Procedures & surgery prices at Community First Medical Center
Chicago, IL · every code in this section with a posted price and a Medicare benchmark.
639 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) | $1,595.13 | $3,190.25 | 1.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$540.50–$1,465.75 | $1,081–$2,931.50 | varies |
| Amniocentesis diagnostic (59000) | $256.63 | $513.25 | 0.3× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $1,668.50 | $3,337 | 0.5× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $5,495 | $10,990 | 1.6× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) | $202.63 | $405.25 | 0.6× |
| Apheresis Platelets (36513) | $1,097.13 | $2,194.25 | 2.3× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$344.13–$512.75 | $688.25–$1,025.50 | varies |
| Application Finger Splint Dynamic (29131) | $126.75 | $253.50 | 2.0× |
| Application finger splint static (29130) | $153.50 | $307 | 1.1× |
| Application long arm splint shoulder hand (29105) | $204.75 | $409.50 | 1.2× |
| Application Long Leg Splint (29505) | $179.13 | $358.25 | 1.0× |
| Application of long leg cast (29345) | $124.13 | $248.25 | 0.4× |
| Application Short Arm Splint Dynamic (29126) | $126.75 | $253.50 | 0.9× |
| Application short arm splint forearm-hand static (29125) | $204.75 | $409.50 | 1.4× |
| Application short leg splint calf foot (29515) | $183.25 | $366.50 | 1.1× |
| Apply long arm cast (29065) range across 2 matching MRF lines |
$394.88–$512.75 | $789.75–$1,025.50 | varies |
| Apply Multlay Comprs Lwr Leg (29581) | $254 | $508 | 1.5× |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$394.88–$489.50 | $789.75–$979 | varies |
| Apply short leg cast (29425) | $235.13 | $470.25 | 0.8× |
| Arterial puncture (36600) | $105.75 | $211.50 | 0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) | $271.25 | $542.50 | 0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $281.75 | $563.50 | 0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) | $518.50 | $1,037 | 1.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $281.75 | $563.50 | 0.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $258.13 | $516.25 | 0.8× |
| Aspirate pleura w/ imaging (32555) | $1,172.50 | $2,345 | 1.7× |
| Aspirate Pleura W/O Imaging (32554) | $738.88 | $1,477.75 | 1.1× |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$256.63–$528.88 | $513.25–$1,057.75 | varies |
| Aspiration & Injection Treatment Bone Cyst (20615) | $350.88 | $701.75 | 0.5× |
| Aspiration and/or injection thyroid cyst (60300) | $609 | $1,218 | 0.8× |
| Avulsion nail plate partial/complete simple 1 (11730) | $290.63 | $581.25 | 1.4× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) likely a partial charge, not the full procedure |
$2,594.88 | $5,189.75 | 0.2× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) unusually low: confirm this is the full procedure |
$2,193.75 | $4,387.50 | 0.3× |
| Biopsy Abdominal Mass (49180) | $1,293 | $2,586 | 0.7× |
| Biopsy bone trocar/needle deep (20225) | $1,038 | $2,076 | 0.6× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $789.75 | $1,579.50 | 0.4× |
| Biopsy muscle percutaneous needle (20206) | $789.75 | $1,579.50 | 0.4× |
| Biopsy nail unit (11755) range across 2 matching MRF lines |
$446.13–$1,238 | $892.25–$2,476 | varies |
| Biopsy of breast; open, incisional (19101) | $1,730.25 | $3,460.50 | 0.4× |
| Biopsy of liver, needle; percutaneous (47000) | $2,906.50 | $5,813 | 1.6× |
| Biopsy Pleura Percutaneous Needle (32400) | $882.38 | $1,764.75 | 0.5× |
| Biopsy Salivary Gland Needle (42400) | $425.25 | $850.50 | 0.6× |
| Biopsy soft tissue back/flank deep (21925) | $1,829.75 | $3,659.50 | 1.0× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) | $613.25 | $1,226.50 | 0.3× |
| Biopsy soft tissue neck/thorax (21550) | $1,383.63 | $2,767.25 | 0.8× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) | $625.25 | $1,250.50 | 0.4× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) | $625.25 | $1,250.50 | 0.4× |
| Biopsy Spinal Cord Percutaneous Needle (62269) | $891.88 | $1,783.75 | 0.5× |
| Bladder instillation anticarcinogenic agent (51720) | $357.13 | $714.25 | 0.5× |
| Bladder Irrigation (51700) | $225.75 | $451.50 | 0.8× |
| Bladder Scan (51798) | $93.25 | $186.50 | 1.5× |
| Blepharotomy drainage abscess eyelid (67700) | $613.25 | $1,226.50 | 1.8× |
| Blood Transfusion Service (36430) | $439.88 | $879.75 | 0.9× |
| Bone Marrow Biopsy (38221) | $368.63 | $737.25 | 0.2× |
| Bone Marrow; Aspiration Only (38220) | $340.88 | $681.75 | 0.2× |
| Brnchsc Brushing/Protected Brushings (31623) | $1,394.63 | $2,789.25 | 0.7× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) | $2,608 | $5,216 | 0.7× |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) | $2,608 | $5,216 | 0.7× |
| Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl (31643) | $934.75 | $1,869.50 | 0.5× |
| Bronchoscopy W/Biopsy(S) (31625) | $1,394.63 | $2,789.25 | 0.7× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) | $1,394.63 | $2,789.25 | 0.3× |
| Bronchoscopy/Needle Bx Each (31629) | $934.75 | $1,869.50 | 0.2× |
| Bx breast 1st lesion mr imag (19085) | $785.50 | $1,571 | 0.4× |
| Bx breast 1st lesion strtctc (19081) | $785.50 | $1,571 | 0.4× |
| Bx breast 1st lesion us imag (19083) | $785.50 | $1,571 | 0.4× |
| Bx breast needle core w/o imaging guidance spx (19100) | $229.38 | $458.75 | 0.1× |
| Bx Cervix (57500) | $1,337.50 | $2,675 | 1.4× |
| Catheter aspiration nasotracheal spx (31720) | $40.88 | $81.75 | 0.2× |
| Cessj Therapy Cath Removal (37214) | $1,099.75 | $2,199.50 | 0.3× |
| Change Cystostomy Tube Complicated (51710) | $572.88 | $1,145.75 | 0.8× |
| Change Cystostomy Tube Simple (51705) | $212.63 | $425.25 | 0.8× |
| Change of Windpipe Airway (31502) | $190.63 | $381.25 | 0.8× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$147.13–$354 | $294.25–$708 | varies |
| Chemodenerv 1 extrem 5/> mus (64644) | $493.88 | $987.75 | 0.7× |
| Chemodenerv 1 extremity 1-4 (64642) | $493.88 | $987.75 | 0.7× |
| Chemodenerv Musc Migraine (64615) range across 2 matching MRF lines |
$251.38–$528.88 | $502.75–$1,057.75 | varies |
| Chemodenerv musc neck dyston (64616) | $472.88 | $945.75 | 1.4× |
| Chemodenerv trunk musc 1-5 (64646) | $493.88 | $987.75 | 0.7× |
| Chemodenerv trunk musc 6/> (64647) | $493.88 | $987.75 | 0.7× |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) | $493.88 | $987.75 | 0.7× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $310.50 | $621 | 0.9× |
