Procedures & surgery prices at Breckinridge Memorial Hospital

Hardinsburg, KY · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate inf turbinate submuc (30802) $246 $492 0.2×
Adding Walker Previously Applied Cast (29440) $11.50 $23 0.1×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $316 $632 0.1×
Amputate Metacarpal Bone (26910) $517.50 $1,035 0.2×
Amputate Thigh,Re-Amputatn (27596) $791.50 $1,583 0.3×
Amputation follow-up surgery (27594) $646 $1,292 0.2×
Amputation toe interphalangeal joint (28825) $219 $438 0.1×
Amputation toe metatarsophalangeal joint (28820) $222.50 $445 0.1×
Anoscopy diagnostic (46600) $100 $200 0.8×
Anoscopy W/Rmvl Foreign Body (46608) $61 $122 0.1×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $116 $232 0.0×
Application cast elbow finger short arm (29075) $23 $46 0.1×
Application Finger Splint Dynamic (29131) $42.50 $85 0.8×
Application finger splint static (29130)
range across 2 matching MRF lines		 $37.50–$38.50 $75–$77 varies
Application long arm splint shoulder hand (29105) $63.50 $127 0.4×
Application Long Leg Splint (29505) $292 $584 1.9×
Application of long leg cast (29345) $36 $72 0.1×
Application Short Arm Splint Dynamic (29126) $63.50 $127 0.5×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $51–$82 $102–$164 varies
Application short leg splint calf foot (29515) $158.50 $317 1.0×
Apply hand/wrist cast (29085) $25 $50 0.2×
Apply long arm cast (29065) $25 $50 0.1×
Apply Short Leg Cast (29405) $22 $44 0.1×
Arterial puncture (36600)
range across 2 matching MRF lines		 $58–$59.50 $116–$119 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines		 $29–$383.92 $27–$767.83 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines		 $16.50–$383.91 $33–$767.81 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $383.91 $767.81 1.3×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $13 $26 0.0×
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure		 $411 $822 0.1×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $1,300 $2,600 0.4×
Arthroscopy shoulder distal claviculectomy (29824) $837 $1,674 0.3×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $853.50 $1,707 0.3×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
likely a partial charge, not the full procedure		 $1,368.50 $2,737 0.2×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $882.50 $1,765 0.3×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $869.50 $1,739 0.3×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
likely a partial charge, not the full procedure		 $1,284 $2,568 0.2×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
likely a partial charge, not the full procedure		 $1,596.50 $3,193 0.2×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
likely a partial charge, not the full procedure		 $1,923.50 $3,847 0.2×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
likely a partial charge, not the full procedure		 $1,212 $2,424 0.2×
Arthrs knee debridement/shaving artclr crtlg (29877) $750 $1,500 0.2×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $694.50 $1,389 0.2×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $403 $806 0.1×
Aspirate pleura w/ imaging (32555) $374.50 $749 0.6×
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $16–$383.91 $32–$767.81 varies
Avulsion nail plate partial/complete simple 1 (11730) $25.50 $51 0.1×
Biopsy External Auditory Canal (69105) $78 $156 0.1×
Biopsy external ear (69100) $61 $122 0.3×
Biopsy Nasopharynx Visible Lesion Simple (42804) $147.50 $295 0.0×
Biopsy of floor of mouth (41108) $109.50 $219 0.1×
Biopsy of lip (40490) $96 $192 0.4×
Biopsy of liver, needle; percutaneous (47000) $383 $766 0.2×
Biopsy of palate, uvula (42100) $134 $268 0.1×
Biopsy of rectum (45100) $377 $754 0.1×
Biopsy Oropharynx (42800) $140 $280 0.1×
Biopsy soft tissue back/flank deep (21925) $557.50 $1,115 0.4×
Biopsy Tongue Posterior One-Third (41105) $136 $272 0.0×
Biopsy, vestibule of mouth (40808) $107 $214 0.2×
Biopsy/removal lymph nodes (38510) $554 $1,108 0.2×
Bladder Irrigation (51700) $49 $98 0.2×
Blepharotomy drainage abscess eyelid (67700) $256.50 $513 0.9×
Blood Transfusion Service (36430) $605.50 $1,211 1.5×
Bx breast needle core w/o imaging guidance spx (19100) $169 $338 0.1×
Bx/exc lymph node open deep axillary node (38525) $459 $918 0.1×
Bx/exc lymph node open superficial (38500) $391 $782 0.1×
Carpal Tunnel Surgery (64721) $640 $1,280 0.3×
Catheter aspiration nasotracheal spx (31720) $22.50 $45 0.1×
Change Cystostomy Tube Simple (51705) $159 $318 0.7×
Change of Windpipe Airway (31502) $45 $90 0.2×
Chemodenerv 1 extremity 1-4 (64642) $904.28 $1,808.56 1.4×
Chemodenerv Eccrine Glands (64650) $383.92 $767.83 1.3×
