Procedures & surgery prices at Cibola General Hospital

Grants, NM · every code in this section with a posted price and a Medicare benchmark.

643 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 4 matching MRF lines
$468.86–$1,902.62 $586.07–$2,378.27 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $543.84 $679.80 0.6×
Acromiopl/Acromionect Partial (23130) $1,113.22 $1,391.53 0.3×
Amniocentesis diagnostic (59000) $697.93 $872.41 0.8×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $1,231.06 $1,538.82 0.4×
Amputation foot transmetarsal (28805) $2,026.22 $2,532.77 0.6×
Amputation metatarsal with toe single (28810) $1,196.45 $1,495.56 0.4×
Amputation thigh through femur any level (27590) $1,457.66 $1,822.07 0.5×
Amputation toe interphalangeal joint (28825) $1,441.18 $1,801.47 0.4×
Amputation toe metatarsophalangeal joint (28820) $1,509.57 $1,886.96 0.5×
Amputation, arm through humerus; with primary closure Facility (24900)
likely a partial charge, not the full procedure
$1,335.70 $1,669.63 0.1×
Amputation, leg, through tibia and fibula; (27880)
unusually low: confirm this is the full procedure
$2,591.48 $3,239.35 0.4×
Anoscopy diagnostic (46600) $315.59 $394.49 2.4×
Anoscopy; with biopsy, single or multiple (46606) $742.42 $928.03 0.6×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $288.40 $360.50 0.1×
Anterior colporraphy rpr cystocele w/cysto (57240) $1,694.14 $2,117.68 0.3×
Appendectomy (44950)
likely a partial charge, not the full procedure
$1,189.03 $1,486.29 0.2×
Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) $652.61 $815.76 2.4×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584)
range across 4 matching MRF lines
$206.82–$397.17 $258.53–$496.46 varies
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines
$227.42–$652.61 $284.28–$815.76 varies
Application Cast Finger (29086) $397.17 $496.46 2.5×
Application Cast Shoulder Spica (29055) $652.61 $815.76 2.4×
Application Finger Splint Dynamic (29131) $154.91 $193.64 2.7×
Application finger splint static (29130)
range across 2 matching MRF lines
$112.06–$315.59 $140.08–$394.49 varies
Application Hip Spica Cast 1 Leg (29305) $652.61 $815.76 2.4×
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines
$215.06–$397.17 $268.83–$496.46 varies
Application Long Leg Cast Brace (29358) $652.61 $815.76 2.4×
Application Long Leg Splint (29505) $397.17 $496.46 2.5×
Application of cylinder cast (thigh to ankle) (29365)
range across 2 matching MRF lines
$320.54–$652.61 $400.67–$815.76 varies
Application of long leg cast (29345) $652.61 $815.76 2.4×
Application of rigid total contact leg cast (29445)
range across 2 matching MRF lines
$286.75–$354.32 $358.44–$442.90 varies
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines
$202.70–$315.59 $253.38–$394.49 varies
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines
$169.74–$315.59 $212.18–$394.49 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines
$184.58–$397.17 $230.72–$496.46 varies
Application uniplane external fixation system (20690)
likely a partial charge, not the full procedure
$1,081.91 $1,352.39 0.2×
Apply hand/wrist cast (29085)
range across 2 matching MRF lines
$251.32–$397.17 $314.15–$496.46 varies
Apply long arm cast (29065)
range across 3 matching MRF lines
$250.50–$652.61 $313.12–$815.76 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 4 matching MRF lines
$228.25–$397.17 $285.31–$496.46 varies
Apply Short Leg Cast (29405)
range across 2 matching MRF lines
$211.77–$652.61 $264.71–$815.76 varies
Apply short leg cast (29425)
range across 2 matching MRF lines
$204.35–$652.61 $255.44–$815.76 varies
Arterial puncture (36600) $206 $257.50 1.6×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure
$1,299.45 $1,624.31 0.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines
$138.68–$362.56 $173.35–$453.20 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 6 matching MRF lines
$168.92–$887.45 $211.15–$1,109.31 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $136.78 $170.98 0.5×
Arthrodesis great toe metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure
$1,025.88 $1,282.35 0.1×
Arthrodesis subtalar (28725)
likely a partial charge, not the full procedure
$1,397.50 $1,746.88 0.1×
Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280)
likely a partial charge, not the full procedure
$2,495.90 $3,119.87 0.1×
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure
$2,626.91 $3,283.64 0.2×
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470)
likely a partial charge, not the full procedure
$2,175.36 $2,719.20 0.2×
Arthroplasty interphalangeal joint each (26535) $782.80 $978.50 0.2×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $1,495.56 $1,869.45 0.5×
Arthroplasty, patella; without prosthesis (27437)
likely a partial charge, not the full procedure
$1,794.67 $2,243.34 0.2×
Arthroscopy Elbow Surgical Debridement Limited (29837) $955.02 $1,193.77 0.3×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $1,181.62 $1,477.02 0.4×
Arthroscopy knee synovectomy limited spx (29875) $1,302.50 $1,628.12 0.4×
Arthroscopy shoulder distal claviculectomy (29824) $1,221.99 $1,527.49 0.4×
Arthroscopy shoulder surgical capsulorrhaphy (29806)
likely a partial charge, not the full procedure
$1,856.47 $2,320.59 0.3×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $1,250.83 $1,563.54 0.4×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
likely a partial charge, not the full procedure
$1,633.34 $2,041.67 0.2×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $978.91 $1,223.64 0.3×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
likely a partial charge, not the full procedure
$1,872.95 $2,341.19 0.3×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
likely a partial charge, not the full procedure
$1,941.34 $2,426.68 0.3×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
likely a partial charge, not the full procedure
$2,341.81 $2,927.26 0.2×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)
likely a partial charge, not the full procedure
$2,102.85 $2,628.56 0.2×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
likely a partial charge, not the full procedure
$1,496 $1,870 0.2×
Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889)
likely a partial charge, not the full procedure
$2,182.78 $2,728.47 0.2×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $1,248.30 $1,560.37 0.4×
Arthrs knee debridement/shaving artclr crtlg (29877) $1,123.94 $1,404.92 0.3×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $1,015.17 $1,268.96 0.3×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines
$888.27–$1,229.41 $1,110.34–$1,536.76 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines
$888.27–$1,048.13 $1,110.34–$1,310.16 varies
