Procedures & surgery prices at Uchicago Medicine AdventHealth Glenoaks

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

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $575 $2,300 0.6×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $575 $2,300 0.6×
Ablation 1/> liver tumor perq cryoablation (47383)
likely a partial charge, not the full procedure		 $3,000 $12,000 0.3×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
likely a partial charge, not the full procedure		 $4,000 $16,000 0.2×
Amniocentesis diagnostic (59000) $250 $1,000 0.3×
Application cast elbow finger short arm (29075) $143.75 $575 0.5×
Application Finger Splint Dynamic (29131) $75 $300 1.2×
Application finger splint static (29130) $43.75 $175 0.3×
Application long arm splint shoulder hand (29105) $87.50 $350 0.5×
Application Long Leg Splint (29505) $87.50 $350 0.5×
Application of rigid total contact leg cast (29445) $143.75 $575 0.5×
Application short arm splint forearm-hand static (29125) $43.75 $175 0.3×
Application short leg splint calf foot (29515) $87.50 $350 0.5×
Apply long arm cast (29065) $143.75 $575 0.5×
Apply Multlay Comprs Lwr Leg (29581) $87.50 $350 0.5×
Apply Short Leg Cast (29405) $143.75 $575 0.5×
Arterial puncture (36600)
range across 2 matching MRF lines		 $37.50–$43.75 $150–$175 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $212.50 $850 0.6×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $300 $1,200 0.4×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $250 $1,000 0.8×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $400 $1,600 1.2×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $212.50 $850 0.6×
Aspirate pleura w/ imaging (32555) $375 $1,500 0.6×
Aspirate Pleura W/O Imaging (32554) $325 $1,300 0.5×
Aspiration and/or injection thyroid cyst (60300) $557.50 $2,230 0.7×
Aspiration bladder insert suprapubic catheter (51102) $1,150 $4,600 0.5×
Avulsion nail plate partial/complete simple 1 (11730) $105 $420 0.5×
Biopsy Abdominal Mass (49180) $600 $2,400 0.3×
Biopsy bone trocar/needle deep (20225) $1,050 $4,200 0.6×
Biopsy Bone Trocar/Needle Superficial (20220) $800 $3,200 0.5×
Biopsy muscle percutaneous needle (20206) $800 $3,200 0.5×
Biopsy of liver, needle; percutaneous (47000) $600 $2,400 0.3×
Biopsy Pleura Percutaneous Needle (32400) $600 $2,400 0.3×
Biopsy Salivary Gland Needle (42400) $557.50 $2,230 0.7×
Biopsy soft tissue back/flank deep (21925) $600 $2,400 0.3×
Biopsy Soft Tissue Back/Flank Superficial (21920) $600 $2,400 0.3×
Biopsy soft tissue neck/thorax (21550) $600 $2,400 0.3×
Biopsy soft tissue thigh/knee area superficial (27323) $600 $2,400 0.3×
Bladder instillation anticarcinogenic agent (51720) $400 $1,600 0.5×
Bladder Irrigation (51700) $131.25 $525 0.5×
Blood Transfusion Service (36430) $425 $1,700 0.9×
Bone Marrow Biopsy (38221) $1,050 $4,200 0.6×
Bx breast 1st lesion mr imag (19085) $498.75 $1,995 0.3×
Bx breast 1st lesion strtctc (19081) $498.75 $1,995 0.3×
Bx breast 1st lesion us imag (19083) $498.75 $1,995 0.3×
Cessj Therapy Cath Removal (37214) $1,875 $7,500 0.6×
Change Cystostomy Tube Complicated (51710) $400 $1,600 0.5×
Change Cystostomy Tube Simple (51705) $131.25 $525 0.5×
Change of Windpipe Airway (31502) $130 $520 0.5×
Chemical Cautery Tissue (17250) $105 $420 0.5×
Chemodenerv Musc Migraine (64615) $200 $800 0.6×
Chemodenerv musc neck dyston (64616) $200 $800 0.6×
Chest tube placement (32551) $625 $2,500 0.4×
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $1,150 $4,600 0.5×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $1,750 $7,000 0.5×
Cl Tx Tib Shft Fx W Manip (27752) $1,075 $4,300 0.6×
Clear outer ear canal (69200) $62.50 $250 0.4×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,075 $4,300 0.6×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $131.25 $525 0.5×
Closed tx ankle dislocation w/o anesthesia (27840) $131.25 $525 0.5×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,075 $4,300 0.6×
Closed tx carpal scaphoid fracture w/manj (25624) $1,075 $4,300 0.6×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $131.25 $525 0.5×
Closed tx patellar dislocation w/o anesthesia (27560) $131.25 $525 0.5×
