Procedures & surgery prices at Wentworth-Douglass Hospital

Dover, NH · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,309.80 $2,183 1.4×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $3,273.60 $5,456 3.4×
Application finger splint static (29130) $172.80 $288 1.2×
Application long arm splint shoulder hand (29105) $287.40 $479 1.7×
Application Long Leg Splint (29505) $295.20 $492 1.7×
Application of rigid total contact leg cast (29445) $624.60 $1,041 2.1×
Application short arm splint forearm-hand static (29125) $237 $395 1.7×
Application short leg splint calf foot (29515) $288.60 $481 1.7×
Apply Multlay Comprs Lwr Leg (29581) $270 $450 1.6×
Arterial puncture (36600) $177 $295 1.2×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $1,138.20 $1,897 3.5×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $411.60 $686 0.5×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $1,517.40 $2,529 4.6×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $1,836.60 $3,061 5.6×
Aspirate pleura w/ imaging (32555) $1,278.60 $2,131 1.9×
Aspiration bladder insert suprapubic catheter (51102) $6,447 $10,745 2.9×
Av Fistula Revision Open (36832) $32,937 $54,895 5.5×
Avulsion nail plate partial/complete simple 1 (11730) $340.20 $567 1.6×
Biopsy Abdominal Mass (49180) $662.40 $1,104 0.4×
Biopsy bone trocar/needle deep (20225) $2,516.40 $4,194 1.4×
Biopsy Bone Trocar/Needle Superficial (20220) $1,702.80 $2,838 1.0×
Biopsy muscle percutaneous needle (20206) $1,398.60 $2,331 0.8×
Biopsy of liver, needle; percutaneous (47000) $2,928.60 $4,881 1.7×
Biopsy Salivary Gland Needle (42400) $2,256 $3,760 3.0×
Biopsy Vaginal Mucosa Extensive (57105) $682.20 $1,137 0.2×
Biopsy Vaginal Mucosa Simple (57100) $345 $575 0.4×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $1,230.60 $2,051 1.3×
Bladder instillation anticarcinogenic agent (51720) $228 $380 0.3×
Bladder Irrigation (51700) $998.40 $1,664 3.7×
Blood Transfusion Service (36430) $1,022.40 $1,704 2.2×
Bone Marrow; Aspiration Only (38220) $2,888.40 $4,814 1.6×
Bronchoscopy W/Biopsy(S) (31625) $1,050 $1,750 0.6×
Bx breast 1st lesion strtctc (19081) $3,585 $5,975 2.0×
Bx breast 1st lesion us imag (19083) $3,382.20 $5,637 1.9×
Bx Cervix (57500) $386.40 $644 0.4×
Change Cystostomy Tube Simple (51705) $1,509 $2,515 5.7×
Chemical Cautery Tissue (17250) $240 $400 1.1×
Chemodenerv 1 extrem 5/> mus (64644) $3,433.20 $5,722 4.6×
Chemodenerv 1 extremity 1-4 (64642) $3,148.20 $5,247 4.2×
Chemodenerv Musc Migraine (64615) $3,608.40 $6,014 11.0×
Chemodenerv musc neck dyston (64616) $4,020 $6,700 12.3×
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $8,712 $14,520 3.9×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $7,869 $13,115 2.1×
Collect Blood From Catheter Venous Nos (36592) $142.80 $238 1.0×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines
$9.60–$18 $16–$30 varies
Colonoscopy thru stoma (44388) $1,379.40 $2,299 1.4×
Colonoscopy w/ablation (45388) $4,521 $7,535 3.5×
Colonoscopy w/submucosal inj (45381) $3,464.40 $5,774 2.7×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $687.60 $1,146 2.1×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $562.20 $937 1.7×
Colposcopy entire vagina w/cervix if present (57420) $473.40 $789 1.5×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $636 $1,060 0.6×
Colsc Flexible W/Control Bleeding Any Method (45382) $4,440.60 $7,401 3.5×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $3,654 $6,090 2.9×
Complex drainage wound (10180) $5,749.80 $9,583 1.9×
