Procedures & surgery prices at Bon Secours St. Francis Medical Center

Midlothian, VA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $3,315 $5,525 3.7×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $688.80 $1,148 0.8×
Ablate inf turbinate submuc (30802)
range across 2 matching MRF lines		 $15,095.85–$24,686.02 $25,159.75–$41,143.37 varies
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure		 $5,150.40 $8,584 0.3×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $24,125.17 $40,208.62 15.9×
Acne surgery (10040) $555 $925 2.8×
Adding Walker Previously Applied Cast (29440) $237 $395 1.5×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $26,232.07 $43,720.12 7.6×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,439.40 $2,399 0.7×
Amniocentesis diagnostic (59000) $530.40 $884 0.6×
Amniocentesis therapeutic (59001) $3,428.40 $5,714 11.5×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $2,481.60 $4,136 0.8×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $2,481.60 $4,136 0.8×
Amputation toe interphalangeal joint (28825)
range across 2 matching MRF lines		 $5,509.20–$10,060.30 $9,182–$16,767.17 varies
Amputation toe metatarsophalangeal joint (28820)
range across 4 matching MRF lines		 $7,571.40–$9,815.03 $12,619–$16,358.38 varies
Anoscopy diagnostic (46600) $97.20 $162 0.7×
Anoscopy W/Rmvl Foreign Body (46608) $1,728 $2,880 1.9×
Application cast elbow finger short arm (29075) $237 $395 0.9×
Application Finger Splint Dynamic (29131) $477.60 $796 8.3×
Application finger splint static (29130) $477.60 $796 3.7×
Application Hip Spica Cast 1 Leg (29305) $237 $395 0.9×
Application long arm splint shoulder hand (29105) $477.60 $796 3.0×
Application Long Leg Cast Walker/Ambulatory Type (29355) $237 $395 0.9×
Application Long Leg Splint (29505) $477.60 $796 3.0×
Application of cylinder cast (thigh to ankle) (29365) $237 $395 0.9×
Application of long leg cast (29345) $237 $395 0.9×
Application of rigid total contact leg cast (29445) $345 $575 1.3×
Application Short Arm Splint Dynamic (29126) $477.60 $796 3.7×
Application short arm splint forearm-hand static (29125) $477.60 $796 3.7×
Application short leg splint calf foot (29515) $477.60 $796 3.0×
Apply hand/wrist cast (29085) $237 $395 1.5×
Apply long arm cast (29065) $237 $395 0.9×
Apply Multlay Comprs Lwr Leg (29581) $579.60 $966 3.7×
Apply Short Leg Cast (29405) $237 $395 0.9×
Apply short leg cast (29425) $237 $395 0.9×
Arterial puncture (36600) $105 $175 0.8×
Arteriovenous Anastomosis Open Direct (36821)
range across 2 matching MRF lines		 $11,900.08–$12,145.09 $19,833.47–$20,241.82 varies
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) $98,193.46 $163,655.77 7.8×
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735)
range across 5 matching MRF lines		 $72,460.52–$157,122.55 $120,767.53–$261,870.92 varies
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
range across 3 matching MRF lines		 $157,780.21–$182,955.64 $262,967.02–$304,926.07 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $11,235.55 $18,725.92 37.5×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $2,148.60 $3,581 3.1×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 20 matching MRF lines		 $262.20–$57,053.79 $437–$95,089.65 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $1,327.80 $2,213 4.4×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines		 $4,242.94–$7,653.41 $7,071.57–$12,755.68 varies
Arthrodesis ankle open (27870)
range across 2 matching MRF lines		 $156,858.35–$160,669.49 $261,430.58–$267,782.48 varies
Arthrodesis great toe interphalangeal joint (28755) $27,902.89 $46,504.82 3.9×
Arthrodesis great toe metatarsophalangeal joint (28750)
range across 6 matching MRF lines		 $55,156.66–$89,676.59 $91,927.77–$149,460.98 varies
Arthrodesis Posterior/Posterolateral Lumbar (22612) $161,460.39 $269,100.65 9.4×
Arthrodesis subtalar (28725)
range across 2 matching MRF lines		 $124,019.74–$185,599.84 $206,699.57–$309,333.07 varies
Arthroplasty ankle revision total ankle (27703) $56,723.11 $94,538.52 3.3×
Arthroplasty Ankle W/Implant (27702)
range across 2 matching MRF lines		 $114,592.45–$128,372 $190,987.42–$213,953.33 varies
Arthroplasty glenohumeral joint total shoulder (23472)
range across 4 matching MRF lines		 $12,794.87–$70,138.27 $21,324.78–$116,897.12 varies
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) $24,085.28 $40,142.13 1.9×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447)
range across 2 matching MRF lines		 $28,275.68–$33,073.90 $47,126.13–$55,123.17 varies
Arthroplasty Patella W/Prosthesis (27438) $23,358.02 $38,930.03 1.9×
Arthroplasty with prosthetic replacement; distal ulna Facility (25442) $50,350.89 $83,918.15 2.9×
Arthroscopy shoulder distal claviculectomy (29824)
range across 3 matching MRF lines		 $26,370.24–$28,647.10 $43,950.40–$47,745.17 varies
Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) $52,768.31 $87,947.18 7.5×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $89,546.71 $149,244.52 28.0×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882)
range across 2 matching MRF lines		 $30,337.67–$36,434.33 $50,562.78–$60,723.88 varies
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
range across 3 matching MRF lines		 $27,799.60–$58,792.17 $46,332.67–$97,986.95 varies
Arthroscopy, shoulder, surgical; debridement, extensive (29823)
range across 2 matching MRF lines		 $21,786.46–$25,553.55 $36,310.77–$42,589.25 varies
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 2 matching MRF lines		 $29,762.42–$39,687.95 $49,604.03–$66,146.58 varies
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) $13,778.22 $22,963.70 4.3×
Arthrotomy wrist joint with synovectomy (25105) $13,778.22 $22,963.70 4.3×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
range across 2 matching MRF lines		 $50,930.84–$53,942.73 $84,884.73–$89,904.55 varies
Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448)
range across 3 matching MRF lines		 $16,644.81–$24,224.43 $27,741.35–$40,374.05 varies
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
range across 2 matching MRF lines		 $45,101.49–$85,728.57 $75,169.15–$142,880.95 varies
Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) $110,743.06 $184,571.77 8.8×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $13,738.69 $22,897.82 4.3×
Arthrs knee debridement/shaving artclr crtlg (29877)
range across 2 matching MRF lines		 $19,597.34–$41,891.80 $32,662.23–$69,819.67 varies
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880)
range across 2 matching MRF lines		 $12,653.37–$16,490.90 $21,088.95–$27,484.83 varies
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $12,980.35 $21,633.92 8.3×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $1,195.80 $1,993 0.8×
Aspirate pleura w/ imaging (32555) $2,614.68 $4,357.80 4.3×
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $1,082.40–$1,250.40 $1,804–$2,084 varies
Aspirate/Inj Ganglion Cyst (20612) $513.60 $856 1.7×
Aspiration bladder insert suprapubic catheter (51102) $3,871.80 $6,453 1.9×
Av fistula revision (36833) $12,749.10 $21,248.50 2.3×
Av Fistula Revision Open (36832)
range across 2 matching MRF lines		 $14,811.98–$21,768.01 $24,686.63–$36,280.02 varies
Av Fuse Uppr Arm Basilic (36819)
range across 2 matching MRF lines		 $15,355.97–$23,323.05 $25,593.28–$38,871.75 varies
Avulsion nail plate partial/complete simple 1 (11730)
range across 6 matching MRF lines		 $150–$11,448.21 $250–$19,080.35 varies
Biliary ndsc prq t-tube dilat strix w/stent (47556)
unusually low: confirm this is the full procedure		 $4,169.40 $6,949 0.4×
Biliary ndsc prq t-tube w/bx single/multiple (47553) $4,067.40 $6,779 0.6×
Biopsy Abdominal Mass (49180) $1,350 $2,250 0.8×
Biopsy bone trocar/needle deep (20225) $1,236 $2,060 0.8×
Biopsy Bone Trocar/Needle Superficial (20220) $1,148.40 $1,914 0.7×
Biopsy muscle percutaneous needle (20206) $1,238.40 $2,064 0.8×
Biopsy Muscle Superficial (20200) $2,932.80 $4,888 1.8×
Biopsy nail unit (11755) $1,351.80 $2,253 2.0×
Biopsy of breast; open, incisional (19101)
range across 2 matching MRF lines		 $12,905.87–$14,323.96 $21,509.78–$23,873.27 varies
Biopsy of liver, needle; percutaneous (47000) $1,350 $2,250 0.8×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $3,124.80 $5,208 1.9×
Biopsy/removal lymph nodes (38510)
range across 2 matching MRF lines		 $19,998.73–$23,351.15 $33,331.22–$38,918.58 varies
Bladder instillation anticarcinogenic agent (51720) $11,651.11 $19,418.52 17.1×
Bladder Irrigation (51700) $276 $460 1.1×
Bladder Scan (51798)
range across 2 matching MRF lines		 $48–$180.60 $80–$301 varies
Blepharoplasty Lower Eyelid (15820) $25,953.26 $43,255.43 12.9×
Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) $41,450.12 $69,083.53 20.6×
Blepharoplasty upper eyelid (15822) $51,383.95 $85,639.92 25.5×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823)
range across 2 matching MRF lines		 $42,038.47–$47,224.70 $70,064.12–$78,707.83 varies
Blepharotomy drainage abscess eyelid (67700) $221.40 $369 0.7×
Blood Transfusion Service (36430) $1,612.80 $2,688 3.7×
Bone Graft Any Donor Area Major/Large (20902) $72,460.52 $120,767.53 10.2×
Bone Graft Any Donor Area Minor/Small (20900)
range across 2 matching MRF lines		 $42,388.26–$90,943.85 $70,647.10–$151,573.08 varies
Bone Marrow Biopsy (38221) $1,148.40 $1,914 0.7×
Breast augmentation with implant (19325)
