Procedures & surgery prices at Berkshire Medical Center

Pittsfield, MA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 3 matching MRF lines		 $213.47–$3,085.42 $224.70–$3,247.81 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $124.43–$1,138.88 $130.98–$1,198.82 varies
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) $35,479.97 $37,347.34 1.7×
Acne surgery (10040) $123.50 $130 0.5×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $656.45 $691 0.3×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $855 $900 0.3×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $1,044.05 $1,099 0.4×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $733.40 $772 0.3×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $644.10 $678 0.3×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $819.85 $863 0.3×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $892.05 $939 0.4×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 2 matching MRF lines		 $1,922.58–$4,045.73 $2,023.77–$4,258.66 varies
Amputation toe interphalangeal joint (28825) $3,345.07 $3,521.13 0.9×
Amputation toe metatarsophalangeal joint (28820) $9,825.34 $10,342.46 2.5×
Anal/Urinary Muscle Study (51784) $210.90 $222 1.4×
Anoscopy Control Bleeding (46614)
range across 2 matching MRF lines		 $198.08–$1,258.17 $208.50–$1,324.39 varies
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $107.64–$156.05 $113.31–$164.26 varies
Anoscopy; with biopsy, single or multiple (46606) $312.55 $329 0.2×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $7,853.05 $8,266.37 2.4×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $512.42 $539.39 2.6×
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines		 $235.85–$458.78 $248.26–$482.93 varies
Application Finger Splint Dynamic (29131) $117.14 $123.30 1.7×
Application finger splint static (29130)
range across 2 matching MRF lines		 $95.77–$422.35 $100.81–$444.58 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $190.45–$220.10 $200.47–$231.68 varies
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $197.73–$263.28 $208.14–$277.14 varies
Application of rigid total contact leg cast (29445) $875.35 $921.42 2.6×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $134.08–$422.35 $141.14–$444.58 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $170.54–$261.07 $179.52–$274.81 varies
Apply long arm cast (29065)
range across 2 matching MRF lines		 $212.88–$425.07 $224.08–$447.44 varies
Apply Multlay Comprs Lwr Leg (29581) $220.41 $232.01 1.1×
Apply Short Leg Cast (29405)
range across 2 matching MRF lines		 $310.87–$620.70 $327.23–$653.37 varies
Apply short leg cast (29425)
range across 2 matching MRF lines		 $269.40–$990.73 $283.58–$1,042.87 varies
Arterial puncture (36600)
range across 2 matching MRF lines		 $60.24–$67.02 $63.41–$70.55 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 4 matching MRF lines		 $173.67–$1,121.83 $182.81–$1,180.87 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines		 $652.21–$1,162.18 $686.54–$1,223.35 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 6 matching MRF lines		 $156.86–$617.43 $165.12–$649.93 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 7 matching MRF lines		 $98.80–$1,644.45 $104–$1,731 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 4 matching MRF lines		 $66.50–$838.38 $70–$882.50 varies
Aspirate pleura w/ imaging (32555)
range across 5 matching MRF lines		 $444.39–$3,004.75 $467.78–$3,162.89 varies
Aspirate Pleura W/O Imaging (32554)
range across 3 matching MRF lines		 $93.10–$883.20 $98–$929.68 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $128.63–$947.95 $135.40–$997.84 varies
Aspiration bladder insert suprapubic catheter (51102)
range across 4 matching MRF lines		 $288.80–$4,402.38 $304–$4,634.08 varies
Aspiration Bladder Needle (51100)
range across 2 matching MRF lines		 $151.15–$428.34 $159.11–$450.88 varies
Avulsion nail plate partial/complete simple 1 (11730)
range across 4 matching MRF lines		 $106.40–$219.68 $112–$231.24 varies
Biopsy Abdominal Mass (49180) $5,106.78 $5,375.56 2.6×
Biopsy bone open superficial (20240) $4,381.52 $4,612.13 1.3×
Biopsy bone trocar/needle deep (20225) $5,203.27 $5,477.13 2.6×
Biopsy Bone Trocar/Needle Superficial (20220) $5,106.78 $5,375.56 2.6×
Biopsy external ear (69100) $106.40 $112 0.4×
Biopsy muscle percutaneous needle (20206) $4,162.41 $4,381.48 2.1×
Biopsy nail unit (11755) $146.30 $154 0.2×
Biopsy of liver, needle; percutaneous (47000) $5,203.27 $5,477.13 2.6×
Biopsy of penis (54100) $129.20 $136 0.1×
Biopsy of rectum (45100) $323 $340 0.1×
Biopsy of urethra (53200) $173.85 $183 0.1×
Biopsy Salivary Gland Needle (42400) $2,312.42 $2,434.13 2.7×
Biopsy Vaginal Mucosa Simple (57100) $75.05 $79 0.1×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $71.25 $75 0.1×
Bladder instillation anticarcinogenic agent (51720) $144.40 $152 0.2×
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $146.40–$444.38 $154.11–$467.77 varies
Bladder Scan (51798) $133.86 $140.90 1.9×
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $330.11–$626.97 $347.48–$659.97 varies
Blood Transfusion Service (36430) $895.45 $942.58 1.7×
Bone Marrow Biopsy (38221) $5,107.20 $5,376 2.6×
Brnchsc Brushing/Protected Brushings (31623) $4,885.67 $5,142.81 2.3×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $10,188.59 $10,724.83 2.3×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $10,188.59 $10,724.83 2.3×
Brnchsc Removal Bronchial Valve Ea Addl (31649) $4,885.67 $5,142.81 2.3×
Brnchsc Removal Bronchial Valve Initial (31648) $10,188.59 $10,724.83 2.3×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $10,188.59 $10,724.83 2.3×
Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl (31643) $4,885.67 $5,142.81 2.3×
Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) $10,188.59 $10,724.83 2.3×
Bronchial Valve Init Insert (31647) $18,909.47 $19,904.71 2.2×
Bronchoscopy Balloon Occlusion (31634) $18,909.47 $19,904.71 2.2×
Bronchoscopy Bronch Stents (31636) $18,909.47 $19,904.71 2.2×
Bronchoscopy Clear Airways (31645) $4,885.67 $5,142.81 2.3×
Bronchoscopy Dilate W/Stent (31631) $18,909.47 $19,904.71 2.2×
Bronchoscopy Reclear Airway (31646) $1,152.66 $1,213.33 2.5×
Bronchoscopy W/Biopsy(S) (31625) $4,885.67 $5,142.81 2.3×
Bronchoscopy W/Excision Tumor (31640) $10,188.59 $10,724.83 2.3×
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) $18,909.47 $19,904.71 2.2×
Bronchoscopy W/Removal Foreign Body (31635)
range across 2 matching MRF lines		 $2,103.07–$4,885.67 $2,213.76–$5,142.81 varies
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $10,188.59 $10,724.83 2.3×
Bronchoscopy/Needle Bx Each (31629) $10,188.59 $10,724.83 2.3×
Bx breast 1st lesion mr imag (19085)
range across 2 matching MRF lines		 $3,106.41–$3,163.06 $3,269.90–$3,329.54 varies
Bx breast 1st lesion strtctc (19081) $3,454.06 $3,635.85 1.7×
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines		 $3,454.06–$4,111.98 $3,635.85–$4,328.40 varies
Bx Cervix (57500) $116.85 $123 0.1×
Canthotomy Separate Procedure (67715)
range across 2 matching MRF lines		 $425.35–$6,532.32 $447.74–$6,876.13 varies
Carpal Tunnel Surgery (64721) $485.45 $511 0.2×
Catheter aspiration nasotracheal spx (31720) $242.34 $255.09 0.9×
Cautery Cervix Cryocautery Initial/Repeat (57511) $122.55 $129 0.3×
Cautery Cervix Electro/Thermal (57510) $140.60 $148 0.0×
Change Cystostomy Tube Complicated (51710) $207.10 $218 0.2×
Change Cystostomy Tube Simple (51705)
range across 4 matching MRF lines		 $146.30–$545.31 $154–$574.01 varies
Change of Windpipe Airway (31502)
range across 3 matching MRF lines		 $138.19–$414.11 $145.46–$435.90 varies
Chemical Cautery Tissue (17250)
range across 3 matching MRF lines		 $85.50–$299.92 $90–$315.71 varies
Chemodenerv 1 extrem 5/> mus (64644) $190 $200 0.2×
Chemodenerv 1 extremity 1-4 (64642) $163.40 $172 0.2×
Chemodenerv Eccrine Glands (64650) $95.95 $101 0.3×
Chemodenerv Musc Migraine (64615) $149.15 $157 0.4×
Chemodenerv musc neck dyston (64616) $129.20 $136 0.4×
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $142.50 $150 0.4×
Chemodenerv trunk musc 1-5 (64646) $161.50 $170 0.2×
Chemodenerv trunk musc 6/> (64647) $184.30 $194 0.2×
Chemodenervation Muscle Larynx Unilat W/Emg (64617) $206.15 $217 0.2×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $157.70 $166 0.4×
Chest tube placement (32551)
range across 2 matching MRF lines		 $797.35–$922.07 $839.32–$970.60 varies
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines		 $81.70–$503.19 $86–$529.67 varies
