Procedures & surgery prices at Caribou Medical Center
Soda Springs, ID · every code in this section with a posted price and a Medicare benchmark.
459 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 4 matching MRF lines |
$190.44–$1,542.80 | $272.06–$2,204 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $162.55 | $232.22 | 0.2× |
| Ablate inf turbinate submuc (30802) | $822.50 | $1,175 | 0.5× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) | $2,073.40 | $2,962 | 1.4× |
| Acne surgery (10040) | $227.28 | $324.69 | 1.1× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $1,288.81 | $1,841.15 | 0.4× |
| Amputation toe metatarsophalangeal joint (28820) | $2,100 | $3,000 | 0.6× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $172.32 | $246.17 | 0.1× |
| Application cast elbow finger short arm (29075) | $221.59 | $316.56 | 0.8× |
| Application Finger Splint Dynamic (29131) | $93.93 | $134.19 | 1.6× |
| Application finger splint static (29130) range across 2 matching MRF lines |
$106.43–$117.45 | $152.04–$167.78 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$206.76–$225.37 | $295.37–$321.95 | varies |
| Application Long Leg Splint (29505) | $200.09 | $285.84 | 1.2× |
| Application of long leg cast (29345) | $347.46 | $496.37 | 1.3× |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$168.46–$185.95 | $240.66–$265.64 | varies |
| Application short leg splint calf foot (29515) | $202.81 | $289.73 | 1.3× |
| Apply long arm cast (29065) | $229.17 | $327.39 | 0.8× |
| Apply Multlay Comprs Lwr Leg (29581) | $331.84 | $474.05 | 2.1× |
| Apply Short Leg Cast (29405) | $233.10 | $333 | 0.8× |
| Arterial puncture (36600) | $114.10 | $163 | 0.9× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) likely a partial charge, not the full procedure |
$1,120 | $1,600 | 0.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$150.68–$443.80 | $215.25–$634 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 2 matching MRF lines |
$122.50–$596.40 | $175–$852 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$190.66–$861 | $272.37–$1,230 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 5 matching MRF lines |
$152.88–$971.60 | $218.40–$1,388 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$131.89–$145.57 | $188.42–$207.95 | varies |
| Arthrodesis sacroiliac joint percutaneous (27279) likely a partial charge, not the full procedure |
$560 | $800 | 0.0× |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) likely a partial charge, not the full procedure |
$1,904 | $2,720 | 0.1× |
| Arthroplasty glenohumeral joint total shoulder (23472) likely a partial charge, not the full procedure |
$2,846.90 | $4,067 | 0.2× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) | $2,240 | $3,200 | 0.7× |
| Arthroscopy Elbow Surgical Debridement Limited (29837) | $441 | $630 | 0.1× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) unusually low: confirm this is the full procedure |
$2,367.40 | $3,382 | 0.3× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) unusually low: confirm this is the full procedure |
$2,367.40 | $3,382 | 0.3× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) likely a partial charge, not the full procedure |
$2,677.50 | $3,825 | 0.2× |
| Aspirate pleura w/ imaging (32555) | $534.97 | $764.24 | 0.9× |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$270.59–$933.80 | $386.56–$1,334 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $153.18 | $218.83 | 0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$230.06–$511 | $328.65–$730 | varies |
| Biopsy of lip (40490) | $199.57 | $285.10 | 0.9× |
| Biopsy Tongue Anterior Two-Thirds (41100) | $326.20 | $466 | 0.6× |
| Biopsy Tongue Posterior One-Third (41105) | $163.10 | $233 | 0.0× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$102.90–$473.20 | $147–$676 | varies |
| Bladder Scan (51798) | $163.80 | $234 | 2.8× |
| Blepharotomy drainage abscess eyelid (67700) | $574.67 | $820.95 | 1.8× |
| Blood Transfusion Service (36430) range across 2 matching MRF lines |
$689.23–$799.40 | $984.62–$1,142 | varies |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) | $987.70 | $1,411 | 0.3× |
| Carpal Tunnel Surgery (64721) | $1,172.50 | $1,675 | 0.6× |
| Catheter aspiration nasotracheal spx (31720) | $189 | $270 | 0.9× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) range across 2 matching MRF lines |
$245–$641.90 | $350–$917 | varies |
| Change Cystostomy Tube Simple (51705) | $183.43 | $262.04 | 0.7× |
| Chemical Cautery Tissue (17250) | $157.50 | $225 | 0.8× |
| Chemodenerv 1 extremity 1-4 (64642) | $291.14 | $415.92 | 0.4× |
| Chemodenerv Eccrine Glands (64650) | $153.02 | $218.60 | 0.5× |
| Chemodenerv Musc Migraine (64615) | $428.18 | $611.68 | 1.4× |
| Chemodenerv musc neck dyston (64616) | $217.91 | $311.30 | 0.7× |
| Chemodenerv trunk musc 1-5 (64646) | $246.83 | $352.62 | 0.4× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $278.96 | $398.52 | 0.9× |
