $885.90 $885.90 3.6×
Closed Rx Trimalleolar Fx (27816) $885.90 $885.90 3.6×
Closed treat wrist dislocation (25660) $885.90 $885.90 3.6×
Closed treatment of broken top of shin bone at knee (27538) $885.90 $885.90 3.6×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $885.90 $885.90 3.6×
Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) $885.90 $885.90 3.6×
Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) $885.90 $885.90 3.6×
Closed treatment of talus fracture; without manipulation (28430) $885.90 $885.90 3.6×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $885.90 $885.90 3.6×
Closed treatment pst malleolus fracture w/manj (27768) $6,139.03 $6,139.03 3.8×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $885.90 $885.90 3.6×
Closed Treatment Sesamoid Fracture (28530) $885.90 $885.90 3.6×
Closed Treatment Ulnar Styloid Fracture (25650) $885.90 $885.90 3.6×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $6,139.03 $6,139.03 3.8×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $885.90 $885.90 3.6×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $885.90 $885.90 3.6×
Closed tx calcaneal fracture w/o manipulation (28400) $885.90 $885.90 3.6×
Closed tx carpal scaphoid fracture w/manj (25624) $6,139.03 $6,139.03 3.8×
Closed tx femoral fracture prox head w/o manj (27267) $15,740.04 $15,740.04 4.8×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $885.90 $885.90 3.6×
Closed tx knee dislocation w/o anesthesia (27550) $885.90 $885.90 3.6×
Closed tx metatarsal fracture w/o manipulation (28470) $885.90 $885.90 3.6×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $6,139.03 $6,139.03 3.8×
Closed tx patellar dislocation w/o anesthesia (27560) $885.90 $885.90 3.6×
Closed tx patellar fracture w/o manipulation (27520) $885.90 $885.90 3.6×
Closed tx radial head/neck fx w/manipulation (24655) $6,139.03 $6,139.03 3.8×
Closed tx radial head/neck fx w/o manipulation (24650) $885.90 $885.90 3.6×
Closed tx radial shaft fracture w/manipulation (25505) $12,738.62 $12,738.62 7.9×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $885.90 $885.90 3.6×
Closed Tx Talus Fracture W/Manipulation (28435) $6,139.03 $6,139.03 3.8×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $6,139.03 $6,139.03 3.8×
Closed tx ulnar fracture prox end w/o manipulate (24670) $885.90 $885.90 3.6×
Closed tx ulnar shaft fracture w/o manipulation (25530) $885.90 $885.90 3.6×
Clsd tx acromioclavicular dislc w/manipulation (23545) $885.90 $885.90 3.6×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $885.90 $885.90 3.6×
Clsd tx clavicular fracture w/manipulation (23505) $6,139.03 $6,139.03 3.8×
Clsd tx clavicular fracture w/o manipulation (23500) $885.90 $885.90 3.6×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $885.90 $885.90 3.6×
Cltx dstl fibular fx lat malls w/manj (27788) $885.90 $885.90 3.6×
Cltx dstl fibular fx lat malls w/o manj (27786) $885.90 $885.90 3.6×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $885.90 $885.90 3.6×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $885.90 $885.90 3.6×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $6,139.03 $6,139.03 3.8×
Cltx fem fx dstl end medial/lat condyle w/manj (27510) $6,139.03 $6,139.03 3.8×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $885.90 $885.90 3.6×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $885.90 $885.90 3.6×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $6,139.03 $6,139.03 3.8×
Cltx fx grt toe phlx/phlg w/manj (28495) $885.90 $885.90 3.6×
Cltx fx grt toe phlx/phlg w/o manj (28490) $885.90 $885.90 3.6×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $885.90 $885.90 3.6×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $885.90 $885.90 3.6×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $6,139.03 $6,139.03 3.8×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $885.90 $885.90 3.6×
