Procedures & surgery prices at Ucsf Benioff Children's Hospital Oakland

Oakland, CA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $774.90 $2,583 0.6×
Acne surgery (10040) $171.60 $572 0.6×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,693.70 $8,979 0.9×
Allogeneic lymphocyte infusions (38242) $470.40 $1,568 0.2×
Amniocentesis diagnostic (59000) $650.70 $2,169 0.5×
Anal/Urinary Muscle Study (51784) $240 $800 1.3×
Anoscopy diagnostic (46600) $179.40 $598 1.0×
Apheresis Platelets (36513) $2,070 $6,900 3.3×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $277.80 $926 1.2×
Application cast elbow finger short arm (29075) $208.80 $696 0.5×
Application Cast Finger (29086) $100.20 $334 0.4×
Application Finger Splint Dynamic (29131)
range across 3 matching MRF lines
$83.70–$93.60 $279–$312 varies
Application finger splint static (29130) $225.90 $753 1.2×
Application Hip Spica Cast 1 Leg (29305) $318.30 $1,061 0.8×
Application long arm splint shoulder hand (29105)
range across 3 matching MRF lines
$185.70–$225.90 $619–$753 varies
Application Long Leg Cast Brace (29358) $292.20 $974 0.7×
Application Long Leg Cast Walker/Ambulatory Type (29355) $209.70 $699 0.5×
Application Long Leg Splint (29505)
range across 3 matching MRF lines
$228.30–$254.70 $761–$849 varies
Application of cylinder cast (thigh to ankle) (29365)
range across 2 matching MRF lines
$222.60–$248.40 $742–$828 varies
Application of long leg cast (29345)
range across 3 matching MRF lines
$235.50–$262.50 $785–$875 varies
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines
$198.30–$207 $661–$690 varies
Application short arm splint forearm-hand static (29125) $225.90 $753 1.2×
Application short leg splint calf foot (29515) $208.80 $696 0.9×
Apply hand/wrist cast (29085)
range across 3 matching MRF lines
$156.30–$174.30 $521–$581 varies
Apply long arm cast (29065) $177.90 $593 0.5×
Apply Multlay Comprs Lwr Leg (29581) $183.30 $611 0.8×
Apply Short Leg Cast (29405) $259.20 $864 0.7×
Apply short leg cast (29425) $262.20 $874 0.7×
Arterial puncture (36600)
range across 2 matching MRF lines
$74.40–$90.60 $248–$302 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $408 $1,360 0.9×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $512.40 $1,708 0.5×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $500.40 $1,668 1.2×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $572.10 $1,907 1.3×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $383.10 $1,277 0.9×
Aspirate pleura w/ imaging (32555) $990.30 $3,301 1.1×
Aspirate Pleura W/O Imaging (32554) $845.70 $2,819 1.0×
Aspirate/Inj Ganglion Cyst (20612) $235.50 $785 0.5×
Aspiration bladder insert suprapubic catheter (51102) $2,399.70 $7,999 0.8×
Avulsion nail plate partial/complete simple 1 (11730) $177.30 $591 0.6×
Biopsy Abdominal Mass (49180) $737.70 $2,459 0.3×
Biopsy bone trocar/needle deep (20225) $1,793.10 $5,977 0.8×
Biopsy Bone Trocar/Needle Superficial (20220) $727.50 $2,425 0.3×
Biopsy external ear (69100) $637.20 $2,124 1.9×
Biopsy muscle percutaneous needle (20206) $471 $1,570 0.2×
Biopsy Muscle Superficial (20200) $1,745.10 $5,817 0.7×
Biopsy of lip (40490) $231.90 $773 0.7×
Biopsy of liver, needle; percutaneous (47000)
range across 2 matching MRF lines
$1,085.70–$1,134 $3,619–$3,780 varies
Biopsy Pleura Percutaneous Needle (32400) $1,490.70 $4,969 0.6×
Biopsy Salivary Gland Incisional (42405) $1,483.80 $4,946 0.7×
Biopsy Salivary Gland Needle (42400) $825.60 $2,752 0.8×
Biopsy soft tissue neck/thorax (21550) $2,001 $6,670 0.9×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $487.20 $1,624 0.4×
Bladder Irrigation (51700) $155.40 $518 0.4×
Bladder Scan (51798) $116.70 $389 1.4×
Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206)
range across 2 matching MRF lines
$1,324.50–$2,144.10 $4,415–$7,147 varies
Blood Transfusion Service (36430) $1,003.20 $3,344 1.6×
Bone Marrow Biopsy (38221) $865.50 $2,885 0.4×
Bone marrow harvest allogen (38230) $484.80 $1,616 0.2×
Bone Marrow; Aspiration Only (38220) $351 $1,170 0.2×
Brnchsc Brushing/Protected Brushings (31623) $1,602.90 $5,343 0.6×
Bronchoscopy Clear Airways (31645) $1,982.40 $6,608 0.8×
Bronchoscopy W/Biopsy(S) (31625) $1,818.90 $6,063 0.7×
Bronchoscopy W/Removal Foreign Body (31635) $1,818.90 $6,063 0.7×
Catheter aspiration nasotracheal spx (31720) $241.80 $806 0.8×
Change Cystostomy Tube Complicated (51710) $365.70 $1,219 0.4×
Change Cystostomy Tube Simple (51705) $351.90 $1,173 1.0×
Change of Windpipe Airway (31502) $213.90 $713 0.6×
Chemical Cautery Tissue (17250) $211.50 $705 0.7×
Chemodenerv 1 extrem 5/> mus (64644) $544.20 $1,814 0.5×
Chemodenerv 1 extremity 1-4 (64642) $504.30 $1,681 0.5×
Chemodenerv Musc Migraine (64615) $367.50 $1,225 0.8×
Chemodenerv musc neck dyston (64616) $376.50 $1,255 0.9×
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $136.20 $454 0.3×
