Procedures & surgery prices at Coulee Medical Center

Grand Coulee, WA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines
$356.27–$545.27 $395.85–$605.85 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines
$242.87–$527.31 $269.85–$585.90 varies
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $1,648.08 $1,831.20 0.7×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $1,797.39 $1,997.10 0.8×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,848.42 $2,053.80 0.8×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $1,993.95 $2,215.50 0.9×
Adjustment/Revj Xtrnl Fixation System Req Anes (20693)
likely a partial charge, not the full procedure
$1,458.14 $1,620.15 0.2×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $2,092.23 $2,324.70 0.6×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $2,118.69 $2,354.10 0.6×
Amputate Metacarpal Bone (26910) $7,183.89 $7,982.10 2.0×
Amputation foot transmetarsal (28805) $7,185.78 $7,984.20 2.0×
Amputation metatarsal with toe single (28810) $1,414.67 $1,571.85 0.4×
Amputation thigh through femur any level (27590) $2,614.82 $2,905.35 0.7×
Amputation toe interphalangeal joint (28825) $4,944.24 $5,493.60 1.4×
Amputation toe metatarsophalangeal joint (28820) $1,301.27 $1,445.85 0.4×
Amputation, arm through humerus; with primary closure Facility (24900)
likely a partial charge, not the full procedure
$2,317.14 $2,574.60 0.2×
Amputation, leg, through tibia and fibula; (27880) $41,683.95 $46,315.50 5.2×
Amputation, leg, through tibia and fibula; re-amputation (27886) $2,335.10 $2,594.55 0.6×
Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) $1,877.72 $2,086.35 0.5×
Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) $828.77 $920.85 0.8×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines
$299.57–$316.58 $332.85–$351.75 varies
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $221.13 $245.70 0.2×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $354.38 $393.75 0.1×
Anterior colporraphy rpr cystocele w/cysto (57240)
likely a partial charge, not the full procedure
$1,627.29 $1,808.10 0.3×
Apheresis Platelets (36513) $709.70 $788.55 1.4×
Appendectomy (44950) $6,726.51 $7,473.90 0.9×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $44.42 $49.35 0.2×
Application cast elbow finger short arm (29075) $526.37 $584.85 1.7×
Application Cast Finger (29086) $454.55 $505.05 2.5×
Application Finger Splint Dynamic (29131) $209.79 $233.10 3.2×
Application finger splint static (29130)
range across 2 matching MRF lines
$89.78–$223.97 $99.75–$248.85 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines
$107.73–$468.72 $119.70–$520.80 varies
Application Long Leg Splint (29505)
range across 2 matching MRF lines
$143.64–$404.46 $159.60–$449.40 varies
Application multiplane external fixation system (20692) $28,168.56 $31,298.40 2.0×
Application of rigid total contact leg cast (29445) $322.25 $358.05 1.0×
Application Short Arm Splint Dynamic (29126) $374.22 $415.80 2.5×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines
$132.30–$367.61 $147–$408.45 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines
$134.19–$397.85 $149.10–$442.05 varies
Apply hand/wrist cast (29085) $133.25 $148.05 0.7×
Apply Multlay Comprs Lwr Leg (29581) $91.67 $101.85 0.5×
Apply Short Leg Cast (29405) $292.95 $325.50 0.9×
Arterial puncture (36600)
range across 3 matching MRF lines
$61.43–$267.44 $68.25–$297.15 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $123.80 $137.55 0.4×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $152.15 $169.05 0.4×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $190.89 $212.10 0.6×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $756 $840 2.2×
Arthroplasty Ankle (27700) $15,386.49 $17,096.10 1.9×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $2,721.60 $3,024 0.7×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $7,141.37 $7,934.85 2.0×
Arthroscopy ankle w/removal loose/foreign body (29894) $2,025.14 $2,250.15 0.6×
Arthroscopy Elbow Surgical Debridement Extensive (29838) $1,933.47 $2,148.30 0.5×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $2,161.22 $2,401.35 0.6×
Arthroscopy knee synovectomy limited spx (29875) $1,632.02 $1,813.35 0.4×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $2,025.14 $2,250.15 0.6×
Arthroscopy shoulder distal claviculectomy (29824) $7,185.78 $7,984.20 2.0×
Arthroscopy shoulder surgical capsulorrhaphy (29806)
unusually low: confirm this is the full procedure
$3,484.22 $3,871.35 0.4×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $7,180.11 $7,977.90 2.0×
Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866)
unusually low: confirm this is the full procedure
$3,454.92 $3,838.80 0.4×
Arthroscopy, knee, surgical; with lateral release (29873) $1,730.30 $1,922.55 0.5×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $2,300.13 $2,555.70 0.6×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure
$2,990.93 $3,323.25 0.4×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $7,141.37 $7,934.85 2.0×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $1,868.27 $2,075.85 0.5×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $15,385.55 $17,095.05 1.9×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $1,920.24 $2,133.60 0.5×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure
$3,466.26 $3,851.40 0.4×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $15,386.49 $17,096.10 1.9×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $2,177.28 $2,419.20 0.6×
Arthrs knee debridement/shaving artclr crtlg (29877) $5,291.06 $5,878.95 1.5×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $1,850.31 $2,055.90 0.5×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $7,183.89 $7,982.10 2.0×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $1,025.33 $1,139.25 0.6×
Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) $2,113.97 $2,348.85 0.6×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines
$369.50–$562.28 $410.55–$624.75 varies
Aspirate Pleura W/O Imaging (32554) $792.86 $880.95 1.1×
Aspiration bladder insert suprapubic catheter (51102) $478.17 $531.30 0.2×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines
$173.88–$206.96 $193.20–$229.95 varies
Biopsy bone open deep (20245) $1,034.78 $1,149.75 0.3×