| Chest tube placement (32551) | $738.38 | $1,476.75 | 0.4× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $2,107.88 | $4,215.75 | 0.5× |
| Cl Tx Scapular Fx; W Manip (23575) | $2,751.50 | $5,503 | 1.6× |
| Cl Tx Tib Shft Fx W Manip (27752) | $2,161.25 | $4,322.50 | 1.3× |
| Clear outer ear canal (69200) | $220 | $440 | 1.5× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $182.25 | $364.50 | 0.7× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $348.25 | $696.50 | 1.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $469.75 | $939.50 | 1.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $721.63 | $1,443.25 | 0.4× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $181.75 | $363.50 | 0.7× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $124.63 | $249.25 | 0.5× |
| Closed tx carpal scaphoid fracture w/manj (25624) | $2,917 | $5,834 | 1.7× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $464.50 | $929 | 1.8× |
| Closed tx femoral fracture prox head w/o manj (27267) | $121 | $242 | 0.0× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) | $434.13 | $868.25 | 1.6× |
| Closed tx knee dislocation w/o anesthesia (27550) | $174.88 | $349.75 | 0.7× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $1,643.38 | $3,286.75 | 1.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $234.63 | $469.25 | 0.9× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $2,305.75 | $4,611.50 | 1.3× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $1,799.88 | $3,599.75 | 1.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $174.88 | $349.75 | 0.7× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $166 | $332 | 0.6× |
| Closed tx radial head/neck fx w/manipulation (24655) | $590.25 | $1,180.50 | 0.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $390.63 | $781.25 | 1.5× |
| Closed tx radial shaft fracture w/manipulation (25505) | $743.63 | $1,487.25 | 0.4× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $166 | $332 | 0.6× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $634.13 | $1,268.25 | 0.4× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $181.75 | $363.50 | 0.7× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $124.63 | $249.25 | 0.5× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $166 | $332 | 0.1× |
| Closed tx talus fracture w/o manipulation (28430) | $124.63 | $249.25 | 0.5× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $347.25 | $694.50 | 1.3× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $166 | $332 | 0.6× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $124.63 | $249.25 | 0.5× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $225.25 | $450.50 | 0.9× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $124.63 | $249.25 | 0.5× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $121 | $242 | 0.5× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) | $624.75 | $1,249.50 | 1.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $340.38 | $680.75 | 1.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 2 matching MRF lines |
$124.63–$2,917 | $249.25–$5,834 | varies |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $121 | $242 | 0.5× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $329.88 | $659.75 | 1.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $404.75 | $809.50 | 1.5× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) | $114.63 | $229.25 | 0.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $418.38 | $836.75 | 1.6× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $335.63 | $671.25 | 1.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $347.25 | $694.50 | 1.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $147.13 | $294.25 | 0.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $216.75 | $433.50 | 0.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $247.13 | $494.25 | 0.1× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $609.63 | $1,219.25 | 0.4× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $121 | $242 | 0.5× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) | $124.63 | $249.25 | 0.5× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $1,959.63 | $3,919.25 | 1.1× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $124.63 | $249.25 | 0.5× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $160.75 | $321.50 | 0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $174.38 | $348.75 | 0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $165 | $330 | 0.6× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) | $434.13 | $868.25 | 1.6× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) | $1,643.38 | $3,286.75 | 1.0× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $1,727.63 | $3,455.25 | 1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $336.25 | $672.50 | 1.3× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $114.63 | $229.25 | 0.1× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $333.63 | $667.25 | 1.3× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) | $434.13 | $868.25 | 0.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $210 | $420 | 0.8× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $1,191.38 | $2,382.75 | 4.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $405.38 | $810.75 | 1.5× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $1,643.38 | $3,286.75 | 1.0× |
| Cltx Medial Ankle Fx (27760) | $472.38 | $944.75 | 1.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $174.88 | $349.75 | 0.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $449.88 | $899.75 | 1.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $310 | $620 | 1.2× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $464.50 | $929 | 1.8× |
| Cltx post hip arthrp dislc w/o anes (27265) | $174.88 | $349.75 | 0.7× |
| Cltx prox fibula/shft fx w/o manj (27780) | $124.63 | $249.25 | 0.5× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $1,504.50 | $3,009 | 0.9× |
| Cltx prox tibfib jt dislc req anes (27831) | $1,594.63 | $3,189.25 | 0.5× |
| Cltx prox tibfib jt dislc w/o anes (27830) | $114.63 | $229.25 | 0.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $210 | $420 | 0.8× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $124.63 | $249.25 | 0.1× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $247.13 | $494.25 | 0.1× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $114.63 | $229.25 | 0.4× |
