Procedures & surgery prices at St. Mary Medical Center

Galesburg, IL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines
$1,704.60–$1,743.60 $2,841–$2,906 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines
$1,693.20–$1,831.20 $2,822–$3,052 varies
Amniocentesis diagnostic (59000)
range across 3 matching MRF lines
$524.40–$1,044.60 $874–$1,741 varies
Anoscopy diagnostic (46600) $117 $195 0.8×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $161.40 $269 0.9×
Application cast elbow finger short arm (29075) $260.40 $434 0.9×
Application finger splint static (29130) $412.80 $688 2.9×
Application long arm splint shoulder hand (29105)
range across 4 matching MRF lines
$312.60–$379.80 $521–$633 varies
Application Long Leg Cast Walker/Ambulatory Type (29355) $403.80 $673 1.3×
Application Long Leg Splint (29505)
range across 3 matching MRF lines
$310.80–$317.40 $518–$529 varies
Application of long leg cast (29345) $307.80 $513 1.0×
Application of rigid total contact leg cast (29445) $952.20 $1,587 3.2×
Application short arm splint forearm-hand static (29125)
range across 4 matching MRF lines
$372.60–$379.80 $621–$633 varies
Application short leg splint calf foot (29515)
range across 4 matching MRF lines
$372.60–$379.80 $621–$633 varies
Apply hand/wrist cast (29085) $184.80 $308 1.1×
Apply long arm cast (29065) $260.40 $434 0.9×
Apply Multlay Comprs Lwr Leg (29581) $210 $350 1.2×
Apply Short Leg Cast (29405)
range across 5 matching MRF lines
$297–$919.80 $495–$1,533 varies
Arterial puncture (36600) $110.40 $184 0.8×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 7 matching MRF lines
$896.40–$1,726.80 $1,494–$2,878 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 3 matching MRF lines
$1,795.80–$2,147.40 $2,993–$3,579 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 10 matching MRF lines
$568.80–$2,250.60 $948–$3,751 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 7 matching MRF lines
$371.40–$2,147.40 $619–$3,579 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines
$463.80–$474 $773–$790 varies
Aspirate pleura w/ imaging (32555)
range across 3 matching MRF lines
$2,446.80–$3,670.80 $4,078–$6,118 varies
Aspirate Pleura W/O Imaging (32554)
range across 5 matching MRF lines
$1,482.60–$1,547.40 $2,471–$2,579 varies
Aspiration and/or injection thyroid cyst (60300) $3,303 $5,505 4.4×
Avulsion nail plate partial/complete simple 1 (11730) $445.80 $743 2.1×
Biopsy Abdominal Mass (49180) $2,238 $3,730 1.3×
Biopsy bone trocar/needle deep (20225) $3,829.20 $6,382 2.2×
Biopsy Bone Trocar/Needle Superficial (20220) $2,580 $4,300 1.5×
Biopsy muscle percutaneous needle (20206) $2,487.60 $4,146 1.4×
Biopsy of liver, needle; percutaneous (47000) $2,196.60 $3,661 1.2×
Biopsy Pleura Percutaneous Needle (32400) $2,367.60 $3,946 1.3×
Biopsy Salivary Gland Needle (42400) $3,396 $5,660 4.5×
Biopsy soft tissue neck/thorax (21550) $5,965.80 $9,943 3.4×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $5,353.80 $8,923 3.0×
Bladder instillation anticarcinogenic agent (51720) $453.60 $756 0.6×
Bladder Irrigation (51700) $868.80 $1,448 3.2×
Bladder Scan (51798) $255.60 $426 4.0×
Blepharotomy drainage abscess eyelid (67700)
range across 3 matching MRF lines
$400.20–$409.20 $667–$682 varies
Blood Transfusion Service (36430)
range across 2 matching MRF lines
$909–$1,791.60 $1,515–$2,986 varies
Bone Marrow Biopsy (38221) $1,545 $2,575 0.9×
Bone Marrow; Aspiration Only (38220) $1,513.80 $2,523 0.9×
Bronchoscopy Balloon Occlusion (31634) $4,401.60 $7,336 0.6×
Bronchoscopy Clear Airways (31645) $2,249.40 $3,749 1.2×
Bx breast 1st lesion us imag (19083)
range across 3 matching MRF lines
$2,823–$4,234.20 $4,705–$7,057 varies
Bx Cervix (57500) $710.40 $1,184 0.7×
Catheter aspiration nasotracheal spx (31720) $184.20 $307 0.8×
Cessj Therapy Cath Removal (37214) $2,143.80 $3,573 0.6×
