Procedures & surgery prices at CHI Health Missouri Valley

Missouri Valley, IA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines		 $416.99–$640.43 $851–$1,307 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $298.41–$512.54 $609–$1,046 varies
Ablate Pulm Tumor Perq Crybl (32994)
unusually low: confirm this is the full procedure		 $4,314.45 $8,805 0.4×
Ablation 1/> liver tumor perq cryoablation (47383)
likely a partial charge, not the full procedure		 $3,258.01 $6,649 0.3×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983)
unusually low: confirm this is the full procedure		 $3,515.75 $7,175 0.5×
Acne surgery (10040) $55.86 $114 0.3×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061)
range across 2 matching MRF lines		 $1,150.52–$1,355.34 $2,348–$2,766 varies
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $3,801.40 $7,757.95 1.8×
Amniocentesis diagnostic (59000) $101.43 $207 0.1×
Amniocentesis therapeutic (59001) $1,154.44 $2,356 3.7×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952)
range across 2 matching MRF lines		 $740.39–$946.19 $1,511–$1,931 varies
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 3 matching MRF lines		 $740.39–$966.28 $1,511–$1,972 varies
Anoplasty, plastic operation for stricture; adult Facility (46700) $894.74 $1,826 0.3×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $158.27–$168.56 $323–$344 varies
Anoscopy W/Rmvl Foreign Body (46608)
range across 2 matching MRF lines		 $388.57–$414.54 $793–$846 varies
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $141.12 $288 0.0×
Apheresis Platelets (36513) $300.37 $613 0.7×
Appendectomy (44950)
likely a partial charge, not the full procedure		 $847.70 $1,730 0.1×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $77.42 $158 0.5×
Application cast elbow finger short arm (29075)
range across 6 matching MRF lines		 $35.77–$116.13 $73–$237 varies
Application Cast Finger (29086)
range across 5 matching MRF lines		 $30.87–$103.88 $63–$212 varies
Application Finger Splint Dynamic (29131)
range across 4 matching MRF lines		 $47.04–$96.53 $96–$197 varies
Application finger splint static (29130)
range across 4 matching MRF lines		 $34.30–$154.35 $70–$315 varies
Application long arm splint shoulder hand (29105)
range across 3 matching MRF lines		 $44.10–$189.63 $90–$387 varies
Application Long Leg Splint (29505)
range across 3 matching MRF lines		 $108.29–$124.95 $221–$255 varies
Application of long leg cast (29345)
range across 2 matching MRF lines		 $107.80–$180.81 $220–$369 varies
Application Short Arm Splint Dynamic (29126)
range across 3 matching MRF lines		 $34.30–$164.15 $70–$335 varies
Application short arm splint forearm-hand static (29125)
range across 4 matching MRF lines		 $87.71–$193.06 $179–$394 varies
Application short leg splint calf foot (29515)
range across 3 matching MRF lines		 $95.55–$213.64 $195–$436 varies
Apply hand/wrist cast (29085)
range across 6 matching MRF lines		 $30.87–$127.40 $63–$260 varies
Apply long arm cast (29065)
range across 5 matching MRF lines		 $42.63–$212.17 $87–$433 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines		 $74.48–$124.95 $152–$255 varies
Apply Short Leg Cast (29405)
range across 2 matching MRF lines		 $107.31–$165.13 $219–$337 varies
Apply short leg cast (29425)
range across 2 matching MRF lines		 $101.92–$123.97 $208–$253 varies
Arterial puncture (36600)
range across 4 matching MRF lines		 $39.20–$51.94 $80–$106 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines		 $74.97–$378.28 $153–$772 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $207.27 $423 0.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 7 matching MRF lines		 $58.31–$406.70 $119–$830 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $136.71–$219.52 $279–$448 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $72.52–$167.09 $148–$341 varies
Arthroplasty interphalangeal joint each (26535)
range across 2 matching MRF lines		 $594.37–$2,282.42 $1,213–$4,658 varies
Aspirate pleura w/ imaging (32555)
range across 3 matching MRF lines		 $348.88–$716.38 $712–$1,462 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $334.67–$384.16 $683–$784 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $87.71–$145.53 $179–$297 varies
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines		 $336.63–$1,181.39 $687–$2,411 varies
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $160.23–$180.32 $327–$368 varies
Biopsy bone open superficial (20240) $1,372.98 $2,802 0.5×
Biopsy Bone Trocar/Needle Superficial (20220) $568.40 $1,160 0.3×
Biopsy external ear (69100) $187.18 $382 0.8×
Biopsy muscle percutaneous needle (20206) $590.94 $1,206 0.3×
Biopsy of breast; open, incisional (19101)
range across 2 matching MRF lines		 $450.80–$1,416.59 $920–$2,891 varies
Biopsy of floor of mouth (41108) $704.62 $1,438 0.4×
Biopsy of lip (40490) $371.42 $758 1.5×
Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) $622.79 $1,271 0.2×
Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) $751.17 $1,533 0.2×
Biopsy Oropharynx (42800) $455.21 $929 0.3×
Biopsy Tongue Anterior Two-Thirds (41100) $515.48 $1,052 0.9×
Biopsy Tongue Posterior One-Third (41105) $1,199.52 $2,448 0.4×
Biopsy Vaginal Mucosa Simple (57100) $185.71 $379 0.2×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $257.25 $525 0.3×
Biopsy, vestibule of mouth (40808)
range across 2 matching MRF lines		 $226.87–$233.73 $463–$477 varies
Biopsy/removal lymph nodes (38510) $718.34 $1,466 0.2×
Bladder instillation anticarcinogenic agent (51720) $288.61 $589 0.4×
Bladder Irrigation (51700)
range across 3 matching MRF lines		 $105.35–$141.61 $215–$289 varies
Bladder Scan (51798)
range across 2 matching MRF lines		 $14.21–$142.59 $29–$291 varies
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $193.06–$398.86 $394–$814 varies
Blood Transfusion Service (36430)
range across 7 matching MRF lines		 $266.56–$713.93 $544–$1,457 varies
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines		 $215.60–$225.89 $440–$461 varies
Bone Marrow; Aspiration Only (38220)
range across 2 matching MRF lines		 $183.75–$217.07 $375–$443 varies
Brnchsc Brushing/Protected Brushings (31623) $1,012.34 $2,066 0.6×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $1,537.62 $3,138 0.4×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $1,537.62 $3,138 0.4×
Brnchsc Removal Bronchial Valve Ea Addl (31649) $837.90 $1,710 0.5×
Brnchsc Removal Bronchial Valve Initial (31648) $1,723.33 $3,517 0.5×
Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638)
likely a partial charge, not the full procedure		 $1,868.37 $3,813 0.3×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $1,752.24 $3,576 0.5×
Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl (31643) $940.80 $1,920 0.5×
Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) $1,285.27 $2,623 0.3×
Bronch Thermoplsty 1 Lobe (31660)
likely a partial charge, not the full procedure		 $1,723.33 $3,517 0.2×
Bronchial Valve Init Insert (31647)
likely a partial charge, not the full procedure		 $1,723.33 $3,517 0.2×
Bronchoscopic Thermoplasty 2/> Lobes (31661)
likely a partial charge, not the full procedure		 $1,723.33 $3,517 0.2×
Bronchoscopy Balloon Occlusion (31634)
likely a partial charge, not the full procedure		 $677.18 $1,382 0.1×
Bronchoscopy Bronch Stents (31636)
likely a partial charge, not the full procedure		 $1,868.37 $3,813 0.3×
Bronchoscopy Clear Airways (31645) $637.98 $1,302 0.4×
Bronchoscopy Dilate W/Stent (31631)
likely a partial charge, not the full procedure		 $1,868.37 $3,813 0.3×
Bronchoscopy W/Biopsy(S) (31625) $984.41 $2,009 0.5×
Bronchoscopy W/Excision Tumor (31640) $1,509.69 $3,081 0.4×
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626)
likely a partial charge, not the full procedure		 $1,868.37 $3,813 0.3×
Bronchoscopy W/Removal Foreign Body (31635) $677.18 $1,382 0.4×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $1,576.82 $3,218 0.4×
Bronchoscopy/Needle Bx Each (31629) $984.41 $2,009 0.3×
Bx breast 1st lesion mr imag (19085)
range across 2 matching MRF lines		 $1,108.87–$4,055.73 $2,263–$8,277 varies
Bx breast 1st lesion strtctc (19081)
range across 2 matching MRF lines		 $712.46–$3,880.31 $1,454–$7,919 varies
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines		 $720.79–$1,349.95 $1,471–$2,755 varies
Bx breast needle core w/o imaging guidance spx (19100)
range across 2 matching MRF lines		 $210.21–$319.97 $429–$653 varies
Bx Cervix (57500) $244.51 $499 0.3×
Bx/exc lymph node open deep axillary node (38525) $583.10 $1,190 0.1×
Bx/exc lymph node open superficial (38500) $455.21 $929 0.1×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $1,203.93 $2,457 0.4×
Carpal Tunnel Surgery (64721) $365.05 $745 0.2×
Catheter aspiration nasotracheal spx (31720)
range across 3 matching MRF lines		 $81.83–$344.96 $167–$704 varies
Cautery Cervix Cryocautery Initial/Repeat (57511) $138.18 $282 0.4×
Change Cystostomy Tube Complicated (51710) $141.12 $288 0.2×
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $133.28–$144.55 $272–$295 varies
Change of Windpipe Airway (31502)
range across 2 matching MRF lines		 $47.53–$153.86 $97–$314 varies
Change ureter stent percut (50382) $1,782.13 $3,637 0.8×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $99.47–$122.99 $203–$251 varies
Chemical exfoliation for acne (17360) $55.86 $114 0.3×
Chemodenerv 1 extremity 1-4 (64642) $280.28 $572 0.4×
Chemodenerv Musc Migraine (64615) $137.69 $281 0.4×
Chemodenerv trunk musc 1-5 (64646) $291.55 $595 0.4×
Chest tube placement (32551)
