Procedures & surgery prices at Southeastern Medical Center
Cambridge, OH · every code in this section with a posted price and a Medicare benchmark.
621 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $1,064.05 | $1,637 | 1.2× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $676 | $1,040 | 0.8× |
| Ablate Pulm Tumor Perq Crybl (32994) range across 2 matching MRF lines |
$5,194.15–$10,388.30 | $7,991–$15,982 | varies |
| Ablation 1/> liver tumor perq cryoablation (47383) unusually low: confirm this is the full procedure |
$3,291.60 | $5,064 | 0.3× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) range across 2 matching MRF lines |
$4,906.20–$9,812.40 | $7,548–$15,096 | varies |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) range across 2 matching MRF lines |
$2,658.50–$5,317 | $4,090–$8,180 | varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $1,064.05 | $1,637 | 0.3× |
| Amputation toe metatarsophalangeal joint (28820) | $3,038.10 | $4,674 | 1.0× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) | $618.80 | $952 | 2.1× |
| Anoscopy Control Bleeding (46614) | $3,530.80 | $5,432 | 3.1× |
| Anoscopy diagnostic (46600) | $142.35 | $219 | 1.1× |
| Apheresis Platelets (36513) | $3,157.05 | $4,857 | 7.6× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $171.60 | $264 | 1.1× |
| Application finger splint static (29130) range across 2 matching MRF lines |
$134.55–$269.10 | $207–$414 | varies |
| Application long arm splint shoulder hand (29105) | $146.25 | $225 | 1.0× |
| Application of rigid total contact leg cast (29445) range across 2 matching MRF lines |
$479.05–$958.10 | $737–$1,474 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$171.60–$343.20 | $264–$528 | varies |
| Arterial puncture (36600) | $86.45 | $133 | 0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$417.95–$835.90 | $643–$1,286 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 2 matching MRF lines |
$454.35–$908.70 | $699–$1,398 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$501.80–$1,003.60 | $772–$1,544 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$544.70–$1,089.40 | $838–$1,676 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$348.40–$696.80 | $536–$1,072 | varies |
| Arthrodesis sacroiliac joint percutaneous (27279) range across 2 matching MRF lines |
$22,703.20–$45,407.05 | $34,928–$69,857 | varies |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$932.75–$1,865.50 | $1,435–$2,870 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$848.90–$1,697.80 | $1,306–$2,612 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $412.75 | $635 | 1.4× |
| Aspiration & Injection Treatment Bone Cyst (20615) | $664.95 | $1,023 | 1.0× |
| Aspiration and/or injection thyroid cyst (60300) | $598 | $920 | 0.9× |
| Aspiration bladder insert suprapubic catheter (51102) | $2,223.65 | $3,421 | 1.1× |
| Avulsion nail plate partial/complete simple 1 (11730) | $149.50 | $230 | 0.8× |
| Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) | $6,968 | $10,720 | 0.7× |
| Biliary ndsc prq t-tube w/bx single/multiple (47553) | $4,160 | $6,400 | 0.7× |
| Biopsy Abdominal Mass (49180) | $1,310.40 | $2,016 | 0.8× |
| Biopsy bone open superficial (20240) | $1,950 | $3,000 | 0.7× |
| Biopsy bone trocar/needle deep (20225) | $2,179.45 | $3,353 | 1.4× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $1,867.45 | $2,873 | 1.2× |
| Biopsy muscle percutaneous needle (20206) | $1,112.15 | $1,711 | 0.7× |
| Biopsy of liver, needle; percutaneous (47000) | $824.20 | $1,268 | 0.5× |
| Biopsy Oropharynx (42800) | $1,075.75 | $1,655 | 0.7× |
| Biopsy Pleura Percutaneous Needle (32400) | $1,514.50 | $2,330 | 1.0× |
| Biopsy Salivary Gland Needle (42400) | $1,712.75 | $2,635 | 2.6× |
| Biopsy soft tissue back/flank deep (21925) | $2,542.15 | $3,911 | 1.6× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) | $1,906.45 | $2,933 | 1.2× |
| Biopsy soft tissue leg/ankle area superficial (27613) range across 2 matching MRF lines |
$2,854.15–$5,708.30 | $4,391–$8,782 | varies |
| Biopsy soft tissue neck/thorax (21550) | $1,789.45 | $2,753 | 1.1× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) | $1,335.10 | $2,054 | 0.9× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) | $1,867.45 | $2,873 | 1.2× |
| Biopsy Soft Tissue Shoulder Superficial (23065) range across 2 matching MRF lines |
$2,542.15–$5,084.30 | $3,911–$7,822 | varies |
| Biopsy soft tissue thigh/knee area superficial (27323) range across 2 matching MRF lines |
$3,088.80–$6,177.60 | $4,752–$9,504 | varies |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) range across 2 matching MRF lines |
$1,612–$3,224 | $2,480–$4,960 | varies |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $1,755 | $2,700 | 2.0× |
| Biopsy, vestibule of mouth (40808) | $481.65 | $741 | 0.9× |
| Bladder instillation anticarcinogenic agent (51720) | $383.50 | $590 | 0.6× |
| Bladder Irrigation (51700) | $312.65 | $481 | 1.3× |
| Blepharotomy drainage abscess eyelid (67700) | $712.40 | $1,096 | 2.4× |
| Blood Transfusion Service (36430) range across 3 matching MRF lines |
$423.80–$953.55 | $652–$1,467 | varies |
| Blood/Lymph System Procedure (38999) | $625.30 | $962 | 1.5× |
| Bone Marrow Biopsy (38221) range across 2 matching MRF lines |
$627.90–$1,255.80 | $966–$1,932 | varies |
| Bone Marrow; Aspiration Only (38220) range across 2 matching MRF lines |
$570.70–$1,141.40 | $878–$1,756 | varies |
| Brnchsc Brushing/Protected Brushings (31623) | $3,712.80 | $5,712 | 2.2× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) | $5,398.90 | $8,306 | 1.5× |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) | $5,398.90 | $8,306 | 1.5× |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) | $2,549.95 | $3,923 | 1.5× |
| Brnchsc Removal Bronchial Valve Initial (31648) | $3,456.05 | $5,317 | 1.0× |
| Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638) | $4,232.80 | $6,512 | 0.6× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) | $2,657.20 | $4,088 | 0.8× |
| Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl (31643) | $3,023.80 | $4,652 | 1.8× |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) | $5,374.85 | $8,269 | 1.5× |
| Bronchial Valve Init Insert (31647) | $4,232.80 | $6,512 | 0.6× |
| Bronchoscopy Bronch Stents (31636) | $4,232.80 | $6,512 | 0.6× |
| Bronchoscopy Clear Airways (31645) | $2,913.30 | $4,482 | 1.7× |