Cl Tx Scapular Fx; W Manip (23575)
range across 2 matching MRF lines		 $402.44–$1,084.77 $423.62–$1,141.86 varies
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $401.14–$1,781.63 $422.25–$1,875.40 varies
Clear outer ear canal (69200)
range across 3 matching MRF lines		 $153.90–$226.71 $162–$238.64 varies
Closed Rx Spontaneous Hip Disloc (27256) $750.28 $789.77 2.5×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)
range across 2 matching MRF lines		 $745.41–$1,206.32 $784.64–$1,269.81 varies
Closed treatment of posterior malleolus fracture; with manipulation (27768)
range across 2 matching MRF lines		 $1,401.97–$4,332.72 $1,475.76–$4,560.76 varies
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines		 $292.05–$953.91 $307.42–$1,004.12 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $1,241.93–$1,256.15 $1,307.29–$1,322.26 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $320.15–$1,821.48 $337–$1,917.35 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines		 $265.96–$1,157.74 $279.96–$1,218.67 varies
Closed Tx Calcaneal Fracture W/Manipulation (28405)
range across 2 matching MRF lines		 $843.34–$1,200.80 $887.73–$1,264 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 2 matching MRF lines		 $272.49–$801.37 $286.83–$843.55 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines		 $412.01–$877.93 $433.69–$924.14 varies
Closed Tx Femoral Fracture Prox Head W/Manj (27268) $4,046.49 $4,259.46 2.1×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $1,686.58 $1,775.35 5.7×
Closed Tx Knee Dislocation W/Anesthesia (27552) $2,913.57 $3,066.92 1.5×
Closed tx knee dislocation w/o anesthesia (27550)
range across 2 matching MRF lines		 $402.13–$1,628.30 $423.29–$1,714 varies
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines		 $680.24–$703.64 $716.04–$740.67 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $5,641.29 $5,938.20 2.9×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 2 matching MRF lines		 $588.20–$659.19 $619.16–$693.88 varies
Closed tx patellar dislocation w/anesthesia (27562)
range across 2 matching MRF lines		 $1,630.48–$2,995.54 $1,716.29–$3,153.20 varies
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines		 $414.28–$898.47 $436.08–$945.76 varies
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines		 $401.30–$1,414.54 $422.42–$1,488.99 varies
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $482.06–$755.56 $507.43–$795.33 varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $403.66–$1,637.33 $424.91–$1,723.51 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 2 matching MRF lines		 $703.64–$789.50 $740.67–$831.05 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $402.42–$1,448.69 $423.60–$1,524.94 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $402.42–$771.30 $423.60–$811.89 varies
Closed Tx Sternoclavicular Dislc W/Manipulation (23525)
range across 2 matching MRF lines		 $703.64–$1,131.72 $740.67–$1,191.28 varies
Closed Tx Talus Fracture W/Manipulation (28435) $401.30 $422.42 0.2×
Closed tx talus fracture w/o manipulation (28430) $713.47 $751.02 2.4×
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines		 $101.99–$500.71 $107.36–$527.06 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 2 matching MRF lines		 $1,496.39–$4,771.13 $1,575.15–$5,022.24 varies
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $863.66 $909.12 2.9×
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines		 $635.73–$761.57 $669.19–$801.65 varies
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830)
range across 2 matching MRF lines		 $583.75–$802.82 $614.47–$845.07 varies
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831)
range across 2 matching MRF lines		 $838.33–$1,397.98 $882.45–$1,471.56 varies
Clsd tx clavicular fracture w/o manipulation (23500) $704.88 $741.98 2.4×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $1,541–$3,557.83 $1,622.10–$3,745.08 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $356.32–$783.86 $375.07–$825.12 varies
Clsr Lacrimal Punctum Plug Each (68761) $946.04 $995.83 2.5×
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 2 matching MRF lines		 $1,770.90–$4,828.76 $1,864.11–$5,082.90 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 2 matching MRF lines		 $292.05–$806.13 $307.42–$848.56 varies
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 2 matching MRF lines		 $723.77–$760.99 $761.86–$801.04 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 2 matching MRF lines		 $285.53–$1,000.12 $300.56–$1,052.76 varies
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $419.55–$1,403.47 $441.63–$1,477.34 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $748.70–$949.36 $788.11–$999.33 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $332.70–$791.72 $350.21–$833.39 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $482.05–$565.53 $507.42–$595.29 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $356.32–$732.69 $375.07–$771.25 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $482.04–$1,579.39 $507.41–$1,662.52 varies
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,022.60 $1,076.42 0.5×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 2 matching MRF lines		 $2,432.81–$4,969.10 $2,560.85–$5,230.63 varies
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 2 matching MRF lines		 $301–$555.43 $316.84–$584.66 varies
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 2 matching MRF lines		 $416.86–$748.39 $438.80–$787.78 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $356.29–$434.03 $375.04–$456.87 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 2 matching MRF lines		 $398.91–$473.18 $419.90–$498.08 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 2 matching MRF lines		 $1,791.51–$3,958.36 $1,885.80–$4,166.69 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 2 matching MRF lines		 $402.42–$991.39 $423.60–$1,043.57 varies
Cltx greater humeral tuberosity fx w/o manj (23620) $829.93 $873.61 2.8×
Cltx hip dislocation traumatic req anesthesia (27252)
range across 2 matching MRF lines		 $1,787.04–$3,194.76 $1,881.09–$3,362.90 varies
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines		 $401.28–$1,472.96 $422.40–$1,550.48 varies
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576)
range across 2 matching MRF lines		 $310.02–$859.59 $326.34–$904.83 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565)
range across 2 matching MRF lines		 $292.05–$1,158.79 $307.42–$1,219.78 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560)
range across 2 matching MRF lines		 $792.61–$920.17 $834.33–$968.60 varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $292.05–$351.01 $307.42–$369.48 varies
Cltx Iphal Jt Dislc W/Manj Req Anes (26775)
range across 2 matching MRF lines		 $1,151.54–$2,626.94 $1,212.15–$2,765.20 varies
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $482.06–$939.23 $507.43–$988.66 varies
Cltx Med Ankle Fx W/Mnpj (27762)
range across 2 matching MRF lines		 $402.44–$1,753.54 $423.62–$1,845.83 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $473.79–$851.60 $498.73–$896.42 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines		 $482.05–$814.38 $507.42–$857.24 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $419.40–$1,154.74 $441.47–$1,215.52 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $567.16–$683.30 $597.01–$719.26 varies
Cltx post hip arthrp dislc req anes (27266)
range across 2 matching MRF lines		 $1,693.85–$3,795.89 $1,783–$3,995.67 varies
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $426.79–$1,272 $449.25–$1,338.95 varies
Cltx prox fibula/shft fx w/o manj (27780) $901.40 $948.84 3.0×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 2 matching MRF lines		 $382.19–$1,198.91 $402.30–$1,262.01 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $256.22–$356.32 $269.71–$375.07 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520)
range across 2 matching MRF lines		 $1,848.99–$5,326.33 $1,946.31–$5,606.66 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 2 matching MRF lines		 $453.17–$1,128.94 $477.02–$1,188.36 varies
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $4,694.43 $4,941.51 2.4×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)
range across 2 matching MRF lines		 $1,018.14–$1,610.52 $1,071.73–$1,695.28 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines		 $748.39–$1,161.08 $787.78–$1,222.19 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503)
