Procedures & surgery prices at Baraga County Memorial Hospital
L' Anse, MI · every code in this section with a posted price and a Medicare benchmark.
652 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 6 matching MRF lines |
$282–$704 | $282–$704 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 3 matching MRF lines |
$533–$613 | $533–$613 | varies |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $2,661 | $2,661 | 1.3× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) | $1,847 | $1,847 | 0.9× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $1,662 | $1,662 | 0.5× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $1,821 | $1,821 | 0.6× |
| Amputate Metacarpal Bone (26910) | $2,115 | $2,115 | 0.6× |
| Amputate Thigh,Re-Amputatn (27596) | $3,075 | $3,075 | 0.9× |
| Amputation foot transmetarsal (28805) | $2,650 | $2,650 | 0.8× |
| Amputation metatarsal with toe single (28810) range across 2 matching MRF lines |
$1,249–$4,486 | $1,249–$4,486 | varies |
| Amputation thigh through femur any level (27590) | $2,846 | $2,846 | 0.9× |
| Amputation toe interphalangeal joint (28825) range across 2 matching MRF lines |
$693–$4,486 | $693–$4,486 | varies |
| Amputation toe metatarsophalangeal joint (28820) range across 2 matching MRF lines |
$1,080–$4,719 | $1,080–$4,719 | varies |
| Amputation, leg, through tibia and fibula; (27880) unusually low: confirm this is the full procedure |
$2,638 | $2,638 | 0.4× |
| Anoscopy diagnostic (46600) range across 3 matching MRF lines |
$164–$272 | $164–$272 | varies |
| Anoscopy W/Rmvl Foreign Body (46608) | $499 | $499 | 0.5× |
| Anoscopy; with biopsy, single or multiple (46606) | $361 | $361 | 0.3× |
| Anterior colporraphy rpr cystocele w/cysto (57240) range across 2 matching MRF lines |
$1,755–$1,788 | $1,755–$1,788 | varies |
| Appendectomy (44950) likely a partial charge, not the full procedure |
$1,831 | $1,831 | 0.3× |
| Application cast elbow finger short arm (29075) | $193 | $193 | 0.7× |
| Application finger splint static (29130) | $135 | $135 | 1.0× |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$177–$188 | $177–$188 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$159–$232 | $159–$232 | varies |
| Application of long leg cast (29345) | $354 | $354 | 1.3× |
| Application of rigid total contact leg cast (29445) range across 4 matching MRF lines |
$161–$387 | $161–$387 | varies |
| Application short arm splint forearm-hand static (29125) | $142 | $142 | 1.1× |
| Application short leg splint calf foot (29515) | $129 | $129 | 0.8× |
| Apply long arm cast (29065) | $208 | $208 | 0.7× |
| Apply Multlay Comprs Lwr Leg (29581) range across 3 matching MRF lines |
$74–$154 | $74–$154 | varies |
| Apply Short Leg Cast (29405) | $224 | $224 | 0.8× |
| Apply short leg cast (29425) | $268 | $268 | 1.0× |
| Arterial puncture (36600) range across 4 matching MRF lines |
$99–$177 | $99–$177 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$191–$213 | $191–$213 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $1,799 | $1,799 | 2.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 7 matching MRF lines |
$129–$320 | $129–$320 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$94–$396 | $94–$396 | varies |
| Arthrodesis great toe metatarsophalangeal joint (28750) | $9,918 | $9,918 | 1.4× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) range across 2 matching MRF lines |
$2,212–$4,503 | $2,212–$4,503 | varies |
| Arthrotomy ankle w/expl drainage/removal fb (27610) | $4,719 | $4,719 | 1.4× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) unusually low: confirm this is the full procedure |
$4,298 | $4,298 | 0.3× |
| Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) | $4,719 | $4,719 | 1.4× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $5,031 | $5,031 | 1.5× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) | $4,719 | $4,719 | 1.4× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) | $2,228 | $2,228 | 1.4× |
| Aspirate pleura w/ imaging (32555) range across 5 matching MRF lines |
$297–$938 | $297–$938 | varies |
| Aspirate Pleura W/O Imaging (32554) | $428 | $428 | 0.7× |
| Aspirate/Inj Ganglion Cyst (20612) | $190 | $190 | 0.6× |
| Aspiration and/or injection thyroid cyst (60300) | $265 | $265 | 0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$199–$278 | $199–$278 | varies |
| Biopsy Abdominal Mass (49180) range across 3 matching MRF lines |
$404–$783 | $404–$783 | varies |
| Biopsy bone open deep (20245) range across 2 matching MRF lines |
$1,445–$4,006 | $1,445–$4,006 | varies |
| Biopsy bone open superficial (20240) | $4,163 | $4,163 | 1.4× |
| Biopsy muscle percutaneous needle (20206) range across 2 matching MRF lines |
$316–$488 | $316–$488 | varies |
| Biopsy Muscle Superficial (20200) | $543 | $543 | 0.3× |
| Biopsy of breast; open, incisional (19101) | $792 | $792 | 0.2× |
| Biopsy of floor of mouth (41108) | $325 | $325 | 0.2× |
| Biopsy of liver, needle; percutaneous (47000) range across 4 matching MRF lines |
$469–$840 | $469–$840 | varies |
| Biopsy of rectum (45100) | $855 | $855 | 0.3× |
| Biopsy of urethra (53200) | $426 | $426 | 0.2× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) range across 3 matching MRF lines |
$806–$1,237 | $806–$1,237 | varies |
| Biopsy Salivary Gland Needle (42400) | $263 | $263 | 0.4× |
| Biopsy soft tissue neck/thorax (21550) | $512 | $512 | 0.3× |
| Biopsy Vaginal Mucosa Simple (57100) | $286 | $286 | 0.3× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $330 | $330 | 0.4× |
| Biopsy/removal lymph nodes (38510) range across 3 matching MRF lines |
$983–$1,152 | $983–$1,152 | varies |
| Bladder instillation anticarcinogenic agent (51720) | $490 | $490 | 0.7× |
| Bladder Irrigation (51700) | $323 | $323 | 1.3× |
| Bladder Scan (51798) range across 2 matching MRF lines |
$112–$117 | $112–$117 | varies |
| Blepharotomy drainage abscess eyelid (67700) | $654 | $654 | 2.1× |
| Blood Transfusion Service (36430) range across 9 matching MRF lines |
$208–$619 | $208–$619 | varies |
| Bone Marrow Biopsy (38221) range across 3 matching MRF lines |
$400–$667 | $400–$667 | varies |
| Bone Marrow; Aspiration Only (38220) range across 2 matching MRF lines |
$110–$347 | $110–$347 | varies |
| Bx breast 1st lesion us imag (19083) range across 6 matching MRF lines |
$529–$1,426 | $529–$1,426 | varies |
| Bx breast needle core w/o imaging guidance spx (19100) range across 2 matching MRF lines |
$354–$1,246 | $354–$1,246 | varies |
| Bx Cervix (57500) range across 3 matching MRF lines |
$225–$1,152 | $225–$1,152 | varies |
| Bx/exc lymph node open deep axillary node (38525) range across 2 matching MRF lines |
$1,093–$1,450 | $1,093–$1,450 | varies |
| Bx/exc lymph node open superficial (38500) range across 2 matching MRF lines |
$831–$5,361 | $831–$5,361 | varies |
| Carpal Tunnel Surgery (64721) range across 3 matching MRF lines |
$1,185–$2,879 | $1,185–$2,879 | varies |
| Cataract surgery complex (66982) range across 2 matching MRF lines |
$1,838–$1,955 | $1,838–$1,955 | varies |
| Cautery Cervix Cryocautery Initial/Repeat (57511) | $303 | $303 | 1.0× |
| Cautery Cervix Electro/Thermal (57510) | $342 | $342 | 0.1× |