| Bronchoscopy Dilate W/Stent (31631) | $4,232.80 | $6,512 | 0.6× |
| Bronchoscopy Reclear Airway (31646) | $437.45 | $673 | 1.2× |
| Bronchoscopy W/Biopsy(S) (31625) | $3,352.05 | $5,157 | 2.0× |
| Bronchoscopy W/Excision Tumor (31640) | $4,222.40 | $6,496 | 1.2× |
| Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) | $4,232.80 | $6,512 | 0.6× |
| Bronchoscopy W/Removal Foreign Body (31635) | $3,925.35 | $6,039 | 2.3× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) | $3,044.60 | $4,684 | 0.9× |
| Bronchoscopy/Needle Bx Each (31629) | $2,740.40 | $4,216 | 0.8× |
| Bx Arm/Elbow Soft Tissue,Deep (24066) range across 2 matching MRF lines |
$1,773.20–$3,546.40 | $2,728–$5,456 | varies |
| Bx breast 1st lesion mr imag (19085) | $3,446.95 | $5,303 | 2.2× |
| Bx breast 1st lesion strtctc (19081) | $4,618.25 | $7,105 | 3.0× |
| Bx breast 1st lesion us imag (19083) | $3,341.65 | $5,141 | 2.1× |
| Bx breast needle core w/o imaging guidance spx (19100) range across 2 matching MRF lines |
$795.60–$1,591.20 | $1,224–$2,448 | varies |
| Bx Cervix (57500) | $2,183.35 | $3,359 | 2.5× |
| Carpal Tunnel Surgery (64721) | $3,082.30 | $4,742 | 1.7× |
| Cerclage cervix pregnancy vaginal (59320) | $2,345.20 | $3,608 | 0.8× |
| Change Cystostomy Tube Complicated (51710) | $578.50 | $890 | 0.9× |
| Change Cystostomy Tube Simple (51705) | $289.25 | $445 | 1.2× |
| Change of Windpipe Airway (31502) | $739.70 | $1,138 | 3.3× |
| Change ureter stent percut (50382) range across 2 matching MRF lines |
$6,191.25–$12,382.50 | $9,525–$19,050 | varies |
| Chemical Cautery Tissue (17250) | $286 | $440 | 1.5× |
| Chemodenerv 1 extrem 5/> mus (64644) | $1,002.30 | $1,542 | 1.5× |
| Chemodenerv Musc Migraine (64615) | $412.75 | $635 | 1.4× |
| Chemodenerv musc neck dyston (64616) range across 2 matching MRF lines |
$412.75–$825.50 | $635–$1,270 | varies |
| Chemodenerv trunk musc 1-5 (64646) | $1,002.30 | $1,542 | 1.5× |
| Chemodenerv trunk musc 6/> (64647) | $1,253.20 | $1,928 | 1.9× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) | $2,148.25 | $3,305 | 1.1× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $4,714.45 | $7,253 | 1.4× |
| Circumcision w/clamp/oth dev w/block (54150) | $2,199.60 | $3,384 | 1.1× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$271.70–$543.40 | $418–$836 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) | $2,278.90 | $3,506 | 9.8× |
| Collect Blood From Catheter Venous Nos (36592) | $127.40 | $196 | 1.0× |
| Collection of venous blood by venipuncture (36415) | $11.05 | $17 | 1.2× |
| Colonoscopy Flexible With Decompression (45393) | $2,805.40 | $4,316 | 2.5× |
| Colonoscopy Stoma Ablation Lesion (44401) | $3,029.65 | $4,661 | 2.7× |
| Colonoscopy Stoma Control Bleeding (44391) | $3,061.50 | $4,710 | 2.7× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) | $2,975.05 | $4,577 | 2.6× |
| Colonoscopy stoma w/balloon dilation (44405) | $3,029.65 | $4,661 | 2.7× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) | $3,787.55 | $5,827 | 3.3× |
| Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402) | $3,716.70 | $5,718 | 0.6× |
| Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) | $3,057.60 | $4,704 | 2.7× |
| Colonoscopy Stoma W/Rmvl Foreign Body (44390) | $3,116.10 | $4,794 | 3.5× |
| Colonoscopy Stoma W/Submucosal Injection (44404) | $3,022.50 | $4,650 | 2.7× |
| Colonoscopy Through Stoma With Decompression (44408) | $2,999.10 | $4,614 | 3.4× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) | $3,042 | $4,680 | 2.7× |
| Colonoscopy thru stoma (44388) | $2,511.60 | $3,864 | 2.9× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) | $2,975.05 | $4,577 | 2.6× |
| Colonoscopy w/ablation (45388) | $2,805.40 | $4,316 | 2.5× |
| Colonoscopy W/Band Ligation (45398) | $2,866.50 | $4,410 | 2.5× |
| Colonoscopy w/fb removal (45379) | $2,398.50 | $3,690 | 2.1× |
| Colonoscopy W/Resection (45390) | $2,952.95 | $4,543 | 1.1× |
| Colonoscopy w/stent plcmt (45389) | $2,905.50 | $4,470 | 0.5× |
| Colonoscopy w/submucosal inj (45381) | $2,284.75 | $3,515 | 2.0× |
| Colposcopy cervix upper/adjacent vagina (57452) | $309.40 | $476 | 1.6× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $544.70 | $838 | 1.9× |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $2,601.30 | $4,002 | 2.3× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) | $2,663.70 | $4,098 | 2.4× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $2,805.40 | $4,316 | 2.5× |
| Complex drainage wound (10180) | $6,572.80 | $10,112 | 2.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$276.25–$552.50 | $425–$850 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$183.95–$367.90 | $283–$566 | varies |
| Control oropharyngeal hemorrhage simple (42960) | $481.65 | $741 | 0.9× |
| Conversion ext bil drg cath (47535) | $2,039.05 | $3,137 | 0.6× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $3,749.20 | $5,768 | 2.1× |
| Convert Nephrostomy Catheter (50434) range across 2 matching MRF lines |
$4,756.70–$9,512.75 | $7,318–$14,635 | varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $1,773.20 | $2,728 | 1.1× |
| Csf shunt reprogram (62252) | $271.70 | $418 | 0.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$628.55–$1,257.10 | $967–$1,934 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $471.25 | $725 | 2.1× |
| Cysto w/insert ureteral stent (52332) range across 2 matching MRF lines |
$3,435.90–$6,871.80 | $5,286–$10,572 | varies |
| Cysto w/irrig & evac multple obstructing clots (52001) | $2,865.85 | $4,409 | 0.9× |
| Cysto W/Simple Removal Stone & Stent (52310) | $4,295.20 | $6,608 | 2.2× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) | $4,462.90 | $6,866 | 1.3× |
| Cystostomy Cystotomy W/Drainage (51040) | $4,129.45 | $6,353 | 2.1× |
| Cystourethroscopy (52000) | $2,496 | $3,840 | 3.8× |
| Cystourethroscopy inj chemodenervation bladder (52287) | $1,708.20 | $2,628 | 0.9× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $505.05 | $777 | 1.3× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $798.20 | $1,228 | 1.2× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) | $2,592.85 | $3,989 | 1.4× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $1,615.25 | $2,485 | 2.3× |
| Debride nail 1-5 (11720) | $55.90 | $86 | 1.0× |
| Debride nail 6 or more (11721) | $118.30 | $182 | 2.1× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $2,095.60 | $3,224 | 1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $726.05 | $1,117 | 1.9× |
