Procedures & surgery prices at Corewell Health Pennock Hospital
Hastings, MI · every code in this section with a posted price and a Medicare benchmark.
451 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 3 matching MRF lines |
$1,390–$1,591 | $1,390–$1,591 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$1,001–$1,145 | $1,001–$1,145 | varies |
| Abdomen Surgery Procedure (22999) | $5,669 | $5,669 | 23.1× |
| Amniocentesis diagnostic (59000) range across 2 matching MRF lines |
$1,299–$1,318 | $1,299–$1,318 | varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $2,912 | $2,912 | 0.9× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $2,912 | $2,912 | 0.9× |
| Anal/Urinary Muscle Study (51784) | $403 | $403 | 3.1× |
| Anoscopy W/Rmvl Foreign Body (46608) | $4,765 | $4,765 | 5.1× |
| Application cast elbow finger short arm (29075) | $248 | $248 | 0.9× |
| Application finger splint static (29130) | $154 | $154 | 1.2× |
| Application Hip Spica Cast 1 Leg (29305) | $299 | $299 | 1.1× |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$312–$320 | $312–$320 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$260–$301 | $260–$301 | varies |
| Application of long leg cast (29345) | $372 | $372 | 1.3× |
| Application of rigid total contact leg cast (29445) | $306 | $306 | 1.1× |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$206–$211 | $206–$211 | varies |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$346–$354 | $346–$354 | varies |
| Apply hand/wrist cast (29085) | $701 | $701 | 4.3× |
| Apply long arm cast (29065) | $544 | $544 | 2.0× |
| Apply Multlay Comprs Lwr Leg (29581) | $185 | $185 | 1.1× |
| Apply Short Leg Cast (29405) | $372 | $372 | 1.3× |
| Arterial puncture (36600) | $299 | $299 | 2.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$389–$399 | $389–$399 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $822 | $822 | 1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 5 matching MRF lines |
$447–$517 | $447–$517 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $945 | $945 | 3.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$338–$518 | $338–$518 | varies |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) | $4,285 | $4,285 | 2.7× |
| Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
$1,922–$1,970 | $1,922–$1,970 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$1,325–$1,358 | $1,325–$1,358 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $453 | $453 | 1.5× |
| Aspiration and/or injection thyroid cyst (60300) | $1,067 | $1,067 | 1.5× |
| Aspiration bladder insert suprapubic catheter (51102) | $1,842 | $1,842 | 0.9× |
| Avulsion nail plate partial/complete simple 1 (11730) | $356 | $356 | 1.8× |
| Biopsy Abdominal Mass (49180) | $1,467 | $1,467 | 0.9× |
| Biopsy bone trocar/needle deep (20225) | $1,426 | $1,426 | 0.9× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $1,426 | $1,426 | 0.9× |
| Biopsy muscle percutaneous needle (20206) | $2,033 | $2,033 | 1.2× |
| Biopsy of floor of mouth (41108) | $5,605 | $5,605 | 3.4× |
| Biopsy of liver, needle; percutaneous (47000) | $1,448 | $1,448 | 0.9× |
| Biopsy of rectum (45100) | $6,780 | $6,780 | 2.5× |
| Biopsy Pleura Percutaneous Needle (32400) | $1,133 | $1,133 | 0.7× |
| Biopsy Salivary Gland Needle (42400) | $1,220 | $1,220 | 1.7× |
| Biopsy soft tissue neck/thorax (21550) | $5,480 | $5,480 | 3.3× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $1,194 | $1,194 | 1.3× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$284–$290 | $284–$290 | varies |
| Bladder Scan (51798) | $103 | $103 | 1.8× |
| Blepharotomy drainage abscess eyelid (67700) range across 2 matching MRF lines |
$259–$582 | $259–$582 | varies |
| Blood Transfusion Service (36430) | $983 | $983 | 2.2× |
| Bone Marrow Biopsy (38221) range across 2 matching MRF lines |
$2,066–$4,177 | $2,066–$4,177 | varies |
| Bone Marrow; Aspiration Only (38220) range across 2 matching MRF lines |
$1,579–$1,618 | $1,579–$1,618 | varies |
| Bronchoscopy Clear Airways (31645) | $1,863 | $1,863 | 1.1× |
| Bronchoscopy W/Removal Foreign Body (31635) | $1,778 | $1,778 | 1.0× |
| Bx breast 1st lesion strtctc (19081) | $2,086 | $2,086 | 1.3× |
| Bx breast 1st lesion us imag (19083) | $1,164 | $1,164 | 0.7× |
| Canthotomy Separate Procedure (67715) | $3,164 | $3,164 | 1.3× |
