Procedures & surgery prices at St. Mary's Medical Center

Blue Springs, MO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $903 $2,341.77 1.0×
Amputation metatarsal with toe single (28810) $3,261 $9,755.73 1.0×
Amputation toe interphalangeal joint (28825) $3,261 $8,670.96 1.0×
Amputation Toe Metatarsophalangeal Joint (28820) $3,261 $8,713.67 1.0×
Anoscopy Ablation Lesion (46615) $2,766 $2,544.85 1.0×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $161 $1,140.48 1.0×
Application finger splint static (29130) $132 $629.19 1.0×
Application long arm splint shoulder hand (29105) $161 $788.34 1.0×
Application long leg splint thigh ankle/toes (29505) $161 $788.34 1.0×
Application Of Rigid Total Contact Leg Cast (29445) $278 $1,272.61 1.0×
Application Short Arm Splint Dynamic (29126) $132 $629.19 1.0×
Application short arm splint forearm-hand static (29125) $132 $629.19 1.0×
Application short leg splint calf foot (29515) $161 $788.34 1.0×
Arterial puncture (36600) $132 $332.74 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $305 $1,405.53 1.0×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $305 $1,722.19 1.0×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $305 $1,639.57 1.0×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $305 $1,498.28 1.0×
Arthroplasty glenohumeral joint total shoulder (23472) $17,476 $20,184.20 1.0×
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) $7,232 $6,453.27 1.0×
Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction (29889) $12,796 $6,453.27 1.0×
Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) $3,261 $6,516.58 1.0×
Arthroscopy, knee, surgical; with lateral release (29873) $3,261 $7,933.93 1.0×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $3,261 $6,453.27 1.0×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $7,232 $2,610.85 1.0×
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) $7,232 $11,217.70 1.0×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $3,261 $6,725.66 1.0×
Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) $3,261 $2,594.61 1.0×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $7,232 $7,632.71 1.0×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $7,232 $2,708.94 1.0×
Aspiration Bladder Insert Suprapubic Catheter (51102) $2,083 $9,395.09 1.0×
Avulsion nail plate partial/complete simple 1 (11730) $199 $1,002.04 1.0×
Biopsy bone trocar/needle deep (20225) $1,646 $5,019.72 1.0×
Biopsy Bone Trocar/Needle Superficial (20220) $1,646 $7,851.20 1.0×
Biopsy muscle percutaneous needle (20206) $1,646 $7,955.46 1.0×
Biopsy or excision of lymph node(s); open, superficial (38500) $3,902 $5,891.43 1.0×
Biopsy Salivary Gland,Needle (42400) $705 $3,472.36 1.0×
Biopsy soft tissue neck/thorax (21550) $1,646 $8,071.70 1.0×
Biopsy, soft tissue of forearm and/or wrist; superficial (25065) $1,646 $7,851.20 1.0×
Biopsy/removal lymph nodes (38525) $3,902 $5,683.13 1.0×
Bladder Irrigation Simple (51700) $249 $1,139.78 1.0×
Bladder Scan (51798) $58 $310.61 1.0×
Blood patch (62273) $703 $736.60 1.0×
Blood transfusion service (36430) $439 $2,218.24 1.0×
Bone marrow aspiration only (38220) $1,646 $7,851.20 1.0×
Bone Marrow Biopsy (38221) $1,646 $6,217.56 1.0×
Brnchsc Brushing/Protected Brushings (31623) $1,774 $8,799.10 1.0×
Bronchosc dx w/w/o fluor&wash (31622) $1,774 $5,392.98 1.0×
Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) $1,774 $8,348.44 1.0×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $3,716 $18,375.50 1.0×
Bronchoscopy,Diagnostic W Lavage (31624) $1,774 $8,348.44 1.0×
Bx abdl/retroperitoneal mass prq needle (49180) $1,646 $7,851.20 1.0×
Bx breast 1st lesion strtctc (19081) $1,646 $5,856.15 1.0×
Bx breast 1st lesion us imag (19083) $1,646 $7,520.97 1.0×
Bx/exc lymph node needle superficial (38505) $1,646 $7,520.97 1.0×
Catheter Aspiration Nasotracheal Spx (31720) $218 $1,048.86 1.0×
