Procedures & surgery prices at Coast Plaza Hospital
Norwalk, CA · every code in this section with a posted price and a Medicare benchmark.
656 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) | $2,171.40 | $2,171.40 | 1.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $1,985.55 | $1,985.55 | 1.7× |
| Ablate Pulm Tumor Perq Crybl (32994) | $12,010.95 | $12,010.95 | 0.9× |
| Acne surgery (10040) | $288.86 | $288.86 | 1.1× |
| Adding Walker Previously Applied Cast (29440) range across 3 matching MRF lines |
$710.85–$1,066.80 | $710.85–$1,066.80 | varies |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) | $10,547.25 | $10,547.25 | 2.3× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) | $9,381.75 | $9,381.75 | 3.5× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $7,158.90 | $7,158.90 | 2.7× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) | $8,741.25 | $8,741.25 | 3.3× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) | $8,150.10 | $8,150.10 | 3.1× |
| Amniocentesis diagnostic (59000) | $1,507.80 | $1,507.80 | 1.3× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $7,952.70 | $7,952.70 | 1.9× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $8,124.90 | $8,124.90 | 1.9× |
| Amputate Metacarpal Bone (26910) | $14,092.05 | $14,092.05 | 3.3× |
| Amputation Foot Midtarsal (28800) | $2.10 | $2.10 | 0.0× |
| Amputation foot transmetarsal (28805) | $10,695.30 | $10,695.30 | 2.5× |
| Amputation metatarsal with toe single (28810) | $10,695.30 | $10,695.30 | 2.5× |
| Amputation toe interphalangeal joint (28825) | $10,695.30 | $10,695.30 | 2.5× |
| Amputation toe metatarsophalangeal joint (28820) | $10,695.30 | $10,695.30 | 2.5× |
| Anoscopy diagnostic (46600) | $318.15 | $318.15 | 1.9× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $212 | $212 | 1.0× |
| Application cast elbow finger short arm (29075) range across 4 matching MRF lines |
$606.90–$1,208.75 | $606.90–$1,208.75 | varies |
| Application Cast Finger (29086) | $528.15 | $528.15 | 2.5× |
| Application Cast Shoulder Spica (29055) range across 3 matching MRF lines |
$1,208.55–$1,813.35 | $1,208.55–$1,813.35 | varies |
| Application finger splint static (29130) | $340.20 | $340.20 | 2.0× |
| Application long arm splint shoulder hand (29105) range across 4 matching MRF lines |
$449.40–$674.10 | $449.40–$674.10 | varies |
| Application Long Leg Splint (29505) range across 4 matching MRF lines |
$528–$871.50 | $528–$871.50 | varies |
| Application of long leg cast (29345) range across 4 matching MRF lines |
$1,208.55–$1,813.35 | $1,208.55–$1,813.35 | varies |
| Application of rigid total contact leg cast (29445) | $678 | $678 | 1.9× |
| Application short arm splint forearm-hand static (29125) range across 4 matching MRF lines |
$433.65–$651 | $433.65–$651 | varies |
| Application short leg splint calf foot (29515) range across 4 matching MRF lines |
$528–$871.50 | $528–$871.50 | varies |
| Apply hand/wrist cast (29085) range across 4 matching MRF lines |
$528–$792.75 | $528–$792.75 | varies |
| Apply long arm cast (29065) range across 4 matching MRF lines |
$1,208.55–$1,813.35 | $1,208.55–$1,813.35 | varies |
| Apply Multlay Comprs Lwr Leg (29581) | $339 | $339 | 1.6× |
| Apply Short Leg Cast (29405) range across 4 matching MRF lines |
$606.90–$1,208.75 | $606.90–$1,208.75 | varies |
| Arterial puncture (36600) | $199.50 | $199.50 | 1.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 5 matching MRF lines |
$1,202–$1,262.10 | $1,202–$1,262.10 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $1,389.15 | $1,389.15 | 1.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) | $1,339.80 | $1,339.80 | 3.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $1,489.95 | $1,489.95 | 3.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 5 matching MRF lines |
$625–$656.25 | $625–$656.25 | varies |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) likely a partial charge, not the full procedure |
$1,241.10 | $1,241.10 | 0.1× |
| Aspirate pleura w/ imaging (32555) | $3,051.30 | $3,051.30 | 3.8× |
| Aspirate Pleura W/O Imaging (32554) | $2,976.75 | $2,976.75 | 3.7× |
| Aspirate/Inj Ganglion Cyst (20612) | $1,262.10 | $1,262.10 | 3.2× |
| Aspiration and/or injection thyroid cyst (60300) | $3,887.10 | $3,887.10 | 4.3× |
| Aspiration bladder insert suprapubic catheter (51102) | $2,931.60 | $2,931.60 | 1.1× |
| Aspiration Bladder Needle (51100) | $3,173.10 | $3,173.10 | 9.9× |
| Aspiration bladder trocar/intracatheter (51101) | $4,992.75 | $4,992.75 | 4.5× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$430–$451.50 | $430–$451.50 | varies |
| Biopsy Abdominal Mass (49180) | $2,552.55 | $2,552.55 | 1.2× |
| Biopsy bone trocar/needle deep (20225) range across 2 matching MRF lines |
$3,416–$3,586.80 | $3,416–$3,586.80 | varies |
| Biopsy Bone Trocar/Needle Superficial (20220) range across 2 matching MRF lines |
$3,264–$3,416 | $3,264–$3,416 | varies |
| Biopsy muscle percutaneous needle (20206) | $3,427.20 | $3,427.20 | 1.6× |
| Biopsy of liver, needle; percutaneous (47000) | $2,773.05 | $2,773.05 | 1.3× |
| Biopsy Pleura Percutaneous Needle (32400) | $2,971.50 | $2,971.50 | 1.4× |
| Biopsy Prostate Any Approach Nonimaging-Guided (55705) | $7,207.20 | $7,207.20 | 1.6× |
| Biopsy Salivary Gland Needle (42400) | $760.20 | $760.20 | 0.8× |
| Biopsy soft tissue neck/thorax (21550) | $3,427.20 | $3,427.20 | 1.6× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) | $3,149.06 | $3,149.06 | 1.5× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) | $3,149.06 | $3,149.06 | 1.5× |
| Biopsy Spinal Cord Percutaneous Needle (62269) | $2,971.50 | $2,971.50 | 1.4× |
| Biopsy Vaginal Mucosa Simple (57100) | $5,878 | $5,878 | 5.0× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) range across 2 matching MRF lines |
$2,878–$3,021.90 | $2,878–$3,021.90 | varies |
| Bladder Irrigation (51700) | $661.50 | $661.50 | 2.1× |
| Bladder Scan (51798) | $249.90 | $249.90 | 3.3× |
| Blepharotomy drainage abscess eyelid (67700) | $769.65 | $769.65 | 1.9× |
| Blood Transfusion Service (36430) | $2,457 | $2,457 | 4.3× |
| Bone Marrow Biopsy (38221) | $4,370.10 | $4,370.10 | 2.1× |
| Bone Marrow; Aspiration Only (38220) | $3,427.20 | $3,427.20 | 1.6× |
| Bx breast 1st lesion strtctc (19081) | $3,517.50 | $3,517.50 | 1.7× |
| Bx breast 1st lesion us imag (19083) | $2,734.20 | $2,734.20 | 1.3× |
| Bx Cervix (57500) range across 2 matching MRF lines |
$3,662–$3,845.10 | $3,662–$3,845.10 | varies |
| Canthotomy Separate Procedure (67715) | $2,166.15 | $2,166.15 | 0.7× |
| Change Cystostomy Tube Simple (51705) | $661.50 | $661.50 | 2.1× |
| Change of Windpipe Airway (31502) | $531.30 | $531.30 | 1.7× |
| Change ureter stent percut (50382) | $6,792.45 | $6,792.45 | 2.5× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$677–$710.85 | $677–$710.85 | varies |
| Chemical Pleurodesis (32560) | $1,159.28 | $1,159.28 | 1.4× |
| Chest tube placement (32551) range across 5 matching MRF lines |
$4,027.80–$6,041.70 | $4,027.80–$6,041.70 | varies |
| Cl Tx Scapular Fx; W Manip (23575) range across 3 matching MRF lines |
$2,867.55–$4,301.85 | $2,867.55–$4,301.85 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) range across 4 matching MRF lines |
$3,543.75–$7,087.19 | $3,543.75–$7,087.19 | varies |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$606.90–$910.35 | $606.90–$910.35 | varies |
| Closed Rx Metacarpal Fx,Percut (26608) range across 2 matching MRF lines |
$13,887.30–$20,830.95 | $13,887.30–$20,830.95 | varies |
| Closed Rx Spontaneous Hip Disloc (27256) range across 3 matching MRF lines |
$1,128.75–$1,693.65 | $1,128.75–$1,693.65 | varies |