Change Cystostomy Tube Simple (51705) $955.20 $1,592 3.6×
Chemical Cautery Tissue (17250) $562.80 $938 2.6×
Chest tube placement (32551)
range across 6 matching MRF lines
$997.20–$2,005.80 $1,662–$3,343 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $2,519.40 $4,199 0.7×
Circumcision w/clamp/oth dev w/block (54150) $6,648.60 $11,081 3.0×
Cl Tx Scapular Fx; W Manip (23575) $1,887 $3,145 1.1×
Cl Tx Tib Shft Fx W Manip (27752)
range across 3 matching MRF lines
$1,693.80–$1,728.60 $2,823–$2,881 varies
Clear outer ear canal (69200)
range across 4 matching MRF lines
$237–$252.60 $395–$421 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $322.20 $537 1.2×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,981.80 $3,303 1.2×
Closed Treatment Sternum Fracture (21820) $151.20 $252 0.6×
Closed tx ankle dislocation w/o anesthesia (27840)
range across 3 matching MRF lines
$669.60–$683.40 $1,116–$1,139 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,008 $1,680 0.6×
Closed Tx Knee Dislocation W/Anesthesia (27552)
range across 3 matching MRF lines
$2,576.40–$2,629.80 $4,294–$4,383 varies
Closed tx knee dislocation w/o anesthesia (27550)
range across 3 matching MRF lines
$669.60–$683.40 $1,116–$1,139 varies
Closed tx mandibular fracture w/manipulation (21451) $1,930.80 $3,218 1.2×
Closed tx metatarsal fracture w/o manipulation (28470) $288 $480 1.1×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $982.20 $1,637 0.6×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,799.40 $2,999 1.1×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $4,008.60 $6,681 1.1×
Closed tx patellar dislocation w/o anesthesia (27560)
range across 3 matching MRF lines
$669.60–$683.40 $1,116–$1,139 varies
Closed tx radial head/neck fx w/manipulation (24655)
range across 3 matching MRF lines
$1,562.40–$1,594.20 $2,604–$2,657 varies
Closed tx radial head/neck fx w/o manipulation (24650)
range across 3 matching MRF lines
$669.60–$683.40 $1,116–$1,139 varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 3 matching MRF lines
$1,008–$1,887 $1,680–$3,145 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,494.60 $2,491 0.9×
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 3 matching MRF lines
$299.40–$306 $499–$510 varies
Closed Tx Talus Fracture W/Manipulation (28435)
range across 3 matching MRF lines
$2,022.60–$2,064.60 $3,371–$3,441 varies
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 4 matching MRF lines
$369.60–$555 $616–$925 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,008 $1,680 0.6×
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 3 matching MRF lines
$316.20–$322.20 $527–$537 varies
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $448.20 $747 1.8×
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines
$299.40–$306 $499–$510 varies
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 3 matching MRF lines
$2,228.40–$2,274.60 $3,714–$3,791 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 3 matching MRF lines
$582.60–$594 $971–$990 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,008 $1,680 0.6×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 3 matching MRF lines
$304.80–$310.80 $508–$518 varies
Cltx dstl fibular fx lat malls w/manj (27788) $290.40 $484 1.1×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $683.40 $1,139 2.6×
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 3 matching MRF lines
$460.80–$470.40 $768–$784 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,926 $3,210 1.1×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,008 $1,680 0.6×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 3 matching MRF lines
$2,201.40–$2,247 $3,669–$3,745 varies
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 3 matching MRF lines
$316.20–$322.20 $527–$537 varies
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 3 matching MRF lines
