Procedures & surgery prices at Community Memorial Healthcare, Inc

Marysville, KS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines		 $198–$1,045 $198–$1,045 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $175.50 $175.50 0.2×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $181.50 $181.50 0.1×
Acne surgery (10040) $126.50 $126.50 0.7×
Acromiopl/Acromionect Partial (23130) $1,250 $1,250 0.4×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $871.20 $871.20 0.5×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $1,188 $1,188 0.6×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $1,700 $1,700 0.5×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $2,156 $2,156 1.1×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)
range across 3 matching MRF lines		 $1,059–$1,500.40 $1,059–$1,500.40 varies
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020)
range across 2 matching MRF lines		 $1,210–$1,331 $1,210–$1,331 varies
Amniocentesis diagnostic (59000)
range across 3 matching MRF lines		 $80–$237 $80–$237 varies
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $768.90 $768.90 0.3×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 3 matching MRF lines		 $594–$1,540 $594–$1,540 varies
Amputate Thigh,Re-Amputatn (27596) $1,542.20 $1,542.20 0.5×
Amputation metatarsal with toe single (28810)
range across 2 matching MRF lines		 $843.70–$1,353 $843.70–$1,353 varies
Amputation thigh through femur any level (27590)
range across 2 matching MRF lines		 $1,629.10–$2,375 $1,629.10–$2,375 varies
Amputation toe interphalangeal joint (28825)
range across 2 matching MRF lines		 $1,196–$1,730 $1,196–$1,730 varies
Amputation toe metatarsophalangeal joint (28820)
range across 2 matching MRF lines		 $497.20–$1,379 $497.20–$1,379 varies
Amputation, leg, through tibia and fibula; (27880)
range across 2 matching MRF lines		 $462–$2,596 $462–$2,596 varies
Ankle Arthroscopy/Surgery (29892)
likely a partial charge, not the full procedure		 $938.30 $938.30 0.1×
Anoscopy Control Bleeding (46614) $237.60 $237.60 0.2×
Anoscopy diagnostic (46600)
range across 3 matching MRF lines		 $52.80–$535 $52.80–$535 varies
Anoscopy remove lesion (46610)
range across 2 matching MRF lines		 $264–$801 $264–$801 varies
Anoscopy W/Rmvl Foreign Body (46608)
range across 2 matching MRF lines		 $228.80–$801 $228.80–$801 varies
Anoscopy; with biopsy, single or multiple (46606)
range across 3 matching MRF lines		 $104.50–$801 $104.50–$801 varies
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $105 $105 0.1×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990)
range across 2 matching MRF lines		 $330–$440 $330–$440 varies
Appendectomy (44950)
range across 2 matching MRF lines		 $1,579–$1,736.40 $1,579–$1,736.40 varies
Application cast elbow finger short arm (29075)
range across 3 matching MRF lines		 $113–$493.90 $113–$493.90 varies
Application Cast Finger (29086) $83.60 $83.60 0.6×
Application finger splint static (29130)
range across 2 matching MRF lines		 $55–$239 $55–$239 varies
Application long arm splint shoulder hand (29105)
range across 3 matching MRF lines		 $130–$193.60 $130–$193.60 varies
Application Long Leg Cast Walker/Ambulatory Type (29355) $203.50 $203.50 0.8×
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $110–$262.90 $110–$262.90 varies
Application of cylinder cast (thigh to ankle) (29365) $173.80 $173.80 0.7×
Application of halo, including removal, cranial, 6 or more pins placed, for thin skull osteology (eg, pediatric… (20664) $594 $594 0.4×
Application of long leg cast (29345)
range across 2 matching MRF lines		 $63–$289 $63–$289 varies
Application Patellar Tendon Bearing Cast (29435) $184.80 $184.80 0.7×
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines		 $77–$262.90 $77–$262.90 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $105–$262.90 $105–$262.90 varies
Application uniplane external fixation system (20690)
likely a partial charge, not the full procedure		 $1,075 $1,075 0.2×
Apply hand/wrist cast (29085) $92.40 $92.40 0.6×
Apply long arm cast (29065)
range across 2 matching MRF lines		 $137.50–$140 $137.50–$140 varies
Apply Short Leg Cast (29405)
range across 3 matching MRF lines		 $130–$317.90 $130–$317.90 varies
Apply short leg cast (29425) $150.70 $150.70 0.6×
Arterial puncture (36600)
range across 2 matching MRF lines		 $63.80–$84.70 $63.80–$84.70 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 4 matching MRF lines		 $94–$360 $94–$360 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines		 $105–$499.40 $105–$499.40 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines		 $105–$339 $105–$339 varies
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure		 $3,495 $3,495 0.2×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $830 $830 0.3×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $1,425 $1,425 0.5×
Arthroscopy knee synovectomy limited spx (29875) $1,035 $1,035 0.3×
Arthroscopy shoulder distal claviculectomy (29824) $1,400 $1,400 0.5×
Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Facility (29860)
likely a partial charge, not the full procedure		 $647.90 $647.90 0.1×
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862)
range across 2 matching MRF lines		 $1,068.10–$1,325 $1,068.10–$1,325 varies
Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861)
likely a partial charge, not the full procedure		 $968 $968 0.1×
Arthroscopy, hip, surgical; with synovectomy Facility (29863) $971.30 $971.30 0.3×
Arthroscopy, knee, surgical; with lateral release (29873) $1,050 $1,050 0.3×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $1,540 $1,540 0.5×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $1,325 $1,325 0.4×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $1,220 $1,220 0.4×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
unusually low: confirm this is the full procedure		 $2,360 $2,360 0.4×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
likely a partial charge, not the full procedure		 $3,330 $3,330 0.3×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
unusually low: confirm this is the full procedure		 $2,300 $2,300 0.3×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $910.80 $910.80 0.3×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $1,410 $1,410 0.5×
Arthrs knee debridement/shaving artclr crtlg (29877) $1,300 $1,300 0.4×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $1,180 $1,180 0.4×
Arthrt Acromclav Strnclav Jt Expl/Drg/Rmvl FB (23044) $822.80 $822.80 0.3×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $636.50 $636.50 0.4×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $607.20 $607.20 0.2×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $1,045 $1,045 0.3×
Artificial insemination intra-cervical (58321) $110 $110 0.4×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $533.50–$534 $533.50–$534 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $396–$849.20 $396–$849.20 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 3 matching MRF lines		 $66–$162.80 $66–$162.80 varies
Aspiration bladder insert suprapubic catheter (51102) $1,320 $1,320 0.7×
Avulsion nail plate partial/complete simple 1 (11730)
range across 4 matching MRF lines		 $115.50–$172 $115.50–$172 varies
Axillary lymphadenectomy; complete (38745)
likely a partial charge, not the full procedure		 $283.80 $283.80 0.1×
Biopsy Abdominal Mass (49180) $605 $605 0.4×
Biopsy bone open deep (20245) $960 $960 0.4×
Biopsy bone open superficial (20240) $271.70 $271.70 0.1×
Biopsy External Auditory Canal (69105) $275 $275 0.2×
Biopsy external ear (69100)
range across 2 matching MRF lines		 $110–$239 $110–$239 varies
Biopsy muscle percutaneous needle (20206) $495 $495 0.3×
Biopsy of breast; open, incisional (19101)
range across 2 matching MRF lines		 $533.60–$550 $533.60–$550 varies
Biopsy of lip (40490)
range across 2 matching MRF lines		 $99–$116 $99–$116 varies
Biopsy of liver, needle; percutaneous (47000)
range across 5 matching MRF lines		 $207.90–$475 $207.90–$475 varies
Biopsy of palate, uvula (42100) $413 $413 0.3×
Biopsy of penis (54100) $156.20 $156.20 0.1×
Biopsy of penis; deep structures (54105) $225.50 $225.50 0.1×
Biopsy of rectum (45100)
range across 2 matching MRF lines		 $401.50–$462 $401.50–$462 varies
Biopsy Oropharynx (42800)
range across 2 matching MRF lines		 $137.50–$368 $137.50–$368 varies
Biopsy Salivary Gland Incisional (42405) $946 $946 0.7×
Biopsy soft tissue neck/thorax (21550) $230 $230 0.2×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $346.50 $346.50 0.2×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $340 $340 0.2×
Biopsy Tongue Anterior Two-Thirds (41100) $159.70 $159.70 0.3×
Biopsy Tongue Posterior One-Third (41105)
range across 2 matching MRF lines		 $152.90–$165 $152.90–$165 varies
Biopsy Vaginal Mucosa Simple (57100)
range across 2 matching MRF lines		 $115.50–$132 $115.50–$132 varies
Biopsy Vulva/Perineum 1 Lesion Spx (56605)
range across 2 matching MRF lines		 $181.50–$251 $181.50–$251 varies
Biopsy, vestibule of mouth (40808)
range across 2 matching MRF lines		 $132–$193 $132–$193 varies
Biopsy/removal lymph nodes (38510)
range across 2 matching MRF lines		 $548.90–$633 $548.90–$633 varies
