Procedures & surgery prices at American Fork Hospital
American Fork, UT · every code in this section with a posted price and a Medicare benchmark.
710 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $2,025.68 | $2,700.90 | 2.2× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $880.66 | $1,174.21 | 1.0× |
| Ablate Pulm Tumor Perq Crybl (32994) | $7,193.31 | $9,591.08 | 0.7× |
| Ablation 1/> liver tumor perq cryoablation (47383) | $9,713.83 | $12,951.77 | 0.9× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) | $9,297.33 | $12,396.44 | 0.5× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) | $7,726.31 | $10,301.75 | 1.1× |
| Amniocentesis diagnostic (59000) | $292.49 | $389.99 | 0.3× |
| Amputation toe interphalangeal joint (28825) | $5,270.87 | $7,027.83 | 1.6× |
| Amputation toe metatarsophalangeal joint (28820) | $5,270.87 | $7,027.83 | 1.6× |
| Anoscopy diagnostic (46600) | $362.75 | $483.67 | 2.7× |
| Anoscopy W/Rmvl Foreign Body (46608) | $362.75 | $483.67 | 0.4× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $621.49 | $828.65 | 3.8× |
| Application cast elbow finger short arm (29075) | $409.58 | $546.11 | 1.4× |
| Application Cast Finger (29086) | $362.75 | $483.67 | 2.2× |
| Application Finger Splint Dynamic (29131) | $122.03 | $162.71 | 2.0× |
| Application finger splint static (29130) | $134.23 | $178.97 | 1.0× |
| Application long arm splint shoulder hand (29105) | $363.42 | $484.56 | 2.2× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) | $362.75 | $483.67 | 1.3× |
| Application Long Leg Splint (29505) | $164.71 | $219.61 | 1.0× |
| Application of long leg cast (29345) | $362.75 | $483.67 | 1.3× |
| Application of rigid total contact leg cast (29445) range across 4 matching MRF lines |
$770.78–$1,568.42 | $1,027.71–$2,091.23 | varies |
| Application Short Arm Splint Dynamic (29126) | $169.24 | $225.66 | 1.3× |
| Application short arm splint forearm-hand static (29125) | $326.47 | $435.29 | 2.4× |
| Application short leg splint calf foot (29515) | $256.33 | $341.77 | 1.6× |
| Apply hand/wrist cast (29085) range across 2 matching MRF lines |
$333.98–$362.75 | $445.31–$483.67 | varies |
| Apply long arm cast (29065) range across 2 matching MRF lines |
$502.11–$627.62 | $669.48–$836.83 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$319.42–$635.30 | $425.90–$847.07 | varies |
| Apply Short Leg Cast (29405) range across 3 matching MRF lines |
$371.58–$503.03 | $495.44–$670.71 | varies |
| Apply short leg cast (29425) | $362.75 | $483.67 | 1.3× |
| Arterial puncture (36600) | $1,006.58 | $1,342.10 | 7.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$499.94–$999.88 | $666.58–$1,333.17 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $1,433.02 | $1,910.70 | 2.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$694.05–$1,388.14 | $925.40–$1,850.85 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$1,348.48–$2,696.67 | $1,797.97–$3,595.56 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$577.02–$1,154.20 | $769.36–$1,538.94 | varies |
| Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
$1,003.29–$3,793.92 | $1,337.72–$5,058.56 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$1,127.09–$2,254.18 | $1,502.79–$3,005.58 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $658.31 | $877.75 | 2.1× |
| Aspiration bladder insert suprapubic catheter (51102) | $2,221.82 | $2,962.42 | 1.0× |
| Aspiration Bladder Needle (51100) | $1,212.99 | $1,617.32 | 4.8× |
| Aspiration bladder trocar/intracatheter (51101) | $491.13 | $654.84 | 0.6× |
| Avulsion nail plate partial/complete simple 1 (11730) | $362.75 | $483.67 | 1.8× |
| Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) | $9,281.77 | $12,375.69 | 0.9× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) likely a partial charge, not the full procedure |
$3,112.61 | $4,150.15 | 0.3× |
| Biliary ndsc prq t-tube w/bx single/multiple (47553) unusually low: confirm this is the full procedure |
$2,179.12 | $2,905.49 | 0.3× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) unusually low: confirm this is the full procedure |
$2,267.28 | $3,023.04 | 0.3× |
| Biopsy Abdominal Mass (49180) | $1,585.35 | $2,113.80 | 0.9× |
| Biopsy bone trocar/needle deep (20225) | $1,571.83 | $2,095.77 | 0.9× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $1,305.47 | $1,740.63 | 0.8× |
| Biopsy muscle percutaneous needle (20206) | $1,030.87 | $1,374.49 | 0.6× |
| Biopsy of liver, needle; percutaneous (47000) | $1,522.51 | $2,030.01 | 0.9× |
| Biopsy Pleura Percutaneous Needle (32400) | $1,298.30 | $1,731.07 | 0.8× |
| Biopsy Salivary Gland Needle (42400) | $1,764.04 | $2,352.06 | 2.5× |
| Biopsy soft tissue neck/thorax (21550) | $1,428.60 | $1,904.80 | 0.9× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) | $1,154.45 | $1,539.27 | 0.7× |
| Bladder instillation anticarcinogenic agent (51720) | $1,004.46 | $1,339.28 | 1.4× |
| Bladder Irrigation (51700) | $459.92 | $613.23 | 1.8× |
| Bladder Scan (51798) | $294.57 | $392.76 | 4.9× |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) | $7,863.77 | $10,485.03 | 5.0× |
| Blepharotomy drainage abscess eyelid (67700) range across 2 matching MRF lines |
$409.58–$546.31 | $546.11–$728.41 | varies |
| Blood Transfusion Service (36430) | $710.20 | $946.93 | 1.6× |
| Blood/Lymph System Procedure (38999) | $1,173.89 | $1,565.19 | 2.6× |
| Bone Marrow Biopsy (38221) | $1,065.04 | $1,420.06 | 0.6× |
| Bone Marrow; Aspiration Only (38220) range across 2 matching MRF lines |
$278.89–$335.59 | $371.85–$447.45 | varies |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) | $9,221.38 | $12,295.17 | 2.4× |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) | $10,288.48 | $13,717.97 | 2.7× |
| Bronchoscopy W/Removal Foreign Body (31635) range across 2 matching MRF lines |
$959.56–$2,801.40 | $1,279.41–$3,735.20 | varies |
| Bx breast 1st lesion mr imag (19085) | $4,916.48 | $6,555.31 | 2.9× |
| Bx breast 1st lesion strtctc (19081) | $4,194.25 | $5,592.33 | 2.5× |
| Bx breast 1st lesion us imag (19083) | $2,389.25 | $3,185.67 | 1.4× |
| Catheter aspiration nasotracheal spx (31720) | $97.45 | $129.93 | 0.4× |
| Cerclage cervix pregnancy vaginal (59320) | $3,856.98 | $5,142.64 | 1.2× |
| Cessj Therapy Cath Removal (37214) | $7,769.32 | $10,359.10 | 2.4× |
| Change Cystostomy Tube Complicated (51710) | $491.13 | $654.84 | 0.7× |
| Change Cystostomy Tube Simple (51705) | $491.13 | $654.84 | 1.9× |
| Change of Windpipe Airway (31502) | $959.56 | $1,279.41 | 4.0× |
| Change ureter stent percut (50382) | $3,386.03 | $4,514.71 | 1.6× |
| Chemical Cautery Tissue (17250) | $592.42 | $789.89 | 2.9× |
| Chemodenerv musc neck dyston (64616) range across 2 matching MRF lines |
$343.40–$990.82 | $457.86–$1,321.09 | varies |
| Chest tube placement (32551) | $3,356.34 | $4,475.12 | 2.1× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $3,322.50 | $4,430 | 0.9× |
| Circumcision w/clamp/oth dev w/block (54150) | $406.12 | $541.50 | 0.2× |
| Cl Tx Scapular Fx; W Manip (23575) | $959.56 | $1,279.41 | 0.6× |
| Cl Tx Tib Shft Fx W Manip (27752) | $959.56 | $1,279.41 | 0.6× |
| Clear outer ear canal (69200) | $362.75 | $483.67 | 2.7× |
