Procedures & surgery prices at Brooks-TLC Hospital System, Inc
Dunkirk, NY · every code in this section with a posted price and a Medicare benchmark.
859 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) | $1,765 | $1,765 | 1.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $1,457 | $1,457 | 1.3× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) | $39,501 | $39,501 | 1.8× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $4,201 | $4,201 | 1.6× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) | $2,661 | $2,661 | 1.0× |
| Amniocentesis diagnostic (59000) | $430 | $430 | 0.4× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $3,627 | $3,627 | 0.9× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $3,377 | $3,377 | 0.8× |
| Amputate Metacarpal Bone (26910) range across 2 matching MRF lines |
$1,023–$1,080 | $1,023–$1,080 | varies |
| Amputation metatarsal with toe single (28810) | $4,332 | $4,332 | 1.1× |
| Amputation toe interphalangeal joint (28825) | $4,332 | $4,332 | 1.1× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$42–$84 | $42–$84 | varies |
| Anoscopy W/Rmvl Foreign Body (46608) | $1,667 | $1,667 | 1.4× |
| Apheresis Platelets (36513) | $3,120 | $3,120 | 5.7× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $161 | $161 | 0.8× |
| Application cast elbow finger short arm (29075) range across 4 matching MRF lines |
$93–$149 | $93–$149 | varies |
| Application Cast Shoulder Spica (29055) | $292 | $292 | 0.8× |
| Application Finger Splint Dynamic (29131) | $105 | $105 | 1.4× |
| Application finger splint static (29130) range across 5 matching MRF lines |
$75–$103 | $75–$103 | varies |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$23–$382 | $23–$382 | varies |
| Application Long Leg Cast Walker/Ambulatory Type (29355) | $523 | $523 | 1.5× |
| Application Long Leg Splint (29505) range across 4 matching MRF lines |
$113–$443 | $113–$443 | varies |
| Application of long leg cast (29345) | $232 | $232 | 0.7× |
| Application of rigid total contact leg cast (29445) | $862 | $862 | 2.5× |
| Application short arm splint forearm-hand static (29125) range across 11 matching MRF lines |
$23–$151 | $23–$151 | varies |
| Application short leg splint calf foot (29515) range across 5 matching MRF lines |
$38–$379 | $38–$379 | varies |
| Application, cast; figure-of-eight Facility (29049) | $230 | $230 | 0.7× |
| Apply hand/wrist cast (29085) | $243 | $243 | 1.2× |
| Apply long arm cast (29065) | $530 | $530 | 1.5× |
| Apply Multlay Comprs Lwr Leg (29581) range across 3 matching MRF lines |
$505–$757 | $505–$757 | varies |
| Apply Short Leg Cast (29405) | $304 | $304 | 0.9× |
| Apply short leg cast (29425) | $523 | $523 | 1.5× |
| Apply shoulder cast,plastr velpeau (29058) | $230 | $230 | 0.7× |
| Arterial puncture (36600) range across 3 matching MRF lines |
$24–$42 | $24–$42 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 8 matching MRF lines |
$170–$686 | $170–$686 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $946 | $946 | 1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 14 matching MRF lines |
$136–$1,692 | $136–$1,692 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $996 | $996 | 2.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 9 matching MRF lines |
$129–$413 | $129–$413 | varies |
| Arthrodesis sacroiliac joint percutaneous (27279) range across 3 matching MRF lines |
$55,933–$111,865 | $55,933–$111,865 | varies |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) | $4,332 | $4,332 | 2.2× |
| Aspirate pleura w/ imaging (32555) | $1,228 | $1,228 | 1.6× |
| Aspirate Pleura W/O Imaging (32554) | $1,182 | $1,182 | 1.5× |
| Aspirate/Inj Ganglion Cyst (20612) | $218 | $218 | 0.6× |
| Aspiration & Injection Treatment Bone Cyst (20615) | $1,451 | $1,451 | 1.6× |
| Aspiration and/or injection thyroid cyst (60300) | $2,180 | $2,180 | 2.5× |
| Aspiration bladder insert suprapubic catheter (51102) | $4,485 | $4,485 | 1.7× |
| Aspiration Bladder Needle (51100) | $402 | $402 | 1.3× |
| Av Fistula Revision Open (36832) | $16,419 | $16,419 | 2.4× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 4 matching MRF lines |
$155–$229 | $155–$229 | varies |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) unusually low: confirm this is the full procedure |
$4,000 | $4,000 | 0.3× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) likely a partial charge, not the full procedure |
$2,400 | $2,400 | 0.3× |
| Biopsy Abdominal Mass (49180) | $700 | $700 | 0.3× |
| Biopsy bone open superficial (20240) | $8,529 | $8,529 | 2.4× |
| Biopsy bone trocar/needle deep (20225) | $1,873 | $1,873 | 0.9× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $1,730 | $1,730 | 0.8× |
| Biopsy muscle percutaneous needle (20206) | $355 | $355 | 0.2× |
| Biopsy of liver, needle; percutaneous (47000) | $552 | $552 | 0.3× |
| Biopsy Pleura Percutaneous Needle (32400) | $355 | $355 | 0.2× |
| Biopsy Salivary Gland Incisional (42405) | $4,833 | $4,833 | 2.5× |
| Biopsy Salivary Gland Needle (42400) | $1,862 | $1,862 | 2.1× |
| Biopsy soft tissue leg/ankle area superficial (27613) | $813 | $813 | 0.4× |
| Biopsy soft tissue neck/thorax (21550) | $2,407 | $2,407 | 1.2× |
| Biopsy Vaginal Mucosa Extensive (57105) | $1,981 | $1,981 | 0.5× |
| Biopsy Vaginal Mucosa Simple (57100) | $1,287 | $1,287 | 1.1× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $664 | $664 | 0.6× |
| Biopsy/removal lymph nodes (38510) | $6,035 | $6,035 | 1.2× |
| Bladder instillation anticarcinogenic agent (51720) | $951 | $951 | 1.1× |
| Bladder Irrigation (51700) range across 3 matching MRF lines |
$29–$352 | $29–$352 | varies |
| Bladder Scan (51798) range across 4 matching MRF lines |
$55–$137 | $55–$137 | varies |
| Blepharotomy drainage abscess eyelid (67700) | $2,144 | $2,144 | 5.4× |
| Blood Transfusion Service (36430) | $857 | $857 | 1.6× |
| Bone Marrow Biopsy (38221) | $3,339 | $3,339 | 1.6× |
| Bone Marrow; Aspiration Only (38220) | $2,232 | $2,232 | 1.1× |
| Brnchsc Brushing/Protected Brushings (31623) | $2,274 | $2,274 | 1.0× |
| Bronchoscopy W/Biopsy(S) (31625) | $5,346 | $5,346 | 2.4× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) | $2,153 | $2,153 | 0.5× |
| Bronchoscopy/Needle Bx Each (31629) | $2,153 | $2,153 | 0.5× |
| Bx breast 1st lesion mr imag (19085) | $2,090 | $2,090 | 1.0× |
| Bx breast 1st lesion strtctc (19081) | $2,805 | $2,805 | 1.4× |
| Bx breast 1st lesion us imag (19083) range across 4 matching MRF lines |
$2,787–$4,180 | $2,787–$4,180 | varies |
| Bx breast needle core w/o imaging guidance spx (19100) | $463 | $463 | 0.2× |
| Bx Cervix (57500) | $429 | $429 | 0.4× |
| Bx/exc lymph node open deep axillary node (38525) | $652 | $652 | 0.1× |
| Bx/exc lymph node open superficial (38500) | $5,140 | $5,140 | 1.1× |
| Canthotomy Separate Procedure (67715) | $4,170 | $4,170 | 1.4× |
| Capsular contracture release (23020) | $9,703 | $9,703 | 2.4× |
| Catheter aspiration nasotracheal spx (31720) | $67 | $67 | 0.2× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) | $451 | $451 | 1.2× |
| Cautery Cervix Electro/Thermal (57510) | $4,240 | $4,240 | 1.0× |
| Cessj Therapy Cath Removal (37214) | $5,222 | $5,222 | 1.3× |
| Change Cystostomy Tube Complicated (51710) | $2,054 | $2,054 | 2.4× |
| Change Cystostomy Tube Simple (51705) | $971 | $971 | 3.1× |
| Change of Windpipe Airway (31502) | $248 | $248 | 0.8× |
| Chemical Cautery Tissue (17250) | $642 | $642 | 2.6× |
| Chemodenerv 1 extremity 1-4 (64642) | $831 | $831 | 0.9× |
| Chemodenerv Eccrine Glands (64650) | $356 | $356 | 0.9× |
| Chemodenerv Musc Migraine (64615) | $356 | $356 | 0.9× |
| Chemodenerv musc neck dyston (64616) | $356 | $356 | 0.9× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) | $356 | $356 | 0.9× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $602 | $602 | 1.6× |
| Chest tube placement (32551) | $1,018 | $1,018 | 0.5× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $8,522 | $8,522 | 1.9× |
| Circumcision 28 days or older (54161) | $2,082 | $2,082 | 0.8× |
| Circumcision Neonate (54160) | $4,868 | $4,868 | 5.6× |
| Circumcision w/clamp/oth dev w/block (54150) | $6,377 | $6,377 | 2.4× |
| Cl Tx Scapular Fx; W Manip (23575) | $1,062 | $1,062 | 0.5× |
| Cl Tx Tib Shft Fx W Manip (27752) | $1,550 | $1,550 | 0.8× |
| Clear outer ear canal (69200) range across 4 matching MRF lines |
$64–$298 | $64–$298 | varies |