| Chest tube placement (32551) | $415.08 | $592.97 | 0.3× |
| Circumcision Neonate (54160) | $1,401.40 | $2,002 | 2.0× |
| Circumcision w/clamp/oth dev w/block (54150) | $352.23 | $503.18 | 0.2× |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$290.18–$320.26 | $414.54–$457.52 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) | $532.70 | $761 | 2.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $994.50 | $1,420.72 | 0.6× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $1,069.61 | $1,528.02 | 0.7× |
| Closed tx patellar dislocation w/anesthesia (27562) | $909.63 | $1,299.47 | 3.7× |
| Closed tx radial shaft fracture w/manipulation (25505) | $971.75 | $1,388.21 | 0.6× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$539.70–$937.15 | $771–$1,338.78 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $175 | $250 | 0.7× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) range across 2 matching MRF lines |
$488.37–$539.01 | $697.67–$770.02 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 3 matching MRF lines |
$854.25–$942.80 | $1,220.36–$1,346.85 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$724.93–$800.07 | $1,035.62–$1,142.96 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $845.13 | $1,207.33 | 0.5× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $601.30 | $859 | 2.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 2 matching MRF lines |
$638.16–$641.48 | $911.66–$916.40 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$742.70–$833 | $1,061–$1,190 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 3 matching MRF lines |
$1,092.50–$1,205.73 | $1,560.72–$1,722.47 | varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $756 | $1,080 | 0.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$374.78–$385 | $535.40–$550 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) | $1,490.86 | $2,129.80 | 0.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $301.43 | $430.61 | 1.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $704.29 | $1,006.13 | 2.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$652.17–$710.86 | $931.67–$1,015.52 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 3 matching MRF lines |
$383.82–$423.61 | $548.31–$605.16 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $419.80 | $599.72 | 1.7× |
| Cltx post hip arthrp dislc req anes (27266) | $947.86 | $1,354.08 | 0.6× |
| Cltx post hip arthrp dislc w/o anes (27265) | $783.45 | $1,119.21 | 3.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $788.88 | $1,126.97 | 0.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$284.20–$302.44 | $406–$432.05 | varies |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $820.26 | $1,171.80 | 0.5× |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$630–$632.99 | $900–$904.27 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $154 | $220 | 1.2× |
| Collection of venous blood by venipuncture (36415) | $21.70 | $31 | 2.3× |
| Colonoscopy thru stoma (44388) | $105 | $150 | 0.1× |
| Colonoscopy w/submucosal inj (45381) | $389.55 | $556.50 | 0.3× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $385 | $550 | 1.3× |
| Colposcopy Cervix Endocervical Curettage (57456) | $385 | $550 | 1.3× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $385 | $550 | 1.3× |
| Colposcopy entire vagina w/cervix if present (57420) | $385 | $550 | 1.3× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $840 | $1,200 | 0.9× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $963.18 | $1,375.97 | 0.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$445.20–$484.22 | $636–$691.74 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$222.12–$287.70 | $317.31–$411 | varies |
| Correction hammertoe (28285) | $1,066.10 | $1,523 | 0.3× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) | $1,165.50 | $1,665 | 0.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $508.33 | $726.18 | 3.9× |
| Curettage postpartum (59160) | $175 | $250 | 0.1× |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) likely a partial charge, not the full procedure |
$1,155 | $1,650 | 0.2× |
| Cysto w/insert ureteral stent (52332) | $446.60 | $638 | 0.1× |
| Cysto w/removal of lesions small (52224) | $862.40 | $1,232 | 0.2× |
| Cysto W/Simple Removal Stone & Stent (52310) range across 2 matching MRF lines |
$332.50–$840 | $475–$1,200 | varies |
| Cysto w/ureteroscopy w/lithotripsy (52353) likely a partial charge, not the full procedure |
$669.20 | $956 | 0.1× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) | $627.20 | $896 | 0.2× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) | $503.30 | $719 | 0.1× |
| Cysto/uretero w/lithotripsy (52356) likely a partial charge, not the full procedure |
$714.70 | $1,021 | 0.1× |
| Cystolithotomy (51050) likely a partial charge, not the full procedure |
$902.06 | $1,288.65 | 0.2× |
| Cystourethroscopy (52000) range across 2 matching MRF lines |
$192.50–$840 | $275–$1,200 | varies |