Bladder instillation anticarcinogenic agent (51720)
range across 2 matching MRF lines		 $99–$924 $99–$924 varies
Bladder Irrigation (51700) $49.50 $49.50 0.2×
Bladder Scan (51798) $120 $120 2.2×
Blepharoplasty Lower Eyelid (15820)
range across 2 matching MRF lines		 $815–$1,200 $815–$1,200 varies
Blepharoplasty upper eyelid (15822) $815 $815 0.4×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $1,222.50 $1,222.50 0.6×
Blepharotomy drainage abscess eyelid (67700) $81.40 $81.40 0.3×
Blood Transfusion Service (36430)
range across 9 matching MRF lines		 $579.70–$926.20 $579.70–$926.20 varies
Bone Marrow Biopsy (38221)
range across 4 matching MRF lines		 $205–$484 $205–$484 varies
Bone Marrow; Aspiration Only (38220)
range across 2 matching MRF lines		 $177.10–$204 $177.10–$204 varies
Bronchoscopy W/Biopsy(S) (31625) $1,456.10 $1,456.10 0.9×
Bx Arm/Elbow Soft Tissue,Deep (24066) $500 $500 0.2×
Bx breast 1st lesion strtctc (19081)
range across 2 matching MRF lines		 $226–$996 $226–$996 varies
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines		 $515–$1,320 $515–$1,320 varies
Bx breast needle core w/o imaging guidance spx (19100)
range across 2 matching MRF lines		 $198–$469 $198–$469 varies
Bx Cervix (57500)
range across 2 matching MRF lines		 $115.50–$1,203 $115.50–$1,203 varies
Bx/exc lymph node open deep axillary node (38525)
range across 2 matching MRF lines		 $730–$803.40 $730–$803.40 varies
Bx/exc lymph node open superficial (38500)
range across 3 matching MRF lines		 $165–$429 $165–$429 varies
Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie,… (27036)
likely a partial charge, not the full procedure		 $1,500 $1,500 0.2×
Carpal Tunnel Surgery (64721)
range across 3 matching MRF lines		 $785–$2,226.40 $785–$2,226.40 varies
Cataract surgery complex (66982) $3,212 $3,212 1.5×
Cautery Cervix Cryocautery Initial/Repeat (57511)
range across 2 matching MRF lines		 $173.80–$990 $173.80–$990 varies
Cautery Cervix Electro/Thermal (57510) $115.50 $115.50 0.0×
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $82.50–$83 $82.50–$83 varies
Change of Windpipe Airway (31502)
range across 2 matching MRF lines		 $93.50–$110 $93.50–$110 varies
Chemical Cautery Tissue (17250) $69.30 $69.30 0.4×
Chemical Pleurodesis (32560) $425 $425 0.7×
Chemodenervation of internal anal sphincter (46505) $650 $650 0.6×
Chest tube placement (32551)
range across 3 matching MRF lines		 $484–$786.50 $484–$786.50 varies
Circumcision 28 days or older (54161)
range across 2 matching MRF lines		 $162–$374 $162–$374 varies
Circumcision Neonate (54160) $162 $162 0.3×
Circumcision w/clamp/oth dev w/block (54150)
range across 4 matching MRF lines		 $139–$1,283.70 $139–$1,283.70 varies
Cl Tx Tib Shft Fx W Manip (27752) $797.50 $797.50 0.5×
Claviculectomy partial (23120) $1,180 $1,180 0.4×
Clear outer ear canal (69200) $354.20 $354.20 2.9×
Closed Treat Vert Body Fract (22310) $561 $561 2.5×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $840 $840 0.6×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $537.90 $537.90 2.4×
Closed Treatment Sternum Fracture (21820) $254.10 $254.10 1.1×
Closed Treatment Ulnar Styloid Fracture (25650) $522.50 $522.50 2.3×
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $297–$385 $297–$385 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $803 $803 0.5×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $495 $495 2.2×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $539 $539 2.4×
Closed tx carpal scaphoid fracture w/manj (25624) $335.50 $335.50 0.2×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $349.70 $349.70 1.5×
Closed tx knee dislocation w/o anesthesia (27550) $521.40 $521.40 2.3×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $548.90 $548.90 1.1×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines		 $303–$1,040.60 $303–$1,040.60 varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $202.40 $202.40 0.1×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $554.40 $554.40 0.2×
Closed tx patellar dislocation w/anesthesia (27562) $231 $231 1.0×
Closed tx patellar dislocation w/o anesthesia (27560) $214.50 $214.50 0.9×
Closed Tx Patellar Fracture W/O Manipulation (27520) $490.10 $490.10 2.2×
Closed tx radial head/neck fx w/manipulation (24655) $491.70 $491.70 0.3×
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $358–$550 $358–$550 varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 3 matching MRF lines		 $597.70–$748 $597.70–$748 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $375.10 $375.10 1.7×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 3 matching MRF lines		 $179–$1,512 $179–$1,512 varies
Closed tx radial&ulnar shaft fractures w/o man (25560) $484 $484 2.1×
Closed Tx Scapular Fracture W/O Manipulation (23570) $228.70 $228.70 1.0×
Closed tx septal&nose fx (21337) $550 $550 0.2×
Closed Tx Talus Fracture W/Manipulation (28435) $508.20 $508.20 0.3×
Closed tx talus fracture w/o manipulation (28430) $312.40 $312.40 1.4×
Closed tx tarsometatarsal dislocation w/o anes (28600) $184.80 $184.80 0.8×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $195.80 $195.80 0.9×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $462 $462 0.3×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $387.20 $387.20 1.7×
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines		 $402–$1,663.20 $402–$1,663.20 varies
Closure Gastrostomy Surg (43870) $1,458.10 $1,458.10 0.4×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $460.90 $460.90 0.9×
Clsd tx acromioclavicular dislc w/manipulation (23545) $283.80 $283.80 1.3×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $138.60 $138.60 0.6×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $404.80 $404.80 0.3×
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines		 $281–$925.10 $281–$925.10 varies
Clsd tx fx orbit except blowout w/o manipulation (21400) $254.10 $254.10 0.5×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $250 $250 1.1×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $402–$441.70 $402–$441.70 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $358–$393.30 $358–$393.30 varies
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $500 $500 0.3×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $184.80 $184.80 0.1×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $254.10 $254.10 1.1×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $306.90 $306.90 1.4×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 2 matching MRF lines		 $550–$841 $550–$841 varies
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $880 $880 0.6×
Cltx dstl fibular fx lat malls w/manj (27788) $433.40 $433.40 1.9×
Cltx dstl fibular fx lat malls w/o manj (27786) $1,040.60 $1,040.60 4.6×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $202.40 $202.40 0.9×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $470.80 $470.80 2.1×
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 4 matching MRF lines		 $155–$471.90 $155–$471.90 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 4 matching MRF lines		 $167–$682 $167–$682 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $682 $682 0.5×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $537.90 $537.90 2.4×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,201.20 $1,201.20 0.8×
Cltx fx grt toe phlx/phlg w/manj (28495) $179.30 $179.30 0.8×
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 2 matching MRF lines		 $121–$946 $121–$946 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $176–$449 $176–$449 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 2 matching MRF lines		 $127–$449 $127–$449 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $1,040.60 $1,040.60 4.6×
Cltx greater humeral tuberosity fx w/o manj (23620) $415.80 $415.80 1.8×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $183 $183 0.1×
Cltx hip dislocation traumatic req anesthesia (27252) $665.50 $665.50 0.5×
Cltx hip dislocation traumatic w/o anesthesia (27250) $531.30 $531.30 2.3×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $289.30 $289.30 1.3×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $550 $550 2.4×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $412.50 $412.50 1.6×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $75.90 $75.90 0.3×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $242 $242 0.9×
Cltx iphal jt dislc w/manj w/o anes (26770) $176 $176 0.8×
Cltx Med Ankle Fx W/Mnpj (27762) $531.30 $531.30 0.4×
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $369.60–$424 $369.60–$424 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $317.90–$490 $317.90–$490 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines		 $286–$500.50 $286–$500.50 varies
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $271.70 $271.70 0.2×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $231 $231 1.0×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 3 matching MRF lines		 $253–$925.10 $253–$925.10 varies
Cltx post hip arthrp dislc req anes (27266) $1,200 $1,200 0.8×
Cltx prox fibula/shft fx w/manj (27781) $514.80 $514.80 0.3×
Cltx prox fibula/shft fx w/o manj (27780) $330.30 $330.30 1.5×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $907.50 $907.50 0.6×
