Procedures & surgery prices at CHI Health St. Mary's

Nebraska City, NE · every code in this section with a posted price and a Medicare benchmark.

784 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		 $706.33–$1,005.96 $851–$1,212 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $505.47–$805.10 $609–$970 varies
Acne surgery (10040) $232.40 $280 1.1×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061)
range across 2 matching MRF lines		 $2,167.13–$2,295.78 $2,611–$2,766 varies
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,133.10 $2,570 1.0×
Amniocentesis diagnostic (59000) $191.73 $231 0.2×
Amniocentesis therapeutic (59001) $1,889.08 $2,276 6.0×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952)
range across 2 matching MRF lines		 $1,394.40–$1,602.73 $1,680–$1,931 varies
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 3 matching MRF lines		 $1,394.40–$1,636.76 $1,680–$1,972 varies
Amputation toe metatarsophalangeal joint (28820) $664 $800 0.2×
Anoplasty, plastic operation for stricture; adult Facility (46700) $1,515.58 $1,826 0.5×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $285.52–$298.80 $344–$360 varies
Anoscopy W/Rmvl Foreign Body (46608)
range across 2 matching MRF lines		 $702.18–$732.06 $846–$882 varies
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $239.04 $288 0.1×
Apheresis Platelets (36513) $566.06 $682 1.2×
Appendectomy (44950)
likely a partial charge, not the full procedure		 $1,435.90 $1,730 0.2×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $136.95 $165 0.8×
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines		 $188.41–$196.71 $227–$237 varies
Application Cast Finger (29086) $173.47 $209 1.0×
Application Finger Splint Dynamic (29131)
range across 2 matching MRF lines		 $120.35–$181.77 $145–$219 varies
Application finger splint static (29130)
range across 2 matching MRF lines		 $93.79–$195.88 $113–$236 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $185.09–$358.56 $223–$432 varies
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $198.37–$480.57 $239–$579 varies
Application of long leg cast (29345)
range across 2 matching MRF lines		 $306.27–$365.20 $369–$440 varies
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines		 $176.79–$305.44 $213–$368 varies
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $148.57–$307.93 $179–$371 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $161.85–$289.67 $195–$349 varies
Apply hand/wrist cast (29085)
range across 3 matching MRF lines		 $215.80–$230.74 $260–$278 varies
Apply long arm cast (29065)
range across 2 matching MRF lines		 $206.67–$218.29 $249–$263 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines		 $132.80–$616.69 $160–$743 varies
Apply Short Leg Cast (29405)
range across 2 matching MRF lines		 $181.77–$311.25 $219–$375 varies
Apply short leg cast (29425) $172.64 $208 0.6×
Arterial puncture (36600)
range across 2 matching MRF lines		 $66.40–$78.85 $80–$95 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $126.99–$420.81 $153–$507 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 5 matching MRF lines		 $98.77–$718.78 $119–$866 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $231.57–$351.92 $279–$424 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $122.84–$786.84 $148–$948 varies
Arthroplasty interphalangeal joint each (26535)
range across 2 matching MRF lines		 $1,006.79–$4,297.74 $1,213–$5,178 varies
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
likely a partial charge, not the full procedure		 $740.36 $892 0.1×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $4,163.28 $5,016 1.2×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $740.36 $892 0.2×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
unusually low: confirm this is the full procedure		 $2,343.92 $2,824 0.3×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
likely a partial charge, not the full procedure		 $1,410.17 $1,699 0.2×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)
likely a partial charge, not the full procedure		 $1,448.35 $1,745 0.1×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $656.53–$761.94 $791–$918 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $566.89–$656.53 $683–$791 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $148.57–$263.94 $179–$318 varies
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines		 $570.21–$2,225.23 $687–$2,681 varies
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $271.41–$290.50 $327–$350 varies
Biopsy bone open superficial (20240) $2,489.17 $2,999 0.8×
Biopsy external ear (69100) $323.70 $390 1.3×
Biopsy muscle percutaneous needle (20206) $1,113.03 $1,341 0.6×
Biopsy of breast; open, incisional (19101) $763.60 $920 0.2×
Biopsy of floor of mouth (41108) $1,277.37 $1,539 0.7×
Biopsy of palate, uvula (42100) $1,093.11 $1,317 0.7×
Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) $1,054.93 $1,271 0.3×
Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) $1,272.39 $1,533 0.3×
Biopsy Salivary Gland Needle (42400) $981.06 $1,182 1.3×
Biopsy Tongue Anterior Two-Thirds (41100) $970.27 $1,169 1.7×
Biopsy Vaginal Mucosa Simple (57100) $350.26 $422 0.4×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $1,017.58 $1,226 1.1×
Biopsy, vestibule of mouth (40808) $395.91 $477 0.7×
Biopsy/removal lymph nodes (38510) $1,216.78 $1,466 0.3×
Bladder instillation anticarcinogenic agent (51720) $610.05 $735 0.8×
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $178.45–$253.15 $215–$305 varies
Bladder Scan (51798)
range across 2 matching MRF lines		 $24.07–$259.79 $29–$313 varies
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $364.37–$675.62 $439–$814 varies
Blood Transfusion Service (36430)
range across 6 matching MRF lines		 $611.71–$1,743.83 $737–$2,101 varies
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines		 $382.63–$405.87 $461–$489 varies
Bone Marrow; Aspiration Only (38220)
range across 2 matching MRF lines		 $346.11–$367.69 $417–$443 varies
Brnchsc Brushing/Protected Brushings (31623) $1,906.51 $2,297 1.0×
Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) $2,420.28 $2,916 0.6×
Bx breast 1st lesion mr imag (19085) $1,878.29 $2,263 1.1×
Bx breast 1st lesion strtctc (19081)
range across 2 matching MRF lines		 $1,206.82–$1,790.31 $1,454–$2,157 varies
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines		 $1,220.93–$2,703.31 $1,471–$3,257 varies
Bx breast needle core w/o imaging guidance spx (19100) $356.07 $429 0.2×
Bx Cervix (57500) $429.94 $518 0.4×
Bx/exc lymph node open deep axillary node (38525) $987.70 $1,190 0.2×
Bx/exc lymph node open superficial (38500) $771.07 $929 0.2×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $1,135.44 $1,368 0.3×
Carpal Tunnel Surgery (64721) $1,019.24 $1,228 0.5×
Catheter aspiration nasotracheal spx (31720)
range across 3 matching MRF lines		 $30.71–$138.61 $37–$167 varies
Cautery Cervix Cryocautery Initial/Repeat (57511) $359.39 $433 1.1×
Change Cystostomy Tube Complicated (51710) $266.43 $321 0.4×
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $225.76–$266.43 $272–$321 varies
Change of Windpipe Airway (31502) $80.51 $97 0.3×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $187.58–$208.33 $226–$251 varies
Chemodenerv 1 extremity 1-4 (64642) $527.88 $636 0.7×
Chemodenerv Musc Migraine (64615) $268.09 $323 0.8×
Chest tube placement (32551)
range across 2 matching MRF lines		 $352.75–$893.08 $425–$1,076 varies
Circumcision w/clamp/oth dev w/block (54150) $265.60 $320 0.1×
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $662.34–$1,231.72 $798–$1,484 varies
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $156.04–$185.92 $188–$224 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)
range across 2 matching MRF lines		 $497.17–$1,039.16 $599–$1,252 varies
Closed treatment of posterior malleolus fracture; with manipulation (27768)
range across 2 matching MRF lines		 $222.44–$1,028.37 $268–$1,239 varies
Closed treatment of ulnar shaft fracture; with manipulation (25535) $332 $400 1.3×
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines		 $177.62–$768.58 $214–$926 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $364.37–$878.97 $439–$1,059 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $455.67–$1,089.79 $549–$1,313 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines		 $434.92–$781.03 $524–$941 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 2 matching MRF lines		 $318.72–$575.19 $384–$693 varies
