Procedures & surgery prices at Cumberland Memorial Hospital
Cumberland, WI · every code in this section with a posted price and a Medicare benchmark.
471 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 5 matching MRF lines |
$240.60–$893.03 | $240.60–$893.03 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 3 matching MRF lines |
$163.90–$636.85 | $163.90–$636.85 | varies |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) | $3,758.15 | $3,758.15 | 1.1× |
| Amputation Foot Midtarsal (28800) | $1,955.95 | $1,955.95 | 0.6× |
| Amputation foot transmetarsal (28805) | $2,220.75 | $2,220.75 | 0.7× |
| Anoscopy diagnostic (46600) | $71.75 | $71.75 | 0.6× |
| Anoscopy; with biopsy, single or multiple (46606) | $624.25 | $624.25 | 0.5× |
| Anterior colporraphy rpr cystocele w/cysto (57240) | $1,887.95 | $1,887.95 | 0.4× |
| Appendectomy (44950) unusually low: confirm this is the full procedure |
$2,334.70 | $2,334.70 | 0.4× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $328.80 | $328.80 | 2.1× |
| Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
$143.95–$309.25 | $143.95–$309.25 | varies |
| Application Cast Finger (29086) range across 2 matching MRF lines |
$115.70–$169.40 | $115.70–$169.40 | varies |
| Application Finger Splint Dynamic (29131) | $405.65 | $405.65 | 7.1× |
| Application finger splint static (29130) range across 4 matching MRF lines |
$65.03–$328.80 | $65.03–$328.80 | varies |
| Application long arm splint shoulder hand (29105) range across 4 matching MRF lines |
$14.10–$284.48 | $14.10–$284.48 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$120.43–$29,505 | $120.43–$29,505 | varies |
| Application of long leg cast (29345) range across 2 matching MRF lines |
$224.93–$226 | $224.93–$226 | varies |
| Application of rigid total contact leg cast (29445) range across 2 matching MRF lines |
$225.38–$500.85 | $225.38–$500.85 | varies |
| Application Short Arm Splint Dynamic (29126) range across 2 matching MRF lines |
$205.50–$287.20 | $205.50–$287.20 | varies |
| Application short arm splint forearm-hand static (29125) range across 4 matching MRF lines |
$14.10–$297.42 | $14.10–$297.42 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$114.10–$249.17 | $114.10–$249.17 | varies |
| Application uniplane external fixation system (20690) unusually low: confirm this is the full procedure |
$2,139.85 | $2,139.85 | 0.3× |
| Apply hand/wrist cast (29085) range across 2 matching MRF lines |
$155.13–$183.40 | $155.13–$183.40 | varies |
| Apply long arm cast (29065) | $353.35 | $353.35 | 1.3× |
| Apply Multlay Comprs Lwr Leg (29581) range across 3 matching MRF lines |
$211.05–$328.80 | $211.05–$328.80 | varies |
| Apply Short Leg Cast (29405) range across 3 matching MRF lines |
$134.73–$364.35 | $134.73–$364.35 | varies |
| Apply short leg cast (29425) | $441.70 | $441.70 | 1.6× |
| Arterial puncture (36600) range across 3 matching MRF lines |
$88.45–$95.95 | $88.45–$95.95 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) | $287.20 | $287.20 | 1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $357 | $357 | 0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$101.43–$343.10 | $101.43–$343.10 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 3 matching MRF lines |
$378.05–$401.55 | $378.05–$401.55 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$81.05–$265 | $81.05–$265 | varies |
| Arthrodesis ankle open (27870) unusually low: confirm this is the full procedure |
$4,055.75 | $4,055.75 | 0.3× |
| Arthrodesis great toe metatarsophalangeal joint (28750) range across 3 matching MRF lines |
$1,467.75–$2,506.75 | $1,467.75–$2,506.75 | varies |
| Arthrodesis subtalar (28725) likely a partial charge, not the full procedure |
$2,120.60 | $2,120.60 | 0.2× |
| Arthrodesis Wrist Complete W/O Bone Graft (25800) | $3,528.55 | $3,528.55 | 0.5× |
| Arthroplasty glenohumeral joint total shoulder (23472) likely a partial charge, not the full procedure |
$4,500 | $4,500 | 0.3× |