| Closed rx talotarsal disloc,anesth (28575) range across 3 matching MRF lines |
$9,860.55–$14,791.35 | $9,860.55–$14,791.35 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) range across 4 matching MRF lines |
$1,128.23–$1,816.50 | $1,128.23–$1,816.50 | varies |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) range across 3 matching MRF lines |
$7,087.50–$10,631.25 | $7,087.50–$10,631.25 | varies |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) range across 4 matching MRF lines |
$747.64–$2,047.50 | $747.64–$2,047.50 | varies |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) range across 3 matching MRF lines |
$1,128.75–$1,693.65 | $1,128.75–$1,693.65 | varies |
| Closed Treatment Sesamoid Fracture (28530) range across 3 matching MRF lines |
$1,128.75–$1,693.65 | $1,128.75–$1,693.65 | varies |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 3 matching MRF lines |
$1,128.75–$1,693.65 | $1,128.75–$1,693.65 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 4 matching MRF lines |
$747.64–$1,233.75 | $747.64–$1,233.75 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 4 matching MRF lines |
$3,543.75–$7,087.19 | $3,543.75–$7,087.19 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 3 matching MRF lines |
$1,128.75–$1,693.65 | $1,128.75–$1,693.65 | varies |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) range across 3 matching MRF lines |
$1,128.75–$1,693.65 | $1,128.75–$1,693.65 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 3 matching MRF lines |
$747.60–$1,121.40 | $747.60–$1,121.40 | varies |
| Closed tx carpal scaphoid fracture w/manj (25624) range across 4 matching MRF lines |
$3,668.70–$7,087.19 | $3,668.70–$7,087.19 | varies |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 3 matching MRF lines |
$822.15–$1,233.75 | $822.15–$1,233.75 | varies |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) range across 3 matching MRF lines |
$7,087.50–$10,631.25 | $7,087.50–$10,631.25 | varies |
| Closed tx femoral fracture prox head w/o manj (27267) range across 3 matching MRF lines |
$7,087.50–$10,631.25 | $7,087.50–$10,631.25 | varies |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) range across 3 matching MRF lines |
$1,241.10–$1,861.65 | $1,241.10–$1,861.65 | varies |
| Closed tx fx orbit except blowout w/manipulation (21401) range across 3 matching MRF lines |
$7,441.35–$11,162.55 | $7,441.35–$11,162.55 | varies |
| Closed Tx Knee Dislocation W/Anesthesia (27552) range across 3 matching MRF lines |
$7,087.50–$10,631.25 | $7,087.50–$10,631.25 | varies |
| Closed tx knee dislocation w/o anesthesia (27550) range across 4 matching MRF lines |
$1,128.23–$1,861.65 | $1,128.23–$1,861.65 | varies |
| Closed Tx Lunate Dislocation W/Manipulation (25690) range across 3 matching MRF lines |
$7,087.50–$10,631.25 | $7,087.50–$10,631.25 | varies |
| Closed tx mandibular fracture w/manipulation (21451) | $3,747.45 | $3,747.45 | 1.9× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) | $1,680 | $1,680 | 2.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 3 matching MRF lines |
$1,128.75–$1,693.65 | $1,128.75–$1,693.65 | varies |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) range across 3 matching MRF lines |
$9,860.55–$14,791.35 | $9,860.55–$14,791.35 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $4,183.20 | $4,183.20 | 2.1× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $6,755.70 | $6,755.70 | 1.6× |
| Closed tx patellar dislocation w/anesthesia (27562) range across 3 matching MRF lines |
$1,241.10–$1,861.65 | $1,241.10–$1,861.65 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 4 matching MRF lines |
$1,128.23–$1,772.40 | $1,128.23–$1,772.40 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 3 matching MRF lines |
$1,128.75–$1,693.65 | $1,128.75–$1,693.65 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) range across 3 matching MRF lines |
$2,867.55–$4,301.85 | $2,867.55–$4,301.85 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 3 matching MRF lines |
$747.60–$1,121.40 | $747.60–$1,121.40 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 4 matching MRF lines |
$2,606.63–$4,301.85 | $2,606.63–$4,301.85 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 3 matching MRF lines |
$778.05–$1,167.60 | $778.05–$1,167.60 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 4 matching MRF lines |
$2,606.63–$2,867.55 | $2,606.63–$2,867.55 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 3 matching MRF lines |
$783.30–$1,174.95 | $783.30–$1,174.95 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 3 matching MRF lines |
$1,128.75–$1,693.65 | $1,128.75–$1,693.65 | varies |
| Closed tx septal&nose fx (21337) | $8,211 | $8,211 | 1.9× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) range across 4 matching MRF lines |
$2,606.63–$4,301.85 | $2,606.63–$4,301.85 | varies |
| Closed tx talotarsal joint dislc w/o anes (28570) range across 3 matching MRF lines |
$1,128.75–$1,693.65 | $1,128.75–$1,693.65 | varies |
| Closed Tx Talus Fracture W/Manipulation (28435) range across 3 matching MRF lines |
$5,875.80–$8,813.70 | $5,875.80–$8,813.70 | varies |
| Closed tx talus fracture w/o manipulation (28430) range across 3 matching MRF lines |
$747.60–$1,121.40 | $747.60–$1,121.40 | varies |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) range across 3 matching MRF lines |
$1,241.10–$1,861.65 | $1,241.10–$1,861.65 | varies |
| Closed tx tarsometatarsal dislocation w/o anes (28600) range across 3 matching MRF lines |
$1,128.75–$1,693.65 | $1,128.75–$1,693.65 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $586.95 | $586.95 | 1.9× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) range across 3 matching MRF lines |
$3,488.10–$5,232.15 | $3,488.10–$5,232.15 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 3 matching MRF lines |
$810.60–$1,215.90 | $810.60–$1,215.90 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 3 matching MRF lines |
$747.60–$1,121.40 | $747.60–$1,121.40 | varies |
| Clsd tx acromioclavicular dislc w/manipulation (23545) range across 3 matching MRF lines |
$2,607.15–$3,911.25 | $2,607.15–$3,911.25 | varies |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) range across 3 matching MRF lines |
$747.60–$1,121.40 | $747.60–$1,121.40 | varies |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) range across 4 matching MRF lines |
$4,930.80–$9,860.70 | $4,930.80–$9,860.70 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 4 matching MRF lines |
$1,128.23–$1,693.65 | $1,128.23–$1,693.65 | varies |
| Clsd tx fx orbit except blowout w/o manipulation (21400) range across 3 matching MRF lines |
$3,747.45–$6,545.70 | $3,747.45–$6,545.70 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 3 matching MRF lines |
$3,682.35–$5,524.05 | $3,682.35–$5,524.05 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 4 matching MRF lines |
$856.74–$1,414.35 | $856.74–$1,414.35 | varies |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) range across 3 matching MRF lines |
$2,607.15–$3,911.25 | $2,607.15–$3,911.25 | varies |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) range across 3 matching MRF lines |
$1,210.65–$1,816.50 | $1,210.65–$1,816.50 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) range across 3 matching MRF lines |
$7,364.70–$11,047.05 | $7,364.70–$11,047.05 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 4 matching MRF lines |
$7,087.19–$10,631.25 | $7,087.19–$10,631.25 | varies |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) range across 12 matching MRF lines |
$1,128.75–$1,693.65 | $1,128.75–$1,693.65 | varies |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) range across 5 matching MRF lines |