| Declot vascular device (36593) | $434.20 | $668 | 1.4× |
| Delivery of placenta (59414) | $834.60 | $1,284 | 0.3× |
| Destr W Neurolytic; Celiac Plexus (64680) | $1,299.35 | $1,999 | 1.6× |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$3,325.40–$6,650.15 | $5,116–$10,231 | varies |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$3,325.40–$6,650.15 | $5,116–$10,231 | varies |
| Destruct B9 Lesion 1-14 (17110) | $139.75 | $215 | 0.7× |
| Destruction by neurolytic agent, intercostal nerve (64620) | $1,299.35 | $1,999 | 1.6× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) range across 2 matching MRF lines |
$1,085.50–$2,171 | $1,670–$3,340 | varies |
| Destruction by neurolytic agent; plantar common digital nerve (64632) range across 2 matching MRF lines |
$412.75–$825.50 | $635–$1,270 | varies |
| Destruction by neurolytic agent; pudendal nerve (64630) | $1,299.35 | $1,999 | 1.6× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) | $3,881.80 | $5,972 | 3.4× |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 2 matching MRF lines |
$2,770.95–$5,541.90 | $4,263–$8,526 | varies |
| Diagnostic sigmoidoscopy (45330) | $1,726.40 | $2,656 | 2.0× |
| Dilat Xst Trc New Access Rcs (50437) | $11,824.80 | $18,192 | 3.5× |
| Dilate Esophagus 1/Mult Pass (43450) | $2,968.55 | $4,567 | 3.5× |
| Dilation and catheterization of salivary duct, with or without injection (42660) | $187.85 | $289 | 0.4× |
| Drain Cerebro Spinal Fluid (62272) | $739.70 | $1,138 | 1.1× |
| Drain Spinal Cord Cyst (62268) | $3,091.40 | $4,756 | 3.7× |
| Drain/inj small joint/bursa w/us (20604) range across 2 matching MRF lines |
$412.75–$825.50 | $635–$1,270 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 2 matching MRF lines |
$346.45–$692.90 | $533–$1,066 | varies |
| Drainage Finger Abscess Complicated (26011) | $1,503.45 | $2,313 | 1.0× |
| Drainage of finger abscess simple (26010) | $791.05 | $1,217 | 4.2× |
| Drainage of gum lesion (41800) | $514.15 | $791 | 4.1× |
| Drainage of hematoma/fluid (10140) | $1,827.15 | $2,811 | 1.2× |
| Drainage of hydrocele (55000) range across 2 matching MRF lines |
$638.95–$1,277.90 | $983–$1,966 | varies |
| Draw Blood Off Venous Device (36591) | $127.40 | $196 | 1.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $337.35 | $519 | 0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $258.70 | $398 | 0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $215.80 | $332 | 1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $215.80 | $332 | 1.1× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 2 matching MRF lines |
$1,299.35–$2,598.70 | $1,999–$3,998 | varies |
| Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) | $1,600.95 | $2,463 | 1.9× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) | $1,299.35 | $1,999 | 1.6× |
| Dx Bone Marrow Bx & Aspir (38222) | $856.05 | $1,317 | 0.3× |
| Dx Bronchoscope/Lavage (31624) | $2,877.55 | $4,427 | 1.7× |
| Dx Bronchoscope/Wash (31622) | $2,604.55 | $4,007 | 1.5× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $757.90 | $1,166 | 1.1× |
| Egd Balloon Dil Esoph30 Mm/> (43233) | $2,179.45 | $3,353 | 1.2× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $2,211.30 | $3,402 | 1.2× |
| Egd cautery tumor polyp (43250) | $2,146.30 | $3,302 | 1.2× |
| Egd control bleeding any (43255) | $2,109.90 | $3,246 | 1.2× |
| Egd dilation gastric/duodenal stricture (43245) | $2,164.50 | $3,330 | 1.2× |
| Egd endo mucosal resection (43254) | $2,433.60 | $3,744 | 1.3× |
| Egd Endoscopic Stent Place (43266) unusually low: confirm this is the full procedure |
$2,410.85 | $3,709 | 0.4× |
| Egd Flexible Foreign Body Removal (43247) | $2,243.80 | $3,452 | 2.6× |
| Egd guide wire insertion (43248) | $2,564.90 | $3,946 | 3.0× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) | $2,313.35 | $3,559 | 1.3× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) | $2,148.90 | $3,306 | 1.2× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) | $2,612.35 | $4,019 | 1.4× |
| Egd lesion ablation (43270) | $2,805.40 | $4,316 | 1.5× |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) | $8,076.25 | $12,425 | 0.8× |
| Egd place gastrostomy tube (43246) | $2,982.20 | $4,588 | 1.6× |
| Egd remove lesion snare (43251) | $2,146.30 | $3,302 | 1.2× |
| Egd Tube/Cath Insertion (43241) | $2,237.95 | $3,443 | 1.2× |
| Egd us exam duodenum/jejunum (43259) | $2,856.10 | $4,394 | 1.6× |
| Egd us transmural injxn/mark (43253) | $2,391.35 | $3,679 | 1.3× |
| Egd Varices Ligation (43244) | $2,696.20 | $4,148 | 1.5× |
| Egd W/Transmural Drain Cyst (43240) | $4,680 | $7,200 | 0.8× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) | $618.80 | $952 | 2.1× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) | $430.30 | $662 | 1.5× |
| Endometrial Biopsy (58100) | $384.15 | $591 | 2.0× |
| Endoscopic us exam esoph (43237) | $2,179.45 | $3,353 | 1.2× |
| Endoscopy Upper Small Intestine (44360) | $2,389.40 | $3,676 | 1.3× |
| Endoscopy upper small intestine w/biopsy (44361) | $2,389.40 | $3,676 | 1.3× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) range across 2 matching MRF lines |
$5,194.15–$10,388.30 | $7,991–$15,982 | varies |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) range across 2 matching MRF lines |
$2,772.25–$5,544.50 | $4,265–$8,530 | varies |
| Endoven ther chem adhes 1st (36482) unusually low: confirm this is the full procedure |
$1,751.10 | $2,694 | 0.3× |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) | $2,389.40 | $3,676 | 1.3× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) | $2,389.40 | $3,676 | 1.3× |
| Enteroscopy > 2nd prtn ileum control bleeding (44378) | $2,389.40 | $3,676 | 1.3× |
| Enteroscopy > 2nd prtn tndsc stent plmt (44370) | $3,640 | $5,600 | 0.6× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) | $2,389.40 | $3,676 | 1.3× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) | $2,389.40 | $3,676 | 1.3× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) | $2,389.40 | $3,676 | 1.3× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) | $2,389.40 | $3,676 | 1.3× |
| Epidural Blood Patch (62273) | $1,002.30 | $1,542 | 1.5× |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) | $4,680 | $7,200 | 0.8× |
| Ercp duct stent placement (43274) | $2,905.50 | $4,470 | 0.5× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) | $2,109.25 | $3,245 | 0.6× |
