Procedures & surgery prices at Tri Valley Health System

Cambridge, NE · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) $1,312.20 $1,458 0.4×
Amputation toe interphalangeal joint (28825) $600.30 $667 0.2×
Amputation Toe Metatarsophalangeal Joint (28820) $609.30 $677 0.2×
Analyze infusn pump+reprogram (62368) $227.25 $252.50 0.7×
Analyze spine infus pump (62367) $168.30 $187 0.5×
Ankle arthroscopy/surgery (29894) $1,139.40 $1,266 0.3×
Anoscopy diagnostic (46600) $288.90 $321 2.1×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $341.55 $379.50 2.0×
Application cast elbow finger short arm (29075) $145.35 $161.50 0.5×
Application cast shoulder hand long arm (29065) $218.25 $242.50 0.8×
Application finger splint static (29130) $117 $130 0.8×
Application long arm splint shoulder hand (29105) $173.70 $193 1.0×
Application long leg splint thigh ankle/toes (29505) $353.70 $393 2.1×
Application Of Rigid Total Contact Leg Cast (29445) $521.10 $579 1.8×
Application short arm splint forearm-hand static (29125) $278.10 $309 2.0×
Application short leg splint calf foot (29515) $204.30 $227 1.2×
Apply short leg cast (29405) $162 $180 0.6×
Apply short leg cast (29425) $148.50 $165 0.5×
Arterial puncture (36600) $145.80 $162 1.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $267.30 $297 0.8×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,172.25 $1,302.50 1.6×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $415.80 $462 1.3×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $663.30 $737 2.1×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $156.60 $174 0.5×
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure
$1,116 $1,240 0.1×
Arthrodesis sacroiliac joint percutaneous (27279)
likely a partial charge, not the full procedure
$1,778.40 $1,976 0.1×
Arthrodesis, great toe; metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure
$1,668.60 $1,854 0.2×
Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278)
likely a partial charge, not the full procedure
$1,677.60 $1,864 0.1×
Arthrodesis; subtalar (28725)
likely a partial charge, not the full procedure
$1,651.50 $1,835 0.1×
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure
$4,095 $4,550 0.2×
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888)
likely a partial charge, not the full procedure
$1,500.75 $1,667.50 0.2×
Arthroscopy ankle; ext debridem (29898) $1,296 $1,440 0.4×
Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) $845.10 $939 0.2×
Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) $907.20 $1,008 0.3×
Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) $670.05 $744.50 0.2×
Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) $1,017.90 $1,131 0.3×
Arthroscopy, knee, surgical; with lateral release (29873) $1,112.40 $1,236 0.3×
Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) $415.80 $462 0.1×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $1,609.20 $1,788 0.5×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
likely a partial charge, not the full procedure
$1,180.80 $1,312 0.2×
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806)
likely a partial charge, not the full procedure
$1,880.10 $2,089 0.2×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $925.65 $1,028.50 0.3×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $752.85 $836.50 0.2×
Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) $1,026.90 $1,141 0.3×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
likely a partial charge, not the full procedure
$2,044.80 $2,272 0.3×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
likely a partial charge, not the full procedure
$633.60 $704 0.1×
Arthrotomy hip w/drainage (27030)
likely a partial charge, not the full procedure
$2,127.60 $2,364 0.3×
Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) $727.20 $808 0.2×
Aspirat/Injection Ganglion Cyst(S) (20612) $118.35 $131.50 0.4×
Aspiration Bladder Insert Suprapubic Catheter (51102) $516.60 $574 0.2×
Autochondrocyte implant knee (27412)
likely a partial charge, not the full procedure
$2,009.70 $2,233 0.3×
Avulsion nail plate partial/complete simple 1 (11730) $366.30 $407 1.8×
Biopsy Breast Open Incisional (19101) $562.50 $625 0.1×
Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) $288 $320 0.3×
