Procedures & surgery prices at Cavalier County Memorial Hospital Association
Langdon, ND · every code in this section with a posted price and a Medicare benchmark.
384 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $5,212.59 | $5,212.59 | 2.5× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) range across 2 matching MRF lines |
$1,737.53–$2,022.72 | $1,737.53–$2,022.72 | varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $9,252.09 | $9,252.09 | 2.8× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) range across 2 matching MRF lines |
$2,029.32–$9,252.09 | $2,029.32–$9,252.09 | varies |
| Anoscopy diagnostic (46600) | $342.27 | $342.27 | 2.5× |
| Apheresis Platelets (36513) | $1,240.83 | $1,240.83 | 2.8× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $450.39 | $450.39 | 2.7× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$255.15–$767.64 | $255.15–$767.64 | varies |
| Application finger splint static (29130) range across 3 matching MRF lines |
$120.27–$386.70 | $120.27–$386.70 | varies |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$239.79–$473.37 | $239.79–$473.37 | varies |
| Application Long Leg Splint (29505) | $473.37 | $473.37 | 2.9× |
| Application of long leg cast (29345) range across 2 matching MRF lines |
$389.91–$767.64 | $389.91–$767.64 | varies |
| Application short arm splint forearm-hand static (29125) range across 5 matching MRF lines |
$195.90–$386.70 | $195.90–$386.70 | varies |
| Application short leg splint calf foot (29515) range across 4 matching MRF lines |
$210.42–$450.39 | $210.42–$450.39 | varies |
| Apply hand/wrist cast (29085) | $450.39 | $450.39 | 2.7× |
| Apply long arm cast (29065) range across 2 matching MRF lines |
$282.42–$767.64 | $282.42–$767.64 | varies |
| Apply Multlay Comprs Lwr Leg (29581) | $450.39 | $450.39 | 2.7× |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$233.76–$767.64 | $233.76–$767.64 | varies |
| Apply short leg cast (29425) range across 2 matching MRF lines |
$219.87–$767.64 | $219.87–$767.64 | varies |
| Arterial puncture (36600) | $365.13 | $365.13 | 2.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$157.59–$885.57 | $157.59–$885.57 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $2,077.56 | $2,077.56 | 2.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$184.65–$885.57 | $184.65–$885.57 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$284.61–$846.60 | $284.61–$846.60 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 4 matching MRF lines |
$153.66–$885.57 | $153.66–$885.57 | varies |
| Arthroplasty interphalangeal joint each (26535) | $9,252.09 | $9,252.09 | 2.8× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) | $9,252.09 | $9,252.09 | 2.8× |
| Aspirate Pleura W/O Imaging (32554) range across 3 matching MRF lines |
$675.87–$1,854.78 | $675.87–$1,854.78 | varies |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$186.48–$846.60 | $186.48–$846.60 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 4 matching MRF lines |
$334.41–$596.10 | $334.41–$596.10 | varies |
| Biopsy of breast; open, incisional (19101) | $10,895.37 | $10,895.37 | 2.7× |
| Blepharoplasty Lower Eyelid (15820) range across 2 matching MRF lines |
$1,683.42–$5,212.59 | $1,683.42–$5,212.59 | varies |
| Blepharoplasty upper eyelid (15822) range across 2 matching MRF lines |
$1,334.85–$5,212.59 | $1,334.85–$5,212.59 | varies |
| Blepharotomy drainage abscess eyelid (67700) | $832.68 | $832.68 | 2.6× |
| Blood Transfusion Service (36430) | $1,311.54 | $1,311.54 | 2.9× |
| Bone Marrow Biopsy (38221) | $4,634.25 | $4,634.25 | 2.7× |
| Bone Marrow; Aspiration Only (38220) | $4,634.25 | $4,634.25 | 2.7× |
| Bx breast needle core w/o imaging guidance spx (19100) | $4,634.25 | $4,634.25 | 2.7× |
| Bx Cervix (57500) | $2,297.88 | $2,297.88 | 2.4× |
| Change Cystostomy Tube Simple (51705) | $729.63 | $729.63 | 2.9× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$252.51–$572.25 | $252.51–$572.25 | varies |
| Chemodenerv 1 extremity 1-4 (64642) range across 2 matching MRF lines |
$429.54–$1,976.70 | $429.54–$1,976.70 | varies |
| Chemodenerv Musc Migraine (64615) range across 2 matching MRF lines |
$417.54–$846.60 | $417.54–$846.60 | varies |
| Chemodenerv musc neck dyston (64616) range across 2 matching MRF lines |
$380.04–$846.60 | $380.04–$846.60 | varies |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) range across 2 matching MRF lines |
$390.45–$846.60 | $390.45–$846.60 | varies |
| Chest tube placement (32551) range across 4 matching MRF lines |
$418.71–$4,577.79 | $418.71–$4,577.79 | varies |
| Circumcision 28 days or older (54161) | $5,821.98 | $5,821.98 | 2.7× |
| Cl Tx Tib Shft Fx W Manip (27752) range across 2 matching MRF lines |
$1,547.43–$4,593.99 | $1,547.43–$4,593.99 | varies |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$231.06–$365.13 | $231.06–$365.13 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 4 matching MRF lines |