$316.20–$322.20 $527–$537 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $683.40 $1,139 2.6×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $304.80 $508 1.2×
Cltx greater humeral tuberosity fx w/o manj (23620)
range across 4 matching MRF lines
$298.80–$448.80 $498–$748 varies
Cltx hip dislocation traumatic req anesthesia (27252)
range across 3 matching MRF lines
$1,887–$1,926.60 $3,145–$3,211 varies
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 3 matching MRF lines
$669.60–$683.40 $1,116–$1,139 varies
Cltx humeral condylar fx medial/lateral w/manj (24577) $1,887 $3,145 1.1×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,008 $1,680 0.6×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $2,018.40 $3,364 1.2×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $646.20 $1,077 2.4×
Cltx iphal jt dislc w/manj w/o anes (26770) $646.20 $1,077 2.4×
Cltx Med Ankle Fx W/Mnpj (27762)
range across 3 matching MRF lines
$1,849.20–$1,887.60 $3,082–$3,146 varies
Cltx Medial Ankle Fx (27760) $288 $480 1.1×
Cltx metacarpal fx w/manipulation each bone (26605)
range across 3 matching MRF lines
$669.60–$683.40 $1,116–$1,139 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 3 matching MRF lines
$669.60–$683.40 $1,116–$1,139 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $598.80 $998 2.3×
Cltx post hip arthrp dislc req anes (27266)
range across 3 matching MRF lines
$4,747.20–$4,845.60 $7,912–$8,076 varies
Cltx post hip arthrp dislc w/o anes (27265)
range across 3 matching MRF lines
$513.60–$524.40 $856–$874 varies
Cltx prox fibula/shft fx w/manj (27781) $1,008 $1,680 0.6×
Cltx prox fibula/shft fx w/o manj (27780)
range across 3 matching MRF lines
$293.40–$298.80 $489–$498 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 3 matching MRF lines
$3,229.20–$3,295.80 $5,382–$5,493 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 3 matching MRF lines
$669.60–$683.40 $1,116–$1,139 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 3 matching MRF lines
$1,008–$2,061 $1,680–$3,435 varies
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675)
range across 3 matching MRF lines
$1,978.80–$2,020.20 $3,298–$3,367 varies
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)
range across 3 matching MRF lines
$1,008–$1,887 $1,680–$3,145 varies
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540)
range across 3 matching MRF lines
$669.60–$683.40 $1,116–$1,139 varies
Cltx tibial fx proximal w/o manipulation (27530)
range across 3 matching MRF lines
$549–$559.80 $915–$933 varies
Cltx trimalleolar ankle fx w/manipulation (27818) $1,008 $1,680 0.6×
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 3 matching MRF lines
$288–$294.60 $480–$491 varies
Collection of venous blood by venipuncture (36415) $25.80 $43 2.8×
Complex drainage wound (10180)
range across 2 matching MRF lines
$2,648.40–$6,517.80 $4,414–$10,863 varies
Control Nasal Hemorrhage Anterior Complex (30903) $344.40 $574 2.4×
Control Nasal Hemorrhage Anterior Simple (30901) $406.20 $677 2.8×
Convert Nephrostomy Catheter (50434) $1,320 $2,200 0.6×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,497.80 $4,163 1.4×
Csf shunt reprogram (62252) $361.20 $602 1.1×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $419.40 $699 2.9×
Cysto calibration dilat urtl strix/stenosis (52281) $2,596.20 $4,327 1.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $382.20 $637 0.9×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines
$808.20–$1,125 $1,347–$1,875 varies
Debride nail 1-5 (11720) $79.80 $133 1.3×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $2,589.60 $4,316 1.5×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines
$696–$835.20 $1,160–$1,392 varies
Declot vascular device (36593)
range across 2 matching MRF lines
$498–$1,033.80 $830–$1,723 varies
Delivery of placenta (59414)
range across 3 matching MRF lines