Biopsy Muscle Superficial (20200) $445.50 $495 0.3×
Biopsy of uterus lining (58100) $413.10 $459 2.0×
Biopsy soft tissue neck/thorax (21550) $486.90 $541 0.3×
Biopsy soft tissue shoulder superficial (23065) $517.50 $575 0.3×
Biopsy/removal lymph nodes (38510) $739.35 $821.50 0.2×
Bladder Irrigation Simple (51700) $1,552.50 $1,725 6.0×
Bladder Scan (51798) $199.35 $221.50 3.3×
Blood patch (62273) $842.40 $936 1.1×
Blood transfusion service (36430) $1,327.50 $1,475 2.9×
Bone graft, any donor area; minor or small (eg, dowel or button) (20900)
likely a partial charge, not the full procedure
$684 $760 0.1×
Buttock fasciotomy (27027)
likely a partial charge, not the full procedure
$1,279.35 $1,421.50 0.2×
Bx breast needle core w/o imaging guidance spx (19100) $586.80 $652 0.3×
Bx/exc lymph node needle superficial (38505) $367.20 $408 0.2×
Change Cystostomy Tube Simple (51705) $270.90 $301 1.0×
Chemical Cautery Tissue (17250) $264.60 $294 1.3×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $2,118.60 $2,354 6.6×
Chest tube placement (32551) $324.90 $361 0.2×
Circum 28 days or older (54161) $577.80 $642 0.3×
Circumcision (54150) $417.60 $464 0.2×
Claviculectomy; partial (23120) $697.50 $775 0.2×
Closed Rx Med Malleolus Fx (27760) $1,042.20 $1,158 4.1×
Closed Rx Radial Shaft Fx (25500) $907.20 $1,008 3.5×
Closed Rx Shldr Disloc,Gr Tub Fx (23665) $883.80 $982 0.5×
Closed Treat Vert Body Fract (22310) $617.40 $686 2.4×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $682.20 $758 2.7×
Closed tx calcaneal fracture w/o manipulation (28400) $502.20 $558 2.0×
Closed tx metatarsal fracture w/o manipulation (28470) $447.30 $497 1.7×
Closed tx patellar dislocation w/anesthesia (27562) $1,145.25 $1,272.50 4.5×
Closed tx radial head/neck fx w/o manipulation (24650) $560.70 $623 2.2×
Closed tx radial shaft fracture w/manipulation (25505) $1,490.40 $1,656 0.9×
Clsd tx clavicular fracture w/o manipulation (23500) $501.30 $557 2.0×
Clsd tx fx orbit except blowout w/o manipulation (21400) $396 $440 0.7×
Clsd tx shoulder dislc w/manipulation req anes (23655) $902.70 $1,003 0.5×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $713.70 $793 2.8×
Cltx dstl fibular fx lat malls w/manj (27788) $766.80 $852 3.0×
Cltx dstl fibular fx lat malls w/o manj (27786) $934.65 $1,038.50 3.6×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $606.60 $674 2.4×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $903.60 $1,004 3.5×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,557 $1,730 0.9×
Cltx fx grt toe phlx/phlg w/o manj (28490) $414.90 $461 1.6×
Cltx iphal jt dislc w/manj w/o anes (26770) $586.80 $652 2.3×
Cltx metacarpal fx w/manipulation each bone (26605) $782.10 $869 3.1×
Cltx metacarpal fx w/o manipulation each bone (26600) $669.60 $744 2.6×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $744.30 $827 2.9×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $489.60 $544 1.9×
Cltx Post Hip Arthrp Dislc Req Anes (27266) $1,163.70 $1,293 0.7×
Cltx prox fibula/shft fx w/manj (27781) $963.90 $1,071 0.6×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $224.10 $249 0.9×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $990 $1,100 0.6×
Colonoscopy stoma w/biopsy (44389) $1,427.85 $1,586.50 1.1×
Colonoscopy w/fb removal (45379) $1,548.45 $1,720.50 1.2×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $329.40 $366 1.0×
Colposcopy cervix upper/adjacent vagina (57452) $249.30 $277 1.2×
Colsc flx with directed submucosal njx any sbst (45381) $935.10 $1,039 0.8×
Contrast Inj Cent Ven Cath, Inc Flouro (36598) $249.30 $277 1.1×
Control Nasal Hemorrhage Anterior Complex (30903) $514.80 $572 3.7×
Control Nasal Hemorrhage Anterior Simple (30901) $391.05 $434.50 2.8×
Correction hammertoe (28285) $1,330.20 $1,478 0.4×
Correction of bunion (28298)
likely a partial charge, not the full procedure
$1,494.90 $1,661 0.2×
Correction of bunion (28292) $1,497.60 $1,664 0.4×
Correction of bunion (28299)
likely a partial charge, not the full procedure
$1,724.40 $1,916 0.2×
Correction of bunion (28297)
likely a partial charge, not the full procedure
$1,765.80 $1,962 0.1×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $2,721.15 $3,023.50 0.8×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $2,765.70 $3,073 0.8×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $757.80 $842 5.5×