$674.07–$1,119.90 | $674.07–$1,119.90 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$1,383.12–$4,593.99 | $1,383.12–$4,593.99 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 2 matching MRF lines |
$674.07–$719.64 | $674.07–$719.64 | varies |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 4 matching MRF lines |
$674.07–$917.73 | $674.07–$917.73 | varies |
| Closed Tx Knee Dislocation W/Anesthesia (27552) range across 2 matching MRF lines |
$1,805.31–$4,593.99 | $1,805.31–$4,593.99 | varies |
| Closed tx metatarsal fracture w/o manipulation (28470) | $674.07 | $674.07 | 2.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$674.07–$1,096.59 | $674.07–$1,096.59 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) | $4,593.99 | $4,593.99 | 2.8× |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 2 matching MRF lines |
$674.07–$789 | $674.07–$789 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$674.07–$849.81 | $674.07–$849.81 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 3 matching MRF lines |
$719.64–$865.89 | $719.64–$865.89 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $674.07 | $674.07 | 2.7× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $4,593.99 | $4,593.99 | 2.8× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $674.07 | $674.07 | 2.7× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $674.07 | $674.07 | 2.7× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $674.07 | $674.07 | 2.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$1,178.85–$4,593.99 | $1,178.85–$4,593.99 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$674.07–$978.72 | $674.07–$978.72 | varies |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $674.07 | $674.07 | 2.7× |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$674.07–$1,244.37 | $674.07–$1,244.37 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 3 matching MRF lines |
$711–$929.91 | $711–$929.91 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 4 matching MRF lines |
$674.07–$1,012.41 | $674.07–$1,012.41 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,569.66–$4,593.99 | $1,569.66–$4,593.99 | varies |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $674.07 | $674.07 | 2.7× |
| Cltx greater humeral tuberosity fx w/o manj (23620) range across 2 matching MRF lines |
$674.07–$805.62 | $674.07–$805.62 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$674.07–$854.31 | $674.07–$854.31 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $674.07 | $674.07 | 2.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$674.07–$1,010.19 | $674.07–$1,010.19 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines |
$674.07–$719.64 | $674.07–$719.64 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$674.07–$1,199.82 | $674.07–$1,199.82 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) range across 4 matching MRF lines |
$411–$919.08 | $411–$919.08 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 2 matching MRF lines |
$1,372.41–$4,593.99 | $1,372.41–$4,593.99 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$304.95–$674.07 | $304.95–$674.07 | varies |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) | $583.98 | $583.98 | 2.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$1,432.92–$4,593.99 | $1,432.92–$4,593.99 | varies |
| Collection of venous blood by venipuncture (36415) | $30.50 | $30.50 | 3.3× |
| Colonoscopy w/ablation (45388) range across 2 matching MRF lines |
$3,373.08–$7,083.63 | $3,373.08–$7,083.63 | varies |
| Colonoscopy w/submucosal inj (45381) range across 2 matching MRF lines |
$1,275.84–$3,373.08 | $1,275.84–$3,373.08 | varies |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) range across 2 matching MRF lines |
$1,758.69–$3,373.08 | $1,758.69–$3,373.08 | varies |
| Colsc flx w/removal lesion by hot bx forceps (45384) range across 2 matching MRF lines |
$1,398.51–$3,373.08 | $1,398.51–$3,373.08 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$365.13–$703.29 | $365.13–$703.29 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$365.13–$450.15 | $365.13–$450.15 | varies |
| Correction hammertoe (28285) | $9,252.09 | $9,252.09 | 2.8× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) | $9,252.09 | $9,252.09 | 2.8× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) | $20,448.99 | $20,448.99 | 2.8× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) | $20,448.99 | $20,448.99 | 2.8× |
| Create Eardrum Opening (69433) | $1,572.69 | $1,572.69 | 2.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$365.13–$1,011.18 | $365.13–$1,011.18 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) range across 2 matching MRF lines |
$698.19–$1,083.78 | $698.19–$1,083.78 | varies |
| Cystourethroscopy (52000) | $1,952.58 | $1,952.58 | 2.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 2 matching MRF lines |