Cessj Therapy Cath Removal (37214) $3,147 $16,416.80 1.0×
Change Cystostomy Tube Simple (51705) $249 $844.46 1.0×
Change Ureter Stent, Percut (50382) $2,083 $9,994.40 1.0×
Chemical Cautery Tissue (17250) $199 $931.67 1.0×
Chest tube placement (32551) $1,568 $7,846.65 1.0×
Chg Collect Blood From Catheter Venous Nos (36592) $132 $609.26 1.0×
Chng urtrost tube/xtrnlly accessible stent ileal (50688) $2,083 $9,700.08 1.0×
Cholecystostomy,Percutaneous, Complete (47490) $3,568 $10,621.10 1.0×
Close Rx Fingr Articular Fx,Manip (26742) $1,602 $7,772.08 1.0×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $1,602 $7,609.41 1.0×
Closed Rx Shldr Disloc,Gr Tub Fx (23665) $1,602 $7,886.35 1.0×
Closed tx ankle dislocation w/o anesthesia (27840) $245 $1,116.60 1.0×
Closed tx knee dislocation w/o anesthesia (27550) $245 $1,157.15 1.0×
Closed tx nasal fracture w/o stabilization (21315) $1,546 $7,548.23 1.0×
Closed tx patellar dislocation w/o anesthesia (27560) $245 $1,150.10 1.0×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $245 $1,150.10 1.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $245 $1,150.10 1.0×
Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) $245 $1,150.10 1.0×
Cltx dstl fibular fx lat malls w/manj (27788) $245 $1,199.40 1.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $245 $1,150.10 1.0×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,602 $7,772.08 1.0×
Cltx fx grt toe phlx/phlg w/manj (28495) $245 $1,150.10 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $245 $1,150.10 1.0×
Cltx hip dislocation traumatic w/o anesthesia (27250) $245 $1,150.10 1.0×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $245 $1,150.10 1.0×
Cltx iphal jt dislc w/manj w/o anes (26770) $245 $1,150.10 1.0×
Cltx metacarpal fx w/manipulation each bone (26605) $245 $1,098.08 1.0×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $245 $1,150.10 1.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $245 $1,098.08 1.0×
Cltx post hip arthrp dislc w/o anes (27265) $245 $1,150.10 1.0×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,602 $7,682.47 1.0×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $245 $1,150.10 1.0×
Cltx scapular fx w/mnpj w/wo skeletal traction (23575) $1,602 $7,886.35 1.0×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,602 $7,772.08 1.0×
Colonoscopy stoma w/snare (44394) $1,192 $5,786.31 1.0×
Colonoscopy thru stoma (44388) $926 $2,438.15 1.0×
Colonoscopy w/resection (45390) $2,766 $13,632 1.0×
Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) $1,192 $7,592.86 1.0×
Colsc flx with directed submucosal njx any sbst (45381) $1,192 $6,107.41 1.0×
Complete replacement picc rs&i (36584) $1,568 $7,858.54 1.0×
Complex Drainage, Wound (10180) $2,895 $13,942.90 1.0×
Contrast Inj Cent Ven Cath, Inc Flouro (36598) $212 $682.67 1.0×
Control Nasal Hemorrhage Anterior Complex (30903) $132 $629.19 1.0×
Control Nasal Hemorrhage Anterior Simple (30901) $132 $629.19 1.0×
Convert nephrostomy catheter (50434) $2,083 $9,994.40 1.0×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,646 $8,071.70 1.0×
Correction hammertoe (28285) $3,261 $10,875.90 1.0×
Correction of bunion (28299) $7,232 $2,628.48 1.0×
Correction of bunion (28297) $12,796 $34,599.10 1.0×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $3,261 $5,906.73 1.0×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $132 $629.19 1.0×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $236 $1,102.43 1.0×
Cysto Bladder W/Ureteral Catheterization (52005) $2,083 $8,799.10 1.0×
Cysto w/removal of tumors small (52234) $3,513 $10,559.10 1.0×
Cysto W/Simple Removal Stone & Stent (52310) $2,083 $8,465.45 1.0×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $3,513 $8,628.25 1.0×
Cysto/uretero w/lithotripsy (52356) $5,344 $9,424.13 1.0×
Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) $5,344 $8,542.82 1.0×
