Procedures & surgery prices at SSM Health St. Clare Hospital - Baraboo
Baraboo, WI · every code in this section with a posted price and a Medicare benchmark.
313 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 2 matching MRF lines |
$1,837–$2,113.10 | $3,340–$3,842 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$636.90–$732.05 | $1,158–$1,331 | varies |
| Amniocentesis diagnostic (59000) | $786.50 | $1,430 | 0.9× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) range across 2 matching MRF lines |
$2,847.90–$3,275.80 | $5,178–$5,956 | varies |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$141.35–$162.80 | $257–$296 | varies |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $347.05 | $631 | 2.2× |
| Application cast elbow finger short arm (29075) | $396.55 | $721 | 1.5× |
| Application finger splint static (29130) range across 2 matching MRF lines |
$256.30–$293.70 | $466–$534 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$289.30–$332.75 | $526–$605 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$289.30–$332.75 | $526–$605 | varies |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$245.30–$283.80 | $446–$516 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$309.65–$355.85 | $563–$647 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$353.10–$669.35 | $642–$1,217 | varies |
| Arterial puncture (36600) range across 3 matching MRF lines |
$123.20–$162.80 | $224–$296 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$312.40–$359.15 | $568–$653 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $779.35 | $1,417 | 1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 3 matching MRF lines |
$419.10–$838.20 | $762–$1,524 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$847.55–$974.60 | $1,541–$1,772 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$286–$328.90 | $520–$598 | varies |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$1,252.90–$1,442.10 | $2,278–$2,622 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$1,160.50–$1,335.40 | $2,110–$2,428 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) | $205.70 | $374 | 1.1× |
| Biopsy Abdominal Mass (49180) | $1,686.85 | $3,067 | 1.1× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $1,686.85 | $3,067 | 1.1× |
| Biopsy muscle percutaneous needle (20206) | $1,672 | $3,040 | 1.0× |
| Biopsy of liver, needle; percutaneous (47000) | $1,755.60 | $3,192 | 1.1× |
| Biopsy Salivary Gland Needle (42400) | $1,528.45 | $2,779 | 2.2× |
| Biopsy soft tissue neck/thorax (21550) | $3,125.10 | $5,682 | 1.9× |
| Biopsy Soft Tissue Shoulder Superficial (23065) | $3,010.15 | $5,473 | 1.9× |
| Bladder Scan (51798) range across 2 matching MRF lines |
$178.20–$205.15 | $324–$373 | varies |
| Blepharotomy drainage abscess eyelid (67700) | $740.30 | $1,346 | 2.4× |
| Blood Transfusion Service (36430) range across 3 matching MRF lines |
$917.40–$1,054.90 | $1,668–$1,918 | varies |
| Bone Marrow Biopsy (38221) | $1,703.35 | $3,097 | 1.1× |
| Bone Marrow; Aspiration Only (38220) | $1,703.35 | $3,097 | 1.1× |
| Bx breast 1st lesion strtctc (19081) | $1,525.15 | $2,773 | 1.0× |
| Bx breast 1st lesion us imag (19083) | $1,464.65 | $2,663 | 0.9× |
| Catheter aspiration nasotracheal spx (31720) | $266.20 | $484 | 1.3× |
| Change Cystostomy Tube Simple (51705) | $270.05 | $491 | 1.1× |
| Change of Windpipe Airway (31502) | $1,002.10 | $1,822 | 4.4× |
| Chemodenerv musc neck dyston (64616) | $1,343.10 | $2,442 | 4.5× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $1,396.45 | $2,539 | 4.7× |
| Chest tube placement (32551) range across 2 matching MRF lines |
$1,276.55–$1,468.50 | $2,321–$2,670 | varies |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $3,197.70 | $5,814 | 0.9× |
| Circumcision w/clamp/oth dev w/block (54150) | $367.40 | $668 | 0.2× |
| Cl Tx Tib Shft Fx W Manip (27752) range across 2 matching MRF lines |
$1,426.15–$1,642.30 | $2,593–$2,986 | varies |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$172.70–$198.55 | $314–$361 | varies |
| Closed Treatment Sternum Fracture (21820) range across 2 matching MRF lines |
$193.60–$223.30 | $352–$406 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$356.95–$411.95 | $649–$749 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,133 | $2,060 | 0.7× |
| Closed tx carpal scaphoid fracture w/manj (25624) | $2,957.90 | $5,378 | 1.9× |
| Closed tx knee dislocation w/o anesthesia (27550) | $944.90 | $1,718 | 3.9× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $1,274.35 | $2,317 | 0.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $381.70 | $694 | 1.6× |