| Change of Windpipe Airway (31502) range across 2 matching MRF lines |
$251–$299 | $251–$299 | varies |
| Chemical Cautery Tissue (17250) range across 5 matching MRF lines |
$119–$289 | $119–$289 | varies |
| Chest tube placement (32551) | $1,154 | $1,154 | 0.7× |
| Cl Tx Scapular Fx; W Manip (23575) | $1,023 | $1,023 | 0.6× |
| Cl Tx Tib Shft Fx W Manip (27752) | $1,779 | $1,779 | 1.1× |
| Clear outer ear canal (69200) | $228 | $228 | 1.7× |
| Closed Treat Vert Body Fract (22310) range across 2 matching MRF lines |
$1,400–$1,571 | $1,400–$1,571 | varies |
| Closed Treatment Ulnar Styloid Fracture (25650) | $806 | $806 | 3.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $746 | $746 | 3.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$1,307–$2,300 | $1,307–$2,300 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $865 | $865 | 3.5× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $1,015 | $1,015 | 4.1× |
| Closed tx carpal scaphoid fracture w/manj (25624) | $981 | $981 | 0.6× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $619 | $619 | 2.5× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $1,734 | $1,734 | 1.1× |
| Closed tx knee dislocation w/o anesthesia (27550) | $1,047 | $1,047 | 4.3× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) | $1,486 | $1,486 | 2.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $458 | $458 | 1.9× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $808 | $808 | 0.5× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) range across 2 matching MRF lines |
$1,244–$1,293 | $1,244–$1,293 | varies |
| Closed tx patellar dislocation w/anesthesia (27562) | $1,304 | $1,304 | 5.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$349–$691 | $349–$691 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) | $936 | $936 | 0.6× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $534 | $534 | 2.2× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$1,952–$2,241 | $1,952–$2,241 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $577 | $577 | 2.3× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 2 matching MRF lines |
$776–$806 | $776–$806 | varies |
| Closed tx talus fracture w/o manipulation (28430) | $955 | $955 | 3.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 2 matching MRF lines |
$510–$530 | $510–$530 | varies |
| Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) | $2,439 | $2,439 | 0.8× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $724 | $724 | 2.9× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $738 | $738 | 0.5× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $447 | $447 | 1.8× |
| Clsd Tx Pelvic Ring Fx (27198) | $1,192 | $1,192 | 4.8× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $467 | $467 | 1.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $929 | $929 | 0.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$336–$677 | $336–$677 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $1,286 | $1,286 | 0.8× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $938 | $938 | 0.6× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $792 | $792 | 3.2× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) | $2,434 | $2,434 | 1.5× |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$336–$1,307 | $336–$1,307 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $678 | $678 | 2.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $641 | $641 | 2.6× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $373 | $373 | 1.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $602 | $602 | 2.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,183–$2,328 | $1,183–$2,328 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $1,073 | $1,073 | 4.4× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $385 | $385 | 1.6× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $275 | $275 | 1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $370 | $370 | 1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $236 | $236 | 1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $1,525 | $1,525 | 1.0× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $785 | $785 | 3.2× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $2,352 | $2,352 | 1.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$353–$1,832 | $353–$1,832 | varies |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) | $1,675 | $1,675 | 1.0× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $354 | $354 | 1.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $240 | $240 | 1.0× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $712 | $712 | 2.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$336–$486 | $336–$486 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) | $1,047 | $1,047 | 0.7× |
| Cltx Medial Ankle Fx (27760) | $691 | $691 | 2.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $670 | $670 | 2.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $578 | $578 | 2.4× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) | $418 | $418 | 0.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $1,252 | $1,252 | 5.1× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $682 | $682 | 2.8× |
| Cltx post hip arthrp dislc req anes (27266) | $1,864 | $1,864 | 1.2× |
| Cltx post hip arthrp dislc w/o anes (27265) | $1,592 | $1,592 | 6.5× |
| Cltx prox fibula/shft fx w/manj (27781) range across 2 matching MRF lines |
$899–$2,328 | $899–$2,328 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) | $613 | $613 | 2.5× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $1,682 | $1,682 | 1.0× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $1,057 | $1,057 | 4.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $254 | $254 | 1.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $1,662 | $1,662 | 1.0× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $1,992 | $1,992 | 1.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $2,309 | $2,309 | 1.4× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $1,195 | $1,195 | 4.9× |
| Cltx tibial fx proximal w/o manipulation (27530) range across 2 matching MRF lines |
$679–$705 | $679–$705 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) | $753 | $753 | 3.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$1,350–$2,241 | $1,350–$2,241 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $778 | $778 | 3.2× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) | $3,416 | $3,416 | 1.0× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) | $3,160 | $3,160 | 0.6× |
| Collect Blood From Catheter Venous Nos (36592) | $89 | $89 | 0.7× |
| Collection of venous blood by venipuncture (36415) range across 4 matching MRF lines |
$18–$53 | $18–$53 | varies |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) | $942 | $942 | 0.8× |
| Colonoscopy thru stoma (44388) | $917 | $917 | 1.0× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) | $1,352 | $1,352 | 1.1× |
| Colonoscopy w/ablation (45388) range across 2 matching MRF lines |
$718–$1,651 | $718–$1,651 | varies |
| Colonoscopy W/Band Ligation (45398) | $1,862 | $1,862 | 1.6× |
| Colonoscopy w/fb removal (45379) | $1,507 | $1,507 | 1.3× |
