Procedures & surgery prices at Bear Valley Community Hospital
Big Bear Lake, CA · every code in this section with a posted price and a Medicare benchmark.
425 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) | $678.50 | $969.29 | 0.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 3 matching MRF lines |
$270.03–$729.58 | $385.75–$1,042.25 | varies |
| Amputation toe interphalangeal joint (28825) | $2,158.80 | $3,084 | 0.5× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$60.90–$86.45 | $87–$123.50 | varies |
| Anoscopy W/Rmvl Foreign Body (46608) | $1,220.80 | $1,744 | 1.0× |
| Apheresis Platelets (36513) | $998.90 | $1,427 | 1.8× |
| Appendectomy (44950) likely a partial charge, not the full procedure |
$1,735.83 | $2,479.75 | 0.2× |
| Application cast elbow finger short arm (29075) | $63.13 | $90.18 | 0.2× |
| Application finger splint static (29130) | $3.96 | $5.65 | 0.0× |
| Application long arm splint shoulder hand (29105) | $71.74 | $102.49 | 0.3× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) | $81.65 | $116.64 | 0.2× |
| Application Long Leg Splint (29505) | $200.52 | $286.46 | 1.0× |
| Application of long leg cast (29345) | $282.98 | $404.25 | 0.8× |
| Application of rigid total contact leg cast (29445) | $506.45 | $723.50 | 1.4× |
| Application Short Arm Splint Dynamic (29126) | $295.58 | $422.25 | 1.7× |
| Application short arm splint forearm-hand static (29125) | $62.64 | $89.48 | 0.4× |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$298.76–$337.60 | $426.80–$482.28 | varies |
| Apply long arm cast (29065) | $66.37 | $94.82 | 0.2× |
| Apply Multlay Comprs Lwr Leg (29581) | $334.99 | $478.56 | 1.6× |
| Apply Short Leg Cast (29405) | $295.58 | $422.25 | 0.8× |
| Apply short leg cast (29425) | $60.36 | $86.23 | 0.2× |
| Arterial puncture (36600) | $45.57 | $65.10 | 0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) | $50.38 | $71.97 | 0.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 2 matching MRF lines |
$231–$343.18 | $330–$490.25 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) | $53.87 | $76.95 | 0.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $214.83 | $306.90 | 0.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $49.53 | $70.76 | 0.1× |
| Arthroscopy knee synovectomy limited spx (29875) | $1,037.58 | $1,482.25 | 0.2× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) | $1,384.60 | $1,978 | 0.3× |
| Aspirate pleura w/ imaging (32555) | $999.60 | $1,428 | 1.2× |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$655.73–$665.23 | $936.75–$950.33 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$350.69–$377.09 | $500.99–$538.70 | varies |
| Axillary lymphadenectomy; complete (38745) likely a partial charge, not the full procedure |
$1,851.50 | $2,645 | 0.2× |
| Biopsy bone trocar/needle deep (20225) | $2,954.70 | $4,221 | 1.4× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $2,954.70 | $4,221 | 1.4× |
| Biopsy/removal lymph nodes (38510) likely a partial charge, not the full procedure |
$655.73 | $936.75 | 0.1× |
| Bladder Irrigation (51700) | $353.33 | $504.75 | 1.1× |
| Bladder Scan (51798) | $56 | $80 | 0.7× |
| Blood Transfusion Service (36430) range across 3 matching MRF lines |
$693.53–$922.31 | $990.75–$1,317.58 | varies |
| Bx Cervix (57500) | $183.40 | $262 | 0.2× |
| Bx/exc lymph node open superficial (38500) likely a partial charge, not the full procedure |
$732.90 | $1,047 | 0.1× |
| Carpal Tunnel Surgery (64721) | $925.75 | $1,322.50 | 0.4× |
| Cautery Cervix Electro/Thermal (57510) | $231.53 | $330.75 | 0.1× |
| Change Cystostomy Tube Simple (51705) | $224 | $320 | 0.7× |
| Chemical Cautery Tissue (17250) | $377.09 | $538.70 | 1.5× |
| Chemical Pleurodesis (32560) | $347.20 | $496 | 0.4× |
| Chemodenervation of internal anal sphincter (46505) | $437.33 | $624.75 | 0.3× |
| Chest tube placement (32551) | $2,407.80 | $3,439.72 | 1.2× |
| Cl Tx Tib Shft Fx W Manip (27752) | $2,115.13 | $3,021.62 | 1.0× |
| Clear outer ear canal (69200) | $282.53 | $403.62 | 1.7× |
| Closed Rx Spontaneous Hip Disloc (27256) | $261.38 | $373.40 | 0.8× |
| Closed Treat Vert Body Fract (22310) | $266 | $380 | 0.8× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $979.30 | $1,399 | 0.5× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $579.80 | $828.29 | 1.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $399.26 | $570.37 | 1.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,267.50 | $1,810.71 | 0.6× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $368.73 | $526.75 | 1.2× |
| Closed tx knee dislocation w/o anesthesia (27550) | $382.55 | $546.50 | 1.2× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $437.50 | $625 | 0.2× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $346.50 | $495 | 0.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $336.57 | $480.82 | 1.1× |