$2,003.40–$3,671.40 $3,339–$6,119 varies
Destroy cerv/thor facet jnt (64633)
range across 3 matching MRF lines
$2,662.80–$3,989.40 $4,438–$6,649 varies
Destroy lumb/sac facet jnt (64635)
range across 3 matching MRF lines
$3,324–$6,431.40 $5,540–$10,719 varies
Destruction neurolytic agt genicular nerve w/img (64624)
range across 3 matching MRF lines
$4,376.40–$6,564.60 $7,294–$10,941 varies
Dilat Xst Trc New Access Rcs (50437) $3,900.60 $6,501 1.0×
Drain/inj small joint/bursa w/us (20604)
range across 6 matching MRF lines
$793.20–$2,147.40 $1,322–$3,579 varies
Drainage external auditory canal abscess (69020)
range across 3 matching MRF lines
$953.40–$973.20 $1,589–$1,622 varies
Drainage External Ear Abscess/Hematoma Simple (69000) $543.60 $906 0.7×
Drainage Finger Abscess Complicated (26011) $2,803.80 $4,673 1.6×
Drainage Mouth Roof Lesion (42000) $295.80 $493 1.2×
Drainage of finger abscess simple (26010) $503.40 $839 2.3×
Drainage of gum lesion (41800) $586.20 $977 4.1×
Drainage of hematoma/fluid (10140)
range across 3 matching MRF lines
$986.40–$4,884.60 $1,644–$8,141 varies
Drainage of scrotal wall abscess (55100) $1,755 $2,925 1.0×
Drainage of scrotum (54700) $2,596.20 $4,327 1.2×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $595.20 $992 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $694.80 $1,158 1.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $1,184.40 $1,974 5.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $445.80 $743 2.1×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 3 matching MRF lines
$3,470.40–$5,204.40 $5,784–$8,674 varies
Dx Bone Marrow Bx & Aspir (38222) $1,838.40 $3,064 0.6×
Dx lmbr spi pnxr w/fluor/CT (62328)
range across 4 matching MRF lines
$995.40–$2,444.40 $1,659–$4,074 varies
Egd Flexible Foreign Body Removal (43247) $1,602.60 $2,671 1.6×
Endometrial Biopsy (58100) $236.40 $394 1.1×
Epidural Blood Patch (62273)
range across 3 matching MRF lines
$2,247–$2,303.40 $3,745–$3,839 varies
Evacuation of subungual hematoma (11740) $302.40 $504 2.1×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,066.80 $1,778 0.6×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $2,081.40 $3,469 1.2×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $3,309 $5,515 2.6×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $2,519.40 $4,199 0.7×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $4,114.20 $6,857 1.8×
Excision Lingual Frenum Frenectomy (41115) $1,484.40 $2,474 0.9×
Excision of gum flap (41821) $1,930.80 $3,218 1.2×
Explo/Drain Breast Abscess (19020)
range across 3 matching MRF lines
$6,517.80–$6,653.40 $10,863–$11,089 varies
External cephalic version (59412) $2,346.60 $3,911 0.7×
Fetal non-stress test (59025) $807 $1,345 3.7×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $2,446.80 $4,078 3.2×
Fine needle aspiration bx w/mr gdn 1st lesion (10011) $4,119.60 $6,866 5.4×
Fine needle aspiration without imaging guidance (10021) $246 $410 0.6×
Fluid Pressure Muscle (20950)
range across 3 matching MRF lines
$903–$921.60 $1,505–$1,536 varies
Fluoro exam of g/colon tube (49465) $1,176.60 $1,961 4.6×
Fna Bx W/Fluor Gdn 1St Les (10007) $2,574.60 $4,291 3.4×
Fna bx w/us gdn 1st les (10005) $2,238.60 $3,731 2.9×
Foreskin manipulation (54450) $304.80 $508 1.1×
Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U)
range across 2 matching MRF lines
$754.80–$770.40 $1,258–$1,284 varies
Guide Cathet Fluid Drainage (10030) $973.20 $1,622 1.3×
I&d abscess peritonsillar (42700) $301.80 $503 1.2×
I&d abscess simple (10060)
range across 2 matching MRF lines
$503.40–$565.20 $839–$942 varies
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines
$560.40–$901.80 $934–$1,503 varies
I&d pilonidal cyst complicated (10081) $868.20 $1,447 1.1×
I&d pilonidal cyst simple (10080) $543.60 $906 0.7×
Image Cath Fluid Peri/Retro (49406) $2,998.20 $4,997 1.7×
