Procedures & surgery prices at Arbuckle Memorial Hospital Authority
Sulphur, OK · every code in this section with a posted price and a Medicare benchmark.
468 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) range across 2 matching MRF lines |
$216–$291 | $270–$364 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$147–$384 | $184–$480 | varies |
| Abrasion single lesion (15786) | $106 | $133 | 0.5× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) | $2 | $3 | 0.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $969 | $1,211 | 0.3× |
| Anoscopy diagnostic (46600) range across 4 matching MRF lines |
$36–$196 | $45–$245 | varies |
| Appl cranial tong/strtctc frame w/removal spx (20660) | $171 | $214 | 0.1× |
| Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
$120–$142 | $150–$178 | varies |
| Application Finger Splint Dynamic (29131) | $62 | $77 | 1.1× |
| Application finger splint static (29130) range across 5 matching MRF lines |
$30–$101 | $38–$126 | varies |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$105–$149 | $131–$186 | varies |
| Application Long Leg Splint (29505) range across 3 matching MRF lines |
$110–$132 | $137–$165 | varies |
| Application of long leg cast (29345) | $196 | $245 | 0.7× |
| Application Short Arm Splint Dynamic (29126) | $94 | $117 | 0.7× |
| Application short arm splint forearm-hand static (29125) range across 4 matching MRF lines |
$76–$133 | $95–$166 | varies |
| Application short leg splint calf foot (29515) range across 4 matching MRF lines |
$98–$119 | $123–$149 | varies |
| Apply hand/wrist cast (29085) range across 2 matching MRF lines |
$152–$153 | $190–$191 | varies |
| Apply long arm cast (29065) | $132 | $165 | 0.5× |
| Apply Multlay Comprs Lwr Leg (29581) | $716 | $895 | 4.6× |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$116–$148 | $145–$185 | varies |
| Arterial puncture (36600) range across 3 matching MRF lines |
$8–$128 | $10–$160 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$59–$220 | $74–$275 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 5 matching MRF lines |
$72–$236 | $90–$295 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $160 | $200 | 0.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 4 matching MRF lines |
$60–$173 | $75–$216 | varies |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) | $16 | $20 | 0.0× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) | $298 | $372 | 0.2× |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$146–$400 | $182–$500 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$111–$146 | $139–$182 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 4 matching MRF lines |
$65–$161 | $81–$201 | varies |
| Biopsy external ear (69100) range across 3 matching MRF lines |
$107–$179 | $134–$224 | varies |
| Biopsy muscle percutaneous needle (20206) | $84 | $105 | 0.1× |
| Biopsy Muscle Superficial (20200) | $110 | $138 | 0.1× |
| Biopsy nail unit (11755) | $97 | $121 | 0.1× |
| Biopsy soft tissue forearm&/wrist superficial (25065) | $111 | $139 | 0.1× |
| Biopsy Soft Tissue Shoulder Deep (23066) | $15 | $19 | 0.0× |
| Biopsy Soft Tissue Shoulder Superficial (23065) | $120 | $150 | 0.1× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) | $117 | $146 | 0.1× |
| Bladder Irrigation (51700) | $8 | $10 | 0.0× |
| Bladder Scan (51798) | $24 | $30 | 0.4× |
| Blepharotomy drainage abscess eyelid (67700) | $225 | $281 | 0.7× |
| Blood Transfusion Service (36430) | $776 | $970 | 1.8× |
| Bone Marrow Biopsy (38221) | $140 | $175 | 0.1× |
| Bronchoscopy W/Removal Foreign Body (31635) | $1,145 | $1,431 | 0.7× |
| Catheter aspiration nasotracheal spx (31720) range across 2 matching MRF lines |
$208–$384 | $260–$480 | varies |
| Change Cystostomy Tube Complicated (51710) range across 2 matching MRF lines |
$629 | $36–$786 | 0.9× |
| Change Cystostomy Tube Simple (51705) | $390 | $488 | 1.6× |
| Chemical Cautery Tissue (17250) range across 3 matching MRF lines |
$35–$466 | $44–$583 | varies |
| Chest tube placement (32551) | $480 | $600 | 0.3× |
| Cl Tx Scapular Fx; W Manip (23575) | $282 | $353 | 0.2× |
| Cl Tx Tib Shft Fx W Manip (27752) | $972 | $1,215 | 0.6× |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$95–$163 | $119–$204 | varies |
| Closed Rx Spontaneous Hip Disloc (27256) | $470 | $588 | 2.0× |
| Closed Treat Vert Body Fract (22310) | $203 | $254 | 0.9× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) range across 2 matching MRF lines |
$282–$764 | $353–$955 | varies |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $858 | $1,073 | 0.6× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) range across 2 matching MRF lines |