Closed tx carpal scaphoid fracture w/manj (25624)
range across 2 matching MRF lines		 $351.09–$1,136.27 $423–$1,369 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $715.46 $862 2.8×
Closed tx knee dislocation w/o anesthesia (27550)
range across 2 matching MRF lines		 $286.35–$1,185.24 $345–$1,428 varies
Closed Tx Lunate Dislocation W/Manipulation (25690)
range across 2 matching MRF lines		 $222.44–$1,130.46 $268–$1,362 varies
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines		 $286.35–$508.79 $345–$613 varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $352.75 $425 0.2×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)
range across 2 matching MRF lines		 $511.28–$2,452.65 $616–$2,955 varies
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421)
range across 2 matching MRF lines		 $1,522.22–$2,736.51 $1,834–$3,297 varies
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines		 $286.35–$854.07 $345–$1,029 varies
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines		 $497.17–$756.13 $599–$911 varies
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines		 $479.74–$1,035.01 $578–$1,247 varies
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $287.18–$614.20 $346–$740 varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $455.67–$1,167.81 $549–$1,407 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 2 matching MRF lines		 $272.24–$662.34 $328–$798 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $464.80–$1,199.35 $560–$1,445 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $436.58–$674.79 $526–$813 varies
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 2 matching MRF lines		 $177.62–$546.14 $214–$658 varies
Closed tx talus fracture w/o manipulation (28430)
range across 2 matching MRF lines		 $376.82–$560.25 $454–$675 varies
Closed tx temporomandibular dislocation 1st/sbsq (21480) $328.68 $396 1.3×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 2 matching MRF lines		 $479.74–$1,074.02 $578–$1,294 varies
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 2 matching MRF lines		 $287.18–$679.77 $346–$819 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines		 $472.27–$614.20 $569–$740 varies
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830)
range across 2 matching MRF lines		 $490.53–$551.95 $591–$665 varies
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831)
range across 2 matching MRF lines		 $730.40–$1,578.66 $880–$1,902 varies
Clsd tx acromioclavicular dislc w/manipulation (23545)
range across 2 matching MRF lines		 $219.95–$812.57 $265–$979 varies
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540)
range across 2 matching MRF lines		 $214.14–$553.61 $258–$667 varies
Clsd Tx Clavicular Fracture W/Manipulation (23505)
range across 2 matching MRF lines		 $223.27–$833.32 $269–$1,004 varies
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines		 $223.27–$516.26 $269–$622 varies
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $243.19 $293 0.9×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 3 matching MRF lines		 $278.88–$2,279.18 $336–$2,746 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $223.27–$755.30 $269–$910 varies
Clsd tx sternoclavicular dislc w/o manipulation (23520)
range across 2 matching MRF lines		 $559.42–$593.45 $674–$715 varies
Clsr Anal Fstl W/Rct Advmnt Flap (46288) $1,286.50 $1,550 0.4×
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 2 matching MRF lines		 $1,139.59–$1,290.65 $1,373–$1,555 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 2 matching MRF lines		 $327.02–$869.01 $394–$1,047 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 2 matching MRF lines		 $474.76–$809.25 $572–$975 varies
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $253.15–$983.55 $305–$1,185 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $253.15–$731.23 $305–$881 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $543.65–$742.85 $655–$895 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $332–$434.92 $400–$524 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $787.67 $949 3.1×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $280.54–$1,245.83 $338–$1,501 varies
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $314.57 $379 0.2×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508)
range across 2 matching MRF lines		 $671.47–$1,209.31 $809–$1,457 varies
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 2 matching MRF lines		 $790.16–$1,723.08 $952–$2,076 varies
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 2 matching MRF lines		 $411.68–$417.49 $496–$503 varies
Cltx fx grt toe phlx/phlg w/o manj (28490) $470.61 $567 1.8×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $240.70–$381.80 $290–$460 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 3 matching MRF lines		 $214.14–$306.27 $258–$369 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 2 matching MRF lines		 $252.32–$737.87 $304–$889 varies
Cltx hip dislocation traumatic req anesthesia (27252) $1,717.27 $2,069 1.0×
Cltx hip dislocation traumatic w/o anesthesia (27250) $401.72 $484 1.6×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576)
range across 2 matching MRF lines		 $278.88–$817.55 $336–$985 varies
Cltx humeral condylar fx medial/lateral w/manj (24577)
range across 2 matching MRF lines		 $413.34–$1,283.18 $498–$1,546 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565)
range across 2 matching MRF lines		 $323.70–$1,249.15 $390–$1,505 varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $220.78–$282.20 $266–$340 varies
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $220.78–$662.34 $266–$798 varies
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $668.15–$775.22 $805–$934 varies
Cltx metacarpal fx w/manipulation each bone (26605) $770.24 $928 3.0×
Cltx metacarpal fx w/o manipulation each bone (26600) $700.52 $844 2.7×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $472.27–$794.31 $569–$957 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $465.63 $561 1.8×
Cltx post hip arthrp dislc req anes (27266)
range across 2 matching MRF lines		 $1,335.47–$1,645.06 $1,609–$1,982 varies
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $515.43–$940.39 $621–$1,133 varies
Cltx prox fibula/shft fx w/manj (27781)
range across 2 matching MRF lines		 $253.15–$1,007.62 $305–$1,214 varies
Cltx prox fibula/shft fx w/o manj (27780)
range across 2 matching MRF lines		 $253.15–$719.61 $305–$867 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 2 matching MRF lines		 $1,085.64–$1,139.59 $1,308–$1,373 varies
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660)
range across 2 matching MRF lines		 $472.27–$1,033.35 $569–$1,245 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $248.17–$512.11 $299–$617 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $1,961.29 $2,363 1.2×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 2 matching MRF lines		 $323.70–$1,001.81 $390–$1,207 varies
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675)
range across 2 matching MRF lines		 $323.70–$1,272.39 $390–$1,533 varies
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)
range across 2 matching MRF lines		 $797.63–$1,424.28 $961–$1,716 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines		 $345.28–$886.44 $416–$1,068 varies
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540)
range across 2 matching MRF lines		 $177.62–$458.99 $214–$553 varies
Cltx tibial fx proximal w/o manipulation (27530)
range across 2 matching MRF lines		 $715.46–$942.88 $862–$1,136 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $639.10–$805.93 $770–$971 varies
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $222.44–$1,128.80 $268–$1,360 varies
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 2 matching MRF lines		 $455.67–$768.58 $549–$926 varies
Collect Blood From Catheter Venous Nos (36592) $8.30 $10 0.1×
Collection of venous blood by venipuncture (36415)
range across 4 matching MRF lines		 $5.81–$92.13 $7–$111 varies
Colonoscopy Stoma Ablation Lesion (44401) $5,888.02 $7,094 4.7×
Colonoscopy Stoma Control Bleeding (44391) $1,550.44 $1,868 1.2×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $915.49 $1,103 0.7×
Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402)
likely a partial charge, not the full procedure		 $605.90 $730 0.1×
Colonoscopy Stoma W/Rmvl Foreign Body (44390) $968.61 $1,167 1.0×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $989.36 $1,192 0.8×
Colonoscopy thru stoma (44388) $750.32 $904 0.8×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $1,048.29 $1,263 0.8×
Colonoscopy w/ablation (45388) $6,076.43 $7,321 4.9×
Colonoscopy w/fb removal (45379) $1,040.82 $1,254 0.8×
Colonoscopy w/stent plcmt (45389)
likely a partial charge, not the full procedure		 $670.64 $808 0.1×
Colonoscopy w/submucosal inj (45381) $1,066.55 $1,285 0.9×
Colpocentesis (57020)
range across 2 matching MRF lines		 $296.31–$790.16 $357–$952 varies
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210)
range across 2 matching MRF lines		 $913.83–$1,996.15 $1,101–$2,405 varies
Colporrhaphy (57200)
range across 2 matching MRF lines		 $771.07–$1,996.15 $929–$2,405 varies
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $285.52 $344 0.9×
Colposcopy Cervix Endocervical Curettage (57456) $285.52 $344 0.9×
Colposcopy cervix upper/adjacent vagina (57452) $285.52 $344 1.4×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $285.52 $344 0.9×
Colposcopy Vulva W/Biopsy (56821) $212.48 $256 0.7×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $141.10 $170 0.1×
Colsc Flexible W/Control Bleeding Any Method (45382) $1,616.84 $1,948 1.3×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $1,483.21 $1,787 1.2×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,168.64 $1,408 0.9×
Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) $703.01 $847 0.6×
Complex drainage wound (10180)
range across 2 matching MRF lines		 $605.90–$1,033.35 $730–$1,245 varies
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $572.70–$581 $690–$700 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines		 $177.62–$370.18 $214–$446 varies
Control oropharyngeal hemorrhage simple (42960)
range across 2 matching MRF lines		 $373.50–$961.97 $450–$1,159 varies
Correction hammertoe (28285) $1,250.81 $1,507 0.4×
Create Eardrum Opening (69433) $470.61 $567 0.8×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $830–$864.03 $1,000–$1,041 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 2 matching MRF lines		 $287.18–$872.33 $346–$1,051 varies
Cysto Bladder W/Ureteral Catheterization (52005)
range across 2 matching MRF lines		 $722.93–$2,698.33 $871–$3,251 varies
Cystometrogram W/Vp&Up (51729) $925.45 $1,115 1.3×
Cystourethroscopy (52000)
range across 2 matching MRF lines		 $572.70–$1,308.91 $690–$1,577 varies
Cystourethroscopy, with resection of external sphincter (sphincterotomy) Facility (52277) $738.70 $890 0.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $136.95–$722.93 $165–$871 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 2 matching MRF lines		 $1,494–$1,726.40 $1,800–$2,080 varies
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines		 $544.48–$1,051.61 $656–$1,267 varies
Deb Musc/Fascia 20 Sq Cm/< (11043) $635.78 $766 0.8×
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $75.53–$92.13 $91–$111 varies
Debride nail 6 or more (11721)
range across 3 matching MRF lines		 $102.09–$576.85 $123–$695 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $713.80–$1,612.69 $860–$1,943 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $303.78–$425.79 $366–$513 varies
Declot vascular device (36593) $594.28 $716 1.7×
Deep Muscle Biopsy (20205) $702.18 $846 0.2×
Delivery of placenta (59414)
range across 2 matching MRF lines		 $195.05–$698.86 $235–$842 varies
Destroy cerv/thor facet jnt (64633) $3,993.13 $4,811 2.0×
Destroy lumb/sac facet jnt (64635) $3,993.13 $4,811 2.0×
Destruct B9 Lesion 1-14 (17110) $170.98 $206 0.8×
Destruction Benign Lesions 15/> (17111) $185.09 $223 0.9×
Destruction neurolytic agt genicular nerve w/img (64624) $2,403.68 $2,896 1.2×
Destruction of skin lesions (17106)
range across 2 matching MRF lines		 $235.72–$795.14 $284–$958 varies
Destruction Premalignant Lesion 15/> (17004) $378.48 $456 0.9×
Destruction premalignant lesion 1st (17000)
range across 3 matching MRF lines		 $110.39–$156.87 $133–$189 varies
Diagnostic sigmoidoscopy (45330) $444.05 $535 0.5×
Dilat Urethral Strix Dilator Male Sbsq (53601)
range across 2 matching MRF lines		 $196.71–$303.78 $237–$366 varies
Dilate Esophagus 1/Mult Pass (43450)
range across 3 matching MRF lines		 $449.03–$1,177.77 $541–$1,419 varies
Dilate Urethra Stricture (53620)
range across 2 matching MRF lines		 $405.04–$2,524.03 $488–$3,041 varies
Dilate Urethra Stricture (53600)
range across 2 matching MRF lines		 $205.84–$399.23 $248–$481 varies
Dilation & curettage dx&/ther nonobstetric (58120) $686.41 $827 0.2×
Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) $226.59 $273 0.1×
Drain Cerebro Spinal Fluid (62272) $832.49 $1,003 1.1×
Drainage Abscess/Hematoma Nasal Septum (30020)
range across 2 matching MRF lines		 $522.07–$641.59 $629–$773 varies
Drainage external auditory canal abscess (69020)
range across 2 matching MRF lines		 $224.93–$553.61 $271–$667 varies
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $224.93–$436.58 $271–$526 varies
Drainage Mouth Roof Lesion (42000)
range across 2 matching MRF lines		 $376.82–$411.68 $454–$496 varies
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $265.60–$822.53 $320–$991 varies
Drainage of gum lesion (41800)
range across 2 matching MRF lines		 $228.25–$684.75 $275–$825 varies
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $396.74–$1,216.78 $478–$1,466 varies
Drainage of rectal abscess (45005)
range across 2 matching MRF lines		 $750.32–$893.08 $904–$1,076 varies
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $537.01–$1,334.64 $647–$1,608 varies
Drainage of scrotum (54700)
range across 2 matching MRF lines		 $490.53–$2,551.42 $591–$3,074 varies
Draw Blood Off Venous Device (36591) $140.27 $169 1.0×
Dressing Change Under Anesthesia (15852) $675.62 $814 0.9×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines		 $184.26–$480.57 $222–$579 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $453.18–$626.65 $546–$755 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $364.37–$419.98 $439–$506 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 3 matching MRF lines		 $195.88–$287.18 $236–$346 varies
Dstrj lesion anus simple surg excision (46922) $742.85 $895 0.3×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,043.31 $1,257 1.1×
Dx Bone Marrow Bx & Aspir (38222)
range across 2 matching MRF lines		 $414.17–$1,923.94 $499–$2,318 varies
Dx Bronchoscope/Wash (31622)
range across 3 matching MRF lines		 $583.49–$1,723.08 $703–$2,076 varies
Dx Laryngoscopy Excl Nb (31525)
range across 2 matching MRF lines		 $582.66–$880.63 $702–$1,061 varies
Dx lmbr spi pnxr w/fluor/CT (62328) $873.16 $1,052 1.2×
Egd Balloon Dil Esoph30 Mm/> (43233) $523.73 $631 0.3×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $2,671.77 $3,219 1.3×
Egd cautery tumor polyp (43250) $1,092.28 $1,316 0.5×
Egd control bleeding any (43255) $1,528.86 $1,842 0.8×
Egd dilation gastric/duodenal stricture (43245) $1,448.35 $1,745 0.7×
Egd endo mucosal resection (43254) $625.82 $754 0.3×
Egd Endoscopic Stent Place (43266)
likely a partial charge, not the full procedure		 $501.32 $604 0.1×
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $921.30–$1,148.72 $1,110–$1,384 varies
Egd guide wire insertion (43248) $998.49 $1,203 1.1×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $546.97 $659 0.3×
Egd intrmural us needle aspirate/biopsy esophags (43238) $537.84 $648 0.3×
Egd Optical Endomicroscopy (43252) $811.74 $978 0.4×
Egd place gastrostomy tube (43246) $457.33 $551 0.2×
Egd remove lesion snare (43251) $1,201.84 $1,448 0.6×
Egd Tube/Cath Insertion (43241) $327.85 $395 0.2×
Egd us exam duodenum/jejunum (43259) $522.90 $630 0.3×
Egd us transmural injxn/mark (43253) $608.39 $733 0.3×
Egd Varices Ligation (43244) $567.72 $684 0.3×
Egd W/Thrml Txmnt Gerd (43257) $535.35 $645 0.1×
Egd W/Transmural Drain Cyst (43240)
likely a partial charge, not the full procedure		 $906.36 $1,092 0.1×
Endometrial Biopsy (58100) $462.31 $557 2.2×
Endoscopic plantar fasciotomy (29893) $1,561.23 $1,881 0.5×
Endoscopic us exam esoph (43237) $453.18 $546 0.2×
Endoscopy Upper Small Intestine (44360) $332 $400 0.2×