| Cltx tibial fx proximal w/o manipulation (27530) | $166 | $332 | 0.6× |
| Cltx tibial shaft fx w/o manipulation (27750) | $471.38 | $942.75 | 1.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $609 | $1,218 | 0.4× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $124.63 | $249.25 | 0.5× |
| Collect Blood From Catheter Venous Nos (36592) | $112.63 | $225.25 | 0.8× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $571.88 | $1,143.75 | 1.8× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $91.13 | $182.25 | 0.3× |
| Colposcopy of vulva (56820) | $347.75 | $695.50 | 1.6× |
| Colposcopy Vulva W/Biopsy (56821) | $571.88 | $1,143.75 | 1.8× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $161.25 | $322.50 | 0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $152.88 | $305.75 | 1.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $151.38 | $302.75 | 1.1× |
| Conversion ext bil drg cath (47535) | $2,850.38 | $5,700.75 | 0.7× |
| Convert Nephrostomy Catheter (50434) | $686.50 | $1,373 | 0.3× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $2,749.38 | $5,498.75 | 1.6× |
| Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) | $2,968.75 | $5,937.50 | 0.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $167.63 | $335.25 | 1.2× |
| Cysto W/Simple Removal Stone & Stent (52310) | $257.13 | $514.25 | 0.1× |
| Cystourethroscopy (52000) | $746.75 | $1,493.50 | 1.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $254.50 | $509 | 0.6× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $247.13 | $494.25 | 0.1× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $653 | $1,306 | 0.9× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $247.13 | $494.25 | 0.3× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) | $3,474.13 | $6,948.25 | 1.7× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $874.50 | $1,749 | 1.1× |
| Debride nail 1-5 (11720) | $234.13 | $468.25 | 3.7× |
| Debride nail 6 or more (11721) | $290.63 | $581.25 | 4.6× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $2,881.38 | $5,762.75 | 1.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $573.38 | $1,146.75 | 1.3× |
| Declot vascular device (36593) | $273.88 | $547.75 | 0.8× |
| Delivery of placenta (59414) | $997.13 | $1,994.25 | 0.3× |
| Derma-fat-fascia graft (15770) | $2,510.50 | $5,021 | 0.7× |
| Destr W Neurolytic; Celiac Plexus (64680) range across 2 matching MRF lines |
$1,452.75–$1,853.88 | $2,905.50–$3,707.75 | varies |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$1,853.88–$3,479.88 | $3,707.75–$6,959.75 | varies |
| Destroy lumb/sac facet jnt (64635) | $1,853.88 | $3,707.75 | 0.9× |
| Destruct B9 Lesion 1-14 (17110) | $354 | $708 | 1.6× |
| Destruction by neurolytic agent, intercostal nerve (64620) range across 2 matching MRF lines |
$1,452.75–$1,853.88 | $2,905.50–$3,707.75 | varies |
| Destruction by neurolytic agent; pudendal nerve (64630) range across 2 matching MRF lines |
$735.75–$1,452.75 | $1,471.50–$2,905.50 | varies |
| Dilat Xst Trc New Access Rcs (50437) | $6,130.75 | $12,261.50 | 1.6× |
| Drain Cerebro Spinal Fluid (62272) | $356.13 | $712.25 | 0.5× |
| Drain/inj small joint/bursa w/us (20604) range across 2 matching MRF lines |
$281.75–$528.88 | $563.50–$1,057.75 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $223.63 | $447.25 | 0.3× |
| Drainage Finger Abscess Complicated (26011) | $2,912.75 | $5,825.50 | 1.6× |
| Drainage Mouth Roof Lesion (42000) | $279.63 | $559.25 | 1.1× |
| Drainage of finger abscess simple (26010) | $165 | $330 | 0.8× |
| Drainage of gum lesion (41800) | $204.75 | $409.50 | 1.4× |
| Drainage of hematoma/fluid (10140) | $920.63 | $1,841.25 | 0.5× |
| Drainage of scrotal wall abscess (55100) | $864.13 | $1,728.25 | 0.5× |
| Drainage of scrotum (54700) | $1,687.88 | $3,375.75 | 0.8× |
| Draw Blood Off Venous Device (36591) | $112.63 | $225.25 | 0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $251.38 | $502.75 | 0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $194.25 | $388.50 | 0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $320.50 | $641 | 1.5× |
| Dstrj les/scar vestibule mouth physical meths (40820) | $771.42 | $1,542.84 | 0.2× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $2,697 | $5,394 | 2.8× |
| Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) range across 2 matching MRF lines |
$735.75–$1,452.75 | $1,471.50–$2,905.50 | varies |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) range across 2 matching MRF lines |
$1,452.75–$1,487.25 | $2,905.50–$2,974.50 | varies |
| Dx Bone Marrow Bx & Aspir (38222) | $2,912.75 | $5,825.50 | 0.9× |
| Dx Bronchoscope/Lavage (31624) | $1,394.63 | $2,789.25 | 0.7× |
| Dx Bronchoscope/Wash (31622) | $1,394.63 | $2,789.25 | 0.7× |
| Dx Laryngoscopy Excl Nb (31525) | $3,247.38 | $6,494.75 | 1.7× |
| Egd Balloon Dil Esoph30 Mm/> (43233) | $587 | $1,174 | 0.3× |
| Egd Endoscopic Stent Place (43266) unusually low: confirm this is the full procedure |
$2,184.25 | $4,368.50 | 0.3× |
| Egd Flexible Foreign Body Removal (43247) | $589.63 | $1,179.25 | 0.6× |
| Egd place gastrostomy tube (43246) | $1,297.75 | $2,595.50 | 0.6× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) | $202.63 | $405.25 | 0.6× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) | $428.88 | $857.75 | 1.3× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) | $289.63 | $579.25 | 0.9× |
| Endometrial Biopsy (58100) range across 2 matching MRF lines |
$181.75–$445 | $363.50–$890 | varies |
| Endoven ther chem adhes 1st (36482) | $9,215.88 | $18,431.75 | 1.5× |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$739.50–$1,174.13 | $1,479–$2,348.25 | varies |
| Epidural lysis mult sessions (62263) range across 2 matching MRF lines |
$1,387–$1,699.38 | $2,774–$3,398.75 | varies |
| Ercp Dx Collection Specimen Brushing/Washing (43260) | $1,543.25 | $3,086.50 | 0.4× |
| Ercp remove forgn body duct (43275) | $2,184.25 | $4,368.50 | 1.1× |
| Ercp Stent Exchange W/Dilate (43276) unusually low: confirm this is the full procedure |
$2,184.25 | $4,368.50 | 0.3× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) | $1,215 | $2,430 | 0.3× |
| Esophagosc Dilate Balloon 30 (43214) | $587 | $1,174 | 0.3× |
| Esophagoscop Stent Placement (43212) unusually low: confirm this is the full procedure |
$2,184.25 | $4,368.50 | 0.3× |
| Esophagoscopy Retro Balloon (43213) | $412.63 | $825.25 | 0.2× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $589.63 | $1,179.25 | 0.3× |
