Procedures & surgery prices at Black River Memorial Hospital
Black River Falls, WI · every code in this section with a posted price and a Medicare benchmark.
554 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 6 matching MRF lines |
$808.20–$1,679.40 | $898–$1,866 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 5 matching MRF lines |
$525.60–$1,217.70 | $584–$1,353 | varies |
| Acne surgery (10040) | $181.80 | $202 | 0.9× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) range across 2 matching MRF lines |
$1,542.60–$1,839.60 | $1,714–$2,044 | varies |
| Amniocentesis diagnostic (59000) | $651.60 | $724 | 0.7× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $4,774.50 | $5,305 | 1.5× |
| Amputation, leg, through tibia and fibula; (27880) likely a partial charge, not the full procedure |
$1,821.60 | $2,024 | 0.3× |
| Anoscopy diagnostic (46600) | $135.90 | $151 | 1.1× |
| Anoscopy; with biopsy, single or multiple (46606) | $801.90 | $891 | 0.7× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $561.60 | $624 | 0.2× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) | $19.80 | $22 | 0.1× |
| Application cast elbow finger short arm (29075) | $153 | $170 | 0.6× |
| Application finger splint static (29130) range across 3 matching MRF lines |
$72–$292.50 | $80–$325 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$146.70–$402.30 | $163–$447 | varies |
| Application Long Leg Cast Brace (29358) | $19.80 | $22 | 0.1× |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$141.30–$381.60 | $157–$424 | varies |
| Application of long leg cast (29345) | $19.80 | $22 | 0.1× |
| Application of rigid total contact leg cast (29445) | $625.50 | $695 | 2.3× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$118.80–$364.50 | $132–$405 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$129.60–$196.20 | $144–$218 | varies |
| Apply hand/wrist cast (29085) | $154.80 | $172 | 1.0× |
| Apply long arm cast (29065) | $155.70 | $173 | 0.6× |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$626.40–$721.80 | $696–$802 | varies |
| Apply Short Leg Cast (29405) | $144 | $160 | 0.5× |
| Apply short leg cast (29425) | $333.90 | $371 | 1.2× |
| Arterial puncture (36600) range across 5 matching MRF lines |
$184.50–$189.90 | $205–$211 | varies |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) likely a partial charge, not the full procedure |
$2,424.60 | $2,694 | 0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 6 matching MRF lines |
$19.80–$1,012.50 | $22–$1,125 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $2,265.30 | $2,517 | 3.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 13 matching MRF lines |
$107.10–$1,168.20 | $119–$1,298 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $978.30 | $1,087 | 3.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 5 matching MRF lines |
$97.20–$775.80 | $108–$862 | varies |
| Arthrodesis great toe metatarsophalangeal joint (28750) | $3,638.70 | $4,043 | 0.5× |
| Arthrodesis triple (28715) likely a partial charge, not the full procedure |
$3,653.10 | $4,059 | 0.3× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) | $2,406.60 | $2,674 | 0.8× |
| Arthroscopy Ankle Surgical Debridement Limited (29897) | $4,140 | $4,600 | 1.3× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) | $4,010.40 | $4,456 | 1.3× |
| Aspirate pleura w/ imaging (32555) range across 4 matching MRF lines |
$816.30–$2,551.50 | $907–$2,835 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 5 matching MRF lines |
$801–$1,273.50 | $890–$1,415 | varies |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$105.30–$171 | $117–$190 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 4 matching MRF lines |
$114.30–$518.40 | $127–$576 | varies |
| Biopsy bone open superficial (20240) | $1,199.70 | $1,333 | 0.4× |
| Biopsy muscle percutaneous needle (20206) | $762.30 | $847 | 0.5× |
| Biopsy nail unit (11755) | $291.60 | $324 | 0.4× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $454.50 | $505 | 0.5× |
| Bladder instillation anticarcinogenic agent (51720) | $366.30 | $407 | 0.5× |
| Bladder Irrigation (51700) range across 4 matching MRF lines |
$194.40–$458.10 | $216–$509 | varies |
| Bladder Scan (51798) | $150.30 | $167 | 2.6× |
| Blepharotomy drainage abscess eyelid (67700) range across 2 matching MRF lines |
$544.50–$560.70 | $605–$623 | varies |
| Blood Transfusion Service (36430) range across 9 matching MRF lines |
$145.80–$1,194.30 | $162–$1,327 | varies |
| Bx breast 1st lesion us imag (19083) | $1,447.20 | $1,608 | 0.9× |
| Bx Cervix (57500) | $341.10 | $379 | 0.4× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) | $1,798.20 | $1,998 | 0.6× |
| Catheter aspiration nasotracheal spx (31720) | $252 | $280 | 1.2× |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$211.50–$343.80 | $235–$382 | varies |
| Change of Windpipe Airway (31502) | $488.70 | $543 | 2.1× |
| Chemical Cautery Tissue (17250) range across 3 matching MRF lines |
$150.30–$364.50 | $167–$405 | varies |
| Chemodenerv 1 extremity 1-4 (64642) | $1,128.60 | $1,254 | 1.6× |
| Chemodenerv Musc Migraine (64615) | $930.60 | $1,034 | 3.1× |
| Chemodenerv musc neck dyston (64616) range across 2 matching MRF lines |
$729–$927 | $810–$1,030 | varies |
| Chemodenerv trunk musc 1-5 (64646) | $1,315.80 | $1,462 | 1.9× |
| Chest tube placement (32551) range across 3 matching MRF lines |
$522.90–$1,894.50 | $581–$2,105 | varies |
| Circumcision w/clamp/oth dev w/block (54150) | $1,350 | $1,500 | 0.7× |
| Cl Tx Tib Shft Fx W Manip (27752) range across 2 matching MRF lines |
$1,854–$1,997.10 | $2,060–$2,219 | varies |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$135–$260.10 | $150–$289 | varies |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $614.70 | $683 | 0.4× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $631.80 | $702 | 2.6× |