| Closed tx radial head/neck fx w/manipulation (24655) | $1,597.20 | $2,904 | 1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) | $1,881.55 | $3,421 | 1.2× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$1,597.20–$1,837.55 | $2,904–$3,341 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 2 matching MRF lines |
$270.05–$311.30 | $491–$566 | varies |
| Closed tx talotarsal joint dislc w/o anes (28570) | $970.20 | $1,764 | 4.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $1,133 | $2,060 | 0.7× |
| Closed tx talus fracture w/o manipulation (28430) range across 2 matching MRF lines |
$332.20–$381.70 | $604–$694 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 2 matching MRF lines |
$382.80–$440 | $696–$800 | varies |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) range across 2 matching MRF lines |
$1,597.20–$1,837.55 | $2,904–$3,341 | varies |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $617.65 | $1,123 | 2.7× |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$261.80–$300.85 | $476–$547 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $2,098.80 | $3,816 | 1.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $270.05 | $491 | 1.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$326.15–$376.20 | $593–$684 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $270.05 | $491 | 1.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$261.80–$300.85 | $476–$547 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$365.75–$420.20 | $665–$764 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $1,133 | $2,060 | 0.7× |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 2 matching MRF lines |
$270.05–$311.30 | $491–$566 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$233.75–$269.50 | $425–$490 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$261.80–$300.85 | $476–$547 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $261.80 | $476 | 1.1× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$369.60–$425.15 | $672–$773 | varies |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) range across 2 matching MRF lines |
$1,765.50–$2,030.05 | $3,210–$3,691 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$270.60–$312.40 | $492–$568 | varies |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) range across 2 matching MRF lines |
$1,575.20–$1,812.80 | $2,864–$3,296 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$270.05–$311.30 | $491–$566 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) range across 2 matching MRF lines |
$1,426.15–$1,642.30 | $2,593–$2,986 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$348.70–$400.40 | $634–$728 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$927.85–$1,068.10 | $1,687–$1,942 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $261.80 | $476 | 1.1× |
| Cltx post hip arthrp dislc req anes (27266) | $3,382.50 | $6,150 | 2.2× |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$332.20–$381.70 | $604–$694 | varies |
| Cltx prox fibula/shft fx w/manj (27781) range across 2 matching MRF lines |
$1,012.55–$1,164.35 | $1,841–$2,117 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 2 matching MRF lines |
$1,133–$1,303.50 | $2,060–$2,370 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $355.30 | $646 | 1.5× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $2,043.80 | $3,716 | 1.3× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $1,580.15 | $2,873 | 1.0× |
| Cltx tibial shaft fx w/o manipulation (27750) | $1,414.60 | $2,572 | 5.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $1,125.85 | $2,047 | 0.7× |
| Collect Blood From Catheter Venous Nos (36592) | $114.95 | $209 | 0.9× |
| Collection of venous blood by venipuncture (36415) range across 4 matching MRF lines |
$19.80–$46.20 | $36–$84 | varies |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $2,071.85 | $3,767 | 1.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$365.20–$419.65 | $664–$763 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$365.20–$419.65 | $664–$763 | varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $1,686.85 | $3,067 | 1.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$348.70–$400.40 | $634–$728 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $400.40 | $728 | 1.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 2 matching MRF lines |
$469.70–$540.10 | $854–$982 | varies |
