Procedures & surgery prices at Cook Childrens Medical Center
Fort Worth, TX · every code in this section with a posted price and a Medicare benchmark.
378 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acne surgery (10040) range across 2 matching MRF lines |
$458.67–$1,086.85 | $611.56–$1,449.13 | varies |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $7,757.51 | $10,343.35 | 3.7× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $6,771.62 | $9,028.82 | 2.1× |
| Anal/Urinary Muscle Study (51784) | $816.23 | $1,088.30 | 6.3× |
| Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
$313.17–$1,236.08 | $417.56–$1,648.11 | varies |
| Application Cast Finger (29086) | $235.10 | $313.47 | 1.4× |
| Application Finger Splint Dynamic (29131) range across 2 matching MRF lines |
$259.85–$289.97 | $346.47–$386.62 | varies |
| Application finger splint static (29130) range across 5 matching MRF lines |
$61.87–$289.97 | $82.49–$386.62 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$170.85–$707.93 | $227.80–$943.91 | varies |
| Application Long Leg Splint (29505) range across 3 matching MRF lines |
$150.38–$707.93 | $200.50–$943.91 | varies |
| Application of long leg cast (29345) | $1,236.08 | $1,648.11 | 4.4× |
| Application Short Arm Splint Dynamic (29126) | $289.97 | $386.62 | 2.2× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$129.38–$729.40 | $172.50–$972.53 | varies |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$132.94–$707.93 | $177.25–$943.91 | varies |
| Apply hand/wrist cast (29085) | $1,230.39 | $1,640.52 | 7.5× |
| Apply long arm cast (29065) range across 2 matching MRF lines |
$308.35–$1,236.08 | $411.13–$1,648.11 | varies |
| Apply Short Leg Cast (29405) | $1,236.08 | $1,648.11 | 4.4× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$62.66–$729.40 | $83.55–$972.53 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) | $1,168.94 | $1,558.59 | 3.8× |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) | $620.63 | $827.50 | 0.2× |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$1,811.41–$2,708.08 | $2,415.21–$3,610.77 | varies |
| Aspiration Bladder Needle (51100) | $223.73 | $298.30 | 0.9× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$168.38–$809.02 | $224.50–$1,078.69 | varies |
| Biopsy nail unit (11755) | $801.02 | $1,068.03 | 1.1× |
| Biopsy of lip (40490) | $1,027.82 | $1,370.42 | 4.3× |
| Biopsy of rectum (45100) | $5,945.06 | $7,926.75 | 2.1× |
| Bladder Irrigation (51700) | $685.44 | $913.92 | 2.7× |
| Bladder Scan (51798) range across 2 matching MRF lines |
$266.28–$288.58 | $355.04–$384.77 | varies |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) | $2,882.72 | $3,843.62 | 1.8× |
| Blepharotomy drainage abscess eyelid (67700) | $778.04 | $1,037.39 | 2.4× |
| Blood Transfusion Service (36430) range across 8 matching MRF lines |
$462.92–$2,523.52 | $617.23–$3,364.69 | varies |
| Blood/Lymph System Procedure (38999) range across 3 matching MRF lines |
$3,340.66–$162,701.12 | $4,454.21–$216,934.83 | varies |
| Bone Marrow Biopsy (38221) range across 2 matching MRF lines |
$1,313.56–$2,570.96 | $1,751.41–$3,427.95 | varies |
| Bone marrow harvest allogen (38230) range across 7 matching MRF lines |
$79,235.05–$183,141.11 | $105,646.73–$244,188.15 | varies |
| Bone Marrow; Aspiration Only (38220) range across 2 matching MRF lines |
$1,224.15–$2,556.06 | $1,632.20–$3,408.08 | varies |
| Bronchoscopy Clear Airways (31645) | $8,212.93 | $10,950.57 | 4.6× |
| Bronchoscopy W/Removal Foreign Body (31635) | $5,558.26 | $7,411.01 | 3.1× |
| Car-t admn autologous (38228) | $12,530.35 | $16,707.13 | 37.8× |
| Change Cystostomy Tube Simple (51705) | $1,176.07 | $1,568.09 | 4.7× |
| Change of Windpipe Airway (31502) | $715.37 | $953.83 | 3.0× |
| Chemical Cautery Tissue (17250) range across 3 matching MRF lines |
$272.51–$809.02 | $363.35–$1,078.69 | varies |
| Chemical exfoliation for acne (17360) | $829.31 | $1,105.75 | 4.1× |
| Chemodenerv Eccrine Glands (64650) | $866.12 | $1,154.82 | 2.8× |
| Chest tube placement (32551) | $2,708.81 | $3,611.74 | 1.7× |
