Procedures & surgery prices at SSM Health Monroe Hospital
Monroe, WI · every code in this section with a posted price and a Medicare benchmark.
485 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) range across 2 matching MRF lines |
$1,991–$2,289.65 | $3,620–$4,163 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$721.60–$829.40 | $1,312–$1,508 | varies |
| Abdomen Surgery Procedure (22999) | $969.10 | $1,762 | 4.0× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) | $8,877 | $16,140 | 0.5× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $4,394.50 | $7,990 | 1.4× |
| Anoscopy diagnostic (46600) | $50.60 | $92 | 0.4× |
| Application finger splint static (29130) | $113.30 | $206 | 0.9× |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$99.55–$114.40 | $181–$208 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$99.55–$114.40 | $181–$208 | varies |
| Application of long leg cast (29345) | $505.45 | $919 | 1.9× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$99.55–$114.40 | $181–$208 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$99.55–$114.40 | $181–$208 | varies |
| Apply long arm cast (29065) | $395.45 | $719 | 1.5× |
| Apply Multlay Comprs Lwr Leg (29581) | $172.33 | $313.33 | 1.1× |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$395.45–$454.85 | $719–$827 | varies |
| Arterial puncture (36600) | $121 | $220 | 0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$391.60–$451 | $712–$820 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $915.20 | $1,664 | 1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 3 matching MRF lines |
$559.90–$1,120.35 | $1,018–$2,037 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $1,140.15 | $2,073 | 3.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$279.40–$321.20 | $508–$584 | varies |
| Arthrodesis sacroiliac joint percutaneous (27279) likely a partial charge, not the full procedure |
$575.30 | $1,046 | 0.0× |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$1,327.15–$1,526.80 | $2,413–$2,776 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$456.50–$525.25 | $830–$955 | varies |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$382.25–$440 | $695–$800 | varies |
| Aspiration bladder insert suprapubic catheter (51102) range across 2 matching MRF lines |
$2,952.40–$3,395.15 | $5,368–$6,173 | varies |
| Aspiration Bladder Needle (51100) | $136.40 | $248 | 0.6× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$219.45–$252.45 | $399–$459 | varies |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) likely a partial charge, not the full procedure |
$1,885.40 | $3,428 | 0.2× |
| Biopsy Abdominal Mass (49180) | $601.15 | $1,093 | 0.4× |
| Biopsy bone trocar/needle deep (20225) | $2,175.80 | $3,956 | 1.4× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $2,175.80 | $3,956 | 1.4× |
| Biopsy muscle percutaneous needle (20206) | $462 | $840 | 0.3× |
| Biopsy of liver, needle; percutaneous (47000) | $2,131.80 | $3,876 | 1.3× |
| Biopsy Pleura Percutaneous Needle (32400) | $699.60 | $1,272 | 0.4× |
| Biopsy Salivary Gland Needle (42400) | $988.35 | $1,797 | 1.4× |
| Biopsy soft tissue leg/ankle area superficial (27613) | $2,284.15 | $4,153 | 1.4× |
| Biopsy soft tissue neck/thorax (21550) | $2,182.40 | $3,968 | 1.4× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $194.70 | $354 | 0.2× |
| Bladder instillation anticarcinogenic agent (51720) | $540.65 | $983 | 0.8× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$202.40–$232.65 | $368–$423 | varies |
| Bladder Scan (51798) range across 2 matching MRF lines |
$227.15–$261.25 | $413–$475 | varies |
| Blepharotomy drainage abscess eyelid (67700) | $505.45 | $919 | 1.6× |
| Blood Transfusion Service (36430) | $187 | $340 | 0.4× |
| Bone Marrow Biopsy (38221) | $1,681.90 | $3,058 | 1.0× |
| Bx breast 1st lesion mr imag (19085) | $1,681.90 | $3,058 | 1.0× |
| Bx breast 1st lesion strtctc (19081) | $1,173.70 | $2,134 | 0.7× |
| Bx breast 1st lesion us imag (19083) | $1,306.80 | $2,376 | 0.8× |
| Cessj Therapy Cath Removal (37214) | $747.45 | $1,359 | 0.2× |
| Change Cystostomy Tube Complicated (51710) | $936.10 | $1,702 | 1.4× |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$202.40–$232.65 | $368–$423 | varies |
| Change ureter stent percut (50382) | $1,097.25 | $1,995 | 0.5× |
| Chemical Pleurodesis (32560) | $979.55 | $1,781 | 1.6× |
| Chemodenerv 1 extremity 1-4 (64642) | $915.20 | $1,664 | 1.3× |
| Chemodenerv Musc Migraine (64615) | $296.45 | $539 | 1.0× |
| Chest tube placement (32551) range across 2 matching MRF lines |
$794.75–$914.10 | $1,445–$1,662 | varies |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $6,765.55 | $12,301 | 1.9× |