| Closed Treat Vert Body Fract (22310) | $558 | $558 | 1.8× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $280 | $280 | 0.9× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $4,745 | $4,745 | 2.4× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $411 | $411 | 1.3× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $780 | $780 | 2.5× |
| Closed Treatment Sesamoid Fracture (28530) | $324 | $324 | 1.1× |
| Closed Treatment Sternum Fracture (21820) | $252 | $252 | 0.8× |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 2 matching MRF lines |
$336–$341 | $336–$341 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$298–$791 | $298–$791 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,070 | $1,070 | 0.5× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 3 matching MRF lines |
$243–$717 | $243–$717 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $791 | $791 | 2.6× |
| Closed tx carpal scaphoid fracture w/manj (25624) | $894 | $894 | 0.4× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 3 matching MRF lines |
$298–$314 | $298–$314 | varies |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) | $1,667 | $1,667 | 0.8× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) range across 2 matching MRF lines |
$654–$754 | $654–$754 | varies |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $3,264 | $3,264 | 1.6× |
| Closed tx knee dislocation w/o anesthesia (27550) range across 2 matching MRF lines |
$240–$801 | $240–$801 | varies |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) range across 2 matching MRF lines |
$187–$662 | $187–$662 | varies |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 3 matching MRF lines |
$75–$171 | $75–$171 | varies |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $1,334 | $1,334 | 0.7× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) range across 2 matching MRF lines |
$294–$2,614 | $294–$2,614 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $9,981 | $9,981 | 2.4× |
| Closed tx patellar dislocation w/anesthesia (27562) | $1,003 | $1,003 | 3.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$283–$953 | $283–$953 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $261 | $261 | 0.8× |
| Closed tx radial head/neck fx w/manipulation (24655) | $302 | $302 | 0.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 3 matching MRF lines |
$210–$393 | $210–$393 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$244–$1,337 | $244–$1,337 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$168–$240 | $168–$240 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $1,043 | $1,043 | 0.5× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines |
$300–$325 | $300–$325 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 3 matching MRF lines |
$373–$491 | $373–$491 | varies |
| Closed tx talotarsal joint dislc w/o anes (28570) | $324 | $324 | 1.1× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $330 | $330 | 0.2× |
| Closed tx talus fracture w/o manipulation (28430) | $314 | $314 | 1.0× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $324 | $324 | 1.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 2 matching MRF lines |
$289–$728 | $289–$728 | varies |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $4,974 | $4,974 | 2.5× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 2 matching MRF lines |
$412–$488 | $412–$488 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 2 matching MRF lines |
$244–$336 | $244–$336 | varies |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) range across 2 matching MRF lines |
$105–$729 | $105–$729 | varies |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $1,624 | $1,624 | 2.4× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $737 | $737 | 2.4× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) range across 2 matching MRF lines |
$261–$292 | $261–$292 | varies |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) range across 2 matching MRF lines |
$252–$1,850 | $252–$1,850 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 3 matching MRF lines |
$243–$325 | $243–$325 | varies |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $256 | $256 | 0.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $850 | $850 | 0.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 3 matching MRF lines |
$337–$809 | $337–$809 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $3,624 | $3,624 | 1.8× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 2 matching MRF lines |
$970–$1,310 | $970–$1,310 | varies |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $336 | $336 | 1.1× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) range across 2 matching MRF lines |
$336–$347 | $336–$347 | varies |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 3 matching MRF lines |
$209–$218 | $209–$218 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $310 | $310 | 1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $918 | $918 | 3.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 3 matching MRF lines |
$283–$717 | $283–$717 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 2 matching MRF lines |
$175–$315 | $175–$315 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 3 matching MRF lines |
$143–$304 | $143–$304 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 4 matching MRF lines |
$233–$283 | $233–$283 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$479–$1,107 | $479–$1,107 | varies |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) | $1,608 | $1,608 | 0.8× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $3,264 | $3,264 | 1.6× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $908 | $908 | 2.9× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) | $302 | $302 | 1.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $5,082 | $5,082 | 2.5× |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 2 matching MRF lines |
$214–$625 | $214–$625 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$149–$216 | $149–$216 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 3 matching MRF lines |
$214–$681 | $214–$681 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 3 matching MRF lines |
$161–$304 | $161–$304 | varies |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $1,201 | $1,201 | 0.6× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $823 | $823 | 2.7× |
| Cltx greater humeral tuberosity fx w/o manj (23620) range across 3 matching MRF lines |
$527–$578 | $527–$578 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) | $3,094 | $3,094 | 1.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$568–$801 | $568–$801 | varies |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $728 | $728 | 2.4× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $759 | $759 | 0.4× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $1,013 | $1,013 | 0.5× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) range across 2 matching MRF lines |
$236–$565 | $236–$565 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 3 matching MRF lines |
$149–$262 | $149–$262 | varies |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) | $2,322 | $2,322 | 1.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 3 matching MRF lines |
$150–$738 | $150–$738 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) | $980 | $980 | 0.5× |
| Cltx Medial Ankle Fx (27760) range across 2 matching MRF lines |
$371–$628 | $371–$628 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$236–$330 | $236–$330 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 3 matching MRF lines |
$142–$182 | $142–$182 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 4 matching MRF lines |
$244–$1,077 | $244–$1,077 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 4 matching MRF lines |
$165–$299 | $165–$299 | varies |
| Cltx post hip arthrp dislc req anes (27266) | $3,094 | $3,094 | 1.5× |
| Cltx post hip arthrp dislc w/o anes (27265) | $223 | $223 | 0.7× |
| Cltx prox fibula/shft fx w/manj (27781) | $1,013 | $1,013 | 0.5× |
| Cltx prox fibula/shft fx w/o manj (27780) | $271 | $271 | 0.9× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $254 | $254 | 0.1× |
| Cltx prox tibfib jt dislc w/o anes (27830) | $823 | $823 | 2.7× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $737 | $737 | 2.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