| Circumcision Neonate (54160) | $636.86 | $849.14 | 0.9× |
| Circumcision w/clamp/oth dev w/block (54150) | $637.02 | $849.36 | 0.3× |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$153.38–$725.96 | $204.50–$967.94 | varies |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $891.98 | $1,189.30 | 3.6× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $589.65 | $786.20 | 2.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $1,177.47 | $1,569.96 | 4.8× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $507.38 | $676.50 | 2.0× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) | $792.26 | $1,056.35 | 3.2× |
| Closed tx knee dislocation w/o anesthesia (27550) | $1,415.47 | $1,887.29 | 5.7× |
| Closed tx mandibular fracture w/manipulation (21451) | $6,983.57 | $9,311.42 | 4.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $507.38 | $676.50 | 2.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $4,671.95 | $6,229.26 | 2.9× |
| Closed tx patellar dislocation w/anesthesia (27562) | $3,931.95 | $5,242.60 | 15.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$925.76–$936.11 | $1,234.35–$1,248.15 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $925.76 | $1,234.35 | 3.7× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $589.65 | $786.20 | 2.4× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $589.65 | $786.20 | 2.4× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $4,329.88 | $5,773.17 | 2.7× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines |
$591.30–$935.84 | $788.40–$1,247.79 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $570.19 | $760.25 | 2.3× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) | $1,178.16 | $1,570.88 | 4.8× |
| Closed tx talus fracture w/o manipulation (28430) | $507.38 | $676.50 | 2.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $717.98 | $957.31 | 2.9× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $5,371.01 | $7,161.35 | 3.3× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $589.65 | $786.20 | 2.4× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $589.65 | $786.20 | 2.4× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) range across 2 matching MRF lines |
$464.25–$2,000.51 | $619–$2,667.34 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$570.19–$935.84 | $760.25–$1,247.79 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $6,337.79 | $8,450.38 | 3.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$838.88–$1,183.72 | $1,118.50–$1,578.29 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 2 matching MRF lines |
$768.47–$1,178.16 | $1,024.62–$1,570.88 | varies |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) | $792.26 | $1,056.35 | 3.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $1,183.39 | $1,577.85 | 4.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $1,183.72 | $1,578.29 | 4.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$507.56–$935.84 | $676.75–$1,247.79 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$589.65–$1,183.39 | $786.20–$1,577.85 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $3,931.66 | $5,242.21 | 2.4× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $792.26 | $1,056.35 | 3.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $1,178.74 | $1,571.65 | 4.8× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$429.71–$936.11 | $572.95–$1,248.15 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$429.68–$1,183.72 | $572.90–$1,578.29 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $935.84 | $1,247.79 | 3.8× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $5,204.38 | $6,939.17 | 3.2× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $589.65 | $786.20 | 2.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $629.84 | $839.79 | 2.5× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $1,231.04 | $1,641.38 | 4.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $936.11 | $1,248.15 | 3.8× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $1,230.97 | $1,641.29 | 4.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$735.04–$936.11 | $980.05–$1,248.15 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) | $1,178.74 | $1,571.65 | 4.8× |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 3 matching MRF lines |
