Procedures & surgery prices at Community Hospital of Stokes
Danbury, NC · every code in this section with a posted price and a Medicare benchmark.
755 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $1,553.56 | $2,284.65 | 1.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$342.72–$1,553.56 | $504–$2,284.65 | varies |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) | $3,216.33 | $4,729.90 | 1.6× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) | $3,217.15 | $4,731.10 | 1.6× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $2,780.79 | $4,089.40 | 1.4× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) | $3,217.15 | $4,731.10 | 1.6× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) | $3,217.15 | $4,731.10 | 1.6× |
| Amputation foot transmetarsal (28805) | $3,949.85 | $5,808.60 | 1.2× |
| Amputation toe interphalangeal joint (28825) | $3,716.06 | $5,464.80 | 1.2× |
| Amputation toe metatarsophalangeal joint (28820) | $3,630.83 | $5,339.45 | 1.1× |
| Anoscopy Ablation Lesion (46615) | $4,076.74 | $5,995.20 | 1.5× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$121.72–$210.54 | $179–$309.62 | varies |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$187.68–$828.34 | $276–$1,218.14 | varies |
| Application Cast Finger (29086) range across 2 matching MRF lines |
$86.36–$161.16 | $127–$237 | varies |
| Application Finger Splint Dynamic (29131) range across 3 matching MRF lines |
$102.68–$364.48 | $151–$536 | varies |
| Application finger splint static (29130) range across 3 matching MRF lines |
$86.36–$364.48 | $127–$536 | varies |
| Application long arm splint shoulder hand (29105) range across 4 matching MRF lines |
$179.52–$382.66 | $264–$562.74 | varies |
| Application Long Leg Splint (29505) range across 3 matching MRF lines |
$147.56–$364.48 | $217–$536 | varies |
| Application of long leg cast (29345) range across 2 matching MRF lines |
$306–$828.34 | $450–$1,218.14 | varies |
| Application of rigid total contact leg cast (29445) | $828.34 | $1,218.14 | 3.1× |
| Application Short Arm Splint Dynamic (29126) range across 3 matching MRF lines |
$147.56–$364.48 | $217–$536 | varies |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$118.32–$364.48 | $174–$536 | varies |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$148.92–$364.48 | $219–$536 | varies |
| Application, cast; figure-of-eight Facility (29049) range across 2 matching MRF lines |
$204.68–$364.22 | $301–$535.62 | varies |
| Apply hand/wrist cast (29085) range across 2 matching MRF lines |
$201.28–$364.22 | $296–$535.62 | varies |
| Apply long arm cast (29065) range across 2 matching MRF lines |
$206.04–$828.34 | $303–$1,218.14 | varies |
| Apply Multlay Comprs Lwr Leg (29581) | $364.22 | $535.62 | 2.3× |
| Apply Short Leg Cast (29405) | $181.56 | $267 | 0.7× |
| Arterial puncture (36600) range across 3 matching MRF lines |
$47.60–$87.72 | $70–$129 | varies |
| Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841) likely a partial charge, not the full procedure |
$801.58 | $1,178.80 | 0.1× |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) | $11,423.32 | $16,799 | 0.9× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) | $11,423.32 | $16,799 | 0.9× |
| Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) | $11,423.32 | $16,799 | 1.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$123.08–$373.32 | $181–$549 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$150.28–$843.88 | $221–$1,241 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $118.32 | $174 | 0.4× |
| Arthrodesis great toe metatarsophalangeal joint (28750) | $9,585.76 | $14,096.70 | 1.4× |
| Arthrodesis subtalar (28725) | $14,570.88 | $21,427.76 | 1.2× |
| Arthrodesis triple (28715) | $15,265.32 | $22,449 | 1.2× |
| Arthroplasty Ankle (27700) | $7,516.04 | $11,053 | 1.1× |
| Arthroscopy ankle w/removal loose/foreign body (29894) | $5,057.16 | $7,437 | 1.6× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) | $4,953.94 | $7,285.20 | 1.6× |
| Arthroscopy shoulder distal claviculectomy (29824) | $4,871.08 | $7,163.35 | 1.5× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) | $9,991.24 | $14,693 | 1.4× |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) | $9,103.16 | $13,387 | 1.3× |
| Arthroscopy, knee, surgical; with lateral release (29873) | $5,061.85 | $7,443.90 | 1.6× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) | $5,351.61 | $7,870.02 | 1.7× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | $4,953.94 | $7,285.20 | 1.6× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) | $9,365.23 | $13,772.40 | 1.3× |
| Arthrotomy biopsy interphalangeal joint each (26110) | $1,969.39 | $2,896.16 | 1.3× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) | $4,871.08 | $7,163.35 | 1.5× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $4,871.04 | $7,163.30 | 1.5× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) | $6,200.92 | $9,119 | 2.0× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) | $2,954.46 | $4,344.80 | 1.9× |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) | $2,954.46 | $4,344.80 | 0.9× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) | $2,765 | $4,066.17 | 1.8× |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$425.68–$1,297.71 | $626–$1,908.40 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $270.48 | $397.76 | 0.9× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$158.44–$356.45 | $233–$524.19 | varies |
| Axillary lymphadenectomy; complete (38745) | $8,497.96 | $12,497 | 1.4× |
| Biopsy Abdominal Mass (49180) | $2,936.25 | $4,318.02 | 1.8× |
| Biopsy of breast; open, incisional (19101) | $4,193.83 | $6,167.40 | 1.1× |
| Biopsy/removal lymph nodes (38510) | $4,179.69 | $6,146.60 | 1.1× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$138.04–$414.80 | $203–$610 | varies |
| Blepharoplasty upper eyelid (15822) | $3,504.11 | $5,153.10 | 1.8× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) range across 2 matching MRF lines |
$1,221.94–$3,504.11 | $1,796.97–$5,153.10 | varies |
| Blepharotomy drainage abscess eyelid (67700) range across 2 matching MRF lines |
$592.96–$912.90 | $872–$1,342.50 | varies |
| Blood Transfusion Service (36430) range across 4 matching MRF lines |
$99.96–$1,106.50 | $147–$1,627.20 | varies |
| Bone Marrow Biopsy (38221) | $1,152.60 | $1,695 | 0.7× |
| Bx breast needle core w/o imaging guidance spx (19100) | $1,476.86 | $2,171.86 | 0.9× |
| Bx/exc lymph node open superficial (38500) | $4,179.69 | $6,146.60 | 1.1× |
| Carpal Tunnel Surgery (64721) | $2,956.88 | $4,348.35 | 1.6× |
| Cataract surgery complex (66982) range across 2 matching MRF lines |
$1,245.58–$3,575.44 | $1,831.73–$5,258 | varies |
| Catheter aspiration nasotracheal spx (31720) | $170.57 | $250.84 | 0.8× |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$157.08–$630.09 | $231–$926.60 | varies |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$173.40–$673.12 | $255–$989.88 | varies |
| Chest tube placement (32551) range across 2 matching MRF lines |
$528.36–$1,778.08 | $777–$2,614.82 | varies |
| Circumcision 28 days or older (54161) | $3,693.22 | $5,431.20 | 1.8× |
| Cl Tx Scapular Fx; W Manip (23575) | $1,644.38 | $2,418.20 | 1.1× |
| Cl Tx Tib Shft Fx W Manip (27752) | $3,147.55 | $4,628.75 | 2.0× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$176.80–$210.80 | $260–$310 | varies |
| Closed Rx Spontaneous Hip Disloc (27256) range across 2 matching MRF lines |
$485.52–$720.76 | $714–$1,059.94 | varies |
| Closed rx talotarsal disloc,anesth (28575) | $3,147.55 | $4,628.75 | 1.0× |
| Closed Treat Vert Body Fract (22310) | $1,644.38 | $2,418.20 | 6.9× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) range across 2 matching MRF lines |
$485.52–$1,191.02 | $714–$1,751.50 | varies |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) range across 2 matching MRF lines |
$485.52–$1,349.31 | $714–$1,984.28 | varies |
| Closed Treatment Sesamoid Fracture (28530) range across 2 matching MRF lines |
$302.60–$485.63 | $445–$714.16 | varies |
| Closed Treatment Sternum Fracture (21820) range across 2 matching MRF lines |
$424.32–$485.63 | $624–$714.16 | varies |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 2 matching MRF lines |
$485.52–$885.20 | $714–$1,301.76 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$485.52–$1,095.74 | $714–$1,611.38 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$485.52–$1,286.30 | $714–$1,891.62 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $886.73 | $1,304.02 | 3.7× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) | $3.40 | $5 | 0.0× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 2 matching MRF lines |
