Procedures & surgery prices at Boone County Hospital

Boone, IA · every code in this section with a posted price and a Medicare benchmark.

1060 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,392.55 $1,740.69 1.6×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 3 matching MRF lines		 $266.40–$448 $333–$560 varies
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801)
range across 3 matching MRF lines		 $176–$440 $220–$550 varies
Acne surgery (10040)
range across 3 matching MRF lines		 $113.28–$283.20 $141.60–$354 varies
Acromiopl/Acromionect Partial (23130) $1,000 $1,250 0.3×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $4,710.40 $5,888 1.4×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)
range across 3 matching MRF lines		 $287.04–$717.60 $358.80–$897 varies
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $1,216.80 $1,521 0.6×
Amniocentesis diagnostic (59000) $160 $200 0.2×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $1,184 $1,480 0.4×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $1,160 $1,450 0.4×
Amputation Foot Midtarsal (28800) $1,040 $1,300 0.3×
Amputation foot transmetarsal (28805) $1,440 $1,800 0.5×
Amputation metatarsal with toe single (28810) $840 $1,050 0.3×
Amputation toe interphalangeal joint (28825)
range across 2 matching MRF lines		 $1,040–$2,649.60 $1,300–$3,312 varies
Amputation toe metatarsophalangeal joint (28820)
range across 2 matching MRF lines		 $780–$840 $975–$1,050 varies
Amputation, leg, through tibia and fibula; (27880)
range across 6 matching MRF lines		 $565.12–$1,760 $706.40–$2,200 varies
Anoscopy Ablation Lesion (46615) $642.40 $803 0.2×
Anoscopy Control Bleeding (46614) $1,339.25 $1,674.06 1.2×
Anoscopy diagnostic (46600)
range across 6 matching MRF lines		 $54.40–$141.98 $68–$177.48 varies
Anoscopy W/Rmvl Foreign Body (46608) $219.54 $274.43 0.2×
Anoscopy; with biopsy, single or multiple (46606) $137.60 $172 0.1×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $140 $175 0.1×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $200 $250 0.1×
Ant Vesicourethropexy/Urethropexy Smpl (51840) $1,168 $1,460 0.2×
Anterior colporraphy rpr cystocele w/cysto (57240) $1,080 $1,350 0.2×
Appendectomy (44950)
range across 2 matching MRF lines		 $1,074.40–$1,200 $1,343–$1,500 varies
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $252 $315 1.6×
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines		 $84–$135.20 $105–$169 varies
Application Finger Splint Dynamic (29131) $79.20 $99 1.4×
Application finger splint static (29130)
range across 2 matching MRF lines		 $62.40–$82.33 $78–$102.91 varies
Application Hip Spica Cast 1 Leg (29305) $190.97 $238.71 0.7×
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $122.47–$132 $153.09–$165 varies
Application Long Leg Cast Brace (29358) $244 $305 0.9×
Application Long Leg Cast Walker/Ambulatory Type (29355) $228 $285 0.8×
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $128–$135.18 $160–$168.97 varies
Application multiplane external fixation system (20692)
likely a partial charge, not the full procedure		 $2,042.18 $2,552.72 0.2×
Application of cylinder cast (thigh to ankle) (29365) $200 $250 0.7×
Application of long leg cast (29345)
range across 2 matching MRF lines		 $208.80–$220 $261–$275 varies
Application of rigid total contact leg cast (29445)
range across 8 matching MRF lines		 $252–$760 $315–$950 varies
Application Patellar Tendon Bearing Cast (29435) $192 $240 0.7×
Application Short Arm Splint Dynamic (29126) $110.68 $138.35 0.9×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $86.18–$105.60 $107.73–$132 varies
Application short leg splint calf foot (29515)
range across 3 matching MRF lines		 $109.60–$112 $137–$140 varies
Application uniplane external fixation system (20690)
range across 4 matching MRF lines		 $915.36–$2,542.40 $1,144.20–$3,178 varies
Apply hand/wrist cast (29085) $71.60 $89.50 0.5×
Apply long arm cast (29065) $72.40 $90.50 0.3×
Apply Multlay Comprs Lwr Leg (29581)
range across 5 matching MRF lines		 $50–$760 $62.50–$950 varies
Apply Short Leg Cast (29405) $135.20 $169 0.5×
Apply short leg cast (29425) $144.80 $181 0.5×
Arterial puncture (36600)
range across 2 matching MRF lines		 $100.02–$106.82 $125.02–$133.53 varies
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure		 $1,390.40 $1,738 0.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 12 matching MRF lines		 $50.88–$1,071.86 $63.60–$1,339.82 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 3 matching MRF lines		 $164–$535.93 $205–$669.91 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 13 matching MRF lines		 $60.48–$1,071.86 $75.60–$1,339.82 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 6 matching MRF lines		 $52.08–$535.93 $65.10–$669.91 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 13 matching MRF lines		 $48.96–$1,071.86 $61.20–$1,339.82 varies
Arthrodesis ankle open (27870)
range across 2 matching MRF lines		 $741.60–$1,960 $927–$2,450 varies
Arthrodesis great toe interphalangeal joint (28755)
range across 6 matching MRF lines		 $522.88–$2,178.40 $653.60–$2,723 varies
Arthrodesis great toe metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure		 $1,600 $2,000 0.2×
Arthrodesis subtalar (28725)
range across 2 matching MRF lines		 $1,414.50–$1,471.20 $1,768.13–$1,839 varies
Arthrodesis triple (28715)
likely a partial charge, not the full procedure		 $1,639.20 $2,049 0.1×
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure		 $3,213.60 $4,017 0.2×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $1,376 $1,720 0.4×
Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) $1,572 $1,965 1.0×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $1,080 $1,350 0.3×
Arthroscopy Ankle Surgical Debridement Limited (29897) $960 $1,200 0.3×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $780 $975 0.2×
Arthroscopy Knee Synovectomy 2/>Compartments (29876)
range across 4 matching MRF lines		 $636–$1,468.80 $795–$1,836 varies
Arthroscopy shoulder distal claviculectomy (29824) $1,524 $1,905 0.5×
Arthroscopy shoulder surgical capsulorrhaphy (29806)
range across 3 matching MRF lines		 $948–$2,370 $1,185–$2,962.50 varies
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $796 $995 0.3×
Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834)
range across 2 matching MRF lines		 $1,109.30–$2,218.61 $1,386.63–$2,773.26 varies
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $1,273.20 $1,591.50 0.4×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
likely a partial charge, not the full procedure		 $2,050.40 $2,563 0.3×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $1,334.40 $1,668 0.4×
Arthroscopy, shoulder, surgical; debridement, limited (29822)
range across 2 matching MRF lines		 $1,037.60–$1,220.80 $1,297–$1,526 varies
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
likely a partial charge, not the full procedure		 $1,851.20 $2,314 0.3×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $972 $1,215 0.3×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure		 $2,387.20 $2,984 0.3×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
range across 2 matching MRF lines		 $2,429.80–$2,858.60 $3,037.25–$3,573.25 varies
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)
likely a partial charge, not the full procedure		 $1,944 $2,430 0.2×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
likely a partial charge, not the full procedure		 $1,712 $2,140 0.2×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $1,646.40 $2,058 0.5×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $1,120 $1,400 0.4×
Arthrs knee debridement/shaving artclr crtlg (29877) $1,044 $1,305 0.3×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880)
range across 2 matching MRF lines		 $952.80–$960 $1,191–$1,200 varies
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620)
range across 6 matching MRF lines		 $461.44–$1,922.40 $576.80–$2,403 varies
Arthrt Elbow Capsular Excision Capsular Rls Spx (24006)
range across 2 matching MRF lines		 $1,608.80–$3,217.60 $2,011–$4,022 varies
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022)
range across 3 matching MRF lines		 $293.92–$734.80 $367.40–$918.50 varies
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $824.78–$1,891.06 $1,030.98–$2,363.82 varies
Aspirate Pleura W/O Imaging (32554)
range across 3 matching MRF lines		 $176–$414.37 $220–$517.96 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 6 matching MRF lines		 $33.60–$112 $42–$140 varies
Aspiration & Injection Treatment Bone Cyst (20615) $277.38 $346.72 0.4×
Aspiration and/or injection thyroid cyst (60300) $691.04 $863.80 1.0×
Aspiration bladder insert suprapubic catheter (51102) $420 $525 0.2×
Avulsion nail plate partial/complete simple 1 (11730)
range across 10 matching MRF lines		 $59.84–$552 $74.80–$690 varies
Axillary lymphadenectomy; complete (38745)
likely a partial charge, not the full procedure		 $1,200 $1,500 0.2×
Biopsy Abdominal Mass (49180) $1,315.90 $1,644.87 0.8×
Biopsy bone open deep (20245) $1,160 $1,450 0.4×
Biopsy bone open superficial (20240)
range across 2 matching MRF lines		 $309.60–$985.60 $387–$1,232 varies
Biopsy bone trocar/needle deep (20225)
range across 5 matching MRF lines		 $112.76–$1,174.82 $140.95–$1,468.53 varies
Biopsy Bone Trocar/Needle Superficial (20220)
range across 2 matching MRF lines		 $690–$908.33 $862.50–$1,135.41 varies
Biopsy muscle percutaneous needle (20206) $556.57 $695.71 0.4×
Biopsy Muscle Superficial (20200) $1,315.90 $1,644.87 0.8×
Biopsy nail unit (11755) $209.60 $262 0.3×
Biopsy of breast; open, incisional (19101)
range across 4 matching MRF lines		 $233.60–$584.80 $292–$731 varies
Biopsy of liver, needle; percutaneous (47000)
range across 2 matching MRF lines		 $340–$1,159.18 $425–$1,448.97 varies
Biopsy of rectum (45100)
range across 2 matching MRF lines		 $440–$511.20 $550–$639 varies
Biopsy of urethra (53200) $320 $400 0.2×
Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) $800 $1,000 0.2×
Biopsy ovary uni/bi separate procedure (58900) $720 $900 0.2×
Biopsy Salivary Gland Incisional (42405) $496 $620 0.3×
Biopsy soft tissue forearm&/wrist superficial (25065) $392 $490 0.2×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614) $960 $1,200 0.3×
Biopsy soft tissue leg/ankle area superficial (27613)
range across 4 matching MRF lines		 $157.44–$480 $196.80–$600 varies
Biopsy soft tissue neck/thorax (21550)
range across 2 matching MRF lines		 $300–$402.80 $375–$503.50 varies
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $1,040 $1,300 0.7×
Biopsy soft tissue thigh/knee area superficial (27323)
range across 2 matching MRF lines		 $320–$1,725.36 $400–$2,156.70 varies
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $360 $450 0.2×
Biopsy Tongue Anterior Two-Thirds (41100) $426 $532.50 0.8×
Biopsy Vaginal Mucosa Extensive (57105) $240 $300 0.1×
Biopsy Vaginal Mucosa Simple (57100) $168 $210 0.2×
Biopsy Vulva/Perineum 1 Lesion Spx (56605)
range across 7 matching MRF lines		 $48–$160 $60–$200 varies
Biopsy/removal lymph nodes (38510) $720 $900 0.2×
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $77.36–$140 $96.70–$175 varies
Bladder Scan (51798) $109.77 $137.21 1.9×
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $218.98–$775.20 $273.73–$969 varies
Blood Transfusion Service (36430)
range across 5 matching MRF lines		 $173.27–$1,062.11 $216.59–$1,327.64 varies
Bone Graft Any Donor Area Major/Large (20902)
likely a partial charge, not the full procedure		 $741.60 $927 0.1×
Bone Marrow Biopsy (38221) $405.52 $506.90 0.3×
Bone Marrow; Aspiration Only (38220) $405.52 $506.90 0.3×
Bx Arm/Elbow Soft Tissue,Deep (24066) $760 $950 0.3×
Bx breast 1st lesion us imag (19083)
range across 4 matching MRF lines		 $1,600–$3,583.36 $2,000–$4,479.20 varies
Bx breast needle core w/o imaging guidance spx (19100)
range across 2 matching MRF lines		 $220–$258.40 $275–$323 varies
Bx Cervix (57500)