$507.38–$673.92 | $676.50–$898.56 | varies |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $1,177.47 | $1,569.96 | 0.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$536.29–$1,183.72 | $715.05–$1,578.29 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines |
$451.80–$936.11 | $602.40–$1,248.15 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) | $559.69 | $746.25 | 2.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $9,154.64 | $12,206.18 | 5.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$401.40–$1,183.72 | $535.20–$1,578.29 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $4,329.88 | $5,773.17 | 2.7× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $4,292.56 | $5,723.41 | 2.7× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 2 matching MRF lines |
$698.63–$1,183.39 | $931.50–$1,577.85 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) | $589.65 | $786.20 | 2.4× |
| Cltx tibial shaft fx w/o manipulation (27750) range across 2 matching MRF lines |
$792.26–$1,183.39 | $1,056.35–$1,577.85 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $5,067.48 | $6,756.64 | 3.1× |
| Collect Blood From Catheter Venous Nos (36592) | $15.83 | $21.10 | 0.1× |
| Collection of venous blood by venipuncture (36415) range across 5 matching MRF lines |
$7.91–$155.06 | $10.55–$206.74 | varies |
| Colporrhaphy (57200) | $8,534.21 | $11,378.94 | 2.6× |
| Complex Cystometrogram (51726) | $1,706.90 | $2,275.86 | 6.8× |
| Complex drainage wound (10180) | $9,013.76 | $12,018.35 | 3.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$298.70–$341.18 | $398.26–$454.90 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$240.75–$729.19 | $321–$972.25 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $298.70 | $398.26 | 2.2× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $298.70 | $398.26 | 1.3× |
| Cystometrogram W/Vp (51728) | $1,902.27 | $2,536.36 | 2.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $1,755.87 | $2,341.16 | 4.3× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $1,560.29 | $2,080.38 | 2.1× |
| Debridement Mastoidectomy Cavity Simple (69220) | $391.83 | $522.44 | 1.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$839.47–$1,630.81 | $1,119.29–$2,174.41 | varies |
| Declot vascular device (36593) | $104.80 | $139.73 | 0.3× |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$150.28–$692.40 | $200.37–$923.20 | varies |
| Destruction Benign Lesions 15/> (17111) | $215.63 | $287.51 | 1.1× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $1,081.18 | $1,441.57 | 5.4× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $806.63 | $1,075.51 | 4.0× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) | $801.11 | $1,068.14 | 2.0× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $721.67 | $962.23 | 3.6× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $953.87 | $1,271.83 | 4.7× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) | $1,160.39 | $1,547.19 | 5.8× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $843.44 | $1,124.58 | 4.2× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $1,055.71 | $1,407.61 | 5.2× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $900.06 | $1,200.08 | 4.5× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) | $993.49 | $1,324.65 | 4.9× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) | $1,140.59 | $1,520.79 | 2.8× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $659.52 | $879.36 | 3.3× |
| Destruction of skin lesions (17106) | $1,825.07 | $2,433.43 | 4.5× |
| Destruction Premalignant Lesion 15/> (17004) | $708.62 | $944.82 | 1.7× |
| Destruction premalignant lesion 1st (17000) | $297.16 | $396.21 | 1.5× |
| Drainage external auditory canal abscess (69020) range across 2 matching MRF lines |
$459.75–$892.83 | $613–$1,190.44 | varies |
| Drainage external ear abscess/hematoma cmplx (69005) | $4,526.18 | $6,034.90 | 2.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 2 matching MRF lines |
