Procedures & surgery prices at Brookings Health System
Brookings, SD · every code in this section with a posted price and a Medicare benchmark.
581 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 2 matching MRF lines |
$154.50–$1,912.50 | $309–$3,825 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $941 | $1,882 | 1.0× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) | $1,350 | $2,700 | 0.9× |
| Acne surgery (10040) | $141.50 | $283 | 0.7× |
| Amniocentesis diagnostic (59000) | $307.50 | $615 | 0.3× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $1,147.50 | $2,295 | 0.3× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$56–$80 | $112–$160 | varies |
| Anoscopy W/Rmvl Foreign Body (46608) range across 2 matching MRF lines |
$129.50–$1,842.50 | $259–$3,685 | varies |
| Appendectomy (44950) likely a partial charge, not the full procedure |
$1,081 | $2,162 | 0.2× |
| Application cast elbow finger short arm (29075) range across 5 matching MRF lines |
$104–$218.50 | $208–$437 | varies |
| Application Cast Shoulder Spica (29055) | $145.50 | $291 | 0.5× |
| Application finger splint static (29130) range across 3 matching MRF lines |
$58.50–$145.50 | $117–$291 | varies |
| Application long arm splint shoulder hand (29105) range across 5 matching MRF lines |
$115–$218.50 | $230–$437 | varies |
| Application Long Leg Cast Walker/Ambulatory Type (29355) range across 3 matching MRF lines |
$127.50–$191.50 | $255–$383 | varies |
| Application Long Leg Splint (29505) range across 6 matching MRF lines |
$121.50–$207 | $243–$414 | varies |
| Application of long leg cast (29345) range across 4 matching MRF lines |
$128–$192 | $256–$384 | varies |
| Application of rigid total contact leg cast (29445) range across 5 matching MRF lines |
$212–$318 | $424–$636 | varies |
| Application Short Arm Splint Dynamic (29126) | $145.50 | $291 | 1.1× |
| Application short arm splint forearm-hand static (29125) range across 6 matching MRF lines |
$60.50–$218.50 | $121–$437 | varies |
| Application short leg splint calf foot (29515) range across 7 matching MRF lines |
$114.50–$218.50 | $229–$437 | varies |
| Apply hand/wrist cast (29085) range across 3 matching MRF lines |
$307–$460.50 | $614–$921 | varies |
| Apply long arm cast (29065) range across 3 matching MRF lines |
$145.50–$218.50 | $291–$437 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 5 matching MRF lines |
$145–$361.50 | $290–$723 | varies |
| Apply Short Leg Cast (29405) range across 3 matching MRF lines |
$145.50–$218.50 | $291–$437 | varies |
| Apply short leg cast (29425) range across 3 matching MRF lines |
$120–$180 | $240–$360 | varies |
| Arterial puncture (36600) | $271.50 | $543 | 2.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 7 matching MRF lines |
$80.50–$740.50 | $161–$1,481 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 5 matching MRF lines |
$82.50–$511 | $165–$1,022 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 8 matching MRF lines |
$77–$766.50 | $154–$1,533 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 14 matching MRF lines |
$106–$904.50 | $212–$1,809 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 9 matching MRF lines |
$79.50–$511 | $159–$1,022 | varies |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) | $2,698 | $5,396 | 0.8× |
| Aspirate pleura w/ imaging (32555) range across 7 matching MRF lines |
$190.50–$1,566 | $381–$3,132 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 4 matching MRF lines |
$120–$224.50 | $240–$449 | varies |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$42.50–$63.50 | $85–$127 | varies |
| Aspiration and/or injection thyroid cyst (60300) | $2,001.50 | $4,003 | 2.8× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$64.50–$122.50 | $129–$245 | varies |
| Biopsy bone open superficial (20240) range across 2 matching MRF lines |
$2,371.50–$2,647 | $4,743–$5,294 | varies |
| Biopsy bone trocar/needle deep (20225) range across 2 matching MRF lines |
$643.50–$1,355.50 | $1,287–$2,711 | varies |
| Biopsy Bone Trocar/Needle Superficial (20220) range across 3 matching MRF lines |
$381–$1,355.50 | $762–$2,711 | varies |
| Biopsy External Auditory Canal (69105) range across 3 matching MRF lines |
$167.50–$251.50 | $335–$503 | varies |
| Biopsy external ear (69100) | $209.50 | $419 | 0.9× |
| Biopsy muscle percutaneous needle (20206) | $1,230 | $2,460 | 0.7× |
| Biopsy Muscle Superficial (20200) | $249.50 | $499 | 0.1× |
| Biopsy nail unit (11755) | $86.50 | $173 | 0.1× |
| Biopsy of conjunctiva (68100) range across 3 matching MRF lines |
$134–$208.50 | $268–$417 | varies |
| Biopsy of floor of mouth (41108) | $1,031 | $2,062 | 0.6× |
| Biopsy of lip (40490) | $85 | $170 | 0.4× |
| Biopsy of palate, uvula (42100) | $104 | $208 | 0.1× |
| Biopsy Salivary Gland Needle (42400) | $774 | $1,548 | 1.1× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) | $2,561 | $5,122 | 1.5× |
| Biopsy Tongue Anterior Two-Thirds (41100) | $112.50 | $225 | 0.2× |
| Biopsy Vaginal Mucosa Extensive (57105) | $85 | $170 | 0.0× |
| Biopsy Vaginal Mucosa Simple (57100) | $73 | $146 | 0.1× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $144.50 | $289 | 0.2× |
| Biopsy, vestibule of mouth (40808) | $125 | $250 | 0.2× |
| Bladder instillation anticarcinogenic agent (51720) | $378.50 | $757 | 0.5× |
| Bladder Irrigation (51700) | $157.50 | $315 | 0.6× |
| Bladder Scan (51798) | $186 | $372 | 3.1× |
| Blepharoplasty Lower Eyelid (15820) | $357 | $714 | 0.2× |
| Blepharoplasty upper eyelid (15822) range across 2 matching MRF lines |
$535.50–$1,077.50 | $1,071–$2,155 | varies |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) range across 3 matching MRF lines |
$1,586–$2,379 | $3,172–$4,758 | varies |
| Blepharotomy drainage abscess eyelid (67700) range across 4 matching MRF lines |
$206–$337 | $412–$674 | varies |
| Blood Transfusion Service (36430) | $224.50 | $449 | 0.5× |
| Bx breast 1st lesion us imag (19083) range across 5 matching MRF lines |
$431.50–$2,772 | $863–$5,544 | varies |
| Bx Cervix (57500) | $130 | $260 | 0.1× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) | $114 | $228 | 0.4× |
| Change Cystostomy Tube Simple (51705) | $247.50 | $495 | 1.0× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$131–$437.50 | $262–$875 | varies |
| Chest tube placement (32551) range across 6 matching MRF lines |
$145–$1,344 | $290–$2,688 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) range across 5 matching MRF lines |