range across 2 matching MRF lines		 $51,803.15–$142,930.12 $86,338.58–$238,216.87 varies
Breast Reduction (19318)
range across 2 matching MRF lines		 $26,095.15–$37,264.15 $43,491.92–$62,106.92 varies
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $9,773.72 $16,289.53 2.7×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $14,001 $23,335 3.8×
Bronchoscopy Clear Airways (31645)
range across 2 matching MRF lines		 $3,331.20–$5,604 $5,552–$9,340 varies
Bronchoscopy W/Biopsy(S) (31625) $9,632.90 $16,054.83 5.5×
Bx breast 1st lesion mr imag (19085) $4,155 $6,925 2.6×
Bx breast 1st lesion strtctc (19081) $5,809.20 $9,682 3.6×
Bx breast 1st lesion us imag (19083)
range across 9 matching MRF lines		 $2,988.60–$13,041.41 $4,981–$21,735.68 varies
Bx Cervix (57500) $19,576.04 $32,626.73 21.8×
Bx/exc lymph node open deep axillary node (38525)
range across 4 matching MRF lines		 $19,316.17–$100,157.67 $32,193.62–$166,929.45 varies
Bx/exc lymph node open superficial (38500) $27,154.27 $45,257.12 7.1×
Canthotomy Separate Procedure (67715) $1,762.80 $2,938 0.8×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270)
range across 5 matching MRF lines		 $26,980.04–$74,588.10 $44,966.73–$124,313.50 varies
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) $61,753.39 $102,922.32 39.4×
Carpal Tunnel Surgery (64721)
range across 7 matching MRF lines		 $7,504.35–$28,828.35 $12,507.25–$48,047.25 varies
Catheter aspiration nasotracheal spx (31720) $180.60 $301 0.8×
Cerclage cervix pregnancy vaginal (59320) $8,871.60 $14,786 2.8×
Cerv artific diskectomy (22856) $62,978.46 $104,964.10 3.7×
Cessj Therapy Cath Removal (37214) $5,314.80 $8,858 1.7×
Change Cystostomy Tube Simple (51705) $179.40 $299 0.7×
Change of Windpipe Airway (31502)
range across 2 matching MRF lines		 $174–$432 $290–$720 varies
Chemical Cautery Tissue (17250) $385.80 $643 2.0×
Chest tube placement (32551)
range across 2 matching MRF lines		 $1,445.40–$2,369.40 $2,409–$3,949 varies
Chorionic Villus Sampling (59015)
range across 2 matching MRF lines		 $739.80–$3,951 $1,233–$6,585 varies
Circumcision 28 days or older (54161) $1,546.20 $2,577 0.8×
Circumcision w/clamp/oth dev w/block (54150) $1,290 $2,150 0.6×
Cl Tx Tib Shft Fx W Manip (27752) $1,195.80 $1,993 0.8×
Clear outer ear canal (69200) $251.40 $419 1.9×
Closed Rx Spontaneous Hip Disloc (27256) $172.80 $288 0.7×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $172.80 $288 0.7×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,195.80 $1,993 0.8×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $14,085.92 $23,476.53 58.5×
Closed tx ankle dislocation w/o anesthesia (27840) $172.80 $288 0.7×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,195.80 $1,993 0.8×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $172.80 $288 0.7×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $172.80 $288 0.7×
Closed tx carpal scaphoid fracture w/manj (25624) $1,195.80 $1,993 0.8×
Closed tx knee dislocation w/o anesthesia (27550) $172.80 $288 0.7×
Closed Tx Lunate Dislocation W/Manipulation (25690) $1,195.80 $1,993 0.8×
Closed tx metatarsal fracture w/o manipulation (28470) $445.80 $743 1.9×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,195.80 $1,993 0.8×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,965 $3,275 1.3×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $6,284.15 $10,473.58 1.9×
Closed tx patellar dislocation w/anesthesia (27562) $172.80 $288 0.7×
Closed tx patellar dislocation w/o anesthesia (27560) $172.80 $288 0.7×
Closed tx radial head/neck fx w/manipulation (24655) $1,195.80 $1,993 0.8×
Closed tx radial head/neck fx w/o manipulation (24650) $172.80 $288 0.7×
Closed tx radial shaft fracture w/manipulation (25505) $1,195.80 $1,993 0.8×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $5,796.08 $9,660.13 3.7×
Closed tx radial&ulnar shaft fractures w/o man (25560) $172.80 $288 0.7×
Closed tx talotarsal joint dislc w/o anes (28570) $172.80 $288 0.7×
Closed Tx Talus Fracture W/Manipulation (28435) $1,195.80 $1,993 0.8×
Closed tx tarsometatarsal dislocation w/o anes (28600) $172.80 $288 0.7×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $172.80 $288 0.7×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,195.80 $1,993 0.8×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $174 $290 0.8×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $172.80 $288 0.7×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $1,195.80 $1,993 0.8×
Clsd tx clavicular fracture w/o manipulation (23500) $476.40 $794 2.0×
Clsd tx fx orbit except blowout w/o manipulation (21400) $381 $635 0.7×
Clsd tx shoulder dislc w/manipulation req anes (23655) $6,379.80 $10,633 4.1×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $172.80 $288 0.7×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,195.80 $1,993 0.8×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $172.80 $288 0.7×
Cltx dstl fibular fx lat malls w/manj (27788) $172.80 $288 0.7×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $172.80 $288 0.7×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $172.80 $288 0.7×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 3 matching MRF lines		 $1,195.20–$36,990.37 $1,992–$61,650.62 varies
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,965 $3,275 1.3×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,195.80 $1,993 0.8×
Cltx fx grt toe phlx/phlg w/manj (28495) $172.80 $288 0.7×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $172.80 $288 0.7×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,195.80 $1,993 0.8×
Cltx greater humeral tuberosity fx w/o manj (23620) $172.80 $288 0.7×
Cltx Greater Trochanteric Fx W/O Manj (27246) $658.20 $1,097 2.7×
Cltx hip dislocation traumatic req anesthesia (27252) $2,989.20 $4,982 1.9×
Cltx hip dislocation traumatic w/o anesthesia (27250) $172.80 $288 0.7×
Cltx humeral condylar fx medial/lateral w/manj (24577) $1,965 $3,275 1.3×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,195.80 $1,993 0.8×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $172.80 $288 0.7×
Cltx iphal jt dislc w/manj w/o anes (26770) $172.80 $288 0.7×
Cltx Med Ankle Fx W/Mnpj (27762) $1,195.80 $1,993 0.8×
Cltx metacarpal fx w/manipulation each bone (26605) $172.80 $288 0.7×
Cltx metacarpal fx w/o manipulation each bone (26600) $172.80 $288 0.7×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $8,828.72 $14,714.53 36.7×
Cltx post hip arthrp dislc req anes (27266) $3,039 $5,065 1.9×
Cltx post hip arthrp dislc w/o anes (27265) $172.80 $288 0.7×
Cltx prox fibula/shft fx w/manj (27781) $1,195.80 $1,993 0.8×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,195.80 $1,993 0.8×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $172.80 $288 0.7×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,195.80 $1,993 0.8×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,195.80 $1,993 0.8×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,195.80 $1,993 0.8×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $445.80 $743 1.9×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $1,195.80 $1,993 0.8×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $172.80 $288 0.7×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,195.80 $1,993 0.8×
Collect Blood From Catheter Venous Nos (36592) $96 $160 0.7×
Collection of venous blood by venipuncture (36415) $26.40 $44 2.8×
Colonoscopy w/ablation (45388)
range across 2 matching MRF lines		 $7,055.55–$15,366.89 $11,759.25–$25,611.48 varies
Colonoscopy W/Resection (45390) $11,716.91 $19,528.18 4.3×
Colonoscopy w/submucosal inj (45381)
range across 3 matching MRF lines		 $5,375.36–$6,630.58 $8,958.93–$11,050.97 varies
Colporrhaphy (57200) $2,356.80 $3,928 0.7×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454)
range across 3 matching MRF lines		 $608.40–$18,788.11 $1,014–$31,313.52 varies
Colposcopy cervix upper/adjacent vagina (57452) $370.80 $618 1.9×
Colposcopy cervix vag eltrd conization cervix (57461) $11,271.46 $18,785.77 3.6×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $9,204.72 $15,341.20 2.9×
Colsc Flexible W/Control Bleeding Any Method (45382)
range across 2 matching MRF lines		 $3,904.21–$8,651.90 $6,507.02–$14,419.83 varies
Combined anteroposterior colporrhaphy; (57260) $28,492.69 $47,487.82 5.8×
Complex drainage wound (10180) $45,929.62 $76,549.37 16.2×
Conization cervix w/wo d&c rpr eltrd exc (57522) $8,686.05 $14,476.75 2.8×
Control Nasal Hemorrhage Anterior Complex (30903) $96.60 $161 0.7×
Control Nasal Hemorrhage Anterior Simple (30901) $199.20 $332 1.5×
Control oropharyngeal hemorrhage simple (42960) $381 $635 0.7×
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132)
range across 3 matching MRF lines		 $48,525.10–$50,702.65 $80,875.17–$84,504.42 varies
Cordocentesis (59012) $156.60 $261 0.5×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,650.80 $4,418 1.6×
Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) $2,671.80 $4,453 0.8×
Correction hammertoe (28285)
range across 26 matching MRF lines		 $11,609.96–$179,875.66 $19,349.93–$299,792.77 varies
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296)
range across 4 matching MRF lines		 $16,471.01–$32,971.52 $27,451.68–$54,952.53 varies
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
range across 5 matching MRF lines		 $65,050.09–$157,122.55 $108,416.82–$261,870.92 varies
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