range across 2 matching MRF lines		 $208.80–$262.40 $261–$328 varies
Bx/exc lymph node open deep axillary node (38525)
range across 2 matching MRF lines		 $600–$735.20 $750–$919 varies
Bx/exc lymph node open superficial (38500)
range across 4 matching MRF lines		 $255.20–$520 $319–$650 varies
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $960 $1,200 0.3×
Carpal Tunnel Surgery (64721)
range across 3 matching MRF lines		 $620–$800 $775–$1,000 varies
Cautery Cervix Cryocautery Initial/Repeat (57511)
range across 2 matching MRF lines		 $233.60–$302.40 $292–$378 varies
Cerclage cervix pregnancy vaginal (59320) $276 $345 0.1×
Change Cystostomy Tube Simple (51705)
range across 4 matching MRF lines		 $75.60–$252.89 $94.50–$316.11 varies
Change of Windpipe Airway (31502) $121.20 $151.50 0.5×
Chemical Cautery Tissue (17250)
range across 6 matching MRF lines		 $83.52–$552 $104.40–$690 varies
Chemodenerv Musc Migraine (64615) $448 $560 1.5×
Chest tube placement (32551)
range across 3 matching MRF lines		 $296–$414.72 $370–$518.40 varies
Circumcision 28 days or older (54161) $364 $455 0.2×
Circumcision Neonate (54160)
range across 2 matching MRF lines		 $236.80–$440 $296–$550 varies
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines		 $291.20–$340 $364–$425 varies
Cl Tx Scapular Fx; W Manip (23575) $333.17 $416.46 0.2×
Cl Tx Tib Shft Fx W Manip (27752)
range across 3 matching MRF lines		 $418–$836 $522.50–$1,045 varies
Claviculectomy partial (23120) $1,080 $1,350 0.3×
Clear outer ear canal (69200)
range across 7 matching MRF lines		 $46.08–$240 $57.60–$300 varies
Closed Rx Metacarpal Fx,Percut (26608) $804 $1,005 0.3×
Closed Rx Spontaneous Hip Disloc (27256) $333.17 $416.46 1.4×
Closed Treat Vert Body Fract (22310)
range across 3 matching MRF lines		 $187.84–$469.60 $234.80–$587 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)
range across 4 matching MRF lines		 $265.28–$864 $331.60–$1,080 varies
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 3 matching MRF lines		 $299.84–$749.60 $374.80–$937 varies
Closed Treatment Pst Malleolus Fracture W/O Manj (27767)
range across 3 matching MRF lines		 $168.64–$421.60 $210.80–$527 varies
Closed Treatment Sternum Fracture (21820)
range across 4 matching MRF lines		 $85.12–$268.53 $106.40–$335.66 varies
Closed Treatment Ulnar Styloid Fracture (25650)
range across 4 matching MRF lines		 $194.56–$486.40 $243.20–$608 varies
Closed tx ankle dislocation w/o anesthesia (27840) $1,058.26 $1,322.82 4.5×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 4 matching MRF lines		 $292.16–$730.40 $365.20–$913 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 3 matching MRF lines		 $202.56–$506.40 $253.20–$633 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 3 matching MRF lines		 $151.68–$379.20 $189.60–$474 varies
Closed tx carpal scaphoid fracture w/manj (25624)
range across 3 matching MRF lines		 $282.88–$707.20 $353.60–$884 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 4 matching MRF lines		 $183.36–$458.40 $229.20–$573 varies
Closed Tx Femoral Fracture Prox Head W/Manj (27268) $580.80 $726 0.4×
Closed tx femoral fracture prox head w/o manj (27267) $468.80 $586 0.1×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $860 $1,075 3.6×
Closed tx knee dislocation w/o anesthesia (27550)
range across 4 matching MRF lines		 $306.88–$1,409.79 $383.60–$1,762.24 varies
Closed Tx Lunate Dislocation W/Manipulation (25690) $333.17 $416.46 0.2×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $573.13 $716.41 1.1×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 4 matching MRF lines		 $189.12–$634.82 $236.40–$793.52 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $333.17 $416.46 0.2×
Closed tx patellar dislocation w/o anesthesia (27560) $881.80 $1,102.25 3.7×
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 3 matching MRF lines		 $196.16–$490.40 $245.20–$613 varies
Closed tx radial head/neck fx w/manipulation (24655)
range across 4 matching MRF lines		 $266.56–$666.40 $333.20–$833 varies
Closed tx radial head/neck fx w/o manipulation (24650)
range across 4 matching MRF lines		 $157.12–$475.20 $196.40–$594 varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 4 matching MRF lines		 $308.16–$770.40 $385.20–$963 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 3 matching MRF lines		 $161.92–$404.80 $202.40–$506 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 3 matching MRF lines		 $321.92–$804.80 $402.40–$1,006 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 4 matching MRF lines		 $164.48–$462.45 $205.60–$578.06 varies
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 3 matching MRF lines		 $140.48–$351.20 $175.60–$439 varies
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $333.17 $416.46 1.4×
Closed tx talotarsal joint dislc w/o anes (28570) $333.17 $416.46 1.4×
Closed Tx Talus Fracture W/Manipulation (28435) $687.76 $859.70 0.4×
Closed tx talus fracture w/o manipulation (28430)
range across 3 matching MRF lines		 $143.04–$357.60 $178.80–$447 varies
Closed tx tarsometatarsal dislocation w/o anes (28600) $212.80 $266 0.9×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $300.74 $375.93 1.3×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 3 matching MRF lines		 $280.96–$702.40 $351.20–$878 varies
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 6 matching MRF lines		 $175.68–$560 $219.60–$700 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 4 matching MRF lines		 $157.12–$392.80 $196.40–$491 varies
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $579.93 $724.91 2.5×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831)
range across 7 matching MRF lines		 $112.96–$721.22 $141.20–$901.53 varies
Clsd tx acromioclavicular dislc w/manipulation (23545) $594.40 $743 2.5×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540)
range across 2 matching MRF lines		 $352–$378.30 $440–$472.88 varies
Clsd Tx Clavicular Fracture W/Manipulation (23505)
range across 3 matching MRF lines		 $214.72–$536.80 $268.40–$671 varies
Clsd tx clavicular fracture w/o manipulation (23500)
range across 4 matching MRF lines		 $132.16–$634.82 $165.20–$793.52 varies
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197)
range across 2 matching MRF lines		 $95.68–$239.20 $119.60–$299 varies
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 5 matching MRF lines		 $303.60–$760 $379.50–$950 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 5 matching MRF lines		 $229.60–$952.34 $287–$1,190.42 varies
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220)
range across 3 matching MRF lines		 $299.20–$748 $374–$935 varies
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $868.80 $1,086 0.6×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $612 $765 0.4×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740)
range across 3 matching MRF lines		 $137.60–$344 $172–$430 varies
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $800 $1,000 0.5×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 3 matching MRF lines		 $185.60–$464 $232–$580 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 2 matching MRF lines		 $540–$775.88 $675–$969.85 varies
Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) $333.17 $416.46 0.2×
Cltx dstl fibular fx lat malls w/manj (27788)
range across 4 matching MRF lines		 $261.12–$652.80 $326.40–$816 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 7 matching MRF lines		 $192.32–$524 $240.40–$655 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $516–$751.68 $645–$939.60 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 4 matching MRF lines		 $110.08–$424.34 $137.60–$530.43 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 4 matching MRF lines		 $177.28–$443.20 $221.60–$554 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 3 matching MRF lines		 $480.40–$963.20 $600.50–$1,204 varies
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $872 $1,090 3.7×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $826.92 $1,033.65 3.5×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $333.17 $416.46 0.2×
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 3 matching MRF lines		 $86.08–$215.20 $107.60–$269 varies
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 4 matching MRF lines		 $129.92–$353.81 $162.40–$442.26 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 4 matching MRF lines		 $73.92–$458.40 $92.40–$573 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 4 matching MRF lines		 $107.84–$336.12 $134.80–$420.15 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $333.17 $416.46 0.2×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 4 matching MRF lines		 $191.68–$861.22 $239.60–$1,076.53 varies
Cltx greater humeral tuberosity fx w/o manj (23620) $420 $525 1.8×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $333.17 $416.46 0.2×
Cltx hip dislocation traumatic req anesthesia (27252)
range across 5 matching MRF lines		 $477.76–$1,194.40 $597.20–$1,493 varies
Cltx hip dislocation traumatic w/o anesthesia (27250) $948.48 $1,185.60 4.0×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576)
range across 3 matching MRF lines		 $205.12–$512.80 $256.40–$641 varies
Cltx humeral condylar fx medial/lateral w/manj (24577)
range across 3 matching MRF lines		 $334.08–$835.20 $417.60–$1,044 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565)
range across 3 matching MRF lines		 $322.88–$807.20 $403.60–$1,009 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560)
range across 4 matching MRF lines		 $193.60–$486.94 $242–$608.68 varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 4 matching MRF lines		 $168.64–$421.60 $210.80–$527 varies
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 4 matching MRF lines		 $163.84–$634.82 $204.80–$793.52 varies
Cltx Med Ankle Fx W/Mnpj (27762)
range across 3 matching MRF lines		 $465.60–$832 $582–$1,040 varies
Cltx Medial Ankle Fx (27760)
range across 3 matching MRF lines		 $203.52–$508.80 $254.40–$636 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 4 matching MRF lines		 $195.20–$643.75 $244–$804.69 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 4 matching MRF lines		 $174.72–$599.66 $218.40–$749.57 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $333.17 $416.46 0.2×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 4 matching MRF lines		 $206.72–$857.30 $258.40–$1,071.63 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 4 matching MRF lines		 $118.40–$476.28 $148–$595.35 varies
Cltx post hip arthrp dislc req anes (27266)
range across 6 matching MRF lines		 $365.12–$984 $456.40–$1,230 varies
Cltx post hip arthrp dislc w/o anes (27265) $1,020.80 $1,276 4.3×
Cltx prox fibula/shft fx w/manj (27781) $800 $1,000 0.5×
Cltx prox fibula/shft fx w/o manj (27780)
range across 4 matching MRF lines		 $184.32–$460.80 $230.40–$576 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $764 $955 0.5×
Cltx prox tibfib jt dislc w/o anes (27830) $333.17 $416.46 1.4×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $333.17 $416.46 1.4×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 4 matching MRF lines		 $78.08–$388.97 $97.60–$486.21 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $333.17 $416.46 0.2×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $333.17 $416.46 0.2×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $333.17 $416.46 0.2×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,048 $1,310 0.7×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 3 matching MRF lines		 $288–$621.21 $360–$776.51 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $333.17 $416.46 0.2×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545)
range across 3 matching MRF lines		 $97.28–$243.20 $121.60–$304 varies
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $333.17 $416.46 1.4×
Cltx tibial fx proximal w/o manipulation (27530)
