Procedures & surgery prices at Soldiers & Sailors Memorial Hospital

Penn Yan, NY · every code in this section with a posted price and a Medicare benchmark.

361 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		 $970.75–$1,331.37 $2,426.87–$3,328.41 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $970.75 $2,426.87 0.9×
Amputation toe interphalangeal joint (28825) $3,252.71 $8,131.77 0.8×
Application cast elbow finger short arm (29075) $273.03 $682.56 0.8×
Application finger splint static (29130) $138.20 $345.48 0.8×
Application long arm splint shoulder hand (29105) $224.07 $560.17 1.1×
Application Long Leg Splint (29505) $173.15 $432.87 0.9×
Application short arm splint forearm-hand static (29125) $183.05 $457.61 1.1×
Application short leg splint calf foot (29515) $224.07 $560.17 1.1×
Apply short leg cast (29425) $273.03 $682.56 0.8×
Arterial puncture (36600)
range across 3 matching MRF lines		 $138.20–$183.05 $345.48–$457.61 varies
Arteriovenous Anastomosis Open Direct (36821) $3,508.36 $8,770.89 0.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $419.19 $1,047.96 1.1×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $894.15 $2,235.36 1.0×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $419.19 $1,047.96 1.1×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $382.96–$419.19 $957.39–$1,047.96 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $419.19 $1,047.96 1.1×
Aspirate pleura w/ imaging (32555) $877.95 $2,194.87 1.1×
Aspirate Pleura W/O Imaging (32554) $662.45 $1,656.12 0.8×
Aspiration bladder insert suprapubic catheter (51102) $2,194.38 $5,485.95 0.8×
Avulsion nail plate partial/complete simple 1 (11730) $282.14 $705.33 1.1×
Biopsy Abdominal Mass (49180) $1,724.39 $4,310.97 0.8×
Biopsy bone trocar/needle deep (20225)
range across 2 matching MRF lines		 $1,567.91–$2,300.80 $3,919.76–$5,751.99 varies
Biopsy Bone Trocar/Needle Superficial (20220) $2,300.80 $5,751.99 1.1×
Biopsy muscle percutaneous needle (20206) $2,300.80 $5,751.99 1.1×
Biopsy of liver, needle; percutaneous (47000)
range across 2 matching MRF lines		 $1,724.39–$2,300.80 $4,310.97–$5,751.98 varies
Biopsy Salivary Gland Needle (42400) $762.65 $1,906.62 0.9×
Biopsy soft tissue neck/thorax (21550) $2,300.80 $5,751.99 1.1×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $1,724.39 $4,310.97 0.8×
Bladder Irrigation (51700) $252.68 $631.69 0.8×
Bladder Scan (51798) $84.35 $210.87 1.1×
Blepharotomy drainage abscess eyelid (67700) $301.25 $753.12 0.8×
Blood Transfusion Service (36430)
range across 4 matching MRF lines		 $464.03–$931.22 $1,160.07–$2,328.03 varies
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines		 $1,616.07–$2,300.80 $4,040.16–$5,751.98 varies
Bx breast 1st lesion strtctc (19081) $2,300.80 $5,751.99 1.1×
Bx breast 1st lesion us imag (19083) $2,300.80 $5,751.98 1.1×
Cataract surgery complex (66982) $2,545.04 $6,362.58 0.9×
Cessj Therapy Cath Removal (37214) $3,508.36 $8,770.89 0.9×
Change Cystostomy Tube Complicated (51710) $711.64 $1,779.09 0.8×
Change Cystostomy Tube Simple (51705) $252.68 $631.69 0.8×
Change of Windpipe Airway (31502) $236.51 $591.27 0.8×
Chest tube placement (32551) $1,723.40 $4,308.48 0.9×
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $2,194.38 $5,485.95 0.8×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $4,030.74 $10,076.85 0.9×
Cl Tx Tib Shft Fx W Manip (27752) $1,632.50 $4,081.23 0.8×
Clear outer ear canal (69200) $138.20 $345.48 0.8×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $252.60 $631.50 0.8×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $252.60 $631.50 0.8×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $252.60 $631.50 0.8×
Closed Treatment Sesamoid Fracture (28530) $252.60 $631.50 0.8×
Closed Treatment Sternum Fracture (21820) $340.64 $851.58 1.1×
Closed Treatment Ulnar Styloid Fracture (25650) $252.60 $631.50 0.8×
Closed tx ankle dislocation w/o anesthesia (27840) $252.60 $631.50 0.8×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,632.50 $4,081.23 0.8×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $252.60 $631.50 0.8×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $252.60 $631.50 0.8×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $252.60 $631.50 0.8×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $252.60 $631.50 0.8×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $252.60 $631.50 0.8×
