Procedures & surgery prices at Southern Tennessee Regional Health System - Lawrenceburg
Lawrenceburg, TN · every code in this section with a posted price and a Medicare benchmark.
423 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $354.81 | $1,424.95 | 0.4× |
| Acromiopl/Acromionect Partial (23130) | $1,621.15 | $6,510.65 | 0.5× |
| Amputation toe interphalangeal joint (28825) | $1,207.94 | $4,851.16 | 0.4× |
| Amputation toe metatarsophalangeal joint (28820) | $3,578.22 | $14,370.37 | 1.1× |
| Anoscopy diagnostic (46600) | $3,692.16 | $14,827.96 | 28.9× |
| Application finger splint static (29130) | $85.63 | $343.91 | 0.7× |
| Application long arm splint shoulder hand (29105) | $164.96 | $662.49 | 1.1× |
| Application Long Leg Splint (29505) | $94.60 | $379.90 | 0.6× |
| Application of rigid total contact leg cast (29445) | $241.66 | $970.53 | 0.9× |
| Application Short Arm Splint Dynamic (29126) | $149.96 | $602.26 | 1.2× |
| Application short arm splint forearm-hand static (29125) | $164.96 | $662.49 | 1.3× |
| Application short leg splint calf foot (29515) | $170.09 | $683.09 | 1.1× |
| Apply Multlay Comprs Lwr Leg (29581) | $126.73 | $508.96 | 0.8× |
| Arterial puncture (36600) | $103.25 | $414.66 | 0.8× |
| Arteriovenous Anastomosis Open Direct (36821) | $6,103.24 | $24,511.02 | 2.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) | $245.37 | $985.41 | 0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) | $271.51 | $1,090.39 | 0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $372.83 | $1,497.29 | 1.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $286.09 | $1,148.97 | 1.0× |
| Arthrodesis ankle open (27870) likely a partial charge, not the full procedure |
$2,178.45 | $8,748.81 | 0.2× |
| Arthrodesis great toe metatarsophalangeal joint (28750) unusually low: confirm this is the full procedure |
$2,914.85 | $11,706.24 | 0.4× |
| Arthrodesis subtalar (28725) unusually low: confirm this is the full procedure |
$4,957.88 | $19,911.16 | 0.4× |
| Arthroplasty glenohumeral joint total shoulder (23472) likely a partial charge, not the full procedure |
$4,845.19 | $19,458.58 | 0.3× |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) unusually low: confirm this is the full procedure |
$5,177.05 | $20,791.36 | 0.4× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) | $6,083.48 | $24,431.66 | 1.9× |
| Arthroplasty Radial Head W/Implant (24366) likely a partial charge, not the full procedure |
$1,937.08 | $7,779.46 | 0.2× |
| Arthroscopy Ankle Surgical Debridement Limited (29897) | $1,899.48 | $7,628.43 | 0.6× |
| Arthroscopy knee synovectomy limited spx (29875) | $2,238.36 | $8,989.40 | 0.7× |
| Arthroscopy shoulder distal claviculectomy (29824) | $2,839.18 | $11,402.33 | 0.9× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) unusually low: confirm this is the full procedure |
$2,414.92 | $9,698.49 | 0.3× |
| Arthroscopy, knee, surgical; with lateral release (29873) | $3,501.63 | $14,062.79 | 1.1× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) | $4,266.45 | $17,134.32 | 1.4× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) likely a partial charge, not the full procedure |
$1,628.71 | $6,541.02 | 0.2× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) | $995.81 | $3,999.23 | 0.3× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | $5,216.30 | $20,948.99 | 1.7× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) unusually low: confirm this is the full procedure |
$3,476.87 | $13,963.35 | 0.5× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) unusually low: confirm this is the full procedure |
$3,086.43 | $12,395.29 | 0.4× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) | $1,559.46 | $6,262.89 | 0.5× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) | $13,080.28 | $52,531.23 | 1.1× |
| Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) | $6,722.28 | $26,997.09 | 2.1× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) unusually low: confirm this is the full procedure |
$2,677.23 | $10,751.94 | 0.4× |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) | $1,783.08 | $7,160.96 | 0.6× |
| Arthrs knee debridement/shaving artclr crtlg (29877) | $2,149.46 | $8,632.38 | 0.7× |
| Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) | $4,270.46 | $17,150.43 | 1.4× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $1,835.85 | $7,372.91 | 0.6× |
| Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) | $5,758.45 | $23,126.32 | 1.8× |
| Aspirate pleura w/ imaging (32555) | $673.11 | $2,703.24 | 1.1× |
| Av Fuse Uppr Arm Basilic (36819) | $6,878.56 | $27,624.73 | 1.3× |
| Biopsy Abdominal Mass (49180) | $1,420.65 | $5,705.41 | 0.9× |
| Biopsy of breast; open, incisional (19101) | $1,221.24 | $4,904.56 | 0.3× |
| Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) | $4,378.25 | $17,583.33 | 1.2× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) | $47.91 | $192.40 | 0.0× |
| Biopsy soft tissue neck/thorax (21550) | $47.91 | $192.40 | 0.0× |
| Bladder instillation anticarcinogenic agent (51720) | $1,691.44 | $6,792.94 | 2.5× |
| Bladder Irrigation (51700) | $382.44 | $1,535.91 | 1.6× |
| Blood Transfusion Service (36430) | $443.16 | $1,779.75 | 1.0× |
| Bone Graft Any Donor Area Major/Large (20902) | $4,957.88 | $19,911.16 | 0.7× |
| Bone Graft Any Donor Area Minor/Small (20900) unusually low: confirm this is the full procedure |
$2,178.45 | $8,748.81 | 0.3× |
| Bone Marrow Biopsy (38221) | $2,278.04 | $9,148.75 | 1.4× |
| Bx breast 1st lesion strtctc (19081) | $2,063.99 | $8,289.12 | 1.3× |
| Bx breast 1st lesion us imag (19083) | $1,221.24 | $4,904.56 | 0.8× |
| Bx/exc lymph node open deep axillary node (38525) | $2,711.22 | $10,888.44 | 0.7× |
| Bx/exc lymph node open superficial (38500) | $4,288.76 | $17,223.95 | 1.1× |
| Carpal Tunnel Surgery (64721) | $3,271.86 | $13,140.01 | 1.7× |
| Carpectomy All Bones Proximal Row (25215) | $5,554.21 | $22,306.07 | 1.8× |
| Cataract surgery complex (66982) | $2,009.73 | $8,071.22 | 0.9× |
| Chest tube placement (32551) | $771.90 | $3,100.02 | 0.5× |
| Circumcision w/clamp/oth dev w/block (54150) | $192.98 | $775 | 0.1× |
| Cl Tx Tib Shft Fx W Manip (27752) | $3,057.54 | $12,279.28 | 2.0× |
| Claviculectomy partial (23120) | $1,621.15 | $6,510.65 | 0.5× |
| Clear outer ear canal (69200) | $82.46 | $331.15 | 0.6× |
| Closed Rx Metacarpal Fx,Percut (26608) | $3,740.57 | $15,022.35 | 1.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $153.01 | $614.50 | 0.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $138.17 | $554.90 | 0.6× |
| Closed tx radial shaft fracture w/manipulation (25505) | $2,124.75 | $8,533.14 | 1.4× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $418.88 | $1,682.23 | 0.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $73.21 | $294 | 0.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $3,783.01 | $15,192.80 | 2.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $124.97 | $501.90 | 0.5× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $178.23 | $715.80 | 0.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $1,339.64 | $5,380.07 | 5.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $1,154.66 | $4,637.20 | 4.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $183.84 | $738.33 | 0.1× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) | $1,408.06 | $5,654.87 | 0.9× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $2,093.58 | $8,407.97 | 1.4× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $250 | $1,000 | 0.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $157.22 | $631.40 | 0.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $144.02 | $578.40 | 0.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $2,558.26 | $10,274.13 | 10.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $3,254.73 | $13,071.22 | 13.7× |
| Cltx post hip arthrp dislc req anes (27266) | $4,275.82 | $17,171.97 | 2.8× |
| Cltx post hip arthrp dislc w/o anes (27265) | $129.94 | $521.85 | 0.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $124.97 | $501.90 | 0.5× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $1,223.15 | $4,912.23 | 0.8× |
| Collection of venous blood by venipuncture (36415) | $20.50 | $82.34 | 2.2× |
| Colonoscopy thru stoma (44388) | $940.11 | $3,775.55 | 1.1× |
| Colonoscopy w/submucosal inj (45381) | $940.11 | $3,775.55 | 0.8× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $1,812.49 | $7,279.08 | 1.6× |
| Complex drainage wound (10180) | $6,946.11 | $27,896.03 | 2.5× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $4,116.73 | $16,533.04 | 1.3× |
| Conization of cervix (57520) | $3,136.26 | $12,595.42 | 1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $78.05 | $313.45 | 0.6× |