Closed tx radial shaft fracture w/manipulation (25505) $1,075 $4,300 0.6×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,075 $4,300 0.6×
Closed tx radial&ulnar shaft fractures w/o man (25560) $131.25 $525 0.5×
Closed tx talotarsal joint dislc w/o anes (28570) $131.25 $525 0.5×
Closed tx tarsometatarsal dislocation w/o anes (28600) $131.25 $525 0.5×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $131.25 $525 0.5×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $130 $520 0.5×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $300 $1,200 0.5×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,075 $4,300 0.6×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $131.25 $525 0.5×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,075 $4,300 0.6×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $1,075 $4,300 0.6×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $131.25 $525 0.5×
Cltx dstl fibular fx lat malls w/manj (27788) $131.25 $525 0.5×
Cltx dstl fibular fx lat malls w/o manj (27786) $131.25 $525 0.5×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $131.25 $525 0.5×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $131.25 $525 0.5×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,075 $4,300 0.6×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $131.25 $525 0.5×
Cltx greater humeral tuberosity fx w/o manj (23620) $131.25 $525 0.5×
Cltx hip dislocation traumatic w/o anesthesia (27250) $131.25 $525 0.5×
Cltx iphal jt dislc w/manj w/o anes (26770) $131.25 $525 0.5×
Cltx Med Ankle Fx W/Mnpj (27762) $1,075 $4,300 0.6×
Cltx metacarpal fx w/manipulation each bone (26605) $131.25 $525 0.5×
Cltx metacarpal fx w/o manipulation each bone (26600) $131.25 $525 0.5×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $131.25 $525 0.5×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $131.25 $525 0.5×
Cltx post hip arthrp dislc w/o anes (27265) $131.25 $525 0.5×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $131.25 $525 0.5×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $131.25 $525 0.5×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $1,075 $4,300 0.6×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,075 $4,300 0.6×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,075 $4,300 0.6×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $131.25 $525 0.5×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,075 $4,300 0.6×
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines		 $43.75–$62.50 $175–$250 varies
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines		 $7.25–$10 $29–$40 varies
Complex drainage wound (10180) $975 $3,900 0.3×
Control Nasal Hemorrhage Anterior Complex (30903) $43.75 $175 0.3×
Control Nasal Hemorrhage Anterior Simple (30901) $43.75 $175 0.3×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $1,100 $4,400 0.5×
Convert Nephrostomy Catheter (50434) $1,150 $4,600 0.5×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $600 $2,400 0.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $43.75 $175 0.3×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $130 $520 0.5×
Deb Musc/Fascia 20 Sq Cm/< (11043) $325 $1,300 0.4×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $850 $3,400 0.5×
Debridement subcutaneous tissue 20 sq cm/< (11042) $360 $1,440 0.8×
Declot vascular device (36593) $150 $600 0.4×
Delivery of placenta (59414) $425 $1,700 0.1×
Destroy cerv/thor facet jnt (64633) $1,125 $4,500 0.5×
Destroy lumb/sac facet jnt (64635) $1,125 $4,500 0.5×
Destruction by neurolytic agent, intercostal nerve (64620) $446.25 $1,785 0.5×
Destruction neurolytic agt genicular nerve w/img (64624) $1,125 $4,500 0.5×
Drain/inj small joint/bursa w/us (20604) $375 $1,500 1.1×
Drainage external auditory canal abscess (69020) $557.50 $2,230 0.7×
Drainage external ear abscess/hematoma cmplx (69005) $600 $2,400 0.3×
Drainage External Ear Abscess/Hematoma Simple (69000) $557.50 $2,230 0.7×
Drainage Finger Abscess Complicated (26011) $600 $2,400 0.3×
Drainage Mouth Roof Lesion (42000) $130 $520 0.5×
Drainage of finger abscess simple (26010) $105 $420 0.5×
Drainage of gum lesion (41800) $43.75 $175 0.3×
Drainage of hematoma/fluid (10140) $597.50 $2,390 0.3×