| Circumcision w/clamp/oth dev w/block (54150) | $136.40 | $248 | 0.1× |
| Cl Tx Tib Shft Fx W Manip (27752) | $352 | $640 | 0.2× |
| Clear outer ear canal (69200) | $199.10 | $362 | 1.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $376.20 | $684 | 1.6× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $174.90 | $318 | 0.1× |
| Closed tx knee dislocation w/o anesthesia (27550) | $114.95 | $209 | 0.5× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $1,436.60 | $2,612 | 0.9× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $213.40 | $388 | 0.1× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $1,017.50 | $1,850 | 0.3× |
| Closed tx patellar dislocation w/anesthesia (27562) | $1,464.10 | $2,662 | 6.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $174.90 | $318 | 0.7× |
| Closed tx radial shaft fracture w/manipulation (25505) | $1,424.50 | $2,590 | 0.9× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $159.50 | $290 | 0.1× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $125.95 | $229 | 0.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $292.60 | $532 | 1.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $149.05 | $271 | 0.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $1,449.80 | $2,636 | 0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $320.10 | $582 | 1.3× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $415.25 | $755 | 0.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $101.75 | $185 | 0.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $149.05 | $271 | 0.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $209.55 | $381 | 0.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $189.75 | $345 | 0.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $99.55 | $181 | 0.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $189.75 | $345 | 0.1× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $1,360.70 | $2,474 | 0.9× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $448.80 | $816 | 1.9× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $114.95 | $209 | 0.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $159.50 | $290 | 0.7× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 2 matching MRF lines |
$3,150.40–$3,621.75 | $5,728–$6,585 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) | $1,653.30 | $3,006 | 1.1× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $1,010.90 | $1,838 | 3.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $197.45 | $359 | 0.8× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $174.90 | $318 | 0.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $174.90 | $318 | 0.7× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $1,356.85 | $2,467 | 0.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $189.75 | $345 | 0.8× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) range across 2 matching MRF lines |
$209.55–$240.90 | $381–$438 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $159.50 | $290 | 0.7× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $159.50 | $290 | 0.7× |
| Cltx post hip arthrp dislc req anes (27266) | $1,381.05 | $2,511 | 0.9× |
| Cltx post hip arthrp dislc w/o anes (27265) | $364.65 | $663 | 1.5× |
| Cltx prox fibula/shft fx w/manj (27781) | $1,386.55 | $2,521 | 0.9× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $149.05 | $271 | 0.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $189.75 | $345 | 0.8× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $380.05 | $691 | 0.2× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $1,923.35 | $3,497 | 1.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $419.65 | $763 | 0.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $380.05 | $691 | 0.2× |
| Collect Blood From Catheter Venous Nos (36592) range across 2 matching MRF lines |
$119.92–$165 | $218.03–$300 | varies |
| Collection of venous blood by venipuncture (36415) range across 4 matching MRF lines |
$17.05–$46.20 | $31–$84 | varies |
| Colporrhaphy (57200) | $1,496 | $2,720 | 0.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$141.90–$249.70 | $258–$454 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$215.60–$248.05 | $392–$451 | varies |
| Conversion ext bil drg cath (47535) | $2,527.80 | $4,596 | 0.7× |
| Convert Nephrostomy Catheter (50434) | $3,543.10 | $6,442 | 1.7× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $2,237.40 | $4,068 | 1.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $201.30 | $366 | 1.6× |
| Cysto Bladder W/Ureteral Catheterization (52005) | $3,109.15 | $5,653 | 1.5× |