| Evacuation of subungual hematoma (11740) | $58.13 | $116.25 | 0.4× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $498 | $996 | 0.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$1,981.63–$2,912.75 | $3,963.25–$5,825.50 | varies |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $2,446.63 | $4,893.25 | 0.6× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $1,136.88 | $2,273.75 | 1.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $673 | $1,346 | 0.9× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $1,024.38 | $2,048.75 | 1.3× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $1,040 | $2,080 | 1.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $1,160.50 | $2,321 | 0.7× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $954.63 | $1,909.25 | 0.5× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $2,096.38 | $4,192.75 | 1.2× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $789.75 | $1,579.50 | 0.4× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $1,095 | $2,190 | 1.4× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $670.88 | $1,341.75 | 0.4× |
| Exc Hand Les Sc < 1.5 Cm (26115) | $1,837.63 | $3,675.25 | 1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $1,128 | $2,256 | 1.5× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 2 matching MRF lines |
$1,981.63–$2,912.75 | $3,963.25–$5,825.50 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $1,730.25 | $3,460.50 | 0.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$1,680.50–$2,912.75 | $3,361–$5,825.50 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) | $2,390.13 | $4,780.25 | 0.8× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $1,388.88 | $2,777.75 | 0.8× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $3,018 | $6,036 | 2.4× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $557.75 | $1,115.50 | 1.3× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $1,012.88 | $2,025.75 | 1.3× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$1,680.50–$2,912.75 | $3,361–$5,825.50 | varies |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $1,421.25 | $2,842.50 | 0.8× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $1,311.88 | $2,623.75 | 0.7× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $2,850.38 | $5,700.75 | 0.7× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $3,644.38 | $7,288.75 | 1.6× |
| Exchange Transfusion Blood Newborn (36450) | $450.88 | $901.75 | 1.0× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $1,084 | $2,168 | 0.5× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $1,329.63 | $2,659.25 | 1.8× |
| Excision Chest Wall Tumor Including Ribs (21601) | $624.78 | $1,249.56 | 0.2× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $519.50 | $1,039 | 0.7× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $744.13 | $1,488.25 | 0.4× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $789.75 | $1,579.50 | 0.4× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $834.25 | $1,668.50 | 1.1× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) range across 2 matching MRF lines |
$1,702–$2,912.75 | $3,404–$5,825.50 | varies |
| Excision of pilonidal cyst or sinus; simple (11770) | $2,222.50 | $4,445 | 0.7× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $1,457.38 | $2,914.75 | 0.5× |
| Exploration penetrating wound spx extremity (20103) | $1,820.88 | $3,641.75 | 1.0× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $1,213.38 | $2,426.75 | 1.6× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) | $1,213.38 | $2,426.75 | 1.6× |
| Fine needle aspiration without imaging guidance (10021) | $192.75 | $385.50 | 0.4× |
| Fluid Pressure Muscle (20950) | $117.25 | $234.50 | 0.2× |
| Fluoro exam of g/colon tube (49465) | $318.88 | $637.75 | 1.2× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $1,213.38 | $2,426.75 | 1.6× |
| Fna bx w/us gdn 1st les (10005) | $1,213.38 | $2,426.75 | 1.6× |
| Foreskin manipulation (54450) | $344.13 | $688.25 | 1.3× |
| Gastrostomy, open; neonatal, for feeding Facility (43831) | $614.25 | $1,228.50 | 0.6× |
| Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin)… (43510) | $1,153.13 | $2,306.25 | 1.2× |
| Guide Cathet Fluid Drainage (10030) | $223.13 | $446.25 | 0.3× |
| I&d abscess peritonsillar (42700) | $356.13 | $712.25 | 1.4× |
| I&d abscess simple (10060) | $295.88 | $591.75 | 1.4× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) | $1,659 | $3,318 | 0.5× |
| I&d perianal abscess superficial (46050) | $1,435.38 | $2,870.75 | 1.4× |
| I&d pilonidal cyst complicated (10081) | $1,728.75 | $3,457.50 | 2.3× |
| I&d pilonidal cyst simple (10080) | $1,852.50 | $3,705 | 2.4× |
| Icd Pocket Revision (33223) | $1,834 | $3,668 | 0.8× |
| Image Cath Fluid Colxn Visc (49405) | $509 | $1,018 | 0.3× |
| Image Cath Fluid Peri/Retro (49406) | $1,405 | $2,810 | 0.8× |
| Image Cath Fluid Trns/Vgnl (49407) | $1,057.38 | $2,114.75 | 0.6× |
| Implant neuroelectrodes (63650) unusually low: confirm this is the full procedure |
$3,028 | $6,056 | 0.4× |
| Implant Neuroelectrodes (64561) unusually low: confirm this is the full procedure |
$3,089.25 | $6,178.50 | 0.5× |
| Implant Spine Infusion Pump (62362) | $24,674.63 | $49,349.25 | 1.3× |
| Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361) | $24,674.63 | $49,349.25 | 1.3× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) | $11,382.38 | $22,764.75 | 1.2× |
| Incise external hemorrhoid (46083) | $270.25 | $540.50 | 1.0× |
| Incision & drainage abscess complicated/multiple (10061) | $357.13 | $714.25 | 0.8× |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$1,201.38–$2,912.75 | $2,402.75–$5,825.50 | varies |
| Incision & removal foreign body subq tiss simple (10120) | $309 | $618 | 0.7× |
| Incision and drainage of bartholin's gland abscess (56420) | $336.75 | $673.50 | 1.6× |
| Incision and drainage of vulva or perineal abscess (56405) | $257.13 | $514.25 | 0.8× |
| Incision of rectal abscess (46040) | $1,202.88 | $2,405.75 | 0.9× |
| Incisional biopsy skin single lesion (11106) | $657.75 | $1,315.50 | 0.8× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $162.38 | $324.75 | 0.8× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $1,983.75 | $3,967.50 | 2.1× |
| Inj W/Fluor Eval Cv Device (36598) | $327.88 | $655.75 | 1.4× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) range across 2 matching MRF lines |
