Procedures & surgery prices at Clark Fork Valley Hospital

Plains, MT · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines		 $907.24–$1,325.90 $907.24–$1,325.90 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $504.61 $504.61 0.5×
Ablation 1/> liver tumor perq cryoablation (47383)
likely a partial charge, not the full procedure		 $2,632.97 $2,632.97 0.2×
Acne surgery (10040) $176.38 $176.38 0.9×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $3,050.63 $3,050.63 1.4×
Adjustment/Revj Xtrnl Fixation System Req Anes (20693)
likely a partial charge, not the full procedure		 $1,490.06 $1,490.06 0.2×
Amniocentesis diagnostic (59000) $632.74 $632.74 0.7×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $2,661.93 $2,661.93 0.8×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $1,607.27 $1,607.27 0.5×
Amputate Metacarpal Bone (26910) $2,644.62 $2,644.62 0.8×
Amputation toe interphalangeal joint (28825) $1,214.98 $1,214.98 0.4×
Amputation toe metatarsophalangeal joint (28820) $1,815.11 $1,815.11 0.5×
Amputation, leg, through tibia and fibula; (27880)
unusually low: confirm this is the full procedure		 $3,558.41 $3,558.41 0.5×
Anoscopy diagnostic (46600) $151.27 $151.27 1.1×
Anoscopy; with biopsy, single or multiple (46606) $761.75 $761.75 0.6×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $519.01 $519.01 0.2×
Ant Vesicourethropexy/Urethropexy Smpl (51840) $3,443.39 $3,443.39 0.7×
Anterior colporraphy rpr cystocele w/cysto (57240) $3,071.48 $3,071.48 0.6×
Anterior Tibial Tubercleplasty (27418) $5,959.93 $5,959.93 0.8×
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines		 $91–$237.38 $91–$237.38 varies
Application Cast Finger (29086) $183.61 $183.61 1.1×
Application Finger Splint Dynamic (29131) $127.76 $127.76 2.1×
Application finger splint static (29130)
range across 2 matching MRF lines		 $49.04–$101.19 $49.04–$101.19 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $97.76–$208.88 $97.76–$208.88 varies
Application Long Leg Cast Brace (29358) $715 $715 2.5×
Application Long Leg Cast Walker/Ambulatory Type (29355) $434.82 $434.82 1.5×
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $97.76–$238.06 $97.76–$238.06 varies
Application multiplane external fixation system (20692)
likely a partial charge, not the full procedure		 $3,172.26 $3,172.26 0.2×
Application of cylinder cast (thigh to ankle) (29365) $344.71 $344.71 1.2×
Application of long leg cast (29345) $387.87 $387.87 1.4×
Application Short Arm Splint Dynamic (29126) $204.31 $204.31 1.5×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $73.48–$179.24 $73.48–$179.24 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $73.48–$208.88 $73.48–$208.88 varies
Application uniplane external fixation system (20690)
likely a partial charge, not the full procedure		 $1,788.07 $1,788.07 0.2×
Apply hand/wrist cast (29085) $211.43 $211.43 1.3×
Apply long arm cast (29065) $269 $269 0.9×
Apply Short Leg Cast (29405) $298.22 $298.22 1.0×
Apply short leg cast (29425) $357.76 $357.76 1.3×
Aqueous Shunt Extraocular Reservoir W/O Graft (66179) $3,385.20 $3,385.20 0.6×
Arterial puncture (36600)
range across 2 matching MRF lines		 $43.58–$111.33 $43.58–$111.33 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines		 $143.57–$316.11 $143.57–$316.11 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines		 $288.44–$431.39 $288.44–$431.39 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines		 $271.28–$776.83 $271.28–$776.83 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $358.64–$376.22 $358.64–$376.22 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $143.47–$264.58 $143.47–$264.58 varies
Arthrodesis great toe metatarsophalangeal joint (28750)
unusually low: confirm this is the full procedure		 $2,840.24 $2,840.24 0.4×
Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) $2,800.30 $2,800.30 0.8×
Arthrodesis subtalar (28725)
likely a partial charge, not the full procedure		 $3,493.26 $3,493.26 0.3×
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810)
likely a partial charge, not the full procedure		 $3,578.90 $3,578.90 0.3×
Arthroplasty Ankle W/Implant (27702)
likely a partial charge, not the full procedure		 $5,567.74 $5,567.74 0.2×
Arthroplasty glenohumeral joint total shoulder (23472)
range across 5 matching MRF lines		 $6,582.06–$80,359.77 $6,582.06–$80,359.77 varies
Arthroplasty interphalangeal joint each (26535) $2,015.47 $2,015.47 0.6×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $3,486.76 $3,486.76 1.0×
Arthroplasty Radial Head W/Implant (24366)
likely a partial charge, not the full procedure		 $2,921.15 $2,921.15 0.2×
Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Facility (25446)
likely a partial charge, not the full procedure		 $4,892.84 $4,892.84 0.3×
Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy Facility (27443)
unusually low: confirm this is the full procedure		 $4,596.33 $4,596.33 0.4×
Arthroscopy Ankle Surgical W/Ankle Arthrodesis (29899) $5,607.11 $5,607.11 0.8×
Arthroscopy ankle w/removal loose/foreign body (29894) $3,239.24 $3,239.24 1.0×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $4,061.10 $4,061.10 1.2×
Arthroscopy shoulder distal claviculectomy (29824) $3,519 $3,519 1.1×
Arthroscopy shoulder surgical capsulorrhaphy (29806) $4,531.38 $4,531.38 0.6×
Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) $3,178.60 $3,178.60 1.0×
Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Facility (29860)
unusually low: confirm this is the full procedure		 $3,194.41 $3,194.41 0.4×
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) $4,863.61 $4,863.61 0.7×
Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861)
unusually low: confirm this is the full procedure		 $3,474.85 $3,474.85 0.5×
Arthroscopy, hip, surgical; with synovectomy Facility (29863) $4,636.89 $4,636.89 1.4×
Arthroscopy, knee, surgical; with lateral release (29873) $3,276.94 $3,276.94 1.0×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $4,903.60 $4,903.60 1.5×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $4,655.98 $4,655.98 1.4×
Arthroscopy, shoulder, surgical; debridement, extensive (29823)
range across 3 matching MRF lines		 $4,101.40–$16,801.20 $4,101.40–$16,801.20 varies
Arthroscopy, shoulder, surgical; debridement, limited (29822)
range across 2 matching MRF lines		 $3,731.73–$9,510.09 $3,731.73–$9,510.09 varies
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $5,205.20 $5,205.20 0.7×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 2 matching MRF lines		 $5,338.63–$16,801.20 $5,338.63–$16,801.20 varies
Arthrotomy W/Meniscus Repair Knee (27403)
unusually low: confirm this is the full procedure		 $3,088.49 $3,088.49 0.4×
Arthrotomy with biopsy; metacarpophalangeal joint, each (26105) $1,331.20 $1,331.20 0.4×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
range across 2 matching MRF lines		 $8,066.92–$51,485.44 $8,066.92–$51,485.44 varies
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
range across 2 matching MRF lines		 $6,796.56–$31,462.08 $6,796.56–$31,462.08 varies
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $4,222.56 $4,222.56 1.3×
Arthrs knee debridement/shaving artclr crtlg (29877) $3,931.67 $3,931.67 1.2×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $5,135.31 $5,135.31 1.5×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080)
range across 3 matching MRF lines		 $1,571.18–$8,954.02 $1,571.18–$8,954.02 varies
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $1,335.36 $1,335.36 0.4×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $1,368.64 $1,368.64 0.4×
Aspirate pleura w/ imaging (32555)
range across 3 matching MRF lines		 $621.19–$1,297.61 $621.19–$1,297.61 varies
Aspirate Pleura W/O Imaging (32554)
range across 3 matching MRF lines		 $493.01–$1,269.37 $493.01–$1,269.37 varies
Aspirate/Inj Ganglion Cyst (20612) $188.19 $188.19 0.6×
Aspiration bladder insert suprapubic catheter (51102) $109.98 $109.98 0.1×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $116.79–$248.14 $116.79–$248.14 varies
Axillary lymphadenectomy; complete (38745) $3,511.92 $3,511.92 0.6×
Biopsy bone open deep (20245) $2,242.55 $2,242.55 0.8×
Biopsy bone open superficial (20240) $771.11 $771.11 0.3×
Biopsy Bone Trocar/Needle Superficial (20220) $646.62 $646.62 0.4×
Biopsy external ear (69100) $272.32 $272.32 1.1×
Biopsy Muscle Superficial (20200) $479.96 $479.96 0.3×
Biopsy of breast; open, incisional (19101) $1,304.26 $1,304.26 0.3×
Biopsy of liver, needle; percutaneous (47000) $1,056.43 $1,056.43 0.6×
Biopsy of palate, uvula (42100) $372.84 $372.84 0.2×
Biopsy of urethra (53200) $454.17 $454.17 0.2×
Biopsy Soft Tissue Back/Flank Superficial (21920) $394 $394 0.2×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614) $1,611.43 $1,611.43 0.5×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $820.56 $820.56 0.5×
Biopsy Soft Tissue Shoulder Deep (23066) $1,180.40 $1,180.40 0.4×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $597.01 $597.01 0.4×
Biopsy Vaginal Mucosa Simple (57100) $300.61 $300.61 0.3×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $531.54 $531.54 0.6×
Biopsy, vestibule of mouth (40808) $529 $529 1.0×
Biopsy/removal lymph nodes (38510) $1,366.87 $1,366.87 0.3×