| Cysto W/Simple Removal Stone & Stent (52310) | $2,906.75 | $5,285 | 1.4× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) | $1,405.80 | $2,556 | 0.4× |
| Cystourethroscopy (52000) | $234.85 | $427 | 0.3× |
| Cystourethroscopy inj chemodenervation bladder (52287) | $564.30 | $1,026 | 0.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $425.15 | $773 | 0.2× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $763.40 | $1,388 | 1.1× |
| Debride nail 1-5 (11720) | $81.95 | $149 | 1.4× |
| Debride nail 6 or more (11721) | $476.30 | $866 | 8.3× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$1,419–$1,632.40 | $2,580–$2,968 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$443.30–$509.85 | $806–$927 | varies |
| Declot vascular device (36593) | $466.95 | $849 | 1.5× |
| Destr W Neurolytic; Celiac Plexus (64680) | $1,573.55 | $2,861 | 1.8× |
| Destroy cerv/thor facet jnt (64633) | $2,378.75 | $4,325 | 1.3× |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$2,101.55–$4,203.65 | $3,821–$7,643 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$113.85–$130.90 | $207–$238 | varies |
| Destruction by neurolytic agent, intercostal nerve (64620) | $1,522.40 | $2,768 | 1.8× |
| Destruction neurolytic agt genicular nerve w/img (64624) | $2,572.90 | $4,678 | 1.4× |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$84.15–$96.80 | $153–$176 | varies |
| Dilat Xst Trc New Access Rcs (50437) | $4,574.35 | $8,317 | 1.3× |
| Drain/inj small joint/bursa w/us (20604) | $683.65 | $1,243 | 2.3× |
| Drainage external auditory canal abscess (69020) | $592.90 | $1,078 | 0.9× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $342.10 | $622 | 0.5× |
| Drainage Mouth Roof Lesion (42000) | $337.15 | $613 | 1.5× |
| Drainage of finger abscess simple (26010) | $198.55 | $361 | 1.0× |
| Drainage of gum lesion (41800) | $118.80 | $216 | 0.9× |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$1,813.35–$2,085.60 | $3,297–$3,792 | varies |
| Drainage of nose lesion (30000) | $367.40 | $668 | 1.6× |
| Drainage of scrotal wall abscess (55100) | $1,663.75 | $3,025 | 1.0× |
| Draw Blood Off Venous Device (36591) | $95.15 | $173 | 0.7× |
| Dressing Change Under Anesthesia (15852) | $448.80 | $816 | 0.6× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $947.65 | $1,723 | 1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $397.65 | $723 | 2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $115.50 | $210 | 0.6× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $799.70 | $1,454 | 0.9× |
| Dx Bone Marrow Bx & Aspir (38222) | $1,907.40 | $3,468 | 0.7× |
| Dx gastr intub w/asp spec (43754) | $333.85 | $607 | 1.6× |
| Dx Laryngoscopy Excl Nb (31525) | $2,247.30 | $4,086 | 1.3× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $851.40 | $1,548 | 1.2× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) | $4,496.25 | $8,175 | 1.5× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) | $4,643.10 | $8,442 | 1.5× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) | $4,559.50 | $8,290 | 1.5× |
| Endoven ther chem adhes 1st (36482) | $7,542.15 | $13,713 | 1.4× |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$835.45–$960.30 | $1,519–$1,746 | varies |
| Episiotomy or vaginal repair (59300) | $7,195.65 | $13,083 | 2.3× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$114.40–$131.45 | $208–$239 | varies |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $327.80 | $596 | 0.5× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $393.80 | $716 | 0.6× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $254.10 | $462 | 0.4× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $106.70 | $194 | 0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $510.40 | $928 | 0.7× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $207.90 | $378 | 0.1× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $965.25 | $1,755 | 1.4× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $399.30 | $726 | 0.2× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $851.40 | $1,548 | 1.2× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $309.10 | $562 | 0.2× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $2,527.80 | $4,596 | 0.7× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $2,789.05 | $5,071 | 1.4× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $2,562.45 | $4,659 | 1.4× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $344.85 | $627 | 0.5× |
| Excision Lingual Frenum Frenectomy (41115) | $288.20 | $524 | 0.2× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $260.70 | $474 | 0.4× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $449.90 | $818 | 0.3× |
| Explo/Drain Breast Abscess (19020) | $1,403.05 | $2,551 | 0.9× |
