Procedures & surgery prices at Copiah County Medical Center

Hazlehurst, MS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,995 $1,995 2.4×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,265 $1,265 1.5×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $3,915 $3,915 2.1×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $3,915 $3,915 2.1×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $5,065 $5,065 1.6×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $3,915 $3,915 2.1×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $3,915 $3,915 2.1×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $3,915 $3,915 2.1×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $3,915 $3,915 2.1×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $3,915 $3,915 2.1×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $4,760 $4,760 1.6×
Amputate Metacarpal Bone (26910) $2,294 $2,294 0.8×
Amputate Thigh,Re-Amputatn (27596) $4,020 $4,020 1.4×
Amputation foot transmetarsal (28805) $2,910 $2,910 1.0×
Amputation metatarsal with toe single (28810) $5,100 $5,100 1.7×
Amputation thigh through femur any level (27590) $5,090 $5,090 1.7×
Amputation toe interphalangeal joint (28825) $1,990 $1,990 0.7×
Amputation toe metatarsophalangeal joint (28820) $1,385 $1,385 0.5×
Amputation, leg, through tibia and fibula; (27880) $6,565 $6,565 1.0×
Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) $2,355 $2,355 0.8×
Anoscopy diagnostic (46600) $158 $158 1.3×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $2,565 $2,565 1.0×
Application finger splint static (29130) $250 $250 2.1×
Application long arm splint shoulder hand (29105) $335 $335 2.3×
Application Long Leg Splint (29505) $320 $320 2.2×
Application short arm splint forearm-hand static (29125) $310 $310 2.6×
Application short leg splint calf foot (29515) $315 $315 2.1×
Arterial puncture (36600) $160 $160 1.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $330 $330 1.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines		 $328–$402 $328–$402 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $1,001 $1,001 3.6×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $295–$300 $295–$300 varies
Arthrotomy ankle w/expl drainage/removal fb (27610) $6,515 $6,515 2.2×
Arthrotomy W/Biopsy Sacroiliac Joint (27050) $2,310 $2,310 1.6×
Arthrotomy W/Synovectomy Ankle (27625) $6,515 $6,515 2.2×
Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) $6,515 $6,515 2.2×
Aspirate pleura w/ imaging (32555) $567 $567 1.0×
Aspirate Pleura W/O Imaging (32554) $1,050 $1,050 1.9×
Aspirate/Inj Ganglion Cyst (20612) $347 $347 1.3×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $223–$339 $223–$339 varies
Axillary lymphadenectomy; complete (38745) $3,895 $3,895 0.7×
Biopsy bone open superficial (20240) $1,450 $1,450 0.6×
Biopsy external ear (69100) $112 $112 0.5×
Biopsy muscle percutaneous needle (20206) $511 $511 0.3×
Biopsy of breast; open, incisional (19101) $5,815 $5,815 1.6×
Biopsy of rectum (45100) $1,315 $1,315 0.5×
Biopsy Soft Tissue Back/Flank Superficial (21920) $1,600 $1,600 1.1×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614) $5,430 $5,430 2.1×
Biopsy/removal lymph nodes (38510) $2,430 $2,430 0.7×
Bladder Irrigation (51700) $355 $355 1.6×
Blepharoplasty Lower Eyelid (15820) $1,125 $1,125 0.6×
Blepharoplasty upper eyelid (15822)
range across 2 matching MRF lines		 $1,125–$5,065 $1,125–$5,065 varies
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $5,065 $5,065 2.7×
Blood Transfusion Service (36430) $985 $985 2.5×
Bone Marrow Biopsy (38221) $1,360 $1,360 0.9×
Bx breast 1st lesion strtctc (19081) $2,280 $2,280 1.5×
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines		 $2,175–$2,870 $2,175–$2,870 varies
Bx breast needle core w/o imaging guidance spx (19100) $1,056 $1,056 0.7×
Bx/exc lymph node open deep axillary node (38525) $2,870 $2,870 0.8×
Carpal Tunnel Surgery (64721) $3,510 $3,510 2.0×
Catheter aspiration nasotracheal spx (31720) $200 $200 1.0×
Change of Windpipe Airway (31502)
range across 2 matching MRF lines		 $87–$375 $87–$375 varies
Chest tube placement (32551) $1,055 $1,055 0.7×
Cl Tx Tib Shft Fx W Manip (27752) $1,832.50 $1,832.50 1.3×
Clear outer ear canal (69200) $210 $210 1.7×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,103 $1,103 0.8×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $1,995 $1,995 9.0×