| Correction hammertoe (28285) | $1,949.75 | $7,830.34 | 0.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $140.81 | $565.50 | 1.1× |
| Curettage postpartum (59160) | $2,407.10 | $9,667.06 | 0.8× |
| Cysto w/destruction of lesions (52214) | $1,360.75 | $5,464.86 | 0.4× |
| Cysto w/insert ureteral stent (52332) | $8,285.88 | $33,276.63 | 2.4× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) | $2,629.11 | $10,558.66 | 0.8× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) | $2,386 | $9,582.33 | 0.7× |
| Cysto/uretero w/lithotripsy (52356) | $4,075.70 | $16,368.29 | 0.8× |
| Cystourethroscopy (52000) | $1,627.33 | $6,535.48 | 2.4× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) | $3,159.69 | $12,689.53 | 0.9× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) unusually low: confirm this is the full procedure |
$1,691.44 | $6,792.94 | 0.3× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) | $3,287.72 | $13,203.68 | 1.6× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $1,894.37 | $7,607.90 | 0.7× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $1,348.28 | $5,414.77 | 2.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $1,108.10 | $4,450.19 | 0.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $240.79 | $967.03 | 0.6× |
| Destroy lumb/sac facet jnt (64635) | $3,021.43 | $12,134.25 | 1.6× |
| Destruction neurolytic agt genicular nerve w/img (64624) | $1,628.03 | $6,538.29 | 0.9× |
| Diagnostic sigmoidoscopy (45330) | $1,762.86 | $7,079.76 | 2.0× |
| Dilate Esophagus 1/Mult Pass (43450) | $691.49 | $2,777.08 | 0.8× |
| Drain Cerebro Spinal Fluid (62272) | $527.29 | $2,117.65 | 0.8× |
| Drainage of finger abscess simple (26010) | $215.02 | $863.53 | 1.1× |
| Drainage of gum lesion (41800) | $593.89 | $2,385.11 | 4.6× |
| Drainage of hematoma/fluid (10140) | $2,839.54 | $11,403.79 | 1.8× |
| Drainage of rectal abscess (45005) | $3,909.12 | $15,699.27 | 3.4× |
| Drainage of scrotal wall abscess (55100) | $1,674.56 | $6,725.14 | 1.1× |
| Draw Blood Off Venous Device (36591) | $84.92 | $341.06 | 0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $59.26 | $237.98 | 0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $105.87 | $425.20 | 0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $103.04 | $413.80 | 0.5× |
| Dstrj lesion anus simple surg excision (46922) | $4,377.38 | $17,579.82 | 1.6× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $591.85 | $2,376.91 | 0.9× |
| Egd Balloon Dil Esoph30 Mm/> (43233) | $1,190.27 | $4,780.19 | 0.6× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $1,361.91 | $5,469.50 | 0.7× |
| Egd cautery tumor polyp (43250) | $1,334.24 | $5,358.39 | 0.7× |
| Egd dilation gastric/duodenal stricture (43245) | $1,306.38 | $5,246.51 | 0.7× |
| Egd Flexible Foreign Body Removal (43247) | $942.69 | $3,785.91 | 1.1× |
| Egd place gastrostomy tube (43246) | $2,074.18 | $8,330.06 | 1.1× |
| Egd remove lesion snare (43251) | $1,343.62 | $5,396.06 | 0.7× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) | $3,414.20 | $13,711.66 | 0.7× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) | $4,772.05 | $19,164.87 | 1.6× |
| Epidural Blood Patch (62273) | $515.41 | $2,069.91 | 0.8× |
| Exc Back Les Sc < 3 Cm (21930) | $3,487.36 | $14,005.45 | 2.2× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $722.10 | $2,900 | 0.2× |
| Exc Face Les Sbq 2 Cm/> (21012) | $3,884.55 | $15,600.60 | 2.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $2,572.35 | $10,330.74 | 3.8× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $2,599.91 | $10,441.41 | 1.6× |
| Exc ganglion wrist recurrent (25112) | $2,396.75 | $9,625.50 | 1.6× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $1,364.37 | $5,479.39 | 0.9× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $1,521.68 | $6,111.17 | 1.0× |
| Exc Hand Les Sc < 1.5 Cm (26115) | $2,664.85 | $10,702.21 | 1.7× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $1,607.03 | $6,453.93 | 1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $3,135.08 | $12,590.67 | 4.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $3,055.53 | $12,271.21 | 1.9× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $3,191.65 | $12,817.87 | 2.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $3,857.21 | $15,490.82 | 3.4× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $3,987.43 | $16,013.79 | 5.9× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $2,784.58 | $11,183.04 | 1.8× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $2,725.98 | $10,947.72 | 1.0× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $3,385 | $13,594.37 | 2.1× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $4,442.37 | $17,840.84 | 1.6× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $1,345.52 | $5,403.70 | 0.5× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) | $2,130.90 | $8,557.82 | 0.7× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) | $7,549.79 | $30,320.43 | 2.7× |