| Exploration penetrating wound spx extremity (20103) | $1,070.85 | $1,947 | 0.7× |
| External cephalic version (59412) | $2,626.25 | $4,775 | 0.8× |
| Fetal Contraction Stress Test (59020) | $460.90 | $838 | 2.3× |
| Fetal non-stress test (59025) | $287.65 | $523 | 1.5× |
| Fine needle aspiration without imaging guidance (10021) | $391.05 | $711 | 1.0× |
| Fluoro exam of g/colon tube (49465) | $399.85 | $727 | 1.7× |
| Fna bx w/us gdn 1st les (10005) | $872.85 | $1,587 | 1.3× |
| Foreskin manipulation (54450) | $372.35 | $677 | 1.5× |
| Guide Cathet Fluid Drainage (10030) | $969.65 | $1,763 | 1.4× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $257.95 | $469 | 0.3× |
| I&d abscess peritonsillar (42700) | $239.25 | $435 | 1.0× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$228.25–$262.35 | $415–$477 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $3,687.20 | $6,704 | 1.3× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) | $4,144.80 | $7,536 | 1.3× |
| I&d perianal abscess superficial (46050) | $480.70 | $874 | 0.5× |
| I&d pilonidal cyst complicated (10081) | $911.90 | $1,658 | 1.3× |
| I&d pilonidal cyst simple (10080) | $172.70 | $314 | 0.3× |
| Image Cath Fluid Colxn Visc (49405) | $2,158.75 | $3,925 | 1.3× |
| Image Cath Fluid Peri/Retro (49406) | $1,526.25 | $2,775 | 1.0× |
| Image Cath Fluid Trns/Vgnl (49407) | $4,387.90 | $7,978 | 2.7× |
| Implant Neuroelectrodes (64561) | $9,997.35 | $18,177 | 1.6× |
| Incise external hemorrhoid (46083) | $441.10 | $802 | 1.8× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$446.05–$513.15 | $811–$933 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $2,219.25 | $4,035 | 1.4× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$281.05–$322.85 | $511–$587 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $121.55 | $221 | 0.6× |
| Incision and drainage of vulva or perineal abscess (56405) | $233.20 | $424 | 0.8× |
| Incision of rectal abscess (46040) | $1,766.05 | $3,211 | 1.5× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $1,395.35 | $2,537 | 0.9× |
| Incisional biopsy skin single lesion (11106) | $496.65 | $903 | 0.7× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $1,019.15 | $1,853 | 1.2× |
| Inj W/Fluor Eval Cv Device (36598) | $820.60 | $1,492 | 4.0× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $1,453.65 | $2,643 | 1.7× |
| Inject Intravitreal Pharmcologic (67028) | $350.35 | $637 | 1.1× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $88 | $160 | 0.3× |
| Injection aa&/strd genicular nrv branches w/img (64454) | $930.60 | $1,692 | 1.4× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $552.20 | $1,004 | 0.6× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $948.75 | $1,725 | 1.4× |
| Injection anesthetic agent suprascapular nerve (64418) | $608.30 | $1,106 | 0.9× |
| Injection for identification of sentinel node (38792) | $316.80 | $576 | 0.8× |
| Injection single tendon origin/insertion (20551) | $411.95 | $749 | 1.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $222.20 | $404 | 0.7× |
| Injection single/mlt trigger point 3/> muscles (20553) | $232.10 | $422 | 0.8× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $1,639 | $2,980 | 1.9× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$762.85–$1,141.25 | $1,387–$2,075 | varies |
| Ins cath ren art 1st bilat (36252) | $3,579.40 | $6,508 | 1.2× |
| Ins cath ren art 1st unilat (36251) | $1,789.70 | $3,254 | 0.6× |
| Ins cath ren art 2nd+ bilat (36254) | $5,037.45 | $9,159 | 1.6× |
| Ins cath ren art 2nd+ unilat (36253) unusually low: confirm this is the full procedure |
$2,519 | $4,580 | 0.5× |
| Ins endovas vena cava filtr (37191) | $7,082.35 | $12,877 | 1.3× |
| Ins/Rep Subq Defibrillator (33270) | $29,407.95 | $53,469 | 1.0× |
| Insert 1 Electrode Pm-Defib (33216) | $9,111.30 | $16,566 | 1.1× |
| Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
$130.90–$150.70 | $238–$274 | varies |
| Insert cath pleura w/ image (32557) range across 2 matching MRF lines |
$2,582.25–$2,969.45 | $4,695–$5,399 | varies |
| Insert cath pleura w/o image (32556) range across 2 matching MRF lines |
$2,096.05–$2,410.65 | $3,811–$4,383 | varies |
| Insert Gastrostomy Tube Percutaneous (49440) | $1,039.50 | $1,890 | 0.6× |
| Insert Heart Pm Ventricular (33207) | $12,602.15 | $22,913 | 1.2× |
| Insert hepatic shunt (tips) (37182) unusually low: confirm this is the full procedure |
$8,367.70 | $15,214 | 0.5× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$1,702.80–$1,959.10 | $3,096–$3,562 | varies |
| Insert pessary/other device (57160) range across 2 matching MRF lines |
