Procedures & surgery prices at Signature Healthcare Brockton Hospital

Brockton, MA · every code in this section with a posted price and a Medicare benchmark.

504 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
$1,786.40–$1,856.40 $2,552–$2,652 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines
$1,786.40–$1,856.40 $2,552–$2,652 varies
Abrasion single lesion (15786) $268.80 $384 1.1×
Amniocentesis diagnostic (59000) $1,094.80 $1,564 1.0×
Amniocentesis therapeutic (59001) $1,786.40 $2,552 4.9×
Application finger splint static (29130)
range across 2 matching MRF lines
$250.60–$320.60 $358–$458 varies
Application long arm splint shoulder hand (29105) $493.50 $705 2.5×
Application Long Leg Splint (29505)
range across 2 matching MRF lines
$423.50–$493.50 $605–$705 varies
Application of rigid total contact leg cast (29445) $723.10 $1,033 2.2×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines
$338.10–$408.10 $483–$583 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines
$423.50–$493.50 $605–$705 varies
Apply Multlay Comprs Lwr Leg (29581) $541.10 $773 2.8×
Apply short leg cast (29425) $723.10 $1,033 2.2×
Arterial puncture (36600)
range across 2 matching MRF lines
$322–$392 $460–$560 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines
$541.10–$611.10 $773–$873 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 4 matching MRF lines
$284.90–$1,082.20 $407–$1,546 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines
$541.10–$1,082.20 $773–$1,546 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines
$541.10–$1,082.20 $773–$1,546 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $541.10 $773 1.5×
Aspirate pleura w/ imaging (32555) $1,786.40 $2,552 2.4×
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines
$1,786.40–$1,856.40 $2,552–$2,652 varies
Aspirate/Inj Ganglion Cyst (20612) $541.10 $773 1.5×
Aspiration and/or injection thyroid cyst (60300) $1,095.50 $1,565 1.3×
Aspiration bladder insert suprapubic catheter (51102) $1,856.40 $2,652 0.7×
Aspiration Bladder Needle (51100) $541.10 $773 1.8×
Avulsion nail plate partial/complete simple 1 (11730) $611.10 $873 2.5×
Biliary ndsc prq t-tube dilat strix w/stent (47556) $8,479.10 $12,113 0.7×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555) $6,452.60 $9,218 0.8×
Biopsy Abdominal Mass (49180) $1,786.40 $2,552 0.9×
Biopsy bone trocar/needle deep (20225) $4,258.80 $6,084 2.2×
Biopsy Bone Trocar/Needle Superficial (20220) $1,786.40 $2,552 0.9×
Biopsy muscle percutaneous needle (20206) $1,786.40 $2,552 0.9×
Biopsy of liver, needle; percutaneous (47000) $1,786.40 $2,552 0.9×
Biopsy soft tissue leg/ankle area superficial (27613) $1,786.40 $2,552 0.9×
Biopsy soft tissue neck/thorax (21550) $1,786.40 $2,552 0.9×
Biopsy soft tissue thigh/knee area superficial (27323) $3,572.80 $5,104 1.8×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $1,786.40 $2,552 0.9×
Bladder Irrigation (51700) $852.60 $1,218 2.8×
Bladder Scan (51798)
range across 2 matching MRF lines
$166.60–$236.60 $238–$338 varies
Blepharotomy drainage abscess eyelid (67700) $1,164.80 $1,664 3.1×
Blood Transfusion Service (36430) $1,189.30 $1,699 2.2×
Blood/Lymph System Procedure (38999) $1,094.80 $1,564 2.1×
Bone Marrow Biopsy (38221) $1,786.40 $2,552 0.9×
Bone Marrow; Aspiration Only (38220) $1,786.40 $2,552 0.9×
Brnchsc Brushing/Protected Brushings (31623) $1,786.40 $2,552 0.8×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $9,295.30 $13,279 2.1×
Bronchoscopy Clear Airways (31645) $1,786.40 $2,552 0.8×
Bronchoscopy W/Biopsy(S) (31625) $4,258.80 $6,084 2.0×
Bronchoscopy W/Removal Foreign Body (31635) $4,258.80 $6,084 2.0×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $4,258.80 $6,084 1.0×
Bronchoscopy/Needle Bx Each (31629) $4,258.80 $6,084 1.0×
Bx breast 1st lesion mr imag (19085) $1,786.40 $2,552 0.9×
Bx breast 1st lesion strtctc (19081)
range across 3 matching MRF lines
$1,786.40–$3,572.80 $2,552–$5,104 varies
Bx breast 1st lesion us imag (19083)
range across 3 matching MRF lines
$1,786.40–$3,572.80 $2,552–$5,104 varies
Bx Cervix (57500) $1,786.40 $2,552 1.6×
Cessj Therapy Cath Removal (37214) $1,786.40 $2,552 0.5×
Change Cystostomy Tube Simple (51705) $852.60 $1,218 2.8×
Chemical Cautery Tissue (17250) $538.30 $769 2.2×
Chemodenerv 1 extrem 5/> mus (64644) $1,094.80 $1,564 1.3×
Chemodenerv 1 extremity 1-4 (64642) $1,094.80 $1,564 1.3×
Chemodenerv Musc Migraine (64615) $1,094.80 $1,564 3.0×
Chemodenerv musc neck dyston (64616) $1,094.80 $1,564 3.0×
Chemodenerv trunk musc 1-5 (64646) $1,094.80 $1,564 1.3×
Chemodenerv trunk musc 6/> (64647) $1,094.80 $1,564 1.3×