| Excision lesion tendon sheath forearm&/wrist (25110) | $2,898.02 | $11,638.62 | 1.9× |
| Excision Multiple External Papillae/Tags Anus (46230) | $3,426.51 | $13,761.08 | 1.3× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $3,235.58 | $12,994.31 | 2.1× |
| Excision olecranon bursa (24105) | $2,119.57 | $8,512.32 | 0.7× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) | $4,116.98 | $16,534.06 | 1.3× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) | $1,643.04 | $6,598.54 | 0.5× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $4,748.56 | $19,070.52 | 1.7× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $3,593.80 | $14,432.93 | 1.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $3,301.61 | $13,259.50 | 2.1× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $4,863.43 | $19,531.84 | 1.7× |
| External cephalic version (59412) | $301.81 | $1,212.10 | 0.1× |
| Fasciotomy Iliotibial Open (27305) | $3,370.18 | $13,534.85 | 1.1× |
| Fasciotomy, foot and/or toe (28008) | $3,495.49 | $14,038.13 | 1.1× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) | $3,626.70 | $14,565.06 | 1.2× |
| Fetal non-stress test (59025) range across 2 matching MRF lines |
$202.55–$221.66 | $813.44–$886.65 | varies |
| Fna bx w/us gdn 1st les (10005) | $410.11 | $1,647.02 | 0.6× |
| Fuse hand bones with graft (25825) | $5,174.97 | $20,783.03 | 0.7× |
| Fusion Finger Joint (26860) | $2,602.95 | $10,453.61 | 0.8× |
| Fusion of knuckle (26850) unusually low: confirm this is the full procedure |
$3,305.31 | $13,274.33 | 0.5× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $5,601.57 | $22,496.25 | 2.1× |
| Hysteroscopy Biopsy (58558) | $3,424.29 | $13,752.16 | 1.1× |
| Hysteroscopy Dx Sep Proc (58555) | $2,457.98 | $9,871.40 | 0.8× |
| Hysteroscopy Endometrial Ablation (58563) | $2,872.93 | $11,537.87 | 0.6× |
| I&d abscess peritonsillar (42700) | $250.35 | $1,005.42 | 1.1× |
| I&d abscess simple (10060) | $254.94 | $1,023.84 | 1.3× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $2,943.25 | $11,820.30 | 1.1× |
| I&d pilonidal cyst simple (10080) | $484.41 | $1,945.44 | 0.7× |
| Incise finger tendon sheath (26055) | $2,809.16 | $11,281.75 | 1.8× |
| Incision & drainage abscess complicated/multiple (10061) | $240.99 | $967.84 | 0.6× |
| Incision & removal foreign body subq tiss simple (10120) | $239.60 | $962.25 | 0.6× |
| Incision and drainage of bartholin's gland abscess (56420) | $229.46 | $921.53 | 1.2× |
| Incision and drainage of vulva or perineal abscess (56405) | $227.68 | $914.38 | 0.8× |
| Incision extensor tendon sheath wrist (25000) | $3,113.99 | $12,505.99 | 2.0× |
| Incisional biopsy skin single lesion (11106) | $3,068.88 | $12,324.82 | 4.3× |
| Inj W/Fluor Eval Cv Device (36598) | $124.50 | $500 | 0.6× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $355.83 | $1,429.03 | 0.4× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $1,018.14 | $4,088.90 | 3.5× |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $3,908.15 | $15,695.37 | 4.6× |
| Injection aa&/strd genicular nrv branches w/img (64454) | $367 | $1,473.91 | 0.5× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $289.87 | $1,164.14 | 0.3× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) | $549.47 | $2,206.71 | 0.8× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $2,986.89 | $11,995.56 | 4.4× |
| Injection for identification of sentinel node (38792) | $2,431.75 | $9,766.08 | 6.3× |
| Injection Into Brain Canal (61055) | $27.51 | $110.47 | 0.1× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $1,716.07 | $6,891.86 | 2.0× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $2,397.48 | $9,628.42 | 3.5× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $400.19 | $1,607.20 | 0.6× |
| Insert non-tunnel cv cath (36556) | $21.66 | $87 | 0.0× |