range across 5 matching MRF lines		 $208.25–$754.60 $425–$1,540 varies
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $351.33–$727.16 $717–$1,484 varies
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $82.81–$109.76 $169–$224 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)
range across 2 matching MRF lines		 $263.62–$613.48 $538–$1,252 varies
Closed treatment of posterior malleolus fracture; with manipulation (27768)
range across 2 matching MRF lines		 $118.09–$607.11 $241–$1,239 varies
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 2 matching MRF lines		 $175.91–$677.67 $359–$1,383 varies
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines		 $94.57–$453.74 $193–$926 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $193.06–$518.91 $394–$1,059 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $241.57–$643.37 $493–$1,313 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines		 $230.79–$461.09 $471–$941 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 2 matching MRF lines		 $169.05–$339.57 $345–$693 varies
Closed tx carpal scaphoid fracture w/manj (25624)
range across 2 matching MRF lines		 $186.20–$670.81 $380–$1,369 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines		 $330.75–$422.38 $675–$862 varies
Closed tx knee dislocation w/o anesthesia (27550)
range across 2 matching MRF lines		 $151.90–$699.72 $310–$1,428 varies
Closed Tx Lunate Dislocation W/Manipulation (25690)
range across 2 matching MRF lines		 $118.09–$667.38 $241–$1,362 varies
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines		 $151.90–$300.37 $310–$613 varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 2 matching MRF lines		 $188.65–$208.25 $385–$425 varies
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)
range across 2 matching MRF lines		 $301.84–$1,301.93 $616–$2,657 varies
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421)
range across 2 matching MRF lines		 $898.66–$1,452.85 $1,834–$2,965 varies
Closed tx patellar dislocation w/anesthesia (27562) $1,210.79 $2,471 4.8×
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines		 $151.90–$504.21 $310–$1,029 varies
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines		 $263.62–$446.39 $538–$911 varies
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines		 $254.80–$611.03 $520–$1,247 varies
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $152.39–$362.60 $311–$740 varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $241.57–$689.43 $493–$1,407 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 2 matching MRF lines		 $144.55–$391.02 $295–$798 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $246.96–$708.05 $504–$1,445 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $231.77–$398.37 $473–$813 varies
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 2 matching MRF lines		 $94.57–$322.42 $193–$658 varies
Closed tx talus fracture w/o manipulation (28430)
range across 2 matching MRF lines		 $199.92–$330.75 $408–$675 varies
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines		 $112.21–$194.04 $229–$396 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 2 matching MRF lines		 $254.80–$634.06 $520–$1,294 varies
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 2 matching MRF lines		 $152.39–$401.31 $311–$819 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines		 $250.39–$362.60 $511–$740 varies
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830)
range across 2 matching MRF lines		 $260.19–$325.85 $531–$665 varies
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831)
range across 2 matching MRF lines		 $431.20–$838.39 $880–$1,711 varies
Clsd tx acromioclavicular dislc w/manipulation (23545)
range across 2 matching MRF lines		 $116.62–$479.71 $238–$979 varies
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540)
range across 2 matching MRF lines		 $113.68–$326.83 $232–$667 varies
Clsd Tx Clavicular Fracture W/Manipulation (23505)
range across 2 matching MRF lines		 $118.58–$491.96 $242–$1,004 varies
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines		 $118.58–$304.78 $242–$622 varies
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $128.87 $263 0.5×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $147.98–$556.64 $302–$1,136 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $118.58–$445.90 $242–$910 varies
Clsd tx sternoclavicular dislc w/o manipulation (23520)
range across 2 matching MRF lines		 $315.07–$330.26 $643–$674 varies
Clsr Anal Fstl W/Rct Advmnt Flap (46288) $759.50 $1,550 0.3×
Clsr Lacrimal Punctum Plug Each (68761) $196.98 $402 0.6×
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 2 matching MRF lines		 $672.77–$685.51 $1,373–$1,399 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 2 matching MRF lines		 $173.46–$513.03 $354–$1,047 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 2 matching MRF lines		 $251.86–$477.75 $514–$975 varies
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $134.26–$580.65 $274–$1,185 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $134.26–$431.69 $274–$881 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $288.61–$438.55 $589–$895 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $175.91–$256.76 $359–$524 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $155.82–$465.01 $318–$949 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $148.47–$735.49 $303–$1,501 varies
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $167.09 $341 0.1×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508)
range across 2 matching MRF lines		 $356.72–$713.93 $728–$1,457 varies
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 2 matching MRF lines		 $419.44–$1,017.24 $856–$2,076 varies
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 2 matching MRF lines		 $218.54–$246.47 $446–$503 varies
Cltx fx grt toe phlx/phlg w/o manj (28490) $249.41 $509 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $127.89–$225.40 $261–$460 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 2 matching MRF lines		 $113.68–$165.62 $232–$338 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 2 matching MRF lines		 $133.77–$435.61 $273–$889 varies
Cltx hip dislocation traumatic req anesthesia (27252)
range across 2 matching MRF lines		 $686.49–$1,013.81 $1,401–$2,069 varies
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines		 $230.30–$237.16 $470–$484 varies
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576)
range across 2 matching MRF lines		 $147.98–$482.65 $302–$985 varies
Cltx humeral condylar fx medial/lateral w/manj (24577)
range across 2 matching MRF lines		 $219.52–$757.54 $448–$1,546 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565)
range across 2 matching MRF lines		 $171.50–$737.45 $350–$1,505 varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $117.11–$166.60 $239–$340 varies
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $117.11–$391.02 $239–$798 varies
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $354.76–$457.66 $724–$934 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $156.31–$454.72 $319–$928 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines		 $156.31–$413.56 $319–$844 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $250.39–$468.93 $511–$957 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $196.98–$274.89 $402–$561 varies
Cltx post hip arthrp dislc req anes (27266)
range across 2 matching MRF lines		 $788.41–$873.67 $1,609–$1,783 varies
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $273.42–$555.17 $558–$1,133 varies
Cltx prox fibula/shft fx w/manj (27781)
range across 2 matching MRF lines		 $134.26–$594.86 $274–$1,214 varies
Cltx prox fibula/shft fx w/o manj (27780)
range across 2 matching MRF lines		 $134.26–$424.83 $274–$867 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 2 matching MRF lines		 $605.15–$640.92 $1,235–$1,308 varies
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660)
range across 2 matching MRF lines		 $250.39–$610.05 $511–$1,245 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $146.51–$152.39 $299–$311 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 2 matching MRF lines		 $171.50–$591.43 $350–$1,207 varies
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675)
range across 2 matching MRF lines		 $171.50–$751.17 $350–$1,533 varies
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)
range across 2 matching MRF lines		 $423.36–$840.84 $864–$1,716 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines		 $183.26–$523.32 $374–$1,068 varies
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540)
range across 2 matching MRF lines		 $94.57–$270.97 $193–$553 varies
Cltx tibial fx proximal w/o manipulation (27530)
range across 2 matching MRF lines		 $422.38–$500.78 $862–$1,022 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $339.08–$475.79 $692–$971 varies
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $118.09–$666.40 $241–$1,360 varies
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 2 matching MRF lines		 $241.57–$453.74 $493–$926 varies
Collect Blood From Catheter Venous Nos (36592) $57.33 $117 0.4×
Collection of venous blood by venipuncture (36415)
range across 5 matching MRF lines		 $3.43–$55.37 $7–$113 varies
Colonoscopy Stoma Ablation Lesion (44401) $3,476.06 $7,094 2.8×
Colonoscopy Stoma Control Bleeding (44391) $915.32 $1,868 0.7×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $540.47 $1,103 0.4×
Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402)
likely a partial charge, not the full procedure		 $357.70 $730 0.1×