Bladder Irrigation (51700) $142.90 $142.90 0.6×
Blepharotomy drainage abscess eyelid (67700) $269 $269 0.8×
Blood Transfusion Service (36430)
range across 2 matching MRF lines		 $459.99–$1,104.01 $459.99–$1,104.01 varies
Bone Graft Any Donor Area Major/Large (20902)
likely a partial charge, not the full procedure		 $2,119.10 $2,119.10 0.3×
Bone Graft Any Donor Area Minor/Small (20900)
likely a partial charge, not the full procedure		 $1,527.55 $1,527.55 0.2×
Bx breast 1st lesion us imag (19083) $2,089.10 $2,089.10 1.2×
Bx breast needle core w/o imaging guidance spx (19100) $296.56 $296.56 0.2×
Bx Cervix (57500) $335.40 $335.40 0.4×
Bx/exc lymph node open deep axillary node (38525) $1,128.24 $1,128.24 0.3×
Bx/exc lymph node open superficial (38500) $891.90 $891.90 0.2×
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) $2,544.10 $2,544.10 1.5×
Capsulorrhaphy Anterior Putti-Platt/Magnuson (23450) $4,017 $4,017 0.5×
Capsulorrhaphy Anterior W/Labral Repair (23455) $4,791.38 $4,791.38 0.6×
Carpal Tunnel Surgery (64721)
range across 2 matching MRF lines		 $2,379–$8,537.77 $2,379–$8,537.77 varies
Carpectomy All Bones Proximal Row (25215) $2,966.76 $2,966.76 0.9×
Cataract surgery complex (66982) $5,520.37 $5,520.37 2.3×
Cautery Cervix Cryocautery Initial/Repeat (57511) $511.47 $511.47 1.6×
Cautery Cervix Electro/Thermal (57510) $543.09 $543.09 0.2×
Change Cystostomy Tube Complicated (51710) $372.32 $372.32 0.5×
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $124.33–$171.96 $124.33–$171.96 varies
Change of Windpipe Airway (31502)
range across 2 matching MRF lines		 $198.17–$221.26 $198.17–$221.26 varies
Chemical Cautery Tissue (17250) $165 $165 0.8×
Chest tube placement (32551)
range across 2 matching MRF lines		 $680.84–$1,251.48 $680.84–$1,251.48 varies
Circumcision 28 days or older (54161)
range across 2 matching MRF lines		 $1,183–$4,139.20 $1,183–$4,139.20 varies
Circumcision Neonate (54160) $557.39 $557.39 0.8×
Circumcision w/clamp/oth dev w/block (54150) $808.65 $808.65 0.4×
Cl Tx Tib Shft Fx W Manip (27752) $2,595.11 $2,595.11 1.6×
Claviculectomy partial (23120) $2,522.05 $2,522.05 0.8×
Clear outer ear canal (69200) $235.61 $235.61 1.7×
Closed rx talotarsal disloc,anesth (28575) $1,130.12 $1,130.12 0.3×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $1,194.80 $1,194.80 4.7×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,516.22 $1,516.22 0.9×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,628.80 $1,628.80 6.5×
Closed Treatment Sesamoid Fracture (28530) $547.04 $547.04 2.2×
Closed Treatment Ulnar Styloid Fracture (25650) $1,218 $1,218 4.8×
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $176.44–$1,307.28 $176.44–$1,307.28 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $2,105.32 $2,105.32 1.3×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $1,173.33 $1,173.33 4.7×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $865.18 $865.18 3.4×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $911.14 $911.14 3.6×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $1,877.51 $1,877.51 7.5×
Closed Tx Knee Dislocation W/Anesthesia (27552) $2,462.30 $2,462.30 1.5×
Closed tx knee dislocation w/o anesthesia (27550) $1,242.85 $1,242.85 4.9×
Closed Tx Lunate Dislocation W/Manipulation (25690) $1,698.79 $1,698.79 1.0×
Closed tx metatarsal fracture w/o manipulation (28470) $614.59 $614.59 2.4×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,631.86 $1,631.86 1.0×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $726.96 $726.96 0.5×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $1,286.95 $1,286.95 0.4×
Closed tx patellar dislocation w/anesthesia (27562) $1,617.25 $1,617.25 6.4×
Closed tx radial head/neck fx w/manipulation (24655) $1,374.67 $1,374.67 0.8×
Closed tx radial head/neck fx w/o manipulation (24650) $731.07 $731.07 2.9×
Closed tx radial shaft fracture w/manipulation (25505) $1,700.30 $1,700.30 1.0×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 2 matching MRF lines		 $396.08–$802.41 $396.08–$802.41 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $595.45–$1,695.77 $595.45–$1,695.77 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $166.92–$575.95 $166.92–$575.95 varies
Closed Tx Scapular Fracture W/O Manipulation (23570) $550.21 $550.21 2.2×
Closed tx septal&nose fx (21337) $1,057.32 $1,057.32 0.3×
Closed tx talus fracture w/o manipulation (28430) $885.25 $885.25 3.5×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $366.76 $366.76 1.5×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,762.96 $1,762.96 1.1×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $619.06 $619.06 2.5×
Closed tx ulnar shaft fracture w/o manipulation (25530) $764.19 $764.19 3.0×
Closure Gastrostomy Surg (43870) $2,773.47 $2,773.47 0.7×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $410.23 $410.23 1.7×
Clsd tx acromioclavicular dislc w/manipulation (23545) $1,047.49 $1,047.49 4.2×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $1,109.89 $1,109.89 0.7×
Clsd tx clavicular fracture w/o manipulation (23500) $581.41 $581.41 2.3×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,362.97 $1,362.97 0.8×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $270.04–$834.50 $270.04–$834.50 varies
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 2 matching MRF lines		 $1,277.48–$1,805.13 $1,277.48–$1,805.13 varies
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $755.77 $755.77 3.0×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $975.31 $975.31 3.9×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $1,115.76 $1,115.76 4.4×
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $176.44–$1,256.84 $176.44–$1,256.84 varies
Cltx dstl fibular fx lat malls w/o manj (27786) $1,088.10 $1,088.10 4.3×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $603.88 $603.88 2.4×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $610.43 $610.43 2.4×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $1,014.52 $1,014.52 4.0×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $595.45–$1,919.89 $595.45–$1,919.89 varies
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $1,759.99 $1,759.99 7.0×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $2,783.30 $2,783.30 1.7×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $176.44 $176.44 0.7×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $3,148.70 $3,148.70 1.9×
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 2 matching MRF lines		 $176.44–$661.02 $176.44–$661.02 varies
Cltx fx grt toe phlx/phlg w/o manj (28490) $505.65 $505.65 2.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $176.44–$445.95 $176.44–$445.95 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $416.21 $416.21 1.7×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $2,276.09 $2,276.09 1.4×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $1,106.14 $1,106.14 4.4×
Cltx hip dislocation traumatic req anesthesia (27252) $1,991.13 $1,991.13 1.2×
Cltx hip dislocation traumatic w/o anesthesia (27250) $1,677.42 $1,677.42 6.7×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $1,036.83 $1,036.83 4.1×
Cltx humeral condylar fx medial/lateral w/manj (24577)
range across 2 matching MRF lines		 $176.44–$1,823.22 $176.44–$1,823.22 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $1,010.93 $1,010.93 4.0×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $645.79 $645.79 2.3×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $493.79 $493.79 2.0×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,114.05 $1,114.05 3.9×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $176.44–$454.74 $176.44–$454.74 varies
Cltx Med Ankle Fx W/Mnpj (27762)
range across 2 matching MRF lines		 $1,394.28–$1,536.13 $1,394.28–$1,536.13 varies
Cltx Medial Ankle Fx (27760) $995.28 $995.28 3.9×
Cltx metacarpal fx w/manipulation each bone (26605) $489.84 $489.84 1.9×
Cltx metacarpal fx w/o manipulation each bone (26600) $556.71 $556.71 2.2×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $936.57 $936.57 0.6×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $693.52 $693.52 0.4×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $796.33 $796.33 3.2×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $586.61 $586.61 2.3×
Cltx post hip arthrp dislc req anes (27266) $1,829.46 $1,829.46 1.1×
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $176.44–$1,313.57 $176.44–$1,313.57 varies
Cltx prox fibula/shft fx w/manj (27781) $1,461.72 $1,461.72 0.9×
Cltx prox fibula/shft fx w/o manj (27780) $809.85 $809.85 3.2×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,658.85 $1,658.85 1.0×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $540.44 $540.44 2.1×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,472.48 $1,472.48 0.9×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)
range across 2 matching MRF lines		 $595.45–$1,881.88 $595.45–$1,881.88 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $1,392.72 $1,392.72 5.5×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $2,410.77 $2,410.77 9.6×
Cltx tibial fx proximal w/o manipulation (27530) $1,159.70 $1,159.70 4.6×
Cltx tibial shaft fx w/o manipulation (27750) $1,408.32 $1,408.32 5.6×
Cltx trimalleolar ankle fx w/manipulation (27818) $2,086.19 $2,086.19 1.3×