Closed tx knee dislocation w/o anesthesia (27550) $2,200 $2,200 9.9×
Closed tx metatarsal fracture w/o manipulation (28470) $1,865 $1,865 8.4×
Closed tx patellar dislocation w/o anesthesia (27560) $1,746.50 $1,746.50 7.8×
Closed tx radial shaft fracture w/manipulation (25505) $1,560 $1,560 1.1×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $1,970.50 $1,970.50 8.8×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $3,195 $3,195 2.2×
Closed tx radial&ulnar shaft fractures w/o man (25560) $1,860 $1,860 8.4×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $475 $475 2.2×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $711.33 $711.33 1.5×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,205 $1,205 0.8×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $315–$330 $315–$330 varies
Clsr Anal Fstl W/Rct Advmnt Flap (46288) $5,535 $5,535 2.2×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $2,120 $2,120 1.5×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $940 $940 4.2×
Cltx dstl fibular fx lat malls w/o manj (27786) $1,512 $1,512 6.8×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $1,298.50 $1,298.50 5.8×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $360 $360 1.6×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $2,020 $2,020 9.1×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,860.63 $1,860.63 1.3×
Cltx fx grt toe phlx/phlg w/manj (28495) $794.50 $794.50 3.6×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $440 $440 2.0×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $944 $944 4.2×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $3,430 $3,430 2.4×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $385–$525 $385–$525 varies
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $670 $670 2.7×
Cltx iphal jt dislc w/manj w/o anes (26770) $440 $440 2.0×
Cltx metacarpal fx w/manipulation each bone (26605) $1,536.50 $1,536.50 6.9×
Cltx metacarpal fx w/o manipulation each bone (26600) $377 $377 1.7×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $1,825 $1,825 8.2×
Cltx prox fibula/shft fx w/manj (27781) $2,237 $2,237 1.5×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,158 $1,158 0.8×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $490 $490 2.2×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,452.50 $1,452.50 1.0×
Collect Blood From Catheter Venous Nos (36592) $144 $144 1.2×
Collection of venous blood by venipuncture (36415) $29 $29 3.1×
Colonoscopy Stoma Ablation Lesion (44401) $1,960 $1,960 1.8×
Colonoscopy Stoma Control Bleeding (44391) $1,960 $1,960 1.8×
Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402) $5,600 $5,600 1.0×
Colonoscopy Stoma W/Rmvl Foreign Body (44390) $1,960 $1,960 2.3×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $2,220 $2,220 2.1×
Colonoscopy thru stoma (44388) $2,175 $2,175 2.6×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $2,175 $2,175 2.0×
Colonoscopy w/ablation (45388) $1,960 $1,960 1.8×
Colonoscopy w/fb removal (45379) $2,315 $2,315 2.1×
Colonoscopy w/submucosal inj (45381) $1,670 $1,670 1.5×
Colposcopy entire vagina w/cervix if present (57420) $830 $830 3.0×
Colsc Flexible W/Control Bleeding Any Method (45382) $2,230 $2,230 2.1×
Colsc flx w/removal lesion by hot bx forceps (45384) $2,245 $2,245 2.1×
Complex drainage wound (10180) $3,690 $3,690 1.4×
Control Nasal Hemorrhage Anterior Complex (30903) $380 $380 3.2×
Control Nasal Hemorrhage Anterior Simple (30901) $360 $360 3.0×
Correction hammertoe (28285) $2,700 $2,700 0.9×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $6,770 $6,770 2.3×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) $6,770 $6,770 1.0×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $6,770 $6,770 2.3×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $6,770 $6,770 1.0×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $390 $390 3.2×
Cysto w/insert ureteral stent (52332) $3,455 $3,455 1.1×
Cysto w/ureteroscopy w/lithotripsy (52353) $5,060 $5,060 1.0×
Cystourethroscopy (52000) $2,475 $2,475 3.9×
Deb Musc/Fascia 20 Sq Cm/< (11043) $908 $908 1.4×
Debride nail 1-5 (11720) $207 $207 3.9×
Debride nail 6 or more (11721) $207 $207 3.9×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $2,075 $2,075 1.4×
Debridement subcutaneous tissue 20 sq cm/< (11042) $770 $770 2.1×
Decompression of tibia nerve (28035) $4,035 $4,035 2.3×
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $4,925 $4,925 2.6×