Implant neuroelectrodes (63650) $19,166.40 $31,944 2.8×
Incise external hemorrhoid (46083) $868.80 $1,448 3.2×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines
$691.20–$721.80 $1,152–$1,203 varies
Incision & removal foreign body subq tiss compl (10121) $986.40 $1,644 0.6×
Incision & removal foreign body subq tiss simple (10120) $565.80 $943 1.3×
Incision and drainage of bartholin's gland abscess (56420) $527.40 $879 2.4×
Incision and drainage of vulva or perineal abscess (56405) $1,173 $1,955 3.6×
Incision of lingual frenum (frenotomy) (41010) $1,501.20 $2,502 0.9×
Incision of rectal abscess (46040) $7,122.60 $11,871 5.6×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,891.20 $3,152 1.1×
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines
$414–$481.20 $690–$802 varies
Initial Tx 1st Degree Burn Local Tx (16000) $255.60 $426 1.2×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 3 matching MRF lines
$1,688.40–$2,527.80 $2,814–$4,213 varies
Inj W/Fluor Eval Cv Device (36598) $414 $690 1.8×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,688.40 $2,814 1.8×
Injection 1 tendon sheath/ligament aponeurosis (20550) $1,688.40 $2,814 5.1×
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 3 matching MRF lines
$1,590.60–$1,688.40 $2,651–$2,814 varies
Injection aa&/strd genicular nrv branches w/img (64454)
range across 3 matching MRF lines
$1,828.80–$2,743.80 $3,048–$4,573 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 4 matching MRF lines
$1,688.40–$1,726.80 $2,814–$2,878 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,688.40 $2,814 2.2×
Injection Anes Agent Sphenopalatine Ganglion (64505) $2,247 $3,745 6.8×
Injection anesthetic agent suprascapular nerve (64418) $1,688.40 $2,814 2.2×
Injection for identification of sentinel node (38792) $1,476.60 $2,461 3.4×
Injection single tendon origin/insertion (20551) $184.20 $307 0.6×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines
$1,468.20–$1,501.20 $2,447–$2,502 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines
$682.80–$1,688.40 $1,138–$2,814 varies
Injection therapeutic carpal tunnel (20526) $364.80 $608 1.1×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 3 matching MRF lines
$1,012.20–$1,388.40 $1,687–$2,314 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 7 matching MRF lines
$878.40–$1,868.40 $1,464–$3,114 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 9 matching MRF lines
$732–$2,157.60 $1,220–$3,596 varies
Ins cath ren art 1st bilat (36252) $5,389.20 $8,982 1.6×
Ins cath ren art 1st unilat (36251) $4,834.80 $8,058 1.4×
Ins cath ren art 2nd+ bilat (36254) $6,107.40 $10,179 1.8×
Ins cath ren art 2nd+ unilat (36253) $6,107.40 $10,179 1.0×
Ins endovas vena cava filtr (37191) $16,068.60 $26,781 2.7×
Ins Vag Brachytx Device (57156) $609 $1,015 1.9×
Insert 1 Electrode Pm-Defib (33216) $5,806.20 $9,677 0.7×
Insert Bladder Cath Complex (51703) $445.80 $743 3.2×
Insert cath pleura w/ image (32557) $1,804.20 $3,007 1.1×
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $9,226.20 $15,377 7.2×
Insert Heart Pm Ventricular (33207) $7,347 $12,245 0.7×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines
$2,187.60–$2,263.80 $3,646–$3,773 varies
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,058.40 $1,764 0.6×
Insert Temp Bladder Cath (51702) $195.60 $326 1.4×
Insert,Non-Indwelling Bladder Catheter (51701) $346.20 $577 2.4×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines
$2,005.20–$2,532.60 $3,342–$4,221 varies
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $10,567.80 $17,613 1.2×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $5,806.20 $9,677 0.7×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555)
range across 2 matching MRF lines
$1,960.20–$2,119.20 $3,267–$3,532 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 4 matching MRF lines
$1,957.20–$4,853.40 $3,262–$8,089 varies
