Procedures & surgery prices at CHI Health Schuyler

Schuyler, NE · 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		 $723.35–$1,110.95 $851–$1,307 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $517.65–$889.10 $609–$1,046 varies
Ablate Pulm Tumor Perq Crybl (32994) $7,484.25 $8,805 0.7×
Ablation 1/> liver tumor perq cryoablation (47383) $5,651.65 $6,649 0.5×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $6,098.75 $7,175 0.8×
Acne surgery (10040) $96.90 $114 0.5×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061)
range across 2 matching MRF lines		 $1,995.80–$2,351.10 $2,348–$2,766 varies
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $6,594.26 $7,757.95 3.1×
Amniocentesis diagnostic (59000) $175.95 $207 0.2×
Amniocentesis therapeutic (59001) $2,002.60 $2,356 6.3×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952)
range across 2 matching MRF lines		 $1,284.35–$1,641.35 $1,511–$1,931 varies
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 3 matching MRF lines		 $1,284.35–$1,676.20 $1,511–$1,972 varies
Anoplasty, plastic operation for stricture; adult Facility (46700) $1,552.10 $1,826 0.5×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $274.55–$292.40 $323–$344 varies
Anoscopy W/Rmvl Foreign Body (46608)
range across 2 matching MRF lines		 $674.05–$719.10 $793–$846 varies
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $244.80 $288 0.1×
Apheresis Platelets (36513) $521.05 $613 1.1×
Appendectomy (44950)
likely a partial charge, not the full procedure		 $1,470.50 $1,730 0.2×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $134.30 $158 0.8×
Application cast elbow finger short arm (29075)
range across 6 matching MRF lines		 $62.05–$201.45 $73–$237 varies
Application Cast Finger (29086)
range across 5 matching MRF lines		 $53.55–$180.20 $63–$212 varies
Application Finger Splint Dynamic (29131)
range across 4 matching MRF lines		 $81.60–$167.45 $96–$197 varies
Application finger splint static (29130)
range across 4 matching MRF lines		 $59.50–$267.75 $70–$315 varies
Application long arm splint shoulder hand (29105)
range across 3 matching MRF lines		 $76.50–$328.95 $90–$387 varies
Application Long Leg Splint (29505)
range across 3 matching MRF lines		 $187.85–$216.75 $221–$255 varies
Application of long leg cast (29345)
range across 2 matching MRF lines		 $187–$313.65 $220–$369 varies
Application Short Arm Splint Dynamic (29126)
range across 3 matching MRF lines		 $59.50–$284.75 $70–$335 varies
Application short arm splint forearm-hand static (29125)
range across 4 matching MRF lines		 $152.15–$334.90 $179–$394 varies
Application short leg splint calf foot (29515)
range across 3 matching MRF lines		 $165.75–$370.60 $195–$436 varies
Apply hand/wrist cast (29085)
range across 6 matching MRF lines		 $53.55–$221 $63–$260 varies
Apply long arm cast (29065)
range across 5 matching MRF lines		 $73.95–$368.05 $87–$433 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines		 $129.20–$216.75 $152–$255 varies
Apply Short Leg Cast (29405)
range across 2 matching MRF lines		 $186.15–$286.45 $219–$337 varies
Apply short leg cast (29425)
range across 2 matching MRF lines		 $176.80–$215.05 $208–$253 varies
Arterial puncture (36600)
range across 4 matching MRF lines		 $68–$90.10 $80–$106 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines		 $130.05–$656.20 $153–$772 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $359.55 $423 0.5×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 7 matching MRF lines		 $101.15–$705.50 $119–$830 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $237.15–$380.80 $279–$448 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $125.80–$289.85 $148–$341 varies
Arthroplasty interphalangeal joint each (26535)
range across 2 matching MRF lines		 $1,031.05–$3,959.30 $1,213–$4,658 varies
Aspirate pleura w/ imaging (32555)
range across 3 matching MRF lines		 $605.20–$1,242.70 $712–$1,462 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $580.55–$666.40 $683–$784 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $152.15–$252.45 $179–$297 varies
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines		 $583.95–$2,049.35 $687–$2,411 varies
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $277.95–$312.80 $327–$368 varies
Biopsy bone open superficial (20240) $2,381.70 $2,802 0.8×
Biopsy Bone Trocar/Needle Superficial (20220) $986 $1,160 0.6×
Biopsy external ear (69100) $324.70 $382 1.3×
Biopsy muscle percutaneous needle (20206) $1,025.10 $1,206 0.6×
Biopsy of breast; open, incisional (19101)
range across 2 matching MRF lines		 $782–$2,457.35 $920–$2,891 varies
Biopsy of floor of mouth (41108) $1,222.30 $1,438 0.7×
Biopsy of lip (40490) $644.30 $758 2.6×
Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) $1,080.35 $1,271 0.3×
Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) $1,303.05 $1,533 0.3×
Biopsy Oropharynx (42800) $789.65 $929 0.5×
Biopsy Tongue Anterior Two-Thirds (41100) $894.20 $1,052 1.6×
Biopsy Tongue Posterior One-Third (41105) $2,080.80 $2,448 0.6×
Biopsy Vaginal Mucosa Simple (57100) $322.15 $379 0.3×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $446.25 $525 0.5×
Biopsy, vestibule of mouth (40808)
range across 2 matching MRF lines		 $393.55–$405.45 $463–$477 varies
Biopsy/removal lymph nodes (38510) $1,246.10 $1,466 0.3×
Bladder instillation anticarcinogenic agent (51720) $500.65 $589 0.7×
Bladder Irrigation (51700)
range across 3 matching MRF lines		 $182.75–$245.65 $215–$289 varies
Bladder Scan (51798)
range across 2 matching MRF lines		 $24.65–$247.35 $29–$291 varies
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $334.90–$691.90 $394–$814 varies
Blood Transfusion Service (36430)
range across 7 matching MRF lines		 $462.40–$1,238.45 $544–$1,457 varies
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines		 $374–$391.85 $440–$461 varies
Bone Marrow; Aspiration Only (38220)
range across 2 matching MRF lines		 $318.75–$376.55 $375–$443 varies
Brnchsc Brushing/Protected Brushings (31623) $1,756.10 $2,066 1.0×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $2,667.30 $3,138 0.7×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $2,667.30 $3,138 0.7×
Brnchsc Removal Bronchial Valve Ea Addl (31649) $1,453.50 $1,710 0.8×
Brnchsc Removal Bronchial Valve Initial (31648) $2,989.45 $3,517 0.8×
Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638)
unusually low: confirm this is the full procedure		 $3,241.05 $3,813 0.4×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $3,039.60 $3,576 0.8×
Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl (31643) $1,632 $1,920 0.9×
Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) $2,229.55 $2,623 0.6×
Bronch Thermoplsty 1 Lobe (31660)
unusually low: confirm this is the full procedure		 $2,989.45 $3,517 0.4×
Bronchial Valve Init Insert (31647)
unusually low: confirm this is the full procedure		 $2,989.45 $3,517 0.4×
Bronchoscopic Thermoplasty 2/> Lobes (31661)
unusually low: confirm this is the full procedure		 $2,989.45 $3,517 0.4×
Bronchoscopy Balloon Occlusion (31634)
likely a partial charge, not the full procedure		 $1,174.70 $1,382 0.2×
Bronchoscopy Bronch Stents (31636)
unusually low: confirm this is the full procedure		 $3,241.05 $3,813 0.4×
Bronchoscopy Clear Airways (31645) $1,106.70 $1,302 0.6×
Bronchoscopy Dilate W/Stent (31631)
unusually low: confirm this is the full procedure		 $3,241.05 $3,813 0.4×
Bronchoscopy W/Biopsy(S) (31625) $1,707.65 $2,009 0.9×
Bronchoscopy W/Excision Tumor (31640) $2,618.85 $3,081 0.7×
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626)
unusually low: confirm this is the full procedure		 $3,241.05 $3,813 0.4×
Bronchoscopy W/Removal Foreign Body (31635) $1,174.70 $1,382 0.6×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $2,735.30 $3,218 0.7×
Bronchoscopy/Needle Bx Each (31629) $1,707.65 $2,009 0.4×
Bx breast 1st lesion mr imag (19085)
range across 2 matching MRF lines		 $1,923.55–$7,035.45 $2,263–$8,277 varies
Bx breast 1st lesion strtctc (19081)
range across 2 matching MRF lines		 $1,235.90–$6,731.15 $1,454–$7,919 varies
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines		 $1,250.35–$2,341.75 $1,471–$2,755 varies
Bx breast needle core w/o imaging guidance spx (19100)
range across 2 matching MRF lines		 $364.65–$555.05 $429–$653 varies
Bx Cervix (57500) $424.15 $499 0.4×
Bx/exc lymph node open deep axillary node (38525) $1,011.50 $1,190 0.2×
Bx/exc lymph node open superficial (38500) $789.65 $929 0.2×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $2,088.45 $2,457 0.6×
Carpal Tunnel Surgery (64721) $633.25 $745 0.3×
Catheter aspiration nasotracheal spx (31720)
range across 3 matching MRF lines		 $141.95–$598.40 $167–$704 varies
Cautery Cervix Cryocautery Initial/Repeat (57511) $239.70 $282 0.8×
Change Cystostomy Tube Complicated (51710) $244.80 $288 0.3×
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $231.20–$250.75 $272–$295 varies
Change of Windpipe Airway (31502)
range across 2 matching MRF lines		 $82.45–$266.90 $97–$314 varies
Change ureter stent percut (50382) $3,091.45 $3,637 1.4×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $172.55–$213.35 $203–$251 varies
Chemical exfoliation for acne (17360) $96.90 $114 0.5×
Chemodenerv 1 extremity 1-4 (64642) $486.20 $572 0.7×
Chemodenerv Musc Migraine (64615) $238.85 $281 0.7×
Chemodenerv trunk musc 1-5 (64646) $505.75 $595 0.7×
Chest tube placement (32551)
range across 5 matching MRF lines		 $361.25–$1,309 $425–$1,540 varies
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $609.45–$1,261.40 $717–$1,484 varies
