Procedures & surgery prices at Sutter Davis Hospital
Davis, CA · every code in this section with a posted price and a Medicare benchmark.
242 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) | $3,722 | $3,722 | 3.2× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $2,905 | $2,905 | 2.5× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $11,237 | $11,237 | 4.2× |
| Allogeneic lymphocyte infusions (38242) | $5,374 | $5,374 | 2.7× |
| Amniocentesis therapeutic (59001) | $2,987 | $2,987 | 7.6× |
| Amputation toe metatarsophalangeal joint (28820) | $11,318 | $11,318 | 2.7× |
| Application long arm splint shoulder hand (29105) | $793 | $793 | 3.8× |
| Apply Multlay Comprs Lwr Leg (29581) range across 3 matching MRF lines |
$668–$1,002 | $668–$1,002 | varies |
| Arterial puncture (36600) range across 3 matching MRF lines |
$337–$377 | $337–$377 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) | $1,808 | $1,808 | 4.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 3 matching MRF lines |
$1,865–$2,798 | $1,865–$2,798 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $1,832 | $1,832 | 4.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $1,751 | $1,751 | 4.4× |
| Aspirate pleura w/ imaging (32555) range across 4 matching MRF lines |
$3,570–$5,355 | $3,570–$5,355 | varies |
| Aspirate Pleura W/O Imaging (32554) | $3,042 | $3,042 | 3.7× |
| Aspirate/Inj Ganglion Cyst (20612) | $930 | $930 | 2.3× |
| Aspiration and/or injection thyroid cyst (60300) | $2,333 | $2,333 | 2.5× |
| Aspiration bladder insert suprapubic catheter (51102) range across 2 matching MRF lines |
$8,690–$9,168 | $8,690–$9,168 | varies |
| Aspiration bladder trocar/intracatheter (51101) | $2,531 | $2,531 | 2.3× |
| Av fistula revision (36833) | $42,043 | $42,043 | 5.8× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) likely a partial charge, not the full procedure |
$1,870 | $1,870 | 0.1× |
| Biopsy Abdominal Mass (49180) | $4,158 | $4,158 | 1.9× |
| Biopsy bone trocar/needle deep (20225) | $5,957 | $5,957 | 2.8× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $4,069 | $4,069 | 1.9× |
| Biopsy muscle percutaneous needle (20206) | $3,765 | $3,765 | 1.8× |
| Biopsy of liver, needle; percutaneous (47000) | $4,472 | $4,472 | 2.1× |
| Biopsy ovary uni/bi separate procedure (58900) | $3,968 | $3,968 | 0.9× |
| Biopsy Pleura Percutaneous Needle (32400) | $5,156 | $5,156 | 2.4× |
| Biopsy Salivary Gland Needle (42400) | $2,847 | $2,847 | 3.1× |
| Biopsy soft tissue neck/thorax (21550) | $5,525 | $5,525 | 2.6× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) | $5,137 | $5,137 | 2.4× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) | $4,939 | $4,939 | 2.3× |
| Biopsy soft tissue thigh/knee area superficial (27323) | $5,123 | $5,123 | 2.4× |
| Bladder instillation anticarcinogenic agent (51720) | $4,750 | $4,750 | 5.2× |
| Bladder Irrigation (51700) | $1,338 | $1,338 | 4.1× |
| Bladder Scan (51798) | $481 | $481 | 6.3× |
| Blood Transfusion Service (36430) range across 4 matching MRF lines |
$807–$3,226 | $807–$3,226 | varies |
| Bone Marrow Biopsy (38221) | $3,843 | $3,843 | 1.8× |
| Bone Marrow; Aspiration Only (38220) | $4,823 | $4,823 | 2.3× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) | $6,718 | $6,718 | 1.4× |
| Bx breast 1st lesion mr imag (19085) | $6,402 | $6,402 | 3.0× |
| Bx breast 1st lesion strtctc (19081) range across 4 matching MRF lines |
$5,852–$8,778 | $5,852–$8,778 | varies |
| Bx breast 1st lesion us imag (19083) range across 4 matching MRF lines |
$5,149–$7,724 | $5,149–$7,724 | varies |
| Bx breast needle core w/o imaging guidance spx (19100) | $3,770 | $3,770 | 1.8× |
| Bx/exc lymph node open deep axillary node (38525) | $12,125 | $12,125 | 2.4× |
| Bx/exc lymph node open superficial (38500) | $12,136 | $12,136 | 2.4× |