| Colonoscopy w/submucosal inj (45381) | $605 | $605 | 0.5× |
| Colpocentesis (57020) | $339 | $339 | 0.1× |
| Colpocleisis (le fort type) (57120) | $2,689 | $2,689 | 0.5× |
| Colporrhaphy (57200) | $1,788 | $1,788 | 0.6× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $389 | $389 | 1.3× |
| Colposcopy Cervix Endocervical Curettage (57456) | $453 | $453 | 1.5× |
| Colposcopy cervix upper/adjacent vagina (57452) | $316 | $316 | 1.6× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $459 | $459 | 1.5× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | $1,828 | $1,828 | 0.6× |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $1,473 | $1,473 | 1.2× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $1,540 | $1,540 | 1.3× |
| Combined anteroposterior colporrhaphy; (57260) range across 2 matching MRF lines |
$1,788–$2,253 | $1,788–$2,253 | varies |
| Complex drainage wound (10180) range across 3 matching MRF lines |
$544–$3,938 | $544–$3,938 | varies |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $582 | $582 | 0.2× |
| Conization of cervix (57520) | $1,423 | $1,423 | 0.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $371 | $371 | 2.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $268 | $268 | 2.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) range across 2 matching MRF lines |
$755–$1,864 | $755–$1,864 | varies |
| Correction hammertoe (28285) | $4,486 | $4,486 | 1.4× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) | $4,680 | $4,680 | 1.4× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) | $2,199 | $2,199 | 0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $498 | $498 | 3.8× |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) | $886 | $886 | 0.3× |
| Curette/treat cornea (65435) | $1,409 | $1,409 | 1.4× |
| Cysto calibration dilat urtl strix/stenosis (52281) range across 3 matching MRF lines |
$734–$2,936 | $734–$2,936 | varies |
| Cysto w/removal of lesions small (52224) range across 2 matching MRF lines |
$1,675–$4,829 | $1,675–$4,829 | varies |
| Cysto W/Simple Removal Stone & Stent (52310) range across 3 matching MRF lines |
$391–$1,170 | $391–$1,170 | varies |
| Cystorrhaphy suture of bladder wound injury or rupture simple (51860) unusually low: confirm this is the full procedure |
$2,863 | $2,863 | 0.3× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) | $2,662 | $2,662 | 1.3× |
| Cystourethroscopy (52000) range across 4 matching MRF lines |
$525–$860 | $525–$860 | varies |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 2 matching MRF lines |
$139–$172 | $139–$172 | varies |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 5 matching MRF lines |
$328–$547 | $328–$547 | varies |
| Debride nail 1-5 (11720) range across 3 matching MRF lines |
$37–$90 | $37–$90 | varies |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$62–$88 | $62–$88 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 4 matching MRF lines |
$936–$1,561 | $936–$1,561 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 6 matching MRF lines |
$214–$581 | $214–$581 | varies |
| Declot vascular device (36593) | $148 | $148 | 0.4× |
| Deep Muscle Biopsy (20205) | $936 | $936 | 0.3× |
| Destroy cerv/thor facet jnt (64633) range across 3 matching MRF lines |
$473–$2,467 | $473–$2,467 | varies |
| Destroy lumb/sac facet jnt (64635) range across 3 matching MRF lines |
$473–$2,467 | $473–$2,467 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 5 matching MRF lines |
$174–$235 | $174–$235 | varies |
| Destruction Lesions Vulva Simple (56501) | $272 | $272 | 0.1× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) range across 2 matching MRF lines |
$357–$564 | $357–$564 | varies |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) range across 3 matching MRF lines |
$343–$381 | $343–$381 | varies |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 4 matching MRF lines |
$362–$2,720 | $362–$2,720 | varies |
| Destruction of rectal tumor transanal approach (45190) | $1,752 | $1,752 | 0.6× |
| Destruction premalignant lesion 1st (17000) | $191 | $191 | 1.0× |
| Destruction Vaginal Lesions Simple (57061) | $401 | $401 | 0.1× |
| Diagnostic sigmoidoscopy (45330) range across 3 matching MRF lines |
$371–$1,257 | $371–$1,257 | varies |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) | $401 | $401 | 0.3× |
| Dilat rct strix spx under anes oth/thn local (45910) range across 2 matching MRF lines |
$494–$1,712 | $494–$1,712 | varies |
| Dilate Esophagus 1/Mult Pass (43450) | $328 | $328 | 0.4× |
| Dilation & curettage dx&/ther nonobstetric (58120) range across 2 matching MRF lines |
$929–$981 | $929–$981 | varies |
| Disarticulation At Knee (27598) | $2,741 | $2,741 | 0.8× |
| Drain ant chmbr,remv vitreous (65810) | $1,770 | $1,770 | 0.8× |
| Drain Cerebro Spinal Fluid (62272) range across 2 matching MRF lines |
$244–$664 | $244–$664 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $452 | $452 | 0.6× |
| Drainage Finger Abscess Complicated (26011) | $614 | $614 | 0.4× |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$287–$459 | $287–$459 | varies |
| Drainage of gum lesion (41800) range across 4 matching MRF lines |
$379–$598 | $379–$598 | varies |
| Drainage of hematoma/fluid (10140) range across 6 matching MRF lines |
$174–$2,362 | $174–$2,362 | varies |
| Drainage of scrotal wall abscess (55100) range across 2 matching MRF lines |
$509–$755 | $509–$755 | varies |
| Drainage of scrotum (54700) range across 2 matching MRF lines |
$443–$763 | $443–$763 | varies |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) | $2,393 | $2,393 | 0.7× |
| Draw Blood Off Venous Device (36591) | $79 | $79 | 0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 5 matching MRF lines |
$214–$441 | $214–$441 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 6 matching MRF lines |
$126–$278 | $126–$278 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 5 matching MRF lines |
$119–$289 | $119–$289 | varies |
| Dstrj Lesion Penis Simple Chemical (54050) | $225 | $225 | 0.6× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 4 matching MRF lines |
$288–$1,295 | $288–$1,295 | varies |
| Dx Laryngoscopy Excl Nb (31525) | $787 | $787 | 0.4× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $918 | $918 | 0.5× |
| Egd cautery tumor polyp (43250) | $1,203 | $1,203 | 0.6× |
| Egd control bleeding any (43255) | $1,137 | $1,137 | 0.6× |
| Egd dilation gastric/duodenal stricture (43245) | $1,039 | $1,039 | 0.5× |
| Egd Flexible Foreign Body Removal (43247) | $1,056 | $1,056 | 1.2× |
| Egd guide wire insertion (43248) range across 2 matching MRF lines |
$1,003–$1,576 | $1,003–$1,576 | varies |
| Egd lesion ablation (43270) range across 2 matching MRF lines |
$1,868–$4,680 | $1,868–$4,680 | varies |
| Egd place gastrostomy tube (43246) range across 2 matching MRF lines |
$1,058–$1,528 | $1,058–$1,528 | varies |
| Egd remove lesion snare (43251) | $1,127 | $1,127 | 0.6× |
| Endocervical curettage (57505) | $300 | $300 | 0.3× |
| Endometrial Biopsy (58100) | $258 | $258 | 1.3× |
| Enterorrhaphy single perforation (44602) | $2,524 | $2,524 | 0.7× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) range across 2 matching MRF lines |