$143–$595 | $143–$595 | varies |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) | $774 | $774 | 0.4× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $980 | $980 | 0.5× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $239 | $239 | 0.1× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $1,250 | $1,250 | 0.6× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $885 | $885 | 2.9× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) | $231 | $231 | 0.8× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) range across 2 matching MRF lines |
$388–$451 | $388–$451 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) range across 3 matching MRF lines |
$316–$860 | $316–$860 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) | $550 | $550 | 1.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $573 | $573 | 0.3× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $374 | $374 | 1.2× |
| Collect Blood From Catheter Venous Nos (36592) | $130 | $130 | 0.8× |
| Collection of venous blood by venipuncture (36415) | $15 | $15 | 1.6× |
| Colpocentesis (57020) likely a partial charge, not the full procedure |
$186 | $186 | 0.0× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $296 | $296 | 0.8× |
| Colposcopy Cervix Endocervical Curettage (57456) | $251 | $251 | 0.7× |
| Colposcopy cervix upper/adjacent vagina (57452) | $143 | $143 | 0.6× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $251 | $251 | 0.7× |
| Colposcopy cervix vag eltrd conization cervix (57461) | $1,453 | $1,453 | 0.4× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | $1,453 | $1,453 | 0.4× |
| Colposcopy of vulva (56820) | $183 | $183 | 0.7× |
| Colposcopy Vulva W/Biopsy (56821) | $243 | $243 | 0.6× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $774 | $774 | 0.7× |
| Complex Cystometrogram (51726) | $607 | $607 | 1.9× |
| Complex drainage wound (10180) | $636 | $636 | 0.2× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $1,453 | $1,453 | 0.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$184–$1,034 | $184–$1,034 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$145–$400 | $145–$400 | varies |
| Control oropharyngeal hemorrhage simple (42960) | $197 | $197 | 0.3× |
| Conversion ext bil drg cath (47535) | $6,481 | $6,481 | 1.5× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $3,722 | $3,722 | 1.6× |
| Convert Nephrostomy Catheter (50434) | $6,405 | $6,405 | 2.5× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $3,573 | $3,573 | 1.7× |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) | $66 | $66 | 0.9× |
| Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) | $150 | $150 | 0.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$256–$728 | $256–$728 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $254 | $254 | 0.9× |
| Cysto Bladder W/Ureteral Catheterization (52005) | $2,446 | $2,446 | 0.9× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $1,870 | $1,870 | 0.7× |
| Cysto w/irrig & evac multple obstructing clots (52001) | $4,139 | $4,139 | 0.9× |
| Cysto W/Simple Removal Stone & Stent (52310) | $2,446 | $2,446 | 0.9× |
| Cystometrogram W/Up (51727) | $605 | $605 | 0.7× |
| Cystometrogram W/Vp (51728) | $501 | $501 | 0.6× |
| Cystostomy Cystotomy W/Drainage (51040) | $5,683 | $5,683 | 2.2× |
| Cystourethroscopy (52000) | $775 | $775 | 0.9× |
| Cystourethroscopy inj chemodenervation bladder (52287) | $2,446 | $2,446 | 0.9× |
| Cystourethroscopy with biopsy (52204) | $2,020 | $2,020 | 0.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $186 | $186 | 0.4× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $1,107 | $1,107 | 0.3× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $785 | $785 | 0.9× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $1,873 | $1,873 | 2.0× |
| Debride nail 1-5 (11720) | $199 | $199 | 2.7× |
| Debride nail 6 or more (11721) | $199 | $199 | 2.7× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $5,026 | $5,026 | 2.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 7 matching MRF lines |
$187–$1,236 | $187–$1,236 | varies |
| Declot vascular device (36593) | $514 | $514 | 1.2× |
| Decompress Fingers/Hand (26035) | $92 | $92 | 0.0× |
| Deep Muscle Biopsy (20205) | $6,398 | $6,398 | 1.8× |
| Delivery of placenta (59414) | $340 | $340 | 0.1× |
| Dermabrasion superficial any site (15783) | $561 | $561 | 1.1× |
| Destr penis lesion(s) (54065) | $251 | $251 | 0.1× |
| Destr W Neurolytic; Celiac Plexus (64680) | $4,600 | $4,600 | 4.2× |
| Destroy cerv/thor facet jnt (64633) range across 3 matching MRF lines |
$2,527–$4,600 | $2,527–$4,600 | varies |
| Destroy lumb/sac facet jnt (64635) range across 3 matching MRF lines |
$4,600–$6,899 | $4,600–$6,899 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 5 matching MRF lines |
$150–$160 | $150–$160 | varies |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $132 | $132 | 0.5× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $250 | $250 | 1.0× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $275 | $275 | 1.1× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) | $300 | $300 | 1.2× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $109 | $109 | 0.4× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $109 | $109 | 0.4× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $132 | $132 | 0.5× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) | $166 | $166 | 0.7× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $245 | $245 | 1.0× |
| Destruction neurolytic agt genicular nerve w/img (64624) | $6,142 | $6,142 | 2.5× |
| Destruction premalignant lesion 1st (17000) range across 4 matching MRF lines |
$99–$120 | $99–$120 | varies |
| Diagnostic sigmoidoscopy (45330) range across 2 matching MRF lines |
$167–$174.50 | $167–$174.50 | varies |
| Diaphragm or cervical cap fitting with instructions (57170) | $122 | $122 | 0.5× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) | $34 | $34 | 0.2× |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) | $99 | $99 | 0.6× |
| Dilat Urethral Strix Dilator Male Sbsq (53601) | $126 | $126 | 0.8× |
| Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) | $241 | $241 | 0.8× |
| Dilate Urethra Stricture (53620) | $4,258 | $4,258 | 4.9× |
| Dilate Urethra Stricture (53600) | $435 | $435 | 1.4× |
| Dilation & curettage dx&/ther nonobstetric (58120) | $2,199 | $2,199 | 0.5× |
| Dilation Cervical Canal (57800) | $1,453 | $1,453 | 0.4× |
| Dilation Esophagus Guide Wire (43453) | $353 | $353 | 0.1× |
| Drain Cerebro Spinal Fluid (62272) | $1,618 | $1,618 | 1.8× |
| Drain Spinal Cord Cyst (62268) | $2,901 | $2,901 | 2.6× |
| Drain/inj small joint/bursa w/us (20604) | $896 | $896 | 2.3× |
| Drainage external auditory canal abscess (69020) range across 2 matching MRF lines |
$409–$953 | $409–$953 | varies |
| Drainage external ear abscess/hematoma cmplx (69005) range across 2 matching MRF lines |
$267–$2,060 | $267–$2,060 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 3 matching MRF lines |
$96–$800 | $96–$800 | varies |
| Drainage Finger Abscess Complicated (26011) range across 2 matching MRF lines |
$132–$1,340 | $132–$1,340 | varies |
| Drainage Mouth Roof Lesion (42000) | $778 | $778 | 2.6× |
| Drainage of eye (65800) | $1,974 | $1,974 | 0.7× |
| Drainage of finger abscess simple (26010) range across 4 matching MRF lines |
$84–$267 | $84–$267 | varies |
| Drainage of gum lesion (41800) | $728 | $728 | 4.4× |
| Drainage of hematoma/fluid (10140) range across 6 matching MRF lines |
$128–$5,026 | $128–$5,026 | varies |
| Drainage of nose lesion (30000) | $729 | $729 | 2.5× |
| Drainage of perirenal or renal abscess, open Facility (50020) | $296 | $296 | 0.1× |
| Drainage of scrotal wall abscess (55100) | $1,013 | $1,013 | 0.5× |
| Drainage of scrotum (54700) | $3,420 | $3,420 | 1.3× |
| Draw Blood Off Venous Device (36591) | $242 | $242 | 1.5× |
| Dressing Change Under Anesthesia (15852) | $106 | $106 | 0.1× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $251 | $251 | 0.3× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) | $1,834 | $1,834 | 0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 3 matching MRF lines |
$214–$475 | $214–$475 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 3 matching MRF lines |
$172–$450 | $172–$450 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 7 matching MRF lines |
$137–$414 | $137–$414 | varies |