$473–$911.50 | $946–$1,823 | varies |
| Clear outer ear canal (69200) range across 5 matching MRF lines |
$81.50–$166.50 | $163–$333 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $688.50 | $1,377 | 2.7× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $911.50 | $1,823 | 0.6× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $911.50 | $1,823 | 3.6× |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 3 matching MRF lines |
$911.50–$1,367.50 | $1,823–$2,735 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 3 matching MRF lines |
$615.50–$688.50 | $1,231–$1,377 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $911.50 | $1,823 | 0.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 7 matching MRF lines |
$226.50–$911.50 | $453–$1,823 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 3 matching MRF lines |
$1,186.50–$1,780 | $2,373–$3,560 | varies |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 4 matching MRF lines |
$224.50–$1,515.50 | $449–$3,031 | varies |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $688.50 | $1,377 | 0.4× |
| Closed tx knee dislocation w/o anesthesia (27550) | $688.50 | $1,377 | 2.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $1,515.50 | $3,031 | 6.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) range across 3 matching MRF lines |
$182.50–$1,289 | $365–$2,578 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) range across 2 matching MRF lines |
$382.50–$911.50 | $765–$1,823 | varies |
| Closed tx patellar dislocation w/anesthesia (27562) range across 6 matching MRF lines |
$328.50–$1,033 | $657–$2,066 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) | $688.50 | $1,377 | 2.7× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 3 matching MRF lines |
$1,515.50–$2,273.50 | $3,031–$4,547 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) | $911.50 | $1,823 | 0.6× |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 3 matching MRF lines |
$1,186.50–$1,780 | $2,373–$3,560 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 5 matching MRF lines |
$333.50–$911.50 | $667–$1,823 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 4 matching MRF lines |
$180.50–$911.50 | $361–$1,823 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 5 matching MRF lines |
$525.50–$911.50 | $1,051–$1,823 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 5 matching MRF lines |
$256–$911.50 | $512–$1,823 | varies |
| Closed tx septal&nose fx (21337) | $407.50 | $815 | 0.1× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $911.50 | $1,823 | 0.6× |
| Closed tx talus fracture w/o manipulation (28430) range across 4 matching MRF lines |
$245.50–$1,515.50 | $491–$3,031 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 5 matching MRF lines |
$101.50–$1,033 | $203–$2,066 | varies |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $911.50 | $1,823 | 0.6× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 3 matching MRF lines |
$1,515.50–$2,273.50 | $3,031–$4,547 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 4 matching MRF lines |
$242–$1,515.50 | $484–$3,031 | varies |
| Closure lacrimal punctum (68760) range across 3 matching MRF lines |
$124–$192 | $248–$384 | varies |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $1,515.50 | $3,031 | 6.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 3 matching MRF lines |
$1,515.50–$2,273.50 | $3,031–$4,547 | varies |
| Clsd tx fx orbit except blowout w/o manipulation (21400) | $1,151.50 | $2,303 | 2.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 4 matching MRF lines |
$673–$688.50 | $1,346–$1,377 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 7 matching MRF lines |
$220.50–$688.50 | $441–$1,377 | varies |
| Clsr Lacrimal Punctum Plug Each (68761) range across 3 matching MRF lines |
$93–$139.50 | $186–$279 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $461 | $922 | 0.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $911.50 | $1,823 | 0.6× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $236 | $472 | 0.9× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 3 matching MRF lines |
$911.50–$1,367.50 | $1,823–$2,735 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $688.50 | $1,377 | 2.7× |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 5 matching MRF lines |
$317–$1,367.50 | $634–$2,735 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 3 matching MRF lines |
$911.50–$1,367.50 | $1,823–$2,735 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 2 matching MRF lines |
$207.50–$911.50 | $415–$1,823 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$144–$911.50 | $288–$1,823 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 4 matching MRF lines |
$911.50–$1,367.50 | $1,823–$2,735 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 3 matching MRF lines |
$911.50–$1,367.50 | $1,823–$2,735 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $911.50 | $1,823 | 0.6× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) range across 6 matching MRF lines |
$519–$1,780 | $1,038–$3,560 | varies |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) | $1,515.50 | $3,031 | 6.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $911.50 | $1,823 | 0.6× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $122.50 | $245 | 0.5× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$1,515.50–$2,273.50 | $3,031–$4,547 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $911.50 | $1,823 | 3.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $1,515.50 | $3,031 | 6.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 5 matching MRF lines |
$740–$1,367.50 | $1,480–$2,735 | varies |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 5 matching MRF lines |
$311–$1,515.50 | $622–$3,031 | varies |
| Cltx greater humeral tuberosity fx w/o manj (23620) range across 3 matching MRF lines |
$1,186.50–$1,780 | $2,373–$3,560 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) | $688.50 | $1,377 | 0.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 4 matching MRF lines |
$347–$688.50 | $694–$1,377 | varies |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) range across 5 matching MRF lines |
$224.50–$1,515.50 | $449–$3,031 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $911.50 | $1,823 | 0.6× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) range across 5 matching MRF lines |