| Closed rx talotarsal disloc,anesth (28575) | $959.56 | $1,279.41 | 0.3× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $362.75 | $483.67 | 1.5× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $959.56 | $1,279.41 | 0.6× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $362.75 | $483.67 | 1.5× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $959.56 | $1,279.41 | 3.8× |
| Closed Treatment Sesamoid Fracture (28530) | $362.75 | $483.67 | 1.5× |
| Closed Treatment Sternum Fracture (21820) | $362.75 | $483.67 | 1.5× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $362.75 | $483.67 | 1.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $362.75 | $483.67 | 1.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $959.56 | $1,279.41 | 0.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $362.75 | $483.67 | 1.5× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) | $362.75 | $483.67 | 1.5× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $362.75 | $483.67 | 1.5× |
| Closed tx carpal scaphoid fracture w/manj (25624) | $959.56 | $1,279.41 | 0.6× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $362.75 | $483.67 | 1.5× |
| Closed Tx Craniofacial Separation (21431) likely a partial charge, not the full procedure |
$959.56 | $1,279.41 | 0.2× |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) | $959.56 | $1,279.41 | 0.6× |
| Closed tx femoral fracture prox head w/o manj (27267) | $959.56 | $1,279.41 | 0.3× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) | $362.75 | $483.67 | 1.5× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $959.56 | $1,279.41 | 0.6× |
| Closed tx knee dislocation w/o anesthesia (27550) | $362.75 | $483.67 | 1.5× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $959.56 | $1,279.41 | 0.6× |
| Closed tx mandibular fracture w/manipulation (21451) | $959.56 | $1,279.41 | 0.6× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) | $491.13 | $654.84 | 0.9× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) likely a partial charge, not the full procedure |
$362.75 | $483.67 | 0.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $362.75 | $483.67 | 1.5× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $959.56 | $1,279.41 | 0.6× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $959.56 | $1,279.41 | 0.6× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $959.56 | $1,279.41 | 0.3× |
| Closed Tx Nasomaxillary Complex Fracture (21345) | $959.56 | $1,279.41 | 0.6× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) | $959.56 | $1,279.41 | 0.3× |
| Closed tx patellar dislocation w/anesthesia (27562) | $362.75 | $483.67 | 1.5× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $362.75 | $483.67 | 1.5× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $362.75 | $483.67 | 1.5× |
| Closed tx radial head/neck fx w/manipulation (24655) | $959.56 | $1,279.41 | 0.6× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $362.75 | $483.67 | 1.5× |
| Closed tx radial shaft fracture w/manipulation (25505) | $959.56 | $1,279.41 | 0.6× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $362.75 | $483.67 | 1.5× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $959.56 | $1,279.41 | 0.6× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $362.75 | $483.67 | 1.5× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $362.75 | $483.67 | 1.5× |
| Closed tx septal&nose fx (21337) | $959.56 | $1,279.41 | 0.3× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) | $362.75 | $483.67 | 1.5× |
| Closed tx talotarsal joint dislc w/o anes (28570) | $362.75 | $483.67 | 1.5× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $959.56 | $1,279.41 | 0.6× |
| Closed tx talus fracture w/o manipulation (28430) | $362.75 | $483.67 | 1.5× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) | $362.75 | $483.67 | 1.5× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $362.75 | $483.67 | 1.5× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) range across 2 matching MRF lines |
$491.13–$959.56 | $654.84–$1,279.41 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $362.75 | $483.67 | 1.5× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $959.56 | $1,279.41 | 0.6× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $362.75 | $483.67 | 1.5× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $362.75 | $483.67 | 1.5× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $409.58 | $546.11 | 1.7× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $544.73 | $726.31 | 1.0× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $362.75 | $483.67 | 1.5× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $362.75 | $483.67 | 1.5× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $959.56 | $1,279.41 | 0.6× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $362.75 | $483.67 | 1.5× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) | $491.13 | $654.84 | 0.9× |
| Clsd Tx Pelvic Ring Fx (27198) | $362.75 | $483.67 | 1.5× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $362.75 | $483.67 | 1.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $959.56 | $1,279.41 | 0.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $362.75 | $483.67 | 1.5× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) | $959.56 | $1,279.41 | 0.6× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) | $362.75 | $483.67 | 1.5× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $959.56 | $1,279.41 | 0.6× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $959.56 | $1,279.41 | 0.6× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $362.75 | $483.67 | 1.5× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $959.56 | $1,279.41 | 0.6× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $362.75 | $483.67 | 1.5× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $362.75 | $483.67 | 1.5× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) | $362.75 | $483.67 | 1.5× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) | $959.56 | $1,279.41 | 0.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $362.75 | $483.67 | 1.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $362.75 | $483.67 | 1.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $362.75 | $483.67 | 1.5× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $362.75 | $483.67 | 1.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $362.75 | $483.67 | 1.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $959.56 | $1,279.41 | 0.6× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $959.56 | $1,279.41 | 0.6× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $362.75 | $483.67 | 1.5× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) | $491.13 | $654.84 | 0.3× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) | $362.75 | $483.67 | 1.5× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $959.56 | $1,279.41 | 0.6× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $362.75 | $483.67 | 1.5× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $362.75 | $483.67 | 1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $362.75 | $483.67 | 1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $362.75 | $483.67 | 1.5× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $959.56 | $1,279.41 | 0.6× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $362.75 | $483.67 | 1.5× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $362.75 | $483.67 | 1.5× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) | $362.75 | $483.67 | 1.5× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) | $959.56 | $1,279.41 | 0.6× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $959.56 | $1,279.41 | 0.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $362.75 | $483.67 | 1.5× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $362.75 | $483.67 | 1.5× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) range across 2 matching MRF lines |
