Procedures & surgery prices at Bozeman Health Deaconess Regional Medical Center
Bozeman, MT · every code in this section with a posted price and a Medicare benchmark.
918 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi,… (54322) | $2,327.20 | — | 0.6× |
| 1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps… (54324) | $19,620.80 | — | 5.4× |
| Abd paracentesis w/imaging (49083) range across 4 matching MRF lines |
$304.80–$1,027.20 | $381–$1,284 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 3 matching MRF lines |
$180–$1,027.20 | $225–$1,284 | varies |
| Ablation 1/> liver tumor perq cryoablation (47383) | $20,827.20 | $26,034 | 1.9× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) unusually low: confirm this is the full procedure |
$8,009.60 | $10,012 | 0.4× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) | $9,023.20 | $11,279 | 1.2× |
| Acne surgery (10040) | $138.40 | $173 | 0.7× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) | $1,981.60 | — | 0.9× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) | $3,209.60 | — | 1.5× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) | $5,615.20 | — | 1.6× |
| Amniocentesis diagnostic (59000) range across 2 matching MRF lines |
$283.20–$456 | $354–$570 | varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $1,660 | $2,075 | 0.5× |
| Anal/Urinary Muscle Study (51784) | $84.80 | $106 | 0.6× |
| Anoscopy Ablation Lesion (46615) | $1,830.40 | — | 0.6× |
| Anoscopy diagnostic (46600) range across 3 matching MRF lines |
$92.80–$143.20 | $116–$179 | varies |
| Anoscopy W/Rmvl Foreign Body (46608) range across 2 matching MRF lines |
$234.40–$420 | $293–$525 | varies |
| Anoscopy; with biopsy, single or multiple (46606) | $490.40 | — | 0.4× |
| Anterior colporraphy rpr cystocele w/cysto (57240) | $19,598.40 | — | 3.8× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $192 | $240 | 1.2× |
| Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
$130.40–$232 | $163–$290 | varies |
| Application finger splint static (29130) range across 4 matching MRF lines |
$82.40–$180 | $103–$225 | varies |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$152–$196.80 | $190–$246 | varies |
| Application Long Leg Cast Walker/Ambulatory Type (29355) range across 2 matching MRF lines |
$260–$527.20 | $325–$659 | varies |
| Application Long Leg Splint (29505) range across 3 matching MRF lines |
$167.20–$320.80 | $209–$401 | varies |
| Application of long leg cast (29345) range across 2 matching MRF lines |
$149.60–$323.20 | $187–$404 | varies |
| Application of rigid total contact leg cast (29445) range across 2 matching MRF lines |
$275.20–$500.80 | $344–$626 | varies |
| Application short arm splint forearm-hand static (29125) range across 4 matching MRF lines |
$92–$188.80 | $115–$236 | varies |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$100.80–$312 | $126–$390 | varies |
| Apply hand/wrist cast (29085) | $249.60 | $312 | 1.5× |
| Apply long arm cast (29065) range across 3 matching MRF lines |
$140.80–$323.20 | $176–$404 | varies |
| Apply Multlay Comprs Lwr Leg (29581) | $203.20 | $254 | 1.2× |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$132–$196.80 | $165–$246 | varies |
| Apply short leg cast (29425) | $323.20 | $404 | 1.1× |
| Arterial puncture (36600) | $76.80 | $96 | 0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$149.60–$364 | $187–$455 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 3 matching MRF lines |
$106.40–$732 | $133–$915 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$183.20–$244.80 | $229–$306 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 3 matching MRF lines |
$148.80–$411.20 | $186–$514 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 4 matching MRF lines |
$120.80–$624.80 | $151–$781 | varies |
| Arthrodesis great toe metatarsophalangeal joint (28750) likely a partial charge, not the full procedure |
$1,729.06 | — | 0.2× |
| Arthroplasty glenohumeral joint total shoulder (23472) | $10,646.40 | — | 0.6× |
| Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) Facility (21240) | $6,577.60 | — | 1.1× |
| Arthroscopy hip w/femoroplasty (29914) | $6,288.80 | — | 0.8× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) | $3,430.40 | — | 1.0× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) | $11,290.40 | — | 1.5× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) | $5,077.60 | — | 1.5× |
| Arthrotomy with biopsy; metacarpophalangeal joint, each (26105) | $2,978.40 | — | 0.9× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) | $17,689.60 | — | 1.3× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) | $16,326.40 | — | 1.2× |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) | $3,603.20 | — | 1.1× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) | $3,819.20 | — | 1.1× |
| Artificial insemination intra-uterine (58322) | $297.60 | $372 | 1.4× |
| Aspirate pleura w/ imaging (32555) range across 4 matching MRF lines |
$318.40–$2,431.20 | $398–$3,039 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 3 matching MRF lines |
$201.60–$1,042.40 | $252–$1,303 | varies |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$249.60–$408 | $312–$510 | varies |
| Aspiration bladder insert suprapubic catheter (51102) range across 3 matching MRF lines |
$265.60–$1,083.20 | $332–$1,354 | varies |
| Aspiration Bladder Needle (51100) range across 2 matching MRF lines |
$240–$355.20 | $300–$444 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 5 matching MRF lines |
$134.40–$212 | $168–$265 | varies |
| Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) likely a partial charge, not the full procedure |
$1,038.40 | $1,298 | 0.1× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) likely a partial charge, not the full procedure |
$991.20 | $1,239 | 0.1× |
| Biopsy Abdominal Mass (49180) | $2,464.80 | $3,081 | 1.5× |
| Biopsy bone trocar/needle deep (20225) | $2,051.20 | $2,564 | 1.2× |
| Biopsy Bone Trocar/Needle Superficial (20220) range across 2 matching MRF lines |
$259.20–$639.20 | $324–$799 | varies |
| Biopsy External Auditory Canal (69105) | $488 | $610 | 0.3× |
| Biopsy external ear (69100) | $234.40 | $293 | 1.0× |
| Biopsy muscle percutaneous needle (20206) | $902.40 | $1,128 | 0.5× |
| Biopsy Muscle Superficial (20200) | $753.60 | $942 | 0.4× |
| Biopsy of breast; open, incisional (19101) | $606.40 | $758 | 0.2× |
| Biopsy of floor of mouth (41108) | $368.80 | $461 | 0.2× |
| Biopsy of lip (40490) | $395.20 | $494 | 1.6× |
| Biopsy of liver, needle; percutaneous (47000) | $2,464.80 | $3,081 | 1.5× |
| Biopsy of palate, uvula (42100) | $264 | $330 | 0.2× |
| Biopsy of rectum (45100) | $2,492.80 | — | 0.9× |
| Biopsy of urethra (53200) | $304.80 | — | 0.1× |
| Biopsy Oropharynx (42800) | $1,364.80 | $1,706 | 0.9× |
| Biopsy Pleura Percutaneous Needle (32400) | $416 | $520 | 0.2× |
| Biopsy Prostate Any Approach Nonimaging-Guided (55705) | $779.20 | $974 | 0.2× |
| Biopsy Salivary Gland Needle (42400) | $1,094.40 | $1,368 | 1.5× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) | $4,035.20 | — | 2.4× |
| Biopsy soft tissue forearm&/wrist superficial (25065) | $2,989.60 | — | 1.8× |
| Biopsy soft tissue leg/ankle area superficial (27613) | $441.60 | $552 | 0.3× |
| Biopsy soft tissue neck/thorax (21550) | $953.60 | $1,192 | 0.6× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) | $3,928 | — | 2.3× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) | $1,288 | $1,610 | 0.4× |
| Biopsy Tongue Anterior Two-Thirds (41100) | $297.60 | $372 | 0.5× |
| Biopsy Tongue Posterior One-Third (41105) | $270.40 | $338 | 0.1× |
| Biopsy Vaginal Mucosa Extensive (57105) | $310.40 | — | 0.1× |
| Biopsy Vaginal Mucosa Simple (57100) | $1,225.06 | — | 1.3× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $270.40 | $338 | 0.3× |
| Biopsy, vestibule of mouth (40808) | $429.60 | $537 | 0.8× |
| Bladder instillation anticarcinogenic agent (51720) | $208 | $260 | 0.3× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$227.20–$232 | $284–$290 | varies |
| Bladder Scan (51798) | $88.80 | $111 | 1.5× |
| Blepharotomy drainage abscess eyelid (67700) range across 2 matching MRF lines |
$282.40–$647.20 | $353–$809 | varies |
| Blood Transfusion Service (36430) | $988.80 | $1,236 | 2.2× |
| Blood/Lymph System Procedure (38999) | $163.20 | $204 | 0.4× |
| Bone Graft Any Donor Area Minor/Small (20900) | $6,948.80 | — | 0.9× |
| Bone Marrow Biopsy (38221) range across 2 matching MRF lines |
$252.80–$620.80 | $316–$776 | varies |
| Bone Marrow; Aspiration Only (38220) | $179.20 | $224 | 0.1× |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) | $3,836 | $4,795 | 2.1× |
| Brnchsc Removal Bronchial Valve Initial (31648) | $8,000.80 | $10,001 | 2.1× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) | $1,329.20 | — | 0.3× |
| Bronchoscopy Bronch Stents (31636) likely a partial charge, not the full procedure |
$1,981.60 | — | 0.3× |
| Bronchoscopy W/Biopsy(S) (31625) | $1,549.60 | — | 0.9× |
| Bronchoscopy W/Removal Foreign Body (31635) | $1,341.60 | $1,677 | 0.7× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) | $1,444.48 | — | 0.4× |
| Bronchoscopy/Needle Bx Each (31629) | $1,314.80 | — | 0.3× |
| Bx breast 1st lesion mr imag (19085) | $420.80 | $526 | 0.2× |
| Bx breast 1st lesion us imag (19083) | $175.20 | $219 | 0.1× |
| Bx breast needle core w/o imaging guidance spx (19100) | $268.80 | $336 | 0.2× |