Endoscopy upper small intestine w/biopsy (44361) $366.86 $442 0.2×
Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) $692.22 $834 0.3×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) $658.19 $793 0.3×
Enteroscopy > 2nd prtn conv gstrst tube (44373) $441.56 $532 0.2×
Enteroscopy > 2nd prtn ileum control bleeding (44378) $891.42 $1,074 0.4×
Enteroscopy > 2nd prtn tndsc stent plmt (44370)
likely a partial charge, not the full procedure		 $616.69 $743 0.1×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $550.29 $663 0.3×
Enteroscopy > 2nd prtn w/rmvl foreign body (44363) $443.22 $534 0.2×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) $420.81 $507 0.2×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $472.27 $569 0.2×
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $235.72–$737.87 $284–$889 varies
Episiotomy or vaginal repair (59300)
range across 2 matching MRF lines		 $307.10–$524.56 $370–$632 varies
Ercp Dx Collection Specimen Brushing/Washing (43260) $746.17 $899 0.2×
Esoph Optical Endomicroscopy (43206) $726.25 $875 0.4×
Esoph Scope W/Submucous Inj (43201) $620.84 $748 0.3×
Esophagogastroduodenoscopy Submucosal Injection (43236) $974.42 $1,174 1.0×
Esophagosc Dilate Balloon 30 (43214) $443.22 $534 0.2×
Esophagoscop Mucosal Resect (43211) $542.82 $654 0.3×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $2,214.44 $2,668 1.1×
Esophagoscopy Flex Transoral Injection Varices (43204) $312.08 $376 0.2×
Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) $1,018.41 $1,227 0.5×
Esophagoscopy Flexible Guide Wire Dilation (43226) $926.28 $1,116 0.5×
Esophagoscopy Flexible Transnasal Diagnostic (43197) $452.35 $545 0.5×
Esophagoscopy Flexible Transnasal With Biopsy (43198) $500.49 $603 0.5×
Esophagoscopy Flexible Transoral Diagnostic (43200)
range across 3 matching MRF lines		 $629.97–$1,612.69 $759–$1,943 varies
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $368.52 $444 0.2×
Esophagoscopy Flexible W/Bleeding Control (43227) $1,450.01 $1,747 0.7×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) $462.31 $557 0.2×
Esophagoscopy Retro Balloon (43213) $3,017.88 $3,636 1.5×
Esophagoscopy rig transoral removal foreign body (43194) $439.07 $529 0.2×
Esophagoscopy Rigid Balloon (43195) $422.47 $509 0.1×
Esophagoscopy rigid trnso dx (43191) $354.41 $427 0.2×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $866.52 $1,044 0.4×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215)
range across 3 matching MRF lines		 $898.89–$947.86 $1,083–$1,142 varies
Esophagoscp Guide Wire Dilat (43196) $449.86 $542 0.2×
Esophagoscp Rig Trnso Biopsy (43193) $387.61 $467 0.2×
Esophagoscp Rig Trnso Inject (43192) $388.44 $468 0.2×
Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) $997.66 $1,202 0.5×
Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) $325.36 $392 0.2×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $78.85–$133.63 $95–$161 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $299.63–$510.45 $361–$615 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,905.68 $2,296 1.1×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $553.61 $667 0.8×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 2 matching MRF lines		 $624.99–$1,105.56 $753–$1,332 varies
Exc Face Les Sbq 2 Cm/> (21012) $511.28 $616 0.3×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 3 matching MRF lines		 $336.98–$2,494.15 $406–$3,005 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines		 $407.53–$517.92 $491–$624 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines		 $450.69–$1,101.41 $543–$1,327 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 2 matching MRF lines		 $531.20–$1,101.41 $640–$1,327 varies
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $300.46 $362 0.2×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $375.16 $452 0.5×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines		 $419.98–$1,380.29 $506–$1,663 varies
Exc Rct Tum Not Incl Muscularis Propria (45171) $1,420.96 $1,712 0.5×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $460.65–$1,008.45 $555–$1,215 varies
Exc Skin Benig >4 Cm Remaindr Body (11426) $771.07 $929 0.3×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $734.55 $885 0.4×
Exc Skin Benig >4cm Face,Facial (11446) $898.06 $1,082 0.3×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)
range across 2 matching MRF lines		 $689.73–$1,101.41 $831–$1,327 varies
Exc Thrombosed Hemorrhoid Xtrnl (46320) $502.15 $605 0.4×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines		 $361.88–$532.86 $436–$642 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines		 $401.72–$1,132.95 $484–$1,365 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines		 $521.24–$1,982.87 $628–$2,389 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $1,008.45 $1,215 0.3×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,091.45 $1,315 0.6×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $1,121.33 $1,351 0.7×
Excis Mouth Mucosa/Sub,No Repair (40810) $1,726.40 $2,080 0.5×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $1,813.55 $2,185 1.1×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $1,101.41 $1,327 1.5×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $544.48 $656 1.3×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,101.41 $1,327 1.5×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $475.59 $573 0.6×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 2 matching MRF lines		 $733.72–$1,105.56 $884–$1,332 varies
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $1,167.81 $1,407 0.4×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 2 matching MRF lines		 $590.13–$1,101.41 $711–$1,327 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $782.69 $943 0.5×
Excision Multiple External Papillae/Tags Anus (46230)
range across 3 matching MRF lines		 $628.31–$733.72 $757–$884 varies
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 2 matching MRF lines		 $747–$3,689.35 $900–$4,445 varies
Excision of hydrocele; bilateral (55041) $1,183.58 $1,426 0.3×
Excision of hydrocele; unilateral (55040) $782.69 $943 0.2×
Excision of pilonidal cyst or sinus; simple (11770) $840.79 $1,013 0.3×
Excision Pilonidal Cyst/Sinus Complicated (11772) $1,793.63 $2,161 0.6×
Excision Pilonidal Cyst/Sinus Extensive (11771) $1,454.99 $1,753 0.5×
Excision tendon palm flexor/extensor single each (26170) $943.71 $1,137 0.6×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $949.52 $1,144 0.6×
Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure Facility (15922) $1,819.36 $2,192 0.5×
Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture Facility (15920) $1,449.18 $1,746 0.5×
Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) $2,131.44 $2,568 0.6×
Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) $2,045.95 $2,465 1.0×
Excision, sacral pressure ulcer, with primary suture; Facility (15931) $1,579.49 $1,903 0.5×
Excision, sacral pressure ulcer, with skin flap closure; Facility (15934) $2,148.87 $2,589 0.6×
Excision/destruction lesion pharynx any method (42808)
range across 2 matching MRF lines		 $540.33–$2,831.96 $651–$3,412 varies
Expl penetrating wound spx abdomen/flank/back (20102)
range across 3 matching MRF lines		 $1,450.01–$1,861.69 $1,747–$2,243 varies
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines		 $1,087.30–$2,083.30 $1,310–$2,510 varies
Exploration penetrating wound spx chest (20101) $1,390.25 $1,675 0.6×
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines		 $575.19–$1,311.40 $693–$1,580 varies
Exploration Penetrating Wound Spx Neck (20100) $1,358.71 $1,637 2.4×
External cephalic version (59412) $2,208.63 $2,661 0.7×
Fetal Contraction Stress Test (59020) $287.18 $346 1.4×
Fetal non-stress test (59025)
range across 2 matching MRF lines		 $108.73–$395.08 $131–$476 varies
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $237.38–$404.21 $286–$487 varies
Fluid Pressure Muscle (20950)
range across 2 matching MRF lines		 $624.16–$763.60 $752–$920 varies
Fluoro exam of g/colon tube (49465) $553.61 $667 2.2×
Fna bx w/us gdn 1st les (10005) $1,122.99 $1,353 1.5×
Foreskin manipulation (54450) $314.57 $379 1.2×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $1,029.20 $1,240 0.5×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $1,579.49 $1,903 0.8×
Guide Cathet Fluid Drainage (10030)