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $143.65–$190.40 $169–$224 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)
range across 2 matching MRF lines		 $457.30–$1,064.20 $538–$1,252 varies
Closed treatment of posterior malleolus fracture; with manipulation (27768)
range across 2 matching MRF lines		 $204.85–$1,053.15 $241–$1,239 varies
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 2 matching MRF lines		 $305.15–$1,175.55 $359–$1,383 varies
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines		 $164.05–$787.10 $193–$926 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $334.90–$900.15 $394–$1,059 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $419.05–$1,116.05 $493–$1,313 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines		 $400.35–$799.85 $471–$941 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 2 matching MRF lines		 $293.25–$589.05 $345–$693 varies
Closed tx carpal scaphoid fracture w/manj (25624)
range across 2 matching MRF lines		 $323–$1,163.65 $380–$1,369 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines		 $573.75–$732.70 $675–$862 varies
Closed tx knee dislocation w/o anesthesia (27550)
range across 2 matching MRF lines		 $263.50–$1,213.80 $310–$1,428 varies
Closed Tx Lunate Dislocation W/Manipulation (25690)
range across 2 matching MRF lines		 $204.85–$1,157.70 $241–$1,362 varies
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines		 $263.50–$521.05 $310–$613 varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 2 matching MRF lines		 $327.25–$361.25 $385–$425 varies
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)
range across 2 matching MRF lines		 $523.60–$2,258.45 $616–$2,657 varies
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421)
range across 2 matching MRF lines		 $1,558.90–$2,520.25 $1,834–$2,965 varies
Closed tx patellar dislocation w/anesthesia (27562) $2,100.35 $2,471 8.2×
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines		 $263.50–$874.65 $310–$1,029 varies
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines		 $457.30–$774.35 $538–$911 varies
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines		 $442–$1,059.95 $520–$1,247 varies
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $264.35–$629 $311–$740 varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $419.05–$1,195.95 $493–$1,407 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 2 matching MRF lines		 $250.75–$678.30 $295–$798 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $428.40–$1,228.25 $504–$1,445 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $402.05–$691.05 $473–$813 varies
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 2 matching MRF lines		 $164.05–$559.30 $193–$658 varies
Closed tx talus fracture w/o manipulation (28430)
range across 2 matching MRF lines		 $346.80–$573.75 $408–$675 varies
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines		 $194.65–$336.60 $229–$396 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 2 matching MRF lines		 $442–$1,099.90 $520–$1,294 varies
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 2 matching MRF lines		 $264.35–$696.15 $311–$819 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines		 $434.35–$629 $511–$740 varies
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830)
range across 2 matching MRF lines		 $451.35–$565.25 $531–$665 varies
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831)
range across 2 matching MRF lines		 $748–$1,454.35 $880–$1,711 varies
Clsd tx acromioclavicular dislc w/manipulation (23545)
range across 2 matching MRF lines		 $202.30–$832.15 $238–$979 varies
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540)
range across 2 matching MRF lines		 $197.20–$566.95 $232–$667 varies
Clsd Tx Clavicular Fracture W/Manipulation (23505)
range across 2 matching MRF lines		 $205.70–$853.40 $242–$1,004 varies
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines		 $205.70–$528.70 $242–$622 varies
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $223.55 $263 0.9×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $256.70–$965.60 $302–$1,136 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $205.70–$773.50 $242–$910 varies
Clsd tx sternoclavicular dislc w/o manipulation (23520)
range across 2 matching MRF lines		 $546.55–$572.90 $643–$674 varies
Clsr Anal Fstl W/Rct Advmnt Flap (46288) $1,317.50 $1,550 0.5×
Clsr Lacrimal Punctum Plug Each (68761) $341.70 $402 1.0×
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 2 matching MRF lines		 $1,167.05–$1,189.15 $1,373–$1,399 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 2 matching MRF lines		 $300.90–$889.95 $354–$1,047 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 2 matching MRF lines		 $436.90–$828.75 $514–$975 varies
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $232.90–$1,007.25 $274–$1,185 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $232.90–$748.85 $274–$881 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $500.65–$760.75 $589–$895 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $305.15–$445.40 $359–$524 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $270.30–$806.65 $318–$949 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $257.55–$1,275.85 $303–$1,501 varies
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $289.85 $341 0.2×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508)
range across 2 matching MRF lines		 $618.80–$1,238.45 $728–$1,457 varies
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 2 matching MRF lines		 $727.60–$1,764.60 $856–$2,076 varies
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 2 matching MRF lines		 $379.10–$427.55 $446–$503 varies
Cltx fx grt toe phlx/phlg w/o manj (28490) $432.65 $509 1.7×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $221.85–$391 $261–$460 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 2 matching MRF lines		 $197.20–$287.30 $232–$338 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 2 matching MRF lines		 $232.05–$755.65 $273–$889 varies
Cltx hip dislocation traumatic req anesthesia (27252)
range across 2 matching MRF lines		 $1,190.85–$1,758.65 $1,401–$2,069 varies
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines		 $399.50–$411.40 $470–$484 varies
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576)
range across 2 matching MRF lines		 $256.70–$837.25 $302–$985 varies
Cltx humeral condylar fx medial/lateral w/manj (24577)
range across 2 matching MRF lines		 $380.80–$1,314.10 $448–$1,546 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565)
range across 2 matching MRF lines		 $297.50–$1,279.25 $350–$1,505 varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $203.15–$289 $239–$340 varies
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $203.15–$678.30 $239–$798 varies
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $615.40–$793.90 $724–$934 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $271.15–$788.80 $319–$928 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines		 $271.15–$717.40 $319–$844 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $434.35–$813.45 $511–$957 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $341.70–$476.85 $402–$561 varies
Cltx post hip arthrp dislc req anes (27266)
range across 2 matching MRF lines		 $1,367.65–$1,515.55 $1,609–$1,783 varies
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $474.30–$963.05 $558–$1,133 varies
Cltx prox fibula/shft fx w/manj (27781)
range across 2 matching MRF lines		 $232.90–$1,031.90 $274–$1,214 varies
Cltx prox fibula/shft fx w/o manj (27780)
range across 2 matching MRF lines		 $232.90–$736.95 $274–$867 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 2 matching MRF lines		 $1,049.75–$1,111.80 $1,235–$1,308 varies
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660)
range across 2 matching MRF lines		 $434.35–$1,058.25 $511–$1,245 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $254.15–$264.35 $299–$311 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 2 matching MRF lines		 $297.50–$1,025.95 $350–$1,207 varies
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675)
range across 2 matching MRF lines		 $297.50–$1,303.05 $350–$1,533 varies
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)
range across 2 matching MRF lines		 $734.40–$1,458.60 $864–$1,716 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines		 $317.90–$907.80 $374–$1,068 varies
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540)
range across 2 matching MRF lines		 $164.05–$470.05 $193–$553 varies
Cltx tibial fx proximal w/o manipulation (27530)
range across 2 matching MRF lines		 $732.70–$868.70 $862–$1,022 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $588.20–$825.35 $692–$971 varies
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $204.85–$1,156 $241–$1,360 varies
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 2 matching MRF lines		 $419.05–$787.10 $493–$926 varies
Collect Blood From Catheter Venous Nos (36592) $99.45 $117 0.7×
Collection of venous blood by venipuncture (36415)
range across 5 matching MRF lines		 $5.95–$96.05 $7–$113 varies
Colonoscopy Stoma Ablation Lesion (44401) $6,029.90 $7,094 4.9×
Colonoscopy Stoma Control Bleeding (44391) $1,587.80 $1,868 1.3×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $937.55 $1,103 0.8×
Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402)
likely a partial charge, not the full procedure		 $620.50 $730 0.1×
Colonoscopy Stoma W/Rmvl Foreign Body (44390) $991.95 $1,167 1.0×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $1,013.20 $1,192 0.8×
