Procedures & surgery prices at Community Hospital Grand Junction

Grand Junction, CO · every code in this section with a posted price and a Medicare benchmark.

1176 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 3 matching MRF lines		 $560–$2,502.64 $1,000–$4,469 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,551.20 $2,770 1.6×
Abdomen Surgery Procedure (22999) $4,884.86 $8,722.96 18.8×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) $12,755.12 $22,777 0.7×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $4,700.64 $8,394 2.2×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $6,102.89 $10,898.01 2.8×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $12,663.85 $22,614.01 3.4×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)
range across 2 matching MRF lines		 $5,427.52–$15,142.41 $9,692–$27,040.01 varies
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $5,598.88 $9,998 2.6×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $2,742.88 $4,898 1.3×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $1,257.76 $2,246 0.6×
Amniocentesis diagnostic (59000) $1,288.56 $2,301 1.3×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952)
range across 2 matching MRF lines		 $8,044.40–$9,401.29 $14,365–$16,788.01 varies
Amputate Metacarpal Bone (26910) $10,102.41 $18,040.01 2.9×
Amputation metatarsal with toe single (28810)
range across 2 matching MRF lines		 $6,102.88–$8,044.40 $10,898–$14,365 varies
Amputation toe interphalangeal joint (28825)
range across 3 matching MRF lines		 $2,799.44–$6,102.88 $4,999–$10,898 varies
Amputation toe metatarsophalangeal joint (28820) $3,051.44 $5,449 0.9×
Anoscopy diagnostic (46600) $257.04 $459 1.8×
Anoscopy; with biopsy, single or multiple (46606)
range across 2 matching MRF lines		 $796.32–$3,051.44 $1,422–$5,449 varies
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $3,051.44 $5,449 1.0×
Anterior colporraphy rpr cystocele w/cysto (57240) $8,044.40 $14,365 1.5×
Anterior Tibial Tubercleplasty (27418) $11,923.25 $21,291.51 1.6×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584)
range across 3 matching MRF lines		 $109.76–$8,931.45 $196–$15,949.01 varies
Application cast elbow finger short arm (29075) $538.72 $962 1.8×
Application finger splint static (29130)
range across 3 matching MRF lines		 $170.24–$241.92 $304–$432 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $276.64–$301.28 $494–$538 varies
Application Long Leg Splint (29505)
range across 3 matching MRF lines		 $259.28–$282.80 $463–$505 varies
Application Short Arm Splint Dynamic (29126) $257.04 $459 1.8×
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines		 $299.60–$326.48 $535–$583 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $283.36–$309.12 $506–$552 varies
Application uniplane external fixation system (20690) $7,540.40 $13,465 1.0×
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines		 $569.52–$854 $1,017–$1,525 varies
Apply Short Leg Cast (29405) $391.44 $699 1.3×
Apply short leg cast (29425) $621.04 $1,109 2.1×
Arterial puncture (36600)
range across 3 matching MRF lines		 $193.20–$386.40 $345–$690 varies
Arteriovenous Anastomosis Open Direct (36821) $10,758.17 $19,211.01 3.2×
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551)
likely a partial charge, not the full procedure		 $2,789.23 $4,980.76 0.2×
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735)
range across 3 matching MRF lines		 $3,770.48–$20,348.17 $6,733–$36,336.01 varies
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
range across 3 matching MRF lines		 $5,221.44–$8,821.69 $9,324–$15,753.01 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 6 matching MRF lines		 $192.64–$914.48 $344–$1,633 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines		 $449.68–$637.28 $803–$1,138 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 8 matching MRF lines		 $192.64–$6,102.88 $344–$10,898 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 4 matching MRF lines		 $192.64–$3,675.28 $344–$6,563 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines		 $192.64–$682.64 $344–$1,219 varies
Arthrodesis ankle open (27870) $21,628.89 $38,623.01 1.6×
Arthrodesis great toe metatarsophalangeal joint (28750)
range across 3 matching MRF lines		 $2,020.49–$7,540.96 $3,608.01–$13,466 varies
Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862)
range across 4 matching MRF lines		 $6,918.25–$13,944.57 $12,354.01–$24,901.01 varies
Arthrodesis Posterior Interbody Lumbar (22630) $15,499.69 $27,678.01 0.5×
Arthrodesis Posterior/Posterolateral Lumbar (22612)
range across 2 matching MRF lines		 $13,830.33–$15,499.69 $24,697.01–$27,678.01 varies
Arthrodesis sacroiliac joint percutaneous (27279)
range across 3 matching MRF lines		 $10,491.60–$12,160.97 $18,735–$21,716.01 varies
Arthrodesis subtalar (28725) $13,604.65 $24,294.01 1.0×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
likely a partial charge, not the full procedure		 $3,497.20 $6,245 0.1×
Arthroplasty glenohumeral joint total shoulder (23472) $11,612.73 $20,737.01 0.6×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447)
range across 2 matching MRF lines		 $3,367.98–$3,770.48 $6,014.25–$6,733 varies
Arthroplasty with prosthetic replacement; distal radius Facility (25441)
likely a partial charge, not the full procedure		 $2,543.52 $4,542 0.2×
Arthroplasty with prosthetic replacement; distal ulna Facility (25442)
range across 2 matching MRF lines		 $2,543.52–$6,918.24 $4,542–$12,354 varies
Arthroscopy Ankle Surgical Debridement Extensive (29898) $3,770.48 $6,733 1.1×
Arthroscopy Ankle Surgical Debridement Limited (29897)
range across 2 matching MRF lines		 $2,306.08–$3,770.48 $4,118–$6,733 varies
Arthroscopy Elbow Surgical Debridement Limited (29837) $3,770.48 $6,733 1.1×
Arthroscopy hip w/femoroplasty (29914)
range across 3 matching MRF lines		 $560–$9,449.73 $1,000–$16,874.51 varies
Arthroscopy Knee Osteochondral Allograft (29867) $8,625.13 $15,402.01 0.6×
Arthroscopy knee synovectomy limited spx (29875) $7,380.24 $13,179 2.1×
Arthroscopy shoulder distal claviculectomy (29824)
range across 2 matching MRF lines		 $2,460.08–$2,969.90 $4,393–$5,303.40 varies
Arthroscopy shoulder surgical capsulorrhaphy (29806)
range across 3 matching MRF lines		 $4,022.21–$12,115.05 $7,182.51–$21,634.01 varies
Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) $3,770.48 $6,733 1.1×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $5,364.80 $9,580 1.6×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882)
range across 2 matching MRF lines		 $7,439.60–$8,044.40 $13,285–$14,365 varies
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
range across 2 matching MRF lines		 $2,350.33–$3,690.12 $4,197.01–$6,589.50 varies
Arthroscopy, shoulder, surgical; debridement, extensive (29823)
range across 2 matching MRF lines		 $560–$2,460.08 $1,000–$4,393 varies
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $6,299.82 $11,249.67 0.8×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 2 matching MRF lines		 $2,489.76–$8,625.13 $4,446–$15,402.01 varies
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846)
range across 2 matching MRF lines		 $2,845.78–$8,063.45 $5,081.75–$14,399.01 varies
Arthrotomy ankle w/expl drainage/removal fb (27610) $5,580.96 $9,966 1.6×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
range across 4 matching MRF lines		 $4,430.44–$18,492.32 $7,911.50–$33,022 varies
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) $18,838.41 $33,640.01 1.4×
Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531)
range across 4 matching MRF lines		 $2,845.79–$12,359.77 $5,081.76–$22,071.01 varies
Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332)
range across 2 matching MRF lines		 $12,663.85–$14,849.53 $22,614.01–$26,517.01 varies
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
range across 3 matching MRF lines		 $5,364.81–$7,439.60 $9,580.01–$13,285 varies
Arthrs knee debridement/shaving artclr crtlg (29877)
range across 2 matching MRF lines		 $3,690.12–$8,044.40 $6,589.50–$14,365 varies
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $560 $1,000 0.3×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075)
range across 2 matching MRF lines		 $1,885.24–$4,588.64 $3,366.50–$8,194 varies
Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) $7,540.96 $13,466 2.2×
Aspirate pleura w/ imaging (32555)
range across 5 matching MRF lines		 $467.04–$2,144.80 $834–$3,830 varies
Aspirate Pleura W/O Imaging (32554) $1,736.56 $3,101 2.6×
Aspirate/Inj Ganglion Cyst (20612) $1,831.20 $3,270 5.7×
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines		 $1,680–$6,918.24 $3,000–$12,354 varies
Av Fistula Revision Open (36832) $12,115.05 $21,634.01 2.1×
Avulsion nail plate partial/complete simple 1 (11730) $254.24 $454 1.2×
Axillary lymphadenectomy; complete (38745) $10,102.41 $18,040.01 1.6×
Biopsy Abdominal Mass (49180)
range across 3 matching MRF lines		 $1,602.16–$2,586.64 $2,861–$4,619 varies
Biopsy bone open deep (20245) $2,799.44 $4,999 0.9×
Biopsy bone open superficial (20240) $3,051.44 $5,449 1.0×
Biopsy bone trocar/needle deep (20225)
range across 2 matching MRF lines		 $4,710.16–$6,102.88 $8,411–$10,898 varies
Biopsy Bone Trocar/Needle Superficial (20220) $3,138.24 $5,604 1.8×
Biopsy muscle percutaneous needle (20206) $1,991.92 $3,557 1.1×
Biopsy of liver, needle; percutaneous (47000) $4,509.12 $8,052 2.6×
Biopsy of rectum (45100) $3,051.44 $5,449 1.0×
Biopsy Oropharynx (42800) $6,102.88 $10,898 3.7×
Biopsy Salivary Gland Needle (42400) $1,995.28 $3,563 2.7×
Biopsy soft tissue neck/thorax (21550) $2,924.32 $5,222 1.7×
Biopsy Tongue Anterior Two-Thirds (41100) $560 $1,000 1.0×
Biopsy Vaginal Mucosa Extensive (57105) $2,032.80 $3,630 0.6×
Biopsy Vaginal Mucosa Simple (57100) $523.04 $934 0.5×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $523.04 $934 0.5×
Biopsy/removal lymph nodes (38510) $7,268.81 $12,980.01 1.8×
Bladder instillation anticarcinogenic agent (51720)
range across 4 matching MRF lines		 $392–$3,770.48 $700–$6,733 varies
Bladder Irrigation (51700)
range across 3 matching MRF lines		 $549.36–$782.88 $981–$1,398 varies
Bladder Scan (51798) $261.52 $467 4.2×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $7,540.97 $13,466.01 3.5×
Blepharotomy drainage abscess eyelid (67700) $418.88 $748 1.3×
Blood Transfusion Service (36430)
range across 12 matching MRF lines		 $560–$2,446.08 $1,000–$4,368 varies
Bone Marrow Biopsy (38221) $1,962.80 $3,505 1.1×
Bone Marrow; Aspiration Only (38220) $2,356.48 $4,208 1.4×
Breast augmentation with implant (19325) $6,760.18 $12,071.75 0.8×
Breast Reduction (19318)
range across 2 matching MRF lines		 $9,870.01–$17,339.29 $17,625.01–$30,963.01 varies
Brnchsc Brushing/Protected Brushings (31623)
range across 2 matching MRF lines		 $742–$1,213.24 $1,325–$2,166.50 varies
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652)
range across 3 matching MRF lines		 $5,070.80–$5,527.20 $9,055–$9,870 varies
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $6,061.44 $10,824 1.5×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641)
range across 2 matching MRF lines		 $2,226–$4,378.64 $3,975–$7,819 varies
Bronchoscopy W/Biopsy(S) (31625)
range across 2 matching MRF lines		 $742–$1,213.24 $1,325–$2,166.50 varies
Bronchoscopy W/Excision Tumor (31640) $4,378.64 $7,819 1.1×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628)
range across 2 matching MRF lines		 $1,755.59–$2,426.48 $3,134.99–$4,333 varies
Bx breast 1st lesion mr imag (19085) $4,438 $7,925 2.5×
Bx breast 1st lesion strtctc (19081)
range across 6 matching MRF lines		 $1,937.60–$6,352.64 $3,460–$11,344 varies
Bx breast 1st lesion us imag (19083) $3,875.20 $6,920 2.2×
Bx Cervix (57500) $523.04 $934 0.5×
Bx/exc lymph node open deep axillary node (38525)
range across 3 matching MRF lines		 $1,220.24–$8,582.57 $2,179–$15,326.01 varies
Bx/exc lymph node open superficial (38500) $560 $1,000 0.1×
Canthotomy Separate Procedure (67715) $3,450.16 $6,161 1.4×
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525)
range across 3 matching MRF lines		 $560–$6,102.88 $1,000–$10,898 varies
Capsulectomy/capsulotomy mtcarphlngl joint each (26520)
range across 2 matching MRF lines		 $560–$5,598.88 $1,000–$9,998 varies
Capsulodesis, metacarpophalangeal joint; 2 digits Facility (26517) $4,634 $8,275 1.3×
Capsulorrhaphy Anterior W/Labral Repair (23455) $8,109.37 $14,481.01 1.1×