$361–$880 | $451–$1,100 | varies |
| Closed Treatment Sternum Fracture (21820) | $110 | $137 | 0.5× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $236 | $295 | 1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $728 | $910 | 3.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $384 | $480 | 0.2× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 2 matching MRF lines |
$2,727–$6,200 | $3,409–$7,750 | varies |
| Closed tx carpal scaphoid fracture w/manj (25624) range across 2 matching MRF lines |
$341–$760 | $426–$950 | varies |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $202 | $252 | 0.9× |
| Closed tx knee dislocation w/o anesthesia (27550) | $908 | $1,135 | 3.8× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $431 | $539 | 0.3× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) | $235 | $294 | 0.5× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $112 | $140 | 0.1× |
| Closed tx patellar dislocation w/anesthesia (27562) | $859 | $1,074 | 3.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $522 | $653 | 2.2× |
| Closed tx radial head/neck fx w/manipulation (24655) range across 2 matching MRF lines |
$306–$777 | $382–$971 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) | $184 | $230 | 0.8× |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$362–$874 | $452–$1,092 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $197 | $246 | 0.8× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$426–$864 | $533–$1,080 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $194 | $242 | 0.8× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $162 | $203 | 0.7× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) | $226 | $283 | 1.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $534 | $667 | 0.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $59 | $74 | 0.2× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) range across 2 matching MRF lines |
$343–$641 | $429–$801 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $185 | $231 | 0.8× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $190 | $237 | 0.8× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $214 | $267 | 0.9× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $154 | $192 | 0.6× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) range across 2 matching MRF lines |
$260–$644 | $325–$805 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) | $153 | $191 | 0.6× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) | $126 | $158 | 0.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$306–$782 | $382–$978 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 4 matching MRF lines |
$223–$494 | $279–$618 | varies |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) | $144 | $180 | 0.1× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $834 | $1,042 | 0.5× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $240 | $300 | 0.2× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $126 | $157 | 0.5× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $321 | $401 | 0.2× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $209 | $261 | 0.9× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) range across 2 matching MRF lines |
$184–$588 | $230–$735 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) | $747 | $934 | 3.1× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $491 | $614 | 2.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$230–$405 | $287–$506 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$397–$1,069 | $496–$1,336 | varies |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) | $302 | $377 | 0.2× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $1,346 | $1,683 | 0.9× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $1,425 | $1,781 | 0.9× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $267 | $334 | 1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $260 | $325 | 1.1× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $920 | $1,150 | 0.6× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $224 | $280 | 0.9× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) | $322 | $403 | 0.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $409 | $511 | 1.7× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) range across 3 matching MRF lines |
$123–$284 | $154–$355 | varies |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $402 | $503 | 0.3× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $369 | $461 | 0.2× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $203 | $254 | 0.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $162 | $202 | 0.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 3 matching MRF lines |