| Bx Cervix (57500) | $212 | $265 | 0.2× |
| Bx prostate strtctc saturation sampling img gid (55706) | $3,675.20 | — | 1.0× |
| Bx/exc lymph node open superficial (38500) | $1,441.06 | — | 0.4× |
| Canthotomy Separate Procedure (67715) range across 2 matching MRF lines |
$203.20–$3,006.40 | $254–$3,758 | varies |
| Catheter aspiration nasotracheal spx (31720) | $138.40 | $173 | 0.6× |
| Cerclage cervix pregnancy vaginal (59320) | $592 | $740 | 0.2× |
| Cessj Therapy Cath Removal (37214) | $371.20 | $464 | 0.1× |
| Change Cystostomy Tube Complicated (51710) range across 2 matching MRF lines |
$203.20–$343.20 | $254–$429 | varies |
| Change Cystostomy Tube Simple (51705) range across 4 matching MRF lines |
$140.80–$327.20 | $176–$409 | varies |
| Change of Windpipe Airway (31502) | $108.80 | $136 | 0.4× |
| Change ureter stent percut (50382) | $4,301.60 | $5,377 | 2.0× |
| Chemical Cautery Tissue (17250) range across 3 matching MRF lines |
$188–$321.60 | $235–$402 | varies |
| Chemodenerv 1 extrem 5/> mus (64644) | $308.80 | $386 | 0.4× |
| Chemodenerv 1 extremity 1-4 (64642) | $300.80 | $376 | 0.4× |
| Chemodenerv Musc Migraine (64615) | $339.20 | $424 | 1.1× |
| Chemodenerv musc neck dyston (64616) | $482.40 | $603 | 1.5× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) | $168.80 | $211 | 0.5× |
| Chemodenerv trunk musc 1-5 (64646) | $329.60 | $412 | 0.5× |
| Chemodenervation eccrine glands oth area per day (64653) | $140.80 | $176 | 0.4× |
| Chemodenervation of internal anal sphincter (46505) | $116 | $145 | 0.1× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $335.20 | $419 | 1.1× |
| Chest tube placement (32551) range across 3 matching MRF lines |
$556.80–$668 | $696–$835 | varies |
| Chg onc prst8 ca alys all PSA structural isoforms (0359U) | $636 | — | 0.8× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) | $368 | $460 | 0.2× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $4,064.80 | $5,081 | 1.1× |
| Chorionic Villus Sampling (59015) range across 2 matching MRF lines |
$256–$468 | $320–$585 | varies |
| Circumcision 28 days or older (54161) | $279.20 | $349 | 0.1× |
| Circumcision w/clamp/oth dev w/block (54150) range across 3 matching MRF lines |
$373.60–$579.20 | $467–$724 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) range across 2 matching MRF lines |
$480–$1,991.20 | $600–$2,489 | varies |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$178.40–$391.20 | $223–$489 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) range across 2 matching MRF lines |
$373.60–$932 | $467–$1,165 | varies |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) range across 2 matching MRF lines |
$455.20–$532 | $569–$665 | varies |
| Closed Treatment Ulnar Styloid Fracture (25650) | $352.80 | $441 | 1.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$768–$1,424.80 | $960–$1,781 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$480–$1,144.80 | $600–$1,431 | varies |
| Closed tx carpal scaphoid fracture w/manj (25624) range across 2 matching MRF lines |
$439.20–$1,302.40 | $549–$1,628 | varies |
| Closed tx knee dislocation w/o anesthesia (27550) range across 2 matching MRF lines |
$561.60–$689.60 | $702–$862 | varies |
| Closed Tx Lunate Dislocation W/Manipulation (25690) range across 2 matching MRF lines |
$374.40–$1,192 | $468–$1,490 | varies |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) range across 2 matching MRF lines |
$374.40–$1,205.60 | $468–$1,507 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $335.20 | $419 | 0.2× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $730.40 | $913 | 0.2× |
| Closed tx patellar dislocation w/anesthesia (27562) range across 2 matching MRF lines |
$252.80–$438.40 | $316–$548 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$702.40–$1,297.60 | $878–$1,622 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) range across 2 matching MRF lines |
$374.40–$1,041.60 | $468–$1,302 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 2 matching MRF lines |
$370.40–$561.60 | $463–$702 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$1,166.40–$1,703.20 | $1,458–$2,129 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$580.80–$1,874.40 | $726–$2,343 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines |
$457.60–$618.40 | $572–$773 | varies |
| Closed tx talotarsal joint dislc w/o anes (28570) range across 2 matching MRF lines |
$272.80–$374.40 | $341–$468 | varies |
| Closed tx tarsometatarsal dislocation w/o anes (28600) range across 2 matching MRF lines |
$373.60–$420.80 | $467–$526 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 2 matching MRF lines |
$127.20–$346.40 | $159–$433 | varies |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) range across 2 matching MRF lines |
$561.60–$1,001.60 | $702–$1,252 | varies |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) range across 2 matching MRF lines |
$306.40–$364.80 | $383–$456 | varies |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) range across 2 matching MRF lines |
$376.80–$793.60 | $471–$992 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) | $396.80 | $496 | 1.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $767.20 | $959 | 0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$599.20–$1,068 | $749–$1,335 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $374.40 | $468 | 0.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) range across 2 matching MRF lines |
$374.40–$497.60 | $468–$622 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$423.20–$561.60 | $529–$702 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$472–$779.20 | $590–$974 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 2 matching MRF lines |
$568.80–$705.60 | $711–$882 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $280.80 | $351 | 1.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 3 matching MRF lines |
$452–$702.40 | $565–$878 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,044–$1,530.40 | $1,305–$1,913 | varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) range across 2 matching MRF lines |
$1,232–$1,240 | $1,540–$1,550 | varies |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $374.40 | $468 | 1.5× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $95.20 | $119 | 0.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$184.80–$837.60 | $231–$1,047 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 2 matching MRF lines |
$184.80–$558.40 | $231–$698 | varies |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 2 matching MRF lines |
$374.40–$1,248 | $468–$1,560 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) | $781.60 | $977 | 0.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$1,073.60–$1,963.20 | $1,342–$2,454 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$214.40–$318.40 | $268–$398 | varies |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $1,727.20 | $2,159 | 6.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$517.60–$961.60 | $647–$1,202 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) range across 2 matching MRF lines |
$374.40–$480 | $468–$600 | varies |
| Cltx Medial Ankle Fx (27760) range across 2 matching MRF lines |
$373.60–$938.40 | $467–$1,173 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$374.40–$558.40 | $468–$698 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$319.20–$374.40 | $399–$468 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$644–$1,114.40 | $805–$1,393 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $252.80 | $316 | 1.0× |
| Cltx post hip arthrp dislc req anes (27266) | $3,716.80 | $4,646 | 2.3× |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$1,050.40–$1,073.60 | $1,313–$1,342 | varies |
| Cltx prox fibula/shft fx w/manj (27781) | $1,800 | $2,250 | 1.1× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $474.40 | $593 | 0.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
$230.40–$316.80 | $288–$396 | varies |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) range across 2 matching MRF lines |
$373.60–$1,362.40 | $467–$1,703 | varies |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $705.60 | $882 | 2.8× |
| Cltx tibial shaft fx w/o manipulation (27750) range across 2 matching MRF lines |
$374.40–$396.80 | $468–$496 | varies |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) | $374.40 | $468 | 1.5× |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$949.60–$1,172 | $1,187–$1,465 | varies |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) | $13,144 | — | 2.6× |
| Collect Blood From Catheter Venous Nos (36592) | $260.80 | $326 | 1.9× |
| Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$20.80–$120.80 | $26–$151 | varies |
| Colonoscopy Flexible With Decompression (45393) | $4,368 | — | 3.6× |
| Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) | $3,752.80 | — | 3.1× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) | $3,752.80 | — | 3.1× |
| Colonoscopy thru stoma (44388) | $2,194.50 | — | 2.3× |
| Colonoscopy W/Band Ligation (45398) | $2,641.10 | — | 2.2× |
| Colonoscopy w/submucosal inj (45381) | $2,198.46 | — | 1.8× |
| Colpocleisis (le fort type) (57120) | $10,094.40 | — | 2.0× |
| Colporrhaphy (57200) | $594.40 | $743 | 0.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $289.60 | $362 | 0.9× |
| Colposcopy Cervix Endocervical Curettage (57456) | $312.80 | $391 | 1.0× |