$485.52–$674.66 | $714–$992.14 | varies |
| Closed tx carpal scaphoid fracture w/manj (25624) | $1,644.38 | $2,418.20 | 1.1× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 2 matching MRF lines |
$485.52–$812.97 | $714–$1,195.54 | varies |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) | $1,644.38 | $2,418.20 | 6.9× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $2,856 | $4,200 | 1.8× |
| Closed tx knee dislocation w/o anesthesia (27550) range across 2 matching MRF lines |
$485.52–$1,373.90 | $714–$2,020.44 | varies |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $3,147.55 | $4,628.75 | 2.0× |
| Closed tx mandibular fracture w/manipulation (21451) | $1,258 | $1,850 | 0.8× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) | $1,453.81 | $2,137.96 | 2.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
$485.52–$568.62 | $714–$836.20 | varies |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $3,558.10 | $5,232.50 | 2.3× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) range across 2 matching MRF lines |
$465.80–$2,772.19 | $685–$4,076.75 | varies |
| Closed tx patellar dislocation w/anesthesia (27562) | $2,870.35 | $4,221.10 | 12.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $485.52 | $714 | 2.0× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 2 matching MRF lines |
$485.52–$869.83 | $714–$1,279.16 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) | $1,644.38 | $2,418.20 | 1.1× |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 2 matching MRF lines |
$485.52–$702.32 | $714–$1,032.82 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) | $1,644.38 | $2,418.20 | 1.1× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$485.52–$729.98 | $714–$1,073.50 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $1,644.38 | $2,418.20 | 1.1× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines |
$485.52–$728.44 | $714–$1,071.24 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 2 matching MRF lines |
$485.52–$700.78 | $714–$1,030.56 | varies |
| Closed tx septal&nose fx (21337) | $2,772.19 | $4,076.75 | 0.9× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) | $1,644.38 | $2,418.20 | 6.9× |
| Closed tx talotarsal joint dislc w/o anes (28570) range across 2 matching MRF lines |
$424.32–$485.63 | $624–$714.16 | varies |
| Closed Tx Talus Fracture W/Manipulation (28435) range across 2 matching MRF lines |
$485.52–$782.23 | $714–$1,150.34 | varies |
| Closed tx talus fracture w/o manipulation (28430) range across 2 matching MRF lines |
$383.52–$485.63 | $564–$714.16 | varies |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) range across 2 matching MRF lines |
$485.52–$846.78 | $714–$1,245.26 | varies |
| Closed tx tarsometatarsal dislocation w/o anes (28600) range across 2 matching MRF lines |
$485.52–$557.86 | $714–$820.38 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 2 matching MRF lines |
$98.60–$345.78 | $145–$508.50 | varies |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) range across 2 matching MRF lines |
$485.52–$1,241.73 | $714–$1,826.08 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 2 matching MRF lines |
$485.52–$771.47 | $714–$1,134.52 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 2 matching MRF lines |
$499.80–$1,058.86 | $735–$1,557.14 | varies |
| Closure Gastrostomy Surg (43870) | $4,523.84 | $6,652.70 | 1.2× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) range across 2 matching MRF lines |
$503.88–$1,005.07 | $741–$1,478.04 | varies |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $1,385.23 | $2,037.10 | 2.6× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $1,644.38 | $2,418.20 | 6.9× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) range across 2 matching MRF lines |
$485.52–$666.97 | $714–$980.84 | varies |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $3,147.55 | $4,628.75 | 2.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$485.52–$651.60 | $714–$958.24 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $2.04 | $3 | 0.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$485.52–$840.63 | $714–$1,236.22 | varies |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) | $836.74 | $1,230.50 | 0.5× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) range across 2 matching MRF lines |
$485.52–$847.85 | $714–$1,246.84 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $3,311.94 | $4,870.50 | 2.1× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 2 matching MRF lines |
$485.52–$995.85 | $714–$1,464.48 | varies |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) range across 2 matching MRF lines |
$485.52–$630.09 | $714–$926.60 | varies |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) range across 2 matching MRF lines |
$485.52–$1,211 | $714–$1,780.88 | varies |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 2 matching MRF lines |
$485.52–$826.80 | $714–$1,215.88 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) range across 2 matching MRF lines |
$485.52–$894.42 | $714–$1,315.32 | varies |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) range across 2 matching MRF lines |
$485.52–$1,410.78 | $714–$2,074.68 | varies |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) range across 2 matching MRF lines |
$485.52–$2,051.63 | $714–$3,017.10 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$485.52–$1,157.21 | $714–$1,701.78 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$485.52–$846.78 | $714–$1,245.26 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 2 matching MRF lines |
$485.52–$812.97 | $714–$1,195.54 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$485.52–$539.42 | $714–$793.26 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$485.52–$880.59 | $714–$1,294.98 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $1,644.38 | $2,418.20 | 1.1× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) range across 2 matching MRF lines |
$485.52–$2,091.58 | $714–$3,075.86 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) range across 2 matching MRF lines |
$439.91–$485.52 | $646.92–$714 | varies |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) | $1,663.86 | $2,446.85 | 1.1× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) range across 2 matching MRF lines |
$485.52–$1,404.64 | $714–$2,065.64 | varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $3,169.45 | $4,660.95 | 2.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 2 matching MRF lines |
$451.52–$485.63 | $664–$714.16 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$368.56–$485.63 | $542–$714.16 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$422.96–$485.52 | $622–$714 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 2 matching MRF lines |
$353.60–$485.63 | $520–$714.16 | varies |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $3,147.55 | $4,628.75 | 2.0× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 2 matching MRF lines |
$485.52–$899.03 | $714–$1,322.10 | varies |
| Cltx greater humeral tuberosity fx w/o manj (23620) range across 2 matching MRF lines |
$485.52–$754.57 | $714–$1,109.66 | varies |
| Cltx Greater Trochanteric Fx W/O Manj (27246) | $1,644.38 | $2,418.20 | 6.9× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) | $3,147.55 | $4,628.75 | 2.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$485.52–$593.20 | $714–$872.36 | varies |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) range across 2 matching MRF lines |
$485.52–$894.42 | $714–$1,315.32 | varies |
| Cltx humeral condylar fx medial/lateral w/manj (24577) range across 2 matching MRF lines |
$485.52–$1,483.01 | $714–$2,180.90 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) range across 2 matching MRF lines |
$485.52–$1,439.98 | $714–$2,117.62 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) range across 2 matching MRF lines |
$485.52–$843.70 | $714–$1,240.74 | varies |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) | $1,644.38 | $2,418.20 | 1.1× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) range across 2 matching MRF lines |
$401.20–$2,870.35 | $590–$4,221.10 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$267.24–$485.63 | $393–$714.16 | varies |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) | $2,042.62 | $3,003.85 | 1.3× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $1,951.74 | $2,870.20 | 7.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$485.52–$748.42 | $714–$1,100.62 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) | $3,147.55 | $4,628.75 | 2.0× |
