Procedures & surgery prices at Charlotte Hungerford Hospital

Torrington, CT · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,614.96 $1,614.96 1.5×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $2,555.60 $2,555.60 2.4×
Ablate inf turbinate submuc (30802) $3,208.39 $3,208.39 1.7×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
likely a partial charge, not the full procedure		 $1,855 $1,855 0.1×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $2,270.59 $2,270.59 1.2×
Acne surgery (10040) $565 $565 2.3×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301)
range across 2 matching MRF lines		 $2,501.10–$4,985 $2,501.10–$4,985 varies
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061)
range across 2 matching MRF lines		 $1,902.15–$4,690 $1,902.15–$4,690 varies
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)
range across 2 matching MRF lines		 $1,572.30–$3,590 $1,572.30–$3,590 varies
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $3,275 $3,275 1.3×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041)
range across 2 matching MRF lines		 $1,921.70–$4,375 $1,921.70–$4,375 varies
Amputation foot transmetarsal (28805)
range across 2 matching MRF lines		 $1,955.05–$4,010 $1,955.05–$4,010 varies
Amputation metatarsal with toe single (28810)
range across 2 matching MRF lines		 $1,042.20–$2,420 $1,042.20–$2,420 varies
Amputation thigh through femur any level (27590) $2,350.30 $2,350.30 0.6×
Amputation toe interphalangeal joint (28825)
range across 2 matching MRF lines		 $963–$980 $963–$980 varies
Amputation toe metatarsophalangeal joint (28820)
range across 2 matching MRF lines		 $1,000–$1,118.90 $1,000–$1,118.90 varies
Amputation, leg, through tibia and fibula; (27880)
range across 2 matching MRF lines		 $2,380.95–$5,110 $2,380.95–$5,110 varies
Anal/Urinary Muscle Study (51784)
range across 2 matching MRF lines		 $112–$205 $112–$205 varies
Anoscopy Control Bleeding (46614)
range across 2 matching MRF lines		 $270–$370 $270–$370 varies
Anoscopy diagnostic (46600) $129.21 $129.21 0.8×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990)
range across 2 matching MRF lines		 $245.65–$610 $245.65–$610 varies
Appendectomy (44950)
range across 2 matching MRF lines		 $2,234.70–$3,695 $2,234.70–$3,695 varies
Application finger splint static (29130) $455.52 $455.52 2.9×
Application long arm splint shoulder hand (29105) $573.78 $573.78 2.9×
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $194–$310 $194–$310 varies
Application of rigid total contact leg cast (29445) $980.03 $980.03 2.9×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $455.52–$797.16 $455.52–$797.16 varies
Application short leg splint calf foot (29515) $573.78 $573.78 2.9×
Application uniplane external fixation system (20690)
unusually low: confirm this is the full procedure		 $3,465 $3,465 0.4×
Apply Multlay Comprs Lwr Leg (29581) $242.14 $242.14 1.2×
Apply Short Leg Cast (29405) $980.03 $980.03 2.9×
Arterial puncture (36600) $149.82 $149.82 0.9×
Arteriovenous Anastomosis Open Direct (36821) $1,728.50 $1,728.50 0.5×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
range across 2 matching MRF lines		 $2,849–$4,190 $2,849–$4,190 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $1,061.06 $1,061.06 2.9×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $2,577.63 $2,577.63 3.0×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $1,061.06–$1,856.86 $1,061.06–$1,856.86 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $1,061.06–$1,856.86 $1,061.06–$1,856.86 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $1,061.06–$1,856.86 $1,061.06–$1,856.86 varies
Arthrodesis great toe metatarsophalangeal joint (28750)
range across 2 matching MRF lines		 $1,374.80–$3,315 $1,374.80–$3,315 varies
Arthroplasty glenohumeral joint total shoulder (23472)
range across 2 matching MRF lines		 $3,717.95–$8,310 $3,717.95–$8,310 varies
Arthroscopy, shoulder, surgical; debridement, extensive (29823)
range across 2 matching MRF lines		 $2,021.55–$3,465 $2,021.55–$3,465 varies
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
unusually low: confirm this is the full procedure		 $2,668.10 $2,668.10 0.3×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $2,282.10 $2,282.10 0.6×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $2,625 $2,625 0.7×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $1,585 $1,585 0.8×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $1,895 $1,895 0.5×
Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) $2,100 $2,100 0.5×
Aspirate pleura w/ imaging (32555) $1,367.44 $1,367.44 1.8×
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $272.40–$490 $272.40–$490 varies
Aspirate/Inj Ganglion Cyst (20612) $1,061.06 $1,061.06 2.9×
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines		 $790–$1,150.90 $790–$1,150.90 varies
Avulsion nail plate partial/complete simple 1 (11730) $729.27 $729.27 3.0×
Axillary lymphadenectomy; complete (38745)
range across 2 matching MRF lines		 $2,605.90–$5,105 $2,605.90–$5,105 varies
Biopsy Abdominal Mass (49180) $1,129.62 $1,129.62 0.6×
Biopsy bone open deep (20245) $6,172.52 $6,172.52 1.8×
Biopsy bone trocar/needle deep (20225) $5,717 $5,717 2.9×
Biopsy Bone Trocar/Needle Superficial (20220) $5,717 $5,717 2.9×
Biopsy External Auditory Canal (69105) $2,334.21 $2,334.21 1.3×
Biopsy external ear (69100) $705.60 $705.60 2.5×
Biopsy muscle percutaneous needle (20206) $5,717 $5,717 2.9×
Biopsy nail unit (11755) $2,527.26 $2,527.26 3.0×
Biopsy of breast; open, incisional (19101)
range across 2 matching MRF lines		 $560.20–$1,295 $560.20–$1,295 varies
Biopsy of lip (40490) $705.60 $705.60 2.5×
Biopsy of liver, needle; percutaneous (47000) $1,675.35 $1,675.35 0.8×
Biopsy of palate, uvula (42100) $304.50 $304.50 0.2×
Biopsy of penis (54100) $695 $695 0.4×
Biopsy Oropharynx (42800) $1,550.52 $1,550.52 0.8×
Biopsy Pleura Percutaneous Needle (32400) $1,675.35 $1,675.35 0.8×
Biopsy Prostate Any Approach Nonimaging-Guided (55705) $1,025 $1,025 0.2×
Biopsy Salivary Gland Needle (42400) $1,129.62 $1,129.62 1.3×
Biopsy Tongue Anterior Two-Thirds (41100)
range across 2 matching MRF lines		 $299.75–$620 $299.75–$620 varies
Biopsy Tongue Posterior One-Third (41105) $640 $640 0.2×
Biopsy Vaginal Mucosa Simple (57100) $2,573.25 $2,573.25 2.3×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $2,573.25 $2,573.25 2.3×
Biopsy, vestibule of mouth (40808)
range across 2 matching MRF lines		 $305.05–$520 $305.05–$520 varies
Biopsy/removal lymph nodes (38510)
range across 2 matching MRF lines		 $2,085.55–$2,400 $2,085.55–$2,400 varies
Bladder instillation anticarcinogenic agent (51720) $1,081.86 $1,081.86 1.3×
Bladder Irrigation (51700) $328 $328 1.1×
Bladder Scan (51798) $226.67 $226.67 3.2×
Blepharotomy drainage abscess eyelid (67700) $665 $665 1.7×
Blood Transfusion Service (36430) $696.85 $696.85 1.3×
Bone Graft Any Donor Area Minor/Small (20900)
range across 2 matching MRF lines		 $955–$1,030 $955–$1,030 varies
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $12,585.93 $12,585.93 2.8×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $1,220 $1,220 0.3×
Bronchoscopy Clear Airways (31645) $3,210.58 $3,210.58 1.5×
Bronchoscopy W/Biopsy(S) (31625)
range across 2 matching MRF lines		 $425.90–$860 $425.90–$860 varies
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $579.30 $579.30 0.1×
Bx breast 1st lesion strtctc (19081) $5,717 $5,717 2.9×
Bx breast 1st lesion us imag (19083) $5,717 $5,717 2.9×
Bx Cervix (57500) $2,573 $2,573 2.3×
Bx prostate strtctc saturation sampling img gid (55706) $1,920 $1,920 0.5×
Bx/exc lymph node open deep axillary node (38525)
range across 2 matching MRF lines		 $975.10–$2,565 $975.10–$2,565 varies
Bx/exc lymph node open superficial (38500)
range across 2 matching MRF lines		 $1,022.95–$1,475 $1,022.95–$1,475 varies
Carpal Tunnel Surgery (64721) $2,580 $2,580 1.1×
Cataract surgery complex (66982) $5,464.83 $5,464.83 2.0×
Catheter aspiration nasotracheal spx (31720) $276.73 $276.73 1.1×
Change Cystostomy Tube Complicated (51710) $868.32 $868.32 1.0×
Change Cystostomy Tube Simple (51705) $305.65 $305.65 1.0×
Change of Windpipe Airway (31502) $492.74 $492.74 1.7×
Chemical Cautery Tissue (17250) $729.27 $729.27 3.0×
Chemodenerv 1 extrem 5/> mus (64644) $1,116.55 $1,116.55 1.3×
Chemodenerv 1 extremity 1-4 (64642) $1,116.55 $1,116.55 1.3×
Chemodenerv Musc Migraine (64615) $1,227.07 $1,227.07 3.3×
Chemodenerv musc neck dyston (64616)
range across 2 matching MRF lines		 $723.04–$1,265.32 $723.04–$1,265.32 varies
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $430.23 $430.23 1.2×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 2 matching MRF lines		 $1,333.85–$2,334.24 $1,333.85–$2,334.24 varies
Chest tube placement (32551)