| Change Cystostomy Tube Complicated (51710) | $860 | $860 | 1.2× |
| Change Cystostomy Tube Simple (51705) | $520 | $520 | 2.1× |
| Change of Windpipe Airway (31502) | $400 | $400 | 1.7× |
| Change ureter stent percut (50382) | $4,238 | $4,238 | 2.0× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$265–$490 | $265–$490 | varies |
| Chest tube placement (32551) range across 2 matching MRF lines |
$1,447–$1,483 | $1,447–$1,483 | varies |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) range across 2 matching MRF lines |
$5,473–$7,378 | $5,473–$7,378 | varies |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $4,289 | $4,289 | 1.2× |
| Circumcision w/clamp/oth dev w/block (54150) | $1,678 | $1,678 | 0.8× |
| Cl Tx Scapular Fx; W Manip (23575) | $4,438 | $4,438 | 2.8× |
| Cl Tx Tib Shft Fx W Manip (27752) | $2,521 | $2,521 | 1.6× |
| Clear outer ear canal (69200) | $206 | $206 | 1.6× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $434 | $434 | 1.8× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $358 | $358 | 1.5× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $656 | $656 | 2.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $520 | $520 | 2.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$1,434–$1,470 | $1,434–$1,470 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $694 | $694 | 2.8× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) | $375 | $375 | 1.5× |
| Closed tx carpal scaphoid fracture w/manj (25624) | $4,438 | $4,438 | 2.8× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) | $500 | $500 | 2.0× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $1,320 | $1,320 | 0.8× |
| Closed tx knee dislocation w/o anesthesia (27550) | $491 | $491 | 2.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $1,434 | $1,434 | 0.9× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $1,876 | $1,876 | 1.2× |
| Closed tx patellar dislocation w/anesthesia (27562) | $878 | $878 | 3.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $412 | $412 | 1.7× |
| Closed tx radial head/neck fx w/manipulation (24655) | $1,434 | $1,434 | 0.9× |
| Closed tx radial shaft fracture w/manipulation (25505) | $1,434 | $1,434 | 0.9× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$1,434–$1,470 | $1,434–$1,470 | varies |
| Closed Tx Talus Fracture W/Manipulation (28435) | $1,657 | $1,657 | 1.0× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) | $684 | $684 | 2.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $349 | $349 | 1.4× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $1,434 | $1,434 | 0.9× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $484 | $484 | 2.1× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $1,460 | $1,460 | 2.7× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $374 | $374 | 1.5× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $512 | $512 | 2.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $2,804 | $2,804 | 1.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$520–$534 | $520–$534 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $1,434 | $1,434 | 0.9× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $1,434 | $1,434 | 0.9× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $1,932 | $1,932 | 1.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $345 | $345 | 1.4× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) | $1,892 | $1,892 | 1.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$554–$569 | $554–$569 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $444 | $444 | 1.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $520 | $520 | 2.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $379 | $379 | 1.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,738–$1,781 | $1,738–$1,781 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $1,121 | $1,121 | 0.7× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) | $1,878 | $1,878 | 1.2× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $1,093 | $1,093 | 0.7× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $520 | $520 | 2.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $574 | $574 | 2.3× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $1,434 | $1,434 | 0.9× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $412 | $412 | 1.7× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $2,156 | $2,156 | 1.