range across 2 matching MRF lines		 $1,565.38–$1,702.33 $1,886–$2,051 varies
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $1,220.10 $1,470 0.4×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $1,123.82 $1,354 0.4×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $1,106.39 $1,333 0.4×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) $1,215.95 $1,465 0.4×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) $1,327.17 $1,599 0.5×
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) $970.27 $1,169 0.3×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $672.30 $810 0.7×
Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) $1,086.47 $1,309 0.4×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $389.27–$449.03 $469–$541 varies
I&d abscess simple (10060)
range across 2 matching MRF lines		 $291.33–$345.28 $351–$416 varies
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines		 $1,550.44–$2,226.89 $1,868–$2,683 varies
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $558.59–$623.33 $673–$751 varies
I&d pilonidal cyst complicated (10081) $815.06 $982 1.1×
I&d pilonidal cyst simple (10080) $600.92 $724 0.8×
I&d thyroglossal duct cyst infected (60000)
range across 2 matching MRF lines		 $429.11–$920.47 $517–$1,109 varies
Ileoscopy Stoma W/Bx Single/Multiple (44382) $725.42 $874 0.8×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $468.95 $565 0.5×
Image Cath Fluid Trns/Vgnl (49407) $3,430.39 $4,133 2.0×
Incise external hemorrhoid (46083)
range across 4 matching MRF lines		 $287.18–$523.73 $346–$631 varies
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $495.51–$1,300.61 $597–$1,567 varies
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $616.69–$1,076.51 $743–$1,297 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $351.92–$375.16 $424–$452 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $438.24–$585.98 $528–$706 varies
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) $2,315.70 $2,790 0.8×
Incision and drainage of vulva or perineal abscess (56405) $346.94 $418 1.1×
Incision bone cortex foot (28005) $2,856.03 $3,441 0.8×
Incision of eardrum (69420) $443.22 $534 1.8×
Incision of lingual frenum (frenotomy) (41010) $991.02 $1,194 0.6×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $1,288.99–$1,982.87 $1,553–$2,389 varies
Incision&Drainage Upper Arm/Elbow Bursa (23931) $711.31 $857 0.4×
Incisional biopsy skin single lesion (11106) $934.58 $1,126 1.2×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $175.96–$209.16 $212–$252 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $1,794.46 $2,162 2.0×
Inj W/Fluor Eval Cv Device (36598) $553.61 $667 2.5×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $3,860.33 $4,651 4.2×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $3,222.06 $3,882 3.5×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $132.80–$252.32 $160–$304 varies
Injection aa&/strd genicular nrv branches w/img (64454) $873.16 $1,052 1.2×
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines		 $353.58–$1,292.31 $426–$1,557 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451) $873.16 $1,052 1.2×
Injection for identification of sentinel node (38792) $760.28 $916 1.8×
Injection of sclerosing solution, hemorrhoids (46500) $748.66 $902 0.8×
Injection single tendon origin/insertion (20551) $160.19 $193 0.5×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $71.38–$250.66 $86–$302 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $260.62–$808.42 $314–$974 varies
Injection therapeutic carpal tunnel (20526) $160.19 $193 0.5×
Injection, anesthetic agent; brachial plexus, single (64415) $210.82 $254 0.2×
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $94.62–$818.38 $114–$986 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $177.62–$818.38 $214–$986 varies
Injection, intralesional; up to and including 7 lesions (11900) $119.52 $144 0.6×
Insert Bladder Cath Complex (51703)
range across 3 matching MRF lines		 $352.75–$391.76 $425–$472 varies
Insert cath pleura w/ image (32557) $1,612.69 $1,943 1.0×
Insert cath pleura w/o image (32556) $1,801.93 $2,171 0.9×
Insert cervical dilator (59200) $328.68 $396 1.0×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $509.62–$2,397.87 $614–$2,889 varies
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $144.42–$221.61 $174–$267 varies
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $2,388.74–$3,282.65 $2,878–$3,955 varies
Insert tunneled cv cath (36563)
unusually low: confirm this is the full procedure		 $2,695.84 $3,248 0.5×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 4 matching MRF lines		 $103.75–$220.78 $125–$266 varies
Insertion indwelling tunneled pleural catheter (32550) $1,927.26 $2,322 0.5×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $688.90–$1,426.77 $830–$1,719 varies
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555)
range across 2 matching MRF lines		 $454.84–$1,986.19 $548–$2,393 varies
Insj prph ctr vad w/subq port age 5 yr/> (36571) $3,100.05 $3,735 0.9×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 4 matching MRF lines		 $215.80–$3,558.21 $260–$4,287 varies
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $1,969.59 $2,373 0.6×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $10,439.74 $12,578 1.8×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) $2,984.68 $3,596 0.9×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $2,021.05 $2,435 0.6×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
range across 2 matching MRF lines		 $359.39–$5,558.51 $433–$6,697 varies
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 2 matching MRF lines		 $1,035.84–$1,171.96 $1,248–$1,412 varies
Intmd Rpr Face/Mm 20.1-30.0 (12056)
range across 2 matching MRF lines		 $1,226.74–$1,345.43 $1,478–$1,621 varies
Intranasal Biopsy (30100) $334.49 $403 0.2×
Intubation endotracheal emergency procedure (31500)
range across 4 matching MRF lines		 $153.55–$548.63 $185–$661 varies
Irrigation maxillary sinus (31000) $430.77 $519 1.8×
Lap insert tunnel ip cath (49324)
likely a partial charge, not the full procedure		 $865.69 $1,043 0.1×
Laparo-vag hyst incl t/o (58552)
likely a partial charge, not the full procedure		 $2,253.45 $2,715 0.2×
Laparoscopy aspiration (49322)
likely a partial charge, not the full procedure		 $843.28 $1,016 0.1×
Laparoscopy Enterolysis Separate Procedure (44180)
unusually low: confirm this is the full procedure		 $2,053.42 $2,474 0.3×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure		 $972.76 $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		 $1,427.60 $1,720 0.2×
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure		 $1,350.41 $1,627 0.2×
Laparoscopy, surgical, splenectomy (38120)
likely a partial charge, not the full procedure		 $2,356.37 $2,839 0.2×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure		 $1,607.71 $1,937 0.3×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure		 $2,494.98 $3,006 0.2×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure		 $1,269.07 $1,529 0.2×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
likely a partial charge, not the full procedure		 $776.05 $935 0.1×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure		 $738.70 $890 0.1×
Laryngoscopy diagnostic (31505)
range across 2 matching MRF lines		 $160.19–$213.31 $193–$257 varies
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $273.90–$302.12 $330–$364 varies
Laryngoscopy Flx Rmvl Foreign Body(S) (31577)
range across 2 matching MRF lines		 $644.08–$661.51 $776–$797 varies
Laryngoscopy Indirect W/Removal Foreign Body (31511)
range across 2 matching MRF lines		 $220.78–$493.85 $266–$595 varies
Laryngoscopy W/Foreign Body Removal (31530)
range across 2 matching MRF lines		 $454.01–$1,210.14 $547–$1,458 varies
Late closure of wound (13160)
range across 3 matching MRF lines		 $1,591.94–$1,817.70 $1,918–$2,190 varies
Lateral Canthopexy (21282)
range across 2 matching MRF lines		 $916.32–$2,217.76 $1,104–$2,672 varies
Ligation or biopsy temporal artery (37609) $724.59 $873 0.4×
Lip Surgery Procedure (40799) $117.86 $142 0.5×
Mast mod rad (19307)
unusually low: confirm this is the full procedure		 $2,644.38 $3,186 0.4×
Mastectomy for gynecomastia (19300) $1,344.60 $1,620 0.3×
Mastectomy partial (19301) $1,479.89 $1,783 0.4×
Mastectomy partial w/axillary lymphadenectomy (19302)
