Procedures & surgery prices at CentraCare - Monticello Hospital
Monticello, MN · every code in this section with a posted price and a Medicare benchmark.
464 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $1,390.74 | $1,783 | 1.5× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) unusually low: confirm this is the full procedure |
$6,474 | $8,300 | 0.4× |
| Acromiopl/Acromionect Partial (23130) | $11,388 | $14,600 | 3.3× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) | $3,993.60 | $5,120 | 1.8× |
| Amputation metatarsal with toe single (28810) | $7,254 | $9,300 | 2.1× |
| Amputation toe interphalangeal joint (28825) range across 3 matching MRF lines |
$2,995.20–$7,254 | $3,840–$9,300 | varies |
| Amputation toe metatarsophalangeal joint (28820) | $2,418 | $3,100 | 0.7× |
| Ankle Arthroscopy/Surgery (29892) | $6,531.20 | $8,373.33 | 0.9× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$124.72–$304.98 | $159.90–$391 | varies |
| Anterior colporraphy rpr cystocele w/cysto (57240) | $11,044.80 | $14,160 | 2.1× |
| Application finger splint static (29130) range across 3 matching MRF lines |
$256.62–$576.42 | $329–$739 | varies |
| Application long arm splint shoulder hand (29105) | $354.90 | $455 | 2.1× |
| Application Long Leg Splint (29505) | $354.90 | $455 | 2.1× |
| Application of rigid total contact leg cast (29445) | $397.80 | $510 | 1.4× |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$256.62–$684.84 | $329–$878 | varies |
| Application short leg splint calf foot (29515) | $256.62 | $329 | 1.5× |
| Apply Multlay Comprs Lwr Leg (29581) range across 4 matching MRF lines |
$256.62–$530.40 | $329–$680 | varies |
| Arterial puncture (36600) | $89.70 | $115 | 0.6× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) | $21,902.40 | $28,080 | 1.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$571.74–$2,261.22 | $733–$2,899 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 7 matching MRF lines |
$571.74–$3,391.83 | $733–$4,348.50 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$571.74–$663 | $733–$850 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $1,121.25 | $1,437.50 | 3.5× |
| Arthrodesis ankle open (27870) | $9,401.60 | $12,053.33 | 0.7× |
| Arthrodesis great toe metatarsophalangeal joint (28750) range across 3 matching MRF lines |
$9,660.30–$11,115 | $12,385–$14,250 | varies |
| Arthrodesis subtalar (28725) | $14,851.20 | $19,040 | 1.1× |
| Arthroplasty glenohumeral joint total shoulder (23472) | $14,313 | $18,350 | 0.8× |
| Arthroplasty Patella W/Prosthesis (27438) | $13,512.72 | $17,324 | 1.0× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) | $8,252.40 | $10,580 | 2.4× |
| Arthroscopy Ankle Surgical Debridement Limited (29897) range across 2 matching MRF lines |
$309.47–$4,126.20 | $396.75–$5,290 | varies |
| Arthroscopy hip w/femoroplasty (29914) range across 2 matching MRF lines |
$6,234.15–$10,062 | $7,992.50–$12,900 | varies |
| Arthroscopy shoulder distal claviculectomy (29824) | $2,063.10 | $2,645 | 0.6× |
| Arthroscopy, knee, surgical; with lateral release (29873) | $7,819.50 | $10,025 | 2.3× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) | $4,126.20 | $5,290 | 1.2× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) | $5,421 | $6,950 | 0.7× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) | $4,126.20 | $5,290 | 1.2× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | $8,252.40 | $10,580 | 2.4× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) range across 2 matching MRF lines |
$5,421–$6,234.15 | $6,950–$7,992.50 | varies |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) range across 2 matching MRF lines |
$6,234.15–$10,842 | $7,992.50–$13,900 | varies |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) range across 2 matching MRF lines |
$1,326–$12,448.80 | $1,700–$15,960 | varies |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) range across 2 matching MRF lines |
$6,756.75–$12,448.80 | $8,662.50–$15,960 | varies |
| Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) | $5,226 | $6,700 | 1.5× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) | $6,234.15 | $7,992.50 | 0.8× |
| Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) | $12,168 | $15,600 | 0.9× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $8,252.40 | $10,580 | 2.4× |
| Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
$645.06–$2,503.80 | $827–$3,210 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$346.32–$2,418 | $444–$3,100 | varies |
| Biopsy bone open deep (20245) | $6,006 | $7,700 | 2.0× |
| Biopsy bone open superficial (20240) | $5,616 | $7,200 | 1.8× |
| Bladder Scan (51798) | $159.90 | $205 | 2.6× |
| Blood Transfusion Service (36430) range across 2 matching MRF lines |
$836.55–$1,673.10 | $1,072.50–$2,145 | varies |
| Bone Graft Any Donor Area Minor/Small (20900) | $6,201 | $7,950 | 0.8× |
| Bx breast 1st lesion us imag (19083) | $2,035.02 | $2,609 | 1.2× |
| Bx Cervix (57500) | $5,237.70 | $6,715 | 5.4× |