Control Nasal Hemorrhage Anterior Simple (30901) $349.20 $582 2.5×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $5,202 $8,670 2.9×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $650.40 $1,084 4.6×
Curettage postpartum (59160) $2,740.80 $4,568 0.8×
Cysto W/Simple Removal Stone & Stent (52310) $2,401.20 $4,002 1.1×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,379.40 $2,299 1.7×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $2,921.40 $4,869 1.7×
Debridement subcutaneous tissue 20 sq cm/< (11042) $960.60 $1,601 2.2×
Declot vascular device (36593) $165 $275 0.5×
Delivery of placenta (59414) $1,417.20 $2,362 0.4×
Destroy cerv/thor facet jnt (64633) $6,597 $10,995 3.2×
Destroy lumb/sac facet jnt (64635) $6,503.40 $10,839 3.1×
Destruction by neurolytic agent; pudendal nerve (64630) $5,557.80 $9,263 5.9×
Destruction Lesions Vulva Simple (56501) $3,198.60 $5,331 1.5×
Destruction neurolytic agt genicular nerve w/img (64624) $4,317 $7,195 2.1×
Diagnostic sigmoidoscopy (45330) $946.20 $1,577 1.0×
Drainage of finger abscess simple (26010) $794.40 $1,324 3.7×
Drainage of hematoma/fluid (10140) $1,278.60 $2,131 0.7×
Drainage of scrotal wall abscess (55100) $973.20 $1,622 0.6×
Draw Blood Off Venous Device (36591) $105 $175 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $685.80 $1,143 3.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $355.20 $592 1.7×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $2,776.20 $4,627 2.9×
Dx Bone Marrow Bx & Aspir (38222) $5,224.80 $8,708 1.7×
Dx Bronchoscope/Wash (31622) $4,897.80 $8,163 2.6×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,501.80 $2,503 2.0×
Egd Balloon Dil Esoph30 Mm/> (43233) $3,927.60 $6,546 1.9×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $2,677.20 $4,462 1.3×
Egd control bleeding any (43255) $3,464.40 $5,774 1.7×
Egd endo mucosal resection (43254) $4,630.20 $7,717 2.3×
Egd Endoscopic Stent Place (43266) $19,374 $32,290 3.0×
Egd Flexible Foreign Body Removal (43247) $3,072 $5,120 3.2×
Egd guide wire insertion (43248) $2,889.60 $4,816 3.0×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $4,502.40 $7,504 2.2×
Egd intrmural us needle aspirate/biopsy esophags (43238) $4,045.20 $6,742 2.0×
Egd lesion ablation (43270) $3,864.60 $6,441 1.9×
Egd Partial/Compl Esophagogastric Fundoplasty (43210) $12,493.80 $20,823 1.1×
Egd place gastrostomy tube (43246) $3,459.60 $5,766 1.7×
Egd remove lesion snare (43251) $3,391.80 $5,653 1.7×
Egd Tube/Cath Insertion (43241) $2,476.20 $4,127 1.2×
Egd us exam duodenum/jejunum (43259) $3,892.20 $6,487 1.9×
Egd Varices Ligation (43244) $4,206.60 $7,011 2.1×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $1,234.80 $2,058 3.8×
Endocervical curettage (57505) $501 $835 0.5×
Endometrial Biopsy (58100) $363 $605 1.7×
Endoscopic us exam esoph (43237) $3,385.80 $5,643 1.7×
Endoscopy Upper Small Intestine (44360) $7,944 $13,240 3.9×
Endoscopy upper small intestine w/biopsy (44361) $4,866 $8,110 2.4×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $7,288.80 $12,148 2.2×
Epidural Blood Patch (62273) $703.80 $1,173 0.9×
Ercp Destruction/Lithotripsy Calculi Any Method (43265) $7,353.60 $12,256 1.1×
Ercp duct stent placement (43274) $7,849.80 $13,083 1.2×
Ercp remove calculi/debris biliary/pancreas duct (43264) $6,196.80 $10,328 1.5×
Ercp remove forgn body duct (43275) $6,412.20 $10,687 3.1×
Ercp Stent Exchange W/Dilate (43276) $8,169 $13,615 1.3×
Ercp W/Biopsy Single/Multiple (43261) $5,774.40 $9,624 1.4×