Colonoscopy thru stoma (44388) $768.40 $904 0.8×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $1,073.55 $1,263 0.9×
Colonoscopy w/ablation (45388) $6,222.85 $7,321 5.0×
Colonoscopy w/fb removal (45379) $1,065.90 $1,254 0.9×
Colonoscopy w/stent plcmt (45389)
likely a partial charge, not the full procedure		 $686.80 $808 0.1×
Colonoscopy w/submucosal inj (45381)
range across 2 matching MRF lines		 $935.85–$1,092.25 $1,101–$1,285 varies
Colpocentesis (57020)
range across 2 matching MRF lines		 $303.45–$727.60 $357–$856 varies
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210)
range across 2 matching MRF lines		 $935.85–$1,838.55 $1,101–$2,163 varies
Colporrhaphy (57200)
range across 2 matching MRF lines		 $789.65–$1,838.55 $929–$2,163 varies
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $262.65 $309 0.8×
Colposcopy Cervix Endocervical Curettage (57456) $262.65 $309 0.8×
Colposcopy cervix upper/adjacent vagina (57452) $262.65 $309 1.3×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $262.65 $309 0.8×
Colposcopy entire vagina w/cervix if present (57420) $346.80 $408 1.1×
Colposcopy Vulva W/Biopsy (56821) $195.50 $230 0.6×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $129.20 $152 0.1×
Colsc Flexible W/Control Bleeding Any Method (45382) $1,655.80 $1,948 1.3×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $1,518.95 $1,787 1.2×
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 2 matching MRF lines		 $1,196.80–$1,837.70 $1,408–$2,162 varies
Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) $719.95 $847 0.6×
Complex drainage wound (10180)
range across 2 matching MRF lines		 $620.50–$952 $730–$1,120 varies
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $510–$595 $600–$700 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines		 $183.60–$379.10 $216–$446 varies
Control oropharyngeal hemorrhage simple (42960)
range across 2 matching MRF lines		 $382.50–$885.70 $450–$1,042 varies
Correction of trichiasis; epilation, by forceps only (67820) $118.15 $139 0.9×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $1,383.80 $1,628 0.4×
Create Eardrum Opening (69433) $259.25 $305 0.5×
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $96.90 $114 1.6×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $794.75–$850 $935–$1,000 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 2 matching MRF lines		 $264.35–$893.35 $311–$1,051 varies
Cysto Bladder W/Ureteral Catheterization (52005)
range across 2 matching MRF lines		 $740.35–$2,485.40 $871–$2,924 varies
Cysto w/destruction of lesions (52214) $1,952.45 $2,297 0.5×
Cysto W/Simple Removal Stone & Stent (52310) $1,003.85 $1,181 0.5×
Cystourethroscopy (52000)
range across 2 matching MRF lines		 $586.50–$1,205.30 $690–$1,418 varies
Cystourethroscopy with biopsy (52204) $1,003.85 $1,181 0.5×
Cystourethroscopy, with resection of external sphincter (sphincterotomy) Facility (52277) $756.50 $890 0.2×
Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) $1,003.85 $1,181 0.3×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $140.25–$666.40 $165–$784 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 2 matching MRF lines		 $1,530–$1,589.50 $1,800–$1,870 varies
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines		 $501.50–$1,076.95 $590–$1,267 varies
Deb Musc/Fascia 20 Sq Cm/< (11043) $589.05 $693 0.8×
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $77.35–$102 $91–$120 varies
Debride nail 6 or more (11721)
range across 3 matching MRF lines		 $102–$590.75 $120–$695 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 3 matching MRF lines		 $731–$2,482.85 $860–$2,921 varies
Debridement Mastoidectomy Cavity Simple (69220)
range across 2 matching MRF lines		 $187–$324.70 $220–$382 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 4 matching MRF lines		 $311.10–$1,892.95 $366–$2,227 varies
Declot vascular device (36593) $767.55 $903 2.2×
Deep Muscle Biopsy (20205) $719.10 $846 0.2×
Delivery of placenta (59414)
range across 2 matching MRF lines		 $199.75–$643.45 $235–$757 varies
Destroy lumb/sac facet jnt (64635) $2,358.75 $2,775 1.2×
Destruc retinal lesn,photocoag (67210) $565.25 $665 1.0×
Destruct B9 Lesion 1-14 (17110) $163.20 $192 0.8×
Destruction Benign Lesions 15/> (17111) $176.80 $208 0.8×
Destruction neurolytic agt genicular nerve w/img (64624) $2,435.25 $2,865 1.2×
Destruction of lesion of lid margin (up to 1 cm) (67850) $1,118.60 $1,316 1.1×
Destruction of skin lesions (17106)
range across 2 matching MRF lines		 $216.75–$814.30 $255–$958 varies
Destruction Premalignant Lesion 15/> (17004) $362.10 $426 0.9×
Destruction premalignant lesion 1st (17000)
range across 3 matching MRF lines		 $105.40–$160.65 $124–$189 varies
Destruction Vaginal Lesions Simple (57061) $2,295 $2,700 0.7×
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines		 $130.90–$454.75 $154–$535 varies
Diaphragm or cervical cap fitting with instructions (57170)
range across 2 matching MRF lines		 $19.55–$1,353.20 $23–$1,592 varies
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $234.60 $276 1.8×
Dilat Urethral Strix Dilator Male Sbsq (53601)
range across 2 matching MRF lines		 $201.45–$280.50 $237–$330 varies
Dilate Esophagus 1/Mult Pass (43450)
range across 3 matching MRF lines		 $459.85–$1,105.85 $541–$1,301 varies
Dilate Urethra Stricture (53620)
range across 2 matching MRF lines		 $414.80–$2,325.60 $488–$2,736 varies
Dilate Urethra Stricture (53600)
range across 2 matching MRF lines		 $210.80–$368.05 $248–$433 varies
Dilation Esophagus Guide Wire (43453) $686.80 $808 0.3×
Drain/inj small joint/bursa w/us (20604) $359.55 $423 1.1×
Drainage Abscess/Hematoma Nasal Septum (30020)
range across 2 matching MRF lines		 $480.25–$657.05 $565–$773 varies
Drainage external auditory canal abscess (69020)
range across 2 matching MRF lines		 $206.55–$566.95 $243–$667 varies
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $206.55–$447.10 $243–$526 varies
Drainage Mouth Roof Lesion (42000)
range across 2 matching MRF lines		 $379.10–$385.90 $446–$454 varies
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $243.95–$842.35 $287–$991 varies
Drainage of gum lesion (41800)
range across 2 matching MRF lines		 $209.95–$701.25 $247–$825 varies
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $406.30–$1,120.30 $478–$1,318 varies
Drainage of hydrocele (55000) $250.75 $295 0.3×
Drainage of rectal abscess (45005)
range across 2 matching MRF lines		 $768.40–$821.95 $904–$967 varies
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $549.95–$1,229.10 $647–$1,446 varies
Drainage of scrotum (54700)
range across 2 matching MRF lines		 $502.35–$2,350.25 $591–$2,765 varies
Draw Blood Off Venous Device (36591) $181.05 $213 1.3×
Dressing Change Under Anesthesia (15852) $621.35 $731 0.8×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines		 $169.15–$492.15 $199–$579 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $464.10–$577.15 $546–$679 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $373.15–$384.20 $439–$452 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 3 matching MRF lines		 $200.60–$264.35 $236–$311 varies
Dstrj lesion anus simple surg excision (46922) $760.75 $895 0.3×
Dx Bone Marrow Bx & Aspir (38222)
range across 3 matching MRF lines		 $285.60–$1,804.55 $336–$2,123 varies
Dx Bronchoscope/Lavage (31624) $1,632 $1,920 0.9×
Dx Bronchoscope/Wash (31622)
range across 3 matching MRF lines		 $597.55–$1,586.95 $703–$1,867 varies
Dx Laryngoscopy Excl Nb (31525)
range across 2 matching MRF lines		 $596.70–$810.90 $702–$954 varies
Dx lmbr spi pnxr w/fluor/CT (62328) $884.85 $1,041 1.2×
Egd Balloon Dil Esoph30 Mm/> (43233) $536.35 $631 0.3×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 2 matching MRF lines		 $1,373.60–$2,736.15 $1,616–$3,219 varies
Egd cautery tumor polyp (43250) $1,118.60 $1,316 0.6×
Egd control bleeding any (43255) $1,565.70 $1,842 0.8×
Egd dilation gastric/duodenal stricture (43245) $1,483.25 $1,745 0.7×
Egd endo mucosal resection (43254) $640.90 $754 0.3×
Egd Endoscopic Stent Place (43266)
likely a partial charge, not the full procedure		 $513.40 $604 0.1×
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $943.50–$1,077.80 $1,110–$1,268 varies
Egd guide wire insertion (43248) $1,022.55 $1,203 1.1×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $560.15 $659 0.3×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $623.90 $734 0.3×
Egd intrmural us needle aspirate/biopsy esophags (43238) $550.80 $648 0.3×
Egd Optical Endomicroscopy (43252) $831.30 $978 0.4×
Egd place gastrostomy tube (43246) $468.35 $551 0.2×
Egd remove lesion snare (43251) $1,230.80 $1,448 0.6×
Egd Tube/Cath Insertion (43241) $335.75 $395 0.2×
Egd us exam duodenum/jejunum (43259) $535.50 $630 0.3×
Egd us transmural injxn/mark (43253) $623.05 $733 0.3×
Egd Varices Ligation (43244) $581.40 $684 0.3×
Egd W/Thrml Txmnt Gerd (43257) $548.25 $645 0.1×
Egd W/Transmural Drain Cyst (43240)
likely a partial charge, not the full procedure		 $928.20 $1,092 0.1×
Endometrial Biopsy (58100)
range across 2 matching MRF lines		 $249.90–$396.10 $294–$466 varies
Endoscopic plantar fasciotomy (29893) $1,598.85 $1,881 0.5×
Endoscopic us exam esoph (43237) $464.10 $546 0.2×
Endoscopy Upper Small Intestine (44360) $340 $400 0.2×
Endoscopy upper small intestine w/biopsy (44361) $375.70 $442 0.2×
Endoven ther chem adhes 1st (36482) $5,691.60 $6,696 1.0×
Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) $708.90 $834 0.4×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) $674.05 $793 0.3×