Closed Tx Lunate Dislocation W/Manipulation (25690) $1,632.50 $4,081.23 0.8×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $723.16 $1,807.89 1.1×
Closed tx metatarsal fracture w/o manipulation (28470) $340.64 $851.59 1.1×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $3,891.69 $9,729.21 0.9×
Closed tx patellar dislocation w/anesthesia (27562) $252.60 $631.50 0.8×
Closed tx patellar dislocation w/o anesthesia (27560) $252.60 $631.50 0.8×
Closed Tx Patellar Fracture W/O Manipulation (27520) $252.60 $631.50 0.8×
Closed tx radial head/neck fx w/manipulation (24655) $1,632.50 $4,081.23 0.8×
Closed tx radial head/neck fx w/o manipulation (24650) $340.64 $851.59 1.1×
Closed tx radial shaft fracture w/manipulation (25505) $1,632.50 $4,081.23 0.8×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $252.60 $631.50 0.8×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,632.50 $4,081.23 0.8×
Closed tx radial&ulnar shaft fractures w/o man (25560) $252.60 $631.50 0.8×
Closed Tx Scapular Fracture W/O Manipulation (23570) $340.64 $851.58 1.1×
Closed tx talotarsal joint dislc w/o anes (28570) $252.60 $631.50 0.8×
Closed tx talus fracture w/o manipulation (28430) $252.60 $631.50 0.8×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $340.64 $851.58 1.1×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $2,078.07 $5,195.16 1.0×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $252.60 $631.50 0.8×
Closed tx ulnar shaft fracture w/o manipulation (25530) $252.60 $631.50 0.8×
Clsd tx acromioclavicular dislc w/manipulation (23545) $340.64 $851.58 1.1×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $340.64 $851.58 1.1×
Clsd tx clavicular fracture w/o manipulation (23500) $340.64 $851.59 1.1×
Clsd tx fx orbit except blowout w/o manipulation (21400) $723.16 $1,807.89 1.1×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,272.64 $5,681.58 1.1×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $340.64 $851.59 1.1×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $340.64 $851.58 1.1×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $1,632.50 $4,081.23 0.8×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $252.60 $631.50 0.8×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $252.60 $631.50 0.8×
Cltx dstl fibular fx lat malls w/manj (27788) $252.60 $631.50 0.8×
Cltx dstl fibular fx lat malls w/o manj (27786) $340.64 $851.59 1.1×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $252.60 $631.50 0.8×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $340.64 $851.59 1.1×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $340.64 $851.59 1.1×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,632.50 $4,081.23 0.8×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $252.60 $631.50 0.8×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $252.60 $631.50 0.8×
Cltx fx grt toe phlx/phlg w/manj (28495) $252.60 $631.50 0.8×
Cltx fx grt toe phlx/phlg w/o manj (28490) $340.64 $851.59 1.1×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $252.60 $631.50 0.8×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $340.64 $851.59 1.1×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $2,272.64 $5,681.58 1.1×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $252.60 $631.50 0.8×
Cltx greater humeral tuberosity fx w/o manj (23620) $340.64 $851.58 1.1×
Cltx Greater Trochanteric Fx W/O Manj (27246) $252.60 $631.50 0.8×
Cltx hip dislocation traumatic req anesthesia (27252) $1,632.50 $4,081.23 0.8×
Cltx hip dislocation traumatic w/o anesthesia (27250) $252.60 $631.50 0.8×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $340.64 $851.58 1.1×
Cltx humeral condylar fx medial/lateral w/manj (24577) $2,272.64 $5,681.58 1.1×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $340.64 $851.58 1.1×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $1,632.50 $4,081.23 0.8×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $252.60 $631.50 0.8×
Cltx iphal jt dislc w/manj w/o anes (26770) $252.60 $631.50 0.8×
Cltx Med Ankle Fx W/Mnpj (27762) $1,632.50 $4,081.23 0.8×
Cltx Medial Ankle Fx (27760) $252.60 $631.50 0.8×
Cltx metacarpal fx w/manipulation each bone (26605) $252.60 $631.50 0.8×