Capsulorrhaphy Anterior With Bone Block (23460) $7,380.24 $13,179 1.0×
Capsulotomy wrist (25085) $908.61 $1,622.51 0.3×
Carpal Tunnel Surgery (64721)
range across 2 matching MRF lines		 $3,770.48–$6,918.24 $6,733–$12,354 varies
Carpectomy All Bones Proximal Row (25215) $2,940.57 $5,251.01 0.9×
Catheter aspiration nasotracheal spx (31720)
range across 2 matching MRF lines		 $266–$338.80 $475–$605 varies
Cautery Cervix Electro/Thermal (57510) $4,250.96 $7,591 1.2×
Cerv artific diskectomy (22856) $10,491.61 $18,735.01 0.6×
Cessj Therapy Cath Removal (37214)
range across 2 matching MRF lines		 $4,394.88–$6,592.32 $7,848–$11,772 varies
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $1,064–$3,770.48 $1,900–$6,733 varies
Change ureter stent percut (50382) $5,467.84 $9,764 2.5×
Chemical Cautery Tissue (17250) $330.96 $591 1.6×
Chemodenerv 1 extrem 5/> mus (64644) $2,454.48 $4,383 3.3×
Chemodenerv 1 extremity 1-4 (64642) $2,148.16 $3,836 2.9×
Chemodenerv Musc Migraine (64615) $940.24 $1,679 2.9×
Chemodenerv musc neck dyston (64616)
range across 2 matching MRF lines		 $789.04–$1,183.84 $1,409–$2,114 varies
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $940.24 $1,679 2.9×
Chemodenerv trunk musc 6/> (64647) $1,020.32 $1,822 1.4×
Chemodenervation of internal anal sphincter (46505) $3,051.44 $5,449 2.4×
Chest tube placement (32551) $2,231.60 $3,985 1.3×
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688)
range across 3 matching MRF lines		 $3,248–$5,310.48 $5,800–$9,483 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $7,250.32 $12,947 1.9×
Circumcision 28 days or older (54161) $6,102.88 $10,898 2.8×
Cl Tx Scapular Fx; W Manip (23575) $2,256.80 $4,030 1.3×
Cl Tx Tib Shft Fx W Manip (27752)
range across 4 matching MRF lines		 $2,256.80–$7,380.24 $4,030–$13,179 varies
Claviculectomy partial (23120) $8,044.40 $14,365 2.3×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $235.76–$257.04 $421–$459 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $334.32 $597 1.3×
Closed Treatment Ulnar Styloid Fracture (25650) $334.32 $597 1.3×
Closed tx ankle dislocation w/o anesthesia (27840) $577.36 $1,031 2.2×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $2,256.80 $4,030 1.3×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $5,642.56 $10,076 21.7×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $336 $600 1.3×
Closed tx knee dislocation w/o anesthesia (27550) $334.32 $597 1.3×
Closed Tx Lunate Dislocation W/Manipulation (25690) $2,256.80 $4,030 1.3×
Closed tx metatarsal fracture w/o manipulation (28470) $334.32 $597 1.3×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $2,256.80 $4,030 1.3×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 2 matching MRF lines		 $3,206.56–$5,598.88 $5,726–$9,998 varies
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $6,102.88 $10,898 1.7×
Closed tx patellar dislocation w/o anesthesia (27560) $1,282.40 $2,290 4.9×
Closed tx radial head/neck fx w/manipulation (24655) $2,256.80 $4,030 1.3×
Closed tx radial head/neck fx w/o manipulation (24650) $334.32 $597 1.3×
Closed tx radial shaft fracture w/manipulation (25505) $5,258.40 $9,390 3.1×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $334.32 $597 1.3×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $2,256.80 $4,030 1.3×
Closed tx radial&ulnar shaft fractures w/o man (25560) $473.20 $845 1.8×
Closed tx septal&nose fx (21337)
range across 2 matching MRF lines		 $4,432.96–$6,102.88 $7,916–$10,898 varies
Closed Tx Talus Fracture W/Manipulation (28435) $2,256.80 $4,030 1.3×
Closed tx talus fracture w/o manipulation (28430) $334.32 $597 1.3×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $513.52 $917 2.0×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $2,256.80 $4,030 1.3×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $334.32 $597 1.3×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $417.76 $746 1.7×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $733.60 $1,310 1.3×
Clsd tx acromioclavicular dislc w/manipulation (23545) $334.32 $597 1.3×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $2,256.80 $4,030 1.3×
Clsd tx clavicular fracture w/o manipulation (23500) $502.88 $898 1.9×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $2,070.32–$2,256.80 $3,697–$4,030 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $588.56–$641.76 $1,051–$1,146 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $2,256.80 $4,030 1.3×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $334.32 $597 1.3×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $2,256.80 $4,030 1.3×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $334.32 $597 1.3×
Cltx dstl fibular fx lat malls w/manj (27788) $1,475.60 $2,635 5.7×
Cltx dstl fibular fx lat malls w/o manj (27786) $334.32 $597 1.3×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $334.32 $597 1.3×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $334.32 $597 1.3×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $538.72 $962 2.1×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 3 matching MRF lines		 $2,588.88–$6,102.88 $4,623–$10,898 varies
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $2,256.80 $4,030 1.3×
Cltx fx grt toe phlx/phlg w/manj (28495) $334.32 $597 1.3×
Cltx fx grt toe phlx/phlg w/o manj (28490) $334.32 $597 1.3×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 4 matching MRF lines		 $306.88–$6,102.88 $548–$10,898 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $2,210.32 $3,947 1.3×
Cltx greater humeral tuberosity fx w/o manj (23620) $334.32 $597 1.3×
Cltx hip dislocation traumatic w/o anesthesia (27250) $1,276.24 $2,279 4.9×
Cltx humeral condylar fx medial/lateral w/manj (24577) $2,256.80 $4,030 1.3×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $2,256.80 $4,030 1.3×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $603.12 $1,077 2.3×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 3 matching MRF lines		 $412.16–$449.12 $736–$802 varies
Cltx Med Ankle Fx W/Mnpj (27762)
range across 2 matching MRF lines		 $2,070.32–$2,256.80 $3,697–$4,030 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $306.88–$334.32 $548–$597 varies
Cltx metacarpal fx w/o manipulation each bone (26600) $334.32 $597 1.3×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $334.32 $597 1.3×
Cltx post hip arthrp dislc req anes (27266)
range across 3 matching MRF lines		 $2,256.80–$6,102.88 $4,030–$10,898 varies
Cltx post hip arthrp dislc w/o anes (27265) $526.96 $941 2.0×
Cltx prox fibula/shft fx w/manj (27781) $2,256.80 $4,030 1.3×
Cltx prox fibula/shft fx w/o manj (27780) $334.32 $597 1.3×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 2 matching MRF lines		 $925.68–$2,256.80 $1,653–$4,030 varies
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $334.32 $597 1.3×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 3 matching MRF lines		 $388.64–$423.36 $694–$756 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 2 matching MRF lines		 $2,070.32–$2,256.80 $3,697–$4,030 varies
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $2,629.76 $4,696 1.6×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $2,256.80 $4,030 1.3×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $334.32 $597 1.3×
Cltx tibial shaft fx w/o manipulation (27750) $500.64 $894 1.9×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $334.32 $597 1.3×
Cltx trimalleolar ankle fx w/manipulation (27818) $2,256.80 $4,030 1.3×
Collect Blood From Catheter Venous Nos (36592) $287.28 $513 2.0×
Collection of venous blood by venipuncture (36415)
range across 4 matching MRF lines		 $1.68–$14 $3–$25 varies
Colonoscopy through stoma; with biopsy, single or multiple (44389)
range across 2 matching MRF lines		 $995.68–$2,170.56 $1,778–$3,876 varies
Colonoscopy thru stoma (44388) $1,966.44 $3,511.50 2.0×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394)
range across 2 matching MRF lines		 $995.68–$1,991.36 $1,778–$3,556 varies
Colonoscopy w/ablation (45388)
range across 2 matching MRF lines		 $1,991.36–$7,533.13 $3,556–$13,452.01 varies
Colonoscopy W/Resection (45390)
range across 6 matching MRF lines		 $1,286.13–$4,205.60 $2,296.66–$7,510 varies
Colonoscopy w/submucosal inj (45381)
range across 4 matching MRF lines		 $560–$2,288.16 $1,000–$4,086 varies
Colpocleisis (le fort type) (57120) $6,102.88 $10,898 1.2×
Colpopexy extraperitoneal (57282)
unusually low: confirm this is the full procedure		 $3,392.20 $6,057.50 0.4×
Colpopexy vaginal intraperitoneal approach (57283)
unusually low: confirm this is the full procedure		 $2,489.76 $4,446 0.3×
Colporrhaphy (57200) $2,999.36 $5,356 0.9×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454)
range across 2 matching MRF lines		 $208.88–$6,102.88 $373–$10,898 varies
Colposcopy Cervix Endocervical Curettage (57456) $208.88 $373 0.6×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $208.88 $373 0.6×
Colposcopy cervix vag eltrd conization cervix (57461) $2,032.80 $3,630 0.6×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $2,032.80 $3,630 0.6×
Colposcopy entire vagina w/cervix if present (57420) $208.88 $373 0.6×
Colposcopy of vulva (56820) $129.92 $232 0.6×
Colposcopy Vulva W/Biopsy (56821) $208.88 $373 0.6×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $523.04 $934 0.5×
Colsc Flexible W/Control Bleeding Any Method (45382) $1,991.36 $3,556 1.6×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $857.36 $1,531 0.7×
Colsc flx w/removal lesion by hot bx forceps (45384) $560 $1,000 0.4×
Combined anteroposterior colporrhaphy; (57260) $8,750.85 $15,626.51 1.7×
Complex drainage wound (10180) $4,487.28 $8,013 1.5×
Conization cervix w/wo d&c rpr eltrd exc (57522) $6,102.88 $10,898 1.8×
Conization of cervix (57520) $6,102.88 $10,898 1.8×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $235.76–$257.04 $421–$459 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $335.44–$365.68 $599–$653 varies
Conversion ext bil drg cath (47535) $7,902.72 $14,112 2.1×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $3,625.44 $6,474 1.8×
Convert Nephrostomy Catheter (50434) $1,905.68 $3,403 0.9×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 3 matching MRF lines		 $4,124.40–$5,038.88 $7,365–$8,998 varies
Correction hammertoe (28285)
range across 4 matching MRF lines		 $1,280.72–$6,102.88 $2,287–$10,898 varies
Correction of trichiasis; epilation, by forceps only (67820) $289.52 $517 2.1×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
range across 2 matching MRF lines		 $5,221.45–$6,918.24 $9,324.01–$12,354 varies
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
likely a partial charge, not the full procedure		 $560 $1,000 0.1×
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) $8,625.13 $15,402.01 1.5×
Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) $6,102.88 $10,898 24.4×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $372.96 $666 2.7×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $343.84 $614 1.4×
Curettage postpartum (59160) $5,598.88 $9,998 1.6×
Curette/treat cornea (65435) $1,312.64 $2,344 1.2×
Cysto Bladder W/Ureteral Catheterization (52005)
range across 3 matching MRF lines		 $3,770.48–$7,540.96 $6,733–$13,466 varies
Cysto calibration dilat urtl strix/stenosis (52281) $7,540.96 $13,466 3.4×
Cysto w/destruction of lesions (52214) $7,540.96 $13,466 2.0×
Cysto w/insert ureteral stent (52332)
range across 3 matching MRF lines		 $6,918.24–$7,540.96 $195–$13,466 varies
Cysto w/removal of lesions small (52224) $6,918.24 $12,354 1.9×
Cysto w/removal of tumors small (52234) $3,459.12 $6,177 0.9×
Cysto W/Simple Removal Stone & Stent (52310) $6,918.24 $12,354 3.1×
Cysto w/ureteroscopy w/lithotripsy (52353)
range across 2 matching MRF lines		 $2,681.28–$8,044.40 $4,788–$14,365 varies
Cysto w/ureteroscopy w/rmvl/manj stones (52352)
range across 2 matching MRF lines		 $4,312.56–$8,044.40 $7,701–$14,365 varies
Cysto w/urtroscopy w/tx ureteral stricture (52344) $7,484.40 $13,365 2.0×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) $8,821.69 $15,753.01 1.6×
Cysto/uretero w/lithotripsy (52356)
range across 3 matching MRF lines		 $7,380.24–$8,625.13 $13,179–$15,402.01 varies
Cystostomy Cystotomy W/Drainage (51040) $6,918.24 $12,354 3.1×
Cystourethroscopy (52000) $7,540.96 $13,466 10.3×
Cystourethroscopy inj chemodenervation bladder (52287) $6,918.24 $12,354 3.1×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $6,918.24 $12,354 1.9×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $6,918.25 $12,354.01 1.2×
