Procedures & surgery prices at Benewah Community Hospital
St. Maries, ID · every code in this section with a posted price and a Medicare benchmark.
468 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 2 matching MRF lines |
$527.40–$933.30 | $586–$1,037 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$321.30–$522.90 | $357–$581 | varies |
| Acromiopl/Acromionect Partial (23130) | $3,923.10 | $4,359 | 1.2× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) | $4,058.10 | $4,509 | 1.2× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $2,334.60 | $2,594 | 1.1× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $848.70 | $943 | 0.3× |
| Amputation foot transmetarsal (28805) | $2,416.50 | $2,685 | 0.7× |
| Amputation metatarsal with toe single (28810) | $2,222.10 | $2,469 | 0.7× |
| Amputation toe interphalangeal joint (28825) | $2,340 | $2,600 | 0.7× |
| Amputation toe metatarsophalangeal joint (28820) | $2,331 | $2,590 | 0.7× |
| Anoscopy diagnostic (46600) range across 3 matching MRF lines |
$115.20–$264.60 | $128–$294 | varies |
| Appendectomy (44950) unusually low: confirm this is the full procedure |
$2,348.10 | $2,609 | 0.4× |
| Application cast elbow finger short arm (29075) | $150.30 | $167 | 0.5× |
| Application finger splint static (29130) | $135 | $150 | 1.0× |
| Application long arm splint shoulder hand (29105) | $280.80 | $312 | 1.7× |
| Application Long Leg Splint (29505) | $106.20 | $118 | 0.7× |
| Application of long leg cast (29345) | $214.20 | $238 | 0.8× |
| Application short arm splint forearm-hand static (29125) | $183.60 | $204 | 1.4× |
| Application short leg splint calf foot (29515) | $82.80 | $92 | 0.5× |
| Apply long arm cast (29065) range across 3 matching MRF lines |
$106.20–$289.80 | $118–$322 | varies |
| Apply Short Leg Cast (29405) | $178.20 | $198 | 0.6× |
| Apply short leg cast (29425) | $140.40 | $156 | 0.5× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$107.10–$121.50 | $119–$135 | varies |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) likely a partial charge, not the full procedure |
$3,005.10 | $3,339 | 0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$74.70–$112.50 | $83–$125 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$97.20–$246.60 | $108–$274 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$64.80–$97.20 | $72–$108 | varies |
| Arthrodesis great toe interphalangeal joint (28755) unusually low: confirm this is the full procedure |
$2,467.80 | $2,742 | 0.3× |
| Arthrodesis great toe metatarsophalangeal joint (28750) | $4,247.10 | $4,719 | 0.6× |
| Arthrodesis subtalar (28725) unusually low: confirm this is the full procedure |
$4,664.70 | $5,183 | 0.4× |
| Arthroplasty glenohumeral joint total shoulder (23472) unusually low: confirm this is the full procedure |
$7,370.10 | $8,189 | 0.4× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) | $2,340 | $2,600 | 0.7× |
| Arthroplasty Patella W/Prosthesis (27438) likely a partial charge, not the full procedure |
$3,384.90 | $3,761 | 0.3× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) | $5,404.50 | $6,005 | 1.7× |
| Arthroscopy knee synovectomy limited spx (29875) | $3,263.40 | $3,626 | 1.0× |
| Arthroscopy shoulder distal claviculectomy (29824) | $3,868.20 | $4,298 | 1.2× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) | $5,748.30 | $6,387 | 0.8× |
| Arthroscopy, knee, surgical; with lateral release (29873) | $5,109.30 | $5,677 | 1.6× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) | $4,532.40 | $5,036 | 1.4× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) | $5,048.10 | $5,609 | 0.7× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) | $5,895.90 | $6,551 | 1.8× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | $4,913.10 | $5,459 | 1.5× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) | $5,958 | $6,620 | 0.8× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) | $4,268.70 | $4,743 | 1.3× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) | $8,490.60 | $9,434 | 0.7× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) | $6,819.30 | $7,577 | 1.0× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) | $4,913.10 | $5,459 | 1.5× |
| Arthrs knee debridement/shaving artclr crtlg (29877) | $3,871.80 | $4,302 | 1.2× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $5,489.10 | $6,099 | 1.7× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) | $2,028.60 | $2,254 | 1.3× |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$376.20–$607.50 | $418–$675 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$739.80–$1,222.20 | $822–$1,358 | varies |
| Aspirate/Inj Ganglion Cyst (20612) range across 3 matching MRF lines |
$78.30–$172.80 | $87–$192 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$81.90–$140.40 | $91–$156 | varies |
| Biopsy of breast; open, incisional (19101) | $1,665 | $1,850 | 0.4× |