| Closed Treatment Sesamoid Fracture (28530) | $432 | $480 | 1.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $565.20 | $628 | 2.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $2,530.80 | $2,812 | 1.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 3 matching MRF lines |
$468.90–$1,215.90 | $521–$1,351 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $1,353.60 | $1,504 | 5.6× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $673.20 | $748 | 2.8× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) range across 2 matching MRF lines |
$2,088.90–$2,151.90 | $2,321–$2,391 | varies |
| Closed tx knee dislocation w/o anesthesia (27550) range across 2 matching MRF lines |
$551.70–$567.90 | $613–$631 | varies |
| Closed Tx Lunate Dislocation W/Manipulation (25690) range across 2 matching MRF lines |
$1,783.80–$1,836.90 | $1,982–$2,041 | varies |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
$496.80–$590.40 | $552–$656 | varies |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $1,782.90 | $1,981 | 1.1× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $2,844.90 | $3,161 | 0.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $518.40 | $576 | 2.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $797.40 | $886 | 3.3× |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$918–$945.90 | $1,020–$1,051 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$363.60–$374.40 | $404–$416 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$801–$815.40 | $890–$906 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 3 matching MRF lines |
$19.80–$721.80 | $22–$802 | varies |
| Closed Tx Talus Fracture W/Manipulation (28435) | $1,136.70 | $1,263 | 0.7× |
| Closed tx talus fracture w/o manipulation (28430) | $718.20 | $798 | 3.0× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $412.20 | $458 | 1.7× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $388.80 | $432 | 1.6× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $641.70 | $713 | 0.4× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $465.30 | $517 | 1.9× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $596.70 | $663 | 2.5× |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$618.30–$736.20 | $687–$818 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $2,031.30 | $2,257 | 1.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$348.30–$1,069.20 | $387–$1,188 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $2,907 | $3,230 | 1.9× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 2 matching MRF lines |
$625.50–$644.40 | $695–$716 | varies |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 2 matching MRF lines |
$727.20–$1,095.30 | $808–$1,217 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) range across 2 matching MRF lines |
$428.40–$441 | $476–$490 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$639.90–$658.80 | $711–$732 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 4 matching MRF lines |
$415.80–$631.80 | $462–$702 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $486.90 | $541 | 2.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$381.60–$481.50 | $424–$535 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 4 matching MRF lines |
$422.10–$745.20 | $469–$828 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$863.10–$1,161 | $959–$1,290 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) range across 2 matching MRF lines |
$1,527.30–$1,573.20 | $1,697–$1,748 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) range across 2 matching MRF lines |
$540–$741.60 | $600–$824 | varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $954.90 | $1,061 | 0.6× |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 2 matching MRF lines |
$487.80–$502.20 | $542–$558 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$401.40–$488.70 | $446–$543 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $450 | $500 | 1.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 3 matching MRF lines |
$305.10–$554.40 | $339–$616 | varies |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 3 matching MRF lines |
$1,935.90–$4,647.60 | $2,151–$5,164 | varies |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 2 matching MRF lines |
$505.80–$1,831.50 | $562–$2,035 | varies |
| Cltx greater humeral tuberosity fx w/o manj (23620) range across 3 matching MRF lines |
$593.10–$611.10 | $659–$679 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) | $1,770.30 | $1,967 | 1.1× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$551.70–$1,918.80 | $613–$2,132 | varies |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $650.70 | $723 | 0.4× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $1,175.40 | $1,306 | 4.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$457.20–$608.40 | $508–$676 | varies |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $764.10 | $849 | 2.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $538.20 | $598 | 2.2× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $1,530.90 | $1,701 | 1.0× |
| Cltx Medial Ankle Fx (27760) | $1,080.90 | $1,201 | 4.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 4 matching MRF lines |
$519.30–$1,353.60 | $577–$1,504 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 3 matching MRF lines |
$492.30–$536.40 | $547–$596 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $597.60 | $664 | 2.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 3 matching MRF lines |
$326.70–$391.50 | $363–$435 | varies |
| Cltx post hip arthrp dislc req anes (27266) | $3,638.70 | $4,043 | 2.3× |
| Cltx post hip arthrp dislc w/o anes (27265) | $691.20 | $768 | 2.9× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $1,655.10 | $1,839 | 1.1× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $500.40 | $556 | 2.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
