Procedures & surgery prices at SSM Health Waupun Memorial Hospital
Waupun, WI · every code in this section with a posted price and a Medicare benchmark.
609 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 |
$1,173.70–$1,349.15 | $2,134–$2,453 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$914.10–$1,051.05 | $1,662–$1,911 | varies |
| Ablate Pulm Tumor Perq Crybl (32994) | $6,283.75 | $11,425 | 0.6× |
| Ablation 1/> liver tumor perq cryoablation (47383) | $9,528.75 | $17,325 | 0.9× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) | $8,878.10 | $16,142 | 0.5× |
| Acne surgery (10040) | $413.05 | $751 | 2.1× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $3,223 | $5,860 | 1.0× |
| Anal/Urinary Muscle Study (51784) | $464.97 | $845.40 | 3.7× |
| Anoscopy diagnostic (46600) | $172.70 | $314 | 1.3× |
| Anoscopy W/Rmvl Foreign Body (46608) | $1,208.35 | $2,197 | 1.3× |
| Application Cast Finger (29086) | $288.75 | $525 | 1.8× |
| Application finger splint static (29130) | $179.30 | $326 | 1.4× |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$290.40–$314.60 | $528–$572 | varies |
| Application Long Leg Splint (29505) range across 3 matching MRF lines |
$264–$314.60 | $480–$572 | varies |
| Application of long leg cast (29345) | $534.05 | $971 | 2.0× |
| Application of rigid total contact leg cast (29445) range across 2 matching MRF lines |
$463.10–$925.65 | $842–$1,683 | varies |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$189.75–$285.45 | $345–$519 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$215.60–$314.60 | $392–$572 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$350.90–$702.90 | $638–$1,278 | varies |
| Apply Short Leg Cast (29405) | $605.55 | $1,101 | 2.2× |
| Arterial puncture (36600) | $82.50 | $150 | 0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$234.30–$958.65 | $426–$1,743 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 2 matching MRF lines |
$1,363.45–$1,568.05 | $2,479–$2,851 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 3 matching MRF lines |
$266.20–$982.30 | $484–$1,786 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$1,370.60–$1,576.30 | $2,492–$2,866 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$651.20–$749.10 | $1,184–$1,362 | varies |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) | $6,129.20 | $11,144 | 1.9× |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$1,499.85–$1,724.25 | $2,727–$3,135 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$1,065.90–$1,225.95 | $1,938–$2,229 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $601.15 | $1,093 | 2.0× |
| Aspiration and/or injection thyroid cyst (60300) | $737 | $1,340 | 1.1× |
| Aspiration bladder insert suprapubic catheter (51102) range across 2 matching MRF lines |
$2,968.90–$3,413.85 | $5,398–$6,207 | varies |
| Av fistula revision (36833) | $4,413.20 | $8,024 | 0.8× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$239.25–$275.55 | $435–$501 | varies |
| Biopsy Abdominal Mass (49180) | $2,493.15 | $4,533 | 1.6× |
| Biopsy bone open superficial (20240) | $6,503.75 | $11,825 | 2.3× |
| Biopsy bone trocar/needle deep (20225) | $2,209.35 | $4,017 | 1.4× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $1,166.55 | $2,121 | 0.7× |
| Biopsy muscle percutaneous needle (20206) | $1,152.80 | $2,096 | 0.7× |
| Biopsy of liver, needle; percutaneous (47000) | $2,982.65 | $5,423 | 1.9× |
| Biopsy Pleura Percutaneous Needle (32400) | $378.40 | $688 | 0.2× |
| Biopsy Salivary Gland Needle (42400) | $1,483.35 | $2,697 | 2.2× |
| Biopsy soft tissue neck/thorax (21550) | $1,424.50 | $2,590 | 0.9× |
| Biopsy Soft Tissue Shoulder Superficial (23065) | $3,244.45 | $5,899 | 2.0× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $227.15 | $413 | 0.3× |
| Bladder instillation anticarcinogenic agent (51720) | $548.29 | $996.89 | 0.8× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$545.60–$627.55 | $992–$1,141 | varies |
| Bladder Scan (51798) range across 2 matching MRF lines |
$88–$101.20 | $160–$184 | varies |
| Blepharotomy drainage abscess eyelid (67700) | $870.65 | $1,583 | 2.8× |
| Blood Transfusion Service (36430) range across 3 matching MRF lines |
$549.45–$695.75 | $999–$1,265 | varies |
| Bone Marrow Biopsy (38221) | $1,881 | $3,420 | 1.2× |
| Bone Marrow; Aspiration Only (38220) | $1,587.30 | $2,886 | 1.0× |
| Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) | $4,022.15 | $7,313 | 0.6× |
| Bx breast 1st lesion mr imag (19085) | $2,412.85 | $4,387 | 1.5× |
| Bx breast 1st lesion strtctc (19081) | $2,412.85 | $4,387 | 1.5× |
| Bx breast 1st lesion us imag (19083) | $2,412.85 | $4,387 | 1.5× |
| Canthotomy Separate Procedure (67715) | $3,741.65 | $6,803 | 1.6× |
| Carpal Tunnel Surgery (64721) range across 3 matching MRF lines |
$3,441.90–$6,884.35 | $6,258–$12,517 | varies |
| Catheter aspiration nasotracheal spx (31720) | $121.55 | $221 | 0.6× |
| Cessj Therapy Cath Removal (37214) | $2,776.95 | $5,049 | 0.9× |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$642.95–$738.65 | $1,169–$1,343 | varies |
| Change of Windpipe Airway (31502) | $319 | $580 | 1.4× |
| Change ureter stent percut (50382) | $2,682.90 | $4,878 | 1.3× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$491.70–$564.85 | $894–$1,027 | varies |
| Chemical Pleurodesis (32560) | $1,576.85 | $2,867 | 2.6× |
| Chemodenerv 1 extremity 1-4 (64642) | $1,088.45 | $1,979 | 1.6× |
| Chemodenerv Musc Migraine (64615) | $832.15 | $1,513 | 2.8× |
| Chemodenerv musc neck dyston (64616) range across 2 matching MRF lines |
$958.65–$1,915.65 | $1,743–$3,483 | varies |
| Chemodenerv trunk musc 1-5 (64646) | $1,088.45 | $1,979 | 1.6× |
| Chemodenerv trunk musc 6/> (64647) | $1,377.75 | $2,505 | 2.0× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $805.75 | $1,465 | 2.7× |
| Chest tube placement (32551) range across 3 matching MRF lines |
$1,072.50–$1,329.35 | $1,950–$2,417 | varies |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) | $1,591.70 | $2,894 | 0.8× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $2,391.95 | $4,349 | 0.7× |