Chemodenerv musc neck dyston (64616) $383.92 $767.83 1.3×
Chemodenerv trunk musc 1-5 (64646) $904.28 $1,808.56 1.4×
Chest tube placement (32551) $190.50 $381 0.1×
Circumcision 28 days or older (54161) $243.50 $487 0.1×
Claviculectomy partial (23120) $726 $1,452 0.2×
Clear outer ear canal (69200) $62.50 $125 0.5×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $278.50 $557 1.2×
Closed tx ankle dislocation w/o anesthesia (27840) $390 $780 1.7×
Closed tx knee dislocation w/o anesthesia (27550) $334 $668 1.4×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $195 $390 0.1×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $174.50 $349 0.1×
Closed tx patellar dislocation w/o anesthesia (27560) $425 $850 1.8×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $25.50 $51 0.1×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $69.50 $139 0.3×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $88.50 $177 0.2×
Clsd tx acromioclavicular dislc w/manipulation (23545) $384.50 $769 1.7×
Clsd tx shoulder dislc w/manipulation req anes (23655) $117 $234 0.1×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $164.50 $329 0.7×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $389 $778 1.7×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $350.50 $701 1.5×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $638 $1,276 0.4×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $176.50 $353 0.8×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $69.50–$329.50 $139–$659 varies
Cltx metacarpal fx w/manipulation each bone (26605) $367.50 $735 1.6×
Cltx metacarpal fx w/o manipulation each bone (26600) $348 $696 1.5×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $377 $754 1.6×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $89 $178 0.4×
Cltx post hip arthrp dislc req anes (27266) $730 $1,460 0.5×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $206.50 $413 0.9×
Cltx trimalleolar ankle fx w/manipulation (27818) $500 $1,000 0.3×
Collect Blood From Catheter Venous Nos (36592) $72.50 $145 0.6×
Collection of venous blood by venipuncture (36415) $8.50 $17 0.9×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $393.50 $787 0.4×
Colonoscopy thru stoma (44388) $199 $398 0.2×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $162 $324 0.1×
Colonoscopy w/ablation (45388) $352 $704 0.3×
Colsc Flexible W/Control Bleeding Any Method (45382) $194.50 $389 0.2×
Colsc flx w/removal lesion by hot bx forceps (45384) $296.50 $593 0.3×
Complex drainage wound (10180) $259 $518 0.1×
Control Nasal Hemorrhage Anterior Complex (30903) $102 $204 0.8×
Control Nasal Hemorrhage Anterior Simple (30901) $83 $166 0.7×
Correction hammertoe (28285) $473 $946 0.2×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $635 $1,270 0.2×
Create Eardrum Opening (69433) $161.50 $323 0.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $139.50 $279 1.1×
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $676 $1,352 0.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $14.50 $29 0.0×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $182.50 $365 0.1×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $126 $252 0.2×
Deb Musc/Fascia 20 Sq Cm/< (11043) $416 $832 0.6×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $83 $166 0.1×
Debridement Mastoidectomy Cavity Cmplx (69222) $172.50 $345 0.3×
Debridement Mastoidectomy Cavity Simple (69220) $64.50 $129 0.3×
Debridement subcutaneous tissue 20 sq cm/< (11042) $131.50 $263 0.3×
Declot vascular device (36593) $36.50 $73 0.1×
Deep Muscle Biopsy (20205) $296.50 $593 0.1×
Destr W Neurolytic; Celiac Plexus (64680) $1,136.93 $2,273.86 1.4×
Destroy cerv/thor facet jnt (64633) $2,573.71 $5,147.41 1.4×
Destroy lumb/sac facet jnt (64635) $2,573.71 $5,147.41 1.4×
Destruct B9 Lesion 1-14 (17110) $80 $160 0.4×
Destruction by neurolytic agent, intercostal nerve (64620) $1,136.93 $2,273.86 1.4×
Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) $2,573.71 $5,147.41 1.4×
Destruction by neurolytic agent; plantar common digital nerve (64632) $383.92 $767.83 1.3×
Destruction by neurolytic agent; pudendal nerve (64630) $1,136.93 $2,273.86 1.4×
Destruction neurolytic agt genicular nerve w/img (64624) $2,573.71 $5,147.41 1.4×
Diagnostic sigmoidoscopy (45330) $182.50 $365 0.2×
Drain Cerebro Spinal Fluid (62272) $904.54 $1,809.07 1.4×
Drainage Abscess/Hematoma Nasal Septum (30020) $152.50 $305 0.3×
Drainage external auditory canal abscess (69020) $181 $362 0.3×
Drainage external ear abscess/hematoma cmplx (69005) $204.50 $409 0.1×
Drainage External Ear Abscess/Hematoma Simple (69000) $52 $104 0.1×
Drainage Finger Abscess Complicated (26011) $433.50 $867 0.3×
Drainage of finger abscess simple (26010) $67 $134 0.4×
Drainage of gum lesion (41800) $69.50 $139 0.6×
