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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 2 matching MRF lines |
$1,358.50–$1,562.55 | $2,470–$2,841 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$1,151.70–$1,232.55 | $2,094–$2,241 | varies |
| Amniocentesis diagnostic (59000) | $779.79 | $1,417.80 | 0.9× |
| 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 (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× |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$157.55–$315.56 | $286.45–$573.75 | varies |
| Arterial puncture (36600) | $291.25 | $529.55 | 2.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$54.65–$984.09 | $99.36–$1,789.25 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$1,010.27–$1,161.74 | $1,836.85–$2,112.25 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$701.25–$806.44 | $1,275–$1,466.25 | varies |
| Aspirate pleura w/ imaging (32555) | $4,754.94 | $8,645.35 | 7.9× |
| Aspirate Pleura W/O Imaging (32554) | $678.34 | $1,233.35 | 1.1× |
| 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 Abdominal Mass (49180) | $1,766.22 | $3,211.30 | 1.1× |
| 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 of liver, needle; percutaneous (47000) | $3,618.45 | $6,579 | 2.3× |
| Biopsy Pleura Percutaneous Needle (32400) | $2,186.25 | $3,975 | 1.4× |
| Bladder Irrigation (51700) | $389.43 | $708.05 | 1.6× |
| Bladder Scan (51798) | $100.04 | $181.90 | 1.8× |
| Blepharotomy drainage abscess eyelid (67700) | $323.98 | $589.05 | 1.1× |
| Blood Transfusion Service (36430) range across 2 matching MRF lines |
$1,303.86–$1,885.43 | $2,370.65–$3,428.05 | varies |
| Bone Marrow Biopsy (38221) | $1,766.22 | $3,211.30 | 1.1× |
| Bone Marrow; Aspiration Only (38220) | $1,766.22 | $3,211.30 | 1.1× |
| Brnchsc Brushing/Protected Brushings (31623) | $1,741.90 | $3,167.10 | 1.0× |
| Bronchoscopy W/Biopsy(S) (31625) | $1,741.90 | $3,167.10 | 1.0× |
| 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× |
| Catheter aspiration nasotracheal spx (31720) range across 2 matching MRF lines |
$361.84–$416.08 | $657.90–$756.50 | varies |
| Cessj Therapy Cath Removal (37214) | $4,354.35 | $7,917 | 1.4× |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$329.12–$1,247.76 | $598.40–$2,268.65 | varies |
| Chemical Cautery Tissue (17250) | $420.28 | $764.15 | 2.2× |
| Chest tube placement (32551) range across 2 matching MRF lines |
$1,728.82–$1,988.28 | $3,143.30–$3,615.05 | varies |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $4,844.40 | $8,808 | 1.4× |
| Cl Tx Scapular Fx; W Manip (23575) | $799.89 | $1,454.35 | 0.5× |
| Cl Tx Tib Shft Fx W Manip (27752) | $2,702.62 | $4,913.85 | 1.7× |
| Clear outer ear canal (69200) | $223 | $405.45 | 1.7× |
| 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 Bone Fx W/Mnpj W/O Stabilization (21315) | $2,518.42 | $4,578.95 | 1.7× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $4,158.88 | $7,561.60 | 1.3× |
| 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 Radial&Ulnar Shaft Fractures W/Manj (25565) | $1,931.24 | $3,511.35 | 1.2× |
| 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 Laceration Vestibule Mouth 2.5 Cm/< (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 artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $1,726.01 | $3,138.20 | 1.1× |
| 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 req anesthesia (27252) | $2,136.75 | $3,885 | 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 Req Anes (26775) | $1,035.98 | $1,883.60 | 3.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $469.84 | $854.25 | 2.0× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $2,294.96 | $4,172.65 | 1.5× |
| 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 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 shoulder dislc w/fx humeral tubrst w/manj (23665) | $1,662.43 | $3,022.60 | 1.1× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $1,726.01 | $3,138.20 | 1.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $1,726.01 | $3,138.20 | 1.1× |
| Collect Blood From Catheter Venous Nos (36592) | $154.28 | $280.50 | 1.2× |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$10.45–$91.99 | $19–$167.25 | varies |
| Complex drainage wound (10180) | $2,912.52 | $5,295.50 | 1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $352.03 | $640.05 | 2.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $482.46 | $877.20 | 3.8× |
| Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical,… (61791) | $2,691.15 | $4,893 | 1.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $440.38 | $800.70 | 3.4× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $2,112.16 | $3,840.30 | 3.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $2,138.34 | $3,887.90 | 1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $1,620.82 | $2,946.95 | 4.1× |
| Declot vascular device (36593) range across 2 matching MRF lines |
$554.46–$637.67 | $1,008.10–$1,159.40 | varies |
| Destroy lumb/sac facet jnt (64635) | $2,729.10 | $4,962 | 1.5× |
| Drain Cerebro Spinal Fluid (62272) range across 2 matching MRF lines |
$904.14–$1,039.72 | $1,643.90–$1,890.40 | varies |
| Drainage Abscess/Hematoma Nasal Septum (30020) | $1,057.95 | $1,923.55 | 2.0× |
| Drainage external auditory canal abscess (69020) | $898.54 | $1,633.70 | 1.3× |
| Drainage external ear abscess/hematoma cmplx (69005) | $1,390.34 | $2,527.90 | 0.9× |
| 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 Mouth Roof Lesion (42000) | $355.30 | $646 | 1.6× |
| Drainage of finger abscess simple (26010) | $562.40 | $1,022.55 | 2.9× |
| Drainage of gum lesion (41800) | $642.34 | $1,167.90 | 5.0× |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$2,230.44–$2,565.17 | $4,055.35–$4,663.95 | varies |
| Drainage of nose lesion (30000) | $103.32 | $187.85 | 0.5× |
| Drainage of rectal abscess (45005) | $1,285.16 | $2,336.65 | 1.1× |
| Drainage of scrotal wall abscess (55100) | $1,743.31 | $3,169.65 | 1.1× |
| Drainage of scrotum (54700) | $2,222.03 | $4,040.05 | 1.1× |
| Draw Blood Off Venous Device (36591) range across 2 matching MRF lines |
$138.85–$159.88 | $252.45–$290.70 | varies |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $770.44 | $1,400.80 | 1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $429.16 | $780.30 | 1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$353.90–$407.19 | $643.45–$740.35 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$336.60–$387.56 | $612–$704.65 | varies |
| Dx Bone Marrow Bx & Aspir (38222) | $2,976.57 | $5,411.95 | 1.1× |
| Dx Bronchoscope/Lavage (31624) | $1,741.90 | $3,167.10 | 1.0× |
| Dx Bronchoscope/Wash (31622) | $1,741.90 | $3,167.10 | 1.0× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $3,081.76 | $5,603.20 | 4.5× |
| 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× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) | $4,354.35 | $7,917 | 1.4× |
| Epidural Blood Patch (62273) | $886.38 | $1,611.60 | 1.3× |
| 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 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 Surg Ant Sgmt Proc Unlisted (66999) | $2,870.45 | $5,219 | 1.3× |
| Fna bx w/us gdn 1st les (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) range across 2 matching MRF lines |
$440.85–$474.98 | $801.55–$863.60 | varies |
| 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 upper arm/elbow deep abscess/hematoma (23930) | $2,936.37 | $5,338.85 | 1.1× |
| Icd Pocket Revision (33223) | $1,988.28 | $3,615.05 | 1.0× |
| 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× |
| Incise external hemorrhoid (46083) | $577.36 | $1,049.75 | 2.4× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$636.27–$731.64 | $1,156.85–$1,330.25 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $2,791.44 | $5,075.35 | 1.8× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$489.47–$563.34 | $889.95–$1,024.25 | varies |
| 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&Drainage Upper Arm/Elbow Bursa (23931) | $2,158.20 | $3,924 | 1.4× |
| 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 W/Fluor Eval Cv Device (36598) | $1,178.10 | $2,142 | 5.8× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $48.31 | $87.84 | 0.2× |
| Injection for identification of sentinel node (38792) | $1,484.78 | $2,699.60 | 3.9× |
| Injection Into Brain Canal (61055) | $788.67 | $1,433.95 | 2.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $769.97 | $1,399.95 | 2.6× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $1,431.48 | $2,602.70 | 2.1× |
| 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/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 cath pleura w/ image (32557) | $1,764.81 | $3,208.75 | 1.2× |
| Insert Heart Pm Ventricular (33207) | $8,815.65 | $16,028.45 | 0.9× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$3,365.53–$3,870.43 | $6,119.15–$7,037.15 | varies |