$431–$444 | $539–$555 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) | $841 | $1,051 | 0.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 4 matching MRF lines |
$213–$532 | $266–$665 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $143 | $179 | 0.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$198–$479 | $248–$599 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $113 | $141 | 0.5× |
| Cltx post hip arthrp dislc w/o anes (27265) | $648 | $810 | 2.7× |
| Cltx prox fibula/shft fx w/manj (27781) | $770 | $962 | 0.5× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 2 matching MRF lines |
$403–$754 | $504–$943 | varies |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $265 | $331 | 1.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$90–$156 | $112–$195 | varies |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) range across 2 matching MRF lines |
$486–$1,074 | $607–$1,343 | varies |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) | $1,578 | $1,973 | 1.0× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) | $338 | $422 | 1.4× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $825 | $1,031 | 0.5× |
| Collect Blood From Catheter Venous Nos (36592) | $218 | $273 | 1.7× |
| Collection of venous blood by venipuncture (36415) range across 5 matching MRF lines |
$6–$12 | $7–$15 | varies |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) | $414 | $517 | 0.4× |
| Colonoscopy thru stoma (44388) | $313 | $391 | 0.3× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) | $483 | $604 | 0.4× |
| Colonoscopy w/ablation (45388) | $446 | $558 | 0.4× |
| Colonoscopy w/fb removal (45379) | $744 | $930 | 0.6× |
| Colposcopy entire vagina w/cervix if present (57420) range across 2 matching MRF lines |
$22–$23 | $27–$29 | varies |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $744 | $930 | 0.6× |
| Complex drainage wound (10180) | $138 | $172 | 0.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 4 matching MRF lines |
$109–$3,466 | $136–$4,332 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 4 matching MRF lines |
$81–$195 | $101–$244 | varies |
| Control oropharyngeal hemorrhage simple (42960) | $883 | $1,104 | 1.7× |
| Correction of trichiasis; epilation, by forceps only (67820) | $55 | $69 | 0.4× |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) | $42 | $52 | 0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$173–$210 | $216–$263 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $160 | $200 | 0.7× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $8 | $10 | 0.0× |
| Cystourethroscopy (52000) | $49 | $61 | 0.1× |
| Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct… (52010) | $9 | $11 | 0.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 3 matching MRF lines |
$62–$150 | $77–$187 | varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) range across 2 matching MRF lines |
$581–$673 | $726–$841 | varies |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) range across 2 matching MRF lines |
$350–$352 | $438–$440 | varies |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $418 | $522 | 0.6× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 3 matching MRF lines |
$159–$716 | $199–$895 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$27–$30 | $34–$37 | varies |
| Debride nail 6 or more (11721) | $46 | $57 | 0.8× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 3 matching MRF lines |
$224–$1,922 | $280–$2,403 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 4 matching MRF lines |
$74–$716 | $93–$895 | varies |
| Decompress Fingers/Hand (26035) | $577 | $721 | 0.2× |
| Decompressive fasciotomy hand (26037) | $564 | $705 | 0.2× |
| Deep Muscle Biopsy (20205) | $182 | $228 | 0.1× |
| Delivery of placenta (59414) | $1,440 | $1,800 | 0.5× |
| Dermabrasion regional other than face (15782) | $221 | $276 | 0.1× |
| Dermabrasion segmental face (15781) | $354 | $442 | 0.5× |
| Dermabrasion superficial any site (15783) | $248 | $310 | 0.6× |
| Dermabrasion total face (15780) | $336 | $420 | 0.1× |
| Destruct B9 Lesion 1-14 (17110) range across 3 matching MRF lines |
$94–$101 | $117–$126 | varies |