Ercp,Sphincterotomy (43262) $6,082.80 $10,138 1.5×
Esophagogastroduodenoscopy Submucosal Injection (43236) $2,428.20 $4,047 2.5×
Evacuation of subungual hematoma (11740) $201 $335 1.4×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $424.20 $707 0.2×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $572.40 $954 0.8×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $996 $1,660 1.3×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $3,886.20 $6,477 3.0×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $4,080 $6,800 1.1×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $3,288.60 $5,481 1.5×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $1,249.80 $2,083 0.6×
Excision of vaginal cyst or tumor (57135) $878.40 $1,464 0.3×
External cephalic version (59412) $254.40 $424 0.1×
Fetal non-stress test (59025) $336.60 $561 1.6×
Fluoro exam of g/colon tube (49465) $519.60 $866 2.0×
Fna bx w/us gdn 1st les (10005) $638.40 $1,064 0.8×
I&d abscess simple (10060) $612.60 $1,021 2.9×
I&d perianal abscess superficial (46050) $614.40 $1,024 0.6×
I&d pilonidal cyst complicated (10081) $1,057.80 $1,763 1.4×
I&d pilonidal cyst simple (10080) $639.60 $1,066 0.8×
Image Cath Fluid Peri/Retro (49406) $5,016.60 $8,361 2.8×
Implant neuroelectrodes (63650) $12,633 $21,055 1.9×
Incise external hemorrhoid (46083) $625.80 $1,043 2.3×
Incision & removal foreign body subq tiss simple (10120) $645.60 $1,076 1.5×
Incision and drainage of bartholin's gland abscess (56420) $597.60 $996 2.8×
Incision and drainage of vulva or perineal abscess (56405) $654 $1,090 2.0×
Incisional biopsy skin single lesion (11106) $1,266.60 $2,111 1.6×
Induced abortion dilation and curettage (59840) $3,225 $5,375 0.9×
Induced abortion, by dilation and evacuation (59841) $5,609.40 $9,349 1.6×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines
$2,999.40–$3,108 $4,999–$5,180 varies
Injection aa&/strd genicular nrv branches w/img (64454) $1,570.20 $2,617 2.1×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $2,703.60 $4,506 2.9×
Injection Anes Superior Hypogastric Plexus (64517) $3,690.60 $6,151 3.9×
Injection for identification of sentinel node (38792) $1,418.40 $2,364 3.3×
Injection single/mlt trigger point 1/2 muscles (20552) $1,117.80 $1,863 3.4×
Injection single/mlt trigger point 3/> muscles (20553) $1,271.40 $2,119 3.9×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $1,314.60 $2,191 1.7×
Ins cath ren art 1st unilat (36251) $6,856.80 $11,428 2.0×
Ins endovas vena cava filtr (37191) $12,345.60 $20,576 2.1×
Ins Vag Brachytx Device (57156) $769.80 $1,283 2.4×
Ins/Rep Subq Defibrillator (33270) $86,842.20 $144,737 2.6×
Insert 1 Electrode Pm-Defib (33216) $22,053 $36,755 2.5×
Insert cervical dilator (59200) $689.40 $1,149 2.1×
Insert Drug Implant Device (11981)
range across 2 matching MRF lines
$488.40–$506.40 $814–$844 varies
Insert non-tunnel cv cath (36556) $1,784.40 $2,974 0.5×
Insert Temp Bladder Cath (51702) $274.20 $457 1.9×
Insert tun ip cath perc (49418) $7,005.60 $11,676 1.8×
Insert tunneled cv cath (36561) $6,856.80 $11,428 2.0×
Insertion indwelling tunneled pleural catheter (32550) $7,111.80 $11,853 1.9×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $18,466.20 $30,777 2.1×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $3,079.20 $5,132 1.8×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $7,290 $12,150 2.2×
Insj/Rplcmt Defib W/Lead(S) (33249) $86,842.20 $144,737 2.6×
Insrt heart pm atrial & vent (33208) $29,232 $48,720 2.6×