Drainage of hematoma/fluid (10140) $144.50 $289 0.1×
Drainage of hydrocele (55000) $104.50 $209 0.2×
Drainage of mouth lesion (41017) $458.50 $917 0.1×
Drainage of nose lesion (30000) $152.50 $305 0.7×
Drainage of rectal abscess (45005) $69.50 $139 0.1×
Drainage of scrotal wall abscess (55100) $56 $112 0.0×
Drainage of scrotum (54700) $241.50 $483 0.1×
Drainage of throat abscess (42725)
likely a partial charge, not the full procedure		 $1,074 $2,148 0.2×
Draw Blood Off Venous Device (36591) $69.50 $139 0.6×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $282.50 $565 0.6×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $55 $110 0.1×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $71 $142 0.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $21.50 $43 0.1×
Dstrj lesion anus simple surg excision (46922) $169.50 $339 0.1×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,136.93 $2,273.86 1.4×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $1,136.93 $2,273.86 1.4×
Dx laryngoscopy w/oper scope (31526) $206.50 $413 0.1×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $1,036 $2,072 0.6×
Egd cautery tumor polyp (43250) $213 $426 0.1×
Egd control bleeding any (43255) $447.50 $895 0.2×
Egd dilation gastric/duodenal stricture (43245) $225.50 $451 0.1×
Egd Flexible Foreign Body Removal (43247) $229 $458 0.3×
Egd place gastrostomy tube (43246) $161 $322 0.1×
Egd remove lesion snare (43251) $529.50 $1,059 0.3×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $392.67 $785.33 1.4×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $392.67 $785.33 1.4×
Enterorrhaphy single perforation (44602) $1,747.50 $3,495 0.5×
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $37–$904.54 $74–$1,809.07 varies
Esophagoscopy Flexible W/Bleeding Control (43227) $211 $422 0.1×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $186.50 $373 0.1×
Evacuation of subungual hematoma (11740) $13 $26 0.1×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $419 $838 0.3×
Exc arm/elbow les sc < 3 cm (24075) $406 $812 0.3×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $45 $90 0.1×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $174 $348 0.1×
Exc Back Les Sc < 3 Cm (21930) $450.50 $901 0.3×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $408 $816 0.3×
Exc Face Les Sbq 2 Cm/> (21012) $378 $756 0.2×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $46.50 $93 0.1×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $120 $240 0.2×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines		 $123–$128 $246–$256 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $174 $348 0.1×
Exc Forearm Les Sc 3 Cm/> (25071) $477.50 $955 0.3×
Exc Frenum Labial/Buccal (40819) $304.50 $609 0.2×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $60.50 $121 0.0×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $77 $154 0.1×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $91 $182 0.1×
Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) $229 $458 0.1×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $325 $650 0.1×
Exc Lesion Tongue W/Clsr Posterior One-Third (41113) $360 $720 0.1×
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) $463 $926 0.1×
Exc Rct Tum Incl Muscularis Propria (45172) $879 $1,758 0.3×
Exc Rct Tum Not Incl Muscularis Propria (45171) $599.50 $1,199 0.2×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $180.50 $361 0.3×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $218 $436 0.1×
Exc Skin Benig >4 Cm Remaindr Body (11426) $338.50 $677 0.1×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $477.50 $955 0.3×
Exc Skin Malig >4 Cm Remaindr Body (11626) $316 $632 0.1×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $270.50 $541 0.2×
Exc thigh/knee les sc 3 cm/> (27337) $243 $486 0.1×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $207.50 $415 0.2×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $62 $124 0.2×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines		 $77–$156 $154–$312 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $277 $554 0.2×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $502.50 $1,005 0.2×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $523.50 $1,047 0.2×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $678.50 $1,357 0.2×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $399.50 $799 0.3×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $945.50 $1,891 0.3×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $391.50 $783 0.3×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $445 $890 0.2×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $455.50 $911 0.2×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $254.50 $509 0.2×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $256.50 $513 0.4×