Cltx trimalleolar ankle fx w/o manipulation (27816) $1,171.61 $1,171.61 4.6×
Collection of venous blood by venipuncture (36415)
range across 6 matching MRF lines		 $13.68–$96.51 $13.68–$96.51 varies
Colonoscopy thru stoma (44388) $1,392.09 $1,392.09 1.5×
Colonoscopy W/Band Ligation (45398) $4,126.72 $4,126.72 3.4×
Colonoscopy w/submucosal inj (45381) $1,570.14 $1,570.14 1.3×
Colpopexy extraperitoneal (57282)
unusually low: confirm this is the full procedure		 $2,765.20 $2,765.20 0.4×
Colpopexy vaginal intraperitoneal approach (57283)
unusually low: confirm this is the full procedure		 $3,047.88 $3,047.88 0.4×
Colporrhaphy (57200) $1,210.46 $1,210.46 0.4×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $654.63 $654.63 2.1×
Colposcopy Cervix Endocervical Curettage (57456) $601.22 $601.22 1.9×
Colposcopy cervix upper/adjacent vagina (57452) $440.28 $440.28 2.1×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $585.10 $585.10 1.9×
Colposcopy cervix vag eltrd conization cervix (57461) $1,757.86 $1,757.86 0.5×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $1,430.16 $1,430.16 0.4×
Colposcopy entire vagina w/cervix if present (57420) $428.12 $428.12 1.4×
Colposcopy Vulva W/Biopsy (56821) $553.07 $553.07 1.8×
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 3 matching MRF lines		 $1,704.20–$9,015.91 $1,704.20–$9,015.91 varies
Combined anteroposterior colporrhaphy; (57260) $4,606.58 $4,606.58 0.9×
Complex drainage wound (10180) $832.26 $832.26 0.3×
Conization cervix w/wo d&c rpr eltrd exc (57522) $1,784.12 $1,784.12 0.5×
Conization of cervix (57520) $1,863.47 $1,863.47 0.6×
Control Nasal Hemorrhage Anterior Complex (30903) $431.60 $431.60 3.2×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $91–$390.47 $91–$390.47 varies
Correction hammertoe (28285) $1,569.67 $1,569.67 0.5×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $2,566.67 $2,566.67 0.8×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $4,474.65 $4,474.65 1.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $91–$698.36 $91–$698.36 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $813.80 $813.80 3.4×
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $1,515.96 $1,515.96 0.4×
Curettage postpartum (59160) $1,277.74 $1,277.74 0.4×
Cysto Bladder W/Ureteral Catheterization (52005) $1,075.31 $1,075.31 0.5×
Cysto w/irrig & evac multple obstructing clots (52001) $725.92 $725.92 0.2×
Cystorrhaphy suture of bladder wound injury or rupture simple (51860)
unusually low: confirm this is the full procedure		 $3,687.42 $3,687.42 0.4×
Cystostomy Cystotomy W/Drainage (51040) $2,861.46 $2,861.46 1.3×
Cystourethroscopy (52000) $730.55 $730.55 1.0×
Cystourethroscopy tx female urethral syndrome (52285) $1,174.84 $1,174.84 1.6×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $211.59 $211.59 0.5×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $2,045.26 $2,045.26 0.7×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines		 $644.28–$1,324.80 $644.28–$1,324.80 varies
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $1,685.94 $1,685.94 2.3×
Deb Musc/Fascia 20 Sq Cm/< (11043) $770.80 $770.80 1.0×
Debride nail 1-5 (11720) $119.70 $119.70 2.0×
Debride nail 6 or more (11721) $211.59 $211.59 3.5×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $942.29–$1,257.36 $942.29–$1,257.36 varies
Debridement subcutaneous tissue 20 sq cm/< (11042) $462.12 $462.12 1.1×
Decomp forearm,1 compart,w/o debride (25020) $2,635.15 $2,635.15 1.6×
Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) $2,182.60 $2,182.60 0.7×
Decompression fasciotomy, thigh and/or knee, multiple compartments; Facility (27498) $2,525.80 $2,525.80 1.5×
Deep Muscle Biopsy (20205) $805.53 $805.53 0.3×
Delivery of placenta (59414) $513.97 $513.97 0.2×
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $149.14–$292.71 $149.14–$292.71 varies
Destruction Benign Lesions 15/> (17111) $229.68 $229.68 1.1×
Destruction Lesions Vulva Simple (56501) $522.44 $522.44 0.2×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $646.62 $646.62 3.2×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $768.25 $768.25 3.7×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $390.47 $390.47 1.9×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $548.86 $548.86 2.7×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $460.15 $460.15 2.2×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $395.04 $395.04 1.9×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $350.90 $350.90 1.7×
Destruction of lesion of lid margin (up to 1 cm) (67850) $460.25 $460.25 0.5×
Destruction of skin lesions (17106) $1,030.74 $1,030.74 2.5×
Destruction Premalignant Lesion 15/> (17004) $763.41 $763.41 1.8×
Destruction premalignant lesion 1st (17000) $165 $165 0.8×
Destruction Vaginal Lesions Simple (57061) $320.74 $320.74 0.1×
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines		 $483.55–$5,512 $483.55–$5,512 varies
Diaphragm or cervical cap fitting with instructions (57170) $256.36 $256.36 1.2×
Dilat female urethra general/cndj spinal anes (53665) $274.25 $274.25 0.1×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $131.61 $131.61 1.0×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $111.96 $111.96 0.8×
Dilate Esophagus 1/Mult Pass (43450) $459.16 $459.16 0.5×
Dilate Urethra Stricture (53600) $198.90 $198.90 0.8×
Dilation & curettage dx&/ther nonobstetric (58120) $1,675.54 $1,675.54 0.5×
Drain Hand Tendon Sheath (26020) $1,804.66 $1,804.66 0.5×
Drain/inj small joint/bursa w/us (20604) $395.04 $395.04 1.3×
Drainage external auditory canal abscess (69020) $244.24 $244.24 0.3×
Drainage external ear abscess/hematoma cmplx (69005) $3,203.20 $3,203.20 1.9×
Drainage Finger Abscess Complicated (26011) $363.01 $363.01 0.2×
Drainage of finger abscess simple (26010) $297.28 $297.28 1.5×
Drainage of gum lesion (41800)
range across 2 matching MRF lines		 $166.92–$458.48 $166.92–$458.48 varies
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $259.43–$1,532.49 $259.43–$1,532.49 varies
Drainage of hydrocele (55000) $274.25 $274.25 0.4×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $288.91 $288.91 0.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $552.08 $552.08 1.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $399.36 $399.36 1.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $234.62–$255.11 $234.62–$255.11 varies
Dstrj lesion anus simple surg excision (46922)
range across 2 matching MRF lines		 $859.25–$3,691.20 $859.25–$3,691.20 varies
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $675.53 $675.53 0.3×
Dstrj Lesion Penis Simple Cryosurgery (54056) $485.16 $485.16 2.4×
Dx Laryngoscopy Excl Nb (31525) $1,036.05 $1,036.05 0.6×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 2 matching MRF lines		 $932.31–$3,640 $932.31–$3,640 varies
Egd cautery tumor polyp (43250) $1,581.74 $1,581.74 0.8×
Egd control bleeding any (43255) $1,492.19 $1,492.19 0.8×
Egd dilation gastric/duodenal stricture (43245) $1,528.33 $1,528.33 0.8×
Egd Flexible Foreign Body Removal (43247) $1,597.60 $1,597.60 1.7×
Egd lesion ablation (43270) $1,379.20 $1,379.20 0.7×
Egd place gastrostomy tube (43246)
range across 3 matching MRF lines		 $1,658.33–$5,394.32 $1,658.33–$5,394.32 varies
Egd remove lesion snare (43251) $1,253.04 $1,253.04 0.6×
Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) $5,180.66 $5,180.66 0.9×
Endocervical curettage (57505) $403.57 $403.57 0.4×
Endometrial Biopsy (58100) $307.89 $307.89 1.5×
Episiotomy or vaginal repair (59300) $737.67 $737.67 0.2×
Escharotomy; initial incision (16035) $1,185.60 $1,185.60 2.9×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $1,073.33 $1,073.33 0.5×
Esophagoscopy Flex Transoral Injection Varices (43204) $2,289.61 $2,289.61 1.2×
Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) $1,356.68 $1,356.68 0.7×
Esophagoscopy Flexible Transoral Diagnostic (43200) $1,097.25 $1,097.25 1.2×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215)
range across 2 matching MRF lines		 $1,226.06–$1,727.28 $1,226.06–$1,727.28 varies
Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) $3,635.94 $3,635.94 0.6×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $73.48–$171.81 $73.48–$171.81 varies
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $1,803.10 $1,803.10 1.1×
Exc arm/elbow les sc < 3 cm (24075) $1,373.53 $1,373.53 0.8×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $234.57 $234.57 0.3×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $669.71 $669.71 0.4×
Exc Back Les Sc < 3 Cm (21930) $1,292.46 $1,292.46 0.8×
Exc Back Tum Deep 5 Cm/> (21933) $2,928.43 $2,928.43 1.0×
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815)
unusually low: confirm this is the full procedure		 $2,362 $2,362 0.4×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125)
range across 2 matching MRF lines		 $2,111.30–$4,784 $2,111.30–$4,784 varies
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $783.90 $783.90 1.1×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $1,007.60 $1,007.60 1.4×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $1,578.93 $1,578.93 0.9×