Enteroscopy > 2nd prtn conv gstrst tube (44373) $452.20 $532 0.2×
Enteroscopy > 2nd prtn ileum control bleeding (44378) $912.90 $1,074 0.5×
Enteroscopy > 2nd prtn tndsc stent plmt (44370)
likely a partial charge, not the full procedure		 $631.55 $743 0.1×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $563.55 $663 0.3×
Enteroscopy > 2nd prtn w/rmvl foreign body (44363) $453.90 $534 0.2×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) $430.95 $507 0.2×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $483.65 $569 0.2×
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $241.40–$679.15 $284–$799 varies
Epidural lysis mult sessions (62263) $1,519.80 $1,788 1.7×
Episiotomy or vaginal repair (59300)
range across 2 matching MRF lines		 $282.20–$537.20 $332–$632 varies
Ercp Dx Collection Specimen Brushing/Washing (43260) $764.15 $899 0.2×
Esoph Optical Endomicroscopy (43206) $743.75 $875 0.4×
Esoph Scope W/Submucous Inj (43201) $635.80 $748 0.3×
Esophagogastroduodenoscopy Submucosal Injection (43236) $997.90 $1,174 1.1×
Esophagosc Dilate Balloon 30 (43214) $453.90 $534 0.2×
Esophagoscop Mucosal Resect (43211) $555.90 $654 0.3×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $2,267.80 $2,668 1.1×
Esophagoscopy Flex Transoral Injection Varices (43204) $319.60 $376 0.2×
Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) $1,042.95 $1,227 0.5×
Esophagoscopy Flexible Guide Wire Dilation (43226) $948.60 $1,116 0.5×
Esophagoscopy Flexible Transnasal Diagnostic (43197) $463.25 $545 0.5×
Esophagoscopy Flexible Transnasal With Biopsy (43198) $512.55 $603 0.5×
Esophagoscopy Flexible Transoral Diagnostic (43200)
range across 3 matching MRF lines		 $645.15–$1,484.95 $759–$1,747 varies
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $377.40 $444 0.2×
Esophagoscopy Flexible W/Bleeding Control (43227) $1,484.95 $1,747 0.7×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) $473.45 $557 0.2×
Esophagoscopy Retro Balloon (43213) $3,090.60 $3,636 1.6×
Esophagoscopy rig transoral removal foreign body (43194) $449.65 $529 0.2×
Esophagoscopy Rigid Balloon (43195) $432.65 $509 0.1×
Esophagoscopy rigid trnso dx (43191) $362.95 $427 0.2×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202)
range across 2 matching MRF lines		 $887.40–$891.65 $1,044–$1,049 varies
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215)
range across 3 matching MRF lines		 $827.90–$970.70 $974–$1,142 varies
Esophagoscp Guide Wire Dilat (43196) $460.70 $542 0.2×
Esophagoscp Rig Trnso Biopsy (43193) $396.95 $467 0.2×
Esophagoscp Rig Trnso Inject (43192) $397.80 $468 0.2×
Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) $1,021.70 $1,202 0.5×
Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) $333.20 $392 0.2×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $71.40–$136.85 $84–$161 varies
Exc arm/elbow les sc < 3 cm (24075) $871.25 $1,025 0.5×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $306.85–$469.20 $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		 $252.45–$1,823.25 $297–$2,145 varies
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 2 matching MRF lines		 $566.95–$572.90 $667–$674 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 2 matching MRF lines		 $640.05–$1,145.80 $753–$1,348 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644)
range across 2 matching MRF lines		 $1,716.15–$2,116.50 $2,019–$2,490 varies
Exc Face Les Sbq 2 Cm/> (21012) $488.75 $575 0.3×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 3 matching MRF lines		 $345.10–$2,297.55 $406–$2,703 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines		 $417.35–$570.35 $491–$671 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines		 $461.55–$1,212.10 $543–$1,426 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 2 matching MRF lines		 $544–$1,212.10 $640–$1,426 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $1,212.10 $1,426 0.7×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $307.70–$1,054 $362–$1,240 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $384.20–$1,294.55 $452–$1,523 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines		 $430.10–$1,320.90 $506–$1,554 varies
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $1,082.90 $1,274 1.0×
Exc Rct Tum Not Incl Muscularis Propria (45171) $1,455.20 $1,712 0.5×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $471.75–$1,109.25 $555–$1,305 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $1,875.95 $2,207 1.1×
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 2 matching MRF lines		 $789.65–$2,854.30 $929–$3,358 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines		 $752.25–$2,181.10 $885–$2,566 varies
Exc Skin Benig >4cm Face,Facial (11446)
range across 2 matching MRF lines		 $919.70–$2,946.10 $1,082–$3,466 varies
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)
range across 2 matching MRF lines		 $706.35–$1,054 $831–$1,240 varies
Exc Skin Malig >4 Cm Remaindr Body (11626) $2,557.65 $3,009 0.8×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,949.90 $2,294 1.1×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 3 matching MRF lines		 $514.25–$2,778.65 $605–$3,269 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines		 $370.60–$586.50 $436–$690 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines		 $411.40–$1,246.95 $484–$1,467 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines		 $533.80–$2,181.10 $628–$2,566 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $1,032.75 $1,215 0.3×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $1,773.95 $2,087 1.0×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $1,235.05 $1,453 0.4×
Exc tumor soft tissue abdominal wall subq <3cm (22902)
range across 2 matching MRF lines		 $1,117.75–$1,599.70 $1,315–$1,882 varies
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $2,098.65 $2,469 1.2×
Exc tumor soft tissue leg/ankle subq <3cm (27618)
range across 2 matching MRF lines		 $1,148.35–$2,079.10 $1,351–$2,446 varies
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $1,523.20 $1,792 0.5×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,694.05 $1,993 1.0×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $2,883.20 $3,392 1.0×
Excis Mouth Mucosa/Sub,No Repair (40810) $1,589.50 $1,870 0.5×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $1,735.70 $2,042 1.1×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $1,054 $1,240 1.4×
Excision & Repair Eyelid < One-Fourth Lid Margin (67961) $2,200.65 $2,589 0.9×
Excision Chalazion Single (67800) $543.15 $639 1.6×
Excision Excessive Skin & Subq Tissue Other Area (15839) $3,007.30 $3,538 1.0×
Excision External Ear Partial Simple Repair (69110) $1,293.70 $1,522 0.4×
Excision Lesion Tongue W/O Closure (41110) $1,624.35 $1,911 0.5×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $521.05 $613 0.7×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $523.60 $616 0.7×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $521.05 $613 1.2×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,054 $1,240 1.4×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)
range across 2 matching MRF lines		 $487.05–$572.90 $573–$674 varies
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 2 matching MRF lines		 $751.40–$1,145.80 $884–$1,348 varies
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646)
range across 2 matching MRF lines		 $1,195.95–$2,489.65 $1,407–$2,929 varies
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $1,054 $1,240 0.6×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $521.05 $613 0.7×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 2 matching MRF lines		 $604.35–$1,054 $711–$1,240 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624)
range across 2 matching MRF lines		 $801.55–$1,949.90 $943–$2,294 varies
Excision Multiple External Papillae/Tags Anus (46230)
range across 3 matching MRF lines		 $578.85–$751.40 $681–$884 varies
Excision nasal polyp(s) simple (30110) $1,624.35 $1,911 1.0×
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 2 matching MRF lines		 $765–$3,398.30 $900–$3,998 varies
Excision of hydrocele; bilateral (55041) $1,212.10 $1,426 0.3×
Excision of hydrocele; unilateral (55040) $801.55 $943 0.2×
Excision of pilonidal cyst or sinus; simple (11770) $861.05 $1,013 0.3×
Excision Pilonidal Cyst/Sinus Complicated (11772) $1,836.85 $2,161 0.6×
Excision Pilonidal Cyst/Sinus Extensive (11771) $1,490.05 $1,753 0.5×
Excision tumor soft tis back/flank subq 3 cm/> (21931)
range across 2 matching MRF lines		 $1,716.15–$2,377.45 $2,019–$2,797 varies
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $972.40 $1,144 0.6×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $1,717 $2,020 1.0×
Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure Facility (15922) $1,863.20 $2,192 0.5×
Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture Facility (15920) $1,484.10 $1,746 0.5×
Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) $2,182.80 $2,568 0.6×
Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) $2,095.25 $2,465 1.0×
Excision, sacral pressure ulcer, with primary suture; Facility (15931) $1,617.55 $1,903 0.5×
Excision, sacral pressure ulcer, with skin flap closure; Facility (15934) $2,200.65 $2,589 0.6×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $1,833.45 $2,157 0.6×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $2,100.86 $2,471.60 1.2×
Excision/destruction intranasal lesion int appr (30117) $1,624.35 $1,911 0.5×
Excision/destruction lesion pharynx any method (42808)
range across 2 matching MRF lines		 $553.35–$2,607.80 $651–$3,068 varies