Cltx grter humeral tuberosity fx w/manipulation (23625) $6,139.03 $6,139.03 3.8×
Cltx hip dislocation traumatic w/o anesthesia (27250) $885.90 $885.90 3.6×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $6,139.03 $6,139.03 3.8×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $1,026.69 $1,026.69 3.7×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $885.90 $885.90 3.6×
Cltx iphal jt dislc w/manj w/o anes (26770) $1,026.57 $1,026.57 4.1×
Cltx metacarpal fx w/manipulation each bone (26605) $885.90 $885.90 3.6×
Cltx metacarpal fx w/o manipulation each bone (26600) $885.90 $885.90 3.6×
Cltx metatarsophlngl jt dislc w/o anes (28630) $885.90 $885.90 3.6×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $885.90 $885.90 3.6×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $885.90 $885.90 3.6×
Cltx post hip arthrp dislc w/o anes (27265) $885.90 $885.90 3.6×
Cltx prox fibula/shft fx w/manj (27781) $6,139.03 $6,139.03 3.8×
Cltx prox fibula/shft fx w/o manj (27780) $885.90 $885.90 3.6×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $6,139.03 $6,139.03 3.8×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $885.90 $885.90 3.6×
Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) $6,139.03 $6,139.03 3.8×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $6,139.03 $6,139.03 3.8×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $885.90 $885.90 3.6×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $6,139.03 $6,139.03 3.8×
Cltx trimalleolar ankle fx w/manipulation (27818) $6,139.03 $6,139.03 3.8×
Comp ext fixate strut change (20697) $6,848.95 $6,848.95 4.2×
Complex Cystometrogram (51726) $919.54 $919.54 3.7×
Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral… (51727) $2,676.14 $2,676.14 3.8×
Complex Uroflowmetry (51741) $393.80 $393.80 1.8×
Composite skin graft (15760) $12,691.60 $12,691.60 6.1×
Create eardrum opening (69436) $7,123.10 $7,123.10 4.6×
Cystometrogram w/vp (51728) $2,676.14 $2,676.14 3.8×
Cystometrogram W/Vp&Up (51729) $3,048.72 $3,048.72 4.4×
Cystourethroscopy (52000) $3,048.72 $3,048.72 4.4×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $11,055.02 $11,055.02 3.8×
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,596.55 $1,596.55 3.9×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $5,963.92 $5,963.92 3.6×
Delay flap trunk (15600) $13,921.38 $13,921.38 3.9×
Delay flap/sctj flap eyelids nose ears/lips (15630) $7,679.95 $7,679.95 3.7×
Destruction Benign Lesions Up To 14 (17110) $772.79 $772.79 3.8×
Destruction Lesions Vulva Simple (56501) $7,385.82 $7,385.82 3.6×
Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm (17108) $7,828.19 $7,828.19 3.8×
Destruction premalignant lesion 1st (17000) $772.79 $772.79 3.8×
Divisn plantar fascia/muscle (28250) $4,601.76 $4,601.76 1.4×
Drain Ext Ear Absc/Blood,Complic (69005) $6,417.32 $6,417.32 3.9×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $2,777.27 $2,777.27 3.9×
Drain outer ear canal lesion (69020) $2,777.27 $2,777.27 3.9×
Drain/inj small joint/bursa w/us (20604) $1,342.05 $1,342.05 4.4×
Drainage External Ear Abscess/Hematoma Simple (69000) $2,777.27 $2,777.27 3.9×
Dressing change under anesthesia (15852) $2,061.40 $2,061.40 2.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $1,596.55 $1,596.55 3.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $540.24 $540.24 2.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $540.24 $540.24 2.7×
Dry Needling 3+ Muscles (20561) $124.50 $124.50 4.3×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $1,183.92 $1,183.92 3.8×
Electronic analysis reprogramming refill of spinal canal drug infusion (62369) $1,183.92 $1,183.92 3.8×
