Procedures & surgery prices at Community Hospital, Onaga and St. Marys Campus
Onaga, KS · every code in this section with a posted price and a Medicare benchmark.
513 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) | $908.80 | $1,136 | 1.1× |
| Acne surgery (10040) | $141.60 | $177 | 0.8× |
| Adding Walker Previously Applied Cast (29440) | $90.40 | $113 | 0.6× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) range across 2 matching MRF lines |
$1,037.60–$1,297.60 | $1,297–$1,622 | varies |
| Amniocentesis diagnostic (59000) range across 3 matching MRF lines |
$328.80–$411.20 | $411–$514 | varies |
| Amputation metatarsal with toe single (28810) range across 2 matching MRF lines |
$384–$480 | $480–$600 | varies |
| Amputation toe metatarsophalangeal joint (28820) range across 3 matching MRF lines |
$613.60–$959.20 | $767–$1,199 | varies |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) range across 2 matching MRF lines |
$571.20–$713.60 | $714–$892 | varies |
| Anoscopy Ablation Lesion (46615) range across 2 matching MRF lines |
$139.20–$173.60 | $174–$217 | varies |
| Anoscopy Control Bleeding (46614) range across 2 matching MRF lines |
$100–$125.60 | $125–$157 | varies |
| Anoscopy diagnostic (46600) | $63.20 | $79 | 0.5× |
| Anoscopy; with biopsy, single or multiple (46606) range across 2 matching MRF lines |
$300–$375.20 | $375–$469 | varies |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) range across 2 matching MRF lines |
$98.40–$122.40 | $123–$153 | varies |
| Anterior colporraphy rpr cystocele w/cysto (57240) range across 2 matching MRF lines |
$733.60–$917.60 | $917–$1,147 | varies |
| Appendectomy (44950) range across 2 matching MRF lines |
$892.80–$1,116 | $1,116–$1,395 | varies |
| Application cast elbow finger short arm (29075) | $96 | $120 | 0.4× |
| Application Cast Finger (29086) | $90.40 | $113 | 0.6× |
| Application finger splint static (29130) range across 4 matching MRF lines |
$89.60–$274.40 | $112–$343 | varies |
| Application long arm splint shoulder hand (29105) | $130.40 | $163 | 0.9× |
| Application Long Leg Splint (29505) | $170.40 | $213 | 1.1× |
| Application Patellar Tendon Bearing Cast (29435) | $186.40 | $233 | 0.7× |
| Application Short Arm Splint Dynamic (29126) | $48.80 | $61 | 0.4× |
| Application short arm splint forearm-hand static (29125) | $74.40 | $93 | 0.6× |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$64–$143.20 | $80–$179 | varies |
| Apply hand/wrist cast (29085) range across 2 matching MRF lines |
$90.40–$168 | $113–$210 | varies |
| Apply long arm cast (29065) range across 2 matching MRF lines |
$58.40–$184 | $73–$230 | varies |
| Apply Multlay Comprs Lwr Leg (29581) | $116 | $145 | 0.8× |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$186.40–$195.20 | $233–$244 | varies |
| Apply short leg cast (29425) range across 2 matching MRF lines |
$186.40–$216 | $233–$270 | varies |
| Arrest Epiphyseal Open Distal Tibia (27730) | $614.40 | $768 | 0.2× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$69.60–$169.60 | $87–$212 | varies |
| Artery-vein autograft (36825) unusually low: confirm this is the full procedure |
$1,944 | $2,430 | 0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$46.40–$59.20 | $58–$74 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 3 matching MRF lines |
$104.80–$144 | $131–$180 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $123.20 | $154 | 0.4× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) likely a partial charge, not the full procedure |
$2,073.60 | $2,592 | 0.2× |
| Aspirate Pleura W/O Imaging (32554) | $225.60 | $282 | 0.4× |
| Aspirate/Inj Ganglion Cyst (20612) range across 3 matching MRF lines |
$121.60–$169.60 | $152–$212 | varies |
| Aspiration bladder insert suprapubic catheter (51102) | $185.60 | $232 | 0.1× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 4 matching MRF lines |
$65.60–$165.60 | $82–$207 | varies |
| Biopsy of breast; open, incisional (19101) range across 2 matching MRF lines |
$300–$375.20 | $375–$469 | varies |
| Biopsy soft tissue leg/ankle area superficial (27613) | $232.80 | $291 | 0.2× |
| Biopsy soft tissue neck/thorax (21550) range across 4 matching MRF lines |
$244–$835.20 | $305–$1,044 | varies |
| Biopsy Vaginal Mucosa Simple (57100) | $142.40 | $178 | 0.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $161.60 | $202 | 0.2× |
| Biopsy, vestibule of mouth (40808) | $223.20 | $279 | 0.5× |
| Bladder Irrigation (51700) | $165.60 | $207 | 0.7× |
| Bladder Scan (51798) | $78.40 | $98 | 1.4× |
| Blood Transfusion Service (36430) | $582.40 | $728 | 1.4× |
| Bx breast 1st lesion us imag (19083) | $1,297.60 | $1,622 | 0.9× |
| Bx breast needle core w/o imaging guidance spx (19100) range across 2 matching MRF lines |
$141.60–$176.80 | $177–$221 | varies |
| Bx Cervix (57500) range across 3 matching MRF lines |
$95.20–$219.20 | $119–$274 | varies |
| Bx/exc lymph node open deep axillary node (38525) range across 2 matching MRF lines |
$552–$690.40 | $690–$863 | varies |
| Bx/exc lymph node open superficial (38500) range across 2 matching MRF lines |
$301.60–$377.60 | $377–$472 | varies |
| Carpal Tunnel Surgery (64721) | $800 | $1,000 | 0.4× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) | $281.60 | $352 | 1.0× |
| Cerclage Uterine Cervix Nonobstetrical (57700) range across 2 matching MRF lines |
$800.80–$1,001.60 | $1,001–$1,252 | varies |
| Chemical Cautery Tissue (17250) range across 3 matching MRF lines |
$80.80–$116.80 | $101–$146 | varies |
| Chemodenerv Musc Migraine (64615) | $203.20 | $254 | 0.7× |
| Chemodenervation of internal anal sphincter (46505) range across 2 matching MRF lines |
$224.80–$280.80 | $281–$351 | varies |
| Chest tube placement (32551) range across 3 matching MRF lines |
$372–$464.80 | $465–$581 | varies |
| Circumcision Neonate (54160) range across 4 matching MRF lines |
$222.40–$278.40 | $278–$348 | varies |
| Circumcision w/clamp/oth dev w/block (54150) range across 6 matching MRF lines |
$268–$336 | $335–$420 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) | $491.20 | $614 | 0.3× |