Colonoscopy Stoma W/Rmvl Foreign Body (44390) $571.83 $1,167 0.6×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $584.08 $1,192 0.5×
Colonoscopy thru stoma (44388) $442.96 $904 0.5×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $618.87 $1,263 0.5×
Colonoscopy w/ablation (45388) $3,587.29 $7,321 2.9×
Colonoscopy w/fb removal (45379) $614.46 $1,254 0.5×
Colonoscopy w/stent plcmt (45389)
likely a partial charge, not the full procedure		 $395.92 $808 0.1×
Colonoscopy w/submucosal inj (45381)
range across 2 matching MRF lines		 $539.49–$629.65 $1,101–$1,285 varies
Colpocentesis (57020)
range across 2 matching MRF lines		 $174.93–$419.44 $357–$856 varies
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210)
range across 2 matching MRF lines		 $539.49–$1,059.87 $1,101–$2,163 varies
Colporrhaphy (57200)
range across 2 matching MRF lines		 $455.21–$1,059.87 $929–$2,163 varies
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $151.41 $309 0.5×
Colposcopy Cervix Endocervical Curettage (57456) $151.41 $309 0.5×
Colposcopy cervix upper/adjacent vagina (57452) $151.41 $309 0.7×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $151.41 $309 0.5×
Colposcopy entire vagina w/cervix if present (57420) $199.92 $408 0.6×
Colposcopy Vulva W/Biopsy (56821) $112.70 $230 0.4×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $74.48 $152 0.1×
Colsc Flexible W/Control Bleeding Any Method (45382) $954.52 $1,948 0.8×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $875.63 $1,787 0.7×
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 2 matching MRF lines		 $689.92–$1,059.38 $1,408–$2,162 varies
Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) $415.03 $847 0.3×
Complex drainage wound (10180)
range across 2 matching MRF lines		 $357.70–$548.80 $730–$1,120 varies
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $294–$343 $600–$700 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines		 $105.84–$218.54 $216–$446 varies
Control oropharyngeal hemorrhage simple (42960)
range across 2 matching MRF lines		 $220.50–$510.58 $450–$1,042 varies
Correction of trichiasis; epilation, by forceps only (67820) $68.11 $139 0.5×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $797.72 $1,628 0.2×
Create Eardrum Opening (69433) $149.45 $305 0.3×
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $55.86 $114 0.9×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $458.15–$490 $935–$1,000 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 2 matching MRF lines		 $152.39–$514.99 $311–$1,051 varies
Cysto Bladder W/Ureteral Catheterization (52005)
range across 2 matching MRF lines		 $426.79–$1,432.76 $871–$2,924 varies
Cysto w/destruction of lesions (52214) $1,125.53 $2,297 0.3×
Cysto W/Simple Removal Stone & Stent (52310) $578.69 $1,181 0.3×
Cystourethroscopy (52000)
range across 2 matching MRF lines		 $338.10–$694.82 $690–$1,418 varies
Cystourethroscopy with biopsy (52204) $578.69 $1,181 0.3×
Cystourethroscopy, with resection of external sphincter (sphincterotomy) Facility (52277) $436.10 $890 0.1×
Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) $578.69 $1,181 0.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $80.85–$384.16 $165–$784 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 2 matching MRF lines		 $882–$916.30 $1,800–$1,870 varies
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines		 $289.10–$620.83 $590–$1,267 varies
Deb Musc/Fascia 20 Sq Cm/< (11043) $339.57 $693 0.4×
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $44.59–$58.80 $91–$120 varies
Debride nail 6 or more (11721)
range across 3 matching MRF lines		 $58.80–$340.55 $120–$695 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 3 matching MRF lines		 $421.40–$1,431.29 $860–$2,921 varies
Debridement Mastoidectomy Cavity Simple (69220)
range across 2 matching MRF lines		 $107.80–$187.18 $220–$382 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 4 matching MRF lines		 $179.34–$1,091.23 $366–$2,227 varies
Declot vascular device (36593) $442.47 $903 1.3×
Deep Muscle Biopsy (20205) $414.54 $846 0.1×
Delivery of placenta (59414)
range across 2 matching MRF lines		 $115.15–$370.93 $235–$757 varies
Destroy lumb/sac facet jnt (64635) $1,359.75 $2,775 0.7×
Destruc retinal lesn,photocoag (67210) $325.85 $665 0.6×
Destruct B9 Lesion 1-14 (17110) $94.08 $192 0.5×
Destruction Benign Lesions 15/> (17111) $101.92 $208 0.5×
Destruction neurolytic agt genicular nerve w/img (64624) $1,403.85 $2,865 0.7×
Destruction of lesion of lid margin (up to 1 cm) (67850) $644.84 $1,316 0.6×
Destruction of skin lesions (17106)
range across 2 matching MRF lines		 $124.95–$469.42 $255–$958 varies
Destruction Premalignant Lesion 15/> (17004) $208.74 $426 0.5×
Destruction premalignant lesion 1st (17000)
range across 3 matching MRF lines		 $60.76–$92.61 $124–$189 varies
Destruction Vaginal Lesions Simple (57061) $1,323 $2,700 0.4×
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines		 $75.46–$262.15 $154–$535 varies
Diaphragm or cervical cap fitting with instructions (57170)
range across 2 matching MRF lines		 $11.27–$780.08 $23–$1,592 varies
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $135.24 $276 1.0×
Dilat Urethral Strix Dilator Male Sbsq (53601)
range across 2 matching MRF lines		 $116.13–$161.70 $237–$330 varies
Dilate Esophagus 1/Mult Pass (43450)
range across 3 matching MRF lines		 $265.09–$637.49 $541–$1,301 varies
Dilate Urethra Stricture (53620)
range across 2 matching MRF lines		 $239.12–$1,340.64 $488–$2,736 varies
Dilate Urethra Stricture (53600)
range across 2 matching MRF lines		 $121.52–$212.17 $248–$433 varies
Dilation Esophagus Guide Wire (43453) $395.92 $808 0.2×
Drain/inj small joint/bursa w/us (20604) $207.27 $423 0.7×
Drainage Abscess/Hematoma Nasal Septum (30020)
range across 2 matching MRF lines		 $276.85–$378.77 $565–$773 varies
Drainage external auditory canal abscess (69020)
range across 2 matching MRF lines		 $119.07–$326.83 $243–$667 varies
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $119.07–$257.74 $243–$526 varies
Drainage Mouth Roof Lesion (42000)
range across 2 matching MRF lines		 $218.54–$222.46 $446–$454 varies
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $140.63–$485.59 $287–$991 varies
Drainage of gum lesion (41800)
range across 2 matching MRF lines		 $121.03–$404.25 $247–$825 varies
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $234.22–$645.82 $478–$1,318 varies
Drainage of hydrocele (55000) $144.55 $295 0.2×
Drainage of rectal abscess (45005)
range across 2 matching MRF lines		 $442.96–$473.83 $904–$967 varies
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $317.03–$708.54 $647–$1,446 varies
Drainage of scrotum (54700)
range across 2 matching MRF lines		 $289.59–$1,354.85 $591–$2,765 varies
Draw Blood Off Venous Device (36591) $104.37 $213 0.8×
Dressing Change Under Anesthesia (15852) $358.19 $731 0.5×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines		 $97.51–$283.71 $199–$579 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $267.54–$332.71 $546–$679 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $215.11–$221.48 $439–$452 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 3 matching MRF lines		 $115.64–$152.39 $236–$311 varies
Dstrj lesion anus simple surg excision (46922) $438.55 $895 0.2×
Dx Bone Marrow Bx & Aspir (38222)
range across 3 matching MRF lines		 $164.64–$1,040.27 $336–$2,123 varies
Dx Bronchoscope/Lavage (31624) $940.80 $1,920 0.5×
Dx Bronchoscope/Wash (31622)
range across 3 matching MRF lines		 $344.47–$914.83 $703–$1,867 varies
Dx Laryngoscopy Excl Nb (31525)
range across 2 matching MRF lines		 $343.98–$467.46 $702–$954 varies
Dx lmbr spi pnxr w/fluor/CT (62328) $510.09 $1,041 0.7×
Egd Balloon Dil Esoph30 Mm/> (43233) $309.19 $631 0.2×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 2 matching MRF lines		 $791.84–$1,577.31 $1,616–$3,219 varies
Egd cautery tumor polyp (43250) $644.84 $1,316 0.3×
Egd control bleeding any (43255) $902.58 $1,842 0.5×
Egd dilation gastric/duodenal stricture (43245) $855.05 $1,745 0.4×
Egd endo mucosal resection (43254) $369.46 $754 0.2×
Egd Endoscopic Stent Place (43266)
likely a partial charge, not the full procedure		 $295.96 $604 0.0×
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $543.90–$621.32 $1,110–$1,268 varies
Egd guide wire insertion (43248) $589.47 $1,203 0.6×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $322.91 $659 0.2×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $359.66 $734 0.2×
Egd intrmural us needle aspirate/biopsy esophags (43238) $317.52 $648 0.2×
Egd Optical Endomicroscopy (43252) $479.22 $978 0.2×
Egd place gastrostomy tube (43246) $269.99 $551 0.1×
Egd remove lesion snare (43251) $709.52 $1,448 0.4×
Egd Tube/Cath Insertion (43241) $193.55 $395 0.1×
Egd us exam duodenum/jejunum (43259) $308.70 $630 0.2×
Egd us transmural injxn/mark (43253) $359.17 $733 0.2×
Egd Varices Ligation (43244) $335.16 $684 0.2×
Egd W/Thrml Txmnt Gerd (43257) $316.05 $645 0.1×
Egd W/Transmural Drain Cyst (43240)
likely a partial charge, not the full procedure		 $535.08 $1,092 0.1×
Endometrial Biopsy (58100)
range across 2 matching MRF lines		 $144.06–$228.34 $294–$466 varies
Endoscopic plantar fasciotomy (29893) $921.69 $1,881 0.3×
Endoscopic us exam esoph (43237) $267.54 $546 0.1×
Endoscopy Upper Small Intestine (44360) $196 $400 0.1×
Endoscopy upper small intestine w/biopsy (44361) $216.58 $442 0.1×
Endoven ther chem adhes 1st (36482) $3,281.04 $6,696 0.6×
Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) $408.66 $834 0.2×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) $388.57 $793 0.2×