| Insert prost urethral stent (53855) | $688.06 | $2,763.28 | 0.3× |
| Insert Temp Bladder Cath (51702) | $89.32 | $358.72 | 0.7× |
| Insert tunneled cv cath (36561) | $4,146.45 | $16,652.42 | 1.4× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $3,175.47 | $12,752.88 | 2.1× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) likely a partial charge, not the full procedure |
$113.87 | $457.30 | 0.0× |
| Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) | $2,402.67 | $9,649.29 | 1.1× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $1,271.49 | $5,106.40 | 0.8× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $3,425.17 | $13,755.72 | 1.1× |
| Intubation endotracheal emergency procedure (31500) | $408.46 | $1,640.41 | 1.8× |
| Knee arthroscopy/drainage (29871) | $8,453.26 | $33,948.82 | 2.7× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) | $3,898.89 | $15,658.20 | 0.7× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) | $10,666.32 | $42,836.64 | 1.0× |
| Laparoscopy w/rmvl adnexal structures (58661) unusually low: confirm this is the full procedure |
$2,202.84 | $8,846.77 | 0.4× |
| Laparoscopy, surgical, appendectomy (44970) | $4,978.55 | $19,994.20 | 0.9× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $6,449.55 | $25,901.79 | 1.1× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) | $3,654.42 | $14,676.40 | 0.6× |
| Lateral retinacular release open (27425) | $3,936.13 | $15,807.75 | 1.3× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) unusually low: confirm this is the full procedure |
$2,298.57 | $9,231.20 | 0.3× |
| Ligation of a-v fistula (37607) | $5,168.41 | $20,756.66 | 1.7× |
| Litholapaxy comp/lg > 2.5 cm (52318) | $3,994.45 | $16,041.96 | 1.2× |
| Litholapaxy smpl/sm <2.5 cm (52317) | $1,276.67 | $5,127.19 | 0.4× |
| Lithotripsy, extracorporeal shock wave (50590) | $2,728.10 | $10,956.23 | 0.8× |
| Lsh uterus 250 g or less (58541) | $8,009.09 | $32,165.04 | 0.8× |
| Manipulation knee joint under general anesthesia (27570) | $1,071.64 | $4,303.78 | 0.7× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) | $1,472.21 | $5,912.48 | 1.0× |
| Mastectomy simple complete (19303) | $7,067.95 | $28,385.33 | 1.1× |
| N Block Inj Celiac Pelus (64530) | $7.67 | $30.80 | 0.0× |
| N block inj intercost sng (64420) | $568.91 | $2,284.77 | 0.8× |
| N Block Lumbar/Thoracic (64520) | $501.56 | $2,014.31 | 0.6× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) | $6,624.04 | $26,602.56 | 4.3× |
| Needle Biopsy Lymph Nodes (38505) | $1,726.49 | $6,933.70 | 1.1× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) | $8,440.11 | $33,896.04 | 4.5× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) | $6,112 | $24,546.20 | 3.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $505.06 | $2,028.37 | 1.2× |
| Njx anes stellate ganglion crv sympathetic (64510) | $590.13 | $2,370.01 | 0.7× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $344.58 | $1,383.85 | 1.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $798.92 | $3,208.50 | 0.9× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) | $1,043.45 | $4,190.56 | 1.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $499.89 | $2,007.59 | 0.7× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $486.59 | $1,954.18 | 0.6× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $542.49 | $2,178.69 | 0.8× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $447.45 | $1,797 | 0.7× |
| Occipital Nerve Block (64405) | $278.70 | $1,119.26 | 0.9× |
| Open biopsy/excision inguinofemoral nodes (38531) | $2,890.66 | $11,609.07 | 0.8× |
| Open Treatment Bimalleolar Ankle Fracture (27814) | $10,798.68 | $43,368.21 | 1.5× |
| Open Treatment Medial Malleolus Fracture (27766) unusually low: confirm this is the full procedure |
$2,357.90 | $9,469.47 | 0.3× |
| Open treatment metatarsal fracture each (28485) unusually low: confirm this is the full procedure |
$3,368.18 | $13,526.83 | 0.5× |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) unusually low: confirm this is the full procedure |
$2,413.49 | $9,692.72 | 0.3× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) | $4,430.40 | $17,792.77 | 0.6× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) | $4,845.19 | $19,458.58 | 0.7× |
| Open treatment of ulnar styloid fracture (25652) unusually low: confirm this is the full procedure |
