Procedures & surgery prices at Bear Lake Memorial Hospital
Montpelier, ID · every code in this section with a posted price and a Medicare benchmark.
514 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) | $793.48 | $933.50 | 0.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $793.48 | $933.50 | 0.9× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $1,506.63 | $1,772.50 | 0.7× |
| Amniocentesis diagnostic (59000) | $681.28 | $801.50 | 0.7× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $677.66 | $797.25 | 0.2× |
| Amputation foot transmetarsal (28805) | $1,846.63 | $2,172.50 | 0.6× |
| Amputation metatarsal with toe single (28810) | $904.83 | $1,064.50 | 0.3× |
| Amputation toe interphalangeal joint (28825) | $1,073.13 | $1,262.50 | 0.3× |
| Amputation toe metatarsophalangeal joint (28820) | $1,137.30 | $1,338 | 0.4× |
| Anterior colporraphy rpr cystocele w/cysto (57240) | $1,151.33 | $1,354.50 | 0.2× |
| Application cast elbow finger short arm (29075) | $351.48 | $413.50 | 1.3× |
| Application finger splint static (29130) | $160.65 | $189 | 1.2× |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$286.88–$342.55 | $337.50–$403 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$215.48–$318.75 | $253.50–$375 | varies |
| Application of long leg cast (29345) | $540.18 | $635.50 | 2.0× |
| Application of rigid total contact leg cast (29445) | $296.65 | $349 | 1.1× |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$217.60–$297.93 | $256–$350.50 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$240.13–$303.88 | $282.50–$357.50 | varies |
| Apply hand/wrist cast (29085) range across 2 matching MRF lines |
$263.93–$369.75 | $310.50–$435 | varies |
| Apply long arm cast (29065) | $426.28 | $501.50 | 1.5× |
| Apply Multlay Comprs Lwr Leg (29581) | $234.18 | $275.50 | 1.5× |
| Apply Short Leg Cast (29405) | $393.98 | $463.50 | 1.4× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$27.63–$28.48 | $32.50–$33.50 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$246.93–$263.93 | $290.50–$310.50 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$271.15–$299.20 | $319–$352 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $218.88 | $257.50 | 0.7× |
| Arthrodesis great toe interphalangeal joint (28755) likely a partial charge, not the full procedure |
$984.30 | $1,158 | 0.1× |
| Arthrodesis triple (28715) likely a partial charge, not the full procedure |
$1,516.26 | $1,783.84 | 0.1× |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) likely a partial charge, not the full procedure |
$1,840.68 | $2,165.50 | 0.1× |
| Arthroplasty glenohumeral joint total shoulder (23472) likely a partial charge, not the full procedure |
$4,668.20 | $5,492 | 0.3× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) | $1,880.20 | $2,212 | 0.6× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) | $1,444.15 | $1,699 | 0.4× |
| Arthroscopy knee synovectomy limited spx (29875) | $1,332.38 | $1,567.50 | 0.4× |
| Arthroscopy shoulder distal claviculectomy (29824) | $2,055.30 | $2,418 | 0.6× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) likely a partial charge, not the full procedure |
$2,048.50 | $2,410 | 0.3× |
| Arthroscopy, knee, surgical; with lateral release (29873) | $1,080.35 | $1,271 | 0.3× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) unusually low: confirm this is the full procedure |
$2,821.15 | $3,319 | 0.4× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) | $1,571.65 | $1,849 | 0.5× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | $1,749.73 | $2,058.50 | 0.5× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) unusually low: confirm this is the full procedure |
$2,551.70 | $3,002 | 0.4× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) | $1,310.70 | $1,542 | 0.4× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) unusually low: confirm this is the full procedure |
$2,649.03 | $3,116.50 | 0.4× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) unusually low: confirm this is the full procedure |
$4,490.13 | $5,282.50 | 0.4× |
| Arthrs knee debridement/shaving artclr crtlg (29877) | $1,887.43 | $2,220.50 | 0.6× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $2,106.73 | $2,478.50 | 0.7× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) | $912.48 | $1,073.50 | 0.3× |
| Aspirate pleura w/ imaging (32555) | $545.70 | $642 | 0.9× |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$310.68–$545.70 | $365.50–$642 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$240.55–$262.23 | $283–$308.50 | varies |
| Biopsy Bone Trocar/Needle Superficial (20220) | $757.35 | $891 | 0.5× |
| Biopsy external ear (69100) | $158.95 | $187 | 0.7× |
| Biopsy of breast; open, incisional (19101) | $413.95 | $487 | 0.1× |
| Biopsy of lip (40490) | $322.58 | $379.50 | 1.4× |
| Biopsy soft tissue forearm&/wrist superficial (25065) | $322.58 | $379.50 | 0.2× |
| Biopsy soft tissue neck/thorax (21550) | $852.55 | $1,003 | 0.5× |
| Bladder instillation anticarcinogenic agent (51720) | $580.98 | $683.50 | 0.8× |
| Bladder Scan (51798) | $229.50 | $270 | 3.9× |
| Blood Transfusion Service (36430) range across 7 matching MRF lines |
$940.53–$1,996.65 | $1,106.50–$2,349 | varies |
| Bone Marrow; Aspiration Only (38220) | $207.40 | $244 | 0.1× |
| Bx breast 1st lesion us imag (19083) | $1,643.48 | $1,933.50 | 1.0× |
| Bx/exc lymph node open superficial (38500) | $910.35 | $1,071 | 0.2× |
| Capsulorrhaphy Anterior W/Labral Repair (23455) unusually low: confirm this is the full procedure |
$2,390.63 | $2,812.50 | 0.3× |
| Capsulorrhaphy Anterior With Bone Block (23460) unusually low: confirm this is the full procedure |