| Colposcopy cervix upper/adjacent vagina (57452) | $235.20 | $294 | 1.1× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $200.80 | $251 | 0.6× |
| Colposcopy cervix vag eltrd conization cervix (57461) | $1,033.60 | $1,292 | 0.3× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | $876 | $1,095 | 0.3× |
| Colposcopy entire vagina w/cervix if present (57420) range across 2 matching MRF lines |
$267.20–$358.40 | $334–$448 | varies |
| Colposcopy of vulva (56820) | $338.40 | $423 | 1.6× |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $4,368 | — | 3.6× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) | $1,006.14 | — | 0.8× |
| Combined anteroposterior colporrhaphy; (57260) likely a partial charge, not the full procedure |
$973.60 | $1,217 | 0.2× |
| Complex Cystometrogram (51726) | $588.80 | $736 | 2.3× |
| Complex drainage wound (10180) | $417.60 | $522 | 0.1× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $781.60 | $977 | 0.2× |
| Conization of cervix (57520) | $2,492.80 | — | 0.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 3 matching MRF lines |
$288–$515.20 | $360–$644 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$202.40–$312.80 | $253–$391 | varies |
| Control oropharyngeal hemorrhage simple (42960) | $2,623.20 | — | 4.8× |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) | $35,865.60 | — | 2.7× |
| Conversion ext bil drg cath (47535) | $3,635.20 | $4,544 | 1.0× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $2,796 | $3,495 | 1.4× |
| Convert Nephrostomy Catheter (50434) | $2,368.80 | $2,961 | 1.1× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $5,896 | $7,370 | 3.5× |
| Correction hammertoe (28285) | $2,144.60 | — | 0.6× |
| Create Eardrum Opening (69433) | $405.60 | $507 | 0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$312.80–$380.80 | $391–$476 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) range across 2 matching MRF lines |
$300–$348.80 | $375–$436 | varies |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) | $1,830.40 | — | 0.5× |
| Curettage postpartum (59160) | $2,379.20 | — | 0.7× |
| Cysto Bladder W/Ureteral Catheterization (52005) range across 3 matching MRF lines |
$115.20–$3,709.60 | $144–$4,637 | varies |
| Cysto calibration dilat urtl strix/stenosis (52281) | $718.40 | $898 | 0.3× |
| Cysto w/destruction of lesions (52214) | $851.20 | $1,064 | 0.2× |
| Cysto w/insert ureteral stent (52332) | $3,846.40 | $4,808 | 1.1× |
| Cysto w/irrig & evac multple obstructing clots (52001) | $3,171.20 | — | 0.9× |
| Cysto w/removal of lesions small (52224) | $892 | $1,115 | 0.2× |
| Cysto w/removal of tumors small (52234) | $302.40 | $378 | 0.1× |
| Cysto W/Simple Removal Stone & Stent (52310) | $659.20 | $824 | 0.3× |
| Cysto w/ureter stricture tx (52341) | $2,737.60 | $3,422 | 0.8× |
| Cysto w/ureteroscopy w/lithotripsy (52353) | $3,243.20 | — | 0.6× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) | $1,369.60 | — | 0.4× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) | $3,846.40 | $4,808 | 1.1× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) unusually low: confirm this is the full procedure |
$1,837.60 | — | 0.3× |
| Cysto/uretero w/lithotripsy (52356) | $6,020 | $7,525 | 1.1× |
| Cystometrogram W/Up (51727) | $546.40 | $683 | 0.8× |
| Cystometrogram W/Vp (51728) | $829.60 | $1,037 | 1.2× |
| Cystometrogram W/Vp&Up (51729) | $712 | $890 | 1.0× |
| Cystoscopy inject material (52327) | $4,831.60 | — | 0.9× |
| Cystourethroscopy (52000) range across 3 matching MRF lines |
$192–$514.40 | $240–$643 | varies |
| Cystourethroscopy inj chemodenervation bladder (52287) | $356.80 | $446 | 0.2× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) | $2,883.20 | — | 0.8× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) | $4,976 | — | 0.9× |
| Cystourethroscopy with biopsy (52204) | $455.20 | $569 | 0.2× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) | $859.20 | $1,074 | 0.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $758.40 | $948 | 1.8× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$504–$609.60 | $630–$762 | varies |
| Debride nail 1-5 (11720) range across 3 matching MRF lines |
$44–$129.60 | $55–$162 | varies |
| Debride nail 6 or more (11721) range across 3 matching MRF lines |
$64–$226.40 | $80–$283 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 3 matching MRF lines |
$684.80–$1,406.40 | $856–$1,758 | varies |
| Debridement Mastoidectomy Cavity Cmplx (69222) | $377.60 | $472 | 0.7× |
| Debridement Mastoidectomy Cavity Simple (69220) | $344 | $430 | 1.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 5 matching MRF lines |
$107.20–$416.80 | $134–$521 | varies |
| Declot vascular device (36593) range across 3 matching MRF lines |
$153.60–$320 | $192–$400 | varies |
| Deep Muscle Biopsy (20205) | $5,907.20 | — | 2.0× |
| Delivery of placenta (59414) | $3,031.20 | $3,789 | 0.9× |
| Destr W Neurolytic; Celiac Plexus (64680) | $1,708.80 | $2,136 | 1.9× |
| Destroy cerv/thor facet jnt (64633) | $326.40 | $408 | 0.2× |
| Destroy lumb/sac facet jnt (64635) | $326.40 | $408 | 0.2× |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$89.60–$123.20 | $112–$154 | varies |
| Destruction Benign Lesions 15/> (17111) | $235.20 | $294 | 1.1× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) | $586.96 | — | 0.5× |
| Destruction Lesions Vulva Extensive (56515) | $583.20 | $729 | 0.3× |
| Destruction Lesions Vulva Simple (56501) | $392 | $490 | 0.2× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $214.40 | $268 | 1.0× |
| Destruction premalignant lesion 1st (17000) | $162.40 | $203 | 0.8× |
| Destruction Vaginal Lesions Simple (57061) | $205.60 | $257 | 0.1× |
| Diagnostic sigmoidoscopy (45330) | $2,640.40 | — | 2.8× |
| Diaphragm or cervical cap fitting with instructions (57170) | $96.80 | $121 | 0.5× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) | $161.60 | $202 | 1.2× |
| Dilat Xst Trc New Access Rcs (50437) | $5,624.80 | $7,031 | 1.6× |
| Dilate Urethra Stricture (53600) | $238.40 | $298 | 0.9× |
| Dilation & curettage dx&/ther nonobstetric (58120) | $1,405.60 | — | 0.4× |
| Drain Cerebro Spinal Fluid (62272) | $344.80 | $431 | 0.5× |
| Drain/inj small joint/bursa w/us (20604) range across 3 matching MRF lines |
$112.80–$542.40 | $141–$678 | varies |
| Drainage external auditory canal abscess (69020) | $319.20 | $399 | 0.4× |
| Drainage external ear abscess/hematoma cmplx (69005) | $415.20 | $519 | 0.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 3 matching MRF lines |
$246.40–$300.80 | $308–$376 | varies |
| Drainage Finger Abscess Complicated (26011) range across 2 matching MRF lines |
$472.80–$980 | $591–$1,225 | varies |
| Drainage Mouth Roof Lesion (42000) range across 2 matching MRF lines |
$228–$730.40 | $285–$913 | varies |
| Drainage of finger abscess simple (26010) range across 3 matching MRF lines |
$288–$549.60 | $360–$687 | varies |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$196.80–$304.80 | $246–$381 | varies |
| Drainage of hematoma/fluid (10140) range across 5 matching MRF lines |
$196.80–$1,772 | $246–$2,215 | varies |
| Drainage of hydrocele (55000) range across 2 matching MRF lines |
$249.60–$424 | $312–$530 | varies |
| Drainage of nose lesion (30000) | $3,099.20 | — | 12.8× |
| Drainage of scrotal wall abscess (55100) range across 2 matching MRF lines |
$525.60–$1,530.40 | $657–$1,913 | varies |
| Drainage of skene's gland abscess or cyst (53060) | $304 | $380 | 0.1× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) range across 2 matching MRF lines |
$282.40–$1,094.40 | $353–$1,368 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$279.20–$365.60 | $349–$457 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 4 matching MRF lines |
$127.20–$504 | $159–$630 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 5 matching MRF lines |
$127.20–$267.20 | $159–$334 | varies |
| Dstrj les/scar vestibule mouth physical meths (40820) | $415.20 | $519 | 0.1× |
| Dstrj lesion anus simple cryosurgery (46916) | $450.40 | $563 | 2.2× |
| Dstrj lesion anus simple surg excision (46922) | $662.40 | $828 | 0.2× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $138.40 | $173 | 0.7× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $381.60 | $477 | 0.4× |
| Dx Bone Marrow Bx & Aspir (38222) range across 2 matching MRF lines |
$252.80–$460 | $316–$575 | varies |
| Dx Bronchoscope/Lavage (31624) | $427.20 | $534 | 0.2× |
| Dx Bronchoscope/Wash (31622) range across 3 matching MRF lines |
$236.80–$928 | $296–$1,160 | varies |
| Dx Laryngoscopy Excl Nb (31525) | $380 | $475 | 0.2× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $3,457.60 | $4,322 | 4.8× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $2,641.10 | — | 1.3× |
| Egd control bleeding any (43255) | $3,018.40 | — | 1.5× |
| Egd dilation gastric/duodenal stricture (43245) | $2,641.10 | — | 1.3× |
| Egd Flexible Foreign Body Removal (43247) | $991.20 | $1,239 | 1.1× |
| Egd guide wire insertion (43248) | $4,368 | — | 4.7× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) | $15,286.60 | — | 7.8× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) | $13,134.80 | — | 6.7× |
| Egd place gastrostomy tube (43246) | $3,018.40 | — | 1.5× |
| Egd us exam duodenum/jejunum (43259) | $2,508 | — | 1.3× |
| Egd us transmural injxn/mark (43253) | $5,095.53 | — | 2.6× |
| Egd Varices Ligation (43244) | $4,368 | — | 2.2× |
| Egd W/Transmural Drain Cyst (43240) | $12,580 | $15,725 | 2.0× |