| Dstrj Lesion Penis Simple Chemical (54050) | $104 | $104 | 0.2× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $91 | $91 | 0.4× |
| Dstrj lesion penis simple surg excision (54060) | $969 | $969 | 0.4× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $2,001 | $2,001 | 1.8× |
| Dx Bone Marrow Bx & Aspir (38222) | $4,013 | $4,013 | 1.1× |
| Dx Bronchoscope/Lavage (31624) | $5,346 | $5,346 | 2.4× |
| Dx Bronchoscope/Wash (31622) | $2,153 | $2,153 | 1.0× |
| Dx Laryngoscopy Excl Nb (31525) | $2,025 | $2,025 | 0.9× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $2,233 | $2,233 | 2.5× |
| Egd place gastrostomy tube (43246) | $58 | $58 | 0.0× |
| Egd Tube/Cath Insertion (43241) | $949 | $949 | 0.4× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) | $329 | $329 | 0.9× |
| Electro-Uroflowmetry First (51741) | $108 | $108 | 0.4× |
| Endocervical curettage (57505) | $459 | $459 | 0.4× |
| Endometrial Biopsy (58100) | $599 | $599 | 2.4× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) range across 2 matching MRF lines |
$1,191–$7,145 | $1,191–$7,145 | varies |
| Epidural Blood Patch (62273) | $1,507 | $1,507 | 1.7× |
| Episiotomy or vaginal repair (59300) | $6,766 | $6,766 | 1.7× |
| Ercp,Sphincterotomy (43262) | $4,025 | $4,025 | 0.8× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) | $114 | $114 | 0.0× |
| Evacuation of subungual hematoma (11740) range across 5 matching MRF lines |
$97–$162 | $97–$162 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $908 | $908 | 1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $2,450 | $2,450 | 1.2× |
| Exc Back Les Sc < 3 Cm (21930) | $3,413 | $3,413 | 1.7× |
| Exc Back Tum Deep 5 Cm/> (21933) | $4,210 | $4,210 | 1.2× |
| Exc back tum deep < 5 cm (21932) | $3,994 | $3,994 | 1.1× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $1,298 | $1,298 | 1.5× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $1,432 | $1,432 | 1.6× |
| Exc Face Les Sbq 2 Cm/> (21012) | $1,379 | $1,379 | 0.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $908 | $908 | 1.0× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $1,298 | $1,298 | 1.5× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $2,543 | $2,543 | 2.9× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $3,035 | $3,035 | 1.5× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $3,185 | $3,185 | 1.5× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 4 matching MRF lines |
$632–$1,980 | $632–$1,980 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $2,130 | $2,130 | 2.4× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $2,280 | $2,280 | 1.1× |
| Exc Hand Les Sc < 1.5 Cm (26115) | $200 | $200 | 0.1× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) | $1,833 | $1,833 | 1.5× |
| Exc Lesion Tongue W/Clsr Posterior One-Third (41113) | $6,238 | $6,238 | 1.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $1,750 | $1,750 | 2.0× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $3,250 | $3,250 | 1.6× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $3,414 | $3,414 | 0.9× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $3,819 | $3,819 | 1.9× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $3,550 | $3,550 | 1.7× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $3,216 | $3,216 | 1.6× |
| Exc thigh/knee les sc 3 cm/> (27337) | $5,170 | $5,170 | 1.4× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 3 matching MRF lines |
$104–$1,525 | $104–$1,525 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $1,250 | $1,250 | 2.5× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $1,525 | $1,525 | 1.7× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $2,544 | $2,544 | 1.2× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $4,945 | $4,945 | 1.4× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) | $4,211 | $4,211 | 1.2× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) | $2,806 | $2,806 | 1.4× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) | $3,682 | $3,682 | 1.8× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $4,212 | $4,212 | 1.2× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) | $5,196 | $5,196 | 1.4× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) | $6,397 | $6,397 | 1.8× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $4,211 | $4,211 | 2.0× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) | $5,196 | $5,196 | 1.4× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $4,211 | $4,211 | 2.0× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $3,340 | $3,340 | 1.6× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) | $3,994 | $3,994 | 1.1× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $6,481 | $6,481 | 1.5× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) range across 3 matching MRF lines |
$1,561–$2,342 | $1,561–$2,342 | varies |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $3,577 | $3,577 | 1.5× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $2,232 | $2,232 | 2.5× |
| Excision Chalazion Multiple Same Lid (67801) | $1,550 | $1,550 | 1.2× |
| Excision Chalazion Single (67800) | $1,250 | $1,250 | 3.2× |
| Excision Chest Wall Tumor Including Ribs (21601) | $7,669 | $7,669 | 2.1× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) | $3,340 | $3,340 | 0.9× |
| Excision External Ear Partial Simple Repair (69110) | $7,819 | $7,819 | 2.2× |
| Excision Lesion Tongue W/O Closure (41110) | $9,775 | $9,775 | 2.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $1,250 | $1,250 | 1.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $1,325 | $1,325 | 1.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $1,425 | $1,425 | 2.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $2,275 | $2,275 | 2.6× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $909 | $909 | 1.0× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $1,738 | $1,738 | 0.8× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $2,250 | $2,250 | 1.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $2,500 | $2,500 | 2.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $2,550 | $2,550 | 2.9× |
| Excision Multiple External Papillae/Tags Anus (46230) | $104 | $104 | 0.0× |
| Excision nasal polyp(s) simple (30110) | $1,743 | $1,743 | 0.9× |
| Excision of chalazion; multiple, different lids (67805) | $1,750 | $1,750 | 4.4× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $4,332 | $4,332 | 2.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $4,434 | $4,434 | 2.2× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) | $3,682 | $3,682 | 1.8× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $4,431 | $4,431 | 2.1× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $4,431 | $4,431 | 2.1× |
| Excision, interdigital (morton) neuroma, single, each (28080) | $4,634 | $4,634 | 2.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | $4,431 | $4,431 | 1.2× |
| Explo/Drain Breast Abscess (19020) | $1,227 | $1,227 | 0.6× |
| Exploration penetrating wound spx extremity (20103) | $1,369 | $1,369 | 0.7× |
| Explore/Treat Hand Joint (26070) | $980 | $980 | 0.5× |
| External cephalic version (59412) | $4,094 | $4,094 | 1.0× |
| Fetal Contraction Stress Test (59020) | $184 | $184 | 0.7× |
| Fetal non-stress test (59025) | $378 | $378 | 1.5× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $1,725 | $1,725 | 2.0× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) | $1,725 | $1,725 | 2.0× |
| Fine needle aspiration without imaging guidance (10021) range across 7 matching MRF lines |
$205–$493 | $205–$493 | varies |
| Fluoro exam of g/colon tube (49465) | $423 | $423 | 1.4× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $1,725 | $1,725 | 2.0× |
| Fna bx w/us gdn 1st les (10005) | $1,725 | $1,725 | 2.0× |
| Foreskin manipulation (54450) | $840 | $840 | 2.7× |
| Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Facility (15572) | $4,382 | $4,382 | 1.0× |
| Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) | $4,201 | $4,201 | 1.6× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) | $949 | $949 | 0.4× |
| Grafting of autologous fat by lipo 50 cc or less (15771) | $10,634 | $10,634 | 2.4× |
| Grafting of autologous soft tiss by direct exc (15769) | $10,634 | $10,634 | 2.4× |
| Guide Cathet Fluid Drainage (10030) | $476 | $476 | 0.5× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $632 | $632 | 0.2× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $4,992 | $4,992 | 1.4× |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) | $7,753 | $7,753 | 2.2× |