Insj/Rplcmt Defib W/Lead(S) (33249)
range across 2 matching MRF lines
$22,816.20–$23,388.60 $38,027–$38,981 varies
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $39,290.40 $65,484 1.2×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
range across 2 matching MRF lines
$7,491.60–$12,070.20 $12,486–$20,117 varies
Insrt heart pm atrial & vent (33208) $7,347 $12,245 0.7×
Insrt Pulse Gen W/Singl Lead (33240) $16,332.60 $27,221 0.7×
Interdental fixation (21110) $1,930.80 $3,218 1.2×
Intraoral i&d tongue/floor submndblr space (41008) $3,900.60 $6,501 1.1×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines
$448.20–$598.80 $747–$998 varies
Irrigation of corpora cavernosa for priapism (54220) $555.60 $926 2.1×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $271.80 $453 1.3×
Myelography Lumbar Injection (62305) $2,425.20 $4,042 2.9×
Myelography Lumbar Injection (62304) $2,734.80 $4,558 3.3×
N Block Inj Ilio-Ing/Hypogi (64425) $1,688.40 $2,814 2.2×
N block inj intercost sng (64420)
range across 7 matching MRF lines
$896.40–$1,726.80 $1,494–$2,878 varies
N Block Inj Pudendal (64430) $1,185 $1,975 1.3×
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines
$1,688.40–$1,726.80 $2,814–$2,878 varies
Nasal Endoscopy Dx (31231) $262.20 $437 1.2×
Nasal/Orogastric W/Tube Plmt (43752) $501.60 $836 1.0×
Needle Biopsy Lymph Nodes (38505)
range across 3 matching MRF lines
$2,050.80–$3,076.20 $3,418–$5,127 varies
Needle Biopsy Pancreas (48102) $2,245.80 $3,743 1.3×
Needle insertion w/o injection 1 or 2 muscles (20560) $30 $50 1.0×
Needle insertion w/o injection 3 or more muscles (20561) $30 $50 1.0×
Neuro csf detcj prion prtn quakg conf conv qual (0584U)
range across 2 matching MRF lines
$967.20–$1,398 $1,612–$2,330 varies
Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) $1,028.40 $1,714 1.4×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U)
range across 2 matching MRF lines
$750–$869.40 $1,250–$1,449 varies
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $3,621 $6,035 1.7×
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines
$2,247–$2,578.20 $3,745–$4,297 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 6 matching MRF lines
$255.60–$1,688.40 $426–$2,814 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $2,520 $4,200 0.7×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $2,520 $4,200 0.7×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 3 matching MRF lines
$1,468.20–$2,197.20 $2,447–$3,662 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $3,108.60 $5,181 4.1×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines
$896.40–$4,044 $1,494–$6,740 varies
Njx Noncmpnd Sclrsnt 1 Vein (36465) $1,483.80 $2,473 0.7×
Njx Noncmpnd Sclrsnt Mlt Vn (36466) $1,483.80 $2,473 0.7×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $894 $1,490 1.2×
Njx Sclrsnt Spider Veins (36468) $1,483.80 $2,473 3.4×
Occipital Nerve Block (64405)
range across 9 matching MRF lines
$364.80–$1,890.60 $608–$3,151 varies
Open Tx Distal Phalangeal Fracture Each (26765) $3,996.60 $6,661 1.1×
Open/Perq Place Stent 1St (37236) $7,551 $12,585 0.6×
Percut Cath Occlusn Non Cns Lesn (61626) $7,551 $12,585 0.6×
Percut Drain/Inject Renal Cyst (50390) $3,577.20 $5,962 4.7×
Pericardiocentesis W/Imaging (33016)
range across 2 matching MRF lines
$1,279.80–$2,079.60 $2,133–$3,466 varies
Peritoneal Lavage (49084)
range across 2 matching MRF lines
$1,960.20–$2,005.20 $3,267–$3,342 varies
Perm Occlusion/Embolization,Percut,Cns (61624) $12,219 $20,365 0.6×
Perq dev breast 1st us imag (19285)
range across 3 matching MRF lines
$1,697.40–$2,544.60 $2,829–$4,241 varies
Perq device breast 1st imag (19281)
range across 3 matching MRF lines
$2,765.40–$4,234.20 $4,609–$7,057 varies
Perq dilation xst trc endourologic px w/img (50436) $3,900.60 $6,501 1.0×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,015.80 $1,693 1.3×
