Procedures & surgery prices at Audubon County Memorial Hospital
Audubon, IA · every code in this section with a posted price and a Medicare benchmark.
418 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 |
$310–$840 | $310–$840 | varies |
| Acne surgery (10040) | $145 | $145 | 0.8× |
| Acromiopl/Acromionect Partial (23130) | $1,700 | $1,700 | 0.5× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $2,100 | $2,100 | 0.7× |
| Amputation Foot Midtarsal (28800) | $12,000 | $12,000 | 3.8× |
| Amputation toe metatarsophalangeal joint (28820) range across 2 matching MRF lines |
$875–$1,100 | $875–$1,100 | varies |
| Amputation, leg, through tibia and fibula; re-amputation (27886) | $1,600 | $1,600 | 0.5× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $310 | $310 | 0.1× |
| Appendectomy (44950) unusually low: confirm this is the full procedure |
$1,900 | $1,900 | 0.3× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$190–$270 | $190–$270 | varies |
| Application finger splint static (29130) range across 2 matching MRF lines |
$85–$125 | $85–$125 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$125–$250 | $125–$250 | varies |
| Application Long Leg Splint (29505) | $275 | $275 | 1.8× |
| Application of long leg cast (29345) | $410 | $410 | 1.5× |
| Application of rigid total contact leg cast (29445) | $290 | $290 | 1.1× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$120–$205 | $120–$205 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$150–$220 | $150–$220 | varies |
| Apply Multlay Comprs Lwr Leg (29581) | $85 | $85 | 0.5× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$85–$100 | $85–$100 | varies |
| Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841) likely a partial charge, not the full procedure |
$2,000 | $2,000 | 0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$165–$205 | $165–$205 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 2 matching MRF lines |
$265–$660 | $265–$660 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$230–$240 | $230–$240 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$200–$325 | $200–$325 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$160–$205 | $160–$205 | varies |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) | $2,100 | $2,100 | 0.7× |
| Arthroscopy shoulder distal claviculectomy (29824) | $1,800 | $1,800 | 0.6× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) unusually low: confirm this is the full procedure |
$2,550 | $2,550 | 0.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) | $2,200 | $2,200 | 0.7× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) unusually low: confirm this is the full procedure |
$2,500 | $2,500 | 0.4× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | $1,500 | $1,500 | 0.5× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) unusually low: confirm this is the full procedure |
$2,650 | $2,650 | 0.4× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) | $1,550 | $1,550 | 0.5× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) unusually low: confirm this is the full procedure |
$2,850 | $2,850 | 0.4× |
| Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) | $2,400 | $2,400 | 0.8× |
| Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) likely a partial charge, not the full procedure |
$1,600 | $1,600 | 0.2× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) | $1,875 | $1,875 | 0.6× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $1,500 | $1,500 | 0.5× |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$600–$875 | $600–$875 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$250–$645 | $250–$645 | varies |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$125–$190 | $125–$190 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$155–$320 | $155–$320 | varies |
| Biopsy external ear (69100) range across 2 matching MRF lines |
$130–$245 | $130–$245 | varies |
| Biopsy nail unit (11755) | $164 | $164 | 0.2× |
| Biopsy Oropharynx (42800) range across 2 matching MRF lines |
$350–$465 | $350–$465 | varies |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) range across 2 matching MRF lines |
$450–$1,000 | $450–$1,000 | varies |
| Biopsy, vestibule of mouth (40808) range across 2 matching MRF lines |
$265–$495 | $265–$495 | varies |
| Biopsy/removal lymph nodes (38510) | $1,500 | $1,500 | 0.4× |
| Bladder instillation anticarcinogenic agent (51720) range across 2 matching MRF lines |