Cystoscopy and treatment (52330) $3,513 $14,501.60 1.0×
Cystoscopy w/biopsy (52204) $2,083 $7,627.34 1.0×
Cystoscopy,insert ureteral stent (52332) $3,513 $7,853.83 1.0×
Cystostomy Cystotomy W/Drainage (51040) $2,083 $9,991.08 1.0×
Cystourethroscopy W/Irrig & Evac Clots (52001) $3,513 $8,542.82 1.0×
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) $3,513 $8,628.25 1.0×
Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) $3,513 $7,592.86 1.0×
Debride nail 1-5 (11720) $58 $271.93 1.0×
Debride nail 6 or more (11721) $58 $314.38 1.0×
Debridement subcutaneous tissue 20 sq cm/< (11042) $405 $1,824.32 1.0×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $736 $2,755.96 1.0×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $1,646 $7,520.97 1.0×
Declot vascular device (36593) $329 $705.62 1.0×
Destroy cerv/thor facet jnt (64633) $1,946 $9,474.09 1.0×
Destroy lumb/sac facet jnt (64635) $1,946 $8,563.90 1.0×
Destruction by neurolytic agent, intercostal nerve (64620) $881 $9,063.07 1.0×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $881 $4,593.44 1.0×
Destruction neurolytic agt genicular nerve w/img (64624) $1,946 $9,474.09 1.0×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $703 $3,801.22 1.0×
Diagnostic sigmoidoscopy (45330) $926 $2,566.66 1.0×
Dilation esoph unguided sound/bougie 1/mult pass (43450) $903 $2,053.79 1.0×
Dilation Esophagus Guide Wire (43453) $1,912 $7,371.71 1.0×
Drain Ext Ear Absc/Blood,Complic (69005) $1,646 $7,955.46 1.0×
Drain outer ear canal lesion (69020) $705 $3,452.35 1.0×
Drainage External Ear Abscess/Hematoma Simple (69000) $705 $3,472.36 1.0×
Drainage Finger Abscess Complicated (26011) $1,646 $7,954.36 1.0×
Drainage Finger Abscess Simple (26010) $199 $1,002.04 1.0×
Drainage of eyelid abscess (67700) $316 $1,494.65 1.0×
Drainage of gum lesion (41800) $132 $629.19 1.0×
Drainage of hematoma/fluid (10140) $1,646 $7,520.97 1.0×
Drainage of scrotal wall abscess (55100) $1,646 $7,955.46 1.0×
Draw blood off venous device (36591) $132 $220.30 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $199 $957.89 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $199 $931.67 1.0×
Dx bone marrow bx & aspir (38222) $2,895 $5,019.72 1.0×
Egd balloon dilation esophagus <30 mm diam (43249) $1,912 $7,371.71 1.0×
Egd Dilation Gastric/Duodenal Stricture - Egd (43245) $1,912 $1,898.21 1.0×
Egd endoscopic stent place (43266) $6,050 $2,166.22 1.0×
Egd flexible foreign body removal (43247) $903 $7,639.75 1.0×
Egd guide wire insertion (43248) $903 $7,649.81 1.0×
Egd place gastrostomy tube (43246) $1,912 $9,063.50 1.0×
Egd Transoral Control Bleeding Any Method - Egd (43255) $1,912 $5,079.76 1.0×
Egd tube/cath insertion (43241) $1,912 $9,063.13 1.0×
Egd Varices Ligation (43244) $1,912 $7,371.71 1.0×
Endoscopy Upper Small Intestine - Enteroscopy (44360) $1,912 $2,566.66 1.0×
Ep Relocate Skin Pocket Implantable Defibrillator (33223) $2,056 $9,419.85 1.0×
Ercp Duct Stent Placement (43274) $6,050 $7,592.86 1.0×
Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) $3,842 $4,411.61 1.0×
Ercp ea duct/ampulla dilate (43277) $3,842 $1,116.39 1.0×
Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) $3,842 $7,820.65 1.0×
Ercp remove forgn body duct (43275) $1,912 $4,566.31 1.0×
Ercp W/Biopsy Single/Multiple (43261) $3,842 $4,731.73 1.0×
Ercp w/sphincterotomy/papillotomy (43262) $3,842 $7,592.86 1.0×
Esophagogastroduodenoscopy submucosal injection (43236) $903 $4,448 1.0×
Esophagoscopy flex biopsy (43202) $1,912 $2,566.66 1.0×
Esophagoscopy flexible transoral diagnostic (43200) $903 $2,246.54 1.0×
Esophagus endoscopy/ligation (43205) $1,912 $2,406.03 1.0×
Evacuation of subungual hematoma (11740) $132 $629.19 1.0×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,646 $9,010.44 1.0×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $1,646 $11,297.70 1.0×