| Blepharotomy drainage abscess eyelid (67700) | $259.20 | $288 | 0.8× |
| Blood Transfusion Service (36430) | $392.40 | $436 | 0.9× |
| Bone Graft Any Donor Area Major/Large (20902) likely a partial charge, not the full procedure |
$1,395.90 | $1,551 | 0.2× |
| Bone Graft Any Donor Area Minor/Small (20900) likely a partial charge, not the full procedure |
$1,383.30 | $1,537 | 0.2× |
| Bx breast 1st lesion us imag (19083) | $1,791 | $1,990 | 1.1× |
| Bx/exc lymph node open superficial (38500) | $1,642.50 | $1,825 | 0.4× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) | $3,671.10 | $4,079 | 1.1× |
| Carpal Tunnel Surgery (64721) | $2,704.50 | $3,005 | 1.4× |
| Chemical Cautery Tissue (17250) | $141.30 | $157 | 0.7× |
| Chest tube placement (32551) range across 3 matching MRF lines |
$489.60–$841.50 | $544–$935 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) | $2,095.20 | $2,328 | 1.3× |
| Claviculectomy partial (23120) | $2,552.40 | $2,836 | 0.8× |
| Clear outer ear canal (69200) | $317.70 | $353 | 2.4× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $1,688.40 | $1,876 | 6.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $789.30 | $877 | 3.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$1,306.80–$1,969.20 | $1,452–$2,188 | varies |
| Closed tx knee dislocation w/o anesthesia (27550) | $926.10 | $1,029 | 3.8× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $2,062.80 | $2,292 | 1.3× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $279.90 | $311 | 0.2× |
| Closed tx patellar dislocation w/anesthesia (27562) | $761.40 | $846 | 3.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $692.10 | $769 | 2.8× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 3 matching MRF lines |
$929.70–$1,995.77 | $1,033–$2,217.52 | varies |
| Closed tx talotarsal joint dislc w/o anes (28570) | $352.80 | $392 | 1.4× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $158.40 | $176 | 0.7× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $406.80 | $452 | 1.7× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $332.10 | $369 | 0.6× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $336.60 | $374 | 1.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$387–$1,468.80 | $430–$1,632 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$1,332.90–$1,656 | $1,481–$1,840 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $1,396.80 | $1,552 | 0.9× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $1,558.80 | $1,732 | 1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$637.20–$1,600.20 | $708–$1,778 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $329.40 | $366 | 1.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,536.30–$2,968.20 | $1,707–$3,298 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $1,955.70 | $2,173 | 8.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $3,197.70 | $3,553 | 2.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $201.60 | $224 | 0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $175.50 | $195 | 0.7× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 2 matching MRF lines |
$1,503–$2,118.60 | $1,670–$2,354 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) | $759.60 | $844 | 0.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $653.40 | $726 | 2.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $112.50 | $125 | 0.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$269.10–$1,103.40 | $299–$1,226 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) | $1,233 | $1,370 | 5.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $1,428.30 | $1,587 | 5.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$332.10–$1,247.40 | $369–$1,386 | varies |
| Cltx post hip arthrp dislc req anes (27266) range across 2 matching MRF lines |
$1,415.70–$2,032.20 | $1,573–$2,258 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$630–$1,664.10 | $700–$1,849 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $473.40 | $526 | 0.3× |
| Cltx prox tibfib jt dislc req anes (27831) | $1,476 | $1,640 | 0.5× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $652.50 | $725 | 2.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$368.10–$513.90 | $409–$571 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $442.80 | $492 | 0.3× |
| Cltx tibial shaft fx w/o manipulation (27750) range across 2 matching MRF lines |
$589.50–$883.80 | $655–$982 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $433.80 | $482 | 0.3× |
| Collection of venous blood by venipuncture (36415) | $20.70 | $23 | 2.2× |
| Colonoscopy thru stoma (44388) | $1,089.90 | $1,211 | 1.2× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) | $1,453.50 | $1,615 | 1.2× |
| Colonoscopy w/ablation (45388) range across 2 matching MRF lines |
$884.70–$4,834.80 | $983–$5,372 | varies |
| Colonoscopy W/Band Ligation (45398) | $1,990.80 | $2,212 | 1.7× |