Chemodenervation Muscle Larynx Unilat W/Emg (64617) $1,094.80 $1,564 1.3×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $1,094.80 $1,564 3.0×
Chest tube placement (32551)
range across 2 matching MRF lines
$4,258.80–$4,328.80 $6,084–$6,184 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $6,452.60 $9,218 1.5×
Circumcision Neonate (54160) $1,786.40 $2,552 2.1×
Cl Tx Tib Shft Fx W Manip (27752) $1,856.40 $2,652 1.0×
Clear outer ear canal (69200)
range across 2 matching MRF lines
$541.10–$611.10 $773–$873 varies
Closed tx ankle dislocation w/o anesthesia (27840) $1,856.40 $2,652 6.3×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,856.40 $2,652 1.0×
Closed tx patellar dislocation w/o anesthesia (27560) $1,856.40 $2,652 6.3×
Closed tx radial shaft fracture w/manipulation (25505) $1,856.40 $2,652 1.0×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $4,259.50 $6,085 2.2×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $1,856.40 $2,652 6.3×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,856.40 $2,652 1.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $1,856.40 $2,652 6.3×
Clsr Lacrimal Punctum Plug Each (68761) $416.50 $595 1.1×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $4,328.80 $6,184 2.2×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $611.10 $873 2.1×
Cltx dstl fibular fx lat malls w/manj (27788) $1,856.40 $2,652 6.3×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $541.10 $773 1.8×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,856.40 $2,652 1.0×
Cltx fx grt toe phlx/phlg w/manj (28495) $611.10 $873 2.1×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $611.10 $873 2.1×
Cltx hip dislocation traumatic w/o anesthesia (27250) $1,856.40 $2,652 6.3×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $611.10 $873 2.1×
Cltx iphal jt dislc w/manj w/o anes (26770) $611.10 $873 2.1×
Cltx metacarpal fx w/manipulation each bone (26605) $4,328.80 $6,184 14.6×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $1,856.40 $2,652 6.3×
Cltx post hip arthrp dislc req anes (27266) $1,856.40 $2,652 1.0×
Cltx post hip arthrp dislc w/o anes (27265) $1,856.40 $2,652 6.3×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines
$541.10–$611.10 $773–$873 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $4,328.80 $6,184 2.2×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,856.40 $2,652 1.0×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,856.40 $2,652 1.0×
Collect Blood From Catheter Venous Nos (36592) $338.10 $483 2.1×
Collection of venous blood by venipuncture (36415) $7.70 $11 0.8×
Colonoscopy Flexible With Decompression (45393) $1,786.40 $2,552 1.2×
Colonoscopy Stoma Ablation Lesion (44401) $1,786.40 $2,552 1.2×
Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) $1,786.40 $2,552 1.2×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $1,786.40 $2,552 1.2×
Colonoscopy thru stoma (44388) $1,786.40 $2,552 1.6×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $4,258.80 $6,084 3.0×
Colonoscopy w/ablation (45388) $1,786.40 $2,552 1.2×
Colonoscopy W/Resection (45390) $1,786.40 $2,552 0.5×
Colonoscopy w/submucosal inj (45381) $1,786.40 $2,552 1.2×
Colposcopy cervix upper/adjacent vagina (57452) $541.10 $773 2.2×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $1,094.80 $1,564 3.0×
Colsc Flexible W/Control Bleeding Any Method (45382) $1,786.40 $2,552 1.2×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $1,786.40 $2,552 1.2×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,786.40 $2,552 1.2×
Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) $1,787.10 $2,553 1.2×
Complex drainage wound (10180) $4,258.80 $6,084 1.2×
Control Nasal Hemorrhage Anterior Complex (30903) $408.10 $583 2.6×
Control Nasal Hemorrhage Anterior Simple (30901) $408.10 $583 2.6×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,786.40 $2,552 0.9×
Correction of trichiasis; epilation, by forceps only (67820) $171.50 $245 1.1×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $1,856.40 $2,652 11.6×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $6,452.60 $9,218 2.6×
Cystourethroscopy (52000) $721 $1,030 0.9×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $541.10 $773 1.1×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $1,094.80 $1,564 1.3×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $1,094.80 $1,564 1.3×
Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) $8,479.10 $12,113 3.6×
Deb Musc/Fascia 20 Sq Cm/< (11043) $541.10 $773 0.6×
Debride nail 1-5 (11720) $268.80 $384 3.8×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $4,258.80 $6,084 2.2×