Enteroscopy > 2nd prtn conv gstrst tube (44373) $260.68 $532 0.1×
Enteroscopy > 2nd prtn ileum control bleeding (44378) $526.26 $1,074 0.3×
Enteroscopy > 2nd prtn tndsc stent plmt (44370)
likely a partial charge, not the full procedure		 $364.07 $743 0.1×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $324.87 $663 0.2×
Enteroscopy > 2nd prtn w/rmvl foreign body (44363) $261.66 $534 0.1×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) $248.43 $507 0.1×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $278.81 $569 0.1×
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $139.16–$391.51 $284–$799 varies
Epidural lysis mult sessions (62263) $876.12 $1,788 1.0×
Episiotomy or vaginal repair (59300)
range across 2 matching MRF lines		 $162.68–$309.68 $332–$632 varies
Ercp Dx Collection Specimen Brushing/Washing (43260) $440.51 $899 0.1×
Esoph Optical Endomicroscopy (43206) $428.75 $875 0.2×
Esoph Scope W/Submucous Inj (43201) $366.52 $748 0.2×
Esophagogastroduodenoscopy Submucosal Injection (43236) $575.26 $1,174 0.6×
Esophagosc Dilate Balloon 30 (43214) $261.66 $534 0.1×
Esophagoscop Mucosal Resect (43211) $320.46 $654 0.2×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $1,307.32 $2,668 0.7×
Esophagoscopy Flex Transoral Injection Varices (43204) $184.24 $376 0.1×
Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) $601.23 $1,227 0.3×
Esophagoscopy Flexible Guide Wire Dilation (43226) $546.84 $1,116 0.3×
Esophagoscopy Flexible Transnasal Diagnostic (43197) $267.05 $545 0.3×
Esophagoscopy Flexible Transnasal With Biopsy (43198) $295.47 $603 0.3×
Esophagoscopy Flexible Transoral Diagnostic (43200)
range across 3 matching MRF lines		 $371.91–$856.03 $759–$1,747 varies
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $217.56 $444 0.1×
Esophagoscopy Flexible W/Bleeding Control (43227) $856.03 $1,747 0.4×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) $272.93 $557 0.1×
Esophagoscopy Retro Balloon (43213) $1,781.64 $3,636 0.9×
Esophagoscopy rig transoral removal foreign body (43194) $259.21 $529 0.1×
Esophagoscopy Rigid Balloon (43195) $249.41 $509 0.1×
Esophagoscopy rigid trnso dx (43191) $209.23 $427 0.1×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202)
range across 2 matching MRF lines		 $511.56–$514.01 $1,044–$1,049 varies
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215)
range across 3 matching MRF lines		 $477.26–$559.58 $974–$1,142 varies
Esophagoscp Guide Wire Dilat (43196) $265.58 $542 0.1×
Esophagoscp Rig Trnso Biopsy (43193) $228.83 $467 0.1×
Esophagoscp Rig Trnso Inject (43192) $229.32 $468 0.1×
Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) $588.98 $1,202 0.3×
Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) $192.08 $392 0.1×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $41.16–$78.89 $84–$161 varies
Exc arm/elbow les sc < 3 cm (24075) $502.25 $1,025 0.3×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $176.89–$270.48 $361–$552 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines		 $145.53–$1,051.05 $297–$2,145 varies
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 2 matching MRF lines		 $326.83–$330.26 $667–$674 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 2 matching MRF lines		 $368.97–$660.52 $753–$1,348 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644)
range across 2 matching MRF lines		 $989.31–$1,220.10 $2,019–$2,490 varies
Exc Face Les Sbq 2 Cm/> (21012) $281.75 $575 0.2×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 3 matching MRF lines		 $198.94–$1,324.47 $406–$2,703 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines		 $240.59–$328.79 $491–$671 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines		 $266.07–$698.74 $543–$1,426 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 2 matching MRF lines		 $313.60–$698.74 $640–$1,426 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $698.74 $1,426 0.4×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $177.38–$607.60 $362–$1,240 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $221.48–$746.27 $452–$1,523 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines		 $247.94–$761.46 $506–$1,554 varies
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $624.26 $1,274 0.6×
Exc Rct Tum Not Incl Muscularis Propria (45171) $838.88 $1,712 0.3×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $271.95–$639.45 $555–$1,305 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $1,081.43 $2,207 0.6×
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 2 matching MRF lines		 $455.21–$1,645.42 $929–$3,358 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines		 $433.65–$1,257.34 $885–$2,566 varies
Exc Skin Benig >4cm Face,Facial (11446)
range across 2 matching MRF lines		 $530.18–$1,698.34 $1,082–$3,466 varies
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)
range across 2 matching MRF lines		 $407.19–$607.60 $831–$1,240 varies
Exc Skin Malig >4 Cm Remaindr Body (11626) $1,474.41 $3,009 0.5×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,124.06 $2,294 0.7×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 3 matching MRF lines		 $296.45–$1,601.81 $605–$3,269 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines		 $213.64–$338.10 $436–$690 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines		 $237.16–$718.83 $484–$1,467 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines		 $307.72–$1,257.34 $628–$2,566 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $595.35 $1,215 0.2×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $1,022.63 $2,087 0.6×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $711.97 $1,453 0.2×
Exc tumor soft tissue abdominal wall subq <3cm (22902)
range across 2 matching MRF lines		 $644.35–$922.18 $1,315–$1,882 varies
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,209.81 $2,469 0.7×
Exc tumor soft tissue leg/ankle subq <3cm (27618)
range across 2 matching MRF lines		 $661.99–$1,198.54 $1,351–$2,446 varies
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $878.08 $1,792 0.3×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $976.57 $1,993 0.6×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $1,662.08 $3,392 0.6×
Excis Mouth Mucosa/Sub,No Repair (40810) $916.30 $1,870 0.3×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $1,000.58 $2,042 0.6×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $607.60 $1,240 0.8×
Excision & Repair Eyelid < One-Fourth Lid Margin (67961) $1,268.61 $2,589 0.5×
Excision Chalazion Single (67800) $313.11 $639 1.0×
Excision Excessive Skin & Subq Tissue Other Area (15839) $1,733.62 $3,538 0.6×
Excision External Ear Partial Simple Repair (69110) $745.78 $1,522 0.3×
Excision Lesion Tongue W/O Closure (41110) $936.39 $1,911 0.3×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $300.37 $613 0.4×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $301.84 $616 0.4×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $300.37 $613 0.7×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $607.60 $1,240 0.8×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)
range across 2 matching MRF lines		 $280.77–$330.26 $573–$674 varies
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 2 matching MRF lines		 $433.16–$660.52 $884–$1,348 varies
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646)
range across 2 matching MRF lines		 $689.43–$1,435.21 $1,407–$2,929 varies
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $607.60 $1,240 0.4×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $300.37 $613 0.4×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 2 matching MRF lines		 $348.39–$607.60 $711–$1,240 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624)
range across 2 matching MRF lines		 $462.07–$1,124.06 $943–$2,294 varies
Excision Multiple External Papillae/Tags Anus (46230)
range across 3 matching MRF lines		 $333.69–$433.16 $681–$884 varies
Excision nasal polyp(s) simple (30110) $936.39 $1,911 0.6×
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 2 matching MRF lines		 $441–$1,959.02 $900–$3,998 varies
Excision of hydrocele; bilateral (55041) $698.74 $1,426 0.2×
Excision of hydrocele; unilateral (55040) $462.07 $943 0.1×
Excision of pilonidal cyst or sinus; simple (11770) $496.37 $1,013 0.2×
Excision Pilonidal Cyst/Sinus Complicated (11772) $1,058.89 $2,161 0.4×
Excision Pilonidal Cyst/Sinus Extensive (11771) $858.97 $1,753 0.3×
Excision tumor soft tis back/flank subq 3 cm/> (21931)
range across 2 matching MRF lines		 $989.31–$1,370.53 $2,019–$2,797 varies
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $560.56 $1,144 0.3×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $989.80 $2,020 0.6×
Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure Facility (15922) $1,074.08 $2,192 0.3×
Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture Facility (15920) $855.54 $1,746 0.3×
Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) $1,258.32 $2,568 0.3×
Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) $1,207.85 $2,465 0.6×
Excision, sacral pressure ulcer, with primary suture; Facility (15931) $932.47 $1,903 0.3×
Excision, sacral pressure ulcer, with skin flap closure; Facility (15934) $1,268.61 $2,589 0.3×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $1,056.93 $2,157 0.4×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $1,211.09 $2,471.60 0.7×
Excision/destruction intranasal lesion int appr (30117) $936.39 $1,911 0.3×
Excision/destruction lesion pharynx any method (42808)
