Procedures & surgery prices at Citizens Medical Center
Colby, KS · every code in this section with a posted price and a Medicare benchmark.
507 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 2 matching MRF lines |
$1,311.70–$2,925 | $2,018–$4,500 | varies |
| Acne surgery (10040) range across 2 matching MRF lines |
$85.80–$87.75 | $132–$135 | varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) range across 2 matching MRF lines |
$3,302.65–$4,387.50 | $5,081–$6,750 | varies |
| Amputation toe interphalangeal joint (28825) range across 2 matching MRF lines |
$1,625–$2,925 | $2,500–$4,500 | varies |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$76.70–$153.40 | $118–$236 | varies |
| Anoscopy; with biopsy, single or multiple (46606) range across 2 matching MRF lines |
$317.20–$2,171 | $488–$3,340 | varies |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) range across 2 matching MRF lines |
$1,896.70–$2,925 | $2,918–$4,500 | varies |
| Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
$94.90–$380.58 | $146–$585.50 | varies |
| Application Finger Splint Dynamic (29131) | $97.50 | $150 | 1.8× |
| Application finger splint static (29130) range across 3 matching MRF lines |
$57.85–$190.13 | $89–$292.50 | varies |
| Application long arm splint shoulder hand (29105) range across 5 matching MRF lines |
$122.20–$248.95 | $188–$383 | varies |
| Application Long Leg Cast Walker/Ambulatory Type (29355) | $234 | $360 | 0.9× |
| Application Long Leg Splint (29505) range across 4 matching MRF lines |
$99.45–$253.18 | $153–$389.50 | varies |
| Application of long leg cast (29345) range across 2 matching MRF lines |
$236.60–$248.30 | $364–$382 | varies |
| Application of rigid total contact leg cast (29445) | $260 | $400 | 1.0× |
| Application Short Arm Splint Dynamic (29126) range across 3 matching MRF lines |
$129.35–$372.45 | $199–$573 | varies |
| Application short arm splint forearm-hand static (29125) range across 5 matching MRF lines |
$93.60–$204.75 | $144–$315 | varies |
| Application short leg splint calf foot (29515) range across 4 matching MRF lines |
$83.85–$259.35 | $129–$399 | varies |
| Apply hand/wrist cast (29085) range across 4 matching MRF lines |
$91.65–$380.58 | $141–$585.50 | varies |
| Apply long arm cast (29065) range across 3 matching MRF lines |
$133.90–$178.75 | $206–$275 | varies |
| Apply Short Leg Cast (29405) range across 4 matching MRF lines |
$120.25–$253.18 | $185–$389.50 | varies |
| Apply short leg cast (29425) | $213.85 | $329 | 0.8× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$78–$156 | $120–$240 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 6 matching MRF lines |
$91–$650 | $140–$1,000 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 11 matching MRF lines |
$105.30–$8,775 | $162–$13,500 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $520 | $800 | 1.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 7 matching MRF lines |
$79.30–$611 | $122–$940 | varies |
| Arthroplasty glenohumeral joint total shoulder (23472) range across 2 matching MRF lines |
$5,850–$7,800 | $9,000–$12,000 | varies |
| Arthroscopy knee synovectomy limited spx (29875) | $4,387.50 | $6,750 | 1.5× |
| Arthroscopy shoulder distal claviculectomy (29824) | $4,387.50 | $6,750 | 1.5× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) | $7,800 | $12,000 | 1.2× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) range across 2 matching MRF lines |
$4,386.20–$5,848.05 | $6,748–$8,997 | varies |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | $7,799.35 | $11,999 | 2.6× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) | $5,850 | $9,000 | 0.9× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) unusually low: confirm this is the full procedure |
$5,850 | $9,000 | 0.5× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) range across 2 matching MRF lines |
$2,924.35–$4,386.85 | $4,499–$6,749 | varies |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$1,167.40–$1,462.50 | $1,796–$2,250 | varies |
| Aspirate Pleura W/O Imaging (32554) | $434.20 | $668 | 0.8× |
| Aspirate/Inj Ganglion Cyst (20612) range across 3 matching MRF lines |
$87.75–$528.45 | $135–$813 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 4 matching MRF lines |
$102.70–$216.45 | $158–$333 | varies |
| Biopsy Abdominal Mass (49180) | $1,361.75 | $2,095 | 0.9× |
| Biopsy external ear (69100) range across 2 matching MRF lines |
$146.25–$460.20 | $225–$708 | varies |
| Biopsy muscle percutaneous needle (20206) | $1,083.55 | $1,667 | 0.7× |
| Biopsy of breast; open, incisional (19101) range across 2 matching MRF lines |
$2,925–$3,166.15 | $4,500–$4,871 | varies |
| Biopsy of liver, needle; percutaneous (47000) range across 2 matching MRF lines |
$1,440.40–$1,465.75 | $2,216–$2,255 | varies |
| Biopsy of palate, uvula (42100) | $315.25 | $485 | 0.2× |
| Biopsy Oropharynx (42800) | $1,040 | $1,600 | 0.7× |
| Biopsy Salivary Gland Incisional (42405) | $1,221.35 | $1,879 | 0.9× |
| Biopsy Salivary Gland Needle (42400) | $563.55 | $867 | 0.9× |
| Biopsy soft tissue neck/thorax (21550) | $1,040 | $1,600 | 0.7× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) | $494 | $760 | 0.3× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) | $563.55 | $867 | 0.4× |
| Biopsy Tongue Anterior Two-Thirds (41100) | $375.70 | $578 | 0.8× |
| Biopsy Vaginal Mucosa Simple (57100) | $1,900.60 | $2,924 | 2.2× |
| Biopsy, vestibule of mouth (40808) | $911.95 | $1,403 | 1.8× |
| Biopsy/removal lymph nodes (38510) | $3,242.85 | $4,989 | 0.9× |
| Bladder instillation anticarcinogenic agent (51720) | $811.85 | $1,249 | 1.3× |