| Bx/exc lymph node open deep axillary node (38525) range across 2 matching MRF lines |
$4,563–$9,789 | $5,850–$12,550 | varies |
| Bx/exc lymph node open superficial (38500) range across 2 matching MRF lines |
$6,739.20–$9,789 | $8,640–$12,550 | varies |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) range across 4 matching MRF lines |
$4,641–$18,252 | $5,950–$23,400 | varies |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) | $5,577 | $7,150 | 3.3× |
| Carpal Tunnel Surgery (64721) range across 2 matching MRF lines |
$1,774.50–$3,549 | $2,275–$4,550 | varies |
| Change Cystostomy Tube Simple (51705) | $583.44 | $748 | 2.2× |
| Chemical Cautery Tissue (17250) | $263.64 | $338 | 1.3× |
| Chemodenerv 1 extrem 5/> mus (64644) | $3,924.38 | $5,031.25 | 5.3× |
| Chemodenerv trunk musc 1-5 (64646) | $341.25 | $437.50 | 0.5× |
| Chest tube placement (32551) range across 3 matching MRF lines |
$850.98–$1,929.72 | $1,091–$2,474 | varies |
| Circumcision 28 days or older (54161) | $7,956 | $10,200 | 3.6× |
| Cl Tx Tib Shft Fx W Manip (27752) | $684.84 | $878 | 0.4× |
| Claviculectomy partial (23120) | $4,173 | $5,350 | 1.2× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$465.66–$526.50 | $597–$675 | varies |
| Closed Rx Spontaneous Hip Disloc (27256) | $684.84 | $878 | 2.7× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $805.16 | $1,032.25 | 0.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$684.84–$1,369.68 | $878–$1,756 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$684.84–$1,053 | $878–$1,350 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$548.54–$684.84 | $703.25–$878 | varies |
| Closed tx talotarsal joint dislc w/o anes (28570) | $684.84 | $878 | 2.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $548.54 | $703.25 | 2.1× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $548.54 | $703.25 | 0.3× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $684.84 | $878 | 2.7× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $684.84 | $878 | 2.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $548.54 | $703.25 | 0.3× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) | $10,374 | $13,300 | 6.2× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $1,369.68 | $1,756 | 0.8× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $684.84 | $878 | 2.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$526.50–$684.84 | $675–$878 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) | $684.84 | $878 | 2.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $684.84 | $878 | 2.7× |
| Cltx post hip arthrp dislc w/o anes (27265) | $548.54 | $703.25 | 2.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $465.66 | $597 | 1.8× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) | $9,750 | $12,500 | 1.9× |
| Collect Blood From Catheter Venous Nos (36592) | $148.20 | $190 | 1.1× |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$25.35–$26.91 | $32.50–$34.50 | varies |
| Colonoscopy w/submucosal inj (45381) range across 4 matching MRF lines |
$791.70–$1,969.50 | $1,015–$2,525 | varies |
| Colporrhaphy (57200) | $5,327.40 | $6,830 | 1.6× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | $7,683 | $9,850 | 2.3× |
| Combined anteroposterior colporrhaphy; (57260) | $12,324 | $15,800 | 2.4× |
| Complex drainage wound (10180) | $928.20 | $1,190 | 0.3× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $2,132 | $2,733.33 | 0.6× |
| Conization of cervix (57520) | $6,396 | $8,200 | 1.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$634.14–$655.20 | $813–$840 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) | $634.14 | $813 | 4.6× |
| Control oropharyngeal hemorrhage simple (42960) | $655.20 | $840 | 1.2× |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) | $14,857.05 | $19,047.50 | 1.1× |
| Correction hammertoe (28285) range across 9 matching MRF lines |
$1,852.50–$17,330.63 | $2,375–$22,218.75 | varies |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) range across 2 matching MRF lines |
$8,814–$11,349 | $11,300–$14,550 | varies |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) | $8,814 | $11,300 | 0.7× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) unusually low: confirm this is the full procedure |
$3,650.40 | $4,680 | 0.5× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) | $4,758 | $6,100 | 1.4× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) | $19,718.40 | $25,280 | 2.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $655.20 | $840 | 4.7× |
| Curettage postpartum (59160) | $3,422.25 | $4,387.50 | 1.0× |
| Cysto Bladder W/Ureteral Catheterization (52005) range across 3 matching MRF lines |
$3,237.01–$4,855.50 | $4,150.01–$6,225 | varies |
| Cysto calibration dilat urtl strix/stenosis (52281) | $5,148 | $6,600 | 2.4× |
| Cysto w/insert ureteral stent (52332) range across 3 matching MRF lines |
$5,928–$10,966.80 | $7,600–$14,060 | varies |
| Cysto w/removal of lesions small (52224) | $1,079 | $1,383.33 | 0.3× |