| Colonoscopy w/submucosal inj (45381) | $1,979.10 | $2,199 | 1.7× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) | $1,838.70 | $2,043 | 1.6× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $1,478.70 | $1,643 | 1.3× |
| Complex drainage wound (10180) | $781.20 | $868 | 0.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $217.80 | $242 | 1.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $117.90 | $131 | 0.9× |
| Correction hammertoe (28285) | $2,061.90 | $2,291 | 0.6× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) | $3,312.90 | $3,681 | 1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) unusually low: confirm this is the full procedure |
$2,931.30 | $3,257 | 0.4× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) | $3,096.90 | $3,441 | 1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) unusually low: confirm this is the full procedure |
$2,717.10 | $3,019 | 0.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $449.10 | $499 | 3.4× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $321.30 | $357 | 1.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $148.50 | $165 | 0.4× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $1,405.80 | $1,562 | 2.0× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $436.50 | $485 | 0.6× |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$25.20–$38.70 | $28–$43 | varies |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$36–$54 | $40–$60 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $915.30 | $1,017 | 0.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$108.90–$272.70 | $121–$303 | varies |
| Decompression of tibia nerve (28035) | $4,251.60 | $4,724 | 2.2× |
| Destruct B9 Lesion 1-14 (17110) | $234 | $260 | 1.2× |
| Destruction Benign Lesions 15/> (17111) | $322.20 | $358 | 1.6× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) range across 2 matching MRF lines |
$145.80–$219.60 | $162–$244 | varies |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $301.50 | $335 | 1.5× |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$64.80–$96.30 | $72–$107 | varies |
| Diagnostic sigmoidoscopy (45330) | $586.80 | $652 | 0.6× |
| Dilate Esophagus 1/Mult Pass (43450) | $567.90 | $631 | 0.6× |
| Dilation Salivary Duct (42650) | $84.60 | $94 | 0.1× |
| Drain Cerebro Spinal Fluid (62272) | $716.40 | $796 | 1.0× |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$248.40–$839.70 | $276–$933 | varies |
| Drainage of gum lesion (41800) | $438.30 | $487 | 3.3× |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$165.60–$414.90 | $184–$461 | varies |
| Drainage of rectal abscess (45005) | $727.20 | $808 | 0.6× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $195.30 | $217 | 0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $224.10 | $249 | 0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$140.40–$424.80 | $156–$472 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $206.10 | $229 | 1.0× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $1,005.30 | $1,117 | 1.2× |
| Egd Balloon Dil Esoph30 Mm/> (43233) | $1,039.50 | $1,155 | 0.5× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $1,762.20 | $1,958 | 0.9× |
| Egd dilation gastric/duodenal stricture (43245) | $1,082.70 | $1,203 | 0.6× |
| Egd Flexible Foreign Body Removal (43247) | $1,586.70 | $1,763 | 1.8× |
| Egd guide wire insertion (43248) | $1,175.40 | $1,306 | 1.3× |
| Egd place gastrostomy tube (43246) | $1,707.30 | $1,897 | 0.9× |
| Egd remove lesion snare (43251) | $1,359.90 | $1,511 | 0.7× |
| Enterorrhaphy single perforation (44602) | $4,421.70 | $4,913 | 1.2× |
| Epidural Blood Patch (62273) | $1,035 | $1,150 | 1.5× |
| Episiotomy or vaginal repair (59300) | $393.30 | $437 | 0.1× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) | $943.20 | $1,048 | 1.1× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$84.60–$219.60 | $94–$244 | varies |
| Exc arm/elbow les sc < 3 cm (24075) | $1,643.40 | $1,826 | 1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$202.50–$303.30 | $225–$337 | varies |
| Exc Back Les Sc < 3 Cm (21930) | $1,579.50 | $1,755 | 1.0× |
| Exc Back Tum Deep 5 Cm/> (21933) | $1,691.10 | $1,879 | 0.6× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 2 matching MRF lines |
$247.50–$370.80 | $275–$412 | varies |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$127.80–$190.80 | $142–$212 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 3 matching MRF lines |
$162–$390.60 | $180–$434 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 2 matching MRF lines |
$187.20–$280.80 | $208–$312 | varies |
| Exc ganglion wrist recurrent (25112) | $3,417.30 | $3,797 | 2.2× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 3 matching MRF lines |
$136.80–$342.90 | $152–$381 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$169.20–$253.80 | $188–$282 | varies |
| Exc Hand Les Sc < 1.5 Cm (26115) | $3,887.10 | $4,319 | 2.4× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) range across 2 matching MRF lines |