| Closed tx radial head/neck fx w/manipulation (24655) | $1,025.14 | $1,464.48 | 0.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $368.73 | $526.75 | 1.2× |
| Closed tx radial shaft fracture w/manipulation (25505) | $757.11 | $1,081.59 | 0.4× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $1,102.65 | $1,575.22 | 0.5× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $368.73 | $526.75 | 1.2× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $266 | $380 | 0.8× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $416.66 | $595.23 | 0.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $274.05 | $391.50 | 0.9× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $1,025.14 | $1,464.48 | 0.5× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $368.73 | $526.75 | 1.2× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $910 | $1,300 | 0.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $225.40 | $322 | 0.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $455.35 | $650.50 | 0.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$353.33–$399.26 | $504.75–$570.37 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $262.50 | $375 | 0.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $813.94 | $1,162.77 | 2.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $491.40 | $702 | 1.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $1,025.14 | $1,464.48 | 0.5× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $1,397.90 | $1,997 | 0.7× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $1,025.14 | $1,464.48 | 0.5× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $292.60 | $418 | 0.9× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $236.08 | $337.25 | 0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $270.20 | $386 | 0.9× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $2,170.50 | $3,100.72 | 1.0× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $289.86 | $414.08 | 0.1× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $268.63 | $383.75 | 0.8× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $416.66 | $595.23 | 0.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $285.55 | $407.93 | 0.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $211.58 | $302.25 | 0.7× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $1,724.80 | $2,464 | 0.8× |
| Cltx Medial Ankle Fx (27760) | $297.85 | $425.50 | 0.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $463.53 | $662.18 | 1.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$254.70–$368.73 | $363.86–$526.75 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $545.54 | $779.34 | 1.7× |
| Cltx post hip arthrp dislc req anes (27266) | $249.82 | $356.89 | 0.1× |
| Cltx post hip arthrp dislc w/o anes (27265) | $334.95 | $478.50 | 1.1× |
| Cltx prox fibula/shft fx w/manj (27781) | $1,620.50 | $2,315 | 0.8× |
| Cltx prox fibula/shft fx w/o manj (27780) | $368.73 | $526.75 | 1.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 2 matching MRF lines |
$1,074.15–$1,155 | $1,534.50–$1,650 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $157.22 | $224.60 | 0.5× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $1,114.52 | $1,592.17 | 0.5× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) | $844.20 | $1,206 | 0.4× |
| Cltx tibial shaft fx w/o manipulation (27750) | $368.73 | $526.75 | 1.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $1,224.47 | $1,749.24 | 0.6× |
| Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$8.40–$24.50 | $12–$35 | varies |
| Colonoscopy w/ablation (45388) | $1,026.03 | $1,465.75 | 0.7× |
| Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) | $512.93 | $732.75 | 0.1× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $197.05 | $281.50 | 0.5× |
| Colposcopy cervix upper/adjacent vagina (57452) | $84.70 | $121 | 0.3× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $786.80 | $1,124 | 0.5× |
| Complex drainage wound (10180) | $2,877 | $4,110 | 0.8× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $897.23 | $1,281.75 | 0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $193.35 | $276.21 | 1.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $404.60 | $578 | 2.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $325.50 | $465 | 1.9× |
| Curette/treat cornea (65435) | $585.90 | $837 | 0.5× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $350 | $500 | 0.7× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $1,102.15 | $1,574.50 | 1.2× |
| Debride nail 1-5 (11720) | $116.90 | $167 | 1.5× |
| Debride nail 6 or more (11721) | $116.90 | $167 | 1.5× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$1,009.40–$2,747.87 | $1,442–$3,925.53 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 4 matching MRF lines |