Exc back les sc < 3 cm (21930) $1,646 $9,280.75 1.0×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $705 $8,799.10 1.0×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,646 $5,866.07 1.0×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $1,646 $7,592.86 1.0×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $2,895 $8,542.82 1.0×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,646 $7,592.86 1.0×
Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) $2,895 $16,032.30 1.0×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $3,568 $10,754.20 1.0×
Exchange nephrostomy cath (50435) $2,083 $6,348.36 1.0×
Exchng absc/cst drg cath rad gid spx (49423) $1,912 $5,412.11 1.0×
Excision of lesion other than skin tag </= 0.5 cm (11420) $1,646 $6,042.05 1.0×
Excision of nail fold toe (11765) $405 $1,956.59 1.0×
Excision of Umbilicus (49250) $3,568 $12,287.90 1.0×
Excision olecranon bursa (24105) $3,261 $7,592.86 1.0×
Excision pilonidal cyst/sinus complicated (11772) $2,895 $9,280.75 1.0×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $705 $3,523.56 1.0×
Fluoro exam of g/colon tube (49465) $237 $847.91 1.0×
Gastric Intubation/Aspiration, Therapeutic (43753) $215 $642.52 1.0×
I&d abscess simple (10060) $199 $4,151.69 1.0×
I&d deep absc bursa/hematoma thigh/knee region (27301) $2,895 $13,942.90 1.0×
I&d perianal abscess superficial (46050) $926 $4,428.17 1.0×
I&d pilonidal cyst simple (10080) $705 $3,472.36 1.0×
I&d submucosal abscess rectum (45005) $1,192 $5,744.30 1.0×
Image Cath Fluid Colxn Visc (49405) $1,646 $5,019.72 1.0×
Image Cath Fluid Peri/Retro (49406) $1,646 $7,520.97 1.0×
Implant neuroelectrodes (63650) $6,352 $9,098.15 1.0×
Incise finger tendon sheath (26055) $1,602 $9,063.07 1.0×
Incision & drainage abscess complicated/multiple (10061) $405 $1,928.66 1.0×
Incision & removal foreign body subq tiss simple (10120) $405 $1,928.66 1.0×
Incision and drainage of bartholin's gland abscess (56420) $201 $950.62 1.0×
Incision and drainage of vulva or perineal abscess (56405) $303 $1,573.75 1.0×
Incision of metatarsal (28308) $3,261 $5,279.83 1.0×
Incision of rectal abscess (46040) $1,192 $5,790.45 1.0×
Incision thrombosed hemorrhoid external (46083) $249 $1,484.86 1.0×
Incisional biopsy skin single lesion (11106) $736 $1,528.29 1.0×
Initial tx 1st degree burn local tx (16000) $199 $1,002.04 1.0×
Inj paravert f jnt c/t 1 lev (64490) $881 $1,718.75 1.0×
Inj tendon sheath/ligament (20550) $305 $803.15 1.0×
Inj,Anes Agent,Brachial Plexus,Single (64415) $881 $3,886.12 1.0×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $881 $3,886.12 1.0×
Inj,Anes Agent,Femoral Nerve,Single (64447) $703 $3,085.25 1.0×
Inject Nerv Blck,Axillary Nerv (64417) $881 $1,107.21 1.0×
Inject Nerv Blck,Ilioingu/Iliohyp (64425) $703 $3,543.28 1.0×
Inject Nerv Blck,Intercost,Multpl (64421) $881 $4,257.58 1.0×
Inject Nerv Blck,Intercostal,One (64420) $703 $1,718.75 1.0×
Inject Nerv Blck,Paravert Sympath (64520) $881 $2,233.92 1.0×
Inject Tendon Origin/Insert (20551) $305 $1,498.28 1.0×
Injection aa&/strd brach plex cont nfs cath img (64416) $881 $1,431.91 1.0×
Injection aa&/strd genicular nrv branches w/img (64454) $703 $3,640.54 1.0×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $703 $1,718.75 1.0×
Injection aa&/strd sciatic nerve w/img gdn (64445) $703 $3,085.25 1.0×
Injection aa&/strd trigeminal nerve each branch (64400) $305 $1,457.86 1.0×
Injection anes other peripheral nerve/branch (64450) $703 $3,085.25 1.0×
Injection for identification of sentinel node (38792) $398 $2,026.25 1.0×
Injection Rx Extremity Pseudoaneurysm (36002) $625 $1,636.14 1.0×
Injection single/mlt trigger point 1/2 muscles (20552) $305 $1,498.28 1.0×
Injection single/mlt trigger point 3/> muscles (20553) $305 $1,159.99 1.0×
Injection, anesthetic agent; greater occipital nerve (64405) $305 $1,374.55 1.0×
Ins cath ren art 1st bilat (36252) $3,147 $9,095.15 1.0×
