Procedures & surgery prices at Memorial Hospital of Carbon County

Rawlins, WY · every code in this section with a posted price and a Medicare benchmark.

1025 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 3 matching MRF lines		 $335.25–$1,326 $447–$1,768 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $495–$1,026 $660–$1,368 varies
Acromiopl/Acromionect Partial (23130) $2,415.75 $3,221 0.7×
Adding Walker Previously Applied Cast (29440) $197.25 $263 1.2×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,227.75 $1,637 0.6×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $1,396.50 $1,862 0.7×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $2,342.25 $3,123 0.7×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $3,010.50 $4,014 0.9×
Amputate Thigh,Re-Amputatn (27596) $2,853.75 $3,805 0.9×
Amputation Foot Midtarsal (28800)
range across 2 matching MRF lines		 $222–$2,220 $296–$2,960 varies
Amputation metatarsal with toe single (28810)
range across 2 matching MRF lines		 $161.25–$1,611.75 $215–$2,149 varies
Amputation thigh through femur any level (27590) $3,127.50 $4,170 0.9×
Amputation toe interphalangeal joint (28825)
range across 2 matching MRF lines		 $375.75–$3,756.75 $501–$5,009 varies
Amputation toe metatarsophalangeal joint (28820) $3,756.75 $5,009 1.1×
Amputation, leg, through tibia and fibula; (27880)
range across 2 matching MRF lines		 $308.25–$3,086.25 $411–$4,115 varies
Amputation, leg, through tibia and fibula; re-amputation (27886) $2,830.50 $3,774 0.8×
Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) $2,060.25 $2,747 0.6×
Anoplasty, plastic operation for stricture; adult Facility (46700) $90.75 $121 0.0×
Anoscopy diagnostic (46600) $120 $160 0.9×
Anoscopy W/Rmvl Foreign Body (46608) $248.25 $331 0.3×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $4,281 $5,708 1.5×
Anterior colporraphy rpr cystocele w/cysto (57240)
likely a partial charge, not the full procedure		 $1,227 $1,636 0.2×
Anterior Tibial Tubercleplasty (27418)
range across 2 matching MRF lines		 $342.75–$3,430.50 $457–$4,574 varies
Appendectomy (44950) $4,778.25 $6,371 0.7×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $439.50 $586 2.6×
Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) $714.75 $953 2.5×
Application cast elbow finger short arm (29075)
range across 3 matching MRF lines		 $167.25–$180 $223–$240 varies
Application Cast Finger (29086) $197.25 $263 1.2×
Application finger splint static (29130)
range across 3 matching MRF lines		 $87–$159.75 $116–$213 varies
Application Hip Spica Cast 1 Leg (29305) $632.25 $843 2.2×
Application long arm splint shoulder hand (29105)
range across 3 matching MRF lines		 $191.25–$234 $255–$312 varies
Application Long Leg Splint (29505)
range across 3 matching MRF lines		 $147.75–$319.50 $197–$426 varies
Application of long leg cast (29345)
range across 4 matching MRF lines		 $195.75–$361.50 $261–$482 varies
Application of rigid total contact leg cast (29445)
range across 5 matching MRF lines		 $142.50–$213.75 $190–$285 varies
Application short arm splint forearm-hand static (29125)
range across 4 matching MRF lines		 $191.25–$216 $255–$288 varies
Application short leg splint calf foot (29515)
range across 3 matching MRF lines		 $144.75–$324.75 $193–$433 varies
Application uniplane external fixation system (20690)
likely a partial charge, not the full procedure		 $1,559.25 $2,079 0.2×
Apply hand/wrist cast (29085)
range across 3 matching MRF lines		 $108.75–$197.25 $145–$263 varies
Apply long arm cast (29065)
range across 3 matching MRF lines		 $182.25–$199.50 $243–$266 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines		 $54–$227.25 $72–$303 varies
Apply Short Leg Cast (29405)
range across 4 matching MRF lines		 $172.50–$432 $230–$576 varies
Apply short leg cast (29425)
range across 3 matching MRF lines		 $294–$387.75 $392–$517 varies
Arterial puncture (36600)
range across 2 matching MRF lines		 $126.75–$261.75 $169–$349 varies
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554)
range across 2 matching MRF lines		 $642–$6,419.25 $856–$8,559 varies
Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841)
unusually low: confirm this is the full procedure		 $2,394.75 $3,193 0.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 14 matching MRF lines		 $110.25–$519 $147–$692 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 11 matching MRF lines		 $156–$742.50 $208–$990 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 14 matching MRF lines		 $135.75–$864.68 $181–$1,152.90 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 11 matching MRF lines		 $177–$851.25 $236–$1,135 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 14 matching MRF lines		 $106.50–$483 $142–$644 varies
Arthrodesis ankle open (27870)
unusually low: confirm this is the full procedure		 $4,046.25 $5,395 0.3×
Arthrodesis great toe interphalangeal joint (28755) $3,756.75 $5,009 0.5×
Arthroplasty glenohumeral joint total shoulder (23472)
range across 2 matching MRF lines		 $737.25–$7,370.25 $983–$9,827 varies
Arthroplasty interposition intercarpal or carpometacarpal joints (25447)
range across 2 matching MRF lines		 $297–$2,967 $396–$3,956 varies
Arthroscopy Ankle Surgical Debridement Extensive (29898) $1,065.75 $1,421 0.3×
Arthroscopy Ankle Surgical Debridement Limited (29897)
range across 2 matching MRF lines		 $93.38–$933.75 $124.50–$1,245 varies
Arthroscopy ankle w/removal loose/foreign body (29894)
range across 2 matching MRF lines		 $74.55–$745.50 $99.40–$994 varies
Arthroscopy hip w/femoroplasty (29914)
unusually low: confirm this is the full procedure		 $2,913 $3,884 0.4×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $5,061.75 $6,749 1.5×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $5,061.75 $6,749 1.5×
Arthroscopy knee synovectomy limited spx (29875)
range across 2 matching MRF lines		 $506.25–$5,061.75 $675–$6,749 varies
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884)
range across 2 matching MRF lines		 $326.25–$3,265.50 $435–$4,354 varies
Arthroscopy shoulder distal claviculectomy (29824) $5,062.50 $6,750 1.5×
Arthroscopy shoulder surgical capsulorrhaphy (29806)
likely a partial charge, not the full procedure		 $1,977 $2,636 0.3×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895)
range across 2 matching MRF lines		 $84.98–$849.75 $113.30–$1,133 varies
Arthroscopy, knee, surgical; with lateral release (29873) $5,061.75 $6,749 1.5×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $5,061.75 $6,749 1.5×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $5,061.75 $6,749 1.5×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
range across 2 matching MRF lines		 $506.25–$5,062.50 $675–$6,750 varies
Arthroscopy, shoulder, surgical; debridement, extensive (29823)
range across 2 matching MRF lines		 $360.75–$3,606 $481–$4,808 varies
Arthroscopy, shoulder, surgical; debridement, limited (29822)
range across 2 matching MRF lines		 $506.25–$5,061.75 $675–$6,749 varies
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
likely a partial charge, not the full procedure		 $1,152.75 $1,537 0.2×
Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) $3,307.50 $4,410 1.0×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $3,032.25 $4,043 0.9×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 2 matching MRF lines		 $506.25–$5,062.50 $675–$6,750 varies
Arthrotomy biopsy interphalangeal joint each (26110) $1,155.75 $1,541 0.7×
Arthrotomy W/Meniscus Repair Knee (27403)
range across 2 matching MRF lines		 $276.75–$2,765.25 $369–$3,687 varies
Arthrotomy with biopsy; carpometacarpal joint, each Facility (26100) $1,143 $1,524 0.3×
Arthrotomy, knee; with synovial biopsy only Facility (27330) $2,028.75 $2,705 0.6×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
range across 2 matching MRF lines		 $726–$7,257.75 $968–$9,677 varies
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)
range across 2 matching MRF lines		 $737.25–$7,370.25 $983–$9,827 varies
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
range across 2 matching MRF lines		 $600–$5,998.50 $800–$7,998 varies
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891)
range across 2 matching MRF lines		 $127.50–$1,273.50 $170–$1,698 varies
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $5,061.75 $6,749 1.5×
Arthrs knee debridement/shaving artclr crtlg (29877) $5,061.75 $6,749 1.5×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $5,061.75 $6,749 1.5×
Arthrt Acromclav Strnclav Jt Expl/Drg/Rmvl FB (23044) $2,034 $2,712 0.6×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $1,891.50 $2,522 0.6×
Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) $2,544.75 $3,393 0.8×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $1,425.75 $1,901 0.9×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $1,185 $1,580 0.4×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $603.75 $805 0.4×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $1,218 $1,624 0.4×
Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) $1,329.75 $1,773 0.4×
Aspirate pleura w/ imaging (32555)
range across 4 matching MRF lines		 $330–$3,054 $440–$4,072 varies
Aspirate Pleura W/O Imaging (32554)
range across 3 matching MRF lines		 $265.50–$1,013.25 $354–$1,351 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 3 matching MRF lines		 $81–$135 $108–$180 varies
Aspiration bladder insert suprapubic catheter (51102) $900 $1,200 0.4×
Avulsion nail plate partial/complete simple 1 (11730)
range across 5 matching MRF lines		 $161.25–$258.75 $215–$345 varies
Axillary lymphadenectomy; complete (38745) $3,267 $4,356 0.5×
Biopsy Abdominal Mass (49180)
range across 2 matching MRF lines		 $162.75–$1,698 $217–$2,264 varies
Biopsy bone open deep (20245) $1,781.25 $2,375 0.6×
Biopsy bone open superficial (20240) $207 $276 0.1×
Biopsy bone trocar/needle deep (20225) $1,511.25 $2,015 0.9×
Biopsy muscle percutaneous needle (20206)
range across 3 matching MRF lines		 $262.50–$1,182.75 $350–$1,577 varies
Biopsy of breast; open, incisional (19101) $966 $1,288 0.2×
Biopsy of lip (40490)
range across 3 matching MRF lines		 $138.75–$207.75 $185–$277 varies
Biopsy of liver, needle; percutaneous (47000)
range across 3 matching MRF lines		 $712.50–$2,049 $950–$2,732 varies
Biopsy of rectum (45100) $966 $1,288 0.3×
Biopsy Oropharynx (42800) $425.25 $567 0.3×
Biopsy soft tissue back/flank deep (21925) $1,196.25 $1,595 0.7×
Biopsy soft tissue leg/ankle area superficial (27613) $624.75 $833 0.4×
Biopsy soft tissue neck/thorax (21550) $310.50 $414 0.2×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $297 $396 0.2×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $1,458.75 $1,945 0.5×
Biopsy soft tissue thigh/knee area superficial (27323) $791.25 $1,055 0.5×
Biopsy Vulva/Perineum 1 Lesion Spx (56605)
range across 3 matching MRF lines		 $117–$164.25 $156–$219 varies
Biopsy, vestibule of mouth (40808) $326.25 $435 0.6×
Bladder Irrigation (51700) $60 $80 0.2×
Bladder Scan (51798)
range across 2 matching MRF lines		 $29.25–$111.75 $39–$149 varies
Blepharotomy drainage abscess eyelid (67700) $544.50 $726 1.7×
Blood Transfusion Service (36430)
range across 2 matching MRF lines		 $466.50–$736.50 $622–$982 varies
Bone Graft Any Donor Area Major/Large (20902)
range across 2 matching MRF lines		 $177–$1,774.50 $236–$2,366 varies
Bone Graft Any Donor Area Minor/Small (20900)
range across 2 matching MRF lines		 $132.75–$1,326 $177–$1,768 varies
Bone Marrow Biopsy (38221) $140.25 $187 0.1×
Bone Marrow; Aspiration Only (38220) $134.25 $179 0.1×
Bx Arm/Elbow Soft Tissue,Deep (24066) $1,334.25 $1,779 0.4×
Bx breast 1st lesion us imag (19083)