Biopsy bone open superficial (20240) $446.04 $495.60 0.1×
Biopsy of breast; open, incisional (19101) $693.63 $770.70 0.2×
Biopsy of liver, needle; percutaneous (47000) $1,914.57 $2,127.30 1.0×
Biopsy of rectum (45100) $894.92 $994.35 0.3×
Blood Transfusion Service (36430) $1,146.29 $1,273.65 2.3×
Bx Cervix (57500) $764.51 $849.45 0.7×
Bx/exc lymph node open deep axillary node (38525) $4,082.40 $4,536 0.9×
Bx/exc lymph node open superficial (38500) $835.38 $928.20 0.2×
Carpal Tunnel Surgery (64721) $1,402.38 $1,558.20 0.6×
Cautery Cervix Cryocautery Initial/Repeat (57511) $247.59 $275.10 0.7×
Cerclage Uterine Cervix Nonobstetrical (57700) $960.12 $1,066.80 0.3×
Change Cystostomy Tube Complicated (51710) $251.37 $279.30 0.3×
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines
$151.20–$249.48 $168–$277.20 varies
Chemical Cautery Tissue (17250) $289.17 $321.30 1.3×
Chemodenerv 1 extremity 1-4 (64642) $343.98 $382.20 0.4×
Chest tube placement (32551)
range across 3 matching MRF lines
$405.41–$1,135.89 $450.45–$1,262.10 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $1,148.18 $1,275.75 0.3×
Circumcision 28 days or older (54161) $652.05 $724.50 0.3×
Circumcision w/clamp/oth dev w/block (54150) $1,207.71 $1,341.90 0.5×
Cl Tx Scapular Fx; W Manip (23575) $2,672.46 $2,969.40 1.5×
Cl Tx Tib Shft Fx W Manip (27752) $4,053.11 $4,503.45 2.3×
Clear outer ear canal (69200)
range across 2 matching MRF lines
$129.47–$488.57 $143.85–$542.85 varies
Closed Rx Metacarpal Fx,Percut (26608) $3,136.46 $3,484.95 0.9×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $1,907.01 $2,118.90 6.9×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $3,713.85 $4,126.50 2.1×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,090.53 $1,211.70 4.0×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines
$1,191.65–$3,576.83 $1,324.05–$3,974.25 varies
Closed tx carpal scaphoid fracture w/manj (25624) $3,917.97 $4,353.30 2.2×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $2,684.75 $2,983.05 9.8×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $3,684.56 $4,093.95 13.4×
Closed tx knee dislocation w/o anesthesia (27550) $1,146.29 $1,273.65 4.2×
Closed tx metatarsal fracture w/o manipulation (28470) $1,847.48 $2,052.75 6.7×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,394.82 $1,549.80 0.8×
Closed tx patellar dislocation w/o anesthesia (27560) $3,101.49 $3,446.10 11.3×
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines
$1,105.65–$2,817.99 $1,228.50–$3,131.10 varies
Closed tx radial head/neck fx w/manipulation (24655) $3,542.81 $3,936.45 2.0×
Closed tx radial head/neck fx w/o manipulation (24650) $2,399.36 $2,665.95 8.7×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $2,360.61 $2,622.90 8.6×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $3,917.97 $4,353.30 2.2×
Closed tx radial&ulnar shaft fractures w/o man (25560) $2,344.55 $2,605.05 8.5×
Closed Tx Scapular Fracture W/O Manipulation (23570) $2,344.55 $2,605.05 8.5×
Closed tx septal&nose fx (21337) $2,798.15 $3,109.05 0.8×
Closed Tx Talus Fracture W/Manipulation (28435) $2,189.57 $2,432.85 1.2×
Closed tx tarsometatarsal dislocation w/o anes (28600) $1,812.51 $2,013.90 6.6×
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines
$139.86–$650.16 $155.40–$722.40 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 2 matching MRF lines
$1,130.22–$3,622.19 $1,255.80–$4,024.65 varies
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $2,519.37 $2,799.30 9.2×
Closed tx ulnar shaft fracture w/o manipulation (25530) $2,389.91 $2,655.45 8.7×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $1,613.12 $1,792.35 6.1×
Clsd tx acromioclavicular dislc w/manipulation (23545) $2,776.41 $3,084.90 10.1×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $2,159.33 $2,399.25 7.9×
Clsd tx clavicular fracture w/o manipulation (23500) $2,173.50 $2,415 7.9×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines
$3,023.06–$3,762.05 $3,358.95–$4,180.05 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines
$794.75–$2,607.26 $883.05–$2,896.95 varies
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $4,346.06 $4,828.95 2.4×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $2,884.14 $3,204.60 1.6×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $1,709.51 $1,899.45 1.0×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $2,594.97 $2,883.30 9.4×
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines
$321.30–$3,343.41 $357–$3,714.90 varies
Cltx dstl fibular fx lat malls w/o manj (27786) $2,719.71 $3,021.90 9.9×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $2,657.34 $2,952.60 9.7×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $1,817.24 $2,019.15 6.6×
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines
$877.91–$3,085.43 $975.45–$3,428.25 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines
$1,666.98–$5,008.50 $1,852.20–$5,565 varies
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $488.57 $542.85 0.3×
Cltx fx grt toe phlx/phlg w/o manj (28490) $1,316.39 $1,462.65 4.8×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $1,372.14 $1,524.60 5.0×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $3,759.21 $4,176.90 2.1×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $2,805.71 $3,117.45 10.2×
Cltx hip dislocation traumatic req anesthesia (27252)
range across 2 matching MRF lines
$1,995.84–$5,199.39 $2,217.60–$5,777.10 varies
Cltx hip dislocation traumatic w/o anesthesia (27250) $869.40 $966 3.2×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $2,954.07 $3,282.30 10.7×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $4,599.32 $5,110.35 2.6×
Cltx Interphalangeal Joint Dislocation Req Anes (28665)
range across 2 matching MRF lines
$333.59–$535.82 $370.65–$595.35 varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $635.99 $706.65 2.3×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775)
range across 2 matching MRF lines
$990.36–$3,131.73 $1,100.40–$3,479.70 varies
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines
$1,547.91–$2,322.81 $1,719.90–$2,580.90 varies
Cltx Med Ankle Fx W/Mnpj (27762) $3,662.82 $4,069.80 2.0×
Cltx Medial Ankle Fx (27760) $2,898.32 $3,220.35 10.5×
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines
$837.27–$2,817.99 $930.30–$3,131.10 varies
Cltx metacarpal fx w/o manipulation each bone (26600) $2,776.41 $3,084.90 10.1×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $3,279.15 $3,643.50 1.8×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635)
range across 2 matching MRF lines
$350.60–$561.33 $389.55–$623.70 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines
$820.26–$2,719.71 $911.40–$3,021.90 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines
$640.71–$1,847.48 $711.90–$2,052.75 varies
Cltx post hip arthrp dislc req anes (27266)
range across 2 matching MRF lines
$3,586.28–$4,932.90 $3,984.75–$5,481 varies
Cltx post hip arthrp dislc w/o anes (27265) $3,147.80 $3,497.55 11.5×
Cltx prox fibula/shft fx w/o manj (27780) $2,690.42 $2,989.35 9.8×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $3,656.21 $4,062.45 2.0×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $3,433.19 $3,814.65 12.5×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines
$214.52–$783.41 $238.35–$870.45 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $3,808.35 $4,231.50 2.1×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $4,057.83 $4,508.70 2.3×
Cltx tibial shaft fx w/o manipulation (27750) $2,985.26 $3,316.95 10.9×
Cltx trimalleolar ankle fx w/manipulation (27818) $3,460.59 $3,845.10 1.9×
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 2 matching MRF lines
$927.99–$1,321.11 $1,031.10–$1,467.90 varies
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265)
unusually low: confirm this is the full procedure
$2,305.80 $2,562 0.4×
Collection of venous blood by venipuncture (36415)
range across 4 matching MRF lines
$43.47–$69.93 $48.30–$77.70 varies
Colonoscopy thru stoma (44388) $1,790.78 $1,989.75 1.7×
Colonoscopy W/Band Ligation (45398) $703.08 $781.20 0.5×
Colonoscopy W/Resection (45390) $1,117.94 $1,242.15 0.4×
Colonoscopy w/submucosal inj (45381) $674.73 $749.70 0.5×
Colpocleisis (le fort type) (57120) $7,668.68 $8,520.75 1.4×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $1,265.36 $1,405.95 3.7×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $415.80 $462 0.1×
Colposcopy entire vagina w/cervix if present (57420) $724.82 $805.35 2.1×
Colpotomy; with drainage of pelvic abscess (57010) $1,158.57 $1,287.30 0.3×
Colsc Flexible W/Control Bleeding Any Method (45382) $2,588.36 $2,875.95 1.9×
Colsc flx w/removal lesion by hot bx forceps (45384) $764.51 $849.45 0.6×
Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) $906.26 $1,006.95 0.7×
Combined anteroposterior colporrhaphy; (57260) $5,057.64 $5,619.60 0.9×
Complex drainage wound (10180) $585.90 $651 0.2×
Conization of cervix (57520) $789.08 $876.75 0.2×
Control Nasal Hemorrhage Anterior Complex (30903) $350.60 $389.55 2.4×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines
$105.84–$400.68 $117.60–$445.20 varies
Control nose/throat bleeding (42972) $4,818.56 $5,353.95 1.3×
Control oropharyngeal hemorrhage simple (42960) $553.77 $615.30 0.9×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines
$275–$475.34 $305.55–$528.15 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $738.05 $820.05 2.8×
Curettage postpartum (59160) $583.07 $647.85 0.2×
Cystostomy Cystotomy W/Drainage (51040) $961.07 $1,067.85 0.4×
Cystourethroscopy (52000) $1,344.74 $1,494.15 1.7×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines
$223.02–$859.01 $247.80–$954.45 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $2,344.55 $2,605.05 0.7×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $1,907.96 $2,119.95 2.4×
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $1,327.73 $1,475.25 0.4×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines
$508.41–$859.01 $564.90–$954.45 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines
$756–$1,736.91 $840–$1,929.90 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines
$204.12–$350.60 $226.80–$389.55 varies
Declot vascular device (36593) $150.26 $166.95 0.4×
Delivery of placenta (59414) $301.46 $334.95 0.1×
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines
$446.04–$727.65 $495.60–$808.50 varies
Destruction Vaginal Lesions Simple (57061) $3,786.62 $4,207.35 1.0×
Diagnostic sigmoidoscopy (45330) $188.06 $208.95 0.2×
Dilation & curettage dx&/ther nonobstetric (58120) $620.87 $689.85 0.2×
Dilation Cervical Canal (57800) $492.35 $547.05 0.1×
Drain Cerebro Spinal Fluid (62272) $469.67 $521.85 0.6×
Drain Hand Tendon Sheath (26020) $4,516.16 $5,017.95 1.2×
Drainage External Ear Abscess/Hematoma Simple (69000) $1,058.40 $1,176 1.3×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines
$1,011.15–$1,377.81 $1,123.50–$1,530.90 varies
Drainage of gum lesion (41800) $1,509.17 $1,676.85 10.2×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines
$391.23–$955.40 $434.70–$1,061.55 varies
Drainage of hydrocele (55000) $1,591.38 $1,768.20 2.0×
Drainage of scrotal wall abscess (55100) $1,558.31 $1,731.45 0.8×
Drainage of scrotum (54700) $707.81 $786.45 0.3×
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) $4,078.62 $4,531.80 1.1×
Draw Blood Off Venous Device (36591) $61.43 $68.25 0.4×
Dressing Change Under Anesthesia (15852)
range across 2 matching MRF lines
$221.13–$316.58 $245.70–$351.75 varies
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $1,598.94 $1,776.60 2.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines
$343.04–$830.66 $381.15–$922.95 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $275 $305.55 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines
$178.61–$495.18 $198.45–$550.20 varies
Dstrj Lesion Anus Extensive (46924) $601.02 $667.80 0.2×
Dstrj lesion anus simple surg excision (46922) $446.04 $495.60 0.1×
Dx Bronchoscope/Wash (31622) $433.76 $481.95 0.2×
Dx Laryngoscopy Excl Nb (31525) $2,267.06 $2,518.95 1.1×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $514.08 $571.20 0.2×
Egd control bleeding any (43255) $550.94 $612.15 0.3×
Egd dilation gastric/duodenal stricture (43245) $591.57 $657.30 0.3×
Egd Flexible Foreign Body Removal (43247) $597.24 $663.60 0.6×
Egd guide wire insertion (43248) $559.44 $621.60 0.6×
Egd Partial/Compl Esophagogastric Fundoplasty (43210)
likely a partial charge, not the full procedure
$1,053.68 $1,170.75 0.1×
Egd place gastrostomy tube (43246) $2,742.39 $3,047.10 1.3×