range across 2 matching MRF lines		 $870–$934.75 $870–$934.75 varies
Circumcision 28 days or older (54161)
range across 2 matching MRF lines		 $1,130–$1,240.40 $1,130–$1,240.40 varies
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $1,225–$2,900 $1,225–$2,900 varies
Clear outer ear canal (69200) $276.78 $276.78 1.7×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $852.95 $852.95 2.9×
Closed Treatment Sesamoid Fracture (28530)
range across 2 matching MRF lines		 $425–$620 $425–$620 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $1,500–$2,310 $1,500–$2,310 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $1,652–$2,550 $1,652–$2,550 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $343.60 $343.60 1.2×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $837.68 $837.68 2.8×
Closed tx knee dislocation w/o anesthesia (27550)
range across 2 matching MRF lines		 $1,016.95–$2,795 $1,016.95–$2,795 varies
Closed Tx Lunate Dislocation W/Manipulation (25690)
range across 2 matching MRF lines		 $2,725–$2,935 $2,725–$2,935 varies
Closed tx metatarsal fracture w/o manipulation (28470) $242.14 $242.14 0.8×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 2 matching MRF lines		 $345–$375.70 $345–$375.70 varies
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)
range across 2 matching MRF lines		 $362.60–$545 $362.60–$545 varies
Closed tx patellar dislocation w/o anesthesia (27560) $837.68 $837.68 2.8×
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $599.75–$1,510 $599.75–$1,510 varies
Closed tx radial shaft fracture w/manipulation (25505) $1,238.75 $1,238.75 0.6×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $1,039.65–$2,765 $1,039.65–$2,765 varies
Closed tx septal&nose fx (21337)
range across 2 matching MRF lines		 $363–$1,765 $363–$1,765 varies
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines		 $116–$180 $116–$180 varies
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $837.68 $837.68 2.8×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830)
range across 2 matching MRF lines		 $462–$850 $462–$850 varies
Clsd tx acromioclavicular dislc w/manipulation (23545) $837.68 $837.68 2.8×
Clsd tx clavicular fracture w/o manipulation (23500) $837.68 $837.68 2.8×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $1,113–$1,820 $1,113–$1,820 varies
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $1,355 $1,355 4.6×
Cltx dstl fibular fx lat malls w/manj (27788) $2,300 $2,300 7.8×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $632.15–$1,730 $632.15–$1,730 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $837.68 $837.68 2.8×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $837.68 $837.68 2.8×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $1,996–$3,045 $1,996–$3,045 varies
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $4,380 $4,380 2.3×
Cltx fx grt toe phlx/phlg w/manj (28495) $837.68 $837.68 2.8×
Cltx fx grt toe phlx/phlg w/o manj (28490) $837.68 $837.68 2.8×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $355.70–$855 $355.70–$855 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $837.68 $837.68 2.8×
Cltx greater humeral tuberosity fx w/o manj (23620) $837.68 $837.68 2.8×
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines		 $405.20–$1,020 $405.20–$1,020 varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $365–$550 $365–$550 varies
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $983–$1,600 $983–$1,600 varies
Cltx Medial Ankle Fx (27760) $1,865 $1,865 6.3×
Cltx metacarpal fx w/manipulation each bone (26605) $837.68 $837.68 2.8×
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines		 $649.75–$1,755 $649.75–$1,755 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $837.68 $837.68 2.8×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $717–$1,160 $717–$1,160 varies
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $1,545–$2,485 $1,545–$2,485 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $837.68 $837.68 2.8×
Cltx tibial fx proximal w/o manipulation (27530) $1,760 $1,760 6.0×
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $1,685–$2,625 $1,685–$2,625 varies
Cltx trimalleolar ankle fx w/o manipulation (27816) $1,780 $1,780 6.0×
Collection of venous blood by venipuncture (36415) $15 $15 1.6×
Colonoscopy thru stoma (44388) $3,224.78 $3,224.78 2.9×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $4,213.56 $4,213.56 2.9×
Colonoscopy W/Resection (45390) $9,926.18 $9,926.18 3.0×
Colonoscopy w/submucosal inj (45381) $4,213.56 $4,213.56 2.9×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $1,143 $1,143 3.1×
Colposcopy entire vagina w/cervix if present (57420) $1,143.18 $1,143.18 3.1×
Colsc Flexible W/Control Bleeding Any Method (45382) $4,213.56 $4,213.56 2.9×
Complex drainage wound (10180) $3,226.31 $3,226.31 0.9×
Control Nasal Hemorrhage Anterior Complex (30903) $295.65 $295.65 1.9×
Control Nasal Hemorrhage Anterior Simple (30901) $295.65 $295.65 1.9×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,675.35 $1,675.35 0.8×
Correction hammertoe (28285)
range across 2 matching MRF lines		 $882.15–$2,250 $882.15–$2,250 varies
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296)
range across 2 matching MRF lines		 $1,967.05–$2,965 $1,967.05–$2,965 varies
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295)
range across 2 matching MRF lines		 $3,240–$3,465 $3,240–$3,465 varies
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
range across 2 matching MRF lines		 $2,078.75–$3,450 $2,078.75–$3,450 varies
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292)
range across 2 matching MRF lines		 $1,106.60–$2,810 $1,106.60–$2,810 varies
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299)
range across 2 matching MRF lines		 $1,353.10–$3,435 $1,353.10–$3,435 varies
Create Eardrum Opening (69433)
range across 2 matching MRF lines		 $738.24–$1,291.92 $738.24–$1,291.92 varies
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $324.10–$605 $324.10–$605 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 2 matching MRF lines		 $504–$750 $504–$750 varies
Cysto Bladder W/Ureteral Catheterization (52005)
range across 2 matching MRF lines		 $750–$1,240.40 $750–$1,240.40 varies
Cysto calibration dilat urtl strix/stenosis (52281)
range across 2 matching MRF lines		 $855–$1,253.15 $855–$1,253.15 varies
Cysto w/complex removal stone & stent (52315)
range across 2 matching MRF lines		 $1,530–$1,790.15 $1,530–$1,790.15 varies
Cysto w/destruction of lesions (52214)
range across 2 matching MRF lines		 $980–$1,150.90 $980–$1,150.90 varies
Cysto w/dilat rx balo cath urtl strix/sten male (52284)
likely a partial charge, not the full procedure		 $925 $925 0.1×
Cysto w/insert ureteral stent (52332)
range across 2 matching MRF lines		 $875–$1,917.95 $875–$1,917.95 varies
Cysto w/irrig & evac multple obstructing clots (52001)
range across 2 matching MRF lines		 $882.35–$1,600 $882.35–$1,600 varies
Cysto w/removal of lesions small (52224)
range across 2 matching MRF lines		 $1,130–$1,153.80 $1,130–$1,153.80 varies
Cysto w/removal of tumors small (52234)
range across 2 matching MRF lines		 $1,375–$1,534.50 $1,375–$1,534.50 varies
Cysto W/Simple Removal Stone & Stent (52310) $7,285.04 $7,285.04 2.9×
Cysto w/ureter stricture tx (52341)
range across 2 matching MRF lines		 $1,585–$3,036.75 $1,585–$3,036.75 varies
Cysto w/ureteroscopy w/lithotripsy (52353)
range across 2 matching MRF lines		 $2,180–$3,835.85 $2,180–$3,835.85 varies
Cysto w/ureteroscopy w/rmvl/manj stones (52352)
range across 2 matching MRF lines		 $1,975–$3,068.65 $1,975–$3,068.65 varies
Cysto w/urtroscopy w/tx ureteral stricture (52344)
range across 2 matching MRF lines		 $2,060–$3,068.65 $2,060–$3,068.65 varies
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351)
range across 2 matching MRF lines		 $1,690–$2,301.60 $1,690–$2,301.60 varies
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
range across 2 matching MRF lines		 $2,325–$3,835.85 $2,325–$3,835.85 varies
Cysto/uretero w/lithotripsy (52356)
range across 2 matching MRF lines		 $2,315–$4,074.15 $2,315–$4,074.15 varies
Cystometrogram W/Vp (51728)
range across 2 matching MRF lines		 $277–$684 $277–$684 varies
Cystorrhaphy suture of bladder wound injury or rupture simple (51860)
unusually low: confirm this is the full procedure		 $4,235 $4,235 0.4×
Cystostomy Cystotomy W/Drainage (51040) $4,091.55 $4,091.55 1.6×
Cystourethroscopy (52000) $2,335.64 $2,335.64 2.8×
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330)
range across 2 matching MRF lines		 $1,406.65–$1,470 $1,406.65–$1,470 varies
Cystourethroscopy inj chemodenervation bladder (52287)
range across 2 matching MRF lines		 $490.85–$950 $490.85–$950 varies
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235)
