Procedures & surgery prices at Bellville Medical Center

Bellville, TX · every code in this section with a posted price and a Medicare benchmark.

1055 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps… (54324) $9,650 $9,650 2.7×
Abd paracentesis w/imaging (49083) $2,028 $2,028 2.2×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $249–$1,695 $249–$1,695 varies
Abdomen Surgery Procedure (22999) $710 $710 2.9×
Ablate inf turbinate submuc (30802) $3,427 $3,427 2.2×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $1,870 $1,870 1.2×
Acromiopl/Acromionect Partial (23130) $8,047 $8,047 2.4×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $2,548 $2,548 0.7×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $4,106 $4,106 2.0×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $4,106 $4,106 2.0×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $8,729 $8,729 2.7×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 2 matching MRF lines		 $3,058–$8,690 $3,058–$8,690 varies
Amputate Thigh,Re-Amputatn (27596) $1,921 $1,921 0.6×
Amputation foot transmetarsal (28805) $4,950 $4,950 1.5×
Amputation metatarsal with toe single (28810) $6,866 $6,866 2.1×
Amputation thigh through femur any level (27590) $1,921 $1,921 0.6×
Amputation toe interphalangeal joint (28825) $6,866 $6,866 2.1×
Amputation toe metatarsophalangeal joint (28820) $6,866 $6,866 2.1×
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure		 $1,921 $1,921 0.3×
Amputation, leg, through tibia and fibula; re-amputation (27886) $1,911 $1,911 0.6×
Amputation, thigh, through femur, any level; open, circular (guillotine) Facility (27592) $1,921 $1,921 0.6×
Anoplasty, plastic operation for stricture; adult Facility (46700) $6,402 $6,402 2.3×
Anoscopy Ablation Lesion (46615) $4,835 $4,835 1.7×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $60–$122 $60–$122 varies
Anoscopy; with biopsy, single or multiple (46606) $2,729 $2,729 2.3×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $2,310 $2,310 1.9×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $4,244 $4,244 1.5×
Ant Vesicourethropexy/Urethropexy Smpl (51840)
likely a partial charge, not the full procedure		 $1,275 $1,275 0.3×
Anterior colporraphy rpr cystocele w/cysto (57240) $12,540 $12,540 2.5×
Apheresis Platelets (36513) $1,036 $1,036 2.3×
Appendectomy (44950) $9,004 $9,004 1.4×
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines		 $195–$569 $195–$569 varies
Application finger splint static (29130)
range across 2 matching MRF lines		 $98–$207 $98–$207 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $195–$220 $195–$220 varies
Application Long Leg Splint (29505)
range across 3 matching MRF lines		 $103–$186 $103–$186 varies
Application multiplane external fixation system (20692) $33,000 $33,000 2.6×
Application of long leg cast (29345) $783 $783 2.8×
Application of rigid total contact leg cast (29445) $783 $783 2.8×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $134–$520 $134–$520 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $165–$374 $165–$374 varies
Application uniplane external fixation system (20690) $19,250 $19,250 2.6×
Apply long arm cast (29065)
range across 2 matching MRF lines		 $427–$764 $427–$764 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines		 $447–$670 $447–$670 varies
Arterial puncture (36600)
range across 2 matching MRF lines		 $55–$404 $55–$404 varies
Arteriovenous Anastomosis Open Direct (36821) $9,395 $9,395 3.0×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) $15,223 $15,223 1.2×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $141–$201 $141–$201 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $350 $350 0.5×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $171–$645 $171–$645 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $350 $350 1.1×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $134–$234 $134–$234 varies
Arthrodesis ankle open (27870) $33,000 $33,000 2.6×
Arthrodesis great toe interphalangeal joint (28755) $19,200 $19,200 2.6×
Arthroplasty glenohumeral joint total shoulder (23472) $53,275 $53,275 3.0×
Arthroplasty interphalangeal joint each (26535) $9,814 $9,814 3.0×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $8,800 $8,800 2.7×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $6,277 $6,277 1.9×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $5,512 $5,512 1.7×
Arthroscopy knee synovectomy limited spx (29875) $6,277 $6,277 1.9×
Arthroscopy shoulder distal claviculectomy (29824) $8,500 $8,500 2.6×
Arthroscopy, knee, surgical; with lateral release (29873) $6,576 $6,576 2.0×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $18,800 $18,800 2.6×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $8,047 $8,047 2.4×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $8,047 $8,047 2.4×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $19,200 $19,200 2.6×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $4,048 $4,048 1.2×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $18,810 $18,810 2.6×
Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral Facility (27333) $8,700 $8,700 2.6×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) $37,700 $37,700 2.9×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $19,800 $19,800 2.7×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $6,277 $6,277 1.9×
Arthrs knee debridement/shaving artclr crtlg (29877) $6,277 $6,277 1.9×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $8,469 $8,469 2.6×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $5,085 $5,085 3.1×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $8,690 $8,690 2.6×
Aspirate pleura w/ imaging (32555) $1,432 $1,432 2.3×
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $176–$489 $176–$489 varies
Aspiration bladder insert suprapubic catheter (51102) $6,126 $6,126 2.9×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $200–$447 $200–$447 varies
Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) $5,349 $5,349 0.5×
Biopsy Abdominal Mass (49180) $3,069 $3,069 1.8×
Biopsy bone open deep (20245) $7,672 $7,672 2.6×
Biopsy bone open superficial (20240)
range across 2 matching MRF lines		 $5,320–$7,672 $5,320–$7,672 varies
Biopsy Bone Trocar/Needle Superficial (20220) $2,412 $2,412 1.5×
Biopsy External Auditory Canal (69105) $3,693 $3,693 2.4×
Biopsy external ear (69100) $1,059 $1,059 4.5×
Biopsy nail unit (11755) $1,106 $1,106 1.6×
Biopsy of breast; open, incisional (19101) $6,323 $6,323 1.6×
Biopsy of cornea (65410) $2,046 $2,046 0.9×
Biopsy of lip (40490) $1,059 $1,059 4.5×
Biopsy of liver, needle; percutaneous (47000) $3,472 $3,472 2.1×
Biopsy of palate, uvula (42100) $1,884 $1,884 1.2×
Biopsy of penis (54100) $9,615 $9,615 5.8×
Biopsy of rectum (45100) $4,244 $4,244 1.5×
Biopsy Oropharynx (42800) $6,468 $6,468 4.1×
Biopsy Salivary Gland Incisional (42405) $5,676 $5,676 3.6×
Biopsy soft tissue neck/thorax (21550) $4,422 $4,422 2.7×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065)
range across 2 matching MRF lines		 $146–$1,587 $146–$1,587 varies
Biopsy Testis Incisional Separate Procedure (54505) $10,000 $10,000 2.8×
Biopsy Tongue Anterior Two-Thirds (41100) $1,884 $1,884 3.5×
Biopsy Tongue Posterior One-Third (41105) $3,693 $3,693 1.1×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $2,300 $2,300 2.5×
Biopsy/removal lymph nodes (38510) $7,733 $7,733 2.0×
Bladder instillation anticarcinogenic agent (51720) $1,875 $1,875 2.7×
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $48–$181 $48–$181 varies
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $4,106 $4,106 2.0×
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $286–$329 $286–$329 varies
Blood Transfusion Service (36430)
range across 7 matching MRF lines		 $840–$1,575 $840–$1,575 varies
Bone Graft Any Donor Area Minor/Small (20900) $18,810 $18,810 2.6×
Bone Marrow Biopsy (38221) $4,400 $4,400 2.7×
Brnchsc Brushing/Protected Brushings (31623) $3,076 $3,076 1.7×
Bronchoscopy Clear Airways (31645) $3,089 $3,089 1.7×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $9,300 $9,300 2.5×
Bx breast 1st lesion strtctc (19081) $3,069 $3,069 1.8×
Bx breast 1st lesion us imag (19083) $4,455 $4,455 2.7×
Bx breast needle core w/o imaging guidance spx (19100) $1,430 $1,430 0.9×
Bx Cervix (57500) $1,419 $1,419 1.5×
Bx prostate strtctc saturation sampling img gid (55706)
range across 2 matching MRF lines		 $9,965–$10,000 $9,965–$10,000 varies
Bx/exc lymph node open deep axillary node (38525) $6,840 $6,840 1.7×
Bx/exc lymph node open superficial (38500) $3,108 $3,108 0.8×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270)
range across 2 matching MRF lines		 $6,866–$8,659 $6,866–$8,659 varies
Carpal Tunnel Surgery (64721) $5,525 $5,525 2.8×
Carpectomy All Bones Proximal Row (25215) $8,657 $8,657 2.6×
Cataract surgery complex (66982) $5,113 $5,113 2.2×
Catheter aspiration nasotracheal spx (31720)
range across 2 matching MRF lines		 $199–$543 $199–$543 varies
Change Cystostomy Tube Simple (51705) $630 $630 2.5×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $116–$133 $116–$133 varies
Chemical Pleurodesis (32560) $1,429 $1,429 2.3×
Chest tube placement (32551)
range across 2 matching MRF lines		 $626–$660 $626–$660 varies
Circumcision 28 days or older (54161) $2,686 $2,686 1.3×
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines		 $5,940–$5,976 $5,940–$5,976 varies
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $1,559–$1,829 $1,559–$1,829 varies