range across 3 matching MRF lines		 $306–$2,808 $408–$3,744 varies
Bx breast needle core w/o imaging guidance spx (19100)
range across 2 matching MRF lines		 $284.25–$1,753.50 $379–$2,338 varies
Bx Cervix (57500)
range across 3 matching MRF lines		 $177.75–$267 $237–$356 varies
Bx/exc lymph node open superficial (38500) $659.25 $879 0.2×
Canthotomy Separate Procedure (67715)
range across 2 matching MRF lines		 $161.25–$2,005.50 $215–$2,674 varies
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $1,173.75 $1,565 0.4×
Carpal Tunnel Surgery (64721)
range across 2 matching MRF lines		 $2,759.25–$3,211.50 $3,679–$4,282 varies
Cautery Cervix Cryocautery Initial/Repeat (57511)
range across 3 matching MRF lines		 $296.25–$344.25 $395–$459 varies
Change Cystostomy Tube Simple (51705) $342.75 $457 1.3×
Chemical Cautery Tissue (17250)
range across 4 matching MRF lines		 $102–$238.50 $136–$318 varies
Chemodenervation of internal anal sphincter (46505) $363.90 $485.20 0.3×
Chest tube placement (32551)
range across 4 matching MRF lines		 $886.50–$1,101.75 $1,182–$1,469 varies
Circumcision 28 days or older (54161)
range across 3 matching MRF lines		 $932.25–$2,086.50 $1,243–$2,782 varies
Circumcision w/clamp/oth dev w/block (54150)
range across 4 matching MRF lines		 $278.25–$647.25 $371–$863 varies
Cl Tx Scapular Fx; W Manip (23575) $868.50 $1,158 0.5×
Cl Tx Tib Shft Fx W Manip (27752)
range across 3 matching MRF lines		 $1,999.50–$2,256.75 $2,666–$3,009 varies
Claviculectomy partial (23120)
range across 2 matching MRF lines		 $225–$2,248.50 $300–$2,998 varies
Clear outer ear canal (69200)
range across 5 matching MRF lines		 $138.75–$154.50 $185–$206 varies
Closed Rx Metacarpal Fx,Percut (26608) $1,746 $2,328 0.5×
Closed Rx Spontaneous Hip Disloc (27256) $701.25 $935 2.8×
Closed rx talotarsal disloc,anesth (28575) $915.75 $1,221 0.3×
Closed Treat Vert Body Fract (22310)
range across 3 matching MRF lines		 $523.50–$594 $698–$792 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $1,252.50 $1,670 5.0×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,305.75 $1,741 0.8×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $2,223.75 $2,965 8.8×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767)
range across 3 matching MRF lines		 $498.75–$840.75 $665–$1,121 varies
Closed Treatment Sternum Fracture (21820)
range across 3 matching MRF lines		 $331.50–$540.75 $442–$721 varies
Closed Treatment Ulnar Styloid Fracture (25650)
range across 3 matching MRF lines		 $352.50–$564 $470–$752 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 3 matching MRF lines		 $828.75–$1,107.75 $1,105–$1,477 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 3 matching MRF lines		 $840–$1,247.25 $1,120–$1,663 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $892.50 $1,190 3.5×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $810 $1,080 3.2×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 3 matching MRF lines		 $350.25–$525 $467–$700 varies
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $1,415.25 $1,887 5.6×
Closed Tx Knee Dislocation W/Anesthesia (27552) $1,854 $2,472 1.1×
Closed tx knee dislocation w/o anesthesia (27550) $1,427.25 $1,903 5.7×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 3 matching MRF lines		 $369.75–$600.75 $493–$801 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,701 $2,268 1.0×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)
range across 3 matching MRF lines		 $130.50–$185.25 $174–$247 varies
Closed tx patellar dislocation w/anesthesia (27562) $1,432.50 $1,910 5.7×
Closed tx patellar dislocation w/o anesthesia (27560)
range across 3 matching MRF lines		 $477–$1,010.25 $636–$1,347 varies
Closed Tx Patellar Fracture W/O Manipulation (27520) $976.50 $1,302 3.9×
Closed tx radial head/neck fx w/manipulation (24655) $1,174.50 $1,566 0.7×
Closed tx radial head/neck fx w/o manipulation (24650) $749.25 $999 3.0×
Closed tx radial shaft fracture w/manipulation (25505) $1,518 $2,024 0.9×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 3 matching MRF lines		 $486–$742.50 $648–$990 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 3 matching MRF lines		 $813–$1,584 $1,084–$2,112 varies
Closed tx radial&ulnar shaft fractures w/o man (25560) $776.25 $1,035 3.1×
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 3 matching MRF lines		 $331.50–$675 $442–$900 varies
Closed Tx Talus Fracture W/Manipulation (28435) $1,064.25 $1,419 0.6×
Closed tx talus fracture w/o manipulation (28430)
range across 3 matching MRF lines		 $272.25–$408 $363–$544 varies
Closed tx tarsometatarsal dislocation w/o anes (28600) $589.50 $786 2.3×
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 3 matching MRF lines		 $347.25–$461.25 $463–$615 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,227 $1,636 0.7×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 3 matching MRF lines		 $499.50–$780.75 $666–$1,041 varies
Closed tx ulnar shaft fracture w/o manipulation (25530) $755.25 $1,007 3.0×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $546.75 $729 2.3×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $1,308 $1,744 2.4×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540)
range across 3 matching MRF lines		 $331.50–$659.25 $442–$879 varies
Clsd Tx Clavicular Fracture W/Manipulation (23505)
range across 3 matching MRF lines		 $1,040.25–$1,413 $1,387–$1,884 varies
Clsd tx clavicular fracture w/o manipulation (23500)
range across 3 matching MRF lines		 $378.75–$460.50 $505–$614 varies
Clsd tx fx orbit except blowout w/o manipulation (21400) $546 $728 1.0×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $1,534.50 $2,046 6.1×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,191 $1,588 0.7×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 3 matching MRF lines		 $667.50–$855 $890–$1,140 varies
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $1,671 $2,228 6.6×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,611.75 $2,149 1.0×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,057.50 $1,410 0.6×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $660.75 $881 2.6×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $564 $752 2.2×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $765.75 $1,021 3.0×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $1,414.50 $1,886 0.9×
Cltx dstl fibular fx lat malls w/manj (27788) $1,135.50 $1,514 4.5×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 3 matching MRF lines		 $536.25–$846 $715–$1,128 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 3 matching MRF lines		 $328.50–$804.75 $438–$1,073 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 3 matching MRF lines		 $318.75–$549 $425–$732 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 3 matching MRF lines		 $301.50–$578.25 $402–$771 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 3 matching MRF lines		 $1,041.75–$1,686 $1,389–$2,248 varies
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $2,004 $2,672 1.2×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $1,461.75 $1,949 5.8×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $2,549.25 $3,399 1.6×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $1,596 $2,128 6.3×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $2,237.25 $2,983 1.4×
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 3 matching MRF lines		 $336.75–$436.50 $449–$582 varies
Cltx fx grt toe phlx/phlg w/o manj (28490) $414.75 $553 1.6×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $419.25 $559 1.7×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 3 matching MRF lines		 $222.75–$350.25 $297–$467 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 3 matching MRF lines		 $1,455.75–$1,865.25 $1,941–$2,487 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $897 $1,196 3.6×
Cltx greater humeral tuberosity fx w/o manj (23620)
range across 3 matching MRF lines		 $462–$528.75 $616–$705 varies
Cltx Greater Trochanteric Fx W/O Manj (27246)
range across 3 matching MRF lines		 $661.50–$777 $882–$1,036 varies
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $1,077.75 $1,437 0.7×
Cltx hip dislocation traumatic req anesthesia (27252) $2,226 $2,968 1.4×
Cltx hip dislocation traumatic w/o anesthesia (27250) $540 $720 2.1×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $918.75 $1,225 3.6×
Cltx humeral condylar fx medial/lateral w/manj (24577) $1,508.25 $2,011 0.9×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $920.25 $1,227 3.7×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $1,572 $2,096 1.0×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $381.75 $509 1.3×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $3,218.25 $4,291 2.0×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775)
range across 3 matching MRF lines		 $474–$966.75 $632–$1,289 varies
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 3 matching MRF lines		 $444.30–$569.25 $592.40–$759 varies
Cltx Med Ankle Fx W/Mnpj (27762) $1,543.50 $2,058 0.9×
Cltx Medial Ankle Fx (27760)
range across 3 matching MRF lines		 $567–$903 $756–$1,204 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 3 matching MRF lines		 $521.25–$882.75 $695–$1,177 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 3 matching MRF lines		 $513.75–$827.25 $685–$1,103 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705)
range across 3 matching MRF lines		 $372–$1,128.75 $496–$1,505 varies
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $390.75 $521 0.2×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 3 matching MRF lines		 $471.75–$894 $629–$1,192 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 3 matching MRF lines		 $341.25–$546 $455–$728 varies
Cltx post hip arthrp dislc req anes (27266) $1,716 $2,288 1.0×
Cltx post hip arthrp dislc w/o anes (27265)
range across 3 matching MRF lines		 $409.50–$1,191 $546–$1,588 varies
Cltx prox fibula/shft fx w/manj (27781) $1,173.75 $1,565 0.7×
Cltx prox fibula/shft fx w/o manj (27780) $828 $1,104 3.3×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,430.25 $1,907 0.9×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $1,274.25 $1,699 5.1×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 4 matching MRF lines		 $232.50–$531 $310–$708 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $1,772.25 $2,363 1.1×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,255.50 $1,674 0.8×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)
range across 3 matching MRF lines		 $1,171.50–$1,671 $1,562–$2,228 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $1,116 $1,488 4.4×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $2,359.50 $3,146 1.4×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $1,465.50 $1,954 5.8×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $526.50 $702 2.1×
Cltx tibial fx proximal w/o manipulation (27530)
range across 3 matching MRF lines		 $351–$526.50 $468–$702 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 3 matching MRF lines		 $394.50–$591.75 $526–$789 varies
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $1,068.75 $1,425 4.2×
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 3 matching MRF lines		 $893.25–$1,281.75 $1,191–$1,709 varies
Cltx trimalleolar ankle fx w/o manipulation (27816) $953.25 $1,271 3.8×
Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) $2,554.50 $3,406 0.8×
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines		 $60–$107.25 $80–$143 varies
Collection of venous blood by venipuncture (36415) $22.50 $30 2.4×
Colonoscopy thru stoma (44388) $1,641 $2,188 1.7×
Colonoscopy w/ablation (45388) $1,641 $2,188 1.3×
Colonoscopy w/stent plcmt (45389)