| Destruction Internal Hemorrhoid Thermal Energy (46930) | $504 | $630 | 0.4× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $158 | $197 | 0.8× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $192 | $240 | 1.0× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) | $235 | $294 | 0.6× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) | $280 | $350 | 0.4× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) | $373 | $466 | 0.5× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $106 | $132 | 0.5× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $141 | $176 | 0.7× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) | $168 | $210 | 0.9× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) | $190 | $237 | 0.5× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) | $236 | $295 | 0.6× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $117 | $146 | 0.6× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $110 | $137 | 0.6× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $134 | $168 | 0.7× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) | $165 | $206 | 0.9× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) | $194 | $242 | 0.5× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) | $243 | $304 | 0.6× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $84 | $105 | 0.4× |
| Destruction of skin lesions (17106) | $266 | $333 | 0.7× |
| Destruction Premalignant Lesion 15/> (17004) range across 2 matching MRF lines |
$173–$174 | $216–$217 | varies |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$120–$121 | $150–$151 | varies |
| Diagnostic sigmoidoscopy (45330) | $23 | $29 | 0.0× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) | $45 | $56 | 0.4× |
| Dilate Urethra Stricture (53600) | $69 | $86 | 0.3× |
| Disarticulation of shoulder; Facility (23920) likely a partial charge, not the full procedure |
$15 | $19 | 0.0× |
| Disarticulation of shoulder; secondary closure or scar revision Facility (23921) range across 2 matching MRF lines |
$252–$736 | $315–$920 | varies |
| Drain Hand Tendon Sheath (26020) | $334 | $418 | 0.1× |
| Drain shoulder bursa (23031) | $17 | $21 | 0.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $205 | $256 | 0.3× |
| Drainage Finger Abscess Complicated (26011) range across 2 matching MRF lines |
$157–$334 | $196–$418 | varies |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$200–$264 | $250–$330 | varies |
| Drainage of gum lesion (41800) | $324 | $405 | 2.5× |
| Drainage of hematoma/fluid (10140) range across 4 matching MRF lines |
$399–$1,922 | $499–$2,403 | varies |
| Drainage of nose lesion (30000) | $225 | $281 | 1.0× |
| Draw Blood Off Venous Device (36591) | $218 | $273 | 1.7× |
| Dressing Change Under Anesthesia (15852) | $55 | $69 | 0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$107–$246 | $134–$308 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$94–$217 | $118–$271 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 5 matching MRF lines |
$47–$349 | $59–$436 | varies |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) | $526 | $658 | 0.7× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) | $925 | $1,156 | 0.5× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) | $283 | $354 | 0.7× |
| Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) range across 4 matching MRF lines |
$14–$90 | $17–$112 | varies |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $573 | $716 | 0.3× |
| Egd cautery tumor polyp (43250) | $573 | $716 | 0.3× |
| Egd control bleeding any (43255) | $744 | $930 | 0.4× |
| Egd place gastrostomy tube (43246) range across 2 matching MRF lines |
$486–$1,040 | $607–$1,300 | varies |
| Egd remove lesion snare (43251) | $573 | $716 | 0.3× |
| Escharotomy; initial incision (16035) | $270 | $338 | 0.7× |
| Evacuation of subungual hematoma (11740) range across 4 matching MRF lines |
$32–$121 | $40–$151 | varies |
| Exc arm/elbow les sc < 3 cm (24075) | $245 | $306 | 0.2× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 3 matching MRF lines |
$58–$216 | $72–$270 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $143 | $179 | 0.1× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $186 | $233 | 0.3× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $227 | $284 | 0.3× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $334 | $417 | 0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 3 matching MRF lines |
$74–$246 | $93–$308 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 3 matching MRF lines |
$100–$288 | $125–$360 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $122 | $153 | 0.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $162 | $202 | 0.1× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $199 | $249 | 0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 5 matching MRF lines |
$63–$207 | $79–$259 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 3 matching MRF lines |
$90–$264 | $113–$330 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 3 matching MRF lines |
$110–$294 | $138–$367 | varies |
| Exc Hand Les Sc < 1.5 Cm (26115) | $242 | $302 | 0.2× |