likely a partial charge, not the full procedure		 $2,030.18 $2,446 0.3×
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure		 $2,141.40 $2,580 0.3×
Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) $667.32 $804 0.9×
Mrgfus Stereotactic Ablation Target Intracranial (61715)
range across 2 matching MRF lines		 $2,447.67–$39,564.44 $2,949–$47,668 varies
Myelography Lumbar Injection (62304) $1,754.62 $2,114 2.2×
Myelography via lumbar injection rs&i cervical (62302) $1,759.60 $2,120 2.2×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $1,759.60 $2,120 2.2×
N Block Inj Ilio-Ing/Hypogi (64425) $1,208.48 $1,456 1.6×
N block inj intercost sng (64420) $987.70 $1,190 1.3×
N Block Inj Plantar Digit (64455) $327.85 $395 1.0×
N Block Inj Pudendal (64430) $1,924.77 $2,319 2.1×
Nasal Endoscopy Dx (31231)
range across 2 matching MRF lines		 $177.62–$443.22 $214–$534 varies
Nasal/Orogastric W/Tube Plmt (43752) $295.48 $356 0.6×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $512.11 $617 0.5×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $752.81 $907 0.8×
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines		 $421.64–$1,586.96 $508–$1,912 varies
Needle insertion w/o injection 1 or 2 muscles (20560) $39.84 $48 1.3×
Needle insertion w/o injection 3 or more muscles (20561) $55.61 $67 1.9×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $259.79 $313 0.6×
Njx anes stellate ganglion crv sympathetic (64510) $1,302.27 $1,569 1.4×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $259.79–$436.58 $313–$526 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $328.68 $396 0.1×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $412.51–$1,185.24 $497–$1,428 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 3 matching MRF lines		 $410.02–$1,291.48 $494–$1,556 varies
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320)
range across 2 matching MRF lines		 $317.06–$1,098.09 $382–$1,323 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 3 matching MRF lines		 $403.38–$1,201.84 $486–$1,448 varies
Occipital Nerve Block (64405) $651.55 $785 2.0×
Open Tx Distal Phalangeal Fracture Each (26765)
range across 2 matching MRF lines		 $1,155.36–$3,494.30 $1,392–$4,210 varies
Open tx interphalangeal joint dislocation (26785)
range across 2 matching MRF lines		 $1,254.96–$6,636.68 $1,512–$7,996 varies
Orchiectomy partial (54522) $1,358.71 $1,637 0.4×
Orchiectomy radical tumor inguinal approach (54530) $1,173.62 $1,414 0.3×
Orchiectomy, radical, for tumor; with abdominal exploration Facility (54535) $1,718.10 $2,070 0.5×
Ostectomy, complete excision; fifth metatarsal head (28113) $1,362.86 $1,642 0.4×
Partial Excision Distal Phalanx Finger (26236) $2,049.27 $2,469 1.2×
Partial removal of thyroid (60220)
likely a partial charge, not the full procedure		 $1,609.37 $1,939 0.3×
Partial removal of toe (28160) $2,049.27 $2,469 0.6×
Partial thyroid excision (60212)
unusually low: confirm this is the full procedure		 $2,292.46 $2,762 0.4×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
likely a partial charge, not the full procedure		 $1,605.22 $1,934 0.3×
Partical Excision Bone Phalanx Toe (28124) $2,049.27 $2,469 0.6×
Pericardiocentesis W/Imaging (33016) $636.61 $767 0.4×
Peritoneal Lavage (49084)
range across 2 matching MRF lines		 $239.04–$678.94 $288–$818 varies
Perq dev breast 1st mr guide (19287) $1,561.23 $1,881 2.1×
Perq dev breast 1st strtctc (19283)
range across 2 matching MRF lines		 $615.86–$3,306.72 $742–$3,984 varies
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines		 $901.38–$1,628.46 $1,086–$1,962 varies
Perq device breast 1st imag (19281)
range across 2 matching MRF lines		 $566.06–$1,131.29 $682–$1,363 varies
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $653.21 $787 0.9×
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines		 $132.80–$278.88 $160–$336 varies
Placement of seton (46020) $262.28 $316 0.1×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300)
range across 3 matching MRF lines		 $304.61–$1,121.33 $367–$1,351 varies
Proctosgmdsc Rigid Control Bleeding (45317) $523.73 $631 0.4×
Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) $483.06 $582 0.2×
Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) $498 $600 0.4×
Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) $537.01 $647 0.4×
Proctosgmdsc rigid w/dilation (45303) $2,323.17 $2,799 1.9×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307)
range across 3 matching MRF lines		 $504.64–$1,358.71 $608–$1,637 varies
Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) $527.05 $635 0.2×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $429.94 $518 0.3×
Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) $229.08 $276 0.1×
Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Facility (45327)
likely a partial charge, not the full procedure		 $258.13 $311 0.0×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $236.55 $285 0.3×
Punch biopsy skin single lesion (11104) $466.46 $562 1.1×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $294.65–$302.12 $355–$364 varies
Puncture Aspiration Cyst Breast (19000) $268.09 $323 0.4×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $2,403.68 $2,896 1.2×
Reconstruct extra finger (26587)
range across 2 matching MRF lines		 $1,659.17–$2,369.65 $1,999–$2,855 varies
Reconstruction Nail Bed W/Graft (11762)
range across 2 matching MRF lines		 $341.96–$681.43 $412–$821 varies
Removal Anal Seton Other Marker (46030) $609.22 $734 0.5×
Removal Embedded Foreign Body Eyelid (67938)
range across 2 matching MRF lines		 $407.53–$647.40 $491–$780 varies
Removal Foreign Body Deep Thigh/Knee (27372)
range across 2 matching MRF lines		 $1,376.14–$2,237.68 $1,658–$2,696 varies
Removal foreign body foot deep (28192)
range across 2 matching MRF lines		 $524.56–$1,077.34 $632–$1,298 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $529.54–$570.21 $638–$687 varies
Removal foreign body jawbone (41806)
range across 2 matching MRF lines		 $978.57–$1,400.21 $1,179–$1,687 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $490.53–$507.96 $591–$612 varies
Removal foreign body upper arm/elbow deep (24201)
range across 2 matching MRF lines		 $1,267.41–$1,384.44 $1,527–$1,668 varies
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines		 $34.86–$253.15 $42–$305 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines		 $109.56–$253.15 $132–$305 varies
Removal Implant Deep (20680) $2,851.05 $3,435 0.9×
Removal of anal fissure (46200) $1,114.69 $1,343 0.4×
Removal of foreign body from pharynx (42809)
range across 2 matching MRF lines		 $473.93–$585.98 $571–$706 varies
Removal of infusion pump (36262) $5,052.21 $6,087 1.3×
Removal of nail bed (11750)
range across 3 matching MRF lines		 $262.28–$478.91 $316–$577 varies
Removal of testis (54520) $755.30 $910 0.2×
Removal of thyroid (60271)
unusually low: confirm this is the full procedure		 $2,394.55 $2,885 0.4×
Removal or bivalving full arm or full leg cast (29705) $144.42 $174 0.5×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 3 matching MRF lines		 $209.99–$375.99 $253–$453 varies
Removal subcutaneous cardiac rhythm monitor (33286) $842.45 $1,015 1.1×
Removal/bivalving gauntlet boot/body cast (29700)
range across 2 matching MRF lines		 $132.80–$140.27 $160–$169 varies
Remove drug implant device (11982) $271.41 $327 0.6×
Remove foreign body from eye (65235) $1,845.92 $2,224 0.8×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $68.06–$317.06 $82–$382 varies
Remove hip pressure sore (15940) $1,586.96 $1,912 0.5×
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $258.13–$288.01 $311–$347 varies
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $209.16–$496.34 $252–$598 varies
Remove Peritoneal Foreign Body (49402) $1,908.17 $2,299 0.5×
Remove Shoulder Foreign Body (23330) $1,376.14 $1,658 0.8×
Remove thyroid lesion (60200)
likely a partial charge, not the full procedure		 $1,520.56 $1,832 0.2×
Repair Achilles Tendon (27650)
range across 2 matching MRF lines		 $1,518.90–$5,448.95 $1,830–$6,565 varies
Repair Blood Vessel Direct Hand Finger (35207)
range across 2 matching MRF lines		 $1,717.27–$5,317.81 $2,069–$6,407 varies
Repair Blood Vessel Direct Upper Extremity (35206)