Aspirate/Inj Ganglion Cyst (20612) $168.92 $211.15 0.6×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines
$249.60–$291.70 $312–$364.62 varies
Biopsy bone open superficial (20240) $530.66 $663.32 0.2×
Biopsy external ear (69100) $125.25 $156.56 0.5×
Biopsy of rectum (45100) $815.76 $1,019.70 0.3×
Biopsy soft tissue forearm&/wrist superficial (25065) $683.10 $853.87 0.4×
Biopsy Tongue Posterior One-Third (41105) $470.50 $588.13 0.1×
Biopsy Vaginal Mucosa Extensive (57105) $435.07 $543.84 0.1×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $246.38 $307.97 0.3×
Biopsy, vestibule of mouth (40808) $416.04 $520.05 0.8×
Biopsy/removal lymph nodes (38510) $1,443.65 $1,804.56 0.4×
Bladder Scan (51798) $119.48 $149.35 2.0×
Blood Transfusion Service (36430)
range across 5 matching MRF lines
$95.58–$1,355.48 $119.48–$1,694.35 varies
Bronchoscopy Clear Airways (31645) $725.94 $907.43 0.4×
Bx breast 1st lesion strtctc (19081)
range across 4 matching MRF lines
$3,181.46–$3,745.90 $3,976.83–$4,682.38 varies
Bx breast 1st lesion us imag (19083)
range across 4 matching MRF lines
$2,294.84–$3,161.69 $2,868.55–$3,952.11 varies
Bx Cervix (57500) $374.92 $468.65 0.4×
Bx/exc lymph node open deep axillary node (38525) $1,204.69 $1,505.86 0.3×
Bx/exc lymph node open superficial (38500) $886.46 $1,108.07 0.2×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $884.15 $1,105.19 0.3×
Carpal Tunnel Surgery (64721) $1,190.68 $1,488.35 0.6×
Cautery Cervix Electro/Thermal (57510) $411.18 $513.97 0.1×
Cerclage cervix pregnancy vaginal (59320) $418.59 $523.24 0.1×
Change Cystostomy Tube Simple (51705)
range across 4 matching MRF lines
$255.44–$585.04 $319.30–$731.30 varies
Chemical Cautery Tissue (17250)
range across 3 matching MRF lines
$223.30–$491.93 $279.13–$614.91 varies
Chest tube placement (32551)
range across 2 matching MRF lines
$449.08–$2,548.63 $561.35–$3,185.79 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $1,157.72 $1,447.15 0.3×
Circumcision 28 days or older (54161) $706.99 $883.74 0.3×
Circumcision Neonate (54160)
range across 3 matching MRF lines
$254.62–$576.80 $318.27–$721 varies
Circumcision w/clamp/oth dev w/block (54150) $418.59 $523.24 0.2×
Cl Tx Tib Shft Fx W Manip (27752) $966.55 $1,208.19 0.6×
Claviculectomy partial (23120) $1,058.84 $1,323.55 0.3×
Clear outer ear canal (69200) $211.77 $264.71 1.6×
Closed Rx Metacarpal Fx,Percut (26608) $1,294.50 $1,618.13 0.4×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,272.26 $1,590.32 0.8×
Closed tx metatarsal fracture w/o manipulation (28470) $576.80 $721 2.4×
Closed tx radial&ulnar shaft fractures w/o man (25560) $782.80 $978.50 3.2×
Clsd tx acromioclavicular dislc w/manipulation (23545) $953.37 $1,191.71 3.9×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,104.16 $1,380.20 0.7×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $791.04 $988.80 3.2×
Cltx dstl fibular fx lat malls w/manj (27788) $1,142.06 $1,427.58 4.7×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines
$837.18–$840.48 $1,046.48–$1,050.60 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 3 matching MRF lines
$887.45–$891.57 $1,109.31–$1,114.46 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 3 matching MRF lines
$973.14–$975.62 $1,216.43–$1,219.52 varies
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $944.30 $1,180.38 3.9×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $980.56 $1,225.70 0.6×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $853.66 $1,067.08 3.5×
Cltx hip dislocation traumatic req anesthesia (27252) $1,371.96 $1,714.95 0.9×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $1,740.29 $2,175.36 1.1×
Cltx Medial Ankle Fx (27760) $889.10 $1,111.37 3.6×
Cltx metacarpal fx w/manipulation each bone (26605) $886.62 $1,108.28 3.6×
Cltx metacarpal fx w/o manipulation each bone (26600) $795.16 $993.95 3.3×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $758.08 $947.60 0.5×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,267.31 $1,584.14 0.8×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines
$271.10–$277.69 $338.87–$347.11 varies
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)
range across 2 matching MRF lines
$1,113.22–$1,116.52 $1,391.53–$1,395.65 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $1,020.11 $1,275.14 4.2×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,332.41 $1,665.51 0.8×
Collection of venous blood by venipuncture (36415) $23.07 $28.84 2.5×
Colonoscopy Flexible With Decompression (45393) $663.32 $829.15 0.6×
Colonoscopy Stoma Control Bleeding (44391) $1,194.80 $1,493.50 1.0×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $992.92 $1,241.15 0.8×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $1,104.16 $1,380.20 0.9×
Colonoscopy thru stoma (44388) $845.42 $1,056.78 0.9×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $1,142.06 $1,427.58 1.0×
Colonoscopy w/ablation (45388) $4,009.91 $5,012.39 3.4×
Colonoscopy W/Resection (45390) $848.39 $1,060.49 0.3×
Colpocleisis (le fort type) (57120) $1,462.60 $1,828.25 0.3×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454)
range across 2 matching MRF lines
$407.88–$432.35 $509.85–$540.44 varies
Colposcopy Cervix Endocervical Curettage (57456) $396.34 $495.43 1.3×
Colposcopy cervix upper/adjacent vagina (57452) $327.95 $409.94 1.6×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $422.71 $528.39 1.4×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $845.42 $1,056.78 0.3×
Colposcopy entire vagina w/cervix if present (57420) $343.61 $429.51 1.1×
Colposcopy of vulva (56820) $326.30 $407.88 1.6×
Colposcopy Vulva W/Biopsy (56821) $435.07 $543.84 1.4×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $463.09 $578.86 0.5×
Colpotomy; with drainage of pelvic abscess (57010) $1,250.83 $1,563.54 0.4×
Colsc Flexible W/Control Bleeding Any Method (45382) $1,065.93 $1,332.41 0.9×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,259.07 $1,573.84 1.1×
Complex drainage wound (10180)
range across 2 matching MRF lines
$690.51–$4,682.79 $863.14–$5,853.49 varies
Conization cervix w/wo d&c rpr eltrd exc (57522) $769.62 $962.02 0.2×
Conization of cervix (57520) $2,045.17 $2,556.46 0.6×
Control Nasal Hemorrhage Anterior Complex (30903) $650.14 $812.67 4.9×
Control Nasal Hemorrhage Anterior Simple (30901) $379.86 $474.83 2.9×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $1,457.49 $1,821.86 0.4×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
likely a partial charge, not the full procedure
$1,343.12 $1,678.90 0.2×
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $143.38 $179.22 2.5×
Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent Facility (46942) $660.85 $826.06 0.7×
Curettage postpartum (59160) $666.62 $833.27 0.2×
Cysto Bladder W/Ureteral Catheterization (52005) $777.86 $972.32 0.4×