$171.81–$1,795.20 | $171.81–$1,795.20 | varies |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$662.37–$1,795.20 | $662.37–$1,795.20 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 4 matching MRF lines |
$375.21–$1,198.59 | $375.21–$1,198.59 | varies |
| Declot vascular device (36593) | $968.04 | $968.04 | 2.9× |
| Delivery of placenta (59414) | $8,936.31 | $8,936.31 | 2.7× |
| Destroy cerv/thor facet jnt (64633) range across 3 matching MRF lines |
$1,272.33–$5,858.31 | $1,272.33–$5,858.31 | varies |
| Destroy lumb/sac facet jnt (64635) range across 3 matching MRF lines |
$1,283.13–$5,858.31 | $1,283.13–$5,858.31 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 4 matching MRF lines |
$332.70–$596.10 | $332.70–$596.10 | varies |
| Destruction Benign Lesions 15/> (17111) range across 4 matching MRF lines |
$387.84–$596.10 | $387.84–$596.10 | varies |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 3 matching MRF lines |
$1,131.42–$5,858.31 | $1,131.42–$5,858.31 | varies |
| Destruction Premalignant Lesion 15/> (17004) range across 2 matching MRF lines |
$486–$1,139.76 | $486–$1,139.76 | varies |
| Destruction premalignant lesion 1st (17000) range across 4 matching MRF lines |
$196.74–$596.10 | $196.74–$596.10 | varies |
| Dilation & curettage dx&/ther nonobstetric (58120) | $8,936.31 | $8,936.31 | 2.7× |
| Drain Cerebro Spinal Fluid (62272) range across 2 matching MRF lines |
$518.25–$1,976.70 | $518.25–$1,976.70 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $538.11 | $538.11 | 0.7× |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$572.25–$1,001.31 | $572.25–$1,001.31 | varies |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$365.13–$847.17 | $365.13–$847.17 | varies |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$490.20–$4,634.25 | $490.20–$4,634.25 | varies |
| Draw Blood Off Venous Device (36591) | $365.13 | $365.13 | 2.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$558–$1,139.76 | $558–$1,139.76 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$448.02–$572.25 | $448.02–$572.25 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$247.14–$572.25 | $247.14–$572.25 | varies |
| Dstrj lesion anus simple surg excision (46922) | $8,025.72 | $8,025.72 | 2.8× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 2 matching MRF lines |
$720.06–$2,605.35 | $720.06–$2,605.35 | varies |
| Dx gastr intub w/asp spec (43754) | $684.51 | $684.51 | 3.1× |
| Dx lmbr spi pnxr w/fluor/CT (62328) range across 2 matching MRF lines |
$641.94–$1,976.70 | $641.94–$1,976.70 | varies |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) range across 2 matching MRF lines |
$3,126.72–$5,438.97 | $3,126.72–$5,438.97 | varies |
| Egd dilation gastric/duodenal stricture (43245) range across 2 matching MRF lines |
$1,713.96–$5,438.97 | $1,713.96–$5,438.97 | varies |
| Egd Flexible Foreign Body Removal (43247) range across 2 matching MRF lines |
$1,104.42–$2,591.07 | $1,104.42–$2,591.07 | varies |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) range across 2 matching MRF lines |
$654–$5,438.97 | $654–$5,438.97 | varies |
| Egd remove lesion snare (43251) range across 2 matching MRF lines |
$1,427.37–$5,438.97 | $1,427.37–$5,438.97 | varies |
| Endometrial Biopsy (58100) | $569.58 | $569.58 | 2.8× |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) | $547.32 | $547.32 | 0.6× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) range across 2 matching MRF lines |
$762.69–$2,591.07 | $762.69–$2,591.07 | varies |
| Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
$169.11–$386.70 | $169.11–$386.70 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$372.87–$2,011.08 | $372.87–$2,011.08 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$592.65–$4,634.25 | $592.65–$4,634.25 | varies |
| Exc Back Les Sc < 3 Cm (21930) range across 2 matching MRF lines |
$1,430.52–$4,634.25 | $1,430.52–$4,634.25 | varies |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 2 matching MRF lines |
$684.99–$2,011.08 | $684.99–$2,011.08 | varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 4 matching MRF lines |
$773.07–$2,110.77 | $773.07–$2,110.77 | varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) range across 2 matching MRF lines |
$1,111.68–$4,634.25 | $1,111.68–$4,634.25 | varies |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$418.68–$2,011.08 | $418.68–$2,011.08 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$504.57–$2,011.08 | $504.57–$2,011.08 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 2 matching MRF lines |
$559.11–$2,011.08 | $559.11–$2,011.08 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 2 matching MRF lines |
$656.40–$4,634.25 | $656.40–$4,634.25 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) range across 2 matching MRF lines |
$812.19–$4,634.25 | $812.19–$4,634.25 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$369.18–$4,634.25 | $369.18–$4,634.25 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 4 matching MRF lines |
