Procedures & surgery prices at Beatrice Community Hospital & Health Center, Inc

Beatrice, NE · every code in this section with a posted price and a Medicare benchmark.

531 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines		 $1,215–$1,366 $1,215–$1,366 varies
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $575 $575 0.4×
Acne surgery (10040) $245 $245 1.2×
Amputate Metacarpal Bone (26910) $1,787 $1,787 0.5×
Amputation toe interphalangeal joint (28825) $961 $961 0.3×
Anoscopy diagnostic (46600) $177 $177 1.3×
Anoscopy; with biopsy, single or multiple (46606) $982 $982 0.8×
Application cast elbow finger short arm (29075) $428 $428 1.5×
Application finger splint static (29130) $280 $280 2.0×
Application long arm splint shoulder hand (29105) $314 $314 1.9×
Application Long Leg Splint (29505) $359 $359 2.1×
Application of rigid total contact leg cast (29445) $753 $753 2.6×
Application Short Arm Splint Dynamic (29126) $215 $215 1.6×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $230–$403 $230–$403 varies
Application short leg splint calf foot (29515) $359 $359 2.1×
Apply long arm cast (29065) $378 $378 1.3×
Apply Multlay Comprs Lwr Leg (29581)
range across 4 matching MRF lines		 $184–$515 $184–$515 varies
Apply Short Leg Cast (29405) $647 $647 2.2×
Arterial puncture (36600) $86 $86 0.6×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $667–$1,167 $667–$1,167 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 4 matching MRF lines		 $123–$1,666 $123–$1,666 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines		 $311–$653 $311–$653 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 4 matching MRF lines		 $140–$686 $140–$686 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $246–$430 $246–$430 varies
Arthrodesis triple (28715)
likely a partial charge, not the full procedure		 $107 $107 0.0×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $1,415 $1,415 0.4×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $813–$1,189 $813–$1,189 varies
Aspirate Pleura W/O Imaging (32554) $1,117 $1,117 1.7×
Aspirate/Inj Ganglion Cyst (20612) $113 $113 0.4×
Avulsion nail plate partial/complete simple 1 (11730) $276 $276 1.3×
Biopsy Abdominal Mass (49180) $794 $794 0.5×
Biopsy bone open superficial (20240) $4,238 $4,238 1.4×
Biopsy external ear (69100) $245 $245 1.0×
Biopsy muscle percutaneous needle (20206) $1,826 $1,826 1.1×
Biopsy of liver, needle; percutaneous (47000) $1,153 $1,153 0.7×
Biopsy Salivary Gland Needle (42400) $1,750 $1,750 2.4×
Biopsy soft tissue neck/thorax (21550) $578 $578 0.3×
Biopsy Tongue Anterior Two-Thirds (41100) $349 $349 0.6×
Bladder instillation anticarcinogenic agent (51720) $740 $740 1.0×
Bladder Irrigation (51700) $538 $538 2.1×
Bladder Scan (51798)
range across 2 matching MRF lines		 $47–$138 $47–$138 varies
Blepharotomy drainage abscess eyelid (67700) $569 $569 1.7×
Blood Transfusion Service (36430) $856 $856 1.9×
Bone Marrow Biopsy (38221) $756 $756 0.4×
Bone Marrow; Aspiration Only (38220) $170 $170 0.1×
Bx breast 1st lesion strtctc (19081) $2,838 $2,838 1.7×
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines		 $1,700–$2,550 $1,700–$2,550 varies
Bx breast needle core w/o imaging guidance spx (19100)
range across 2 matching MRF lines		 $161–$838 $161–$838 varies
Bx/exc lymph node open superficial (38500) $4,000 $4,000 1.0×
Catheter aspiration nasotracheal spx (31720) $209 $209 0.9×
Change Cystostomy Tube Complicated (51710)
range across 2 matching MRF lines		 $152–$1,503 $152–$1,503 varies
Change Cystostomy Tube Simple (51705) $561 $561 2.2×
Chemical Cautery Tissue (17250) $385 $385 1.8×
Chemodenerv Eccrine Glands (64650)
range across 2 matching MRF lines		 $93–$467 $93–$467 varies
Chemodenerv Musc Migraine (64615)
range across 2 matching MRF lines		 $266–$524 $266–$524 varies
Chemodenervation of internal anal sphincter (46505) $576 $576 0.5×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 2 matching MRF lines		 $269–$393 $269–$393 varies
Chest tube placement (32551) $1,760 $1,760 1.1×
Circumcision w/clamp/oth dev w/block (54150) $2,896 $2,896 1.3×
Cl Tx Tib Shft Fx W Manip (27752) $1,921 $1,921 1.2×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $168–$320 $168–$320 varies
Closed Treat Vert Body Fract (22310) $723 $723 2.8×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $411 $411 1.6×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $382 $382 0.2×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $586 $586 2.3×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $435 $435 1.7×
Closed Treatment Sternum Fracture (21820) $344 $344 1.3×