$215–$1,515.50 | $430–$3,031 | varies |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) | $1,515.50 | $3,031 | 0.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$195.50–$688.50 | $391–$1,377 | varies |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) range across 3 matching MRF lines |
$333.50–$688.50 | $667–$1,377 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 4 matching MRF lines |
$423–$688.50 | $846–$1,377 | varies |
| Cltx Medial Ankle Fx (27760) range across 3 matching MRF lines |
$1,515.50–$2,273.50 | $3,031–$4,547 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) | $911.50 | $1,823 | 3.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $1,515.50 | $3,031 | 6.0× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $688.50 | $1,377 | 0.4× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) | $688.50 | $1,377 | 0.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $911.50 | $1,823 | 3.6× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $911.50 | $1,823 | 3.6× |
| Cltx post hip arthrp dislc req anes (27266) range across 4 matching MRF lines |
$688.50–$794.50 | $1,377–$1,589 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) range across 4 matching MRF lines |
$688.50–$711 | $1,377–$1,422 | varies |
| Cltx prox fibula/shft fx w/manj (27781) | $911.50 | $1,823 | 0.6× |
| Cltx prox fibula/shft fx w/o manj (27780) range across 4 matching MRF lines |
$223–$911.50 | $446–$1,823 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $911.50 | $1,823 | 0.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 6 matching MRF lines |
$122–$688.50 | $244–$1,377 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $911.50 | $1,823 | 0.6× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $688.50 | $1,377 | 0.4× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 3 matching MRF lines |
$514–$1,515.50 | $1,028–$3,031 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) range across 3 matching MRF lines |
$1,186.50–$1,780 | $2,373–$3,560 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) range across 3 matching MRF lines |
$1,515.50–$2,273.50 | $3,031–$4,547 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 7 matching MRF lines |
$612–$918 | $1,224–$1,836 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 7 matching MRF lines |
$397–$1,186.50 | $794–$2,373 | varies |
| Collect Blood From Catheter Venous Nos (36592) range across 2 matching MRF lines |
$21.50–$43.50 | $43–$87 | varies |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$31.50–$32.50 | $63–$65 | varies |
| Colonoscopy w/submucosal inj (45381) | $301.50 | $603 | 0.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $174 | $348 | 0.6× |
| Colposcopy Cervix Endocervical Curettage (57456) | $157.50 | $315 | 0.5× |
| Colposcopy cervix upper/adjacent vagina (57452) | $108.50 | $217 | 0.5× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $249 | $498 | 0.8× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | $838 | $1,676 | 0.3× |
| Colposcopy of vulva (56820) | $130.50 | $261 | 0.6× |
| Colposcopy Vulva W/Biopsy (56821) | $281 | $562 | 0.9× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $184.50 | $369 | 0.2× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $834.50 | $1,669 | 0.7× |
| Complex drainage wound (10180) range across 2 matching MRF lines |
$415.50–$2,555 | $831–$5,110 | varies |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $638.50 | $1,277 | 0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 6 matching MRF lines |
$119.50–$336 | $239–$672 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 6 matching MRF lines |
$93.50–$370.50 | $187–$741 | varies |
| Control oropharyngeal hemorrhage simple (42960) | $183.50 | $367 | 0.3× |
| Cornea Scraping Diagnostic Smear &/Culture (65430) range across 3 matching MRF lines |
$40.50–$63 | $81–$126 | varies |
| Correction of trichiasis; epilation, by forceps only (67820) range across 3 matching MRF lines |
$117–$175.50 | $234–$351 | varies |
| Create Eardrum Opening (69433) range across 3 matching MRF lines |
$139.50–$209.50 | $279–$419 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$154.50–$247 | $309–$494 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $247 | $494 | 1.0× |
| Curette/treat cornea (65435) range across 3 matching MRF lines |
$135.50–$203.50 | $271–$407 | varies |
| Cysto calibration dilat urtl strix/stenosis (52281) | $434.50 | $869 | 0.2× |
| Cysto w/complex removal stone & stent (52315) | $1,774 | $3,548 | 0.8× |
| Cysto W/Simple Removal Stone & Stent (52310) | $290 | $580 | 0.1× |
| Cystometrogram W/Vp&Up (51729) | $304.50 | $609 | 0.4× |
| Cystourethroscopy (52000) | $242 | $484 | 0.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 2 matching MRF lines |
$46.50–$102 | $93–$204 | varies |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $753.50 | $1,507 | 1.0× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$378.50–$860 | $757–$1,720 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$49.50–$53.50 | $99–$107 | varies |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$74–$84.50 | $148–$169 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$509.50–$1,355.50 | $1,019–$2,711 | varies |
| Debridement Mastoidectomy Cavity Simple (69220) range across 3 matching MRF lines |
$87.50–$131.50 | $175–$263 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$203.50–$437.50 | $407–$875 | varies |
| Declot vascular device (36593) | $159 | $318 | 0.5× |
| Delivery of placenta (59414) range across 2 matching MRF lines |
$149–$796 | $298–$1,592 | varies |
| Destroy cerv/thor facet jnt (64633) range across 3 matching MRF lines |
$297.50–$446.50 | $595–$893 | varies |
| Destroy lumb/sac facet jnt (64635) range across 3 matching MRF lines |
$297.50–$446.50 | $595–$893 | varies |
| Destruc retinal lesn,photocoag (67210) range across 3 matching MRF lines |
$422.50–$634 | $845–$1,268 | varies |
| Destruct B9 Lesion 1-14 (17110) | $186.50 | $373 | 0.9× |
| Destruction Benign Lesions 15/> (17111) | $85 | $170 | 0.4× |
| Destruction Lesions Vulva Extensive (56515) | $467 | $934 | 0.2× |
