Procedures & surgery prices at CCM Health

Montevideo, MN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $344.50 $530 0.4×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $214.50 $330 0.2×
Ablate inf turbinate submuc (30802) $358.80 $552 0.2×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $196.95 $303 0.1×
Acne surgery (10040) $157.30 $242 0.8×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $2,178.15 $3,351 0.6×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,480.70 $2,278 0.7×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $1,213.55 $1,867 0.6×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $1,778.40 $2,736 0.8×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $1,116.05 $1,717 0.3×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $1,041.30 $1,602 0.3×
Amputation Foot Midtarsal (28800) $1,514.50 $2,330 0.4×
Amputation foot transmetarsal (28805) $2,188.55 $3,367 0.6×
Amputation metatarsal with toe single (28810) $1,143.35 $1,759 0.3×
Amputation thigh through femur any level (27590) $2,319.20 $3,568 0.7×
Amputation toe interphalangeal joint (28825) $587.60 $904 0.2×
Amputation toe metatarsophalangeal joint (28820) $605.15 $931 0.2×
Anal/Urinary Muscle Study (51784)
range across 2 matching MRF lines		 $126.75–$185.25 $195–$285 varies
Anoscopy diagnostic (46600) $95.55 $147 0.7×
Anterior colporraphy rpr cystocele w/cysto (57240)
unusually low: confirm this is the full procedure		 $1,736.80 $2,672 0.3×
Appendectomy (44950)
likely a partial charge, not the full procedure		 $1,825.20 $2,808 0.3×
Application cast elbow finger short arm (29075) $133.25 $205 0.5×
Application Finger Splint Dynamic (29131) $95.55 $147 1.6×
Application finger splint static (29130) $87.10 $134 0.6×
Application long arm splint shoulder hand (29105) $138.45 $213 0.8×
Application Long Leg Splint (29505) $119.60 $184 0.7×
Application of cylinder cast (thigh to ankle) (29365) $203.45 $313 0.7×
Application of long leg cast (29345) $241.15 $371 0.8×
Application of rigid total contact leg cast (29445)
range across 2 matching MRF lines		 $163.80–$307.45 $252–$473 varies
Application Patellar Tendon Bearing Cast (29435) $203.45 $313 0.7×
Application short arm splint forearm-hand static (29125) $87.10 $134 0.6×
Application short leg splint calf foot (29515) $126.75 $195 0.8×
Apply hand/wrist cast (29085) $150.15 $231 0.9×
Apply long arm cast (29065) $150.15 $231 0.5×
Apply Multlay Comprs Lwr Leg (29581) $104 $160 0.6×
Apply Short Leg Cast (29405) $138.45 $213 0.5×
Apply short leg cast (29425) $138.45 $213 0.5×
Arterial puncture (36600) $54.60 $84 0.4×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 4 matching MRF lines		 $57.85–$1,198.60 $89–$1,844 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines		 $76.70–$1,198.60 $118–$1,844 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines		 $55.90–$603.85 $86–$929 varies
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure		 $1,231.10 $1,894 0.2×
Arthrodesis great toe metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure		 $1,476.15 $2,271 0.2×
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure		 $3,810.30 $5,862 0.2×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $1,918.15 $2,951 0.6×
Arthroscopy Ankle Surgical Debridement Limited (29897) $1,260.35 $1,939 0.4×
Arthroscopy ankle w/removal loose/foreign body (29894) $1,266.85 $1,949 0.4×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $1,527.50 $2,350 0.5×
Arthroscopy knee synovectomy limited spx (29875) $1,110.85 $1,709 0.3×
Arthroscopy shoulder distal claviculectomy (29824) $1,546.35 $2,379 0.5×
Arthroscopy shoulder surgical capsulorrhaphy (29806)
unusually low: confirm this is the full procedure		 $2,607.15 $4,011 0.3×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $1,653.60 $2,544 0.5×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure		 $2,265.90 $3,486 0.3×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $1,374.75 $2,115 0.4×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $1,210.95 $1,863 0.4×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
unusually low: confirm this is the full procedure		 $2,525.90 $3,886 0.3×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure		 $2,685.15 $4,131 0.4×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
likely a partial charge, not the full procedure		 $3,375.45 $5,193 0.3×
Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) $2,040.35 $3,139 0.6×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
unusually low: confirm this is the full procedure		 $2,463.50 $3,790 0.3×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $1,587.95 $2,443 0.5×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $1,548.95 $2,383 0.5×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $1,273.35 $1,959 0.4×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $1,059.50 $1,630 0.3×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $770.25 $1,185 0.5×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $673.40 $1,036 0.2×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $828.75 $1,275 0.2×
Artificial insemination intra-uterine (58322)
range across 2 matching MRF lines		 $72.80–$190.45 $112–$293 varies
Aspirate pleura w/ imaging (32555) $391.30 $602 0.6×
Aspirate Pleura W/O Imaging (32554) $313.95 $483 0.5×
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $74.75–$121.55 $115–$187 varies
Aspiration and/or injection thyroid cyst (60300) $168.35 $259 0.2×
Aspiration bladder insert suprapubic catheter (51102) $466.05 $717 0.2×
Avulsion nail plate partial/complete simple 1 (11730) $181.35 $279 0.9×
Biopsy Bone Trocar/Needle Superficial (20220) $271.05 $417 0.2×
Biopsy external ear (69100) $139.75 $215 0.6×
Biopsy muscle percutaneous needle (20206) $171.60 $264 0.1×
Biopsy nail unit (11755) $215.80 $332 0.3×
Biopsy of breast; open, incisional (19101) $556.40 $856 0.1×
Biopsy of floor of mouth (41108) $190.45 $293 0.1×
Biopsy of lip (40490) $210.60 $324 0.9×
Biopsy of palate, uvula (42100) $234 $360 0.1×
Biopsy of penis (54100)
range across 2 matching MRF lines		 $255.45–$327.60 $393–$504 varies
Biopsy ovary uni/bi separate procedure (58900) $1,134.90 $1,746 0.3×
Biopsy Prostate Transrectal Ultrasound-Guided (55707)
range across 2 matching MRF lines		 $172.25–$421.20 $265–$648 varies
Biopsy Salivary Gland Needle (42400) $134.55 $207 0.2×
Biopsy soft tissue thigh/knee area superficial (27323) $401.70 $618 0.2×
Biopsy Tongue Posterior One-Third (41105) $253.50 $390 0.1×
Biopsy Vaginal Mucosa Simple (57100)
range across 2 matching MRF lines		 $206.70–$221.65 $318–$341 varies
Biopsy Vulva/Perineum 1 Lesion Spx (56605)
range across 2 matching MRF lines		 $85.15–$190.45 $131–$293 varies
Biopsy, vestibule of mouth (40808) $181.35 $279 0.3×
Biopsy/removal lymph nodes (38510) $1,160.90 $1,786 0.3×
Bladder instillation anticarcinogenic agent (51720)
range across 3 matching MRF lines		 $52.65–$386.75 $81–$595 varies
Bladder Irrigation (51700)
range across 3 matching MRF lines		 $35.10–$239.85 $54–$369 varies
Bladder Scan (51798)
range across 2 matching MRF lines		 $55.90–$75.40 $86–$116 varies
Blepharotomy drainage abscess eyelid (67700) $241.80 $372 0.7×
Blood Transfusion Service (36430) $582.40 $896 1.3×
Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Facility (20962) $6,750.90 $10,386 0.9×
Bone Marrow Biopsy (38221) $221.65 $341 0.1×
Bone Marrow; Aspiration Only (38220) $206.70 $318 0.1×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $768.95 $1,183 0.2×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $854.75 $1,315 0.2×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $612.30 $942 0.2×
Bx breast 1st lesion us imag (19083) $534.30 $822 0.3×
Bx Cervix (57500)
range across 2 matching MRF lines		 $148.85–$206.70 $229–$318 varies
Bx/exc lymph node open deep axillary node (38525) $1,107.60 $1,704 0.3×
Bx/exc lymph node open superficial (38500) $653.25 $1,005 0.2×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $850.20 $1,308 0.3×
Carpal Tunnel Surgery (64721) $856.70 $1,318 0.4×
Cautery Cervix Electro/Thermal (57510) $327.60 $504 0.1×
Change Cystostomy Tube Complicated (51710)
range across 2 matching MRF lines		 $146.25–$226.85 $225–$349 varies
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $89.05–$156 $137–$240 varies
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $87.10–$92.30 $134–$142 varies
Chemical Pleurodesis (32560) $265.85 $409 0.4×
Chemodenerv Musc Migraine (64615) $319.80 $492 1.0×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 2 matching MRF lines		 $243.10–$3,293.55 $374–$5,067 varies
Chest tube placement (32551)
range across 2 matching MRF lines		 $524.55–$899.60 $807–$1,384 varies
Circumcision 28 days or older (54161) $572 $880 0.3×
Circumcision w/clamp/oth dev w/block (54150) $189.15 $291 0.1×
Cl Tx Tib Shft Fx W Manip (27752) $1,080.30 $1,662 0.7×
Claviculectomy partial (23120) $1,272.70 $1,958 0.4×
Clear outer ear canal (69200) $133.25 $205 1.0×
Closed Rx Metacarpal Fx,Percut (26608) $956.15 $1,471 0.3×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $923 $1,420 3.6×
Closed Treatment Ulnar Styloid Fracture (25650) $556.40 $856 2.2×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $916.50 $1,410 0.6×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $397.80 $612 1.6×