range across 3 matching MRF lines		 $244.16–$610.40 $305.20–$763 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 4 matching MRF lines		 $263.60–$657.50 $329.50–$821.87 varies
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $333.17 $416.46 1.4×
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 4 matching MRF lines		 $299.52–$1,120 $374.40–$1,400 varies
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 4 matching MRF lines		 $192.32–$492 $240.40–$615 varies
Collect Blood From Catheter Venous Nos (36592) $108.86 $136.08 0.9×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines		 $12.70–$28.80 $15.88–$36 varies
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $370.40 $463 0.3×
Colonoscopy thru stoma (44388) $548 $685 0.6×
Colonoscopy w/fb removal (45379) $960 $1,200 0.8×
Colonoscopy w/submucosal inj (45381)
range across 2 matching MRF lines		 $418.40–$440 $523–$550 varies
Colpocleisis (le fort type) (57120) $960 $1,200 0.2×
Colporrhaphy (57200) $516 $645 0.2×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454)
range across 2 matching MRF lines		 $246.40–$268 $308–$335 varies
Colposcopy Cervix Endocervical Curettage (57456)
range across 2 matching MRF lines		 $229.60–$240 $287–$300 varies
Colposcopy cervix upper/adjacent vagina (57452)
range across 2 matching MRF lines		 $173.60–$188 $217–$235 varies
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455)
range across 2 matching MRF lines		 $242.40–$248 $303–$310 varies
Colposcopy cervix vag eltrd conization cervix (57461) $348 $435 0.1×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $650.40 $813 0.2×
Colposcopy entire vagina w/cervix if present (57420) $200 $250 0.7×
Colposcopy Vulva W/Biopsy (56821)
range across 2 matching MRF lines		 $248.80–$264 $311–$330 varies
Colposcopy,Entire Vagina,W/Biopsy(S) (57421)
range across 2 matching MRF lines		 $264.80–$268 $331–$335 varies
Colpotomy; with exploration (57000) $332 $415 0.1×
Colsc Flexible W/Control Bleeding Any Method (45382)
range across 2 matching MRF lines		 $563.20–$706.80 $704–$883.50 varies
Colsc Flexible W/Transendoscopic Balloon Dilat (45386)
range across 2 matching MRF lines		 $451.20–$492 $564–$615 varies
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 2 matching MRF lines		 $460–$504 $575–$630 varies
Combined anteroposterior colporrhaphy; (57260) $1,600 $2,000 0.3×
Complex drainage wound (10180)
range across 3 matching MRF lines		 $421.60–$3,076 $527–$3,845 varies
Conization cervix w/wo d&c rpr eltrd exc (57522)
range across 2 matching MRF lines		 $448–$500 $560–$625 varies
Conization of cervix (57520)
range across 2 matching MRF lines		 $518.40–$536 $648–$670 varies
Control Nasal Hemorrhage Anterior Complex (30903)
range across 7 matching MRF lines		 $120–$424.34 $150–$530.43 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 7 matching MRF lines		 $43.84–$318.42 $54.80–$398.03 varies
Control oropharyngeal hemorrhage simple (42960) $256.74 $320.92 0.5×
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132)
likely a partial charge, not the full procedure		 $3,120 $3,900 0.3×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 2 matching MRF lines		 $232–$1,280.52 $290–$1,600.65 varies
Correction hammertoe (28285) $1,040 $1,300 0.3×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $1,623.19 $2,028.99 0.5×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
likely a partial charge, not the full procedure		 $1,600 $2,000 0.1×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
likely a partial charge, not the full procedure		 $1,480 $1,850 0.2×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $1,520 $1,900 0.5×
Cryotherapy Co2 Slush Liquid N2 Acne (17340)
range across 4 matching MRF lines		 $39.20–$96 $49–$120 varies
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $670.20 $837.75 5.2×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $599.66 $749.57 2.6×
Curettage postpartum (59160)
range across 2 matching MRF lines		 $348–$400 $435–$500 varies
Cysto Bladder W/Ureteral Catheterization (52005) $280 $350 0.1×
Cysto calibration dilat urtl strix/stenosis (52281)
range across 2 matching MRF lines		 $468–$624 $585–$780 varies
Cysto w/insert ureteral stent (52332) $296 $370 0.1×
Cystorrhaphy suture of bladder wound injury or rupture simple (51860)
range across 2 matching MRF lines		 $1,238.40–$1,400 $1,548–$1,750 varies
Cystostomy Cystotomy W/Drainage (51040) $560 $700 0.3×
Cystourethroscopy (52000)
range across 2 matching MRF lines		 $240–$336.80 $300–$421 varies
Cystourethroscopy with biopsy (52204) $260 $325 0.1×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $1,088 $1,360 0.4×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines		 $749.60–$800 $937–$1,000 varies
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 7 matching MRF lines		 $121.60–$1,508 $152–$1,885 varies
Debride nail 1-5 (11720)
range across 5 matching MRF lines		 $24–$184 $30–$230 varies
Debride nail 6 or more (11721)
range across 6 matching MRF lines		 $33.60–$308 $42–$385 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 3 matching MRF lines		 $428–$3,076 $535–$3,845 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 6 matching MRF lines		 $88–$984 $110–$1,230 varies
Declot vascular device (36593)
range across 2 matching MRF lines		 $120.80–$345.32 $151–$431.65 varies
Decompression of tibia nerve (28035) $1,000 $1,250 0.5×
Deep Muscle Biopsy (20205)
range across 2 matching MRF lines		 $556.22–$556.60 $695.27–$695.75 varies
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $840 $1,050 0.4×
Delivery of placenta (59414)
range across 3 matching MRF lines		 $116–$450.40 $145–$563 varies
Destroy cerv/thor facet jnt (64633) $896 $1,120 0.5×
Destroy lumb/sac facet jnt (64635) $919.01 $1,148.76 0.5×
Destruct B9 Lesion 1-14 (17110)
range across 6 matching MRF lines		 $51.20–$216 $64–$270 varies
Destruction Benign Lesions 15/> (17111)
range across 6 matching MRF lines		 $44–$256 $55–$320 varies
Destruction Internal Hemorrhoid Thermal Energy (46930) $276 $345 0.2×
Destruction Lesions Vulva Extensive (56515) $400 $500 0.2×
Destruction Lesions Vulva Simple (56501) $236 $295 0.1×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281)
range across 2 matching MRF lines		 $140–$280 $175–$350 varies
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282)
range across 2 matching MRF lines		 $162–$324 $202.50–$405 varies
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284)
range across 3 matching MRF lines		 $192.32–$480.80 $240.40–$601 varies
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261)
range across 4 matching MRF lines		 $112.80–$280 $141–$350 varies
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262)
range across 4 matching MRF lines		 $136.80–$340 $171–$425 varies
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263)
range across 4 matching MRF lines		 $150.40–$360 $188–$450 varies
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264)
range across 3 matching MRF lines		 $185.60–$464 $232–$580 varies
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266)
range across 3 matching MRF lines		 $211.60–$529 $264.50–$661.25 varies
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280)
range across 4 matching MRF lines		 $110.40–$264 $138–$330 varies
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270)
range across 2 matching MRF lines		 $117.60–$235.20 $147–$294 varies
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271)
range across 2 matching MRF lines		 $129.20–$258.40 $161.50–$323 varies
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272)
range across 4 matching MRF lines		 $147.60–$360 $184.50–$450 varies
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273)
range across 2 matching MRF lines		 $164.40–$328.80 $205.50–$411 varies
Destruction malignant lesion t/a/l 0.5 cm/< (17260)
range across 3 matching MRF lines		 $59.84–$149.60 $74.80–$187 varies
Destruction of skin lesions (17106)
range across 4 matching MRF lines		 $270–$640 $337.50–$800 varies
Destruction Premalignant Lesion 15/> (17004)
range across 6 matching MRF lines		 $109.44–$320 $136.80–$400 varies
Destruction premalignant lesion 1st (17000)
range across 6 matching MRF lines		 $40–$152 $50–$190 varies
Destruction Vaginal Lesions Extensive (57065) $336 $420 0.1×
Destruction Vaginal Lesions Simple (57061)
range across 2 matching MRF lines		 $193.60–$220 $242–$275 varies
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines		 $105.60–$120 $132–$150 varies
Diaphragm or cervical cap fitting with instructions (57170)
range across 2 matching MRF lines		 $104–$144 $130–$180 varies
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $300 $375 0.3×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $118.40 $148 1.0×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661)
range across 2 matching MRF lines		 $116.80–$132 $146–$165 varies
Dilat Urethral Strix Dilator Male Sbsq (53601) $135.20 $169 1.1×
Dilate Esophagus 1/Mult Pass (43450)
range across 3 matching MRF lines		 $144.80–$220 $181–$275 varies
Dilate Urethra Stricture (53620) $353.81 $442.26 0.5×
Dilate Urethra Stricture (53600)
range across 2 matching MRF lines		 $139.20–$160 $174–$200 varies
Dilation & curettage dx&/ther nonobstetric (58120)
range across 2 matching MRF lines		 $407.20–$420 $509–$525 varies
Dilation Cervical Canal (57800) $116 $145 0.0×
Drain Hand Tendon Sheath (26020) $700 $875 0.2×
Drain shoulder bursa (23031) $368 $460 0.1×
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines		 $148–$535.93 $185–$669.91 varies
Drainage external auditory canal abscess (69020) $288.94 $361.18 0.4×
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 7 matching MRF lines		 $79.04–$360 $98.80–$450 varies
Drainage Finger Abscess Complicated (26011) $740 $925 0.5×
Drainage of finger abscess simple (26010)
range across 7 matching MRF lines		 $71.36–$500 $89.20–$625 varies
Drainage of gum lesion (41800) $324.33 $405.41 2.5×
Drainage of hematoma/fluid (10140)
range across 7 matching MRF lines		 $97.92–$440.90 $122.40–$551.12 varies
Drainage of hydrocele (55000)
range across 2 matching MRF lines		 $196–$216 $245–$270 varies
Drainage of palmar bursa single bursa (26025) $800 $1,000 0.3×
Drainage of rectal abscess (45005) $669.29 $836.61 0.6×
Drainage of scrotal wall abscess (55100)
range across 3 matching MRF lines		 $316.80–$476 $396–$595 varies
Drainage of scrotum (54700) $368 $460 0.2×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines		 $36.80–$120.43 $46–$150.54 varies
Dressing Change Under Anesthesia (15852) $160 $200 0.2×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $354.71 $443.39 0.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 4 matching MRF lines		 $439.20–$984 $549–$1,230 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 4 matching MRF lines		 $240–$552 $300–$690 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 8 matching MRF lines		 $21.60–$552 $27–$690 varies
Dstrj les/scar vestibule mouth physical meths (40820)
range across 3 matching MRF lines		 $167.04–$417.60 $208.80–$522 varies
Dstrj Lesion Anus Extensive (46924) $1,040 $1,300 0.4×
Dstrj lesion anus simple surg excision (46922)
range across 2 matching MRF lines		 $256–$465.60 $320–$582 varies
Dstrj lesion penis simple surg excision (54060) $360 $450 0.2×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $616 $770 0.7×
Egd Balloon Dil Esoph30 Mm/> (43233)
range across 2 matching MRF lines		 $334.40–$334.76 $418–$418.45 varies
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 3 matching MRF lines		 $295.20–$400 $369–$500 varies
Egd cautery tumor polyp (43250) $1,872 $2,340 1.0×
Egd control bleeding any (43255) $480 $600 0.3×
Egd dilation gastric/duodenal stricture (43245)
range across 3 matching MRF lines		 $320–$521.64 $400–$652.05 varies
Egd endo mucosal resection (43254) $522 $652.50 0.3×
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $340.80–$460 $426–$575 varies
Egd intrmural us needle aspirate/biopsy esophags (43238)