range across 4 matching MRF lines		 $74,722.64–$179,875.66 $124,537.73–$299,792.77 varies
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292)
range across 3 matching MRF lines		 $10,913.26–$30,864.04 $18,188.77–$51,440.07 varies
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299)
range across 4 matching MRF lines		 $28,581.56–$32,788.99 $47,635.93–$54,648.32 varies
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830)
range across 2 matching MRF lines		 $21,066.76–$23,675.59 $35,111.27–$39,459.32 varies
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $96.60 $161 0.7×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $174 $290 0.8×
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $2,371.80 $3,953 0.7×
Cysto Bladder W/Ureteral Catheterization (52005)
range across 5 matching MRF lines		 $10,203.98–$19,023.41 $17,006.63–$31,705.68 varies
Cysto calibration dilat urtl strix/stenosis (52281) $11,040.84 $18,401.40 5.4×
Cysto w/complex removal stone & stent (52315) $1,546.20 $2,577 0.8×
Cysto w/dilat rx balo cath urtl strix/sten male (52284) $27,275.55 $45,459.25 5.2×
Cysto w/insert ureteral stent (52332)
range across 5 matching MRF lines		 $10,599.01–$39,912.74 $17,665.02–$66,521.23 varies
Cysto w/removal of tumors small (52234) $15,574.50 $25,957.50 4.5×
Cysto W/Simple Removal Stone & Stent (52310) $7,674.94 $12,791.57 3.8×
Cysto w/ureteroscopy w/lithotripsy (52353) $16,651.03 $27,751.72 3.2×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351)
range across 2 matching MRF lines		 $12,272.83–$14,519.98 $20,454.72–$24,199.97 varies
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) $39,912.74 $66,521.23 7.6×
Cysto/uretero w/lithotripsy (52356)
range across 2 matching MRF lines		 $21,308.81–$23,274.23 $35,514.68–$38,790.38 varies
Cystourethroscopy (52000) $7,444.28 $12,407.13 10.9×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $11,892.81 $19,821.35 3.5×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $19,865.86 $33,109.77 3.8×
Cystourethroscopy with biopsy (52204) $14,605.66 $24,342.77 7.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $1,210.80 $2,018 3.1×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 2 matching MRF lines		 $5,326.20–$11,593.06 $8,877–$19,321.77 varies
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 8 matching MRF lines		 $1,238.40–$4,436.40 $2,064–$7,394 varies
Debride nail 6 or more (11721) $229.80 $383 4.0×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 5 matching MRF lines		 $3,198–$4,845.60 $5,330–$8,076 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 15 matching MRF lines		 $1,531.80–$8,962.20 $2,553–$14,937 varies
Declot vascular device (36593)
range across 2 matching MRF lines		 $277.80–$606 $463–$1,010 varies
Destr W Neurolytic; Celiac Plexus (64680) $1,338 $2,230 1.6×
Destroy cerv/thor facet jnt (64633) $3,745.80 $6,243 2.0×
Destroy lumb/sac facet jnt (64635) $3,745.80 $6,243 2.0×
Destruct B9 Lesion 1-14 (17110)
range across 3 matching MRF lines		 $358.20–$9,613.31 $597–$16,022.18 varies
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $378.60 $631 1.9×
Destruction neurolytic agt genicular nerve w/img (64624) $3,745.80 $6,243 2.0×
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines		 $2,614.20–$3,877.28 $4,357–$6,462.13 varies
Dilate Urethra Stricture (53620) $521.40 $869 0.8×
Dilation & curettage dx&/ther nonobstetric (58120) $7,428.17 $12,380.28 2.4×
Dilation of vagina (57400) $9,743.46 $16,239.10 3.1×
Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) $5,865.83 $9,776.38 3.4×
Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Facility (36838) $20,716.56 $34,527.60 3.8×
Drain Cerebro Spinal Fluid (62272) $1,105.80 $1,843 1.6×
Drainage external auditory canal abscess (69020) $541.20 $902 0.8×
Drainage external ear abscess/hematoma cmplx (69005) $1,456.80 $2,428 0.9×
Drainage External Ear Abscess/Hematoma Simple (69000) $541.20 $902 0.8×
Drainage Finger Abscess Complicated (26011) $2,401.20 $4,002 1.5×
Drainage Mouth Roof Lesion (42000) $174 $290 0.8×
Drainage of finger abscess simple (26010) $603.60 $1,006 3.1×
Drainage of gum lesion (41800) $97.20 $162 0.7×
Drainage of hematoma/fluid (10140)
range across 3 matching MRF lines		 $3,292.20–$6,951.64 $5,487–$11,586.07 varies
Drainage of rectal abscess (45005) $1,122 $1,870 1.0×
Drainage of scrotal wall abscess (55100) $3,495.60 $5,826 2.2×
Drainage of scrotum (54700) $1,546.20 $2,577 0.8×
Draw Blood Off Venous Device (36591) $165.60 $276 1.3×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $541.20 $902 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $311.40 $519 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $274.20–$392.40 $457–$654 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $163.80–$286.20 $273–$477 varies
Dstrj Lesion Anus Extensive (46924) $10,990.89 $18,318.15 4.1×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,776 $2,960 2.1×
Dx Bone Marrow Bx & Aspir (38222) $3,600.60 $6,001 1.3×
Dx Bronchoscope/Lavage (31624) $5,466.62 $9,111.03 3.1×
Dx Bronchoscope/Wash (31622) $7,419.62 $12,366.03 4.3×
Dx Laryngoscopy Excl Nb (31525)
range across 2 matching MRF lines		 $8,513.07–$12,006.24 $14,188.45–$20,010.40 varies
Dx laryngoscopy w/oper scope (31526) $20,643.17 $34,405.28 11.9×
Dx lmbr spi pnxr w/fluor/CT (62328) $3,427.20 $5,712 5.0×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 2 matching MRF lines		 $5,143.18–$5,329.58 $8,571.97–$8,882.63 varies
Egd control bleeding any (43255)
range across 3 matching MRF lines		 $7,413.20–$11,460.02 $12,355.33–$19,100.03 varies
Egd dilation gastric/duodenal stricture (43245) $4,677.97 $7,796.62 2.5×
Egd Flexible Foreign Body Removal (43247) $2,490.60 $4,151 2.8×
Egd guide wire insertion (43248) $4,544.48 $7,574.13 5.1×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $10,528.58 $17,547.63 5.6×
Egd intrmural us needle aspirate/biopsy esophags (43238) $9,228.71 $15,381.18 4.9×
Egd lesion ablation (43270)
range across 2 matching MRF lines		 $3,716.17–$7,055.55 $6,193.62–$11,759.25 varies
Egd place gastrostomy tube (43246) $5,584.64 $9,307.73 3.0×
Egd remove lesion snare (43251) $5,508.73 $9,181.22 2.9×
Egd us exam duodenum/jejunum (43259) $4,786.13 $7,976.88 2.6×
Egd Varices Ligation (43244) $6,115.60 $10,192.67 3.3×
Endoscopic plantar fasciotomy (29893)
range across 3 matching MRF lines		 $17,647.24–$44,546.44 $29,412.07–$74,244.07 varies
Endoscopic us exam esoph (43237) $3,908.40 $6,514 2.1×
Epidural Blood Patch (62273) $607.80 $1,013 0.9×
Ercp remove calculi/debris biliary/pancreas duct (43264) $16,025.62 $26,709.37 4.3×
Ercp remove forgn body duct (43275) $14,782.27 $24,637.12 7.9×
Ercp Stent Exchange W/Dilate (43276) $19,144 $31,906.67 3.2×
Ercp,Sphincterotomy (43262) $20,674.08 $34,456.80 5.5×
Escharotomy; initial incision (16035) $311.40 $519 0.8×
Esophagogastroduodenoscopy Submucosal Injection (43236) $6,437.46 $10,729.10 7.3×
Esophagoscopy Flexible Transoral Diagnostic (43200) $2,922.74 $4,871.23 3.3×
Esophagoscopy rigid trnso dx (43191) $23,657.83 $39,429.72 12.6×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $1,452 $2,420 0.8×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $1,452 $2,420 0.8×
Evacuation of subungual hematoma (11740) $272.40 $454 2.1×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111)
range across 2 matching MRF lines		 $7,009.23–$8,359.52 $11,682.05–$13,932.53 varies
Exc arm/elbow les sc < 3 cm (24075)
range across 2 matching MRF lines		 $4,800–$17,586 $8,000–$29,310 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $42,496.87 $70,828.12 61.5×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $6,996.28 $11,660.47 4.3×
Exc Back Les Sc < 3 Cm (21930) $10,795.40 $17,992.33 6.7×
Exc Back Tum Deep 5 Cm/> (21933) $10,610.57 $17,684.28 3.7×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125)
range across 3 matching MRF lines		 $10,425.60–$30,623.56 $17,376–$51,039.27 varies
Exc Face Les Sbq 2 Cm/> (21012) $8,088.96 $13,481.60 5.0×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $541.20 $902 0.8×
Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390) $36,378.89 $60,631.48 5.1×
Exc Forearm Les Sc 3 Cm/> (25071) $9,069.44 $15,115.73 5.6×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,250.40 $2,084 0.8×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $5,981.39 $9,968.98 8.7×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $6,779.55 $11,299.25 4.2×
Exc Hand Les Sc < 1.5 Cm (26115)
range across 4 matching MRF lines		 $6,229.40–$7,783.18 $10,382.33–$12,971.97 varies
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090)
range across 2 matching MRF lines		 $8,311.30–$38,382.14 $13,852.17–$63,970.23 varies
Exc lesion tendon sheath/capsule w/synvct toe ea (28092)
range across 3 matching MRF lines		 $8,217.55–$14,855.44 $13,695.92–$24,759.07 varies
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $5,580.12 $9,300.20 8.1×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $10,490.26 $17,483.77 6.5×
Exc Skin Benig >4 Cm Remaindr Body (11426) $9,174.41 $15,290.68 3.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $12,044.03 $20,073.38 7.5×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $9,132.19 $15,220.32 5.7×
Exc thigh/knee les sc 3 cm/> (27337)
range across 2 matching MRF lines		 $14,942.45–$15,429.30 $24,904.08–$25,715.50 varies