$2,632.12–$7,087.19 | $2,632.12–$7,087.19 | varies |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 4 matching MRF lines |
$900.46–$1,693.65 | $900.46–$1,693.65 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) range across 4 matching MRF lines |
$1,128.23–$1,693.65 | $1,128.23–$1,693.65 | varies |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) range across 3 matching MRF lines |
$7,087.50–$10,631.25 | $7,087.50–$10,631.25 | varies |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) range across 3 matching MRF lines |
$1,241.10–$1,861.65 | $1,241.10–$1,861.65 | varies |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) range across 3 matching MRF lines |
$7,087.50–$10,631.25 | $7,087.50–$10,631.25 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 3 matching MRF lines |
$1,147.65–$1,722 | $1,147.65–$1,722 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 3 matching MRF lines |
$1,128.75–$1,693.65 | $1,128.75–$1,693.65 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $822.15 | $822.15 | 2.6× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 11 matching MRF lines |
$808.50–$1,128.23 | $808.50–$1,128.23 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 3 matching MRF lines |
$822.15–$1,233.75 | $822.15–$1,233.75 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 4 matching MRF lines |
$2,606.63–$4,301.85 | $2,606.63–$4,301.85 | varies |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) | $7,092.75 | $7,092.75 | 3.4× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) range across 3 matching MRF lines |
$7,087.50–$10,631.25 | $7,087.50–$10,631.25 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) range across 3 matching MRF lines |
$1,241.10–$1,861.65 | $1,241.10–$1,861.65 | varies |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) range across 3 matching MRF lines |
$1,241.10–$1,861.65 | $1,241.10–$1,861.65 | varies |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) range across 3 matching MRF lines |
$1,128.75–$1,693.65 | $1,128.75–$1,693.65 | varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) range across 3 matching MRF lines |
$7,087.50–$10,631.25 | $7,087.50–$10,631.25 | varies |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $1,128.75 | $1,128.75 | 3.6× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $747.60 | $747.60 | 2.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $1,241.10 | $1,241.10 | 3.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $1,128.75 | $1,128.75 | 3.6× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 3 matching MRF lines |
$7,087.50–$10,631.25 | $7,087.50–$10,631.25 | varies |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 3 matching MRF lines |
$1,128.75–$1,693.65 | $1,128.75–$1,693.65 | varies |
| Cltx greater humeral tuberosity fx w/o manj (23620) range across 3 matching MRF lines |
$789.60–$1,184.40 | $789.60–$1,184.40 | varies |
| Cltx Greater Trochanteric Fx W/O Manj (27246) range across 3 matching MRF lines |
$1,142.40–$1,713.60 | $1,142.40–$1,713.60 | varies |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) range across 3 matching MRF lines |
$4,930.80–$7,396.20 | $4,930.80–$7,396.20 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) range across 3 matching MRF lines |
$3,543.75–$5,316.15 | $3,543.75–$5,316.15 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 4 matching MRF lines |
$1,128.23–$1,693.65 | $1,128.23–$1,693.65 | varies |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) range across 3 matching MRF lines |
$822.15–$1,233.75 | $822.15–$1,233.75 | varies |
| Cltx humeral condylar fx medial/lateral w/manj (24577) range across 3 matching MRF lines |
$3,941.70–$5,912.55 | $3,941.70–$5,912.55 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) range across 3 matching MRF lines |
$3,835.65–$5,754 | $3,835.65–$5,754 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) range across 3 matching MRF lines |
$822.15–$1,233.75 | $822.15–$1,233.75 | varies |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) range across 3 matching MRF lines |
$7,087.50–$10,631.25 | $7,087.50–$10,631.25 | varies |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $1,245.30 | $1,245.30 | 3.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $738.15 | $738.15 | 2.3× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) range across 6 matching MRF lines |
$7,087.50–$10,631.25 | $7,087.50–$10,631.25 | varies |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $1,246.35 | $1,246.35 | 3.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $1,128.75 | $1,128.75 | 3.6× |
| Cltx Med Ankle Fx W/Mnpj (27762) range across 4 matching MRF lines |
$7,087.19–$10,631.25 | $7,087.19–$10,631.25 | varies |
| Cltx Medial Ankle Fx (27760) range across 3 matching MRF lines |
$1,128.75–$1,693.65 | $1,128.75–$1,693.65 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 4 matching MRF lines |
$1,128.23–$1,764 | $1,128.23–$1,764 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 3 matching MRF lines |
$1,128.75–$1,693.65 | $1,128.75–$1,693.65 | varies |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) range across 3 matching MRF lines |
$7,087.50–$10,631.25 | $7,087.50–$10,631.25 | varies |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) range across 13 matching MRF lines |
$7,364.70–$11,047.05 | $7,364.70–$11,047.05 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $1,241.10 | $1,241.10 | 3.9× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $1,128.75 | $1,128.75 | 3.6× |
| Cltx post hip arthrp dislc req anes (27266) range across 3 matching MRF lines |
$3,543.75–$5,316.15 | $3,543.75–$5,316.15 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) range across 4 matching MRF lines |
$1,128.23–$1,816.50 | $1,128.23–$1,816.50 | varies |
| Cltx prox fibula/shft fx w/manj (27781) range across 4 matching MRF lines |
$7,087.19–$10,631.25 | $7,087.19–$10,631.25 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) range across 3 matching MRF lines |
$1,128.75–$1,693.65 | $1,128.75–$1,693.65 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 4 matching MRF lines |
$4,930.80–$9,860.70 | $4,930.80–$9,860.70 | varies |
| Cltx prox tibfib jt dislc req anes (27831) range across 3 matching MRF lines |
$9,860.55–$14,791.35 | $9,860.55–$14,791.35 | varies |
| Cltx prox tibfib jt dislc w/o anes (27830) range across 4 matching MRF lines |
$1,128.23–$1,693.65 | $1,128.23–$1,693.65 | varies |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) range across 4 matching MRF lines |
$1,128.23–$1,861.65 | $1,128.23–$1,861.65 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 4 matching MRF lines |
$747.60–$1,121.40 | $747.60–$1,121.40 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) range across 3 matching MRF lines |
$2,867.55–$4,301.85 | $2,867.55–$4,301.85 | varies |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) range across 3 matching MRF lines |
$4,501.35–$6,752.55 | $4,501.35–$6,752.55 | varies |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) range across 3 matching MRF lines |
$2,867.55–$4,301.85 | $2,867.55–$4,301.85 | varies |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 3 matching MRF lines |
$822.15–$1,233.75 | $822.15–$1,233.75 | varies |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) range across 4 matching MRF lines |
$7,087.50–$10,631.25 | $7,087.50–$10,631.25 | varies |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) range across 3 matching MRF lines |
$1,241.10–$1,861.65 | $1,241.10–$1,861.65 | varies |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) range across 3 matching MRF lines |