Closed tx ankle dislocation w/o anesthesia (27840) $1,259 $1,259 4.9×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,004 $1,004 0.6×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $707 $707 2.8×
Closed tx metatarsal fracture w/o manipulation (28470) $560 $560 2.2×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 2 matching MRF lines		 $387–$1,526 $387–$1,526 varies
Closed tx patellar dislocation w/anesthesia (27562) $1,155 $1,155 4.5×
Closed tx patellar dislocation w/o anesthesia (27560) $411 $411 1.6×
Closed Tx Patellar Fracture W/O Manipulation (27520) $271 $271 1.1×
Closed tx radial head/neck fx w/manipulation (24655) $1,294 $1,294 0.8×
Closed tx radial head/neck fx w/o manipulation (24650) $347 $347 1.4×
Closed tx radial shaft fracture w/manipulation (25505) $1,362 $1,362 0.8×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,574 $1,574 0.9×
Closed tx talus fracture w/o manipulation (28430) $458 $458 1.8×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $304 $304 1.2×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $676 $676 0.4×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $359 $359 1.4×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $481 $481 2.0×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $1,137 $1,137 2.0×
Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) $1,399 $1,399 0.4×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $1,585 $1,585 0.9×
Clsd tx clavicular fracture w/o manipulation (23500) $347 $347 1.4×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,470 $2,470 1.5×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $411 $411 1.6×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $2,244 $2,244 1.3×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $560 $560 0.3×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $722 $722 2.8×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $411 $411 0.2×
Cltx dstl fibular fx lat malls w/manj (27788) $411 $411 1.6×
Cltx dstl fibular fx lat malls w/o manj (27786) $435 $435 1.7×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $411 $411 1.6×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $458 $458 1.8×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $411 $411 1.6×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,574 $1,574 0.9×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $134 $134 0.1×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,500 $1,500 0.9×
Cltx fx grt toe phlx/phlg w/manj (28495) $411 $411 1.6×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $411 $411 1.6×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $411 $411 1.6×
Cltx hip dislocation traumatic w/o anesthesia (27250) $411 $411 1.6×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $2,195 $2,195 1.3×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $411 $411 1.6×
Cltx iphal jt dislc w/manj w/o anes (26770) $411 $411 1.6×
Cltx Med Ankle Fx W/Mnpj (27762) $2,680 $2,680 1.6×
Cltx Medial Ankle Fx (27760) $435 $435 1.7×
Cltx metacarpal fx w/manipulation each bone (26605) $411 $411 1.6×
Cltx metacarpal fx w/o manipulation each bone (26600) $435 $435 1.7×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $411 $411 1.6×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $346 $346 1.4×
Cltx post hip arthrp dislc req anes (27266) $2,555 $2,555 1.5×
Cltx post hip arthrp dislc w/o anes (27265) $411 $411 1.6×
Cltx prox fibula/shft fx w/manj (27781) $1,921 $1,921 1.2×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,585 $1,585 0.9×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $411 $411 1.6×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $411 $411 1.6×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,290 $1,290 0.8×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $458 $458 0.3×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,177 $1,177 0.7×
Cltx tibial fx proximal w/o manipulation (27530) $347 $347 1.4×
Cltx trimalleolar ankle fx w/manipulation (27818) $971 $971 0.6×
Coccygectomy, primary (27080) $1,159 $1,159 0.3×
Collect Blood From Catheter Venous Nos (36592) $198 $198 1.4×
Collection of venous blood by venipuncture (36415) $31 $31 3.3×
Colonoscopy thru stoma (44388) $2,885 $2,885 3.0×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $3,393 $3,393 2.7×
Colonoscopy W/Resection (45390) $564 $564 0.2×
Colonoscopy w/submucosal inj (45381)
range across 2 matching MRF lines		 $564–$2,460 $564–$2,460 varies
Colposcopy cervix upper/adjacent vagina (57452) $229 $229 1.1×
Colposcopy entire vagina w/cervix if present (57420) $200 $200 0.6×
Colsc Flexible W/Control Bleeding Any Method (45382) $3,859 $3,859 3.1×
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 2 matching MRF lines		 $702–$3,393 $702–$3,393 varies