| Arthroplasty interphalangeal joint each (26535) | $2,000.80 | $2,000.80 | 0.6× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) | $2,732.45 | $2,732.45 | 0.9× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) | $4,413.55 | $4,413.55 | 0.6× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) | $3,607.10 | $3,607.10 | 0.5× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | $2,000 | $2,000 | 0.6× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) | $4,352.45 | $4,352.45 | 0.6× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) unusually low: confirm this is the full procedure |
$6,055.60 | $6,055.60 | 0.5× |
| Arthrs knee debridement/shaving artclr crtlg (29877) | $2,756.75 | $2,756.75 | 0.9× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $3,346.60 | $3,346.60 | 1.1× |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$335.13–$1,500 | $335.13–$1,500 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$245.68–$1,111.69 | $245.68–$1,111.69 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $198.75 | $198.75 | 0.7× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 4 matching MRF lines |
$124.20–$259.70 | $124.20–$259.70 | varies |
| Biopsy bone open superficial (20240) | $753 | $753 | 0.3× |
| Biopsy of breast; open, incisional (19101) range across 2 matching MRF lines |
$1,069.70–$1,080.60 | $1,069.70–$1,080.60 | varies |
| Biopsy of rectum (45100) | $1,157.90 | $1,157.90 | 0.4× |
| Biopsy Salivary Gland Needle (42400) | $811.65 | $811.65 | 1.2× |
| Biopsy Tongue Anterior Two-Thirds (41100) | $552.10 | $552.10 | 1.1× |
| Biopsy, vestibule of mouth (40808) | $640.45 | $640.45 | 1.2× |
| Bladder instillation anticarcinogenic agent (51720) | $632.78 | $632.78 | 0.9× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$259.90–$419.95 | $259.90–$419.95 | varies |
| Bladder Scan (51798) range across 4 matching MRF lines |
$51.35–$208.10 | $51.35–$208.10 | varies |
| Blepharotomy drainage abscess eyelid (67700) | $287.20 | $287.20 | 0.9× |
| Blood Transfusion Service (36430) | $513.96 | $513.96 | 1.2× |
| Bone Graft Any Donor Area Minor/Small (20900) likely a partial charge, not the full procedure |
$1,423.75 | $1,423.75 | 0.2× |
| Bone Marrow Biopsy (38221) | $1,070.90 | $1,070.90 | 0.7× |
| Bx breast 1st lesion us imag (19083) range across 2 matching MRF lines |
$1,636.15–$2,465 | $1,636.15–$2,465 | varies |
| Bx breast needle core w/o imaging guidance spx (19100) range across 2 matching MRF lines |
$472.55–$506.50 | $472.55–$506.50 | varies |
| Bx Cervix (57500) | $750.80 | $750.80 | 0.8× |
| Bx/exc lymph node open deep axillary node (38525) | $1,672.55 | $1,672.55 | 0.4× |
| Bx/exc lymph node open superficial (38500) | $1,062.80 | $1,062.80 | 0.3× |
| Carpal Tunnel Surgery (64721) range across 2 matching MRF lines |
$1,910.25–$1,925.30 | $1,910.25–$1,925.30 | varies |
| Cataract surgery complex (66982) | $8,200 | $8,200 | 3.7× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) | $806 | $806 | 2.7× |
| Change Cystostomy Tube Complicated (51710) | $718.10 | $718.10 | 1.1× |
| Chemical Cautery Tissue (17250) range across 3 matching MRF lines |
$85.65–$220.90 | $85.65–$220.90 | varies |
| Chest tube placement (32551) range across 2 matching MRF lines |
$340.50–$1,036.61 | $340.50–$1,036.61 | varies |
| Cl Tx Scapular Fx; W Manip (23575) | $1,471.90 | $1,471.90 | 0.9× |
| Cl Tx Tib Shft Fx W Manip (27752) | $2,212.65 | $2,212.65 | 1.4× |
| Clear outer ear canal (69200) | $364.35 | $364.35 | 2.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $1,766.45 | $1,766.45 | 7.4× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $2,014.50 | $2,014.50 | 1.3× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $2,094.50 | $2,094.50 | 1.3× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $1,249.90 | $1,249.90 | 0.8× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $591.60 | $591.60 | 2.6× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $1,183.20 | $1,183.20 | 2.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $1,472 | $1,472 | 0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $1,519.10 | $1,519.10 | 6.3× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $2,180.20 | $2,180.20 | 1.4× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $872.20 | $872.20 | 3.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $1,941.75 | $1,941.75 | 8.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $2,430.65 | $2,430.65 | 1.6× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $2,941.75 | $2,941.75 | 1.9× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $1,316.80 | $1,316.80 | 4.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $569.45 | $569.45 | 2.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $1,151.65 | $1,151.65 | 4.8× |