range across 2 matching MRF lines		 $1,610–$2,045.80 $1,610–$2,045.80 varies
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240)
range across 2 matching MRF lines		 $2,180–$2,813.05 $2,180–$2,813.05 varies
Cystourethroscopy w/rmvl ureteral calculus (52320) $1,790.15 $1,790.15 0.4×
Cystourethroscopy with biopsy (52204)
range across 2 matching MRF lines		 $795–$1,087 $795–$1,087 varies
Cystourethroscopy with direct vision internal urethrotomy (52276)
range across 2 matching MRF lines		 $1,475–$2,045.80 $1,475–$2,045.80 varies
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $1,862.60 $1,862.60 3.8×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $2,365 $2,365 0.7×
Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602)
range across 2 matching MRF lines		 $1,337.55–$2,725 $1,337.55–$2,725 varies
Deb Musc/Fascia 20 Sq Cm/< (11043) $2,129.78 $2,129.78 2.4×
Debride nail 1-5 (11720) $226.67 $226.67 3.2×
Debride nail 6 or more (11721) $226.67 $226.67 3.2×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $5,149.79 $5,149.79 2.6×
Debridement Mastoidectomy Cavity Cmplx (69222)
range across 2 matching MRF lines		 $386.35–$790 $386.35–$790 varies
Debridement Mastoidectomy Cavity Simple (69220)
range across 2 matching MRF lines		 $180.55–$300 $180.55–$300 varies
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,405.98 $1,405.98 2.9×
Declot vascular device (36593) $586.57 $586.57 1.5×
Decompression of tibia nerve (28035)
range across 2 matching MRF lines		 $1,455–$2,105 $1,455–$2,105 varies
Deep Muscle Biopsy (20205)
range across 2 matching MRF lines		 $381.15–$895 $381.15–$895 varies
Delivery of placenta (59414) $4,101.08 $4,101.08 1.1×
Derma-fat-fascia graft (15770)
range across 2 matching MRF lines		 $1,666.20–$3,895 $1,666.20–$3,895 varies
Destr penis lesion(s) (54065)
range across 2 matching MRF lines		 $1,000–$1,087 $1,000–$1,087 varies
Destr W Neurolytic; Celiac Plexus (64680) $727.65 $727.65 0.7×
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines		 $6,319–$11,058.25 $6,319–$11,058.25 varies
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines		 $8,424–$14,742 $8,424–$14,742 varies
Destruct B9 Lesion 1-14 (17110) $729.27 $729.27 3.0×
Destruction Benign Lesions 15/> (17111) $866.14 $866.14 3.6×
Destruction by neurolytic agent; plantar common digital nerve (64632) $584.20 $584.20 1.6×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $729.27 $729.27 3.0×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 2 matching MRF lines		 $5,265–$9,213.75 $5,265–$9,213.75 varies
Destruction premalignant lesion 1st (17000) $216.24 $216.24 0.9×
Diagnostic sigmoidoscopy (45330) $3,224.78 $3,224.78 2.9×
Dilate Esophagus 1/Mult Pass (43450) $3,288.29 $3,288.29 3.0×
Dilate Urethra Stricture (53620) $511.60 $511.60 0.6×
Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) $462 $462 0.2×
Dissection, deep jugular node(s) Facility (38542)
range across 2 matching MRF lines		 $1,880–$3,010 $1,880–$3,010 varies
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines		 $1,061.06–$1,856.86 $1,061.06–$1,856.86 varies
Drainage external ear abscess/hematoma cmplx (69005) $2,368.80 $2,368.80 1.2×
Drainage External Ear Abscess/Hematoma Simple (69000) $1,012.48 $1,012.48 1.2×
Drainage Finger Abscess Complicated (26011) $5,717 $5,717 2.9×
Drainage Mouth Roof Lesion (42000) $635 $635 2.2×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $536–$825 $536–$825 varies
Drainage of gum lesion (41800)
range across 2 matching MRF lines		 $586–$925 $586–$925 varies
Drainage of hematoma/fluid (10140) $5,717 $5,717 2.9×
Drainage of hydrocele (55000) $409.25 $409.25 0.5×
Drainage of scrotal wall abscess (55100) $2,406.12 $2,406.12 1.2×
Drainage of scrotum (54700) $612.60 $612.60 0.2×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $1,019.16 $1,019.16 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $457.04 $457.04 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $729.27 $729.27 3.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $729.27 $729.27 3.0×
Dstrj lesion anus simple surg excision (46922)
range across 2 matching MRF lines		 $601.20–$800 $601.20–$800 varies
Dstrj Lesion Penis Simple Electrodesiccation (54055) $6,967.49 $6,967.49 2.8×
Dstrj lesion penis simple surg excision (54060) $6,967.49 $6,967.49 2.8×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $5,004 $5,004 4.7×
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $1,964.30 $1,964.30 1.9×
Dx Bone Marrow Bx & Aspir (38222) $3,226.31 $3,226.31 0.9×
Dx Bronchoscope/Lavage (31624)
range across 2 matching MRF lines		 $405.45–$740 $405.45–$740 varies
Dx Bronchoscope/Wash (31622) $3,210.58 $3,210.58 1.5×
Dx Laryngoscopy Excl Nb (31525)
range across 2 matching MRF lines		 $450.55–$910 $450.55–$910 varies
Dx lmbr spi pnxr w/fluor/CT (62328) $1,419.12 $1,419.12 1.7×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $6,601.76 $6,601.76 2.9×
Egd control bleeding any (43255) $6,601.76 $6,601.76 2.9×
Egd dilation gastric/duodenal stricture (43245) $6,601.76 $6,601.76 2.9×
Egd endo mucosal resection (43254) $6,601.76 $6,601.76 2.9×
Egd Endoscopic Stent Place (43266) $20,428.32 $20,428.32 2.8×
Egd Flexible Foreign Body Removal (43247) $3,288.29 $3,288.29 3.0×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $6,601.76 $6,601.76 2.9×
Egd intrmural us needle aspirate/biopsy esophags (43238) $6,601.76 $6,601.76 2.9×
Egd lesion ablation (43270) $3,210.58 $3,210.58 1.4×
Egd place gastrostomy tube (43246) $3,210.58 $3,210.58 1.4×
Egd remove lesion snare (43251) $6,601.76 $6,601.76 2.9×
Egd us exam duodenum/jejunum (43259) $6,601.76 $6,601.76 2.9×
Egd Varices Ligation (43244) $6,601.76 $6,601.76 2.9×
Egd W/Transmural Drain Cyst (43240) $12,515.85 $12,515.85 1.7×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $624 $624 1.7×
Electro-Uroflowmetry First (51741)
range across 2 matching MRF lines		 $48–$84 $48–$84 varies
Endometrial Biopsy (58100) $692.04 $692.04 2.9×
Endoscopic plantar fasciotomy (29893)
range across 2 matching MRF lines		 $1,740–$2,545 $1,740–$2,545 varies
Endoscopic us exam esoph (43237) $6,601.76 $6,601.76 2.9×
Endoscopy Upper Small Intestine (44360) $6,601.76 $6,601.76 2.9×
Enterorrhaphy single perforation (44602)
range across 2 matching MRF lines		 $3,376.90–$8,005 $3,376.90–$8,005 varies
Ercp duct stent placement (43274) $20,428.32 $20,428.32 2.8×
Ercp Dx Collection Specimen Brushing/Washing (43260) $18,656 $18,656 4.0×
Ercp remove calculi/debris biliary/pancreas duct (43264) $12,515.85 $12,515.85 2.7×
Ercp remove forgn body duct (43275) $12,515.85 $12,515.85 5.4×
Ercp Stent Exchange W/Dilate (43276) $20,428.32 $20,428.32 2.8×
Ercp W/Biopsy Single/Multiple (43261) $18,656 $18,656 4.0×
Ercp,Sphincterotomy (43262) $18,656 $18,656 4.0×
Esophagogastroduodenoscopy Submucosal Injection (43236) $3,288.29 $3,288.29 3.0×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $6,601.76 $6,601.76 2.9×
Esophagoscopy Flexible Transoral Diagnostic (43200) $3,288.29 $3,288.29 3.0×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $6,602 $6,602 2.9×
Esophagoscopy rig transoral removal foreign body (43194) $1,090 $1,090 0.5×
Esophagoscopy Rigid Balloon (43195)
range across 2 matching MRF lines		 $950–$1,060 $950–$1,060 varies
Esophagoscopy rigid trnso dx (43191) $6,601.76 $6,601.76 2.9×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $6,601.76 $6,601.76 2.9×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $6,601.76 $6,601.76 2.9×
Esophagoscp Rig Trnso Biopsy (43193)
range across 2 matching MRF lines		 $700–$970 $700–$970 varies
Evacuation of subungual hematoma (11740) $129.21 $129.21 0.8×
Exc arm/elbow les sc < 3 cm (24075) $5,717 $5,717 2.9×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $2,527.26 $2,527.26 3.0×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $5,717 $5,717 2.9×
Exc Back Les Sc < 3 Cm (21930) $5,717 $5,717 2.9×
Exc Back Tum Deep 5 Cm/> (21933) $5,009 $5,009 1.4×
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815)
range across 2 matching MRF lines		 $2,320–$3,100 $2,320–$3,100 varies
Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) $816.55 $816.55 0.2×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125)
range across 2 matching MRF lines		 $1,728.80–$2,695 $1,728.80–$2,695 varies
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 2 matching MRF lines		 $355.70–$895 $355.70–$895 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $2,527.26 $2,527.26 3.0×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644)
range across 2 matching MRF lines		 $650.95–$1,605 $650.95–$1,605 varies
Exc Face Les Sbq 2 Cm/> (21012) $5,717 $5,717 2.9×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines		 $281.45–$625 $281.45–$625 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines		 $365.85–$770 $365.85–$770 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines		 $406.75–$855 $406.75–$855 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 2 matching MRF lines		 $498.80–$1,040 $498.80–$1,040 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $1,310 $1,310 0.7×