Delivery of placenta (59414) $2,235 $2,235 0.8×
Destr W Neurolytic; Celiac Plexus (64680) $950 $950 1.2×
Destroy lumb/sac facet jnt (64635) $2,230 $2,230 1.3×
Destruct B9 Lesion 1-14 (17110) $207 $207 1.1×
Destruction Benign Lesions 15/> (17111) $341 $341 1.9×
Destruction of skin lesions (17106) $620 $620 1.7×
Destruction Premalignant Lesion 15/> (17004) $595 $595 1.6×
Destruction premalignant lesion 1st (17000) $180 $180 1.0×
Diagnostic sigmoidoscopy (45330) $1,385 $1,385 1.6×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $5,530 $5,530 5.1×
Dilat rct strix spx under anes oth/thn local (45910) $5,055 $5,055 4.7×
Dilation Esophagus Guide Wire (43453) $1,430 $1,430 0.8×
Disarticulation of hip Facility (27295)
unusually low: confirm this is the full procedure		 $4,898 $4,898 0.3×
Drain Cerebro Spinal Fluid (62272) $200 $200 0.3×
Drainage External Ear Abscess/Hematoma Simple (69000) $390 $390 0.6×
Drainage Finger Abscess Complicated (26011) $1,465 $1,465 1.0×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $400–$403 $400–$403 varies
Drainage of hematoma/fluid (10140) $2,325 $2,325 1.6×
Drainage of scrotal wall abscess (55100) $1,440 $1,440 1.0×
Drainage of scrotum (54700)
range across 2 matching MRF lines		 $1,420–$3,790 $1,420–$3,790 varies
Draw Blood Off Venous Device (36591) $135 $135 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $460 $460 1.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $410–$836.50 $410–$836.50 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $340 $340 1.9×
Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) $620 $620 0.9×
Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) $1,555 $1,555 0.8×
Dstrj Lesion Anus Extensive (46924) $1,372 $1,372 0.5×
Dstrj lesion anus simple surg excision (46922) $1,105 $1,105 0.4×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $3,380 $3,380 1.8×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $680 $680 0.9×
Egd cautery tumor polyp (43250) $2,015 $2,015 1.2×
Egd control bleeding any (43255) $2,385 $2,385 1.4×
Egd dilation gastric/duodenal stricture (43245) $2,250 $2,250 1.3×
Egd Flexible Foreign Body Removal (43247) $2,170 $2,170 2.6×
Egd guide wire insertion (43248)
range across 2 matching MRF lines		 $1,832–$1,885 $1,832–$1,885 varies
Egd lesion ablation (43270) $1,890 $1,890 1.1×
Egd place gastrostomy tube (43246)
range across 2 matching MRF lines		 $1,885–$2,715 $1,885–$2,715 varies
Egd remove lesion snare (43251) $2,250 $2,250 1.3×
Endoscopy Upper Small Intestine (44360) $2,320 $2,320 1.3×
Endoscopy upper small intestine w/biopsy (44361) $2,340 $2,340 1.4×
Enteroscopy > 2nd prtn w/rmvl foreign body (44363) $2,090 $2,090 1.2×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) $2,235 $2,235 1.3×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $2,090 $2,090 1.2×
Esoph Scope W/Submucous Inj (43201) $2,400 $2,400 1.4×
Esophagogastroduodenoscopy Submucosal Injection (43236) $1,930 $1,930 2.4×
Esophagoscopy Flex Transoral Injection Varices (43204) $900 $900 0.5×
Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) $2,185 $2,185 1.3×
Esophagoscopy Flexible Guide Wire Dilation (43226) $2,940 $2,940 1.7×
Esophagoscopy Flexible Transoral Diagnostic (43200) $1,890 $1,890 2.3×
Esophagoscopy Flexible W/Bleeding Control (43227) $1,890 $1,890 1.1×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $1,900 $1,900 1.1×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $2,660 $2,660 1.5×
Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) $2,320 $2,320 1.3×
Evacuation of subungual hematoma (11740) $167 $167 1.4×
Exc abdl tum deep 5 cm/> (22901) $2,860 $2,860 1.1×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $975 $975 1.5×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $3,470 $3,470 2.3×
Exc Back Les Sc < 3 Cm (21930) $2,195 $2,195 1.5×
Exc back tum deep < 5 cm (21932) $4,085 $4,085 1.6×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $4,425 $4,425 1.3×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $1,800 $1,800 2.8×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $1,800 $1,800 2.8×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $3,470 $3,470 2.3×
Exc Face Les Sbq 2 Cm/> (21012) $2,425 $2,425 1.6×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $975 $975 1.5×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $975 $975 1.5×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $1,800 $1,800 2.8×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,800 $1,800 1.2×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $1,800 $1,800 1.2×