Cystorrhaphy suture of bladder wound injury or rupture simple (51860)
likely a partial charge, not the full procedure
$1,350.54 $1,688.17 0.1×
Cystoscopy and radiotracer (52250) $679.80 $849.75 0.2×
Cystourethroscopy (52000) $554.55 $693.19 0.8×
Cystourethroscopy with biopsy (52204) $1,011.87 $1,264.84 0.5×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $149.97 $187.46 0.4×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $1,158.54 $1,448.18 1.7×
Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) $1,296.98 $1,621.22 0.4×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines
$608.94–$1,053.07 $761.17–$1,316.34 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines
$824–$2,719.20 $1,030–$3,399 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines
$332.07–$1,014.34 $415.09–$1,267.93 varies
Declot vascular device (36593)
range across 2 matching MRF lines
$81.58–$905.58 $101.97–$1,131.97 varies
Delivery of placenta (59414) $228.25 $285.31 0.1×
Destruct B9 Lesion 1-14 (17110) $290.87 $363.59 1.5×
Destruction Benign Lesions 15/> (17111) $342.78 $428.48 1.7×
Destruction Lesions Vulva Simple (56501) $440.02 $550.02 0.2×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 2 matching MRF lines
$1,027.53–$3,250.68 $1,284.41–$4,063.35 varies
Destruction of skin lesions (17106) $894.86 $1,118.58 2.2×
Destruction premalignant lesion 1st (17000) $143.38 $179.22 0.7×
Destruction Vaginal Lesions Extensive (57065) $603.99 $754.99 0.2×
Diagnostic sigmoidoscopy (45330) $456.50 $570.62 0.5×
Dilation & curettage dx&/ther nonobstetric (58120) $769.62 $962.02 0.2×
Drain Cerebro Spinal Fluid (62272) $468.03 $585.04 0.7×
Drainage Finger Abscess Complicated (26011) $1,242.59 $1,553.24 0.8×
Drainage of finger abscess simple (26010) $911.34 $1,139.18 4.6×
Drainage of hematoma/fluid (10140) $440.84 $551.05 0.3×
Drainage of hydrocele (55000) $319.71 $399.64 0.5×
Drainage of rectal abscess (45005) $818.23 $1,022.79 0.7×
Drainage of scrotal wall abscess (55100) $612.23 $765.29 0.4×
Drainage of scrotum (54700) $576.80 $721 0.3×
Draw Blood Off Venous Device (36591) $65.26 $81.58 0.5×
Dressing Change Under Anesthesia (15852) $135.96 $169.95 0.2×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $543.84 $679.80 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines
$410.60–$415.30 $513.25–$519.12 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 3 matching MRF lines
$219.18–$491.93 $273.98–$614.91 varies
Dstrj Lesion Anus Extensive (46924) $1,359.60 $1,699.50 0.5×
Dstrj lesion anus simple surg excision (46922) $832.24 $1,040.30 0.3×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $706.99 $883.74 0.3×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 6 matching MRF lines
$650.14–$1,524.40 $812.67–$1,905.50 varies
Dx Bronchoscope/Wash (31622) $666.62 $833.27 0.4×
Egd cautery tumor polyp (43250) $454.02 $567.53 0.2×
Egd Flexible Foreign Body Removal (43247) $981.38 $1,226.73 1.1×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $948.42 $1,185.53 0.5×
Egd place gastrostomy tube (43246) $543.84 $679.80 0.3×
Egd remove lesion snare (43251) $519.12 $648.90 0.3×
Endocervical curettage (57505) $383.16 $478.95 0.4×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $2,515.67 $3,144.59 0.5×
Endometrial Biopsy (58100)
range across 2 matching MRF lines
$244.73–$274.39 $305.91–$342.99 varies
Endoscopic plantar fasciotomy (29893) $1,140.42 $1,425.52 0.4×
Endoscopy Upper Small Intestine (44360) $380.69 $475.86 0.2×
Enterorrhaphy single perforation (44602) $4,051.61 $5,064.51 1.1×
Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) $794.34 $992.92 0.4×
Epidural Blood Patch (62273) $301.58 $376.98 0.4×
Esophagoscopy Flexible Transoral Diagnostic (43200) $633.66 $792.07 0.7×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $884.15 $1,105.19 0.5×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $1,006.10 $1,257.63 0.5×
Exc arm/elbow les sc < 3 cm (24075)
range across 2 matching MRF lines
$889.10–$926.18 $1,111.37–$1,157.72 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $332.07 $415.09 0.5×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $524.89 $656.11 0.3×
Exc Back Tum Deep 5 Cm/> (21933) $1,294.50 $1,618.13 0.5×
Exc back tum deep < 5 cm (21932)
range across 2 matching MRF lines
$1,208.81–$1,212.93 $1,511.01–$1,516.16 varies
Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) $1,025.06 $1,281.32 0.3×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $1,307.69 $1,634.61 0.3×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $543.84 $679.80 0.8×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 3 matching MRF lines
$535.60–$709.46 $669.50–$886.83 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644)
range across 2 matching MRF lines
$748.19–$1,035.77 $935.24–$1,294.71 varies
Exc Face Les Sbq 2 Cm/> (21012) $916.29 $1,145.36 0.6×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines
$365.86–$372.45 $457.32–$465.56 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines
$454.02–$456.50 $567.53–$570.62 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines
$506.76–$508.41 $633.45–$635.51 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 2 matching MRF lines
$605.64–$606.46 $757.05–$758.08 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $758.90 $948.63 0.5×
Exc ganglion wrist recurrent (25112) $1,047.30 $1,309.13 0.7×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $323.58 $404.48 0.2×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $418.59 $523.24 0.6×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $468.03 $585.04 0.3×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $728.42 $910.52 0.7×
Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) $1,014.34 $1,267.93 0.3×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $889.10 $1,111.37 0.3×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $516.65 $645.81 0.7×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 2 matching MRF lines
$622.94–$631.18 $778.68–$788.98 varies
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 2 matching MRF lines
$891.57–$914.64 $1,114.46–$1,143.30 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $840.48 $1,050.60 0.5×
Exc Skin Benig >4cm Face,Facial (11446) $1,011.87 $1,264.84 0.4×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)
range across 2 matching MRF lines
$592.46–$780.33 $740.57–$975.41 varies
Exc Skin Malig >4 Cm Remaindr Body (11626)
range across 2 matching MRF lines
$829.77–$1,044.01 $1,037.21–$1,305.01 varies
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 2 matching MRF lines
$772.09–$899.81 $965.11–$1,124.76 varies
