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St. Dominic Hospital

Mississippi · 1,500 published self-pay prices, from $417 to $149,522.

These items are published without a standard CPT or HCPCS code, so they cannot be reliably matched against the same service at another hospital. They are shown exactly as this facility published them, and are excluded from every median, average and comparison elsewhere on this site.

Showing the 300 lowest-priced of 1,500 published items.

ItemCash priceSetting
1D ultrasound scan of eye tissue and structures$450Outpatient
3D radiation therapy planning$1,904Outpatient
3D radiographic procedure$707Outpatient
ABILIFY MAINTENA ER 400 MG VL$5,959Outpatient
ABLYSINOL 99% AMPULE$1,881Outpatient
Administration of chemotherapy into abdominal cavity$480Outpatient
Administration of chemotherapy into fluid-filled space between the tissue that cover the brain and spinal cord$649Outpatient
Administration of prolonged chemotherapy into vein$668Outpatient
ANTITHROMBIN III (HUMAN), PER I.U.$3,608Outpatient
Application of chemical to stop tissue regrowth in wound$850Outpatient
APPLICATION OF LOW COST SKIN SUBSTITUTE GRAFT TO FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, FEET, AND/OR MULTIPLE DIGITS, TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; FIRST 25 SQ CM OR LESS WOUND SURFACE AREA$1,788Outpatient
APPLICATION OF LOW COST SKIN SUBSTITUTE GRAFT TO TRUNK, ARMS, LEGS, TOTAL WOUND SURFACE AREA GREATER THAN OR EQUAL TO 100 SQ CM; EACH ADDITIONAL 100 SQ CM WOUND SURFACE AREA, OR PART THEREOF, OR EACH ADDITIONAL 1% OF BODY AREA OF INFANTS AND CHILDREN, OR$868Outpatient
APPLICATION OF LOW COST SKIN SUBSTITUTE GRAFT TO TRUNK, ARMS, LEGS, TOTAL WOUND SURFACE AREA GREATER THAN OR EQUAL TO 100 SQ CM; FIRST 100 SQ CM WOUND SURFACE AREA, OR 1% OF BODY AREA OF INFANTS AND CHILDREN$5,987Outpatient
APPLICATION OF LOW COST SKIN SUBSTITUTE GRAFT TO TRUNK, ARMS, LEGS, TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; EACH ADDITIONAL 25 SQ CM WOUND SURFACE AREA, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)$1,035Outpatient
APPLICATION OF LOW COST SKIN SUBSTITUTE GRAFT TO TRUNK, ARMS, LEGS, TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; FIRST 25 SQ CM OR LESS WOUND SURFACE AREA$1,035Outpatient
Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less$888Outpatient
Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, each additional 25.0 sq cm of wound 100.0 sq cm or less$888Outpatient
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less$888Outpatient
Application of skin substitute graft to wound of trunk, arms, or legs, each additional 25.0 sq cm of wound 100.0 sq cm or less$888Outpatient
Application of walking cast covering foot, ankle, and lower leg$1,035Outpatient
ASCOR 25,000 MG/50 ML BULK VL$628Outpatient
Aspiration and/or injection of cyst of kidney$1,379Outpatient
Aspiration and/or injection of cyst of tendon$713Outpatient
Aspiration and/or injection of cyst of thyroid$672Outpatient
Aspiration and/or injection of fluid from large joint$536Outpatient
Aspiration and/or injection of fluid from medium joint$442Outpatient
Aspiration and/or injection of fluid from small joint using ultrasound guidance$418Outpatient
Aspiration and/or injection of fluid large joint using ultrasound guidance$946Outpatient
Aspiration of bone marrow sample for diagnosis$1,352Outpatient
Aspiration of cerebrospinal fluid and injection in shunt tubing or reservoir$850Outpatient
Aspiration of cyst of breast, first cyst$928Outpatient
Aspiration of fluid from chest cavity$1,236Both
Aspiration of fluid from chest cavity using imaging guidance$2,936Outpatient
Aspiration of fluid from cyst of spinal cord or fluid-filled cavity$912Outpatient
Aspiration of lens material by fragmenting and aspiration$1,692Outpatient
Aspiration of spinal disc tissue for diagnostic purposes$1,016Outpatient
AUDITORY OSSEOINTEGRATED DEVICE, INCLUDES ALL INTERNAL AND EXTERNAL COMPONENTS$1,215Outpatient