Cystourethroscopy w/dil bladder general anesth (52260) $7,540.96 $13,466 3.4×
Cystourethroscopy with biopsy (52204)
range across 2 matching MRF lines		 $1,176–$6,918.24 $2,100–$12,354 varies
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $848.96 $1,516 2.0×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $3,841.04 $6,859 1.3×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $988.40 $1,765 1.3×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $808.08–$2,034.30 $1,443–$3,632.67 varies
Debride nail 1-5 (11720) $244.16 $436 3.9×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $2,170 $3,875 1.2×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 4 matching MRF lines		 $280–$6,102.88 $500–$10,898 varies
Declot vascular device (36593) $579.60 $1,035 1.7×
Delivery of placenta (59414) $3,639.44 $6,499 1.1×
Destr penis lesion(s) (54065) $3,770.48 $6,733 1.7×
Destr W Neurolytic; Celiac Plexus (64680)
range across 2 matching MRF lines		 $1,840.72–$2,761.36 $3,287–$4,931 varies
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines		 $3,034.64–$4,551.68 $5,419–$8,128 varies
Destroy lumb/sac facet jnt (64635)
range across 3 matching MRF lines		 $2,784.32–$4,551.68 $4,972–$8,128 varies
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $280–$3,770.48 $500–$6,733 varies
Destruction by neurolytic agent, intercostal nerve (64620) $3,581.76 $6,396 3.8×
Destruction by neurolytic agent; plantar common digital nerve (64632) $1,157.52 $2,067 3.6×
Destruction Lesions Vulva Simple (56501) $5,598.88 $9,998 2.6×
Destruction neurolytic agt genicular nerve w/img (64624) $3,012.80 $5,380 1.5×
Destruction Vaginal Lesions Simple (57061) $5,598.88 $9,998 1.6×
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines		 $1,991.36–$2,116.24 $3,556–$3,779 varies
Dilation & curettage dx&/ther nonobstetric (58120) $7,540.96 $13,466 2.2×
Dilation Esophagus Guide Wire (43453) $1,941.52 $3,467 1.0×
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) $7,380.24 $13,179 1.3×
Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975)
range across 2 matching MRF lines		 $2,240–$2,441.60 $4,000–$4,360 varies
Drain Cerebro Spinal Fluid (62272) $1,630.16 $2,911 2.2×
Drain Hand Tendon Sheath (26020)
range across 2 matching MRF lines		 $4,478.89–$6,102.88 $7,998.01–$10,898 varies
Drain Spinal Cord Cyst (62268) $1,877.68 $3,353 2.0×
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines		 $192.64–$273.28 $344–$488 varies
Drainage external auditory canal abscess (69020) $1,009.68 $1,803 1.4×
Drainage External Ear Abscess/Hematoma Simple (69000) $1,009.68 $1,803 1.4×
Drainage Mouth Roof Lesion (42000) $641.76 $1,146 2.6×
Drainage of finger abscess simple (26010) $385.28 $688 1.8×
Drainage of gum lesion (41800) $353.36 $631 2.5×
Drainage of hematoma/fluid (10140)
range across 4 matching MRF lines		 $3,818.08–$5,598.88 $6,818–$9,998 varies
Drainage of mouth lesion (41017) $4,432.96 $7,916 1.3×
Drainage of nose lesion (30000) $343.84 $614 1.4×
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $3,174.08–$6,102.88 $5,668–$10,898 varies
Drainage of scrotum (54700) $2,901.92 $5,182 1.3×
Draw Blood Off Venous Device (36591) $287.28 $513 2.0×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $1,009.68 $1,803 1.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $561.12 $1,002 1.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $488.32 $872 2.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $448 $800 2.1×
Dstrj Lesion Anus Extensive (46924) $7,540.96 $13,466 2.6×
Dstrj lesion anus simple surg excision (46922) $5,598.88 $9,998 1.9×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $6,102.88 $10,898 2.8×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines		 $3,010.56–$4,922.40 $5,376–$8,790 varies
Dx Bone Marrow Bx & Aspir (38222)
range across 2 matching MRF lines		 $2,531.76–$3,186.96 $4,521–$5,691 varies
Dx Bronchoscope/Lavage (31624)
range across 3 matching MRF lines		 $742–$2,426.48 $1,325–$4,333 varies
Dx Bronchoscope/Wash (31622) $2,426.48 $4,333 1.3×
Dx Laryngoscopy Excl Nb (31525) $2,424.24 $4,329 1.3×
Dx laryngoscopy w/oper scope (31526)
range across 2 matching MRF lines		 $3,734.64–$7,540.96 $6,669–$13,466 varies
Dx lmbr spi pnxr w/fluor/CT (62328) $3,912.16 $6,986 5.3×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 2 matching MRF lines		 $970.76–$7,540.96 $1,733.50–$13,466 varies
Egd control bleeding any (43255)
range across 2 matching MRF lines		 $1,058.12–$1,941.52 $1,889.50–$3,467 varies
Egd dilation gastric/duodenal stricture (43245) $1,941.52 $3,467 1.0×
Egd endo mucosal resection (43254) $970.76 $1,733.50 0.5×
Egd Flexible Foreign Body Removal (43247)
range across 3 matching MRF lines		 $1,924.16–$6,918.24 $3,436–$12,354 varies
Egd guide wire insertion (43248) $1,941.52 $3,467 2.0×
Egd remove lesion snare (43251) $970.76 $1,733.50 0.5×
Egd Varices Ligation (43244) $1,941.52 $3,467 1.0×
Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) $9,658.33 $17,247.01 1.6×
Endocervical curettage (57505) $523.04 $934 0.5×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $8,044.40 $14,365 1.5×
Endometrial Biopsy (58100)
range across 2 matching MRF lines		 $129.92–$6,102.88 $232–$10,898 varies
Endoscopic injection/implant (51715) $6,918.24 $12,354 1.9×
Endoven abltj incmptnt vein xtr rf 1st vein (36475)
range across 3 matching MRF lines		 $5,514.32–$5,598.89 $9,847–$9,998.01 varies
Endoven ther chem adhes 1st (36482) $8,015.28 $14,313 1.4×
Epidural Blood Patch (62273) $1,354.64 $2,419 1.8×
Ercp duct stent placement (43274) $7,540.96 $13,466 1.2×
Ercp Dx Collection Specimen Brushing/Washing (43260) $4,852.96 $8,666 1.2×
Ercp remove calculi/debris biliary/pancreas duct (43264) $2,803.08 $5,005.50 0.7×
Ercp,Sphincterotomy (43262) $2,803.08 $5,005.50 0.7×
Esophagogastroduodenoscopy Submucosal Injection (43236)
range across 2 matching MRF lines		 $560–$1,058.12 $1,000–$1,889.50 varies
Evacuate mole of uterus (59870) $7,380.24 $13,179 2.2×
Evacuation of subungual hematoma (11740) $257.04 $459 1.8×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111)
range across 2 matching MRF lines		 $1,866.30–$3,770.48 $3,332.67–$6,733 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $2,422.94 $4,326.67 3.2×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines		 $2,279.76–$3,051.44 $4,071–$5,449 varies
Exc Back Les Sc < 3 Cm (21930) $3,051.44 $5,449 1.8×
Exc Back Tum Deep 5 Cm/> (21933) $6,102.88 $10,898 2.0×
Exc back tum deep < 5 cm (21932) $6,102.88 $10,898 2.0×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $6,918.24 $12,354 1.7×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $3,459.12 $6,177 4.6×
Exc Face Les Sbq 2 Cm/> (21012) $3,360 $6,000 1.9×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines		 $1,009.68–$6,102.88 $1,803–$10,898 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $5,598.88 $9,998 7.5×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $6,102.89 $10,898.01 8.2×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $6,102.88 $10,898 3.5×
Exc ganglion wrist recurrent (25112) $6,102.88 $10,898 3.6×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $2,746.24–$5,598.88 $4,904–$9,998 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $1,657.04 $2,959 2.2×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines		 $2,279.76–$6,102.88 $4,071–$10,898 varies
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $5,598.88 $9,998 5.3×
Exc Rct Tum Incl Muscularis Propria (45172) $6,102.88 $10,898 2.1×
Exc Rct Tum Not Incl Muscularis Propria (45171) $7,290.64 $13,019 2.5×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $560–$952 $1,000–$1,700 varies
Exc Skin Benig >4 Cm Remaindr Body (11426) $3,806.32 $6,797 1.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $3,770.49 $6,733.01 2.2×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $5,598.88 $9,998 3.2×
Exc thigh/knee les sc 3 cm/> (27337) $6,102.88 $10,898 2.0×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $6,102.88 $10,898 14.2×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $1,638 $2,925 2.2×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $3,051.44 $5,449 1.8×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $6,102.88 $10,898 2.0×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $2,108.68 $3,765.50 0.7×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $5,598.88 $9,998 3.2×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $6,102.88 $10,898 2.0×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $6,102.88 $10,898 2.0×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $5,598.88 $9,998 1.8×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075)
range across 2 matching MRF lines		 $560–$6,222.73 $1,000–$11,112.01 varies
Exc tumor soft tissue leg/ankle subq <3cm (27618) $1,901.20 $3,395 1.1×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $5,598.88 $9,998 1.8×
Exc Varicocele/Ligation Spermatic Veins Spx (55530) $7,268.81 $12,980.01 2.0×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $7,250.32 $12,947 1.9×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 3 matching MRF lines		 $2,846.48–$5,225.36 $5,083–$9,331 varies
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $4,021.92 $7,182 2.0×
Excis Mouth Complex,Exc Thru Muscle (40816) $6,102.88 $10,898 1.7×
Excise tendon forearm/wrist (25109)
range across 2 matching MRF lines		 $2,513.73–$3,051.44 $4,488.80–$5,449 varies
Excise Wrist Tendon Sheath (25118)
range across 5 matching MRF lines		 $1,220.58–$3,770.48 $2,179.60–$6,733 varies
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $6,102.88 $10,898 8.2×
Excision Chalazion Single (67800) $706.16 $1,261 2.1×
Excision exostosis(es), external auditory canal Facility (69140) $6,788.32 $12,122 1.1×
Excision external ear; complete amputation Facility (69120) $7,132.17 $12,736.01 1.1×
Excision Lesion Cornea Xcp Pterygium (65400) $1,363.04 $2,434 1.3×
Excision lesion meniscus/capsule knee (27347) $3,690.12 $6,589.50 1.1×
Excision lesion tendon sheath forearm&/wrist (25110) $3,051.44 $5,449 1.8×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $2,422.94 $4,326.67 3.2×
Excision of bartholin's gland or cyst (56740) $6,102.88 $10,898 1.8×
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 2 matching MRF lines		 $1,220.58–$3,526.88 $2,179.60–$6,298 varies
Excision of hydrocele; bilateral (55041) $6,102.88 $10,898 1.6×
Excision of hydrocele; unilateral (55040)
range across 3 matching MRF lines		 $560–$7,268.81 $1,000–$12,980.01 varies
Excision of local lesion of epididymis (54830) $6,102.89 $10,898.01 1.6×
Excision of neuroma; digital nerve, 1 or both, same digit (64776) $1,120 $2,000 0.5×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) $13,604.65 $24,294.01 2.2×
Excision of pilonidal cyst or sinus; simple (11770)
range across 2 matching MRF lines		 $3,841.04–$6,102.88 $6,859–$10,898 varies
Excision of vaginal cyst or tumor (57135) $5,598.88 $9,998 1.6×
Excision Pilonidal Cyst/Sinus Complicated (11772) $5,038.88 $8,998 1.6×
Excision Pilonidal Cyst/Sinus Extensive (11771) $6,102.88 $10,898 2.0×
Excision Skin Abd Infraumbilical Panniculectomy (15830)
range across 2 matching MRF lines		 $6,735.97–$13,520.36 $12,028.51–$24,143.50 varies
Excision spermatocele w/wo epididymectomy (54840)
range across 2 matching MRF lines		 $5,542.88–$6,102.88 $9,898–$10,898 varies
Excision tendon palm flexor/extensor single each (26170) $10,318.57 $18,426.01 6.1×
Excision Thyroglossal Duct Cyst/Sinus (60280) $13,944.57 $24,901.01 2.2×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $6,102.88 $10,898 3.5×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039)
range across 2 matching MRF lines		 $5,038.88–$6,102.88 $8,998–$10,898 varies
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $6,102.88 $10,898 3.5×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $6,102.89 $10,898.01 2.0×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $6,102.88 $10,898 3.5×
Excision/curettage cyst/tumor carpal bones (25130) $5,395.21 $9,634.30 1.6×
Explo/Drain Breast Abscess (19020) $3,847.20 $6,870 2.2×
Exploration penetrating wound spx chest (20101) $2,774.80 $4,955 1.3×
Exploration penetrating wound spx extremity (20103) $2,886.24 $5,154 1.7×
Exploration Penetrating Wound Spx Neck (20100)
range across 2 matching MRF lines		 $733.60–$1,120 $1,310–$2,000 varies