| Destruction Lesions Vulva Simple (56501) | $101.50 | $203 | 0.0× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $502.50 | $1,005 | 2.5× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $147 | $294 | 0.7× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $473.50 | $947 | 2.3× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $445.50 | $891 | 2.2× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) | $333.50 | $667 | 1.6× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) | $321 | $642 | 0.8× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $107.50 | $215 | 0.5× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $270.50 | $541 | 1.3× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $175 | $350 | 0.9× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) | $330.50 | $661 | 1.6× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) | $374.50 | $749 | 0.9× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $101 | $202 | 0.5× |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 3 matching MRF lines |
$227–$340.50 | $454–$681 | varies |
| Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization (65450) range across 3 matching MRF lines |
$211–$326.50 | $422–$653 | varies |
| Destruction Premalignant Lesion 15/> (17004) | $269.50 | $539 | 0.6× |
| Destruction premalignant lesion 1st (17000) | $72.50 | $145 | 0.4× |
| Destruction Vaginal Lesions Simple (57061) | $289.50 | $579 | 0.1× |
| Diagnostic sigmoidoscopy (45330) | $92.50 | $185 | 0.1× |
| Diaphragm or cervical cap fitting with instructions (57170) | $84.50 | $169 | 0.4× |
| Dilate Urethra Stricture (53620) | $633 | $1,266 | 0.9× |
| Dilation Cervical Canal (57800) | $156.50 | $313 | 0.0× |
| Dilation Lacrimal Punctum W/WO Irrgation (68801) range across 3 matching MRF lines |
$111.50–$167.50 | $223–$335 | varies |
| Dilation Salivary Duct (42650) | $56.50 | $113 | 0.0× |
| Drain Cerebro Spinal Fluid (62272) range across 2 matching MRF lines |
$141.50–$721 | $283–$1,442 | varies |
| Drain/inj small joint/bursa w/us (20604) range across 3 matching MRF lines |
$70–$105 | $140–$210 | varies |
| Drainage external auditory canal abscess (69020) range across 5 matching MRF lines |
$142.50–$214 | $285–$428 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 5 matching MRF lines |
$114.50–$172 | $229–$344 | varies |
| Drainage Finger Abscess Complicated (26011) | $259 | $518 | 0.2× |
| Drainage of finger abscess simple (26010) | $186 | $372 | 0.9× |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$213–$224.50 | $426–$449 | varies |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$229.50–$1,453 | $459–$2,906 | varies |
| Drainage of nose lesion (30000) range across 2 matching MRF lines |
$224.50–$275.50 | $449–$551 | varies |
| Draw Blood Off Venous Device (36591) | $91.50 | $183 | 0.7× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) range across 2 matching MRF lines |
$141.50–$331 | $283–$662 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$315–$330 | $630–$660 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$250.50–$330 | $501–$660 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$134–$330 | $268–$660 | varies |
| Dstrj Lesion Penis Simple Chemical (54050) | $101.50 | $203 | 0.2× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $1,774 | $3,548 | 8.7× |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) | $240 | $480 | 0.1× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 3 matching MRF lines |
$181.50–$272.50 | $363–$545 | varies |
| Dx lmbr spi pnxr w/fluor/CT (62328) range across 2 matching MRF lines |
$125–$970.50 | $250–$1,941 | varies |
| Egd control bleeding any (43255) | $954.50 | $1,909 | 0.5× |
| Egd Flexible Foreign Body Removal (43247) | $724 | $1,448 | 0.8× |
| Electro-Uroflowmetry First (51741) | $152 | $304 | 0.7× |
| Endocervical curettage (57505) | $114 | $228 | 0.1× |
| Endometrial Biopsy (58100) | $77 | $154 | 0.4× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) range across 2 matching MRF lines |
$1,296.50–$4,782.50 | $2,593–$9,565 | varies |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) range across 2 matching MRF lines |
$1,313–$4,782.50 | $2,626–$9,565 | varies |
| Epidural Blood Patch (62273) range across 4 matching MRF lines |
$191–$1,301.50 | $382–$2,603 | varies |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $622 | $1,244 | 0.3× |
| Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
$87–$148 | $174–$296 | varies |
| Exc arm/elbow les sc < 3 cm (24075) | $1,386 | $2,772 | 0.8× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $82.50 | $165 | 0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $146.50 | $293 | 0.1× |
| Exc Back Les Sc < 3 Cm (21930) | $931 | $1,862 | 0.6× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $323 | $646 | 0.4× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $441 | $882 | 0.6× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $612 | $1,224 | 0.4× |
| Exc Face Les Sbq 2 Cm/> (21012) | $966.50 | $1,933 | 0.6× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $106.50 | $213 | 0.1× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $130 | $260 | 0.2× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $165 | $330 | 0.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $192 | $384 | 0.1× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $213.50 | $427 | 0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $79.50 | $159 | 0.0× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $104.50 | $209 | 0.1× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $115 | $230 | 0.1× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) range across 4 matching MRF lines |
$246–$1,423 | $492–$2,846 | varies |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) | $3,089 | $6,178 | 1.9× |
| Exc Lesion Tongue W/Clsr Posterior One-Third (41113) | $520 | $1,040 | 0.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $126.50 | $253 | 0.2× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $180.50 | $361 | 0.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $256 | $512 | 0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $257 | $514 | 0.2× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $341.50 | $683 | 0.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $475.50 | $951 | 0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $299 | $598 | 0.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $325 | $650 | 0.3× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $97 | $194 | 0.2× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $119.50 | $239 | 0.2× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $257 | $514 | 0.2× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) range across 3 matching MRF lines |
$388–$582 | $776–$1,164 | varies |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) range across 3 matching MRF lines |
$1,415.50–$2,123.50 | $2,831–$4,247 | varies |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $1,411.50 | $2,823 | 0.8× |