$13,887.30–$20,830.95 | $13,887.30–$20,830.95 | varies |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) range across 3 matching MRF lines |
$1,128.75–$1,693.65 | $1,128.75–$1,693.65 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) range across 3 matching MRF lines |
$1,128.75–$1,693.65 | $1,128.75–$1,693.65 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) range across 3 matching MRF lines |
$1,128.75–$1,693.65 | $1,128.75–$1,693.65 | varies |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) range across 3 matching MRF lines |
$1,241.10–$1,861.65 | $1,241.10–$1,861.65 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 3 matching MRF lines |
$3,543.75–$5,316.15 | $3,543.75–$5,316.15 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 3 matching MRF lines |
$1,128.75–$1,693.65 | $1,128.75–$1,693.65 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $283.50 | $283.50 | 1.7× |
| Collection of venous blood by venipuncture (36415) | $40.95 | $40.95 | 4.4× |
| Complex drainage wound (10180) | $5,860.05 | $5,860.05 | 1.6× |
| Composite Skin Graft (15760) | $10,547.25 | $10,547.25 | 4.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 5 matching MRF lines |
$551.25–$827.40 | $551.25–$827.40 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 5 matching MRF lines |
$463.05–$695.10 | $463.05–$695.10 | varies |
| Conversion ext bil drg cath (47535) | $13,452.60 | $13,452.60 | 2.9× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $4,672.50 | $4,672.50 | 1.9× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $3,249.75 | $3,249.75 | 1.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $555.45 | $555.45 | 3.2× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $569.10 | $569.10 | 1.9× |
| Cystostomy Cystotomy W/Drainage (51040) | $4,450.95 | $4,450.95 | 1.7× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) | $13,863.15 | $13,863.15 | 2.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $1,314.60 | $1,314.60 | 2.5× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $12,409.95 | $12,409.95 | 3.3× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $2,279.55 | $2,279.55 | 2.5× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) | $10,344.60 | $10,344.60 | 4.1× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 3 matching MRF lines |
$1,359–$1,426.95 | $1,359–$1,426.95 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$214–$224.70 | $214–$224.70 | varies |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$226–$237.30 | $226–$237.30 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 3 matching MRF lines |
$3,264–$3,427.20 | $3,264–$3,427.20 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$1,233–$1,294.65 | $1,233–$1,294.65 | varies |
| Declot vascular device (36593) | $1,014.30 | $1,014.30 | 2.4× |
| Delivery of placenta (59414) | $7,155.75 | $7,155.75 | 1.7× |
| Destruct B9 Lesion 1-14 (17110) | $677 | $677 | 2.6× |
| Destruction of skin lesions (17106) | $1,294.65 | $1,294.65 | 2.5× |
| Dilat Xst Trc New Access Rcs (50437) range across 2 matching MRF lines |
$15,365.70–$23,048.55 | $15,365.70–$23,048.55 | varies |
| Drain Cerebro Spinal Fluid (62272) | $1,286.25 | $1,286.25 | 1.4× |
| Drain Spinal Cord Cyst (62268) | $2,104.20 | $2,104.20 | 1.8× |
| Drain/inj small joint/bursa w/us (20604) | $844.20 | $844.20 | 2.1× |
| Drainage external auditory canal abscess (69020) | $775.95 | $775.95 | 0.9× |
| Drainage external ear abscess/hematoma cmplx (69005) | $9,561.30 | $9,561.30 | 4.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $775.95 | $775.95 | 0.9× |
| Drainage Finger Abscess Complicated (26011) | $3,427.20 | $3,427.20 | 1.6× |
| Drainage Mouth Roof Lesion (42000) | $1,680 | $1,680 | 5.5× |
| Drainage of finger abscess simple (26010) | $775.95 | $775.95 | 3.0× |
| Drainage of gum lesion (41800) | $463.05 | $463.05 | 2.7× |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$3,165–$3,323.25 | $3,165–$3,323.25 | varies |
| Drainage of nose lesion (30000) | $1,680 | $1,680 | 5.5× |
| Drainage of rectal abscess (45005) | $7,629.30 | $7,629.30 | 5.0× |
| Drainage of scrotal wall abscess (55100) | $3,427.20 | $3,427.20 | 1.6× |
| Drainage of scrotum (54700) | $4,075.05 | $4,075.05 | 1.5× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) | $3,747.45 | $3,747.45 | 5.4× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $775.95 | $775.95 | 0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$745–$782.25 | $745–$782.25 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$715–$750.75 | $715–$750.75 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$714–$749.70 | $714–$749.70 | varies |
| Dx Bone Marrow Bx & Aspir (38222) | $5,860.05 | $5,860.05 | 1.6× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,591.80 | $1,591.80 | 1.8× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) | $8,044 | $8,044 | 3.0× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) | $8,305 | $8,305 | 3.1× |
| Epidural Blood Patch (62273) | $3,594.15 | $3,594.15 | 4.0× |
| Episiotomy or vaginal repair (59300) | $7,155.75 | $7,155.75 | 1.7× |
| Ercp ea duct/ampulla dilate (43277) | $6,711.60 | $6,711.60 | 1.4× |
| Escharotomy; initial incision (16035) | $782.25 | $782.25 | 1.5× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$212–$222.60 | $212–$222.60 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$1,483–$1,557.15 | $1,483–$1,557.15 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $4,621.05 | $4,621.05 | 2.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $1,334.55 | $1,334.55 | 1.5× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $4,023.60 | $4,023.60 | 1.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $4,023.60 | $4,023.60 | 4.4× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $5,280.45 | $5,280.45 | 2.5× |
| Exc Skin Benig >4cm Face,Facial (11446) | $5,425.35 | $5,425.35 | 1.5× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $5,174.40 | $5,174.40 | 2.4× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $2,409.75 | $2,409.75 | 2.6× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $4,458.30 | $4,458.30 | 2.1× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $7,050.75 | $7,050.75 | 1.5× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) range across 2 matching MRF lines |
$3,564.75–$5,347.65 | $3,564.75–$5,347.65 | varies |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $3,125.85 | $3,125.85 | 3.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $1,987.65 | $1,987.65 | 2.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $2,409.75 | $2,409.75 | 2.6× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $2,615.55 | $2,615.55 | 5.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $3,448.20 | $3,448.20 | 3.8× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $10,547.25 | $10,547.25 | 4.0× |
| Expl po hemrrg thrombosis/infctj xtr (35860) | $6,943.65 | $6,943.65 | 1.7× |
| Exploration penetrating wound spx chest (20101) | $10,547.25 | $10,547.25 | 4.0× |
| Exploration penetrating wound spx extremity (20103) | $3,081.75 | $3,081.75 | 1.5× |
| Exploration Penetrating Wound Spx Neck (20100) | $3,747.45 | $3,747.45 | 5.4× |
| External cephalic version (59412) | $7,155.75 | $7,155.75 | 1.7× |
| Fetal Contraction Stress Test (59020) | $805.35 | $805.35 | 3.1× |
| Fetal non-stress test (59025) | $502.95 | $502.95 | 1.9× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $2,888.55 | $2,888.55 | 3.2× |
| Fine needle aspiration without imaging guidance (10021) | $606.90 | $606.90 | 1.2× |
| Fluoro exam of g/colon tube (49465) | $623.70 | $623.70 | 2.0× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $2,373 | $2,373 | 2.6× |