| Cltx post hip arthrp dislc req anes (27266) | $1,686 | $1,686 | 1.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$398.35–$408.60 | $398.35–$408.60 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $1,900.15 | $1,900.15 | 1.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $2,051.20 | $2,051.20 | 1.3× |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$32.70–$32.90 | $32.70–$32.90 | varies |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) range across 2 matching MRF lines |
$650–$4,300 | $650–$4,300 | varies |
| Colonoscopy w/ablation (45388) range across 2 matching MRF lines |
$650–$4,300 | $650–$4,300 | varies |
| Colonoscopy W/Band Ligation (45398) range across 2 matching MRF lines |
$650–$4,300 | $650–$4,300 | varies |
| Colonoscopy W/Resection (45390) range across 2 matching MRF lines |
$650–$4,300 | $650–$4,300 | varies |
| Colpopexy extraperitoneal (57282) likely a partial charge, not the full procedure |
$1,740 | $1,740 | 0.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $750.80 | $750.80 | 2.5× |
| Colposcopy Cervix Endocervical Curettage (57456) | $298.20 | $298.20 | 1.0× |
| Colposcopy cervix upper/adjacent vagina (57452) | $441.70 | $441.70 | 2.2× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $265 | $265 | 0.9× |
| Colposcopy cervix vag eltrd conization cervix (57461) | $1,578.75 | $1,578.75 | 0.5× |
| Colposcopy entire vagina w/cervix if present (57420) | $397.55 | $397.55 | 1.3× |
| Colposcopy of vulva (56820) | $331.30 | $331.30 | 1.7× |
| Colposcopy Vulva W/Biopsy (56821) | $496.90 | $496.90 | 1.7× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $563.10 | $563.10 | 0.6× |
| Colsc Flexible W/Control Bleeding Any Method (45382) range across 2 matching MRF lines |
$650–$4,300 | $650–$4,300 | varies |
| Colsc flx w/removal lesion by hot bx forceps (45384) range across 2 matching MRF lines |
$650–$4,300 | $650–$4,300 | varies |
| Combined anteroposterior colporrhaphy; (57260) | $2,519.90 | $2,519.90 | 0.5× |
| Conization of cervix (57520) | $1,275.70 | $1,275.70 | 0.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 3 matching MRF lines |
$171.23–$419.65 | $171.23–$419.65 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$125.50–$254 | $125.50–$254 | varies |
| Control oropharyngeal hemorrhage simple (42960) range across 2 matching MRF lines |
$369.78–$2,300 | $369.78–$2,300 | varies |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) | $2,421.15 | $2,421.15 | 0.8× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) | $2,203.40 | $2,203.40 | 0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$235.50–$578.55 | $235.50–$578.55 | varies |
| Cysto/uretero w/lithotripsy (52356) | $2,927.85 | $2,927.85 | 0.6× |
| Cystourethroscopy (52000) | $695.65 | $695.65 | 1.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 3 matching MRF lines |
$135.95–$296.35 | $135.95–$296.35 | varies |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$345.68–$3,332.70 | $345.68–$3,332.70 | varies |
| Debride nail 1-5 (11720) range across 3 matching MRF lines |
$32.88–$108.75 | $32.88–$108.75 | varies |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$54.80–$81.90 | $54.80–$81.90 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$502.68–$2,651.25 | $502.68–$2,651.25 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$137.78–$831.60 | $137.78–$831.60 | varies |
| Destruct B9 Lesion 1-14 (17110) | $220.90 | $220.90 | 1.1× |
| Destruction Benign Lesions 15/> (17111) | $254 | $254 | 1.3× |
| Destruction Lesions Vulva Simple (56501) | $364.35 | $364.35 | 0.2× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) | $362 | $362 | 1.9× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) | $400.80 | $400.80 | 2.1× |
| Destruction Premalignant Lesion 15/> (17004) | $396.85 | $396.85 | 1.0× |
