Procedures & surgery prices at West Tennessee Healthcare Bolivar Hospital

Bolivar, TN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $681.30 $2,271 0.8×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $483 $1,610 0.6×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) $9,230.70 $30,769 0.6×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $1,847.40 $6,158 1.0×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $97.20 $324 0.7×
Application Finger Splint Dynamic (29131) $105.60 $352 2.0×
Application finger splint static (29130) $122.10 $407 1.0×
Application long arm splint shoulder hand (29105) $165.90 $553 1.1×
Application Long Leg Splint (29505) $161.40 $538 1.1×
Application of rigid total contact leg cast (29445) $138 $460 0.5×
Application Short Arm Splint Dynamic (29126) $109.50 $365 0.9×
Application short arm splint forearm-hand static (29125) $160.20 $534 1.3×
Application short leg splint calf foot (29515) $160.20 $534 1.1×
Apply Multlay Comprs Lwr Leg (29581)
range across 4 matching MRF lines
$97.20–$145.80 $324–$486 varies
Arterial puncture (36600) $47.70 $159 0.4×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines
$266.70–$400.20 $889–$1,334 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $226.50 $755 0.4×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines
$309–$463.50 $1,030–$1,545 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $259.20 $864 0.9×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines
$246.60–$401.10 $822–$1,337 varies
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines
$720.90–$1,155.30 $2,403–$3,851 varies
Aspirate Pleura W/O Imaging (32554) $505.50 $1,685 0.9×
Aspiration and/or injection thyroid cyst (60300) $192 $640 0.3×
Aspiration bladder insert suprapubic catheter (51102) $769.20 $2,564 0.4×
Avulsion nail plate partial/complete simple 1 (11730) $97.50 $325 0.5×
Biopsy Abdominal Mass (49180) $437.10 $1,457 0.3×
Biopsy bone trocar/needle deep (20225) $593.10 $1,977 0.4×
Biopsy Bone Trocar/Needle Superficial (20220) $383.40 $1,278 0.3×
Biopsy muscle percutaneous needle (20206) $367.50 $1,225 0.2×
Biopsy of liver, needle; percutaneous (47000) $602.10 $2,007 0.4×
Biopsy Pleura Percutaneous Needle (32400) $397.20 $1,324 0.3×
Biopsy Salivary Gland Needle (42400) $299.70 $999 0.5×
Biopsy soft tissue neck/thorax (21550) $588.90 $1,963 0.4×
Biopsy Vaginal Mucosa Extensive (57105) $1,724.10 $5,747 0.6×
Biopsy Vaginal Mucosa Simple (57100) $229.80 $766 0.3×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $444 $1,480 0.5×
Bladder instillation anticarcinogenic agent (51720) $282.60 $942 0.4×
Bladder Irrigation (51700) $100.50 $335 0.4×
Bladder Scan (51798) $38.70 $129 0.7×
Blood Transfusion Service (36430) $209.10 $697 0.5×
Bone Marrow Biopsy (38221) $494.70 $1,649 0.3×
Bone Marrow; Aspiration Only (38220) $494.70 $1,649 0.3×
Bx breast 1st lesion mr imag (19085) $1,011.30 $3,371 0.7×
Bx breast 1st lesion strtctc (19081) $1,668.60 $5,562 1.1×
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines
$990.30–$1,186.80 $3,301–$3,956 varies
Bx Cervix (57500) $326.70 $1,089 0.4×
Catheter aspiration nasotracheal spx (31720) $41.70 $139 0.2×
Cessj Therapy Cath Removal (37214) $2,012.10 $6,707 0.7×
Change Cystostomy Tube Simple (51705) $108.90 $363 0.5×
Change ureter stent percut (50382)
range across 2 matching MRF lines
$1,251.30–$1,876.80 $4,171–$6,256 varies
Chemical Cautery Tissue (17250) $85.80 $286 0.5×
Chemical Pleurodesis (32560) $243.90 $813 0.4×
Chemodenerv 1 extremity 1-4 (64642) $596.10 $1,987 0.9×
Chemodenerv Musc Migraine (64615) $339.30 $1,131 1.2×
Chemodenerv musc neck dyston (64616) $327.90 $1,093 1.2×
Chemodenerv trunk musc 1-5 (64646) $596.10 $1,987 0.9×
Chemodenerv trunk musc 6/> (64647) $627.30 $2,091 1.0×
Chest tube placement (32551) $311.40 $1,038 0.2×
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $535.80 $1,786 0.3×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $1,315.80 $4,386 0.4×
Cl Tx Scapular Fx; W Manip (23575) $1,122.60 $3,742 0.8×
Cl Tx Tib Shft Fx W Manip (27752) $1,376.10 $4,587 0.9×
Clear outer ear canal (69200) $123 $410 1.0×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $270.90 $903 1.2×