Curettage postpartum (59160) $577.80 $642 0.2×
Cysto Bladder W/Ureteral Catheterization (52005) $2,267.10 $2,519 1.0×
Cysto w fulgertn lg bladder tumor(s) (52240)
likely a partial charge, not the full procedure
$719.10 $799 0.1×
Cysto w/destruction of lesions (52214) $1,606.50 $1,785 0.4×
Cysto w/removal of tumors small (52234) $477 $530 0.1×
Cysto W/Simple Removal Stone & Stent (52310) $694.80 $772 0.3×
Cysto/uretero w/lithotripsy (52356) $6,517.35 $7,241.50 1.2×
Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353)
likely a partial charge, not the full procedure
$781.20 $868 0.1×
Cystoscopy implant stent (52282) $1,058.40 $1,176 0.3×
Cystoscopy stone removal (52325) $4,329.90 $4,811 0.8×
Cystoscopy w/biopsy (52204) $944.10 $1,049 0.4×
Cystoscopy,Dil Urethral Stricture (52281) $684.45 $760.50 0.3×
Cystoscopy,insert ureteral stent (52332) $5,255.10 $5,839 1.4×
Cystourethroscopy (52000) $542.70 $603 0.7×
Cystourethroscopy Inj Chemodenervation Bladder (52287) $724.50 $805 0.3×
Cystourethroscopy Tx Female Urethral Syndrome (52285) $703.80 $782 1.0×
Cystourethroscopy W/Irrig & Evac Clots (52001) $905.40 $1,006 0.2×
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) $603 $670 0.2×
Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) $675 $750 0.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $172.80 $192 0.4×
Debride nail 1-5 (11720) $126.90 $141 2.1×
Debride nail 6 or more (11721) $172.80 $192 2.8×
Debridement subcutaneous tissue 20 sq cm/< (11042) $349.65 $388.50 0.8×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $1,084.50 $1,205 1.4×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $1,096.65 $1,218.50 0.6×
Declot vascular device (36593) $589.50 $655 1.7×
Destroy cerv/thor facet jnt (64633) $2,742.75 $3,047.50 1.4×
Destroy lumb/sac facet jnt (64635) $2,732.40 $3,036 1.3×
Destruc Benign/Premal,15+ Lesions (17004) $561.60 $624 1.3×
Destruction benign lesions 15 or more (17111) $410.40 $456 2.0×
Destruction Benign Lesions Up To 14 (17110) $278.10 $309 1.3×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $1,498.50 $1,665 1.6×
Destruction premalignant lesion 1st (17000) $213.75 $237.50 1.0×
Diagnostic sigmoidoscopy (45330) $393.30 $437 0.4×
Dilate Urethra Stricture (53600) $174.60 $194 0.7×
Drainage of hematoma/fluid (10140) $501.30 $557 0.3×
Drainage of hydrocele (55000) $260.10 $289 0.4×
Draw blood off venous device (36591) $194.40 $216 1.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $338.40 $376 1.6×
Dstrj lesion anus simple cryosurgery (46916) $556.20 $618 2.7×
Egd balloon dilation esophagus <30 mm diam (43249) $1,787.40 $1,986 0.9×
Egd flexible foreign body removal (43247) $810 $900 0.9×
Egd guide wire insertion (43248) $1,260 $1,400 1.3×
Egd remove lesion snare (43251) $1,043.10 $1,159 0.5×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $458.10 $509 1.4×
Endoscopic Injection/Implant (51715) $916.20 $1,018 0.3×
Endoscopic Plantar Fasciotomy (29893) $1,862.10 $2,069 0.5×
Evacuation of subungual hematoma (11740) $149.40 $166 1.1×
Exc abd les sc 3 cm/> (22903) $987.30 $1,097 0.3×
Exc arm/elbow les sc 3 cm/> (24071) $861.30 $957 0.3×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $481.05 $534.50 0.3×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $580.50 $645 0.3×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $441 $490 0.6×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $585.90 $651 0.3×
Exc foot/toe tum sc < 1.5 cm (28043) $1,233.90 $1,371 0.7×
Exc forearm les sc < 3 cm (25075) $1,430.10 $1,589 0.8×
Exc hand les sc < 1.5 cm (26115) $1,143 $1,270 0.7×
Exc shoulder tum deep 5 cm/> (23073) $1,252.80 $1,392 0.4×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $348.30 $387 0.5×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $343.35 $381.50 0.8×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $379.80 $422 0.5×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $467.55 $519.50 0.6×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $529.20 $588 0.3×
Exc Skin Benig >4 Cm Remaindr Body (11426) $716.40 $796 0.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $708.30 $787 0.4×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $797.85 $886.50 0.5×
Exc tr-ext b9+marg 0.5 cm or less (11400) $281.70 $313 0.4×
Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) $3,660.30 $4,067 1.2×
Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) $945.90 $1,051 0.6×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $916.20 $1,018 0.5×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $1,431 $1,590 0.5×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,017.90 $1,131 0.6×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $1,112.40 $1,236 0.4×
Exc varicocele/ligation spermatic veins spx (55530) $827.10 $919 0.2×
Excis Tendon Sheath Lesion, Hand/Finger (26160) $1,262.70 $1,403 0.8×
Excise cutaneous neurofibroma (64788) $813.60 $904 0.4×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $720.90 $801 1.0×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $502.20 $558 1.2×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $601.20 $668 0.8×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $668.70 $743 0.9×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $474.30 $527 0.6×
Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) $555.30 $617 0.8×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $659.70 $733 0.9×
Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) $858.60 $954 0.5×
Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) $455.40 $506 0.6×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $555.30 $617 0.8×
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) $745.20 $828 0.4×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $813.60 $904 0.5×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $420.30 $467 0.6×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $513.90 $571 0.7×
Excision of ganglion, wrist (dorsal or volar); recurrent (25112) $827.10 $919 0.5×
Excision of hydrocele; unilateral (55040) $722.70 $803 0.2×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $399.60 $444 0.2×
Excision of lesion other than skin tag </= 0.5 cm (11420) $307.80 $342 0.2×
Excision of nail fold toe (11765) $368.10 $409 0.9×
Excision of pilonidal cyst or sinus; simple (11770) $733.05 $814.50 0.2×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,125 $1,250 0.7×
Excision tumor soft tissue thigh/knee subq <3cm (27327) $625.95 $695.50 0.4×
Excision, interdigital (Morton) neuroma, single, each (28080) $1,301.40 $1,446 0.8×
Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) $1,258.20 $1,398 0.4×
Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) $968.40 $1,076 0.3×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $806.40 $896 0.3×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $994.50 $1,105 0.3×
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater (27045) $1,440.90 $1,601 0.5×
Excision/curettage cyst/tumor carpal bones (25130) $846 $940 0.2×
Exploration of knee joint (27310) $1,285.20 $1,428 0.4×
Fasciectomy, plantar fascia; radical (separate procedure) (28062) $1,268.10 $1,409 0.4×
Fasciotomy foot and/or toe (28008) $866.70 $963 0.3×
Fasciotomy Iliotibial Open (27305) $945 $1,050 0.3×
Fasciotomy palmar open partial (26045) $1,003.50 $1,115 0.3×
Fetal non-stress test (59025) $296.10 $329 1.4×
Fine needle aspiration without imaging guidance (10021) $283.50 $315 0.7×
Fixation of knee joint (27570) $305.10 $339 0.2×
Fusion of foot bones (28730)
likely a partial charge, not the full procedure
$1,282.50 $1,425 0.1×
Gastrocnemius Recession (27687) $913.50 $1,015 0.3×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
likely a partial charge, not the full procedure
$1,407.60 $1,564 0.2×
I&d abscess simple (10060) $430.20 $478 2.1×
I&d below fascia foot 1 bursal space (28002) $500.40 $556 0.3×
I&d epididymis tstis&/scrotal space (54700) $396.90 $441 0.2×
I&d perianal abscess superficial (46050) $463.50 $515 0.5×
I&D Upper Arm/Elbow Bursa (23931) $516.15 $573.50 0.3×
Implant neuroelectrodes (63650) $5,265.45 $5,850.50 0.8×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
likely a partial charge, not the full procedure
$916.20 $1,018 0.1×
Impltj/rplcmt ithcl/edrl drug nfs prgrbl pump (62362)
likely a partial charge, not the full procedure
$1,025.10 $1,139 0.1×
Incise finger tendon sheath (26055) $708.30 $787 0.4×
Incision & drainage abscess complicated/multiple (10061) $472.50 $525 1.1×
Incision & removal foreign body subq tiss compl (10121) $531 $590 0.3×