$130–$260 | $130–$260 | varies |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$90–$220 | $90–$220 | varies |
| Bladder Scan (51798) | $35 | $35 | 0.6× |
| Blood Transfusion Service (36430) range across 3 matching MRF lines |
$300–$350 | $300–$350 | varies |
| Bone Marrow Biopsy (38221) range across 2 matching MRF lines |
$200–$550 | $200–$550 | varies |
| Bronchoscopy W/Removal Foreign Body (31635) range across 2 matching MRF lines |
$460–$950 | $460–$950 | varies |
| Bx breast 1st lesion us imag (19083) range across 2 matching MRF lines |
$430–$1,395 | $430–$1,395 | varies |
| Bx breast needle core w/o imaging guidance spx (19100) | $775 | $775 | 0.5× |
| Bx prostate strtctc saturation sampling img gid (55706) | $1,090 | $1,090 | 0.3× |
| Bx/exc lymph node open deep axillary node (38525) | $1,290 | $1,290 | 0.3× |
| Bx/exc lymph node open superficial (38500) | $950 | $950 | 0.3× |
| Carpal Tunnel Surgery (64721) | $1,300 | $1,300 | 0.7× |
| Catheter aspiration nasotracheal spx (31720) | $150 | $150 | 0.7× |
| Change Cystostomy Tube Simple (51705) | $300 | $300 | 1.2× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$105–$230 | $105–$230 | varies |
| Chemodenerv Musc Migraine (64615) range across 2 matching MRF lines |
$350–$450 | $350–$450 | varies |
| Chest tube placement (32551) range across 2 matching MRF lines |
$430–$435 | $430–$435 | varies |
| Circumcision 28 days or older (54161) | $500 | $500 | 0.2× |
| Cl Tx Tib Shft Fx W Manip (27752) | $1,600 | $1,600 | 1.0× |
| Claviculectomy partial (23120) | $1,700 | $1,700 | 0.5× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$140–$220 | $140–$220 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$1,200–$1,300 | $1,200–$1,300 | varies |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $1,790 | $1,790 | 1.2× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines |
$800–$900 | $800–$900 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $1,245 | $1,245 | 0.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$900–$950 | $900–$950 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,500–$1,560 | $1,500–$1,560 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$440–$500 | $440–$500 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$500–$550 | $500–$550 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$820–$850 | $820–$850 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$925–$1,050 | $925–$1,050 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$945–$1,000 | $945–$1,000 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $1,250 | $1,250 | 0.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$235–$305 | $235–$305 | varies |
| Collection of venous blood by venipuncture (36415) | $19.99 | $19.99 | 2.1× |
| Colonoscopy w/fb removal (45379) | $1,260 | $1,260 | 1.1× |
| Colonoscopy w/submucosal inj (45381) | $1,280 | $1,280 | 1.1× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $400 | $400 | 1.4× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) | $1,725 | $1,725 | 1.5× |
| Complex drainage wound (10180) range across 2 matching MRF lines |
$500–$750 | $500–$750 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$225–$680 | $225–$680 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$160–$430 | $160–$430 | varies |
| Create Eardrum Opening (69433) range across 2 matching MRF lines |
$390–$555 | $390–$555 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$300–$975 | $300–$975 | varies |
| Cysto w/insert ureteral stent (52332) | $455 | $455 | 0.1× |
| Cysto w/ureteroscopy w/lithotripsy (52353) likely a partial charge, not the full procedure |
$1,200 | $1,200 | 0.2× |
| Cysto/uretero w/lithotripsy (52356) likely a partial charge, not the full procedure |
$1,250 | $1,250 | 0.2× |
| Cystourethroscopy (52000) | $650 | $650 | 1.0× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $1,600 | $1,600 | 0.6× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$425–$630 | $425–$630 | varies |
| Debride nail 1-5 (11720) | $40 | $40 | 0.7× |
| Debride nail 6 or more (11721) | $65 | $65 | 1.1× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$625–$850 | $625–$850 | varies |
| Debridement Mastoidectomy Cavity Simple (69220) range across 2 matching MRF lines |
$150–$210 | $150–$210 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$300–$360 | $300–$360 | varies |
| Decomp forearm,1 compart,w/o debride (25020) | $2,075 | $2,075 | 1.3× |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$1,000–$1,150 | $1,000–$1,150 | varies |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$1,250–$1,700 | $1,250–$1,700 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$200–$310 | $200–$310 | varies |