Exc Forearm Les Sc 3 Cm/> (25071) $5,430 $5,430 3.6×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,800 $1,800 1.2×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $1,800 $1,800 2.8×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $1,800 $1,800 1.2×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $765 $765 0.8×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $4,715 $4,715 3.2×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $4,715 $4,715 3.2×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,800 $1,800 2.8×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $3,470 $3,470 2.3×
Exc Skin Benig >4 Cm Remaindr Body (11426) $4,760 $4,760 1.8×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $3,470 $3,470 2.3×
Exc Skin Benig >4cm Face,Facial (11446) $4,765 $4,765 1.8×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $3,470 $3,470 2.3×
Exc Skin Malig >4 Cm Remaindr Body (11626) $4,760 $4,760 1.8×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $3,470 $3,470 2.3×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $5,535 $5,535 5.1×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $975 $975 2.7×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $975 $975 1.5×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $3,470 $3,470 2.3×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $1,345 $1,345 0.9×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $1,812 $1,812 0.7×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $5,050 $5,050 1.9×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $3,760 $3,760 1.4×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $2,760 $2,760 1.9×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $4,110 $4,110 2.8×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $3,105 $3,105 2.1×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $2,940 $2,940 1.1×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $2,450 $2,450 0.9×
Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) $10,300 $10,300 1.6×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $5,135 $5,135 1.7×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $2,785 $2,785 1.9×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $1,800 $1,800 2.8×
Excision Aural Polyp (69540) $878.50 $878.50 0.6×
Excision H/P/P/U Complex Repair (11471) $1,590 $1,590 0.6×
Excision H/P/P/U Simple/Intermediate Repair (11470) $1,690 $1,690 0.6×
Excision Hidradenitis Axillary Complex Repair (11451) $4,635 $4,635 1.8×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $1,470 $1,470 2.3×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $975 $975 1.5×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $975 $975 2.7×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,800 $1,800 2.8×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $1,800 $1,800 2.8×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,800 $1,800 1.2×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $4,329 $4,329 1.7×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $1,800 $1,800 1.2×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $1,035 $1,035 1.6×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $1,800 $1,800 2.8×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $3,470 $3,470 2.3×
Excision Multiple External Papillae/Tags Anus (46230) $5,535 $5,535 2.2×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $1,600 $1,600 1.1×
Excision of hydrocele; unilateral (55040) $2,280 $2,280 0.7×
Excision of pilonidal cyst or sinus; simple (11770) $4,910 $4,910 1.9×
Excision or curettage of bone cyst or benign tumor of femur; (27355) $2,072 $2,072 0.7×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $4,715 $4,715 1.6×
Excision Pilonidal Cyst/Sinus Complicated (11772)
range across 2 matching MRF lines		 $1,950–$2,470 $1,950–$2,470 varies
Excision Pilonidal Cyst/Sinus Extensive (11771) $4,950 $4,950 1.9×
Excision Skin Abd Infraumbilical Panniculectomy (15830)
unusually low: confirm this is the full procedure		 $2,130 $2,130 0.4×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,802.50 $1,802.50 1.2×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $4,110 $4,110 2.8×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg Facility (15833) $3,555 $3,555 1.4×