range across 2 matching MRF lines		 $490.40–$560 $613–$700 varies
Egd place gastrostomy tube (43246)
range across 3 matching MRF lines		 $428–$512 $535–$640 varies
Egd remove lesion snare (43251)
range across 2 matching MRF lines		 $368.80–$392 $461–$490 varies
Egd Tube/Cath Insertion (43241) $280 $350 0.2×
Endocervical curettage (57505)
range across 2 matching MRF lines		 $162.40–$210.40 $203–$263 varies
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $400 $500 0.1×
Endometrial Biopsy (58100)
range across 6 matching MRF lines		 $70.40–$212 $88–$265 varies
Enterorrhaphy single perforation (44602) $2,292 $2,865 0.6×
Epidural Blood Patch (62273) $422.40 $528 0.6×
Episiotomy or vaginal repair (59300)
range across 4 matching MRF lines		 $83.20–$755.20 $104–$944 varies
Esophagogastroduodenoscopy Submucosal Injection (43236) $308 $385 0.4×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220)
range across 3 matching MRF lines		 $215.20–$260 $269–$325 varies
Esophagoscopy Flexible Transoral Diagnostic (43200)
range across 2 matching MRF lines		 $176.80–$200.49 $221–$250.61 varies
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215)
range across 3 matching MRF lines		 $261.60–$389.60 $327–$487 varies
Evacuate mole of uterus (59870) $788 $985 0.3×
Evacuation of subungual hematoma (11740)
range across 4 matching MRF lines		 $28.80–$141.98 $36–$177.48 varies
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $752.80 $941 0.5×
Exc arm/elbow les sc < 3 cm (24075)
range across 6 matching MRF lines		 $304.32–$1,487.41 $380.40–$1,859.26 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 7 matching MRF lines		 $74.24–$689.70 $92.80–$862.12 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 6 matching MRF lines		 $124.80–$368 $156–$460 varies
Exc Back Les Sc < 3 Cm (21930)
range across 2 matching MRF lines		 $640–$811.20 $800–$1,014 varies
Exc Back Tum Deep 5 Cm/> (21933)
range across 2 matching MRF lines		 $1,238.40–$1,360 $1,548–$1,700 varies
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125)
range across 2 matching MRF lines		 $840–$925.60 $1,050–$1,157 varies
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 5 matching MRF lines		 $148.80–$440 $186–$550 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 6 matching MRF lines		 $170.24–$500 $212.80–$625 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644)
range across 6 matching MRF lines		 $247.04–$740 $308.80–$925 varies
Exc Face Les Sbq 2 Cm/> (21012)
range across 3 matching MRF lines		 $304.64–$761.60 $380.80–$952 varies
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 6 matching MRF lines		 $81.92–$248 $102.40–$310 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 6 matching MRF lines		 $103.04–$300 $128.80–$375 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 6 matching MRF lines		 $116.48–$340 $145.60–$425 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 6 matching MRF lines		 $138.88–$408 $173.60–$510 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444)
range across 6 matching MRF lines		 $182.08–$1,158.40 $227.60–$1,448 varies
Exc Forearm Les Sc 3 Cm/> (25071) $800 $1,000 0.5×
Exc ganglion wrist recurrent (25112) $600 $750 0.4×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 6 matching MRF lines		 $74.24–$232 $92.80–$290 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 7 matching MRF lines		 $67.20–$340 $84–$425 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 6 matching MRF lines		 $88–$340 $110–$425 varies
Exc Hand Les Sc < 1.5 Cm (26115)
range across 2 matching MRF lines		 $860.80–$880 $1,076–$1,100 varies
Exc hand tum deep < 1.5 cm (26116) $800 $1,000 0.5×
Exc hydrocele sprmatic cord uni spx (55500) $760 $950 0.2×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090)
range across 2 matching MRF lines		 $813.60–$880 $1,017–$1,100 varies
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $1,820 $2,275 1.2×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112)
range across 3 matching MRF lines		 $210.24–$525.60 $262.80–$657 varies
Exc neuroma major peripheral nrv xcp sciatic (64784) $2,268 $2,835 1.2×
Exc Rct Tum Not Incl Muscularis Propria (45171) $1,120 $1,400 0.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 6 matching MRF lines		 $116.48–$360 $145.60–$450 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 6 matching MRF lines		 $143.36–$424 $179.20–$530 varies
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 6 matching MRF lines		 $205.12–$596 $256.40–$745 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 5 matching MRF lines		 $311.68–$1,298.40 $389.60–$1,623 varies
Exc Skin Benig >4cm Face,Facial (11446)
range across 6 matching MRF lines		 $240.32–$720 $300.40–$900 varies
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)
range across 6 matching MRF lines		 $187.52–$560 $234.40–$700 varies
Exc Skin Malig >4 Cm Remaindr Body (11626)
range across 6 matching MRF lines		 $254.08–$760 $317.60–$950 varies
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 5 matching MRF lines		 $444.16–$1,850.40 $555.20–$2,313 varies
Exc tendon shth lesion leg/ankle (27630) $880 $1,100 0.3×
Exc thigh/knee les sc 3 cm/> (27337) $800 $1,000 0.3×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 3 matching MRF lines		 $272.80–$402.80 $341–$503.50 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 6 matching MRF lines		 $91.20–$264 $114–$330 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 7 matching MRF lines		 $101.44–$300 $126.80–$375 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 6 matching MRF lines		 $132.80–$400 $166–$500 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552)
range across 2 matching MRF lines		 $751.20–$840 $939–$1,050 varies
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $880 $1,100 0.6×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $640 $800 0.2×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $936 $1,170 0.3×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $1,280 $1,600 0.5×
Exc tumor soft tissue abdl wall subfascial <5cm (22900)
range across 2 matching MRF lines		 $608–$945.60 $760–$1,182 varies
Exc tumor soft tissue abdominal wall subq <3cm (22902)
range across 2 matching MRF lines		 $740–$800 $925–$1,000 varies
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $621.60 $777 0.2×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $648 $810 0.4×
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) $1,320 $1,650 0.5×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $1,149.60 $1,437 0.4×
Exc tumor soft tissue leg/ankle subq <3cm (27618)
range across 2 matching MRF lines		 $560–$764 $700–$955 varies
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $1,360 $1,700 0.5×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $800 $1,000 0.5×
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) $1,004 $1,255 0.4×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $920 $1,150 0.3×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $672 $840 0.2×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071)
range across 4 matching MRF lines		 $296–$780 $370–$975 varies
Excis Mouth Mucosa/Sub,No Repair (40810) $368 $460 0.1×
Excise breast duct fistula (19112) $560 $700 0.1×
Excise Wrist Tendon Sheath (25118) $720 $900 0.5×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 6 matching MRF lines		 $175.36–$520 $219.20–$650 varies
Excision Chalazion Single (67800) $557.48 $696.85 1.8×
Excision Excessive Skin & Subq Tissue Other Area (15839)
range across 3 matching MRF lines		 $544.64–$1,361.60 $680.80–$1,702 varies
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $717.81 $897.26 0.3×
Excision lesion meniscus/capsule knee (27347) $844 $1,055 0.3×
Excision lesion tendon sheath forearm&/wrist (25110)
range across 3 matching MRF lines		 $219.84–$650.40 $274.80–$813 varies
Excision Lesion Tongue W/O Closure (41110) $550.80 $688.50 0.2×
Excision Lingual Frenum Frenectomy (41115) $460.80 $576 0.3×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600)
range across 6 matching MRF lines		 $115.84–$344 $144.80–$430 varies
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)
range across 6 matching MRF lines		 $141.12–$420 $176.40–$525 varies
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 6 matching MRF lines		 $154.24–$460 $192.80–$575 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604)
range across 6 matching MRF lines		 $194.56–$580 $243.20–$725 varies
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)
range across 6 matching MRF lines		 $122.56–$360 $153.20–$450 varies
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 5 matching MRF lines		 $313.92–$1,308 $392.40–$1,635 varies
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646)
range across 6 matching MRF lines		 $505.60–$2,106.40 $632–$2,633 varies
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620)
range across 3 matching MRF lines		 $118.40–$296 $148–$370 varies
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621)
range across 4 matching MRF lines		 $142.40–$393.01 $178–$491.26 varies
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 6 matching MRF lines		 $160.32–$480 $200.40–$600 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624)
range across 6 matching MRF lines		 $210.24–$640 $262.80–$800 varies
Excision Multiple External Papillae/Tags Anus (46230)
range across 2 matching MRF lines		 $410.40–$520 $513–$650 varies
Excision of bartholin's gland or cyst (56740) $560 $700 0.2×
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 3 matching MRF lines		 $297.60–$743.20 $372–$929 varies
Excision of hydrocele; unilateral (55040) $656 $820 0.2×
Excision of local lesion of epididymis (54830) $700 $875 0.2×
Excision of pilonidal cyst or sinus; simple (11770) $503.20 $629 0.2×
Excision of single external papilla or tag, anus (46220) $920 $1,150 0.8×
Excision of vaginal cyst or tumor (57135) $316 $395 0.1×
Excision of vaginal septum (57130) $280 $350 0.1×
Excision olecranon bursa (24105) $480 $600 0.2×
Excision or curettage of bone cyst or benign tumor of femur; (27355) $996 $1,245 0.3×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $1,361.60 $1,702 0.4×
Excision or fulguration; Skene's glands Facility (53270) $360 $450 0.1×
Excision Pilonidal Cyst/Sinus Complicated (11772)
range across 2 matching MRF lines		 $720–$1,180.80 $900–$1,476 varies
Excision Pilonidal Cyst/Sinus Extensive (11771)
range across 2 matching MRF lines		 $688–$969.60 $860–$1,212 varies
Excision prepatellar bursa (27340) $680 $850 0.2×
Excision Skin Abd Infraumbilical Panniculectomy (15830)
unusually low: confirm this is the full procedure		 $1,952 $2,440 0.3×
Excision soft tissue lesion, external auditory canal (69145) $979.20 $1,224 0.4×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $880 $1,100 0.6×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039)
range across 6 matching MRF lines		 $510.40–$2,126.40 $638–$2,658 varies
Excision tumor soft tissue shoulder subq 3 cm/> (23071)
range across 2 matching MRF lines		 $706.40–$800 $883–$1,000 varies
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $560 $700 0.4×
Excision, interdigital (morton) neuroma, single, each (28080) $720 $900 0.5×
Excision, sacral pressure ulcer, with primary suture; Facility (15931) $960 $1,200 0.3×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $800 $1,000 0.3×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $800 $1,000 0.3×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $900 $1,125 0.3×
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) $1,288 $1,610 0.5×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075)
range across 2 matching MRF lines		 $800–$805.60 $1,000–$1,007 varies
Excision/curettage cyst/tumor phalanx finger (26210) $800 $1,000 0.5×
Expl penetrating wound spx abdomen/flank/back (20102) $460 $575 0.2×
Expl po hemrrg thrombosis/infctj xtr (35860)
range across 2 matching MRF lines		 $1,457.60–$1,600 $1,822–$2,000 varies