| Hysteroscopy Dx Sep Proc (58555) | $2,484 | $2,484 | 0.6× |
| I&d abscess peritonsillar (42700) | $894 | $894 | 3.0× |
| I&d abscess simple (10060) range across 7 matching MRF lines |
$144–$594 | $144–$594 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $1,334 | $1,334 | 0.4× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $4,142 | $4,142 | 1.1× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) | $4,221 | $4,221 | 1.0× |
| I&d perianal abscess superficial (46050) | $1,864 | $1,864 | 1.6× |
| I&d pilonidal cyst complicated (10081) range across 4 matching MRF lines |
$271–$1,652 | $271–$1,652 | varies |
| I&d pilonidal cyst simple (10080) range across 4 matching MRF lines |
$136–$299 | $136–$299 | varies |
| I&d shoulder deep abscess/hematoma (23030) | $2,803 | $2,803 | 0.8× |
| I&d thyroglossal duct cyst infected (60000) | $746 | $746 | 0.4× |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $4,142 | $4,142 | 1.1× |
| Icd Pocket Revision (33223) | $5,709 | $5,709 | 2.2× |
| Image Cath Fluid Colxn Visc (49405) | $3,714 | $3,714 | 1.8× |
| Image Cath Fluid Peri/Retro (49406) | $3,642 | $3,642 | 1.8× |
| Image Cath Fluid Trns/Vgnl (49407) | $3,016 | $3,016 | 1.5× |
| Implant neuroelectrodes (63650) | $13,772 | $13,772 | 1.7× |
| Incise external hemorrhoid (46083) range across 4 matching MRF lines |
$122–$951 | $122–$951 | varies |
| Incise finger tendon sheath (26055) | $3,520 | $3,520 | 1.8× |
| Incision & drainage abscess complicated/multiple (10061) range across 8 matching MRF lines |
$430–$1,121 | $430–$1,121 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 6 matching MRF lines |
$223–$3,339 | $223–$3,339 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 7 matching MRF lines |
$116–$790 | $116–$790 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$279–$885 | $279–$885 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 3 matching MRF lines |
$315–$821 | $315–$821 | varies |
| Incision of iris (66500) | $514 | $514 | 0.2× |
| Incision of rectal abscess (46040) | $1,264 | $1,264 | 0.8× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $3,504 | $3,504 | 1.7× |
| Incisional biopsy eyelid skin & lid margin (67810) | $647 | $647 | 1.6× |
| Incisional biopsy skin single lesion (11106) | $936 | $936 | 1.0× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 4 matching MRF lines |
$102–$207 | $102–$207 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 4 matching MRF lines |
$1,995–$2,335 | $1,995–$2,335 | varies |
| Inj W/Fluor Eval Cv Device (36598) | $514 | $514 | 1.9× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) | $1,868 | $1,868 | 1.7× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $2,714 | $2,714 | 2.5× |
| Inject Intravitreal Pharmcologic (67028) | $721 | $721 | 1.7× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $218 | $218 | 0.6× |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $1,041 | $1,041 | 0.9× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) | $1,557 | $1,557 | 1.4× |
| Injection aa&/strd genicular nrv branches w/img (64454) | $1,489 | $1,489 | 1.7× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $980 | $980 | 0.9× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $1,309 | $1,309 | 1.5× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) range across 2 matching MRF lines |
$543–$815 | $543–$815 | varies |
| Injection Anes Superior Hypogastric Plexus (64517) | $1,902 | $1,902 | 1.7× |
| Injection anesthetic agent suprascapular nerve (64418) | $1,206 | $1,206 | 1.4× |
| Injection enzyme palmar fascial cord (20527) | $267 | $267 | 0.7× |
| Injection for identification of sentinel node (38792) | $518 | $518 | 1.0× |
| Injection Into Brain Canal (61055) | $292 | $292 | 0.8× |
| Injection procedure for peyronie disease (54200) | $298 | $298 | 1.0× |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$127–$237 | $127–$237 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) | $208 | $208 | 0.5× |
| Injection single/mlt trigger point 3/> muscles (20553) | $255 | $255 | 0.7× |
| Injection Sinus Tract Therapeutic Separate Proc (20500) | $1,485 | $1,485 | 0.8× |
| Injection therapeutic carpal tunnel (20526) | $936 | $936 | 2.4× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $678 | $678 | 0.6× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $1,489 | $1,489 | 1.7× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 9 matching MRF lines |
$404–$607 | $404–$607 | varies |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) | $728 | $728 | 0.7× |
| Ins cath ren art 1st bilat (36252) | $6,748 | $6,748 | 1.7× |
| Ins cath ren art 1st unilat (36251) | $6,748 | $6,748 | 1.7× |
| Ins cath ren art 2nd+ bilat (36254) | $6,818 | $6,818 | 1.7× |
| Ins cath ren art 2nd+ unilat (36253) | $9,144 | $9,144 | 1.3× |
| Ins endovas vena cava filtr (37191) | $9,004 | $9,004 | 1.3× |
| Insert 1 Electrode Pm-Defib (33216) | $20,767 | $20,767 | 2.0× |
| Insert Bladder Cath Complex (51703) | $179 | $179 | 1.1× |
| Insert cath pleura w/ image (32557) | $2,650 | $2,650 | 1.3× |
| Insert cath pleura w/o image (32556) range across 2 matching MRF lines |
$2,550–$3,680 | $2,550–$3,680 | varies |
| Insert cervical dilator (59200) | $108 | $108 | 0.3× |
| Insert Drug Implant Device (11981) | $412 | $412 | 2.5× |
| Insert Gastrostomy Tube Percutaneous (49440) | $3,722 | $3,722 | 1.6× |
| Insert Heart Pm Atrial (33206) | $27,605 | $27,605 | 2.1× |
| Insert Heart Pm Ventricular (33207) | $27,605 | $27,605 | 2.1× |
| Insert non-tunnel cv cath (36556) range across 7 matching MRF lines |
$178–$2,080 | $178–$2,080 | varies |
| Insert Pacing Lead & Connect (33224) | $27,605 | $27,605 | 2.1× |
| Insert pessary/other device (57160) | $280 | $280 | 1.1× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $684 | $684 | 0.3× |
| Insert pulse gen dual leads (33213) | $27,605 | $27,605 | 2.1× |
| Insert pulse gen mult leads (33221) | $49,911 | $49,911 | 2.1× |
| Insert Pulse Gen Sngl Lead (33212) | $19,935 | $19,935 | 1.9× |
| Insert Temp Bladder Cath (51702) range across 10 matching MRF lines |
$77–$173 | $77–$173 | varies |
| Insert tun ip cath perc (49418) | $6,719 | $6,719 | 1.5× |
| Insert tunneled cv cath (36561) | $6,600 | $6,600 | 1.7× |
| Insert tunneled cv cath (36563) | $5,752 | $5,752 | 0.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $120 | $120 | 0.7× |
| Insertion indwelling tunneled pleural catheter (32550) | $8,119 | $8,119 | 1.8× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $5,344 | $5,344 | 2.7× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $22,043 | $22,043 | 2.1× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) | $11,372 | $11,372 | 2.5× |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) | $17,398 | $17,398 | 2.5× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) likely a partial charge, not the full procedure |
$1,564 | $1,564 | 0.3× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $20,767 | $20,767 | 2.0× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $774 | $774 | 0.2× |
| Insj Picc Rs&I <5 Yr (36572) | $1,846 | $1,846 | 2.4× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $5,222 | $5,222 | 1.3× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $5,344 | $5,344 | 2.7× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) | $4,942 | $4,942 | 1.3× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) | $5,752 | $5,752 | 0.8× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $1,769 | $1,769 | 0.4× |
| Insj/Rplcmt Defib W/Lead(S) (33249) | $90,760 | $90,760 | 2.3× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) range across 3 matching MRF lines |
$1,355–$4,293 | $1,355–$4,293 | varies |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) | $15,320 | $15,320 | 1.5× |
| Insrt heart pm atrial & vent (33208) | $27,605 | $27,605 | 2.1× |
| Insrt Pulse Gen W/Dual Leads (33230) | $63,380 | $63,380 | 2.3× |
| Insrt Pulse Gen W/Mult Leads (33231) | $90,872 | $90,872 | 2.3× |
| Insrt Pulse Gen W/Singl Lead (33240) | $65,489 | $65,489 | 2.4× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 2 matching MRF lines |
$1,209–$1,385 | $1,209–$1,385 | varies |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $1,580 | $1,580 | 3.1× |
| Intraoral i&d tongue/floor submental space (41007) | $2,739 | $2,739 | 1.4× |
| Intraoral i&d tongue/floor submndblr space (41008) | $1,192 | $1,192 | 0.3× |