| Chorionic Villus Sampling (59015) | $1,525.70 | $2,774 | 1.7× |
| Circumcision w/clamp/oth dev w/block (54150) range across 2 matching MRF lines |
$82.50–$94.60 | $150–$172 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) | $2,158.20 | $3,924 | 1.4× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$248.05–$275.55 | $451–$501 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $448.80 | $816 | 1.9× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $3,111.35 | $5,657 | 2.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $579.15 | $1,053 | 2.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$2,990.35–$3,438.60 | $5,437–$6,252 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $498.85 | $907 | 2.1× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $2,501.95 | $4,549 | 1.6× |
| Closed tx knee dislocation w/o anesthesia (27550) | $581.90 | $1,058 | 2.4× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $3,394.60 | $6,172 | 2.2× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $4,488.55 | $8,161 | 3.0× |
| Closed tx patellar dislocation w/anesthesia (27562) | $579.15 | $1,053 | 2.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $523.05 | $951 | 2.2× |
| Closed tx radial head/neck fx w/manipulation (24655) | $3,152.05 | $5,731 | 2.0× |
| Closed tx radial shaft fracture w/manipulation (25505) | $2,987.60 | $5,432 | 1.9× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $492.25 | $895 | 2.1× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $3,092.10 | $5,622 | 2.0× |
| Closed tx talotarsal joint dislc w/o anes (28570) | $708.40 | $1,288 | 3.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $3,152.05 | $5,731 | 2.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $579.15 | $1,053 | 2.4× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) range across 2 matching MRF lines |
$1,762.20–$3,109.70 | $3,204–$5,654 | varies |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $481.80 | $876 | 2.1× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $541.20 | $984 | 2.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $3,069 | $5,580 | 2.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$526.35–$1,026.30 | $957–$1,866 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 2 matching MRF lines |
$1,672–$3,092.10 | $3,040–$5,622 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $448.80 | $816 | 1.9× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $631.40 | $1,148 | 2.6× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $574.20 | $1,044 | 2.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $526.35 | $957 | 2.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $391.05 | $711 | 1.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $3,069 | $5,580 | 2.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $2,118.05 | $3,851 | 1.4× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $495 | $900 | 2.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $526.35 | $957 | 2.2× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $3,092.10 | $5,622 | 2.0× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $2,561.90 | $4,658 | 1.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$579.15–$1,508.65 | $1,053–$2,743 | varies |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $526.35 | $957 | 1.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $507.10 | $922 | 2.1× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) | $2,501.95 | $4,549 | 1.6× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $628.10 | $1,142 | 2.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$526.35–$992.75 | $957–$1,805 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) | $3,092.10 | $5,622 | 2.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $526.35 | $957 | 2.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $498.85 | $907 | 2.1× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $3,372.60 | $6,132 | 2.2× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) | $3,343.45 | $6,079 | 2.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$260.70–$526.35 | $474–$957 | varies |
| Cltx post hip arthrp dislc req anes (27266) range across 2 matching MRF lines |
$878.35–$3,069 | $1,597–$5,580 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$579.15–$1,306.80 | $1,053–$2,376 | varies |
| Cltx prox fibula/shft fx w/manj (27781) | $3,372.60 | $6,132 | 2.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $526.35 | $957 | 2.2× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) | $2,416.70 | $4,394 | 1.5× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $3,069 | $5,580 | 2.0× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $3,152.05 | $5,731 | 2.0× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $3,394.60 | $6,172 | 2.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$586.85–$3,092.10 | $1,067–$5,622 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $110 | $200 | 0.9× |
| Collection of venous blood by venipuncture (36415) | $20.90 | $38 | 2.2× |
| Colporrhaphy (57200) | $4,804.25 | $8,735 | 1.5× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $610.50 | $1,110 | 2.1× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $371.80 | $676 | 0.4× |
| Complex drainage wound (10180) range across 2 matching MRF lines |
$5,111.70–$5,878.40 | $9,294–$10,688 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$273.35–$555.50 | $497–$1,010 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$273.35–$386.10 | $497–$702 | varies |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $1,558.70 | $2,834 | 0.8× |
| Convert Nephrostomy Catheter (50434) | $1,802.90 | $3,278 | 0.9× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $5,041.30 | $9,166 | 3.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$273.35–$702.35 | $497–$1,277 | varies |
| Curettage postpartum (59160) | $4,616.15 | $8,393 | 1.5× |
| Cysto Bladder W/Ureteral Catheterization (52005) range across 2 matching MRF lines |
$572.55–$2,695.55 | $1,041–$4,901 | varies |
| Cysto calibration dilat urtl strix/stenosis (52281) | $2,727.45 | $4,959 | 1.3× |
| Cysto w/insert ureteral stent (52332) | $834.24 | $1,516.80 | 0.2× |