$2,340.09–$4,680.19 | $3,120.12–$6,240.25 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $959.56 | $1,279.41 | 0.6× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $959.56 | $1,279.41 | 3.8× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) | $959.56 | $1,279.41 | 0.6× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $362.75 | $483.67 | 1.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $362.75 | $483.67 | 1.5× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) | $959.56 | $1,279.41 | 0.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $362.75 | $483.67 | 1.5× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $959.56 | $1,279.41 | 0.6× |
| Cltx Medial Ankle Fx (27760) | $362.75 | $483.67 | 1.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $362.75 | $483.67 | 1.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $362.75 | $483.67 | 1.5× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) | $959.56 | $1,279.41 | 0.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $362.75 | $483.67 | 1.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $362.75 | $483.67 | 1.5× |
| Cltx post hip arthrp dislc req anes (27266) | $491.13 | $654.84 | 0.3× |
| Cltx post hip arthrp dislc w/o anes (27265) | $362.75 | $483.67 | 1.5× |
| Cltx prox fibula/shft fx w/manj (27781) | $959.56 | $1,279.41 | 0.6× |
| Cltx prox fibula/shft fx w/o manj (27780) | $362.75 | $483.67 | 1.5× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $959.56 | $1,279.41 | 0.6× |
| Cltx prox tibfib jt dislc req anes (27831) | $959.56 | $1,279.41 | 0.3× |
| Cltx prox tibfib jt dislc w/o anes (27830) | $362.75 | $483.67 | 1.5× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $362.75 | $483.67 | 1.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $362.75 | $483.67 | 1.5× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) | $959.56 | $1,279.41 | 0.6× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $959.56 | $1,279.41 | 0.6× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $959.56 | $1,279.41 | 0.6× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $362.75 | $483.67 | 1.5× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) | $959.56 | $1,279.41 | 0.6× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) | $362.75 | $483.67 | 1.5× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) | $959.56 | $1,279.41 | 0.3× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) | $362.75 | $483.67 | 1.5× |
| Cltx tibial fx proximal w/o manipulation (27530) | $362.75 | $483.67 | 1.5× |
| Cltx tibial shaft fx w/o manipulation (27750) | $362.75 | $483.67 | 1.5× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) | $362.75 | $483.67 | 1.5× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $959.56 | $1,279.41 | 0.6× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $362.75 | $483.67 | 1.5× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) | $959.56 | $1,279.41 | 0.3× |
| Collect Blood From Catheter Venous Nos (36592) | $178.72 | $238.30 | 1.3× |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$24.37–$147.68 | $32.49–$196.91 | varies |
| Complex drainage wound (10180) | $5,230.58 | $6,974.10 | 1.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $362.75 | $483.67 | 2.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $235.58 | $314.10 | 1.7× |
| Conversion ext bil drg cath (47535) | $4,866.51 | $6,488.68 | 1.3× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $2,513.55 | $3,351.40 | 1.3× |
| Convert Nephrostomy Catheter (50434) range across 2 matching MRF lines |
$4,680.47–$11,264.33 | $6,240.63–$15,019.11 | varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $1,384.39 | $1,845.85 | 0.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $959.56 | $1,279.41 | 7.1× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $362.75 | $483.67 | 1.5× |
| Cystometrogram W/Vp (51728) | $1,624.50 | $2,166 | 2.3× |
| Cystourethroscopy (52000) | $1,584.26 | $2,112.35 | 2.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $362.75 | $483.67 | 0.9× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) | $5,169.70 | $6,892.94 | 2.6× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $1,009.16 | $1,345.55 | 1.3× |
| Debride nail 1-5 (11720) | $407.20 | $542.93 | 6.8× |
| Debride nail 6 or more (11721) | $219.45 | $292.60 | 3.7× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $2,051.70 | $2,735.60 | 1.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $730.16 | $973.55 | 1.8× |
| Declot vascular device (36593) | $519.76 | $693.02 | 1.6× |
| Delivery of placenta (59414) | $976.52 | $1,302.03 | 0.3× |
| Destr W Neurolytic; Celiac Plexus (64680) | $981 | $1,308 | 1.1× |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$2,281.54–$4,563.09 | $3,042.06–$6,084.12 | varies |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$2,837.18–$5,674.36 | $3,782.91–$7,565.82 | varies |
| Destruct B9 Lesion 1-14 (17110) | $465.16 | $620.22 | 2.3× |
| Destruction neurolytic agt genicular nerve w/img (64624) | $2,755.22 | $3,673.63 | 1.4× |
| Destruction of skin lesions (17106) | $5,435.83 | $7,247.77 | 13.2× |
| Dilat Xst Trc New Access Rcs (50437) | $5,843.59 | $7,791.45 | 1.6× |
| Drain Cerebro Spinal Fluid (62272) | $1,041.64 | $1,388.85 | 1.5× |
| Drain Spinal Cord Cyst (62268) | $1,173.08 | $1,564.11 | 1.3× |
| Drain/inj small joint/bursa w/us (20604) range across 2 matching MRF lines |
$1,126.88–$2,254 | $1,502.51–$3,005.33 | varies |
| Drainage Abscess/Hematoma Nasal Septum (30020) | $409.58 | $546.11 | 0.8× |
| Drainage external auditory canal abscess (69020) | $409.58 | $546.11 | 0.6× |
| Drainage external ear abscess/hematoma cmplx (69005) | $409.58 | $546.11 | 0.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $362.75 | $483.67 | 0.5× |
| Drainage Finger Abscess Complicated (26011) | $2,961.09 | $3,948.12 | 1.8× |
| Drainage lymph node lesion (38305) | $1,005.44 | $1,340.58 | 0.3× |
| Drainage Mouth Roof Lesion (42000) | $409.58 | $546.11 | 1.7× |
| Drainage of finger abscess simple (26010) | $363.14 | $484.19 | 1.8× |
| Drainage of gum lesion (41800) | $362.75 | $483.67 | 2.7× |
| Drainage of hematoma/fluid (10140) | $2,632.08 | $3,509.44 | 1.6× |
| Drainage of nose lesion (30000) | $362.75 | $483.67 | 1.5× |
| Drainage of rectal abscess (45005) | $1,111.16 | $1,481.54 | 0.9× |
| Drainage of scrotal wall abscess (55100) | $409.58 | $546.11 | 0.2× |
| Drainage of scrotum (54700) | $492.24 | $656.32 | 0.2× |
| Draw Blood Off Venous Device (36591) range across 2 matching MRF lines |
