Procedures & surgery prices at SSM Health St. Anthony Hospital - Midwest

Midwest City, OK · every code in this section with a posted price and a Medicare benchmark.

375 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,460.52 $2,655.50 1.7×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,192.12 $2,167.50 1.4×
Amniocentesis diagnostic (59000) $779.79 $1,417.80 0.9×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $236.56 $430.10 1.5×
Application Finger Splint Dynamic (29131) $127.16 $231.20 2.2×
Application finger splint static (29130) $281.44 $511.70 2.2×
Application long arm splint shoulder hand (29105) $359.51 $653.65 2.3×
Application long leg splint thigh ankle/toes (29505) $356.70 $648.55 2.3×
Application Of Rigid Total Contact Leg Cast (29445) $494.62 $899.30 1.8×
Application Short Arm Splint Dynamic (29126) $163.16 $296.65 1.3×
Application short arm splint forearm-hand static (29125) $387.09 $703.80 3.0×
Application short leg splint calf foot (29515) $275.36 $500.65 1.8×
Arterial puncture (36600) $291.25 $529.55 2.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $519.37 $944.30 1.8×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $1,086 $1,974.55 3.7×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $753.84 $1,370.62 2.6×
Aspiration Bladder Insert Suprapubic Catheter (51102) $2,222.03 $4,040.05 1.1×
Avulsion nail plate partial/complete simple 1 (11730) $230.94 $419.90 1.2×
Biopsy bone trocar/needle deep (20225) $2,993.87 $5,443.40 1.9×
Biopsy muscle percutaneous needle (20206) $2,458.12 $4,469.30 1.5×
Biopsy pleura percutaneous needle (32400) $2,186.25 $3,975 1.4×
Bladder Irrigation Simple (51700) $389.43 $708.05 1.6×
Bladder Scan (51798) $100.04 $181.90 1.8×
Blood patch (62273) $886.38 $1,611.60 1.3×
Blood transfusion service (36430) $1,594.64 $2,899.35 3.8×
Bone marrow aspiration only (38220) $1,766.22 $3,211.30 1.1×
Bone Marrow Biopsy (38221) $1,766.22 $3,211.30 1.1×
Brain Shunt Tube/Reserv Injectn (61070) $728.36 $1,324.30 1.1×
Brnchsc Brushing/Protected Brushings (31623) $1,741.90 $3,167.10 1.0×
Bronchosc dx w/w/o fluor&wash (31622) $1,741.90 $3,167.10 1.0×
Bronchoscopy W/Biopsy(S) (31625) $1,741.90 $3,167.10 1.0×
Bronchoscopy,Diagnostic W Lavage (31624) $1,741.90 $3,167.10 1.0×
Bx abdl/retroperitoneal mass prq needle (49180) $1,766.22 $3,211.30 1.1×
Bx breast 1st lesion strtctc (19081) $2,942.50 $5,350 1.9×
Bx breast 1st lesion us imag (19083) $2,140.05 $3,891 1.3×
Bx/exc lymph node needle superficial (38505) $1,878.88 $3,416.15 1.2×
Catheter Aspiration Nasotracheal Spx (31720) $388.96 $707.20 1.8×
Cessj Therapy Cath Removal (37214) $4,354.35 $7,917 1.4×
Change Cystostomy Tube Simple (51705) $788.44 $1,433.52 3.3×
Chemical Cautery Tissue (17250) $420.28 $764.15 2.2×
Chest tube placement (32551) $1,858.55 $3,379.18 1.2×
Chg Collect Blood From Catheter Venous Nos (36592) $154.28 $280.50 1.2×
Cholecystostomy,Percutaneous, Complete (47490) $4,844.40 $8,808 1.4×
Cisternal/Lateral C1-C2 Puncture W/Injection (61055) $788.67 $1,433.95 2.7×
Close Rx Fingr Articular Fx,Manip (26742) $1,726.01 $3,138.20 1.1×
Closed Rx Med Malleolus Fx,Manip (27762) $2,294.96 $4,172.65 1.5×
Closed Rx Mid Humerus Fx,Manipulatn (24505) $1,726.01 $3,138.20 1.1×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $1,931.24 $3,511.35 1.2×
Closed Rx Shldr Disloc,Gr Tub Fx (23665) $1,662.43 $3,022.60 1.1×
Closed Rx Trauma Hip Disloc,Anesth (27252) $2,136.75 $3,885 1.4×
Closed treatment nasal fracture w/stabilization (21320) $4,158.88 $7,561.60 1.3×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $1,267.39 $2,304.35 5.3×
Closed tx ankle dislocation w/o anesthesia (27840) $275.36 $500.65 1.2×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,726.01 $3,138.20 1.1×