| Destruction Benign Lesions 15/> (17111) range across 2 matching MRF lines |
$210–$360 | $210–$360 | varies |
| Destruction Premalignant Lesion 15/> (17004) | $270 | $270 | 0.7× |
| Destruction premalignant lesion 1st (17000) | $150 | $150 | 0.8× |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) | $510 | $510 | 0.4× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) | $125 | $125 | 1.0× |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) | $200 | $200 | 1.6× |
| Dilat Urethral Strix Dilator Male Sbsq (53601) | $155 | $155 | 1.2× |
| Dilate Esophagus 1/Mult Pass (43450) | $550 | $550 | 0.6× |
| Disarticulation At Knee (27598) | $1,715 | $1,715 | 0.5× |
| Drain/inj small joint/bursa w/us (20604) range across 2 matching MRF lines |
$180–$245 | $180–$245 | varies |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$315–$465 | $315–$465 | varies |
| Drainage of rectal abscess (45005) | $940 | $940 | 0.8× |
| Draw Blood Off Venous Device (36591) | $85 | $85 | 0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $375 | $375 | 1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$290–$425 | $290–$425 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$155–$235 | $155–$235 | varies |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 2 matching MRF lines |
$700–$875 | $700–$875 | varies |
| Dx Bone Marrow Bx & Aspir (38222) range across 2 matching MRF lines |
$215–$505 | $215–$505 | varies |
| Dx Laryngoscopy Excl Nb (31525) | $705 | $705 | 0.4× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $2,815 | $2,815 | 1.5× |
| Egd Flexible Foreign Body Removal (43247) | $1,100 | $1,100 | 1.3× |
| Egd place gastrostomy tube (43246) | $580 | $580 | 0.3× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) | $700 | $700 | 0.4× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) range across 2 matching MRF lines |
$1,800–$2,200 | $1,800–$2,200 | varies |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$95–$155 | $95–$155 | varies |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) | $1,200 | $1,200 | 0.8× |
| Exc arm/elbow les sc < 3 cm (24075) | $1,400 | $1,400 | 0.9× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $235 | $235 | 0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$435–$560 | $435–$560 | varies |
| Exc Back Les Sc < 3 Cm (21930) range across 2 matching MRF lines |
$1,050–$1,400 | $1,050–$1,400 | varies |
| Exc Back Tum Deep 5 Cm/> (21933) | $2,000 | $2,000 | 0.7× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) range across 2 matching MRF lines |
$1,275–$1,575 | $1,275–$1,575 | varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $500 | $500 | 0.7× |
| Exc Face Les Sbq 2 Cm/> (21012) | $1,000 | $1,000 | 0.6× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $295 | $295 | 0.4× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$370–$470 | $370–$470 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 2 matching MRF lines |
$405–$525 | $405–$525 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 2 matching MRF lines |
$495–$625 | $495–$625 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) range across 2 matching MRF lines |
$625–$775 | $625–$775 | varies |
| Exc Forearm Les Sc 3 Cm/> (25071) range across 2 matching MRF lines |
$1,250–$1,275 | $1,250–$1,275 | varies |
| Exc Forearm Tum Deep 3 Cm/> (25073) | $1,500 | $1,500 | 0.5× |
| Exc ganglion wrist recurrent (25112) | $1,200 | $1,200 | 0.8× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$227–$345 | $227–$345 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$300–$430 | $300–$430 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$375–$510 | $375–$510 | varies |
| Exc Hand Les Sc < 1.5 Cm (26115) | $1,350 | $1,350 | 0.9× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) | $450 | $450 | 0.5× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) | $1,700 | $1,700 | 0.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$415–$540 | $415–$540 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 2 matching MRF lines |
$500–$650 | $500–$650 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 2 matching MRF lines |
$740–$900 | $740–$900 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$685–$875 | $685–$875 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) range across 2 matching MRF lines |