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $289 | $289 | 1.2× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $1,672 | $1,672 | 1.0× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $5,063 | $5,063 | 3.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $412 | $412 | 1.7× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $795 | $795 | 2.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $412 | $412 | 1.7× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $1,481 | $1,481 | 0.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $520 | $520 | 2.1× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $1,762 | $1,762 | 1.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$516–$520 | $516–$520 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $371 | $371 | 1.5× |
| Cltx post hip arthrp dislc req anes (27266) | $2,362 | $2,362 | 1.5× |
| Cltx post hip arthrp dislc w/o anes (27265) | $520 | $520 | 2.1× |
| Cltx prox fibula/shft fx w/manj (27781) | $1,434 | $1,434 | 0.9× |
| Cltx prox fibula/shft fx w/o manj (27780) | $528 | $528 | 2.1× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 2 matching MRF lines |
$1,434–$1,470 | $1,434–$1,470 | varies |
| Cltx prox tibfib jt dislc w/o anes (27830) | $494 | $494 | 2.0× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $434 | $434 | 1.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $520 | $520 | 2.1× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $1,738 | $1,738 | 1.1× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $1,434 | $1,434 | 0.9× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $1,434 | $1,434 | 0.9× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 2 matching MRF lines |
$534–$601 | $534–$601 | varies |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) | $1,121 | $1,121 | 0.7× |
| Cltx tibial fx proximal w/o manipulation (27530) | $507 | $507 | 2.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$1,434–$1,470 | $1,434–$1,470 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 2 matching MRF lines |
$420–$431 | $420–$431 | varies |
| Collection of venous blood by venipuncture (36415) | $23 | $23 | 2.5× |
| Colposcopy entire vagina w/cervix if present (57420) | $567 | $567 | 1.9× |
| Colposcopy of vulva (56820) | $212 | $212 | 1.1× |
| Complex Cystometrogram (51726) | $709 | $709 | 2.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 3 matching MRF lines |
$194–$199 | $194–$199 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$165–$320 | $165–$320 | varies |
| Conversion ext bil drg cath (47535) | $3,843 | $3,843 | 1.1× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $2,084 | $2,084 | 1.1× |
| Convert Nephrostomy Catheter (50434) | $5,453 | $5,453 | 2.6× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $2,371 | $2,371 | 1.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$316–$323 | $316–$323 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) range across 2 matching MRF lines |
$323–$365 | $323–$365 | varies |
| Cysto calibration dilat urtl strix/stenosis (52281) | $4,523 | $4,523 | 2.2× |
| Cysto W/Simple Removal Stone & Stent (52310) | $1,842 | $1,842 | 0.9× |
| Cystometrogram W/Vp&Up (51729) | $1,685 | $1,685 | 2.4× |
| Cystostomy Cystotomy W/Drainage (51040) | $3,807 | $3,807 | 1.8× |
| Cystourethroscopy (52000) | $1,636 | $1,636 | 2.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $789 | $789 | 1.9× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 3 matching MRF lines |
$662–$678 | $662–$678 | varies |
| Debride nail 1-5 (11720) | $168 | $168 | 2.9× |
| Debride nail 6 or more (11721) | $194 | $194 | 3.3× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $2,179 | $2,179 | 1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 4 matching MRF lines |
$402–$514 | $402–$514 | varies |
| Declot vascular device (36593) | $478 | $478 | 1.5× |
| Delivery of placenta (59414) range across 2 matching MRF lines |
$3,022–$3,492 | $3,022–$3,492 | varies |
| Dilate Urethra Stricture (53600) | $599 | $599 | 2.4× |
| Drain Cerebro Spinal Fluid (62272) range across 3 matching MRF lines |
$878–$1,014 | $878–$1,014 | varies |
| Drain Hand Tendon Sheath (26020) range across 2 matching MRF lines |
$4,090–$4,192 | $4,090–$4,192 | varies |
| Drain/inj small joint/bursa w/us (20604) | $699 | $699 | 2.3× |