| Cystourethroscopy inj chemodenervation bladder (52287) | $327.60 | $468 | 0.2× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) | $1,032.50 | $1,475 | 0.3× |
| Cystourethroscopy w/dil bladder general anesth (52260) | $315 | $450 | 0.2× |
| Cystourethroscopy with biopsy (52204) | $303.80 | $434 | 0.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $194.44 | $277.77 | 0.5× |
| Debride nail 1-5 (11720) | $82.68 | $118.11 | 1.4× |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$99.96–$108.96 | $142.80–$155.65 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $200.09 | $285.84 | 0.5× |
| Declot vascular device (36593) | $569.10 | $813 | 1.7× |
| Decompress Spinal Cord Lmbr (63056) | $6,440 | $9,200 | 0.9× |
| Dermabrasion regional other than face (15782) | $20.27 | $28.96 | 0.0× |
| Dermabrasion segmental face (15781) | $40.58 | $57.97 | 0.1× |
| Dermabrasion total face (15780) | $28.40 | $40.57 | 0.0× |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$605.50–$3,701.60 | $865–$5,288 | varies |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$710.50–$3,875.90 | $1,015–$5,537 | varies |
| Destruct B9 Lesion 1-14 (17110) | $282.72 | $403.89 | 1.4× |
| Destruction Benign Lesions 15/> (17111) | $336.20 | $480.29 | 1.7× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) | $290.50 | $415 | 0.2× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $194.44 | $277.77 | 1.0× |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 2 matching MRF lines |
$294–$3,084.20 | $420–$4,406 | varies |
| Destruction Premalignant Lesion 15/> (17004) | $358.80 | $512.57 | 0.9× |
| Destruction premalignant lesion 1st (17000) | $206.66 | $295.23 | 1.0× |
| Diagnostic sigmoidoscopy (45330) | $242.11 | $345.87 | 0.3× |
| Dilate Esophagus 1/Mult Pass (43450) | $224 | $320 | 0.2× |
| Dilation & curettage dx&/ther nonobstetric (58120) | $513.99 | $734.27 | 0.2× |
| Drain Cerebro Spinal Fluid (62272) range across 2 matching MRF lines |
$282.46–$1,164.10 | $403.52–$1,663 | varies |
| Drain/inj small joint/bursa w/us (20604) range across 2 matching MRF lines |
$107.10–$112 | $153–$160 | varies |
| Drainage external ear abscess/hematoma cmplx (69005) | $403.70 | $576.71 | 0.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $336.20 | $480.29 | 0.5× |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$182.18–$383.45 | $260.26–$547.79 | varies |
| Draw Blood Off Venous Device (36591) | $161 | $230 | 1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$155.75–$380.80 | $222.50–$544 | varies |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 2 matching MRF lines |
$198.80–$2,240 | $284–$3,200 | varies |
| Egd Balloon Dil Esoph30 Mm/> (43233) | $461.46 | $659.23 | 0.2× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $385.70 | $551 | 0.2× |
| Egd guide wire insertion (43248) | $367.50 | $525 | 0.4× |
| Egd remove lesion snare (43251) range across 2 matching MRF lines |
$426.62–$428.82 | $609.45–$612.60 | varies |
| Endometrial Biopsy (58100) | $278.96 | $398.52 | 1.4× |
| Epidural Blood Patch (62273) | $292.03 | $417.18 | 0.4× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$105–$105.20 | $150–$150.28 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $291.14 | $415.92 | 0.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $513.70 | $733.86 | 0.3× |
| Exc Back Les Sc < 3 Cm (21930) | $1,002.96 | $1,432.80 | 0.6× |
| Exc Back Tum Deep 5 Cm/> (21933) | $1,411.23 | $2,016.04 | 0.5× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $503.29 | $718.98 | 0.7× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $687.39 | $981.98 | 1.0× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $832 | $1,188.57 | 0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $344.74 | $492.48 | 0.5× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $355.95 | $508.50 | 0.5× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $476.16 | $680.23 | 0.7× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $564.33 | $806.19 | 0.3× |
| Exc Frenum Labial/Buccal (40819) | $815.17 | $1,164.53 | 0.5× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $271.47 | $387.82 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $398.22 | $568.88 | 0.6× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $444.20 | $634.57 | 0.3× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $263.90 | $377 | 0.2× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) | $326.20 | $466 | 0.1× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$158.75–$444.53 | $226.78–$635.04 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $587.88 | $839.83 | 0.4× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $761.61 | $1,088.02 | 0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$117.45–$786.93 | $167.78–$1,124.18 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $710.86 | $1,015.52 | 0.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $1,136.19 | $1,623.13 | 0.7× |