Explo/Drain Breast Abscess (19020)
range across 3 matching MRF lines		 $424–$813.60 $530–$1,017 varies
Exploration penetrating wound spx chest (20101) $380 $475 0.2×
Exploration penetrating wound spx extremity (20103) $620 $775 0.4×
Exploration Penetrating Wound Spx Neck (20100) $1,120 $1,400 2.2×
Explore/Treat Elbow Joint (24101) $844 $1,055 0.3×
Explore/Treat Knee Joint (27331) $892.80 $1,116 0.3×
External cephalic version (59412)
range across 2 matching MRF lines		 $131.20–$185.60 $164–$232 varies
Fasciectomy Palm Only (26121) $1,012 $1,265 0.3×
Fasciectomy Plantar Fascia Partial Spx (28060) $1,000 $1,250 0.3×
Fasciotomy Iliotibial Open (27305)
range across 2 matching MRF lines		 $929.60–$1,093.60 $1,162–$1,367 varies
Fasciotomy palmar open partial (26045) $760 $950 0.2×
Fasciotomy, foot and/or toe (28008) $840 $1,050 0.3×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $1,512 $1,890 0.5×
Fetal Contraction Stress Test (59020)
range across 2 matching MRF lines		 $68–$437.95 $85–$547.44 varies
Fetal non-stress test (59025)
range across 3 matching MRF lines		 $100–$428.42 $125–$535.53 varies
Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) $1,290.40 $1,613 0.7×
Fine needle aspiration without imaging guidance (10021)
range across 6 matching MRF lines		 $90.56–$264 $113.20–$330 varies
Fixation contralateral testis separate procedure (54620) $560 $700 0.2×
Fluoro exam of g/colon tube (49465) $265.58 $331.98 1.2×
Fna Bx W/Fluor Gdn 1St Les (10007) $691.04 $863.80 1.0×
Fna bx w/us gdn 1st les (10005)
range across 3 matching MRF lines		 $691.04–$1,235.61 $863.80–$1,544.51 varies
Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) $1,220 $1,525 0.6×
Fusion Finger Joint (26860) $1,040 $1,300 0.3×
Fusion of foot bones (28740)
likely a partial charge, not the full procedure		 $1,600 $2,000 0.2×
Fusion of knuckle (26850)
likely a partial charge, not the full procedure		 $1,652.80 $2,066 0.2×
Gastrocnemius recession (27687) $880 $1,100 0.3×
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) $2,360 $2,950 0.6×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $1,136 $1,420 0.6×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
unusually low: confirm this is the full procedure		 $2,615.80 $3,269.75 0.4×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $640 $800 0.2×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $560 $700 0.2×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260)
range across 2 matching MRF lines		 $804.80–$824 $1,006–$1,030 varies
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) $720 $900 0.3×
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) $704 $880 0.3×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 3 matching MRF lines		 $208–$520 $260–$650 varies
Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) $768 $960 0.3×
Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565)
range across 2 matching MRF lines		 $3,267.20–$3,360 $4,084–$4,200 varies
Hysteroscopy Biopsy (58558)
range across 2 matching MRF lines		 $520–$675.20 $650–$844 varies
Hysteroscopy Dx Sep Proc (58555) $400 $500 0.1×
Hysteroscopy Endometrial Ablation (58563) $620 $775 0.1×
Hysteroscopy Lysis Intrauterine Adhesions (58559) $612 $765 0.1×
Hysteroscopy Removal Impacted Foreign Body (58562)
range across 2 matching MRF lines		 $520–$698.40 $650–$873 varies
Hysteroscopy, surgical; with removal of leiomyomata (58561) $1,080 $1,350 0.2×
I&d abscess peritonsillar (42700) $344.40 $430.50 1.5×
I&d abscess simple (10060)
range across 8 matching MRF lines		 $69.44–$264.80 $86.80–$331 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $832.80 $1,041 0.5×
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,080 $1,350 0.4×
I&D Intramural Im/Absc Transanal Anes (46045) $1,116 $1,395 0.4×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $960 $1,200 0.3×
I&d perianal abscess superficial (46050)
range across 3 matching MRF lines		 $159.66–$354.40 $199.58–$443 varies
I&d pilonidal cyst complicated (10081) $2,069.32 $2,586.65 3.0×
I&d pilonidal cyst simple (10080) $353.81 $442.26 0.5×
I&d shoulder deep abscess/hematoma (23030)
range across 6 matching MRF lines		 $194.40–$672 $243–$840 varies
I&d upper arm/elbow deep abscess/hematoma (23930)
range across 4 matching MRF lines		 $221.60–$551.20 $277–$689 varies
I&d vaginal hematoma obstetrical/postpartum (57022) $2,069.32 $2,586.65 0.7×
Image Cath Fluid Colxn Visc (49405) $1,891.06 $2,363.82 1.2×
Image Cath Fluid Peri/Retro (49406)
range across 2 matching MRF lines		 $1,891.06–$3,095.14 $2,363.82–$3,868.92 varies
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $183.26–$270.40 $229.07–$338 varies
Incise finger tendon sheath (26055)
range across 2 matching MRF lines		 $880–$962.40 $1,100–$1,203 varies
Incision & drainage abscess complicated/multiple (10061)
range across 8 matching MRF lines		 $115.52–$368 $144.40–$460 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $860 $1,075 0.3×
Incision & removal foreign body subq tiss compl (10121)
range across 7 matching MRF lines		 $166.08–$634.82 $207.60–$793.52 varies
Incision & removal foreign body subq tiss simple (10120)
range across 7 matching MRF lines		 $85.44–$283.05 $106.80–$353.81 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 7 matching MRF lines		 $79.04–$388.97 $98.80–$486.21 varies
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) $2,069.32 $2,586.65 0.7×
Incision and drainage of vulva or perineal abscess (56405)
range across 6 matching MRF lines		 $84.80–$1,058.26 $106–$1,322.82 varies
Incision bone cortex foot (28005)
range across 2 matching MRF lines		 $1,048–$1,100 $1,310–$1,375 varies
Incision extensor tendon sheath wrist (25000) $640 $800 0.4×
Incision of Foot Tendon (28234) $723.20 $904 0.5×
Incision of labial frenum (frenotomy) (40806) $196 $245 0.4×
Incision of lingual frenum (frenotomy) (41010) $374.40 $468 0.3×
Incision of rectal abscess (46040)
range across 7 matching MRF lines		 $232.96–$1,146.25 $291.20–$1,432.81 varies
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 5 matching MRF lines		 $170–$436 $212.50–$545 varies
Incisional biopsy skin single lesion (11106)
range across 3 matching MRF lines		 $67.20–$168 $84–$210 varies
Initial Tx 1st Degree Burn Local Tx (16000)
range across 7 matching MRF lines		 $25.60–$177.36 $32–$221.70 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $700 $875 0.8×
Inj W/Fluor Eval Cv Device (36598) $435.01 $543.76 2.1×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448)
range across 2 matching MRF lines		 $633.60–$950.40 $792–$1,188 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $574 $717.50 0.7×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 9 matching MRF lines		 $35.52–$210 $44.40–$262.50 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $422.40 $528 0.5×
Injection aa&/strd genicular nrv branches w/img (64454) $448 $560 0.7×
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines		 $422.40–$633.60 $528–$792 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines		 $369.60–$528 $462–$660 varies
Injection Anes Agent Sphenopalatine Ganglion (64505) $106 $132.50 0.4×
Injection for identification of sentinel node (38792)
range across 2 matching MRF lines		 $76–$265.60 $95–$332 varies
Injection single tendon origin/insertion (20551)
range across 3 matching MRF lines		 $82.40–$120 $103–$150 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 8 matching MRF lines		 $33.28–$163.34 $41.60–$204.17 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 7 matching MRF lines		 $37.44–$168 $46.80–$210 varies
Injection therapeutic carpal tunnel (20526)
range across 7 matching MRF lines		 $56–$280 $70–$350 varies
Injection, anesthetic agent; brachial plexus, single (64415) $422.40 $528 0.5×
Injection, anesthetic agent; femoral nerve, single (64447) $369.60 $462 0.5×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 6 matching MRF lines		 $129.60–$369.60 $162–$462 varies
Injection, Intralesional; More Than 7 Lesions (11901) $152.80 $191 0.8×
Injection, intralesional; up to and including 7 lesions (11900)
range across 3 matching MRF lines		 $35.20–$88 $44–$110 varies
Insert Bladder Cath Complex (51703) $160 $200 1.3×
Insert cath pleura w/o image (32556) $144 $180 0.1×
Insert cervical dilator (59200)
range across 3 matching MRF lines		 $98.40–$237.12 $123–$296.40 varies
Insert Drug Implant Device (11981) $272.80 $341 2.1×
Insert Gastrostomy Tube Percutaneous (49440) $914 $1,142.50 0.5×
Insert non-tunnel cv cath (36556)
range across 3 matching MRF lines		 $211.20–$460 $264–$575 varies
Insert pessary/other device (57160)
range across 2 matching MRF lines		 $122.40–$128 $153–$160 varies
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines		 $80.29–$122.40 $100.36–$153 varies
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $1,200–$2,083.20 $1,500–$2,604 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 6 matching MRF lines		 $74.34–$305.50 $92.93–$381.88 varies
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555)
range across 2 matching MRF lines		 $472.80–$532 $591–$665 varies
Insj prph ctr vad w/subq port age 5 yr/> (36571) $632 $790 0.2×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $560–$708.52 $700–$885.65 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $3,208 $4,010 1.1×
Insj/rplcmt breast implant sep day mastectomy (19342)
likely a partial charge, not the full procedure		 $1,520 $1,900 0.2×
Int hrhc by ligation single hroid w/o img gdn (46945) $380 $475 0.1×
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 6 matching MRF lines		 $481.60–$2,006.40 $602–$2,508 varies
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,763.60 $2,204.50 4.5×
Intubation endotracheal emergency procedure (31500)
range across 5 matching MRF lines		 $161.16–$599.66 $201.45–$749.57 varies
Knee arthroscopy/drainage (29871)
range across 2 matching MRF lines		 $868–$960 $1,085–$1,200 varies
Knee Arthroscopy/Surgery (29874)
range across 2 matching MRF lines		 $908–$1,000 $1,135–$1,250 varies
Laparo-vag hyst incl t/o (58552)
range across 2 matching MRF lines		 $1,662.40–$1,680 $2,078–$2,100 varies
Laparoscopy aspiration (49322)
likely a partial charge, not the full procedure		 $664 $830 0.1×
Laparoscopy Enterolysis Separate Procedure (44180)
range across 2 matching MRF lines		 $1,539.20–$1,680 $1,924–$2,100 varies
Laparoscopy fulguration oviducts (58670)
range across 2 matching MRF lines		 $588–$644 $735–$805 varies
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 2 matching MRF lines		 $800–$1,600 $1,000–$2,000 varies
Laparoscopy W/Lysis Of Adhesions (58660)
range across 2 matching MRF lines		 $1,080–$1,139.20 $1,350–$1,424 varies
Laparoscopy w/rmvl adnexal structures (58661)
range across 2 matching MRF lines		 $1,088.80–$1,120 $1,361–$1,400 varies
Laparoscopy, surgical, appendectomy (44970)
range across 2 matching MRF lines		 $1,008.80–$1,120 $1,261–$1,400 varies
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure		 $1,680 $2,100 0.2×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
likely a partial charge, not the full procedure		 $1,760 $2,200 0.2×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550)
range across 2 matching MRF lines		 $1,496–$1,560 $1,870–$1,950 varies
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
range across 2 matching MRF lines		 $1,197.60–$1,256 $1,497–$1,570 varies
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure		 $2,093.60 $2,617 0.2×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure		 $1,040 $1,300 0.2×
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992)
likely a partial charge, not the full procedure		 $1,440 $1,800 0.2×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
range across 2 matching MRF lines		 $584–$660 $730–$825 varies
Laparoscopy, Tubal Block (58671)
likely a partial charge, not the full procedure		 $660 $825 0.1×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
range across 2 matching MRF lines		 $514.40–$600 $643–$750 varies