$171.44–$185.55 | $228.59–$247.40 | varies |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) | $409.58 | $546.11 | 0.8× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $362.75 | $483.67 | 0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $616.59 | $822.12 | 1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $441.48 | $588.64 | 2.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $322.79 | $430.38 | 1.6× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) | $514.39 | $685.85 | 0.7× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) | $6,122.54 | $8,163.38 | 2.9× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $1,341.08 | $1,788.11 | 1.5× |
| Dx Bone Marrow Bx & Aspir (38222) range across 2 matching MRF lines |
$1,789.38–$3,578.76 | $2,385.84–$4,771.68 | varies |
| Dx Bronchoscope/Wash (31622) range across 2 matching MRF lines |
$880.66–$959.56 | $1,174.21–$1,279.41 | varies |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,496.24 | $1,994.99 | 2.1× |
| Egd place gastrostomy tube (43246) | $2,246.11 | $2,994.82 | 1.2× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) | $810.80 | $1,081.06 | 2.6× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) | $4,755.68 | $6,340.91 | 1.5× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) | $3,080.35 | $4,107.13 | 1.5× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) | $5,621.30 | $7,495.06 | 2.7× |
| Epidural Blood Patch (62273) | $1,657.42 | $2,209.90 | 2.3× |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) | $4,089.94 | $5,453.26 | 0.7× |
| Evacuation of subungual hematoma (11740) | $209.40 | $279.20 | 1.6× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $2,632.08 | $3,509.44 | 1.6× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $72.35 | $96.47 | 0.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $362.75 | $483.67 | 0.3× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $575.48 | $767.31 | 1.4× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $1,142.98 | $1,523.98 | 1.6× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $3,290.86 | $4,387.81 | 0.9× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) range across 2 matching MRF lines |
$5,798.72–$11,597.44 | $7,731.62–$15,463.25 | varies |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $2,343.12 | $3,124.16 | 1.2× |
| Explo/Drain Breast Abscess (19020) | $409.58 | $546.11 | 0.2× |
| Extensive Retinopathy 1/> Sess Preterm Infant (67229) | $2,894.64 | $3,859.52 | 5.2× |
| External cephalic version (59412) | $1,725.13 | $2,300.17 | 0.5× |
| Fetal Contraction Stress Test (59020) | $139.71 | $186.28 | 0.7× |
| Fetal non-stress test (59025) range across 2 matching MRF lines |
$382.24–$764.47 | $509.65–$1,019.29 | varies |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $2,656.76 | $3,542.35 | 3.7× |
| Fine needle aspiration without imaging guidance (10021) | $409.58 | $546.11 | 1.0× |
| Finger tendon transfer (26497) | $65,033.06 | $86,710.75 | 19.6× |
| Fluoro exam of g/colon tube (49465) | $440.48 | $587.30 | 1.8× |
| Fna bx w/us gdn 1st les (10005) | $1,770.94 | $2,361.25 | 2.5× |
| Guide Cathet Fluid Drainage (10030) | $3,444.55 | $4,592.73 | 4.8× |
| I&d abscess peritonsillar (42700) | $362.75 | $483.67 | 1.5× |
| I&d abscess simple (10060) | $363.14 | $484.19 | 1.8× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $409.58 | $546.11 | 0.1× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $5,230.58 | $6,974.10 | 1.8× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) | $880.66 | $1,174.21 | 0.3× |
| I&d forearm/wrist bursa (25031) | $409.58 | $546.11 | 0.3× |
| I&D Mouth/Tong Intra,Masticator (41009) | $409.58 | $546.11 | 0.8× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) | $409.58 | $546.11 | 0.1× |
| I&d perianal abscess superficial (46050) | $1,666.21 | $2,221.61 | 1.8× |
| I&d pilonidal cyst complicated (10081) | $362.75 | $483.67 | 0.5× |
| I&d pilonidal cyst simple (10080) | $1,285.86 | $1,714.48 | 1.8× |
| I&d shoulder deep abscess/hematoma (23030) | $409.58 | $546.11 | 0.1× |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $5,230.58 | $6,974.10 | 1.8× |
| Image Cath Fluid Colxn Visc (49405) | $3,349.43 | $4,465.91 | 2.0× |
| Image Cath Fluid Peri/Retro (49406) | $3,152.81 | $4,203.75 | 1.9× |
| Image Cath Fluid Trns/Vgnl (49407) | $2,620.22 | $3,493.62 | 1.6× |
| Implant neuroelectrodes (63650) | $14,847.28 | $19,796.38 | 2.3× |
| Incise external hemorrhoid (46083) | $444.48 | $592.64 | 1.8× |
| Incise/Drain Conjunctiva (68020) | $409.58 | $546.11 | 0.4× |
| Incision & drainage abscess complicated/multiple (10061) | $649.04 | $865.38 | 1.6× |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $4,649.40 | $6,199.20 | 1.6× |
| Incision & removal foreign body subq tiss compl (10121) | $4,719.23 | $6,292.31 | 2.8× |
| Incision & removal foreign body subq tiss simple (10120) | $2,987.41 | $3,983.21 | 7.3× |
| Incision and drainage of bartholin's gland abscess (56420) | $488.98 | $651.97 | 2.4× |
| Incision and drainage of vulva or perineal abscess (56405) | $555.93 | $741.24 | 1.8× |
| Incision of lingual frenum (frenotomy) (41010) | $1,790.14 | $2,386.86 | 1.1× |
| Incision of rectal abscess (46040) | $2,154.84 | $2,873.12 | 1.8× |
| Incision&drainage bursa foot (28001) | $409.58 | $546.11 | 0.2× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $3,938.25 | $5,251 | 2.4× |
| Incisional biopsy skin single lesion (11106) | $651.43 | $868.57 | 0.9× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $429.31 | $572.41 | 2.1× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$1,688.40–$3,117.10 | $2,251.20–$4,156.14 | varies |
| Inj W/Fluor Eval Cv Device (36598) | $540.21 | $720.28 | 2.5× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $1,592.68 | $2,123.57 | 1.8× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $352.70 | $470.27 | 1.1× |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $563.24 | $750.98 | 0.6× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $1,229.80 | $1,639.74 | 1.4× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $492.24 | $656.32 | 0.7× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $506.44 | $675.26 | 1.6× |
| Injection Anes Superior Hypogastric Plexus (64517) | $1,455.58 | $1,940.77 | 1.6× |
| Injection anesthetic agent suprascapular nerve (64418) | $922.95 | $1,230.60 | 1.3× |
| Injection for identification of sentinel node (38792) range across 2 matching MRF lines |
$390.98–$421.22 | $521.31–$561.63 | varies |
| Injection Into Brain Canal (61055) | $1,244.37 | $1,659.16 | 4.0× |
| Injection single tendon origin/insertion (20551) | $706.92 | $942.56 | 2.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $414.75 | $553 | 1.3× |
| Injection single/mlt trigger point 3/> muscles (20553) | $596.09 | $794.79 | 1.9× |
| Injection Sinus Tract Therapeutic Separate Proc (20500) | $1,354.83 | $1,806.44 | 0.9× |
| Injection therapeutic carpal tunnel (20526) | $427.46 | $569.94 | 1.4× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $563.24 | $750.98 | 0.6× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $874.25 | $1,165.67 | 1.2× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 4 matching MRF lines |
$827.28–$1,654.55 | $1,103.04–$2,206.07 | varies |
| Injection, anesthetic agent; vagus nerve (64408) | $563.24 | $750.98 | 1.8× |