Incision & removal foreign body subq tiss simple (10120) $306 $340 0.7×
Incision for implantation of neurostimulator electrode array; sacral nerve (64581)
likely a partial charge, not the full procedure
$1,207.80 $1,342 0.2×
Incision of lingual frenum (41010) $438.30 $487 0.3×
Incision of metatarsal (28308) $1,575.90 $1,751 0.5×
Incision thrombosed hemorrhoid external (46083) $431.10 $479 1.7×
Incisional biopsy skin single lesion (11106) $348.30 $387 0.5×
Initial tx 1st degree burn local tx (16000) $291.60 $324 1.4×
Inj paravert f jnt c/t 1 lev (64490) $760.50 $845 0.8×
Inj tendon sheath/ligament (20550) $247.95 $275.50 0.8×
Inj,Anes Agent,Brachial Plexus,Single (64415) $954 $1,060 1.0×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $635.40 $706 0.7×
Inj,Anes Agent,Femoral Nerve,Single (64447) $684 $760 0.9×
Inject 5th nerv-2,3 div,f.ovale (64605) $990 $1,100 0.5×
Inject Anes/Steroid Plantar Common Digital Nerve (64455) $134.55 $149.50 0.4×
Inject Nerv Blck,Axillary Nerv (64417) $1,077.30 $1,197 1.2×
Inject Nerv Blck,Celiac Plexus (64530) $2,118.60 $2,354 2.3×
Inject Nerv Blck,Ilioingu/Iliohyp (64425) $928.80 $1,032 1.3×
Inject Nerv Blck,Intercost,Multpl (64421) $277.65 $308.50 0.3×
Inject Nerv Blck,Intercostal,One (64420) $951.75 $1,057.50 1.3×
Inject Nerv Blck,Paravert Sympath (64520) $1,290.60 $1,434 1.4×
Inject Tendon Origin/Insert (20551) $133.65 $148.50 0.4×
Injection aa&/strd brach plex cont nfs cath img (64416) $1,739.70 $1,933 1.9×
Injection aa&/strd lumbar plexus cont nfs cath (64449) $684 $760 0.7×
Injection aa&/strd sciatic nerve w/img gdn (64445) $812.70 $903 1.1×
Injection aa&/strd sciatic nrv cont nfs cath img (64446) $1,392.30 $1,547 1.5×
Injection anes other peripheral nerve/branch (64450) $323.10 $359 0.4×
Injection single/mlt trigger point 1/2 muscles (20552) $252 $280 0.8×
Injection single/mlt trigger point 3/> muscles (20553) $276.30 $307 0.9×
Injection, anesthetic agent; greater occipital nerve (64405) $835.65 $928.50 2.6×
Injection, anesthetic agent; sphenopalatine ganglion (64505) $415.80 $462 1.3×
Injection, intralesional; up to and including 7 lesions (11900) $126.90 $141 0.6×
Insert Bladder Cath Complex (51703) $270 $300 2.0×
Insert cervical dilator (59200) $224.10 $249 0.7×
Insert Drug Implant Device (11981) $217.80 $242 1.6×
Insert picc cath (36569) $959.40 $1,066 0.6×
Insert Temp Bladder Cath (51702) $202.50 $225 1.5×
Insert tunneled cv cath (36561) $1,690.20 $1,878 0.5×
Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590)
likely a partial charge, not the full procedure
$538.20 $598 0.0×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $1,800.90 $2,001 0.5×
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure
$818.10 $909 0.0×
Intubation endotracheal emergency procedure (31500) $725.40 $806 2.9×
Knee arthroscopy/surgery (29876) $1,490.40 $1,656 0.4×
Laparo sling operation (51992)
unusually low: confirm this is the full procedure
$1,945.80 $2,162 0.3×
Laparoscopy w/lysis of adhesions (58660)
likely a partial charge, not the full procedure
$1,466.10 $1,629 0.2×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure
$876.15 $973.50 0.1×
Laser repair to improve eye fluid flow (65855) $531.90 $591 0.9×
Late closure of wound (13160) $1,459.80 $1,622 0.4×
Ligamentous reconstruction (augmentation), knee; extra-articular (27427)
likely a partial charge, not the full procedure
$1,309.50 $1,455 0.2×
Ligation of hemorrhoid(s) (46221) $751.50 $835 0.8×
Lithotripsy (50590) $1,699.20 $1,888 0.5×
Lysis/excision penile postcircumcision adhesions (54162) $748.80 $832 0.3×
Mastectomy gynecomastia (19300) $1,156.50 $1,285 0.3×
Nipple exploration (19110) $904.50 $1,005 0.2×
Njx anes stellate ganglion crv sympathetic (64510) $1,191.15 $1,323.50 1.3×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $2,023.20 $2,248 2.2×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $1,348.65 $1,498.50 1.8×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) $1,071 $1,190 1.5×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $1,401.30 $1,557 1.9×
Open rx distal radius fx, intra-articular, 2 frag (25608)
likely a partial charge, not the full procedure
$1,613.70 $1,793 0.2×
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure
$716.40 $796 0.1×
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure
$1,464.30 $1,627 0.2×
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure
$1,202.40 $1,336 0.2×
Open treatment talus fracture (28445)
likely a partial charge, not the full procedure
$2,179.80 $2,422 0.3×
Open tx carpal scaphoid navicular fracture (25628)
likely a partial charge, not the full procedure
$1,527.30 $1,697 0.2×
Open tx fracture great toe/phalanx/phalanges (28505) $1,608.30 $1,787 0.5×
Open Tx Humeral Epicondylar Fracture (24575)
likely a partial charge, not the full procedure
$1,568.70 $1,743 0.1×
Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829)
likely a partial charge, not the full procedure
$1,504.80 $1,672 0.2×
Open tx tarsal fracture xcp talus & calcaneus ea (28465)
likely a partial charge, not the full procedure
$1,350 $1,500 0.2×
Orchiectomy radical tumor inguinal approach (54530) $948.60 $1,054 0.3×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $934.20 $1,038 0.3×
Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) $1,457.10 $1,619 0.4×
Osteochondral allograft, knee, open (27415)
likely a partial charge, not the full procedure
$1,541.25 $1,712.50 0.1×
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure
$1,223.10 $1,359 0.2×
Partial excision bone talus/calcaneus (28120) $1,289.70 $1,433 0.4×
Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) $1,190.70 $1,323 0.4×
Partical Excision Bone Phalanx Toe (28124) $959.40 $1,066 0.3×
Pelvic exam under anesthesia (57410) $432 $480 0.1×
Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation (28606) $839.70 $933 0.2×
Perq device breast 1st imag (19281) $2,025.90 $2,251 1.2×
Perq replacement gtube not req revj gstrst trc (43762) $516.60 $574 2.0×
Placement of needle for intraosseous infusion (36680) $510.30 $567 1.1×
Prostatectomy (turp) (52601)
unusually low: confirm this is the full procedure
$1,718.10 $1,909 0.3×
Prq impltj neurostim eltrd sacral nrve w/imaging (64561)
likely a partial charge, not the full procedure
$1,409.40 $1,566 0.2×
Punch biopsy skin single lesion (11104) $309.15 $343.50 0.7×
Puncture Aspiration (10160) $282.60 $314 0.7×
Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) $2,791.80 $3,102 0.9×
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238)
likely a partial charge, not the full procedure
$1,171.80 $1,302 0.2×
Reconstr disloc patella w mscl adv (27422)
likely a partial charge, not the full procedure
$2,118.60 $2,354 0.3×
Reconstruct wrist joint (25445)
likely a partial charge, not the full procedure
$1,333.80 $1,482 0.2×
Reduce testis torsion (54600) $913.50 $1,015 0.2×
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342)
likely a partial charge, not the full procedure
$1,023.30 $1,137 0.1×
Release palm contracture (26121) $1,272.60 $1,414 0.4×
Removal fb intranasal (30300) $427.50 $475 3.1×
Removal foreign body foot deep (28192) $995.40 $1,106 0.6×
Removal foreign body foot subcutaneous (28190) $548.10 $609 0.7×
Removal impacted cerumen irrigation/lvg unilat (69209) $182.70 $203 3.0×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $193.50 $215 3.2×
Removal Implant Deep (20680) $904.95 $1,005.50 0.3×
Removal of heel bone (28118) $1,309.50 $1,455 0.4×
Removal of heel spur (28119) $1,157.40 $1,286 0.3×
Removal of intrauterine device (iud) (58301) $325.67 $361.86 1.0×
Removal of nail bed (11750) $205.20 $228 0.5×
Removal of sesamoid bone (28315) $966.60 $1,074 0.3×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $265.50 $295 1.3×
Removal of sperm cord lesion (55520) $949.50 $1,055 0.3×
Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) $1,152 $1,280 0.6×
Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) $1,638.90 $1,821 0.5×
Removal/bivalving full arm/full leg cast (29705) $193.50 $215 0.7×
Removal/bivalving gauntlet boot/body cast (29700) $120.60 $134 0.4×
Remove bladder stone (52318) $943.20 $1,048 0.3×
Remove drug implant device (11982) $240.30 $267 0.5×
Remove femur lesion (27355) $1,328.40 $1,476 0.4×
Remove femur lesion/bursa (27062) $1,367.10 $1,519 0.4×
Remove knee cyst (27347) $724.05 $804.50 0.2×
Remove Pilonidal Cyst Exten (11771) $1,350 $1,500 0.4×
Remove stent via transureth (50386) $1,597.50 $1,775 0.7×
Remove wrist tendon lesion (25111) $730.80 $812 0.4×
Remv Ext Canal Foreign Body (69200) $299.25 $332.50 2.2×
