Procedures & surgery prices at SSM Health St. Mary's Hospital - Janesville
Janesville, WI · every code in this section with a posted price and a Medicare benchmark.
404 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 |
$1,250.15–$1,437.70 | $2,273–$2,614 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$1,317.25–$1,515.25 | $2,395–$2,755 | varies |
| Ablate Pulm Tumor Perq Crybl (32994) | $8,185.65 | $14,883 | 0.8× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) | $16,437.85 | $29,887 | 0.9× |
| Amniocentesis diagnostic (59000) | $668.25 | $1,215 | 0.7× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) range across 2 matching MRF lines |
$2,920.50–$3,359.40 | $5,310–$6,108 | varies |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$335.50–$385.55 | $610–$701 | varies |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$441.65–$508.20 | $803–$924 | varies |
| Application Finger Splint Dynamic (29131) | $160.60 | $292 | 2.7× |
| Application finger splint static (29130) range across 2 matching MRF lines |
$314.60–$362.45 | $572–$659 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$353.65–$407 | $643–$740 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$395.45–$455.95 | $719–$829 | varies |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$353.65–$407 | $643–$740 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$353.65–$407 | $643–$740 | varies |
| Arterial puncture (36600) range across 3 matching MRF lines |
$83.05–$150.70 | $151–$274 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$468.60–$539.55 | $852–$981 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$524.15–$603.90 | $953–$1,098 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $779.90 | $1,418 | 2.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$430.10–$494.45 | $782–$899 | varies |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$2,603.70–$2,995.30 | $4,734–$5,446 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$1,394.80–$1,604.90 | $2,536–$2,918 | varies |
| Aspiration bladder insert suprapubic catheter (51102) | $1,828.20 | $3,324 | 0.9× |
| Avulsion nail plate partial/complete simple 1 (11730) | $223.85 | $407 | 1.1× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) likely a partial charge, not the full procedure |
$2,503.60 | $4,552 | 0.2× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) likely a partial charge, not the full procedure |
$1,579.05 | $2,871 | 0.2× |
| Biopsy Abdominal Mass (49180) | $1,967.90 | $3,578 | 1.2× |
| Biopsy bone trocar/needle deep (20225) | $1,452 | $2,640 | 0.9× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $1,369.50 | $2,490 | 0.8× |
| Biopsy muscle percutaneous needle (20206) | $1,295.25 | $2,355 | 0.8× |
| Biopsy of liver, needle; percutaneous (47000) | $1,826.55 | $3,321 | 1.1× |
| Biopsy Pleura Percutaneous Needle (32400) | $1,129.70 | $2,054 | 0.7× |
| Biopsy Salivary Gland Needle (42400) | $1,022.45 | $1,859 | 1.4× |
| Bladder Scan (51798) range across 2 matching MRF lines |
$171.60–$198 | $312–$360 | varies |
| Blood Transfusion Service (36430) range across 3 matching MRF lines |
$1,194.05–$1,373.35 | $2,171–$2,497 | varies |
| Bone Marrow Biopsy (38221) | $1,171.50 | $2,130 | 0.7× |
| Bone Marrow; Aspiration Only (38220) | $1,135.75 | $2,065 | 0.7× |
| Bx breast 1st lesion us imag (19083) | $2,301.20 | $4,184 | 1.4× |
| Catheter aspiration nasotracheal spx (31720) | $232.65 | $423 | 1.1× |
| Change Cystostomy Tube Simple (51705) | $316.25 | $575 | 1.3× |
| Change of Windpipe Airway (31502) | $873.95 | $1,589 | 3.7× |
| Chemical Pleurodesis (32560) | $885.50 | $1,610 | 1.4× |
| Chemodenerv 1 extrem 5/> mus (64644) | $1,381.05 | $2,511 | 1.9× |
| Chemodenerv 1 extremity 1-4 (64642) | $1,381.05 | $2,511 | 1.9× |
| Chemodenerv musc neck dyston (64616) | $1,312.30 | $2,386 | 4.2× |
| Chemodenerv trunk musc 1-5 (64646) | $1,531.20 | $2,784 | 2.2× |
| Chemodenerv trunk musc 6/> (64647) | $1,548.25 | $2,815 | 2.2× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) range across 2 matching MRF lines |
$1,363.45–$1,569.15 | $2,479–$2,853 | varies |
| Chest tube placement (32551) range across 2 matching MRF lines |
