Procedures & surgery prices at Burnett Medical Center

Grantsburg, WI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 3 matching MRF lines		 $328.80–$2,123.20 $411–$2,654 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 3 matching MRF lines		 $225.60–$1,740 $282–$2,175 varies
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $825.60 $1,032 0.5×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $2,023.20 $2,529 0.6×
Amputation foot transmetarsal (28805) $4,900.80 $6,126 1.5×
Amputation metatarsal with toe single (28810) $4,308.80 $5,386 1.4×
Amputation toe interphalangeal joint (28825) $2,012 $2,515 0.6×
Amputation toe metatarsophalangeal joint (28820) $2,404 $3,005 0.8×
Amputation, leg, through tibia and fibula; (27880) $5,543.20 $6,929 0.8×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $136–$184.80 $170–$231 varies
Anoscopy W/Rmvl Foreign Body (46608)
range across 2 matching MRF lines		 $244–$324 $305–$405 varies
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $732 $915 0.3×
Ant Vesicourethropexy/Urethropexy Smpl (51840) $4,267.20 $5,334 0.9×
Anterior colporraphy rpr cystocele w/cysto (57240) $2,790.40 $3,488 0.6×
Appendectomy (44950) $4,457.60 $5,572 0.7×
Application cast elbow finger short arm (29075)
range across 3 matching MRF lines		 $194.40–$245.60 $243–$307 varies
Application finger splint static (29130)
range across 2 matching MRF lines		 $88–$112.80 $110–$141 varies
Application Hip Spica Cast 1 Leg (29305) $494.40 $618 1.8×
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $186.40–$236 $233–$295 varies
Application Long Leg Cast Walker/Ambulatory Type (29355) $330.40 $413 1.2×
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $156–$196.80 $195–$246 varies
Application of cylinder cast (thigh to ankle) (29365) $272.80 $341 1.0×
Application of long leg cast (29345)
range across 2 matching MRF lines		 $312.80–$396 $391–$495 varies
Application Short Arm Splint Dynamic (29126) $152.80 $191 1.2×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $124–$156 $155–$195 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $156–$261.60 $195–$327 varies
Apply hand/wrist cast (29085) $209.60 $262 1.3×
Apply long arm cast (29065)
range across 3 matching MRF lines		 $212.80–$403.20 $266–$504 varies
Apply Short Leg Cast (29405)
range across 2 matching MRF lines		 $92–$238.40 $115–$298 varies
Apply short leg cast (29425) $177.60 $222 0.7×
Arterial puncture (36600)
range across 3 matching MRF lines		 $80–$108 $100–$135 varies
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
unusually low: confirm this is the full procedure		 $4,674.40 $5,843 0.4×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines		 $244.80–$363.20 $306–$454 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines		 $91.20–$540.80 $114–$676 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines		 $141.60–$359.20 $177–$449 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 3 matching MRF lines		 $105.60–$536.80 $132–$671 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines		 $105.60–$364.80 $132–$456 varies
Arthrodesis great toe interphalangeal joint (28755) $3,524.80 $4,406 0.5×
Arthrodesis great toe metatarsophalangeal joint (28750) $3,999.20 $4,999 0.6×
Arthroplasty Patella W/Prosthesis (27438)
unusually low: confirm this is the full procedure		 $6,235.20 $7,794 0.5×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $2,880.80 $3,601 0.9×
Arthroscopy knee synovectomy limited spx (29875) $3,384 $4,230 1.1×
Arthroscopy, knee, surgical; with lateral release (29873) $3,619.20 $4,524 1.1×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $3,952.80 $4,941 1.2×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $7,644 $9,555 1.1×
Arthrotomy ankle w/expl drainage/removal fb (27610) $3,479.20 $4,349 1.1×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) $10,586.40 $13,233 0.8×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $3,969.60 $4,962 1.2×
Arthrs knee debridement/shaving artclr crtlg (29877)
range across 2 matching MRF lines		 $1,100–$4,401.60 $1,375–$5,502 varies
Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887)
likely a partial charge, not the full procedure		 $1,100 $1,375 0.2×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $4,972.80 $6,216 1.6×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $1,772 $2,215 0.6×
Aspirate pleura w/ imaging (32555)
range across 3 matching MRF lines		 $346.40–$1,476.80 $433–$1,846 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $280–$1,288.80 $350–$1,611 varies
Aspiration bladder insert suprapubic catheter (51102) $1,891.20 $2,364 0.9×
Avulsion nail plate partial/complete simple 1 (11730)
range across 4 matching MRF lines		 $142.40–$480 $178–$600 varies
Biopsy bone open superficial (20240) $1,190.40 $1,488 0.4×
Biopsy Bone Trocar/Needle Superficial (20220) $1,233.60 $1,542 0.8×
Biopsy of rectum (45100) $1,719.20 $2,149 0.6×
Biopsy of toe joint lining (28054) $1,438.40 $1,798 0.5×
Biopsy ovary uni/bi separate procedure (58900) $951.20 $1,189 0.3×
Biopsy soft tissue neck/thorax (21550) $989.60 $1,237 0.6×
Biopsy Soft Tissue Shoulder Superficial (23065) $3,092.80 $3,866 1.9×
Biopsy Testis Incisional Separate Procedure (54505) $1,376 $1,720 0.4×
Biopsy Tongue Anterior Two-Thirds (41100) $384.80 $481 0.7×
Biopsy Vaginal Mucosa Extensive (57105) $696 $870 0.2×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $1,598.40 $1,998 1.8×
Biopsy/removal lymph nodes (38510) $3,544 $4,430 0.9×
Bladder Irrigation (51700) $326.40 $408 1.3×
Bladder Scan (51798) $79.20 $99 1.4×
Blood Transfusion Service (36430) $328.80 $411 0.8×
Bone Marrow Biopsy (38221) $564 $705 0.4×
Bone Marrow; Aspiration Only (38220) $451.20 $564 0.3×
Breast Reduction (19318) $12,628 $15,785 2.0×
Bx breast 1st lesion us imag (19083) $1,880 $2,350 1.2×
Bx Cervix (57500) $416.80 $521 0.5×
Bx/exc lymph node open superficial (38500)
range across 2 matching MRF lines		 $778.40–$1,678.40 $973–$2,098 varies
Canthotomy Separate Procedure (67715) $1,490.40 $1,863 0.6×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $2,579.20 $3,224 0.8×
Capsulotomy Iphal Joint Each Joint Spx (28272) $2,884.80 $3,606 1.8×
Carpal Tunnel Surgery (64721)
range across 2 matching MRF lines		 $1,427.20–$3,050.40 $1,784–$3,813 varies
Cataract surg w/iol 1 stage (66983) $4,419.20 $5,524 2.0×
Cataract surgery complex (66982) $5,614.40 $7,018 2.5×
Cautery Cervix Electro/Thermal (57510) $1,079.20 $1,349 0.3×
Cerclage cervix pregnancy vaginal (59320) $1,144 $1,430 0.4×
Change Cystostomy Tube Complicated (51710) $616.80 $771 0.9×
Change Cystostomy Tube Simple (51705)
range across 3 matching MRF lines		 $159.20–$464 $199–$580 varies
Chest tube placement (32551)
range across 3 matching MRF lines		 $271.20–$685.60 $339–$857 varies
Circumcision 28 days or older (54161) $1,564 $1,955 0.8×
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines		 $104–$648 $130–$810 varies
Cl Tx Tib Shft Fx W Manip (27752)
range across 3 matching MRF lines		 $1,537.60–$2,495.20 $1,922–$3,119 varies
Claviculectomy partial (23120) $5,244 $6,555 1.6×
Clear outer ear canal (69200)
range across 3 matching MRF lines		 $184–$305.60 $230–$382 varies
Closed Rx Metacarpal Fx,Percut (26608) $4,397.60 $5,497 1.4×
Closed Rx Spontaneous Hip Disloc (27256) $686.40 $858 2.9×
Closed rx talotarsal disloc,anesth (28575)
range across 2 matching MRF lines		 $1,032.80–$1,382.40 $1,291–$1,728 varies
Closed Treat Vert Body Fract (22310)
range across 2 matching MRF lines		 $868–$1,340.80 $1,085–$1,676 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)
range across 2 matching MRF lines		 $1,262.40–$1,505.60 $1,578–$1,882 varies
Closed treatment of posterior malleolus fracture; with manipulation (27768)
range across 2 matching MRF lines		 $1,366.40–$1,946.40 $1,708–$2,433 varies
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 2 matching MRF lines		 $1,408.80–$1,688.80 $1,761–$2,111 varies
Closed Treatment Sternum Fracture (21820)
range across 2 matching MRF lines		 $460.80–$600 $576–$750 varies
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines		 $940.80–$1,052.80 $1,176–$1,316 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $1,168–$1,268 $1,460–$1,585 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $1,468–$2,211.20 $1,835–$2,764 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines		 $948–$1,177.60 $1,185–$1,472 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 2 matching MRF lines		 $726.40–$973.60 $908–$1,217 varies
Closed tx carpal scaphoid fracture w/manj (25624)
range across 2 matching MRF lines		 $1,349.60–$1,600.80 $1,687–$2,001 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines		 $870.40–$1,019.20 $1,088–$1,274 varies
Closed Tx Femoral Shaft Fx W/O Manipulation (27500)
range across 2 matching MRF lines		 $823.20–$1,861.60 $1,029–$2,327 varies
Closed Tx Knee Dislocation W/Anesthesia (27552)
range across 2 matching MRF lines		 $1,934.40–$2,238.40 $2,418–$2,798 varies
Closed tx knee dislocation w/o anesthesia (27550)
range across 2 matching MRF lines		 $1,433.60–$1,609.60 $1,792–$2,012 varies