Control Nasal Hemorrhage Anterior Complex (30903) $285 $285 2.1×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $285–$512 $285–$512 varies
Control oropharyngeal hemorrhage simple (42960) $266 $266 0.5×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $285 $285 2.1×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $285 $285 1.2×
Cysto calibration dilat urtl strix/stenosis (52281) $2,627 $2,627 1.2×
Cysto w/destruction of lesions (52214)
range across 2 matching MRF lines		 $400–$2,627 $400–$2,627 varies
Cysto w/removal of tumors small (52234) $3,877 $3,877 1.1×
Cysto W/Simple Removal Stone & Stent (52310) $3,523 $3,523 1.6×
Cystourethroscopy (52000)
range across 3 matching MRF lines		 $498–$1,122 $498–$1,122 varies
Cystourethroscopy inj chemodenervation bladder (52287) $382 $382 0.2×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $3,877 $3,877 1.1×
Cystourethroscopy with biopsy (52204) $1,716 $1,716 0.8×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $587 $587 1.4×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $1,136 $1,136 0.4×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $1,783 $1,783 2.4×
Deb Musc/Fascia 20 Sq Cm/< (11043) $683 $683 0.9×
Debride nail 1-5 (11720) $75 $75 1.2×
Debride nail 6 or more (11721) $90 $90 1.5×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $2,999 $2,999 1.7×
Debridement subcutaneous tissue 20 sq cm/< (11042) $717 $717 1.7×
Declot vascular device (36593) $644 $644 1.9×
Delivery of placenta (59414) $598 $598 0.2×
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines		 $529–$3,947 $529–$3,947 varies
Destroy lumb/sac facet jnt (64635)
range across 4 matching MRF lines		 $446–$6,907 $446–$6,907 varies
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $270–$311 $270–$311 varies
Destruction Benign Lesions 15/> (17111) $312 $312 1.5×
Destruction by neurolytic agent, intercostal nerve (64620)
range across 2 matching MRF lines		 $413–$1,742 $413–$1,742 varies
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $430 $430 2.1×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $491 $491 2.4×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $589 $589 1.4×
Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) $864 $864 1.1×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $349 $349 1.7×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $426 $426 2.0×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $458 $458 2.2×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $342 $342 1.6×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $365 $365 1.8×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $394 $394 1.9×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $451 $451 2.2×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $227 $227 1.1×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 2 matching MRF lines		 $3,947–$6,907 $3,947–$6,907 varies
Destruction Premalignant Lesion 15/> (17004) $410 $410 1.0×
Destruction premalignant lesion 1st (17000) $385 $385 1.8×
Diagnostic sigmoidoscopy (45330) $2,460 $2,460 2.5×
Diaphragm or cervical cap fitting with instructions (57170) $159 $159 0.8×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $381 $381 0.3×
Dilat Urethral Strix Dilator Male Sbsq (53601) $283 $283 2.0×
Dilate Urethra Stricture (53600) $807 $807 3.1×
Dilation of vagina (57400) $23 $23 0.0×
Disarticulation of shoulder; Facility (23920)
likely a partial charge, not the full procedure		 $50 $50 0.0×
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines		 $108–$392 $108–$392 varies
Drainage external auditory canal abscess (69020)
range across 2 matching MRF lines		 $469–$528 $469–$528 varies
Drainage External Ear Abscess/Hematoma Simple (69000) $306 $306 0.4×
Drainage Mouth Roof Lesion (42000) $791 $791 3.2×
Drainage of finger abscess simple (26010) $382 $382 1.8×
Drainage of gum lesion (41800)
range across 2 matching MRF lines		 $516–$668 $516–$668 varies
Drainage of hematoma/fluid (10140) $1,858 $1,858 1.1×
Drainage of mouth lesion (41017) $1,254 $1,254 0.4×
Drainage of nose lesion (30000) $791 $791 3.2×
Drainage of scrotal wall abscess (55100) $1,180 $1,180 0.7×
Drainage of scrotum (54700)
range across 2 matching MRF lines		 $510–$2,346 $510–$2,346 varies
Draw Blood Off Venous Device (36591) $198 $198 1.4×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $163 $163 0.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $685 $685 1.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $381 $381 1.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $325 $325 1.6×
Dstrj les/scar vestibule mouth physical meths (40820) $538 $538 0.2×
Dstrj Lesion Anus Extensive (46924) $408 $408 0.1×
Dstrj Lesion Penis Simple Chemical (54050) $29 $29 0.1×