Drainage of nose lesion (30000) $130 $520 0.5×
Drainage of scrotal wall abscess (55100) $600 $2,400 0.3×
Drainage of scrotum (54700) $1,150 $4,600 0.5×
Draw Blood Off Venous Device (36591) $62.50 $250 0.4×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $557.50 $2,230 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $105 $420 0.5×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $446.25 $1,785 0.5×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $446.25 $1,785 0.5×
Dx Bone Marrow Bx & Aspir (38222) $1,050 $4,200 0.3×
Dx lmbr spi pnxr w/fluor/CT (62328) $435 $1,740 0.6×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $200 $800 0.6×
Endovasc Temp Balloon Occlus,Head/Nck (61623)
unusually low: confirm this is the full procedure		 $4,750 $19,000 0.4×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $1,875 $7,500 0.6×
Endoven ther chem adhes 1st (36482)
unusually low: confirm this is the full procedure		 $2,737.50 $10,950 0.5×
Epidural Blood Patch (62273) $435 $1,740 0.6×
Evacuation of subungual hematoma (11740) $43.75 $175 0.3×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $1,750 $7,000 0.5×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $1,150 $4,600 0.5×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $1,100 $4,400 0.5×
External cephalic version (59412) $1,750 $7,000 0.5×
Fetal Contraction Stress Test (59020) $162.50 $650 0.8×
Fetal non-stress test (59025) $118.75 $475 0.5×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $225 $900 0.3×
Fluoro exam of g/colon tube (49465) $198.75 $795 0.8×
Fna Bx W/Fluor Gdn 1St Les (10007) $225 $900 0.3×
Fna bx w/us gdn 1st les (10005) $225 $900 0.3×
Guide Cathet Fluid Drainage (10030) $557.50 $2,230 0.7×
I&d abscess peritonsillar (42700) $130 $520 0.5×
I&d abscess simple (10060) $105 $420 0.5×
I&d perianal abscess superficial (46050) $250 $1,000 0.3×
I&d pilonidal cyst complicated (10081) $200 $800 0.3×
I&d pilonidal cyst simple (10080) $112.50 $450 0.1×
Icd Pocket Revision (33223) $450 $1,800 0.2×
Image Cath Fluid Colxn Visc (49405) $600 $2,400 0.3×
Image Cath Fluid Peri/Retro (49406) $600 $2,400 0.3×
Incise finger tendon sheath (26055) $1,075 $4,300 0.6×
Incision & drainage abscess complicated/multiple (10061) $175 $700 0.4×
Incision & removal foreign body subq tiss compl (10121) $597.50 $2,390 0.3×
Incision & removal foreign body subq tiss simple (10120) $112.50 $450 0.3×
Incision and drainage of bartholin's gland abscess (56420) $162.50 $650 0.8×
Incision and drainage of vulva or perineal abscess (56405) $162.50 $650 0.5×
Incision of rectal abscess (46040) $300 $1,200 0.2×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $600 $2,400 0.3×
Incisional biopsy skin single lesion (11106) $325 $1,300 0.4×
Initial Tx 1st Degree Burn Local Tx (16000) $105 $420 0.5×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $446.25 $1,785 0.5×
Inj W/Fluor Eval Cv Device (36598) $125 $500 0.5×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $446.25 $1,785 0.5×
Injection 1 tendon sheath/ligament aponeurosis (20550) $175 $700 0.5×
Injection aa&/strd axillary nerve w/img gdn (64417) $446.25 $1,785 0.5×
Injection aa&/strd genicular nrv branches w/img (64454) $435 $1,740 0.6×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $446.25 $1,785 0.5×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $435 $1,740 0.6×
Injection Anes Agent Sphenopalatine Ganglion (64505) $200 $800 0.6×
Injection Anes Superior Hypogastric Plexus (64517) $446.25 $1,785 0.5×
Injection anesthetic agent suprascapular nerve (64418) $435 $1,740 0.6×
Injection single tendon origin/insertion (20551) $175 $700 0.5×
Injection single/mlt trigger point 1/2 muscles (20552) $175 $700 0.5×
Injection single/mlt trigger point 3/> muscles (20553) $231.25 $925 0.7×
Injection therapeutic carpal tunnel (20526) $175 $700 0.5×
Injection, anesthetic agent; femoral nerve, single (64447) $435 $1,740 0.6×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $435 $1,740 0.6×
Ins cath ren art 1st bilat (36252) $1,875 $7,500 0.6×
Ins cath ren art 1st unilat (36251) $1,537.50 $6,150 0.5×
Ins cath ren art 2nd+ unilat (36253)