| Intro cath dialysis circuit (36901) | $2,037 | $2,037 | 1.0× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $29,019 | $29,019 | 2.0× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $14,358 | $14,358 | 2.0× |
| Intro Gastrointestinal Tube (44500) | $96 | $96 | 0.1× |
| Intubation endotracheal emergency procedure (31500) range across 4 matching MRF lines |
$543–$823 | $543–$823 | varies |
| Iridotomy/irridectomy laser surg per session (66761) | $1,275 | $1,275 | 1.9× |
| Irrigation maxillary sinus (31000) | $429 | $429 | 1.5× |
| Irrigation of corpora cavernosa for priapism (54220) | $334 | $334 | 1.1× |
| Laryngoscopy diagnostic (31505) range across 3 matching MRF lines |
$92–$179 | $92–$179 | varies |
| Laryngoscopy flexible diagnostic (31575) | $417 | $417 | 1.7× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) | $867 | $867 | 1.8× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) | $413 | $413 | 1.7× |
| Laryngoscopy W/Foreign Body Removal (31530) | $3,621 | $3,621 | 1.6× |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) range across 2 matching MRF lines |
$272–$1,268 | $272–$1,268 | varies |
| Late closure of wound (13160) | $980 | $980 | 0.2× |
| Ligate/strip short leg vein (37718) | $6,370 | $6,370 | 1.6× |
| Ligation of a-v fistula (37607) | $6,690 | $6,690 | 1.7× |
| Ligation or biopsy temporal artery (37609) | $3,682 | $3,682 | 1.8× |
| Lithotripsy, extracorporeal shock wave (50590) range across 2 matching MRF lines |
$8,607–$12,910 | $8,607–$12,910 | varies |
| Lyse chest fibrin init day (32561) | $1,501 | $1,501 | 1.9× |
| Maniplatn palar fascial crd post inj single cord (26341) | $284 | $284 | 0.9× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) | $2,340 | $2,340 | 1.2× |
| Mech remov tunneled cv cath (36595) | $5,222 | $5,222 | 1.3× |
| Myelography Lumbar Injection (62305) | $2,555 | $2,555 | 2.6× |
| Myelography Lumbar Injection (62304) | $1,829 | $1,829 | 1.9× |
| Myelography via lumbar injection rs&i cervical (62302) | $1,829 | $1,829 | 1.9× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $1,829 | $1,829 | 1.9× |
| N Block Inj Celiac Pelus (64530) | $1,685 | $1,685 | 1.5× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $464 | $464 | 0.5× |
| N block inj intercost sng (64420) range across 4 matching MRF lines |
$167–$399 | $167–$399 | varies |
| N Block Inj Paracervical (64435) | $251 | $251 | 0.3× |
| N Block Inj Plantar Digit (64455) | $862 | $862 | 2.2× |
| N Block Inj Pudendal (64430) range across 4 matching MRF lines |
$2,605.35–$5,472 | $2,605.35–$5,472 | varies |
| N Block Lumbar/Thoracic (64520) range across 4 matching MRF lines |
$1,329–$2,527 | $1,329–$2,527 | varies |
| Nasal/Orogastric W/Tube Plmt (43752) | $668 | $668 | 1.2× |
| Needle Biopsy Lymph Nodes (38505) | $355 | $355 | 0.2× |
| Needle Biopsy Pancreas (48102) | $266 | $266 | 0.1× |
| Njx anes stellate ganglion crv sympathetic (64510) | $2,736 | $2,736 | 2.5× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 3 matching MRF lines |
$206–$638 | $206–$638 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $1,047 | $1,047 | 0.2× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $6,481 | $6,481 | 1.5× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 4 matching MRF lines |
$2,218–$3,326 | $2,218–$3,326 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,510 | $1,510 | 1.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $1,510 | $1,510 | 1.7× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,510 | $1,510 | 1.7× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $1,561 | $1,561 | 1.8× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) | $1,561 | $1,561 | 1.8× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) | $1,236 | $1,236 | 2.4× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) | $1,486 | $1,486 | 2.9× |
| Njx Sclrsnt Spider Veins (36468) | $184 | $184 | 0.4× |
| Occipital Nerve Block (64405) | $408 | $408 | 1.1× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $5,445 | $5,445 | 1.3× |
| Open tx interphalangeal joint dislocation (26785) | $7,875 | $7,875 | 1.9× |
| Open/Perq Place Stent 1St (37236) | $27,148 | $27,148 | 1.9× |
| Open/Perq Place Stent Same (37238) | $27,148 | $27,148 | 1.9× |
| Penile Plethysmography (54240) | $246 | $246 | 0.9× |
| Percut Drain/Inject Renal Cyst (50390) | $578 | $578 | 0.7× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) | $9,229 | $9,229 | 2.3× |
| Pericardiocentesis W/Imaging (33016) | $5,826 | $5,826 | 3.0× |
| Peritoneal Lavage (49084) | $1,445 | $1,445 | 1.3× |
| Perm Occlusion/Embolization,Percut,Cns (61624) likely a partial charge, not the full procedure |
$4,231 | $4,231 | 0.2× |
| Perq dev breast 1st strtctc (19283) | $293 | $293 | 0.3× |
| Perq dev breast 1st us imag (19285) | $2,180 | $2,180 | 2.5× |
| Perq device breast 1st imag (19281) | $293 | $293 | 0.1× |
| Perq Lumbosacral Injection (22511) | $9,715 | $9,715 | 2.4× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $1,606 | $1,606 | 1.8× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $29,019 | $29,019 | 2.0× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $14,358 | $14,358 | 2.0× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $21,878 | $21,878 | 2.4× |
| Perq Vertebral Augmentation (22513) | $20,838 | $20,838 | 2.3× |
| Place Cath Subclavian Art (36225) | $7,670 | $7,670 | 1.9× |
| Place Cath Thoracic Aorta (36221) | $9,079 | $9,079 | 2.3× |
| Place Cath Vertebral Art (36226) | $10,807 | $10,807 | 1.6× |
| Place Duod/Jej Tube Perc (49441) | $5,102 | $5,102 | 2.1× |
| Place Rt Device/Marker Pros (55876) | $1,005 | $1,005 | 0.6× |
| Placement of needle for intraosseous infusion (36680) | $261 | $261 | 0.5× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 10 matching MRF lines |
$6,026.81–$12,658 | $6,026.81–$12,658 | varies |
| Plmt Nephroureteral Catheter (50433) | $4,485 | $4,485 | 1.0× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) | $10,270 | $10,270 | 2.3× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) | $10,270 | $10,270 | 2.3× |
| Prim art mech thrombectomy (37184) unusually low: confirm this is the full procedure |
$10,977 | $10,977 | 0.5× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) range across 2 matching MRF lines |
$105–$290.50 | $105–$290.50 | varies |
| Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) | $1,836 | $1,836 | 2.7× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $6,481 | $6,481 | 1.5× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $6,481 | $6,481 | 1.5× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) | $5,445 | $5,445 | 1.3× |
| Punch biopsy skin single lesion (11104) | $1,236 | $1,236 | 2.4× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 10 matching MRF lines |
$99–$714 | $99–$714 | varies |
| Puncture Aspiration Cyst Breast (19000) | $215 | $215 | 0.2× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) | $6,142 | $6,142 | 2.5× |
| Redo Endovas Vena Cava Filtr (37192) | $6,633 | $6,633 | 1.7× |
| Relocation Pocket Pacemaker (33222) | $4,201 | $4,201 | 1.6× |
| Rem Endovas Vena Cava Filter (37193) | $6,633 | $6,633 | 1.7× |
| Removal Embedded Foreign Body Eyelid (67938) | $443 | $443 | 1.1× |
| Removal Foreign Body Foot Subcutaneous (28190) | $248 | $248 | 0.3× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 3 matching MRF lines |
$214–$1,044 | $214–$1,044 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$78–$167 | $78–$167 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 6 matching MRF lines |
$55–$137 | $55–$137 | varies |
| Removal impacted vag fb spx w/anes oth/thn local (57415) | $127 | $127 | 0.0× |
| Removal Implant Deep (20680) | $5,359 | $5,359 | 1.5× |
| Removal Implant Superficial Separate Procedure (20670) | $4,004 | $4,004 | 1.9× |
| Removal implantable contraceptive capsules (11976) | $171 | $171 | 0.2× |
| Removal of foreign body from pharynx (42809) | $122 | $122 | 0.2× |
| Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route Facility (65260) | $1,107 | $1,107 | 0.4× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$167–$443 | $167–$443 | varies |
| Removal of tunneled intraperitoneal catheter (49422) | $4,537 | $4,537 | 1.2× |
| Removal or bivalving full arm or full leg cast (29705) | $127 | $127 | 0.4× |
| Removal Pacemaker Electrode (33235) | $8,538 | $8,538 | 1.8× |