range across 2 matching MRF lines		 $318.99–$1,503.32 $651–$3,068 varies
Expl penetrating wound spx abdomen/flank/back (20102)
range across 3 matching MRF lines		 $856.03–$988.82 $1,747–$2,018 varies
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines		 $641.90–$1,106.42 $1,310–$2,258 varies
Exploration penetrating wound spx chest (20101) $820.75 $1,675 0.4×
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines		 $305.27–$774.20 $623–$1,580 varies
Exploration Penetrating Wound Spx Neck (20100) $802.13 $1,637 1.5×
External cephalic version (59412) $1,172.57 $2,393 0.4×
Fetal Contraction Stress Test (59020) $176.40 $360 0.9×
Fetal non-stress test (59025)
range across 2 matching MRF lines		 $64.19–$211.19 $131–$431 varies
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $140.14–$181.30 $286–$370 varies
Fluid Pressure Muscle (20950)
range across 2 matching MRF lines		 $368.48–$405.23 $752–$827 varies
Fluoro exam of g/colon tube (49465) $96.53 $197 0.4×
Foreskin manipulation (54450) $167.09 $341 0.7×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $932.47 $1,903 0.5×
Grafting of autologous fat by lipo 25 cc or less (15773) $1,200.50 $2,450 0.6×
Guide Cathet Fluid Drainage (10030)
range across 2 matching MRF lines		 $904.05–$924.14 $1,845–$1,886 varies
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $720.30 $1,470 0.3×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $663.46 $1,354 0.2×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $653.17 $1,333 0.2×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) $717.85 $1,465 0.3×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) $783.51 $1,599 0.3×
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) $572.81 $1,169 0.2×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 2 matching MRF lines		 $375.83–$396.90 $767–$810 varies
Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) $641.41 $1,309 0.2×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $206.29–$265.09 $421–$541 varies
I&d abscess simple (10060)
range across 3 matching MRF lines		 $126.91–$171.99 $259–$351 varies
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines		 $915.32–$1,182.37 $1,868–$2,413 varies
I&D Deep Absc/Hematoma Neck/Chest (21501) $1,734.11 $3,539 0.6×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $329.77–$330.75 $673–$675 varies
I&d pilonidal cyst complicated (10081) $481.18 $982 0.7×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $135.24–$354.76 $276–$724 varies
I&d thyroglossal duct cyst infected (60000)
range across 2 matching MRF lines		 $253.33–$488.53 $517–$997 varies
Ileoscopy Stoma W/Bx Single/Multiple (44382) $428.26 $874 0.5×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $276.85 $565 0.3×
Image Cath Fluid Colxn Visc (49405) $966.28 $1,972 0.6×
Image Cath Fluid Peri/Retro (49406) $966.28 $1,972 0.6×
Image Cath Fluid Trns/Vgnl (49407) $1,821.33 $3,717 1.1×
Incise external hemorrhoid (46083)
range across 3 matching MRF lines		 $277.83–$291.55 $567–$595 varies
Incise finger tendon sheath (26055) $459.13 $937 0.3×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $292.53–$550.76 $597–$1,124 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $1,765.47 $3,603 0.6×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $364.07–$571.83 $743–$1,167 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $198.94–$207.76 $406–$424 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $258.72–$310.66 $528–$634 varies
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) $1,229.41 $2,509 0.4×
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $204.82–$325.85 $418–$665 varies
Incision of labial frenum (frenotomy) (40806) $272.93 $557 0.5×
Incision of lingual frenum (frenotomy) (41010) $525.77 $1,073 0.3×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $760.97–$1,053.01 $1,553–$2,149 varies
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 2 matching MRF lines		 $372.40–$419.93 $760–$857 varies
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $103.88–$111.23 $212–$227 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $477.75 $975 0.5×
Inj W/Fluor Eval Cv Device (36598) $110.74 $226 0.5×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,234.80 $2,520 1.4×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $78.40–$143.57 $160–$293 varies
Injection aa&/strd genicular nrv branches w/img (64454) $510.09 $1,041 0.7×
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines		 $208.74–$300.86 $426–$614 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451) $510.09 $1,041 0.7×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $38.22 $78 0.1×
Injection Anes Agent Sphenopalatine Ganglion (64505) $228.34 $466 0.7×
Injection enzyme palmar fascial cord (20527) $194.53 $397 0.6×
Injection for identification of sentinel node (38792) $287.63 $587 0.7×
Injection of sclerosing solution, hemorrhoids (46500) $441.98 $902 0.5×
Injection single tendon origin/insertion (20551) $173.46 $354 0.6×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $42.14–$139.65 $86–$285 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $153.86–$205.31 $314–$419 varies
Injection Sinus Tract Therapeutic Separate Proc (20500) $486.08 $992 0.3×
Injection therapeutic carpal tunnel (20526) $158.76 $324 0.5×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $104.86–$595.84 $214–$1,216 varies
Injection, Intralesional; More Than 7 Lesions (11901) $64.68 $132 0.3×
Injection, intralesional; up to and including 7 lesions (11900) $65.66 $134 0.3×
Insert Bladder Cath Complex (51703)
range across 3 matching MRF lines		 $208.25–$221.48 $425–$452 varies
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines		 $403.27–$952.07 $823–$1,943 varies
Insert cath pleura w/o image (32556)
range across 2 matching MRF lines		 $384.16–$1,063.79 $784–$2,171 varies
Insert Drug Implant Device (11981) $41.65 $85 0.3×
Insert Gastrostomy Tube Percutaneous (49440) $563.99 $1,151 0.3×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $300.86–$1,273.51 $614–$2,599 varies
Insert pessary/other device (57160) $73.50 $150 0.4×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $763.91 $1,559 0.5×
Insert Temp Bladder Cath (51702)
range across 4 matching MRF lines		 $85.26–$125.44 $174–$256 varies
Insert tunneled cv cath (36561) $1,410.22 $2,878 0.4×
Insert tunneled cv cath (36563)
likely a partial charge, not the full procedure		 $1,591.52 $3,248 0.3×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 5 matching MRF lines		 $61.25–$127.89 $125–$261 varies
Insertion indwelling tunneled pleural catheter (32550) $1,137.78 $2,322 0.3×
Insertion Picc W/Rs&I 5 Yr/> (36573) $843.78 $1,722 0.5×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555)
range across 2 matching MRF lines		 $268.52–$1,054.97 $548–$2,153 varies
Insj prph ctr vad w/subq port age 5 yr/> (36571)
range across 2 matching MRF lines		 $1,830.15–$3,063.48 $3,735–$6,252 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines		 $127.40–$1,595.44 $260–$3,256 varies
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $1,162.77 $2,373 0.4×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $6,163.22 $12,578 1.1×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) $1,762.04 $3,596 0.5×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $1,193.15 $2,435 0.4×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
unusually low: confirm this is the full procedure		 $14,586.81 $29,769 0.5×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
range across 2 matching MRF lines		 $212.17–$2,951.76 $433–$6,024 varies
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 2 matching MRF lines		 $551.25–$691.88 $1,125–$1,412 varies
Intmd Rpr Face/Mm 20.1-30.0 (12056)
range across 2 matching MRF lines		 $652.68–$794.29 $1,332–$1,621 varies
Intranasal Biopsy (30100) $197.47 $403 0.1×
Intro cath dialysis circuit (36901) $644.35 $1,315 0.4×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $7,133.42 $14,558 1.2×
Intubation endotracheal emergency procedure (31500)
range across 4 matching MRF lines		 $90.65–$278.81 $185–$569 varies
Irrigation maxillary sinus (31000)
range across 2 matching MRF lines		 $160.23–$254.31 $327–$519 varies
Lap insert tunnel ip cath (49324)
likely a partial charge, not the full procedure		 $511.07 $1,043 0.1×
Laparo-vag hyst incl t/o (58552)
likely a partial charge, not the full procedure		 $1,330.35 $2,715 0.1×
Laparoscopy aspiration (49322)
likely a partial charge, not the full procedure		 $497.84 $1,016 0.1×
Laparoscopy Enterolysis Separate Procedure (44180)
likely a partial charge, not the full procedure		 $1,212.26 $2,474 0.2×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure		 $574.28 $1,172 0.1×
Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323)
likely a partial charge, not the full procedure		 $842.80 $1,720 0.1×
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure		 $797.23 $1,627 0.1×
Laparoscopy, surgical, splenectomy (38120)
likely a partial charge, not the full procedure		 $1,391.11 $2,839 0.1×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure		 $949.13 $1,937 0.2×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure		 $1,472.94 $3,006 0.1×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure		 $749.21 $1,529 0.1×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
likely a partial charge, not the full procedure		 $458.15 $935 0.1×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure		 $436.10 $890 0.1×
Laryngoscopy diagnostic (31505)
range across 2 matching MRF lines		 $84.77–$125.93 $173–$257 varies
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $120.05–$178.36 $245–$364 varies