$295.20–$1,152 | $328–$1,280 | varies |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $2,985.30 | $3,317 | 1.9× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) range across 2 matching MRF lines |
$429.30–$524.70 | $477–$583 | varies |
| Exc neuroma hand/foot xcp digital nerve (64782) range across 2 matching MRF lines |
$830.70–$1,152 | $923–$1,280 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 2 matching MRF lines |
$360–$540 | $400–$600 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$334.80–$502.20 | $372–$558 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 2 matching MRF lines |
$216.90–$396.90 | $241–$441 | varies |
| Exc Skin Malig >4 Cm Remaindr Body (11626) range across 2 matching MRF lines |
$459.90–$690.30 | $511–$767 | varies |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $1,090.80 | $1,212 | 0.7× |
| Exc tendon shth lesion leg/ankle (27630) | $1,807.20 | $2,008 | 0.6× |
| Exc thigh/knee tum dep 5cm/> (27339) | $3,045.60 | $3,384 | 1.1× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 2 matching MRF lines |
$400.50–$559.80 | $445–$622 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 3 matching MRF lines |
$130.50–$201.60 | $145–$224 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 3 matching MRF lines |
$149.40–$392.40 | $166–$436 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$221.40–$333 | $246–$370 | varies |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) | $3,146.40 | $3,496 | 2.0× |
| Excis Mouth Mucosa/Sub,No Repair (40810) | $618.30 | $687 | 0.2× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 2 matching MRF lines |
$239.40–$359.10 | $266–$399 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 2 matching MRF lines |
$184.50–$276.30 | $205–$307 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$203.40–$305.10 | $226–$339 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 2 matching MRF lines |
$285.30–$427.50 | $317–$475 | varies |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 2 matching MRF lines |
$216.90–$324.90 | $241–$361 | varies |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $2,923.20 | $3,248 | 1.8× |
| Excision of hydrocele; unilateral (55040) | $1,494.90 | $1,661 | 0.4× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) range across 2 matching MRF lines |
$768.60–$1,152 | $854–$1,280 | varies |
| Excision of single external papilla or tag, anus (46220) | $491.40 | $546 | 0.4× |
| Excision olecranon bursa (24105) | $2,648.70 | $2,943 | 0.8× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) | $103.50 | $115 | 0.0× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $1,663.20 | $1,848 | 0.6× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) unusually low: confirm this is the full procedure |
$2,082.60 | $2,314 | 0.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $1,821.60 | $2,024 | 1.1× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $1,554.30 | $1,727 | 1.0× |
| Excision, interdigital (morton) neuroma, single, each (28080) | $3,521.70 | $3,913 | 2.2× |
| Excision/curettage cyst/tumor phalanx finger (26210) | $3,694.50 | $4,105 | 2.3× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $1,358.10 | $1,509 | 0.7× |
| Explo/Drain Breast Abscess (19020) range across 2 matching MRF lines |
$302.40–$1,305 | $336–$1,450 | varies |
| Exploration of knee joint (27310) | $4,256.10 | $4,729 | 1.3× |
| Exploration penetrating wound spx extremity (20103) range across 2 matching MRF lines |
$1,620.90–$2,698.20 | $1,801–$2,998 | varies |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) | $4,509 | $5,010 | 1.4× |
| Fetal non-stress test (59025) | $115.20 | $128 | 0.6× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $855.90 | $951 | 1.2× |
| Fine needle aspiration without imaging guidance (10021) | $414 | $460 | 1.0× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $523.80 | $582 | 0.7× |
| Fna bx w/us gdn 1st les (10005) | $443.70 | $493 | 0.6× |
| Fusion Finger Joint (26860) | $1,144.80 | $1,272 | 0.4× |
| Gastrocnemius recession (27687) | $1,869.30 | $2,077 | 0.6× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) unusually low: confirm this is the full procedure |
$2,744.10 | $3,049 | 0.4× |
| Hemiarthroplasty hip partial (27125) unusually low: confirm this is the full procedure |
$4,898.70 | $5,443 | 0.4× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 2 matching MRF lines |
$397.80–$597.60 | $442–$664 | varies |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$292.50–$369.90 | $325–$411 | varies |
| I&d perianal abscess superficial (46050) | $276.30 | $307 | 0.3× |
| I&d pilonidal cyst simple (10080) | $185.40 | $206 | 0.3× |
| Incise external hemorrhoid (46083) | $524.70 | $583 | 2.1× |