$675.42–$726.25 | $964.88–$1,037.50 | varies |
| Delivery of placenta (59414) | $1,528.80 | $2,184 | 0.4× |
| Destruct B9 Lesion 1-14 (17110) | $70.95 | $101.35 | 0.3× |
| Destruction Benign Lesions 15/> (17111) | $133.35 | $190.50 | 0.5× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $265.30 | $379 | 1.0× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $328.83 | $469.75 | 1.3× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) | $393.23 | $561.75 | 0.8× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) | $459.73 | $656.75 | 0.5× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) | $590.10 | $843 | 0.6× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $189.70 | $271 | 0.7× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $236.78 | $338.25 | 0.9× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) | $284.73 | $406.75 | 1.1× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) | $317.98 | $454.25 | 0.6× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) | $404.08 | $577.25 | 0.8× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $215.95 | $308.50 | 0.8× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $192.85 | $275.50 | 0.7× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $226.80 | $324 | 0.9× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) | $274.75 | $392.50 | 1.1× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) | $328.83 | $469.75 | 0.6× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) | $402.68 | $575.25 | 0.8× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $156.45 | $223.50 | 0.6× |
| Destruction of skin lesions (17106) | $435.93 | $622.75 | 0.8× |
| Destruction Premalignant Lesion 15/> (17004) | $397.95 | $568.50 | 0.8× |
| Destruction premalignant lesion 1st (17000) | $81.90 | $117 | 0.3× |
| Diagnostic sigmoidoscopy (45330) range across 2 matching MRF lines |
$127.23–$1,658.65 | $181.75–$2,369.50 | varies |
| Drain/inj small joint/bursa w/us (20604) | $231 | $330 | 0.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $324.80 | $464 | 0.4× |
| Drainage Mouth Roof Lesion (42000) | $272.13 | $388.75 | 0.9× |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$427.28–$3,094.70 | $610.40–$4,421 | varies |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$2,954.70–$3,497.01 | $4,221–$4,995.73 | varies |
| Drainage of rectal abscess (45005) | $964.43 | $1,377.75 | 0.6× |
| Drainage of scrotal wall abscess (55100) range across 2 matching MRF lines |
$451.33–$569.80 | $644.75–$814 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $726.25 | $1,037.50 | 1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $377.09 | $538.70 | 1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $377.09 | $538.70 | 1.5× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) | $476.88 | $681.25 | 0.9× |
| Egd Flexible Foreign Body Removal (43247) | $594.13 | $848.75 | 0.5× |
| Endometrial Biopsy (58100) | $69.65 | $99.50 | 0.3× |
| Enterorrhaphy single perforation (44602) | $242.90 | $347 | 0.0× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) | $3,602.27 | $5,146.10 | 1.4× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) | $3,602.27 | $5,146.10 | 1.4× |
| Epidural Blood Patch (62273) | $99.58 | $142.25 | 0.1× |
| Episiotomy or vaginal repair (59300) | $1,470 | $2,100 | 0.4× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$235.13–$265.70 | $335.90–$379.57 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $238.35 | $340.50 | 0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $563.85 | $805.50 | 0.3× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) likely a partial charge, not the full procedure |
$559.48 | $799.25 | 0.1× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $506.10 | $723 | 0.6× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $749.18 | $1,070.25 | 0.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $501.38 | $716.25 | 0.6× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $220.68 | $315.25 | 0.2× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 2 matching MRF lines |
$287.70–$840 | $411–$1,200 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $375.73 | $536.75 | 0.2× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $501.38 | $716.25 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$398.65–$840 | $569.50–$1,200 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $202.30 | $289 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$208.43–$268.63 | $297.75–$383.75 | varies |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) | $323.40 | $462 | 0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $398.65 | $569.50 | 0.4× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $420.35 | $600.50 | 0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $569.98 | $814.25 | 0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $502.95 | $718.50 | 0.2× |