Laryngoscopy Flx Rmvl Foreign Body(S) (31577)
range across 2 matching MRF lines		 $350.84–$380.24 $716–$776 varies
Laryngoscopy Indirect W/Removal Foreign Body (31511)
range across 2 matching MRF lines		 $117.11–$291.55 $239–$595 varies
Laryngoscopy W/Foreign Body Removal (31530)
range across 2 matching MRF lines		 $268.03–$642.39 $547–$1,311 varies
Late closure of wound (13160)
range across 3 matching MRF lines		 $845.25–$1,073.10 $1,725–$2,190 varies
Lateral Canthopexy (21282)
range across 2 matching MRF lines		 $540.96–$1,177.96 $1,104–$2,404 varies
Ligation or biopsy temporal artery (37609) $427.77 $873 0.3×
Lip Surgery Procedure (40799) $62.23 $127 0.3×
Mast mod rad (19307)
likely a partial charge, not the full procedure		 $1,561.14 $3,186 0.2×
Mastectomy for gynecomastia (19300) $793.80 $1,620 0.2×
Mastectomy partial (19301)
range across 2 matching MRF lines		 $873.67–$2,167.27 $1,783–$4,423 varies
Mastectomy partial w/axillary lymphadenectomy (19302)
likely a partial charge, not the full procedure		 $1,198.54 $2,446 0.2×
Mastectomy simple complete (19303)
likely a partial charge, not the full procedure		 $1,264.20 $2,580 0.2×
Mrgfus Stereotactic Ablation Target Intracranial (61715)
likely a partial charge, not the full procedure		 $1,445.01 $2,949 0.1×
Musc myocutaneous/fasciocutaneous flap uxtr (15736) $1,867.88 $3,812 0.9×
Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) $1,906.10 $3,890 0.5×
Muscle-skin graft trunk (15734) $1,867.88 $3,812 0.5×
Myelography Lumbar Injection (62305) $2,110.92 $4,308 2.6×
Myelography Lumbar Injection (62304) $1,790.46 $3,654 2.2×
Myelography via lumbar injection rs&i cervical (62302) $1,732.64 $3,536 2.2×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $2,001.65 $4,085 2.5×
N Block Inj Celiac Pelus (64530) $543.41 $1,109 0.6×
N block inj intercost sng (64420) $288.61 $589 0.4×
N Block Inj Plantar Digit (64455) $159.25 $325 0.5×
Nasal Endoscopy Dx (31231)
range across 2 matching MRF lines		 $76.44–$261.66 $156–$534 varies
Nasal/Orogastric W/Tube Plmt (43752) $156.31 $319 0.3×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $302.33 $617 0.3×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $444.43 $907 0.5×
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines		 $248.92–$817.81 $508–$1,669 varies
Needle insertion w/o injection 1 or 2 muscles (20560) $23.52 $48 0.8×
Needle insertion w/o injection 3 or more muscles (20561) $27.93 $57 0.9×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $179.34 $366 0.4×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $153.37–$231.77 $313–$473 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $202.37 $413 0.1×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $774.20 $1,580 0.2×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $243.53–$844.27 $497–$1,723 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $614.46 $1,254 0.7×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 3 matching MRF lines		 $242.06–$882.98 $494–$1,802 varies
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320)
range across 2 matching MRF lines		 $187.18–$671.30 $382–$1,370 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $614.46 $1,254 0.7×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $614.46 $1,254 0.7×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 3 matching MRF lines		 $238.14–$882.98 $486–$1,802 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $614.46 $1,254 0.7×
Njx Sclrsnt 1 Incmptnt Vein (36470)
range across 2 matching MRF lines		 $55.37–$56.84 $113–$116 varies
Occipital Nerve Block (64405) $243.04 $496 0.8×
Open Repair of Rotator Cuff Acute (23410) $4,440.38 $9,062 0.6×
Open Tx Distal Phalangeal Fracture Each (26765)
range across 2 matching MRF lines		 $682.08–$1,855.63 $1,392–$3,787 varies
Open tx interphalangeal joint dislocation (26785)
range across 2 matching MRF lines		 $740.88–$3,524.08 $1,512–$7,192 varies
Orchiectomy partial (54522) $802.13 $1,637 0.2×
Orchiectomy radical tumor inguinal approach (54530) $692.86 $1,414 0.2×
Orchiectomy, radical, for tumor; with abdominal exploration Facility (54535) $1,014.30 $2,070 0.3×
Ostc prtl exostc/condylc metar head (28288) $1,415.12 $2,888 0.4×
Ostectomy, complete excision; fifth metatarsal head (28113) $804.58 $1,642 0.2×
Partial Excision Distal Phalanx Finger (26236) $1,088.29 $2,221 0.7×
Partial excision of lip (40520) $1,944.32 $3,968 0.6×
Partial removal of thyroid (60220)
likely a partial charge, not the full procedure		 $950.11 $1,939 0.2×
Partial removal of toe (28160) $1,088.29 $2,221 0.3×
Partial thyroid excision (60212)
likely a partial charge, not the full procedure		 $1,353.38 $2,762 0.2×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
likely a partial charge, not the full procedure		 $947.66 $1,934 0.2×
Partical Excision Bone Phalanx Toe (28124) $1,088.29 $2,221 0.3×
Perc Rf Ablate Renal Tumor (50592)
unusually low: confirm this is the full procedure		 $2,806.72 $5,728 0.5×
Pericardiocentesis W/Imaging (33016) $337.61 $689 0.2×
Peritoneal Lavage (49084)
range across 2 matching MRF lines		 $141.12–$360.15 $288–$735 varies
Perq Cervicothoracic Inject (22510)
range across 2 matching MRF lines		 $2,211.37–$3,500.56 $4,513–$7,144 varies
Perq dev breast 1st mr guide (19287)
range across 2 matching MRF lines		 $921.69–$1,648.36 $1,881–$3,364 varies
Perq dev breast 1st strtctc (19283)
range across 2 matching MRF lines		 $363.58–$912.87 $742–$1,863 varies
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines		 $532.14–$998.62 $1,086–$2,038 varies
Perq device breast 1st imag (19281)
range across 2 matching MRF lines		 $334.18–$958.93 $682–$1,957 varies
Perq Lumbosacral Injection (22511) $3,500.56 $7,144 1.0×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $370.93 $757 0.5×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $10,922.10 $22,290 0.9×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $7,133.42 $14,558 1.2×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $6,118.14 $12,486 0.8×
Perq Vertebral Augmentation (22513)
range across 2 matching MRF lines		 $6,118.14–$6,730.15 $12,486–$13,735 varies
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines		 $78.40–$147.98 $160–$302 varies
Placement of seton (46020) $154.84 $316 0.1×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541)
likely a partial charge, not the full procedure		 $1,680.70 $3,430 0.3×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300)
range across 3 matching MRF lines		 $179.83–$594.86 $367–$1,214 varies
Proctosgmdsc Rigid Control Bleeding (45317) $309.19 $631 0.3×
Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) $285.18 $582 0.1×
Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) $294 $600 0.2×
Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) $317.03 $647 0.3×
Proctosgmdsc rigid w/dilation (45303) $1,371.51 $2,799 1.1×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307)
range across 3 matching MRF lines		 $297.92–$721.28 $608–$1,472 varies
Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) $311.15 $635 0.1×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $253.82 $518 0.2×
Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) $135.24 $276 0.0×
Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Facility (45327)
likely a partial charge, not the full procedure		 $152.39 $311 0.0×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $350.35 $715 0.5×
Punch biopsy skin single lesion (11104) $156.31 $319 0.4×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $162.19–$178.36 $331–$364 varies
Puncture Aspiration Cyst Breast (19000) $141.61 $289 0.2×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $511.07 $1,043 0.7×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $1,403.85 $2,865 0.7×
Reconstruct extra finger (26587)
range across 2 matching MRF lines		 $881.02–$1,398.95 $1,798–$2,855 varies
Reconstruct lip with flap (40525) $1,944.32 $3,968 0.6×
Reconstruction Nail Bed W/Graft (11762)
range across 2 matching MRF lines		 $181.79–$402.29 $371–$821 varies
Removal Anal Seton Other Marker (46030) $359.66 $734 0.3×
Removal Embedded Foreign Body Eyelid (67938)
range across 2 matching MRF lines		 $216.09–$382.20 $441–$780 varies
Removal Foreign Body Deep Thigh/Knee (27372)
range across 2 matching MRF lines		 $812.42–$1,188.25 $1,658–$2,425 varies
Removal foreign body foot deep (28192)
range across 2 matching MRF lines		 $278.32–$636.02 $568–$1,298 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $281.26–$336.63 $574–$687 varies
Removal foreign body jawbone (41806)
range across 2 matching MRF lines		 $577.71–$743.33 $1,179–$1,517 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $260.19–$299.88 $531–$612 varies
Removal foreign body upper arm/elbow deep (24201)
range across 2 matching MRF lines		 $735–$748.23 $1,500–$1,527 varies
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines		 $20.58–$123.97 $42–$253 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines		 $62.72–$123.97 $128–$253 varies
Removal Implant Superficial Separate Procedure (20670) $1,379.35 $2,815 0.8×
Removal implantable contraceptive capsules (11976) $291.55 $595 0.4×
Removal of anal fissure (46200) $658.07 $1,343 0.2×
Removal of foreign body from pharynx (42809)
range across 2 matching MRF lines		 $279.79–$310.66 $571–$634 varies
Removal of infusion pump (36262) $1,313.20 $2,680 0.3×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $222.95–$285.18 $455–$582 varies
Removal of testis (54520) $445.90 $910 0.1×
Removal of thyroid (60271)