| Declot vascular device (36593) range across 2 matching MRF lines |
$403.70–$464.20 | $734–$844 | varies |
| Delivery of placenta (59414) | $2,622.95 | $4,769 | 0.8× |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$187.55–$215.05 | $341–$391 | varies |
| Drain/inj small joint/bursa w/us (20604) | $675.95 | $1,229 | 2.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $622.60 | $1,132 | 0.9× |
| Drainage of finger abscess simple (26010) | $272.80 | $496 | 1.4× |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$319.55–$365.75 | $581–$665 | varies |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$1,465.20–$1,685.75 | $2,664–$3,065 | varies |
| Drainage of scrotal wall abscess (55100) | $1,676.40 | $3,048 | 1.0× |
| Draw Blood Off Venous Device (36591) | $114.95 | $209 | 0.9× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $675.95 | $1,229 | 1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$326.15–$376.20 | $593–$684 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$220.55–$253.55 | $401–$461 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $240.90 | $438 | 1.2× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,155.55 | $2,101 | 1.7× |
| Egd place gastrostomy tube (43246) | $1,386 | $2,520 | 0.7× |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$1,726.45–$1,986.60 | $3,139–$3,612 | varies |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$574.20–$660 | $1,044–$1,200 | varies |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $2,316.05 | $4,211 | 1.1× |
| Exploration penetrating wound spx extremity (20103) | $3,743.30 | $6,806 | 2.3× |
| External cephalic version (59412) | $1,878.80 | $3,416 | 0.6× |
| Fetal Contraction Stress Test (59020) | $893.75 | $1,625 | 4.6× |
| Fetal non-stress test (59025) | $432.30 | $786 | 2.2× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $1,409.65 | $2,563 | 2.0× |
| Fine needle aspiration without imaging guidance (10021) range across 2 matching MRF lines |
$365.75–$421.30 | $665–$766 | varies |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $1,409.65 | $2,563 | 2.0× |
| Fna bx w/us gdn 1st les (10005) | $1,409.65 | $2,563 | 2.0× |
| Guide Cathet Fluid Drainage (10030) | $2,261.05 | $4,111 | 3.3× |
| I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
$300.30–$344.30 | $546–$626 | varies |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$378.95–$432.85 | $689–$787 | varies |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$1,857.35–$2,135.65 | $3,377–$3,883 | varies |
| I&d pilonidal cyst complicated (10081) range across 2 matching MRF lines |
$1,857.35–$2,135.65 | $3,377–$3,883 | varies |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$558.80–$644.05 | $1,016–$1,171 | varies |
| Image Cath Fluid Colxn Visc (49405) | $2,000.90 | $3,638 | 1.2× |
| Image Cath Fluid Peri/Retro (49406) | $1,772.10 | $3,222 | 1.1× |
| Image Cath Fluid Trns/Vgnl (49407) | $1,772.10 | $3,222 | 1.1× |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$345.40–$396.55 | $628–$721 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$927.85–$1,068.10 | $1,687–$1,942 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$2,785.20–$3,203.75 | $5,064–$5,825 | varies |
| Incision & removal foreign body subq tiss simple (10120) | $365.75 | $665 | 0.9× |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$375.10–$431.75 | $682–$785 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$387.20–$446.05 | $704–$811 | varies |
| Incision of lingual frenum (frenotomy) (41010) | $1,274.35 | $2,317 | 0.8× |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$1,857.35–$2,135.65 | $3,377–$3,883 | varies |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 2 matching MRF lines |
$1,049.95–$1,206.70 | $1,909–$2,194 | varies |
| Incisional biopsy skin single lesion (11106) | $430.10 | $782 | 0.6× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$258.50–$298.10 | $470–$542 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$2,286.35–$4,572.70 | $4,157–$8,314 | varies |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) | $1,642.30 | $2,986 | 1.9× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 2 matching MRF lines |
$1,964.05–$3,927.55 | $3,571–$7,141 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $289.30 | $526 | 1.0× |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $1,642.30 | $2,986 | 1.9× |
