Procedures & surgery prices at Adair County Memorial Hospital
Greenfield, IA · every code in this section with a posted price and a Medicare benchmark.
493 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 3 matching MRF lines |
$223.50–$292.50 | $298–$390 | varies |
| Abdomen Surgery Procedure (22999) | $5,610 | $7,480 | 23.7× |
| Ablate inf turbinate submuc (30802) range across 2 matching MRF lines |
$393.75–$8,407.50 | $525–$11,210 | varies |
| Acne surgery (10040) | $292.50 | $390 | 1.5× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $8,358.75 | $11,145 | 2.7× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) range across 2 matching MRF lines |
$1,181.25–$3,697.50 | $1,575–$4,930 | varies |
| Amputation metatarsal with toe single (28810) range across 2 matching MRF lines |
$592.50–$16,680 | $790–$22,240 | varies |
| Amputation toe interphalangeal joint (28825) range across 2 matching MRF lines |
$768.75–$7,811.25 | $1,025–$10,415 | varies |
| Amputation toe metatarsophalangeal joint (28820) range across 2 matching MRF lines |
$296.25–$7,811.25 | $395–$10,415 | varies |
| Appendectomy (44950) | $11,163.75 | $14,885 | 1.8× |
| Application cast elbow finger short arm (29075) | $213.75 | $285 | 0.8× |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$202.50–$206.25 | $270–$275 | varies |
| Application Long Leg Splint (29505) | $213.75 | $285 | 1.4× |
| Application of long leg cast (29345) | $330 | $440 | 1.2× |
| Application of rigid total contact leg cast (29445) | $682.50 | $910 | 2.5× |
| Application Short Arm Splint Dynamic (29126) | $191.25 | $255 | 1.5× |
| Application short arm splint forearm-hand static (29125) | $161.25 | $215 | 1.3× |
| Application short leg splint calf foot (29515) | $172.50 | $230 | 1.1× |
| Apply hand/wrist cast (29085) range across 2 matching MRF lines |
$232.50–$236.25 | $310–$315 | varies |
| Apply long arm cast (29065) | $236.25 | $315 | 0.9× |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$341.25–$390 | $455–$520 | varies |
| Apply Short Leg Cast (29405) | $247.50 | $330 | 0.9× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$123.75–$131.25 | $165–$175 | varies |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) | $16,860 | $22,480 | 1.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 9 matching MRF lines |
$97.50–$1,185 | $130–$1,580 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $217.50 | $290 | 0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 6 matching MRF lines |
$142.50–$1,185 | $190–$1,580 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 3 matching MRF lines |
$135–$1,935 | $180–$2,580 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 6 matching MRF lines |
$93.75–$926.25 | $125–$1,235 | varies |
| Arthrodesis great toe metatarsophalangeal joint (28750) range across 2 matching MRF lines |
$1,305–$16,856.25 | $1,740–$22,475 | varies |
| Arthrodesis subtalar (28725) range across 2 matching MRF lines |
$16,860 | $720–$22,480 | 1.4× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) range across 2 matching MRF lines |
$1,477.50–$11,816.25 | $1,970–$15,755 | varies |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) range across 2 matching MRF lines |
$375–$7,721.25 | $500–$10,295 | varies |
| Arthroscopy shoulder distal claviculectomy (29824) range across 2 matching MRF lines |
$2,055–$8,985 | $2,740–$11,980 | varies |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) range across 2 matching MRF lines |
$1,841.25–$18,116.25 | $2,455–$24,155 | varies |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) range across 2 matching MRF lines |
$2,332.50–$18,116.25 | $3,110–$24,155 | varies |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) range across 2 matching MRF lines |
$1,560–$8,985 | $2,080–$11,980 | varies |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) range across 2 matching MRF lines |
$405–$7,721.25 | $540–$10,295 | varies |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) range across 2 matching MRF lines |
$3,157.50–$16,616.25 | $4,210–$22,155 | varies |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) range across 2 matching MRF lines |
$1,792.50–$8,797.50 | $2,390–$11,730 | varies |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) range across 2 matching MRF lines |
$2,662.50–$18,116.25 | $3,550–$24,155 | varies |
| Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) range across 2 matching MRF lines |
$1,128.75–$12,206.25 | $1,505–$16,275 | varies |
| Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) range across 2 matching MRF lines |
$1,560–$11,816.25 | $2,080–$15,755 | varies |
| Arthrs knee debridement/shaving artclr crtlg (29877) range across 2 matching MRF lines |
$1,110–$8,985 | $1,480–$11,980 | varies |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) range across 2 matching MRF lines |
$1,436.25–$8,985 | $1,915–$11,980 | varies |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) | $693.75 | $925 | 0.4× |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) range across 2 matching MRF lines |
$858.75–$5,891.25 | $1,145–$7,855 | varies |
| Aspirate pleura w/ imaging (32555) | $341.25 | $455 | 0.6× |
| Aspirate/Inj Ganglion Cyst (20612) range across 3 matching MRF lines |
$161.25–$1,185 | $215–$1,580 | varies |
| Aspiration bladder insert suprapubic catheter (51102) | $9,086.25 | $12,115 | 4.5× |
| Aspiration bladder trocar/intracatheter (51101) | $682.50 | $910 | 0.8× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 8 matching MRF lines |
$153–$592.50 | $204–$790 | varies |
| Biopsy bone open deep (20245) range across 2 matching MRF lines |
$570–$5,655 | $760–$7,540 | varies |
| Biopsy bone trocar/needle deep (20225) | $3,900 | $5,200 | 2.5× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $3,870 | $5,160 | 2.4× |
| Biopsy nail unit (11755) range across 3 matching MRF lines |
$127.50–$1,605 | $170–$2,140 | varies |
| Biopsy of breast; open, incisional (19101) | $4,425 | $5,900 | 1.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) range across 2 matching MRF lines |
$236.25–$607.50 | $315–$810 | varies |
| Bladder Irrigation (51700) | $176.25 | $235 | 0.7× |