$110–$114.40 | $200–$208 | varies |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $382.25 | $695 | 0.2× |
| Insert pulse gen dual leads (33213) | $11,950.95 | $21,729 | 1.2× |
| Insert Pulse Gen Sngl Lead (33212) | $8,928.70 | $16,234 | 1.1× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$107.80–$124.30 | $196–$226 | varies |
| Insert tun ip cath perc (49418) | $4,788.85 | $8,707 | 1.4× |
| Insert tunneled cv cath (36561) | $2,334.75 | $4,245 | 0.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$51.15–$58.85 | $93–$107 | varies |
| Insertion indwelling tunneled pleural catheter (32550) | $3,508.45 | $6,379 | 1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $1,471.25 | $2,675 | 1.0× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $11,909.70 | $21,654 | 1.5× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) | $3,003.55 | $5,461 | 0.9× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $10,123.30 | $18,406 | 1.3× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$957–$1,101.10 | $1,740–$2,002 | varies |
| Insj Subq Impltbl Dfb Elctrd (33271) | $4,040.30 | $7,346 | 0.5× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $2,893 | $5,260 | 0.9× |
| Insj/Rplcmt Defib W/Lead(S) (33249) | $43,760.20 | $79,564 | 1.4× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $8,862.15 | $16,113 | 1.1× |
| Insrt heart pm atrial & vent (33208) | $9,924.20 | $18,044 | 1.0× |
| Insrt Pulse Gen W/Singl Lead (33240) | $17,484.50 | $31,790 | 0.8× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $340.45 | $619 | 0.9× |
| Intro cath dialysis circuit (36901) | $1,894.75 | $3,445 | 1.2× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $14,369.30 | $26,126 | 1.3× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $7,384.30 | $13,426 | 1.3× |
| Intro Gastrointestinal Tube (44500) | $253 | $460 | 0.3× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$334.95–$385.55 | $609–$701 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $372.35 | $677 | 1.5× |
| Laryngoscopy flexible diagnostic (31575) range across 2 matching MRF lines |
$558.25–$642.40 | $1,015–$1,168 | varies |
| Laryngoscopy W/Foreign Body Removal (31530) | $123.20 | $224 | 0.1× |
| Lithotripsy, extracorporeal shock wave (50590) | $7,471.20 | $13,584 | 2.2× |
| Myelography Lumbar Injection (62305) | $1,233.65 | $2,243 | 1.6× |
| Myelography Lumbar Injection (62304) | $1,122 | $2,040 | 1.5× |
| Myelography via lumbar injection rs&i cervical (62302) | $742.50 | $1,350 | 1.0× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $779.35 | $1,417 | 1.0× |
| N Block Inj Celiac Pelus (64530) | $904.20 | $1,644 | 1.1× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $634.70 | $1,154 | 0.9× |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$568.15–$652.85 | $1,033–$1,187 | varies |
| N Block Inj Pudendal (64430) | $1,351.35 | $2,457 | 1.6× |
| N Block Lumbar/Thoracic (64520) | $1,403.05 | $2,551 | 1.6× |
| Nasal Endoscopy Dx (31231) | $315.15 | $573 | 1.6× |
| Nasal/Orogastric W/Tube Plmt (43752) | $569.80 | $1,036 | 1.3× |
| Needle Biopsy Lymph Nodes (38505) | $2,114.20 | $3,844 | 1.3× |
| Needle Biopsy Pancreas (48102) | $2,149.95 | $3,909 | 1.3× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $118.80 | $216 | 4.2× |
| Needle insertion w/o injection 3 or more muscles (20561) | $176 | $320 | 6.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $313.50 | $570 | 0.8× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) | $2,791.25 | $5,075 | 1.3× |
| Njx anes stellate ganglion crv sympathetic (64510) | $663.85 | $1,207 | 0.8× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $212.85 | $387 | 0.7× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $558.25 | $1,015 | 0.2× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $3,005.75 | $5,465 | 0.9× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$1,149.50–$2,298.45 | $2,090–$4,179 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) | $1,038.40 | $1,888 | 1.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $989.45 | $1,799 | 1.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $970.20 | $1,764 | 1.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $925.10 | $1,682 | 1.3× |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) | $2,726.90 | $4,958 | 1.4× |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) | $2,726.90 | $4,958 | 1.4× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $1,123.10 | $2,042 | 1.7× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) | $590.70 | $1,074 | 0.9× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) | $550 | $1,000 | 1.4× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) | $648.45 | $1,179 | 1.6× |