| Incise finger tendon sheath (26055) | $2,479.50 | $2,755 | 1.6× |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$199.80–$396 | $222–$440 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $1,674.90 | $1,861 | 0.6× |
| Incision & removal foreign body subq tiss compl (10121) | $728.10 | $809 | 0.4× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$383.40–$425.70 | $426–$473 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$215.10–$689.40 | $239–$766 | varies |
| Incision and drainage of vulva or perineal abscess (56405) | $481.50 | $535 | 1.6× |
| Incision extensor tendon sheath wrist (25000) | $3,220.20 | $3,578 | 2.0× |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$1,476.90–$1,488.60 | $1,641–$1,654 | varies |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$137.70–$207 | $153–$230 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $72 | $80 | 0.4× |
| Inj W/Fluor Eval Cv Device (36598) | $446.40 | $496 | 2.1× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) | $1,340.10 | $1,489 | 1.5× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 3 matching MRF lines |
$72.90–$108.90 | $81–$121 | varies |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) | $1,487.70 | $1,653 | 1.7× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $634.50 | $705 | 0.9× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) | $1,080.90 | $1,201 | 1.2× |
| Injection single tendon origin/insertion (20551) range across 4 matching MRF lines |
$81.90–$122.40 | $91–$136 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 4 matching MRF lines |
$78.30–$255.60 | $87–$284 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$235.80–$297.90 | $262–$331 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) | $1,492.20 | $1,658 | 1.7× |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$553.50–$1,328.40 | $615–$1,476 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 4 matching MRF lines |
$146.70–$459 | $163–$510 | varies |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) | $1,332.90 | $1,481 | 1.5× |
| Insert Bladder Cath Complex (51703) | $260.10 | $289 | 2.0× |
| Insert cath pleura w/o image (32556) | $2,249.10 | $2,499 | 1.2× |
| Insert non-tunnel cv cath (36556) | $756 | $840 | 0.2× |
| Insert Temp Bladder Cath (51702) | $129.60 | $144 | 1.0× |
| Insert tunneled cv cath (36561) | $3,294.90 | $3,661 | 1.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $199.80 | $222 | 1.5× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $2,425.50 | $2,695 | 1.6× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $3,535.20 | $3,928 | 1.1× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 3 matching MRF lines |
$612.90–$937.80 | $681–$1,042 | varies |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $2,552.40 | $2,836 | 0.8× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $1,171.80 | $1,302 | 2.9× |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$210.60–$646.20 | $234–$718 | varies |
| Knee arthroscopy/drainage (29871) | $2,836.80 | $3,152 | 0.9× |
| Lap paraesophag hern repair (43281) | $6,578.10 | $7,309 | 0.6× |
| Laparoscopy fulguration oviducts (58670) unusually low: confirm this is the full procedure |
$2,591.10 | $2,879 | 0.4× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) likely a partial charge, not the full procedure |
$930.60 | $1,034 | 0.2× |
| Laparoscopy w/rmvl adnexal structures (58661) | $4,174.20 | $4,638 | 0.7× |
| Laparoscopy, surgical, appendectomy (44970) unusually low: confirm this is the full procedure |
$2,565.90 | $2,851 | 0.4× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) likely a partial charge, not the full procedure |
$2,541.60 | $2,824 | 0.2× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $3,800.70 | $4,223 | 0.6× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) unusually low: confirm this is the full procedure |
$3,492.90 | $3,881 | 0.3× |
| Late closure of wound (13160) | $3,670.20 | $4,078 | 1.0× |
| Manipulation knee joint under general anesthesia (27570) | $1,118.70 | $1,243 | 0.7× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) | $882.90 | $981 | 0.6× |
| Mast mod rad (19307) | $6,300 | $7,000 | 1.0× |
| Mastectomy simple complete (19303) | $3,858.30 | $4,287 | 0.6× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $352.80 | $392 | 0.5× |
| N Block Inj Plantar Digit (64455) range across 2 matching MRF lines |
$80.10–$120.60 | $89–$134 | varies |
| Nasal/Orogastric W/Tube Plmt (43752) | $391.50 | $435 | 0.9× |
| Needle insertion w/o injection 3 or more muscles (20561) | $80.10 | $89 | 2.8× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) | $4,421.70 | $4,913 | 2.3× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $123.30 | $137 | 0.4× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $762.30 | $847 | 0.9× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,273.50 | $1,415 | 1.8× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $804.60 | $894 | 0.9× |