Egd remove lesion snare (43251) $660.56 $733.95 0.3×
Egd Varices Ligation (43244) $822.15 $913.50 0.4×
Endometrial ablation, thermal, without hysteroscopic guidance (58353)
likely a partial charge, not the full procedure
$615.20 $683.55 0.1×
Endometrial Biopsy (58100) $974.30 $1,082.55 4.3×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $923.27 $1,025.85 0.3×
Enterorrhaphy single perforation (44602) $15,685.11 $17,427.90 3.7×
Epidural Blood Patch (62273) $1,853.15 $2,059.05 2.4×
Episiotomy or vaginal repair (59300) $846.72 $940.80 0.2×
Escharotomy; initial incision (16035) $876.96 $974.40 1.9×
Esoph Scope W/Submucous Inj (43201) $1,996.79 $2,218.65 0.9×
Esophagogastroduodenoscopy Submucosal Injection (43236) $465.89 $517.65 0.5×
Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) $442.26 $491.40 0.2×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $1,201.10 $1,334.55 0.6×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $368.55 $409.50 0.2×
Evacuation of subungual hematoma (11740) $347.76 $386.40 2.3×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $2,660.18 $2,955.75 1.4×
Exc abdl tum deep 5 cm/> (22901) $6,417.50 $7,130.55 2.0×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines
$151.20–$429.98 $168–$477.75 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $3,646.76 $4,051.95 2.0×
Exc Back Les Sc < 3 Cm (21930) $1,198.26 $1,331.40 0.7×
Exc Back Tum Deep 5 Cm/> (21933) $2,421.09 $2,690.10 0.7×
Exc back tum deep < 5 cm (21932) $2,171.61 $2,412.90 0.7×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $604.80 $672 0.8×
Exc Face Les Sbq 2 Cm/> (21012) $3,645.81 $4,050.90 2.0×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $339.26 $376.95 0.4×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $1,562.09 $1,735.65 2.0×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $469.67 $521.85 0.3×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $623.70 $693 0.3×
Exc Forearm Les Sc 3 Cm/> (25071) $3,646.76 $4,051.95 2.0×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $208.85 $232.05 0.1×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $1,116.99 $1,241.10 1.4×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines
$395.01–$3,646.76 $438.90–$4,051.95 varies
Exc Hand Les Sc < 1.5 Cm (26115) $3,713.85 $4,126.50 2.0×
Exc hand tum deep < 1.5 cm (26116) $1,735.02 $1,927.80 0.9×
Exc hydrocele sprmatic cord uni spx (55500) $4,345.11 $4,827.90 1.1×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $1,013.99 $1,126.65 0.6×
Exc Shoulder Tum Deep 5 Cm/> (23073) $4,639.95 $5,155.50 1.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,010.21 $1,122.45 1.3×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $591.57 $657.30 0.3×
Exc Skin Benig >4 Cm Remaindr Body (11426) $4,075.79 $4,528.65 1.3×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $811.76 $901.95 0.4×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $547.16 $607.95 0.3×
Exc Skin Malig >4 Cm Remaindr Body (11626) $3,699.68 $4,110.75 1.1×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $3,571.16 $3,967.95 1.9×
Exc tendon shth lesion leg/ankle (27630) $1,199.21 $1,332.45 0.3×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $1,168.02 $1,297.80 0.9×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $291.06 $323.40 0.6×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $1,535.63 $1,706.25 1.9×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,341.90 $1,491 0.7×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $1,466.64 $1,629.60 0.5×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $6,329.61 $7,032.90 2.0×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $1,780.38 $1,978.20 0.6×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $5,280.66 $5,867.40 1.6×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,084.86 $1,205.40 0.6×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $6,273.86 $6,970.95 1.9×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $3,646.76 $4,051.95 2.0×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $505.58 $561.75 0.6×
Excision Excessive Skin & Subq Tissue Other Area (15839) $2,893.59 $3,215.10 0.9×
Excision lesion tendon sheath forearm&/wrist (25110) $1,117.94 $1,242.15 0.6×
Excision Lesion Tongue W/O Closure (41110) $362.88 $403.20 0.1×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $1,370.25 $1,522.50 3.0×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,073.52 $1,192.80 0.6×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $3,521.07 $3,912.30 1.1×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $503.69 $559.65 0.6×
Excision Multiple External Papillae/Tags Anus (46230) $569.84 $633.15 0.2×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $1,054.62 $1,171.80 0.6×
Excision of neuroma; digital nerve, 1 or both, same digit (64776) $1,218.11 $1,353.45 0.6×
Excision of pilonidal cyst or sinus; simple (11770) $1,895.67 $2,106.30 0.6×
Excision of single external papilla or tag, anus (46220) $393.12 $436.80 0.3×
Excision of vaginal cyst or tumor (57135) $3,659.04 $4,065.60 1.0×
Excision or curettage of bone cyst or benign tumor of femur; (27355) $2,141.37 $2,379.30 0.6×
Excision Pilonidal Cyst/Sinus Complicated (11772) $1,888.11 $2,097.90 0.6×
Excision Pilonidal Cyst/Sinus Extensive (11771) $3,866.94 $4,296.60 1.2×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,543.19 $1,714.65 0.8×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $4,543.56 $5,048.40 1.4×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $1,361.75 $1,513.05 0.4×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $1,541.30 $1,712.55 0.5×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $2,674.35 $2,971.50 1.5×
Excision/curettage cyst/tumor carpal bones (25130) $1,467.59 $1,630.65 0.4×
Excision/curettage cyst/tumor phalanx finger (26210) $3,589.11 $3,987.90 2.0×
Excision; trochanteric bursa or calcification (27062) $1,620.68 $1,800.75 0.4×
Expl penetrating wound spx abdomen/flank/back (20102) $670.95 $745.50 0.3×
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines
$962.96–$2,423.93 $1,069.95–$2,693.25 varies
Exploration of knee joint (27310) $7,185.78 $7,984.20 2.0×
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines
$1,145.34–$2,302.97 $1,272.60–$2,558.85 varies