| Cltx Medial Ankle Fx (27760) range across 2 matching MRF lines |
$485.52–$902.10 | $714–$1,326.62 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$485.52–$865.22 | $714–$1,272.38 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$485.52–$805.28 | $714–$1,184.24 | varies |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) range across 2 matching MRF lines |
$412.08–$2,870.35 | $606–$4,221.10 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$485.52–$905.18 | $714–$1,331.14 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines |
$485.52–$539.42 | $714–$793.26 | varies |
| Cltx post hip arthrp dislc req anes (27266) range across 2 matching MRF lines |
$535.85–$2,679.21 | $788.01–$3,940.02 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$485.52–$1,197.17 | $714–$1,760.54 | varies |
| Cltx prox fibula/shft fx w/manj (27781) | $6,185.62 | $9,096.50 | 4.0× |
| Cltx prox fibula/shft fx w/o manj (27780) range across 2 matching MRF lines |
$485.52–$819.11 | $714–$1,204.58 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $3,147.55 | $4,628.75 | 2.0× |
| Cltx prox tibfib jt dislc req anes (27831) | $3,570 | $5,250 | 1.1× |
| Cltx prox tibfib jt dislc w/o anes (27830) range across 2 matching MRF lines |
$485.52–$1,037.34 | $714–$1,525.50 | varies |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) range across 2 matching MRF lines |
$485.52–$1,215.61 | $714–$1,787.66 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$276.76–$485.63 | $407–$714.16 | varies |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) | $1,644.38 | $2,418.20 | 1.1× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $1.36 | $2 | 0.0× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) range across 2 matching MRF lines |
$485.52–$1,489.16 | $714–$2,189.94 | varies |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $915.88 | $1,346.88 | 0.6× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 2 matching MRF lines |
$485.52–$1,015.82 | $714–$1,493.86 | varies |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) range across 2 matching MRF lines |
$485.52–$2,411.24 | $714–$3,545.94 | varies |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) range across 2 matching MRF lines |
$485.52–$1,490.70 | $714–$2,192.20 | varies |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) | $4,298.65 | $6,321.55 | 1.4× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) range across 2 matching MRF lines |
$485.52–$551.71 | $714–$811.34 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) range across 2 matching MRF lines |
$485.52–$845.24 | $714–$1,243 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) range across 2 matching MRF lines |
$485.52–$938.98 | $714–$1,380.86 | varies |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) range across 2 matching MRF lines |
$485.52–$1,413.86 | $714–$2,079.20 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $1,644.38 | $2,418.20 | 1.1× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 2 matching MRF lines |
$485.52–$845.24 | $714–$1,243 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $169.05 | $248.60 | 1.3× |
| Collection of venous blood by venipuncture (36415) | $29.20 | $42.94 | 3.1× |
| Colonoscopy Flexible With Decompression (45393) | $2,095.08 | $3,081 | 1.8× |
| Colonoscopy Stoma W/Rmvl Foreign Body (44390) | $1,633.09 | $2,401.60 | 1.8× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) | $1,549.65 | $2,278.90 | 1.3× |
| Colonoscopy thru stoma (44388) | $1,549.65 | $2,278.90 | 1.7× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) | $1,633.09 | $2,401.60 | 1.4× |
| Colonoscopy w/fb removal (45379) | $1,739.71 | $2,558.40 | 1.5× |
| Colonoscopy w/submucosal inj (45381) | $1,739.71 | $2,558.40 | 1.5× |
| Colposcopy cervix upper/adjacent vagina (57452) | $192.10 | $282.50 | 1.0× |
| Colposcopy entire vagina w/cervix if present (57420) | $230.52 | $339 | 0.8× |
| Colposcopy of vulva (56820) | $153.68 | $226 | 0.8× |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $1,739.71 | $2,558.40 | 1.5× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $1,739.71 | $2,558.40 | 1.5× |
| Complex drainage wound (10180) | $3,466.37 | $5,097.60 | 1.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$248.88–$345.78 | $366–$508.50 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$175.44–$346.12 | $258–$509 | varies |
| Correction hammertoe (28285) | $4,514.85 | $6,639.49 | 1.4× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) range across 2 matching MRF lines |
$5,351.61–$6,681.34 | $7,870.02–$9,825.50 | varies |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) likely a partial charge, not the full procedure |
$3,088 | $4,541.18 | 0.2× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) | $8,000.73 | $11,765.78 | 1.1× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) | $6,681.36 | $9,825.53 | 0.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$314.84–$345.78 | $463–$508.50 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) range across 2 matching MRF lines |
$346.12–$410.33 | $509–$603.42 | varies |
| Cysto w/irrig & evac multple obstructing clots (52001) | $3,247.82 | $4,776.20 | 1.0× |
| Cysto W/Simple Removal Stone & Stent (52310) | $3,000.30 | $4,412.20 | 1.5× |
| Cystourethroscopy (52000) | $1,257.93 | $1,849.90 | 1.9× |
| Cystourethroscopy with biopsy (52204) | $5,323.45 | $7,828.60 | 2.6× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) range across 2 matching MRF lines |
$631.72–$852.92 | $929–$1,254.30 | varies |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 3 matching MRF lines |
$394.40–$482.80 | $580–$710 | varies |
| Debride nail 1-5 (11720) range across 3 matching MRF lines |
$46.24–$284.31 | $68–$418.10 | varies |
| Debride nail 6 or more (11721) | $284.31 | $418.10 | 5.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $2,799.56 | $4,117 | 1.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$181.56–$394.40 | $267–$580 | varies |
| Declot vascular device (36593) | $743.78 | $1,093.80 | 2.3× |
| Decompression of tibia nerve (28035) | $3,776.58 | $5,553.80 | 2.0× |
| Decompressive fasciotomy hand (26037) | $2,836.08 | $4,170.71 | 0.9× |
| Delivery of placenta (59414) | $3,833.02 | $5,636.80 | 1.2× |
| Destruct B9 Lesion 1-14 (17110) | $359.96 | $529.35 | 1.8× |
| Destruction Benign Lesions 15/> (17111) | $268.94 | $395.50 | 1.4× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) | $1,157.90 | $1,702.80 | 1.0× |
| Destruction of skin lesions (17106) | $1,234.05 | $1,814.78 | 3.1× |
| Destruction Premalignant Lesion 15/> (17004) | $484.09 | $711.90 | 1.2× |
| Diagnostic sigmoidoscopy (45330) | $1,157.16 | $1,701.70 | 1.3× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) | $358.07 | $526.58 | 2.9× |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) | $358.07 | $526.58 | 2.8× |
| Dilat rct strix spx under anes oth/thn local (45910) | $4,036.41 | $5,935.90 | 3.5× |
| Dilat Urethral Strix Dilator Male Sbsq (53601) | $358.07 | $526.58 | 2.8× |
| Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) | $630.09 | $926.60 | 2.6× |
| Dilate Esophagus 1/Mult Pass (43450) | $2,125.34 | $3,125.50 | 2.4× |
| Dilate Urethra Stricture (53620) | $3,796.78 | $5,583.50 | 5.6× |
| Dilate Urethra Stricture (53600) | $592.28 | $871 | 2.4× |
| Dilation Esophagus Guide Wire (43453) | $2,125.34 | $3,125.50 | 1.1× |
| Drainage external auditory canal abscess (69020) range across 2 matching MRF lines |
$439.28–$457.97 | $646–$673.48 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 2 matching MRF lines |
$365.84–$457.97 | $538–$673.48 | varies |
| Drainage Finger Abscess Complicated (26011) range across 2 matching MRF lines |
$553.52–$2,165.35 | $814–$3,184.34 | varies |
| Drainage of finger abscess simple (26010) range across 3 matching MRF lines |
$408.68–$457.97 | $601–$673.48 | varies |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$435.20–$457.97 | $640–$673.48 | varies |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$421.60–$2,287.21 | $620–$3,363.54 | varies |
| Drainage of rectal abscess (45005) range across 2 matching MRF lines |
$474.64–$4,036.42 | $698–$5,935.91 | varies |
| Drainage of scrotum (54700) range across 2 matching MRF lines |
$657.56–$4,044.91 | $967–$5,948.40 | varies |
| Draw Blood Off Venous Device (36591) | $272.42 | $400.62 | 2.1× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) range across 2 matching MRF lines |