| Electro-Uroflowmetry First (51741) | $223.20 | $279 | 1.0× |
| Endocervical curettage (57505) | $332 | $415 | 0.4× |
| Endometrial Biopsy (58100) range across 2 matching MRF lines |
$161.60–$176 | $202–$220 | varies |
| Endoscopic injection/implant (51715) | $2,883.20 | — | 0.8× |
| Endoscopic us exam esoph (43237) | $7,504.80 | — | 3.8× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) | $2,552 | $3,190 | 0.8× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) | $3,220.80 | $4,026 | 1.0× |
| Epidural Blood Patch (62273) | $1,121.60 | $1,402 | 1.6× |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) unusually low: confirm this is the full procedure |
$2,911.73 | — | 0.5× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) | $4,389 | — | 1.1× |
| Ercp ea duct/ampulla dilate (43277) | $7,643.30 | — | 1.9× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) | $6,567.40 | — | 1.7× |
| Ercp remove forgn body duct (43275) | $7,505.60 | — | 3.8× |
| Ercp Stent Exchange W/Dilate (43276) | $7,643.30 | — | 1.2× |
| Ercp W/Biopsy Single/Multiple (43261) | $7,643.30 | — | 1.9× |
| Ercp,Sphincterotomy (43262) | $6,567.40 | — | 1.7× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) | $4,368 | — | 4.7× |
| Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) | $3,675.20 | — | 0.6× |
| Evacuation of subungual hematoma (11740) range across 4 matching MRF lines |
$76.80–$120.80 | $96–$151 | varies |
| Exc arm/elbow les sc < 3 cm (24075) | $1,549.60 | $1,937 | 0.9× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $382.40 | $478 | 0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $539.20 | $674 | 0.3× |
| Exc Back Les Sc < 3 Cm (21930) | $392 | $490 | 0.2× |
| Exc Back Tum Deep 5 Cm/> (21933) | $2,072 | $2,590 | 0.7× |
| Exc back tum deep < 5 cm (21932) | $1,860 | $2,325 | 0.6× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $555.20 | $694 | 0.8× |
| Exc Face Les Sbq 2 Cm/> (21012) | $1,196.80 | $1,496 | 0.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $381.60 | $477 | 0.5× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $394.40 | $493 | 0.5× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $508.80 | $636 | 0.7× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $556.80 | $696 | 0.3× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $508.80 | $636 | 0.3× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $1,636.80 | $2,046 | 1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 3 matching MRF lines |
$156–$3,294.40 | $195–$4,118 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $446.40 | $558 | 0.6× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $460 | $575 | 0.3× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) | $606.40 | $758 | 0.2× |
| Exc Lesion Tongue W/Clsr Posterior One-Third (41113) | $2,934.40 | — | 0.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $416.80 | $521 | 0.6× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $652.80 | $816 | 0.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $562.40 | $703 | 0.3× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $707.20 | $884 | 0.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $897.60 | $1,122 | 0.5× |
| Exc thigh/knee les sc 3 cm/> (27337) | $938.40 | $1,173 | 0.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $3,387.20 | — | 2.8× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $425.60 | $532 | 1.0× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $382.40 | $478 | 0.5× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $626.40 | $783 | 0.4× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $853.60 | $1,067 | 0.3× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $1,053.60 | $1,317 | 0.6× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) | $1,657.60 | — | 0.6× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) range across 2 matching MRF lines |
$697.60–$958.40 | $872–$1,198 | varies |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $895.20 | $1,119 | 0.5× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $1,021.60 | $1,277 | 0.3× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $568 | $710 | 0.3× |
| Exc urethral diverticulum spx female (53230) | $11,417.33 | — | 2.1× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) | $1,195.40 | — | 0.4× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $4,064.80 | $5,081 | 1.1× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $1,706.40 | $2,133 | 0.8× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $2,036 | $2,545 | 1.0× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $515.20 | $644 | 0.3× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $434.40 | $543 | 0.6× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) | $33,035.20 | — | 11.1× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) | $776 | $970 | 0.3× |
| Excision lesion mouth roof (42104) | $397.60 | $497 | 0.1× |
| Excision Lesion Tongue W/O Closure (41110) | $448 | $560 | 0.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $561.60 | $702 | 0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $381.60 | $477 | 0.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $395.20 | $494 | 1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $360 | $450 | 0.5× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $7,584 | — | 2.6× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $464.80 | $581 | 0.6× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $600 | $750 | 0.4× |
| Excision Multiple External Papillae/Tags Anus (46230) | $635.20 | $794 | 0.2× |
| Excision nasal polyp(s) simple (30110) | $394.40 | $493 | 0.2× |
| Excision of bartholin's gland or cyst (56740) | $512 | $640 | 0.2× |
| Excision of hydrocele; unilateral (55040) | $572.80 | $716 | 0.2× |
| Excision of pilonidal cyst or sinus; simple (11770) | $520.80 | $651 | 0.2× |
| Excision of single external papilla or tag, anus (46220) | $352 | $440 | 0.3× |
| Excision of vaginal cyst or tumor (57135) | $250.40 | $313 | 0.1× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $1,554.40 | $1,943 | 0.5× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $1,189.60 | $1,487 | 0.4× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) | $18,712 | — | 3.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $806.40 | $1,008 | 0.5× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $1,273.60 | $1,592 | 0.8× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $803.20 | $1,004 | 0.3× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $1,218.40 | $1,523 | 0.7× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | $2,989.60 | — | 1.0× |
| Excision/destruction lesion pharynx any method (42808) | $402.40 | $503 | 0.1× |
| Explo/Drain Breast Abscess (19020) | $5,115.20 | — | 3.0× |
| Exploration penetrating wound spx extremity (20103) range across 2 matching MRF lines |
$688–$784.80 | $860–$981 | varies |
| External cephalic version (59412) | $271.20 | $339 | 0.1× |
| Fetal non-stress test (59025) range across 2 matching MRF lines |
$118.40–$248 | $148–$310 | varies |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $2,524 | $3,155 | 3.5× |
| Fine Needle Aspiration Orbital Contents (67415) | $136.80 | $171 | 0.1× |
| Fine needle aspiration without imaging guidance (10021) range across 2 matching MRF lines |
$140.80–$174.40 | $176–$218 | varies |
| Fluoro exam of g/colon tube (49465) | $664 | $830 | 2.7× |
| Fna bx w/us gdn 1st les (10005) range across 2 matching MRF lines |
$320–$1,836.80 | $400–$2,296 | varies |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) | $3,431.20 | — | 1.0× |
| Frenulotomy of penis (54164) | $793.60 | $992 | 0.4× |
| Fusion of foot bones (28740) likely a partial charge, not the full procedure |
$1,973.44 | — | 0.3× |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) | $9,941.60 | — | 1.6× |
| Grafting of autologous fat by lipo 50 cc or less (15771) | $17,522.40 | — | 4.8× |
| Guide Cathet Fluid Drainage (10030) | $2,813.60 | $3,517 | 3.9× |
| Head Surgery Procedure (21499) | $694.40 | $868 | 2.9× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $1,288.80 | $1,611 | 0.5× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $3,541.60 | — | 1.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $1,345.60 | $1,682 | 0.5× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $641.60 | $802 | 0.7× |
| Hymenotomy Simple Incision (56442) | $213.60 | $267 | 0.1× |
| Hysteroscopy Div/Rescj Intrauterine Septum (58560) | $2,955.20 | — | 0.6× |
| Hysteroscopy Dx Sep Proc (58555) | $1,441.60 | — | 0.4× |
| Hysteroscopy Endometrial Ablation (58563) unusually low: confirm this is the full procedure |
$2,233.60 | — | 0.4× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) | $3,819.20 | — | 0.7× |
| I&d abscess peritonsillar (42700) range across 3 matching MRF lines |
$189.60–$364.80 | $237–$456 | varies |
| I&d abscess simple (10060) range across 5 matching MRF lines |
$205.60–$329.60 | $257–$412 | varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $692 | $865 | 0.2× |
| I&d perianal abscess superficial (46050) range across 3 matching MRF lines |
$180–$1,371.20 | $225–$1,714 | varies |
| I&d pilonidal cyst complicated (10081) range across 3 matching MRF lines |
$367.20–$940.80 | $459–$1,176 | varies |
| I&d pilonidal cyst simple (10080) range across 3 matching MRF lines |
$216–$365.60 | $270–$457 | varies |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) | $4,368 | — | 4.7× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) | $1,509.20 | — | 1.6× |