Closed tx knee dislocation w/o anesthesia (27550) $255.72 $464.95 1.1×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $2,273.45 $4,133.55 1.5×
Closed tx nasal fracture w/o stabilization (21315) $2,518.42 $4,578.95 1.7×
Closed tx patellar dislocation w/anesthesia (27562) $499.76 $908.65 2.1×
Closed tx patellar dislocation w/o anesthesia (27560) $306.68 $557.60 1.3×
Closed tx radial head/neck fx w/manipulation (24655) $1,726.01 $3,138.20 1.1×
Closed tx radial shaft fracture w/manipulation (25505) $1,726.01 $3,138.20 1.1×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $255.72 $464.95 1.1×
Closed Tx Talus Fracture W/Manipulation (28435) $667.59 $1,213.80 0.4×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $530.61 $964.75 2.2×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,726.01 $3,138.20 1.1×
Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) $391.76 $712.30 1.7×
Clsd tx acromioclavicular dislc w/manipulation (23545) $255.72 $464.95 1.1×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,172 $3,949.10 1.4×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $637.67 $1,159.40 2.7×
Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) $405.32 $736.95 1.7×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $434.78 $790.50 1.8×
Cltx dstl fibular fx lat malls w/manj (27788) $293.59 $533.80 1.2×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $481.06 $874.65 2.0×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,726.01 $3,138.20 1.1×
Cltx fem fx dstl end medial/lat condyle w/manj (27510) $628.10 $1,142 0.4×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $3,092.10 $5,622 2.0×
Cltx fx grt toe phlx/phlg w/manj (28495) $366.05 $665.55 1.5×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $336.13 $611.15 1.4×
Cltx hip dislocation traumatic w/o anesthesia (27250) $667.12 $1,212.95 2.8×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $524.07 $952.85 2.2×
Cltx iphal jt dislc w/manj w/o anes (26770) $469.84 $854.25 2.0×
Cltx metacarpal fx w/manipulation each bone (26605) $333.33 $606.05 1.4×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $1,726.01 $3,138.20 1.1×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $371.66 $675.75 1.6×
Cltx metatarsophlngl jt dislc w/o anes (28630) $255.72 $464.95 1.1×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $1,365.10 $2,482 5.8×
Cltx Post Hip Arthrp Dislc Req Anes (27266) $1,726.01 $3,138.20 1.1×
Cltx post hip arthrp dislc w/o anes (27265) $242.63 $441.15 1.0×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $2,005.58 $3,646.50 1.3×
Cltx prox tibfib jt dislc req anes (27831) $3,506.72 $6,375.85 1.1×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $460.96 $838.10 1.9×
Cltx scapular fx w/mnpj w/wo skeletal traction (23575) $799.89 $1,454.35 0.5×
Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) $1,726.01 $3,138.20 1.1×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $2,702.62 $4,913.85 1.7×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,726.01 $3,138.20 1.1×
Complete replacement picc rs&i (36584) $2,046.25 $3,720.45 1.4×
Complex Drainage, Wound (10180) $2,912.52 $5,295.50 1.0×
Contrast Inj Cent Ven Cath, Inc Flouro (36598) $1,178.10 $2,142 5.8×
Control Nasal Hemorrhage Anterior Complex (30903) $352.03 $640.05 2.8×
Control Nasal Hemorrhage Anterior Simple (30901) $482.46 $877.20 3.8×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $440.38 $800.70 3.4×
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,620.82 $2,946.95 4.1×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $2,112.16 $3,840.30 3.0×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $2,138.34 $3,887.90 1.3×