| Catheter aspiration nasotracheal spx (31720) | $399 | $399 | 1.4× |
| Cessj Therapy Cath Removal (37214) | $10,974 | $10,974 | 2.7× |
| Change Cystostomy Tube Complicated (51710) | $2,904 | $2,904 | 3.2× |
| Change Cystostomy Tube Simple (51705) | $1,264 | $1,264 | 3.9× |
| Change of Windpipe Airway (31502) | $1,578 | $1,578 | 5.1× |
| Chemical Pleurodesis (32560) | $3,645 | $3,645 | 4.5× |
| Chest tube placement (32551) | $3,629 | $3,629 | 1.8× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $9,236 | $9,236 | 2.0× |
| Chorionic Villus Sampling (59015) | $1,356 | $1,356 | 1.1× |
| Circumcision w/clamp/oth dev w/block (54150) | $420 | $420 | 0.2× |
| Collect Blood From Catheter Venous Nos (36592) range across 3 matching MRF lines |
$459–$496 | $459–$496 | varies |
| Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$6–$50 | $6–$50 | varies |
| Complex Cystometrogram (51726) | $1,695 | $1,695 | 5.2× |
| Convert Nephrostomy Catheter (50434) range across 3 matching MRF lines |
$7,779–$11,668 | $7,779–$11,668 | varies |
| Cordocentesis (59012) | $732 | $732 | 1.9× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $5,190 | $5,190 | 2.4× |
| Cysto w/insert ureteral stent (52332) | $14,831 | $14,831 | 3.2× |
| Cystometrogram W/Vp (51728) | $2,497 | $2,497 | 2.8× |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) | $1,217 | $1,217 | 0.3× |
| Declot vascular device (36593) | $1,231 | $1,231 | 2.9× |
| Destr W Neurolytic; Celiac Plexus (64680) | $3,914 | $3,914 | 3.4× |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$6,599–$9,898 | $6,599–$9,898 | varies |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$5,619–$8,428 | $5,619–$8,428 | varies |
| Drain Cerebro Spinal Fluid (62272) | $3,977 | $3,977 | 4.3× |
| Drain Spinal Cord Cyst (62268) | $4,553 | $4,553 | 4.0× |
| Drainage of hematoma/fluid (10140) | $5,631 | $5,631 | 2.6× |
| Draw Blood Off Venous Device (36591) range across 3 matching MRF lines |
$381–$421 | $381–$421 | varies |
| Dx Bone Marrow Bx & Aspir (38222) | $5,919 | $5,919 | 1.6× |
| Dx Bronchoscope/Lavage (31624) | $7,811 | $7,811 | 3.4× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $3,015 | $3,015 | 3.3× |
| Egd place gastrostomy tube (43246) | $7,305 | $7,305 | 2.9× |
| Electro-Uroflowmetry First (51741) | $702 | $702 | 2.5× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) unusually low: confirm this is the full procedure |
$6,422 | $6,422 | 0.4× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) | $11,578 | $11,578 | 2.8× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) | $2,689 | $2,689 | 1.1× |
| Epidural Blood Patch (62273) | $3,344 | $3,344 | 3.7× |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) | $8,412 | $8,412 | 1.1× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) | $10,086 | $10,086 | 2.0× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) | $6,667 | $6,667 | 1.3× |
| Ercp W/Biopsy Single/Multiple (43261) | $6,434 | $6,434 | 1.3× |
| Ercp,Sphincterotomy (43262) | $7,900 | $7,900 | 1.6× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) range across 3 matching MRF lines |
$7,036–$10,554 | $7,036–$10,554 | varies |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $5,875 | $5,875 | 2.4× |
| External cephalic version (59412) | $2,590 | $2,590 | 0.6× |
| Fetal Contraction Stress Test (59020) | $1,488 | $1,488 | 5.7× |
| Fetal non-stress test (59025) | $993 | $993 | 3.8× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $3,412 | $3,412 | 3.7× |
| Fluoro exam of g/colon tube (49465) | $1,683 | $1,683 | 5.4× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $3,370 | $3,370 | 3.7× |
| Fna bx w/us gdn 1st les (10005) | $2,803 | $2,803 | 3.0× |
| Guide Cathet Fluid Drainage (10030) | $3,023 | $3,023 | 3.3× |