| Excis Mouth Mucosa/Sub,No Repair (40810) | $201 | $402 | 0.1× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $141 | $282 | 0.1× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $185 | $370 | 0.3× |
| Excision & Repair Eyelid < One-Fourth Lid Margin (67961) range across 3 matching MRF lines |
$352.50–$546 | $705–$1,092 | varies |
| Excision Chalazion Multiple Same Lid (67801) range across 2 matching MRF lines |
$131.50–$135.50 | $263–$271 | varies |
| Excision Chalazion Single (67800) | $98 | $196 | 0.3× |
| Excision Lesion Conjunctiva </1 Cm (68110) range across 3 matching MRF lines |
$172.50–$268 | $345–$536 | varies |
| Excision Lesion Tongue W/O Closure (41110) | $141.50 | $283 | 0.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $135 | $270 | 0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $149 | $298 | 0.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $161 | $322 | 0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $233 | $466 | 0.3× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $243 | $486 | 0.3× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $539.50 | $1,079 | 0.3× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $624.50 | $1,249 | 0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $151 | $302 | 0.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $197.50 | $395 | 0.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $281.50 | $563 | 0.4× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $433.50 | $867 | 0.3× |
| Excision nasal polyp(s) simple (30110) range across 3 matching MRF lines |
$159–$238.50 | $318–$477 | varies |
| Excision of chalazion; multiple, different lids (67805) range across 2 matching MRF lines |
$271–$279 | $542–$558 | varies |
| Excision of pilonidal cyst or sinus; simple (11770) | $470.50 | $941 | 0.2× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $2,645.50 | $5,291 | 0.9× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $966.50 | $1,933 | 0.6× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) range across 3 matching MRF lines |
$573.50–$860.50 | $1,147–$1,721 | varies |
| Excision/destruction intranasal lesion int appr (30117) | $573.50 | $1,147 | 0.2× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $840 | $1,680 | 0.4× |
| Explo/Drain Breast Abscess (19020) | $644.50 | $1,289 | 0.4× |
| Explore/Treat Hand Joint (26070) range across 3 matching MRF lines |
$1,372.50–$2,059 | $2,745–$4,118 | varies |
| External cephalic version (59412) | $1,008 | $2,016 | 0.3× |
| Fasciotomy, foot and/or toe (28008) range across 5 matching MRF lines |
$455–$4,773 | $910–$9,546 | varies |
| Fetal non-stress test (59025) | $483 | $966 | 2.3× |
| Fine needle aspiration without imaging guidance (10021) | $101 | $202 | 0.2× |
| Fluoro exam of g/colon tube (49465) | $455.50 | $911 | 1.9× |
| Fna bx w/us gdn 1st les (10005) | $768 | $1,536 | 1.1× |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) | $285 | $570 | 0.1× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 2 matching MRF lines |
$230–$436 | $460–$872 | varies |
| Hysteroscopy Biopsy (58558) | $3,463 | $6,926 | 1.0× |
| I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
$194–$224.50 | $388–$449 | varies |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$176–$224.50 | $352–$449 | varies |
| I&D Intramural Im/Absc Transanal Anes (46045) | $740.50 | $1,481 | 0.3× |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$160.50–$224.50 | $321–$449 | varies |
| I&d pilonidal cyst complicated (10081) range across 2 matching MRF lines |
$138–$303 | $276–$606 | varies |
| I&d pilonidal cyst simple (10080) range across 3 matching MRF lines |
$125–$445 | $250–$890 | varies |
| I&d shoulder deep abscess/hematoma (23030) | $224.50 | $449 | 0.1× |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$164.50–$1,998 | $329–$3,996 | varies |
| Incise/Drain Conjunctiva (68020) range across 3 matching MRF lines |
$182.50–$281.50 | $365–$563 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$281.50–$339.50 | $563–$679 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$179.50–$265 | $359–$530 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$245–$281.50 | $490–$563 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 3 matching MRF lines |
$110.50–$224.50 | $221–$449 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$156–$169 | $312–$338 | varies |
| Incision Drainage Lacrimal Sac (68420) range across 3 matching MRF lines |
$179–$276 | $358–$552 | varies |
| Incision of eardrum (69420) range across 3 matching MRF lines |
$121.50–$182.50 | $243–$365 | varies |
| Incision of lingual frenum (frenotomy) (41010) | $339.50 | $679 | 0.2× |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$651.50–$860 | $1,303–$1,720 | varies |
| Incision&drainage bursa foot (28001) | $1,355.50 | $2,711 | 0.8× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 5 matching MRF lines |
$241.50–$379 | $483–$758 | varies |
| Incisional biopsy eyelid skin & lid margin (67810) range across 3 matching MRF lines |
$117–$175.50 | $234–$351 | varies |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$233.50–$650 | $467–$1,300 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 3 matching MRF lines |
$69.50–$330 | $139–$660 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 3 matching MRF lines |
$160.50–$241 | $321–$482 | varies |
| Inj W/Fluor Eval Cv Device (36598) | $277 | $554 | 1.3× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) range across 4 matching MRF lines |
$120–$1,091.50 | $240–$2,183 | varies |
| Inject Intravitreal Pharmcologic (67028) range across 3 matching MRF lines |
$67.50–$101.50 | $135–$203 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 6 matching MRF lines |
$60–$740.50 | $120–$1,481 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 5 matching MRF lines |
$97–$1,091.50 | $194–$2,183 | varies |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) range across 4 matching MRF lines |
$116.50–$1,091.50 | $233–$2,183 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 3 matching MRF lines |
$125.50–$188.50 | $251–$377 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 4 matching MRF lines |
$159–$823.50 | $318–$1,647 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 4 matching MRF lines |
$122.50–$645 | $245–$1,290 | varies |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) range across 4 matching MRF lines |