Declot vascular device (36593) $596.06 $1,083.75 1.9×
Destroy lumb/sac facet jnt (64635) $2,729.10 $4,962 1.5×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $3,081.76 $5,603.20 4.5×
Drain Ext Ear Absc/Blood,Complic (69005) $1,390.34 $2,527.90 0.9×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $770.44 $1,400.80 1.1×
Drain outer ear canal lesion (69020) $898.54 $1,633.70 1.3×
Drainage abscess/hematoma nasal int approach (30000) $103.32 $187.85 0.5×
Drainage Abscess/Hematoma Nasal Septum (30020) $1,057.95 $1,923.55 2.0×
Drainage External Ear Abscess/Hematoma Simple (69000) $770.44 $1,400.80 1.1×
Drainage Finger Abscess Complicated (26011) $2,246.80 $4,085.10 1.4×
Drainage Finger Abscess Simple (26010) $562.40 $1,022.55 2.9×
Drainage mouth roof lesion (42000) $355.30 $646 1.6×
Drainage of eyelid abscess (67700) $323.98 $589.05 1.1×
Drainage of gum lesion (41800) $642.34 $1,167.90 5.0×
Drainage of hematoma/fluid (10140) $2,397.80 $4,359.65 1.5×
Drainage of scrotal wall abscess (55100) $1,743.31 $3,169.65 1.1×
Draw blood off venous device (36591) $149.36 $271.58 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $429.16 $780.30 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $380.54 $691.90 2.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $362.08 $658.32 1.9×
Dx bone marrow bx & aspir (38222) $2,976.57 $5,411.95 1.1×
Egd flexible foreign body removal (43247) $1,100.50 $2,000.90 1.3×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $4,354.35 $7,917 1.4×
Endovenous rf 1st vein (36475) $4,354.35 $7,917 1.4×
Ep Relocate Skin Pocket Implantable Defibrillator (33223) $1,988.28 $3,615.05 1.0×
Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) $4,003.67 $7,279.40 1.1×
Evacuation of subungual hematoma (11740) $138.85 $252.45 1.1×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $3,048.57 $5,542.85 1.9×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $2,352.46 $4,277.20 1.5×
Excision of nail fold toe (11765) $429.16 $780.30 1.1×
Excision pilonidal cyst/sinus complicated (11772) $4,638.07 $8,432.85 1.7×
Expl penetrating wound spx abdomen/flank/back (20102) $2,126.19 $3,865.80 1.1×
Explo/Drain Breast Abscess (19020) $3,048.57 $5,542.85 1.9×
Exploration penetrating wound spx extremity (20103) $2,923.74 $5,315.90 1.8×
Eye surgery procedure (66999) $2,870.45 $5,219 1.3×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $799.89 $1,454.35 1.2×
Guide Cathet Fluid Drainage (10030) $6,352.86 $11,550.65 9.3×
I&D Abscess Peritonsillar (42700) $560.53 $1,019.15 2.5×
I&d abscess simple (10060) $457.92 $832.58 2.4×
I&d epididymis tstis&/scrotal space (54700) $2,222.03 $4,040.05 1.1×
I&d perianal abscess superficial (46050) $983.62 $1,788.40 1.1×
I&d pilonidal cyst simple (10080) $770.44 $1,400.80 1.1×
I&d submucosal abscess rectum (45005) $1,285.16 $2,336.65 1.1×
I&D Upper Arm/Elbow Bursa (23931) $2,158.20 $3,924 1.4×
I&d upper arm/elbow deep abscess/hematoma (23930) $2,936.37 $5,338.85 1.1×
Image Cath Fluid Colxn Visc (49405) $2,186.25 $3,975 1.4×
Image Cath Fluid Peri/Retro (49406) $2,186.25 $3,975 1.4×
Incision & drainage abscess complicated/multiple (10061) $683.96 $1,243.55 1.7×
Incision & removal foreign body subq tiss compl (10121) $2,791.44 $5,075.35 1.8×
Incision & removal foreign body subq tiss simple (10120) $526.40 $957.10 1.3×
Incision and drainage of bartholin's gland abscess (56420) $400.65 $728.45 2.1×
Incision and drainage of vulva or perineal abscess (56405) $445.53 $810.05 1.5×
Incision of rectal abscess (46040) $2,539.93 $4,618.05 2.2×
Incision thrombosed hemorrhoid external (46083) $577.36 $1,049.75 2.4×
Incisional biopsy skin single lesion (11106) $657.30 $1,195.10 0.9×