| Exc thigh/knee les sc 3 cm/> (27337) | $665 | $950 | 0.2× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$370.93–$378.50 | $529.90–$540.72 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$420.69–$549.43 | $600.98–$784.90 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $79.92 | $114.17 | 0.0× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) range across 2 matching MRF lines |
$1,010.63–$1,101.58 | $1,443.75–$1,573.69 | varies |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) | $857.71 | $1,225.30 | 0.5× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $1,092 | $1,560 | 0.4× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $1,064 | $1,520 | 0.7× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $715.55 | $1,022.21 | 1.0× |
| Excision Chest Wall Tumor Including Ribs (21601) | $1,925.99 | $2,751.42 | 0.7× |
| Excision Lesion Tongue W/O Closure (41110) | $163.10 | $233 | 0.0× |
| Excision Lingual Frenum Frenectomy (41115) | $163.10 | $233 | 0.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $406.66 | $580.94 | 0.6× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $628.26 | $897.52 | 1.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $663.96 | $948.51 | 0.9× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $424.41 | $606.30 | 0.6× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $811.41 | $1,159.15 | 0.5× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $1,299.66 | $1,856.66 | 0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $373.60 | $533.72 | 0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $486.46 | $694.94 | 0.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $541.90 | $774.14 | 0.8× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $856.43 | $1,223.47 | 0.5× |
| Excision Multiple External Papillae/Tags Anus (46230) | $316.53 | $452.19 | 0.1× |
| Excision nasal polyp(s) simple (30110) range across 2 matching MRF lines |
$252–$422.10 | $360–$603 | varies |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $224 | $320 | 0.1× |
| Excision of single external papilla or tag, anus (46220) | $217.91 | $311.30 | 0.2× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $963.50 | $1,376.43 | 0.3× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $747.92 | $1,068.45 | 0.5× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $801.08 | $1,144.40 | 0.5× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) range across 2 matching MRF lines |
$799.09–$871.01 | $1,141.56–$1,244.30 | varies |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $826.34 | $1,180.49 | 0.5× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | $3,699.79 | $5,285.42 | 1.3× |
| Excision/destruction intranasal lesion int appr (30117) | $1,776.60 | $2,538 | 0.5× |
| Explo/Drain Breast Abscess (19020) | $332.50 | $475 | 0.2× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) | $679 | $970 | 0.2× |
| Fetal non-stress test (59025) | $315 | $450 | 1.6× |
| Fine needle aspiration without imaging guidance (10021) | $203.85 | $291.22 | 0.5× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $669.90 | $957 | 0.2× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $865.80 | $1,236.86 | 0.3× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $975.77 | $1,393.95 | 0.4× |
| Hysteroscopy Biopsy (58558) range across 2 matching MRF lines |
$2,514.40–$2,514.61 | $3,592–$3,592.30 | varies |
| I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
$256.20–$357 | $366–$510 | varies |
| I&d abscess simple (10060) range across 4 matching MRF lines |
$221.59–$411.60 | $316.56–$588 | varies |
| I&d pilonidal cyst simple (10080) | $282.72 | $403.89 | 0.4× |
| Implant neuroelectrodes (63650) likely a partial charge, not the full procedure |
$1,351 | $1,930 | 0.2× |
| Implant Neuroelectrodes (64561) likely a partial charge, not the full procedure |
$982.10 | $1,403 | 0.2× |
| Implant Periph/Gastric Neurostim/Receiver (64590) likely a partial charge, not the full procedure |
$410.20 | $586 | 0.0× |
| Incise external hemorrhoid (46083) | $256.20 | $366 | 1.0× |
| Incise finger tendon sheath (26055) | $1,017.80 | $1,454 | 0.6× |
| Incision & drainage abscess complicated/multiple (10061) | $250.76 | $358.23 | 0.6× |
| Incision & removal foreign body subq tiss compl (10121) | $354.11 | $505.87 | 0.2× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$325.91–$350.53 | $465.58–$500.75 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$235.72–$238.66 | $336.74–$340.94 | varies |
| Incision of eardrum (69421) | $2,791.60 | $3,988 | 0.9× |
| Incision of eardrum (69420) range across 2 matching MRF lines |
$228.90–$352.80 | $327–$504 | varies |
| Incision of labial frenum (frenotomy) (40806) | $209.46 | $299.23 | 0.4× |
| Incision of lingual frenum (frenotomy) (41010) | $553.12 | $790.17 | 0.4× |
| Incision of rectal abscess (46040) | $919.23 | $1,313.18 | 0.8× |
| Incisional biopsy skin single lesion (11106) | $93.30 | $133.28 | 0.1× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $81.20 | $116 | 0.4× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$357–$1,994.30 | $510–$2,849 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 2 matching MRF lines |