Exc thigh/knee les sc 3 cm/> (27337) $764.67 $955.84 0.3×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $407.88 $509.85 1.0×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $445.78 $557.23 0.6×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $587.51 $734.39 0.4×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $1,667.78 $2,084.72 0.6×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014)
range across 2 matching MRF lines
$906.40–$939.36 $1,133–$1,174.20 varies
Exc tumor soft tiss shoulder subfasc <5cm (23076) $982.21 $1,227.76 0.3×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $1,241.77 $1,552.21 0.4×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $1,033.30 $1,291.62 0.4×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,272.26 $1,590.32 0.8×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075)
range across 2 matching MRF lines
$906.40–$924.53 $1,133–$1,155.66 varies
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $1,330.76 $1,663.45 0.5×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,151.95 $1,439.94 0.7×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $1,152.78 $1,440.97 0.4×
Excis Mouth Mucosa/Sub,No Repair (40810) $552.90 $691.13 0.2×
Excis Mouth Mucosa/Sub,Simpl Repair (40812)
range across 2 matching MRF lines
$731.71–$758.90 $914.64–$948.63 varies
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 2 matching MRF lines
$709.46–$728.42 $886.83–$910.52 varies
Excision Distal Ulna Partial/Complete (25240) $1,158.54 $1,448.18 0.4×
Excision lesion meniscus/capsule knee (27347) $951.72 $1,189.65 0.3×
Excision Lingual Frenum Frenectomy (41115) $679.80 $849.75 0.4×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $500.17 $625.21 0.7×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)
range across 2 matching MRF lines
$579.27–$603.99 $724.09–$754.99 varies
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 2 matching MRF lines
$478.74–$646.84 $598.43–$808.55 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $818.23 $1,022.79 1.2×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $514.18 $642.72 0.7×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 2 matching MRF lines
$644.37–$840.48 $805.46–$1,050.60 varies
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646)
range across 2 matching MRF lines
$1,101.69–$1,338.18 $1,377.11–$1,672.72 varies
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $503.46 $629.33 0.3×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621)
range across 2 matching MRF lines
$581.74–$603.99 $727.18–$754.99 varies
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 2 matching MRF lines
$497.70–$663.32 $622.12–$829.15 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624)
range across 2 matching MRF lines
$631.18–$674.03 $788.98–$842.54 varies
Excision Multiple External Papillae/Tags Anus (46230) $821.53 $1,026.91 0.3×
Excision nasal polyp(s) simple (30110) $655.08 $818.85 0.4×
Excision of bartholin's gland or cyst (56740) $864.38 $1,080.47 0.3×
Excision of cervical stump, vaginal approach; with anterior and/or posterior repair Facility (57555) $1,089.33 $1,361.66 0.2×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $908.05 $1,135.06 0.6×
Excision of hydrocele; unilateral (55040) $938.54 $1,173.17 0.3×
Excision of pilonidal cyst or sinus; simple (11770) $930.30 $1,162.87 0.3×
Excision of single external papilla or tag, anus (46220) $650.14 $812.67 0.5×
Excision olecranon bursa (24105) $959.96 $1,199.95 0.3×
Excision Pilonidal Cyst/Sinus Complicated (11772) $1,033.30 $1,291.62 0.4×
Excision prepatellar bursa (27340) $1,006.10 $1,257.63 0.3×
Excision Skin Abd Infraumbilical Panniculectomy (15830)
unusually low: confirm this is the full procedure
$2,099.55 $2,624.44 0.3×
Excision synovial cyst popliteal space (27345) $1,313.46 $1,641.82 0.4×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,288.74 $1,610.92 0.8×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,030.82 $1,288.53 0.6×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $1,147.83 $1,434.79 0.7×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $1,245.39 $1,556.74 0.8×
Excision, sacral pressure ulcer, with primary suture; with ostectomy Facility (15933) $1,548.13 $1,935.16 0.5×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $965.31 $1,206.64 0.6×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $1,288.74 $1,610.92 0.4×
Excision/curettage cyst/tumor phalanx finger (26210) $1,202.22 $1,502.77 0.8×
Excision/Curettage Cyst/Tumor Radius/Ulna (25120) $900.63 $1,125.79 0.3×
Explo/Drain Breast Abscess (19020) $951.72 $1,189.65 0.6×
Fetal non-stress test (59025)
range across 4 matching MRF lines
$130.19–$450.73 $162.74–$563.41 varies
Fine needle aspiration bx w/CT gdn 1st lesion (10009)
range across 2 matching MRF lines
$1,073.67–$1,966.06 $1,342.09–$2,457.58 varies
Fine needle aspiration without imaging guidance (10021) $266.15 $332.69 0.7×
Fna bx w/us gdn 1st les (10005)
range across 5 matching MRF lines
$355.97–$1,540.88 $444.96–$1,926.10 varies
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) $3,896.70 $4,870.87 1.0×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $1,297.80 $1,622.25 0.7×
Hemiarthroplasty hip partial (27125)
likely a partial charge, not the full procedure
$2,057.53 $2,571.91 0.2×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $1,400.80 $1,751 0.5×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $1,310.98 $1,638.73 0.5×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $758.90 $948.63 0.8×
Hemorrhoidopexy by stapling (46947) $1,087.68 $1,359.60 0.4×
Hymenotomy Simple Incision (56442) $127.72 $159.65 0.0×
Hysteroscopy Biopsy (58558) $3,534.96 $4,418.70 1.1×
Hysteroscopy Dx Sep Proc (58555) $861.90 $1,077.38 0.3×
Hysteroscopy Endometrial Ablation (58563) $4,078.80 $5,098.50 0.8×
Hysteroscopy Removal Impacted Foreign Body (58562) $2,645.04 $3,306.30 0.8×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $970.67 $1,213.34 0.2×
I&d abscess peritonsillar (42700) $510.88 $638.60 2.2×
I&d abscess simple (10060) $326.30 $407.88 1.6×
I&D Below Fascia Foot 1 Bursal Space (28002) $1,202.22 $1,502.77 0.8×
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,216.22 $1,520.28 0.4×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $1,152.78 $1,440.97 0.4×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $1,332.41 $1,665.51 0.5×
I&d perianal abscess superficial (46050) $579.27 $724.09 0.6×
I&d pilonidal cyst complicated (10081) $894.86 $1,118.58 1.3×
I&d shoulder deep abscess/hematoma (23030) $1,136.62 $1,420.78 0.4×
I&d upper arm/elbow deep abscess/hematoma (23930) $954.19 $1,192.74 0.3×
Image Cath Fluid Colxn Visc (49405) $2,284.13 $2,855.16 1.4×
Image Cath Fluid Peri/Retro (49406) $527.36 $659.20 0.3×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines
$380.69–$549.61 $475.86–$687.01 varies
Incise finger tendon sheath (26055) $777.86 $972.32 0.5×
