Procedures & surgery prices at Baystate Franklin Medical Center
Greenfield, MA · every code in this section with a posted price and a Medicare benchmark.
538 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 3 matching MRF lines |
$326–$2,188 | $326–$2,188 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$344–$1,124 | $344–$1,124 | varies |
| Acne surgery (10040) | $253.65 | $253.65 | 1.1× |
| Amputation toe interphalangeal joint (28825) | $3,853.17 | $3,853.17 | 1.0× |
| Anoscopy diagnostic (46600) range across 4 matching MRF lines |
$263–$464 | $263–$464 | varies |
| Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
$265–$491.40 | $265–$491.40 | varies |
| Application Finger Splint Dynamic (29131) range across 3 matching MRF lines |
$93–$360 | $93–$360 | varies |
| Application finger splint static (29130) range across 6 matching MRF lines |
$90–$432.16 | $90–$432.16 | varies |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$172–$376.65 | $172–$376.65 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$156–$307 | $156–$307 | varies |
| Application of long leg cast (29345) | $612 | $612 | 1.8× |
| Application of rigid total contact leg cast (29445) | $499 | $499 | 1.5× |
| Application short arm splint forearm-hand static (29125) range across 7 matching MRF lines |
$173–$297 | $173–$297 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$156–$307 | $156–$307 | varies |
| Apply hand/wrist cast (29085) | $446 | $446 | 2.3× |
| Apply long arm cast (29065) | $474.03 | $474.03 | 1.4× |
| Apply Multlay Comprs Lwr Leg (29581) | $251 | $251 | 1.3× |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$388–$497 | $388–$497 | varies |
| Apply short leg cast (29425) | $438.90 | $438.90 | 1.3× |
| Arterial puncture (36600) range across 4 matching MRF lines |
$71–$244 | $71–$244 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 6 matching MRF lines |
$158–$575.68 | $158–$575.68 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $212 | $212 | 0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 6 matching MRF lines |
$274–$888 | $274–$888 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 4 matching MRF lines |
$998–$1,287.90 | $998–$1,287.90 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 6 matching MRF lines |
$144–$685 | $144–$685 | varies |
| Aspirate pleura w/ imaging (32555) | $2,260 | $2,260 | 3.0× |
| Aspirate Pleura W/O Imaging (32554) | $404 | $404 | 0.5× |
| Aspirate/Inj Ganglion Cyst (20612) | $395 | $395 | 1.1× |
| Aspiration bladder insert suprapubic catheter (51102) | $2,411.10 | $2,411.10 | 1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 6 matching MRF lines |
$196–$362 | $196–$362 | varies |
| Biopsy Abdominal Mass (49180) | $2,306 | $2,306 | 1.2× |
| Biopsy bone trocar/needle deep (20225) | $2,218 | $2,218 | 1.1× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $1,924.13 | $1,924.13 | 1.0× |
| Biopsy External Auditory Canal (69105) | $1,759.11 | $1,759.11 | 0.9× |
| Biopsy external ear (69100) | $313.50 | $313.50 | 1.1× |
| Biopsy muscle percutaneous needle (20206) | $1,995.30 | $1,995.30 | 1.0× |
| Biopsy nail unit (11755) | $925.05 | $925.05 | 1.1× |
| Biopsy of liver, needle; percutaneous (47000) | $2,529 | $2,529 | 1.3× |
| Biopsy Pleura Percutaneous Needle (32400) | $1,264.95 | $1,264.95 | 0.6× |
| Biopsy Prostate Any Approach Nonimaging-Guided (55705) | $4,815.55 | $4,815.55 | 1.1× |
| Biopsy Salivary Gland Needle (42400) | $1,107 | $1,107 | 1.3× |
| Biopsy soft tissue neck/thorax (21550) | $2,360 | $2,360 | 1.2× |
| Biopsy Vaginal Mucosa Simple (57100) | $1,437.75 | $1,437.75 | 1.3× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $1,274.40 | $1,274.40 | 1.2× |
| Bladder instillation anticarcinogenic agent (51720) | $792.66 | $792.66 | 0.9× |
| Bladder Irrigation (51700) | $474 | $474 | 1.6× |
| Bladder Scan (51798) | $118 | $118 | 1.7× |
| Blepharotomy drainage abscess eyelid (67700) | $722 | $722 | 1.9× |
| Blood Transfusion Service (36430) | $2,245 | $2,245 | 4.2× |
| Bone Marrow Biopsy (38221) | $1,924.13 | $1,924.13 | 1.0× |
| Bronchoscopy Clear Airways (31645) | $2,047.91 | $2,047.91 | 1.0× |
| Bx breast 1st lesion strtctc (19081) | $5,157 | $5,157 | 2.6× |
| Bx breast 1st lesion us imag (19083) | $4,905.42 | $4,905.42 | 2.5× |
| Bx breast needle core w/o imaging guidance spx (19100) | $2,069.55 | $2,069.55 | 1.0× |
| Bx Cervix (57500) | $936.90 | $936.90 | 0.8× |
| Canthotomy Separate Procedure (67715) range across 2 matching MRF lines |
$425–$1,306.80 | $425–$1,306.80 | varies |
| Catheter aspiration nasotracheal spx (31720) | $388 | $388 | 1.5× |
| Cautery Cervix Electro/Thermal (57510) | $2,111.40 | $2,111.40 | 0.5× |
| Change Cystostomy Tube Complicated (51710) | $1,311 | $1,311 | 1.6× |
| Change Cystostomy Tube Simple (51705) range across 3 matching MRF lines |
$205–$577.26 | $205–$577.26 | varies |
| Chemical Cautery Tissue (17250) range across 8 matching MRF lines |
$297–$505 | $297–$505 | varies |
| Chemodenerv Eccrine Glands (64650) | $544.35 | $544.35 | 1.5× |
| Chemodenerv Musc Migraine (64615) | $724 | $724 | 2.0× |
| Chemodenervation eccrine glands oth area per day (64653) | $544.35 | $544.35 | 1.5× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) range across 2 matching MRF lines |
$740.54–$876 | $740.54–$876 | varies |
| Chest tube placement (32551) range across 3 matching MRF lines |
$632–$1,831.95 | $632–$1,831.95 | varies |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $2,080.35 | $2,080.35 | 0.5× |
| Circumcision w/clamp/oth dev w/block (54150) | $2,530.50 | $2,530.50 | 1.0× |
| Cl Tx Tib Shft Fx W Manip (27752) range across 2 matching MRF lines |
$1,389–$1,900.58 | $1,389–$1,900.58 | varies |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$269–$380.70 | $269–$380.70 | varies |
| Closed Rx Spontaneous Hip Disloc (27256) range across 2 matching MRF lines |