Exc Thrombosed Hemorrhoid Xtrnl (46320) $2,228.40 $3,714 1.9×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $311.40 $519 0.8×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $8,805.13 $14,675.22 12.7×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $9,032.49 $15,054.15 5.6×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $9,131.15 $15,218.58 3.2×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $9,711.19 $16,185.32 3.4×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $15,318.57 $25,530.95 9.5×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $126,315.25 $210,525.42 44.6×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $16,770.29 $27,950.48 10.4×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $23,043.54 $38,405.90 8.1×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $14,190.32 $23,650.53 8.8×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071)
range across 2 matching MRF lines		 $8,077.14–$16,836.56 $13,461.90–$28,060.93 varies
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104)
range across 2 matching MRF lines		 $6,076.88–$11,637.85 $10,128.13–$19,396.42 varies
Excise excessive skin arm (15836) $39,465.22 $65,775.37 13.9×
Excision & Repair Eyelid < One-Fourth Lid Margin (67961) $1,762.80 $2,938 0.8×
Excision Excessive Skin & Subq Tissue Other Area (15839) $26,658.20 $44,430.33 9.4×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $27,531.79 $45,886.32 9.7×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $1,351.80 $2,253 2.0×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $1,330.80 $2,218 1.9×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $5,508 $9,180 3.4×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $8,083.20 $13,472 11.7×
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 3 matching MRF lines		 $8,989.26–$27,585.36 $14,982.10–$45,975.60 varies
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) $49,855 $83,091.67 8.6×
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) $41,888 $69,813.33 7.3×
Excision of pilonidal cyst or sinus; simple (11770) $16,039.67 $26,732.78 5.7×
Excision of vaginal cyst or tumor (57135) $9,743.46 $16,239.10 3.1×
Excision olecranon bursa (24105)
range across 2 matching MRF lines		 $11,998.29–$15,792.54 $19,997.15–$26,320.90 varies
Excision Pilonidal Cyst/Sinus Complicated (11772) $12,270.53 $20,450.88 4.3×
Excision Pilonidal Cyst/Sinus Extensive (11771) $12,976.41 $21,627.35 4.6×
Excision prepatellar bursa (27340) $10,272.81 $17,121.35 3.2×
Excision Skin Abd Infraumbilical Panniculectomy (15830)
range across 2 matching MRF lines		 $28,716.67–$43,273.32 $47,861.12–$72,122.20 varies
Excision tendon finger flexor/extensor each (26180) $36,284.62 $60,474.37 23.1×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $10,869.61 $18,116.02 6.7×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039)
range across 2 matching MRF lines		 $8,171.06–$8,245.33 $13,618.43–$13,742.22 varies
Excision tumor soft tissue foot/toe subq <1.5cm (28043)
range across 3 matching MRF lines		 $7,023.49–$12,827.24 $11,705.82–$21,378.73 varies
Excision tumor soft tissue shoulder subq 3 cm/> (23071)
range across 3 matching MRF lines		 $8,077.14–$8,969.67 $13,461.90–$14,949.45 varies
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $9,844.29 $16,407.15 6.1×
Excision, interdigital (morton) neuroma, single, each (28080)
range across 3 matching MRF lines		 $8,217.55–$29,174.69 $13,695.92–$48,624.48 varies
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $15,429.30 $25,715.50 5.4×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $10,692.01 $17,820.02 3.8×
Excision/surgical planing skin nose rhinophyma (30120) $14,932.05 $24,886.75 4.6×
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines		 $7,889.76–$11,032.36 $13,149.60–$18,387.27 varies
Exploration of knee joint (27310) $37,667.39 $62,778.98 11.8×
Exploration penetrating wound spx extremity (20103) $1,250.40 $2,084 0.8×
External cephalic version (59412)
range across 4 matching MRF lines		 $3,183.60–$10,146.21 $5,306–$16,910.35 varies
Fasciectomy Palm Only (26121) $8,903.63 $14,839.38 2.8×
Fasciotomy, foot and/or toe (28008)
range across 2 matching MRF lines		 $4,188–$8,828.36 $6,980–$14,713.93 varies
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123)
range across 6 matching MRF lines		 $7,433.94–$22,932.30 $12,389.90–$38,220.50 varies
Fetal Contraction Stress Test (59020) $759.60 $1,266 3.9×
Fetal Fluid Drainage W/Ultrasound Guidance (59074) $172.20 $287 0.6×
Fetal non-stress test (59025) $767.40 $1,279 3.9×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $2,166.60 $3,611 3.1×
Fluid Pressure Muscle (20950) $541.20 $902 0.8×
Fna bx w/us gdn 1st les (10005) $3,261 $5,435 4.7×
Foreskin manipulation (54450) $179.40 $299 0.7×
Fracture Nasal Inferior Turbinate Therapeutic (30930) $25,587.67 $42,646.12 7.9×
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $27,096.18 $45,160.30 13.5×
Fusion Finger Joint (26860)
range across 7 matching MRF lines		 $13,494.17–$28,742.74 $22,490.28–$47,904.57 varies
Fusion of foot bones (28740)
range across 5 matching MRF lines		 $70,665.91–$129,381.11 $117,776.52–$215,635.18 varies
Gastrocnemius recession (27687)
range across 2 matching MRF lines		 $12,255.65–$34,343.53 $20,426.08–$57,239.22 varies
Grafting of autologous fat by lipo 25 cc or less (15773) $27,577.07 $45,961.78 13.7×
Grafting of autologous fat by lipo 50 cc or less (15771)
range across 2 matching MRF lines		 $49,883.71–$73,608.08 $83,139.52–$122,680.13 varies
Grafting of autologous soft tiss by direct exc (15769)
range across 2 matching MRF lines		 $30,946.60–$47,224.70 $51,577.67–$78,707.83 varies
Guide Cathet Fluid Drainage (10030) $1,401.60 $2,336 2.0×
Hand tendon reconstruction (26500) $36,378.89 $60,631.48 5.1×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $15,609.16 $26,015.27 5.8×
Hysteroscopy Biopsy (58558) $16,947.93 $28,246.55 5.4×
Hysteroscopy Endometrial Ablation (58563) $21,958.48 $36,597.47 4.5×
Hysteroscopy Removal Impacted Foreign Body (58562) $12,981.78 $21,636.30 4.1×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $22,045.55 $36,742.58 4.5×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $2,371.80 $3,953 0.7×
I&d abscess peritonsillar (42700) $1,132.80 $1,888 4.9×
I&d abscess simple (10060)
range across 8 matching MRF lines		 $387–$6,642.72 $645–$11,071.20 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $15,704.30 $26,173.83 5.5×
I&D Deep Absc/Hematoma Neck/Chest (21501) $11,942.66 $19,904.43 4.2×
I&D Mouth/Tong Intra,Masticator (41009) $962.40 $1,604 1.8×
I&d perianal abscess superficial (46050) $693 $1,155 0.8×
I&d pilonidal cyst complicated (10081) $1,421.40 $2,369 2.1×
I&d pilonidal cyst simple (10080) $1,351.80 $2,253 2.0×
I&d upper arm/elbow deep abscess/hematoma (23930) $2,153.40 $3,589 0.8×
Image Cath Fluid Colxn Visc (49405) $3,176.40 $5,294 2.0×
Image Cath Fluid Peri/Retro (49406) $6,546 $10,910 4.1×
Immediate breast prosthesis (19340) $127,729.39 $212,882.32 16.0×
Incise external hemorrhoid (46083) $850.80 $1,418 3.5×
Incise finger tendon sheath (26055)
range across 20 matching MRF lines		 $4,526.60–$15,700.46 $7,544.33–$26,167.43 varies
Incision & drainage abscess complicated/multiple (10061) $342 $570 0.9×
Incision & removal foreign body subq tiss compl (10121) $3,124.80 $5,208 1.9×
Incision & removal foreign body subq tiss simple (10120)
range across 3 matching MRF lines		 $740.40–$9,476.23 $1,234–$15,793.72 varies
Incision and drainage of bartholin's gland abscess (56420) $600 $1,000 3.0×
Incision and drainage of vulva or perineal abscess (56405) $460.20 $767 1.5×
Incision of eardrum (69421) $15,314.90 $25,524.83 4.7×
Incision of rectal abscess (46040) $11,808.53 $19,680.88 10.1×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,250.40 $2,084 0.8×
Incisional biopsy skin single lesion (11106) $1,396.20 $2,327 1.9×
Initial Tx 1st Degree Burn Local Tx (16000) $150.60 $251 0.8×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $967.20 $1,612 1.1×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $2,506.20 $4,177 2.9×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,299.60 $2,166 1.5×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 9 matching MRF lines		 $947.40–$9,314.04 $1,579–$15,523.40 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $1,793.40 $2,989 2.1×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $1,299.60 $2,166 1.5×
Injection aa&/strd genicular nrv branches w/img (64454) $1,343.40 $2,239 2.0×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,217.40 $2,029 1.4×
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) $2,506.20 $4,177 2.9×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,816.80 $3,028 2.6×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $1,816.80 $3,028 2.1×
Injection Anes Agent Sphenopalatine Ganglion (64505) $226.80 $378 0.8×
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines		 $501–$1,066.20 $835–$1,777 varies
Injection for identification of sentinel node (38792)
range across 4 matching MRF lines		 $12,493.83–$112,030.28 $20,823.05–$186,717.13 varies
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $549.60–$567 $916–$945 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $226.80–$528 $378–$880 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 3 matching MRF lines		 $226.80–$567 $378–$945 varies
Injection therapeutic carpal tunnel (20526)
range across 6 matching MRF lines		 $567–$17,635.63 $945–$29,392.72 varies