$1,773–$2,528 | $1,773–$2,528 | varies |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) range across 2 matching MRF lines |
$1,824–$2,528 | $1,824–$2,528 | varies |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) range across 2 matching MRF lines |
$273–$1,756 | $273–$1,756 | varies |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $1,023 | $1,023 | 0.5× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$116–$161 | $116–$161 | varies |
| Exc arm/elbow les sc < 3 cm (24075) | $1,346 | $1,346 | 0.8× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$219–$275 | $219–$275 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$485–$524 | $485–$524 | varies |
| Exc Back Tum Deep 5 Cm/> (21933) range across 2 matching MRF lines |
$4,163–$7,434 | $4,163–$7,434 | varies |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $1,268 | $1,268 | 0.3× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 2 matching MRF lines |
$585–$606 | $585–$606 | varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 2 matching MRF lines |
$683–$740 | $683–$740 | varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $1,297 | $1,297 | 0.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $298 | $298 | 0.4× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$331–$440 | $331–$440 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 2 matching MRF lines |
$407–$531 | $407–$531 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 2 matching MRF lines |
$513–$612 | $513–$612 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $817 | $817 | 0.5× |
| Exc Frenum Labial/Buccal (40819) | $410 | $410 | 0.3× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $299 | $299 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 3 matching MRF lines |
$330–$985 | $330–$985 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$330–$450 | $330–$450 | varies |
| Exc Hand Les Sc < 1.5 Cm (26115) | $1,118 | $1,118 | 0.7× |
| Exc hydrocele sprmatic cord uni spx (55500) | $1,460 | $1,460 | 0.4× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) range across 2 matching MRF lines |
$422–$1,135 | $422–$1,135 | varies |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) | $684 | $684 | 0.2× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) range across 2 matching MRF lines |
$1,674–$3,839 | $1,674–$3,839 | varies |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$373–$515 | $373–$515 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 2 matching MRF lines |
$558–$2,356 | $558–$2,356 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $755 | $755 | 0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 4 matching MRF lines |
$637–$1,429 | $637–$1,429 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) | $1,042 | $1,042 | 0.4× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $875 | $875 | 0.5× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $1,118 | $1,118 | 0.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$1,049–$1,180 | $1,049–$1,180 | varies |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 3 matching MRF lines |
$342–$496 | $342–$496 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$279–$342 | $279–$342 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 3 matching MRF lines |
$335–$1,181 | $335–$1,181 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 3 matching MRF lines |
$646–$2,356 | $646–$2,356 | varies |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) | $1,549 | $1,549 | 0.5× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $2,356 | $2,356 | 1.4× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $1,083 | $1,083 | 0.4× |
| Exchange Intraocular Lens (66986) | $3,059 | $3,059 | 1.3× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $410 | $410 | 0.3× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) | $1,814 | $1,814 | 0.6× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) | $1,349 | $1,349 | 0.5× |
| Excision Lesion Cornea Xcp Pterygium (65400) | $1,409 | $1,409 | 1.4× |
| Excision lesion mouth roof (42104) | $532 | $532 | 0.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$501–$530 | $501–$530 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $907 | $907 | 1.3× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $463 | $463 | 0.7× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $1,150 | $1,150 | 0.7× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $1,338 | $1,338 | 0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $542 | $542 | 0.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $617 | $617 | 0.9× |
| Excision Multiple External Papillae/Tags Anus (46230) range across 2 matching MRF lines |
$454–$501 | $454–$501 | varies |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065) likely a partial charge, not the full procedure |
$1,685 | $1,685 | 0.2× |
| Excision of extraparenchymal lesion of testis (54512) | $1,237 | $1,237 | 0.4× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $1,247 | $1,247 | 0.8× |
| Excision of hydrocele; bilateral (55041) | $4,941 | $4,941 | 1.4× |
| Excision of hydrocele; unilateral (55040) range across 2 matching MRF lines |
$1,762–$4,941 | $1,762–$4,941 | varies |
| Excision of local lesion of epididymis (54830) | $1,194 | $1,194 | 0.3× |
| Excision of pilonidal cyst or sinus; simple (11770) range across 2 matching MRF lines |
$1,158–$1,263 | $1,158–$1,263 | varies |
| Excision of single external papilla or tag, anus (46220) | $610 | $610 | 0.5× |
| Excision of tonsil tags (42860) | $1,211 | $1,211 | 0.4× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $1,465 | $1,465 | 0.5× |
| Excision spermatocele w/wo epididymectomy (54840) | $1,696 | $1,696 | 0.8× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) | $2,356 | $2,356 | 1.4× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) range across 2 matching MRF lines |
$1,052–$4,155 | $1,052–$4,155 | varies |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $1,129 | $1,129 | 0.7× |
| Excision/destruction lesion pharynx any method (42808) | $676 | $676 | 0.2× |
| Excision/Transposition Pterygium W/O Graft (65420) | $1,180 | $1,180 | 0.5× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $867 | $867 | 0.4× |
| Explo/Drain Breast Abscess (19020) | $856 | $856 | 0.5× |
| Exploration penetrating wound spx extremity (20103) range across 3 matching MRF lines |
$1,357–$2,101 | $1,357–$2,101 | varies |
| Fasciectomy Plantar Fascia Partial Spx (28060) | $1,381 | $1,381 | 0.4× |
| Fasciotomy palmar open partial (26045) range across 2 matching MRF lines |
$1,170–$3,885 | $1,170–$3,885 | varies |
| Fasciotomy palmar percutaneous (26040) | $1,844 | $1,844 | 1.2× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) range across 2 matching MRF lines |
$2,552–$4,593 | $2,552–$4,593 | varies |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) range across 4 matching MRF lines |
$289–$962 | $289–$962 | varies |
| Fine needle aspiration without imaging guidance (10021) range across 3 matching MRF lines |
$282–$408 | $282–$408 | varies |
| Fna bx w/us gdn 1st les (10005) range across 8 matching MRF lines |
$231–$1,147 | $231–$1,147 | varies |