Dstrj Lesion Penis Simple Cryosurgery (54056) $347 $347 1.7×
Dstrj Lesion Penis Simple Electrodesiccation (54055) $287 $287 0.1×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,742 $1,742 1.9×
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $258 $258 0.3×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,709 $1,709 2.3×
Egd cautery tumor polyp (43250) $386 $386 0.2×
Egd dilation gastric/duodenal stricture (43245) $389 $389 0.2×
Endoscopy Upper Small Intestine (44360) $329 $329 0.2×
Endoscopy upper small intestine w/biopsy (44361) $354 $354 0.2×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) $650 $650 0.3×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $3,377 $3,377 1.6×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $3,377 $3,377 1.6×
Epidural Blood Patch (62273) $849 $849 1.2×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $267 $267 0.1×
Evacuate mole of uterus (59870) $1,180 $1,180 0.4×
Evacuation of subungual hematoma (11740) $109 $109 0.8×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $1,294 $1,294 1.8×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,823 $1,823 1.1×
Exc Back Les Sc < 3 Cm (21930)
range across 2 matching MRF lines		 $827–$2,625 $827–$2,625 varies
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $575 $575 0.8×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $657 $657 0.9×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $723 $723 1.0×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $259 $259 0.4×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $761 $761 0.4×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $1,966 $1,966 1.1×
Exc Forearm Les Sc 3 Cm/> (25071) $982 $982 0.6×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $365 $365 0.2×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $1,966 $1,966 1.1×
Exc Rct Tum Incl Muscularis Propria (45172) $1,902 $1,902 0.7×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $265 $265 0.4×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $1,823 $1,823 1.1×
Exc Skin Benig >4 Cm Remaindr Body (11426) $2,187 $2,187 0.7×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $907 $907 0.5×
Exc Skin Benig >4cm Face,Facial (11446) $761 $761 0.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,325 $1,325 0.8×
Exc thigh/knee les sc 3 cm/> (27337) $4,098 $4,098 1.4×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $1,968 $1,968 1.6×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $285 $285 0.7×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $1,094 $1,094 1.5×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $285 $285 0.2×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $3,000 $3,000 1.0×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $1,211 $1,211 0.4×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $1,610 $1,610 0.5×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $702 $702 0.4×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $1,846 $1,846 0.6×
Exc tumor soft tissue pelvis & hip subq <3cm (27047)
range across 2 matching MRF lines		 $599–$799 $599–$799 varies
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $926 $926 0.3×
Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103)
likely a partial charge, not the full procedure		 $22 $22 0.0×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $1,323 $1,323 1.8×
Excision Hidradenitis Axillary Complex Repair (11451) $820 $820 0.3×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $465 $465 0.6×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $978 $978 1.3×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $453 $453 0.6×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $769 $769 0.4×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $879 $879 0.3×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $1,966 $1,966 1.1×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $2,110 $2,110 1.2×
Excision of local lesion of epididymis (54830) $186 $186 0.1×
Excision of vaginal septum (57130) $401 $401 0.1×
Excision Pilonidal Cyst/Sinus Complicated (11772)
range across 2 matching MRF lines		 $994–$1,325 $994–$1,325 varies
Excision tumor soft tis back/flank subq 3 cm/> (21931)
range across 2 matching MRF lines		 $792–$1,055 $792–$1,055 varies
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $2,662 $2,662 1.6×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) $2,090 $2,090 0.7×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $988 $988 0.3×
Explo/Drain Breast Abscess (19020) $706 $706 0.4×
Explore/Treat Hand Joint (26070) $4,249 $4,249 2.5×
Explore/Treat Knee Joint (27331) $1,105 $1,105 0.3×
External cephalic version (59412) $2,103 $2,103 0.6×