Injection, anesthetic agent; brachial plexus, single (64415) $1,435.20 $2,392 1.7×
Injection, anesthetic agent; femoral nerve, single (64447) $1,573.80 $2,623 2.3×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $672–$1,428.60 $1,120–$2,381 varies
Injection, intralesional; up to and including 7 lesions (11900) $376.20 $627 1.9×
Ins cath ren art 1st bilat (36252) $6,693 $11,155 2.2×
Ins endovas vena cava filtr (37191) $8,878.80 $14,798 1.6×
Ins/Rep Subq Defibrillator (33270) $65,328 $108,880 2.1×
Insert 1 Electrode Pm-Defib (33216) $11,513.40 $19,189 1.4×
Insert and remove bone pin (20650) $2,481.60 $4,136 0.8×
Insert Bladder Cath Complex (51703) $121.80 $203 1.0×
Insert cath pleura w/ image (32557) $1,407.60 $2,346 0.9×
Insert cath pleura w/o image (32556)
range across 2 matching MRF lines		 $1,250.40–$1,452 $2,084–$2,420 varies
Insert cervical dilator (59200)
range across 2 matching MRF lines		 $640.20–$16,736.65 $1,067–$27,894.42 varies
Insert Drug Implant Device (11981) $124.20 $207 1.0×
Insert Gastrostomy Tube Percutaneous (49440) $2,816.40 $4,694 1.5×
Insert Heart Pm Ventricular (33207) $23,722.20 $39,537 2.3×
Insert multi-comp penis pros (54405) $64,626.21 $107,710.35 3.2×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $2,515.80–$2,607.60 $4,193–$4,346 varies
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $2,572.20 $4,287 1.7×
Insert pulse gen mult leads (33221)
unusually low: confirm this is the full procedure		 $6,814.80 $11,358 0.4×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $96.60–$133.80 $161–$223 varies
Insert tunneled cv cath (36561)
range across 4 matching MRF lines		 $6,235.80–$10,581.81 $10,393–$17,636.35 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $96.60–$118.20 $161–$197 varies
Insertion Picc W/Rs&I 5 Yr/> (36573) $3,932.40 $6,554 2.6×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $11,830.80 $19,718 1.5×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $2,779.20 $4,632 0.9×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $6,373.80 $10,623 4.1×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $3,001.80 $5,003 1.0×
Insj/rplcmt breast implant sep day mastectomy (19342)
range across 5 matching MRF lines		 $27,775.43–$69,032.87 $46,292.38–$115,054.78 varies
Insj/Rplcmt Defib W/Lead(S) (33249)
range across 2 matching MRF lines		 $72,649.80–$155,353.73 $121,083–$258,922.88 varies
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $8,140.20 $13,567 1.0×
Insrt heart pm atrial & vent (33208) $20,640.60 $34,401 2.0×
Interdental fixation (21110) $1,156.80 $1,928 0.8×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $2,620.20 $4,367 1.9×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,108.80 $1,848 2.8×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,108.80 $1,848 2.8×
Intro cath dialysis circuit (36901) $2,281.20 $3,802 1.5×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $16,455.60 $27,426 1.5×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $13,118.40 $21,864 2.4×
Intro Gastrointestinal Tube (44500) $869.40 $1,449 1.0×
Intubation endotracheal emergency procedure (31500)
range across 5 matching MRF lines		 $793.80–$995.40 $1,323–$1,659 varies
Irrigation of corpora cavernosa for priapism (54220) $179.40 $299 0.7×
Lam facetec & foramot lumbar (63047) $38,482.13 $64,136.88 5.4×
Laminotomy Single Lumbar (63042)
range across 2 matching MRF lines		 $32,342.44–$42,824.24 $53,904.07–$71,373.73 varies
Lap insert tunnel ip cath (49324) $11,975.25 $19,958.75 2.0×
Lap paraesoph her rpr w/mesh (43282) $25,852.10 $43,086.83 2.5×
Lap revision perm ip cath (49325) $9,997.80 $16,663 1.7×
Laparoscopy Enterolysis Separate Procedure (44180) $23,972.77 $39,954.62 4.1×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 4 matching MRF lines		 $9,561.26–$19,362.97 $15,935.43–$32,271.62 varies
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $28,866.32 $48,110.53 2.8×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) $28,161.66 $46,936.10 2.7×
Laparoscopy w/rmvl adnexal structures (58661)
range across 4 matching MRF lines		 $19,729.22–$25,820.92 $32,882.03–$43,034.87 varies
Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring,… (58674) $21,958.48 $36,597.47 2.1×
Laparoscopy, surgical, appendectomy (44970) $22,677.98 $37,796.63 3.8×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $15,039.41 $25,065.68 2.5×
Laparoscopy, surgical; partial nephrectomy (50543)
range across 2 matching MRF lines		 $30,552.79–$33,579.59 $50,921.32–$55,965.98 varies
Laparoscopy, surgical; pyeloplasty (50544) $30,751.85 $51,253.08 3.0×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
range across 2 matching MRF lines		 $14,984.72–$20,332.33 $24,974.53–$33,887.22 varies
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) $35,877.43 $59,795.72 3.5×
Laparoscopy, surgical; with biopsy (single or multiple) (49321) $18,260.17 $30,433.62 3.1×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $17,829.51 $29,715.85 3.0×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
range across 3 matching MRF lines		 $17,539.52–$23,874.97 $29,232.53–$39,791.62 varies
Laps surg prst8ect smpl stot robotic assistance (55867) $23,912.08 $39,853.47 2.3×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $12,280.35 $20,467.25 3.4×
Laryngoscopy flexible diagnostic (31575) $149.40 $249 0.8×
Laryngoscopy W/Biopsy (31535)
range across 2 matching MRF lines		 $11,460.02–$25,432.42 $19,100.03–$42,387.37 varies
Larynscop w/tumr exc + scope (31541) $10,822.82 $18,038.03 3.0×
Laser vaporization of prostate (52648) $25,651.45 $42,752.42 4.9×
Late closure of wound (13160) $3,448.80 $5,748 1.0×
Lengthening of tendon, flexor, hand or finger, each tendon Facility (26478) $22,095.76 $36,826.27 6.9×
Ligation Internal/Common Carotid Artery (37605) $2,483.40 $4,139 0.8×
Ligation of a-v fistula (37607) $6,207.60 $10,346 2.0×
Lip Surgery Procedure (40799) $174 $290 0.8×
Litholapaxy smpl/sm <2.5 cm (52317) $13,052.13 $21,753.55 3.8×
Low Back Disk Surgery (63030)
range across 3 matching MRF lines		 $32,067.40–$34,488.27 $53,445.67–$57,480.45 varies
Lysis Intranasal Synechia (30560) $20,003.92 $33,339.87 38.0×
Manipulation knee joint under general anesthesia (27570)
range across 2 matching MRF lines		 $4,299.33–$6,129.48 $7,165.55–$10,215.80 varies
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $7,008.97 $11,681.62 4.5×
Marsupialization of bartholin's gland cyst (56440) $9,388.15 $15,646.92 3.0×
Mast mod rad (19307)
range across 3 matching MRF lines		 $26,576.01–$142,646.86 $44,293.35–$237,744.77 varies
Mastectomy partial (19301)
range across 3 matching MRF lines		 $17,607.65–$31,535.05 $29,346.08–$52,558.42 varies
Mastectomy partial w/axillary lymphadenectomy (19302) $18,952 $31,586.67 2.9×
Mastectomy simple complete (19303)
range across 4 matching MRF lines		 $23,814.37–$59,266.39 $39,690.62–$98,777.32 varies
Mastopexy (19316)
range across 5 matching MRF lines		 $27,074.59–$60,564.43 $45,124.32–$100,940.72 varies
Muscle-skin graft trunk (15734)
range across 4 matching MRF lines		 $25,777.96–$60,564.43 $42,963.27–$100,940.72 varies
Muscle/tendon transfer upper arm/elbow single (24301) $78,545.41 $130,909.02 11.1×
Myelography Lumbar Injection (62305) $5,319 $8,865 7.0×
Myelography Lumbar Injection (62304) $4,807.20 $8,012 6.3×
Myelography via lumbar injection rs&i cervical (62302) $5,069.40 $8,449 6.6×
N Block Inj Ilio-Ing/Hypogi (64425) $790.80 $1,318 1.1×
N block inj intercost sng (64420) $952.80 $1,588 1.4×
N Block Inj Plantar Digit (64455) $583.80 $973 1.9×
N Block Lumbar/Thoracic (64520) $950.40 $1,584 1.1×
Nasal Endoscopy Dx (31231) $18,825.12 $31,375.20 96.7×
Nasal/sinus endoscopy w/maxillary antrostomy (31256)
range across 3 matching MRF lines		 $22,048.22–$31,442.29 $36,747.03–$52,403.82 varies
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287)
range across 3 matching MRF lines		 $28,225.31–$35,079.44 $47,042.18–$58,465.73 varies
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $158,477.86 $264,129.77 91.3×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $1,333.20 $2,222 0.8×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
range across 3 matching MRF lines		 $28,655.33–$33,332.86 $47,758.88–$55,554.77 varies
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259)
range across 2 matching MRF lines		 $23,287.52–$30,431.81 $38,812.53–$50,719.68 varies
Nasal/sinus ndsc total with sphenoidotomy (31257) $35,787.22 $59,645.37 5.2×
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
range across 3 matching MRF lines		 $21,250.53–$27,356.83 $35,417.55–$45,594.72 varies
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276)
range across 2 matching MRF lines		 $21,250.53–$27,409.51 $35,417.55–$45,682.52 varies
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) $31,005.94 $51,676.57 4.5×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $6,955.12 $11,591.87 7.7×
Ndsc wrst surg w/rls transvrs carpl ligm (29848)
range across 3 matching MRF lines		 $7,526.13–$9,653.27 $12,543.55–$16,088.78 varies
Needle Biopsy Lymph Nodes (38505)
range across 5 matching MRF lines		 $1,243.80–$12,521.33 $2,073–$20,868.88 varies
Needle insertion w/o injection 1 or 2 muscles (20560) $26.40 $44 0.9×
Needle insertion w/o injection 3 or more muscles (20561) $33.60 $56 1.2×