$2,618.56 | $10,516.33 | 0.4× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) unusually low: confirm this is the full procedure |
$2,986.89 | $11,995.56 | 0.4× |
| Open Treatment Proximal Humeral Fracture (23615) | $9,621.74 | $38,641.51 | 0.8× |
| Open Treatment Radial Shaft Fracture (25515) | $5,402.93 | $21,698.50 | 0.8× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) | $5,325.42 | $21,387.25 | 0.8× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $3,673.37 | $14,752.51 | 1.2× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) | $4,191.48 | $16,833.26 | 0.6× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) | $4,893.48 | $19,652.54 | 1.6× |
| Open tx humeral supracondylar fracture w/o xtn (24545) unusually low: confirm this is the full procedure |
$5,690.44 | $22,853.19 | 0.5× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) | $5,016.90 | $20,148.21 | 1.6× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $5,181.31 | $20,808.48 | 1.6× |
| Open Tx Radial Head/Neck Fracture (24665) | $5,177.97 | $20,795.08 | 0.7× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) | $13,227.97 | $53,124.36 | 1.9× |
| Open tx ulnar fx proximal end (24685) | $11,951.30 | $47,997.17 | 1.7× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) | $5,013.67 | $20,135.22 | 0.7× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) | $3,908.15 | $15,695.37 | 0.6× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) | $4,830.07 | $19,397.89 | 0.7× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) | $11,760.15 | $47,229.50 | 1.0× |
| Ostectomy calcaneus (28118) | $3,320.29 | $13,334.48 | 1.1× |
| Osteochondral allograft knee open (27415) likely a partial charge, not the full procedure |
$3,618.10 | $14,530.54 | 0.3× |
| Osteotomy Clavicle W Bone Graft (23485) unusually low: confirm this is the full procedure |
$4,664.76 | $18,733.97 | 0.4× |
| Partial removal of tibia (27640) | $1,894.56 | $7,608.68 | 0.6× |
| Patellectomy or hemipatellectomy (27350) unusually low: confirm this is the full procedure |
$2,110.07 | $8,474.17 | 0.3× |
| Penile Injection (54235) | $205.05 | $823.50 | 0.9× |
| Perq av fistula creation uxtr single access (36836) likely a partial charge, not the full procedure |
$4,028.57 | $16,179 | 0.2× |
| Perq dev breast 1st us imag (19285) | $1,461.18 | $5,868.18 | 2.1× |
| Perq device breast 1st imag (19281) | $212.42 | $853.10 | 0.1× |
| Perq Lumbosacral Injection (22511) | $11,260.97 | $45,224.78 | 3.6× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $11,581.98 | $46,513.98 | 1.7× |
| Perq Vertebral Augmentation (22513) | $8,667.40 | $34,808.83 | 1.2× |
| Placement of needle for intraosseous infusion (36680) | $656.20 | $2,635.33 | 1.5× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) | $688.06 | $2,763.28 | 0.2× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $1,948 | $7,823.30 | 2.2× |
| Prq skel fixj metar fx w/manj (28476) | $4,115.59 | $16,528.47 | 1.3× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) | $4,759.15 | $19,113.07 | 0.7× |
| Punch biopsy skin single lesion (11104) | $243.05 | $976.10 | 0.6× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $153.41 | $616.10 | 0.4× |
| Puncture Aspiration Cyst Breast (19000) | $279.97 | $1,124.36 | 0.4× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) | $2,832.76 | $11,376.56 | 1.5× |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) | $2,925.76 | $11,750.06 | 0.9× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) | $5.35 | $21.50 | 0.0× |
| Relieve Pressure on Nerve(S) (64722) | $4,445.90 | $17,855.01 | 2.4× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $4,974.37 | $19,977.37 | 3.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $71.12 | $285.63 | 1.3× |
| Removal Implant Deep (20680) | $3,323.42 | $13,347.06 | 1.2× |
| Removal Implant Superficial Separate Procedure (20670) | $4,759.15 | $19,113.07 | 3.0× |
| Removal of implant from finger or hand (26320) | $5,401.42 | $21,692.44 | 3.4× |
| Removal of nail bed (11750) | $1,128.51 | $4,532.16 | 2.9× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $1,566.12 | $6,289.63 | 8.1× |
| Removal subcutaneous cardiac rhythm monitor (33286) | $2,257.11 | $9,064.68 | 3.3× |
| Remove drug implant device (11982) | $4,047.67 | $16,255.70 | 9.4× |
| Remove elbow lesion (24120) | $2,119.57 | $8,512.32 | 0.7× |
| Remove foreign body from eye (65205) | $92.88 | $373.02 | 0.7× |