Excision, interdigital (morton) neuroma, single, each (28080) $4,715 $4,715 3.2×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $3,785 $3,785 1.4×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $1,005 $1,005 0.7×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $1,587.50 $1,587.50 0.6×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $420 $420 0.2×
Expl penetrating wound spx abdomen/flank/back (20102) $1,670 $1,670 0.9×
Explo/Drain Breast Abscess (19020) $1,983 $1,983 1.3×
Exploration penetrating wound spx extremity (20103) $585 $585 0.4×
Fasciectomy Plantar Fascia Partial Spx (28060) $5,135 $5,135 1.7×
Fasciotomy, foot and/or toe (28008) $4,715 $4,715 1.6×
Fna bx w/us gdn 1st les (10005) $539 $539 0.8×
Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Facility (15572) $2,450 $2,450 0.8×
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) $2,825 $2,825 1.5×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $3,915 $3,915 2.1×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $3,915 $3,915 2.1×
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $3,915 $3,915 2.1×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $5,535 $5,535 2.2×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $5,535 $5,535 2.2×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $5,535 $5,535 2.2×
Hemorrhoidopexy by stapling (46947) $4,875 $4,875 1.9×
I&d abscess simple (10060)
range across 3 matching MRF lines		 $138–$395 $138–$395 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $3,036 $3,036 1.2×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $2,282 $2,282 0.8×
I&D Intramural Im/Absc Transanal Anes (46045) $1,335 $1,335 0.5×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $4,440 $4,440 1.5×
I&d perianal abscess superficial (46050) $1,170 $1,170 1.4×
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines		 $1,240–$3,030 $1,240–$3,030 varies
I&d pilonidal cyst simple (10080) $400 $400 0.6×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $2,090 $2,090 2.6×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $1,850 $1,850 2.3×
Immediate breast prosthesis (19340)
unusually low: confirm this is the full procedure		 $2,410 $2,410 0.3×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $450–$451 $450–$451 varies
Incise finger tendon sheath (26055) $3,900 $3,900 2.7×
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines		 $275–$485 $275–$485 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $3,370 $3,370 1.3×
Incision & drainage leg/ankle infected bursa (27604) $4,750 $4,750 1.6×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $3,170–$3,175 $3,170–$3,175 varies
Incision & removal foreign body subq tiss simple (10120) $480 $480 1.3×
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $410–$450 $410–$450 varies
Incision and drainage of vulva or perineal abscess (56405) $495 $495 1.8×
Incision bone cortex foot (28005) $2,922 $2,922 1.0×
Incision extensor tendon sheath wrist (25000) $340 $340 0.2×
Incision of fibula (27707) $2,075 $2,075 0.7×
Incision of Foot Tendon (28234) $1,403.50 $1,403.50 1.0×
Incision of rectal abscess (46040) $5,535 $5,535 5.1×
Initial Tx 1st Degree Burn Local Tx (16000) $250 $250 1.4×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $817 $817 1.0×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,000 $1,000 1.3×
Injection 1 tendon sheath/ligament aponeurosis (20550) $290 $290 1.0×
Injection aa&/strd axillary nerve w/img gdn (64417) $530 $530 0.7×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,275 $1,275 1.6×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $704 $704 1.1×
Injection Anes Agent Sphenopalatine Ganglion (64505) $455 $455 1.6×
Injection Anes Superior Hypogastric Plexus (64517) $965 $965 1.2×
Injection anesthetic agent suprascapular nerve (64418) $875 $875 1.4×
Injection single tendon origin/insertion (20551) $290 $290 1.0×
Injection single/mlt trigger point 1/2 muscles (20552) $470 $470 1.7×
Injection single/mlt trigger point 3/> muscles (20553) $405 $405 1.5×
Injection, anesthetic agent; brachial plexus, single (64415) $745 $745 0.9×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $503–$705 $503–$705 varies
Injection, Intralesional; More Than 7 Lesions (11901) $207 $207 1.1×
Injection, intralesional; up to and including 7 lesions (11900) $145 $145 0.8×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $150–$1,165 $150–$1,165 varies
Insert Temp Bladder Cath (51702) $190 $190 1.6×