Closed Tx Lunate Dislocation W/Manipulation (25690)
range across 2 matching MRF lines		 $1,487.20–$1,761.60 $1,859–$2,202 varies
Closed Tx Mandibular Fracture W/O Manipulation (21450)
range across 2 matching MRF lines		 $1,460–$1,584.80 $1,825–$1,981 varies
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines		 $654.40–$811.20 $818–$1,014 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)
range across 2 matching MRF lines		 $1,712–$1,994.40 $2,140–$2,493 varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 3 matching MRF lines		 $417.60–$638.40 $522–$798 varies
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)
range across 2 matching MRF lines		 $425.60–$600.80 $532–$751 varies
Closed tx patellar dislocation w/anesthesia (27562)
range across 2 matching MRF lines		 $1,493.60–$2,368.80 $1,867–$2,961 varies
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines		 $1,054.40–$1,074.40 $1,318–$1,343 varies
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines		 $927.20–$1,112.80 $1,159–$1,391 varies
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines		 $1,244–$1,529.60 $1,555–$1,912 varies
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $412.80–$892 $516–$1,115 varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 3 matching MRF lines		 $1,432–$3,312.80 $1,790–$4,141 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 2 matching MRF lines		 $428–$1,045.60 $535–$1,307 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $1,467.20–$1,738.40 $1,834–$2,173 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $790.40–$1,054.40 $988–$1,318 varies
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 2 matching MRF lines		 $815.20–$937.60 $1,019–$1,172 varies
Closed tx septal&nose fx (21337)
range across 2 matching MRF lines		 $503.20–$1,861.60 $629–$2,327 varies
Closed Tx Sternoclavicular Dislc W/Manipulation (23525)
range across 2 matching MRF lines		 $1,088–$1,264.80 $1,360–$1,581 varies
Closed Tx Talus Fracture W/Manipulation (28435)
range across 2 matching MRF lines		 $739.20–$1,004 $924–$1,255 varies
Closed tx talus fracture w/o manipulation (28430) $853.60 $1,067 3.6×
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines		 $100–$176 $125–$220 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 2 matching MRF lines		 $1,293.60–$1,570.40 $1,617–$1,963 varies
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 2 matching MRF lines		 $824–$984 $1,030–$1,230 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines		 $744.80–$913.60 $931–$1,142 varies
Clsd tx acromioclavicular dislc w/manipulation (23545)
range across 2 matching MRF lines		 $988.80–$1,104 $1,236–$1,380 varies
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540)
range across 2 matching MRF lines		 $718.40–$801.60 $898–$1,002 varies
Clsd Tx Clavicular Fracture W/Manipulation (23505)
range across 2 matching MRF lines		 $1,036.80–$1,228 $1,296–$1,535 varies
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines		 $698.40–$838.40 $873–$1,048 varies
Clsd tx fx orbit except blowout w/o manipulation (21400)
range across 2 matching MRF lines		 $501.60–$685.60 $627–$857 varies
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197)
range across 2 matching MRF lines		 $1,476–$2,391.20 $1,845–$2,989 varies
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 3 matching MRF lines		 $1,243.20–$2,990.40 $1,554–$3,738 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $904–$940.80 $1,130–$1,176 varies
Clsd tx sternoclavicular dislc w/o manipulation (23520)
range across 2 matching MRF lines		 $733.60–$884 $917–$1,105 varies
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 2 matching MRF lines		 $1,536.80–$1,658.40 $1,921–$2,073 varies
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740)
range across 2 matching MRF lines		 $556–$674.40 $695–$843 varies
Cltx Carpal Bone Fx W/Manj Each Bone (25635)
range across 2 matching MRF lines		 $1,252–$1,268 $1,565–$1,585 varies
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 2 matching MRF lines		 $876.80–$961.60 $1,096–$1,202 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 2 matching MRF lines		 $935.20–$988.80 $1,169–$1,236 varies
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $1,206.40–$2,024.80 $1,508–$2,531 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $488.80–$1,204 $611–$1,505 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $854.40–$995.20 $1,068–$1,244 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $581.60–$843.20 $727–$1,054 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 3 matching MRF lines		 $961.60–$1,768 $1,202–$2,210 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 3 matching MRF lines		 $1,604–$3,740.80 $2,005–$4,676 varies
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510)
range across 2 matching MRF lines		 $2,111.20–$3,206.40 $2,639–$4,008 varies
Cltx fem fx dstl end medial/lat condyle w/o manj (27508)
range across 2 matching MRF lines		 $847.20–$1,861.60 $1,059–$2,327 varies
Cltx Fem Fx Prox End Nck W/O Manj (27230)
range across 2 matching MRF lines		 $1,465.60–$1,645.60 $1,832–$2,057 varies
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 2 matching MRF lines		 $2,225.60–$2,969.60 $2,782–$3,712 varies
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 2 matching MRF lines		 $476–$672.80 $595–$841 varies
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 3 matching MRF lines		 $214.40–$985.60 $268–$1,232 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $455.20–$649.60 $569–$812 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 2 matching MRF lines		 $383.20–$554.40 $479–$693 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 2 matching MRF lines		 $1,412.80–$1,521.60 $1,766–$1,902 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 2 matching MRF lines		 $952–$1,228 $1,190–$1,535 varies
Cltx greater humeral tuberosity fx w/o manj (23620)
range across 2 matching MRF lines		 $805.60–$1,054.40 $1,007–$1,318 varies
Cltx Greater Trochanteric Fx W/O Manj (27246)
range across 2 matching MRF lines		 $1,196.80–$1,439.20 $1,496–$1,799 varies
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625)
range across 2 matching MRF lines		 $1,102.40–$1,485.60 $1,378–$1,857 varies
Cltx hip dislocation traumatic req anesthesia (27252)
range across 2 matching MRF lines		 $2,332–$2,428 $2,915–$3,035 varies
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines		 $552.80–$1,560.80 $691–$1,951 varies
Cltx humeral condylar fx medial/lateral w/manj (24577)
range across 2 matching MRF lines		 $1,500–$1,551.20 $1,875–$1,939 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560)
range across 2 matching MRF lines		 $904–$1,051.20 $1,130–$1,314 varies
Cltx Interphalangeal Joint Dislocation Req Anes (28665)
range across 2 matching MRF lines		 $225.60–$1,196.80 $282–$1,496 varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $125.60–$141.60 $157–$177 varies
Cltx Iphal Jt Dislc W/Manj Req Anes (26775)
range across 3 matching MRF lines		 $1,087.20–$2,376.80 $1,359–$2,971 varies
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $802.40–$969.60 $1,003–$1,212 varies
Cltx Med Ankle Fx W/Mnpj (27762)
range across 2 matching MRF lines		 $1,352.80–$2,264.80 $1,691–$2,831 varies
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $960.80–$1,091.20 $1,201–$1,364 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $918.40–$1,170.40 $1,148–$1,463 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines		 $474.40–$1,162.40 $593–$1,453 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705)
range across 2 matching MRF lines		 $653.60–$2,989.60 $817–$3,737 varies
Cltx Metatarsophlngl Jt Dislc Req Anes (28635)
range across 2 matching MRF lines		 $229.60–$1,218.40 $287–$1,523 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $948–$1,506.40 $1,185–$1,883 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $581.60–$850.40 $727–$1,063 varies
Cltx post hip arthrp dislc req anes (27266)
range across 3 matching MRF lines		 $1,789.60–$4,705.60 $2,237–$5,882 varies
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $1,255.20–$2,076.80 $1,569–$2,596 varies
Cltx prox fibula/shft fx w/manj (27781)
range across 2 matching MRF lines		 $1,207.20–$1,666.40 $1,509–$2,083 varies
Cltx prox fibula/shft fx w/o manj (27780)
range across 2 matching MRF lines		 $477.60–$1,051.20 $597–$1,314 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 3 matching MRF lines		 $1,322.40–$3,583.20 $1,653–$4,479 varies
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660)
range across 2 matching MRF lines		 $1,275.20–$1,524 $1,594–$1,905 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $284–$299.20 $355–$374 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520)
range across 2 matching MRF lines		 $1,661.60–$1,916 $2,077–$2,395 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 2 matching MRF lines		 $1,230.40–$1,970.40 $1,538–$2,463 varies
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)
range across 2 matching MRF lines		 $1,654.40–$2,208 $2,068–$2,760 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines		 $1,074.40–$1,636.80 $1,343–$2,046 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503)