$476–$480 | $476–$480 | varies |
| Closed Treat Vert Body Fract (22310) range across 2 matching MRF lines |
$553–$780 | $553–$780 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) range across 2 matching MRF lines |
$629–$910 | $629–$910 | varies |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $993 | $993 | 3.4× |
| Closed Treatment Sesamoid Fracture (28530) | $621 | $621 | 2.1× |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 2 matching MRF lines |
$414–$854 | $414–$854 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$813–$1,002 | $813–$1,002 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$1,202–$1,744.20 | $1,202–$1,744.20 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 2 matching MRF lines |
$889–$1,036.80 | $889–$1,036.80 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 2 matching MRF lines |
$552–$618 | $552–$618 | varies |
| Closed tx carpal scaphoid fracture w/manj (25624) range across 2 matching MRF lines |
$1,257–$1,845.45 | $1,257–$1,845.45 | varies |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 2 matching MRF lines |
$747–$803 | $747–$803 | varies |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) range across 2 matching MRF lines |
$1,123–$1,286 | $1,123–$1,286 | varies |
| Closed tx knee dislocation w/o anesthesia (27550) range across 2 matching MRF lines |
$585–$1,279 | $585–$1,279 | varies |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $1,289.25 | $1,289.25 | 0.7× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) range across 2 matching MRF lines |
$861–$1,568 | $861–$1,568 | varies |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
$396–$678 | $396–$678 | varies |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) range across 2 matching MRF lines |
$1,494.45–$1,546 | $1,494.45–$1,546 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$729–$936 | $729–$936 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 2 matching MRF lines |
$702–$860 | $702–$860 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) range across 2 matching MRF lines |
$1,090–$1,281.15 | $1,090–$1,281.15 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 2 matching MRF lines |
$628–$680 | $628–$680 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) | $990.90 | $990.90 | 0.5× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$516–$708 | $516–$708 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$1,314–$1,752.30 | $1,314–$1,752.30 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines |
$651–$712 | $651–$712 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 2 matching MRF lines |
$360–$630 | $360–$630 | varies |
| Closed Tx Talus Fracture W/Manipulation (28435) range across 2 matching MRF lines |
$838–$1,900.58 | $838–$1,900.58 | varies |
| Closed tx talus fracture w/o manipulation (28430) range across 2 matching MRF lines |
$552–$628 | $552–$628 | varies |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $648 | $648 | 2.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 2 matching MRF lines |
$98–$559 | $98–$559 | varies |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) range across 2 matching MRF lines |
$1,107–$1,147 | $1,107–$1,147 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 2 matching MRF lines |
$673–$697 | $673–$697 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 2 matching MRF lines |
$517–$686 | $517–$686 | varies |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) range across 2 matching MRF lines |
$511–$548 | $511–$548 | varies |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $926 | $926 | 1.4× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) range across 2 matching MRF lines |
$466–$595 | $466–$595 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$581–$724.95 | $581–$724.95 | varies |
| Clsd tx fx orbit except blowout w/o manipulation (21400) range across 2 matching MRF lines |
$503–$978 | $503–$978 | varies |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) range across 2 matching MRF lines |
$880–$1,315 | $880–$1,315 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$810.86–$849 | $810.86–$849 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 3 matching MRF lines |
$915–$1,084.05 | $915–$1,084.05 | varies |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) range across 2 matching MRF lines |
$428–$567 | $428–$567 | varies |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 2 matching MRF lines |
$411–$819 | $411–$819 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) range across 2 matching MRF lines |
$284.87–$733 | $284.87–$733 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$1,071–$1,292 | $1,071–$1,292 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$582–$971 | $582–$971 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 2 matching MRF lines |
$415–$740 | $415–$740 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$286–$478 | $286–$478 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$898–$1,281.15 | $898–$1,281.15 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,580–$1,962.75 | $1,580–$1,962.75 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) range across 2 matching MRF lines |
$962.55–$1,981 | $962.55–$1,981 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) range across 2 matching MRF lines |
$559–$1,450 | $559–$1,450 | varies |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) | $566 | $566 | 1.9× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $1,606.50 | $1,606.50 | 0.8× |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 2 matching MRF lines |
$413–$453 | $413–$453 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$375–$411 | $375–$411 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$426–$446 | $426–$446 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 2 matching MRF lines |