| Bladder Scan (51798) range across 2 matching MRF lines |
$228.75–$255 | $305–$340 | varies |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) | $5,156.25 | $6,875 | 2.6× |
| Blood Transfusion Service (36430) | $828.75 | $1,105 | 2.0× |
| Bone Marrow Biopsy (38221) | $1,893.75 | $2,525 | 1.2× |
| Bx breast needle core w/o imaging guidance spx (19100) | $4,425 | $5,900 | 2.8× |
| Bx Cervix (57500) range across 3 matching MRF lines |
$210–$382.50 | $280–$510 | varies |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) range across 2 matching MRF lines |
$1,203.75–$4,451.25 | $1,605–$5,935 | varies |
| Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Facility (23465) range across 2 matching MRF lines |
$3,412.50–$17,542.50 | $4,550–$23,390 | varies |
| Capsulotomy Iphal Joint Each Joint Spx (28272) range across 2 matching MRF lines |
$573.75–$7,803.75 | $765–$10,405 | varies |
| Carpal Tunnel Surgery (64721) range across 3 matching MRF lines |
$1,027.50–$6,033.75 | $1,370–$8,045 | varies |
| Carpectomy All Bones Proximal Row (25215) range across 2 matching MRF lines |
$1,023.75–$9,592.50 | $1,365–$12,790 | varies |
| Cataract surgery complex (66982) | $7,593.75 | $10,125 | 3.4× |
| Catheter aspiration nasotracheal spx (31720) | $165 | $220 | 0.8× |
| Change Cystostomy Tube Complicated (51710) range across 3 matching MRF lines |
$187.50–$967.50 | $250–$1,290 | varies |
| Change Cystostomy Tube Simple (51705) range across 5 matching MRF lines |
$161.25–$963.75 | $215–$1,285 | varies |
| Chemical Cautery Tissue (17250) range across 3 matching MRF lines |
$97.50–$483.75 | $130–$645 | varies |
| Chest tube placement (32551) | $483.75 | $645 | 0.3× |
| Circumcision 28 days or older (54161) | $3,956.25 | $5,275 | 2.0× |
| Claviculectomy partial (23120) range across 2 matching MRF lines |
$978.75–$13,181.25 | $1,305–$17,575 | varies |
| Clear outer ear canal (69200) range across 4 matching MRF lines |
$78.75–$221.25 | $105–$295 | varies |
| Closed Rx Metacarpal Fx,Percut (26608) range across 2 matching MRF lines |
$843.75–$8,043.75 | $1,125–$10,725 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) | $540 | $720 | 2.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $416.25 | $555 | 0.3× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $843.75 | $1,125 | 3.6× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $611.25 | $815 | 2.6× |
| Closed tx carpal scaphoid fracture w/manj (25624) range across 2 matching MRF lines |
$1,203.75–$1,215 | $1,605–$1,620 | varies |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $768.75 | $1,025 | 3.2× |
| Closed tx knee dislocation w/o anesthesia (27550) | $918.75 | $1,225 | 3.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 3 matching MRF lines |
$375–$4,530 | $500–$6,040 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) | $930 | $1,240 | 3.9× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $810 | $1,080 | 3.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 2 matching MRF lines |
$652.50–$656.25 | $870–$875 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$393.75–$412.50 | $525–$550 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$1,211.25–$1,282.50 | $1,615–$1,710 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 3 matching MRF lines |
$393.75–$708.75 | $525–$945 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $292.50 | $390 | 1.2× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $521.25 | $695 | 2.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 2 matching MRF lines |
$652.50–$656.25 | $870–$875 | varies |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $851.25 | $1,135 | 3.6× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $888.75 | $1,185 | 0.6× |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 4 matching MRF lines |
$310.50–$555 | $414–$740 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $1,008.75 | $1,345 | 0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $798.75 | $1,065 | 3.4× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) | $1,035 | $1,380 | 4.4× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $765 | $1,020 | 3.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $1,057.50 | $1,410 | 4.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 6 matching MRF lines |
$404.25–$4,822.50 | $539–$6,430 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 2 matching MRF lines |
$795–$798.75 | $1,060–$1,065 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$465–$468.75 | $620–$625 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 4 matching MRF lines |
$369–$843.75 | $492–$1,125 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 4 matching MRF lines |
$937.50–$4,796.25 | $1,250–$6,395 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $360 | $480 | 1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 3 matching MRF lines |
$210–$4,530 | $280–$6,040 | varies |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 2 matching MRF lines |
$534–$795 | $712–$1,060 | varies |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $675 | $900 | 2.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $465 | $620 | 2.0× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $952.50 | $1,270 | 4.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$705–$708.75 | $940–$945 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) | $776.25 | $1,035 | 0.5× |
| Cltx Medial Ankle Fx (27760) range across 2 matching MRF lines |
$341.25–$4,312.50 | $455–$5,750 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$806.25–$821.25 | $1,075–$1,095 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 4 matching MRF lines |
$349.50–$753.75 | $466–$1,005 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$847.50–$851.25 | $1,130–$1,135 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines |
$487.50–$495 | $650–$660 | varies |
| Cltx post hip arthrp dislc req anes (27266) | $2,096.25 | $2,795 | 1.4× |
| Cltx prox fibula/shft fx w/o manj (27780) | $772.50 | $1,030 | 3.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$142.50–$243.75 | $190–$325 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $611.25 | $815 | 0.4× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $952.50 | $1,270 | 4.0× |