$463.17–$2,110.77 | $463.17–$2,110.77 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$518.70–$4,634.25 | $518.70–$4,634.25 | varies |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $4,593.99 | $4,593.99 | 2.8× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) range across 2 matching MRF lines |
$981.09–$9,202.86 | $981.09–$9,202.86 | varies |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 4 matching MRF lines |
$571.05–$2,110.77 | $571.05–$2,110.77 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 2 matching MRF lines |
$682.86–$4,634.25 | $682.86–$4,634.25 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 2 matching MRF lines |
$933.27–$8,122.05 | $933.27–$8,122.05 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$905.91–$4,634.25 | $905.91–$4,634.25 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) range across 2 matching MRF lines |
$1,095.27–$8,122.05 | $1,095.27–$8,122.05 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 2 matching MRF lines |
$850.98–$4,634.25 | $850.98–$4,634.25 | varies |
| Exc Skin Malig >4 Cm Remaindr Body (11626) range across 2 matching MRF lines |
$1,152.69–$8,122.05 | $1,152.69–$8,122.05 | varies |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$1,272.33–$4,634.25 | $1,272.33–$4,634.25 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$452.97–$1,139.76 | $452.97–$1,139.76 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 4 matching MRF lines |
$498.30–$2,110.77 | $498.30–$2,110.77 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$643.80–$4,634.25 | $643.80–$4,634.25 | varies |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 2 matching MRF lines |
$803.52–$2,011.08 | $803.52–$2,011.08 | varies |
| Excision Chalazion Single (67800) | $832.68 | $832.68 | 2.6× |
| Excision lesion mouth roof (42104) | $9,202.86 | $9,202.86 | 2.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) range across 2 matching MRF lines |
$571.14–$2,011.08 | $571.14–$2,011.08 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 2 matching MRF lines |
$661.65–$2,011.08 | $661.65–$2,011.08 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$708.81–$1,139.76 | $708.81–$1,139.76 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 2 matching MRF lines |
$892.98–$2,011.08 | $892.98–$2,011.08 | varies |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 2 matching MRF lines |
$589.41–$2,011.08 | $589.41–$2,011.08 | varies |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 2 matching MRF lines |
$903.33–$4,634.25 | $903.33–$4,634.25 | varies |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) range across 2 matching MRF lines |
$1,430.10–$8,122.05 | $1,430.10–$8,122.05 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $4,634.25 | $4,634.25 | 2.7× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) range across 2 matching MRF lines |
$666–$2,011.08 | $666–$2,011.08 | varies |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 2 matching MRF lines |
$731.91–$2,011.08 | $731.91–$2,011.08 | varies |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) range across 2 matching MRF lines |
$965.49–$4,634.25 | $965.49–$4,634.25 | varies |
| Excision Multiple External Papillae/Tags Anus (46230) | $8,025.72 | $8,025.72 | 2.8× |
| Excision of bartholin's gland or cyst (56740) | $8,936.31 | $8,936.31 | 2.7× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 2 matching MRF lines |
$944.97–$4,593.99 | $944.97–$4,593.99 | varies |
| Excision of hydrocele; unilateral (55040) | $9,889.02 | $9,889.02 | 2.7× |
| Excision of pilonidal cyst or sinus; simple (11770) range across 2 matching MRF lines |
$1,011.72–$8,122.05 | $1,011.72–$8,122.05 | varies |
| Excision olecranon bursa (24105) range across 2 matching MRF lines |
$1,046.82–$9,252.09 | $1,046.82–$9,252.09 | varies |
| Excision Pilonidal Cyst/Sinus Complicated (11772) range across 2 matching MRF lines |
$2,185.11–$8,122.05 | $2,185.11–$8,122.05 | varies |
| Excision Pilonidal Cyst/Sinus Extensive (11771) range across 2 matching MRF lines |
$1,781.43–$8,122.05 | $1,781.43–$8,122.05 | varies |
| Excision, interdigital (morton) neuroma, single, each (28080) | $4,593.99 | $4,593.99 | 2.8× |
| Excision/Transposition Pterygium W/Grafg (65426) | $6,679.44 | $6,679.44 | 2.7× |
| Excision/Transposition Pterygium W/O Graft (65420) | $6,679.44 | $6,679.44 | 2.7× |
| Exploration penetrating wound spx extremity (20103) range across 2 matching MRF lines |
$1,603.50–$4,634.25 | $1,603.50–$4,634.25 | varies |
| Fine needle aspiration without imaging guidance (10021) | $290.13 | $290.13 | 0.7× |
| Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170) | $6,661.05 | $6,661.05 | 2.8× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) range across 2 matching MRF lines |
$1,365.75–$8,025.72 | $1,365.75–$8,025.72 | varies |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $2,612.43 | $2,612.43 | 2.7× |