EMG stds anal/urtl sphnctr oth/thn ndl (51784) $393.80 $393.80 3.0×
Evacuation of subungual hematoma (11740) $551.63 $551.63 4.1×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $5,507.04 $5,507.04 7.7×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $6,417.32 $6,417.32 3.9×
Exc hand les sc < 1.5 cm (26115) $6,417.32 $6,417.32 3.9×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $2,777.27 $2,777.27 3.9×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $1,596.55 $1,596.55 3.9×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $2,777.27 $2,777.27 3.9×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $2,777.27 $2,777.27 3.9×
Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) $6,417.32 $6,417.32 3.9×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $6,417.32 $6,417.32 3.9×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $4,310.76 $4,310.76 2.6×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $6,417.32 $6,417.32 3.9×
Exc tr-ext b9+marg 0.5 cm or less (11400) $2,777.27 $2,777.27 3.9×
Excise cutaneous neurofibroma (64788) $7,692.49 $7,692.49 3.9×
Excision Lingual Frenum Frenectomy (41115) $6,339.14 $6,339.14 4.1×
Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) $2,777.27 $2,777.27 3.9×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $2,777.27 $2,777.27 3.9×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $2,777.27 $2,777.27 3.9×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $6,417.32 $6,417.32 3.9×
Excision of nail fold toe (11765) $1,596.55 $1,596.55 3.9×
Fill contour defct <1cc (11950) $772.79 $772.79 3.8×
Fine needle aspiration without imaging guidance (10021) $1,596.55 $1,596.55 3.9×
Fluid pressure muscle (20950) $3,011.01 $3,011.01 4.2×
Fna bx w/fluor gdn 1st les (10007) $267.70 $267.70 0.4×
Fracture nasal inferior turbinate(s), therapeutic (30930) $9,130.05 $9,130.05 2.7×
Frmj dir/tube pedcl w/wotr fh/ch/ch/m/n/ax/g/h/f (15574) $7,385.82 $7,385.82 3.6×
Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) $5,140.16 $5,140.16 2.5×
Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) $5,788.95 $5,788.95 2.8×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $2,649.69 $2,649.69 1.3×
Fth/gft free w/direct closure trunk 20 cm/< (15200) $7,385.82 $7,385.82 3.6×
Gastrocnemius Recession (27687) $4,953.67 $4,953.67 1.5×
Graft ear crtlg autogenous nose/ear (21235) $3,562.50 $3,562.50 0.6×
Grafting of autologous fat by lipo 50 cc or less (15771) $5,510.53 $5,510.53 1.5×
I&D Abscess Peritonsillar (42700) $889.41 $889.41 3.7×
I&d abscess simple (10060) $772.79 $772.79 3.8×
I&d pilonidal cyst simple (10080) $2,777.27 $2,777.27 3.9×
Incision & drainage abscess complicated/multiple (10061) $1,596.55 $1,596.55 3.9×
Incision extensor tendon sheath wrist (25000) $6,139.03 $6,139.03 3.8×
Incision of achilles tendon (27605) $6,139.03 $6,139.03 3.8×
Incision of lingual frenum (41010) $6,339.14 $6,339.14 4.1×
Initial tx 1st degree burn local tx (16000) $772.79 $772.79 3.8×
Inj paravert f jnt c/t 1 lev (64490) $3,646.90 $3,646.90 4.1×
Inj subq fill material 1.1-5.0 (11951) $2,486.18 $2,486.18 3.3×
Inj tendon sheath/ligament (20550) $1,163.55 $1,163.55 3.8×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $3,867.08 $3,867.08 4.4×
Inj,Anes Agent,Femoral Nerve,Single (64447) $592.75 $592.75 0.8×
Inject Tendon Origin/Insert (20551) $1,163.55 $1,163.55 3.8×
Injection anes other peripheral nerve/branch (64450) $2,757.45 $2,757.45 3.9×
Injection single/mlt trigger point 1/2 muscles (20552) $1,163.55 $1,163.55 3.8×
Injection single/mlt trigger point 3/> muscles (20553) $1,163.55 $1,163.55 3.8×
Injection therapeutic carpal tunnel (20526) $1,163.55 $1,163.55 3.8×
Injection, intralesional; up to and including 7 lesions (11900) $772.79 $772.79 3.8×