Expl penetrating wound spx abdomen/flank/back (20102)
range across 3 matching MRF lines		 $1,484.95–$1,715.30 $1,747–$2,018 varies
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines		 $1,113.50–$1,919.30 $1,310–$2,258 varies
Exploration penetrating wound spx chest (20101) $1,423.75 $1,675 0.7×
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines		 $529.55–$1,343 $623–$1,580 varies
Exploration Penetrating Wound Spx Neck (20100) $1,391.45 $1,637 2.5×
External cephalic version (59412) $2,034.05 $2,393 0.6×
Fetal Contraction Stress Test (59020) $306 $360 1.5×
Fetal non-stress test (59025)
range across 2 matching MRF lines		 $111.35–$366.35 $131–$431 varies
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $243.10–$314.50 $286–$370 varies
Fluid Pressure Muscle (20950)
range across 2 matching MRF lines		 $639.20–$702.95 $752–$827 varies
Fluoro exam of g/colon tube (49465) $167.45 $197 0.7×
Foreskin manipulation (54450) $289.85 $341 1.1×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $1,617.55 $1,903 0.8×
Grafting of autologous fat by lipo 25 cc or less (15773) $2,082.50 $2,450 1.0×
Guide Cathet Fluid Drainage (10030)
range across 2 matching MRF lines		 $1,568.25–$1,603.10 $1,845–$1,886 varies
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $1,249.50 $1,470 0.4×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $1,150.90 $1,354 0.4×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $1,133.05 $1,333 0.4×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) $1,245.25 $1,465 0.4×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) $1,359.15 $1,599 0.5×
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) $993.65 $1,169 0.3×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 2 matching MRF lines		 $651.95–$688.50 $767–$810 varies
Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) $1,112.65 $1,309 0.4×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $357.85–$459.85 $421–$541 varies
I&d abscess simple (10060)
range across 3 matching MRF lines		 $220.15–$298.35 $259–$351 varies
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines		 $1,587.80–$2,051.05 $1,868–$2,413 varies
I&D Deep Absc/Hematoma Neck/Chest (21501) $3,008.15 $3,539 1.0×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $572.05–$573.75 $673–$675 varies
I&d pilonidal cyst complicated (10081) $834.70 $982 1.1×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $234.60–$615.40 $276–$724 varies
I&d thyroglossal duct cyst infected (60000)
range across 2 matching MRF lines		 $439.45–$847.45 $517–$997 varies
Ileoscopy Stoma W/Bx Single/Multiple (44382) $742.90 $874 0.8×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $480.25 $565 0.5×
Image Cath Fluid Colxn Visc (49405) $1,676.20 $1,972 1.0×
Image Cath Fluid Peri/Retro (49406) $1,676.20 $1,972 1.0×
Image Cath Fluid Trns/Vgnl (49407) $3,159.45 $3,717 1.8×
Incise external hemorrhoid (46083)
range across 3 matching MRF lines		 $481.95–$505.75 $567–$595 varies
Incise finger tendon sheath (26055) $796.45 $937 0.5×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $507.45–$955.40 $597–$1,124 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $3,062.55 $3,603 1.0×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $631.55–$991.95 $743–$1,167 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $345.10–$360.40 $406–$424 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $448.80–$538.90 $528–$634 varies
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) $2,132.65 $2,509 0.7×
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $355.30–$565.25 $418–$665 varies
Incision of labial frenum (frenotomy) (40806) $473.45 $557 0.8×
Incision of lingual frenum (frenotomy) (41010) $912.05 $1,073 0.6×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $1,320.05–$1,826.65 $1,553–$2,149 varies
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 2 matching MRF lines		 $646–$728.45 $760–$857 varies
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $180.20–$192.95 $212–$227 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $828.75 $975 0.9×
Inj W/Fluor Eval Cv Device (36598) $192.10 $226 0.9×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $2,142 $2,520 2.3×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $136–$249.05 $160–$293 varies
Injection aa&/strd genicular nrv branches w/img (64454) $884.85 $1,041 1.2×
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines		 $362.10–$521.90 $426–$614 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451) $884.85 $1,041 1.2×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $66.30 $78 0.1×
Injection Anes Agent Sphenopalatine Ganglion (64505) $396.10 $466 1.2×
Injection enzyme palmar fascial cord (20527) $337.45 $397 1.1×
Injection for identification of sentinel node (38792) $498.95 $587 1.2×
Injection of sclerosing solution, hemorrhoids (46500) $766.70 $902 0.8×
Injection single tendon origin/insertion (20551) $300.90 $354 0.9×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $73.10–$242.25 $86–$285 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $266.90–$356.15 $314–$419 varies
Injection Sinus Tract Therapeutic Separate Proc (20500) $843.20 $992 0.5×
Injection therapeutic carpal tunnel (20526) $275.40 $324 0.9×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $181.90–$1,033.60 $214–$1,216 varies
Injection, Intralesional; More Than 7 Lesions (11901) $112.20 $132 0.5×
Injection, intralesional; up to and including 7 lesions (11900) $113.90 $134 0.5×
Insert Bladder Cath Complex (51703)
range across 3 matching MRF lines		 $361.25–$384.20 $425–$452 varies
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines		 $699.55–$1,651.55 $823–$1,943 varies
Insert cath pleura w/o image (32556)
range across 2 matching MRF lines		 $666.40–$1,845.35 $784–$2,171 varies
Insert Drug Implant Device (11981) $72.25 $85 0.5×
Insert Gastrostomy Tube Percutaneous (49440) $978.35 $1,151 0.5×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $521.90–$2,209.15 $614–$2,599 varies
Insert pessary/other device (57160) $127.50 $150 0.6×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,325.15 $1,559 0.8×
Insert Temp Bladder Cath (51702)
range across 4 matching MRF lines		 $147.90–$217.60 $174–$256 varies
Insert tunneled cv cath (36561) $2,446.30 $2,878 0.7×
Insert tunneled cv cath (36563)
unusually low: confirm this is the full procedure		 $2,760.80 $3,248 0.5×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 5 matching MRF lines		 $106.25–$221.85 $125–$261 varies
Insertion indwelling tunneled pleural catheter (32550) $1,973.70 $2,322 0.5×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,463.70 $1,722 0.9×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555)
range across 2 matching MRF lines		 $465.80–$1,830.05 $548–$2,153 varies
Insj prph ctr vad w/subq port age 5 yr/> (36571)
range across 2 matching MRF lines		 $3,174.75–$5,314.20 $3,735–$6,252 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines		 $221–$2,767.60 $260–$3,256 varies
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $2,017.05 $2,373 0.6×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $10,691.30 $12,578 1.9×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) $3,056.60 $3,596 0.9×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $2,069.75 $2,435 0.6×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $25,303.65 $29,769 0.8×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
range across 2 matching MRF lines		 $368.05–$5,120.40 $433–$6,024 varies
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 2 matching MRF lines		 $956.25–$1,200.20 $1,125–$1,412 varies
Intmd Rpr Face/Mm 20.1-30.0 (12056)
range across 2 matching MRF lines		 $1,132.20–$1,377.85 $1,332–$1,621 varies
Intranasal Biopsy (30100) $342.55 $403 0.2×
Intro cath dialysis circuit (36901) $1,117.75 $1,315 0.7×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $12,374.30 $14,558 2.1×
Intubation endotracheal emergency procedure (31500)
range across 4 matching MRF lines		 $157.25–$483.65 $185–$569 varies
Irrigation maxillary sinus (31000)
range across 2 matching MRF lines		 $277.95–$441.15 $327–$519 varies
Lap insert tunnel ip cath (49324)
likely a partial charge, not the full procedure		 $886.55 $1,043 0.1×
Laparo-vag hyst incl t/o (58552)
likely a partial charge, not the full procedure		 $2,307.75 $2,715 0.2×
Laparoscopy aspiration (49322)
likely a partial charge, not the full procedure		 $863.60 $1,016 0.1×
Laparoscopy Enterolysis Separate Procedure (44180)
unusually low: confirm this is the full procedure		 $2,102.90 $2,474 0.3×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure		 $996.20 $1,172 0.2×
Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323)
likely a partial charge, not the full procedure		 $1,462 $1,720 0.2×
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure		 $1,382.95 $1,627 0.2×
Laparoscopy, surgical, splenectomy (38120)
likely a partial charge, not the full procedure		 $2,413.15 $2,839 0.2×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure		 $1,646.45 $1,937 0.3×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure		 $2,555.10 $3,006 0.2×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure		 $1,299.65 $1,529 0.2×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
likely a partial charge, not the full procedure		 $794.75 $935 0.1×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure		 $756.50 $890 0.1×
Laryngoscopy diagnostic (31505)
range across 2 matching MRF lines		 $147.05–$218.45 $173–$257 varies
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $208.25–$309.40 $245–$364 varies