Insert tunneled cv cath (36561) $4,820 $4,820 1.7×
Insert,Non-Indwelling Bladder Catheter (51701) $165 $165 1.4×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $1,885 $1,885 0.7×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines		 $950–$2,560 $950–$2,560 varies
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566)
unusually low: confirm this is the full procedure		 $1,680 $1,680 0.3×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $580 $580 1.6×
Intubation endotracheal emergency procedure (31500) $675 $675 3.2×
Island pedicle flap graft (15740) $3,915 $3,915 2.1×
Late closure of wound (13160) $5,065 $5,065 1.6×
Ligation or biopsy temporal artery (37609) $1,715 $1,715 1.2×
Mast mod rad (19307) $8,195 $8,195 1.4×
Mastectomy for gynecomastia (19300)
range across 2 matching MRF lines		 $1,570–$5,890 $1,570–$5,890 varies
Mastectomy partial (19301) $2,245 $2,245 0.6×
Mastectomy simple complete (19303) $4,135 $4,135 0.7×
Mastopexy (19316)
range across 5 matching MRF lines		 $1,965–$3,645 $1,965–$3,645 varies
N Block Inj Celiac Pelus (64530) $690 $690 0.9×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines		 $705–$1,276 $705–$1,276 varies
N block inj intercost sng (64420) $510 $510 0.8×
N Block Inj Plantar Digit (64455) $430 $430 1.6×
N Block Inj Pudendal (64430) $662 $662 0.8×
N Block Lumbar/Thoracic (64520) $970 $970 1.2×
Nasal/Orogastric W/Tube Plmt (43752) $465 $465 1.2×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $1,960 $1,960 2.3×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $1,960 $1,960 2.3×
Nipple Exploration (19110) $2,260 $2,260 0.6×
Njx anes stellate ganglion crv sympathetic (64510) $725 $725 0.9×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $595 $595 2.1×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $700 $700 0.9×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,128 $1,128 1.8×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $534 $534 0.8×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,080 $1,080 1.7×
Occipital Nerve Block (64405) $670 $670 2.4×
Open biopsy/excision inguinofemoral nodes (38531) $1,407 $1,407 0.4×
Open tx acute shoulder dislocation (23660)
unusually low: confirm this is the full procedure		 $2,217.50 $2,217.50 0.3×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $2,360 $2,360 0.8×
Ostc compl all metar heads w/prtl prox phalangc (28114) $4,715 $4,715 1.6×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $4,715 $4,715 1.6×
Ostectomy, complete excision; fifth metatarsal head (28113) $4,715 $4,715 1.6×
Ostectomy, complete excision; first metatarsal head (28111) $4,715 $4,715 1.6×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $4,715 $4,715 1.6×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $5,135 $5,135 1.7×
Partial removal of toe (28160) $2,660 $2,660 0.9×
Peri-Implant Capsulectomy Breast Complete (19371) $1,125 $1,125 0.3×
Perq dev breast 1st us imag (19285) $434 $434 0.7×
Perq device breast 1st imag (19281) $1,788 $1,788 1.2×
Perq skel fixj distal radial fx/epiphysl sep (25606) $3,290 $3,290 1.1×
Place Duod/Jej Tube Perc (49441) $1,955 $1,955 1.1×
Placement of needle for intraosseous infusion (36680) $358 $358 0.9×
Placement of seton (46020) $5,533 $5,533 2.2×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $3,865 $3,865 0.9×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $2,415 $2,415 2.2×
Punch biopsy skin single lesion (11104) $205 $205 0.6×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $388–$390 $388–$390 varies
Pvb Thoracic Single Injection Site W/Img Gid (64461) $602 $602 0.9×
Radical Resection Tumor Metatarsal (28173) $3,325 $3,325 1.1×
Reconstruction Toe Polydactyly (28344) $2,185 $2,185 0.7×
Removal Anal Seton Other Marker (46030) $2,285 $2,285 2.1×
Removal foreign body foot deep (28192) $3,100 $3,100 2.1×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $1,055–$1,056 $1,055–$1,056 varies
Removal Foreign Body Scrotum (55120) $375 $375 0.2×
Removal impacted cerumen irrigation/lvg unilat (69209) $72 $72 1.4×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $135 $135 2.5×
Removal Implant Superficial Separate Procedure (20670) $1,755 $1,755 1.2×
Removal of foreign body from pharynx (42809) $1,430 $1,430 3.5×
Removal of nail bed (11750) $1,155 $1,155 3.1×
Removal of sesamoid bone (28315) $5,135 $5,135 1.7×
Removal of tunneled intraperitoneal catheter (49422) $2,058 $2,058 0.7×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $181 $181 1.0×