$270.64–$457.64 | $398–$673 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$402.56–$484.09 | $592–$711.90 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$339.32–$484.09 | $499–$711.90 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$163.20–$484.16 | $240–$712 | varies |
| Dstrj les/scar vestibule mouth physical meths (40820) range across 2 matching MRF lines |
$569.84–$1,203.60 | $838–$1,770 | varies |
| Dstrj lesion anus simple surg excision (46922) | $3,713.62 | $5,461.20 | 1.4× |
| Dx gastr intub w/asp spec (43754) range across 2 matching MRF lines |
$96.56–$210.80 | $142–$310 | varies |
| Dx gastr intub w/asp specs (43755) range across 2 matching MRF lines |
$178.16–$301.21 | $262–$442.96 | varies |
| Dx Laryngoscopy Excl Nb (31525) range across 2 matching MRF lines |
$496.40–$3,506.49 | $730–$5,156.60 | varies |
| Dx laryngoscopy w/oper scope (31526) | $2,793.35 | $4,107.87 | 1.6× |
| Egd Balloon Dil Esoph30 Mm/> (43233) | $2,736.86 | $4,024.80 | 1.5× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $2,349.67 | $3,455.40 | 1.3× |
| Egd cautery tumor polyp (43250) | $2,349.67 | $3,455.40 | 1.3× |
| Egd control bleeding any (43255) | $4,084.76 | $6,007 | 2.2× |
| Egd dilation gastric/duodenal stricture (43245) | $2,349.67 | $3,455.40 | 1.3× |
| Egd Flexible Foreign Body Removal (43247) | $1,569.10 | $2,307.50 | 1.8× |
| Egd guide wire insertion (43248) | $1,569.10 | $2,307.50 | 1.8× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) | $1,569.10 | $2,307.50 | 0.8× |
| Egd place gastrostomy tube (43246) | $2,349.67 | $3,455.40 | 1.3× |
| Egd remove lesion snare (43251) | $2,349.67 | $3,455.40 | 1.3× |
| Egd Tube/Cath Insertion (43241) | $1,569.10 | $2,307.50 | 0.8× |
| Egd Varices Ligation (43244) | $2,349.67 | $3,455.40 | 1.3× |
| Egd W/Transmural Drain Cyst (43240) unusually low: confirm this is the full procedure |
$2,349.67 | $3,455.40 | 0.4× |
| Endoscopic plantar fasciotomy (29893) | $2,201.60 | $3,237.64 | 0.7× |
| Epidural Blood Patch (62273) | $1,387.88 | $2,041 | 2.0× |
| Episiotomy or vaginal repair (59300) range across 2 matching MRF lines |
$534.48–$4,113.25 | $786–$6,048.90 | varies |
| Esophagogastroduodenoscopy Submucosal Injection (43236) | $1,569.10 | $2,307.50 | 1.8× |
| Esophagoscopy Rigid Balloon (43195) | $5,762.37 | $8,474.07 | 1.5× |
| Esophagoscopy rigid trnso dx (43191) | $3,026.03 | $4,450.05 | 1.6× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $169.46 | $249.20 | 0.1× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$96.56–$124.44 | $142–$183 | varies |
| Exc arm/elbow les sc < 3 cm (24075) | $2,689.26 | $3,954.80 | 1.7× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 3 matching MRF lines |
$378.08–$1,389.78 | $556–$2,043.80 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $2,793.30 | $4,107.80 | 1.7× |
| Exc Back Tum Deep 5 Cm/> (21933) | $3,896.67 | $5,730.40 | 1.4× |
| Exc Benign Tumor/Cyst Maxl Intra-Oral Osteot (21048) | $8,362.64 | $12,298 | 1.5× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $1,040.40 | $1,530 | 1.5× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $1,258 | $1,850 | 1.8× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $2,793.30 | $4,107.80 | 1.7× |
| Exc Face Les Sbq 2 Cm/> (21012) | $1,686.40 | $2,480 | 1.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$306–$1,427.69 | $450–$2,099.54 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $1,427.66 | $2,099.50 | 2.1× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $1,359.12 | $1,998.70 | 2.0× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $1,359.12 | $1,998.70 | 0.8× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $1,359.12 | $1,998.70 | 0.8× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $4,279.85 | $6,293.90 | 2.7× |
| Exc ganglion wrist recurrent (25112) | $3,845.06 | $5,654.50 | 2.5× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $1,441.80 | $2,120.30 | 0.9× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $1,441.80 | $2,120.30 | 2.1× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$405.96–$1,441.84 | $597–$2,120.36 | varies |
| Exc Hand Les Sc < 1.5 Cm (26115) | $2,812.68 | $4,136.30 | 1.8× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $4,514.79 | $6,639.40 | 2.9× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) | $4,514.79 | $6,639.40 | 2.9× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) | $4,321.47 | $6,355.10 | 1.6× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) | $4,851.71 | $7,134.87 | 1.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $1,181.84 | $1,738 | 1.7× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 2 matching MRF lines |
$539.24–$2,793.30 | $793–$4,107.80 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $4,851.71 | $7,134.87 | 1.7× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $2,793.30 | $4,107.80 | 1.7× |
| Exc Skin Benig >4cm Face,Facial (11446) | $3,821.60 | $5,620 | 1.4× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $2,793.30 | $4,107.80 | 1.7× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $3,821.60 | $5,620 | 1.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $2,793.30 | $4,107.80 | 1.7× |
| Exc tendon shth lesion leg/ankle (27630) | $3,720.69 | $5,471.60 | 1.2× |
| Exc thigh/knee les sc 3 cm/> (27337) | $4,309.64 | $6,337.70 | 1.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 2 matching MRF lines |
$333.20–$4,531.38 | $490–$6,663.80 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$310.76–$1,427.66 | $457–$2,099.50 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$342.72–$1,427.66 | $504–$2,099.50 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$484.16–$2,793.30 | $712–$4,107.80 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $4,074.22 | $5,991.50 | 1.4× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) | $1,087.76 | $1,599.65 | 0.4× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $3,146.77 | $4,627.60 | 2.0× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) | $4,730.54 | $6,956.67 | 1.7× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) | $3,040.08 | $4,470.70 | 1.1× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) | $2,759.44 | $4,058 | 1.0× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $2,866.13 | $4,214.90 | 1.8× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $2,631.40 | $3,869.70 | 1.6× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) | $2,649.69 | $3,896.60 | 0.9× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $3,896.67 | $5,730.40 | 1.4× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) | $4,620.80 | $6,795.30 | 1.5× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) | $4,514.79 | $6,639.40 | 2.9× |
| Excis Mouth Mucosa/Sub,No Repair (40810) | $4,551.79 | $6,693.81 | 1.4× |
| Excise mandible lesion (21040) | $218.23 | $320.92 | 0.1× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $1,441.80 | $2,120.30 | 2.1× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) | $3,896.67 | $5,730.40 | 1.4× |
| Excision Infected Graft Extremity (35903) | $6,678.28 | $9,821 | 2.2× |
| Excision inferior turbinate partial/complete (30130) | $4,551.79 | $6,693.81 | 1.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $1,441.80 | $2,120.30 | 2.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $836.40 | $1,230 | 1.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $1,427.66 | $2,099.50 | 3.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $1,441.80 | $2,120.30 | 2.1× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $887.40 | $1,305 | 1.3× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $1,359.12 | $1,998.70 | 0.8× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $3,821.60 | $5,620 | 1.4× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $1,441.80 | $2,120.30 | 0.9× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $1,427.66 | $2,099.50 | 2.1× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $1,441.80 | $2,120.30 | 2.1× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $2,793.30 | $4,107.80 | 1.7× |
| Excision Multiple External Papillae/Tags Anus (46230) | $4,182.82 | $6,151.20 | 1.6× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $3,626.10 | $5,332.50 | 2.3× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) | $9,025.43 | $13,272.69 | 1.6× |
| Excision of submandibular (submaxillary) gland (42440) | $9,025.43 | $13,272.69 | 1.6× |