likely a partial charge, not the full procedure		 $425.63 $567.50 0.1×
Colonoscopy w/submucosal inj (45381) $1,355.25 $1,807 1.1×
Colpocleisis (le fort type) (57120)
likely a partial charge, not the full procedure		 $1,228.50 $1,638 0.2×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $793.50 $1,058 0.2×
Colpopexy vaginal intraperitoneal approach (57283)
likely a partial charge, not the full procedure		 $1,398 $1,864 0.2×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454)
range across 3 matching MRF lines		 $264.75–$286.50 $353–$382 varies
Colposcopy cervix upper/adjacent vagina (57452)
range across 3 matching MRF lines		 $179.25–$214.50 $239–$286 varies
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460)
range across 3 matching MRF lines		 $362.25–$543.75 $483–$725 varies
Colposcopy,Entire Vagina,W/Biopsy(S) (57421)
range across 3 matching MRF lines		 $240–$300 $320–$400 varies
Colpotomy; with drainage of pelvic abscess (57010) $919.50 $1,226 0.3×
Colsc Flexible W/Control Bleeding Any Method (45382) $492.75 $657 0.4×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,337.25 $1,783 1.1×
Combined anteroposterior colporrhaphy; (57260)
range across 3 matching MRF lines		 $1,308–$1,557.75 $1,744–$2,077 varies
Complex drainage wound (10180)
range across 5 matching MRF lines		 $680.25–$2,883 $907–$3,844 varies
Conization cervix w/wo d&c rpr eltrd exc (57522)
range across 3 matching MRF lines		 $344.25–$516.75 $459–$689 varies
Conization of cervix (57520) $1,550.25 $2,067 0.5×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 3 matching MRF lines		 $231.75–$344.25 $309–$459 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 5 matching MRF lines		 $168–$270.75 $224–$361 varies
Control oropharyngeal hemorrhage simple (42960) $540 $720 1.0×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 2 matching MRF lines		 $1,644–$2,004 $2,192–$2,672 varies
Correction hammertoe (28285) $1,269.75 $1,693 0.4×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296)
range across 2 matching MRF lines		 $285–$2,852.25 $380–$3,803 varies
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
range across 2 matching MRF lines		 $230.25–$2,300.25 $307–$3,067 varies
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292)
range across 2 matching MRF lines		 $258–$2,578.50 $344–$3,438 varies
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299)
range across 2 matching MRF lines		 $321.75–$3,217.50 $429–$4,290 varies
Cricopharyngeal myotomy (43030)
unusually low: confirm this is the full procedure		 $2,955 $3,940 0.5×
Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) $822.75 $1,097 3.4×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 3 matching MRF lines		 $312.75–$392.25 $417–$523 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 3 matching MRF lines		 $180.75–$332.25 $241–$443 varies
Curette/treat cornea (65435) $204 $272 0.2×
Cystourethroscopy (52000) $264 $352 0.4×
Cystourethroscopy w/dil bladder general anesth (52260) $411.75 $549 0.2×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 3 matching MRF lines		 $1,909.50–$2,858.25 $2,546–$3,811 varies
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 5 matching MRF lines		 $546–$1,083 $728–$1,444 varies
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011)
range across 5 matching MRF lines		 $564–$846 $752–$1,128 varies
Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) $2,220.75 $2,961 0.7×
Dcmprn fasct leg post compartment only (27601) $1,469.25 $1,959 0.4×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 8 matching MRF lines		 $456–$1,094.25 $608–$1,459 varies
Debride nail 1-5 (11720)
range across 3 matching MRF lines		 $43.50–$77.25 $58–$103 varies
Debride nail 6 or more (11721) $47.25 $63 0.8×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 7 matching MRF lines		 $669.75–$1,791 $893–$2,388 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 7 matching MRF lines		 $179.25–$934.50 $239–$1,246 varies
Declot vascular device (36593)
range across 2 matching MRF lines		 $66–$351.75 $88–$469 varies
Decompression fasciotomy, forearm, with brachial artery exploration Facility (24495)
unusually low: confirm this is the full procedure		 $2,229 $2,972 0.3×
Decompression of tibia nerve (28035) $1,908 $2,544 1.0×
Decompressive fasciotomy hand (26037) $1,938.75 $2,585 0.6×
Deep Muscle Biopsy (20205)
range across 3 matching MRF lines		 $599.25–$3,183.75 $799–$4,245 varies
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $1,457.25 $1,943 0.7×
Delivery of placenta (59414) $269.25 $359 0.1×
Destroy cerv/thor facet jnt (64633)
range across 4 matching MRF lines		 $650.25–$1,780.50 $867–$2,374 varies
Destroy lumb/sac facet jnt (64635)
range across 4 matching MRF lines		 $379.50–$1,960.50 $506–$2,614 varies
Destruct B9 Lesion 1-14 (17110)
range across 3 matching MRF lines		 $154.50–$192 $206–$256 varies
Destruction Benign Lesions 15/> (17111)
range across 3 matching MRF lines		 $150–$224.25 $200–$299 varies
Destruction by neurolytic agent, intercostal nerve (64620)
range across 4 matching MRF lines		 $351–$1,414.50 $468–$1,886 varies
Destruction Internal Hemorrhoid Thermal Energy (46930) $966 $1,288 0.8×
Destruction Lesions Vulva Extensive (56515) $426.75 $569 0.2×
Destruction Lesions Vulva Simple (56501)
range across 3 matching MRF lines		 $331.50–$552.75 $442–$737 varies
Destruction neurolytic agt genicular nerve w/img (64624)
range across 4 matching MRF lines		 $434.25–$2,284.50 $579–$3,046 varies
Destruction Premalignant Lesion 15/> (17004)
range across 3 matching MRF lines		 $189.75–$285 $253–$380 varies
Destruction premalignant lesion 1st (17000)
range across 3 matching MRF lines		 $75.75–$113.25 $101–$151 varies
Diaphragm or cervical cap fitting with instructions (57170)
range across 3 matching MRF lines		 $93.75–$132.75 $125–$177 varies
Dilate Esophagus 1/Mult Pass (43450) $1,231.50 $1,642 1.3×
Dilation & curettage dx&/ther nonobstetric (58120) $1,205.25 $1,607 0.4×
Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130)
unusually low: confirm this is the full procedure		 $2,205 $2,940 0.4×
Drain shoulder bursa (23031) $795.75 $1,061 0.3×
Drain/inj small joint/bursa w/us (20604)
range across 11 matching MRF lines		 $135.75–$653.25 $181–$871 varies
Drainage external auditory canal abscess (69020) $288.75 $385 0.4×
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $426–$1,460.25 $568–$1,947 varies
Drainage Finger Abscess Complicated (26011)
range across 3 matching MRF lines		 $955.50–$2,263.50 $1,274–$3,018 varies
Drainage Mouth Roof Lesion (42000) $250.50 $334 1.0×
Drainage of finger abscess simple (26010) $439.50 $586 2.1×
Drainage of gum lesion (41800)
range across 3 matching MRF lines		 $249–$300 $332–$400 varies
Drainage of hematoma/fluid (10140)
range across 5 matching MRF lines		 $307.50–$1,758.75 $410–$2,345 varies
Drainage of palmar bursa single bursa (26025) $1,510.50 $2,014 0.5×
Drainage of scrotal wall abscess (55100) $491.25 $655 0.3×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines		 $54–$107.25 $72–$143 varies
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 3 matching MRF lines		 $249–$371.25 $332–$495 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 7 matching MRF lines		 $259.50–$605.25 $346–$807 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 7 matching MRF lines		 $325.50–$482.25 $434–$643 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 7 matching MRF lines		 $255–$313.50 $340–$418 varies
Dstrj Lesion Anus Extensive (46924) $1,464.75 $1,953 0.5×
Dstrj lesion anus simple surg excision (46922) $206.25 $275 0.1×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 4 matching MRF lines		 $234.75–$1,014.75 $313–$1,353 varies
Dx Bronchoscope/Lavage (31624) $250.50 $334 0.1×
Dx Bronchoscope/Wash (31622) $1,833.75 $2,445 1.0×
Dx lmbr spi pnxr w/fluor/CT (62328)
range across 2 matching MRF lines		 $253.50–$1,574.25 $338–$2,099 varies
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $291 $388 0.1×
Egd cautery tumor polyp (43250) $348 $464 0.2×
Egd control bleeding any (43255) $516 $688 0.3×
Egd dilation gastric/duodenal stricture (43245) $1,231.50 $1,642 0.6×
Egd Flexible Foreign Body Removal (43247) $364.50 $486 0.4×
Egd guide wire insertion (43248) $1,137.75 $1,517 1.2×
Egd place gastrostomy tube (43246) $381 $508 0.2×
Egd remove lesion snare (43251) $1,305.75 $1,741 0.7×
Electrical stimulation bone healing noninvasive (20974) $807.75 $1,077 8.5×
Endometrial Biopsy (58100)
range across 3 matching MRF lines		 $126–$174 $168–$232 varies
Endoven abltj incmptnt vein xtr laser 1st vein (36478)
range across 5 matching MRF lines		 $541.50–$3,364.50 $722–$4,486 varies
Enterorrhaphy single perforation (44602) $3,395.25 $4,527 0.9×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $1,365.75 $1,821 0.6×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $1,406.25 $1,875 0.7×
Epidural Blood Patch (62273) $670.50 $894 0.9×
Episiotomy or vaginal repair (59300) $547.50 $730 0.2×
Esophagogastroduodenoscopy Submucosal Injection (43236) $1,098 $1,464 1.2×
Esophagoscopy Flexible Transoral Diagnostic (43200) $166.50 $222 0.2×
Esophagoscopy rig transoral removal foreign body (43194) $632.25 $843 0.3×
Evacuation of subungual hematoma (11740)
range across 4 matching MRF lines		 $93–$161.25 $124–$215 varies
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $2,126.25 $2,835 1.3×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111)
range across 2 matching MRF lines		 $172.50–$1,722.75 $230–$2,297 varies
Exc arm/elbow les sc < 3 cm (24075) $1,232.25 $1,643 0.7×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 5 matching MRF lines		 $165.75–$723.75 $221–$965 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 5 matching MRF lines		 $231–$1,083 $308–$1,444 varies
Exc Back Les Sc < 3 Cm (21930) $545.25 $727 0.3×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $1,530 $2,040 0.4×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 5 matching MRF lines		 $306–$508.50 $408–$678 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 5 matching MRF lines		 $358.50–$537 $478–$716 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $556.50 $742 0.3×
Exc Face Les Sbq 2 Cm/> (21012) $508.50 $678 0.3×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 5 matching MRF lines		 $162.75–$430.50 $217–$574 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 5 matching MRF lines		 $197.25–$417.75 $263–$557 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 5 matching MRF lines		 $218.25–$547.50 $291–$730 varies
Exc ganglion wrist recurrent (25112) $1,520.25 $2,027 0.9×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 5 matching MRF lines		 $144.75–$1,536.75 $193–$2,049 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 5 matching MRF lines		 $180.75–$474.75 $241–$633 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 5 matching MRF lines		 $202.50–$2,141.25 $270–$2,855 varies
Exc Hand Les Sc < 1.5 Cm (26115) $1,473.75 $1,965 0.9×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $425.25 $567 0.4×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $1,206.75 $1,609 0.7×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 5 matching MRF lines		 $223.50–$643.50 $298–$858 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 5 matching MRF lines		 $264.75–$1,215.75 $353–$1,621 varies
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 5 matching MRF lines		 $374.25–$1,914 $499–$2,552 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 5 matching MRF lines		 $359.25–$1,625.25 $479–$2,167 varies
Exc Skin Benig >4cm Face,Facial (11446)
range across 3 matching MRF lines		 $632.25–$2,193.75 $843–$2,925 varies