Exc Forearm Les Sc 3 Cm/> (25071) $5,392.88 $5,392.88 2.7×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $2,281.11 $2,281.11 1.2×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $2,281.11 $2,281.11 2.7×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $5,717 $5,717 2.9×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090)
range across 2 matching MRF lines		 $736.85–$1,790 $736.85–$1,790 varies
Exc lesion tendon sheath/capsule w/synvct toe ea (28092)
range across 2 matching MRF lines		 $1,470–$1,585 $1,470–$1,585 varies
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $720.10 $720.10 0.2×
Exc neuroma hand/foot xcp digital nerve (64782)
range across 2 matching MRF lines		 $2,445–$2,660 $2,445–$2,660 varies
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $395.25–$875 $395.25–$875 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $5,717 $5,717 2.9×
Exc Skin Benig >4 Cm Remaindr Body (11426) $9,628.34 $9,628.34 2.8×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $5,717 $5,717 2.9×
Exc Skin Benig >4cm Face,Facial (11446) $3,795.38 $3,795.38 1.1×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $5,717 $5,717 2.9×
Exc Skin Malig >4 Cm Remaindr Body (11626)
range across 2 matching MRF lines		 $739.15–$1,660 $739.15–$1,660 varies
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $5,717 $5,717 2.9×
Exc thigh/knee les sc 3 cm/> (27337)
range across 2 matching MRF lines		 $960.30–$2,455 $960.30–$2,455 varies
Exc Thrombosed Hemorrhoid Xtrnl (46320) $3,435.45 $3,435.45 2.4×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $1,404.89 $1,404.89 2.9×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $2,527.26 $2,527.26 3.0×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines		 $438.70–$960 $438.70–$960 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552)
range across 2 matching MRF lines		 $1,067.75–$2,605 $1,067.75–$2,605 varies
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014)
range across 2 matching MRF lines		 $1,337.55–$3,025 $1,337.55–$3,025 varies
Exc tumor soft tiss shoulder subfasc <5cm (23076) $1,439.90 $1,439.90 0.4×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073)
range across 2 matching MRF lines		 $1,648.30–$4,035 $1,648.30–$4,035 varies
Exc tumor soft tissue abdominal wall subq <3cm (22902)
range across 2 matching MRF lines		 $863.20–$1,955 $863.20–$1,955 varies
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041)
range across 2 matching MRF lines		 $1,865–$2,590 $1,865–$2,590 varies
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $5,717 $5,717 2.9×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554)
range across 2 matching MRF lines		 $2,024.15–$4,230 $2,024.15–$4,230 varies
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $5,717 $5,717 2.9×
Exc tumor soft tissue pelvis & hip subq <3cm (27047)
range across 2 matching MRF lines		 $1,448.80–$2,110 $1,448.80–$2,110 varies
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $2,885.33 $2,885.33 0.8×
Exc Varicocele/Ligation Spermatic Veins Spx (55530) $2,301.60 $2,301.60 0.5×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108)
range across 2 matching MRF lines		 $1,490–$1,675 $1,490–$1,675 varies
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines		 $6,872.22–$12,026.39 $6,872.22–$12,026.39 varies
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $2,691.54 $2,691.54 1.2×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $4,212.42 $4,212.42 2.3×
Excis uppr jaw cyst w/repair (21049)
range across 2 matching MRF lines		 $6,075–$6,555 $6,075–$6,555 varies
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $2,527.26 $2,527.26 3.0×
Excision & Repair Eyelid One-Fourth Lid Margin (67966) $3,335 $3,335 1.2×
Excision External Ear Partial Simple Repair (69110) $5,988 $5,988 1.7×
Excision lesion mouth roof (42104) $3,900.21 $3,900.21 1.0×
Excision Lesion Tongue W/O Closure (41110) $3,177.69 $3,177.69 0.8×
Excision Lingual Frenum Frenectomy (41115)
range across 2 matching MRF lines		 $414.50–$845 $414.50–$845 varies
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $705 $705 0.8×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $2,527.26 $2,527.26 3.0×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $1,404.89 $1,404.89 2.9×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $2,527.26 $2,527.26 3.0×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $730 $730 0.9×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $5,717 $5,717 2.9×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $2,885.33 $2,885.33 0.8×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $5,717 $5,717 2.9×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $2,527.26 $2,527.26 3.0×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $2,527.26 $2,527.26 3.0×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $5,717 $5,717 2.9×
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030)
likely a partial charge, not the full procedure		 $1,875 $1,875 0.3×
Excision of gum lesion (41828) $1,290 $1,290 0.7×
Excision of hydrocele; unilateral (55040)
range across 2 matching MRF lines		 $1,662.25–$1,945 $1,662.25–$1,945 varies
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415)
range across 2 matching MRF lines		 $2,889.65–$6,055 $2,889.65–$6,055 varies
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420)
range across 2 matching MRF lines		 $3,309.10–$6,770 $3,309.10–$6,770 varies
Excision of pilonidal cyst or sinus; simple (11770)
range across 2 matching MRF lines		 $534.65–$1,070 $534.65–$1,070 varies
Excision of single external papilla or tag, anus (46220) $257.20 $257.20 0.2×
Excision of submandibular (submaxillary) gland (42440)
range across 2 matching MRF lines		 $1,319.40–$2,395 $1,319.40–$2,395 varies
Excision Pilonidal Cyst/Sinus Extensive (11771)
range across 2 matching MRF lines		 $1,240.40–$2,615 $1,240.40–$2,615 varies
Excision soft tissue lesion, external auditory canal (69145)
range across 2 matching MRF lines		 $564.40–$1,485 $564.40–$1,485 varies
Excision Thyroglossal Duct Cyst/Sinus (60280)
range across 2 matching MRF lines		 $1,152.10–$2,630 $1,152.10–$2,630 varies
Excision Thyroglossal Duct Cyst/Sinus Recurrent (60281)
range across 2 matching MRF lines		 $2,775–$3,430 $2,775–$3,430 varies
Excision tumor soft tis back/flank subq 3 cm/> (21931) $5,717 $5,717 2.9×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $1,935 $1,935 0.6×
Excision tumor soft tissue foot/toe subq <1.5cm (28043)
range across 2 matching MRF lines		 $691.95–$1,505 $691.95–$1,505 varies
Excision tumor soft tissue shoulder subq 3 cm/> (23071)
range across 2 matching MRF lines		 $1,188–$2,460 $1,188–$2,460 varies
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327)
range across 2 matching MRF lines		 $801.90–$1,850 $801.90–$1,850 varies
Excision, interdigital (morton) neuroma, single, each (28080)
range across 2 matching MRF lines		 $841.25–$2,225 $841.25–$2,225 varies
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903)
range across 2 matching MRF lines		 $1,120.20–$2,570 $1,120.20–$2,570 varies
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $5,717 $5,717 2.9×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632)
range across 2 matching MRF lines		 $1,162.45–$2,385 $1,162.45–$2,385 varies
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043)
range across 2 matching MRF lines		 $1,124–$2,735 $1,124–$2,735 varies
Excision/destruction intranasal lesion int appr (30117) $3,177.69 $3,177.69 0.8×
Excision/destruction lesion pharynx any method (42808) $5,247.20 $5,247.20 1.3×
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines		 $1,415.60–$1,825 $1,415.60–$1,825 varies
Fasciectomy Plantar Fascia Partial Spx (28060)
range across 2 matching MRF lines		 $1,935–$2,080 $1,935–$2,080 varies
Fasciotomy, foot and/or toe (28008) $1,390 $1,390 0.4×
Fetal non-stress test (59025) $694.54 $694.54 2.9×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $2,527.26 $2,527.26 3.0×
Fine needle aspiration without imaging guidance (10021) $417.20 $417.20 0.9×
Fna bx w/us gdn 1st les (10005) $2,527.26 $2,527.26 3.0×
Foreskin manipulation (54450) $402.90 $402.90 1.3×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260)
range across 2 matching MRF lines		 $2,175.05–$4,855 $2,175.05–$4,855 varies
Fusion of foot bones (28740)
unusually low: confirm this is the full procedure		 $3,550 $3,550 0.4×
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840)
range across 2 matching MRF lines		 $3,420.40–$7,805 $3,420.40–$7,805 varies
Graft Ear Crtlg Autogenous Nose/Ear (21235)