Exploratory elbow surgery (24000) $4,588.64 $8,194 1.3×
Exposure of prostate, any approach, for insertion of radioactive substance; Facility (55860) $8,846.88 $15,798 1.6×
External cephalic version (59412)
range across 2 matching MRF lines		 $1,968.96–$2,338.56 $3,516–$4,176 varies
Fasciectomy Palm Only (26121) $6,918.24 $12,354 2.0×
Fasciotomy palmar percutaneous (26040) $3,051.44 $5,449 1.8×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $6,102.88 $10,898 1.8×
Fetal Contraction Stress Test (59020) $500.64 $894 2.3×
Fetal non-stress test (59025)
range across 3 matching MRF lines		 $434–$520.80 $775–$930 varies
Fine needle aspiration bx w/CT gdn 1st lesion (10009)
range across 2 matching MRF lines		 $1,190.56–$1,214.08 $2,126–$2,168 varies
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $87.36–$752.08 $156–$1,343 varies
Finger tendon transfer (26497) $13,098.38 $23,389.97 3.8×
Fluid Pressure Muscle (20950) $988.40 $1,765 1.3×
Fluoro exam of g/colon tube (49465) $652.96 $1,166 2.6×
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines		 $1,504.72–$1,553.44 $2,687–$2,774 varies
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $3,459.12 $6,177 1.6×
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $4,829.17 $8,623.51 2.2×
Fuse hand bones with graft (25825)
unusually low: confirm this is the full procedure		 $3,089.34 $5,516.67 0.4×
Fusion Finger Joint (26860)
range across 3 matching MRF lines		 $2,020.48–$12,663.85 $3,608–$22,614.01 varies
Fusion of foot bones (28740)
range across 4 matching MRF lines		 $2,513.84–$7,540.96 $4,489–$13,466 varies
Fusion of knuckle (26850)
unusually low: confirm this is the full procedure		 $2,513.73 $4,488.80 0.3×
Fusion of knuckle joint (26516)
range across 3 matching MRF lines		 $3,045.06–$12,663.85 $5,437.60–$22,614.01 varies
Fusion of knuckle with graft (26852)
range across 2 matching MRF lines		 $3,367.47–$6,918.25 $6,013.34–$12,354.01 varies
Gastrocnemius recession (27687)
range across 2 matching MRF lines		 $560–$3,770.48 $1,000–$6,733 varies
Graft Ear Crtlg Autogenous Nose/Ear (21235)
range across 2 matching MRF lines		 $4,022.20–$6,983.76 $7,182.50–$12,471 varies
Grafting of autologous fat by lipo 50 cc or less (15771) $14,503.45 $25,899.01 3.9×
Grafting of autologous soft tiss by direct exc (15769) $9,056.32 $16,172 2.4×
Guide Cathet Fluid Drainage (10030) $3,138.24 $5,604 4.2×
Head Surgery Procedure (21499) $6,918.24 $12,354 27.7×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255)
range across 2 matching MRF lines		 $4,488.40–$6,102.88 $8,015–$10,898 varies
Hemorrhoidectomy, external, 2 or more columns/groups (46250)
range across 2 matching MRF lines		 $3,051.44–$3,958.08 $5,449–$7,068 varies
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $5,598.88 $9,998 1.9×
Hemorrhoidopexy by stapling (46947) $5,598.88 $9,998 1.9×
Hip arthro acetabuloplasty (29915) $6,735.96 $12,028.50 0.9×
Hip arthro w/labral repair (29916)
range across 3 matching MRF lines		 $6,802.32–$16,779.29 $12,147–$29,963.01 varies
Hysteroscopy Biopsy (58558) $7,380.24 $13,179 2.2×
Hysteroscopy Endometrial Ablation (58563)
likely a partial charge, not the full procedure		 $560 $1,000 0.1×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $7,540.96 $13,466 1.4×
I&d abscess peritonsillar (42700) $385.28 $688 1.5×
I&d abscess simple (10060)
range across 3 matching MRF lines		 $309.68–$5,598.88 $553–$9,998 varies
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines		 $5,654.88–$7,047.04 $10,098–$12,584 varies
I&D Deep Absc/Hematoma Neck/Chest (21501) $7,540.96 $13,466 2.5×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $4,360.16–$5,598.88 $7,786–$9,998 varies
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines		 $1,009.68–$6,102.88 $1,803–$10,898 varies
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $633.36–$6,102.88 $1,131–$10,898 varies
I&d upper arm/elbow deep abscess/hematoma (23930) $3,841.04 $6,859 1.3×
Icd Pocket Revision (33223) $3,011.68 $5,378 1.4×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $1,859.76 $3,321 1.9×
Image Cath Fluid Colxn Visc (49405) $2,793.28 $4,988 1.6×
Image Cath Fluid Peri/Retro (49406) $4,210.64 $7,519 2.4×
Immediate breast prosthesis (19340) $7,380.24 $13,179 0.9×
Implant neuroelectrodes (63650) $11,597.60 $20,710 1.7×
Implant Neuroelectrodes (64561) $5,598.88 $9,998 0.8×
Implant Periph/Gastric Neurostim/Receiver (64590)
unusually low: confirm this is the full procedure		 $6,918.24 $12,354 0.3×
Implant temple bone w/stimul (69714) $17,339.29 $30,963.01 1.3×
Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69716) $7,380.24 $13,179 0.5×
Incise external hemorrhoid (46083) $561.68 $1,003 2.1×
Incise finger tendon sheath (26055)
range across 4 matching MRF lines		 $1,921.36–$2,513.62 $3,431–$4,488.60 varies
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $1,400–$3,051.44 $2,500–$5,449 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $4,745.44 $8,474 1.5×
Incision & removal foreign body subq tiss compl (10121) $2,279.76 $4,071 1.3×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $670.88–$683.76 $1,198–$1,221 varies
Incision and drainage of bartholin's gland abscess (56420) $641.76 $1,146 3.0×
Incision and drainage of vulva or perineal abscess (56405)
range across 3 matching MRF lines		 $544.88–$6,102.88 $973–$10,898 varies
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) $6,102.88 $10,898 0.8×
Incision extensor tendon sheath wrist (25000)
range across 6 matching MRF lines		 $560–$16,506.01 $1,000–$29,475.01 varies
Incision of eardrum (69420) $343.84 $614 1.4×
Incision of lingual frenum (frenotomy) (41010) $5,598.88 $9,998 3.4×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $2,886.24–$5,598.88 $5,154–$9,998 varies
Incision&Drainage Upper Arm/Elbow Bursa (23931) $2,279.76 $4,071 1.3×
Incisional biopsy skin single lesion (11106) $408.80 $730 0.5×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $470.96–$513.52 $841–$917 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 5 matching MRF lines		 $1,187.20–$1,940.40 $2,120–$3,465 varies
Inj W/Fluor Eval Cv Device (36598) $666.96 $1,191 3.0×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 4 matching MRF lines		 $2,127.44–$3,478.16 $3,799–$6,211 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 10 matching MRF lines		 $192.64–$2,513.62 $344–$4,488.60 varies
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines		 $1,157.52–$1,261.68 $2,067–$2,253 varies
Injection aa&/strd genicular nrv branches w/img (64454)
range across 5 matching MRF lines		 $976.08–$1,464.40 $1,743–$2,615 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421) $2,226.56 $3,976 2.4×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines		 $1,157.52–$1,261.68 $2,067–$2,253 varies
Injection Anes Agent Sphenopalatine Ganglion (64505) $940.24 $1,679 2.9×
Injection Anes Superior Hypogastric Plexus (64517) $3,447.36 $6,156 3.7×
Injection anesthetic agent suprascapular nerve (64418)
range across 3 matching MRF lines		 $940.24–$1,409.52 $1,679–$2,517 varies
Injection for identification of sentinel node (38792) $1,220.24 $2,179 2.9×
Injection single tendon origin/insertion (20551)
range across 5 matching MRF lines		 $192.64–$1,464.40 $344–$2,615 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 4 matching MRF lines		 $192.64–$6,102.88 $344–$10,898 varies
Injection single/mlt trigger point 3/> muscles (20553) $686.56 $1,226 2.1×
Injection therapeutic carpal tunnel (20526) $5,300.97 $9,466.01 16.4×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 7 matching MRF lines		 $560–$12,841.92 $1,000–$22,932 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 7 matching MRF lines		 $392–$4,609.92 $700–$8,232 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 5 matching MRF lines		 $630.84–$1,409.52 $1,126.50–$2,517 varies
Injection, intralesional; up to and including 7 lesions (11900)
range across 3 matching MRF lines		 $3,051.45–$4,022.49 $5,449.01–$7,183.01 varies
Ins cath ren art 1st bilat (36252) $14,805.28 $26,438 4.4×
Ins cath ren art 1st unilat (36251) $8,531.60 $15,235 2.6×
Ins cath ren art 2nd+ unilat (36253) $8,058.96 $14,391 1.4×
Ins endovas vena cava filtr (37191)
range across 2 matching MRF lines		 $12,727.68–$13,873.44 $22,728–$24,774 varies
Ins Vag Brachytx Device (57156)
range across 2 matching MRF lines		 $902.16–$920.08 $1,611–$1,643 varies
Ins/Rep Subq Defibrillator (33270) $60,059.44 $107,249 1.8×
Insert 1 Electrode Pm-Defib (33216) $11,413.92 $20,382 1.3×
Insert Bladder Cath Complex (51703) $324.80 $580 2.4×
Insert cath pleura w/ image (32557)
range across 3 matching MRF lines		 $1,609.44–$2,414.16 $2,874–$4,311 varies
Insert Gastrostomy Tube Percutaneous (49440) $3,625.44 $6,474 1.8×
Insert Heart Pm Atrial (33206) $23,344.16 $41,686 2.1×
Insert Heart Pm Ventricular (33207)
range across 2 matching MRF lines		 $14,560–$21,602.56 $26,000–$38,576 varies
Insert hepatic shunt (tips) (37182) $11,954.88 $21,348 0.6×
Insert multi-comp penis pros (54405)
unusually low: confirm this is the full procedure		 $10,102.41 $18,040.01 0.5×
Insert Nasal Septal Button (30220) $6,918.24 $12,354 4.2×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $2,072.56–$3,038.56 $3,701–$5,426 varies
Insert Pacing Lead & Connect (33224) $14,560.56 $26,001 1.3×
Insert pulse gen dual leads (33213) $18,146.24 $32,404 1.6×
Insert Pulse Gen Sngl Lead (33212) $17,376.80 $31,030 2.0×
Insert self-contd prosthesis (54401)
unusually low: confirm this is the full procedure		 $8,821.69 $15,753.01 0.4×
Insert Temp Bladder Cath (51702) $376.32 $672 2.7×
Insert tun ip cath perc (49418)
range across 2 matching MRF lines		 $8,387.68–$8,555.12 $14,978–$15,277 varies
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $7,540.96–$7,822.08 $13,466–$13,968 varies
Insert Uro/Ves Nck Sphincter (53445)
unusually low: confirm this is the full procedure		 $9,644.33 $17,222.01 0.4×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 4 matching MRF lines		 $411.04–$787.36 $734–$1,406 varies
Insertion indwelling tunneled pleural catheter (32550) $7,250.32 $12,947 1.9×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,961.68 $3,503 1.2×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $11,413.92 $20,382 1.3×
Insertion Uterine Tandem&/Vaginal Ovoids (57155)
range across 4 matching MRF lines		 $4,707.36–$19,789.28 $8,406–$35,338 varies
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $11,413.92 $20,382 1.3×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $3,357.20 $5,995 1.0×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $8,903.44 $15,899 2.7×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines		 $115.92–$2,246.72 $207–$4,012 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines		 $2,072.56–$7,586.88 $3,701–$13,548 varies
Insj/rplcmt breast implant sep day mastectomy (19342) $7,380.24 $13,179 0.9×
Insj/Rplcmt Defib W/Lead(S) (33249) $45,974.88 $82,098 1.4×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
likely a partial charge, not the full procedure		 $5,598.88 $9,998 0.2×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $11,413.92 $20,382 1.3×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) $12,257.28 $21,888 1.4×
Insrt heart pm atrial & vent (33208) $22,150.80 $39,555 2.0×
Insrt Pulse Gen W/Dual Leads (33230) $44,448.32 $79,372 1.9×
Insrt Pulse Gen W/Mult Leads (33231) $40,778.08 $72,818 1.2×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $3,086.72 $5,512 2.1×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,731.52 $3,092 4.0×
Intro cath dialysis circuit (36901) $7,380.25 $13,179.01 4.4×
Intro cath dialysis circuit w/tcat plmt IV stent (36903)
range across 2 matching MRF lines		 $7,380.24–$29,149.12 $13,179–$52,052 varies
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902)
range across 3 matching MRF lines		 $7,380.24–$25,683.85 $13,179–$45,864.01 varies
Intro Gastrointestinal Tube (44500) $1,754.48 $3,133 1.8×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $819.28–$1,002.40 $1,463–$1,790 varies
Irrigation maxillary sinus (31000) $343.84 $614 1.4×
Irrigation of corpora cavernosa for priapism (54220) $1,232 $2,200 4.7×
Island pedicle flap graft (15740)
range across 2 matching MRF lines		 $1,764.34–$6,918.24 $3,150.60–$12,354 varies
IV injection test vascular flow flap/graft (15860) $2,034.29 $3,632.66 4.3×
Lam facetec & foramot lumbar (63047) $10,236.81 $18,280.01 1.3×
Laminotomy Single Lumbar (63042)