Laryngoscopy Flx Rmvl Foreign Body(S) (31577)
range across 2 matching MRF lines		 $608.60–$659.60 $716–$776 varies
Laryngoscopy Indirect W/Removal Foreign Body (31511)
range across 2 matching MRF lines		 $203.15–$505.75 $239–$595 varies
Laryngoscopy W/Foreign Body Removal (31530)
range across 2 matching MRF lines		 $464.95–$1,114.35 $547–$1,311 varies
Late closure of wound (13160)
range across 3 matching MRF lines		 $1,466.25–$1,861.50 $1,725–$2,190 varies
Lateral Canthopexy (21282)
range across 2 matching MRF lines		 $938.40–$2,043.40 $1,104–$2,404 varies
Ligation or biopsy temporal artery (37609) $742.05 $873 0.4×
Lip Surgery Procedure (40799) $107.95 $127 0.4×
Mast mod rad (19307)
unusually low: confirm this is the full procedure		 $2,708.10 $3,186 0.4×
Mastectomy for gynecomastia (19300) $1,377 $1,620 0.3×
Mastectomy partial (19301)
range across 2 matching MRF lines		 $1,515.55–$3,759.55 $1,783–$4,423 varies
Mastectomy partial w/axillary lymphadenectomy (19302)
unusually low: confirm this is the full procedure		 $2,079.10 $2,446 0.3×
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure		 $2,193 $2,580 0.3×
Mrgfus Stereotactic Ablation Target Intracranial (61715)
likely a partial charge, not the full procedure		 $2,506.65 $2,949 0.2×
Musc myocutaneous/fasciocutaneous flap uxtr (15736) $3,240.20 $3,812 1.5×
Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) $3,306.50 $3,890 0.9×
Muscle-skin graft trunk (15734) $3,240.20 $3,812 0.9×
Myelography Lumbar Injection (62305) $3,661.80 $4,308 4.5×
Myelography Lumbar Injection (62304) $3,105.90 $3,654 3.8×
Myelography via lumbar injection rs&i cervical (62302) $3,005.60 $3,536 3.7×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $3,472.25 $4,085 4.3×
N Block Inj Celiac Pelus (64530) $942.65 $1,109 1.0×
N block inj intercost sng (64420) $500.65 $589 0.7×
N Block Inj Plantar Digit (64455) $276.25 $325 0.9×
Nasal Endoscopy Dx (31231)
range across 2 matching MRF lines		 $132.60–$453.90 $156–$534 varies
Nasal/Orogastric W/Tube Plmt (43752) $271.15 $319 0.6×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $524.45 $617 0.5×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $770.95 $907 0.8×
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines		 $431.80–$1,418.65 $508–$1,669 varies
Needle insertion w/o injection 1 or 2 muscles (20560) $40.80 $48 1.4×
Needle insertion w/o injection 3 or more muscles (20561) $48.45 $57 1.6×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $311.10 $366 0.7×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $266.05–$402.05 $313–$473 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $351.05 $413 0.1×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $1,343 $1,580 0.4×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $422.45–$1,464.55 $497–$1,723 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $1,065.90 $1,254 1.2×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 3 matching MRF lines		 $419.90–$1,531.70 $494–$1,802 varies
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320)
range across 2 matching MRF lines		 $324.70–$1,164.50 $382–$1,370 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $1,065.90 $1,254 1.2×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $1,065.90 $1,254 1.2×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 3 matching MRF lines		 $413.10–$1,531.70 $486–$1,802 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $1,065.90 $1,254 1.2×
Njx Sclrsnt 1 Incmptnt Vein (36470)
range across 2 matching MRF lines		 $96.05–$98.60 $113–$116 varies
Occipital Nerve Block (64405) $421.60 $496 1.3×
Open Repair of Rotator Cuff Acute (23410) $7,702.70 $9,062 1.0×
Open Tx Distal Phalangeal Fracture Each (26765)
range across 2 matching MRF lines		 $1,183.20–$3,218.95 $1,392–$3,787 varies
Open tx interphalangeal joint dislocation (26785)
range across 2 matching MRF lines		 $1,285.20–$6,113.20 $1,512–$7,192 varies
Orchiectomy partial (54522) $1,391.45 $1,637 0.4×
Orchiectomy radical tumor inguinal approach (54530) $1,201.90 $1,414 0.3×
Orchiectomy, radical, for tumor; with abdominal exploration Facility (54535) $1,759.50 $2,070 0.5×
Ostc prtl exostc/condylc metar head (28288) $2,454.80 $2,888 0.7×
Ostectomy, complete excision; fifth metatarsal head (28113) $1,395.70 $1,642 0.4×
Partial Excision Distal Phalanx Finger (26236) $1,887.85 $2,221 1.1×
Partial excision of lip (40520) $3,372.80 $3,968 1.0×
Partial removal of thyroid (60220)
likely a partial charge, not the full procedure		 $1,648.15 $1,939 0.3×
Partial removal of toe (28160) $1,887.85 $2,221 0.6×
Partial thyroid excision (60212)
unusually low: confirm this is the full procedure		 $2,347.70 $2,762 0.4×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
likely a partial charge, not the full procedure		 $1,643.90 $1,934 0.3×
Partical Excision Bone Phalanx Toe (28124) $1,887.85 $2,221 0.6×
Perc Rf Ablate Renal Tumor (50592) $4,868.80 $5,728 0.8×
Pericardiocentesis W/Imaging (33016) $585.65 $689 0.4×
Peritoneal Lavage (49084)
range across 2 matching MRF lines		 $244.80–$624.75 $288–$735 varies
Perq Cervicothoracic Inject (22510)
range across 2 matching MRF lines		 $3,836.05–$6,072.40 $4,513–$7,144 varies
Perq dev breast 1st mr guide (19287)
range across 2 matching MRF lines		 $1,598.85–$2,859.40 $1,881–$3,364 varies
Perq dev breast 1st strtctc (19283)
range across 2 matching MRF lines		 $630.70–$1,583.55 $742–$1,863 varies
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines		 $923.10–$1,732.30 $1,086–$2,038 varies
Perq device breast 1st imag (19281)
range across 2 matching MRF lines		 $579.70–$1,663.45 $682–$1,957 varies
Perq Lumbosacral Injection (22511) $6,072.40 $7,144 1.8×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $643.45 $757 0.9×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $18,946.50 $22,290 1.6×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $12,374.30 $14,558 2.1×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $10,613.10 $12,486 1.4×
Perq Vertebral Augmentation (22513)
range across 2 matching MRF lines		 $10,613.10–$11,674.75 $12,486–$13,735 varies
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines		 $136–$256.70 $160–$302 varies
Placement of seton (46020) $268.60 $316 0.1×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541)
unusually low: confirm this is the full procedure		 $2,915.50 $3,430 0.4×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300)
range across 3 matching MRF lines		 $311.95–$1,031.90 $367–$1,214 varies
Proctosgmdsc Rigid Control Bleeding (45317) $536.35 $631 0.4×
Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) $494.70 $582 0.2×
Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) $510 $600 0.4×
Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) $549.95 $647 0.4×
Proctosgmdsc rigid w/dilation (45303) $2,379.15 $2,799 1.9×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307)
range across 3 matching MRF lines		 $516.80–$1,251.20 $608–$1,472 varies
Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) $539.75 $635 0.2×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $440.30 $518 0.4×
Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) $234.60 $276 0.1×
Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Facility (45327)
likely a partial charge, not the full procedure		 $264.35 $311 0.0×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $607.75 $715 0.8×
Punch biopsy skin single lesion (11104) $271.15 $319 0.6×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $281.35–$309.40 $331–$364 varies
Puncture Aspiration Cyst Breast (19000) $245.65 $289 0.3×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $886.55 $1,043 1.2×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $2,435.25 $2,865 1.2×
Reconstruct extra finger (26587)
range across 2 matching MRF lines		 $1,528.30–$2,426.75 $1,798–$2,855 varies
Reconstruct lip with flap (40525) $3,372.80 $3,968 1.0×
Reconstruction Nail Bed W/Graft (11762)
range across 2 matching MRF lines		 $315.35–$697.85 $371–$821 varies
Removal Anal Seton Other Marker (46030) $623.90 $734 0.5×
Removal Embedded Foreign Body Eyelid (67938)
range across 2 matching MRF lines		 $374.85–$663 $441–$780 varies
Removal Foreign Body Deep Thigh/Knee (27372)
range across 2 matching MRF lines		 $1,409.30–$2,061.25 $1,658–$2,425 varies
Removal foreign body foot deep (28192)
range across 2 matching MRF lines		 $482.80–$1,103.30 $568–$1,298 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $487.90–$583.95 $574–$687 varies
Removal foreign body jawbone (41806)
range across 2 matching MRF lines		 $1,002.15–$1,289.45 $1,179–$1,517 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $451.35–$520.20 $531–$612 varies
Removal foreign body upper arm/elbow deep (24201)
range across 2 matching MRF lines		 $1,275–$1,297.95 $1,500–$1,527 varies
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines		 $35.70–$215.05 $42–$253 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines		 $108.80–$215.05 $128–$253 varies
Removal Implant Superficial Separate Procedure (20670) $2,392.75 $2,815 1.4×
Removal implantable contraceptive capsules (11976) $505.75 $595 0.7×
Removal of anal fissure (46200) $1,141.55 $1,343 0.4×
Removal of foreign body from pharynx (42809)
range across 2 matching MRF lines		 $485.35–$538.90 $571–$634 varies
Removal of infusion pump (36262) $2,278 $2,680 0.6×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $386.75–$494.70 $455–$582 varies
Removal of testis (54520) $773.50 $910 0.2×
Removal of thyroid (60271)
unusually low: confirm this is the full procedure		 $2,452.25 $2,885 0.4×
Removal or bivalving full arm or full leg cast (29705)