Claviculectomy partial (23120) $7,590 $7,590 2.3×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $183–$546 $183–$546 varies
Closed Rx Metacarpal Fx,Percut (26608) $8,690 $8,690 2.6×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)
range across 2 matching MRF lines		 $235–$1,201 $235–$1,201 varies
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines		 $235–$862 $235–$862 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $544–$1,092 $544–$1,092 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $377–$1,177 $377–$1,177 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines		 $330–$873 $330–$873 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 2 matching MRF lines		 $139–$680 $139–$680 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines		 $139–$790 $139–$790 varies
Closed tx knee dislocation w/o anesthesia (27550)
range across 2 matching MRF lines		 $273–$1,414 $273–$1,414 varies
Closed Tx Lunate Dislocation W/Manipulation (25690)
range across 2 matching MRF lines		 $138–$1,829 $138–$1,829 varies
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines		 $419–$576 $419–$576 varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $3,740 $3,740 2.4×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $3,740 $3,740 1.1×
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines		 $273–$996 $273–$996 varies
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines		 $139–$855 $139–$855 varies
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines		 $484–$1,208 $484–$1,208 varies
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $139–$680 $139–$680 varies
Closed tx radial shaft fracture w/manipulation (25505) $3,360 $3,360 2.1×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 2 matching MRF lines		 $139–$704 $139–$704 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $544–$1,474 $544–$1,474 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $139–$704 $139–$704 varies
Closed tx septal&nose fx (21337) $7,508 $7,508 2.3×
Closed tx talus fracture w/o manipulation (28430)
range across 2 matching MRF lines		 $139–$619 $139–$619 varies
Closed tx tarsometatarsal dislocation w/o anes (28600) $710 $710 2.9×
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines		 $110–$204 $110–$204 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 2 matching MRF lines		 $128–$403 $128–$403 varies
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 2 matching MRF lines		 $139–$766 $139–$766 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines		 $139–$668 $139–$668 varies
Closure Gastrostomy Surg (43870) $8,283 $8,283 2.1×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830)
range across 2 matching MRF lines		 $312–$492 $312–$492 varies
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831)
range across 2 matching MRF lines		 $695–$699 $695–$699 varies
Clsd tx acromioclavicular dislc w/manipulation (23545)
range across 2 matching MRF lines		 $142–$544 $142–$544 varies
Clsd Tx Clavicular Fracture W/Manipulation (23505) $2,195 $2,195 1.4×
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines		 $196–$626 $196–$626 varies
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $1,189–$1,376 $1,189–$1,376 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $243–$814 $243–$814 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $655 $655 0.4×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 2 matching MRF lines		 $146–$814 $146–$814 varies
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $203–$1,201 $203–$1,201 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $139–$838 $139–$838 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $196–$814 $196–$814 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $151 $151 0.6×
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $419–$771 $419–$771 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $383–$1,777 $383–$1,777 varies
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 2 matching MRF lines		 $139–$359 $139–$359 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $431–$655 $431–$655 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 2 matching MRF lines		 $139–$345 $139–$345 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 2 matching MRF lines		 $330–$892 $330–$892 varies
Cltx greater humeral tuberosity fx w/o manj (23620)
range across 2 matching MRF lines		 $196–$741 $196–$741 varies
Cltx hip dislocation traumatic req anesthesia (27252) $4,830 $4,830 3.0×
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines		 $123–$383 $123–$383 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565)
range across 2 matching MRF lines		 $139–$1,455 $139–$1,455 varies
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $762 $762 2.7×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $187–$273 $187–$273 varies
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $762 $762 2.7×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $195–$728 $195–$728 varies
Cltx Med Ankle Fx W/Mnpj (27762)
range across 2 matching MRF lines		 $1,377–$1,829 $1,377–$1,829 varies
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $139–$892 $139–$892 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $655–$862 $655–$862 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 3 matching MRF lines		 $419–$1,320 $419–$1,320 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705)
range across 2 matching MRF lines		 $269–$332 $269–$332 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $655–$916 $655–$916 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $419–$516 $419–$516 varies
Cltx post hip arthrp dislc req anes (27266) $4,675 $4,675 2.9×
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $656–$1,232 $656–$1,232 varies
Cltx prox fibula/shft fx w/o manj (27780)
range across 2 matching MRF lines		 $139–$795 $139–$795 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $4,410 $4,410 2.7×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660)
range across 2 matching MRF lines		 $1,227–$3,860 $1,227–$3,860 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $267–$655 $267–$655 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 2 matching MRF lines		 $484–$1,208 $484–$1,208 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines		 $139–$1,013 $139–$1,013 varies
Cltx tibial fx proximal w/o manipulation (27530)
range across 2 matching MRF lines		 $139–$1,111 $139–$1,111 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $655–$941 $655–$941 varies
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $544–$1,377 $544–$1,377 varies
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) $14,097 $14,097 2.8×
Collect Blood From Catheter Venous Nos (36592) $232 $232 1.7×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines		 $3–$17 $3–$17 varies
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $2,310 $2,310 1.9×
Colonoscopy Stoma W/Submucosal Injection (44404) $3,300 $3,300 2.7×
Colonoscopy thru stoma (44388) $2,310 $2,310 2.5×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $3,300 $3,300 2.7×
Colonoscopy w/ablation (45388) $1,372 $1,372 1.1×
Colonoscopy w/fb removal (45379) $2,310 $2,310 1.9×
Colonoscopy W/Resection (45390) $7,485 $7,485 2.7×
Colonoscopy w/submucosal inj (45381) $3,080 $3,080 2.6×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210)
range across 2 matching MRF lines		 $3,999.99–$7,870 $3,999.99–$7,870 varies
Colpopexy extraperitoneal (57282) $11,606 $11,606 1.6×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $886 $886 2.9×
Colposcopy Cervix Endocervical Curettage (57456) $908 $908 3.0×
Colposcopy cervix upper/adjacent vagina (57452) $1,419 $1,419 7.0×
Colposcopy cervix vag eltrd conization cervix (57461) $8,250 $8,250 2.5×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $8,250 $8,250 2.5×
Colsc Flexible W/Control Bleeding Any Method (45382) $2,305 $2,305 1.9×
Colsc flx w/removal lesion by hot bx forceps (45384) $3,119 $3,119 2.6×
Combined anteroposterior colporrhaphy; (57260) $11,606 $11,606 2.3×
Complex drainage wound (10180) $4,769 $4,769 1.6×
Conization cervix w/wo d&c rpr eltrd exc (57522) $6,882 $6,882 2.1×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $134–$273 $134–$273 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines		 $195–$404 $195–$404 varies
Corneal wedge resection for correction of surgically induced astigmatism Facility (65775) $4,477 $4,477 1.9×
Correction hammertoe (28285) $5,119 $5,119 1.6×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $10,540 $10,540 3.2×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) $10,540 $10,540 0.8×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) $7,808 $7,808 1.1×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292)
range across 2 matching MRF lines		 $7,810–$10,540 $7,810–$10,540 varies
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $7,808 $7,808 1.1×
Create Eardrum Opening (69433)
range across 2 matching MRF lines		 $1,059–$2,119 $1,059–$2,119 varies
Crnl Relaxing Inc Corrj Induced Astigmatism (65772) $2,046 $2,046 2.0×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $211–$353 $211–$353 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 2 matching MRF lines		 $272–$543 $272–$543 varies
Cysto Bladder W/Ureteral Catheterization (52005)
range across 2 matching MRF lines		 $5,575–$11,150 $5,575–$11,150 varies
Cysto calibration dilat urtl strix/stenosis (52281) $5,600 $5,600 2.7×