$457.51–$893.23 | $610.01–$1,190.97 | varies |
| Drainage Finger Abscess Complicated (26011) | $4,772.68 | $6,363.57 | 2.9× |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$206.33–$896.61 | $275.10–$1,195.48 | varies |
| Drainage of gum lesion (41800) | $891.58 | $1,188.77 | 6.7× |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$226.84–$4,793.52 | $302.45–$6,391.36 | varies |
| Drainage of rectal abscess (45005) | $8,023.02 | $10,697.36 | 6.7× |
| Drainage of scrotum (54700) range across 2 matching MRF lines |
$5,598.68–$5,763.48 | $7,464.90–$7,684.64 | varies |
| Draw Blood Off Venous Device (36591) | $60.15 | $80.20 | 0.5× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $1,958.82 | $2,611.76 | 2.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $1,567.39 | $2,089.85 | 3.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$322.01–$805.71 | $429.35–$1,074.28 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$165.04–$809.02 | $220.05–$1,078.69 | varies |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) | $1,988.69 | $2,651.58 | 2.7× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) | $5,495.66 | $7,327.55 | 2.7× |
| Dx Bone Marrow Bx & Aspir (38222) | $8,171.73 | $10,895.64 | 2.8× |
| Dx Laryngoscopy Excl Nb (31525) | $7,551.19 | $10,068.25 | 4.2× |
| Electro-Uroflowmetry First (51741) | $519.68 | $692.90 | 2.4× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$101.44–$289.97 | $135.25–$386.62 | varies |
| Exc arm/elbow les sc < 3 cm (24075) | $2,354.69 | $3,139.58 | 1.4× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $1,381.95 | $1,842.60 | 1.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $2,230.72 | $2,974.29 | 1.3× |
| Exc Back Les Sc < 3 Cm (21930) | $2,643.19 | $3,524.25 | 1.6× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $796.76 | $1,062.35 | 1.1× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $1,436.03 | $1,914.70 | 2.0× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $677.60 | $903.47 | 1.0× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $796.76 | $1,062.34 | 1.1× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $1,436.03 | $1,914.70 | 2.0× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $1,736.50 | $2,315.33 | 1.0× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $1,953.15 | $2,604.20 | 1.2× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $1,356.48 | $1,808.64 | 0.8× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $1,196.83 | $1,595.77 | 1.7× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $1,727.60 | $2,303.47 | 1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $1,681.17 | $2,241.56 | 2.4× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $2,532.62 | $3,376.82 | 1.5× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $3,315.95 | $4,421.27 | 1.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $1,893.47 | $2,524.63 | 1.1× |
| Exc Skin Benig >4cm Face,Facial (11446) | $2,924.28 | $3,899.04 | 1.0× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $2,230.12 | $2,973.49 | 1.3× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $731.30 | $975.06 | 1.8× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $1,131.11 | $1,508.14 | 1.6× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $2,299.13 | $3,065.51 | 1.4× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $2,980.46 | $3,973.94 | 1.8× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $2,324.57 | $3,099.42 | 1.4× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $3,340.71 | $4,454.28 | 2.0× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $3,303.72 | $4,404.96 | 2.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $1,381.58 | $1,842.10 | 1.9× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $677.42 | $903.22 | 1.0× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $1,736.50 | $2,315.33 | 1.0× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $1,356.11 | $1,808.14 | 0.8× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $1,196.52 | $1,595.36 | 1.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $1,727.13 | $2,302.84 | 2.4× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $3,011.58 | $4,015.44 | 1.8× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $2,414.42 | $3,219.23 | 1.5× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $3,093.11 | $4,124.15 | 1.9× |