| Clear outer ear canal (69200) | $116.80 | $146 | 1.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) range across 2 matching MRF lines |
$449.60–$562.40 | $562–$703 | varies |
| Closed Treatment Ulnar Styloid Fracture (25650) | $424 | $530 | 1.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $518.40 | $648 | 2.3× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $1,748 | $2,185 | 7.7× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $373.60 | $467 | 1.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $252 | $315 | 1.1× |
| Closed tx patellar dislocation w/anesthesia (27562) range across 2 matching MRF lines |
$445.60–$556.80 | $557–$696 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) | $384.80 | $481 | 1.7× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $348.80 | $436 | 1.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $348 | $435 | 1.5× |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$460–$575.20 | $575–$719 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $378.40 | $473 | 1.7× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $472 | $590 | 0.3× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $295.20 | $369 | 1.3× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $361.60 | $452 | 1.6× |
| Closed tx talus fracture w/o manipulation (28430) | $330.40 | $413 | 1.5× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $378.40 | $473 | 1.7× |
| Closure Gastrostomy Surg (43870) range across 2 matching MRF lines |
$634.40–$792.80 | $793–$991 | varies |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $296 | $370 | 1.4× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $369.60 | $462 | 0.7× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $306.40 | $383 | 1.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $234.40 | $293 | 1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $408 | $510 | 0.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $352 | $440 | 1.6× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $856 | $1,070 | 0.6× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $403.20 | $504 | 1.8× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $280.80 | $351 | 1.2× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) | $577.60 | $722 | 0.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $323.20 | $404 | 1.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $389.60 | $487 | 1.7× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $196 | $245 | 0.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $348 | $435 | 1.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 3 matching MRF lines |
$495.20–$700 | $619–$875 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $777.60 | $972 | 3.4× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $237.60 | $297 | 1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$144–$235.20 | $180–$294 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $203.20 | $254 | 0.9× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $395.20 | $494 | 1.7× |
| Cltx hip dislocation traumatic req anesthesia (27252) range across 2 matching MRF lines |
$672.80–$840.80 | $841–$1,051 | varies |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $395.20 | $494 | 1.7× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $395.20 | $494 | 1.7× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $158.40 | $198 | 0.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$109.60–$136.80 | $137–$171 | varies |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) range across 2 matching MRF lines |
$352–$551.20 | $440–$689 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $356.80 | $446 | 1.6× |
| Cltx Medial Ankle Fx (27760) | $460 | $575 | 2.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $424 | $530 | 1.9× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $274.40 | $343 | 1.2× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) range across 3 matching MRF lines |
$360–$510.40 | $450–$638 | varies |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) range across 2 matching MRF lines |
$118.40–$148 | $148–$185 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 3 matching MRF lines |
$236–$456 | $295–$570 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $373.60 | $467 | 1.6× |
| Cltx prox fibula/shft fx w/o manj (27780) | $380 | $475 | 1.7× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 2 matching MRF lines |
$426.40–$532.80 | $533–$666 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
$92.80–$204 | $116–$255 | varies |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) range across 2 matching MRF lines |
$498.40–$622.40 | $623–$778 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) | $506.40 | $633 | 2.2× |
| Cltx tibial shaft fx w/o manipulation (27750) | $519.20 | $649 | 2.3× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) | $627.20 | $784 | 2.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $391.20 | $489 | 0.3× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $603.20 | $754 | 2.7× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) range across 2 matching MRF lines |
$1,254.40–$1,568 | $1,568–$1,960 | varies |
| Collect Blood From Catheter Venous Nos (36592) range across 3 matching MRF lines |
$44–$77.60 | $55–$97 | varies |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$24–$30.40 | $30–$38 | varies |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) range across 2 matching MRF lines |
$272.80–$341.60 | $341–$427 | varies |
| Colonoscopy thru stoma (44388) range across 2 matching MRF lines |
$247.20–$309.60 | $309–$387 | varies |
| Colonoscopy w/ablation (45388) range across 2 matching MRF lines |
$1,034.40–$1,292.80 | $1,293–$1,616 | varies |
| Colonoscopy W/Band Ligation (45398) range across 2 matching MRF lines |
$664–$829.60 | $830–$1,037 | varies |
| Colonoscopy W/Resection (45390) | $1,280.80 | $1,601 | 0.5× |
| Colonoscopy w/submucosal inj (45381) range across 2 matching MRF lines |
$1,256–$1,570.40 | $1,570–$1,963 | varies |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) range across 3 matching MRF lines |
$267.20–$350.40 | $334–$438 | varies |
| Colposcopy cervix upper/adjacent vagina (57452) | $245.60 | $307 | 1.3× |