range across 2 matching MRF lines		 $2,336.80–$3,118.40 $2,921–$3,898 varies
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540)
range across 2 matching MRF lines		 $555.20–$873.60 $694–$1,092 varies
Cltx tibial fx proximal w/o manipulation (27530)
range across 2 matching MRF lines		 $883.20–$1,391.20 $1,104–$1,739 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $545.60–$1,565.60 $682–$1,957 varies
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680)
range across 3 matching MRF lines		 $1,487.20–$2,728.80 $1,859–$3,411 varies
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $1,353.60–$1,592.80 $1,692–$1,991 varies
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 2 matching MRF lines		 $897.60–$966.40 $1,122–$1,208 varies
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) $5,368 $6,710 1.1×
Coccygectomy, primary (27080) $3,264.80 $4,081 1.0×
Collect Blood From Catheter Venous Nos (36592) $68 $85 0.5×
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines		 $8–$12.80 $10–$16 varies
Colonoscopy Stoma Ablation Lesion (44401) $1,892.80 $2,366 1.6×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $1,032.80 $1,291 0.9×
Colonoscopy thru stoma (44388) $1,271.20 $1,589 1.4×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $2,118.40 $2,648 1.8×
Colonoscopy w/ablation (45388) $5,040.80 $6,301 4.3×
Colonoscopy W/Resection (45390) $2,232 $2,790 0.8×
Colonoscopy w/submucosal inj (45381)
range across 2 matching MRF lines		 $1,067.20–$3,750.40 $1,334–$4,688 varies
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $854.40 $1,068 0.3×
Colpopexy extraperitoneal (57282)
likely a partial charge, not the full procedure		 $1,036 $1,295 0.1×
Colpopexy vaginal intraperitoneal approach (57283) $4,025.60 $5,032 0.6×
Colporrhaphy (57200)
range across 2 matching MRF lines		 $934.40–$1,392 $1,168–$1,740 varies
Colposcopy cervix vag eltrd conization cervix (57461) $5,486.40 $6,858 1.7×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $2,453.60 $3,067 0.8×
Colpotomy; with drainage of pelvic abscess (57010) $2,346.40 $2,933 0.7×
Colsc flx w/removal lesion by hot bx forceps (45384) $4,555.20 $5,694 3.9×
Combined anteroposterior colporrhaphy; (57260) $3,736.80 $4,671 0.8×
Complex Cystometrogram (51726) $1,328 $1,660 5.5×
Complex drainage wound (10180) $1,014.40 $1,268 0.4×
Conization cervix w/wo d&c rpr eltrd exc (57522)
range across 2 matching MRF lines		 $556.80–$1,423.20 $696–$1,779 varies
Conization of cervix (57520) $1,964 $2,455 0.6×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $162.40–$244.80 $203–$306 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines		 $70.40–$224 $88–$280 varies
Correction hammertoe (28285) $3,507.20 $4,384 1.1×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $5,568 $6,960 1.8×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $4,980 $6,225 1.6×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
unusually low: confirm this is the full procedure		 $4,457.60 $5,572 0.4×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
range across 2 matching MRF lines		 $1,235.66–$5,066.40 $1,544.57–$6,333 varies
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $4,578.40 $5,723 1.4×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $4,794.40 $5,993 0.7×
Create Eardrum Opening (69433) $719.20 $899 1.4×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $248.80–$308.80 $311–$386 varies
Curettage postpartum (59160) $1,552 $1,940 0.5×
Curette/treat cornea (65435)
range across 2 matching MRF lines		 $177.60–$207.20 $222–$259 varies
Cysto Bladder W/Ureteral Catheterization (52005) $1,000 $1,250 0.5×
Cysto calibration dilat urtl strix/stenosis (52281) $1,184 $1,480 0.6×
Cysto w/complex removal stone & stent (52315) $520 $650 0.3×
Cysto w/destruction of lesions (52214) $1,287.20 $1,609 0.4×
Cysto w/insert ureteral stent (52332) $1,086.40 $1,358 0.3×
Cysto w/irrig & evac multple obstructing clots (52001) $1,800 $2,250 0.5×
Cysto w/removal of lesions small (52224) $1,194.40 $1,493 0.3×
Cysto w/removal of tumors small (52234) $1,194.40 $1,493 0.3×
Cysto W/Simple Removal Stone & Stent (52310) $1,169.60 $1,462 0.6×
Cysto w/ureter stricture tx (52341) $1,823.20 $2,279 0.5×
Cysto w/ureteroscopy w/lithotripsy (52353) $2,660 $3,325 0.5×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $2,408 $3,010 0.7×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $2,441.60 $3,052 0.7×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) $2,804.80 $3,506 0.5×
Cysto/uretero w/lithotripsy (52356)
unusually low: confirm this is the full procedure		 $2,241.60 $2,802 0.4×
Cystometrogram W/Vp (51728) $1,152 $1,440 1.7×
Cystorrhaphy suture of bladder wound injury or rupture simple (51860) $5,023.20 $6,279 0.5×
Cystoscopy implant stent (52282) $2,454.40 $3,068 0.7×
Cystostomy Cystotomy W/Drainage (51040) $2,005.60 $2,507 1.0×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $2,992.80 $3,741 1.5×
Cystourethroscopy (52000) $844 $1,055 1.2×
Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325)
unusually low: confirm this is the full procedure		 $2,542.40 $3,178 0.5×
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) $1,900.80 $2,376 0.6×
Cystourethroscopy inj chemodenervation bladder (52287) $1,246.40 $1,558 0.6×
Cystourethroscopy tx female urethral syndrome (52285) $1,381.60 $1,727 2.0×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $2,242.40 $2,803 0.7×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $3,964.80 $4,956 0.8×
Cystourethroscopy w/dil bladder general anesth (52260) $1,492 $1,865 0.7×
Cystourethroscopy w/rmvl ureteral calculus (52320) $1,552.80 $1,941 0.5×
Cystourethroscopy with biopsy (52204) $909.60 $1,137 0.4×
Cystourethroscopy with direct vision internal urethrotomy (52276) $1,932 $2,415 1.0×
Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) $1,905.60 $2,382 0.6×
Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) $1,136 $1,420 0.6×
Cystourethroscopy, with resection of external sphincter (sphincterotomy) Facility (52277) $2,131.20 $2,664 0.6×
Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) $1,596.80 $1,996 0.8×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $88 $110 0.2×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $2,541.60 $3,177 0.9×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $860.80 $1,076 1.3×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 3 matching MRF lines		 $460–$742.40 $575–$928 varies
Debride nail 1-5 (11720) $44.80 $56 0.8×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 3 matching MRF lines		 $718.08–$1,886.40 $897.60–$2,358 varies
Debridement Mastoidectomy Cavity Cmplx (69222) $910.40 $1,138 1.7×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 3 matching MRF lines		 $147.20–$487.20 $184–$609 varies
Delivery of placenta (59414)
range across 2 matching MRF lines		 $263.20–$515.20 $329–$644 varies
Destr penis lesion(s) (54065) $326.40 $408 0.2×
Destruct B9 Lesion 1-14 (17110) $384 $480 2.0×
Destruction Internal Hemorrhoid Thermal Energy (46930) $2,135.20 $2,669 1.8×
Destruction Lesions Vulva Extensive (56515) $1,504 $1,880 0.8×
Destruction Vaginal Lesions Simple (57061) $460.80 $576 0.1×
Diagnostic sigmoidoscopy (45330)
range across 4 matching MRF lines		 $315.20–$1,086.40 $394–$1,358 varies
Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) $363.20 $454 1.5×
Dilate Urethra Stricture (53620) $576.80 $721 0.9×
Dilate Urethra Stricture (53600) $458.40 $573 1.9×
Dilation & curettage dx&/ther nonobstetric (58120) $1,613.60 $2,017 0.5×
Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) $473.60 $592 0.1×
Drain ant chmbr,remv vitreous (65810) $2,360.80 $2,951 1.1×
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines		 $79.20–$542.40 $99–$678 varies
Drainage Abscess/Hematoma Nasal Septum (30020)
range across 2 matching MRF lines		 $377.60–$487.20 $472–$609 varies
Drainage external auditory canal abscess (69020)
range across 2 matching MRF lines		 $456.80–$664 $571–$830 varies
Drainage external ear abscess/hematoma cmplx (69005)
range across 2 matching MRF lines		 $498.40–$604 $623–$755 varies
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $380.80–$455.20 $476–$569 varies
Drainage Finger Abscess Complicated (26011)
range across 3 matching MRF lines		 $575.20–$1,024 $719–$1,280 varies
Drainage Mouth Roof Lesion (42000)
range across 2 matching MRF lines		 $369.60–$494.40 $462–$618 varies
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $404.80–$540 $506–$675 varies
Drainage of hematoma/fluid (10140)
range across 3 matching MRF lines		 $300–$805.60 $375–$1,007 varies
Drainage of hydrocele (55000) $581.60 $727 0.8×
Drainage of nose lesion (30000)
range across 2 matching MRF lines		 $375.20–$463.20 $469–$579 varies
Drainage of rectal abscess (45005) $1,086.40 $1,358 0.9×
Drainage of scrotal wall abscess (55100)
range across 3 matching MRF lines		 $495.20–$922.40 $619–$1,153 varies
Drainage of urethra abscess (53040) $2,798.40 $3,498 0.8×
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) $2,407.20 $3,009 0.8×