| Bladder Irrigation (51700) | $305.50 | $470 | 1.3× |
| Bladder Scan (51798) range across 2 matching MRF lines |
$74.10–$103.35 | $114–$159 | varies |
| Blood Transfusion Service (36430) | $670.80 | $1,032 | 1.7× |
| Bone Marrow Biopsy (38221) range across 2 matching MRF lines |
$1,440.40–$2,925 | $2,216–$4,500 | varies |
| Bone Marrow; Aspiration Only (38220) | $1,430 | $2,200 | 0.9× |
| Brnchsc Brushing/Protected Brushings (31623) | $1,462.50 | $2,250 | 0.9× |
| Bronchoscopy W/Biopsy(S) (31625) | $1,381.25 | $2,125 | 0.8× |
| Bronchoscopy W/Removal Foreign Body (31635) | $1,820 | $2,800 | 1.1× |
| Bx breast 1st lesion strtctc (19081) | $1,794 | $2,760 | 1.2× |
| Bx breast 1st lesion us imag (19083) | $2,033.85 | $3,129 | 1.3× |
| Bx breast needle core w/o imaging guidance spx (19100) | $694.85 | $1,069 | 0.5× |
| Bx Cervix (57500) range across 2 matching MRF lines |
$96.51–$124.15 | $148.48–$191 | varies |
| Bx/exc lymph node open superficial (38500) range across 2 matching MRF lines |
$2,680.60–$2,925 | $4,124–$4,500 | varies |
| Capsulotomy Iphal Joint Each Joint Spx (28272) | $1,820 | $2,800 | 1.2× |
| Carpal Tunnel Surgery (64721) range across 3 matching MRF lines |
$1,462.50–$2,925 | $2,250–$4,500 | varies |
| Catheter aspiration nasotracheal spx (31720) | $627.25 | $965 | 3.1× |
| Change Cystostomy Tube Simple (51705) | $174.85 | $269 | 0.8× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$68.25–$95.55 | $105–$147 | varies |
| Chemodenerv Musc Migraine (64615) | $339.30 | $522 | 1.2× |
| Chemodenerv musc neck dyston (64616) | $872.30 | $1,342 | 3.1× |
| Chest tube placement (32551) | $915.85 | $1,409 | 0.6× |
| Circumcision 28 days or older (54161) | $2,925 | $4,500 | 1.5× |
| Circumcision w/clamp/oth dev w/block (54150) | $273 | $420 | 0.1× |
| Cl Tx Tib Shft Fx W Manip (27752) | $1,020.50 | $1,570 | 0.7× |
| Clear outer ear canal (69200) range across 4 matching MRF lines |
$94.90–$275.60 | $146–$424 | varies |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $835.25 | $1,285 | 3.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $634.56 | $976.25 | 2.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,020.50 | $1,570 | 0.7× |
| Closed tx carpal scaphoid fracture w/manj (25624) | $1,124.50 | $1,730 | 0.8× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $1,300 | $2,000 | 5.7× |
| Closed tx knee dislocation w/o anesthesia (27550) | $634.56 | $976.25 | 2.8× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $2,015 | $3,100 | 1.4× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) range across 2 matching MRF lines |
$1,119.95–$2,925 | $1,723–$4,500 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) | $634.56 | $976.25 | 2.8× |
| Closed tx radial head/neck fx w/manipulation (24655) | $1,462.50 | $2,250 | 1.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $492.70 | $758 | 2.2× |
| Closed tx radial shaft fracture w/manipulation (25505) | $845 | $1,300 | 0.6× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $845 | $1,300 | 3.7× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 3 matching MRF lines |
$1,020.50–$2,925 | $1,570–$4,500 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $1,300 | $2,000 | 5.7× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $1,508.65 | $2,321 | 1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $406.90 | $626 | 1.8× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $845 | $1,300 | 3.7× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $1,300 | $2,000 | 5.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $1,075.10 | $1,654 | 0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $634.56 | $976.25 | 2.8× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $1,441.05 | $2,217 | 1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $1,107.60 | $1,704 | 4.9× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $845 | $1,300 | 3.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $568.10 | $874 | 2.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $1,020.50 | $1,570 | 4.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,120.60–$2,925 | $1,724–$4,500 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$380.58–$1,462.50 | $585.50–$2,250 | varies |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $1,020.50 | $1,570 | 4.5× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $1,932.45 | $2,973 | 1.3× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $1,020.50 | $1,570 | 0.7× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $1,246.05 | $1,917 | 0.8× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $1,300 | $2,000 | 5.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $650 | $1,000 | 2.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $650 | $1,000 | 2.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $715 | $1,100 | 3.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $617.50 | $950 | 2.7× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $1,125.80 | $1,732 | 0.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $951.44 | $1,463.75 | 4.2× |
| Cltx post hip arthrp dislc req anes (27266) range across 2 matching MRF lines |
$1,462.50–$2,865.85 | $2,250–$4,409 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $1,593.15 | $2,451 | 1.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $634.56 | $976.25 | 2.8× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $1,462.50 | $2,250 | 1.0× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $1,365 | $2,100 | 0.9× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $1,123.20 | $1,728 | 0.8× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $1,365 | $2,100 | 6.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$1,462.50–$1,853.80 | $2,250–$2,852 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $141.70 | $218 | 1.2× |