Closed Treatment Ulnar Styloid Fracture (25650) $229.80 $766 1.0×
Closed tx ankle dislocation w/o anesthesia (27840) $191.10 $637 0.9×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $842.70 $2,809 0.6×
Closed tx knee dislocation w/o anesthesia (27550) $260.10 $867 1.2×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,275.60 $4,252 0.9×
Closed tx patellar dislocation w/o anesthesia (27560) $323.40 $1,078 1.4×
Closed tx radial head/neck fx w/manipulation (24655) $1,377.60 $4,592 0.9×
Closed tx radial shaft fracture w/manipulation (25505) $1,275.60 $4,252 0.9×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $983.40 $3,278 0.7×
Closed tx septal&nose fx (21337) $2,349.30 $7,831 0.8×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $212.10 $707 0.9×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,522.20 $5,074 1.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $349.50 $1,165 1.6×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,657.80 $5,526 1.1×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $237.60 $792 1.1×
Cltx dstl fibular fx lat malls w/manj (27788) $342.90 $1,143 1.5×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $258.90 $863 1.2×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $984 $3,280 0.7×
Cltx fx grt toe phlx/phlg w/manj (28495) $286.80 $956 1.3×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $238.80 $796 1.1×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,480.80 $4,936 1.0×
Cltx hip dislocation traumatic req anesthesia (27252) $1,544.10 $5,147 1.1×
Cltx hip dislocation traumatic w/o anesthesia (27250) $277.20 $924 1.2×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,408.50 $4,695 1.0×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $231.30 $771 1.0×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $915.30 $3,051 3.6×
Cltx iphal jt dislc w/manj w/o anes (26770) $261.90 $873 1.2×
Cltx Med Ankle Fx W/Mnpj (27762) $1,193.70 $3,979 0.8×
Cltx metacarpal fx w/manipulation each bone (26605) $242.40 $808 1.1×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $276 $920 1.2×
Cltx post hip arthrp dislc req anes (27266) $1,424.70 $4,749 1.0×
Cltx post hip arthrp dislc w/o anes (27265) $282.30 $941 1.3×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $246.60 $822 1.1×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,163.10 $3,877 0.8×
Cltx trimalleolar ankle fx w/manipulation (27818) $869.70 $2,899 0.6×
Collect Blood From Catheter Venous Nos (36592) $36.30 $121 0.3×
Collection of venous blood by venipuncture (36415) $13.50 $45 1.4×
Colporrhaphy (57200) $1,724.10 $5,747 0.6×
Colposcopy cervix upper/adjacent vagina (57452) $320.70 $1,069 1.7×
Colposcopy entire vagina w/cervix if present (57420) $261.90 $873 0.9×
Colposcopy of vulva (56820) $129.60 $432 0.7×
Colposcopy Vulva W/Biopsy (56821) $274.20 $914 1.0×
Complex drainage wound (10180) $1,305.60 $4,352 0.5×
Conization cervix w/wo d&c rpr eltrd exc (57522) $1,558.20 $5,194 0.5×
Control Nasal Hemorrhage Anterior Complex (30903) $189 $630 1.6×
Control Nasal Hemorrhage Anterior Simple (30901) $191.70 $639 1.6×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $553.20 $1,844 0.3×
Convert Nephrostomy Catheter (50434) $620.10 $2,067 0.3×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $514.50 $1,715 0.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $177 $590 1.5×
Cysto W/Simple Removal Stone & Stent (52310) $1,645.80 $5,486 0.9×
Cystostomy Cystotomy W/Drainage (51040) $1,555.80 $5,186 0.8×
Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) $1,633.20 $5,444 0.9×
Deb Musc/Fascia 20 Sq Cm/< (11043) $602.40 $2,008 0.9×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,260.90 $4,203 0.8×
Debridement subcutaneous tissue 20 sq cm/< (11042) $450.30 $1,501 1.2×
Declot vascular device (36593) $237.90 $793 0.8×
Destr W Neurolytic; Celiac Plexus (64680) $531.60 $1,772 0.7×
Destroy cerv/thor facet jnt (64633)
range across 3 matching MRF lines
$994.50–$1,491.60 $3,315–$4,972 varies
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines
$1,541.40–$2,312.10 $5,138–$7,707 varies