Chemodenerv trunk musc 1-5 (64646) $408.60 $1,362 0.4×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $204.90 $683 0.5×
Chest tube placement (32551) $1,436.70 $4,789 0.6×
Circumcision 28 days or older (54161) $1,596 $5,320 0.5×
Circumcision w/clamp/oth dev w/block (54150) $1,577.70 $5,259 0.5×
Cl Tx Tib Shft Fx W Manip (27752) $1,694.40 $5,648 0.7×
Clear outer ear canal (69200) $102.60 $342 0.5×
Closed Rx Spontaneous Hip Disloc (27256) $264 $880 0.8×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $279 $930 0.8×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,815.60 $6,052 5.2×
Closed Treatment Sesamoid Fracture (28530) $242.70 $809 0.7×
Closed Treatment Ulnar Styloid Fracture (25650) $385.50 $1,285 1.1×
Closed tx ankle dislocation w/o anesthesia (27840) $306.30 $1,021 0.9×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,578.60 $5,262 0.7×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $242.70 $809 0.7×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $279 $930 0.8×
Closed tx carpal scaphoid fracture w/manj (25624) $1,415.40 $4,718 0.6×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $711 $2,370 2.0×
Closed tx femoral fracture prox head w/o manj (27267) $2,827.20 $9,424 0.6×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $279 $930 0.8×
Closed tx knee dislocation w/o anesthesia (27550) $554.70 $1,849 1.6×
Closed Tx Lunate Dislocation W/Manipulation (25690) $1,415.40 $4,718 0.6×
Closed tx mandibular fracture w/manipulation (21451) $1,471.50 $4,905 0.7×
Closed Tx Mandibular Fracture W/O Manipulation (21450)
range across 2 matching MRF lines
$560.40–$625.20 $1,868–$2,084 varies
Closed tx metatarsal fracture w/o manipulation (28470) $279 $930 0.8×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,825.20 $6,084 0.8×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,024.20 $3,414 0.5×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $2,127.30 $7,091 0.5×
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) $2,895.60 $9,652 0.6×
Closed tx patellar dislocation w/anesthesia (27562) $318.60 $1,062 0.9×
Closed tx patellar dislocation w/o anesthesia (27560) $296.10 $987 0.9×
Closed Tx Patellar Fracture W/O Manipulation (27520) $279 $930 0.8×
Closed tx radial head/neck fx w/manipulation (24655) $1,815.60 $6,052 0.8×
Closed tx radial head/neck fx w/o manipulation (24650) $638.40 $2,128 1.8×
Closed tx radial shaft fracture w/manipulation (25505) $1,578.60 $5,262 0.7×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $270.90 $903 0.8×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines
$567.30–$1,470.30 $1,891–$4,901 varies
Closed tx radial&ulnar shaft fractures w/o man (25560) $274.20 $914 0.8×
Closed Tx Scapular Fracture W/O Manipulation (23570) $279 $930 0.8×
Closed tx talotarsal joint dislc w/o anes (28570) $242.70 $809 0.7×
Closed tx talus fracture w/o manipulation (28430) $242.70 $809 0.7×
Closed tx tarsometatarsal dislocation w/o anes (28600) $242.70 $809 0.7×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $808.20 $2,694 2.3×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,372.80 $4,576 0.6×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $270.90 $903 0.8×
Closed tx ulnar shaft fracture w/o manipulation (25530) $298.50 $995 0.9×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $349.50 $1,165 1.0×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $666 $2,220 0.9×
Clsd tx acromioclavicular dislc w/manipulation (23545) $334.50 $1,115 1.0×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $242.70 $809 0.7×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $1,627.80 $5,426 0.7×
Clsd tx clavicular fracture w/o manipulation (23500) $370.20 $1,234 1.1×
Clsd tx fx orbit except blowout w/o manipulation (21400) $459 $1,530 0.6×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,133.40 $3,778 0.5×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $516.90 $1,723 1.5×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,578.90 $5,263 0.7×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $343.20 $1,144 1.0×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $1,627.80 $5,426 0.7×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $279 $930 0.8×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 2 matching MRF lines
$239.70–$270.30 $799–$901 varies
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $1,504.20 $5,014 0.7×
Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) $1,623.30 $5,411 0.7×
Cltx dstl fibular fx lat malls w/manj (27788) $770.40 $2,568 2.2×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines
$264–$343.50 $880–$1,145 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $644.70 $2,149 1.9×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $289.80 $966 0.8×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $430.20 $1,434 1.2×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,690.80 $5,636 0.7×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,415.40 $4,718 0.6×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $242.70 $809 0.7×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $1,415.40 $4,718 0.6×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $279 $930 0.8×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,415.40 $4,718 0.6×