| Exc hydrocele sprmatic cord uni spx (55500) | $3 | $4 | 0.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $126 | $158 | 0.2× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $165 | $206 | 0.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $234 | $293 | 0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $197 | $246 | 0.1× |
| Exc Skin Benig >4cm Face,Facial (11446) | $256 | $320 | 0.1× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $229 | $286 | 0.1× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $325 | $406 | 0.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $279 | $349 | 0.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 2 matching MRF lines |
$105–$221 | $131–$276 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 3 matching MRF lines |
$80–$257 | $100–$321 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 3 matching MRF lines |
$102–$282 | $127–$353 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $148 | $185 | 0.1× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $380 | $475 | 0.2× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $380 | $475 | 0.2× |
| Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) range across 4 matching MRF lines |
$2–$15 | $3–$19 | varies |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $190 | $238 | 0.3× |
| Excision dermoid cyst, nose; complex, under bone or cartilage Facility (30125) likely a partial charge, not the full procedure |
$74 | $92 | 0.0× |
| Excision H/P/P/U Complex Repair (11471) | $288 | $360 | 0.1× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) | $254 | $317 | 0.1× |
| Excision Hidradenitis Axillary Complex Repair (11451) | $286 | $358 | 0.1× |
| Excision Hidradenitis Inguinal Complex Repair (11463) | $246 | $307 | 0.1× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) | $206 | $257 | 0.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $104 | $130 | 0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 3 matching MRF lines |
$136–$326 | $170–$408 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $161 | $201 | 0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $215 | $269 | 0.3× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 3 matching MRF lines |
$131–$288 | $164–$360 | varies |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $270 | $337 | 0.2× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $431 | $539 | 0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $110 | $138 | 0.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $154 | $192 | 0.2× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $187 | $234 | 0.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $277 | $346 | 0.2× |
| Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) | $1,098 | $1,372 | 0.3× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $281 | $351 | 0.2× |
| Excision of pilonidal cyst or sinus; simple (11770) | $227 | $284 | 0.1× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $488 | $610 | 0.2× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $424 | $530 | 0.2× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $173 | $216 | 0.1× |
| Excision/Transposition Pterygium W/O Graft (65420) | $399 | $499 | 0.2× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $242 | $303 | 0.1× |
| Exploration of spinal fusion (22830) likely a partial charge, not the full procedure |
$2 | $2 | 0.0× |
| Exploration penetrating wound spx chest (20101) | $198 | $247 | 0.1× |
| Exploration penetrating wound spx extremity (20103) | $326 | $407 | 0.2× |
| Exploration Penetrating Wound Spx Neck (20100) | $626 | $782 | 1.2× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) | $721 | $901 | 0.4× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) | $525 | $656 | 0.3× |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) | $491 | $614 | 0.2× |
| I&d abscess peritonsillar (42700) | $258 | $323 | 1.1× |
| I&d abscess simple (10060) range across 4 matching MRF lines |
$155–$466 | $194–$583 | varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $224 | $280 | 0.1× |
| I&d pilonidal cyst complicated (10081) range across 3 matching MRF lines |
$147–$400 | $184–$500 | varies |
| I&d pilonidal cyst simple (10080) range across 4 matching MRF lines |
$152–$320 | $190–$400 | varies |
| Incise external hemorrhoid (46083) | $314 | $393 | 1.3× |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$278–$360 | $348–$450 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 4 matching MRF lines |
$150–$426 | $188–$532 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 4 matching MRF lines |
$68–$244 | $85–$305 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $175 | $219 | 0.9× |
| Incision and drainage of vulva or perineal abscess (56405) | $201 | $251 | 0.7× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$51–$143 | $64–$179 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 3 matching MRF lines |