| Colposcopy cervix vag eltrd conization cervix (57461) | $557.60 | $697 | 0.2× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $144.80 | $181 | 0.2× |
| Colsc flx w/removal lesion by hot bx forceps (45384) range across 2 matching MRF lines |
$910.40–$1,138.40 | $1,138–$1,423 | varies |
| Combined anteroposterior colporrhaphy; (57260) range across 2 matching MRF lines |
$1,038.40–$1,298.40 | $1,298–$1,623 | varies |
| Complex drainage wound (10180) range across 3 matching MRF lines |
$224–$323.20 | $280–$404 | varies |
| Conization cervix w/wo d&c rpr eltrd exc (57522) range across 2 matching MRF lines |
$332–$415.20 | $415–$519 | varies |
| Conization of cervix (57520) | $572 | $715 | 0.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $185.60 | $232 | 1.5× |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) | $108 | $135 | 2.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $92 | $115 | 0.8× |
| Cystourethroscopy (52000) range across 2 matching MRF lines |
$223.20–$279.20 | $279–$349 | varies |
| Cystourethroscopy w/dil bladder general anesth (52260) range across 2 matching MRF lines |
$360.80–$451.20 | $451–$564 | varies |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 3 matching MRF lines |
$241.60–$461.60 | $302–$577 | varies |
| Debride nail 1-5 (11720) | $46.40 | $58 | 0.9× |
| Debride nail 6 or more (11721) range across 3 matching MRF lines |
$58.40–$76 | $73–$95 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $352 | $440 | 0.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 4 matching MRF lines |
$132.80–$215.20 | $166–$269 | varies |
| Delivery of placenta (59414) range across 2 matching MRF lines |
$573.60–$717.60 | $717–$897 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 3 matching MRF lines |
$90.40–$168.80 | $113–$211 | varies |
| Destruction Benign Lesions 15/> (17111) | $247.20 | $309 | 1.3× |
| Destruction by neurolytic agent, intercostal nerve (64620) | $160.80 | $201 | 0.2× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) | $60.80 | $76 | 0.2× |
| Destruction Lesions Vulva Extensive (56515) | $387.20 | $484 | 0.2× |
| Destruction Lesions Vulva Simple (56501) range across 2 matching MRF lines |
$148.80–$186.40 | $186–$233 | varies |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $186.40 | $233 | 1.0× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $228 | $285 | 1.2× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) | $250.40 | $313 | 1.4× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $277.60 | $347 | 1.5× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $215.20 | $269 | 1.2× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $118.40 | $148 | 0.6× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) | $136 | $170 | 0.7× |
| Destruction Premalignant Lesion 15/> (17004) | $392 | $490 | 1.0× |
| Destruction premalignant lesion 1st (17000) range across 3 matching MRF lines |
$84–$118.40 | $105–$148 | varies |
| Destruction Vaginal Lesions Extensive (57065) | $414.40 | $518 | 0.1× |
| Destruction Vaginal Lesions Simple (57061) | $202.40 | $253 | 0.1× |
| Diagnostic sigmoidoscopy (45330) range across 2 matching MRF lines |
$235.20–$294.40 | $294–$368 | varies |
| Diaphragm or cervical cap fitting with instructions (57170) | $114.40 | $143 | 0.6× |
| Dilate Esophagus 1/Mult Pass (43450) range across 2 matching MRF lines |
$172–$215.20 | $215–$269 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 4 matching MRF lines |
$112–$212 | $140–$265 | varies |
| Drainage of finger abscess simple (26010) range across 4 matching MRF lines |
$115.20–$381.60 | $144–$477 | varies |
| Drainage of hematoma/fluid (10140) | $188.80 | $236 | 0.1× |
| Draw Blood Off Venous Device (36591) range across 2 matching MRF lines |
$48–$84 | $60–$105 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $351.20 | $439 | 0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 4 matching MRF lines |
$140–$262.40 | $175–$328 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $103.20 | $129 | 0.6× |
| Dstrj lesion anus simple cryosurgery (46916) | $194.40 | $243 | 1.1× |
| Dstrj lesion anus simple surg excision (46922) range across 2 matching MRF lines |
$284.80–$356.80 | $356–$446 | varies |
| Dstrj Lesion Penis Simple Chemical (54050) | $173.60 | $217 | 0.5× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $199.20 | $249 | 1.1× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) | $227.20 | $284 | 0.6× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $108 | $135 | 0.1× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) range across 2 matching MRF lines |
$949.60–$1,187.20 | $1,187–$1,484 | varies |
| Egd cautery tumor polyp (43250) range across 2 matching MRF lines |
$482.40–$603.20 | $603–$754 | varies |
| Egd Flexible Foreign Body Removal (43247) range across 2 matching MRF lines |
$337.60–$422.40 | $422–$528 | varies |
| Egd lesion ablation (43270) range across 2 matching MRF lines |
$648.80–$810.40 | $811–$1,013 | varies |
| Egd place gastrostomy tube (43246) range across 2 matching MRF lines |
$190.40–$234.40 | $238–$293 | varies |
| Egd remove lesion snare (43251) range across 2 matching MRF lines |
$482.40–$603.20 | $603–$754 | varies |
| Endocervical curettage (57505) | $193.60 | $242 | 0.2× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) range across 2 matching MRF lines |
$596–$745.60 | $745–$932 | varies |
| Endometrial Biopsy (58100) range across 3 matching MRF lines |
$136.80–$180 | $171–$225 | varies |
| Endoscopy upper small intestine w/biopsy (44361) range across 2 matching MRF lines |
$151.20–$189.60 | $189–$237 | varies |
| Esophagoscopy Flexible Transoral Diagnostic (43200) range across 2 matching MRF lines |
$96.80–$121.60 | $121–$152 | varies |
| Evacuation of subungual hematoma (11740) | $49.60 | $62 | 0.4× |
| Exc abdl tum deep 5 cm/> (22901) range across 2 matching MRF lines |
$1,020–$1,275.20 | $1,275–$1,594 | varies |
| Exc arm/elbow les sc < 3 cm (24075) | $570.40 | $713 | 0.4× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 3 matching MRF lines |
$257.60–$339.20 | $322–$424 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 3 matching MRF lines |