$1,775.40–$2,041.60 | $3,228–$3,712 | varies |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) | $1,824.35 | $3,317 | 0.9× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $2,513.50 | $4,570 | 0.7× |
| Chorionic Villus Sampling (59015) | $668.25 | $1,215 | 0.7× |
| Circumcision w/clamp/oth dev w/block (54150) range across 2 matching MRF lines |
$440.55–$479.05 | $801–$871 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) | $2,679.05 | $4,871 | 1.7× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$208.45–$239.25 | $379–$435 | varies |
| Closed Treatment Sternum Fracture (21820) range across 2 matching MRF lines |
$298.10–$342.65 | $542–$623 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$491.15–$564.85 | $893–$1,027 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,106.05 | $2,011 | 0.7× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $1,311.75 | $2,385 | 0.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $454.30 | $826 | 1.8× |
| Closed tx radial head/neck fx w/manipulation (24655) | $2,266.55 | $4,121 | 1.4× |
| Closed tx radial shaft fracture w/manipulation (25505) | $1,760 | $3,200 | 1.1× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $1,702.80 | $3,096 | 1.1× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 2 matching MRF lines |
$331.10–$381.15 | $602–$693 | varies |
| Closed tx talotarsal joint dislc w/o anes (28570) | $534.05 | $971 | 2.1× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $1,106.05 | $2,011 | 0.7× |
| Closed tx talus fracture w/o manipulation (28430) range across 2 matching MRF lines |
$454.30–$523.05 | $826–$951 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $697.95 | $1,269 | 2.8× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $1,702.80 | $3,096 | 1.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$342.65–$394.35 | $623–$717 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $3,135.55 | $5,701 | 1.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $370.70 | $674 | 1.5× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $358.05 | $651 | 1.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $876.70 | $1,594 | 3.5× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$370.70–$426.25 | $674–$775 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$498.30–$572.55 | $906–$1,041 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $1,106.05 | $2,011 | 0.7× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $3,110.80 | $5,656 | 1.9× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $3,110.80 | $5,656 | 1.9× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $534.05 | $971 | 2.1× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$370.70–$426.25 | $674–$775 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$342.65–$394.35 | $623–$717 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $342.65 | $623 | 1.4× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $3,743.85 | $6,807 | 2.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$454.30–$523.05 | $826–$951 | varies |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) range across 2 matching MRF lines |
$2,263.80–$2,603.70 | $4,116–$4,734 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$370.70–$426.25 | $674–$775 | varies |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) range across 2 matching MRF lines |
$2,021.25–$2,323.75 | $3,675–$4,225 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$370.70–$426.25 | $674–$775 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) | $1,476.20 | $2,684 | 0.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $1,100.55 | $2,001 | 4.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$504.35–$579.15 | $917–$1,053 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $342.65 | $623 | 1.4× |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$454.30–$523.05 | $826–$951 | varies |
| Cltx prox fibula/shft fx w/manj (27781) range across 2 matching MRF lines |
$1,106.05–$1,272.70 | $2,011–$2,314 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 2 matching MRF lines |
$1,106.05–$1,272.70 | $2,011–$2,314 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $486.75 | $885 | 2.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $2,224.75 | $4,045 | 1.4× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $4,444.55 | $8,081 | 2.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $1,099.45 | $1,999 | 0.7× |
