Procedures & surgery prices at Blue Mountain Hospital
John Day, OR · every code in this section with a posted price and a Medicare benchmark.
538 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 2 matching MRF lines |
$732–$1,476.75 | $976–$1,969 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$323.25–$405.75 | $431–$541 | varies |
| Acne surgery (10040) | $147 | $196 | 0.7× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) range across 2 matching MRF lines |
$1,380–$1,463.25 | $1,840–$1,951 | varies |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) range across 2 matching MRF lines |
$1,768.50–$1,875.75 | $2,358–$2,501 | varies |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) range across 2 matching MRF lines |
$2,385.75–$2,529.75 | $3,181–$3,373 | varies |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) range across 2 matching MRF lines |
$2,229–$2,364 | $2,972–$3,152 | varies |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) range across 2 matching MRF lines |
$1,320.75–$1,783.50 | $1,761–$2,378 | varies |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) range across 2 matching MRF lines |
$1,201.50–$1,632.75 | $1,602–$2,177 | varies |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) range across 2 matching MRF lines |
$1,599–$2,198.25 | $2,132–$2,931 | varies |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) range across 2 matching MRF lines |
$1,921.50–$2,037.75 | $2,562–$2,717 | varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $1,543.50 | $2,058 | 0.4× |
| Amputation foot transmetarsal (28805) | $1,788 | $2,384 | 0.5× |
| Amputation metatarsal with toe single (28810) | $1,070.25 | $1,427 | 0.3× |
| Amputation toe metatarsophalangeal joint (28820) | $1,863 | $2,484 | 0.5× |
| Anorectal myomectomy (45108) range across 2 matching MRF lines |
$786–$2,056.50 | $1,048–$2,742 | varies |
| Anoscopy diagnostic (46600) range across 4 matching MRF lines |
$159–$1,121.25 | $212–$1,495 | varies |
| Anoscopy; with biopsy, single or multiple (46606) | $233.25 | $311 | 0.2× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $262.50 | $350 | 0.1× |
| Appendectomy (44950) likely a partial charge, not the full procedure |
$1,467 | $1,956 | 0.2× |
| Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
$138.75–$308.25 | $185–$411 | varies |
| Application finger splint static (29130) range across 2 matching MRF lines |
$51–$101.25 | $68–$135 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$124.50–$318.75 | $166–$425 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$261–$280.50 | $348–$374 | varies |
| Application of long leg cast (29345) | $220.50 | $294 | 0.7× |
| Application Short Arm Splint Dynamic (29126) | $98.25 | $131 | 0.7× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$102.75–$243.75 | $137–$325 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$96–$244.50 | $128–$326 | varies |
| Apply hand/wrist cast (29085) range across 3 matching MRF lines |
$220.50–$249.75 | $294–$333 | varies |
| Apply long arm cast (29065) range across 2 matching MRF lines |
$183.75–$327 | $245–$436 | varies |
| Apply Multlay Comprs Lwr Leg (29581) | $367.50 | $490 | 2.0× |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$142.50–$318.75 | $190–$425 | varies |
| Apply short leg cast (29425) range across 2 matching MRF lines |
$147–$351 | $196–$468 | varies |
| Arterial puncture (36600) | $93.75 | $125 | 0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$117–$204.75 | $156–$273 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$102–$376.50 | $136–$502 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $132.75 | $177 | 0.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$104.25–$147 | $139–$196 | varies |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) range across 2 matching MRF lines |
$1,837.50–$3,427.50 | $2,450–$4,570 | varies |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) range across 2 matching MRF lines |
$1,220.25–$3,850.50 | $1,627–$5,134 | varies |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) range across 2 matching MRF lines |
$2,125.50–$5,011.50 | $2,834–$6,682 | varies |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$330.75–$1,570.50 | $441–$2,094 | varies |
| Aspirate Pleura W/O Imaging (32554) | $1,479.75 | $1,973 | 2.1× |
| Aspirate/Inj Ganglion Cyst (20612) | $102 | $136 | 0.3× |
| Aspiration & Injection Treatment Bone Cyst (20615) | $354.75 | $473 | 0.5× |
| Aspiration bladder insert suprapubic catheter (51102) range across 2 matching MRF lines |
$357–$398.25 | $476–$531 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$171–$330 | $228–$440 | varies |
| Biopsy Abdominal Mass (49180) | $198.75 | $265 | 0.1× |
| Biopsy external ear (69100) range across 2 matching MRF lines |
$216–$229.50 | $288–$306 | varies |
| Biopsy nail unit (11755) range across 2 matching MRF lines |
$269.25–$286.50 | $359–$382 | varies |
| Biopsy of breast; open, incisional (19101) range across 2 matching MRF lines |
$550.50–$585 | $734–$780 | varies |
| Biopsy of lip (40490) range across 2 matching MRF lines |
$209.25–$404.25 | $279–$539 | varies |
| Biopsy of penis (54100) range across 2 matching MRF lines |
$369–$1,306.50 | $492–$1,742 | varies |
| Biopsy of penis; deep structures (54105) range across 2 matching MRF lines |
$595.50–$632.25 | $794–$843 | varies |
| Biopsy of rectum (45100) range across 2 matching MRF lines |
$669–$710.25 | $892–$947 | varies |
| Biopsy soft tissue neck/thorax (21550) | $225.75 | $301 | 0.1× |
| Biopsy Tongue Anterior Two-Thirds (41100) | $293.25 | $391 | 0.5× |
| Biopsy Tongue Posterior One-Third (41105) | $270.75 | $361 | 0.1× |
| Biopsy Vaginal Mucosa Extensive (57105) range across 2 matching MRF lines |
$325.50–$345 | $434–$460 | varies |
| Biopsy Vaginal Mucosa Simple (57100) range across 2 matching MRF lines |
$135.75–$218.25 | $181–$291 | varies |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $134.25 | $179 | 0.1× |
| Biopsy, vestibule of mouth (40808) range across 2 matching MRF lines |
$442.50–$552.75 | $590–$737 | varies |