range across 2 matching MRF lines		 $2,386.76–$4,694.43 $2,512.38–$4,941.51 varies
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $310.02 $326.34 1.0×
Cltx tibial fx proximal w/o manipulation (27530)
range across 2 matching MRF lines		 $461.08–$1,265.65 $485.35–$1,332.26 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $453.17–$1,086.12 $477.02–$1,143.28 varies
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $356.31–$1,636.94 $375.06–$1,723.09 varies
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 2 matching MRF lines		 $748.39–$966.23 $787.78–$1,017.08 varies
Collection of venous blood by venipuncture (36415) $9.08 $9.56 1.0×
Colonoscopy Flexible With Decompression (45393) $3,309.67 $3,483.86 2.3×
Colonoscopy Stoma Ablation Lesion (44401) $3,309.67 $3,483.86 2.3×
Colonoscopy Stoma Control Bleeding (44391) $3,309.67 $3,483.86 2.3×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $3,309.67 $3,483.86 2.3×
Colonoscopy stoma w/balloon dilation (44405) $3,309.67 $3,483.86 2.3×
Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) $3,309.67 $3,483.86 2.3×
Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402) $16,017.12 $16,860.13 2.2×
Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) $3,309.67 $3,483.86 2.3×
Colonoscopy Stoma W/Rmvl Foreign Body (44390) $2,539.90 $2,673.58 2.3×
Colonoscopy Stoma W/Submucosal Injection (44404) $3,309.67 $3,483.86 2.3×
Colonoscopy Through Stoma With Decompression (44408) $2,539.90 $2,673.58 2.3×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $3,309.67 $3,483.86 2.3×
Colonoscopy thru stoma (44388) $2,539.90 $2,673.58 2.3×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $3,309.67 $3,483.86 2.3×
Colonoscopy w/ablation (45388) $3,309.67 $3,483.86 2.3×
Colonoscopy W/Band Ligation (45398) $3,309.67 $3,483.86 2.3×
Colonoscopy w/fb removal (45379) $3,309.67 $3,483.86 2.3×
Colonoscopy w/ndl aspir/bx (44407) $3,309.67 $3,483.86 2.3×
Colonoscopy W/Resection (45390) $7,853.05 $8,266.37 2.4×
Colonoscopy w/stent plcmt (45389) $16,017.12 $16,860.13 2.2×
Colonoscopy w/submucosal inj (45381) $3,309.67 $3,483.86 2.3×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $434.15 $457 0.1×
Colporrhaphy (57200)
range across 2 matching MRF lines		 $1,034.90–$3,595.85 $1,089.37–$3,785.11 varies
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $130.15 $137 0.4×
Colposcopy Cervix Endocervical Curettage (57456) $115.90 $122 0.3×
Colposcopy cervix upper/adjacent vagina (57452) $92.15 $97 0.4×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $122.55 $129 0.3×
Colposcopy cervix vag eltrd conization cervix (57461) $344.85 $363 0.1×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $307.80 $324 0.1×
Colposcopy entire vagina w/cervix if present (57420) $124.45 $131 0.3×
Colposcopy of vulva (56820) $88.35 $93 0.4×
Colposcopy Vulva W/Biopsy (56821) $157.70 $166 0.4×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $133 $140 0.1×
Colsc Flexible W/Control Bleeding Any Method (45382) $3,309.67 $3,483.86 2.3×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $3,309.67 $3,483.86 2.3×
Colsc flx w/removal lesion by hot bx forceps (45384) $3,309.67 $3,483.86 2.3×
Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) $3,309.67 $3,483.86 2.3×
Complex Cystometrogram (51726) $293.55 $309 1.0×
Complex drainage wound (10180)
range across 3 matching MRF lines		 $769.42–$2,612.67 $809.92–$2,750.18 varies
Composite Skin Graft (15760) $882.55 $929 0.4×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $258.13–$287.44 $271.72–$302.57 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines		 $100.70–$253.57 $106–$266.92 varies
Conversion ext bil drg cath (47535) $8,675.44 $9,132.04 2.0×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $454.87 $478.81 0.2×
Convert Nephrostomy Catheter (50434) $6,507.79 $6,850.30 2.6×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $5,106.78 $5,375.56 2.6×
Csf shunt reprogram (62252) $114 $120 0.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $293.37–$468.45 $308.81–$493.11 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 2 matching MRF lines		 $255.27–$544.22 $268.70–$572.86 varies
Curettage postpartum (59160) $286.90 $302 0.1×
Cysto Bladder W/Ureteral Catheterization (52005) $3,797.37 $3,997.23 1.5×
Cysto calibration dilat urtl strix/stenosis (52281) $413.25 $435 0.2×
Cysto w/destruction of lesions (52214) $755.25 $795 0.2×
Cysto w/irrig & evac multple obstructing clots (52001) $467.40 $492 0.1×
Cysto w/removal of lesions small (52224) $195.70 $206 0.0×
Cysto w/removal of tumors small (52234) $285 $300 0.1×
Cysto W/Simple Removal Stone & Stent (52310)
range across 2 matching MRF lines		 $174.80–$3,614.09 $184–$3,804.30 varies
Cystolithotomy (51050)
likely a partial charge, not the full procedure		 $532 $560 0.1×
Cystometrogram W/Vp (51728) $255.55 $269 0.3×
Cystostomy Cystotomy W/Drainage (51040) $337.25 $355 0.1×
Cystourethroscopy (52000) $1,690.75 $1,779.74 2.0×
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) $559.55 $589 0.1×
Cystourethroscopy with biopsy (52204) $433.20 $456 0.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $105.73–$505.80 $111.29–$532.42 varies
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines		 $856.81–$859.30 $901.90–$904.53 varies
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,238.08 $1,303.24 1.4×
Debride nail 1-5 (11720)
range across 3 matching MRF lines		 $41.61–$174.23 $43.80–$183.40 varies
Debride nail 6 or more (11721) $133.60 $140.63 1.9×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,850.35 $1,947.74 0.9×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 4 matching MRF lines		 $106.40–$668.56 $112–$703.75 varies
Declot vascular device (36593)
range across 2 matching MRF lines		 $108.34–$869.41 $114.04–$915.17 varies
Delivery of placenta (59414) $3,718.84 $3,914.57 1.0×
Destr penis lesion(s) (54065) $242.25 $255 0.1×
Destruct B9 Lesion 1-14 (17110)
range across 4 matching MRF lines		 $110.20–$304.95 $116–$321 varies
Destruction Benign Lesions 15/> (17111) $130.15 $137 0.5×
Destruction Lesions Vulva Extensive (56515) $215.65 $227 0.1×
Destruction Lesions Vulva Simple (56501) $110.20 $116 0.0×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $197.60 $208 0.8×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $225.15 $237 0.9×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $266 $280 0.5×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $162.45 $171 0.7×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $196.65 $207 0.8×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $211.85 $223 0.9×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $227.05 $239 0.5×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $258.40 $272 0.5×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $153.90 $162 0.6×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $164.35 $173 0.7×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $183.35 $193 0.8×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $208.05 $219 0.9×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $228.95 $241 0.5×
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) $268.85 $283 0.6×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $110.20 $116 0.5×
Destruction of lesion of lid margin (up to 1 cm) (67850) $239.40 $252 0.2×
Destruction of skin lesions (17106)
range across 2 matching MRF lines		 $826.38–$1,213.99 $869.87–$1,277.88 varies
Destruction Premalignant Lesion 15/> (17004) $244.15 $257 0.5×
Destruction premalignant lesion 1st (17000) $76 $80 0.3×
Destruction Vaginal Lesions Simple (57061) $95.95 $101 0.0×
Diagnostic sigmoidoscopy (45330) $2,539.90 $2,673.58 2.3×
Diaphragm or cervical cap fitting with instructions (57170) $78.85 $83 0.3×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $3,309.67 $3,483.86 2.3×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $47.50 $50 0.3×
Dilate Esophagus 1/Mult Pass (43450) $2,724.83 $2,868.24 2.5×
Dilate Urethra Stricture (53620) $100.70 $106 0.1×
Dilate Urethra Stricture (53600) $104.50 $110 0.3×
Dilation & curettage dx&/ther nonobstetric (58120) $324.90 $342 0.1×
Drain Cerebro Spinal Fluid (62272)
range across 3 matching MRF lines		 $102.60–$594.76 $108–$626.06 varies
Drain/inj small joint/bursa w/us (20604)
range across 3 matching MRF lines		 $91.20–$1,254.80 $96–$1,320.84 varies
Drainage external auditory canal abscess (69020)
range across 2 matching MRF lines		 $257.83–$532.58 $271.40–$560.61 varies
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 3 matching MRF lines		 $209–$358.30 $220–$377.16 varies