Nerve Repair W/Nerve Allograft First Strand (64912) $301,688.18 $502,813.63 35.2×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 5 matching MRF lines		 $9,916.91–$12,233.75 $16,528.18–$20,389.58 varies
Neurp Major Prph Nrv Opn Arm/Leg Brach Plexus (64713) $71,533.60 $119,222.67 37.5×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,199.40 $1,999 2.9×
Nfct ds csf metagenomic ngs bioinformatic alys (0480U) $6,378.60 $10,631 3.0×
Nipple/areola reconstruction (19350)
range across 4 matching MRF lines		 $16,083.57–$33,760.17 $26,805.95–$56,266.95 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $1,188 $1,980 4.0×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $5,556 $9,260 1.6×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,759.20 $2,932 2.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $7,896.29 $13,160.48 9.2×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $3,284.40 $5,474 4.8×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327)
range across 3 matching MRF lines		 $1,816.20–$7,896.29 $3,027–$13,160.48 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $3,530.40 $5,884 5.1×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $1,750.20 $2,917 2.6×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
range across 4 matching MRF lines		 $22,317.16–$33,332.86 $37,195.27–$55,554.77 varies
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) $27,409.51 $45,682.52 4.0×
Ob preeclampsia sflt-1/plgf ratio ia serum/plsm (0524U) $270 $450 2.1×
Occipital Nerve Block (64405) $1,188 $1,980 4.0×
Open biopsy/excision inguinofemoral nodes (38531) $18,698.16 $31,163.60 4.9×
Open impltj hpglsl nrv nstim ra pg&respir sensor (64582)
range across 3 matching MRF lines		 $149,770.79–$158,477.86 $249,617.98–$264,129.77 varies
Open Treatment Bimalleolar Ankle Fracture (27814) $62,487.06 $104,145.10 8.8×
Open treatment calcaneal fracture (28415) $28,325.04 $47,208.40 4.0×
Open treatment fracture distal tibia only (27827)
range across 2 matching MRF lines		 $81,937.26–$99,241.91 $136,562.10–$165,403.18 varies
Open Treatment Medial Malleolus Fracture (27766)
range across 3 matching MRF lines		 $67,591.28–$81,937.26 $112,652.13–$136,562.10 varies
Open treatment metatarsal fracture each (28485) $37,699.48 $62,832.47 5.3×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
range across 2 matching MRF lines		 $42,661.74–$46,724.71 $71,102.90–$77,874.52 varies
Open treatment of nasal fracture; uncomplicated Facility (21325) $13,221 $22,035 4.1×
Open Treatment Proximal Humeral Fracture (23615)
range across 2 matching MRF lines		 $58,372.78–$61,210.86 $97,287.97–$102,018.10 varies
Open tx carpal scaphoid navicular fracture (25628)
range across 3 matching MRF lines		 $16,727.91–$25,125.29 $27,879.85–$41,875.48 varies
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
range across 2 matching MRF lines		 $35,390.87–$46,246.16 $58,984.78–$77,076.93 varies
Open Tx Distal Phalangeal Fracture Each (26765)
range across 3 matching MRF lines		 $5,326.20–$16,360.83 $8,877–$27,268.05 varies
Open Tx Distal Tibiofibular Joint Disruption (27829)
range across 2 matching MRF lines		 $51,410.27–$58,355.53 $85,683.78–$97,259.22 varies
Open Tx Metacarpal Fracture Single Ea Bone (26615)
range across 5 matching MRF lines		 $19,406.74–$67,846.05 $32,344.57–$113,076.75 varies
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $13,923.74 $23,206.23 4.4×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
range across 2 matching MRF lines		 $58,748.96–$58,844.89 $97,914.93–$98,074.82 varies
Open tx ulnar fx proximal end (24685) $30,534.82 $50,891.37 4.3×
Open/Perq Place Stent 1St (37236) $26,353.20 $43,922 2.3×
Open/Perq Place Stent Same (37238) $14,173.20 $23,622 1.3×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
range across 2 matching MRF lines		 $31,555.20–$35,955.58 $52,592–$59,925.97 varies
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
range across 2 matching MRF lines		 $31,101.98–$38,858.36 $51,836.63–$64,763.93 varies
Optx humeral shft fx w/plate/screws w/wocerclage (24515) $33,461.74 $55,769.57 2.7×
Optx tibial fx prox bicondylar w/wo int fixj (27536) $59,067.02 $98,445.03 8.3×
Ostectomy calcaneus (28118)
range across 2 matching MRF lines		 $27,690.28–$28,325.04 $46,150.47–$47,208.40 varies
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110)
range across 2 matching MRF lines		 $17,351.32–$55,156.66 $28,918.87–$91,927.77 varies
Osteochondral knee autograft (27416)
range across 2 matching MRF lines		 $39,076.45–$53,180.72 $65,127.42–$88,634.53 varies
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308)
range across 5 matching MRF lines		 $10,060.30–$167,698.43 $16,767.17–$279,497.38 varies
Osteotomy calcaneus w/wo internal fixation (28300)
range across 3 matching MRF lines		 $25,670.18–$29,329.40 $42,783.63–$48,882.33 varies
Palatopharyngoplasty (42145) $12,083.65 $20,139.42 2.1×
Partial Excision Distal Phalanx Finger (26236) $1,195.80 $1,993 0.8×
Partial hymenectomy or revision of hymenal ring (56700) $7,542.87 $12,571.45 2.4×
Partial removal of thyroid (60220)
range across 2 matching MRF lines		 $24,421.60–$34,899.15 $40,702.67–$58,165.25 varies
Partical Excision Bone Phalanx Toe (28124) $14,594.27 $24,323.78 4.6×
Percut Mech Thrombectomy, Venous, Repeat (37188) $7,923.60 $13,206 2.6×
Peri-Implant Capsulectomy Breast Complete (19371)
range across 4 matching MRF lines		 $16,120.66–$63,290.65 $26,867.77–$105,484.42 varies
Pericardiocentesis W/Imaging (33016) $1,207.80 $2,013 0.8×
Perq dev breast 1st strtctc (19283) $4,027.20 $6,712 5.8×
Perq device breast 1st imag (19281) $3,538.20 $5,897 2.2×
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) $34,549.55 $57,582.58 3.7×
Perq skel fixj distal radial fx/epiphysl sep (25606) $14,085.92 $23,476.53 4.4×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $20,259 $33,765 1.8×
Perq Vertebral Augmentation (22513) $17,901 $29,835 2.5×
Placement of needle for intraosseous infusion (36680) $352.20 $587 0.8×
Placement of seton (46020) $11,297.60 $18,829.33 4.2×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $2,142 $3,570 0.8×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $8,129.86 $13,549.77 2.5×
Prq skel fixj femoral fx prox end neck (27235) $26,715.31 $44,525.52 3.8×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122)
range across 3 matching MRF lines		 $10,548.89–$179,875.66 $17,581.48–$299,792.77 varies
Punch biopsy skin single lesion (11104)
range across 3 matching MRF lines		 $754.20–$16,039.67 $1,257–$26,732.78 varies
Puncture aspiration abscess hematoma bulla/cyst (10160) $2,256 $3,760 5.7×
Puncture Aspiration Cyst Breast (19000)
range across 5 matching MRF lines		 $487.80–$1,662.60 $813–$2,771 varies
Pvb Thoracic Single Injection Site W/Img Gid (64461) $1,418.40 $2,364 2.1×
Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) $10,065.65 $16,776.08 3.2×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $3,651 $6,085 1.9×
Reconstruct Finger Joint (26548) $24,239.36 $40,398.93 7.6×
Reconstruction of throat (42950) $17,398.01 $28,996.68 3.0×
Reduction of rectal prolapse (45900) $693 $1,155 0.8×
Reinforce tibia (27745)
range across 3 matching MRF lines		 $114,592.45–$128,372 $190,987.42–$213,953.33 varies
Release or recession, hamstring, proximal Facility (27097) $12,126.01 $20,210.02 3.8×
Rem Endovas Vena Cava Filter (37193) $5,423.40 $9,039 1.8×
Removal Embedded Foreign Body Eyelid (67938) $221.40 $369 0.7×
Removal Foreign Body Foot Subcutaneous (28190) $8,387.91 $13,979.85 12.1×
Removal foreign body jawbone (41806) $1,156.80 $1,928 0.8×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $1,249.20 $2,082 0.8×
Removal impacted cerumen irrigation/lvg unilat (69209) $45.60 $76 0.8×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 5 matching MRF lines		 $143.40–$6,200.30 $239–$10,333.83 varies
Removal Implant Deep (20680)
range across 3 matching MRF lines		 $14,506.29–$143,530.66 $24,177.15–$239,217.77 varies
Removal implantable contraceptive capsules (11976) $1,330.80 $2,218 1.9×
Removal intact breast implant (19328)
range across 2 matching MRF lines		 $36,299.90–$142,930.12 $60,499.83–$238,216.87 varies
Removal of a lesion from the floor of the mouth (41116) $15,453.25 $25,755.42 4.8×
Removal of adenoids (42830) $11,844.16 $19,740.27 3.7×
Removal of brow wrinkles (15826) $41,450.12 $69,083.53 12.0×
Removal of foreign body from pharynx (42809) $427.20 $712 1.0×
Removal of heel spur (28119)
range across 2 matching MRF lines		 $17,647.24–$32,788.99 $29,412.07–$54,648.32 varies
Removal of mammary implant material (19330)
range across 4 matching MRF lines		 $27,154.27–$71,211.07 $45,257.12–$118,685.12 varies
Removal of nail bed (11750)
range across 2 matching MRF lines		 $777.60–$6,919.49 $1,296–$11,532.48 varies
Removal of skin wrinkles (15829) $46,152.77 $76,921.28 13.3×
Removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft), hand or finger, each rod… (26416) $18,324.64 $30,541.07 5.7×
Removal of tonsils (42825) $12,966.95 $21,611.58 2.2×
Removal of tonsils (42826) $14,780.27 $24,633.78 4.6×
Removal of tunneled intraperitoneal catheter (49422) $11,751.22 $19,585.37 3.8×
Removal or bivalving full arm or full leg cast (29705) $237 $395 0.9×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $150.60 $251 0.8×
Removal subcutaneous cardiac rhythm monitor (33286) $1,813.20 $3,022 2.6×
Removal Sutures/Staples Requiring Anesthesia (15851) $4,298.40 $7,164 2.1×