$755.63–$1,452.75 | $1,511.25–$2,905.50 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $1,602.13 | $3,204.25 | 1.7× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $267.13 | $534.25 | 0.8× |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 2 matching MRF lines |
$472.88–$1,452.75 | $945.75–$2,905.50 | varies |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) range across 2 matching MRF lines |
$1,008.13–$1,452.75 | $2,016.25–$2,905.50 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $778.25 | $1,556.50 | 0.8× |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) range across 2 matching MRF lines |
$691.75–$1,452.75 | $1,383.50–$2,905.50 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 2 matching MRF lines |
$1,008.13–$1,174.13 | $2,016.25–$2,348.25 | varies |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) range across 2 matching MRF lines |
$924.88–$1,452.75 | $1,849.75–$2,905.50 | varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) range across 2 matching MRF lines |
$525.75–$528.88 | $1,051.50–$1,057.75 | varies |
| Injection Anes Superior Hypogastric Plexus (64517) range across 2 matching MRF lines |
$987.63–$1,452.75 | $1,975.25–$2,905.50 | varies |
| Injection anesthetic agent suprascapular nerve (64418) range across 2 matching MRF lines |
$472.88–$1,174.13 | $945.75–$2,348.25 | varies |
| Injection for identification of sentinel node (38792) | $186.38 | $372.75 | 0.4× |
| Injection single tendon origin/insertion (20551) | $196.38 | $392.75 | 0.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $347.75 | $695.50 | 1.1× |
| Injection single/mlt trigger point 3/> muscles (20553) | $390.63 | $781.25 | 1.2× |
| Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines |
$354–$569.10 | $708–$1,138.20 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 2 matching MRF lines |
$515.25–$1,452.75 | $1,030.50–$2,905.50 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$389.63–$1,174.13 | $779.25–$2,348.25 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $515.25 | $1,030.50 | 0.7× |
| Injection, anesthetic agent; vagus nerve (64408) range across 2 matching MRF lines |
$528.88–$924.88 | $1,057.75–$1,849.75 | varies |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) | $958.88 | $1,917.75 | 1.0× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) | $924.88 | $1,849.75 | 1.0× |
| Injx/Infusion Neurolytic Substance Subarachnoid (62280) | $739.50 | $1,479 | 0.8× |
| Ins cath ren art 1st bilat (36252) | $3,089.25 | $6,178.50 | 0.9× |
| Ins cath ren art 1st unilat (36251) | $3,089.25 | $6,178.50 | 0.9× |
| Ins cath ren art 2nd+ bilat (36254) | $3,089.25 | $6,178.50 | 0.9× |
| Ins cath ren art 2nd+ unilat (36253) | $3,089.25 | $6,178.50 | 0.5× |
| Ins endovas vena cava filtr (37191) | $4,325.13 | $8,650.25 | 0.7× |
| Ins/Rep Subq Defibrillator (33270) | $19,770.75 | $39,541.50 | 0.6× |
| Insert 1 Electrode Pm-Defib (33216) | $4,610.50 | $9,221 | 0.5× |
| Insert Bladder Cath Complex (51703) | $112.50 | $225 | 0.8× |
| Insert cath pleura w/ image (32557) | $1,081.38 | $2,162.75 | 0.6× |
| Insert cath pleura w/o image (32556) | $1,611.38 | $3,222.75 | 0.8× |
| Insert Gastrostomy Tube Percutaneous (49440) | $1,179.88 | $2,359.75 | 0.6× |
| Insert Heart Pm Atrial (33206) unusually low: confirm this is the full procedure |
$5,252.13 | $10,504.25 | 0.5× |
| Insert Heart Pm Ventricular (33207) | $5,650.13 | $11,300.25 | 0.5× |
| Insert non-tunnel cv cath (36556) | $1,467.88 | $2,935.75 | 0.4× |
| Insert Pacing Lead & Connect (33224) | $6,831.50 | $13,663 | 0.6× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $1,320.75 | $2,641.50 | 0.8× |
| Insert pulse gen dual leads (33213) | $7,729.13 | $15,458.25 | 0.7× |
| Insert pulse gen mult leads (33221) | $11,704.38 | $23,408.75 | 0.6× |
| Insert Pulse Gen Sngl Lead (33212) | $4,885.50 | $9,771 | 0.6× |
| Insert spine infusion device (62360) | $11,382.38 | $22,764.75 | 0.6× |
| Insert Temp Bladder Cath (51702) | $61.75 | $123.50 | 0.4× |
| Insert tunneled cv cath (36561) | $5,221.63 | $10,443.25 | 1.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $100.50 | $201 | 0.7× |
| Insertion indwelling tunneled pleural catheter (32550) | $2,788.13 | $5,576.25 | 0.7× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $15,509.50 | $31,019 | 1.7× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $4,689.63 | $9,379.25 | 0.5× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $1,212.38 | $2,424.75 | 0.4× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$1,324.38–$1,467.88 | $2,648.75–$2,935.75 | varies |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) | $8,220.38 | $16,440.75 | 1.4× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $1,655.88 | $3,311.75 | 0.5× |
| Insj/Rplcmt Defib W/Lead(S) (33249) | $19,770.75 | $39,541.50 | 0.6× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $5,291.38 | $10,582.75 | 0.6× |
| Insrt heart pm atrial & vent (33208) | $6,574.38 | $13,148.75 | 0.6× |
| Insrt Pulse Gen W/Singl Lead (33240) | $15,446.13 | $30,892.25 | 0.6× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $301.13 | $602.25 | 0.7× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $157.13 | $314.25 | 0.4× |
| Intraoral i&d tongue/floor lingual (41000) | $1,020.63 | $2,041.25 | 1.8× |
| Intro cath dialysis circuit (36901) | $1,432.25 | $2,864.50 | 0.8× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $20,420.13 | $40,840.25 | 1.7× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $10,103.50 | $20,207 | 1.7× |
| Intubation endotracheal emergency procedure (31500) | $314.75 | $629.50 | 1.2× |
| Irrigation of corpora cavernosa for priapism (54220) | $214.25 | $428.50 | 0.8× |
| Laryngoscopy diagnostic (31505) | $103.13 | $206.25 | 0.5× |
| Laryngoscopy flexible diagnostic (31575) | $267.13 | $534.25 | 1.2× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) | $560.88 | $1,121.75 | 1.3× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) | $239.88 | $479.75 | 1.1× |
| Manipulation, finger joint, under anesthesia, each joint (26340) range across 2 matching MRF lines |
$731.13–$2,917 | $1,462.25–$5,834 | varies |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) | $1,611.38 | $3,222.75 | 0.9× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) | $166.50 | $333 | 0.2× |
| Myelography Lumbar Injection (62305) | $820.13 | $1,640.25 | 1.0× |
| Myelography Lumbar Injection (62304) | $820.13 | $1,640.25 | 1.0× |