Balloon dilation of additional blood vessel spasm in head in same vessel family$5,410Outpatient
Balloon dilation of artery of leg$6,746Outpatient
Balloon dilation of artery of leg, each additional vessel$7,745Outpatient
Balloon dilation of artery of leg, initial vessel$10,805Outpatient
Balloon dilation of artery with review by radiologist, each additional artery$2,844Outpatient
Balloon dilation of artery with review by radiologist, initial artery$6,896Outpatient
Balloon dilation of bile duct using imaging guidance with review by radiologist$1,884Outpatient
Balloon dilation of blood vessel in head$6,518Outpatient
Balloon dilation of coronary artery or branch, each additional artery or branch$15,828Outpatient
Balloon dilation of dialysis segment with review by radiologist$3,618Outpatient
Balloon dilation of esophagus using a flexible endoscope, less than 3.0 cm$1,100Outpatient
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, 3.0 cm or more$927Outpatient
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm$886Outpatient
Balloon dilation of groin artery, initial vessel$11,506Outpatient
Balloon dilation of large bowel using a flexible endoscope$858Outpatient
Balloon dilation of single coronary artery or branch$5,594Outpatient
Balloon dilation of vein with review by radiologist, each additional vein$875Outpatient
Balloon dilation of vein with review by radiologist, initial vein$6,897Outpatient
Balloon dilation repair of aortic valve$5,594Outpatient
Balloon dilation repair of mitral valve$9,605Outpatient
Balloon dilation repair of pulmonary valve$5,594Outpatient
Balloon dilation treatment of stricture of ureter using imaging guidance with review by radiologist$1,656Outpatient
Balloon occlusion of head or neck artery with review by radiologist$12,294Outpatient
Biopsy and aspiration of bone marrow sample for diagnosis$2,536Outpatient
Biopsy of back 1/3 of tongue$2,136Outpatient
Biopsy of back of throat$1,866Outpatient
Biopsy of bile duct or liver duct using imaging guidance with review by radiologist$1,712Outpatient
Biopsy of blood vessel using tube$2,524Outpatient
Biopsy of bone marrow$1,356Outpatient
Biopsy of bone using needle or trocar$1,352Outpatient
Biopsy of breast and placement of locating device using MRI, each additional growth$1,026Outpatient
Biopsy of breast and placement of locating device using MRI, first growth$2,012Outpatient
Biopsy of breast and placement of locating device using ultrasound, each additional growth$1,357Outpatient
Biopsy of breast and placement of locating device using ultrasound, first growth$1,590Outpatient
Biopsy of breast and placement of locating device using X-ray with needle, each additional growth$1,580Outpatient
Biopsy of breast and placement of locating device using X-ray with needle, first growth$2,218Outpatient
Biopsy of ear$508Outpatient
Biopsy of ear canal$5,096Outpatient
Biopsy of esophagus using a flexible endoscope through mouth$988Outpatient
Biopsy of esophagus using a flexible endoscope through nose$848Outpatient
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope$875Outpatient
Biopsy of eyelid$632Outpatient
Biopsy of floor of mouth$1,190Outpatient
Biopsy of front 2/3 of tongue$1,070Outpatient
Biopsy of heart muscle$1,375Outpatient
Biopsy of large bowel using a flexible endoscope$941Outpatient
Biopsy of large bowel using an endoscope inserted through surgically created opening from large bowel to skin$892Outpatient
Biopsy of lining of nose$2,557Outpatient
Biopsy of lobe of lung using an endoscope, 1 lobe$1,694Outpatient
Biopsy of lower large bowel using a flexible endoscope$727Outpatient
Biopsy of lung airway using an endoscope$1,648Outpatient
Biopsy of mouth$524Outpatient
Biopsy of muscle$3,462Outpatient
Biopsy of prostate gland$2,661Outpatient
Biopsy of roof of mouth$1,232Outpatient
Biopsy of saliva gland$2,902Outpatient
Biopsy of soft tissue of neck or chest$2,270Outpatient