$186.40–$399.20 | $233–$499 | varies |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) range across 2 matching MRF lines |
$768–$960 | $960–$1,200 | varies |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 2 matching MRF lines |
$350.40–$438.40 | $438–$548 | varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 2 matching MRF lines |
$408.80–$511.20 | $511–$639 | varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) range across 2 matching MRF lines |
$621.60–$777.60 | $777–$972 | varies |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 3 matching MRF lines |
$145.60–$234.40 | $182–$293 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$221.60–$277.60 | $277–$347 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 2 matching MRF lines |
$244–$305.60 | $305–$382 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 2 matching MRF lines |
$260.80–$326.40 | $326–$408 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $414.40 | $518 | 0.3× |
| Exc Forearm Les Sc 3 Cm/> (25071) range across 2 matching MRF lines |
$388.80–$485.60 | $486–$607 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 3 matching MRF lines |
$124–$157.60 | $155–$197 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $106.40 | $133 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$162.40–$319.20 | $203–$399 | varies |
| Exc Hand Les Sc < 1.5 Cm (26115) | $923.20 | $1,154 | 0.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 3 matching MRF lines |
$248.80–$384 | $311–$480 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 3 matching MRF lines |
$160–$334.40 | $200–$418 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 3 matching MRF lines |
$304.80–$466.40 | $381–$583 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$375.20–$469.60 | $469–$587 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) range across 3 matching MRF lines |
$357.60–$561.60 | $447–$702 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 2 matching MRF lines |
$400–$500 | $500–$625 | varies |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 3 matching MRF lines |
$284–$627.20 | $355–$784 | varies |
| Exc tendon shth lesion leg/ankle (27630) range across 2 matching MRF lines |
$320.80–$400.80 | $401–$501 | varies |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 2 matching MRF lines |
$167.20–$209.60 | $209–$262 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 3 matching MRF lines |
$159.20–$330.40 | $199–$413 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 3 matching MRF lines |
$196.80–$363.20 | $246–$454 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$257.60–$322.40 | $322–$403 | varies |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) range across 2 matching MRF lines |
$803.20–$1,004 | $1,004–$1,255 | varies |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) range across 2 matching MRF lines |
$504–$630.40 | $630–$788 | varies |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $626.40 | $783 | 0.4× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) range across 2 matching MRF lines |
$467.20–$584 | $584–$730 | varies |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $437.60 | $547 | 0.7× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) range across 2 matching MRF lines |
$849.60–$1,062.40 | $1,062–$1,328 | varies |
| Excision Lesion Tongue W/O Closure (41110) | $187.20 | $234 | 0.1× |
| Excision Lingual Frenum Frenectomy (41115) | $314.40 | $393 | 0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $271.20 | $339 | 0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 2 matching MRF lines |
$244.80–$306.40 | $306–$383 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$289.60–$362.40 | $362–$453 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $455.20 | $569 | 0.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 2 matching MRF lines |
$222.40–$278.40 | $278–$348 | varies |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 3 matching MRF lines |
$345.60–$632 | $432–$790 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) range across 2 matching MRF lines |
$228–$285.60 | $285–$357 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) range across 3 matching MRF lines |
$209.60–$356 | $262–$445 | varies |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 3 matching MRF lines |
$345.60–$432 | $432–$540 | varies |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $598.40 | $748 | 0.4× |
| Excision Multiple External Papillae/Tags Anus (46230) range across 2 matching MRF lines |
$259.20–$323.20 | $324–$404 | varies |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 2 matching MRF lines |
$506.40–$633.60 | $633–$792 | varies |
| Excision of pilonidal cyst or sinus; simple (11770) range across 2 matching MRF lines |
$372.80–$466.40 | $466–$583 | varies |
| Excision of single external papilla or tag, anus (46220) range across 2 matching MRF lines |
$72.80–$91.20 | $91–$114 | varies |
| Excision of vaginal cyst or tumor (57135) range across 2 matching MRF lines |
$195.20–$244 | $244–$305 | varies |
| Excision Pilonidal Cyst/Sinus Complicated (11772) range across 2 matching MRF lines |
$779.20–$974.40 | $974–$1,218 | varies |
| Excision Pilonidal Cyst/Sinus Extensive (11771) range across 2 matching MRF lines |
$635.20–$794.40 | $794–$993 | varies |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) range across 2 matching MRF lines |
$640–$800 | $800–$1,000 | varies |
| Expl penetrating wound spx abdomen/flank/back (20102) range across 2 matching MRF lines |
$445.60–$556.80 | $557–$696 | varies |
| Expl po hemrrg thrombosis/infctj xtr (35860) range across 2 matching MRF lines |
$734.40–$918.40 | $918–$1,148 | varies |
| Explo/Drain Breast Abscess (19020) range across 2 matching MRF lines |
$468.80–$586 | $586–$732.50 | varies |
| Exploration penetrating wound spx extremity (20103) range across 4 matching MRF lines |
$530.40–$667 | $663–$833.75 | varies |
| Exploratory elbow surgery (24000) | $717.60 | $897 | 0.2× |
| Explore/Treat Hand Joint (26070) | $656 | $820 | 0.4× |
| Fetal non-stress test (59025) range across 3 matching MRF lines |