| Ercp ea duct/ampulla dilate (43277) | $2,355.60 | $3,624 | 0.6× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) | $2,157.35 | $3,319 | 0.6× |
| Ercp remove forgn body duct (43275) | $2,157.35 | $3,319 | 1.2× |
| Ercp Stent Exchange W/Dilate (43276) | $4,680 | $7,200 | 0.8× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) | $2,355.60 | $3,624 | 0.6× |
| Ercp W/Biopsy Single/Multiple (43261) | $2,436.85 | $3,749 | 0.7× |
| Ercp,Sphincterotomy (43262) | $2,436.85 | $3,749 | 0.7× |
| Escharotomy; initial incision (16035) | $530.40 | $816 | 1.4× |
| Esoph Scope W/Submucous Inj (43201) | $1,988.35 | $3,059 | 1.1× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) | $2,249 | $3,460 | 2.6× |
| Esophagosc Dilate Balloon 30 (43214) | $2,140.45 | $3,293 | 1.2× |
| Esophagoscop Mucosal Resect (43211) | $2,433.60 | $3,744 | 1.3× |
| Esophagoscop Stent Placement (43212) | $4,234.75 | $6,515 | 0.7× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) | $1,922.05 | $2,957 | 1.1× |
| Esophagoscopy Flex Transoral Injection Varices (43204) | $1,988.35 | $3,059 | 1.1× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) | $2,090.40 | $3,216 | 0.6× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) | $2,214.55 | $3,407 | 1.2× |
| Esophagoscopy Flexible Guide Wire Dilation (43226) | $2,140.45 | $3,293 | 1.2× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) | $1,720.55 | $2,647 | 2.0× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) | $1,988.35 | $3,059 | 1.1× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) | $2,570.10 | $3,954 | 1.4× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $1,841.45 | $2,833 | 1.0× |
| Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) | $1,988.35 | $3,059 | 1.1× |
| Evacuation of subungual hematoma (11740) | $337.35 | $519 | 2.7× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $1,949.35 | $2,999 | 2.9× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $1,949.35 | $2,999 | 1.2× |
| Exc Frenum Labial/Buccal (40819) | $1,075.75 | $1,655 | 0.7× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $1,949.35 | $2,999 | 1.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $1,391 | $2,140 | 2.1× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $1,949.35 | $2,999 | 1.2× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $1,730.95 | $2,663 | 1.1× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $2,071.55 | $3,187 | 1.8× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $407.55 | $627 | 1.1× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $826.80 | $1,272 | 1.2× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $1,653.60 | $2,544 | 1.1× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) | $2,369.25 | $3,645 | 0.9× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $1,335.10 | $2,054 | 0.9× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $1,699.10 | $2,614 | 0.5× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) range across 2 matching MRF lines |
$3,331.90–$6,663.80 | $5,126–$10,252 | varies |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $930.80 | $1,432 | 0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $617.50 | $950 | 0.9× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $1,949.35 | $2,999 | 1.2× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $865.80 | $1,332 | 1.3× |
| Explo/Drain Breast Abscess (19020) | $2,243.80 | $3,452 | 1.4× |
| Exploration penetrating wound spx extremity (20103) | $842.40 | $1,296 | 0.5× |
| External cephalic version (59412) | $1,345.50 | $2,070 | 0.4× |
| Fasciotomy, foot and/or toe (28008) range across 2 matching MRF lines |
$1,994.85–$3,989.70 | $3,069–$6,138 | varies |
| Fetal Contraction Stress Test (59020) | $384.15 | $591 | 2.0× |
| Fetal non-stress test (59025) | $376.35 | $579 | 2.0× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $2,076.75 | $3,195 | 3.1× |
| Fine needle aspiration without imaging guidance (10021) | $485.55 | $747 | 1.3× |
| Fluoro exam of g/colon tube (49465) | $402.35 | $619 | 1.8× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $1,385.80 | $2,132 | 2.1× |
| Fna bx w/us gdn 1st les (10005) | $757.25 | $1,165 | 1.1× |
| Gi malabs eval aat calprotectin pncrtc elastase (0430U) | $1,638 | $2,520 | 26.6× |
| Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) | $1,228.50 | $1,890 | 33.6× |
| Guide Cathet Fluid Drainage (10030) | $267.15 | $411 | 0.4× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $590.20 | $908 | 0.7× |
| Hepcidin-25 elisa serum or plasma (0251U) | $289.25 | $445 | 16.7× |
| I&d abscess peritonsillar (42700) | $536.25 | $825 | 2.4× |
| I&d abscess simple (10060) | $232.70 | $358 | 1.2× |
| I&D Below Fascia Foot 1 Bursal Space (28002) range across 2 matching MRF lines |
$1,053–$2,106 | $1,620–$3,240 | varies |
| I&d perianal abscess superficial (46050) | $523.25 | $805 | 0.6× |
| I&d pilonidal cyst complicated (10081) | $516.75 | $795 | 0.8× |
| I&d pilonidal cyst simple (10080) | $367.90 | $566 | 0.5× |
| Idh1 idh2&tert promoter cns tumors ngs s/d/i (0481U) | $3,393 | $5,220 | 5.0× |
| Ileoscopy Stoma W/Balloon Dilation (44381) | $2,343.25 | $3,605 | 1.3× |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) | $2,231.45 | $3,433 | 2.6× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) | $2,124.85 | $3,269 | 2.5× |
| Image Cath Fluid Colxn Visc (49405) | $1,278.55 | $1,967 | 0.8× |
| Image Cath Fluid Peri/Retro (49406) | $952.90 | $1,466 | 0.6× |
| Image Cath Fluid Trns/Vgnl (49407) | $952.90 | $1,466 | 0.6× |
| Implant neuroelectrodes (63650) | $7,910.50 | $12,170 | 1.3× |
| Implant Spine Infusion Pump (62362) | $26,902.20 | $41,388 | 1.6× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) | $9,003.80 | $13,852 | 1.1× |
| Incise external hemorrhoid (46083) | $507.65 | $781 | 2.1× |
| Incise finger tendon sheath (26055) | $2,641.60 | $4,064 | 1.7× |
| Incision & drainage abscess complicated/multiple (10061) | $568.75 | $875 | 1.5× |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $3,001.05 | $4,617 | 1.1× |
| Incision & removal foreign body subq tiss compl (10121) | $614.25 | $945 | 0.4× |
| Incision & removal foreign body subq tiss simple (10120) | $337.35 | $519 | 0.9× |
| Incision and drainage of bartholin's gland abscess (56420) | $514.15 | $791 | 2.7× |
| Incision and drainage of vulva or perineal abscess (56405) | $700.70 | $1,078 | 2.4× |
| Incision of lingual frenum (frenotomy) (41010) | $978.25 | $1,505 | 0.7× |