| Collection of venous blood by venipuncture (36415) | $16.90 | $26 | 1.8× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) | $1,379.30 | $2,122 | 1.3× |
| Colonoscopy thru stoma (44388) | $1,564.55 | $2,407 | 1.8× |
| Colonoscopy w/submucosal inj (45381) range across 4 matching MRF lines |
$1,204.45–$2,925 | $1,853–$4,500 | varies |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) range across 2 matching MRF lines |
$107.60–$226.85 | $165.54–$349 | varies |
| Colposcopy Cervix Endocervical Curettage (57456) | $96.93 | $149.13 | 0.3× |
| Colposcopy cervix upper/adjacent vagina (57452) range across 2 matching MRF lines |
$80.48–$1,079 | $123.81–$1,660 | varies |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) range across 2 matching MRF lines |
$102.86–$211.90 | $158.24–$326 | varies |
| Colposcopy cervix vag eltrd conization cervix (57461) | $220.39 | $339.06 | 0.1× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | $197.47 | $303.80 | 0.1× |
| Colsc Flexible W/Control Bleeding Any Method (45382) range across 2 matching MRF lines |
$1,498.25–$2,925 | $2,305–$4,500 | varies |
| Colsc flx w/removal lesion by hot bx forceps (45384) range across 4 matching MRF lines |
$1,183.65–$2,925 | $1,821–$4,500 | varies |
| Complex drainage wound (10180) | $372.45 | $573 | 0.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $387.73 | $596.50 | 3.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 4 matching MRF lines |
$91–$280.15 | $140–$431 | varies |
| Correction hammertoe (28285) range across 2 matching MRF lines |
$2,922.40–$2,925 | $4,496–$4,500 | varies |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) | $2,925 | $4,500 | 1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) range across 2 matching MRF lines |
$1,462.50–$2,925 | $2,250–$4,500 | varies |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) | $2,925 | $4,500 | 1.0× |
| Create Eardrum Opening (69433) | $529.10 | $814 | 1.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 3 matching MRF lines |
$234–$472.55 | $360–$727 | varies |
| Curette/treat cornea (65435) | $434.85 | $669 | 0.5× |
| Cysto calibration dilat urtl strix/stenosis (52281) range across 2 matching MRF lines |
$2,217.15–$2,925 | $3,411–$4,500 | varies |
| Cysto w/complex removal stone & stent (52315) | $2,925 | $4,500 | 1.5× |
| Cysto W/Simple Removal Stone & Stent (52310) | $2,925 | $4,500 | 1.5× |
| Cystourethroscopy (52000) range across 3 matching MRF lines |
$1,012.05–$2,925 | $1,557–$4,500 | varies |
| Cystourethroscopy inj chemodenervation bladder (52287) | $1,462.50 | $2,250 | 0.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $91.65 | $141 | 0.2× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$723.45–$868.40 | $1,113–$1,336 | varies |
| Debride nail 1-5 (11720) | $74.75 | $115 | 1.4× |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$277.55–$300.30 | $427–$462 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $1,501.50 | $2,310 | 1.0× |
| Debridement Mastoidectomy Cavity Simple (69220) | $436.15 | $671 | 2.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 4 matching MRF lines |
$100.10–$303.55 | $154–$467 | varies |
| Declot vascular device (36593) | $448.50 | $690 | 1.5× |
| Decompression of tibia nerve (28035) range across 2 matching MRF lines |
$2,925–$5,849.35 | $4,500–$8,999 | varies |
| Destroy cerv/thor facet jnt (64633) range across 3 matching MRF lines |
$1,634.10–$2,541.50 | $2,514–$3,910 | varies |
| Destroy lumb/sac facet jnt (64635) range across 3 matching MRF lines |
$1,634.10–$3,448.90 | $2,514–$5,306 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 3 matching MRF lines |
$95.55–$862.55 | $147–$1,327 | varies |
| Destruction Benign Lesions 15/> (17111) range across 2 matching MRF lines |
$113.75–$1,030.90 | $175–$1,586 | varies |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $164.45 | $253 | 0.9× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $164.45 | $253 | 0.9× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) | $164.45 | $253 | 0.4× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) range across 2 matching MRF lines |
$86.45–$91 | $133–$140 | varies |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $92.30 | $142 | 0.5× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) | $97.50 | $150 | 0.5× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $91.65 | $141 | 0.5× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $85.80 | $132 | 0.5× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $86.45 | $133 | 0.5× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) | $92.30 | $142 | 0.5× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) | $164.45 | $253 | 0.4× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) | $356.20 | $548 | 1.0× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) range across 2 matching MRF lines |
$61.75–$85.80 | $95–$132 | varies |
| Destruction neurolytic agt genicular nerve w/img (64624) | $2,340 | $3,600 | 1.3× |
| Destruction Premalignant Lesion 15/> (17004) range across 2 matching MRF lines |
$280.15–$567.45 | $431–$873 | varies |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$87.75–$305.50 | $135–$470 | varies |
| Diagnostic sigmoidoscopy (45330) range across 2 matching MRF lines |
$231.40–$1,014 | $356–$1,560 | varies |
| Dilate Esophagus 1/Mult Pass (43450) | $1,402.70 | $2,158 | 1.7× |
| Drain Cerebro Spinal Fluid (62272) | $390 | $600 | 0.6× |
| Drainage abscess parotid simple (42300) | $2,652 | $4,080 | 1.9× |