| Myelography via lumbar injection rs&i cervical (62302) | $820.13 | $1,640.25 | 1.0× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $820.13 | $1,640.25 | 1.0× |
| N Block Inj Celiac Pelus (64530) range across 2 matching MRF lines |
$679.25–$1,452.75 | $1,358.50–$2,905.50 | varies |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines |
$515.25–$1,174.13 | $1,030.50–$2,348.25 | varies |
| N block inj intercost sng (64420) | $408 | $816 | 0.5× |
| N Block Inj Pudendal (64430) range across 2 matching MRF lines |
$924.88–$1,452.75 | $1,849.75–$2,905.50 | varies |
| N Block Lumbar/Thoracic (64520) range across 2 matching MRF lines |
$1,008.13–$1,452.75 | $2,016.25–$2,905.50 | varies |
| Nasal Endoscopy Dx (31231) | $218.88 | $437.75 | 1.0× |
| Nasal/Orogastric W/Tube Plmt (43752) | $151.88 | $303.75 | 0.3× |
| Needle Biopsy Lymph Nodes (38505) | $368.63 | $737.25 | 0.2× |
| Needle Biopsy Pancreas (48102) | $1,050.50 | $2,101 | 0.6× |
| Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus Facility (64714) | $2,329.88 | $4,659.75 | 1.1× |
| Neurp Major Prph Nrv Opn Arm/Leg Brach Plexus (64713) | $2,329.88 | $4,659.75 | 1.1× |
| Nipple/areola reconstruction (19350) | $2,379.63 | $4,759.25 | 0.6× |
| Njx anes stellate ganglion crv sympathetic (64510) range across 2 matching MRF lines |
$1,008.13–$1,452.75 | $2,016.25–$2,905.50 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $557.75 | $1,115.50 | 1.7× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $460.88 | $921.75 | 0.1× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $577.63 | $1,155.25 | 0.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $1,097.13 | $2,194.25 | 1.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) | $679.25 | $1,358.50 | 0.7× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,008.13 | $2,016.25 | 1.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $1,008.13 | $2,016.25 | 1.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $679.25 | $1,358.50 | 0.7× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $1,262.63 | $2,525.25 | 1.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,286.75 | $2,573.50 | 1.7× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $1,262.63 | $2,525.25 | 1.3× |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) | $3,389.25 | $6,778.50 | 1.5× |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) | $3,389.25 | $6,778.50 | 1.5× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $686.50 | $1,373 | 0.9× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) | $686.50 | $1,373 | 0.9× |
| Occipital Nerve Block (64405) | $515.25 | $1,030.50 | 1.6× |
| Open Implantation Nea Sacral Nerve (64581) unusually low: confirm this is the full procedure |
$3,089.25 | $6,178.50 | 0.5× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $5,716 | $11,432 | 1.6× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) range across 2 matching MRF lines |
$2,938.38–$5,716 | $5,876.75–$11,432 | varies |
| Open/Perq Place Stent 1St (37236) | $10,473.75 | $20,947.50 | 0.8× |
| Open/Perq Place Stent Same (37238) | $10,473.75 | $20,947.50 | 0.8× |
| Penile Injection (54235) | $321.50 | $643 | 1.2× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) | $1,026.38 | $2,052.75 | 0.7× |
| Perc Rf Ablate Renal Tumor (50592) | $9,402.75 | $18,805.50 | 1.5× |
| Percut Drain/Inject Renal Cyst (50390) | $796 | $1,592 | 1.0× |
| Pericardiocentesis W/Imaging (33016) | $2,301.63 | $4,603.25 | 1.4× |
| Perq Cervicothoracic Inject (22510) range across 2 matching MRF lines |
$5,172–$5,716 | $10,344–$11,432 | varies |
| Perq dev breast 1st mr guide (19287) | $802.25 | $1,604.50 | 1.1× |
| Perq dev breast 1st strtctc (19283) | $802.25 | $1,604.50 | 1.1× |
| Perq dev breast 1st us imag (19285) | $802.25 | $1,604.50 | 1.1× |
| Perq device breast 1st imag (19281) | $802.25 | $1,604.50 | 0.5× |
| Perq dilation xst trc endourologic px w/img (50436) | $3,644.38 | $7,288.75 | 1.0× |
| Perq Lumbosacral Injection (22511) range across 2 matching MRF lines |
$5,172–$5,716 | $10,344–$11,432 | varies |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $629.50 | $1,259 | 0.8× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $20,420.13 | $40,840.25 | 1.7× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $10,103.50 | $20,207 | 1.7× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $8,463.38 | $16,926.75 | 1.1× |
| Perq Vertebral Augmentation (22513) | $8,463.38 | $16,926.75 | 1.1× |
| Pin Finger Dislocation (26776) | $2,938.38 | $5,876.75 | 0.8× |
| Place Cath Subclavian Art (36225) | $3,823.50 | $7,647 | 1.1× |
| Place Cath Thoracic Aorta (36221) | $2,205.75 | $4,411.50 | 0.7× |
| Placement of needle for intraosseous infusion (36680) | $157.63 | $315.25 | 0.3× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) unusually low: confirm this is the full procedure |
$2,850.38 | $5,700.75 | 0.4× |
| Plmt expandable cath brst following prtl mast (19296) | $5,056.75 | $10,113.50 | 0.6× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $1,972.25 | $3,944.50 | 0.9× |
| Plmt Nephroureteral Catheter (50433) | $1,972.25 | $3,944.50 | 0.5× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) | $2,937.38 | $5,874.75 | 0.8× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) | $2,937.38 | $5,874.75 | 0.8× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) | $2,937.38 | $5,874.75 | 0.8× |
| Prim art mech thrombectomy (37184) likely a partial charge, not the full procedure |
$3,759 | $7,518 | 0.2× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $453 | $906 | 0.6× |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) | $694.38 | $1,388.75 | 0.7× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $2,850.38 | $5,700.75 | 0.7× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $2,850.38 | $5,700.75 | 0.7× |
| Pseudoaneurysm Injection Trt (36002) | $298.50 | $597 | 0.4× |
| Punch biopsy skin single lesion (11104) | $369.75 | $739.50 | 0.8× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $261.38 | $522.75 | 0.6× |
| Puncture Aspiration Cyst Breast (19000) | $609 | $1,218 | 0.8× |
| Pvb thoracic cont infusion (64463) | $781.38 | $1,562.75 | 1.0× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) | $781.38 | $1,562.75 | 1.0× |
| Reconstruction Nail Bed W/Graft (11762) range across 2 matching MRF lines |
$1,600.38–$3,389.25 | $3,200.75–$6,778.50 | varies |
| Redo Endovas Vena Cava Filtr (37192) | $2,914.38 | $5,828.75 | 0.9× |
| Relieve Pressure on Nerve(S) (64722) | $2,329.88 | $4,659.75 | 1.1× |