Insert and remove bone pin (20650) $12,738.62 $12,738.62 3.9×
Insert picc cath (36569) $6,647.95 $6,647.95 4.2×
Insert Temp Bladder Cath (51702) $638 $638 4.8×
Insert,Non-Indwelling Bladder Catheter (51701) $229.40 $229.40 1.7×
Insertion Picc W/Rs&I 5 Yr/> (36573) $7,689.20 $7,689.20 4.9×
Intubation endotracheal emergency procedure (31500) $832.20 $832.20 3.5×
Lap ing hernia repair init (49650) $22,305.40 $22,305.40 3.7×
Laryngoscopy Flexible Diagnostic (31575) $764.96 $764.96 3.8×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $1,752.40 $1,752.40 4.5×
Lateral canthopexy (21282) $12,175.31 $12,175.31 3.7×
Muscle-skin graft arm (15736) $7,385.82 $7,385.82 3.6×
Myringoplasty (69620) $4,230.53 $4,230.53 1.3×
Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) $764.96 $764.96 3.8×
Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral (69705)
unusually low: confirm this is the full procedure
$2,894.47 $2,894.47 0.5×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $722.30 $722.30 2.9×
Needle insertion w/o injection 1 or 2 muscles (20560) $124.50 $124.50 4.3×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,783.61 $1,783.61 4.3×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $3,646.90 $3,646.90 4.1×
Optx orb floor blwt fx pri/bital appr w/allplstc (21390) $22,851.12 $22,851.12 3.8×
Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation (26776) $5,510.52 $5,510.52 1.7×
Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) $12,738.62 $12,738.62 3.9×
Perq replacement gtube not req revj gstrst trc (43762) $919.54 $919.54 3.7×
Prep face/oral prost temp obturator (21079) $13,878.72 $13,878.72 4.2×
Puncture Aspiration (10160) $1,596.55 $1,596.55 3.9×
Rebuild eardrum structures (69633) $13,805.30 $13,805.30 2.3×
Rebuild eardrum structures (69632) $4,230.54 $4,230.54 0.7×
Reconstruct cleft palate (42210) $14,362.15 $14,362.15 2.4×
Reconstruct cleft palate (42225) $6,067.38 $6,067.38 1.0×
Removal fb intranasal (30300) $496.89 $496.89 3.7×
Removal impacted cerumen irrigation/lvg unilat (69209) $254.20 $254.20 4.3×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $245.99 $245.99 4.2×
Removal Implant Deep (20680) $5,510.52 $5,510.52 1.9×
Removal Implant Superficial Separate Procedure (20670) $6,417.32 $6,417.32 3.9×
Removal of adenoids (42831) $2,894.47 $2,894.47 0.9×
Removal of finger lesion (26210) $6,139.03 $6,139.03 3.8×
Removal of nail bed (11750) $4,118.40 $4,118.40 10.1×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $300.20 $300.20 1.5×
Removal Sutures/Staples Requiring Anesthesia (15851) $7,829.47 $7,829.47 3.8×
Removal/bivalving full arm/full leg cast (29705) $1,026.70 $1,026.70 3.7×
Remove tissue expander (11971) $11,055.02 $11,055.02 3.8×
Remv Ext Canal Foreign Body (69200) $496.89 $496.89 3.7×
Remv/revisn shldr/hip spica cast (29710) $1,095.04 $1,095.04 3.9×
Repair arm/leg nerve (64857) $26,441.53 $26,441.53 7.7×
Repair cleft lip/nasal (40720) $6,067.37 $6,067.37 1.8×
Repair cleft lip/nasal (40700) $16,589.55 $16,589.55 2.8×
Repair complex trunk 2.6-7.5 cm (13101) $2,486.18 $2,486.18 3.3×
Repair finger/hand tendon (26350) $12,738.62 $12,738.62 3.9×
Repair flex tendon,zone 2,secon,hand,ea (26357) $12,738.62 $12,738.62 3.9×
Repair forearm tendon/muscle (25270) $12,738.62 $12,738.62 3.9×
Repair hand tendon (26410) $5,510.53 $5,510.53 3.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $1,596.55 $1,596.55 3.9×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $1,596.55 $1,596.55 3.9×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $1,596.55 $1,596.55 3.9×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $1,596.55 $1,596.55 3.9×
Repair of eardrum structures (69631) $6,957.77 $6,957.77 1.2×
Repair wrist joints (25447) $12,738.62 $12,738.62 3.9×