Biopsy of spinal cord with needle through skin$1,590Outpatient
Biopsy of surface bone$5,916Outpatient
Biopsy of ureter and/or renal pelvis using imaging guidance with review by radiologist$1,561Outpatient
Biopsy of urethra$3,587Outpatient
Biopsy of voice box using a flexible endoscope$2,144Outpatient
Biopsy of voice box using an endoscope$2,943Outpatient
Biopsy of voice box using an endoscope with mirror$3,659Outpatient
Biopsy or removal of nasal polyp or tissue using an endoscope$2,018Outpatient
Bone marrow, smear interpretation$588Outpatient
BRACHYTHERAPY SOURCE, NON-STRANDED, HIGH DOSE RATE IRIDIUM-192, PER SOURCE$424Outpatient
BRACHYTHERAPY SOURCE, NON-STRANDED, YTTRIUM-90, PER SOURCE$12,975Outpatient
Burr hole for insertion of brain tube or monitoring device$2,438Both
Cancer cytogenomic array gene analysis$1,731Outpatient
CARDIOGEN-82 GENERATOR$1,000Outpatient
CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE)$10,336Outpatient
Catheter removal of plaque from groin artery, accessed through the skin or open procedure including radiological supervision and interpretation$13,472Outpatient
Catheter removal of plaque from upper arm artery, accessed through the skin or open procedure including radiological supervision and interpretation$6,526Outpatient
CATHETER, INTRASPINAL$750Outpatient
CATHETER, TRANSLUMINAL ANGIOPLASTY, NON-LASER (MAY INCLUDE GUIDANCE, INFUSION/PERFUSION CAPABILITY)$1,482Outpatient
CATHETER, TRANSLUMINAL ATHERECTOMY, DIRECTIONAL$2,516Outpatient
ceftolozane-tazobactam 1.5 g/100 mL NS 100 mL Bag$436Outpatient
Cell-based immunofluorescence (CBA) detection of aquaporin-4 (neuromyelitis optica [NMO]) antibody$878Outpatient
Cell-based immunofluorescence (CBA) detection of myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody$882Outpatient
Change of breathing tube in windpipe$782Outpatient
Change of tube or stent in ureter$2,237Outpatient
Chemical destruction of first incompetent vein of arm or leg using imaging guidance$4,852Outpatient
CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS INFUSION TECHNIQUE; INITIATION OF INFUSION IN THE OFFICE/CLINIC SETTING USING OFFICE/CLINIC PUMP/SUPPLIES, WITH CONTINUATION OF THE INFUSION IN THE COMMUNITY SETTING (E.G., HOME, DOMICILIARY, REST HOME OR ASSISTED$599Outpatient
CLINISOL 15% SOLUTION$663Outpatient
Closed treatment of broken lower jaw bone with placement of stabilizing device to teeth$4,480Outpatient
Closed treatment of dislocated hip$572Outpatient
COCAINE HYDROCHLORIDE NASAL SOLUTION (NUMBRINO), 1 MG$827Outpatient
COCHLEAR DEVICE, INCLUDES ALL INTERNAL AND EXTERNAL COMPONENTS$13,327Outpatient
Collection of stem cells for transplantation$3,210Outpatient
COMBINED RIGHT HEART CATHETERIZATION AND RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES$9,620Outpatient
COMBINED RIGHT HEART CATHETERIZATION AND TRANSSEPTAL LEFT HEART CATHETERIZATION THROUGH EXISTING SEPTAL OPENING, WITH OR WITHOUT RETROGRADE LEFT HEART CATHETERIZATION, FOR CONGENITAL CARDIAC ANOMALIES$8,248Outpatient
Complete single session course of cranial lesion surgery using radiation and a machine to deliver external radiation$8,502Outpatient
Complete ultrasound of abdomen and pelvis artery and vein blood flow$778Outpatient
Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts$572Outpatient
Complete ultrasound of penis artery and vein blood flow$468Outpatient
Complete ultrasound scan behind abdominal cavity$442Outpatient
Complete ultrasound scan of abdomen$440Outpatient
Complete ultrasound study of arm and leg arteries$768Outpatient
Complex application of radiation source$1,584Outpatient
Complex body cavity radiation source application$1,199Outpatient
Complex drainage of wound infection after surgery$4,150Outpatient
Complex measurement of pressure of urine flow in bladder with voiding pressure studies$624Outpatient
Complex removal of skin debris and drainage of mastoid cavity$5,086Outpatient
Complex surgical treatment of kidney stone with imaging guidance$7,628Outpatient