| Fusion Finger Joint (26860) | $3,885 | $3,885 | 1.2× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) | $2,909 | $2,909 | 0.8× |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) | $1,941 | $1,941 | 1.0× |
| Goniotomy (65820) | $2,018 | $2,018 | 0.5× |
| Guide Cathet Fluid Drainage (10030) range across 2 matching MRF lines |
$358–$981 | $358–$981 | varies |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) range across 2 matching MRF lines |
$1,540–$3,891 | $1,540–$3,891 | varies |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $1,179 | $1,179 | 0.4× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $1,489 | $1,489 | 0.5× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) | $1,874 | $1,874 | 0.7× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 2 matching MRF lines |
$423–$1,402 | $423–$1,402 | varies |
| Hysteroscopy Biopsy (58558) range across 2 matching MRF lines |
$2,941–$4,630 | $2,941–$4,630 | varies |
| Hysteroscopy Removal Impacted Foreign Body (58562) range across 2 matching MRF lines |
$950–$4,630 | $950–$4,630 | varies |
| I&d abscess peritonsillar (42700) range across 3 matching MRF lines |
$325–$587 | $325–$587 | varies |
| I&d abscess simple (10060) range across 8 matching MRF lines |
$169–$1,295 | $169–$1,295 | varies |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) | $1,815 | $1,815 | 0.6× |
| I&D Intramural Im/Absc Transanal Anes (46045) | $875 | $875 | 0.3× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) | $1,824 | $1,824 | 0.7× |
| I&d perianal abscess superficial (46050) | $422 | $422 | 0.5× |
| I&d pilonidal cyst complicated (10081) range across 3 matching MRF lines |
$435–$975 | $435–$975 | varies |
| I&d pilonidal cyst simple (10080) range across 5 matching MRF lines |
$172–$422 | $172–$422 | varies |
| Incise external hemorrhoid (46083) | $355 | $355 | 1.4× |
| Incise finger tendon sheath (26055) | $1,198 | $1,198 | 0.7× |
| Incision & drainage abscess complicated/multiple (10061) range across 5 matching MRF lines |
$356–$581 | $356–$581 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 3 matching MRF lines |
$504–$2,356 | $504–$2,356 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 5 matching MRF lines |
$267–$581 | $267–$581 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$285–$346 | $285–$346 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$327–$435 | $327–$435 | varies |
| Incision extensor tendon sheath wrist (25000) | $2,317 | $2,317 | 1.4× |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$887–$1,460 | $887–$1,460 | varies |
| Incision of urethra (53020) | $393 | $393 | 0.2× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 2 matching MRF lines |
$1,053–$2,268 | $1,053–$2,268 | varies |
| Incisional biopsy skin single lesion (11106) range across 4 matching MRF lines |
$167–$1,155 | $167–$1,155 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $192 | $192 | 1.0× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 3 matching MRF lines |
$484–$2,226 | $484–$2,226 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 4 matching MRF lines |
$370–$1,335 | $370–$1,335 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $410 | $410 | 1.3× |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 2 matching MRF lines |
$684–$1,246 | $684–$1,246 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 3 matching MRF lines |
$200–$1,010 | $200–$1,010 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $64 | $64 | 0.1× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) range across 2 matching MRF lines |
$1,008–$1,731 | $1,008–$1,731 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 2 matching MRF lines |
$416–$472 | $416–$472 | varies |
| Injection anesthetic agent suprascapular nerve (64418) range across 2 matching MRF lines |
$201–$970 | $201–$970 | varies |
| Injection for identification of sentinel node (38792) | $489 | $489 | 1.2× |
| Injection of sclerosing solution, hemorrhoids (46500) | $254 | $254 | 0.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 4 matching MRF lines |
$105–$413 | $105–$413 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$110–$241 | $110–$241 | varies |
| Injection therapeutic carpal tunnel (20526) | $429 | $429 | 1.4× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $513 | $513 | 0.6× |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 4 matching MRF lines |
$856–$1,008 | $856–$1,008 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 9 matching MRF lines |
$123–$1,008 | $123–$1,008 | varies |
| Insert Bladder Cath Complex (51703) range across 5 matching MRF lines |
$263–$452 | $263–$452 | varies |
| Insert cath pleura w/ image (32557) range across 2 matching MRF lines |
$868–$870 | $868–$870 | varies |
| Insert cath pleura w/o image (32556) range across 2 matching MRF lines |
$331–$868 | $331–$868 | varies |
| Insert Gastrostomy Tube Percutaneous (49440) | $1,485 | $1,485 | 0.8× |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$414–$826 | $414–$826 | varies |
| Insert pessary/other device (57160) | $155 | $155 | 0.8× |
| Insert Temp Bladder Cath (51702) range across 4 matching MRF lines |
$282–$314 | $282–$314 | varies |
| Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$1,521–$2,429 | $1,521–$2,429 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$171–$220 | $171–$220 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 4 matching MRF lines |
$209–$2,219 | $209–$2,219 | varies |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) range across 2 matching MRF lines |
$1,327–$12,246 | $1,327–$12,246 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $605 | $605 | 0.4× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 3 matching MRF lines |
$1,647–$1,913 | $1,647–$1,913 | varies |
| Int hrhc by ligation single hroid w/o img gdn (46945) | $490 | $490 | 0.2× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 2 matching MRF lines |
$581–$1,070 | $581–$1,070 | varies |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) range across 2 matching MRF lines |
$581–$1,467 | $581–$1,467 | varies |
| Intraoral i&d tongue/floor submndblr space (41008) | $688 | $688 | 0.2× |
| Intro Gastrointestinal Tube (44500) | $160 | $160 | 0.2× |
| Intubation endotracheal emergency procedure (31500) range across 6 matching MRF lines |
$193–$729 | $193–$729 | varies |
| Laparoscopy aspiration (49322) unusually low: confirm this is the full procedure |
$2,253 | $2,253 | 0.4× |
| Laparoscopy Enterolysis Separate Procedure (44180) unusually low: confirm this is the full procedure |
$2,992 | $2,992 | 0.5× |
| Laparoscopy fulguration oviducts (58670) unusually low: confirm this is the full procedure |
$1,867 | $1,867 | 0.3× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 4 matching MRF lines |
$1,053–$11,027 | $1,053–$11,027 | varies |
| Laparoscopy W/Lysis Of Adhesions (58660) unusually low: confirm this is the full procedure |
$2,819 | $2,819 | 0.5× |
| Laparoscopy w/rmvl adnexal structures (58661) range across 3 matching MRF lines |
$1,967–$11,674 | $1,967–$11,674 | varies |
| Laparoscopy, surgical, appendectomy (44970) range across 4 matching MRF lines |