| Njx Sclrsnt Spider Veins (36468) | $550 | $1,000 | 1.4× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$236.50–$548.90 | $430–$998 | varies |
| Open tx interphalangeal joint dislocation (26785) | $1,840.85 | $3,347 | 0.6× |
| Open/Perq Place Stent 1St (37236) | $5,625.40 | $10,228 | 0.5× |
| Open/Perq Place Stent Same (37238) unusually low: confirm this is the full procedure |
$5,442.80 | $9,896 | 0.5× |
| Perc Rf Ablate Renal Tumor (50592) | $3,401.20 | $6,184 | 0.6× |
| Percut Ablate Liver Rf (47382) | $10,085.90 | $18,338 | 1.7× |
| Percut Drain/Inject Renal Cyst (50390) | $1,343.65 | $2,443 | 2.0× |
| Pericardiocentesis W/Imaging (33016) | $1,294.15 | $2,353 | 0.8× |
| Perq dev breast 1st mr guide (19287) | $901.45 | $1,639 | 1.3× |
| Perq dev breast 1st strtctc (19283) | $732.05 | $1,331 | 1.1× |
| Perq dev breast 1st us imag (19285) | $672.65 | $1,223 | 1.0× |
| Perq device breast 1st imag (19281) | $672.65 | $1,223 | 0.4× |
| Perq dilation xst trc endourologic px w/img (50436) | $2,719.20 | $4,944 | 0.8× |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) | $11,957 | $21,740 | 1.3× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) | $6,724.30 | $12,226 | 1.1× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $1,428.35 | $2,597 | 2.1× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $14,929.20 | $27,144 | 1.3× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $7,531.70 | $13,694 | 1.4× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $6,450.40 | $11,728 | 0.9× |
| Perq Vertebral Augmentation (22513) | $6,619.80 | $12,036 | 0.9× |
| Phleb Veins - Extrem 20+ (37766) | $3,815.35 | $6,937 | 1.2× |
| Place Cath Subclavian Art (36225) | $1,850.20 | $3,364 | 0.6× |
| Place Cath Thoracic Aorta (36221) | $1,141.80 | $2,076 | 0.4× |
| Place Cath Vertebral Art (36226) | $5,333.90 | $9,698 | 1.0× |
| Placement of needle for intraosseous infusion (36680) | $561 | $1,020 | 1.3× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) unusually low: confirm this is the full procedure |
$2,527.80 | $4,596 | 0.4× |
| Plmt Bile Duct Stent Prq Existing Access (47538) | $4,224 | $7,680 | 0.7× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) | $5,377.90 | $9,778 | 0.9× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $2,757.15 | $5,013 | 1.4× |
| Plmt Nephroureteral Catheter (50433) | $3,359.40 | $6,108 | 1.0× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) | $4,925.25 | $8,955 | 1.4× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) | $3,809.30 | $6,926 | 1.1× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) | $4,133.25 | $7,515 | 1.2× |
| Prim art mech thrombectomy (37184) likely a partial charge, not the full procedure |
$2,589.95 | $4,709 | 0.1× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $703.45 | $1,279 | 1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $2,557.50 | $4,650 | 0.7× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $2,557.50 | $4,650 | 0.7× |
| Pseudoaneurysm Injection Trt (36002) | $190.30 | $346 | 0.3× |
| Punch biopsy skin single lesion (11104) | $279.40 | $508 | 0.7× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$462–$531.30 | $840–$966 | varies |
| Puncture Aspiration Cyst Breast (19000) | $399.30 | $726 | 0.6× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $352.55 | $641 | 0.5× |
| Pvb thoracic cont infusion (64463) | $1,442.10 | $2,622 | 2.1× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) | $1,442.10 | $2,622 | 2.1× |
| Reconstruction Nail Bed W/Graft (11762) | $2,784.65 | $5,063 | 1.4× |
| Reduction of rectal prolapse (45900) | $1,013.65 | $1,843 | 1.1× |
| Rem Endovas Vena Cava Filter (37193) | $3,792.80 | $6,896 | 1.2× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $2,013 | $3,660 | 2.3× |
| Removal Embedded Foreign Body Eyelid (67938) | $720.50 | $1,310 | 2.3× |
| Removal foreign body foot deep (28192) | $2,219.25 | $4,035 | 1.4× |
| Removal Foreign Body Foot Subcutaneous (28190) | $425.15 | $773 | 0.6× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$63.25–$72.60 | $115–$132 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$128.15–$147.40 | $233–$268 | varies |
| Removal of foreign body from pharynx (42809) | $383.35 | $697 | 0.9× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$498.85–$573.65 | $907–$1,043 | varies |
| Removal of tunneled intraperitoneal catheter (49422) | $415.25 | $755 | 0.1× |
| Removal ppm generator only (33233) | $5,414.75 | $9,845 | 0.7× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $59.95 | $109 | 0.3× |
| Removal subcutaneous cardiac rhythm monitor (33286) | $824.45 | $1,499 | 1.2× |
| Removal/bivalving gauntlet boot/body cast (29700) | $77.55 | $141 | 0.3× |