$74.40–$335.20 | $93–$419 | varies |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $408 | $510 | 0.6× |
| Fine needle aspiration without imaging guidance (10021) range across 2 matching MRF lines |
$111.20–$191.20 | $139–$239 | varies |
| Fna bx w/us gdn 1st les (10005) | $408 | $510 | 0.6× |
| Foreskin manipulation (54450) | $144.80 | $181 | 0.6× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) range across 2 matching MRF lines |
$1,258.40–$1,573.60 | $1,573–$1,967 | varies |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) range across 2 matching MRF lines |
$542.40–$678.40 | $678–$848 | varies |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) range across 2 matching MRF lines |
$442.40–$552.80 | $553–$691 | varies |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) range across 2 matching MRF lines |
$441.60–$552 | $552–$690 | varies |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) range across 2 matching MRF lines |
$804–$1,005.60 | $1,005–$1,257 | varies |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) range across 2 matching MRF lines |
$514.40–$643.20 | $643–$804 | varies |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 5 matching MRF lines |
$291.20–$956 | $364–$1,195 | varies |
| Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) range across 2 matching MRF lines |
$1,382.40–$1,728 | $1,728–$2,160 | varies |
| Hysteroscopy Biopsy (58558) range across 2 matching MRF lines |
$419.20–$524 | $524–$655 | varies |
| Hysteroscopy Dx Sep Proc (58555) range across 2 matching MRF lines |
$328–$410.40 | $410–$513 | varies |
| Hysteroscopy Endometrial Ablation (58563) range across 2 matching MRF lines |
$598.40–$748 | $748–$935 | varies |
| Hysteroscopy Removal Impacted Foreign Body (58562) range across 2 matching MRF lines |
$397.60–$497.60 | $497–$622 | varies |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$128.80–$173.60 | $161–$217 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) range across 2 matching MRF lines |
$455.20–$568.80 | $569–$711 | varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) range across 2 matching MRF lines |
$299.20–$374.40 | $374–$468 | varies |
| I&D Intramural Im/Absc Transanal Anes (46045) range across 2 matching MRF lines |
$537.60–$672 | $672–$840 | varies |
| I&d perianal abscess superficial (46050) range across 3 matching MRF lines |
$149.60–$470.40 | $187–$588 | varies |
| I&d pilonidal cyst complicated (10081) range across 2 matching MRF lines |
$181.60–$227.20 | $227–$284 | varies |
| I&d pilonidal cyst simple (10080) range across 3 matching MRF lines |
$106.40–$182.40 | $133–$228 | varies |
| Incise external hemorrhoid (46083) range across 3 matching MRF lines |
$163.20–$206.40 | $204–$258 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$293.60–$367.20 | $367–$459 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $570.40 | $713 | 0.2× |
| Incision & removal foreign body subq tiss compl (10121) range across 3 matching MRF lines |
$245.60–$307.20 | $307–$384 | varies |
| Incision & removal foreign body subq tiss simple (10120) | $140 | $175 | 0.4× |
| Incision and drainage of bartholin's gland abscess (56420) | $192 | $240 | 1.0× |
| Incision and drainage of vulva or perineal abscess (56405) range across 3 matching MRF lines |
$104.80–$160 | $131–$200 | varies |
| Incision of lingual frenum (frenotomy) (41010) range across 3 matching MRF lines |
$188–$235.20 | $235–$294 | varies |
| Incision of rectal abscess (46040) | $1,650.40 | $2,063 | 1.5× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $367.20 | $459 | 0.2× |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$143.20–$179.20 | $179–$224 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $108.80 | $136 | 0.6× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $128 | $160 | 0.5× |
| Injection enzyme palmar fascial cord (20527) | $101.60 | $127 | 0.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $136 | $170 | 0.5× |
| Injection single/mlt trigger point 3/> muscles (20553) | $123.20 | $154 | 0.4× |
| Injection, intralesional; up to and including 7 lesions (11900) | $51.20 | $64 | 0.3× |
| Insert cervical dilator (59200) | $116 | $145 | 0.4× |
| Insert Drug Implant Device (11981) | $259.20 | $324 | 2.1× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$191.20–$239.20 | $239–$299 | varies |
| Insert pessary/other device (57160) | $93.60 | $117 | 0.5× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$56–$150.40 | $70–$188 | varies |
| Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$1,380.80–$1,726.40 | $1,726–$2,158 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) | $136 | $170 | 1.1× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $1,569.60 | $1,962 | 1.1× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $395.20 | $494 | 0.3× |
| Int hrhc by ligation single hroid w/o img gdn (46945) range across 2 matching MRF lines |
$264–$330.40 | $330–$413 | varies |
| Intro Gastrointestinal Tube (44500) | $262.40 | $328 | 0.3× |
| Intubation endotracheal emergency procedure (31500) | $301.60 | $377 | 1.4× |
| Lap paraesoph her rpr w/mesh (43282) range across 2 matching MRF lines |
$1,475.20–$1,843.20 | $1,844–$2,304 | varies |
| Lap paraesophag hern repair (43281) range across 2 matching MRF lines |
$1,426.40–$1,775.20 | $1,783–$2,219 | varies |
| Laparo-vag hyst incl t/o (58552) range across 2 matching MRF lines |
$398.40–$498.40 | $498–$623 | varies |
| Laparoscopy aspiration (49322) range across 2 matching MRF lines |
$335.20–$419.20 | $419–$524 | varies |
| Laparoscopy Enterolysis Separate Procedure (44180) range across 4 matching MRF lines |
$850.40–$1,063.20 | $1,063–$1,329 | varies |
| Laparoscopy fulguration oviducts (58670) range across 2 matching MRF lines |
$945.60–$1,182.40 | $1,182–$1,478 | varies |
| Laparoscopy gastrostomy (43653) range across 2 matching MRF lines |
$516–$645.60 | $645–$807 | varies |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 2 matching MRF lines |
$394.40–$493 | $493–$616.25 | varies |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) range across 2 matching MRF lines |
$1,904–$2,380 | $2,380–$2,975 | varies |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) range across 2 matching MRF lines |