Cysto w/destruction of lesions (52214) $9,615 $9,615 2.7×
Cysto w/dilat rx balo cath urtl strix/sten male (52284) $14,800 $14,800 2.7×
Cysto w/insert ureteral stent (52332)
range across 3 matching MRF lines		 $7,810–$20,000 $7,810–$20,000 varies
Cysto w/irrig & evac multple obstructing clots (52001) $10,000 $10,000 2.8×
Cysto w/removal of lesions small (52224) $9,700 $9,700 2.7×
Cysto w/removal of tumors small (52234) $1,554 $1,554 0.4×
Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) $10,000 $10,000 2.8×
Cysto W/Simple Removal Stone & Stent (52310) $5,464 $5,464 2.6×
Cysto w/up stricture tx (52342) $10,000 $10,000 2.8×
Cysto w/ureteroscopy w/lithotripsy (52353) $14,800 $14,800 2.7×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $10,000 $10,000 2.8×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) $14,800 $14,800 2.7×
Cysto/uretero w/lithotripsy (52356) $14,100 $14,100 2.6×
Cysto/uretero w/up stricture (52345) $10,000 $10,000 2.8×
Cystolithotomy (51050) $14,136 $14,136 2.6×
Cystometrogram W/Vp (51728) $1,815 $1,815 2.6×
Cystometrogram W/Vp&Up (51729) $1,814 $1,814 2.6×
Cystorrhaphy suture of bladder wound injury or rupture simple (51860) $11,497 $11,497 1.2×
Cystostomy Cystotomy W/Drainage (51040) $5,600 $5,600 2.7×
Cystouretero w/excise tumor (52355) $15,250 $15,250 2.8×
Cystourethroscopy (52000) $1,590 $1,590 2.3×
Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) $14,800 $14,800 2.7×
Cystourethroscopy inj chemodenervation bladder (52287) $5,575 $5,575 2.7×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $9,615 $9,615 2.7×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $14,100 $14,100 2.6×
Cystourethroscopy with biopsy (52204) $8,206 $8,206 3.9×
Cystourethroscopy with direct vision internal urethrotomy (52276) $5,565 $5,565 2.7×
Cystourethroscopy with transurethral resection or incision of ejaculatory ducts Facility (52402) $10,000 $10,000 2.8×
Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Facility (52305) $14,125 $14,125 2.6×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $1,026–$1,650 $1,026–$1,650 varies
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines		 $63–$2,533 $63–$2,533 varies
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $1,611–$2,409 $1,611–$2,409 varies
Debride nail 1-5 (11720) $185 $185 3.1×
Debride nail 6 or more (11721) $185 $185 3.1×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $3,141–$4,448 $3,141–$4,448 varies
Debridement Mastoidectomy Cavity Simple (69220) $287 $287 1.4×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $158–$240 $158–$240 varies
Declot vascular device (36593) $998 $998 3.0×
Decompression of tibia nerve (28035) $4,036 $4,036 2.1×
Deep Muscle Biopsy (20205) $3,911 $3,911 1.3×
Delivery of placenta (59414)
range across 2 matching MRF lines		 $329–$1,515 $329–$1,515 varies
Derm autograft face/nck/hnd/ft/gen <100 sqcm (15135) $4,106 $4,106 1.2×
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines		 $5,280–$10,560 $5,280–$10,560 varies
Destruct B9 Lesion 1-14 (17110) $287 $287 1.4×
Destruction Internal Hemorrhoid Thermal Energy (46930) $1,290 $1,290 1.1×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $440 $440 2.2×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $440 $440 2.2×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $440 $440 2.2×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $440 $440 2.2×
Destruction Premalignant Lesion 15/> (17004) $440 $440 1.1×
Destruction premalignant lesion 1st (17000) $102 $102 0.5×
Destruction Vaginal Lesions Simple (57061) $5,386 $5,386 1.7×
Diagnostic sigmoidoscopy (45330) $1,439 $1,439 1.5×
Dilat rct strix spx under anes oth/thn local (45910) $4,244 $4,244 3.5×
Dilate Esophagus 1/Mult Pass (43450) $2,459 $2,459 2.7×
Dilate Urethra Stricture (53600) $770 $770 3.1×
Dilation & curettage dx&/ther nonobstetric (58120) $5,386 $5,386 1.7×
Dilation and catheterization of salivary duct, with or without injection (42660) $1,059 $1,059 2.0×
Dilation Salivary Duct (42650) $3,696 $3,696 2.4×
Drain ant chmbr,remv vitreous (65810) $2,041 $2,041 0.9×
Drain Cerebro Spinal Fluid (62272)
range across 2 matching MRF lines		 $361–$1,371 $361–$1,371 varies
Drain/inj small joint/bursa w/us (20604) $350 $350 1.1×
Drainage abscess parotid simple (42300) $3,596 $3,596 2.3×
Drainage external auditory canal abscess (69020)
range across 2 matching MRF lines		 $181–$197 $181–$197 varies
Drainage external ear abscess/hematoma cmplx (69005) $1,050 $1,050 0.6×
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $108–$671 $108–$671 varies
Drainage Finger Abscess Complicated (26011) $3,119 $3,119 1.9×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $180–$407 $180–$407 varies
Drainage of gum lesion (41800) $347 $347 2.6×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $377–$2,321 $377–$2,321 varies
Drainage of rectal abscess (45005) $4,244 $4,244 3.5×
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $851–$2,657 $851–$2,657 varies
Drainage of scrotum (54700) $5,670 $5,670 2.7×
Draw Blood Off Venous Device (36591) $345 $345 2.6×
Dressing Change Under Anesthesia (15852) $385 $385 0.5×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $1,986 $1,986 2.8×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $3,263 $3,263 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $442 $442 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $229–$377 $229–$377 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $183–$243 $183–$243 varies
Dstrj Lesion Anus Extensive (46924) $5,665 $5,665 2.0×
Dstrj lesion anus simple surg excision (46922) $5,663 $5,663 2.0×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $5,108 $5,108 2.5×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $2,200 $2,200 2.5×
Dx Bronchoscope/Lavage (31624) $4,500 $4,500 2.5×
Dx Bronchoscope/Wash (31622) $4,730 $4,730 2.6×
Dx gastr intub w/asp spec (43754)
range across 2 matching MRF lines		 $146–$437 $146–$437 varies
Dx Laryngoscopy Excl Nb (31525) $3,673 $3,673 2.1×
Dx laryngoscopy w/oper scope (31526) $3,673 $3,673 2.1×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $3,105 $3,105 1.6×
Egd cautery tumor polyp (43250) $3,106 $3,106 1.6×
Egd control bleeding any (43255) $3,106 $3,106 1.6×
Egd dilation gastric/duodenal stricture (43245) $3,106 $3,106 1.6×
Egd Flexible Foreign Body Removal (43247) $2,937 $2,937 3.2×
Egd guide wire insertion (43248) $2,176 $2,176 2.4×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $2,176 $2,176 1.1×
Egd lesion ablation (43270) $3,105 $3,105 1.6×
Egd place gastrostomy tube (43246) $4,193 $4,193 2.2×
Egd Varices Ligation (43244) $4,875 $4,875 2.5×
Electro-Uroflowmetry First (51741) $420 $420 1.9×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $13,200 $13,200 2.6×
Endoscopic injection/implant (51715) $9,965 $9,965 2.8×
Endoscopic plantar fasciotomy (29893)
range across 2 matching MRF lines		 $4,008–$6,930 $4,008–$6,930 varies
Endoscopy Upper Small Intestine (44360) $2,485 $2,485 1.3×
Enterorrhaphy single perforation (44602) $1,275 $1,275 0.3×
Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) $3,643 $3,643 1.9×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) $5,000 $5,000 2.6×
Enucleation of Eye W/O Implant (65101) $11,052 $11,052 2.8×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $5,176 $5,176 2.5×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $5,176 $5,176 2.5×
Ercp Dx Collection Specimen Brushing/Washing (43260) $6,442 $6,442 1.7×
Escharotomy; initial incision (16035) $1,197 $1,197 2.9×
Esophagogastroduodenoscopy Submucosal Injection (43236) $2,514 $2,514 2.8×
Esophagoscopy Flexible Transoral Diagnostic (43200) $2,310 $2,310 2.5×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $2,176 $2,176 1.1×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $5,170 $5,170 2.7×
Ethmoidectomy Intranasal Anterior (31200) $10,890 $10,890 1.8×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $103–$138 $103–$138 varies
Exc arm/elbow les sc < 3 cm (24075) $4,422 $4,422 2.7×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $2,521 $2,521 3.5×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $3,201 $3,201 1.9×
Exc Back Les Sc < 3 Cm (21930) $3,911 $3,911 2.4×
Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) $5,676 $5,676 1.7×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $6,323 $6,323 1.6×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $2,412 $2,412 3.4×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $2,412 $2,412 3.4×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $3,914 $3,914 2.4×
Exc Face Les Sbq 2 Cm/> (21012) $6,301 $6,301 3.8×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $1,251 $1,251 1.8×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $1,104 $1,104 1.6×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $3,108 $3,108 4.4×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $2,420 $2,420 1.5×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $2,420 $2,420 1.5×
Exc ganglion wrist recurrent (25112) $4,200 $4,200 2.6×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $119–$746 $119–$746 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $2,412 $2,412 3.4×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $2,412 $2,412 1.5×
Exc hydrocele sprmatic cord uni spx (55500) $6,521 $6,521 1.8×
Exc Lacrimal Gland Tumor Frontal Approach (68540) $4,475 $4,475 1.9×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $2,046 $2,046 2.0×
Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) $3,693 $3,693 1.1×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $6,600 $6,600 4.1×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $5,086 $5,086 3.1×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $3,740 $3,740 1.1×
Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) $5,676 $5,676 1.7×
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) $5,676 $5,676 1.7×
Exc neuroma hand/foot xcp digital nerve (64782) $4,036 $4,036 2.1×
Exc Rct Tum Not Incl Muscularis Propria (45171) $5,663 $5,663 2.0×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $437–$746 $437–$746 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $5,279 $5,279 3.2×
Exc Skin Benig >4 Cm Remaindr Body (11426) $7,184 $7,184 2.5×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $5,283 $5,283 3.2×
Exc Skin Benig >4cm Face,Facial (11446) $5,320 $5,320 1.8×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $2,412 $2,412 1.5×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $4,422 $4,422 2.7×
Exc thigh/knee les sc 3 cm/> (27337) $7,200 $7,200 2.5×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $4,244 $4,244 3.5×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $1,106 $1,106 2.7×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $1,493 $1,493 2.1×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines		 $3,154–$4,422 $3,154–$4,422 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $8,124 $8,124 2.8×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $5,322 $5,322 1.8×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $3,914 $3,914 1.3×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $3,911 $3,911 1.3×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $5,322 $5,322 1.8×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $3,911 $3,911 2.4×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $5,322 $5,322 1.8×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $3,960 $3,960 1.4×
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) $5,320 $5,320 1.8×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $3,960 $3,960 1.4×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $3,911 $3,911 2.4×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $3,911 $3,911 2.4×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $3,911 $3,911 1.3×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $3,911 $3,911 1.3×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $7,669 $7,669 2.6×
Exc Varicocele/Ligation Spermatic Veins Spx (55530) $9,965 $9,965 2.8×
Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) $15,224 $15,224 2.1×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $5,086 $5,086 1.5×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $5,086 $5,086 3.1×
Exc/fulguration urethral caruncle (53265) $4,752 $4,752 2.3×
Excis Mouth Mucosa/Sub,No Repair (40810) $3,740 $3,740 1.1×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $3,740 $3,740 2.4×
Excis urethral prolapse (53275) $9,615 $9,615 2.7×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $2,726 $2,726 3.8×
Excision Aural Polyp (69540) $5,049 $5,049 3.2×
Excision External Ear Partial Simple Repair (69110) $4,422 $4,422 1.5×
Excision external ear; complete amputation Facility (69120) $5,676 $5,676 1.0×
Excision H/P/P/U Simple/Intermediate Repair (11470) $5,320 $5,320 1.8×
Excision inferior turbinate partial/complete (30130) $5,676 $5,676 1.7×
Excision lesion meniscus/capsule knee (27347) $8,500 $8,500 2.6×
Excision Lesion Tongue W/O Closure (41110) $3,740 $3,740 1.1×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $2,411 $2,411 3.4×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $1,251 $1,251 1.8×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 2 matching MRF lines		 $1,056–$1,106 $1,056–$1,106 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $2,726 $2,726 3.8×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $2,726 $2,726 3.8×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $2,412 $2,412 1.5×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $5,320 $5,320 1.8×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $2,411 $2,411 1.5×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $2,726 $2,726 3.8×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $2,409 $2,409 3.4×
Excision Multiple External Papillae/Tags Anus (46230) $4,244 $4,244 1.5×
Excision Nasal Polyp Extensive (30115) $5,676 $5,676 1.7×
Excision nasal polyp(s) simple (30110) $1,887 $1,887 1.2×
Excision of bartholin's gland or cyst (56740) $5,386 $5,386 1.7×
Excision of cervical stump, vaginal approach; with anterior and/or posterior repair Facility (57555) $13,510 $13,510 2.7×
Excision of extraparenchymal lesion of testis (54512) $5,287 $5,287 1.5×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $2,353 $2,353 1.5×
Excision of hydrocele; bilateral (55041) $9,900 $9,900 2.8×
Excision of hydrocele; unilateral (55040) $7,805 $7,805 2.2×
Excision of local lesion of epididymis (54830) $5,287 $5,287 1.5×
Excision of neuroma; digital nerve, 1 or both, same digit (64776) $4,036 $4,036 2.1×
Excision of pilonidal cyst or sinus; simple (11770) $7,182 $7,182 2.5×
Excision of single external papilla or tag, anus (46220) $4,798 $4,798 4.0×
Excision of sublingual gland (42450) $10,880 $10,880 1.8×
Excision of sublingual salivary cyst (ranula) (42408) $5,676 $5,676 1.7×
Excision of submandibular (submaxillary) gland (42440) $10,890 $10,890 1.8×
Excision of vaginal cyst or tumor (57135) $5,386 $5,386 1.7×
Excision olecranon bursa (24105) $4,844 $4,844 1.5×
Excision prepatellar bursa (27340) $4,844 $4,844 1.5×
Excision spermatocele w/wo epididymectomy (54840) $5,979 $5,979 2.8×
Excision synovial cyst popliteal space (27345) $8,500 $8,500 2.6×
Excision Thyroglossal Duct Cyst/Sinus (60280) $12,365 $12,365 2.0×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $8,124 $8,124 4.9×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $5,322 $5,322 1.8×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $3,911 $3,911 2.4×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $7,182 $7,182 4.3×
Excision, interdigital (morton) neuroma, single, each (28080)
range across 2 matching MRF lines		 $5,086–$7,630 $5,086–$7,630 varies
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $7,182 $7,182 2.5×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $2,411 $2,411 1.5×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $5,320 $5,320 1.8×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $3,960 $3,960 2.4×
Excision/curettage cyst/tumor phalanx finger (26210) $4,400 $4,400 2.7×
Excision/destruction intranasal lesion int appr (30117) $3,693 $3,693 1.1×
Excision/destruction lesion pharynx any method (42808) $5,676 $5,676 1.7×
Excision/Transposition Pterygium W/Grafg (65426) $4,477 $4,477 1.9×
Excision/Transposition Pterygium W/O Graft (65420) $4,477 $4,477 1.9×
Expl po hemrrg thrombosis/infctj xtr (35860) $7,293 $7,293 2.3×
Explo/Drain Breast Abscess (19020) $4,772 $4,772 2.9×
Exploration maxillary sinus (31020)
range across 2 matching MRF lines		 $5,676–$15,325 $5,676–$15,325 varies
Exploration of knee joint (27310) $8,580 $8,580 2.6×
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines		 $1,146–$1,545 $1,146–$1,545 varies
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010)
likely a partial charge, not the full procedure		 $1,167 $1,167 0.2×
Extensive mastoid surgery (69511) $10,890 $10,890 1.8×
Eye Surg Ant Sgmt Proc Unlisted (66999) $2,310 $2,310 1.0×
Fasciotomy, foot and/or toe (28008)
range across 2 matching MRF lines		 $8,700–$9,000 $8,700–$9,000 varies
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $6,446 $6,446 2.0×
Fetal non-stress test (59025) $448 $448 2.2×
Fine needle aspiration without imaging guidance (10021) $825 $825 2.0×
Fixation contralateral testis separate procedure (54620) $5,287 $5,287 1.5×
Flap; neurovascular pedicle (15750) $4,106 $4,106 1.2×
Fna bx w/us gdn 1st les (10005) $1,925 $1,925 2.7×
Foreskin manipulation (54450) $683 $683 2.7×
Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Facility (15572) $4,105 $4,105 1.2×
Fracture Nasal Inferior Turbinate Therapeutic (30930) $5,676 $5,676 1.7×
Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170) $5,115 $5,115 2.2×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $4,106 $4,106 2.0×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $4,640 $4,640 2.2×
Fusion Finger Joint (26860) $6,445 $6,445 2.0×
Fusion of elbow joint (24800) $12,408 $12,408 1.7×
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) $1,275 $1,275 0.3×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $5,584 $5,584 2.9×
Grafting of autologous soft tiss by direct exc (15769) $10,790 $10,790 3.0×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) $10,540 $10,540 1.4×
Hemiarthroplasty hip partial (27125)
likely a partial charge, not the full procedure		 $2,613 $2,613 0.2×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $7,645 $7,645 2.7×
Hemorrhoidectomy, external, 2 or more columns/groups (46250)
range across 2 matching MRF lines		 $268–$2,137 $268–$2,137 varies
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $7,646 $7,646 2.7×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $1,462 $1,462 1.6×
Hemorrhoidopexy by stapling (46947) $7,587 $7,587 2.7×
Hysteroscopy Biopsy (58558) $7,480 $7,480 2.3×
Hysteroscopy Dx Sep Proc (58555) $6,881 $6,881 2.1×
Hysteroscopy Endometrial Ablation (58563) $11,606 $11,606 2.3×