Intro cath dialysis circuit (36901) $3,517.80 $5,863 2.1×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $29,362.80 $48,938 2.4×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $14,827.80 $24,713 2.4×
Intubation endotracheal emergency procedure (31500) $948.60 $1,581 3.8×
Laryngoscopy flexible diagnostic (31575) $674.40 $1,124 3.2×
Ligation of a-v fistula (37607) $6,864.60 $11,441 2.0×
Lysis of labial adhesions (56441) $10,098.60 $16,831 2.9×
Lysis/excision penile postcircumcision adhesions (54162) $6,661.20 $11,102 3.0×
Manipulation knee joint under general anesthesia (27570) $1,018.80 $1,698 0.6×
N Block Inj Ilio-Ing/Hypogi (64425) $1,629.60 $2,716 2.2×
N block inj intercost sng (64420) $1,969.20 $3,282 2.6×
N Block Inj Pudendal (64430) $2,356.20 $3,927 2.5×
N Block Lumbar/Thoracic (64520) $2,403.60 $4,006 2.5×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $2,717.40 $4,529 2.7×
Needle Biopsy Lymph Nodes (38505) $2,136 $3,560 1.2×
Needle insertion w/o injection 1 or 2 muscles (20560) $58.80 $98 1.9×
Needle insertion w/o injection 3 or more muscles (20561) $88.80 $148 2.9×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $451.20 $752 1.4×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $467.40 $779 0.1×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $2,647.80 $4,413 2.8×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $3,142.80 $5,238 4.2×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $2,908.20 $4,847 3.9×
Occipital Nerve Block (64405) $1,580.40 $2,634 4.8×
Open/Perq Place Stent 1St (37236) $24,555 $40,925 2.0×
Open/Perq Place Stent Same (37238) $16,864.20 $28,107 1.4×
Pericardiocentesis W/Imaging (33016) $5,260.20 $8,767 3.1×
Perq dev breast 1st us imag (19285) $2,493 $4,155 3.3×
Perq device breast 1st imag (19281) $2,974.20 $4,957 1.7×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $2,535.60 $4,226 3.4×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $26,171.40 $43,619 2.1×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) $24,237 $40,395 3.6×
Pseudoaneurysm Injection Trt (36002) $5,182.80 $8,638 7.7×
Punch biopsy skin single lesion (11104) $325.20 $542 0.7×
Puncture aspiration abscess hematoma bulla/cyst (10160) $702.60 $1,171 1.6×
Puncture Aspiration Cyst Breast (19000) $2,655 $4,425 3.5×
Puncture shunt tube/reservoir aspiration/inj px (61070) $2,842.20 $4,737 3.8×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $2,245.20 $3,742 3.0×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $5,212.20 $8,687 3.0×
Removal impacted cerumen irrigation/lvg unilat (69209) $82.80 $138 1.3×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $206.40 $344 3.3×
Removal of nail bed (11750) $632.40 $1,054 1.5×
Removal of tunneled intraperitoneal catheter (49422) $1,631.40 $2,719 0.5×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $429 $715 2.0×
Removal subcutaneous cardiac rhythm monitor (33286) $2,481 $4,135 3.3×
Remove cerclage suture (59871) $2,046.60 $3,411 0.6×
Remove foreign body from eye (65205) $222 $370 1.6×
Remove Intrauterine Device (58301) $1,085.40 $1,809 3.3×
Remove lung catheter (32552) $5,109.60 $8,516 7.6×
Remove Nasal Foreign Body (30300) $687 $1,145 4.8×
Remove&replace pm gen singl (33227) $20,152.80 $33,588 2.3×
Remv&replc cvd gen dual lead (33263) $58,860 $98,100 2.5×
Remv&replc cvd gen mult lead (33264) $86,842.20 $144,737 2.6×
Remv&replc cvd gen sing lead (33262) $58,447.80 $97,413 2.5×
Remv&replc pm gen dual lead (33228) $29,232 $48,720 2.6×
Remv&replc pm gen mult leads (33229) $53,922 $89,870 2.6×