$840–$1,461.60 | $1,200–$2,088 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $147.49 | $210.70 | 0.5× |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 3 matching MRF lines |
$332.50–$1,079.40 | $475–$1,542 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 2 matching MRF lines |
$1,190–$1,816.50 | $1,700–$2,595 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 2 matching MRF lines |
$350–$1,127.70 | $500–$1,611 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 3 matching MRF lines |
$396.90–$1,655.50 | $567–$2,365 | varies |
| Injection anesthetic agent suprascapular nerve (64418) range across 2 matching MRF lines |
$105–$868 | $150–$1,240 | varies |
| Injection single tendon origin/insertion (20551) | $153.18 | $218.83 | 0.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$157.79–$504 | $225.41–$720 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) | $184.07 | $262.95 | 0.6× |
| Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines |
$184.10–$363.30 | $263–$519 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) | $485.50 | $693.57 | 0.6× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $511.06 | $730.08 | 0.7× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$266–$1,920.10 | $380–$2,743 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $117.45 | $167.78 | 0.6× |
| Insert Bladder Cath Complex (51703) | $287.97 | $411.39 | 2.3× |
| Insert cath pleura w/o image (32556) | $245 | $350 | 0.1× |
| Insert cervical dilator (59200) | $716.63 | $1,023.75 | 2.4× |
| Insert Drug Implant Device (11981) | $251.72 | $359.60 | 1.9× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$278.31–$281.80 | $397.58–$402.57 | varies |
| Insert pessary/other device (57160) | $194.44 | $277.77 | 1.0× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$79.42–$299.60 | $113.45–$428 | varies |
| Insert tunneled cv cath (36561) | $1,076.19 | $1,537.41 | 0.3× |
| Insert tunneled cv cath (36563) likely a partial charge, not the full procedure |
$632.99 | $904.27 | 0.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $87.65 | $125.21 | 0.7× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 2 matching MRF lines |
$654.15–$3,139.50 | $934.50–$4,485 | varies |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) range across 2 matching MRF lines |
$744.41–$1,890 | $1,063.44–$2,700 | varies |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $646.14 | $923.06 | 0.2× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) likely a partial charge, not the full procedure |
$759.50 | $1,085 | 0.0× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $927.28 | $1,324.68 | 2.3× |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$254.46–$760.90 | $363.51–$1,087 | varies |
| Labyrinthotomy Transcanal (69801) | $1,322.30 | $1,889 | 0.9× |
| Lam facetec & foramot lumbar (63047) likely a partial charge, not the full procedure |
$910 | $1,300 | 0.1× |
| Laminotomy Single Lumbar (63042) likely a partial charge, not the full procedure |
$910 | $1,300 | 0.1× |
| Lap paraesophag hern repair (43281) likely a partial charge, not the full procedure |
$2,429 | $3,470 | 0.2× |
| Laparo-vag hyst incl t/o (58552) likely a partial charge, not the full procedure |
$2,024.40 | $2,892 | 0.2× |
| Laparoscopy aspiration (49322) likely a partial charge, not the full procedure |
$249.20 | $356 | 0.0× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) likely a partial charge, not the full procedure |
$804.17 | $1,148.81 | 0.1× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) likely a partial charge, not the full procedure |
$1,424.50 | $2,035 | 0.1× |
| Laparoscopy w/rmvl adnexal structures (58661) likely a partial charge, not the full procedure |
$1,176 | $1,680 | 0.2× |
| Laparoscopy, surgical, appendectomy (44970) unusually low: confirm this is the full procedure |
$1,834.93 | $2,621.33 | 0.3× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) likely a partial charge, not the full procedure |
$1,338.40 | $1,912 | 0.1× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) unusually low: confirm this is the full procedure |
$3,296.11 | $4,708.73 | 0.3× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) | $1,492.13 | $2,131.61 | 0.4× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) likely a partial charge, not the full procedure |
$1,750 | $2,500 | 0.3× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) unusually low: confirm this is the full procedure |
$2,266.59 | $3,237.99 | 0.4× |
| Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) likely a partial charge, not the full procedure |
$700 | $1,000 | 0.1× |
| Laparoscopy, Tubal Block (58671) likely a partial charge, not the full procedure |
$673.41 | $962.01 | 0.1× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) likely a partial charge, not the full procedure |