| Foreskin manipulation (54450) range across 3 matching MRF lines |
$309.75–$1,177.85 | $413–$1,570.47 | varies |
| Frenulotomy of penis (54164) | $6,894.13 | $9,192.17 | 3.3× |
| I&d abscess peritonsillar (42700) | $2,001.53 | $2,668.70 | 8.4× |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$226.84–$896.61 | $302.45–$1,195.48 | varies |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$226.84–$2,439.36 | $302.45–$3,252.48 | varies |
| I&d pilonidal cyst complicated (10081) range across 2 matching MRF lines |
$2,640–$4,774.40 | $3,520–$6,365.87 | varies |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$280.58–$896.61 | $374.10–$1,195.48 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$368.25–$896.61 | $491–$1,195.48 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 3 matching MRF lines |
$524.96–$7,425.31 | $699.95–$9,900.41 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$237.45–$1,567.39 | $316.60–$2,089.85 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $573.06 | $764.08 | 2.8× |
| Incision and drainage of vulva or perineal abscess (56405) range across 3 matching MRF lines |
$441.75–$1,247.03 | $589–$1,662.70 | varies |
| Incision of lingual frenum (frenotomy) (41010) range across 3 matching MRF lines |
$90.95–$3,561.71 | $121.27–$4,748.94 | varies |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$3,205.50–$8,022.64 | $4,274–$10,696.85 | varies |
| Incision of urethra (53025) | $5,215.79 | $6,954.39 | 2.5× |
| Incision of urethra (53020) | $5,944.68 | $7,926.24 | 2.8× |
| Incisional biopsy skin single lesion (11106) | $338.99 | $451.99 | 0.5× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$167.78–$545.30 | $223.70–$727.06 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$211.69–$2,053.77 | $282.25–$2,738.36 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $375.71 | $500.95 | 1.9× |
| Insert Bladder Cath Complex (51703) | $624.16 | $832.21 | 4.8× |
| Insert cath pleura w/o image (32556) | $5,256.74 | $7,008.98 | 2.7× |
| Insert Drug Implant Device (11981) | $288.51 | $384.68 | 2.2× |
| Insert non-tunnel cv cath (36556) | $4,647.79 | $6,197.05 | 1.5× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) range across 2 matching MRF lines |
$4,429.08–$4,647.79 | $5,905.44–$6,197.05 | varies |
| Insert Temp Bladder Cath (51702) | $725.96 | $967.94 | 5.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 4 matching MRF lines |
$86.25–$725.96 | $115–$967.94 | varies |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $4,649.05 | $6,198.73 | 1.5× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$4,429.08–$4,649.31 | $5,905.44–$6,199.08 | varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $1,217.41 | $1,623.21 | 3.0× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $1,266.47 | $1,688.63 | 3.1× |
| Intubation endotracheal emergency procedure (31500) | $718.19 | $957.58 | 3.0× |
| Laryngoscopy diagnostic (31505) | $830.71 | $1,107.61 | 4.1× |
| Laryngoscopy flexible diagnostic (31575) range across 2 matching MRF lines |
$479.05–$830.94 | $638.73–$1,107.92 | varies |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) | $2,129.56 | $2,839.41 | 5.4× |
| Lysis of labial adhesions (56441) range across 2 matching MRF lines |
$2,645.03–$10,131.24 | $3,526.70–$13,508.32 | varies |
| Lysis/excision penile postcircumcision adhesions (54162) | $2,615.54 | $3,487.39 | 1.2× |
| Manipulation tmj therapeutic require anesthesia (21073) | $7,662.62 | $10,216.83 | 4.9× |
| Nasal Endoscopy Dx (31231) range across 3 matching MRF lines |
$539.54–$625.23 | $719.38–$833.64 | varies |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) | $443.69 | $591.59 | 0.2× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) | $6,904.37 | $9,205.82 | 3.9× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $1,163.71 | $1,551.61 | 3.8× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $827.27 | $1,103.02 | 0.2× |