| Insert Pacing Lead & Connect (33224) | $9,967.10 | $18,122 | 1.0× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $1,728.82 | $3,143.30 | 1.1× |
| Insert pulse gen dual leads (33213) | $8,775.44 | $15,955.35 | 0.9× |
| Insert Pulse Gen Sngl Lead (33212) | $6,208.87 | $11,288.85 | 0.8× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$142.12–$163.62 | $258.40–$297.50 | varies |
| Insert tunneled cv cath (36561) | $3,545.52 | $6,446.40 | 1.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$137.44–$157.55 | $249.90–$286.45 | varies |
| 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 prph ctr vad w/subq port age 5 yr/> (36571) | $3,517.47 | $6,395.40 | 1.2× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$1,892.91–$2,176.68 | $3,441.65–$3,957.60 | varies |
| 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 heart pm atrial & vent (33208) | $9,613.20 | $17,478.55 | 1.0× |
| 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× |
| Insrt Pulse Gen W/Singl Lead (33240) | $17,877.67 | $32,504.85 | 0.8× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $697.04 | $1,267.35 | 1.8× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $899 | $1,634.55 | 2.3× |
| Intraoral i&d tongue/floor lingual (41000) | $561 | $1,020 | 1.1× |
| Intro cath dialysis circuit (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) range across 2 matching MRF lines |
$364.10–$418.55 | $662–$761 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $329.12 | $598.40 | 1.4× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (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, extracorporeal shock wave (50590) | $8,932.06 | $16,240.10 | 2.6× |
| 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/Orogastric W/Tube Plmt (43752) | $411.40 | $748 | 1.0× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) | $3,425.84 | $6,228.80 | 2.0× |
| Needle Biopsy Lymph Nodes (38505) | $1,878.88 | $3,416.15 | 1.2× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $1,354.65 | $2,463 | 3.3× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $323.98 | $589.05 | 1.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $2,505.80 | $4,556 | 2.9× |
| Occipital Nerve Block (64405) | $160.47 | $291.76 | 0.5× |
| Open/Perq Place Stent 1St (37236) | $7,420.63 | $13,492.05 | 0.7× |
| Open/Perq Place Stent Same (37238) | $11,027.39 | $20,049.80 | 1.0× |
| Penile Injection (54235) | $329.12 | $598.40 | 1.4× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) | $4,354.35 | $7,917 | 1.4× |
| Pericardiocentesis W/Imaging (33016) range across 2 matching MRF lines |
$2,389.39–$2,747.96 | $4,344.35–$4,996.30 | varies |
| Perq Cervicothoracic Inject (22510) | $4,400.55 | $8,001 | 1.4× |
| 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 Lumbosacral Injection (22511) | $4,400.55 | $8,001 | 1.4× |
| 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 cannulj lmbr (22514) | $9,733.35 | $17,697 | 1.4× |
| Perq Vertebral Augmentation (22513) | $9,733.35 | $17,697 | 1.4× |
| Place Cath Subclavian Art (36225) range across 2 matching MRF lines |
$5,453.86–$10,907.36 | $9,916.10–$19,831.56 | varies |
| Place Cath Thoracic Aorta (36221) | $7,271.61 | $13,221.11 | 2.4× |
| Place Cath Vertebral Art (36226) range across 2 matching MRF lines |
$9,326.62–$18,653.25 | $16,957.50–$33,915 | varies |
| 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× |
| Pseudoaneurysm Injection Trt (36002) | $731.17 | $1,329.40 | 1.2× |
| Punch biopsy skin single lesion (11104) | $434.31 | $789.65 | 1.1× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$466.56–$536.69 | $848.30–$975.80 | varies |
| Puncture Aspiration Cyst Breast (19000) | $765.30 | $1,391.45 | 1.1× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $728.36 | $1,324.30 | 1.1× |
| Redo Endovas Vena Cava Filtr (37192) | $3,330.94 | $6,056.25 | 1.1× |
| Reduction of rectal prolapse (45900) | $983.62 | $1,788.40 | 1.1× |
| Relocation Pocket 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 Embedded Foreign Body Eyelid (67938) | $633.60 | $1,152 | 2.1× |
| 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 impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$17.82–$279.10 | $32.40–$507.45 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$71.94–$768.10 | $130.80–$1,396.55 | varies |
| Removal of foreign body from pharynx (42809) | $334.73 | $608.60 | 0.8× |
| Removal of nail bed (11750) | $692.37 | $1,258.85 | 1.8× |
| Removal Pacemaker Electrode (33235) | $4,003.67 | $7,279.40 | 1.1× |