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)
range across 5 matching MRF lines		 $411.75–$978 $549–$1,304 varies
Exc Skin Malig >4 Cm Remaindr Body (11626)
range across 3 matching MRF lines		 $576.75–$2,351.25 $769–$3,135 varies
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 3 matching MRF lines		 $626.25–$1,920 $835–$2,560 varies
Exc tendon shth lesion leg/ankle (27630) $1,496.25 $1,995 0.4×
Exc thigh/knee les sc 3 cm/> (27337) $665.25 $887 0.2×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $3,297.75 $4,397 2.7×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 5 matching MRF lines		 $177–$265.50 $236–$354 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 5 matching MRF lines		 $195–$834.75 $260–$1,113 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 5 matching MRF lines		 $253.50–$1,105.50 $338–$1,474 varies
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $1,916.25 $2,555 1.1×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $1,557.75 $2,077 0.5×
Exc tumor soft tissue abdominal wall subq <3cm (22902)
range across 2 matching MRF lines		 $135–$1,347.75 $180–$1,797 varies
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $1,411.50 $1,882 0.5×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $632.25 $843 0.4×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $1,408.50 $1,878 0.8×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555)
range across 3 matching MRF lines		 $1,183.50–$2,628 $1,578–$3,504 varies
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $1,711.50 $2,282 0.6×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104)
range across 2 matching MRF lines		 $151.50–$1,514.25 $202–$2,019 varies
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $571.50 $762 0.3×
Excise Wrist Tendon Sheath (25118) $582.75 $777 0.4×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 3 matching MRF lines		 $380.25–$566.25 $507–$755 varies
Excision Distal Ulna Partial/Complete (25240) $1,813.50 $2,418 0.5×
Excision external ear; complete amputation Facility (69120)
likely a partial charge, not the full procedure		 $790.50 $1,054 0.1×
Excision lesion meniscus/capsule knee (27347) $2,206.50 $2,942 0.7×
Excision lesion tendon sheath forearm&/wrist (25110) $513.75 $685 0.3×
Excision Lingual Frenum Frenectomy (41115) $510 $680 0.3×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600)
range across 5 matching MRF lines		 $241.50–$599.25 $322–$799 varies
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)
range across 5 matching MRF lines		 $258–$387.75 $344–$517 varies
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 5 matching MRF lines		 $275.25–$413.25 $367–$551 varies
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)
range across 5 matching MRF lines		 $249.75–$578.25 $333–$771 varies
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 3 matching MRF lines		 $447.75–$1,351.50 $597–$1,802 varies
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621)
range across 5 matching MRF lines		 $468–$494.25 $624–$659 varies
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 5 matching MRF lines		 $333–$516 $444–$688 varies
Excision Multiple External Papillae/Tags Anus (46230) $343.50 $458 0.1×
Excision of cervical stump, vaginal approach; with anterior and/or posterior repair Facility (57555)
unusually low: confirm this is the full procedure		 $1,544.25 $2,059 0.3×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $1,355.25 $1,807 0.8×
Excision of hydrocele; unilateral (55040) $628.50 $838 0.2×
Excision of pilonidal cyst or sinus; simple (11770) $673.50 $898 0.2×
Excision of single external papilla or tag, anus (46220)
range across 3 matching MRF lines		 $288.75–$433.50 $385–$578 varies
Excision olecranon bursa (24105) $1,277.25 $1,703 0.4×
Excision or curettage of bone cyst or benign tumor of femur; (27355) $1,147.13 $1,529.50 0.3×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100)
range across 2 matching MRF lines		 $165.75–$1,659.75 $221–$2,213 varies
Excision Pilonidal Cyst/Sinus Complicated (11772)
range across 3 matching MRF lines		 $1,163.25–$4,686.75 $1,551–$6,249 varies
Excision Pilonidal Cyst/Sinus Extensive (11771) $1,185 $1,580 0.4×
Excision prepatellar bursa (27340) $1,533.75 $2,045 0.5×
Excision Radial Head (24130)
range across 2 matching MRF lines		 $162–$1,942.50 $216–$2,590 varies
Excision synovial cyst popliteal space (27345) $1,989 $2,652 0.6×
Excision Thyroglossal Duct Cyst/Sinus (60280)
range across 2 matching MRF lines		 $261.75–$2,616 $349–$3,488 varies
Excision tumor soft tis back/flank subq 3 cm/> (21931)
range across 2 matching MRF lines		 $78–$776.25 $104–$1,035 varies
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039)
range across 2 matching MRF lines		 $150–$1,498.50 $200–$1,998 varies
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,143 $1,524 0.7×
Excision tumor soft tissue shoulder subq 3 cm/> (23071)
range across 2 matching MRF lines		 $117.75–$1,178.25 $157–$1,571 varies
Excision, interdigital (morton) neuroma, single, each (28080) $1,305.75 $1,741 0.8×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011)
range across 2 matching MRF lines		 $98.25–$983.25 $131–$1,311 varies
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $935.25 $1,247 0.3×
Expl penetrating wound spx abdomen/flank/back (20102)
range across 3 matching MRF lines		 $1,397.25–$3,298.50 $1,863–$4,398 varies
Exploration of knee joint (27310)
range across 2 matching MRF lines		 $283.50–$2,832 $378–$3,776 varies
Exploration penetrating wound spx extremity (20103)
range across 3 matching MRF lines		 $1,082.25–$2,243.25 $1,443–$2,991 varies
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010)
unusually low: confirm this is the full procedure		 $2,889 $3,852 0.4×
Exploratory elbow surgery (24000) $2,168.25 $2,891 0.6×
Explore/Treat Knee Joint (27331)
range across 2 matching MRF lines		 $81.75–$819 $109–$1,092 varies
External cephalic version (59412) $201 $268 0.1×
Fasciectomy Plantar Fascia Partial Spx (28060) $1,336.50 $1,782 0.4×
Fasciotomy palmar open partial (26045) $1,808.25 $2,411 0.5×
Fasciotomy palmar percutaneous (26040) $1,209.75 $1,613 0.7×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $3,081 $4,108 0.9×
Fetal Contraction Stress Test (59020)
range across 2 matching MRF lines		 $139.50–$342.75 $186–$457 varies
Fetal non-stress test (59025)
range across 2 matching MRF lines		 $95.25–$278.25 $127–$371 varies
Fine needle aspiration without imaging guidance (10021)
range across 5 matching MRF lines		 $481.50–$692.25 $642–$923 varies
Fna bx w/us gdn 1st les (10005)
range across 4 matching MRF lines		 $156–$1,338 $208–$1,784 varies
Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) $2,356.50 $3,142 1.1×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $1,203 $1,604 0.6×
Fusion of foot bones (28740)
range across 2 matching MRF lines		 $162.75–$1,625.25 $217–$2,167 varies
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) $3,709.50 $4,946 0.9×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $1,920 $2,560 1.0×
Grafting of autologous soft tiss by direct exc (15769) $903 $1,204 0.2×
Hemiarthroplasty hip partial (27125)
range across 2 matching MRF lines		 $494.25–$4,941 $659–$6,588 varies
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $2,255.25 $3,007 0.8×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $1,005.75 $1,341 1.1×
Hip arthro w/labral repair (29916)
unusually low: confirm this is the full procedure		 $3,018.75 $4,025 0.4×
Hysteroscopy Biopsy (58558) $2,289.75 $3,053 0.7×
Hysteroscopy Dx Sep Proc (58555) $1,250.25 $1,667 0.4×
Hysteroscopy Endometrial Ablation (58563)
unusually low: confirm this is the full procedure		 $2,382.75 $3,177 0.5×
Hysteroscopy Removal Impacted Foreign Body (58562) $1,770 $2,360 0.5×
Hysteroscopy, surgical; with removal of leiomyomata (58561)
unusually low: confirm this is the full procedure		 $2,382.75 $3,177 0.5×
I&d abscess simple (10060)
range across 7 matching MRF lines		 $223.50–$363 $298–$484 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $997.50 $1,330 0.6×
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,962.75 $2,617 0.7×
I&D Deep Absc/Hematoma Neck/Chest (21501)
range across 5 matching MRF lines		 $1,001.25–$3,169.50 $1,335–$4,226 varies
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $1,512.75 $2,017 0.5×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $1,938.75 $2,585 0.6×
I&d perianal abscess superficial (46050)
range across 5 matching MRF lines		 $291.75–$1,059 $389–$1,412 varies
I&d pilonidal cyst complicated (10081)
range across 5 matching MRF lines		 $339.75–$1,109.25 $453–$1,479 varies
I&d pilonidal cyst simple (10080)
range across 5 matching MRF lines		 $302.25–$342.75 $403–$457 varies
I&d shoulder deep abscess/hematoma (23030)
range across 3 matching MRF lines		 $1,041–$3,813.75 $1,388–$5,085 varies
I&d upper arm/elbow deep abscess/hematoma (23930) $946.50 $1,262 0.3×
Image Cath Fluid Peri/Retro (49406) $2,688.75 $3,585 1.6×
Incise external hemorrhoid (46083)
range across 3 matching MRF lines		 $240.75–$361.50 $321–$482 varies
Incise finger tendon sheath (26055)
range across 2 matching MRF lines		 $433.50–$1,722.75 $578–$2,297 varies
Incise Wrist/Forearm Tendon (25290) $1,804.50 $2,406 0.5×
Incision & drainage abscess complicated/multiple (10061)
range across 7 matching MRF lines		 $389.25–$534 $519–$712 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $1,572 $2,096 0.5×
Incision & removal foreign body subq tiss compl (10121)
range across 5 matching MRF lines		 $546–$3,396.75 $728–$4,529 varies
Incision & removal foreign body subq tiss simple (10120)
range across 5 matching MRF lines		 $239.25–$370.50 $319–$494 varies
Incision and drainage of bartholin's gland abscess (56420) $303.75 $405 1.5×
Incision and drainage of vulva or perineal abscess (56405) $351 $468 1.1×
Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) $1,701.75 $2,269 1.0×
Incision bone cortex foot (28005) $1,680 $2,240 0.5×
Incision extensor tendon sheath wrist (25000) $1,605.75 $2,141 1.0×
Incision of lingual frenum (frenotomy) (41010) $425.85 $567.80 0.3×
Incision of rectal abscess (46040)
range across 3 matching MRF lines		 $1,242–$2,238.75 $1,656–$2,985 varies
Incision&drainage bursa foot (28001) $516.75 $689 0.3×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $733.50 $978 0.4×
Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) Facility (26992) $2,946 $3,928 0.9×
Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) Facility (27303)
range across 2 matching MRF lines		 $239.25–$2,392.50 $319–$3,190 varies
Incisional biopsy eyelid skin & lid margin (67810)
range across 3 matching MRF lines		 $210.75–$316.50 $281–$422 varies
Incisional biopsy skin single lesion (11106)
range across 7 matching MRF lines		 $178.50–$834.75 $238–$1,113 varies
Induced abortion dilation and curettage (59840) $443.25 $591 0.1×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 3 matching MRF lines		 $136.50–$279.75 $182–$373 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 12 matching MRF lines		 $312–$2,192.25 $416–$2,923 varies
Inj W/Fluor Eval Cv Device (36598) $229.50 $306 1.1×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $147 $196 0.2×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $247.50 $330 0.3×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 5 matching MRF lines		 $77.25–$157.50 $103–$210 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $116.25 $155 0.1×
Injection aa&/strd genicular nrv branches w/img (64454)
