Procedures & surgery prices at St. Thomas More Hospital
Canon City, CO · every code in this section with a posted price and a Medicare benchmark.
231 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) | $1,247.22 | $3,118.04 | 1.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $538 | $1,345 | 0.6× |
| Amniocentesis diagnostic (59000) | $443.42 | $1,108.55 | 0.5× |
| Appl cranial tong/strtctc frame w/removal spx (20660) | $792.76 | $1,981.88 | 0.5× |
| Application Finger Splint Dynamic (29131) | $52.04 | $130.08 | 0.8× |
| Application finger splint static (29130) | $103.22 | $258.05 | 0.7× |
| Application Halo Cranial Including Removal (20661) | $897.08 | $2,242.70 | 0.5× |
| Application long arm splint shoulder hand (29105) | $144.60 | $361.48 | 0.8× |
| Application Long Leg Splint (29505) | $219.38 | $548.45 | 1.3× |
| Application of rigid total contact leg cast (29445) range across 2 matching MRF lines |
$187.13–$280.70 | $467.81–$701.73 | varies |
| Application short arm splint forearm-hand static (29125) | $161.09 | $402.71 | 1.1× |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$148.12–$222.19 | $370.29–$555.46 | varies |
| Arterial puncture (36600) range across 2 matching MRF lines |
$69.58–$92.13 | $173.94–$230.31 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$412.37–$437.05 | $1,030.92–$1,092.61 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 3 matching MRF lines |
$452.98–$721.14 | $1,132.44–$1,802.83 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 4 matching MRF lines |
$146.84–$1,082.30 | $367.08–$2,705.73 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$344.40–$401.23 | $860.99–$1,003.07 | varies |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$1,835.01–$2,752.52 | $4,587.52–$6,881.29 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$558.94–$838.41 | $1,397.35–$2,096.01 | varies |
| Aspiration & Injection Treatment Bone Cyst (20615) | $400.12 | $1,000.30 | 0.5× |
| Aspiration and/or injection thyroid cyst (60300) | $380.80 | $951.99 | 0.5× |
| Biopsy Abdominal Mass (49180) | $894.73 | $2,236.82 | 0.5× |
| Biopsy bone trocar/needle deep (20225) | $940.14 | $2,350.35 | 0.5× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $940.14 | $2,350.35 | 0.5× |
| Biopsy muscle percutaneous needle (20206) | $940.14 | $2,350.35 | 0.5× |
| Biopsy of liver, needle; percutaneous (47000) | $894.73 | $2,236.82 | 0.5× |
| Biopsy Pleura Percutaneous Needle (32400) | $894.73 | $2,236.82 | 0.5× |
| Biopsy Salivary Gland Needle (42400) | $894.73 | $2,236.82 | 1.2× |
| Biopsy soft tissue neck/thorax (21550) | $3,517.26 | $8,793.13 | 2.0× |
| Biopsy Spinal Cord Percutaneous Needle (62269) | $940.14 | $2,350.35 | 0.5× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$149.51–$197.96 | $373.76–$494.89 | varies |
| Bladder Scan (51798) | $98.55 | $246.37 | 1.6× |
| Blepharoplasty Lower Eyelid (15820) | $3,148.87 | $7,872.16 | 1.4× |
| Blood Transfusion Service (36430) | $324.15 | $810.37 | 0.7× |
| Bone Marrow Biopsy (38221) range across 2 matching MRF lines |
$940.14–$1,410.21 | $2,350.35–$3,525.52 | varies |
| Bone Marrow; Aspiration Only (38220) | $823.48 | $2,058.70 | 0.5× |
| Brnchsc Brushing/Protected Brushings (31623) | $2,290.24 | $5,725.58 | 1.2× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) | $4,385.03 | $10,962.57 | 1.1× |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) | $4,385.03 | $10,962.57 | 1.1× |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) | $2,290.24 | $5,725.58 | 1.2× |
| Brnchsc Removal Bronchial Valve Initial (31648) | $4,385.03 | $10,962.57 | 1.1× |
| Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638) | $7,869.13 | $19,672.81 | 1.1× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) | $4,385.03 | $10,962.57 | 1.1× |
| Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl (31643) | $2,290.24 | $5,725.58 | 1.2× |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) | $4,385.03 | $10,962.57 | 1.1× |