$1,488–$1,860 | $1,860–$2,325 | varies |
| Laparoscopy W/Lysis Of Adhesions (58660) range across 2 matching MRF lines |
$1,756.80–$2,196 | $2,196–$2,745 | varies |
| Laparoscopy w/rmvl adnexal structures (58661) range across 2 matching MRF lines |
$964–$1,205.60 | $1,205–$1,507 | varies |
| Laparoscopy, surgical, appendectomy (44970) range across 3 matching MRF lines |
$835.20–$1,440 | $1,044–$1,800 | varies |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) range across 2 matching MRF lines |
$1,616–$2,020 | $2,020–$2,525 | varies |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) range across 2 matching MRF lines |
$1,356–$1,695.20 | $1,695–$2,119 | varies |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) range across 2 matching MRF lines |
$1,297.60–$1,622.40 | $1,622–$2,028 | varies |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) range across 2 matching MRF lines |
$515.20–$644 | $644–$805 | varies |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) range across 3 matching MRF lines |
$1,095.20–$1,713.60 | $1,369–$2,142 | varies |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) range across 2 matching MRF lines |
$502.40–$628 | $628–$785 | varies |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) range across 2 matching MRF lines |
$317.60–$396.80 | $397–$496 | varies |
| Laparoscopy, Tubal Block (58671) range across 2 matching MRF lines |
$945.60–$1,182.40 | $1,182–$1,478 | varies |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) range across 3 matching MRF lines |
$489.60–$629.60 | $612–$787 | varies |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) range across 2 matching MRF lines |
$1,028–$1,285.60 | $1,285–$1,607 | varies |
| Laps Gastric Restrictive Px Remove Device & Port (43774) range across 2 matching MRF lines |
$1,408–$1,760 | $1,760–$2,200 | varies |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) range across 2 matching MRF lines |
$1,402.40–$1,753.60 | $1,753–$2,192 | varies |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) range across 2 matching MRF lines |
$464–$580 | $580–$725 | varies |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) range across 2 matching MRF lines |
$2,007.20–$2,509.60 | $2,509–$3,137 | varies |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) range across 2 matching MRF lines |
$509.60–$637.60 | $637–$797 | varies |
| Late closure of wound (13160) range across 2 matching MRF lines |
$736–$920 | $920–$1,150 | varies |
| Ligation of hemorrhoids (46946) range across 2 matching MRF lines |
$279.20–$349.60 | $349–$437 | varies |
| Ligation or biopsy temporal artery (37609) range across 2 matching MRF lines |
$286.40–$358.40 | $358–$448 | varies |
| Lsh uterus 250 g or less (58541) range across 2 matching MRF lines |
$1,265.60–$1,582.40 | $1,582–$1,978 | varies |
| Lsh uterus above 250 g (58543) range across 2 matching MRF lines |
$1,425.60–$1,782.40 | $1,782–$2,228 | varies |
| Lsh w/t/o uterus above 250 g (58544) range across 2 matching MRF lines |
$1,544–$1,930.40 | $1,930–$2,413 | varies |
| Mast mod rad (19307) range across 2 matching MRF lines |
$1,825.60–$2,282.40 | $2,282–$2,853 | varies |
| Mastectomy for gynecomastia (19300) range across 2 matching MRF lines |
$520–$650.40 | $650–$813 | varies |
| Mastectomy partial (19301) range across 2 matching MRF lines |
$597.60–$747.20 | $747–$934 | varies |
| Mastectomy partial w/axillary lymphadenectomy (19302) range across 2 matching MRF lines |
$808.80–$1,010.40 | $1,011–$1,263 | varies |
| Mastectomy simple complete (19303) range across 2 matching MRF lines |
$880–$1,100 | $1,100–$1,375 | varies |
| N Block Inj Pudendal (64430) range across 2 matching MRF lines |
$284.80–$356 | $356–$445 | varies |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $32 | $40 | 1.2× |
| Needle insertion w/o injection 3 or more muscles (20561) | $32 | $40 | 1.2× |
| Nipple Exploration (19110) range across 2 matching MRF lines |
$440.80–$551.20 | $551–$689 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $692 | $865 | 0.9× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,142.40 | $1,428 | 1.8× |
| Omntc Epiploectomy Rescj Omentum Spx (49255) range across 3 matching MRF lines |
$733.60–$1,902.40 | $917–$2,378 | varies |
| Open bowel to skin (44300) range across 2 matching MRF lines |
$779.20–$974.40 | $974–$1,218 | varies |
| Ostc prtl exostc/condylc metar head (28288) range across 2 matching MRF lines |
$557.60–$697.60 | $697–$872 | varies |
| Ovarian cystectomy, unilateral or bilateral (58925) range across 2 matching MRF lines |
$988–$1,235.20 | $1,235–$1,544 | varies |
| Partial removal of thyroid (60220) range across 2 matching MRF lines |
$1,092–$1,365.60 | $1,365–$1,707 | varies |
| Partical Excision Bone Phalanx Toe (28124) | $621.60 | $777 | 0.2× |
| Pelvic examination under anesthesia (other than local) (57410) range across 2 matching MRF lines |
$136.80–$171.20 | $171–$214 | varies |
| Percut Drain/Inject Renal Cyst (50390) | $551.20 | $689 | 0.8× |
| Peritoneal Lavage (49084) range across 2 matching MRF lines |
$176–$220 | $220–$275 | varies |
| Perq device breast 1st imag (19281) | $334.40 | $418 | 0.2× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $400 | $500 | 0.6× |
| Place Duod/Jej Tube Perc (49441) range across 2 matching MRF lines |
$207.20–$259.20 | $259–$324 | varies |
| Placement of seton (46020) range across 2 matching MRF lines |
$253.60–$317 | $317–$396.25 | varies |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) range across 2 matching MRF lines |
$778.40–$973.60 | $973–$1,217 | varies |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) range across 2 matching MRF lines |
$83.20–$104 | $104–$130 | varies |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) range across 2 matching MRF lines |
$121.60–$152 | $152–$190 | varies |
| Punch biopsy skin single lesion (11104) range across 3 matching MRF lines |
$42.40–$221.60 | $53–$277 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 4 matching MRF lines |
$115.20–$187.20 | $144–$234 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 2 matching MRF lines |