Laps fulg/exc ovary viscera/peritoneal surface (58662)
range across 2 matching MRF lines		 $1,136–$1,194.40 $1,420–$1,493 varies
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542)
likely a partial charge, not the full procedure		 $1,840 $2,300 0.2×
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150)
likely a partial charge, not the full procedure		 $1,440 $1,800 0.2×
Laryngoscopy diagnostic (31505) $195.05 $243.81 1.0×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $316.39 $395.49 1.6×
Laryngoscopy W/Foreign Body Removal (31530) $388 $485 0.2×
Late closure of wound (13160) $1,520 $1,900 0.4×
Ligation of hemorrhoids (46946) $1,356 $1,695 0.5×
Ligation or biopsy temporal artery (37609) $480 $600 0.3×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $600 $750 0.2×
Lsh uterus 250 g or less (58541)
likely a partial charge, not the full procedure		 $1,600 $2,000 0.2×
Lysis/excision penile postcircumcision adhesions (54162)
range across 2 matching MRF lines		 $326.40–$520 $408–$650 varies
Manipulation tmj therapeutic require anesthesia (21073) $12 $15 0.0×
Marsupialization of bartholin's gland cyst (56440)
range across 2 matching MRF lines		 $294.40–$352 $368–$440 varies
Mast mod rad (19307)
range across 2 matching MRF lines		 $2,002.40–$2,160 $2,503–$2,700 varies
Mastectomy partial (19301) $780 $975 0.2×
Mastectomy partial w/axillary lymphadenectomy (19302)
likely a partial charge, not the full procedure		 $1,580 $1,975 0.2×
Mastectomy simple complete (19303)
range across 2 matching MRF lines		 $1,687.20–$1,840 $2,109–$2,300 varies
Maternity Care Procedure (59899) $340 $425 1.7×
Metatarsectomy (28140) $1,032.05 $1,290.06 0.3×
Muscle-skin graft trunk (15734) $2,400 $3,000 0.7×
Myelography Lumbar Injection (62305) $1,896 $2,370 2.5×
Myelography Lumbar Injection (62304) $1,896 $2,370 2.5×
Myelography via lumbar injection rs&i cervical (62302) $899.36 $1,124.20 1.2×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $1,896 $2,370 2.5×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines		 $264–$369.60 $330–$462 varies
N block inj intercost sng (64420) $264 $330 0.4×
N Block Inj Paracervical (64435) $240 $300 0.4×
N Block Inj Plantar Digit (64455) $92 $115 0.3×
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines		 $48–$76 $60–$95 varies
Needle Biopsy Lymph Nodes (38505)
range across 5 matching MRF lines		 $100–$396.80 $125–$496 varies
Needle Biopsy Pancreas (48102) $870.01 $1,087.51 0.5×
Needle insertion w/o injection 1 or 2 muscles (20560) $32 $40 1.2×
Needle insertion w/o injection 3 or more muscles (20561) $32 $40 1.2×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 2 matching MRF lines		 $1,085.60–$1,093.60 $1,357–$1,367 varies
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $840.80 $1,051 2.0×
Nipple Exploration (19110)
range across 2 matching MRF lines		 $648–$838.40 $810–$1,048 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 4 matching MRF lines		 $141.48–$353.70 $176.85–$442.13 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $644.22 $805.27 0.8×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $501.50 $626.87 0.7×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $921.94 $1,152.42 1.4×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $447.05 $558.81 0.7×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326)
range across 2 matching MRF lines		 $475.20–$1,217.26 $594–$1,521.57 varies
Njx Sclrsnt Mlt Incmptnt Vn (36471) $283.20 $354 0.7×
Njx Sclrsnt Spider Veins (36468) $64 $80 0.2×
Occipital Nerve Block (64405)
range across 5 matching MRF lines		 $63.04–$369.60 $78.80–$462 varies
Occlusion flp tube dev vag/suprapubic appr (58615)
range across 2 matching MRF lines		 $514–$616.80 $642.50–$771 varies
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure		 $1,300 $1,625 0.2×
Open biopsy/excision inguinofemoral nodes (38531) $1,137.60 $1,422 0.3×
Open Treatment Bimalleolar Ankle Fracture (27814)
range across 4 matching MRF lines		 $984–$3,273.60 $1,230–$4,092 varies
Open treatment calcaneal fracture (28415)
range across 2 matching MRF lines		 $2,004.80–$2,934 $2,506–$3,667.50 varies
Open treatment fracture distal tibia only (27827)
likely a partial charge, not the full procedure		 $1,832 $2,290 0.1×
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure		 $1,120 $1,400 0.2×
Open treatment metatarsal fracture each (28485)
range across 2 matching MRF lines		 $948–$1,000 $1,185–$1,250 varies
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure		 $1,340 $1,675 0.2×
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506)
unusually low: confirm this is the full procedure		 $2,480 $3,100 0.4×
Open Treatment of Ulnar Shaft Fracture (25545)
likely a partial charge, not the full procedure		 $1,176 $1,470 0.2×
Open treatment of ulnar styloid fracture (25652)
likely a partial charge, not the full procedure		 $1,410.40 $1,763 0.2×
Open Treatment Proximal Fibula/Shaft Fracture (27784)
likely a partial charge, not the full procedure		 $972 $1,215 0.1×
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure		 $1,600 $2,000 0.1×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $1,252 $1,565 0.4×
Open tx carpal scaphoid navicular fracture (25628)
likely a partial charge, not the full procedure		 $1,216 $1,520 0.2×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure		 $920 $1,150 0.1×
Open Tx Distal Phalangeal Fracture Each (26765)
range across 4 matching MRF lines		 $458.20–$1,145.50 $572.75–$1,431.88 varies
Open Tx Distal Tibiofibular Joint Disruption (27829)
likely a partial charge, not the full procedure		 $1,280 $1,600 0.2×
Open Tx Humeral Epicondylar Fracture (24575)
likely a partial charge, not the full procedure		 $1,220 $1,525 0.1×
Open Tx Metacarpal Fracture Single Ea Bone (26615)
range across 2 matching MRF lines		 $824–$969.60 $1,030–$1,212 varies
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $1,078.40 $1,348 0.3×
Open tx tarsal fracture xcp talus & calcaneus ea (28465)
likely a partial charge, not the full procedure		 $1,160 $1,450 0.2×
Open Tx Tibial Fracture Proximal Unicondylar (27535)
likely a partial charge, not the full procedure		 $1,536 $1,920 0.2×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
range across 2 matching MRF lines		 $824.80–$1,584 $1,031–$1,980 varies
Open tx ulnar fx proximal end (24685)
range across 2 matching MRF lines		 $1,104–$1,156 $1,380–$1,445 varies
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
range across 2 matching MRF lines		 $1,382.40–$1,480 $1,728–$1,850 varies
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
range across 2 matching MRF lines		 $1,708–$1,756 $2,135–$2,195 varies
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
range across 2 matching MRF lines		 $2,010.40–$2,112 $2,513–$2,640 varies
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
likely a partial charge, not the full procedure		 $1,504 $1,880 0.1×
Optx tibial fx prox bicondylar w/wo int fixj (27536)
unusually low: confirm this is the full procedure		 $2,200 $2,750 0.3×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758)
likely a partial charge, not the full procedure		 $1,520 $1,900 0.1×
Ostectomy calcaneus (28118) $1,140 $1,425 0.4×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $1,290 $1,612.50 0.4×
Ostectomy, complete excision; fifth metatarsal head (28113) $1,539.60 $1,924.50 0.5×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $880 $1,100 0.3×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308)
range across 5 matching MRF lines		 $583.36–$2,430.40 $729.20–$3,038 varies
Osteotomy calcaneus w/wo internal fixation (28300)
likely a partial charge, not the full procedure		 $1,280 $1,600 0.2×
Osteotomy Clavicle W Bone Graft (23485)
likely a partial charge, not the full procedure		 $1,628 $2,035 0.1×
Osteotomy radius distal third (25350)
likely a partial charge, not the full procedure		 $1,224 $1,530 0.2×
Ovarian cystectomy, unilateral or bilateral (58925) $1,388 $1,735 0.3×
Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) $1,472 $1,840 0.3×
Part remv talus or calcaneus (28120) $1,280 $1,600 0.4×
Partial Excision Bone Humerus (24140)
range across 3 matching MRF lines		 $1,583.60–$5,295.41 $1,979.50–$6,619.26 varies
Partial excision bone olecranon process (24147)
range across 3 matching MRF lines		 $710.06–$2,840.21 $887.57–$3,550.26 varies
Partial Excision Distal Phalanx Finger (26236) $1,004 $1,255 0.6×
Partial hymenectomy or revision of hymenal ring (56700)
range across 2 matching MRF lines		 $318.40–$360 $398–$450 varies
Partial removal of fibula (27641)
range across 4 matching MRF lines		 $292.44–$1,462.20 $365.55–$1,827.75 varies
Partial removal of rib (21600)
range across 2 matching MRF lines		 $912–$958.40 $1,140–$1,198 varies
Partial removal of tibia (27640) $1,480.80 $1,851 0.5×
Partical Excision Bone Phalanx Toe (28124) $920 $1,150 0.3×
Pelvic examination under anesthesia (other than local) (57410) $260 $325 0.1×
Perineoplasty rpr perineum nonobstetrical spx (56810) $496 $620 0.2×
Peritoneal Lavage (49084) $294.84 $368.55 0.3×
Perq dev breast 1st us imag (19285) $832.81 $1,041.01 1.2×
Perq device breast 1st imag (19281) $629.60 $787 0.4×
Perq skel fixj distal radial fx/epiphysl sep (25606) $1,160 $1,450 0.4×
Pin Finger Dislocation (26776)
range across 3 matching MRF lines		 $274.88–$687.20 $343.60–$859 varies
Placement of needle for intraosseous infusion (36680) $424.34 $530.43 1.0×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $1,152 $1,440 0.2×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300)
range across 2 matching MRF lines		 $86.40–$104 $108–$130 varies
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756)
range across 3 matching MRF lines		 $258.88–$647.20 $323.60–$809 varies
Prq skel fixj femoral fx prox end neck (27235)
likely a partial charge, not the full procedure		 $1,680 $2,100 0.2×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
likely a partial charge, not the full procedure		 $1,292 $1,615 0.2×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $1,160 $1,450 0.4×
Punch biopsy skin single lesion (11104)
range across 8 matching MRF lines		 $121.60–$984 $152–$1,230 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 7 matching MRF lines		 $96–$424 $120–$530 varies
Puncture Aspiration Cyst Breast (19000)
range across 7 matching MRF lines		 $67.20–$424 $84–$530 varies
Pvb Thoracic Single Injection Site W/Img Gid (64461) $96 $120 0.1×
Rad resect elbow caps/sr bone w rels (24149)
range across 3 matching MRF lines		 $2,647.70–$5,295.41 $3,309.63–$6,619.26 varies
Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm Facility (22904) $4,388 $5,485 1.6×
Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) $1,680 $2,100 0.6×
Radical Resection Tumor Metacarpal (26250) $1,963.20 $2,454 0.6×
Rbc DNA gntyp 12 bld grp gen (0282U) $480 $600 0.7×
Rcnstj angular dfrm toe soft tiss px only (28313) $1,020 $1,275 0.3×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238)
likely a partial charge, not the full procedure		 $1,280 $1,600 0.2×
Rdctj torsion tstis w/wo fixj clat testis (54600) $840 $1,050 0.2×
Reconstruct wrist joint (25445)
range across 2 matching MRF lines		 $1,207.20–$1,240 $1,509–$1,550 varies
Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) $1,361.60 $1,702 0.4×
Release of big toe (28240) $1,950.40 $2,438 0.6×
Release of shoulder ligament (23415)
likely a partial charge, not the full procedure		 $1,228 $1,535 0.2×
Relieve Pressure on Nerve(S) (64722) $666.40 $833 0.4×
Removal Embedded Foreign Body Eyelid (67938) $318.42 $398.03 1.0×
Removal Foreign Body Deep Thigh/Knee (27372) $700 $875 0.3×
Removal foreign body foot deep (28192)
range across 2 matching MRF lines		 $555.20–$644.79 $694–$805.99 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $219.54–$500 $274.43–$625 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $424.34–$457 $530.43–$571.25 varies
Removal Foreign Body Pelvis/Hip Deep (27087) $980 $1,225 0.3×