Cltx prox tibfib jt dislc w/o anes (27830) $113 $113 0.5×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 3 matching MRF lines		 $143–$199.70 $143–$199.70 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $522.50 $522.50 0.4×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $684.20 $684.20 0.5×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $167 $167 0.1×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $300.30 $300.30 1.3×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $1,103.30 $1,103.30 0.7×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $820.60 $820.60 3.6×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $550 $550 0.2×
Cltx tibial fx proximal w/o manipulation (27530)
range across 2 matching MRF lines		 $425–$485.10 $425–$485.10 varies
Cltx tibial shaft fx w/o manipulation (27750) $605 $605 2.7×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $1,049 $1,049 4.6×
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $826.10–$946 $826.10–$946 varies
Cltx trimalleolar ankle fx w/o manipulation (27816) $539 $539 2.4×
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) $1,617 $1,617 0.4×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines		 $15–$17.30 $15–$17.30 varies
Colonoscopy Flexible With Decompression (45393) $1,200 $1,200 1.1×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $770 $770 0.7×
Colonoscopy thru stoma (44388)
range across 4 matching MRF lines		 $591–$1,078 $591–$1,078 varies
Colonoscopy w/ablation (45388)
range across 2 matching MRF lines		 $963–$1,512 $963–$1,512 varies
Colonoscopy w/submucosal inj (45381)
range across 2 matching MRF lines		 $803–$1,045 $803–$1,045 varies
Colpopexy extraperitoneal (57282)
likely a partial charge, not the full procedure		 $1,501.50 $1,501.50 0.2×
Colporrhaphy (57200) $935 $935 0.3×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454)
range across 3 matching MRF lines		 $275–$311 $275–$311 varies
Colposcopy Cervix Endocervical Curettage (57456)
range across 2 matching MRF lines		 $165–$172 $165–$172 varies
Colposcopy cervix upper/adjacent vagina (57452)
range across 2 matching MRF lines		 $181.50–$900 $181.50–$900 varies
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455)
range across 2 matching MRF lines		 $173–$990 $173–$990 varies
Colposcopy cervix vag eltrd conization cervix (57461)
range across 2 matching MRF lines		 $829–$1,152 $829–$1,152 varies
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460)
range across 2 matching MRF lines		 $666–$1,048 $666–$1,048 varies
Colposcopy entire vagina w/cervix if present (57420) $350 $350 1.2×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421)
range across 2 matching MRF lines		 $522.50–$990 $522.50–$990 varies
Colsc Flexible W/Control Bleeding Any Method (45382)
range across 2 matching MRF lines		 $1,133–$1,373 $1,133–$1,373 varies
Colsc Flexible W/Transendoscopic Balloon Dilat (45386)
range across 2 matching MRF lines		 $1,073–$1,122 $1,073–$1,122 varies
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 2 matching MRF lines		 $880–$1,510.30 $880–$1,510.30 varies
Complex drainage wound (10180) $264 $264 0.1×
Conization of cervix (57520) $768.90 $768.90 0.3×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $254.10–$264 $254.10–$264 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines		 $110–$170.50 $110–$170.50 varies
Control oropharyngeal hemorrhage simple (42960)
range across 2 matching MRF lines		 $196.90–$226 $196.90–$226 varies
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132)
unusually low: confirm this is the full procedure		 $4,130 $4,130 0.3×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $413 $413 0.3×
Correction hammertoe (28285) $687.50 $687.50 0.2×
Create Eardrum Opening (69433) $635.80 $635.80 1.3×
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $58.30 $58.30 1.1×
Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) $341 $341 1.6×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $412.50–$413 $412.50–$413 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 2 matching MRF lines		 $341–$413 $341–$413 varies
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $552.20 $552.20 0.2×
Curettage postpartum (59160) $671.60 $671.60 0.2×
Curette/treat cornea (65435) $151.80 $151.80 0.2×
Cysto calibration dilat urtl strix/stenosis (52281) $1,168 $1,168 0.6×
Cysto W/Simple Removal Stone & Stent (52310) $2,264.90 $2,264.90 1.2×
Cystorrhaphy suture of bladder wound injury or rupture simple (51860)
likely a partial charge, not the full procedure		 $1,155 $1,155 0.1×
Cystoscopy implant stent (52282) $541.20 $541.20 0.2×
Cystourethroscopy (52000) $1,289.20 $1,289.20 2.0×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $290–$319 $290–$319 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $899.80 $899.80 0.3×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $607.20 $607.20 0.9×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 3 matching MRF lines		 $425–$468 $425–$468 varies
Debride nail 1-5 (11720) $81.40 $81.40 1.5×
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $55–$137.50 $55–$137.50 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $616–$660 $616–$660 varies
Debridement Mastoidectomy Cavity Simple (69220) $69.30 $69.30 0.4×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 4 matching MRF lines		 $280–$340 $280–$340 varies
Declot vascular device (36593) $165 $165 0.5×
Decompress Fingers/Hand (26035) $1,065 $1,065 0.4×
Deep Muscle Biopsy (20205) $300 $300 0.1×
Delivery of placenta (59414) $346.50 $346.50 0.1×
Destr penis lesion(s) (54065) $453.20 $453.20 0.2×
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $83–$121 $83–$121 varies
Destruction Benign Lesions 15/> (17111) $133.10 $133.10 0.7×
Destruction Lesions Vulva Simple (56501) $280 $280 0.1×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280)
range across 2 matching MRF lines		 $52–$220 $52–$220 varies
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $198 $198 1.1×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $176 $176 1.0×
Destruction of rectal tumor transanal approach (45190)
range across 2 matching MRF lines		 $1,677.50–$1,678 $1,677.50–$1,678 varies
Destruction of skin lesions (17106) $280.50 $280.50 0.8×
Destruction Premalignant Lesion 15/> (17004) $881.10 $881.10 2.4×
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines		 $47–$354.20 $47–$354.20 varies
Destruction Vaginal Lesions Extensive (57065) $376.20 $376.20 0.1×
Destruction Vaginal Lesions Simple (57061) $121 $121 0.0×
Diagnostic sigmoidoscopy (45330)
range across 3 matching MRF lines		 $204–$924 $204–$924 varies
Diaphragm or cervical cap fitting with instructions (57170) $165 $165 0.9×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $161.70 $161.70 0.1×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $122.10 $122.10 1.0×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $35.20 $35.20 0.3×
Dilat Urethral Strix Dilator Male Sbsq (53601) $58.30 $58.30 0.5×
Dilate Esophagus 1/Mult Pass (43450)
range across 3 matching MRF lines		 $253–$643 $253–$643 varies
Dilate Urethra Stricture (53620) $218.90 $218.90 0.3×
Dilate Urethra Stricture (53600) $69.30 $69.30 0.3×
Dilation & curettage dx&/ther nonobstetric (58120)
range across 2 matching MRF lines		 $731.50–$732 $731.50–$732 varies
Dilation Cervical Canal (57800) $114.40 $114.40 0.0×
Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) $86.90 $86.90 0.0×
Dilation Salivary Duct (42650) $81.40 $81.40 0.1×
Disarticulation of hip Facility (27295)
likely a partial charge, not the full procedure		 $3,038.20 $3,038.20 0.2×
Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130)
unusually low: confirm this is the full procedure		 $1,956.90 $1,956.90 0.4×
Division of stricture of rectum Facility (45150) $702.90 $702.90 0.6×
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $114–$133.10 $114–$133.10 varies
Drainage of finger abscess simple (26010) $330 $330 1.8×
Drainage of hematoma/fluid (10140)
range across 4 matching MRF lines		 $182–$806 $182–$806 varies
Drainage of hydrocele (55000)
range across 2 matching MRF lines		 $105–$150 $105–$150 varies
Drainage of rectal abscess (45005) $300.30 $300.30 0.3×
Drainage of scrotal wall abscess (55100) $187 $187 0.1×
Drainage of scrotum (54700)
range across 2 matching MRF lines		 $317.90–$363 $317.90–$363 varies
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) $1,458.60 $1,458.60 0.5×
Dressing Change Under Anesthesia (15852) $86.90 $86.90 0.1×
Drg Absc Submaxillary/Sublingual Intraoral (42310) $177.10 $177.10 0.4×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $141.90 $141.90 0.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $228.80 $228.80 0.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $198.40 $198.40 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $291–$424.60 $291–$424.60 varies
Dstrj lesion anus simple surg excision (46922)
range across 2 matching MRF lines		 $236.50–$330 $236.50–$330 varies
Dstrj Lesion Penis Simple Chemical (54050) $75.90 $75.90 0.2×
Dstrj Lesion Penis Simple Cryosurgery (54056) $137.50 $137.50 0.7×
Dstrj lesion penis simple surg excision (54060) $283.80 $283.80 0.1×
Dx Bronchoscope/Lavage (31624) $1,456.10 $1,456.10 0.9×
