Procedures & surgery prices at Chambers Memorial Hospital (Danville, AR)

805 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) range across 2 matching MRF lines	$310.30–$710.02	$620.60–$1,420.03	varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines	$168.52–$727.30	$337.03–$1,454.60	varies
Acne surgery (10040)	$112.35	$224.70	0.6×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000)	$912.18	$1,824.35	0.5×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)	$708.88	$1,417.75	0.4×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020)	$912.18	$1,824.35	0.5×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) range across 2 matching MRF lines	$804.69–$1,551.50	$1,609.38–$3,103	varies
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) range across 2 matching MRF lines	$593.85–$1,551.50	$1,187.70–$3,103	varies
Amputate Metacarpal Bone (26910)	$710.02	$1,420.03	0.2×
Amputation Foot Midtarsal (28800)	$747.88	$1,495.76	0.3×
Amputation foot transmetarsal (28805)	$1,551.50	$3,103	0.5×
Amputation metatarsal with toe single (28810) range across 2 matching MRF lines	$449.38–$1,551.50	$898.75–$3,103	varies
Amputation thigh through femur any level (27590) range across 2 matching MRF lines	$1,022.42–$1,361.97	$2,044.84–$2,723.94	varies
Amputation toe interphalangeal joint (28825) range across 2 matching MRF lines	$573.52–$1,551.50	$1,147.04–$3,103	varies
Amputation toe metatarsophalangeal joint (28820) range across 2 matching MRF lines	$467.67–$1,551.50	$935.33–$3,103	varies
Amputation, leg, through tibia and fibula; (27880) range across 2 matching MRF lines	$752.93–$1,035.68	$1,505.86–$2,071.35	varies
Amputation, leg, through tibia and fibula; re-amputation (27886)	$923.34	$1,846.68	0.3×
Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) range across 2 matching MRF lines	$931.54–$1,551.50	$1,863.08–$3,103	varies
Anoscopy Control Bleeding (46614) range across 2 matching MRF lines	$136.43–$628.63	$272.85–$1,257.25	varies
Anoscopy diagnostic (46600) range across 2 matching MRF lines	$88.36–$211.43	$176.71–$422.85	varies
Anoscopy; with biopsy, single or multiple (46606) range across 2 matching MRF lines	$302.94–$901.61	$605.88–$1,803.22	varies
Anterior colporraphy rpr cystocele w/cysto (57240)	$2,477.05	$4,954.10	0.5×
Appendectomy (44950) range across 2 matching MRF lines	$800.90–$1,792.25	$1,601.79–$3,584.50	varies
Application cast elbow finger short arm (29075) range across 3 matching MRF lines	$82.68–$132.54	$165.36–$265.08	varies
Application Finger Splint Dynamic (29131)	$50.49	$100.98	0.9×
Application finger splint static (29130)	$28.40	$56.80	0.2×
Application long arm splint shoulder hand (29105)	$85.60	$171.20	0.6×
Application Long Leg Splint (29505)	$53.02	$106.03	0.4×
Application of long leg cast (29345)	$144.45	$288.90	0.6×
Application Short Arm Splint Dynamic (29126)	$91.51	$183.02	0.8×
Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines	$66.88–$85.84	$133.75–$171.67	varies
Application short leg splint calf foot (29515)	$78.89	$157.78	0.5×
Application, cast; figure-of-eight Facility (29049)	$238.08	$476.15	0.9×
Apply hand/wrist cast (29085)	$98.98	$197.95	0.7×
Apply long arm cast (29065) range across 3 matching MRF lines	$93.41–$150.85	$186.81–$301.69	varies
Apply Short Leg Cast (29405) range across 3 matching MRF lines	$85.84–$139.48	$171.67–$278.96	varies
Apply short leg cast (29425)	$238.08	$476.15	0.9×
Arterial puncture (36600)	$48.09	$96.17	0.4×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines	$75.11–$189.97	$150.21–$379.94	varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines	$85.84–$243.62	$171.67–$487.24	varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines	$91–$160	$182–$320	varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 4 matching MRF lines	$57.43–$179.24	$114.86–$358.48	varies
Arthrodesis great toe interphalangeal joint (28755)	$3,354.45	$6,708.90	0.5×
Arthrodesis great toe metatarsophalangeal joint (28750)	$3,354.45	$6,708.90	0.5×
Arthrodesis subtalar (28725)	$6,304.98	$12,609.95	0.5×
Arthrotomy ankle w/expl drainage/removal fb (27610)	$1,551.50	$3,103	0.5×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) range across 2 matching MRF lines	$336–$787.50	$672–$1,575	varies
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) range across 2 matching MRF lines	$381.83–$1,551.50	$763.66–$3,103	varies
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022)	$1,551.50	$3,103	0.5×
Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines	$292.50–$387.50	$585–$775	varies
Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines	$222.16–$581.27	$444.32–$1,162.53	varies
Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines	$64.20–$246.15	$128.40–$492.29	varies
Aspiration and/or injection thyroid cyst (60300)	$379.85	$759.70	0.6×
Aspiration/Release Vitreous Subretinal/Choroidal (67015)	$1,819.54	$3,639.08	0.9×
Avulsion nail plate partial/complete simple 1 (11730) range across 4 matching MRF lines	$104.13–$243.62	$208.26–$487.24	varies
Biopsy Bone Trocar/Needle Superficial (20220)	$872.05	$1,744.10	0.6×
Biopsy Muscle Superficial (20200) range across 2 matching MRF lines	$207.50–$945	$415–$1,890	varies
Biopsy of breast; open, incisional (19101) range across 3 matching MRF lines	$380.57–$1,719.07	$761.14–$3,438.13	varies
Biopsy of rectum (45100) range across 2 matching MRF lines	$315.57–$1,337.39	$631.13–$2,674.78	varies
Biopsy Oropharynx (42800)	$1,374.95	$2,749.90	1.0×
Biopsy Pleura Percutaneous Needle (32400) range across 2 matching MRF lines	$154–$865	$308–$1,730	varies
Biopsy soft tissue back/flank deep (21925) range across 2 matching MRF lines	$473.48–$815.88	$946.95–$1,631.75	varies
Biopsy soft tissue neck/thorax (21550)	$1,551.50	$3,103	1.0×
Biopsy Tongue Anterior Two-Thirds (41100)	$627.34	$1,254.68	1.3×
Biopsy Tongue Posterior One-Third (41105) range across 2 matching MRF lines	$194.64–$1,374.95	$389.27–$2,749.90	varies
Biopsy Vaginal Mucosa Simple (57100)	$458.83	$917.66	0.5×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) range across 2 matching MRF lines	$112.35–$433.59	$224.69–$867.17	varies
Biopsy/removal lymph nodes (38510) range across 2 matching MRF lines	$586.95–$1,792.25	$1,173.90–$3,584.50	varies
Bladder Irrigation (51700)	$56.17	$112.34	0.2×
Blepharoplasty Lower Eyelid (15820)	$920.19	$1,840.37	0.5×
Blepharoplasty upper eyelid (15822)	$1,142.35	$2,284.69	0.6×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823)	$1,076.07	$2,152.13	0.6×
Blepharotomy drainage abscess eyelid (67700) range across 2 matching MRF lines	$225.95–$321.88	$451.89–$643.75	varies
Blood Transfusion Service (36430)	$378.68	$757.36	0.9×
Bone Marrow Biopsy (38221)	$813.20	$1,626.40	0.5×
Bone Marrow; Aspiration Only (38220)	$813.20	$1,626.40	0.5×
Bx breast needle core w/o imaging guidance spx (19100) range across 2 matching MRF lines	$160.94–$815.88	$321.88–$1,631.75	varies
Bx/exc lymph node open deep axillary node (38525) range across 2 matching MRF lines	$465.45–$1,792.25	$930.90–$3,584.50	varies
Bx/exc lymph node open superficial (38500) range across 2 matching MRF lines	$340.81–$1,584.13	$681.61–$3,168.26	varies
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270)	$1,551.50	$3,103	0.5×
Carpal Tunnel Surgery (64721) range across 3 matching MRF lines	$501.75–$1,312.12	$1,003.49–$2,624.23	varies
Cataract surgery complex (66982)	$1,798.72	$3,597.43	0.9×
Catheter aspiration nasotracheal spx (31720) range across 3 matching MRF lines	$78.14–$165.30	$156.28–$330.59	varies
Cervical lymphadenectomy (complete) (38720)	$4,395.03	$8,790.05	0.7×
Change Cystostomy Tube Complicated (51710) range across 2 matching MRF lines	$148.32–$384.99	$296.64–$769.98	varies
Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines	$120.38–$179.87	$240.75–$359.73	varies
Change of Windpipe Airway (31502)	$45.45	$90.89	0.2×
Chemical Cautery Tissue (17250) range across 2 matching MRF lines	$85.60–$218.37	$171.20–$436.74	varies
Chemical peel, facial; epidermal (15788)	$199.44	$398.87	0.5×
Chemical Pleurodesis (32560)	$430.68	$861.35	0.8×
Chemodenervation of internal anal sphincter (46505) range across 2 matching MRF lines	$277.50–$622.50	$555–$1,245	varies
Chest tube placement (32551) range across 2 matching MRF lines	$272.65–$615.98	$545.29–$1,231.96	varies
Circumcision 28 days or older (54161) range across 3 matching MRF lines	$296–$1,104.48	$591.99–$2,208.95	varies
Circumcision Neonate (54160)	$874.11	$1,748.22	1.4×
Circumcision w/clamp/oth dev w/block (54150)	$1,163.63	$2,327.25	0.6×
Cl Tx Tib Shft Fx W Manip (27752)	$741.58	$1,483.15	0.5×
Clear outer ear canal (69200) range across 2 matching MRF lines	$71.32–$75.11	$142.63–$150.21	varies
Closed Treat Vert Body Fract (22310)	$326.35	$652.70	1.5×
Closed treatment of ulnar shaft fracture; with manipulation (25535)	$171.20	$342.40	0.8×
Closed tx ankle dislocation w/o anesthesia (27840)	$394.45	$788.90	1.8×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)	$514.37	$1,028.74	0.4×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)	$168.52	$337.03	0.8×
Closed Tx Calcaneal Fracture W/O Manipulation (28400)	$268.87	$537.73	1.2×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)	$458.83	$917.66	2.0×