unusually low: confirm this is the full procedure		 $2,737.50 $10,950 0.5×
Ins endovas vena cava filtr (37191)
unusually low: confirm this is the full procedure		 $2,737.50 $10,950 0.5×
Ins/Rep Subq Defibrillator (33270)
unusually low: confirm this is the full procedure		 $11,875 $47,500 0.4×
Insert Bladder Cath Complex (51703) $93.75 $375 0.7×
Insert cath pleura w/ image (32557) $625 $2,500 0.4×
Insert cath pleura w/o image (32556) $1,100 $4,400 0.5×
Insert cervical dilator (59200) $162.50 $650 0.5×
Insert Gastrostomy Tube Percutaneous (49440) $1,100 $4,400 0.5×
Insert Heart Pm Ventricular (33207) $5,750 $23,000 0.5×
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure		 $2,000 $8,000 0.1×
Insert non-tunnel cv cath (36556) $1,875 $7,500 0.6×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $625 $2,500 0.4×
Insert pulse gen mult leads (33221)
likely a partial charge, not the full procedure		 $5,775 $23,100 0.3×
Insert Temp Bladder Cath (51702) $62.50 $250 0.4×
Insert tun ip cath perc (49418) $1,750 $7,000 0.5×
Insert tunneled cv cath (36561) $1,875 $7,500 0.6×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
unusually low: confirm this is the full procedure		 $2,737.50 $10,950 0.5×
Insert,Non-Indwelling Bladder Catheter (51701) $62.50 $250 0.4×
Insertion indwelling tunneled pleural catheter (32550) $1,750 $7,000 0.5×
Insertion Picc W/Rs&I 5 Yr/> (36573) $625 $2,500 0.4×
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
unusually low: confirm this is the full procedure		 $4,000 $16,000 0.5×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $1,750 $7,000 0.5×
Insertion Uterine Tandem&/Vaginal Ovoids (57155)
unusually low: confirm this is the full procedure		 $1,750 $7,000 0.3×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217)
unusually low: confirm this is the full procedure		 $3,250 $13,000 0.4×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $1,875 $7,500 0.6×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $625 $2,500 0.4×
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $1,875 $7,500 0.6×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) $1,875 $7,500 0.6×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $1,875 $7,500 0.6×
Insj/Rplcmt Defib W/Lead(S) (33249)
unusually low: confirm this is the full procedure		 $11,875 $47,500 0.4×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
unusually low: confirm this is the full procedure		 $3,250 $13,000 0.4×
Insrt heart pm atrial & vent (33208) $5,750 $23,000 0.5×
Insrt Pulse Gen W/Mult Leads (33231)
likely a partial charge, not the full procedure		 $10,000 $40,000 0.3×
Insrt Pulse Gen W/Singl Lead (33240)
range across 2 matching MRF lines		 $8,250–$9,150 $33,000–$36,600 varies
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $187.50 $750 0.4×
Intro cath dialysis circuit (36901) $625 $2,500 0.4×
Intro cath dialysis circuit w/tcat plmt IV stent (36903)
unusually low: confirm this is the full procedure		 $3,750 $15,000 0.3×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902)
unusually low: confirm this is the full procedure		 $3,000 $12,000 0.5×
Intubation endotracheal emergency procedure (31500) $130 $520 0.5×
Lithotripsy, extracorporeal shock wave (50590) $2,000 $8,000 0.5×
Lyse chest fibrin init day (32561) $375 $1,500 0.6×
Mech remov tunneled cv cath (36595) $1,875 $7,500 0.6×
Myelography Lumbar Injection (62305) $625 $2,500 0.7×
Myelography Lumbar Injection (62304) $450 $1,800 0.5×
N Block Inj Celiac Pelus (64530) $446.25 $1,785 0.5×
N Block Inj Ilio-Ing/Hypogi (64425) $435 $1,740 0.6×
N block inj intercost sng (64420) $435 $1,740 0.6×
N Block Inj Pudendal (64430) $446.25 $1,785 0.5×
N Block Lumbar/Thoracic (64520) $446.25 $1,785 0.5×
Needle Biopsy Lymph Nodes (38505) $600 $2,400 0.3×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U)
range across 5 matching MRF lines		 $31.50–$387.50 $126–$1,550 varies