Dx Bronchoscope/Wash (31622) $605 $605 0.4×
Egd Balloon Dil Esoph30 Mm/> (43233) $700 $700 0.4×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $1,471.80 $1,471.80 0.8×
Egd cautery tumor polyp (43250)
range across 3 matching MRF lines		 $687–$1,166 $687–$1,166 varies
Egd control bleeding any (43255)
range across 3 matching MRF lines		 $721–$943.80 $721–$943.80 varies
Egd dilation gastric/duodenal stricture (43245)
range across 3 matching MRF lines		 $699–$1,045 $699–$1,045 varies
Egd Flexible Foreign Body Removal (43247)
range across 3 matching MRF lines		 $908–$1,045 $908–$1,045 varies
Egd guide wire insertion (43248)
range across 2 matching MRF lines		 $797.50–$875 $797.50–$875 varies
Egd Injection Sclerosis Esophgl/Gastric Varices (43243)
range across 3 matching MRF lines		 $1,012–$1,113.20 $1,012–$1,113.20 varies
Egd lesion ablation (43270)
range across 2 matching MRF lines		 $877.80–$1,007 $877.80–$1,007 varies
Egd place gastrostomy tube (43246)
range across 3 matching MRF lines		 $1,039.50–$1,045 $1,039.50–$1,045 varies
Egd remove lesion snare (43251)
range across 2 matching MRF lines		 $1,018–$1,119.80 $1,018–$1,119.80 varies
Egd Tube/Cath Insertion (43241) $825 $825 0.5×
Endocervical curettage (57505)
range across 2 matching MRF lines		 $130–$176 $130–$176 varies
Endometrial Biopsy (58100)
range across 2 matching MRF lines		 $187.60–$800 $187.60–$800 varies
Endoscopic plantar fasciotomy (29893) $515.90 $515.90 0.2×
Enterorrhaphy single perforation (44602) $1,870 $1,870 0.5×
Epidural Blood Patch (62273) $273 $273 0.4×
Episiotomy or vaginal repair (59300) $297 $297 0.1×
Escharotomy; initial incision (16035) $660 $660 1.8×
Esophagogastroduodenoscopy Submucosal Injection (43236) $619 $619 0.7×
Esophagoscopy Flex Transoral Injection Varices (43204) $687 $687 0.4×
Esophagoscopy Flexible Transoral Diagnostic (43200) $731.50 $731.50 0.9×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215)
range across 2 matching MRF lines		 $687–$1,017.50 $687–$1,017.50 varies
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $64–$84.70 $64–$84.70 varies
Exc abdl tum deep 5 cm/> (22901) $1,210 $1,210 0.5×
Exc arm/elbow les sc < 3 cm (24075)
range across 2 matching MRF lines		 $277.20–$370 $277.20–$370 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $165–$175.50 $165–$175.50 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $393.30 $393.30 0.3×
Exc Back Les Sc < 3 Cm (21930) $900 $900 0.6×
Exc Back Tum Deep 5 Cm/> (21933) $1,870 $1,870 0.7×
Exc back tum deep < 5 cm (21932) $1,600 $1,600 0.6×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125)
range across 2 matching MRF lines		 $605–$762.30 $605–$762.30 varies
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 3 matching MRF lines		 $413–$501.60 $413–$501.60 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 2 matching MRF lines		 $605–$606.10 $605–$606.10 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $889.90 $889.90 0.6×
Exc Face Les Sbq 2 Cm/> (21012) $1,400 $1,400 0.9×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines		 $217.80–$375.10 $217.80–$375.10 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines		 $295.90–$515.90 $295.90–$515.90 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines		 $587–$645.70 $587–$645.70 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 3 matching MRF lines		 $429–$660 $429–$660 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444)
range across 2 matching MRF lines		 $545–$599.50 $545–$599.50 varies
Exc Forearm Les Sc 3 Cm/> (25071) $610.50 $610.50 0.4×
Exc Frenum Labial/Buccal (40819) $202.40 $202.40 0.1×
Exc ganglion wrist recurrent (25112)
range across 2 matching MRF lines		 $693–$798 $693–$798 varies
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $176–$193.60 $176–$193.60 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 3 matching MRF lines		 $220–$242 $220–$242 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 3 matching MRF lines		 $275–$502 $275–$502 varies
Exc Hand Les Sc < 1.5 Cm (26115)
range across 3 matching MRF lines		 $400.40–$875 $400.40–$875 varies
Exc hand tum deep < 1.5 cm (26116) $1,085 $1,085 0.7×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $110 $110 0.1×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090)
range across 2 matching MRF lines		 $572–$1,980 $572–$1,980 varies
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $1,800 $1,800 1.2×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $202.40 $202.40 0.1×
Exc Lesion Tongue W/Clsr Posterior One-Third (41113) $191.40 $191.40 0.1×
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) $635.80 $635.80 0.2×
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410)
likely a partial charge, not the full procedure		 $1,320 $1,320 0.2×
Exc Rct Tum Not Incl Muscularis Propria (45171)
range across 2 matching MRF lines		 $1,300–$1,320 $1,300–$1,320 varies
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $295–$381.70 $295–$381.70 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 3 matching MRF lines		 $451–$999 $451–$999 varies
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 2 matching MRF lines		 $627–$925.10 $627–$925.10 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 3 matching MRF lines		 $565–$1,092.30 $565–$1,092.30 varies
Exc Skin Benig >4cm Face,Facial (11446)
range across 2 matching MRF lines		 $770–$841 $770–$841 varies
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)
range across 2 matching MRF lines		 $512–$563.20 $512–$563.20 varies
Exc Skin Malig >4 Cm Remaindr Body (11626)
range across 3 matching MRF lines		 $770–$925.10 $770–$925.10 varies
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 2 matching MRF lines		 $594–$653.40 $594–$653.40 varies
Exc tendon shth lesion leg/ankle (27630) $603.80 $603.80 0.2×
Exc thigh/knee les sc 3 cm/> (27337)
range across 2 matching MRF lines		 $500–$550 $500–$550 varies
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines		 $159.70–$165 $159.70–$165 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines		 $204–$224.40 $204–$224.40 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 3 matching MRF lines		 $270–$552.20 $270–$552.20 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines		 $459.80–$895.40 $459.80–$895.40 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $715 $715 0.3×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $1,700 $1,700 1.1×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $462 $462 0.3×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $847 $847 0.3×
Exc tumor soft tiss shoulder subfasc <5cm (23076)
range across 2 matching MRF lines		 $907.50–$1,045 $907.50–$1,045 varies
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $1,630 $1,630 0.6×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $456.50 $456.50 0.2×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $1,045 $1,045 0.4×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,155 $1,155 0.8×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $500 $500 0.2×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075)
range across 2 matching MRF lines		 $554.20–$578 $554.20–$578 varies
Exc tumor soft tissue leg/ankle subq <3cm (27618)
range across 2 matching MRF lines		 $500–$1,221 $500–$1,221 varies
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $1,225 $1,225 0.5×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $399.30 $399.30 0.3×
Exc tumor soft tissue pelvis & hip subq <3cm (27047)
range across 2 matching MRF lines		 $588.50–$677 $588.50–$677 varies
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $358.60 $358.60 0.1×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $525 $525 0.2×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $127.60 $127.60 0.1×
Excis Mouth Mucosa/Sub,No Repair (40810) $200 $200 0.1×
Excis Mouth Mucosa/Sub,Simpl Repair (40812)
range across 2 matching MRF lines		 $319–$932 $319–$932 varies
Excise excessive skin arm (15836) $456 $456 0.2×
Excise Wrist Tendon Sheath (25118) $1,276 $1,276 0.9×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 2 matching MRF lines		 $347–$381.70 $347–$381.70 varies
Excision Chalazion Multiple Same Lid (67801) $259 $259 0.3×
Excision Chalazion Single (67800)
range across 2 matching MRF lines		 $159.50–$207 $159.50–$207 varies
Excision External Ear Partial Simple Repair (69110) $1,125 $1,125 0.4×
Excision Facial Bone (21026)
unusually low: confirm this is the full procedure		 $1,690 $1,690 0.3×
Excision H/P/P/U Simple/Intermediate Repair (11470) $561 $561 0.2×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $541.20 $541.20 0.2×
Excision lesion mouth roof (42104) $260.70 $260.70 0.1×
Excision lesion tendon sheath forearm&/wrist (25110) $650 $650 0.4×
Excision Lesion Tongue W/O Closure (41110) $375 $375 0.1×
Excision Lingual Frenum Frenectomy (41115) $467.50 $467.50 0.3×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $181.50 $181.50 0.3×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $272.30 $272.30 0.4×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 2 matching MRF lines		 $292–$321.20 $292–$321.20 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $517 $517 0.8×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)