Removal impacted cerumen irrigation/lvg unilat (69209) $134.26 $167.82 2.4×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 8 matching MRF lines		 $24–$141.98 $30–$177.48 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $276 $345 0.1×
Removal Implant Deep (20680) $988 $1,235 0.4×
Removal Implant Superficial Separate Procedure (20670) $784 $980 0.5×
Removal implantable contraceptive capsules (11976)
range across 3 matching MRF lines		 $91.84–$229.60 $114.80–$287 varies
Removal of ankle implant (27704) $2,504 $3,130 0.8×
Removal of bladder cyst (51500)
likely a partial charge, not the full procedure		 $1,200 $1,500 0.2×
Removal of foot joint lining (28072) $601.60 $752 0.2×
Removal of foreign body from pharynx (42809) $110.68 $138.35 0.3×
Removal of heel spur (28119) $1,040 $1,300 0.3×
Removal of implant from finger or hand (26320) $636 $795 0.4×
Removal of nail bed (11750)
range across 9 matching MRF lines		 $135.04–$984 $168.80–$1,230 varies
Removal of sesamoid bone (28315) $916.80 $1,146 0.3×
Removal of sperm cord lesion (55520)
range across 2 matching MRF lines		 $620–$763.20 $775–$954 varies
Removal of testis (54520)
range across 2 matching MRF lines		 $539.20–$640 $674–$800 varies
Removal or bivalving full arm or full leg cast (29705) $190.97 $238.71 0.7×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 6 matching MRF lines		 $53.12–$144 $66.40–$180 varies
Removal Sutures/Staples Requiring Anesthesia (15851)
range across 2 matching MRF lines		 $170.40–$192 $213–$240 varies
Removal sweat gland lesion (11450)
range across 3 matching MRF lines		 $227.20–$568 $284–$710 varies
Removal, under anesthesia, of external fixation system (20694) $971 $1,213.75 0.6×
Removal/bivalving gauntlet boot/body cast (29700) $64 $80 0.2×
Remove armpit lymph nodes (38740)
likely a partial charge, not the full procedure		 $960 $1,200 0.2×
Remove cerclage suture (59871) $248 $310 0.1×
Remove drug implant device (11982)
range across 3 matching MRF lines		 $107.20–$308.80 $134–$386 varies
Remove Forearm Foreign Body (25248) $963.20 $1,204 0.6×
Remove foreign body from eye (65205)
range across 4 matching MRF lines		 $33.92–$195.05 $42.40–$243.81 varies
Remove groin lymph nodes (38760)
likely a partial charge, not the full procedure		 $1,600 $2,000 0.3×
Remove Hand Bone Lesion (26200) $800 $1,000 0.5×
Remove Intrauterine Device (58301)
range across 3 matching MRF lines		 $168–$290.40 $210–$363 varies
Remove Nasal Foreign Body (30300)
range across 7 matching MRF lines		 $88.96–$460 $111.20–$575 varies
Remove Tendon Sheath Lesion (26160)
range across 6 matching MRF lines		 $394.24–$992 $492.80–$1,240 varies
Remove/Insert Drug Implant (11983)
range across 3 matching MRF lines		 $168–$420 $210–$525 varies
Renal Biopsy Perq (50200) $1,248.30 $1,560.38 0.8×
Repair Achilles Tendon (27650)
likely a partial charge, not the full procedure		 $1,260 $1,575 0.2×
Repair Collat Ankle Ligmnt,Secondary (27698)
likely a partial charge, not the full procedure		 $1,200 $1,500 0.2×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $656.54–$1,040 $820.67–$1,300 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $655.20–$660 $819–$825 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 7 matching MRF lines		 $367.36–$1,068 $459.20–$1,335 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $600 $750 1.5×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 6 matching MRF lines		 $434.88–$1,812 $543.60–$2,265 varies
Repair complex trunk 1.1-2.5 cm (13100)
range across 2 matching MRF lines		 $342.72–$856.80 $428.40–$1,071 varies
Repair complex trunk 2.6-7.5 cm (13101)
range across 5 matching MRF lines		 $404.16–$1,684 $505.20–$2,105 varies
Repair Elbow Perc (24357) $752.80 $941 0.2×
Repair extensor tendon finger w/o graft each (26418) $1,140.80 $1,426 0.7×
Repair Finger Tendon (26433) $924 $1,155 0.3×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $720 $900 0.2×
Repair Foot Dislocation (28615)
unusually low: confirm this is the full procedure		 $3,442.40 $4,303 0.5×
Repair Hallux Rigidus (28289)
range across 5 matching MRF lines		 $746.88–$3,112 $933.60–$3,890 varies
Repair Hand Joint (26540) $1,200 $1,500 0.4×
Repair Hand Tendon (26410) $1,020 $1,275 0.7×
Repair incomplete circumcision (54163) $360.80 $451 0.2×
Repair inguinal hernia, sliding, any age (49525) $1,040 $1,300 0.3×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553)
range across 2 matching MRF lines		 $1,032–$1,059.20 $1,290–$1,324 varies
Repair initial femoral hernia, any age; reducible (49550) $1,080 $1,350 0.3×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507)
range across 2 matching MRF lines		 $983.20–$1,040 $1,229–$1,300 varies
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 5 matching MRF lines		 $210.80–$599.66 $263.50–$749.57 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 5 matching MRF lines		 $240.80–$705.35 $301–$881.69 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 4 matching MRF lines		 $320–$846.42 $400–$1,058.02 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,058.26 $1,322.82 2.7×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $2,009.45 $2,511.81 5.1×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 3 matching MRF lines		 $692.80–$1,662 $866–$2,077.50 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 4 matching MRF lines		 $176–$546.82 $220–$683.52 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 5 matching MRF lines		 $196.80–$670.20 $246–$837.75 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $640–$811.26 $800–$1,014.08 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $1,533.39 $1,916.74 0.8×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 5 matching MRF lines		 $291.20–$934.64 $364–$1,168.30 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 5 matching MRF lines		 $191.20–$493.74 $239–$617.18 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 5 matching MRF lines		 $240.40–$599.66 $300.50–$749.57 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 3 matching MRF lines		 $720.80–$1,111.10 $901–$1,388.87 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 6 matching MRF lines		 $240–$757.29 $300–$946.61 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 3 matching MRF lines		 $792.80–$1,374.63 $991–$1,718.29 varies
Repair Nonunion/Malunion Tarsal Bones (28320)
likely a partial charge, not the full procedure		 $2,140.80 $2,676 0.2×
Repair Nonunion/Malunion Tibia W/O Graft (27720)
likely a partial charge, not the full procedure		 $1,558.40 $1,948 0.2×
Repair of enterocele, vaginal approach (separate procedure) (57268) $845.60 $1,057 0.2×
Repair of hydrocele (55060) $740 $925 0.2×
Repair of metatarsals (28322)
likely a partial charge, not the full procedure		 $1,393.60 $1,742 0.2×
Repair of nail bed (11760)
range across 4 matching MRF lines		 $133.76–$369.46 $167.20–$461.82 varies
Repair of Ruptured Tendon (24342)
likely a partial charge, not the full procedure		 $1,392 $1,740 0.2×
Repair of shoulder (23420)
range across 2 matching MRF lines		 $1,630.40–$1,760 $2,038–$2,200 varies
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
range across 2 matching MRF lines		 $1,199.20–$1,260 $1,499–$1,575 varies
Repair secondary achilles tendon w/wo graft (27654)
likely a partial charge, not the full procedure		 $1,224 $1,530 0.2×
Repair tongue laceration (41252) $400 $500 1.8×
Repair tongue laceration (41250) $499.64 $624.55 1.2×
Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665)
likely a partial charge, not the full procedure		 $956 $1,195 0.1×
Repair, primary, disrupted ligament, ankle; collateral (27695)
likely a partial charge, not the full procedure		 $1,242 $1,552.50 0.2×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
likely a partial charge, not the full procedure		 $1,220 $1,525 0.2×
Repair/graft achilles tendon (27652)
range across 2 matching MRF lines		 $1,147.20–$1,280 $1,434–$1,600 varies
Repair/Graft Wrist Bone (25440)
likely a partial charge, not the full procedure		 $1,380 $1,725 0.2×
Replace G-J Tube Perc (49452)
range across 2 matching MRF lines		 $164–$3,718.40 $205–$4,648 varies
Replace g/c tube perc (49450) $274.43 $343.04 0.3×
Reposition Gastrostomy Tube (43761) $370.36 $462.95 1.5×
Rerepair ing hernia reduce (49520)
range across 2 matching MRF lines		 $1,040–$1,059.20 $1,300–$1,324 varies
Resection, partial or complete, phalangeal base, each toe (28126) $580 $725 0.2×
Revise Hand/Foot Nerve (64704) $871.20 $1,089 0.5×
Revise knuckle joint (26530)
likely a partial charge, not the full procedure		 $1,228.80 $1,536 0.2×
Revise lower leg tendon (27690)
likely a partial charge, not the full procedure		 $1,162.78 $1,453.48 0.2×
Revise Lower Leg Tendons (27686) $946.40 $1,183 0.3×
Revise ulnar nerve at wrist (64719) $918.40 $1,148 0.5×
Revision of big toe (28310)
likely a partial charge, not the full procedure		 $1,080 $1,350 0.2×
Revision of foot (28116) $1,348 $1,685 0.4×
Revision of lower leg tendon (27685) $1,280 $1,600 0.4×
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138)
likely a partial charge, not the full procedure		 $2,608 $3,260 0.2×
Revision of urethra (57220) $620 $775 0.1×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $110.68 $138.35 0.1×
Rmvl FB Xtrnl Auditory Canal Anes (69205)
range across 6 matching MRF lines		 $52.16–$200 $65.20–$250 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 4 matching MRF lines		 $35.20–$211.60 $44–$264.50 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 4 matching MRF lines		 $46.72–$264.46 $58.40–$330.57 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $230.21 $287.76 0.5×
Rmvl fecal impaction/fb spx under anes (45915) $388 $485 0.3×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $432 $540 0.2×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)
range across 5 matching MRF lines		 $188.48–$471.20 $235.60–$589 varies
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $504.80–$640 $631–$800 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines		 $360–$435.01 $450–$543.76 varies
Rplcmt compl tun ctr vad w/subq port (36582) $548 $685 0.2×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure		 $1,276.80 $1,596 0.2×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $585.86 $732.32 0.2×
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure		 $1,029.60 $1,287 0.2×
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure		 $814.40 $1,018 0.1×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) $1,068 $1,335 0.3×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664)
likely a partial charge, not the full procedure		 $819 $1,023.75 0.1×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $400–$828.96 $500–$1,036.20 varies
Rpr flexor tendon leg secondary w/o graft each (27659)
likely a partial charge, not the full procedure		 $920 $1,150 0.1×
Rpr ing hernia init reduce (49500)
likely a partial charge, not the full procedure		 $640 $800 0.1×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,233.57 $1,541.96 1.7×
Rpr Lip Full Thickness Vermilion Only (40650) $1,124.70 $1,405.88 2.2×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $645.22 $806.52 0.4×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696)
likely a partial charge, not the full procedure		 $1,080 $1,350 0.2×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $960 $1,200 0.3×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $1,436 $1,795 0.5×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $897.60 $1,122 0.3×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $1,440 $1,800 0.5×
Sgmdsc flx dired sbmcsl njx any sbst (45335)
range across 2 matching MRF lines		 $156–$164 $195–$205 varies
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $252 $315 0.2×
Shave skin lesion 0.5 cm/< (11300)
range across 6 matching MRF lines		 $42.88–$116 $53.60–$145 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310)
range across 6 matching MRF lines		 $53.12–$148 $66.40–$185 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305)