range across 2 matching MRF lines		 $147.90–$168.30 $174–$198 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 3 matching MRF lines		 $215.05–$359.55 $253–$423 varies
Removal/bivalving gauntlet boot/body cast (29700)
range across 2 matching MRF lines		 $126.65–$143.65 $149–$169 varies
Remove drug implant device (11982) $75.65 $89 0.2×
Remove foreign body from eye (65235) $1,700 $2,000 0.7×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $69.70–$292.40 $82–$344 varies
Remove hip pressure sore (15940) $1,625.20 $1,912 0.5×
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $264.35–$294.95 $311–$347 varies
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $192.95–$508.30 $227–$598 varies
Remove Peritoneal Foreign Body (49402) $1,954.15 $2,299 0.5×
Remove Shoulder Foreign Body (23330) $1,267.35 $1,491 0.7×
Remove Tendon Sheath Lesion (26160) $1,785.85 $2,101 1.1×
Remove thyroid lesion (60200)
likely a partial charge, not the full procedure		 $1,557.20 $1,832 0.2×
Remove/Insert Drug Implant (11983) $140.25 $165 0.3×
Repair Achilles Tendon (27650)
range across 2 matching MRF lines		 $1,555.50–$5,020.10 $1,830–$5,906 varies
Repair Blood Vessel Direct Hand Finger (35207)
range across 2 matching MRF lines		 $1,758.65–$4,898.55 $2,069–$5,763 varies
Repair Blood Vessel Direct Upper Extremity (35206)
range across 2 matching MRF lines		 $425.85–$1,766.30 $501–$2,078 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $454.75–$1,016.60 $535–$1,196 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $454.75–$1,194.25 $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		 $378.25–$934.15 $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		 $454.75–$1,135.60 $535–$1,336 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $454.75–$855.95 $535–$1,007 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $454.75–$1,025.95 $535–$1,207 varies
Repair complex trunk 1.1-2.5 cm (13100)
range across 2 matching MRF lines		 $454.75–$821.10 $535–$966 varies
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $454.75–$957.95 $535–$1,127 varies
Repair Entropion Excision Tarsal Wedge (67923)
range across 2 matching MRF lines		 $1,468.80–$1,975.40 $1,728–$2,324 varies
Repair Entropion Suture (67921)
range across 2 matching MRF lines		 $1,151.75–$1,750.15 $1,355–$2,059 varies
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $1,506.20–$1,960.10 $1,772–$2,306 varies
Repair Extensor Tendon Hand W/Graft Each (26412)
range across 2 matching MRF lines		 $1,725.50–$2,885.75 $2,030–$3,395 varies
Repair Eyelid Wound (67935)
range across 2 matching MRF lines		 $205.70–$1,432.25 $242–$1,685 varies
Repair Finger/Hand Tendon (26350)
range across 2 matching MRF lines		 $1,797.75–$3,117.80 $2,115–$3,668 varies
Repair Hand Tendon (26410)
range across 2 matching MRF lines		 $337.45–$1,451.80 $397–$1,708 varies
Repair inguinal hernia, sliding, any age (49525) $1,318.35 $1,551 0.4×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $1,453.50 $1,710 0.4×
Repair initial femoral hernia, any age; reducible (49550) $1,325.15 $1,559 0.4×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $1,349.80 $1,588 0.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $445.40–$682.55 $524–$803 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $536.35–$759.05 $631–$893 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $622.20–$875.50 $732–$1,030 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $799.85–$921.40 $941–$1,084 varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057)
range across 2 matching MRF lines		 $1,453.50–$1,465.40 $1,710–$1,724 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 2 matching MRF lines		 $954.55–$969 $1,123–$1,140 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $447.10–$637.50 $526–$750 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $623.05–$746.30 $733–$878 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $801.55–$912.90 $943–$1,074 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047)
range across 2 matching MRF lines		 $1,289.45–$1,462.85 $1,517–$1,721 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $923.95–$1,330.25 $1,087–$1,565 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 3 matching MRF lines		 $425–$634.10 $500–$746 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $727.60–$923.95 $856–$1,087 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $1,022.55–$1,616.70 $1,203–$1,902 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $801.55–$1,117.75 $943–$1,315 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 2 matching MRF lines		 $1,140.70–$2,041.70 $1,342–$2,402 varies
Repair intrinsic muscles hand each muscle (26591)
range across 2 matching MRF lines		 $1,176.40–$3,132.25 $1,384–$3,685 varies
Repair Laceration Palate </2 Cm (42180)
range across 2 matching MRF lines		 $573.75–$614.55 $675–$723 varies
Repair of anal fistula with fibrin glue (46706) $412.25 $485 0.1×
Repair of hydrocele (55060) $899.30 $1,058 0.2×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $301.75–$452.20 $355–$532 varies
Repair recurrent femoral hernia; reducible Facility (49555) $1,388.05 $1,633 0.4×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
likely a partial charge, not the full procedure		 $1,641.35 $1,931 0.2×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208)
range across 2 matching MRF lines		 $1,149.20–$2,337.50 $1,352–$2,750 varies
Repair tongue laceration (41252)
range across 2 matching MRF lines		 $784.55–$1,295.40 $923–$1,524 varies
Repair tongue laceration (41250)
range across 2 matching MRF lines		 $430.10–$677.45 $506–$797 varies
Rerepair ing hernia reduce (49520) $1,453.50 $1,710 0.4×
Revision of tracheostomy scar (31830) $1,185.75 $1,395 0.3×
Revj/rmvl peripheral neurostimulator electrode (64585)
range across 2 matching MRF lines		 $309.40–$588.20 $364–$692 varies
Rmvl embedded fb from dentalvlr struxs soft tiss (41805)
range across 2 matching MRF lines		 $759.90–$1,289.45 $894–$1,517 varies
Rmvl embedded fb vestibule mouth comp (40805)
range across 2 matching MRF lines		 $585.65–$687.65 $689–$809 varies
Rmvl Embedded Fb Vestibule Mouth Smpl (40804)
range across 2 matching MRF lines		 $293.25–$451.35 $345–$531 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $141.95–$303.45 $167–$357 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $162.35–$414.80 $191–$488 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 2 matching MRF lines		 $93.50–$414.80 $110–$488 varies
Rmvl fecal impaction/fb spx under anes (45915) $847.45 $997 0.7×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)
range across 2 matching MRF lines		 $1,113.50–$1,688.95 $1,310–$1,987 varies
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $874.65 $1,029 0.3×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)
range across 2 matching MRF lines		 $477.70–$523.60 $562–$616 varies
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $530.40–$2,765.05 $624–$3,253 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines		 $395.25–$1,430.55 $465–$1,683 varies
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $310.25–$561 $365–$660 varies
Rplcmt cath ctr vad subq port/pmp (36578) $1,065.90 $1,254 0.3×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $3,937.20 $4,632 1.1×
Rpr aa hrn 1st 3-10 rdc (49593) $6,766.85 $7,961 1.0×
Rpr blood vessel direct lower extremity (35226)
range across 2 matching MRF lines		 $1,698.30–$1,862.35 $1,998–$2,191 varies
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576)
range across 3 matching MRF lines		 $841.50–$1,255.45 $990–$1,477 varies
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $403.75–$495.55 $475–$583 varies
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046)
range across 2 matching MRF lines		 $1,130.50–$1,180.65 $1,330–$1,389 varies
Rpr Lip Full Thickness Half/< Vertical Height (40652)
range across 2 matching MRF lines		 $946.05–$1,228.25 $1,113–$1,445 varies
Rpr Lip Full Thickness Vermilion Only (40650)
range across 2 matching MRF lines		 $946.05–$1,141.55 $1,113–$1,343 varies
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654)
range across 2 matching MRF lines		 $983.45–$1,389.75 $1,157–$1,635 varies
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260)
range across 2 matching MRF lines		 $1,490.90–$3,523.25 $1,754–$4,145 varies
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270)
range across 2 matching MRF lines		 $1,161.95–$3,143.30 $1,367–$3,698 varies
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575)
range across 3 matching MRF lines		 $365.50–$1,255.45 $430–$1,477 varies
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356)
range across 2 matching MRF lines		 $1,870–$2,885.75 $2,200–$3,395 varies
Sclerotx Fluid Collection (49185) $1,260.55 $1,483 0.7×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $722.50 $850 0.7×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $736.95 $867 0.6×
Shave skin lesion 0.5 cm/< (11300) $412.25 $485 1.0×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $238.85 $281 1.1×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $177.65 $209 0.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305)
range across 2 matching MRF lines		 $204.85–$259.25 $241–$305 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $1,052.30 $1,238 5.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $1,159.40 $1,364 5.6×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $181.05 $213 0.9×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312)