| Cysto w/irrig & evac multple obstructing clots (52001) | $856.68 | $1,557.60 | 0.3× |
| Cysto w/removal of tumors small (52234) | $1,076.46 | $1,957.20 | 0.3× |
| Cysto W/Simple Removal Stone & Stent (52310) | $2,867.70 | $5,214 | 1.4× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) | $1,306.14 | $2,374.80 | 0.4× |
| Cysto/uretero w/lithotripsy (52356) | $2,807.97 | $5,105.40 | 0.5× |
| Cystometrogram W/Vp (51728) | $747.78 | $1,359.60 | 1.1× |
| Cystourethroscopy (52000) | $851.40 | $1,548 | 1.3× |
| Cystourethroscopy inj chemodenervation bladder (52287) | $882.83 | $1,605.15 | 0.4× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $1,494.35 | $2,717 | 2.2× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $827.75 | $1,505 | 1.2× |
| Debride nail 1-5 (11720) | $215.60 | $392 | 3.8× |
| Debride nail 6 or more (11721) | $215.60 | $392 | 3.8× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$1,962.95–$2,257.20 | $3,569–$4,104 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$88.55–$950.40 | $161–$1,728 | varies |
| Declot vascular device (36593) range across 2 matching MRF lines |
$444.40–$510.95 | $808–$929 | varies |
| Delivery of placenta (59414) range across 2 matching MRF lines |
$3,311–$3,807.65 | $6,020–$6,923 | varies |
| Destr W Neurolytic; Celiac Plexus (64680) | $1,566.40 | $2,848 | 1.8× |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$2,847.90–$5,696.90 | $5,178–$10,358 | varies |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$2,847.90–$5,696.90 | $5,178–$10,358 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$153.45–$406.45 | $279–$739 | varies |
| Destruction by neurolytic agent, intercostal nerve (64620) | $1,899.15 | $3,453 | 2.2× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $473.55 | $861 | 2.4× |
| Destruction neurolytic agt genicular nerve w/img (64624) | $3,940.75 | $7,165 | 2.1× |
| Destruction premalignant lesion 1st (17000) | $123.42 | $224.40 | 0.6× |
| Dilate Esophagus 1/Mult Pass (43450) | $2,283.60 | $4,152 | 2.6× |
| Dilate Urethra Stricture (53600) | $634.15 | $1,153 | 2.6× |
| Drain Cerebro Spinal Fluid (62272) | $1,234.20 | $2,244 | 1.8× |
| Drain/inj small joint/bursa w/us (20604) | $1,147.85 | $2,087 | 3.8× |
| Drainage external auditory canal abscess (69020) | $1,489.40 | $2,708 | 2.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 2 matching MRF lines |
$406.45–$1,489.40 | $739–$2,708 | varies |
| Drainage Mouth Roof Lesion (42000) | $481.80 | $876 | 2.1× |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$413.05–$565.95 | $751–$1,029 | varies |
| Drainage of gum lesion (41800) | $273.35 | $497 | 2.1× |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$2,952.40–$3,395.15 | $5,368–$6,173 | varies |
| Drainage of nose lesion (30000) | $451 | $820 | 2.0× |
| Drainage of rectal abscess (45020) | $5,915.80 | $10,756 | 2.2× |
| Drainage of scrotal wall abscess (55100) | $3,131.70 | $5,694 | 2.0× |
| Drainage of scrotum (54700) | $4,470.95 | $8,129 | 2.2× |
| Drainage of skene's gland abscess or cyst (53060) | $2,959 | $5,380 | 1.5× |
| Draw Blood Off Venous Device (36591) | $110 | $200 | 0.9× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $1,354.10 | $2,462 | 2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$545.05–$626.45 | $991–$1,139 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$526.90–$605.55 | $958–$1,101 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$495.55–$569.80 | $901–$1,036 | varies |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $1,442.10 | $2,622 | 1.7× |
| Dx Bone Marrow Bx & Aspir (38222) | $2,388.10 | $4,342 | 0.8× |
| Dx Bronchoscope/Lavage (31624) | $1,724.25 | $3,135 | 1.0× |
| Dx Bronchoscope/Wash (31622) range across 2 matching MRF lines |
$1,635.70–$1,881 | $2,974–$3,420 | varies |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $2,013 | $3,660 | 2.9× |
| Egd place gastrostomy tube (43246) | $1,156.65 | $2,103 | 0.6× |
| Electro-Uroflowmetry First (51741) | $226.86 | $412.48 | 1.1× |
| Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) | $3,838.45 | $6,979 | 0.7× |
| Endometrial Biopsy (58100) range across 2 matching MRF lines |
$211.75–$259.60 | $385–$472 | varies |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) | $3,237.85 | $5,887 | 1.1× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) | $3,525.50 | $6,410 | 1.1× |
| Endoven ther chem adhes 1st (36482) | $3,403.95 | $6,189 | 0.6× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) | $1,179.20 | $2,144 | 0.6× |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$1,305.15–$1,501.50 | $2,373–$2,730 | varies |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$144.65–$248.05 | $263–$451 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $179.30 | $326 | 0.3× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $3,407.80 | $6,196 | 2.1× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $2,269.30 | $4,126 | 3.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $2,360.60 | $4,292 | 3.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $3,682.25 | $6,695 | 2.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $419.10 | $762 | 0.4× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$829.95–$954.25 | $1,509–$1,735 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $1,173.70 | $2,134 | 1.7× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $3,292.30 | $5,986 | 2.1× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $535.70 | $974 | 0.2× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) range across 2 matching MRF lines |
$2,389.75–$4,779.50 | $4,345–$8,690 | varies |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $1,106.60 | $2,012 | 0.6× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $391.05 | $711 | 1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $620.40 | $1,128 | 0.9× |
| Exploration penetrating wound spx chest (20101) | $4,071.65 | $7,403 | 2.0× |
| Exploration penetrating wound spx extremity (20103) | $1,531.20 | $2,784 | 1.0× |
| Exploration Penetrating Wound Spx Neck (20100) | $990 | $1,800 | 1.9× |
| External cephalic version (59412) | $442.75 | $805 | 0.1× |