$2,693.65 | $3,169 | 0.4× |
| Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Facility (23465) unusually low: confirm this is the full procedure |
$2,769.73 | $3,258.50 | 0.4× |
| Carpal Tunnel Surgery (64721) | $1,349.80 | $1,588 | 0.7× |
| Catheter aspiration nasotracheal spx (31720) | $176.38 | $207.50 | 0.8× |
| Change Cystostomy Tube Simple (51705) | $291.98 | $343.50 | 1.2× |
| Chemical Cautery Tissue (17250) | $201.03 | $236.50 | 1.0× |
| Chest tube placement (32551) range across 2 matching MRF lines |
$592.03–$1,327.28 | $696.50–$1,561.50 | varies |
| Circumcision 28 days or older (54161) | $322.15 | $379 | 0.2× |
| Circumcision w/clamp/oth dev w/block (54150) | $109.23 | $128.50 | 0.1× |
| Cl Tx Tib Shft Fx W Manip (27752) | $1,314.95 | $1,547 | 0.8× |
| Claviculectomy partial (23120) | $1,481.98 | $1,743.50 | 0.5× |
| Clear outer ear canal (69200) | $247.35 | $291 | 1.9× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $665.55 | $783 | 2.7× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $418.20 | $492 | 1.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $629 | $740 | 2.6× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,314.95 | $1,547 | 0.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $509.15 | $599 | 2.1× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) range across 2 matching MRF lines |
$808.35–$1,289.88 | $951–$1,517.50 | varies |
| Closed tx patellar dislocation w/anesthesia (27562) | $1,307.73 | $1,538.50 | 5.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $492.15 | $579 | 2.0× |
| Closed tx radial shaft fracture w/manipulation (25505) | $1,396.40 | $1,642.82 | 0.9× |
| Closed tx septal&nose fx (21337) | $994.08 | $1,169.50 | 0.3× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) | $1,187.03 | $1,396.50 | 0.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $308.98 | $363.50 | 1.3× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $521.90 | $614 | 1.0× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $1,314.95 | $1,547 | 0.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $447.53 | $526.50 | 1.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$1,023.40–$1,232.50 | $1,204–$1,450 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$280.08–$856.80 | $329.50–$1,008 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) range across 2 matching MRF lines |
$1,314.95–$1,383.38 | $1,547–$1,627.50 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $915.45 | $1,077 | 0.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$833–$912.48 | $980–$1,073.50 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 3 matching MRF lines |
$1,314.95–$1,388.90 | $1,547–$1,634 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $1,314.95 | $1,547 | 0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $509.15 | $599 | 2.1× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $1,326 | $1,560 | 0.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $563.55 | $663 | 2.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$223.13–$351.05 | $262.50–$413 | varies |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $888.25 | $1,045 | 3.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$417.78–$833.43 | $491.50–$980.50 | varies |
| Cltx post hip arthrp dislc req anes (27266) range across 3 matching MRF lines |
$971.98–$1,498.13 | $1,143.50–$1,762.50 | varies |
| Cltx prox fibula/shft fx w/manj (27781) | $833 | $980 | 0.5× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $1,347.25 | $1,585 | 0.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $462.40 | $544 | 1.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $1,394.43 | $1,640.50 | 0.9× |
| Collection of venous blood by venipuncture (36415) | $31.03 | $36.50 | 3.3× |
| Colonoscopy w/fb removal (45379) | $833.43 | $980.50 | 0.7× |
| Colonoscopy w/submucosal inj (45381) | $412.25 | $485 | 0.3× |
| Colpocleisis (le fort type) (57120) | $990.68 | $1,165.50 | 0.2× |
| Colpopexy extraperitoneal (57282) likely a partial charge, not the full procedure |
$1,190.43 | $1,400.50 | 0.2× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $754.38 | $887.50 | 2.5× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $984.30 | $1,158 | 0.8× |
| Combined anteroposterior colporrhaphy; (57260) range across 2 matching MRF lines |
$664.70–$1,586.53 | $782–$1,866.50 | varies |
| Complex drainage wound (10180) range across 2 matching MRF lines |
$433.08–$2,195.55 | $509.50–$2,583 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) | $417.78 | $491.50 | 3.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$212.50–$304.30 | $250–$358 | varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) range across 2 matching MRF lines |
$690.12–$779.88 | $811.90–$917.50 | varies |
| Correction hammertoe (28285) | $1,123.70 | $1,322 | 0.3× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) | $1,475.18 | $1,735.50 | 0.5× |
| Create Eardrum Opening (69433) | $456.03 | $536.50 | 0.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$216.75–$432.65 | $255–$509 | varies |
| Cysto Bladder W/Ureteral Catheterization (52005) | $290.28 | $341.50 | 0.1× |
| Cysto w/insert ureteral stent (52332) | $326.40 | $384 | 0.1× |
| Cysto w/removal of lesions small (52224) | $506.18 | $595.50 | 0.1× |
| Cysto w/ureter stricture tx (52341) | $478.13 | $562.50 | 0.1× |
| Cystourethroscopy (52000) | $420.75 | $495 | 0.6× |
| Cystourethroscopy inj chemodenervation bladder (52287) | $396.10 | $466 | 0.2× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) | $462.40 | $544 | 0.1× |