| Relocation Pocket Pacemaker (33222) | $1,634.38 | $3,268.75 | 0.7× |
| Rem Endovas Vena Cava Filter (37193) | $3,089.25 | $6,178.50 | 0.9× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $632.13 | $1,264.25 | 0.7× |
| Removal Foreign Body Foot Subcutaneous (28190) | $852.63 | $1,705.25 | 1.1× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$563.50–$2,912.75 | $1,127–$5,825.50 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $73.38 | $146.75 | 1.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $96.38 | $192.75 | 1.5× |
| Removal Implant Deep (20680) range across 2 matching MRF lines |
$2,645.13–$5,023.75 | $5,290.25–$10,047.50 | varies |
| Removal Implant Superficial Separate Procedure (20670) range across 2 matching MRF lines |
$2,656.63–$2,912.75 | $5,313.25–$5,825.50 | varies |
| Removal of foreign body from pharynx (42809) | $181.25 | $362.50 | 0.4× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$671.38–$856.25 | $1,342.75–$1,712.50 | varies |
| Removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft), hand or finger, each rod… (26416) | $2,347.75 | $4,695.50 | 0.7× |
| Removal of tunneled intraperitoneal catheter (49422) | $1,188.75 | $2,377.50 | 0.4× |
| Removal or bivalving full arm or full leg cast (29705) | $615 | $1,230 | 2.1× |
| Removal Pacemaker Electrode (33235) | $1,832.88 | $3,665.75 | 0.5× |
| Removal ppm generator only (33233) likely a partial charge, not the full procedure |
$2,193.75 | $4,387.50 | 0.2× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$103.75–$365 | $207.50–$730 | varies |
| Removal subcutaneous cardiac rhythm monitor (33286) | $1,213.38 | $2,426.75 | 1.6× |
| Remove foreign body from eye (65205) | $213.63 | $427.25 | 1.5× |
| Remove Intrauterine Device (58301) | $347.75 | $695.50 | 1.1× |
| Remove lung catheter (32552) | $248.25 | $496.50 | 0.4× |
| Remove Nasal Foreign Body (30300) | $89.50 | $179 | 0.6× |
| Remove Pulse Generator (33241) | $2,274.88 | $4,549.75 | 0.6× |
| Remove renal tube w/fluoro (50389) | $1,049 | $2,098 | 1.4× |
| Remove spine eltrd plate (63662) | $2,469.75 | $4,939.50 | 0.7× |
| Remove Tendon Sheath Lesion (26160) | $1,898.88 | $3,797.75 | 1.1× |
| Remove&replace pm gen singl (33227) | $7,414.38 | $14,828.75 | 0.8× |
| Remv&replc cvd gen dual lead (33263) | $18,535.38 | $37,070.75 | 0.8× |
| Remv&replc cvd gen mult lead (33264) | $18,535.38 | $37,070.75 | 0.6× |
| Remv&replc cvd gen sing lead (33262) | $18,535.38 | $37,070.75 | 0.8× |
| Remv&replc pm gen dual lead (33228) | $7,414.38 | $14,828.75 | 0.7× |
| Remv&replc pm gen mult leads (33229) unusually low: confirm this is the full procedure |
$7,414.38 | $14,828.75 | 0.4× |
| Renal Biopsy Perq (50200) range across 2 matching MRF lines |
$1,293–$2,875 | $2,586–$5,750 | varies |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $432 | $864 | 0.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $432 | $864 | 0.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $644.63 | $1,289.25 | 1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $758.25 | $1,516.50 | 1.7× |
| Repair complex trunk 1.1-2.5 cm (13100) | $413.90 | $827.79 | 0.5× |
| Repair complex trunk 2.6-7.5 cm (13101) | $528.88 | $1,057.75 | 0.7× |
| Repair extensor tendon finger w/o graft each (26418) | $2,918 | $5,836 | 1.7× |
| Repair Hand Tendon (26410) | $1,352.63 | $2,705.25 | 0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $301.13 | $602.25 | 0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $301.13 | $602.25 | 0.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $301.13 | $602.25 | 0.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $157.13 | $314.25 | 0.4× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) range across 2 matching MRF lines |
$253.25–$301.13 | $506.50–$602.25 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $301.13 | $602.25 | 0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $157.13 | $314.25 | 0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$295.26–$301.13 | $590.51–$602.25 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $301.13 | $602.25 | 0.4× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $572.38 | $1,144.75 | 0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $301.13 | $602.25 | 0.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $295.38 | $590.75 | 0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $301.13 | $602.25 | 0.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $572.38 | $1,144.75 | 0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $295.38 | $590.75 | 0.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $1,883.75 | $3,767.50 | 0.9× |
| Repair of nail bed (11760) | $623.75 | $1,247.50 | 0.8× |
| Repair tongue laceration (41252) | $898.13 | $1,796.25 | 3.5× |
| Repair tongue laceration (41250) | $395.38 | $790.75 | 0.8× |
| Reposition L Ventric Lead (33226) | $5,354.75 | $10,709.50 | 1.6× |
| Reposition Pacing-Defib Lead (33215) | $2,379.63 | $4,759.25 | 0.7× |
| Reposition Venous Catheter (36597) | $781.88 | $1,563.75 | 0.5× |
| Revise Spine Eltrd Plate (63664) unusually low: confirm this is the full procedure |
$4,150.75 | $8,301.50 | 0.3× |
| Revision Peri-Implant Capsule Breast (19370) | $611 | $1,222 | 0.1× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) | $3,916.13 | $7,832.25 | 0.6× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | $3,542.75 | $7,085.50 | 0.9× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) | $1,049 | $2,098 | 0.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $208.38 | $416.75 | 0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $208.38 | $416.75 | 1.5× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $168.13 | $336.25 | 0.4× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $2,626.25 | $5,252.50 | 0.8× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) | $734.25 | $1,468.50 | 0.2× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) | $1,699.38 | $3,398.75 | 0.8× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) | $2,136.13 | $4,272.25 | 1.0× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) | $10,122.38 | $20,244.75 | 2.8× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $1,832.88 | $3,665.75 | 0.5× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $280.13 | $560.25 | 0.4× |
| Rplc Gtube No Revj Trc (43762) | $535 | $1,070 | 2.0× |
| Rplc gtube revj gstrst trc (43763) | $535 | $1,070 | 2.0× |