| Biopsy/removal lymph nodes (38510) | $3,275.25 | $4,367 | 0.8× |
| Bladder Scan (51798) | $46.50 | $62 | 0.7× |
| Blepharoplasty Lower Eyelid (15820) | $1,548.75 | $2,065 | 0.7× |
| Blood Transfusion Service (36430) range across 9 matching MRF lines |
$449.25–$1,260 | $599–$1,680 | varies |
| Bx breast 1st lesion us imag (19083) | $2,755.50 | $3,674 | 1.5× |
| Bx breast needle core w/o imaging guidance spx (19100) range across 2 matching MRF lines |
$331.50–$1,679.25 | $442–$2,239 | varies |
| Bx Cervix (57500) | $279.75 | $373 | 0.3× |
| Bx/exc lymph node open deep axillary node (38525) | $1,071 | $1,428 | 0.2× |
| Bx/exc lymph node open superficial (38500) | $539.25 | $719 | 0.1× |
| Cataract surgery complex (66982) range across 2 matching MRF lines |
$2,341.50–$3,129 | $3,122–$4,172 | varies |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$372–$606 | $496–$808 | varies |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$88.50–$418.50 | $118–$558 | varies |
| Chemodenerv Eccrine Glands (64650) range across 2 matching MRF lines |
$175.50–$186.75 | $234–$249 | varies |
| Chest tube placement (32551) | $681.75 | $909 | 0.4× |
| Circumcision w/clamp/oth dev w/block (54150) | $178.50 | $238 | 0.1× |
| Cl Tx Tib Shft Fx W Manip (27752) | $775.50 | $1,034 | 0.4× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$173.25–$185.25 | $231–$247 | varies |
| Closed Rx Spontaneous Hip Disloc (27256) | $678 | $904 | 2.5× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $1,725.75 | $2,301 | 1.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $1,596 | $2,128 | 5.8× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $849.75 | $1,133 | 3.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $1,032 | $1,376 | 3.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,396.50 | $1,862 | 0.8× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $1,083 | $1,444 | 3.9× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $607.50 | $810 | 2.2× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $717.75 | $957 | 2.6× |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) | $1,499.25 | $1,999 | 0.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $544.50 | $726 | 2.0× |
| Closed tx patellar dislocation w/anesthesia (27562) | $669 | $892 | 2.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $774.75 | $1,033 | 2.8× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $798.75 | $1,065 | 2.9× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $843 | $1,124 | 3.1× |
| Closed tx radial shaft fracture w/manipulation (25505) | $1,286.25 | $1,715 | 0.7× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $655.50 | $874 | 2.4× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $1,772.25 | $2,363 | 1.0× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $654 | $872 | 2.4× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $714.75 | $953 | 2.6× |
| Closed tx talus fracture w/o manipulation (28430) | $537 | $716 | 2.0× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $1,157.25 | $1,543 | 0.6× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $945 | $1,260 | 3.4× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $588 | $784 | 2.1× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $498.75 | $665 | 1.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $702 | $936 | 2.6× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $397.50 | $530 | 1.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $1,348.50 | $1,798 | 0.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $998.25 | $1,331 | 3.6× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $366 | $488 | 1.3× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $720 | $960 | 2.6× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $1,126.50 | $1,502 | 4.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $1,448.25 | $1,931 | 5.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $809.25 | $1,079 | 3.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $1,062.75 | $1,417 | 3.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $614.25 | $819 | 2.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $956.25 | $1,275 | 3.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$894–$1,876.50 | $1,192–$2,502 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $1,258.50 | $1,678 | 4.6× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) | $1,209.75 | $1,613 | 0.7× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $1,634.25 | $2,179 | 0.9× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $420.75 | $561 | 1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $565.50 | $754 | 2.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $409.50 | $546 | 1.5× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $775.50 | $1,034 | 2.8× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $663.75 | $885 | 2.4× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $1,915.50 | $2,554 | 1.1× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $798 | $1,064 | 2.9× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $753.75 | $1,005 | 2.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $291.75 | $389 | 1.1× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $1,032 | $1,376 | 3.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $900.75 | $1,201 | 3.3× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $1,064.25 | $1,419 | 0.6× |
| Cltx Medial Ankle Fx (27760) range across 2 matching MRF lines |
$600.75–$783.75 | $801–$1,045 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) | $1,056.75 | $1,409 | 3.9× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $786.75 | $1,049 | 2.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $1,154.25 | $1,539 | 4.2× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $474.75 | $633 | 1.7× |
| Cltx post hip arthrp dislc req anes (27266) | $1,904.25 | $2,539 | 1.1× |
| Cltx post hip arthrp dislc w/o anes (27265) | $1,397.25 | $1,863 | 5.1× |
| Cltx prox fibula/shft fx w/o manj (27780) | $792 | $1,056 | 2.9× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $1,474.50 | $1,966 | 0.8× |