| Exc Skin Benig >4cm Face,Facial (11446) | $657.13 | $938.75 | 0.2× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $405.13 | $578.75 | 0.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $753.73 | $1,076.75 | 0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $635.60 | $908 | 0.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $1,305.50 | $1,865 | 0.8× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $238.35 | $340.50 | 0.5× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $173.78 | $248.25 | 0.2× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $910.35 | $1,300.50 | 0.4× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) | $501.38 | $716.25 | 0.1× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $380.98 | $544.25 | 0.4× |
| Excision lesion tendon sheath forearm&/wrist (25110) | $736.93 | $1,052.75 | 0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $207.73 | $296.75 | 0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $246.23 | $351.75 | 0.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $301 | $430 | 0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $461.48 | $659.25 | 0.5× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $304.68 | $435.25 | 0.3× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $624.05 | $891.50 | 0.3× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $916.48 | $1,309.25 | 0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $258.48 | $369.25 | 0.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $332.33 | $474.75 | 0.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $407.40 | $582 | 0.4× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $611.80 | $874 | 0.3× |
| Excision Multiple External Papillae/Tags Anus (46230) | $272.13 | $388.75 | 0.1× |
| Excision nasal polyp(s) simple (30110) | $287 | $410 | 0.1× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $501.38 | $716.25 | 0.2× |
| Excision of pilonidal cyst or sinus; simple (11770) | $580.83 | $829.75 | 0.2× |
| Excision of single external papilla or tag, anus (46220) | $191.45 | $273.50 | 0.1× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $909.48 | $1,299.25 | 0.2× |
| Excision/surgical planing skin nose rhinophyma (30120) | $1,498.18 | $2,140.25 | 0.4× |
| Explo/Drain Breast Abscess (19020) | $405.13 | $578.75 | 0.2× |
| Exploration penetrating wound spx extremity (20103) | $781.20 | $1,116 | 0.4× |
| Fetal non-stress test (59025) | $36.75 | $52.50 | 0.1× |
| Fine needle aspiration without imaging guidance (10021) | $589.40 | $842 | 1.1× |
| Goniotomy (65820) unusually low: confirm this is the full procedure |
$2,391.90 | $3,417 | 0.4× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $282.14 | $403.06 | 0.2× |
| I&d abscess peritonsillar (42700) | $324.80 | $464 | 1.1× |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$375.90–$424.77 | $537–$606.81 | varies |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) | $1,118.60 | $1,598 | 0.3× |
| I&d perianal abscess superficial (46050) | $324.80 | $464 | 0.3× |
| I&d pilonidal cyst complicated (10081) | $482.30 | $689 | 0.5× |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$1,214.70–$1,306.13 | $1,735.29–$1,865.90 | varies |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $347.20 | $496 | 0.1× |
| Incise external hemorrhoid (46083) | $1,305.50 | $1,865 | 4.1× |
| Incision & drainage abscess complicated/multiple (10061) | $103.66 | $148.09 | 0.2× |
| Incision & removal foreign body subq tiss compl (10121) | $1,129.80 | $1,614 | 0.5× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$726.25–$820.67 | $1,037.50–$1,172.38 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $359.35 | $513.36 | 1.4× |
| Incision and drainage of vulva or perineal abscess (56405) | $386.40 | $552 | 1.0× |
| Incision extensor tendon sheath wrist (25000) | $798.53 | $1,140.75 | 0.4× |
| Incision of rectal abscess (46040) range across 3 matching MRF lines |
$805.35–$937.34 | $1,150.50–$1,339.05 | varies |
| Incision&drainage bursa foot (28001) | $2,954.70 | $4,221 | 1.4× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $1,130.50 | $1,615 | 0.5× |
| Incisional biopsy skin single lesion (11106) | $136.84 | $195.48 | 0.1× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $377.09 | $538.70 | 1.5× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$331.63–$347.96 | $473.75–$497.09 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $192.50 | $275 | 0.5× |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 2 matching MRF lines |
$511.04–$549.50 | $730.05–$785 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $455 | $650 | 0.5× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $343.18 | $490.25 | 0.9× |