| Removal ppm generator only (33233) | $19,935 | $19,935 | 1.9× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $351 | $351 | 1.4× |
| Removal subcutaneous cardiac rhythm monitor (33286) | $1,726 | $1,726 | 2.0× |
| Removal/bivalving gauntlet boot/body cast (29700) | $230 | $230 | 0.7× |
| Remove cerclage suture (59871) | $9,352 | $9,352 | 2.3× |
| Remove drug implant device (11982) range across 3 matching MRF lines |
$501–$966 | $501–$966 | varies |
| Remove Elctrd Transvenously (33244) | $7,620 | $7,620 | 1.6× |
| Remove foreign body from eye (65265) | $1,360 | $1,360 | 0.5× |
| Remove foreign body from eye (65235) | $980 | $980 | 0.3× |
| Remove foreign body from eye (65205) range across 5 matching MRF lines |
$56–$270 | $56–$270 | varies |
| Remove groin lymph nodes (38760) | $6,514 | $6,514 | 0.8× |
| Remove Intrauterine Device (58301) range across 4 matching MRF lines |
$171–$351 | $171–$351 | varies |
| Remove intrvas foreign body (37197) | $6,830 | $6,830 | 1.7× |
| Remove lung catheter (32552) | $1,935 | $1,935 | 2.5× |
| Remove Nasal Foreign Body (30300) range across 3 matching MRF lines |
$110–$305 | $110–$305 | varies |
| Remove Pulse Generator (33241) | $7,621 | $7,621 | 1.6× |
| Remove renal tube w/fluoro (50389) | $1,883 | $1,883 | 2.2× |
| Remove Tendon Sheath Lesion (26160) | $3,690 | $3,690 | 1.8× |
| Remove&replace pm gen singl (33227) | $19,935 | $19,935 | 1.9× |
| Remv&replc cvd gen dual lead (33263) | $65,281 | $65,281 | 2.4× |
| Remv&replc cvd gen mult lead (33264) | $90,760 | $90,760 | 2.3× |
| Remv&replc cvd gen sing lead (33262) | $65,281 | $65,281 | 2.4× |
| Remv&replc pm gen dual lead (33228) | $27,605 | $27,605 | 2.1× |
| Remv&replc pm gen mult leads (33229) | $50,350 | $50,350 | 2.1× |
| Renal Biopsy Perq (50200) | $4,278 | $4,278 | 2.1× |
| Repair Blood Vessel Direct Hand Finger (35207) | $2,453 | $2,453 | 0.6× |
| Repair Blood Vessel Direct Upper Extremity (35206) | $1,340 | $1,340 | 0.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $1,075 | $1,075 | 1.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $1,107 | $1,107 | 1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $926 | $926 | 1.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$626–$1,349 | $626–$1,349 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $889 | $889 | 1.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $1,004 | $1,004 | 2.0× |
| Repair complex trunk 1.1-2.5 cm (13100) | $952 | $952 | 1.0× |
| Repair complex trunk 2.6-7.5 cm (13101) | $1,107 | $1,107 | 1.2× |
| Repair Ectropion Excision Tarsal Wedge (67916) | $4,103.50 | $4,103.50 | 1.4× |
| Repair Entropion Excision Tarsal Wedge (67923) | $4,103.50 | $4,103.50 | 1.4× |
| Repair extensor tendon finger w/o graft each (26418) | $1,360 | $1,360 | 0.7× |
| Repair Eyelid Wound (67935) | $1,138 | $1,138 | 0.4× |
| Repair Hand Tendon (26410) range across 2 matching MRF lines |
$682–$1,138 | $682–$1,138 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 5 matching MRF lines |
$265–$504 | $265–$504 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 5 matching MRF lines |
$373–$601 | $373–$601 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$373–$1,043 | $373–$1,043 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 3 matching MRF lines |
$652–$1,236 | $652–$1,236 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $2,048 | $2,048 | 4.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$569–$1,250 | $569–$1,250 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 6 matching MRF lines |
$166–$790 | $166–$790 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 5 matching MRF lines |
$234–$825 | $234–$825 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$480–$1,153 | $480–$1,153 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) range across 2 matching MRF lines |
$931–$1,300 | $931–$1,300 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 4 matching MRF lines |
$612–$946 | $612–$946 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 7 matching MRF lines |
$186–$790 | $186–$790 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 5 matching MRF lines |
$214–$790 | $214–$790 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$659–$1,050 | $659–$1,050 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 4 matching MRF lines |
$487–$889 | $487–$889 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 2 matching MRF lines |
$1,162–$1,860 | $1,162–$1,860 | varies |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$336–$728 | $336–$728 | varies |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $465 | $465 | 0.1× |
| Repair tongue laceration (41252) range across 2 matching MRF lines |
$199–$949 | $199–$949 | varies |
| Repair tongue laceration (41250) range across 2 matching MRF lines |
$105–$169 | $105–$169 | varies |
| Replace duodenostomy/jejunostomy tube perq (49451) | $2,084 | $2,084 | 1.8× |
| Replace G-J Tube Perc (49452) | $2,892 | $2,892 | 2.6× |
| Replace g/c tube perc (49450) | $2,721 | $2,721 | 2.4× |
| Replantation digit complete (20822) | $1,787 | $1,787 | 0.9× |
| Reposition Gastrostomy Tube (43761) | $1,856 | $1,856 | 6.0× |
| Reposition L Ventric Lead (33226) | $6,690 | $6,690 | 1.7× |
| Reposition Pacing-Defib Lead (33215) | $7,027 | $7,027 | 1.8× |
| Reposition Venous Catheter (36597) | $2,340 | $2,340 | 1.2× |
| Rev/rmv prph sac/gstr npg/r (64595) | $43 | $43 | 0.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $1,872 | $1,872 | 1.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 5 matching MRF lines |
$64–$250 | $64–$250 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 3 matching MRF lines |
$96–$300 | $96–$300 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 2 matching MRF lines |
$104–$300 | $104–$300 | varies |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $1,548 | $1,548 | 0.4× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $8,538 | $8,538 | 1.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $5,023 | $5,023 | 2.6× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $1,906 | $1,906 | 2.4× |
| Rplc Gtube No Revj Trc (43762) | $693 | $693 | 2.2× |
| Rplc gtube revj gstrst trc (43763) | $689 | $689 | 2.2× |
| Rplcmt cath ctr vad subq port/pmp (36578) | $5,222 | $5,222 | 1.3× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $2,125 | $2,125 | 1.1× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) | $5,222 | $5,222 | 1.3× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $2,530 | $2,530 | 1.3× |
| Rplcmt compl tun ctr vad w/subq pmp (36583) | $5,752 | $5,752 | 0.8× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $5,752 | $5,752 | 1.5× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $4,799 | $4,799 | 1.2× |
| Rpr blood vessel direct lower extremity (35226) | $2,977 | $2,977 | 3.4× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $3,052 | $3,052 | 1.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 4 matching MRF lines |
$274–$700 | $274–$700 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) range across 2 matching MRF lines |
$590–$1,275 | $590–$1,275 | varies |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) range across 2 matching MRF lines |
$105–$417 | $105–$417 | varies |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $648 | $648 | 0.8× |
| Scrotal exploration (55110) | $4,186 | $4,186 | 1.0× |
| Shave skin lesion 0.5 cm/< (11300) | $91 | $91 | 0.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $91 | $91 | 0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $158 | $158 | 0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $184 | $184 | 0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $91 | $91 | 0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $136 | $136 | 0.3× |
| Simple Cystometrogram (51725) | $315 | $315 | 1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$697–$725 | $697–$725 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 7 matching MRF lines |
$118–$390 | $118–$390 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 8 matching MRF lines |
$171–$410 | $171–$410 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 2 matching MRF lines |
$837–$1,385 | $837–$1,385 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 5 matching MRF lines |
$218–$642 | $218–$642 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) range across 2 matching MRF lines |
$1,116–$1,425 | $1,116–$1,425 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 9 matching MRF lines |