| Image Cath Fluid Colxn Visc (49405) | $1,794.40 | $2,243 | 1.1× |
| Image Cath Fluid Peri/Retro (49406) | $1,794.40 | $2,243 | 1.1× |
| Implant Neuroelectrodes (64561) likely a partial charge, not the full procedure |
$896 | $1,120 | 0.1× |
| Implant Periph/Gastric Neurostim/Receiver (64590) likely a partial charge, not the full procedure |
$2,485.60 | — | 0.1× |
| Incise external hemorrhoid (46083) range across 3 matching MRF lines |
$236–$420.80 | $295–$526 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 4 matching MRF lines |
$109.60–$688.80 | $137–$861 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 3 matching MRF lines |
$282.40–$1,149.60 | $353–$1,437 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 6 matching MRF lines |
$203.20–$909.60 | $254–$1,137 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 3 matching MRF lines |
$206.40–$446.40 | $258–$558 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 3 matching MRF lines |
$227.20–$561.60 | $284–$702 | varies |
| Incision of eardrum (69420) | $293.60 | $367 | 1.2× |
| Incision of lingual frenum (frenotomy) (41010) range across 3 matching MRF lines |
$325.60–$676 | $407–$845 | varies |
| Incision of rectal abscess (46040) range across 3 matching MRF lines |
$364.80–$1,801.60 | $456–$2,252 | varies |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $1,108.80 | $1,386 | 0.7× |
| Incisional biopsy skin single lesion (11106) range across 3 matching MRF lines |
$179.20–$1,659.20 | $224–$2,074 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 3 matching MRF lines |
$114.40–$212 | $143–$265 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $371.20 | $464 | 0.4× |
| Inj W/Fluor Eval Cv Device (36598) | $508.80 | $636 | 2.3× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) | $1,476.80 | $1,846 | 1.6× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $515.20 | $644 | 0.6× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$248–$332 | $310–$415 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $315.20 | $394 | 0.3× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) | $1,476.80 | $1,846 | 1.6× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $555.20 | $694 | 0.6× |
| Injection Anes Superior Hypogastric Plexus (64517) | $379.20 | $474 | 0.4× |
| Injection anesthetic agent suprascapular nerve (64418) | $258.40 | $323 | 0.4× |
| Injection for identification of sentinel node (38792) | $84 | $105 | 0.2× |
| Injection procedure for peyronie disease (54200) | $247.20 | $309 | 1.0× |
| Injection single tendon origin/insertion (20551) | $239.20 | $299 | 0.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 5 matching MRF lines |
$112.80–$276 | $141–$345 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 3 matching MRF lines |
$200.80–$332.80 | $251–$416 | varies |
| Injection Sinus Tract Therapeutic Separate Proc (20500) | $1,892.80 | $2,366 | 1.2× |
| Injection therapeutic carpal tunnel (20526) | $240.80 | $301 | 0.8× |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 2 matching MRF lines |
$234.40–$1,168.80 | $293–$1,461 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 3 matching MRF lines |
$87.20–$744.80 | $109–$931 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 5 matching MRF lines |
$66.40–$323.20 | $83–$404 | varies |
| Injection, Intralesional; More Than 7 Lesions (11901) | $91.20 | $114 | 0.4× |
| Injection, intralesional; up to and including 7 lesions (11900) range across 2 matching MRF lines |
$120.80–$165.60 | $151–$207 | varies |
| Ins cath ren art 1st bilat (36252) | $1,576 | $1,970 | 0.5× |
| Ins cath ren art 1st unilat (36251) | $808.80 | $1,011 | 0.3× |
| Ins cath ren art 2nd+ bilat (36254) | $8,827.20 | $11,034 | 2.7× |
| Ins cath ren art 2nd+ unilat (36253) | $5,656 | $7,070 | 1.0× |
| Ins endovas vena cava filtr (37191) | $8,146.40 | $10,183 | 1.4× |
| Insert Bladder Cath Complex (51703) range across 3 matching MRF lines |
$118.40–$356 | $148–$445 | varies |
| Insert cath pleura w/ image (32557) | $2,953.60 | $3,692 | 1.8× |
| Insert cath pleura w/o image (32556) range across 2 matching MRF lines |
$615.20–$3,828 | $769–$4,785 | varies |
| Insert Drug Implant Device (11981) | $336 | $420 | 2.5× |
| Insert Gastrostomy Tube Percutaneous (49440) | $2,796 | $3,495 | 1.4× |
| Insert Heart Pm Ventricular (33207) | $14,688.80 | $18,361 | 1.4× |
| Insert hepatic shunt (tips) (37182) likely a partial charge, not the full procedure |
$1,877.60 | $2,347 | 0.1× |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$284.80–$1,424 | $356–$1,780 | varies |
| Insert pessary/other device (57160) | $95.20 | $119 | 0.5× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $1,954.40 | $2,443 | 1.2× |
| Insert prost urethral stent (53855) | $1,732.80 | $2,166 | 0.8× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$105.60–$193.60 | $132–$242 | varies |
| Insert tun ip cath perc (49418) | $5,582.40 | $6,978 | 1.5× |
| Insert tunneled cv cath (36561) | $4,331.20 | $5,414 | 1.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 3 matching MRF lines |
$160.80–$182.40 | $201–$228 | varies |
| Insertion indwelling tunneled pleural catheter (32550) | $844.80 | $1,056 | 0.2× |
| Insertion of cannula (36800) likely a partial charge, not the full procedure |
$263.20 | $329 | 0.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $2,309.60 | $2,887 | 1.4× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $17,073.60 | $21,342 | 2.0× |
| Insj Picc Rs&I <5 Yr (36572) | $1,636.80 | $2,046 | 2.6× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $3,109.60 | $3,887 | 1.0× |
| Insj/rplcmt breast implant sep day mastectomy (19342) | $6,110 | — | 0.7× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) likely a partial charge, not the full procedure |
$943.20 | $1,179 | 0.1× |
| Insrt heart pm atrial & vent (33208) | $18,676 | $23,345 | 1.7× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) | $197.60 | — | 0.8× |
| Int hrhc by ligation single hroid w/o img gdn (46945) | $658.40 | $823 | 0.2× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) | $1,628 | $2,035 | 1.2× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 2 matching MRF lines |
$729.60–$765.60 | $912–$957 | varies |
| Intranasal Biopsy (30100) | $293.60 | $367 | 0.2× |
| Intraoral i&d tongue/floor lingual (41000) range across 2 matching MRF lines |
$360–$632 | $450–$790 | varies |
| Intraoral i&d tongue/floor submndblr space (41008) range across 2 matching MRF lines |
$624–$7,815.20 | $780–$9,769 | varies |
| Intro cath dialysis circuit (36901) | $2,081.60 | $2,602 | 1.3× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $17,592 | $21,990 | 1.5× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) unusually low: confirm this is the full procedure |
$2,508 | $3,135 | 0.4× |
| Intro Gastrointestinal Tube (44500) | $1,411.20 | $1,764 | 1.5× |
| Intubation endotracheal emergency procedure (31500) range across 4 matching MRF lines |
$350.40–$560.80 | $438–$701 | varies |
| Irrigation of corpora cavernosa for priapism (54220) range across 2 matching MRF lines |
$184–$464 | $230–$580 | varies |
| Labyrinthotomy Transcanal (69801) | $401.60 | $502 | 0.3× |
| Lam facetec & foramot lumbar (63047) | $14,644 | — | 2.0× |
| Lap insert tunnel ip cath (49324) | $6,860.80 | — | 1.1× |
| Lap revision perm ip cath (49325) | $5,776 | — | 0.9× |
| Laparo-vag hyst incl t/o (58552) | $6,957.60 | — | 0.6× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) | $7,646.40 | — | 1.2× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) | $18,371.20 | — | 1.7× |
| Laparoscopy w/rmvl adnexal structures (58661) | $4,644.80 | — | 0.8× |
| Laparoscopy, surgical, appendectomy (44970) | $4,683.20 | — | 0.8× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) | $7,584 | — | 0.7× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $8,829.60 | — | 1.4× |
| Laparoscopy, surgical; pyeloplasty (50544) unusually low: confirm this is the full procedure |
$3,642.40 | $4,553 | 0.3× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) | $8,216.80 | — | 1.3× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) | $5,876.40 | — | 0.5× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) | $11,855.20 | — | 1.1× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) | $7,437.60 | — | 1.2× |
| Laps pelvic lymphadec (38573) | $6,048 | — | 0.6× |
| Laps surg prst8ect smpl stot robotic assistance (55867) | $26,364 | — | 2.4× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) | $5,664 | — | 0.9× |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) unusually low: confirm this is the full procedure |
$1,952.80 | $2,441 | 0.3× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) | $12,577.60 | — | 1.2× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) | $3,903.20 | — | 1.0× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) | $545.60 | — | 0.1× |
| Laryngoscopy and dilation (31528) | $2,379.20 | — | 0.6× |
| Laryngoscopy diagnostic (31505) | $350.40 | $438 | 1.7× |
| Laryngoscopy flexible diagnostic (31575) range across 3 matching MRF lines |
$136–$297.60 | $170–$372 | varies |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) | $701.60 | — | 0.4× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) | $536 | $670 | 1.3× |
| Laryngoscopy W/Biopsy (31535) | $1,991.60 | — | 0.5× |
| Laryngoscopy w/biopsy microscope/telescope (31536) | $2,955.20 | — | 0.8× |