Cltx metacarpal fx w/o manipulation each bone (26600) $340.64 $851.59 1.1×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $252.60 $631.50 0.8×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $340.64 $851.59 1.1×
Cltx post hip arthrp dislc req anes (27266) $1,632.50 $4,081.23 0.8×
Cltx post hip arthrp dislc w/o anes (27265) $252.60 $631.50 0.8×
Cltx prox fibula/shft fx w/manj (27781) $1,632.50 $4,081.23 0.8×
Cltx prox fibula/shft fx w/o manj (27780) $252.60 $631.50 0.8×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $2,272.64 $5,681.58 1.1×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $252.60 $631.50 0.8×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $340.64 $851.58 1.1×
Cltx tibial fx proximal w/o manipulation (27530) $340.64 $851.59 1.1×
Cltx tibial shaft fx w/o manipulation (27750) $252.60 $631.50 0.8×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,632.50 $4,081.23 0.8×
Cltx trimalleolar ankle fx w/o manipulation (27816) $252.60 $631.50 0.8×
Collect Blood From Catheter Venous Nos (36592) $146.06 $365.13 0.9×
Collection of venous blood by venipuncture (36415) $10.91 $27.27 1.2×
Control Nasal Hemorrhage Anterior Complex (30903) $183.05 $457.61 1.1×
Control Nasal Hemorrhage Anterior Simple (30901) $138.20 $345.48 0.8×
Control oropharyngeal hemorrhage simple (42960) $519.87 $1,299.66 0.8×
Conversion ext bil drg cath (47535) $4,030.74 $10,076.85 0.9×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $1,990.58 $4,976.43 0.8×
Convert Nephrostomy Catheter (50434) $575.22 $1,438.04 0.2×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,300.80 $5,751.98 1.1×
Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) $3,768.05 $9,420.12 0.9×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $138.20 $345.48 0.8×
Cysto w/irrig & evac multple obstructing clots (52001) $3,768.05 $9,420.12 0.9×
Debridement subcutaneous tissue 20 sq cm/< (11042) $567.29 $1,418.22 1.1×
Declot vascular device (36593)
range across 3 matching MRF lines		 $366.22–$471.02 $915.54–$1,177.53 varies
Drain Cerebro Spinal Fluid (62272) $733.26 $1,833.15 0.8×
Drainage external auditory canal abscess (69020) $762.65 $1,906.62 0.9×
Drainage external ear abscess/hematoma cmplx (69005) $2,300.80 $5,751.99 1.1×
Drainage External Ear Abscess/Hematoma Simple (69000) $762.65 $1,906.62 0.9×
Drainage Finger Abscess Complicated (26011) $1,724.39 $4,310.97 0.8×
Drainage Mouth Roof Lesion (42000) $236.51 $591.27 0.8×
Drainage of finger abscess simple (26010) $220.08 $550.20 0.9×
Drainage of gum lesion (41800) $138.20 $345.48 0.8×
Drainage of hematoma/fluid (10140) $2,300.56 $5,751.39 1.1×
Drainage of nose lesion (30000) $329.76 $824.40 1.1×
Drainage of rectal abscess (45005) $1,270.88 $3,177.18 0.9×
Drainage of scrotal wall abscess (55100) $1,724.39 $4,310.97 0.8×
Drainage of scrotum (54700) $2,194.38 $5,485.95 0.8×
Draw Blood Off Venous Device (36591) $138.20 $345.48 0.8×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $762.65 $1,906.62 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $515.57 $1,288.92 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $282.16 $705.39 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $282.16 $705.40 1.1×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $3,508.36 $8,770.89 0.9×
Evacuation of subungual hematoma (11740) $183.03 $457.56 1.1×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $4,030.74 $10,076.85 0.9×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $2,194.38 $5,485.95 0.8×
Exploration penetrating wound spx extremity (20103) $2,300.80 $5,751.99 1.1×
Exploration Penetrating Wound Spx Neck (20100) $723.16 $1,807.89 1.1×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $999.03 $2,497.56 1.1×
Fluoro exam of g/colon tube (49465) $274.62 $686.53 0.9×
Fna Bx W/Fluor Gdn 1St Les (10007) $999.03 $2,497.56 1.1×
Fna bx w/us gdn 1st les (10005) $999.03 $2,497.56 1.1×
Guide Cathet Fluid Drainage (10030) $999.03 $2,497.56 1.1×
I&d abscess peritonsillar (42700) $236.51 $591.27 0.8×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $282.14–$282.16 $705.33–$705.40 varies
I&d perianal abscess superficial (46050) $972.58 $2,431.44 0.8×
I&d pilonidal cyst complicated (10081) $762.65 $1,906.62 0.9×
I&d pilonidal cyst simple (10080) $999.03 $2,497.56 1.1×