| Open Repair of Rotator Cuff Acute (23410) | $7,092.90 | $7,881 | 1.0× |
| Open Treatment Bimalleolar Ankle Fracture (27814) | $4,824.90 | $5,361 | 0.7× |
| Open treatment calcaneal fracture (28415) | $4,143.60 | $4,604 | 0.6× |
| Open treatment fracture distal tibia only (27827) | $6,654.60 | $7,394 | 0.5× |
| Open treatment metatarsal fracture each (28485) unusually low: confirm this is the full procedure |
$2,979 | $3,310 | 0.4× |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) unusually low: confirm this is the full procedure |
$2,312.10 | $2,569 | 0.3× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) | $3,661.20 | $4,068 | 0.5× |
| Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Facility (27269) | $4,538.70 | $5,043 | 0.6× |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) | $4,582.80 | $5,092 | 0.6× |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) | $5,311.80 | $5,902 | 0.7× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) unusually low: confirm this is the full procedure |
$2,527.20 | $2,808 | 0.4× |
| Open Treatment Proximal Humeral Fracture (23615) likely a partial charge, not the full procedure |
$3,301.20 | $3,668 | 0.3× |
| Open Treatment Radial Shaft Fracture (25515) | $3,890.70 | $4,323 | 0.5× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) | $4,058.10 | $4,509 | 0.6× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $2,028.60 | $2,254 | 0.6× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) unusually low: confirm this is the full procedure |
$2,714.40 | $3,016 | 0.4× |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) unusually low: confirm this is the full procedure |
$6,291.90 | $6,991 | 0.5× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) | $1,645.20 | $1,828 | 0.5× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) | $3,454.20 | $3,838 | 1.1× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) unusually low: confirm this is the full procedure |
$3,571.20 | $3,968 | 0.5× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) | $5,232.60 | $5,814 | 0.7× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) | $4,619.70 | $5,133 | 0.6× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) | $5,272.20 | $5,858 | 0.7× |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) unusually low: confirm this is the full procedure |
$3,868.20 | $4,298 | 0.3× |
| Ostc prtl exostc/condylc metar head (28288) | $4,928.40 | $5,476 | 1.5× |
| Ostectomy calcaneus (28118) | $1,674.90 | $1,861 | 0.5× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) | $1,775.70 | $1,973 | 0.5× |
| Ostectomy, complete excision; fifth metatarsal head (28113) | $3,853.80 | $4,282 | 1.2× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) | $3,282.30 | $3,647 | 1.0× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) | $2,172.60 | $2,414 | 0.7× |
| Part remv talus or calcaneus (28120) | $4,529.70 | $5,033 | 1.4× |
| Partial Excision Distal Phalanx Finger (26236) | $872.10 | $969 | 0.5× |
| Partial removal of tibia (27640) | $5,552.10 | $6,169 | 1.7× |
| Partial removal of toe (28160) | $2,781.90 | $3,091 | 0.9× |
| Partical Excision Bone Phalanx Toe (28124) | $1,515.60 | $1,684 | 0.5× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) | $2,549.70 | $2,833 | 0.8× |
| Placement of needle for intraosseous infusion (36680) | $140.40 | $156 | 0.3× |
| Prq skel fixj femoral fx prox end neck (27235) | $4,622.40 | $5,136 | 0.6× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $4,078.80 | $4,532 | 1.3× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$117.90–$176.40 | $131–$196 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$140.40–$351 | $156–$390 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 2 matching MRF lines |
$161.10–$241.20 | $179–$268 | varies |
| Rcnstj angular dfrm toe soft tiss px only (28313) | $4,420.80 | $4,912 | 1.4× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) | $5,962.50 | $6,625 | 0.8× |
| Removal foreign body foot deep (28192) | $1,519.20 | $1,688 | 0.9× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $237.60 | $264 | 0.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $81 | $90 | 1.4× |
| Removal Implant Deep (20680) | $2,581.20 | $2,868 | 0.9× |
| Removal implantable contraceptive capsules (11976) | $351.90 | $391 | 0.5× |
| Removal of calcium deposits (23000) | $2,195.10 | $2,439 | 0.8× |
| Removal of foreign body from pharynx (42809) | $305.10 | $339 | 0.7× |
| Removal of heel spur (28119) | $2,025 | $2,250 | 0.6× |
| Removal of mammary implant material (19330) | $3,195.90 | $3,551 | 0.8× |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$225–$350.10 | $250–$389 | varies |
| Removal of sesamoid bone (28315) | $1,292.40 | $1,436 | 0.4× |
| Removal of sperm cord lesion (55520) | $1,495.80 | $1,662 | 0.4× |
| Removal of wrist bone (25210) | $1,069.20 | $1,188 | 0.3× |