Remv F.B.,Eye,Superf Conjunc (65205) $230.40 $256 1.7×
Renal biopsy (50200) $465.30 $517 0.3×
Repair achilles tendon (27650)
likely a partial charge, not the full procedure
$1,287 $1,430 0.2×
Repair collat ankle ligmnt,secondary (27698)
likely a partial charge, not the full procedure
$1,187.10 $1,319 0.2×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $828 $920 1.1×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $621.90 $691 0.8×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,075.50 $1,195 2.5×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $834.30 $927 2.0×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,232.10 $1,369 2.9×
Repair complex trunk 2.6-7.5 cm (13101) $875.70 $973 1.1×
Repair elbow deb/attch open (24359) $1,505.70 $1,673 0.4×
Repair hallux rigidus (28289) $1,697.40 $1,886 0.5×
Repair incomplete circumcision (54163) $498.60 $554 0.2×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $1,316.70 $1,463 0.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $661.50 $735 1.6×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $727.20 $808 1.7×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $560.25 $622.50 1.3×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $701.10 $779 1.7×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $880.20 $978 2.1×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $612 $680 1.4×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $810 $900 1.9×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $858.60 $954 1.1×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $718.65 $798.50 1.7×
Repair kneecap tendon (27380)
likely a partial charge, not the full procedure
$1,303.20 $1,448 0.2×
Repair of ankle ligament (27695)
likely a partial charge, not the full procedure
$1,016.10 $1,129 0.1×
Repair of nail bed (11760) $393.30 $437 0.5×
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412)
unusually low: confirm this is the full procedure
$2,399.40 $2,666 0.3×
Repair of thigh musc (27385)
likely a partial charge, not the full procedure
$925.65 $1,028.50 0.1×
Repair of vagina (57260)
likely a partial charge, not the full procedure
$609.30 $677 0.1×
Repair rotator cuff acute (23410)
likely a partial charge, not the full procedure
$1,106.10 $1,229 0.1×
Repair secondary achilles tendon w/wo graft (27654)
likely a partial charge, not the full procedure
$1,521 $1,690 0.2×
Repair Tongue Laceration (41250) $622.80 $692 1.3×
Repair wrist joints (25447) $1,191.60 $1,324 0.4×
Repair, dislocating peroneal tendons; without fibular osteotomy (27675) $1,452.15 $1,613.50 0.4×
Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) $1,067.40 $1,186 0.3×
Rerepair ing hernia reduce (49520) $1,309.50 $1,455 0.4×
Resection, partial or complete, phalangeal base, each toe (28126) $783 $870 0.2×
Revise median n/carpal tunnel surg (64721) $972 $1,080 0.5×
Revise ulnar nerve at elbow (64718) $1,257.30 $1,397 0.6×
Revision of iris (66761) $552.60 $614 1.0×
Revision of toe (28312) $1,178.10 $1,309 0.3×
Revision of total knee arthroplasty, with or without allograft; one component (27486)
likely a partial charge, not the full procedure
$1,719.90 $1,911 0.1×
Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) $777.60 $864 0.2×
Revision/Rmvl Peripheral/Gastric Npgr (64595) $475.20 $528 0.1×
Revj/rmvl peripheral neurostimulator electrode (64585) $499.50 $555 0.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $232.20 $258 0.5×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $478.80 $532 0.3×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $381.60 $424 0.6×
Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) $306 $340 0.7×
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
likely a partial charge, not the full procedure
$884.70 $983 0.1×
Rpr aa hernia 1st < 3 cm reducible (49591) $637.20 $708 0.2×
Rpr flexor tendon leg secondary w/o graft each (27659)
likely a partial charge, not the full procedure
$941.40 $1,046 0.1×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $535.05 $594.50 2.2×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $612.90 $681 0.6×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $632.70 $703 0.5×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $243.90 $271 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $221.40 $246 1.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $301.95 $335.50 1.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $343.80 $382 1.7×
Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) $225.90 $251 0.5×
Shoulder arthroscopy (29805) $1,154.70 $1,283 0.3×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $346.50 $385 1.7×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $456.30 $507 1.1×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $272.70 $303 1.3×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $310.50 $345 1.5×
Sigmoidoscopy flx w/biopsy single/multiple (45331) $616.50 $685 0.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $427.50 $475 2.1×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $478.35 $531.50 2.3×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $347.40 $386 1.7×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $403.20 $448 1.9×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $225 $250 1.1×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $288 $320 1.4×
Skin sub graft face/nk/hf/g (15275) $2,440.35 $2,711.50 3.2×
Skin sub graft trnk/arm/leg (15271) $1,564.20 $1,738 2.0×
Skin Sub Grft T/Arm/Lg Child (15273) $3,919.95 $4,355.50 1.8×
Skin tissue rearrangement (14040) $1,539 $1,710 0.7×
Skn sub grft f/n/hf/g child (15277) $2,368.80 $2,632 1.1×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
unusually low: confirm this is the full procedure
$1,599.30 $1,777 0.3×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $245.70 $273 1.2×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $485.10 $539 1.1×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $438.30 $487 1.0×
Spinal puncture lumbar diagnostic (62270) $658.80 $732 0.9×
Strapping toes (29550) $36 $40 0.6×
Strapping unna boot (29580) $342.45 $380.50 2.0×
Tangential biopsy skin single lesion (11102) $291.60 $324 0.7×
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure
$1,130.85 $1,256.50 0.2×
Tenolysis ext tendon,hand/finger,ea (26445) $842.40 $936 0.2×
Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon (27680) $973.80 $1,082 0.3×
Tenotomy elbow lateral/medial debride open (24358) $666 $740 0.2×
Tenotomy Open Extensor Foot/Toe Each Tendon (28234) $1,224 $1,360 0.7×
Tenotomy Percutaneous Toe Single Tendon (28010) $473.40 $526 0.3×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $585.90 $651 0.4×
Thoracentesis needle/cath pleura w/o imaging (32554) $514.80 $572 0.8×
Total hip arthroplasty (27130)
likely a partial charge, not the full procedure
$2,080.35 $2,311.50 0.2×
Total knee arthroplasty (27447)
likely a partial charge, not the full procedure
$2,953.80 $3,282 0.2×
Treat clavicle dislocation (23552)
likely a partial charge, not the full procedure
$783.90 $871 0.1×
Treat Fracture Radius & Ulna (25560) $635.40 $706 2.5×
Treat fx rad extra-articul (25607)
likely a partial charge, not the full procedure
$389.70 $433 0.1×
Treat humerus fracture (23600) $786.60 $874 3.1×
Treat Wrist Bone Fracture (25630) $764.10 $849 3.0×
Treatment closed elbow dislocation req anes (24605) $990 $1,100 0.6×
Treatment of ankle fracture (27792)
likely a partial charge, not the full procedure
$874.35 $971.50 0.1×
Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245)
unusually low: confirm this is the full procedure
$2,351.70 $2,613 0.3×
Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) $456.30 $507 1.8×
Trim skin lesion (11055) $153 $170 0.7×
Trim skin lesions 2 to 4 (11056) $195.30 $217 0.9×
Trim skin lesions over 4 (11057) $229.95 $255.50 1.1×
Trimming Of Nondystrophic Nails, Any Number (11719) $55.80 $62 0.9×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $844.20 $938 0.3×
Tx Incomplete Abortion Any Trimester Surgical (59812) $763.20 $848 0.2×
Unlisted procedure foot or toes (28899) $149.40 $166 0.6×
Unlisted Procedure Nervous System (64999) $854.55 $949.50 2.7×
Unlisted procedure pelvis/hip joint (27299) $736.20 $818 2.9×
Vaginal delivery only (59409) $1,646.10 $1,829 0.5×
Vaginal hysterectomy (58260)
likely a partial charge, not the full procedure
$531.90 $591 0.1×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262)
likely a partial charge, not the full procedure
$729.90 $811 0.1×
Vasectomy (55250) $595.80 $662 0.3×
Venipuncture (36415) $46.80 $52 5.0×