unusually low: confirm this is the full procedure		 $3,295 $3,295 0.5×
Grafting of autologous soft tiss by direct exc (15769) $2,780 $2,780 0.7×
Guide Cathet Fluid Drainage (10030) $2,527.26 $2,527.26 3.0×
Hemiarthroplasty hip partial (27125)
range across 2 matching MRF lines		 $3,191.40–$6,545 $3,191.40–$6,545 varies
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255)
range across 2 matching MRF lines		 $1,140.65–$2,055 $1,140.65–$2,055 varies
Hemorrhoidectomy, external, 2 or more columns/groups (46250)
range across 2 matching MRF lines		 $1,003.85–$1,860 $1,003.85–$1,860 varies
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260)
range across 2 matching MRF lines		 $1,511.45–$2,795 $1,511.45–$2,795 varies
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) $3,065 $3,065 0.9×
Hysteroscopy Biopsy (58558)
range across 2 matching MRF lines		 $1,225–$1,315 $1,225–$1,315 varies
Hysteroscopy Dx Sep Proc (58555) $865 $865 0.2×
I&d abscess peritonsillar (42700) $705.60 $705.60 2.5×
I&d abscess simple (10060) $386.41 $386.41 1.6×
I&D Below Fascia Foot 1 Bursal Space (28002) $1,044.80 $1,044.80 0.5×
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines		 $1,482–$2,980 $1,482–$2,980 varies
I&D Deep Absc/Hematoma Neck/Chest (21501) $805.65 $805.65 0.2×
I&d perianal abscess superficial (46050) $1,932.61 $1,932.61 1.7×
I&d pilonidal cyst complicated (10081) $2,527.26 $2,527.26 3.0×
I&d pilonidal cyst simple (10080) $802.62 $802.62 0.9×
Image Cath Fluid Colxn Visc (49405) $2,755.22 $2,755.22 1.4×
Image Cath Fluid Peri/Retro (49406) $4,101.43 $4,101.43 2.1×
Implant neuroelectrodes (63650) $9,664 $9,664 1.3×
Implant Neuroelectrodes (64561)
range across 2 matching MRF lines		 $1,164–$1,715 $1,164–$1,715 varies
Implant Periph/Gastric Neurostim/Receiver (64590)
likely a partial charge, not the full procedure		 $1,675 $1,675 0.1×
Incise external hemorrhoid (46083) $260.29 $260.29 0.9×
Incision & drainage abscess complicated/multiple (10061) $519.34 $519.34 1.1×
Incision & drainage leg/ankle abscess/hematoma (27603)
range across 2 matching MRF lines		 $1,336.30–$2,255 $1,336.30–$2,255 varies
Incision & removal foreign body subq tiss compl (10121) $5,717 $5,717 2.9×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $263.95–$610 $263.95–$610 varies
Incision and drainage of bartholin's gland abscess (56420) $236.05 $236.05 1.0×
Incision and drainage of vulva or perineal abscess (56405) $1,143.18 $1,143.18 3.1×
Incision of eardrum (69420)
range across 2 matching MRF lines		 $644.99–$1,128.73 $644.99–$1,128.73 varies
Incision of Foot Tendon (28234)
range across 2 matching MRF lines		 $1,460–$1,575 $1,460–$1,575 varies
Incision of lingual frenum (frenotomy) (41010)
range across 2 matching MRF lines		 $329.20–$635 $329.20–$635 varies
Incision of rectal abscess (46040) $1,629.45 $1,629.45 1.1×
Incision of urethra (53020) $1,087 $1,087 0.4×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $945 $945 0.5×
Incisional biopsy skin single lesion (11106) $2,129.78 $2,129.78 2.4×
Initial Tx 1st Degree Burn Local Tx (16000) $201.48 $201.48 0.8×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $3,251.02–$5,689.29 $3,251.02–$5,689.29 varies
Inj W/Fluor Eval Cv Device (36598) $801.45 $801.45 3.1×
Injection 1 tendon sheath/ligament aponeurosis (20550) $1,061.06 $1,061.06 2.9×
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines		 $1,123.47–$1,966.07 $1,123.47–$1,966.07 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,111.59 $1,111.59 1.0×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,966.07 $1,966.07 2.3×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,201.28 $1,201.28 1.4×
Injection Anes Superior Hypogastric Plexus (64517)
range across 2 matching MRF lines		 $576–$715 $576–$715 varies
Injection anesthetic agent suprascapular nerve (64418) $315 $315 0.4×
Injection for identification of sentinel node (38792) $633.40 $633.40 1.3×
Injection single tendon origin/insertion (20551) $1,061.06 $1,061.06 2.9×
Injection single/mlt trigger point 1/2 muscles (20552) $1,061.06 $1,061.06 2.9×
Injection single/mlt trigger point 3/> muscles (20553) $1,061.06 $1,061.06 2.9×
Injection therapeutic carpal tunnel (20526) $1,061.06 $1,061.06 2.9×
Injection, anesthetic agent; brachial plexus, single (64415) $390 $390 0.4×
Injection, anesthetic agent; femoral nerve, single (64447) $988.65 $988.65 1.2×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $580.78 $580.78 0.7×
Injection, intralesional; up to and including 7 lesions (11900) $729.27 $729.27 3.0×
Ins Vag Brachytx Device (57156) $2,314.70 $2,314.70 6.3×
Insert Bladder Cath Complex (51703) $566.12 $566.12 3.7×
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines		 $556–$820 $556–$820 varies
Insert cath pleura w/o image (32556) $2,162.17 $2,162.17 0.9×
Insert Drug Implant Device (11981) $455.52 $455.52 2.9×
Insert Gastrostomy Tube Percutaneous (49440) $3,512.19 $3,512.19 1.5×
Insert Heart Pm Ventricular (33207)
range across 2 matching MRF lines		 $1,245.50–$2,695 $1,245.50–$2,695 varies
Insert multi-comp penis pros (54405)
likely a partial charge, not the full procedure		 $4,730.80 $4,730.80 0.2×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $470–$473.25 $470–$473.25 varies
Insert pulse gen dual leads (33213)
range across 2 matching MRF lines		 $923.35–$1,905 $923.35–$1,905 varies
Insert Temp Bladder Cath (51702) $247.63 $247.63 1.6×
Insert tun ip cath perc (49418) $5,317.27 $5,317.27 1.2×
Insert tunneled cv cath (36561) $3,327.71 $3,327.71 0.9×
Insert,Non-Indwelling Bladder Catheter (51701) $455.52 $455.52 2.9×
Insertion indwelling tunneled pleural catheter (32550) $3,956.24 $3,956.24 0.9×
Insertion Picc W/Rs&I 5 Yr/> (36573) $3,323.99 $3,323.99 1.8×
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
range across 2 matching MRF lines		 $206.30–$490 $206.30–$490 varies
Insertion Tunnel Intraperitoneal Cath Dial Open (49421)
range across 2 matching MRF lines		 $1,058–$1,285 $1,058–$1,285 varies
Insj prph ctr vad w/subq port age 5 yr/> (36571) $5,770 $5,770 1.5×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $4,641.71 $4,641.71 2.5×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $3,618.56 $3,618.56 1.0×
Insj/rplcmt breast implant sep day mastectomy (19342)
range across 2 matching MRF lines		 $2,272.60–$4,405 $2,272.60–$4,405 varies
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
unusually low: confirm this is the full procedure		 $16,033.68 $16,033.68 0.4×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure		 $900 $900 0.1×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
likely a partial charge, not the full procedure		 $930 $930 0.1×
Insrt heart pm atrial & vent (33208) $20,477 $20,477 1.6×
Intranasal Biopsy (30100) $198.65 $198.65 0.1×
Intro cath dialysis circuit (36901) $3,586.11 $3,586.11 1.9×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $18,934.07 $18,934.07 1.4×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $9,368.09 $9,368.09 1.4×
Intubation endotracheal emergency procedure (31500) $381.68 $381.68 1.3×
Iridotomy/irridectomy laser surg per session (66761) $4,170.14 $4,170.14 6.3×
Irrigation of corpora cavernosa for priapism (54220)
range across 2 matching MRF lines		 $672–$765 $672–$765 varies
Labyrinthotomy Transcanal (69801) $2,379.04 $2,379.04 1.3×
Lap insert tunnel ip cath (49324)
range across 2 matching MRF lines		 $1,134.95–$2,220 $1,134.95–$2,220 varies
Lap paraesoph her rpr w/mesh (43282)
range across 2 matching MRF lines		 $8,845–$9,875 $8,845–$9,875 varies
Lap paraesophag hern repair (43281)
unusually low: confirm this is the full procedure		 $6,040 $6,040 0.5×
Lap revision perm ip cath (49325)
likely a partial charge, not the full procedure		 $1,324.85 $1,324.85 0.2×
Laparoscopy Enterolysis Separate Procedure (44180)
range across 2 matching MRF lines		 $2,378.50–$5,285 $2,378.50–$5,285 varies
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 2 matching MRF lines		 $1,255.70–$2,525 $1,255.70–$2,525 varies
Laparoscopy w/rmvl adnexal structures (58661) $3,715 $3,715 0.5×
Laparoscopy, surgical, appendectomy (44970)
range across 2 matching MRF lines		 $2,036.65–$3,485 $2,036.65–$3,485 varies
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
range across 2 matching MRF lines		 $4,035.70–$4,155 $4,035.70–$4,155 varies
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) $3,755 $3,755 0.5×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
range across 2 matching MRF lines		 $1,618.85–$3,290 $1,618.85–$3,290 varies
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571)
range across 2 matching MRF lines		 $3,485–$3,750 $3,485–$3,750 varies
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
range across 2 matching MRF lines		 $1,313.25–$1,990 $1,313.25–$1,990 varies