| I&d abscess simple (10060) | $1,241 | $1,241 | 4.8× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $15,716 | $15,716 | 4.2× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) | $22,836 | $22,836 | 5.4× |
| Image Cath Fluid Colxn Visc (49405) | $4,928 | $4,928 | 2.3× |
| Image Cath Fluid Peri/Retro (49406) | $5,286 | $5,286 | 2.5× |
| Image Cath Fluid Trns/Vgnl (49407) | $6,014 | $6,014 | 2.8× |
| Incision & drainage abscess complicated/multiple (10061) | $1,585 | $1,585 | 3.0× |
| Incision of lingual frenum (frenotomy) (41010) | $252 | $252 | 0.1× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$4,609–$6,914 | $4,609–$6,914 | varies |
| Inj W/Fluor Eval Cv Device (36598) | $1,254 | $1,254 | 4.5× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 2 matching MRF lines |
$4,172–$6,258 | $4,172–$6,258 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $1,600 | $1,600 | 4.0× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $3,069 | $3,069 | 2.7× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 2 matching MRF lines |
$3,292–$4,938 | $3,292–$4,938 | varies |
| Injection for identification of sentinel node (38792) range across 2 matching MRF lines |
$3,413–$5,120 | $3,413–$5,120 | varies |
| Injection Into Brain Canal (61055) | $2,515 | $2,515 | 6.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $1,466 | $1,466 | 3.7× |
| Injection single/mlt trigger point 3/> muscles (20553) | $1,451 | $1,451 | 3.6× |
| Injection Sinus Tract Therapeutic Separate Proc (20500) | $980 | $980 | 0.5× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $6,050 | $6,050 | 6.6× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $2,116 | $2,116 | 2.3× |
| Ins cath ren art 1st bilat (36252) | $14,076 | $14,076 | 3.4× |
| Ins cath ren art 1st unilat (36251) | $12,736 | $12,736 | 3.1× |
| Ins cath ren art 2nd+ bilat (36254) | $7,083 | $7,083 | 1.7× |
| Ins cath ren art 2nd+ unilat (36253) | $12,996 | $12,996 | 1.8× |
| Ins endovas vena cava filtr (37191) | $16,445 | $16,445 | 2.3× |
| Insert Bladder Cath Complex (51703) range across 3 matching MRF lines |
$835–$908 | $835–$908 | varies |
| Insert cath pleura w/ image (32557) | $3,863 | $3,863 | 1.9× |
| Insert Gastrostomy Tube Percutaneous (49440) | $4,592 | $4,592 | 1.8× |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$4,128–$4,245 | $4,128–$4,245 | varies |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $1,566 | $1,566 | 0.8× |
| Insert Temp Bladder Cath (51702) | $723 | $723 | 4.2× |
| Insert tun ip cath perc (49418) | $11,300 | $11,300 | 2.4× |
| Insert tunneled cv cath (36561) | $14,275 | $14,275 | 3.5× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) | $9,494 | $9,494 | 1.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $642 | $642 | 3.7× |
| Insertion indwelling tunneled pleural catheter (32550) | $10,536 | $10,536 | 2.3× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 2 matching MRF lines |
$4,585–$4,703 | $4,585–$4,703 | varies |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $1,398 | $1,398 | 0.3× |
| Insj Picc Rs&I <5 Yr (36572) | $3,036 | $3,036 | 3.7× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $16,212 | $16,212 | 4.0× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) | $10,652 | $10,652 | 2.6× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$4,085–$4,192 | $4,085–$4,192 | varies |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) | $14,088 | $14,088 | 3.4× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $11,392 | $11,392 | 2.8× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $17,689 | $17,689 | 1.6× |
| Int hrhc by ligation single hroid w/o img gdn (46945) | $14,809 | $14,809 | 4.1× |
| Intro Gastrointestinal Tube (44500) | $1,726 | $1,726 | 1.5× |