| Occipital Nerve Block (64405) | $2,055.48 | $2,740.64 | 6.7× |
| Open tx interphalangeal joint dislocation (26785) | $11,258.78 | $15,011.71 | 3.4× |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$335.25–$729.40 | $447–$972.53 | varies |
| Punch biopsy skin single lesion (11104) | $339.08 | $452.10 | 0.8× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$456.89–$896.61 | $609.18–$1,195.48 | varies |
| Puncture Aspiration Cyst Breast (19000) | $2,685.91 | $3,581.21 | 3.8× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $2,688.86 | $3,585.15 | 3.8× |
| Push Transfusion Blood 2 Yr/Under (36440) | $1,645.75 | $2,194.33 | 3.7× |
| Reduction of rectal prolapse (45900) | $2,439.38 | $3,252.50 | 2.6× |
| Reinsert ocular implant (65150) | $1,692 | $2,256 | 0.4× |
| Removal Embedded Foreign Body Eyelid (67938) range across 2 matching MRF lines |
$1,643.83–$1,644.34 | $2,191.77–$2,192.45 | varies |
| Removal Foreign Body Deep Thigh/Knee (27372) | $10,059.08 | $13,412.10 | 3.4× |
| Removal Foreign Body Foot Complicated (28193) range across 2 matching MRF lines |
$1,687–$4,575.59 | $2,249.33–$6,100.79 | varies |
| Removal foreign body foot deep (28192) | $7,425.31 | $9,900.41 | 4.5× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$704.74–$4,575.59 | $939.65–$6,100.79 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 3 matching MRF lines |
$102.26–$289.72 | $136.35–$386.29 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
$102.26–$288.58 | $136.35–$384.77 | varies |
| Removal impacted vag fb spx w/anes oth/thn local (57415) | $10,129.02 | $13,505.36 | 3.1× |
| Removal of foreign body from pharynx (42809) range across 2 matching MRF lines |
$306.45–$725.96 | $408.60–$967.94 | varies |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$309.60–$2,095.55 | $412.80–$2,794.06 | varies |
| Removal or bivalving full arm or full leg cast (29705) | $1,236.08 | $1,648.11 | 4.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$268.37–$543.11 | $357.82–$724.15 | varies |
| Removal tong/halo applied by another individual (20665) | $1,359.38 | $1,812.50 | 3.0× |
| Removal/bivalving gauntlet boot/body cast (29700) | $704.54 | $939.39 | 2.5× |
| Remove cranial cavity fluid (61000) | $3,686.72 | $4,915.62 | 5.2× |
| Remove drug implant device (11982) | $457.58 | $610.11 | 1.0× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$112.80–$555.74 | $150.40–$740.98 | varies |
| Remove Nasal Foreign Body (30300) range across 3 matching MRF lines |
$306.68–$790.93 | $408.90–$1,054.57 | varies |
| Remove Shoulder Foreign Body (23330) | $4,574.36 | $6,099.15 | 2.8× |
| Remove/Insert Drug Implant (11983) | $1,231.19 | $1,641.58 | 2.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $2,237.54 | $2,983.38 | 3.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $2,237.54 | $2,983.38 | 3.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$649.04–$1,144.16 | $865.38–$1,525.55 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$943.73–$2,237.54 | $1,258.30–$2,983.38 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
$713.08–$1,143.85 | $950.77–$1,525.13 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$1,014.49–$2,237.54 | $1,352.65–$2,983.38 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $2,236.94 | $2,982.59 | 3.0× |
| Repair complex trunk 2.6-7.5 cm (13101) | $2,237.54 | $2,983.38 | 3.0× |
| Repair Eyelid Wound (67935) | $8,458.89 | $11,278.52 | 3.5× |
| Repair incomplete circumcision (54163) range across 2 matching MRF lines |