Closed tx knee dislocation w/o anesthesia (27550) range across 2 matching MRF lines	$433.59–$461.36	$867.17–$922.71	varies
Closed tx metatarsal fracture w/o manipulation (28470)	$186.81	$373.62	0.8×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)	$841.50	$1,683	0.6×
Closed tx patellar dislocation w/anesthesia (27562) range across 2 matching MRF lines	$133.75–$428	$267.50–$856	varies
Closed tx patellar dislocation w/o anesthesia (27560)	$429.17	$858.33	1.9×
Closed Tx Patellar Fracture W/O Manipulation (27520)	$337.05	$674.10	1.5×
Closed tx radial head/neck fx w/o manipulation (24650)	$272.85	$545.70	1.2×
Closed tx radial shaft fracture w/manipulation (25505)	$529.52	$1,059.03	0.4×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)	$288.90	$577.80	1.3×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)	$468	$936	0.3×
Closed tx radial&ulnar shaft fractures w/o man (25560)	$294.25	$588.50	1.3×
Closed Tx Scapular Fracture W/O Manipulation (23570)	$200.70	$401.40	0.9×
Closed tx temporomandibular dislocation 1st/sbsq (21480)	$112.35	$224.70	0.5×
Closed tx ulnar shaft fracture w/o manipulation (25530)	$232.89	$465.77	1.0×
Closure Gastrostomy Surg (43870) range across 2 matching MRF lines	$670.89–$1,792.25	$1,341.78–$3,584.50	varies
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) range across 2 matching MRF lines	$182.39–$312.41	$364.78–$624.82	varies
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831)	$432.32	$864.63	0.9×
Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) range across 2 matching MRF lines	$638.07–$1,551.50	$1,276.14–$3,103	varies
Clsd tx acromioclavicular dislc w/manipulation (23545) range across 2 matching MRF lines	$353.43–$419.07	$706.86–$838.13	varies
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540)	$222.16	$444.32	1.0×
Clsd tx clavicular fracture w/o manipulation (23500)	$186.81	$373.62	0.8×
Clsd tx fx orbit except blowout w/o manipulation (21400)	$597.68	$1,195.35	1.2×
Clsd tx shoulder dislc w/manipulation req anes (23655)	$362.27	$724.54	0.2×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)	$301.05	$602.09	1.3×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220)	$172.30	$344.59	0.8×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)	$321	$642	1.4×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)	$353.43	$706.86	1.6×
Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines	$150.27–$450.81	$300.54–$901.61	varies
Cltx dstl fibular fx lat malls w/o manj (27786)	$331.70	$663.40	1.5×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 2 matching MRF lines	$366.05–$615.98	$732.10–$1,231.96	varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)	$192.60	$385.20	0.9×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines	$145.16–$391.30	$290.32–$782.60	varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)	$482.50	$965	0.3×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508)	$473.35	$946.69	2.1×
Cltx Fem Fx Prox End Nck W/O Manj (27230)	$440.53	$881.06	2.0×
Cltx fx grt toe phlx/phlg w/o manj (28490)	$152.48	$304.95	0.7×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)	$173.88	$347.75	0.8×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)	$131.08	$262.15	0.6×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)	$289.69	$579.37	1.3×
Cltx greater humeral tuberosity fx w/o manj (23620)	$280.88	$561.75	1.3×
Cltx hip dislocation traumatic req anesthesia (27252)	$824.26	$1,648.51	0.6×
Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines	$519.42–$545.30	$1,038.84–$1,090.59	varies
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576)	$243.62	$487.24	1.1×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238)	$813.20	$1,626.40	0.6×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines	$132.54–$232.89	$265.08–$465.77	varies
Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines	$263.18–$294.25	$526.35–$588.50	varies
Cltx Medial Ankle Fx (27760)	$501.75	$1,003.49	2.2×
Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines	$142.50–$307.50	$285–$615	varies
Cltx metacarpal fx w/o manipulation each bone (26600)	$370.47	$740.94	1.6×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)	$355.78	$711.55	1.6×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)	$205.98	$411.95	0.9×
Cltx post hip arthrp dislc req anes (27266) range across 2 matching MRF lines	$691.24–$815.88	$1,382.47–$1,631.75	varies
Cltx post hip arthrp dislc w/o anes (27265)	$423.49	$846.97	1.9×
Cltx prox fibula/shft fx w/o manj (27780) range across 2 matching MRF lines	$196.91–$321	$393.82–$642	varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)	$229.73	$459.46	1.0×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)	$405	$810	0.3×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675)	$583.15	$1,166.30	0.4×
Cltx tibial fx proximal w/o manipulation (27530)	$332.61	$665.21	1.5×
Cltx tibial shaft fx w/o manipulation (27750)	$304.21	$608.41	1.4×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680)	$551.05	$1,102.10	2.5×
Cltx trimalleolar ankle fx w/manipulation (27818)	$482.50	$965	0.3×
Cltx trimalleolar ankle fx w/o manipulation (27816)	$332.61	$665.21	1.5×
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265)	$2,477.05	$4,954.10	0.5×
Coccygectomy, primary (27080)	$1,551.50	$3,103	0.5×
Collect Blood From Catheter Venous Nos (36592)	$48.09	$96.17	0.4×
Collection of venous blood by venipuncture (36415)	$12.02	$24.04	1.3×
Colonoscopy Flexible With Decompression (45393) range across 2 matching MRF lines	$272.85–$655.38	$545.70–$1,310.75	varies
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) range across 2 matching MRF lines	$510.92–$602.73	$1,021.83–$1,205.45	varies
Colonoscopy through stoma; with biopsy, single or multiple (44389) range across 2 matching MRF lines	$406.60–$615.35	$813.20–$1,230.70	varies
Colonoscopy thru stoma (44388) range across 2 matching MRF lines	$310.30–$571.17	$620.60–$1,142.33	varies
Colonoscopy w/ablation (45388) range across 2 matching MRF lines	$741.58–$2,747.23	$1,483.15–$5,494.45	varies
Colonoscopy w/fb removal (45379)	$438.70	$877.40	0.4×
Colonoscopy W/Resection (45390) range across 2 matching MRF lines	$371.83–$628.63	$743.65–$1,257.25	varies
Colonoscopy w/submucosal inj (45381) range across 2 matching MRF lines	$599.58–$766.82	$1,199.15–$1,533.64	varies
Colpocentesis (57020)	$1,551.50	$3,103	0.3×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) range across 2 matching MRF lines	$198.81–$457.57	$397.61–$915.13	varies
Colpotomy; with exploration (57000)	$1,551.50	$3,103	0.5×
Colsc Flexible W/Control Bleeding Any Method (45382) range across 2 matching MRF lines	$788.91–$901.61	$1,577.82–$1,803.22	varies
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) range across 2 matching MRF lines	$620.60–$655.38	$1,241.20–$1,310.75	varies
Colsc flx w/removal lesion by hot bx forceps (45384) range across 2 matching MRF lines	$492.28–$975.09	$984.56–$1,950.18	varies
Combined anteroposterior colporrhaphy; (57260)	$2,477.05	$4,954.10	0.5×
Complex drainage wound (10180)	$262.15	$524.30	0.1×
Conization of cervix (57520)	$1,551.50	$3,103	0.5×
Control Nasal Hemorrhage Anterior Complex (30903)	$224.70	$449.40	1.9×
Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines	$144.45–$246.15	$288.90–$492.29	varies
Correction hammertoe (28285)	$1,551.50	$3,103	0.5×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296)	$1,551.50	$3,103	0.5×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292)	$1,551.50	$3,103	0.5×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) likely a partial charge, not the full procedure	$1,551.50	$3,103	0.2×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)	$342.40	$684.80	2.8×
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962)	$1,953.34	$3,906.68	0.6×
Curettage postpartum (59160)	$1,551.50	$3,103	0.5×
Cysto Bladder W/Ureteral Catheterization (52005)	$959.32	$1,918.63	0.5×
Cysto calibration dilat urtl strix/stenosis (52281)	$1,024.53	$2,049.05	0.5×
Cysto w/insert ureteral stent (52332)	$1,792.25	$3,584.50	0.6×
Cysto w/irrig & evac multple obstructing clots (52001)	$1,792.25	$3,584.50	0.6×
Cysto w/removal of tumors small (52234)	$1,792.25	$3,584.50	0.6×
Cysto W/Simple Removal Stone & Stent (52310)	$1,024.53	$2,049.05	0.5×
Cystolithotomy (51050)	$2,209.55	$4,419.10	0.5×
Cystorrhaphy suture of bladder wound injury or rupture simple (51860) range across 2 matching MRF lines	$1,016.12–$2,367.38	$2,032.23–$4,734.75	varies
Cystoscopy implant stent (52282)	$1,577.19	$3,154.37	0.5×
Cystostomy Cystotomy W/Drainage (51040)	$1,006.65	$2,013.29	0.5×
Cystourethroscopy (52000)	$662.69	$1,325.37	1.0×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235)	$1,792.25	$3,584.50	0.6×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240)	$2,364.70	$4,729.40	0.5×
Cystourethroscopy w/dil bladder general anesth (52260)	$1,024.53	$2,049.05	0.5×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 4 matching MRF lines	$50.49–$361.13	$100.98–$722.25	varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)	$1,551.50	$3,103	0.6×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)	$505.58	$1,011.15	0.8×
Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines	$261.29–$331.34	$522.58–$662.68	varies
Debride nail 1-5 (11720) range across 2 matching MRF lines	$47.34–$85.21	$94.67–$170.41	varies