| Drainage Abscess/Hematoma Nasal Septum (30020) | $640.90 | $986 | 1.3× |
| Drainage external auditory canal abscess (69020) | $302.90 | $466 | 0.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $747.50 | $1,150 | 1.1× |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$228.80–$404.95 | $352–$623 | varies |
| Drainage of gum lesion (41800) | $479.70 | $738 | 3.9× |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$141.05–$2,075.45 | $217–$3,193 | varies |
| Drainage of nose lesion (30000) | $235.30 | $362 | 1.1× |
| Draw Blood Off Venous Device (36591) | $154.70 | $238 | 1.3× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $377 | $580 | 0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $348.89 | $536.75 | 1.9× |
| Dstrj lesion anus simple surg excision (46922) | $2,925 | $4,500 | 1.1× |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) | $802.10 | $1,234 | 0.4× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 2 matching MRF lines |
$1,357.85–$4,073.55 | $2,089–$6,267 | varies |
| Dx Bone Marrow Bx & Aspir (38222) | $1,430 | $2,200 | 0.5× |
| Dx Bronchoscope/Wash (31622) range across 2 matching MRF lines |
$1,314.30–$1,340.30 | $2,022–$2,062 | varies |
| Dx Laryngoscopy Excl Nb (31525) | $3,320.20 | $5,108 | 2.0× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $601.25 | $925 | 0.9× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $1,840.80 | $2,832 | 1.0× |
| Egd cautery tumor polyp (43250) range across 2 matching MRF lines |
$1,079.65–$1,272.70 | $1,661–$1,958 | varies |
| Egd control bleeding any (43255) range across 2 matching MRF lines |
$1,565.20–$1,692.60 | $2,408–$2,604 | varies |
| Egd dilation gastric/duodenal stricture (43245) | $1,258.40 | $1,936 | 0.7× |
| Egd Flexible Foreign Body Removal (43247) range across 2 matching MRF lines |
$1,482–$2,925 | $2,280–$4,500 | varies |
| Egd lesion ablation (43270) | $1,809.60 | $2,784 | 1.0× |
| Egd place gastrostomy tube (43246) | $1,671.15 | $2,571 | 0.9× |
| Egd remove lesion snare (43251) range across 2 matching MRF lines |
$1,552.85–$2,924.35 | $2,389–$4,499 | varies |
| Electro-Uroflowmetry First (51741) | $76.05 | $117 | 0.4× |
| Endocervical curettage (57505) | $97.73 | $150.35 | 0.1× |
| Endometrial Biopsy (58100) range across 3 matching MRF lines |
$64.32–$1,495 | $98.95–$2,300 | varies |
| Endoscopic plantar fasciotomy (29893) range across 2 matching MRF lines |
$1,462.50–$2,925 | $2,250–$4,500 | varies |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) | $861.90 | $1,326 | 0.5× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) | $1,462.50 | $2,250 | 0.8× |
| Epidural Blood Patch (62273) | $1,073.15 | $1,651 | 1.7× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) | $2,037.75 | $3,135 | 2.4× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) | $1,008.15 | $1,551 | 1.2× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) | $750.10 | $1,154 | 0.4× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$120.90–$202.15 | $186–$311 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 3 matching MRF lines |
$115.05–$2,924.35 | $177–$4,499 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 3 matching MRF lines |
$241.15–$2,925 | $371–$4,500 | varies |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 3 matching MRF lines |
$292.50–$1,123.85 | $450–$1,729 | varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 2 matching MRF lines |
$476.45–$995.80 | $733–$1,532 | varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $1,631.50 | $2,510 | 1.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 3 matching MRF lines |
$135.85–$726.05 | $209–$1,117 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 4 matching MRF lines |
$155.35–$2,925 | $239–$4,500 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 4 matching MRF lines |
$188.50–$1,462.50 | $290–$2,250 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 3 matching MRF lines |
$394.55–$921.70 | $607–$1,418 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $1,275.30 | $1,962 | 0.8× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 5 matching MRF lines |
$105.30–$1,462.50 | $162–$2,250 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 3 matching MRF lines |
$142.35–$4,386.20 | $219–$6,748 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 3 matching MRF lines |
$176.15–$2,925 | $271–$4,500 | varies |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) range across 2 matching MRF lines |
$2,009.80–$2,925 | $3,092–$4,500 | varies |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) | $1,462.50 | $2,250 | 0.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 3 matching MRF lines |
$207.35–$2,925 | $319–$4,500 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $1,440.40 | $2,216 | 0.9× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 2 matching MRF lines |
$453.05–$2,925 | $697–$4,500 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 4 matching MRF lines |
$414.05–$4,387.50 | $637–$6,750 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 3 matching MRF lines |
$360.75–$1,179.10 | $555–$1,814 | varies |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $2,925 | $4,500 | 1.9× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 2 matching MRF lines |
$159.90–$969.15 | $246–$1,491 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 3 matching MRF lines |
$150.15–$2,925 | $231–$4,500 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 4 matching MRF lines |
$161.85–$2,924.35 | $249–$4,499 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 3 matching MRF lines |