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) $23,569.25 $26,188.05 3.3×
Explore/Treat Knee Joint (27331) $1,556.42 $1,729.35 0.4×
External cephalic version (59412) $600.08 $666.75 0.2×
Fasciotomy, hip or thigh, any type (27025) $3,020.22 $3,355.80 0.8×
Fetal non-stress test (59025) $159.71 $177.45 0.7×
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines
$227.75–$337.37 $253.05–$374.85 varies
Foreskin manipulation (54450) $639.77 $710.85 2.3×
Fusion Finger Joint (26860) $7,183.89 $7,982.10 2.0×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $1,163.30 $1,292.55 0.4×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $3,023.06 $3,358.95 1.0×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $1,568.70 $1,743 0.5×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $629.37 $699.30 0.6×
Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) $3,711.96 $4,124.40 0.7×
Hysteroscopy Biopsy (58558) $602.91 $669.90 0.2×
Hysteroscopy Dx Sep Proc (58555) $394.07 $437.85 0.1×
Hysteroscopy Endometrial Ablation (58563) $5,949.72 $6,610.80 1.1×
Hysteroscopy Removal Impacted Foreign Body (58562) $4,690.98 $5,212.20 1.3×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $3,821.58 $4,246.20 0.7×
I&d abscess peritonsillar (42700) $608.58 $676.20 2.3×
I&d abscess simple (10060)
range across 2 matching MRF lines
$321.30–$917.60 $357–$1,019.55 varies
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines
$3,737.48–$4,819.50 $4,152.75–$5,355 varies
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines
$785.30–$790.02 $872.55–$877.80 varies
I&d pilonidal cyst complicated (10081) $1,589.49 $1,766.10 2.0×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines
$264.60–$886.41 $294–$984.90 varies
Incise external hemorrhoid (46083) $824.04 $915.60 3.0×
Incise finger tendon sheath (26055) $1,020.60 $1,134 0.6×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines
$590.63–$1,497.83 $656.25–$1,664.25 varies
Incision & drainage leg/ankle abscess/hematoma (27603)
range across 2 matching MRF lines
$1,377.81–$3,044.79 $1,530.90–$3,383.10 varies
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines
$608.58–$1,309.77 $676.20–$1,455.30 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines
$513.14–$838.22 $570.15–$931.35 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines
$601.02–$916.65 $667.80–$1,018.50 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines
$352.49–$947.84 $391.65–$1,053.15 varies
Incision extensor tendon sheath wrist (25000) $1,107.54 $1,230.60 0.6×
Incision of lingual frenum (frenotomy) (41010) $707.81 $786.45 0.4×
Incision of rectal abscess (46040) $3,409.56 $3,788.40 2.6×
Incisional biopsy skin single lesion (11106) $141.30 $157 0.2×
Initial Tx 1st Degree Burn Local Tx (16000) $196.56 $218.40 0.9×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $2,074.28 $2,304.75 2.1×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $622.76 $691.95 0.6×
Injection 1 tendon sheath/ligament aponeurosis (20550) $174.83 $194.25 0.5×
Injection aa&/strd axillary nerve w/img gdn (64417) $1,244.57 $1,382.85 1.3×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $72.77 $80.85 0.1×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $155.93 $173.25 0.2×
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 2 matching MRF lines
$277.83–$831.60 $308.70–$924 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines
$184.28–$309.96 $204.75–$344.40 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines
$119.07–$189 $132.30–$210 varies
Injection, anesthetic agent; brachial plexus, single (64415) $1,005.48 $1,117.20 1.0×
Injection, anesthetic agent; femoral nerve, single (64447) $148.37 $164.85 0.2×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines
$150.26–$374.22 $166.95–$415.80 varies
Insert Bladder Cath Complex (51703) $1,183.14 $1,314.60 8.3×
Insert cath pleura w/o image (32556) $4,337.55 $4,819.50 2.0×
Insert cervical dilator (59200) $939.33 $1,043.70 2.8×
Insert Drug Implant Device (11981) $273.11 $303.45 1.8×
Insert non-tunnel cv cath (36556)
range across 4 matching MRF lines
$206.01–$4,060.67 $228.90–$4,511.85 varies
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $224.91 $249.90 0.1×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines
$86.94–$224.91 $96.60–$249.90 varies
Insert tunneled cv cath (36561) $4,915.89 $5,462.10 1.4×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines
$67.10–$168.21 $74.55–$186.90 varies
Insj prph ctr vad w/subq port age 5 yr/> (36571)
range across 2 matching MRF lines
$982.80–$3,521.07 $1,092–$3,912.30 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 4 matching MRF lines
$229.64–$1,814.40 $255.15–$2,016 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $863.73 $959.70 0.2×
Int hrhc by ligation single hroid w/o img gdn (46945) $745.61 $828.45 0.2×
Interdental fixation (21110) $1,715.18 $1,905.75 1.0×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,993.95 $2,215.50 4.4×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $2,811.38 $3,123.75 6.2×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines
$440.37–$464 $489.30–$515.55 varies
Irrigation of corpora cavernosa for priapism (54220) $553.77 $615.30 2.0×
Knee Arthroscopy/Surgery (29874) $5,532.03 $6,146.70 1.5×
Lap paraesophag hern repair (43281)
unusually low: confirm this is the full procedure
$3,778.11 $4,197.90 0.3×
Laparoscopy aspiration (49322) $3,814.02 $4,237.80 0.6×
Laparoscopy Enterolysis Separate Procedure (44180)
unusually low: confirm this is the full procedure
$3,023.06 $3,358.95 0.4×
Laparoscopy fulguration oviducts (58670)
likely a partial charge, not the full procedure
$1,189.76 $1,321.95 0.2×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $12,784.91 $14,205.45 1.1×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
likely a partial charge, not the full procedure
$2,910.60 $3,234 0.2×
Laparoscopy W/Lysis Of Adhesions (58660)
likely a partial charge, not the full procedure
$1,797.39 $1,997.10 0.3×
Laparoscopy w/rmvl adnexal structures (58661)
likely a partial charge, not the full procedure
$1,719.90 $1,911 0.3×
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure
$1,976.94 $2,196.60 0.3×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) $11,719.89 $13,022.10 1.0×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550)