| Cltx tibial fx proximal w/o manipulation (27530) | $723.75 | $965 | 3.1× |
| Cltx tibial shaft fx w/o manipulation (27750) range across 2 matching MRF lines |
$798.75–$840 | $1,065–$1,120 | varies |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$17.25–$41.25 | $23–$55 | varies |
| Colonoscopy w/ablation (45388) | $4,792.50 | $6,390 | 4.2× |
| Colonoscopy w/submucosal inj (45381) range across 2 matching MRF lines |
$1,271.25–$4,792.50 | $1,695–$6,390 | varies |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) range across 2 matching MRF lines |
$427.50–$7,773.75 | $570–$10,365 | varies |
| Colsc flx w/removal lesion by hot bx forceps (45384) range across 2 matching MRF lines |
$2,351.25–$4,792.50 | $3,135–$6,390 | varies |
| Complex drainage wound (10180) | $6,678.75 | $8,905 | 2.4× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) range across 2 matching MRF lines |
$416.25–$7,773.75 | $555–$10,365 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) | $360 | $480 | 2.8× |
| Correction hammertoe (28285) range across 2 matching MRF lines |
$498.75–$7,803.75 | $665–$10,405 | varies |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) range across 2 matching MRF lines |
$877.50–$16,860 | $1,170–$22,480 | varies |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) range across 2 matching MRF lines |
$817.50–$16,860 | $1,090–$22,480 | varies |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) | $8,058.75 | $10,745 | 2.6× |
| Cysto Bladder W/Ureteral Catheterization (52005) | $3,116.25 | $4,155 | 1.6× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $3,116.25 | $4,155 | 1.6× |
| Cysto w/insert ureteral stent (52332) range across 2 matching MRF lines |
$1,642.50–$3,116.25 | $2,190–$4,155 | varies |
| Cysto W/Simple Removal Stone & Stent (52310) range across 2 matching MRF lines |
$1,725–$3,116.25 | $2,300–$4,155 | varies |
| Cysto w/ureteroscopy w/lithotripsy (52353) | $9,086.25 | $12,115 | 1.8× |
| Cysto/uretero w/lithotripsy (52356) | $12,341.25 | $16,455 | 2.4× |
| Cystostomy Cystotomy W/Drainage (51040) | $9,086.25 | $12,115 | 4.5× |
| Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus… (51065) | $8,156.25 | $10,875 | 2.4× |
| Cystourethroscopy (52000) range across 2 matching MRF lines |
$915–$3,116.25 | $1,220–$4,155 | varies |
| Cystourethroscopy inj chemodenervation bladder (52287) | $3,116.25 | $4,155 | 1.6× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) | $3,116.25 | $4,155 | 0.9× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) | $9,086.25 | $12,115 | 1.8× |
| Cystourethroscopy with biopsy (52204) range across 2 matching MRF lines |
$2,013.75–$3,116.25 | $2,685–$4,155 | varies |
| Cystourethroscopy with direct vision internal urethrotomy (52276) | $9,086.25 | $12,115 | 4.5× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 3 matching MRF lines |
$693.75–$4,192.50 | $925–$5,590 | varies |
| Debride nail 1-5 (11720) range across 3 matching MRF lines |
$60–$101.25 | $80–$135 | varies |
| Debride nail 6 or more (11721) range across 3 matching MRF lines |
$45–$150 | $60–$200 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 3 matching MRF lines |
$517.50–$5,662.50 | $690–$7,550 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 8 matching MRF lines |
$138.75–$1,815 | $185–$2,420 | varies |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$1,260–$3,870 | $1,680–$5,160 | varies |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$1,252.50–$2,497.50 | $1,670–$3,330 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 5 matching MRF lines |
$187.50–$513.75 | $250–$685 | varies |
| Destruction Benign Lesions 15/> (17111) | $326.25 | $435 | 1.7× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) range across 4 matching MRF lines |
$1,077–$7,042.50 | $1,436–$9,390 | varies |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $375 | $500 | 1.9× |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 2 matching MRF lines |
$652.50–$1,053.75 | $870–$1,405 | varies |
| Destruction Premalignant Lesion 15/> (17004) | $405 | $540 | 1.0× |
| Destruction premalignant lesion 1st (17000) range across 3 matching MRF lines |
$142.50–$165 | $190–$220 | varies |
| Diagnostic sigmoidoscopy (45330) | $2,752.50 | $3,670 | 3.1× |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) range across 4 matching MRF lines |
$101.25–$337.50 | $135–$450 | varies |
| Dilation And Curettage Of Cervical Stump (57558) | $5,325 | $7,100 | 1.7× |
| Drain/inj small joint/bursa w/us (20604) | $206.25 | $275 | 0.7× |
| Drainage of hematoma/fluid (10140) range across 5 matching MRF lines |
$168.75–$3,870 | $225–$5,160 | varies |
| Drainage of hydrocele (55000) range across 2 matching MRF lines |
$210–$521.25 | $280–$695 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $941.25 | $1,255 | 2.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$382.50–$517.50 | $510–$690 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 4 matching MRF lines |
$210–$483.75 | $280–$645 | varies |
| Dstrj lesion anus simple surg excision (46922) range across 3 matching MRF lines |
$573.75–$4,192.50 | $765–$5,590 | varies |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) range across 2 matching MRF lines |
$1,147.50–$3,408.75 | $1,530–$4,545 | varies |
| Egd cautery tumor polyp (43250) range across 2 matching MRF lines |
$622.50–$3,326.25 | $830–$4,435 | varies |
| Egd dilation gastric/duodenal stricture (43245) | $3,798.75 | $5,065 | 2.1× |
| Egd remove lesion snare (43251) | $3,798.75 | $5,065 | 2.1× |
| Endometrial Biopsy (58100) range across 3 matching MRF lines |
$138.75–$258.75 | $185–$345 | varies |
| Endoscopic plantar fasciotomy (29893) | $7,436.25 | $9,915 | 2.4× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) | $4,503.75 | $6,005 | 2.3× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) | $4,503.75 | $6,005 | 2.3× |
| Epidural Blood Patch (62273) | $420 | $560 | 0.6× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) range across 2 matching MRF lines |
$1,451.25–$3,296.25 | $1,935–$4,395 | varies |