| Fasciectomy Plantar Fascia Partial Spx (28060) | $3,148.75 | $5,725 | 1.0× |
| Fetal non-stress test (59025) range across 2 matching MRF lines |
$372.35–$428.45 | $677–$779 | varies |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $2,856.15 | $5,193 | 4.2× |
| Fine needle aspiration without imaging guidance (10021) range across 2 matching MRF lines |
$636.35–$732.60 | $1,157–$1,332 | varies |
| Fluid Pressure Muscle (20950) | $535.15 | $973 | 0.8× |
| Fluoro exam of g/colon tube (49465) | $232.10 | $422 | 1.0× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $1,328.80 | $2,416 | 1.9× |
| Fna bx w/us gdn 1st les (10005) | $1,159.95 | $2,109 | 1.7× |
| Foreskin manipulation (54450) | $644.05 | $1,171 | 2.7× |
| Guide Cathet Fluid Drainage (10030) | $3,446.30 | $6,266 | 5.0× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $1,065.35 | $1,937 | 1.2× |
| I&d abscess peritonsillar (42700) | $481.80 | $876 | 2.1× |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$314.60–$563.20 | $572–$1,024 | varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $2,160.40 | $3,928 | 0.8× |
| I&d perianal abscess superficial (46050) | $1,914.55 | $3,481 | 2.1× |
| I&d pilonidal cyst complicated (10081) | $1,354.10 | $2,462 | 2.0× |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$194.70–$1,354.10 | $354–$2,462 | varies |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $2,014.65 | $3,663 | 0.7× |
| Icd Pocket Revision (33223) | $1,938.20 | $3,524 | 1.0× |
| Image Cath Fluid Colxn Visc (49405) | $2,885.30 | $5,246 | 1.8× |
| Image Cath Fluid Peri/Retro (49406) range across 2 matching MRF lines |
$2,864.95–$3,294.50 | $5,209–$5,990 | varies |
| Image Cath Fluid Trns/Vgnl (49407) | $2,529.45 | $4,599 | 1.6× |
| Implant Neuroelectrodes (64561) unusually low: confirm this is the full procedure |
$2,763.09 | $5,023.80 | 0.4× |
| Incise external hemorrhoid (46083) | $540.10 | $982 | 2.2× |
| Incise finger tendon sheath (26055) | $2,850.65 | $5,183 | 1.8× |
| Incise tendon(s) & muscle(s) (23406) | $4,824.05 | $8,771 | 0.7× |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$514.25–$670.45 | $935–$1,219 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $3,392.40 | $6,168 | 2.1× |
| Incision & removal foreign body subq tiss simple (10120) | $733.70 | $1,334 | 1.9× |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$387.75–$512.05 | $705–$931 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$477.40–$638.55 | $868–$1,161 | varies |
| Incision of lingual frenum (frenotomy) (41010) | $3,078.35 | $5,597 | 2.0× |
| Incision of rectal abscess (46040) | $2,517.90 | $4,578 | 2.2× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $2,599.30 | $4,726 | 1.6× |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$934.45–$1,074.15 | $1,699–$1,953 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $213.40 | $388 | 1.1× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$2,247.30–$4,495.70 | $4,086–$8,174 | varies |
| Inj W/Fluor Eval Cv Device (36598) | $382.80 | $696 | 1.9× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) | $1,312.85 | $2,387 | 1.5× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 2 matching MRF lines |
$1,954.15–$3,908.85 | $3,553–$7,107 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$213.40–$937.75 | $388–$1,705 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 2 matching MRF lines |
$1,504.80–$1,730.85 | $2,736–$3,147 | varies |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) | $1,306.25 | $2,375 | 1.5× |
| Injection aa&/strd genicular nrv branches w/img (64454) | $1,918.40 | $3,488 | 2.8× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $866.25 | $1,575 | 1.0× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) | $1,918.40 | $3,488 | 2.8× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $880 | $1,600 | 1.3× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) | $1,610.95 | $2,929 | 1.9× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $662.20 | $1,204 | 2.2× |
| Injection Anes Superior Hypogastric Plexus (64517) | $1,065.90 | $1,938 | 1.2× |
| Injection anesthetic agent suprascapular nerve (64418) | $856.90 | $1,558 | 1.2× |
| Injection for identification of sentinel node (38792) | $822.25 | $1,495 | 2.1× |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$646.80–$744.15 | $1,176–$1,353 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$259.60–$717.75 | $472–$1,305 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 3 matching MRF lines |
$229.90–$811.80 | $418–$1,476 | varies |
| Injection therapeutic carpal tunnel (20526) | $458.15 | $833 | 1.5× |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 2 matching MRF lines |
$1,144.55–$1,316.15 | $2,081–$2,393 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) | $786.50 | $1,430 | 1.1× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 4 matching MRF lines |
$477.40–$1,647.80 | $868–$2,996 | varies |
| Injection, Intralesional; More Than 7 Lesions (11901) | $406.45 | $739 | 2.1× |
| Injection, intralesional; up to and including 7 lesions (11900) | $380.60 | $692 | 2.0× |
| Ins cath ren art 1st bilat (36252) | $6,617.60 | $12,032 | 2.2× |
| Ins cath ren art 1st unilat (36251) | $3,309.90 | $6,018 | 1.1× |
| Ins cath ren art 2nd+ bilat (36254) | $9,092.60 | $16,532 | 3.0× |
| Ins cath ren art 2nd+ unilat (36253) | $4,569.40 | $8,308 | 0.8× |
| Ins endovas vena cava filtr (37191) | $3,366 | $6,120 | 0.6× |
| Ins/Rep Subq Defibrillator (33270) | $20,867 | $37,940 | 0.7× |
| Insert 1 Electrode Pm-Defib (33216) | $6,231.50 | $11,330 | 0.8× |
| Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
$466.40–$536.25 | $848–$975 | varies |
| Insert cath pleura w/ image (32557) | $1,554.85 | $2,827 | 1.0× |
| Insert cath pleura w/o image (32556) range across 2 matching MRF lines |
$1,250.15–$1,437.15 | $2,273–$2,613 | varies |
| Insert cervical dilator (59200) | $371.80 | $676 | 1.3× |
| Insert Drug Implant Device (11981) | $221.10 | $402 | 1.7× |
| Insert Gastrostomy Tube Percutaneous (49440) | $1,114.30 | $2,026 | 0.6× |
| Insert Heart Pm Atrial (33206) | $5,883.35 | $10,697 | 0.6× |