unusually low: confirm this is the full procedure
$2,327.54 $2,586.15 0.3×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553)
likely a partial charge, not the full procedure
$2,952.18 $3,280.20 0.2×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $6,916.46 $7,684.95 1.0×
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) $6,719.90 $7,466.55 1.0×
Laparoscopy, surgical; with biopsy (single or multiple) (49321) $6,136.83 $6,818.70 0.9×
Laparoscopy, Tubal Block (58671)
likely a partial charge, not the full procedure
$1,176.53 $1,307.25 0.2×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure
$863.73 $959.70 0.1×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure
$1,878.66 $2,087.40 0.3×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) $9,191.07 $10,212.30 0.8×
Laryngoscopy flexible diagnostic (31575) $950.67 $1,056.30 4.3×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $1,233.23 $1,370.25 2.8×
Late closure of wound (13160) $2,621.43 $2,912.70 0.7×
Ligation of femoral vein (37650) $1,508.22 $1,675.80 0.4×
Ligation or biopsy temporal artery (37609) $2,172.56 $2,413.95 1.2×
Lysis/excision penile postcircumcision adhesions (54162) $2,363.45 $2,626.05 1.0×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $2,442.83 $2,714.25 1.4×
Mastectomy partial (19301) $2,131.92 $2,368.80 0.5×
Maternity Care Procedure (59899) $429.98 $477.75 1.9×
Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) (15730) $2,529.77 $2,810.85 0.6×
Muscle-skin graft trunk (15734) $7,384.23 $8,204.70 1.9×
N block inj intercost sng (64420) $174.83 $194.25 0.2×
Nasal/Orogastric W/Tube Plmt (43752) $174.83 $194.25 0.4×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $5,233.41 $5,814.90 2.4×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines
$130.41–$209.79 $144.90–$233.10 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $452.66 $502.95 0.5×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,651.86 $1,835.40 2.1×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines
$326.97–$438.48 $363.30–$487.20 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $1,613.12 $1,792.35 1.6×
Occipital Nerve Block (64405) $1,144.40 $1,271.55 3.3×
Open Treatment Bimalleolar Ankle Fracture (27814) $8,032.50 $8,925 1.0×
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure
$1,994.90 $2,216.55 0.2×
Open treatment metacarpophalangeal dislocation (26715)
range across 2 matching MRF lines
$1,528.07–$2,327.54 $1,697.85–$2,586.15 varies
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure
$1,787 $1,985.55 0.2×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $15,386.49 $17,096.10 1.9×
Open Treatment Radial Shaft Fracture (25515)
likely a partial charge, not the full procedure
$2,214.14 $2,460.15 0.3×
Open Tx Carpometacarpal Dislocate Not Thumb (26685) $4,376.30 $4,862.55 1.2×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $8,199.77 $9,110.85 1.0×
Open Tx Distal Tibiofibular Joint Disruption (27829) $15,386.49 $17,096.10 1.9×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $1,891.89 $2,102.10 0.5×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $2,946.51 $3,273.90 0.8×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $8,230.95 $9,145.50 1.0×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
unusually low: confirm this is the full procedure
$2,903.99 $3,226.65 0.4×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
likely a partial charge, not the full procedure
$1,541.30 $1,712.55 0.2×
Ostectomy calcaneus (28118) $4,181.63 $4,646.25 1.1×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $807.03 $896.70 0.2×
Ovarian cystectomy, unilateral or bilateral (58925)
unusually low: confirm this is the full procedure
$2,032.70 $2,258.55 0.4×
Part remv talus or calcaneus (28120) $1,637.69 $1,819.65 0.4×
Partial removal of tibia (27640) $2,955.02 $3,283.35 0.8×
Partial removal of toe (28160) $7,183.89 $7,982.10 2.0×
Partical Excision Bone Phalanx Toe (28124) $992.25 $1,102.50 0.3×
Pelvic examination under anesthesia (other than local) (57410) $6,145.34 $6,828.15 1.7×
Perineoplasty rpr perineum nonobstetrical spx (56810) $722.93 $803.25 0.2×
Peritoneal Lavage (49084) $355.32 $394.80 0.4×
Perq skel fixj distal radial fx/epiphysl sep (25606) $4,851.63 $5,390.70 1.3×
Placement of needle for intraosseous infusion (36680) $202.23 $224.70 0.4×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
likely a partial charge, not the full procedure
$1,634.85 $1,816.50 0.3×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $181.44 $201.60 0.2×
Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) $1,069.74 $1,188.60 0.8×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $242.87 $269.85 0.2×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines
$163.49–$195.62 $181.65–$217.35 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines
$457.38–$796.64 $508.20–$885.15 varies
Puncture Aspiration Cyst Breast (19000) $190.89 $212.10 0.2×
Reduction of rectal prolapse (45900) $694.58 $771.75 0.7×
Removal Embedded Foreign Body Eyelid (67938)
range across 2 matching MRF lines
$325.08–$519.75 $361.20–$577.50 varies
Removal Foreign Body Deep Thigh/Knee (27372) $3,205.44 $3,561.60 1.0×
Removal foreign body foot deep (28192)
range across 2 matching MRF lines
$2,308.64–$3,645.81 $2,565.15–$4,050.90 varies
Removal Foreign Body Foot Subcutaneous (28190) $1,107.54 $1,230.60 1.4×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $1,195.43 $1,328.25 0.6×
Removal impacted cerumen irrigation/lvg unilat (69209) $67.10 $74.55 1.0×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines
$155.93–$161.60 $173.25–$179.55 varies
Removal Implant Deep (20680) $3,596.67 $3,996.30 1.1×
Removal of foreign body from pharynx (42809) $1,184.09 $1,315.65 2.4×
Removal of implant from finger or hand (26320) $1,137.78 $1,264.20 0.6×
Removal of nail bed (11750)
range across 2 matching MRF lines
$1,338.12–$1,510.11 $1,486.80–$1,677.90 varies
Removal of sperm cord lesion (55520) $854.28 $949.20 0.2×
Removal of testis (54520) $3,700.62 $4,111.80 0.9×
Removal of thyroid (60271) $3,444.53 $3,827.25 0.5×
Removal of tonsils (42826) $819.32 $910.35 0.2×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $242.87 $269.85 1.1×