| Cltx prox tibfib jt dislc w/o anes (27830) | $880.50 | $1,174 | 3.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $454.50 | $606 | 1.7× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $1,331.25 | $1,775 | 0.7× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $1,366.50 | $1,822 | 0.8× |
| Cltx tibial fx proximal w/o manipulation (27530) | $729.75 | $973 | 2.7× |
| Cltx tibial shaft fx w/o manipulation (27750) | $775.50 | $1,034 | 2.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $1,490.25 | $1,987 | 0.8× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $748.50 | $998 | 2.7× |
| Collect Blood From Catheter Venous Nos (36592) | $138.75 | $185 | 0.9× |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$30–$33 | $40–$44 | varies |
| Colonoscopy w/ablation (45388) | $3,894.75 | $5,193 | 2.9× |
| Colonoscopy W/Band Ligation (45398) range across 2 matching MRF lines |
$2,682.75–$2,707.50 | $3,577–$3,610 | varies |
| Colonoscopy W/Resection (45390) | $2,429.25 | $3,239 | 0.8× |
| Colonoscopy w/submucosal inj (45381) | $1,236 | $1,648 | 0.9× |
| Colpocentesis (57020) likely a partial charge, not the full procedure |
$228 | $304 | 0.0× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $337.50 | $450 | 1.0× |
| Colposcopy Cervix Endocervical Curettage (57456) | $337.50 | $450 | 1.0× |
| Colposcopy cervix upper/adjacent vagina (57452) | $174.75 | $233 | 0.8× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $303 | $404 | 0.9× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $349.50 | $466 | 0.3× |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $1,488 | $1,984 | 1.1× |
| Colsc flx w/removal lesion by hot bx forceps (45384) range across 3 matching MRF lines |
$346.50–$3,369 | $462–$4,492 | varies |
| Complex drainage wound (10180) range across 2 matching MRF lines |
$334.50–$587.25 | $446–$783 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$396–$401.25 | $528–$535 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$180.75–$383.25 | $241–$511 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$301.50–$376.50 | $402–$502 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $411 | $548 | 1.6× |
| Curettage postpartum (59160) | $420 | $560 | 0.1× |
| Curette/treat cornea (65435) | $207 | $276 | 0.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 2 matching MRF lines |
$65.25–$104.25 | $87–$139 | varies |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $2,357.25 | $3,143 | 3.0× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $759.75 | $1,013 | 1.0× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $326.25 | $435 | 0.4× |
| Debride nail 1-5 (11720) range across 3 matching MRF lines |
$137.25–$308.25 | $183–$411 | varies |
| Debride nail 6 or more (11721) | $160.50 | $214 | 2.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$125.25–$384 | $167–$512 | varies |
| Declot vascular device (36593) | $274.50 | $366 | 0.7× |
| Destr penis lesion(s) (54065) range across 2 matching MRF lines |
$489.75–$519.75 | $653–$693 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$178.50–$258.75 | $238–$345 | varies |
| Destruction Benign Lesions 15/> (17111) range across 2 matching MRF lines |
$207–$306 | $276–$408 | varies |
| Destruction Lesions Vulva Extensive (56515) range across 2 matching MRF lines |
$532.50–$553.50 | $710–$738 | varies |
| Destruction Lesions Vulva Simple (56501) range across 2 matching MRF lines |
$222–$337.50 | $296–$450 | varies |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) range across 2 matching MRF lines |
$212.25–$419.25 | $283–$559 | varies |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) range across 2 matching MRF lines |
$453–$481.50 | $604–$642 | varies |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) range across 2 matching MRF lines |
$542.25–$575.25 | $723–$767 | varies |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) range across 2 matching MRF lines |
$618.75–$656.25 | $825–$875 | varies |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) range across 2 matching MRF lines |
$634.50–$672.75 | $846–$897 | varies |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) range across 2 matching MRF lines |
$162.75–$338.25 | $217–$451 | varies |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) range across 2 matching MRF lines |
$201–$413.25 | $268–$551 | varies |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) range across 2 matching MRF lines |
$222–$450.75 | $296–$601 | varies |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) range across 2 matching MRF lines |
$454.50–$483 | $606–$644 | varies |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) range across 2 matching MRF lines |
$161.25–$327 | $215–$436 | varies |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) range across 2 matching MRF lines |
$175.50–$350.25 | $234–$467 | varies |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) range across 2 matching MRF lines |
$363–$385.50 | $484–$514 | varies |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) range across 2 matching MRF lines |
$239.25–$438 | $319–$584 | varies |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) range across 2 matching MRF lines |
$460.50–$488.25 | $614–$651 | varies |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) range across 2 matching MRF lines |
$543.75–$576.75 | $725–$769 | varies |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) range across 2 matching MRF lines |
$129–$224.25 | $172–$299 | varies |
| Destruction of skin lesions (17106) range across 2 matching MRF lines |
$758.25–$804.75 | $1,011–$1,073 | varies |
| Destruction Premalignant Lesion 15/> (17004) range across 2 matching MRF lines |
$331.50–$355.50 | $442–$474 | varies |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$130.50–$153.75 | $174–$205 | varies |
| Destruction Vaginal Lesions Simple (57061) | $186.75 | $249 | 0.1× |
| Diagnostic sigmoidoscopy (45330) range across 2 matching MRF lines |
$1,935–$2,207.25 | $2,580–$2,943 | varies |