Drg privesical/prevesical space absc (51080) $939.20 $1,174 0.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $410.40–$525.60 $513–$657 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $344.80–$444.80 $431–$556 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $169.60–$200 $212–$250 varies
Dstrj lesion anus simple surg excision (46922) $749.60 $937 0.3×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $284 $355 0.1×
Dstrj Lesion Penis Simple Electrodesiccation (54055)
range across 3 matching MRF lines		 $272–$582.40 $340–$728 varies
Dstrj lesion penis simple surg excision (54060) $936 $1,170 0.5×
Dx Laryngoscopy Excl Nb (31525) $1,243.20 $1,554 0.7×
Egd dilation gastric/duodenal stricture (43245)
range across 3 matching MRF lines		 $600–$2,535.20 $750–$3,169 varies
Egd Flexible Foreign Body Removal (43247) $2,928.80 $3,661 3.3×
Egd place gastrostomy tube (43246) $1,692.80 $2,116 0.9×
Egd remove lesion snare (43251)
range across 3 matching MRF lines		 $483.20–$1,321.60 $604–$1,652 varies
Endocervical curettage (57505)
range across 2 matching MRF lines		 $353.08–$630.40 $441.35–$788 varies
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $1,606.40 $2,008 0.3×
Endometrial Biopsy (58100)
range across 2 matching MRF lines		 $272.80–$683.20 $341–$854 varies
Endoscopic injection/implant (51715) $1,514.40 $1,893 0.4×
Epididymectomy unilateral (54860) $2,679.20 $3,349 0.8×
Epidural Blood Patch (62273) $115.20 $144 0.2×
Esophagoscopy Flexible Transoral Diagnostic (43200) $2,243.20 $2,804 2.5×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $2,715.20 $3,394 1.5×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $2,964 $3,705 1.6×
Ethmoidectomy Intranasal Anterior (31200) $4,764.80 $5,956 0.8×
Evacuate mole of uterus (59870) $3,173.60 $3,967 1.0×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $102.40–$134.40 $128–$168 varies
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $2,923.20 $3,654 1.8×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $2,431.20 $3,039 1.5×
Exc arm/elbow les sc < 3 cm (24075) $2,098.40 $2,623 1.3×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines		 $445.60–$1,063.20 $557–$1,329 varies
Exc Back Les Sc < 3 Cm (21930) $2,415.20 $3,019 1.5×
Exc back tum deep < 5 cm (21932) $3,503.20 $4,379 1.2×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $1,129.60 $1,412 1.6×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $1,184 $1,480 1.7×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644)
range across 2 matching MRF lines		 $834.40–$1,866.40 $1,043–$2,333 varies
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines		 $300.80–$746.40 $376–$933 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines		 $372–$917.60 $465–$1,147 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $1,021.60 $1,277 1.5×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $1,472.80 $1,841 0.9×
Exc ganglion wrist recurrent (25112) $3,640.80 $4,551 2.3×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 3 matching MRF lines		 $257.60–$600 $322–$750 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $780.80 $976 1.1×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $914.40 $1,143 0.6×
Exc Hand Les Sc < 1.5 Cm (26115)
range across 3 matching MRF lines		 $674.40–$2,363.20 $843–$2,954 varies
Exc hydrocele sprmatic cord uni spx (55500) $2,455.20 $3,069 0.7×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $3,107.20 $3,884 2.0×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $2,060 $2,575 1.3×
Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) $1,166.40 $1,458 0.4×
Exc Shoulder Tum Deep 5 Cm/> (23073) $5,251.20 $6,564 1.9×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $958.40 $1,198 1.4×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $1,242.40 $1,553 0.8×
Exc Skin Benig >4 Cm Remaindr Body (11426) $1,823.20 $2,279 0.6×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines		 $680.80–$1,362.40 $851–$1,703 varies
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $1,171.20 $1,464 0.7×
Exc Skin Malig >4 Cm Remaindr Body (11626) $2,053.60 $2,567 0.7×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,588 $1,985 1.0×
Exc tendon shth lesion leg/ankle (27630) $2,090.40 $2,613 0.7×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines		 $326.40–$954.40 $408–$1,193 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines		 $434.40–$695.20 $543–$869 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $806.40 $1,008 1.2×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,062.40 $1,328 0.7×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $2,278.40 $2,848 0.8×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $3,801.60 $4,752 1.3×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $4,156 $5,195 1.5×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $2,584.80 $3,231 0.9×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $2,513.60 $3,142 0.9×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $2,423.20 $3,029 0.9×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $3,345.60 $4,182 2.1×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $2,560.80 $3,201 0.9×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $3,918.40 $4,898 1.4×
Exc Varicocele/Ligation Spermatic Veins Spx (55530) $2,253.60 $2,817 0.7×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $1,903.20 $2,379 0.6×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $1,568.80 $1,961 1.0×
Exchange Intraocular Lens (66986) $5,881.60 $7,352 2.6×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $1,151.20 $1,439 0.8×
Excise Wrist Tendon Sheath (25118) $2,093.60 $2,617 1.3×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $1,073.60 $1,342 1.6×
Excision dermoid cyst, nose; complex, under bone or cartilage Facility (30125) $3,335.20 $4,169 0.6×
Excision Excessive Skin & Subq Tissue Other Area (15839) $4,052.80 $5,066 1.4×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $1,275.20 $1,594 0.5×
Excision inferior turbinate partial/complete (30130) $2,643.20 $3,304 0.8×
Excision lesion meniscus/capsule knee (27347) $1,278.40 $1,598 0.4×
Excision lesion mouth roof (42104) $883.20 $1,104 0.3×
Excision Lingual Frenum Frenectomy (41115) $1,184 $1,480 0.8×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $916 $1,145 1.3×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,175.20 $1,469 1.7×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)
range across 2 matching MRF lines		 $228–$392 $285–$490 varies
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,552 $1,940 1.0×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $2,113.60 $2,642 0.7×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $706.40 $883 0.4×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,362.40 $1,703 0.8×
Excision Multiple External Papillae/Tags Anus (46230) $1,287.20 $1,609 0.5×
Excision of cervical stump, vaginal approach; with anterior and/or posterior repair Facility (57555) $3,239.20 $4,049 0.7×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $3,037.60 $3,797 1.9×
Excision of gum lesion (41828) $1,660.80 $2,076 1.1×
Excision of hydrocele; unilateral (55040) $2,309.60 $2,887 0.7×
Excision of local lesion of epididymis (54830) $805.60 $1,007 0.2×
Excision of neuroma; digital nerve, 1 or both, same digit (64776) $2,539.20 $3,174 1.3×
Excision of pilonidal cyst or sinus; simple (11770) $1,184.80 $1,481 0.4×
Excision of single external papilla or tag, anus (46220)
range across 2 matching MRF lines		 $465.60–$657.60 $582–$822 varies
Excision of tonsil tags (42860) $1,478.40 $1,848 0.5×
Excision of vaginal cyst or tumor (57135) $1,468.80 $1,836 0.5×
Excision of vaginal septum (57130) $413.60 $517 0.1×
Excision olecranon bursa (24105) $2,751.20 $3,439 0.9×
Excision or fulguration; urethral polyp(s), distal urethra Facility (53260) $1,340 $1,675 0.4×
Excision Pilonidal Cyst/Sinus Complicated (11772) $3,300 $4,125 1.2×
Excision Pilonidal Cyst/Sinus Extensive (11771)
range across 2 matching MRF lines		 $1,248.80–$2,964 $1,561–$3,705 varies
Excision prepatellar bursa (27340) $2,152.80 $2,691 0.7×
Excision Skin Abd Infraumbilical Panniculectomy (15830) $7,988 $9,985 1.2×
Excision spermatocele w/wo epididymectomy (54840) $2,539.20 $3,174 1.3×
Excision synovial cyst popliteal space (27345) $6,196 $7,745 1.9×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $2,357.60 $2,947 1.5×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $2,005.60 $2,507 0.7×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $2,665.60 $3,332 1.7×
Excision, interdigital (morton) neuroma, single, each (28080) $2,831.20 $3,539 1.8×
Excision, sacral pressure ulcer, with primary suture; Facility (15931) $3,052 $3,815 1.1×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $2,357.60 $2,947 0.8×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075)
range across 2 matching MRF lines		 $360–$1,100 $450–$1,375 varies
Excision/curettage cyst/tumor phalanx finger (26210)
range across 2 matching MRF lines		 $867.22–$2,175.20 $1,084.02–$2,719 varies
Excision/destruction intranasal lesion int appr (30117) $2,088 $2,610 0.6×