| Excision olecranon bursa (24105) | $3,648.81 | $5,365.90 | 1.1× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $2,765.15 | $4,066.40 | 1.0× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $3,821.60 | $5,620 | 1.4× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) | $9,375.53 | $13,787.55 | 1.6× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $2,806.02 | $4,126.50 | 1.8× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) | $4,730.54 | $6,956.67 | 1.7× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) | $3,157.65 | $4,643.60 | 2.0× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $4,074.22 | $5,991.50 | 2.5× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $3,848.19 | $5,659.10 | 2.4× |
| Excision, interdigital (morton) neuroma, single, each (28080) | $4,514.79 | $6,639.40 | 2.9× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $3,896.67 | $5,730.40 | 1.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $570.15 | $838.46 | 0.4× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $3,998.33 | $5,879.90 | 1.4× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | $4,102.51 | $6,033.10 | 1.5× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $2,689.26 | $3,954.80 | 1.7× |
| Excision/destruction intranasal lesion int appr (30117) | $4,551.79 | $6,693.81 | 1.4× |
| Exploration penetrating wound spx extremity (20103) | $2,155.97 | $3,170.55 | 1.3× |
| Explore/Treat Hand Joint (26070) | $2.72 | $4 | 0.0× |
| Fasciectomy Plantar Fascia Partial Spx (28060) | $4,514.85 | $6,639.49 | 1.4× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) | $6,525.28 | $9,596 | 2.1× |
| Fluid Pressure Muscle (20950) range across 2 matching MRF lines |
$273.36–$457.97 | $402–$673.48 | varies |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) | $3,301.60 | $4,855.30 | 1.6× |
| Fusion Finger Joint (26860) | $5,584.40 | $8,212.35 | 1.8× |
| Fusion of foot bones (28740) | $11,627.16 | $17,098.77 | 1.7× |
| Gastrocnemius recession (27687) | $5,584.40 | $8,212.35 | 1.8× |
| Grafting of autologous soft tiss by direct exc (15769) | $6,073.67 | $8,931.87 | 1.8× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) | $10,169.32 | $14,954.88 | 1.4× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $4,182.82 | $6,151.20 | 1.6× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $4,674.05 | $6,873.60 | 1.7× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $4,182.82 | $6,151.20 | 1.6× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $953.09 | $1,401.60 | 1.1× |
| I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
$422.96–$1,005.07 | $622–$1,478.04 | varies |
| I&d abscess simple (10060) range across 4 matching MRF lines |
$284.24–$457.97 | $418–$673.48 | varies |
| I&D Below Fascia Foot 1 Bursal Space (28002) | $4,414.42 | $6,491.80 | 2.8× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) range across 2 matching MRF lines |
$1,095.32–$1,459.50 | $1,610.76–$2,146.32 | varies |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) | $3,651.36 | $5,369.65 | 1.2× |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$291.72–$1,032.51 | $429–$1,518.40 | varies |
| I&d pilonidal cyst complicated (10081) | $516.12 | $759 | 0.8× |
| I&d pilonidal cyst simple (10080) range across 3 matching MRF lines |
$302.60–$1,244.42 | $445–$1,830.03 | varies |
| I&d shoulder deep abscess/hematoma (23030) | $3,378.24 | $4,968 | 1.2× |
| I&d upper arm/elbow deep abscess/hematoma (23930) range across 2 matching MRF lines |
$650.08–$3,378.24 | $956–$4,968 | varies |
| Immediate breast prosthesis (19340) likely a partial charge, not the full procedure |
$1,850.96 | $2,722 | 0.2× |
| Incise external hemorrhoid (46083) range across 3 matching MRF lines |
$320.96–$630.36 | $472–$927 | varies |
| Incise finger tendon sheath (26055) | $2,836.08 | $4,170.70 | 1.8× |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$457.64–$849.85 | $673–$1,249.78 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $3,570 | $5,250 | 1.3× |
| Incision & drainage leg/ankle infected bursa (27604) | $5,461.94 | $8,032.26 | 1.7× |
| Incision & removal foreign body subq tiss compl (10121) | $2,428.96 | $3,572 | 1.5× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$299.20–$394.40 | $440–$580 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$281.52–$511.75 | $414–$752.58 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$331.84–$512.04 | $488–$753 | varies |
| Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) | $3,651.36 | $5,369.65 | 2.3× |
| Incision of Foot Tendon (28234) | $4,514.79 | $6,639.40 | 2.9× |
| Incision of rectal abscess (46040) | $4,036.42 | $5,935.91 | 3.5× |
| Incision&drainage bursa foot (28001) range across 2 matching MRF lines |
$518.16–$3,374.57 | $762–$4,962.60 | varies |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 2 matching MRF lines |
$476.68–$3,378.24 | $701–$4,968 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$141.44–$284.24 | $208–$418 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$125.80–$843.70 | $185–$1,240.74 | varies |
| Injection of sclerosing solution, hemorrhoids (46500) range across 2 matching MRF lines |
$618.12–$1,360.07 | $909–$2,000.10 | varies |
| Injection single tendon origin/insertion (20551) range across 3 matching MRF lines |
$82.96–$504.86 | $122–$742.44 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$113.56–$843.70 | $167–$1,240.74 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$129.20–$843.70 | $190–$1,240.74 | varies |
| Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines |
$172.04–$843.70 | $253–$1,240.74 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) | $133.28 | $196 | 0.2× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$212.16–$1,275.10 | $312–$1,875.15 | varies |
| Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
$226.44–$252.28 | $333–$371 | varies |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$378.08–$1,583.72 | $556–$2,329 | varies |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $297.84 | $438 | 0.2× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$92.48–$161.16 | $136–$237 | varies |
| Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$1.36–$4.76 | $2–$7 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 3 matching MRF lines |
$84.32–$245.89 | $124–$361.60 | varies |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) range across 2 matching MRF lines |
$380.80–$2,217.21 | $560–$3,260.60 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $284.24 | $418 | 0.2× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) | $2,189.60 | $3,220 | 0.7× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $1,051.17 | $1,545.84 | 2.7× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $1,121.86 | $1,649.80 | 2.8× |
| Intraoral i&d tongue/floor lingual (41000) range across 2 matching MRF lines |
$222.93–$319.34 | $327.84–$469.62 | varies |
| Intraoral i&d tongue/floor sublngl supfc (41005) range across 2 matching MRF lines |
$569.84–$1,203.31 | $838–$1,769.58 | varies |
| Intro Gastrointestinal Tube (44500) | $75.48 | $111 | 0.1× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$341.36–$720.76 | $502–$1,059.94 | varies |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) | $6,851 | $10,075 | 1.2× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $10,257.12 | $15,084 | 1.7× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) | $6,851 | $10,075 | 1.2× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) likely a partial charge, not the full procedure |
$1,073.28 | $1,578.35 | 0.2× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) | $5,590.95 | $8,221.98 | 1.5× |
| Laryngoscopy diagnostic (31505) range across 3 matching MRF lines |
$150.28–$347.32 | $221–$510.76 | varies |
| Laryngoscopy flexible diagnostic (31575) | $602.43 | $885.92 | 3.1× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) | $2,066.98 | $3,039.68 | 5.4× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) range across 2 matching MRF lines |
$401.20–$602.43 | $590–$885.92 | varies |
| Laryngoscopy w/biopsy microscope/telescope (31536) | $5,590.95 | $8,221.98 | 1.5× |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) range across 2 matching MRF lines |
$341.36–$3,506.49 | $502–$5,156.60 | varies |
| Larynscop w/tumr exc + scope (31541) | $5,590.95 | $8,221.98 | 1.5× |
| Late closure of wound (13160) | $3,600.33 | $5,294.60 | 1.0× |
| Ligation or biopsy temporal artery (37609) | $2,963.30 | $4,357.80 | 1.8× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) | $2,708.07 | $3,982.45 | 1.7× |
| Marsupialization of bartholin's gland cyst (56440) | $3,857.78 | $5,673.20 | 1.2× |