| Cystourethroscopy w/dil bladder general anesth (52260) | $355.30 | $418 | 0.2× |
| Cystourethroscopy with biopsy (52204) | $446.89 | $525.75 | 0.2× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $886.55 | $1,043 | 0.3× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $886.55 | $1,043 | 1.3× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $748.43 | $880.50 | 1.1× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $733.13 | $862.50 | 1.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $929.90 | $1,094 | 0.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $107.95 | $127 | 0.3× |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$226.10–$1,763.75 | $266–$2,075 | varies |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$1,068.45–$2,012.80 | $1,257–$2,368 | varies |
| Destruct B9 Lesion 1-14 (17110) | $334.90 | $394 | 1.7× |
| Destruction by neurolytic agent; pudendal nerve (64630) range across 2 matching MRF lines |
$226.10–$901.43 | $266–$1,060.50 | varies |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $534.23 | $628.50 | 2.7× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $534.23 | $628.50 | 2.7× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) | $534.23 | $628.50 | 1.3× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) | $534.23 | $628.50 | 0.7× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) | $534.23 | $628.50 | 0.7× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $534.23 | $628.50 | 2.7× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $534.23 | $628.50 | 2.7× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) | $534.23 | $628.50 | 2.7× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) | $534.23 | $628.50 | 1.3× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) | $534.23 | $628.50 | 1.3× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $534.23 | $628.50 | 2.7× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $534.23 | $628.50 | 2.7× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $534.23 | $628.50 | 2.7× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) | $534.23 | $628.50 | 2.7× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) | $534.23 | $628.50 | 1.3× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) | $534.23 | $628.50 | 1.3× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $534.23 | $628.50 | 2.7× |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 2 matching MRF lines |
$302.60–$1,701.28 | $356–$2,001.50 | varies |
| Destruction premalignant lesion 1st (17000) | $334.90 | $394 | 1.7× |
| Dilat female urethra general/cndj spinal anes (53665) | $65.88 | $77.50 | 0.0× |
| Drain Cerebro Spinal Fluid (62272) | $391.43 | $460.50 | 0.6× |
| Drainage of finger abscess simple (26010) | $628.15 | $739 | 3.2× |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$420.33–$1,328.13 | $494.50–$1,562.50 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $379.53 | $446.50 | 0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $289 | $340 | 1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $184.45 | $217 | 0.9× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) | $534.23 | $628.50 | 1.3× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 2 matching MRF lines |
$313.23–$790.93 | $368.50–$930.50 | varies |
| Egd Balloon Dil Esoph30 Mm/> (43233) | $377.40 | $444 | 0.2× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) range across 2 matching MRF lines |
$959.39–$1,745.90 | $1,128.69–$2,054 | varies |
| Egd cautery tumor polyp (43250) | $743.75 | $875 | 0.4× |
| Egd dilation gastric/duodenal stricture (43245) | $971.98 | $1,143.50 | 0.5× |
| Egd Flexible Foreign Body Removal (43247) | $718.68 | $845.50 | 0.8× |
| Endoscopic injection/implant (51715) | $2,931.62 | $3,448.97 | 0.8× |
| Epidural Blood Patch (62273) range across 3 matching MRF lines |
$604.35–$881.88 | $711–$1,037.50 | varies |
| Evacuation of subungual hematoma (11740) | $197.20 | $232 | 1.5× |
| Exc abdl tum deep 5 cm/> (22901) | $2,284.38 | $2,687.50 | 0.8× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $237.15 | $279 | 0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $486.63 | $572.50 | 0.3× |
| Exc Back Tum Deep 5 Cm/> (21933) | $2,284.38 | $2,687.50 | 0.8× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $648.98 | $763.50 | 0.9× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $334.90 | $394 | 0.5× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) range across 2 matching MRF lines |
$334.90–$534.23 | $394–$628.50 | varies |
| Exc Face Les Sbq 2 Cm/> (21012) | $956.25 | $1,125 | 0.6× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $383.35 | $451 | 0.5× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $334.90 | $394 | 0.5× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $658.33 | $774.50 | 0.4× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $424.15 | $499 | 0.3× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $1,136.45 | $1,337 | 0.7× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $313.23 | $368.50 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $395.68 | $465.50 | 0.6× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $567.38 | $667.50 | 0.3× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $668.53 | $786.50 | 0.4× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) | $669.80 | $788 | 0.4× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) | $322.58 | $379.50 | 0.1× |
| Exc Lesion Tongue W/Clsr Posterior One-Third (41113) | $829.18 | $975.50 | 0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $425 | $500 | 0.6× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $451.78 | $531.50 | 0.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $936.70 | $1,102 | 0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $693.60 | $816 | 0.4× |