$214–$474.50 | $428–$949 | varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $162 | $324 | 0.5× |
| Injection anesthetic agent suprascapular nerve (64418) range across 3 matching MRF lines |
$84–$126 | $168–$252 | varies |
| Injection enzyme palmar fascial cord (20527) | $258.50 | $517 | 0.8× |
| Injection for identification of sentinel node (38792) | $241 | $482 | 0.6× |
| Injection medication/other subst tenon capsule (67515) range across 3 matching MRF lines |
$45.50–$68.50 | $91–$137 | varies |
| Injection single tendon origin/insertion (20551) | $81.50 | $163 | 0.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$72.50–$493.50 | $145–$987 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$73.50–$493.50 | $147–$987 | varies |
| Injection therapeutic carpal tunnel (20526) range across 5 matching MRF lines |
$90.50–$258.50 | $181–$517 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 4 matching MRF lines |
$176–$823.50 | $352–$1,647 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 4 matching MRF lines |
$179.50–$1,091.50 | $359–$2,183 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 8 matching MRF lines |
$77–$1,091.50 | $154–$2,183 | varies |
| Injection, Intralesional; More Than 7 Lesions (11901) | $178 | $356 | 0.9× |
| Injection, intralesional; up to and including 7 lesions (11900) | $178 | $356 | 0.9× |
| Insert Bladder Cath Complex (51703) | $202 | $404 | 1.5× |
| Insert cath pleura w/o image (32556) range across 4 matching MRF lines |
$187–$1,656.50 | $374–$3,313 | varies |
| Insert Drug Implant Device (11981) | $302.50 | $605 | 2.2× |
| Insert non-tunnel cv cath (36556) range across 4 matching MRF lines |
$165.50–$2,926 | $331–$5,852 | varies |
| Insert pessary/other device (57160) | $435 | $870 | 2.1× |
| Insert Temp Bladder Cath (51702) | $279 | $558 | 2.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $217 | $434 | 1.6× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $148.50 | $297 | 0.1× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 3 matching MRF lines |
$170–$1,213.50 | $340–$2,427 | varies |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $1,213.50 | $2,427 | 0.4× |
| Intranasal Biopsy (30100) | $1,334 | $2,668 | 0.8× |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$237.50–$931.50 | $475–$1,863 | varies |
| Iridotomy/irridectomy laser surg per session (66761) range across 3 matching MRF lines |
$238.50–$358 | $477–$716 | varies |
| Irrigation of corpora cavernosa for priapism (54220) range across 2 matching MRF lines |
$205.50–$215.50 | $411–$431 | varies |
| Labyrinthotomy Transcanal (69801) range across 3 matching MRF lines |
$1,316–$1,974 | $2,632–$3,948 | varies |
| Laparoscopy, surgical, appendectomy (44970) likely a partial charge, not the full procedure |
$1,071 | $2,142 | 0.2× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $4,110.50 | $8,221 | 0.7× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) likely a partial charge, not the full procedure |
$525.50 | $1,051 | 0.1× |
| Laryngoscopy diagnostic (31505) range across 2 matching MRF lines |
$73–$169 | $146–$338 | varies |
| Laryngoscopy flexible diagnostic (31575) range across 2 matching MRF lines |
$153.50–$224 | $307–$448 | varies |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) | $190 | $380 | 0.9× |
| Laser Surgery,Sever Vitreous Strands (67031) range across 3 matching MRF lines |
$15.50–$24 | $31–$48 | varies |
| Lysis of labial adhesions (56441) | $123 | $246 | 0.0× |
| Maniplatn palar fascial crd post inj single cord (26341) | $203.50 | $407 | 0.8× |
| Maternity Care Procedure (59899) | $1,642 | $3,284 | 7.9× |
| Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) range across 3 matching MRF lines |
$326–$503.50 | $652–$1,007 | varies |
| N Block Inj Ilio-Ing/Hypogi (64425) | $162.50 | $325 | 0.2× |
| N block inj intercost sng (64420) | $297 | $594 | 0.4× |
| N Block Inj Plantar Digit (64455) range across 3 matching MRF lines |
$268.50–$403 | $537–$806 | varies |
| N Block Lumbar/Thoracic (64520) | $140.50 | $281 | 0.2× |
| Nasal Endoscopy Dx (31231) | $200 | $400 | 1.0× |
| Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$60.50–$969.50 | $121–$1,939 | varies |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) range across 3 matching MRF lines |
$398.50–$598 | $797–$1,196 | varies |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) range across 3 matching MRF lines |
$1,409–$2,113.50 | $2,818–$4,227 | varies |
| Needle Biopsy Lymph Nodes (38505) | $1,355 | $2,710 | 0.8× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $423 | $846 | 1.0× |
| Njx anes stellate ganglion crv sympathetic (64510) | $117 | $234 | 0.1× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 7 matching MRF lines |
$90.50–$181.50 | $181–$363 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $373 | $746 | 0.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 3 matching MRF lines |
$157–$235.50 | $314–$471 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $185 | $370 | 0.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $1,978.50 | $3,957 | 2.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $253.50 | $507 | 0.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $1,978.50 | $3,957 | 2.2× |
| Occipital Nerve Block (64405) range across 3 matching MRF lines |
$111–$166.50 | $222–$333 | varies |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) likely a partial charge, not the full procedure |
$183 | $366 | 0.0× |
| Open Treatment Proximal Humeral Fracture (23615) likely a partial charge, not the full procedure |
$224.50 | $449 | 0.0× |
| Open tx interphalangeal joint dislocation (26785) | $688.50 | $1,377 | 0.2× |
| Paracen ant cham rmvl blood w/wo irrig&/air in (65815) range across 3 matching MRF lines |
$1,914–$2,957.50 | $3,828–$5,915 | varies |
| Partial Excision Distal Phalanx Finger (26236) | $2,753.50 | $5,507 | 1.7× |
| Perq dev breast 1st us imag (19285) | $791 | $1,582 | 1.1× |
| Place Rt Device/Marker Pros (55876) | $1,241 | $2,482 | 0.9× |
| Placement of needle for intraosseous infusion (36680) | $297 | $594 | 0.7× |
| Placement of seton (46020) range across 2 matching MRF lines |
$156.50–$2,581.50 | $313–$5,163 | varies |
| Probe lacrimal canaliculi w/wo irrigation (68840) range across 3 matching MRF lines |
$198.50–$298 | $397–$596 | varies |
| Probe nasolacrimal duct w/wo irrig req gen anes (68811) range across 3 matching MRF lines |
$217.50–$326.50 | $435–$653 | varies |
| Probing nasolacrimal duct (68810) range across 3 matching MRF lines |