Debride nail 6 or more (11721) range across 2 matching MRF lines	$51.12–$236.68	$102.24–$473.35	varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines	$357.78–$576.86	$715.56–$1,153.71	varies
Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines	$172.30–$581.27	$344.59–$1,162.53	varies
Decomp forearm,1 compart,w/o debride (25020) range across 2 matching MRF lines	$601.08–$901.61	$1,202.15–$1,803.22	varies
Decompress Fingers/Hand (26035) range across 2 matching MRF lines	$997.78–$1,551.50	$1,995.56–$3,103	varies
Decompression of tibia nerve (28035)	$984.56	$1,969.11	0.6×
Decompressive fasciotomy hand (26037)	$1,551.50	$3,103	0.5×
Derm autograft face/nck/hnd/ft/gen <100 sqcm (15135)	$1,629.08	$3,258.15	0.5×
Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Facility (15130)	$912.18	$1,824.35	0.5×
Destruct B9 Lesion 1-14 (17110) range across 3 matching MRF lines	$95.30–$215.22	$190.60–$430.43	varies
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) range across 2 matching MRF lines	$167.25–$251.20	$334.49–$502.39	varies
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) range across 2 matching MRF lines	$217.74–$236.68	$435.48–$473.35	varies
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) range across 2 matching MRF lines	$227.84–$229.10	$455.67–$458.20	varies
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284)	$268.87	$537.73	0.4×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) range across 2 matching MRF lines	$118.02–$152.48	$236.04–$304.95	varies
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) range across 2 matching MRF lines	$179.24–$214.59	$358.48–$429.17	varies
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263)	$91.51	$183.02	0.5×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280)	$135.69	$271.38	0.7×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270)	$132.54	$265.08	0.7×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) range across 2 matching MRF lines	$193.44–$213.54	$386.88–$427.08	varies
Destruction malignant lesion t/a/l 0.5 cm/< (17260) range across 2 matching MRF lines	$97.83–$135.69	$195.65–$271.38	varies
Destruction Premalignant Lesion 15/> (17004) range across 2 matching MRF lines	$120.22–$175.46	$240.43–$350.92	varies
Destruction premalignant lesion 1st (17000) range across 4 matching MRF lines	$57.43–$229.73	$114.86–$459.46	varies
Diagnostic sigmoidoscopy (45330) range across 3 matching MRF lines	$128.75–$400.77	$257.50–$801.54	varies
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905)	$880.43	$1,760.85	0.8×
Dilate Esophagus 1/Mult Pass (43450) range across 2 matching MRF lines	$173.88–$513.10	$347.75–$1,026.20	varies
Dilate Urethra Stricture (53620)	$1,088.70	$2,177.39	1.7×
Dilation & curettage dx&/ther nonobstetric (58120) range across 2 matching MRF lines	$383.73–$1,551.50	$767.45–$3,103	varies
Dilation Salivary Duct (42650)	$749	$1,498	0.5×
Drain shoulder bursa (23031)	$741.58	$1,483.15	0.3×
Drainage External Ear Abscess/Hematoma Simple (69000)	$195.28	$390.55	0.3×
Drainage Finger Abscess Complicated (26011) range across 3 matching MRF lines	$417.30–$872.05	$834.60–$1,744.10	varies
Drainage lymph node lesion (38305) range across 2 matching MRF lines	$462.50–$1,422.50	$925–$2,845	varies
Drainage of finger abscess simple (26010)	$268.23	$536.46	1.5×
Drainage of gum lesion (41800) range across 2 matching MRF lines	$173.56–$269.50	$347.12–$539	varies
Drainage of hematoma/fluid (10140) range across 2 matching MRF lines	$186.19–$654.48	$372.37–$1,308.95	varies
Drainage of hydrocele (55000) range across 2 matching MRF lines	$145.16–$391.30	$290.32–$782.60	varies
Drainage of rectal abscess (45005)	$222.16	$444.32	0.2×
Drainage of scrotal wall abscess (55100) range across 2 matching MRF lines	$246.16–$742.83	$492.31–$1,485.66	varies
Drainage of scrotum (54700) range across 2 matching MRF lines	$232.73–$1,024.53	$465.45–$2,049.05	varies
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) range across 2 matching MRF lines	$487.86–$1,278.03	$975.72–$2,556.06	varies
Draw Blood Off Venous Device (36591) range across 2 matching MRF lines	$30.06–$62.50	$60.11–$125	varies
Dressing Change Under Anesthesia (15852) range across 2 matching MRF lines	$57.43–$458.83	$114.86–$917.66	varies
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) range across 2 matching MRF lines	$323.68–$361.13	$647.35–$722.25	varies
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) range across 2 matching MRF lines	$222.03–$410.24	$444.05–$820.47	varies
Drg Lymph Node Absc/Lymphadenitis Smpl (38300)	$872.05	$1,744.10	0.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)	$217.74	$435.48	0.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)	$177.32	$354.63	1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines	$69.43–$227.84	$138.85–$455.67	varies
Dstrj les/scar vestibule mouth physical meths (40820)	$272.85	$545.70	0.1×
Dstrj lesion anus simple surg excision (46922)	$1,374.95	$2,749.90	0.5×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) range across 2 matching MRF lines	$242–$1,029	$484–$2,058	varies
Dstrj Lesion Penis Simple Electrodesiccation (54055)	$912.18	$1,824.35	0.5×
Dstrj lesion penis simple surg excision (54060) range across 2 matching MRF lines	$219.64–$912.18	$439.27–$1,824.35	varies
Dx gastr intub w/asp spec (43754)	$238.08	$476.15	1.2×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) range across 2 matching MRF lines	$872.05–$952.30	$1,744.10–$1,904.60	varies
Egd cautery tumor polyp (43250) range across 2 matching MRF lines	$430.68–$872.05	$861.35–$1,744.10	varies
Egd control bleeding any (43255) range across 2 matching MRF lines	$601.88–$872.05	$1,203.75–$1,744.10	varies
Egd dilation gastric/duodenal stricture (43245) range across 2 matching MRF lines	$591.18–$872.05	$1,182.35–$1,744.10	varies
Egd Flexible Foreign Body Removal (43247) range across 2 matching MRF lines	$377.18–$627.34	$754.35–$1,254.68	varies
Egd guide wire insertion (43248) range across 2 matching MRF lines	$383.73–$627.34	$767.45–$1,254.68	varies
Egd place gastrostomy tube (43246) range across 2 matching MRF lines	$548.45–$872.05	$1,096.89–$1,744.10	varies
Egd remove lesion snare (43251) range across 2 matching MRF lines	$460.09–$872.05	$920.18–$1,744.10	varies
Egd Tube/Cath Insertion (43241) range across 2 matching MRF lines	$200.36–$858.68	$400.72–$1,717.35	varies
Endometrial ablation, thermal, without hysteroscopic guidance (58353)	$2,682.50	$5,365	0.6×
Endometrial Biopsy (58100) range across 2 matching MRF lines	$179.87–$214.59	$359.73–$429.17	varies
Enterorrhaphy single perforation (44602) range across 2 matching MRF lines	$824.26–$1,185.03	$1,648.51–$2,370.05	varies
Epididymectomy unilateral (54860)	$1,322.36	$2,644.72	0.4×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110)	$841.50	$1,683	0.4×
Escharotomy; initial incision (16035)	$583.79	$1,167.58	1.6×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) range across 2 matching MRF lines	$872.05–$936.25	$1,744.10–$1,872.50	varies
Esophagoscopy Flexible Transoral Diagnostic (43200) range across 2 matching MRF lines	$441.79–$458.83	$883.57–$917.66	varies
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202)	$940.43	$1,880.85	0.5×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) range across 2 matching MRF lines	$385.20–$872.05	$770.40–$1,744.10	varies
Evacuate mole of uterus (59870)	$1,391	$2,782	0.5×
Evacuation of subungual hematoma (11740)	$50.49	$100.98	0.4×
Exc arm/elbow les sc < 3 cm (24075) range across 2 matching MRF lines	$486.59–$872.05	$973.17–$1,744.10	varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines	$118.65–$379.85	$237.30–$759.70	varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines	$208.91–$804.69	$417.81–$1,609.38	varies
Exc Back Les Sc < 3 Cm (21930) range across 2 matching MRF lines	$549.08–$935.96	$1,098.16–$1,871.92	varies
Exc Back Tum Deep 5 Cm/> (21933) range across 2 matching MRF lines	$962.47–$1,356.93	$1,924.93–$2,713.85	varies
Exc back tum deep < 5 cm (21932) range across 2 matching MRF lines	$492.50–$1,462.50	$985–$2,925	varies
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) range across 2 matching MRF lines	$530.15–$1,792.25	$1,060.30–$3,584.50	varies
Exc Chalazion Anes Req Hospization Single/Mult (67808) range across 2 matching MRF lines	$336.39–$1,067.33	$672.77–$2,134.65	varies
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 2 matching MRF lines	$230.36–$552.24	$460.72–$1,104.48	varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 2 matching MRF lines	$275.81–$458.83	$551.61–$917.66	varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) range across 3 matching MRF lines	$406.45–$796.49	$812.89–$1,592.97	varies
Exc Face Les Sbq 2 Cm/> (21012) range across 2 matching MRF lines	$400.72–$858.68	$801.43–$1,717.35	varies
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines	$145.16–$387.88	$290.32–$775.75	varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 3 matching MRF lines	$169.14–$387.88	$338.28–$775.75	varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)	$566.12	$1,132.24	0.9×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 4 matching MRF lines	$231.63–$912.18	$463.25–$1,824.35	varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) range across 2 matching MRF lines	$296–$872.05	$591.99–$1,744.10	varies