Excision; trochanteric bursa or calcification (27062) $2,584.80 $3,231 0.8×
Expl penetrating wound spx abdomen/flank/back (20102) $1,631.20 $2,039 0.8×
Explo/Drain Breast Abscess (19020) $1,652.80 $2,066 1.0×
Exploration of knee joint (27310) $6,073.60 $7,592 1.9×
Exploration penetrating wound spx extremity (20103) $2,576.80 $3,221 1.6×
Fasciectomy Palm Only (26121) $3,180 $3,975 1.0×
Fasciectomy Plantar Fascia Partial Spx (28060) $2,172.80 $2,716 0.7×
Fasciotomy palmar open partial (26045) $2,647.20 $3,309 0.8×
Fasciotomy palmar percutaneous (26040) $84 $105 0.1×
Fasciotomy Plantar Fascia Radical Spx (28062) $2,549.60 $3,187 0.8×
Fasciotomy, foot and/or toe (28008) $2,190.40 $2,738 0.7×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123)
range across 2 matching MRF lines		 $2,359.20–$4,223.20 $2,949–$5,279 varies
Fetal non-stress test (59025) $307.20 $384 1.6×
Fine needle aspiration without imaging guidance (10021) $508 $635 1.3×
Fistulization of sclera for glaucoma; trephination with iridectomy Facility (66150) $2,052.80 $2,566 0.5×
Fna bx w/us gdn 1st les (10005) $1,380 $1,725 2.0×
Foreskin manipulation (54450) $388 $485 1.6×
Fracture Nasal Inferior Turbinate Therapeutic (30930) $1,020 $1,275 0.3×
Fusion of foot bones (28740) $5,316 $6,645 0.8×
Gastrocnemius recession (27687) $1,067.20 $1,334 0.3×
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) $6,892.80 $8,616 1.8×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $3,961.60 $4,952 2.1×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
unusually low: confirm this is the full procedure		 $2,492 $3,115 0.4×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $2,312.80 $2,891 0.9×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $2,023.20 $2,529 0.8×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $3,179.20 $3,974 1.2×
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) $2,281.60 $2,852 0.8×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $1,188 $1,485 1.3×
Hysteroscopy Biopsy (58558)
range across 2 matching MRF lines		 $838.40–$2,136 $1,048–$2,670 varies
Hysteroscopy Dx Sep Proc (58555) $1,019.20 $1,274 0.3×
Hysteroscopy Endometrial Ablation (58563)
range across 2 matching MRF lines		 $2,164–$3,623.20 $2,705–$4,529 varies
Hysteroscopy Lysis Intrauterine Adhesions (58559) $2,484 $3,105 0.5×
Hysteroscopy Removal Impacted Foreign Body (58562) $2,136 $2,670 0.7×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $3,917.60 $4,897 0.8×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $399.20–$404.80 $499–$506 varies
I&d abscess simple (10060)
range across 3 matching MRF lines		 $302.40–$553.60 $378–$692 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $2,756.80 $3,446 1.8×
I&d deep absc bursa/hematoma thigh/knee region (27301) $2,672 $3,340 0.9×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $520 $650 0.2×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $2,875.20 $3,594 1.1×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $308–$434.40 $385–$543 varies
I&d pilonidal cyst complicated (10081) $495.20 $619 0.7×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $324.80–$371.20 $406–$464 varies
Incise external hemorrhoid (46083)
range across 4 matching MRF lines		 $332.80–$632.80 $416–$791 varies
Incise finger tendon sheath (26055)
range across 2 matching MRF lines		 $961.60–$1,921.60 $1,202–$2,402 varies
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines		 $495.20–$1,109.60 $619–$1,387 varies
Incision & removal foreign body subq tiss compl (10121)
range across 3 matching MRF lines		 $580–$1,067.20 $725–$1,334 varies
Incision & removal foreign body subq tiss simple (10120)
range across 3 matching MRF lines		 $133.60–$616.80 $167–$771 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 3 matching MRF lines		 $286.40–$535.20 $358–$669 varies
Incision and drainage of the tear gland (68400)
range across 2 matching MRF lines		 $426.40–$665.60 $533–$832 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $341.60–$468 $427–$585 varies
Incision bone cortex foot (28005) $3,139.20 $3,924 1.0×
Incision extensor tendon sheath wrist (25000) $3,312 $4,140 2.1×
Incision of eardrum (69421) $1,088 $1,360 0.3×
Incision of eardrum (69420) $2,462.40 $3,078 10.7×
Incision of Foot Tendon (28234) $1,903.20 $2,379 1.2×
Incision of lingual frenum (frenotomy) (41010) $1,271.20 $1,589 0.8×
Incision of rectal abscess (46040)
range across 3 matching MRF lines		 $1,288–$2,460.80 $1,610–$3,076 varies
Incision&Drainage Upper Arm/Elbow Bursa (23931) $894.40 $1,118 0.6×
Induced abortion dilation and curettage (59840) $1,271.20 $1,589 0.4×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $142.40–$255.20 $178–$319 varies
Injection 1 tendon sheath/ligament aponeurosis (20550) $240.80 $301 0.8×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines		 $204.80–$364.80 $256–$456 varies
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $68.80–$541.60 $86–$677 varies
Injection single/mlt trigger point 1/2 muscles (20552) $117.60 $147 0.4×
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $128.80–$172.80 $161–$216 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $141.60–$188 $177–$235 varies
Insert Bladder Cath Complex (51703)
range across 3 matching MRF lines		 $140.80–$523.20 $176–$654 varies
Insert Drug Implant Device (11981) $593.60 $742 4.6×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $479.20–$884 $599–$1,105 varies
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $92–$162.40 $115–$203 varies
Insert tunneled cv cath (36561) $1,908 $2,385 0.6×
Insert,Non-Indwelling Bladder Catheter (51701) $113.60 $142 0.9×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $2,269.60 $2,837 0.7×
Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) $3,898.40 $4,873 1.7×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $431.20 $539 0.1×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $2,251.20 $2,814 0.7×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $572.80 $716 0.4×
Int hrhc by ligation single hroid w/o img gdn (46945) $1,164 $1,455 0.4×
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 2 matching MRF lines		 $552–$1,246.40 $690–$1,558 varies
Intmd Rpr Face/Mm 20.1-30.0 (12056)
range across 2 matching MRF lines		 $692–$1,573.60 $865–$1,967 varies
Intubation endotracheal emergency procedure (31500)
range across 5 matching MRF lines		 $316–$1,040.80 $395–$1,301 varies
Knee Arthroscopy/Surgery (29874) $4,051.20 $5,064 1.3×
Labyrinthotomy Transcanal (69801) $654.40 $818 0.4×
Laparo-vag hyst incl t/o (58552)
range across 2 matching MRF lines		 $375.20–$6,724 $469–$8,405 varies
Laparoscopy aspiration (49322) $5,388 $6,735 0.9×
Laparoscopy Enterolysis Separate Procedure (44180) $5,270.40 $6,588 0.9×
Laparoscopy fulguration oviducts (58670)
unusually low: confirm this is the full procedure		 $2,832 $3,540 0.5×
Laparoscopy salpingostomy (58673)
unusually low: confirm this is the full procedure		 $4,980 $6,225 0.5×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) $8,960 $11,200 0.9×
Laparoscopy W/Lysis Of Adhesions (58660) $4,767.20 $5,959 0.8×
Laparoscopy w/rmvl adnexal structures (58661) $4,999.20 $6,249 0.9×
Laparoscopy, surgical, appendectomy (44970)
range across 2 matching MRF lines		 $1,286.40–$3,999.20 $1,608–$4,999 varies
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) $17,160 $21,450 1.7×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550)
range across 2 matching MRF lines		 $1,941.60–$6,622.40 $2,427–$8,278 varies
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) $8,052 $10,065 0.8×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
range across 2 matching MRF lines		 $2,120–$5,875.20 $2,650–$7,344 varies
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) $5,753.60 $7,192 1.0×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
unusually low: confirm this is the full procedure		 $2,296 $2,870 0.4×
Laparoscopy, Tubal Block (58671) $3,550.40 $4,438 0.6×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $3,508 $4,385 0.6×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $5,064 $6,330 0.9×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) $5,663.20 $7,079 0.5×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) $7,068 $8,835 0.7×
Laryngoscopy diagnostic (31505) $564.09 $705.11 2.9×
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $256–$399.20 $320–$499 varies
Laryngoscopy W/Biopsy (31535) $1,027.20 $1,284 0.3×
Late closure of wound (13160) $4,657.60 $5,822 1.4×
Ligate/strip short leg vein (37718) $2,549.60 $3,187 0.8×
Ligation of hemorrhoids (46946) $1,230.40 $1,538 0.5×
Ligation or biopsy temporal artery (37609) $1,662.40 $2,078 1.0×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $2,055.20 $2,569 0.7×
Litholapaxy comp/lg > 2.5 cm (52318) $3,438.40 $4,298 1.0×
Litholapaxy smpl/sm <2.5 cm (52317) $2,199.20 $2,749 0.6×
Lithotripsy, extracorporeal shock wave (50590) $5,033.60 $6,292 1.5×
Lmtd lmphadec staging spx pel&para-aortic (38562) $4,624.80 $5,781 0.6×
Lsh uterus 250 g or less (58541) $5,249.60 $6,562 0.5×
Lysis/excision penile postcircumcision adhesions (54162) $1,384.80 $1,731 0.7×