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $692.87–$2,630.97 $729.34–$2,769.44 varies
Drainage Mouth Roof Lesion (42000)
range across 2 matching MRF lines		 $374.30–$644.40 $394–$678.32 varies
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $289.48–$408.72 $304.72–$430.23 varies
Drainage of gum lesion (41800)
range across 2 matching MRF lines		 $315.07–$398.54 $331.65–$419.52 varies
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $494.27–$2,766.31 $520.28–$2,911.90 varies
Drainage of hydrocele (55000) $67.45 $71 0.1×
Drainage of nose lesion (30000) $289.06 $304.27 1.0×
Drainage of rectal abscess (45005) $3,309.67 $3,483.86 2.3×
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $468.85–$2,316.89 $493.53–$2,438.83 varies
Drainage of scrotum (54700)
range across 2 matching MRF lines		 $224.20–$798.74 $236–$840.78 varies
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines		 $512.30–$582.66 $539.26–$613.33 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $361.93–$558.20 $380.98–$587.58 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 3 matching MRF lines		 $291.47–$487.07 $306.81–$512.71 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 4 matching MRF lines		 $102.60–$297.16 $108–$312.80 varies
Dstrj Lesion Anus Simple Chemical (46900) $233.70 $246 0.5×
Dstrj lesion anus simple surg excision (46922) $145.35 $153 0.0×
Dstrj Lesion Penis Simple Chemical (54050) $157.70 $166 0.3×
Dstrj Lesion Penis Simple Cryosurgery (54056) $149.15 $157 0.6×
Dstrj Lesion Penis Simple Electrodesiccation (54055) $151.05 $159 0.1×
Dstrj lesion penis simple surg excision (54060) $229.90 $242 0.1×
Dx Bone Marrow Bx & Aspir (38222) $8,526.77 $8,975.55 2.4×
Dx Bronchoscope/Lavage (31624)
range across 2 matching MRF lines		 $2,163.53–$4,885.67 $2,277.40–$5,142.81 varies
Dx Bronchoscope/Wash (31622)
range across 2 matching MRF lines		 $2,141.95–$4,885.67 $2,254.68–$5,142.81 varies
Dx Laryngoscopy Excl Nb (31525)
range across 2 matching MRF lines		 $740.37–$3,835.44 $779.34–$4,037.31 varies
Dx lmbr spi pnxr w/fluor/CT (62328) $2,406.11 $2,532.75 2.8×
Egd Balloon Dil Esoph30 Mm/> (43233) $5,322.80 $5,602.95 2.3×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $5,322.80 $5,602.95 2.3×
Egd cautery tumor polyp (43250) $5,322.80 $5,602.95 2.3×
Egd control bleeding any (43255) $5,322.80 $5,602.95 2.3×
Egd dilation gastric/duodenal stricture (43245) $5,322.80 $5,602.95 2.3×
Egd endo mucosal resection (43254) $5,322.80 $5,602.95 2.3×
Egd Endoscopic Stent Place (43266) $16,017.12 $16,860.13 2.2×
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $1,937.73–$2,522.99 $2,039.72–$2,655.78 varies
Egd guide wire insertion (43248) $2,522.99 $2,655.78 2.3×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $5,322.80 $5,602.95 2.3×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $5,322.80 $5,602.95 2.3×
Egd intrmural us needle aspirate/biopsy esophags (43238) $5,322.80 $5,602.95 2.3×
Egd lesion ablation (43270) $5,322.80 $5,602.95 2.3×
Egd Optical Endomicroscopy (43252) $9,965.61 $10,490.12 4.3×
Egd Partial/Compl Esophagogastric Fundoplasty (43210) $27,773.38 $29,235.14 2.2×
Egd place gastrostomy tube (43246) $5,322.80 $5,602.95 2.3×
Egd remove lesion snare (43251) $5,322.80 $5,602.95 2.3×
Egd Tube/Cath Insertion (43241) $5,322.80 $5,602.95 2.3×
Egd us exam duodenum/jejunum (43259) $5,322.80 $5,602.95 2.3×
Egd us transmural injxn/mark (43253) $5,322.80 $5,602.95 2.3×
Egd Varices Ligation (43244) $5,322.80 $5,602.95 2.3×
Egd W/Thrml Txmnt Gerd (43257) $9,965.61 $10,490.12 2.2×
Egd W/Transmural Drain Cyst (43240) $16,017.12 $16,860.13 2.2×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $146.30 $154 0.4×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $44.65 $47 0.1×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $27.55 $29 0.1×
Electro-Uroflowmetry First (51741) $96.90 $102 0.4×
Endocervical curettage (57505) $85.50 $90 0.1×
Endometrial Biopsy (58100) $94.05 $99 0.4×
Endoscopic injection/implant (51715) $228 $240 0.1×
Endoscopic us exam esoph (43237) $5,322.80 $5,602.95 2.3×
Endoscopy Upper Small Intestine (44360) $5,322.80 $5,602.95 2.3×
Endoscopy upper small intestine w/biopsy (44361) $5,322.80 $5,602.95 2.3×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $1,026 $1,080 0.3×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $1,698.60 $1,788 0.4×
Endoven ther chem adhes 1st (36482)
unusually low: confirm this is the full procedure		 $2,144.15 $2,257 0.3×
Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) $5,322.80 $5,602.95 2.3×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) $5,322.80 $5,602.95 2.3×
Enteroscopy > 2nd prtn conv gstrst tube (44373) $5,322.80 $5,602.95 2.3×
Enteroscopy > 2nd prtn ileum control bleeding (44378) $5,322.80 $5,602.95 2.3×
Enteroscopy > 2nd prtn tndsc stent plmt (44370) $16,017.12 $16,860.13 2.2×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $5,322.80 $5,602.95 2.3×
Enteroscopy > 2nd prtn w/rmvl foreign body (44363) $5,322.80 $5,602.95 2.3×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) $5,322.80 $5,602.95 2.3×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $5,322.80 $5,602.95 2.3×
Epidural Blood Patch (62273)
range across 4 matching MRF lines		 $484.35–$1,339.89 $509.84–$1,410.41 varies
Episiotomy or vaginal repair (59300) $156.75 $165 0.0×
Ercp Destruction/Lithotripsy Calculi Any Method (43265) $16,017.12 $16,860.13 2.2×
Ercp duct stent placement (43274) $16,017.12 $16,860.13 2.2×
Ercp Dx Collection Specimen Brushing/Washing (43260) $9,965.61 $10,490.12 2.2×
Ercp ea duct/ampulla dilate (43277) $9,965.61 $10,490.12 2.2×
Ercp remove calculi/debris biliary/pancreas duct (43264) $9,965.61 $10,490.12 2.2×
Ercp remove forgn body duct (43275) $9,965.61 $10,490.12 4.3×
Ercp Stent Exchange W/Dilate (43276) $16,017.12 $16,860.13 2.2×
Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) $9,965.61 $10,490.12 2.2×
Ercp W/Biopsy Single/Multiple (43261) $9,962.50 $10,486.84 2.2×
Ercp w/pressure measurement sphincter of oddi (43263) $9,965.61 $10,490.12 4.3×
Ercp,Sphincterotomy (43262) $9,965.61 $10,490.12 2.2×
Esoph Optical Endomicroscopy (43206) $5,322.80 $5,602.95 2.3×
Esoph Scope W/Submucous Inj (43201) $5,322.80 $5,602.95 2.3×
Esophagogastroduodenoscopy Submucosal Injection (43236) $2,522.99 $2,655.78 2.3×
Esophagosc Dilate Balloon 30 (43214) $5,322.80 $5,602.95 2.3×
Esophagoscop Mucosal Resect (43211) $5,322.80 $5,602.95 2.3×
Esophagoscop Stent Placement (43212) $16,017.12 $16,860.13 2.2×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $5,322.80 $5,602.95 2.3×
Esophagoscopy Flex Transoral Injection Varices (43204) $5,322.80 $5,602.95 2.3×
Esophagoscopy Flex Transoral Lesion Ablation (43229) $9,965.61 $10,490.12 2.2×
Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) $5,322.80 $5,602.95 2.3×
Esophagoscopy Flexible Guide Wire Dilation (43226) $5,322.80 $5,602.95 2.3×
Esophagoscopy Flexible Transoral Diagnostic (43200) $2,522.99 $2,655.78 2.3×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $5,322.80 $5,602.95 2.3×
Esophagoscopy Flexible W/Bleeding Control (43227) $5,322.80 $5,602.95 2.3×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) $5,322.80 $5,602.95 2.3×
Esophagoscopy Retro Balloon (43213) $5,322.80 $5,602.95 2.3×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $5,322.80 $5,602.95 2.3×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $5,322.80 $5,602.95 2.3×
Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) $5,322.80 $5,602.95 2.3×
Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) $5,322.80 $5,602.95 2.3×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $98.17–$210.55 $103.34–$221.63 varies
Exc arm/elbow les sc < 3 cm (24075) $560.50 $590 0.3×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $259.69–$861.52 $273.36–$906.86 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines		 $226.10–$779.58 $238–$820.61 varies
Exc Back Tum Deep 5 Cm/> (21933) $789.45 $831 0.2×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $252.70 $266 0.3×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $291.65 $307 0.3×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $394.25 $415 0.2×