Removal sweat gland lesion (11450) $4,595 $4,595 1.8×
Remove Ankle Joint Lining (27626) $6,515 $6,515 2.2×
Remove armpit lymph nodes (38740)
unusually low: confirm this is the full procedure		 $2,060 $2,060 0.4×
Remove foreign body from eye (65205) $255 $255 2.1×
Remove Intrauterine Device (58301) $447 $447 1.6×
Remove Nasal Foreign Body (30300) $235 $235 2.0×
Remove Tendon Sheath Lesion (26160) $2,955 $2,955 2.0×
Remove/graft foot lesion (28102) $10,300 $10,300 1.6×
Repair Achilles Tendon (27650) $9,890 $9,890 1.5×
Repair brow ptosis (67900) $2,270 $2,270 1.1×
Repair Collat Ankle Ligmnt,Secondary (27698) $6,515 $6,515 1.0×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $920–$1,055 $920–$1,055 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $1,000–$1,055 $1,000–$1,055 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $630–$720 $630–$720 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $920–$1,055 $920–$1,055 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $638–$720 $638–$720 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $695–$720 $695–$720 varies
Repair complex trunk 1.1-2.5 cm (13100)
range across 2 matching MRF lines		 $1,552–$1,555 $1,552–$1,555 varies
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $970–$1,700 $970–$1,700 varies
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $7,520 $7,520 2.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $561–$720 $561–$720 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $530 $530 1.4×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $555 $555 1.5×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $515 $515 1.4×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $755 $755 1.1×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $415–$416 $415–$416 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $525 $525 1.4×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $590 $590 0.9×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $700 $700 1.9×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $553–$555 $553–$555 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $550–$718 $550–$718 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $895 $895 1.3×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $650–$652 $650–$652 varies
Repair lower leg tendons (27676) $6,515 $6,515 1.0×
Repair of rectum (45505) $2,350 $2,350 0.9×
Repair secondary achilles tendon w/wo graft (27654) $9,890 $9,890 1.5×
Repair, primary, disrupted ligament, ankle; collateral (27695) $6,515 $6,515 1.0×
Repair/graft achilles tendon (27652) $8,370 $8,370 1.3×
Reposition Gastrostomy Tube (43761)
range across 2 matching MRF lines		 $865–$915 $865–$915 varies
Rev/rmv prph sac/gstr npg/r (64595) $1,165 $1,165 0.4×
Revise lower leg tendon (27690) $9,890 $9,890 1.5×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $2,150 $2,150 0.7×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $1,277.50 $1,277.50 0.4×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $195 $195 0.2×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $205 $205 0.5×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $5,430 $5,430 2.1×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $2,500 $2,500 0.7×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $950 $950 0.7×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,085 $1,085 1.9×
Rplc Gtube No Revj Trc (43762) $615 $615 2.7×
Rplcmt cath ctr vad subq port/pmp (36578) $1,447.50 $1,447.50 0.5×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $2,345 $2,345 1.6×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) $4,750 $4,750 1.6×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $475 $475 2.6×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $305 $305 0.5×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) $6,515 $6,515 1.0×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $1,390 $1,390 1.7×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $2,040 $2,040 1.9×
Shave skin lesion 0.5 cm/< (11300) $207 $207 0.6×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $248 $248 1.4×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $248 $248 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $207 $207 1.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $207 $207 1.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $248 $248 1.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $248 $248 0.7×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $248 $248 1.4×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $248 $248 0.7×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $207 $207 1.1×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $341 $341 0.9×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $207 $207 1.1×