| Fna bx w/us gdn 1st les (10005) | $1,928.85 | $1,928.85 | 2.1× |
| Follicle Puncture Oocyte Retrieval Any Method (58970) | $1,105.65 | $1,105.65 | 0.9× |
| Foreskin manipulation (54450) | $1,276.80 | $1,276.80 | 4.0× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) | $6,252.75 | $6,252.75 | 2.4× |
| Guide Cathet Fluid Drainage (10030) | $1,653.75 | $1,653.75 | 1.8× |
| I&d abscess peritonsillar (42700) | $1,680 | $1,680 | 5.5× |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$474–$497.70 | $474–$497.70 | varies |
| I&d perianal abscess superficial (46050) | $7,629.30 | $7,629.30 | 6.4× |
| I&d pilonidal cyst complicated (10081) | $3,081.75 | $3,081.75 | 3.4× |
| I&d pilonidal cyst simple (10080) range across 3 matching MRF lines |
$710–$745.50 | $710–$745.50 | varies |
| Image Cath Fluid Colxn Visc (49405) | $7,856.10 | $7,856.10 | 3.7× |
| Image Cath Fluid Peri/Retro (49406) | $6,669.60 | $6,669.60 | 3.1× |
| Image Cath Fluid Trns/Vgnl (49407) | $6,959.40 | $6,959.40 | 3.3× |
| Impression & Preparation Oral Surgical Splint (21085) | $748.65 | $748.65 | 2.5× |
| Incise external hemorrhoid (46083) | $661.50 | $661.50 | 2.1× |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$739–$775.95 | $739–$775.95 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $4,279.80 | $4,279.80 | 2.0× |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$827–$1,303.05 | $827–$1,303.05 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $759.15 | $759.15 | 2.9× |
| Incision and drainage of vulva or perineal abscess (56405) | $708.75 | $708.75 | 1.8× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010) | $13,156.50 | $13,156.50 | 1.4× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) | $13,156.50 | $13,156.50 | 1.4× |
| Incision of rectal abscess (46040) | $9,702 | $9,702 | 6.3× |
| Incision&drainage bursa foot (28001) | $5,542 | $5,542 | 2.6× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $3,243.98 | $3,243.98 | 1.5× |
| Incisional biopsy skin single lesion (11106) | $1,256.85 | $1,256.85 | 1.3× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $451.50 | $451.50 | 1.7× |
| Inj W/Fluor Eval Cv Device (36598) | $438.90 | $438.90 | 1.6× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $1,262.10 | $1,262.10 | 3.2× |
| Injection for identification of sentinel node (38792) | $808.48 | $808.48 | 1.6× |
| Injection single tendon origin/insertion (20551) | $1,073.10 | $1,073.10 | 2.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $656.25 | $656.25 | 1.7× |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$571.20–$1,081.50 | $571.20–$1,081.50 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $1,839.60 | $1,839.60 | 2.0× |
| Ins cath ren art 1st bilat (36252) | $8,727.60 | $8,727.60 | 2.1× |
| Ins cath ren art 1st unilat (36251) | $5,867.40 | $5,867.40 | 1.4× |
| Ins cath ren art 2nd+ bilat (36254) | $33,994.80 | $33,994.80 | 8.4× |
| Ins cath ren art 2nd+ unilat (36253) | $22,663.20 | $22,663.20 | 3.2× |
| Ins endovas vena cava filtr (37191) | $23,451.75 | $23,451.75 | 3.3× |
| Insert Bladder Cath Complex (51703) | $528.15 | $528.15 | 3.2× |
| Insert cath pleura w/ image (32557) | $2,800.35 | $2,800.35 | 1.4× |
| Insert cath pleura w/o image (32556) | $2,631.30 | $2,631.30 | 1.1× |
| Insert cervical dilator (59200) | $681.45 | $681.45 | 1.7× |
| Insert Gastrostomy Tube Percutaneous (49440) | $3,693.90 | $3,693.90 | 1.5× |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$5,867.40–$5,923.05 | $5,867.40–$5,923.05 | varies |
| Insert pessary/other device (57160) | $402.15 | $402.15 | 1.5× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $5,384.40 | $5,384.40 | 2.7× |
| Insert Temp Bladder Cath (51702) | $294 | $294 | 1.7× |
| Insert tun ip cath perc (49418) | $5,100.90 | $5,100.90 | 1.1× |
| Insert tunneled cv cath (36561) | $6,337.80 | $6,337.80 | 1.6× |
| Insert tunneled cv cath (36563) | $9,395.40 | $9,395.40 | 1.3× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) | $7,837.20 | $7,837.20 | 1.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $321.30 | $321.30 | 1.9× |
| Insertion indwelling tunneled pleural catheter (32550) | $8,266.65 | $8,266.65 | 1.8× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $5,741.40 | $5,741.40 | 2.8× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $5,867.40 | $5,867.40 | 1.4× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $6,401.85 | $6,401.85 | 1.6× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) | $7,124.25 | $7,124.25 | 1.8× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $5,575.50 | $5,575.50 | 2.8× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) | $9,611.70 | $9,611.70 | 2.4× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) | $9,852.15 | $9,852.15 | 1.4× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) | $8,541.75 | $8,541.75 | 2.1× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $5,867.40 | $5,867.40 | 1.4× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $12,359.55 | $12,359.55 | 1.2× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) | $13,239.45 | $13,239.45 | 7.4× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $1,593.90 | $1,593.90 | 3.0× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $2,056.95 | $2,056.95 | 3.9× |
| Intro cath dialysis circuit (36901) | $4,324.95 | $4,324.95 | 2.1× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $28,148.40 | $28,148.40 | 1.9× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $13,927.20 | $13,927.20 | 1.9× |
| Intubation endotracheal emergency procedure (31500) | $950.25 | $950.25 | 3.1× |
| Irrigation of corpora cavernosa for priapism (54220) | $962.85 | $962.85 | 3.0× |
| Laparo ablate liver tumor rf (47370) | $31,624.95 | $31,624.95 | 2.3× |
| Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical Facility (47371) | $31,624.95 | $31,624.95 | 2.3× |
| Laryngoscopy diagnostic (31505) | $442.05 | $442.05 | 1.7× |
| Laryngoscopy flexible diagnostic (31575) | $950.25 | $950.25 | 3.7× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) | $1,998.15 | $1,998.15 | 4.0× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) | $950.25 | $950.25 | 3.7× |
| Laryngoscopy W/Foreign Body Removal (31530) | $10,388.70 | $10,388.70 | 4.5× |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) | $791.70 | $791.70 | 1.6× |
| Late closure of wound (13160) | $10,547.25 | $10,547.25 | 2.3× |
| Ligation or biopsy temporal artery (37609) | $8,560.65 | $8,560.65 | 4.0× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) | $7,179.90 | $7,179.90 | 1.8× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) | $3,173.10 | $3,173.10 | 3.5× |
| Nasal surgery procedure (30999) | $246.75 | $246.75 | 0.8× |
| Nasal/Orogastric W/Tube Plmt (43752) range across 3 matching MRF lines |
$581.70–$677.25 | $581.70–$677.25 | varies |
| Needle Biopsy Lymph Nodes (38505) | $2,168.25 | $2,168.25 | 1.0× |
| Needle Biopsy Pancreas (48102) | $2,971.50 | $2,971.50 | 1.4× |
| Nipple/areola reconstruction (19350) | $7,366.80 | $7,366.80 | 1.5× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $656.25 | $656.25 | 1.7× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $8,266.65 | $8,266.65 | 1.8× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $16,532.25 | $16,532.25 | 3.6× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $1,765.53 | $1,765.53 | 1.6× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) | $892.50 | $892.50 | 1.7× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) | $892.50 | $892.50 | 1.7× |
| Njx Sclrsnt Spider Veins (36468) | $892.50 | $892.50 | 1.7× |
| Obstructive material removal from gi tube (49460) | $2,011.80 | $2,011.80 | 1.7× |