| Exc Skin Benig >4cm Face,Facial (11446) | $994.50 | $1,170 | 0.3× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $534.23 | $628.50 | 0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $426.70 | $502 | 0.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $755.65 | $889 | 0.5× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $303.03 | $356.50 | 0.8× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $334.05 | $393 | 0.5× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $470.90 | $554 | 0.3× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $1,156.43 | $1,360.50 | 0.4× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $939.68 | $1,105.50 | 0.6× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $922.68 | $1,085.50 | 0.6× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $1,022.55 | $1,203 | 0.6× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $2,485.83 | $2,924.50 | 0.9× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $334.90 | $394 | 0.2× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $657.48 | $773.50 | 0.9× |
| Excision External Ear Partial Simple Repair (69110) | $544 | $640 | 0.2× |
| Excision lesion meniscus/capsule knee (27347) | $1,292 | $1,520 | 0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $534.23 | $628.50 | 0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $534.23 | $628.50 | 0.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $302.18 | $355.50 | 0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $691.48 | $813.50 | 1.0× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $429.25 | $505 | 0.6× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $794.33 | $934.50 | 0.5× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) range across 2 matching MRF lines |
$334.90–$534.23 | $394–$628.50 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $503.20 | $592 | 0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $534.23 | $628.50 | 0.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $389.73 | $458.50 | 0.6× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $534.23 | $628.50 | 0.3× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $1,051.45 | $1,237 | 0.7× |
| Excision of pilonidal cyst or sinus; simple (11770) | $2,341.33 | $2,754.50 | 0.8× |
| Excision olecranon bursa (24105) | $987.70 | $1,162 | 0.3× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) | $1,170.03 | $1,376.50 | 0.4× |
| Excision prepatellar bursa (27340) | $1,079.50 | $1,270 | 0.3× |
| Excision spermatocele w/wo epididymectomy (54840) | $551.65 | $649 | 0.3× |
| Excision tendon finger flexor/extensor each (26180) | $1,188.73 | $1,398.50 | 0.7× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $1,265.65 | $1,489 | 0.8× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $1,250.78 | $1,471.50 | 0.8× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $2,454.38 | $2,887.50 | 0.9× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $1,019.58 | $1,199.50 | 0.6× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $510 | $600 | 0.3× |
| Excision; trochanteric bursa or calcification (27062) | $1,217.63 | $1,432.50 | 0.4× |
| Exploration penetrating wound spx extremity (20103) range across 2 matching MRF lines |
$629–$646.43 | $740–$760.50 | varies |
| Exploratory elbow surgery (24000) | $987.70 | $1,162 | 0.3× |
| External cephalic version (59412) | $942.65 | $1,109 | 0.3× |
| Fasciotomy, hip or thigh, any type (27025) | $2,252.93 | $2,650.50 | 0.7× |
| Fetal non-stress test (59025) | $260.95 | $307 | 1.3× |
| Fine needle aspiration without imaging guidance (10021) | $289 | $340 | 0.7× |
| Fluid Pressure Muscle (20950) | $643.03 | $756.50 | 0.9× |
| Fna bx w/us gdn 1st les (10005) | $688.93 | $810.50 | 1.0× |
| Fusion Finger Joint (26860) | $1,178.10 | $1,386 | 0.4× |
| Fusion of knuckle (26850) likely a partial charge, not the full procedure |
$1,572.93 | $1,850.50 | 0.2× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $2,069.33 | $2,434.50 | 0.8× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $684.25 | $805 | 0.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $2,190.45 | $2,577 | 0.8× |
| Hysteroscopy Biopsy (58558) | $908.23 | $1,068.50 | 0.3× |
| Hysteroscopy Endometrial Ablation (58563) | $901.43 | $1,060.50 | 0.2× |
| Hysteroscopy Removal Impacted Foreign Body (58562) | $481.53 | $566.50 | 0.2× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$354.45–$381.65 | $417–$449 | varies |
| Implant Neuroelectrodes (64561) likely a partial charge, not the full procedure |
$598.40 | $704 | 0.1× |
| Implant Periph/Gastric Neurostim/Receiver (64590) likely a partial charge, not the full procedure |
$499.80 | $588 | 0.0× |
| Incise external hemorrhoid (46083) | $436.90 | $514 | 1.8× |
| Incise finger tendon sheath (26055) | $1,005.98 | $1,183.50 | 0.6× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$493.85–$512.13 | $581–$602.50 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$348.93–$387.60 | $410.50–$456 | varies |
| Incision of Foot Tendon (28234) | $836.40 | $984 | 0.5× |
| Incision of rectal abscess (46040) | $988.55 | $1,163 | 0.8× |
| Incisional biopsy eyelid skin & lid margin (67810) | $322.58 | $379.50 | 1.0× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $334.90 | $394 | 1.7× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$648.55–$1,250.78 | $763–$1,471.50 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 2 matching MRF lines |