| Collect Blood From Catheter Venous Nos (36592) | $114.40 | $208 | 0.9× |
| Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$26.95–$46.20 | $49–$84 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$442.20–$508.75 | $804–$925 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) | $466.95 | $849 | 3.5× |
| Conversion ext bil drg cath (47535) | $2,513.50 | $4,570 | 0.7× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $1,783.65 | $3,243 | 0.9× |
| Convert Nephrostomy Catheter (50434) | $3,996.85 | $7,267 | 1.9× |
| Cordocentesis (59012) | $383.35 | $697 | 1.2× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $3,209.80 | $5,836 | 1.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$454.30–$523.05 | $826–$951 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $451.55 | $821 | 1.9× |
| Cystourethroscopy (52000) range across 2 matching MRF lines |
$2,045.45–$2,352.35 | $3,719–$4,277 | varies |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 2 matching MRF lines |
$457.60–$525.80 | $832–$956 | varies |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) | $7,630.70 | $13,874 | 3.9× |
| Declot vascular device (36593) range across 2 matching MRF lines |
$352–$403.15 | $640–$733 | varies |
| Delivery of placenta (59414) | $3,320.35 | $6,037 | 1.0× |
| Destroy cerv/thor facet jnt (64633) | $2,960.10 | $5,382 | 1.5× |
| Destroy lumb/sac facet jnt (64635) | $2,664.20 | $4,844 | 1.4× |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$183.70–$210.65 | $334–$383 | varies |
| Dilat Xst Trc New Access Rcs (50437) | $5,732.65 | $10,423 | 1.6× |
| Dilation & curettage dx&/ther nonobstetric (58120) range across 2 matching MRF lines |
$2,689.50–$3,092.65 | $4,890–$5,623 | varies |
| Dilation and catheterization of salivary duct, with or without injection (42660) | $590.15 | $1,073 | 1.1× |
| Drain Cerebro Spinal Fluid (62272) | $948.75 | $1,725 | 1.3× |
| Drainage of finger abscess simple (26010) | $652.30 | $1,186 | 3.2× |
| Drainage of gum lesion (41800) | $132 | $240 | 1.0× |
| Drainage of hematoma/fluid (10140) | $1,663.75 | $3,025 | 1.0× |
| Drainage of scrotal wall abscess (55100) | $523.60 | $952 | 0.3× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) | $2,165.35 | $3,937 | 0.7× |
| Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) | $2,165.35 | $3,937 | 0.7× |
| Draw Blood Off Venous Device (36591) | $110 | $200 | 0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$856.35–$985.05 | $1,557–$1,791 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$509.85–$586.30 | $927–$1,066 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $379.50 | $690 | 1.9× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) | $1,218.25 | $2,215 | 1.4× |
| Dx Bone Marrow Bx & Aspir (38222) | $1,780.35 | $3,237 | 0.6× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $2,057.55 | $3,741 | 2.9× |
| Egd place gastrostomy tube (43246) | $1,431.65 | $2,603 | 0.7× |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$2,217.05–$2,549.80 | $4,031–$4,636 | varies |
| Episiotomy or vaginal repair (59300) | $8,760.40 | $15,928 | 2.7× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) | $2,312.75 | $4,205 | 0.6× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) | $2,312.75 | $4,205 | 0.6× |
| Ercp,Sphincterotomy (43262) | $2,312.75 | $4,205 | 0.6× |
| Escharotomy; initial incision (16035) | $1,155.55 | $2,101 | 2.8× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$153.45–$177.10 | $279–$322 | varies |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $2,513.50 | $4,570 | 0.7× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) range across 2 matching MRF lines |
$1,824.35–$3,649.80 | $3,317–$6,636 | varies |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $1,202.85 | $2,187 | 0.6× |
| Excision of pilonidal cyst or sinus; simple (11770) | $5,350.95 | $9,729 | 1.8× |
| External cephalic version (59412) | $2,165.35 | $3,937 | 0.7× |
| Fetal Contraction Stress Test (59020) | $1,026.85 | $1,867 | 5.0× |
| Fetal non-stress test (59025) | $561.55 | $1,021 | 2.8× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $1,884.85 | $3,427 | 2.6× |
| Fine needle aspiration without imaging guidance (10021) | $393.80 | $716 | 1.0× |