Fetal non-stress test (59025) $414 $414 2.0×
Fine needle aspiration without imaging guidance (10021) $239 $239 0.6×
Fluoro exam of g/colon tube (49465) $490 $490 2.0×
Fna bx w/us gdn 1st les (10005) $1,779 $1,779 2.4×
Foreskin manipulation (54450) $807 $807 3.1×
Guide Cathet Fluid Drainage (10030)
range across 2 matching MRF lines		 $300–$1,619 $300–$1,619 varies
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $1,451 $1,451 1.5×
I&d abscess simple (10060) $467 $467 2.2×
I&D Deep Absc/Hematoma Neck/Chest (21501) $814 $814 0.3×
I&d perianal abscess superficial (46050) $1,524 $1,524 1.6×
I&d pilonidal cyst complicated (10081) $1,263 $1,263 1.7×
I&d pilonidal cyst simple (10080) $363 $363 0.5×
Image Cath Fluid Peri/Retro (49406) $2,364 $2,364 1.4×
Incise external hemorrhoid (46083) $480 $480 1.9×
Incision & drainage abscess complicated/multiple (10061) $430 $430 1.0×
Incision & removal foreign body subq tiss compl (10121) $2,462 $2,462 1.4×
Incision & removal foreign body subq tiss simple (10120) $336 $336 0.8×
Incision and drainage of bartholin's gland abscess (56420) $405 $405 1.9×
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) $743 $743 0.2×
Incision and drainage of vulva or perineal abscess (56405) $350 $350 1.1×
Incision of hip tendon (27001) $203 $203 0.1×
Incision of lingual frenum (frenotomy) (41010) $2,418 $2,418 1.5×
Incision of rectal abscess (46040) $1,524 $1,524 1.2×
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $306–$685 $306–$685 varies
Initial Tx 1st Degree Burn Local Tx (16000) $186 $186 0.9×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $1,829–$3,201 $1,829–$3,201 varies
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $1,472 $1,472 1.6×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines		 $309–$1,742 $309–$1,742 varies
Injection 1 tendon sheath/ligament aponeurosis (20550) $119 $119 0.4×
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines		 $1,472–$2,576 $1,472–$2,576 varies
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $1,472 $1,472 1.6×
Injection aa&/strd genicular nrv branches w/img (64454)
range across 4 matching MRF lines		 $192–$3,049 $192–$3,049 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421) $690 $690 0.8×
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 2 matching MRF lines		 $186–$1,742 $186–$1,742 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $697 $697 1.0×
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 2 matching MRF lines		 $227–$588 $227–$588 varies
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines		 $1,185–$2,074 $1,185–$2,074 varies
Injection for identification of sentinel node (38792) $587 $587 1.4×
Injection procedure for peyronie disease (54200) $517 $517 2.0×
Injection single tendon origin/insertion (20551) $517 $517 1.6×
Injection single/mlt trigger point 1/2 muscles (20552) $103 $103 0.3×
Injection single/mlt trigger point 3/> muscles (20553) $118 $118 0.4×
Injection, anesthetic agent; brachial plexus, single (64415) $1,472 $1,472 1.6×
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $1,185–$2,073 $1,185–$2,073 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $416–$728 $416–$728 varies
Injection, intralesional; up to and including 7 lesions (11900)
range across 2 matching MRF lines		 $135–$385 $135–$385 varies
Insert Bladder Cath Complex (51703)
range across 3 matching MRF lines		 $269–$436 $269–$436 varies
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines		 $355–$1,189 $355–$1,189 varies
Insert cath pleura w/o image (32556) $939 $939 0.5×
Insert non-tunnel cv cath (36556) $3,650 $3,650 1.1×
Insert pessary/other device (57160) $330 $330 1.6×
Insert Temp Bladder Cath (51702) $191 $191 1.4×
Insert tun ip cath perc (49418) $906 $906 0.2×
Insert,Non-Indwelling Bladder Catheter (51701) $191 $191 1.4×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 3 matching MRF lines		 $197–$2,981 $197–$2,981 varies
Insj Picc Rs&I <5 Yr (36572)
range across 2 matching MRF lines		 $214–$813 $214–$813 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $2,561 $2,561 1.6×
Int hrhc by ligation single hroid w/o img gdn (46945)
range across 2 matching MRF lines		 $1,040–$2,974 $1,040–$2,974 varies
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $881 $881 2.1×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $840 $840 2.0×
Intubation endotracheal emergency procedure (31500) $1,383 $1,383 5.6×
Irrigation of corpora cavernosa for priapism (54220) $470 $470 1.8×
Lap paraesophag hern repair (43281)
range across 2 matching MRF lines		 $2,536–$3,381 $2,536–$3,381 varies
Laparoscopy gastrostomy (43653)
likely a partial charge, not the full procedure		 $1,284 $1,284 0.2×
Laparoscopy surgical orchiectomy (54690)