| Injection single tendon origin/insertion (20551) | $192.50 | $275 | 0.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $319.15 | $455.93 | 0.8× |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$157.50–$514.50 | $225–$735 | varies |
| Injection therapeutic carpal tunnel (20526) | $192.50 | $275 | 0.5× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $455 | $650 | 0.4× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $514.15 | $734.50 | 0.6× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$454.30–$513.36 | $649–$733.37 | varies |
| Insert Bladder Cath Complex (51703) | $244.42 | $349.17 | 1.5× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$443.80–$813.75 | $634–$1,162.50 | varies |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$152.17–$163.63 | $217.39–$233.75 | varies |
| Insert tunneled cv cath (36561) | $613.20 | $876 | 0.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 3 matching MRF lines |
$243.60–$283.58 | $348–$405.11 | varies |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $756.70 | $1,081 | 0.2× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $614.60 | $878 | 1.2× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $657.30 | $939 | 1.3× |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$588.01–$780.85 | $840.02–$1,115.50 | varies |
| Lap revision perm ip cath (49325) likely a partial charge, not the full procedure |
$925.75 | $1,322.50 | 0.1× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) likely a partial charge, not the full procedure |
$636.65 | $909.50 | 0.1× |
| Laparoscopy, surgical, appendectomy (44970) likely a partial charge, not the full procedure |
$1,427.30 | $2,039 | 0.2× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) likely a partial charge, not the full procedure |
$1,851.50 | $2,645 | 0.1× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) likely a partial charge, not the full procedure |
$925.75 | $1,322.50 | 0.1× |
| Lithotripsy, extracorporeal shock wave (50590) | $2,600.68 | $3,715.25 | 0.6× |
| Mastectomy partial w/axillary lymphadenectomy (19302) likely a partial charge, not the full procedure |
$1,350.13 | $1,928.75 | 0.2× |
| N block inj intercost sng (64420) | $455 | $650 | 0.5× |
| Nasal/Orogastric W/Tube Plmt (43752) | $249.90 | $357 | 0.4× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $627.06 | $895.80 | 1.5× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$260.40–$343.18 | $372–$490.25 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $308.53 | $440.75 | 0.3× |
| Njx Sclrsnt Spider Veins (36468) | $189.70 | $271 | 0.4× |
| Occipital Nerve Block (64405) | $207.73 | $296.75 | 0.5× |
| Open Treatment Bimalleolar Ankle Fracture (27814) likely a partial charge, not the full procedure |
$1,362.90 | $1,947 | 0.1× |
| Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21811) likely a partial charge, not the full procedure |
$1,155 | $1,650 | 0.1× |
| Open Treatment Radial Shaft Fracture (25515) likely a partial charge, not the full procedure |
$1,404.90 | $2,007 | 0.2× |
| Peritoneal Lavage (49084) | $490 | $700 | 0.4× |
| Perq device breast 1st imag (19281) range across 2 matching MRF lines |
$87.33–$492.10 | $124.75–$703 | varies |
| Placement of needle for intraosseous infusion (36680) | $335.38 | $479.12 | 0.6× |
| Punch biopsy skin single lesion (11104) | $68.42 | $97.74 | 0.1× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$675.42–$726.25 | $964.88–$1,037.50 | varies |
| Puncture Aspiration Cyst Breast (19000) | $99.58 | $142.25 | 0.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Facility (21015) | $1,310.05 | $1,871.50 | 0.4× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) | $1,995 | $2,850 | 0.4× |
| Removal Embedded Foreign Body Eyelid (67938) | $191.80 | $274 | 0.5× |
| Removal Foreign Body Foot Complicated (28193) | $1,129.10 | $1,613 | 0.5× |
| Removal foreign body foot deep (28192) | $976.50 | $1,395 | 0.5× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$1,306.13–$1,475.93 | $1,865.90–$2,108.47 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $840 | $1,200 | 0.4× |
| Removal Foreign Body Pelvis/Hip Deep (27087) | $1,820 | $2,600 | 0.4× |
| Removal foreign body upper arm/elbow deep (24201) | $1,129.80 | $1,614 | 0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $51.10 | $73 | 0.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $51.10 | $73 | 0.7× |
| Removal of foreign body from pharynx (42809) | $77 | $110 | 0.1× |
| Removal of nail bed (11750) | $278.60 | $398 | 0.5× |
| Removal of testis (54520) | $617.23 | $881.75 | 0.1× |
| Removal shoulder foreign body deep subfascial/im (23333) | $994 | $1,420 | 0.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $63.25 | $90.36 | 0.2× |