$60–$113 | $75–$141 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $138 | $172 | 0.2× |
| Injection single tendon origin/insertion (20551) | $116 | $145 | 0.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $212 | $265 | 0.7× |
| Injection single/mlt trigger point 3/> muscles (20553) range across 5 matching MRF lines |
$86–$3,048 | $107–$3,810 | varies |
| Injection therapeutic carpal tunnel (20526) | $150 | $187 | 0.5× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$87–$182 | $109–$227 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $32 | $40 | 0.2× |
| Insert and remove bone pin (20650) | $132 | $165 | 0.0× |
| Insert Bladder Cath Complex (51703) | $156 | $195 | 1.3× |
| Insert Drug Implant Device (11981) | $281 | $351 | 2.2× |
| Insert non-tunnel cv cath (36556) | $640 | $800 | 0.2× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $2,812 | $3,515 | 1.9× |
| Insert Temp Bladder Cath (51702) range across 4 matching MRF lines |
$60–$166 | $75–$207 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) | $52 | $65 | 0.4× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $2,812 | $3,515 | 1.9× |
| Insertion Vascular Pedicle Carpal Bone (25430) | $11 | $14 | 0.0× |
| Insj Picc Rs&I <5 Yr (36572) | $1,083 | $1,354 | 1.8× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$1,305–$2,812 | $1,631–$3,515 | varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 2 matching MRF lines |
$320–$471 | $400–$589 | varies |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) range across 2 matching MRF lines |
$418–$574 | $523–$718 | varies |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$159–$204 | $199–$255 | varies |
| Irrigation maxillary sinus (31000) | $25 | $31 | 0.1× |
| Laryngoscopy flexible diagnostic (31575) | $227 | $284 | 1.2× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) | $356 | $445 | 0.9× |
| Late closure of wound (13160) | $538 | $672 | 0.2× |
| Lavage cannulation sphenoid sinus (31002) | $39 | $49 | 0.0× |
| Lengthening of tendon, extensor, hand or finger, each tendon Facility (26476) | $78 | $98 | 0.0× |
| Lengthening of tendon, flexor, hand or finger, each tendon Facility (26478) | $44 | $55 | 0.0× |
| Nasal/Orogastric W/Tube Plmt (43752) | $296 | $370 | 0.7× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $29 | $36 | 1.0× |
| Needle insertion w/o injection 3 or more muscles (20561) | $71 | $89 | 2.6× |
| Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length Facility (64897) range across 2 matching MRF lines |
$17–$34 | $21–$42 | varies |
| Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve… (21433) range across 2 matching MRF lines |
$876–$911 | $1,095–$1,139 | varies |
| Osteoplasty, tibia and fibula, lengthening or shortening Facility (27715) range across 3 matching MRF lines |
$52–$123 | $65–$154 | varies |
| Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) Facility (27712) likely a partial charge, not the full procedure |
$267 | $334 | 0.0× |
| Pelvic examination under anesthesia (other than local) (57410) | $8 | $10 | 0.0× |
| Placement of needle for intraosseous infusion (36680) | $144 | $180 | 0.3× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$350–$466 | $437–$583 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 4 matching MRF lines |
$63–$160 | $79–$200 | varies |
| Puncture Aspiration Cyst Breast (19000) | $52 | $65 | 0.1× |
| Removal Foreign Body Foot Complicated (28193) | $732 | $915 | 0.5× |
| Removal foreign body foot deep (28192) | $617 | $771 | 0.4× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$254–$280 | $317–$350 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$104–$359 | $130–$449 | varies |
| Removal Foreign Body Pelvis/Hip Deep (27087) | $1,214 | $1,517 | 0.4× |
| Removal foreign body upper arm/elbow deep (24201) | $714 | $892 | 0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $26 | $32 | 0.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 4 matching MRF lines |
$38–$93 | $47–$116 | varies |
| Removal implantable contraceptive capsules (11976) | $134 | $168 | 0.2× |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$270–$628 | $337–$785 | varies |
| Removal shoulder foreign body deep subfascial/im (23333) | $904 | $1,130 | 0.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 3 matching MRF lines |
$46–$148 | $58–$185 | varies |
| Removal Sutures/Staples Requiring Anesthesia (15851) range across 3 matching MRF lines |
$48–$68 | $60–$85 | varies |
| Removal sweat gland lesion (11450) | $228 | $285 | 0.1× |
| Removal tong/halo applied by another individual (20665) | $74 | $92 | 0.2× |