Closed tx carpal scaphoid fracture w/manj (25624) $822.25 $1,265 0.5×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $481 $740 1.9×
Closed tx knee dislocation w/o anesthesia (27550) $1,029.60 $1,584 4.0×
Closed tx metatarsal fracture w/o manipulation (28470) $349.70 $538 1.4×
Closed tx patellar dislocation w/anesthesia (27562) $1,029.60 $1,584 4.0×
Closed tx patellar dislocation w/o anesthesia (27560) $688.35 $1,059 2.7×
Closed Tx Patellar Fracture W/O Manipulation (27520) $524.55 $807 2.1×
Closed tx radial head/neck fx w/o manipulation (24650) $397.80 $612 1.6×
Closed tx radial shaft fracture w/manipulation (25505) $939.25 $1,445 0.6×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $448.50 $690 1.8×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,006.85 $1,549 0.6×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $105.30 $162 0.4×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $825.50 $1,270 0.5×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $463.45 $713 1.8×
Closed tx ulnar shaft fracture w/o manipulation (25530) $386.75 $595 1.5×
Closure of cystostomy (separate procedure) Facility (51880) $1,291.55 $1,987 0.4×
Clsd tx clavicular fracture w/o manipulation (23500) $380.90 $586 1.5×
Clsd tx shoulder dislc w/manipulation req anes (23655) $820.30 $1,262 0.5×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $608.40 $936 2.4×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,112.80 $1,712 0.7×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $356.20 $548 1.4×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $831.35 $1,279 0.5×
Cltx dstl fibular fx lat malls w/manj (27788) $800.15 $1,231 3.1×
Cltx dstl fibular fx lat malls w/o manj (27786) $521.30 $802 2.0×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $556.40 $856 2.2×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $310.70 $478 1.2×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $479.05 $737 1.9×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,076.40 $1,656 0.6×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,688.05 $2,597 1.0×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,956.50 $3,010 1.2×
Cltx fx grt toe phlx/phlg w/manj (28495) $289.90 $446 1.1×
Cltx fx grt toe phlx/phlg w/o manj (28490) $202.15 $311 0.8×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $269.10 $414 1.1×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $202.15 $311 0.8×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,153.10 $1,774 0.7×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $570.70 $878 2.2×
Cltx hip dislocation traumatic req anesthesia (27252) $1,899.30 $2,922 1.1×
Cltx hip dislocation traumatic w/o anesthesia (27250) $659.10 $1,014 2.6×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $221.65 $341 0.9×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $671.45 $1,033 2.3×
Cltx iphal jt dislc w/manj w/o anes (26770) $543.40 $836 2.1×
Cltx Med Ankle Fx W/Mnpj (27762) $942.50 $1,450 0.6×
Cltx metacarpal fx w/manipulation each bone (26605) $522.60 $804 2.1×
Cltx metacarpal fx w/o manipulation each bone (26600) $448.50 $690 1.8×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $599.95 $923 2.4×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $303.55 $467 1.2×
Cltx post hip arthrp dislc req anes (27266) $1,340.30 $2,062 0.8×
Cltx post hip arthrp dislc w/o anes (27265) $903.50 $1,390 3.5×
Cltx prox fibula/shft fx w/o manj (27780) $487.50 $750 1.9×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $871.65 $1,341 0.5×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $215.80 $332 0.8×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,196 $1,840 0.7×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $636.35 $979 2.5×
Cltx tibial fx proximal w/o manipulation (27530) $456.30 $702 1.8×
Cltx tibial shaft fx w/o manipulation (27750) $580.45 $893 2.3×
Cltx trimalleolar ankle fx w/manipulation (27818) $979.55 $1,507 0.6×
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) $2,583.10 $3,974 0.5×
Collect Blood From Catheter Venous Nos (36592) $105.30 $162 0.8×
Collection of venous blood by venipuncture (36415) $31.85 $49 3.4×
Colonoscopy Flexible With Decompression (45393) $806.65 $1,241 0.7×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $520 $800 0.4×
Colonoscopy thru stoma (44388) $468.65 $721 0.5×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $694.20 $1,068 0.6×
Colonoscopy w/ablation (45388) $801.45 $1,233 0.6×
Colonoscopy W/Band Ligation (45398) $723.45 $1,113 0.6×
Colonoscopy W/Resection (45390) $1,041.30 $1,602 0.4×
Colonoscopy w/submucosal inj (45381) $613.60 $944 0.5×
Colpopexy vaginal intraperitoneal approach (57283)
likely a partial charge, not the full procedure		 $2,007.85 $3,089 0.3×
Colporrhaphy (57200) $760.50 $1,170 0.2×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454)
range across 2 matching MRF lines		 $222.95–$401.70 $343–$618 varies
Colposcopy Cervix Endocervical Curettage (57456)
range across 2 matching MRF lines		 $150.15–$318.50 $231–$490 varies
Colposcopy cervix upper/adjacent vagina (57452)
range across 2 matching MRF lines		 $170.95–$259.35 $263–$399 varies
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455)
range across 2 matching MRF lines		 $160.55–$343.20 $247–$528 varies
Colposcopy cervix vag eltrd conization cervix (57461)
range across 2 matching MRF lines		 $253.50–$590.85 $390–$909 varies
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460)
range across 2 matching MRF lines		 $467.35–$487.50 $719–$750 varies
Colposcopy entire vagina w/cervix if present (57420)
range across 2 matching MRF lines		 $143.65–$276.25 $221–$425 varies
Colposcopy of vulva (56820)
range across 2 matching MRF lines		 $134.55–$259.35 $207–$399 varies
Colposcopy Vulva W/Biopsy (56821)
range across 2 matching MRF lines		 $166.40–$353.60 $256–$544 varies
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $379.60 $584 0.4×
Colsc Flexible W/Control Bleeding Any Method (45382) $802.10 $1,234 0.6×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $649.35 $999 0.5×
Combined anteroposterior colporrhaphy; (57260)
unusually low: confirm this is the full procedure		 $2,281.50 $3,510 0.4×
Complex drainage wound (10180) $396.50 $610 0.1×
Conization cervix w/wo d&c rpr eltrd exc (57522)
range across 2 matching MRF lines		 $581.75–$632.45 $895–$973 varies
Conization of cervix (57520) $708.50 $1,090 0.2×
Control Nasal Hemorrhage Anterior Complex (30903) $265.85 $409 1.9×
Control Nasal Hemorrhage Anterior Simple (30901) $190.45 $293 1.4×
Correction hammertoe (28285) $968.50 $1,490 0.3×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $1,420.90 $2,186 0.4×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
likely a partial charge, not the full procedure		 $1,600.30 $2,462 0.1×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
likely a partial charge, not the full procedure		 $1,334.45 $2,053 0.2×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $1,281.15 $1,971 0.4×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299)
likely a partial charge, not the full procedure		 $1,600.30 $2,462 0.2×
Create Eardrum Opening (69433) $271.05 $417 0.5×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $339.95 $523 2.5×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $421.85 $649 1.7×
Curettage postpartum (59160) $475.80 $732 0.1×
Cysto Bladder W/Ureteral Catheterization (52005) $408.85 $629 0.2×
Cysto calibration dilat urtl strix/stenosis (52281)
range across 2 matching MRF lines		 $237.25–$474.50 $365–$730 varies
Cysto w/complex removal stone & stent (52315)
range across 2 matching MRF lines		 $378.30–$895.70 $582–$1,378 varies
Cysto w/destruction of lesions (52214)
range across 2 matching MRF lines		 $206.70–$588.25 $318–$905 varies
Cysto w/dilat rx balo cath urtl strix/sten male (52284)
range across 2 matching MRF lines		 $232.05–$533.65 $357–$821 varies
Cysto w/insert ureteral stent (52332) $486.20 $748 0.1×
Cysto w/irrig & evac multple obstructing clots (52001) $937.30 $1,442 0.3×
Cysto w/removal of lesions small (52224)
range across 2 matching MRF lines		 $239.20–$697.45 $368–$1,073 varies
Cysto w/removal of tumors small (52234)
range across 2 matching MRF lines		 $348.40–$796.25 $536–$1,225 varies
Cysto W/Simple Removal Stone & Stent (52310)
range across 2 matching MRF lines		 $222.30–$483.60 $342–$744 varies
Cysto w/ureteroscopy w/lithotripsy (52353)
likely a partial charge, not the full procedure		 $1,292.85 $1,989 0.2×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $1,162.20 $1,788 0.3×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $1,183.65 $1,821 0.3×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $944.45 $1,453 0.3×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
likely a partial charge, not the full procedure		 $1,377.35 $2,119 0.2×
Cysto/uretero w/lithotripsy (52356)
likely a partial charge, not the full procedure		 $1,377.35 $2,119 0.2×
Cysto/uretero w/up stricture (52345) $1,300 $2,000 0.4×
Cystolithotomy (51050)
likely a partial charge, not the full procedure		 $1,373.45 $2,113 0.2×
Cystometrogram W/Vp&Up (51729)
range across 2 matching MRF lines		 $421.85–$1,463.15 $649–$2,251 varies
Cystorrhaphy suture of bladder wound injury or rupture simple (51860)
likely a partial charge, not the full procedure		 $2,169.70 $3,338 0.2×