| Bronch Thermoplsty 1 Lobe (31660) | $7,869.13 | $19,672.81 | 1.1× |
| Bronchial Valve Init Insert (31647) | $7,869.13 | $19,672.81 | 1.1× |
| Bronchoscopic Thermoplasty 2/> Lobes (31661) | $7,869.13 | $19,672.81 | 1.1× |
| Bronchoscopy Balloon Occlusion (31634) | $7,869.13 | $19,672.81 | 1.1× |
| Bronchoscopy Clear Airways (31645) | $2,290.24 | $5,725.58 | 1.2× |
| Bronchoscopy Dilate W/Stent (31631) | $7,869.13 | $19,672.81 | 1.1× |
| Bronchoscopy Reclear Airway (31646) | $653.25 | $1,633.11 | 1.6× |
| Bronchoscopy W/Biopsy(S) (31625) | $2,290.24 | $5,725.58 | 1.2× |
| Bronchoscopy W/Excision Tumor (31640) | $4,385.03 | $10,962.57 | 1.1× |
| Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) | $7,869.13 | $19,672.81 | 1.1× |
| Bronchoscopy W/Removal Foreign Body (31635) | $2,290.24 | $5,725.58 | 1.2× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) | $4,385.03 | $10,962.57 | 1.1× |
| Bronchoscopy/Needle Bx Each (31629) | $4,385.03 | $10,962.57 | 1.1× |
| Bx breast 1st lesion strtctc (19081) | $2,325.47 | $5,813.67 | 1.3× |
| Bx breast 1st lesion us imag (19083) range across 2 matching MRF lines |
$1,857.65–$3,288.02 | $4,644.11–$8,220.05 | varies |
| Bx breast needle core w/o imaging guidance spx (19100) | $940.14 | $2,350.35 | 0.5× |
| Change of Windpipe Airway (31502) | $130.95 | $327.37 | 0.5× |
| Chemical Cautery Tissue (17250) | $389.18 | $972.93 | 1.8× |
| Chemical peel, facial; epidermal (15788) | $101.97 | $254.92 | 0.2× |
| Chest tube placement (32551) range across 3 matching MRF lines |
$965.51–$1,448.27 | $2,413.77–$3,620.66 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) | $1,038.52 | $2,596.30 | 4.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $1,556.78 | $3,891.94 | 6.0× |
| Collect Blood From Catheter Venous Nos (36592) range across 2 matching MRF lines |
$203.88–$224.96 | $509.70–$562.38 | varies |
| Collection of venous blood by venipuncture (36415) | $12.21 | $30.52 | 1.3× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $845.95 | $2,114.87 | 0.4× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $1,716.49 | $4,291.22 | 1.0× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $518.73 | $1,296.82 | 0.7× |
| Debride nail 1-5 (11720) | $103.17 | $257.91 | 1.7× |
| Debride nail 6 or more (11721) | $123.80 | $309.49 | 2.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $1,756.87 | $4,392.16 | 1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $298.13 | $745.32 | 0.7× |
| Declot vascular device (36593) | $254.03 | $635.07 | 0.7× |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$1,713.72–$2,570.55 | $4,284.28–$6,426.37 | varies |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$2,482.41–$3,482.94 | $6,206.02–$8,707.35 | varies |
| Destruct B9 Lesion 1-14 (17110) | $149.18 | $372.94 | 0.7× |
| Destruction by neurolytic agent, intercostal nerve (64620) | $1,149.83 | $2,874.56 | 1.2× |
| Destruction neurolytic agt genicular nerve w/img (64624) | $2,212.34 | $5,530.85 | 1.1× |
| Destruction premalignant lesion 1st (17000) | $149.18 | $372.94 | 0.7× |
| Drain/inj small joint/bursa w/us (20604) | $901.61 | $2,254.01 | 2.8× |
| Drainage of hematoma/fluid (10140) | $823.48 | $2,058.70 | 0.5× |
| Draw Blood Off Venous Device (36591) range across 2 matching MRF lines |
$203.88–$224.96 | $509.70–$562.38 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $389.18 | $972.93 | 1.8× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 4 matching MRF lines |
$962.52–$1,819.07 | $2,406.28–$4,547.67 | varies |
| Dx Bone Marrow Bx & Aspir (38222) range across 2 matching MRF lines |
$1,375.84–$1,663.92 | $3,439.58–$4,159.80 | varies |
| Dx Bronchoscope/Lavage (31624) | $2,290.24 | $5,725.58 | 1.2× |
| Dx Bronchoscope/Wash (31622) | $2,290.24 | $5,725.58 | 1.2× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $999.44 | $2,498.60 | 1.3× |