$283.40–$1,462.50 | $436–$2,250 | varies |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $2,743.65 | $4,221 | 1.8× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) | $4,387.50 | $6,750 | 1.6× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) | $2,925 | $4,500 | 2.0× |
| 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 |
$331.50–$1,099.15 | $510–$1,691 | varies |
| Excision lesion tendon sheath forearm&/wrist (25110) | $2,523.95 | $3,883 | 1.7× |
| Excision Lesion Tongue W/O Closure (41110) | $1,166.75 | $1,795 | 0.4× |
| Excision Lingual Frenum Frenectomy (41115) | $1,456 | $2,240 | 1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) range across 2 matching MRF lines |
$370.50–$2,925 | $570–$4,500 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 3 matching MRF lines |
$195–$737.10 | $300–$1,134 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 4 matching MRF lines |
$282.10–$2,925 | $434–$4,500 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 4 matching MRF lines |
$328.25–$4,387.50 | $505–$6,750 | varies |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 3 matching MRF lines |
$248.30–$1,235 | $382–$1,900 | varies |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 3 matching MRF lines |
$423.15–$1,084.20 | $651–$1,668 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $694.85 | $1,069 | 0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $1,968.20 | $3,028 | 3.0× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 3 matching MRF lines |
$340.60–$1,183.65 | $524–$1,821 | varies |
| Excision Multiple External Papillae/Tags Anus (46230) | $404.95 | $623 | 0.2× |
| Excision nasal polyp(s) simple (30110) | $583.70 | $898 | 0.4× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 2 matching MRF lines |
$2,274.35–$2,925 | $3,499–$4,500 | varies |
| Excision of single external papilla or tag, anus (46220) | $2,659.15 | $4,091 | 2.4× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) | $4,387.50 | $6,750 | 1.5× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $2,724.15 | $4,191 | 1.0× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $1,757.60 | $2,704 | 0.7× |
| Excision spermatocele w/wo epididymectomy (54840) range across 2 matching MRF lines |
$2,925–$4,387.50 | $4,500–$6,750 | varies |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $4,084.60 | $6,284 | 1.5× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $632.45 | $973 | 0.4× |
| Excision/destruction intranasal lesion int appr (30117) | $1,462.50 | $2,250 | 0.5× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $2,258.75 | $3,475 | 1.2× |
| Exploration penetrating wound spx extremity (20103) | $1,715.35 | $2,639 | 1.1× |
| Fasciectomy Palm Only (26121) | $3,424.85 | $5,269 | 1.1× |
| Fasciotomy palmar open partial (26045) | $4,387.50 | $6,750 | 1.5× |
| Fetal non-stress test (59025) | $68.90 | $106 | 0.4× |
| Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) | $975 | $1,500 | 0.5× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $885.30 | $1,362 | 1.4× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) | $885.30 | $1,362 | 1.4× |
| Fine needle aspiration without imaging guidance (10021) | $549.25 | $845 | 1.5× |
| Fna bx w/us gdn 1st les (10005) range across 3 matching MRF lines |
$885.30–$2,924.35 | $1,362–$4,499 | varies |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) | $2,490.80 | $3,832 | 1.3× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) range across 2 matching MRF lines |
$2,925–$4,141.80 | $4,500–$6,372 | varies |
| I&d abscess peritonsillar (42700) | $416 | $640 | 1.9× |
| I&d abscess simple (10060) range across 5 matching MRF lines |
$104.65–$1,462.50 | $161–$2,250 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $4,387.50 | $6,750 | 1.6× |
| I&d perianal abscess superficial (46050) | $1,450.15 | $2,231 | 1.7× |
| I&d pilonidal cyst complicated (10081) range across 2 matching MRF lines |
$1,127.75–$1,710.15 | $1,735–$2,631 | varies |
| I&d pilonidal cyst simple (10080) range across 3 matching MRF lines |
$197.60–$562.90 | $304–$866 | varies |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$152.75–$497.90 | $235–$766 | varies |
| Incise finger tendon sheath (26055) range across 3 matching MRF lines |
$2,250.95–$4,387.50 | $3,463–$6,750 | varies |
| Incise Wrist/Forearm Tendon (25290) | $5,849.35 | $8,999 | 1.9× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$196.95–$850.20 | $303–$1,308 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $5,850 | $9,000 | 3.9× |
| Incision & removal foreign body subq tiss simple (10120) range across 4 matching MRF lines |
$130.65–$738.40 | $201–$1,136 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$97.50–$101.40 | $150–$156 | varies |
| Incision and drainage of vulva or perineal abscess (56405) | $135.85 | $209 | 0.5× |
| Incision of Foot Tendon (28234) | $2,925 | $4,500 | 2.0× |
| Incision of labial frenum (frenotomy) (40806) range across 2 matching MRF lines |
$552.50–$2,924.35 | $850–$4,499 | varies |
| Incision of lingual frenum (frenotomy) (41010) | $747.50 | $1,150 | 0.5× |
| Incision of rectal abscess (46040) | $2,745.60 | $4,224 | 2.5× |
| Incisional biopsy skin single lesion (11106) | $154.70 | $238 | 0.2× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 6 matching MRF lines |
$1,361.75–$6,496.43 | $2,095–$9,994.50 | varies |
| Inj W/Fluor Eval Cv Device (36598) | $377 | $580 | 1.9× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 5 matching MRF lines |
$107.90–$330.85 | $166–$509 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 2 matching MRF lines |
$458.90–$917.80 | $706–$1,412 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) | $390 | $600 | 0.6× |