| Evacuation of subungual hematoma (11740) range across 5 matching MRF lines |
$82.50–$303.75 | $110–$405 | varies |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) range across 2 matching MRF lines |
$1,263.75–$5,891.25 | $1,685–$7,855 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $315 | $420 | 0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 3 matching MRF lines |
$513.75–$2,433.75 | $685–$3,245 | varies |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $592.50 | $790 | 0.9× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $6,450 | $8,600 | 4.1× |
| Exc Face Les Sbq 2 Cm/> (21012) range across 2 matching MRF lines |
$1,023.75–$6,457.50 | $1,365–$8,610 | varies |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 3 matching MRF lines |
$363.75–$2,433.75 | $485–$3,245 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $461.25 | $615 | 0.7× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 3 matching MRF lines |
$210–$1,117.50 | $280–$1,490 | varies |
| Exc Frenum Labial/Buccal (40819) range across 2 matching MRF lines |
$270–$4,170 | $360–$5,560 | varies |
| Exc ganglion wrist recurrent (25112) range across 2 matching MRF lines |
$967.50–$5,913.75 | $1,290–$7,885 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$311.25–$315 | $415–$420 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 4 matching MRF lines |
$311.25–$2,433.75 | $415–$3,245 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$221.25–$453.75 | $295–$605 | varies |
| Exc Hand Les Sc < 1.5 Cm (26115) range across 2 matching MRF lines |
$1,616.25–$6,142.50 | $2,155–$8,190 | varies |
| Exc hand tum deep < 1.5 cm (26116) range across 2 matching MRF lines |
$1,601.25–$6,015 | $2,135–$8,020 | varies |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) range across 2 matching MRF lines |
$450–$7,803.75 | $600–$10,405 | varies |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 3 matching MRF lines |
$487.50–$2,433.75 | $650–$3,245 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 3 matching MRF lines |
$337.50–$6,450 | $450–$8,600 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 3 matching MRF lines |
$840–$6,450 | $1,120–$8,600 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 5 matching MRF lines |
$315–$6,446.25 | $420–$8,595 | varies |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $487.50 | $650 | 0.4× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 3 matching MRF lines |
$390–$2,415 | $520–$3,220 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 3 matching MRF lines |
$427.50–$2,433.75 | $570–$3,245 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 4 matching MRF lines |
$303.75–$2,433.75 | $405–$3,245 | varies |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) | $5,688.75 | $7,585 | 2.0× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) range across 2 matching MRF lines |
$768.75–$7,500 | $1,025–$10,000 | varies |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) range across 2 matching MRF lines |
$285–$311.25 | $380–$415 | varies |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) range across 2 matching MRF lines |
$1,252.50–$6,450 | $1,670–$8,600 | varies |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $5,688.75 | $7,585 | 2.0× |
| Exc Varicocele/Ligation Spermatic Veins Spx (55530) | $5,673.75 | $7,565 | 1.7× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) range across 2 matching MRF lines |
$708.75–$6,750 | $945–$9,000 | varies |
| Excis Mouth Mucosa/Sub,No Repair (40810) | $547.50 | $730 | 0.2× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 2 matching MRF lines |
$457.50–$2,415 | $610–$3,220 | varies |
| Excision Distal Ulna Partial/Complete (25240) range across 2 matching MRF lines |
$742.50–$6,836.25 | $990–$9,115 | varies |
| Excision Lesion Conjunctiva </1 Cm (68110) | $2,433.75 | $3,245 | 1.1× |
| Excision lesion tendon sheath forearm&/wrist (25110) range across 2 matching MRF lines |
$577.50–$6,506.25 | $770–$8,675 | varies |
| Excision Lingual Frenum Frenectomy (41115) | $6,457.50 | $8,610 | 4.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $570 | $760 | 0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $2,433.75 | $3,245 | 3.6× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $7,128.75 | $9,505 | 10.5× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 2 matching MRF lines |
$783.75–$6,450 | $1,045–$8,600 | varies |
| Excision Multiple External Papillae/Tags Anus (46230) range across 2 matching MRF lines |
$731.25–$7,042.50 | $975–$9,390 | varies |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 2 matching MRF lines |
$551.25–$5,917.50 | $735–$7,890 | varies |
| Excision of hydrocele; unilateral (55040) | $10,376.25 | $13,835 | 3.0× |
| Excision olecranon bursa (24105) range across 2 matching MRF lines |
$918.75–$7,785 | $1,225–$10,380 | varies |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $6,450 | $8,600 | 2.3× |
| Excision Radial Head (24130) range across 2 matching MRF lines |
$1,200–$15,498.75 | $1,600–$20,665 | varies |
| Excision spermatocele w/wo epididymectomy (54840) range across 2 matching MRF lines |
$465–$5,677.50 | $620–$7,570 | varies |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) range across 2 matching MRF lines |
$1,432.50–$6,450 | $1,910–$8,600 | varies |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) range across 2 matching MRF lines |
$363.75–$5,673.75 | $485–$7,565 | varies |
| Excision/curettage cyst/tumor phalanx finger (26210) | $1,237.50 | $1,650 | 0.8× |
| Exploration penetrating wound spx extremity (20103) | $1,432.50 | $1,910 | 0.9× |
| Explore/Treat Elbow Joint (24101) range across 2 matching MRF lines |
$1,177.50–$7,785 | $1,570–$10,380 | varies |
| Fasciotomy palmar open partial (26045) range across 2 matching MRF lines |
$382.50–$5,913.75 | $510–$7,885 | varies |
| Fasciotomy palmar percutaneous (26040) | $5,898.75 | $7,865 | 3.8× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) range across 2 matching MRF lines |
$2,336.25–$9,592.50 | $3,115–$12,790 | varies |
| Foreskin manipulation (54450) | $176.25 | $235 | 0.7× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) | $5,006.25 | $6,675 | 2.5× |