Exc Face Les Sbq 2 Cm/> (21012) $1,191.16 $1,191.16 0.7×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $372.27 $372.27 0.5×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $379.18 $379.18 0.5×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $546.83 $546.83 0.8×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $769.29 $769.29 0.5×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $815.78 $815.78 0.5×
Exc Forearm Les Sc 3 Cm/> (25071)
range across 2 matching MRF lines		 $1,801.18–$4,435.38 $1,801.18–$4,435.38 varies
Exc ganglion wrist recurrent (25112) $1,794.26 $1,794.26 1.1×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $274.61 $274.61 0.2×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $351.52 $351.52 0.5×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $446.89 $446.89 0.3×
Exc Hand Les Sc < 1.5 Cm (26115) $1,629.89 $1,629.89 1.0×
Exc hydrocele sprmatic cord uni spx (55500) $1,876.47 $1,876.47 0.5×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $953.21 $953.21 0.3×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $606.63 $606.63 0.2×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $1,871.74 $1,871.74 0.9×
Exc neuroma major peripheral nrv xcp sciatic (64784) $3,766.46 $3,766.46 1.9×
Exc Rct Tum Not Incl Muscularis Propria (45171) $2,228.56 $2,228.56 0.8×
Exc Shoulder Tum Deep 5 Cm/> (23073) $2,131.48 $2,131.48 0.7×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $558.17 $558.17 0.8×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $818.06 $818.06 0.5×
Exc Skin Benig >4 Cm Remaindr Body (11426) $1,089.71 $1,089.71 0.4×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $893.88 $893.88 0.5×
Exc Skin Benig >4cm Face,Facial (11446) $1,187.11 $1,187.11 0.4×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $963.98 $963.98 0.6×
Exc Skin Malig >4 Cm Remaindr Body (11626) $1,354.65 $1,354.65 0.5×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,189.86 $1,189.86 0.7×
Exc thigh/knee tum dep 5cm/> (27339) $4,188.76 $4,188.76 1.4×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $352.35 $352.35 0.3×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $341.48 $341.48 0.8×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $428.12 $428.12 0.6×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines		 $601.12–$669.71 $601.12–$669.71 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $1,253.82 $1,253.82 0.4×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $1,976.36 $1,976.36 0.7×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $2,068.72 $2,068.72 1.2×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $2,199.29 $2,199.29 0.7×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $2,095.60 $2,095.60 0.7×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $1,948.96 $1,948.96 0.7×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $1,677.52 $1,677.52 0.6×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,441.91 $1,441.91 0.9×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,379.20 $1,379.20 0.8×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $1,567.23 $1,567.23 0.9×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $1,154.30 $1,154.30 0.4×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,153.57 $1,153.57 0.7×
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) $2,142.40 $2,142.40 0.7×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $1,536.13 $1,536.13 0.5×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $1,605.86 $1,605.86 0.5×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $1,567.23 $1,567.23 0.5×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $1,815.11 $1,815.11 0.5×
Excis Mouth Mucosa/Sub,No Repair (40810) $518.91 $518.91 0.2×
Excise tendon forearm/wrist (25109) $2,487.37 $2,487.37 0.7×
Excise Wrist Tendon Sheath (25118) $1,788.85 $1,788.85 1.1×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $726.49 $726.49 1.0×
Excision Distal Ulna Partial/Complete (25240) $2,000.44 $2,000.44 0.6×
Excision Excessive Skin & Subq Tissue Other Area (15839) $2,804.41 $2,804.41 0.9×
Excision lesion mouth roof (42104) $498.84 $498.84 0.1×
Excision Lesion Tongue W/O Closure (41110) $463.84 $463.84 0.1×
Excision Lingual Frenum Frenectomy (41115) $812.81 $812.81 0.5×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $446.89 $446.89 0.6×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $595.30 $595.30 0.8×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $693.42 $693.42 1.7×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $960.13 $960.13 1.3×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $602.26 $602.26 0.8×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,281.64 $1,281.64 0.8×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $2,067.36 $2,067.36 0.7×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $491.45 $491.45 0.3×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $4,117.20 $4,117.20 5.7×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $792.17 $792.17 1.1×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,252.63 $1,252.63 0.7×
Excision Multiple External Papillae/Tags Anus (46230) $701.43 $701.43 0.2×
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 4 matching MRF lines		 $1,487.98–$6,786.26 $1,487.98–$6,786.26 varies
Excision of hydrocele; bilateral (55041)
range across 2 matching MRF lines		 $2,685.12–$8,840 $2,685.12–$8,840 varies
Excision of hydrocele; unilateral (55040) $2,150.10 $2,150.10 0.6×
Excision of pilonidal cyst or sinus; simple (11770) $1,118.62 $1,118.62 0.4×
Excision of vaginal cyst or tumor (57135) $1,173.33 $1,173.33 0.4×
Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Facility (55535)
unusually low: confirm this is the full procedure		 $2,624.75 $2,624.75 0.4×
Excision or curettage of bone cyst or benign tumor of femur; (27355) $2,871.34 $2,871.34 0.9×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $1,948.54 $1,948.54 0.6×
Excision Pilonidal Cyst/Sinus Complicated (11772) $1,963.36 $1,963.36 0.7×
Excision Pilonidal Cyst/Sinus Extensive (11771)
range across 2 matching MRF lines		 $1,432.13–$7,696 $1,432.13–$7,696 varies
Excision Radial Head (24130) $2,214.06 $2,214.06 0.7×
Excision tumor soft tis back/flank subq 3 cm/> (21931)
range across 2 matching MRF lines		 $2,242.50–$6,007.26 $2,242.50–$6,007.26 varies
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,122.68 $1,122.68 0.7×
Excision tumor soft tissue shoulder subq 3 cm/> (23071)
range across 2 matching MRF lines		 $1,257.62–$5,048.50 $1,257.62–$5,048.50 varies
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $1,502.18 $1,502.18 0.9×
Excision, interdigital (morton) neuroma, single, each (28080) $1,511.74 $1,511.74 0.9×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903)
range across 2 matching MRF lines		 $1,728.32–$6,368.17 $1,728.32–$6,368.17 varies
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $1,128.45 $1,128.45 0.7×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $1,629.89 $1,629.89 0.5×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $2,065.80 $2,065.80 0.7×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $1,027.83 $1,027.83 0.6×
Excision; trochanteric bursa or calcification (27062) $1,695.51 $1,695.51 0.5×
Explo/Drain Breast Abscess (19020) $965.48 $965.48 0.6×
Exploration of knee joint (27310) $3,270.70 $3,270.70 1.0×
Exploration penetrating wound spx extremity (20103) $1,340.92 $1,340.92 0.8×
Explore/Treat Wrist Joint (25040) $2,454.76 $2,454.76 0.7×
External cephalic version (59412) $488.96 $488.96 0.1×
Fasciotomy palmar open partial (26045) $704.13 $704.13 0.2×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $3,561.74 $3,561.74 1.1×
Fetal Contraction Stress Test (59020)
range across 2 matching MRF lines		 $198.17–$267.90 $198.17–$267.90 varies
Fetal non-stress test (59025)
range across 2 matching MRF lines		 $158.65–$190.22 $158.65–$190.22 varies
Fine needle aspiration without imaging guidance (10021) $357.60 $357.60 0.9×
Fluoro exam of g/colon tube (49465) $183.40 $183.40 0.8×
Fna bx w/us gdn 1st les (10005) $361.19 $361.19 0.5×
Foreskin manipulation (54450) $336.13 $336.13 1.3×
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) $2,348.32 $2,348.32 1.1×
Fuse hand bones with graft (25825)
unusually low: confirm this is the full procedure		 $3,258.84 $3,258.84 0.4×
Fusion Finger Joint (26860) $2,173.76 $2,173.76 0.7×
Fusion of knuckle (26850)
unusually low: confirm this is the full procedure		 $2,545.50 $2,545.50 0.3×
Gastrocnemius recession (27687) $2,013.23 $2,013.23 0.6×
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) $4,159.17 $4,159.17 1.1×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $4,029.74 $4,029.74 2.1×
Hemiarthroplasty hip partial (27125)
unusually low: confirm this is the full procedure		 $5,569.51 $5,569.51 0.4×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $1,615.22 $1,615.22 0.6×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $1,159.08 $1,159.08 0.4×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 2 matching MRF lines		 $417.56–$4,293.05 $417.56–$4,293.05 varies
Hip arthro w/labral repair (29916) $5,899.76 $5,899.76 0.8×
I&d abscess peritonsillar (42700) $472.52 $472.52 2.0×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $237.90–$244.24 $237.90–$244.24 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $2,150.15 $2,150.15 0.7×