Exc Face Les Sbq 2 Cm/> (21012) $370.50 $390 0.2×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $159.60 $168 0.2×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $188.10 $198 0.2×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $209 $220 0.2×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $255.55 $269 0.1×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $325.85 $343 0.2×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $332–$1,881.54 $349.47–$1,980.57 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $171 $180 0.2×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $190.95 $201 0.1×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $441.75 $465 0.2×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $205.20 $216 0.2×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $257.45 $271 0.1×
Exc Skin Benig >4 Cm Remaindr Body (11426) $358.15 $377 0.1×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $287.85 $303 0.1×
Exc Skin Benig >4cm Face,Facial (11446) $429.40 $452 0.1×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $289.75 $305 0.1×
Exc Skin Malig >4 Cm Remaindr Body (11626) $441.75 $465 0.1×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $368.60 $388 0.2×
Exc thigh/knee les sc 3 cm/> (27337) $434.15 $457 0.1×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines		 $316.61–$3,585.95 $333.27–$3,774.68 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $161.50 $170 0.3×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 3 matching MRF lines		 $182.40–$2,138.32 $192–$2,250.86 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $234.65 $247 0.1×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $457.90 $482 0.1×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $546.25 $575 0.2×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $554.80 $584 0.3×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $574.75 $605 0.2×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $491.15 $517 0.2×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $559.55 $589 0.3×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $525.35 $553 0.3×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $422.75 $445 0.1×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $9,473.58 $9,972.19 2.2×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $6,507.79 $6,850.30 2.6×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $2,778.22 $2,924.44 1.2×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $256.50 $270 0.3×
Excision & Repair Eyelid One-Fourth Lid Margin (67966) $801.80 $844 0.3×
Excision Excessive Skin & Subq Tissue Other Area (15839) $982.30 $1,034 0.3×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $191.90 $202 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $251.75 $265 0.3×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $230.85 $243 0.5×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $282.15 $297 0.3×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $229.90 $242 0.3×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $337.25 $355 0.2×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $547.20 $576 0.2×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $208.05 $219 0.1×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $251.75 $265 0.3×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $245.10 $258 0.3×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $333.45 $351 0.2×
Excision Multiple External Papillae/Tags Anus (46230) $319.20 $336 0.1×
Excision of single external papilla or tag, anus (46220) $268.85 $283 0.2×
Excision of vaginal cyst or tumor (57135) $206.15 $217 0.1×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $505.40 $532 0.3×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $419.90 $442 0.2×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $541.50 $570 0.3×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $456 $480 0.1×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $393.30 $414 0.2×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $435.10 $458 0.1×
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines		 $909.07–$4,169.30 $956.92–$4,388.74 varies
Exploration penetrating wound spx chest (20101) $525.15 $552.79 0.2×
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines		 $1,236.16–$1,527.64 $1,301.22–$1,608.04 varies
External cephalic version (59412) $1,920.16 $2,021.22 0.5×
Fetal non-stress test (59025) $48.45 $51 0.2×
Fine needle aspiration bx w/CT gdn 1st lesion (10009)
range across 2 matching MRF lines		 $2,231.61–$2,272.31 $2,349.06–$2,391.90 varies
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $251.71–$446.26 $264.96–$469.75 varies
Fluid Pressure Muscle (20950)
range across 2 matching MRF lines		 $185.79–$263.84 $195.57–$277.73 varies
Fluoro exam of g/colon tube (49465) $835.28 $879.24 2.9×
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines		 $249.23–$2,467.05 $262.35–$2,596.89 varies
Foreskin manipulation (54450)
range across 2 matching MRF lines		 $207.58–$856.90 $218.50–$902 varies
Frenulotomy of penis (54164) $215.65 $227 0.1×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $1,045.95 $1,101 0.4×
Guide Cathet Fluid Drainage (10030) $4,195.84 $4,416.67 4.9×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $322.05 $339 0.1×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 2 matching MRF lines		 $188.10–$2,587.05 $198–$2,723.21 varies
Hysteroscopy Biopsy (58558) $709.65 $747 0.2×
Hysteroscopy Dx Sep Proc (58555) $181.45 $191 0.0×
Hysteroscopy Removal Impacted Foreign Body (58562) $442.70 $466 0.1×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $362.62–$659.09 $381.70–$693.78 varies
I&d abscess simple (10060)
range across 4 matching MRF lines		 $117.80–$651.70 $124–$686 varies
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines		 $1,413.13–$8,526.77 $1,487.51–$8,975.55 varies
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $261.25–$982.27 $275–$1,033.97 varies
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines		 $595.66–$2,408.28 $627.01–$2,535.03 varies
I&d pilonidal cyst simple (10080)
range across 3 matching MRF lines		 $210.90–$440.14 $222–$463.31 varies
Ileoscopy Stoma W/Bx Single/Multiple (44382) $2,522.99 $2,655.78 2.3×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $2,522.99 $2,655.78 2.3×
Image Cath Fluid Colxn Visc (49405)
range across 2 matching MRF lines		 $4,812.22–$5,728.82 $5,065.49–$6,030.34 varies
Implant Neuroelectrodes (64561)
likely a partial charge, not the full procedure		 $437 $460 0.1×
Incise external hemorrhoid (46083)
range across 3 matching MRF lines		 $114–$726.01 $120–$764.22 varies
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines		 $297.27–$651.70 $312.92–$686 varies
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $679.48–$3,307.81 $715.24–$3,481.91 varies
Incision & removal foreign body subq tiss simple (10120)
range across 4 matching MRF lines		 $167.20–$1,255.26 $176–$1,321.33 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $424.20–$493.15 $446.53–$519.10 varies
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023)
range across 2 matching MRF lines		 $973.38–$8,574.89 $1,024.61–$9,026.20 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $451–$599.45 $474.74–$631 varies
Incision of rectal abscess (46040)
range across 3 matching MRF lines		 $1,103.40–$3,746.96 $1,161.47–$3,944.17 varies
Incision&Drainage Upper Arm/Elbow Bursa (23931) $5,032.19 $5,297.04 2.5×
Incisional biopsy skin single lesion (11106)
range across 3 matching MRF lines		 $240.88–$1,231.86 $253.56–$1,296.69 varies
Induced abortion dilation and curettage (59840) $311.60 $328 0.1×
Induced abortion, by dilation and evacuation (59841) $443.65 $467 0.1×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $154.46–$175.16 $162.59–$184.38 varies
Inj W/Fluor Eval Cv Device (36598) $738.62 $777.49 2.9×
Injection 1 tendon sheath/ligament aponeurosis (20550) $72.20 $76 0.2×
Injection aa&/strd axillary nerve w/img gdn (64417) $438.44 $461.52 0.4×
Injection aa&/strd genicular nrv branches w/img (64454) $248.90 $262 0.3×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $165.30 $174 0.2×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $235.60 $248 0.3×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 3 matching MRF lines		 $318.03–$2,981.96 $334.77–$3,138.91 varies
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 2 matching MRF lines		 $311.53–$944.88 $327.93–$994.61 varies
Injection anesthetic agent suprascapular nerve (64418) $584.64 $615.41 0.7×
Injection procedure for peyronie disease (54200) $136.80 $144 0.5×
Injection single tendon origin/insertion (20551)
range across 3 matching MRF lines		 $70.30–$838.38 $74–$882.50 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines		 $66.50–$527.14 $70–$554.88 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 3 matching MRF lines		 $76–$911.02 $80–$958.97 varies