| Remove blood clot from eye (65930) | $7 | $9 | 0.0× |
| Remove drug implant device (11982) | $281 | $351 | 0.7× |
| Remove foreign body from eye (65205) range across 3 matching MRF lines |
$86–$92 | $108–$115 | varies |
| Remove Intrauterine Device (58301) | $480 | $600 | 1.6× |
| Remove Nasal Foreign Body (30300) | $202 | $252 | 1.6× |
| Remove Shoulder Foreign Body (23330) | $322 | $403 | 0.2× |
| Remove Tendon Sheath Lesion (26160) | $229 | $286 | 0.1× |
| Remove/Insert Drug Implant (11983) | $408 | $510 | 0.9× |
| Remv&replc pm gen mult leads (33229) | $29,177 | $36,471 | 1.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$288–$602 | $360–$753 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$484–$726 | $605–$908 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$238–$464 | $298–$580 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$430–$782 | $538–$977 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
$191–$410 | $239–$513 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$290–$541 | $363–$676 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) range across 2 matching MRF lines |
$174–$393 | $217–$491 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$246–$478 | $308–$597 | varies |
| Repair extensor tendon finger w/o graft each (26418) range across 2 matching MRF lines |
$328–$994 | $410–$1,243 | varies |
| Repair Hand Tendon (26410) range across 2 matching MRF lines |
$327–$1,062 | $409–$1,327 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 5 matching MRF lines |
$142–$418 | $177–$522 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 4 matching MRF lines |
$174–$437 | $217–$546 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 4 matching MRF lines |
$200–$474 | $250–$593 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$250–$385 | $313–$481 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) range across 2 matching MRF lines |
$478–$657 | $598–$821 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$238–$414 | $298–$518 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 4 matching MRF lines |
$130–$362 | $162–$453 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 4 matching MRF lines |
$159–$438 | $199–$548 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 4 matching MRF lines |
$195–$479 | $244–$599 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) range across 2 matching MRF lines |
$127–$534 | $159–$668 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 4 matching MRF lines |
$222–$497 | $277–$621 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 4 matching MRF lines |
$116–$331 | $145–$414 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 4 matching MRF lines |
$143–$404 | $179–$505 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$268–$461 | $335–$576 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 4 matching MRF lines |
$180–$458 | $225–$572 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 2 matching MRF lines |
$328–$536 | $410–$670 | varies |
| Repair of nail bed (11760) range across 3 matching MRF lines |
$224–$257 | $280–$321 | varies |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $506 | $633 | 0.2× |
| Repair tongue laceration (41252) | $582 | $727 | 2.6× |
| Revision Peri-Implant Capsule Breast (19370) | $6 | $8 | 0.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $86 | $108 | 0.2× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $232 | $290 | 0.1× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) | $326 | $407 | 0.1× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) range across 2 matching MRF lines |
$94–$272 | $117–$340 | varies |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $498 | $622 | 0.3× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $2,812 | $3,515 | 1.9× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 4 matching MRF lines |
$196–$491 | $245–$614 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) range across 2 matching MRF lines |
$296–$488 | $370–$610 | varies |
| Rpr Lip Full Thickness Vermilion Only (40650) | $546 | $683 | 1.1× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) | $440 | $550 | 0.1× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $1,083 | $1,354 | 1.8× |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) | $582 | $728 | 0.2× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist Facility (25145) | $2 | $3 | 0.0× |
| Shave skin lesion 0.5 cm/< (11300) range across 2 matching MRF lines |
$44–$60 | $55–$75 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $59 | $74 | 0.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $130 | $163 | 0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 2 matching MRF lines |