Removal, under anesthesia, of external fixation system (20694) $99,241.91 $165,403.18 63.3×
Removal/bivalving gauntlet boot/body cast (29700) $237 $395 0.9×
Remove drug implant device (11982) $1,189.20 $1,982 2.7×
Remove Elbow Joint Lining (24102) $11,819.47 $19,699.12 3.7×
Remove foreign body from eye (65235) $1,800.60 $3,001 0.8×
Remove foreign body from eye (65205) $97.20 $162 0.7×
Remove Intrauterine Device (58301)
range across 3 matching MRF lines		 $608.40–$17,755.35 $1,014–$29,592.25 varies
Remove intrvas foreign body (37197) $6,736.80 $11,228 2.2×
Remove Nasal Foreign Body (30300) $278.40 $464 2.1×
Remove renal tube w/fluoro (50389) $589.20 $982 0.9×
Remove Tendon Sheath Lesion (26160)
range across 5 matching MRF lines		 $4,256–$9,419.18 $7,093.33–$15,698.63 varies
Remove tissue expander (11971)
range across 3 matching MRF lines		 $12,026.14–$26,232.07 $20,043.57–$43,720.12 varies
Remove&replace pm gen singl (33227) $17,020.80 $28,368 2.1×
Remv&replc cvd gen dual lead (33263) $71,731.80 $119,553 3.3×
Remv&replc cvd gen mult lead (33264) $93,251.40 $155,419 3.0×
Remv&replc pm gen dual lead (33228) $10,432.20 $17,387 1.0×
Remv&replc pm gen mult leads (33229) $21,780 $36,300 1.2×
Renal Biopsy Perq (50200) $1,389 $2,315 0.9×
Repair Achilles Tendon (27650)
range across 3 matching MRF lines		 $23,671.94–$34,343.53 $39,453.23–$57,239.22 varies
Repair Blood Vessel Direct Upper Extremity (35206) $2,483.40 $4,139 0.8×
Repair brow ptosis (67900) $28,525.88 $47,543.13 12.3×
Repair Collat Ankle Ligmnt,Secondary (27698) $26,399.68 $43,999.47 3.7×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,921.80 $3,203 2.7×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,921.80 $3,203 4.8×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,921.80 $3,203 4.8×
Repair complex trunk 1.1-2.5 cm (13100) $1,921.80 $3,203 2.7×
Repair complex trunk 2.6-7.5 cm (13101) $30,633.69 $51,056.15 42.5×
Repair Elbow Perc (24357)
range across 3 matching MRF lines		 $4,534.40–$12,366.80 $7,557.33–$20,611.33 varies
Repair extensor tendon finger w/o graft each (26418)
range across 3 matching MRF lines		 $11,070.44–$21,155.71 $18,450.73–$35,259.52 varies
Repair Eyelid Wound (67935) $1,762.80 $2,938 0.8×
Repair Finger/Hand Tendon (26350) $2,481.60 $4,136 0.8×
Repair Hallux Rigidus (28289)
range across 5 matching MRF lines		 $14,240.14–$28,791.73 $23,733.57–$47,986.22 varies
Repair Hand Tendon (26410) $13,481.78 $22,469.63 8.6×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $1,108.80 $1,848 2.8×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $1,108.80 $1,848 2.8×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,108.80 $1,848 2.8×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,108.80 $1,848 2.8×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,108.80 $1,848 1.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $4,970–$21,518.14 $8,283.33–$35,863.57 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $1,108.80 $1,848 2.8×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,108.80 $1,848 1.5×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,108.80 $1,848 2.8×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $8,205.61 $13,676.02 20.7×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $1,108.80 $1,848 2.8×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,108.80 $1,848 1.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $20,301.62 $33,836.03 51.2×
Repair Nasal Vestibular Stenosis (30465) $19,233.92 $32,056.53 3.3×
Repair of nail bed (11760) $1,240.20 $2,067 1.7×
Repair of Ruptured Tendon (24342)
range across 2 matching MRF lines		 $17,693.74–$27,180.48 $29,489.57–$45,300.80 varies
Repair secondary achilles tendon w/wo graft (27654)
range across 2 matching MRF lines		 $13,114.16–$91,747.60 $21,856.93–$152,912.67 varies
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $2,481.60 $4,136 0.8×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $21,738.05 $36,230.08 3.1×
Repair tongue laceration (41252) $174 $290 0.8×
Repair tongue laceration (41250) $315.60 $526 0.7×
Repair webbed toe(s) (28345) $12,638.63 $21,064.38 8.1×
Repair, primary, disrupted ligament, ankle; collateral (27695)
range across 3 matching MRF lines		 $22,407.70–$185,728.66 $37,346.17–$309,547.77 varies
Replace duodenostomy/jejunostomy tube perq (49451) $688.80 $1,148 0.8×
Replace g/c tube perc (49450) $688.80 $1,148 0.8×
Replacement Tissue Expander W/Permanent Implant (11970)
range across 2 matching MRF lines		 $37,264.15–$48,600.59 $62,106.92–$81,000.98 varies
Reposition Pacing-Defib Lead (33215) $4,522.80 $7,538 1.5×
Repr elbow lat ligmnt w/tiss (24343) $12,511.31 $20,852.18 3.9×
Resection/transplantation long tendon biceps (23440)
range across 5 matching MRF lines		 $62,278.92–$70,657.84 $103,798.20–$117,763.07 varies
Revise ulnar nerve at wrist (64719)
range across 5 matching MRF lines		 $8,546.37–$29,545.96 $14,243.95–$49,243.27 varies
Revise Wrist/Forearm Tendon (25280)
range across 3 matching MRF lines		 $29,545.96–$37,116.49 $49,243.27–$61,860.82 varies
Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22861) $69,701.83 $116,169.72 4.1×
Revision of big toe (28310)
range across 3 matching MRF lines		 $31,943.65–$51,494.86 $53,239.42–$85,824.77 varies
Revision of lower leg tendon (27685) $43,906.91 $73,178.18 13.8×
Revision of reconstructed breast (19380)
range across 5 matching MRF lines		 $12,794.19–$57,892.60 $21,323.65–$96,487.67 varies
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) $41,448.65 $69,081.08 3.3×
Revision Peri-Implant Capsule Breast (19370)
range across 6 matching MRF lines		 $59,147.59–$142,930.12 $98,579.32–$238,216.87 varies
Revj tot hip arthrp bth w/wo agrft/algrft (27134) $78,197.01 $130,328.35 6.2×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
range across 2 matching MRF lines		 $59,619.71–$64,784.91 $99,366.18–$107,974.85 varies
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486)
range across 3 matching MRF lines		 $69,692.47–$77,021.12 $116,154.12–$128,368.53 varies
Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) $22,648.16 $37,746.93 3.9×
Rhytidectomy Cheek Chin & Neck (15828) $69,872.09 $116,453.48 20.2×
Rhytidectomy Forehead (15824)
range across 2 matching MRF lines		 $26,996.68–$42,038.47 $44,994.47–$70,064.12 varies
Rhytidectomy Neck W/Platysmal Tightening (15825) $47,592.65 $79,321.08 13.8×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $688.80 $1,148 0.8×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $433.80 $723 1.0×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $97.20 $162 0.7×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $315.60 $526 0.7×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $4,731.50 $7,885.83 1.7×
Rmvl of subq implantable defibrillator electrode (33272) $7,425 $12,375 2.0×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $4,111.20 $6,852 2.7×
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) $237 $395 0.9×
Rplc Gtube No Revj Trc (43762)
range across 3 matching MRF lines		 $440.40–$1,935.60 $734–$3,226 varies
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $17,374.56 $28,957.60 2.9×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591)
range across 2 matching MRF lines		 $14,510.65–$41,630.21 $24,184.42–$69,383.68 varies
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) $33,344.83 $55,574.72 5.3×
Rpr aa hernia recr 3-10 cm reducible (49615) $15,567.97 $25,946.62 2.5×
Rpr aa hrn 1st 3-10 rdc (49593) $15,200.45 $25,334.08 2.4×
Rpr aa hrn 1st < 3 ncr/strn (49592) $13,521.12 $22,535.20 2.3×
Rpr blood vessel direct lower extremity (35226) $541.20 $902 0.8×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $941.40 $1,569 4.8×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,156.80 $1,928 1.6×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $174 $290 0.8×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $381 $635 0.7×
Rpr Lip Full Thickness Vermilion Only (40650) $381 $635 0.7×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) $20,816.11 $34,693.52 2.9×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200)
range across 3 matching MRF lines		 $12,109.37–$28,277.03 $20,182.28–$47,128.38 varies
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $2,481.60 $4,136 0.8×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $483 $805 0.8×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $29,510.38 $49,183.97 9.2×
Scrotoplasty Simple (55175) $35,810.13 $59,683.55 10.4×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $20,643.17 $34,405.28 6.4×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $2,638.20 $4,397 2.9×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338)
range across 2 matching MRF lines		 $3,862.80–$4,085.12 $6,438–$6,808.53 varies
Shave skin lesion 0.5 cm/< (11300) $777.60 $1,296 2.0×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $376.20 $627 1.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $378.60 $631 1.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $378.60 $631 1.9×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $376.20 $627 1.9×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $376.20 $627 1.9×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 3 matching MRF lines		 $2,649.54–$5,087.12 $4,415.90–$8,478.53 varies