| Injection anesthetic agent suprascapular nerve (64418) range across 2 matching MRF lines |
$458.90–$917.80 | $706–$1,412 | varies |
| Injection of sclerosing solution, hemorrhoids (46500) | $375.05 | $577 | 0.4× |
| Injection single tendon origin/insertion (20551) range across 3 matching MRF lines |
$107.90–$139.10 | $166–$214 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 4 matching MRF lines |
$107.90–$480.35 | $166–$739 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 4 matching MRF lines |
$111.15–$1,821.95 | $171–$2,803 | varies |
| Injection therapeutic carpal tunnel (20526) range across 3 matching MRF lines |
$155.35–$233.03 | $239–$358.50 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 3 matching MRF lines |
$367.25–$1,285.05 | $565–$1,977 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 6 matching MRF lines |
$148.20–$3,380.33 | $228–$5,200.50 | varies |
| Injection, Intralesional; More Than 7 Lesions (11901) | $92.30 | $142 | 0.5× |
| Injection, intralesional; up to and including 7 lesions (11900) range across 3 matching MRF lines |
$68.25–$183.30 | $105–$282 | varies |
| Insert Bladder Cath Complex (51703) | $130 | $200 | 1.1× |
| Insert cervical dilator (59200) | $579.80 | $892 | 2.1× |
| Insert non-tunnel cv cath (36556) | $1,658.80 | $2,552 | 0.6× |
| Insert pessary/other device (57160) | $117 | $180 | 0.6× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$57.20–$99.45 | $88–$153 | varies |
| Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$2,925–$3,059.55 | $4,500–$4,707 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$41.60–$87.10 | $64–$134 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $1,244.10 | $1,914 | 0.9× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $2,925 | $4,500 | 1.0× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 4 matching MRF lines |
$925.60–$4,387.50 | $1,424–$6,750 | varies |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) unusually low: confirm this is the full procedure |
$2,204.80 | $3,392 | 0.4× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $2,748.20 | $4,228 | 0.9× |
| Intranasal Biopsy (30100) | $715 | $1,100 | 0.5× |
| Intubation endotracheal emergency procedure (31500) | $362.70 | $558 | 1.7× |
| Laparoscopy Enterolysis Separate Procedure (44180) | $4,174.30 | $6,422 | 0.8× |
| Laparoscopy fulguration oviducts (58670) | $4,387.50 | $6,750 | 0.8× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) | $6,225.05 | $9,577 | 1.1× |
| Laparoscopy w/rmvl adnexal structures (58661) | $4,387.50 | $6,750 | 0.8× |
| Laparoscopy, surgical, appendectomy (44970) range across 2 matching MRF lines |
$4,387.50–$5,563.35 | $6,750–$8,559 | varies |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) | $8,775 | $13,500 | 0.9× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) range across 3 matching MRF lines |
$5,850–$10,237.50 | $9,000–$15,750 | varies |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) | $5,344.95 | $8,223 | 1.0× |
| Laryngoscopy flexible diagnostic (31575) | $1,040 | $1,600 | 5.7× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) | $963.30 | $1,482 | 0.6× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) | $1,040 | $1,600 | 2.9× |
| Ligation or biopsy temporal artery (37609) | $4,387.50 | $6,750 | 2.9× |
| Lysis/excision penile postcircumcision adhesions (54162) | $1,361.75 | $2,095 | 0.7× |
| Manipulation knee joint under general anesthesia (27570) range across 2 matching MRF lines |
$1,461.85–$1,462.50 | $2,249–$2,250 | varies |
| Mast mod rad (19307) | $5,595.85 | $8,609 | 0.9× |
| Mastectomy for gynecomastia (19300) | $4,387.50 | $6,750 | 1.2× |
| Mastectomy partial (19301) range across 2 matching MRF lines |
$4,387.50–$5,850 | $6,750–$9,000 | varies |
| Mastectomy simple complete (19303) range across 4 matching MRF lines |
$4,461.60–$10,236.20 | $6,864–$15,748 | varies |
| Nasal Endoscopy Dx (31231) | $1,040 | $1,600 | 5.7× |
| Nasal/Orogastric W/Tube Plmt (43752) | $592.15 | $911 | 1.4× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) | $2,925 | $4,500 | 0.9× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) range across 2 matching MRF lines |
$2,730–$4,387.50 | $4,200–$6,750 | varies |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) | $2,925 | $4,500 | 2.0× |
| Needle Biopsy Lymph Nodes (38505) | $845 | $1,300 | 0.6× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) range across 2 matching MRF lines |
$1,462.50–$2,925 | $2,250–$4,500 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $325 | $500 | 1.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 6 matching MRF lines |
$1,484.60–$3,737.50 | $2,284–$5,750 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$1,020.50–$1,304.55 | $1,570–$2,007 | varies |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,020.50 | $1,570 | 1.6× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) | $437.45 | $673 | 1.2× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) | $5,850 | $9,000 | 0.9× |
| Occipital Nerve Block (64405) | $52 | $80 | 0.2× |
| Open Treatment Bimalleolar Ankle Fracture (27814) | $4,387.50 | $6,750 | 0.7× |
| Open Treatment Medial Malleolus Fracture (27766) | $4,387.50 | $6,750 | 0.7× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) | $5,850 | $9,000 | 0.9× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) | $1,462.50 | $2,250 | 0.5× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) unusually low: confirm this is the full procedure |
$2,925 | $4,500 | 0.4× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) range across 3 matching MRF lines |
$1,460.55–$2,924.35 | $2,247–$4,499 | varies |