| Cysto w/removal of tumors small (52234) | $9,711 | $12,450 | 2.6× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) | $2,275 | $2,916.67 | 0.6× |
| Cysto/uretero w/lithotripsy (52356) range across 3 matching MRF lines |
$8,424–$9,360 | $10,800–$12,000 | varies |
| Cystourethroscopy (52000) range across 2 matching MRF lines |
$2,574–$5,823.99 | $3,300–$7,466.66 | varies |
| Cystourethroscopy inj chemodenervation bladder (52287) | $9,711 | $12,450 | 4.4× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) | $8,424 | $10,800 | 2.3× |
| Cystourethroscopy with biopsy (52204) range across 2 matching MRF lines |
$468–$2,275 | $600–$2,916.67 | varies |
| Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) | $9,204 | $11,800 | 4.2× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $2,607.15 | $3,342.50 | 0.9× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $1,501.50 | $1,925 | 2.0× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$1,148.16–$5,214.30 | $1,472–$6,685 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$2,710.50–$6,006 | $3,475–$7,700 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 5 matching MRF lines |
$783.12–$2,995.20 | $1,004–$3,840 | varies |
| Declot vascular device (36593) | $521.82 | $669 | 1.5× |
| Destroy cerv/thor facet jnt (64633) range across 3 matching MRF lines |
$2,544.75–$5,937.75 | $3,262.50–$7,612.50 | varies |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$2,544.75–$5,089.50 | $3,262.50–$6,525 | varies |
| Destruct B9 Lesion 1-14 (17110) | $5,577 | $7,150 | 26.5× |
| Destruction Benign Lesions 15/> (17111) | $3,439.80 | $4,410 | 16.4× |
| Destruction by neurolytic agent, intercostal nerve (64620) | $3,494.40 | $4,480 | 3.8× |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 3 matching MRF lines |
$3,393–$7,644 | $4,350–$9,800 | varies |
| Destruction premalignant lesion 1st (17000) | $5,070 | $6,500 | 24.1× |
| Diagnostic sigmoidoscopy (45330) | $2,246.40 | $2,880 | 2.3× |
| Dilation & curettage dx&/ther nonobstetric (58120) | $11,115 | $14,250 | 3.3× |
| Drainage of finger abscess simple (26010) | $509.34 | $653 | 2.4× |
| Drainage of gum lesion (41800) | $562.89 | $721.65 | 4.0× |
| Drainage of hematoma/fluid (10140) range across 4 matching MRF lines |
$1,733.94–$6,006 | $2,223–$7,700 | varies |
| Drainage of rectal abscess (45005) | $509.34 | $653 | 0.4× |
| Draw Blood Off Venous Device (36591) | $170.82 | $219 | 1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $448.50 | $575 | 2.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$336.96–$378.30 | $432–$485 | varies |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 4 matching MRF lines |
$1,121.25–$7,250.10 | $1,437.50–$9,295 | varies |
| Egd remove lesion snare (43251) range across 2 matching MRF lines |
$1,150.50–$2,375.10 | $1,475–$3,045 | varies |
| Endoscopic injection/implant (51715) | $5,616 | $7,200 | 1.5× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) range across 2 matching MRF lines |
$3,159–$9,828 | $4,050–$12,600 | varies |
| Endoven ther chem adhes 1st (36482) range across 2 matching MRF lines |
$4,446–$8,892 | $5,700–$11,400 | varies |
| Epididymectomy unilateral (54860) | $9,126 | $11,700 | 2.5× |
| Epidural Blood Patch (62273) | $2,262 | $2,900 | 3.1× |
| Episiotomy or vaginal repair (59300) | $3,422.25 | $4,387.50 | 1.0× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$255.45–$263.64 | $327.50–$338 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $5,070 | $6,500 | 2.9× |
| Exc Back Tum Deep 5 Cm/> (21933) | $5,577 | $7,150 | 1.8× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) range across 2 matching MRF lines |
$4,563–$9,126 | $5,850–$11,700 | varies |
| Exc Forearm Les Sc 3 Cm/> (25071) | $5,577 | $7,150 | 3.2× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $4,836 | $6,200 | 2.8× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $1,611.48 | $2,066 | 2.2× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $4,641 | $5,950 | 2.7× |
| Exc Hand Les Sc < 1.5 Cm (26115) range across 2 matching MRF lines |
$2,149.03–$5,577 | $2,755.17–$7,150 | varies |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) range across 2 matching MRF lines |
$6,435–$7,612.80 | $8,250–$9,760 | varies |
| Exc neuroma hand/foot xcp digital nerve (64782) | $13,240.50 | $16,975 | 6.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 3 matching MRF lines |
$236.73–$1,842.75 | $303.50–$2,362.50 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $2,535 | $3,250 | 1.5× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $5,148 | $6,600 | 1.7× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $5,070 | $6,500 | 2.9× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $4,836 | $6,200 | 2.8× |
| Exc tendon shth lesion leg/ankle (27630) | $5,577 | $7,150 | 1.6× |