Exc Forearm Les Sc 3 Cm/> (25071) range across 2 matching MRF lines	$450.81–$901.61	$901.61–$1,803.22	varies
Exc ganglion wrist recurrent (25112)	$814.79	$1,629.57	0.6×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines	$156.52–$813.20	$313.04–$1,626.40	varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines	$180.51–$480.86	$361.01–$961.72	varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines	$201.33–$887.30	$402.66–$1,774.60	varies
Exc Hand Les Sc < 1.5 Cm (26115)	$792.06	$1,584.12	0.5×
Exc hydrocele sprmatic cord uni spx (55500)	$1,322.36	$2,644.72	0.4×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840)	$429.17	$858.33	0.5×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) range across 2 matching MRF lines	$502.90–$823.62	$1,005.80–$1,647.23	varies
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) range across 2 matching MRF lines	$401.40–$792.06	$802.79–$1,584.12	varies
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112)	$1,324.13	$2,648.25	0.4×
Exc Lesion Tongue W/Clsr Posterior One-Third (41113) range across 2 matching MRF lines	$385.20–$1,324.13	$770.40–$2,648.25	varies
Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) range across 2 matching MRF lines	$297.50–$1,324.13	$595–$2,648.25	varies
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510)	$1,374.95	$2,749.90	0.5×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788)	$960.33	$1,920.65	0.5×
Exc Rct Tum Incl Muscularis Propria (45172)	$1,271.09	$2,542.18	0.5×
Exc Rct Tum Not Incl Muscularis Propria (45171) range across 2 matching MRF lines	$707.49–$1,322.36	$1,414.98–$2,644.72	varies
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines	$193.13–$618.51	$386.26–$1,237.01	varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 2 matching MRF lines	$236.68–$746.63	$473.35–$1,493.25	varies
Exc Skin Benig >4 Cm Remaindr Body (11426) range across 2 matching MRF lines	$333.74–$1,278.03	$667.47–$2,556.06	varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 3 matching MRF lines	$282.74–$954.90	$565.48–$1,909.79	varies
Exc Skin Benig >4cm Face,Facial (11446) range across 2 matching MRF lines	$362.27–$1,551.50	$724.54–$3,103	varies
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 3 matching MRF lines	$347.13–$815.88	$694.25–$1,631.75	varies
Exc Skin Malig >4 Cm Remaindr Body (11626) range across 2 matching MRF lines	$403.30–$1,551.50	$806.59–$3,103	varies
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines	$476.15–$826.78	$952.30–$1,653.56	varies
Exc thigh/knee les sc 3 cm/> (27337) range across 2 matching MRF lines	$420.75–$1,551.50	$841.50–$3,103	varies
Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 2 matching MRF lines	$197.95–$946.69	$395.90–$1,893.38	varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 4 matching MRF lines	$141.38–$294.53	$282.75–$589.06	varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 4 matching MRF lines	$150.85–$387.88	$301.69–$775.75	varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines	$216.48–$889.89	$432.95–$1,779.78	varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) range across 2 matching MRF lines	$574.33–$1,341.15	$1,148.66–$2,682.29	varies
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076)	$823.62	$1,647.23	0.5×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) range across 2 matching MRF lines	$497.55–$1,551.50	$995.10–$3,103	varies
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) range across 2 matching MRF lines	$600–$1,300	$1,200–$2,600	varies
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) range across 2 matching MRF lines	$621.66–$1,551.50	$1,243.32–$3,103	varies
Exc tumor soft tissue abdl wall subfascial <5cm (22900) range across 2 matching MRF lines	$643.75–$1,551.50	$1,287.50–$3,103	varies
Exc tumor soft tissue abdominal wall subq <3cm (22902) range across 2 matching MRF lines	$545.93–$1,104.48	$1,091.85–$2,208.95	varies
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041)	$1,551.50	$3,103	0.6×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) range across 2 matching MRF lines	$513.60–$815.88	$1,027.20–$1,631.75	varies
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619)	$1,551.50	$3,103	0.6×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) range across 2 matching MRF lines	$332.61–$971.94	$665.21–$1,943.87	varies
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) range across 2 matching MRF lines	$710.02–$1,551.50	$1,420.03–$3,103	varies
Exc tumor soft tissue pelvis & hip subq <3cm (27047) range across 2 matching MRF lines	$600.20–$1,551.50	$1,200.40–$3,103	varies
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) range across 2 matching MRF lines	$472.27–$1,353.85	$944.54–$2,707.69	varies
Exc Varicocele/Ligation Spermatic Veins Spx (55530)	$1,792.25	$3,584.50	0.6×
Exchange Intraocular Lens (66986)	$1,157.49	$2,314.98	0.6×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) range across 2 matching MRF lines	$329.16–$1,324.13	$658.32–$2,648.25	varies
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 3 matching MRF lines	$309.26–$480.86	$618.51–$961.72	varies
Excision Chalazion Single (67800)	$306.10	$612.19	1.1×
Excision H/P/P/U Simple/Intermediate Repair (11470) range across 2 matching MRF lines	$377.50–$1,362.50	$755–$2,725	varies
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462)	$1,551.50	$3,103	0.6×
Excision lesion tendon sheath forearm&/wrist (25110)	$958.69	$1,917.37	0.7×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) range across 2 matching MRF lines	$205.12–$741.58	$410.23–$1,483.15	varies
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 2 matching MRF lines	$246.15–$387.88	$492.29–$775.75	varies
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines	$293.48–$299.79	$586.95–$599.57	varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 2 matching MRF lines	$321.88–$655.12	$643.75–$1,310.23	varies
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 2 matching MRF lines	$211.33–$480.86	$422.65–$961.72	varies
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 3 matching MRF lines	$333.24–$815.88	$666.47–$1,631.75	varies
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) range across 3 matching MRF lines	$536.46–$1,551.50	$1,072.92–$3,103	varies
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) range across 2 matching MRF lines	$203.30–$872.05	$406.60–$1,744.10	varies
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) range across 2 matching MRF lines	$240.75–$725.80	$481.50–$1,451.59	varies
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 3 matching MRF lines	$265.70–$480.86	$531.40–$961.72	varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) range across 2 matching MRF lines	$498.60–$788.91	$997.19–$1,577.82	varies
Excision Multiple External Papillae/Tags Anus (46230)	$1,374.95	$2,749.90	0.5×
Excision of bartholin's gland or cyst (56740) range across 2 matching MRF lines	$323.14–$1,551.50	$646.27–$3,103	varies
Excision of cervical stump, vaginal approach; with anterior and/or posterior repair Facility (57555)	$2,477.05	$4,954.10	0.5×
Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection Facility (38550)	$501.75	$1,003.49	0.1×
Excision of extraparenchymal lesion of testis (54512)	$521.63	$1,043.25	0.2×
Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 2 matching MRF lines	$347.13–$836.24	$694.25–$1,672.48	varies
Excision of hydrocele; unilateral (55040) range across 2 matching MRF lines	$345–$1,823.96	$690–$3,647.92	varies
Excision of local lesion of epididymis (54830)	$1,322.36	$2,644.72	0.4×
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) likely a partial charge, not the full procedure	$1,577.19	$3,154.37	0.3×
Excision of pilonidal cyst or sinus; simple (11770) range across 2 matching MRF lines	$304.84–$1,551.50	$609.68–$3,103	varies
Excision of single external papilla or tag, anus (46220) range across 2 matching MRF lines	$195.35–$901.61	$390.70–$1,803.22	varies
Excision of submandibular (submaxillary) gland (42440) unusually low: confirm this is the full procedure	$2,605.45	$5,210.90	0.5×
Excision of tonsil tags (42860)	$2,103.76	$4,207.51	0.7×
Excision of vaginal cyst or tumor (57135) range across 2 matching MRF lines	$215.22–$1,551.50	$430.43–$3,103	varies
Excision olecranon bursa (24105) range across 2 matching MRF lines	$347.50–$1,551.50	$695–$3,103	varies
Excision Pilonidal Cyst/Sinus Complicated (11772) range across 2 matching MRF lines	$687.50–$1,452.50	$1,375–$2,905	varies
Excision Pilonidal Cyst/Sinus Extensive (11771) range across 2 matching MRF lines	$773.13–$1,551.50	$1,546.26–$3,103	varies
Excision prepatellar bursa (27340) range across 2 matching MRF lines	$463.88–$1,420.04	$927.75–$2,840.07	varies
Excision Skin Abd Infraumbilical Panniculectomy (15830) range across 2 matching MRF lines	$1,252.79–$2,891.68	$2,505.57–$5,783.35	varies
Excision spermatocele w/wo epididymectomy (54840)	$1,322.36	$2,644.72	0.7×
Excision tumor soft tis back/flank subq 3 cm/> (21931) range across 2 matching MRF lines	$526.99–$1,099.43	$1,053.98–$2,198.85	varies