Place breast rad tube/caths (19298) $10,333.80 $17,223 0.7×
Place Duod/Jej Tube Perc (49441) $4,647.60 $7,746 2.3×
Placement of needle for intraosseous infusion (36680) $366 $610 0.8×
Plmt expandable cath brst following prtl mast (19296) $15,310.80 $25,518 1.7×
Plmt Nephroureteral Catheter (50433) $2,280.60 $3,801 0.6×
Prim art mech thrombectomy (37184) $11,166 $18,610 0.6×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $1,150.80 $1,918 1.2×
Pseudoaneurysm Injection Trt (36002) $413.40 $689 0.6×
Punch biopsy skin single lesion (11104) $519.60 $866 1.2×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines
$387–$818.40 $645–$1,364 varies
Puncture Aspiration Cyst Breast (19000)
range across 3 matching MRF lines
$801.60–$1,096.80 $1,336–$1,828 varies
Puncture shunt tube/reservoir aspiration/inj px (61070) $1,069.20 $1,782 1.4×
Removal Embedded Foreign Body Eyelid (67938)
range across 3 matching MRF lines
$727.20–$742.20 $1,212–$1,237 varies
Removal Foreign Body Foot Subcutaneous (28190) $887.40 $1,479 1.2×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 4 matching MRF lines
$187.20–$280.20 $312–$467 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines
$80.40–$205.80 $134–$343 varies
Removal of foreign body from pharynx (42809) $249 $415 0.5×
Removal of nail bed (11750) $1,654.20 $2,757 3.8×
Removal ppm generator only (33233) $5,806.20 $9,677 0.7×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $241.20 $402 1.1×
Remove foreign body from eye (65205)
range across 4 matching MRF lines
$412.80–$421.20 $688–$702 varies
Remove Intrauterine Device (58301)
range across 2 matching MRF lines
$199.20–$334.80 $332–$558 varies
Remove Nasal Foreign Body (30300) $192 $320 1.3×
Remv&replc cvd gen sing lead (33262) $16,410.60 $27,351 0.7×
Remv&replc pm gen mult leads (33229) $13,282.20 $22,137 0.6×
Renal Biopsy Perq (50200) $2,289 $3,815 1.3×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,686 $2,810 2.1×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,184.40 $1,974 1.5×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $605.40 $1,009 1.4×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,856.40 $3,094 4.3×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $560.40 $934 1.3×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $709.20 $1,182 1.6×
Repair extensor tendon finger w/o graft each (26418) $6,487.80 $10,813 3.8×
Repair Finger/Hand Tendon (26350)
range across 3 matching MRF lines
$9,628.20–$9,828 $16,047–$16,380 varies
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $560.40 $934 1.3×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $592.80 $988 1.4×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $605.40 $1,009 1.4×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $605.40 $1,009 1.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $560.40 $934 1.3×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $605.40 $1,009 1.4×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $382.20 $637 0.5×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $709.20 $1,182 1.6×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $560.40 $934 1.3×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $487.20 $812 1.1×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $676.80 $1,128 0.9×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $605.40 $1,009 1.4×
Repair of nail bed (11760) $382.20 $637 0.5×
Repair tongue laceration (41252) $295.80 $493 1.2×
Repair tongue laceration (41250) $917.40 $1,529 1.9×
Replace duodenostomy/jejunostomy tube perq (49451) $1,953 $3,255 2.0×
Replace G-J Tube Perc (49452) $2,280 $3,800 2.3×
Replace g/c tube perc (49450) $1,117.80 $1,863 1.2×
Replace/Revise Brain Shunt (62230) $8,214.60 $13,691 0.9×
Reposition Gastrostomy Tube (43761) $3,010.20 $5,017 11.2×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 4 matching MRF lines