| Drainage Abscess/Hematoma Nasal Septum (30020) | $917 | $917 | 1.7× |
| Drainage external auditory canal abscess (69020) | $849 | $849 | 1.2× |
| Drainage external ear abscess/hematoma cmplx (69005) range across 2 matching MRF lines |
$2,381–$2,685 | $2,381–$2,685 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $630 | $630 | 0.9× |
| Drainage Finger Abscess Complicated (26011) range across 2 matching MRF lines |
$1,448–$1,484 | $1,448–$1,484 | varies |
| Drainage Mouth Roof Lesion (42000) range across 3 matching MRF lines |
$292–$337 | $292–$337 | varies |
| Drainage of finger abscess simple (26010) range across 3 matching MRF lines |
$281–$287 | $281–$287 | varies |
| Drainage of gum lesion (41800) range across 3 matching MRF lines |
$393–$394 | $393–$394 | varies |
| Drainage of hematoma/fluid (10140) range across 4 matching MRF lines |
$1,518–$1,556 | $1,518–$1,556 | varies |
| Drainage of scrotal wall abscess (55100) | $1,858 | $1,858 | 1.1× |
| Drainage of scrotum (54700) | $1,842 | $1,842 | 0.9× |
| Drainage of skene's gland abscess or cyst (53060) | $4,392 | $4,392 | 2.1× |
| Dressing Change Under Anesthesia (15852) | $765 | $765 | 1.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) range across 2 matching MRF lines |
$530–$531 | $530–$531 | varies |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) range across 2 matching MRF lines |
$859–$881 | $859–$881 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$471–$483 | $471–$483 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 3 matching MRF lines |
$410–$420 | $410–$420 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 4 matching MRF lines |
$356–$365 | $356–$365 | varies |
| Dx Bone Marrow Bx & Aspir (38222) range across 3 matching MRF lines |
$2,440–$2,711 | $2,440–$2,711 | varies |
| Dx Bronchoscope/Lavage (31624) range across 3 matching MRF lines |
$1,998–$2,775 | $1,998–$2,775 | varies |
| Dx Bronchoscope/Wash (31622) range across 2 matching MRF lines |
$4,703–$5,383 | $4,703–$5,383 | varies |
| Dx Laryngoscopy Excl Nb (31525) | $5,098 | $5,098 | 2.9× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,993 | $1,993 | 2.8× |
| Egd Flexible Foreign Body Removal (43247) | $1,085 | $1,085 | 1.2× |
| Egd place gastrostomy tube (43246) | $1,713 | $1,713 | 0.9× |
| Electro-Uroflowmetry First (51741) | $403 | $403 | 1.9× |
| Endometrial Biopsy (58100) | $503 | $503 | 2.5× |
| Epidural Blood Patch (62273) | $1,759 | $1,759 | 2.5× |
| Episiotomy or vaginal repair (59300) range across 2 matching MRF lines |
$4,987–$5,763 | $4,987–$5,763 | varies |
| Evacuation of subungual hematoma (11740) | $126 | $126 | 1.0× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $966 | $966 | 1.4× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $1,333 | $1,333 | 1.9× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $2,064 | $2,064 | 1.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 2 matching MRF lines |
$2,528–$3,155 | $2,528–$3,155 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $1,796 | $1,796 | 2.5× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $3,928 | $3,928 | 1.1× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $1,886 | $1,886 | 0.9× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $3,532 | $3,532 | 1.8× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $1,951 | $1,951 | 0.9× |
| Explo/Drain Breast Abscess (19020) | $2,426 | $2,426 | 1.5× |
| Exploration penetrating wound spx extremity (20103) | $2,110 | $2,110 | 1.3× |
| External cephalic version (59412) | $4,062 | $4,062 | 1.3× |
| Fetal Contraction Stress Test (59020) | $306 | $306 | 1.5× |
| Fetal non-stress test (59025) | $320 | $320 | 1.6× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $1,075 | $1,075 | 1.5× |
| Fine needle aspiration without imaging guidance (10021) | $448 | $448 | 1.1× |
| Fluoro exam of g/colon tube (49465) | $413 | $413 | 1.7× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $1,012 | $1,012 | 1.4× |
| Fna bx w/us gdn 1st les (10005) | $1,023 | $1,023 | 1.4× |
| Foreskin manipulation (54450) | $463 | $463 | 1.9× |
| Guide Cathet Fluid Drainage (10030) | $1,441 | $1,441 | 2.0× |
| I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
$885–$907 | $885–$907 | varies |
| I&d abscess simple (10060) range across 4 matching MRF lines |