$1,464–$11,027 | $1,464–$11,027 | varies |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) range across 2 matching MRF lines |
$2,429–$20,526 | $2,429–$20,526 | varies |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) | $4,522 | $4,522 | 0.8× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $3,713 | $3,713 | 0.6× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) unusually low: confirm this is the full procedure |
$4,154 | $4,154 | 0.4× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) range across 4 matching MRF lines |
$1,375–$11,675 | $1,375–$11,675 | varies |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) unusually low: confirm this is the full procedure |
$2,330 | $2,330 | 0.4× |
| Laparoscopy, Tubal Block (58671) unusually low: confirm this is the full procedure |
$1,964 | $1,964 | 0.3× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) range across 2 matching MRF lines |
$1,760–$2,009 | $1,760–$2,009 | varies |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) range across 4 matching MRF lines |
$1,604–$11,674 | $1,604–$11,674 | varies |
| Laryngoscopy diagnostic (31505) | $213 | $213 | 1.1× |
| Laryngoscopy flexible diagnostic (31575) range across 2 matching MRF lines |
$525–$533 | $525–$533 | varies |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) range across 2 matching MRF lines |
$355–$570 | $355–$570 | varies |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) range across 2 matching MRF lines |
$697–$724 | $697–$724 | varies |
| Laryngoscopy W/Foreign Body Removal (31530) | $529 | $529 | 0.3× |
| Late closure of wound (13160) | $1,489 | $1,489 | 0.4× |
| Ligation of hemorrhoids (46946) range across 4 matching MRF lines |
$670–$3,839 | $670–$3,839 | varies |
| Ligation or biopsy temporal artery (37609) | $875 | $875 | 0.5× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) | $893 | $893 | 0.3× |
| Lysis/excision penile postcircumcision adhesions (54162) | $798 | $798 | 0.4× |
| Marsupialization of bartholin's gland cyst (56440) range across 2 matching MRF lines |
$1,111–$1,143 | $1,111–$1,143 | varies |
| Mast mod rad (19307) range across 2 matching MRF lines |
$4,699–$9,498 | $4,699–$9,498 | varies |
| Mastectomy for gynecomastia (19300) | $1,626 | $1,626 | 0.4× |
| Mastectomy partial (19301) range across 2 matching MRF lines |
$1,562–$5,361 | $1,562–$5,361 | varies |
| Mastectomy partial w/axillary lymphadenectomy (19302) range across 2 matching MRF lines |
$3,224–$9,130 | $3,224–$9,130 | varies |
| Mastectomy simple complete (19303) range across 2 matching MRF lines |
$3,033–$9,130 | $3,033–$9,130 | varies |
| Muscle-skin graft trunk (15734) | $3,418 | $3,418 | 1.0× |
| Myelography Lumbar Injection (62304) range across 2 matching MRF lines |
$573–$996 | $573–$996 | varies |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) range across 2 matching MRF lines |
$588–$1,049 | $588–$1,049 | varies |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines |
$515–$522 | $515–$522 | varies |
| N block inj intercost sng (64420) | $151 | $151 | 0.2× |
| Nasal/Orogastric W/Tube Plmt (43752) | $251 | $251 | 0.6× |
| Needle Biopsy Lymph Nodes (38505) range across 3 matching MRF lines |
$646–$2,362 | $646–$2,362 | varies |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $40 | $40 | 1.4× |
| Needle insertion w/o injection 3 or more muscles (20561) | $40 | $40 | 1.4× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) | $2,696 | $2,696 | 1.4× |
| Nipple Exploration (19110) | $1,398 | $1,398 | 0.4× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$113–$413 | $113–$413 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) range across 2 matching MRF lines |
$677–$921 | $677–$921 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 5 matching MRF lines |
$448–$2,226 | $448–$2,226 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 4 matching MRF lines |
$304–$1,030 | $304–$1,030 | varies |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 3 matching MRF lines |
$639–$1,030 | $639–$1,030 | varies |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$190–$439 | $190–$439 | varies |
| Omntc Epiploectomy Rescj Omentum Spx (49255) unusually low: confirm this is the full procedure |
$2,203 | $2,203 | 0.3× |
| Open biopsy/excision inguinofemoral nodes (38531) range across 2 matching MRF lines |
$1,196–$5,199 | $1,196–$5,199 | varies |
| Open treatment of coccygeal fracture Facility (27202) range across 2 matching MRF lines |
$1,451–$1,454 | $1,451–$1,454 | varies |
| Open Treatment of Ulnar Shaft Fracture (25545) range across 2 matching MRF lines |
$1,667–$10,006 | $1,667–$10,006 | varies |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) | $10,001 | $10,001 | 1.4× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $1,068 | $1,068 | 0.3× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) | $10,379 | $10,379 | 1.4× |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) unusually low: confirm this is the full procedure |
$4,034 | $4,034 | 0.3× |
| Orchiectomy radical tumor inguinal approach (54530) | $2,361 | $2,361 | 0.7× |
| Ostectomy calcaneus (28118) | $4,542 | $4,542 | 1.4× |
| Ostectomy, complete excision; fifth metatarsal head (28113) | $4,680 | $4,680 | 1.4× |
| Osteotomy calcaneus w/wo internal fixation (28300) likely a partial charge, not the full procedure |
$2,115 | $2,115 | 0.3× |
| Ovarian cystectomy, unilateral or bilateral (58925) | $2,219 | $2,219 | 0.4× |
| Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) | $3,188 | $3,188 | 0.6× |
| Partial Excision Distal Phalanx Finger (26236) range across 2 matching MRF lines |
$1,021–$2,300 | $1,021–$2,300 | varies |
| Pelvic examination under anesthesia (other than local) (57410) | $363 | $363 | 0.1× |
| Peritoneal Lavage (49084) | $533 | $533 | 0.6× |
| Perq dev breast 1st us imag (19285) range across 3 matching MRF lines |
$815–$1,013 | $815–$1,013 | varies |
| Placement of needle for intraosseous infusion (36680) range across 3 matching MRF lines |
$364–$405 | $364–$405 | varies |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) | $1,691 | $1,691 | 0.3× |
| Proctopexy Perineal Approach (45541) | $3,553 | $3,553 | 1.3× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $222 | $222 | 0.2× |
| Proctosgmdsc rigid w/dilation (45303) | $244 | $244 | 0.2× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) | $319 | $319 | 0.3× |
| Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) | $566 | $566 | 0.2× |
| Punch biopsy skin single lesion (11104) range across 4 matching MRF lines |
$129–$564 | $129–$564 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 5 matching MRF lines |
$237–$581 | $237–$581 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 5 matching MRF lines |
$228–$367 | $228–$367 | varies |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) range across 2 matching MRF lines |
$484–$2,467 | $484–$2,467 | varies |
| Reduction of rectal prolapse (45900) | $539 | $539 | 0.6× |
| Removal Embedded Foreign Body Eyelid (67938) | $555 | $555 | 1.8× |
| Removal Foreign Body Foot Subcutaneous (28190) | $753 | $753 | 1.1× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 3 matching MRF lines |