| Injection aa&/strd genicular nrv branches w/img (64454) | $913.55 | $1,661 | 1.3× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $1,642.30 | $2,986 | 2.4× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) | $1,642.30 | $2,986 | 1.9× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $899.80 | $1,636 | 3.0× |
| Injection for identification of sentinel node (38792) | $794.20 | $1,444 | 2.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$382.80–$440 | $696–$800 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) | $1,642.30 | $2,986 | 1.9× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $916.30 | $1,666 | 1.3× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$700.15–$805.20 | $1,273–$1,464 | varies |
| Insert Bladder Cath Complex (51703) | $438.35 | $797 | 3.5× |
| Insert cath pleura w/ image (32557) range across 2 matching MRF lines |
$2,640.55–$3,037.10 | $4,801–$5,522 | varies |
| Insert cath pleura w/o image (32556) range across 2 matching MRF lines |
$2,351.80–$2,704.90 | $4,276–$4,918 | varies |
| Insert cervical dilator (59200) | $927.85 | $1,687 | 3.1× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$1,326.60–$1,524.60 | $2,412–$2,772 | varies |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $735.90 | $1,338 | 0.5× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$243.10–$279.95 | $442–$509 | varies |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) unusually low: confirm this is the full procedure |
$2,310 | $4,200 | 0.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$129.80–$149.60 | $236–$272 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $1,953.05 | $3,551 | 1.3× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $1,326.60 | $2,412 | 0.4× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $1,743.50 | $3,170 | 1.1× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 2 matching MRF lines |
$557.15–$640.20 | $1,013–$1,164 | varies |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) range across 2 matching MRF lines |
$603.35–$694.10 | $1,097–$1,262 | varies |
| Intraoral i&d tongue/floor sublngl supfc (41005) | $587.40 | $1,068 | 2.6× |
| Intro Gastrointestinal Tube (44500) | $889.90 | $1,618 | 1.0× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$529.65–$609.40 | $963–$1,108 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $584.65 | $1,063 | 2.4× |
| Laryngoscopy diagnostic (31505) range across 2 matching MRF lines |
$91.30–$105.05 | $166–$191 | varies |
| Laryngoscopy flexible diagnostic (31575) range across 2 matching MRF lines |
$241.45–$277.20 | $439–$504 | varies |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) range across 2 matching MRF lines |
$91.30–$105.05 | $166–$191 | varies |
| Ligation of hemorrhoids (46946) | $6,645.10 | $12,082 | 2.5× |
| Myelography Lumbar Injection (62305) | $2,703.80 | $4,916 | 3.6× |
| Myelography Lumbar Injection (62304) | $2,495.90 | $4,538 | 3.3× |
| Myelography via lumbar injection rs&i cervical (62302) | $2,079.55 | $3,781 | 2.7× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $2,288 | $4,160 | 3.0× |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$916.30–$1,053.80 | $1,666–$1,916 | varies |
| Nasal/Orogastric W/Tube Plmt (43752) | $577.50 | $1,050 | 1.3× |
| Needle Biopsy Lymph Nodes (38505) | $1,686.85 | $3,067 | 1.1× |
| Needle Biopsy Pancreas (48102) | $1,207.80 | $2,196 | 0.8× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $34.10 | $62 | 1.2× |
| Needle insertion w/o injection 3 or more muscles (20561) | $56.10 | $102 | 2.0× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $216.70 | $394 | 0.5× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) range across 2 matching MRF lines |
$1,192.95–$2,121.35 | $2,169–$3,857 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$515.90–$593.45 | $938–$1,079 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $2,190.65 | $3,983 | 0.6× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $1,925 | $3,500 | 2.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $916.30 | $1,666 | 1.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $2,020.70 | $3,674 | 2.9× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $1,574.10 | $2,862 | 2.3× |
| Occipital Nerve Block (64405) | $901.45 | $1,639 | 3.0× |
| Partial Excision Distal Phalanx Finger (26236) | $3,933.05 | $7,151 | 2.5× |
| Penile Injection (54235) | $468.60 | $852 | 1.9× |
| Percut Drain/Inject Renal Cyst (50390) | $1,484.45 | $2,699 | 2.2× |
| Perq dev breast 1st strtctc (19283) | $1,474 | $2,680 | 2.1× |
| Perq dev breast 1st us imag (19285) | $994.95 | $1,809 | 1.4× |