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $941.40 $1,569 2.4×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $941.40 $1,569 4.8×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $941.40 $1,569 4.8×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $941.40 $1,569 2.4×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $941.40 $1,569 4.8×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $941.40 $1,569 4.8×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 14 matching MRF lines		 $800.40–$3,711.60 $1,334–$6,186 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $941.40 $1,569 4.8×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $941.40 $1,569 4.8×
Skin sub graft face/nk/hf/g (15275)
range across 4 matching MRF lines		 $1,335–$7,313.85 $2,225–$12,189.75 varies
Skin sub graft trnk/arm/leg (15271)
range across 5 matching MRF lines		 $1,335–$13,314.74 $2,225–$22,191.23 varies
Skin sub grft t/arm/lg child (15273) $250.80 $418 0.1×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $17,936.96 $29,894.93 3.7×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $941.40 $1,569 4.8×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $941.40 $1,569 2.4×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $941.40 $1,569 2.4×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $1,168.80–$2,581.20 $1,948–$4,302 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $18,993.47 $31,655.78 5.5×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $6,416.40 $10,694 3.2×
Strapping ankle (29540) $121.80 $203 0.8×
Strapping elbow or wrist (29260) $48 $80 0.8×
Strapping hand/finger (29280) $48 $80 0.8×
Strapping knee (29530) $97.20 $162 0.7×
Strapping shoulder (29240) $477.60 $796 3.7×
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $121.80–$376.80 $203–$628 varies
Submucous Rescj Inferior Turbinate Prtl/Compl (30140)
range across 4 matching MRF lines		 $19,100.29–$38,886.13 $31,833.82–$64,810.22 varies
Suction assisted lipectomy; trunk (15877)
range across 3 matching MRF lines		 $17,387.20–$35,126.24 $28,978.67–$58,543.73 varies
Suction assisted lipectomy; upper extremity (15878) $39,465.22 $65,775.37 19.6×
Suction Lipectomy Lwr Extrem (15879) $60,564.43 $100,940.72 17.5×
Surg nasopharyngoscopy dilat eustachian tube bi (69706)
range across 2 matching MRF lines		 $15,095.85–$42,862.37 $25,159.75–$71,437.28 varies
Surg tx anal fistula subq (46270) $9,321.49 $15,535.82 3.4×
Suture digital nerve hand/foot 1 nerve (64831)
range across 2 matching MRF lines		 $26,641.36–$29,510.38 $44,402.27–$49,183.97 varies
Suture infrapatellar tendon primary (27380)
range across 2 matching MRF lines		 $24,647.87–$34,534.33 $41,079.78–$57,557.22 varies
Suture of quadriceps or hamstring muscle rupture primary (27385)
range across 3 matching MRF lines		 $17,234.85–$20,649.26 $28,724.75–$34,415.43 varies
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145)
range across 2 matching MRF lines		 $7,422.84–$10,246.62 $12,371.40–$17,077.70 varies
Tangential biopsy skin single lesion (11102) $376.20 $627 0.9×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289)
likely a partial charge, not the full procedure		 $6,736.80 $11,228 0.2×
Tcat Insj/Rpl Perm Ldls Pm (33274) $42,183 $70,305 2.2×
Tendon lengthening upper arm/elbow ea tendon (24305)
range across 3 matching MRF lines		 $12,035.38–$38,858.36 $20,058.97–$64,763.93 varies
Tenodesis long tendon biceps (23430)
range across 2 matching MRF lines		 $66,890.23–$71,533.60 $111,483.72–$119,222.67 varies
Tenodesis Wrist Extensors Fingers (25301) $23,866.22 $39,777.03 7.5×
Tenolysis flexor tendon palm/finger each tendon (26440) $9,335.66 $15,559.43 6.0×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680)
range across 3 matching MRF lines		 $16,770.29–$185,728.66 $27,950.48–$309,547.77 varies
Tenotomy Percutaneous Toe Single Tendon (28010)
range across 3 matching MRF lines		 $3,506.40–$8,828.36 $5,844–$14,713.93 varies
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $8,828.36 $14,713.93 5.6×
Ther Spi Pnxr Csf Fluor/Ct (62329) $2,466 $4,110 3.6×
Therapeutic Apheresis White Blood Cells (36511) $4,722.60 $7,871 3.1×
Therapeutic plasma exchange (36514) $3,548.40 $5,914 2.3×
Thromblytic art/ven therapy (37213) $5,314.80 $8,858 1.7×
Thrombolytic Therapy Stroke (37195) $482.40 $804 1.5×
Thrombolytic Venous Therapy (37212) $2,483.40 $4,139 0.8×
Tissue Expander Placement Breast Reconstruction (19357)
range across 3 matching MRF lines		 $31,875.58–$142,646.86 $53,125.97–$237,744.77 varies
Tnot elbow lateral/medial debride open tdn rpr (24359)
range across 2 matching MRF lines		 $8,159.24–$12,079.83 $13,598.73–$20,133.05 varies
Tonsillectomy and adenoidectomy; age 12 or over (42821) $14,098.67 $23,497.78 4.4×
Tooth extraction (41899) $1,484.40 $2,474 6.4×
Total Knee Arthroplasty (27447)
range across 2 matching MRF lines		 $51,760.92–$51,936.53 $86,268.20–$86,560.88 varies
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $2,356.80 $3,928 0.7×
Tracheobrnchsc Thru Est Trachs Inc (31615) $381 $635 0.7×
Tracheostomy Emergency Cricothyroid Membrane (31605) $174 $290 0.8×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,156.80 $1,928 0.8×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $29,594.09 $49,323.48 15.5×
Transplant hand tendon (26480) $24,899.82 $41,499.70 7.8×
Transur electr resection of prostate (52601) $18,184.53 $30,307.55 3.5×
Treat ectopic pregnancy (59151)
range across 3 matching MRF lines		 $17,558.38–$22,957.60 $29,263.97–$38,262.67 varies
Treat Finger Fracture Each (26727)
range across 4 matching MRF lines		 $9,552.04–$10,255.71 $15,920.07–$17,092.85 varies
Treat Fx Rad Extra-Articul (25607)
range across 3 matching MRF lines		 $28,828.35–$36,897.19 $48,047.25–$61,495.32 varies
Treat humerus fracture (24500) $453.60 $756 1.9×
Treat Humerus Fracture (24505) $1,195.80 $1,993 0.8×
Treat humerus fracture (23600) $445.80 $743 1.9×
Treat knee fracture (27532) $4,878 $8,130 1.5×
Treat Knuckle Dislocation (26700) $172.80 $288 0.7×
Treat Metatarsal Fracture (28475) $172.80 $288 0.7×
Treat Tail Bone Fracture (27200) $172.80 $288 0.7×
Treat Thumb Dislocation (26641) $172.80 $288 0.7×
Treat Thumb Fracture (26645) $1,195.80 $1,993 0.8×
Treat thumb fracture (26665) $9,957.46 $16,595.77 3.1×
Treat toe dislocation (28630) $172.80 $288 0.7×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,195.80 $1,993 0.8×
Treatment closed elbow dislocation w/o anes (24600) $172.80 $288 0.7×
Treatment of ankle fracture (27823) $46,766.89 $77,944.82 6.6×
Trim skin lesion (11055) $190.80 $318 1.0×
Trim skin lesions 2 to 4 (11056) $122.40 $204 0.6×
Trluml Balo Angiop 1St Art (37246) $14,073 $23,455 2.5×
Trluml Balo Angiop 1St Vein (37248) $11,625 $19,375 2.1×
Tx Gastro Intub W/Asp (43753) $229.20 $382 1.1×
Tx Incomplete Abortion Any Trimester Surgical (59812) $8,732.51 $14,554.18 2.8×
Tx Missed Abortion First Trimester Surgical (59820) $9,000.16 $15,000.27 2.8×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230)
range across 3 matching MRF lines		 $8,412.44–$10,985.95 $14,020.73–$18,309.92 varies
Tx Superficial Wound Dehiscence Simple Closure (12020) $10,879.18 $18,131.97 15.1×
Tx superficial wound dehiscence w/packing (12021) $795 $1,325 2.0×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
range across 2 matching MRF lines		 $60,661.29–$148,698.26 $101,102.15–$247,830.43 varies
Tympanoplasty (69631) $15,314.90 $25,524.83 2.7×
Tympanostomy general anesthesia (69436)
range across 4 matching MRF lines		 $5,410.72–$12,934.76 $9,017.87–$21,557.93 varies
Unlisted Cardiac Surgery (33999) $710.40 $1,184 1.2×
Unlisted hysteroscopy procedure, uterus (58579) $14,406.38 $24,010.63 73.0×
Unlisted laparoscopic procedure liver (47379) $12,495.52 $20,825.87 2.1×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) $22,561.49 $37,602.48 3.8×
Unlisted laparoscopy procedure, spermatic cord (55559)
range across 2 matching MRF lines		 $15,112.60–$16,288.61 $25,187.67–$27,147.68 varies
Unlisted procedure breast (19499)
range across 2 matching MRF lines		 $10,795.40–$31,535.05 $17,992.33–$52,558.42 varies
Unlisted procedure femur or knee (27599)
range across 2 matching MRF lines		 $4,064.85–$4,870.80 $6,774.75–$8,118 varies
Unlisted Procedure Hands/Fingers (26989) $453.60 $756 1.9×
Unlisted Procedure Leg/Ankle (27899) $57,105.52 $95,175.87 237.3×
Unlisted procedure nervous system (64999)
range across 3 matching MRF lines		 $48,541.24–$58,883.95 $80,902.07–$98,139.92 varies
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $174 $290 0.8×
Unlisted Procedure Tongue Floor Mouth (41599) $174 $290 0.8×
Unlisted Procedure Vascular Surgery (37799) $387 $645 0.6×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $14,683.24 $24,472.07 16.6×
Unlisted procedure, vestibule of mouth (40899) $461.40 $769 2.0×
Unlisted px female genital system nonobstetrical (58999) $12,224.43 $20,374.05 62.0×
Vaginal delivery only (59409) $4,052.40 $6,754 1.3×
Vaginal hysterectomy, for uterus 250 g or less; (58260) $20,007.05 $33,345.08 4.1×
Venous Mech Thrombectomy (37187) $7,725 $12,875 0.7×
Ventilating tube removal requiring general anesthesia (69424)
range across 2 matching MRF lines		 $4,169.40–$5,163 $6,949–$8,605 varies
Vulvectomy simple partial (56620) $37,085.22 $61,808.70 11.7×
Wedge excision skin nail fold (11765) $311.40 $519 0.8×
Wedging of cast (29740) $237 $395 0.9×
Windowing of cast (29730) $237 $395 1.5×
Wound Prep F/N/Hf/G (15004) $18,993.47 $31,655.78 47.9×
Wound Prep Trk/Arm/Leg (15002) $684.60 $1,141 0.9×

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.