range across 3 matching MRF lines		 $381.20–$502 $381.20–$502 varies
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 2 matching MRF lines		 $502–$756.80 $502–$756.80 varies
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646)
range across 3 matching MRF lines		 $808.50–$1,016.40 $808.50–$1,016.40 varies
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $248.10 $248.10 0.2×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621)
range across 2 matching MRF lines		 $369–$405.90 $369–$405.90 varies
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 2 matching MRF lines		 $506–$526.90 $506–$526.90 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624)
range across 3 matching MRF lines		 $720.50–$793.10 $720.50–$793.10 varies
Excision Multiple External Papillae/Tags Anus (46230)
range across 2 matching MRF lines		 $171.80–$300 $171.80–$300 varies
Excision nasal polyp(s) simple (30110) $380 $380 0.3×
Excision of bartholin's gland or cyst (56740) $474.10 $474.10 0.2×
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 3 matching MRF lines		 $570–$611 $570–$611 varies
Excision of hydrocele; bilateral (55041) $1,359.60 $1,359.60 0.4×
Excision of hydrocele; unilateral (55040) $990 $990 0.3×
Excision of local lesion of epididymis (54830) $589.60 $589.60 0.2×
Excision of pilonidal cyst or sinus; simple (11770)
range across 2 matching MRF lines		 $693–$792 $693–$792 varies
Excision of single external papilla or tag, anus (46220)
range across 2 matching MRF lines		 $220–$242 $220–$242 varies
Excision of vaginal cyst or tumor (57135) $289.30 $289.30 0.1×
Excision olecranon bursa (24105)
range across 2 matching MRF lines		 $508.20–$610 $508.20–$610 varies
Excision or curettage of bone cyst or benign tumor of femur; (27355) $1,285 $1,285 0.4×
Excision or fulguration; urethral polyp(s), distal urethra Facility (53260) $237.60 $237.60 0.1×
Excision Pilonidal Cyst/Sinus Complicated (11772) $1,199 $1,199 0.4×
Excision Pilonidal Cyst/Sinus Extensive (11771) $1,100 $1,100 0.4×
Excision Thyroglossal Duct Cyst/Sinus (60280)
likely a partial charge, not the full procedure		 $994.40 $994.40 0.2×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,210 $1,210 0.8×
Excision tumor soft tissue foot/toe subq <1.5cm (28043)
range across 2 matching MRF lines		 $341–$883 $341–$883 varies
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $683 $683 0.4×
Excision, interdigital (morton) neuroma, single, each (28080) $577.50 $577.50 0.4×
Excision, sacral pressure ulcer, with primary suture; Facility (15931) $1,144 $1,144 0.4×
Excision, sacral pressure ulcer, with skin flap closure; Facility (15934) $1,870 $1,870 0.6×
Excision, trochanteric pressure ulcer, with primary suture; Facility (15950) $1,540 $1,540 1.0×
Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy Facility (15953) $2,849 $2,849 0.9×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $1,700 $1,700 0.6×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $900 $900 0.6×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075)
range across 2 matching MRF lines		 $493.90–$567 $493.90–$567 varies
Excision/curettage cyst/tumor carpal bones (25130) $850 $850 0.3×
Excision/curettage cyst/tumor phalanx finger (26210) $1,166 $1,166 0.8×
Excision/Curettage Cyst/Tumor Radius/Ulna (25120) $1,010 $1,010 0.3×
Excision/destruction lesion pharynx any method (42808) $392.70 $392.70 0.1×
Excision/Transposition Pterygium W/Grafg (65426) $1,422.30 $1,422.30 0.7×
Explo/Drain Breast Abscess (19020) $495 $495 0.3×
Exploration penetrating wound spx extremity (20103) $1,540 $1,540 1.0×
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010)
range across 2 matching MRF lines		 $1,646.70–$1,892 $1,646.70–$1,892 varies
Explore/Treat Hand Joint (26070) $660.70 $660.70 0.4×
Explore/Treat Knee Joint (27331) $875 $875 0.3×
Fasciotomy palmar open partial (26045)
range across 2 matching MRF lines		 $1,185–$1,303.50 $1,185–$1,303.50 varies
Fasciotomy palmar percutaneous (26040) $555 $555 0.4×
Fasciotomy, foot and/or toe (28008) $883 $883 0.3×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $2,332 $2,332 0.8×
Fetal Contraction Stress Test (59020)
range across 2 matching MRF lines		 $99–$221.10 $99–$221.10 varies
Fetal non-stress test (59025)
range across 2 matching MRF lines		 $101.60–$280.50 $101.60–$280.50 varies
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $187–$205.70 $187–$205.70 varies
Fna bx w/us gdn 1st les (10005) $190 $190 0.3×
Foreskin manipulation (54450) $193 $193 0.8×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260)
range across 2 matching MRF lines		 $1,230.90–$1,414 $1,230.90–$1,414 varies
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $1,210 $1,210 0.6×
Fusion of knuckle joint (26516) $1,665 $1,665 0.6×
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) $1,732.50 $1,732.50 0.5×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830)
range across 2 matching MRF lines		 $1,444.30–$1,650 $1,444.30–$1,650 varies
Hemiarthroplasty hip partial (27125)
likely a partial charge, not the full procedure		 $2,600 $2,600 0.2×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255)
range across 3 matching MRF lines		 $953.70–$1,210 $953.70–$1,210 varies
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $829.40 $829.40 0.3×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $1,155 $1,155 0.5×
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257)
range across 2 matching MRF lines		 $1,179.80–$1,232 $1,179.80–$1,232 varies
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 2 matching MRF lines		 $350–$781 $350–$781 varies
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $291.50 $291.50 0.1×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $205.70–$215 $205.70–$215 varies
I&d abscess simple (10060)
range across 2 matching MRF lines		 $322–$354.20 $322–$354.20 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $369.10 $369.10 0.1×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $1,150 $1,150 0.4×
I&D Intramural Im/Absc Transanal Anes (46045) $474.10 $474.10 0.2×
I&D Ischiorct/Intramural Absc W/WO Seton (46060)
range across 2 matching MRF lines		 $1,686.30–$1,936 $1,686.30–$1,936 varies
I&d pelvis/hip jt area deep abscess/hematoma (26990) $600.60 $600.60 0.2×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $110–$350 $110–$350 varies
I&d pilonidal cyst complicated (10081) $212.30 $212.30 0.3×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $231–$254.10 $231–$254.10 varies
I&d shoulder deep abscess/hematoma (23030)
range across 2 matching MRF lines		 $300.30–$560 $300.30–$560 varies
I&d upper arm/elbow deep abscess/hematoma (23930) $627 $627 0.2×
Implant eye drug system (67027)
likely a partial charge, not the full procedure		 $961.40 $961.40 0.1×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $149–$163.40 $149–$163.40 varies
Incise finger tendon sheath (26055)
range across 2 matching MRF lines		 $490–$659.50 $490–$659.50 varies
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $322–$525 $322–$525 varies
Incision & drainage leg/ankle abscess/hematoma (27603)
range across 2 matching MRF lines		 $573.10–$660 $573.10–$660 varies
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $354.20–$380 $354.20–$380 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $154–$354.20 $154–$354.20 varies
Incision and drainage of bartholin's gland abscess (56420) $147.60 $147.60 0.8×
Incision and drainage of vulva or perineal abscess (56405) $330 $330 1.2×
Incision extensor tendon sheath wrist (25000)
range across 2 matching MRF lines		 $531.30–$570 $531.30–$570 varies
Incision of eardrum (69420) $207.90 $207.90 1.0×
Incision of lingual frenum (frenotomy) (41010) $250 $250 0.2×
Incision of lymph channels (38308) $1,127.50 $1,127.50 0.3×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $312.20–$325 $312.20–$325 varies
Incision&Drainage Upper Arm/Elbow Bursa (23931) $104.50 $104.50 0.1×
Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) Facility (26992) $2,165 $2,165 0.7×
Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), thorax Facility (21510) $721 $721 0.2×
Incisional biopsy skin single lesion (11106) $440 $440 0.6×
Initial Tx 1st Degree Burn Local Tx (16000) $89.10 $89.10 0.5×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $385 $385 0.5×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 3 matching MRF lines		 $141.90–$162.80 $141.90–$162.80 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421) $165 $165 0.2×
Injection for identification of sentinel node (38792) $260 $260 0.7×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 4 matching MRF lines		 $106–$162.80 $106–$162.80 varies
Injection single/mlt trigger point 3/> muscles (20553) $132 $132 0.5×
Injection therapeutic carpal tunnel (20526) $148.50 $148.50 0.5×
Injection, anesthetic agent; brachial plexus, single (64415) $173.80 $173.80 0.2×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $131–$180.40 $131–$180.40 varies
Injection, Intralesional; More Than 7 Lesions (11901) $63.80 $63.80 0.3×
Injection, intralesional; up to and including 7 lesions (11900)
range across 2 matching MRF lines		 $46.20–$51 $46.20–$51 varies
Insert Bladder Cath Complex (51703) $215 $215 1.8×