| Injection, Intralesional; More Than 7 Lesions (11901) | $376.39 | $501.85 | 1.9× |
| Ins cath ren art 1st bilat (36252) | $5,505.26 | $7,340.34 | 1.7× |
| Ins cath ren art 1st unilat (36251) | $4,805.96 | $6,407.94 | 1.5× |
| Ins cath ren art 2nd+ bilat (36254) | $8,350.39 | $11,133.85 | 2.6× |
| Ins cath ren art 2nd+ unilat (36253) | $5,399.24 | $7,198.99 | 1.0× |
| Ins endovas vena cava filtr (37191) | $9,787.30 | $13,049.73 | 1.7× |
| Ins Vag Brachytx Device (57156) | $844.21 | $1,125.61 | 2.7× |
| Ins/Rep Subq Defibrillator (33270) | $73,509.65 | $98,012.87 | 2.3× |
| Insert Bladder Cath Complex (51703) | $577.76 | $770.34 | 4.4× |
| Insert cath pleura w/ image (32557) range across 2 matching MRF lines |
$3,130.22–$6,260.45 | $4,173.63–$8,347.27 | varies |
| Insert cath pleura w/o image (32556) range across 2 matching MRF lines |
$3,081.66–$6,163.32 | $4,108.88–$8,217.76 | varies |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) | $1,631.42 | $2,175.22 | 1.3× |
| Insert Drug Implant Device (11981) | $162.76 | $217.02 | 1.2× |
| Insert Gastrostomy Tube Percutaneous (49440) | $3,067.08 | $4,089.44 | 1.6× |
| Insert Heart Pm Atrial (33206) | $18,358.48 | $24,477.97 | 1.7× |
| Insert Heart Pm Ventricular (33207) | $20,124.48 | $26,832.64 | 1.9× |
| Insert hepatic shunt (tips) (37182) | $25,960.94 | $34,614.59 | 1.4× |
| Insert non-tunnel cv cath (36556) | $1,414.40 | $1,885.86 | 0.4× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $2,492.22 | $3,322.96 | 1.6× |
| Insert pulse gen mult leads (33221) | $43,389.50 | $57,852.67 | 2.2× |
| Insert Temp Bladder Cath (51702) | $438.64 | $584.86 | 3.3× |
| Insert tun ip cath perc (49418) | $5,606.25 | $7,475 | 1.5× |
| Insert tunneled cv cath (36561) | $3,726.11 | $4,968.15 | 1.2× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) unusually low: confirm this is the full procedure |
$2,362.66 | $3,150.22 | 0.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $466.01 | $621.35 | 3.5× |
| Insertion indwelling tunneled pleural catheter (32550) | $4,304.88 | $5,739.84 | 1.2× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $3,038.86 | $4,051.82 | 1.9× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $16,924.42 | $22,565.89 | 2.0× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) | $5,644.37 | $7,525.83 | 1.6× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) | $3,051.34 | $4,068.46 | 0.6× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $18,436.01 | $24,581.35 | 2.2× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $2,828.83 | $3,771.77 | 0.9× |
| Insj Picc Rs&I <5 Yr (36572) | $3,758.80 | $5,011.74 | 5.9× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $3,363.86 | $4,485.14 | 1.1× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) | $3,364.04 | $4,485.39 | 1.1× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $3,356.34 | $4,475.12 | 2.1× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) | $2,558.86 | $3,411.81 | 0.8× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $2,889.38 | $3,852.50 | 0.9× |
| Insj/Rplcmt Defib W/Lead(S) (33249) | $89,057.80 | $118,743.74 | 2.8× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $18,546.83 | $24,729.11 | 2.2× |
| Insrt heart pm atrial & vent (33208) | $21,950.92 | $29,267.89 | 2.1× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) | $1,770.03 | $2,360.04 | 1.3× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $492.24 | $656.32 | 1.2× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $492.24 | $656.32 | 1.2× |
| Intraoral i&d tongue/floor lingual (41000) | $409.58 | $546.11 | 0.8× |
| Intraoral i&d tongue/floor sublngl supfc (41005) | $409.58 | $546.11 | 1.7× |
| Intraoral i&d tongue/floor submental space (41007) | $409.58 | $546.11 | 0.3× |
| Intraoral i&d tongue/floor submndblr space (41008) | $409.58 | $546.11 | 0.1× |
| Intro cath dialysis circuit (36901) | $6,208.03 | $8,277.37 | 3.9× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $22,522.60 | $30,030.14 | 1.9× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $14,281.68 | $19,042.24 | 2.5× |
| Intro Gastrointestinal Tube (44500) | $1,003.78 | $1,338.37 | 1.1× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$421.68–$424.40 | $562.24–$565.87 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $560.26 | $747.02 | 2.2× |
| Laryngoscopy diagnostic (31505) | $327.56 | $436.75 | 1.6× |
| Laryngoscopy flexible diagnostic (31575) | $829.76 | $1,106.34 | 4.1× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) | $880.66 | $1,174.21 | 2.2× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) | $829.03 | $1,105.37 | 2.1× |
| Laryngoscopy W/Foreign Body Removal (31530) | $880.66 | $1,174.21 | 0.5× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) | $561.02 | $748.02 | 0.8× |
| Marsupialization of bartholin's gland cyst (56440) | $409.58 | $546.11 | 0.1× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) | $1,423.48 | $1,897.97 | 0.9× |
| Mech remov tunneled cv cath (36595) | $1,294.38 | $1,725.84 | 0.4× |
| Medial Canthopexy Separate Procedure (21280) | $362.75 | $483.67 | 0.1× |
| Myelography Lumbar Injection (62305) | $2,452.10 | $3,269.47 | 3.1× |
| Myelography Lumbar Injection (62304) | $2,262.13 | $3,016.17 | 2.8× |
| Myelography via lumbar injection rs&i cervical (62302) | $2,001.43 | $2,668.57 | 2.5× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $2,189.20 | $2,918.94 | 2.8× |
| N Block Inj Celiac Pelus (64530) | $941.41 | $1,255.21 | 1.1× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $1,265.62 | $1,687.50 | 1.8× |
| N block inj intercost sng (64420) | $986.75 | $1,315.67 | 1.4× |
| N Block Inj Paracervical (64435) | $492.24 | $656.32 | 0.7× |
| N Block Inj Pudendal (64430) | $563.24 | $750.98 | 0.6× |
| N Block Lumbar/Thoracic (64520) | $1,464.23 | $1,952.31 | 1.6× |
| Nasal/Orogastric W/Tube Plmt (43752) | $889.05 | $1,185.40 | 2.0× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) | $208.27 | $277.69 | 0.8× |
| Needle Biopsy Lymph Nodes (38505) range across 2 matching MRF lines |
$1,005.44–$2,010.87 | $1,340.58–$2,681.16 | varies |
| Needle Biopsy Pancreas (48102) | $1,965.55 | $2,620.73 | 1.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $38.08 | $50.78 | 1.3× |
| Needle insertion w/o injection 3 or more muscles (20561) | $53.30 | $71.07 | 1.8× |
| Nfct ds bact&fng gram neg org id & rx resist DNA (0142U) | $1,278.60 | $1,704.80 | 8.2× |
| Nfct ds bact&fng gram pos org id & rx resist DNA (0141U) | $1,278.60 | $1,704.80 | 8.2× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $449.97 | $599.96 | 1.1× |
| Nfct ds fungal pathogen id DNA 15 fungal targets (0140U) | $1,278.47 | $1,704.63 | 8.2× |
| Njx anes stellate ganglion crv sympathetic (64510) | $1,293.96 | $1,725.28 | 1.4× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $539.48 | $719.31 | 1.7× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $1,173.85 | $1,565.13 | 0.3× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $1,999.76 | $2,666.35 | 0.6× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$2,159.16–$4,318.57 | $2,878.88–$5,758.09 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,903.48 | $2,537.98 | 2.7× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $1,818.94 | $2,425.25 | 2.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $2,088.86 | $2,785.15 | 2.9× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) range across 2 matching MRF lines |