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039)	$1,798.72	$3,597.43	0.7×
Excision tumor soft tissue foot/toe subq <1.5cm (28043)	$1,136.03	$2,272.06	0.8×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) range across 2 matching MRF lines	$282.50–$970	$565–$1,940	varies
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) range across 2 matching MRF lines	$494.88–$867.80	$989.75–$1,735.60	varies
Excision, interdigital (morton) neuroma, single, each (28080)	$910.72	$1,821.43	0.6×
Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy Facility (15953)	$1,551.50	$3,103	0.5×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) range across 2 matching MRF lines	$577.49–$1,830.27	$1,154.97–$3,660.53	varies
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) range across 2 matching MRF lines	$347.50–$862.50	$695–$1,725	varies
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) range across 2 matching MRF lines	$507.91–$1,352.42	$1,015.82–$2,704.83	varies
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) range across 2 matching MRF lines	$480.86–$1,551.50	$961.72–$3,103	varies
Excision/curettage cyst/tumor phalanx finger (26210)	$841.50	$1,683	0.6×
Excision/destruction intranasal lesion int appr (30117)	$1,374.95	$2,749.90	0.5×
Excision/destruction lesion pharynx any method (42808)	$1,324.13	$2,648.25	0.4×
Excision/Transposition Pterygium W/O Graft (65420)	$1,158.28	$2,316.55	0.5×
Expl penetrating wound spx abdomen/flank/back (20102)	$912.18	$1,824.35	0.5×
Explo/Drain Breast Abscess (19020) range across 2 matching MRF lines	$492.20–$741.58	$984.40–$1,483.15	varies
Exploration penetrating wound spx chest (20101) range across 2 matching MRF lines	$470.80–$912.18	$941.60–$1,824.35	varies
Exploration penetrating wound spx extremity (20103) range across 3 matching MRF lines	$386.88–$609.90	$773.76–$1,219.80	varies
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) likely a partial charge, not the full procedure	$1,170.11	$2,340.22	0.2×
Fasciectomy Palm Only (26121)	$1,120.26	$2,240.51	0.4×
Fasciectomy Plantar Fascia Partial Spx (28060)	$1,551.50	$3,103	0.5×
Fasciotomy palmar open partial (26045)	$1,551.50	$3,103	0.5×
Fasciotomy, foot and/or toe (28008)	$1,551.50	$3,103	0.5×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123)	$1,551.50	$3,103	0.5×
Fetal non-stress test (59025)	$90.17	$180.33	0.5×
Fine needle aspiration without imaging guidance (10021) range across 2 matching MRF lines	$152.10–$243.62	$304.20–$487.24	varies
Foreskin manipulation (54450) range across 2 matching MRF lines	$68.16–$160.94	$136.32–$321.88	varies
Frenulotomy of penis (54164)	$1,024.53	$2,049.05	0.5×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) range across 2 matching MRF lines	$841.50–$944.28	$1,683–$1,888.55	varies
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) range across 2 matching MRF lines	$657.64–$841.50	$1,315.28–$1,683	varies
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200)	$1,322.36	$2,644.72	0.7×
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) range across 2 matching MRF lines	$1,451.59–$1,514.71	$2,903.18–$3,029.41	varies
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) range across 2 matching MRF lines	$660.73–$1,081.93	$1,321.45–$2,163.86	varies
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) range across 2 matching MRF lines	$590.11–$1,374.95	$1,180.21–$2,749.90	varies
Hemorrhoidectomy, external, 2 or more columns/groups (46250) range across 2 matching MRF lines	$725.80–$1,374.95	$1,451.59–$2,749.90	varies
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) range across 2 matching MRF lines	$552.24–$2,103.76	$1,104.48–$4,207.51	varies
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261)	$1,502.68	$3,005.36	0.6×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262)	$2,103.76	$4,207.51	0.8×
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) range across 2 matching MRF lines	$404.55–$1,374.95	$809.10–$2,749.90	varies
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 2 matching MRF lines	$303.40–$478	$606.80–$955.99	varies
Hemorrhoidopexy by stapling (46947) range across 2 matching MRF lines	$467.04–$2,019.61	$934.07–$4,039.21	varies
Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) range across 2 matching MRF lines	$457.57–$1,252.79	$915.13–$2,505.57	varies
Hysteroscopy Biopsy (58558)	$1,625	$3,250	0.6×
Hysteroscopy Dx Sep Proc (58555)	$1,625	$3,250	0.6×
Hysteroscopy Endometrial Ablation (58563)	$2,925	$5,850	0.6×
Hysteroscopy, surgical; with removal of leiomyomata (58561)	$555	$1,110	0.1×
I&d abscess peritonsillar (42700) range across 2 matching MRF lines	$129.50–$200.07	$259–$400.13	varies
I&d abscess simple (10060) range across 4 matching MRF lines	$114.87–$352.23	$229.74–$704.46	varies
I&d deep absc bursa/hematoma thigh/knee region (27301) range across 2 matching MRF lines	$625.95–$1,551.50	$1,251.90–$3,103	varies
I&D Deep Absc/Hematoma Neck/Chest (21501)	$1,551.50	$3,103	0.6×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028)	$646.90	$1,293.80	0.2×
I&d pelvis/hip jt area deep abscess/hematoma (26990)	$1,551.50	$3,103	0.5×
I&d perianal abscess superficial (46050) range across 2 matching MRF lines	$175.46–$458.83	$350.92–$917.66	varies
I&d pilonidal cyst complicated (10081)	$288.90	$577.80	0.4×
I&d pilonidal cyst simple (10080)	$109.19	$218.37	0.2×
I&d shoulder deep abscess/hematoma (23030)	$1,551.50	$3,103	0.6×
I&d upper arm/elbow deep abscess/hematoma (23930) range across 2 matching MRF lines	$371.83–$901.48	$743.65–$1,802.95	varies
Incise external hemorrhoid (46083) range across 2 matching MRF lines	$179.87–$457.57	$359.73–$915.13	varies
Incise finger tendon sheath (26055)	$901.61	$1,803.22	0.6×
Incise Wrist/Forearm Tendon (25290)	$787.65	$1,575.29	0.3×
Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines	$203.23–$369.66	$406.45–$739.32	varies
Incision & drainage leg/ankle abscess/hematoma (27603) range across 2 matching MRF lines	$483.50–$1,350	$967–$2,700	varies
Incision & removal foreign body subq tiss compl (10121) range across 3 matching MRF lines	$212.06–$912.18	$424.12–$1,824.35	varies
Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines	$160.50–$232.89	$321–$465.77	varies
Incision and drainage of bartholin's gland abscess (56420) range across 3 matching MRF lines	$100.35–$173.56	$200.70–$347.12	varies
Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines	$134.43–$593.89	$268.86–$1,187.77	varies
Incision bone cortex foot (28005) range across 2 matching MRF lines	$655.12–$1,551.50	$1,310.23–$3,103	varies
Incision of lingual frenum (frenotomy) (41010)	$749	$1,498	0.5×
Incision of rectal abscess (46040) range across 2 matching MRF lines	$457.57–$1,057.14	$915.13–$2,114.28	varies
Incision of urethra (53020)	$1,012.96	$2,025.92	0.5×
Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 2 matching MRF lines	$299.60–$815.88	$599.20–$1,631.75	varies
Initial Tx 1st Degree Burn Local Tx (16000)	$118.24	$236.47	0.6×
Injection 1 tendon sheath/ligament aponeurosis (20550) range across 5 matching MRF lines	$82.68–$214.59	$165.36–$429.17	varies
Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 2 matching MRF lines	$358.48–$561.71	$716.96–$1,123.41	varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 2 matching MRF lines	$139.48–$403.92	$278.96–$807.84	varies
Injection anesthetic agent suprascapular nerve (64418)	$125.60	$251.19	0.2×
Injection single tendon origin/insertion (20551)	$58.85	$117.70	0.2×
Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines	$118.02–$180.32	$236.04–$360.64	varies
Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines	$70.69–$230.36	$141.37–$460.72	varies
Injection therapeutic carpal tunnel (20526)	$83.94	$167.87	0.3×
Injection, anesthetic agent; brachial plexus, single (64415) range across 2 matching MRF lines	$92.15–$128.75	$184.30–$257.50	varies
Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines	$110.45–$401.25	$220.90–$802.50	varies
Injection, intralesional; up to and including 7 lesions (11900) range across 3 matching MRF lines	$49.86–$214.59	$99.72–$429.17	varies
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282)	$254.98	$509.95	0.3×
Ins endovas vena cava filtr (37191) range across 2 matching MRF lines	$2,214.90–$2,576.03	$4,429.80–$5,152.05	varies
Insert and remove bone pin (20650)	$1,693.28	$3,386.55	0.6×
Insert Bladder Cath Complex (51703)	$132.50	$265	1.1×
Insert cath pleura w/o image (32556) range across 2 matching MRF lines	$631.30–$898.75	$1,262.60–$1,797.49	varies
Insert non-tunnel cv cath (36556)	$234.15	$468.30	0.1×
Insert pessary/other device (57160)	$120.22	$240.43	0.7×
Insert Temp Bladder Cath (51702) range across 2 matching MRF lines	$68.16–$72.59	$136.32–$145.17	varies
Insert tun ip cath perc (49418) range across 2 matching MRF lines	$1,079.23–$1,590.44	$2,158.46–$3,180.87	varies
Insert tunneled cv cath (36561) range across 2 matching MRF lines	$979.05–$1,551.50	$1,958.10–$3,103	varies
Insert,Non-Indwelling Bladder Catheter (51701)	$135.25	$270.49	1.1×
Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985)	$1,420.04	$2,840.07	0.7×
Insj prph ctr vad w/subq port age 5 yr/> (36571) range across 2 matching MRF lines	$1,142.23–$1,502.68	$2,284.45–$3,005.36	varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 2 matching MRF lines	$698.18–$2,040.64	$1,396.35–$4,081.28	varies