Hysteroscopy Removal Impacted Foreign Body (58562) $7,791 $7,791 2.4×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $3,693 $3,693 1.1×
I&d abscess peritonsillar (42700) $1,059 $1,059 4.5×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $292–$604 $292–$604 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $6,540 $6,540 4.0×
I&d deep absc bursa/hematoma thigh/knee region (27301) $4,772 $4,772 1.6×
I&d perianal abscess superficial (46050) $2,303 $2,303 2.5×
I&d pilonidal cyst complicated (10081) $1,964 $1,964 2.8×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $133–$297 $133–$297 varies
Image Cath Fluid Trns/Vgnl (49407) $3,646 $3,646 2.2×
Implant neuroelectrodes (63650) $18,959 $18,959 3.0×
Implant Neuroelectrodes (64561) $15,431 $15,431 2.4×
Implant Periph/Gastric Neurostim/Receiver (64590) $49,899 $49,899 2.6×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $184–$334 $184–$334 varies
Incise finger tendon sheath (26055) $3,581 $3,581 2.2×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $528–$1,197 $528–$1,197 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $7,110 $7,110 2.4×
Incision & removal foreign body subq tiss compl (10121) $3,911 $3,911 2.4×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $286–$654 $286–$654 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $305–$402 $305–$402 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $266–$353 $266–$353 varies
Incision bone cortex foot (28005) $6,866 $6,866 2.1×
Incision extensor tendon sheath wrist (25000) $4,844 $4,844 3.0×
Incision of eardrum (69421) $3,693 $3,693 1.1×
Incision of eardrum (69420) $1,059 $1,059 4.5×
Incision of Foot Tendon (28234) $5,086 $5,086 3.1×
Incision of lingual frenum (frenotomy) (41010) $1,870 $1,870 1.2×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $1,227–$1,817 $1,227–$1,817 varies
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 2 matching MRF lines		 $1,455–$4,584 $1,455–$4,584 varies
Incisional biopsy eyelid skin & lid margin (67810) $871 $871 2.7×
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $1,056–$1,100 $1,056–$1,100 varies
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $158–$218 $158–$218 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $1,960 $1,960 2.2×
Injection 1 tendon sheath/ligament aponeurosis (20550) $693 $693 2.2×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,960 $1,960 2.2×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,793 $1,793 2.5×
Injection anesthetic agent suprascapular nerve (64418) $1,900 $1,900 2.7×
Injection for identification of sentinel node (38792) $817 $817 2.0×
Injection single/mlt trigger point 1/2 muscles (20552) $731 $731 2.4×
Injection single/mlt trigger point 3/> muscles (20553) $700 $700 2.3×
Injection Turbinate Therapeutic (30200) $1,884 $1,884 3.5×
Injection, anesthetic agent; brachial plexus, single (64415) $2,475 $2,475 2.8×
Injection, anesthetic agent; femoral nerve, single (64447) $1,650 $1,650 2.3×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $243–$431 $243–$431 varies
Injx anterior chamber eye air/liquid spx (66020) $2,195 $2,195 0.9×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $4,290 $4,290 4.8×
Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) $4,290 $4,290 4.8×
Ins cath ren art 1st bilat (36252) $3,300 $3,300 1.0×
Ins cath ren art 2nd+ bilat (36254) $9,147 $9,147 2.9×
Ins endovas vena cava filtr (37191) $15,180 $15,180 2.7×
Insert 1 Electrode Pm-Defib (33216) $24,450 $24,450 2.9×
Insert and remove bone pin (20650) $7,590 $7,590 2.3×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $297–$462 $297–$462 varies
Insert cath pleura w/ image (32557) $1,432 $1,432 0.9×
Insert cath pleura w/o image (32556)
range across 2 matching MRF lines		 $466–$1,733 $466–$1,733 varies
Insert Gastrostomy Tube Percutaneous (49440) $4,875 $4,875 2.5×
Insert Heart Pm Ventricular (33207) $31,200 $31,200 3.0×
Insert multi-comp penis pros (54405) $57,885 $57,885 2.8×
Insert non-tunnel cv cath (36556)
range across 3 matching MRF lines		 $426–$3,488 $426–$3,488 varies
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $110–$368 $110–$368 varies
Insert tunneled cv cath (36561) $164 $164 0.1×
Insert Uro/Ves Nck Sphincter (53445) $57,850 $57,850 2.8×
Insert,Non-Indwelling Bladder Catheter (51701) $368 $368 2.8×
Insertion Picc W/Rs&I 5 Yr/> (36573) $3,850 $3,850 2.4×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $25,300 $25,300 3.0×
Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) $5,115 $5,115 2.2×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $7,745 $7,745 2.4×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $2,370 $2,370 1.5×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $15,419 $15,419 2.8×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) $2,701 $2,701 0.9×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines		 $2,773–$6,523 $2,773–$6,523 varies
Insj/Rplcmt Defib W/Lead(S) (33249) $105,600 $105,600 3.3×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $89,255 $89,255 2.9×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
range across 2 matching MRF lines		 $644–$20,048 $644–$20,048 varies
Insrt heart pm atrial & vent (33208) $32,604 $32,604 3.1×
Int hrhc by ligation single hroid w/o img gdn (46945) $5,663 $5,663 2.0×
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 2 matching MRF lines		 $278–$892 $278–$892 varies
Intranasal Biopsy (30100) $1,887 $1,887 1.2×
Intraoral i&d tongue/floor lingual (41000) $1,470 $1,470 2.7×
Intraoral i&d tongue/floor sublngl supfc (41005) $1,059 $1,059 4.5×
Intro Gastrointestinal Tube (44500) $1,422 $1,422 1.6×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $383–$554 $383–$554 varies
Irrigation maxillary sinus (31000)
range across 2 matching MRF lines		 $1,059–$2,119 $1,059–$2,119 varies
Irrigation of corpora cavernosa for priapism (54220) $861 $861 3.4×
Island pedicle flap graft (15740) $4,106 $4,106 2.0×
Knee arthroscopy/drainage (29871) $8,047 $8,047 2.4×
Knee Arthroscopy/Surgery (29874) $6,277 $6,277 1.9×
Laparo-vag hyst incl t/o (58552) $22,990 $22,990 2.2×
Laparoscopy aspiration (49322) $8,798 $8,798 1.4×
Laparoscopy Enterolysis Separate Procedure (44180) $11,025 $11,025 1.8×
Laparoscopy fulguration oviducts (58670) $27,918 $27,918 4.6×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 2 matching MRF lines		 $11,025–$16,539 $11,025–$16,539 varies
Laparoscopy W/Lysis Of Adhesions (58660) $11,025 $11,025 1.8×
Laparoscopy w/rmvl adnexal structures (58661) $11,025 $11,025 1.8×
Laparoscopy, surgical, appendectomy (44970) $10,749 $10,749 1.8×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) $15,982 $15,982 1.5×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) $11,025 $11,025 1.0×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $15,166 $15,166 2.5×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) $11,025 $11,025 1.0×
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) $11,025 $11,025 1.8×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $11,025 $11,025 1.8×
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) $15,180 $15,180 2.5×
Laparoscopy, surgical; with biopsy (single or multiple) (49321) $8,798 $8,798 1.4×
Laparoscopy, Tubal Block (58671) $15,180 $15,180 2.5×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $11,880 $11,880 2.0×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $11,025 $11,025 1.8×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) $15,983 $15,983 1.5×
Laps surg retroperitoneal lymph node bx 1/mlt (38570) $12,467 $12,467 2.1×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) $22,990 $22,990 2.2×
Laryngoscopy diagnostic (31505)
range across 2 matching MRF lines		 $83–$158 $83–$158 varies
Laryngoscopy exc tum&/stripping cords/epiglott (31540) $5,864 $5,864 1.6×
Laryngoscopy flexible diagnostic (31575) $441 $441 2.2×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $3,673 $3,673 2.1×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $1,125 $1,125 2.9×
Laryngoscopy W/Biopsy (31535) $5,864 $5,864 1.6×
Laryngoscopy w/biopsy microscope/telescope (31536) $5,864 $5,864 1.6×
Laryngotomy (thyrotomy, laryngofissure), with removal of tumor or laryngocele, cordectomy Facility (31300) $5,676 $5,676 1.7×
Larynscop w/tumr exc + scope (31541) $7,917 $7,917 2.1×
Laser vaporization of prostate (52648) $13,268 $13,268 2.5×
Late closure of wound (13160) $4,105 $4,105 1.2×
Ligate/strip short leg vein (37718) $6,333 $6,333 2.0×
Ligation of hemorrhoids (46946) $8,025 $8,025 2.9×
Ligation or biopsy temporal artery (37609)
range across 2 matching MRF lines		 $273–$1,587 $273–$1,587 varies
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $8,400 $8,400 2.6×
Lip Surgery Procedure (40799)
range across 2 matching MRF lines		 $340–$1,071 $340–$1,071 varies
Litholapaxy comp/lg > 2.5 cm (52318) $9,658 $9,658 2.7×
Litholapaxy smpl/sm <2.5 cm (52317) $8,393 $8,393 2.4×
Lithotripsy, extracorporeal shock wave (50590) $9,700 $9,700 2.7×
Lsh uterus 250 g or less (58541) $15,982 $15,982 1.5×
Manipulation knee joint under general anesthesia (27570) $3,356 $3,356 2.1×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $4,200 $4,200 2.6×
Marsupialization of bartholin's gland cyst (56440) $5,386 $5,386 1.7×
Mast mod rad (19307) $12,104 $12,104 1.8×
Mastectomy for gynecomastia (19300) $10,010 $10,010 2.5×
Mastectomy partial (19301) $7,148 $7,148 1.8×
Mastectomy partial w/axillary lymphadenectomy (19302) $12,104 $12,104 1.8×