$320–$576.45 | $320–$576.45 | varies |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 2 matching MRF lines |
$1,405–$1,900.58 | $1,405–$1,900.58 | varies |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 2 matching MRF lines |
$820–$1,519 | $820–$1,519 | varies |
| Cltx greater humeral tuberosity fx w/o manj (23620) range across 2 matching MRF lines |
$537–$715 | $537–$715 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) | $2,164 | $2,164 | 1.1× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$588–$658 | $588–$658 | varies |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) range across 2 matching MRF lines |
$626–$808 | $626–$808 | varies |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $1,242 | $1,242 | 0.6× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) range across 2 matching MRF lines |
$812.70–$854 | $812.70–$854 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) range across 2 matching MRF lines |
$525–$850 | $525–$850 | varies |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) | $1,278.45 | $1,278.45 | 0.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$267–$575 | $267–$575 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$661–$677 | $661–$677 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) range across 2 matching MRF lines |
$1,231–$1,744.20 | $1,231–$1,744.20 | varies |
| Cltx Medial Ankle Fx (27760) range across 2 matching MRF lines |
$819–$993 | $819–$993 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$751–$856 | $751–$856 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$428–$761 | $428–$761 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$686–$829 | $686–$829 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines |
$415–$520 | $415–$520 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$674.70–$1,108 | $674.70–$1,108 | varies |
| Cltx prox fibula/shft fx w/manj (27781) | $735 | $735 | 0.4× |
| Cltx prox fibula/shft fx w/o manj (27780) range across 2 matching MRF lines |
$735–$802 | $735–$802 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $1,175 | $1,175 | 0.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
$280–$668.25 | $280–$668.25 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) range across 2 matching MRF lines |
$1,088–$1,900.58 | $1,088–$1,900.58 | varies |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $1,900.58 | $1,900.58 | 1.0× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 2 matching MRF lines |
$1,009–$1,204 | $1,009–$1,204 | varies |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) | $1,257 | $1,257 | 4.3× |
| Cltx tibial fx proximal w/o manipulation (27530) range across 2 matching MRF lines |
$456.30–$864 | $456.30–$864 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) range across 2 matching MRF lines |
$1,024–$1,062 | $1,024–$1,062 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$1,228–$1,744.20 | $1,228–$1,744.20 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 2 matching MRF lines |
$846–$1,340.55 | $846–$1,340.55 | varies |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) | $7,929 | $7,929 | 1.3× |
| Collect Blood From Catheter Venous Nos (36592) | $257 | $257 | 1.6× |
| Collection of venous blood by venipuncture (36415) range across 6 matching MRF lines |
$18–$31 | $18–$31 | varies |
| Colpopexy extraperitoneal (57282) | $11,735 | $11,735 | 1.3× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $895.20 | $895.20 | 2.5× |
| Colposcopy Cervix Endocervical Curettage (57456) | $869.40 | $869.40 | 2.4× |
| Colposcopy cervix upper/adjacent vagina (57452) | $577.80 | $577.80 | 2.4× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $916.65 | $916.65 | 2.5× |
| Colposcopy cervix vag eltrd conization cervix (57461) | $3,241.35 | $3,241.35 | 0.8× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | $2,230.20 | $2,230.20 | 0.6× |
| Colposcopy entire vagina w/cervix if present (57420) | $804.60 | $804.60 | 2.2× |
| Colposcopy of vulva (56820) | $488.70 | $488.70 | 2.0× |
| Colposcopy Vulva W/Biopsy (56821) | $645.30 | $645.30 | 1.8× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $1,447.20 | $1,447.20 | 1.3× |
| Colpotomy; with drainage of pelvic abscess (57010) | $4,526.75 | $4,526.75 | 1.2× |
| Combined anteroposterior colporrhaphy; (57260) | $7,612 | $7,612 | 1.3× |
| Complex drainage wound (10180) | $2,926.80 | $2,926.80 | 0.8× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $1,726.65 | $1,726.65 | 0.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$281–$764 | $281–$764 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$168–$346.57 | $168–$346.57 | varies |
| Control oropharyngeal hemorrhage simple (42960) | $1,262 | $1,262 | 2.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $1,924.13 | $1,924.13 | 1.0× |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) | $120 | $120 | 1.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$543–$596 | $543–$596 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) range across 2 matching MRF lines |
$253–$460 | $253–$460 | varies |
| Curettage postpartum (59160) | $6,412.50 | $6,412.50 | 1.7× |
| Cysto Bladder W/Ureteral Catheterization (52005) | $1,221 | $1,221 | 0.5× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $3,539.43 | $3,539.43 | 1.4× |
| Cysto w/removal of lesions small (52224) | $4,119.32 | $4,119.32 | 1.0× |
| Cysto w/removal of tumors small (52234) | $5,111 | $5,111 | 1.2× |
| Cysto W/Simple Removal Stone & Stent (52310) | $1,255.20 | $1,255.20 | 0.5× |
| Cystometrogram W/Up (51727) | $983 | $983 | 1.2× |
| Cystourethroscopy (52000) | $1,221 | $1,221 | 1.5× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $949 | $949 | 1.9× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $873 | $873 | 1.0× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 3 matching MRF lines |