Intmd Rpr Face/Mm 12.6-20 Cm (12055)	$500.23	$1,000.45	1.4×
Intmd Rpr Face/Mm 20.1-30.0 (12056)	$238.08	$476.15	0.6×
Intubation endotracheal emergency procedure (31500)	$225.95	$451.89	1.0×
Iridotomy/irridectomy laser surg per session (66761)	$361.13	$722.25	0.7×
Laparo-vag hyst incl t/o (58552) range across 2 matching MRF lines	$1,214.92–$4,456.55	$2,429.83–$8,913.10	varies
Laparoscopic myomectomy (58545) unusually low: confirm this is the full procedure	$2,704.43	$5,408.85	0.5×
Laparoscopy aspiration (49322) range across 2 matching MRF lines	$440.53–$2,704.43	$881.06–$5,408.85	varies
Laparoscopy Enterolysis Separate Procedure (44180) range across 2 matching MRF lines	$1,003.50–$2,704.43	$2,006.99–$5,408.85	varies
Laparoscopy fulguration oviducts (58670) range across 2 matching MRF lines	$575.59–$2,704.43	$1,151.17–$5,408.85	varies
Laparoscopy gastrostomy (43653) likely a partial charge, not the full procedure	$694.24	$1,388.47	0.1×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 2 matching MRF lines	$651.95–$2,554.56	$1,303.90–$5,109.12	varies
Laparoscopy W/Lysis Of Adhesions (58660) unusually low: confirm this is the full procedure	$2,704.43	$5,408.85	0.5×
Laparoscopy w/rmvl adnexal structures (58661) range across 2 matching MRF lines	$788.28–$2,704.43	$1,576.55–$5,408.85	varies
Laparoscopy, surgical, appendectomy (44970) range across 2 matching MRF lines	$800.90–$2,704.43	$1,601.79–$5,408.85	varies
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) range across 2 matching MRF lines	$1,239.36–$4,782.82	$2,478.71–$9,565.64	varies
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) likely a partial charge, not the full procedure	$1,341.78	$2,683.55	0.2×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) range across 2 matching MRF lines	$1,181.47–$2,704.43	$2,362.93–$5,408.85	varies
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) range across 2 matching MRF lines	$2,113.01–$2,704.43	$4,226.02–$5,408.85	varies
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) range across 2 matching MRF lines	$747.88–$2,554.56	$1,495.76–$5,109.12	varies
Laparoscopy, surgical; with biopsy (single or multiple) (49321) range across 2 matching MRF lines	$448.10–$2,704.43	$896.20–$5,408.85	varies
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) range across 2 matching MRF lines	$498.60–$2,704.43	$997.19–$5,408.85	varies
Laps fulg/exc ovary viscera/peritoneal surface (58662) range across 2 matching MRF lines	$770.61–$2,704.43	$1,541.21–$5,408.85	varies
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) range across 2 matching MRF lines	$867.80–$2,704.43	$1,735.60–$5,408.85	varies
Laryngoscopy diagnostic (31505) range across 2 matching MRF lines	$88.28–$430.43	$176.55–$860.86	varies
Laryngoscopy flexible diagnostic (31575)	$581.27	$1,162.53	3.2×
Laryngoscopy Indirect W/Removal Foreign Body (31511)	$412.13	$824.25	2.3×
Laryngoscopy W/Foreign Body Removal (31530)	$258.77	$517.53	0.2×
Laser Surgery Anal Lesions (46917) range across 2 matching MRF lines	$367.50–$1,345	$735–$2,690	varies
Late closure of wound (13160) range across 2 matching MRF lines	$899.35–$1,322.36	$1,798.70–$2,644.72	varies
Ligation of femoral vein (37650) range across 2 matching MRF lines	$526.99–$1,551.50	$1,053.98–$3,103	varies
Ligation or biopsy temporal artery (37609) range across 2 matching MRF lines	$326.35–$815.88	$652.70–$1,631.75	varies
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785)	$349.65	$699.30	0.1×
Lysis of labial adhesions (56441)	$1,551.50	$3,103	0.5×
Lysis/excision penile postcircumcision adhesions (54162) range across 2 matching MRF lines	$1,024.53–$1,168.98	$2,049.05–$2,337.95	varies
Marsupialization of bartholin's gland cyst (56440) range across 2 matching MRF lines	$226.58–$1,315.90	$453.16–$2,631.79	varies
Mast mod rad (19307) range across 2 matching MRF lines	$1,146.76–$2,704.83	$2,293.51–$5,409.65	varies
Mastectomy for gynecomastia (19300) range across 2 matching MRF lines	$561.75–$1,786.90	$1,123.50–$3,573.80	varies
Mastectomy partial (19301)	$1,792.25	$3,584.50	0.5×
Mastectomy simple complete (19303) range across 2 matching MRF lines	$728.32–$2,891.68	$1,456.64–$5,783.35	varies
N block inj intercost sng (64420)	$117.70	$235.40	0.2×
N Block Lumbar/Thoracic (64520)	$347.13	$694.25	0.4×
Neurectomy, Intrinsic Musculature Of Foot (28055)	$960.33	$1,920.65	0.5×
Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus Facility (64714) range across 2 matching MRF lines	$680.99–$721.29	$1,361.97–$1,442.57	varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)	$132.50	$265	0.5×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531)	$152.10	$304.20	0.0×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)	$181.90	$363.80	0.2×
Occipital Nerve Block (64405)	$122.44	$244.88	0.4×
Omntc Epiploectomy Rescj Omentum Spx (49255) range across 2 matching MRF lines	$766.82–$1,374.95	$1,533.64–$2,749.90	varies
Open bowel to skin (44300)	$752.93	$1,505.86	0.4×
Open Treatment Bimalleolar Ankle Fracture (27814)	$3,354.45	$6,708.90	0.5×
Open Treatment Medial Malleolus Fracture (27766)	$3,354.45	$6,708.90	0.5×
Open treatment metatarsal fracture each (28485)	$3,354.45	$6,708.90	0.5×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) unusually low: confirm this is the full procedure	$3,092.52	$6,185.04	0.5×
Open Tx Distal Phalangeal Fracture Each (26765)	$533.30	$1,066.60	0.2×
Open Tx Tibial Fracture Proximal Unicondylar (27535) likely a partial charge, not the full procedure	$1,324.13	$2,648.25	0.2×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)	$3,354.45	$6,708.90	0.5×
Orbitotomy W/O Bone Flap W/Rmvl Foreign Body (67413)	$1,356.93	$2,713.85	0.6×
Orchiectomy radical tumor inguinal approach (54530)	$1,792.25	$3,584.50	0.5×
Orchiopexy Ingun/Scrot Appr (54640)	$1,792.25	$3,584.50	0.5×
Ostc prtl exostc/condylc metar head (28288)	$1,551.50	$3,103	0.5×
Ostectomy, complete excision; fifth metatarsal head (28113)	$1,551.50	$3,103	0.5×
Ostectomy, complete excision; first metatarsal head (28111)	$1,551.50	$3,103	0.5×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110)	$1,551.50	$3,103	0.5×
Osteotomy calcaneus w/wo internal fixation (28300)	$3,354.45	$6,708.90	0.5×
Ovarian cystectomy, unilateral or bilateral (58925) range across 2 matching MRF lines	$824.26–$2,605.45	$1,648.51–$5,210.90	varies
Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284)	$2,477.05	$4,954.10	0.5×
Partial hymenectomy or revision of hymenal ring (56700)	$1,625	$3,250	0.6×
Partial removal of toe (28160)	$1,551.50	$3,103	0.5×
Partical Excision Bone Phalanx Toe (28124)	$1,551.50	$3,103	0.5×
Percut Drain/Inject Renal Cyst (50390)	$510.92	$1,021.83	0.8×
Perineoplasty rpr perineum nonobstetrical spx (56810)	$1,551.50	$3,103	0.5×
Perq dev breast 1st us imag (19285)	$331.34	$662.68	0.5×
Perq device breast 1st imag (19281)	$167.25	$334.49	0.1×
Phleb Veins - Extrem 20+ (37766)	$1,551.50	$3,103	0.5×
Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines	$88.36–$258.77	$176.71–$517.53	varies
Placement of seton (46020)	$1,374.95	$2,749.90	0.5×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)	$2,477.05	$4,954.10	0.5×
Proctopexy Perineal Approach (45541) range across 2 matching MRF lines	$896.13–$1,374.95	$1,792.25–$2,749.90	varies
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300)	$513.60	$1,027.20	0.6×
Proctosgmdsc rigid rmvl 1 lesion snare tq (45309)	$203.23	$406.45	0.2×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) range across 2 matching MRF lines	$1,391.48–$1,461.06	$2,782.96–$2,922.12	varies
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122)	$1,551.50	$3,103	0.5×
Punch biopsy skin single lesion (11104) range across 2 matching MRF lines	$115.03–$126.23	$230.05–$252.46	varies
Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines	$136.43–$217.74	$272.85–$435.48	varies
Puncture Aspiration Cyst Breast (19000) range across 3 matching MRF lines	$71.32–$321.57	$142.63–$643.14	varies
Rad resect tumor soft tissue hand/finger <3cm (26117) range across 2 matching MRF lines	$796.08–$1,691.14	$1,592.16–$3,382.27	varies
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) unusually low: confirm this is the full procedure	$3,281.86	$6,563.71	0.5×
Rdctj torsion tstis w/wo fixj clat testis (54600)	$1,322.36	$2,644.72	0.4×
Release of big toe (28240)	$1,551.50	$3,103	0.5×
Release Thenar Muscle (26508)	$1,551.50	$3,103	0.5×
Removal Embedded Foreign Body Eyelid (67938)	$150.27	$300.54	0.5×
Removal Foreign Body Deep Thigh/Knee (27372)	$625.95	$1,251.90	0.2×
Removal Foreign Body Foot Complicated (28193)	$837.51	$1,675.01	0.6×
Removal foreign body foot deep (28192) range across 2 matching MRF lines	$571.02–$872.05	$1,142.04–$1,744.10	varies
Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines	$218.37–$270.18	$436.74–$540.35	varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)	$196.91	$393.82	0.1×
Removal Foreign Body Pelvis/Hip Deep (27087) range across 2 matching MRF lines	$751.35–$1,551.50	$1,502.69–$3,103	varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines	$57.43–$59.96	$114.86–$119.91	varies
Removal impacted vag fb spx w/anes oth/thn local (57415)	$182.39	$364.78	0.1×