Complicated drainage of abscess in finger$1,656Outpatient
Complicated or multiple drainage of skin abscess$850Both
Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction of upper chambers of heart) by pulmonary vein isolation$17,063Outpatient
Comprehensive electrophysiologic evaluation with catheter destruction of abnormality of lower chamber of heart causing ventricular tachycardia (rapid heart rate) or ventricular ectopy (irregular heartbeat)$26,208Outpatient
Comprehensive electrophysiologic evaluation with catheter destruction of abnormality of upper chamber of heart causing supraventricular tachycardia (rapid heart rate)$17,063Outpatient
Computed tomography (CT) of brain blood flow, volume, and timing of flow analysis with contrast$1,030Outpatient
Continuous infusion of anesthetic agent and/or steroid into arm nerve bundle through catheter$1,372Outpatient
Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter$1,268Outpatient
Continuous remote monitoring of nervous system during operation, each hour$1,035Outpatient
Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope$978Outpatient
Control of bleeding of nose using an endoscope$2,312Outpatient
Conversion of external biliary drainage tube to internal-external biliary drainage tube using imaging guidance and study of bile duct with review by radiologist$3,166Outpatient
Conversion of kidney tube to nephroureteral tube using imaging guidance and study of kidney and ureter with review by radiologist$1,554Outpatient
Conversion of stomach tube to stomach-to-small bowel tube using fluoroscopic guidance with contrast$1,956Outpatient
COPPER CU-64, DOTATATE, DIAGNOSTIC, 1 MILLICURIE$9,625Outpatient
Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin$2,536Outpatient
CORONARY CARE UNIT - GENERAL CLASSIFICATION$1,934Inpatient
CORONARY CARE UNIT - INTERMEDIATE CCU$646Inpatient
CORONARY CARE UNIT - OTHER CORONARY CCU$2,998Inpatient
Creation of eye fluid drainage tracts in iris using a laser, per session$778Outpatient
Creation of opening in skull for insertion of brain tube or monitoring device$1,058Outpatient
Creation of opening in skull for removal and/or drainage of blood accumulation outside brain$1,058Outpatient
Creation of opening of windpipe and insertion of speech prosthesis$2,634Outpatient
Critical care, first 30-74 minutes$1,479Both
Crushing of stone of ureter using an endoscope$4,162Outpatient
CT guidance for insertion of radiation therapy fields$678Outpatient
CT guidance for needle or tube localization$984Outpatient
CT guidance for tissue removal$2,550Outpatient
CT scan head or brain with contrast$984Outpatient
CT scan head or brain without contrast$939Outpatient
CT scan of abdomen and pelvis before and after contrast$2,634Outpatient
CT scan of abdomen and pelvis with contrast$2,234Outpatient
CT scan of abdomen and pelvis without contrast$1,632Outpatient
CT scan of abdomen before and after contrast$2,521Outpatient
CT scan of abdomen with contrast$2,346Outpatient
CT scan of abdomen without contrast$1,068Outpatient
CT scan of abdominal aorta and both leg arteries with contrast$1,524Outpatient
CT scan of arm before and after contrast$2,116Outpatient
CT scan of arm with contrast$3,227Outpatient
CT scan of arm without contrast$805Outpatient
CT scan of blood vessels and grafts of heart with contrast$1,490Outpatient
CT scan of blood vessels of abdomen and pelvis with contrast$2,696Outpatient
CT scan of blood vessels of abdomen with contrast$1,381Outpatient
CT scan of blood vessels of arm with contrast$1,904Outpatient
CT scan of blood vessels of chest with contrast$1,847Outpatient
CT scan of blood vessels of head with contrast$2,761Outpatient
CT scan of blood vessels of lower leg with contrast$2,328Outpatient
CT scan of blood vessels of neck with contrast$1,904Outpatient
CT scan of blood vessels of pelvis with contrast$1,062Outpatient
CT scan of chest before and after contrast$1,296Outpatient