| Open treatment interphalangeal joint dislocation (28675) | $3,644.28 | $3,644.28 | 0.9× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $12,571.65 | $12,571.65 | 3.0× |
| Open/Perq Place Stent Same (37238) | $15,399.30 | $15,399.30 | 1.0× |
| Penile Injection (54235) | $1,521.45 | $1,521.45 | 4.7× |
| Perc Cryo Ablate Renal Tum (50593) | $17,268.30 | $17,268.30 | 1.3× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) | $5,929.35 | $5,929.35 | 3.3× |
| Perc Rf Ablate Renal Tumor (50592) | $15,780.45 | $15,780.45 | 2.0× |
| Percut Ablate Liver Rf (47382) | $15,697.50 | $15,697.50 | 2.0× |
| Percut Drain/Inject Renal Cyst (50390) | $5,895.75 | $5,895.75 | 6.5× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) | $6,009.15 | $6,009.15 | 1.5× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) | $12,571.65 | $12,571.65 | 3.0× |
| Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) range across 3 matching MRF lines |
$12,571.65–$18,858 | $12,571.65–$18,858 | varies |
| Percutaneous skeletal fixation of talus fracture, with manipulation Facility (28436) range across 3 matching MRF lines |
$12,571.65–$18,858 | $12,571.65–$18,858 | varies |
| Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation Facility (28546) range across 3 matching MRF lines |
$7,087.50–$10,631.25 | $7,087.50–$10,631.25 | varies |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) range across 3 matching MRF lines |
$13,887.30–$20,830.95 | $13,887.30–$20,830.95 | varies |
| Pericardiocentesis W/Imaging (33016) | $2,947.35 | $2,947.35 | 1.5× |
| Peritoneal Lavage (49084) | $1,985.55 | $1,985.55 | 1.7× |
| Perq dev breast 1st us imag (19285) | $1,279.95 | $1,279.95 | 1.4× |
| Perq device breast 1st imag (19281) | $1,484.70 | $1,484.70 | 0.7× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) | $12,010.95 | $12,010.95 | 1.5× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $845.25 | $845.25 | 0.9× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $28,148.40 | $28,148.40 | 1.9× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $13,927.20 | $13,927.20 | 1.9× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $11,979.45 | $11,979.45 | 1.3× |
| Perq Vertebral Augmentation (22513) | $11,979.45 | $11,979.45 | 1.3× |
| Pin Finger Dislocation (26776) | $13,887.30 | $13,887.30 | 3.3× |
| Pin hand dislocation (26676) range across 3 matching MRF lines |
$13,887.30–$20,830.95 | $13,887.30–$20,830.95 | varies |
| Pin knuckle dislocation (26706) range across 3 matching MRF lines |
$13,887.30–$20,830.95 | $13,887.30–$20,830.95 | varies |
| Place Duod/Jej Tube Perc (49441) | $4,672.50 | $4,672.50 | 1.9× |
| Place ndl musc/tis for rt (20555) | $8,946 | $8,946 | 2.1× |
| Place Rt Device/Marker Pros (55876) | $3,731.70 | $3,731.70 | 2.1× |
| Placement needle head/neck radioelement applicat (41019) | $7,828.80 | $7,828.80 | 1.0× |
| Placement of needle for intraosseous infusion (36680) | $742.35 | $742.35 | 1.3× |
| Plmt Bile Duct Stent Prq Existing Access (47538) | $13,566 | $13,566 | 1.7× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) | $24,466.05 | $24,466.05 | 3.1× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) | $25,447.80 | $25,447.80 | 3.3× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 2 matching MRF lines |
$4,654.65–$6,982.50 | $4,654.65–$6,982.50 | varies |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) range across 2 matching MRF lines |
$13,863.15–$20,795.25 | $13,863.15–$20,795.25 | varies |
| Prim art mech thrombectomy (37184) | $15,399.30 | $15,399.30 | 0.7× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) | $11,554.20 | $11,554.20 | 3.2× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $1,397.55 | $1,397.55 | 1.5× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $13,452.60 | $13,452.60 | 2.9× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $14,271.60 | $14,271.60 | 3.1× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) | $13,887.30 | $13,887.30 | 3.3× |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) | $13,887.30 | $13,887.30 | 3.3× |
| Prq skel fixj metar fx w/manj (28476) range across 3 matching MRF lines |
$12,571.65–$18,858 | $12,571.65–$18,858 | varies |
| Prq Skel Fixj Talotarsal Jt Dislc W/Manj (28576) range across 3 matching MRF lines |
$12,571.65–$18,858 | $12,571.65–$18,858 | varies |
| Prq Skel Fixj Tars Jt Dislc W/Manj (28606) range across 3 matching MRF lines |
$12,571.65–$18,858 | $12,571.65–$18,858 | varies |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) range across 3 matching MRF lines |
$13,887.30–$20,830.95 | $13,887.30–$20,830.95 | varies |
| Prq Skeletal Fixj Calcaneal Fracture W/Manj (28406) range across 3 matching MRF lines |
$12,571.65–$18,858 | $12,571.65–$18,858 | varies |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) range across 3 matching MRF lines |
$17,659.95–$26,490.45 | $17,659.95–$26,490.45 | varies |
| Pseudoaneurysm Injection Trt (36002) | $1,975.05 | $1,975.05 | 2.4× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$827–$868.35 | $827–$868.35 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 2 matching MRF lines |
$1,407.76–$1,484.70 | $1,407.76–$1,484.70 | varies |
| Rdctj torsion tstis w/wo fixj clat testis (54600) | $6,594 | $6,594 | 1.5× |
| Reconstruction Nail Bed W/Graft (11762) | $8,150.10 | $8,150.10 | 3.1× |
| Redo Endovas Vena Cava Filtr (37192) | $13,887.30 | $13,887.30 | 3.4× |
| Rem Endovas Vena Cava Filter (37193) | $11,671.80 | $11,671.80 | 2.9× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $1,985.55 | $1,985.55 | 1.7× |
| Removal Embedded Foreign Body Eyelid (67938) range across 2 matching MRF lines |
$1,090.95–$1,636.95 | $1,090.95–$1,636.95 | varies |
| Removal Foreign Body Deep Thigh/Knee (27372) range across 2 matching MRF lines |
$11,313.75–$16,971.15 | $11,313.75–$16,971.15 | varies |
| Removal Foreign Body Foot Complicated (28193) range across 2 matching MRF lines |
$11,119.50–$16,679.25 | $11,119.50–$16,679.25 | varies |
| Removal foreign body foot deep (28192) range across 2 matching MRF lines |
$9,433.20–$14,149.80 | $9,433.20–$14,149.80 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$3,832–$6,035.40 | $3,832–$6,035.40 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $2,651.25 | $2,651.25 | 1.2× |
| Removal foreign body upper arm/elbow deep (24201) range across 2 matching MRF lines |
$8,560.65–$12,841.50 | $8,560.65–$12,841.50 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 3 matching MRF lines |
$406.35–$610.05 | $406.35–$610.05 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 5 matching MRF lines |
$184–$289.80 | $184–$289.80 | varies |
| Removal Implant Deep (20680) | $6,877.50 | $6,877.50 | 1.8× |
| Removal of foreign body from pharynx (42809) | $350.70 | $350.70 | 0.6× |
| Removal of kidney stone (50081) | $12,896.10 | $12,896.10 | 1.1× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$1,234–$1,295.70 | $1,234–$1,295.70 | varies |
| Removal of tunneled intraperitoneal catheter (49422) | $6,816.60 | $6,816.60 | 1.7× |
| Removal or bivalving full arm or full leg cast (29705) range across 3 matching MRF lines |
$1,245.30–$1,867.95 | $1,245.30–$1,867.95 | varies |
| Removal peritoneal-venous shunt (49429) | $13,632.15 | $13,632.15 | 3.4× |
| Removal shoulder foreign body deep subfascial/im (23333) range across 2 matching MRF lines |
$7,077–$10,615.50 | $7,077–$10,615.50 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $433.65 | $433.65 | 1.7× |
| Removal/bivalving gauntlet boot/body cast (29700) range across 4 matching MRF lines |
$1,186–$1,867.95 | $1,186–$1,867.95 | varies |
| Remove Forearm Foreign Body (25248) range across 2 matching MRF lines |
$10,879.05–$16,319.10 | $10,879.05–$16,319.10 | varies |