$330.30–$492.30 | $367–$547 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $1,060.20 | $1,178 | 0.7× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $1,272.60 | $1,414 | 5.3× |
| Cltx tibial fx proximal w/o manipulation (27530) | $1,684.80 | $1,872 | 7.0× |
| Cltx tibial shaft fx w/o manipulation (27750) | $549.90 | $611 | 2.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $989.10 | $1,099 | 0.6× |
| Collect Blood From Catheter Venous Nos (36592) range across 5 matching MRF lines |
$176.40–$247.50 | $196–$275 | varies |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$14.40–$72.90 | $16–$81 | varies |
| Colonoscopy w/ablation (45388) | $2,418.30 | $2,687 | 2.1× |
| Colonoscopy w/fb removal (45379) | $2,230.20 | $2,478 | 1.9× |
| Colporrhaphy (57200) | $1,577.70 | $1,753 | 0.5× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $265.50 | $295 | 0.9× |
| Colposcopy Cervix Endocervical Curettage (57456) | $473.40 | $526 | 1.6× |
| Colposcopy cervix upper/adjacent vagina (57452) | $19.80 | $22 | 0.1× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $500.40 | $556 | 1.7× |
| Colposcopy cervix vag eltrd conization cervix (57461) | $1,700.10 | $1,889 | 0.5× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | $1,432.80 | $1,592 | 0.5× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $611.10 | $679 | 0.7× |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $1,581.30 | $1,757 | 1.4× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) | $1,128.60 | $1,254 | 1.0× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $1,577.70 | $1,753 | 1.4× |
| Complex drainage wound (10180) | $3,882.60 | $4,314 | 1.4× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $2,141.10 | $2,379 | 0.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$316.80–$318.60 | $352–$354 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$225.90–$649.80 | $251–$722 | varies |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) | $3,420.90 | $3,801 | 1.1× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) likely a partial charge, not the full procedure |
$3,486.60 | $3,874 | 0.3× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) | $3,536.10 | $3,929 | 0.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$444.60–$458.10 | $494–$509 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $368.10 | $409 | 1.6× |
| Cysto W/Simple Removal Stone & Stent (52310) | $4,108.50 | $4,565 | 2.0× |
| Cystourethroscopy (52000) | $3,194.10 | $3,549 | 4.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $152.10 | $169 | 0.4× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $1,725.30 | $1,917 | 2.5× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 3 matching MRF lines |
$486.90–$1,793.70 | $541–$1,993 | varies |
| Debride nail 1-5 (11720) range across 3 matching MRF lines |
$58.50–$197.10 | $65–$219 | varies |
| Debride nail 6 or more (11721) range across 3 matching MRF lines |
$80.10–$216.90 | $89–$241 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$1,064.70–$2,475 | $1,183–$2,750 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$932.40–$1,391.40 | $22–$1,546 | varies |
| Declot vascular device (36593) | $1,138.50 | $1,265 | 3.5× |
| Delivery of placenta (59414) | $639.90 | $711 | 0.2× |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$3,028.50–$3,119.40 | $3,365–$3,466 | varies |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$3,417.30–$5,779.80 | $3,797–$6,422 | varies |
| Destruct B9 Lesion 1-14 (17110) | $196.20 | $218 | 1.0× |
| Destruction Benign Lesions 15/> (17111) | $228.60 | $254 | 1.2× |
| Destruction by neurolytic agent, intercostal nerve (64620) | $2,864.70 | $3,183 | 3.3× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) | $19.80 | $22 | 0.1× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) | $1,208.70 | $1,343 | 1.0× |
| Destruction Lesions Vulva Extensive (56515) | $1,170.90 | $1,301 | 0.6× |
| Destruction Lesions Vulva Simple (56501) | $646.20 | $718 | 0.3× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $324.90 | $361 | 1.7× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $440.10 | $489 | 2.3× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $275.40 | $306 | 1.4× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $306 | $340 | 1.6× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) | $357.30 | $397 | 1.8× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $313.20 | $348 | 1.6× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $127.80 | $142 | 0.7× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $278.10 | $309 | 1.4× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) | $336.60 | $374 | 1.7× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $245.70 | $273 | 1.3× |
| Destruction neurolytic agt genicular nerve w/img (64624) | $2,157.30 | $2,397 | 1.1× |
| Destruction Premalignant Lesion 15/> (17004) | $264.60 | $294 | 0.7× |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$103.50–$122.40 | $115–$136 | varies |
| Destruction Vaginal Lesions Simple (57061) | $547.20 | $608 | 0.2× |
| Dilate Urethra Stricture (53620) | $2,127.60 | $2,364 | 3.1× |
| Drain Spinal Cord Cyst (62268) | $990.90 | $1,101 | 1.2× |
| Drain/inj small joint/bursa w/us (20604) | $903.60 | $1,004 | 3.0× |
| Drainage Abscess/Hematoma Nasal Septum (30020) | $666.90 | $741 | 1.3× |
| Drainage external auditory canal abscess (69020) | $432.90 | $481 | 0.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $481.50 | $535 | 0.7× |
| Drainage Finger Abscess Complicated (26011) | $1,659.60 | $1,844 | 1.0× |
| Drainage Mouth Roof Lesion (42000) | $460.80 | $512 | 2.0× |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$438.30–$504 | $487–$560 | varies |