| Exc thigh/knee les sc 3 cm/> (27337) | $3,003 | $3,850 | 1.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $5,990.40 | $7,680 | 4.8× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $4,641 | $5,950 | 10.9× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$2,320.50–$3,718 | $2,975–$4,766.67 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$929.50–$3,476.20 | $1,191.67–$4,456.67 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $4,836 | $6,200 | 1.6× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) | $5,070 | $6,500 | 1.7× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) | $2,788.50 | $3,575 | 0.9× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $4,836 | $6,200 | 2.8× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $2,418 | $3,100 | 1.4× |
| Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) | $11,524.50 | $14,775 | 1.5× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) | $3,100.50 | $3,975 | 1.8× |
| Excision lesion tendon sheath forearm&/wrist (25110) | $7,527 | $9,650 | 4.5× |
| Excision Multiple External Papillae/Tags Anus (46230) | $5,752.50 | $7,375 | 2.0× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 3 matching MRF lines |
$1,911–$5,577 | $2,450–$7,150 | varies |
| Excision of hydrocele; unilateral (55040) | $6,649.50 | $8,525 | 1.8× |
| Excision of pilonidal cyst or sinus; simple (11770) | $5,070 | $6,500 | 1.7× |
| Excision of single external papilla or tag, anus (46220) | $5,070 | $6,500 | 4.0× |
| Excision of vaginal cyst or tumor (57135) | $2,788.50 | $3,575 | 0.8× |
| Excision olecranon bursa (24105) | $5,850 | $7,500 | 1.7× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) | $4,641 | $5,950 | 1.4× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $7,987.20 | $10,240 | 2.6× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $5,070 | $6,500 | 1.7× |
| Excision prepatellar bursa (27340) | $10,023 | $12,850 | 2.9× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $5,070 | $6,500 | 2.9× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) | $7,238.40 | $9,280 | 2.4× |
| Excision, interdigital (morton) neuroma, single, each (28080) range across 3 matching MRF lines |
$2,080.59–$10,023 | $2,667.42–$12,850 | varies |
| Excision/curettage cyst/tumor phalanx finger (26210) | $2,320.50 | $2,975 | 1.4× |
| Excision; trochanteric bursa or calcification (27062) | $10,023 | $12,850 | 2.9× |
| External cephalic version (59412) | $2,492.88 | $3,196 | 0.7× |
| Fasciotomy, foot and/or toe (28008) | $6,630 | $8,500 | 1.9× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) | $6,435 | $8,250 | 1.9× |
| Fetal non-stress test (59025) range across 2 matching MRF lines |
$389.22–$400.92 | $499–$514 | varies |
| Fluoro exam of g/colon tube (49465) | $390 | $500 | 1.6× |
| Fna bx w/us gdn 1st les (10005) | $1,220.70 | $1,565 | 1.6× |
| Fusion Finger Joint (26860) range across 2 matching MRF lines |
$4,641–$11,115 | $5,950–$14,250 | varies |
| Fusion of hand bones (25820) | $6,006 | $7,700 | 0.8× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $5,752.50 | $7,375 | 2.0× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $6,630 | $8,500 | 2.3× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $5,046.60 | $6,470 | 1.7× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $4,485 | $5,750 | 4.6× |
| Hip arthro acetabuloplasty (29915) range across 2 matching MRF lines |
$780–$6,234.15 | $1,000–$7,992.50 | varies |
| Hysteroscopy Biopsy (58558) | $5,237.70 | $6,715 | 1.5× |
| Hysteroscopy Dx Sep Proc (58555) | $5,237.70 | $6,715 | 1.5× |
| Hysteroscopy Endometrial Ablation (58563) | $8,012.16 | $10,272 | 1.5× |
| Hysteroscopy Removal Impacted Foreign Body (58562) | $2,618.85 | $3,357.50 | 0.8× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) | $5,237.70 | $6,715 | 1.0× |
| I&d abscess peritonsillar (42700) | $509.34 | $653 | 2.1× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$346.32–$485.16 | $444–$622 | varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $4,836 | $6,200 | 1.6× |
| I&D Intramural Im/Absc Transanal Anes (46045) | $509.34 | $653 | 0.2× |
| I&d perianal abscess superficial (46050) | $1,940.25 | $2,487.50 | 2.0× |
| I&d pilonidal cyst complicated (10081) | $1,677 | $2,150 | 2.3× |
| I&d pilonidal cyst simple (10080) | $663.78 | $851 | 0.9× |
| Implant neuroelectrodes (63650) range across 2 matching MRF lines |
$3,542.86–$7,117.50 | $4,542.13–$9,125 | varies |
| Implant Neuroelectrodes (64561) | $4,742.40 | $6,080 | 0.7× |
| Incise external hemorrhoid (46083) | $749.58 | $961 | 2.9× |
| Incise finger tendon sheath (26055) range across 6 matching MRF lines |
$667.68–$3,627 | $856–$4,650 | varies |
| Incision & drainage abscess complicated/multiple (10061) | $509.34 | $653 | 1.2× |
| Incision & removal foreign body subq tiss compl (10121) | $456.30 | $585 | 0.3× |
| Incision & removal foreign body subq tiss simple (10120) | $443.82 | $569 | 1.0× |
| Incision and drainage of vulva or perineal abscess (56405) | $509.34 | $653 | 1.6× |
| Incision extensor tendon sheath wrist (25000) range across 2 matching MRF lines |