Excision H/P/P/U Complex Repair (11471) $576 $1,152 0.2×
Excision Hidradenitis Inguinal Complex Repair (11463) $505 $1,010 0.2×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $301 $602 0.1×
Excision lesion mouth roof (42104) $169.50 $339 0.1×
Excision Lesion Tongue W/O Closure (41110) $161.50 $323 0.1×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $197.50 $395 0.5×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $282.50 $565 0.4×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $342 $684 0.2×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $539 $1,078 0.2×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $196.50 $393 0.3×
Excision Multiple External Papillae/Tags Anus (46230) $310 $620 0.1×
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) $286 $572 0.1×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $397.50 $795 0.3×
Excision of pilonidal cyst or sinus; simple (11770) $233.50 $467 0.1×
Excision of single external papilla or tag, anus (46220) $150 $300 0.1×
Excision of sublingual salivary cyst (ranula) (42408) $464 $928 0.1×
Excision of tonsil tags (42860) $234.50 $469 0.1×
Excision Pilonidal Cyst/Sinus Complicated (11772) $578 $1,156 0.2×
Excision Pilonidal Cyst/Sinus Extensive (11771) $409 $818 0.2×
Excision soft tissue lesion, external auditory canal (69145) $316 $632 0.1×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $503.50 $1,007 0.3×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $589 $1,178 0.2×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $448 $896 0.3×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $385.50 $771 0.2×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $469 $938 0.2×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $333 $666 0.2×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $440 $880 0.2×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $616 $1,232 0.2×
Explo/Drain Breast Abscess (19020) $383.50 $767 0.2×
Fine needle aspiration without imaging guidance (10021) $167.50 $335 0.4×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $539 $1,078 0.2×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $547 $1,094 0.2×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) $573 $1,146 0.2×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $305 $610 0.3×
I&d abscess peritonsillar (42700) $175 $350 0.8×
I&d abscess simple (10060)
range across 3 matching MRF lines		 $28–$130.50 $56–$261 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $483 $966 0.3×
I&d deep absc bursa/hematoma thigh/knee region (27301) $524.50 $1,049 0.2×
I&D Deep Absc/Hematoma Neck/Chest (21501) $222.50 $445 0.1×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $586 $1,172 0.2×
I&d perianal abscess superficial (46050) $229 $458 0.3×
I&d pilonidal cyst complicated (10081) $290 $580 0.4×
I&d pilonidal cyst simple (10080) $200 $400 0.3×
I&d shoulder deep abscess/hematoma (23030) $460 $920 0.2×
I&d upper arm/elbow deep abscess/hematoma (23930) $361 $722 0.1×
Implant neuroelectrodes (63650) $8,248.68 $16,497.35 1.4×
Implant Neuroelectrodes (64561) $8,248.68 $16,497.35 1.4×
Implant Periph/Gastric Neurostim/Receiver (64590) $26,805.49 $53,610.98 1.5×
Implant Spine Infusion Pump (62362) $22,868.84 $45,737.67 1.4×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) $8,062.32 $16,124.63 1.0×
Incise external hemorrhoid (46083) $198.50 $397 0.8×
Incise finger tendon sheath (26055) $428.50 $857 0.3×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $40.50–$218 $81–$436 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $289 $578 0.1×
Incision & removal foreign body subq tiss compl (10121) $282 $564 0.2×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $21.50–$24 $43–$48 varies
Incision and drainage of bartholin's gland abscess (56420) $31.50 $63 0.2×
Incision and drainage of vulva or perineal abscess (56405) $29 $58 0.1×
Incision bone cortex foot (28005) $680 $1,360 0.2×
Incision of lingual frenum (frenotomy) (41010) $133 $266 0.1×
Incision of rectal abscess (46040) $527.50 $1,055 0.5×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $1,136.93 $2,273.86 1.4×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $86 $172 0.1×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,136.93 $2,273.86 1.4×
Injection 1 tendon sheath/ligament aponeurosis (20550) $15.50 $31 0.1×
Injection aa&/strd axillary nerve w/img gdn (64417) $1,136.93 $2,273.86 1.4×
Injection aa&/strd genicular nrv branches w/img (64454) $904.54 $1,809.07 1.4×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,136.93 $2,273.86 1.4×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $904.54 $1,809.07 1.4×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $904.54 $1,809.07 1.4×