| Destruction premalignant lesion 1st (17000) | $209.90 | $209.90 | 1.1× |
| Diagnostic sigmoidoscopy (45330) range across 2 matching MRF lines |
$474.80–$519 | $474.80–$519 | varies |
| Dilation & curettage dx&/ther nonobstetric (58120) | $1,435.25 | $1,435.25 | 0.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $408.60 | $408.60 | 0.6× |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$363.55–$375.45 | $363.55–$375.45 | varies |
| Drainage of gum lesion (41800) | $751.80 | $751.80 | 5.8× |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$390.75–$691.40 | $390.75–$691.40 | varies |
| Drainage of rectal abscess (45005) range across 2 matching MRF lines |
$408.60–$1,098.40 | $408.60–$1,098.40 | varies |
| Draw Blood Off Venous Device (36591) | $126.25 | $126.25 | 1.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $508 | $508 | 0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$293–$749.70 | $293–$749.70 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 4 matching MRF lines |
$249.85–$583.80 | $249.85–$583.80 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$126.68–$441.53 | $126.68–$441.53 | varies |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) | $757.25 | $757.25 | 0.4× |
| Dstrj Lesion Penis Simple Chemical (54050) | $265 | $265 | 0.7× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $276.10 | $276.10 | 1.4× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) range across 2 matching MRF lines |
$650–$4,300 | $650–$4,300 | varies |
| Egd control bleeding any (43255) range across 2 matching MRF lines |
$650–$4,300 | $650–$4,300 | varies |
| Egd endo mucosal resection (43254) | $870 | $870 | 0.5× |
| Egd Flexible Foreign Body Removal (43247) range across 2 matching MRF lines |
$1,014.75–$4,300 | $1,014.75–$4,300 | varies |
| Egd remove lesion snare (43251) | $1,140.55 | $1,140.55 | 0.6× |
| Egd Tube/Cath Insertion (43241) | $861.40 | $861.40 | 0.5× |
| Endocervical curettage (57505) | $380.55 | $380.55 | 0.4× |
| Endometrial Biopsy (58100) | $519 | $519 | 2.6× |
| Epidural Blood Patch (62273) | $1,046.40 | $1,046.40 | 1.5× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$76.38–$79.48 | $76.38–$79.48 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$277.20–$373.15 | $277.20–$373.15 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $923.95 | $923.95 | 0.6× |
| Exc Back Les Sc < 3 Cm (21930) | $1,385.95 | $1,385.95 | 0.9× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $1,777.45 | $1,777.45 | 0.5× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $868.05 | $868.05 | 1.3× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $1,091.10 | $1,091.10 | 1.6× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $490.20 | $490.20 | 0.7× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$440.55–$646.15 | $440.55–$646.15 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $862.95 | $862.95 | 1.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $1,065.50 | $1,065.50 | 0.7× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $704.35 | $704.35 | 0.4× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $399.55 | $399.55 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $529.30 | $529.30 | 0.8× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$443.85–$667.05 | $443.85–$667.05 | varies |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$481.85–$803.40 | $481.85–$803.40 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $630.15 | $630.15 | 0.4× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $934 | $934 | 0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$885.55–$894.45 | $885.55–$894.45 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) | $1,142.30 | $1,142.30 | 0.4× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 2 matching MRF lines |
$722.10–$1,032.60 | $722.10–$1,032.60 | varies |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $1,173.65 | $1,173.65 | 0.7× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$323.90–$470.60 | $323.90–$470.60 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$393.55–$395.25 | $393.55–$395.25 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$569.75–$663.95 | $569.75–$663.95 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $1,478 | $1,478 | 0.5× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $1,382.75 | $1,382.75 | 0.9× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) | $1,448.95 | $1,448.95 | 0.5× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $760.70 | $760.70 | 1.1× |