Debridement subcutaneous tissue 20 sq cm/< (11042) $541.10 $773 1.1×
Declot vascular device (36593)
range across 2 matching MRF lines
$955.50–$1,025.50 $1,365–$1,465 varies
Destr W Neurolytic; Celiac Plexus (64680) $4,258.80 $6,084 4.0×
Destroy cerv/thor facet jnt (64633)
range across 4 matching MRF lines
$1,786.40–$3,572.80 $2,552–$5,104 varies
Destroy lumb/sac facet jnt (64635)
range across 4 matching MRF lines
$1,786.40–$3,572.80 $2,552–$5,104 varies
Destruct B9 Lesion 1-14 (17110) $268.80 $384 1.1×
Destruction neurolytic agt genicular nerve w/img (64624) $4,258.80 $6,084 1.8×
Destruction premalignant lesion 1st (17000) $268.80 $384 1.1×
Diagnostic sigmoidoscopy (45330) $1,786.40 $2,552 1.6×
Dilat Xst Trc New Access Rcs (50437)
range across 2 matching MRF lines
$1,786.40–$3,572.80 $2,552–$5,104 varies
Dilate Esophagus 1/Mult Pass (43450) $1,786.40 $2,552 1.6×
Drain penis lesion (54015) $6,522.60 $9,318 3.3×
Drain/inj small joint/bursa w/us (20604)
range across 4 matching MRF lines
$541.10–$1,082.20 $773–$1,546 varies
Drainage external auditory canal abscess (69020) $611.10 $873 0.7×
Drainage External Ear Abscess/Hematoma Simple (69000) $611.10 $873 0.7×
Drainage Finger Abscess Complicated (26011) $1,856.40 $2,652 0.9×
Drainage Mouth Roof Lesion (42000) $1,164.80 $1,664 4.1×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines
$479.50–$611.10 $685–$873 varies
Drainage of gum lesion (41800) $1,856.40 $2,652 11.6×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines
$1,786.40–$1,856.40 $2,552–$2,652 varies
Drainage of scrotal wall abscess (55100) $1,856.40 $2,652 0.9×
Draw Blood Off Venous Device (36591) $338.10 $483 2.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines
$541.10–$611.10 $773–$873 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $541.10 $773 2.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines
$541.10–$611.10 $773–$873 varies
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,786.40 $2,552 1.7×
Dx Bone Marrow Bx & Aspir (38222) $1,786.40 $2,552 0.5×
Dx Bronchoscope/Lavage (31624) $1,786.40 $2,552 0.8×
Dx Bronchoscope/Wash (31622) $1,786.40 $2,552 0.8×
Dx Laryngoscopy Excl Nb (31525)
range across 2 matching MRF lines
$1,786.40–$1,856.40 $2,552–$2,652 varies
Dx lmbr spi pnxr w/fluor/CT (62328) $1,786.40 $2,552 2.1×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $1,786.40 $2,552 0.8×
Egd control bleeding any (43255) $4,258.80 $6,084 1.9×
Egd dilation gastric/duodenal stricture (43245) $4,258.80 $6,084 1.9×
Egd endo mucosal resection (43254) $1,786.40 $2,552 0.8×
Egd Endoscopic Stent Place (43266) $4,258.80 $6,084 0.6×
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines
$4,258.80–$4,328.80 $6,084–$6,184 varies
Egd guide wire insertion (43248) $4,258.80 $6,084 3.9×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $4,258.80 $6,084 1.9×
Egd intrmural us needle aspirate/biopsy esophags (43238) $1,786.40 $2,552 0.8×
Egd lesion ablation (43270) $6,452.60 $9,218 2.8×
Egd place gastrostomy tube (43246) $4,258.80 $6,084 1.9×
Egd remove lesion snare (43251) $4,258.80 $6,084 1.9×
Egd Tube/Cath Insertion (43241) $4,258.80 $6,084 1.9×
Egd us exam duodenum/jejunum (43259) $4,258.80 $6,084 1.9×
Egd us transmural injxn/mark (43253) $4,258.80 $6,084 1.9×
Egd Varices Ligation (43244) $4,258.80 $6,084 1.9×
Egd W/Transmural Drain Cyst (43240) $6,452.60 $9,218 0.9×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $1,786.40 $2,552 4.9×
Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) $6,452.60 $9,218 1.0×
Endometrial Biopsy (58100) $541.10 $773 2.2×
Endoscopic us exam esoph (43237) $1,786.40 $2,552 0.8×
Endoscopy Upper Small Intestine (44360) $4,258.80 $6,084 1.9×
Endoscopy upper small intestine w/biopsy (44361) $4,258.80 $6,084 1.9×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $4,258.80 $6,084 1.9×
Epidural Blood Patch (62273)
range across 2 matching MRF lines
$1,786.40–$1,856.40 $2,552–$2,652 varies
Ercp Destruction/Lithotripsy Calculi Any Method (43265) $4,258.80 $6,084 0.6×
Ercp duct stent placement (43274) $4,258.80 $6,084 0.6×
Ercp Dx Collection Specimen Brushing/Washing (43260) $4,258.80 $6,084 0.9×
Ercp ea duct/ampulla dilate (43277) $4,258.80 $6,084 0.9×
Ercp remove calculi/debris biliary/pancreas duct (43264) $4,258.80 $6,084 0.9×
Ercp remove forgn body duct (43275) $4,258.80 $6,084 1.9×
Ercp Stent Exchange W/Dilate (43276) $4,258.80 $6,084 0.6×
Ercp W/Biopsy Single/Multiple (43261) $4,258.80 $6,084 0.9×
Ercp,Sphincterotomy (43262) $4,258.80 $6,084 0.9×
Esophagogastroduodenoscopy Submucosal Injection (43236) $1,786.40 $2,552 1.6×
Esophagoscop Stent Placement (43212)