Cystostomy Cystotomy W/Drainage (51040) $773.50 $1,190 0.4×
Cystotomy or cystostomy; with fulguration and/or insertion of radioactive material Facility (51020) $1,324.70 $2,038 0.4×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $1,345.50 $2,070 0.6×
Cystourethroscopy (52000)
range across 2 matching MRF lines		 $114.40–$264.55 $176–$407 varies
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) $845 $1,300 0.2×
Cystourethroscopy inj chemodenervation bladder (52287)
range across 2 matching MRF lines		 $232.05–$551.85 $357–$849 varies
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235)
range across 2 matching MRF lines		 $403.65–$937.30 $621–$1,442 varies
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240)
likely a partial charge, not the full procedure		 $1,292.85 $1,989 0.2×
Cystourethroscopy with biopsy (52204)
range across 2 matching MRF lines		 $215.80–$447.20 $332–$688 varies
Cystourethroscopy with direct vision internal urethrotomy (52276) $859.95 $1,323 0.4×
Cystourethroscopy, with internal urethrotomy; female Facility (52270) $579.15 $891 0.3×
Cystourethroscopy, with internal urethrotomy; male Facility (52275) $807.95 $1,243 0.4×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $104 $160 0.2×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $1,183.65 $1,821 0.4×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $721.50 $1,110 1.0×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $851.50 $1,310 1.2×
Deb Musc/Fascia 20 Sq Cm/< (11043) $466.05 $717 0.6×
Debride nail 1-5 (11720) $55.90 $86 0.9×
Debride nail 6 or more (11721) $92.95 $143 1.5×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $705.90 $1,086 0.4×
Debridement Mastoidectomy Cavity Simple (69220) $143.65 $221 0.7×
Debridement subcutaneous tissue 20 sq cm/< (11042) $174.20 $268 0.4×
Declot vascular device (36593)
range across 2 matching MRF lines		 $187.20–$201.50 $288–$310 varies
Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) $1,167.40 $1,796 0.3×
Decompression of tibia nerve (28035) $900.25 $1,385 0.4×
Delivery of placenta (59414)
range across 2 matching MRF lines		 $277.55–$1,056.90 $427–$1,626 varies
Destr penis lesion(s) (54065) $425.75 $655 0.2×
Destruct B9 Lesion 1-14 (17110) $121.55 $187 0.6×
Destruction Benign Lesions 15/> (17111) $168.35 $259 0.8×
Destruction by neurolytic agent, intercostal nerve (64620)
range across 2 matching MRF lines		 $498.55–$3,664.70 $767–$5,638 varies
Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) $973.05 $1,497 0.5×
Destruction Lesions Vulva Simple (56501) $272.35 $419 0.1×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $306.15 $471 1.5×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $360.75 $555 1.7×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $463.45 $713 1.1×
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) $551.85 $849 0.7×
Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) $772.20 $1,188 1.0×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $210.60 $324 1.0×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $280.80 $432 1.4×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $317.20 $488 1.5×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $343.20 $528 0.8×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $412.75 $635 1.0×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $210.60 $324 1.0×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $237.25 $365 1.1×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $265.85 $409 1.3×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $313.95 $483 1.5×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $362.70 $558 0.9×
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) $455 $700 1.1×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $166.40 $256 0.8×
Destruction of skin lesions (17106) $636.35 $979 1.5×
Destruction Premalignant Lesion 15/> (17004) $237.25 $365 0.6×
Destruction premalignant lesion 1st (17000) $105.30 $162 0.5×
Diagnostic sigmoidoscopy (45330) $145.60 $224 0.2×
Dilate Esophagus 1/Mult Pass (43450) $221.65 $341 0.2×
Dilate Urethra Stricture (53600)
range across 2 matching MRF lines		 $87.75–$203.45 $135–$313 varies
Dilation & curettage dx&/ther nonobstetric (58120)
range across 2 matching MRF lines		 $482.30–$618.80 $742–$952 varies
Dilation of vagina (57400) $391.30 $602 0.1×
Drain Cerebro Spinal Fluid (62272) $272.35 $419 0.4×
Drain/inj small joint/bursa w/us (20604) $154.05 $237 0.5×
Drainage External Ear Abscess/Hematoma Simple (69000) $259.35 $399 0.4×
Drainage Mouth Roof Lesion (42000) $221.65 $341 0.9×
Drainage of finger abscess simple (26010) $274.95 $423 1.3×
Drainage of gum lesion (41800) $219.70 $338 1.6×
Drainage of hematoma/fluid (10140) $272.35 $419 0.2×
Drainage of hydrocele (55000)
range across 2 matching MRF lines		 $155.35–$240.50 $239–$370 varies
Drainage of palmar bursa single bursa (26025) $876.20 $1,348 0.3×
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $380.25–$421.85 $585–$649 varies
Drainage of scrotum (54700) $585 $900 0.3×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines		 $79.95–$83.20 $123–$128 varies
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $212.55 $327 0.3×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $406.90 $626 0.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $359.45 $553 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $299.65 $461 1.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $122.85 $189 0.6×
Dstrj lesion anus simple surg excision (46922) $330.20 $508 0.1×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $330.20 $508 0.2×
Dstrj Lesion Penis Simple Cryosurgery (54056)
range across 2 matching MRF lines		 $217.10–$328.25 $334–$505 varies
Dstrj Lesion Penis Simple Electrodesiccation (54055)
range across 2 matching MRF lines		 $210.60–$252.20 $324–$388 varies
Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) $559.65 $861 1.3×
Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) $1,240.20 $1,908 0.6×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines		 $341.25–$2,351.05 $525–$3,617 varies
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $601.90 $926 0.7×
Dx Bone Marrow Bx & Aspir (38222) $248.95 $383 0.1×
Dx Bronchoscope/Lavage (31624) $453.05 $697 0.2×
Egd Balloon Dil Esoph30 Mm/> (43233) $700.70 $1,078 0.4×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $460.20 $708 0.2×
Egd cautery tumor polyp (43250) $511.55 $787 0.3×
Egd control bleeding any (43255) $613.60 $944 0.3×
Egd dilation gastric/duodenal stricture (43245) $531.05 $817 0.3×
Egd Flexible Foreign Body Removal (43247) $535.60 $824 0.6×
Egd intrmural us needle aspirate/biopsy esophags (43238) $716.95 $1,103 0.4×
Egd place gastrostomy tube (43246) $613.60 $944 0.3×
Egd remove lesion snare (43251) $598 $920 0.3×
Egd Tube/Cath Insertion (43241) $429 $660 0.2×
Electro-Uroflowmetry First (51741)
range across 2 matching MRF lines		 $57.20–$78.65 $88–$121 varies
Endocervical curettage (57505)
range across 2 matching MRF lines		 $205.40–$333.45 $316–$513 varies
Endometrial ablation, thermal, without hysteroscopic guidance (58353)
likely a partial charge, not the full procedure		 $620.10 $954 0.1×
Endometrial Biopsy (58100)
range across 2 matching MRF lines		 $83.85–$208.65 $129–$321 varies
Endoscopic injection/implant (51715) $642.85 $989 0.2×
Endoscopic plantar fasciotomy (29893) $1,037.40 $1,596 0.3×
Endoscopic us exam esoph (43237) $598 $920 0.3×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $1,826.50 $2,810 0.6×
Enterorrhaphy single perforation (44602) $4,255.55 $6,547 1.1×
Epidural Blood Patch (62273)
range across 3 matching MRF lines		 $370.50–$1,840.15 $570–$2,831 varies
Episiotomy or vaginal repair (59300) $415.35 $639 0.1×
Ercp Destruction/Lithotripsy Calculi Any Method (43265)
likely a partial charge, not the full procedure		 $1,365.65 $2,101 0.2×
Ercp duct stent placement (43274)
likely a partial charge, not the full procedure		 $1,461.20 $2,248 0.2×
Ercp Dx Collection Specimen Brushing/Washing (43260) $1,006.85 $1,549 0.3×
Ercp ea duct/ampulla dilate (43277) $1,188.20 $1,828 0.3×
Ercp remove calculi/debris biliary/pancreas duct (43264) $1,141.40 $1,756 0.3×
Ercp remove forgn body duct (43275) $1,182.35 $1,819 0.6×
Ercp,Sphincterotomy (43262) $1,119.95 $1,723 0.3×
Esophagogastroduodenoscopy Submucosal Injection (43236) $412.75 $635 0.4×
Esophagoscopy Flexible W/Bleeding Control (43227) $497.90 $766 0.3×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) $618.15 $951 0.3×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $420.55 $647 0.2×
Evacuate mole of uterus (59870) $1,132.30 $1,742 0.3×
Evacuation of subungual hematoma (11740) $64.35 $99 0.5×
Exc arm/elbow les sc < 3 cm (24075) $730.60 $1,124 0.4×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $156 $240 0.2×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines		 $186.55–$356.20 $287–$548 varies
Exc Back Les Sc < 3 Cm (21930) $851.50 $1,310 0.5×
Exc Back Tum Deep 5 Cm/> (21933) $1,916.85 $2,949 0.6×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $1,153.10 $1,774 0.3×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $373.75 $575 0.5×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $451.75 $695 0.6×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $747.50 $1,150 0.4×