| Fusion Finger Joint (26860) range across 3 matching MRF lines |
$660–$4,147.50 | $880–$5,530 | varies |
| Fusion in opposition, thumb, with autogenous graft (includes obtaining graft) Facility (26820) range across 2 matching MRF lines |
$1,470–$8,302.50 | $1,960–$11,070 | varies |
| Fusion of foot bones (28740) range across 2 matching MRF lines |
$731.25–$16,860 | $975–$22,480 | varies |
| Fusion of knuckle (26850) range across 2 matching MRF lines |
$1,271.25–$8,085 | $1,695–$10,780 | varies |
| Gastrocnemius recession (27687) range across 2 matching MRF lines |
$326.25–$9,168.75 | $435–$12,225 | varies |
| Hysteroscopy Endometrial Ablation (58563) range across 2 matching MRF lines |
$2,771.25–$7,773.75 | $3,695–$10,365 | varies |
| I&d abscess simple (10060) range across 8 matching MRF lines |
$198.75–$1,706.25 | $265–$2,275 | varies |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$547.50–$7,042.50 | $730–$9,390 | varies |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$427.50–$1,646.25 | $570–$2,195 | varies |
| Implant neuroelectrodes (63650) range across 2 matching MRF lines |
$5,722.50–$17,940 | $7,630–$23,920 | varies |
| Incise external hemorrhoid (46083) | $525 | $700 | 2.2× |
| Incise finger tendon sheath (26055) range across 2 matching MRF lines |
$1,421.25–$5,913.75 | $1,895–$7,885 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 6 matching MRF lines |
$187.50–$1,125 | $250–$1,500 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $675 | $900 | 0.4× |
| Incision & removal foreign body subq tiss simple (10120) range across 7 matching MRF lines |
$217.50–$896.25 | $290–$1,195 | varies |
| Incision extensor tendon sheath wrist (25000) range across 3 matching MRF lines |
$798.75–$7,785 | $1,065–$10,380 | varies |
| Incision of eardrum (69421) range across 2 matching MRF lines |
$6,457.50 | $180–$8,610 | 2.0× |
| Incision&drainage bursa foot (28001) | $3,870 | $5,160 | 2.4× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $768.75 | $1,025 | 0.5× |
| Incisional biopsy skin single lesion (11106) | $393.75 | $525 | 0.6× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$183.75–$191.25 | $245–$255 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$1,833.75–$2,497.50 | $2,445–$3,330 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 6 matching MRF lines |
$93.75–$1,083.75 | $125–$1,445 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 2 matching MRF lines |
$247.50–$2,617.50 | $330–$3,490 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 2 matching MRF lines |
$393.75–$1,147.50 | $525–$1,530 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $3,090 | $4,120 | 4.6× |
| Injection single tendon origin/insertion (20551) range across 4 matching MRF lines |
$78.75–$187.50 | $105–$250 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 6 matching MRF lines |
$71.25–$1,185 | $95–$1,580 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 6 matching MRF lines |
$157.50–$1,185 | $210–$1,580 | varies |
| Injection therapeutic carpal tunnel (20526) | $202.50 | $270 | 0.7× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $2,373.75 | $3,165 | 2.8× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $1,785 | $2,380 | 2.6× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 4 matching MRF lines |
$112.50–$1,785 | $150–$2,380 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $142.50 | $190 | 0.7× |
| Insert Drug Implant Device (11981) range across 5 matching MRF lines |
$150–$405 | $200–$540 | varies |
| Insert Gastrostomy Tube Percutaneous (49440) | $2,295 | $3,060 | 1.2× |
| Insert multi-comp penis pros (54405) range across 2 matching MRF lines |
$3,866.25–$21,333.75 | $5,155–$28,445 | varies |
| Insert pessary/other device (57160) range across 2 matching MRF lines |
$97.50–$247.50 | $130–$330 | varies |
| Insert Temp Bladder Cath (51702) | $191.25 | $255 | 1.5× |
| Insert tunneled cv cath (36561) | $8,021.25 | $10,695 | 2.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$112.50–$135 | $150–$180 | varies |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) unusually low: confirm this is the full procedure |
$2,272.50 | $3,030 | 0.4× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $1,001.25 | $1,335 | 0.3× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $847.50 | $1,130 | 0.6× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) | $64,353.75 | $85,805 | 2.2× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$363.75–$543.75 | $485–$725 | varies |
| Knee Arthroscopy/Surgery (29874) range across 2 matching MRF lines |
$1,368.75–$8,557.50 | $1,825–$11,410 | varies |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 2 matching MRF lines |
$1,072.50–$14,497.50 | $1,430–$19,330 | varies |
| Laparoscopy w/rmvl adnexal structures (58661) range across 2 matching MRF lines |
$810–$9,967.50 | $1,080–$13,290 | varies |
| Laparoscopy, surgical, appendectomy (44970) range across 2 matching MRF lines |
$1,845–$15,292.50 | $2,460–$20,390 | varies |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) range across 2 matching MRF lines |
$2,208.75–$16,957.50 | $2,945–$22,610 | varies |
| Litholapaxy smpl/sm <2.5 cm (52317) | $9,086.25 | $12,115 | 2.7× |
| Lithotripsy, extracorporeal shock wave (50590) range across 2 matching MRF lines |
$3,356.25–$13,061.25 | $4,475–$17,415 | varies |
| Lysis/excision penile postcircumcision adhesions (54162) range across 2 matching MRF lines |
$363.75–$12,416.25 | $485–$16,555 | varies |
| Myringoplasty (69620) range across 2 matching MRF lines |
$993.75–$5,538.75 | $1,325–$7,385 | varies |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines |
$577.50–$1,503.75 | $770–$2,005 | varies |
| N Block Inj Plantar Digit (64455) range across 2 matching MRF lines |
$82.50–$1,065 | $110–$1,420 | varies |
| N Block Lumbar/Thoracic (64520) range across 2 matching MRF lines |
$326.25–$2,208.75 | $435–$2,945 | varies |
| Nerve repair w/conduit each nerve (64910) range across 2 matching MRF lines |
$2,396.25–$17,940 | $3,195–$23,920 | varies |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) range across 3 matching MRF lines |