$50–$66 | $62–$83 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) range across 2 matching MRF lines |
$71–$100 | $89–$125 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $96 | $120 | 0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $119 | $149 | 0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $79 | $99 | 0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $98 | $122 | 0.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $63 | $79 | 0.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $112 | $140 | 0.3× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $100 | $125 | 0.5× |
| Sigmoidoscopy & Polypectomy (45333) | $744 | $930 | 0.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 4 matching MRF lines |
$254–$581 | $317–$726 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 5 matching MRF lines |
$101–$462 | $126–$578 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 4 matching MRF lines |
$122–$335 | $153–$419 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 2 matching MRF lines |
$306–$334 | $382–$417 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 4 matching MRF lines |
$148–$390 | $185–$488 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) range across 2 matching MRF lines |
$346–$445 | $433–$556 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 4 matching MRF lines |
$91–$288 | $114–$360 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$242–$415 | $303–$519 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 4 matching MRF lines |
$138–$355 | $172–$444 | varies |
| Skin Full Grft Face/Genit/Hf (15240) | $618 | $772 | 0.3× |
| Skin Pinch Graft (15050) | $240 | $300 | 0.3× |
| Skn sub grft f/n/hf/g child (15277) | $1,551 | $1,939 | 0.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 5 matching MRF lines |
$107–$306 | $134–$383 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 4 matching MRF lines |
$177–$444 | $221–$555 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$224–$363 | $280–$454 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$84–$344 | $105–$430 | varies |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $646 | $807 | 0.2× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $539 | $674 | 0.3× |
| Strapping ankle (29540) | $38 | $47 | 0.2× |
| Strapping elbow or wrist (29260) | $39 | $49 | 0.7× |
| Strapping hand/finger (29280) | $41 | $51 | 0.7× |
| Strapping knee (29530) range across 3 matching MRF lines |
$38–$92 | $47–$115 | varies |
| Strapping shoulder (29240) | $38 | $47 | 0.3× |
| Strapping thorax (29200) | $38 | $47 | 0.2× |
| Strapping toes (29550) | $23 | $29 | 0.4× |
| Strapping Unna Boot (29580) range across 3 matching MRF lines |
$55–$466 | $69–$583 | varies |
| Tangential biopsy skin single lesion (11102) | $350 | $437 | 0.9× |
| Tendon shortening (26477) | $78 | $98 | 0.0× |
| Tenotomy shoulder area single tendon (23405) likely a partial charge, not the full procedure |
$11 | $14 | 0.0× |
| Thrombolytic Therapy Stroke (37195) | $619 | $774 | 1.9× |
| Treat elbow fracture (24586) range across 4 matching MRF lines |
$178–$218 | $223–$272 | varies |
| Treat Finger Fracture Each (26727) | $310 | $388 | 0.1× |
| Treat humerus fracture (24500) | $237 | $296 | 1.0× |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
$402–$873 | $502–$1,091 | varies |
| Treat humerus fracture (23600) | $243 | $304 | 1.0× |
| Treat knee fracture (27532) | $1,120 | $1,400 | 0.4× |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$181–$534 | $226–$667 | varies |
| Treat Metatarsal Fracture (28475) | $442 | $553 | 1.9× |
| Treat scapula fracture (23585) likely a partial charge, not the full procedure |
$43 | $54 | 0.0× |
| Treat Thumb Dislocation (26641) | $200 | $250 | 0.8× |
| Treat Thumb Fracture (26645) | $270 | $338 | 0.2× |
| Treat toe dislocation (28630) | $190 | $238 | 0.8× |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines |
$598–$970 | $747–$1,212 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$252–$598 | $315–$747 | varies |
| Trim skin lesion (11055) | $350 | $437 | 1.8× |
| Trim skin lesions 2 to 4 (11056) | $49 | $61 | 0.3× |
| Trim skin lesions over 4 (11057) | $53 | $66 | 0.3× |
| Tx Gastro Intub W/Asp (43753) | $192 | $240 | 0.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $158 | $197 | 0.2× |
| Tx superficial wound dehiscence w/packing (12021) | $101 | $126 | 0.3× |
| Vaginal delivery only (59409) | $1,614 | $2,017 | 0.5× |
| Venous Cutdown >1 Y/O (36425) range across 2 matching MRF lines |
$38–$81 | $47–$101 | varies |
| Wedge excision skin nail fold (11765) range across 3 matching MRF lines |
$96–$120 | $120–$150 | 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.