range across 4 matching MRF lines		 $232.50–$1,128.75 $310–$1,505 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 4 matching MRF lines		 $49.50–$1,344.75 $66–$1,793 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 4 matching MRF lines		 $219–$1,152 $292–$1,536 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 6 matching MRF lines		 $105.75–$974.25 $141–$1,299 varies
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 4 matching MRF lines		 $435–$515.25 $580–$687 varies
Injection anesthetic agent suprascapular nerve (64418)
range across 4 matching MRF lines		 $111–$581.25 $148–$775 varies
Injection single tendon origin/insertion (20551)
range across 3 matching MRF lines		 $118.50–$187.50 $158–$250 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 9 matching MRF lines		 $114–$1,065.75 $152–$1,421 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 8 matching MRF lines		 $127.50–$452.25 $170–$603 varies
Injection therapeutic carpal tunnel (20526)
range across 5 matching MRF lines		 $156–$225.75 $208–$301 varies
Injection, anesthetic agent; brachial plexus, single (64415) $774.75 $1,033 0.9×
Injection, anesthetic agent; femoral nerve, single (64447) $100.50 $134 0.1×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 9 matching MRF lines		 $126–$1,035.75 $168–$1,381 varies
Injection, intralesional; up to and including 7 lesions (11900)
range across 6 matching MRF lines		 $57.75–$123.75 $77–$165 varies
Insert and remove bone pin (20650) $465.75 $621 0.1×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $195–$224.25 $260–$299 varies
Insert cath pleura w/ image (32557) $270 $360 0.2×
Insert cath pleura w/o image (32556)
range across 4 matching MRF lines		 $964.50–$1,314 $1,286–$1,752 varies
Insert Drug Implant Device (11981)
range across 3 matching MRF lines		 $125.25–$182.25 $167–$243 varies
Insert Gastrostomy Tube Percutaneous (49440) $397.50 $530 0.2×
Insert non-tunnel cv cath (36556) $659.25 $879 0.2×
Insert pessary/other device (57160)
range across 3 matching MRF lines		 $90–$126 $120–$168 varies
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines		 $75.75–$162.75 $101–$217 varies
Insert tunneled cv cath (36561)
range across 3 matching MRF lines		 $4,724.25–$5,316.75 $6,299–$7,089 varies
Insert tunneled cv cath (36563)
range across 2 matching MRF lines		 $2,361.75–$2,838.75 $3,149–$3,785 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 5 matching MRF lines		 $51–$138.75 $68–$185 varies
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $699–$2,053.50 $932–$2,738 varies
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $250.50 $334 0.1×
Insj prph ctr vad w/subq port age 5 yr/> (36571)
range across 2 matching MRF lines		 $2,797.50–$4,425.75 $3,730–$5,901 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $699–$1,803.75 $932–$2,405 varies
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $662.25 $883 0.2×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566)
likely a partial charge, not the full procedure		 $708 $944 0.1×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $4,425.75 $5,901 1.4×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
range across 2 matching MRF lines		 $6,659.25 $423–$8,879 0.8×
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 3 matching MRF lines		 $884.25–$1,119.75 $1,179–$1,493 varies
Intmd Rpr Face/Mm 20.1-30.0 (12056)
range across 3 matching MRF lines		 $773.25–$1,134.75 $1,031–$1,513 varies
Intro Gastrointestinal Tube (44500) $1,088.25 $1,451 1.2×
Intubation endotracheal emergency procedure (31500)
range across 3 matching MRF lines		 $422.25–$658.50 $563–$878 varies
Irrigation of corpora cavernosa for priapism (54220) $376.50 $502 1.5×
Knee arthroscopy/drainage (29871) $5,061.75 $6,749 1.5×
Knee Arthroscopy/Surgery (29874) $5,061.75 $6,749 1.5×
Laparo-vag hyst incl t/o (58552)
unusually low: confirm this is the full procedure		 $3,910.50 $5,214 0.4×
Laparoscopy Enterolysis Separate Procedure (44180)
likely a partial charge, not the full procedure		 $1,829.25 $2,439 0.3×
Laparoscopy fulguration oviducts (58670)
unusually low: confirm this is the full procedure		 $2,223.75 $2,965 0.4×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573)
unusually low: confirm this is the full procedure		 $3,879 $5,172 0.4×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
unusually low: confirm this is the full procedure		 $3,879 $5,172 0.4×
Laparoscopy W/Lysis Of Adhesions (58660) $3,105 $4,140 0.5×
Laparoscopy w/rmvl adnexal structures (58661) $3,250.50 $4,334 0.5×
Laparoscopy, surgical, appendectomy (44970)
unusually low: confirm this is the full procedure		 $2,470.50 $3,294 0.4×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
likely a partial charge, not the full procedure		 $3,258 $4,344 0.3×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) $3,906.75 $5,209 0.6×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553)
likely a partial charge, not the full procedure		 $3,258 $4,344 0.3×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $8,397 $11,196 1.4×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure		 $1,652.25 $2,203 0.2×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure		 $840.75 $1,121 0.1×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
unusually low: confirm this is the full procedure		 $2,123.25 $2,831 0.3×
Laparoscopy, Tubal Block (58671)
unusually low: confirm this is the full procedure		 $2,129.25 $2,839 0.3×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $4,556.25 $6,075 0.7×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure		 $1,008.75 $1,345 0.2×
Laps Gastric Restrictive Px Remove Device & Port (43774) $1,071.75 $1,429 0.3×
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150)
range across 2 matching MRF lines		 $423.75–$4,235.25 $565–$5,647 varies
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554)
likely a partial charge, not the full procedure		 $3,258 $4,344 0.3×
Laryngoscopy W/Foreign Body Removal (31530) $3,727.50 $4,970 2.0×
Late closure of wound (13160) $1,582.50 $2,110 0.4×
Lateral retinacular release open (27425) $2,747.25 $3,663 0.8×
Lengthen metacarpal/finger (26568)
range across 2 matching MRF lines		 $300–$3,001.50 $400–$4,002 varies
Lig&div long saph vein saphfem junct/interrupj (37700) $771.75 $1,029 0.2×
Ligamentous Reconstruction Knee Extra-Articular (27427)
range across 2 matching MRF lines		 $327–$3,267 $436–$4,356 varies
Ligation of hemorrhoids (46946) $717 $956 0.3×
Ligation or biopsy temporal artery (37609) $900 $1,200 0.5×
Low Back Disk Surgery (63030)
range across 2 matching MRF lines		 $862.50–$8,626.50 $1,150–$11,502 varies
Lysis/excision penile postcircumcision adhesions (54162) $395.25 $527 0.2×
Manipulation Ankle Under General Anesthesia (27860) $693.75 $925 0.2×
Manipulation knee joint under general anesthesia (27570) $845.25 $1,127 0.5×
Manipulation, finger joint, under anesthesia, each joint (26340) $868.50 $1,158 0.5×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $899.25 $1,199 0.5×
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure		 $2,682.75 $3,577 0.4×
Metatarsectomy (28140) $1,758 $2,344 0.5×
Myelography Lumbar Injection (62305)
range across 2 matching MRF lines		 $242.25–$1,500 $323–$2,000 varies
Myelography Lumbar Injection (62304)
range across 2 matching MRF lines		 $232.50–$2,017.50 $310–$2,690 varies
Myelography via lumbar injection rs&i cervical (62302)
range across 3 matching MRF lines		 $234.75–$1,917 $313–$2,556 varies
Myelography Via Lumbar Injection Rs&I Thoracic (62303)
range across 3 matching MRF lines		 $236.25–$1,917 $315–$2,556 varies
N Block Inj Ilio-Ing/Hypogi (64425)
range across 4 matching MRF lines		 $108.75–$785.25 $145–$1,047 varies
N block inj intercost sng (64420)
range across 4 matching MRF lines		 $117–$981.75 $156–$1,309 varies
N Block Inj Plantar Digit (64455) $64.50 $86 0.2×
N Block Inj Pudendal (64430) $107.25 $143 0.1×
N Block Lumbar/Thoracic (64520)
range across 4 matching MRF lines		 $454.50–$1,332.75 $606–$1,777 varies
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines		 $289.50–$350.25 $386–$467 varies
Needle Biopsy Lymph Nodes (38505)
range across 7 matching MRF lines		 $168.75–$1,964.25 $225–$2,619 varies
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 2 matching MRF lines		 $321–$3,211.50 $428–$4,282 varies
Njx anes stellate ganglion crv sympathetic (64510)
range across 3 matching MRF lines		 $284.25–$1,260.75 $379–$1,681 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 3 matching MRF lines		 $146.25–$533.25 $195–$711 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $137.25 $183 0.0×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 10 matching MRF lines		 $265.50–$1,972.50 $354–$2,630 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 4 matching MRF lines		 $318–$2,213.25 $424–$2,951 varies
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320)
range across 4 matching MRF lines		 $197.25–$825.75 $263–$1,101 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324)
range across 2 matching MRF lines		 $207.75–$1,278 $277–$1,704 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 4 matching MRF lines		 $196.50–$1,256.25 $262–$1,675 varies
Njx Noncmpnd Sclrsnt 1 Vein (36465)
range across 5 matching MRF lines		 $231–$2,754.75 $308–$3,673 varies
Njx Noncmpnd Sclrsnt Mlt Vn (36466)
range across 5 matching MRF lines		 $300.75–$2,754.75 $401–$3,673 varies
Obstructive material removal from gi tube (49460) $2,129.25 $2,839 2.3×
Occipital Nerve Block (64405)
range across 10 matching MRF lines		 $126–$826.50 $168–$1,102 varies
Occlusion flp tube dev vag/suprapubic appr (58615) $2,289.75 $3,053 0.7×
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure		 $1,413 $1,884 0.2×
Open biopsy/excision inguinofemoral nodes (38531) $830.25 $1,107 0.2×
Open rdl shaft fx closed rad/uln jt dislocate (25525)
range across 2 matching MRF lines		 $288–$2,878.50 $384–$3,838 varies
Open Repair of Rotator Cuff Acute (23410)
range across 2 matching MRF lines		 $360–$3,601.50 $480–$4,802 varies
Open Treatment Bimalleolar Ankle Fracture (27814)
unusually low: confirm this is the full procedure		 $2,997 $3,996 0.4×
Open treatment calcaneal fracture (28415)
range across 2 matching MRF lines		 $381–$3,812.25 $508–$5,083 varies
Open Treatment Fracture Distal Tibia & Fibula (27828)
unusually low: confirm this is the full procedure		 $4,973.25 $6,631 0.4×
Open treatment fracture distal tibia only (27827)
unusually low: confirm this is the full procedure		 $4,366.50 $5,822 0.3×
Open treatment greater trochanteric fracture (27248)
range across 2 matching MRF lines		 $273–$2,730.75 $364–$3,641 varies
Open Treatment Grter Humeral Tuberosity Fracture (23630)
range across 2 matching MRF lines		 $224.25–$2,238.75 $299–$2,985 varies
Open Treatment Humeral Condylar Fracture (24579)
range across 2 matching MRF lines		 $283.50–$2,835 $378–$3,780 varies
Open Treatment Medial Malleolus Fracture (27766)
unusually low: confirm this is the full procedure		 $2,379.75 $3,173 0.3×
Open treatment metacarpophalangeal dislocation (26715) $1,527.75 $2,037 0.5×
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure		 $1,911.75 $2,549 0.3×
Open treatment of acromioclavicular dislocation acute or chronic (23550)
range across 2 matching MRF lines		 $233.25–$2,332.50 $311–$3,110 varies
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552)
range across 2 matching MRF lines		 $273–$2,733.75 $364–$3,645 varies
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
range across 2 matching MRF lines		 $213.75–$2,141.25 $285–$2,855 varies
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) $4,175.25 $5,567 0.6×
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506)
range across 2 matching MRF lines		 $465–$4,650.75 $620–$6,201 varies