$1,650–$6,033.75 | $2,200–$8,045 | varies |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) range across 2 matching MRF lines |
$881.25–$5,287.50 | $1,175–$7,050 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$585–$2,497.50 | $780–$3,330 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$851.25–$2,497.50 | $1,135–$3,330 | varies |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 3 matching MRF lines |
$840–$2,497.50 | $1,120–$3,330 | varies |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) | $8,516.25 | $11,355 | 1.3× |
| Occipital Nerve Block (64405) range across 4 matching MRF lines |
$131.25–$1,065 | $175–$1,420 | varies |
| Open Repair of Rotator Cuff Acute (23410) range across 2 matching MRF lines |
$1,931.25–$16,972.50 | $2,575–$22,630 | varies |
| Open Treatment Medial Malleolus Fracture (27766) range across 2 matching MRF lines |
$1,053.75–$14,782.50 | $1,405–$19,710 | varies |
| Open treatment metatarsal fracture each (28485) range across 2 matching MRF lines |
$1,421.25–$16,203.75 | $1,895–$21,605 | varies |
| Open Treatment Radial Shaft Fracture (25515) range across 2 matching MRF lines |
$1,170–$14,782.50 | $1,560–$19,710 | varies |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) range across 2 matching MRF lines |
$1,293.75–$14,782.50 | $1,725–$19,710 | varies |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) range across 2 matching MRF lines |
$472.50–$13,732.50 | $630–$18,310 | varies |
| Open Tx Distal Tibiofibular Joint Disruption (27829) range across 2 matching MRF lines |
$960–$13,481.25 | $1,280–$17,975 | varies |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) range across 2 matching MRF lines |
$1,068.75–$16,203.75 | $1,425–$21,605 | varies |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) range across 2 matching MRF lines |
$2,111.25–$16,203.75 | $2,815–$21,605 | varies |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) range across 2 matching MRF lines |
$1,072.50–$14,160 | $1,430–$18,880 | varies |
| Orchiectomy radical tumor inguinal approach (54530) | $8,677.50 | $11,570 | 2.5× |
| Ostc compl all metar heads w/prtl prox phalangc (28114) range across 2 matching MRF lines |
$922.50–$16,860 | $1,230–$22,480 | varies |
| Ostc prtl exostc/condylc metar head (28288) | $7,811.25 | $10,415 | 2.5× |
| Ostectomy, complete excision; fifth metatarsal head (28113) range across 2 matching MRF lines |
$783.75–$6,750 | $1,045–$9,000 | varies |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) range across 2 matching MRF lines |
$468.75–$16,860 | $625–$22,480 | varies |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) range across 2 matching MRF lines |
$562.50–$7,803.75 | $750–$10,405 | varies |
| Osteotomy Metacarpal Each (26565) range across 2 matching MRF lines |
$1,271.25–$8,085 | $1,695–$10,780 | varies |
| Palatopharyngoplasty (42145) range across 2 matching MRF lines |
$975–$8,137.50 | $1,300–$10,850 | varies |
| Part remv talus or calcaneus (28120) range across 2 matching MRF lines |
$896.25–$6,750 | $1,195–$9,000 | varies |
| Partial excision bone olecranon process (24147) range across 2 matching MRF lines |
$783.75–$5,531.25 | $1,045–$7,375 | varies |
| Partical Excision Bone Phalanx Toe (28124) range across 4 matching MRF lines |
$442.50–$7,803.75 | $590–$10,405 | varies |
| Pin Finger Dislocation (26776) | $14,193.75 | $18,925 | 4.5× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) range across 2 matching MRF lines |
$1,241.25–$16,203.75 | $1,655–$21,605 | varies |
| Punch biopsy skin single lesion (11104) range across 6 matching MRF lines |
$165–$2,433.75 | $220–$3,245 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$131.25–$896.25 | $175–$1,195 | varies |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) range across 2 matching MRF lines |
$2,302.50–$7,785 | $3,070–$10,380 | varies |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) range across 2 matching MRF lines |
$997.50–$6,506.25 | $1,330–$8,675 | varies |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) range across 2 matching MRF lines |
$1,803.75–$16,312.50 | $2,405–$21,750 | varies |
| Realignment extensor tendon hand each tendon (26437) range across 2 matching MRF lines |
$1,136.25–$3,697.50 | $1,515–$4,930 | varies |
| Removal Embedded Foreign Body Eyelid (67938) | $641.25 | $855 | 2.1× |
| Removal Foreign Body Deep Thigh/Knee (27372) | $855 | $1,140 | 0.3× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 5 matching MRF lines |
$318.75–$1,646.25 | $425–$2,195 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $41.25 | $55 | 0.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 6 matching MRF lines |
$45–$131.25 | $60–$175 | varies |
| Removal Implant Deep (20680) range across 2 matching MRF lines |
$1,518.75–$6,450 | $2,025–$8,600 | varies |
| Removal implantable contraceptive capsules (11976) range across 4 matching MRF lines |
$206.25–$1,346.25 | $275–$1,795 | varies |
| Removal intact breast implant (19328) | $9,825 | $13,100 | 2.6× |
| Removal of adenoids (42830) | $6,390 | $8,520 | 2.0× |
| Removal of heel spur (28119) range across 2 matching MRF lines |
$705–$6,750 | $940–$9,000 | varies |
| Removal of nail bed (11750) range across 8 matching MRF lines |
$255–$2,426.25 | $340–$3,235 | varies |
| Removal of testis (54520) | $5,677.50 | $7,570 | 1.7× |
| Removal of tonsils (42825) range across 2 matching MRF lines |
$386.25–$5,223.75 | $515–$6,965 | varies |
| Removal of tonsils (42826) range across 2 matching MRF lines |
$191.25–$5,355 | $255–$7,140 | varies |
| Removal of wrist bone (25210) range across 2 matching MRF lines |
$393.75–$4,147.50 | $525–$5,530 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 3 matching MRF lines |
$146.25–$221.25 | $195–$295 | varies |
| Removal/bivalving gauntlet boot/body cast (29700) range across 2 matching MRF lines |
$157.50–$682.50 | $210–$910 | varies |
| Remove drug implant device (11982) range across 2 matching MRF lines |
$281.25–$296.25 | $375–$395 | varies |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$75–$266.25 | $100–$355 | varies |