| Endometrial Biopsy (58100) | $567.61 | $1,419.02 | 2.7× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) | $2,861.42 | $7,153.55 | 1.3× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) | $1,019.96 | $2,549.90 | 0.5× |
| Epidural Blood Patch (62273) | $499.66 | $1,249.13 | 0.7× |
| Episiotomy or vaginal repair (59300) | $240.91 | $602.26 | 0.1× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $977.90 | $2,444.73 | 1.3× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $1,478.82 | $3,697.04 | 0.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $350.20 | $875.48 | 0.5× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $626.02 | $1,565.04 | 0.8× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $901.84 | $2,254.58 | 1.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $1,177.66 | $2,944.14 | 0.7× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $1,280.60 | $3,201.49 | 0.7× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $436 | $1,089.99 | 1.0× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $521.78 | $1,304.44 | 0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $677.25 | $1,693.11 | 1.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $1,004.30 | $2,510.73 | 1.3× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $476.96 | $1,192.39 | 0.6× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $1,228.35 | $3,070.86 | 0.7× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $1,504.94 | $3,762.34 | 0.9× |
| External cephalic version (59412) | $1,839.53 | $4,598.81 | 0.5× |
| Fetal non-stress test (59025) range across 2 matching MRF lines |
$170.06–$1,011.95 | $425.14–$2,529.87 | varies |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $2,302.02 | $5,755.05 | 3.1× |
| Fine needle aspiration without imaging guidance (10021) | $624.70 | $1,561.73 | 1.5× |
| Fluoro exam of g/colon tube (49465) | $179.20 | $447.99 | 0.7× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $1,020.74 | $2,551.84 | 1.4× |
| Fna bx w/us gdn 1st les (10005) | $1,619.46 | $4,048.63 | 2.2× |
| I&d abscess simple (10060) | $159.26 | $398.14 | 0.8× |
| Image Cath Fluid Peri/Retro (49406) | $1,864 | $4,660 | 1.1× |
| Implant neuroelectrodes (63650) | $10,455.81 | $26,139.52 | 1.6× |
| Incisional biopsy skin single lesion (11106) | $465.87 | $1,164.67 | 0.6× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$1,631.41–$2,258.60 | $4,078.52–$5,646.48 | varies |
| Inj W/Fluor Eval Cv Device (36598) | $334.47 | $836.17 | 1.5× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $1,035.82 | $2,589.54 | 1.1× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 3 matching MRF lines |
$244.96–$783.98 | $612.38–$1,959.94 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 2 matching MRF lines |
$727.80–$1,091.69 | $1,819.48–$2,729.21 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) | $1,009.54 | $2,523.84 | 1.4× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 3 matching MRF lines |
$663.85–$1,091.69 | $1,659.61–$2,729.21 | varies |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) | $1,009.54 | $2,523.84 | 1.4× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 2 matching MRF lines |
$558.91–$838.37 | $1,397.27–$2,095.92 | varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $289.85 | $724.62 | 0.9× |
| Injection Anes Superior Hypogastric Plexus (64517) | $1,099.86 | $2,749.64 | 1.2× |
| Injection anesthetic agent suprascapular nerve (64418) range across 2 matching MRF lines |
$434.78–$616.77 | $1,086.95–$1,541.92 | varies |
| Injection for identification of sentinel node (38792) | $604.92 | $1,512.30 | 1.4× |
| Injection single tendon origin/insertion (20551) | $522.65 | $1,306.61 | 1.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$339.83–$428.20 | $849.56–$1,070.50 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$358.60–$407.78 | $896.49–$1,019.45 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 2 matching MRF lines |