range across 4 matching MRF lines		 $8,625.13–$11,158.01 $15,402.01–$19,925.01 varies
Lap insert tunnel ip cath (49324) $6,918.24 $12,354 1.1×
Lap paraesoph her rpr w/mesh (43282) $8,860.88 $15,823 0.8×
Lap paraesophag hern repair (43281) $20,156.09 $35,993.01 1.8×
Lap revision perm ip cath (49325) $7,540.96 $13,466 1.2×
Laparo-vag hyst incl t/o (58552) $16,219.29 $28,963.01 1.4×
Laparoscopic myomectomy (58545) $6,735.97 $12,028.51 1.1×
Laparoscopy aspiration (49322)
range across 2 matching MRF lines		 $560–$3,770.48 $1,000–$6,733 varies
Laparoscopy Enterolysis Separate Procedure (44180)
range across 2 matching MRF lines		 $7,540.96–$8,625.13 $13,466–$15,402.01 varies
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 4 matching MRF lines		 $2,489.76–$9,401.28 $4,446–$16,788 varies
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $14,364.57 $25,651.01 1.3×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) $9,870.01 $17,625.01 0.9×
Laparoscopy W/Lysis Of Adhesions (58660)
range across 2 matching MRF lines		 $1,280.72–$6,918.24 $2,287–$12,354 varies
Laparoscopy w/rmvl adnexal structures (58661)
range across 3 matching MRF lines		 $5,798.25–$7,540.96 $10,354.01–$13,466 varies
Laparoscopy, surgical, appendectomy (44970)
range across 2 matching MRF lines		 $6,918.24–$7,540.96 $12,354–$13,466 varies
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) $14,364.57 $25,651.01 1.3×
Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284) $9,676.81 $17,280.01 0.9×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) $8,860.89 $15,823.01 0.8×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) $9,658.32 $17,247 0.9×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) $8,044.41 $14,365.01 1.3×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $7,380.24 $13,179 1.2×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) $12,115.05 $21,634.01 1.1×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
range across 3 matching MRF lines		 $1,244.89–$16,185.69 $2,223.01–$28,903.01 varies
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572)
likely a partial charge, not the full procedure		 $1,499.68 $2,678 0.1×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) $11,612.73 $20,737.01 1.0×
Laparoscopy, surgical; with biopsy (single or multiple) (49321) $3,459.12 $6,177 0.5×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
range across 2 matching MRF lines		 $1,885.24–$6,918.24 $3,366.50–$12,354 varies
Laps fulg/exc ovary viscera/peritoneal surface (58662)
range across 3 matching MRF lines		 $1,120–$7,540.97 $2,000–$13,466.01 varies
Laps Gastric Restrictive Px Remove Device & Port (43774) $7,540.96 $13,466 1.9×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) $8,860.89 $15,823.01 0.8×
Laps surg prst8ect smpl stot robotic assistance (55867) $21,655.77 $38,671.01 1.9×
Laps surg retroperitoneal lymph node bx 1/mlt (38570)
range across 2 matching MRF lines		 $5,804.40–$8,044.40 $10,365–$14,365 varies
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) $8,625.13 $15,402.01 0.8×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571)
range across 4 matching MRF lines		 $4,378.64–$7,540.96 $7,819–$13,466 varies
Laryngoplasty; with open reduction and fixation of (eg, plating) fracture, includes tracheostomy, if performed Facility (31584) $7,231.28 $12,913 1.2×
Laryngoscopy and dilation (31528) $4,022.20 $7,182.50 1.0×
Laryngoscopy diagnostic (31505) $267.12 $477 1.3×
Laryngoscopy exc tum&/stripping cords/epiglott (31540)
range across 2 matching MRF lines		 $7,540.96–$8,044.40 $13,466–$14,365 varies
Laryngoscopy flexible diagnostic (31575) $268.80 $480 1.3×
Laryngoscopy Flexible Therapeutic Injection Uni (31573) $4,022.20 $7,182.50 2.1×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $267.12 $477 1.3×
Laryngoscopy W/Biopsy (31535) $6,918.24 $12,354 1.8×
Laryngoscopy w/biopsy microscope/telescope (31536) $8,044.40 $14,365 2.0×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $609.28 $1,088 1.5×
Larynscop w/tumr exc + scope (31541)
range across 2 matching MRF lines		 $7,380.24–$8,044.40 $13,179–$14,365 varies
Laser Surgery Anal Lesions (46917) $5,598.88 $9,998 1.9×
Laser treatment of retina (67040) $7,540.96 $13,466 1.7×
Late closure of wound (13160)
range across 2 matching MRF lines		 $5,770.80–$6,102.88 $10,305–$10,898 varies
Lateral Canthopexy (21282) $7,540.97 $13,466.01 2.2×
Lateral retinacular release open (27425) $8,044.40 $14,365 2.3×
Ligamentous Reconstruction Knee Extra-Articular (27427)
range across 3 matching MRF lines		 $4,022.20–$7,439.61 $7,182.50–$13,285.01 varies
Ligation of a-v fistula (37607) $10,758.17 $19,211.01 3.2×
Ligation or biopsy temporal artery (37609)
range across 3 matching MRF lines		 $5,598.88–$7,268.81 $9,998–$12,980.01 varies
Litholapaxy comp/lg > 2.5 cm (52318) $2,681.84 $4,789 0.7×
Litholapaxy smpl/sm <2.5 cm (52317)
range across 2 matching MRF lines		 $376.32–$2,240 $672–$4,000 varies
Lithotripsy, extracorporeal shock wave (50590)
range across 4 matching MRF lines		 $2,170.56–$19,745.05 $3,876–$35,259.01 varies
Low Back Disk Surgery (63030)
range across 6 matching MRF lines		 $560–$13,244.57 $1,000–$23,651.01 varies
Lumbar spine fusion combined (22633) $15,489.05 $27,659.01 0.5×
Male sling procedure (53440) $11,617.77 $20,746.01 0.8×
Manipulation Elbow Under Anesthesia (24300) $2,273.04 $4,059 1.3×
Manipulation knee joint under general anesthesia (27570)
range across 2 matching MRF lines		 $4,609.92–$5,598.88 $8,232–$9,998 varies
Manometric stds thru tube/ndwellg urtrl cath (50396) $1,781.92 $3,182 2.4×
Marsupialization of bartholin's gland cyst (56440)
range across 2 matching MRF lines		 $4,250.96–$6,102.88 $7,591–$10,898 varies
Mastectomy partial (19301)
range across 3 matching MRF lines		 $4,022.20–$6,102.89 $7,182.50–$10,898.01 varies
Mastectomy partial w/axillary lymphadenectomy (19302) $12,663.85 $22,614.01 1.8×
Mastectomy simple complete (19303)
range across 2 matching MRF lines		 $6,102.88–$16,094.41 $10,898–$28,740.01 varies
Mastopexy (19316)
range across 2 matching MRF lines		 $4,070.64–$5,403.30 $7,269–$9,648.75 varies
Maternity Care Procedure (59899) $333.76 $596 1.6×
Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed Facility (39401) $8,044.40 $14,365 1.3×
Mediastinoscpy w/lmph nod bx (39402) $10,758.17 $19,211.01 1.7×
Musc myocutaneous/fasciocutaneous flap uxtr (15736) $7,540.96 $13,466 3.5×
Muscle-skin graft trunk (15734) $560 $1,000 0.1×
Muscle/tendon transfer upper arm/elbow single (24301)
range across 2 matching MRF lines		 $1,258.33–$2,525.60 $2,247.01–$4,510 varies
Myelography Lumbar Injection (62305) $3,608.08 $6,443 4.4×
Myelography Lumbar Injection (62304) $3,608.08 $6,443 4.4×
Myelography via lumbar injection rs&i cervical (62302) $3,608.08 $6,443 4.4×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $3,932.88 $7,023 4.8×
Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) $4,022.20 $7,182.50 1.2×
N Block Inj Celiac Pelus (64530)
range across 3 matching MRF lines		 $2,274.72–$4,696.16 $4,062–$8,386 varies
N Block Inj Ilio-Ing/Hypogi (64425)
range across 4 matching MRF lines		 $1,261.68–$3,681.44 $2,253–$6,574 varies
N block inj intercost sng (64420) $2,226.56 $3,976 3.0×
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines		 $2,454.48–$3,681.44 $4,383–$6,574 varies
Nasal Endoscopy Dx (31231) $3,770.48 $6,733 17.9×
Nasal/Orogastric W/Tube Plmt (43752) $640.64 $1,144 1.4×
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $560 $1,000 0.1×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $7,540.96 $13,466 4.0×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)
range across 4 matching MRF lines		 $2,500.96–$7,540.96 $4,466–$13,466 varies
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
range across 3 matching MRF lines		 $1,150.25–$7,588.01 $2,054.01–$13,550.01 varies
Nasal/sinus ndsc total with sphenoidotomy (31257) $3,770.48 $6,733 0.5×
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
range across 3 matching MRF lines		 $7,540.96–$8,821.69 $13,466–$15,753.01 varies
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) $3,770.49 $6,733.01 0.5×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)
range across 2 matching MRF lines		 $2,514.40–$6,918.24 $4,490–$12,354 varies
Ndsc wrst surg w/rls transvrs carpl ligm (29848)
range across 2 matching MRF lines		 $3,785.60–$6,918.24 $6,760–$12,354 varies
Neck spine fusion (22600) $10,491.61 $18,735.01 0.6×
Needle Biopsy Lymph Nodes (38505) $4,570.72 $8,162 2.6×
Needle Biopsy Pancreas (48102) $3,404.80 $6,080 2.0×
Needle insertion w/o injection 1 or 2 muscles (20560) $45.92 $82 1.5×
Needle insertion w/o injection 3 or more muscles (20561) $45.92 $82 1.5×
Nerve Pedicle Transfer First Stage (64905) $18,899.45 $33,749.01 2.0×
Nerve Repair W/Nerve Allograft First Strand (64912)
range across 2 matching MRF lines		 $1,371.44–$8,982.41 $2,449–$16,040.01 varies
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 3 matching MRF lines		 $1,258.32–$7,540.96 $2,247–$13,466 varies
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708)
range across 4 matching MRF lines		 $908.60–$3,886.40 $1,622.50–$6,940 varies
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $3,169.60 $5,660 1.5×
Nipple Exploration (19110) $5,598.88 $9,998 1.4×
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines		 $2,339.12–$2,549.68 $4,177–$4,553 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 3 matching MRF lines		 $4,412.24–$4,809.28 $7,879–$8,588 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $3,812.48 $6,808 1.0×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $4,770.64 $8,519 1.3×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 4 matching MRF lines		 $1,187.20–$1,940.40 $2,120–$3,465 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines		 $2,048.48–$2,232.72 $3,658–$3,987 varies
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,029.84 $1,839 1.4×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 3 matching MRF lines		 $560–$1,949.36 $1,000–$3,481 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $1,748.32 $3,122 2.4×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430)
range across 2 matching MRF lines		 $1,905.68–$2,622.48 $3,403–$4,683 varies
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
range across 2 matching MRF lines		 $560–$3,920 $1,000–$7,000 varies
Occipital Nerve Block (64405)
range across 3 matching MRF lines		 $895.44–$1,464.40 $1,599–$2,615 varies
Onc pan-tumor DNA&RNA next-generation sequencing (0211U) $10,152.24 $18,129 1.2×
Open Implantation Nea Sacral Nerve (64581)
range across 2 matching MRF lines		 $3,459.12–$7,540.96 $6,177–$13,466 varies
Open implantation of neurostimulator electrode array; neuromuscular Facility (64580)
unusually low: confirm this is the full procedure		 $6,918.24 $12,354 0.3×
Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) $24,541.45 $43,824.01 0.8×
Open Treatment Bimalleolar Ankle Fracture (27814)
range across 2 matching MRF lines		 $3,690.13–$8,044.40 $6,589.51–$14,365 varies
Open treatment fracture distal tibia only (27827) $9,401.29 $16,788.01 0.7×
Open Treatment Grter Humeral Tuberosity Fracture (23630) $10,146.64 $18,119 1.3×
Open Treatment Humeral Condylar Fracture (24579) $10,758.17 $19,211.01 0.8×
Open Treatment Medial Malleolus Fracture (27766) $7,380.24 $13,179 1.0×
Open treatment metatarsal fracture each (28485) $7,540.96 $13,466 1.0×
Open treatment of acromioclavicular dislocation acute or chronic (23550) $8,092.85 $14,451.51 1.1×
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) $12,657.69 $22,603.01 1.7×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
range across 2 matching MRF lines		 $9,401.29–$9,870.01 $16,788.01–$17,625.01 varies
Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) $17,542.57 $31,326.01 2.8×
Open Treatment of Ulnar Shaft Fracture (25545)
likely a partial charge, not the full procedure		 $1,356.88 $2,423 0.2×
Open treatment posterior malleolus fracture (27769) $4,022.20 $7,182.50 0.5×
Open Treatment Radial Shaft Fracture (25515)
range across 2 matching MRF lines		 $8,044.40–$9,870.01 $14,365–$17,625.01 varies
Open tx acute shoulder dislocation (23660) $10,146.64 $18,119 1.3×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746)
range across 2 matching MRF lines		 $3,770.48–$3,842.16 $6,733–$6,861 varies
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $8,044.40 $14,365 1.1×