$3,799.19–$9,983.59 | $5,065.58–$13,311.45 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$478.95–$1,217.41 | $638.60–$1,623.21 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$501.75–$1,217.41 | $669–$1,623.21 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$544.46–$1,217.41 | $725.95–$1,623.21 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$650.21–$1,217.41 | $866.95–$1,623.21 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $1,258.12 | $1,677.49 | 3.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$624.94–$1,858.74 | $833.25–$2,478.32 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$415.73–$1,217.41 | $554.30–$1,623.21 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$503.03–$1,217.41 | $670.70–$1,623.21 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$549.26–$1,217.41 | $732.35–$1,623.21 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$569.18–$2,370.67 | $758.90–$3,160.89 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$379.84–$1,217.41 | $506.45–$1,623.21 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$463.39–$1,217.41 | $617.85–$1,623.21 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $2,371.70 | $3,162.27 | 3.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$524.78–$1,217.41 | $699.70–$1,623.21 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $6,430.43 | $8,573.91 | 3.1× |
| Repair of nail bed (11760) | $1,217.41 | $1,623.21 | 1.6× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $9,611.18 | $12,814.90 | 2.9× |
| Repair tongue laceration (41252) | $3,564.70 | $4,752.93 | 15.0× |
| Repair tongue laceration (41250) | $712 | $949.33 | 1.6× |
| Replace G-J Tube Perc (49452) range across 2 matching MRF lines |
$3,724.22–$3,941.34 | $4,965.62–$5,255.12 | varies |
| Replace g/c tube perc (49450) | $2,690.85 | $3,587.80 | 3.0× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) | $10,727.84 | $14,303.79 | 6.9× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) range across 2 matching MRF lines |
$315–$725.96 | $420–$967.94 | varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$555.74–$728.14 | $740.98–$970.85 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $406.94 | $542.58 | 3.0× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $10,014.44 | $13,352.58 | 3.4× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) range across 2 matching MRF lines |
$1,870.50–$5,077.97 | $2,494–$6,770.62 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $1,687.85 | $2,250.47 | 2.7× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$464.63–$1,075.43 | $619.51–$1,433.90 | varies |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $4,429.08 | $5,905.44 | 2.8× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$563.36–$805.49 | $751.15–$1,073.99 | varies |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $1,891.75 | $2,522.33 | 8.0× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) range across 2 matching MRF lines |
$1,207.79–$1,469.51 | $1,610.39–$1,959.34 | varies |
| Rpr Lip Full Thickness Vermilion Only (40650) range across 2 matching MRF lines |
$905.84–$3,565.67 | $1,207.79–$4,754.22 | varies |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) range across 2 matching MRF lines |
$2,024.01–$3,242.06 | $2,698.68–$4,322.75 | varies |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) range across 2 matching MRF lines |
$1,613.16–$2,690.49 | $2,150.88–$3,587.32 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $1,432.15 | $1,909.53 | 3.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $280.35 | $373.80 | 1.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $1,536.85 | $2,049.13 | 7.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $1,800.11 | $2,400.15 | 4.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $1,355.72 | $1,807.63 | 3.3× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $1,109.52 | $1,479.36 | 5.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$743.10–$805.49 | $990.80–$1,073.99 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$283.13–$545.30 | $377.50–$727.06 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$383.78–$545.30 | $511.70–$727.06 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $780.60 | $1,040.80 | 1.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$447.86–$545.30 | $597.15–$727.06 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$263.48–$545.30 | $351.30–$727.06 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $545.06 | $726.74 | 2.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$407.44–$542.56 | $543.25–$723.41 | varies |