Mastectomy simple complete (19303) $8,789 $8,789 1.3×
Mastoidectomy (69501) $10,890 $10,890 1.8×
Middle ear expl thru postaur/ear canal inc (69440) $10,890 $10,890 3.3×
Middle ear surgery proc unlisted (69799) $584 $584 2.5×
N Block Inj Ilio-Ing/Hypogi (64425) $1,793 $1,793 2.5×
N Block Inj Pudendal (64430) $1,960 $1,960 2.2×
Nasal Endoscopy Dx (31231) $440 $440 2.2×
Nasal surgery procedure (30999) $723 $723 3.0×
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines		 $146–$459 $146–$459 varies
Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) $1,128 $1,128 2.9×
Nasal/sinus endoscopy w/maxillary antrostomy (31256)
range across 2 matching MRF lines		 $5,864–$11,728 $5,864–$11,728 varies
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) $8,956 $8,956 1.3×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $3,673 $3,673 2.1×
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $383 $383 0.2×
Nasal/sinus ndsc w/partial ethmoidectomy (31254) $7,917 $7,917 1.1×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) $8,956 $8,956 1.3×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) $8,956 $8,956 1.3×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $4,455 $4,455 2.8×
Needle Biopsy Lymph Nodes (38505) $248 $248 0.1×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $5,525 $5,525 2.8×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $800 $800 2.6×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $854 $854 0.2×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 3 matching MRF lines		 $1,964–$3,920 $1,964–$3,920 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines		 $1,961–$2,648 $1,961–$2,648 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $1,961 $1,961 2.2×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $2,648 $2,648 3.7×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $1,961 $1,961 2.2×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) $5,864 $5,864 0.8×
Occipital Nerve Block (64405) $1,087 $1,087 3.5×
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure		 $1,892 $1,892 0.3×
Open Implantation Nea Peripheral Nerve (64575) $35,860 $35,860 3.2×
Open Implantation Nea Sacral Nerve (64581) $15,431 $15,431 2.4×
Open Repair of Rotator Cuff Acute (23410) $17,232 $17,232 2.4×
Open Treatment Bimalleolar Ankle Fracture (27814) $12,332 $12,332 1.7×
Open treatment calcaneal fracture (28415) $18,810 $18,810 2.6×
Open treatment fracture distal tibia only (27827) $33,000 $33,000 2.6×
Open Treatment Grter Humeral Tuberosity Fracture (23630)
range across 2 matching MRF lines		 $16,500–$19,800 $16,500–$19,800 varies
Open Treatment Medial Malleolus Fracture (27766)
range across 2 matching MRF lines		 $3,080–$19,690 $3,080–$19,690 varies
Open treatment metatarsal fracture each (28485) $18,800 $18,800 2.6×
Open treatment of nasal septal fracture, with or without stabilization Facility (21336) $5,957 $5,957 1.8×
Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) Facility (21385) $15,431 $15,431 2.6×
Open Treatment Proximal Fibula/Shaft Fracture (27784) $19,690 $19,690 2.7×
Open Treatment Proximal Humeral Fracture (23615) $33,403 $33,403 2.6×
Open tx acute shoulder dislocation (23660) $18,480 $18,480 2.5×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
range across 2 matching MRF lines		 $806–$4,224 $806–$4,224 varies
Open tx femoral supracondylar fracture w/o xtn (27511)
likely a partial charge, not the full procedure		 $2,613 $2,613 0.2×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $5,968 $5,968 1.8×
Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) $4,400 $4,400 0.6×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $8,690 $8,690 2.6×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $8,179 $8,179 2.5×
Open Tx Tibial Fracture Proximal Unicondylar (27535)
unusually low: confirm this is the full procedure		 $2,613 $2,613 0.4×
Open tx ulnar fx proximal end (24685) $18,810 $18,810 2.6×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $17,600 $17,600 2.4×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $4,840 $4,840 0.7×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
unusually low: confirm this is the full procedure		 $2,266 $2,266 0.3×
Optx tibial fx prox bicondylar w/wo int fixj (27536) $8,657 $8,657 1.2×
Orchiectomy partial (54522) $9,700 $9,700 2.7×
Orchiectomy radical tumor inguinal approach (54530) $9,900 $9,900 2.8×
Orchiopexy Ingun/Scrot Appr (54640) $9,900 $9,900 2.8×
Ostc prtl exostc/condylc metar head (28288) $5,086 $5,086 1.5×
Ostectomy calcaneus (28118) $5,086 $5,086 1.5×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $5,086 $5,086 1.5×
Ostectomy, complete excision; fifth metatarsal head (28113) $5,086 $5,086 1.5×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $5,086 $5,086 1.5×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $5,086 $5,086 1.5×
Ovarian cystectomy, unilateral or bilateral (58925) $13,200 $13,200 2.6×
Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) $11,606 $11,606 2.3×
Part remv talus or calcaneus (28120) $5,086 $5,086 1.5×
Partial Excision Distal Phalanx Finger (26236) $4,455 $4,455 2.8×
Partial excision of lip (40520) $3,693 $3,693 1.1×
Partial removal of thyroid (60220) $12,365 $12,365 2.0×
Partial removal of toe (28160) $5,086 $5,086 1.5×
Partical Excision Bone Phalanx Toe (28124) $1,211 $1,211 0.4×
Pelvic examination under anesthesia (other than local) (57410) $5,386 $5,386 1.7×
Perq dev breast 1st us imag (19285) $2,070 $2,070 2.9×
Perq device breast 1st imag (19281) $1,604 $1,604 1.0×
Perq skel fixj distal radial fx/epiphysl sep (25606) $5,957 $5,957 1.8×
Place Cath Thoracic Aorta (36221) $8,690 $8,690 2.7×
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines		 $213–$361 $213–$361 varies
Placement of seton (46020) $7,706 $7,706 2.8×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $11,606 $11,606 2.3×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $1,440 $1,440 1.5×
Proctosgmdsc Rigid Control Bleeding (45317) $2,415 $2,415 2.0×
Proctosgmdsc rigid w/dilation (45303) $2,415 $2,415 2.0×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $2,415 $2,415 2.0×
Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) $1,960 $1,960 2.2×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $5,086 $5,086 1.5×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $264–$584 $264–$584 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $305–$497 $305–$497 varies
Puncture Aspiration Cyst Breast (19000) $1,422 $1,422 2.0×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) $15,224 $15,224 2.1×
Rdctj torsion tstis w/wo fixj clat testis (54600) $10,000 $10,000 2.8×
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) $10,890 $10,890 1.8×
Reduction of rectal prolapse (45900)
range across 2 matching MRF lines		 $619–$1,356 $619–$1,356 varies
Release foot/toe nerve (64726) $4,036 $4,036 2.1×
Removal foreign body foot deep (28192) $4,422 $4,422 2.7×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $450–$799 $450–$799 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $450–$799 $450–$799 varies
Removal foreign body, intranasal; requiring general anesthesia (30310) $3,740 $3,740 1.1×
Removal impacted cerumen irrigation/lvg unilat (69209) $153 $153 2.6×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $60–$110 $60–$110 varies
Removal Implant Deep (20680) $5,322 $5,322 1.8×
Removal Implant Superficial Separate Procedure (20670) $3,960 $3,960 2.4×
Removal intact breast implant (19328) $8,789 $8,789 2.2×
Removal of a lesion from the floor of the mouth (41116) $5,676 $5,676 1.7×
Removal of adenoids (42831) $5,676 $5,676 1.7×
Removal of adenoids (42830) $14,689 $14,689 4.4×
Removal of anal fissure (46200) $6,402 $6,402 2.3×
Removal of bladder cyst (51500) $11,914 $11,914 2.0×
Removal of foreign body from pharynx (42809)
range across 2 matching MRF lines		 $71–$419 $71–$419 varies
Removal of heel spur (28119) $5,086 $5,086 1.5×
Removal of implant from finger or hand (26320) $4,400 $4,400 2.7×
Removal of implanted material, anterior segment of eye (65920) $5,115 $5,115 2.2×
Removal of infusion pump (36262) $6,844 $6,844 1.8×
Removal of intranasal lesion (30118) $5,676 $5,676 1.7×
Removal of kidney stone (50081) $25,675 $25,675 2.7×
Removal of mammary implant material (19330) $8,789 $8,789 2.2×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $512–$985 $512–$985 varies
Removal of sperm cord lesion (55520) $5,287 $5,287 1.5×
Removal of testis (54520) $6,520 $6,520 1.8×
Removal of tonsils (42825) $12,302 $12,302 2.1×
Removal of tonsils (42826) $7,666 $7,666 2.3×
Removal of tunneled intraperitoneal catheter (49422) $4,598 $4,598 1.4×
Removal Pacemaker Electrode (33235) $10,320 $10,320 2.7×
Removal ppm generator only (33233) $24,500 $24,500 2.9×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $387 $387 1.9×
Removal subcutaneous cardiac rhythm monitor (33286) $1,866 $1,866 2.6×
Removal sweat gland lesion (11450) $5,320 $5,320 1.8×
Removal, under anesthesia, of external fixation system (20694) $4,290 $4,290 2.7×
Removal/bivalving gauntlet boot/body cast (29700)
range across 2 matching MRF lines		 $101–$116 $101–$116 varies
Remove armpit lymph nodes (38740) $12,365 $12,365 2.0×
Remove drug implant device (11982) $1,133 $1,133 2.5×
Remove Elctrd Transvenously (33244)
range across 2 matching MRF lines		 $4,875–$10,320 $4,875–$10,320 varies
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $134–$416 $134–$416 varies