Incision & drainage abscess complicated/multiple (10061) $560.32 $700.40 1.4×
Incision & removal foreign body subq tiss compl (10121) $693.81 $867.26 0.4×
Incision & removal foreign body subq tiss simple (10120) $391.40 $489.25 1.0×
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines
$418.59–$459.54 $523.24–$574.43 varies
Incision and drainage of vulva or perineal abscess (56405) $397.17 $496.46 1.3×
Incision extensor tendon sheath wrist (25000) $913.82 $1,142.27 0.6×
Incision of rectal abscess (46040) $1,468.37 $1,835.46 1.2×
Incision of urethra (53020) $261.21 $326.51 0.1×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $742.42 $928.03 0.5×
Incisional biopsy skin single lesion (11106) $399.64 $499.55 0.5×
Initial Tx 1st Degree Burn Local Tx (16000) $206.66 $258.32 1.0×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $196.11 $245.14 0.2×
Injection 1 tendon sheath/ligament aponeurosis (20550) $149.97 $187.46 0.5×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines
$196.11–$416.12 $245.14–$520.15 varies
Injection Anes Agent Sphenopalatine Ganglion (64505) $369.81 $462.26 1.2×
Injection single tendon origin/insertion (20551) $152.44 $190.55 0.5×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines
$144.20–$152.44 $180.25–$190.55 varies
Injection single/mlt trigger point 3/> muscles (20553) $160.68 $200.85 0.5×
Injection therapeutic carpal tunnel (20526) $220.01 $275.01 0.7×
Injection, anesthetic agent; brachial plexus, single (64415) $351.02 $438.78 0.4×
Injection, anesthetic agent; femoral nerve, single (64447) $304.88 $381.10 0.4×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $204.35 $255.44 0.3×
Insert Bladder Cath Complex (51703)
range across 3 matching MRF lines
$369.98–$394.70 $462.47–$493.37 varies
Insert cath pleura w/o image (32556) $1,315.93 $1,644.91 0.7×
Insert Drug Implant Device (11981)
range across 2 matching MRF lines
$274.39–$280.16 $342.99–$350.20 varies
Insert non-tunnel cv cath (36556)
range across 4 matching MRF lines
$135.96–$1,040.71 $169.95–$1,300.89 varies
Insert pessary/other device (57160) $192.82 $241.02 1.0×
Insert Temp Bladder Cath (51702)
range across 4 matching MRF lines
$163.15–$315.59 $203.94–$394.49 varies
Insert tunneled cv cath (36561) $2,806.54 $3,508.18 0.9×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines
$73.34–$106.30 $91.67–$132.87 varies
Insj prph ctr vad w/subq port age 5 yr/> (36571) $2,349.22 $2,936.53 0.8×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $617.18 $771.47 0.4×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $1,492.26 $1,865.33 0.5×
Intubation endotracheal emergency procedure (31500)
range across 3 matching MRF lines
$135.96–$759.73 $169.95–$949.66 varies
Island pedicle flap graft (15740) $1,778.19 $2,222.74 0.9×
Knee arthroscopy/drainage (29871) $924.53 $1,155.66 0.3×
Laparo-vag hyst incl t/o (58552)
likely a partial charge, not the full procedure
$2,773.58 $3,466.98 0.3×
Laparoscopic myomectomy (58545)
unusually low: confirm this is the full procedure
$2,537.10 $3,171.37 0.4×
Laparoscopy aspiration (49322)
likely a partial charge, not the full procedure
$1,060.49 $1,325.61 0.2×
Laparoscopy Enterolysis Separate Procedure (44180)
likely a partial charge, not the full procedure
$1,700.74 $2,125.92 0.3×
Laparoscopy fulguration oviducts (58670)
range across 2 matching MRF lines
$1,014.34–$1,033.30 $1,267.93–$1,291.62 varies
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure
$1,223.64 $1,529.55 0.2×
Laparoscopy surgical orchiectomy (54690)
likely a partial charge, not the full procedure
$1,163.49 $1,454.36 0.2×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
likely a partial charge, not the full procedure
$1,625.75 $2,032.19 0.2×
Laparoscopy W/Lysis Of Adhesions (58660)
unusually low: confirm this is the full procedure
$1,914.15 $2,392.69 0.3×
Laparoscopy w/rmvl adnexal structures (58661)
unusually low: confirm this is the full procedure
$1,838.34 $2,297.93 0.3×
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure
$1,713.10 $2,141.37 0.3×
Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546)
unusually low: confirm this is the full procedure
$3,170.75 $3,963.44 0.3×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550)
unusually low: confirm this is the full procedure
$2,488.48 $3,110.60 0.4×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
unusually low: confirm this is the full procedure
$2,047.64 $2,559.55 0.3×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure
$1,549.94 $1,937.43 0.3×
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992)
unusually low: confirm this is the full procedure
$2,365.70 $2,957.13 0.4×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
likely a partial charge, not the full procedure
$978.91 $1,223.64 0.2×
Laparoscopy, Tubal Block (58671)
likely a partial charge, not the full procedure
$1,035.77 $1,294.71 0.2×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure
$930.30 $1,162.87 0.2×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
unusually low: confirm this is the full procedure
$2,006.44 $2,508.05 0.3×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542)
likely a partial charge, not the full procedure
$1,519.46 $1,899.32 0.1×
Laryngoscopy flexible diagnostic (31575) $326.30 $407.88 1.7×
Late closure of wound (13160) $2,311.32 $2,889.15 0.7×
Lig&div long saph vein saphfem junct/interrupj (37700) $693.81 $867.26 0.2×
Manipulation knee joint under general anesthesia (27570) $407.88 $509.85 0.3×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $527.36 $659.20 0.3×
Marsupialization of bartholin's gland cyst (56440) $491.93 $614.91 0.2×
Mast mod rad (19307) $3,434.43 $4,293.04 0.5×
Mastectomy partial (19301) $1,217.87 $1,522.34 0.3×
Mastectomy partial w/axillary lymphadenectomy (19302)
likely a partial charge, not the full procedure
$1,646.35 $2,057.94 0.3×
Myelography Lumbar Injection (62305)
range across 2 matching MRF lines
$698.75–$2,531.33 $873.44–$3,164.16 varies
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines
$282.63–$299.11 $353.29–$373.89 varies
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $917.11 $1,146.39 0.6×
Needle Biopsy Lymph Nodes (38505)
range across 8 matching MRF lines
$1,375.26–$3,924.71 $1,719.07–$4,905.89 varies
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $1,075.32 $1,344.15 0.6×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $1,386.79 $1,733.49 0.7×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 6 matching MRF lines
$454.02–$3,625.60 $567.53–$4,532 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 3 matching MRF lines
$595.75–$2,031.16 $744.69–$2,538.95 varies
Occlusion flp tube dev vag/suprapubic appr (58615) $690.51 $863.14 0.2×