Injection therapeutic carpal tunnel (20526) $95 $100 0.3×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 3 matching MRF lines		 $195.52–$2,985.19 $205.81–$3,142.30 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 3 matching MRF lines		 $162.37–$654.29 $170.92–$688.73 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 4 matching MRF lines		 $85.50–$529.61 $90–$557.48 varies
Injection, Intralesional; More Than 7 Lesions (11901) $76.95 $81 0.3×
Injection, intralesional; up to and including 7 lesions (11900) $55.10 $58 0.2×
Ins cath ren art 1st unilat (36251) $4,333.89 $4,561.99 1.1×
Ins endovas vena cava filtr (37191) $14,495.99 $15,258.94 2.2×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $254.84–$310.95 $268.25–$327.32 varies
Insert cath pleura w/ image (32557)
range across 8 matching MRF lines		 $629.37–$3,103.95 $662.49–$3,267.32 varies
Insert cath pleura w/o image (32556)
range across 2 matching MRF lines		 $480.15–$5,294.42 $505.42–$5,573.07 varies
Insert cervical dilator (59200) $111.15 $117 0.3×
Insert Drug Implant Device (11981) $151.05 $159 0.9×
Insert Gastrostomy Tube Percutaneous (49440) $2,553.59 $2,687.99 1.1×
Insert hepatic shunt (tips) (37182) $16,724.12 $17,604.34 0.8×
Insert non-tunnel cv cath (36556)
range across 6 matching MRF lines		 $551.67–$10,386.58 $580.70–$10,933.24 varies
Insert pessary/other device (57160) $61.75 $65 0.3×
Insert Picc W/O Sub-Q Port <5 Y/O (36568)
range across 3 matching MRF lines		 $231.54–$1,966.12 $243.73–$2,069.60 varies
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines		 $93.72–$249.61 $98.65–$262.75 varies
Insert tun ip cath perc (49418) $11,324.22 $11,920.23 2.6×
Insert tunneled cv cath (36561) $3,676.76 $3,870.27 1.0×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $112.89–$159.13 $118.83–$167.50 varies
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 3 matching MRF lines		 $226.96–$6,182.90 $238.91–$6,508.32 varies
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555)
range across 2 matching MRF lines		 $439.09–$2,294.09 $462.20–$2,414.83 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines		 $1,397.63–$2,331.07 $1,471.19–$2,453.76 varies
Insj Rx Eluting Implt Punctal Dilat Lac Canal Ea (68841) $1,153.11 $1,213.80 0.4×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 3 matching MRF lines		 $796.66–$13,786.87 $838.59–$14,512.49 varies
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
range across 3 matching MRF lines		 $668.10–$3,500.64 $703.26–$3,684.88 varies
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
range across 2 matching MRF lines		 $501.21–$29,505.55 $527.59–$31,058.47 varies
Interdental fixation (21110) $1,308.59 $1,377.46 0.7×
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 2 matching MRF lines		 $349.84–$984.93 $368.25–$1,036.77 varies
Intro cath dialysis circuit (36901)
range across 2 matching MRF lines		 $5,358.86–$6,379.60 $5,640.91–$6,715.37 varies
Intubation endotracheal emergency procedure (31500)
range across 3 matching MRF lines		 $446.60–$722.56 $470.11–$760.59 varies
Irrigation of corpora cavernosa for priapism (54220)
range across 2 matching MRF lines		 $305.15–$391.53 $321.21–$412.14 varies
Laryngoscopy diagnostic (31505)
range across 2 matching MRF lines		 $155.60–$178.65 $163.79–$188.05 varies
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $355.61–$358.41 $374.33–$377.27 varies
Laryngoscopy W/Foreign Body Removal (31530)
range across 2 matching MRF lines		 $623.05–$5,901.01 $655.84–$6,211.59 varies
Lysis of labial adhesions (56441) $114 $120 0.0×
Lysis/excision penile postcircumcision adhesions (54162) $342 $360 0.1×
Marsupialization of bartholin's gland cyst (56440) $9,004.93 $9,478.87 2.3×
Maternity Care Procedure (59899) $281.28 $296.08 1.2×
Mech remov tunneled cv cath (36595) $10,386.58 $10,933.24 2.7×
Myelography Lumbar Injection (62304) $2,976.35 $3,133 3.2×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $2,976.35 $3,133 3.2×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines		 $110.20–$251.76 $116–$265.01 varies
N block inj intercost sng (64420)
range across 2 matching MRF lines		 $112.10–$274.55 $118–$289 varies
N Block Inj Plantar Digit (64455) $51.30 $54 0.1×
N Block Inj Pudendal (64430) $107.35 $113 0.1×
N Block Lumbar/Thoracic (64520) $211.62 $222.76 0.2×
Nasal Endoscopy Dx (31231)
range across 2 matching MRF lines		 $177.51–$590.04 $186.85–$621.09 varies
Nasal/Orogastric W/Tube Plmt (43752)
range across 3 matching MRF lines		 $130.75–$980.78 $137.63–$1,032.40 varies
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $114.95 $121 0.1×
Ndsc eval intstinal pouch w/bx single/multiple (44386)
range across 2 matching MRF lines		 $345.80–$2,539.90 $364–$2,673.58 varies
Needle Biopsy Lymph Nodes (38505) $5,341.02 $5,622.13 2.7×
Neuroeltrd Stim Post Tibial (64566) $134.90 $142 0.4×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $229.11–$528.36 $241.17–$556.17 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $11,554.41 $12,162.54 2.7×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532)
range across 2 matching MRF lines		 $9,947.25–$12,244.59 $10,470.79–$12,889.04 varies
Njx Noncmpnd Sclrsnt 1 Vein (36465) $1,707.15 $1,797 0.7×
Njx Noncmpnd Sclrsnt Mlt Vn (36466) $1,890.50 $1,990 0.8×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 6 matching MRF lines		 $2,396.37–$2,852.81 $2,522.49–$3,002.96 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430)
range across 4 matching MRF lines		 $2,396.37–$2,852.81 $2,522.49–$3,002.96 varies
Njx Sclrsnt 1 Incmptnt Vein (36470)
range across 3 matching MRF lines		 $121.60–$450.17 $128–$473.86 varies
Njx Sclrsnt Mlt Incmptnt Vn (36471) $188.10 $198 0.4×
Njx Sclrsnt Spider Veins (36468) $120.65 $127 0.2×
Occipital Nerve Block (64405)
range across 3 matching MRF lines		 $134.90–$717.94 $142–$755.73 varies
Open Treatment Proximal Fibula/Shaft Fracture (27784)
range across 2 matching MRF lines		 $2,186.51–$20,250.33 $2,301.59–$21,316.14 varies
Open Tx Distal Phalangeal Fracture Each (26765) $5,851.37 $6,159.34 1.5×
Open/Perq Place Stent 1St (37236) $36,451.52 $38,370.02 2.6×
Partial Excision Distal Phalanx Finger (26236)
range across 2 matching MRF lines		 $1,346.64–$4,549.36 $1,417.52–$4,788.80 varies
Partial hymenectomy or revision of hymenal ring (56700) $198.55 $209 0.1×
Penile Injection (54235)
range across 2 matching MRF lines		 $183.36–$554.77 $193.01–$583.97 varies
Perc Cryo Ablate Renal Tum (50593) $32,211.23 $33,906.56 2.5×
Pericardiocentesis W/Imaging (33016)
range across 3 matching MRF lines		 $621.87–$6,183.29 $654.60–$6,508.73 varies
Perq dev breast 1st us imag (19285) $483.37 $508.81 0.6×
Perq device breast 1st imag (19281) $483.37 $508.81 0.2×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
range across 2 matching MRF lines		 $30,635.69–$36,471.05 $32,248.09–$38,390.58 varies
Phleb Veins - Extrem 20+ (37766) $575.70 $606 0.2×
Place Duod/Jej Tube Perc (49441) $5,898.11 $6,208.54 2.6×
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines		 $197.04–$215.03 $207.41–$226.35 varies
Plmt Bile Duct Stent Prq Existing Access (47538) $17,920.27 $18,863.44 2.5×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $6,555.11 $6,900.12 2.6×
Plmt Nephroureteral Catheter (50433) $6,555.11 $6,900.12 1.6×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $9,762.43 $10,276.24 2.3×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $9,762.43 $10,276.24 2.3×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $2,539.90 $2,673.58 2.3×
Proctosgmdsc Rigid Control Bleeding (45317) $3,309.67 $3,483.86 2.3×
Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) $7,853.05 $8,266.37 2.4×
Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) $3,309.67 $3,483.86 2.3×
Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) $3,309.67 $3,483.86 2.3×
Proctosgmdsc rigid w/dilation (45303) $3,309.67 $3,483.86 2.3×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $7,853.05 $8,266.37 2.4×
Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) $7,853.05 $8,266.37 2.4×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $3,309.67 $3,483.86 2.3×
Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) $7,853.05 $8,266.37 2.4×
Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Facility (45327) $16,017.12 $16,860.13 2.2×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533)
range across 2 matching MRF lines		 $9,947.25–$11,841.96 $10,470.79–$12,465.22 varies