| Remove Intrauterine Device (58301) | $2,202.84 | $8,846.77 | 7.5× |
| Remove Nasal Foreign Body (30300) | $78.53 | $315.38 | 0.6× |
| Remove Tendon Sheath Lesion (26160) | $2,928.77 | $11,762.11 | 1.9× |
| Repair extensor tendon finger w/o graft each (26418) | $3,829.59 | $15,379.87 | 2.5× |
| Repair Forearm Tendon Sheath (25275) | $6,524.04 | $26,200.96 | 2.1× |
| Repair Hallux Rigidus (28289) | $2,168.19 | $8,707.59 | 0.7× |
| Repair Hand Joint (26540) | $5,884.38 | $23,632.03 | 1.9× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $5,372.51 | $21,576.33 | 1.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $484.91 | $1,947.41 | 1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $330.77 | $1,328.40 | 0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $349.45 | $1,403.41 | 0.9× |
| Repair of nail bed (11760) | $141.75 | $567 | 0.2× |
| Repair of Ruptured Tendon (24342) | $6,402.34 | $25,712.22 | 0.9× |
| Repair Rotator Cuff Chronic (23412) likely a partial charge, not the full procedure |
$1,621.15 | $6,510.65 | 0.2× |
| Repair secondary achilles tendon w/wo graft (27654) unusually low: confirm this is the full procedure |
$3,320.29 | $13,334.48 | 0.5× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) likely a partial charge, not the full procedure |
$1,282.36 | $5,150.04 | 0.2× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) unusually low: confirm this is the full procedure |
$3,320.22 | $13,334.23 | 0.5× |
| Repair/graft femur head/neck (27170) likely a partial charge, not the full procedure |
$1,654.80 | $6,645.79 | 0.2× |
| Repair/Graft Wrist Bone (25440) | $5,156.75 | $20,709.85 | 0.7× |
| Replace elbow joint (24363) unusually low: confirm this is the full procedure |
$5,758.45 | $23,126.32 | 0.3× |
| Rerepair ing hernia reduce (49520) | $5,343.03 | $21,457.94 | 1.6× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) | $14,517.55 | $58,303.40 | 1.2× |
| Revise knuckle joint (26530) likely a partial charge, not the full procedure |
$1,843.99 | $7,405.58 | 0.3× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) unusually low: confirm this is the full procedure |
$5,005.47 | $20,102.28 | 0.4× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) likely a partial charge, not the full procedure |
$4,372.51 | $17,560.28 | 0.3× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) | $12,672.61 | $50,894.02 | 1.0× |
| Revj/rmvl peripheral neurostimulator electrode (64585) | $3,674.63 | $14,757.54 | 1.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $176.89 | $710.41 | 0.4× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $97.46 | $391.41 | 0.2× |
| Rmvl Lens Material Phacofragmentation Aspir (66850) | $2,815.20 | $11,306.01 | 1.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $2,936.18 | $11,791.89 | 1.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $2,153.82 | $8,649.87 | 3.6× |
| Rmvl Vitreous Ant Appr Partial Removal (67005) | $1,173.97 | $4,714.75 | 0.5× |
| Rplc Gtube No Revj Trc (43762) | $22.61 | $90.80 | 0.1× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) | $5,746.90 | $23,079.94 | 1.0× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $4,817.93 | $19,349.11 | 1.4× |
| Rpr aa hernia recr 3-10 cm reducible (49615) | $7,581.34 | $30,447.13 | 1.2× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) | $3,561.57 | $14,303.51 | 1.0× |
| Rpr aa hrn 1st 3-10 rdc (49593) | $5,194.37 | $20,860.91 | 0.8× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) | $5,045.84 | $20,264.44 | 0.9× |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) | $3,042.53 | $12,219.01 | 1.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $173.56 | $697.02 | 0.9× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) | $979.95 | $3,935.55 | 1.1× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $2,553.74 | $10,255.99 | 2.2× |
| Shoulder arthroscopy (29820) likely a partial charge, not the full procedure |
$1,440.35 | $5,784.56 | 0.2× |
| Shoulder Arthroscopy/Surgery (29825) | $1,880.50 | $7,552.21 | 0.6× |
| Sigmoidoscopy & Polypectomy (45333) | $1,857.47 | $7,459.70 | 2.1× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $1,758.20 | $7,061.05 | 2.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $150.32 | $603.69 | 0.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $178.96 | $718.71 | 0.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $207.85 | $834.72 | 1.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $177.99 | $714.81 | 0.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $279.91 | $1,124.15 | 1.5× |