| Insert Heart Pm Ventricular (33207) | $5,940 | $10,800 | 0.6× |
| Insert hepatic shunt (tips) (37182) | $10,632.05 | $19,331 | 0.6× |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$1,012.55–$1,288.65 | $1,841–$2,343 | varies |
| Insert Pacing Lead & Connect (33224) | $21,388.40 | $38,888 | 2.1× |
| Insert pessary/other device (57160) | $155.65 | $283 | 0.8× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) range across 2 matching MRF lines |
$1,573.55–$1,809.50 | $2,861–$3,290 | varies |
| Insert pulse gen mult leads (33221) likely a partial charge, not the full procedure |
$3,353.35 | $6,097 | 0.2× |
| Insert Pulse Gen Sngl Lead (33212) unusually low: confirm this is the full procedure |
$2,857.25 | $5,195 | 0.4× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$287.10–$476.85 | $522–$867 | varies |
| Insert tun ip cath perc (49418) | $3,232.90 | $5,878 | 0.9× |
| Insert tunneled cv cath (36561) | $4,302.65 | $7,823 | 1.4× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) | $11,149.60 | $20,272 | 2.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$268.40–$309.10 | $488–$562 | varies |
| Insertion indwelling tunneled pleural catheter (32550) | $4,747.60 | $8,632 | 1.4× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $1,943.15 | $3,533 | 1.3× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $7,699.45 | $13,999 | 1.0× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $7,115.90 | $12,938 | 0.9× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $2,494.80 | $4,536 | 0.8× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$1,326.60–$1,525.70 | $2,412–$2,774 | varies |
| Insj Rx Eluting Implt Punctal Dilat Lac Canal Ea (68841) | $262.35 | $477 | 0.1× |
| Insj Subq Impltbl Dfb Elctrd (33271) | $7,342.50 | $13,350 | 0.9× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $2,621.85 | $4,767 | 0.9× |
| Insj/Rplcmt Defib W/Lead(S) (33249) | $20,031 | $36,420 | 0.7× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) range across 2 matching MRF lines |
$5,071–$5,831.65 | $9,220–$10,603 | varies |
| Insrt heart pm atrial & vent (33208) | $5,939.45 | $10,799 | 0.6× |
| Insrt Pulse Gen W/Mult Leads (33231) | $20,461.10 | $37,202 | 0.7× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) | $1,264.45 | $2,299 | 0.9× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $1,669.25 | $3,035 | 4.2× |
| Intraoral i&d tongue/floor sublngl supfc (41005) | $647.90 | $1,178 | 2.8× |
| Intraoral i&d tongue/floor submndblr space (41008) | $6,171.55 | $11,221 | 1.9× |
| Intro cath dialysis circuit (36901) | $672.10 | $1,222 | 0.4× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $10,910.35 | $19,837 | 1.0× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $6,267.25 | $11,395 | 1.1× |
| Intro Gastrointestinal Tube (44500) | $200.75 | $365 | 0.2× |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$534.05–$884.95 | $971–$1,609 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $633.05 | $1,151 | 2.6× |
| Laryngoscopy flexible diagnostic (31575) range across 2 matching MRF lines |
$204.60–$235.40 | $372–$428 | varies |
| Laryngoscopy W/Foreign Body Removal (31530) | $3,105.30 | $5,646 | 1.8× |
| Ligation of a-v fistula (37607) | $2,615.80 | $4,756 | 0.9× |
| Ligation Of Neck Artery (37615) | $5,715.60 | $10,392 | 1.9× |
| Litholapaxy comp/lg > 2.5 cm (52318) | $1,386 | $2,520 | 0.4× |
| Litholapaxy smpl/sm <2.5 cm (52317) | $1,219.68 | $2,217.60 | 0.4× |
| Lithotripsy, extracorporeal shock wave (50590) | $188.65 | $343 | 0.1× |
| Lyse chest fibrin init day (32561) | $712.25 | $1,295 | 1.2× |
| Lyse Chest Fibrin Subq Day (32562) | $712.25 | $1,295 | 1.2× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) | $1,073.05 | $1,951 | 0.7× |
| Mech remov tunneled cv cath (36595) | $3,239.50 | $5,890 | 1.1× |
| Myelography Lumbar Injection (62305) | $3,054.15 | $5,553 | 4.0× |
| Myelography Lumbar Injection (62304) | $2,352.35 | $4,277 | 3.1× |
| Myelography via lumbar injection rs&i cervical (62302) | $2,109.80 | $3,836 | 2.8× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $2,272.05 | $4,131 | 3.0× |
| N Block Inj Celiac Pelus (64530) | $1,177 | $2,140 | 1.4× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $693.55 | $1,261 | 1.0× |
| N block inj intercost sng (64420) | $949.30 | $1,726 | 1.4× |
| N Block Inj Plantar Digit (64455) | $601.15 | $1,093 | 2.0× |
| N Block Inj Pudendal (64430) | $1,067 | $1,940 | 1.2× |
| N Block Lumbar/Thoracic (64520) | $1,185.25 | $2,155 | 1.4× |
| Nasal/Orogastric W/Tube Plmt (43752) | $602.25 | $1,095 | 1.4× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) | $602.80 | $1,096 | 2.5× |
| Needle Biopsy Lymph Nodes (38505) | $1,392.60 | $2,532 | 0.9× |
| Needle Biopsy Pancreas (48102) | $1,045.55 | $1,901 | 0.7× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $340.45 | $619 | 0.8× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) | $2,716.45 | $4,939 | 1.3× |
| Njx anes stellate ganglion crv sympathetic (64510) | $1,053.80 | $1,916 | 1.2× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$639.10–$834.90 | $1,162–$1,518 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $2,426.60 | $4,412 | 0.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$2,247.30–$4,495.70 | $4,086–$8,174 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) | $1,630.20 | $2,964 | 1.9× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,696.75 | $3,085 | 2.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $1,097.80 | $1,996 | 1.6× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $1,128.05 | $2,051 | 1.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $1,691.80 | $3,076 | 2.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,708.85 | $3,107 | 2.5× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $1,128.05 | $2,051 | 1.3× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $931.70 | $1,694 | 1.4× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) | $1,001 | $1,820 | 1.5× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) | $399.96 | $727.20 | 1.0× |
| Occipital Nerve Block (64405) range across 4 matching MRF lines |
$25.85–$1,378.30 | $47–$2,506 | varies |