Njx anes stellate ganglion crv sympathetic (64510) $446.25 $1,785 0.5×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $200 $800 0.6×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $1,625 $6,500 0.4×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $1,750 $7,000 0.5×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $446.25 $1,785 0.5×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $615 $2,460 0.8×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $615 $2,460 0.8×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $400 $1,600 0.5×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $400 $1,600 0.5×
Njx Sclrsnt 1 Incmptnt Vein (36470) $187.50 $750 0.4×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $300 $1,200 0.7×
Occipital Nerve Block (64405) $200 $800 0.6×
Open Tx Distal Phalangeal Fracture Each (26765) $1,875 $7,500 0.5×
Open/Perq Place Stent 1St (37236)
unusually low: confirm this is the full procedure		 $3,750 $15,000 0.3×
Open/Perq Place Stent Same (37238)
unusually low: confirm this is the full procedure		 $3,750 $15,000 0.3×
Perc Cryo Ablate Renal Tum (50593)
likely a partial charge, not the full procedure		 $3,000 $12,000 0.3×
Perc Rf Ablate Renal Tumor (50592)
unusually low: confirm this is the full procedure		 $3,000 $12,000 0.5×
Percut Ablate Liver Rf (47382)
unusually low: confirm this is the full procedure		 $3,000 $12,000 0.5×
Percut Cath Occlusn Non Cns Lesn (61626)
unusually low: confirm this is the full procedure		 $3,750 $15,000 0.3×
Percut Mech Thrombectomy, Venous, Repeat (37188) $1,875 $7,500 0.6×
Pericardiocentesis W/Imaging (33016) $625 $2,500 0.4×
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure		 $1,000 $4,000 0.1×
Perq Cervicothoracic Inject (22510) $1,875 $7,500 0.5×
Perq dev breast 1st us imag (19285) $225 $900 0.3×
Perq device breast 1st imag (19281) $498.75 $1,995 0.3×
Perq Lumbosacral Injection (22511) $1,875 $7,500 0.5×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $557.50 $2,230 0.7×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905)
unusually low: confirm this is the full procedure		 $3,750 $15,000 0.3×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904)
unusually low: confirm this is the full procedure		 $3,000 $12,000 0.5×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
unusually low: confirm this is the full procedure		 $3,500 $14,000 0.5×
Perq Vertebral Augmentation (22513)
unusually low: confirm this is the full procedure		 $3,500 $14,000 0.5×
Place Cath Vertebral Art (36226)
unusually low: confirm this is the full procedure		 $2,737.50 $10,950 0.5×
Place Rt Device/Marker Pros (55876) $835 $3,340 0.6×
Placement of needle for intraosseous infusion (36680) $225 $900 0.5×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539)
unusually low: confirm this is the full procedure		 $3,000 $12,000 0.5×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $3,750 $15,000 0.6×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $1,150 $4,600 0.5×
Plmt Nephroureteral Catheter (50433) $2,000 $8,000 0.5×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $2,500 $10,000 0.7×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $2,000 $8,000 0.5×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $2,000 $8,000 0.5×
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure		 $3,750 $15,000 0.2×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $557.50 $2,230 0.7×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $1,750 $7,000 0.5×
Pseudoaneurysm Injection Trt (36002) $375 $1,500 0.6×
Punch biopsy skin single lesion (11104) $175 $700 0.4×
Puncture aspiration abscess hematoma bulla/cyst (10160) $112.50 $450 0.3×
Puncture Aspiration Cyst Breast (19000) $281.25 $1,125 0.4×
Puncture shunt tube/reservoir aspiration/inj px (61070) $435 $1,740 0.6×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $1,125 $4,500 0.5×
Relocation Pocket Pacemaker (33222) $450 $1,800 0.2×
Rem Endovas Vena Cava Filter (37193) $1,875 $7,500 0.6×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $575 $2,300 0.6×
Removal Foreign Body Foot Subcutaneous (28190) $112.50 $450 0.1×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $450 $1,800 0.3×
Removal impacted cerumen irrigation/lvg unilat (69209) $30 $120 0.5×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $30 $120 0.5×
Removal of foreign body from pharynx (42809) $235 $940 0.5×
Removal of nail bed (11750) $112.50 $450 0.3×
Removal of tunneled intraperitoneal catheter (49422) $1,875 $7,500 0.6×