$124.80–$357.60 | $156–$447 | varies |
| Removal Embedded Foreign Body Eyelid (67938) | $176.80 | $221 | 0.6× |
| Removal Foreign Body Deep Thigh/Knee (27372) range across 2 matching MRF lines |
$546.40–$683.20 | $683–$854 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) | $213.60 | $267 | 0.3× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $294.40 | $368 | 0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$12.80–$16 | $16–$20 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
$44–$95.20 | $55–$119 | varies |
| Removal implantable contraceptive capsules (11976) | $259.20 | $324 | 0.4× |
| Removal of anal fissure (46200) range across 2 matching MRF lines |
$497.60–$622.40 | $622–$778 | varies |
| Removal of bone lesion (23140) range across 2 matching MRF lines |
$812–$1,015.20 | $1,015–$1,269 | varies |
| Removal of foreign body from pharynx (42809) | $140 | $175 | 0.3× |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$226.40–$343.20 | $283–$429 | varies |
| Removal of sperm cord lesion (55520) range across 2 matching MRF lines |
$417.60–$521.60 | $522–$652 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 3 matching MRF lines |
$95.20–$146.40 | $119–$183 | varies |
| Removal sweat gland lesion (11450) range across 2 matching MRF lines |
$233.60–$292 | $292–$365 | varies |
| Remove drug implant device (11982) range across 3 matching MRF lines |
$148–$259.20 | $185–$324 | varies |
| Remove foreign body from eye (65205) | $112 | $140 | 0.9× |
| Remove Intrauterine Device (58301) | $155.20 | $194 | 0.6× |
| Remove Nasal Foreign Body (30300) | $213.60 | $267 | 1.7× |
| Remove Peritoneal Foreign Body (49402) range across 2 matching MRF lines |
$633.60–$792 | $792–$990 | varies |
| Remove Shoulder Foreign Body (23330) | $430.40 | $538 | 0.3× |
| Remove/Insert Drug Implant (11983) | $432 | $540 | 1.1× |
| Reopen fallopian tube (58350) range across 2 matching MRF lines |
$204–$255.20 | $255–$319 | varies |
| Repair blood vessel lesion (35266) range across 2 matching MRF lines |
$305.60–$382 | $382–$477.50 | varies |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$466.40–$583.20 | $583–$729 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$540.80–$676 | $676–$845 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $388.80 | $486 | 1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 4 matching MRF lines |
$147.20–$1,109.60 | $184–$1,387 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 4 matching MRF lines |
$116–$469.60 | $145–$587 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $393.60 | $492 | 1.1× |
| Repair complex trunk 1.1-2.5 cm (13100) range across 2 matching MRF lines |
$367.20–$495.20 | $459–$619 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 3 matching MRF lines |
$365.60–$599.20 | $457–$749 | varies |
| Repair Hallux Rigidus (28289) range across 2 matching MRF lines |
$564.80–$677.60 | $706–$847 | varies |
| Repair inguinal hernia, sliding, any age (49525) | $878.40 | $1,098 | 0.3× |
| Repair initial femoral hernia, any age; reducible (49550) range across 2 matching MRF lines |
$515.20–$644 | $644–$805 | varies |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) range across 2 matching MRF lines |
$736.80–$921.60 | $921–$1,152 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $274.40 | $343 | 0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 4 matching MRF lines |
$112–$462.40 | $140–$578 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $381.60 | $477 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $345.60 | $432 | 0.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$369.60–$461.60 | $462–$577 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $258.40 | $323 | 0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $304 | $380 | 0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 3 matching MRF lines |
$116–$417.60 | $145–$522 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $415.20 | $519 | 1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $217.60 | $272 | 0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $325.60 | $407 | 0.9× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $449.60 | $562 | 0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $307.20 | $384 | 0.8× |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$175.20–$219.20 | $219–$274 | varies |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) range across 2 matching MRF lines |
$659.20–$824 | $824–$1,030 | varies |
| Repair tongue laceration (41250) | $175.20 | $219 | 0.4× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) range across 2 matching MRF lines |
$436.80–$545.60 | $546–$682 | varies |
| Rerepair ing hernia reduce (49520) range across 2 matching MRF lines |
$969.60–$1,212 | $1,212–$1,515 | varies |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $176.80 | $221 | 0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $99.20 | $124 | 0.2× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $144 | $180 | 0.4× |
| Rmvl fecal impaction/fb spx under anes (45915) range across 2 matching MRF lines |
$315.20–$394.40 | $394–$493 | varies |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) range across 3 matching MRF lines |
$432–$664 | $540–$830 | varies |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) range across 2 matching MRF lines |
$285.60–$347.20 | $357–$434 | varies |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$296–$370.40 | $370–$463 | varies |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$204–$255.20 | $255–$319 | varies |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) range across 2 matching MRF lines |
$653.60–$816.80 | $817–$1,021 | varies |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) range across 2 matching MRF lines |
$300–$374.40 | $375–$468 | varies |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) range across 2 matching MRF lines |
$500.80–$626.40 | $626–$783 | varies |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) range across 2 matching MRF lines |
$360.80–$451.20 | $451–$564 | varies |
| Rpr aa hrn 1st 3-10 rdc (49593) range across 2 matching MRF lines |
$502.40–$628 | $628–$785 | varies |