Exc Face Les Sbq 2 Cm/> (21012) $767 $1,180 0.4×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $181.35 $279 0.2×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $264.55 $407 0.4×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $306.15 $471 0.4×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $403.65 $621 0.2×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $549.90 $846 0.3×
Exc Forearm Les Sc 3 Cm/> (25071) $1,018.55 $1,567 0.6×
Exc ganglion wrist recurrent (25112) $804.70 $1,238 0.5×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $177.45 $273 0.1×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $159.25–$253.50 $245–$390 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $289.90 $446 0.2×
Exc hand tum deep < 1.5 cm (26116) $1,160.90 $1,786 0.7×
Exc hydrocele sprmatic cord uni spx (55500) $1,071.85 $1,649 0.3×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $783.90 $1,206 0.5×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $650.65 $1,001 0.4×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $902.20 $1,388 0.4×
Exc neuroma hand/foot xcp digital nerve (64782) $1,182.35 $1,819 0.6×
Exc Rct Tum Not Incl Muscularis Propria (45171) $1,400.10 $2,154 0.5×
Exc Shoulder Tum Deep 5 Cm/> (23073) $1,744.60 $2,684 0.6×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $317.20 $488 0.4×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 2 matching MRF lines		 $427.70–$447.20 $658–$688 varies
Exc Skin Benig >4 Cm Remaindr Body (11426) $704.60 $1,084 0.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $606.45 $933 0.4×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $535.60 $824 0.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $864.50 $1,330 0.5×
Exc tendon shth lesion leg/ankle (27630) $851.50 $1,310 0.3×
Exc thigh/knee les sc 3 cm/> (27337) $1,018.55 $1,567 0.3×
Exc thigh/knee tum dep 5cm/> (27339) $1,916.85 $2,949 0.6×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $283.40 $436 0.2×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $221.65 $341 0.5×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $250.25 $385 0.3×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $364 $560 0.2×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $1,117.35 $1,719 0.4×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $1,227.85 $1,889 0.4×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $934.05 $1,437 0.5×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $1,320.15 $2,031 0.4×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $1,275.95 $1,963 0.4×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $1,744.60 $2,684 0.6×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $761.15 $1,171 0.4×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $1,227.85 $1,889 0.4×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $682.50 $1,050 0.4×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $682.50 $1,050 0.4×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $1,916.85 $2,949 0.6×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $681.85 $1,049 0.4×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $851.50 $1,310 0.3×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $981.50 $1,510 0.3×
Exc Varicocele/Ligation Spermatic Veins Spx (55530) $990.60 $1,524 0.3×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $741.65 $1,141 0.4×
Excis Mouth Mucosa/Sub,No Repair (40810) $234 $360 0.1×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $486.20 $748 0.7×
Excision Aural Polyp (69540) $215.80 $332 0.1×
Excision Facial Bone (21026)
likely a partial charge, not the full procedure		 $981.50 $1,510 0.2×
Excision H/P/P/U Simple/Intermediate Repair (11470) $614.90 $946 0.2×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $517.40 $796 0.2×
Excision inferior turbinate partial/complete (30130) $598 $920 0.2×
Excision lesion meniscus/capsule knee (27347) $1,158.95 $1,783 0.3×
Excision lesion mouth roof (42104) $290.55 $447 0.1×
Excision Lingual Frenum Frenectomy (41115) $309.40 $476 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $280.80 $432 0.4×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $357.50 $550 0.5×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $391.30 $602 0.9×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $547.30 $842 0.7×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $287.95 $443 0.4×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $589.55 $907 0.3×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $283.40 $436 0.2×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $359.45 $553 0.5×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $415.35 $639 0.6×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $623.35 $959 0.4×
Excision Multiple External Papillae/Tags Anus (46230) $451.75 $695 0.2×
Excision nasal polyp(s) simple (30110) $289.90 $446 0.2×
Excision of bartholin's gland or cyst (56740) $840.45 $1,293 0.3×
Excision of extraparenchymal lesion of testis (54512) $1,569.75 $2,415 0.4×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $608.40 $936 0.4×
Excision of hydrocele; bilateral (55041) $1,470.30 $2,262 0.4×
Excision of hydrocele; unilateral (55040) $939.25 $1,445 0.3×
Excision of local lesion of epididymis (54830) $1,034.80 $1,592 0.3×
Excision of neuroma; digital nerve, 1 or both, same digit (64776) $965.25 $1,485 0.5×
Excision of pilonidal cyst or sinus; simple (11770) $458.90 $706 0.2×
Excision of single external papilla or tag, anus (46220) $277.55 $427 0.2×
Excision of submandibular (submaxillary) gland (42440)
likely a partial charge, not the full procedure		 $1,057.55 $1,627 0.2×
Excision of vaginal cyst or tumor (57135)
range across 2 matching MRF lines		 $406.25–$466.05 $625–$717 varies
Excision of vaginal septum (57130) $424.45 $653 0.1×
Excision olecranon bursa (24105) $650.65 $1,001 0.2×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $1,003.60 $1,544 0.3×
Excision or fulguration; Skene's glands Facility (53270) $541.45 $833 0.1×
Excision Pilonidal Cyst/Sinus Complicated (11772) $1,266.85 $1,949 0.4×
Excision Pilonidal Cyst/Sinus Extensive (11771) $1,049.10 $1,614 0.3×
Excision Skin Abd Infraumbilical Panniculectomy (15830)
unusually low: confirm this is the full procedure		 $2,945.80 $4,532 0.4×
Excision spermatocele w/wo epididymectomy (54840) $908.05 $1,397 0.4×
Excision synovial cyst popliteal space (27345) $1,049.10 $1,614 0.3×
Excision Thyroglossal Duct Cyst/Sinus (60280)
likely a partial charge, not the full procedure		 $1,060.15 $1,631 0.2×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,185.60 $1,824 0.7×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $934.05 $1,437 0.3×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $682.50 $1,050 0.4×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $1,018.55 $1,567 0.6×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $682.50 $1,050 0.4×
Excision, interdigital (morton) neuroma, single, each (28080) $837.20 $1,288 0.5×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $1,101.10 $1,694 0.4×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $515.45 $793 0.3×
Excision/curettage cyst/tumor phalanx finger (26210) $915.85 $1,409 0.6×
Expl penetrating wound spx abdomen/flank/back (20102) $685.75 $1,055 0.3×
Explo/Drain Breast Abscess (19020) $660.40 $1,016 0.4×
Exploration penetrating wound spx extremity (20103) $919.75 $1,415 0.5×
Exploration Penetrating Wound Spx Neck (20100) $1,787.50 $2,750 3.2×
Explore/Treat Hand Joint (26070) $656.50 $1,010 0.4×
External cephalic version (59412)
range across 2 matching MRF lines		 $295.10–$1,430.65 $454–$2,201 varies
Fasciectomy Palm Only (26121) $1,269.45 $1,953 0.4×
Fasciectomy Plantar Fascia Partial Spx (28060) $930.80 $1,432 0.3×
Fasciotomy, foot and/or toe (28008) $789.75 $1,215 0.2×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $1,873.95 $2,883 0.6×
Fetal non-stress test (59025)
range across 3 matching MRF lines		 $91.65–$455.65 $141–$701 varies
Fine needle aspiration without imaging guidance (10021) $177.45 $273 0.4×
Fna bx w/us gdn 1st les (10005) $252.20 $388 0.3×
Foreskin manipulation (54450) $193.70 $298 0.8×
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $1,576.25 $2,425 0.7×
Fusion Finger Joint (26860) $840.45 $1,293 0.2×
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) $3,931.20 $6,048 1.0×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
likely a partial charge, not the full procedure		 $1,379.30 $2,122 0.2×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $854.75 $1,315 0.3×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $731.90 $1,126 0.3×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $1,159.60 $1,784 0.4×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) $1,336.40 $2,056 0.5×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) $1,362.40 $2,096 0.5×
Hemorrhoidopexy by stapling (46947) $960.05 $1,477 0.3×
Hysteroscopy Biopsy (58558) $718.90 $1,106 0.2×
Hysteroscopy Dx Sep Proc (58555) $456.30 $702 0.1×
Hysteroscopy Endometrial Ablation (58563)
likely a partial charge, not the full procedure		 $770.25 $1,185 0.1×
Hysteroscopy Lysis Intrauterine Adhesions (58559)
likely a partial charge, not the full procedure		 $895.70 $1,378 0.2×
Hysteroscopy Removal Impacted Foreign Body (58562)
range across 2 matching MRF lines		 $328.25–$689.65 $505–$1,061 varies