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534)
range across 2 matching MRF lines		 $9,947.25–$11,841.96 $10,470.79–$12,465.22 varies
Pseudoaneurysm Injection Trt (36002)
range across 2 matching MRF lines		 $410.72–$488.95 $432.34–$514.68 varies
Punch biopsy skin single lesion (11104)
range across 3 matching MRF lines		 $138.70–$715.61 $146–$753.27 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines		 $308.54–$398.45 $324.78–$419.42 varies
Puncture Aspiration Cyst Breast (19000)
range across 3 matching MRF lines		 $2,091.49–$2,614.36 $2,201.57–$2,751.96 varies
Rem Endovas Vena Cava Filter (37193) $14,495.99 $15,258.94 3.8×
Removal Anal Seton Other Marker (46030) $158.65 $167 0.1×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537)
range across 2 matching MRF lines		 $2,206.06–$2,626.27 $2,322.17–$2,764.49 varies
Removal Embedded Foreign Body Eyelid (67938)
range across 2 matching MRF lines		 $307.10–$441.64 $323.26–$464.88 varies
Removal foreign body foot deep (28192)
range across 2 matching MRF lines		 $1,261.93–$3,690.79 $1,328.35–$3,885.04 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 4 matching MRF lines		 $264.10–$859.29 $278–$904.52 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $630.21–$4,904.92 $663.38–$5,163.07 varies
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $47.87–$243.43 $50.39–$256.24 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $143.77–$249.61 $151.34–$262.75 varies
Removal Implant Superficial Separate Procedure (20670)
range across 2 matching MRF lines		 $456.05–$5,106.78 $480.05–$5,375.56 varies
Removal of foreign body from pharynx (42809)
range across 2 matching MRF lines		 $149.57–$471.13 $157.44–$495.93 varies
Removal of nail bed (11750)
range across 4 matching MRF lines		 $199.50–$874.66 $210–$920.69 varies
Removal of tunneled intraperitoneal catheter (49422)
range across 2 matching MRF lines		 $10,370.30–$12,765.32 $10,916.10–$13,437.18 varies
Removal or bivalving full arm or full leg cast (29705) $443.67 $467.02 1.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 4 matching MRF lines		 $87.40–$270.85 $92–$285.11 varies
Removal sweat gland lesion (11450) $446.50 $470 0.1×
Removal/bivalving gauntlet boot/body cast (29700)
range across 2 matching MRF lines		 $91.09–$208.22 $95.88–$219.18 varies
Remove drug implant device (11982)
range across 2 matching MRF lines		 $373.15–$584.59 $392.79–$615.36 varies
Remove Forearm Foreign Body (25248) $3,809.89 $4,010.41 2.0×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $168.92–$637.50 $177.81–$671.05 varies
Remove Intrauterine Device (58301)
range across 3 matching MRF lines		 $85.50–$315.31 $90–$331.91 varies
Remove intrvas foreign body (37197) $10,386.58 $10,933.24 2.7×
Remove lung catheter (32552) $2,427.05 $2,554.79 3.2×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $127.09–$377.71 $133.78–$397.59 varies
Remove renal tube w/fluoro (50389) $512.01 $538.96 0.6×
Remove Tendon Sheath Lesion (26160) $634.60 $668 0.3×
Remove/Insert Drug Implant (11983) $259.35 $273 0.5×
Renal Biopsy Perq (50200) $5,106.78 $5,375.56 2.6×
Repair Achilles Tendon (27650)
unusually low: confirm this is the full procedure		 $2,660.92 $2,800.97 0.3×
Repair Blood Vessel Direct Upper Extremity (35206)
range across 2 matching MRF lines		 $2,098.18–$12,825.19 $2,208.61–$13,500.20 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $349.85–$1,128.89 $368.26–$1,188.30 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 3 matching MRF lines		 $558.60–$1,537.26 $588–$1,618.17 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 3 matching MRF lines		 $321.40–$605.44 $338.32–$637.31 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 3 matching MRF lines		 $384.85–$1,719.50 $405.10–$1,810 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 3 matching MRF lines		 $330.60–$844.73 $348–$889.19 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $399.02–$897.15 $420.02–$944.37 varies
Repair complex trunk 1.1-2.5 cm (13100) $319.20 $336 0.4×
Repair complex trunk 2.6-7.5 cm (13101) $981.07 $1,032.71 1.1×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $434.82–$497.38 $457.71–$523.56 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 3 matching MRF lines		 $290.70–$715.81 $306–$753.48 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 3 matching MRF lines		 $321.41–$587.88 $338.33–$618.82 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $384.84–$645.39 $405.09–$679.36 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 2 matching MRF lines		 $541.72–$894.68 $570.23–$941.77 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $417.16–$470.25 $439.12–$495 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $434.82–$716.27 $457.71–$753.97 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $397.98–$710.69 $418.93–$748.09 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $460.28–$970.07 $484.50–$1,021.13 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 3 matching MRF lines		 $216.60–$533.44 $228–$561.52 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 3 matching MRF lines		 $307.80–$630.94 $324–$664.15 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $400.25–$1,004.56 $421.32–$1,057.43 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $460.28–$752.17 $484.50–$791.76 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 2 matching MRF lines		 $1,165.56–$1,908.47 $1,226.90–$2,008.92 varies
Repair of nail bed (11760)
range across 2 matching MRF lines		 $321.41–$589.54 $338.33–$620.57 varies
Repair tongue laceration (41252)
range across 2 matching MRF lines		 $786.51–$1,412.86 $827.91–$1,487.22 varies
Repair tongue laceration (41250)
range across 2 matching MRF lines		 $398.54–$535.24 $419.52–$563.41 varies
Replace duodenostomy/jejunostomy tube perq (49451) $1,232.75 $1,297.63 1.1×
Replace G-J Tube Perc (49452) $2,938.49 $3,093.15 2.7×
Replace g/c tube perc (49450) $2,938.49 $3,093.15 2.7×
Reposition Venous Catheter (36597) $5,103.69 $5,372.30 2.7×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $16,724.12 $17,604.34 2.5×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $2,993.93 $3,151.50 1.2×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804)
range across 2 matching MRF lines		 $344.76–$2,945.78 $362.90–$3,100.82 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $137.82–$346.95 $145.07–$365.21 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $220.92–$321.04 $232.55–$337.94 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $151.77 $159.76 0.3×
Rmvl fecal impaction/fb spx under anes (45915) $3,458 $3,640 2.4×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)
range across 2 matching MRF lines		 $524.40–$7,823.55 $552–$8,235.32 varies
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)
range across 2 matching MRF lines		 $513.42–$1,010.96 $540.44–$1,064.17 varies
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $1,348.03–$5,103.69 $1,418.98–$5,372.30 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 3 matching MRF lines		 $327.80–$1,284.62 $345.05–$1,352.23 varies
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $129.37–$938.51 $136.18–$987.91 varies
Rplcmt cath ctr vad subq port/pmp (36578)
range across 2 matching MRF lines		 $695.26–$5,695.74 $731.85–$5,995.52 varies
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $5,103.69 $5,372.30 2.7×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $2,136.03 $2,248.45 1.1×
Rplcmt compl tun ctr vad w/subq port (36582) $5,098.44 $5,366.78 1.3×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $5,907.71 $6,218.64 1.6×
Rpr blood vessel direct lower extremity (35226)
range across 2 matching MRF lines		 $3,861.48–$5,587.92 $4,064.72–$5,882.02 varies
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 3 matching MRF lines		 $188.10–$565.49 $198–$595.25 varies
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251)
range across 2 matching MRF lines		 $575.04–$686 $605.31–$722.11 varies
Rpr Lip Full Thickness Half/< Vertical Height (40652)
range across 2 matching MRF lines		 $1,294–$1,345.58 $1,362.11–$1,416.40 varies
Rpr Lip Full Thickness Vermilion Only (40650)
range across 2 matching MRF lines		 $889.68–$1,568.59 $936.50–$1,651.15 varies
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $1,418.26 $1,492.91 0.8×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $1,965.86 $2,069.33 2.6×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $2,539.90 $2,673.58 2.3×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $3,309.67 $3,483.86 2.3×