Ins cath ren art 1st unilat (36251) $3,147 $9,639 1.0×
Ins endovas vena cava filtr (37191) $5,546 $15,561.70 1.0×
Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) $10,417 $35,567.10 1.0×
Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) $10,417 $35,567.10 1.0×
Insert 1 electrode pm-defib (33216) $8,248 $46,470.50 1.0×
Insert Bladder Cath Complex (51703) $128 $779.06 1.0×
Insert Gastrostomy Tube Percutaneous (49440) $1,912 $5,412.11 1.0×
Insert hepatic shunt (tips) (37182) $18,271 $12,073.70 1.0×
Insert non-tunnel cv cath (36556) $3,147 $3,990.53 1.0×
Insert pacing lead & connect (33224) $10,417 $58,020.10 1.0×
Insert picc cath (36569) $1,568 $3,586.66 1.0×
Insert Temp Bladder Cath (51702) $132 $629.19 1.0×
Insert tun ip cath perc (49418) $3,568 $10,754.20 1.0×
Insert tunneled cv cath (36561) $3,147 $9,095.15 1.0×
Insert,Non-Indwelling Bladder Catheter (51701) $132 $629.19 1.0×
Insertion indwelling tunneled pleural catheter (32550) $3,568 $10,754.20 1.0×
Insertion of defibrillator electrode (33271) $8,248 $45,525 1.0×
Insertion of tube into middle small bowel using an endoscope (44372) $1,912 $2,777.77 1.0×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,568 $9,918.96 1.0×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $8,248 $36,019.20 1.0×
Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) $8,248 $45,525 1.0×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $3,147 $15,737.50 1.0×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $3,147 $9,095.15 1.0×
Insj/rplcmt defib w/lead(s) (33249) $31,285 $112,969 1.0×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $8,248 $26,894.20 1.0×
Insrt/redo spine n generator (63685) $30,756 $8,542.82 1.0×
Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) $1,568 $3,990.53 1.0×
Intro cath dialysis circuit w/trluml balo angiop (36902) $5,672 $18,554 1.0×
Intro Gastrointestinal Tube (44500) $903 $1,925.28 1.0×
Intubation endotracheal emergency procedure (31500) $236 $1,180.52 1.0×
Laparoscopy appendectomy (44970) $6,025 $18,807.04 1.0×
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) $6,025 $10,251.60 1.0×
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282) $10,594 $32,087.90 1.0×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $6,025 $21,742.50 1.0×
Laryngoscopy W/Foreign Body Removal (31530) $1,774 $8,622.35 1.0×
Late closure of wound (13160) $3,532 $8,799.10 1.0×
Ligamentous reconstruction (augmentation), knee; extra-articular (27427) $7,232 $19,359.85 1.0×
Liver Biopsy (47000) $1,646 $3,178.20 1.0×
Lyse Chest Fibrin Init Day (32561) $625 $2,262.60 1.0×
Lyse Chest Fibrin Subq Day (32562) $625 $2,262.60 1.0×
Mastectomy partial (19301) $3,902 $14,947.50 1.0×
Mastectomy simple complete (19303) $6,618 $12,536.45 1.0×
Mech remov pericath obstr cv dev via ven access (36595) $3,147 $9,639 1.0×
Muscle-skin graft trunk (15734) $3,532 $12,539.83 1.0×
Myelography Lumbar Injection (62305) $781 $4,207.39 1.0×
Myelography Lumbar Injection (62304) $781 $4,207.39 1.0×
Myelography Via Lumbar Injection Rs&I Cervical (62302) $781 $4,207.39 1.0×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $445 $1,995.20 1.0×
Njx anes stellate ganglion crv sympathetic (64510) $881 $1,374.55 1.0×
Njx c/p/a cavernosa w/pharmacologic agt (54235) $249 $1,484.86 1.0×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $3,568 $17,753.30 1.0×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $3,568 $10,621.10 1.0×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $881 $4,593.44 1.0×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $703 $3,543.28 1.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) $703 $1,718.75 1.0×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $703 $2,675.65 1.0×
Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) $695 $2,052.63 1.0×
Njx px antegrde nfrosgrm &/urtrgrm new access (50430) $695 $3,801.22 1.0×