| Partial removal of thyroid (60220) | $7,800 | $12,000 | 1.4× |
| Partial removal of toe (28160) range across 2 matching MRF lines |
$1,462.50–$2,925 | $2,250–$4,500 | varies |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) | $5,850 | $9,000 | 1.1× |
| Perq dev breast 1st us imag (19285) range across 2 matching MRF lines |
$1,235–$1,259.70 | $1,900–$1,938 | varies |
| Perq device breast 1st imag (19281) | $1,241.50 | $1,910 | 0.8× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) range across 2 matching MRF lines |
$2,925–$4,387.50 | $4,500–$6,750 | varies |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) unusually low: confirm this is the full procedure |
$2,925 | $4,500 | 0.4× |
| Perq Vertebral Augmentation (22513) unusually low: confirm this is the full procedure |
$2,925 | $4,500 | 0.4× |
| Placement of needle for intraosseous infusion (36680) | $193.70 | $298 | 0.5× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $1,112.15 | $1,711 | 1.3× |
| Proctosgmdsc rigid w/dilation (45303) | $777.40 | $1,196 | 0.7× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $1,462.50 | $2,250 | 0.5× |
| Punch biopsy skin single lesion (11104) range across 3 matching MRF lines |
$124.15–$247.65 | $191–$381 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 5 matching MRF lines |
$115.70–$542.75 | $178–$835 | varies |
| Reconstruction Tongue Fold (41520) | $1,462.50 | $2,250 | 0.5× |
| Removal Embedded Foreign Body Eyelid (67938) | $243.10 | $374 | 0.8× |
| Removal foreign body foot deep (28192) | $1,235 | $1,900 | 0.8× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$1,140.75–$2,925 | $1,755–$4,500 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 3 matching MRF lines |
$26.65–$282.75 | $41–$435 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 5 matching MRF lines |
$58.50–$620.75 | $90–$955 | varies |
| Removal Implant Deep (20680) range across 3 matching MRF lines |
$1,810.25–$5,850 | $2,785–$9,000 | varies |
| Removal Implant Superficial Separate Procedure (20670) | $724.10 | $1,114 | 0.5× |
| Removal of adenoids (42830) | $2,925 | $4,500 | 1.0× |
| Removal of heel spur (28119) | $2,925 | $4,500 | 1.0× |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$273–$402.35 | $420–$619 | varies |
| Removal or bivalving full arm or full leg cast (29705) range across 3 matching MRF lines |
$68.90–$176.15 | $106–$271 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 3 matching MRF lines |
$92.95–$2,923.70 | $143–$4,498 | varies |
| Removal/bivalving gauntlet boot/body cast (29700) | $89.70 | $138 | 0.3× |
| Remove foreign body from eye (65235) | $1,025.05 | $1,577 | 0.5× |
| Remove foreign body from eye (65205) range across 3 matching MRF lines |
$217.75–$253.18 | $335–$389.50 | varies |
| Remove Intrauterine Device (58301) range across 4 matching MRF lines |
$106.60–$1,023.75 | $164–$1,575 | varies |
| Remove Nasal Foreign Body (30300) | $537.55 | $827 | 4.4× |
| Remove Tendon Sheath Lesion (26160) range across 2 matching MRF lines |
$2,295.80–$2,925 | $3,532–$4,500 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$469.30–$722.15 | $722–$1,111 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$785.85–$1,361.75 | $1,209–$2,095 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
$607.75–$729.30 | $935–$1,122 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $1,166.75 | $1,795 | 3.1× |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$1,031.55–$1,141.40 | $1,587–$1,756 | varies |
| Repair extensor tendon finger w/o graft each (26418) | $1,818.05 | $2,797 | 1.2× |
| Repair Finger/Hand Tendon (26350) | $3,077.75 | $4,735 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$329.55–$584.35 | $507–$899 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$375.70–$564.20 | $578–$868 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 3 matching MRF lines |
$427.05–$599.30 | $657–$922 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$519.35–$731.25 | $799–$1,125 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$221.65–$795.60 | $341–$1,224 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines |
$249.60–$572 | $384–$880 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $437.45 | $673 | 0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $1,376.05 | $2,117 | 3.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$204.75–$755.30 | $315–$1,162 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 4 matching MRF lines |
$340.60–$752.70 | $524–$1,158 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $923 | $1,420 | 2.5× |
| Repair of nail bed (11760) | $332.80 | $512 | 0.5× |
| Repair secondary achilles tendon w/wo graft (27654) | $4,386.85 | $6,749 | 0.7× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) | $4,387.50 | $6,750 | 0.7× |
| Repair tongue laceration (41252) | $339.63 | $522.50 | 1.6× |
| Repair tongue laceration (41250) | $253.18 | $389.50 | 0.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$134.55–$507.65 | $207–$781 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $308.10 | $474 | 2.5× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $217.75 | $335 | 0.5× |
| Rmvl fecal impaction/fb spx under anes (45915) | $1,495 | $2,300 | 1.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 3 matching MRF lines |
$1,660.10–$2,925 | $2,554–$4,500 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $958.75 | $1,475 | 1.7× |
| Rplc Gtube No Revj Trc (43762) | $493.35 | $759 | 2.1× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $2,925 | $4,500 | 0.9× |