CT scan of chest with contrast$1,166Outpatient
CT scan of chest without contrast$850Outpatient
CT scan of congenital heart disease with contrast$828Outpatient
CT scan of cranial cavity before and after contrast$988Outpatient
CT scan of cranial cavity with contrast$845Outpatient
CT scan of cranial cavity without contrast$782Outpatient
CT scan of face before and after contrast$983Outpatient
CT scan of face with contrast$845Outpatient
CT scan of face without contrast$782Outpatient
CT scan of head or brain before and after contrast$1,046Outpatient
CT scan of heart structure with contrast$915Outpatient
CT scan of leg before and after contrast$2,006Outpatient
CT scan of leg with contrast material$1,990Outpatient
CT scan of leg without contrast$805Outpatient
CT scan of lower spine before and after contrast$1,046Outpatient
CT scan of lower spine with contrast$952Outpatient
CT scan of lower spine without contrast$892Outpatient
CT scan of middle spine before and after contrast$1,148Outpatient
CT scan of middle spine with contrast$952Outpatient
CT scan of middle spine without contrast$818Outpatient
CT scan of pelvis before and after contrast$1,337Outpatient
CT scan of pelvis with contrast$1,102Outpatient
CT scan of pelvis without contrast$1,088Outpatient
CT scan of soft tissue of neck before and after contrast$986Outpatient
CT scan of soft tissue of neck with contrast$906Outpatient
CT scan of soft tissue of neck without contrast$824Outpatient
CT scan of upper spine before and after contrast$983Outpatient
CT scan of upper spine with contrast$952Outpatient
CT scan of upper spine without contrast$818Outpatient
CUROSURF 120 MG/1.5 ML VIAL$1,079Outpatient
CUROSURF 240 MG/3 ML VIAL$2,129Outpatient
Declotting of central venous tube$2,536Outpatient
Deep biopsy of bone using needle or trocar$4,125Outpatient
Deep biopsy of muscle$4,744Outpatient
Delayed insertion of prosthesis for repair of abdominal or groin artery with review by radiologist, each additional vessel treated$8,202Outpatient
Delayed insertion of prosthesis for repair of abdominal or groin artery with review by radiologist, initial vessel treated$8,202Outpatient
Delivery of complex high precision radiation treatment$1,301Outpatient
Delivery of complex radiation treatment$772Outpatient
Delivery of intermediate radiation treatment$741Outpatient
Delivery of radiation therapy per dose to 1 or more lesions not to exceed 5 doses$2,486Outpatient
Delivery of simple high precision radiation treatment$977Outpatient
Delivery of simple radiation treatment$709Outpatient
Design and construction of complex radiation treatment device$514Outpatient
Design and construction of radiation treatment device for high precision radiation therapy$748Outpatient
Destruction of first division of face nerve branch$3,586Outpatient
Destruction of growth of kidney by freezing$6,993Outpatient
Destruction of growth of kidney using radiofrequency$6,756Outpatient
Destruction of growth of liver through skin using radiofrequency$5,436Outpatient
Destruction of growth of lung using extreme cold$6,276Outpatient
Destruction of growth of lung using radiofrequency$7,296Outpatient
Destruction of growth of retina using a laser$731Outpatient
Destruction of growth or narrowing of lung airway using an endoscope$2,710Outpatient
Destruction of growth or soft tissue of roof of mouth$2,932Outpatient
Destruction of growths and adjacent soft tissue$6,258Outpatient
Destruction of heart conduction tissue to create heart block$5,423Outpatient
Destruction of leaking blood vessels of retina using laser$731Outpatient
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint$2,724Outpatient
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint$4,376Outpatient
Destruction of nerve branches of knee using imaging guidance$1,850Outpatient
Destruction of nerves of arteries of both kidneys accessed through the skin with fluoroscopy and radiological supervision and interpretation$6,406Outpatient