$875–$1,050 | $875–$1,050 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 2 matching MRF lines |
$570–$800 | $570–$800 | varies |
| Exc Skin Malig >4 Cm Remaindr Body (11626) range across 2 matching MRF lines |
$790–$1,100 | $790–$1,100 | varies |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$860–$1,200 | $860–$1,200 | varies |
| Exc tendon shth lesion leg/ankle (27630) | $1,550 | $1,550 | 0.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 2 matching MRF lines |
$335–$580 | $335–$580 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$291–$425 | $291–$425 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$400–$470 | $400–$470 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$455–$615 | $455–$615 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $1,300 | $1,300 | 0.5× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) | $1,500 | $1,500 | 0.9× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $1,300 | $1,300 | 0.5× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) range across 2 matching MRF lines |
$925–$1,500 | $925–$1,500 | varies |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $2,250 | $2,250 | 0.8× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) range across 2 matching MRF lines |
$925–$1,250 | $925–$1,250 | varies |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) | $1,500 | $1,500 | 0.5× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $810 | $810 | 0.5× |
| Excise intraspinal lesion (63267) | $3,500 | $3,500 | 0.5× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 2 matching MRF lines |
$525–$760 | $525–$760 | varies |
| Excision Aural Polyp (69540) | $600 | $600 | 0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $615 | $615 | 0.9× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$445–$650 | $445–$650 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 2 matching MRF lines |
$580–$840 | $580–$840 | varies |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 2 matching MRF lines |
$700–$775 | $700–$775 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) range across 2 matching MRF lines |
$410–$625 | $410–$625 | varies |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 2 matching MRF lines |
$465–$650 | $465–$650 | varies |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) range across 2 matching MRF lines |
$650–$915 | $650–$915 | varies |
| Excision Multiple External Papillae/Tags Anus (46230) range across 2 matching MRF lines |
$460–$915 | $460–$915 | varies |
| Excision of constricting ring of finger, with multiple Z-plasties Facility (26596) | $2,500 | $2,500 | 0.8× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $1,050 | $1,050 | 0.7× |
| Excision of single external papilla or tag, anus (46220) | $725 | $725 | 0.6× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) range across 2 matching MRF lines |
$1,425–$1,950 | $1,425–$1,950 | varies |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $1,300 | $1,300 | 0.8× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) | $1,000 | $1,000 | 0.4× |
| Excision/Curettage Cyst/Tumor Radius/Ulna (25120) | $1,500 | $1,500 | 0.5× |
| Excision/destruction intranasal lesion int appr (30117) range across 2 matching MRF lines |
$1,100–$2,400 | $1,100–$2,400 | varies |
| Explo/Drain Breast Abscess (19020) range across 2 matching MRF lines |
$850–$1,200 | $850–$1,200 | varies |
| Exploration penetrating wound spx extremity (20103) range across 2 matching MRF lines |
$800–$1,500 | $800–$1,500 | varies |
| Fasciectomy Palm Only (26121) | $2,200 | $2,200 | 0.7× |
| Fasciotomy palmar open partial (26045) | $1,300 | $1,300 | 0.4× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) | $3,000 | $3,000 | 1.0× |
| Fine needle aspiration without imaging guidance (10021) | $145 | $145 | 0.4× |
| Fna bx w/us gdn 1st les (10005) range across 2 matching MRF lines |
$360–$500 | $360–$500 | varies |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) | $340 | $340 | 0.1× |
| Fusion of hand bones (25820) likely a partial charge, not the full procedure |
$1,700 | $1,700 | 0.2× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $1,500 | $1,500 | 0.6× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $1,300 | $1,300 | 0.5× |
| Hysteroscopy Removal Impacted Foreign Body (58562) | $1,185 | $1,185 | 0.4× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$250–$350 | $250–$350 | varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) range across 2 matching MRF lines |