$1,134.73–$2,269.48 | $1,512.98–$3,025.97 | varies |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) range across 2 matching MRF lines |
$2,201.91–$4,403.83 | $2,935.88–$5,871.77 | varies |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) | $1,299.60 | $1,732.80 | 3.2× |
| Obstructive material removal from gi tube (49460) | $943.15 | $1,257.53 | 1.0× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$605.77–$1,211.54 | $807.69–$1,615.38 | varies |
| Open/Perq Place Stent 1St (37236) | $27,189.64 | $36,252.85 | 2.3× |
| Open/Perq Place Stent Same (37238) | $18,206.56 | $24,275.41 | 1.6× |
| Perc Cryo Ablate Renal Tum (50593) | $12,160.10 | $16,213.47 | 1.1× |
| Perc Rf Ablate Renal Tumor (50592) | $12,398.83 | $16,531.77 | 2.0× |
| Percut Ablate Liver Rf (47382) | $9,686.88 | $12,915.84 | 1.6× |
| Percut Cath Occlusn Non Cns Lesn (61626) unusually low: confirm this is the full procedure |
$4,707.93 | $6,277.24 | 0.4× |
| Percut Drain/Inject Renal Cyst (50390) range across 2 matching MRF lines |
$1,741.63–$3,483.26 | $2,322.17–$4,644.34 | varies |
| Percut Mech Thrombectomy, Venous, Repeat (37188) range across 2 matching MRF lines |
$5,516.53–$11,033.06 | $7,355.37–$14,710.74 | varies |
| Pericardiocentesis W/Imaging (33016) | $2,289.90 | $3,053.20 | 1.4× |
| Peritoneal Lavage (49084) | $1,279.75 | $1,706.33 | 1.4× |
| Perm Occlusion/Embolization,Percut,Cns (61624) unusually low: confirm this is the full procedure |
$6,526.78 | $8,702.37 | 0.4× |
| Perq Cervicothoracic Inject (22510) | $8,603.12 | $11,470.83 | 2.6× |
| Perq dev breast 1st strtctc (19283) | $1,443.98 | $1,925.30 | 2.0× |
| Perq dev breast 1st us imag (19285) | $1,511.26 | $2,015.01 | 2.1× |
| Perq device breast 1st imag (19281) | $1,485.41 | $1,980.55 | 0.9× |
| Perq Lumbosacral Injection (22511) | $9,041.30 | $12,055.07 | 2.7× |
| Perq p-art revsc 1 nm nt uni (33900) | $26,378.87 | $35,171.83 | 2.3× |
| Perq p-art revsc st 1st abnor connj unilateral (33902) | $25,873.18 | $34,497.58 | 1.4× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) range across 3 matching MRF lines |
$9,820.99–$21,272.26 | $13,094.65–$28,363.01 | varies |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $1,874.30 | $2,499.07 | 2.6× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $13,472.77 | $17,963.69 | 1.2× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $10,835.61 | $14,447.48 | 1.9× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $17,266.40 | $23,021.87 | 2.4× |
| Perq Vertebral Augmentation (22513) | $17,033.39 | $22,711.19 | 2.3× |
| Photopheresis extracorporeal (36522) | $9,073.73 | $12,098.31 | 2.1× |
| Place Cath Subclavian Art (36225) range across 2 matching MRF lines |
$7,141.94–$10,738 | $9,522.59–$14,317.34 | varies |
| Place Cath Thoracic Aorta (36221) | $5,577.53 | $7,436.71 | 1.7× |
| Place Cath Vertebral Art (36226) range across 2 matching MRF lines |
$7,314.09–$14,628.19 | $9,752.12–$19,504.25 | varies |
| Place Duod/Jej Tube Perc (49441) | $3,214.04 | $4,285.39 | 1.7× |
| Place Rt Device/Marker Pros (55876) | $2,012.56 | $2,683.41 | 1.4× |
| Placement Needle Pelvic Organ Radioelement Appl (55920) unusually low: confirm this is the full procedure |
$2,012.56 | $2,683.41 | 0.4× |
| Placement of needle for intraosseous infusion (36680) | $458.62 | $611.49 | 1.0× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) likely a partial charge, not the full procedure |
$1,151.81 | $1,535.75 | 0.2× |
| Plmt Bile Duct Stent Prq Existing Access (47538) | $9,218.91 | $12,291.88 | 1.5× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) | $7,010.56 | $9,347.41 | 1.1× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) | $12,336.80 | $16,449.07 | 2.0× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 2 matching MRF lines |
$4,575.18–$9,150.35 | $6,100.24–$12,200.47 | varies |
| Plmt Nephroureteral Catheter (50433) range across 2 matching MRF lines |
$5,773.63–$11,547.26 | $7,698.17–$15,396.34 | varies |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) range across 2 matching MRF lines |
$6,655.61–$13,311.22 | $8,874.15–$17,748.29 | varies |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) range across 2 matching MRF lines |
$5,641.96–$11,283.92 | $7,522.62–$15,045.23 | varies |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) range across 2 matching MRF lines |
$6,329.62–$12,659.26 | $8,439.50–$16,879.01 | varies |
| Prim art mech thrombectomy (37184) range across 2 matching MRF lines |
$5,747.78–$11,249.60 | $7,663.71–$14,999.46 | varies |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) | $959.56 | $1,279.41 | 0.3× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $2,748.87 | $3,665.16 | 3.8× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $4,701.77 | $6,269.03 | 1.3× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $4,859.31 | $6,479.08 | 1.3× |
| Pseudoaneurysm Injection Trt (36002) range across 2 matching MRF lines |
$902.37–$1,804.74 | $1,203.16–$2,406.32 | varies |
| Punch biopsy skin single lesion (11104) | $427.94 | $570.59 | 1.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $863.22 | $1,150.96 | 2.1× |
| Puncture Aspiration Cyst Breast (19000) | $823.72 | $1,098.29 | 1.1× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $720.84 | $961.12 | 1.0× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) | $491.13 | $654.84 | 0.7× |
| Redo Endovas Vena Cava Filtr (37192) | $4,468.16 | $5,957.55 | 1.4× |
| Relocation Pocket Pacemaker (33222) | $3,937.29 | $5,249.72 | 1.9× |
| Rem Endovas Vena Cava Filter (37193) | $7,296.91 | $9,729.21 | 2.3× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $1,257.36 | $1,676.48 | 1.4× |
| Removal Embedded Foreign Body Eyelid (67938) | $362.75 | $483.67 | 1.1× |
| Removal Foreign Body Foot Complicated (28193) | $491.13 | $654.84 | 0.3× |
| Removal foreign body foot deep (28192) | $959.56 | $1,279.41 | 0.6× |
| Removal Foreign Body Foot Subcutaneous (28190) | $1,520.17 | $2,026.89 | 2.1× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $409.58 | $546.11 | 0.2× |
| Removal Foreign Body Pelvis/Hip Deep (27087) | $959.56 | $1,279.41 | 0.3× |
| Removal Foreign Body Scrotum (55120) | $880.66 | $1,174.21 | 0.4× |
| Removal foreign body upper arm/elbow deep (24201) | $959.56 | $1,279.41 | 0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$125.58–$251.17 | $167.44–$334.89 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$96.50–$262.93 | $128.66–$350.57 | varies |
| Removal impacted vag fb spx w/anes oth/thn local (57415) | $959.56 | $1,279.41 | 0.3× |
| Removal of foreign body from pharynx (42809) | $491.13 | $654.84 | 1.1× |
| Removal of nail bed (11750) | $355.42 | $473.90 | 0.9× |
| Removal of tunneled intraperitoneal catheter (49422) | $4,441.46 | $5,921.95 | 1.4× |
| Removal Pacemaker Electrode (33235) | $7,202.14 | $9,602.86 | 1.9× |
| Removal ppm generator only (33233) | $20,836.96 | $27,782.61 | 2.5× |
| Removal shoulder foreign body deep subfascial/im (23333) | $959.56 | $1,279.41 | 0.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $441.69 | $588.92 | 2.2× |