range across 2 matching MRF lines		 $462.31–$1,724.74 $557–$2,078 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $493.02–$992.68 $594–$1,196 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $475.59–$1,166.15 $573–$1,405 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $493.02–$912.17 $594–$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		 $493.02–$1,108.88 $594–$1,336 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $493.02–$835.81 $594–$1,007 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $475.59–$1,001.81 $573–$1,207 varies
Repair complex trunk 1.1-2.5 cm (13100)
range across 2 matching MRF lines		 $493.02–$801.78 $594–$966 varies
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $493.02–$935.41 $594–$1,127 varies
Repair Entropion Excision Tarsal Wedge (67923)
range across 2 matching MRF lines		 $1,434.24–$2,143.89 $1,728–$2,583 varies
Repair Entropion Suture (67921)
range across 2 matching MRF lines		 $1,124.65–$1,899.87 $1,355–$2,289 varies
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $1,470.76–$2,128.12 $1,772–$2,564 varies
Repair Extensor Tendon Hand W/Graft Each (26412)
range across 2 matching MRF lines		 $1,684.90–$3,132.42 $2,030–$3,774 varies
Repair Eyelid Wound (67935)
range across 2 matching MRF lines		 $223.27–$1,398.55 $269–$1,685 varies
Repair Finger/Hand Tendon (26350)
range across 2 matching MRF lines		 $1,755.45–$3,383.91 $2,115–$4,077 varies
Repair Hallux Rigidus (28289) $897.23 $1,081 0.3×
Repair Hand Tendon (26410)
range across 2 matching MRF lines		 $366.03–$1,417.64 $441–$1,708 varies
Repair inguinal hernia, sliding, any age (49525) $1,287.33 $1,551 0.3×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $1,419.30 $1,710 0.4×
Repair initial femoral hernia, any age; reducible (49550) $1,293.97 $1,559 0.3×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $1,318.04 $1,588 0.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $465.63–$666.49 $561–$803 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $582.66–$741.19 $702–$893 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $677.28–$854.90 $816–$1,030 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $870.67–$899.72 $1,049–$1,084 varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057)
range across 2 matching MRF lines		 $1,419.30–$1,588.62 $1,710–$1,914 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 2 matching MRF lines		 $946.20–$1,035.84 $1,140–$1,248 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $486.38–$622.50 $586–$750 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $651.55–$728.74 $785–$878 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $870.67–$891.42 $1,049–$1,074 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047)
range across 2 matching MRF lines		 $1,259.11–$1,588.62 $1,517–$1,914 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $902.21–$1,035.84 $1,087–$1,248 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 3 matching MRF lines		 $444.05–$619.18 $535–$746 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $710.48–$966.12 $856–$1,164 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $998.49–$1,259.94 $1,203–$1,518 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $782.69–$1,168.64 $943–$1,408 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 2 matching MRF lines		 $1,113.86–$1,588.62 $1,342–$1,914 varies
Repair intrinsic muscles hand each muscle (26591)
range across 2 matching MRF lines		 $1,148.72–$3,399.68 $1,384–$4,096 varies
Repair Laceration Palate </2 Cm (42180)
range across 2 matching MRF lines		 $600.09–$623.33 $723–$751 varies
Repair of anal fistula with fibrin glue (46706) $402.55 $485 0.1×
Repair of hydrocele (55060) $878.14 $1,058 0.2×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $327.85–$441.56 $395–$532 varies
Repair recurrent femoral hernia; reducible Facility (49555) $1,355.39 $1,633 0.4×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
likely a partial charge, not the full procedure		 $1,602.73 $1,931 0.2×
Repair Rotator Cuff Chronic (23412)
likely a partial charge, not the full procedure		 $1,934.73 $2,331 0.3×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208)
range across 2 matching MRF lines		 $1,122.16–$2,537.31 $1,352–$3,057 varies
Repair tongue laceration (41252)
range across 2 matching MRF lines		 $766.09–$1,406.85 $923–$1,695 varies
Repair tongue laceration (41250)
range across 2 matching MRF lines		 $466.46–$661.51 $562–$797 varies
Repair/graft finger tendon (26428) $1,007.62 $1,214 0.3×
Rerepair ing hernia reduce (49520) $1,419.30 $1,710 0.4×
Revision of tracheostomy scar (31830) $1,157.85 $1,395 0.3×
Revj/rmvl peripheral neurostimulator electrode (64585)
range across 2 matching MRF lines		 $336.15–$574.36 $405–$692 varies
Rmvl embedded fb from dentalvlr struxs soft tiss (41805)
range across 2 matching MRF lines		 $742.02–$1,400.21 $894–$1,687 varies
Rmvl embedded fb vestibule mouth comp (40805)
range across 2 matching MRF lines		 $636.61–$671.47 $767–$809 varies
Rmvl Embedded Fb Vestibule Mouth Smpl (40804)
range across 2 matching MRF lines		 $318.72–$440.73 $384–$531 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $138.61–$329.51 $167–$397 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $158.53–$450.69 $191–$543 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 2 matching MRF lines		 $91.30–$450.69 $110–$543 varies
Rmvl fecal impaction/fb spx under anes (45915) $827.51 $997 0.7×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)
range across 2 matching MRF lines		 $1,087.30–$1,833.47 $1,310–$2,209 varies
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)
range across 2 matching MRF lines		 $511.28–$518.75 $616–$625 varies
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $517.92–$3,001.28 $624–$3,616 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines		 $385.95–$1,552.93 $465–$1,871 varies
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $336.98–$547.80 $406–$660 varies
Rplcmt cath ctr vad subq port/pmp (36578) $1,040.82 $1,254 0.3×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $1,321.36 $1,592 0.8×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,321.36 $1,592 0.8×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $9,164.86 $11,042 1.5×
Rpr blood vessel direct lower extremity (35226)
range across 2 matching MRF lines		 $1,818.53–$1,844.26 $2,191–$2,222 varies
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576)
range across 3 matching MRF lines		 $821.70–$1,362.86 $990–$1,642 varies
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $394.25–$439.90 $475–$530 varies
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046)
range across 2 matching MRF lines		 $1,152.87–$1,226.74 $1,389–$1,478 varies
Rpr Lip Full Thickness Half/< Vertical Height (40652)
range across 2 matching MRF lines		 $1,027.54–$1,199.35 $1,238–$1,445 varies
Rpr Lip Full Thickness Vermilion Only (40650)
range across 2 matching MRF lines		 $1,027.54–$1,114.69 $1,238–$1,343 varies
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654)
range across 2 matching MRF lines		 $1,068.21–$1,357.05 $1,287–$1,635 varies
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260)
range across 2 matching MRF lines		 $1,455.82–$3,824.64 $1,754–$4,608 varies
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270)
range across 2 matching MRF lines		 $1,134.61–$3,411.30 $1,367–$4,110 varies
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575)
range across 3 matching MRF lines		 $356.90–$1,362.86 $430–$1,642 varies
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356)
range across 2 matching MRF lines		 $1,826–$3,132.42 $2,200–$3,774 varies
Sgmdsc flx dired sbmcsl njx any sbst (45335) $705.50 $850 0.7×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $719.61 $867 0.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305)
range across 2 matching MRF lines		 $222.44–$253.15 $268–$305 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $363.54 $438 0.9×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $144.42 $174 0.7×
Sigmoidoscopy & decompress (45337) $264.77 $319 0.3×
Sigmoidoscopy & Polypectomy (45333) $795.14 $958 0.8×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $5,700.44 $6,868 4.6×
Sigmoidoscopy flx tndsc balo dilat (45340) $1,118.84 $1,348 0.9×
Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) $392.59 $473 0.3×
Sigmoidoscopy w/fb removal (45332) $665.66 $802 0.5×
Sigmoidoscopy w/plcmt stent (45347)