| Fluoro exam of g/colon tube (49465) | $327.25 | $595 | 1.4× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $1,732.50 | $3,150 | 2.4× |
| Fna bx w/us gdn 1st les (10005) | $1,409.65 | $2,563 | 2.0× |
| Guide Cathet Fluid Drainage (10030) | $1,281.50 | $2,330 | 1.8× |
| I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
$379.50–$437.25 | $690–$795 | varies |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$448.80–$515.90 | $816–$938 | varies |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$892.65–$1,025.75 | $1,623–$1,865 | varies |
| I&d pilonidal cyst complicated (10081) | $1,757.25 | $3,195 | 2.5× |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$546.70–$627.55 | $994–$1,141 | varies |
| Image Cath Fluid Colxn Visc (49405) | $2,383.15 | $4,333 | 1.4× |
| Image Cath Fluid Peri/Retro (49406) | $1,945.90 | $3,538 | 1.2× |
| Image Cath Fluid Trns/Vgnl (49407) | $1,945.90 | $3,538 | 1.2× |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$473.55–$545.60 | $861–$992 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$472.45–$541.75 | $859–$985 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$1,646.70–$1,893.10 | $2,994–$3,442 | varies |
| Incision & removal foreign body subq tiss simple (10120) | $444.95 | $809 | 1.1× |
| Incision and drainage of bartholin's gland abscess (56420) | $480.70 | $874 | 2.4× |
| Incision and drainage of vulva or perineal abscess (56405) | $668.25 | $1,215 | 2.2× |
| Incision of lingual frenum (frenotomy) (41010) | $1,311.75 | $2,385 | 0.8× |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$1,173.70–$1,349.15 | $2,134–$2,453 | varies |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 2 matching MRF lines |
$1,148.40–$1,321.10 | $2,088–$2,402 | varies |
| Incisional biopsy skin single lesion (11106) | $480.70 | $874 | 0.6× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$395.45–$455.95 | $719–$829 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$2,014.65–$4,030.95 | $3,663–$7,329 | varies |
| Inj W/Fluor Eval Cv Device (36598) | $947.65 | $1,723 | 4.4× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 2 matching MRF lines |
$1,813.90–$3,626.70 | $3,298–$6,594 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $400.95 | $729 | 1.3× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $619.85 | $1,127 | 0.7× |
| Injection anesthetic agent suprascapular nerve (64418) | $1,108.80 | $2,016 | 1.6× |
| Injection for identification of sentinel node (38792) | $804.65 | $1,463 | 2.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$468.60–$539.55 | $852–$981 | varies |
| Injection Sinus Tract Therapeutic Separate Proc (20500) | $1,311.75 | $2,385 | 0.8× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $1,574.10 | $2,862 | 1.8× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $1,991 | $3,620 | 2.8× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$731.50–$840.40 | $1,330–$1,528 | varies |
| Ins cath ren art 1st bilat (36252) | $7,311.70 | $13,294 | 2.3× |
| Ins cath ren art 1st unilat (36251) | $4,642.55 | $8,441 | 1.5× |
| Ins cath ren art 2nd+ bilat (36254) | $9,947.30 | $18,086 | 3.1× |
| Ins cath ren art 2nd+ unilat (36253) | $4,973.65 | $9,043 | 0.9× |
| Ins endovas vena cava filtr (37191) | $8,300.60 | $15,092 | 1.5× |
| Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
$484–$557.15 | $880–$1,013 | varies |
| Insert cath pleura w/ image (32557) range across 2 matching MRF lines |
$2,888.05–$3,320.90 | $5,251–$6,038 | varies |
| Insert cath pleura w/o image (32556) | $1,925 | $3,500 | 1.0× |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) | $2,321 | $4,220 | 1.9× |
| Insert cervical dilator (59200) | $1,090.10 | $1,982 | 3.6× |
| Insert Gastrostomy Tube Percutaneous (49440) | $1,944.80 | $3,536 | 1.0× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$1,295.25–$1,489.95 | $2,355–$2,709 | varies |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $1,393.70 | $2,534 | 0.9× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$238.15–$273.35 | $433–$497 | varies |
| Insert tun ip cath perc (49418) | $3,695.45 | $6,719 | 1.0× |
| Insert tunneled cv cath (36561) | $2,927.65 | $5,323 | 0.9× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) unusually low: confirm this is the full procedure |