| Incision of rectal abscess (46040) | $1,203.80 | $1,852 | 1.1× |
| Incisional biopsy skin single lesion (11106) | $402.35 | $619 | 0.6× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $258.70 | $398 | 1.4× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$1,299.35–$2,598.70 | $1,999–$3,998 | varies |
| Inj W/Fluor Eval Cv Device (36598) range across 2 matching MRF lines |
$536.25–$1,072.50 | $825–$1,650 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 2 matching MRF lines |
$1,299.35–$2,598.70 | $1,999–$3,998 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$323.05–$646.10 | $497–$994 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 2 matching MRF lines |
$1,299.35–$2,598.70 | $1,999–$3,998 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 2 matching MRF lines |
$1,002.30–$2,004.60 | $1,542–$3,084 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $1,299.35 | $1,999 | 1.6× |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) | $2,449.20 | $3,768 | 2.9× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) range across 2 matching MRF lines |
$1,002.30–$2,004.60 | $1,542–$3,084 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 2 matching MRF lines |
$1,002.30–$2,004.60 | $1,542–$3,084 | varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) range across 2 matching MRF lines |
$412.75–$825.50 | $635–$1,270 | varies |
| Injection Anes Superior Hypogastric Plexus (64517) | $1,299.35 | $1,999 | 1.6× |
| Injection anesthetic agent suprascapular nerve (64418) range across 2 matching MRF lines |
$1,002.30–$2,004.60 | $1,542–$3,084 | varies |
| Injection for identification of sentinel node (38792) range across 2 matching MRF lines |
$798.85–$1,597.70 | $1,229–$2,458 | varies |
| Injection Into Brain Canal (61055) | $139.75 | $215 | 0.5× |
| Injection single tendon origin/insertion (20551) | $412.75 | $635 | 1.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $412.10 | $634 | 1.4× |
| Injection single/mlt trigger point 3/> muscles (20553) | $412.75 | $635 | 1.4× |
| Injection Sinus Tract Therapeutic Separate Proc (20500) | $1,075.75 | $1,655 | 0.7× |
| Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines |
$412.75–$825.50 | $635–$1,270 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 2 matching MRF lines |
$1,299.35–$2,598.70 | $1,999–$3,998 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$1,503.45–$3,006.90 | $2,313–$4,626 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$1,503.45–$3,006.90 | $2,313–$4,626 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $340.60 | $524 | 1.8× |
| Ins Vag Brachytx Device (57156) | $807.95 | $1,243 | 2.8× |
| Insert Bladder Cath Complex (51703) | $510.25 | $785 | 4.2× |
| Insert cath pleura w/ image (32557) range across 2 matching MRF lines |
$851.50–$1,703 | $1,310–$2,620 | varies |
| Insert cath pleura w/o image (32556) range across 2 matching MRF lines |
$1,138.80–$2,277.60 | $1,752–$3,504 | varies |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) | $5,381.35 | $8,279 | 4.8× |
| Insert cervical dilator (59200) | $677.30 | $1,042 | 2.3× |
| Insert Drug Implant Device (11981) | $780 | $1,200 | 6.2× |
| Insert Gastrostomy Tube Percutaneous (49440) | $5,381.35 | $8,279 | 3.0× |
| Insert non-tunnel cv cath (36556) | $1,400.75 | $2,155 | 0.5× |
| Insert Temp Bladder Cath (51702) | $154.05 | $237 | 1.2× |
| Insert tun ip cath perc (49418) | $4,022.85 | $6,189 | 1.2× |
| Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$1,657.50–$3,315 | $2,550–$5,100 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) | $136.50 | $210 | 1.1× |
| Insertion indwelling tunneled pleural catheter (32550) | $5,357.30 | $8,242 | 1.6× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $1,072.50 | $1,650 | 0.7× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $4,634.50 | $7,130 | 0.6× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) | $4,889.95 | $7,523 | 1.4× |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) | $5,551 | $8,540 | 1.1× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) | $1,737.45 | $2,673 | 0.4× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $1,400.75 | $2,155 | 0.5× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $1,007.50 | $1,550 | 0.7× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) range across 2 matching MRF lines |
$1,989–$3,978 | $3,060–$6,120 | varies |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) range across 2 matching MRF lines |
$2,386.80–$4,773.60 | $3,672–$7,344 | varies |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 2 matching MRF lines |
$1,560–$3,120 | $2,400–$4,800 | varies |
| Insj/Rplcmt Cranial Neurostim Gener 2/> Eltrds (61886) | $47,931.65 | $73,741 | 1.6× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) | $17,454.45 | $26,853 | 0.6× |
| Insrt/Redo Neurostim 1 Array (61885) | $32,375.20 | $49,808 | 1.1× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) range across 2 matching MRF lines |
$876.85–$1,753.70 | $1,349–$2,698 | varies |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) | $1,459.90 | $2,246 | 1.1× |
| Intro Gastrointestinal Tube (44500) | $815.75 | $1,255 | 1.0× |
| Intubation endotracheal emergency procedure (31500) | $843.05 | $1,297 | 3.8× |
| Irrigation of corpora cavernosa for priapism (54220) | $560.95 | $863 | 2.4× |
| Klhl11 antb serum/csf cell binding assay qual (0432U) | $1,170 | $1,800 | 32.0× |
| Laryngoscopy diagnostic (31505) | $509.60 | $784 | 2.7× |
| Laryngoscopy flexible diagnostic (31575) | $239.85 | $369 | 1.3× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) | $1,216.80 | $1,872 | 3.3× |
| Late closure of wound (13160) | $734.50 | $1,130 | 0.2× |
| Ligation or biopsy temporal artery (37609) range across 2 matching MRF lines |
$1,612–$3,224 | $2,480–$4,960 | varies |
| Lyse chest fibrin init day (32561) | $811.85 | $1,249 | 1.4× |
| Lyse Chest Fibrin Subq Day (32562) | $811.85 | $1,249 | 1.4× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) range across 2 matching MRF lines |
$5,369.65–$10,739.30 | $8,261–$16,522 | varies |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) | $360.10 | $554 | 0.2× |
| Mech remov tunneled cv cath (36595) | $1,988.35 | $3,059 | 0.7× |
| Myelography Lumbar Injection (62305) | $2,566.20 | $3,948 | 3.5× |
| Myelography Lumbar Injection (62304) | $1,999.40 | $3,076 | 2.7× |