I&d perianal abscess superficial (46050) $551.62 $551.62 0.6×
I&d pilonidal cyst complicated (10081) $495.46 $495.46 0.7×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $240.19–$254.38 $240.19–$254.38 varies
Ileoscopy Stoma W/Balloon Dilation (44381) $1,504.57 $1,504.57 0.8×
Incise external hemorrhoid (46083) $346.27 $346.27 1.4×
Incise finger tendon sheath (26055)
range across 2 matching MRF lines		 $2,003.66–$4,888 $2,003.66–$4,888 varies
Incise flexor carpi radialis (25001) $1,799.36 $1,799.36 0.5×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $244.24–$545.38 $244.24–$545.38 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $1,642.37 $1,642.37 0.6×
Incision & removal foreign body subq tiss compl (10121) $559.05 $559.05 0.3×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $224.95–$322.92 $224.95–$322.92 varies
Incision and drainage of bartholin's gland abscess (56420) $340.34 $340.34 1.6×
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $185.90–$349.54 $185.90–$349.54 varies
Incision of fibula (27707) $1,782.66 $1,782.66 0.5×
Incision of labial frenum (frenotomy) (40806) $290.21 $290.21 0.5×
Incision of rectal abscess (46040) $1,087.11 $1,087.11 0.9×
Incision of tibia & fibula (27709)
unusually low: confirm this is the full procedure		 $4,298.22 $4,298.22 0.3×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $489.48 $489.48 0.3×
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $223.70–$5,760.64 $223.70–$5,760.64 varies
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $142.53–$187.10 $142.53–$187.10 varies
Injection 1 tendon sheath/ligament aponeurosis (20550) $189.80 $189.80 0.6×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $389.17 $389.17 0.4×
Injection for identification of sentinel node (38792) $994.29 $994.29 2.4×
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $174.72–$192.76 $174.72–$192.76 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $73.48–$780.26 $73.48–$780.26 varies
Injection single/mlt trigger point 3/> muscles (20553) $190.22 $190.22 0.6×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $108.58–$372.53 $108.58–$372.53 varies
Injection, Intralesional; More Than 7 Lesions (11901) $150.59 $150.59 0.7×
Injection, intralesional; up to and including 7 lesions (11900) $136.19 $136.19 0.7×
Insert Bladder Cath Complex (51703) $159.80 $159.80 1.2×
Insert cath pleura w/ image (32557) $1,014.42 $1,014.42 0.6×
Insert cath pleura w/o image (32556) $673.24 $673.24 0.3×
Insert Drug Implant Device (11981) $527.49 $527.49 3.9×
Insert Gastrostomy Tube Percutaneous (49440) $1,491.78 $1,491.78 0.8×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $688.74–$848.90 $688.74–$848.90 varies
Insert pessary/other device (57160) $306.12 $306.12 1.5×
Insert pulse gen dual leads (33213)
likely a partial charge, not the full procedure		 $1,989.05 $1,989.05 0.2×
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines		 $100.31–$151.27 $100.31–$151.27 varies
Insert tun ip cath perc (49418) $4,160 $4,160 1.1×
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $2,566.30–$7,411.24 $2,566.30–$7,411.24 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $109.98–$147.26 $109.98–$147.26 varies
Insertion Picc W/Rs&I 5 Yr/> (36573) $891.59 $891.59 0.6×
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
likely a partial charge, not the full procedure		 $757.48 $757.48 0.1×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $759.62 $759.62 0.2×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $536.95–$1,379.25 $536.95–$1,379.25 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $1,758.22 $1,758.22 0.5×
Insrt heart pm atrial & vent (33208)
unusually low: confirm this is the full procedure		 $3,204.97 $3,204.97 0.3×
Int hrhc by ligation single hroid w/o img gdn (46945) $614.43 $614.43 0.2×
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 2 matching MRF lines		 $492.44–$1,604.77 $492.44–$1,604.77 varies
Intmd Rpr Face/Mm 20.1-30.0 (12056)
range across 2 matching MRF lines		 $492.44–$1,379.20 $492.44–$1,379.20 varies
Intubation endotracheal emergency procedure (31500)
range across 4 matching MRF lines		 $190.22–$617.08 $190.22–$617.08 varies
Irrigation maxillary sinus (31000) $335.50 $335.50 1.4×
Knee arthroscopy/drainage (29871) $2,935.09 $2,935.09 0.9×
Knee Arthroscopy/Surgery (29885) $4,327.23 $4,327.23 0.6×
Knee Arthroscopy/Surgery (29874) $3,341.73 $3,341.73 1.0×
Knee Arthroscopy/Surgery (29850) $3,338.82 $3,338.82 2.0×
Laparo-vag hyst incl t/o (58552)
range across 2 matching MRF lines		 $4,738.34–$29,776.24 $4,738.34–$29,776.24 varies
Laparoscopy aspiration (49322)
unusually low: confirm this is the full procedure		 $2,293.51 $2,293.51 0.4×
Laparoscopy Enterolysis Separate Procedure (44180) $3,436.21 $3,436.21 0.6×
Laparoscopy fulguration oviducts (58670)
range across 4 matching MRF lines		 $3,350.36–$17,874.78 $3,350.36–$17,874.78 varies
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
unusually low: confirm this is the full procedure		 $2,662.50 $2,662.50 0.4×
Laparoscopy W/Lysis Of Adhesions (58660) $3,660.18 $3,660.18 0.6×
Laparoscopy w/rmvl adnexal structures (58661) $4,257.97 $4,257.97 0.7×
Laparoscopy, surgical, appendectomy (44970)
range across 2 matching MRF lines		 $2,608.27–$21,046.48 $2,608.27–$21,046.48 varies
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) $6,875.08 $6,875.08 1.1×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $4,052.98 $4,052.98 0.7×
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186)
unusually low: confirm this is the full procedure		 $2,267.51 $2,267.51 0.4×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
likely a partial charge, not the full procedure		 $1,219.19 $1,219.19 0.2×
Laparoscopy, Tubal Block (58671)
unusually low: confirm this is the full procedure		 $2,889.74 $2,889.74 0.5×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
unusually low: confirm this is the full procedure		 $2,118.38 $2,118.38 0.3×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $3,848.62 $3,848.62 0.6×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542)
unusually low: confirm this is the full procedure		 $4,277.94 $4,277.94 0.4×
Laryngoscopy diagnostic (31505) $244.40 $244.40 1.2×
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $321.57–$554.68 $321.57–$554.68 varies
Laryngoscopy w/wo tracheoscopy aspiration (31515) $681.10 $681.10 1.7×
Late closure of wound (13160) $2,099.19 $2,099.19 0.6×
Lateral retinacular release open (27425) $3,131.39 $3,131.39 0.9×
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429)
unusually low: confirm this is the full procedure		 $5,994.35 $5,994.35 0.5×
Ligamentous Reconstruction Knee Extra-Articular (27427) $3,784.77 $3,784.77 0.5×
Ligamentous reconstruction knee intra-articular (27428)
range across 2 matching MRF lines		 $4,978.90–$29,162.72 $4,978.90–$29,162.72 varies
Ligation External Carotid Artery (37600) $994.29 $994.29 0.3×
Ligation or biopsy temporal artery (37609) $994.29 $994.29 0.6×
Litholapaxy smpl/sm <2.5 cm (52317) $2,722.62 $2,722.62 0.8×
Lysis/excision penile postcircumcision adhesions (54162) $993.98 $993.98 0.5×
Manipulation Ankle Under General Anesthesia (27860) $741.26 $741.26 0.2×
Manipulation knee joint under general anesthesia (27570) $925.50 $925.50 0.6×
Manipulation wrist under anesthesia (25259) $1,492.04 $1,492.04 0.9×
Manipulation, finger joint, under anesthesia, each joint (26340) $1,621.57 $1,621.57 1.0×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $1,033.55 $1,033.55 0.6×
Mast mod rad (19307) $4,306.54 $4,306.54 0.6×
Mastectomy for gynecomastia (19300) $1,826.97 $1,826.97 0.5×
Mastectomy simple complete (19303)
range across 2 matching MRF lines		 $2,625.48–$18,720 $2,625.48–$18,720 varies
Maternity Care Procedure (59899) $797.47 $797.47 3.9×
Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed Facility (39401)
unusually low: confirm this is the full procedure		 $2,317.54 $2,317.54 0.4×
Mediastinoscpy w/lmph nod bx (39402)
unusually low: confirm this is the full procedure		 $2,317.54 $2,317.54 0.4×
N Block Inj Ilio-Ing/Hypogi (64425) $353.03 $353.03 0.5×
N block inj intercost sng (64420) $800.12 $800.12 1.1×
N Block Inj Plantar Digit (64455) $478.92 $478.92 1.5×
Nasal sinus therapy (30210) $224.48 $224.48 0.1×
Nasal/Orogastric W/Tube Plmt (43752) $199.73 $199.73 0.4×
Needle Biopsy Lymph Nodes (38505) $504.50 $504.50 0.3×
Needle insertion w/o injection 1 or 2 muscles (20560) $110.14 $110.14 3.7×
Needle insertion w/o injection 3 or more muscles (20561) $131.56 $131.56 4.5×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $1,982.66 $1,982.66 1.0×
Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus Facility (64714) $4,214.24 $4,214.24 2.1×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $2,621.94 $2,621.94 1.3×
Neurp major prph nrv opn arm/leg sciatic nrv (64712) $2,857.45 $2,857.45 1.4×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $108.58–$495.35 $108.58–$495.35 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,017.12 $1,017.12 1.1×
Njx Sclrsnt 1 Incmptnt Vein (36470) $214.34 $214.34 0.5×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $324.32 $324.32 0.8×
Occipital Nerve Block (64405) $407.32 $407.32 1.3×