$567 | $810 | 0.1× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) | $1,646.12 | $2,351.60 | 0.4× |
| Laryngoscopy flexible diagnostic (31575) | $396.20 | $566 | 2.0× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) | $367.50 | $525 | 1.0× |
| Ligamentous reconstruction knee intra-articular (27428) likely a partial charge, not the full procedure |
$1,120 | $1,600 | 0.1× |
| Lithotripsy, extracorporeal shock wave (50590) | $948.50 | $1,355 | 0.3× |
| Low Back Disk Surgery (63030) | $3,873.80 | $5,534 | 0.5× |
| Mastectomy partial (19301) | $1,168.16 | $1,668.80 | 0.3× |
| Mastectomy simple complete (19303) range across 2 matching MRF lines |
$2,076.23–$2,263.09 | $2,966.04–$3,232.98 | varies |
| N Block Inj Ilio-Ing/Hypogi (64425) | $342.07 | $488.67 | 0.5× |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$700–$2,079 | $1,000–$2,970 | varies |
| N Block Inj Plantar Digit (64455) | $256.90 | $367 | 0.8× |
| N Block Lumbar/Thoracic (64520) range across 2 matching MRF lines |
$570.50–$1,631.70 | $815–$2,331 | varies |
| Nasal Endoscopy Dx (31231) | $352.80 | $504 | 1.8× |
| Nasal/Orogastric W/Tube Plmt (43752) | $79.27 | $113.24 | 0.2× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) | $3,246.60 | $4,638 | 0.9× |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) likely a partial charge, not the full procedure |
$455 | $650 | 0.1× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) | $413.70 | $591 | 0.2× |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) | $298.20 | $426 | 0.2× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) | $480.90 | $687 | 0.3× |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) | $5,934.60 | $8,478 | 0.9× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) likely a partial charge, not the full procedure |
$936.60 | $1,338 | 0.1× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) likely a partial charge, not the full procedure |
$816.90 | $1,167 | 0.1× |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) likely a partial charge, not the full procedure |
$1,424.50 | $2,035 | 0.2× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) | $5,688.90 | $8,127 | 0.8× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) | $1,213.10 | $1,733 | 0.8× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) | $1,459.50 | $2,085 | 0.8× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $687.40 | $982 | 1.6× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$332.50–$2,491.30 | $475–$3,559 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$280–$1,726.90 | $400–$2,467 | varies |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 3 matching MRF lines |
$294–$1,674.40 | $420–$2,392 | varies |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) | $5,934.60 | $8,478 | 0.9× |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) likely a partial charge, not the full procedure |
$480.90 | $687 | 0.1× |
| Occipital Nerve Block (64405) range across 3 matching MRF lines |
$220.50–$630 | $315–$900 | varies |
| Open biopsy/excision inguinofemoral nodes (38531) | $712.82 | $1,018.32 | 0.2× |
| Open Implantation Nea Sacral Nerve (64581) likely a partial charge, not the full procedure |
$1,264.90 | $1,807 | 0.2× |
| Open treatment metatarsal fracture each (28485) likely a partial charge, not the full procedure |
$469 | $670 | 0.1× |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) likely a partial charge, not the full procedure |
$1,032.50 | $1,475 | 0.1× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) | $939.03 | $1,341.47 | 0.3× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $502.60 | $718 | 0.2× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) likely a partial charge, not the full procedure |
$535.50 | $765 | 0.1× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) likely a partial charge, not the full procedure |
$1,944.60 | $2,778 | 0.3× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) likely a partial charge, not the full procedure |
$705.60 | $1,008 | 0.1× |
| Orchiopexy Ingun/Scrot Appr (54640) | $826 | $1,180 | 0.2× |
| Partial removal of thyroid (60220) likely a partial charge, not the full procedure |
$1,499.40 | $2,142 | 0.3× |
| Partial thyroid excision (60212) unusually low: confirm this is the full procedure |
$1,835.40 | $2,622 | 0.3× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) unusually low: confirm this is the full procedure |
$3,152.10 | $4,503 | 0.4× |
| Perq Vertebral Augmentation (22513) likely a partial charge, not the full procedure |
$1,820 | $2,600 | 0.3× |
| Placement of needle for intraosseous infusion (36680) | $84.53 | $120.75 | 0.2× |
| Placement of seton (46020) | $92.40 | $132 | 0.0× |
| Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) | $840 | $1,200 | 0.7× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) | $358.53 | $512.19 | 0.3× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) range across 2 matching MRF lines |
$1,750–$5,846.40 | $2,500–$8,352 | varies |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $1,106 | $1,580 | 0.3× |