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
range across 2 matching MRF lines		 $1,910–$1,917.95 $1,910–$1,917.95 varies
Laps fulg/exc ovary viscera/peritoneal surface (58662) $4,070 $4,070 0.6×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571)
range across 2 matching MRF lines		 $564.35–$1,410 $564.35–$1,410 varies
Laryngoscopy flexible diagnostic (31575) $311.86 $311.86 1.3×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577)
range across 2 matching MRF lines		 $396.45–$765 $396.45–$765 varies
Laryngoscopy W/Biopsy (31535)
range across 2 matching MRF lines		 $439.30–$1,080 $439.30–$1,080 varies
Laryngoscopy w/biopsy microscope/telescope (31536)
range across 2 matching MRF lines		 $576.80–$1,190 $576.80–$1,190 varies
Larynscop w/tumr exc + scope (31541)
range across 2 matching MRF lines		 $709.45–$1,485 $709.45–$1,485 varies
Laser vaporization of prostate (52648) $3,935 $3,935 0.6×
Late closure of wound (13160)
range across 2 matching MRF lines		 $2,058.65–$4,580 $2,058.65–$4,580 varies
Ligation or biopsy temporal artery (37609)
range across 2 matching MRF lines		 $583.45–$1,160 $583.45–$1,160 varies
Litholapaxy comp/lg > 2.5 cm (52318)
range across 2 matching MRF lines		 $2,301.60–$2,635 $2,301.60–$2,635 varies
Litholapaxy smpl/sm <2.5 cm (52317)
range across 2 matching MRF lines		 $1,662.25–$1,930 $1,662.25–$1,930 varies
Lithotripsy, extracorporeal shock wave (50590) $14,848.13 $14,848.13 3.5×
Lumbar spine fusion combined (22633)
likely a partial charge, not the full procedure		 $7,755 $7,755 0.2×
Lyse chest fibrin init day (32561) $280 $280 0.4×
Lysis Intranasal Synechia (30560)
range across 2 matching MRF lines		 $508–$870 $508–$870 varies
Mast mod rad (19307)
range across 2 matching MRF lines		 $3,086.30–$6,805 $3,086.30–$6,805 varies
Mastectomy partial (19301)
range across 2 matching MRF lines		 $1,571–$3,815 $1,571–$3,815 varies
Mastectomy partial w/axillary lymphadenectomy (19302)
range across 2 matching MRF lines		 $2,164.80–$5,240 $2,164.80–$5,240 varies
Mastectomy simple complete (19303)
range across 2 matching MRF lines		 $2,467.75–$5,540 $2,467.75–$5,540 varies
Mastopexy (19316)
range across 2 matching MRF lines		 $1,731.65–$4,580 $1,731.65–$4,580 varies
Metatarsectomy (28140) $2,435 $2,435 0.6×
Muscle-skin graft trunk (15734)
range across 2 matching MRF lines		 $3,458.05–$8,620 $3,458.05–$8,620 varies
Myringoplasty (69620) $1,267.85 $1,267.85 0.3×
N Block Inj Celiac Pelus (64530)
range across 2 matching MRF lines		 $445–$540 $445–$540 varies
N Block Inj Ilio-Ing/Hypogi (64425) $295.55 $295.55 0.3×
N block inj intercost sng (64420)
range across 2 matching MRF lines		 $788.99–$1,380.73 $788.99–$1,380.73 varies
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines		 $462.22–$808.89 $462.22–$808.89 varies
N Block Lumbar/Thoracic (64520) $3,251.02 $3,251.02 3.1×
Nasal Endoscopy Dx (31231)
range across 2 matching MRF lines		 $187.90–$365 $187.90–$365 varies
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines		 $110.15–$225 $110.15–$225 varies
Nasal/sinus endoscopy dx maxillary sinusoscopy (31233)
range across 2 matching MRF lines		 $661.54–$1,157.70 $661.54–$1,157.70 varies
Nasal/sinus endoscopy w/maxillary antrostomy (31256)
range across 2 matching MRF lines		 $541.95–$1,030 $541.95–$1,030 varies
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287)
range across 2 matching MRF lines		 $1,140–$1,459 $1,140–$1,459 varies
Nasal/sinus endoscopy, surgical; with medial orbital wall and inferior orbital wall decompression (31293)
range across 2 matching MRF lines		 $5,700–$6,085 $5,700–$6,085 varies
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237)
range across 2 matching MRF lines		 $1,921.55–$3,362.71 $1,921.55–$3,362.71 varies
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240)
range across 2 matching MRF lines		 $439.70–$910 $439.70–$910 varies
Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298)
likely a partial charge, not the full procedure		 $1,310 $1,310 0.2×
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296)
range across 2 matching MRF lines		 $405.55–$1,025 $405.55–$1,025 varies
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
range across 2 matching MRF lines		 $359.80–$895 $359.80–$895 varies
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297)
range across 2 matching MRF lines		 $760–$820 $760–$820 varies
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
likely a partial charge, not the full procedure		 $1,139.35 $1,139.35 0.1×
Nasal/sinus ndsc total with sphenoidotomy (31257)
likely a partial charge, not the full procedure		 $1,579 $1,579 0.2×
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
range across 2 matching MRF lines		 $725.40–$1,375 $725.40–$1,375 varies
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276)
range across 2 matching MRF lines		 $1,379–$2,135 $1,379–$2,135 varies
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)
likely a partial charge, not the full procedure		 $1,036.30 $1,036.30 0.1×
Nasal/Sphenoid Sinus Endoscopy,Dx (31235)
range across 2 matching MRF lines		 $730–$915 $730–$915 varies
Ndsc eval intstinal pouch w/bx single/multiple (44386) $3,224.78 $3,224.78 2.9×
Needle Biopsy Lymph Nodes (38505) $1,675.35 $1,675.35 0.8×
Neurectomy, Intrinsic Musculature Of Foot (28055)
range across 2 matching MRF lines		 $2,080–$2,240 $2,080–$2,240 varies
Nfct ds bact&fng gram neg org id & rx resist DNA (0142U) $274 $274 1.7×
Nfct ds bact&fng gram pos org id & rx resist DNA (0141U) $274 $274 1.7×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $625 $625 1.5×
Nfct Ds Dna&Rna 21 Targets Sars-Cov-2 Amp Probe (0225U) $729 $729 1.7×
Njx anes stellate ganglion crv sympathetic (64510) $3,251.02 $3,251.02 3.1×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $539.68 $539.68 1.5×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $5,560.34 $5,560.34 1.3×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $3,251.02–$5,689.29 $3,251.02–$5,689.29 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $3,710.53 $3,710.53 4.4×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $3,710.53 $3,710.53 4.4×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) $10,656.54 $10,656.54 1.3×
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) $8,980.37 $8,980.37 1.1×
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 $723.04–$1,265.32 $723.04–$1,265.32 varies
Onc pncrs DNA&mrna seq 74 (0313U) $938 $938 0.3×
Open biopsy/excision inguinofemoral nodes (38531)
range across 2 matching MRF lines		 $1,003.20–$2,590 $1,003.20–$2,590 varies
Open bowel to skin (44300)
range across 2 matching MRF lines		 $1,866.80–$4,835 $1,866.80–$4,835 varies
Open impltj hpglsl nrv nstim ra pg&respir sensor (64582)
likely a partial charge, not the full procedure		 $4,442 $4,442 0.1×
Open Repair of Rotator Cuff Acute (23410)
range across 2 matching MRF lines		 $3,890–$4,775 $3,890–$4,775 varies
Open treatment fracture distal tibia only (27827)
unusually low: confirm this is the full procedure		 $6,495 $6,495 0.4×
Open treatment metatarsal fracture each (28485)
unusually low: confirm this is the full procedure		 $3,270 $3,270 0.4×
Open treatment of nasal septal fracture, with or without stabilization Facility (21336)
range across 2 matching MRF lines		 $3,435–$3,670 $3,435–$3,670 varies
Open Tx Distal Tibiofibular Joint Disruption (27829)
likely a partial charge, not the full procedure		 $2,174.50 $2,174.50 0.2×
Open Tx Tibial Fracture Proximal Unicondylar (27535)
likely a partial charge, not the full procedure		 $2,323.05 $2,323.05 0.3×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
likely a partial charge, not the full procedure		 $2,224.40 $2,224.40 0.3×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
range across 2 matching MRF lines		 $3,208.75–$6,895 $3,208.75–$6,895 varies
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758)
range across 2 matching MRF lines		 $2,288.45–$5,215 $2,288.45–$5,215 varies
Orchiectomy radical tumor inguinal approach (54530)
range across 2 matching MRF lines		 $2,173.75–$2,910 $2,173.75–$2,910 varies
Ostectomy calcaneus (28118)
range across 2 matching MRF lines		 $949.10–$2,465 $949.10–$2,465 varies
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $1,815 $1,815 0.5×
Ostectomy, complete excision; fifth metatarsal head (28113)
range across 2 matching MRF lines		 $1,017.35–$2,480 $1,017.35–$2,480 varies
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308)
range across 2 matching MRF lines		 $883.80–$2,255 $883.80–$2,255 varies
Parathyroidectomy or exploration of parathyroid(s); (60500)
range across 2 matching MRF lines		 $2,581.30–$5,575 $2,581.30–$5,575 varies
Part remv talus or calcaneus (28120)
range across 2 matching MRF lines		 $1,245–$2,860 $1,245–$2,860 varies
Partial removal of thyroid (60220)