Omntc Epiploectomy Rescj Omentum Spx (49255)
unusually low: confirm this is the full procedure		 $2,573.06 $2,573.06 0.4×
Open biopsy/excision inguinofemoral nodes (38531) $1,557.50 $1,557.50 0.4×
Open Repair of Rotator Cuff Acute (23410) $4,151.78 $4,151.78 0.6×
Open Treatment Bimalleolar Ankle Fracture (27814)
unusually low: confirm this is the full procedure		 $3,359.67 $3,359.67 0.5×
Open treatment calcaneal fracture (28415) $4,373.46 $4,373.46 0.6×
Open Treatment Fracture Distal Tibia & Fibula (27828)
unusually low: confirm this is the full procedure		 $4,785.72 $4,785.72 0.4×
Open treatment fracture distal tibia only (27827)
unusually low: confirm this is the full procedure		 $4,327.34 $4,327.34 0.3×
Open treatment greater trochanteric fracture (27248)
unusually low: confirm this is the full procedure		 $3,149.69 $3,149.69 0.4×
Open treatment interphalangeal joint dislocation (28675) $1,523.70 $1,523.70 0.5×
Open Treatment Medial Malleolus Fracture (27766)
unusually low: confirm this is the full procedure		 $2,650.08 $2,650.08 0.4×
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure		 $2,147.24 $2,147.24 0.3×
Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running… (27227) $6,652.83 $6,652.83 0.9×
Open treatment of acromioclavicular dislocation acute or chronic (23550)
unusually low: confirm this is the full procedure		 $2,680.81 $2,680.81 0.4×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
unusually low: confirm this is the full procedure		 $2,360.75 $2,360.75 0.3×
Open treatment of coccygeal fracture Facility (27202) $2,393.61 $2,393.61 0.7×
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507)
likely a partial charge, not the full procedure		 $1,943.97 $1,943.97 0.3×
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826)
unusually low: confirm this is the full procedure		 $3,253.48 $3,253.48 0.4×
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546)
unusually low: confirm this is the full procedure		 $4,372.06 $4,372.06 0.3×
Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) $4,094.32 $4,094.32 0.6×
Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21812) $3,761.26 $3,761.26 0.5×
Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21811)
unusually low: confirm this is the full procedure		 $3,134.40 $3,134.40 0.4×
Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21813) $5,015.09 $5,015.09 3.1×
Open Treatment of Ulnar Shaft Fracture (25545)
unusually low: confirm this is the full procedure		 $2,472.13 $2,472.13 0.3×
Open treatment of ulnar styloid fracture (25652)
unusually low: confirm this is the full procedure		 $2,299.96 $2,299.96 0.3×
Open treatment posterior malleolus fracture (27769)
unusually low: confirm this is the full procedure		 $2,925.57 $2,925.57 0.4×
Open Treatment Proximal Fibula/Shaft Fracture (27784)
unusually low: confirm this is the full procedure		 $2,505.26 $2,505.26 0.3×
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure		 $3,435.17 $3,435.17 0.3×
Open Treatment Radial Shaft Fracture (25515)
unusually low: confirm this is the full procedure		 $2,589.29 $2,589.29 0.3×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $2,456.01 $2,456.01 0.7×
Open tx carpal scaphoid navicular fracture (25628)
unusually low: confirm this is the full procedure		 $2,597.76 $2,597.76 0.4×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
unusually low: confirm this is the full procedure		 $2,609.62 $2,609.62 0.4×
Open Tx Distal Radioulnar Dislc Acute/Chronic (25676)
unusually low: confirm this is the full procedure		 $2,345.62 $2,345.62 0.3×
Open Tx Distal Tibiofibular Joint Disruption (27829)
unusually low: confirm this is the full procedure		 $2,578.32 $2,578.32 0.3×
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514)
unusually low: confirm this is the full procedure		 $5,033.39 $5,033.39 0.4×
Open tx femoral supracondylar fracture w/o xtn (27511)
unusually low: confirm this is the full procedure		 $4,482.97 $4,482.97 0.3×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $1,470.92 $1,470.92 0.4×
Open tx humeral supracondylar fracture w/o xtn (24545)
likely a partial charge, not the full procedure		 $1,635.14 $1,635.14 0.1×
Open tx interphalangeal joint dislocation (26785) $1,768.88 $1,768.88 0.5×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $2,464.96 $2,464.96 0.7×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735)
range across 2 matching MRF lines		 $1,889.06–$2,140.27 $1,889.06–$2,140.27 varies
Open Tx Tibial Fracture Proximal Unicondylar (27535) $3,751.12 $3,751.12 0.5×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $4,001.45 $4,001.45 0.5×
Open tx ulnar fx proximal end (24685)
unusually low: confirm this is the full procedure		 $2,757.04 $2,757.04 0.4×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
unusually low: confirm this is the full procedure		 $2,963.48 $2,963.48 0.4×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
unusually low: confirm this is the full procedure		 $3,687.63 $3,687.63 0.5×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236) $5,499.10 $5,499.10 0.7×
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
likely a partial charge, not the full procedure		 $3,434.29 $3,434.29 0.3×
Optx tibial fx prox bicondylar w/wo int fixj (27536) $4,701.11 $4,701.11 0.6×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758)
range across 2 matching MRF lines		 $3,972.18–$23,925.42 $3,972.18–$23,925.42 varies
Orchiectomy radical tumor inguinal approach (54530) $3,210.90 $3,210.90 0.9×
Orchiopexy Ingun/Scrot Appr (54640) $2,261.38 $2,261.38 0.6×
Ostc prtl exostc/condylc metar head (28288) $1,822.03 $1,822.03 0.5×
Ostectomy calcaneus (28118) $1,901.38 $1,901.38 0.6×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $1,595.26 $1,595.26 0.5×
Osteoplasty Radius/Ulna Shortening (25390)
unusually low: confirm this is the full procedure		 $3,354.57 $3,354.57 0.5×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $1,658.23 $1,658.23 0.5×
Osteotomy Clavicle W Bone Graft (23485)
likely a partial charge, not the full procedure		 $3,732.51 $3,732.51 0.3×
Osteotomy Metacarpal Each (26565) $2,709.56 $2,709.56 0.8×
Osteotomy radius distal third (25350)
unusually low: confirm this is the full procedure		 $3,087.92 $3,087.92 0.4×
Parathyroidectomy or exploration of parathyroid(s); (60500) $4,646.51 $4,646.51 0.8×
Part remv talus or calcaneus (28120) $2,183.12 $2,183.12 0.7×
Partial Excision Distal Phalanx Finger (26236) $1,961.08 $1,961.08 1.2×
Partial hymenectomy or revision of hymenal ring (56700) $720.93 $720.93 0.2×
Partial thyroid excision (60212) $4,745 $4,745 0.8×
Patellectomy or hemipatellectomy (27350)
unusually low: confirm this is the full procedure		 $3,075.44 $3,075.44 0.4×
Pelvic examination under anesthesia (other than local) (57410) $426.97 $426.97 0.1×
Percutaneous skeletal fixation of ulnar styloid fracture (25651) $1,811.52 $1,811.52 0.5×
Perq Cervicothoracic Inject (22510) $3,761.26 $3,761.26 1.1×
Perq dev breast 1st us imag (19285) $1,427.87 $1,427.87 2.0×
Perq dilation xst trc endourologic px w/img (50436) $2,535.68 $2,535.68 0.7×
Perq Lumbosacral Injection (22511) $3,510.57 $3,510.57 1.1×
Perq skel fixj distal radial fx/epiphysl sep (25606) $2,378.69 $2,378.69 0.7×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
unusually low: confirm this is the full procedure		 $2,632.97 $2,632.97 0.4×
Place Duod/Jej Tube Perc (49441) $1,611.06 $1,611.06 0.8×
Placement of needle for intraosseous infusion (36680) $416.73 $416.73 0.9×
Placement of seton (46020) $644.44 $644.44 0.2×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $3,015.64 $3,015.64 0.6×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $510.95 $510.95 0.5×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $510.28 $510.28 0.2×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $1,387.93 $1,387.93 0.4×
Prq skel fixj femoral fx prox end neck (27235) $4,678.49 $4,678.49 0.6×
Prq skel fixj metar fx w/manj (28476) $1,364.90 $1,364.90 0.4×
Prq Skel Fixj Tars Jt Dislc W/Manj (28606) $1,449.45 $1,449.45 0.4×
Prq Skeletal Fixj Distal Radioulnar Dislocation (25671) $1,983.90 $1,983.90 0.6×
Punch biopsy skin single lesion (11104) $223.70 $223.70 0.5×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $166.92–$199.06 $166.92–$199.06 varies
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines		 $187.93–$562.95 $187.93–$562.95 varies
Pvb Thoracic Single Injection Site W/Img Gid (64461) $859.25 $859.25 1.2×
Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) $3,396.69 $3,396.69 2.1×
Rdctj torsion tstis w/wo fixj clat testis (54600) $2,568.75 $2,568.75 0.7×
Realignment extensor tendon hand each tendon (26437) $2,434.22 $2,434.22 0.7×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) $3,811.65 $3,811.65 0.5×
Reconstruction Toe Polydactyly (28344) $1,316.12 $1,316.12 0.4×
Reinforce hip bones (27187) $4,499.04 $4,499.04 0.6×
Release of shoulder ligament (23415)
range across 2 matching MRF lines		 $2,726.20–$16,794.65 $2,726.20–$16,794.65 varies
Release or recession, hamstring, proximal Facility (27097) $3,346.20 $3,346.20 1.0×
Removal Embedded Foreign Body Eyelid (67938) $222.98 $222.98 0.7×
Removal Foreign Body Deep Thigh/Knee (27372) $1,787.34 $1,787.34 0.6×