| I&d abscess simple (10060) range across 4 matching MRF lines |
$368.34–$596.10 | $368.34–$596.10 | varies |
| I&d perianal abscess superficial (46050) | $2,612.43 | $2,612.43 | 2.7× |
| I&d pilonidal cyst complicated (10081) range across 2 matching MRF lines |
$2,011.08–$2,110.77 | $2,011.08–$2,110.77 | varies |
| I&d pilonidal cyst simple (10080) range across 4 matching MRF lines |
$728.52–$2,110.77 | $728.52–$2,110.77 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 4 matching MRF lines |
$751.14–$1,198.59 | $751.14–$1,198.59 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$758.64–$4,634.25 | $758.64–$4,634.25 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 4 matching MRF lines |
$441.78–$1,198.59 | $441.78–$1,198.59 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $569.58 | $569.58 | 2.8× |
| Incision of eardrum (69421) | $9,202.86 | $9,202.86 | 2.7× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 2 matching MRF lines |
$878.55–$4,634.25 | $878.55–$4,634.25 | varies |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$450.84–$1,795.20 | $450.84–$1,795.20 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $227.25 | $227.25 | 1.1× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $2,605.35 | $2,605.35 | 2.9× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$164.85–$846.60 | $164.85–$846.60 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 2 matching MRF lines |
$464.61–$2,605.35 | $464.61–$2,605.35 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 3 matching MRF lines |
$645.72–$2,077.56 | $645.72–$2,077.56 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 2 matching MRF lines |
$95.19–$2,670.87 | $95.19–$2,670.87 | varies |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) range across 2 matching MRF lines |
$663.42–$1,976.70 | $663.42–$1,976.70 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 3 matching MRF lines |
$467.58–$2,077.56 | $467.58–$2,077.56 | varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) range across 2 matching MRF lines |
$406.80–$846.60 | $406.80–$846.60 | varies |
| Injection Anes Superior Hypogastric Plexus (64517) range across 2 matching MRF lines |
$562.14–$2,605.35 | $562.14–$2,605.35 | varies |
| Injection anesthetic agent suprascapular nerve (64418) range across 2 matching MRF lines |
$247.14–$1,976.70 | $247.14–$1,976.70 | varies |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$164.49–$846.60 | $164.49–$846.60 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 4 matching MRF lines |
$150.36–$885.57 | $150.36–$885.57 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 4 matching MRF lines |
$173.31–$885.57 | $173.31–$885.57 | varies |
| Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines |
$233.31–$846.60 | $233.31–$846.60 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$216.54–$2,077.56 | $216.54–$2,077.56 | varies |
| Injection, Intralesional; More Than 7 Lesions (11901) | $572.25 | $572.25 | 2.8× |
| Injection, intralesional; up to and including 7 lesions (11900) range across 2 matching MRF lines |
$166.29–$572.25 | $166.29–$572.25 | varies |
| Insert cath pleura w/o image (32556) range across 2 matching MRF lines |
$2,148.48–$5,438.97 | $2,148.48–$5,438.97 | varies |
| Insert Drug Implant Device (11981) range across 3 matching MRF lines |
$284.91–$386.70 | $284.91–$386.70 | varies |
| Insert non-tunnel cv cath (36556) | $9,111.03 | $9,111.03 | 2.8× |
| Insert Temp Bladder Cath (51702) | $386.70 | $386.70 | 2.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $365.13 | $365.13 | 2.7× |
| Intro Gastrointestinal Tube (44500) | $2,591.07 | $2,591.07 | 2.8× |
| Intubation endotracheal emergency procedure (31500) range across 4 matching MRF lines |
$383.52–$698.19 | $383.52–$698.19 | varies |
| Irdec Crnlsclrl/Crnl Sctj Prph Glc Spx (66625) | $6,661.05 | $6,661.05 | 2.8× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 2 matching MRF lines |
$1,191.06–$16,492.77 | $1,191.06–$16,492.77 | varies |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) range across 2 matching MRF lines |
$1,552.44–$16,492.77 | $1,552.44–$16,492.77 | varies |
| Manipulation, finger joint, under anesthesia, each joint (26340) range across 2 matching MRF lines |
$1,053.39–$4,593.99 | $1,053.39–$4,593.99 | varies |
| Marsupialization of bartholin's gland cyst (56440) | $8,936.31 | $8,936.31 | 2.7× |
| N Block Inj Celiac Pelus (64530) range across 2 matching MRF lines |
$664.77–$2,605.35 | $664.77–$2,605.35 | varies |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$282.72–$1,976.70 | $282.72–$1,976.70 | varies |
| N Block Inj Plantar Digit (64455) range across 2 matching MRF lines |
$143.70–$846.60 | $143.70–$846.60 | varies |
| N Block Inj Pudendal (64430) range across 2 matching MRF lines |
$282.51–$2,605.35 | $282.51–$2,605.35 | varies |