Destruction by neurolytic agent, intercostal nerve (64620) $712.20 $2,374 0.9×
Destruction by neurolytic agent; pudendal nerve (64630)
range across 2 matching MRF lines
$366.30–$549.60 $1,221–$1,832 varies
Destruction Lesions Vulva Extensive (56515) $1,740.30 $5,801 0.9×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 2 matching MRF lines
$1,547.70–$2,321.40 $5,159–$7,738 varies
Destruction Vaginal Lesions Extensive (57065) $1,724.10 $5,747 0.6×
Destruction Vaginal Lesions Simple (57061) $1,502.70 $5,009 0.5×
Dilat Xst Trc New Access Rcs (50437) $1,845.30 $6,151 0.6×
Dilation & curettage dx&/ther nonobstetric (58120) $2,722.80 $9,076 0.9×
Drain Cerebro Spinal Fluid (62272) $402 $1,340 0.6×
Drainage external auditory canal abscess (69020) $395.70 $1,319 0.6×
Drainage External Ear Abscess/Hematoma Simple (69000) $565.50 $1,885 0.9×
Drainage Finger Abscess Complicated (26011) $1,255.80 $4,186 0.8×
Drainage Mouth Roof Lesion (42000) $267 $890 1.2×
Drainage of finger abscess simple (26010) $218.70 $729 1.2×
Drainage of gum lesion (41800) $196.20 $654 1.6×
Drainage of hematoma/fluid (10140) $858.90 $2,863 0.6×
Drainage of rectal abscess (45005) $1,627.80 $5,426 1.5×
Drainage of scrotal wall abscess (55100) $1,219.20 $4,064 0.8×
Draw Blood Off Venous Device (36591) $88.80 $296 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $102.30 $341 0.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $79.50 $265 0.4×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines
$329.70–$494.70 $1,099–$1,649 varies
Dx Bone Marrow Bx & Aspir (38222) $598.80 $1,996 0.2×
Dx lmbr spi pnxr w/fluor/CT (62328) $657.60 $2,192 1.0×
Egd place gastrostomy tube (43246) $1,553.40 $5,178 0.9×
Endocervical curettage (57505) $468.30 $1,561 0.6×
Endometrial Biopsy (58100) $108.30 $361 0.6×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $1,208.10 $4,027 0.4×
Epidural Blood Patch (62273) $679.50 $2,265 1.1×
Evacuation of subungual hematoma (11740) $99.30 $331 0.8×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $597.60 $1,992 0.9×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,263.60 $4,212 0.8×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $1,516.50 $5,055 0.5×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines
$644.40–$966.30 $2,148–$3,221 varies
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $632.40 $2,108 0.4×
Fetal Contraction Stress Test (59020) $119.70 $399 0.7×
Fetal non-stress test (59025) $142.80 $476 0.8×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $416.70 $1,389 0.6×
Fine needle aspiration without imaging guidance (10021) $344.10 $1,147 0.9×
Fluoro exam of g/colon tube (49465) $111 $370 0.5×
Fna bx w/us gdn 1st les (10005) $345.60 $1,152 0.5×
Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) $198.30 $661 5.4×
Guide Cathet Fluid Drainage (10030) $351.60 $1,172 0.5×
I&d abscess peritonsillar (42700) $361.80 $1,206 1.7×
I&d abscess simple (10060) $147.30 $491 0.8×
I&d perianal abscess superficial (46050) $775.80 $2,586 0.9×
I&d pilonidal cyst complicated (10081) $1,266.60 $4,222 2.0×
I&d pilonidal cyst simple (10080) $349.50 $1,165 0.5×
Icd Pocket Revision (33223) $963.90 $3,213 0.5×
Image Cath Fluid Colxn Visc (49405) $1,271.10 $4,237 0.8×
Image Cath Fluid Peri/Retro (49406) $1,271.10 $4,237 0.8×
Incise external hemorrhoid (46083) $290.40 $968 1.3×
Incision & drainage abscess complicated/multiple (10061) $147.30 $491 0.4×
Incision & removal foreign body subq tiss simple (10120) $127.20 $424 0.3×
Incision and drainage of bartholin's gland abscess (56420) $247.80 $826 1.4×
Incision and drainage of vulva or perineal abscess (56405) $303.90 $1,013 1.1×
Incision of lingual frenum (frenotomy) (41010) $744.60 $2,482 0.5×
Incision of rectal abscess (46040) $1,477.80 $4,926 1.4×
Incisional biopsy skin single lesion (11106) $181.80 $606 0.3×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines
$737.40–$1,106.10 $2,458–$3,687 varies
Inj W/Fluor Eval Cv Device (36598) $201.60 $672 1.0×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448)
range across 2 matching MRF lines
$753.30–$1,130.10 $2,511–$3,767 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $594.90 $1,983 0.7×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines
$225–$336.90 $750–$1,123 varies
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines
$442.80–$664.50 $1,476–$2,215 varies
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416)
range across 2 matching MRF lines
$753.60–$1,130.70 $2,512–$3,769 varies
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines
$711–$1,066.50 $2,370–$3,555 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines
$737.40–$1,106.10 $2,458–$3,687 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451) $657.60 $2,192 1.0×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines
$678.90–$1,017.90 $2,263–$3,393 varies
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446)
range across 2 matching MRF lines
$756.60–$1,167.60 $2,522–$3,892 varies
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 2 matching MRF lines
$280.80–$421.80 $936–$1,406 varies
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines
$454.20–$681.30 $1,514–$2,271 varies
Injection for identification of sentinel node (38792) $151.50 $505 0.4×
Injection single/mlt trigger point 1/2 muscles (20552) $270.30 $901 1.0×
Injection single/mlt trigger point 3/> muscles (20553) $308.10 $1,027 1.1×
Injection therapeutic carpal tunnel (20526) $238.20 $794 0.9×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines
$468.90–$703.50 $1,563–$2,345 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 3 matching MRF lines
$427.80–$641.10 $1,426–$2,137 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines
$393.60–$590.70 $1,312–$1,969 varies
Ins cath ren art 1st bilat (36252) $2,310.30 $7,701 0.8×
Ins cath ren art 1st unilat (36251) $1,997.70 $6,659 0.7×
Ins cath ren art 2nd+ unilat (36253)
unusually low: confirm this is the full procedure
$1,656.30 $5,521 0.3×
Ins endovas vena cava filtr (37191) $3,881.10 $12,937 0.8×
Ins Vag Brachytx Device (57156) $223.50 $745 0.8×
Ins/Rep Subq Defibrillator (33270)
unusually low: confirm this is the full procedure
$11,340 $37,800 0.4×
Insert 1 Electrode Pm-Defib (33216)
likely a partial charge, not the full procedure
$1,874.70 $6,249 0.2×
Insert Bladder Cath Complex (51703) $169.80 $566 1.5×
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines
$885.60–$1,328.40 $2,952–$4,428 varies
Insert cath pleura w/o image (32556) $575.10 $1,917 0.3×
Insert Gastrostomy Tube Percutaneous (49440) $756.60 $2,522 0.4×
Insert Heart Pm Atrial (33206)
unusually low: confirm this is the full procedure
$3,486 $11,620 0.4×
Insert Heart Pm Ventricular (33207)
unusually low: confirm this is the full procedure
$3,252 $10,840 0.3×
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure
$3,503.40 $11,678 0.2×
Insert non-tunnel cv cath (36556) $567 $1,890 0.2×
Insert Pacing Lead & Connect (33224)
unusually low: confirm this is the full procedure
$3,931.80 $13,106 0.4×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $541.80 $1,806 0.4×
Insert pulse gen dual leads (33213) $5,327.10 $17,757 0.6×
Insert Pulse Gen Sngl Lead (33212) $4,201.50 $14,005 0.6×
Insert Temp Bladder Cath (51702) $48.30 $161 0.4×
Insert tun ip cath perc (49418) $1,554.60 $5,182 0.5×
Insert tunneled cv cath (36561) $2,054.10 $6,847 0.7×
Insert,Non-Indwelling Bladder Catheter (51701) $42.90 $143 0.4×
Insertion indwelling tunneled pleural catheter (32550) $1,296.30 $4,321 0.4×
Insertion Picc W/Rs&I 5 Yr/> (36573) $684.30 $2,281 0.5×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $4,668 $15,560 0.6×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217)
likely a partial charge, not the full procedure
$2,055 $6,850 0.3×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $667.80 $2,226 0.2×
Insj Picc Rs&I <5 Yr (36572) $543.60 $1,812 1.0×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $1,055.70 $3,519 0.4×
Insj/Rplcmt Defib W/Lead(S) (33249)
unusually low: confirm this is the full procedure
$14,057.70 $46,859 0.5×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
unusually low: confirm this is the full procedure
$2,484 $8,280 0.3×
Insrt heart pm atrial & vent (33208) $4,834.20 $16,114 0.5×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $408.90 $1,363 1.1×