Shave skin lesion 0.5 cm/< (11300) $112.10 $118 0.2×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $123.50 $130 0.5×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $200.45 $211 0.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305)
range across 2 matching MRF lines		 $141.66–$226.32 $149.12–$238.23 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $102.60 $108 0.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $113.05 $119 0.5×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $109.25 $115 0.5×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $123.50 $130 0.3×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $94.05 $99 0.4×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $169.10 $178 0.3×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $114 $120 0.5×
Sigmoidoscopy & decompress (45337) $2,539.90 $2,673.58 2.3×
Sigmoidoscopy & Polypectomy (45333) $2,539.90 $2,673.58 2.3×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $3,309.67 $3,483.86 2.3×
Sigmoidoscopy flx tndsc balo dilat (45340) $3,309.67 $3,483.86 2.3×
Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) $3,309.67 $3,483.86 2.3×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $3,309.67 $3,483.86 2.3×
Sigmoidoscopy w/fb removal (45332) $3,309.67 $3,483.86 2.3×
Sigmoidoscopy w/plcmt stent (45347) $16,017.12 $16,860.13 2.2×
Sigmoidoscopy W/Resection (45349) $7,852.53 $8,265.82 2.4×
Sigmoidoscopy W/Ultrasound (45341) $2,539.90 $2,673.58 2.3×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $2,539.90 $2,673.58 2.3×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $3,309.67 $3,483.86 2.3×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $417.16–$693.94 $439.12–$730.46 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 3 matching MRF lines		 $153.90–$434.82 $162–$457.71 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 3 matching MRF lines		 $182.40–$434.82 $192–$457.71 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017)
range across 3 matching MRF lines		 $161.50–$418.12 $170–$440.13 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $321.41–$606.71 $338.33–$638.64 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 3 matching MRF lines		 $180.50–$340.29 $190–$358.20 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 2 matching MRF lines		 $240.46–$893.67 $253.12–$940.71 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $415.17–$460.28 $437.02–$484.50 varies
Skin sub graft face/nk/hf/g (15275) $5,409.37 $5,694.07 6.1×
Skin sub graft trnk/arm/leg (15271) $5,409.37 $5,694.07 6.1×
Slitting of prepuce (54001) $4,152.45 $4,371 1.7×
Small bowel endoscopy (44366) $5,322.80 $5,602.95 2.3×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $5,322.80 $5,602.95 2.3×
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379) $16,017.12 $16,860.13 2.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $326.10–$373.15 $343.26–$392.79 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $340.21–$518.32 $358.12–$545.60 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $400.25–$778.96 $421.32–$819.96 varies
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines		 $213.06–$2,303.29 $224.27–$2,424.52 varies
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $493.05 $519 0.1×
Strapping ankle (29540) $124.93 $131.50 0.6×
Strapping elbow or wrist (29260) $101.46 $106.80 1.4×
Strapping hand/finger (29280)
range across 2 matching MRF lines		 $100.39–$111.21 $105.67–$117.06 varies
Strapping knee (29530) $140.68 $148.08 0.9×
Strapping shoulder (29240) $153.32 $161.39 1.0×
Strapping toes (29550) $114.46 $120.48 1.6×
Strapping Unna Boot (29580) $204.93 $215.72 1.1×
Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) $156.75 $165 0.2×
Surg tx anal fistula subq (46270) $324.90 $342 0.1×
Suture digital nerve hand/foot 1 nerve (64831)
range across 2 matching MRF lines		 $1,765.90–$5,465.28 $1,858.84–$5,752.93 varies
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines		 $112.10–$640.60 $118–$674.32 varies
Tenolysis flexor foot single tendon (28220) $10,241.80 $10,780.84 5.3×
Thrombolytic Therapy Stroke (37195) $333.94 $351.52 0.8×
Thyroid biopsy (60100) $2,257.48 $2,376.29 2.7×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $779 $820 0.3×
Tprnl Plmt Biodegrdabl Matrl (55874) $14,683.63 $15,456.45 2.3×
Tracheostomy Emergency Cricothyroid Membrane (31605)
range across 2 matching MRF lines		 $717.59–$2,010.31 $755.36–$2,116.12 varies
Transcatheter biopsy (37200) $17,314.37 $18,225.65 2.6×
Treat Hip Socket Fracture (27222) $1,068.73 $1,124.98 3.6×
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $635.73–$1,059.55 $669.19–$1,115.32 varies
Treat Humerus Fracture (24505)
range across 2 matching MRF lines		 $414.28–$1,631.68 $436.08–$1,717.56 varies
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $419.25–$998.75 $441.32–$1,051.32 varies
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $401.28–$836.86 $422.40–$880.91 varies
Treat Metatarsal Fracture (28475)
range across 2 matching MRF lines		 $683.30–$948.92 $719.26–$998.86 varies
Treat Thumb Dislocation (26641)
range across 2 matching MRF lines		 $1,033.47–$1,127.03 $1,087.86–$1,186.35 varies
Treat Thumb Fracture (26645)
range across 2 matching MRF lines		 $822.35–$1,318.70 $865.63–$1,388.11 varies
Treat toe dislocation (28630)
range across 2 matching MRF lines		 $292.05–$470.33 $307.42–$495.08 varies
Treat vagina infection (57150) $48.45 $51 0.7×
Treat Vaginal Bleeding (57180)
range across 3 matching MRF lines		 $112.10–$282.28 $118–$297.14 varies
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 2 matching MRF lines		 $1,685.92–$3,360.48 $1,774.65–$3,537.35 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $461.10–$994.84 $485.37–$1,047.20 varies
Trim skin lesion (11055)
range across 4 matching MRF lines		 $49.40–$200.59 $52–$211.15 varies
Trim skin lesions 2 to 4 (11056) $167.49 $176.30 0.7×
Trim skin lesions over 4 (11057) $71.25 $75 0.3×
Trimming Nondystrophic Nails Any Number (11719)
range across 3 matching MRF lines		 $17.10–$110.11 $18–$115.91 varies
Trluml Balo Angiop 1St Vein (37248) $17,991.18 $18,938.08 2.6×
Tx Gastro Intub W/Asp (43753)
range across 2 matching MRF lines		 $58.04–$315.86 $61.09–$332.48 varies
Tx Incomplete Abortion Any Trimester Surgical (59812)
range across 2 matching MRF lines		 $336.30–$4,978.62 $354–$5,240.65 varies
Tx Missed Abortion First Trimester Surgical (59820) $401.85 $423 0.1×
Tx Missed Abortion Second Trimester Surgical (59821) $452.20 $476 0.1×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $657.85–$792.29 $692.47–$833.99 varies
Tx superficial wound dehiscence w/packing (12021)
range across 2 matching MRF lines		 $495.45–$585.78 $521.53–$616.61 varies
Unlisted procedure anus (46999) $68.40 $72 0.1×
Unlisted Procedure Biliary Tract (47999) $16,017.12 $16,860.13 14.7×
Unlisted procedure colon (45399) $2,539.90 $2,673.58 2.3×
Unlisted Procedure External Ear (69399)
range across 2 matching MRF lines		 $47.87–$768.34 $50.39–$808.78 varies
Unlisted procedure femur or knee (27599)
range across 2 matching MRF lines		 $745.41–$1,555.22 $784.64–$1,637.07 varies
Unlisted procedure humerus/elbow (24999)
range across 2 matching MRF lines		 $703–$1,168.50 $740–$1,230 varies
Unlisted Procedure Intestine (44799)
range across 3 matching MRF lines		 $129.37–$2,522.99 $136.18–$2,655.78 varies
Unlisted procedure larynx (31599) $479.86 $505.12 1.7×
Unlisted procedure nervous system (64999)
range across 3 matching MRF lines		 $284–$897.47 $298.95–$944.70 varies
Unlisted Procedure Pharynx Adenoids/Tonsils (42999)
range across 2 matching MRF lines		 $569.89–$1,651.37 $599.88–$1,738.28 varies
Unlisted procedure stomach (43999) $1,634.71 $1,720.75 1.5×
Unlisted Procedure Vascular Surgery (37799)
range across 2 matching MRF lines		 $321.10–$354.22 $338–$372.86 varies
Unlisted px female genital system nonobstetrical (58999) $564.04 $593.73 2.3×
Vaginal delivery only (59409)
range across 2 matching MRF lines		 $3,029.48–$4,266.75 $3,188.93–$4,491.32 varies
Vasc Embolize/Occlude Bleed (37244)
range across 2 matching MRF lines		 $37,779.62–$38,274.09 $39,768.02–$40,288.52 varies
Vasc Embolize/Occlude Organ (37243) $40,225.57 $42,342.70 2.9×
Vasectomy uni/bi spx w/postop semen exams (55250) $264.10 $278 0.1×
Vulvectomy simple partial (56620) $404.70 $426 0.1×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $253.43–$338.48 $266.77–$356.29 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.