| Rpr aa hrn 1st < 3 ncr/strn (49592) range across 2 matching MRF lines |
$416.80–$520.80 | $521–$651 | varies |
| Rpr blood vessel direct lower extremity (35226) | $1,183.20 | $1,479 | 1.8× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $329.60 | $412 | 1.8× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) range across 2 matching MRF lines |
$580–$725.60 | $725–$907 | varies |
| Shave skin lesion 0.5 cm/< (11300) | $122.40 | $153 | 0.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $150.40 | $188 | 0.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $214.40 | $268 | 0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $132 | $165 | 0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $160 | $200 | 0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $158.40 | $198 | 0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $213.60 | $267 | 0.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $177.60 | $222 | 1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) range across 2 matching MRF lines |
$128.80–$161.60 | $161–$202 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 3 matching MRF lines |
$123.20–$154.40 | $154–$193 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $185.60 | $232 | 0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $158.40 | $198 | 0.9× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 2 matching MRF lines |
$292–$365.60 | $365–$457 | varies |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $404.80 | $506 | 1.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $256.80 | $321 | 1.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $300.80 | $376 | 1.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $285.60 | $357 | 1.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $212 | $265 | 1.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $254.40 | $318 | 1.4× |
| Skin Tissue Procedure (17999) range across 2 matching MRF lines |
$768–$960 | $960–$1,200 | varies |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) range across 2 matching MRF lines |
$526.40–$658.40 | $658–$823 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $256.80 | $321 | 1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $302.40 | $378 | 0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $439.20 | $549 | 1.2× |
| Sphincterotomy anal division sphincter spx (46080) range across 2 matching MRF lines |
$259.20–$324 | $324–$405 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 3 matching MRF lines |
$121.60–$443.20 | $152–$554 | varies |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) range across 2 matching MRF lines |
$1,260–$1,575.20 | $1,575–$1,969 | varies |
| Strapping ankle (29540) | $91.20 | $114 | 0.6× |
| Strapping hand/finger (29280) | $79.20 | $99 | 1.5× |
| Strapping knee (29530) | $20.80 | $26 | 0.2× |
| Strapping Unna Boot (29580) | $105.60 | $132 | 0.7× |
| Surg tx anal fistula subq (46270) range across 2 matching MRF lines |
$597.60–$747.20 | $747–$934 | varies |
| Thyroid biopsy (60100) | $383.20 | $479 | 0.6× |
| Thyroidectomy, total or complete (60240) range across 2 matching MRF lines |
$1,489.60–$1,862.40 | $1,862–$2,328 | varies |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) range across 2 matching MRF lines |
$976.80–$1,221.60 | $1,221–$1,527 | varies |
| Tlh uterus over 250 g (58572) range across 2 matching MRF lines |
$1,684.80–$2,106.40 | $2,106–$2,633 | varies |
| Tracheostomy Emergency Cricothyroid Membrane (31605) range across 2 matching MRF lines |
$296.80–$371.20 | $371–$464 | varies |
| Tracheostomy planned (31600) | $960 | $1,200 | 0.3× |
| Treat humerus fracture (24500) | $392 | $490 | 1.7× |
| Treat Knuckle Dislocation (26700) range across 4 matching MRF lines |
$144–$416 | $180–$520 | varies |
| Treat Tail Bone Fracture (27200) | $223.20 | $279 | 1.0× |
| Treat Thumb Dislocation (26641) | $519.20 | $649 | 2.3× |
| Treat Thumb Fracture (26645) | $573.60 | $717 | 0.4× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $520.80 | $651 | 0.4× |
| Treatment closed elbow dislocation w/o anes (24600) | $469.60 | $587 | 2.1× |
| Trim skin lesion (11055) | $74.40 | $93 | 0.4× |
| Trim skin lesions 2 to 4 (11056) | $98.40 | $123 | 0.5× |
| Trim skin lesions over 4 (11057) | $121.60 | $152 | 0.7× |
| Trimming Nondystrophic Nails Any Number (11719) | $38.40 | $48 | 0.7× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) range across 2 matching MRF lines |
$573.60–$717.60 | $717–$897 | varies |
| Tx Missed Abortion First Trimester Surgical (59820) range across 2 matching MRF lines |
$529.60–$662.40 | $662–$828 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 3 matching MRF lines |
$296.80–$463.20 | $371–$579 | varies |
| Tympanostomy general anesthesia (69436) range across 2 matching MRF lines |
$144–$180 | $180–$225 | varies |
| Unlisted laparoscopic procedure liver (47379) range across 2 matching MRF lines |
$92–$115.20 | $115–$144 | varies |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) range across 2 matching MRF lines |
$343.20–$429 | $429–$536.25 | varies |
| Unlisted procedure anus (46999) range across 2 matching MRF lines |
$271.20–$339.20 | $339–$424 | varies |
| Unlisted procedure stomach (43999) range across 2 matching MRF lines |
$443.20–$554.40 | $554–$693 | varies |
| Vag hyst complex (58290) range across 2 matching MRF lines |
$1,703.20–$2,129.60 | $2,129–$2,662 | varies |
| Vaginal Delivery After Cesarean Delivery (59612) range across 2 matching MRF lines |
$2,400.80–$3,001.60 | $3,001–$3,752 | varies |
| Vaginal delivery only (59409) range across 4 matching MRF lines |
$1,600–$2,000 | $2,000–$2,500 | varies |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) range across 2 matching MRF lines |
$1,429.60–$1,787.20 | $1,787–$2,234 | varies |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) range across 2 matching MRF lines |
$1,508–$1,885.60 | $1,885–$2,357 | varies |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$124–$155.20 | $155–$194 | varies |
| Wound Prep Trk/Arm/Leg (15002) range across 2 matching MRF lines |
$317.60–$397 | $397–$496.25 | varies |
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.