Manipulation Elbow Under Anesthesia (24300) $2,098.40 $2,623 1.3×
Manipulation knee joint under general anesthesia (27570) $1,019.20 $1,274 0.7×
Manipulation tmj therapeutic require anesthesia (21073)
range across 2 matching MRF lines		 $496.80–$1,521.60 $621–$1,902 varies
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $1,371.20 $1,714 0.9×
Marsupialization of bartholin's gland cyst (56440) $1,304 $1,630 0.4×
Mast mod rad (19307) $7,572 $9,465 1.2×
Mastectomy for gynecomastia (19300) $3,673.60 $4,592 1.0×
Mastectomy partial (19301) $3,512.80 $4,391 0.9×
Metatarsectomy (28140) $3,355.20 $4,194 1.1×
Myringoplasty (69620) $2,751.20 $3,439 0.9×
Nasal Endoscopy Dx (31231) $428 $535 2.2×
Nasal surgery procedure (30999) $1,456.80 $1,821 6.3×
Nasal/Orogastric W/Tube Plmt (43752) $195.20 $244 0.4×
Nasal/sinus endoscopy w/maxillary antrostomy (31256)
range across 2 matching MRF lines		 $432.80–$1,891.20 $541–$2,364 varies
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $3,092.80 $3,866 1.8×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $3,238.40 $4,048 1.9×
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
range across 4 matching MRF lines		 $916.80–$1,833.60 $1,146–$2,292 varies
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $3,524.80 $4,406 1.9×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $206.40–$275.20 $258–$344 varies
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
range across 4 matching MRF lines		 $640–$1,192 $800–$1,490 varies
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 $192.80–$372.80 $241–$466 varies
Occlusion flp tube dev vag/suprapubic appr (58615) $2,148.80 $2,686 0.7×
Omntc Epiploectomy Rescj Omentum Spx (49255) $5,434.40 $6,793 0.9×
Open biopsy/excision inguinofemoral nodes (38531) $4,300.80 $5,376 1.1×
Open Treatment Bimalleolar Ankle Fracture (27814) $5,565.60 $6,957 0.8×
Open Treatment Medial Malleolus Fracture (27766) $4,527.20 $5,659 0.6×
Open treatment metatarsal fracture each (28485)
range across 3 matching MRF lines		 $1,506.40–$3,232 $1,883–$4,040 varies
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $4,971.20 $6,214 0.7×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $2,177.60 $2,722 0.7×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $4,208.80 $5,261 1.3×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735)
range across 2 matching MRF lines		 $1,844–$1,913.60 $2,305–$2,392 varies
Open tx ulnar fx proximal end (24685) $5,829.60 $7,287 0.8×
Orchiectomy radical tumor inguinal approach (54530) $3,578.40 $4,473 1.0×
Orchiopexy Ingun/Scrot Appr (54640) $2,925.60 $3,657 0.8×
Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Facility (54650) $3,926.40 $4,908 1.1×
Ostc prtl exostc/condylc metar head (28288) $2,862.40 $3,578 0.9×
Ostectomy calcaneus (28118) $3,024.80 $3,781 1.0×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $1,992 $2,490 0.6×
Ostectomy, complete excision; fifth metatarsal head (28113) $2,241.60 $2,802 0.7×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $3,378.40 $4,223 1.1×
Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) $4,923.20 $6,154 0.7×
Osteot w/wo lngth shrt/corrj 1st metar (28306)
unusually low: confirm this is the full procedure		 $2,439.20 $3,049 0.3×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $2,572.80 $3,216 0.8×
Osteotomy Phalanx Finger Each (26567) $1,610.40 $2,013 0.5×
Ovarian cystectomy, unilateral or bilateral (58925) $4,470.40 $5,588 0.9×
Palatopharyngoplasty (42145) $4,667.20 $5,834 0.8×
Part remv talus or calcaneus (28120) $2,992.80 $3,741 0.9×
Partial Excision Distal Phalanx Finger (26236) $3,572.80 $4,466 2.3×
Partial hymenectomy or revision of hymenal ring (56700) $1,242.40 $1,553 0.4×
Partial removal of thyroid (60220) $5,136.80 $6,421 0.9×
Partial removal of tibia (27640) $4,459.20 $5,574 1.4×
Partical Excision Bone Phalanx Toe (28124)
range across 2 matching MRF lines		 $600.62–$3,866.40 $750.77–$4,833 varies
Patellectomy or hemipatellectomy (27350)
unusually low: confirm this is the full procedure		 $3,482.40 $4,353 0.5×
Pelvic examination under anesthesia (other than local) (57410)
range across 3 matching MRF lines		 $123.20–$852 $154–$1,065 varies
Pericardiocentesis W/Imaging (33016)
range across 2 matching MRF lines		 $357.60–$593.60 $447–$742 varies
Peritoneal Lavage (49084)
range across 2 matching MRF lines		 $315.20–$592.80 $394–$741 varies
Perq skel fixj distal radial fx/epiphysl sep (25606) $4,002.40 $5,003 1.3×
Placement of needle for intraosseous infusion (36680) $156 $195 0.4×
Placement of seton (46020) $1,246.40 $1,558 0.5×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $3,124 $3,905 0.6×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $277.60 $347 0.3×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $430.40 $538 0.4×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $2,292.80 $2,866 0.7×
Prq skel fixj metar fx w/manj (28476) $2,041.60 $2,552 0.6×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) $9,321.60 $11,652 1.3×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650)
range across 2 matching MRF lines		 $1,480–$2,208 $1,850–$2,760 varies
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $3,596 $4,495 1.1×
Punch biopsy skin single lesion (11104) $253.60 $317 0.6×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $152–$300 $190–$375 varies
Puncture Aspiration Cyst Breast (19000) $132.80 $166 0.2×
Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) $4,795.20 $5,994 1.7×
Radical Resection Tumor Metatarsal (28173) $3,508.80 $4,386 1.1×
Rcnstj angular dfrm toe soft tiss px only (28313) $1,144 $1,430 0.4×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) $4,764.80 $5,956 0.7×
Rdctj torsion tstis w/wo fixj clat testis (54600) $4,420 $5,525 1.3×
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) $7,436.80 $9,296 1.3×
Removal Embedded Foreign Body Eyelid (67938)
range across 2 matching MRF lines		 $184.80–$372 $231–$465 varies
Removal Foreign Body Deep Thigh/Knee (27372)
range across 2 matching MRF lines		 $722.40–$3,265.60 $903–$4,082 varies
Removal Foreign Body Foot Complicated (28193)
range across 2 matching MRF lines		 $1,112–$1,484 $1,390–$1,855 varies
Removal foreign body foot deep (28192)
range across 3 matching MRF lines		 $942.40–$3,116.80 $1,178–$3,896 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 3 matching MRF lines		 $421.60–$1,134.40 $527–$1,418 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 3 matching MRF lines		 $456–$817.60 $570–$1,022 varies
Removal Foreign Body Pelvis/Hip Deep (27087)
range across 2 matching MRF lines		 $1,806.40–$2,409.60 $2,258–$3,012 varies
Removal foreign body upper arm/elbow deep (24201)
range across 2 matching MRF lines		 $1,128.80–$1,544 $1,411–$1,930 varies
Removal foreign body, intranasal; requiring general anesthesia (30310)
range across 2 matching MRF lines		 $660–$1,393.60 $825–$1,742 varies
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $23.20–$47.20 $29–$59 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines		 $77.60–$258.40 $97–$323 varies
Removal Implant Deep (20680) $2,664.80 $3,331 0.9×
Removal Implant Superficial Separate Procedure (20670) $1,603.20 $2,004 1.0×
Removal implantable contraceptive capsules (11976) $293.60 $367 0.4×
Removal of adenoids (42835) $1,632.80 $2,041 0.5×
Removal of adenoids (42831) $1,579.20 $1,974 0.5×
Removal of adenoids (42830) $1,502.40 $1,878 0.5×
Removal of bladder cyst (51500) $3,300.80 $4,126 0.6×
Removal of foreign body from pharynx (42809)
range across 2 matching MRF lines		 $424.80–$444.80 $531–$556 varies
Removal of heel spur (28119) $3,582.40 $4,478 1.1×
Removal of nail bed (11750)
range across 3 matching MRF lines		 $544.80–$1,000 $681–$1,250 varies
Removal of residual cervix (57550) $2,278.40 $2,848 0.5×
Removal of sesamoid bone (28315) $1,714.40 $2,143 0.5×
Removal of sperm cord lesion (55520) $2,276 $2,845 0.7×
Removal of testis (54520) $3,824.80 $4,781 1.1×
Removal of tonsils (42825)
unusually low: confirm this is the full procedure		 $2,135.20 $2,669 0.4×
Removal of tonsils (42826)
range across 2 matching MRF lines		 $564–$2,136 $705–$2,670 varies
Removal or bivalving full arm or full leg cast (29705) $144 $180 0.5×
Removal shoulder foreign body deep subfascial/im (23333)
range across 2 matching MRF lines		 $1,325.60–$1,768.80 $1,657–$2,211 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $230.40–$326.40 $288–$408 varies
Removal sweat gland lesion (11450) $1,460.80 $1,826 0.5×
Removal/bivalving gauntlet boot/body cast (29700) $103.20 $129 0.4×
Remove Ankle Joint Lining (27626) $4,605.60 $5,757 1.4×
Remove cerclage suture (59871) $754.40 $943 0.2×
Remove elbow lesion (24120) $2,940 $3,675 0.9×
Remove Forearm Foreign Body (25248)
range across 2 matching MRF lines		 $260–$660 $325–$825 varies
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $103.20–$140 $129–$175 varies
Remove Intrauterine Device (58301)
range across 3 matching MRF lines		 $209.60–$425.60 $262–$532 varies
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $410.40–$637.60 $513–$797 varies
Remove prostate regrowth (52630) $2,913.60 $3,642 0.6×