Intro cath dialysis circuit (36901) $807 $2,690 0.6×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $6,129.90 $20,433 0.6×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $2,949.30 $9,831 0.6×
Intubation endotracheal emergency procedure (31500) $279 $930 1.3×
Irrigation of corpora cavernosa for priapism (54220) $336.60 $1,122 1.5×
Laryngoscopy diagnostic (31505) $154.80 $516 0.9×
Laryngoscopy flexible diagnostic (31575) $219.90 $733 1.2×
Ligation of a-v fistula (37607) $3,137.70 $10,459 1.1×
Lrt iad 18bct/8vir&7arg RNA (0528U) $255.30 $851 0.4×
Manipulation tmj therapeutic require anesthesia (21073) $850.20 $2,834 0.6×
Mech remov tunneled cv cath (36595) $737.10 $2,457 0.3×
Myelography Lumbar Injection (62305) $558 $1,860 0.8×
Myelography Lumbar Injection (62304) $558 $1,860 0.8×
Myelography via lumbar injection rs&i cervical (62302) $558 $1,860 0.8×
N Block Inj Celiac Pelus (64530)
range across 3 matching MRF lines
$677.70–$1,017 $2,259–$3,390 varies
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines
$462.60–$694.20 $1,542–$2,314 varies
N block inj intercost sng (64420)
range across 2 matching MRF lines
$568.50–$853.20 $1,895–$2,844 varies
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines
$219.90–$329.70 $733–$1,099 varies
Nasal Endoscopy Dx (31231) $214.50 $715 1.2×
Nasal/Orogastric W/Tube Plmt (43752) $147.60 $492 0.4×
Needle Biopsy Lymph Nodes (38505) $438.90 $1,463 0.3×
Needle Biopsy Pancreas (48102) $412.80 $1,376 0.3×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $312.60 $1,042 0.8×
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines
$737.40–$1,106.40 $2,458–$3,688 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines
$310.20–$465.30 $1,034–$1,551 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $1,165.20 $3,884 0.4×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $1,516.50 $5,055 0.5×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines
$737.40–$1,106.10 $2,458–$3,687 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $753.30 $2,511 0.9×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $903.60 $3,012 1.4×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $734.70 $2,449 1.1×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $848.10 $2,827 1.1×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $908.10 $3,027 1.1×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines
$897.60–$1,346.10 $2,992–$4,487 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $859.20 $2,864 1.1×
Njx Noncmpnd Sclrsnt 1 Vein (36465) $1,878.90 $6,263 1.0×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 2 matching MRF lines
$335.10–$502.50 $1,117–$1,675 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $391.50 $1,305 0.6×
Obstructive material removal from gi tube (49460) $753.30 $2,511 0.9×
Occipital Nerve Block (64405)
range across 2 matching MRF lines
$380.10–$570.30 $1,267–$1,901 varies
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $2,755.20 $9,184 0.9×
Open/Perq Place Stent 1St (37236) $8,882.40 $29,608 0.8×
Open/Perq Place Stent Same (37238) $8,895.60 $29,652 0.8×
Penile Injection (54235) $271.80 $906 1.2×
Perc Cryo Ablate Renal Tum (50593)
unusually low: confirm this is the full procedure
$3,629.10 $12,097 0.4×
Perc Rf Ablate Renal Tumor (50592)
likely a partial charge, not the full procedure
$1,643.70 $5,479 0.3×
Percut Ablate Liver Rf (47382)
likely a partial charge, not the full procedure
$1,332.30 $4,441 0.2×
Percut Cath Occlusn Non Cns Lesn (61626)
likely a partial charge, not the full procedure
$2,665.80 $8,886 0.3×
Percut Drain/Inject Renal Cyst (50390) $441.60 $1,472 0.7×
Percut Mech Thrombectomy, Venous, Repeat (37188) $2,270.40 $7,568 0.8×
Pericardiocentesis W/Imaging (33016) $1,716.30 $5,721 1.2×
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure
$2,434.50 $8,115 0.1×
Perq Cervicothoracic Inject (22510) $2,116.50 $7,055 0.7×
Perq dev breast 1st strtctc (19283) $397.80 $1,326 0.6×
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines
$377.70–$566.40 $1,259–$1,888 varies
Perq device breast 1st imag (19281) $486 $1,620 0.3×
Perq Lumbosacral Injection (22511) $2,116.50 $7,055 0.7×