Cltx fx grt toe phlx/phlg w/manj (28495) $235.50 $785 0.7×
Cltx fx grt toe phlx/phlg w/o manj (28490) $270.90 $903 0.8×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $638.40 $2,128 1.8×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $279 $930 0.8×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,815.60 $6,052 0.8×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $297.60 $992 0.9×
Cltx greater humeral tuberosity fx w/o manj (23620) $242.70 $809 0.7×
Cltx hip dislocation traumatic w/o anesthesia (27250) $235.50 $785 0.7×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $279 $930 0.8×
Cltx humeral condylar fx medial/lateral w/manj (24577) $1,627.80 $5,426 0.7×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,578.60 $5,262 0.7×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $242.70 $809 0.7×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $1,627.80 $5,426 0.7×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $540.60 $1,802 1.4×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $441 $1,470 1.3×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,627.80 $5,426 4.1×
Cltx iphal jt dislc w/manj w/o anes (26770) $400.50 $1,335 1.1×
Cltx Med Ankle Fx W/Mnpj (27762) $1,415.40 $4,718 0.6×
Cltx Medial Ankle Fx (27760) $242.70 $809 0.7×
Cltx metacarpal fx w/manipulation each bone (26605) $445.50 $1,485 1.3×
Cltx metacarpal fx w/o manipulation each bone (26600) $330.60 $1,102 0.9×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $1,983.90 $6,613 0.9×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $761.10 $2,537 2.2×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $289.80 $966 0.8×
Cltx post hip arthrp dislc w/o anes (27265) $510.90 $1,703 1.5×
Cltx prox fibula/shft fx w/manj (27781) $1,815.60 $6,052 0.8×
Cltx prox fibula/shft fx w/o manj (27780) $279 $930 0.8×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,203 $4,010 0.5×
Cltx prox tibfib jt dislc w/o anes (27830) $242.70 $809 0.7×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $430.20 $1,434 1.2×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $1,627.80 $5,426 0.7×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,415.40 $4,718 0.6×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,316.40 $4,388 0.6×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $311.10 $1,037 0.9×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $242.70 $809 0.7×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $242.70 $809 0.7×
Cltx tibial fx proximal w/o manipulation (27530) $242.70 $809 0.7×
Cltx tibial shaft fx w/o manipulation (27750) $574.50 $1,915 1.6×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $255 $850 0.7×
Cltx trimalleolar ankle fx w/manipulation (27818) $704.40 $2,348 0.3×
Cltx trimalleolar ankle fx w/o manipulation (27816) $242.70 $809 0.7×
Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) $2,827.20 $9,424 0.6×
Collect Blood From Catheter Venous Nos (36592) $108.60 $362 0.6×
Collection of venous blood by venipuncture (36415)
range across 4 matching MRF lines
$23.40–$24 $78–$80 varies
Colposcopy cervix upper/adjacent vagina (57452) $108 $360 0.4×
Complex Cystometrogram (51726) $273.90 $913 0.8×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines
$141.90–$274.20 $473–$914 varies
Control Nasal Hemorrhage Anterior Simple (30901) $209.10 $697 1.1×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $960 $3,200 0.4×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,767.30 $5,891 0.8×
Cornea Scraping Diagnostic Smear &/Culture (65430) $402 $1,340 0.6×
Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) $3,629.40 $12,098 0.7×
Correction of trichiasis; epilation, by forceps only (67820) $76.20 $254 0.4×
Create Eardrum Opening (69433) $600.60 $2,002 0.8×
Csf shunt reprogram (62252) $175.50 $585 0.4×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines
$147.90–$159.30 $493–$531 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $112.20 $374 0.3×
Cystometrogram W/Up (51727) $813.90 $2,713 0.8×
Cystometrogram W/Vp (51728) $635.70 $2,119 0.6×
Cystometrogram W/Vp&Up (51729)
range across 2 matching MRF lines
$487.50–$543.60 $1,625–$1,812 varies
Cystoscopy inject material (52327)
likely a partial charge, not the full procedure
$991.50 $3,305 0.1×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,743 $5,810 0.7×
Debridement Mastoidectomy Cavity Simple (69220) $237.30 $791 0.8×
Debridement subcutaneous tissue 20 sq cm/< (11042) $390 $1,300 0.7×
Declot vascular device (36593) $594.90 $1,983 1.3×
Destruct B9 Lesion 1-14 (17110) $214.50 $715 0.8×
Destruction Benign Lesions 15/> (17111) $230.10 $767 0.8×