| N Block Lumbar/Thoracic (64520) range across 2 matching MRF lines |
$671.88–$2,605.35 | $671.88–$2,605.35 | varies |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $85.11 | $85.11 | 2.9× |
| Needle insertion w/o injection 3 or more muscles (20561) | $85.11 | $85.11 | 2.9× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $1,250.34 | $1,250.34 | 3.0× |
| Njx anes stellate ganglion crv sympathetic (64510) range across 2 matching MRF lines |
$424.95–$2,605.35 | $424.95–$2,605.35 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$323.22–$3,087 | $323.22–$3,087 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 3 matching MRF lines |
$2,605.35–$2,670.87 | $2,605.35–$2,670.87 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 3 matching MRF lines |
$763.53–$2,077.56 | $763.53–$2,077.56 | varies |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 3 matching MRF lines |
$751.35–$2,077.56 | $751.35–$2,077.56 | varies |
| Njx Sclrsnt Spider Veins (36468) range across 2 matching MRF lines |
$330.78–$1,139.76 | $330.78–$1,139.76 | varies |
| Occipital Nerve Block (64405) range across 4 matching MRF lines |
$119.64–$3,087 | $119.64–$3,087 | varies |
| Ostc prtl exostc/condylc metar head (28288) | $9,252.09 | $9,252.09 | 2.8× |
| Ostectomy, complete excision; fifth metatarsal head (28113) | $9,252.09 | $9,252.09 | 2.8× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) | $9,252.09 | $9,252.09 | 2.8× |
| Part remv talus or calcaneus (28120) | $9,252.09 | $9,252.09 | 2.8× |
| Partical Excision Bone Phalanx Toe (28124) | $9,252.09 | $9,252.09 | 2.8× |
| Placement of needle for intraosseous infusion (36680) | $1,138.89 | $1,138.89 | 2.5× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) range across 2 matching MRF lines |
$370.29–$2,612.43 | $370.29–$2,612.43 | varies |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $9,252.09 | $9,252.09 | 2.8× |
| Punch biopsy skin single lesion (11104) range across 4 matching MRF lines |
$363.27–$1,198.59 | $363.27–$1,198.59 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$374.37–$1,139.76 | $374.37–$1,139.76 | varies |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) | $20,448.99 | $20,448.99 | 2.8× |
| Removal Foreign Body Deep Thigh/Knee (27372) range across 2 matching MRF lines |
$1,674.27–$8,122.05 | $1,674.27–$8,122.05 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 4 matching MRF lines |
$697.11–$2,110.77 | $697.11–$2,110.77 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$628.77–$4,634.25 | $628.77–$4,634.25 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$46.53–$325 | $46.53–$325 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$136.59–$174.84 | $136.59–$174.84 | varies |
| Removal implantable contraceptive capsules (11976) range across 3 matching MRF lines |
$411.06–$2,110.77 | $411.06–$2,110.77 | varies |
| Removal of adenoids (42830) | $9,202.86 | $9,202.86 | 2.7× |
| Removal of foreign body from pharynx (42809) | $1,138.89 | $1,138.89 | 2.5× |
| Removal of heel spur (28119) | $9,252.09 | $9,252.09 | 2.8× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$467.55–$1,139.76 | $467.55–$1,139.76 | varies |
| Removal of testis (54520) | $9,964.74 | $9,964.74 | 2.8× |
| Removal or bivalving full arm or full leg cast (29705) range across 2 matching MRF lines |
$181.32–$767.64 | $181.32–$767.64 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 4 matching MRF lines |
$268.62–$596.10 | $268.62–$596.10 | varies |
| Removal/bivalving gauntlet boot/body cast (29700) | $767.64 | $767.64 | 2.7× |
| Remove drug implant device (11982) range across 3 matching MRF lines |
$313.53–$1,197.13 | $313.53–$1,197.13 | varies |
| Remove elbow lesion (24120) range across 2 matching MRF lines |
$1,520.22–$9,252.09 | $1,520.22–$9,252.09 | varies |
| Remove foreign body from eye (65205) range across 4 matching MRF lines |
$81.99–$386.70 | $81.99–$386.70 | varies |
| Remove Gastric Port Open (43887) | $5,212.59 | $5,212.59 | 2.5× |
| Remove Intrauterine Device (58301) | $916.98 | $916.98 | 2.9× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$365.13–$613.08 | $365.13–$613.08 | varies |
| Remove Tendon Sheath Lesion (26160) range across 2 matching MRF lines |
$1,785.84–$4,593.99 | $1,785.84–$4,593.99 | varies |
| Remove/Insert Drug Implant (11983) range across 2 matching MRF lines |
$398.82–$1,138.89 | $398.82–$1,138.89 | varies |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $1,213.80 | $1,213.80 | 1.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$1,423.59–$1,795.20 | $1,423.59–$1,795.20 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$1,116.48–$1,139.76 | $1,116.48–$1,139.76 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$1,353.66–$1,795.20 | $1,353.66–$1,795.20 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 3 matching MRF lines |
$1,022.88–$1,836.39 | $1,022.88–$1,836.39 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 4 matching MRF lines |