Initial tx 1st degree burn local tx (16000) $208.50 $379.10 1.1×
Inj tendon sheath/ligament (20550) $48.31 $87.84 0.2×
Injection aa&/strd trigeminal nerve each branch (64400) $323.98 $589.05 1.1×
Injection anes other peripheral nerve/branch (64450) $1,431.48 $2,602.70 2.1×
Injection for identification of sentinel node (38792) $1,484.78 $2,699.60 3.9×
Injection Rx Extremity Pseudoaneurysm (36002) $731.17 $1,329.40 1.2×
Injection single/mlt trigger point 1/2 muscles (20552) $769.97 $1,399.95 2.6×
Injection, anesthetic agent; greater occipital nerve (64405) $160.47 $291.76 0.5×
Ins cath ren art 1st bilat (36252) $3,701.66 $6,730.30 1.2×
Ins cath ren art 1st unilat (36251) $1,850.83 $3,365.15 0.6×
Ins cath ren art 2nd+ bilat (36254) $3,701.66 $6,730.30 1.2×
Ins cath ren art 2nd+ unilat (36253)
unusually low: confirm this is the full procedure
$1,850.83 $3,365.15 0.3×
Ins endovas vena cava filtr (37191) $14,636.88 $26,612.50 2.7×
Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) $8,815.65 $16,028.45 0.9×
Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) $9,613.20 $17,478.55 1.0×
Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) $8,775.44 $15,955.35 0.9×
Ins Pm Pls Gen W/Exist Single Lead (33212) $6,208.87 $11,288.85 0.8×
Ins/Rep Subq Defibrillator (33270) $15,519.13 $28,216.60 0.5×
Insert 1 electrode pm-defib (33216) $4,622.64 $8,404.80 0.6×
Insert non-tunnel cv cath (36556) $3,617.98 $6,578.15 1.2×
Insert pacing lead & connect (33224) $9,967.10 $18,122 1.0×
Insert picc cath (36569) $2,034.80 $3,699.62 1.3×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,728.82 $3,143.30 1.1×
Insert Temp Bladder Cath (51702) $152.87 $277.95 1.2×
Insert tunneled cv cath (36561) $3,545.52 $6,446.40 1.2×
Insert,Non-Indwelling Bladder Catheter (51701) $147.50 $268.18 1.2×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,046.25 $3,720.45 1.4×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $7,825.02 $14,227.30 1.0×
Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) $6,452.44 $11,731.70 0.8×
Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) $17,877.67 $32,504.85 0.8×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $3,517.47 $6,395.40 1.2×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $3,516.07 $6,392.85 1.2×
Insj/rplcmt defib w/lead(s) (33249) $25,481.56 $46,330.10 0.8×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $4,780.66 $8,692.10 0.6×
Insrt pulse gen w/dual leads (33230) $17,877.67 $32,504.85 0.8×
Insrt pulse gen w/mult leads (33231) $25,481.56 $46,330.10 0.8×
Intraoral i&d tongue/floor lingual (41000) $561 $1,020 1.1×
Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) $2,874.19 $5,225.80 1.9×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $11,689.84 $21,254.25 1.1×
Intro cath dialysis circuit w/trluml balo angiop (36902) $5,769.88 $10,490.70 1.1×
Intro Gastrointestinal Tube (44500) $995.78 $1,810.50 1.1×
Intubation endotracheal emergency procedure (31500) $391.32 $711.50 1.7×
Irrigate corpora cavernosa for priapism (54220) $329.12 $598.40 1.4×
Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554)
likely a partial charge, not the full procedure
$171.05 $311 0.0×
Laryngoscopy W/Foreign Body Removal (31530) $2,854.09 $5,189.25 1.7×
Ligation Of Inf Vena Cava (37619) $5,552.50 $10,095.45 1.0×
Lithotripsy (50590) $8,932.06 $16,240.10 2.6×
Liver Biopsy (47000) $3,618.45 $6,579 2.3×
Myelography Lumbar Injection (62305) $5,293.04 $9,623.70 7.0×
Myelography Lumbar Injection (62304) $5,293.04 $9,623.70 7.0×
Myelography Via Lumbar Injection Rs&I Cervical (62302) $5,293.04 $9,623.70 7.0×
Myelography via lumbar injection rs&i thoracic (62303) $1,686.74 $3,066.80 2.2×
Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) $3,425.84 $6,228.80 2.0×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $411.40 $748 1.0×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,354.65 $2,463 3.3×
Njx c/p/a cavernosa w/pharmacologic agt (54235) $329.12 $598.40 1.4×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $2,505.80 $4,556 2.9×
Open/Perq Place Stent Same (37238) $11,027.39 $20,049.80 1.0×
Open/Perq Placement Intravascular Stent Initial (37236) $7,420.63 $13,492.05 0.7×
Percut Mech Thrombectomy, Venous (37187) $15,280.65 $27,783 1.4×
Percut Mech Thrombectomy, Venous, Repeat (37188) $4,354.35 $7,917 1.4×
Pericardiocentesis W/Imaging (33016) $2,568.68 $4,670.32 1.7×
Perq dev breast 1st us imag (19285) $1,319.45 $2,399 1.9×
Perq device breast 1st imag (19281) $1,482.25 $2,695 0.9×
Perq Drainage Pleura Insert Cath W/Imaging (32557) $1,764.81 $3,208.75 1.2×
Perq replacement gtube not req revj gstrst trc (43762) $381.95 $694.45 1.6×
Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) $15,086.22 $27,429.50 0.9×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $11,689.84 $21,254.25 1.1×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $5,769.88 $10,490.70 1.1×
Perq vert agmntj cavity crtj uni/bi cannulation (22513) $9,733.35 $17,697 1.4×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $9,733.35 $17,697 1.4×
Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) $4,400.55 $8,001 1.4×
Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) $4,400.55 $8,001 1.4×
Place Cath Subclavian Art (36225) $8,180.61 $14,873.83 2.7×
Place Cath Thoracic Aorta (36221) $7,271.61 $13,221.11 2.4×
Place Cath Vertebral Art (36226) $13,989.94 $25,436.25 2.6×
Placement of needle for intraosseous infusion (36680) $341.28 $620.50 0.8×
Prim art mech thrombectomy (37184) $15,280.65 $27,783 0.9×
Punch biopsy skin single lesion (11104) $434.31 $789.65 1.1×
Puncture Aspiration (10160) $501.62 $912.05 1.3×
Puncture Aspiration Cyst Breast (19000) $765.30 $1,391.45 1.1×
Reduction of rectal prolapse (45900) $983.62 $1,788.40 1.1×
Relocation of skin pocket for pacemaker (33222) $2,066.82 $3,757.85 1.0×
Rem endovas vena cava filter (37193) $3,441.74 $6,257.70 1.1×
Removal fb intranasal (30300) $245.90 $447.10 1.9×
Removal Foreign Body Deep Thigh/Knee (27372) $1,699.36 $3,089.75 0.6×
Removal foreign body foot subcutaneous (28190) $1,319.75 $2,399.55 1.9×
Removal foreign body pharynx (42809) $334.73 $608.60 0.8×
Removal impacted cerumen irrigation/lvg unilat (69209) $148.46 $269.92 2.6×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $420.02 $763.68 7.4×
Removal Implantable Defib Pulse Generator Only (33241) $4,003.67 $7,279.40 1.1×
Removal of intrauterine device (iud) (58301) $360.91 $656.20 1.2×
Removal of nail bed (11750) $692.37 $1,258.85 1.8×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $526.40 $957.10 2.7×
Removal ppm generator only (33233) $9,489.78 $17,254.15 1.2×
Removal subq cardiac rhythm monitor (33286) $1,102.36 $2,004.30 1.6×
Remove Eyelid Foreign Body (67938) $633.60 $1,152 2.1×
Remove intrvas foreign body (37197) $4,354.35 $7,917 1.4×
Remove&replace pm gen singl (33227) $6,233.64 $11,333.90 0.8×
Remv Ext Canal Foreign Body (69200) $223 $405.45 1.7×
Remv F.B.,Eye,Superf Conjunc (65205) $453.75 $825 3.5×
Remv&replc cvd gen dual lead (33263) $17,877.67 $32,504.85 0.8×
Remv&replc cvd gen mult lead (33264) $17,877.67 $32,504.85 0.6×
Remv&replc cvd gen sing lead (33262) $17,877.67 $32,504.85 0.8×
Remv&replc pm gen dual lead (33228) $8,627.71 $15,686.75 0.9×
Remv&replc pm gen mult leads (33229)
unusually low: confirm this is the full procedure
$8,257.45 $15,013.55 0.4×