| Drainage of gum lesion (41800) | $992.70 | $1,103 | 7.7× |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$444.60–$2,866.50 | $494–$3,185 | varies |
| Drainage of nose lesion (30000) | $532.80 | $592 | 2.3× |
| Drainage of scrotal wall abscess (55100) range across 2 matching MRF lines |
$1,597.50–$1,645.20 | $1,775–$1,828 | varies |
| Drainage of scrotum (54700) range across 2 matching MRF lines |
$962.10–$3,267 | $1,069–$3,630 | varies |
| Draw Blood Off Venous Device (36591) range across 7 matching MRF lines |
$74.70–$214.20 | $83–$238 | varies |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) | $1,223.10 | $1,359 | 2.3× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $414.90 | $461 | 0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$457.20–$729 | $508–$810 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 3 matching MRF lines |
$396.90–$503.10 | $441–$559 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 4 matching MRF lines |
$351–$423.90 | $390–$471 | varies |
| Dstrj lesion anus simple surg excision (46922) | $774 | $860 | 0.3× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $19.80 | $22 | 0.1× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $1,792.80 | $1,992 | 2.1× |
| Dx Laryngoscopy Excl Nb (31525) | $2,647.80 | $2,942 | 1.5× |
| Egd control bleeding any (43255) | $1,251.90 | $1,391 | 0.7× |
| Egd Flexible Foreign Body Removal (43247) | $2,304 | $2,560 | 2.6× |
| Endocervical curettage (57505) | $900 | $1,000 | 1.0× |
| Endometrial Biopsy (58100) | $341.10 | $379 | 1.7× |
| Endoscopic plantar fasciotomy (29893) | $1,819.80 | $2,022 | 0.6× |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$1,322.10–$2,265.30 | $1,469–$2,517 | varies |
| Episiotomy or vaginal repair (59300) | $728.10 | $809 | 0.2× |
| Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
$92.70–$211.50 | $103–$235 | varies |
| Exc arm/elbow les sc < 3 cm (24075) | $2,045.70 | $2,273 | 1.3× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$218.70–$837.90 | $243–$931 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $636.30 | $707 | 0.4× |
| Exc Back Les Sc < 3 Cm (21930) | $1,439.10 | $1,599 | 0.9× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $564.30 | $627 | 0.8× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $656.10 | $729 | 1.0× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $1,058.40 | $1,176 | 0.7× |
| Exc Face Les Sbq 2 Cm/> (21012) | $1,980.90 | $2,201 | 1.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$339.30–$358.20 | $377–$398 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$171–$396.90 | $190–$441 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $516.60 | $574 | 0.8× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $702.90 | $781 | 0.4× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$220.50–$1,412.10 | $245–$1,569 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $259.20 | $288 | 0.4× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $290.70 | $323 | 0.2× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) | $1,568.70 | $1,743 | 1.0× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) | $1,107.90 | $1,231 | 0.6× |
| Exc Rct Tum Incl Muscularis Propria (45172) | $4,010.40 | $4,456 | 1.5× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) | $2,606.40 | $2,896 | 1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $192.60 | $214 | 0.3× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $714.60 | $794 | 0.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $284.40 | $316 | 0.2× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $778.50 | $865 | 0.5× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $1,161 | $1,290 | 0.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $1,157.40 | $1,286 | 0.7× |
| Exc thigh/knee les sc 3 cm/> (27337) | $1,923.30 | $2,137 | 0.7× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 2 matching MRF lines |
$533.70–$2,633.40 | $593–$2,926 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $254.70 | $283 | 0.6× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$276.30–$408.60 | $307–$454 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $357.30 | $397 | 0.2× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $1,764.90 | $1,961 | 0.6× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $1,384.20 | $1,538 | 0.9× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $2,550.60 | $2,834 | 0.9× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $1,742.40 | $1,936 | 1.1× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) | $2,005.20 | $2,228 | 0.7× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $1,827.90 | $2,031 | 0.6× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $559.80 | $622 | 0.8× |
| Excision Lesion Tongue W/O Closure (41110) | $638.10 | $709 | 0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $477 | $530 | 0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $518.40 | $576 | 0.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $513.90 | $571 | 1.3× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $684 | $760 | 1.0× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $488.70 | $543 | 0.7× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $904.50 | $1,005 | 0.6× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $3,600 | $4,000 | 1.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $449.10 | $499 | 0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $521.10 | $579 | 0.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $520.20 | $578 | 0.8× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $1,227.60 | $1,364 | 0.8× |
| Excision Multiple External Papillae/Tags Anus (46230) | $993.60 | $1,104 | 0.4× |
| Excision nasal polyp(s) simple (30110) | $405 | $450 | 0.3× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $1,523.70 | $1,693 | 1.0× |