$975–$1,445 | $975–$1,445 | varies |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$300–$890 | $300–$890 | varies |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$325–$610 | $325–$610 | varies |
| Incise finger tendon sheath (26055) | $1,595 | $1,595 | 1.0× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$485–$585 | $485–$585 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$300–$415 | $300–$415 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$375–$420 | $375–$420 | varies |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010) unusually low: confirm this is the full procedure |
$2,800 | $2,800 | 0.4× |
| Incision extensor tendon sheath wrist (25000) | $1,060 | $1,060 | 0.7× |
| Incision of eardrum (69421) range across 2 matching MRF lines |
$410–$450 | $410–$450 | varies |
| Incision of eardrum (69420) range across 2 matching MRF lines |
$350–$360 | $350–$360 | varies |
| Incision of lingual frenum (frenotomy) (41010) | $625 | $625 | 0.4× |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$1,250–$1,500 | $1,250–$1,500 | varies |
| Incision&drainage bursa foot (28001) | $285 | $285 | 0.2× |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$155–$425 | $155–$425 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $145 | $145 | 0.8× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$1,000–$1,700 | $1,000–$1,700 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$175–$210 | $175–$210 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 2 matching MRF lines |
$250–$650 | $250–$650 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 2 matching MRF lines |
$325–$450 | $325–$450 | varies |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) | $240 | $240 | 0.4× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $460 | $460 | 0.7× |
| Injection anesthetic agent suprascapular nerve (64418) range across 2 matching MRF lines |
$205–$370 | $205–$370 | varies |
| Injection for identification of sentinel node (38792) range across 2 matching MRF lines |
$100–$250 | $100–$250 | varies |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$115–$170 | $115–$170 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$155–$210 | $155–$210 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$175–$210 | $175–$210 | varies |
| Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines |
$245–$360 | $245–$360 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) | $500 | $500 | 0.6× |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$350–$650 | $350–$650 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$130–$300 | $130–$300 | varies |
| Injection, Intralesional; More Than 7 Lesions (11901) | $160 | $160 | 0.8× |
| Injection, intralesional; up to and including 7 lesions (11900) | $80 | $80 | 0.4× |
| Insert Bladder Cath Complex (51703) | $225 | $225 | 1.8× |
| Insert cath pleura w/ image (32557) range across 2 matching MRF lines |
$420–$1,800 | $420–$1,800 | varies |
| Insert Drug Implant Device (11981) range across 2 matching MRF lines |
$240–$275 | $240–$275 | varies |
| Insert Temp Bladder Cath (51702) | $75 | $75 | 0.6× |
| Insert tunneled cv cath (36561) | $2,650 | $2,650 | 0.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $75 | $75 | 0.6× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 2 matching MRF lines |
$250–$1,120 | $250–$1,120 | varies |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $11,000 | $11,000 | 1.4× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$285–$300 | $285–$300 | varies |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$395–$400 | $395–$400 | varies |
| Lam facetec & foramot lumbar (63047) unusually low: confirm this is the full procedure |
$2,800 | $2,800 | 0.4× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) | $3,000 | $3,000 | 0.5× |
| Laparoscopy, surgical, appendectomy (44970) likely a partial charge, not the full procedure |
$1,600 | $1,600 | 0.3× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) unusually low: confirm this is the full procedure |
$1,800 | $1,800 | 0.3× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) | $3,000 | $3,000 | 0.5× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) range across 2 matching MRF lines |
$1,100–$4,500 | $1,100–$4,500 | varies |
| Laryngoscopy flexible diagnostic (31575) range across 2 matching MRF lines |
$195–$360 | $195–$360 | varies |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) | $605 | $605 | 1.6× |
| Laser vaporization of prostate (52648) | $4,600 | $4,600 | 0.9× |