Remove Shoulder Foreign Body (23330)
range across 2 matching MRF lines		 $455.20–$607.20 $569–$759 varies
Remove Tendon Sheath Lesion (26160) $2,145.60 $2,682 1.4×
Reopen fallopian tube (58350) $428 $535 0.1×
Repair Achilles Tendon (27650) $6,038.40 $7,548 0.9×
Repair bladder neck (51845) $4,183.20 $5,229 0.9×
Repair blood vessel direct neck (35201) $6,130.40 $7,663 1.1×
Repair Collat Ankle Ligmnt,Secondary (27698) $5,910.40 $7,388 0.8×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $526.40–$840 $658–$1,050 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $631.20–$1,127.20 $789–$1,409 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 3 matching MRF lines		 $462.40–$1,038.40 $578–$1,298 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 3 matching MRF lines		 $574.40–$2,704 $718–$3,380 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $439.20–$984 $549–$1,230 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 3 matching MRF lines		 $492–$1,824 $615–$2,280 varies
Repair complex trunk 1.1-2.5 cm (13100)
range across 2 matching MRF lines		 $386.40–$852.80 $483–$1,066 varies
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $468.80–$1,056.80 $586–$1,321 varies
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $1,659.20–$2,220.80 $2,074–$2,776 varies
Repair Finger/Hand Tendon (26350)
range across 2 matching MRF lines		 $2,216.80–$3,252 $2,771–$4,065 varies
Repair Flexor Tendon Leg Primary W/O Graft Each (27658)
range across 2 matching MRF lines		 $1,021.60–$1,180 $1,277–$1,475 varies
Repair Hallux Rigidus (28289) $3,813.60 $4,767 1.2×
Repair Hand Tendon (26410)
range across 2 matching MRF lines		 $1,639.20–$2,188 $2,049–$2,735 varies
Repair incomplete circumcision (54163) $1,354.40 $1,693 0.7×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $4,384 $5,480 1.3×
Repair initial femoral hernia, any age; reducible (49550) $3,999.20 $4,999 1.1×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507)
range across 2 matching MRF lines		 $1,686.40–$4,762.40 $2,108–$5,953 varies
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) $3,770.40 $4,713 1.1×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 3 matching MRF lines		 $327.20–$1,116 $409–$1,395 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $383.20–$848.80 $479–$1,061 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $408–$900.80 $510–$1,126 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $414.40–$974.40 $518–$1,218 varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057)
range across 2 matching MRF lines		 $764–$1,563.20 $955–$1,954 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 2 matching MRF lines		 $495.20–$1,126.40 $619–$1,408 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $289.60–$759.20 $362–$949 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 3 matching MRF lines		 $377.60–$836 $472–$1,045 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $402.40–$890.40 $503–$1,113 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047)
range across 2 matching MRF lines		 $631.20–$1,506.40 $789–$1,883 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 3 matching MRF lines		 $446.40–$1,295.20 $558–$1,619 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $296.80–$641.60 $371–$802 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 4 matching MRF lines		 $367.20–$816 $459–$1,020 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $514.40–$1,152 $643–$1,440 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $390.40–$856.80 $488–$1,071 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 2 matching MRF lines		 $596–$1,329.60 $745–$1,662 varies
Repair Nasal Vestibular Stenosis (30465) $6,470.40 $8,088 1.1×
Repair of enterocele, vaginal approach (separate procedure) (57268) $2,497.60 $3,122 0.5×
Repair of hydrocele (55060) $2,434.40 $3,043 0.7×
Repair of metatarsals (28322)
unusually low: confirm this is the full procedure		 $3,112 $3,890 0.4×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $399.20–$418.40 $499–$523 varies
Repair of nonunion or malunion, tibia; with sliding graft Facility (27722) $4,536 $5,670 0.6×
Repair of rectocele (45560) $4,457.60 $5,572 1.7×
Repair of shoulder (23420) $8,546.40 $10,683 1.2×
Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) $4,680 $5,850 1.3×
Repair recurrent femoral hernia; reducible Facility (49555) $3,148.80 $3,936 0.9×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) $5,415.20 $6,769 0.9×
Repair Rotator Cuff Chronic (23412) $8,263.20 $10,329 1.2×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208)
range across 3 matching MRF lines		 $969.60–$1,689.60 $1,212–$2,112 varies
Repair Toe Dislocation (28645) $819.20 $1,024 0.3×
Repair tongue laceration (41252)
range across 2 matching MRF lines		 $669.60–$984 $837–$1,230 varies
Repair tongue laceration (41250)
range across 2 matching MRF lines		 $498.40–$615.20 $623–$769 varies
Reposition Gastrostomy Tube (43761) $638.40 $798 2.6×
Rerepair ing hernia reduce (49520) $4,583.20 $5,729 1.3×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $3,628.80 $4,536 1.1×
Resection, partial or complete, phalangeal base, each toe (28126) $798.40 $998 0.3×
Revise ulnar nerve at wrist (64719) $1,115.20 $1,394 0.6×
Revise ureter (50727) $3,696.80 $4,621 1.1×
Revision of big toe (28310)
unusually low: confirm this is the full procedure		 $2,573.60 $3,217 0.4×
Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) $6,038.40 $7,548 1.8×
Revision of lower leg tendon (27685) $3,438.40 $4,298 1.1×
Revj Ileostomy Simple Rls Superficial Scar Spx (44312) $3,668.80 $4,586 1.1×
Rmvl embedded fb vestibule mouth comp (40805)
range across 2 matching MRF lines		 $700–$934.40 $875–$1,168 varies
Rmvl Embedded Fb Vestibule Mouth Smpl (40804)
range across 2 matching MRF lines		 $343.20–$456.80 $429–$571 varies
Rmvl FB Xtrnl Auditory Canal Anes (69205)
range across 2 matching MRF lines		 $324.80–$825.60 $406–$1,032 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $132.80–$210.40 $166–$263 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $86.40–$168.80 $108–$211 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 2 matching MRF lines		 $101.60–$169.60 $127–$212 varies
Rmvl fecal impaction/fb spx under anes (45915) $2,399.20 $2,999 2.1×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)
range across 3 matching MRF lines		 $771.20–$1,752 $964–$2,190 varies
Rmvl foreign body pelvis/hip subcutaneous tiss (27086)
range across 2 matching MRF lines		 $472–$630.40 $590–$788 varies
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)
range across 3 matching MRF lines		 $264.80–$913.60 $331–$1,142 varies
Rmvl Lens Material Phacofragmentation Aspir (66850) $4,009.60 $5,012 1.8×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,423.20 $1,779 0.9×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines		 $803.20–$888 $1,004–$1,110 varies
Rmvl Vitreous Ant Appr Partial Removal (67005) $2,488 $3,110 1.1×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $66.40–$477.60 $83–$597 varies
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
range across 3 matching MRF lines		 $1,756.80–$7,332 $2,196–$9,165 varies
Rpr Aa Hernia 1st < 3 Cm Reducible (49591)
range across 2 matching MRF lines		 $980–$2,721.60 $1,225–$3,402 varies
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $3,240 $4,050 0.9×
Rpr aa hrn 1st 3-10 rdc (49593)
range across 2 matching MRF lines		 $1,800–$5,160 $2,250–$6,450 varies
Rpr aa hrn 1st < 3 ncr/strn (49592)
range across 2 matching MRF lines		 $935.20–$6,424.80 $1,169–$8,031 varies
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $1,171.20 $1,464 0.8×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) $3,750.40 $4,688 1.2×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664)
likely a partial charge, not the full procedure		 $1,968.80 $2,461 0.3×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $193.60–$539.20 $242–$674 varies
Rpr ing hernia init reduce (49500)
unusually low: confirm this is the full procedure		 $2,477.60 $3,097 0.4×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046)
range across 2 matching MRF lines		 $569.60–$1,403.20 $712–$1,754 varies
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251)
range across 2 matching MRF lines		 $588.80–$744 $736–$930 varies
Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270)
range across 2 matching MRF lines		 $448.80–$731.20 $561–$914 varies
Rpr Lip Full Thickness Vermilion Only (40650)
range across 2 matching MRF lines		 $340–$1,000 $425–$1,250 varies
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696)
unusually low: confirm this is the full procedure		 $3,453.60 $4,317 0.5×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270)
range across 2 matching MRF lines		 $764–$1,098.40 $955–$1,373 varies
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520)
range across 2 matching MRF lines		 $1,395.20–$4,999.20 $1,744–$6,249 varies