| Diaphragm or cervical cap fitting with instructions (57170) | $134.25 | $179 | 0.6× |
| Dilation & curettage dx&/ther nonobstetric (58120) | $534 | $712 | 0.1× |
| Dilation Cervical Canal (57800) | $93.75 | $125 | 0.0× |
| Drain/inj small joint/bursa w/us (20604) | $539.25 | $719 | 1.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $411 | $548 | 0.5× |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$319.50–$411.75 | $426–$549 | varies |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$375.75–$417.75 | $501–$557 | varies |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$309.75–$468.75 | $413–$625 | varies |
| Draw Blood Off Venous Device (36591) | $138.75 | $185 | 0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $315.75 | $421 | 0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 3 matching MRF lines |
$206.25–$371.25 | $275–$495 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$120–$349.50 | $160–$466 | varies |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) range across 2 matching MRF lines |
$982.50–$1,042.50 | $1,310–$1,390 | varies |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) range across 2 matching MRF lines |
$1,422–$1,508.25 | $1,896–$2,011 | varies |
| Dstrj Lesion Anus Extensive (46924) range across 2 matching MRF lines |
$1,169.25–$1,239.75 | $1,559–$1,653 | varies |
| Dstrj lesion anus simple cryosurgery (46916) range across 2 matching MRF lines |
$446.25–$561 | $595–$748 | varies |
| Dstrj Lesion Penis Simple Cryosurgery (54056) range across 2 matching MRF lines |
$316.50–$333 | $422–$444 | varies |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) range across 2 matching MRF lines |
$474.75–$504 | $633–$672 | varies |
| Dx Bronchoscope/Wash (31622) | $466.50 | $622 | 0.2× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,406.25 | $1,875 | 1.8× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) range across 3 matching MRF lines |
$987.75–$3,033.75 | $1,317–$4,045 | varies |
| Egd cautery tumor polyp (43250) | $1,579.50 | $2,106 | 0.7× |
| Egd control bleeding any (43255) | $1,509.75 | $2,013 | 0.7× |
| Egd dilation gastric/duodenal stricture (43245) range across 3 matching MRF lines |
$1,413–$3,630 | $1,884–$4,840 | varies |
| Egd Flexible Foreign Body Removal (43247) range across 3 matching MRF lines |
$924–$2,940 | $1,232–$3,920 | varies |
| Egd guide wire insertion (43248) range across 2 matching MRF lines |
$774.75–$1,551 | $1,033–$2,068 | varies |
| Egd Optical Endomicroscopy (43252) | $501 | $668 | 0.2× |
| Egd place gastrostomy tube (43246) range across 2 matching MRF lines |
$416.25–$2,752.50 | $555–$3,670 | varies |
| Egd remove lesion snare (43251) range across 4 matching MRF lines |
$1,617.75–$3,581.25 | $2,157–$4,775 | varies |
| Egd Tube/Cath Insertion (43241) | $416.25 | $555 | 0.2× |
| Endocervical curettage (57505) | $181.50 | $242 | 0.2× |
| Endometrial Biopsy (58100) | $239.25 | $319 | 1.1× |
| Enterorrhaphy single perforation (44602) | $3,310.50 | $4,414 | 0.8× |
| Epidural Blood Patch (62273) | $369 | $492 | 0.5× |
| Episiotomy or vaginal repair (59300) | $323.25 | $431 | 0.1× |
| Esophagosc Dilate Balloon 30 (43214) | $468.75 | $625 | 0.2× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $456 | $608 | 0.2× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$128.25–$129.75 | $171–$173 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$260.25–$291 | $347–$388 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$280.50–$474.75 | $374–$633 | varies |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $1,244.25 | $1,659 | 0.3× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 2 matching MRF lines |
$312–$558 | $416–$744 | varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 2 matching MRF lines |
$357.75–$636.75 | $477–$849 | varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) range across 2 matching MRF lines |
$519–$922.50 | $692–$1,230 | varies |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$300.75–$322.50 | $401–$430 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$348.75–$397.50 | $465–$530 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 2 matching MRF lines |
$301.50–$444.75 | $402–$593 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 2 matching MRF lines |
$345.75–$528 | $461–$704 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) range across 2 matching MRF lines |
$432–$661.50 | $576–$882 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 3 matching MRF lines |
$242.25–$2,166.75 | $323–$2,889 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$301.50–$1,118.25 | $402–$1,491 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$257.25–$417 | $343–$556 | varies |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $288 | $384 | 0.2× |
| Exc neuroma hand/foot xcp digital nerve (64782) | $1,176 | $1,568 | 0.5× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) | $1,485 | $1,980 | 0.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$272.25–$454.50 | $363–$606 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 2 matching MRF lines |
$317.25–$551.25 | $423–$735 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 2 matching MRF lines |
$434.25–$810 | $579–$1,080 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$335.25–$834 | $447–$1,112 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) range across 2 matching MRF lines |
$589.50–$918.75 | $786–$1,225 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 2 matching MRF lines |
$349.50–$704.25 | $466–$939 | varies |
| Exc Skin Malig >4 Cm Remaindr Body (11626) range across 2 matching MRF lines |
$525–$957 | $700–$1,276 | varies |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$453–$1,056.75 | $604–$1,409 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$284.25–$694.50 | $379–$926 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$261–$393.75 | $348–$525 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$304.50–$516.75 | $406–$689 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $1,269.75 | $1,693 | 0.4× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) | $1,113.75 | $1,485 | 0.3× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $1,695 | $2,260 | 0.9× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $336 | $448 | 0.2× |