Replace g/c tube perc (49450) $4,012.29 $4,012.29 4.4×
Reprgrmg Programmable Cerebrospinal Shunt (62252) $1,183.92 $1,183.92 3.8×
Respir iadna 18 viral&2 bact (0115U) $1,178.36 $1,178.36 4.3×
Revise external ear (69300) $3,116.84 $3,116.84 0.9×
Revise median n/carpal tunnel surg (64721) $7,692.49 $7,692.49 3.9×
Revision of lower leg tendon (27685) $6,902.65 $6,902.65 2.1×
Rhinp Dfrm Colum Lngth Tip Septum Osteot (30462) $9,130.05 $9,130.05 1.5×
Rhinp Prim Complete Xtrnl Parts (30410) $22,851.12 $22,851.12 3.8×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $12,738.62 $12,738.62 3.9×
Simple Cystometrogram (51725) $1,138.70 $1,138.70 4.5×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $772.79 $772.79 3.8×
Skin splt grft trnk/arm/leg (15100) $5,070.54 $5,070.54 2.4×
Skin sub graft face/nk/hf/g (15275) $4,741.08 $4,741.08 6.4×
Skin Sub Grft T/Arm/Lg Child (15273) $2,204.21 $2,204.21 1.1×
Skin Tissue Procedure (17999) $7,123.10 $7,123.10 35.3×
Skin tissue rearrangement (14040) $7,385.82 $7,385.82 3.6×
Skn splt a-grft fac/nck/hf/g (15120) $8,268.72 $8,268.72 2.3×
Skn sub grft f/n/hf/g child (15277) $5,268.96 $5,268.96 2.5×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $772.79 $772.79 3.8×
Spinal puncture lumbar diagnostic (62270) $2,715.09 $2,715.09 3.8×
Spinal Puncture Therapeutic (62272) $2,715.09 $2,715.09 3.8×
Stimulus evoked response (51792) $366 $366 6.2×
Strapping ankle (29540) $642.48 $642.48 3.9×
Strapping elbow/wrist (29260) $249.41 $249.41 4.2×
Strapping hand/finger (29280) $137.50 $137.50 2.3×
Strapping knee (29530) $520.86 $520.86 3.9×
Strapping shoulder (29240) $520.86 $520.86 3.9×
Strapping toes (29550) $264.10 $264.10 4.5×
Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including… (11921) $2,486.18 $2,486.18 3.3×
Tenolysis ext tendon,hand/finger,ea (26445) $12,738.62 $12,738.62 3.9×
Tenotomy,Uni Hamstr,Knee-Thigh,Multi (27391) $4,953.68 $4,953.68 1.5×
Thoracentesis needle/cath pleura w/o imaging (32554) $2,475.69 $2,475.69 3.9×
Thyroid biopsy (60100) $2,777.27 $2,777.27 3.9×
Tr/trnspl 1 tdn w/musc redirion/rerouting supfc (27690) $5,752.22 $5,752.22 0.8×
Trach Tube Change (31502) $479.30 $479.30 2.0×
Treat cheek bone fracture CMS CORRECTION 5/30/03 (21365) $22,851.12 $22,851.12 3.8×
Treat Fracture Radius & Ulna (25560) $885.90 $885.90 3.6×
Treat humerus fracture (24500) $885.90 $885.90 3.6×
Treat humerus fracture (24577) $6,139.03 $6,139.03 3.8×
Treat humerus fracture (23600) $885.90 $885.90 3.6×
Treat knee fracture (27532) $12,738.62 $12,738.62 3.9×
Treat Lower Leg Fracture (27827) $8,821.20 $8,821.20 0.7×
Treat Metatarsal Fracture (28475) $885.90 $885.90 3.6×
Treat thumb fracture (26650) $12,738.62 $12,738.62 3.9×
Treat wrist bone fracture (25635) $6,139.03 $6,139.03 3.8×
Treat wrist bone fracture (25622) $885.90 $885.90 3.6×
Treat Wrist Bone Fracture (25630) $885.90 $885.90 3.6×
Treatment closed elbow dislocation w/o anes (24600) $885.90 $885.90 3.6×
Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) $885.90 $885.90 3.6×
Unlisted craniofacial & maxillofacial procedure (21299) $5,510.53 $5,510.53 23.2×
Unlisted Procedure Dentoalveolar Structures (41899) $8,793.65 $8,793.65 37.0×
Unlisted Procedure External Ear (69399) $5,450.57 $5,450.57 22.9×
Unlisted procedure humerus/elbow (24999) $885.90 $885.90 3.6×
Unlisted procedure spine (22899) $885.90 $885.90 3.6×
Unlisted procedure, hands or fingers (26989) $885.90 $885.90 3.6×
Venipuncture (36415) $15.20 $15.20 1.6×
Wedging of cast (29740) $1,026.70 $1,026.70 3.7×
Windowing of cast (29730) $623.78 $623.78 3.8×
Wound Prep F/N/Hf/G (15004) $2,551.12 $2,551.12 6.2×
Wound prep trk/arm/leg 1st 100 sq cm (15002) $2,649.69 $2,649.69 3.6×
Wrist arthroscop,excis triang cart (29846) $12,738.62 $12,738.62 3.9×