| Excision of pilonidal cyst or sinus; simple (11770) | $938.70 | $1,043 | 0.3× |
| Excision of vaginal cyst or tumor (57135) | $1,098.90 | $1,221 | 0.3× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $1,726.20 | $1,918 | 1.1× |
| Excision, interdigital (morton) neuroma, single, each (28080) | $1,764.90 | $1,961 | 1.1× |
| Excision, trochanteric pressure ulcer, with primary suture; Facility (15950) | $2,582.10 | $2,869 | 1.6× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $2,781 | $3,090 | 1.0× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | $2,260.80 | $2,512 | 0.8× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $900 | $1,000 | 0.6× |
| Excision/destruction intranasal lesion int appr (30117) | $591.30 | $657 | 0.2× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $3,423.60 | $3,804 | 1.7× |
| Explo/Drain Breast Abscess (19020) | $3,013.20 | $3,348 | 1.9× |
| Exploration penetrating wound spx extremity (20103) | $1,577.70 | $1,753 | 1.0× |
| External cephalic version (59412) range across 2 matching MRF lines |
$875.70–$1,909.80 | $973–$2,122 | varies |
| Fetal Contraction Stress Test (59020) | $477.90 | $531 | 2.4× |
| Fetal non-stress test (59025) range across 4 matching MRF lines |
$81.90–$585 | $91–$650 | varies |
| Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) | $1,675.80 | $1,862 | 0.8× |
| Fine needle aspiration without imaging guidance (10021) range across 2 matching MRF lines |
$318.60–$396 | $354–$440 | varies |
| Fna bx w/us gdn 1st les (10005) | $782.10 | $869 | 1.1× |
| Fusion of foot bones (28740) | $4,417.20 | $4,908 | 0.6× |
| Gastrocnemius recession (27687) | $370.80 | $412 | 0.1× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $2,485.80 | $2,762 | 0.9× |
| Hemorrhoidopexy by stapling (46947) | $1,215.90 | $1,351 | 0.5× |
| Hysteroscopy Removal Impacted Foreign Body (58562) | $2,052.90 | $2,281 | 0.7× |
| I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
$621.90–$640.80 | $691–$712 | varies |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$212.40–$601.20 | $236–$668 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) range across 2 matching MRF lines |
$3,525.30–$3,631.50 | $3,917–$4,035 | varies |
| I&D Intramural Im/Absc Transanal Anes (46045) | $1,855.80 | $2,062 | 0.7× |
| I&d perianal abscess superficial (46050) range across 3 matching MRF lines |
$675–$1,391.40 | $750–$1,546 | varies |
| I&d pilonidal cyst complicated (10081) range across 3 matching MRF lines |
$487.80–$1,844.10 | $542–$2,049 | varies |
| I&d pilonidal cyst simple (10080) range across 3 matching MRF lines |
$405–$689.40 | $450–$766 | varies |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) | $881.10 | $979 | 1.0× |
| Image Cath Fluid Peri/Retro (49406) | $1,456.20 | $1,618 | 0.9× |
| Implant neuroelectrodes (63650) | $8,125.20 | $9,028 | 1.3× |
| Incise external hemorrhoid (46083) range across 3 matching MRF lines |
$317.70–$582.30 | $353–$647 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 4 matching MRF lines |
$352.80–$789.30 | $392–$877 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 3 matching MRF lines |
$697.50–$3,256.20 | $775–$3,618 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 4 matching MRF lines |
$248.40–$886.50 | $276–$985 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $437.40 | $486 | 2.2× |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$332.10–$628.20 | $369–$698 | varies |
| Incision of Foot Tendon (28234) | $1,374.30 | $1,527 | 0.9× |
| Incision of labial frenum (frenotomy) (40806) | $845.10 | $939 | 1.6× |
| Incision of lingual frenum (frenotomy) (41010) | $621.90 | $691 | 0.4× |
| Incision of rectal abscess (46040) | $3,399.30 | $3,777 | 2.9× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $2,211.30 | $2,457 | 1.4× |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$672.30–$922.50 | $747–$1,025 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $257.40 | $286 | 1.3× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$2,124–$2,845.80 | $2,360–$3,162 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 2 matching MRF lines |
$2,736.90–$2,942.10 | $3,041–$3,269 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $130.50 | $145 | 0.4× |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $2,852.10 | $3,169 | 3.3× |
| Injection aa&/strd genicular nrv branches w/img (64454) | $2,481.30 | $2,757 | 3.6× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $2,937.60 | $3,264 | 3.4× |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) | $2,065.50 | $2,295 | 2.4× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) | $2,481.30 | $2,757 | 3.6× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $930.60 | $1,034 | 3.1× |
| Injection Anes Superior Hypogastric Plexus (64517) | $2,852.10 | $3,169 | 3.3× |
| Injection anesthetic agent suprascapular nerve (64418) | $2,265.30 | $2,517 | 3.3× |
| Injection single tendon origin/insertion (20551) | $301.50 | $335 | 1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 4 matching MRF lines |
$150.30–$624.60 | $167–$694 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$172.80–$996.30 | $192–$1,107 | varies |
| Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines |
$142.20–$903.60 | $158–$1,004 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) | $1,020.60 | $1,134 | 1.2× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $1,673.10 | $1,859 | 2.4× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 4 matching MRF lines |
$618.30–$1,605.60 | $687–$1,784 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $95.40 | $106 | 0.5× |
| Insert Bladder Cath Complex (51703) | $317.70 | $353 | 2.5× |
| Insert cath pleura w/o image (32556) range across 3 matching MRF lines |
$2,005.20–$3,328.20 | $2,228–$3,698 | varies |
| Insert cervical dilator (59200) | $304.20 | $338 | 1.0× |