| Exchange Intraocular Lens (66986) | $1,263.75 | $1,685 | 0.5× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 2 matching MRF lines |
$324.75–$664.50 | $433–$886 | varies |
| Excision External Ear Partial Simple Repair (69110) range across 2 matching MRF lines |
$819–$869.25 | $1,092–$1,159 | varies |
| Excision H/P/P/U Simple/Intermediate Repair (11470) | $761.25 | $1,015 | 0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) range across 2 matching MRF lines |
$242.25–$454.50 | $323–$606 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 2 matching MRF lines |
$282–$537.75 | $376–$717 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$297–$580.50 | $396–$774 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 2 matching MRF lines |
$353.25–$736.50 | $471–$982 | varies |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 2 matching MRF lines |
$237.75–$471.75 | $317–$629 | varies |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 2 matching MRF lines |
$411–$747.75 | $548–$997 | varies |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) range across 2 matching MRF lines |
$704.25–$1,202.25 | $939–$1,603 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) range across 2 matching MRF lines |
$233.25–$459 | $311–$612 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) range across 2 matching MRF lines |
$265.50–$539.25 | $354–$719 | varies |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 2 matching MRF lines |
$330–$601.50 | $440–$802 | varies |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) range across 2 matching MRF lines |
$397.50–$796.50 | $530–$1,062 | varies |
| Excision of hydrocele; unilateral (55040) | $873 | $1,164 | 0.2× |
| Excision of pilonidal cyst or sinus; simple (11770) | $487.50 | $650 | 0.2× |
| Excision of single external papilla or tag, anus (46220) range across 2 matching MRF lines |
$528–$884.25 | $704–$1,179 | varies |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $1,017.75 | $1,357 | 0.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $1,270.50 | $1,694 | 0.7× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $666.75 | $889 | 0.4× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $361.50 | $482 | 0.2× |
| Excision/surgical planing skin nose rhinophyma (30120) range across 2 matching MRF lines |
$1,057.50–$1,122 | $1,410–$1,496 | varies |
| Explo/Drain Breast Abscess (19020) | $816.75 | $1,089 | 0.4× |
| Exploration penetrating wound spx extremity (20103) | $1,815.75 | $2,421 | 1.0× |
| Exploration Penetrating Wound Spx Neck (20100) | $1,427.25 | $1,903 | 2.4× |
| Fetal non-stress test (59025) range across 2 matching MRF lines |
$86.25–$374.25 | $115–$499 | varies |
| Fine needle aspiration without imaging guidance (10021) | $219 | $292 | 0.5× |
| Fna bx w/us gdn 1st les (10005) range across 2 matching MRF lines |
$686.25–$1,191.75 | $915–$1,589 | varies |
| Foreskin manipulation (54450) | $238.50 | $318 | 0.9× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) range across 2 matching MRF lines |
$2,238.75–$2,373.75 | $2,985–$3,165 | varies |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) | $1,818.75 | $2,425 | 0.8× |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) range across 2 matching MRF lines |
$1,610.25–$1,707.75 | $2,147–$2,277 | varies |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $1,309.50 | $1,746 | 0.4× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 3 matching MRF lines |
$561–$4,481.25 | $748–$5,975 | varies |
| I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
$321–$425.25 | $428–$567 | varies |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$218.25–$335.25 | $291–$447 | varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) range across 2 matching MRF lines |
$1,021.50–$1,083.75 | $1,362–$1,445 | varies |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) | $1,604.25 | $2,139 | 0.4× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) | $1,227.75 | $1,637 | 0.4× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) | $1,472.25 | $1,963 | 0.4× |
| I&d perianal abscess superficial (46050) | $542.25 | $723 | 0.5× |
| I&d pilonidal cyst complicated (10081) | $360 | $480 | 0.5× |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$264.75–$627.75 | $353–$837 | varies |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $4,691.25 | $6,255 | 1.5× |
| Incise external hemorrhoid (46083) | $338.25 | $451 | 1.2× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$314.25–$693 | $419–$924 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $3,816 | $5,088 | 1.2× |
| Incision & removal foreign body subq tiss compl (10121) range across 3 matching MRF lines |
$393–$936 | $524–$1,248 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$278.25–$504 | $371–$672 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$316.50–$448.50 | $422–$598 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$306.75–$573 | $409–$764 | varies |
| Incision of lingual frenum (frenotomy) (41010) | $314.25 | $419 | 0.2× |
| Incision of rectal abscess (46040) | $1,742.25 | $2,323 | 1.3× |
| Incisional biopsy eyelid skin & lid margin (67810) range across 2 matching MRF lines |
$387.75–$411.75 | $517–$549 | varies |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$166.50–$351.75 | $222–$469 | varies |
| Induced abortion, by dilation and evacuation (59841) | $872.25 | $1,163 | 0.2× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $246 | $328 | 1.1× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $2,032.50 | $2,710 | 2.1× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$84–$133.50 | $112–$178 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $353.25 | $471 | 0.4× |
| Injection aa&/strd genicular nrv branches w/img (64454) | $489.75 | $653 | 0.6× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $349.50 | $466 | 0.4× |