$727.60–$790.93 | $856–$930.50 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $226.10 | $266 | 0.3× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) | $226.10 | $266 | 0.3× |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 2 matching MRF lines |
$226.10–$2,319.23 | $266–$2,728.50 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $681.28 | $801.50 | 0.8× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) range across 2 matching MRF lines |
$226.10–$564.83 | $266–$664.50 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 2 matching MRF lines |
$226.10–$760.75 | $266–$895 | varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $550.80 | $648 | 1.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$286.88–$480.25 | $337.50–$565 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$181.90–$299.20 | $214–$352 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) | $458.58 | $539.50 | 0.5× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $651.53 | $766.50 | 0.9× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $530.83 | $624.50 | 0.8× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) range across 2 matching MRF lines |
$672.78–$819.83 | $791.50–$964.50 | varies |
| Insert Bladder Cath Complex (51703) | $402.90 | $474 | 3.2× |
| Insert cath pleura w/o image (32556) | $1,503.65 | $1,769 | 0.8× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$873.80–$2,650.30 | $1,028–$3,118 | varies |
| Insert Temp Bladder Cath (51702) | $110.08 | $129.50 | 0.8× |
| Insert tunneled cv cath (36561) | $2,983.08 | $3,509.50 | 1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$172.55–$179.35 | $203–$211 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 2 matching MRF lines |
$400.78–$1,356.18 | $471.50–$1,595.50 | varies |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $641.75 | $755 | 0.2× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $688.50 | $810 | 0.2× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $1,327.28 | $1,561.50 | 0.9× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $702.10 | $826 | 1.7× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $730.58 | $859.50 | 1.8× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$587.35–$819.40 | $691–$964 | varies |
| Laparo-vag hyst incl t/o (58552) likely a partial charge, not the full procedure |
$2,097.38 | $2,467.50 | 0.2× |
| Laparoscopy salpingostomy (58673) likely a partial charge, not the full procedure |
$1,655.80 | $1,948 | 0.2× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) likely a partial charge, not the full procedure |
$830.03 | $976.50 | 0.1× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) likely a partial charge, not the full procedure |
$2,533.43 | $2,980.50 | 0.2× |
| Laparoscopy w/rmvl adnexal structures (58661) | $4,609.55 | $5,423 | 0.8× |
| Laparoscopy, surgical, appendectomy (44970) unusually low: confirm this is the full procedure |
$2,276.73 | $2,678.50 | 0.4× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) likely a partial charge, not the full procedure |
$1,584.83 | $1,864.50 | 0.2× |
| Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) unusually low: confirm this is the full procedure |
$3,734.90 | $4,394 | 0.4× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) likely a partial charge, not the full procedure |
$2,616.73 | $3,078.50 | 0.2× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) unusually low: confirm this is the full procedure |
$2,013.65 | $2,369 | 0.3× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $3,777.83 | $4,444.50 | 0.6× |
| Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) likely a partial charge, not the full procedure |
$1,540.20 | $1,812 | 0.3× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) likely a partial charge, not the full procedure |
$1,006.40 | $1,184 | 0.2× |
| Laparoscopy, Tubal Block (58671) likely a partial charge, not the full procedure |
$933.30 | $1,098 | 0.2× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) likely a partial charge, not the full procedure |
$773.50 | $910 | 0.1× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) | $2,376.18 | $2,795.50 | 0.6× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) likely a partial charge, not the full procedure |
$2,408.90 | $2,834 | 0.2× |
| Laryngoscopy flexible diagnostic (31575) | $226.10 | $266 | 1.1× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) | $443.28 | $521.50 | 2.2× |
| Laryngoscopy W/Foreign Body Removal (31530) | $648.55 | $763 | 0.4× |
| Late closure of wound (13160) | $1,979.65 | $2,329 | 0.6× |
| Ligation or biopsy temporal artery (37609) | $858.93 | $1,010.50 | 0.5× |
| Litholapaxy comp/lg > 2.5 cm (52318) | $998.75 | $1,175 | 0.3× |
| Lithotripsy, extracorporeal shock wave (50590) | $704.45 | $828.77 | 0.2× |
| Lsh uterus 250 g or less (58541) likely a partial charge, not the full procedure |
$2,457.35 | $2,891 | 0.2× |
| Lsh uterus above 250 g (58543) likely a partial charge, not the full procedure |
$2,792.25 | $3,285 | 0.3× |
| Lsh w/t/o uterus above 250 g (58544) likely a partial charge, not the full procedure |
$3,018.78 | $3,551.50 | 0.3× |
| Manipulation knee joint under general anesthesia (27570) | $578.85 | $681 | 0.4× |
| Monocyte distribution width whole blood (0427U) | $78.20 | $92 | 17.5× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $791.78 | $931.50 | 1.1× |
| N Block Lumbar/Thoracic (64520) range across 2 matching MRF lines |
$226.10–$681.28 | $266–$801.50 | varies |
| Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$82.67–$413.10 | $97.26–$486 | varies |
| Needle Biopsy Lymph Nodes (38505) range across 2 matching MRF lines |