| Insert Drug Implant Device (11981) range across 3 matching MRF lines |
$19.80–$180.90 | $22–$201 | varies |
| Insert non-tunnel cv cath (36556) | $1,467 | $1,630 | 0.5× |
| Insert pessary/other device (57160) | $145.80 | $162 | 0.7× |
| Insert Temp Bladder Cath (51702) range across 5 matching MRF lines |
$279–$287.10 | $310–$319 | varies |
| Insert tun ip cath perc (49418) | $2,016.90 | $2,241 | 0.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 4 matching MRF lines |
$228.60–$243.90 | $254–$271 | varies |
| Insertion indwelling tunneled pleural catheter (32550) | $4,295.70 | $4,773 | 1.2× |
| Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including… (64596) | $24,063.30 | $26,737 | 2.2× |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) unusually low: confirm this is the full procedure |
$2,502.90 | $2,781 | 0.5× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $1,554.30 | $1,727 | 1.0× |
| Int hrhc by ligation single hroid w/o img gdn (46945) | $720.90 | $801 | 0.3× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $720 | $800 | 1.8× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $673.20 | $748 | 1.7× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$854.10–$954.90 | $949–$1,061 | varies |
| Irrigation of corpora cavernosa for priapism (54220) range across 2 matching MRF lines |
$599.40–$617.40 | $666–$686 | varies |
| Laparo-vag hyst incl t/o (58552) unusually low: confirm this is the full procedure |
$3,674.70 | $4,083 | 0.4× |
| Laparoscopy Enterolysis Separate Procedure (44180) | $3,825.90 | $4,251 | 0.7× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) | $5,864.40 | $6,516 | 0.6× |
| Laparoscopy W/Lysis Of Adhesions (58660) | $3,419.10 | $3,799 | 0.6× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) unusually low: confirm this is the full procedure |
$2,292.30 | $2,547 | 0.4× |
| Laryngoscopy diagnostic (31505) | $303.30 | $337 | 1.6× |
| Laryngoscopy flexible diagnostic (31575) range across 2 matching MRF lines |
$271.80–$276.30 | $302–$307 | varies |
| Laryngoscopy W/Foreign Body Removal (31530) | $1,594.80 | $1,772 | 0.9× |
| Ligation of hemorrhoids (46946) | $743.40 | $826 | 0.3× |
| Ligation or biopsy temporal artery (37609) | $1,135.80 | $1,262 | 0.7× |
| Manipulation tmj therapeutic require anesthesia (21073) | $1,372.50 | $1,525 | 0.9× |
| Mast mod rad (19307) | $3,424.50 | $3,805 | 0.5× |
| Mastectomy partial w/axillary lymphadenectomy (19302) unusually low: confirm this is the full procedure |
$3,153.60 | $3,504 | 0.5× |
| Maternity Care Procedure (59899) | $791.10 | $879 | 4.0× |
| N Block Inj Celiac Pelus (64530) | $2,852.10 | $3,169 | 3.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $2,444.40 | $2,716 | 3.6× |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$825.30–$2,265.30 | $917–$2,517 | varies |
| N Block Inj Paracervical (64435) | $648 | $720 | 0.9× |
| N Block Inj Plantar Digit (64455) | $85.50 | $95 | 0.3× |
| N Block Lumbar/Thoracic (64520) | $3,321 | $3,690 | 3.9× |
| Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$480.60–$495 | $534–$550 | varies |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) | $621.90 | $691 | 2.6× |
| Needle Biopsy Lymph Nodes (38505) | $882.90 | $981 | 0.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $65.70 | $73 | 2.3× |
| Needle insertion w/o injection 3 or more muscles (20561) range across 2 matching MRF lines |
$54.90–$65.70 | $61–$73 | varies |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $1,506.60 | $1,674 | 3.6× |
| Njx anes stellate ganglion crv sympathetic (64510) | $2,852.10 | $3,169 | 3.3× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 4 matching MRF lines |
$616.50–$930.60 | $685–$1,034 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $3,588.30 | $3,987 | 4.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $3,610.80 | $4,012 | 5.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $3,610.80 | $4,012 | 5.3× |
| Occipital Nerve Block (64405) range across 3 matching MRF lines |
$189–$1,122.30 | $210–$1,247 | varies |
| Open Treatment Bimalleolar Ankle Fracture (27814) | $4,611.60 | $5,124 | 0.7× |
| Open treatment fracture distal tibia only (27827) unusually low: confirm this is the full procedure |
$5,875.20 | $6,528 | 0.5× |
| Open treatment metatarsal fracture each (28485) likely a partial charge, not the full procedure |
$1,464.30 | $1,627 | 0.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $3,599.10 | $3,999 | 1.1× |
| Ostectomy calcaneus (28118) | $1,719 | $1,910 | 0.5× |
| Ostectomy, complete excision; fifth metatarsal head (28113) | $1,839.60 | $2,044 | 0.6× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) | $1,413 | $1,570 | 0.4× |
| Partial Excision Distal Phalanx Finger (26236) | $4,500 | $5,000 | 2.9× |
| Partial removal of thyroid (60220) | $4,472.10 | $4,969 | 0.8× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) | $3,296.70 | $3,663 | 0.6× |
| Penile Injection (54235) range across 2 matching MRF lines |
$320.40–$330.30 | $356–$367 | varies |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) | $1,641.60 | $1,824 | 0.5× |
| Placement of needle for intraosseous infusion (36680) range across 3 matching MRF lines |
$363.60–$419.40 | $404–$466 | varies |
| Placement of seton (46020) | $764.10 | $849 | 0.3× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $338.40 | $376 | 0.4× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) | $1,032.30 | $1,147 | 0.9× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) | $12,443.40 | $13,826 | 2.0× |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) | $1,558.80 | $1,732 | 0.5× |
| Punch biopsy skin single lesion (11104) range across 4 matching MRF lines |
$211.50–$558 | $235–$620 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$132.30–$739.80 | $147–$822 | varies |