Hysteroscopy, surgical; with removal of leiomyomata (58561)
likely a partial charge, not the full procedure		 $1,136.85 $1,749 0.2×
I&d abscess peritonsillar (42700) $287.95 $443 1.2×
I&d abscess simple (10060) $210.60 $324 1.0×
I&D Below Fascia Foot 1 Bursal Space (28002) $481 $740 0.3×
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,167.40 $1,796 0.4×
I&D Deep Absc/Hematoma Neck/Chest (21501) $686.40 $1,056 0.2×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $1,097.20 $1,688 0.4×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $1,369.55 $2,107 0.4×
I&d perianal abscess superficial (46050) $214.50 $330 0.2×
I&d pilonidal cyst complicated (10081) $431.60 $664 0.6×
I&d pilonidal cyst simple (10080) $210.60 $324 0.3×
I&d shoulder deep abscess/hematoma (23030) $598 $920 0.2×
I&d upper arm/elbow deep abscess/hematoma (23930) $515.45 $793 0.2×
Implant Neuroelectrodes (64561)
likely a partial charge, not the full procedure		 $936.65 $1,441 0.1×
Implant Periph/Gastric Neurostim/Receiver (64590)
likely a partial charge, not the full procedure		 $837.20 $1,288 0.0×
Incise external hemorrhoid (46083) $250.25 $385 1.0×
Incise finger tendon sheath (26055) $535.60 $824 0.3×
Incision & drainage abscess complicated/multiple (10061) $421.85 $649 1.0×
Incision & drainage leg/ankle abscess/hematoma (27603) $900.25 $1,385 0.3×
Incision & removal foreign body subq tiss compl (10121) $472.55 $727 0.3×
Incision & removal foreign body subq tiss simple (10120) $210.60 $324 0.5×
Incision and drainage of bartholin's gland abscess (56420) $248.95 $383 1.2×
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $256.75–$364 $395–$560 varies
Incision bone cortex foot (28005) $1,626.30 $2,502 0.5×
Incision Drainage Lacrimal Sac (68420) $404.95 $623 0.2×
Incision of eardrum (69420) $238.55 $367 1.0×
Incision of labial frenum (frenotomy) (40806) $53.95 $83 0.1×
Incision of lingual frenum (frenotomy) (41010) $192.40 $296 0.1×
Incision of rectal abscess (46040) $924.95 $1,423 0.7×
Incision of urethra (53020) $306.15 $471 0.1×
Incisional biopsy eyelid skin & lid margin (67810) $203.45 $313 0.6×
Incisional biopsy skin single lesion (11106) $174.20 $268 0.2×
Induced abortion, by dilation and evacuation (59841) $952.25 $1,465 0.3×
Initial Tx 1st Degree Burn Local Tx (16000) $154.05 $237 0.7×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $313.95–$1,198.60 $483–$1,844 varies
Inj W/Fluor Eval Cv Device (36598)
range across 2 matching MRF lines		 $128.05–$149.50 $197–$230 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines		 $394.55–$1,198.60 $607–$1,844 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 3 matching MRF lines		 $53.95–$635.05 $83–$977 varies
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 3 matching MRF lines		 $226.20–$865.80 $348–$1,332 varies
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines		 $261.95–$1,198.60 $403–$1,844 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines		 $87.10–$340.60 $134–$524 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 2 matching MRF lines		 $261.95–$1,198.60 $403–$1,844 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines		 $240.50–$1,207.05 $370–$1,857 varies
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 3 matching MRF lines		 $234–$2,706.60 $360–$4,164 varies
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines		 $190.45–$851.50 $293–$1,310 varies
Injection enzyme palmar fascial cord (20527) $172.90 $266 0.5×
Injection for identification of sentinel node (38792)
range across 2 matching MRF lines		 $112.45–$140.40 $173–$216 varies
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $130–$635.05 $200–$977 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $114.40–$681.20 $176–$1,048 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $130–$788.45 $200–$1,213 varies
Injection therapeutic carpal tunnel (20526)
range across 3 matching MRF lines		 $102.05–$1,198.60 $157–$1,844 varies
Injection, anesthetic agent; brachial plexus, single (64415)
range across 3 matching MRF lines		 $259.35–$851.50 $399–$1,310 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $230.75–$271.05 $355–$417 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 4 matching MRF lines		 $68.90–$757.90 $106–$1,166 varies
Injection, anesthetic agent; vagus nerve (64408) $130 $200 0.4×
Injection, Intralesional; More Than 7 Lesions (11901) $138.45 $213 0.7×
Injection, intralesional; up to and including 7 lesions (11900) $89.70 $138 0.4×
Insert and remove bone pin (20650) $392.60 $604 0.1×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $102.70–$247 $158–$380 varies
Insert cath pleura w/ image (32557) $536.90 $826 0.3×
Insert cervical dilator (59200)
range across 3 matching MRF lines		 $136.50–$260.65 $210–$401 varies
Insert Drug Implant Device (11981)
range across 2 matching MRF lines		 $107.90–$196.95 $166–$303 varies
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $302.25–$855.40 $465–$1,316 varies
Insert pessary/other device (57160)
range across 2 matching MRF lines		 $59.15–$154.05 $91–$237 varies
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines		 $31.85–$145.60 $49–$224 varies
Insert tunneled cv cath (36561) $997.75 $1,535 0.3×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 3 matching MRF lines		 $31.85–$187.20 $49–$288 varies
Insertion Picc W/Rs&I 5 Yr/> (36573) $293.80 $452 0.2×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $649.35 $999 0.4×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $789.75 $1,215 0.2×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $776.10 $1,194 1.8×
Intranasal Biopsy (30100) $161.85 $249 0.1×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $517.40–$542.75 $796–$835 varies
Knee Arthroscopy/Surgery (29874) $1,238.25 $1,905 0.4×
Labyrinthotomy Transcanal (69801) $356.20 $548 0.2×
Lap paraesoph her rpr w/mesh (43282)
unusually low: confirm this is the full procedure		 $5,182.45 $7,973 0.5×
Lap paraesophag hern repair (43281)
unusually low: confirm this is the full procedure		 $4,579.90 $7,046 0.4×
Laparo-vag hyst incl t/o (58552)
likely a partial charge, not the full procedure		 $2,912 $4,480 0.3×
Laparoscopy aspiration (49322)
likely a partial charge, not the full procedure		 $1,034.80 $1,592 0.2×
Laparoscopy Enterolysis Separate Procedure (44180)
unusually low: confirm this is the full procedure		 $2,629.90 $4,046 0.4×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure		 $1,095.90 $1,686 0.2×
Laparoscopy surgical orchiectomy (54690)
unusually low: confirm this is the full procedure		 $2,015.65 $3,101 0.3×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
likely a partial charge, not the full procedure		 $2,583.10 $3,974 0.2×
Laparoscopy W/Lysis Of Adhesions (58660)
unusually low: confirm this is the full procedure		 $1,996.80 $3,072 0.3×
Laparoscopy w/rmvl adnexal structures (58661)
unusually low: confirm this is the full procedure		 $1,954.55 $3,007 0.3×
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure		 $1,627.60 $2,504 0.3×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure		 $3,117.40 $4,796 0.3×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550)
unusually low: confirm this is the full procedure		 $2,600.65 $4,001 0.4×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553)
unusually low: confirm this is the full procedure		 $3,454.75 $5,315 0.3×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
unusually low: confirm this is the full procedure		 $1,975.35 $3,039 0.3×
Laparoscopy, surgical; orchiopexy for intra-abdominal testis Facility (54692)
unusually low: confirm this is the full procedure		 $2,365.35 $3,639 0.4×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure		 $1,443 $2,220 0.2×
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992)
unusually low: confirm this is the full procedure		 $2,560.35 $3,939 0.4×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
likely a partial charge, not the full procedure		 $936.65 $1,441 0.2×
Laparoscopy, Tubal Block (58671)
likely a partial charge, not the full procedure		 $1,018.55 $1,567 0.2×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure		 $885.30 $1,362 0.1×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
unusually low: confirm this is the full procedure		 $2,092.35 $3,219 0.3×
Laps surg retroperitoneal lymph node bx 1/mlt (38570)
likely a partial charge, not the full procedure		 $1,461.85 $2,249 0.2×
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150)
unusually low: confirm this is the full procedure		 $2,116.40 $3,256 0.3×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554)
unusually low: confirm this is the full procedure		 $3,978.65 $6,121 0.4×
Laryngoscopy diagnostic (31505) $99.45 $153 0.5×
Laryngoscopy flexible diagnostic (31575) $161.85 $249 0.8×
Laser vaporization of prostate (52648)
unusually low: confirm this is the full procedure		 $2,092.35 $3,219 0.4×
Late closure of wound (13160) $2,072.85 $3,189 0.6×
Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) $1,857.05 $2,857 0.6×
Ligation of hemorrhoids (46946) $776.10 $1,194 0.3×
Ligation or biopsy temporal artery (37609) $525.85 $809 0.3×
Litholapaxy comp/lg > 2.5 cm (52318) $1,580.80 $2,432 0.4×
Litholapaxy smpl/sm <2.5 cm (52317) $1,156.35 $1,779 0.3×