Insert cath pleura w/ image (32557) $735 $735 0.5×
Insert cath pleura w/o image (32556)
range across 2 matching MRF lines		 $864–$950.40 $864–$950.40 varies
Insert Drug Implant Device (11981) $363 $363 3.0×
Insert Gastrostomy Tube Percutaneous (49440) $1,210 $1,210 0.7×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $233–$580.80 $233–$580.80 varies
Insert pessary/other device (57160)
range across 2 matching MRF lines		 $60–$154 $60–$154 varies
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines		 $94–$127.60 $94–$127.60 varies
Insert tun ip cath perc (49418)
range across 2 matching MRF lines		 $1,500–$2,500 $1,500–$2,500 varies
Insert tunneled cv cath (36561) $1,113.60 $1,113.60 0.4×
Insert,Non-Indwelling Bladder Catheter (51701) $88 $88 0.7×
Insertion indwelling tunneled pleural catheter (32550)
range across 3 matching MRF lines		 $314–$2,500 $314–$2,500 varies
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $1,265 $1,265 0.4×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $770 $770 0.3×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines		 $293.70–$880 $293.70–$880 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines		 $770–$1,512.50 $770–$1,512.50 varies
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure		 $641.30 $641.30 0.1×
Int hrhc by ligation single hroid w/o img gdn (46945) $451 $451 0.2×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $798.60 $798.60 2.1×
Intro Gastrointestinal Tube (44500) $70.40 $70.40 0.1×
Intubation endotracheal emergency procedure (31500) $315 $315 1.4×
Knee Arthroscopy/Surgery (29874) $1,155 $1,155 0.4×
Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior… (22819)
likely a partial charge, not the full procedure		 $3,309.90 $3,309.90 0.2×
Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior… (22818)
likely a partial charge, not the full procedure		 $3,094.30 $3,094.30 0.2×
Laparoscopy aspiration (49322)
range across 2 matching MRF lines		 $1,470.20–$1,535 $1,470.20–$1,535 varies
Laparoscopy Enterolysis Separate Procedure (44180)
range across 2 matching MRF lines		 $1,633.50–$2,255 $1,633.50–$2,255 varies
Laparoscopy fulguration oviducts (58670)
range across 2 matching MRF lines		 $1,240.80–$1,425 $1,240.80–$1,425 varies
Laparoscopy salpingostomy (58673)
likely a partial charge, not the full procedure		 $1,254 $1,254 0.1×
Laparoscopy w/rmvl adnexal structures (58661)
range across 2 matching MRF lines		 $490–$1,958 $490–$1,958 varies
Laparoscopy, surgical, appendectomy (44970)
range across 3 matching MRF lines		 $330–$1,452 $330–$1,452 varies
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
range across 3 matching MRF lines		 $702–$2,805 $702–$2,805 varies
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
unusually low: confirm this is the full procedure		 $3,740 $3,740 0.4×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
likely a partial charge, not the full procedure		 $1,415 $1,415 0.3×
Laparoscopy, Tubal Block (58671)
likely a partial charge, not the full procedure		 $1,288.10 $1,288.10 0.2×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure		 $1,292.50 $1,292.50 0.2×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
unusually low: confirm this is the full procedure		 $1,673.40 $1,673.40 0.3×
Laps Gastric Restrictive Px Remove Device & Port (43774) $2,750 $2,750 0.8×
Laryngoscopy diagnostic (31505)
range across 2 matching MRF lines		 $99–$172.80 $99–$172.80 varies
Laryngoscopy flexible diagnostic (31575) $101 $101 0.6×
Late closure of wound (13160)
range across 3 matching MRF lines		 $928.10–$1,875 $928.10–$1,875 varies
Lig&div long saph vein saphfem junct/interrupj (37700) $635.80 $635.80 0.2×
Ligate/strip short leg vein (37718) $1,300 $1,300 0.4×
Ligation of hemorrhoids (46946) $594 $594 0.2×
Ligation or biopsy temporal artery (37609) $1,040.60 $1,040.60 0.7×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $380.60 $380.60 0.1×
Lyse chest fibrin init day (32561) $385 $385 0.7×
Lysis Intranasal Synechia (30560) $121 $121 0.2×
Lysis/excision penile postcircumcision adhesions (54162) $374 $374 0.2×
Manipulation knee joint under general anesthesia (27570) $290 $290 0.2×
Manipulation wrist under anesthesia (25259) $650 $650 0.4×
Manipulation, finger joint, under anesthesia, each joint (26340) $780 $780 0.5×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $415 $415 0.3×
Marsupialization of bartholin's gland cyst (56440) $880 $880 0.3×
Mast mod rad (19307)
range across 2 matching MRF lines		 $2,558–$3,267 $2,558–$3,267 varies
Mastectomy for gynecomastia (19300)
range across 2 matching MRF lines		 $1,210–$1,488.30 $1,210–$1,488.30 varies
Mastectomy partial (19301) $2,530 $2,530 0.7×
Mastectomy partial w/axillary lymphadenectomy (19302)
range across 2 matching MRF lines		 $1,802–$2,915 $1,802–$2,915 varies
Mastectomy simple complete (19303)
range across 2 matching MRF lines		 $2,300–$2,530 $2,300–$2,530 varies
Muscle-skin graft trunk (15734) $2,304.50 $2,304.50 0.7×
N Block Inj Paracervical (64435) $173.80 $173.80 0.3×
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines		 $82.50–$310 $82.50–$310 varies
Nasal Endoscopy Dx (31231) $172.80 $172.80 0.9×
Nasal/Orogastric W/Tube Plmt (43752) $248 $248 0.6×
Needle Biopsy Lymph Nodes (38505) $350 $350 0.2×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $1,165 $1,165 0.6×
Nipple Exploration (19110) $735 $735 0.2×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $192 $192 0.1×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines		 $253.10–$759 $253.10–$759 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $361.90 $361.90 0.4×
Njx Sclrsnt 1 Incmptnt Vein (36470) $81.40 $81.40 0.2×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $138.60 $138.60 0.4×
Njx Sclrsnt Spider Veins (36468) $286 $286 0.8×
Obstructive material removal from gi tube (49460)
range across 3 matching MRF lines		 $215–$248 $215–$248 varies
Occipital Nerve Block (64405) $219 $219 0.8×
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure		 $947.10 $947.10 0.2×
Open biopsy/excision inguinofemoral nodes (38531) $930 $930 0.3×
Open bowel to skin (44300)
range across 2 matching MRF lines		 $1,305.70–$1,502 $1,305.70–$1,502 varies
Open Repair of Rotator Cuff Acute (23410)
likely a partial charge, not the full procedure		 $1,830 $1,830 0.3×
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure		 $1,675 $1,675 0.3×
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure		 $1,270 $1,270 0.2×
Open treatment of acromioclavicular dislocation acute or chronic (23550)
likely a partial charge, not the full procedure		 $1,220 $1,220 0.2×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure		 $1,550 $1,550 0.2×
Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with… (27558)
unusually low: confirm this is the full procedure		 $2,955 $2,955 0.4×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure		 $1,405 $1,405 0.2×
Open Tx Distal Phalangeal Fracture Each (26765) $440 $440 0.1×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $376.20 $376.20 0.1×
Open tx interphalangeal joint dislocation (26785) $456.50 $456.50 0.2×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $792 $792 0.3×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $926.20 $926.20 0.3×
Open tx ulnar fx proximal end (24685)
likely a partial charge, not the full procedure		 $693 $693 0.1×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
likely a partial charge, not the full procedure		 $1,150 $1,150 0.2×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
unusually low: confirm this is the full procedure		 $2,861.10 $2,861.10 0.4×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758)
likely a partial charge, not the full procedure		 $2,225 $2,225 0.2×
Orchiectomy radical tumor inguinal approach (54530) $1,381.60 $1,381.60 0.4×
Ostc prtl exostc/condylc metar head (28288) $451 $451 0.1×
Ostectomy calcaneus (28118) $985 $985 0.3×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $660 $660 0.2×
Ovarian cystectomy, unilateral or bilateral (58925) $1,193.50 $1,193.50 0.3×
Partial excision of lip (40520) $1,368 $1,368 0.4×
Partial hymenectomy or revision of hymenal ring (56700) $295 $295 0.1×
Partial removal of thyroid (60220)
range across 2 matching MRF lines		 $2,655.40–$3,053 $2,655.40–$3,053 varies
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
likely a partial charge, not the full procedure		 $1,012 $1,012 0.2×
Pelvic examination under anesthesia (other than local) (57410)
range across 2 matching MRF lines		 $401.50–$402 $401.50–$402 varies
Percut Drain/Inject Renal Cyst (50390) $266.20 $266.20 0.4×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $440 $440 0.1×
Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) $300 $300 0.1×
Perq dev breast 1st strtctc (19283) $825 $825 1.3×
Perq dev breast 1st us imag (19285) $550 $550 0.8×
Perq skel fixj distal radial fx/epiphysl sep (25606) $1,335 $1,335 0.4×
Placement of needle for intraosseous infusion (36680) $118 $118 0.3×
Placement of seton (46020) $500 $500 0.2×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $880 $880 1.0×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $231 $231 0.1×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305)