likely a partial charge, not the full procedure
$1,786.40 $2,552 0.2×
Esophagoscopy Flexible Transoral Diagnostic (43200) $1,786.40 $2,552 1.6×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $4,258.80 $6,084 1.9×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) $4,258.80 $6,084 1.9×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $1,786.40 $2,552 0.8×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $1,786.40 $2,552 0.8×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines
$541.10–$611.10 $773–$873 varies
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $1,094.80 $1,564 1.3×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $288.40 $412 0.3×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $1,786.40 $2,552 2.1×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $1,786.40 $2,552 0.9×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,786.40 $2,552 2.1×
Exc Skin Benig >4 Cm Remaindr Body (11426) $573.30 $819 0.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $522.90 $747 0.3×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $4,328.80 $6,184 3.0×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $368.20 $526 0.2×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $6,452.60 $9,218 1.9×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $1,786.40 $2,552 0.4×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 3 matching MRF lines
$1,786.40–$3,572.80 $2,552–$5,104 varies
Exchange Transfusion (36455) $1,189.30 $1,699 2.2×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $1,786.40 $2,552 0.8×
Excision Chalazion Multiple Same Lid (67801) $294 $420 0.2×
External cephalic version (59412) $7,860.30 $11,229 2.0×
Fetal non-stress test (59025) $510.30 $729 2.1×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,094.80 $1,564 1.3×
Fine needle aspiration bx w/mr gdn 1st lesion (10011) $1,094.80 $1,564 1.3×
Fine needle aspiration without imaging guidance (10021) $611.10 $873 1.3×
Fluid Pressure Muscle (20950) $611.10 $873 0.7×
Fluoro exam of g/colon tube (49465) $541.10 $773 1.9×
Fna Bx W/Fluor Gdn 1St Les (10007) $1,094.80 $1,564 1.3×
Fna bx w/us gdn 1st les (10005) $1,094.80 $1,564 1.3×
Foreskin manipulation (54450) $1,856.40 $2,652 6.2×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines
$1,786.40–$1,856.40 $2,552–$2,652 varies
I&d abscess simple (10060)
range across 2 matching MRF lines
$541.10–$611.10 $773–$873 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $6,522.60 $9,318 1.9×
I&d perianal abscess superficial (46050) $1,164.80 $1,664 1.0×
I&d pilonidal cyst complicated (10081) $1,856.40 $2,652 2.2×
I&d pilonidal cyst simple (10080) $1,856.40 $2,652 2.2×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $1,786.40 $2,552 1.6×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $1,786.40 $2,552 1.6×
Image Cath Fluid Colxn Visc (49405) $4,258.80 $6,084 2.2×
Image Cath Fluid Peri/Retro (49406) $4,258.80 $6,084 2.2×
Image Cath Fluid Trns/Vgnl (49407) $1,786.40 $2,552 0.9×
Implant neuroelectrodes (63650)
range across 3 matching MRF lines
$4,258.80–$8,517.60 $6,084–$12,168 varies
Implant Spine Infusion Pump (62362) $33,282.90 $47,547 1.5×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
unusually low: confirm this is the full procedure
$4,258.80 $6,084 0.4×
Incise external hemorrhoid (46083) $611.10 $873 2.0×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines
$541.10–$611.10 $773–$873 varies
Incision & removal foreign body subq tiss compl (10121) $1,786.40 $2,552 0.9×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines
$541.10–$611.10 $773–$873 varies
Incision and drainage of bartholin's gland abscess (56420) $1,856.40 $2,652 7.7×
Incision and drainage of vulva or perineal abscess (56405) $1,856.40 $2,652 5.1×
Incision of rectal abscess (46040) $6,522.60 $9,318 4.5×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines
$541.10–$611.10 $773–$873 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines
$2,466.10–$4,932.20 $3,523–$7,046 varies
Inj W/Fluor Eval Cv Device (36598) $541.10 $773 2.1×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,786.40 $2,552 1.7×
Inject Intravitreal Pharmcologic (67028) $192.50 $275 0.5×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 3 matching MRF lines
$541.10–$1,082.20 $773–$1,546 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $1,094.80 $1,564 1.0×
Injection aa&/strd genicular nrv branches w/img (64454) $1,902.60 $2,718 2.2×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,786.40 $2,552 1.7×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,902.60 $2,718 2.2×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,786.40 $2,552 2.1×