Lithotripsy, extracorporeal shock wave (50590) $1,682.85 $2,589 0.5×
Lsh uterus 250 g or less (58541)
likely a partial charge, not the full procedure		 $2,116.40 $3,256 0.2×
Lysis/excision penile postcircumcision adhesions (54162)
range across 2 matching MRF lines		 $386.75–$572 $595–$880 varies
Maniplatn palar fascial crd post inj single cord (26341) $157.30 $242 0.6×
Marsupialization of bartholin's gland cyst (56440) $498.55 $767 0.1×
Mast mod rad (19307)
unusually low: confirm this is the full procedure		 $3,098.55 $4,767 0.5×
Mastectomy for gynecomastia (19300) $915.20 $1,408 0.2×
Mastectomy partial (19301) $1,744.60 $2,684 0.4×
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure		 $2,583.10 $3,974 0.4×
Maternity Care Procedure (59899) $1,534 $2,360 7.4×
Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) $1,534.65 $2,361 0.5×
Myringoplasty (69620) $1,038.70 $1,598 0.3×
N Block Inj Celiac Pelus (64530) $272.35 $419 0.3×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 3 matching MRF lines		 $87.75–$959.40 $135–$1,476 varies
N block inj intercost sng (64420)
range across 2 matching MRF lines		 $186.55–$1,004.90 $287–$1,546 varies
N Block Inj Paracervical (64435)
range across 2 matching MRF lines		 $72.80–$129.35 $112–$199 varies
N Block Inj Plantar Digit (64455) $130 $200 0.4×
N Block Inj Pudendal (64430)
range across 2 matching MRF lines		 $172.90–$959.40 $266–$1,476 varies
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines		 $232.70–$1,763.45 $358–$2,713 varies
Nasal Endoscopy Dx (31231) $190.45 $293 0.9×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $472.55 $727 0.3×
Needle Biopsy Lymph Nodes (38505) $274.95 $423 0.2×
Needle insertion w/o injection 1 or 2 muscles (20560) $27.30 $42 0.9×
Needle insertion w/o injection 3 or more muscles (20561) $40.95 $63 1.4×
Neurectomy, Intrinsic Musculature Of Foot (28055) $1,083.55 $1,667 0.5×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $1,250.60 $1,924 0.6×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $1,094.60 $1,684 0.5×
Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) $955.50 $1,470 1.3×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $364 $560 0.9×
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines		 $210.60–$1,624.35 $324–$2,499 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $130–$1,160.25 $200–$1,785 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $261.95–$1,198.60 $403–$1,844 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines		 $336.70–$1,198.60 $518–$1,844 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines		 $310.70–$1,198.60 $478–$1,844 varies
Njx Sclrsnt Mlt Incmptnt Vn (36471) $259.35 $399 0.6×
Njx Sclrsnt Spider Veins (36468) $244.40 $376 0.6×
Ob preeclampsia biochem asy sflt-1&plgf serum (0482U) $388.70 $598 3.0×
Obstructive material removal from gi tube (49460) $166.40 $256 0.2×
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 $161.85–$974.35 $249–$1,499 varies
Open biopsy/excision inguinofemoral nodes (38531) $1,160.90 $1,786 0.3×
Open bowel to skin (44300) $2,367.95 $3,643 1.2×
Open Implantation Nea Sacral Nerve (64581)
unusually low: confirm this is the full procedure		 $2,100.80 $3,232 0.3×
Open rdl shaft fx closed rad/uln jt dislocate (25525)
likely a partial charge, not the full procedure		 $1,817.40 $2,796 0.2×
Open Repair of Rotator Cuff Acute (23410)
likely a partial charge, not the full procedure		 $1,961.70 $3,018 0.3×
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure		 $1,829.75 $2,815 0.2×
Open Treatment Fracture Distal Tibia & Fibula (27828)
likely a partial charge, not the full procedure		 $3,173.30 $4,882 0.2×
Open treatment fracture distal tibia only (27827)
likely a partial charge, not the full procedure		 $2,547.35 $3,919 0.2×
Open Treatment Humeral Condylar Fracture (24579)
likely a partial charge, not the full procedure		 $1,970.80 $3,032 0.1×
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure		 $1,358.50 $2,090 0.2×
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure		 $1,281.15 $1,971 0.2×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure		 $1,669.20 $2,568 0.2×
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506)
unusually low: confirm this is the full procedure		 $3,383.25 $5,205 0.5×
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513)
likely a partial charge, not the full procedure		 $3,315 $5,100 0.3×
Open Treatment of Ulnar Shaft Fracture (25545)
likely a partial charge, not the full procedure		 $1,367.60 $2,104 0.2×
Open treatment of ulnar styloid fracture (25652)
likely a partial charge, not the full procedure		 $1,388.40 $2,136 0.2×
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure		 $2,118.35 $3,259 0.2×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $1,688.05 $2,597 0.5×
Open tx carpal bone fracture oth/thn scaphoid ea (25645) $1,217.45 $1,873 0.4×
Open Tx Carpometacarpal Dislocate Not Thumb (26685) $1,160.25 $1,785 0.3×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure		 $1,507.35 $2,319 0.2×
Open Tx Distal Phalangeal Fracture Each (26765) $1,009.45 $1,553 0.3×
Open Tx Distal Radioulnar Dislc Acute/Chronic (25676)
likely a partial charge, not the full procedure		 $1,427.40 $2,196 0.2×
Open Tx Distal Tibiofibular Joint Disruption (27829)
likely a partial charge, not the full procedure		 $1,515.80 $2,332 0.2×
Open tx femoral supracondylar fracture w/o xtn (27511)
likely a partial charge, not the full procedure		 $2,601.30 $4,002 0.2×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $923 $1,420 0.3×
Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540)
likely a partial charge, not the full procedure		 $1,946.75 $2,995 0.3×
Open tx interphalangeal joint dislocation (26785) $1,136.85 $1,749 0.3×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $1,217.45 $1,873 0.4×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $1,277.25 $1,965 0.4×
Open Tx Radial Head/Neck Fracture (24665)
likely a partial charge, not the full procedure		 $1,439.75 $2,215 0.2×
Open Tx Tibial Fracture Proximal Unicondylar (27535)
unusually low: confirm this is the full procedure		 $2,308.80 $3,552 0.3×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
likely a partial charge, not the full procedure		 $1,930.50 $2,970 0.3×
Open tx ulnar fx proximal end (24685)
likely a partial charge, not the full procedure		 $1,441.70 $2,218 0.2×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
likely a partial charge, not the full procedure		 $1,906.45 $2,933 0.3×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
unusually low: confirm this is the full procedure		 $2,475.85 $3,809 0.3×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
unusually low: confirm this is the full procedure		 $3,032.25 $4,665 0.4×
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
likely a partial charge, not the full procedure		 $2,087.15 $3,211 0.2×
Orchiectomy partial (54522) $1,765.40 $2,716 0.5×
Orchiectomy radical tumor inguinal approach (54530) $1,457.95 $2,243 0.4×
Orchiopexy Ingun/Scrot Appr (54640) $1,331.20 $2,048 0.4×
Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Facility (54650) $2,134.60 $3,284 0.6×
Ostc prtl exostc/condylc metar head (28288) $1,036.75 $1,595 0.3×
Ostectomy calcaneus (28118) $1,056.25 $1,625 0.3×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $798.20 $1,228 0.2×
Ostectomy, complete excision; fifth metatarsal head (28113) $1,052.35 $1,619 0.3×
Ostectomy, complete excision; first metatarsal head (28111) $845.65 $1,301 0.3×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $727.35 $1,119 0.2×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $944.45 $1,453 0.3×
Ovarian cystectomy, unilateral or bilateral (58925)
unusually low: confirm this is the full procedure		 $2,140.45 $3,293 0.4×
Part remv talus or calcaneus (28120) $1,258.40 $1,936 0.4×
Partial excision bone olecranon process (24147) $1,286.35 $1,979 0.4×
Partial Excision Distal Phalanx Finger (26236) $941.20 $1,448 0.6×
Partial hymenectomy or revision of hymenal ring (56700) $489.45 $753 0.1×
Partial removal of thyroid (60220)
unusually low: confirm this is the full procedure		 $1,927.90 $2,966 0.3×
Partical Excision Bone Phalanx Toe (28124) $861.25 $1,325 0.3×
Pelvic examination under anesthesia (other than local) (57410) $302.25 $465 0.1×
Penile Injection (54235)
range across 2 matching MRF lines		 $146.25–$200.20 $225–$308 varies
Peritoneal Lavage (49084) $344.50 $530 0.4×
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines		 $293.80–$1,769.30 $452–$2,722 varies
Perq device breast 1st imag (19281)
range across 2 matching MRF lines		 $344.50–$1,198.60 $530–$1,844 varies
Phalangectomy toe each toe (28150) $728.65 $1,121 0.2×
Phleb Veins - Extrem 20+ (37766) $2,128.10 $3,274 0.7×
Place Rt Device/Marker Pros (55876) $284.70 $438 0.2×
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines		 $206.70–$234 $318–$360 varies
Placement of seton (46020) $321.10 $494 0.1×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
unusually low: confirm this is the full procedure		 $1,736.80 $2,672 0.3×
Prostate laser enucleation (52649)
unusually low: confirm this is the full procedure		 $2,507.05 $3,857 0.5×
Prq skel fixj femoral fx prox end neck (27235)
likely a partial charge, not the full procedure		 $2,239.25 $3,445 0.3×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