$97–$369 | $97–$369 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$393–$1,238 | $393–$1,238 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 7 matching MRF lines |
$215–$410 | $215–$410 | varies |
| Skin Full Grft Face/Genit/Hf (15240) | $1,107 | $1,107 | 0.4× |
| Skin Pinch Graft (15050) range across 2 matching MRF lines |
$716–$967 | $716–$967 | varies |
| Skin sub graft face/nk/hf/g (15275) | $6,128 | $6,128 | 6.6× |
| Skin sub graft trnk/arm/leg (15271) | $6,066 | $6,066 | 6.6× |
| Skin sub grft t/arm/lg child (15273) | $9,656 | $9,656 | 3.7× |
| Skin Tissue Procedure (17999) | $503 | $503 | 2.0× |
| Skn sub grft f/n/hf/g child (15277) | $6,429 | $6,429 | 2.5× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) | $6,608 | $6,608 | 1.0× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) | $6,608 | $6,608 | 1.7× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) | $10,807 | $10,807 | 1.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 7 matching MRF lines |
$127–$392 | $127–$392 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 5 matching MRF lines |
$170–$839 | $170–$839 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 3 matching MRF lines |
$324–$1,138 | $324–$1,138 | varies |
| Snip Incision Lacrimal Punctum (68440) | $667.50 | $667.50 | 1.7× |
| Spinal puncture lumbar diagnostic (62270) range across 7 matching MRF lines |
$105–$912 | $105–$912 | varies |
| Strapping ankle (29540) range across 10 matching MRF lines |
$38–$251 | $38–$251 | varies |
| Strapping elbow or wrist (29260) range across 5 matching MRF lines |
$36–$191 | $36–$191 | varies |
| Strapping hand/finger (29280) range across 14 matching MRF lines |
$93–$172 | $93–$172 | varies |
| Strapping Hip (29520) | $194 | $194 | 1.2× |
| Strapping knee (29530) range across 7 matching MRF lines |
$59–$296 | $59–$296 | varies |
| Strapping shoulder (29240) range across 8 matching MRF lines |
$29–$173 | $29–$173 | varies |
| Strapping thorax (29200) range across 2 matching MRF lines |
$24–$108 | $24–$108 | varies |
| Strapping toes (29550) range across 13 matching MRF lines |
$38–$207 | $38–$207 | varies |
| Strapping Unna Boot (29580) range across 10 matching MRF lines |
$57–$926 | $57–$926 | varies |
| Subcutaneous Hormone Pellet Implantation (11980) | $479 | $479 | 0.9× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) | $18,168 | $18,168 | 2.5× |
| Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) | $18,168 | $18,168 | 2.5× |
| Suture digital nerve hand/foot 1 nerve (64831) | $1,840 | $1,840 | 0.8× |
| Sympathectomy cervical (64802) | $212 | $212 | 0.1× |
| Sympathectomy, cervicothoracic Facility (64804) | $212 | $212 | 0.1× |
| Tangential biopsy skin single lesion (11102) | $642 | $642 | 1.3× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $4,745 | $4,745 | 2.4× |
| Therapeutic plasma exchange (36514) | $3,120 | $3,120 | 1.6× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $43,985 | $43,985 | 1.9× |
| Thromblytic art/ven therapy (37213) | $5,222 | $5,222 | 1.3× |
| Thrombolytic Art Therapy (37211) unusually low: confirm this is the full procedure |
$2,340 | $2,340 | 0.3× |
| Thrombolytic Therapy Stroke (37195) | $440 | $440 | 1.1× |
| Thrombolytic Venous Therapy (37212) | $2,340 | $2,340 | 0.6× |
| Thyroid biopsy (60100) | $1,606 | $1,606 | 1.8× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $6,128 | $6,128 | 2.4× |
| Tooth extraction (41899) | $127 | $127 | 0.4× |
| Trabeculoplasty by laser surgery (65855) | $1,039.50 | $1,039.50 | 1.5× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) range across 2 matching MRF lines |
$1,126–$1,141 | $1,126–$1,141 | varies |
| Tracheostomy Emergency Procedure Transtracheal (31603) range across 2 matching MRF lines |
$1,126–$1,358 | $1,126–$1,358 | varies |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) | $5,326 | $5,326 | 0.8× |
| Transrectal abltj mal prst8 tissue hifu w/us (55880) | $15,767 | $15,767 | 1.3× |
| Treat Hand Bone Lesion (26034) | $1,201 | $1,201 | 0.6× |
| Treat humerus fracture (24500) range across 3 matching MRF lines |
$500–$523 | $500–$523 | varies |
| Treat Humerus Fracture (24505) | $550 | $550 | 0.3× |
| Treat humerus fracture (23600) range across 3 matching MRF lines |
$170–$301 | $170–$301 | varies |
| Treat knee fracture (27532) | $910 | $910 | 0.2× |
| Treat Knuckle Dislocation (26700) range across 3 matching MRF lines |
$235–$881 | $235–$881 | varies |
| Treat Metatarsal Fracture (28475) | $280 | $280 | 0.9× |
| Treat Tail Bone Fracture (27200) range across 2 matching MRF lines |
$163–$201 | $163–$201 | varies |
| Treat Thumb Dislocation (26641) range across 2 matching MRF lines |
$188–$532 | $188–$532 | varies |
| Treat toe dislocation (28630) | $298 | $298 | 1.0× |
| Treat Vaginal Bleeding (57180) | $562 | $562 | 2.2× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $728 | $728 | 0.4× |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$301–$728 | $301–$728 | varies |
| Treatment extensive retinopathy photocoagulation (67228) | $1,108.50 | $1,108.50 | 1.6× |
| Trim skin lesion (11055) | $582 | $582 | 2.3× |
| Trim skin lesions 2 to 4 (11056) | $582 | $582 | 2.3× |
| Trimming Nondystrophic Nails Any Number (11719) | $199 | $199 | 2.7× |
| Trluml Balo Angiop 1St Art (37246) | $14,358 | $14,358 | 2.0× |
| Trluml Balo Angiop 1St Vein (37248) | $14,358 | $14,358 | 2.0× |
| Tx Gastro Intub W/Asp (43753) | $179 | $179 | 0.7× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $2,513 | $2,513 | 0.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$251–$666 | $251–$666 | varies |
| Tx superficial wound dehiscence w/packing (12021) range across 2 matching MRF lines |
$824–$999 | $824–$999 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) range across 2 matching MRF lines |
$317–$348 | $317–$348 | varies |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) | $5,516 | $5,516 | 1.2× |
| Unlisted procedure anus (46999) | $1,466 | $1,466 | 1.3× |
| Unlisted procedure breast (19499) | $5,545 | $5,545 | 1.1× |
| Unlisted Procedure Casting/Strapping (29799) | $191 | $191 | 0.9× |
| Unlisted procedure liver (47399) | $2,271 | $2,271 | 2.6× |
| Unlisted procedure lungs and pleura (32999) range across 2 matching MRF lines |
$1,319–$1,457 | $1,319–$1,457 | varies |
| Unlisted procedure neck or thorax (21899) | $732 | $732 | 2.5× |
| Unlisted procedure nervous system (64999) range across 4 matching MRF lines |
$827–$894 | $827–$894 | varies |
| Unlisted procedure pelvis/hip joint (27299) | $756 | $756 | 2.5× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $688 | $688 | 2.3× |
| Unlisted Procedure Rectum (45999) | $223 | $223 | 0.2× |
| Unlisted Procedure Vascular Surgery (37799) range across 2 matching MRF lines |
$242–$1,132 | $242–$1,132 | varies |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $5,516 | $5,516 | 4.9× |
| Unlisted Procedure, Urinary System (53899) | $643 | $643 | 2.1× |
| Upgrade of pacemaker system (33214) | $27,605 | $27,605 | 2.1× |
| Urinary Reflex Study (51792) | $66 | $66 | 0.9× |
| Urine Flow Measurement (51736) | $75 | $75 | 0.5× |
| Vaginal Delivery After Cesarean Delivery (59612) | $1,787 | $1,787 | 0.4× |
| Vaginal delivery only (59409) | $5,537 | $5,537 | 1.4× |
| Vasc embolize/occlude artery (37242) | $26,323 | $26,323 | 1.2× |
| Vasc Embolize/Occlude Bleed (37244) | $26,323 | $26,323 | 1.8× |
| Vasc Embolize/Occlude Organ (37243) | $26,323 | $26,323 | 1.8× |
| Vasc embolize/occlude venous (37241) | $26,323 | $26,323 | 1.8× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $2,200 | $2,200 | 0.8× |
| Vein Access Cutdown < 1 Yr (36420) range across 3 matching MRF lines |
$96–$116 | $96–$116 | varies |
| Venous Cutdown >1 Y/O (36425) range across 2 matching MRF lines |
$92–$128 | $92–$128 | varies |
| Venous Mech Thrombectomy (37187) | $10,676 | $10,676 | 0.7× |
| Ventilating tube removal requiring general anesthesia (69424) | $632 | $632 | 0.2× |
| Wedge excision skin nail fold (11765) | $127 | $127 | 0.3× |
| Wedging of cast (29740) | $230 | $230 | 0.7× |
| Windowing of cast (29730) | $230 | $230 | 1.1× |
| Wound Prep Trk/Arm/Leg (15002) | $1,323 | $1,323 | 1.4× |
| Xcapsl ctrc rmvl insj io lens prosth cplx w/ecp (66987) | $12,628 | $12,628 | 2.4× |
| Xcapsl ctrc rmvl insj io lens prosth w/ecp (66988) | $12,628 | $12,628 | 2.4× |
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.