| Intubation endotracheal emergency procedure (31500) | $1,528 | $1,528 | 5.0× |
| Kidney endoscopy (50553) unusually low: confirm this is the full procedure |
$3,050 | $3,050 | 0.4× |
| Laryngoscopy flexible diagnostic (31575) | $984 | $984 | 3.8× |
| Ligation of hemorrhoids (46946) | $13,149 | $13,149 | 3.7× |
| Lrt iad 18bct/8vir&7arg RNA (0528U) | $1,758 | $1,758 | 2.8× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) | $270 | $270 | 0.1× |
| Mech remov tunneled cv cath (36595) | $6,682 | $6,682 | 1.6× |
| Myelography Lumbar Injection (62305) | $3,985 | $3,985 | 3.9× |
| Myelography Lumbar Injection (62304) | $4,204 | $4,204 | 4.1× |
| Myelography via lumbar injection rs&i cervical (62302) | $3,598 | $3,598 | 3.5× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $2,847 | $2,847 | 3.1× |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$3,668–$5,502 | $3,668–$5,502 | varies |
| N Block Lumbar/Thoracic (64520) | $5,268 | $5,268 | 4.6× |
| Nasal/Orogastric W/Tube Plmt (43752) | $1,571 | $1,571 | 2.7× |
| Needle Biopsy Lymph Nodes (38505) range across 2 matching MRF lines |
$4,178–$6,267 | $4,178–$6,267 | varies |
| Needle Biopsy Pancreas (48102) | $4,418 | $4,418 | 2.1× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $1,668 | $1,668 | 4.0× |
| Njx anes stellate ganglion crv sympathetic (64510) | $5,400 | $5,400 | 4.7× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $5,593 | $5,593 | 1.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$4,713–$7,070 | $4,713–$7,070 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) | $5,199 | $5,199 | 4.5× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $4,678 | $4,678 | 5.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $2,661 | $2,661 | 2.9× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $2,115 | $2,115 | 1.8× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $7,262 | $7,262 | 6.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $5,134 | $5,134 | 5.6× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $4,252 | $4,252 | 3.7× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $3,754 | $3,754 | 4.1× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) | $3,020 | $3,020 | 3.3× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) | $1,649 | $1,649 | 3.1× |
| Njx Sclrsnt Spider Veins (36468) | $307 | $307 | 0.6× |
| Obstructive material removal from gi tube (49460) | $2,257 | $2,257 | 1.9× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$1,548–$2,322 | $1,548–$2,322 | varies |
| Percut Drain/Inject Renal Cyst (50390) | $3,671 | $3,671 | 4.0× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) | $28,693 | $28,693 | 7.0× |
| Perq dev breast 1st mr guide (19287) | $2,196 | $2,196 | 2.4× |
| Perq dev breast 1st us imag (19285) | $3,009 | $3,009 | 3.3× |
| Perq device breast 1st imag (19281) range across 4 matching MRF lines |
$2,826–$4,239 | $2,826–$4,239 | varies |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) | $36,749 | $36,749 | 3.0× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $2,634 | $2,634 | 2.9× |
| Perq Vertebral Augmentation (22513) | $27,398 | $27,398 | 2.9× |
| Photopheresis extracorporeal (36522) | $12,074 | $12,074 | 2.1× |
| Place Cath Subclavian Art (36225) range across 2 matching MRF lines |
$16,245–$24,368 | $16,245–$24,368 | varies |
| Place Cath Thoracic Aorta (36221) | $14,192 | $14,192 | 3.5× |
| Place Cath Vertebral Art (36226) range across 2 matching MRF lines |
$25,024–$37,536 | $25,024–$37,536 | varies |
| Place Duod/Jej Tube Perc (49441) | $4,030 | $4,030 | 1.6× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 3 matching MRF lines |
$8,362–$12,543 | $8,362–$12,543 | varies |
| Plmt Nephroureteral Catheter (50433) range across 3 matching MRF lines |