$602–$1,894 | $602–$1,894 | varies |
| Debride nail 1-5 (11720) range across 3 matching MRF lines |
$86–$126 | $86–$126 | varies |
| Debride nail 6 or more (11721) | $158 | $158 | 2.2× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $2,245 | $2,245 | 1.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $1,644 | $1,644 | 3.4× |
| Declot vascular device (36593) | $487.35 | $487.35 | 1.2× |
| Delivery of placenta (59414) | $2,974.80 | $2,974.80 | 0.8× |
| Destruct B9 Lesion 1-14 (17110) | $291.60 | $291.60 | 1.2× |
| Destruction Benign Lesions 15/> (17111) | $306 | $306 | 1.3× |
| Destruction Lesions Vulva Extensive (56515) | $2,172.32 | $2,172.32 | 0.9× |
| Destruction Lesions Vulva Simple (56501) | $1,935.90 | $1,935.90 | 0.8× |
| Destruction Premalignant Lesion 15/> (17004) | $534 | $534 | 1.1× |
| Destruction premalignant lesion 1st (17000) | $272 | $272 | 1.1× |
| Destruction Vaginal Lesions Simple (57061) | $773.55 | $773.55 | 0.2× |
| Diaphragm or cervical cap fitting with instructions (57170) | $300.20 | $300.20 | 1.2× |
| Dilat Urethral Strix Dilator Male Sbsq (53601) | $169 | $169 | 1.1× |
| Dilate Urethra Stricture (53600) | $288.83 | $288.83 | 1.0× |
| Dilation & curettage dx&/ther nonobstetric (58120) | $2,103.30 | $2,103.30 | 0.5× |
| Dilation Cervical Canal (57800) | $4,531.06 | $4,531.06 | 1.2× |
| Drain Cerebro Spinal Fluid (62272) | $1,058 | $1,058 | 1.3× |
| Drainage Abscess/Hematoma Nasal Septum (30020) range across 2 matching MRF lines |
$359–$618 | $359–$618 | varies |
| Drainage external auditory canal abscess (69020) range across 2 matching MRF lines |
$239–$1,236 | $239–$1,236 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 2 matching MRF lines |
$372–$440.10 | $372–$440.10 | varies |
| Drainage Finger Abscess Complicated (26011) | $911.25 | $911.25 | 0.5× |
| Drainage Mouth Roof Lesion (42000) range across 2 matching MRF lines |
$432–$480 | $432–$480 | varies |
| Drainage of finger abscess simple (26010) range across 3 matching MRF lines |
$381–$633.15 | $381–$633.15 | varies |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$397–$857 | $397–$857 | varies |
| Drainage of hematoma/fluid (10140) range across 6 matching MRF lines |
$269–$1,998 | $269–$1,998 | varies |
| Drainage of hydrocele (55000) | $1,950.35 | $1,950.35 | 2.3× |
| Drainage of scrotal wall abscess (55100) range across 3 matching MRF lines |
$276–$3,309 | $276–$3,309 | varies |
| Drainage of scrotum (54700) range across 2 matching MRF lines |
$675–$1,755 | $675–$1,755 | varies |
| Draw Blood Off Venous Device (36591) | $230.17 | $230.17 | 1.4× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) range across 2 matching MRF lines |
$376–$704.70 | $376–$704.70 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 3 matching MRF lines |
$552–$887 | $552–$887 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 3 matching MRF lines |
$259–$596 | $259–$596 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 4 matching MRF lines |
$217–$302 | $217–$302 | varies |
| Dstrj lesion anus simple surg excision (46922) | $2,245.05 | $2,245.05 | 0.7× |
| Dx Bone Marrow Bx & Aspir (38222) | $3,040.20 | $3,040.20 | 0.9× |
| Dx Laryngoscopy Excl Nb (31525) range across 2 matching MRF lines |
$599–$1,853.55 | $599–$1,853.55 | varies |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $2,025 | $2,025 | 2.4× |
| Egd Flexible Foreign Body Removal (43247) | $1,597 | $1,597 | 1.5× |
| Electro-Uroflowmetry First (51741) | $434 | $434 | 1.7× |
| Endocervical curettage (57505) | $1,372.95 | $1,372.95 | 1.2× |
| Endometrial Biopsy (58100) | $668 | $668 | 2.8× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) | $3,598 | $3,598 | 1.5× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) | $3,401 | $3,401 | 1.4× |
| Epidural Blood Patch (62273) range across 5 matching MRF lines |
$479–$969 | $479–$969 | varies |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $2,315 | $2,315 | 1.0× |
| Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
$161–$253.80 | $161–$253.80 | varies |
| Exc arm/elbow les sc < 3 cm (24075) | $2,793.95 | $2,793.95 | 1.4× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $835.56 | $835.56 | 1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $1,601.10 | $1,601.10 | 0.8× |
| Exc Back Les Sc < 3 Cm (21930) | $1,924.13 | $1,924.13 | 1.0× |
| Exc Back Tum Deep 5 Cm/> (21933) | $3,759.15 | $3,759.15 | 1.1× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $835.56 | $835.56 | 1.0× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $835.56 | $835.56 | 1.0× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $1,275.75 | $1,275.75 | 0.6× |
| Exc Face Les Sbq 2 Cm/> (21012) | $2,392.10 | $2,392.10 | 1.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $823.50 | $823.50 | 1.0× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$613–$835.56 | $613–$835.56 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $1,144.80 | $1,144.80 | 1.3× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $2,185 | $2,185 | 1.1× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $1,333.80 | $1,333.80 | 0.7× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $835.56 | $835.56 | 1.0× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $976.80 | $976.80 | 0.5× |
| Exc Hand Les Sc < 1.5 Cm (26115) | $2,295.20 | $2,295.20 | 1.2× |
| Exc hand tum deep < 1.5 cm (26116) | $2,624.85 | $2,624.85 | 1.3× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) | $2,319.03 | $2,319.03 | 1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $835.56 | $835.56 | 1.0× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $1,694.25 | $1,694.25 | 0.9× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $3,964.35 | $3,964.35 | 1.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $3,011.85 | $3,011.85 | 1.5× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $1,924.13 | $1,924.13 | 1.0× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $4,169 | $4,169 | 1.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $3,322.35 | $3,322.35 | 1.7× |