| Removal subcutaneous cardiac rhythm monitor (33286) | $1,312.40 | $1,749.87 | 1.8× |
| Remove brain canal fluid (61050) | $1,055.26 | $1,407.01 | 3.4× |
| Remove drug implant device (11982) | $362.75 | $483.67 | 0.8× |
| Remove Elctrd Transvenously (33244) | $8,266.64 | $11,022.18 | 2.2× |
| Remove Forearm Foreign Body (25248) | $959.56 | $1,279.41 | 0.6× |
| Remove foreign body from eye (65205) | $362.75 | $483.67 | 2.7× |
| Remove Intrauterine Device (58301) | $555.93 | $741.24 | 1.8× |
| Remove intrvas foreign body (37197) | $6,606.46 | $8,808.62 | 2.1× |
| Remove lung catheter (32552) | $474.44 | $632.58 | 0.7× |
| Remove Nasal Foreign Body (30300) | $362.75 | $483.67 | 2.7× |
| Remove Pulse Generator (33241) | $8,262.70 | $11,016.93 | 2.2× |
| Remove renal tube w/fluoro (50389) range across 2 matching MRF lines |
$1,252.93–$2,505.86 | $1,670.57–$3,341.14 | varies |
| Remove Shoulder Foreign Body (23330) | $959.56 | $1,279.41 | 0.6× |
| Remove ureter stent percut (50384) | $3,778.24 | $5,037.65 | 1.8× |
| Remove&replace pm gen singl (33227) | $21,265.04 | $28,353.39 | 2.5× |
| Remv&replc cvd gen dual lead (33263) | $60,229.45 | $80,305.93 | 2.7× |
| Remv&replc cvd gen mult lead (33264) | $85,529.37 | $114,039.16 | 2.7× |
| Remv&replc cvd gen sing lead (33262) | $57,276.74 | $76,368.99 | 2.5× |
| Remv&replc pm gen dual lead (33228) | $24,973.52 | $33,298.03 | 2.4× |
| Remv&replc pm gen mult leads (33229) | $50,568.63 | $67,424.84 | 2.6× |
| Renal Biopsy Perq (50200) range across 2 matching MRF lines |
$1,443.92–$2,887.82 | $1,925.22–$3,850.43 | varies |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $492.24 | $656.32 | 0.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $1,118.71 | $1,491.61 | 1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $730.16 | $973.55 | 1.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $1,118.71 | $1,491.61 | 2.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $1,118.71 | $1,491.61 | 2.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $880.66 | $1,174.21 | 2.1× |
| Repair complex trunk 1.1-2.5 cm (13100) | $492.24 | $656.32 | 0.7× |
| Repair complex trunk 2.6-7.5 cm (13101) | $1,118.71 | $1,491.61 | 1.5× |
| Repair extensor tendon finger w/o graft each (26418) | $2,924.85 | $3,899.80 | 1.8× |
| Repair Eyelid Wound (67935) | $880.66 | $1,174.21 | 0.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $491.13 | $654.84 | 1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $730.16 | $973.55 | 1.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $730.16 | $973.55 | 1.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $492.24 | $656.32 | 1.2× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $880.66 | $1,174.21 | 2.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $492.24 | $656.32 | 0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $649.04 | $865.38 | 1.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $730.16 | $973.55 | 1.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $492.24 | $656.32 | 0.7× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $491.13 | $654.84 | 0.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $730.16 | $973.55 | 1.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $730.16 | $973.55 | 1.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $730.16 | $973.55 | 1.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $492.24 | $656.32 | 0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $730.16 | $973.55 | 1.8× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $492.24 | $656.32 | 0.2× |
| Repair Laceration Palate </2 Cm (42180) | $409.58 | $546.11 | 0.8× |
| Repair Laceration Palate >2 Cm/Complex (42182) likely a partial charge, not the full procedure |
$959.56 | $1,279.41 | 0.2× |
| Repair of nail bed (11760) | $1,118.71 | $1,491.61 | 1.5× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) likely a partial charge, not the full procedure |
$880.66 | $1,174.21 | 0.1× |
| Repair tongue laceration (41252) | $409.58 | $546.11 | 1.7× |
| Repair tongue laceration (41250) | $492.24 | $656.32 | 1.1× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $1,840.81 | $2,454.41 | 2.0× |
| Replace G-J Tube Perc (49452) | $2,768.88 | $3,691.84 | 3.0× |
| Replace g/c tube perc (49450) | $2,069.04 | $2,758.72 | 2.3× |
| Reposition Gastrostomy Tube (43761) | $788.06 | $1,050.75 | 3.1× |
| Reposition L Ventric Lead (33226) | $6,672.65 | $8,896.87 | 2.1× |
| Reposition Pacing-Defib Lead (33215) | $6,382.90 | $8,510.54 | 2.0× |
| Reposition Venous Catheter (36597) | $1,580.96 | $2,107.95 | 1.0× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) | $19,376.87 | $25,835.83 | 3.4× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) range across 2 matching MRF lines |
$3,177.03–$6,354.05 | $4,236.04–$8,472.07 | varies |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) | $362.75 | $483.67 | 0.2× |
| Rmvl embedded fb vestibule mouth comp (40805) | $362.75 | $483.67 | 0.7× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $362.75 | $483.67 | 0.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $362.75 | $483.67 | 0.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $362.75 | $483.67 | 2.7× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $491.13 | $654.84 | 1.1× |
| Rmvl fecal impaction/fb spx under anes (45915) | $437.38 | $583.17 | 0.4× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $959.56 | $1,279.41 | 0.3× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) | $959.56 | $1,279.41 | 0.3× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $362.75 | $483.67 | 0.2× |
| Rmvl of subq implantable defibrillator electrode (33272) | $2,764.18 | $3,685.57 | 0.7× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) | $2,649.98 | $3,533.30 | 1.3× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $7,076.24 | $9,434.98 | 1.9× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $1,425.86 | $1,901.15 | 0.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $1,375.21 | $1,833.61 | 2.2× |
| Rplc Gtube No Revj Trc (43762) | $321.40 | $428.54 | 1.3× |
| Rplc gtube revj gstrst trc (43763) | $321.40 | $428.54 | 1.3× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $2,439.85 | $3,253.13 | 1.5× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $2,268.80 | $3,025.06 | 1.4× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $3,586.36 | $4,781.81 | 1.1× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $3,591.67 | $4,788.89 | 1.1× |
| Rpr blood vessel direct lower extremity (35226) | $362.75 | $483.67 | 0.5× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $363.14 | $484.19 | 1.8× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $491.13 | $654.84 | 0.7× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $409.58 | $546.11 | 1.7× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $409.58 | $546.11 | 0.8× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $930.68 | $1,240.91 | 1.7× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $492.24 | $656.32 | 0.3× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $880.66 | $1,174.21 | 0.3× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) | $880.66 | $1,174.21 | 0.3× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $3,218 | $4,290.66 | 5.1× |