$1,224.93–$1,836.39 | $1,224.93–$1,836.39 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $981.84 | $981.84 | 1.3× |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$1,144.44–$1,795.20 | $1,144.44–$1,795.20 | varies |
| Repair Ectropion Extensive (67917) | $6,679.44 | $6,679.44 | 2.7× |
| Repair Ectropion Suture (67914) | $6,679.44 | $6,679.44 | 2.7× |
| Repair Ectropion Thermocauterization (67915) | $6,679.44 | $6,679.44 | 2.7× |
| Repair Entropion Suture (67921) | $6,679.44 | $6,679.44 | 2.7× |
| Repair Hallux Rigidus (28289) | $9,252.09 | $9,252.09 | 2.8× |
| Repair inguinal hernia, sliding, any age (49525) range across 2 matching MRF lines |
$1,567.38–$9,889.02 | $1,567.38–$9,889.02 | varies |
| Repair initial femoral hernia, any age; reducible (49550) | $9,889.02 | $9,889.02 | 2.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 4 matching MRF lines |
$819.09–$1,198.59 | $819.09–$1,198.59 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 4 matching MRF lines |
$910.98–$1,198.59 | $910.98–$1,198.59 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$1,049.40–$1,139.76 | $1,049.40–$1,139.76 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$1,099.08–$1,139.76 | $1,099.08–$1,139.76 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$1,180.14–$1,795.20 | $1,180.14–$1,795.20 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$763.20–$1,139.76 | $763.20–$1,139.76 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 4 matching MRF lines |
$896.49–$1,198.59 | $896.49–$1,198.59 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$1,103.34–$1,795.20 | $1,103.34–$1,795.20 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 3 matching MRF lines |
$1,112.07–$1,198.59 | $1,112.07–$1,198.59 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 4 matching MRF lines |
$761.85–$1,198.59 | $761.85–$1,198.59 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 4 matching MRF lines |
$880.23–$1,198.59 | $880.23–$1,198.59 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$1,228.50–$1,795.20 | $1,228.50–$1,795.20 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 4 matching MRF lines |
$964.92–$1,198.59 | $964.92–$1,198.59 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 2 matching MRF lines |
$1,375.74–$5,212.59 | $1,375.74–$5,212.59 | varies |
| Repair iris ciliary body (66680) | $6,661.05 | $6,661.05 | 2.8× |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$534.63–$1,795.20 | $534.63–$1,795.20 | varies |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) | $21,625.23 | $21,625.23 | 3.3× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $9,252.09 | $9,252.09 | 2.8× |
| Repair umbilical lesion (49600) range across 2 matching MRF lines |
$1,999.11–$9,889.02 | $1,999.11–$9,889.02 | varies |
| Repositioning Io Lens Prosthesis Req Inc Spx (66825) | $6,661.05 | $6,661.05 | 2.8× |
| Rerepair ing hernia reduce (49520) range across 2 matching MRF lines |
$1,726.59–$9,889.02 | $1,726.59–$9,889.02 | varies |
| Revj/rpr oprative wound anterior segment (66250) | $6,679.44 | $6,679.44 | 2.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$173.31–$1,138.89 | $173.31–$1,138.89 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 2 matching MRF lines |
$1,138.89–$1,197.12 | $1,138.89–$1,197.12 | varies |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $4,577.79 | $4,577.79 | 2.8× |
| Rmvl Vitreous Ant Appr Partial Removal (67005) | $6,661.05 | $6,661.05 | 2.8× |
| Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) | $6,661.05 | $6,661.05 | 2.8× |
| Rplc Gtube No Revj Trc (43762) | $655.56 | $655.56 | 2.6× |
| Rplc gtube revj gstrst trc (43763) | $965.94 | $965.94 | 3.8× |
| Rpr Blepharoptosis Levator Rescj/Advmnt Internal (67903) | $6,679.44 | $6,679.44 | 2.7× |
| Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) | $6,679.44 | $6,679.44 | 2.7× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$485.55–$572.25 | $485.55–$572.25 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) range across 2 matching MRF lines |
$1,412.37–$1,795.20 | $1,412.37–$1,795.20 | varies |
| Severing Ads Ant Seg Incal Tq Spx Goniosynechiae (65865) | $6,661.05 | $6,661.05 | 2.8× |
| Shave skin lesion 0.5 cm/< (11300) range across 4 matching MRF lines |
$292.41–$1,198.59 | $292.41–$1,198.59 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) range across 4 matching MRF lines |
$336.39–$596.10 | $336.39–$596.10 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) range across 2 matching MRF lines |
$522.84–$1,139.76 | $522.84–$1,139.76 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 4 matching MRF lines |
$306.18–$596.10 | $306.18–$596.10 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) range across 3 matching MRF lines |
$356.04–$572.25 | $356.04–$572.25 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) range across 2 matching MRF lines |