$9,689–$14,534 | $9,689–$14,534 | varies |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) | $13,238 | $13,238 | 2.9× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) | $12,023 | $12,023 | 2.6× |
| Prim art mech thrombectomy (37184) | $20,196 | $20,196 | 0.8× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $3,131 | $3,131 | 3.4× |
| Pseudoaneurysm Injection Trt (36002) | $2,161 | $2,161 | 2.7× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $1,407 | $1,407 | 2.7× |
| Puncture Aspiration Cyst Breast (19000) | $1,769 | $1,769 | 1.9× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $4,275 | $4,275 | 4.7× |
| Redo Endovas Vena Cava Filtr (37192) | $18,831 | $18,831 | 4.6× |
| Rem Endovas Vena Cava Filter (37193) | $16,464 | $16,464 | 4.0× |
| Removal of tunneled intraperitoneal catheter (49422) | $12,597 | $12,597 | 3.1× |
| Remove & Replace Indwell Ureteral Stent Trurthrl (50385) | $9,500 | $9,500 | 3.5× |
| Remove drug implant device (11982) | $14,240 | $14,240 | 24.6× |
| Remove intrvas foreign body (37197) | $14,073 | $14,073 | 3.4× |
| Remove renal tube w/fluoro (50389) range across 4 matching MRF lines |
$5,282–$7,923 | $5,282–$7,923 | varies |
| Remove ureter stent percut (50384) | $6,505 | $6,505 | 2.4× |
| Remv&replc cvd gen dual lead (33263) | $74,048 | $74,048 | 2.6× |
| Renal Biopsy Perq (50200) range across 2 matching MRF lines |
$4,102–$6,153 | $4,102–$6,153 | varies |
| Replace duodenostomy/jejunostomy tube perq (49451) | $3,790 | $3,790 | 3.2× |
| Replace G-J Tube Perc (49452) | $3,291 | $3,291 | 2.8× |
| Replace g/c tube perc (49450) | $3,230 | $3,230 | 2.7× |
| Reposition Gastrostomy Tube (43761) | $2,944 | $2,944 | 9.1× |
| Reposition Venous Catheter (36597) | $5,351 | $5,351 | 2.6× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) | $18,113 | $18,113 | 7.1× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $7,934 | $7,934 | 3.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $4,439 | $4,439 | 5.5× |
| Rplc Gtube No Revj Trc (43762) | $1,706 | $1,706 | 5.3× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $11,395 | $11,395 | 5.6× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $4,311 | $4,311 | 2.1× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $14,905 | $14,905 | 3.6× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $9,596 | $9,596 | 2.3× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $3,713 | $3,713 | 4.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $1,125 | $1,125 | 4.3× |
| Skin sub graft face/nk/hf/g (15275) | $5,605 | $5,605 | 5.8× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) range across 2 matching MRF lines |
$25,378–$38,067 | $25,378–$38,067 | varies |
| Slctv cath carotid/innom art angio xtrcranl art (36222) range across 2 matching MRF lines |
$18,466–$27,699 | $18,466–$27,699 | varies |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) range across 2 matching MRF lines |
$23,780–$35,670 | $23,780–$35,670 | varies |
| Spinal puncture lumbar diagnostic (62270) | $2,877 | $2,877 | 3.1× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $4,135 | $4,135 | 4.5× |
| Thromblytic art/ven therapy (37213) | $16,266 | $16,266 | 4.0× |
| Thrombolytic Art Therapy (37211) | $15,808 | $15,808 | 2.2× |
| Thrombolytic Venous Therapy (37212) | $7,431 | $7,431 | 1.8× |
| Thyroid biopsy (60100) | $2,577 | $2,577 | 2.8× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $5,451 | $5,451 | 2.7× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) | $1,007 | $1,007 | 2.5× |
| Transcatheter biopsy (37200) | $11,027 | $11,027 | 1.5× |
| Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) | $2,217 | $2,217 | 0.5× |
| Venous Mech Thrombectomy (37187) | $20,216 | $20,216 | 1.3× |
| Xtrnl Cannula Decltng Spx W/Balo Cath (36861) | $9,918 | $9,918 | 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.