| Sclerotx Fluid Collection (49185) | $3,254.27 | $4,339.03 | 1.9× |
| Sigmoidoscopy w/fb removal (45332) | $491.13 | $654.84 | 0.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $730.16 | $973.55 | 1.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $363.14 | $484.19 | 1.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $363.14 | $484.19 | 1.8× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $409.58 | $546.11 | 1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $363.14 | $484.19 | 1.8× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $409.58 | $546.11 | 2.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $429.31 | $572.41 | 2.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $363.14 | $484.19 | 1.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $363.14 | $484.19 | 1.8× |
| Skin sub graft face/nk/hf/g (15275) | $2,815.10 | $3,753.46 | 3.8× |
| Skin sub graft trnk/arm/leg (15271) | $2,837.48 | $3,783.31 | 3.8× |
| Skin Tissue Procedure (17999) range across 2 matching MRF lines |
$409.58–$481.28 | $546.11–$641.70 | varies |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) range across 2 matching MRF lines |
$9,695.05–$12,427.88 | $12,926.73–$16,570.50 | varies |
| Slctv cath carotid/innom art angio xtrcranl art (36222) range across 2 matching MRF lines |
$7,402.18–$14,804.38 | $9,869.58–$19,739.17 | varies |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) range across 2 matching MRF lines |
$13,225.59–$26,451.18 | $17,634.12–$35,268.24 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $429.31 | $572.41 | 2.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $730.16 | $973.55 | 1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $730.16 | $973.55 | 1.8× |
| Spinal puncture lumbar diagnostic (62270) | $1,125 | $1,500 | 1.6× |
| Strapping ankle (29540) | $283.32 | $377.76 | 1.7× |
| Strapping elbow or wrist (29260) | $362.75 | $483.67 | 6.1× |
| Strapping hand/finger (29280) | $362.75 | $483.67 | 6.1× |
| Strapping Hip (29520) | $362.75 | $483.67 | 2.7× |
| Strapping knee (29530) | $362.75 | $483.67 | 2.7× |
| Strapping shoulder (29240) | $362.75 | $483.67 | 2.7× |
| Strapping thorax (29200) | $260.50 | $347.34 | 1.6× |
| Strapping toes (29550) | $362.75 | $483.67 | 6.1× |
| Strapping Unna Boot (29580) range across 3 matching MRF lines |
$115.80–$615.26 | $154.40–$820.34 | varies |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) | $492.24 | $656.32 | 0.2× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) | $27,935.32 | $37,247.09 | 1.4× |
| Tcat Rmvl Perm Ldls Pm (33275) | $5,649.16 | $7,532.21 | 1.8× |
| Tenodesis Wrist Extensors Fingers (25301) | $409.58 | $546.11 | 0.1× |
| Ther Apheresis,Red Blood Cells (36512) | $6,715.76 | $8,954.34 | 4.3× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $1,041.64 | $1,388.85 | 1.5× |
| Therapeutic Apheresis White Blood Cells (36511) | $5,934.34 | $7,912.46 | 3.8× |
| Therapeutic plasma exchange (36514) | $8,225.51 | $10,967.35 | 5.2× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $28,715.85 | $38,287.80 | 1.5× |
| Thromblytic art/ven therapy (37213) | $7,470.76 | $9,961.01 | 2.3× |
| Thrombolytic Art Therapy (37211) range across 2 matching MRF lines |
$5,635.93–$11,416.60 | $7,514.57–$15,222.14 | varies |
| Thrombolytic Therapy Stroke (37195) | $606.18 | $808.24 | 1.8× |
| Thrombolytic Venous Therapy (37212) range across 2 matching MRF lines |
$5,338.11–$10,676.21 | $7,117.48–$14,234.95 | varies |
| Tprnl Plmt Biodegrdabl Matrl (55874) | $9,531.76 | $12,709.01 | 1.8× |
| Transcatheter biopsy (37200) unusually low: confirm this is the full procedure |
$2,329.66 | $3,106.22 | 0.4× |
| Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) range across 2 matching MRF lines |
$5,385.94–$10,771.90 | $7,181.26–$14,362.53 | varies |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) | $10,322.90 | $13,763.86 | 1.9× |
| Treat Dental Ridge Fracture (21440) | $959.56 | $1,279.41 | 0.3× |
| Treat Hip Socket Fracture (27222) | $959.56 | $1,279.41 | 3.8× |
| Treat humerus fracture (24500) | $362.75 | $483.67 | 1.5× |
| Treat Humerus Fracture (24505) | $959.56 | $1,279.41 | 0.6× |
| Treat humerus fracture (23600) | $362.75 | $483.67 | 1.5× |
| Treat knee fracture (27532) | $959.56 | $1,279.41 | 0.3× |
| Treat Knee Fracture(S) (27538) | $362.75 | $483.67 | 1.5× |
| Treat Knuckle Dislocation (26700) | $362.75 | $483.67 | 1.5× |
| Treat Metatarsal Fracture (28475) | $362.75 | $483.67 | 1.5× |
| Treat Tail Bone Fracture (27200) | $362.75 | $483.67 | 1.5× |
| Treat Thumb Dislocation (26641) | $362.75 | $483.67 | 1.5× |
| Treat Thumb Fracture (26645) | $959.56 | $1,279.41 | 0.6× |
| Treat toe dislocation (28630) | $362.75 | $483.67 | 1.5× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $959.56 | $1,279.41 | 0.6× |
| Treatment closed elbow dislocation w/o anes (24600) | $362.75 | $483.67 | 1.5× |
| Trim skin lesion (11055) | $254 | $338.66 | 1.3× |
| Trim skin lesions 2 to 4 (11056) | $648.74 | $864.98 | 3.2× |
| Trimming Nondystrophic Nails Any Number (11719) | $131.92 | $175.89 | 2.2× |
| Trluml Balo Angiop 1St Art (37246) | $8,122.97 | $10,830.63 | 1.4× |
| Trluml Balo Angiop 1St Vein (37248) | $9,842.59 | $13,123.45 | 1.7× |
| Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) | $7,993.41 | $10,657.88 | 17.9× |
| Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) | $5,604.52 | $7,472.70 | 3.1× |
| Tx Gastro Intub W/Asp (43753) | $1,316.79 | $1,755.72 | 6.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $1,118.71 | $1,491.61 | 1.5× |
| Tx superficial wound dehiscence w/packing (12021) | $492.24 | $656.32 | 1.2× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) | $362.75 | $483.67 | 0.2× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $362.75 | $483.67 | 1.5× |
| Unlisted Cardiac Surgery (33999) range across 2 matching MRF lines |
$42,908.95–$45,113.50 | $57,211.93–$60,151.34 | varies |
| Unlisted Procedure Casting/Strapping (29799) range across 6 matching MRF lines |
$152.80–$282.82 | $203.74–$377.10 | varies |
| Unlisted procedure nervous system (64999) range across 7 matching MRF lines |
$941.41–$3,317.77 | $1,255.21–$4,423.69 | varies |
| Unlisted Procedure Rectum (45999) | $491.13 | $654.84 | 0.5× |
| Unlisted procedure stomach (43999) | $13,353.06 | $17,804.08 | 14.5× |
| Unlisted Procedure Trachea Bronchi (31899) | $807.35 | $1,076.47 | 4.0× |
| Unlisted Procedure Vascular Surgery (37799) range across 2 matching MRF lines |
$296.56–$13,353.06 | $395.41–$17,804.08 | varies |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $1,231.10 | $1,641.46 | 1.3× |
| Vasc embolize/occlude artery (37242) | $28,448.79 | $37,931.72 | 1.5× |
| Vasc Embolize/Occlude Bleed (37244) | $23,260.04 | $31,013.39 | 2.0× |
| Vasc Embolize/Occlude Organ (37243) | $15,810.92 | $21,081.23 | 1.4× |
| Vasc embolize/occlude venous (37241) | $19,953.31 | $26,604.41 | 1.7× |
| Venous Mech Thrombectomy (37187) | $6,490.41 | $8,653.88 | 0.6× |
| Wedge excision skin nail fold (11765) | $409.58 | $546.11 | 1.0× |
| Xtrnl fixj w/strtctc adjustment exchange strut (20697) | $4,264.91 | $5,686.55 | 2.6× |
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.