Injection Anes Agent Sphenopalatine Ganglion (64505) $383.91 $767.81 1.3×
Injection Anes Superior Hypogastric Plexus (64517) $1,136.93 $2,273.86 1.4×
Injection anesthetic agent suprascapular nerve (64418) $904.54 $1,809.07 1.4×
Injection into disk lesion (62292) $2,573.71 $5,147.41 1.4×
Injection into spinal artery (62294) $1,136.93 $2,273.86 1.4×
Injection single/mlt trigger point 1/2 muscles (20552) $61.50 $123 0.2×
Injection, anesthetic agent; brachial plexus, single (64415) $1,136.93 $2,273.86 1.4×
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $73–$904.54 $146–$1,809.07 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $904.54 $42–$1,809.07 1.4×
Injection, anesthetic agent; vagus nerve (64408) $383.91 $767.81 1.3×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $1,136.93 $2,273.86 1.4×
Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) $1,136.93 $2,273.86 1.4×
Injx/Infusion Neurolytic Substance Subarachnoid (62280) $1,136.93 $2,273.86 1.4×
Insert Bladder Cath Complex (51703) $50.50 $101 0.4×
Insert cath pleura w/o image (32556) $160 $320 0.1×
Insert non-tunnel cv cath (36556) $78 $156 0.0×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $77.50 $155 0.1×
Insert Temp Bladder Cath (51702) $32 $64 0.3×
Insert tunneled cv cath (36561) $417.50 $835 0.1×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $94.50–$100.50 $189–$201 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $750–$780 $1,500–$1,560 varies
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $39,083.41 $78,166.81 1.3×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure		 $49 $98 0.0×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $122.50 $245 0.3×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $128.50 $257 0.3×
Intranasal Biopsy (30100) $87.50 $175 0.1×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $110–$113.50 $220–$227 varies
Laparoscopy aspiration (49322)
likely a partial charge, not the full procedure		 $470 $940 0.1×
Laparoscopy Enterolysis Separate Procedure (44180)
likely a partial charge, not the full procedure		 $1,155.50 $2,311 0.2×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure		 $571.50 $1,143 0.1×
Laparoscopy w/rmvl adnexal structures (58661)
likely a partial charge, not the full procedure		 $702.50 $1,405 0.1×
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure		 $651 $1,302 0.1×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure		 $1,337.50 $2,675 0.1×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure		 $1,402 $2,804 0.1×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
likely a partial charge, not the full procedure		 $373.50 $747 0.1×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure		 $369.50 $739 0.1×
Laps surg retroperitoneal lymph node bx 1/mlt (38570)
likely a partial charge, not the full procedure		 $653.50 $1,307 0.1×
Laryngoscopy flexible diagnostic (31575) $83 $166 0.4×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $55 $110 0.3×
Laryngoscopy W/Biopsy (31535) $249 $498 0.1×
Late closure of wound (13160) $912.50 $1,825 0.3×
Manipulation Elbow Under Anesthesia (24300) $531.50 $1,063 0.4×
Manipulation, finger joint, under anesthesia, each joint (26340) $413 $826 0.3×
Mastectomy for gynecomastia (19300) $356.50 $713 0.1×
Mastectomy partial (19301) $835.50 $1,671 0.2×
Myringoplasty (69620) $628 $1,256 0.2×
N Block Inj Celiac Pelus (64530) $1,136.93 $2,273.86 1.4×
N Block Inj Ilio-Ing/Hypogi (64425) $904.54 $1,809.07 1.4×
N block inj intercost sng (64420)
range across 2 matching MRF lines		 $129.50–$904.54 $259–$1,809.07 varies
N Block Inj Pudendal (64430) $1,136.93 $2,273.86 1.4×
N Block Lumbar/Thoracic (64520) $1,136.93 $2,273.86 1.4×
Nasal Endoscopy Dx (31231) $85.50 $171 0.5×
Nasal/Orogastric W/Tube Plmt (43752) $21.50 $43 0.1×
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $239.50 $479 0.1×
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287)
likely a partial charge, not the full procedure		 $268 $536 0.0×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $200.50 $401 0.1×
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $210 $420 0.1×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $220.50 $441 0.1×
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296)
likely a partial charge, not the full procedure		 $238.50 $477 0.0×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
likely a partial charge, not the full procedure		 $210 $420 0.0×
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297)
likely a partial charge, not the full procedure		 $191 $382 0.0×
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