| Removal/bivalving gauntlet boot/body cast (29700) | $506.45 | $723.50 | 1.4× |
| Remove foreign body from eye (65205) | $101.50 | $145 | 0.6× |
| Remove groin lymph nodes (38760) likely a partial charge, not the full procedure |
$655.73 | $936.75 | 0.1× |
| Remove lung catheter (32552) | $270.03 | $385.75 | 0.3× |
| Remove Nasal Foreign Body (30300) | $88.79 | $126.84 | 0.5× |
| Remove Shoulder Foreign Body (23330) | $840 | $1,200 | 0.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $539.03 | $770.04 | 0.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $1,121.64 | $1,602.34 | 1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $627.26 | $896.09 | 1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $983.21 | $1,404.59 | 1.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $493.50 | $705 | 0.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$385.70–$1,265.60 | $551–$1,808 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $1,120 | $1,600 | 1.2× |
| Repair complex trunk 2.6-7.5 cm (13101) | $638.40 | $912 | 0.7× |
| Repair extensor tendon finger w/o graft each (26418) | $1,792 | $2,560 | 0.9× |
| Repair Finger/Hand Tendon (26350) | $1,820 | $2,600 | 0.4× |
| Repair Hand Tendon (26410) | $1,225.70 | $1,751 | 0.6× |
| Repair inguinal hernia, sliding, any age (49525) | $1,253.88 | $1,791.25 | 0.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $1,195.78 | $1,708.25 | 0.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $330.71 | $472.44 | 0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $311.18 | $444.54 | 0.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $427 | $610 | 0.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $555.80 | $794 | 1.1× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $677.60 | $968 | 1.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $464.10 | $663 | 0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $355.60 | $508 | 0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$238.92–$405.13 | $341.31–$578.75 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $321.30 | $459 | 0.3× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $674.10 | $963 | 0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $365.40 | $522 | 0.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $287 | $410 | 0.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$376.32–$424.38 | $537.60–$606.25 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $599.20 | $856 | 0.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$663.60–$773.60 | $948–$1,105.14 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 2 matching MRF lines |
$459.90–$625.80 | $657–$894 | varies |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) likely a partial charge, not the full procedure |
$1,990.28 | $2,843.25 | 0.2× |
| Repair of metatarsals (28322) likely a partial charge, not the full procedure |
$655.73 | $936.75 | 0.1× |
| Repair of nail bed (11760) | $350 | $500 | 0.4× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) likely a partial charge, not the full procedure |
$795.90 | $1,137 | 0.1× |
| Repair tongue laceration (41252) | $1,283.80 | $1,834 | 4.2× |
| Repair tongue laceration (41250) | $251.30 | $359 | 0.4× |
| Revise eyelashes (67825) | $191.45 | $273.50 | 0.5× |
| Rmvl embedded fb vestibule mouth comp (40805) | $2,128 | $3,040 | 3.1× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $165.90 | $237 | 0.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $325.83 | $465.47 | 0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $140.70 | $201 | 0.8× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $146.30 | $209 | 0.3× |
| Rmvl fecal impaction/fb spx under anes (45915) | $1,305.50 | $1,865 | 0.8× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) | $1,130.50 | $1,615 | 0.3× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $669.88 | $956.97 | 0.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $316.23 | $451.75 | 0.4× |
| Rplc Gtube No Revj Trc (43762) | $384.30 | $549 | 1.2× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $474.60 | $678 | 1.8× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $645.40 | $922 | 0.7× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $624.40 | $892 | 2.0× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $865.55 | $1,236.50 | 0.2× |