$394–$404 | $394–$404 | varies |
| I&D Mouth/Tong Intra,Masticator (41009) | $717 | $717 | 1.3× |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$1,078–$1,246 | $1,078–$1,246 | varies |
| I&d pilonidal cyst complicated (10081) range across 3 matching MRF lines |
$761–$844 | $761–$844 | varies |
| I&d pilonidal cyst simple (10080) range across 3 matching MRF lines |
$716–$734 | $716–$734 | varies |
| Image Cath Fluid Colxn Visc (49405) | $2,651 | $2,651 | 1.6× |
| Image Cath Fluid Peri/Retro (49406) | $2,038 | $2,038 | 1.2× |
| Incise external hemorrhoid (46083) | $588 | $588 | 2.4× |
| Incise finger tendon sheath (26055) | $1,892 | $1,892 | 1.2× |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$454–$465 | $454–$465 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$2,515–$2,878 | $2,515–$2,878 | varies |
| Incision & removal foreign body subq tiss simple (10120) | $689 | $689 | 1.7× |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$400–$410 | $400–$410 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 3 matching MRF lines |
$400–$410 | $400–$410 | varies |
| Incision of eardrum (69420) | $575 | $575 | 2.4× |
| Incision of lingual frenum (frenotomy) (41010) | $1,558 | $1,558 | 1.0× |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$1,983–$3,034 | $1,983–$3,034 | varies |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $2,471 | $2,471 | 1.5× |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$679–$696 | $679–$696 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 3 matching MRF lines |
$182–$186 | $182–$186 | varies |
| Inj W/Fluor Eval Cv Device (36598) | $887 | $887 | 4.2× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $1,189 | $1,189 | 3.9× |
| Injection for identification of sentinel node (38792) | $569 | $569 | 1.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$364–$380 | $364–$380 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) | $670 | $670 | 2.2× |
| Injection Sinus Tract Therapeutic Separate Proc (20500) | $1,893 | $1,893 | 1.2× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $963 | $963 | 1.1× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $877 | $877 | 1.2× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 4 matching MRF lines |
$1,168–$1,198 | $1,168–$1,198 | varies |
| Ins endovas vena cava filtr (37191) | $7,315 | $7,315 | 1.3× |
| Ins Vag Brachytx Device (57156) | $1,655 | $1,655 | 5.5× |
| Insert and remove bone pin (20650) | $3,569 | $3,569 | 1.1× |
| Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
$370–$379 | $370–$379 | varies |
| Insert cath pleura w/ image (32557) | $2,795 | $2,795 | 1.8× |
| Insert cath pleura w/o image (32556) | $1,671 | $1,671 | 0.9× |
| Insert cervical dilator (59200) | $529 | $529 | 1.7× |
| Insert Gastrostomy Tube Percutaneous (49440) | $4,479 | $4,479 | 2.3× |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$2,946–$3,019 | $2,946–$3,019 | varies |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $1,483 | $1,483 | 0.9× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$320–$329 | $320–$329 | varies |
| Insert tun ip cath perc (49418) | $5,486 | $5,486 | 1.5× |
| Insert tunneled cv cath (36561) | $7,246 | $7,246 | 2.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 3 matching MRF lines |
$358–$367 | $358–$367 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $1,813 | $1,813 | 1.2× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) range across 2 matching MRF lines |
$3,019–$3,971 | $3,019–$3,971 | varies |
| Insj Picc Rs&I <5 Yr (36572) | $3,427 | $3,427 | 5.5× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 3 matching MRF lines |
$1,562–$1,805 | $1,562–$1,805 | varies |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $8,168 | $8,168 | 2.6× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) range across 2 matching MRF lines |
$9,121–$11,370 | $9,121–$11,370 | varies |
| Interdental fixation (21110) | $5,310 | $5,310 | 3.4× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $653 | $653 | 1.6× |
| Intraoral i&d tongue/floor submndblr space (41008) range across 2 matching MRF lines |
$4,186–$4,290 | $4,186–$4,290 | varies |
| Intro Gastrointestinal Tube (44500) range across 3 matching MRF lines |
$794–$3,836 | $794–$3,836 | varies |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$322–$369 | $322–$369 | varies |