| Exc thigh/knee les sc 3 cm/> (27337) | $3,398.86 | $3,398.86 | 1.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 3 matching MRF lines |
$402–$1,044.90 | $402–$1,044.90 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $564 | $564 | 1.2× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $827.55 | $827.55 | 1.0× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $1,278.45 | $1,278.45 | 0.6× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $3,540.65 | $3,540.65 | 1.0× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $3,448.50 | $3,448.50 | 1.0× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) | $3,489 | $3,489 | 1.0× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $2,296.15 | $2,296.15 | 1.2× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $2,695.35 | $2,695.35 | 1.4× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $2,091.90 | $2,091.90 | 1.1× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $3,646.10 | $3,646.10 | 1.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $4,166.10 | $4,166.10 | 1.0× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $2,543 | $2,543 | 1.0× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $925 | $925 | 1.1× |
| Excision Lingual Frenum Frenectomy (41115) | $568.35 | $568.35 | 0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $791.10 | $791.10 | 0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $791.10 | $791.10 | 0.9× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $888 | $888 | 1.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $1,437 | $1,437 | 1.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $747.90 | $747.90 | 0.9× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $1,112.40 | $1,112.40 | 0.6× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $3,940.60 | $3,940.60 | 1.1× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $1,510.65 | $1,510.65 | 0.8× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $1,351.85 | $1,351.85 | 1.6× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $1,695 | $1,695 | 2.0× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $2,392.10 | $2,392.10 | 1.2× |
| Excision Multiple External Papillae/Tags Anus (46230) | $603 | $603 | 0.2× |
| Excision of pilonidal cyst or sinus; simple (11770) | $4,423.20 | $4,423.20 | 1.3× |
| Excision of vaginal cyst or tumor (57135) | $3,036.15 | $3,036.15 | 0.8× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $3,192 | $3,192 | 1.6× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) | $3,540.65 | $3,540.65 | 1.0× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $3,013.40 | $3,013.40 | 1.5× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $2,429.70 | $2,429.70 | 1.2× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $4,788 | $4,788 | 1.4× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $4,788 | $4,788 | 1.4× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $2,400.65 | $2,400.65 | 1.2× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $985 | $985 | 0.4× |
| Explo/Drain Breast Abscess (19020) range across 4 matching MRF lines |
$647–$1,924.13 | $647–$1,924.13 | varies |
| Exploration penetrating wound spx extremity (20103) range across 2 matching MRF lines |
$739–$1,161 | $739–$1,161 | varies |
| External cephalic version (59412) | $3,775.88 | $3,775.88 | 1.0× |
| Fasciotomy palmar percutaneous (26040) | $2,923.20 | $2,923.20 | 1.5× |
| Fetal non-stress test (59025) | $641 | $641 | 2.6× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $872 | $872 | 1.0× |
| Fine needle aspiration without imaging guidance (10021) | $728 | $728 | 1.5× |
| Fluid Pressure Muscle (20950) range across 3 matching MRF lines |
$269–$444.15 | $269–$444.15 | varies |
| Fna bx w/us gdn 1st les (10005) range across 3 matching MRF lines |
$181–$1,303.20 | $181–$1,303.20 | varies |
| Guide Cathet Fluid Drainage (10030) | $972 | $972 | 1.1× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 3 matching MRF lines |
$735–$1,101.59 | $735–$1,101.59 | varies |
| Hysteroscopy Biopsy (58558) | $5,860.80 | $5,860.80 | 1.5× |
| Hysteroscopy Dx Sep Proc (58555) | $5,091.45 | $5,091.45 | 1.3× |
| Hysteroscopy Endometrial Ablation (58563) | $8,201.55 | $8,201.55 | 1.4× |
| Hysteroscopy Removal Impacted Foreign Body (58562) | $4,657.80 | $4,657.80 | 1.2× |
| I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
$443–$1,510.65 | $443–$1,510.65 | varies |
| I&d abscess simple (10060) range across 7 matching MRF lines |
$253–$593.59 | $253–$593.59 | varies |
| I&d perianal abscess superficial (46050) range across 3 matching MRF lines |
$443–$1,292 | $443–$1,292 | varies |
| I&d pilonidal cyst complicated (10081) range across 3 matching MRF lines |
$419–$1,098.90 | $419–$1,098.90 | varies |
| I&d pilonidal cyst simple (10080) range across 4 matching MRF lines |
$323–$823.50 | $323–$823.50 | varies |
| Image Cath Fluid Colxn Visc (49405) | $4,129.65 | $4,129.65 | 2.1× |
| Image Cath Fluid Peri/Retro (49406) | $3,730 | $3,730 | 1.9× |
| Incise external hemorrhoid (46083) range across 3 matching MRF lines |
$418–$456 | $418–$456 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 7 matching MRF lines |
$366–$651 | $366–$651 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 4 matching MRF lines |
$693–$2,530 | $693–$2,530 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 7 matching MRF lines |
$220–$515.85 | $220–$515.85 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 4 matching MRF lines |
$325–$857.25 | $325–$857.25 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 3 matching MRF lines |
$370–$778 | $370–$778 | varies |