| Perq device breast 1st imag (19281) | $943.25 | $1,715 | 0.6× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $944.90 | $1,718 | 1.4× |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$361.90–$416.35 | $658–$757 | varies |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $1,315.60 | $2,392 | 0.6× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $8,495.30 | $15,446 | 2.4× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$317.35–$365.20 | $577–$664 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$459.80–$528 | $836–$960 | varies |
| Puncture Aspiration Cyst Breast (19000) | $989.45 | $1,799 | 1.4× |
| Removal Embedded Foreign Body Eyelid (67938) range across 2 matching MRF lines |
$299.75–$344.30 | $545–$626 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$1,857.35–$2,135.65 | $3,377–$3,883 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$151.25–$173.80 | $275–$316 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$66.55–$76.45 | $121–$139 | varies |
| Removal of nail bed (11750) | $656.15 | $1,193 | 1.7× |
| Removal/bivalving gauntlet boot/body cast (29700) range across 2 matching MRF lines |
$276.10–$316.80 | $502–$576 | varies |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$215.60–$248.05 | $392–$451 | varies |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$257.95–$297 | $469–$540 | varies |
| Renal Biopsy Perq (50200) | $1,686.85 | $3,067 | 1.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$706.20–$812.35 | $1,284–$1,477 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $1,068.10 | $1,942 | 1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $614.35 | $1,117 | 1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $614.35 | $1,117 | 1.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
$1,857.35–$2,135.65 | $3,377–$3,883 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $2,785.20 | $5,064 | 7.1× |
| Repair complex trunk 1.1-2.5 cm (13100) range across 2 matching MRF lines |
$603.35–$694.10 | $1,097–$1,262 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$626.45–$719.95 | $1,139–$1,309 | varies |
| Repair extensor tendon finger w/o graft each (26418) range across 2 matching MRF lines |
$2,888.05–$3,322 | $5,251–$6,040 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $371.80 | $676 | 0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $416.90 | $758 | 1.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $464.20 | $844 | 1.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$510.95–$586.85 | $929–$1,067 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) range across 2 matching MRF lines |
$1,939.85–$2,230.25 | $3,527–$4,055 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$563.75–$647.90 | $1,025–$1,178 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$337.15–$389.40 | $613–$708 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $441.10 | $802 | 1.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$545.60–$627 | $992–$1,140 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $799.15 | $1,453 | 0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $743.05 | $1,351 | 1.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $365.75 | $665 | 0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$416.90–$480.70 | $758–$874 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$927.85–$1,068.10 | $1,687–$1,942 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$464.20–$534.05 | $844–$971 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 2 matching MRF lines |
$1,808.40–$2,079.55 | $3,288–$3,781 | varies |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$927.85–$1,068.10 | $1,687–$1,942 | varies |
| Repair tongue laceration (41252) | $642.40 | $1,168 | 2.8× |
| Replace G-J Tube Perc (49452) | $1,471.80 | $2,676 | 1.7× |
| Reposition Gastrostomy Tube (43761) | $541.20 | $984 | 2.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$281.60–$323.95 | $512–$589 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $323.95 | $589 | 2.5× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 2 matching MRF lines |
$281.60–$323.95 | $512–$589 | varies |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $2,218.15 | $4,033 | 1.5× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$563.75–$647.90 | $1,025–$1,178 | varies |
| Rplc gtube revj gstrst trc (43763) range across 2 matching MRF lines |
$503.80–$578.05 | $916–$1,051 | varies |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $2,292.95 | $4,169 | 1.5× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $464.20 | $844 | 2.4× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) range across 2 matching MRF lines |