| Iridotomy/irridectomy laser surg per session (66761) | $1,754 | $1,754 | 3.2× |
| Irrigation of corpora cavernosa for priapism (54220) | $336 | $336 | 1.3× |
| Laryngoscopy flexible diagnostic (31575) range across 2 matching MRF lines |
$646–$662 | $646–$662 | varies |
| Late closure of wound (13160) | $4,496 | $4,496 | 1.3× |
| Lip Surgery Procedure (40799) | $975 | $975 | 4.1× |
| Mech remov tunneled cv cath (36595) | $7,979 | $7,979 | 2.5× |
| Myelography Lumbar Injection (62305) | $3,121 | $3,121 | 4.0× |
| Myelography Lumbar Injection (62304) | $3,121 | $3,121 | 4.0× |
| Myelography via lumbar injection rs&i cervical (62302) | $3,121 | $3,121 | 4.0× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $3,013 | $3,013 | 3.9× |
| N block inj intercost sng (64420) | $877 | $877 | 1.2× |
| N Block Inj Pudendal (64430) | $1,532 | $1,532 | 1.7× |
| N Block Lumbar/Thoracic (64520) | $2,179 | $2,179 | 2.5× |
| Nasal/Orogastric W/Tube Plmt (43752) range across 3 matching MRF lines |
$374–$383 | $374–$383 | varies |
| Needle Biopsy Lymph Nodes (38505) | $1,448 | $1,448 | 0.9× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $42 | $42 | 1.5× |
| Needle insertion w/o injection 3 or more muscles (20561) | $63 | $63 | 2.2× |
| Nfct agt sti chlmyd gonorr trich mult amp prb ur (0455U) | $446 | $446 | 3.1× |
| Nfct agt sti mult amp prb tq vag endocrv/male ur (0402U) | $446 | $446 | 3.1× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $709.69 | $709.69 | 1.7× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$361–$417 | $361–$417 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $2,847 | $2,847 | 0.8× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $7,311 | $7,311 | 2.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $1,058 | $1,058 | 1.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $945 | $945 | 1.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $1,833 | $1,833 | 2.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,030 | $1,030 | 1.5× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $1,833 | $1,833 | 2.1× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $1,761 | $1,761 | 2.5× |
| Occipital Nerve Block (64405) range across 3 matching MRF lines |
$1,172–$1,201 | $1,172–$1,201 | varies |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) | $8,353 | $8,353 | 2.6× |
| Open tx interphalangeal joint dislocation (26785) | $5,295 | $5,295 | 1.6× |
| Partial Excision Distal Phalanx Finger (26236) | $3,831 | $3,831 | 2.4× |
| Penile Injection (54235) | $269 | $269 | 1.1× |
| Percut Drain/Inject Renal Cyst (50390) | $1,102 | $1,102 | 1.6× |
| Pericardiocentesis W/Imaging (33016) | $8,375 | $8,375 | 5.3× |
| Perq dev breast 1st strtctc (19283) | $493 | $493 | 0.7× |
| Perq dev breast 1st us imag (19285) | $740 | $740 | 1.0× |
| Perq device breast 1st imag (19281) | $1,255 | $1,255 | 0.8× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $1,308 | $1,308 | 1.9× |
| Place Duod/Jej Tube Perc (49441) | $3,700 | $3,700 | 1.9× |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$374–$383 | $374–$383 | varies |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $1,442 | $1,442 | 0.7× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) | $6,282 | $6,282 | 1.8× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $857 | $857 | 0.9× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $2,551 | $2,551 | 3.6× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $7,830 | $7,830 | 2.2× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$387–$397 | $387–$397 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 5 matching MRF lines |
$478–$490 | $478–$490 | varies |
| Puncture Aspiration Cyst Breast (19000) | $630 | $630 | 0.9× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $877 | $877 | 1.2× |
| Rem Endovas Vena Cava Filter (37193) | $6,058 | $6,058 | 1.9× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $1,454 | $1,454 | 1.6× |
| Removal Embedded Foreign Body Eyelid (67938) | $577 | $577 | 1.8× |
| Removal foreign body foot deep (28192) | $2,990 | $2,990 | 1.8× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$641–$740 | $641–$740 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $2,328 | $2,328 | 1.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $311 | $311 | 5.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $103 | $103 | 1.8× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) | $2,920 | $2,920 | 0.9× |