| Remove foreign body from eye (65235) | $11,587.80 | $11,587.80 | 3.9× |
| Remove foreign body from eye (65205) range across 3 matching MRF lines |
$534.45–$802.20 | $534.45–$802.20 | varies |
| Remove Intrauterine Device (58301) | $1,495.20 | $1,495.20 | 3.8× |
| Remove intrvas foreign body (37197) | $5,867.40 | $5,867.40 | 1.4× |
| Remove lung catheter (32552) | $1,975.05 | $1,975.05 | 2.4× |
| Remove Nasal Foreign Body (30300) range across 3 matching MRF lines |
$551.25–$827.40 | $551.25–$827.40 | varies |
| Remove renal tube w/fluoro (50389) | $1,701 | $1,701 | 1.9× |
| Remove Shoulder Foreign Body (23330) range across 2 matching MRF lines |
$4,023.60–$6,035.40 | $4,023.60–$6,035.40 | varies |
| Renal Biopsy Perq (50200) | $3,427.20 | $3,427.20 | 1.6× |
| Repair Achilles Tendon (27650) | $22,401.75 | $22,401.75 | 2.4× |
| Repair Blood Vessel Direct Hand Finger (35207) | $16,742.25 | $16,742.25 | 4.1× |
| Repair Blood Vessel Direct Upper Extremity (35206) | $17,274.60 | $17,274.60 | 4.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $1,827 | $1,827 | 1.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $2,199.75 | $2,199.75 | 2.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $1,586.55 | $1,586.55 | 3.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $1,984.50 | $1,984.50 | 3.8× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $1,533 | $1,533 | 2.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $1,686.30 | $1,686.30 | 3.2× |
| Repair complex trunk 1.1-2.5 cm (13100) | $1,314.60 | $1,314.60 | 1.4× |
| Repair complex trunk 2.6-7.5 cm (13101) | $1,629.60 | $1,629.60 | 1.7× |
| Repair extensor tendon finger w/o graft each (26418) | $8,124.90 | $8,124.90 | 3.9× |
| Repair Finger Tendon (26433) | $7,457.10 | $7,457.10 | 1.8× |
| Repair Finger/Hand Tendon (26350) | $14,092.05 | $14,092.05 | 3.3× |
| Repair Hand Joint (26540) | $8,124.90 | $8,124.90 | 1.9× |
| Repair Hand Tendon (26410) | $7,838.25 | $7,838.25 | 3.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $897.75 | $897.75 | 1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $1,056.30 | $1,056.30 | 2.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $1,104.60 | $1,104.60 | 2.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $1,164.45 | $1,164.45 | 2.2× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $2,242.80 | $2,242.80 | 4.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $1,681.05 | $1,681.05 | 1.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $868.35 | $868.35 | 1.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $899.85 | $899.85 | 1.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $1,314.60 | $1,314.60 | 1.4× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $8,245.65 | $8,245.65 | 3.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $1,393.35 | $1,393.35 | 2.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $868.35 | $868.35 | 1.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $1,081.50 | $1,081.50 | 2.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $1,642.20 | $1,642.20 | 1.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $1,179.15 | $1,179.15 | 2.3× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $7,232.40 | $7,232.40 | 2.7× |
| Repair of nail bed (11760) | $1,314.60 | $1,314.60 | 1.4× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $10,429.65 | $10,429.65 | 2.5× |
| Repair Toe Dislocation (28645) | $12,571.65 | $12,571.65 | 3.0× |
| Repair tongue laceration (41252) | $1,873.20 | $1,873.20 | 6.1× |
| Repair tongue laceration (41250) | $586.95 | $586.95 | 1.0× |
| Replace G-J Tube Perc (49452) | $1,279.95 | $1,279.95 | 1.1× |
| Replace g/c tube perc (49450) | $1,279.95 | $1,279.95 | 1.1× |
| Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon),… (20816) | $2.10 | $2.10 | 0.0× |
| Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation Facility (20824) | $2.10 | $2.10 | 0.0× |
| Reposition Gastrostomy Tube (43761) | $2,731.05 | $2,731.05 | 8.5× |
| Reposition Venous Catheter (36597) | $1,039.50 | $1,039.50 | 0.5× |
| Revise Abdomen-Venous Shunt (49426) | $16,532.25 | $16,532.25 | 3.6× |
| Rmvl embedded fb vestibule mouth comp (40805) | $3,747.45 | $3,747.45 | 5.4× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $350.70 | $350.70 | 0.3× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $5,821.20 | $5,821.20 | 2.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 3 matching MRF lines |
$866.25–$1,299.90 | $866.25–$1,299.90 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 3 matching MRF lines |
$874.65–$1,312.50 | $874.65–$1,312.50 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 3 matching MRF lines |
$1,732.50–$2,598.75 | $1,732.50–$2,598.75 | varies |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $5,860.05 | $5,860.05 | 1.6× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) range across 2 matching MRF lines |
$2,651.25–$3,977.40 | $2,651.25–$3,977.40 | varies |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $5,453.70 | $5,453.70 | 2.7× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $4,548.60 | $4,548.60 | 5.6× |
| Rplc Gtube No Revj Trc (43762) | $754.95 | $754.95 | 2.3× |
| Rplc gtube revj gstrst trc (43763) | $1,214.85 | $1,214.85 | 3.8× |
| Rplcmt cath ctr vad subq port/pmp (36578) | $5,867.40 | $5,867.40 | 1.4× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $7,949.55 | $7,949.55 | 3.9× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) | $8,602.65 | $8,602.65 | 2.1× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $2,947.35 | $2,947.35 | 1.5× |
| Rplcmt compl tun ctr vad w/subq pmp (36583) | $10,112.55 | $10,112.55 | 1.4× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $8,758.05 | $8,758.05 | 2.2× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $8,544.90 | $8,544.90 | 2.1× |
| Rpr blood vessel direct lower extremity (35226) | $4,256.70 | $4,256.70 | 4.7× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $3,156.30 | $3,156.30 | 1.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $667.80 | $667.80 | 2.6× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $1,992.90 | $1,992.90 | 2.1× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $1,680 | $1,680 | 5.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $3,747.45 | $3,747.45 | 5.4× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) | $10,695.30 | $10,695.30 | 2.5× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $15,262.80 | $15,262.80 | 3.6× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $1,863.75 | $1,863.75 | 2.3× |
| Sclerotx Fluid Collection (49185) | $5,821.20 | $5,821.20 | 2.7× |
| Sigmoidoscopy w/fb removal (45332) | $2,747.85 | $2,747.85 | 1.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $868.35 | $868.35 | 1.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $543.90 | $543.90 | 2.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $574.35 | $574.35 | 2.2× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $911.40 | $911.40 | 1.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $623.70 | $623.70 | 2.4× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $956.55 | $956.55 | 3.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$430–$451.50 | $430–$451.50 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $896.70 | $896.70 | 3.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $667.80 | $667.80 | 2.6× |
| Skin Full Grft Face/Genit/Hf (15240) | $8,150.10 | $8,150.10 | 3.1× |
| Skin sub graft face/nk/hf/g (15275) | $4,087 | $4,087 | 4.3× |
| Skin sub graft trnk/arm/leg (15271) | $4,087 | $4,087 | 4.3× |
| Skin sub grft t/arm/lg child (15273) | $8,332 | $8,332 | 3.1× |