$589.60–$677.60 | $1,072–$1,232 | varies |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) range across 2 matching MRF lines |
$568.70–$654.50 | $1,034–$1,190 | varies |
| Rpr Lip Full Thickness Vermilion Only (40650) | $1,358.50 | $2,470 | 2.6× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) range across 2 matching MRF lines |
$2,888.05–$3,322 | $5,251–$6,040 | varies |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) range across 2 matching MRF lines |
$2,888.05–$3,322 | $5,251–$6,040 | varies |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) range across 2 matching MRF lines |
$2,888.05–$3,322 | $5,251–$6,040 | varies |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$510.95–$586.85 | $929–$1,067 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $347.05 | $631 | 1.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $404.80 | $736 | 2.1× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 2 matching MRF lines |
$557.15–$640.20 | $1,013–$1,164 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$436.15–$502.15 | $793–$913 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) range across 2 matching MRF lines |
$603.35–$694.10 | $1,097–$1,262 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $302.50 | $550 | 1.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$482.90–$554.95 | $878–$1,009 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $380.60 | $692 | 2.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $353.10 | $642 | 1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $408.10 | $742 | 1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$446.05–$512.05 | $811–$931 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$729.85–$840.40 | $1,327–$1,528 | varies |
| Strapping ankle (29540) | $180.95 | $329 | 1.1× |
| Strapping elbow or wrist (29260) range across 2 matching MRF lines |
$256.30–$293.70 | $466–$534 | varies |
| Strapping hand/finger (29280) range across 2 matching MRF lines |
$256.30–$293.70 | $466–$534 | varies |
| Strapping knee (29530) range across 2 matching MRF lines |
$180.95–$207.35 | $329–$377 | varies |
| Strapping shoulder (29240) | $330 | $600 | 2.6× |
| Strapping thorax (29200) range across 2 matching MRF lines |
$256.30–$293.70 | $466–$534 | varies |
| Strapping toes (29550) | $180.95 | $329 | 3.2× |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$335.50–$612.70 | $610–$1,114 | varies |
| Tangential biopsy skin single lesion (11102) | $383.35 | $697 | 1.0× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $1,155.55 | $2,101 | 1.7× |
| Thrombolytic Therapy Stroke (37195) range across 2 matching MRF lines |
$389.95–$447.70 | $709–$814 | varies |
| Thyroid biopsy (60100) | $1,686.85 | $3,067 | 2.5× |
| Tooth extraction (41899) | $4,638.15 | $8,433 | 20.2× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) range across 2 matching MRF lines |
$1,460.80–$1,680.25 | $2,656–$3,055 | varies |
| Tracheostomy planned (31600) | $2,385.35 | $4,337 | 0.7× |
| Treat Humerus Fracture (24505) | $1,580.15 | $2,873 | 1.0× |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$356.95–$411.95 | $649–$749 | varies |
| Treat Tail Bone Fracture (27200) range across 2 matching MRF lines |
$270.05–$311.30 | $491–$566 | varies |
| Treat Thumb Dislocation (26641) range across 2 matching MRF lines |
$348.70–$400.40 | $634–$728 | varies |
| Treat Thumb Fracture (26645) | $1,125.85 | $2,047 | 0.7× |
| Treat toe dislocation (28630) range across 2 matching MRF lines |
$261.80–$300.85 | $476–$547 | varies |
| Treatment closed elbow dislocation w/o anes (24600) | $356.95 | $649 | 1.5× |
| Tx Gastro Intub W/Asp (43753) | $426.80 | $776 | 2.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $563.75 | $1,025 | 0.8× |
| Unlisted Procedure Casting/Strapping (29799) range across 2 matching MRF lines |
$286.55–$330 | $521–$600 | varies |
| Unlisted procedure nervous system (64999) range across 3 matching MRF lines |
$605.55–$2,134 | $1,101–$3,880 | varies |
| Unlisted Procedure Vascular Surgery (37799) | $123.20 | $224 | 0.2× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $3,582.15 | $6,513 | 4.1× |
| Vaginal delivery only (59409) | $2,159.85 | $3,927 | 0.7× |
| Venous Cutdown >1 Y/O (36425) range across 2 matching MRF lines |
$865.70–$995.50 | $1,574–$1,810 | varies |
| Wedge excision skin nail fold (11765) | $326.15 | $593 | 0.8× |
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.