| Myelography via lumbar injection rs&i cervical (62302) | $1,487.85 | $2,289 | 2.0× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $1,224.60 | $1,884 | 1.7× |
| N Block Inj Celiac Pelus (64530) | $1,299.35 | $1,999 | 1.6× |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines |
$1,503.45–$3,006.90 | $2,313–$4,626 | varies |
| N block inj intercost sng (64420) | $1,002.30 | $1,542 | 1.5× |
| N Block Inj Plantar Digit (64455) range across 2 matching MRF lines |
$174.20–$348.40 | $268–$536 | varies |
| N Block Inj Pudendal (64430) range across 2 matching MRF lines |
$1,299.35–$2,598.70 | $1,999–$3,998 | varies |
| N Block Lumbar/Thoracic (64520) range across 2 matching MRF lines |
$1,299.35–$2,598.70 | $1,999–$3,998 | varies |
| Nasal Endoscopy Dx (31231) | $404.30 | $622 | 2.1× |
| Nasal/Orogastric W/Tube Plmt (43752) | $1,161.55 | $1,787 | 2.7× |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) | $973.70 | $1,498 | 2.6× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) range across 2 matching MRF lines |
$1,456–$2,912 | $2,240–$4,480 | varies |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) | $2,142.40 | $3,296 | 2.4× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) | $2,188.55 | $3,367 | 2.5× |
| Needle Biopsy Lymph Nodes (38505) range across 2 matching MRF lines |
$1,312.35–$2,624.70 | $2,019–$4,038 | varies |
| Needle Biopsy Pancreas (48102) | $3,825.25 | $5,885 | 2.4× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $22.75 | $35 | 0.8× |
| Needle insertion w/o injection 3 or more muscles (20561) | $32.50 | $50 | 1.2× |
| Neuro alys b-amyl 1-42&1-40 (0358U) | $1,615.25 | $2,485 | 6.2× |
| Neuro alz ds beta amyl&tau prtn bld lc-ms/ms alg (0503U) | $3,393 | $5,220 | 4.5× |
| Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) | $689.65 | $1,061 | 1.0× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $563.55 | $867 | 1.4× |
| Nfct ds csf metagenomic ngs bioinformatic alys (0480U) | $5,850 | $9,000 | 2.8× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) | $2,956.20 | $4,548 | 1.4× |
| Njx anes stellate ganglion crv sympathetic (64510) range across 2 matching MRF lines |
$1,299.35–$2,598.70 | $1,999–$3,998 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$278.20–$556.40 | $428–$856 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $4,901 | $7,540 | 1.4× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $5,703.75 | $8,775 | 1.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$1,299.35–$2,598.70 | $1,999–$3,998 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,392.30 | $2,142 | 2.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $1,002.30 | $1,542 | 1.5× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $1,689.35 | $2,599 | 2.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,392.30 | $2,142 | 2.1× |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) | $1,124.50 | $1,730 | 0.6× |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) | $1,124.50 | $1,730 | 0.6× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) range across 2 matching MRF lines |
$1,088.10–$2,176.20 | $1,674–$3,348 | varies |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) range across 2 matching MRF lines |
$1,088.10–$2,176.20 | $1,674–$3,348 | varies |
| Njx Sclrsnt 1 Incmptnt Vein (36470) range across 2 matching MRF lines |
$196.95–$393.90 | $303–$606 | varies |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) range across 2 matching MRF lines |
$196.95–$393.90 | $303–$606 | varies |
| Njx Sclrsnt Spider Veins (36468) | $66.95 | $103 | 0.2× |
| Obstructive material removal from gi tube (49460) | $4,312.10 | $6,634 | 5.0× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$412.75–$825.50 | $635–$1,270 | varies |
| Onc Hl Neo Gen Seq Alys Alg (0364U) | $4,258.80 | $6,552 | 2.1× |
| Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568) | $53,528.15 | $82,351 | 1.3× |
| Ostectomy, complete excision; fifth metatarsal head (28113) | $2,601.95 | $4,003 | 0.8× |
| Partical Excision Bone Phalanx Toe (28124) | $3,747.25 | $5,765 | 1.2× |
| Penile Injection (54235) | $560.95 | $863 | 2.4× |
| Perc Cryo Ablate Renal Tum (50593) range across 2 matching MRF lines |
$6,730.10–$13,460.20 | $10,354–$20,708 | varies |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) | $1,459.90 | $2,246 | 1.1× |
| Perc Rf Ablate Renal Tumor (50592) range across 2 matching MRF lines |
$5,293.60–$10,587.20 | $8,144–$16,288 | varies |
| Percut Ablate Liver Rf (47382) | $5,104.45 | $7,853 | 0.9× |
| Percut Drain/Inject Renal Cyst (50390) range across 2 matching MRF lines |
$2,213.90–$4,427.80 | $3,406–$6,812 | varies |
| Percutaneous implantation of neurostimulator electrode array; cranial nerve Facility (64553) | $17,747.60 | $27,304 | 1.7× |
| Pericardiocentesis W/Imaging (33016) | $6,637.15 | $10,211 | 4.5× |
| Peritoneal Lavage (49084) | $687.05 | $1,057 | 0.8× |
| Perq Cervicothoracic Inject (22510) | $9,070.75 | $13,955 | 2.9× |
| Perq dev breast 1st strtctc (19283) | $3,050.45 | $4,693 | 4.6× |
| Perq dev breast 1st us imag (19285) | $3,050.45 | $4,693 | 4.6× |
| Perq device breast 1st imag (19281) | $2,542.15 | $3,911 | 1.6× |
| Perq dilation xst trc endourologic px w/img (50436) | $5,912.40 | $9,096 | 1.8× |
| Perq Lumbosacral Injection (22511) | $9,054.50 | $13,930 | 2.9× |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) range across 2 matching MRF lines |
$1,293.50–$2,586.35 | $1,990–$3,979 | varies |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) range across 2 matching MRF lines |
$5,194.15–$10,388.30 | $7,991–$15,982 | varies |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $910.65 | $1,401 | 1.4× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $7,410 | $11,400 | 1.1× |
| Perq Vertebral Augmentation (22513) | $7,410 | $11,400 | 1.1× |
| Phleb Veins - Extrem 20+ (37766) range across 2 matching MRF lines |
$5,356.65–$10,713.30 | $8,241–$16,482 | varies |
| Place Duod/Jej Tube Perc (49441) | $5,381.35 | $8,279 | 3.0× |
| Place Rt Device/Marker Pros (55876) | $4,823.65 | $7,421 | 3.7× |
| Placement of needle for intraosseous infusion (36680) | $224.25 | $345 | 0.5× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) | $6,520.80 | $10,032 | 1.1× |
| Plmt Bile Duct Stent Prq Existing Access (47538) unusually low: confirm this is the full procedure |