Injection Anes Agent Sphenopalatine Ganglion (64505) $541.10 $773 1.5×
Injection anesthetic agent suprascapular nerve (64418)
range across 3 matching MRF lines
$1,094.80–$2,189.60 $1,564–$3,128 varies
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines
$541.10–$1,082.20 $773–$1,546 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines
$541.10–$1,082.20 $773–$1,546 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines
$541.10–$1,082.20 $773–$1,546 varies
Injection Sinus Tract Therapeutic Separate Proc (20500) $1,786.40 $2,552 1.0×
Injection therapeutic carpal tunnel (20526)
range across 3 matching MRF lines
$541.10–$1,082.20 $773–$1,546 varies
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines
$1,786.40–$1,822.10 $2,552–$2,603 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 4 matching MRF lines
$1,094.80–$2,189.60 $1,564–$3,128 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines
$1,094.80–$1,164.80 $1,564–$1,664 varies
Injection, intralesional; up to and including 7 lesions (11900) $268.80 $384 1.1×
Ins cath ren art 1st bilat (36252) $6,452.60 $9,218 1.7×
Ins cath ren art 1st unilat (36251) $6,452.60 $9,218 1.7×
Ins cath ren art 2nd+ bilat (36254) $6,452.60 $9,218 1.7×
Ins cath ren art 2nd+ unilat (36253) $6,452.60 $9,218 1.0×
Ins endovas vena cava filtr (37191) $9,295.30 $13,279 1.4×
Ins/Rep Subq Defibrillator (33270) $33,282.90 $47,547 0.9×
Insert 1 Electrode Pm-Defib (33216) $17,980.90 $25,687 1.8×
Insert Bladder Cath Complex (51703)
range across 3 matching MRF lines
$279.30–$487.90 $399–$697 varies
Insert cath pleura w/ image (32557) $1,786.40 $2,552 0.9×
Insert cath pleura w/o image (32556) $1,786.40 $2,552 0.8×
Insert cervical dilator (59200) $541.10 $773 1.5×
Insert Heart Pm Ventricular (33207) $17,980.90 $25,687 1.4×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines
$1,786.40–$1,856.40 $2,552–$2,652 varies
Insert Pacing Lead & Connect (33224)
likely a partial charge, not the full procedure
$1,786.40 $2,552 0.1×
Insert pessary/other device (57160)
range across 2 matching MRF lines
$541.10–$611.10 $773–$873 varies
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $4,328.80 $6,184 2.3×
Insert pulse gen dual leads (33213) $19,997.60 $28,568 1.6×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines
$338.10–$408.10 $483–$583 varies
Insert tissue expander(s) (11960) $4,258.80 $6,084 1.0×
Insert tun ip cath perc (49418) $1,786.40 $2,552 0.4×
Insert tunneled cv cath (36561) $4,258.80 $6,084 1.1×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines
$338.10–$408.10 $483–$583 varies
Insertion indwelling tunneled pleural catheter (32550) $4,258.80 $6,084 1.0×
Insertion of cannula (36800) $6,452.60 $9,218 1.0×
Insertion Picc W/Rs&I 5 Yr/> (36573) $4,258.80 $6,084 2.3×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $21,348.60 $30,498 2.2×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $1,786.40 $2,552 0.4×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines
$4,258.80–$4,328.80 $6,084–$6,184 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines
$1,786.40–$1,856.40 $2,552–$2,652 varies
Insj/Rplcmt Defib W/Lead(S) (33249) $33,282.90 $47,547 0.9×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $33,282.90 $47,547 0.9×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
range across 2 matching MRF lines
$12,144.30–$12,214.30 $17,349–$17,449 varies
Insrt heart pm atrial & vent (33208) $17,980.90 $25,687 1.4×
Intro cath dialysis circuit (36901) $1,786.40 $2,552 0.9×
Intro cath dialysis circuit w/tcat plmt IV stent (36903)
unusually low: confirm this is the full procedure
$6,452.60 $9,218 0.5×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $4,258.80 $6,084 0.6×
Intro Gastrointestinal Tube (44500) $1,786.40 $2,552 1.6×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines
$633.50–$703.50 $905–$1,005 varies
Iridotomy/irridectomy laser surg per session (66761)
range across 3 matching MRF lines
$1,787.10–$3,574.20 $2,553–$5,106 varies
Irrigation of corpora cavernosa for priapism (54220) $1,856.40 $2,652 6.2×
Laryngoscopy flexible diagnostic (31575) $541.10 $773 2.3×
Laryngoscopy W/Foreign Body Removal (31530) $4,258.80 $6,084 2.0×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $1,787.10 $2,553 3.8×
Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed Facility (39401) $6,452.60 $9,218 0.9×
N Block Inj Celiac Pelus (64530) $1,786.40 $2,552 1.7×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines
$1,094.80–$2,189.60 $1,564–$3,128 varies
N block inj intercost sng (64420) $1,094.80 $1,564 1.3×
N Block Inj Plantar Digit (64455) $541.10 $773 1.5×