| Ligation or biopsy temporal artery (37609) | $900 | $900 | 0.6× |
| Lithotripsy, extracorporeal shock wave (50590) | $2,200 | $2,200 | 0.6× |
| Low Back Disk Surgery (63030) unusually low: confirm this is the full procedure |
$2,450 | $2,450 | 0.4× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) | $600 | $600 | 0.4× |
| Mast mod rad (19307) unusually low: confirm this is the full procedure |
$3,100 | $3,100 | 0.5× |
| Mastectomy partial (19301) | $1,740 | $1,740 | 0.5× |
| Mastectomy partial w/axillary lymphadenectomy (19302) unusually low: confirm this is the full procedure |
$2,400 | $2,400 | 0.4× |
| Mastectomy simple complete (19303) unusually low: confirm this is the full procedure |
$2,500 | $2,500 | 0.4× |
| Myringoplasty (69620) | $1,970 | $1,970 | 0.6× |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines |
$400–$650 | $400–$650 | varies |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$180–$500 | $180–$500 | varies |
| N Block Inj Pudendal (64430) range across 2 matching MRF lines |
$300–$650 | $300–$650 | varies |
| Nasal Endoscopy Dx (31231) range across 2 matching MRF lines |
$182–$535 | $182–$535 | varies |
| Nasal/Orogastric W/Tube Plmt (43752) | $2,000 | $2,000 | 4.7× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) | $1,000 | $1,000 | 0.3× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) range across 2 matching MRF lines |
$525–$750 | $525–$750 | varies |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) likely a partial charge, not the full procedure |
$1,200 | $1,200 | 0.2× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) | $2,500 | $2,500 | 1.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $50 | $50 | 1.8× |
| Needle insertion w/o injection 3 or more muscles (20561) | $70 | $70 | 2.5× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) | $1,800 | $1,800 | 1.0× |
| Nfct Ds Bct/Vir Respir Dna/Rna 22 Trgt Sarscov2 (0223U) | $500 | $500 | 1.2× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $500 | $500 | 1.2× |
| Njx anes stellate ganglion crv sympathetic (64510) range across 2 matching MRF lines |
$225–$425 | $225–$425 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$560–$775 | $560–$775 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$675–$800 | $675–$800 | varies |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$800–$1,700 | $800–$1,700 | varies |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$275–$355 | $275–$355 | varies |
| Open biopsy/excision inguinofemoral nodes (38531) range across 2 matching MRF lines |
$1,300–$4,100 | $1,300–$4,100 | varies |
| Open Treatment Bimalleolar Ankle Fracture (27814) likely a partial charge, not the full procedure |
$2,000 | $2,000 | 0.3× |
| Open treatment metatarsal fracture each (28485) likely a partial charge, not the full procedure |
$1,600 | $1,600 | 0.2× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) unusually low: confirm this is the full procedure |
$2,100 | $2,100 | 0.3× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) unusually low: confirm this is the full procedure |
$2,250 | $2,250 | 0.3× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) unusually low: confirm this is the full procedure |
$2,800 | $2,800 | 0.4× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) range across 2 matching MRF lines |
$3,200–$11,000 | $3,200–$11,000 | varies |
| Partial excision bone clavicle (23180) likely a partial charge, not the full procedure |
$1,900 | $1,900 | 0.3× |
| Partial Excision Bone Humerus (24140) | $1,825 | $1,825 | 0.6× |
| Partial excision bone metacarpal (26230) | $1,400 | $1,400 | 0.4× |
| Partial Excision Distal Phalanx Finger (26236) | $1,400 | $1,400 | 0.9× |
| Perq dev breast 1st us imag (19285) range across 2 matching MRF lines |
$255–$1,030 | $255–$1,030 | varies |
| Perq device breast 1st imag (19281) | $700 | $700 | 0.4× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $225 | $225 | 0.3× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $15,000 | $15,000 | 2.2× |
| Placement of needle for intraosseous infusion (36680) | $180 | $180 | 0.4× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$130–$345 | $130–$345 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$300–$365 | $300–$365 | varies |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) range across 2 matching MRF lines |
$230–$400 | $230–$400 | varies |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) range across 2 matching MRF lines |