Destruction neurolytic agt genicular nerve w/img (64624) $2,185.50 $7,285 0.8×
Destruction of skin lesions (17106) $225.30 $751 0.4×
Destruction premalignant lesion 1st (17000) $129 $430 0.5×
Drain Cerebro Spinal Fluid (62272) $1,451.10 $4,837 1.5×
Drain/inj small joint/bursa w/us (20604) $493.80 $1,646 1.1×
Drainage Abscess/Hematoma Nasal Septum (30020) $694.50 $2,315 0.9×
Drainage external auditory canal abscess (69020) $773.70 $2,579 0.8×
Drainage external ear abscess/hematoma cmplx (69005) $1,819.50 $6,065 0.8×
Drainage External Ear Abscess/Hematoma Simple (69000) $699.90 $2,333 0.7×
Drainage Finger Abscess Complicated (26011) $1,552.50 $5,175 0.7×
Drainage Mouth Roof Lesion (42000) $237 $790 0.7×
Drainage of finger abscess simple (26010) $309.90 $1,033 1.1×
Drainage of gum lesion (41800) $119.70 $399 0.6×
Drainage of hematoma/fluid (10140) $2,629.50 $8,765 1.1×
Drainage of hydrocele (55000) $536.70 $1,789 0.5×
Drainage of nose lesion (30000) $255.60 $852 0.8×
Drainage of rectal abscess (45005) $1,214.40 $4,048 0.7×
Drainage of scrotal wall abscess (55100) $1,509.60 $5,032 0.6×
Draw Blood Off Venous Device (36591) $280.50 $935 1.5×
Dressing Change Under Anesthesia (15852) $570.60 $1,902 0.5×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $763.50 $2,545 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $442.80 $1,476 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines
$218.40–$413.70 $728–$1,379 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $318 $1,060 1.1×
Drug metabolism (adverse drug reactions and drug response), genotyping of 16 genes (ie, ABCG2, CYP2B6, CYP2C9, CYP2C19,… (0533U) $131.10 $437 0.3×
Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) $225.30 $751 0.2×
Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) $768.30 $2,561 0.3×
Dstrj lesion anus simple cryosurgery (46916) $218.40 $728 0.8×
Dstrj Lesion Penis Simple Cryosurgery (54056) $218.70 $729 0.8×
Dx Bone Marrow Bx & Aspir (38222) $1,757.40 $5,858 0.4×
Dx Bronchoscope/Lavage (31624) $2,160.60 $7,202 0.9×
Dx Bronchoscope/Wash (31622) $1,014.60 $3,382 0.4×
Dx Laryngoscopy Excl Nb (31525) $2,462.40 $8,208 1.0×
Dx lmbr spi pnxr w/fluor/CT (62328) $981.90 $3,273 1.0×
Egd Flexible Foreign Body Removal (43247) $1,456.20 $4,854 1.1×
Egd place gastrostomy tube (43246) $2,171.10 $7,237 0.8×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $296.10 $987 0.7×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $356.10 $1,187 0.8×
Electro-Uroflowmetry First (51741) $193.50 $645 0.6×
Epidural Blood Patch (62273) $818.40 $2,728 0.8×
Esophagosc Dilate Balloon 30 (43214) $600 $2,000 0.2×
Evacuation of subungual hematoma (11740) $106.50 $355 0.6×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $378 $1,260 0.4×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $2,214.90 $7,383 0.9×
Exc Back Les Sc < 3 Cm (21930) $1,259.40 $4,198 0.5×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $154.80 $516 0.2×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $167.40 $558 0.2×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $200.70 $669 0.2×
Exc Frenum Labial/Buccal (40819) $564.30 $1,881 0.3×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $181.50 $605 0.1×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $1,380.30 $4,601 1.4×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $1,849.20 $6,164 0.8×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $1,179.90 $3,933 0.8×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $912.90 $3,043 0.9×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,926 $6,420 0.8×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $466.50 $1,555 0.8×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $666.60 $2,222 0.7×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,926 $6,420 0.8×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $3,712.50 $12,375 0.7×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $1,299.30 $4,331 0.5×
Excis Mouth Mucosa/Sub,No Repair (40810) $1,142.70 $3,809 0.2×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $1,959.90 $6,533 0.9×
Excision Chalazion Multiple Same Lid (67801) $434.40 $1,448 0.3×
Excision Chalazion Single (67800) $171.90 $573 0.4×
Excision Lesion Conjunctiva </1 Cm (68110) $2,508 $8,360 0.7×
Excision Lesion Tongue W/O Closure (41110) $3,455.70 $11,519 0.7×
Excision Lingual Frenum Frenectomy (41115) $1,168.80 $3,896 0.5×
Excision Thyroglossal Duct Cyst/Sinus (60280) $6,144.90 $20,483 0.7×
Explo/Drain Breast Abscess (19020) $2,309.40 $7,698 1.0×
Fine needle aspiration without imaging guidance (10021)
range across 3 matching MRF lines
$259.50–$289.50 $865–$965 varies
Fluoro exam of g/colon tube (49465) $109.50 $365 0.3×
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines
$557.10–$640.80 $1,857–$2,136 varies
Foreskin manipulation (54450)
range across 2 matching MRF lines
$500.70–$575.70 $1,669–$1,919 varies
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $392.40 $1,308 0.1×