Removal Implant Deep (20680)	$1,551.50	$3,103	0.6×
Removal Implant Superficial Separate Procedure (20670) range across 2 matching MRF lines	$338.29–$872.05	$676.57–$1,744.10	varies
Removal implantable contraceptive capsules (11976) range across 2 matching MRF lines	$137.50–$372.50	$275–$745	varies
Removal of adenoids (42830)	$2,287.83	$4,575.66	0.8×
Removal of anal fissure (46200)	$1,374.95	$2,749.90	0.5×
Removal of bladder cyst (51500) range across 2 matching MRF lines	$666.47–$2,704.43	$1,332.94–$5,408.85	varies
Removal of heel spur (28119)	$1,551.50	$3,103	0.5×
Removal of nail bed (11750) range across 3 matching MRF lines	$165.85–$249.30	$331.70–$498.59	varies
Removal of sesamoid bone (28315)	$1,551.50	$3,103	0.5×
Removal of sperm cord lesion (55520) range across 2 matching MRF lines	$437.37–$1,750	$874.74–$3,500	varies
Removal of testis (54520) range across 2 matching MRF lines	$448.10–$1,551.50	$896.20–$3,103	varies
Removal of tonsils (42825) unusually low: confirm this is the full procedure	$2,605.45	$5,210.90	0.5×
Removal of tonsils (42826) range across 2 matching MRF lines	$421.59–$1,782.93	$843.18–$3,565.86	varies
Removal or bivalving full arm or full leg cast (29705)	$238.08	$476.15	0.9×
Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines	$101.07–$141.78	$202.13–$283.55	varies
Removal Sutures/Staples Requiring Anesthesia (15851) range across 2 matching MRF lines	$82.05–$912.18	$164.10–$1,824.35	varies
Removal sweat gland lesion (11450) range across 2 matching MRF lines	$411.95–$1,551.50	$823.90–$3,103	varies
Removal/bivalving gauntlet boot/body cast (29700)	$238.08	$476.15	0.9×
Remove armpit lymph nodes (38740) range across 2 matching MRF lines	$671.43–$2,704.43	$1,342.85–$5,408.85	varies
Remove drug implant device (11982)	$256.87	$513.74	0.6×
Remove elbow lesion (24120)	$1,551.50	$3,103	0.5×
Remove Forearm Foreign Body (25248)	$410	$820	0.3×
Remove foreign body from eye (65205) range across 2 matching MRF lines	$157.78–$165.99	$315.56–$331.98	varies
Remove groin lymph nodes (38760) range across 2 matching MRF lines	$797.15–$2,891.68	$1,594.30–$5,783.35	varies
Remove hip pressure sore (15940)	$1,551.50	$3,103	0.6×
Remove Intrauterine Device (58301) range across 3 matching MRF lines	$100.35–$340.81	$200.70–$681.61	varies
Remove lung catheter (32552) range across 2 matching MRF lines	$214.67–$489.45	$429.34–$978.89	varies
Remove Nasal Foreign Body (30300)	$192.60	$385.20	1.6×
Remove Peritoneal Foreign Body (49402) range across 2 matching MRF lines	$810.53–$1,577.82	$1,621.05–$3,155.63	varies
Remove self-contd penis pros (54415)	$1,792.25	$3,584.50	0.6×
Remove Shoulder Foreign Body (23330)	$291.58	$583.15	0.2×
Remove Skin Nerve Lesion (64774)	$376.16	$752.31	0.2×
Remove Tendon Sheath Lesion (26160) range across 2 matching MRF lines	$607.23–$901.61	$1,214.45–$1,803.22	varies
Repair Achilles Tendon (27650) likely a partial charge, not the full procedure	$1,669.97	$3,339.93	0.3×
Repair Blood Vessel Direct Upper Extremity (35206)	$1,554.18	$3,108.35	0.5×
Repair brow ptosis (67900)	$1,158.28	$2,316.55	0.5×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)	$449.40	$898.80	0.7×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)	$535	$1,070	0.8×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)	$394.45	$788.90	1.1×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)	$505.58	$1,011.15	1.4×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)	$371.83	$743.65	1.0×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)	$438.70	$877.40	1.2×
Repair complex trunk 1.1-2.5 cm (13100)	$312.98	$625.95	0.5×
Repair complex trunk 2.6-7.5 cm (13101)	$347.75	$695.50	0.5×
Repair Elbow Perc (24357)	$1,551.50	$3,103	0.5×
Repair Entropion Excision Tarsal Wedge (67923)	$1,158.28	$2,316.55	0.5×
Repair Entropion Suture (67921)	$1,158.28	$2,316.55	0.5×
Repair extensor tendon finger w/o graft each (26418) range across 2 matching MRF lines	$638.70–$901.61	$1,277.40–$1,803.22	varies
Repair Hand Tendon (26410)	$770.61	$1,541.21	0.5×
Repair incomplete circumcision (54163)	$1,024.53	$2,049.05	0.5×
Repair inguinal hernia, sliding, any age (49525) range across 2 matching MRF lines	$556.02–$1,792.25	$1,112.04–$3,584.50	varies
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) range across 2 matching MRF lines	$725–$2,450	$1,450–$4,900	varies
Repair initial femoral hernia, any age; reducible (49550) range across 2 matching MRF lines	$670.89–$2,398.28	$1,341.78–$4,796.56	varies
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) range across 2 matching MRF lines	$645.01–$1,792.25	$1,290.02–$3,584.50	varies
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) range across 2 matching MRF lines	$641.86–$1,792.25	$1,283.71–$3,584.50	varies
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines	$207.01–$278.20	$414.02–$556.40	varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 3 matching MRF lines	$186.19–$340.81	$372.37–$681.61	varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)	$369.15	$738.30	1.0×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)	$385.20	$770.40	1.0×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)	$422.65	$845.30	0.6×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)	$256.80	$513.60	0.7×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines	$221.53–$310.30	$443.05–$620.60	varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)	$382.53	$765.05	0.6×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines	$265.07–$401.25	$530.14–$802.50	varies
Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines	$176.72–$277.70	$353.43–$555.39	varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 4 matching MRF lines	$150.85–$318.33	$301.69–$636.65	varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)	$340.81	$681.61	0.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines	$229.73–$334.38	$459.46–$668.75	varies
Repair intermediate s/a/t/e >30.0 cm (12037)	$841.50	$1,683	0.4×
Repair lumbar hernia (49540) unusually low: confirm this is the full procedure	$2,704.43	$5,408.85	0.5×
Repair of enterocele, vaginal approach (separate procedure) (57268)	$1,551.50	$3,103	0.3×
Repair of hydrocele (55060)	$1,322.36	$2,644.72	0.4×
Repair of nail bed (11760)	$125.60	$251.19	0.2×
Repair of rectocele (45560)	$1,365.13	$2,730.25	0.5×
Repair of rectum (45505)	$1,322.36	$2,644.72	0.5×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) range across 2 matching MRF lines	$1,792.25–$1,956.49	$3,584.50–$3,912.98	varies
Repair Tendon Extensor Foot 1/2 Each Tendon (28208)	$1,551.50	$3,103	0.5×
Repair tongue laceration (41250)	$286.23	$572.45	0.7×
Repair, primary, disrupted ligament, ankle; collateral (27695)	$3,354.45	$6,708.90	0.5×
Replace g/c tube perc (49450)	$74.90	$149.80	0.1×
Rerepair ing hernia reduce (49520) range across 2 matching MRF lines	$638.07–$1,792.25	$1,276.14–$3,584.50	varies
Resection of scrotum (55150)	$1,322.36	$2,644.72	0.4×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153)	$1,551.50	$3,103	0.5×
Revise Hand/Foot Nerve (64704)	$1,057.14	$2,114.28	0.6×
Revision of lower leg tendon (27685)	$1,551.50	$3,103	0.5×
Revision of urethra (53460)	$1,322.36	$2,644.72	0.4×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340)	$1,551.50	$3,103	0.5×
Rmvl FB Xtrnl Auditory Canal Anes (69205)	$829.94	$1,659.87	0.6×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)	$64.20	$128.40	0.2×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)	$205.12	$410.23	0.5×
Rmvl fecal impaction/fb spx under anes (45915) range across 2 matching MRF lines	$444.95–$1,132.88	$889.89–$2,265.75	varies
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)	$1,551.50	$3,103	0.6×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086)	$813.20	$1,626.40	0.3×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)	$154.63	$309.25	0.1×
Rmvl Lens Material Phacofragmentation Aspir (66850)	$1,433.29	$2,866.57	0.7×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines	$246.78–$694.24	$493.55–$1,388.47	varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines	$362.90–$495.43	$725.80–$990.86	varies
Rmvl Vitreous Ant Appr Partial Removal (67005)	$1,183.36	$2,366.72	0.6×
Rplc Gtube No Revj Trc (43762) range across 3 matching MRF lines	$168.52–$513.10	$337.03–$1,026.20	varies
Rplcmt compl tun ctr vad w/subq port (36582) range across 2 matching MRF lines	$885–$1,925	$1,770–$3,850	varies
Rplcmt compl tun cvc w/o subq port/pmp (36581)	$1,551.50	$3,103	0.5×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) range across 2 matching MRF lines	$269–$2,070	$538–$4,140	varies
Rpr aa hernia recr 3-10 cm reducible (49615) range across 2 matching MRF lines	$700–$2,400	$1,400–$4,800	varies
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) range across 2 matching MRF lines	$807.16–$2,704.43	$1,614.31–$5,408.85	varies
Rpr aa hrn 1st 3-10 rdc (49593) range across 2 matching MRF lines	$452.50–$2,212.50	$905–$4,425	varies
Rpr aa hrn 1st < 3 ncr/strn (49592) range across 2 matching MRF lines	$288–$2,912.50	$576–$5,825	varies
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)	$212.06	$424.12	1.2×
Rpr ing hernia init reduce (49500) unusually low: confirm this is the full procedure	$1,792.25	$3,584.50	0.3×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) range across 2 matching MRF lines	$362.27–$502.90	$724.54–$1,005.80	varies