Destruction of nerves of arteries of one kidney accessed through the skin with fluoroscopy and radiological supervision and interpretation$6,406Outpatient
Destruction of nerves supplying joint between spine and pelvis using imaging guidance$1,850Outpatient
Destruction of peripheral nerve or branch$2,029Outpatient
Destruction of polyp or growth of large bowel using a flexible endoscope$819Outpatient
Destruction of surface soft tissue of nasal passages$2,578Outpatient
Destruction of tissue of upper heart chamber through tube to treat abnormal heart rhythm$8,531Outpatient
Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint$962Outpatient
Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint$1,282Outpatient
Detection test by nucleic acid for Chlamydia pneumoniae, amplified probe technique$492Outpatient
Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 12-25 targets$564Outpatient
Detection test by nucleic acid for Mycoplasma pneumoniae (bacteria), amplified probe technique$492Outpatient
Diagnostic exam of bladder and urethra using an endoscope$1,906Outpatient
Diagnostic exam of esophagus using a flexible endoscope through mouth$790Outpatient
Diagnostic exam of esophagus using a flexible endoscope through nose$502Outpatient
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope$856Outpatient
Diagnostic exam of lower portion of large bowel using a flexible endoscope$716Outpatient
Diagnostic exam of lung airway using an endoscope$1,550Outpatient
Diagnostic exam of voice box using an endoscope$1,706Both
Diagnostic exam of voice box using an endoscope with operating microscope or telescope$2,496Outpatient
Dialysis procedure including 1 evaluation$788Outpatient
Dialysis procedure requiring repeat evaluation$925Outpatient
Dilation of bile ducts using an endoscope$4,998Outpatient
Dilation of bile ducts with stent insertion using an endoscope$4,998Outpatient
Dilation of existing opening into urinary tract and creation of new access into urine collecting system of kidney using imaging guidance$3,560Outpatient
Dilation of existing opening into urinary tract using imaging guidance$3,196Outpatient
Dilation of saliva gland duct and insertion of tube$2,939Outpatient
Dilation of stomach outlet using a flexible endoscope$922Outpatient
Double contrast X-ray of large intestine$637Outpatient
Double contrast X-ray of upper digestive tract$940Outpatient
Drainage of abscess near tonsil$596Outpatient
Drainage of abscess or blood accumulation of nose$604Outpatient
Drainage of abscess, cyst, or blood accumulation of tongue or floor of mouth from inside mouth$1,529Outpatient
Drainage of blood or fluid accumulation$1,970Outpatient
Drainage of deep abscess in rectum$794Both
Drainage of deep abscess or blood accumulation of thigh or knee$4,644Outpatient
Drainage of fluid collection by tube through skin using imaging guidance$1,996Outpatient
Drainage of fluid collection by tube through vagina or rectum using imaging guidance$1,438Outpatient
Drainage of fluid collection in soft tissue using imaging guidance$602Outpatient
Drainage of fluid collection of abdominal cavity by tube using imaging guidance$2,282Outpatient
Drainage of fluid from abdominal cavity$522Both
Drainage of fluid from abdominal cavity using imaging guidance$3,070Outpatient
Drainage of fluid from chest cavity with insertion of indwelling tube$1,634Outpatient
Drainage of fluid from chest cavity with insertion of indwelling tube using imaging guidance$1,664Outpatient
Drainage of heart sac using imaging guidance$2,919Outpatient
Drainage of heart sac using tube and imaging guidance (6 years or older)$1,552Outpatient
DXA bone density measurement of forearm, finger, hand, or foot$450Outpatient
DXA bone density measurement of hip, pelvis, spine$450Outpatient
ELBOW ORTHOSIS, DOUBLE UPRIGHT WITH FOREARM/ARM CUFFS, EXTENSION/ FLEXION ASSIST, CUSTOM FABRICATED$597Outpatient

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