Perq Radiofreq Ablation Tx, Pul Tumor (32998) $2,767.80 $9,226 0.5×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $303.90 $1,013 0.5×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $6,129.90 $20,433 0.6×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $2,949.30 $9,831 0.6×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $3,795.30 $12,651 0.6×
Perq Vertebral Augmentation (22513) $3,687.90 $12,293 0.6×
Place Cath Subclavian Art (36225) $2,746.50 $9,155 1.0×
Place Cath Thoracic Aorta (36221) $2,315.40 $7,718 0.8×
Place Cath Vertebral Art (36226) $2,528.10 $8,427 0.5×
Place Duod/Jej Tube Perc (49441) $612.90 $2,043 0.4×
Placement of needle for intraosseous infusion (36680) $110.10 $367 0.3×
Plmt Bile Duct Stent Prq Existing Access (47538) $2,867.40 $9,558 0.5×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $2,867.40 $9,558 0.5×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $2,867.40 $9,558 0.5×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 2 matching MRF lines
$1,049.40–$1,574.10 $3,498–$5,247 varies
Plmt Nephroureteral Catheter (50433) $1,083 $3,610 0.3×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695)
range across 2 matching MRF lines
$1,562.40–$2,343.90 $5,208–$7,813 varies
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693)
range across 2 matching MRF lines
$1,562.40–$2,343.90 $5,208–$7,813 varies
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694)
range across 2 matching MRF lines
$1,562.40–$2,343.90 $5,208–$7,813 varies
Prim art mech thrombectomy (37184)
unusually low: confirm this is the full procedure
$5,022 $16,740 0.3×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $466.80 $1,556 0.7×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $1,516.50 $5,055 0.5×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $1,516.50 $5,055 0.5×
Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) $249.90 $833 0.1×
Pseudoaneurysm Injection Trt (36002) $241.80 $806 0.4×
Punch biopsy skin single lesion (11104) $102.30 $341 0.3×
Puncture aspiration abscess hematoma bulla/cyst (10160) $103.50 $345 0.3×
Puncture Aspiration Cyst Breast (19000) $190.20 $634 0.3×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625)
range across 2 matching MRF lines
$1,537.20–$2,305.80 $5,124–$7,686 varies
Relocation Pocket Pacemaker (33222) $928.50 $3,095 0.5×
Rem Endovas Vena Cava Filter (37193) $2,766 $9,220 1.0×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $350.10 $1,167 0.4×
Removal foreign body foot deep (28192) $689.70 $2,299 0.5×
Removal Foreign Body Foot Subcutaneous (28190) $614.70 $2,049 1.0×
Removal impacted cerumen irrigation/lvg unilat (69209) $45.30 $151 0.8×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $88.50 $295 1.7×
Removal of tunneled intraperitoneal catheter (49422) $1,079.10 $3,597 0.4×
Removal Pacemaker Electrode (33235) $1,214.10 $4,047 0.4×
Removal ppm generator only (33233)
likely a partial charge, not the full procedure
$1,485 $4,950 0.2×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $153.90 $513 0.8×
Removal subcutaneous cardiac rhythm monitor (33286) $516 $1,720 0.8×
Remove & Replace Indwell Ureteral Stent Trurthrl (50385) $1,356 $4,520 0.7×
Remove drug implant device (11982) $319.50 $1,065 0.8×
Remove Elctrd Transvenously (33244) $1,443.60 $4,812 0.4×
Remove foreign body from eye (65205) $178.80 $596 1.5×
Remove Intrauterine Device (58301) $205.20 $684 0.7×
Remove intrvas foreign body (37197) $2,117.40 $7,058 0.7×
Remove lung catheter (32552) $273 $910 0.5×
Remove Nasal Foreign Body (30300) $132.90 $443 1.1×
Remove Pulse Generator (33241) $1,433.70 $4,779 0.4×
Remove renal tube w/fluoro (50389) $518.70 $1,729 0.8×
Remove ureter stent percut (50384) $1,120.20 $3,734 0.6×
Remove&replace pm gen singl (33227) $4,751.70 $15,839 0.6×
Remv&replc cvd gen dual lead (33263)
unusually low: confirm this is the full procedure
$9,489.60 $31,632 0.5×
Remv&replc cvd gen mult lead (33264)
unusually low: confirm this is the full procedure
$13,868.10 $46,227 0.5×
Remv&replc cvd gen sing lead (33262)
unusually low: confirm this is the full procedure
$9,270.30 $30,901 0.5×