| Injection anesthetic agent suprascapular nerve (64418) | $346.50 | $462 | 0.4× |
| Injection enzyme palmar fascial cord (20527) | $186.75 | $249 | 0.5× |
| Injection for identification of sentinel node (38792) | $271.50 | $362 | 0.6× |
| Injection single tendon origin/insertion (20551) | $95.25 | $127 | 0.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$102–$124.50 | $136–$166 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$88.50–$132.75 | $118–$177 | varies |
| Injection therapeutic carpal tunnel (20526) | $150 | $200 | 0.4× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $294.75 | $393 | 0.3× |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$142.50–$255.75 | $190–$341 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $459 | $612 | 0.6× |
| Injection, anesthetic agent; vagus nerve (64408) | $179.25 | $239 | 0.5× |
| Injection, Intralesional; More Than 7 Lesions (11901) range across 2 matching MRF lines |
$151.50–$161.25 | $202–$215 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) range across 2 matching MRF lines |
$127.50–$190.50 | $170–$254 | varies |
| Insert Bladder Cath Complex (51703) | $414 | $552 | 2.9× |
| Insert cath pleura w/o image (32556) | $1,944 | $2,592 | 0.9× |
| Insert Drug Implant Device (11981) range across 2 matching MRF lines |
$144.75–$152.25 | $193–$203 | varies |
| Insert non-tunnel cv cath (36556) range across 4 matching MRF lines |
$439.50–$584.25 | $586–$779 | varies |
| Insert pessary/other device (57160) | $111 | $148 | 0.5× |
| Insert Temp Bladder Cath (51702) range across 4 matching MRF lines |
$137.25–$261 | $183–$348 | varies |
| Insert tun ip cath perc (49418) | $480 | $640 | 0.1× |
| Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$1,979.25–$5,200.50 | $2,639–$6,934 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) | $117 | $156 | 0.8× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) | $531 | $708 | 0.1× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $847.50 | $1,130 | 0.2× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 3 matching MRF lines |
$912.75–$2,014.50 | $1,217–$2,686 | varies |
| Int hrhc by ligation single hroid w/o img gdn (46945) | $575.25 | $767 | 0.2× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $813.75 | $1,085 | 1.8× |
| Intubation endotracheal emergency procedure (31500) range across 4 matching MRF lines |
$438–$681.75 | $584–$909 | varies |
| Iridotomy/irridectomy laser surg per session (66761) | $582.75 | $777 | 1.0× |
| Irrigation of corpora cavernosa for priapism (54220) | $690 | $920 | 2.5× |
| Laparoscopy Enterolysis Separate Procedure (44180) likely a partial charge, not the full procedure |
$1,917.75 | $2,557 | 0.3× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) likely a partial charge, not the full procedure |
$934.50 | $1,246 | 0.1× |
| Laparoscopy w/rmvl adnexal structures (58661) likely a partial charge, not the full procedure |
$1,962 | $2,616 | 0.3× |
| Laparoscopy, surgical, appendectomy (44970) unusually low: confirm this is the full procedure |
$2,031.75 | $2,709 | 0.3× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) unusually low: confirm this is the full procedure |
$2,745.75 | $3,661 | 0.4× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) likely a partial charge, not the full procedure |
$815.25 | $1,087 | 0.1× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) range across 2 matching MRF lines |
$694.50–$6,790.50 | $926–$9,054 | varies |
| Laryngoscopy diagnostic (31505) | $360 | $480 | 1.6× |
| Laryngoscopy flexible diagnostic (31575) | $282.75 | $377 | 1.3× |
| Laryngoscopy Indirect W/Biopsy (31510) range across 2 matching MRF lines |
$263.25–$273.75 | $351–$365 | varies |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) | $1,334.25 | $1,779 | 3.1× |
| Late closure of wound (13160) range across 2 matching MRF lines |
$1,779.75–$2,106 | $2,373–$2,808 | varies |
| Ligation or biopsy temporal artery (37609) range across 2 matching MRF lines |
$645–$5,292.75 | $860–$7,057 | varies |
| Lysis/excision penile postcircumcision adhesions (54162) | $502.50 | $670 | 0.2× |
| Mastectomy partial (19301) | $1,525.50 | $2,034 | 0.4× |
| Mastectomy simple complete (19303) unusually low: confirm this is the full procedure |
$2,374.50 | $3,166 | 0.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $243.75 | $325 | 0.3× |
| N Block Inj Plantar Digit (64455) range across 2 matching MRF lines |
$106.50–$450 | $142–$600 | varies |
| Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$271.50–$525 | $362–$700 | varies |
| Needle Biopsy Lymph Nodes (38505) range across 2 matching MRF lines |
$280.50–$1,623.75 | $374–$2,165 | varies |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) range across 2 matching MRF lines |
$502.50–$1,250.34 | $670–$1,667.12 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$353.25–$492.75 | $471–$657 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$2,193–$2,931.75 | $2,924–$3,909 | varies |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,649.25 | $2,199 | 2.1× |
| Obstructive material removal from gi tube (49460) | $123.75 | $165 | 0.1× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$124.50–$162.75 | $166–$217 | varies |
| Omntc Epiploectomy Rescj Omentum Spx (49255) unusually low: confirm this is the full procedure |
$2,440.50 | $3,254 | 0.3× |
| Pelvic examination under anesthesia (other than local) (57410) range across 2 matching MRF lines |
$210–$3,793.50 | $280–$5,058 | varies |
| Perq dev breast 1st us imag (19285) | $1,454.25 | $1,939 | 1.8× |
| Perq device breast 1st imag (19281) range across 2 matching MRF lines |
$287.25–$1,542.75 | $383–$2,057 | varies |
| Placement of needle for intraosseous infusion (36680) | $383.25 | $511 | 0.8× |
| Placement of seton (46020) | $246.75 | $329 | 0.1× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $266.25 | $355 | 0.3× |
| Punch biopsy skin single lesion (11104) range across 3 matching MRF lines |
$135.75–$320.25 | $181–$427 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$202.50–$421.50 | $270–$562 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 2 matching MRF lines |