Open biopsy/excision inguinofemoral nodes (38531) $3,902 $8,542.82 1.0×
Open Treatment Bimalleolar Ankle Fracture (27814) $7,232 $13,115.30 1.0×
Open treatment metatarsal fracture each (28485) $7,232 $20,504.20 1.0×
Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) $7,232 $9,408.82 1.0×
Open tx fracture great toe/phalanx/phalanges (28505) $3,261 $12,656.50 1.0×
Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) $12,796 $18,001 1.0×
Open/Perq Place Stent Same (37238) $11,506 $35,279.10 1.0×
Open/Perq Placement Intravascular Stent Initial (37236) $11,506 $38,348.30 1.0×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $3,261 $12,251.39 1.0×
Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) $3,261 $7,371.71 1.0×
Partial Removal Foot Fascia (28060) $3,261 $4,443.55 1.0×
Partical Excision Bone Phalanx Toe (28124) $3,261 $8,212.78 1.0×
Percut Drain/Inject Renal Cyst (50390) $705 $3,472.36 1.0×
Percut Mech Thrombectomy, Venous (37187) $11,506 $17,070.50 1.0×
Pericardiocentesis W/Imaging (33016) $1,568 $3,990.53 1.0×
Perq dev breast 1st us imag (19285) $705 $3,077.23 1.0×
Perq device breast 1st imag (19281) $1,646 $8,101.20 1.0×
Perq Drainage Pleura Insert Cath W/Imaging (32557) $1,568 $3,586.66 1.0×
Perq Drainage Pleura Insert Cath W/O Imaging (32556) $1,912 $9,484.95 1.0×
Perq replacement gtube not req revj gstrst trc (43762) $249 $865.11 1.0×
Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) $18,271 $68,434.50 1.0×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $11,506 $38,348.30 1.0×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $5,672 $28,046.10 1.0×
Perq vert agmntj cavity crtj uni/bi cannulation (22513) $7,232 $20,456.30 1.0×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $7,232 $20,456.30 1.0×
Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) $3,261 $9,652.77 1.0×
Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) $3,261 $9,652.77 1.0×
Place Cath Subclavian Art (36225) $3,147 $15,973.60 1.0×
Placement of needle for intraosseous infusion (36680) $445 $1,604.02 1.0×
Plmt interstitial dev radiat tx prostate 1/mult (55876) $1,379 $6,484.90 1.0×
Plmt nephrostomy cath prq new access rs&i (50432) $2,083 $6,187.74 1.0×
Plmt nephroureteral cath prq new access rs&i (50433) $3,513 $6,348.36 1.0×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $3,513 $17,106.10 1.0×
Plmt urtrl stent prq pre-existing nfros tract (50693) $3,513 $6,348.36 1.0×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $3,513 $17,001.60 1.0×
Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238) $6,025 $3,625.39 1.0×
Prim art mech thrombectomy (37184) $18,271 $18,554 1.0×
Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) $926 $2,053.79 1.0×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $705 $2,114.59 1.0×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $3,568 $10,754.20 1.0×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $3,568 $10,754.20 1.0×
Punch biopsy skin single lesion (11104) $405 $172.11 1.0×
Puncture Aspiration (10160) $405 $1,928.66 1.0×
Puncture Aspiration Cyst Breast (19000) $705 $3,472.36 1.0×
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) $7,232 $9,295.60 1.0×
Relocation of skin pocket for pacemaker (33222) $2,056 $1,777.22 1.0×
Rem endovas vena cava filter (37193) $3,147 $15,802 1.0×
Removal biliary drg cath (47537) $903 $2,780.05 1.0×
Removal fb intranasal (30300) $132 $629.19 1.0×
Removal foreign body foot deep (28192) $1,646 $2,933.03 1.0×
Removal foreign body pharynx (42809) $445 $1,955.09 1.0×
Removal impacted cerumen irrigation/lvg unilat (69209) $58 $310.61 1.0×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $58 $195.06 1.0×
Removal Implant Deep (20680) $2,895 $8,542.82 1.0×
Removal Implantable Defib Pulse Generator Only (33241) $3,724 $19,214.60 1.0×
Removal of indwelling tunneled pleural catheter with cuff (32552) $625 $2,262.60 1.0×