| Removal of foreign body from pharynx (42809) | $370 | $370 | 0.8× |
| Removal of nail bed (11750) | $922 | $922 | 2.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$175–$180 | $175–$180 | varies |
| Remove drug implant device (11982) | $350 | $350 | 0.8× |
| Remove foreign body from eye (65235) | $2,120 | $2,120 | 0.9× |
| Remove foreign body from eye (65205) | $238 | $238 | 1.8× |
| Remove Intrauterine Device (58301) | $551 | $551 | 1.8× |
| Remove intrvas foreign body (37197) | $9,052 | $9,052 | 2.9× |
| Remove lung catheter (32552) | $1,497 | $1,497 | 2.4× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$320–$370 | $320–$370 | varies |
| Remove renal tube w/fluoro (50389) | $622 | $622 | 0.9× |
| Remove ureter stent percut (50384) | $5,514 | $5,514 | 2.6× |
| Renal Biopsy Perq (50200) | $1,448 | $1,448 | 0.9× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $773 | $773 | 1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$890–$913 | $890–$913 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$536–$620 | $536–$620 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$905–$928 | $905–$928 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $1,220 | $1,220 | 3.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$1,041–$1,067 | $1,041–$1,067 | varies |
| Repair extensor tendon finger w/o graft each (26418) | $2,623 | $2,623 | 1.6× |
| Repair Eyelid Wound (67935) | $3,988 | $3,988 | 1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$374–$383 | $374–$383 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 3 matching MRF lines |
$429–$496 | $429–$496 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$494–$506 | $494–$506 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$568–$582 | $568–$582 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $752 | $752 | 1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$448–$459 | $448–$459 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines |
$516–$596 | $516–$596 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 3 matching MRF lines |
$566–$654 | $566–$654 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$553–$566 | $553–$566 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$374–$432 | $374–$432 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$418–$428 | $418–$428 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $905 | $905 | 1.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$482–$493 | $482–$493 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $2,139 | $2,139 | 1.0× |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$536–$620 | $536–$620 | varies |
| Repair tongue laceration (41252) range across 2 matching MRF lines |
$292–$383 | $292–$383 | varies |
| Repair tongue laceration (41250) range across 2 matching MRF lines |
$349–$357 | $349–$357 | varies |
| Repair Tooth Socket (41874) | $10,122 | $10,122 | 3.1× |
| Replace duodenostomy/jejunostomy tube perq (49451) range across 2 matching MRF lines |
$794–$917 | $794–$917 | varies |
| Replace G-J Tube Perc (49452) | $794 | $794 | 0.9× |
| Replace g/c tube perc (49450) | $794 | $794 | 0.9× |
| Reposition Gastrostomy Tube (43761) | $526 | $526 | 2.1× |
| Reposition Venous Catheter (36597) | $1,447 | $1,447 | 0.9× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) | $1,848 | $1,848 | 0.9× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) range across 2 matching MRF lines |
$1,118–$1,145 | $1,118–$1,145 | varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 3 matching MRF lines |
$383–$385 | $383–$385 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $443 | $443 | 3.3× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $362 | $362 | 0.8× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $1,689 | $1,689 | 1.0× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) | $5,548 | $5,548 | 2.9× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $1,455 | $1,455 | 0.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $1,399 | $1,399 | 2.2× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$775–$794 | $775–$794 | varies |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $3,159 | $3,159 | 2.0× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $2,988 | $2,988 | 1.9× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $7,114 | $7,114 | 2.3× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $8,168 | $8,168 | 2.6× |