$975–$3,900 | $1,250–$5,000 | varies |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$1,131–$5,327.40 | $1,450–$6,830 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $378.30 | $485 | 1.8× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$1,130.61–$2,261.22 | $1,449.50–$2,899 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $1,965.60 | $2,520 | 2.1× |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 6 matching MRF lines |
$912.60–$2,242.50 | $1,170–$2,875 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 4 matching MRF lines |
$1,755–$3,391.83 | $2,250–$4,348.50 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $904.80 | $1,160 | 1.2× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $1,053 | $1,350 | 3.3× |
| Injection anesthetic agent suprascapular nerve (64418) range across 3 matching MRF lines |
$78–$1,130.61 | $100–$1,449.50 | varies |
| Injection for identification of sentinel node (38792) | $439.92 | $564 | 1.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $667.68 | $856 | 2.1× |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 3 matching MRF lines |
$1,409.46–$2,109.90 | $1,807–$2,705 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 6 matching MRF lines |
$520.65–$2,109.90 | $667.50–$2,705 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 6 matching MRF lines |
$265.20–$1,130.61 | $340–$1,449.50 | varies |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$2,523.30–$2,652 | $3,235–$3,400 | varies |
| Insert pessary/other device (57160) | $1,482 | $1,900 | 7.0× |
| Insert Temp Bladder Cath (51702) | $188.76 | $242 | 1.4× |
| Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$4,383.60–$5,596.50 | $5,620–$7,175 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) | $153.27 | $196.50 | 1.1× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $585 | $750 | 0.2× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $585 | $750 | 0.4× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) unusually low: confirm this is the full procedure |
$15,795 | $20,250 | 0.5× |
| Insrt/Redo Neurostim 1 Array (61885) | $19,422 | $24,900 | 0.6× |
| Int hrhc by ligation single hroid w/o img gdn (46945) | $1,917.51 | $2,458.34 | 0.7× |
| Intubation endotracheal emergency procedure (31500) | $605.09 | $775.75 | 2.4× |
| Irrigation of corpora cavernosa for priapism (54220) | $1,053 | $1,350 | 4.0× |
| Lap insert tunnel ip cath (49324) | $9,789 | $12,550 | 1.5× |
| Lap paraesophag hern repair (43281) | $9,515.22 | $12,199 | 0.9× |
| Laparoscopy gastrostomy (43653) | $13,026 | $16,700 | 2.1× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 2 matching MRF lines |
$14,024.40–$14,508 | $17,980–$18,600 | varies |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) | $15,639 | $20,050 | 1.4× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) | $15,892.50 | $20,375 | 1.4× |
| Laparoscopy W/Lysis Of Adhesions (58660) | $9,359.22 | $11,999 | 1.5× |
| Laparoscopy w/rmvl adnexal structures (58661) range across 4 matching MRF lines |
$3,422.25–$13,696.80 | $4,387.50–$17,560 | varies |
| Laparoscopy, surgical, appendectomy (44970) | $10,218 | $13,100 | 1.6× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) | $23,016.24 | $29,508 | 2.1× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) | $18,876 | $24,200 | 1.7× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $10,257 | $13,150 | 1.6× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) range across 3 matching MRF lines |
$4,757.61–$14,274 | $6,099.50–$18,300 | varies |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) likely a partial charge, not the full procedure |
$2,542.80 | $3,260 | 0.2× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) | $12,070.50 | $15,475 | 1.9× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) range across 3 matching MRF lines |
$7,878–$15,834 | $10,100–$20,300 | varies |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) | $13,499.83 | $17,307.48 | 1.2× |
| Laryngoscopy flexible diagnostic (31575) | $1,053 | $1,350 | 5.0× |
| Ligation of hemorrhoids (46946) | $5,752.50 | $7,375 | 2.0× |
| Litholapaxy comp/lg > 2.5 cm (52318) | $3,494.40 | $4,480 | 0.9× |
| Manipulation knee joint under general anesthesia (27570) | $5,850 | $7,500 | 3.5× |
| Mastectomy partial (19301) | $9,126 | $11,700 | 2.2× |
| Mastectomy simple complete (19303) | $12,109.50 | $15,525 | 1.7× |
| N Block Inj Celiac Pelus (64530) | $3,391.83 | $4,348.50 | 3.7× |
| N Block Inj Pudendal (64430) | $1,474.20 | $1,890 | 1.6× |
| N Block Lumbar/Thoracic (64520) | $2,242.50 | $2,875 | 2.4× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) range across 2 matching MRF lines |
$6,392.10–$6,981 | $8,195–$8,950 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $904.80 | $1,160 | 2.8× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 6 matching MRF lines |
$477.75–$1,911 | $612.50–$2,450 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,911 | $2,450 | 2.6× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $2,261.22 | $2,899 | 3.1× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) | $9,477 | $12,150 | 22.3× |