| Skin Tissue Procedure (17999) range across 2 matching MRF lines |
$526.42–$1,062.38 | $701.89–$1,416.50 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$351.26–$545.30 | $468.35–$727.06 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$509.44–$805.71 | $679.25–$1,074.28 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $1,212.90 | $1,617.20 | 3.0× |
| Spinal puncture lumbar diagnostic (62270) range across 5 matching MRF lines |
$411.34–$2,487.14 | $548.45–$3,316.19 | varies |
| Strapping ankle (29540) range across 2 matching MRF lines |
$78.79–$707.93 | $105.05–$943.91 | varies |
| Strapping elbow or wrist (29260) | $289.90 | $386.53 | 4.9× |
| Strapping hand/finger (29280) | $1,236.08 | $1,648.11 | 20.9× |
| Strapping Hip (29520) | $289.90 | $386.53 | 2.2× |
| Strapping knee (29530) | $289.90 | $386.53 | 2.2× |
| Strapping shoulder (29240) | $289.90 | $386.53 | 2.2× |
| Strapping thorax (29200) | $707.73 | $943.64 | 4.3× |
| Strapping toes (29550) | $289.90 | $386.53 | 4.9× |
| Strapping Unna Boot (29580) | $707.92 | $943.89 | 4.3× |
| Tangential biopsy skin single lesion (11102) | $339.08 | $452.10 | 0.8× |
| Thaw preserved stem cells (38208) range across 4 matching MRF lines |
$426.96–$4,265.94 | $569.28–$5,687.92 | varies |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) | $6,596.54 | $8,795.38 | 1.5× |
| Ther Apheresis,Red Blood Cells (36512) | $6,734.27 | $8,979.03 | 4.3× |
| Therapeutic Apheresis White Blood Cells (36511) | $7,924.99 | $10,566.65 | 5.1× |
| Therapeutic plasma exchange (36514) range across 2 matching MRF lines |
$3,934.43–$5,105.36 | $5,245.91–$6,807.14 | varies |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $6,522.31 | $8,696.41 | 3.1× |
| Tooth extraction (41899) | $714.80 | $953.06 | 3.0× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) | $263.73 | $351.64 | 0.5× |
| Treat Dental Ridge Fracture (21440) | $7,662.62 | $10,216.83 | 2.3× |
| Treat humerus fracture (24500) | $363.11 | $484.15 | 1.5× |
| Treat Humerus Fracture (24505) | $5,026.79 | $6,702.39 | 3.1× |
| Treat humerus fracture (23600) range across 2 matching MRF lines |
$589.65–$1,183.39 | $786.20–$1,577.85 | varies |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$268.20–$1,179.02 | $357.60–$1,572.02 | varies |
| Treat Metatarsal Fracture (28475) | $806.42 | $1,075.22 | 3.3× |
| Treat Thumb Dislocation (26641) range across 2 matching MRF lines |
$268.13–$1,178.48 | $357.50–$1,571.31 | varies |
| Treat Thumb Fracture (26645) range across 2 matching MRF lines |
$507.38–$4,486.20 | $676.50–$5,981.60 | varies |
| Treat toe dislocation (28630) | $1,183.39 | $1,577.85 | 4.8× |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$982.99–$1,183.72 | $1,310.65–$1,578.29 | varies |
| Trim skin lesion (11055) | $653.28 | $871.04 | 3.2× |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) range across 2 matching MRF lines |
$11,034.96–$17,824.55 | $14,713.28–$23,766.07 | varies |
| Trnspl Prepj Hematop Progen Concentration Plsm (38215) | $5,936.05 | $7,914.73 | 13.4× |
| Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) | $1,288.49 | $1,717.99 | 2.9× |
| Tx Gastro Intub W/Asp (43753) | $725.75 | $967.67 | 3.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $2,371.03 | $3,161.37 | 3.2× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $429.71 | $572.95 | 1.7× |
| Unlisted Procedure Esophagus (43499) | $4,109.72 | $5,479.63 | 4.5× |
| Unlisted Procedure Palate Uvula (42299) | $652.38 | $869.84 | 2.7× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $712 | $949.33 | 3.0× |
| Unlisted Procedure Tongue Floor Mouth (41599) | $715.50 | $954 | 3.0× |
| Urine Flow Measurement (51736) | $503.50 | $671.33 | 3.8× |
| Vaginal delivery only (59409) | $9,612.59 | $12,816.78 | 3.0× |
| Wash harvest stem cells (38209) | $4,094.71 | $5,459.61 | 9.2× |
| Wedge excision skin nail fold (11765) | $809.02 | $1,078.69 | 2.0× |
| Wedging of cast (29740) | $707.73 | $943.64 | 2.5× |
| Windowing of cast (29730) | $707.73 | $943.64 | 4.3× |
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.