$2,255.55 | $4,101 | 0.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$125.95–$145.20 | $229–$264 | varies |
| Insertion indwelling tunneled pleural catheter (32550) | $3,121.25 | $5,675 | 0.9× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $4,092 | $7,440 | 2.6× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) | $2,513.50 | $4,570 | 0.7× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $1,489.95 | $2,709 | 0.5× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $3,082.20 | $5,604 | 1.9× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $2,377.65 | $4,323 | 0.7× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $4,342.80 | $7,896 | 0.5× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 2 matching MRF lines |
$979.55–$1,126.95 | $1,781–$2,049 | varies |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) range across 2 matching MRF lines |
$1,153.90–$1,327.15 | $2,098–$2,413 | varies |
| Intro cath dialysis circuit (36901) | $1,758.35 | $3,197 | 1.1× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $6,494.40 | $11,808 | 0.6× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $4,592.50 | $8,350 | 0.8× |
| Intro Gastrointestinal Tube (44500) | $1,482.80 | $2,696 | 1.6× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$783.20–$900.35 | $1,424–$1,637 | varies |
| Laryngoscopy diagnostic (31505) range across 2 matching MRF lines |
$122.10–$140.80 | $222–$256 | varies |
| Laryngoscopy flexible diagnostic (31575) range across 2 matching MRF lines |
$263.45–$303.05 | $479–$551 | varies |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) | $154 | $280 | 0.8× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) | $839.30 | $1,526 | 1.2× |
| Mech remov tunneled cv cath (36595) | $2,756.05 | $5,011 | 0.9× |
| Myelography Lumbar Injection (62305) | $3,842.30 | $6,986 | 4.9× |
| Myelography Lumbar Injection (62304) | $3,133.90 | $5,698 | 4.0× |
| Myelography via lumbar injection rs&i cervical (62302) | $3,751 | $6,820 | 4.8× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $3,562.90 | $6,478 | 4.5× |
| N block inj intercost sng (64420) | $571.45 | $1,039 | 0.8× |
| N Block Lumbar/Thoracic (64520) | $1,709.95 | $3,109 | 1.9× |
| Nasal/Orogastric W/Tube Plmt (43752) | $601.70 | $1,094 | 1.3× |
| Needle Biopsy Lymph Nodes (38505) | $1,757.25 | $3,195 | 1.1× |
| Needle Biopsy Pancreas (48102) | $1,584 | $2,880 | 1.0× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $180.95 | $329 | 0.4× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) | $2,121.35 | $3,857 | 1.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$460.35–$530.20 | $837–$964 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $2,699.40 | $4,908 | 0.7× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $2,699.40 | $4,908 | 0.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $2,417.25 | $4,395 | 2.7× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,670.90 | $3,038 | 2.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,646.70 | $2,994 | 2.3× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $905.30 | $1,646 | 1.3× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) | $1,373.90 | $2,498 | 2.0× |
| Obstructive material removal from gi tube (49460) | $624.80 | $1,136 | 0.7× |
| Occipital Nerve Block (64405) | $828.30 | $1,506 | 2.7× |
| Open/Perq Place Stent 1St (37236) unusually low: confirm this is the full procedure |
$4,759.70 | $8,654 | 0.4× |
| Pelvic examination under anesthesia (other than local) (57410) | $4,590.85 | $8,347 | 1.4× |
| Perc Cryo Ablate Renal Tum (50593) | $7,966.20 | $14,484 | 0.7× |
| Perc Rf Ablate Renal Tumor (50592) | $4,949.45 | $8,999 | 0.8× |
| Percut Drain/Inject Renal Cyst (50390) | $639.10 | $1,162 | 0.9× |
| Pericardiocentesis W/Imaging (33016) | $1,057.65 | $1,923 | 0.7× |
| Perq dev breast 1st us imag (19285) | $1,269.40 | $2,308 | 1.8× |
| Perq dilation xst trc endourologic px w/img (50436) | $3,408.35 | $6,197 | 1.0× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) | $10,783.30 | $19,606 | 1.8× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $2,505.80 | $4,556 | 3.5× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $6,477.35 | $11,777 | 0.6× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $3,251.60 | $5,912 | 0.6× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $5,941.10 | $10,802 | 0.8× |