| Excision Chalazion Single (67800) range across 2 matching MRF lines |
$369.25–$375.45 | $369.25–$375.45 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $424.35 | $424.35 | 0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $476.95 | $476.95 | 0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $612 | $612 | 1.5× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $713.55 | $713.55 | 1.0× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 3 matching MRF lines |
$208.95–$671.85 | $208.95–$671.85 | varies |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $1,357.95 | $1,357.95 | 0.8× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $504.20 | $504.20 | 0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $685.75 | $685.75 | 1.0× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 2 matching MRF lines |
$588.80–$868.05 | $588.80–$868.05 | varies |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $896.65 | $896.65 | 0.6× |
| Excision of single external papilla or tag, anus (46220) | $277.25 | $277.25 | 0.2× |
| Excision of vaginal cyst or tumor (57135) | $1,093 | $1,093 | 0.3× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $1,693.20 | $1,693.20 | 0.6× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $1,672.55 | $1,672.55 | 1.0× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $1,418.85 | $1,418.85 | 0.9× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $1,492.80 | $1,492.80 | 0.5× |
| Excision/curettage cyst/tumor phalanx finger (26210) | $1,825.90 | $1,825.90 | 1.2× |
| External cephalic version (59412) | $1,672.45 | $1,672.45 | 0.5× |
| Fasciotomy palmar percutaneous (26040) | $1,310.60 | $1,310.60 | 0.8× |
| Fetal non-stress test (59025) | $276.10 | $276.10 | 1.4× |
| Fine needle aspiration without imaging guidance (10021) | $430.85 | $430.85 | 1.1× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $1,407.95 | $1,407.95 | 2.0× |
| Fna bx w/us gdn 1st les (10005) | $634.85 | $634.85 | 0.9× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) likely a partial charge, not the full procedure |
$1,114.83 | $1,114.83 | 0.2× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $1,875.25 | $1,875.25 | 0.7× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $1,253.90 | $1,253.90 | 0.5× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $1,741.45 | $1,741.45 | 0.6× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $657.08 | $657.08 | 0.7× |
| Hysteroscopy Biopsy (58558) | $2,646.40 | $2,646.40 | 0.8× |
| Hysteroscopy Endometrial Ablation (58563) | $6,005.75 | $6,005.75 | 1.2× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) | $4,623.70 | $4,623.70 | 1.0× |
| I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
$496.90–$643.25 | $496.90–$643.25 | varies |
| I&d abscess simple (10060) | $403.40 | $403.40 | 2.1× |
| I&d perianal abscess superficial (46050) | $750.80 | $750.80 | 0.8× |
| I&d pilonidal cyst simple (10080) | $435.15 | $435.15 | 0.6× |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$542.90–$574.25 | $542.90–$574.25 | varies |
| Incise finger tendon sheath (26055) | $1,876.40 | $1,876.40 | 1.2× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$360.15–$540.10 | $360.15–$540.10 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $1,799.30 | $1,799.30 | 0.6× |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$213.15–$403.65 | $213.15–$403.65 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $403.05 | $403.05 | 2.1× |
| Incision extensor tendon sheath wrist (25000) | $1,432.95 | $1,432.95 | 0.9× |
| Incision of lingual frenum (frenotomy) (41010) | $364.35 | $364.35 | 0.2× |
| Incision of rectal abscess (46040) | $1,621.90 | $1,621.90 | 1.4× |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$311–$768.50 | $311–$768.50 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $894.75 | $894.75 | 1.0× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $1,533.30 | $1,533.30 | 1.8× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$287.20–$958.45 | $287.20–$958.45 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 3 matching MRF lines |