| Occipital Nerve Block (64405) | $2,242.50 | $2,875 | 7.0× |
| Open biopsy/excision inguinofemoral nodes (38531) | $12,265.50 | $15,725 | 3.0× |
| Open Treatment Bimalleolar Ankle Fracture (27814) | $12,675 | $16,250 | 1.7× |
| Open treatment calcaneal fracture (28415) range across 2 matching MRF lines |
$6,201–$12,402 | $7,950–$15,900 | varies |
| Open treatment fracture distal tibia only (27827) | $14,898 | $19,100 | 1.1× |
| Open Treatment Medial Malleolus Fracture (27766) | $15,808 | $20,266.67 | 2.1× |
| Open treatment metatarsal fracture each (28485) range across 3 matching MRF lines |
$6,201–$18,759 | $7,950–$24,050 | varies |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) | $10,831.86 | $13,887 | 1.4× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) | $15,724.80 | $20,160 | 2.1× |
| Open Treatment Proximal Humeral Fracture (23615) | $12,675 | $16,250 | 0.9× |
| Open Treatment Radial Shaft Fracture (25515) | $11,524.50 | $14,775 | 1.5× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) range across 2 matching MRF lines |
$9,734.40–$12,675 | $12,480–$16,250 | varies |
| Open Tx Distal Phalangeal Fracture Each (26765) | $11,524.50 | $14,775 | 3.4× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) range across 2 matching MRF lines |
$3,810.92–$5,553.60 | $4,885.80–$7,120 | varies |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) range across 2 matching MRF lines |
$11,524.50–$12,675 | $14,775–$16,250 | varies |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $11,524.50 | $14,775 | 3.4× |
| Open Tx Radial Head/Neck Fracture Prosth (24666) | $11,107.20 | $14,240 | 0.8× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) | $4,960.80 | $6,360 | 0.7× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) range across 2 matching MRF lines |
$11,814.40–$12,675 | $15,146.67–$16,250 | varies |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) | $11,524.50 | $14,775 | 1.5× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) unusually low: confirm this is the full procedure |
$3,168.75 | $4,062.50 | 0.4× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) | $12,448.80 | $15,960 | 1.6× |
| Ostectomy calcaneus (28118) | $9,318.40 | $11,946.67 | 2.7× |
| Osteochondral allograft knee open (27415) | $12,948 | $16,600 | 1.0× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) unusually low: confirm this is the full procedure |
$3,354 | $4,300 | 0.4× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) range across 3 matching MRF lines |
$3,650.40–$9,516 | $4,680–$12,200 | varies |
| Part remv talus or calcaneus (28120) | $1,058.68 | $1,357.28 | 0.3× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Facility (23184) | $4,231.50 | $5,425 | 0.6× |
| Partial Excision Bone Radius (25151) | $3,168.75 | $4,062.50 | 0.9× |
| Partial removal of tibia (27640) | $5,751.24 | $7,373.38 | 1.7× |
| Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) | $3,650.40 | $4,680 | 1.1× |
| Perq dev breast 1st us imag (19285) | $1,204.32 | $1,544 | 1.6× |
| Perq Lumbosacral Injection (22511) | $5,366.40 | $6,880 | 1.6× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $11,817 | $15,150 | 1.6× |
| Perq Vertebral Augmentation (22513) range across 2 matching MRF lines |
$11,817–$24,128.01 | $15,150–$30,933.34 | varies |
| Placement of needle for intraosseous infusion (36680) | $448.50 | $575 | 1.0× |
| Placement of seton (46020) | $1,940.25 | $2,487.50 | 0.7× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) | $3,710.41 | $4,756.93 | 0.7× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) range across 2 matching MRF lines |
$6,006–$12,207 | $7,700–$15,650 | varies |
| Prq Skel Fixj Tars Jt Dislc W/Manj (28606) | $2,480.40 | $3,180 | 0.7× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $5,990.40 | $7,680 | 1.7× |
| Punch biopsy skin single lesion (11104) range across 3 matching MRF lines |
$333.84–$5,577 | $428–$7,150 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $639.60 | $820 | 1.5× |
| Puncture Aspiration Cyst Breast (19000) | $776.88 | $996 | 1.0× |
| Rcnstj angular dfrm toe soft tiss px only (28313) | $4,711.20 | $6,040 | 1.4× |
| Removal Foreign Body Foot Complicated (28193) | $6,630 | $8,500 | 3.8× |
| Removal foreign body foot deep (28192) | $3,276 | $4,200 | 1.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $191.10 | $245 | 3.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $191.10 | $245 | 3.1× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) | $1,053 | $1,350 | 0.3× |
| Removal Implant Deep (20680) range across 3 matching MRF lines |
$4,816.50–$18,803.20 | $6,175–$24,106.67 | varies |
| Removal Implant Superficial Separate Procedure (20670) range across 2 matching MRF lines |
$2,408.25–$5,499 | $3,087.50–$7,050 | varies |
| Removal of anal fissure (46200) | $5,752.50 | $7,375 | 2.0× |
| Removal of heel spur (28119) | $13,513.50 | $17,325 | 3.9× |
| Removal of nail bed (11750) | $356.46 | $457 | 0.8× |