$815.11–$1,222.68 | $2,037.76–$3,056.69 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$558.91–$838.37 | $1,397.27–$2,095.92 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$370.85–$395.14 | $927.12–$987.85 | varies |
| Insert and remove bone pin (20650) | $5,076.56 | $12,691.38 | 1.5× |
| Insert Bladder Cath Complex (51703) | $260.28 | $650.70 | 1.9× |
| Insert cath pleura w/ image (32557) range across 2 matching MRF lines |
$946.84–$1,420.26 | $2,367.08–$3,550.65 | varies |
| Insert cervical dilator (59200) | $224.35 | $560.87 | 0.7× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $844.28 | $2,110.70 | 0.5× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$132.30–$175.18 | $330.74–$437.94 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$73.44–$81.02 | $183.59–$202.55 | varies |
| Insertion phrenic nerve stimulator system (33276) | $27,142.46 | $67,856.15 | 0.6× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $1,951.46 | $4,878.64 | 1.2× |
| Insj Picc Rs&I <5 Yr (36572) | $1,565.32 | $3,913.30 | 2.4× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $1,660.02 | $4,150.03 | 0.5× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$898.34–$967.78 | $2,245.83–$2,419.43 | varies |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$714.04–$945.42 | $1,785.09–$2,363.53 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $897.87 | $2,244.66 | 3.4× |
| Lithotripsy, extracorporeal shock wave (50590) range across 2 matching MRF lines |
$5,112.75–$7,669.12 | $12,781.87–$19,172.80 | varies |
| Myelography Lumbar Injection (62305) | $1,603.62 | $4,009.03 | 1.9× |
| Myelography Lumbar Injection (62304) | $1,470.08 | $3,675.19 | 1.8× |
| Myelography via lumbar injection rs&i cervical (62302) | $1,470.08 | $3,675.19 | 1.8× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $1,470.08 | $3,675.19 | 1.8× |
| N Block Inj Celiac Pelus (64530) range across 2 matching MRF lines |
$1,697.49–$2,546.24 | $4,243.72–$6,365.60 | varies |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines |
$616.77–$925.16 | $1,541.92–$2,312.88 | varies |
| N block inj intercost sng (64420) | $727.80 | $1,819.48 | 1.0× |
| N Block Inj Plantar Digit (64455) | $154.89 | $387.22 | 0.5× |
| N Block Lumbar/Thoracic (64520) range across 2 matching MRF lines |
$1,660.81–$1,980.68 | $4,152.02–$4,951.68 | varies |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) | $259.77 | $649.41 | 1.0× |
| Needle Biopsy Lymph Nodes (38505) | $940.14 | $2,350.35 | 0.5× |
| Needle Biopsy Pancreas (48102) | $894.73 | $2,236.82 | 0.5× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $15.24 | $38.08 | 0.5× |
| Needle insertion w/o injection 3 or more muscles (20561) | $22.85 | $57.11 | 0.7× |
| Njx anes stellate ganglion crv sympathetic (64510) range across 2 matching MRF lines |
$1,534.94–$2,302.42 | $3,837.35–$5,756.05 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 3 matching MRF lines |
$185.95–$327.05 | $464.86–$817.61 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $1,814.28 | $4,535.68 | 0.5× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$1,631.87–$2,254.90 | $4,079.67–$5,637.24 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $672.90 | $1,682.24 | 0.9× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $757.24 | $1,893.10 | 1.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $672.90 | $1,682.24 | 0.9× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) range across 2 matching MRF lines |
$707.14–$1,060.72 | $1,767.84–$2,651.79 | varies |
| Obstructive material removal from gi tube (49460) | $443.50 | $1,108.74 | 0.5× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$499.40–$638.90 | $1,248.48–$1,597.23 | varies |
| Percut Drain/Inject Renal Cyst (50390) | $380.80 | $951.99 | 0.5× |
| Perq dev breast 1st strtctc (19283) | $1,396.08 | $3,490.18 | 1.9× |