| Removal or bivalving full arm or full leg cast (29705) | $132.30 | $147 | 0.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$80.10–$119.70 | $89–$133 | varies |
| Removal/bivalving gauntlet boot/body cast (29700) | $126 | $140 | 0.5× |
| Remove elbow lesion (24120) | $2,763 | $3,070 | 0.9× |
| Remove foreign body from eye (65205) | $217.80 | $242 | 1.7× |
| Remove Intrauterine Device (58301) | $299.70 | $333 | 1.0× |
| Remove Lower Leg Bone Lesion (27635) | $2,625.30 | $2,917 | 0.8× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$140.40–$641.70 | $156–$713 | varies |
| Remove Skin Nerve Lesion (64774) | $810.90 | $901 | 0.4× |
| Remove Tendon Sheath Lesion (26160) | $4,318.20 | $4,798 | 2.7× |
| Repair Collat Ankle Ligmnt,Secondary (27698) | $4,218.30 | $4,687 | 0.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $412.20 | $458 | 0.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $558.90 | $621 | 0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $356.40 | $396 | 0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$724.50–$1,198.80 | $805–$1,332 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $323.10 | $359 | 0.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$558–$1,003.50 | $620–$1,115 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $418.50 | $465 | 0.6× |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$362.70–$543.60 | $403–$604 | varies |
| Repair extensor tendon finger w/o graft each (26418) range across 2 matching MRF lines |
$979.20–$3,984.30 | $1,088–$4,427 | varies |
| Repair Foot Dislocation (28615) unusually low: confirm this is the full procedure |
$2,839.50 | $3,155 | 0.4× |
| Repair Hand Joint (26540) | $994.50 | $1,105 | 0.3× |
| Repair Hand Tendon (26410) range across 2 matching MRF lines |
$985.50–$2,443.50 | $1,095–$2,715 | varies |
| Repair inguinal hernia, sliding, any age (49525) | $2,394.90 | $2,661 | 0.7× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) | $2,345.40 | $2,606 | 0.7× |
| Repair initial femoral hernia, any age; reducible (49550) | $2,087.10 | $2,319 | 0.6× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $3,831.30 | $4,257 | 1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$298.80–$706.50 | $332–$785 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 3 matching MRF lines |
$326.70–$778.50 | $363–$865 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $419.40 | $466 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $430.20 | $478 | 1.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $446.40 | $496 | 0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
$237.60–$423.90 | $264–$471 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines |
$306.90–$461.70 | $341–$513 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $377.10 | $419 | 0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$405–$1,194.30 | $450–$1,327 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$238.50–$358.20 | $265–$398 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$295.20–$741.60 | $328–$824 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $890.10 | $989 | 1.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$279.90–$848.70 | $311–$943 | varies |
| Repair intrinsic muscles hand each muscle (26591) | $851.40 | $946 | 0.3× |
| Repair of metatarsals (28322) likely a partial charge, not the full procedure |
$1,638.90 | $1,821 | 0.2× |
| Repair of nail bed (11760) | $513.90 | $571 | 0.7× |
| Repair of Ruptured Tendon (24342) | $4,913.10 | $5,459 | 0.7× |
| Repair of shoulder (23420) | $7,855.20 | $8,728 | 1.1× |
| Repair Rotator Cuff Chronic (23412) | $4,512.60 | $5,014 | 0.6× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $463.50 | $515 | 0.1× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) | $5,421.60 | $6,024 | 0.8× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) unusually low: confirm this is the full procedure |
$3,323.70 | $3,693 | 0.5× |
| Repair/graft achilles tendon (27652) likely a partial charge, not the full procedure |
$702.90 | $781 | 0.1× |
| Rerepair ing hernia reduce (49520) | $2,378.70 | $2,643 | 0.7× |
| Revis reconst shoulder joint (23473) | $6,732.90 | $7,481 | 0.5× |
| Revision of knee joint (27442) | $8,243.10 | $9,159 | 0.6× |
| Revision of lower leg tendon (27685) | $3,161.70 | $3,513 | 1.0× |
| Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) | $6,728.40 | $7,476 | 0.5× |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) | $8,398.80 | $9,332 | 0.7× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) unusually low: confirm this is the full procedure |
$5,981.40 | $6,646 | 0.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $113.40 | $126 | 0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $248.40 | $276 | 1.9× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $113.40 | $126 | 0.3× |