| Larynscop w/tumr exc + scope (31541) | $4,683.20 | — | 1.2× |
| Ligation Major Artery Abdomen (37617) | $3,017.60 | $3,772 | 0.5× |
| Ligation or biopsy temporal artery (37609) | $2,086.40 | $2,608 | 1.2× |
| Litholapaxy comp/lg > 2.5 cm (52318) | $2,053.60 | — | 0.6× |
| Litholapaxy smpl/sm <2.5 cm (52317) | $3,241.60 | — | 0.9× |
| Lithotripsy, extracorporeal shock wave (50590) | $1,728 | $2,160 | 0.5× |
| Low Back Disk Surgery (63030) | $17,462.40 | — | 2.4× |
| Lyse chest fibrin init day (32561) | $594.40 | $743 | 0.9× |
| Lysis of labial adhesions (56441) | $264 | $330 | 0.1× |
| Lysis/excision penile postcircumcision adhesions (54162) | $225.60 | $282 | 0.1× |
| Marsupialization of bartholin's gland cyst (56440) | $244 | $305 | 0.1× |
| Mastectomy partial (19301) | $2,737.60 | — | 0.7× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) | $538.40 | $673 | 0.3× |
| Mech remov tunneled cv cath (36595) | $2,004 | $2,505 | 0.6× |
| Mediastinoscpy w/lmph nod bx (39402) | $8,126.40 | — | 1.3× |
| Myelography Lumbar Injection (62305) | $382.40 | $478 | 0.5× |
| Myelography Lumbar Injection (62304) | $983.20 | $1,229 | 1.2× |
| Myelography via lumbar injection rs&i cervical (62302) | $996.80 | $1,246 | 1.2× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $1,829.60 | $2,287 | 2.3× |
| N Block Inj Celiac Pelus (64530) | $315.20 | $394 | 0.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines |
$264–$368 | $330–$460 | varies |
| N block inj intercost sng (64420) | $304 | $380 | 0.4× |
| N Block Inj Plantar Digit (64455) | $46.40 | $58 | 0.1× |
| N Block Inj Pudendal (64430) | $1,830.40 | — | 2.0× |
| N Block Lumbar/Thoracic (64520) | $1,117.60 | $1,397 | 1.2× |
| Nasal Endoscopy Dx (31231) | $219.20 | $274 | 1.1× |
| Nasal/Orogastric W/Tube Plmt (43752) | $651.20 | $814 | 1.4× |
| Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) | $4,464 | — | 0.7× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) | $516.80 | $646 | 0.3× |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) | $1,508.80 | — | 1.6× |
| Needle Biopsy Lymph Nodes (38505) | $628.80 | $786 | 0.4× |
| Needle Biopsy Pancreas (48102) | $1,835.20 | $2,294 | 1.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) range across 2 matching MRF lines |
$36–$82.40 | $45–$103 | varies |
| Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length Facility (64898) | $13,310.13 | — | 1.5× |
| Nerve Repair W/Nerve Allograft First Strand (64912) | $9,170 | — | 1.0× |
| Neuroeltrd Stim Post Tibial (64566) | $196.80 | $246 | 0.6× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) | $3,315.20 | — | 1.7× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $251.20 | $314 | 0.6× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$84.80–$365.60 | $106–$457 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $4,064.80 | $5,081 | 1.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $562.40 | $703 | 0.6× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,356 | $1,695 | 1.9× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) range across 2 matching MRF lines |
$381.60–$499.20 | $477–$624 | varies |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,068 | $1,335 | 1.5× |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) | $2,648.80 | $3,311 | 1.3× |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) | $2,940 | $3,675 | 1.4× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $248.80 | $311 | 0.3× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) | $1,372 | $1,715 | 1.9× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) | $300 | $375 | 0.7× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) | $474.40 | $593 | 1.1× |
| Obstructive material removal from gi tube (49460) | $1,027.20 | $1,284 | 1.1× |
| Occipital Nerve Block (64405) range across 4 matching MRF lines |
$126.40–$372.80 | $158–$466 | varies |
| Open biopsy/excision inguinofemoral nodes (38531) | $2,905.06 | — | 0.7× |
| Open Implantation Nea Sacral Nerve (64581) unusually low: confirm this is the full procedure |
$2,413.60 | — | 0.4× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $2,495.80 | — | 0.7× |
| Open tx ulnar fx proximal end (24685) | $6,950.40 | — | 0.9× |
| Open/Perq Place Stent 1St (37236) likely a partial charge, not the full procedure |
$1,284 | $1,605 | 0.1× |
| Open/Perq Place Stent Same (37238) likely a partial charge, not the full procedure |
$900 | $1,125 | 0.1× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) | $38,869.60 | — | 3.0× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) | $2,144.60 | — | 0.6× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) | $22,250.40 | — | 3.7× |
| Partial hymenectomy or revision of hymenal ring (56700) | $191.20 | $239 | 0.1× |
| Partial removal of tongue (41120) | $8,397.60 | — | 1.4× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) | $19,393.60 | — | 3.1× |
| Partical Excision Bone Phalanx Toe (28124) | $1,195.40 | — | 0.4× |
| Penile Injection (54235) range across 2 matching MRF lines |
$184.80–$204 | $231–$255 | varies |
| Perc Cryo Ablate Renal Tum (50593) | $17,837.60 | $22,297 | 1.6× |
| Perc Rf Ablate Renal Tumor (50592) | $10,429.60 | $13,037 | 1.7× |
| Percut Ablate Liver Rf (47382) | $6,319.20 | $7,899 | 1.0× |
| Percut Drain/Inject Renal Cyst (50390) | $359.20 | $449 | 0.5× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) | $4,800 | $6,000 | 1.5× |
| Pericardiocentesis W/Imaging (33016) range across 2 matching MRF lines |
$1,159.20–$4,926.40 | $1,449–$6,158 | varies |
| Perq Cervicothoracic Inject (22510) | $3,151.20 | $3,939 | 0.9× |
| Perq dev breast 1st mr guide (19287) | $1,277.60 | $1,597 | 1.8× |
| Perq dev breast 1st strtctc (19283) | $439.20 | $549 | 0.6× |
| Perq dev breast 1st us imag (19285) | $458.40 | $573 | 0.6× |
| Perq dilation xst trc endourologic px w/img (50436) | $3,344 | $4,180 | 0.9× |
| Perq Lumbosacral Injection (22511) | $2,912 | $3,640 | 0.9× |
| Perq p-art revsc 1 nm nt uni (33900) unusually low: confirm this is the full procedure |
$5,095.20 | $6,369 | 0.4× |
| Perq p-art revsc st 1st abnor connj unilateral (33902) unusually low: confirm this is the full procedure |
$8,245.60 | $10,307 | 0.4× |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) | $8,244.80 | $10,306 | 0.7× |
| Perq p-art revsc st 1st nml native connj bi (33901) unusually low: confirm this is the full procedure |
$5,095.20 | $6,369 | 0.4× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $611.20 | $764 | 0.8× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) likely a partial charge, not the full procedure |
$2,493.60 | $3,117 | 0.2× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $3,645.60 | $4,557 | 0.6× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $16,884.80 | $21,106 | 2.3× |
| Perq Vertebral Augmentation (22513) | $15,176 | $18,970 | 2.0× |
| Phleb Veins - Extrem 20+ (37766) | $1,954.40 | $2,443 | 0.6× |
| Place Cath Thoracic Aorta (36221) | $2,913.60 | $3,642 | 0.9× |
| Place Duod/Jej Tube Perc (49441) | $4,366.40 | $5,458 | 2.2× |
| Place Rt Device/Marker Pros (55876) | $2,739.20 | — | 1.9× |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$92.80–$323.20 | $116–$404 | varies |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) | $4,271.20 | $5,339 | 0.6× |
| Plmt Bile Duct Stent Prq Existing Access (47538) | $8,679.20 | $10,849 | 1.4× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) | $16,168 | $20,210 | 2.6× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) | $16,816 | $21,020 | 2.7× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $2,214.40 | $2,768 | 1.0× |
| Plmt Nephroureteral Catheter (50433) | $2,260 | $2,825 | 0.6× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) | $5,135.20 | $6,419 | 1.4× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) | $3,824 | $4,780 | 1.1× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) | $4,213.60 | $5,267 | 1.2× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) | $10,476.80 | — | 2.0× |
| Prim art mech thrombectomy (37184) unusually low: confirm this is the full procedure |
$6,004 | $7,505 | 0.3× |
| Prostate laser enucleation (52649) likely a partial charge, not the full procedure |
$1,046.40 | $1,308 | 0.2× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $952.80 | $1,191 | 1.3× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $6,040.80 | $7,551 | 1.7× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $5,582.40 | $6,978 | 1.5× |
| Pseudoaneurysm Injection Trt (36002) | $285.60 | $357 | 0.4× |
| Punch biopsy skin single lesion (11104) range across 3 matching MRF lines |
$112.80–$930.40 | $141–$1,163 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 4 matching MRF lines |
$129.60–$360 | $162–$450 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 2 matching MRF lines |
$217.60–$225.60 | $272–$282 | varies |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) | $244.80 | $306 | 0.3× |
| Redo Endovas Vena Cava Filtr (37192) | $2,842.40 | $3,553 | 0.9× |
| Relieve Pressure on Nerve(S) (64722) | $3,387.20 | — | 1.7× |
| Rem Endovas Vena Cava Filter (37193) | $3,504 | $4,380 | 1.1× |
| Removal Anal Seton Other Marker (46030) | $3,485.60 | — | 2.9× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $1,027.20 | $1,284 | 1.1× |
| Removal Embedded Foreign Body Eyelid (67938) range across 2 matching MRF lines |
$332–$541.60 | $415–$677 | varies |