likely a partial charge, not the full procedure		 $356.07 $429 0.1×
Sigmoidoscopy W/Ultrasound (45341) $287.18 $346 0.3×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $693.88 $836 0.7×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $1,205.16 $1,452 1.0×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $454.84–$504.64 $548–$608 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $258.13–$370.18 $311–$446 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $268.92–$391.76 $324–$472 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017)
range across 2 matching MRF lines		 $339.47–$477.25 $409–$575 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $329.51–$406.70 $397–$490 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $499.66 $602 2.4×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $215.80–$352.75 $260–$425 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 2 matching MRF lines		 $454.84–$533.69 $548–$643 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $301.29–$388.44 $363–$468 varies
Skin Full Grft Face/Genit/Hf (15240)
range across 2 matching MRF lines		 $2,145.55–$5,362.63 $2,585–$6,461 varies
Skin Pinch Graft (15050)
range across 2 matching MRF lines		 $380.14–$1,373.65 $458–$1,655 varies
Skin sub graft face/nk/hf/g (15275) $374.33 $451 0.5×
Skin sub graft trnk/arm/leg (15271) $360.22 $434 0.5×
Skin sub grft t/arm/lg child (15273) $731.23 $881 0.3×
Skn sub grft f/n/hf/g child (15277) $802.61 $967 0.4×
Small bowel endoscopy (44384) $356.07 $429 0.2×
Small bowel endoscopy (44366) $555.27 $669 0.3×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $568.55 $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		 $947.03 $1,141 0.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $259.79–$374.33 $313–$451 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $398.40–$405.87 $480–$489 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $434.09–$474.76 $523–$572 varies
Sphincterotomy anal division sphincter spx (46080) $673.96 $812 0.2×
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines		 $220.78–$410.02 $266–$494 varies
Sternal debridement (21627) $1,225.91 $1,477 0.4×
Strapping ankle (29540)
range across 2 matching MRF lines		 $64.74–$289.67 $78–$349 varies
Strapping elbow or wrist (29260) $69.72 $84 1.1×
Strapping hand/finger (29280) $68.89 $83 1.1×
Strapping Hip (29520)
range across 2 matching MRF lines		 $83–$113.71 $100–$137 varies
Strapping knee (29530)
range across 3 matching MRF lines		 $71.38–$113.71 $86–$137 varies
Strapping shoulder (29240) $71.38 $86 0.5×
Strapping thorax (29200)
range across 2 matching MRF lines		 $78.85–$302.95 $95–$365 varies
Strapping toes (29550)
range across 2 matching MRF lines		 $44.82–$113.71 $54–$137 varies
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $148.57–$227.42 $179–$274 varies
Surg Tx Anal Fistula 2nd Stage (46285) $1,315.55 $1,585 0.5×
Surg tx anal fistula subq (46270) $1,249.98 $1,506 0.4×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $1,321.36 $1,592 0.5×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930)
range across 2 matching MRF lines		 $869.01–$1,881.61 $1,047–$2,267 varies
Suture 1 nerve hand/foot common sensory nerve (64834)
range across 2 matching MRF lines		 $1,687.39–$2,642.72 $2,033–$3,184 varies
Suture 1 Nerve Ulnar Motor (64836)
range across 2 matching MRF lines		 $1,849.24–$3,247.79 $2,228–$3,913 varies
Suture digital nerve hand/foot 1 nerve (64831)
range across 2 matching MRF lines		 $1,583.64–$3,227.87 $1,908–$3,889 varies
Suture pharynx for wound or injury (42900)
range across 2 matching MRF lines		 $765.26–$933.75 $922–$1,125 varies
Tangential biopsy skin single lesion (11102) $232.40 $280 0.6×
Tenotomy Percutaneous Toe Single Tendon (28010) $544.48 $656 0.3×
Ther Spi Pnxr Csf Fluor/Ct (62329) $873.16 $1,052 1.2×
Therapeutic plasma exchange (36514) $3,480.19 $4,193 2.2×
Thrombolytic Therapy Stroke (37195) $429.94 $518 1.3×
Thyroidectomy Post Prev Thyr Surg (60260)
unusually low: confirm this is the full procedure		 $2,473.40 $2,980 0.4×
Thyroidectomy, total or complete (60240)
unusually low: confirm this is the full procedure		 $2,079.15 $2,505 0.3×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252)
unusually low: confirm this is the full procedure		 $2,990.49 $3,603 0.5×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060)
range across 2 matching MRF lines		 $1,777.03–$2,013.58 $2,141–$2,426 varies
Total Knee Arthroplasty (27447)
likely a partial charge, not the full procedure		 $2,895.04 $3,488 0.2×
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225)
unusually low: confirm this is the full procedure		 $2,138.91 $2,577 0.3×
Tracheostomy Emergency Cricothyroid Membrane (31605)
range across 2 matching MRF lines		 $743.68–$1,533.01 $896–$1,847 varies
Tracheostomy Emergency Procedure Transtracheal (31603)
range across 3 matching MRF lines		 $724.59–$1,533.01 $873–$1,847 varies
Tracheostomy Fenestration W/Skin Flaps (31610)
unusually low: confirm this is the full procedure		 $2,232.70 $2,690 0.4×
Tracheostomy planned (31600) $688.90 $830 0.2×
Tracheostomy Planned Under 2 Years Spx (31601)
likely a partial charge, not the full procedure		 $1,030.86 $1,242 0.2×
Treat Dental Ridge Fracture (21440)
range across 2 matching MRF lines		 $1,513.09–$1,630.12 $1,823–$1,964 varies
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $827.51–$839.96 $997–$1,012 varies
Treat Humerus Fracture (24505)
range across 2 matching MRF lines		 $924.62–$1,163.66 $1,114–$1,402 varies
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $287.18–$774.39 $346–$933 varies
Treat knee fracture (27532) $1,930.58 $2,326 0.6×
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $220.78–$783.52 $266–$944 varies
Treat Thumb Dislocation (26641)
range across 2 matching MRF lines		 $376.82–$971.10 $454–$1,170 varies
Treat Thumb Fracture (26645)
range across 2 matching MRF lines		 $395.91–$1,002.64 $477–$1,208 varies
Treat toe dislocation (28630)
range across 2 matching MRF lines		 $220.78–$355.24 $266–$428 varies
Treat Vaginal Bleeding (57180)
range across 2 matching MRF lines		 $471.44–$567.72 $568–$684 varies
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 2 matching MRF lines		 $1,100.58–$1,440.88 $1,326–$1,736 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $287.18–$864.03 $346–$1,041 varies
Treatment mouth roof lesion (42160)
range across 2 matching MRF lines		 $547.80–$1,805.25 $660–$2,175 varies
Trim skin lesion (11055)
range across 2 matching MRF lines		 $169.32–$185.92 $204–$224 varies
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines		 $195.05–$208.33 $235–$251 varies
Trim skin lesions over 4 (11057) $223.27 $269 1.1×
Trimming Nondystrophic Nails Any Number (11719) $81.34 $98 1.3×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $1,108.88 $1,336 0.4×
Tx Gastro Intub W/Asp (43753)
range across 2 matching MRF lines		 $48.97–$112.88 $59–$136 varies
Tx Incomplete Abortion Any Trimester Surgical (59812) $815.06 $982 0.2×
Tx open tendon flexor toe 1 tendon spx (28232) $884.78 $1,066 0.5×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257)
range across 2 matching MRF lines		 $815.06–$1,542.14 $982–$1,858 varies
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $323.70–$699.69 $390–$843 varies
Tx superficial wound dehiscence w/packing (12021) $410.02 $494 1.0×
Unlisted Procedure Casting/Strapping (29799) $132.80 $160 0.8×
Unlisted Procedure Hands/Fingers (26989) $218.29 $263 0.9×
Unlisted Procedure Intestine (44799) $2,774.69 $3,343 2.9×
Unlisted Procedure Tongue Floor Mouth (41599) $191.73 $231 0.8×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $2,602.05 $3,135 2.8×
Vaginal delivery only (59409)
range across 2 matching MRF lines		 $511.28–$1,754.62 $616–$2,114 varies
Vein Access Cutdown < 1 Yr (36420)
range across 2 matching MRF lines		 $104.58–$612.54 $126–$738 varies
Venous Cutdown >1 Y/O (36425)
range across 2 matching MRF lines		 $92.96–$612.54 $112–$738 varies
Ventricular puncture previous burr hole w/inj (61026) $730.40 $880 1.0×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $356.90–$390.93 $430–$471 varies
Wedging of cast (29740)
range across 2 matching MRF lines		 $137.78–$222.44 $166–$268 varies
Windowing of cast (29730)
range across 2 matching MRF lines		 $137.78–$145.25 $166–$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.