range across 2 matching MRF lines		 $280.50–$357 $330–$420 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 2 matching MRF lines		 $102.85–$132.60 $121–$156 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $1,576.75 $1,855 3.7×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $640.90 $754 3.1×
Sigmoidoscopy & decompress (45337) $271.15 $319 0.3×
Sigmoidoscopy & Polypectomy (45333)
range across 2 matching MRF lines		 $814.30–$1,922.70 $958–$2,262 varies
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $5,837.80 $6,868 4.7×
Sigmoidoscopy flx tndsc balo dilat (45340) $1,145.80 $1,348 0.9×
Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) $402.05 $473 0.3×
Sigmoidoscopy w/fb removal (45332) $681.70 $802 0.5×
Sigmoidoscopy w/plcmt stent (45347)
likely a partial charge, not the full procedure		 $364.65 $429 0.1×
Sigmoidoscopy W/Ultrasound (45341) $294.10 $346 0.3×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 2 matching MRF lines		 $710.60–$1,893.80 $836–$2,228 varies
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $1,234.20 $1,452 1.0×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $512.55–$516.80 $603–$608 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $264.35–$416.50 $311–$490 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $275.40–$441.15 $324–$519 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017)
range across 2 matching MRF lines		 $347.65–$537.20 $409–$632 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $337.45–$458.15 $397–$539 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018)
range across 2 matching MRF lines		 $393.55–$520.20 $463–$612 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $221–$374.85 $260–$441 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 2 matching MRF lines		 $483.65–$546.55 $569–$643 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $308.55–$413.10 $363–$486 varies
Skin Full Grft Face/Genit/Hf (15240)
range across 2 matching MRF lines		 $2,197.25–$4,940.20 $2,585–$5,812 varies
Skin Pinch Graft (15050)
range across 2 matching MRF lines		 $350.20–$1,406.75 $412–$1,655 varies
Skin sub graft face/nk/hf/g (15275) $383.35 $451 0.5×
Skin sub graft trnk/arm/leg (15271) $368.90 $434 0.5×
Skin sub grft t/arm/lg child (15273) $748.85 $881 0.3×
Skin Tissue Procedure (17999) $48.45 $57 0.2×
Skn sub grft f/n/hf/g child (15277) $821.95 $967 0.4×
Small bowel endoscopy (44384) $364.65 $429 0.2×
Small bowel endoscopy (44366) $568.65 $669 0.3×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $582.25 $685 0.3×
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379)
likely a partial charge, not the full procedure		 $969.85 $1,141 0.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $266.05–$397.80 $313–$468 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $415.65–$424.15 $489–$499 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $461.55–$486.20 $543–$572 varies
Sphincterotomy anal division sphincter spx (46080) $690.20 $812 0.2×
Spinal puncture lumbar diagnostic (62270)
range across 4 matching MRF lines		 $226.10–$412.25 $266–$485 varies
Sternal debridement (21627) $1,255.45 $1,477 0.4×
Strapping ankle (29540)
range across 3 matching MRF lines		 $66.30–$255.85 $78–$301 varies
Strapping elbow or wrist (29260)
range across 3 matching MRF lines		 $71.40–$366.35 $84–$431 varies
Strapping hand/finger (29280)
range across 3 matching MRF lines		 $70.55–$204.85 $83–$241 varies
Strapping Hip (29520)
range across 3 matching MRF lines		 $85–$349.35 $100–$411 varies
Strapping knee (29530)
range across 4 matching MRF lines		 $73.10–$255.85 $86–$301 varies
Strapping shoulder (29240)
range across 3 matching MRF lines		 $73.10–$251.60 $86–$296 varies
Strapping thorax (29200)
range across 3 matching MRF lines		 $80.75–$279.65 $95–$329 varies
Strapping toes (29550)
range across 3 matching MRF lines		 $45.90–$255.85 $54–$301 varies
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $152.15–$232.90 $179–$274 varies
Surg Tx Anal Fistula 2nd Stage (46285) $1,347.25 $1,585 0.5×
Surg tx anal fistula subq (46270) $1,280.10 $1,506 0.4×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $1,353.20 $1,592 0.5×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930)
range across 2 matching MRF lines		 $889.95–$1,732.30 $1,047–$2,038 varies
Suture 1 nerve hand/foot common sensory nerve (64834)
range across 2 matching MRF lines		 $1,728.05–$2,433.55 $2,033–$2,863 varies
Suture 1 Nerve Ulnar Motor (64836)
range across 2 matching MRF lines		 $1,893.80–$2,992.85 $2,228–$3,521 varies
Suture digital nerve hand/foot 1 nerve (64831)
range across 2 matching MRF lines		 $1,621.80–$2,973.30 $1,908–$3,498 varies
Suture pharynx for wound or injury (42900)
range across 2 matching MRF lines		 $783.70–$859.35 $922–$1,011 varies
Tangential biopsy skin single lesion (11102) $227.80 $268 0.5×
Ther Apheresis W/Extracorporeal Immunoadsorption (36516) $5,753.65 $6,769 1.3×
Ther Spi Pnxr Csf Fluor/Ct (62329) $884.85 $1,041 1.2×
Therapeutic plasma exchange (36514) $3,330.30 $3,918 2.1×
Thyroid biopsy (60100) $614.55 $723 0.8×
Thyroidectomy Post Prev Thyr Surg (60260)
unusually low: confirm this is the full procedure		 $2,533 $2,980 0.4×
Thyroidectomy, total or complete (60240)
unusually low: confirm this is the full procedure		 $2,129.25 $2,505 0.3×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252)
unusually low: confirm this is the full procedure		 $3,062.55 $3,603 0.5×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060)
range across 2 matching MRF lines		 $1,819.85–$1,926.95 $2,141–$2,267 varies
Total Knee Arthroplasty (27447)
likely a partial charge, not the full procedure		 $2,964.80 $3,488 0.2×
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225)
unusually low: confirm this is the full procedure		 $2,190.45 $2,577 0.3×
Tracheostomy Emergency Cricothyroid Membrane (31605)
range across 2 matching MRF lines		 $761.60–$1,411.85 $896–$1,661 varies
Tracheostomy Emergency Procedure Transtracheal (31603)
range across 3 matching MRF lines		 $742.05–$1,411.85 $873–$1,661 varies
Tracheostomy Fenestration W/Skin Flaps (31610)
unusually low: confirm this is the full procedure		 $2,286.50 $2,690 0.4×
Tracheostomy planned (31600) $705.50 $830 0.2×
Tracheostomy Planned Under 2 Years Spx (31601)
likely a partial charge, not the full procedure		 $1,055.70 $1,242 0.2×
Treat Dental Ridge Fracture (21440)
range across 2 matching MRF lines		 $1,394–$1,669.40 $1,640–$1,964 varies
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $761.60–$860.20 $896–$1,012 varies
Treat Humerus Fracture (24505)
range across 2 matching MRF lines		 $851.70–$1,191.70 $1,002–$1,402 varies
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $264.35–$793.05 $311–$933 varies
Treat knee fracture (27532) $1,778.20 $2,092 0.5×
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $203.15–$802.40 $239–$944 varies
Treat Thumb Dislocation (26641)
range across 2 matching MRF lines		 $346.80–$994.50 $408–$1,170 varies
Treat Thumb Fracture (26645)
range across 2 matching MRF lines		 $363.80–$1,026.80 $428–$1,208 varies
Treat toe dislocation (28630)
range across 2 matching MRF lines		 $203.15–$363.80 $239–$428 varies
Treat Vaginal Bleeding (57180)
range across 2 matching MRF lines		 $482.80–$522.75 $568–$615 varies
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 2 matching MRF lines		 $1,127.10–$1,326.85 $1,326–$1,561 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $264.35–$884.85 $311–$1,041 varies
Treatment mouth roof lesion (42160)
range across 2 matching MRF lines		 $561–$1,662.60 $660–$1,956 varies
Trim skin lesion (11055)
range across 2 matching MRF lines		 $173.40–$220.15 $204–$259 varies
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines		 $199.75–$220.15 $235–$259 varies
Trim skin lesions over 4 (11057) $220.15 $259 1.1×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $1,135.60 $1,336 0.4×
Tx Gastro Intub W/Asp (43753)
range across 2 matching MRF lines		 $50.15–$193.80 $59–$228 varies
Tx Incomplete Abortion Any Trimester Surgical (59812) $834.70 $982 0.2×
Tx open tendon flexor toe 1 tendon spx (28232) $906.10 $1,066 0.5×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257)
range across 2 matching MRF lines		 $834.70–$1,420.35 $982–$1,671 varies
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $297.50–$716.55 $350–$843 varies
Tx superficial wound dehiscence w/packing (12021)
range across 2 matching MRF lines		 $345.10–$419.90 $406–$494 varies
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $1,624.35 $1,911 1.0×
Unlisted Procedure Casting/Strapping (29799)
range across 3 matching MRF lines		 $121.55–$279.65 $143–$329 varies
Unlisted Procedure Hands/Fingers (26989) $200.60 $236 0.8×
Unlisted Procedure Intestine (44799) $2,556.80 $3,008 2.7×
Unlisted procedure nervous system (64999) $66.30 $78 0.2×
Unlisted Procedure Tongue Floor Mouth (41599) $175.95 $207 0.7×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $2,396.15 $2,819 2.5×
Vaginal delivery only (59409)
range across 2 matching MRF lines		 $470.05–$1,796.90 $553–$2,114 varies
Vasectomy uni/bi spx w/postop semen exams (55250) $787.10 $926 0.4×
Vein Access Cutdown < 1 Yr (36420)
range across 2 matching MRF lines		 $107.10–$563.55 $126–$663 varies
Venous Cutdown >1 Y/O (36425)
range across 2 matching MRF lines		 $95.20–$563.55 $112–$663 varies
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $328.10–$400.35 $386–$471 varies
Wedging of cast (29740)
range across 2 matching MRF lines		 $126.65–$227.80 $149–$268 varies
Windowing of cast (29730)
range across 2 matching MRF lines		 $126.65–$148.75 $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.