Removal foreign body foot deep (28192) $1,017.95 $1,017.95 0.6×
Removal Foreign Body Foot Subcutaneous (28190) $302.69 $302.69 0.4×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $441.95 $441.95 0.3×
Removal foreign body upper arm/elbow deep (24201) $1,435.93 $1,435.93 0.5×
Removal foreign body, intranasal; requiring general anesthesia (30310) $855.92 $855.92 0.3×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $76.02–$112.06 $76.02–$112.06 varies
Removal Implant Deep (20680) $1,754.90 $1,754.90 0.6×
Removal Implant Superficial Separate Procedure (20670) $299.73 $299.73 0.2×
Removal implantable contraceptive capsules (11976) $491.45 $491.45 0.7×
Removal of adenoids (42831) $1,441.54 $1,441.54 0.4×
Removal of bone lesion (23140) $1,880.48 $1,880.48 0.6×
Removal of cervix (57530)
unusually low: confirm this is the full procedure		 $1,763.74 $1,763.74 0.3×
Removal of foreign body from pharynx (42809) $583.23 $583.23 1.3×
Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) $6,828.90 $6,828.90 0.5×
Removal of implant from finger or hand (26320) $1,368.90 $1,368.90 0.8×
Removal of nail bed (11750) $754.16 $754.16 1.8×
Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) $4,667.26 $4,667.26 0.6×
Removal of sperm cord lesion (55520) $1,859.57 $1,859.57 0.5×
Removal of tendon for graft (20924)
likely a partial charge, not the full procedure		 $1,852.76 $1,852.76 0.2×
Removal of testis (54520) $2,094.35 $2,094.35 0.6×
Removal of tonsils (42825)
likely a partial charge, not the full procedure		 $1,163.55 $1,163.55 0.2×
Removal of tonsils (42826) $1,314.56 $1,314.56 0.4×
Removal or bivalving full arm or full leg cast (29705) $170.20 $170.20 0.6×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $186.89 $186.89 0.9×
Removal, under anesthesia, of external fixation system (20694) $1,486.63 $1,486.63 0.9×
Removal/bivalving gauntlet boot/body cast (29700) $149.50 $149.50 0.5×
Remove drug implant device (11982) $512.46 $512.46 1.1×
Remove elbow lesion (24120) $2,045.99 $2,045.99 0.6×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $73.48–$161.30 $73.48–$161.30 varies
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $96.51–$205.45 $96.51–$205.45 varies
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $77.48–$237.64 $77.48–$237.64 varies
Remove Tendon Sheath Lesion (26160) $1,267.45 $1,267.45 0.8×
Remove wrist joint cartilage (25107) $2,913.40 $2,913.40 0.9×
Repair Achilles Tendon (27650)
range across 2 matching MRF lines		 $3,013.30–$9,002.04 $3,013.30–$9,002.04 varies
Repair arm/leg nerve (64857) $4,472.52 $4,472.52 1.3×
Repair Blood Vessel Direct Upper Extremity (35206) $3,774.73 $3,774.73 1.2×
Repair Collat Ankle Ligmnt,Secondary (27698)
range across 2 matching MRF lines		 $3,653.16–$30,663.34 $3,653.16–$30,663.34 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,191.89 $1,191.89 1.6×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $609.13–$2,028.57 $609.13–$2,028.57 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $548.08–$953.68 $548.08–$953.68 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $548.08–$1,935.91 $548.08–$1,935.91 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $533.10–$782.29 $533.10–$782.29 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $548.08–$1,465.62 $548.08–$1,465.62 varies
Repair complex trunk 1.1-2.5 cm (13100) $528.11 $528.11 0.7×
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $533.10–$1,028.35 $533.10–$1,028.35 varies
Repair extensor tendon finger w/o graft each (26418) $2,112.40 $2,112.40 1.3×
Repair Extensor Tendon Hand W/Graft Each (26412) $2,669.47 $2,669.47 0.8×
Repair Finger/Hand Tendon (26350) $2,961.19 $2,961.19 0.9×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $2,175.21 $2,175.21 0.7×
Repair Forearm Tendon Sheath (25275) $2,508.53 $2,508.53 0.8×
Repair Hallux Rigidus (28289) $2,283.68 $2,283.68 0.7×
Repair Hand Joint (26540) $2,580.29 $2,580.29 0.8×
Repair Hand Tendon (26410) $2,288 $2,288 1.4×
Repair humerus with graft (24435)
range across 2 matching MRF lines		 $4,662.58–$47,730.08 $4,662.58–$47,730.08 varies
Repair inguinal hernia, sliding, any age (49525)
range across 2 matching MRF lines		 $2,531.67–$8,944 $2,531.67–$8,944 varies
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $2,565.84 $2,565.84 0.7×
Repair initial femoral hernia, any age; reducible (49550) $2,234.13 $2,234.13 0.6×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $2,565.84 $2,565.84 0.7×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 3 matching MRF lines		 $223.96–$522.60 $223.96–$522.60 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $223.96–$708.29 $223.96–$708.29 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $265.98–$1,000.17 $265.98–$1,000.17 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $278.15–$1,310.76 $278.15–$1,310.76 varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $535.81 $535.81 1.3×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 2 matching MRF lines		 $463.89–$1,012.91 $463.89–$1,012.91 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $223.96–$416.57 $223.96–$416.57 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $223.96–$596.28 $223.96–$596.28 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $223.96–$775.11 $223.96–$775.11 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $1,342.43 $1,342.43 0.6×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $493.79–$866.01 $493.79–$866.01 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $223.96–$404.30 $223.96–$404.30 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $463.89–$592.85 $463.89–$592.85 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $535.81–$1,145.40 $535.81–$1,145.40 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $463.89–$726.49 $463.89–$726.49 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $1,202.08 $1,202.08 0.6×
Repair of enterocele, vaginal approach (separate procedure) (57268)
likely a partial charge, not the full procedure		 $1,521.83 $1,521.83 0.3×
Repair of metatarsals (28322)
unusually low: confirm this is the full procedure		 $2,495.69 $2,495.69 0.3×
Repair of nail bed (11760) $580.58 $580.58 0.8×
Repair of Ruptured Tendon (24342)
unusually low: confirm this is the full procedure		 $3,695.33 $3,695.33 0.5×
Repair of shoulder (23420) $4,780.36 $4,780.36 0.6×
Repair Rotator Cuff Chronic (23412)
unusually low: confirm this is the full procedure		 $2,782.68 $2,782.68 0.4×
Repair shoulder capsule (23466) $6,025.29 $6,025.29 0.8×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208)
range across 2 matching MRF lines		 $674.13–$1,326.16 $674.13–$1,326.16 varies
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
unusually low: confirm this is the full procedure		 $2,893.96 $2,893.96 0.4×
Repair tongue laceration (41252) $887.28 $887.28 3.7×
Repair tongue laceration (41250) $506.43 $506.43 1.1×
Repair, primary, disrupted ligament, ankle; collateral (27695)
unusually low: confirm this is the full procedure		 $2,515.08 $2,515.08 0.3×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
unusually low: confirm this is the full procedure		 $3,178.60 $3,178.60 0.4×
Repair/Revise Wrist Joint (25320) $4,305.44 $4,305.44 0.6×
Replace g/c tube perc (49450) $403.73 $403.73 0.4×
Reposition Venous Catheter (36597) $339.98 $339.98 0.2×
Repr elbow lat ligmnt w/tiss (24343) $3,123.07 $3,123.07 0.9×
Rerepair ing hernia reduce (49520) $2,653.51 $2,653.51 0.7×
Revis reconst shoulder joint (23473) $7,481.50 $7,481.50 0.6×
Revis shoulder arthrplsty humeral&glenoid compnt (23474) $7,845.86 $7,845.86 0.6×
Revise lower leg tendon (27690)
unusually low: confirm this is the full procedure		 $2,555.96 $2,555.96 0.3×
Revision of knee joint (27442)
unusually low: confirm this is the full procedure		 $4,411.63 $4,411.63 0.3×
Revision of lower leg tendon (27685) $2,182.44 $2,182.44 0.7×
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) $8,231.65 $8,231.65 0.6×
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) $8,620.98 $8,620.98 0.7×
Revision of urethra (57220)
likely a partial charge, not the full procedure		 $1,429.01 $1,429.01 0.3×
Revj Arthrp W/Removal Implant Wrist Joint (25449) $4,082.68 $4,082.68 0.6×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) $9,233.12 $9,233.12 0.5×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) $7,215.73 $7,215.73 0.6×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $124.90–$213.77 $124.90–$213.77 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $270.40 $270.40 2.0×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $565.71 $565.71 0.3×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,003.08 $1,003.08 0.6×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 3 matching MRF lines		 $727.27–$3,783.21 $727.27–$3,783.21 varies
Rplc Gtube No Revj Trc (43762) $296.09 $296.09 1.2×
Rplcmt compl tun ctr vad w/subq port (36582) $2,017.76 $2,017.76 0.6×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591)
range across 3 matching MRF lines		 $2,439.16–$13,836.22 $2,439.16–$13,836.22 varies
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664)
likely a partial charge, not the full procedure		 $1,672.48 $1,672.48 0.2×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $223.96–$861.69 $223.96–$861.69 varies