| Removal Foreign Body Foot Complicated (28193) | $1,624.80 | $2,031 | 1.0× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$311.20–$924 | $389–$1,155 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$279.20–$615.20 | $349–$769 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 3 matching MRF lines |
$16.80–$48 | $21–$60 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 5 matching MRF lines |
$63.20–$129.60 | $79–$162 | varies |
| Removal impacted vag fb spx w/anes oth/thn local (57415) | $198.40 | $248 | 0.1× |
| Removal Implant Deep (20680) | $2,713.60 | — | 0.9× |
| Removal implantable contraceptive capsules (11976) | $232 | $290 | 0.3× |
| Removal of adenoids (42831) | $3,816.80 | — | 1.1× |
| Removal of adenoids (42830) | $1,585.60 | — | 0.5× |
| Removal of foreign body from pharynx (42809) range across 2 matching MRF lines |
$296.80–$493.60 | $371–$617 | varies |
| Removal of implant from finger or hand (26320) | $6,228 | — | 3.7× |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$342.40–$615.20 | $428–$769 | varies |
| Removal of tonsils (42826) | $3,099.20 | — | 0.9× |
| Removal of tunneled intraperitoneal catheter (49422) | $1,750.40 | $2,188 | 0.5× |
| Removal of vein clot (34490) | $4,564.80 | $5,706 | 1.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 4 matching MRF lines |
$127.20–$260.80 | $159–$326 | varies |
| Removal subcutaneous cardiac rhythm monitor (33286) | $2,227.20 | $2,784 | 3.1× |
| Removal sweat gland lesion (11450) | $889.60 | $1,112 | 0.3× |
| Removal/bivalving gauntlet boot/body cast (29700) | $191.20 | $239 | 0.7× |
| Remove cerclage suture (59871) | $744.80 | $931 | 0.2× |
| Remove drug implant device (11982) range across 3 matching MRF lines |
$115.20–$359.20 | $144–$449 | varies |
| Remove foreign body from eye (65205) range across 3 matching MRF lines |
$56.80–$218.40 | $71–$273 | varies |
| Remove Intrauterine Device (58301) range across 3 matching MRF lines |
$165.60–$297.60 | $207–$372 | varies |
| Remove lung catheter (32552) | $681.60 | $852 | 1.1× |
| Remove Nasal Foreign Body (30300) range across 3 matching MRF lines |
$268–$748 | $335–$935 | varies |
| Remove prostate regrowth (52630) likely a partial charge, not the full procedure |
$1,549.60 | — | 0.3× |
| Remove renal tube w/fluoro (50389) range across 2 matching MRF lines |
$356.80–$829.60 | $446–$1,037 | varies |
| Remove Tendon Sheath Lesion (26160) | $1,100 | $1,375 | 0.7× |
| Remove ureter stent percut (50384) | $2,512.80 | $3,141 | 1.2× |
| Remove&replace pm gen singl (33227) likely a partial charge, not the full procedure |
$754.40 | $943 | 0.1× |
| Remove/Insert Drug Implant (11983) | $542.40 | $678 | 1.2× |
| Remv cartilage for graft nasal (20912) | $16,112 | — | 4.5× |
| Remv&replc cvd gen dual lead (33263) | $36,293.60 | $45,367 | 1.6× |
| Remv&replc pm gen dual lead (33228) | $13,732 | $17,165 | 1.3× |
| Renal Biopsy Perq (50200) | $2,276.80 | $2,846 | 1.3× |
| Repair Bladder-Vagina Lesion (57320) likely a partial charge, not the full procedure |
$677.60 | $847 | 0.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$650.40–$956 | $813–$1,195 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$958.40–$1,494.40 | $1,198–$1,868 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 3 matching MRF lines |
$544–$1,127.20 | $680–$1,409 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 3 matching MRF lines |
$373.60–$2,056 | $467–$2,570 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
$418.40–$500.80 | $523–$626 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$670.40–$1,051.20 | $838–$1,314 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$493.60–$776 | $617–$970 | varies |
| Repair Eyelid Wound (67935) | $3,879.20 | $4,849 | 1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$440.80–$942.40 | $551–$1,178 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 3 matching MRF lines |
$516.80–$727.20 | $646–$909 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 3 matching MRF lines |
$455.20–$808.80 | $569–$1,011 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 3 matching MRF lines |
$599.20–$844.80 | $749–$1,056 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$584.80–$2,038.40 | $731–$2,548 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
$384–$897.60 | $480–$1,122 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines |
$443.20–$1,035.20 | $554–$1,294 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$483.20–$1,915.20 | $604–$2,394 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $1,812.80 | $2,266 | 0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$541.60–$844 | $677–$1,055 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$362.40–$577.60 | $453–$722 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$467.20–$727.20 | $584–$909 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$644.80–$658.40 | $806–$823 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
$455.20–$720 | $569–$900 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 2 matching MRF lines |
$791.20–$1,232.80 | $989–$1,541 | varies |
| Repair Laceration Palate >2 Cm/Complex (42182) range across 2 matching MRF lines |
$322.40–$712.80 | $403–$891 | varies |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$324.80–$483.20 | $406–$604 | varies |
| Repair of urethra injury (53502) | $2,485.60 | — | 0.7× |
| Repair retinal detach cplx (67113) | $2,955.20 | — | 0.5× |
| Repair secondary achilles tendon w/wo graft (27654) unusually low: confirm this is the full procedure |
$3,340 | — | 0.5× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $1,333.60 | — | 0.4× |
| Repair tongue laceration (41252) range across 2 matching MRF lines |
$265.60–$559.20 | $332–$699 | varies |
| Repair tongue laceration (41250) range across 2 matching MRF lines |
$196.80–$324.80 | $246–$406 | varies |
| Repair Tooth Socket (41874) | $2,545.06 | — | 0.8× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $1,411.20 | $1,764 | 1.5× |
| Replace G-J Tube Perc (49452) | $1,411.20 | $1,764 | 1.5× |
| Replace g/c tube perc (49450) | $1,411.20 | $1,764 | 1.5× |
| Reposition Gastrostomy Tube (43761) | $420.80 | $526 | 1.6× |
| Reposition Pacing-Defib Lead (33215) | $3,239.20 | $4,049 | 1.0× |
| Reposition Venous Catheter (36597) | $482.40 | $603 | 0.3× |
| Rerepair ing hernia reduce (49520) | $7,945.60 | — | 2.2× |
| Resection of scrotum (55150) | $5,475.20 | — | 1.5× |
| Rev/rmv prph sac/gstr npg/r (64595) | $1,908.80 | — | 0.5× |
| Revision including removal of prosthetic vaginal graft vaginal approach (57295) | $3,701.60 | — | 1.1× |
| Revision of lower leg tendon (27685) | $4,467.20 | — | 1.3× |
| Revision of urethra (53460) | $2,379.20 | — | 0.7× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) | $12,106.40 | $15,133 | 2.1× |
| Revj/rmvl peripheral neurostimulator electrode (64585) | $3,747.20 | — | 1.0× |
| Rhinoplasty primary w/major septal repair (30420) | $18,642.40 | — | 3.1× |
| Rhinoplasty Secondary Major Revision (30450) | $10,719.20 | — | 1.8× |
| Rib cartilage graft (21230) | $11,247.47 | — | 1.9× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) | $2,088.80 | $2,611 | 1.0× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $1,830.40 | — | 1.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 3 matching MRF lines |
$102.40–$728.80 | $128–$911 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$130.40–$218.40 | $163–$273 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 2 matching MRF lines |
$114.40–$544 | $143–$680 | varies |
| Rmvl fecal impaction/fb spx under anes (45915) range across 2 matching MRF lines |
$290.40–$420.80 | $363–$526 | varies |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $2,768.80 | — | 0.9× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) range across 2 matching MRF lines |
$114.40–$567.20 | $143–$709 | varies |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$659.20–$995.20 | $824–$1,244 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines |
$335.20–$656 | $419–$820 | varies |
| Rmvl/revj sling stress incontinence (57287) | $4,259.20 | — | 1.3× |
| Rplc Gtube No Revj Trc (43762) range across 4 matching MRF lines |
$200.80–$420.80 | $251–$526 | varies |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $977.60 | $1,222 | 0.6× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $1,461.60 | $1,827 | 0.9× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $5,014.40 | $6,268 | 1.6× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $2,224.80 | $2,781 | 0.7× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) | $6,860.80 | — | 1.1× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $3,320.80 | — | 0.9× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) | $61,676.80 | — | 9.3× |
| Rpr aa hernia recr 3-10 cm reducible (49615) | $3,889.60 | — | 0.6× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) | $10,646.40 | — | 1.7× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) | $5,504.80 | — | 1.5× |
| Rpr aa hrn 1st 3-10 rdc (49593) unusually low: confirm this is the full procedure |
$2,713.60 | — | 0.4× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) | $4,251.20 | — | 0.7× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 3 matching MRF lines |
$293.60–$868 | $367–$1,085 | varies |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) range across 2 matching MRF lines |
$793.60–$820 | $992–$1,025 | varies |
| Rpr Lip Full Thickness Vermilion Only (40650) range across 2 matching MRF lines |