| Remove Elctrd Transvenously (33244) | $3,592.05 | $6,531 | 1.0× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$128.15–$147.40 | $233–$268 | varies |
| Remove Intrauterine Device (58301) | $127.05 | $231 | 0.4× |
| Remove intrvas foreign body (37197) | $1,461.35 | $2,657 | 0.5× |
| Remove Nasal Foreign Body (30300) | $63.25 | $115 | 0.5× |
| Remove Pulse Generator (33241) | $2,229.15 | $4,053 | 0.6× |
| Remove renal tube w/fluoro (50389) | $919.60 | $1,672 | 1.4× |
| Remove ureter stent percut (50384) | $2,076.25 | $3,775 | 1.0× |
| Remove&replace pm gen singl (33227) | $7,384.85 | $13,427 | 0.9× |
| Remv&replc cvd gen dual lead (33263) | $22,564.30 | $41,026 | 1.0× |
| Remv&replc cvd gen mult lead (33264) | $23,558.70 | $42,834 | 0.8× |
| Remv&replc cvd gen sing lead (33262) | $18,979.40 | $34,508 | 0.9× |
| Remv&replc pm gen dual lead (33228) | $8,330.30 | $15,146 | 0.8× |
| Remv&replc pm gen mult leads (33229) | $14,434.20 | $26,244 | 0.8× |
| Renal Biopsy Perq (50200) | $2,114.20 | $3,844 | 1.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $738.10 | $1,342 | 1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $193.60 | $352 | 0.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $892.65 | $1,623 | 2.3× |
| Repair Hand Tendon (26410) | $1,201.20 | $2,184 | 0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $227.15 | $413 | 0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $255.75 | $465 | 0.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $283.80 | $516 | 0.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $312.40 | $568 | 0.8× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $369.05 | $671 | 0.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $920.70 | $1,674 | 1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $181.50 | $330 | 0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $181.50 | $330 | 0.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $181.50 | $330 | 0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $181.50 | $330 | 0.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $181.50 | $330 | 0.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $181.50 | $330 | 0.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $181.50 | $330 | 0.5× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $481.80 | $876 | 0.2× |
| Repair Lead Pace-Defib One (33218) | $4,462.15 | $8,113 | 1.2× |
| Repair of nail bed (11760) | $141.35 | $257 | 0.2× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $217.25 | $395 | 0.1× |
| Repair tongue laceration (41252) | $1,621.40 | $2,948 | 7.0× |
| Repair tongue laceration (41250) | $654.50 | $1,190 | 1.5× |
| Replace g/c tube perc (49450) | $861.85 | $1,567 | 1.0× |
| Repos Previously Implanted Subq Implantable Dfb (33273) | $305.25 | $555 | 0.1× |
| Reposition Gastrostomy Tube (43761) | $692.45 | $1,259 | 2.9× |
| Reposition Pacing-Defib Lead (33215) | $4,052.95 | $7,369 | 1.3× |
| Reposition Venous Catheter (36597) | $1,604.90 | $2,918 | 1.0× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) | $1,201.20 | $2,184 | 0.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$167.75–$193.05 | $305–$351 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $321.20 | $584 | 2.5× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $321.75 | $585 | 0.7× |
| Rmvl of subq implantable defibrillator electrode (33272) | $305.25 | $555 | 0.1× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $3,468.30 | $6,306 | 1.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $979.55 | $1,781 | 0.6× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $454.30 | $826 | 0.7× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$366.30–$421.85 | $666–$767 | varies |
| Rplc gtube revj gstrst trc (43763) | $327.25 | $595 | 1.3× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $333.85 | $607 | 0.2× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $1,125.30 | $2,046 | 0.7× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $2,511.85 | $4,567 | 0.8× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $579.70 | $1,054 | 3.0× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $579.70 | $1,054 | 1.1× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $2,109.25 | $3,835 | 1.4× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $870.10 | $1,582 | 1.4× |