| Incision of lingual frenum (frenotomy) (41010) | $1,759.11 | $1,759.11 | 0.9× |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$976–$1,813 | $976–$1,813 | varies |
| Incisional biopsy skin single lesion (11106) | $726.94 | $726.94 | 0.8× |
| Induced abortion dilation and curettage (59840) | $3,775.88 | $3,775.88 | 1.0× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$147–$306 | $147–$306 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $2,498.85 | $2,498.85 | 2.4× |
| Inj W/Fluor Eval Cv Device (36598) | $2,220.75 | $2,220.75 | 8.7× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 4 matching MRF lines |
$623–$685.30 | $623–$685.30 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $1,116.45 | $1,116.45 | 1.1× |
| Injection aa&/strd genicular nrv branches w/img (64454) | $1,826.55 | $1,826.55 | 2.2× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $1,036.80 | $1,036.80 | 1.2× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $870 | $870 | 2.4× |
| Injection for identification of sentinel node (38792) | $1,551.15 | $1,551.15 | 3.2× |
| Injection single tendon origin/insertion (20551) | $382.80 | $382.80 | 1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 6 matching MRF lines |
$132–$561.60 | $132–$561.60 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) | $500.40 | $500.40 | 1.4× |
| Injection therapeutic carpal tunnel (20526) | $497 | $497 | 1.4× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $1,289.25 | $1,289.25 | 1.2× |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 4 matching MRF lines |
$204–$1,116.45 | $204–$1,116.45 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 6 matching MRF lines |
$146–$1,108.35 | $146–$1,108.35 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $226.80 | $226.80 | 0.9× |
| Ins endovas vena cava filtr (37191) | $10,414 | $10,414 | 1.6× |
| Insert Bladder Cath Complex (51703) range across 3 matching MRF lines |
$221–$514.32 | $221–$514.32 | varies |
| Insert cath pleura w/ image (32557) | $2,553.44 | $2,553.44 | 1.4× |
| Insert cervical dilator (59200) | $589.95 | $589.95 | 1.6× |
| Insert Drug Implant Device (11981) | $356.40 | $356.40 | 2.2× |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$658–$2,080.35 | $658–$2,080.35 | varies |
| Insert pessary/other device (57160) | $457.65 | $457.65 | 1.9× |
| Insert Temp Bladder Cath (51702) range across 6 matching MRF lines |
$203–$339 | $203–$339 | varies |
| Insert tun ip cath perc (49418) | $4,190.97 | $4,190.97 | 1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $272 | $272 | 1.7× |
| Insertion indwelling tunneled pleural catheter (32550) | $788.40 | $788.40 | 0.2× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $1,898 | $1,898 | 1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $896.40 | $896.40 | 0.2× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) range across 2 matching MRF lines |
$1,185–$2,785.05 | $1,185–$2,785.05 | varies |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) | $2,620 | $2,620 | 1.6× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 2 matching MRF lines |
$904–$945 | $904–$945 | varies |
| Intro Gastrointestinal Tube (44500) | $476.55 | $476.55 | 0.4× |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$462–$557 | $462–$557 | varies |
| Irrigation of corpora cavernosa for priapism (54220) range across 2 matching MRF lines |
$236–$1,251 | $236–$1,251 | varies |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) | $13,638 | $13,638 | 1.1× |
| Laryngoscopy diagnostic (31505) range across 2 matching MRF lines |
$231–$382 | $231–$382 | varies |
| Laryngoscopy flexible diagnostic (31575) range across 2 matching MRF lines |
$311–$560.94 | $311–$560.94 | varies |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) range across 2 matching MRF lines |
$448–$574 | $448–$574 | varies |
| Laryngoscopy W/Foreign Body Removal (31530) range across 2 matching MRF lines |
$595–$2,586 | $595–$2,586 | varies |
| Lithotripsy, extracorporeal shock wave (50590) | $10,602 | $10,602 | 2.5× |
| Marsupialization of bartholin's gland cyst (56440) | $4,657.80 | $4,657.80 | 1.2× |
| Myelography Lumbar Injection (62304) | $2,781.60 | $2,781.60 | 3.0× |
| Myelography via lumbar injection rs&i cervical (62302) | $2,950.70 | $2,950.70 | 3.1× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $1,116.45 | $1,116.45 | 1.3× |
| N block inj intercost sng (64420) | $1,355 | $1,355 | 1.6× |
| N Block Inj Pudendal (64430) | $1,135 | $1,135 | 1.1× |
| N Block Lumbar/Thoracic (64520) | $1,810.35 | $1,810.35 | 1.7× |
| Nasal/Orogastric W/Tube Plmt (43752) | $692 | $692 | 1.3× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) | $1,018.40 | $1,018.40 | 3.4× |
| Needle Biopsy Lymph Nodes (38505) | $2,892.11 | $2,892.11 | 1.5× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) range across 2 matching MRF lines |
$564–$578 | $564–$578 | varies |
| Njx anes stellate ganglion crv sympathetic (64510) | $1,300 | $1,300 | 1.2× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 3 matching MRF lines |
$139–$1,099.75 | $139–$1,099.75 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $1,397.25 | $1,397.25 | 0.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$3,015–$4,791 | $3,015–$4,791 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) | $2,194.50 | $2,194.50 | 2.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,999 | $1,999 | 2.4× |
| Ob preeclampsia sflt-1/plgf ratio ia serum/plsm (0524U) | $175 | $175 | 1.4× |
| Occipital Nerve Block (64405) range across 3 matching MRF lines |
$295–$521.10 | $295–$521.10 | varies |
| Partial hymenectomy or revision of hymenal ring (56700) | $4,359.55 | $4,359.55 | 1.1× |
| Penile Injection (54235) | $347.10 | $347.10 | 1.2× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) | $3,422 | $3,422 | 2.1× |
| Perc Rf Ablate Renal Tumor (50592) | $7,909 | $7,909 | 1.1× |
| Percut Ablate Liver Rf (47382) | $6,928.65 | $6,928.65 | 1.0× |