| Rmvl fecal impaction/fb spx under anes (45915) | $1,048.50 | $1,165 | 0.9× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $1,317.60 | $1,464 | 0.8× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $672.30 | $747 | 1.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $342 | $380 | 1.7× |
| Rpr ing hernia init reduce (49500) unusually low: confirm this is the full procedure |
$2,038.50 | $2,265 | 0.3× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) | $2,025 | $2,250 | 0.6× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $1,990.80 | $2,212 | 0.6× |
| Shave skin lesion 0.5 cm/< (11300) range across 2 matching MRF lines |
$80.10–$119.70 | $89–$133 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $225.90 | $251 | 1.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $235.80 | $262 | 1.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 2 matching MRF lines |
$94.50–$142.20 | $105–$158 | varies |
| Sigmoidoscopy flx tndsc balo dilat (45340) | $984.60 | $1,094 | 0.8× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $574.20 | $638 | 0.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $414 | $460 | 1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $425.70 | $473 | 2.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $467.10 | $519 | 2.4× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $175.50 | $195 | 0.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $265.50 | $295 | 1.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$349.20–$449.10 | $388–$499 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $762.30 | $847 | 3.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $252 | $280 | 1.3× |
| Skin sub graft face/nk/hf/g (15275) | $438.30 | $487 | 0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $423 | $470 | 2.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $387.90 | $431 | 1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $423 | $470 | 1.1× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$443.70–$681.30 | $493–$757 | varies |
| Strapping ankle (29540) | $92.70 | $103 | 0.6× |
| Strapping Unna Boot (29580) range across 3 matching MRF lines |
$91.80–$153 | $102–$170 | varies |
| Surg tx anal fistula subq (46270) | $1,493.10 | $1,659 | 0.5× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) | $1,842.30 | $2,047 | 0.7× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) unusually low: confirm this is the full procedure |
$2,947.50 | $3,275 | 0.4× |
| Suture pharynx for wound or injury (42900) | $750.60 | $834 | 0.5× |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$92.70–$139.50 | $103–$155 | varies |
| Tenodesis long tendon biceps (23430) | $5,956.20 | $6,618 | 0.8× |
| Tenotomy Percutaneous Single Each Digit (26060) | $1,277.10 | $1,419 | 0.8× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $800.10 | $889 | 0.5× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) | $1,103.40 | $1,226 | 0.7× |
| Thyroid biopsy (60100) | $531.90 | $591 | 0.8× |
| Tnot elbow lateral/medial debride open (24358) | $3,933 | $4,370 | 1.2× |
| Total Knee Arthroplasty (27447) | $8,535.60 | $9,484 | 0.7× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $527.40 | $586 | 2.3× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $540 | $600 | 0.4× |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) | $1,636.20 | $1,818 | 0.8× |
| Treat fracture radius/ulna (25575) unusually low: confirm this is the full procedure |
$3,532.50 | $3,925 | 0.5× |
| Treat Kneecap Fracture (27524) unusually low: confirm this is the full procedure |
$2,997 | $3,330 | 0.4× |
| Treat Knuckle Dislocation (26700) | $725.40 | $806 | 3.0× |
| Treat toe dislocation (28630) | $203.40 | $226 | 0.8× |
| Treat Vaginal Bleeding (57180) | $414.90 | $461 | 2.1× |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines |
$460.80–$1,755 | $512–$1,950 | varies |
| Treatment closed elbow dislocation w/o anes (24600) | $337.50 | $375 | 1.4× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) | $4,455 | $4,950 | 0.6× |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) | $6,744.60 | $7,494 | 0.9× |
| Tx open tendon flexor toe 1 tendon spx (28232) | $1,305 | $1,450 | 0.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $811.80 | $902 | 1.1× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) unusually low: confirm this is the full procedure |
$4,171.50 | $4,635 | 0.3× |
| Unlisted procedure nervous system (64999) | $124.20 | $138 | 0.4× |
| Vaginal delivery only (59409) | $2,952.90 | $3,281 | 0.9× |
| Vasectomy uni/bi spx w/postop semen exams (55250) range across 2 matching MRF lines |
$568.80–$853.20 | $632–$948 | varies |
| Wedge excision skin nail fold (11765) range across 3 matching MRF lines |
$127.80–$306.90 | $142–$341 | varies |
| Windowing of cast (29730) | $119.70 | $133 | 0.7× |
| Xfer Single Deep Low Leg Tendon (27691) unusually low: confirm this is the full procedure |
$3,025.80 | $3,362 | 0.4× |
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.