| Remove Intrauterine Device (58301) range across 6 matching MRF lines |
$86.25–$341.25 | $115–$455 | varies |
| Remove Nasal Foreign Body (30300) range across 3 matching MRF lines |
$221.25–$513.75 | $295–$685 | varies |
| Remove Skin Nerve Lesion (64774) range across 2 matching MRF lines |
$303.75–$5,006.25 | $405–$6,675 | varies |
| Remove Tendon Sheath Lesion (26160) range across 2 matching MRF lines |
$1,301.25–$5,898.75 | $1,735–$7,865 | varies |
| Remove/Insert Drug Implant (11983) range across 2 matching MRF lines |
$363.75–$367.50 | $485–$490 | varies |
| Repair Achilles Tendon (27650) range across 2 matching MRF lines |
$900–$9,236.25 | $1,200–$12,315 | varies |
| Repair Collat Ankle Ligmnt,Secondary (27698) range across 2 matching MRF lines |
$408.75–$13,147.50 | $545–$17,530 | varies |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $1,785 | $2,380 | 2.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $1,785 | $2,380 | 2.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $1,005 | $1,340 | 2.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 3 matching MRF lines |
$450–$1,785 | $600–$2,380 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $1,005 | $1,340 | 2.6× |
| Repair complex trunk 2.6-7.5 cm (13101) | $1,785 | $2,380 | 2.5× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) range across 2 matching MRF lines |
$277.50–$9,168.75 | $370–$12,225 | varies |
| Repair Hand Joint (26540) range across 2 matching MRF lines |
$1,957.50–$5,898.75 | $2,610–$7,865 | varies |
| Repair Hand Tendon (26410) range across 2 matching MRF lines |
$1,083.75–$5,820 | $1,445–$7,760 | varies |
| Repair incomplete circumcision (54163) range across 2 matching MRF lines |
$311.25–$4,736.25 | $415–$6,315 | varies |
| Repair initial femoral hernia, any age; reducible (49550) range across 2 matching MRF lines |
$1,012.50–$10,290 | $1,350–$13,720 | varies |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) range across 2 matching MRF lines |
$915–$10,286.25 | $1,220–$13,715 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$671.25–$708.75 | $895–$945 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $750 | $1,000 | 1.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $881.25 | $1,175 | 2.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $926.25 | $1,235 | 2.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
$630–$1,016.25 | $840–$1,355 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines |
$738.75–$1,012.50 | $985–$1,350 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $918.75 | $1,225 | 1.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $952.50 | $1,270 | 2.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 4 matching MRF lines |
$468.75–$1,005 | $625–$1,340 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 4 matching MRF lines |
$442.50–$1,005 | $590–$1,340 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $802.50 | $1,070 | 2.1× |
| Repair of biceps tendon (24340) range across 2 matching MRF lines |
$465–$14,377.50 | $620–$19,170 | varies |
| Repair of hammertoe (28286) range across 2 matching MRF lines |
$585–$6,750 | $780–$9,000 | varies |
| Repair of hydrocele (55060) range across 2 matching MRF lines |
$517.50–$3,802.50 | $690–$5,070 | varies |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) | $13,788.75 | $18,385 | 2.0× |
| Repair of Ruptured Tendon (24342) range across 2 matching MRF lines |
$1,286.25–$13,181.25 | $1,715–$17,575 | varies |
| Repair of shoulder (23420) range across 2 matching MRF lines |
$2,970–$15,408.75 | $3,960–$20,545 | varies |
| Repair Rotator Cuff Chronic (23412) range across 2 matching MRF lines |
$1,473.75–$13,800 | $1,965–$18,400 | varies |
| Repair secondary achilles tendon w/wo graft (27654) range across 2 matching MRF lines |
$978.75–$17,681.25 | $1,305–$23,575 | varies |
| Repair, primary, disrupted ligament, ankle; collateral (27695) range across 2 matching MRF lines |
$13,147.50 | $480–$17,530 | 1.9× |
| Repair/Revise Wrist Joint (25320) range across 2 matching MRF lines |
$738.75–$13,530 | $985–$18,040 | varies |
| Rerepair ing hernia reduce (49520) | $1,620 | $2,160 | 0.5× |
| Revise knuckle joint (26530) range across 2 matching MRF lines |
$416.25–$11,846.25 | $555–$15,795 | varies |
| Revise ulnar nerve at wrist (64719) range across 2 matching MRF lines |
$626.25–$5,006.25 | $835–$6,675 | varies |
| Revision of big toe (28310) range across 2 matching MRF lines |
$517.50–$7,803.75 | $690–$10,405 | varies |
| Revision of foot bones (28737) range across 2 matching MRF lines |
$873.75–$17,576.25 | $1,165–$23,435 | varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$82.50–$153.75 | $110–$205 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $172.50 | $230 | 1.3× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $112.50 | $150 | 0.3× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $555 | $740 | 0.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $3,120 | $4,160 | 2.1× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) range across 2 matching MRF lines |
$1,245–$12,963.75 | $1,660–$17,285 | varies |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) range across 2 matching MRF lines |
$570–$12,963.75 | $760–$17,285 | varies |
| Rpr aa hrn 1st < 3 ncr/strn (49592) range across 2 matching MRF lines |
$757.50–$12,363.75 | $1,010–$16,485 | varies |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) range across 2 matching MRF lines |
$648.75–$9,506.25 | $865–$12,675 | varies |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $416.25 | $555 | 2.2× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) range across 2 matching MRF lines |
$750–$17,921.25 | $1,000–$23,895 | varies |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) range across 2 matching MRF lines |
$1,312.50–$9,592.50 | $1,750–$12,790 | varies |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) | $12,131.25 | $16,175 | 3.8× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) range across 2 matching MRF lines |
$2,312.25–$2,928.75 | $3,083–$3,905 | varies |