$387–$2,268 | $387–$2,268 | varies |
| Removal Foreign Body Scrotum (55120) | $916 | $916 | 0.4× |
| Removal foreign body upper arm/elbow deep (24201) | $1,048 | $1,048 | 0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $43 | $43 | 0.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$104–$139 | $104–$139 | varies |
| Removal Implant Deep (20680) range across 2 matching MRF lines |
$1,446–$4,163 | $1,446–$4,163 | varies |
| Removal of heel spur (28119) | $4,542 | $4,542 | 1.4× |
| Removal of nail bed (11750) range across 7 matching MRF lines |
$249–$844 | $249–$844 | varies |
| Removal of sperm cord lesion (55520) | $1,160 | $1,160 | 0.3× |
| Removal of testis (54520) range across 2 matching MRF lines |
$1,488–$5,017 | $1,488–$5,017 | varies |
| Removal of tonsils (42826) | $1,211 | $1,211 | 0.4× |
| Removal of wrist bone (25210) | $4,375 | $4,375 | 1.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $196 | $196 | 1.0× |
| Removal subcutaneous cardiac rhythm monitor (33286) range across 2 matching MRF lines |
$311–$985 | $311–$985 | varies |
| Removal sweat gland lesion (11450) | $1,236 | $1,236 | 0.4× |
| Removal, under anesthesia, of external fixation system (20694) | $2,241 | $2,241 | 1.4× |
| Removal/bivalving gauntlet boot/body cast (29700) | $129 | $129 | 0.5× |
| Remove armpit lymph nodes (38740) unusually low: confirm this is the full procedure |
$2,184 | $2,184 | 0.4× |
| Remove foreign body from eye (65205) | $168 | $168 | 1.3× |
| Remove groin lymph nodes (38760) unusually low: confirm this is the full procedure |
$2,328 | $2,328 | 0.4× |
| Remove Intrauterine Device (58301) | $198 | $198 | 0.7× |
| Remove Lower Leg Bone Lesion (27635) | $4,719 | $4,719 | 1.4× |
| Remove Nasal Foreign Body (30300) | $572 | $572 | 4.3× |
| Remove Tendon Sheath Lesion (26160) | $1,808 | $1,808 | 1.1× |
| Renal Biopsy Perq (50200) range across 4 matching MRF lines |
$910–$1,144 | $910–$1,144 | varies |
| Reopen fallopian tube (58350) range across 2 matching MRF lines |
$338–$7,155 | $338–$7,155 | varies |
| Repair Blood Vessel Direct Hand Finger (35207) | $3,747 | $3,747 | 1.2× |
| Repair blood vessel direct neck (35201) | $4,629 | $4,629 | 0.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$1,023–$1,057 | $1,023–$1,057 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 3 matching MRF lines |
$1,057–$1,660 | $1,057–$1,660 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$581–$723 | $581–$723 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 3 matching MRF lines |
$581–$1,275 | $581–$1,275 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
$581–$852 | $581–$852 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$581–$861 | $581–$861 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) range across 3 matching MRF lines |
$498–$1,057 | $498–$1,057 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$747–$1,057 | $747–$1,057 | varies |
| Repair extensor tendon finger w/o graft each (26418) range across 2 matching MRF lines |
$1,458–$2,169 | $1,458–$2,169 | varies |
| Repair Extensor Tendon Hand W/Graft Each (26412) | $1,738 | $1,738 | 0.5× |
| Repair Foot Dislocation (28615) | $5,938 | $5,938 | 0.8× |
| Repair Hand Tendon (26410) | $1,463 | $1,463 | 0.9× |
| Repair inguinal hernia, sliding, any age (49525) range across 3 matching MRF lines |
$1,554–$5,134 | $1,554–$5,134 | varies |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) | $2,090 | $2,090 | 0.6× |
| Repair initial femoral hernia, any age; reducible (49550) | $1,776 | $1,776 | 0.5× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) range across 2 matching MRF lines |
$2,049–$5,134 | $2,049–$5,134 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 4 matching MRF lines |
$395–$656 | $395–$656 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 3 matching MRF lines |
$542–$591 | $542–$591 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$563–$581 | $563–$581 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 4 matching MRF lines |
$576–$929 | $576–$929 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) range across 2 matching MRF lines |
$581–$1,543 | $581–$1,543 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$1,023–$1,057 | $1,023–$1,057 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$581–$628 | $581–$628 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$525–$581 | $525–$581 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 3 matching MRF lines |
$549–$1,057 | $549–$1,057 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) range across 2 matching MRF lines |
$1,451–$2,951 | $1,451–$2,951 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 3 matching MRF lines |
$581–$762 | $581–$762 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$296–$581 | $296–$581 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$523–$581 | $523–$581 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$1,057–$1,142 | $1,057–$1,142 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
$532–$592 | $532–$592 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 2 matching MRF lines |
$1,278–$2,951 | $1,278–$2,951 | varies |
| Repair lumbar hernia (49540) unusually low: confirm this is the full procedure |
$2,270 | $2,270 | 0.4× |
| Repair of anal fistula with fibrin glue (46706) | $1,075 | $1,075 | 0.4× |
| Repair of nail bed (11760) | $572 | $572 | 0.8× |
| Repair of rectocele (45560) | $1,549 | $1,549 | 0.6× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) range across 2 matching MRF lines |
$2,291–$5,539 | $2,291–$5,539 | varies |
| Repair tongue laceration (41252) | $1,393 | $1,393 | 5.9× |
| Repair tongue laceration (41250) | $822 | $822 | 1.8× |
| Repair umbilical lesion (49600) | $1,895 | $1,895 | 0.5× |
| Repair/Revise Wrist Joint (25320) | $8,639 | $8,639 | 1.2× |
| Reposition Gastrostomy Tube (43761) | $400 | $400 | 1.6× |
| Rerepair ing hernia reduce (49520) range across 2 matching MRF lines |
$2,184–$5,134 | $2,184–$5,134 | varies |
| Revj Colostomy Smpl Rls Supfc Scar Spx (44340) | $1,323 | $1,323 | 0.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$180–$559 | $180–$559 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $236 | $236 | 1.8× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $369 | $369 | 0.2× |
| Rmvl Lens Material Aspir Tq 1/> Stages (66840) | $3,267 | $3,267 | 1.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 3 matching MRF lines |
$1,187–$1,999 | $1,187–$1,999 | varies |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) range across 2 matching MRF lines |
$2,016–$8,317 | $2,016–$8,317 | varies |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) range across 4 matching MRF lines |
$834–$6,732 | $834–$6,732 | varies |
| Rpr aa hernia recr 3-10 cm reducible (49615) likely a partial charge, not the full procedure |
$966 | $966 | 0.1× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) range across 2 matching MRF lines |
$1,137–$5,358 | $1,137–$5,358 | varies |
| Rpr aa hrn 1st 3-10 rdc (49593) range across 2 matching MRF lines |
$1,546–$5,358 | $1,546–$5,358 | varies |
| Rpr aa hrn 1st < 3 ncr/strn (49592) range across 4 matching MRF lines |