Remove Intrauterine Device (58301) $660 $660 2.2×
Remove mastoid structures (69505) $10,890 $10,890 1.8×
Remove muti-comp penis pros (54406) $9,965 $9,965 2.8×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $111–$364 $111–$364 varies
Remove prostate regrowth (52630) $14,125 $14,125 2.6×
Remove Pulse Generator (33241) $10,400 $10,400 2.8×
Remove self-contd penis pros (54415) $11,326 $11,326 3.2×
Remove Shoulder Foreign Body (23330) $2,411 $2,411 1.5×
Remove Tendon Sheath Lesion (26160) $3,581 $3,581 2.2×
Remove&replace pm gen singl (33227) $25,300 $25,300 3.0×
Remove/replace penis prosth (54410) $57,700 $57,700 2.8×
Remv&replc cvd gen dual lead (33263) $24,984 $24,984 1.1×
Remv&replc cvd gen mult lead (33264) $100,641 $100,641 3.2×
Remv&replc pm gen dual lead (33228) $25,300 $25,300 2.4×
Remv&replc pm gen mult leads (33229) $55,833 $55,833 2.9×
Renal Biopsy Perq (50200) $3,069 $3,069 1.8×
Reopen fallopian tube (58350) $13,640 $13,640 2.7×
Repair Achilles Tendon (27650) $10,989 $10,989 1.5×
Repair Blood Vessel Direct Upper Extremity (35206) $7,293 $7,293 2.3×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,685 $1,685 2.3×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,074 $1,074 2.6×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $1,462–$4,604 $1,462–$4,604 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $305–$1,013 $305–$1,013 varies
Repair Ectropion Extensive (67917) $6,345 $6,345 2.7×
Repair Elbow Perc (24357) $7,590 $7,590 2.3×
Repair Entropion Extensive (67924) $6,700 $6,700 2.8×
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $273–$4,620 $273–$4,620 varies
Repair Fistula Oromaxillary (30580) $10,880 $10,880 1.8×
Repair Hallux Rigidus (28289) $6,866 $6,866 2.1×
Repair inguinal hernia, sliding, any age (49525) $7,805 $7,805 2.2×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $7,805 $7,805 2.2×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $3,485 $3,485 1.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $278–$564 $278–$564 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $661–$676 $661–$676 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $197–$680 $197–$680 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $218–$728 $218–$728 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 2 matching MRF lines		 $278–$790 $278–$790 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $182–$528 $182–$528 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $182–$619 $182–$619 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $674–$676 $674–$676 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $758–$1,317 $758–$1,317 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $498–$1,197 $498–$1,197 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $305–$601 $305–$601 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $246–$1,318 $246–$1,318 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $153–$637 $153–$637 varies
Repair lead pace-defib dual (33220) $10,320 $10,320 2.7×
Repair of fibula nonunion and/or malunion with internal fixation (27726) $18,810 $18,810 2.6×
Repair of hammertoe (28286) $5,086 $5,086 1.5×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $413–$1,755 $413–$1,755 varies
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) $18,810 $18,810 2.6×
Repair of shoulder (23420) $10,976 $10,976 1.5×
Repair oval window fistula (69666) $5,676 $5,676 1.7×
Repair paravag defect vag (57285) $11,606 $11,606 1.6×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) $8,824 $8,824 1.4×
Repair Rotator Cuff Chronic (23412) $10,976 $10,976 1.5×
Repair round window fistula (69667) $5,676 $5,676 1.7×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208)
range across 2 matching MRF lines		 $223–$5,340 $223–$5,340 varies
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $19,842 $19,842 2.7×
Repair tongue laceration (41252)
range across 2 matching MRF lines		 $200–$695 $200–$695 varies
Repair tongue laceration (41250)
range across 2 matching MRF lines		 $214–$450 $214–$450 varies
Repair Tooth Socket (41874) $3,696 $3,696 1.1×
Repair, primary, disrupted ligament, ankle; collateral (27695) $7,590 $7,590 1.0×
Replace eye fluid (67025) $3,892 $3,892 1.7×
Replantation digit complete (20822)
range across 2 matching MRF lines		 $1,675–$2,612 $1,675–$2,612 varies
Reposition Gastrostomy Tube (43761)
range across 2 matching MRF lines		 $124–$781 $124–$781 varies
Reposition Pacing-Defib Lead (33215) $8,684 $8,684 2.7×
Reposition Venous Catheter (36597) $2,461 $2,461 1.6×
Rerepair ing hernia reduce (49520) $7,805 $7,805 2.2×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $5,086 $5,086 1.5×
Resection, partial or complete, phalangeal base, each toe (28126) $9,020 $9,020 2.7×
Resection/transplantation long tendon biceps (23440) $20,450 $20,450 2.8×
Rev/rmv prph sac/gstr npg/r (64595) $9,741 $9,741 2.8×
Revise finger joint each (26140) $3,581 $3,581 2.2×
Revise Hand/Foot Nerve (64704) $4,036 $4,036 2.1×
Revision mastoidectomy; resulting in radical mastoidectomy Facility (69603) $10,890 $10,890 1.8×
Revision mastoidectomy; resulting in tympanoplasty Facility (69604) $10,890 $10,890 1.8×
Revision of big toe (28310) $5,086 $5,086 0.7×
Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) $1,372 $1,372 0.4×
Revision of eyelid (67880) $6,680 $6,680 2.8×
Revision of foot bones (28737) $15,223 $15,223 1.2×
Revision of neck muscle (21720) $9,252 $9,252 2.8×
Revision of scrotum (55180) $15,000 $15,000 2.8×
Revision of stapedectomy or stapedotomy Facility (69662) $15,431 $15,431 2.6×
Revision Peri-Implant Capsule Breast (19370) $8,789 $8,789 2.2×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $19,984 $19,984 3.1×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $9,503 $9,503 2.7×
Revj/rmvl peripheral neurostimulator electrode (64585) $9,727 $9,727 2.8×
Revj/rpr oprative wound anterior segment (66250) $5,778 $5,778 2.4×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $457 $457 0.5×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $4,531 $4,531 2.7×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $134–$198 $134–$198 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $298 $298 0.7×
Rmvl fecal impaction/fb spx under anes (45915)
range across 2 matching MRF lines		 $692–$2,179 $692–$2,179 varies
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)
range across 2 matching MRF lines		 $1,639–$5,320 $1,639–$5,320 varies
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $2,411 $2,411 0.8×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $2,415 $2,415 1.5×
Rmvl Lens Material Aspir Tq 1/> Stages (66840) $5,778 $5,778 2.5×
Rmvl Lens Material Phacofragmentation Aspir (66850) $5,113 $5,113 2.2×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $2,195 $2,195 1.4×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,425 $1,425 2.3×
Rmvl Vitreous Ant Appr Partial Removal (67005) $5,113 $5,113 2.2×
Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) $5,113 $5,113 2.2×
Rmvl/revj sling stress incontinence (57287) $7,792 $7,792 2.4×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $176–$377 $176–$377 varies
Rplcmt cath ctr vad subq port/pmp (36578) $8,800 $8,800 2.8×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $2,459 $2,459 1.6×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $6,523 $6,523 2.1×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $9,750 $9,750 2.7×
Rpr aa hernia recr 3-10 cm reducible (49615) $10,500 $10,500 1.6×
Rpr aa hrn 1st 3-10 rdc (49593) $10,625 $10,625 1.6×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $4,308 $4,308 2.7×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $383–$595 $383–$595 varies
Rpr Lip Full Thickness Vermilion Only (40650)
range across 2 matching MRF lines		 $695–$911 $695–$911 varies
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $4,165 $4,165 2.7×
Rpr Tendon Xtnsr Foot Sec W/Free Graft Ea Tendon (28210) $15,223 $15,223 2.1×
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $8,729 $8,729 2.7×
Scrotoplasty Simple (55175) $9,700 $9,700 2.7×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $7,663 $7,663 2.3×
Severing Adhesions Anterior Segment Laser Spx (65860) $1,294 $1,294 2.3×
Severing Ads Ant Seg Incal Spx Ant Synechiae (65870) $5,115 $5,115 2.2×
Severing Ads Ant Seg Incal Spx Post Synechiae (65875) $5,115 $5,115 2.2×
Shoulder arthroscopy diagnostic (29805) $8,047 $8,047 2.4×
Sigmoidoscopy & Polypectomy (45333) $1,439 $1,439 1.5×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $1,439 $1,439 1.5×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $2,415 $2,415 2.0×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $381–$728 $381–$728 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $245–$353 $245–$353 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $243–$395 $243–$395 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $483 $483 1.2×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $243–$474 $243–$474 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018)
range across 2 matching MRF lines		 $257–$1,074 $257–$1,074 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $334–$604 $334–$604 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $243–$437 $243–$437 varies
Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030) $10,890 $10,890 1.8×
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032) $10,890 $10,890 1.8×
Skin Full Grft Face/Genit/Hf (15240)