| Open Tx Distal Phalangeal Fracture Each (26765) | $2,857.25 | $5,195 | 0.9× |
| Open tx interphalangeal joint dislocation (26785) | $6,797.45 | $12,359 | 2.1× |
| Open/Perq Place Stent 1St (37236) | $13,879.25 | $25,235 | 1.2× |
| Open/Perq Place Stent Same (37238) | $13,202.20 | $24,004 | 1.2× |
| Partial Excision Distal Phalanx Finger (26236) | $3,401.20 | $6,184 | 2.2× |
| Penile Injection (54235) | $189.75 | $345 | 0.8× |
| Perc Cryo Ablate Renal Tum (50593) | $9,782.85 | $17,787 | 0.9× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) | $1,294.70 | $2,354 | 1.0× |
| Perc Rf Ablate Renal Tumor (50592) | $8,379.25 | $15,235 | 1.4× |
| Percut Cath Occlusn Non Cns Lesn (61626) unusually low: confirm this is the full procedure |
$4,382.40 | $7,968 | 0.4× |
| Percut Drain/Inject Renal Cyst (50390) | $1,617.55 | $2,941 | 2.4× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) | $2,620.20 | $4,764 | 0.9× |
| Pericardiocentesis W/Imaging (33016) range across 2 matching MRF lines |
$1,243–$1,429.45 | $2,260–$2,599 | varies |
| Perm Occlusion/Embolization,Percut,Cns (61624) likely a partial charge, not the full procedure |
$968 | $1,760 | 0.1× |
| Perq Cervicothoracic Inject (22510) | $4,538.60 | $8,252 | 1.4× |
| Perq dev breast 1st mr guide (19287) | $653.40 | $1,188 | 0.9× |
| Perq dev breast 1st strtctc (19283) | $653.40 | $1,188 | 0.9× |
| Perq dev breast 1st us imag (19285) | $653.40 | $1,188 | 0.9× |
| Perq device breast 1st imag (19281) | $653.40 | $1,188 | 0.4× |
| Perq Lumbosacral Injection (22511) | $4,538.60 | $8,252 | 1.4× |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) unusually low: confirm this is the full procedure |
$4,258.10 | $7,742 | 0.5× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) | $9,006.80 | $16,376 | 1.5× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $1,035.65 | $1,883 | 1.5× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $9,442.40 | $17,168 | 0.8× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $4,672.25 | $8,495 | 0.8× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $7,137.90 | $12,978 | 1.0× |
| Perq Vertebral Augmentation (22513) | $7,004.80 | $12,736 | 1.0× |
| Phleb Veins - Extrem 20+ (37766) | $1,483.90 | $2,698 | 0.5× |
| Place Cath Subclavian Art (36225) range across 2 matching MRF lines |
$3,310.45–$6,620.90 | $6,019–$12,038 | varies |
| Place Cath Thoracic Aorta (36221) | $3,956.70 | $7,194 | 1.3× |
| Place Cath Vertebral Art (36226) range across 2 matching MRF lines |
$4,101.35–$8,202.70 | $7,457–$14,914 | varies |
| Place Duod/Jej Tube Perc (49441) | $1,197.90 | $2,178 | 0.6× |
| Place Rt Device/Marker Pros (55876) | $380.75 | $692.28 | 0.3× |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$382.25–$434.50 | $695–$790 | varies |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 2 matching MRF lines |
$1,540.55–$3,081.10 | $2,801–$5,602 | varies |
| Plmt Nephroureteral Catheter (50433) | $1,543.30 | $2,806 | 0.5× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) | $3,441.90 | $6,258 | 1.0× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) | $3,441.90 | $6,258 | 1.0× |
| Prim art mech thrombectomy (37184) likely a partial charge, not the full procedure |
$3,644.30 | $6,626 | 0.2× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $556.05 | $1,011 | 0.8× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $3,340.15 | $6,073 | 1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $3,601.40 | $6,548 | 1.0× |
| Pseudoaneurysm Injection Trt (36002) | $1,497.10 | $2,722 | 2.5× |
| Punch biopsy skin single lesion (11104) | $591.80 | $1,076 | 1.5× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$399.85–$634.15 | $727–$1,153 | varies |
| Puncture Aspiration Cyst Breast (19000) | $847 | $1,540 | 1.2× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $1,323.30 | $2,406 | 1.9× |
| Pvb thoracic cont infusion (64463) | $1,177 | $2,140 | 1.7× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) | $1,177 | $2,140 | 1.7× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) | $1,712.70 | $3,114 | 0.9× |
| Relocation Pocket Pacemaker (33222) | $1,938.20 | $3,524 | 1.0× |
| Rem Endovas Vena Cava Filter (37193) | $2,902.35 | $5,277 | 0.9× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $1,322.75 | $2,405 | 1.5× |
| Removal Embedded Foreign Body Eyelid (67938) | $581.35 | $1,057 | 1.9× |
| Removal Foreign Body Deep Thigh/Knee (27372) | $5,290.45 | $9,619 | 1.9× |
| Removal foreign body foot deep (28192) | $3,445.20 | $6,264 | 2.1× |
| Removal Foreign Body Foot Subcutaneous (28190) | $1,354.10 | $2,462 | 2.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$117.58–$143.55 | $213.78–$261 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
$138.60–$210.10 | $252–$382 | varies |
| Removal Implant Superficial Separate Procedure (20670) | $3,535.95 | $6,429 | 2.2× |
| Removal of foreign body from pharynx (42809) | $561 | $1,020 | 1.3× |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$567.60–$1,167.65 | $1,032–$2,123 | varies |
| Removal of tunneled intraperitoneal catheter (49422) | $6,462.50 | $11,750 | 2.1× |
| Removal or bivalving full arm or full leg cast (29705) | $520.30 | $946 | 1.9× |
| Removal Pacemaker Electrode (33235) | $1,855.15 | $3,373 | 0.5× |
| Removal ppm generator only (33233) | $5,046.80 | $9,176 | 0.6× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $889.35 | $1,617 | 4.6× |
| Removal subcutaneous cardiac rhythm monitor (33286) | $893.75 | $1,625 | 1.3× |
| Removal/bivalving gauntlet boot/body cast (29700) | $550.55 | $1,001 | 2.0× |
| Remove drug implant device (11982) | $404.25 | $735 | 0.9× |
| Remove Elctrd Transvenously (33244) | $2,292.40 | $4,168 | 0.6× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$208.45–$275.55 | $379–$501 | varies |
| Remove Intrauterine Device (58301) | $426.25 | $775 | 1.4× |
| Remove intrvas foreign body (37197) | $3,625.05 | $6,591 | 1.2× |
| Remove lung catheter (32552) | $595.10 | $1,082 | 1.0× |
| Remove Nasal Foreign Body (30300) | $273.35 | $497 | 2.1× |
| Remove Pulse Generator (33241) | $2,473.90 | $4,498 | 0.7× |