| Mast mod rad (19307) | $7,591.52 | $11,164 | 1.2× |
| Mastectomy partial (19301) | $4,189.14 | $6,160.50 | 1.1× |
| Mastectomy simple complete (19303) | $5,487.26 | $8,069.50 | 0.9× |
| Mastoidectomy; complete (69502) | $9,025.43 | $13,272.69 | 1.6× |
| Mastopexy (19316) likely a partial charge, not the full procedure |
$1,234.74 | $1,815.80 | 0.2× |
| Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$124.44–$407.32 | $183–$599 | varies |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) | $5,590.95 | $8,221.98 | 1.5× |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) | $2,793.35 | $4,107.87 | 1.6× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) | $2,793.35 | $4,107.87 | 1.6× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) | $10,501.04 | $15,442.71 | 1.5× |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) | $10,501.04 | $15,442.71 | 1.5× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) | $10,501.04 | $15,442.71 | 1.5× |
| Nipple/areola reconstruction (19350) | $977.50 | $1,437.50 | 0.3× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$307.36–$843.70 | $452–$1,240.74 | varies |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $1,275.10 | $1,875.15 | 1.9× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,275.10 | $1,875.15 | 1.9× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) | $10,501.04 | $15,442.71 | 1.5× |
| Occipital Nerve Block (64405) | $187.68 | $276 | 0.6× |
| Open nasoethmoid fx w/o fixj (21338) | $4,092.21 | $6,017.95 | 0.7× |
| Open Treatment Bimalleolar Ankle Fracture (27814) | $8,199.27 | $12,057.75 | 1.2× |
| Open treatment calcaneal fracture (28415) | $12,203.18 | $17,945.85 | 1.7× |
| Open treatment interphalangeal joint dislocation (28675) | $4,597.69 | $6,761.31 | 1.4× |
| Open Treatment Medial Malleolus Fracture (27766) | $8,198.76 | $12,057 | 1.2× |
| Open treatment metacarpophalangeal dislocation (26715) | $4,328.56 | $6,365.53 | 1.4× |
| Open treatment metatarsal fracture each (28485) | $8,199.27 | $12,057.75 | 1.2× |
| Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed Facility (27519) unusually low: confirm this is the full procedure |
$3,379.60 | $4,970 | 0.5× |
| Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) unusually low: confirm this is the full procedure |
$3,791.29 | $5,575.42 | 0.3× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) | $4,092.21 | $6,017.95 | 1.3× |
| Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) | $4,551.79 | $6,693.81 | 1.4× |
| Open treatment of nasal septal fracture, with or without stabilization Facility (21336) | $4,298.65 | $6,321.55 | 1.4× |
| Open treatment of sesamoid fracture, with or without internal fixation Facility (28531) range across 2 matching MRF lines |
$579.36–$4,298.65 | $852–$6,321.55 | varies |
| Open treatment of sternum fracture with or without skeletal fixation Facility (21825) unusually low: confirm this is the full procedure |
$2,466.56 | $3,627.30 | 0.4× |
| Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) | $8,447.79 | $12,423.22 | 1.2× |
| Open treatment of temporomandibular dislocation Facility (21490) | $7,424.31 | $10,918.10 | 2.3× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) | $8,199.27 | $12,057.75 | 1.2× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) | $8,198.76 | $12,057 | 1.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $4,328.56 | $6,365.53 | 1.4× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) | $8,199.27 | $12,057.75 | 1.2× |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) likely a partial charge, not the full procedure |
$3,570 | $5,250 | 0.3× |
| Open tx femoral supracondylar fracture w/o xtn (27511) likely a partial charge, not the full procedure |
$3,038.25 | $4,468.02 | 0.2× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) | $4,298.65 | $6,321.55 | 1.4× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) unusually low: confirm this is the full procedure |
$2,482 | $3,650 | 0.4× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) | $8,199.27 | $12,057.75 | 1.2× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) unusually low: confirm this is the full procedure |
$2,182.80 | $3,210 | 0.3× |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) | $9,676.40 | $14,230 | 0.8× |
| Ostc prtl exostc/condylc metar head (28288) | $4,514.85 | $6,639.49 | 1.4× |
| Ostectomy calcaneus (28118) | $4,514.85 | $6,639.49 | 1.4× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) | $5,584.40 | $8,212.35 | 1.8× |
| Ostectomy, complete excision; fifth metatarsal head (28113) | $5,584.40 | $8,212.35 | 1.8× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) | $4,514.85 | $6,639.49 | 1.4× |
| Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) | $14,204.52 | $20,889 | 2.0× |
| Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) | $11,919.68 | $17,528.94 | 1.7× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) | $4,514.85 | $6,639.49 | 0.6× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) | $4,514.85 | $6,639.49 | 1.4× |
| Osteotomy calcaneus w/wo internal fixation (28300) | $12,203.18 | $17,945.85 | 1.7× |
| Part remv talus or calcaneus (28120) | $5,351.61 | $7,870.02 | 1.7× |
| Partial removal of fibula (27641) | $6,200.92 | $9,119 | 2.0× |
| Partial removal of lip (40530) | $4,551.79 | $6,693.81 | 1.4× |
| Partial removal of thyroid (60220) | $9,375.53 | $13,787.55 | 1.6× |
| Partial removal of tongue (41120) | $9,025.43 | $13,272.69 | 1.6× |
| Partical Excision Bone Phalanx Toe (28124) | $5,351.61 | $7,870.02 | 1.7× |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$519.44–$519.52 | $763.88–$764 | varies |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) | $2,194.09 | $3,226.60 | 1.9× |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) | $3,239.86 | $4,764.50 | 1.0× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $4,514.79 | $6,639.40 | 1.4× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$254.65–$457.97 | $374.48–$673.48 | varies |
| Puncture Aspiration Cyst Breast (19000) | $1,924.64 | $2,830.36 | 2.8× |
| Rcnstj angular dfrm toe soft tiss px only (28313) | $4,514.85 | $6,639.49 | 1.4× |
| Reconstruction Nail Bed W/Graft (11762) range across 3 matching MRF lines |
$567.12–$3,499.33 | $834–$5,146.08 | varies |
| Release foot/toe nerve (64726) | $3,507.47 | $5,158.05 | 1.9× |
| Release of big toe (28240) | $4,911.57 | $7,222.90 | 1.5× |
| Removal Embedded Foreign Body Eyelid (67938) range across 2 matching MRF lines |
$347.48–$654.68 | $511–$962.76 | varies |
| Removal Foreign Body Foot Complicated (28193) | $1,869.86 | $2,749.80 | 1.2× |
| Removal foreign body foot deep (28192) range across 2 matching MRF lines |
$609.96–$3,473.37 | $897–$5,107.90 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$257.72–$1,690 | $379–$2,485.30 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$439.28–$986 | $646–$1,450 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$99.96–$187.07 | $147–$275.10 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
$99.96–$210.80 | $147–$310 | varies |
| Removal Implant Deep (20680) | $3,821.60 | $5,620 | 1.4× |
| Removal Implant Superficial Separate Procedure (20670) | $2,631.40 | $3,869.70 | 1.6× |
| Removal of adenoids (42830) | $4,551.79 | $6,693.81 | 1.4× |
| Removal of foreign body from pharynx (42809) range across 2 matching MRF lines |
$210.80–$407.25 | $310–$598.90 | varies |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$522.24–$770.70 | $768–$1,133.38 | varies |
| Removal of sesamoid bone (28315) | $4,514.85 | $6,639.49 | 1.4× |
| Removal of sperm cord lesion (55520) | $4,154.26 | $6,109.20 | 1.2× |
| Removal of tonsils (42825) | $9,025.43 | $13,272.69 | 1.6× |
| Removal of tonsils (42826) | $4,551.79 | $6,693.81 | 1.4× |
| Removal or bivalving full arm or full leg cast (29705) range across 2 matching MRF lines |
$142.80–$364.22 | $210–$535.62 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$216.92–$284.24 | $319–$418 | varies |
| Removal sweat gland lesion (11450) | $3,896.71 | $5,730.45 | 1.4× |
| Removal/bivalving gauntlet boot/body cast (29700) range across 2 matching MRF lines |
$104.72–$364.22 | $154–$535.62 | varies |
| Remove armpit lymph nodes (38740) | $8,497.96 | $12,497 | 1.4× |
| Remove foreign body from eye (65235) range across 2 matching MRF lines |
$632.40–$1,401.52 | $930–$2,061.06 | varies |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$131.92–$341.17 | $194–$501.72 | varies |