| Puncture Aspiration Cyst Breast (19000) | $341.10 | $379 | 0.5× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) | $2,265.30 | $2,517 | 3.3× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) | $6,858 | $7,620 | 3.6× |
| Removal Embedded Foreign Body Eyelid (67938) | $469.80 | $522 | 1.5× |
| Removal foreign body foot deep (28192) | $1,747.80 | $1,942 | 1.1× |
| Removal Foreign Body Foot Subcutaneous (28190) | $234 | $260 | 0.3× |
| Removal Foreign Body Scrotum (55120) | $2,935.80 | $3,262 | 1.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 4 matching MRF lines |
$38.70–$144 | $43–$160 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$84.60–$99.90 | $94–$111 | varies |
| Removal implantable contraceptive capsules (11976) range across 2 matching MRF lines |
$430.20–$539.10 | $478–$599 | varies |
| Removal of foreign body from pharynx (42809) | $306 | $340 | 0.7× |
| Removal of heel spur (28119) | $2,483.10 | $2,759 | 0.8× |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$598.50–$1,071 | $22–$1,190 | varies |
| Removal of tunneled intraperitoneal catheter (49422) | $2,322 | $2,580 | 0.8× |
| Removal or bivalving full arm or full leg cast (29705) range across 2 matching MRF lines |
$268.20–$276.30 | $298–$307 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$159.30–$190.80 | $177–$212 | varies |
| Remove drug implant device (11982) | $194.40 | $216 | 0.4× |
| Remove foreign body from eye (65205) range across 4 matching MRF lines |
$19.80–$359.10 | $22–$399 | varies |
| Remove Intrauterine Device (58301) range across 3 matching MRF lines |
$180–$422.10 | $200–$469 | varies |
| Remove lung catheter (32552) | $1,002.60 | $1,114 | 1.6× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$144.90–$296.10 | $161–$329 | varies |
| Remove/Insert Drug Implant (11983) | $247.50 | $275 | 0.6× |
| Repair Achilles Tendon (27650) | $3,528.90 | $3,921 | 0.5× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$1,074.60–$1,107 | $1,194–$1,230 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$1,188–$1,224 | $1,320–$1,360 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 3 matching MRF lines |
$846–$982.80 | $940–$1,092 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 3 matching MRF lines |
$1,214.10–$1,298.70 | $1,349–$1,443 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $729.90 | $811 | 1.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$1,023.30–$1,053.90 | $1,137–$1,171 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $1,206 | $1,340 | 1.7× |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$794.70–$1,224.90 | $883–$1,361 | varies |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) | $2,510.10 | $2,789 | 0.8× |
| Repair Foot Dislocation (28615) | $4,764.60 | $5,294 | 0.7× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) | $3,674.70 | $4,083 | 1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 4 matching MRF lines |
$437.40–$754.20 | $486–$838 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 3 matching MRF lines |
$599.40–$645.30 | $666–$717 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $687.60 | $764 | 1.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $560.70 | $623 | 1.4× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $1,228.50 | $1,365 | 3.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $623.70 | $693 | 0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
$412.20–$438.30 | $458–$487 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines |
$526.50–$608.40 | $585–$676 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$675.90–$696.60 | $751–$774 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $885.60 | $984 | 0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$852.30–$877.50 | $947–$975 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$405.90–$607.50 | $451–$675 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$472.50–$734.40 | $525–$816 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$927.90–$955.80 | $1,031–$1,062 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$570.60–$785.70 | $634–$873 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $1,519.20 | $1,688 | 0.8× |
| Repair of nail bed (11760) | $618.30 | $687 | 0.9× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) | $4,048.20 | $4,498 | 0.6× |
| Repair secondary achilles tendon w/wo graft (27654) | $4,162.50 | $4,625 | 0.6× |
| Repair tongue laceration (41252) | $1,058.40 | $1,176 | 4.6× |
| Repair tongue laceration (41250) range across 2 matching MRF lines |
$415.80–$428.40 | $462–$476 | varies |
| Revision of lower leg tendon (27685) | $2,324.70 | $2,583 | 0.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$339.30–$360.90 | $377–$401 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 4 matching MRF lines |
$174.60–$376.20 | $194–$418 | varies |
| Rmvl fecal impaction/fb spx under anes (45915) range across 2 matching MRF lines |
$955.80–$1,844.10 | $1,062–$2,049 | varies |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $2,005.20 | $2,228 | 0.7× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $1,071.90 | $1,191 | 0.7× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$270.90–$734.40 | $301–$816 | varies |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) | $5,344.20 | $5,938 | 0.8× |
| Rpr aa hernia recr 3-10 cm reducible (49615) | $4,534.20 | $5,038 | 0.7× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) | $4,048.20 | $4,498 | 0.7× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) | $3,157.20 | $3,508 | 0.9× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$444.60–$596.70 | $494–$663 | varies |
| Rpr flexor tendon leg secondary w/o graft each (27659) unusually low: confirm this is the full procedure |