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure
$1,432.11 $1,790.14 0.2×
Open biopsy/excision inguinofemoral nodes (38531) $1,212.93 $1,516.16 0.3×
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure
$1,385.14 $1,731.43 0.2×
Open treatment calcaneal fracture (28415)
likely a partial charge, not the full procedure
$2,028.69 $2,535.86 0.3×
Open Treatment Fracture Distal Tibia & Fibula (27828)
likely a partial charge, not the full procedure
$2,403.61 $3,004.51 0.2×
Open treatment fracture distal tibia only (27827)
likely a partial charge, not the full procedure
$2,019.62 $2,524.53 0.2×
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure
$1,090.98 $1,363.72 0.2×
Open treatment metacarpophalangeal dislocation (26715) $1,030 $1,287.50 0.3×
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure
$997.04 $1,246.30 0.1×
Open treatment of acromioclavicular dislocation acute or chronic (23550)
likely a partial charge, not the full procedure
$1,034.94 $1,293.68 0.1×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure
$1,301.92 $1,627.40 0.2×
Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed Facility (27519) $11,356.37 $14,195.46 1.6×
Open Treatment of Ulnar Shaft Fracture (25545)
likely a partial charge, not the full procedure
$1,094.93 $1,368.66 0.2×
Open treatment of ulnar styloid fracture (25652)
likely a partial charge, not the full procedure
$1,122.29 $1,402.86 0.2×
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure
$1,601.03 $2,001.29 0.1×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure
$1,165.96 $1,457.45 0.2×
Open Tx Distal Tibiofibular Joint Disruption (27829)
likely a partial charge, not the full procedure
$1,252.65 $1,565.81 0.2×
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514)
likely a partial charge, not the full procedure
$1,761.71 $2,202.14 0.1×
Open tx femoral supracondylar fracture w/o xtn (27511)
likely a partial charge, not the full procedure
$2,727.44 $3,409.30 0.2×
Open Tx Humeral Epicondylar Fracture (24575)
likely a partial charge, not the full procedure
$1,321.70 $1,652.12 0.1×
Open tx humeral supracondylar fracture w/o xtn (24545)
likely a partial charge, not the full procedure
$1,682.61 $2,103.26 0.1×
Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540)
likely a partial charge, not the full procedure
$1,474.14 $1,842.67 0.2×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $1,034.94 $1,293.68 0.3×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $1,069.55 $1,336.94 0.3×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
likely a partial charge, not the full procedure
$1,580.43 $1,975.54 0.2×
Open tx ulnar fx proximal end (24685)
likely a partial charge, not the full procedure
$1,179.97 $1,474.96 0.2×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
likely a partial charge, not the full procedure
$1,489.79 $1,862.24 0.2×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
unusually low: confirm this is the full procedure
$2,167.94 $2,709.93 0.3×
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
likely a partial charge, not the full procedure
$1,593.62 $1,992.02 0.1×
Optx tibial fx prox bicondylar w/wo int fixj (27536)
likely a partial charge, not the full procedure
$2,153.94 $2,692.42 0.3×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758)
likely a partial charge, not the full procedure
$1,624.10 $2,030.13 0.1×
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure
$1,013.35 $1,266.69 0.1×
Ovarian cystectomy, unilateral or bilateral (58925) $1,404.92 $1,756.15 0.3×
Parathyroidectomy or exploration of parathyroid(s); (60500)
likely a partial charge, not the full procedure
$1,713.10 $2,141.37 0.3×
Part remv talus or calcaneus (28120) $1,321.70 $1,652.12 0.4×
Partial Excision Distal Phalanx Finger (26236) $1,190.68 $1,488.35 0.7×
Partial removal of thyroid (60220)
likely a partial charge, not the full procedure
$1,288.74 $1,610.92 0.2×
Partial removal of toe (28160) $701.22 $876.53 0.2×
Pelvic examination under anesthesia (other than local) (57410) $297.46 $371.83 0.1×
Perq device breast 1st imag (19281)
range across 4 matching MRF lines
$1,152.78–$1,730.40 $1,440.97–$2,163 varies
Perq skel fixj distal radial fx/epiphysl sep (25606) $1,198.10 $1,497.62 0.4×
Placement of needle for intraosseous infusion (36680) $356.79 $445.99 0.8×
Placement of seton (46020) $312.70 $390.88 0.1×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $1,704.86 $2,131.07 0.3×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $326.30 $407.88 0.4×
Prq skel fixj femoral fx prox end neck (27235)
likely a partial charge, not the full procedure
$1,616.69 $2,020.86 0.2×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
likely a partial charge, not the full procedure
$1,406.57 $1,758.21 0.2×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $1,024.23 $1,280.29 0.3×
Punch biopsy skin single lesion (11104)
range across 3 matching MRF lines
$318.06–$1,014.34 $397.58–$1,267.93 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines
$334.54–$340.31 $418.18–$425.39 varies
Puncture Aspiration Cyst Breast (19000)
range across 6 matching MRF lines
$788.57–$2,072.36 $985.71–$2,590.45 varies
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238)
likely a partial charge, not the full procedure
$1,313.46 $1,641.82 0.2×
Reconstruction Toe Polydactyly (28344) $1,144.54 $1,430.67 0.4×
Release or recession, hamstring, proximal Facility (27097) $1,236 $1,545 0.4×
Removal Anal Seton Other Marker (46030) $386.46 $483.07 0.3×
Removal foreign body foot deep (28192) $821.53 $1,026.91 0.5×
Removal Foreign Body Foot Subcutaneous (28190) $672.38 $840.48 1.0×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $562.79 $703.49 0.3×
Removal foreign body upper arm/elbow deep (24201) $973.14 $1,216.43 0.3×
Removal foreign body, intranasal; requiring general anesthesia (30310) $571.03 $713.79 0.2×
Removal impacted cerumen irrigation/lvg unilat (69209) $36.26 $45.32 0.6×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $129.37 $161.71 2.2×
Removal Implant Deep (20680) $1,087.68 $1,359.60 0.4×
Removal Implant Superficial Separate Procedure (20670) $976.44 $1,220.55 0.6×
Removal implantable contraceptive capsules (11976) $394.70 $493.37 0.6×
Removal of anal fissure (46200) $1,231.88 $1,539.85 0.4×
Removal of mammary implant material (19330) $1,797.14 $2,246.43 0.5×
Removal of nail bed (11750)
range across 2 matching MRF lines
$402.11–$414.47 $502.64–$518.09 varies
Removal of sesamoid bone (28315) $1,047.30 $1,309.13 0.3×
Removal of tonsils (42826) $690.51 $863.14 0.2×
Removal or bivalving full arm or full leg cast (29705)
range across 2 matching MRF lines
$172.22–$652.61 $215.27–$815.76 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200) $236.49 $295.61 1.2×