| Removal of sesamoid bone (28315) | $10,471.50 | $13,425 | 3.1× |
| Removal of sperm cord lesion (55520) range across 2 matching MRF lines |
$4,836–$4,867.20 | $6,200–$6,240 | varies |
| Removal of tunneled intraperitoneal catheter (49422) | $12,105.60 | $15,520 | 3.7× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $1,830.39 | $2,346.66 | 8.7× |
| Removal, under anesthesia, of external fixation system (20694) | $5,553.60 | $7,120 | 3.3× |
| Remove drug implant device (11982) | $3,939 | $5,050 | 8.4× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$443.82–$557.70 | $569–$715 | varies |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$234–$581.10 | $300–$745 | varies |
| Remove Lower Leg Bone Lesion (27635) | $10,530 | $13,500 | 3.1× |
| Remove Nasal Foreign Body (30300) | $465.66 | $597 | 3.3× |
| Remove prostate regrowth (52630) | $10,608 | $13,600 | 1.9× |
| Remove Tendon Sheath Lesion (26160) range across 4 matching MRF lines |
$2,788.50–$5,577 | $3,575–$7,150 | varies |
| Reopen fallopian tube (58350) | $3,763.50 | $4,825 | 0.7× |
| Repair Achilles Tendon (27650) range across 2 matching MRF lines |
$8,736–$17,520.75 | $11,200–$22,462.50 | varies |
| Repair Collat Ankle Ligmnt,Secondary (27698) range across 2 matching MRF lines |
$7,942.94–$10,569 | $10,183.25–$13,550 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $585 | $750 | 1.4× |
| Repair extensor tendon finger w/o graft each (26418) range across 2 matching MRF lines |
$585–$7,878 | $750–$10,100 | varies |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) | $4,368 | $5,600 | 1.3× |
| Repair Foot Dislocation (28615) range across 2 matching MRF lines |
$2,480.40–$12,402 | $3,180–$15,900 | varies |
| Repair Hallux Rigidus (28289) range across 2 matching MRF lines |
$9,516–$13,104 | $12,200–$16,800 | varies |
| Repair Hand Joint (26540) | $12,168 | $15,600 | 3.6× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $8,648.79 | $11,088.19 | 2.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $562.89 | $721.65 | 1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $1,053 | $1,350 | 2.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $1,053 | $1,350 | 2.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $1,053 | $1,350 | 2.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $928.20 | $1,190 | 2.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$928.20–$8,677.50 | $1,190–$11,125 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $928.20 | $1,190 | 1.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $1,053 | $1,350 | 2.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$562.89–$1,738.10 | $721.65–$2,228.33 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $928.20 | $1,190 | 2.2× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) | $3,810.93 | $4,885.81 | 0.5× |
| Repair of hammertoe (28286) range across 2 matching MRF lines |
$1,462.50–$2,937.99 | $1,875–$3,766.66 | varies |
| Repair of nail bed (11760) | $356.46 | $457 | 0.5× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) | $9,235.20 | $11,840 | 1.2× |
| Repair of Ruptured Tendon (24342) | $13,104 | $16,800 | 1.7× |
| Repair of sternum separation (21750) | $20,455.50 | $26,225 | 2.7× |
| Repair secondary achilles tendon w/wo graft (27654) | $8,299.20 | $10,640 | 1.1× |
| Repair tongue laceration (41250) | $585 | $750 | 1.3× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) range across 4 matching MRF lines |
$3,411.20–$5,907.20 | $4,373.33–$7,573.33 | varies |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) | $6,084 | $7,800 | 0.8× |
| Repr elbow lat ligmnt w/tiss (24343) | $11,466 | $14,700 | 3.3× |
| Rerepair ing hernia reduce (49520) | $14,024.40 | $17,980 | 3.7× |
| Revise ulnar nerve at wrist (64719) | $2,308.80 | $2,960 | 1.1× |
| Revise/Implant Finger Joint (26536) | $7,132.97 | $9,144.83 | 0.9× |
| Revision of lower leg tendon (27685) | $7,878 | $10,100 | 2.3× |
| Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) | $12,448.80 | $15,960 | 0.9× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) | $8,248.50 | $10,575 | 1.2× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) | $12,558 | $16,100 | 0.7× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) | $18,708.30 | $23,985 | 1.4× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | $10,676.25 | $13,687.50 | 2.9× |
| Revj/rmvl neurostimulator pulse generator (61888) | $19,422 | $24,900 | 1.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$443.82–$557.70 | $569–$715 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$443.82–$557.70 | $569–$715 | varies |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) | $7,117.50 | $9,125 | 3.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $3,556.80 | $4,560 | 2.2× |
| Rplc Gtube No Revj Trc (43762) | $709.80 | $910 | 2.7× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) | $10,959 | $14,050 | 1.7× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) range across 2 matching MRF lines |