likely a partial charge, not the full procedure		 $324 $648 0.0×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276)
likely a partial charge, not the full procedure		 $504.50 $1,009 0.1×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)
likely a partial charge, not the full procedure		 $431 $862 0.1×
Neuroeltrd Stim Post Tibial (64566) $383.91 $767.81 1.3×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $885.50 $1,771 0.5×
Njx anes stellate ganglion crv sympathetic (64510) $1,136.93 $2,273.86 1.4×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $38.50–$383.91 $77–$767.81 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531)
range across 2 matching MRF lines		 $127–$280 $254–$560 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,136.93 $2,273.86 1.4×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $1,136.93 $2,273.86 1.4×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $904.54 $1,809.07 1.4×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $904.54 $1,809.07 1.4×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $1,136.93 $2,273.86 1.4×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $1,136.93 $2,273.86 1.4×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $904.54 $1,809.07 1.4×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326)
range across 2 matching MRF lines		 $52.50–$1,136.93 $105–$2,273.86 varies
Njx Sclrsnt 1 Incmptnt Vein (36470) $172 $344 0.5×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $197 $394 0.5×
Njx Sclrsnt Spider Veins (36468) $172 $344 0.5×
Open biopsy/excision inguinofemoral nodes (38531) $554 $1,108 0.2×
Open Implantation Nea Peripheral Nerve (64575) $15,024.04 $30,048.07 1.4×
Open implantation of neurostimulator electrode array; neuromuscular Facility (64580) $26,025.56 $52,051.12 1.4×
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure		 $950.50 $1,901 0.1×
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure		 $972 $1,944 0.1×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure		 $1,071 $2,142 0.2×
Open Treatment Radial Shaft Fracture (25515)
likely a partial charge, not the full procedure		 $1,078 $2,156 0.2×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure		 $959.50 $1,919 0.1×
Open Tx Distal Tibiofibular Joint Disruption (27829)
likely a partial charge, not the full procedure		 $1,051.50 $2,103 0.2×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $924.50 $1,849 0.3×
Open Tx Radial Head/Neck Fracture Prosth (24666)
likely a partial charge, not the full procedure		 $909.50 $1,819 0.1×
Open tx ulnar fx proximal end (24685)
likely a partial charge, not the full procedure		 $809.50 $1,619 0.1×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
likely a partial charge, not the full procedure		 $1,023 $2,046 0.2×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
likely a partial charge, not the full procedure		 $1,562 $3,124 0.2×
Palatopharyngoplasty (42145)
likely a partial charge, not the full procedure		 $910 $1,820 0.2×
Parathyroidectomy or exploration of parathyroid(s); (60500)
likely a partial charge, not the full procedure		 $1,276.50 $2,553 0.2×
Percutaneous implantation of neurostimulator electrode array; cranial nerve Facility (64553) $15,024.04 $30,048.07 1.4×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $9,306.95 $18,613.90 1.4×
Perq Vertebral Augmentation (22513) $9,306.95 $18,613.90 1.4×
Placement of needle for intraosseous infusion (36680) $16 $32 0.0×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $140 $280 0.2×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $57 $114 0.0×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $224.50 $449 0.2×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) $8,248.68 $16,497.35 1.4×
Punch biopsy skin single lesion (11104) $62 $124 0.2×
Puncture aspiration abscess hematoma bulla/cyst (10160) $146 $292 0.4×
Puncture Aspiration Cyst Breast (19000) $124 $248 0.2×
Puncture shunt tube/reservoir aspiration/inj px (61070) $904.54 $1,809.07 1.4×
Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) $1,478 $2,956 0.5×
Rad resection tumor soft tis thigh/knee 5 cm/> (27364) $1,749.50 $3,499 0.6×
Rad resection tumor soft tiss face/scalp 2 cm/> (21016) $1,165.50 $2,331 0.4×
Rad resection tumor soft tissue abdl wall 5 cm/> (22905) $1,551 $3,102 0.6×
Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) $1,517.50 $3,035 0.6×
Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) $1,358 $2,716 0.5×
Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) $714.50 $1,429 0.3×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $2,246.90 $4,493.80 1.2×
Relieve Pressure on Nerve(S) (64722) $2,573.71 $5,147.41 1.4×
Removal Foreign Body Deep Thigh/Knee (27372) $157 $314 0.1×