| Shave skin lesion 0.5 cm/< (11300) | $91.18 | $130.25 | 0.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $115.68 | $165.25 | 0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $232.23 | $331.75 | 0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $99.58 | $142.25 | 0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $128.63 | $183.75 | 0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $159.78 | $228.25 | 0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $208.43 | $297.75 | 0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $147.53 | $210.75 | 0.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $178.15 | $254.50 | 0.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $116.38 | $166.25 | 0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $198.28 | $283.25 | 0.4× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $155.05 | $221.50 | 0.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $533.40 | $762 | 1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$169.75–$284.37 | $242.50–$406.24 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $263.66 | $376.65 | 1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $278.63 | $398.04 | 1.1× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $700 | $1,000 | 2.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$125.83–$426.11 | $179.75–$608.73 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $417.20 | $596 | 1.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$212.28–$604.78 | $303.25–$863.97 | varies |
| Skin sub graft face/nk/hf/g (15275) | $3,602.27 | $5,146.10 | 3.8× |
| Skin sub graft trnk/arm/leg (15271) | $3,602.27 | $5,146.10 | 3.8× |
| Skin sub grft t/arm/lg child (15273) | $7,396.55 | $10,566.50 | 2.8× |
| Skn sub grft f/n/hf/g child (15277) | $3,602.27 | $5,146.10 | 1.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$377.09–$426.11 | $538.70–$608.73 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$250.95–$886.71 | $358.50–$1,266.73 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $288.40 | $412 | 0.6× |
| Spinal puncture lumbar diagnostic (62270) | $696.08 | $994.40 | 0.8× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $7,396.55 | $10,566.50 | 1.6× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $3,602.27 | $5,146.10 | 1.4× |
| Strapping ankle (29540) | $3.26 | $4.65 | 0.0× |
| Strapping elbow or wrist (29260) | $3.96 | $5.65 | 0.1× |
| Strapping hand/finger (29280) | $3.96 | $5.65 | 0.1× |
| Strapping knee (29530) | $3.26 | $4.65 | 0.0× |
| Strapping shoulder (29240) range across 2 matching MRF lines |
$3.96–$58.10 | $5.65–$83 | varies |
| Strapping thorax (29200) | $3.50 | $5 | 0.0× |
| Strapping toes (29550) | $3.26 | $4.65 | 0.0× |
| Strapping Unna Boot (29580) | $296.45 | $423.50 | 1.4× |
| Tangential biopsy skin single lesion (11102) | $68.42 | $97.74 | 0.1× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $2,954.70 | $4,221 | 1.4× |
| Therapeutic pneumothorax (32960) | $588.70 | $841 | 0.7× |
| Thrombolytic Therapy Stroke (37195) | $823.90 | $1,177 | 1.9× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $1,283.80 | $1,834 | 4.2× |
| Translum Dil Eye Canal (66174) | $2,799.71 | $3,999.59 | 0.5× |
| Treat humerus fracture (24500) | $297.85 | $425.50 | 0.9× |
| Treat Humerus Fracture (24505) | $958.69 | $1,369.56 | 0.5× |
| Treat Knuckle Dislocation (26700) | $229.39 | $327.70 | 0.7× |
| Treat Metatarsal Fracture (28475) | $434.70 | $621 | 1.4× |
| Treat Tail Bone Fracture (27200) | $266 | $380 | 0.8× |
| Treat Thumb Dislocation (26641) | $353.33 | $504.75 | 1.1× |
| Treat toe dislocation (28630) | $266 | $380 | 0.8× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $368.73 | $526.75 | 0.2× |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$184.28–$342.92 | $263.25–$489.88 | varies |
| Trim skin lesion (11055) | $377.09 | $538.70 | 1.5× |
| Trim skin lesions 2 to 4 (11056) | $377.09 | $538.70 | 1.5× |
| Trim skin lesions over 4 (11057) | $377.09 | $538.70 | 1.5× |
| Trimming Nondystrophic Nails Any Number (11719) | $116.90 | $167 | 1.5× |
| Tx Gastro Intub W/Asp (43753) | $223.83 | $319.75 | 0.8× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) likely a partial charge, not the full procedure |
$1,757.53 | $2,510.75 | 0.1× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $509.25 | $727.50 | 0.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $1,100.75 | $1,572.50 | 1.2× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $368.73 | $526.75 | 1.2× |
| Unlisted Procedure Casting/Strapping (29799) | $212.10 | $303 | 1.0× |
| Unlisted procedure colon (45399) | $667.28 | $953.25 | 0.6× |
| Unlisted Procedure Vascular Surgery (37799) | $165.03 | $235.75 | 0.2× |
| Vaginal delivery only (59409) | $2,751 | $3,930 | 0.7× |
| Vein Access Cutdown < 1 Yr (36420) | $52.50 | $75 | 0.3× |
| Venous Cutdown >1 Y/O (36425) | $77 | $110 | 0.1× |
| Wedge excision skin nail fold (11765) | $287 | $410 | 0.5× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) | $5,705.70 | $8,151 | 0.8× |
| Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+ (66989) | $5,705.70 | $8,151 | 0.8× |
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.