likely a partial charge, not the full procedure		 $1,682.85 $2,589 0.2×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) $900.25 $1,385 0.3×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $1,164.15 $1,791 0.3×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $79.95–$143.65 $123–$221 varies
Puncture aspiration abscess hematoma bulla/cyst (10160) $215.80 $332 0.5×
Puncture Aspiration Cyst Breast (19000) $145.60 $224 0.2×
Rcnstj angular dfrm toe soft tiss px only (28313) $887.25 $1,365 0.3×
Reconstruct elbow lat ligmnt (24344)
unusually low: confirm this is the full procedure		 $2,555.80 $3,932 0.3×
Reconstruct elbow med ligmnt (24346)
likely a partial charge, not the full procedure		 $2,557.10 $3,934 0.2×
Reduction of rectal prolapse (45900) $515.45 $793 0.5×
Removal Foreign Body Foot Complicated (28193) $1,017.25 $1,565 0.6×
Removal Foreign Body Foot Subcutaneous (28190) $345.80 $532 0.5×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $327.60 $504 0.2×
Removal Foreign Body Pelvis/Hip Deep (27087) $1,520.35 $2,339 0.5×
Removal foreign body upper arm/elbow deep (24201) $809.90 $1,246 0.3×
Removal foreign body, intranasal; requiring general anesthesia (30310) $337.35 $519 0.1×
Removal impacted cerumen irrigation/lvg unilat (69209) $29.90 $46 0.5×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $105.30 $162 1.7×
Removal Implant Deep (20680) $1,026.35 $1,579 0.3×
Removal Implant Superficial Separate Procedure (20670) $309.40 $476 0.2×
Removal implantable contraceptive capsules (11976) $307.45 $473 0.4×
Removal of adenoids (42835) $410.80 $632 0.1×
Removal of adenoids (42831) $483.60 $744 0.1×
Removal of adenoids (42830) $456.30 $702 0.1×
Removal of anal fissure (46200) $618.80 $952 0.2×
Removal of foot joint lining (28072) $812.50 $1,250 0.2×
Removal of heel spur (28119) $958.10 $1,474 0.3×
Removal of nail bed (11750) $272.35 $419 0.6×
Removal of sesamoid bone (28315) $861.25 $1,325 0.3×
Removal of testis (54520) $913.25 $1,405 0.3×
Removal of tonsils (42825)
likely a partial charge, not the full procedure		 $575.90 $886 0.1×
Removal of tonsils (42826) $594.10 $914 0.2×
Removal or bivalving full arm or full leg cast (29705) $131.30 $202 0.5×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $142.35–$235.30 $219–$362 varies
Remove cerclage suture (59871) $367.25 $565 0.1×
Remove drug implant device (11982)
range across 2 matching MRF lines		 $97.50–$230.75 $150–$355 varies
Remove Elbow Joint Lining (24102) $1,422.20 $2,188 0.4×
Remove foreign body from eye (65205) $85.15 $131 0.6×
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $84.50–$219.70 $130–$338 varies
Remove Lower Leg Bone Lesion (27635) $1,383.20 $2,128 0.4×
Remove lung catheter (32552) $435.50 $670 0.7×
Remove Nasal Foreign Body (30300) $188.50 $290 1.4×
Remove prostate regrowth (52630)
likely a partial charge, not the full procedure		 $1,127.75 $1,735 0.2×
Remove renal tube w/fluoro (50389) $189.80 $292 0.3×
Remove Tendon Sheath Lesion (26160) $615.55 $947 0.4×
Remove/graft foot lesion (28107)
likely a partial charge, not the full procedure		 $988 $1,520 0.1×
Remove/Insert Drug Implant (11983) $330.20 $508 0.7×
Remvl Inflatable Urethral/Bladder Neck Sphincter (53446)
range across 2 matching MRF lines		 $1,157.65–$1,851.20 $1,781–$2,848 varies
Reopen fallopian tube (58350)
likely a partial charge, not the full procedure		 $183.30 $282 0.0×
Repair Achilles Tendon (27650)
likely a partial charge, not the full procedure		 $1,586 $2,440 0.2×
Repair Blood Vessel Direct Hand Finger (35207) $1,884.35 $2,899 0.6×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $919.75 $1,415 1.2×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $612.95 $943 1.5×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $824.20 $1,268 2.0×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $556.40 $856 1.3×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $689.65 $1,061 1.6×
Repair complex trunk 2.6-7.5 cm (13101) $603.85 $929 0.8×
Repair extensor tendon finger w/o graft each (26418) $770.25 $1,185 0.5×
Repair Extensor Tendon Hand W/Graft Each (26412) $1,116.05 $1,717 0.3×
Repair Finger/Hand Tendon (26350) $1,069.25 $1,645 0.3×
Repair forearm tendon/muscle (25265) $1,740.05 $2,677 0.5×
Repair Hallux Rigidus (28289) $1,188.85 $1,829 0.4×
Repair Hand Joint (26540) $1,136.20 $1,748 0.3×
Repair Hand Tendon (26410) $822.90 $1,266 0.5×
Repair inguinal hernia, sliding, any age (49525) $1,537.25 $2,365 0.4×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $1,708.20 $2,628 0.5×
Repair initial femoral hernia, any age; reducible (49550) $1,511.25 $2,325 0.4×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $1,565.20 $2,408 0.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $401.70 $618 1.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $495.30 $762 1.2×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $547.30 $842 1.3×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $603.85 $929 1.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $362.70 $558 0.9×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $481 $740 1.1×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $550.55 $847 0.7×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $603.85 $929 1.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $344.50 $530 0.8×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $434.20 $668 1.0×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $728.65 $1,121 1.0×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $511.55 $787 1.2×
Repair intermediate s/a/t/e >30.0 cm (12037) $860.60 $1,324 0.4×
Repair lower leg tendons (27676)
likely a partial charge, not the full procedure		 $1,502.80 $2,312 0.2×
Repair of enterocele, vaginal approach (separate procedure) (57268)
likely a partial charge, not the full procedure		 $1,303.90 $2,006 0.3×
Repair of hammertoe (28286) $809.90 $1,246 0.2×
Repair of nail bed (11760) $280.80 $432 0.4×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400)
likely a partial charge, not the full procedure		 $1,896.70 $2,918 0.3×
Repair of rectocele (45560) $1,980.55 $3,047 0.7×
Repair of Ruptured Tendon (24342)
likely a partial charge, not the full procedure		 $1,870.05 $2,877 0.2×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
likely a partial charge, not the full procedure		 $1,977.30 $3,042 0.3×
Repair Rotator Cuff Chronic (23412)
likely a partial charge, not the full procedure		 $2,054.65 $3,161 0.3×
Repair secondary achilles tendon w/wo graft (27654)
likely a partial charge, not the full procedure		 $1,813.50 $2,790 0.2×
Repair, primary, disrupted ligament, ankle; collateral (27695)
likely a partial charge, not the full procedure		 $1,155.05 $1,777 0.2×
Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263)
likely a partial charge, not the full procedure		 $1,385.15 $2,131 0.2×
Replace duodenostomy/jejunostomy tube perq (49451) $317.20 $488 0.3×
Repr elbow lat ligmnt w/tiss (24343) $1,540.50 $2,370 0.5×
Rerepair ing hernia reduce (49520) $1,721.20 $2,648 0.5×
Resection of scrotum (55150) $1,402.05 $2,157 0.4×
Revise Hand/Foot Nerve (64704) $807.95 $1,243 0.4×
Revise ulnar nerve at wrist (64719) $856.70 $1,318 0.4×
Revision of big toe (28310)
likely a partial charge, not the full procedure		 $960.05 $1,477 0.1×
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138)
unusually low: confirm this is the full procedure		 $4,081.35 $6,279 0.3×
Revision of urethra (57220)
likely a partial charge, not the full procedure		 $835.25 $1,285 0.2×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $1,598.35 $2,459 0.4×
Revj tot hip arthrp bth w/wo agrft/algrft (27134)
unusually low: confirm this is the full procedure		 $5,214.30 $8,022 0.4×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
likely a partial charge, not the full procedure		 $4,668.30 $7,182 0.3×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486)
likely a partial charge, not the full procedure		 $3,636.75 $5,595 0.3×
Revj/rmvl peripheral neurostimulator electrode (64585) $363.35 $559 0.1×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $224.90 $346 0.2×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $208.65 $321 0.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $122.85 $189 0.3×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $144.95 $223 1.1×
Rmvl fecal impaction/fb spx under anes (45915) $550.55 $847 0.4×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $609.70 $938 0.2×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $534.30–$565.50 $822–$870 varies
Rplc Gtube No Revj Trc (43762) $130 $200 0.5×
Rplc gtube revj gstrst trc (43763) $243.10 $374 0.9×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
unusually low: confirm this is the full procedure		 $2,317.90 $3,566 0.4×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $1,026.35 $1,579 0.3×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595)
unusually low: confirm this is the full procedure		 $2,400.45 $3,693 0.4×
Rpr aa hernia recr 3-10 cm reducible (49615)
likely a partial charge, not the full procedure		 $1,974.05 $3,037 0.3×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
likely a partial charge, not the full procedure		 $1,765.40 $2,716 0.3×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $1,277.90 $1,966 0.3×