Rpr flexor tendon leg secondary w/o graft each (27659)
unusually low: confirm this is the full procedure		 $2,323.26 $2,323.26 0.3×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046)
range across 2 matching MRF lines		 $463.89–$1,327.35 $463.89–$1,327.35 varies
Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) $5,651.20 $5,651.20 0.8×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $2,721.63 $2,721.63 0.8×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $2,708.84 $2,708.84 0.8×
Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202)
likely a partial charge, not the full procedure		 $2,147.55 $2,147.55 0.3×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $4,026.46 $4,026.46 1.2×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) $3,184.79 $3,184.79 1.0×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $2,988.08 $2,988.08 0.9×
Sequestrectomy (eg, for osteomyelitis or bone abscess), shaft or distal humerus Facility (24134)
unusually low: confirm this is the full procedure		 $2,772.28 $2,772.28 0.4×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $745.84 $745.84 0.6×
Shave skin lesion 0.5 cm/< (11300) $178.72 $178.72 0.4×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $235.56 $235.56 1.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $203.42 $203.42 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $229.68 $229.68 1.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $244.56 $244.56 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $267.80 $267.80 0.6×
Shoulder arthroscopy diagnostic (29805) $2,115.72 $2,115.72 0.6×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $250.85 $250.85 1.2×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $282.20 $282.20 0.7×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $236.13 $236.13 1.2×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $316 $316 0.8×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $315.28 $315.28 1.5×
Sigmoidoscopy & Polypectomy (45333) $855.92 $855.92 0.9×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $1,153.15 $1,153.15 0.9×
Sigmoidoscopy w/fb removal (45332) $754.16 $754.16 0.6×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $669.71 $669.71 0.7×
Simple Cystometrogram (51725) $445.43 $445.43 1.7×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $278.15–$1,061.48 $278.15–$1,061.48 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $223.96–$379.65 $223.96–$379.65 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $223.96–$455.78 $223.96–$455.78 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $965.48 $965.48 2.3×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $223.96–$586.40 $223.96–$586.40 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $223.96–$277.99 $223.96–$277.99 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 2 matching MRF lines		 $339.09–$905.68 $339.09–$905.68 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $223.96–$507.83 $223.96–$507.83 varies
Skin Full Grft Face/Genit/Hf (15240) $2,400.11 $2,400.11 1.1×
Slitting of prepuce (54001) $401.70 $401.70 0.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $223.96–$347.31 $223.96–$347.31 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $223.96–$677.25 $223.96–$677.25 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $278.15–$834.55 $278.15–$834.55 varies
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $463.89–$593.22 $463.89–$593.22 varies
Strapping ankle (29540) $130.10 $130.10 0.8×
Strapping elbow or wrist (29260) $135.56 $135.56 2.2×
Strapping hand/finger (29280)
range across 2 matching MRF lines		 $126.52–$199.37 $126.52–$199.37 varies
Strapping Hip (29520) $148.15 $148.15 1.1×
Strapping knee (29530) $162.92 $162.92 1.2×
Strapping shoulder (29240) $186.63 $186.63 1.4×
Strapping toes (29550)
range across 2 matching MRF lines		 $122.93–$156.47 $122.93–$156.47 varies
Strapping Unna Boot (29580)
range across 2 matching MRF lines		 $151.94–$169.42 $151.94–$169.42 varies
Surg tx anal fistula subq (46270) $2,506.09 $2,506.09 0.9×
Suture infrapatellar tendon primary (27380)
unusually low: confirm this is the full procedure		 $2,541.66 $2,541.66 0.3×
Suture of quadriceps or hamstring muscle rupture primary (27385)
unusually low: confirm this is the full procedure		 $2,993.33 $2,993.33 0.4×
Tangential biopsy skin single lesion (11102) $189.18 $189.18 0.5×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) $3,452.18 $3,452.18 1.0×
Tenodesis long tendon biceps (23430)
unusually low: confirm this is the full procedure		 $3,308.71 $3,308.71 0.4×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $1,808.20 $1,808.20 0.5×
Tenotomy Hip Abd/Ext Open (27006) $2,421.85 $2,421.85 0.7×
Tenotomy Percutaneous Toe Single Tendon (28010) $815.15 $815.15 0.5×
Tenotomy shoulder area single tendon (23405)
unusually low: confirm this is the full procedure		 $2,574.10 $2,574.10 0.3×
Tibial Arthroscopy/Surgery (29855)
unusually low: confirm this is the full procedure		 $3,501.42 $3,501.42 0.5×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $2,926.14 $2,926.14 1.4×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $1,448.15 $1,448.15 0.4×
Tooth extraction (41899) $855.04 $855.04 3.5×
Total Knee Arthroplasty (27447)
range across 3 matching MRF lines		 $8,517.13–$56,886.85 $8,517.13–$56,886.85 varies
Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft) Facility (27100)
unusually low: confirm this is the full procedure		 $3,523.47 $3,523.47 0.5×
Transfer paraspinal muscle to hip (includes fascial or tendon extension graft) Facility (27105) $3,671.98 $3,671.98 1.1×
Transplant hand tendon (26480) $2,965.61 $2,965.61 0.9×
Transplant/graft hand tendon (26483) $3,328.36 $3,328.36 1.0×
Treat ankle fracture (28445) $3,955.48 $3,955.48 0.5×
Treat dislocation/fracture (23680)
likely a partial charge, not the full procedure		 $3,727 $3,727 0.3×
Treat ectopic pregnancy (59151)
range across 2 matching MRF lines		 $4,591.81–$25,262.46 $4,591.81–$25,262.46 varies
Treat Finger Fracture Each (26727) $1,642.11 $1,642.11 0.5×
Treat forearm bone lesion (25035)
unusually low: confirm this is the full procedure		 $2,457.21 $2,457.21 0.3×
Treat Fx Rad Extra-Articul (25607)
unusually low: confirm this is the full procedure		 $2,716.74 $2,716.74 0.4×
Treat humerus fracture (24500) $1,012.91 $1,012.91 4.0×
Treat Humerus Fracture (24505)
range across 2 matching MRF lines		 $217.10–$2,122.64 $217.10–$2,122.64 varies
Treat humerus fracture (23600) $907.50 $907.50 3.6×
Treat Kneecap Fracture (27524)
unusually low: confirm this is the full procedure		 $3,187.13 $3,187.13 0.4×
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $176.44–$577.10 $176.44–$577.10 varies
Treat Metatarsal Fracture (28475) $840.32 $840.32 3.3×
Treat scapula fracture (23585)
unusually low: confirm this is the full procedure		 $3,371.32 $3,371.32 0.5×
Treat Tail Bone Fracture (27200) $749.58 $749.58 3.0×
Treat toe dislocation (28630) $461.50 $461.50 1.8×
Treat Vaginal Bleeding (57180) $443.09 $443.09 2.1×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,175.72 $1,175.72 0.7×
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $176.44–$1,299.43 $176.44–$1,299.43 varies
Treatment of ankle fracture (27823) $4,288.34 $4,288.34 0.6×
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) $5,168.54 $5,168.54 0.7×
Trim skin lesion (11055) $85.70 $85.70 0.4×
Trim skin lesions 2 to 4 (11056) $186.63 $186.63 0.9×
Trim skin lesions over 4 (11057) $266.97 $266.97 1.3×
Trimming Nondystrophic Nails Any Number (11719) $42.95 $42.95 0.7×
Tubal ligation (58600) $1,633.32 $1,633.32 0.5×
Tx Gastro Intub W/Asp (43753) $255.11 $255.11 1.2×
Tx Incomplete Abortion Any Trimester Surgical (59812) $1,675.54 $1,675.54 0.5×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245)
range across 2 matching MRF lines		 $5,900.86–$6,047.44 $5,900.86–$6,047.44 varies
Tx Missed Abortion First Trimester Surgical (59820) $1,940.95 $1,940.95 0.6×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $1,811.16 $1,811.16 1.1×
Tx Superficial Wound Dehiscence Simple Closure (12020) $720.93 $720.93 1.0×
Tx superficial wound dehiscence w/packing (12021) $615.73 $615.73 1.5×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $752.91 $752.91 3.0×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
unusually low: confirm this is the full procedure		 $4,505.85 $4,505.85 0.3×
Tympanostomy general anesthesia (69436) $698.36 $698.36 0.4×
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) $1,913.76 $1,913.76 0.5×
Unlisted Procedure Esophagus (43499) $621.76 $621.76 0.7×
Unlisted procedure nervous system (64999) $259.32 $259.32 0.8×
Unlisted Procedure, Urinary System (53899) $363.01 $363.01 1.4×
Vaginal Delivery After Cesarean Delivery (59612) $3,576.72 $3,576.72 1.1×
Vaginal delivery only (59409) $4,306.02 $4,306.02 1.3×
Vaginal hysterectomy, for uterus 250 g or less; (58260) $5,781.83 $5,781.83 1.1×
Vasectomy uni/bi spx w/postop semen exams (55250) $1,365.36 $1,365.36 0.6×
Vein Access Cutdown < 1 Yr (36420) $342.94 $342.94 2.5×
Venous Cutdown >1 Y/O (36425) $206.08 $206.08 0.5×
Wedging of cast (29740) $189.90 $189.90 0.7×

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.