Removal of kneecap (27350) $7,232 $25,630.50 1.0×
Removal of nail bed (11750) $405 $1,928.66 1.0×
Removal of polyps or growths of esophagus using a flexible endo (43216) $1,912 $2,566.66 1.0×
Removal ppm generator only (33233) $8,248 $45,525 1.0×
Removal subq cardiac rhythm monitor (33286) $705 $2,819.08 1.0×
Removal Sutures/Staples Requiring Anesthesia (15851) $2,056 $7,250.78 1.0×
Removal Tunneled Intraperitoneal Catheter (49422) $3,147 $9,639 1.0×
Remove bladder stone (52318) $3,513 $15,839.20 1.0×
Remove Eyelid Foreign Body (67938) $316 $1,459.66 1.0×
Remove femur lesion/bursa (27062) $3,261 $9,063.07 1.0×
Remove Pilonidal Cyst Exten (11771) $2,895 $12,688.70 1.0×
Remove renal tube w/fluoro (50389) $695 $2,052.63 1.0×
Remove&replace pm gen singl (33227) $8,248 $27,014.70 1.0×
Remv Ext Canal Foreign Body (69200) $132 $175.54 1.0×
Remv F.B.,Eye,Superf Conjunc (65205) $132 $629.19 1.0×
Remv&replc cvd gen dual lead (33263) $22,170 $80,256.90 1.0×
Remv&replc cvd gen mult lead (33264) $31,285 $170,149 1.0×
Remv&replc cvd gen sing lead (33262) $22,170 $80,256.90 1.0×
Remv&replc pm gen dual lead (33228) $10,417 $35,567.10 1.0×
Remv&replc pm gen mult leads (33229) $19,198 $64,504.80 1.0×
Renal biopsy (50200) $1,646 $3,178.20 1.0×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $405 $1,997.65 1.0×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $405 $2,922.44 1.0×
Repair elbow deb/attch open (24359) $3,261 $11,900.90 1.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $405 $1,928.66 1.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $405 $1,928.66 1.0×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $405 $1,997.65 1.0×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $405 $1,956.59 1.0×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $736 $2,922.44 1.0×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $405 $1,928.66 1.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $405 $1,928.66 1.0×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $736 $2,922.44 1.0×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $405 $1,928.66 1.0×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $405 $1,910.36 1.0×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $405 $1,928.66 1.0×
Repair of nail bed (11760) $736 $2,922.44 1.0×
Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725) $7,232 $7,302.30 1.0×
Repair secondary achilles tendon w/wo graft (27654) $7,232 $23,565.70 1.0×
Repair wrist joints (25447) $3,261 $9,063.07 1.0×
Replace duod/jej tube perc (49451) $903 $2,780.05 1.0×
Replace g/c tube perc (49450) $903 $2,780.05 1.0×
Replacement gastro-jejunostomy tube percutaneous (49452) $903 $2,780.05 1.0×
Reposition pacing-defib lead (33215) $3,147 $9,639 1.0×
Rerepair ing hernia reduce (49520) $3,568 $14,501.56 1.0×
Revise median n/carpal tunnel surg (64721) $1,946 $7,483.95 1.0×
Revise ulnar nerve at elbow (64718) $1,946 $5,213.77 1.0×
Revision of big toe (28310) $7,232 $4,106.39 1.0×
Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) $17,476 $34,419.80 1.0×
Revision/Rmvl Peripheral/Gastric Npgr (64595) $3,484 $19,147.20 1.0×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $445 $1,995.20 1.0×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $132 $629.19 1.0×
Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) $3,724 $19,269.30 1.0×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,568 $2,236.21 1.0×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $625 $2,236.21 1.0×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $1,568 $3,586.66 1.0×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $3,147 $9,095.15 1.0×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $6,025 $13,079.60 1.0×
Rpr aa hernia 1st 3-10 cm reducible (49593) $6,452 $24,131.80 1.0×
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) $6,025 $7,855.24 1.0×