$925–$1,350 | $925–$1,350 | varies |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) likely a partial charge, not the full procedure |
$1,825 | $1,825 | 0.3× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$390–$700 | $390–$700 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $640 | $640 | 0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$45–$55 | $45–$55 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$95–$130 | $95–$130 | varies |
| Removal Implant Deep (20680) | $1,500 | $1,500 | 0.5× |
| Removal Implant Superficial Separate Procedure (20670) | $1,000 | $1,000 | 0.6× |
| Removal of adenoids (42831) | $700 | $700 | 0.2× |
| Removal of adenoids (42830) | $640 | $640 | 0.2× |
| Removal of implant from finger or hand (26320) | $1,050 | $1,050 | 0.7× |
| Removal of nail bed (11750) | $275 | $275 | 0.7× |
| Removal of tonsils (42825) likely a partial charge, not the full procedure |
$800 | $800 | 0.1× |
| Removal of tonsils (42826) | $950 | $950 | 0.3× |
| Removal of wrist bone (25210) | $1,500 | $1,500 | 0.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$215–$255 | $215–$255 | varies |
| Removal subcutaneous cardiac rhythm monitor (33286) | $400 | $400 | 0.6× |
| Removal, under anesthesia, of external fixation system (20694) | $1,200 | $1,200 | 0.8× |
| Removal/bivalving gauntlet boot/body cast (29700) range across 2 matching MRF lines |
$100–$195 | $100–$195 | varies |
| Remove drug implant device (11982) | $400 | $400 | 0.9× |
| Remove foreign body from eye (65205) | $100 | $100 | 0.8× |
| Remove Intrauterine Device (58301) | $190 | $190 | 0.6× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$345–$580 | $345–$580 | varies |
| Remove Tendon Sheath Lesion (26160) | $1,700 | $1,700 | 1.1× |
| Remove/Insert Drug Implant (11983) range across 2 matching MRF lines |
$400–$530 | $400–$530 | varies |
| Repair Blood Vessel Direct Upper Extremity (35206) range across 2 matching MRF lines |
$2,100–$2,200 | $2,100–$2,200 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$770–$1,270 | $770–$1,270 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$675–$1,150 | $675–$1,150 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $550 | $550 | 0.8× |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$670–$1,070 | $670–$1,070 | varies |
| Repair Elbow Perc (24357) | $1,150 | $1,150 | 0.4× |
| Repair extensor tendon finger w/o graft each (26418) | $2,100 | $2,100 | 1.4× |
| Repair Finger Tendon (26433) | $2,500 | $2,500 | 0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$450–$765 | $450–$765 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$545–$855 | $545–$855 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$400–$715 | $400–$715 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$535–$840 | $535–$840 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$415–$600 | $415–$600 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$520–$825 | $520–$825 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$570–$925 | $570–$925 | varies |
| Repair of shoulder (23420) unusually low: confirm this is the full procedure |
$2,100 | $2,100 | 0.3× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) unusually low: confirm this is the full procedure |
$2,000 | $2,000 | 0.3× |
| Repair/Revise Wrist Joint (25320) unusually low: confirm this is the full procedure |
$2,750 | $2,750 | 0.4× |
| Repr elbow lat ligmnt w/tiss (24343) | $2,000 | $2,000 | 0.6× |
| Revise ulnar nerve at wrist (64719) | $1,225 | $1,225 | 0.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$120–$190 | $120–$190 | varies |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $750 | $750 | 0.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$575–$675 | $575–$675 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines |
$410–$500 | $410–$500 | varies |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$110–$645 | $110–$645 | varies |
| Rplc gtube revj gstrst trc (43763) range across 2 matching MRF lines |
$260–$950 | $260–$950 | varies |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) unusually low: confirm this is the full procedure |
$2,000 | $2,000 | 0.3× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) likely a partial charge, not the full procedure |
$1,400 | $1,400 | 0.2× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) | $1,850 | $1,850 | 0.6× |