Removal, under anesthesia, of external fixation system (20694) $1,144.54 $1,430.67 0.7×
Remove cerclage suture (59871) $353.50 $441.87 0.1×
Remove drug implant device (11982)
range across 2 matching MRF lines
$313.12–$318.89 $391.40–$398.61 varies
Remove Intrauterine Device (58301)
range across 3 matching MRF lines
$276.86–$288.40 $346.08–$360.50 varies
Remove lung catheter (32552) $449.08 $561.35 0.7×
Remove Peritoneal Foreign Body (49402) $1,506.44 $1,883.05 0.4×
Remove Tendon Sheath Lesion (26160)
range across 2 matching MRF lines
$1,063.78–$1,090.98 $1,329.73–$1,363.72 varies
Remove/Insert Drug Implant (11983)
range across 2 matching MRF lines
$374.92–$396.34 $468.65–$495.43 varies
Reopen fallopian tube (58350) $337.02 $421.27 0.1×
Repair Achilles Tendon (27650)
likely a partial charge, not the full procedure
$1,185.74 $1,482.17 0.2×
Repair blood vessel direct neck (35201)
unusually low: confirm this is the full procedure
$1,738.64 $2,173.30 0.3×
Repair Blood Vessel Direct Upper Extremity (35206) $1,439.53 $1,799.41 0.5×
Repair Collat Ankle Ligmnt,Secondary (27698)
likely a partial charge, not the full procedure
$1,134.82 $1,418.52 0.2×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,142.06 $1,427.58 1.6×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $639.42 $799.28 1.6×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,256.60 $1,570.75 3.1×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $945.95 $1,182.44 2.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,136.30 $1,420.37 2.8×
Repair complex trunk 1.1-2.5 cm (13100) $530.66 $663.32 0.7×
Repair Elbow Perc (24357) $1,120.64 $1,400.80 0.3×
Repair extensor tendon finger w/o graft each (26418) $1,093.45 $1,366.81 0.7×
Repair Finger/Hand Tendon (26350) $1,323.34 $1,654.18 0.4×
Repair humerus with graft (24435)
likely a partial charge, not the full procedure
$1,950.41 $2,438.01 0.2×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $1,140.42 $1,425.52 0.3×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $1,086.03 $1,357.54 0.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $742.42 $928.03 1.8×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $832.24 $1,040.30 2.1×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $813.29 $1,016.61 2.0×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,003.63 $1,254.54 1.4×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $748.19 $935.24 1.9×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $794.34 $992.92 2.0×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,158.54 $1,448.18 1.6×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $884.15 $1,105.19 2.2×
Repair intermediate s/a/t/e >30.0 cm (12037) $1,089.60 $1,362 0.5×
Repair of fibula nonunion and/or malunion with internal fixation (27726)
likely a partial charge, not the full procedure
$1,743.58 $2,179.48 0.2×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400)
likely a partial charge, not the full procedure
$1,453.54 $1,816.92 0.2×
Repair Rotator Cuff Chronic (23412)
likely a partial charge, not the full procedure
$1,544.18 $1,930.22 0.2×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
likely a partial charge, not the full procedure
$1,341.47 $1,676.84 0.2×
Repair, primary, disrupted ligament, ankle; collateral (27695)
likely a partial charge, not the full procedure
$1,264.84 $1,581.05 0.2×
Reposition Gastrostomy Tube (43761) $340.31 $425.39 1.4×
Rerepair ing hernia reduce (49520) $1,808.68 $2,260.85 0.5×
Revise lower leg tendon (27690)
likely a partial charge, not the full procedure
$1,131.18 $1,413.98 0.2×
Revise ulnar nerve at wrist (64719) $1,090.15 $1,362.69 0.6×
Revision including removal of prosthetic vaginal graft vaginal approach (57295) $914.64 $1,143.30 0.3×
Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) $1,900.14 $2,375.18 0.5×
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138)
likely a partial charge, not the full procedure
$2,342.40 $2,928 0.2×
Revision of urethra (57220) $927 $1,158.75 0.2×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $1,129.70 $1,412.13 0.3×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
likely a partial charge, not the full procedure
$3,184.76 $3,980.95 0.2×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486)
likely a partial charge, not the full procedure
$2,556.05 $3,195.06 0.2×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $1,413.98 $1,767.48 0.7×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $483.69 $604.61 0.5×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $263.68 $329.60 0.2×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $160.68 $200.85 0.4×
Rmvl fecal impaction/fb spx under anes (45915) $927 $1,158.75 0.8×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $1,261.54 $1,576.93 0.4×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $581.74 $727.18 0.4×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines
$606.46–$612.23 $758.08–$765.29 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $424.36 $530.45 0.7×
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) $652.61 $815.76 2.4×
Rplc Gtube No Revj Trc (43762)
range across 4 matching MRF lines
$585.04–$614.70 $731.30–$768.38 varies
Rplcmt cath ctr vad subq port/pmp (36578) $1,179.97 $1,474.96 0.4×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure
$1,368.66 $1,710.83 0.2×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $938.54 $1,173.17 0.3×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595)
likely a partial charge, not the full procedure
$1,412.34 $1,765.42 0.2×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
likely a partial charge, not the full procedure
$1,016.82 $1,271.02 0.2×
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure
$1,049.78 $1,312.22 0.2×
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure
$1,307.69 $1,634.61 0.2×
Rpr blood vessel direct lower extremity (35226) $2,406.90 $3,008.63 3.4×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664)
likely a partial charge, not the full procedure
$965.31 $1,206.64 0.1×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $261.21 $326.51 1.3×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $1,406.57 $1,758.21 0.4×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $772.09 $965.11 0.7×
Shave skin lesion 0.5 cm/< (11300) $261.21 $326.51 0.6×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $301.58 $376.98 1.5×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $472.98 $591.22 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $271.92 $339.90 1.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $318.06 $397.58 1.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $361.74 $452.17 1.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308)
range across 2 matching MRF lines
$374.92–$383.16 $468.65–$478.95 varies