likely a partial charge, not the full procedure		 $1,413.65 $2,885 0.2×
Removal or bivalving full arm or full leg cast (29705)
range across 2 matching MRF lines		 $85.26–$97.02 $174–$198 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 3 matching MRF lines		 $123.97–$207.27 $253–$423 varies
Removal/bivalving gauntlet boot/body cast (29700)
range across 2 matching MRF lines		 $73.01–$82.81 $149–$169 varies
Remove drug implant device (11982) $43.61 $89 0.1×
Remove foreign body from eye (65235) $980 $2,000 0.4×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $40.18–$168.56 $82–$344 varies
Remove hip pressure sore (15940) $936.88 $1,912 0.3×
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $152.39–$170.03 $311–$347 varies
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $111.23–$293.02 $227–$598 varies
Remove Peritoneal Foreign Body (49402) $1,126.51 $2,299 0.3×
Remove Shoulder Foreign Body (23330) $730.59 $1,491 0.4×
Remove Tendon Sheath Lesion (26160) $1,029.49 $2,101 0.6×
Remove thyroid lesion (60200)
likely a partial charge, not the full procedure		 $897.68 $1,832 0.1×
Remove/Insert Drug Implant (11983) $80.85 $165 0.2×
Repair Achilles Tendon (27650)
range across 2 matching MRF lines		 $896.70–$2,893.94 $1,830–$5,906 varies
Repair Blood Vessel Direct Hand Finger (35207)
range across 2 matching MRF lines		 $1,013.81–$2,823.87 $2,069–$5,763 varies
Repair Blood Vessel Direct Upper Extremity (35206)
range across 2 matching MRF lines		 $245.49–$1,018.22 $501–$2,078 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $262.15–$586.04 $535–$1,196 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $262.15–$688.45 $535–$1,405 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 3 matching MRF lines		 $218.05–$538.51 $445–$1,099 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $262.15–$654.64 $535–$1,336 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $262.15–$493.43 $535–$1,007 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $262.15–$591.43 $535–$1,207 varies
Repair complex trunk 1.1-2.5 cm (13100)
range across 2 matching MRF lines		 $262.15–$473.34 $535–$966 varies
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $262.15–$552.23 $535–$1,127 varies
Repair Entropion Excision Tarsal Wedge (67923)
range across 2 matching MRF lines		 $846.72–$1,138.76 $1,728–$2,324 varies
Repair Entropion Suture (67921)
range across 2 matching MRF lines		 $663.95–$1,008.91 $1,355–$2,059 varies
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $868.28–$1,129.94 $1,772–$2,306 varies
Repair Extensor Tendon Hand W/Graft Each (26412)
range across 2 matching MRF lines		 $994.70–$1,663.55 $2,030–$3,395 varies
Repair Eyelid Wound (67935)
range across 2 matching MRF lines		 $118.58–$825.65 $242–$1,685 varies
Repair Finger/Hand Tendon (26350)
range across 2 matching MRF lines		 $1,036.35–$1,797.32 $2,115–$3,668 varies
Repair Hand Tendon (26410)
range across 2 matching MRF lines		 $194.53–$836.92 $397–$1,708 varies
Repair inguinal hernia, sliding, any age (49525) $759.99 $1,551 0.2×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $837.90 $1,710 0.2×
Repair initial femoral hernia, any age; reducible (49550) $763.91 $1,559 0.2×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $778.12 $1,588 0.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $256.76–$393.47 $524–$803 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $309.19–$437.57 $631–$893 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $358.68–$504.70 $732–$1,030 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $461.09–$531.16 $941–$1,084 varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057)
range across 2 matching MRF lines		 $837.90–$844.76 $1,710–$1,724 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 2 matching MRF lines		 $550.27–$558.60 $1,123–$1,140 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $257.74–$367.50 $526–$750 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $359.17–$430.22 $733–$878 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $462.07–$526.26 $943–$1,074 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047)
range across 2 matching MRF lines		 $743.33–$843.29 $1,517–$1,721 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $532.63–$766.85 $1,087–$1,565 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 3 matching MRF lines		 $245–$365.54 $500–$746 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $419.44–$532.63 $856–$1,087 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $589.47–$931.98 $1,203–$1,902 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $462.07–$644.35 $943–$1,315 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 2 matching MRF lines		 $657.58–$1,176.98 $1,342–$2,402 varies
Repair intrinsic muscles hand each muscle (26591)
range across 2 matching MRF lines		 $678.16–$1,805.65 $1,384–$3,685 varies
Repair Laceration Palate </2 Cm (42180)
range across 2 matching MRF lines		 $330.75–$354.27 $675–$723 varies
Repair of anal fistula with fibrin glue (46706) $237.65 $485 0.1×
Repair of hydrocele (55060) $518.42 $1,058 0.1×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $173.95–$260.68 $355–$532 varies
Repair recurrent femoral hernia; reducible Facility (49555) $800.17 $1,633 0.2×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
likely a partial charge, not the full procedure		 $946.19 $1,931 0.1×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208)
range across 2 matching MRF lines		 $662.48–$1,347.50 $1,352–$2,750 varies
Repair tongue laceration (41252)
range across 2 matching MRF lines		 $452.27–$746.76 $923–$1,524 varies
Repair tongue laceration (41250)
range across 2 matching MRF lines		 $247.94–$390.53 $506–$797 varies
Rerepair ing hernia reduce (49520) $837.90 $1,710 0.2×
Revision of tracheostomy scar (31830) $683.55 $1,395 0.2×
Revj/rmvl peripheral neurostimulator electrode (64585)
range across 2 matching MRF lines		 $178.36–$339.08 $364–$692 varies
Rmvl embedded fb from dentalvlr struxs soft tiss (41805)
range across 2 matching MRF lines		 $438.06–$743.33 $894–$1,517 varies
Rmvl embedded fb vestibule mouth comp (40805)
range across 2 matching MRF lines		 $337.61–$396.41 $689–$809 varies
Rmvl Embedded Fb Vestibule Mouth Smpl (40804)
range across 2 matching MRF lines		 $169.05–$260.19 $345–$531 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $81.83–$174.93 $167–$357 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $93.59–$239.12 $191–$488 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 2 matching MRF lines		 $53.90–$239.12 $110–$488 varies
Rmvl fecal impaction/fb spx under anes (45915) $488.53 $997 0.4×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)
range across 2 matching MRF lines		 $641.90–$973.63 $1,310–$1,987 varies
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $504.21 $1,029 0.2×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)
range across 2 matching MRF lines		 $275.38–$301.84 $562–$616 varies
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $305.76–$1,593.97 $624–$3,253 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines		 $227.85–$824.67 $465–$1,683 varies
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $178.85–$323.40 $365–$660 varies
Rplcmt cath ctr vad subq port/pmp (36578) $614.46 $1,254 0.2×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $2,269.68 $4,632 0.6×
Rpr aa hrn 1st 3-10 rdc (49593) $3,900.89 $7,961 0.6×
Rpr blood vessel direct lower extremity (35226)
range across 2 matching MRF lines		 $979.02–$1,073.59 $1,998–$2,191 varies
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576)
range across 3 matching MRF lines		 $485.10–$723.73 $990–$1,477 varies
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $232.75–$285.67 $475–$583 varies
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046)
range across 2 matching MRF lines		 $651.70–$680.61 $1,330–$1,389 varies
Rpr Lip Full Thickness Half/< Vertical Height (40652)
range across 2 matching MRF lines		 $545.37–$708.05 $1,113–$1,445 varies
Rpr Lip Full Thickness Vermilion Only (40650)
range across 2 matching MRF lines		 $545.37–$658.07 $1,113–$1,343 varies
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654)
range across 2 matching MRF lines		 $566.93–$801.15 $1,157–$1,635 varies
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260)
range across 2 matching MRF lines		 $859.46–$2,031.05 $1,754–$4,145 varies
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270)
range across 2 matching MRF lines		 $669.83–$1,812.02 $1,367–$3,698 varies
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575)
range across 3 matching MRF lines		 $210.70–$723.73 $430–$1,477 varies
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356)
range across 2 matching MRF lines		 $1,078–$1,663.55 $2,200–$3,395 varies
Sclerotx Fluid Collection (49185) $726.67 $1,483 0.4×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $416.50 $850 0.4×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $424.83 $867 0.3×
Shave skin lesion 0.5 cm/< (11300) $237.65 $485 0.6×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $137.69 $281 0.7×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $102.41 $209 0.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305)
range across 2 matching MRF lines		 $118.09–$149.45 $241–$305 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $606.62 $1,238 3.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $668.36 $1,364 3.3×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $104.37 $213 0.5×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312)