Open Tx Distal Phalangeal Fracture Each (26765) $4,588.64 $8,194 1.3×
Open Tx Distal Tibiofibular Joint Disruption (27829)
unusually low: confirm this is the full procedure		 $3,690.12 $6,589.50 0.5×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $7,540.96 $13,466 2.2×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $9,156 $16,350 2.7×
Open Tx Radial Head/Neck Fracture Prosth (24666)
likely a partial charge, not the full procedure		 $3,806.33 $6,797.01 0.3×
Open Tx Tibial Fracture Proximal Unicondylar (27535) $11,612.73 $20,737.01 1.5×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
range across 2 matching MRF lines		 $3,690.12–$8,625.13 $6,589.50–$15,402.01 varies
Open tx ulnar fx proximal end (24685) $9,870.01 $17,625.01 1.3×
Open/Perq Place Stent 1St (37236)
range across 4 matching MRF lines		 $7,380.25–$28,024.08 $13,179.01–$50,043 varies
Open/Perq Place Stent Same (37238)
range across 3 matching MRF lines		 $18,318.72–$30,546.32 $32,712–$54,547 varies
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $8,044.41 $14,365.01 1.1×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
range across 2 matching MRF lines		 $3,785.61–$16,185.69 $6,760.01–$28,903.01 varies
Optx fem fx prox end nck int fixj/prostc rplcmt (27236) $17,156.73 $30,637.01 2.2×
Optx humeral shft fx w/plate/screws w/wocerclage (24515) $9,870.01 $17,625.01 0.7×
Optx tibial fx prox bicondylar w/wo int fixj (27536) $11,158.01 $19,925.01 1.5×
Orchiectomy radical tumor inguinal approach (54530) $6,102.88 $10,898 1.6×
Orchiopexy Ingun/Scrot Appr (54640) $3,770.48 $6,733 1.0×
Ostectomy calcaneus (28118)
range across 2 matching MRF lines		 $1,885.24–$3,770.48 $3,366.50–$6,733 varies
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $2,020.48 $3,608 0.6×
Osteochondral knee autograft (27416) $8,044.41 $14,365.01 1.1×
Osteochondral talus autogrft (28446)
unusually low: confirm this is the full procedure		 $2,689.54 $4,802.75 0.4×
Osteoplasty Radius/Ulna Shortening (25390) $5,395.21 $9,634.30 0.7×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308)
range across 2 matching MRF lines		 $6,182.41–$7,540.96 $11,040.01–$13,466 varies
Osteotomy calcaneus w/wo internal fixation (28300)
range across 2 matching MRF lines		 $3,770.48–$8,841.29 $6,733–$15,788.01 varies
Parathyroidectomy or exploration of parathyroid(s); (60500)
range across 2 matching MRF lines		 $8,860.88–$15,740.49 $15,823–$28,108.01 varies
Part remv talus or calcaneus (28120) $1,921.08 $3,430.50 0.6×
Partial excision of lip (40520) $7,540.96 $13,466 2.2×
Partial Excision Proximal/Middle Phalanx Finger (26235)
range across 3 matching MRF lines		 $2,800–$7,380.24 $5,000–$13,179 varies
Partial hymenectomy or revision of hymenal ring (56700) $6,102.88 $10,898 1.8×
Partial removal of fibula (27641) $2,513.62 $4,488.60 0.7×
Partial removal of thyroid (60220)
range across 2 matching MRF lines		 $12,988.65–$15,740.49 $23,194.01–$28,108.01 varies
Partial removal of tibia (27640) $2,940.56 $5,251 0.9×
Partial removal of toe (28160) $6,102.88 $10,898 1.8×
Partial removal of tongue (41120) $6,102.88 $10,898 1.0×
Pelvic examination under anesthesia (other than local) (57410)
range across 2 matching MRF lines		 $4,473.28–$6,102.88 $7,988–$10,898 varies
Penile Injection (54235) $432.32 $772 1.6×
Penis plastic surgery (54360) $8,821.69 $15,753.01 2.4×
Perc Cryo Ablate Renal Tum (50593) $8,587.04 $15,334 0.8×
Perc Rf Ablate Renal Tumor (50592)
range across 4 matching MRF lines		 $4,247.04–$4,629.52 $7,584–$8,267 varies
Percut Ablate Liver Rf (47382) $13,713.84 $24,489 2.2×
Percut Drain/Inject Renal Cyst (50390) $3,720.64 $6,644 5.0×
Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582)
unusually low: confirm this is the full procedure		 $3,770.48 $6,733 0.5×
Percutaneous skeletal fixation of ulnar styloid fracture (25651) $4,937.52 $8,817 1.4×
Peri-Implant Capsulectomy Breast Complete (19371)
range across 2 matching MRF lines		 $7,380.24–$10,102.41 $13,179–$18,040.01 varies
Pericardiocentesis W/Imaging (33016) $2,145.92 $3,832 1.3×
Periurethral tprnl adjtbl balo cntnc dev rmvl ea (53453) $7,540.96 $13,466 2.0×
Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and… (53451)
unusually low: confirm this is the full procedure		 $6,918.24 $12,354 0.5×
Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and… (53452) $7,540.96 $13,466 0.8×
Perq Cervicothoracic Inject (22510) $10,815.28 $19,313 3.1×
Perq dev breast 1st strtctc (19283) $2,003.68 $3,578 2.7×
Perq dev breast 1st us imag (19285) $2,106.72 $3,762 2.8×
Perq device breast 1st imag (19281) $2,283.68 $4,078 1.3×
Perq Lumbosacral Injection (22511) $9,922.08 $17,718 2.9×
Perq Radiofreq Ablation Tx, Pul Tumor (32998) $7,280 $13,000 1.1×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,611.12 $2,877 2.2×
Perq skel fixj distal radial fx/epiphysl sep (25606)
range across 2 matching MRF lines		 $4,588.64–$7,540.96 $8,194–$13,466 varies
Perq thrmbc/nfs dial circuit trluml balo angiop (36905)
range across 2 matching MRF lines		 $8,625.13–$11,158.01 $15,402.01–$19,925.02 varies
Perq thrmbc/nfs dialysis circuit img dx angrph (36904)
range across 2 matching MRF lines		 $7,380.24–$16,668.40 $13,179–$29,765 varies
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $22,163.12 $39,577 2.9×
Perq Vertebral Augmentation (22513) $22,163.12 $39,577 2.9×
Phleb Veins - Extrem 20+ (37766)
range across 2 matching MRF lines		 $1,069.60–$3,051.44 $1,910–$5,449 varies
Pin hand dislocation (26676) $6,102.88 $10,898 1.8×
Place breast rad tube/caths (19298)
unusually low: confirm this is the full procedure		 $4,942 $8,825 0.3×
Place Cath Subclavian Art (36225)
range across 2 matching MRF lines		 $11,556.16–$17,334.24 $20,636–$30,954 varies
Place Cath Thoracic Aorta (36221) $3,628.81 $6,480.02 1.1×
Place Cath Vertebral Art (36226)
range across 2 matching MRF lines		 $14,478.24–$21,717.36 $25,854–$38,781 varies
Place Duod/Jej Tube Perc (49441) $3,951.92 $7,057 2.0×
Place ndl musc/tis for rt (20555) $3,491.60 $6,235 1.0×
Placement needle head/neck radioelement applicat (41019) $3,922.24 $7,004 0.6×
Placement Needle Pelvic Organ Radioelement Appl (55920) $8,846.88 $15,798 1.7×
Placement of needle for intraosseous infusion (36680) $504.56 $901 1.1×
Placement of seton (46020) $3,051.44 $5,449 1.0×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $6,918.24 $12,354 1.1×
Plmt expandable cath brst following prtl mast (19296) $7,843.92 $14,007 0.9×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 4 matching MRF lines		 $8,373.68–$12,811.12 $14,953–$22,877 varies
Plmt Nephroureteral Catheter (50433) $8,540.56 $15,251 2.3×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $8,144.08 $14,543 2.2×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693)
range across 3 matching MRF lines		 $8,144.08–$11,207.28 $14,543–$20,013 varies
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $12,805.52 $22,867 3.4×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
likely a partial charge, not the full procedure		 $560 $1,000 0.1×
Prim art mech thrombectomy (37184)
range across 2 matching MRF lines		 $12,673.92–$19,010.88 $22,632–$33,948 varies
Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) $6,972.28 $12,450.50 12.0×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $3,138.24 $5,604 4.2×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $7,902.72 $14,112 2.1×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $7,250.32 $12,947 1.9×
Prq skel fixj femoral fx prox end neck (27235) $8,044.40 $14,365 1.1×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) $6,918.24 $12,354 0.9×
Prq Skeletal Fixj Distal Radioulnar Dislocation (25671) $3,785.60 $6,760 1.1×
Punch biopsy skin single lesion (11104)
range across 3 matching MRF lines		 $540.40–$6,102.88 $965–$10,898 varies
Puncture aspiration abscess hematoma bulla/cyst (10160) $525.84 $939 1.2×
Puncture Aspiration Cyst Breast (19000) $1,259.44 $2,249 1.7×
Puncture shunt tube/reservoir aspiration/inj px (61070) $1,179.92 $2,107 1.6×
Radical styloidectomy separate procedure (25230)
range across 2 matching MRF lines		 $2,245.32–$5,122.88 $4,009.50–$9,148 varies
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625)
range across 3 matching MRF lines		 $2,758–$4,136.72 $4,925–$7,387 varies
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541)
range across 2 matching MRF lines		 $3,045.06–$3,770.49 $5,437.60–$6,733.01 varies
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238)
range across 2 matching MRF lines		 $5,598.88–$7,540.96 $9,998–$13,466 varies
Rdctj torsion tstis w/wo fixj clat testis (54600) $6,102.88 $10,898 1.6×
Realignment extensor tendon hand each tendon (26437) $5,598.88 $9,998 1.6×
Reconstruct elbow med ligmnt (24346) $22,970.09 $41,018.01 1.7×
Reconstruct Finger Joint (26548)
range across 2 matching MRF lines		 $3,045.06–$7,540.97 $5,437.60–$13,466.01 varies
Reconstruct ulna/radioulnar (25337)
unusually low: confirm this is the full procedure		 $2,543.52 $4,542 0.3×
Reconstruction Nail Bed W/Graft (11762) $6,102.88 $10,898 2.8×
Reduction of rectal prolapse (45900) $1,648.08 $2,943 1.7×
Release Intrinsic Muscles Hand Each Muscle (26593) $560 $1,000 0.2×
Relocation Pocket Pacemaker (33222) $3,011.68 $5,378 1.4×
Rem Endovas Vena Cava Filter (37193) $8,680 $15,500 2.6×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $3,035.76 $5,421 3.2×
Removal Embedded Foreign Body Eyelid (67938) $834.40 $1,490 2.5×
Removal Foreign Body Deep Thigh/Knee (27372)
range across 2 matching MRF lines		 $4,022.48–$9,489.76 $7,183–$16,946 varies
Removal foreign body foot deep (28192) $2,279.76 $4,071 1.3×
Removal Foreign Body Foot Subcutaneous (28190) $1,683.92 $3,007 2.3×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $2,279.76 $4,071 1.3×
Removal foreign body, intranasal; requiring general anesthesia (30310)
range across 3 matching MRF lines		 $3,905.44–$6,918.24 $6,974–$12,354 varies
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $224–$232.40 $400–$415 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $254.80–$6,102.88 $455–$10,898 varies
Removal Implant Deep (20680)
range across 4 matching MRF lines		 $2,543.52–$8,718.27 $4,542–$15,568.34 varies
Removal Implant Superficial Separate Procedure (20670) $7,540.96 $13,466 4.3×
Removal intact breast implant (19328) $7,540.96 $13,466 1.8×
Removal of adenoids (42831) $5,038.88 $8,998 1.4×
Removal of adenoids (42830) $5,598.88 $9,998 1.6×
Removal of esophageal sphincter augmentation device (43285)
likely a partial charge, not the full procedure		 $560 $1,000 0.1×
Removal of foreign body from pharynx (42809) $440.72 $787 0.9×
Removal of implanted material, anterior segment of eye (65920) $6,972.28 $12,450.50 2.9×
Removal of nail bed (11750) $793.52 $1,417 1.9×
Removal of sesamoid bone (28315) $3,367.46 $6,013.33 1.0×
Removal of tonsils (42825) $5,598.88 $9,998 0.9×
Removal of tonsils (42826) $5,598.88 $9,998 1.6×
Removal of tunneled intraperitoneal catheter (49422) $5,332.88 $9,523 1.6×
Removal of wrist bone (25210)
range across 2 matching MRF lines		 $560–$1,120 $1,000–$2,000 varies
Removal or bivalving full arm or full leg cast (29705) $391.44 $699 1.3×
Removal Pacemaker Electrode (33235) $4,816.56 $8,601 1.2×
Removal ppm generator only (33233) $11,413.92 $20,382 1.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 3 matching MRF lines		 $130.48–$560 $233–$1,000 varies
Removal subcutaneous cardiac rhythm monitor (33286) $1,431.36 $2,556 1.9×
Removal Sutures/Staples Requiring Anesthesia (15851) $3,886.40 $6,940 1.8×
Removal/bivalving gauntlet boot/body cast (29700) $391.44 $699 1.3×
Remove Ankle Joint Lining (27626) $6,102.88 $10,898 1.8×
Remove drug implant device (11982) $3,459.12 $6,177 7.3×
Remove Elctrd Transvenously (33244) $5,250 $9,375 1.3×
Remove finger bone (26185) $1,920.80 $3,430 1.1×
Remove foreign body from eye (65235) $8,976.80 $16,030 3.7×
Remove foreign body from eye (65205)
range across 3 matching MRF lines		 $883.12–$962.64 $1,577–$1,719 varies
Remove Intrauterine Device (58301)
range across 3 matching MRF lines		 $208.88–$4,022.20 $373–$7,182.50 varies
Remove intrvas foreign body (37197) $14,915.04 $26,634 4.5×
Remove lung catheter (32552) $1,609.44 $2,874 2.4×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $342.16–$372.96 $611–$666 varies
Remove prostate regrowth (52630) $8,044.40 $14,365 1.4×
Remove Pulse Generator (33241)
range across 2 matching MRF lines		 $4,816.56–$5,250 $8,601–$9,375 varies