Shoulder Arthroscopy/Surgery (29825) $1,058.84 $1,323.55 0.3×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $355.97 $444.96 1.8×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $407.88 $509.85 1.0×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $315.59 $394.49 1.6×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $394.70 $493.37 1.0×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $355.97 $444.96 1.8×
Sigmoidoscopy & decompress (45337) $309.82 $387.28 0.3×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $712.76 $890.95 0.8×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines
$282.80–$296.64 $353.50–$370.80 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $313.12 $391.40 1.6×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines
$242.26–$247.20 $302.82–$309 varies
Skin graft, harvest cultured tissue (15040) $503.46 $629.33 0.2×
Skin Pinch Graft (15050) $1,048.95 $1,311.19 1.4×
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines
$416.12–$3,128.73 $520.15–$3,910.91 varies
Skin sub graft trnk/arm/leg (15271)
range across 3 matching MRF lines
$402.11–$3,128.73 $502.64–$3,910.91 varies
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines
$821.53–$5,897.37 $1,026.91–$7,371.71 varies
Skn sub grft f/n/hf/g child (15277)
range across 2 matching MRF lines
$913.82–$3,128.73 $1,142.27–$3,910.91 varies
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $2,053.41 $2,566.76 0.4×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $301.58 $376.98 1.5×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $549.61 $687.01 1.4×
Sphincterotomy anal division sphincter spx (46080) $728.42 $910.52 0.3×
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines
$477.10–$700.40 $596.37–$875.50 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $1,957.82 $2,447.28 0.6×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $2,039.40 $2,549.25 1.0×
Strapping ankle (29540) $397.17 $496.46 2.5×
Strapping elbow or wrist (29260) $154.91 $193.64 2.7×
Strapping hand/finger (29280) $154.91 $193.64 2.7×
Strapping Hip (29520) $315.59 $394.49 2.4×
Strapping knee (29530) $315.59 $394.49 2.4×
Strapping shoulder (29240) $315.59 $394.49 2.4×
Strapping thorax (29200) $397.17 $496.46 2.5×
Strapping toes (29550) $157.38 $196.73 2.7×
Strapping Unna Boot (29580)
range across 4 matching MRF lines
$168.10–$397.17 $210.12–$496.46 varies
Surg tx anal fistula subq (46270) $957.49 $1,196.86 0.3×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $977.10 $1,221.37 0.4×
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381)
likely a partial charge, not the full procedure
$1,459.30 $1,824.13 0.2×
Suture of quadriceps or hamstring muscle rupture primary (27385)
likely a partial charge, not the full procedure
$1,081.91 $1,352.39 0.2×
Tangential biopsy skin single lesion (11102) $261.21 $326.51 0.6×
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure
$1,335.70 $1,669.63 0.2×
Thyroidectomy, total or complete (60240)
unusually low: confirm this is the full procedure
$2,585.71 $3,232.14 0.4×
Total Knee Arthroplasty (27447)
likely a partial charge, not the full procedure
$2,340.16 $2,925.20 0.2×
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225)
unusually low: confirm this is the full procedure
$2,610.43 $3,263.04 0.4×
Treat dislocation/fracture (23680)
likely a partial charge, not the full procedure
$1,680.14 $2,100.17 0.1×
Treat ectopic pregnancy (59151)
likely a partial charge, not the full procedure
$1,435.41 $1,794.26 0.2×
Treat Finger Fracture Each (26727) $1,275.55 $1,594.44 0.4×
Treat fracture radius/ulna (25575)
likely a partial charge, not the full procedure
$1,633.17 $2,041.46 0.2×
Treat Fx Rad Extra-Articul (25607)
likely a partial charge, not the full procedure
$1,330.76 $1,663.45 0.2×
Treat humerus fracture (23600) $886.62 $1,108.28 3.6×
Treat Kneecap Fracture (27524)
likely a partial charge, not the full procedure
$1,365.37 $1,706.71 0.2×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,288.74 $1,610.92 0.8×
Treatment closed elbow dislocation w/o anes (24600) $1,027.53 $1,284.41 4.2×
Treatment of ankle fracture (27823)
likely a partial charge, not the full procedure
$1,779.84 $2,224.80 0.2×
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
unusually low: confirm this is the full procedure
$2,231.39 $2,789.24 0.3×
Trim skin lesion (11055)
range across 3 matching MRF lines
$182.10–$491.93 $227.63–$614.91 varies
Trim skin lesions 2 to 4 (11056)
range across 3 matching MRF lines
$211.77–$491.93 $264.71–$614.91 varies
Tubal ligation (58600) $1,033.30 $1,291.62 0.3×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $1,294.50 $1,618.13 0.5×
Tx Gastro Intub W/Asp (43753)
range across 2 matching MRF lines
$95.58–$243.08 $119.48–$303.85 varies
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
likely a partial charge, not the full procedure
$1,560.66 $1,950.82 0.1×
Tx Incomplete Abortion Any Trimester Surgical (59812) $959.96 $1,199.95 0.3×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245)
unusually low: confirm this is the full procedure
$2,184.42 $2,730.53 0.3×
Tx Missed Abortion First Trimester Surgical (59820) $1,163.49 $1,454.36 0.4×
Tx Missed Abortion Second Trimester Surgical (59821) $1,142.06 $1,427.58 0.4×
Tx Superficial Wound Dehiscence Simple Closure (12020) $796.81 $996.01 1.1×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
likely a partial charge, not the full procedure
$1,791.38 $2,239.22 0.1×
Unlisted laparoscopy procedure oviduct ovary (58679)
likely a partial charge, not the full procedure
$842.95 $1,053.69 0.1×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
likely a partial charge, not the full procedure
$906.40 $1,133 0.2×
Unlisted procedure arthroscopy (29999) $435.60 $544.50 1.8×
Unlisted Procedure Casting/Strapping (29799) $204.35 $255.44 1.3×
Unlisted procedure nervous system (64999) $14.01 $17.51 0.0×
Vag hyst w/t/o & vag repair (58263) $2,809.02 $3,511.27 0.6×
Vaginal delivery only (59409) $1,495.56 $1,869.45 0.5×
Vaginal hysterectomy, for uterus 250 g or less; (58260) $1,533.46 $1,916.83 0.3×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $1,694.97 $2,118.71 0.3×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 2 matching MRF lines
$930.30–$961.61 $1,162.87–$1,202.01 varies
Vasovasostomy vasovasorrhaphy (55400) $1,329.94 $1,662.42 0.4×
Vulvectomy simple partial (56620) $1,030 $1,287.50 0.3×
Wedging of cast (29740) $652.61 $815.76 2.4×
Windowing of cast (29730) $397.17 $496.46 2.5×
Wound Prep F/N/Hf/G (15004) $856.96 $1,071.20 2.1×
Wound Prep Trk/Arm/Leg (15002) $941.01 $1,176.26 1.3×
Xfer Single Deep Low Leg Tendon (27691)
likely a partial charge, not the full procedure
$1,319.72 $1,649.65 0.2×

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.