range across 2 matching MRF lines		 $1,800.75–$4,065 $1,800.75–$4,065 varies
Partical Excision Bone Phalanx Toe (28124)
range across 2 matching MRF lines		 $768.95–$1,940 $768.95–$1,940 varies
Penile Injection (54235)
range across 2 matching MRF lines		 $422.05–$425 $422.05–$425 varies
Perq dev breast 1st strtctc (19283) $2,345 $2,345 2.8×
Perq dev breast 1st us imag (19285) $2,996 $2,996 3.5×
Perq device breast 1st imag (19281)
range across 2 matching MRF lines		 $5,419–$9,483.25 $5,419–$9,483.25 varies
Perq Lumbosacral Injection (22511)
range across 2 matching MRF lines		 $2,585–$2,610 $2,585–$2,610 varies
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $802.62 $802.62 0.9×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $9,368.09 $9,368.09 1.4×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
range across 2 matching MRF lines		 $2,970–$3,070 $2,970–$3,070 varies
Place Rt Device/Marker Pros (55876)
range across 2 matching MRF lines		 $235.70–$580 $235.70–$580 varies
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines		 $227–$340 $227–$340 varies
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300)
range across 2 matching MRF lines		 $253.30–$280 $253.30–$280 varies
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $312.15 $312.15 0.2×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) $10,214.03 $10,214.03 1.3×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122)
range across 2 matching MRF lines		 $1,026.45–$2,535 $1,026.45–$2,535 varies
Punch biopsy skin single lesion (11104) $1,404.89 $1,404.89 2.9×
Puncture aspiration abscess hematoma bulla/cyst (10160) $1,404.89 $1,404.89 2.9×
Puncture Aspiration Cyst Breast (19000) $2,527.26 $2,527.26 3.0×
Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558)
range across 2 matching MRF lines		 $5,500–$7,685 $5,500–$7,685 varies
Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) $4,045 $4,045 1.2×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $1,811 $1,811 0.8×
Rdctj torsion tstis w/wo fixj clat testis (54600) $1,246.75 $1,246.75 0.3×
Rem Endovas Vena Cava Filter (37193) $4,585.06 $4,585.06 1.2×
Removal Foreign Body Foot Complicated (28193)
range across 2 matching MRF lines		 $1,430–$2,095 $1,430–$2,095 varies
Removal foreign body foot deep (28192)
range across 2 matching MRF lines		 $974.50–$1,800 $974.50–$1,800 varies
Removal Foreign Body Foot Subcutaneous (28190) $2,527.26 $2,527.26 3.0×
Removal foreign body jawbone (41806)
range across 2 matching MRF lines		 $1,480–$1,575 $1,480–$1,575 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $365.85 $365.85 0.2×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $50–$95 $50–$95 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $129.74 $129.74 1.8×
Removal Implant Deep (20680)
range across 2 matching MRF lines		 $1,071.05–$2,435 $1,071.05–$2,435 varies
Removal of adenoids (42831)
range across 2 matching MRF lines		 $612.65–$1,350 $612.65–$1,350 varies
Removal of adenoids (42830)
range across 2 matching MRF lines		 $573.55–$1,245 $573.55–$1,245 varies
Removal of anal fissure (46200)
range across 2 matching MRF lines		 $774–$1,980 $774–$1,980 varies
Removal of foreign body from pharynx (42809)
range across 2 matching MRF lines		 $360.15–$725 $360.15–$725 varies
Removal of nail bed (11750) $1,404.89 $1,404.89 2.9×
Removal of sesamoid bone (28315) $1,890 $1,890 0.5×
Removal of tonsils (42826)
range across 2 matching MRF lines		 $680.60–$1,490 $680.60–$1,490 varies
Removal of tunneled intraperitoneal catheter (49422) $4,262.84 $4,262.84 1.1×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $231.96 $231.96 1.0×
Removal subcutaneous cardiac rhythm monitor (33286) $1,070.13 $1,070.13 1.3×
Removal Submand Stone,Complicated (42335)
range across 2 matching MRF lines		 $1,459–$1,535 $1,459–$1,535 varies
Removal/bivalving gauntlet boot/body cast (29700) $980.03 $980.03 2.9×
Remove drug implant device (11982) $1,098 $1,098 2.1×
Remove foreign body from eye (65205) $250.12 $250.12 1.6×
Remove Intrauterine Device (58301) $1,143.18 $1,143.18 3.1×
Remove lung catheter (32552)
range across 2 matching MRF lines		 $266.45–$885 $266.45–$885 varies
Remove Nasal Foreign Body (30300) $276.78 $276.78 1.7×
Remove spine eltrd plate (63662) $7,195 $7,195 1.7×
Remove/replace penis prosth (54410)
likely a partial charge, not the full procedure		 $3,784.75 $3,784.75 0.2×
Remv&replc pm gen dual lead (33228) $18,931 $18,931 1.5×
Renal Biopsy Perq (50200) $5,717 $5,717 2.9×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $814.60–$1,580 $814.60–$1,580 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $1,090.85–$1,895 $1,090.85–$1,895 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $2,129.78 $2,129.78 4.4×
Repair complex trunk 2.6-7.5 cm (13101) $1,405 $1,405 1.6×
Repair Fistula Oromaxillary (30580)
range across 2 matching MRF lines		 $1,186.30–$2,660 $1,186.30–$2,660 varies
Repair Hallux Rigidus (28289)
range across 2 matching MRF lines		 $2,235–$2,675 $2,235–$2,675 varies
Repair incomplete circumcision (54163) $671.45 $671.45 0.3×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553)
range across 2 matching MRF lines		 $1,836.15–$3,665 $1,836.15–$3,665 varies
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507)
range across 2 matching MRF lines		 $2,411.55–$3,410 $2,411.55–$3,410 varies
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $417.20 $417.20 0.9×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $417.20 $417.20 0.9×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $881–$1,255 $881–$1,255 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $609–$835 $609–$835 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $776–$1,120 $776–$1,120 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $835–$1,235 $835–$1,235 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $934–$1,390 $934–$1,390 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031) $417.20 $417.20 0.9×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $417.20 $417.20 0.9×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $1,051.33 $1,051.33 2.2×
Repair Nasal Vestibular Stenosis (30465)
range across 2 matching MRF lines		 $3,549–$5,855 $3,549–$5,855 varies
Repair of metatarsals (28322)
unusually low: confirm this is the full procedure		 $3,115 $3,115 0.4×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $511–$625 $511–$625 varies
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
range across 2 matching MRF lines		 $2,912.75–$4,150 $2,912.75–$4,150 varies
Repair secondary achilles tendon w/wo graft (27654)
range across 2 matching MRF lines		 $1,621.25–$4,160 $1,621.25–$4,160 varies
Repair tongue laceration (41252)
range across 2 matching MRF lines		 $875–$1,205 $875–$1,205 varies
Repair tongue laceration (41250) $456.70 $456.70 0.9×
Replace g/c tube perc (49450) $921.99 $921.99 0.8×
Reposition Pacing-Defib Lead (33215)
range across 2 matching MRF lines		 $786.55–$1,755 $786.55–$1,755 varies
Rerepair ing hernia reduce (49520)
range across 2 matching MRF lines		 $2,393.65–$3,670 $2,393.65–$3,670 varies
Resection of scrotum (55150) $2,825 $2,825 0.7×
Revision including removal of prosthetic vaginal graft vaginal approach (57295) $1,534.50 $1,534.50 0.4×
Revision of big toe (28310)
range across 2 matching MRF lines		 $1,955–$2,125 $1,955–$2,125 varies
Revj Colostomy Smpl Rls Supfc Scar Spx (44340)
range across 2 matching MRF lines		 $1,492.25–$3,620 $1,492.25–$3,620 varies
Revj Ileostomy Simple Rls Superficial Scar Spx (44312) $3,430 $3,430 0.8×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $7,127.53 $7,127.53 1.7×
Revj/rmvl peripheral neurostimulator electrode (64585)
range across 2 matching MRF lines		 $825–$1,030.70 $825–$1,030.70 varies
Rhinoplasty Secondary Intermediate Revision (30435) $7,115 $7,115 1.0×
Rmvl FB Xtrnl Auditory Canal Anes (69205)
range across 2 matching MRF lines		 $279.60–$550 $279.60–$550 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $160–$230 $160–$230 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $199–$280 $199–$280 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 2 matching MRF lines		 $190–$205 $190–$205 varies
Rmvl fecal impaction/fb spx under anes (45915)
range across 2 matching MRF lines		 $525.35–$1,330 $525.35–$1,330 varies
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)
range across 2 matching MRF lines		 $1,069.05–$1,440 $1,069.05–$1,440 varies
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $840 $840 0.4×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $2,603.98 $2,603.98 1.1×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,662.21 $1,662.21 0.9×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $783.94 $783.94 1.0×
Rmvl/revj sling stress incontinence (57287) $2,301.60 $2,301.60 0.6×