$390.60–$398.40 $651–$664 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $421.20 $702 3.0×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,058.40 $1,764 0.6×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,479 $2,465 2.2×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines
$742.20–$925.80 $1,237–$1,543 varies
Rplc gtube revj gstrst trc (43763)
range across 2 matching MRF lines
$742.20–$925.80 $1,237–$1,543 varies
Rplcmt compl tun ctr vad w/subq port (36582) $9,226.80 $15,378 2.7×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $395.40 $659 1.8×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $819 $1,365 1.0×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $557.40 $929 1.3×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $334.80 $558 1.6×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $334.80 $558 1.6×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $358.80 $598 1.7×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $334.80 $558 1.6×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $514.80 $858 2.4×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $393.60 $656 1.8×
Skin sub graft face/nk/hf/g (15275) $1,835.40 $3,059 2.3×
Skin sub graft trnk/arm/leg (15271) $1,835.40 $3,059 2.3×
Skin sub grft t/arm/lg child (15273) $3,428.40 $5,714 1.6×
Skn sub grft f/n/hf/g child (15277) $2,110.80 $3,518 1.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $345 $575 1.6×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $421.20 $702 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $384.60 $641 0.9×
Spinal puncture lumbar diagnostic (62270)
range across 4 matching MRF lines
$706.20–$1,832.40 $1,177–$3,054 varies
Strapping ankle (29540)
range across 3 matching MRF lines
$404.40–$412.80 $674–$688 varies
Strapping Unna Boot (29580)
range across 6 matching MRF lines
$229.20–$649.80 $382–$1,083 varies
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines
$251.40–$519.60 $419–$866 varies
Thromblytic art/ven therapy (37213) $2,143.80 $3,573 0.6×
Thrombolytic Art Therapy (37211) $3,657 $6,095 0.6×
Thrombolytic Therapy Stroke (37195) $541.20 $902 1.5×
Thrombolytic Venous Therapy (37212) $2,143.80 $3,573 0.6×
Thyroid biopsy (60100) $711.60 $1,186 0.9×
Tracheostoma revj smpl w/o flap rotation (31613) $4,279.20 $7,132 1.2×
Tracheostomy Emergency Cricothyroid Membrane (31605) $2,654.40 $4,424 10.5×
Tracheostomy Emergency Procedure Transtracheal (31603)
range across 2 matching MRF lines
$924–$2,510.40 $1,540–$4,184 varies
Transcatheter biopsy (37200) $3,656.40 $6,094 0.6×
Treat Dental Ridge Fracture (21440) $3,892.20 $6,487 1.1×
Treat humerus fracture (24500)
range across 3 matching MRF lines
$669.60–$683.40 $1,116–$1,139 varies
Treat Humerus Fracture (24505) $1,008 $1,680 0.6×
Treat Knee Fracture(S) (27538) $466.80 $778 1.8×
Treat Knuckle Dislocation (26700) $646.20 $1,077 2.4×
Treat Thumb Dislocation (26641)
range across 3 matching MRF lines
$632.40–$645 $1,054–$1,075 varies
Treat Thumb Fracture (26645)
range across 3 matching MRF lines
$1,871.40–$1,910.40 $3,119–$3,184 varies
Treat toe dislocation (28630) $532.20 $887 2.0×
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 3 matching MRF lines
$1,934.40–$1,974.60 $3,224–$3,291 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 3 matching MRF lines
$669.60–$683.40 $1,116–$1,139 varies
Tx Superficial Wound Dehiscence Simple Closure (12020) $691.80 $1,153 0.9×
Unlisted Procedure Casting/Strapping (29799) $436.20 $727 2.5×
Unlisted procedure nervous system (64999) $1,468.20 $2,447 4.5×
Vaginal delivery only (59409)
range across 4 matching MRF lines
$1,147.80–$3,719.40 $1,913–$6,199 varies
Venous Cutdown >1 Y/O (36425) $251.40 $419 0.5×
Venous Mech Thrombectomy (37187) $7,551 $12,585 0.6×
Wedge excision skin nail fold (11765) $612.60 $1,021 1.4×

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.