$147.02–$1,396.98 | $172.97–$1,643.50 | varies |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $54.83 | $64.50 | 1.9× |
| Needle insertion w/o injection 3 or more muscles (20561) | $78.63 | $92.50 | 2.8× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) | $1,548.28 | $1,821.50 | 0.8× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$594.58–$706.78 | $699.50–$831.50 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 3 matching MRF lines |
$671.08–$681.28 | $789.50–$801.50 | varies |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $681.28 | $801.50 | 1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $821.10 | $966 | 0.9× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$665.13–$668.53 | $782.50–$786.50 | varies |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $681.28 | $801.50 | 0.8× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$320.88–$681.28 | $377.50–$801.50 | varies |
| Open Repair of Rotator Cuff Acute (23410) unusually low: confirm this is the full procedure |
$2,188.75 | $2,575 | 0.3× |
| Open Treatment Bimalleolar Ankle Fracture (27814) unusually low: confirm this is the full procedure |
$2,372.35 | $2,791 | 0.3× |
| Open Treatment Medial Malleolus Fracture (27766) likely a partial charge, not the full procedure |
$1,290.73 | $1,518.50 | 0.2× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) likely a partial charge, not the full procedure |
$1,609.90 | $1,894 | 0.2× |
| Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair Facility (27557) likely a partial charge, not the full procedure |
$987.87 | $1,162.20 | 0.1× |
| Open treatment of ulnar styloid fracture (25652) likely a partial charge, not the full procedure |
$1,585.68 | $1,865.50 | 0.2× |
| Open Treatment Proximal Humeral Fracture (23615) likely a partial charge, not the full procedure |
$2,232.10 | $2,626 | 0.2× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) likely a partial charge, not the full procedure |
$1,316.23 | $1,548.50 | 0.2× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) range across 2 matching MRF lines |
$1,641.35–$1,641.78 | $1,931–$1,931.50 | varies |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $915.45 | $1,077 | 0.3× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) likely a partial charge, not the full procedure |
$1,538.50 | $1,810 | 0.2× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) unusually low: confirm this is the full procedure |
$2,824.55 | $3,323 | 0.4× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) unusually low: confirm this is the full procedure |
$2,592.08 | $3,049.50 | 0.4× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) likely a partial charge, not the full procedure |
$1,595.03 | $1,876.50 | 0.2× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) unusually low: confirm this is the full procedure |
$2,669.43 | $3,140.50 | 0.4× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) likely a partial charge, not the full procedure |
$2,086.33 | $2,454.50 | 0.2× |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) likely a partial charge, not the full procedure |
$2,734.88 | $3,217.50 | 0.2× |
| Ostectomy calcaneus (28118) | $1,172.58 | $1,379.50 | 0.4× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) | $1,067.60 | $1,256 | 0.3× |
| Partial Excision Distal Phalanx Finger (26236) | $1,479 | $1,740 | 0.9× |
| Partial removal of toe (28160) | $1,610.75 | $1,895 | 0.5× |
| Partical Excision Bone Phalanx Toe (28124) | $1,562.30 | $1,838 | 0.5× |
| Pelvic examination under anesthesia (other than local) (57410) | $2,500.28 | $2,941.50 | 0.8× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) | $765.85 | $901 | 0.2× |
| Pericardiocentesis W/Imaging (33016) | $1,327.28 | $1,561.50 | 0.9× |
| Peritoneal Lavage (49084) | $793.48 | $933.50 | 0.9× |
| Perq Cervicothoracic Inject (22510) range across 2 matching MRF lines |
$1,381.62–$2,388.50 | $1,625.43–$2,810 | varies |
| Perq device breast 1st imag (19281) range across 4 matching MRF lines |
$202.81–$218.88 | $238.60–$257.50 | varies |
| Perq Lumbosacral Injection (22511) range across 2 matching MRF lines |
$1,389.87–$2,373.63 | $1,635.14–$2,792.50 | varies |
| Perq skel fixj distal radial fx/epiphysl sep (25606) | $1,329.83 | $1,564.50 | 0.4× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) range across 2 matching MRF lines |
$1,475.23–$2,444.18 | $1,735.57–$2,875.50 | varies |
| Prosthesis Removal Humeral/Glenoid Component (23334) unusually low: confirm this is the full procedure |
$2,173.88 | $2,557.50 | 0.3× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) | $1,016.60 | $1,196 | 0.3× |
| Prq skel fixj metar fx w/manj (28476) | $1,119.03 | $1,316.50 | 0.3× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$303.45–$351.05 | $357–$413 | varies |
| Reconstruct Finger Joint (26548) | $1,733.15 | $2,039 | 0.5× |
| Removal Foreign Body Foot Subcutaneous (28190) | $629 | $740 | 0.9× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $733.98 | $863.50 | 0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $106.68 | $125.50 | 1.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$106.68–$107.95 | $125.50–$127 | varies |
| Removal Implant Deep (20680) range across 2 matching MRF lines |
$1,339.18–$1,376.58 | $1,575.50–$1,619.50 | varies |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$523.18–$671.50 | $615.50–$790 | varies |
| Removal of tendon for graft (20924) likely a partial charge, not the full procedure |
$1,207 | $1,420 | 0.2× |
| Removal shoulder foreign body deep subfascial/im (23333) | $1,141.98 | $1,343.50 | 0.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $224.40 | $264 | 1.1× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$202.30–$224.83 | $238–$264.50 | varies |