Rplc Gtube No Revj Trc (43762) $424.85 $424.85 1.4×
Rplcmt compl tun ctr vad w/subq port (36582) $6,403.19 $6,403.19 1.7×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $3,618.56 $3,618.56 1.0×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
range across 2 matching MRF lines		 $3,490–$4,260 $3,490–$4,260 varies
Rpr Aa Hernia 1st < 3 Cm Reducible (49591)
range across 2 matching MRF lines		 $1,600–$1,960 $1,600–$1,960 varies
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) $4,415 $4,415 0.6×
Rpr aa hernia recr 3-10 cm reducible (49615)
range across 2 matching MRF lines		 $2,990–$3,650 $2,990–$3,650 varies
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
unusually low: confirm this is the full procedure		 $2,670 $2,670 0.4×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613)
range across 2 matching MRF lines		 $1,970–$2,410 $1,970–$2,410 varies
Rpr aa hrn 1st 3-10 rdc (49593)
range across 2 matching MRF lines		 $2,680–$3,275 $2,680–$3,275 varies
Rpr aa hrn 1st < 3 ncr/strn (49592)
range across 2 matching MRF lines		 $2,230–$2,725 $2,230–$2,725 varies
Rpr blood vessel direct lower extremity (35226) $4,625 $4,625 5.4×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $729.27 $729.27 3.0×
Rpr Lip Full Thickness Half/< Vertical Height (40652)
range across 2 matching MRF lines		 $903.10–$2,115 $903.10–$2,115 varies
Rpr Lip Full Thickness Vermilion Only (40650) $1,860 $1,860 2.9×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $1,106.10 $1,106.10 0.6×
Sclerotx Fluid Collection (49185) $2,163.72 $2,163.72 1.1×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520)
range across 2 matching MRF lines		 $1,591.55–$3,860 $1,591.55–$3,860 varies
Sgmdsc flx dired sbmcsl njx any sbst (45335) $3,224.78 $3,224.78 2.9×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $4,213.56 $4,213.56 2.9×
Shave skin lesion 0.5 cm/< (11300)
range across 2 matching MRF lines		 $133.15–$190 $133.15–$190 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $729.27 $729.27 3.0×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $540 $540 1.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $729.27 $729.27 3.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $729.27 $729.27 3.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $729.27 $729.27 3.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308)
range across 2 matching MRF lines		 $241.85–$385 $241.85–$385 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $729.27 $729.27 3.0×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $1,404.89 $1,404.89 2.9×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $729.27 $729.27 3.0×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $1,404.89 $1,404.89 2.9×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $729.27 $729.27 3.0×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $3,178 $3,178 0.8×
Sigmoidoscopy & decompress (45337) $3,224.78 $3,224.78 2.9×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $3,224.78 $3,224.78 2.9×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $4,213.56 $4,213.56 2.9×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $211–$320 $211–$320 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $729.27 $729.27 3.0×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $302–$420 $302–$420 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $352.29 $352.29 1.5×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $729.27 $729.27 3.0×
Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030)
range across 2 matching MRF lines		 $1,894–$2,965 $1,894–$2,965 varies
Skin Full Grft Face/Genit/Hf (15240)
range across 2 matching MRF lines		 $1,884.20–$4,580 $1,884.20–$4,580 varies
Skin sub graft face/nk/hf/g (15275) $6,967.49 $6,967.49 7.9×
Skin sub graft trnk/arm/leg (15271) $6,967.49 $6,967.49 7.9×
Skin Tissue Procedure (17999) $433.62 $433.62 1.8×
Skn sub grft f/n/hf/g child (15277) $589.65 $589.65 0.2×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $3,963.70 $3,963.70 0.7×
Small bowel endoscopy (44366) $6,601.76 $6,601.76 2.9×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $6,601.76 $6,601.76 2.9×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $225–$335 $225–$335 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $1,404.89 $1,404.89 2.9×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $460–$660 $460–$660 varies
Sphincterotomy anal division sphincter spx (46080)
range across 2 matching MRF lines		 $470.65–$915 $470.65–$915 varies
Spinal puncture lumbar diagnostic (62270) $2,577.53 $2,577.53 3.0×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100)
range across 2 matching MRF lines		 $1,844.05–$4,130 $1,844.05–$4,130 varies
Strapping ankle (29540) $573.78 $573.78 2.9×
Strapping Unna Boot (29580)
range across 2 matching MRF lines		 $573.78–$1,004.12 $573.78–$1,004.12 varies
Surg nasopharyngoscopy dilat eustachian tube bi (69706)
range across 2 matching MRF lines		 $860–$1,380 $860–$1,380 varies
Surg tx anal fistula subq (46270)
range across 2 matching MRF lines		 $752.70–$2,350 $752.70–$2,350 varies
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275)
range across 2 matching MRF lines		 $796.50–$2,460 $796.50–$2,460 varies
Tangential biopsy skin single lesion (11102) $729.27 $729.27 1.5×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289)
unusually low: confirm this is the full procedure		 $16,003 $16,003 0.5×
Tenotomy Percutaneous Toe Single Tendon (28010) $5,655.68 $5,655.68 2.9×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) $26,062.14 $26,062.14 1.7×
Thrombolytic Therapy Stroke (37195) $650 $650 1.6×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060)
range across 2 matching MRF lines		 $1,670.25–$3,820 $1,670.25–$3,820 varies
Tissue Expander Placement Breast Reconstruction (19357)
range across 2 matching MRF lines		 $4,181.05–$6,720 $4,181.05–$6,720 varies
Tonsillectomy and adenoidectomy; age 12 or over (42821)
range across 2 matching MRF lines		 $802.85–$1,760 $802.85–$1,760 varies
Tprnl Plmt Biodegrdabl Matrl (55874)
range across 2 matching MRF lines		 $721.80–$925 $721.80–$925 varies
Tracheobrnchsc Thru Est Trachs Inc (31615)
range across 2 matching MRF lines		 $288.95–$660 $288.95–$660 varies
Tracheostoma revj smpl w/o flap rotation (31613)
range across 2 matching MRF lines		 $1,149.55–$2,425 $1,149.55–$2,425 varies
Tracheostomy Emergency Procedure Transtracheal (31603) $1,795 $1,795 1.0×
Tracheostomy planned (31600)
range across 2 matching MRF lines		 $1,315.80–$1,720 $1,315.80–$1,720 varies
Transur electr resection of prostate (52601)
range across 2 matching MRF lines		 $3,324.45–$4,115 $3,324.45–$4,115 varies
Treat fracture radius/ulna (25575)
range across 2 matching MRF lines		 $2,363.65–$5,285 $2,363.65–$5,285 varies
Treat humerus fracture (23600) $1,925 $1,925 6.5×
Treat Knuckle Dislocation (26700) $1,895 $1,895 6.4×
Treat toe dislocation (28630) $837.68 $837.68 2.8×
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $1,289–$2,060 $1,289–$2,060 varies
Treatment mouth roof lesion (42160) $587 $587 0.1×
Treatment of ankle fracture (27823)
range across 2 matching MRF lines		 $2,515.55–$5,695 $2,515.55–$5,695 varies
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) $7,095 $7,095 0.8×
Trim skin lesion (11055) $231.96 $231.96 1.0×
Trim skin lesions 2 to 4 (11056) $234.33 $234.33 1.0×
Trim skin lesions over 4 (11057)
range across 2 matching MRF lines		 $102.45–$160 $102.45–$160 varies
Trimming Nondystrophic Nails Any Number (11719) $103.72 $103.72 1.5×
Trluml Balo Angiop 1St Vein (37248) $9,368.09 $9,368.09 1.4×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) $7,085 $7,085 0.8×
Tx open tendon flexor toe 1 tendon spx (28232)
range across 2 matching MRF lines		 $566.15–$1,395 $566.15–$1,395 varies
Tx Superficial Wound Dehiscence Simple Closure (12020) $497.50 $497.50 0.6×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 2 matching MRF lines		 $440.05–$1,150 $440.05–$1,150 varies
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $1,645 $1,645 0.9×
Tympanostomy general anesthesia (69436)
range across 2 matching MRF lines		 $454.20–$925 $454.20–$925 varies
Unlisted procedure colon (45399) $3,224.78 $3,224.78 2.9×
Unlisted Procedure Vascular Surgery (37799) $2,494.41 $2,494.41 3.3×
Urine Flow Measurement (51736)
range across 2 matching MRF lines		 $26.25–$28 $26.25–$28 varies
Uvulectomy excision of uvula (42140) $419.75 $419.75 0.1×
Vasectomy uni/bi spx w/postop semen exams (55250) $7,285.04 $7,285.04 2.9×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $363–$535 $363–$535 varies
Wound Prep F/N/Hf/G (15004)
range across 2 matching MRF lines		 $740–$1,475 $740–$1,475 varies
Wound Prep Trk/Arm/Leg (15002)
range across 2 matching MRF lines		 $629.25–$1,250 $629.25–$1,250 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.