| Skin Tissue Procedure (17999) | $202.65 | $202.65 | 0.8× |
| Skn sub grft f/n/hf/g child (15277) | $11,756 | $11,756 | 4.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$497–$521.85 | $497–$521.85 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $720.30 | $720.30 | 1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $868.35 | $868.35 | 1.7× |
| Spinal puncture lumbar diagnostic (62270) | $1,224.30 | $1,224.30 | 1.3× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $12,579 | $12,579 | 2.8× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $12,579 | $12,579 | 4.7× |
| Strapping ankle (29540) range across 3 matching MRF lines |
$401.10–$601.65 | $401.10–$601.65 | varies |
| Strapping elbow or wrist (29260) range across 3 matching MRF lines |
$384.30–$576.45 | $384.30–$576.45 | varies |
| Strapping hand/finger (29280) range across 14 matching MRF lines |
$528.15–$792.75 | $528.15–$792.75 | varies |
| Strapping Hip (29520) range across 3 matching MRF lines |
$528.15–$792.75 | $528.15–$792.75 | varies |
| Strapping knee (29530) range across 3 matching MRF lines |
$299.25–$449.40 | $299.25–$449.40 | varies |
| Strapping shoulder (29240) range across 4 matching MRF lines |
$528–$792.75 | $528–$792.75 | varies |
| Strapping toes (29550) | $460.95 | $460.95 | 6.1× |
| Strapping Unna Boot (29580) range across 4 matching MRF lines |
$339–$534.45 | $339–$534.45 | varies |
| Subconjunctival injection (68200) | $677.25 | $677.25 | 1.2× |
| Suture 1 nerve hand/foot common sensory nerve (64834) | $17,648.40 | $17,648.40 | 4.0× |
| Suture 1 Nerve Ulnar Motor (64836) | $17,648.40 | $17,648.40 | 4.0× |
| Suture digital nerve hand/foot 1 nerve (64831) | $17,648.40 | $17,648.40 | 7.0× |
| Suture infrapatellar tendon primary (27380) | $11,966.85 | $11,966.85 | 1.3× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $8,564 | $8,564 | 4.1× |
| Therapeutic plasma exchange (36514) range across 2 matching MRF lines |
$1,350–$1,739 | $1,350–$1,739 | varies |
| Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) | $19,482.75 | $19,482.75 | 2.5× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $42,665.70 | $42,665.70 | 1.8× |
| Thromblytic art/ven therapy (37213) | $5,867.40 | $5,867.40 | 1.4× |
| Thrombolytic Therapy Stroke (37195) | $1,034.25 | $1,034.25 | 2.4× |
| Thyroid biopsy (60100) | $1,248.45 | $1,248.45 | 1.4× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $7,630.35 | $7,630.35 | 2.9× |
| Tooth extraction (41899) | $533.40 | $533.40 | 1.8× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $3,890.25 | $3,890.25 | 12.8× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $3,747.45 | $3,747.45 | 1.9× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) | $386.10 | $386.10 | 1.0× |
| Transfusion Intrauterine Fetal (36460) | $997.50 | $997.50 | 1.8× |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) | $18,679.50 | $18,679.50 | 2.7× |
| Treat Finger Fracture Each (26727) | $13,887.30 | $13,887.30 | 3.3× |
| Treat Hip Socket Fracture (27222) range across 3 matching MRF lines |
$1,241.10–$1,861.65 | $1,241.10–$1,861.65 | varies |
| Treat humerus fracture (24500) range across 3 matching MRF lines |
$822.15–$1,233.75 | $822.15–$1,233.75 | varies |
| Treat Humerus Fracture (24505) range across 3 matching MRF lines |
$3,515.40–$5,273.10 | $3,515.40–$5,273.10 | varies |
| Treat humerus fracture (23600) range across 3 matching MRF lines |
$822.15–$1,233.75 | $822.15–$1,233.75 | varies |
| Treat knee fracture (27532) range across 3 matching MRF lines |
$13,887.30–$20,830.95 | $13,887.30–$20,830.95 | varies |
| Treat Knee Fracture(S) (27538) range across 3 matching MRF lines |
$1,241.10–$1,861.65 | $1,241.10–$1,861.65 | varies |
| Treat Knuckle Dislocation (26700) range across 4 matching MRF lines |
$1,128.23–$1,693.65 | $1,128.23–$1,693.65 | varies |
| Treat Metatarsal Fracture (28475) range across 3 matching MRF lines |
$1,233.75–$1,851.15 | $1,233.75–$1,851.15 | varies |
| Treat midfoot fracture (28456) range across 3 matching MRF lines |
$12,571.65–$18,858 | $12,571.65–$18,858 | varies |
| Treat Tail Bone Fracture (27200) | $747.60 | $747.60 | 2.4× |
| Treat Thumb Dislocation (26641) range across 4 matching MRF lines |
$1,128.23–$1,725.15 | $1,128.23–$1,725.15 | varies |
| Treat Thumb Fracture (26645) range across 4 matching MRF lines |
$7,087.19–$10,631.25 | $7,087.19–$10,631.25 | varies |
| Treat toe dislocation (28630) range across 13 matching MRF lines |
$563.85–$846.30 | $563.85–$846.30 | varies |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 3 matching MRF lines |
$4,222.05–$6,333.60 | $4,222.05–$6,333.60 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 3 matching MRF lines |
$747.64–$1,233.75 | $747.64–$1,233.75 | varies |
| Treatment of tibia fracture (27756) range across 3 matching MRF lines |
$17,659.95–$26,490.45 | $17,659.95–$26,490.45 | varies |
| Trim skin lesion (11055) | $430 | $430 | 1.7× |
| Trim skin lesions 2 to 4 (11056) | $595 | $595 | 2.3× |
| Trim skin lesions over 4 (11057) | $769 | $769 | 3.0× |
| Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$145–$152.25 | $145–$152.25 | varies |
| Trluml Balo Angiop 1St Art (37246) | $13,927.20 | $13,927.20 | 1.9× |
| Trluml Balo Angiop 1St Vein (37248) | $13,927.20 | $13,927.20 | 1.9× |
| Tx Gastro Intub W/Asp (43753) | $384.30 | $384.30 | 1.4× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $5,937.62 | $5,937.62 | 1.4× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) range across 3 matching MRF lines |
$7,087.50–$10,631.25 | $7,087.50–$10,631.25 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 3 matching MRF lines |
$1,252–$1,314.60 | $1,252–$1,314.60 | varies |
| Tx superficial wound dehiscence w/packing (12021) | $1,496.25 | $1,496.25 | 2.9× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) range across 3 matching MRF lines |
$7,087.50–$10,631.25 | $7,087.50–$10,631.25 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) range across 3 matching MRF lines |
$1,128.75–$1,693.65 | $1,128.75–$1,693.65 | varies |
| Unlisted Procedure Hands/Fingers (26989) | $747.60 | $747.60 | 2.4× |
| Unlisted Procedure Intestine (44799) | $12,533.85 | $12,533.85 | 10.7× |
| Unlisted Procedure Male Genital System (55899) | $528.15 | $528.15 | 1.6× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $533.40 | $533.40 | 1.8× |
| Unlisted Procedure Rectum (45999) | $2,845.50 | $2,845.50 | 2.4× |
| Unlisted Procedure Trachea Bronchi (31899) | $1,730 | $1,730 | 6.7× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $12,533.85 | $12,533.85 | 10.7× |
| Unlisted px female genital system nonobstetrical (58999) | $878.85 | $878.85 | 3.4× |
| Vaginal delivery only (59409) | $9,788.10 | $9,788.10 | 2.4× |
| Vasc Embolize/Occlude Bleed (37244) | $25,137 | $25,137 | 1.7× |
| Vasc Embolize/Occlude Organ (37243) | $23,940 | $23,940 | 1.6× |
| Vasc embolize/occlude venous (37241) | $29,481.90 | $29,481.90 | 2.0× |
| Venous Mech Thrombectomy (37187) | $19,699.05 | $19,699.05 | 1.3× |
| Wedge excision skin nail fold (11765) | $471.45 | $471.45 | 0.9× |
| Wedging of cast (29740) range across 3 matching MRF lines |
$1,245.30–$1,867.95 | $1,245.30–$1,867.95 | varies |
| Windowing of cast (29730) range across 3 matching MRF lines |
$710.85–$1,066.80 | $710.85–$1,066.80 | varies |
| Wound Prep F/N/Hf/G (15004) | $1,261 | $1,261 | 2.4× |
| Wound Prep Trk/Arm/Leg (15002) range across 2 matching MRF lines |
$2,299–$2,413.95 | $2,299–$2,413.95 | varies |
| Xtrnl Cannula Decltng Spx W/Balo Cath (36861) | $10,042.20 | $10,042.20 | 1.4× |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) | $3,951.15 | $3,951.15 | 2.0× |
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.