likely a partial charge, not the full procedure		 $1,586 $1,586 0.3×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
range across 2 matching MRF lines		 $1,567–$2,089 $1,567–$2,089 varies
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186)
range across 2 matching MRF lines		 $1,053–$1,404 $1,053–$1,404 varies
Laryngoscopy W/Foreign Body Removal (31530) $468 $468 0.3×
Lengthening of tendon, extensor, hand or finger, each tendon Facility (26476) $83 $83 0.0×
Manipulation spine requiring anesthesia (22505) $174 $174 0.1×
Myelography Lumbar Injection (62305) $1,606 $1,606 2.0×
Myelography Lumbar Injection (62304) $1,199 $1,199 1.5×
Myelography via lumbar injection rs&i cervical (62302) $1,200 $1,200 1.5×
N Block Inj Celiac Pelus (64530)
range across 2 matching MRF lines		 $222–$1,829 $222–$1,829 varies
N Block Inj Ilio-Ing/Hypogi (64425) $690 $690 0.9×
N block inj intercost sng (64420) $1,185 $1,185 1.6×
N Block Inj Plantar Digit (64455) $664 $664 2.1×
N Block Inj Pudendal (64430) $331 $331 0.4×
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines		 $198–$1,440 $198–$1,440 varies
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines		 $282–$1,555 $282–$1,555 varies
Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length Facility (64897)
likely a partial charge, not the full procedure		 $176 $176 0.0×
Njx anes stellate ganglion crv sympathetic (64510) $716 $716 0.8×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $429 $429 1.3×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 4 matching MRF lines		 $213–$3,049 $213–$3,049 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines		 $253–$1,633 $253–$1,633 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 3 matching MRF lines		 $234–$2,755 $234–$2,755 varies
Njx Sclrsnt 1 Incmptnt Vein (36470) $186 $186 0.4×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $925 $925 2.2×
Occipital Nerve Block (64405) $426 $426 1.3×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $1,635 $1,635 0.5×
Open Tx Distal Phalangeal Fracture Each (26765) $885 $885 0.3×
Open tx femoral supracondylar fracture w/o xtn (27511)
likely a partial charge, not the full procedure		 $159 $159 0.0×
Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27070) $318 $318 0.1×
Partial removal of tibia (27640) $2,058 $2,058 0.6×
Partical Excision Bone Phalanx Toe (28124) $5,400 $5,400 1.6×
Penile Injection (54235) $544 $544 2.1×
Pericardiocentesis W/Imaging (33016)
range across 2 matching MRF lines		 $526–$2,110 $526–$2,110 varies
Perq dev breast 1st strtctc (19283) $2,838 $2,838 3.9×
Perq dev breast 1st us imag (19285) $1,700 $1,700 2.3×
Perq device breast 1st imag (19281)
range across 3 matching MRF lines		 $952–$1,666 $952–$1,666 varies
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,390 $1,390 1.9×
Placement of needle for intraosseous infusion (36680) $567 $567 1.2×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $221 $221 0.1×
Punch biopsy skin single lesion (11104) $385 $385 0.9×
Puncture aspiration abscess hematoma bulla/cyst (10160) $685 $685 1.6×
Puncture Aspiration Cyst Breast (19000) $854 $854 1.2×
Pvb Thoracic Single Injection Site W/Img Gid (64461)
range across 2 matching MRF lines		 $184–$1,742 $184–$1,742 varies
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625)
range across 2 matching MRF lines		 $456–$3,947 $456–$3,947 varies
Removal Embedded Foreign Body Eyelid (67938) $553 $553 1.7×
Removal foreign body foot deep (28192) $2,462 $2,462 1.4×
Removal Foreign Body Foot Subcutaneous (28190) $1,024 $1,024 1.4×
Removal foreign body upper arm/elbow deep (24201) $903 $903 0.3×
Removal impacted cerumen irrigation/lvg unilat (69209) $117 $117 1.9×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $130 $130 2.1×
Removal impacted vag fb spx w/anes oth/thn local (57415) $401 $401 0.1×
Removal implantable contraceptive capsules (11976) $1,027 $1,027 1.4×
Removal of nail bed (11750) $535 $535 1.3×
Removal of sesamoid bone (28315) $107 $107 0.0×
Removal or bivalving full arm or full leg cast (29705) $280 $280 1.0×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $188 $188 0.9×
Removal/bivalving gauntlet boot/body cast (29700)
range across 2 matching MRF lines		 $151–$272 $151–$272 varies
Remove foreign body from eye (65205) $240 $240 1.7×
Remove Intrauterine Device (58301) $611 $611 1.9×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $361–$500 $361–$500 varies
Remove Tendon Sheath Lesion (26160) $1,926 $1,926 1.2×
Remove/Insert Drug Implant (11983) $425 $425 0.9×
Renal Biopsy Perq (50200) $2,440 $2,440 1.4×
Repair Achilles Tendon (27650)
likely a partial charge, not the full procedure		 $1,302 $1,302 0.2×