| Rpr aa hrn 1st 3-10 rdc (49593) | $4,387.50 | $6,750 | 0.7× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) | $4,387.50 | $6,750 | 0.8× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $760.99 | $1,170.75 | 4.1× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) | $1,328.60 | $2,044 | 1.6× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $1,558.70 | $2,398 | 1.4× |
| Shave skin lesion 0.5 cm/< (11300) range across 2 matching MRF lines |
$84.50–$85.80 | $130–$132 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) range across 2 matching MRF lines |
$85.80–$102.05 | $132–$157 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $260.65 | $401 | 0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 2 matching MRF lines |
$85.15–$85.80 | $131–$132 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $144.30 | $222 | 0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $136.50 | $210 | 0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $260.65 | $401 | 0.7× |
| Shoulder Arthroscopy/Surgery (29825) | $4,386.85 | $6,749 | 1.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) range across 3 matching MRF lines |
$101.40–$144.30 | $156–$222 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) range across 2 matching MRF lines |
$139.75–$323.05 | $215–$497 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 3 matching MRF lines |
$86.45–$117.65 | $133–$181 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $323.05 | $497 | 0.9× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $150.15 | $231 | 0.8× |
| Sigmoidoscopy & Polypectomy (45333) range across 2 matching MRF lines |
$767.65–$1,462.50 | $1,181–$2,250 | varies |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $299.65 | $461 | 0.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $1,258.56 | $1,936.25 | 3.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 4 matching MRF lines |
$192.40–$1,462.50 | $296–$2,250 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 4 matching MRF lines |
$230.75–$2,925 | $355–$4,500 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $309.40 | $476 | 1.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$178.10–$253.18 | $274–$389.50 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $330.85 | $509 | 1.8× |
| Skin sub graft face/nk/hf/g (15275) | $4,013.75 | $6,175 | 5.9× |
| Skin sub graft trnk/arm/leg (15271) | $1,727.05 | $2,657 | 2.5× |
| Skin sub grft t/arm/lg child (15273) | $1,722.50 | $2,650 | 0.9× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) | $2,925 | $4,500 | 0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$188.50–$267.80 | $290–$412 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $567.45 | $873 | 1.5× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$443.30–$725.40 | $682–$1,116 | varies |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $3,145.35 | $4,839 | 1.7× |
| Strapping ankle (29540) | $52.65 | $81 | 0.4× |
| Strapping Unna Boot (29580) | $228.15 | $351 | 1.5× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) | $4,386.85 | $6,749 | 1.4× |
| Surg tx anal fistula subq (46270) | $2,343.90 | $3,606 | 0.9× |
| Tenotomy Percutaneous Single Each Digit (26060) | $2,470 | $3,800 | 1.7× |
| Tenotomy Percutaneous Toe Single Tendon (28010) range across 2 matching MRF lines |
$585–$1,170 | $900–$1,800 | varies |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) range across 2 matching MRF lines |
$665.60–$2,925 | $1,024–$4,500 | varies |
| Thyroidectomy, total or complete (60240) range across 2 matching MRF lines |
$8,695.70–$8,775 | $13,378–$13,500 | varies |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) range across 2 matching MRF lines |
$2,925–$5,848.70 | $4,500–$8,998 | varies |
| Total Knee Arthroplasty (27447) range across 2 matching MRF lines |
$5,850–$7,800 | $9,000–$12,000 | varies |
| Transur electr resection of prostate (52601) | $5,850 | $9,000 | 1.2× |
| Treat Fx Rad Extra-Articul (25607) range across 2 matching MRF lines |
$4,387.50–$5,849.35 | $6,750–$8,999 | varies |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
$1,014.65–$1,020.50 | $1,561–$1,570 | varies |
| Treat humerus fracture (23600) | $1,361.75 | $2,095 | 6.0× |
| Treat Knuckle Dislocation (26700) | $564.85 | $869 | 2.5× |
| Treat toe dislocation (28630) | $640.41 | $985.25 | 2.8× |
| Treatment closed elbow dislocation w/o anes (24600) | $634.56 | $976.25 | 2.8× |
| Trim skin lesion (11055) range across 4 matching MRF lines |
$41.60–$2,925 | $64–$4,500 | varies |
| Trim skin lesions 2 to 4 (11056) range across 3 matching MRF lines |
$50.05–$276.25 | $77–$425 | varies |
| Trim skin lesions over 4 (11057) | $64.35 | $99 | 0.3× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $2,925 | $4,500 | 1.0× |
| Tx open tendon flexor toe 1 tendon spx (28232) range across 2 matching MRF lines |
$910–$2,925 | $1,400–$4,500 | varies |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) | $2,924.35 | $4,499 | 2.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $1,607.45 | $2,473 | 2.4× |
| Tx superficial wound dehiscence w/packing (12021) | $130 | $200 | 0.3× |
| Tympanostomy general anesthesia (69436) | $975 | $1,500 | 0.7× |
| Unlisted procedure nervous system (64999) | $1,072.50 | $1,650 | 3.8× |
| Uvulectomy excision of uvula (42140) | $812.50 | $1,250 | 0.3× |
| Vasectomy uni/bi spx w/postop semen exams (55250) range across 3 matching MRF lines |
$488.15–$2,925 | $751–$4,500 | varies |
| Wedge excision skin nail fold (11765) | $144.30 | $222 | 0.4× |
| Wedging of cast (29740) | $126.75 | $195 | 0.5× |
| Windowing of cast (29730) | $98.15 | $151 | 0.7× |
| Wound Prep Trk/Arm/Leg (15002) | $1,578.85 | $2,429 | 2.3× |
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.