Image Cath Fluid Colxn Visc (49405)
range across 2 matching MRF lines		 $1,724.39–$1,930.95 $4,310.97–$4,827.36 varies
Image Cath Fluid Peri/Retro (49406) $1,724.39 $4,310.97 0.8×
Incise external hemorrhoid (46083) $252.68 $631.69 0.8×
Incision & drainage abscess complicated/multiple (10061) $567.35 $1,418.36 1.1×
Incision & removal foreign body subq tiss compl (10121) $2,300.56 $5,751.39 1.1×
Incision & removal foreign body subq tiss simple (10120) $567.29 $1,418.22 1.1×
Incision and drainage of bartholin's gland abscess (56420) $185.43 $463.56 0.7×
Incision and drainage of vulva or perineal abscess (56405) $332.26 $830.64 0.9×
Incision of rectal abscess (46040) $1,270.88 $3,177.18 0.9×
Incisional biopsy skin single lesion (11106) $869.16 $2,172.90 0.9×
Initial Tx 1st Degree Burn Local Tx (16000) $282.16 $705.40 1.1×
Inj W/Fluor Eval Cv Device (36598) $250.72 $626.79 0.9×
Injection single/mlt trigger point 1/2 muscles (20552) $419.19 $1,047.96 1.1×
Injection single/mlt trigger point 3/> muscles (20553) $419.19 $1,047.96 1.1×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $983.40 $2,458.50 1.1×
Ins endovas vena cava filtr (37191) $5,849.09 $14,622.72 0.8×
Insert Bladder Cath Complex (51703) $165.51 $413.76 1.0×
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines		 $1,723.40–$2,205.94 $4,308.48–$5,514.84 varies
Insert cath pleura w/o image (32556) $1,990.58 $4,976.43 0.8×
Insert Gastrostomy Tube Percutaneous (49440) $1,990.58 $4,976.43 0.8×
Insert non-tunnel cv cath (36556) $4,469.56 $11,173.88 1.1×
Insert Temp Bladder Cath (51702) $183.05 $457.61 1.1×
Insert tun ip cath perc (49418) $4,030.74 $10,076.85 0.9×
Insert tunneled cv cath (36561) $4,469.56 $11,173.88 1.1×
Insert,Non-Indwelling Bladder Catheter (51701) $183.05 $457.61 1.1×
Insertion indwelling tunneled pleural catheter (32550) $4,030.74 $10,076.85 0.9×
Insertion Picc W/Rs&I 5 Yr/> (36573) $3,088.32 $7,720.78 1.6×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $11,752.16 $29,380.39 1.1×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $3,508.36 $8,770.89 0.9×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,723.40 $4,308.48 0.9×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $4,469.56 $11,173.88 1.1×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $567.35 $1,418.37 1.1×
Intro cath dialysis circuit (36901) $1,723.40 $4,308.48 0.9×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $12,310.19 $30,775.47 0.9×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902)
range across 2 matching MRF lines		 $6,074.27 $432.64–$15,185.67 0.9×
Intubation endotracheal emergency procedure (31500) $329.76 $824.40 1.1×
Irrigation of corpora cavernosa for priapism (54220) $252.68 $631.69 0.8×
Laryngoscopy flexible diagnostic (31575) $203.43 $508.56 0.8×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $429.20 $1,072.98 0.9×
Late closure of wound (13160) $2,597.57 $6,493.92 0.6×
Mech remov tunneled cv cath (36595) $3,508.36 $8,770.89 0.9×
Myelography Lumbar Injection (62305) $842.98 $2,107.44 0.9×
Myelography Lumbar Injection (62304) $1,121.92 $2,804.78 1.1×
Myelography via lumbar injection rs&i cervical (62302) $842.98 $2,107.44 0.9×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $842.98 $2,107.44 0.9×
Nasal/Orogastric W/Tube Plmt (43752)
range across 3 matching MRF lines		 $305.80–$429.68 $764.48–$1,074.18 varies
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines		 $1,724.39–$1,853.70 $4,310.97–$4,634.25 varies
Needle Biopsy Pancreas (48102) $1,724.39 $4,310.97 0.8×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $419.18 $1,047.95 1.1×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $4,030.74 $10,076.85 0.9×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $4,030.74 $10,076.85 0.9×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,008.88 $2,522.19 0.9×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $983.40 $2,458.50 1.1×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $711.64 $1,779.09 0.8×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $711.64 $1,779.09 0.8×
Open Tx Distal Phalangeal Fracture Each (26765) $3,387.47 $8,468.67 0.8×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $3,387.47 $8,468.67 0.8×
Open/Perq Place Stent 1St (37236) $12,310.19 $30,775.47 0.9×