| Removal ppm generator only (33233) | $9,489.78 | $17,254.15 | 1.2× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $526.40 | $957.10 | 2.7× |
| Removal subcutaneous cardiac rhythm monitor (33286) | $1,102.36 | $2,004.30 | 1.6× |
| Remove Elctrd Transvenously (33244) | $4,003.67 | $7,279.40 | 1.1× |
| Remove foreign body from eye (65205) | $453.75 | $825 | 3.5× |
| Remove Intrauterine Device (58301) | $360.91 | $656.20 | 1.2× |
| Remove intrvas foreign body (37197) | $4,354.35 | $7,917 | 1.4× |
| Remove Nasal Foreign Body (30300) | $245.90 | $447.10 | 1.9× |
| Remove Pulse Generator (33241) | $4,003.67 | $7,279.40 | 1.1× |
| Remove&replace pm gen singl (33227) | $6,233.64 | $11,333.90 | 0.8× |
| 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 Perq (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 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 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 (41252) | $671 | $1,220 | 2.9× |
| Repair tongue laceration (41250) | $366.52 | $666.40 | 0.9× |
| Reposition Gastrostomy Tube (43761) | $620.84 | $1,128.80 | 2.6× |
| Reposition L Ventric Lead (33226) | $3,330.94 | $6,056.25 | 1.1× |
| Reposition Pacing-Defib Lead (33215) | $3,330.94 | $6,056.25 | 1.1× |
| Reposition Venous Catheter (36597) | $1,727.41 | $3,140.75 | 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 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 No Revj Trc (43762) range across 2 matching MRF lines |
$355.30–$408.60 | $646–$742.90 | varies |
| 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 Prph Cvc W/O Subq Port/Pmp (36584) | $2,046.25 | $3,720.45 | 1.4× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $3,516.07 | $6,392.85 | 1.2× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $470.77 | $855.95 | 2.4× |
| 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× |
| 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 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) range across 2 matching MRF lines |
$9,326.62–$18,653.25 | $16,957.50–$33,915 | varies |
| Slctv cath carotid/innom art angio xtrcranl art (36222) range across 2 matching MRF lines |
$5,993.47–$8,990.02 | $10,897.21–$16,345.50 | varies |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) range across 2 matching MRF lines |
$9,326.62–$18,653.25 | $16,957.50–$33,915 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$356.24–$409.67 | $647.70–$744.86 | varies |
| 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) range across 2 matching MRF lines |
$688.16–$791.48 | $1,251.20–$1,439.05 | varies |
| Strapping ankle (29540) | $182.32 | $331.50 | 1.2× |
| Strapping elbow or 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) range across 2 matching MRF lines |
$302.47–$604.94 | $549.95–$1,099.90 | varies |
| Suture/repair testicular injury (54670) | $3,812 | $6,930.90 | 1.1× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) | $13,070.83 | $23,765.15 | 0.7× |
| Tcat Rmvl Perm Ldls Pm (33275) | $3,330.94 | $6,056.25 | 1.1× |
| Ther Apheresis,Red Blood Cells (36512) | $5,419.26 | $9,853.20 | 3.6× |
| Therapeutic plasma exchange (36514) | $3,038.75 | $5,525 | 2.0× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $15,086.22 | $27,429.50 | 0.9× |
| Thromblytic art/ven therapy (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× |
| Tooth extraction (41899) | $325.05 | $591 | 1.4× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $486.20 | $884 | 2.1× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $2,075.70 | $3,774 | 1.4× |
| Treat Humerus Fracture (24505) | $1,726.01 | $3,138.20 | 1.1× |
| Treat Knuckle Dislocation (26700) | $371.66 | $675.75 | 1.6× |
| Treat Thumb Dislocation (26641) | $405.32 | $736.95 | 1.7× |
| Treat toe dislocation (28630) | $255.72 | $464.95 | 1.1× |
| 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× |
| Trluml Balo Angiop 1St Art (37246) | $5,769.88 | $10,490.70 | 1.1× |
| Trluml Balo Angiop 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 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× |
| Unlisted Procedure, Urinary System (53899) | $407.55 | $741 | 1.7× |
| Upgrade of pacemaker system (33214) | $5,986.80 | $10,885.10 | 0.6× |
| 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× |
| Venous Mech Thrombectomy (37187) | $15,280.65 | $27,783 | 1.4× |
| Wedge excision skin nail fold (11765) | $429.16 | $780.30 | 1.1× |
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.