| Punch biopsy skin single lesion (11104) | $158.20 | $226 | 0.4× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$165.24–$302.44 | $236.05–$432.05 | varies |
| Removal Embedded Foreign Body Eyelid (67938) | $238.50 | $340.71 | 0.8× |
| Removal foreign body foot deep (28192) | $919.39 | $1,313.42 | 0.6× |
| Removal Foreign Body Foot Subcutaneous (28190) | $345.45 | $493.50 | 0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$25.58–$28.24 | $36.54–$40.34 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $68.58 | $97.97 | 1.2× |
| Removal Implant Deep (20680) | $1,008 | $1,440 | 0.4× |
| Removal Implant Superficial Separate Procedure (20670) | $98 | $140 | 0.1× |
| Removal implantable contraceptive capsules (11976) | $288.33 | $411.90 | 0.4× |
| Removal of adenoids (42831) | $2,791.60 | $3,988 | 0.9× |
| Removal of adenoids (42830) | $840 | $1,200 | 0.3× |
| Removal of foreign body from pharynx (42809) | $262.10 | $374.43 | 0.6× |
| Removal of nail bed (11750) | $262.94 | $375.63 | 0.7× |
| Removal of testis (54520) | $602.70 | $861 | 0.2× |
| Removal of tonsils (42826) | $840 | $1,200 | 0.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $178.49 | $254.99 | 0.9× |
| Remove drug implant device (11982) | $286.41 | $409.16 | 0.6× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$146.34–$161.51 | $209.06–$230.73 | varies |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$224.03–$244.19 | $320.04–$348.84 | varies |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$133.62–$504.33 | $190.89–$720.47 | varies |
| Remove/Insert Drug Implant (11983) | $401.93 | $574.19 | 0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $746.94 | $1,067.06 | 1.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $848.94 | $1,212.77 | 2.1× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $630.12 | $900.17 | 1.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $1,082.76 | $1,546.80 | 2.7× |
| Repair complex trunk 2.6-7.5 cm (13101) | $439.51 | $627.87 | 0.6× |
| Repair Foot Dislocation (28615) likely a partial charge, not the full procedure |
$682.50 | $975 | 0.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $546.55 | $780.78 | 1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $621.69 | $888.13 | 1.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $614.16 | $877.37 | 1.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $682.67 | $975.24 | 1.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $504.33 | $720.47 | 1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $732.49 | $1,046.42 | 1.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $759.73 | $1,085.33 | 1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $714.64 | $1,020.92 | 1.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $373.74 | $533.91 | 0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$344.68–$380.39 | $492.40–$543.41 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $385 | $550 | 0.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$343.76–$659.27 | $491.09–$941.81 | varies |
| Replace G-J Tube Perc (49452) | $231 | $330 | 0.3× |
| Rev/rmv prph sac/gstr npg/r (64595) | $188.30 | $269 | 0.1× |
| Revise knuckle joint (26530) likely a partial charge, not the full procedure |
$357 | $510 | 0.0× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | $1,050 | $1,500 | 0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $112.31 | $160.44 | 0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $148.37 | $211.96 | 1.1× |
| Rmvl fecal impaction/fb spx under anes (45915) | $538.90 | $769.86 | 0.5× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) | $612.50 | $875 | 0.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $647.93 | $925.62 | 0.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $354.11 | $505.87 | 0.6× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$133–$350 | $190–$500 | varies |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) unusually low: confirm this is the full procedure |
$2,425.50 | $3,465 | 0.4× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $2,425.50 | $3,465 | 0.7× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) unusually low: confirm this is the full procedure |
$2,425.50 | $3,465 | 0.4× |
| Rpr aa hernia recr 3-10 cm reducible (49615) unusually low: confirm this is the full procedure |
$2,425.50 | $3,465 | 0.4× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) unusually low: confirm this is the full procedure |
$2,425.50 | $3,465 | 0.4× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) | $2,425.50 | $3,465 | 0.7× |
| Rpr aa hrn 1st 3-10 rdc (49593) unusually low: confirm this is the full procedure |
$2,425.50 | $3,465 | 0.4× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) unusually low: confirm this is the full procedure |
$2,425.50 | $3,465 | 0.4× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$140–$359.68 | $200–$513.83 | varies |