Open/Perq Place Stent Same (37238) $12,310.19 $30,775.47 0.9×
Penile Injection (54235) $345.38 $863.43 1.1×
Pericardiocentesis W/Imaging (33016)
range across 2 matching MRF lines		 $686–$1,723.40 $1,715–$4,308.48 varies
Perq dev breast 1st us imag (19285) $999.12 $2,497.80 1.1×
Perq device breast 1st imag (19281) $1,724.39 $4,310.97 0.8×
Perq dilation xst trc endourologic px w/img (50436) $3,768.05 $9,420.12 0.9×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $999.12 $2,497.80 1.1×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $12,310.19 $30,775.47 0.9×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $6,074.27 $15,185.67 0.9×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $10,144.32 $25,360.80 1.1×
Perq Vertebral Augmentation (22513) $10,144.32 $25,360.80 1.1×
Placement of needle for intraosseous infusion (36680) $429.68 $1,074.18 0.8×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $2,194.38 $5,485.95 0.8×
Plmt Nephroureteral Catheter (50433) $3,768.05 $9,420.12 0.9×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $3,768.05 $9,420.12 0.9×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $3,768.05 $9,420.12 0.9×
Prim art mech thrombectomy (37184) $12,310.19 $30,775.47 0.5×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $4,030.74 $10,076.85 0.9×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $4,030.74 $10,076.85 0.9×
Punch biopsy skin single lesion (11104) $567.29 $1,418.22 1.1×
Puncture aspiration abscess hematoma bulla/cyst (10160) $567.29 $1,418.22 1.1×
Puncture Aspiration Cyst Breast (19000) $999.12 $2,497.80 1.1×
Rem Endovas Vena Cava Filter (37193) $3,508.36 $8,770.89 0.9×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $970.75 $2,426.87 0.9×
Removal Embedded Foreign Body Eyelid (67938) $301.25 $753.12 0.8×
Removal Foreign Body Foot Subcutaneous (28190) $762.65 $1,906.62 0.9×
Removal impacted cerumen irrigation/lvg unilat (69209) $84.35 $210.87 1.1×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $68.22 $170.55 0.9×
Removal implantable contraceptive capsules (11976) $999.03 $2,497.56 1.1×
Removal of foreign body from pharynx (42809) $429.68 $1,074.18 0.8×
Removal of nail bed (11750) $567.29 $1,418.22 1.1×
Removal of tunneled intraperitoneal catheter (49422) $3,508.36 $8,770.89 0.9×
Removal subcutaneous cardiac rhythm monitor (33286) $762.65 $1,906.62 0.9×
Remove foreign body from eye (65205) $138.20 $345.48 0.8×
Remove Intrauterine Device (58301) $332.26 $830.64 0.9×
Remove intrvas foreign body (37197) $3,508.36 $8,770.89 0.9×
Remove lung catheter (32552) $658.34 $1,645.83 0.8×
Remove Nasal Foreign Body (30300) $138.20 $345.48 0.8×
Remove renal tube w/fluoro (50389) $711.64 $1,779.09 0.8×
Remove ureter stent percut (50384) $2,194.38 $5,485.95 0.8×
Renal Biopsy Perq (50200) $1,724.39 $4,310.97 0.8×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $869.25 $2,173.11 0.9×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $869.25 $2,173.11 0.9×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $567.35 $1,418.37 1.1×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $869.25 $2,173.11 1.7×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $869.25 $2,173.11 1.7×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $869.25 $2,173.11 1.7×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $515.57 $1,288.92 1.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $515.57 $1,288.92 1.0×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $424.56 $1,061.40 0.8×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $515.57 $1,288.92 1.0×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $812.06 $2,030.13 0.9×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $567.29 $1,418.22 1.1×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $567.29 $1,418.22 1.1×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $812.06 $2,030.13 0.9×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $567.29 $1,418.22 1.1×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $567.29 $1,418.22 1.1×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $567.29 $1,418.22 1.1×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $567.29 $1,418.22 1.1×
Repair of nail bed (11760) $869.16 $2,172.90 0.9×
Repair tongue laceration (41250) $566.66 $1,416.63 1.0×