range across 2 matching MRF lines		 $231–$880 $231–$880 varies
Prostatic microwave thermotx (53850) $796.40 $796.40 0.2×
Prostatic Rf Thermotx (53852) $832.70 $832.70 0.3×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $392.70 $392.70 0.1×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650)
range across 2 matching MRF lines		 $520–$860 $520–$860 varies
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $1,090 $1,090 0.4×
Punch biopsy skin single lesion (11104) $365 $365 1.0×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines		 $66–$354.20 $66–$354.20 varies
Puncture Aspiration Cyst Breast (19000)
range across 3 matching MRF lines		 $99–$424.60 $99–$424.60 varies
Rcnstj angular dfrm toe soft tiss px only (28313) $1,512 $1,512 0.5×
Removal Embedded Foreign Body Eyelid (67938) $86.90 $86.90 0.3×
Removal Foreign Body Deep Thigh/Knee (27372) $635.80 $635.80 0.2×
Removal Foreign Body Foot Complicated (28193) $539 $539 0.4×
Removal foreign body foot deep (28192) $363 $363 0.2×
Removal Foreign Body Foot Subcutaneous (28190)
range across 3 matching MRF lines		 $212–$413 $212–$413 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $720 $720 0.5×
Removal Foreign Body Pelvis/Hip Deep (27087) $187 $187 0.1×
Removal Foreign Body Scrotum (55120) $277.20 $277.20 0.1×
Removal impacted cerumen irrigation/lvg unilat (69209) $220 $220 4.1×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $47–$354.20 $47–$354.20 varies
Removal Implant Deep (20680) $960 $960 0.4×
Removal Implant Superficial Separate Procedure (20670) $290 $290 0.2×
Removal implantable contraceptive capsules (11976) $220 $220 0.3×
Removal of a lesion from the floor of the mouth (41116) $695.20 $695.20 0.2×
Removal of adenoids (42830) $410.30 $410.30 0.1×
Removal of anal fissure (46200) $748 $748 0.3×
Removal of ankle implant (27704) $854.70 $854.70 0.3×
Removal of nail bed (11750)
range across 3 matching MRF lines		 $330–$476.30 $330–$476.30 varies
Removal of sperm cord lesion (55520)
range across 2 matching MRF lines		 $664.40–$765 $664.40–$765 varies
Removal of testis (54520)
range across 2 matching MRF lines		 $962.50–$1,058.80 $962.50–$1,058.80 varies
Removal of tonsils (42825)
likely a partial charge, not the full procedure		 $693 $693 0.1×
Removal of tonsils (42826) $795 $795 0.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 3 matching MRF lines		 $69–$354.20 $69–$354.20 varies
Removal subcutaneous cardiac rhythm monitor (33286) $315 $315 0.5×
Removal Sutures/Staples Requiring Anesthesia (15851) $58.30 $58.30 0.0×
Removal sweat gland lesion (11450) $660 $660 0.2×
Remove armpit lymph nodes (38740)
range across 2 matching MRF lines		 $995.50–$1,144 $995.50–$1,144 varies
Remove cerclage suture (59871) $206.80 $206.80 0.1×
Remove drug implant device (11982) $459.80 $459.80 1.1×
Remove elbow lesion (24120) $1,595 $1,595 0.5×
Remove Forearm Foreign Body (25248) $500.50 $500.50 0.3×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $121–$200 $121–$200 varies
Remove groin lymph nodes (38760)
likely a partial charge, not the full procedure		 $1,239.70 $1,239.70 0.2×
Remove hip pressure sore (15940) $1,650 $1,650 0.6×
Remove Intrauterine Device (58301) $84.70 $84.70 0.3×
Remove lung catheter (32552)
range across 2 matching MRF lines		 $300–$660 $300–$660 varies
Remove Nasal Foreign Body (30300) $121 $121 1.0×
Remove Peritoneal Foreign Body (49402)
range across 2 matching MRF lines		 $1,270.50–$1,458 $1,270.50–$1,458 varies
Remove Tendon Sheath Lesion (26160)
range across 2 matching MRF lines		 $560–$593.10 $560–$593.10 varies
Remove thigh pressure sore (15956) $4,625 $4,625 2.4×
Remove thyroid lesion (60200)
likely a partial charge, not the full procedure		 $1,120.90 $1,120.90 0.2×
Remove/Insert Drug Implant (11983) $830.50 $830.50 2.0×
Repair Blood Vessel Direct Upper Extremity (35206) $3,000 $3,000 1.0×
Repair brow ptosis (67900) $500 $500 0.2×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 3 matching MRF lines		 $96–$523 $96–$523 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $285–$990 $285–$990 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $412.50–$413 $412.50–$413 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 3 matching MRF lines		 $413–$990 $413–$990 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $271.70 $271.70 0.7×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $577.50–$660 $577.50–$660 varies
Repair complex trunk 1.1-2.5 cm (13100) $236.50 $236.50 0.3×
Repair complex trunk 2.6-7.5 cm (13101) $429 $429 0.6×
Repair Ectropion Excision Tarsal Wedge (67916) $1,115 $1,115 0.5×
Repair Entropion Extensive (67924) $1,032 $1,032 0.5×
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $491.70–$567 $491.70–$567 varies
Repair Eyelid Wound (67935) $763.40 $763.40 0.3×
Repair Finger/Hand Tendon (26350) $1,005.40 $1,005.40 0.3×
Repair Hand Tendon (26410)
range across 2 matching MRF lines		 $410.30–$468 $410.30–$468 varies
Repair inguinal hernia, sliding, any age (49525) $1,925 $1,925 0.6×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553)
range across 2 matching MRF lines		 $1,213.30–$1,392 $1,213.30–$1,392 varies
Repair initial femoral hernia, any age; reducible (49550)
range across 2 matching MRF lines		 $1,215.50–$1,216 $1,215.50–$1,216 varies
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $1,657.70 $1,657.70 0.5×
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) $1,259.50 $1,259.50 0.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 3 matching MRF lines		 $479–$544.50 $479–$544.50 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $413–$660 $413–$660 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $715 $715 1.9×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $770 $770 2.1×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $513.70 $513.70 0.8×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $308–$338.80 $308–$338.80 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $385–$447 $385–$447 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $550 $550 0.8×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $766 $766 0.4×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $476.30–$550 $476.30–$550 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $223.90–$231 $223.90–$231 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 3 matching MRF lines		 $358–$514.80 $358–$514.80 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $726 $726 1.1×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $413–$566.30 $413–$566.30 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 2 matching MRF lines		 $762.30–$869 $762.30–$869 varies
Repair of hydrocele (55060) $815.10 $815.10 0.3×
Repair of nail bed (11760) $220 $220 0.3×
Repair of Ruptured Tendon (24342)
likely a partial charge, not the full procedure		 $1,600.50 $1,600.50 0.2×
Repair of shoulder (23420)
unusually low: confirm this is the full procedure		 $2,175 $2,175 0.3×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
likely a partial charge, not the full procedure		 $1,392.60 $1,392.60 0.2×
Repair Rotator Cuff Chronic (23412)
likely a partial charge, not the full procedure		 $1,920 $1,920 0.3×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $427.90 $427.90 0.1×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
likely a partial charge, not the full procedure		 $1,525 $1,525 0.2×
Repair tongue laceration (41252) $594 $594 2.7×
Repair tongue laceration (41250)
range across 2 matching MRF lines		 $196.90–$226 $196.90–$226 varies
Repair, primary, disrupted ligament, ankle; collateral (27695)
likely a partial charge, not the full procedure		 $1,075 $1,075 0.2×
Reposition Gastrostomy Tube (43761) $325 $325 1.4×
Rerepair ing hernia reduce (49520)
range across 2 matching MRF lines		 $1,277.10–$1,615.90 $1,277.10–$1,615.90 varies
Revise ulnar nerve at wrist (64719) $1,181.40 $1,181.40 0.7×
Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) $2,079 $2,079 0.6×
Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) $2,332 $2,332 0.7×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $1,188 $1,188 0.4×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
likely a partial charge, not the full procedure		 $4,345 $4,345 0.3×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $308 $308 0.4×
Rmvl FB Xtrnl Auditory Canal Anes (69205)
range across 2 matching MRF lines		 $150.70–$176 $150.70–$176 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $154–$354.20 $154–$354.20 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $137–$375 $137–$375 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $151.30 $151.30 0.4×
Rmvl fecal impaction/fb spx under anes (45915)
range across 2 matching MRF lines		 $306–$550 $306–$550 varies
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $666.60 $666.60 0.2×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $187 $187 0.1×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $277.20 $277.20 0.2×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $1,760 $1,760 0.6×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $233–$1,100 $233–$1,100 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 3 matching MRF lines		 $550–$754.60 $550–$754.60 varies
Rplc Gtube No Revj Trc (43762) $375 $375 1.6×