$2,359.50 | $3,630 | 0.4× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) | $3,539.90 | $5,446 | 0.6× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) | $3,539.90 | $5,446 | 0.6× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 2 matching MRF lines |
$4,380.35–$8,760.70 | $6,739–$13,478 | varies |
| Plmt Nephroureteral Catheter (50433) range across 2 matching MRF lines |
$4,756.70–$9,512.75 | $7,318–$14,635 | varies |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) range across 2 matching MRF lines |
$4,425.85–$8,851.70 | $6,809–$13,618 | varies |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) range across 2 matching MRF lines |
$4,425.85–$8,851.70 | $6,809–$13,618 | varies |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) range across 2 matching MRF lines |
$4,425.85–$8,851.70 | $6,809–$13,618 | varies |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $555.10 | $854 | 0.6× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) | $1,919.45 | $2,953 | 1.7× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $2,861.95 | $4,403 | 4.3× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) | $9,730.50 | $14,970 | 1.6× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $1,727.05 | $2,657 | 0.5× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $2,302.95 | $3,543 | 0.7× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) | $1,550.90 | $2,386 | 0.5× |
| Punch biopsy skin single lesion (11104) | $226.20 | $348 | 0.6× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $228.80 | $352 | 0.6× |
| Puncture Aspiration Cyst Breast (19000) | $1,118 | $1,720 | 1.7× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $1,020.50 | $1,570 | 1.5× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) range across 2 matching MRF lines |
$1,299.35–$2,598.70 | $1,999–$3,998 | varies |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) range across 2 matching MRF lines |
$2,770.95–$5,541.90 | $4,263–$8,526 | varies |
| Rbc DNA gntyp 12 bld grp gen (0282U) | $739.05 | $1,137 | 1.0× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $1,613.30 | $2,482 | 1.9× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$614.90–$1,229.80 | $946–$1,892 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $1,522.30 | $2,342 | 1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$361.40–$722.80 | $556–$1,112 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$301.60–$603.20 | $464–$928 | varies |
| Removal Implant Superficial Separate Procedure (20670) | $5,437.90 | $8,366 | 3.5× |
| Removal implantable contraceptive capsules (11976) | $910 | $1,400 | 1.4× |
| Removal of foreign body from pharynx (42809) | $490.10 | $754 | 1.2× |
| Removal of nail bed (11750) | $224.25 | $345 | 0.6× |
| Removal of tunneled intraperitoneal catheter (49422) | $2,771.60 | $4,264 | 0.9× |
| Removal or bivalving full arm or full leg cast (29705) range across 2 matching MRF lines |
$1,333.15–$2,666.30 | $2,051–$4,102 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $153.40 | $236 | 0.8× |
| Removal subcutaneous cardiac rhythm monitor (33286) | $3,407.95 | $5,243 | 5.1× |
| Remove & Replace Indwell Ureteral Stent Trurthrl (50385) range across 2 matching MRF lines |
$6,763.25–$13,526.50 | $10,405–$20,810 | varies |
| Remove brain canal fluid (61050) | $98.80 | $152 | 0.3× |
| Remove drug implant device (11982) | $715 | $1,100 | 1.7× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$261.30–$522.60 | $402–$804 | varies |
| Remove Int Dwell Ureteral Stent Transurethral (50386) range across 2 matching MRF lines |
$5,072.60–$10,144.55 | $7,804–$15,607 | varies |
| Remove Intrauterine Device (58301) | $882.70 | $1,358 | 3.1× |
| Remove lung catheter (32552) | $1,686.10 | $2,594 | 2.8× |
| Remove Nasal Foreign Body (30300) | $188.50 | $290 | 1.5× |
| Remove renal tube w/fluoro (50389) range across 2 matching MRF lines |
$916.50–$1,833 | $1,410–$2,820 | varies |
| Remove ureter stent percut (50384) range across 2 matching MRF lines |
$6,712.55–$13,425.10 | $10,327–$20,654 | varies |
| Renal Biopsy Perq (50200) range across 2 matching MRF lines |
$1,569.75–$3,139.50 | $2,415–$4,830 | varies |
| Reopen fallopian tube (58350) range across 2 matching MRF lines |
$6,977.75–$13,955.50 | $10,735–$21,470 | varies |
| Repair extensor tendon finger w/o graft each (26418) | $1,053 | $1,620 | 0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $676 | $1,040 | 1.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $811.20 | $1,248 | 2.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $561.60 | $864 | 1.5× |
| Repair of nail bed (11760) | $352.30 | $542 | 0.5× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $5,250.70 | $8,078 | 6.1× |
| Replace G-J Tube Perc (49452) | $5,250.70 | $8,078 | 6.1× |
| Replace g/c tube perc (49450) | $4,375.80 | $6,732 | 5.1× |
| Reposition Gastrostomy Tube (43761) | $520 | $800 | 2.2× |
| Reposition Venous Catheter (36597) | $1,180.40 | $1,816 | 0.8× |
| Rerepair ing hernia reduce (49520) | $2,603.90 | $4,006 | 0.8× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) | $9,492.60 | $14,604 | 1.6× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | $6,208.15 | $9,551 | 1.9× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) range across 2 matching MRF lines |
$6,712.55–$13,425.10 | $10,327–$20,654 | varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$452.40–$904.80 | $696–$1,392 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$497.25–$994.50 | $765–$1,530 | varies |
| Rmvl fecal impaction/fb spx under anes (45915) | $1,085.50 | $1,670 | 1.0× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $1,886.95 | $2,903 | 0.7× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) | $3,325.40 | $5,116 | 1.8× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) | $3,325.40 | $5,116 | 1.8× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) | $10,804.30 | $16,622 | 3.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $2,293.20 | $3,528 | 1.5× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $2,087.15 | $3,211 | 3.5× |
| Rplc Gtube No Revj Trc (43762) | $585 | $900 | 2.5× |
| Rplc gtube revj gstrst trc (43763) | $650 | $1,000 | 2.7× |