$141–$891.75 | $188–$1,189 | varies |
| Removal Embedded Foreign Body Eyelid (67938) | $593.25 | $791 | 1.7× |
| Removal Foreign Body Deep Thigh/Knee (27372) | $4,628.25 | $6,171 | 1.4× |
| Removal foreign body foot deep (28192) | $3,381 | $4,508 | 1.8× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$407.25–$600.75 | $543–$801 | varies |
| Removal foreign body, intranasal; requiring general anesthesia (30310) | $478.50 | $638 | 0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 3 matching MRF lines |
$101.25–$103.50 | $135–$138 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 4 matching MRF lines |
$37.50–$169.50 | $50–$226 | varies |
| Removal Implant Superficial Separate Procedure (20670) | $714.75 | $953 | 0.4× |
| Removal implantable contraceptive capsules (11976) | $267 | $356 | 0.3× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$378.75–$495.75 | $505–$661 | varies |
| Removal of sperm cord lesion (55520) | $1,281.75 | $1,709 | 0.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 3 matching MRF lines |
$171–$207.75 | $228–$277 | varies |
| Removal subcutaneous cardiac rhythm monitor (33286) | $267.75 | $357 | 0.3× |
| Removal Sutures/Staples Requiring Anesthesia (15851) | $103.50 | $138 | 0.0× |
| Removal sweat gland lesion (11450) | $908.25 | $1,211 | 0.3× |
| Removal/bivalving gauntlet boot/body cast (29700) range across 3 matching MRF lines |
$84.75–$191.25 | $113–$255 | varies |
| Remove drug implant device (11982) | $148.50 | $198 | 0.3× |
| Remove foreign body from eye (65205) | $187.50 | $250 | 1.3× |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$203.25–$274.50 | $271–$366 | varies |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$352.50–$800.25 | $470–$1,067 | varies |
| Remove/Insert Drug Implant (11983) | $260.25 | $347 | 0.5× |
| Repair Blood Vessel Direct Hand Finger (35207) | $1,641.75 | $2,189 | 0.5× |
| Repair Blood Vessel Direct Upper Extremity (35206) | $2,355.75 | $3,141 | 0.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 3 matching MRF lines |
$895.50–$950.25 | $1,194–$1,267 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$906–$1,191 | $1,208–$1,588 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$860.25–$912.75 | $1,147–$1,217 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$872.25–$884.25 | $1,163–$1,179 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
$783–$831 | $1,044–$1,108 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$951–$1,421.25 | $1,268–$1,895 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) range across 2 matching MRF lines |
$748.50–$794.25 | $998–$1,059 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$882.75–$1,739.25 | $1,177–$2,319 | varies |
| Repair Ectropion Extensive (67917) | $1,301.25 | $1,735 | 0.5× |
| Repair extensor tendon finger w/o graft each (26418) | $1,998.75 | $2,665 | 1.1× |
| Repair Finger/Hand Tendon (26350) | $1,998 | $2,664 | 0.5× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) | $2,112.75 | $2,817 | 0.5× |
| Repair initial femoral hernia, any age; reducible (49550) | $1,347 | $1,796 | 0.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $2,037 | $2,716 | 0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$353.25–$796.50 | $471–$1,062 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$815.25–$825.75 | $1,087–$1,101 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$775.50–$822.75 | $1,034–$1,097 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $1,017 | $1,356 | 2.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
$178.50–$676.50 | $238–$902 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$356.25–$691.50 | $475–$922 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$806.25–$855.75 | $1,075–$1,141 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 3 matching MRF lines |
$847.50–$900 | $1,130–$1,200 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$242.25–$615.75 | $323–$821 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$555–$867.75 | $740–$1,157 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $921 | $1,228 | 1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
$702.75–$1,021.50 | $937–$1,362 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $1,031.25 | $1,375 | 0.4× |
| Repair of defect with autograft; radius AND ulna Facility (25426) | $376.50 | $502 | 0.1× |
| Repair of nail bed (11760) | $372.75 | $497 | 0.5× |
| Repair tongue laceration (41250) | $622.50 | $830 | 1.3× |
| Reposition Gastrostomy Tube (43761) range across 2 matching MRF lines |
$270–$1,044.75 | $360–$1,393 | varies |
| Rerepair ing hernia reduce (49520) | $1,359 | $1,812 | 0.3× |
| Revise hernia & sperm veins (55540) | $1,447.50 | $1,930 | 0.4× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $318 | $424 | 0.3× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $222.75 | $297 | 0.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $203.25 | $271 | 0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $267.75 | $357 | 1.8× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $380.25 | $507 | 0.8× |
| Rmvl fecal impaction/fb spx under anes (45915) | $516 | $688 | 0.4× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) range across 3 matching MRF lines |
$990.75–$4,103.25 | $1,321–$5,471 | varies |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $2,281.50 | $3,042 | 1.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$465.75–$555 | $621–$740 | varies |
| Rplc Gtube No Revj Trc (43762) | $468.75 | $625 | 1.7× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $800.25 | $1,067 | 0.2× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) likely a partial charge, not the full procedure |
$1,629.75 | $2,173 | 0.2× |
| Rpr aa hrn 1st 3-10 rdc (49593) likely a partial charge, not the full procedure |
$1,211.25 | $1,615 | 0.2× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) likely a partial charge, not the full procedure |
$984.75 | $1,313 | 0.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 3 matching MRF lines |