Guide Cathet Fluid Drainage (10030) $657 $2,190 0.7×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $3,951.90 $13,173 0.6×
I&d abscess peritonsillar (42700) $248.40 $828 0.7×
I&d abscess simple (10060) $453.30 $1,511 1.6×
I&D Deep Absc/Hematoma Neck/Chest (21501) $2,038.20 $6,794 0.5×
I&d perianal abscess superficial (46050) $1,023.90 $3,413 0.8×
I&d pilonidal cyst complicated (10081) $1,032.30 $3,441 1.0×
I&d pilonidal cyst simple (10080) $790.80 $2,636 0.8×
I&d upper arm/elbow deep abscess/hematoma (23930) $1,482.30 $4,941 0.4×
Image Cath Fluid Colxn Visc (49405) $1,257.90 $4,193 0.5×
Image Cath Fluid Peri/Retro (49406) $674.70 $2,249 0.3×
Image Cath Fluid Trns/Vgnl (49407) $674.70 $2,249 0.3×
Incise external hemorrhoid (46083) $278.10 $927 0.8×
Incise finger tendon sheath (26055) $3,078 $10,260 1.4×
Incision & drainage abscess complicated/multiple (10061) $703.80 $2,346 1.2×
Incision & removal foreign body subq tiss compl (10121) $1,653.60 $5,512 0.7×
Incision & removal foreign body subq tiss simple (10120) $427.20 $1,424 0.7×
Incision and drainage of bartholin's gland abscess (56420) $180 $600 0.6×
Incision and drainage of vulva or perineal abscess (56405) $370.80 $1,236 0.9×
Incision of labial frenum (frenotomy) (40806) $590.70 $1,969 0.8×
Incision of lingual frenum (frenotomy) (41010) $876.90 $2,923 0.4×
Incision of rectal abscess (46040) $1,552.80 $5,176 0.9×
Incision of urethra (53020) $2,678.10 $8,927 0.9×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $999.30 $3,331 0.4×
Incisional biopsy skin single lesion (11106) $408.60 $1,362 0.4×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines
$172.80–$180.30 $576–$601 varies
Inject Intravitreal Pharmcologic (67028) $378.30 $1,261 0.8×
Injection 1 tendon sheath/ligament aponeurosis (20550) $477 $1,590 1.1×
Injection aa&/strd genicular nrv branches w/img (64454) $794.40 $2,648 0.8×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $794.40 $2,648 0.8×
Injection Into Brain Canal (61055) $301.20 $1,004 0.7×
Injection single/mlt trigger point 1/2 muscles (20552) $379.80 $1,266 0.9×
Injection single/mlt trigger point 3/> muscles (20553) $551.10 $1,837 1.3×
Injection, anesthetic agent; brachial plexus, single (64415) $1,125 $3,750 0.9×
Injection, anesthetic agent; femoral nerve, single (64447) $991.80 $3,306 1.0×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines
$1,048.80–$1,206 $3,496–$4,020 varies
Injection, Intralesional; More Than 7 Lesions (11901) $177.90 $593 0.6×
Injection, intralesional; up to and including 7 lesions (11900) $129.60 $432 0.5×
Ins cath ren art 1st bilat (36252) $3,431.10 $11,437 0.8×
Ins cath ren art 1st unilat (36251) $3,318.60 $11,062 0.7×
Insert and remove bone pin (20650) $2,564.40 $8,548 0.6×
Insert Bladder Cath Complex (51703) $206.70 $689 1.1×
Insert cath pleura w/ image (32557) $1,948.50 $6,495 0.9×
Insert cath pleura w/o image (32556) $1,531.80 $5,106 0.6×
Insert Drug Implant Device (11981) $404.40 $1,348 2.2×
Insert Gastrostomy Tube Percutaneous (49440) $455.70 $1,519 0.2×
Insert non-tunnel cv cath (36556) $2,313.30 $7,711 0.5×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,683.30 $5,611 0.8×
Insert Temp Bladder Cath (51702) $138.60 $462 0.7×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
unusually low: confirm this is the full procedure
$3,055.20 $10,184 0.4×
Insert,Non-Indwelling Bladder Catheter (51701) $78.90 $263 0.4×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,313.30 $7,711 1.0×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $3,929.10 $13,097 0.8×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $2,313.30 $7,711 0.5×
Insj Picc Rs&I <5 Yr (36572) $775.50 $2,585 0.9×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $3,462 $11,540 0.8×
Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) $3,462 $11,540 0.8×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,709.70 $5,699 0.8×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $2,409.90 $8,033 0.5×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $353.40 $1,178 0.6×
Intranasal Biopsy (30100) $1,770.90 $5,903 0.8×
Intro Gastrointestinal Tube (44500) $898.80 $2,996 0.7×
Intubation endotracheal emergency procedure (31500) $541.20 $1,804 1.6×
Irrigation of corpora cavernosa for priapism (54220) $267.60 $892 0.8×
Klhl11 antb serum/csf cell binding assay qual (0432U) $3.90 $13 0.1×
Laryngoscope Injection Vocal Cord Therapeutic (31570)
unusually low: confirm this is the full procedure
$1,738.20 $5,794 0.3×
Laryngoscopy flexible ablatj destj lesion(s) uni (31572) $4,055.40 $13,518 0.8×
Laryngoscopy flexible diagnostic (31575) $364.20 $1,214 1.3×
Laryngoscopy flexible rmvl lesion(s) non-laser (31578) $4,055.40 $13,518 0.8×
Laryngoscopy Flexible Therapeutic Injection Uni (31573) $1,896.90 $6,323 0.8×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $1,896.90 $6,323 0.8×