$401.37–$572.25 | $401.37–$572.25 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) range across 2 matching MRF lines |
$422.37–$1,139.76 | $422.37–$1,139.76 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) range across 4 matching MRF lines |
$396.45–$596.10 | $396.45–$596.10 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) range across 2 matching MRF lines |
$450.24–$1,139.76 | $450.24–$1,139.76 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 2 matching MRF lines |
$352.47–$572.25 | $352.47–$572.25 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) range across 2 matching MRF lines |
$439.44–$1,139.76 | $439.44–$1,139.76 | varies |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) range across 2 matching MRF lines |
$398.04–$572.25 | $398.04–$572.25 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 4 matching MRF lines |
$319.29–$596.10 | $319.29–$596.10 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 4 matching MRF lines |
$331.20–$596.10 | $331.20–$596.10 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$402.96–$572.25 | $402.96–$572.25 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 4 matching MRF lines |
$269.28–$596.10 | $269.28–$596.10 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 4 matching MRF lines |
$376.32–$596.10 | $376.32–$596.10 | varies |
| Skin Pinch Graft (15050) range across 2 matching MRF lines |
$1,674.45–$1,795.20 | $1,674.45–$1,795.20 | varies |
| Slitting of prepuce (54001) | $5,821.98 | $5,821.98 | 2.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 4 matching MRF lines |
$324.57–$596.10 | $324.57–$596.10 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 3 matching MRF lines |
$500.28–$1,198.59 | $500.28–$1,198.59 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$576.57–$1,139.76 | $576.57–$1,139.76 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$414.84–$1,976.70 | $414.84–$1,976.70 | varies |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $2,399.61 | $2,399.61 | 0.7× |
| Strapping ankle (29540) range across 2 matching MRF lines |
$80.70–$450.39 | $80.70–$450.39 | varies |
| Strapping elbow or wrist (29260) range across 3 matching MRF lines |
$48.90–$83.64 | $48.90–$83.64 | varies |
| Strapping hand/finger (29280) | $85.38 | $85.38 | 1.4× |
| Strapping Hip (29520) | $100.95 | $100.95 | 0.7× |
| Strapping knee (29530) range across 3 matching MRF lines |
$365.13–$386.70 | $365.13–$386.70 | varies |
| Strapping shoulder (29240) range across 2 matching MRF lines |
$86.22–$386.70 | $86.22–$386.70 | varies |
| Strapping thorax (29200) | $93.09 | $93.09 | 0.6× |
| Strapping Unna Boot (29580) | $184.35 | $184.35 | 1.1× |
| Surg tx anal fistula subq (46270) range across 2 matching MRF lines |
$1,522.05–$8,025.72 | $1,522.05–$8,025.72 | varies |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$292.41–$572.25 | $292.41–$572.25 | varies |
| Ther Spi Pnxr Csf Fluor/Ct (62329) range across 2 matching MRF lines |
$750.96–$1,976.70 | $750.96–$1,976.70 | varies |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) | $9,202.86 | $9,202.86 | 2.7× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $698.19 | $698.19 | 2.9× |
| Treat humerus fracture (24500) range across 2 matching MRF lines |
$674.07–$1,076.01 | $674.07–$1,076.01 | varies |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
$1,473.66–$4,593.99 | $1,473.66–$4,593.99 | varies |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$674.07–$999.06 | $674.07–$999.06 | varies |
| Treat Thumb Dislocation (26641) | $1,233.66 | $1,233.66 | 4.9× |
| Treat toe dislocation (28630) range across 2 matching MRF lines |
$448.26–$674.07 | $448.26–$674.07 | varies |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines |
$1,377.54–$4,593.99 | $1,377.54–$4,593.99 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$674.07–$1,101.93 | $674.07–$1,101.93 | varies |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$208.41–$572.25 | $208.41–$572.25 | varies |
| Trimming Nondystrophic Nails Any Number (11719) | $41.64 | $41.64 | 0.7× |
| Tx Gastro Intub W/Asp (43753) | $897.18 | $897.18 | 4.1× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) range across 2 matching MRF lines |
$1,004.10–$4,593.99 | $1,004.10–$4,593.99 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 4 matching MRF lines |
$861.54–$1,836.39 | $861.54–$1,836.39 | varies |
| Tympanostomy general anesthesia (69436) | $4,359.15 | $4,359.15 | 2.7× |
| Unlisted Procedure Casting/Strapping (29799) | $450.39 | $450.39 | 2.7× |
| Vaginal delivery only (59409) | $8,936.31 | $8,936.31 | 2.7× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $5,821.80 | $5,821.80 | 2.7× |
| Ventilating tube removal requiring general anesthesia (69424) | $9,202.86 | $9,202.86 | 2.7× |
| Wedge excision skin nail fold (11765) range across 4 matching MRF lines |
$485.10–$1,198.59 | $485.10–$1,198.59 | 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.