Sgmdsc flx dired sbmcsl njx any sbst (45335) $564 $705 0.6×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,618.40 $2,023 1.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $226.40 $283 1.2×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 2 matching MRF lines		 $160–$213.60 $200–$267 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $1,015.20 $1,269 2.6×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302)
range across 2 matching MRF lines		 $196.80–$262.40 $246–$328 varies
Sigmoidoscopy & Polypectomy (45333) $729.60 $912 0.8×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $1,504.80 $1,881 1.3×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 3 matching MRF lines		 $379.20–$1,129.60 $474–$1,412 varies
Simple Cystometrogram (51725) $1,976.80 $2,471 8.1×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $252.80–$605.60 $316–$757 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $126.40–$330.40 $158–$413 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 3 matching MRF lines		 $133.60–$722.40 $167–$903 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017)
range across 2 matching MRF lines		 $292.80–$672 $366–$840 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $160.80–$442.40 $201–$553 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018)
range across 2 matching MRF lines		 $327.20–$744.80 $409–$931 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $109.60–$332.80 $137–$416 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 2 matching MRF lines		 $281.60–$657.60 $352–$822 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $158.40–$420.80 $198–$526 varies
Skin Full Grft Face/Genit/Hf (15240)
range across 2 matching MRF lines		 $1,562.40–$2,321.60 $1,953–$2,902 varies
Skin Pinch Graft (15050)
range across 3 matching MRF lines		 $1,402.40–$2,868.80 $1,753–$3,586 varies
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
range across 2 matching MRF lines		 $1,485.60–$5,776 $1,857–$7,220 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $133.60–$364 $167–$455 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $195.20–$492.80 $244–$616 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $232.80–$599.20 $291–$749 varies
Sphincterotomy anal division sphincter spx (46080) $1,251.20 $1,564 0.5×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $115.20–$241.60 $144–$302 varies
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $3,983.20 $4,979 2.0×
Strapping ankle (29540)
range across 2 matching MRF lines		 $32–$132.80 $40–$166 varies
Strapping elbow or wrist (29260)
range across 2 matching MRF lines		 $33.60–$62.40 $42–$78 varies
Strapping hand/finger (29280)
range across 2 matching MRF lines		 $35.20–$79.20 $44–$99 varies
Strapping Hip (29520)
range across 2 matching MRF lines		 $32.80–$120 $41–$150 varies
Strapping knee (29530)
range across 2 matching MRF lines		 $32.80–$120 $41–$150 varies
Strapping shoulder (29240)
range across 2 matching MRF lines		 $32.80–$72.80 $41–$91 varies
Strapping thorax (29200)
range across 2 matching MRF lines		 $32.80–$72.80 $41–$91 varies
Strapping toes (29550)
range across 2 matching MRF lines		 $20.80–$46.40 $26–$58 varies
Strapping Unna Boot (29580) $110.40 $138 0.7×
Subcutaneous Hormone Pellet Implantation (11980) $492.80 $616 1.1×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140)
range across 2 matching MRF lines		 $998.40–$2,391.20 $1,248–$2,989 varies
Surg tx anal fistula subq (46270) $2,188 $2,735 0.8×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $2,380 $2,975 0.9×
Suture infrapatellar tendon primary (27380) $4,879.20 $6,099 0.7×
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $2,178.40 $2,723 0.7×
Tenotomy shoulder area single tendon (23405) $4,428 $5,535 0.6×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $2,401.60 $3,002 1.5×
Thrmbc Dir/W/Cath V/C Iliac Fempop Vein Leg Inc (34421) $8,210.40 $10,263 2.7×
Tnot elbow lateral/medial debride open (24358) $2,800 $3,500 0.9×
Tnot elbow lateral/medial debride open tdn rpr (24359) $3,917.60 $4,897 1.2×
Tonsillectomy and adenoidectomy; age 12 or over (42821)
range across 2 matching MRF lines		 $672.80–$2,552.80 $841–$3,191 varies
Total Knee Arthroplasty (27447) $11,866.40 $14,833 1.0×
Tracheostomy Emergency Cricothyroid Membrane (31605)
range across 2 matching MRF lines		 $538.40–$718.40 $673–$898 varies
Tracheostomy Emergency Procedure Transtracheal (31603) $684.80 $856 0.5×
Transur electr resection of prostate (52601) $5,316 $6,645 1.0×
Transurethral incision of prostate (52450) $3,405.60 $4,257 1.0×
Treat Big Toe Fracture (28505) $2,704 $3,380 0.9×
Treat ectopic pregnancy (59151) $3,941.60 $4,927 0.7×
Treat Finger Fracture Each (26727) $3,270.40 $4,088 1.0×
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $1,020–$1,180 $1,275–$1,475 varies
Treat Humerus Fracture (24505)
range across 2 matching MRF lines		 $1,405.60–$1,724 $1,757–$2,155 varies
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $528–$1,248.80 $660–$1,561 varies
Treat knee fracture (27532)
range across 2 matching MRF lines		 $1,780.80–$2,043.20 $2,226–$2,554 varies
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $951.20–$1,419.20 $1,189–$1,774 varies
Treat Metatarsal Fracture (28475)
range across 2 matching MRF lines		 $711.20–$1,039.20 $889–$1,299 varies
Treat Tail Bone Fracture (27200)
range across 2 matching MRF lines		 $588–$708.80 $735–$886 varies
Treat Thumb Dislocation (26641)
range across 2 matching MRF lines		 $1,046.40–$1,170.40 $1,308–$1,463 varies
Treat Thumb Fracture (26645)
range across 2 matching MRF lines		 $1,211.20–$1,392 $1,514–$1,740 varies
Treat toe dislocation (28630)
range across 2 matching MRF lines		 $328.80–$439.20 $411–$549 varies
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 3 matching MRF lines		 $1,456–$3,098.40 $1,820–$3,873 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $1,045.60–$1,148.80 $1,307–$1,436 varies
Treatment of anal fissure (46940) $2,897.60 $3,622 1.1×
Treatment of foot infection (28003) $1,073.60 $1,342 0.3×
Treatment of nose fracture (21330)
likely a partial charge, not the full procedure		 $1,264.80 $1,581 0.2×
Treatment of tibia fracture (27756) $3,832 $4,790 0.5×
Trim skin lesions 2 to 4 (11056) $128.80 $161 0.7×
Trurl rescj postop bladder neck contracture (52640) $2,571.20 $3,214 0.8×
Tubal ligation (58600) $2,689.60 $3,362 0.9×
Tx Gastro Intub W/Asp (43753)
range across 2 matching MRF lines		 $52.80–$81.60 $66–$102 varies
Tx Incomplete Abortion Any Trimester Surgical (59812) $2,063.20 $2,579 0.7×
Tx Missed Abortion First Trimester Surgical (59820) $2,143.20 $2,679 0.7×
Tx Missed Abortion Second Trimester Surgical (59821) $2,376.80 $2,971 0.8×
Tx open tendon flexor toe 1 tendon spx (28232) $1,900.80 $2,376 1.2×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,177.60 $1,472 1.6×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455)
range across 2 matching MRF lines		 $740.80–$1,112.80 $926–$1,391 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 2 matching MRF lines		 $608.80–$823.20 $761–$1,029 varies
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $1,522.40 $1,903 1.0×
Tympanostomy general anesthesia (69436)
range across 4 matching MRF lines		 $360–$1,796 $450–$2,245 varies
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) $4,139.20 $5,174 1.2×
Unlisted laparoscopy procedure oviduct ovary (58679)
unusually low: confirm this is the full procedure		 $1,870.40 $2,338 0.3×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) $4,808 $6,010 0.8×
Unlisted laparoscopy procedure, uterus (58578)
likely a partial charge, not the full procedure		 $257.60 $322 0.0×
Unlisted procedure anus (46999) $930.40 $1,163 1.0×
Unlisted Procedure Casting/Strapping (29799) $92.80 $116 0.6×
Unlisted procedure colon (45399) $344 $430 0.4×
Unlisted procedure foot or toes (28899) $771.20 $964 3.2×
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines		 $236–$340 $295–$425 varies
Unlisted Procedure Tongue Floor Mouth (41599) $187.20 $234 0.8×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $446.40 $558 0.5×
Unlisted Procedure, Urinary System (53899) $2,620 $3,275 10.8×
Unlisted px female genital system nonobstetrical (58999) $2,753.60 $3,442 14.0×
Ureteral endoscopy via ureterostomy (50951) $1,940 $2,425 0.6×
Urethromeatoplasty W/Mucosal Advancement (53450) $2,837.60 $3,547 0.8×
Uvulectomy excision of uvula (42140) $1,477.60 $1,847 0.5×
Vaginal delivery only (59409) $2,350.40 $2,938 0.7×
Vaginal hysterectomy, for uterus 250 g or less; (58260) $6,609.60 $8,262 1.4×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $6,373.60 $7,967 1.3×
Vasectomy uni/bi spx w/postop semen exams (55250) $1,862.40 $2,328 0.9×
Vein Access Cutdown < 1 Yr (36420)
range across 2 matching MRF lines		 $160–$213.60 $200–$267 varies
Venous Cutdown >1 Y/O (36425)
range across 2 matching MRF lines		 $123.20–$159.20 $154–$199 varies
Vitrectomy mechanical pars plana (67036) $3,270.40 $4,088 0.8×
Vulvectomy simple partial (56620) $5,575.20 $6,969 1.8×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $170.40–$293.60 $213–$367 varies
Wound Prep F/N/Hf/G (15004) $524.80 $656 1.3×
Xfer Single Deep Low Leg Tendon (27691) $6,588.80 $8,236 0.9×

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.