Removal Sutures/Staples Requiring Anesthesia (15851) $117.18 $130.20 0.1×
Removal, under anesthesia, of external fixation system (20694) $3,586.28 $3,984.75 2.0×
Remove drug implant device (11982) $311.85 $346.50 0.6×
Remove Forearm Foreign Body (25248) $3,479.49 $3,866.10 1.9×
Remove foreign body from eye (65205)
range across 2 matching MRF lines
$76.55–$264.60 $85.05–$294 varies
Remove Intrauterine Device (58301)
range across 2 matching MRF lines
$220.19–$859.95 $244.65–$955.50 varies
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines
$151.20–$338.31 $168–$375.90 varies
Remove Peritoneal Foreign Body (49402) $8,940.65 $9,934.05 2.2×
Remove Tendon Sheath Lesion (26160) $3,589.11 $3,987.90 2.0×
Repair Achilles Tendon (27650)
likely a partial charge, not the full procedure
$2,162.16 $2,402.40 0.3×
Repair Collat Ankle Ligmnt,Secondary (27698)
likely a partial charge, not the full procedure
$2,106.41 $2,340.45 0.3×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $2,685.69 $2,984.10 3.3×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,403.33 $1,559.25 1.7×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines
$1,250.24–$2,373.84 $1,389.15–$2,637.60 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines
$1,360.80–$4,037.04 $1,512–$4,485.60 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines
$739.94–$1,927.80 $822.15–$2,142 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines
$881.69–$2,931.39 $979.65–$3,257.10 varies
Repair complex trunk 1.1-2.5 cm (13100) $1,851.26 $2,056.95 2.2×
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines
$630.32–$835.38 $700.35–$928.20 varies
Repair extensor tendon finger w/o graft each (26418) $1,876.77 $2,085.30 1.0×
Repair inguinal hernia, sliding, any age (49525) $8,436.96 $9,374.40 2.1×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $6,052.73 $6,725.25 1.5×
Repair initial femoral hernia, any age; reducible (49550) $1,897.56 $2,108.40 0.5×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $1,924.97 $2,138.85 0.5×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines
$466.83–$1,537.52 $518.70–$1,708.35 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines
$555.66–$1,800.23 $617.40–$2,000.25 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines
$561.33–$1,754.87 $623.70–$1,949.85 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,515.78 $1,684.20 3.3×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,932.53 $2,147.25 2.3×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines
$471.56–$1,402.38 $523.95–$1,558.20 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines
$660.56–$1,729.35 $733.95–$1,921.50 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines
$1,338.12–$1,481.76 $1,486.80–$1,646.40 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines
$1,656.59–$2,223.59 $1,840.65–$2,470.65 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines
$504.63–$1,394.82 $560.70–$1,549.80 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines
$642.60–$1,838.03 $714–$2,042.25 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,841.81 $2,046.45 2.2×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines
$1,380.65–$1,656.59 $1,534.05–$1,840.65 varies
Repair lumbar hernia (49540) $7,631.82 $8,479.80 1.1×
Repair of enterocele, vaginal approach (separate procedure) (57268)
likely a partial charge, not the full procedure
$1,352.30 $1,502.55 0.2×
Repair of nail bed (11760)
range across 2 matching MRF lines
$292.95–$1,171.80 $325.50–$1,302 varies
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) $7,218.86 $8,020.95 1.0×
Repair secondary achilles tendon w/wo graft (27654) $15,387.44 $17,097.15 1.9×
Repair tongue laceration (41250) $121.91 $135.45 0.2×
Repair, primary, disrupted ligament, ankle; collateral (27695) $15,385.55 $17,095.05 1.9×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) $15,386.49 $17,096.10 1.9×
Rerepair ing hernia reduce (49520) $2,073.33 $2,303.70 0.5×
Revision of big toe (28310)
likely a partial charge, not the full procedure
$1,637.69 $1,819.65 0.2×
Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) $3,633.53 $4,037.25 0.9×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $6,597.99 $7,331.10 1.7×
Rmvl FB Xtrnl Auditory Canal Anes (69205)
range across 2 matching MRF lines
$955.40–$2,769.80 $1,061.55–$3,077.55 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines
$106.79–$240.98 $118.65–$267.75 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $367.61 $408.45 2.5×
Rmvl fecal impaction/fb spx under anes (45915)
range across 2 matching MRF lines
$1,099.98–$2,027.03 $1,222.20–$2,252.25 varies
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)
range across 2 matching MRF lines
$738.05–$1,812.51 $820.05–$2,013.90 varies
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $628.43 $698.25 0.4×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 3 matching MRF lines
$876.96–$3,701.57 $974.40–$4,112.85 varies
Rplc gtube revj gstrst trc (43763) $232.47 $258.30 0.8×
Rplcmt compl tun ctr vad w/subq port (36582) $6,958.04 $7,731.15 2.0×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure
$1,832.36 $2,035.95 0.3×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $841.05 $934.50 0.2×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595)
likely a partial charge, not the full procedure
$1,892.84 $2,103.15 0.3×
Rpr aa hernia recr 3-10 cm reducible (49615)
likely a partial charge, not the full procedure
$1,571.54 $1,746.15 0.2×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
likely a partial charge, not the full procedure
$1,395.77 $1,550.85 0.2×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $1,036.67 $1,151.85 0.3×
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure
$1,409 $1,565.55 0.2×
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure
$1,236.06 $1,373.40 0.2×
Rpr blood vessel direct lower extremity (35226) $2,748.06 $3,053.40 3.5×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines
$243.81–$460.22 $270.90–$511.35 varies
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $2,137.59 $2,375.10 2.6×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270)
range across 2 matching MRF lines
$1,610.28–$3,257.42 $1,789.20–$3,619.35 varies