| Remove renal tube w/fluoro (50389) | $886.05 | $1,611 | 1.3× |
| Remove&replace pm gen singl (33227) | $5,071 | $9,220 | 0.6× |
| Remove/Insert Drug Implant (11983) | $377.52 | $686.40 | 0.9× |
| Remv&replc cvd gen dual lead (33263) | $23,954.15 | $43,553 | 1.1× |
| Remv&replc cvd gen mult lead (33264) | $21,447.80 | $38,996 | 0.7× |
| Remv&replc cvd gen sing lead (33262) | $20,149.25 | $36,635 | 0.9× |
| Remv&replc pm gen dual lead (33228) | $5,940 | $10,800 | 0.6× |
| Remv&replc pm gen mult leads (33229) unusually low: confirm this is the full procedure |
$6,551.60 | $11,912 | 0.4× |
| Renal Biopsy Perq (50200) | $1,399.20 | $2,544 | 0.9× |
| Repair Achilles Tendon (27650) | $13,429.90 | $24,418 | 1.9× |
| Repair Blood Vessel Direct Upper Extremity (35206) | $3,278.55 | $5,961 | 1.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $1,247.95 | $2,269 | 1.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $1,252.90 | $2,278 | 1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $805.20 | $1,464 | 2.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $1,247.95 | $2,269 | 3.2× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $1,247.95 | $2,269 | 3.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$442.75–$1,254 | $805–$2,280 | varies |
| Repair Elbow Perc (24357) | $3,581.60 | $6,512 | 1.1× |
| Repair extensor tendon finger w/o graft each (26418) | $3,152.05 | $5,731 | 2.0× |
| Repair Eyelid Wound (67935) | $3,872 | $7,040 | 1.7× |
| Repair Finger/Hand Tendon (26350) | $4,204.20 | $7,644 | 1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$621.50–$737.55 | $1,130–$1,341 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$306.35–$737.55 | $557–$1,341 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $737.55 | $1,341 | 1.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$720.50–$737.55 | $1,310–$1,341 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$968–$1,184.15 | $1,760–$2,153 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$590.15–$737.55 | $1,073–$1,341 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$712.80–$790.90 | $1,296–$1,438 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$831.05–$1,134.10 | $1,511–$2,062 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$796.95–$937.75 | $1,449–$1,705 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$581.35–$737.55 | $1,057–$1,341 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$112.75–$737.55 | $205–$1,341 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $1,134.10 | $2,062 | 1.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$737.55–$746.35 | $1,341–$1,357 | varies |
| Repair Lead Pace-Defib One (33218) | $2,871 | $5,220 | 0.8× |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$634.15–$1,128.60 | $1,153–$2,052 | varies |
| Repair tongue laceration (41252) | $391.60 | $712 | 1.7× |
| Repair tongue laceration (41250) range across 2 matching MRF lines |
$249.70–$627.55 | $454–$1,141 | varies |
| Replace duodenostomy/jejunostomy tube perq (49451) | $432.85 | $787 | 0.5× |
| Replace G-J Tube Perc (49452) | $651.75 | $1,185 | 0.7× |
| Replace g/c tube perc (49450) | $1,700.60 | $3,092 | 1.9× |
| Reposition Gastrostomy Tube (43761) | $575.85 | $1,047 | 2.4× |
| Reposition L Ventric Lead (33226) | $2,815.45 | $5,119 | 0.9× |
| Reposition Pacing-Defib Lead (33215) | $2,312.75 | $4,205 | 0.8× |
| Reposition Venous Catheter (36597) | $3,012.35 | $5,477 | 2.0× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | $6,534.55 | $11,881 | 1.9× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) range across 2 matching MRF lines |
$2,407.35–$4,298.25 | $4,377–$7,815 | varies |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $1,793.55 | $3,261 | 2.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$239.80–$495 | $436–$900 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $726 | $1,320 | 5.6× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $217.80 | $396 | 0.5× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $3,025.55 | $5,501 | 1.9× |
| Rmvl of subq implantable defibrillator electrode (33272) | $2,694.45 | $4,899 | 0.7× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $2,152.70 | $3,914 | 0.6× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $2,441.45 | $4,439 | 1.6× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $1,000.45 | $1,819 | 1.6× |
| Rplc Gtube No Revj Trc (43762) range across 3 matching MRF lines |
$431.75–$496.65 | $785–$903 | varies |
| Rplc gtube revj gstrst trc (43763) | $664.95 | $1,209 | 2.7× |
| Rplcmt cath ctr vad subq port/pmp (36578) | $2,929.30 | $5,326 | 1.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $1,257.85 | $2,287 | 0.8× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $1,831.50 | $3,330 | 1.2× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $3,557.95 | $6,469 | 1.2× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $2,478.85 | $4,507 | 0.8× |
| Rpr blood vessel direct lower extremity (35226) range across 2 matching MRF lines |
$485.10–$557.70 | $882–$1,014 | varies |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$319.55–$413.60 | $581–$752 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $1,256.75 | $2,285 | 1.8× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $1,024.10 | $1,862 | 2.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) range across 2 matching MRF lines |
$1,137.40–$1,143.45 | $2,068–$2,079 | varies |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $3,011.25 | $5,475 | 2.0× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) | $6,034.60 | $10,972 | 1.9× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $6,245.80 | $11,356 | 2.0× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $714.45 | $1,299 | 1.2× |
| Sclerotx Fluid Collection (49185) | $749.10 | $1,362 | 0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $176.55 | $321 | 0.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $737.55 | $1,341 | 1.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$413.60–$516.45 | $752–$939 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$413.60–$598.95 | $752–$1,089 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $737.55 | $1,341 | 1.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$413.60–$656.15 | $752–$1,193 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 4 matching MRF lines |