range across 5 matching MRF lines		 $45.12–$120 $56.40–$150 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306)
range across 6 matching MRF lines		 $62.08–$164 $77.60–$205 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307)
range across 6 matching MRF lines		 $72.64–$571.20 $90.80–$714 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $268.80 $336 0.7×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311)
range across 4 matching MRF lines		 $75.52–$188.80 $94.40–$236 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312)
range across 2 matching MRF lines		 $212–$275.20 $265–$344 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 6 matching MRF lines		 $58.24–$160 $72.80–$200 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303)
range across 6 matching MRF lines		 $82.24–$224 $102.80–$280 varies
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302)
range across 6 matching MRF lines		 $76.80–$241.60 $96–$302 varies
Sigmoidoscopy & Polypectomy (45333) $208 $260 0.2×
Sigmoidoscopy flx tndsc balo dilat (45340)
range across 2 matching MRF lines		 $195.20–$204 $244–$255 varies
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 2 matching MRF lines		 $127.20–$132 $159–$165 varies
Simple Cystometrogram (51725) $400 $500 1.7×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $1,058.26 $1,322.82 2.7×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 7 matching MRF lines		 $72.96–$424.34 $91.20–$530.43 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 7 matching MRF lines		 $78.08–$529.12 $97.60–$661.40 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017)
range across 2 matching MRF lines		 $480–$1,409.79 $600–$1,762.24 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 7 matching MRF lines		 $121.60–$617.35 $152–$771.69 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018)
range across 2 matching MRF lines		 $560–$1,849.78 $700–$2,312.23 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 7 matching MRF lines		 $60.80–$388.97 $76–$486.21 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $1,021.97 $1,277.46 5.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 7 matching MRF lines		 $87.68–$599.66 $109.60–$749.57 varies
Skin sub graft face/nk/hf/g (15275)
range across 4 matching MRF lines		 $358.80–$2,888 $448.50–$3,610 varies
Skin sub graft trnk/arm/leg (15271)
range across 4 matching MRF lines		 $205.20–$588 $256.50–$735 varies
Skin sub grft t/arm/lg child (15273)
range across 4 matching MRF lines		 $500–$4,332 $625–$5,415 varies
Skn sub grft f/n/hf/g child (15277)
range across 3 matching MRF lines		 $742.80–$2,888 $928.50–$3,610 varies
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $1,444 $1,805 0.3×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 7 matching MRF lines		 $71.36–$459.50 $89.20–$574.38 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $344–$740.74 $430–$925.92 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $424–$934.64 $530–$1,168.30 varies
Sphincterotomy anal division sphincter spx (46080) $460 $575 0.2×
Spinal puncture lumbar diagnostic (62270)
range across 5 matching MRF lines		 $52.80–$318.42 $66–$398.03 varies
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $1,600 $2,000 0.8×
Strapping ankle (29540) $52.80 $66 0.3×
Strapping elbow or wrist (29260) $190.97 $238.71 3.4×
Strapping hand/finger (29280) $76 $95 1.3×
Strapping Hip (29520) $190.97 $238.71 1.5×
Strapping knee (29530) $190.97 $238.71 1.5×
Strapping shoulder (29240) $128.38 $160.47 1.0×
Strapping thorax (29200) $130.42 $163.02 0.8×
Strapping toes (29550) $190.97 $238.71 3.4×
Strapping Unna Boot (29580)
range across 6 matching MRF lines		 $80.80–$760 $101–$950 varies
Surg Tx Anal Fistula 2nd Stage (46285) $1,015.20 $1,269 0.4×
Surg tx anal fistula subq (46270) $520 $650 0.2×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $1,040 $1,300 0.4×
Suture of quadriceps or hamstring muscle rupture primary (27385)
likely a partial charge, not the full procedure		 $1,371.20 $1,714 0.2×
Syndactylization toes (28280)
range across 3 matching MRF lines		 $309.04–$772.60 $386.30–$965.75 varies
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $840 $1,050 0.5×
Tangential biopsy skin single lesion (11102)
range across 4 matching MRF lines		 $44.24–$110.60 $55.30–$138.25 varies
Tenodesis long tendon biceps (23430)
range across 2 matching MRF lines		 $234.40–$1,674.40 $293–$2,093 varies
Tenolysis extensor foot single tendon (28225)
range across 3 matching MRF lines		 $238–$595 $297.50–$743.75 varies
Tenolysis flexor tendon palm/finger each tendon (26440) $1,080 $1,350 0.7×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $800 $1,000 0.3×
Tenotomy Percutaneous Toe Single Tendon (28010) $440 $550 0.3×
Thrombolytic Therapy Stroke (37195) $404.61 $505.76 1.3×
Thyroid biopsy (60100)
range across 2 matching MRF lines		 $402.80–$691.04 $503.50–$863.80 varies
Tissue Expander Placement Breast Reconstruction (19357)
likely a partial charge, not the full procedure		 $2,800 $3,500 0.2×
Tnot elbow lateral/medial debride open (24358) $960 $1,200 0.3×
Total Knee Arthroplasty (27447)
range across 2 matching MRF lines		 $2,426.40–$2,854.40 $3,033–$3,568 varies
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $120.80 $151 0.0×
Tracheostomy Emergency Cricothyroid Membrane (31605) $791.76 $989.70 3.5×
Tracheostomy Emergency Procedure Transtracheal (31603) $480 $600 0.3×
Tracheostomy planned (31600) $460 $575 0.1×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $998.40 $1,248 0.5×
Treat ankle dislocation (27848)
unusually low: confirm this is the full procedure		 $3,400 $4,250 0.5×
Treat ankle fracture (28445)
range across 3 matching MRF lines		 $800–$2,000 $1,000–$2,500 varies
Treat Big Toe Fracture (28505) $1,280 $1,600 0.4×
Treat ectopic pregnancy (59151)
range across 2 matching MRF lines		 $1,276.80–$1,328 $1,596–$1,660 varies
Treat elbow fracture (24586)
likely a partial charge, not the full procedure		 $2,000 $2,500 0.2×
Treat Finger Fracture Each (26727)
range across 3 matching MRF lines		 $292.48–$731.20 $365.60–$914 varies
Treat fracture radius/ulna (25575)
likely a partial charge, not the full procedure		 $1,680 $2,100 0.2×
Treat Fx Rad Extra-Articul (25607)
likely a partial charge, not the full procedure		 $1,672 $2,090 0.2×
Treat Hand Bone Lesion (26034)
range across 2 matching MRF lines		 $907.20–$1,020 $1,134–$1,275 varies
Treat humerus fracture (24500)
range across 6 matching MRF lines		 $215.36–$987.72 $269.20–$1,234.65 varies
Treat Humerus Fracture (24505)
range across 2 matching MRF lines		 $384.80–$769.60 $481–$962 varies
Treat humerus fracture (23616)
likely a partial charge, not the full procedure		 $2,528 $3,160 0.1×
Treat humerus fracture (23600)
range across 3 matching MRF lines		 $246.80–$1,021.97 $308.50–$1,277.46 varies
Treat Knee Fracture(S) (27538) $768 $960 3.2×
Treat Kneecap Fracture (27524)
range across 2 matching MRF lines		 $1,200–$1,267.20 $1,500–$1,584 varies
Treat Knuckle Dislocation (26700) $757.29 $946.61 3.2×
Treat Metatarsal Fracture (28475) $448 $560 1.9×
Treat Tail Bone Fracture (27200) $329.31 $411.64 1.4×
Treat Thumb Dislocation (26641)
range across 4 matching MRF lines		 $220.48–$767.49 $275.60–$959.36 varies
Treat Thumb Fracture (26645) $333.17 $416.46 0.2×
Treat thumb fracture (26665) $1,072 $1,340 0.3×
Treat toe dislocation (28630) $290.40 $363 1.2×
Treat Vaginal Bleeding (57180)
range across 2 matching MRF lines		 $226.40–$256 $283–$320 varies
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 3 matching MRF lines		 $796–$880 $995–$1,100 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 7 matching MRF lines		 $219.20–$1,058.26 $274–$1,322.82 varies
Treatment of ankle fracture (27823)
range across 10 matching MRF lines		 $610.24–$4,142.40 $762.80–$5,178 varies
Treatment of foot infection (28003) $456.80 $571 0.1×
Trim skin lesion (11055)
range across 9 matching MRF lines		 $30.40–$8,844 $38–$11,055 varies
Trim skin lesions 2 to 4 (11056)
range across 8 matching MRF lines		 $36.48–$552 $45.60–$690 varies
Trim skin lesions over 4 (11057)
range across 8 matching MRF lines		 $43.20–$552 $54–$690 varies
Trimming Nondystrophic Nails Any Number (11719)
range across 5 matching MRF lines		 $13.12–$184 $16.40–$230 varies
Tubal ligation (58600) $720 $900 0.2×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $744 $930 0.3×
Tx Gastro Intub W/Asp (43753) $177.36 $221.70 0.9×
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
likely a partial charge, not the full procedure		 $1,512 $1,890 0.1×
Tx Incomplete Abortion Any Trimester Surgical (59812) $512 $640 0.2×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245)
unusually low: confirm this is the full procedure		 $2,136 $2,670 0.3×
Tx Missed Abortion First Trimester Surgical (59820) $612.80 $766 0.2×
Tx Missed Abortion Second Trimester Surgical (59821) $628 $785 0.2×
Tx open tendon flexor toe 1 tendon spx (28232) $776 $970 0.5×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230)
range across 2 matching MRF lines		 $820.68–$820.80 $1,025.85–$1,026 varies
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 3 matching MRF lines		 $293.94–$479.20 $367.42–$599 varies
Tx superficial wound dehiscence w/packing (12021) $260 $325 0.7×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455)
range across 3 matching MRF lines		 $181.12–$452.80 $226.40–$566 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 3 matching MRF lines		 $131.84–$329.60 $164.80–$412 varies
Unlisted hysteroscopy procedure, uterus (58579) $400 $500 2.1×
Unlisted laparoscopic procedure liver (47379)
likely a partial charge, not the full procedure		 $1,600 $2,000 0.3×
Unlisted laparoscopy procedure appendix (44979)
likely a partial charge, not the full procedure		 $1,120 $1,400 0.2×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
likely a partial charge, not the full procedure		 $720 $900 0.1×
Unlisted laparoscopy procedure, biliary tract (47579)
likely a partial charge, not the full procedure		 $1,200 $1,500 0.2×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
likely a partial charge, not the full procedure		 $1,280 $1,600 0.2×
Unlisted laparoscopy procedure, intestine (except rectum) (44238)
likely a partial charge, not the full procedure		 $1,200 $1,500 0.2×
Unlisted laparoscopy procedure, uterus (58578)
likely a partial charge, not the full procedure		 $262.40 $328 0.0×
Unlisted procedure anus (46999) $640 $800 0.7×
Unlisted Procedure Casting/Strapping (29799)
range across 2 matching MRF lines		 $35.38–$190.97 $44.23–$238.71 varies
Unlisted Procedure Intestine (44799) $2,032 $2,540 2.3×
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines		 $320–$421.60 $400–$527 varies
Unlisted procedure, abdomen, peritoneum and omentum (49999) $800 $1,000 0.9×
Unlisted px female genital system nonobstetrical (58999)
range across 2 matching MRF lines		 $268.53–$1,600 $335.66–$2,000 varies
Vaginal Delivery After Cesarean Delivery (59612)
range across 2 matching MRF lines		 $1,119.20–$1,520 $1,399–$1,900 varies
Vaginal delivery only (59409)
range across 2 matching MRF lines		 $992–$1,472 $1,240–$1,840 varies
Vaginal hysterectomy, for uterus 250 g or less; (58260) $1,480 $1,850 0.3×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $1,656 $2,070 0.3×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 2 matching MRF lines		 $684.80–$908 $856–$1,135 varies
Vulvectomy simple partial (56620) $802.40 $1,003 0.3×
Wedge excision skin nail fold (11765)
range across 4 matching MRF lines		 $84.80–$212 $106–$265 varies
Wedging of cast (29740) $160 $200 0.6×
Windowing of cast (29730)
range across 2 matching MRF lines		 $84.84–$99.20 $106.05–$124 varies
Wound Prep F/N/Hf/G (15004) $760 $950 1.9×
Xfer Single Deep Low Leg Tendon (27691)
likely a partial charge, not the full procedure		 $1,440 $1,800 0.2×

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.