$2,761.20–$9,515.22 | $3,540–$12,199 | varies |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) | $14,508 | $18,600 | 2.1× |
| Rpr aa hrn 1st 3-10 rdc (49593) | $14,024.40 | $17,980 | 2.1× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) | $9,515.22 | $12,199 | 1.5× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $585 | $750 | 2.8× |
| Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) | $3,810.93 | $4,885.81 | 0.5× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) range across 2 matching MRF lines |
$8,569.60–$10,569 | $10,986.67–$13,550 | varies |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $585 | $750 | 1.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $562.89 | $721.65 | 2.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$562.89–$1,733.94 | $721.65–$2,223 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $585 | $750 | 2.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$265.20–$562.89 | $340–$721.65 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $562.89 | $721.65 | 2.7× |
| Skin sub graft face/nk/hf/g (15275) | $2,294.76 | $2,942 | 3.0× |
| Skin sub graft trnk/arm/leg (15271) | $2,045.16 | $2,622 | 2.6× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) | $4,266.68 | $5,470.10 | 0.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$562.89–$928.20 | $721.65–$1,190 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $585 | $750 | 1.4× |
| Spinal puncture lumbar diagnostic (62270) | $950.82 | $1,219 | 1.3× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) | $3,081 | $3,950 | 0.9× |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$291.72–$583.44 | $374–$748 | varies |
| Surg tx anal fistula subq (46270) | $5,460 | $7,000 | 1.9× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) | $2,523.30 | $3,235 | 0.9× |
| Suture infrapatellar tendon primary (27380) | $11,388 | $14,600 | 1.5× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) range across 2 matching MRF lines |
$10,569–$13,104 | $13,550–$16,800 | varies |
| Suture of quadriceps or hamstring muscle rupture primary (27385) | $10,569 | $13,550 | 1.4× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) | $4,659.20 | $5,973.33 | 1.4× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) | $13,630.50 | $17,475 | 4.0× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) | $27,604.72 | $35,390.67 | 2.1× |
| Thrombolytic Therapy Stroke (37195) | $567.84 | $728 | 1.6× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) | $9,750 | $12,500 | 2.8× |
| Total Knee Arthroplasty (27447) | $6,756.75 | $8,662.50 | 0.5× |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) range across 2 matching MRF lines |
$4,757.61–$5,226 | $6,099.50–$6,700 | varies |
| Transur electr resection of prostate (52601) | $9,594 | $12,300 | 1.7× |
| Treat ankle fracture (28445) | $6,201 | $7,950 | 0.8× |
| Treat Big Toe Fracture (28505) range across 2 matching MRF lines |
$7,975.50–$12,402 | $10,225–$15,900 | varies |
| Treat ectopic pregnancy (59151) | $11,661 | $14,950 | 1.8× |
| Treat Finger Fracture Each (26727) | $10,374 | $13,300 | 3.0× |
| Treat Fx Rad Extra-Articul (25607) range across 2 matching MRF lines |
$12,105.60–$12,675 | $15,520–$16,250 | varies |
| Treat Metatarsal Fracture (28475) range across 2 matching MRF lines |
$265.20–$684.84 | $340–$878 | varies |
| Treatment closed elbow dislocation w/o anes (24600) | $684.84 | $878 | 2.7× |
| Trim skin lesion (11055) | $248.82 | $319 | 1.2× |
| Trimming Nondystrophic Nails Any Number (11719) | $146.64 | $188 | 2.4× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $5,070 | $6,500 | 1.5× |
| Tx Missed Abortion First Trimester Surgical (59820) | $6,844.50 | $8,775 | 2.0× |
| Tx open tendon flexor toe 1 tendon spx (28232) | $1,840.80 | $2,360 | 1.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$2,607.15–$7,622.55 | $3,342.50–$9,772.50 | varies |
| Unlisted hysteroscopy procedure, uterus (58579) | $1,162.20 | $1,490 | 5.5× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) | $5,557.50 | $7,125 | 0.9× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) | $7,012.20 | $8,990 | 1.1× |
| Unlisted procedure anus (46999) | $5,046.60 | $6,470 | 5.2× |
| Unlisted procedure femur or knee (27599) | $8,252.40 | $10,580 | 31.9× |
| Unlisted procedure foot or toes (28899) | $12,168 | $15,600 | 47.1× |
| Unlisted Procedure Leg/Ankle (27899) | $2,408.25 | $3,087.50 | 9.3× |
| Unlisted procedure pelvis/hip joint (27299) | $11,388 | $14,600 | 44.1× |
| Unlisted Procedure, Urinary System (53899) | $1,079 | $1,383.33 | 4.1× |
| Unlisted px female genital system nonobstetrical (58999) | $1,969.50 | $2,525 | 9.3× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) | $14,664 | $18,800 | 2.8× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $3,997.50 | $5,125 | 1.8× |
| Wedge excision skin nail fold (11765) | $526.50 | $675 | 1.2× |
| Xfer Single Deep Low Leg Tendon (27691) | $4,149.60 | $5,320 | 0.5× |
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.