| Skin Tissue Procedure (17999) | $5,390.65 | $21,649.19 | 27.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $223.69 | $898.35 | 1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $199.97 | $803.09 | 0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $415.58 | $1,669.01 | 1.1× |
| Spinal puncture lumbar diagnostic (62270) | $829.52 | $3,331.41 | 1.2× |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$126.73–$138.69 | $508.96–$554.77 | varies |
| Suture infrapatellar tendon primary (27380) | $6,885.34 | $27,651.95 | 1.0× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) | $3,936.13 | $15,807.75 | 0.6× |
| Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070) unusually low: confirm this is the full procedure |
$2,130.90 | $8,557.82 | 0.3× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) | $2,597.47 | $10,431.63 | 0.8× |
| Tenodesis long tendon biceps (23430) | $5,765.84 | $23,155.99 | 0.8× |
| Tenotomy extensor hand/finger open each tendon (26460) | $1,843.99 | $7,405.58 | 1.2× |
| Thrombolytic Therapy Stroke (37195) | $218.01 | $875.55 | 0.7× |
| Thyroid biopsy (60100) | $411.76 | $1,647.02 | 0.6× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) | $3,713.52 | $14,913.73 | 1.2× |
| Tooth extraction (41899) | $3,467.05 | $13,923.92 | 15.2× |
| Total Knee Arthroplasty (27447) | $12,893.37 | $51,780.62 | 1.0× |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) | $2,430.79 | $9,762.22 | 0.8× |
| Transur electr resection of prostate (52601) | $3,585.88 | $14,401.14 | 0.7× |
| Treat dislocation/fracture (23680) unusually low: confirm this is the full procedure |
$5,765.84 | $23,155.99 | 0.5× |
| Treat ectopic pregnancy (59151) | $4,763.50 | $19,130.51 | 0.8× |
| Treat Finger Fracture Each (26727) | $3,634.12 | $14,594.85 | 1.2× |
| Treat fracture radius/ulna (25575) | $3,525.97 | $14,160.54 | 0.5× |
| Treat Fx Rad Extra-Articul (25607) | $3,525.97 | $14,160.54 | 0.5× |
| Treat Humerus Fracture (24505) | $354.48 | $1,423.60 | 0.2× |
| Treat Kneecap Fracture (27524) | $4,288.34 | $17,222.24 | 0.6× |
| Treat Knuckle Dislocation (26700) | $99.33 | $398.90 | 0.4× |
| Treat Metatarsal Fracture (28475) | $3,368.18 | $13,526.83 | 14.2× |
| Treat scapula fracture (23585) | $8,681.52 | $34,865.53 | 1.2× |
| Treatment closed elbow dislocation w/o anes (24600) | $352.96 | $1,417.50 | 1.5× |
| Trim skin lesion (11055) | $169.94 | $682.48 | 0.9× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $2,819.21 | $11,322.12 | 0.9× |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) | $11,741.56 | $47,154.86 | 1.7× |
| Tx Missed Abortion First Trimester Surgical (59820) | $2,791.16 | $11,209.47 | 0.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $958.65 | $3,850 | 1.3× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) | $4,981.24 | $20,004.99 | 0.9× |
| Unlisted procedure anus (46999) | $4,214.46 | $16,925.54 | 4.7× |
| Unlisted procedure arthroscopy (29999) | $3,979.87 | $15,983.41 | 16.8× |
| Unlisted Procedure Esophagus (43499) | $695.12 | $2,791.63 | 0.8× |
| Unlisted procedure femur or knee (27599) | $3,368.18 | $13,526.83 | 14.2× |
| Unlisted procedure foot or toes (28899) | $4,922.37 | $19,768.56 | 20.8× |
| Unlisted procedure forearm or wrist (25999) | $222.84 | $894.95 | 0.9× |
| Unlisted procedure humerus/elbow (24999) | $1,937.08 | $7,779.46 | 8.2× |
| Unlisted Procedure Leg/Ankle (27899) | $301.29 | $1,209.99 | 1.3× |
| Unlisted Procedure Muscskeletal System General (20999) | $1,607.03 | $6,453.93 | 6.8× |
| Unlisted procedure nervous system (64999) | $1,513.16 | $6,076.93 | 5.1× |
| Unlisted Procedure Rectum (45999) | $2,425.60 | $9,741.38 | 2.7× |
| Unlisted procedure shoulder (23929) | $2,867.64 | $11,516.65 | 12.1× |
| Unlisted Procedure Vascular Surgery (37799) | $515.37 | $2,069.76 | 0.9× |
| Unlisted px female genital system nonobstetrical (58999) | $5.88 | $23.60 | 0.0× |
| Vaginal delivery only (59409) | $362.94 | $1,457.58 | 0.1× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $2,822.84 | $11,336.70 | 1.4× |
| Wrist arthroscopy (29840) | $2,055 | $8,253.03 | 0.7× |
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.