| Rplcmt cath ctr vad subq port/pmp (36578) | $2,735.75 | $5,471.50 | 0.8× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $853.13 | $1,706.25 | 0.5× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $2,340.88 | $4,681.75 | 0.7× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $157.13 | $314.25 | 0.7× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $301.13 | $602.25 | 0.4× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $663 | $1,326 | 1.1× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $416.38 | $832.75 | 0.6× |
| Sclerotx Fluid Collection (49185) | $1,256.88 | $2,513.75 | 0.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $84.88 | $169.75 | 0.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $125.13 | $250.25 | 0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $162.38 | $324.75 | 0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $216.25 | $432.50 | 0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $71.75 | $143.50 | 0.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $157.13 | $314.25 | 0.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $157.13 | $314.25 | 0.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $157.13 | $314.25 | 0.7× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $157.13 | $314.25 | 0.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $157.13 | $314.25 | 0.7× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $157.13 | $314.25 | 0.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$171.88–$289.13 | $343.75–$578.25 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$301.13–$383.01 | $602.25–$766.01 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $157.13 | $314.25 | 0.7× |
| Skin Full Grft Face/Genit/Hf (15240) | $2,392.75 | $4,785.50 | 1.1× |
| Skin Pinch Graft (15050) | $799.63 | $1,599.25 | 1.0× |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$570.88–$1,885.25 | $1,141.75–$3,770.50 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$570.88–$1,885.25 | $1,141.75–$3,770.50 | varies |
| Skin sub grft t/arm/lg child (15273) range across 2 matching MRF lines |
$1,885.25–$1,912.50 | $3,770.50–$3,825 | varies |
| Skn sub grft f/n/hf/g child (15277) range across 2 matching MRF lines |
$570.88–$1,885.25 | $1,141.75–$3,770.50 | varies |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) | $3,819.25 | $7,638.50 | 0.6× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) | $2,546.13 | $5,092.25 | 0.8× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) | $4,258.63 | $8,517.25 | 0.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $289.13 | $578.25 | 1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $157.13 | $314.25 | 0.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $157.13 | $314.25 | 0.4× |
| Spinal puncture lumbar diagnostic (62270) | $515.25 | $1,030.50 | 0.7× |
| Strapping ankle (29540) | $148.75 | $297.50 | 0.9× |
| Strapping hand/finger (29280) | $68.63 | $137.25 | 1.1× |
| Strapping knee (29530) | $148.75 | $297.50 | 1.0× |
| Strapping Unna Boot (29580) | $148.75 | $297.50 | 0.9× |
| Tangential biopsy skin single lesion (11102) | $369.75 | $739.50 | 0.8× |
| Ther Apheresis,Red Blood Cells (36512) | $1,097.13 | $2,194.25 | 0.7× |
| Therapeutic Apheresis White Blood Cells (36511) | $1,097.13 | $2,194.25 | 0.7× |
| Therapeutic plasma exchange (36514) | $1,097.13 | $2,194.25 | 0.7× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $30,952 | $61,904 | 1.6× |
| Thromblytic art/ven therapy (37213) | $3,664.75 | $7,329.50 | 1.1× |
| Thrombolytic Art Therapy (37211) | $3,769.50 | $7,539 | 0.6× |
| Thrombolytic Therapy Stroke (37195) | $3,018 | $6,036 | 8.5× |
| Thrombolytic Venous Therapy (37212) | $3,769.50 | $7,539 | 1.1× |
| Thyroid biopsy (60100) | $609 | $1,218 | 0.8× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $1,172.50 | $2,345 | 4.6× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $1,172.50 | $2,345 | 0.7× |
| Treat Humerus Fracture (24505) | $549.88 | $1,099.75 | 0.3× |
| Treat humerus fracture (23600) | $124.63 | $249.25 | 0.5× |
| Treat Knuckle Dislocation (26700) | $174.88 | $349.75 | 0.7× |
| Treat Metatarsal Fracture (28475) | $114.63 | $229.25 | 0.4× |
| Treat Tail Bone Fracture (27200) | $124.63 | $249.25 | 0.5× |
| Treat Thumb Dislocation (26641) | $584.38 | $1,168.75 | 2.2× |
| Treat Thumb Fracture (26645) | $434.13 | $868.25 | 0.3× |
| Treat toe dislocation (28630) | $197.38 | $394.75 | 0.7× |
| Treat Trigeminal Nerve (61790) | $2,329.88 | $4,659.75 | 1.1× |
| Treat Vaginal Bleeding (57180) | $178.63 | $357.25 | 0.8× |
| Treatment closed elbow dislocation w/o anes (24600) | $174.88 | $349.75 | 0.7× |
| Trim skin lesion (11055) | $204.75 | $409.50 | 1.0× |
| Trim skin lesions 2 to 4 (11056) | $630.50 | $1,261 | 2.9× |
| Trimming Nondystrophic Nails Any Number (11719) | $52.38 | $104.75 | 0.8× |
| Trluml Balo Angiop 1St Art (37246) | $10,103.50 | $20,207 | 1.7× |
| Trluml Balo Angiop 1St Vein (37248) | $10,103.50 | $20,207 | 1.7× |
| Tx Gastro Intub W/Asp (43753) | $71.25 | $142.50 | 0.3× |
| Tx superficial wound dehiscence w/packing (12021) | $221.88 | $443.75 | 0.5× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $124.63 | $249.25 | 0.5× |
| Unlisted procedure nervous system (64999) range across 5 matching MRF lines |
$226.75–$1,452.75 | $453.50–$2,905.50 | varies |
| Unlisted procedure stomach (43999) | $614.25 | $1,228.50 | 0.6× |
| Unlisted Procedure Trachea Bronchi (31899) | $755.63 | $1,511.25 | 3.5× |
| Upgrade of pacemaker system (33214) | $20,419.63 | $40,839.25 | 1.8× |
| Vaginal delivery only (59409) | $997.13 | $1,994.25 | 0.3× |
| Vasc embolize/occlude artery (37242) likely a partial charge, not the full procedure |
$4,695.38 | $9,390.75 | 0.2× |
| Vasc Embolize/Occlude Bleed (37244) unusually low: confirm this is the full procedure |
$4,695.38 | $9,390.75 | 0.4× |
| Vasc Embolize/Occlude Organ (37243) unusually low: confirm this is the full procedure |
$4,695.38 | $9,390.75 | 0.4× |
| Vasc embolize/occlude venous (37241) unusually low: confirm this is the full procedure |
$4,695.38 | $9,390.75 | 0.4× |
| Venous Mech Thrombectomy (37187) unusually low: confirm this is the full procedure |
$3,768.50 | $7,537 | 0.3× |
| Wedge excision skin nail fold (11765) | $306.38 | $612.75 | 0.7× |
| Wound Prep F/N/Hf/G (15004) | $2,951 | $5,902 | 6.8× |
| Xtrnl Cannula Decltng Spx W/Balo Cath (36861) unusually low: confirm this is the full procedure |
$2,671.38 | $5,342.75 | 0.4× |
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.