Laryngoscopy Flexible W/Injection Agmntj Uni (31574) $1,896.90 $6,323 0.8×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $427.20 $1,424 0.8×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579)
range across 2 matching MRF lines
$427.20–$477.60 $1,424–$1,592 varies
Laryngoscopy Indirect W/Removal Foreign Body (31511) $203.10 $677 0.7×
Laryngoscopy W/Foreign Body Removal (31530) $1,697.10 $5,657 0.7×
Lyse chest fibrin init day (32561) $775.50 $2,585 0.9×
Lyse Chest Fibrin Subq Day (32562) $775.50 $2,585 0.9×
Lysis of labial adhesions (56441) $1,437.60 $4,792 0.3×
Lysis/excision penile postcircumcision adhesions (54162) $1,902 $6,340 0.6×
Myelography Lumbar Injection (62304) $772.80 $2,576 0.7×
N block inj intercost sng (64420) $883.50 $2,945 0.9×
N Block Inj Plantar Digit (64455) $251.10 $837 0.6×
Nasal Endoscopy Dx (31231) $183.90 $613 0.7×
Nasal/Orogastric W/Tube Plmt (43752) $216.60 $722 0.3×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $1,970.10 $6,567 0.8×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $2,062.50 $6,875 0.8×
Nasal/Sinus Ndsc Surg W/Dacryocystorhinostomy (31239) $4,779 $15,930 0.9×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $240 $800 0.7×
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines
$459.90–$480.30 $1,533–$1,601 varies
Needle insertion w/o injection 1 or 2 muscles (20560) $27 $90 0.7×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $117.60 $392 0.3×
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U)
range across 2 matching MRF lines
$600–$660 $2,000–$2,200 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $390.60 $1,302 0.9×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $2,578.50 $8,595 0.5×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $853.80 $2,846 0.9×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $619.50 $2,065 0.6×
Occipital Nerve Block (64405) $365.70 $1,219 0.8×
Open Tx Distal Phalangeal Fracture Each (26765) $3,818.40 $12,728 0.8×
Penile Injection (54235) $305.10 $1,017 0.9×
Pericardiocentesis W/Imaging (33016) $1,762.50 $5,875 0.8×
Perq dilation xst trc endourologic px w/img (50436) $1,500.30 $5,001 0.3×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904)
unusually low: confirm this is the full procedure
$2,925.60 $9,752 0.4×
Photopheresis extracorporeal (36522) $9,637.80 $32,126 1.6×
Place Cath Subclavian Art (36225) $4,009.20 $13,364 0.9×
Place Cath Vertebral Art (36226) $5,134.80 $17,116 0.7×
Placement of needle for intraosseous infusion (36680) $530.40 $1,768 0.8×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $1,411.50 $4,705 0.5×
Probing nasolacrimal duct (68810) $171.90 $573 0.4×
Proctopexy Perineal Approach (45541) $2,980.20 $9,934 0.8×
Punch biopsy skin single lesion (11104) $279.60 $932 0.5×
Puncture aspiration abscess hematoma bulla/cyst (10160) $349.20 $1,164 0.6×
Puncture shunt tube/reservoir aspiration/inj px (61070) $883.50 $2,945 0.9×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625)
range across 2 matching MRF lines
$2,029.80–$2,185.50 $6,766–$7,285 varies
Reduction of rectal prolapse (45900) $844.50 $2,815 0.6×
Rem Endovas Vena Cava Filter (37193) $3,842.40 $12,808 0.9×
Removal Anal Seton Other Marker (46030) $1,456.50 $4,855 0.9×
Removal Embedded Foreign Body Eyelid (67938) $77.10 $257 0.2×
Removal foreign body foot deep (28192) $1,782.30 $5,941 0.8×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines
$633.60–$767.70 $2,112–$2,559 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $2,240.40 $7,468 1.0×
Removal impacted cerumen irrigation/lvg unilat (69209) $58.20 $194 0.7×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $69.30 $231 0.8×
Removal impacted vag fb spx w/anes oth/thn local (57415) $3,254.70 $10,849 0.7×
Removal Implant Superficial Separate Procedure (20670) $814.20 $2,714 0.3×
Removal implantable contraceptive capsules (11976) $313.50 $1,045 0.3×
Removal of foreign body from pharynx (42809) $117.30 $391 0.2×
Removal of nail bed (11750) $362.70 $1,209 0.6×
Removal or bivalving full arm or full leg cast (29705) $180.90 $603 0.5×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $156.90 $523 0.6×
Removal Sutures/Staples Requiring Anesthesia (15851) $2,269.80 $7,566 0.8×
Removal/bivalving gauntlet boot/body cast (29700)
range across 2 matching MRF lines
$274.50–$306.30 $915–$1,021 varies
Remove Brain Cavity Fluid (61020) $981.60 $3,272 0.8×
Remove drug implant device (11982) $264.60 $882 0.4×
Remove foreign body from eye (65235) $2,235 $7,450 0.7×
Remove foreign body from eye (65205) $83.10 $277 0.4×
Remove Intrauterine Device (58301) $157.20 $524 0.4×
Remove Nasal Foreign Body (30300) $170.40 $568 0.9×
Remove Skin Nerve Lesion (64774) $2,383.20 $7,944 0.9×
Remove/Insert Drug Implant (11983) $315 $1,050 0.5×