$2,597.40 | $2,886 | 0.4× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $716.40 | $796 | 1.0× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $488.70 | $543 | 2.1× |
| Rpr Lip Full Thickness Vermilion Only (40650) range across 2 matching MRF lines |
$1,142.10–$1,176.30 | $1,269–$1,307 | varies |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $925.20 | $1,028 | 0.8× |
| Shave skin lesion 0.5 cm/< (11300) | $166.50 | $185 | 0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $178.20 | $198 | 0.9× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $369 | $410 | 0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 2 matching MRF lines |
$153–$175.50 | $170–$195 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $204.30 | $227 | 1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $252 | $280 | 1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $285.30 | $317 | 0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $225.90 | $251 | 1.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $283.50 | $315 | 0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $201.60 | $224 | 1.0× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $236.70 | $263 | 1.2× |
| Sigmoidoscopy & decompress (45337) | $1,018.80 | $1,132 | 1.1× |
| Sigmoidoscopy w/fb removal (45332) | $677.70 | $753 | 0.6× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $550.80 | $612 | 0.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$538.20–$554.40 | $598–$616 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$183.60–$581.40 | $204–$646 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$289.80–$582.30 | $322–$647 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $447.30 | $497 | 1.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $699.30 | $777 | 3.6× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $433.80 | $482 | 2.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$161.10–$592.20 | $179–$658 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$529.20–$545.40 | $588–$606 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $551.70 | $613 | 2.8× |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$675–$2,375.10 | $750–$2,639 | varies |
| Skin sub graft trnk/arm/leg (15271) | $3,097.80 | $3,442 | 4.3× |
| Skin sub grft t/arm/lg child (15273) | $3,979.80 | $4,422 | 2.0× |
| Skn sub grft f/n/hf/g child (15277) | $2,714.40 | $3,016 | 1.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$191.70–$517.50 | $213–$575 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$504–$519.30 | $560–$577 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$562.50–$579.60 | $625–$644 | varies |
| Sphincterotomy anal division sphincter spx (46080) | $1,257.30 | $1,397 | 0.5× |
| Spinal puncture lumbar diagnostic (62270) range across 6 matching MRF lines |
$584.10–$1,103.40 | $649–$1,226 | varies |
| Strapping ankle (29540) | $101.70 | $113 | 0.6× |
| Strapping toes (29550) | $197.10 | $219 | 3.4× |
| Strapping Unna Boot (29580) range across 3 matching MRF lines |
$135.90–$687.60 | $151–$764 | varies |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$165.60–$422.10 | $184–$469 | varies |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $962.10 | $1,069 | 0.6× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) | $1,344.60 | $1,494 | 0.9× |
| Thrombolytic Therapy Stroke (37195) | $593.10 | $659 | 1.8× |
| Tlh uterus over 250 g (58572) unusually low: confirm this is the full procedure |
$5,110.20 | $5,678 | 0.5× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $1,647.90 | $1,831 | 1.1× |
| Treat ectopic pregnancy (59151) | $3,987 | $4,430 | 0.7× |
| Treat humerus fracture (24500) range across 2 matching MRF lines |
$589.50–$1,167.30 | $655–$1,297 | varies |
| Treat Humerus Fracture (24505) | $625.50 | $695 | 0.4× |
| Treat humerus fracture (23600) range across 3 matching MRF lines |
$535.50–$839.70 | $595–$933 | varies |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$445.50–$459 | $495–$510 | varies |
| Treat Thumb Dislocation (26641) range across 2 matching MRF lines |
$396.90–$408.60 | $441–$454 | varies |
| Treat toe dislocation (28630) range across 2 matching MRF lines |
$400.50–$412.20 | $445–$458 | varies |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines |
$1,710.90–$1,762.20 | $1,901–$1,958 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$513–$528.30 | $570–$587 | varies |
| Treatment of ankle fracture (27823) | $5,079.60 | $5,644 | 0.7× |
| Trim skin lesion (11055) range across 4 matching MRF lines |
$91.80–$271.80 | $102–$302 | varies |
| Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines |
$144.90–$303.30 | $161–$337 | varies |
| Trim skin lesions over 4 (11057) range across 2 matching MRF lines |
$128.70–$375.30 | $143–$417 | varies |
| Trimming Nondystrophic Nails Any Number (11719) range across 3 matching MRF lines |
$39.60–$178.20 | $44–$198 | varies |
| Tx Gastro Intub W/Asp (43753) | $309.60 | $344 | 1.5× |
| Tx Missed Abortion First Trimester Surgical (59820) | $1,053 | $1,170 | 0.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$648.90–$958.50 | $721–$1,065 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $756 | $840 | 3.2× |
| Unlisted procedure anus (46999) | $133.20 | $148 | 0.1× |
| Unlisted Procedure Muscskeletal System General (20999) | $2,903.40 | $3,226 | 12.1× |
| Unlisted procedure nervous system (64999) | $2,864.70 | $3,183 | 9.6× |
| Unlisted px female genital system nonobstetrical (58999) | $1,319.40 | $1,466 | 6.7× |
| Vaginal Delivery After Cesarean Delivery (59612) | $2,788.20 | $3,098 | 0.9× |
| Vaginal delivery only (59409) range across 2 matching MRF lines |
$1,943.10–$2,882.70 | $2,159–$3,203 | varies |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $567 | $630 | 0.3× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$290.70–$330.30 | $323–$367 | 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.