Renal biopsy (50200) $1,730.22 $3,145.85 1.1×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $609.62 $1,108.40 0.9×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $776.05 $1,411 1.1×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $526.87 $957.95 1.3×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,025.70 $1,864.90 2.6×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $649.36 $1,180.65 1.7×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $813.92 $1,479.85 2.1×
Repair extensor tendon finger w/o graft each (26418) $5,909.20 $10,744 3.8×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $697.04 $1,267.35 1.8×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $479.19 $871.25 1.2×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $500.22 $909.50 1.3×
Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) $899 $1,634.55 2.3×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $527.81 $959.65 1.4×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $551.65 $1,003 1.4×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $770.91 $1,401.65 1.1×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $536.69 $975.80 1.4×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $643.75 $1,170.45 1.6×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $702.65 $1,277.55 1.0×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $754.08 $1,371.05 1.9×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $537.62 $977.50 1.4×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $645.62 $1,173.85 1.7×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $774.18 $1,407.60 1.1×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $703.59 $1,279.25 1.8×
Repair intermediate s/a/t/e >30.0 cm (12037) $1,604.93 $2,918.05 0.8×
Repair lead pace-defib dual (33220) $4,003.67 $7,279.40 1.1×
Repair lead pace-defib one (33218) $4,003.67 $7,279.40 1.1×
Repair of nail bed (11760) $664.32 $1,207.85 0.9×
Repair Tongue Laceration (41250) $366.52 $666.40 0.9×
Reposition gastrostomy tube (43761) $620.84 $1,128.80 2.6×
Reposition pacing-defib lead (33215) $3,330.94 $6,056.25 1.1×
Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) $3,330.94 $6,056.25 1.1×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $1,003.72 $1,824.95 1.2×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $453.75 $825 1.1×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $453.75 $825 3.5×
Rmvl fecal impaction/fb spx under anes (45915) $1,964.44 $3,571.70 1.7×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $4,003.67 $7,279.40 1.1×
Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) $4,003.67 $7,279.40 1.1×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $2,846.61 $5,175.65 1.9×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $2,833.98 $5,152.70 4.7×
Rplc gtube revj gstrst trc (43763) $374.47 $680.85 1.6×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $1,728.82 $3,143.30 1.1×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $3,516.07 $6,392.85 1.2×
Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) $671 $1,220 2.9×
Rpr Lip Full Thickness Vermilion Only (40650) $1,568.46 $2,851.75 3.0×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $4,113.06 $7,478.30 2.8×
Rpsg prev implted car ven sys l ventr eltrd (33226) $3,330.94 $6,056.25 1.1×
Rpsg previously placed cvc under fluor gdnce (36597) $1,727.41 $3,140.75 1.1×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $580.17 $1,054.85 1.5×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $396.44 $720.80 2.1×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $428.23 $778.60 2.2×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $436.18 $793.05 2.3×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $470.77 $855.95 2.4×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $396.91 $721.65 2.1×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $544.17 $989.40 2.8×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $413.74 $752.25 2.1×