Renal Biopsy Perq (50200) $1,215 $4,050 0.5×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $550.20 $1,834 0.5×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $608.10 $2,027 0.6×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $356.70 $1,189 0.6×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $495 $1,650 0.9×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $423 $1,410 0.7×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $480.60 $1,602 0.8×
Repair complex trunk 1.1-2.5 cm (13100) $264.60 $882 0.3×
Repair complex trunk 2.6-7.5 cm (13101) $590.10 $1,967 0.6×
Repair Detached Retina (67101) $2,469.60 $8,232 0.8×
Repair Eyelid Wound (67935) $2,085.30 $6,951 0.6×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $419.40 $1,398 0.7×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $451.20 $1,504 0.8×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $467.40 $1,558 0.8×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $467.40 $1,558 0.8×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $549.60 $1,832 0.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $345.90 $1,153 0.6×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $505.20 $1,684 0.9×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines
$520.50–$598.50 $1,735–$1,995 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $600.60 $2,002 1.0×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $440.70 $1,469 0.8×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $507.60 $1,692 0.9×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $600.60 $2,002 0.6×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $533.70 $1,779 0.9×
Repair Laceration Palate </2 Cm (42180) $644.40 $2,148 0.8×
Repair of nail bed (11760) $562.80 $1,876 0.5×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400)
unusually low: confirm this is the full procedure
$4,581.30 $15,271 0.4×
Repair Spica/Body/Jacket Cast (29720) $189 $630 0.8×
Repair tongue laceration (41252)
range across 2 matching MRF lines
$471–$534.60 $1,570–$1,782 varies
Repair tongue laceration (41250)
range across 2 matching MRF lines
$134.70–$154.80 $449–$516 varies
Replace duodenostomy/jejunostomy tube perq (49451) $848.10 $2,827 0.7×
Replace G-J Tube Perc (49452) $478.20 $1,594 0.4×
Replace g/c tube perc (49450) $437.10 $1,457 0.3×
Replantation digit complete (20822) $2,246.40 $7,488 1.0×
Reposition Gastrostomy Tube (43761) $503.40 $1,678 1.4×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $1,378.50 $4,595 0.6×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $1,123.80 $3,746 0.9×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $67.20 $224 0.1×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $291.60 $972 1.6×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $341.70 $1,139 0.5×
Rmvl fecal impaction/fb spx under anes (45915) $1,396.50 $4,655 0.8×
Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) $3,086.10 $10,287 1.4×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,609.20 $5,364 1.8×
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) $145.50 $485 0.4×
Rplc Gtube No Revj Trc (43762) $256.20 $854 0.7×
Rplc gtube revj gstrst trc (43763) $385.50 $1,285 1.1×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $3,462 $11,540 0.8×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,708.80 $5,696 0.8×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $2,773.80 $9,246 0.6×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $551.10 $1,837 1.9×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $222.30 $741 0.7×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $243.60 $812 0.3×
Rpr Lip Full Thickness Vermilion Only (40650) $745.80 $2,486 1.0×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $1,773.60 $5,912 0.8×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $613.80 $2,046 0.7×
Sclerotx Fluid Collection (49185) $1,093.80 $3,646 0.5×
Shave skin lesion 0.5 cm/< (11300) $113.10 $377 0.2×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $113.10 $377 0.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $255.60 $852 0.9×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $177.60 $592 0.6×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $492.30 $1,641 0.9×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $260.70 $869 0.9×
Simple Cystometrogram (51725) $758.10 $2,527 2.1×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $351 $1,170 1.2×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $361.80 $1,206 1.3×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $459.60 $1,532 1.6×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $248.10 $827 0.9×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $396.90 $1,323 1.4×
Skin Tissue Procedure (17999) $246.90 $823 0.9×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $5,682.30 $18,941 0.7×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $5,134.80 $17,116 0.7×
Slitting of prepuce (54001) $2,366.40 $7,888 0.8×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $326.10 $1,087 1.2×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $406.50 $1,355 0.7×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $467.40 $1,558 0.8×