| Rplcmt cath ctr vad subq port/pmp (36578) | $2,143.05 | $3,297 | 0.7× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $2,143.05 | $3,297 | 1.4× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) | $2,786.55 | $4,287 | 0.9× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $1,072.50 | $1,650 | 0.7× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $2,786.55 | $4,287 | 0.9× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $2,786.55 | $4,287 | 0.9× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $1,220.05 | $1,877 | 0.8× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $520 | $800 | 1.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $481.65 | $741 | 0.9× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $1,109.55 | $1,707 | 1.9× |
| Sclerotx Fluid Collection (49185) | $4,356.95 | $6,703 | 2.8× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) | $1,907.75 | $2,935 | 2.2× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $2,001.35 | $3,079 | 1.8× |
| Shave skin lesion 0.5 cm/< (11300) | $194.35 | $299 | 0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $233.35 | $359 | 1.2× |
| Sigmoidoscopy & decompress (45337) | $2,070.25 | $3,185 | 2.4× |
| Sigmoidoscopy & Polypectomy (45333) | $2,001.35 | $3,079 | 2.3× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) | $2,397.20 | $3,688 | 2.1× |
| Sigmoidoscopy flx tndsc balo dilat (45340) | $1,901.90 | $2,926 | 1.7× |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) | $2,359.50 | $3,630 | 2.1× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) | $2,273.70 | $3,498 | 2.0× |
| Sigmoidoscopy w/fb removal (45332) | $1,941.55 | $2,987 | 1.7× |
| Sigmoidoscopy w/plcmt stent (45347) | $3,640 | $5,600 | 0.6× |
| Sigmoidoscopy W/Resection (45349) | $2,587 | $3,980 | 1.0× |
| Sigmoidoscopy W/Ultrasound (45341) | $1,930.50 | $2,970 | 2.2× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $1,922.70 | $2,958 | 2.2× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) | $1,862.90 | $2,866 | 1.6× |
| Skin sub graft face/nk/hf/g (15275) | $1,649.05 | $2,537 | 2.4× |
| Skin sub graft trnk/arm/leg (15271) | $1,708.20 | $2,628 | 2.4× |
| Skin sub grft t/arm/lg child (15273) | $3,721.90 | $5,726 | 1.9× |
| Skin Tissue Procedure (17999) | $1,561.30 | $2,402 | 8.2× |
| Skn sub grft f/n/hf/g child (15277) | $947.05 | $1,457 | 0.5× |
| Small bowel endoscopy (44384) | $2,343.25 | $3,605 | 1.3× |
| Small bowel endoscopy (44366) | $2,389.40 | $3,676 | 1.3× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) | $2,389.40 | $3,676 | 1.3× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379) | $3,640 | $5,600 | 0.6× |
| So Apol1 Risk Variants G1 G2 (0355U) | $292.50 | $450 | 2.1× |
| Spinal puncture lumbar diagnostic (62270) | $731.25 | $1,125 | 1.1× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) range across 2 matching MRF lines |
$5,356.65–$10,713.30 | $8,241–$16,482 | varies |
| Strapping ankle (29540) range across 2 matching MRF lines |
$315.25–$630.50 | $485–$970 | varies |
| Strapping hand/finger (29280) range across 2 matching MRF lines |
$243.75–$487.50 | $375–$750 | varies |
| Strapping toes (29550) range across 2 matching MRF lines |
$213.85–$427.70 | $329–$658 | varies |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$315.25–$630.50 | $485–$970 | varies |
| Surg tx anal fistula subq (46270) | $4,351.10 | $6,694 | 1.7× |
| Tangential biopsy skin single lesion (11102) | $250.25 | $385 | 0.7× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) unusually low: confirm this is the full procedure |
$11,490.05 | $17,677 | 0.4× |
| Ther Apheresis,Red Blood Cells (36512) | $3,049.15 | $4,691 | 2.1× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $887.25 | $1,365 | 1.3× |
| Therapeutic Apheresis White Blood Cells (36511) | $2,945.80 | $4,532 | 2.0× |
| Therapeutic plasma exchange (36514) | $3,142.75 | $4,835 | 2.1× |
| Thyroid biopsy (60100) | $1,147.25 | $1,765 | 1.7× |
| Tooth extraction (41899) | $335.40 | $516 | 1.5× |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) | $2,345.20 | $3,608 | 0.8× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) | $2,752.75 | $4,235 | 5.4× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $1,259.70 | $1,938 | 5.6× |
| Tracheostomy planned (31600) | $1,225.25 | $1,885 | 0.4× |
| Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) range across 2 matching MRF lines |
$3,718–$7,436 | $5,720–$11,440 | varies |
| Transfusion Intrauterine Fetal (36460) | $516.10 | $794 | 1.2× |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) unusually low: confirm this is the full procedure |
$1,662.05 | $2,557 | 0.3× |
| Treatment of foot infection (28003) | $2,410.20 | $3,708 | 0.8× |
| Trim skin lesion (11055) | $118.30 | $182 | 0.6× |
| Trim skin lesions 2 to 4 (11056) | $282.10 | $434 | 1.5× |
| Trim skin lesions over 4 (11057) | $445.25 | $685 | 2.3× |
| Trimming Nondystrophic Nails Any Number (11719) | $55.90 | $86 | 1.0× |
| Trnspl Prepj Hematop Progen Concentration Plsm (38215) | $866.45 | $1,333 | 2.1× |
| Tx Gastro Intub W/Asp (43753) | $780 | $1,200 | 3.8× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $1,661.40 | $2,556 | 0.5× |
| Tx Missed Abortion First Trimester Surgical (59820) | $1,661.40 | $2,556 | 0.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $346.45 | $533 | 0.5× |
| Unlisted procedure anus (46999) | $1,441.70 | $2,218 | 1.6× |
| Unlisted Procedure Biliary Tract (47999) | $1,731.60 | $2,664 | 2.0× |
| Unlisted procedure colon (45399) | $1,484.60 | $2,284 | 1.7× |
| Unlisted Procedure Endocrine System (60699) likely a partial charge, not the full procedure |
$1,441.70 | $2,218 | 0.3× |
| Unlisted procedure femur or knee (27599) range across 2 matching MRF lines |
$1,607.45–$3,214.90 | $2,473–$4,946 | varies |
| Unlisted Procedure Intestine (44799) | $1,484.60 | $2,284 | 1.7× |
| Unlisted procedure lungs and pleura (32999) | $2,133.95 | $3,283 | 3.6× |
| Unlisted Procedure Male Genital System (55899) | $452.40 | $696 | 1.9× |
| Unlisted procedure nervous system (64999) | $495.30 | $762 | 1.7× |
| Unlisted procedure pancreas (48999) | $1,731.60 | $2,664 | 2.6× |
| Unlisted procedure pelvis/hip joint (27299) | $4,206.80 | $6,472 | 18.0× |
| Unlisted procedure stomach (43999) | $2,975.05 | $4,577 | 3.5× |
| Unlisted Procedure Vascular Surgery (37799) | $488.80 | $752 | 0.8× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $2,453.75 | $3,775 | 2.9× |
| Unlisted Procedure, Urinary System (53899) | $1,068.60 | $1,644 | 4.5× |
| Unlisted px female genital system nonobstetrical (58999) | $576.55 | $887 | 3.0× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $4,267.25 | $6,565 | 2.2× |
| Wedge excision skin nail fold (11765) | $451.75 | $695 | 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.