range across 2 matching MRF lines		 $1,211–$4,311 $1,211–$4,311 varies
Skin Pinch Graft (15050) $1,611 $1,611 2.2×
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines		 $4,105–$5,176 $4,105–$5,176 varies
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines		 $4,105–$5,176 $4,105–$5,176 varies
Skin sub grft t/arm/lg child (15273) $8,945 $8,945 4.3×
Skin Tissue Procedure (17999)
range across 2 matching MRF lines		 $95–$578 $95–$578 varies
Skn sub grft f/n/hf/g child (15277) $5,176 $5,176 2.5×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $11,606 $11,606 2.3×
Slitting of prepuce (54001) $5,775 $5,775 2.8×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $370–$408 $370–$408 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $383–$540 $383–$540 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $170–$685 $170–$685 varies
Sphincterotomy anal division sphincter spx (46080) $4,244 $4,244 1.5×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $262–$1,371 $262–$1,371 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $6,712 $6,712 1.9×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100)
range across 2 matching MRF lines		 $5,176–$6,712 $5,176–$6,712 varies
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) $10,890 $10,890 1.8×
Stapes mobilization (69650) $10,890 $10,890 3.3×
Strapping ankle (29540)
range across 2 matching MRF lines		 $23–$72 $23–$72 varies
Strapping elbow or wrist (29260)
range across 2 matching MRF lines		 $122–$269 $122–$269 varies
Strapping hand/finger (29280)
range across 2 matching MRF lines		 $110–$345 $110–$345 varies
Strapping knee (29530)
range across 2 matching MRF lines		 $122–$129 $122–$129 varies
Strapping shoulder (29240)
range across 3 matching MRF lines		 $117–$217 $117–$217 varies
Strapping thorax (29200)
range across 2 matching MRF lines		 $64–$101 $64–$101 varies
Strapping toes (29550)
range across 2 matching MRF lines		 $103–$278 $103–$278 varies
Strapping Unna Boot (29580) $22 $22 0.1×
Subcutaneous Hormone Pellet Implantation (11980)
range across 2 matching MRF lines		 $350–$425 $350–$425 varies
Submucous Rescj Inferior Turbinate Prtl/Compl (30140)
range across 2 matching MRF lines		 $5,676–$11,363 $5,676–$11,363 varies
Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) $5,676 $5,676 1.7×
Surg tx anal fistula subq (46270) $5,664 $5,664 2.0×
Syndactylization toes (28280) $5,086 $5,086 1.5×
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines		 $440–$1,026 $440–$1,026 varies
Tenotomy Percutaneous Toe Single Tendon (28010) $5,086 $5,086 3.1×
Thrombolytic Art Therapy (37211)
likely a partial charge, not the full procedure		 $1,073 $1,073 0.2×
Thrombolytic Therapy Stroke (37195)
range across 2 matching MRF lines		 $218–$351 $218–$351 varies
Thrombolytic Venous Therapy (37212) $8,600 $8,600 2.7×
Thyroid biopsy (60100) $1,422 $1,422 2.0×
Thyroidectomy Post Prev Thyr Surg (60260) $10,880 $10,880 1.8×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $4,640 $4,640 2.2×
Tnot elbow lateral/medial debride open tdn rpr (24359) $8,657 $8,657 2.6×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $5,678 $5,678 1.7×
Tooth extraction (41899) $630 $630 2.6×
Total Knee Arthroplasty (27447) $40,000 $40,000 3.1×
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) $12,210 $12,210 2.0×
Tracheostoma revj smpl w/o flap rotation (31613) $5,676 $5,676 1.7×
Tracheostomy Emergency Procedure Transtracheal (31603)
range across 2 matching MRF lines		 $766–$834 $766–$834 varies
Tracheostomy planned (31600) $5,676 $5,676 1.7×
Transplant hand tendon (26480) $9,000 $9,000 2.7×
Transplant/graft hand tendon (26483) $9,300 $9,300 2.8×
Transur electr resection of prostate (52601) $14,100 $14,100 2.6×
Transurethral resection bladder neck (52500) $9,700 $9,700 2.7×
Treat Big Toe Fracture (28505) $5,957 $5,957 1.8×
Treat Finger Fracture Each (26727) $8,657 $8,657 2.6×
Treat Fx Rad Extra-Articul (25607) $16,246 $16,246 2.2×
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $419–$939 $419–$939 varies
Treat Humerus Fracture (24505) $3,623 $3,623 2.2×
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $196–$880 $196–$880 varies
Treat Kneecap Fracture (27524) $18,700 $18,700 2.6×
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $235–$873 $235–$873 varies
Treat Metatarsal Fracture (28475) $710 $710 2.9×
Treat Thumb Fracture (26645) $741 $741 0.5×
Treat thumb fracture (26665) $5,500 $5,500 1.7×
Treat toe dislocation (28630)
range across 2 matching MRF lines		 $145–$364 $145–$364 varies
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 2 matching MRF lines		 $1,366–$1,700 $1,366–$1,700 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $886–$1,008 $886–$1,008 varies
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) $26,120 $26,120 3.6×
Trim skin lesion (11055) $558 $558 2.8×
Trim skin lesions 2 to 4 (11056) $558 $558 2.8×
Trim skin lesions over 4 (11057) $558 $558 2.8×
Trimming Nondystrophic Nails Any Number (11719) $185 $185 3.1×
Trurl rescj postop bladder neck contracture (52640) $9,615 $9,615 2.7×
Tx Gastro Intub W/Asp (43753) $383 $383 1.8×
Tx Incomplete Abortion Any Trimester Surgical (59812) $8,085 $8,085 2.5×
Tx open tendon flexor toe 1 tendon spx (28232) $5,086 $5,086 3.1×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $4,515 $4,515 2.8×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $407–$595 $407–$595 varies
Tx superficial wound dehiscence w/packing (12021)
range across 2 matching MRF lines		 $237–$431 $237–$431 varies
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $5,676 $5,676 3.6×
Tympanolysis transcanal (69450) $10,890 $10,890 3.3×
Tympanoplasty (69631) $10,890 $10,890 1.8×
Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr (69645) $10,890 $10,890 1.8×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69637) $15,431 $15,431 2.6×
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635) $10,890 $10,890 1.8×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) $10,890 $10,890 1.8×
Tympanostomy general anesthesia (69436)
range across 2 matching MRF lines		 $4,985–$9,970 $4,985–$9,970 varies
Unlisted Craniofacial & Maxillofacial Procedure (21299) $380 $380 1.6×
Unlisted hysteroscopy procedure, uterus (58579) $506 $506 2.5×
Unlisted laparoscopic procedure liver (47379) $8,800 $8,800 1.4×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) $11,880 $11,880 2.0×
Unlisted laparoscopy procedure, biliary tract (47579)
range across 2 matching MRF lines		 $8,798–$9,009 $8,798–$9,009 varies
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) $8,800 $8,800 1.4×
Unlisted laparoscopy procedure, spermatic cord (55559) $8,800 $8,800 1.4×
Unlisted Procedure Accessory Sinuses (31299) $385 $385 1.6×
Unlisted procedure anus (46999)
range across 2 matching MRF lines		 $1,290–$2,426 $1,290–$2,426 varies
Unlisted procedure arthroscopy (29999) $9,579 $9,579 38.7×
Unlisted Procedure Biliary Tract (47999) $5,349 $5,349 5.9×
Unlisted Procedure Casting/Strapping (29799)
range across 2 matching MRF lines		 $102–$135 $102–$135 varies
Unlisted Procedure Esophagus (43499) $2,600 $2,600 2.9×
Unlisted procedure excision pressure ulcer (15999) $1,980 $1,980 2.8×
Unlisted Procedure External Ear (69399) $385,007 $385,007 1618.2×
Unlisted procedure femur or knee (27599) $620 $620 2.5×
Unlisted procedure foot or toes (28899) $495 $495 2.0×
Unlisted procedure forearm or wrist (25999) $495 $495 2.0×
Unlisted Procedure Intestine (44799) $6,666 $6,666 7.3×
Unlisted procedure larynx (31599) $385 $385 1.6×
Unlisted procedure liver (47399) $1,419 $1,419 2.0×
Unlisted Procedure Male Genital System (55899)
range across 2 matching MRF lines		 $134–$156 $134–$156 varies
Unlisted procedure nervous system (64999) $616 $616 2.0×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $292 $292 1.2×
Unlisted Procedure Rectum (45999) $1,415 $1,415 1.5×
Unlisted procedure shoulder (23929) $660 $660 2.7×
Unlisted procedure stomach (43999) $2,583 $2,583 2.8×
Unlisted Procedure Tongue Floor Mouth (41599) $385 $385 1.6×
Unlisted Procedure Trachea Bronchi (31899) $500 $500 2.5×
Unlisted procedure, abdomen, peritoneum and omentum (49999)
range across 2 matching MRF lines		 $414–$2,324 $414–$2,324 varies
Unlisted Procedure, Urinary System (53899) $710 $710 2.8×
Unlisted px female genital system nonobstetrical (58999) $385 $385 1.9×
Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410) $15,000 $15,000 2.8×
Uvulectomy excision of uvula (42140) $3,693 $3,693 1.1×
Vaginal delivery only (59409)
range across 2 matching MRF lines		 $2,717–$6,393 $2,717–$6,393 varies
Vaginal hysterectomy, for uterus 250 g or less; (58260) $11,606 $11,606 2.3×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $13,615 $13,615 2.7×
Vasectomy uni/bi spx w/postop semen exams (55250) $5,976 $5,976 2.8×
Venous Cutdown >1 Y/O (36425)
range across 2 matching MRF lines		 $45–$134 $45–$134 varies
Vitrectomy mechanical pars plana (67036) $9,108 $9,108 2.2×
Vulvectomy simple partial (56620) $5,386 $5,386 1.7×
Vulvectomy simple; complete (56625) $5,386 $5,386 1.7×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $213–$669 $213–$669 varies
Wedging of cast (29740)
range across 2 matching MRF lines		 $101–$102 $101–$102 varies
Wound Prep F/N/Hf/G (15004)
range across 2 matching MRF lines		 $1,255–$1,611 $1,255–$1,611 varies
Wound Prep Trk/Arm/Leg (15002)
range across 2 matching MRF lines		 $4,249–$5,176 $4,249–$5,176 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.