Spinal puncture lumbar diagnostic (62270) $956.70 $3,189 1.0×
Strapping ankle (29540)
range across 2 matching MRF lines
$121.20–$147.60 $404–$492 varies
Strapping elbow or wrist (29260)
range across 2 matching MRF lines
$89.10–$101.70 $297–$339 varies
Strapping hand/finger (29280) $118.20 $394 1.4×
Strapping Hip (29520)
range across 2 matching MRF lines
$100.50–$105.30 $335–$351 varies
Strapping knee (29530) $194.10 $647 1.0×
Strapping shoulder (29240)
range across 2 matching MRF lines
$151.80–$163.50 $506–$545 varies
Strapping thorax (29200) $123.60 $412 0.5×
Strapping toes (29550)
range across 3 matching MRF lines
$61.20–$74.40 $204–$248 varies
Strapping Unna Boot (29580) $154.80 $516 0.7×
Subcutaneous Hormone Pellet Implantation (11980) $277.50 $925 0.4×
Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) $3,567 $11,890 0.8×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $2,448.90 $8,163 0.7×
Tangential biopsy skin single lesion (11102) $222.90 $743 0.4×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $1,830 $6,100 0.8×
Thaw preserved stem cells (38208)
range across 3 matching MRF lines
$161.10–$1,362.90 $537–$4,543 varies
Ther Apheresis W/Extracorporeal Immunoadsorption (36516) $5,414.70 $18,049 0.9×
Ther Apheresis,Red Blood Cells (36512) $4,419.60 $14,732 2.0×
Ther Spi Pnxr Csf Fluor/Ct (62329)
range across 2 matching MRF lines
$1,413.90–$1,476.90 $4,713–$4,923 varies
Therapeutic Apheresis White Blood Cells (36511) $2,493.60 $8,312 1.1×
Therapeutic plasma exchange (36514) $2,747.10 $9,157 1.2×
Thyroid biopsy (60100) $881.10 $2,937 0.9×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $944.70 $3,149 0.3×
Tooth extraction (41899) $1,320 $4,400 3.9×
Tracheobrnchsc Thru Est Trachs Inc (31615) $880.80 $2,936 1.2×
Tracheostomy Emergency Cricothyroid Membrane (31605) $255.60 $852 0.8×
Transcatheter biopsy (37200)
likely a partial charge, not the full procedure
$1,087.50 $3,625 0.1×
Treat Dental Ridge Fracture (21440) $251.40 $838 0.1×
Treat humerus fracture (24500) $288.90 $963 0.8×
Treat Humerus Fracture (24505) $1,383.60 $4,612 0.6×
Treat humerus fracture (23600) $572.10 $1,907 1.6×
Treat knee fracture (27532) $3,548.40 $11,828 0.8×
Treat Knee Fracture(S) (27538) $235.50 $785 0.7×
Treat Knuckle Dislocation (26700) $464.70 $1,549 1.3×
Treat Metatarsal Fracture (28475) $532.80 $1,776 1.5×
Treat Thumb Dislocation (26641) $348 $1,160 1.0×
Treat Thumb Fracture (26645) $1,415.40 $4,718 0.6×
Treat toe dislocation (28630) $242.70 $809 0.7×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,147.20 $3,824 0.5×
Treatment closed elbow dislocation w/o anes (24600) $482.10 $1,607 1.4×
Treatment extensive retinopathy photocoagulation (67228) $603.60 $2,012 0.8×
Trim skin lesion (11055) $204 $680 0.7×
Trim skin lesions 2 to 4 (11056) $238.50 $795 0.8×
Trimming Nondystrophic Nails Any Number (11719) $98.10 $327 1.2×
Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) $2,044.20 $6,814 3.3×
Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) $262.20 $874 0.4×
Trnspl Prepj Hematop Progen Red Bld Cell Rmvl (38212) $5,394.30 $17,981 8.7×
Trnsplj allogeneic hematopoietic cells per donor (38240)
likely a partial charge, not the full procedure
$15,923.40 $53,078 0.2×
Trnsplj autologous hematopoietic cells per donor (38241) $2,143.50 $7,145 1.0×
Tx Gastro Intub W/Asp (43753) $279.60 $932 0.9×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $279 $930 0.8×
Unlisted Cardiac Surgery (33999) $664.20 $2,214 0.7×
Unlisted procedure humerus/elbow (24999) $175.20 $584 0.5×
Unlisted procedure lacrimal system (68899) $318 $1,060 0.7×
Unlisted procedure nervous system (64999)
range across 3 matching MRF lines
$142.20–$588 $474–$1,960 varies
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $1,054.20 $3,514 3.2×
Unlisted procedure spine (22899) $1,624.80 $5,416 4.7×
Unlisted procedure stomach (43999) $778.50 $2,595 0.6×
Unlisted Procedure Vascular Surgery (37799) $664.20 $2,214 0.7×
Urinary Reflex Study (51792) $65.40 $218 0.8×
Urine Flow Measurement (51736) $149.40 $498 0.8×
Vaginal delivery only (59409) $3,157.20 $10,524 0.7×
Vasc embolize/occlude artery (37242)
likely a partial charge, not the full procedure
$1,280.40 $4,268 0.0×
Vasc Embolize/Occlude Bleed (37244)
likely a partial charge, not the full procedure
$1,956.45 $6,521.50 0.1×
Vasc embolize/occlude venous (37241)
likely a partial charge, not the full procedure
$1,825.80 $6,086 0.1×
Venous Mech Thrombectomy (37187)
likely a partial charge, not the full procedure
$4,766.70 $15,889 0.3×
Ventricular puncture previous burr hole w/inj (61026) $821.70 $2,739 0.8×
Wash harvest stem cells (38209) $2,961.60 $9,872 4.8×
Wedge excision skin nail fold (11765) $448.20 $1,494 0.8×
Wedging of cast (29740) $292.20 $974 0.7×
Xtrnl fixj w/strtctc adjustment exchange strut (20697) $1,624.80 $5,416 0.7×

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.