| Percut Drain/Inject Renal Cyst (50390) | $2,360 | $2,360 | 2.8× |
| Pericardiocentesis W/Imaging (33016) | $2,884 | $2,884 | 1.5× |
| Perq dev breast 1st us imag (19285) | $2,646.67 | $2,646.67 | 3.1× |
| Perq device breast 1st imag (19281) | $3,020 | $3,020 | 1.5× |
| Place Rt Device/Marker Pros (55876) | $1,979 | $1,979 | 1.2× |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$462–$473.88 | $462–$473.88 | varies |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $4,627 | $4,627 | 1.8× |
| Punch biopsy skin single lesion (11104) | $503.55 | $503.55 | 1.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 9 matching MRF lines |
$256–$637 | $256–$637 | varies |
| Puncture Aspiration Cyst Breast (19000) | $1,149.26 | $1,149.26 | 1.4× |
| Removal Embedded Foreign Body Eyelid (67938) range across 2 matching MRF lines |
$302–$533 | $302–$533 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$284–$996.30 | $284–$996.30 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 3 matching MRF lines |
$452–$1,998 | $452–$1,998 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 4 matching MRF lines |
$57–$336 | $57–$336 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
$117–$218 | $117–$218 | varies |
| Removal Implant Superficial Separate Procedure (20670) | $1,517.40 | $1,517.40 | 0.8× |
| Removal implantable contraceptive capsules (11976) | $835.56 | $835.56 | 1.0× |
| Removal of foreign body from pharynx (42809) range across 2 matching MRF lines |
$346.95–$478 | $346.95–$478 | varies |
| Removal of nail bed (11750) | $631 | $631 | 1.3× |
| Removal or bivalving full arm or full leg cast (29705) range across 2 matching MRF lines |
$216–$407 | $216–$407 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 6 matching MRF lines |
$278–$423.60 | $278–$423.60 | varies |
| Remove drug implant device (11982) | $376.65 | $376.65 | 0.7× |
| Remove foreign body from eye (65205) range across 3 matching MRF lines |
$155–$294 | $155–$294 | varies |
| Remove Intrauterine Device (58301) range across 4 matching MRF lines |
$258–$441.45 | $258–$441.45 | varies |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$212–$271.35 | $212–$271.35 | varies |
| Remove/Insert Drug Implant (11983) | $486 | $486 | 0.9× |
| Renal Biopsy Perq (50200) | $1,924.13 | $1,924.13 | 1.0× |
| Repair Achilles Tendon (27650) likely a partial charge, not the full procedure |
$936 | $936 | 0.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$915–$1,008.45 | $915–$1,008.45 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$1,011.53–$1,234 | $1,011.53–$1,234 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$476.14–$1,007 | $476.14–$1,007 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 3 matching MRF lines |
$1,586.25–$1,632 | $1,586.25–$1,632 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
$702–$1,956 | $702–$1,956 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$936–$1,449.90 | $936–$1,449.90 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) range across 2 matching MRF lines |
$877–$968 | $877–$968 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$1,111–$1,113 | $1,111–$1,113 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$659.96–$743 | $659.96–$743 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 3 matching MRF lines |
$730.40–$951 | $730.40–$951 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 3 matching MRF lines |
$620–$751 | $620–$751 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$656–$827 | $656–$827 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$803–$935 | $803–$935 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
$681.75–$697 | $681.75–$697 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines |
$568–$751.30 | $568–$751.30 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$609–$816.20 | $609–$816.20 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 3 matching MRF lines |
$678–$863.55 | $678–$863.55 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 5 matching MRF lines |
$474.47–$667 | $474.47–$667 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 4 matching MRF lines |
$676–$848 | $676–$848 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 3 matching MRF lines |
$776–$912 | $776–$912 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
$844–$847 | $844–$847 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $1,277.10 | $1,277.10 | 0.5× |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$330–$710.10 | $330–$710.10 | varies |
| Repair tongue laceration (41252) range across 2 matching MRF lines |
$443–$1,141 | $443–$1,141 | varies |
| Repair tongue laceration (41250) range across 2 matching MRF lines |
$420–$690 | $420–$690 | varies |
| Replace G-J Tube Perc (49452) | $2,104 | $2,104 | 1.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$155–$334.80 | $155–$334.80 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$155–$262 | $155–$262 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 2 matching MRF lines |
$155–$506 | $155–$506 | varies |
| Rmvl fecal impaction/fb spx under anes (45915) | $4,200 | $4,200 | 2.9× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $3,593.85 | $3,593.85 | 1.0× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $1,924.13 | $1,924.13 | 1.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $2,820.15 | $2,820.15 | 1.5× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $1,882 | $1,882 | 2.5× |
| Rplc Gtube No Revj Trc (43762) range across 4 matching MRF lines |
$268–$495 | $268–$495 | varies |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$531–$666 | $531–$666 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $1,003.20 | $1,003.20 | 1.1× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) range across 2 matching MRF lines |
$1,153–$1,239 | $1,153–$1,239 | varies |