Removal Foreign Body Foot Complicated (28193) $579.50 $1,159 0.4×
Removal foreign body foot deep (28192) $405.50 $811 0.3×
Removal Foreign Body Foot Subcutaneous (28190) $176.50 $353 0.3×
Removal foreign body upper arm/elbow deep (24201) $144 $288 0.1×
Removal impacted cerumen irrigation/lvg unilat (69209) $16.50 $33 0.3×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $42–$43 $84–$86 varies
Removal Implant Deep (20680) $520 $1,040 0.2×
Removal of a lesion from the floor of the mouth (41116) $284 $568 0.1×
Removal of adenoids (42835) $249.50 $499 0.1×
Removal of adenoids (42831) $291 $582 0.1×
Removal of adenoids (42830) $269.50 $539 0.1×
Removal of adenoids (42836) $313 $626 0.1×
Removal of anal fissure (46200) $411 $822 0.2×
Removal of foreign body from pharynx (42809) $46 $92 0.1×
Removal of infusion pump (36262) $404 $808 0.1×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $106–$134 $212–$268 varies
Removal of tonsils (42825)
likely a partial charge, not the full procedure		 $341 $682 0.1×
Removal of tonsils (42826) $327.50 $655 0.1×
Removal or bivalving full arm or full leg cast (29705) $17.50 $35 0.1×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $94 $188 0.5×
Removal sweat gland lesion (11450) $331 $662 0.1×
Removal/bivalving gauntlet boot/body cast (29700) $16 $32 0.1×
Remove Forearm Foreign Body (25248) $109 $218 0.1×
Remove foreign body from eye (65205) $15.50 $31 0.1×
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $100–$150 $200–$300 varies
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $46.50–$138.50 $93–$277 varies
Remove Peritoneal Foreign Body (49402) $963.50 $1,927 0.3×
Remove self-contd penis pros (54415) $3,489 $6,978 1.1×
Remove Tendon Sheath Lesion (26160) $388 $776 0.3×
Repair Achilles Tendon (27650)
likely a partial charge, not the full procedure		 $816 $1,632 0.1×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $108.50 $217 0.2×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $131 $262 0.2×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $99.50 $199 0.3×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $122.50 $245 0.3×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $89.50 $179 0.2×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $109 $218 0.3×
Repair complex trunk 1.1-2.5 cm (13100) $86 $172 0.1×
Repair complex trunk 2.6-7.5 cm (13101) $101.50 $203 0.1×
Repair Finger/Hand Tendon (26350) $887 $1,774 0.3×
Repair inguinal hernia, sliding, any age (49525) $720 $1,440 0.2×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $659 $1,318 0.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $66.50 $133 0.2×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $76 $152 0.2×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $88.50 $177 0.2×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $94.50 $189 0.2×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $150.50 $301 0.4×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $104 $208 0.1×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $74 $148 0.2×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $92 $184 0.1×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $143.50 $287 0.1×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $315 $630 0.8×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $238 $476 0.6×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $110 $220 0.3×
Repair lumbar hernia (49540)
likely a partial charge, not the full procedure		 $892.50 $1,785 0.2×
Repair of metatarsals (28322)
likely a partial charge, not the full procedure		 $928 $1,856 0.1×
Repair of nail bed (11760) $59 $118 0.1×
Repair of rectum (45505) $640 $1,280 0.2×
Repair of Ruptured Tendon (24342)
likely a partial charge, not the full procedure		 $964.50 $1,929 0.1×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
likely a partial charge, not the full procedure		 $772 $1,544 0.1×
Repair tongue laceration (41252) $274 $548 1.2×
Repair tongue laceration (41250) $200 $400 0.5×
Reposition Gastrostomy Tube (43761) $31.50 $63 0.1×
Rerepair ing hernia reduce (49520) $808 $1,616 0.2×
Resect forarm/wrist tum 3cm> (25078) $1,243.50 $2,487 0.5×
Resect Shoulder Tumor 5 Cm/> (23078) $1,615 $3,230 0.6×
Resection of scrotum (55150) $529.50 $1,059 0.2×
Retrobulbar injection (67500) $393.23 $786.46 1.3×
Rev/rmv prph sac/gstr npg/r (64595) $4,298.77 $8,597.53 1.3×
Revis reconst shoulder joint (23473)
likely a partial charge, not the full procedure		 $2,419 $4,838 0.2×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $680.50 $1,361 0.2×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $8,248.68 $16,497.35 1.4×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $4,529.70 $9,059.39 1.4×