$364.50–$607.50 | $486–$810 | varies |
| Rpr ing hernia init reduce (49500) likely a partial charge, not the full procedure |
$893.25 | $1,191 | 0.1× |
| Shave skin lesion 0.5 cm/< (11300) range across 2 matching MRF lines |
$115.50–$228.75 | $154–$305 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) range across 2 matching MRF lines |
$112.50–$266.25 | $150–$355 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) range across 2 matching MRF lines |
$215.25–$436.50 | $287–$582 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 2 matching MRF lines |
$118.50–$240 | $158–$320 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) range across 2 matching MRF lines |
$117–$285 | $156–$380 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) range across 2 matching MRF lines |
$152.25–$337.50 | $203–$450 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) range across 2 matching MRF lines |
$336.75–$357.75 | $449–$477 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) range across 2 matching MRF lines |
$222–$318.75 | $296–$425 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) range across 2 matching MRF lines |
$350.25–$372 | $467–$496 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 2 matching MRF lines |
$121.50–$279.75 | $162–$373 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) range across 2 matching MRF lines |
$165–$361.50 | $220–$482 | varies |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) range across 2 matching MRF lines |
$138.75–$327.75 | $185–$437 | varies |
| Sigmoidoscopy flx tndsc balo dilat (45340) range across 2 matching MRF lines |
$1,025.25–$2,448.75 | $1,367–$3,265 | varies |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 3 matching MRF lines |
$360–$1,556.25 | $480–$2,075 | varies |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$459.75–$906 | $613–$1,208 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$210.75–$413.25 | $281–$551 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$233.25–$442.50 | $311–$590 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 2 matching MRF lines |
$374.25–$647.25 | $499–$863 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$174.75–$505.50 | $233–$674 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) range across 2 matching MRF lines |
$382.50–$405.75 | $510–$541 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$231.75–$346.50 | $309–$462 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$493.50–$682.50 | $658–$910 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$279.75–$479.25 | $373–$639 | varies |
| Skin Full Grft Face/Genit/Hf (15240) range across 2 matching MRF lines |
$2,067.75–$2,193 | $2,757–$2,924 | varies |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$339–$2,525.25 | $452–$3,367 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$321–$2,259.75 | $428–$3,013 | varies |
| Skin sub grft t/arm/lg child (15273) | $3,183.75 | $4,245 | 1.4× |
| Skin Tissue Procedure (17999) | $768.75 | $1,025 | 3.4× |
| Skn sub grft f/n/hf/g child (15277) | $2,673.75 | $3,565 | 1.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$240.75–$405.75 | $321–$541 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 3 matching MRF lines |
$285–$582.75 | $380–$777 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$429–$744 | $572–$992 | varies |
| Spinal puncture lumbar diagnostic (62270) | $562.50 | $750 | 0.7× |
| Strapping shoulder (29240) | $276.75 | $369 | 1.9× |
| Strapping Unna Boot (29580) range across 3 matching MRF lines |
$77.25–$123 | $103–$164 | varies |
| Surg tx anal fistula subq (46270) | $1,142.25 | $1,523 | 0.4× |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$108.75–$230.25 | $145–$307 | varies |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) range across 2 matching MRF lines |
$1,713.75–$1,817.25 | $2,285–$2,423 | varies |
| Treat humerus fracture (24500) | $924.75 | $1,233 | 3.4× |
| Treat Humerus Fracture (24505) | $1,485.75 | $1,981 | 0.8× |
| Treat humerus fracture (23600) | $798 | $1,064 | 2.9× |
| Treat Knuckle Dislocation (26700) | $753 | $1,004 | 2.7× |
| Treat Vaginal Bleeding (57180) | $392.25 | $523 | 1.7× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $1,513.50 | $2,018 | 0.8× |
| Treatment closed elbow dislocation w/o anes (24600) | $768.75 | $1,025 | 2.8× |
| Trim skin lesion (11055) range across 3 matching MRF lines |
$57.75–$170.25 | $77–$227 | varies |
| Trim skin lesions 2 to 4 (11056) range across 3 matching MRF lines |
$65.25–$177.75 | $87–$237 | varies |
| Trim skin lesions over 4 (11057) range across 3 matching MRF lines |
$75–$185.25 | $100–$247 | varies |
| Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$24.75–$63.75 | $33–$85 | varies |
| Tubal ligation (58600) | $936.75 | $1,249 | 0.3× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $722.25 | $963 | 0.2× |
| Tx Missed Abortion First Trimester Surgical (59820) | $4,013.25 | $5,351 | 1.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$574.50–$609.75 | $766–$813 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $549 | $732 | 2.0× |
| Unlisted Procedure External Ear (69399) | $354 | $472 | 1.3× |
| Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$258–$274.50 | $344–$366 | varies |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $522.75 | $697 | 2.0× |
| Unlisted Procedure Vascular Surgery (37799) | $1,032 | $1,376 | 1.5× |
| Vaginal delivery only (59409) range across 2 matching MRF lines |
$1,800–$1,917.75 | $2,400–$2,557 | varies |
| Vasectomy uni/bi spx w/postop semen exams (55250) range across 2 matching MRF lines |
$684.75–$786.75 | $913–$1,049 | varies |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$368.25–$402.75 | $491–$537 | varies |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) likely a partial charge, not the full procedure |
$1,240.50 | $1,654 | 0.2× |
| Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+ (66989) likely a partial charge, not the full procedure |
$1,653.75 | $2,205 | 0.3× |
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.