Repair Blood Vessel Direct Hand Finger (35207) $2,862 $2,862 0.9×
Repair Blood Vessel Direct Upper Extremity (35206)
range across 2 matching MRF lines		 $1,796–$5,543 $1,796–$5,543 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,621 $1,621 2.1×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $845–$1,516 $845–$1,516 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $2,021 $2,021 4.8×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $845 $845 2.0×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,621 $1,621 3.8×
Repair complex trunk 1.1-2.5 cm (13100) $738 $738 1.0×
Repair complex trunk 2.6-7.5 cm (13101) $1,530 $1,530 2.0×
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $133–$2,092 $133–$2,092 varies
Repair Hand Joint (26540) $1,834 $1,834 0.5×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $339 $339 0.8×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $339 $339 0.8×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $339 $339 0.8×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $339 $339 0.8×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $840 $840 2.0×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $881 $881 1.1×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $339 $339 0.8×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $339 $339 0.8×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $339 $339 0.4×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $881 $881 0.4×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $300 $300 0.7×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $339 $339 0.8×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $881 $881 2.1×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $881 $881 1.1×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $300 $300 0.7×
Repair intermediate s/a/t/e >30.0 cm (12037) $881 $881 0.4×
Repair of nail bed (11760) $881 $881 1.1×
Repair paravag defect vag (57285)
range across 2 matching MRF lines		 $1,197–$1,596 $1,197–$1,596 varies
Repair tongue laceration (41252) $509 $509 2.1×
Repair tongue laceration (41250) $661 $661 1.4×
Replace g/c tube perc (49450) $1,007 $1,007 1.1×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486)
range across 2 matching MRF lines		 $2,361–$3,148 $2,361–$3,148 varies
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $2,926 $2,926 1.8×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $163 $163 0.2×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $240 $240 0.5×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $304 $304 2.2×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $240 $240 0.5×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,820 $1,820 1.1×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,350 $1,350 2.1×
Rplc Gtube No Revj Trc (43762) $617 $617 2.4×
Rplc gtube revj gstrst trc (43763) $617 $617 2.4×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585)
range across 2 matching MRF lines		 $888–$4,320 $888–$4,320 varies
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
range across 2 matching MRF lines		 $1,231–$1,641 $1,231–$1,641 varies
Rpr Aa Hernia 1st < 3 Cm Reducible (49591)
range across 2 matching MRF lines		 $566–$754 $566–$754 varies
Rpr Aa Hernia 1st > 10 Cm Reducible (49595)
range across 2 matching MRF lines		 $1,274–$1,698 $1,274–$1,698 varies
Rpr aa hernia recr 3-10 cm reducible (49615)
range across 2 matching MRF lines		 $1,057–$1,409 $1,057–$1,409 varies
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
range across 2 matching MRF lines		 $945–$1,260 $945–$1,260 varies
Rpr Aa Hernia Recr < 3 Cm Reducible (49613)
range across 2 matching MRF lines		 $699–$931 $699–$931 varies
Rpr aa hrn 1st 3-10 rdc (49593)
range across 2 matching MRF lines		 $948–$1,263 $948–$1,263 varies
Rpr aa hrn 1st < 3 ncr/strn (49592)
range across 2 matching MRF lines		 $786–$1,047 $786–$1,047 varies
Rpr blood vessel direct lower extremity (35226) $1,715 $1,715 2.3×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $462 $462 2.2×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $881 $881 1.1×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $4,146 $4,146 1.2×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $4,146 $4,146 1.2×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $137 $137 0.7×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $448 $448 1.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $197 $197 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $296 $296 1.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $349 $349 1.