N Block Inj Pudendal (64430) $1,786.40 $2,552 1.7×
N Block Lumbar/Thoracic (64520) $1,786.40 $2,552 1.7×
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines
$541.10–$611.10 $773–$873 varies
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $1,786.40 $2,552 0.8×
Needle Biopsy Lymph Nodes (38505) $1,786.40 $2,552 0.9×
Needle Biopsy Pancreas (48102) $1,786.40 $2,552 0.9×
Needle insertion w/o injection 1 or 2 muscles (20560) $22.40 $32 0.6×
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines
$1,786.40–$3,572.80 $2,552–$5,104 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines
$1,094.80–$1,164.80 $1,564–$1,664 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $1,094.80 $1,564 0.3×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $1,786.40 $2,552 0.4×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 5 matching MRF lines
$2,466.10–$4,932.20 $3,523–$7,046 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325)
range across 2 matching MRF lines
$1,786.40–$3,572.80 $2,552–$5,104 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 3 matching MRF lines
$1,786.40–$3,572.80 $2,552–$5,104 varies
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320)
range across 3 matching MRF lines
$1,786.40–$3,572.80 $2,552–$5,104 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324)
range across 2 matching MRF lines
$1,786.40–$3,572.80 $2,552–$5,104 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327)
range across 3 matching MRF lines
$1,786.40–$3,572.80 $2,552–$5,104 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 3 matching MRF lines
$1,786.40–$3,572.80 $2,552–$5,104 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326)
range across 2 matching MRF lines
$1,786.40–$3,572.80 $2,552–$5,104 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 3 matching MRF lines
$1,723.40–$3,446.80 $2,462–$4,924 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $1,723.40 $2,462 2.1×
Occipital Nerve Block (64405)
range across 3 matching MRF lines
$1,094.80–$2,189.60 $1,564–$3,128 varies
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $6,452.60 $9,218 1.6×
Open/Perq Place Stent 1St (37236)
unusually low: confirm this is the full procedure
$4,258.80 $6,084 0.3×
Open/Perq Place Stent Same (37238)
unusually low: confirm this is the full procedure
$4,258.80 $6,084 0.3×
Percut Drain/Inject Renal Cyst (50390) $1,786.40 $2,552 2.1×
Percut Mech Thrombectomy, Venous, Repeat (37188) $8,479.10 $12,113 2.2×
Pericardiocentesis W/Imaging (33016) $4,258.80 $6,084 2.3×
Peritoneal Lavage (49084) $1,786.40 $2,552 1.6×
Perq dev breast 1st mr guide (19287) $541.10 $773 0.6×
Perq dev breast 1st strtctc (19283)
range across 3 matching MRF lines
$541.10–$1,082.20 $773–$1,546 varies
Perq dev breast 1st us imag (19285)
range across 3 matching MRF lines
$541.10–$1,082.20 $773–$1,546 varies
Perq device breast 1st imag (19281)
range across 3 matching MRF lines
$541.10–$1,082.20 $773–$1,546 varies
Perq dilation xst trc endourologic px w/img (50436)
range across 2 matching MRF lines
$1,786.40–$3,572.80 $2,552–$5,104 varies
Perq Lumbosacral Injection (22511) $4,258.80 $6,084 1.1×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $4,258.80 $6,084 0.6×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
range across 2 matching MRF lines
$2,515.80–$9,295.30 $3,594–$13,279 varies
Perq Vertebral Augmentation (22513)
likely a partial charge, not the full procedure
$2,165.80 $3,094 0.2×
Place Cath Subclavian Art (36225) $8,479.10 $12,113 2.2×
Place Cath Thoracic Aorta (36221) $8,479.10 $12,113 2.2×
Placement of needle for intraosseous infusion (36680) $611.10 $873 1.1×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $1,786.40 $2,552 0.7×
Plmt Nephroureteral Catheter (50433) $1,786.40 $2,552 0.4×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693)
range across 2 matching MRF lines
$1,786.40–$3,572.80 $2,552–$5,104 varies
Prim art mech thrombectomy (37184)
unusually low: confirm this is the full procedure
$8,479.10 $12,113 0.4×
Probing nasolacrimal duct (68810) $432.60 $618 1.1×
Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) $1,786.40 $2,552 1.2×
Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) $1,008 $1,440 1.5×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $1,094.80 $1,564 1.3×
Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264)
range across 2 matching MRF lines
$1,786.40–$3,572.80 $2,552–$5,104 varies
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $1,786.40 $2,552 0.4×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $1,786.40 $2,552 0.4×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines
$541.10–$611.10 $773–$873 varies
Puncture Aspiration Cyst Breast (19000) $1,094.80 $1,564 1.3×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $4,258.80 $6,084 1.8×
Rem Endovas Vena Cava Filter (37193) $6,452.60 $9,218 1.7×
Removal Foreign Body Foot Subcutaneous (28190) $1,856.40 $2,652 2.2×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines
$268.80–$338.80 $384–$484 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines
$268.80–$338.80 $384–$484 varies
Removal of foreign body from pharynx (42809) $338.80 $484 0.6×
Removal of nail bed (11750)
range across 2 matching MRF lines
$1,094.80–$1,164.80 $1,564–$1,664 varies
Removal of tunneled intraperitoneal catheter (49422) $1,787.10 $2,553 0.5×
Removal ppm generator only (33233)
likely a partial charge, not the full procedure
$1,786.40 $2,552 0.2×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $611.10 $873 2.5×
Removal subcutaneous cardiac rhythm monitor (33286) $1,786.40 $2,552 2.1×
Removal sweat gland lesion (11450) $4,258.80 $6,084 1.2×
Remove brain canal fluid (61050) $1,786.40 $2,552 4.9×
Remove drug implant device (11982) $541.10 $773 1.0×
Remove foreign body from eye (65205)
range across 2 matching MRF lines
$101.50–$611.10 $145–$873 varies
Remove Intrauterine Device (58301)
range across 2 matching MRF lines
$541.10–$611.10 $773–$873 varies
Remove intrvas foreign body (37197) $1,786.40 $2,552 0.5×
Remove lung catheter (32552) $1,786.40 $2,552 2.4×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines
$541.10–$611.10 $773–$873 varies
Remove tissue expander (11971) $1,786.40 $2,552 0.5×
Remove&replace pm gen singl (33227) $33,282.90 $47,547 3.4×
Remv&replc cvd gen dual lead (33263) $33,282.90 $47,547 1.2×
Remv&replc cvd gen mult lead (33264) $33,282.90 $47,547 0.9×
Remv&replc cvd gen sing lead (33262) $33,282.90 $47,547 1.2×
Remv&replc pm gen dual lead (33228) $33,282.90 $47,547 2.7×
Remv&replc pm gen mult leads (33229) $33,282.90 $47,547 1.4×
Renal Biopsy Perq (50200) $1,786.40 $2,552 0.9×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,164.80 $1,664 1.3×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,164.80 $1,664 2.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,094.80 $1,564 2.2×
Repair complex trunk 1.1-2.5 cm (13100) $1,095.50 $1,565 1.2×
Repair complex trunk 2.6-7.5 cm (13101) $1,095.50 $1,565 1.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines
$1,094.80–$1,164.80 $1,564–$1,664 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $1,164.80 $1,664 2.4×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,164.80 $1,664 2.4×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $611.10 $873 1.3×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines
$541.10–$611.10 $773–$873 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $1,164.80 $1,664 2.4×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,164.80 $1,664 1.3×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,164.80 $1,664 2.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines
$1,094.80–$1,164.80 $1,564–$1,664 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $1,164.80 $1,664 2.4×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $1,164.80 $1,664 2.4×
Repair Lead Pace-Defib One (33218) $9,295.30 $13,279 2.1×
Repair of nail bed (11760) $611.10 $873 0.7×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $6,522.60 $9,318 1.7×
Repair tongue laceration (41250) $4,328.80 $6,184 8.1×
Replace g/c tube perc (49450) $1,094.80 $1,564 1.0×
Reposition Gastrostomy Tube (43761) $1,786.40 $2,552 6.0×
Reposition L Ventric Lead (33226) $1,786.40 $2,552 0.5×
Reposition Venous Catheter (36597) $4,258.80 $6,084 2.3×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $1,786.40 $2,552 0.4×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $611.10 $873 1.1×
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines
$541.10–$611.10 $773–$873 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $154.70 $221 0.3×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $1,786.40 $2,552 0.8×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $1,787.10 $2,553 0.4×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,786.40 $2,552 0.9×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,094.80 $1,564 1.5×
Rplc Gtube No Revj Trc (43762)
range across 3 matching MRF lines
$1,786.40–$1,856.40 $2,552–$2,652 varies
Rplc gtube revj gstrst trc (43763) $1,786.40 $2,552 6.0×
Rplcmt cath ctr vad subq port/pmp (36578) $6,452.60 $9,218 1.7×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $4,258.80 $6,084 2.3×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $4,258.80 $6,084 2.3×