$101–$151.50 | $202–$303 | varies |
| Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) range across 3 matching MRF lines |
$313.50–$470.50 | $627–$941 | varies |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$193.50–$495.50 | $387–$991 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$211–$357.50 | $422–$715 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 4 matching MRF lines |
$76.50–$342.50 | $153–$685 | varies |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) range across 3 matching MRF lines |
$122.50–$184 | $245–$368 | varies |
| Removal Embedded Foreign Body Eyelid (67938) range across 5 matching MRF lines |
$151.50–$309 | $303–$618 | varies |
| Removal Foreign Body Foot Complicated (28193) | $380.50 | $761 | 0.2× |
| Removal foreign body foot deep (28192) range across 5 matching MRF lines |
$380.50–$2,117.50 | $761–$4,235 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 7 matching MRF lines |
$201–$919 | $402–$1,838 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $207.50 | $415 | 0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 3 matching MRF lines |
$55.50–$83.50 | $111–$167 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 5 matching MRF lines |
$55.50–$83.50 | $111–$167 | varies |
| Removal Implant Deep (20680) | $409 | $818 | 0.1× |
| Removal Implant Superficial Separate Procedure (20670) | $247 | $494 | 0.1× |
| Removal implantable contraceptive capsules (11976) | $273 | $546 | 0.4× |
| Removal of a lesion from the floor of the mouth (41116) | $2,663.50 | $5,327 | 0.8× |
| Removal of foreign body from pharynx (42809) range across 2 matching MRF lines |
$186.50–$380.50 | $373–$761 | varies |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$177–$332.50 | $354–$665 | varies |
| Removal or bivalving full arm or full leg cast (29705) | $70.50 | $141 | 0.2× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $60.50 | $121 | 0.3× |
| Removal/bivalving gauntlet boot/body cast (29700) range across 4 matching MRF lines |
$106–$145.50 | $212–$291 | varies |
| Remove drug implant device (11982) | $138.50 | $277 | 0.3× |
| Remove foreign body from eye (65235) | $206 | $412 | 0.1× |
| Remove foreign body from eye (65205) range across 5 matching MRF lines |
$61.50–$309 | $123–$618 | varies |
| Remove Intrauterine Device (58301) range across 3 matching MRF lines |
$67.50–$170.50 | $135–$341 | varies |
| Remove lung catheter (32552) | $638.50 | $1,277 | 1.0× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$152.50–$171.50 | $305–$343 | varies |
| Remove Tendon Sheath Lesion (26160) | $224.50 | $449 | 0.1× |
| Remove/Insert Drug Implant (11983) | $230 | $460 | 0.5× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $650 | $1,300 | 0.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $650 | $1,300 | 0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$386–$495.50 | $772–$991 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$523–$1,626.50 | $1,046–$3,253 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$596–$650 | $1,192–$1,300 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) | $1,626.50 | $3,253 | 2.2× |
| Repair Ectropion Extensive (67917) range across 3 matching MRF lines |
$218.50–$337.50 | $437–$675 | varies |
| Repair Ectropion Suture (67914) range across 3 matching MRF lines |
$280–$420 | $560–$840 | varies |
| Repair Entropion Suture (67921) range across 3 matching MRF lines |
$432–$667 | $864–$1,334 | varies |
| Repair Eyelid Wound (67935) range across 3 matching MRF lines |
$219–$328.50 | $438–$657 | varies |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $800 | $1,600 | 0.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$329.50–$761.50 | $659–$1,523 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$373–$761.50 | $746–$1,523 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$293.50–$1,251.50 | $587–$2,503 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$250–$763.50 | $500–$1,527 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $1,251.50 | $2,503 | 1.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$303.50–$761.50 | $607–$1,523 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$267–$761.50 | $534–$1,523 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$290–$1,251.50 | $580–$2,503 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$529.50–$761.50 | $1,059–$1,523 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$278.50–$761.50 | $557–$1,523 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$352–$761.50 | $704–$1,523 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $1,251.50 | $2,503 | 1.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$274.50–$761.50 | $549–$1,523 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $1,251.50 | $2,503 | 0.6× |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$257.50–$410.50 | $515–$821 | varies |
| Repair tongue laceration (41252) | $1,251.50 | $2,503 | 5.2× |
| Repair tongue laceration (41250) range across 2 matching MRF lines |
$198–$1,251.50 | $396–$2,503 | varies |
| Replace duodenostomy/jejunostomy tube perq (49451) | $1,049 | $2,098 | 1.1× |
| Replace G-J Tube Perc (49452) | $969 | $1,938 | 1.0× |
| Revise eyelashes (67825) range across 3 matching MRF lines |
$38.50–$60 | $77–$120 | varies |
| Revision of eyelid (67880) range across 3 matching MRF lines |
$202–$303 | $404–$606 | varies |
| Revj/rpr oprative wound anterior segment (66250) | $1,245.50 | $2,491 | 0.5× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $380.50 | $761 | 0.4× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) range across 3 matching MRF lines |
$286.50–$442.50 | $573–$885 | varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 6 matching MRF lines |
$61–$309 | $122–$618 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 5 matching MRF lines |
$87–$309 | $174–$618 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 3 matching MRF lines |
$206–$309 | $412–$618 | varies |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $380.50 | $761 | 0.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $249 | $498 | 0.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $164.50 | $329 | 0.3× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$78.50–$330.50 | $157–$661 | varies |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 3 matching MRF lines |
$217–$542.50 | $434–$1,085 | varies |