Revj/rmvl peripheral neurostimulator electrode (64585) $4,298.77 $8,597.53 1.3×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $127.50 $255 0.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $49 $98 0.1×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $17.50 $35 0.1×
Rmvl fecal impaction/fb spx under anes (45915) $287 $574 0.3×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $312 $624 0.1×
Rmvl Previously Implted Ithcl/Edrl Cath (62355) $2,573.71 $5,147.41 1.4×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $2,573.71 $5,147.41 1.4×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $8,062.32 $16,124.63 2.5×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $424 $848 0.3×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $25.50 $51 0.0×
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) $156 $312 0.6×
Rplc Gtube No Revj Trc (43762) $46.50 $93 0.2×
Rplcmt cath ctr vad subq port/pmp (36578) $577.50 $1,155 0.2×
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure		 $593 $1,186 0.1×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $410.50 $821 0.3×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $44.50 $89 0.2×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $124 $248 0.2×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $811.50 $1,623 0.3×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $279 $558 0.3×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $326.50 $653 0.3×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $215 $430 0.1×
Sigmoidoscopy & Polypectomy (45333) $325 $650 0.4×
Sigmoidoscopy w/fb removal (45332) $75 $150 0.1×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $303 $606 0.3×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $55.50 $111 0.1×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $81 $162 0.4×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $31 $62 0.2×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $70 $140 0.2×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $99 $198 0.5×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $48 $96 0.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $104.50 $209 0.6×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $33.50 $67 0.2×
Skin sub graft face/nk/hf/g (15275) $225 $450 0.3×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $111.50 $223 0.6×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $127 $254 0.3×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $156 $312 0.4×
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines		 $40.50–$904.54 $81–$1,809.07 varies
Strapping knee (29530) $210 $420 1.7×
Strapping shoulder (29240) $20.50 $41 0.2×
Strapping toes (29550) $82 $164 1.5×
Strapping Unna Boot (29580)
range across 2 matching MRF lines		 $57–$59.50 $114–$119 varies
Submucosal abltj tongue rf 1/> sites pr session (41530) $478.50 $957 0.2×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $235 $470 0.1×
Surg tx anal fistula subq (46270) $495.50 $991 0.2×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $578 $1,156 0.2×
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure		 $923.50 $1,847 0.1×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) $15,602.56 $31,205.11 1.3×
Thrombolytic Therapy Stroke (37195) $34.50 $69 0.1×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $393 $786 0.1×
Total Knee Arthroplasty (27447)
likely a partial charge, not the full procedure		 $1,924 $3,848 0.2×
Tracheostomy Emergency Cricothyroid Membrane (31605) $50 $100 0.2×
Tracheostomy Emergency Procedure Transtracheal (31603) $61 $122 0.0×
Treat Fx Rad Extra-Articul (25607)
likely a partial charge, not the full procedure		 $920 $1,840 0.1×
Treat Knuckle Dislocation (26700) $387.50 $775 1.7×
Treat lower leg bone lesion (27607) $665.50 $1,331 0.2×
Treatment Closed Elbow Dislocation Req Anes (24605) $612.50 $1,225 0.4×
Tx Gastro Intub W/Asp (43753) $25 $50 0.1×
Tx Superficial Wound Dehiscence Simple Closure (12020) $72.50 $145 0.1×
Tx superficial wound dehiscence w/packing (12021) $42.50 $85 0.1×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $379 $758 0.3×
Tympanostomy general anesthesia (69436) $210 $420 0.1×
Unlisted procedure anus (46999) $187 $374 0.2×
Unlisted procedure nervous system (64999) $383.92 $767.83 1.3×
Vaginal delivery only (59409) $1,010.50 $2,021 0.3×
Ventilating tube removal requiring general anesthesia (69424) $64 $128 0.0×
Vermilionectomy lip shv w/mucosal advmnt (40500) $473 $946 0.2×
Wedge excision skin nail fold (11765) $42.50 $85 0.1×
Wedging of cast (29740) $26 $52 0.1×
Windowing of cast (29730) $17 $34 0.1×
Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016)
likely a partial charge, not the full procedure		 $454 $908 0.1×

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.