Removal Pacemaker Electrode (33235) $1,875 $7,500 0.5×
Removal ppm generator only (33233)
unusually low: confirm this is the full procedure		 $3,250 $13,000 0.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $105 $420 0.5×
Removal subcutaneous cardiac rhythm monitor (33286) $557.50 $2,230 0.7×
Remove Intrauterine Device (58301) $662 $2,648 2.0×
Remove intrvas foreign body (37197) $1,875 $7,500 0.6×
Remove lung catheter (32552) $375 $1,500 0.6×
Remove Nasal Foreign Body (30300) $43.75 $175 0.3×
Remove Pulse Generator (33241) $1,750 $7,000 0.4×
Remove renal tube w/fluoro (50389) $400 $1,600 0.5×
Remove ureter stent percut (50384) $1,150 $4,600 0.5×
Remove&replace pm gen singl (33227)
unusually low: confirm this is the full procedure		 $3,250 $13,000 0.4×
Remv&replc cvd gen dual lead (33263)
range across 2 matching MRF lines		 $8,250–$8,475 $33,000–$33,900 varies
Remv&replc cvd gen mult lead (33264)
unusually low: confirm this is the full procedure		 $11,875 $47,500 0.4×
Remv&replc cvd gen sing lead (33262)
range across 2 matching MRF lines		 $8,250–$8,475 $33,000–$33,900 varies
Remv&replc pm gen dual lead (33228) $5,750 $23,000 0.5×
Remv&replc pm gen mult leads (33229)
range across 2 matching MRF lines		 $5,775–$6,000 $23,100–$24,000 varies
Renal Biopsy Perq (50200) $600 $2,400 0.3×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $300 $1,200 0.4×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $500 $2,000 0.6×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $112.50 $450 0.3×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $500 $2,000 1.1×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $300 $1,200 0.7×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $500 $2,000 1.1×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $112.50 $450 0.3×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $125 $500 0.3×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $150 $600 0.3×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $162.50 $650 0.4×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $325 $1,300 0.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $112.50 $450 0.3×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $137.50 $550 0.3×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $162.50 $650 0.2×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $187.50 $750 0.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $112.50 $450 0.3×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $137.50–$237.50 $550–$950 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $162.50 $650 0.4×
Repair Lead Pace-Defib One (33218) $1,750 $7,000 0.4×
Repair of nail bed (11760) $325 $1,300 0.4×
Repair tongue laceration (41252) $130 $520 0.5×
Repair tongue laceration (41250) $235 $940 0.5×
Replace duodenostomy/jejunostomy tube perq (49451) $575 $2,300 0.6×
Replace G-J Tube Perc (49452) $575 $2,300 0.6×
Replace g/c tube perc (49450) $575 $2,300 0.6×
Reposition Pacing-Defib Lead (33215) $1,875 $7,500 0.6×
Reposition Venous Catheter (36597) $625 $2,500 0.4×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $1,150 $4,600 0.5×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $235 $940 0.5×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $175 $700 0.1×
Rmvl of subq implantable defibrillator electrode (33272) $1,750 $7,000 0.4×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $1,750 $7,000 0.4×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $625 $2,500 0.4×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $375 $1,500 0.6×
Rplc Gtube No Revj Trc (43762) $131.25 $525 0.5×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $625 $2,500 0.4×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $625 $2,500 0.4×
Rplcmt compl tun ctr vad w/subq pmp (36583)
unusually low: confirm this is the full procedure		 $2,737.50 $10,950 0.5×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $1,875 $7,500 0.6×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $625 $2,500 0.4×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $162.50 $650 0.8×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $300 $1,200 0.5×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $600 $2,400 0.4×