| Remove Intrauterine Device (58301) | $414.80 | $610 | 1.4× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$210.80–$380.80 | $310–$560 | varies |
| Remove Peritoneal Foreign Body (49402) | $1,879.35 | $2,763.75 | 0.5× |
| Remove Shoulder Foreign Body (23330) range across 2 matching MRF lines |
$456.28–$1,448.40 | $671–$2,130 | varies |
| Remove Skin Nerve Lesion (64774) | $3,388.03 | $4,982.40 | 1.8× |
| Remove Tendon Sheath Lesion (26160) | $2,643.30 | $3,887.20 | 1.7× |
| Repair Achilles Tendon (27650) | $8,000.73 | $11,765.78 | 1.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $1,604.42 | $2,359.44 | 2.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $1,604.42 | $2,359.44 | 2.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $1,051.17 | $1,545.84 | 2.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $1,604.42 | $2,359.44 | 4.1× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
$356.44–$1,051.17 | $524.17–$1,545.84 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$992.80–$1,051.17 | $1,460–$1,545.84 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $1,060.80 | $1,560 | 1.5× |
| Repair complex trunk 2.6-7.5 cm (13101) | $1,604.42 | $2,359.44 | 2.2× |
| Repair extensor tendon finger w/o graft each (26418) | $2,843.45 | $4,181.54 | 1.8× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) | $3,945.36 | $5,802 | 1.2× |
| Repair Foot Dislocation (28615) | $3,812.37 | $5,606.42 | 0.5× |
| Repair Hallux Rigidus (28289) | $4,514.85 | $6,639.49 | 1.4× |
| Repair Hand Tendon (26410) | $2,843.42 | $4,181.50 | 1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$522.24–$640.72 | $768–$942.24 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$465.12–$627.01 | $684–$922.08 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$659.60–$917.47 | $970–$1,349.22 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$385.56–$694.63 | $567–$1,021.52 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $1,220.22 | $1,794.44 | 3.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $1,051.17 | $1,545.84 | 1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$385.56–$473.28 | $567–$696 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$607.24–$1,051.28 | $893–$1,546 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$648.72–$1,051.17 | $954–$1,545.84 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $1,051.17 | $1,545.84 | 0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 3 matching MRF lines |
$320.96–$1,051.14 | $472–$1,545.80 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$461.04–$1,217.88 | $678–$1,791 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$591.60–$1,051.17 | $870–$1,545.84 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $1,051.14 | $1,545.80 | 1.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$624.24–$1,051.17 | $918–$1,545.84 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $1,051.17 | $1,545.84 | 0.5× |
| Repair Nasal Vestibular Stenosis (30465) | $9,025.43 | $13,272.69 | 1.6× |
| Repair of hammertoe (28286) | $4,514.85 | $6,639.49 | 1.4× |
| Repair of metatarsals (28322) | $12,203.18 | $17,945.85 | 1.7× |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$385.56–$402.64 | $567–$592.12 | varies |
| Repair secondary achilles tendon w/wo graft (27654) | $8,000.73 | $11,765.78 | 1.1× |
| Repair Spica/Body/Jacket Cast (29720) range across 2 matching MRF lines |
$131.92–$161.16 | $194–$237 | varies |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $4,911.57 | $7,222.90 | 1.5× |
| Repair Toe Dislocation (28645) | $4.76 | $7 | 0.0× |
| Repair tongue laceration (41252) range across 2 matching MRF lines |
$653.48–$1,385.23 | $961–$2,037.10 | varies |
| Repair tongue laceration (41250) range across 2 matching MRF lines |
$346.12–$461.04 | $509–$678 | varies |
| Repair, primary, disrupted ligament, ankle; collateral (27695) | $7,751.44 | $11,399.18 | 1.1× |
| Replantation digit complete (20822) | $4,846.84 | $7,127.70 | 3.1× |
| Rerepair ing hernia reduce (49520) | $6,012.53 | $8,841.96 | 1.7× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) | $5,351.61 | $7,870.02 | 1.7× |
| Revision of big toe (28310) | $4,911.57 | $7,222.90 | 0.7× |
| Revision of foot (28116) | $4,911.57 | $7,222.90 | 1.5× |
| Revision of lower leg tendon (27685) | $5,461.94 | $8,032.26 | 1.7× |
| Rhytidectomy Forehead (15824) | $1,309.88 | $1,926.30 | 0.7× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) range across 2 matching MRF lines |
$161.16–$210.80 | $237–$310 | varies |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $3,596.86 | $5,289.50 | 2.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$129.20–$341.17 | $190–$501.72 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$176.80–$341.17 | $260–$501.72 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 2 matching MRF lines |
$163.20–$341.17 | $240–$501.72 | varies |
| Rmvl fecal impaction/fb spx under anes (45915) range across 2 matching MRF lines |
$675.92–$2,558.39 | $994–$3,762.34 | varies |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $3,821.60 | $5,620 | 1.4× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) range across 2 matching MRF lines |
$447.44–$1,368.57 | $658–$2,012.60 | varies |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) range across 2 matching MRF lines |
$416.16–$1,427.69 | $612–$2,099.54 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $2,005.52 | $2,949.30 | 3.3× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) range across 2 matching MRF lines |
$240.04–$828.34 | $353–$1,218.14 | varies |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) range across 2 matching MRF lines |
$204.68–$3,579.21 | $301–$5,263.54 | varies |
| Rpr blood vessel direct lower extremity (35226) | $1,181.85 | $1,738.02 | 1.7× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$324.36–$385.56 | $477–$567 | varies |
| Rpr flexor tendon leg secondary w/o graft each (27659) | $8,000.73 | $11,765.78 | 1.1× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $1,051.17 | $1,545.84 | 1.5× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $1,065.56 | $1,567 | 2.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $1,065.56 | $1,567 | 2.0× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $1,065.56 | $1,567 | 0.7× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) | $4,911.57 | $7,222.90 | 1.5× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) range across 2 matching MRF lines |
$485.52–$3,680.87 | $714–$5,413.05 | varies |
| Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) | $4,911.57 | $7,222.90 | 0.7× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) range across 2 matching MRF lines |
$110.84–$2,005.52 | $163–$2,949.30 | varies |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) | $4,551.79 | $6,693.81 | 1.4× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) | $1,157.16 | $1,701.70 | 1.3× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $1,157.16 | $1,701.70 | 1.0× |
| Shave skin lesion 0.5 cm/< (11300) range across 3 matching MRF lines |
$90.44–$359.96 | $133–$529.35 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) range across 2 matching MRF lines |
$131.92–$284.31 | $194–$418.10 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $252.04 | $370.64 | 0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 2 matching MRF lines |
$102.68–$284.31 | $151–$418.10 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $252.04 | $370.64 | 1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $252.04 | $370.64 | 1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $252.04 | $370.64 | 0.6× |
| Shoulder arthroscopy (29820) | $9,991.24 | $14,693 | 1.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $252.04 | $370.64 | 1.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $252.04 | $370.64 | 0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $252.04 | $370.64 | 1.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $462.58 | $680.26 | 1.2× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $252.04 | $370.64 | 1.3× |
| Sigmoidoscopy & decompress (45337) | $1,157.16 | $1,701.70 | 1.3× |
| Sigmoidoscopy & Polypectomy (45333) | $1,157.16 | $1,701.70 | 1.3× |
| Sigmoidoscopy w/fb removal (45332) | $1,157.16 | $1,701.70 | 1.0× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $1,157.16 | $1,701.70 | 1.3× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) | $2,056.18 | $3,023.80 | 1.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$385.56–$434.91 | $567–$639.58 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$185.64–$385.74 | $273–$567.26 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$208.76–$385.74 | $307–$567.26 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 2 matching MRF lines |