| Shave skin lesion 0.5 cm/< (11300) | $60.50 | $121 | 0.1× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $77 | $154 | 0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $261 | $522 | 0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $63.50 | $127 | 0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $79 | $158 | 0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $152.50 | $305 | 0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $192 | $384 | 0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $143.50 | $287 | 0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $106 | $212 | 0.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $78 | $156 | 0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $106 | $212 | 0.3× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $91.50 | $183 | 0.4× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) | $156 | $312 | 0.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 3 matching MRF lines |
$236–$542.50 | $472–$1,085 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$204.50–$542.50 | $409–$1,085 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$174.50–$542.50 | $349–$1,085 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 2 matching MRF lines |
$303.50–$317 | $607–$634 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$209–$542.50 | $418–$1,085 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$147–$542.50 | $294–$1,085 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$286–$542.50 | $572–$1,085 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$193–$542.50 | $386–$1,085 | varies |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$255–$2,053 | $510–$4,106 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$244–$2,053 | $488–$4,106 | varies |
| Skin sub grft t/arm/lg child (15273) range across 2 matching MRF lines |
$507–$2,053 | $1,014–$4,106 | varies |
| Skin Tissue Procedure (17999) | $44 | $88 | 0.2× |
| Skn sub grft f/n/hf/g child (15277) range across 2 matching MRF lines |
$557–$2,053 | $1,114–$4,106 | varies |
| Slitting of prepuce (54001) | $307 | $614 | 0.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$180–$542.50 | $360–$1,085 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 3 matching MRF lines |
$179.50–$542.50 | $359–$1,085 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 3 matching MRF lines |
$239–$542.50 | $478–$1,085 | varies |
| Snip Incision Lacrimal Punctum (68440) range across 3 matching MRF lines |
$169–$253.50 | $338–$507 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 4 matching MRF lines |
$132.50–$1,182 | $265–$2,364 | varies |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) range across 2 matching MRF lines |
$1,382.50–$4,782.50 | $2,765–$9,565 | varies |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) range across 2 matching MRF lines |
$1,410–$4,782.50 | $2,820–$9,565 | varies |
| Strapping ankle (29540) range across 4 matching MRF lines |
$104.50–$145.50 | $209–$291 | varies |
| Strapping elbow or wrist (29260) | $54.50 | $109 | 0.9× |
| Strapping hand/finger (29280) | $107.50 | $215 | 1.8× |
| Strapping knee (29530) | $56.50 | $113 | 0.4× |
| Strapping shoulder (29240) range across 4 matching MRF lines |
$66.50–$145.50 | $133–$291 | varies |
| Strapping toes (29550) | $51.50 | $103 | 0.9× |
| Strapping Unna Boot (29580) range across 10 matching MRF lines |
$103–$438 | $206–$876 | varies |
| Subconjunctival injection (68200) range across 3 matching MRF lines |
$110.50–$171 | $221–$342 | varies |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) | $776 | $1,552 | 0.3× |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) range across 3 matching MRF lines |
$245–$367.50 | $490–$735 | varies |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$153.50–$495.50 | $307–$991 | varies |
| Temporary Closure Eyelids Suture (67875) range across 3 matching MRF lines |
$249.50–$374.50 | $499–$749 | varies |
| Tenotomy Percutaneous Toe Single Tendon (28010) range across 2 matching MRF lines |
$381–$3,203 | $762–$6,406 | varies |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) range across 2 matching MRF lines |
$433–$3,203 | $866–$6,406 | varies |
| Thrombolytic Therapy Stroke (37195) range across 2 matching MRF lines |
$342.50–$463.50 | $685–$927 | varies |
| Thyroid biopsy (60100) | $204.50 | $409 | 0.3× |
| Trabeculoplasty by laser surgery (65855) range across 3 matching MRF lines |
$146.50–$220 | $293–$440 | varies |
| Treat Hip Socket Fracture (27222) | $911.50 | $1,823 | 3.6× |
| Treat humerus fracture (24500) range across 3 matching MRF lines |
$1,515.50–$2,273.50 | $3,031–$4,547 | varies |
| Treat Humerus Fracture (24505) | $911.50 | $1,823 | 0.6× |
| Treat humerus fracture (23600) range across 3 matching MRF lines |
$1,515.50–$2,273.50 | $3,031–$4,547 | varies |
| Treat Knuckle Dislocation (26700) | $688.50 | $1,377 | 2.7× |
| Treat Thumb Dislocation (26641) | $688.50 | $1,377 | 2.7× |
| Treat toe dislocation (28630) | $688.50 | $1,377 | 2.7× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $688.50 | $1,377 | 0.4× |
| Treatment closed elbow dislocation w/o anes (24600) range across 4 matching MRF lines |
$593.50–$688.50 | $1,187–$1,377 | varies |
| Treatment extensive retinopathy photocoagulation (67228) range across 3 matching MRF lines |
$157–$235.50 | $314–$471 | varies |
| Treatment mouth roof lesion (42160) | $226.50 | $453 | 0.1× |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$101.50–$201 | $203–$402 | varies |
| Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines |
$119.50–$201 | $239–$402 | varies |
| Trim skin lesions over 4 (11057) range across 2 matching MRF lines |
$131.50–$201 | $263–$402 | varies |
| Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$23.50–$148 | $47–$296 | varies |
| Tx Gastro Intub W/Asp (43753) | $34 | $68 | 0.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$286.50–$729.50 | $573–$1,459 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) range across 2 matching MRF lines |
$201–$1,151.50 | $402–$2,303 | varies |
| Unlisted procedure foot or toes (28899) | $205.50 | $411 | 0.8× |
| Unlisted Procedure Intestine (44799) | $676 | $1,352 | 0.7× |
| Unlisted procedure nervous system (64999) | $253.50 | $507 | 0.8× |
| Vaginal delivery only (59409) | $1,229 | $2,458 | 0.4× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $311 | $622 | 0.1× |
| Wedge excision skin nail fold (11765) | $108 | $216 | 0.3× |
| Windowing of cast (29730) | $67.50 | $135 | 0.4× |
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.