Remove renal tube w/fluoro (50389)
range across 2 matching MRF lines		 $1,905.68–$2,622.48 $3,403–$4,683 varies
Remove spine eltrd plate (63662) $3,051.44 $5,449 0.8×
Remove tissue expander (11971) $7,280 $13,000 2.4×
Remove ureter stent percut (50384) $5,467.84 $9,764 2.5×
Remove vc lesion w/scope (31545) $8,044.41 $14,365.01 2.0×
Remove&replace pm gen singl (33227) $21,355.04 $38,134 2.4×
Remove/replace penis prosth (54410)
unusually low: confirm this is the full procedure		 $7,540.97 $13,466.01 0.3×
Remv&replc cvd gen dual lead (33263) $40,778.08 $72,818 1.7×
Remv&replc cvd gen mult lead (33264) $45,974.88 $82,098 1.4×
Remv&replc cvd gen sing lead (33262) $40,778.08 $72,818 1.7×
Remv&replc pm gen dual lead (33228) $21,550.48 $38,483 2.0×
Remv&replc pm gen mult leads (33229) $26,056.24 $46,529 1.3×
Renal Biopsy Perq (50200) $4,710.16 $8,411 2.7×
Reopen fallopian tube (58350) $3,770.48 $6,733 0.7×
Repair Achilles Tendon (27650)
range across 2 matching MRF lines		 $6,918.24–$10,146.64 $12,354–$18,119 varies
Repair Blood Vessel Direct Hand Finger (35207) $4,637.36 $8,281 1.4×
Repair Blood Vessel Direct Upper Extremity (35206) $4,637.36 $8,281 1.4×
Repair brow ptosis (67900) $14,087.92 $25,157 5.6×
Repair Choanal Atresia Intranasal (30540) $5,502 $9,825 0.9×
Repair Collat Ankle Ligmnt,Secondary (27698)
range across 2 matching MRF lines		 $3,770.48–$6,918.24 $6,733–$12,354 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $560–$1,924.16 $1,000–$3,436 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,347.36 $2,406 1.7×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $561.12 $1,002 1.3×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $848.96–$3,770.48 $1,516–$6,733 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $848.96 $1,516 2.0×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $1,539.44–$3,051.44 $2,749–$5,449 varies
Repair complex trunk 2.6-7.5 cm (13101)
range across 3 matching MRF lines		 $3,549.70–$15,225.29 $6,338.75–$27,188.01 varies
Repair detached retina (67105) $4,263.84 $7,614 7.3×
Repair Elbow Perc (24357) $3,590.72 $6,412 1.0×
Repair Extensor Tendon Finger W/Graft Each (26420) $9,600.65 $17,144.01 2.8×
Repair extensor tendon finger w/o graft each (26418)
range across 4 matching MRF lines		 $2,210.32–$6,102.88 $3,947–$10,898 varies
Repair Finger/Hand Tendon (26350) $6,027.84 $10,764 1.7×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658)
range across 2 matching MRF lines		 $3,770.48–$6,405.28 $6,733–$11,438 varies
Repair Foot Dislocation (28615)
range across 2 matching MRF lines		 $6,918.24–$7,540.96 $12,354–$13,466 varies
Repair Forearm Tendon Sheath (25275) $1,683.74 $3,006.67 0.5×
Repair Hallux Rigidus (28289) $1,960 $3,500 0.6×
Repair Hand Joint (26540)
range across 4 matching MRF lines		 $1,885.24–$7,540.97 $3,366.50–$13,466.01 varies
Repair Hand Tendon (26410) $2,256.80 $4,030 1.3×
Repair humerus with graft (24435)
range across 2 matching MRF lines		 $12,841.93–$14,828.81 $22,932.01–$26,480.01 varies
Repair incomplete circumcision (54163) $6,102.88 $10,898 2.8×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $7,540.96 $13,466 2.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 3 matching MRF lines		 $765.52–$7,540.96 $1,367–$13,466 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $765.52–$834.40 $1,367–$1,490 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $1,353.52–$1,475.60 $2,417–$2,635 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,731.52 $3,092 4.0×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $660.80 $1,180 0.8×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $706.72–$770.56 $1,262–$1,376 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $1,218.56 $2,176 2.8×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $962.64 $1,719 1.2×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,090.32 $1,947 2.5×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $561.12 $1,002 1.3×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 3 matching MRF lines		 $560–$1,090.32 $1,000–$1,947 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $848.96 $1,516 1.1×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $1,000.16–$1,090.32 $1,786–$1,947 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 3 matching MRF lines		 $560–$11,383.13 $1,000–$20,327.01 varies
Repair Lead Pace-Defib One (33218) $11,371.92 $20,307 2.9×
Repair nasal septal perforations (30630) $5,122.88 $9,148 1.5×
Repair Nasal Vestibular Stenosis (30465) $6,918.24 $12,354 1.1×
Repair Nonunion Hand (26546)
range across 2 matching MRF lines		 $560–$10,102.41 $1,000–$18,040.01 varies
Repair of biceps tendon (24340)
range across 2 matching MRF lines		 $4,022.20–$6,260.24 $7,182.50–$11,179 varies
Repair of fibula nonunion and/or malunion with internal fixation (27726) $8,718.27 $15,568.34 1.1×
Repair of metatarsals (28322) $7,540.96 $13,466 1.0×
Repair of nail bed (11760) $848.96 $1,516 1.1×
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) $16,185.69 $28,903.01 2.1×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) $8,063.44 $14,399 1.1×
Repair of Ruptured Tendon (24342) $11,383.13 $20,327.01 1.5×
Repair retinal detach cplx (67113)
range across 2 matching MRF lines		 $8,093.13–$11,617.77 $14,452.01–$20,746.01 varies
Repair Retinal Detachment Scleral Buckling (67107)
range across 3 matching MRF lines		 $6,918.24–$17,786.73 $12,354–$31,762.01 varies
Repair Rotator Cuff Chronic (23412) $12,663.85 $22,614.01 1.7×
Repair secondary achilles tendon w/wo graft (27654)
likely a partial charge, not the full procedure		 $1,885.25 $3,366.51 0.2×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $4,588.64 $8,194 1.3×
Repair tongue laceration (41250) $440.72 $787 0.9×
Repair, primary, disrupted ligament, ankle; collateral (27695)
unusually low: confirm this is the full procedure		 $3,770.48 $6,733 0.5×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) $6,194.73 $11,062.01 0.8×
Repair/graft achilles tendon (27652)
range across 2 matching MRF lines		 $7,540.96–$9,401.29 $13,466–$16,788.01 varies
Repair/Graft Wrist Bone (25440) $17,542.57 $31,326.01 2.3×
Repair/Revise Wrist Joint (25320)
range across 3 matching MRF lines		 $1,120–$7,540.97 $2,000–$13,466.01 varies
Replace duodenostomy/jejunostomy tube perq (49451) $1,609.44 $2,874 1.7×
Replace elbow joint (24363) $32,468.25 $57,979.01 1.8×
Replace G-J Tube Perc (49452) $1,609.44 $2,874 1.7×
Replace g/c tube perc (49450) $1,609.44 $2,874 1.7×
Replacement Tissue Expander W/Permanent Implant (11970)
range across 3 matching MRF lines		 $8,044.40–$14,000.01 $14,365–$25,000.01 varies
Reposition Gastrostomy Tube (43761) $2,710.40 $4,840 10.3×
Reposition L Ventric Lead (33226) $4,367.44 $7,799 1.3×
Reposition Pacing-Defib Lead (33215) $4,006.80 $7,155 1.2×
Reposition Venous Catheter (36597) $2,873.92 $5,132 1.7×
Repr elbow lat ligmnt w/tiss (24343) $3,806.32 $6,797 1.1×
Rerepair ing hernia reduce (49520) $7,540.96 $13,466 2.0×
Rev/rmv prph sac/gstr npg/r (64595)
range across 2 matching MRF lines		 $3,051.44–$3,770.48 $5,449–$6,733 varies
Revis reconst shoulder joint (23473)
range across 2 matching MRF lines		 $8,860.88–$9,625.28 $15,823–$17,188 varies
Revis shoulder arthrplsty humeral&glenoid compnt (23474) $24,655.13 $44,027.01 1.8×
Revise external ear (69300) $15,225.29 $27,188.01 4.4×
Revise Hand/Foot Nerve (64704)
range across 2 matching MRF lines		 $1,683.74–$2,543.52 $3,006.67–$4,542 varies
Revise knuckle joint (26530) $11,383.13 $20,327.01 1.5×
Revise palsy hand tendon(s) (25315) $8,434.73 $15,062.01 1.1×
Revise thumb tendon (26496) $4,634.01 $8,275.01 1.3×
Revise ulnar nerve at wrist (64719)
range across 2 matching MRF lines		 $1,258.32–$2,525.60 $2,247–$4,510 varies
Revise Wrist/Forearm Tendon (25280)
range across 2 matching MRF lines		 $2,108.68–$3,785.60 $3,765.50–$6,760 varies
Revise/Implant Finger Joint (26536)
range across 4 matching MRF lines		 $4,490.64–$12,359.77 $8,019–$22,071.01 varies
Revise/Repair Finger/Toe Nerve (64702)
range across 2 matching MRF lines		 $3,200.18–$7,540.96 $5,714.60–$13,466 varies
Revision of lower leg tendon (27685) $1,960 $3,500 0.6×
Revision of reconstructed breast (19380)
range across 6 matching MRF lines		 $3,392.48–$24,326.97 $6,058–$43,441.01 varies
Revision Peri-Implant Capsule Breast (19370) $10,758.17 $19,211.01 2.6×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) $18,838.41 $33,640.01 1.0×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) $10,491.60 $18,735 0.8×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $3,051.44 $5,449 0.8×
Revj/rmvl peripheral neurostimulator electrode (64585) $3,051.44 $5,449 0.8×
Rhinoplasty primary w/major septal repair (30420) $3,770.49 $6,733.01 0.6×
Rhinoplasty Secondary Major Revision (30450) $5,502.01 $9,825.01 0.9×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $4,513.60 $8,060 2.0×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $440.72 $787 0.9×
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $279.44–$304.64 $499–$544 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $440.72 $787 0.9×
Rmvl fecal impaction/fb spx under anes (45915)
range across 2 matching MRF lines		 $1,831.20–$6,102.88 $3,270–$10,898 varies
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)
range across 2 matching MRF lines		 $3,051.44–$3,841.04 $5,449–$6,859 varies
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $2,279.76 $4,071 1.3×
Rmvl Implt Matrl Posterior Segment Intraocular (67121) $6,918.24 $12,354 2.8×
Rmvl of subq implantable defibrillator electrode (33272) $5,300.96 $9,466 1.3×
Rmvl Synth Rod & Insj Flxr Tdn Grf H/F Ea Rod (26392)
range across 2 matching MRF lines		 $3,200.18–$3,391.37 $5,714.60–$6,056.01 varies
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $5,250 $9,375 1.3×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 3 matching MRF lines		 $2,159.36–$7,540.96 $3,856–$13,466 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 3 matching MRF lines		 $1,476.16–$6,102.88 $2,636–$10,898 varies
Rplc Gtube No Revj Trc (43762) $1,174.88 $2,098 4.5×
Rplcmt cath ctr vad subq port/pmp (36578) $6,809.04 $12,159 2.0×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $3,132.64 $5,594 1.9×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $2,056.88 $3,673 1.2×
Rplcmt compl tun ctr vad w/subq port (36582) $7,586.88 $13,548 2.3×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $7,484.40 $13,365 2.2×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $8,625.13 $15,402.01 1.4×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $6,918.25 $12,354.01 1.8×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) $10,758.17 $19,211.01 1.6×
Rpr aa hernia recr 3-10 cm reducible (49615) $14,828.81 $26,480.01 2.2×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
likely a partial charge, not the full procedure		 $560 $1,000 0.1×
Rpr aa hrn 1st 3-10 rdc (49593) $8,158.65 $14,569.01 1.2×
Rpr aa hrn 1st < 3 ncr/strn (49592) $6,918.24 $12,354 1.1×
Rpr blood vessel direct lower extremity (35226)
range across 2 matching MRF lines		 $448–$2,889.04 $800–$5,159 varies
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $417.76 $746 2.0×
Rpr flexor tendon leg secondary w/o graft each (27659) $4,032 $7,200 0.5×
Rpr Lip Full Thickness Vermilion Only (40650) $898.24 $1,604 1.6×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $2,084.32 $3,722 1.3×
Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108)
range across 2 matching MRF lines		 $6,918.24–$10,442.89 $12,354–$18,648.01 varies
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $2,306.08 $4,118 0.7×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $4,588.64 $8,194 1.3×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $5,600 $10,000 1.6×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $6,581.69 $11,753.01 1.9×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $3,886.40 $6,940 1.1×
Sclerotx Fluid Collection (49185) $1,736 $3,100 1.0×
Scrotal exploration (55110) $7,540.96 $13,466 2.0×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $560 $1,000 0.2×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $572.04 $1,021.50 0.5×
Shave skin lesion 0.5 cm/< (11300) $561.12 $1,002 1.3×
Sigmoidoscopy & Polypectomy (45333) $583.55 $1,042.05 0.6×
Sigmoidoscopy w/fb removal (45332) $1,742.72 $3,112 1.4×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 3 matching MRF lines		 $572.04–$1,247.12 $1,021.50–$2,227 varies