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513)
unusually low: confirm this is the full procedure		 $4,816.50 $6,422 0.4×
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546)
range across 2 matching MRF lines		 $393.75–$3,935.25 $525–$5,247 varies
Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair Facility (27557) $4,289.25 $5,719 0.6×
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574)
range across 2 matching MRF lines		 $222.75–$2,229.75 $297–$2,973 varies
Open Treatment of Ulnar Shaft Fracture (25545)
range across 2 matching MRF lines		 $222.75–$2,223.75 $297–$2,965 varies
Open treatment of ulnar styloid fracture (25652)
likely a partial charge, not the full procedure		 $942.75 $1,257 0.1×
Open treatment posterior malleolus fracture (27769)
unusually low: confirm this is the full procedure		 $2,501.25 $3,335 0.3×
Open Treatment Proximal Fibula/Shaft Fracture (27784)
likely a partial charge, not the full procedure		 $2,151.75 $2,869 0.3×
Open Treatment Proximal Humeral Fracture (23615)
range across 2 matching MRF lines		 $297–$2,969.25 $396–$3,959 varies
Open Treatment Radial Shaft Fracture (25515)
range across 2 matching MRF lines		 $230.25–$2,304.75 $307–$3,073 varies
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $1,887.75 $2,517 0.6×
Open Tx Carpometacarpal Dislocate Not Thumb (26685) $1,722 $2,296 0.5×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
unusually low: confirm this is the full procedure		 $2,316 $3,088 0.3×
Open Tx Distal Phalangeal Fracture Each (26765) $1,410 $1,880 0.4×
Open Tx Distal Tibiofibular Joint Disruption (27829)
unusually low: confirm this is the full procedure		 $2,265 $3,020 0.3×
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514)
unusually low: confirm this is the full procedure		 $4,437 $5,916 0.3×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $807 $1,076 0.2×
Open Tx Humeral Epicondylar Fracture (24575)
range across 2 matching MRF lines		 $248.25–$2,481.75 $331–$3,309 varies
Open tx humeral supracondylar fracture w/o xtn (24545)
range across 2 matching MRF lines		 $134.85–$1,348.50 $179.80–$1,798 varies
Open tx interphalangeal joint dislocation (26785) $1,518.75 $2,025 0.5×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $1,668.75 $2,225 0.5×
Open Tx Radial Head/Neck Fracture (24665)
range across 2 matching MRF lines		 $216–$2,163 $288–$2,884 varies
Open Tx Tibial Fracture Proximal Unicondylar (27535)
unusually low: confirm this is the full procedure		 $3,369 $4,492 0.5×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
unusually low: confirm this is the full procedure		 $3,467.25 $4,623 0.5×
Open tx ulnar fx proximal end (24685)
range across 2 matching MRF lines		 $240–$2,399.25 $320–$3,199 varies
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
range across 2 matching MRF lines		 $165–$1,652.25 $220–$2,203 varies
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
range across 2 matching MRF lines		 $297.75–$2,975.25 $397–$3,967 varies
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
range across 2 matching MRF lines		 $474.75–$4,749.75 $633–$6,333 varies
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
range across 2 matching MRF lines		 $295.50–$2,954.25 $394–$3,939 varies
Optx tibial fx prox bicondylar w/wo int fixj (27536)
range across 2 matching MRF lines		 $417–$4,170.75 $556–$5,561 varies
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758)
likely a partial charge, not the full procedure		 $3,509.25 $4,679 0.3×
Ostc prtl exostc/condylc metar head (28288) $1,629 $2,172 0.5×
Ostectomy calcaneus (28118)
range across 2 matching MRF lines		 $167.25–$1,673.25 $223–$2,231 varies
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $1,450.50 $1,934 0.4×
Ostectomy, complete excision; first metatarsal head (28111) $1,491.75 $1,989 0.4×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $1,254 $1,672 0.4×
Osteoplasty, tibia and fibula, lengthening or shortening Facility (27715)
likely a partial charge, not the full procedure		 $1,196.25 $1,595 0.1×
Osteotomy Clavicle W Bone Graft (23485)
range across 2 matching MRF lines		 $329.25–$3,291 $439–$4,388 varies
Osteotomy Metacarpal Each (26565)
range across 2 matching MRF lines		 $242.25–$2,424.75 $323–$3,233 varies
Osteotomy Phalanx Finger Each (26567) $2,442 $3,256 0.7×
Osteotomy radius distal third (25350)
range across 2 matching MRF lines		 $270–$2,699.25 $360–$3,599 varies
Osteotomy talus (28302)
likely a partial charge, not the full procedure		 $1,362.75 $1,817 0.2×
Osteotomy Tibia (27705)
unusually low: confirm this is the full procedure		 $2,949.75 $3,933 0.4×
Osteotomy, clavicle, with or without internal fixation; Facility (23480)
unusually low: confirm this is the full procedure		 $3,153.75 $4,205 0.4×
Parathyroidectomy or exploration of parathyroid(s); (60500)
range across 2 matching MRF lines		 $412.50–$4,125 $550–$5,500 varies
Part exc bone femur prox tibia (27360) $2,969.25 $3,959 0.9×
Part remv talus or calcaneus (28120) $1,284.75 $1,713 0.4×
Partial excision bone metacarpal (26230) $2,923.50 $3,898 0.9×
Partial Excision Distal Phalanx Finger (26236) $1,544.25 $2,059 0.9×
Partial hymenectomy or revision of hymenal ring (56700) $767.25 $1,023 0.2×
Partial removal of toe (28160) $1,107 $1,476 0.3×
Partical Excision Bone Phalanx Toe (28124)
range across 2 matching MRF lines		 $124.50–$1,246.50 $166–$1,662 varies
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $1,252.50 $1,670 0.4×
Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Facility (24566) $2,248.50 $2,998 1.4×
Percutaneous skeletal fixation of ulnar styloid fracture (25651) $1,483.50 $1,978 0.4×
Perineoplasty rpr perineum nonobstetrical spx (56810) $776.25 $1,035 0.2×
Peritoneal Lavage (49084) $321 $428 0.3×
Perq dev breast 1st strtctc (19283) $223.50 $298 0.3×
Perq device breast 1st imag (19281)
range across 3 matching MRF lines		 $195.75–$1,217.25 $261–$1,623 varies
Perq skel fixj distal radial fx/epiphysl sep (25606) $2,121 $2,828 0.6×
Phalangectomy toe each toe (28150) $1,184.25 $1,579 0.4×
Pin hand dislocation (26676) $1,457.25 $1,943 0.4×
Placement of needle for intraosseous infusion (36680) $177 $236 0.4×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
unusually low: confirm this is the full procedure		 $2,088.75 $2,785 0.4×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $1,089.75 $1,453 1.1×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $276.75 $369 0.2×
Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) $4,465.50 $5,954 0.6×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $516.75 $689 0.1×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $1,218.75 $1,625 0.4×
Prq skel fixj femoral fx prox end neck (27235) $4,178.25 $5,571 0.6×
Prq skel fixj metar fx w/manj (28476) $1,219.50 $1,626 0.4×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
unusually low: confirm this is the full procedure		 $2,911.50 $3,882 0.4×
Prq Skel Fixj Tars Jt Dislc W/Manj (28606) $4,441.50 $5,922 1.3×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) $1,512 $2,016 0.5×
Prq Skeletal Fixj Calcaneal Fracture W/Manj (28406)
range across 2 matching MRF lines		 $85.50–$854.25 $114–$1,139 varies
Prq Skeletal Fixj Distal Radioulnar Dislocation (25671) $1,752.75 $2,337 0.5×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122)
range across 2 matching MRF lines		 $183.75–$1,839.75 $245–$2,453 varies
Punch biopsy skin single lesion (11104)
range across 7 matching MRF lines		 $144–$216 $192–$288 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines		 $365.25–$405.75 $487–$541 varies
Puncture Aspiration Cyst Breast (19000)
range across 9 matching MRF lines		 $84–$609.75 $112–$813 varies
Pvb Thoracic Single Injection Site W/Img Gid (64461)
range across 4 matching MRF lines		 $759–$894.75 $1,012–$1,193 varies
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430)
range across 2 matching MRF lines		 $315.75–$3,161.25 $421–$4,215 varies
Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) $2,967 $3,956 1.8×
Radical resection of tumor; tibia Facility (27645) $3,574.50 $4,766 1.1×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Local Tiss (26542) $2,738.25 $3,651 0.8×
Realignment extensor tendon hand each tendon (26437) $2,089.50 $2,786 0.6×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
range across 2 matching MRF lines		 $339–$3,393 $452–$4,524 varies
Release of shoulder ligament (23415)
unusually low: confirm this is the full procedure		 $2,367 $3,156 0.3×
Relieve Pressure on Nerve(S) (64722)
range across 2 matching MRF lines		 $321–$3,211.50 $428–$4,282 varies
Removal Embedded Foreign Body Eyelid (67938) $339 $452 1.0×
Removal Foreign Body Deep Thigh/Knee (27372) $1,434.75 $1,913 0.5×
Removal Foreign Body Foot Complicated (28193) $1,062 $1,416 0.6×
Removal foreign body foot deep (28192) $1,091.25 $1,455 0.6×
Removal Foreign Body Foot Subcutaneous (28190) $561 $748 0.8×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 3 matching MRF lines		 $764.25–$2,574 $1,019–$3,432 varies
Removal Foreign Body Pelvis/Hip Deep (27087)
range across 2 matching MRF lines		 $181.50–$1,814.25 $242–$2,419 varies
Removal foreign body upper arm/elbow deep (24201) $1,066.50 $1,422 0.4×
Removal impacted cerumen irrigation/lvg unilat (69209) $111.75 $149 1.9×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 10 matching MRF lines		 $65.25–$175.50 $87–$234 varies
Removal Implant Deep (20680)
range across 2 matching MRF lines		 $140.25–$1,405.50 $187–$1,874 varies
Removal Implant Superficial Separate Procedure (20670) $878.25 $1,171 0.5×
Removal implantable contraceptive capsules (11976) $183.75 $245 0.3×
Removal of ankle implant (27704) $1,971.75 $2,629 0.6×
Removal of foreign body from pharynx (42809) $364.50 $486 0.8×
Removal of heel spur (28119) $1,795.50 $2,394 0.5×
Removal of knee prosthesis (27488)
range across 2 matching MRF lines		 $268.50–$2,684.25 $358–$3,579 varies
Removal of nail bed (11750)
range across 4 matching MRF lines		 $180.75–$1,029.75 $241–$1,373 varies
Removal of tendon for graft (20924)
likely a partial charge, not the full procedure		 $948.75 $1,265 0.1×
Removal of testis (54520) $1,639.50 $2,186 0.5×
Removal of tonsils (42825)
likely a partial charge, not the full procedure		 $1,117.50 $1,490 0.2×
Removal of tonsils (42826) $1,223.25 $1,631 0.4×
Removal shoulder foreign body deep subfascial/im (23333) $1,365.75 $1,821 0.5×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 5 matching MRF lines		 $101.25–$278.25 $135–$371 varies
Removal, under anesthesia, of external fixation system (20694) $1,286.25 $1,715 0.8×
Removal/bivalving gauntlet boot/body cast (29700)
range across 3 matching MRF lines		 $197.25–$387.75 $263–$517 varies
Remove & graft wrist lesion (25135)
range across 2 matching MRF lines		 $222–$2,217 $296–$2,956 varies
Remove drug implant device (11982)
range across 3 matching MRF lines		 $146.25–$237 $195–$316 varies
Remove Forearm Foreign Body (25248)
range across 3 matching MRF lines		 $1,467–$3,855 $1,956–$5,140 varies
Remove foreign body from eye (65205) $84.75 $113 0.6×
Remove Intrauterine Device (58301)
range across 3 matching MRF lines		 $131.25–$188.25 $175–$251 varies
Remove Lower Leg Bone Lesion (27635) $2,630.25 $3,507 0.8×
Remove Nasal Foreign Body (30300)
range across 4 matching MRF lines		 $141.75–$332.25 $189–$443 varies
Remove Shoulder Foreign Body (23330)
range across 3 matching MRF lines		 $489–$924.75 $652–$1,233 varies
Remove Tendon Sheath Lesion (26160) $1,590 $2,120 1.0×
Remove wrist joint cartilage (25107)
range across 2 matching MRF lines		 $252.75–$2,525.25 $337–$3,367 varies
Remove/Insert Drug Implant (11983)
range across 3 matching MRF lines		 $204–$239.25 $272–$319 varies