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $197 $197 0.5×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 2 matching MRF lines		 $250–$293 $250–$293 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $377 $377 0.9×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $2,689 $2,689 2.8×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $3,393 $3,393 2.7×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $551 $551 1.3×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $284 $284 1.4×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $316 $316 1.5×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $477 $477 1.1×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $370 $370 1.8×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $583 $583 2.8×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $276 $276 1.3×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $578 $578 2.8×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $338 $338 1.6×
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032) $3,410 $3,410 0.6×
Skin Full Grft Face/Genit/Hf (15240) $4,205 $4,205 2.0×
Skin sub graft face/nk/hf/g (15275) $3,377 $3,377 4.4×
Skin sub graft trnk/arm/leg (15271) $3,377 $3,377 4.4×
Skin Tissue Procedure (17999) $109 $109 0.5×
Skn sub grft f/n/hf/g child (15277)
range across 2 matching MRF lines		 $505–$3,500 $505–$3,500 varies
Slitting of prepuce (54001) $3,733 $3,733 1.7×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $287 $287 1.4×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $417 $417 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $517 $517 1.2×
Spinal puncture lumbar diagnostic (62270) $937 $937 1.3×
Strapping shoulder (29240) $278 $278 2.0×
Strapping toes (29550) $166 $166 2.7×
Strapping Unna Boot (29580) $294 $294 1.7×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $965 $965 0.3×
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386)
likely a partial charge, not the full procedure		 $1,947 $1,947 0.3×
Tangential biopsy skin single lesion (11102) $385 $385 0.9×
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure		 $175 $175 0.0×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $2,490 $2,490 1.5×
Thrombolytic Therapy Stroke (37195) $629 $629 1.8×
Thyroid biopsy (60100) $883 $883 1.2×
Tooth extraction (41899)
range across 2 matching MRF lines		 $265–$284 $265–$284 varies
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $774 $774 0.2×
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,928 $1,928 7.8×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,928 $1,928 1.2×
Treat humerus fracture (23600) $458 $458 1.8×
Treat Knuckle Dislocation (26700) $411 $411 1.6×
Treat Metatarsal Fracture (28475) $411 $411 1.6×
Treat Thumb Dislocation (26641) $425 $425 1.7×
Treat toe dislocation (28630) $411 $411 1.6×
Treatment Closed Elbow Dislocation Req Anes (24605) $2,229 $2,229 1.3×
Treatment closed elbow dislocation w/o anes (24600) $411 $411 1.6×
Trim skin lesion (11055) $358 $358 1.7×
Trim skin lesions 2 to 4 (11056) $462 $462 2.2×
Trim skin lesions over 4 (11057) $487 $487 2.3×
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines		 $50–$71 $50–$71 varies
Tx Gastro Intub W/Asp (43753) $390 $390 1.7×
Tx open tendon flexor toe 1 tendon spx (28232) $2,680 $2,680 1.6×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $843 $843 0.5×
Tx Superficial Wound Dehiscence Simple Closure (12020) $927 $927 1.2×
Tx superficial wound dehiscence w/packing (12021) $685 $685 1.6×
Unlisted laparoscopic procedure liver (47379)
range across 2 matching MRF lines		 $170–$227 $170–$227 varies
Unlisted laparoscopy procedure oviduct ovary (58679)
likely a partial charge, not the full procedure		 $839 $839 0.1×
Unlisted laparoscopy procedure stomach (43659)
likely a partial charge, not the full procedure		 $1,625 $1,625 0.3×
Unlisted laparoscopy procedure, biliary tract (47579)
likely a partial charge, not the full procedure		 $1,874 $1,874 0.3×
Unlisted laparoscopy procedure, intestine (except rectum) (44238)
likely a partial charge, not the full procedure		 $787 $787 0.1×
Unlisted laparoscopy procedure, spermatic cord (55559)
likely a partial charge, not the full procedure		 $1,026 $1,026 0.2×
Unlisted laparoscopy procedure, uterus (58578)
likely a partial charge, not the full procedure		 $341 $341 0.1×
Unlisted procedure anus (46999) $1,056 $1,056 1.1×
Unlisted procedure nervous system (64999) $416 $416 1.3×
Unlisted Procedure Vascular Surgery (37799)
range across 2 matching MRF lines		 $163–$276 $163–$276 varies
Unlisted procedure, abdomen, peritoneum and omentum (49999) $1,044 $1,044 1.1×
Unlisted Procedure, Urinary System (53899)
range across 2 matching MRF lines		 $350–$3,400 $350–$3,400 varies
Wedge excision skin nail fold (11765) $436 $436 1.0×

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.