Sigmoidoscopy & decompress (45337) $1,225 $1,225 1.5×
Sigmoidoscopy & Polypectomy (45333) $2,035 $2,035 2.4×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $1,990 $1,990 1.8×
Sigmoidoscopy w/fb removal (45332) $1,993 $1,993 1.8×
Sigmoidoscopy w/plcmt stent (45347) $5,600 $5,600 1.0×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $1,650 $1,650 2.0×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334)
range across 3 matching MRF lines		 $2,035–$2,195 $2,035–$2,195 varies
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $605 $605 1.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $411 $411 2.3×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $435 $435 2.4×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $455 $455 2.5×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $395 $395 2.2×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $490 $490 2.7×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $447 $447 2.5×
Skin Full Grft Face/Genit/Hf (15240) $3,915 $3,915 2.1×
Skin Pedicle Flap Trunk (15570) $2,550 $2,550 1.4×
Skin sub graft trnk/arm/leg (15271) $416.50 $416.50 0.6×
Small bowel endoscopy (44366) $2,910 $2,910 1.7×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $3,055 $3,055 1.8×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $418 $418 2.3×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $525 $525 1.4×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $474 $474 1.3×
Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) $7,425 $7,425 3.0×
Sphincterotomy anal division sphincter spx (46080) $1,190 $1,190 0.5×
Spinal puncture lumbar diagnostic (62270) $890 $890 1.4×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $2,785 $2,785 0.9×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $4,025 $4,025 2.2×
Strapping ankle (29540) $217 $217 1.5×
Strapping hand/finger (29280) $415 $415 7.8×
Strapping knee (29530) $270 $270 2.2×
Strapping shoulder (29240) $255 $255 2.1×
Strapping toes (29550) $215 $215 4.0×
Strapping Unna Boot (29580) $440 $440 3.0×
Suction assisted lipectomy; trunk (15877) $3,250 $3,250 1.0×
Synovectomy Tendon Sheath Foot Extensor (28088) $4,715 $4,715 1.6×
Synovectomy Tendon Sheath Foot Flexor (28086) $4,715 $4,715 1.6×
Tangential biopsy skin single lesion (11102) $492 $492 1.3×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $6,515 $6,515 2.2×
Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) $6,515 $6,515 2.2×
Tenotomy Percutaneous Toe Single Tendon (28010) $4,715 $4,715 3.2×
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $4,750 $4,750 1.6×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $4,715 $4,715 3.2×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $3,915 $3,915 2.1×
Tissue Expander Placement Breast Reconstruction (19357) $9,030 $9,030 0.7×
Transfer skin pedicle flap (15650) $1,760 $1,760 0.9×
Treat Humerus Fracture (24505) $1,695 $1,695 1.2×
Treat Knuckle Dislocation (26700) $420 $420 1.9×
Treat lower leg bone lesion (27607) $4,750 $4,750 1.6×
Treat toe dislocation (28630)
range across 2 matching MRF lines		 $160–$260 $160–$260 varies
Trim skin lesion (11055)
range across 2 matching MRF lines		 $181–$390 $181–$390 varies
Trim skin lesions 2 to 4 (11056) $181 $181 1.0×
Trim skin lesions over 4 (11057) $248 $248 1.4×
Trimming Nondystrophic Nails Any Number (11719) $181 $181 3.4×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $2,270 $2,270 0.9×
Tx Gastro Intub W/Asp (43753) $290 $290 1.5×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $940–$1,055 $940–$1,055 varies
Tx superficial wound dehiscence w/packing (12021)
range across 2 matching MRF lines		 $605–$718 $605–$718 varies
Unlisted Procedure Tongue Floor Mouth (41599) $600 $600 2.8×
Vaginal delivery only (59409) $2,235 $2,235 0.8×
Venous Cutdown >1 Y/O (36425) $605 $605 1.5×
Wedge excision skin nail fold (11765) $475 $475 1.3×
Wound Prep Trk/Arm/Leg (15002) $1,287.50 $1,287.50 1.9×
Xfer Single Deep Low Leg Tendon (27691) $9,890 $9,890 1.5×

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.