Reopen fallopian tube (58350)
likely a partial charge, not the full procedure		 $192.75 $257 0.0×
Repair Achilles Tendon (27650)
unusually low: confirm this is the full procedure		 $2,658 $3,544 0.4×
Repair Blood Vessel Direct Upper Extremity (35206) $5,456.25 $7,275 1.7×
Repair Collat Ankle Ligmnt,Secondary (27698)
range across 2 matching MRF lines		 $333.75–$3,336 $445–$4,448 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 3 matching MRF lines		 $421.50–$1,233.75 $562–$1,645 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 3 matching MRF lines		 $660.75–$1,302 $881–$1,736 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 3 matching MRF lines		 $722.25–$984 $963–$1,312 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 4 matching MRF lines		 $596.25–$1,050 $795–$1,400 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 4 matching MRF lines		 $605.25–$1,005.75 $807–$1,341 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 4 matching MRF lines		 $506.25–$1,005.75 $675–$1,341 varies
Repair complex trunk 1.1-2.5 cm (13100)
range across 3 matching MRF lines		 $596.25–$754.50 $795–$1,006 varies
Repair complex trunk 2.6-7.5 cm (13101)
range across 4 matching MRF lines		 $733.50–$1,779.75 $978–$2,373 varies
Repair Elbow Perc (24357) $1,586.25 $2,115 0.5×
Repair Extensor Tendon Finger W/Graft Each (26420)
range across 2 matching MRF lines		 $250.50–$2,504.25 $334–$3,339 varies
Repair extensor tendon finger w/o graft each (26418) $1,974.75 $2,633 1.2×
Repair Finger/Hand Tendon (26350) $2,660.25 $3,547 0.8×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $1,610.25 $2,147 0.5×
Repair Foot Dislocation (28615)
unusually low: confirm this is the full procedure		 $2,250 $3,000 0.3×
Repair Hallux Rigidus (28289) $2,019.75 $2,693 0.6×
Repair Hand Joint (26540) $3,234 $4,312 1.0×
Repair Hand Tendon (26410) $1,972.50 $2,630 1.2×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $3,009.75 $4,013 0.8×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $1,117.50 $1,490 0.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 5 matching MRF lines		 $333.75–$689.25 $445–$919 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 3 matching MRF lines		 $580.50–$588.75 $774–$785 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 3 matching MRF lines		 $573–$635.25 $764–$847 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 3 matching MRF lines		 $649.50–$726.75 $866–$969 varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057)
range across 4 matching MRF lines		 $125.25–$1,255.50 $167–$1,674 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 3 matching MRF lines		 $793.50–$802.50 $1,058–$1,070 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 4 matching MRF lines		 $342–$564.75 $456–$753 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 3 matching MRF lines		 $579–$629.25 $772–$839 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 3 matching MRF lines		 $630.75–$857.25 $841–$1,143 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047)
range across 4 matching MRF lines		 $102.75–$1,248.75 $137–$1,665 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 3 matching MRF lines		 $709.50–$1,178.25 $946–$1,571 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 4 matching MRF lines		 $417.75–$693 $557–$924 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 4 matching MRF lines		 $475.50–$723 $634–$964 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 3 matching MRF lines		 $831.75–$1,392.75 $1,109–$1,857 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 3 matching MRF lines		 $605.25–$963 $807–$1,284 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 3 matching MRF lines		 $971.25–$1,418.25 $1,295–$1,891 varies
Repair Leg Fascia Defect (27656) $1,421.25 $1,895 0.4×
Repair Nonunion Hand (26546)
range across 2 matching MRF lines		 $306–$3,060.75 $408–$4,081 varies
Repair Nonunion/Malunion Tibia W/O Graft (27720) $3,855 $5,140 0.5×
Repair of fibula nonunion and/or malunion with internal fixation (27726) $3,984 $5,312 0.5×
Repair of hammertoe (28286) $1,247.25 $1,663 0.4×
Repair of knee ligaments (27409)
range across 2 matching MRF lines		 $417–$4,168.50 $556–$5,558 varies
Repair of metatarsals (28322)
range across 2 matching MRF lines		 $222–$2,220.75 $296–$2,961 varies
Repair of nail bed (11760)
range across 3 matching MRF lines		 $220.50–$1,035.75 $294–$1,381 varies
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405)
range across 2 matching MRF lines		 $385.50–$3,855 $514–$5,140 varies
Repair of rectocele (45560) $1,979.25 $2,639 0.7×
Repair of Ruptured Tendon (24342)
range across 2 matching MRF lines		 $314.25–$3,143.25 $419–$4,191 varies
Repair of shoulder (23420)
range across 2 matching MRF lines		 $423.75–$4,236.75 $565–$5,649 varies
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) $3,519 $4,692 0.5×
Repair Rotator Cuff Chronic (23412)
range across 2 matching MRF lines		 $377.25–$3,774 $503–$5,032 varies
Repair shoulder capsule (23462)
range across 2 matching MRF lines		 $414.75–$4,151.25 $553–$5,535 varies
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $1,064.25 $1,419 0.3×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
range across 2 matching MRF lines		 $267–$2,667.75 $356–$3,557 varies
Repair tongue laceration (41252) $615 $820 2.5×
Repair tongue laceration (41250)
range across 3 matching MRF lines		 $274.50–$453 $366–$604 varies
Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) $5,112 $6,816 0.7×
Repair, primary, disrupted ligament, ankle; collateral (27695)
likely a partial charge, not the full procedure		 $2,179.50 $2,906 0.3×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
range across 2 matching MRF lines		 $276–$2,760 $368–$3,680 varies
Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) $2,273.25 $3,031 0.7×
Repair/graft achilles tendon (27652)
unusually low: confirm this is the full procedure		 $3,093 $4,124 0.4×
Repair/Graft Wrist Bone (25440)
unusually low: confirm this is the full procedure		 $2,874.75 $3,833 0.4×
Repr elbow lat ligmnt w/tiss (24343)
range across 2 matching MRF lines		 $270.75–$2,706 $361–$3,608 varies
Repr torn cruciate knee ligam (27407)
range across 2 matching MRF lines		 $299.40–$1,497 $399.20–$1,996 varies
Rerepair ing hernia reduce (49520) $1,205.25 $1,607 0.3×
Resection of elbow joint (arthrectomy) Facility (24155) $1,942.50 $2,590 0.6×
Resection, partial or complete, phalangeal base, each toe (28126) $1,029.75 $1,373 0.3×
Revis reconst shoulder joint (23473)
range across 2 matching MRF lines		 $299.25–$2,990.25 $399–$3,987 varies
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
range across 2 matching MRF lines		 $516–$5,160 $688–$6,880 varies
Revise ulnar nerve at wrist (64719) $3,211.50 $4,282 1.6×
Revise/Implant Finger Joint (26536)
unusually low: confirm this is the full procedure		 $2,429.25 $3,239 0.3×
Revision of big toe (28310)
unusually low: confirm this is the full procedure		 $2,442 $3,256 0.3×
Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) $1,900.50 $2,534 0.5×
Revision of toe (28312) $1,197.75 $1,597 0.4×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
range across 2 matching MRF lines		 $324.75–$3,249.75 $433–$4,333 varies
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486)
unusually low: confirm this is the full procedure		 $6,321 $8,428 0.5×
Rmvl embedded fb vestibule mouth comp (40805) $616.50 $822 1.1×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $348 $464 0.4×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $122.25 $163 0.3×
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 3 matching MRF lines		 $150.75–$458.25 $201–$611 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $107.25 $143 0.2×
Rmvl fecal impaction/fb spx under anes (45915) $1,228.50 $1,638 1.0×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)
range across 3 matching MRF lines		 $271.50–$1,023 $362–$1,364 varies
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $492.75 $657 0.2×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $493.50 $658 0.3×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 3 matching MRF lines		 $834.75–$1,738.50 $1,113–$2,318 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $699 $932 1.1×
Rplc Gtube No Revj Trc (43762) $111.75 $149 0.4×
Rplcmt cath ctr vad subq port/pmp (36578)
range across 2 matching MRF lines		 $378.75–$2,721.75 $505–$3,629 varies
Rplcmt compl non-tun cvc w/o subq port/pmp (36580)
range across 2 matching MRF lines		 $123.75–$1,313.25 $165–$1,751 varies
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585)
range across 2 matching MRF lines		 $558–$5,451.75 $744–$7,269 varies
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584)
range across 2 matching MRF lines		 $115.50–$2,253 $154–$3,004 varies
Rplcmt compl tun ctr vad w/subq pmp (36583)
likely a partial charge, not the full procedure		 $612 $816 0.1×
Rplcmt compl tun ctr vad w/subq port (36582) $538.50 $718 0.2×
Rplcmt compl tun cvc w/o subq port/pmp (36581)
range across 2 matching MRF lines		 $343.50–$3,551.25 $458–$4,735 varies
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure		 $1,095.75 $1,461 0.2×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $628.50 $838 0.2×
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure		 $842.25 $1,123 0.1×
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure		 $672 $896 0.1×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $903 $1,204 0.6×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) $1,860.75 $2,481 0.6×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664)
likely a partial charge, not the full procedure		 $1,496.25 $1,995 0.2×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 3 matching MRF lines		 $282–$432 $376–$576 varies
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046)
range across 3 matching MRF lines		 $534.75–$805.50 $713–$1,074 varies
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $537.75 $717 2.2×
Rpr Lip Full Thickness Vermilion Only (40650)
range across 2 matching MRF lines		 $472.50–$685.50 $630–$914 varies
Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) $4,977.75 $6,637 0.7×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $1,376.25 $1,835 0.4×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $2,482.50 $3,310 0.7×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270)
range across 3 matching MRF lines		 $2,127–$4,464.75 $2,836–$5,953 varies
Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202)
range across 2 matching MRF lines		 $185.25–$1,852.50 $247–$2,470 varies
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575)
range across 2 matching MRF lines		 $63.75–$888.75 $85–$1,185 varies
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $3,426.75 $4,569 1.0×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $2,719.50 $3,626 0.8×
Shave skin lesion 0.5 cm/< (11300)
range across 5 matching MRF lines		 $116.25–$174.75 $155–$233 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310)
range across 5 matching MRF lines		 $132.75–$198.75 $177–$265 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $192 $256 0.9×
Shoulder arthroscopy (29820)
unusually low: confirm this is the full procedure		 $2,846.25 $3,795 0.4×
Shoulder arthroscopy diagnostic (29805) $5,061.75 $6,749 1.5×
Shoulder Arthroscopy/Surgery (29825)
range across 2 matching MRF lines		 $316.50–$3,164.25 $422–$4,219 varies
Shoulder joint surgery (23101) $2,031 $2,708 0.6×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311)
range across 3 matching MRF lines		 $156–$234 $208–$312 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 5 matching MRF lines		 $138.75–$208.50 $185–$278 varies