| Perq Vertebral Augmentation (22513) | $6,188.60 | $11,252 | 0.8× |
| Place Cath Subclavian Art (36225) range across 2 matching MRF lines |
$6,820.55–$13,641.65 | $12,401–$24,803 | varies |
| Place Cath Thoracic Aorta (36221) | $6,304.10 | $11,462 | 2.0× |
| Place Cath Vertebral Art (36226) range across 2 matching MRF lines |
$8,732.90–$17,467.45 | $15,878–$31,759 | varies |
| Place Duod/Jej Tube Perc (49441) | $2,696.65 | $4,903 | 1.4× |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$371.25–$426.80 | $675–$776 | varies |
| Plmt Bile Duct Stent Prq Existing Access (47538) | $5,862.45 | $10,659 | 1.0× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) | $8,693.85 | $15,807 | 1.4× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) | $8,971.60 | $16,312 | 1.5× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 2 matching MRF lines |
$1,937.10–$3,873.65 | $3,522–$7,043 | varies |
| Plmt Nephroureteral Catheter (50433) range across 2 matching MRF lines |
$2,962.30–$5,925.15 | $5,386–$10,773 | varies |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) | $11,324.50 | $20,590 | 3.2× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) | $8,059.70 | $14,654 | 2.3× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) | $9,200.40 | $16,728 | 2.6× |
| Prim art mech thrombectomy (37184) likely a partial charge, not the full procedure |
$3,748.25 | $6,815 | 0.2× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $1,783.65 | $3,243 | 2.5× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $3,223 | $5,860 | 0.9× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $4,550.70 | $8,274 | 1.3× |
| Pseudoaneurysm Injection Trt (36002) | $372.90 | $678 | 0.6× |
| Punch biopsy skin single lesion (11104) | $429.55 | $781 | 1.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$449.35–$516.45 | $817–$939 | varies |
| Puncture Aspiration Cyst Breast (19000) | $1,496.55 | $2,721 | 2.1× |
| Rem Endovas Vena Cava Filter (37193) | $5,258.55 | $9,561 | 1.7× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $1,038.95 | $1,889 | 1.1× |
| Removal Embedded Foreign Body Eyelid (67938) range across 2 matching MRF lines |
$245.30–$281.60 | $446–$512 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$2,014.65–$2,317.70 | $3,663–$4,214 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $171.05 | $311 | 2.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$206.80–$238.15 | $376–$433 | varies |
| Removal of nail bed (11750) | $814.55 | $1,481 | 2.0× |
| Removal of tunneled intraperitoneal catheter (49422) | $4,766.85 | $8,667 | 1.5× |
| Removal/bivalving gauntlet boot/body cast (29700) range across 2 matching MRF lines |
$290.40–$333.30 | $528–$606 | varies |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$209–$240.35 | $380–$437 | varies |
| Remove Intrauterine Device (58301) | $1,093.40 | $1,988 | 3.6× |
| Remove lung catheter (32552) | $1,525.15 | $2,773 | 2.4× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$316.25–$363.55 | $575–$661 | varies |
| Remove renal tube w/fluoro (50389) | $542.85 | $987 | 0.8× |
| Remove ureter stent percut (50384) | $1,824.35 | $3,317 | 0.9× |
| Renal Biopsy Perq (50200) | $1,967.90 | $3,578 | 1.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$838.20–$963.60 | $1,524–$1,752 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $963.60 | $1,752 | 1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $748 | $1,360 | 1.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $748 | $1,360 | 1.8× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
$748–$859.65 | $1,360–$1,563 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $963.60 | $1,752 | 2.4× |
| Repair complex trunk 1.1-2.5 cm (13100) range across 2 matching MRF lines |
$748–$859.65 | $1,360–$1,563 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$873.95–$1,004.30 | $1,589–$1,826 | varies |
| Repair extensor tendon finger w/o graft each (26418) range across 2 matching MRF lines |