Replace duodenostomy/jejunostomy tube perq (49451) $970.75 $2,426.87 0.9×
Replace G-J Tube Perc (49452) $970.75 $2,426.87 0.9×
Replace g/c tube perc (49450) $970.75 $2,426.87 0.9×
Reposition Venous Catheter (36597) $1,723.40 $4,308.48 0.9×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $6,074.27 $15,185.67 0.9×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $2,194.38 $5,485.95 0.8×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $1,657.85 $4,144.62 0.9×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $566.65 $1,416.62 1.0×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $138.20 $345.48 0.8×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $429.68 $1,074.18 0.8×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $2,300.80 $5,751.99 1.1×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,723.40 $4,308.48 0.9×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $877.95 $2,194.87 1.1×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $252.68–$345.37 $631.69–$863.42 varies
Rplc gtube revj gstrst trc (43763) $252.68 $631.69 0.8×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $1,723.40 $4,308.48 0.9×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,723.40 $4,308.48 0.9×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $4,469.56 $11,173.88 1.1×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $282.14 $705.33 1.1×
Rpr Lip Full Thickness Vermilion Only (40650) $519.87 $1,299.66 0.8×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $567.29 $1,418.22 1.1×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $282.16 $705.40 1.1×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $282.16 $705.40 1.1×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $282.14 $705.33 1.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $282.14–$282.16 $705.33–$705.40 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $282.14 $705.33 1.1×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $282.16 $705.40 1.1×
Skin Tissue Procedure (17999) $258.86 $647.13 1.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $282.16 $705.40 1.1×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $567.29 $1,418.22 1.1×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $567.29 $1,418.22 1.1×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $733.26–$983.40 $1,833.15–$2,458.50 varies
Strapping hand/finger (29280) $68.22 $170.55 0.9×
Strapping knee (29530) $138.20 $345.48 0.8×
Strapping toes (29550) $78.74 $196.83 1.1×
Strapping Unna Boot (29580) $173.15 $432.87 0.9×
Thrmbc/Nfs Dialysis Circuit (36906) $19,682.78 $49,206.93 0.9×
Thromblytic art/ven therapy (37213) $3,508.36 $8,770.89 0.9×
Thrombolytic Art Therapy (37211) $5,849.09 $14,622.72 0.8×
Thrombolytic Therapy Stroke (37195) $378.53 $946.32 0.9×
Thrombolytic Venous Therapy (37212) $3,508.36 $8,770.89 0.9×
Thyroid biopsy (60100) $762.65 $1,906.62 0.9×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,579.72 $3,949.29 0.8×
Transcatheter biopsy (37200) $5,849.09 $14,622.72 0.8×
Treat humerus fracture (24500) $340.64 $851.58 1.1×
Treat Humerus Fracture (24505) $2,272.64 $5,681.58 1.1×
Treat humerus fracture (23600) $340.64 $851.58 1.1×
Treat Knee Fracture(S) (27538) $252.60 $631.50 0.8×
Treat Knuckle Dislocation (26700) $252.60 $631.50 0.8×
Treat Tail Bone Fracture (27200) $304.91 $762.27 1.0×
Treat toe dislocation (28630) $252.60 $631.50 0.8×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,632.50 $4,081.23 0.8×
Treatment closed elbow dislocation w/o anes (24600) $340.64 $851.58 1.1×
Trluml Balo Angiop 1St Art (37246) $6,074.27 $15,185.67 0.9×
Trluml Balo Angiop 1St Vein (37248) $6,074.27 $15,185.67 0.9×
Tx Gastro Intub W/Asp (43753) $318.71 $796.77 1.2×
Tx Superficial Wound Dehiscence Simple Closure (12020) $869.16 $2,172.90 0.9×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $252.60 $631.50 0.8×
Unlisted procedure nervous system (64999) $309.41 $773.52 0.8×
Vaginal delivery only (59409) $3,217.65 $8,044.11 0.8×
Vein Access Cutdown < 1 Yr (36420) $138.20 $345.48 0.8×
Venous Cutdown >1 Y/O (36425) $429.68 $1,074.18 0.8×
Venous Mech Thrombectomy (37187) $12,310.19 $30,775.47 0.9×
Wedge excision skin nail fold (11765) $515.57 $1,288.92 1.0×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.