| Rpr Lip Full Thickness Vermilion Only (40650) range across 2 matching MRF lines |
$908–$1,050 | $908–$1,050 | varies |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) range across 2 matching MRF lines |
$1,191–$1,759.11 | $1,191–$1,759.11 | varies |
| Shave skin lesion 0.5 cm/< (11300) | $429.30 | $429.30 | 0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 2 matching MRF lines |
$193–$349 | $193–$349 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $336.30 | $336.30 | 1.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $474.47 | $474.47 | 1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $405.65 | $405.65 | 1.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $560.50 | $560.50 | 1.2× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $468 | $468 | 1.9× |
| Sigmoidoscopy w/fb removal (45332) range across 2 matching MRF lines |
$909–$1,400.23 | $909–$1,400.23 | varies |
| Simple Cystometrogram (51725) | $878.54 | $878.54 | 2.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$723–$864 | $723–$864 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 5 matching MRF lines |
$442.17–$448 | $442.17–$448 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 5 matching MRF lines |
$354–$509 | $354–$509 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$425–$640 | $425–$640 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 7 matching MRF lines |
$322–$419 | $322–$419 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$694–$846 | $694–$846 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$393–$559 | $393–$559 | varies |
| Skin sub graft face/nk/hf/g (15275) | $3,094.20 | $3,094.20 | 3.5× |
| Skin sub graft trnk/arm/leg (15271) | $2,737.79 | $2,737.79 | 3.1× |
| Skin Tissue Procedure (17999) | $222 | $222 | 0.9× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) | $7,929 | $7,929 | 1.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 7 matching MRF lines |
$394–$448 | $394–$448 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$484–$660 | $484–$660 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$612–$733 | $612–$733 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 3 matching MRF lines |
$436–$1,289 | $436–$1,289 | varies |
| Strapping ankle (29540) range across 2 matching MRF lines |
$87–$280 | $87–$280 | varies |
| Strapping elbow or wrist (29260) range across 2 matching MRF lines |
$98–$340 | $98–$340 | varies |
| Strapping hand/finger (29280) range across 2 matching MRF lines |
$71–$306 | $71–$306 | varies |
| Strapping knee (29530) range across 2 matching MRF lines |
$87–$280 | $87–$280 | varies |
| Strapping shoulder (29240) range across 2 matching MRF lines |
$98–$337.09 | $98–$337.09 | varies |
| Strapping toes (29550) range across 2 matching MRF lines |
$62–$219 | $62–$219 | varies |
| Strapping Unna Boot (29580) range across 3 matching MRF lines |
$351–$386.10 | $351–$386.10 | varies |
| Subcutaneous Hormone Pellet Implantation (11980) | $683.55 | $683.55 | 1.3× |
| Surg tx anal fistula subq (46270) | $3,785.75 | $3,785.75 | 1.1× |
| Tangential biopsy skin single lesion (11102) | $382 | $382 | 0.8× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $1,500 | $1,500 | 1.8× |
| Thrombolytic Therapy Stroke (37195) range across 2 matching MRF lines |
$522–$924 | $522–$924 | varies |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $549 | $549 | 1.9× |
| Treat humerus fracture (24500) range across 2 matching MRF lines |
$812–$947 | $812–$947 | varies |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
$1,249–$1,900.58 | $1,249–$1,900.58 | varies |
| Treat humerus fracture (23600) range across 2 matching MRF lines |
$747–$866 | $747–$866 | varies |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$549–$808 | $549–$808 | varies |
| Treat Tail Bone Fracture (27200) range across 5 matching MRF lines |
$237–$1,289.25 | $237–$1,289.25 | varies |
| Treat Thumb Dislocation (26641) range across 2 matching MRF lines |
$484–$504 | $484–$504 | varies |
| Treat toe dislocation (28630) range across 2 matching MRF lines |
$293–$626 | $293–$626 | varies |
| Treat Vaginal Bleeding (57180) | $807.30 | $807.30 | 3.3× |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$994–$1,014 | $994–$1,014 | varies |
| Trim skin lesion (11055) range across 5 matching MRF lines |
$133–$459 | $133–$459 | varies |
| Trim skin lesions 2 to 4 (11056) | $306 | $306 | 1.3× |
| Trimming Nondystrophic Nails Any Number (11719) | $102 | $102 | 1.4× |
| Tx Gastro Intub W/Asp (43753) range across 2 matching MRF lines |
$256–$427 | $256–$427 | varies |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $3,775.88 | $3,775.88 | 1.0× |
| Tx Missed Abortion First Trimester Surgical (59820) | $3,775.88 | $3,775.88 | 1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 3 matching MRF lines |
$335–$825 | $335–$825 | varies |
| Tx superficial wound dehiscence w/packing (12021) range across 3 matching MRF lines |
$353–$629.10 | $353–$629.10 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) range across 2 matching MRF lines |
$434–$521 | $434–$521 | varies |
| Unlisted procedure nervous system (64999) range across 6 matching MRF lines |
$509–$1,098.90 | $509–$1,098.90 | varies |
| Unlisted Procedure Tongue Floor Mouth (41599) | $1,366.10 | $1,366.10 | 4.8× |
| Unlisted px female genital system nonobstetrical (58999) | $567.15 | $567.15 | 2.3× |
| Urine Flow Measurement (51736) | $270.72 | $270.72 | 1.7× |
| Vaginal delivery only (59409) | $2,848 | $2,848 | 0.7× |
| Vasc Embolize/Occlude Bleed (37244) | $13,463.55 | $13,463.55 | 1.0× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $5,357.10 | $5,357.10 | 2.1× |
| Vw factor type 2n eval plsm (0284U) | $415 | $415 | 24.0× |
| Wedge excision skin nail fold (11765) range across 3 matching MRF lines |
$198–$474.47 | $198–$474.47 | 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.