Sclerotx Fluid Collection (49185) $600 $2,400 0.3×
Shave skin lesion 0.5 cm/< (11300) $112.50 $450 0.3×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $187.50 $750 0.4×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $112.50 $450 0.5×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $137.50 $550 0.6×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $150 $600 0.7×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $112.50 $450 0.5×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $212.50 $850 1.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $162.50 $650 0.8×
Skin sub graft face/nk/hf/g (15275) $450 $1,800 0.6×
Skin sub graft trnk/arm/leg (15271) $450 $1,800 0.6×
Skin sub grft t/arm/lg child (15273) $625 $2,500 0.3×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
unusually low: confirm this is the full procedure		 $2,737.50 $10,950 0.5×
Slctv cath carotid/innom art angio xtrcranl art (36222) $1,875 $7,500 0.6×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
unusually low: confirm this is the full procedure		 $2,737.50 $10,950 0.5×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $137.50 $550 0.6×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $187.50 $750 0.4×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $112.50 $450 0.3×
Spinal puncture lumbar diagnostic (62270) $435 $1,740 0.6×
Strapping ankle (29540) $87.50 $350 0.5×
Strapping knee (29530) $43.75 $175 0.3×
Strapping toes (29550) $75 $300 1.2×
Strapping Unna Boot (29580) $87.50 $350 0.5×
Tangential biopsy skin single lesion (11102) $105 $420 0.2×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289)
likely a partial charge, not the full procedure		 $7,500 $30,000 0.2×
Tcat Insj/Rpl Perm Ldls Pm (33274)
unusually low: confirm this is the full procedure		 $8,750 $35,000 0.4×
Therapeutic plasma exchange (36514) $800 $3,200 0.5×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628)
likely a partial charge, not the full procedure		 $4,000 $16,000 0.3×
Thrmbc/Nfs Dialysis Circuit (36906)
unusually low: confirm this is the full procedure		 $6,125 $24,500 0.3×
Thrombolytic Art Therapy (37211)
unusually low: confirm this is the full procedure		 $2,737.50 $10,950 0.5×
Thrombolytic Venous Therapy (37212) $1,875 $7,500 0.6×
Thyroid biopsy (60100) $557.50 $2,230 0.7×
Tprnl Plmt Biodegrdabl Matrl (55874) $3,750 $15,000 0.7×
Transcatheter biopsy (37200)
unusually low: confirm this is the full procedure		 $2,737.50 $10,950 0.5×
Treat Knuckle Dislocation (26700) $131.25 $525 0.5×
Treat Thumb Dislocation (26641) $484.25 $1,937 1.8×
Treat Thumb Fracture (26645) $1,075 $4,300 0.6×
Treat toe dislocation (28630) $131.25 $525 0.5×
Treatment closed elbow dislocation w/o anes (24600) $131.25 $525 0.5×
Trim skin lesion (11055) $105 $420 0.5×
Trim skin lesions 2 to 4 (11056) $137.50 $550 0.6×
Trimming Nondystrophic Nails Any Number (11719) $37.50 $150 0.6×
Trluml Balo Angiop 1St Art (37246)
unusually low: confirm this is the full procedure		 $3,000 $12,000 0.5×
Trluml Balo Angiop 1St Vein (37248)
unusually low: confirm this is the full procedure		 $3,000 $12,000 0.5×
Unlisted procedure lungs and pleura (32999) $375 $1,500 0.6×
Unlisted procedure nervous system (64999) $200 $800 0.6×
Upgrade of pacemaker system (33214) $5,750 $23,000 0.5×
Vaginal delivery only (59409)
range across 2 matching MRF lines		 $1,100–$1,300 $4,400–$5,200 varies
Vasc embolize/occlude artery (37242)
likely a partial charge, not the full procedure		 $3,750 $15,000 0.2×
Vasc Embolize/Occlude Bleed (37244)
unusually low: confirm this is the full procedure		 $3,750 $15,000 0.3×
Vasc Embolize/Occlude Organ (37243)
unusually low: confirm this is the full procedure		 $3,750 $15,000 0.3×
Vasc embolize/occlude venous (37241)
unusually low: confirm this is the full procedure		 $3,750 $15,000 0.3×
Venous Mech Thrombectomy (37187)
unusually low: confirm this is the full procedure		 $3,750 $15,000 0.3×
Wedge excision skin nail fold (11765) $112.50 $450 0.3×
Wound Prep F/N/Hf/G (15004) $325 $1,300 0.7×
Wound Prep Trk/Arm/Leg (15002) $450 $1,800 0.6×

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.