$1,284–$11,457 | $1,284–$11,457 | varies |
| Rpr blood vessel direct lower extremity (35226) range across 2 matching MRF lines |
$985–$3,747 | $985–$3,747 | varies |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$287–$561 | $287–$561 | varies |
| Rpr flexor tendon leg secondary w/o graft each (27659) | $10,391 | $10,391 | 1.4× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) range across 2 matching MRF lines |
$785–$1,057 | $785–$1,057 | varies |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) | $781 | $781 | 0.8× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $315 | $315 | 0.3× |
| Shave skin lesion 0.5 cm/< (11300) | $135 | $135 | 0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $293 | $293 | 0.7× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) | $486 | $486 | 0.1× |
| Sigmoidoscopy & decompress (45337) range across 2 matching MRF lines |
$307–$1,381 | $307–$1,381 | varies |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 2 matching MRF lines |
$411–$638 | $411–$638 | varies |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$287–$638 | $287–$638 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$223–$345 | $223–$345 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$287–$378 | $287–$378 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 2 matching MRF lines |
$287–$1,160 | $287–$1,160 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 3 matching MRF lines |
$287–$449 | $287–$449 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) range across 2 matching MRF lines |
$287–$1,160 | $287–$1,160 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$285–$309 | $285–$309 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$287–$345 | $287–$345 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$287–$404 | $287–$404 | varies |
| Skin sub graft face/nk/hf/g (15275) range across 3 matching MRF lines |
$247–$2,611 | $247–$2,611 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 3 matching MRF lines |
$221–$2,611 | $221–$2,611 | varies |
| Skin sub grft t/arm/lg child (15273) range across 3 matching MRF lines |
$522–$4,921 | $522–$4,921 | varies |
| Skin Tissue Procedure (17999) | $5,600 | $5,600 | 28.0× |
| Skn sub grft f/n/hf/g child (15277) range across 3 matching MRF lines |
$597–$2,611 | $597–$2,611 | varies |
| Slitting of prepuce (54001) | $369 | $369 | 0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$287–$346 | $287–$346 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$505–$581 | $505–$581 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$581–$788 | $581–$788 | varies |
| Sphincterotomy anal division sphincter spx (46080) range across 2 matching MRF lines |
$355–$564 | $355–$564 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 3 matching MRF lines |
$391–$1,010 | $391–$1,010 | varies |
| Strapping ankle (29540) | $110 | $110 | 0.7× |
| Strapping elbow or wrist (29260) | $133 | $133 | 2.3× |
| Strapping Hip (29520) | $155 | $155 | 1.2× |
| Strapping shoulder (29240) | $138 | $138 | 1.0× |
| Strapping toes (29550) | $89 | $89 | 1.5× |
| Strapping Unna Boot (29580) range across 3 matching MRF lines |
$91–$154 | $91–$154 | varies |
| Surg tx anal fistula subq (46270) range across 3 matching MRF lines |
$1,114–$2,966 | $1,114–$2,966 | varies |
| Tangential biopsy skin single lesion (11102) range across 3 matching MRF lines |
$107–$273 | $107–$273 | varies |
| Temporary Closure Eyelids Suture (67875) | $249 | $249 | 0.3× |
| Thrombolytic Therapy Stroke (37195) | $1,435 | $1,435 | 4.4× |
| Thyroid biopsy (60100) range across 3 matching MRF lines |
$262–$367 | $262–$367 | varies |
| Total Knee Arthroplasty (27447) unusually low: confirm this is the full procedure |
$4,232 | $4,232 | 0.3× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) | $851 | $851 | 1.6× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) range across 2 matching MRF lines |
$338–$1,021 | $338–$1,021 | varies |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $1,494 | $1,494 | 1.0× |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) range across 2 matching MRF lines |
$837–$2,712 | $837–$2,712 | varies |
| Treat Fx Rad Extra-Articul (25607) unusually low: confirm this is the full procedure |
$2,430 | $2,430 | 0.3× |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
$420–$1,205 | $420–$1,205 | varies |
| Treat humerus fracture (23600) | $675 | $675 | 2.7× |
| Treat Knuckle Dislocation (26700) | $1,207 | $1,207 | 4.9× |
| Treat Thumb Dislocation (26641) | $752 | $752 | 3.1× |
| Treat toe dislocation (28630) | $300 | $300 | 1.2× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $1,586 | $1,586 | 1.0× |
| Treatment closed elbow dislocation w/o anes (24600) | $808 | $808 | 3.3× |
| Trim skin lesion (11055) range across 3 matching MRF lines |
$119–$199 | $119–$199 | varies |
| Trim skin lesions 2 to 4 (11056) range across 4 matching MRF lines |
$126–$199 | $126–$199 | varies |
| Trim skin lesions over 4 (11057) range across 4 matching MRF lines |
$131–$199 | $131–$199 | varies |
| Trimming Nondystrophic Nails Any Number (11719) range across 3 matching MRF lines |
$19–$88 | $19–$88 | varies |
| Tx Gastro Intub W/Asp (43753) range across 2 matching MRF lines |
$156–$188 | $156–$188 | varies |
| Tx Incomplete Abortion Any Trimester Surgical (59812) range across 2 matching MRF lines |
$1,108–$1,280 | $1,108–$1,280 | varies |
| Tx Missed Abortion Second Trimester Surgical (59821) | $1,308 | $1,308 | 0.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 3 matching MRF lines |
$551–$1,057 | $551–$1,057 | varies |
| Tx superficial wound dehiscence w/packing (12021) range across 2 matching MRF lines |
$581–$1,160 | $581–$1,160 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) range across 2 matching MRF lines |
$860–$894 | $860–$894 | varies |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) unusually low: confirm this is the full procedure |
$2,880 | $2,880 | 0.5× |
| Unlisted procedure anus (46999) | $1,091 | $1,091 | 1.2× |
| Unlisted procedure liver (47399) | $319 | $319 | 0.5× |
| Unlisted Procedure Male Genital System (55899) | $2,213 | $2,213 | 8.9× |
| Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$352–$403 | $352–$403 | varies |
| Unlisted Procedure Trachea Bronchi (31899) | $1,268 | $1,268 | 6.4× |
| Unlisted Procedure Vascular Surgery (37799) | $204 | $204 | 0.3× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $1,014 | $1,014 | 1.1× |
| Vaginal Delivery After Cesarean Delivery (59612) | $3,065 | $3,065 | 1.0× |
| Vaginal delivery only (59409) | $2,860 | $2,860 | 0.9× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) | $3,492 | $3,492 | 0.7× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $1,020 | $1,020 | 0.5× |
| Wedge Rescj/Bisctj Ovary Uni/Bi (58920) likely a partial charge, not the full procedure |
$2,203 | $2,203 | 0.3× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) range across 2 matching MRF lines |
$1,301–$1,684 | $1,301–$1,684 | varies |
| Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+ (66989) range across 2 matching MRF lines |
$2,113–$2,340 | $2,113–$2,340 | 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.