| Rpr blood vessel direct lower extremity (35226) | $5,560 | $5,560 | 7.9× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 3 matching MRF lines |
$395–$452 | $395–$452 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $1,138 | $1,138 | 1.5× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $827 | $827 | 1.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $2,209 | $2,209 | 4.1× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $1,427 | $1,427 | 0.9× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $1,289 | $1,289 | 2.1× |
| Sclerotx Fluid Collection (49185) | $3,451 | $3,451 | 2.1× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) | $3,091 | $3,091 | 0.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $526 | $526 | 1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$260–$267 | $260–$267 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$299–$307 | $299–$307 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$344–$352 | $344–$352 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$260–$267 | $260–$267 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $524 | $524 | 2.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$344–$352 | $344–$352 | varies |
| Skin sub graft face/nk/hf/g (15275) | $1,360 | $1,360 | 1.8× |
| Skin sub graft trnk/arm/leg (15271) | $1,360 | $1,360 | 1.8× |
| Skin Tissue Procedure (17999) | $374 | $374 | 1.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$299–$307 | $299–$307 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$440–$451 | $440–$451 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $455 | $455 | 1.1× |
| Spinal puncture lumbar diagnostic (62270) range across 3 matching MRF lines |
$877–$898 | $877–$898 | varies |
| Strapping Unna Boot (29580) | $263 | $263 | 1.6× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) | $3,766 | $3,766 | 2.4× |
| Tangential biopsy skin single lesion (11102) | $387 | $387 | 1.0× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $1,993 | $1,993 | 2.8× |
| Thrombolytic Therapy Stroke (37195) | $1,248 | $1,248 | 3.8× |
| Thyroid biopsy (60100) | $1,551 | $1,551 | 2.2× |
| Tooth extraction (41899) range across 8 matching MRF lines |
$336–$1,601 | $336–$1,601 | varies |
| Tracheostomy planned (31600) | $5,144 | $5,144 | 1.6× |
| Treat Hip Socket Fracture (27222) | $595 | $595 | 2.4× |
| Treat Humerus Fracture (24505) | $1,434 | $1,434 | 0.9× |
| Treat humerus fracture (23600) | $710 | $710 | 2.9× |
| Treat knee fracture (27532) | $2,913 | $2,913 | 0.9× |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$520–$601 | $520–$601 | varies |
| Treat Metatarsal Fracture (28475) | $371 | $371 | 1.5× |
| Treat Thumb Dislocation (26641) | $382 | $382 | 1.6× |
| Treat toe dislocation (28630) | $264 | $264 | 1.1× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $2,999 | $2,999 | 1.9× |
| Treatment closed elbow dislocation w/o anes (24600) | $520 | $520 | 2.1× |
| Trim skin lesion (11055) | $181 | $181 | 0.9× |
| Trim skin lesions 2 to 4 (11056) | $200 | $200 | 1.0× |
| Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$157–$182 | $157–$182 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$1,048–$1,211 | $1,048–$1,211 | varies |
| Unlisted procedure anus (46999) | $2,007 | $2,007 | 2.2× |
| Unlisted procedure femur or knee (27599) | $266 | $266 | 1.1× |
| Unlisted procedure humerus/elbow (24999) | $589 | $589 | 2.4× |
| Unlisted Procedure Intestine (44799) | $691 | $691 | 0.8× |
| Unlisted procedure lungs and pleura (32999) | $1,351 | $1,351 | 2.2× |
| Unlisted Procedure Muscskeletal System General (20999) | $62 | $62 | 0.3× |
| Unlisted procedure nervous system (64999) range across 3 matching MRF lines |
$297–$3,274 | $297–$3,274 | varies |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $836 | $836 | 3.5× |
| Unlisted Procedure Rectum (45999) | $2,657 | $2,657 | 2.9× |
| Unlisted Procedure Trachea Bronchi (31899) | $1,297 | $1,297 | 6.5× |
| Vaginal delivery only (59409) | $4,161 | $4,161 | 1.3× |
| Wedge excision skin nail fold (11765) | $399 | $399 | 1.0× |
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.