Sclerotx Fluid Collection (49185) $378.95 $421.05 0.2×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $403.52 $448.35 0.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $112.46 $124.95 0.5×
Shoulder Arthroscopy/Surgery (29825) $1,896.62 $2,107.35 0.5×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $264.60 $294 0.2×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $239.09 $265.65 0.2×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $597.24 $663.60 1.3×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines
$343.04–$393.12 $381.15–$436.80 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $378.95 $421.05 1.7×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $601.02 $667.80 1.3×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines
$193.73–$443.21 $215.25–$492.45 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines
$145.53–$414.86 $161.70–$460.95 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $717.26 $796.95 3.2×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines
$199.40–$423.36 $221.55–$470.40 varies
Skin Full Grft Face/Genit/Hf (15240) $4,207.14 $4,674.60 1.8×
Skin sub graft face/nk/hf/g (15275) $314.69 $349.65 0.4×
Skin sub graft trnk/arm/leg (15271) $277.83 $308.70 0.3×
Skin sub grft t/arm/lg child (15273) $8,388.77 $9,320.85 3.6×
Skin Tissue Procedure (17999) $1,792.67 $1,991.85 8.0×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
unusually low: confirm this is the full procedure
$1,770.93 $1,967.70 0.3×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines
$306.18–$367.61 $340.20–$408.45 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $526.37 $584.85 1.2×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines
$302.40–$578.34 $336–$642.60 varies
Spinal puncture lumbar diagnostic (62270) $153.09 $170.10 0.2×
Strapping ankle (29540) $202.23 $224.70 1.1×
Strapping hand/finger (29280) $289.17 $321.30 4.4×
Strapping knee (29530) $275.94 $306.60 1.9×
Strapping shoulder (29240) $289.17 $321.30 2.0×
Strapping toes (29550) $184.28 $204.75 2.8×
Strapping Unna Boot (29580) $111.51 $123.90 0.6×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $3,440.75 $3,823.05 1.1×
Suture 1 nerve hand/foot common sensory nerve (64834) $1,953.32 $2,170.35 0.5×
Suture 1 Nerve Median Motor Thenar (64835) $2,151.77 $2,390.85 0.6×
Suture 1 Nerve Ulnar Motor (64836) $2,151.77 $2,390.85 0.6×
Suture digital nerve hand/foot 1 nerve (64831) $1,835.19 $2,039.10 0.8×
Suture of quadriceps or hamstring muscle rupture primary (27385)
likely a partial charge, not the full procedure
$1,886.22 $2,095.80 0.2×
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $7,185.78 $7,984.20 2.0×
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) $7,185.78 $7,984.20 2.0×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $3,099.60 $3,444 0.8×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $2,926.67 $3,251.85 0.8×
Treat Hip Socket Fracture (27222) $359.10 $399 1.3×
Treat Humerus Fracture (24505)
range across 2 matching MRF lines
$1,270.08–$2,030.81 $1,411.20–$2,256.45 varies
Treat humerus fracture (23600) $2,907.77 $3,230.85 10.6×
Treat Kneecap Fracture (27524) $15,385.55 $17,095.05 1.9×
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines
$869.40–$2,405.97 $966–$2,673.30 varies
Treat toe dislocation (28630) $706.86 $785.40 2.6×
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 2 matching MRF lines
$1,341.90–$4,434.89 $1,491–$4,927.65 varies
Treatment closed elbow dislocation w/o anes (24600) $2,594.97 $2,883.30 9.4×
Trim skin lesion (11055) $53.87 $59.85 0.2×
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines
$23.63–$30.24 $26.25–$33.60 varies
Tubal ligation (58600) $1,189.76 $1,321.95 0.3×
Tx Gastro Intub W/Asp (43753) $790.02 $877.80 3.3×
Tx Incomplete Abortion Any Trimester Surgical (59812)
range across 2 matching MRF lines
$963.90–$1,346.63 $1,071–$1,496.25 varies
Tx Missed Abortion First Trimester Surgical (59820) $1,162.35 $1,291.50 0.3×
Tx Missed Abortion Second Trimester Surgical (59821) $1,167.08 $1,296.75 0.3×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines
$1,372.14–$1,697.22 $1,524.60–$1,885.80 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $1,887.17 $2,096.85 6.9×
Unlisted laparoscopic procedure liver (47379)
likely a partial charge, not the full procedure
$955.40 $1,061.55 0.1×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) $4,461.35 $4,957.05 0.7×
Unlisted laparoscopy procedure, intestine (except rectum) (44238)
likely a partial charge, not the full procedure
$191.84 $213.15 0.0×
Unlisted procedure arthroscopy (29999) $589.68 $655.20 2.1×
Unlisted Procedure Casting/Strapping (29799) $521.64 $579.60 2.9×
Unlisted procedure excision pressure ulcer (15999) $1,516.73 $1,685.25 1.9×
Unlisted procedure femur or knee (27599) $381.78 $424.20 1.4×
Unlisted Procedure Leg/Ankle (27899)
range across 2 matching MRF lines
$1,757.70–$2,811.38 $1,953–$3,123.75 varies
Unlisted procedure nervous system (64999) $146.48 $162.75 0.4×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999)
range across 2 matching MRF lines
$423.36–$576.45 $470.40–$640.50 varies
Unlisted Procedure Trachea Bronchi (31899) $297.68 $330.75 1.3×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $3,979.40 $4,421.55 3.9×
Vag hyst complex (58290)
unusually low: confirm this is the full procedure
$3,041.01 $3,378.90 0.4×
Vag hyst w/t/o & vag repair (58263) $6,946.70 $7,718.55 1.2×
Vaginal Delivery After Cesarean Delivery (59612) $2,988.09 $3,320.10 0.8×
Vaginal delivery only (59409) $2,656.40 $2,951.55 0.7×
Vaginal hysterectomy, for uterus 250 g or less; (58260)
unusually low: confirm this is the full procedure
$2,222.64 $2,469.60 0.4×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $5,976.18 $6,640.20 1.1×
Vaginectomy, partial removal of vaginal wall; (57106) $4,369.68 $4,855.20 1.2×
Vasectomy uni/bi spx w/postop semen exams (55250) $1,243.62 $1,381.80 0.5×
Vulvectomy simple partial (56620) $1,568.70 $1,743 0.4×
Vulvectomy simple; complete (56625) $1,777.55 $1,975.05 0.5×
Vulvectomy, radical, partial; Facility (56630)
unusually low: confirm this is the full procedure
$2,548.67 $2,831.85 0.5×
Wedge excision skin nail fold (11765) $863.73 $959.70 1.9×
Wound Prep F/N/Hf/G (15004) $1,338.12 $1,486.80 3.0×

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.