$324.80–$793.60 | $406–$992 | varies |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) range across 2 matching MRF lines |
$648.80–$2,422.40 | $811–$3,028 | varies |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) | $3,675.20 | — | 0.9× |
| Sclerotx Fluid Collection (49185) | $1,094.40 | $1,368 | 0.6× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $4,368 | — | 3.6× |
| Shave skin lesion 0.5 cm/< (11300) | $155.20 | $194 | 0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $196.80 | $246 | 1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $137.60 | $172 | 0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $208.80 | $261 | 1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $249.60 | $312 | 1.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $144 | $180 | 0.7× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $262.40 | $328 | 1.3× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) | $234.40 | $293 | 0.1× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) | $2,641.10 | — | 2.2× |
| Sigmoidoscopy W/Resection (45349) | $15,286.60 | — | 5.4× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $4,368 | — | 4.6× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) | $2,496 | — | 2.0× |
| Simple Cystometrogram (51725) | $326.40 | $408 | 1.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$340.80–$611.20 | $426–$764 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$288–$532 | $360–$665 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$337.60–$470.40 | $422–$588 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 3 matching MRF lines |
$256–$461.60 | $320–$577 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$244–$340.80 | $305–$426 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$609.60–$655.20 | $762–$819 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$342.40–$420 | $428–$525 | varies |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$144.80–$356.80 | $181–$446 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$123.20–$356.80 | $154–$446 | varies |
| Skin sub grft t/arm/lg child (15273) | $292.80 | $366 | 0.1× |
| Skin Tissue Procedure (17999) | $3,052.80 | — | 14.9× |
| Skn sub grft f/n/hf/g child (15277) range across 2 matching MRF lines |
$428.80–$2,072 | $536–$2,590 | varies |
| Slctv cath carotid/innom art angio xtrcranl art (36222) | $1,796.80 | $2,246 | 0.6× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) unusually low: confirm this is the full procedure |
$1,796.80 | $2,246 | 0.3× |
| Slitting of prepuce (54001) | $14,963.20 | — | 7.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$176.80–$420 | $221–$525 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$439.20–$521.60 | $549–$652 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$556.80–$648 | $696–$810 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 4 matching MRF lines |
$222.40–$477.60 | $278–$597 | varies |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $3,265.60 | — | 1.5× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) | $1,644 | $2,055 | 0.5× |
| Strapping ankle (29540) range across 2 matching MRF lines |
$42.40–$188.80 | $53–$236 | varies |
| Strapping elbow or wrist (29260) | $188.80 | $236 | 3.1× |
| Strapping hand/finger (29280) range across 2 matching MRF lines |
$30.40–$188.80 | $38–$236 | varies |
| Strapping Hip (29520) | $282.40 | $353 | 2.1× |
| Strapping knee (29530) | $188.80 | $236 | 1.4× |
| Strapping shoulder (29240) | $188.80 | $236 | 1.4× |
| Strapping toes (29550) | $188.80 | $236 | 3.1× |
| Strapping Unna Boot (29580) range across 3 matching MRF lines |
$115.20–$188.80 | $144–$236 | varies |
| Subcutaneous Hormone Pellet Implantation (11980) | $168 | $210 | 0.4× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) | $2,677.48 | — | 0.8× |
| Tangential biopsy skin single lesion (11102) range across 5 matching MRF lines |
$89.60–$930.40 | $112–$1,163 | varies |
| Tcat Insj/Rpl Perm Ldls Pm (33274) | $17,592 | $21,990 | 0.9× |
| Thrmbc Dir/W/Cath V/C Iliac Fempop Vein Leg Inc (34421) | $4,732.80 | $5,916 | 1.5× |
| Thromblytic art/ven therapy (37213) | $632.80 | $791 | 0.2× |
| Thrombolytic Art Therapy (37211) likely a partial charge, not the full procedure |
$1,024 | $1,280 | 0.2× |
| Thrombolytic Venous Therapy (37212) | $904.80 | $1,131 | 0.3× |
| Thyroid biopsy (60100) | $420.80 | $526 | 0.6× |
| Thyroidectomy, total or complete (60240) | $28,140.80 | — | 4.6× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $846.40 | $1,058 | 0.4× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) | $3,320.80 | — | 1.0× |
| Tooth extraction (41899) | $2,523.20 | — | 10.4× |
| Total Knee Arthroplasty (27447) | $9,573.60 | — | 0.7× |
| Tprnl Plmt Biodegrdabl Matrl (55874) likely a partial charge, not the full procedure |
$1,189.60 | — | 0.2× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $1,204.80 | $1,506 | 0.8× |
| Transcatheter biopsy (37200) | $12,336 | $15,420 | 2.2× |
| Transur electr resection of prostate (52601) likely a partial charge, not the full procedure |
$1,612.80 | $2,016 | 0.3× |
| Transurethral resection bladder neck (52500) | $2,379.20 | — | 0.7× |
| Treat Dental Ridge Fracture (21440) | $1,861.60 | $2,327 | 0.5× |
| Treat ectopic pregnancy (59151) | $6,318.40 | — | 1.0× |
| Treat Hip Socket Fracture (27222) | $180.80 | $226 | 0.7× |
| Treat humerus fracture (24500) | $304.80 | $381 | 1.2× |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
$946.40–$1,142.40 | $1,183–$1,428 | varies |
| Treat humerus fracture (23600) | $610.40 | $763 | 2.4× |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$616.80–$761.60 | $771–$952 | varies |
| Treat Metatarsal Fracture (28475) range across 2 matching MRF lines |
$374.40–$548.80 | $468–$686 | varies |
| Treat toe dislocation (28630) range across 2 matching MRF lines |
$250.40–$374.40 | $313–$468 | varies |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $2,591.20 | $3,239 | 1.6× |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$706.40–$1,306.40 | $883–$1,633 | varies |
| Trim skin lesion (11055) range across 3 matching MRF lines |
$56.80–$129.60 | $71–$162 | varies |
| Trim skin lesions 2 to 4 (11056) range across 3 matching MRF lines |
$79.20–$180 | $99–$225 | varies |
| Trim skin lesions over 4 (11057) range across 2 matching MRF lines |
$101.60–$232 | $127–$290 | varies |
| Trimming Nondystrophic Nails Any Number (11719) | $84.80 | $106 | 1.4× |
| Trluml Balo Angiop 1St Art (37246) | $5,331.20 | $6,664 | 0.9× |
| Trluml Balo Angiop 1St Vein (37248) | $5,331.20 | $6,664 | 0.9× |
| Trurl rescj postop bladder neck contracture (52640) | $4,611.20 | — | 1.3× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $3,410.40 | — | 1.0× |
| Tx Missed Abortion First Trimester Surgical (59820) | $2,811.20 | — | 0.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 4 matching MRF lines |
$216.80–$774.40 | $271–$968 | varies |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) | $449.60 | $562 | 0.3× |
| Tympanostomy general anesthesia (69436) | $527.20 | $659 | 0.3× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) | $4,653.60 | — | 1.3× |
| Unlisted laparoscopy procedure, bladder (51999) likely a partial charge, not the full procedure |
$1,663.20 | $2,079 | 0.3× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) | $6,045.60 | — | 1.0× |
| Unlisted laparoscopy procedure, uterus (58578) | $17,848 | — | 2.9× |
| Unlisted Procedure Accessory Sinuses (31299) | $2,379.20 | — | 9.8× |
| Unlisted procedure anus (46999) | $2,560 | $3,200 | 2.7× |
| Unlisted procedure arthroscopy (29999) | $1,657.60 | — | 6.6× |
| Unlisted procedure femur or knee (27599) | $3,747.20 | — | 14.9× |
| Unlisted Procedure Male Genital System (55899) | $7,493.60 | — | 29.4× |
| Unlisted Procedure Muscskeletal System General (20999) | $1,477.60 | — | 5.9× |
| Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$235.20–$372 | $294–$465 | varies |
| Unlisted procedure pancreas (48999) | $2,184 | — | 3.0× |
| Unlisted procedure pelvis/hip joint (27299) | $11,668.80 | — | 46.3× |
| Unlisted Procedure Rectum (45999) | $372 | $465 | 0.4× |
| Unlisted Procedure Vascular Surgery (37799) | $604 | $755 | 0.9× |
| Unlisted px female genital system nonobstetrical (58999) | $40 | $50 | 0.2× |
| Urethromeatoplasty W/Mucosal Advancement (53450) | $2,131.20 | — | 0.6× |
| Urine Flow Measurement (51736) | $44.80 | $56 | 0.3× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) | $7,346 | — | 1.4× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) | $12,009.60 | — | 2.3× |
| Vasc embolize/occlude artery (37242) | $17,998.40 | $22,498 | 1.0× |
| Vasc Embolize/Occlude Bleed (37244) | $15,911.20 | $19,889 | 1.3× |
| Vasc Embolize/Occlude Organ (37243) | $22,724 | $28,405 | 1.9× |
| Vasc embolize/occlude venous (37241) | $10,686.40 | $13,358 | 0.9× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $1,224.80 | $1,531 | 0.6× |
| Venous Mech Thrombectomy (37187) | $8,548 | $10,685 | 0.7× |
| Vitrectomy mechanical pars plana (67036) | $5,639.20 | — | 1.3× |
| Vitrectomy pars plana remove int memb retina (67042) | $2,883.20 | — | 0.7× |
| Vulvectomy simple partial (56620) | $4,539.20 | — | 1.4× |
| Wedge excision skin nail fold (11765) range across 3 matching MRF lines |
$161.60–$476 | $202–$595 | varies |
| Wound Prep F/N/Hf/G (15004) | $630.40 | $788 | 1.5× |
| Wound Prep Trk/Arm/Leg (15002) | $504 | $630 | 0.7× |
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.