Remv&replc pm gen dual lead (33228) $5,397.30 $17,991 0.6×
Remv&replc pm gen mult leads (33229)
unusually low: confirm this is the full procedure
$8,304 $27,680 0.5×
Renal Biopsy Perq (50200) $557.10 $1,857 0.4×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $571.50 $1,905 0.9×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $624 $2,080 0.9×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $371.70 $1,239 1.0×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $577.80 $1,926 1.6×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $533.40 $1,778 1.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $345 $1,150 0.9×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $393 $1,310 1.1×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $422.70 $1,409 1.1×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $391.50 $1,305 1.1×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $487.20 $1,624 0.7×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $316.80 $1,056 0.9×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $357.90 $1,193 1.0×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $424.20 $1,414 0.6×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $430.80 $1,436 1.2×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $340.80 $1,136 0.9×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $401.10 $1,337 1.1×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $612 $2,040 0.9×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $437.10 $1,457 1.2×
Repair Lead Pace-Defib One (33218) $2,306.70 $7,689 0.7×
Repair of nail bed (11760) $477 $1,590 0.7×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $2,939.70 $9,799 1.0×
Repair tongue laceration (41250) $343.50 $1,145 0.8×
Replace duodenostomy/jejunostomy tube perq (49451) $297.90 $993 0.4×
Replace G-J Tube Perc (49452) $324.30 $1,081 0.4×
Replace g/c tube perc (49450) $290.40 $968 0.4×
Repos Previously Implanted Subq Implantable Dfb (33273) $1,442.70 $4,809 0.4×
Reposition L Ventric Lead (33226) $1,257.90 $4,193 0.4×
Reposition Pacing-Defib Lead (33215) $1,213.20 $4,044 0.4×
Reposition Venous Catheter (36597) $576.60 $1,922 0.4×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $4,773.90 $15,913 0.9×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $227.70 $759 0.6×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $177.30 $591 1.5×
Rmvl of subq implantable defibrillator electrode (33272) $1,442.10 $4,807 0.4×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $1,081.20 $3,604 0.3×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $507.60 $1,692 0.4×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $602.40 $2,008 1.1×
Rplc Gtube No Revj Trc (43762) $168.90 $563 0.7×
Rplcmt cath ctr vad subq port/pmp (36578) $680.40 $2,268 0.2×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $507.30 $1,691 0.4×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $500.40 $1,668 0.4×
Rplcmt compl tun ctr vad w/subq port (36582) $1,170.30 $3,901 0.4×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $1,395.90 $4,653 0.5×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $492.30 $1,641 0.3×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $294.60 $982 1.6×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $293.40 $978 1.4×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $1,182.60 $3,942 0.8×
Sclerotx Fluid Collection (49185) $1,014.30 $3,381 0.7×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $390.60 $1,302 1.1×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $234 $780 1.3×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $276 $920 1.5×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $278.10 $927 1.5×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $217.80 $726 1.2×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $198.30 $661 1.1×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $270.60 $902 1.5×
Skin sub graft face/nk/hf/g (15275) $729.30 $2,431 1.1×
Skin sub graft trnk/arm/leg (15271) $729.30 $2,431 1.1×
Skin sub grft t/arm/lg child (15273) $1,467.60 $4,892 0.8×
Skin Tissue Procedure (17999) $183 $610 1.0×
Skn sub grft f/n/hf/g child (15277) $855.60 $2,852 0.5×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 2 matching MRF lines