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $663.57 $1,184.95 0.5×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $561.12 $1,002 1.3×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $383.04–$417.76 $684–$746 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 3 matching MRF lines		 $383.04–$417.76 $684–$746 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $383.04–$417.76 $684–$746 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 3 matching MRF lines		 $383.04–$417.76 $684–$746 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $1,154.16 $2,061 5.5×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $383.04–$417.76 $684–$746 varies
Skin sub graft face/nk/hf/g (15275) $560 $1,000 0.7×
Skin Tissue Procedure (17999) $4,884.86 $8,722.96 23.1×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 2 matching MRF lines		 $21,364–$32,046 $38,150–$57,225 varies
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 2 matching MRF lines		 $8,734.32–$13,101.76 $15,597–$23,396 varies
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 2 matching MRF lines		 $14,478.24–$23,195.20 $25,854–$41,420 varies
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $2,800 $5,000 0.5×
Small bowel endoscopy (44366) $2,143.40 $3,827.50 1.1×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 4 matching MRF lines		 $374.64–$8,141.28 $669–$14,538 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $561.12 $1,002 1.3×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $561.12 $1,002 1.3×
Spinal puncture lumbar diagnostic (62270) $1,631.84 $2,914 2.2×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $2,561.44 $4,574 0.7×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $7,540.96 $13,466 3.5×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $3,051.44 $5,449 0.9×
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660)
likely a partial charge, not the full procedure		 $560 $1,000 0.1×
Strapping elbow or wrist (29260) $257.04 $459 4.1×
Strapping hand/finger (29280) $257.04 $459 4.1×
Strapping knee (29530) $78.96 $141 0.6×
Strapping shoulder (29240) $257.04 $459 1.8×
Strapping toes (29550) $257.04 $459 4.1×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140)
range across 3 matching MRF lines		 $560–$8,965.04 $1,000–$16,009 varies
Surg nasopharyngoscopy dilat eustachian tube bi (69706) $6,918.24 $12,354 1.1×
Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705)
range across 2 matching MRF lines		 $3,051.44–$6,102.88 $5,449–$10,898 varies
Surg tx anal fistula subq (46270) $3,770.48 $6,733 1.3×
Suture infrapatellar tendon primary (27380) $21,159.04 $37,784 2.8×
Suture of quadriceps or hamstring muscle rupture primary (27385)
range across 3 matching MRF lines		 $7,540.96–$8,917.44 $13,466–$15,924 varies
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) $8,821.69 $15,753.01 1.2×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $3,051.44 $5,449 1.8×
Tangential biopsy skin single lesion (11102) $378 $675 0.9×
Tcat Insj/Rpl Perm Ldls Pm (33274) $19,678.40 $35,140 1.0×
Tenodesis long tendon biceps (23430)
range across 4 matching MRF lines		 $3,690.12–$7,380.24 $6,589.50–$13,179 varies
Tenolysis flexor tendon palm&finger each tendo (26442) $56 $100 0.0×
Tenolysis flexor tendon palm/finger each tendon (26440)
range across 3 matching MRF lines		 $3,051.44–$8,625.13 $5,449–$15,402.01 varies
Tenolysis, extensor tendon, hand or finger, each tendon (26445)
range across 5 matching MRF lines		 $1,885.24–$4,118.25 $3,366.50–$7,354.01 varies
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295)
range across 4 matching MRF lines		 $560–$3,367.98 $1,000–$6,014.25 varies
Tenotomy Flexor Finger Open Each Tendon (26455) $6,102.88 $10,898 3.6×
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306)
range across 2 matching MRF lines		 $4,627.84–$5,044.48 $8,264–$9,008 varies
Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) $5,491.36 $9,806 1.6×
Tenotomy, open, elbow to shoulder, each tendon Facility (24310) $1,683.74 $3,006.67 0.5×
Ther Spi Pnxr Csf Fluor/Ct (62329) $4,264.40 $7,615 5.7×
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) $8,317.12 $14,852 1.4×
Thrmbc/Nfs Dialysis Circuit (36906) $11,114.89 $19,848.01 0.6×
Thromblytic art/ven therapy (37213)
range across 2 matching MRF lines		 $4,394.88–$6,592.32 $7,848–$11,772 varies
Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372)
likely a partial charge, not the full procedure		 $515.20 $920 0.1×
Thrombolytic Art Therapy (37211)
range across 2 matching MRF lines		 $24,599.12–$36,898.96 $43,927–$65,891 varies
Thrombolytic Therapy Stroke (37195) $885.92 $1,582 2.5×
Thrombolytic Venous Therapy (37212)
range across 2 matching MRF lines		 $24,599.12–$36,898.96 $43,927–$65,891 varies
Thyroid biopsy (60100) $1,152.48 $2,058 1.5×
Tibial Arthroscopy/Surgery (29855) $6,057.53 $10,817.01 0.8×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $5,598.88 $9,998 2.6×
Tissue Expander Placement Breast Reconstruction (19357)
range across 4 matching MRF lines		 $5,403.31–$16,713.77 $9,648.76–$29,846.01 varies
Tlh uterus over 250 g (58572) $12,657.69 $22,603.01 1.1×
Tnot elbow lateral/medial debride open tdn rpr (24359) $6,102.88 $10,898 1.8×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $6,102.88 $10,898 1.7×
Tooth extraction (41899) $6,091.68 $10,878 24.4×
Total Knee Arthroplasty (27447)
range across 4 matching MRF lines		 $8,860.88–$20,507.76 $15,823–$36,621 varies
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) $21,655.77 $38,671.01 3.4×
Tprnl Plmt Biodegrdabl Matrl (55874) $7,355.60 $13,135 1.3×
Transcatheter biopsy (37200) $8,933.12 $15,952 1.5×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772)
range across 3 matching MRF lines		 $2,940.56–$7,043.96 $5,251–$12,578.50 varies
Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) $8,846.88 $15,798 1.6×
Transplant/graft hand tendon (26483) $10,102.41 $18,040.01 2.9×
Transur electr resection of prostate (52601) $7,380.24 $13,179 1.3×
Transurethral resection bladder neck (52500) $8,044.40 $14,365 2.2×
Treat ankle fracture (28445) $7,380.24 $13,179 1.0×
Treat Dental Ridge Fracture (21440) $4,432.96 $7,916 1.3×
Treat ectopic pregnancy (59151) $8,093.13 $14,452.01 1.3×
Treat Fx Rad Extra-Articul (25607)
range across 2 matching MRF lines		 $7,380.24–$8,044.41 $13,179–$14,365.01 varies
Treat Humerus Fracture (24505) $2,256.80 $4,030 1.3×
Treat knee fracture (27532) $4,588.64 $8,194 1.3×
Treat kneecap dislocation (27566)
unusually low: confirm this is the full procedure		 $3,690.13 $6,589.51 0.5×
Treat Kneecap Fracture (27524) $9,401.29 $16,788.01 1.2×
Treat Knuckle Dislocation (26700) $526.96 $941 2.0×
Treat Metatarsal Fracture (28475)
range across 2 matching MRF lines		 $334.32–$2,513.66 $597–$4,488.67 varies
Treat scapula fracture (23585) $7,380.24 $13,179 1.0×
Treat Tail Bone Fracture (27200) $334.32 $597 1.3×
Treat Thumb Dislocation (26641) $347.76 $621 1.3×
Treat Thumb Fracture (26645) $2,256.80 $4,030 1.3×
Treat thumb fracture (26665) $8,821.69 $15,753.01 2.6×
Treat toe dislocation (28630) $882 $1,575 3.4×
Treatment Closed Elbow Dislocation Req Anes (24605) $2,256.80 $4,030 1.3×
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $588.56–$641.76 $1,051–$1,146 varies
Treatment of ankle fracture (27823)
range across 2 matching MRF lines		 $7,380.25–$13,471.93 $13,179.01–$24,057.01 varies
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines		 $122.08–$244.16 $218–$436 varies
Trluml Balo Angiop 1St Art (37246) $17,878.56 $31,926 3.0×
Trluml Balo Angiop 1St Vein (37248)
range across 2 matching MRF lines		 $9,401.29–$17,878.56 $16,788.01–$31,926 varies
Tx Gastro Intub W/Asp (43753) $624.96 $1,116 2.7×
Tx Incomplete Abortion Any Trimester Surgical (59812) $5,598.88 $9,998 1.6×
Tx Missed Abortion First Trimester Surgical (59820) $5,598.88 $9,998 1.6×
Tx Missed Abortion Second Trimester Surgical (59821) $6,102.88 $10,898 1.8×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $1,347.36–$3,051.44 $2,406–$5,449 varies
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
range across 3 matching MRF lines		 $5,379.08–$15,657.05 $9,605.50–$27,959.01 varies
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $6,102.88 $10,898 3.7×
Tympanoplasty (69631)
range across 2 matching MRF lines		 $560–$8,714.16 $1,000–$15,561 varies
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635)
range across 2 matching MRF lines		 $11,200.01–$15,225.29 $20,000.01–$27,188.01 varies
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) $11,383.13 $20,327.01 1.8×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633)
range across 3 matching MRF lines		 $6,983.77–$10,442.89 $12,471.01–$18,648.01 varies
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) $7,268.81 $12,980.01 1.2×
Tympanostomy general anesthesia (69436)
range across 3 matching MRF lines		 $1,120–$6,102.88 $2,000–$10,898 varies
Unlisted Cardiac Surgery (33999) $2,520 $4,500 3.8×
Unlisted laparoscopy procedure appendix (44979)
likely a partial charge, not the full procedure		 $560 $1,000 0.1×
Unlisted laparoscopy procedure stomach (43659) $6,102.88 $10,898 1.0×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
likely a partial charge, not the full procedure		 $560 $1,000 0.1×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
range across 2 matching MRF lines		 $3,360–$3,690.12 $6,000–$6,589.50 varies
Unlisted laparoscopy procedure, intestine (except rectum) (44238) $5,998.72 $10,712 0.9×
Unlisted procedure anus (46999) $5,598.88 $9,998 5.7×
Unlisted procedure arthroscopy (29999)
range across 2 matching MRF lines		 $6,735.96–$7,540.96 $12,028.50–$13,466 varies
Unlisted procedure breast (19499) $3,137.68 $5,603 0.8×
Unlisted procedure colon (45399) $946.96 $1,691 1.0×
Unlisted Procedure Endocrine System (60699) $8,246 $14,725 1.3×
Unlisted procedure femur or knee (27599) $6,102.88 $10,898 23.5×
Unlisted procedure humerus/elbow (24999) $3,770.48 $6,733 14.5×
Unlisted Procedure Intestine (44799) $3,770.48 $6,733 3.9×
Unlisted Procedure Muscskeletal System General (20999)
range across 2 matching MRF lines		 $2,689.54–$13,713.84 $4,802.75–$24,489 varies
Unlisted procedure neck or thorax (21899) $10,102.41 $18,040.01 40.4×
Unlisted procedure nervous system (64999)
range across 3 matching MRF lines		 $863.52–$6,102.88 $1,542–$10,898 varies
Unlisted procedure pelvis/hip joint (27299) $7,540.96 $13,466 29.0×
Unlisted Procedure Rectum (45999) $6,102.88 $10,898 6.2×
Unlisted Procedure Vascular Surgery (37799) $23,266.32 $41,547 35.2×
Unlisted px female genital system nonobstetrical (58999) $6,102.88 $10,898 28.6×
Upgrade of pacemaker system (33214) $20,386.24 $36,404 1.8×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $13,471.93 $24,057.01 2.6×
Vasc embolize/occlude artery (37242)
range across 2 matching MRF lines		 $14,012.32–$14,564.48 $25,022–$26,008 varies
Vasc Embolize/Occlude Bleed (37244) $15,155.28 $27,063 1.2×
Vasc Embolize/Occlude Organ (37243) $14,060.48 $25,108 1.2×
Vasc embolize/occlude venous (37241) $15,273.44 $27,274 1.3×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 2 matching MRF lines		 $3,051.44–$3,842.16 $5,449–$6,861 varies
Venous Mech Thrombectomy (37187)
range across 3 matching MRF lines		 $8,044.41–$14,012.32 $14,365.02–$25,022 varies
Ventilating tube removal requiring general anesthesia (69424) $5,598.88 $9,998 1.6×
Vestibuloplasty Cplx W/Ridge Xtn Musc Rpsg (40845) $8,044.41 $14,365.01 1.3×
Vitrectomy mechanical pars plana (67036)
range across 3 matching MRF lines		 $6,918.24–$7,540.96 $12,354–$13,466 varies
Vitrectomy pars plana remove int memb retina (67042)
range across 2 matching MRF lines		 $6,918.24–$8,093.13 $12,354–$14,452.01 varies
Vitrectomy Pars Plana Remove Preretinal Membrane (67041) $6,918.24 $12,354 1.6×
Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039)
range across 2 matching MRF lines		 $8,821.69–$9,268.01 $15,753.01–$16,550.01 varies
Vulvectomy simple partial (56620)
range across 2 matching MRF lines		 $2,147.60–$5,598.88 $3,835–$9,998 varies
Wedge excision skin nail fold (11765) $561.12 $1,002 1.3×
Wound Prep F/N/Hf/G (15004) $6,148.81 $10,980.01 14.3×
Xfer Single Deep Low Leg Tendon (27691)
likely a partial charge, not the full procedure		 $1,885.24 $3,366.50 0.2×
Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016) $8,625.12 $15,402 1.4×

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.