| Perq dev breast 1st us imag (19285) | $929.71 | $2,324.27 | 1.2× |
| Perq device breast 1st imag (19281) range across 2 matching MRF lines |
$673.35–$1,010.02 | $1,683.36–$2,525.05 | varies |
| Placement of needle for intraosseous infusion (36680) | $215.22 | $538.05 | 0.5× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $400.12 | $1,000.30 | 0.5× |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) | $1,976.67 | $4,941.67 | 2.1× |
| Punch biopsy skin single lesion (11104) | $261.73 | $654.32 | 0.6× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $342.60 | $856.50 | 0.8× |
| Puncture Aspiration Cyst Breast (19000) | $529.75 | $1,324.36 | 0.7× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) | $2,212.34 | $5,530.85 | 1.1× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $610.46 | $1,526.13 | 0.6× |
| Removal phrenic nerve stimulator system (33278) | $6,041.31 | $15,103.27 | 1.6× |
| Renal Biopsy Perq (50200) | $894.73 | $2,236.82 | 0.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $345.88 | $864.69 | 0.8× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $443.50 | $1,108.74 | 0.5× |
| Replace G-J Tube Perc (49452) | $443.50 | $1,108.74 | 0.5× |
| Replace g/c tube perc (49450) | $443.50 | $1,108.74 | 0.5× |
| Repositioning phrenic nrv stimulator transvns ld (33281) | $3,020.66 | $7,551.64 | 0.8× |
| Rmvl Phrenic Nrv Stimulator Pulse Generator Only (33280) | $3,020.66 | $7,551.64 | 0.8× |
| Rmvl phrnc nrv stimulator transvns stimj/snsg ld (33279) | $3,020.66 | $7,551.64 | 0.8× |
| Rmvl&rplcmt phrenic nrv stimulator pls generator (33287) | $27,142.46 | $67,856.15 | 0.8× |
| Rmvl&rplcmt phrnc nrv stim trnsvns stimj/snsg ld (33288) | $10,367.64 | $25,919.09 | 0.9× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $1,890.34 | $4,725.83 | 1.1× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $479.55 | $1,198.87 | 0.7× |
| Skin sub graft face/nk/hf/g (15275) | $1,020.43 | $2,551.07 | 1.3× |
| Skin sub graft trnk/arm/leg (15271) | $1,020.43 | $2,551.07 | 1.3× |
| Skin sub grft t/arm/lg child (15273) | $1,682.21 | $4,205.52 | 0.8× |
| Skn sub grft f/n/hf/g child (15277) | $1,544.89 | $3,862.22 | 0.7× |
| Spinal puncture lumbar diagnostic (62270) | $620.44 | $1,551.09 | 0.8× |
| Strapping ankle (29540) | $83.35 | $208.36 | 0.5× |
| Strapping elbow or wrist (29260) | $67.44 | $168.60 | 1.1× |
| Strapping hand/finger (29280) | $67.44 | $168.60 | 1.1× |
| Strapping knee (29530) | $67.44 | $168.60 | 0.5× |
| Strapping shoulder (29240) range across 3 matching MRF lines |
$59.88–$67.44 | $149.69–$168.60 | varies |
| Strapping toes (29550) | $67.44 | $168.60 | 1.1× |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$102.93–$154.40 | $257.32–$385.98 | varies |
| Tangential biopsy skin single lesion (11102) | $261.73 | $654.32 | 0.6× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $941.46 | $2,353.64 | 1.3× |
| Thrombolytic Therapy Stroke (37195) | $901.91 | $2,254.76 | 2.6× |
| Thrombolytic Venous Therapy (37212) | $7,971.70 | $19,929.25 | 2.4× |
| Thyroid biopsy (60100) | $894.73 | $2,236.82 | 1.2× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) | $798.32 | $1,995.78 | 1.4× |
| Trim skin lesion (11055) | $200.19 | $500.47 | 0.9× |
| Trim skin lesions 2 to 4 (11056) | $297.01 | $742.51 | 1.4× |
| Trim skin lesions over 4 (11057) | $356.40 | $890.99 | 1.7× |
| Trimming Nondystrophic Nails Any Number (11719) | $106.45 | $266.12 | 1.7× |
| Unlisted procedure lungs and pleura (32999) | $1,233.91 | $3,084.77 | 1.9× |
| Unlisted procedure nervous system (64999) range across 5 matching MRF lines |
$432.95–$948 | $1,082.37–$2,369.98 | varies |
| Unlisted procedure stomach (43999) range across 2 matching MRF lines |
$387.78–$493.51 | $969.44–$1,233.76 | varies |
| Wound Prep F/N/Hf/G (15004) | $747.94 | $1,869.83 | 1.7× |
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.