| Shave skin lesion 0.5 cm/< (11300) | $258.75 | $345 | 0.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $296.25 | $395 | 1.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $461.25 | $615 | 1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $277.50 | $370 | 1.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $307.50 | $410 | 1.6× |
| Shoulder arthroscopy (29820) range across 2 matching MRF lines |
$405–$7,721.25 | $540–$10,295 | varies |
| Shoulder arthroscopy diagnostic (29805) range across 2 matching MRF lines |
$817.50–$7,957.50 | $1,090–$10,610 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $348.75 | $465 | 1.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $307.50 | $410 | 1.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $371.25 | $495 | 0.9× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $191.25 | $255 | 1.0× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $2,928.75 | $3,905 | 3.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$277.50–$288.75 | $370–$385 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$285–$296.25 | $380–$395 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $345 | $460 | 1.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$225–$483.75 | $300–$645 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$315–$326.25 | $420–$435 | varies |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$476.25–$1,406.25 | $635–$1,875 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 3 matching MRF lines |
$446.25–$5,006.25 | $595–$6,675 | varies |
| Skin sub grft t/arm/lg child (15273) | $4,372.50 | $5,830 | 2.2× |
| Skn sub grft f/n/hf/g child (15277) | $1,406.25 | $1,875 | 0.7× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) | $11,186.25 | $14,915 | 2.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$277.50–$517.50 | $370–$690 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$420–$446.25 | $560–$595 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $495 | $660 | 1.3× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $7,785 | $10,380 | 2.3× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $4,503.75 | $6,005 | 2.3× |
| Strapping ankle (29540) | $78.75 | $105 | 0.5× |
| Strapping Hip (29520) | $105 | $140 | 0.8× |
| Strapping knee (29530) | $108.75 | $145 | 0.9× |
| Strapping toes (29550) | $60 | $80 | 1.1× |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$105–$393.75 | $140–$525 | varies |
| Subcutaneous Hormone Pellet Implantation (11980) | $236.25 | $315 | 0.6× |
| Surg Tx Anal Fistula 2nd Stage (46285) range across 2 matching MRF lines |
$1,451.25–$7,042.50 | $1,935–$9,390 | varies |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) range across 2 matching MRF lines |
$892.50–$8,085 | $1,190–$10,780 | varies |
| Tendon lengthening upper arm/elbow ea tendon (24305) range across 2 matching MRF lines |
$1,440–$7,785 | $1,920–$10,380 | varies |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) range across 2 matching MRF lines |
$4,582.50–$7,785 | $6,110–$10,380 | varies |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) range across 2 matching MRF lines |
$2,182.50–$7,785 | $2,910–$10,380 | varies |
| Tenodesis long tendon biceps (23430) range across 2 matching MRF lines |
$1,286.25–$13,800 | $1,715–$18,400 | varies |
| Tenotomy Percutaneous Toe Single Tendon (28010) range across 3 matching MRF lines |
$333.75–$7,087.50 | $445–$9,450 | varies |
| Tnot elbow lateral/medial debride open tdn rpr (24359) range across 2 matching MRF lines |
$1,181.25–$7,785 | $1,575–$10,380 | varies |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) range across 2 matching MRF lines |
$1,410–$6,033.75 | $1,880–$8,045 | varies |
| Transur electr resection of prostate (52601) | $12,956.25 | $17,275 | 2.5× |
| Transurethral resection bladder neck (52500) | $12,956.25 | $17,275 | 3.8× |
| Treat Big Toe Fracture (28505) | $1,638.75 | $2,185 | 0.5× |
| Treat Finger Fracture Each (26727) range across 2 matching MRF lines |
$750–$13,481.25 | $1,000–$17,975 | varies |
| Treat Fx Rad Extra-Articul (25607) range across 2 matching MRF lines |
$1,286.25–$14,782.50 | $1,715–$19,710 | varies |
| Treat Humerus Fracture (24505) | $1,293.75 | $1,725 | 0.8× |
| Treat humerus fracture (23600) | $603.75 | $805 | 2.5× |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$480–$840 | $640–$1,120 | varies |
| Treat metacarpal fracture (26607) range across 2 matching MRF lines |
$731.25–$2,643.75 | $975–$3,525 | varies |
| Treat Thumb Dislocation (26641) | $480 | $640 | 2.0× |
| Treat Thumb Fracture (26645) | $401.25 | $535 | 0.3× |
| Treat toe dislocation (28630) | $390 | $520 | 1.6× |
| Treatment closed elbow dislocation w/o anes (24600) | $922.50 | $1,230 | 3.9× |
| Trim skin lesion (11055) range across 5 matching MRF lines |
$127.50–$513.75 | $170–$685 | varies |
| Trim skin lesions 2 to 4 (11056) range across 3 matching MRF lines |
$142.50–$513.75 | $190–$685 | varies |
| Trim skin lesions over 4 (11057) | $540 | $720 | 2.8× |
| Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$22.50–$56.25 | $30–$75 | varies |
| Trurl rescj postop bladder neck contracture (52640) | $9,086.25 | $12,115 | 2.7× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) range across 2 matching MRF lines |
$1,226.25–$8,313.75 | $1,635–$11,085 | varies |
| Tx open tendon flexor toe 1 tendon spx (28232) range across 2 matching MRF lines |
$630–$7,110 | $840–$9,480 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $1,406.25 | $1,875 | 2.0× |
| Tympanostomy general anesthesia (69436) range across 2 matching MRF lines |
$228.75–$6,457.50 | $305–$8,610 | varies |
| Unlisted procedure arthroscopy (29999) range across 2 matching MRF lines |
$491.25–$5,137.50 | $655–$6,850 | varies |
| Unlisted procedure nervous system (64999) | $1,087.50 | $1,450 | 3.7× |
| Vaginal delivery only (59409) | $2,036.25 | $2,715 | 0.7× |
| Vasectomy uni/bi spx w/postop semen exams (55250) range across 4 matching MRF lines |
$562.50–$5,673.75 | $750–$7,565 | varies |
| Ventilating tube removal requiring general anesthesia (69424) | $8,730 | $11,640 | 2.7× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$232.50–$270 | $310–$360 | varies |
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.