$56.20–$3,227.64 | $56.20–$3,227.64 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 2 matching MRF lines |
$163.90–$624.91 | $163.90–$624.91 | varies |
| Injection anesthetic agent suprascapular nerve (64418) | $468 | $468 | 0.7× |
| Injection for identification of sentinel node (38792) | $186.35 | $186.35 | 0.5× |
| Injection single tendon origin/insertion (20551) | $287.20 | $287.20 | 1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$191.60–$384.25 | $191.60–$384.25 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$265–$766.60 | $265–$766.60 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 3 matching MRF lines |
$159.60–$599.67 | $159.60–$599.67 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 3 matching MRF lines |
$145.13–$1,076.30 | $145.13–$1,076.30 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$95.03–$463.05 | $95.03–$463.05 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $128.55 | $128.55 | 0.7× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) | $1,185.75 | $1,185.75 | 1.4× |
| Insert Bladder Cath Complex (51703) | $132.55 | $132.55 | 1.1× |
| Insert cath pleura w/o image (32556) range across 3 matching MRF lines |
$275.03–$1,738.83 | $275.03–$1,738.83 | varies |
| Insert cervical dilator (59200) | $364.35 | $364.35 | 1.2× |
| Insert Drug Implant Device (11981) | $396.65 | $396.65 | 3.1× |
| Insert Gastrostomy Tube Percutaneous (49440) | $1,256.40 | $1,256.40 | 0.7× |
| Insert non-tunnel cv cath (36556) range across 4 matching MRF lines |
$187.65–$985 | $187.65–$985 | varies |
| Insert pessary/other device (57160) | $187.75 | $187.75 | 1.0× |
| Insert Temp Bladder Cath (51702) range across 4 matching MRF lines |
$56.48–$391.25 | $56.48–$391.25 | varies |
| Insert tunneled cv cath (36561) | $2,704.05 | $2,704.05 | 0.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 6 matching MRF lines |
$44.25–$321.20 | $44.25–$321.20 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 3 matching MRF lines |
$187.68–$1,860.50 | $187.68–$1,860.50 | varies |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) range across 2 matching MRF lines |
$191.30–$550.93 | $191.30–$550.93 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 5 matching MRF lines |
$585.80–$916.35 | $585.80–$916.35 | varies |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $1,729.30 | $1,729.30 | 0.6× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 2 matching MRF lines |
$550.28–$551.15 | $550.28–$551.15 | varies |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) range across 2 matching MRF lines |
$581.28–$582.15 | $581.28–$582.15 | varies |
| Intraoral i&d tongue/floor lingual (41000) | $519 | $519 | 1.0× |
| Intro Gastrointestinal Tube (44500) | $128.05 | $128.05 | 0.1× |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$314–$581.96 | $314–$581.96 | varies |
| Laparo-vag hyst incl t/o (58552) | $8,676.65 | $8,676.65 | 0.8× |
| Laparoscopy Enterolysis Separate Procedure (44180) range across 2 matching MRF lines |
$3,179.60–$3,594.60 | $3,179.60–$3,594.60 | varies |
| Laparoscopy fulguration oviducts (58670) unusually low: confirm this is the full procedure |
$2,340.50 | $2,340.50 | 0.4× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) likely a partial charge, not the full procedure |
$964.70 | $964.70 | 0.2× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) unusually low: confirm this is the full procedure |
$3,950 | $3,950 | 0.4× |
| Laparoscopy W/Lysis Of Adhesions (58660) range across 2 matching MRF lines |
$2,344.75–$5,150.55 | $2,344.75–$5,150.55 | varies |
| Laparoscopy w/rmvl adnexal structures (58661) | $5,150.55 | $5,150.55 | 0.9× |
| Laparoscopy, surgical, appendectomy (44970) range across 2 matching MRF lines |
$2,395.65–$2,453.10 | $2,395.65–$2,453.10 | varies |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) unusually low: confirm this is the full procedure |
$2,915.85 | $2,915.85 | 0.5× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) likely a partial charge, not the full procedure |