Skin sub graft face/nk/hf/g (15275) $2,610.30 $4,746 3.7×
Skin sub graft trnk/arm/leg (15271) $2,610.30 $4,746 3.7×
Skin Sub Grft T/Arm/Lg Child (15273) $5,764.55 $10,481 2.9×
Skin Tissue Procedure (17999) $1,189.32 $2,162.40 6.2×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $13,989.94 $25,436.25 2.6×
Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) $7,491.74 $13,621.36 2.5×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $13,989.94 $25,436.25 2.6×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $382.96 $696.28 2.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $450.20 $818.55 1.2×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $495.08 $900.15 1.3×
Spinal puncture lumbar diagnostic (62270) $739.82 $1,345.12 1.1×
Spinal Puncture Therapeutic (62272) $971.93 $1,767.15 1.4×
Strapping ankle (29540) $182.32 $331.50 1.2×
Strapping elbow/wrist (29260) $255.26 $464.10 4.5×
Strapping hand/finger (29280) $255.26 $464.10 4.5×
Strapping knee (29530) $251.05 $456.45 2.0×
Strapping shoulder (29240) $326.78 $594.15 2.6×
Strapping toes (29550) $93.97 $170.85 1.7×
Strapping unna boot (29580) $453.70 $824.92 2.9×
Suture/repair testicular injury (54670) $3,812 $6,930.90 1.1×
Tcat insj/rpl perm leadless pacemaker rv w/img (33274) $13,070.83 $23,765.15 0.7×
Tcat removal perm leadless pm right ventr w/img (33275) $3,330.94 $6,056.25 1.1×
Ther Apheresis,Plasma Pheresis (36514) $3,038.75 $5,525 2.0×
Ther Apheresis,Red Blood Cells (36512) $5,419.26 $9,853.20 3.6×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $4,754.94 $8,645.35 7.9×
Thoracentesis needle/cath pleura w/o imaging (32554) $678.34 $1,233.35 1.1×
Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) $4,354.35 $7,917 1.4×
Thrombolytic Art Therapy (37211) $7,258.35 $13,197 1.4×
Thrombolytic Venous Therapy (37212) $4,354.35 $7,917 1.4×
Thyroid biopsy (60100) $1,588.10 $2,887.45 2.3×
Tracheostomy emergency cricothyroid membrane (31605) $486.20 $884 2.1×
Tracheostomy Emergency Procedure Transtracheal (31603) $2,075.70 $3,774 1.4×
Treat finger dislocation (26775) $1,035.98 $1,883.60 3.9×
Treat trigeminal tract (61791) $2,691.15 $4,893 1.4×
Treatment closed elbow dislocation req anes (24605) $2,565.64 $4,664.80 1.7×
Treatment closed elbow dislocation w/o anes (24600) $501.16 $911.20 2.1×
Trim skin lesions 2 to 4 (11056) $137.91 $250.75 0.7×
Trim skin lesions over 4 (11057) $219.72 $399.50 1.1×
Trlml balo angiop open/perq img s&i 1st art (37246) $5,769.88 $10,490.70 1.1×
Trlml balo angiop open/perq w/img s&i 1st vein (37248) $5,769.88 $10,490.70 1.1×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,464.21 $2,662.20 2.1×
Tx superficial wound dehiscence w/packing (12021) $810.18 $1,473.05 2.1×
Unlisted Procedure Casting/Strapping (29799) $175.78 $319.60 1.1×
Unlisted Procedure Dentoalveolar Structures (41899) $325.05 $591 1.4×
Unlisted procedure femur or knee (27599) $738.65 $1,343 3.1×
Unlisted Procedure Nervous System (64999) $400.95 $729 1.4×
Unlisted Procedure Trachea Bronchi (31899) $252.45 $459 1.3×
Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) $5,986.80 $10,885.10 0.6×
Urology Surgery Procedure (53899) $407.55 $741 1.7×
Vaginal delivery only (59409) $4,024.35 $7,317 1.3×
Vasc embolize/occlude artery (37242)
unusually low: confirm this is the full procedure
$7,752.25 $14,095 0.4×
Vasc Embolize/Occlude Bleed (37244) $7,752.25 $14,095 0.7×
Vasc embolize/occlude organ (37243) $7,752.25 $14,095 0.7×
Vasc embolize/occlude venous (37241) $7,148.35 $12,997 0.6×
Venipuncture (36415) $51.22 $93.12 5.5×