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure		 $1,767.35 $2,719 0.3×
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure		 $1,457.95 $2,243 0.2×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $341.25 $525 1.6×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $815.75 $1,255 0.2×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $1,385.15 $2,131 0.4×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $1,607.45 $2,473 0.5×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $1,253.85 $1,929 0.4×
Scrotoplasty Simple (55175) $988 $1,520 0.3×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $1,207.70 $1,858 0.4×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $353.60 $544 0.3×
Shave skin lesion 0.5 cm/< (11300) $104 $160 0.2×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $138.45 $213 0.7×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $289.90 $446 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $138.45 $213 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $166.40 $256 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $206.70 $318 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $252.20 $388 0.6×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $190.45 $293 0.9×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $224.90 $346 0.5×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $156 $240 0.8×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $215.80 $332 0.5×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $181.35 $279 0.9×
Sigmoidoscopy W/Resection (45349) $606.45 $933 0.2×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $196.95 $303 0.2×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $462.15 $711 1.1×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $184.60 $284 0.9×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $210.60 $324 1.0×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $271.05 $417 1.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $145.60 $224 0.7×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $248.95 $383 1.2×
Skin Full Grft Face/Genit/Hf (15240) $1,792.70 $2,758 0.8×
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines		 $124.80–$315.25 $192–$485 varies
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines		 $133.25–$259.35 $205–$399 varies
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
unusually low: confirm this is the full procedure		 $2,089.10 $3,214 0.4×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $196.95 $303 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $339.95 $523 0.8×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $412.75 $635 1.0×
Sperm washing artificial insemination (58323)
range across 2 matching MRF lines		 $15.60–$112.45 $24–$173 varies
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines		 $210.60–$990.60 $324–$1,524 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $1,748.50 $2,690 0.5×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $1,704.95 $2,623 0.8×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $827.45 $1,273 0.3×
Strapping ankle (29540) $67.60 $104 0.4×
Strapping hand/finger (29280) $66.95 $103 1.1×
Strapping toes (29550) $43.55 $67 0.7×
Strapping Unna Boot (29580) $95.55 $147 0.6×
Subcutaneous Hormone Pellet Implantation (11980)
range across 2 matching MRF lines		 $66.95–$185.25 $103–$285 varies
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $517.40 $796 0.2×
Surg Tx Anal Fistula 2nd Stage (46285) $934.05 $1,437 0.3×
Surg tx anal fistula subq (46270) $848.25 $1,305 0.3×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $934.05 $1,437 0.3×
Suture digital nerve hand/foot 1 nerve (64831) $1,577.55 $2,427 0.8×
Suture infrapatellar tendon primary (27380)
likely a partial charge, not the full procedure		 $1,282.45 $1,973 0.2×
Suture of quadriceps or hamstring muscle rupture primary (27385)
likely a partial charge, not the full procedure		 $1,193.40 $1,836 0.2×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $1,117.35 $1,719 0.7×
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines		 $65.65–$114.40 $101–$176 varies
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) $1,391 $2,140 0.4×
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $767 $1,180 0.2×
Tenotomy Percutaneous Toe Single Tendon (28010) $511.55 $787 0.3×
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure		 $1,470.30 $2,262 0.2×
Tenotomy, open, elbow to shoulder, each tendon Facility (24310) $1,053.65 $1,621 0.3×
Thrombolytic Therapy Stroke (37195) $204.10 $314 0.6×
Thyroid biopsy (60100) $269.10 $414 0.4×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) $3,789.50 $5,830 0.6×
Tnot elbow lateral/medial debride open tdn rpr (24359) $1,509.95 $2,323 0.4×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $751.40 $1,156 0.2×
Total Knee Arthroplasty (27447)
likely a partial charge, not the full procedure		 $3,375.45 $5,193 0.3×
Tprnl Plmt Biodegrdabl Matrl (55874)
likely a partial charge, not the full procedure		 $497.25 $765 0.1×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $794.30 $1,222 0.2×
Transur electr resection of prostate (52601)
unusually low: confirm this is the full procedure		 $2,266.55 $3,487 0.4×
Transurethral resection bladder neck (52500) $1,402.05 $2,157 0.4×
Treat Ankle Dislocation (27846)
likely a partial charge, not the full procedure		 $1,770.60 $2,724 0.2×
Treat Big Toe Fracture (28505) $1,251.25 $1,925 0.4×
Treat ectopic pregnancy (59151)
unusually low: confirm this is the full procedure		 $2,085.85 $3,209 0.3×
Treat fracture radius/ulna (25575)
likely a partial charge, not the full procedure		 $2,116.40 $3,256 0.3×
Treat Fx Rad Extra-Articul (25607)
likely a partial charge, not the full procedure		 $1,646.45 $2,533 0.2×
Treat humerus fracture (24500) $587.60 $904 2.3×
Treat Humerus Fracture (24505) $927.55 $1,427 0.6×
Treat humerus fracture (23600) $517.40 $796 2.0×
Treat Knuckle Dislocation (26700) $660.40 $1,016 2.6×
Treat metacarpal fracture (26607) $943.80 $1,452 0.3×
Treat Thumb Dislocation (26641) $695.50 $1,070 2.7×
Treat toe dislocation (28630) $302.25 $465 1.2×
Treatment Closed Elbow Dislocation Req Anes (24605) $971.75 $1,495 0.6×
Treatment closed elbow dislocation w/o anes (24600) $753.35 $1,159 3.0×
Treatment of ankle fracture (27823)
unusually low: confirm this is the full procedure		 $2,266.55 $3,487 0.3×
Treatment of foot infection (28003) $909.35 $1,399 0.3×
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
unusually low: confirm this is the full procedure		 $3,130.40 $4,816 0.4×
Treatment of penis lesion (54115) $1,197.30 $1,842 0.4×
Trim skin lesion (11055) $61.10 $94 0.3×
Trim skin lesions 2 to 4 (11056) $87.10 $134 0.4×
Trim skin lesions over 4 (11057) $112.45 $173 0.5×
Trimming Nondystrophic Nails Any Number (11719) $30.55 $47 0.5×
Tubal ligation (58600) $1,018.55 $1,567 0.3×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $1,101.10 $1,694 0.4×
Tx Gastro Intub W/Asp (43753) $78 $120 0.4×
Tx Incomplete Abortion Any Trimester Surgical (59812) $765.70 $1,178 0.2×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245)
unusually low: confirm this is the full procedure		 $3,130.40 $4,816 0.4×
Tx Missed Abortion First Trimester Surgical (59820)
range across 2 matching MRF lines		 $833.95–$910.65 $1,283–$1,401 varies
Tx Missed Abortion Second Trimester Surgical (59821) $877.50 $1,350 0.3×
Tx open tendon flexor toe 1 tendon spx (28232) $605.15 $931 0.4×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $926.25 $1,425 0.6×
Tx Superficial Wound Dehiscence Simple Closure (12020) $460.20 $708 0.6×
Tx superficial wound dehiscence w/packing (12021)
range across 2 matching MRF lines		 $325.65–$344.50 $501–$530 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $349.70 $538 1.4×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
likely a partial charge, not the full procedure		 $2,488.85 $3,829 0.2×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $770.25 $1,185 0.5×
Tympanostomy general anesthesia (69436) $345.80 $532 0.2×
Unlisted procedure foot or toes (28899) $130 $200 0.5×
Urethromeatoplasty W/Mucosal Advancement (53450) $1,111.50 $1,710 0.3×
Urine Flow Measurement (51736) $18.20 $28 0.1×
Uvulectomy excision of uvula (42140) $293.15 $451 0.1×
Vag hyst complex (58290)
unusually low: confirm this is the full procedure		 $3,489.85 $5,369 0.5×
Vaginal Delivery After Cesarean Delivery (59612) $2,770.95 $4,263 0.8×
Vaginal delivery only (59409) $2,474.55 $3,807 0.7×
Vaginal hysterectomy, for uterus 250 g or less; (58260)
unusually low: confirm this is the full procedure		 $2,437.50 $3,750 0.5×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $2,744.95 $4,223 0.5×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 2 matching MRF lines		 $544.70–$581.10 $838–$894 varies
Ventilating tube removal requiring general anesthesia (69424) $146.90 $226 0.0×
Vulvectomy simple partial (56620) $1,296.75 $1,995 0.4×
Vulvectomy simple; complete (56625) $1,667.25 $2,565 0.5×
Wedge excision skin nail fold (11765) $210.60 $324 0.5×
Wound Prep F/N/Hf/G (15004) $788.45 $1,213 1.9×
Wound Prep Trk/Arm/Leg (15002) $628.55 $967 0.8×
Xfer Single Deep Low Leg Tendon (27691)
likely a partial charge, not the full procedure		 $1,807 $2,780 0.2×

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.