Rpr aa hernia 1st < 3 cm reducible (49591) $3,568 $14,982.25 1.0×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $3,568 $10,559.10 1.0×
Rpr Lip Full Thickness Vermilion Only (40650) $537 $2,523.65 1.0×
Sclerotx Fluid Collection (49185) $1,646 $3,523.56 1.0×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,192 $7,820.65 1.0×
Sigmoidoscopy flx w/biopsy single/multiple (45331) $926 $4,575.64 1.0×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $199 $1,002.04 1.0×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $199 $1,002.04 1.0×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $199 $1,002.04 1.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $199 $1,002.04 1.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $199 $876.59 1.0×
Skin sub graft face/nk/hf/g (15275) $736 $8,683.24 1.0×
Skin sub graft trnk/arm/leg (15271) $736 $8,683.24 1.0×
Skin tissue rearrangement (14040) $2,056 $7,371.71 1.0×
Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) $1,912 $1,584.51 1.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $199 $1,002.04 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $405 $1,928.66 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $405 $1,928.66 1.0×
Spinal puncture lumbar diagnostic (62270) $703 $3,085.25 1.0×
Spinal Puncture Therapeutic (62272) $703 $3,543.28 1.0×
Strapping ankle (29540) $161 $788.34 1.0×
Strapping elbow/wrist (29260) $58 $310.61 1.0×
Strapping hand/finger (29280) $58 $304.90 1.0×
Strapping knee (29530) $132 $629.19 1.0×
Strapping shoulder (29240) $132 $469.31 1.0×
Strapping unna boot (29580) $161 $761.85 1.0×
Tangential biopsy skin single lesion (11102) $405 $953.01 1.0×
Tenodesis long tendon biceps (23430) $7,232 $4,431.55 1.0×
Ther Apheresis,Plasma Pheresis (36514) $1,552 $8,267.50 1.0×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $625 $5,918.10 1.0×
Thoracentesis needle/cath pleura w/o imaging (32554) $625 $3,091.30 1.0×
Throat Surgery Procedure (42999) $236 $1,198.56 1.0×
Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) $3,147 $3,990.53 1.0×
Thrombolytic Art Therapy (37211) $5,546 $15,969 1.0×
Thrombolytic Therapy, Stroke (37195) $329 $1,700.39 1.0×
Thrombolytic Venous Therapy (37212) $3,147 $9,639 1.0×
Thyroid biopsy (60100) $705 $3,178.20 1.0×
Total hip arthroplasty (27130) $12,796 $22,225 1.0×
Total knee arthroplasty (27447) $12,796 $21,074.90 1.0×
Transcatheter biopsy (37200) $5,546 $15,967.90 1.0×
Treat fracture radius/ulna (25575) $7,232 $16,919.04 1.0×
Treat fx rad extra-articul (25607) $7,232 $15,710.48 1.0×
Treat ulnar fracture (24685) $7,232 $12,688.70 1.0×
Treatment closed elbow dislocation req anes (24605) $1,602 $7,596.04 1.0×
Treatment closed elbow dislocation w/o anes (24600) $245 $1,150.10 1.0×
Treatment of ankle fracture (27822) $7,232 $17,599.30 1.0×
Treatment of ankle fracture (27792) $7,232 $13,847.50 1.0×
Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245) $7,232 $6,029.09 1.0×
Trim skin lesion (11055) $199 $931.67 1.0×
Trim skin lesions 2 to 4 (11056) $199 $957.89 1.0×
Trlml balo angiop open/perq img s&i 1st art (37246) $5,672 $18,554 1.0×
Trlml balo angiop open/perq w/img s&i 1st vein (37248) $5,672 $18,554 1.0×
Tx Superficial Wound Dehiscence Simple Closure (12020) $736 $3,081.76 1.0×
Unlisted Procedure Breast (19499) $3,902 $18,703.70 1.0×
Unlisted procedure foot or toes (28899) $245 $5,279.83 1.0×
Unlisted procedure humerus/elbow (24999) $245 $1,150.10 1.0×
Unlisted Procedure Nervous System (64999) $305 $1,889.71 1.0×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $903 $4,515.10 1.0×
Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) $10,417 $54,789 1.0×
Vasc embolize/occlude artery (37242) $18,271 $86,042.60 1.0×
Vasc Embolize/Occlude Bleed (37244) $11,506 $35,279.10 1.0×
Vasc embolize/occlude organ (37243) $11,506 $56,702.80 1.0×
Vasc embolize/occlude venous (37241) $11,506 $53,981.30 1.0×
Venipuncture (36415) $9 $53.92 1.0×