Rplcmt compl tun ctr vad w/subq port (36582) $4,258.80 $6,084 1.1×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $4,258.80 $6,084 1.1×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $1,786.40 $2,552 0.9×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $611.10 $873 2.5×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $1,094.80 $1,564 1.5×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $1,094.80 $1,564 1.0×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,786.40 $2,552 1.2×
Sigmoidoscopy & decompress (45337) $1,786.40 $2,552 1.6×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $1,786.40 $2,552 1.2×
Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) $1,786.40 $2,552 1.2×
Sigmoidoscopy w/fb removal (45332) $1,094.80 $1,564 0.8×
Sigmoidoscopy W/Resection (45349) $1,786.40 $2,552 0.5×
Sigmoidoscopy W/Ultrasound (45341) $1,786.40 $2,552 1.6×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $1,786.40 $2,552 1.6×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $1,786.40 $2,552 1.2×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines
$1,786.40–$1,856.40 $2,552–$2,652 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines
$1,786.40–$1,856.40 $2,552–$2,652 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $1,856.40 $2,652 7.7×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines
$541.10–$611.10 $773–$873 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $4,259.50 $6,085 17.7×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $1,856.40 $2,652 7.7×
Skin sub graft face/nk/hf/g (15275) $1,786.40 $2,552 2.0×
Skin sub graft trnk/arm/leg (15271) $1,786.40 $2,552 2.0×
Skin sub grft t/arm/lg child (15273) $1,094.80 $1,564 0.4×
Skn sub grft f/n/hf/g child (15277) $1,094.80 $1,564 0.4×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $8,479.10 $12,113 1.3×
Slctv cath carotid/innom art angio xtrcranl art (36222) $8,479.10 $12,113 2.2×
Small bowel endoscopy (44366) $4,258.80 $6,084 1.9×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $4,258.80 $6,084 1.9×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $611.10 $873 2.5×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $1,856.40 $2,652 3.8×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $4,328.80 $6,184 8.9×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines
$1,786.40–$1,856.40 $2,552–$2,652 varies
Strapping knee (29530) $384.30 $549 2.4×
Strapping Unna Boot (29580) $423.50 $605 2.2×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $33,282.90 $47,547 1.0×
Tgsap sld org neo DNA 523&RNA 55 next gnrj seq (0379U) $2,301.96 $3,288.51 0.7×
Thrmbc/Nfs Dialysis Circuit (36906) $19,997.60 $28,568 0.9×
Thromblytic art/ven therapy (37213) $1,786.40 $2,552 0.5×
Thrombolytic Art Therapy (37211)
likely a partial charge, not the full procedure
$1,786.40 $2,552 0.3×
Thrombolytic Therapy Stroke (37195) $1,856.40 $2,652 4.7×
Thrombolytic Venous Therapy (37212) $1,786.40 $2,552 0.5×
Thyroid biopsy (60100) $1,094.80 $1,564 1.3×
Tooth extraction (41899) $700 $1,000 2.5×
Trabeculoplasty by laser surgery (65855)
range across 3 matching MRF lines
$1,787.10–$3,574.20 $2,553–$5,106 varies
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,856.40 $2,652 6.5×
Transcatheter biopsy (37200)
likely a partial charge, not the full procedure
$1,786.40 $2,552 0.3×
Treat Humerus Fracture (24505) $1,856.40 $2,652 1.0×
Treat Knuckle Dislocation (26700) $611.10 $873 2.1×
Treat toe dislocation (28630) $611.10 $873 2.1×
Treatment closed elbow dislocation w/o anes (24600) $1,856.40 $2,652 6.3×
Trim skin lesion (11055) $541.10 $773 2.3×
Trim skin lesions over 4 (11057) $541.10 $773 2.3×
Unlisted Procedure Intestine (44799) $6,452.60 $9,218 5.9×
Unlisted procedure nervous system (64999) $541.10 $773 1.5×
Unlisted procedure stomach (43999) $1,786.40 $2,552 1.6×
Unlisted Procedure Vascular Surgery (37799) $541.10 $773 0.7×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $6,522.60 $9,318 6.0×
Upgrade of pacemaker system (33214) $19,997.60 $28,568 1.6×
Urethromeatoplasty W/Mucosal Advancement (53450) $1,786.40 $2,552 0.4×
Vasc embolize/occlude artery (37242) $19,997.60 $28,568 0.9×
Vasc Embolize/Occlude Organ (37243) $19,997.60 $28,568 1.4×
Vasc embolize/occlude venous (37241)
unusually low: confirm this is the full procedure
$4,258.80 $6,084 0.3×
Venous Mech Thrombectomy (37187) $8,479.10 $12,113 0.6×
Wedge excision skin nail fold (11765) $611.10 $873 1.3×
Wound Prep F/N/Hf/G (15004) $1,094.80 $1,564 2.2×
Wound Prep Trk/Arm/Leg (15002) $1,094.80 $1,564 1.2×

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.