| Shave skin lesion 0.5 cm/< (11300) | $95 | $95 | 0.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $135 | $135 | 0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $100 | $100 | 0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $139 | $139 | 0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $170 | $170 | 0.9× |
| Shoulder arthroscopy (29820) likely a partial charge, not the full procedure |
$1,500 | $1,500 | 0.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $172 | $172 | 0.9× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $205 | $205 | 0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $140 | $140 | 0.7× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $165 | $165 | 0.9× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $825 | $825 | 0.9× |
| Simple Cystometrogram (51725) | $2,890 | $2,890 | 12.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$140–$325 | $140–$325 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$150–$315 | $150–$315 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$195–$385 | $195–$385 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$120–$275 | $120–$275 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$215–$360 | $215–$360 | varies |
| Skin Full Grft Face/Genit/Hf (15240) | $2,450 | $2,450 | 1.2× |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$430–$1,000 | $430–$1,000 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$430–$750 | $430–$750 | varies |
| Skin sub grft t/arm/lg child (15273) | $525 | $525 | 0.3× |
| Skn sub grft f/n/hf/g child (15277) | $600 | $600 | 0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$150–$310 | $150–$310 | varies |
| Strapping knee (29530) range across 2 matching MRF lines |
$55–$85 | $55–$85 | varies |
| Strapping shoulder (29240) range across 2 matching MRF lines |
$75–$85 | $75–$85 | varies |
| Strapping Unna Boot (29580) | $85 | $85 | 0.5× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) | $840 | $840 | 0.3× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) | $7,235 | $7,235 | 1.3× |
| Suture 1 Nerve Median Motor Thenar (64835) | $2,300 | $2,300 | 0.7× |
| Tangential biopsy skin single lesion (11102) | $102 | $102 | 0.3× |
| Tenodesis long tendon biceps (23430) likely a partial charge, not the full procedure |
$2,040 | $2,040 | 0.3× |
| Tenolysis flexor tendon palm/finger each tendon (26440) | $1,750 | $1,750 | 1.1× |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) | $1,700 | $1,700 | 0.5× |
| Tnot elbow lateral/medial debride open (24358) | $1,575 | $1,575 | 0.5× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) | $1,750 | $1,750 | 0.6× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) | $905 | $905 | 0.3× |
| Total Knee Arthroplasty (27447) likely a partial charge, not the full procedure |
$3,000 | $3,000 | 0.2× |
| Transplant hand tendon (26480) | $2,070 | $2,070 | 0.7× |
| Treat Fx Rad Extra-Articul (25607) likely a partial charge, not the full procedure |
$1,950 | $1,950 | 0.3× |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
$1,300–$1,560 | $1,300–$1,560 | varies |
| Treat Kneecap Fracture (27524) unusually low: confirm this is the full procedure |
$2,300 | $2,300 | 0.3× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $1,350 | $1,350 | 0.9× |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$70–$205 | $70–$205 | varies |
| Trim skin lesions 2 to 4 (11056) | $65 | $65 | 0.3× |
| Trim skin lesions over 4 (11057) range across 2 matching MRF lines |
$85–$240 | $85–$240 | varies |
| Trimming Nondystrophic Nails Any Number (11719) | $30 | $30 | 0.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$520–$810 | $520–$810 | varies |
| Tympanostomy general anesthesia (69436) range across 2 matching MRF lines |
$440–$460 | $440–$460 | varies |
| Unlisted laparoscopic procedure liver (47379) | $2,950 | $2,950 | 0.5× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) likely a partial charge, not the full procedure |
$1,200 | $1,200 | 0.2× |
| Unlisted procedure arthroscopy (29999) | $1,100 | $1,100 | 4.6× |
| Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$650–$800 | $650–$800 | varies |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $650 | $650 | 0.3× |
| Ventilating tube removal requiring general anesthesia (69424) | $365 | $365 | 0.1× |
| Wedge excision skin nail fold (11765) | $450 | $450 | 1.2× |
| Wound Prep F/N/Hf/G (15004) | $1,060 | $1,060 | 2.7× |
| Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+ (66989) unusually low: confirm this is the full procedure |
$2,050 | $2,050 | 0.4× |
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.