$385.56–$499.46 | $567–$734.50 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$262.48–$385.56 | $386–$567 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) range across 2 matching MRF lines |
$579.36–$1,051.17 | $852–$1,545.84 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$150.28–$385.74 | $221–$567.26 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$385.56–$484.09 | $567–$711.90 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$242.76–$385.56 | $357–$567 | varies |
| Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type) Facility (31075) | $9,025.43 | $13,272.69 | 1.6× |
| Skin Full Grft Face/Genit/Hf (15240) | $2,666.62 | $3,921.50 | 1.3× |
| Skin sub graft face/nk/hf/g (15275) | $1,051.14 | $1,545.80 | 1.5× |
| Skin sub graft trnk/arm/leg (15271) | $1,051.17 | $1,545.84 | 1.5× |
| Skin sub grft t/arm/lg child (15273) | $866.10 | $1,273.68 | 0.4× |
| Skn sub grft f/n/hf/g child (15277) | $866.10 | $1,273.68 | 0.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$196.52–$385.74 | $289–$567.26 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$324.36–$385.74 | $477–$567.26 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$385.56–$396.49 | $567–$583.08 | varies |
| Sphincterotomy anal division sphincter spx (46080) | $3,391.91 | $4,988.10 | 1.3× |
| Spinal puncture lumbar diagnostic (62270) | $238 | $350 | 0.3× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $5,302.71 | $7,798.10 | 1.5× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $4,267.34 | $6,275.50 | 2.1× |
| Strapping ankle (29540) range across 3 matching MRF lines |
$80.24–$364.48 | $118–$536 | varies |
| Strapping elbow or wrist (29260) range across 2 matching MRF lines |
$112.20–$364.22 | $165–$535.62 | varies |
| Strapping hand/finger (29280) range across 2 matching MRF lines |
$108.80–$364.22 | $160–$535.62 | varies |
| Strapping knee (29530) range across 2 matching MRF lines |
$113.56–$364.22 | $167–$535.62 | varies |
| Strapping shoulder (29240) range across 3 matching MRF lines |
$130.56–$364.48 | $192–$536 | varies |
| Strapping thorax (29200) range across 2 matching MRF lines |
$119.68–$364.22 | $176–$535.62 | varies |
| Strapping toes (29550) range across 2 matching MRF lines |
$59.84–$161.16 | $88–$237 | varies |
| Strapping Unna Boot (29580) range across 3 matching MRF lines |
$108.80–$364.48 | $160–$536 | varies |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) range across 2 matching MRF lines |
$4,551.79–$6,827.69 | $6,693.81–$10,040.72 | varies |
| Suction assisted lipectomy; head and neck (15876) | $804.10 | $1,182.50 | 0.2× |
| Suction assisted lipectomy; upper extremity (15878) | $1,462 | $2,150 | 0.7× |
| Suction Lipectomy Lwr Extrem (15879) | $1,462 | $2,150 | 0.4× |
| Syndactylization toes (28280) | $5,351.61 | $7,870.02 | 1.7× |
| Synovectomy Tendon Sheath Foot Flexor (28086) | $5,584.40 | $8,212.35 | 1.8× |
| Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070) | $4,911.57 | $7,222.90 | 0.7× |
| Tenolysis flexor foot single tendon (28220) | $4,911.57 | $7,222.90 | 3.1× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $252.59 | $371.46 | 0.2× |
| Tenotomy shoulder area single tendon (23405) | $5,323.07 | $7,828.05 | 0.8× |
| Thrombolytic Therapy Stroke (37195) | $743.81 | $1,093.84 | 2.3× |
| Thyroidectomy Post Prev Thyr Surg (60260) | $9,025.43 | $13,272.69 | 1.6× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $2,780.79 | $4,089.40 | 1.4× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) range across 2 matching MRF lines |
$4,551.79–$6,827.69 | $6,693.81–$10,040.72 | varies |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) | $9,375.53 | $13,787.55 | 1.6× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) range across 2 matching MRF lines |
$563.72–$1,491.78 | $829–$2,193.80 | varies |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $1,918.01 | $2,820.60 | 1.3× |
| Transfer skin pedicle flap (15650) | $3,542.46 | $5,209.50 | 1.8× |
| Treat ankle fracture (28445) | $8,199.27 | $12,057.75 | 1.2× |
| Treat Big Toe Fracture (28505) | $4,298.62 | $6,321.50 | 1.4× |
| Treat clavicle dislocation (23530) | $8,199.27 | $12,057.75 | 1.2× |
| Treat Elbow Fracture (24635) | $11,193.55 | $16,461.10 | 1.6× |
| Treat Hip Socket Fracture (27222) | $2,104.04 | $3,094.18 | 8.8× |
| Treat humerus fracture (24500) range across 2 matching MRF lines |
$485.52–$955.89 | $714–$1,405.72 | varies |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
$485.52–$1,347.77 | $714–$1,982.02 | varies |
| Treat humerus fracture (23600) range across 2 matching MRF lines |
$485.52–$892.88 | $714–$1,313.06 | varies |
| Treat knee fracture (27532) | $3,742.04 | $5,503 | 1.2× |
| Treat Knee Fracture(S) (27538) range across 2 matching MRF lines |
$485.52–$1,317.04 | $714–$1,936.82 | varies |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$485.52–$889.81 | $714–$1,308.54 | varies |
| Treat metacarpal fracture (26607) | $3,169.45 | $4,660.95 | 1.0× |
| Treat Metatarsal Fracture (28475) range across 2 matching MRF lines |
$485.52–$694.63 | $714–$1,021.52 | varies |
| Treat Tail Bone Fracture (27200) range across 2 matching MRF lines |
$485.52–$548.64 | $714–$806.82 | varies |
| Treat Thumb Dislocation (26641) range across 2 matching MRF lines |
$485.52–$986.63 | $714–$1,450.92 | varies |
| Treat Thumb Fracture (26645) | $1,644.38 | $2,418.20 | 1.1× |
| Treat toe dislocation (28630) range across 2 matching MRF lines |
$331.84–$485.63 | $488–$714.16 | varies |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $3,061.29 | $4,501.90 | 2.0× |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$485.52–$991.24 | $714–$1,457.70 | varies |
| Treatment of foot infection (28003) | $4,414.42 | $6,491.80 | 1.4× |
| Trim skin lesion (11055) range across 3 matching MRF lines |
$63.24–$453.36 | $93–$666.70 | varies |
| Trim skin lesions 2 to 4 (11056) | $284.31 | $418.10 | 1.5× |
| Trim skin lesions over 4 (11057) | $484.09 | $711.90 | 2.5× |
| Trimming Nondystrophic Nails Any Number (11719) range across 3 matching MRF lines |
$34–$241.28 | $50–$354.82 | varies |
| Tx Gastro Intub W/Asp (43753) range across 3 matching MRF lines |
$63.24–$210.80 | $93–$310 | varies |
| Tx open tendon flexor toe 1 tendon spx (28232) | $4,514.85 | $6,639.49 | 2.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$565.76–$1,604.42 | $832–$2,359.44 | varies |
| Tx superficial wound dehiscence w/packing (12021) | $391.88 | $576.30 | 1.0× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) range across 2 matching MRF lines |
$485.52–$785.30 | $714–$1,154.86 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) range across 2 matching MRF lines |
$485.52–$573.23 | $714–$842.98 | varies |
| Tympanoplasty (69631) | $9,025.43 | $13,272.69 | 1.6× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) | $9,025.43 | $13,272.69 | 1.6× |
| Tympanostomy general anesthesia (69436) range across 2 matching MRF lines |
$2,609.36–$3,914.05 | $3,837.30–$5,755.95 | varies |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) | $5,569.20 | $8,190 | 0.9× |
| Unlisted procedure anus (46999) | $1,075.49 | $1,581.60 | 1.2× |
| Unlisted procedure foot or toes (28899) | $485.63 | $714.16 | 2.0× |
| Unlisted procedure shoulder (23929) | $4,953.94 | $7,285.20 | 20.7× |
| Uvulectomy excision of uvula (42140) | $4,551.79 | $6,693.81 | 1.4× |
| Vaginal Delivery After Cesarean Delivery (59612) | $3,833.02 | $5,636.80 | 1.2× |
| Vaginal delivery only (59409) | $3,833.02 | $5,636.80 | 1.2× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $4,248.10 | $6,247.20 | 2.1× |
| Venous Cutdown >1 Y/O (36425) range across 2 matching MRF lines |
$87.72–$122.94 | $129–$180.80 | varies |
| Wedge excision skin nail fold (11765) range across 3 matching MRF lines |
$273.36–$548.64 | $402–$806.82 | varies |
| Wedging of cast (29740) range across 2 matching MRF lines |
$161.16–$198.56 | $237–$292 | varies |
| Wedging of clubfoot cast (29750) range across 2 matching MRF lines |
$161.16–$233.92 | $237–$344 | varies |
| Windowing of cast (29730) range across 2 matching MRF lines |
$136.68–$161.16 | $201–$237 | varies |
| Wound Prep F/N/Hf/G (15004) | $1,051.14 | $1,545.80 | 2.7× |
| Wound Prep Trk/Arm/Leg (15002) | $866.05 | $1,273.60 | 1.2× |
| Xfer Single Deep Low Leg Tendon (27691) | $8,000.73 | $11,765.78 | 1.1× |
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.