| Remove Intrauterine Device (58301) | $418.20 | $492 | 1.4× |
| Remove Nasal Foreign Body (30300) | $279.65 | $329 | 2.1× |
| Remove prostate regrowth (52630) likely a partial charge, not the full procedure |
$671.93 | $790.50 | 0.1× |
| Remove Skin Nerve Lesion (64774) | $1,138.58 | $1,339.50 | 0.6× |
| Remove Tendon Sheath Lesion (26160) | $1,073.98 | $1,263.50 | 0.7× |
| Repair Achilles Tendon (27650) likely a partial charge, not the full procedure |
$2,064.23 | $2,428.50 | 0.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$696.15–$871.68 | $819–$1,025.50 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $839.38 | $987.50 | 1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $466.23 | $548.50 | 1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$644.30–$765.85 | $758–$901 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $537.20 | $632 | 1.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$688.93–$906.95 | $810.50–$1,067 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $529.13 | $622.50 | 0.7× |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$758.63–$792.63 | $892.50–$932.50 | varies |
| Repair Hand Tendon (26410) | $1,086.30 | $1,278 | 0.7× |
| Repair inguinal hernia, sliding, any age (49525) | $1,978.80 | $2,328 | 0.6× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $1,738.68 | $2,045.50 | 0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $393.98 | $463.50 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 4 matching MRF lines |
$383.78–$596.70 | $451.50–$702 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 3 matching MRF lines |
$461.98–$562.70 | $543.50–$662 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$644.30–$688.08 | $758–$809.50 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $730.15 | $859 | 1.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $626.88 | $737.50 | 0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$494.70–$506.18 | $582–$595.50 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$485.78–$523.18 | $571.50–$615.50 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$345.10–$563.55 | $406–$663 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $1,585.25 | $1,865 | 0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$665.55–$702.10 | $783–$826 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$365.93–$497.68 | $430.50–$585.50 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$442–$538.90 | $520–$634 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$520.63–$755.23 | $612.50–$888.50 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
$636.65–$644.30 | $749–$758 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $1,585.25 | $1,865 | 0.8× |
| Repair Non/Malunion Humerus W/O Graft (24430) likely a partial charge, not the full procedure |
$2,674.95 | $3,147 | 0.2× |
| Repair of biceps tendon (24340) likely a partial charge, not the full procedure |
$1,538.93 | $1,810.50 | 0.2× |
| Repair of enterocele, vaginal approach (separate procedure) (57268) | $921.40 | $1,084 | 0.2× |
| Repair of hydrocele (55060) | $650.25 | $765 | 0.2× |
| Repair of metatarsals (28322) likely a partial charge, not the full procedure |
$1,479 | $1,740 | 0.2× |
| Repair of nail bed (11760) | $209.95 | $247 | 0.3× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) unusually low: confirm this is the full procedure |
$2,402.10 | $2,826 | 0.3× |
| Repair of shoulder (23420) unusually low: confirm this is the full procedure |
$2,402.95 | $2,827 | 0.3× |
| Repair Rotator Cuff Chronic (23412) likely a partial charge, not the full procedure |
$2,100.78 | $2,471.50 | 0.3× |
| Repair shoulder capsule (23462) likely a partial charge, not the full procedure |
$2,053.60 | $2,416 | 0.3× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) likely a partial charge, not the full procedure |
$1,900.60 | $2,236 | 0.3× |
| Replantation digit complete (20822) | $1,314.95 | $1,547 | 0.8× |
| Rerepair ing hernia reduce (49520) | $2,074.43 | $2,440.50 | 0.6× |
| Revis reconst shoulder joint (23473) likely a partial charge, not the full procedure |
$3,771.45 | $4,437 | 0.3× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) likely a partial charge, not the full procedure |
$3,782.93 | $4,450.50 | 0.3× |
| Revise ulnar nerve at wrist (64719) | $847.88 | $997.50 | 0.4× |
| Revj/rmvl peripheral neurostimulator electrode (64585) | $245.65 | $289 | 0.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $376.55 | $443 | 0.9× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $106.68 | $125.50 | 0.2× |
| Rmvl fecal impaction/fb spx under anes (45915) | $385.05 | $453 | 0.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $974.53 | $1,146.50 | 0.6× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $558.45 | $657 | 0.9× |
| Rplc Gtube No Revj Trc (43762) | $251.18 | $295.50 | 1.0× |
| Rplc gtube revj gstrst trc (43763) | $251.18 | $295.50 | 1.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) likely a partial charge, not the full procedure |
$1,020 | $1,200 | 0.2× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $813.03 | $956.50 | 0.2× |
| Rpr aa hrn 1st 3-10 rdc (49593) likely a partial charge, not the full procedure |
$943.08 | $1,109.50 | 0.1× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) likely a partial charge, not the full procedure |
$762.88 | $897.50 | 0.1× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $226.10 | $266 | 0.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$492.58–$529.98 | $579.50–$623.50 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $668.10 | $786 | 0.9× |
| Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) unusually low: confirm this is the full procedure |
$3,142.03 | $3,696.50 | 0.4× |
| Shave skin lesion 0.5 cm/< (11300) | $130.05 | $153 | 0.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $247.78 | $291.50 | 1.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $346.80 | $408 | 0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $174.68 | $205.50 | 0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $170.85 | $201 | 0.9× |
| Shoulder Arthroscopy/Surgery (29825) | $1,538.50 | $1,810 | 0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $174.68 | $205.50 | 0.9× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $346.80 | $408 | 0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $242.25 | $285 | 1.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $280.50 | $330 | 0.7× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $278.38 | $327.50 | 1.4× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $825.35 | $971 | 0.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $545.28 | $641.50 | 1.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$327.25–$365.93 | $385–$430.50 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$365.08–$405.45 | $429.50–$477 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $566.10 | $666 | 1.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$486.63–$511.70 | $572.50–$602 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $670.23 | $788.50 | 3.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$299.63–$331.93 | $352.50–$390.50 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $970.70 | $1,142 | 4.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$472.18–$507.88 | $555.50–$597.50 | varies |
| Skin sub graft face/nk/hf/g (15275) | $1,564.43 | $1,840.50 | 2.1× |
| Skin sub graft trnk/arm/leg (15271) | $1,564.43 | $1,840.50 | 2.1× |
| Skin sub grft t/arm/lg child (15273) | $2,948.65 | $3,469 | 1.4× |
| Skn sub grft f/n/hf/g child (15277) | $1,564.43 | $1,840.50 | 0.8× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) | $1,564.43 | $1,840.50 | 0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$365.93–$377.40 | $430.50–$444 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$515.53–$595.85 | $606.50–$701 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $702.10 | $826 | 1.7× |
| Sphincterotomy anal division sphincter spx (46080) | $986.43 | $1,160.50 | 0.4× |
| Spinal puncture lumbar diagnostic (62270) | $760.75 | $895 | 1.1× |
| Strapping thorax (29200) | $198.05 | $233 | 1.2× |
| Strapping Unna Boot (29580) | $209.53 | $246.50 | 1.3× |
| Suture infrapatellar tendon primary (27380) likely a partial charge, not the full procedure |
$1,243.55 | $1,463 | 0.2× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) likely a partial charge, not the full procedure |
$1,789.68 | $2,105.50 | 0.2× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) | $1,457.75 | $1,715 | 0.5× |
| Tenodesis long tendon biceps (23430) likely a partial charge, not the full procedure |
$1,828.78 | $2,151.50 | 0.3× |
| Tenotomy shoulder area single tendon (23405) likely a partial charge, not the full procedure |
$1,555.50 | $1,830 | 0.2× |
| Tlh uterus over 250 g (58572) unusually low: confirm this is the full procedure |
$3,235.95 | $3,807 | 0.3× |
| Total Knee Arthroplasty (27447) unusually low: confirm this is the full procedure |
$4,493.10 | $5,286 | 0.4× |
| Transur electr resection of prostate (52601) likely a partial charge, not the full procedure |
$839.22 | $987.32 | 0.2× |
| Treat ankle fracture (28445) unusually low: confirm this is the full procedure |
$2,209.15 | $2,599 | 0.3× |
| Treat elbow fracture (24586) likely a partial charge, not the full procedure |
$2,510.90 | $2,954 | 0.2× |
| Treat Elbow Fracture (24635) likely a partial charge, not the full procedure |
$1,682.58 | $1,979.50 | 0.2× |
| Treat Finger Fracture Each (26727) range across 2 matching MRF lines |
$1,247.80–$1,585.25 | $1,468–$1,865 | varies |
| Treat Fx Rad Extra-Articul (25607) unusually low: confirm this is the full procedure |
$2,166.23 | $2,548.50 | 0.3× |
| Treat Kneecap Fracture (27524) likely a partial charge, not the full procedure |
$1,524.90 | $1,794 | 0.2× |
| Treat Metatarsal Fracture (28475) | $417.78 | $491.50 | 1.7× |
| Treat scapula fracture (23585) likely a partial charge, not the full procedure |
$1,988.58 | $2,339.50 | 0.3× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $1,229.95 | $1,447 | 0.8× |
| Treatment closed elbow dislocation w/o anes (24600) | $646.43 | $760.50 | 2.7× |
| Trim skin lesion (11055) | $181.05 | $213 | 0.9× |
| Trim skin lesions 2 to 4 (11056) | $197.63 | $232.50 | 1.0× |
| Tubal ligation (58600) | $903.98 | $1,063.50 | 0.3× |
| Tx Gastro Intub W/Asp (43753) | $401.63 | $472.50 | 1.9× |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) | $3,856.45 | $4,537 | 0.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $702.10 | $826 | 1.0× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) likely a partial charge, not the full procedure |
$3,095.70 | $3,642 | 0.2× |
| Unlisted procedure nervous system (64999) | $226.10 | $266 | 0.7× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) | $1,526.18 | $1,795.50 | 0.3× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $669.80 | $788 | 0.3× |
| Wedge excision skin nail fold (11765) | $348.93 | $410.50 | 0.9× |
| Xfer Single Deep Low Leg Tendon (27691) likely a partial charge, not the full procedure |
$1,866.18 | $2,195.50 | 0.3× |
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.