Rplcmt cath ctr vad subq port/pmp (36578) $1,010 $1,010 0.3×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $1,391.50 $1,391.50 0.5×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $308 $308 0.2×
Rplcmt compl tun ctr vad w/subq port (36582) $1,441 $1,441 0.5×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $1,775 $1,775 0.5×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595)
unusually low: confirm this is the full procedure		 $1,995 $1,995 0.3×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $1,325 $1,325 0.4×
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure		 $1,766.60 $1,766.60 0.3×
Rpr aa hrn 1st < 3 ncr/strn (49592)
unusually low: confirm this is the full procedure		 $1,725 $1,725 0.3×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 4 matching MRF lines		 $299–$841 $299–$841 varies
Rpr ing hernia init reduce (49500)
likely a partial charge, not the full procedure		 $1,016.40 $1,016.40 0.2×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $621 $621 0.9×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $1,230 $1,230 2.5×
Rpr Lip Full Thickness Vermilion Only (40650) $525 $525 1.1×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654)
range across 2 matching MRF lines		 $981.20–$1,128 $981.20–$1,128 varies
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $869 $869 0.3×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270)
range across 2 matching MRF lines		 $658.90–$748 $658.90–$748 varies
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $237 $237 0.4×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $880 $880 0.8×
Shave skin lesion 0.5 cm/< (11300) $102.90 $102.90 0.3×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310)
range across 3 matching MRF lines		 $69–$128 $69–$128 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305)
range across 2 matching MRF lines		 $69–$121 $69–$121 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $157.30 $157.30 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $193.60 $193.60 1.0×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $211.80 $211.80 1.1×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312)
range across 2 matching MRF lines		 $64–$222.60 $64–$222.60 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $127.10 $127.10 0.7×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $211.80 $211.80 0.6×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $163.40 $163.40 0.9×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $110 $110 0.0×
Sigmoidoscopy & Polypectomy (45333) $399.30 $399.30 0.5×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 2 matching MRF lines		 $248.60–$840 $248.60–$840 varies
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $687.50–$688 $687.50–$688 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $237–$367.40 $237–$367.40 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $299–$446.60 $299–$446.60 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $407–$543.40 $407–$543.40 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $165–$354.20 $165–$354.20 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $456.50 $456.50 2.5×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $290–$446.60 $290–$446.60 varies
Skin Full Grft Face/Genit/Hf (15240)
range across 2 matching MRF lines		 $1,259.50–$1,260 $1,259.50–$1,260 varies
Skin graft, harvest cultured tissue (15040) $275 $275 0.1×
Skin Pinch Graft (15050) $760 $760 1.1×
Skin sub graft face/nk/hf/g (15275) $300 $300 0.4×
Skin sub graft trnk/arm/leg (15271) $300 $300 0.4×
Slitting of prepuce (54001) $178.20 $178.20 0.1×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 4 matching MRF lines		 $220–$378.40 $220–$378.40 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $374–$411.40 $374–$411.40 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $506 $506 1.4×
Sphincterotomy anal division sphincter spx (46080)
range across 2 matching MRF lines		 $415.80–$479 $415.80–$479 varies
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines		 $181.50–$495 $181.50–$495 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120)
range across 2 matching MRF lines		 $1,500–$1,645.60 $1,500–$1,645.60 varies
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100)
range across 2 matching MRF lines		 $1,500–$1,650 $1,500–$1,650 varies
Strapping ankle (29540) $52.80 $52.80 0.4×
Strapping elbow or wrist (29260) $50.80 $50.80 0.9×
Strapping knee (29530) $70 $70 0.6×
Strapping shoulder (29240) $79.20 $79.20 0.6×
Strapping thorax (29200) $70 $70 0.5×
Strapping toes (29550)
range across 2 matching MRF lines		 $46.20–$55 $46.20–$55 varies
Strapping Unna Boot (29580) $302.50 $302.50 2.0×
Surg tx anal fistula subq (46270)
range across 2 matching MRF lines		 $415.80–$479 $415.80–$479 varies
Suture infrapatellar tendon primary (27380)
likely a partial charge, not the full procedure		 $1,195 $1,195 0.2×
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381)
likely a partial charge, not the full procedure		 $1,725 $1,725 0.3×
Suture of quadriceps or hamstring muscle rupture primary (27385)
likely a partial charge, not the full procedure		 $1,115 $1,115 0.2×
Syndactylization toes (28280) $484 $484 0.2×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145)
range across 2 matching MRF lines		 $625–$838.20 $625–$838.20 varies
Tangential biopsy skin single lesion (11102) $290 $290 0.8×
Tenolysis flexor tendon palm/finger each tendon (26440) $1,276 $1,276 0.9×
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) $641.30 $641.30 0.2×
Tenotomy Percutaneous Toe Single Tendon (28010) $475 $475 0.3×
Therapeutic pneumothorax (32960) $181.50 $181.50 0.3×
Thrombolytic Therapy Stroke (37195) $393.80 $393.80 1.3×
Thyroidectomy, total or complete (60240)
unusually low: confirm this is the full procedure		 $2,114.20 $2,114.20 0.4×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060)
range across 2 matching MRF lines		 $963–$1,754.50 $963–$1,754.50 varies
Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less Facility (15150) $1,500 $1,500 0.8×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $722.70 $722.70 0.2×
Total Knee Arthroplasty (27447)
likely a partial charge, not the full procedure		 $3,250 $3,250 0.3×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $478.50 $478.50 0.2×
Tracheostomy Emergency Procedure Transtracheal (31603) $693 $693 0.5×
Tracheostomy planned (31600) $760.10 $760.10 0.2×
Transrectal Drainage of Pelvic Abscess (45000)
range across 2 matching MRF lines		 $694.10–$798 $694.10–$798 varies
Treat Big Toe Fracture (28505) $468.60 $468.60 0.2×
Treat ectopic pregnancy (59151)
unusually low: confirm this is the full procedure		 $1,822.70 $1,822.70 0.3×
Treat humerus fracture (24500) $550 $550 2.4×
Treat Humerus Fracture (24505) $646.80 $646.80 0.4×
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $522.50–$523 $522.50–$523 varies
Treat Kneecap Fracture (27524)
range across 2 matching MRF lines		 $1,328.80–$1,665 $1,328.80–$1,665 varies
Treat Knuckle Dislocation (26700) $484 $484 2.1×
Treat Metatarsal Fracture (28475) $346.50 $346.50 1.5×
Treat Tail Bone Fracture (27200) $110 $110 0.5×
Treat Thumb Dislocation (26641) $346.50 $346.50 1.5×
Treat Thumb Fracture (26645) $220 $220 0.1×
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 5 matching MRF lines		 $433.40–$905 $433.40–$905 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $260.70–$303 $260.70–$303 varies
Treatment of foot infection (28003) $725 $725 0.2×
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
unusually low: confirm this is the full procedure		 $2,541 $2,541 0.4×
Trim skin lesion (11055) $152.90 $152.90 0.8×
Trim skin lesions 2 to 4 (11056) $152.90 $152.90 0.8×
Trim skin lesions over 4 (11057) $354.20 $354.20 1.9×
Trimming Nondystrophic Nails Any Number (11719) $19.40 $19.40 0.4×
Tubal ligation (58600) $1,288.70 $1,288.70 0.4×
Tx Gastro Intub W/Asp (43753) $86.90 $86.90 0.4×
Tx Incomplete Abortion Any Trimester Surgical (59812)
range across 2 matching MRF lines		 $660–$726 $660–$726 varies
Tx Missed Abortion First Trimester Surgical (59820) $781.70 $781.70 0.3×
Tx Missed Abortion Second Trimester Surgical (59821) $573.10 $573.10 0.2×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257)
range across 2 matching MRF lines		 $797.50–$913 $797.50–$913 varies
Tx Superficial Wound Dehiscence Simple Closure (12020) $478.50 $478.50 0.7×
Tx superficial wound dehiscence w/packing (12021) $207.90 $207.90 0.6×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $271.70 $271.70 1.2×
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) $831.60 $831.60 0.3×
Unlisted procedure excision pressure ulcer (15999) $897 $897 1.4×
Unlisted procedure stomach (43999) $110 $110 0.1×
Unlisted Procedure Trachea Bronchi (31899) $55 $55 0.3×
Vaginal delivery only (59409) $2,525 $2,525 0.8×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $2,247.30 $2,247.30 0.5×
Vasectomy uni/bi spx w/postop semen exams (55250) $462 $462 0.2×
Wedge excision skin nail fold (11765) $404.80 $404.80 1.1×
Wedge Rescj/Bisctj Ovary Uni/Bi (58920)
likely a partial charge, not the full procedure		 $1,092.30 $1,092.30 0.2×
Wedging of cast (29740) $69.30 $69.30 0.3×

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.