| Rpr Lip Full Thickness Vermilion Only (40650) | $600.60 | $858 | 1.1× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) | $665 | $950 | 0.2× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) | $1,132.60 | $1,618 | 0.3× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $973 | $1,390 | 0.8× |
| Shave skin lesion 0.5 cm/< (11300) | $260.13 | $371.62 | 0.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $182 | $260 | 0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $173.60 | $248 | 0.9× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $119.34 | $170.48 | 0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $222.60 | $318 | 1.1× |
| Sigmoidoscopy & Polypectomy (45333) | $1,050 | $1,500 | 1.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $210 | $300 | 0.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$251.08–$277.12 | $358.68–$395.88 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$269.75–$297.70 | $385.35–$425.29 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $292.98 | $418.54 | 1.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$209.33–$231.06 | $299.04–$330.08 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$291.06–$321.26 | $415.80–$458.94 | varies |
| Skin sub graft face/nk/hf/g (15275) range across 3 matching MRF lines |
$39.14–$227.50 | $55.91–$325 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$187.83–$1,802.50 | $268.33–$2,575 | varies |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) | $1,176 | $1,680 | 0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$245.05–$270.47 | $350.07–$386.38 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$356.55–$393.53 | $509.36–$562.18 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 3 matching MRF lines |
$215.60–$387.28 | $308–$553.26 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 3 matching MRF lines |
$189.78–$683.90 | $271.11–$977 | varies |
| Strapping shoulder (29240) | $53.60 | $76.57 | 0.4× |
| Strapping toes (29550) range across 2 matching MRF lines |
$59.61–$65.77 | $85.16–$93.96 | varies |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$136.12–$150.22 | $194.46–$214.60 | varies |
| Subcutaneous injection filling matrl 1.1-5.0 cc (11951) | $173.52 | $247.89 | 0.2× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) | $793.80 | $1,134 | 0.2× |
| Surg Implnt Neuroelect,Epidural (63655) likely a partial charge, not the full procedure |
$1,960 | $2,800 | 0.1× |
| Tangential biopsy skin single lesion (11102) | $78.04 | $111.48 | 0.2× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) likely a partial charge, not the full procedure |
$840 | $1,200 | 0.1× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) | $2,791.60 | $3,988 | 0.9× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857) likely a partial charge, not the full procedure |
$1,442 | $2,060 | 0.1× |
| Total Knee Arthroplasty (27447) likely a partial charge, not the full procedure |
$2,863 | $4,090 | 0.2× |
| Transur electr resection of prostate (52601) likely a partial charge, not the full procedure |
$1,470 | $2,100 | 0.3× |
| Transurethral resection bladder neck (52500) | $2,170 | $3,100 | 0.6× |
| Treat Fx Rad Extra-Articul (25607) likely a partial charge, not the full procedure |
$1,822.80 | $2,604 | 0.3× |
| Treat Metatarsal Fracture (28475) | $469 | $670 | 1.9× |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 3 matching MRF lines |
$894.31–$987.01 | $1,277.59–$1,410.02 | varies |
| Treatment closed elbow dislocation w/o anes (24600) | $775.68 | $1,108.11 | 3.2× |
| Trim skin lesion (11055) | $270.47 | $386.38 | 1.4× |
| Trim skin lesions 2 to 4 (11056) | $290.18 | $414.54 | 1.5× |
| Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$51.72–$121.10 | $73.88–$173 | varies |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $684.07 | $977.24 | 0.2× |
| Tx Missed Abortion First Trimester Surgical (59820) | $1,050 | $1,500 | 0.3× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $703.37 | $1,004.82 | 0.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$513.77–$567.01 | $733.95–$810.02 | varies |
| Tympanostomy general anesthesia (69436) | $402.50 | $575 | 0.3× |
| Unlisted laparoscopic procedure liver (47379) | $5,385.74 | $7,693.91 | 0.9× |
| Unlisted laparoscopy procedure oviduct ovary (58679) likely a partial charge, not the full procedure |
$245 | $350 | 0.0× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) likely a partial charge, not the full procedure |
$1,335.60 | $1,908 | 0.2× |
| Unlisted procedure nervous system (64999) | $200.09 | $285.84 | 0.7× |
| Vaginal delivery only (59409) | $1,801.49 | $2,573.55 | 0.6× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) | $1,385.48 | $1,979.25 | 0.3× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $957.85 | $1,368.36 | 0.5× |
| Vulvectomy simple partial (56620) | $493.50 | $705 | 0.2× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$319.14–$352.23 | $455.91–$503.18 | varies |
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.