Renal Biopsy Perq (50200) $3,028.80 $5,048 1.7×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,830.60 $3,051 4.2×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,555.20 $2,592 3.6×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,360.20 $2,267 3.1×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $934.20 $1,557 2.2×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $1,251 $2,085 2.9×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,572.60 $2,621 3.6×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $959.40 $1,599 2.2×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $1,216.20 $2,027 2.8×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,572.60 $2,621 2.0×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $1,295.40 $2,159 3.0×
Reposition Venous Catheter (36597) $2,644.80 $4,408 1.6×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $258 $430 0.5×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $321 $535 2.3×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $3,927.60 $6,546 2.3×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $2,834.40 $4,724 4.2×
Rplc Gtube No Revj Trc (43762) $632.40 $1,054 2.4×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $7,290 $12,150 2.2×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $579 $965 2.7×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $2,113.20 $3,522 1.7×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $2,685.60 $4,476 2.1×
Sigmoidoscopy W/Ultrasound (45341) $3,714.60 $6,191 3.7×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $1,305 $2,175 1.3×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $338.40 $564 1.6×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $357 $595 1.7×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $274.80 $458 1.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $450.60 $751 2.1×
Skin sub graft face/nk/hf/g (15275) $2,782.80 $4,638 3.5×
Skin sub graft trnk/arm/leg (15271) $2,469 $4,115 3.1×
Skin Tissue Procedure (17999) $827.40 $1,379 3.9×
Small bowel endoscopy (44366) $4,044 $6,740 2.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $361.20 $602 1.7×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $669 $1,115 1.5×
Spinal puncture lumbar diagnostic (62270) $1,436.40 $2,394 1.9×
Strapping Unna Boot (29580) $531 $885 3.1×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $63,396 $105,660 2.1×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,889.40 $3,149 2.5×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) $45,417 $75,695 3.3×
Thyroid biopsy (60100) $2,534.40 $4,224 3.4×
Trim skin lesion (11055) $159 $265 0.7×
Trimming Nondystrophic Nails Any Number (11719) $47.40 $79 0.8×
Tx Incomplete Abortion Any Trimester Surgical (59812) $4,601.40 $7,669 1.3×
Tx Missed Abortion First Trimester Surgical (59820) $5,556.60 $9,261 1.6×
Tx Missed Abortion Second Trimester Surgical (59821) $5,511.60 $9,186 1.6×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,098.60 $1,831 1.4×
Unlisted procedure nervous system (64999)
range across 4 matching MRF lines
$532.80–$3,249 $888–$5,415 varies
Unlisted procedure stomach (43999)
range across 3 matching MRF lines
$4,302.60–$19,374 $7,171–$32,290 varies
Unlisted Procedure Vascular Surgery (37799) $3,406.20 $5,677 5.1×
Vasc embolize/occlude artery (37242) $28,096.20 $46,827 1.4×
Vasc Embolize/Occlude Bleed (37244) $12,380.40 $20,634 1.0×
Venous Mech Thrombectomy (37187) $18,597 $30,995 1.5×

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.