| Sclerotx Fluid Collection (49185) | $2,321 | $4,220 | 1.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $102.85 | $187 | 0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $113.30 | $206 | 0.6× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $55 | $100 | 0.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $636.90 | $1,158 | 1.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$343.20–$394.90 | $624–$718 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$399.30–$458.70 | $726–$834 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $526.35 | $957 | 2.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$287.65–$331.10 | $523–$602 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $663.30 | $1,206 | 3.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $447.70 | $814 | 2.3× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) unusually low: confirm this is the full procedure |
$1,869.45 | $3,399 | 0.3× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) | $4,947.25 | $8,995 | 1.6× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) unusually low: confirm this is the full procedure |
$2,144.45 | $3,899 | 0.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$339.90–$391.60 | $618–$712 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$457.60–$526.35 | $832–$957 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $603.90 | $1,098 | 1.5× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$631.40–$726 | $1,148–$1,320 | varies |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) | $3,543.10 | $6,442 | 1.2× |
| Strapping ankle (29540) | $248.05 | $451 | 1.6× |
| Strapping hand/finger (29280) | $113.30 | $206 | 2.0× |
| Strapping shoulder (29240) | $113.30 | $206 | 0.9× |
| Strapping thorax (29200) | $113.30 | $206 | 0.7× |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$91.85–$147.40 | $167–$268 | varies |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) | $11,987.25 | $21,795 | 2.1× |
| Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) | $5,993.90 | $10,898 | 1.0× |
| Tangential biopsy skin single lesion (11102) | $279.40 | $508 | 0.7× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) | $19,179.60 | $34,872 | 1.0× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $23,717.10 | $43,122 | 1.3× |
| Thromblytic art/ven therapy (37213) | $1,018.60 | $1,852 | 0.3× |
| Thrombolytic Art Therapy (37211) unusually low: confirm this is the full procedure |
$1,902.45 | $3,459 | 0.4× |
| Thrombolytic Therapy Stroke (37195) | $793.65 | $1,443 | 2.5× |
| Thrombolytic Venous Therapy (37212) | $1,976.15 | $3,593 | 0.6× |
| Thyroid biopsy (60100) | $1,015.85 | $1,847 | 1.5× |
| Tooth extraction (41899) | $4,779.50 | $8,690 | 20.8× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $411.95 | $749 | 1.8× |
| Transcatheter biopsy (37200) likely a partial charge, not the full procedure |
$786.50 | $1,430 | 0.1× |
| Treat Humerus Fracture (24505) | $2,013.55 | $3,661 | 1.3× |
| Treat Knuckle Dislocation (26700) | $189.75 | $345 | 0.8× |
| Treat Metatarsal Fracture (28475) | $672.65 | $1,223 | 2.8× |
| Treat Thumb Dislocation (26641) | $352.55 | $641 | 1.5× |
| Treat toe dislocation (28630) | $174.90 | $318 | 0.7× |
| Treat Vaginal Bleeding (57180) | $273.90 | $498 | 1.4× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $1,246.85 | $2,267 | 0.8× |
| Treatment closed elbow dislocation w/o anes (24600) | $189.75 | $345 | 0.8× |
| Trluml Balo Angiop 1St Art (37246) | $4,886.20 | $8,884 | 0.9× |
| Trluml Balo Angiop 1St Vein (37248) | $4,057.90 | $7,378 | 0.7× |
| Tx Gastro Intub W/Asp (43753) | $383.35 | $697 | 1.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $158.40 | $288 | 0.2× |
| Unlisted Cardiac Surgery (33999) | $964.70 | $1,754 | 1.6× |
| Unlisted Procedure Hands/Fingers (26989) | $3,856.60 | $7,012 | 16.1× |
| Unlisted Procedure Intestine (44799) | $281.60 | $512 | 0.3× |
| Unlisted Procedure Muscskeletal System General (20999) | $18.70 | $34 | 0.1× |
| Unlisted Procedure Vascular Surgery (37799) | $2,947.45 | $5,359 | 4.8× |
| Unlisted Procedure, Urinary System (53899) | $987.25 | $1,795 | 4.1× |
| Vaginal delivery only (59409) | $1,416.80 | $2,576 | 0.5× |
| Vasc embolize/occlude artery (37242) likely a partial charge, not the full procedure |
$3,875.30 | $7,046 | 0.2× |
| Vasc Embolize/Occlude Bleed (37244) unusually low: confirm this is the full procedure |
$4,847.15 | $8,813 | 0.4× |
| Vasc Embolize/Occlude Organ (37243) | $9,490.80 | $17,256 | 0.8× |
| Vasc embolize/occlude venous (37241) unusually low: confirm this is the full procedure |
$4,028.75 | $7,325 | 0.4× |
| Venous Cutdown >1 Y/O (36425) | $433.95 | $789 | 1.0× |
| Venous Mech Thrombectomy (37187) likely a partial charge, not the full procedure |
$2,605.35 | $4,737 | 0.2× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$304.15–$349.80 | $553–$636 | varies |
| Windowing of cast (29730) | $77.55 | $141 | 0.5× |
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.