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251)	$189.97	$379.94	0.9×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) range across 2 matching MRF lines	$811–$834.98	$1,621.99–$1,669.96	varies
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696)	$3,354.45	$6,708.90	0.5×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200)	$1,551.50	$3,103	0.5×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) range across 2 matching MRF lines	$918.29–$1,551.50	$1,836.58–$3,103	varies
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575)	$358.48	$716.96	0.6×
Salpingostomy (salpingoneostomy) (58770)	$1,467.37	$2,934.73	0.5×
Severing Ads Ant Seg Incal Spx Ant Synechiae (65870)	$1,136.03	$2,272.06	0.5×
Severing Ads Ant Seg Incal Spx Post Synechiae (65875)	$1,374.95	$2,749.90	0.7×
Sgmdsc flx dired sbmcsl njx any sbst (45335) range across 2 matching MRF lines	$212.06–$429.17	$424.12–$858.33	varies
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) range across 2 matching MRF lines	$288.90–$575.13	$577.80–$1,150.25	varies
Shave skin lesion 0.5 cm/< (11300)	$101.65	$203.30	0.3×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) range across 2 matching MRF lines	$82.05–$117.70	$164.10–$235.40	varies
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) range across 2 matching MRF lines	$230–$1,374.95	$460–$2,749.90	varies
Sigmoidoscopy & decompress (45337) range across 2 matching MRF lines	$137.50–$507.50	$275–$1,015	varies
Sigmoidoscopy & Polypectomy (45333) range across 2 matching MRF lines	$315.65–$466.40	$631.30–$932.80	varies
Sigmoidoscopy w/fb removal (45332)	$222.16	$444.32	0.2×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 2 matching MRF lines	$275.53–$433.59	$551.05–$867.17	varies
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines	$265.07–$302.31	$530.14–$604.62	varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines	$118.02–$176.72	$236.04–$353.43	varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines	$136.33–$168.52	$272.65–$337.03	varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017)	$401.40	$802.79	1.1×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 3 matching MRF lines	$165.36–$200.70	$330.72–$401.40	varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018)	$491.02	$982.04	2.7×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines	$129.38–$170.41	$258.76–$340.82	varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)	$312.41	$624.82	1.7×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines	$150.85–$182.39	$301.69–$364.78	varies
Skin Full Grft Face/Genit/Hf (15240)	$728.32	$1,456.64	0.4×
Skin Pinch Graft (15050) range across 2 matching MRF lines	$340.81–$612.83	$681.61–$1,225.65	varies
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)	$2,477.05	$4,954.10	0.5×
Slitting of prepuce (54001) range across 2 matching MRF lines	$214.99–$981.23	$429.98–$1,962.45	varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 4 matching MRF lines	$121.18–$186.19	$242.36–$372.37	varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines	$193.76–$225.95	$387.51–$451.89	varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)	$294.74	$589.47	0.8×
Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750)	$1,322.36	$2,644.72	0.5×
Sphincterotomy anal division sphincter spx (46080)	$256.87	$513.74	0.1×
Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines	$143.90–$458.83	$287.80–$917.66	varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) range across 3 matching MRF lines	$1,003.50–$1,551.50	$2,006.99–$3,103	varies
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) range across 2 matching MRF lines	$797.15–$1,322.36	$1,594.30–$2,644.72	varies
Strapping ankle (29540)	$31.56	$63.12	0.2×
Strapping elbow or wrist (29260)	$215.22	$430.43	4.0×
Strapping hand/finger (29280)	$35.34	$70.68	0.7×
Strapping Hip (29520)	$50.49	$100.98	0.4×
Strapping knee (29530)	$170	$340	1.4×
Strapping shoulder (29240)	$70.06	$140.12	0.6×
Strapping thorax (29200)	$90.17	$180.33	0.6×
Strapping toes (29550)	$39.14	$78.27	0.7×
Strapping Unna Boot (29580)	$22.09	$44.18	0.1×
Surg tx anal fistula subq (46270) range across 2 matching MRF lines	$577.49–$1,433.56	$1,154.97–$2,867.12	varies
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) range across 2 matching MRF lines	$618.51–$1,205.45	$1,237.01–$2,410.90	varies
Syndactylization toes (28280)	$1,551.50	$3,103	0.5×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145)	$901.61	$1,803.22	0.6×
Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines	$82.68–$126.23	$165.36–$252.46	varies
Tenodesis distal joint each (26474)	$616.10	$1,232.20	0.4×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605)	$826.78	$1,653.56	0.6×
Thrombolytic Therapy Stroke (37195)	$267.50	$535	0.9×
Thyroid biopsy (60100)	$300.54	$601.07	0.5×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060)	$901.61	$1,803.22	0.5×
Tonsillectomy and adenoidectomy; age 12 or over (42821)	$1,786.09	$3,572.18	0.6×
Tracheostomy Emergency Procedure Transtracheal (31603) range across 2 matching MRF lines	$285.27–$754.35	$570.53–$1,508.70	varies
Tracheostomy planned (31600)	$1,324.13	$2,648.25	0.4×
Transur electr resection of prostate (52601)	$3,597.42	$7,194.84	0.7×
Transurethral incision of prostate (52450)	$1,792.25	$3,584.50	0.6×
Treat Big Toe Fracture (28505)	$1,433.29	$2,866.57	0.5×
Treat ectopic pregnancy (59151) range across 3 matching MRF lines	$918.92–$2,704.43	$1,837.84–$5,408.85	varies
Treat humerus fracture (24500)	$374.50	$749	1.7×
Treat humerus fracture (23600)	$286.54	$573.07	1.3×
Treat Kneecap Fracture (27524)	$3,354.45	$6,708.90	0.5×
Treat Knuckle Dislocation (26700)	$305.47	$610.93	1.4×
Treat Thumb Dislocation (26641)	$398.58	$797.15	1.8×
Treat Thumb Fracture (26645)	$452.08	$904.15	0.3×
Treat toe dislocation (28630)	$139.48	$278.96	0.6×
Treatment Closed Elbow Dislocation Req Anes (24605)	$813.20	$1,626.40	0.6×
Treatment closed elbow dislocation w/o anes (24600)	$332.61	$665.21	1.5×
Treatment mouth roof lesion (42160) range across 2 matching MRF lines	$246.10–$1,324.13	$492.20–$2,648.25	varies
Treatment of gum lesion (41850)	$340.81	$681.61	0.2×
Trim skin lesion (11055) range across 2 matching MRF lines	$75.74–$141.78	$151.47–$283.55	varies
Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines	$56.17–$167.25	$112.34–$334.49	varies
Trimming Nondystrophic Nails Any Number (11719)	$31.56	$63.12	0.6×
Tubal ligation (58600)	$1,551.50	$3,103	0.5×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) range across 3 matching MRF lines	$388.15–$1,420.04	$776.29–$2,840.07	varies
Tx Gastro Intub W/Asp (43753) range across 2 matching MRF lines	$22.50–$27.50	$45–$55	varies
Tx Incomplete Abortion Any Trimester Surgical (59812) range across 2 matching MRF lines	$301.05–$1,551.50	$602.09–$3,103	varies
Tx Missed Abortion First Trimester Surgical (59820)	$1,551.50	$3,103	0.5×
Tx open tendon flexor toe 1 tendon spx (28232)	$820.47	$1,640.93	0.6×
Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines	$265.07–$299.60	$530.14–$599.20	varies
Tx superficial wound dehiscence w/packing (12021) range across 2 matching MRF lines	$195.65–$403.92	$391.30–$807.84	varies
Tympanostomy general anesthesia (69436)	$1,009.80	$2,019.60	0.7×
Unlisted laparoscopic procedure liver (47379) range across 2 matching MRF lines	$680.99–$2,704.43	$1,361.97–$5,408.85	varies
Unlisted laparoscopy procedure appendix (44979) unusually low: confirm this is the full procedure	$2,704.43	$5,408.85	0.5×
Unlisted laparoscopy procedure oviduct ovary (58679) range across 2 matching MRF lines	$710.02–$2,704.43	$1,420.03–$5,408.85	varies
Unlisted laparoscopy procedure stomach (43659) range across 2 matching MRF lines	$1,325.37–$2,704.43	$2,650.73–$5,408.85	varies
Unlisted laparoscopy procedure, biliary tract (47579) range across 2 matching MRF lines	$2,391.45–$2,833.63	$4,782.90–$5,667.26	varies
Unlisted procedure anus (46999) range across 2 matching MRF lines	$96.56–$444.95	$193.12–$889.89	varies
Unlisted Procedure Conjunctiva (68399)	$246.15	$492.29	0.9×
Unlisted Procedure Intestine (44799) range across 2 matching MRF lines	$946.69–$2,060.63	$1,893.38–$4,121.25	varies
Unlisted Procedure Pharynx Adenoids/Tonsils (42999)	$218.37	$436.74	1.0×
Unlisted Procedure Rectum (45999)	$725.80	$1,451.59	0.9×
Unlisted procedure, abdomen, peritoneum and omentum (49999)	$1,322.36	$2,644.72	1.6×
Unlisted px female genital system nonobstetrical (58999)	$90.17	$180.33	0.5×
Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410)	$2,621.50	$5,243	0.5×
Vaginal delivery only (59409)	$867.80	$1,735.60	0.3×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) range across 2 matching MRF lines	$1,038.20–$2,477.05	$2,076.40–$4,954.10	varies
Vasectomy uni/bi spx w/postop semen exams (55250) range across 2 matching MRF lines	$701.82–$1,293.81	$1,403.63–$2,587.62	varies
Venous Cutdown >1 Y/O (36425)	$238.08	$476.15	0.6×
Vulvectomy simple partial (56620)	$1,625	$3,250	0.6×
Vulvectomy simple; complete (56625)	$1,625	$3,250	0.6×
Wedge excision skin nail fold (11765)	$176.55	$353.10	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.