$2,746.50–$4,119.60 $9,155–$13,732 varies
Slctv cath carotid/innom art angio xtrcranl art (36222) $2,746.50 $9,155 1.0×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 2 matching MRF lines
$2,603.40–$3,904.80 $8,678–$13,016 varies
Slitting of prepuce (54001) $1,515.90 $5,053 0.8×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $231.90 $773 1.3×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $358.80 $1,196 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $351.90 $1,173 1.0×
Spinal puncture lumbar diagnostic (62270) $402 $1,340 0.6×
Strapping knee (29530) $105.60 $352 0.9×
Strapping Unna Boot (29580)
range across 2 matching MRF lines
$97.20–$145.80 $324–$486 varies
Tcat Insj/Rpl Perm Ldls Pm (33274) $9,680.10 $32,267 0.6×
Ther Apheresis W/Extracorporeal Immunoadsorption (36516) $2,397.90 $7,993 0.6×
Ther Spi Pnxr Csf Fluor/Ct (62329) $657.60 $2,192 1.0×
Therapeutic plasma exchange (36514) $1,288.20 $4,294 0.9×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) $10,888.80 $36,296 0.9×
Thrmbc/Nfs Dialysis Circuit (36906) $9,290.70 $30,969 0.6×
Thromblytic art/ven therapy (37213) $1,266.90 $4,223 0.4×
Thrombolytic Art Therapy (37211)
likely a partial charge, not the full procedure
$1,349.10 $4,497 0.3×
Thrombolytic Therapy Stroke (37195) $381.90 $1,273 1.3×
Thrombolytic Venous Therapy (37212) $1,187.70 $3,959 0.4×
Thyroid biopsy (60100) $209.70 $699 0.3×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $1,458 $4,860 0.8×
Tooth extraction (41899) $185.10 $617 0.9×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,180.80 $3,936 0.8×
Transcatheter biopsy (37200)
likely a partial charge, not the full procedure
$960.90 $3,203 0.2×
Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) $936 $3,120 0.3×
Treat Humerus Fracture (24505) $1,052.10 $3,507 0.7×
Treat Knuckle Dislocation (26700) $240 $800 1.1×
Treat Thumb Fracture (26645) $1,147.80 $3,826 0.8×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,401.60 $4,672 1.0×
Treatment closed elbow dislocation w/o anes (24600) $267.60 $892 1.2×
Trim skin lesion (11055) $81.60 $272 0.4×
Trim skin lesions 2 to 4 (11056) $84.60 $282 0.5×
Trimming Nondystrophic Nails Any Number (11719) $33.90 $113 0.6×
Trluml Balo Angiop 1St Art (37246)
range across 2 matching MRF lines
$2,949.30–$4,424.10 $9,831–$14,747 varies
Trluml Balo Angiop 1St Vein (37248)
range across 2 matching MRF lines
$2,949.30–$4,424.10 $9,831–$14,747 varies
Tx Gastro Intub W/Asp (43753) $267.90 $893 1.4×
Tx open tendon flexor toe 1 tendon spx (28232) $1,667.40 $5,558 1.1×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $1,181.10 $3,937 0.8×
Tx Superficial Wound Dehiscence Simple Closure (12020) $470.10 $1,567 0.7×
Unlisted Cardiac Surgery (33999) $164.40 $548 0.3×
Unlisted Procedure Accessory Sinuses (31299) $199.80 $666 0.9×
Unlisted procedure breast (19499) $1,113.30 $3,711 0.3×
Unlisted Procedure Hands/Fingers (26989) $195 $650 0.9×
Unlisted Procedure Intestine (44799) $717.30 $2,391 0.9×
Unlisted procedure lungs and pleura (32999) $56.40 $188 0.1×
Unlisted procedure nervous system (64999) $102.60 $342 0.4×
Unlisted Procedure Rectum (45999) $756 $2,520 0.9×
Unlisted procedure spine (22899) $125.40 $418 0.6×
Unlisted procedure stomach (43999) $687.90 $2,293 0.8×
Unlisted Procedure Vascular Surgery (37799) $579.30 $1,931 1.0×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $808.50 $2,695 1.0×
Unlisted Procedure, Urinary System (53899) $84 $280 0.4×
Upgrade of pacemaker system (33214)
unusually low: confirm this is the full procedure
$3,499.80 $11,666 0.4×
Vaginal Delivery After Cesarean Delivery (59612) $2,062.50 $6,875 0.7×
Vasc embolize/occlude artery (37242)
unusually low: confirm this is the full procedure
$5,659.20 $18,864 0.3×
Vasc Embolize/Occlude Bleed (37244) $6,157.80 $20,526 0.6×
Vasc Embolize/Occlude Organ (37243) $5,659.20 $18,864 0.5×
Vasc embolize/occlude venous (37241) $5,659.20 $18,864 0.5×
Venous Mech Thrombectomy (37187)
unusually low: confirm this is the full procedure
$3,650.70 $12,169 0.3×

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.