$428.45–$492.25 | $779–$895 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $737.55 | $1,341 | 3.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$561–$610.50 | $1,020–$1,110 | varies |
| Skin sub graft face/nk/hf/g (15275) | $1,110.45 | $2,019 | 1.5× |
| Skin sub graft trnk/arm/leg (15271) | $1,167.10 | $2,122 | 1.6× |
| Skin Tissue Procedure (17999) | $97.90 | $178 | 0.5× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) range across 2 matching MRF lines |
$4,042.50–$8,085.55 | $7,350–$14,701 | varies |
| Slctv cath carotid/innom art angio xtrcranl art (36222) range across 2 matching MRF lines |
$3,228.50–$6,458.10 | $5,870–$11,742 | varies |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) range across 2 matching MRF lines |
$4,022.70–$8,045.95 | $7,314–$14,629 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$488.95–$563.20 | $889–$1,024 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$97.35–$662.20 | $177–$1,204 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$568.15–$699.60 | $1,033–$1,272 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$1,406.35–$1,617 | $2,557–$2,940 | varies |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) | $1,222.65 | $2,223 | 0.4× |
| Strapping Hip (29520) | $138.60 | $252 | 1.1× |
| Strapping knee (29530) range across 3 matching MRF lines |
$267.30–$307.45 | $486–$559 | varies |
| Strapping shoulder (29240) | $240.35 | $437 | 1.9× |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$357.50–$715 | $650–$1,300 | varies |
| Tangential biopsy skin single lesion (11102) | $589.60 | $1,072 | 1.5× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) | $33,184.25 | $60,335 | 1.2× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) | $13,364.45 | $24,299 | 0.7× |
| Tcat Rmvl Perm Ldls Pm (33275) | $2,380.40 | $4,328 | 0.8× |
| Tenotomy Adductor Hip Percutaneous Spx (27000) | $2,653.75 | $4,825 | 1.7× |
| Tenotomy Hip Abd/Ext Open (27006) | $3,865.95 | $7,029 | 1.2× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) range across 2 matching MRF lines |
$2,601.50–$5,201.90 | $4,730–$9,458 | varies |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) | $3,100.35 | $5,637 | 1.0× |
| Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) | $2,375.45 | $4,319 | 0.7× |
| Tenotomy shoulder area single tendon (23405) | $4,147.55 | $7,541 | 0.6× |
| Tenotomy, hip flexor(s), open (27005) | $5,657.85 | $10,287 | 1.8× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $1,543.30 | $2,806 | 2.3× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $16,459.30 | $29,926 | 0.9× |
| Thromblytic art/ven therapy (37213) | $3,322 | $6,040 | 1.1× |
| Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) | $3,857.15 | $7,013 | 0.7× |
| Thrombolytic Art Therapy (37211) | $2,889.15 | $5,253 | 0.5× |
| Thrombolytic Therapy Stroke (37195) | $509.85 | $927 | 1.6× |
| Thrombolytic Venous Therapy (37212) | $1,725.35 | $3,137 | 0.6× |
| Thyroid biopsy (60100) | $1,092.30 | $1,986 | 1.6× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $1,381.60 | $2,512 | 6.0× |
| Transcatheter biopsy (37200) | $2,889.70 | $5,254 | 0.5× |
| Treat Hip Socket Fracture (27222) | $377.30 | $686 | 1.6× |
| Treat Humerus Fracture (24505) | $803.55 | $1,461 | 0.5× |
| Treat Knuckle Dislocation (26700) | $526.35 | $957 | 2.2× |
| Treat Metatarsal Fracture (28475) | $374 | $680 | 1.6× |
| Treat Thumb Dislocation (26641) | $492.25 | $895 | 2.1× |
| Treat toe dislocation (28630) | $526.35 | $957 | 2.2× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $2,987.60 | $5,432 | 1.9× |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$378.95–$526.35 | $689–$957 | varies |
| Trim skin lesion (11055) | $266.20 | $484 | 1.4× |
| Trim skin lesions 2 to 4 (11056) | $290.95 | $529 | 1.5× |
| Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$54.45–$62.70 | $99–$114 | varies |
| Trluml Balo Angiop 1St Art (37246) | $8,050.90 | $14,638 | 1.5× |
| Trluml Balo Angiop 1St Vein (37248) | $7,935.95 | $14,429 | 1.4× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $5,938.35 | $10,797 | 1.9× |
| Tx Missed Abortion First Trimester Surgical (59820) | $6,133.60 | $11,152 | 2.0× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $3,152.05 | $5,731 | 2.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $1,247.95 | $2,269 | 1.7× |
| Tx superficial wound dehiscence w/packing (12021) range across 2 matching MRF lines |
$827.75–$952.05 | $1,505–$1,731 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) | $2,391.95 | $4,349 | 1.5× |
| Unlisted Cardiac Surgery (33999) | $23,443.20 | $42,624 | 38.5× |
| Unlisted procedure humerus/elbow (24999) | $398.20 | $724 | 1.7× |
| Unlisted procedure lungs and pleura (32999) | $525.25 | $955 | 0.9× |
| Unlisted procedure nervous system (64999) range across 6 matching MRF lines |
$392.70–$1,692.90 | $714–$3,078 | varies |
| Unlisted Procedure Tongue Floor Mouth (41599) | $372.35 | $677 | 1.6× |
| Unlisted Procedure Vascular Surgery (37799) | $1,780.35 | $3,237 | 2.9× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) range across 2 matching MRF lines |
$2,031.70–$2,335.30 | $3,694–$4,246 | varies |
| Upgrade of pacemaker system (33214) unusually low: confirm this is the full procedure |
$3,135.55 | $5,701 | 0.3× |
| Vaginal delivery only (59409) | $4,484.70 | $8,154 | 1.4× |
| Vasc embolize/occlude artery (37242) unusually low: confirm this is the full procedure |
$8,031.65 | $14,603 | 0.5× |
| Vasc Embolize/Occlude Bleed (37244) | $9,557.90 | $17,378 | 0.9× |
| Vasc Embolize/Occlude Organ (37243) | $9,191.05 | $16,711 | 0.8× |
| Vasc embolize/occlude venous (37241) | $9,325.25 | $16,955 | 0.8× |
| Venous Mech Thrombectomy (37187) unusually low: confirm this is the full procedure |
$3,479.30 | $6,326 | 0.3× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$306.35–$825 | $557–$1,500 | varies |
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.