range across 2 matching MRF lines		 $161.70–$205.80 $330–$420 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 2 matching MRF lines		 $59.29–$76.44 $121–$156 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $908.95 $1,855 2.2×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $369.46 $754 1.8×
Sigmoidoscopy & decompress (45337) $156.31 $319 0.2×
Sigmoidoscopy & Polypectomy (45333)
range across 2 matching MRF lines		 $469.42–$1,108.38 $958–$2,262 varies
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $3,365.32 $6,868 2.7×
Sigmoidoscopy flx tndsc balo dilat (45340) $660.52 $1,348 0.5×
Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) $231.77 $473 0.2×
Sigmoidoscopy w/fb removal (45332) $392.98 $802 0.3×
Sigmoidoscopy w/plcmt stent (45347)
likely a partial charge, not the full procedure		 $210.21 $429 0.0×
Sigmoidoscopy W/Ultrasound (45341) $169.54 $346 0.2×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 2 matching MRF lines		 $409.64–$1,091.72 $836–$2,228 varies
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $711.48 $1,452 0.6×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $295.47–$297.92 $603–$608 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $152.39–$240.10 $311–$490 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $158.76–$254.31 $324–$519 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017)
range across 2 matching MRF lines		 $200.41–$309.68 $409–$632 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $194.53–$264.11 $397–$539 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018)
range across 2 matching MRF lines		 $226.87–$299.88 $463–$612 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $127.40–$216.09 $260–$441 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 2 matching MRF lines		 $278.81–$315.07 $569–$643 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $177.87–$238.14 $363–$486 varies
Skin Full Grft Face/Genit/Hf (15240)
range across 2 matching MRF lines		 $1,266.65–$2,847.88 $2,585–$5,812 varies
Skin Pinch Graft (15050)
range across 2 matching MRF lines		 $201.88–$810.95 $412–$1,655 varies
Skin sub graft face/nk/hf/g (15275) $220.99 $451 0.3×
Skin sub graft trnk/arm/leg (15271) $212.66 $434 0.3×
Skin sub grft t/arm/lg child (15273) $431.69 $881 0.2×
Skin Tissue Procedure (17999) $27.93 $57 0.1×
Skn sub grft f/n/hf/g child (15277) $473.83 $967 0.2×
Small bowel endoscopy (44384) $210.21 $429 0.1×
Small bowel endoscopy (44366) $327.81 $669 0.2×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $335.65 $685 0.2×
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379)
likely a partial charge, not the full procedure		 $559.09 $1,141 0.1×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $153.37–$229.32 $313–$468 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $239.61–$244.51 $489–$499 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $266.07–$280.28 $543–$572 varies
Sphincterotomy anal division sphincter spx (46080) $397.88 $812 0.1×
Spinal puncture lumbar diagnostic (62270)
range across 4 matching MRF lines		 $130.34–$237.65 $266–$485 varies
Sternal debridement (21627) $723.73 $1,477 0.2×
Strapping ankle (29540)
range across 3 matching MRF lines		 $38.22–$147.49 $78–$301 varies
Strapping elbow or wrist (29260)
range across 3 matching MRF lines		 $41.16–$211.19 $84–$431 varies
Strapping hand/finger (29280)
range across 3 matching MRF lines		 $40.67–$118.09 $83–$241 varies
Strapping Hip (29520)
range across 3 matching MRF lines		 $49–$201.39 $100–$411 varies
Strapping knee (29530)
range across 4 matching MRF lines		 $42.14–$147.49 $86–$301 varies
Strapping shoulder (29240)
range across 3 matching MRF lines		 $42.14–$145.04 $86–$296 varies
Strapping thorax (29200)
range across 3 matching MRF lines		 $46.55–$161.21 $95–$329 varies
Strapping toes (29550)
range across 3 matching MRF lines		 $26.46–$147.49 $54–$301 varies
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $87.71–$134.26 $179–$274 varies
Surg Tx Anal Fistula 2nd Stage (46285) $776.65 $1,585 0.3×
Surg tx anal fistula subq (46270) $737.94 $1,506 0.3×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $780.08 $1,592 0.3×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930)
range across 2 matching MRF lines		 $513.03–$998.62 $1,047–$2,038 varies
Suture 1 nerve hand/foot common sensory nerve (64834)
range across 2 matching MRF lines		 $996.17–$1,402.87 $2,033–$2,863 varies
Suture 1 Nerve Ulnar Motor (64836)
range across 2 matching MRF lines		 $1,091.72–$1,725.29 $2,228–$3,521 varies
Suture digital nerve hand/foot 1 nerve (64831)
range across 2 matching MRF lines		 $934.92–$1,714.02 $1,908–$3,498 varies
Suture pharynx for wound or injury (42900)
range across 2 matching MRF lines		 $451.78–$495.39 $922–$1,011 varies
Tangential biopsy skin single lesion (11102) $131.32 $268 0.3×
Ther Apheresis W/Extracorporeal Immunoadsorption (36516) $3,316.81 $6,769 0.7×
Ther Spi Pnxr Csf Fluor/Ct (62329) $510.09 $1,041 0.7×
Therapeutic plasma exchange (36514) $1,919.82 $3,918 1.2×
Thyroid biopsy (60100) $354.27 $723 0.5×
Thyroidectomy Post Prev Thyr Surg (60260)
likely a partial charge, not the full procedure		 $1,460.20 $2,980 0.2×
Thyroidectomy, total or complete (60240)
likely a partial charge, not the full procedure		 $1,227.45 $2,505 0.2×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252)
likely a partial charge, not the full procedure		 $1,765.47 $3,603 0.3×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060)
range across 2 matching MRF lines		 $1,049.09–$1,110.83 $2,141–$2,267 varies
Total Knee Arthroplasty (27447)
likely a partial charge, not the full procedure		 $1,709.12 $3,488 0.1×
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225)
likely a partial charge, not the full procedure		 $1,262.73 $2,577 0.2×
Tracheostomy Emergency Cricothyroid Membrane (31605)
range across 2 matching MRF lines		 $439.04–$813.89 $896–$1,661 varies
Tracheostomy Emergency Procedure Transtracheal (31603)
range across 3 matching MRF lines		 $427.77–$813.89 $873–$1,661 varies
Tracheostomy Fenestration W/Skin Flaps (31610)
likely a partial charge, not the full procedure		 $1,318.10 $2,690 0.2×
Tracheostomy planned (31600) $406.70 $830 0.1×
Tracheostomy Planned Under 2 Years Spx (31601)
likely a partial charge, not the full procedure		 $608.58 $1,242 0.1×
Treat Dental Ridge Fracture (21440)
range across 2 matching MRF lines		 $803.60–$962.36 $1,640–$1,964 varies
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $439.04–$495.88 $896–$1,012 varies
Treat Humerus Fracture (24505)
range across 2 matching MRF lines		 $490.98–$686.98 $1,002–$1,402 varies
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $152.39–$457.17 $311–$933 varies
Treat knee fracture (27532) $1,025.08 $2,092 0.3×
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $117.11–$462.56 $239–$944 varies
Treat Thumb Dislocation (26641)
range across 2 matching MRF lines		 $199.92–$573.30 $408–$1,170 varies
Treat Thumb Fracture (26645)
range across 2 matching MRF lines		 $209.72–$591.92 $428–$1,208 varies
Treat toe dislocation (28630)
range across 2 matching MRF lines		 $117.11–$209.72 $239–$428 varies
Treat Vaginal Bleeding (57180)
range across 2 matching MRF lines		 $278.32–$301.35 $568–$615 varies
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 2 matching MRF lines		 $649.74–$764.89 $1,326–$1,561 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $152.39–$510.09 $311–$1,041 varies
Treatment mouth roof lesion (42160)
range across 2 matching MRF lines		 $323.40–$958.44 $660–$1,956 varies
Trim skin lesion (11055)
range across 2 matching MRF lines		 $99.96–$126.91 $204–$259 varies
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines		 $115.15–$126.91 $235–$259 varies
Trim skin lesions over 4 (11057) $126.91 $259 0.6×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $654.64 $1,336 0.2×
Tx Gastro Intub W/Asp (43753)
range across 2 matching MRF lines		 $28.91–$111.72 $59–$228 varies
Tx Incomplete Abortion Any Trimester Surgical (59812) $481.18 $982 0.1×
Tx open tendon flexor toe 1 tendon spx (28232) $522.34 $1,066 0.3×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257)
range across 2 matching MRF lines		 $481.18–$818.79 $982–$1,671 varies
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $171.50–$413.07 $350–$843 varies
Tx superficial wound dehiscence w/packing (12021)
range across 2 matching MRF lines		 $198.94–$242.06 $406–$494 varies
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $936.39 $1,911 0.6×
Unlisted Procedure Casting/Strapping (29799)
range across 3 matching MRF lines		 $70.07–$161.21 $143–$329 varies
Unlisted Procedure Hands/Fingers (26989) $115.64 $236 0.5×
Unlisted Procedure Intestine (44799) $1,473.92 $3,008 1.6×
Unlisted procedure nervous system (64999) $38.22 $78 0.1×
Unlisted Procedure Tongue Floor Mouth (41599) $101.43 $207 0.4×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $1,381.31 $2,819 1.5×
Vaginal delivery only (59409)
range across 2 matching MRF lines		 $270.97–$1,035.86 $553–$2,114 varies
Vasectomy uni/bi spx w/postop semen exams (55250) $453.74 $926 0.2×
Vein Access Cutdown < 1 Yr (36420)
range across 2 matching MRF lines		 $61.74–$324.87 $126–$663 varies
Venous Cutdown >1 Y/O (36425)
range across 2 matching MRF lines		 $54.88–$324.87 $112–$663 varies
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $189.14–$230.79 $386–$471 varies
Wedging of cast (29740)
range across 2 matching MRF lines		 $73.01–$131.32 $149–$268 varies
Windowing of cast (29730)
range across 2 matching MRF lines		 $73.01–$85.75 $149–$175 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.