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302)
range across 3 matching MRF lines		 $153–$229.50 $204–$306 varies
Sigmoidoscopy & Polypectomy (45333) $178.50 $238 0.2×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $572.25 $763 0.6×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 3 matching MRF lines		 $382.50–$560.25 $510–$747 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 5 matching MRF lines		 $165.75–$358.50 $221–$478 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 4 matching MRF lines		 $174.75–$375.75 $233–$501 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017)
range across 3 matching MRF lines		 $300–$555.75 $400–$741 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 3 matching MRF lines		 $223.50–$405 $298–$540 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018)
range across 3 matching MRF lines		 $268.50–$515.25 $358–$687 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 4 matching MRF lines		 $132–$330 $176–$440 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 3 matching MRF lines		 $399–$429.75 $532–$573 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 3 matching MRF lines		 $150.75–$219 $201–$292 varies
Skin Full Grft Face/Genit/Hf (15240) $1,568.25 $2,091 0.7×
Skin Pinch Graft (15050) $1,184.25 $1,579 1.6×
Skin sub graft face/nk/hf/g (15275)
range across 3 matching MRF lines		 $184.50–$1,378.50 $246–$1,838 varies
Skin sub graft trnk/arm/leg (15271)
range across 6 matching MRF lines		 $165–$2,754.75 $220–$3,673 varies
Skin sub grft t/arm/lg child (15273) $389.25 $519 0.2×
Skn sub grft f/n/hf/g child (15277) $444 $592 0.2×
Slitting of prepuce (54001) $453 $604 0.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 4 matching MRF lines		 $176.25–$347.25 $235–$463 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 3 matching MRF lines		 $284.25–$428.25 $379–$571 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 3 matching MRF lines		 $348–$527.25 $464–$703 varies
Sphincterotomy anal division sphincter spx (46080) $1,000.50 $1,334 0.4×
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines		 $698.25–$785.25 $931–$1,047 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $1,365 $1,820 0.4×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $1,419.75 $1,893 0.7×
Strapping ankle (29540)
range across 3 matching MRF lines		 $52.50–$191.25 $70–$255 varies
Strapping elbow or wrist (29260)
range across 3 matching MRF lines		 $116.25–$197.25 $155–$263 varies
Strapping hand/finger (29280) $61.50 $82 1.0×
Strapping knee (29530)
range across 3 matching MRF lines		 $56.25–$154.50 $75–$206 varies
Strapping shoulder (29240) $146.25 $195 1.1×
Strapping thorax (29200) $56.25 $75 0.3×
Strapping toes (29550)
range across 3 matching MRF lines		 $33.75–$135.75 $45–$181 varies
Strapping Unna Boot (29580)
range across 8 matching MRF lines		 $80.25–$347.63 $107–$463.50 varies
Subcutaneous Hormone Pellet Implantation (11980)
range across 3 matching MRF lines		 $103.50–$156 $138–$208 varies
Surg tx anal fistula subq (46270) $1,594.50 $2,126 0.6×
Suture 1 nerve hand/foot common sensory nerve (64834) $6,143.25 $8,191 1.8×
Suture 1 Nerve Median Motor Thenar (64835)
range across 2 matching MRF lines		 $614.25–$6,143.25 $819–$8,191 varies
Suture digital nerve hand/foot 1 nerve (64831) $6,143.25 $8,191 3.1×
Suture infrapatellar tendon primary (27380)
range across 2 matching MRF lines		 $229.50–$2,295 $306–$3,060 varies
Suture of quadriceps or hamstring muscle rupture primary (27385)
range across 2 matching MRF lines		 $265.50–$2,654.25 $354–$3,539 varies
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386)
range across 2 matching MRF lines		 $332.25–$3,322.50 $443–$4,430 varies
Synovectomy carpometacarpal joint (26130) $1,796.25 $2,395 0.5×
Tangential biopsy skin single lesion (11102)
range across 7 matching MRF lines		 $116.25–$174 $155–$232 varies
Tenodesis long tendon biceps (23430)
range across 2 matching MRF lines		 $286.50–$2,866.50 $382–$3,822 varies
Tenolysis flexor tendon palm/finger each tendon (26440) $3,010.50 $4,014 1.8×
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) $2,004.75 $2,673 0.6×
Tenotomy Flexor Finger Open Each Tendon (26455) $1,332 $1,776 0.8×
Tenotomy Flexor Palm Open Each Tendon (26450) $2,923.50 $3,898 0.9×
Tenotomy Percutaneous Single Each Digit (26060) $963 $1,284 0.6×
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $1,392.75 $1,857 0.4×
Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg Facility (27391) $1,737.75 $2,317 0.5×
Thrombolytic Therapy Stroke (37195) $1,938 $2,584 5.7×
Tibial Arthroscopy/Surgery (29855)
unusually low: confirm this is the full procedure		 $3,028.50 $4,038 0.4×
Tlh uterus over 250 g (58572)
likely a partial charge, not the full procedure		 $3,258 $4,344 0.3×
Tnot elbow lateral/medial debride open (24358) $1,862.25 $2,483 0.6×
Tnot elbow lateral/medial debride open tdn rpr (24359)
range across 2 matching MRF lines		 $234.75–$2,345.25 $313–$3,127 varies
Tonsillectomy and adenoidectomy; age 12 or over (42821) $606 $808 0.2×
Total Knee Arthroplasty (27447)
range across 2 matching MRF lines		 $737.25–$7,370.25 $983–$9,827 varies
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225)
range across 2 matching MRF lines		 $375–$3,750.75 $500–$5,001 varies
Tracheostomy Emergency Cricothyroid Membrane (31605)
range across 3 matching MRF lines		 $985.50–$1,062 $1,314–$1,416 varies
Tracheostomy Emergency Procedure Transtracheal (31603)
range across 3 matching MRF lines		 $922.50–$1,308 $1,230–$1,744 varies
Transplant hand tendon (26480) $1,360.50 $1,814 0.4×
Treat ankle fracture (28445)
range across 2 matching MRF lines		 $348–$3,481.50 $464–$4,642 varies
Treat Big Toe Fracture (28505) $1,533 $2,044 0.5×
Treat ectopic pregnancy (59151)
range across 2 matching MRF lines		 $423.75–$4,235.25 $565–$5,647 varies
Treat elbow fracture (24586)
range across 2 matching MRF lines		 $381–$3,808.50 $508–$5,078 varies
Treat Elbow Fracture (24635)
range across 2 matching MRF lines		 $308.25–$3,081.75 $411–$4,109 varies
Treat Finger Fracture Each (26727) $1,491.75 $1,989 0.4×
Treat forearm bone lesion (25035)
unusually low: confirm this is the full procedure		 $2,475.75 $3,301 0.3×
Treat fracture radius/ulna (25575)
range across 2 matching MRF lines		 $311.25–$3,111.75 $415–$4,149 varies
Treat Fx Rad Extra-Articul (25607)
range across 2 matching MRF lines		 $245.25–$2,453.25 $327–$3,271 varies
Treat humerus fracture (24500)
range across 3 matching MRF lines		 $617.25–$969.75 $823–$1,293 varies
Treat Humerus Fracture (24505) $1,323.75 $1,765 0.8×
Treat humerus fracture (23600)
range across 3 matching MRF lines		 $569.25–$915 $759–$1,220 varies
Treat knee fracture (27532) $2,148.75 $2,865 0.6×
Treat Kneecap Fracture (27524)
unusually low: confirm this is the full procedure		 $2,877.75 $3,837 0.4×
Treat Knuckle Dislocation (26700) $906 $1,208 3.6×
Treat metacarpal fracture (26607)
range across 3 matching MRF lines		 $579–$868.50 $772–$1,158 varies
Treat Metatarsal Fracture (28475) $669.75 $893 2.7×
Treat scapula fracture (23585)
range across 2 matching MRF lines		 $298.50–$2,988 $398–$3,984 varies
Treat Tail Bone Fracture (27200)
range across 3 matching MRF lines		 $213–$319.50 $284–$426 varies
Treat Thumb Dislocation (26641) $933 $1,244 3.7×
Treat Thumb Fracture (26645) $1,065 $1,420 0.6×
Treat toe dislocation (28630) $263.25 $351 1.0×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,395.75 $1,861 0.8×
Treatment closed elbow dislocation w/o anes (24600) $991.50 $1,322 3.9×
Treatment of ankle fracture (27823) $3,939 $5,252 0.5×
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
range across 2 matching MRF lines		 $459–$4,590 $612–$6,120 varies
Treatment of tibia fracture (27756)
unusually low: confirm this is the full procedure		 $2,400.75 $3,201 0.3×
Trim skin lesion (11055)
range across 7 matching MRF lines		 $31.50–$222 $42–$296 varies
Trim skin lesions 2 to 4 (11056)
range across 8 matching MRF lines		 $43.50–$214.50 $58–$286 varies
Trim skin lesions over 4 (11057)
range across 7 matching MRF lines		 $57–$316.50 $76–$422 varies
Trimming Nondystrophic Nails Any Number (11719)
range across 5 matching MRF lines		 $15.75–$106.50 $21–$142 varies
Tubal ligation (58600) $1,925.25 $2,567 0.6×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $2,058.75 $2,745 0.7×
Tx Gastro Intub W/Asp (43753) $297 $396 1.3×
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
range across 2 matching MRF lines		 $306.75–$3,068.25 $409–$4,091 varies
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245)
range across 2 matching MRF lines		 $529.50–$5,293.50 $706–$7,058 varies
Tx Missed Abortion First Trimester Surgical (59820) $1,385.25 $1,847 0.4×
Tx Missed Abortion Second Trimester Surgical (59821) $1,593 $2,124 0.5×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $1,065 $1,420 0.6×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 3 matching MRF lines		 $492.75–$1,598.25 $657–$2,131 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $702 $936 2.8×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
likely a partial charge, not the full procedure		 $1,985.25 $2,647 0.2×
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) $2,156.25 $2,875 0.6×
Unlisted laparoscopy procedure, intestine (except rectum) (44238)
unusually low: confirm this is the full procedure		 $1,967.25 $2,623 0.3×
Unlisted procedure arthroscopy (29999)
range across 2 matching MRF lines		 $121.13–$1,211.25 $161.50–$1,615 varies
Unlisted procedure femur or knee (27599)
range across 2 matching MRF lines		 $255–$2,550 $340–$3,400 varies
Unlisted procedure foot or toes (28899)
range across 2 matching MRF lines		 $209.25–$2,091.75 $279–$2,789 varies
Unlisted Procedure Hands/Fingers (26989)
range across 2 matching MRF lines		 $162.75–$331.50 $217–$442 varies
Unlisted procedure humerus/elbow (24999) $255.75 $341 1.0×
Unlisted Procedure Male Genital System (55899) $1,042.50 $1,390 4.1×
Unlisted Procedure Muscskeletal System General (20999) $750.75 $1,001 3.0×
Unlisted procedure nervous system (64999)
range across 4 matching MRF lines		 $678–$935.25 $904–$1,247 varies
Unlisted Procedure Rectum (45999) $689.25 $919 0.7×
Unlisted procedure shoulder (23929) $255.75 $341 1.0×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $274.80 $366.40 0.3×
Vag hyst complex (58290) $3,823.50 $5,098 0.5×
Vag hyst incl t/o complex (58291) $3,909.75 $5,213 0.8×
Vag hyst w/t/o & vag repair (58263)
unusually low: confirm this is the full procedure		 $1,986 $2,648 0.4×
Vaginal Delivery After Cesarean Delivery (59612) $2,758.50 $3,678 0.8×
Vaginal delivery only (59409)
range across 2 matching MRF lines		 $1,808.25–$2,957.25 $2,411–$3,943 varies
Vaginal hysterectomy, for uterus 250 g or less; (58260) $3,562.50 $4,750 0.7×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262)
unusually low: confirm this is the full procedure		 $1,853.25 $2,471 0.4×
Vasc Embolize/Occlude Bleed (37244)
likely a partial charge, not the full procedure		 $1,979.25 $2,639 0.2×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 3 matching MRF lines		 $452.25–$569.25 $603–$759 varies
Vein Access Cutdown < 1 Yr (36420) $141 $188 1.0×
Venous Cutdown >1 Y/O (36425) $118.50 $158 0.3×
Vulvectomy simple partial (56620) $767.25 $1,023 0.2×
Wedge excision skin nail fold (11765)
range across 4 matching MRF lines		 $188.25–$328.50 $251–$438 varies
Wedging of cast (29740) $197.25 $263 0.7×
Windowing of cast (29730)
range across 3 matching MRF lines		 $197.25–$227.25 $263–$303 varies
Wound Prep Trk/Arm/Leg (15002) $432.75 $577 0.6×

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.