$1,637.90–$1,884.85 | $2,978–$3,427 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $462 | $840 | 1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $530.75 | $965 | 1.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $652.30 | $1,186 | 1.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$679.25–$780.45 | $1,235–$1,419 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) range across 2 matching MRF lines |
$1,305.15–$1,500.40 | $2,373–$2,728 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$827.75–$950.95 | $1,505–$1,729 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$462–$531.30 | $840–$966 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $687.50 | $1,250 | 1.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$703.45–$808.50 | $1,279–$1,470 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) range across 2 matching MRF lines |
$1,092.85–$1,256.75 | $1,987–$2,285 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $1,016.40 | $1,848 | 2.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $518.65 | $943 | 1.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $654.50 | $1,190 | 1.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$1,228.15–$1,412.40 | $2,233–$2,568 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$862.40–$991.65 | $1,568–$1,803 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 2 matching MRF lines |
$1,452–$1,669.80 | $2,640–$3,036 | varies |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$602.25–$693.55 | $1,095–$1,261 | varies |
| Replace duodenostomy/jejunostomy tube perq (49451) | $980.65 | $1,783 | 1.1× |
| Replace G-J Tube Perc (49452) | $1,508.10 | $2,742 | 1.7× |
| Replace g/c tube perc (49450) | $892.65 | $1,623 | 1.0× |
| Reposition Gastrostomy Tube (43761) | $528 | $960 | 2.1× |
| Reposition Venous Catheter (36597) | $1,276.55 | $2,321 | 0.8× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) | $3,829.65 | $6,963 | 1.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$237.05–$272.80 | $431–$496 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $272.80 | $496 | 2.0× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 2 matching MRF lines |
$237.05–$272.80 | $431–$496 | varies |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $2,362.80 | $4,296 | 1.5× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $1,652.20 | $3,004 | 2.6× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$630.85–$725.45 | $1,147–$1,319 | varies |
| Rplc gtube revj gstrst trc (43763) range across 2 matching MRF lines |
$563.20–$647.35 | $1,024–$1,177 | varies |
| Rplcmt cath ctr vad subq port/pmp (36578) | $3,160.30 | $5,746 | 1.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $849.75 | $1,545 | 0.5× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $1,037.85 | $1,887 | 0.7× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $2,298.45 | $4,179 | 0.7× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $718.85 | $1,307 | 3.6× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) range across 2 matching MRF lines |
$949.30–$1,090.10 | $1,726–$1,982 | varies |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) range across 2 matching MRF lines |
$594–$682.55 | $1,080–$1,241 | varies |
| Rpr Lip Full Thickness Vermilion Only (40650) | $1,045.55 | $1,901 | 1.9× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) range across 2 matching MRF lines |
$2,920.50–$3,359.40 | $5,310–$6,108 | varies |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) range across 2 matching MRF lines |
$2,920.50–$3,359.40 | $5,310–$6,108 | varies |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) range across 2 matching MRF lines |
$2,920.50–$3,359.40 | $5,310–$6,108 | varies |
| Sclerotx Fluid Collection (49185) | $2,316.05 | $4,211 | 1.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$705.65–$811.25 | $1,283–$1,475 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $475.75 | $865 | 2.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $546.70 | $994 | 2.7× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 2 matching MRF lines |
$806.85–$926.20 | $1,467–$1,684 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$545.60–$627 | $992–$1,140 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) range across 2 matching MRF lines |
$906.95–$1,042.25 | $1,649–$1,895 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $525.80 | $956 | 2.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$1,812.25–$2,085.05 | $3,295–$3,791 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $804.10 | $1,462 | 4.0× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) range across 2 matching MRF lines |
$7,662.05–$15,324.10 | $13,931–$27,862 | varies |
| Slctv cath carotid/innom art angio xtrcranl art (36222) range across 2 matching MRF lines |
$6,304.10–$12,608.20 | $11,462–$22,924 | varies |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) range across 2 matching MRF lines |
$8,800–$17,599.45 | $16,000–$31,999 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $636.90 | $1,158 | 3.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $1,099.45 | $1,999 | 2.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$1,334.30–$1,533.95 | $2,426–$2,789 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$846.45–$973.50 | $1,539–$1,770 | varies |
| Strapping ankle (29540) | $219.45 | $399 | 1.3× |
| Strapping elbow or wrist (29260) range across 2 matching MRF lines |
$338.25–$387.75 | $615–$705 | varies |
| Strapping hand/finger (29280) range across 2 matching MRF lines |
$300.30–$346.50 | $546–$630 | varies |
| Strapping knee (29530) range across 2 matching MRF lines |
$246.40–$283.80 | $448–$516 | varies |
| Strapping shoulder (29240) | $403.15 | $733 | 3.0× |
| Strapping thorax (29200) range across 2 matching MRF lines |
$352–$403.15 | $640–$733 | varies |
| Strapping toes (29550) | $219.45 | $399 | 3.7× |
| Tangential biopsy skin single lesion (11102) | $429.55 | $781 | 1.0× |
| Thrmbc/Nfs Dialysis Circuit (36906) unusually low: confirm this is the full procedure |
$7,375.50 | $13,410 | 0.4× |
| Thrombolytic Art Therapy (37211) | $5,613.85 | $10,207 | 1.0× |
| Thrombolytic Therapy Stroke (37195) range across 2 matching MRF lines |
$371.25–$426.80 | $675–$776 | varies |
| Thrombolytic Venous Therapy (37212) | $5,470.30 | $9,946 | 1.7× |
| Thyroid biopsy (60100) | $1,636.25 | $2,975 | 2.3× |
| Tooth extraction (41899) | $4,478.65 | $8,143 | 18.8× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) range across 2 matching MRF lines |
$2,069.65–$2,379.85 | $3,763–$4,327 | varies |
| Tracheostomy planned (31600) | $2,618.55 | $4,761 | 0.8× |
| Transcatheter biopsy (37200) unusually low: confirm this is the full procedure |
$2,488.20 | $4,524 | 0.4× |
| Treat Humerus Fracture (24505) | $2,387.55 | $4,341 | 1.5× |
| Treat Knuckle Dislocation (26700) | $348.15 | $633 | 1.4× |
| Treat Tail Bone Fracture (27200) range across 2 matching MRF lines |
$370.70–$426.25 | $674–$775 | varies |
| Treat Thumb Dislocation (26641) | $937.20 | $1,704 | 3.8× |
| Treat Thumb Fracture (26645) | $1,099.45 | $1,999 | 0.7× |
| Treat toe dislocation (28630) | $758.45 | $1,379 | 3.1× |
| Treatment closed elbow dislocation w/o anes (24600) | $491.15 | $893 | 2.0× |
| Trluml Balo Angiop 1St Art (37246) | $3,743.85 | $6,807 | 0.7× |
| Trluml Balo Angiop 1St Vein (37248) | $3,131.70 | $5,694 | 0.5× |
| Tx Gastro Intub W/Asp (43753) | $295.90 | $538 | 1.4× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $14,659.70 | $26,654 | 4.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $610.50 | $1,110 | 0.8× |
| Unlisted Procedure Casting/Strapping (29799) | $321.20 | $584 | 2.0× |
| Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$1,405.25–$1,478.95 | $2,555–$2,689 | varies |
| Unlisted Procedure Vascular Surgery (37799) | $116.60 | $212 | 0.2× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $1,643.40 | $2,988 | 1.8× |
| Vaginal delivery only (59409) | $2,632.85 | $4,787 | 0.8× |
| Vasc embolize/occlude artery (37242) unusually low: confirm this is the full procedure |
$7,592.20 | $13,804 | 0.4× |
| Vasc Embolize/Occlude Bleed (37244) | $7,592.20 | $13,804 | 0.7× |
| Vasc Embolize/Occlude Organ (37243) | $7,592.20 | $13,804 | 0.7× |
| Vasc embolize/occlude venous (37241) | $7,592.20 | $13,804 | 0.7× |
| Venous Cutdown >1 Y/O (36425) range across 2 matching MRF lines |
$1,109.35–$1,276 | $2,017–$2,320 | varies |
| Venous Mech Thrombectomy (37187) unusually low: confirm this is the full procedure |
$3,748.25 | $6,815 | 0.3× |
| Wedge excision skin nail fold (11765) | $370.15 | $673 | 0.9× |
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.