$1,466.70 | $1,466.70 | 0.2× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) likely a partial charge, not the full procedure |
$1,269.65 | $1,269.65 | 0.2× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) | $3,676.30 | $3,676.30 | 0.6× |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) | $2,936.65 | $2,936.65 | 0.5× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) unusually low: confirm this is the full procedure |
$4,625.75 | $4,625.75 | 0.4× |
| Laryngoscopy flexible diagnostic (31575) | $399.05 | $399.05 | 2.1× |
| Laryngoscopy W/Foreign Body Removal (31530) | $922.95 | $922.95 | 0.5× |
| Late closure of wound (13160) range across 2 matching MRF lines |
$628.15–$1,061.31 | $628.15–$1,061.31 | varies |
| Ligation or biopsy temporal artery (37609) | $1,059.90 | $1,059.90 | 0.7× |
| Mastectomy partial (19301) range across 2 matching MRF lines |
$662.45–$2,394.10 | $662.45–$2,394.10 | varies |
| Mastectomy simple complete (19303) | $3,568.10 | $3,568.10 | 0.6× |
| N block inj intercost sng (64420) range across 3 matching MRF lines |
$133.88–$264.60 | $133.88–$264.60 | varies |
| N Block Inj Paracervical (64435) | $640.45 | $640.45 | 0.9× |
| N Block Lumbar/Thoracic (64520) | $2,015.90 | $2,015.90 | 2.3× |
| Nasal/Orogastric W/Tube Plmt (43752) range across 3 matching MRF lines |
$89.85–$819.90 | $89.85–$819.90 | varies |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $64.05 | $64.05 | 2.3× |
| Needle insertion w/o injection 3 or more muscles (20561) | $96.45 | $96.45 | 3.4× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) | $2,557.45 | $2,557.45 | 1.3× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $385.65 | $385.65 | 1.3× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $666.95 | $666.95 | 0.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $867 | $867 | 1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $2,123.80 | $2,123.80 | 3.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $707.70 | $707.70 | 1.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $2,123.80 | $2,123.80 | 3.1× |
| Occipital Nerve Block (64405) | $362.94 | $362.94 | 1.2× |
| Omntc Epiploectomy Rescj Omentum Spx (49255) unusually low: confirm this is the full procedure |
$2,574.20 | $2,574.20 | 0.4× |
| Open Repair of Rotator Cuff Acute (23410) unusually low: confirm this is the full procedure |
$2,550 | $2,550 | 0.4× |
| Open Treatment Bimalleolar Ankle Fracture (27814) unusually low: confirm this is the full procedure |
$2,987.30 | $2,987.30 | 0.4× |
| Open Treatment Fracture Distal Tibia & Fibula (27828) unusually low: confirm this is the full procedure |
$3,871.29 | $3,871.29 | 0.3× |
| Open Treatment Radial Shaft Fracture (25515) unusually low: confirm this is the full procedure |
$2,519.90 | $2,519.90 | 0.4× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) unusually low: confirm this is the full procedure |
$2,480.80 | $2,480.80 | 0.4× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) unusually low: confirm this is the full procedure |
$2,789.45 | $2,789.45 | 0.4× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) unusually low: confirm this is the full procedure |
$3,077.55 | $3,077.55 | 0.4× |
| Ostectomy, complete excision; fifth metatarsal head (28113) | $1,438.90 | $1,438.90 | 0.5× |
| Partial Excision Distal Phalanx Finger (26236) range across 2 matching MRF lines |
$1,694.85–$6,055.60 | $1,694.85–$6,055.60 | varies |
| Perq device breast 1st imag (19281) range across 3 matching MRF lines |
$567.70–$971.90 | $567.70–$971.90 | varies |
| Place Duod/Jej Tube Perc (49441) range across 3 matching MRF lines |
$536.40–$1,606.85 | $536.40–$1,606.85 | varies |
| Placement of needle for intraosseous infusion (36680) range across 3 matching MRF lines |
$131.30–$678.30 | $131.30–$678.30 | varies |
| Placement of seton (46020) | $913.50 | $913.50 | 0.3× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $670.45 | $670.45 | 0.3× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) | $2,095 | $2,095 | 0.4× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $344.40 | $344.40 | 0.4× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $1,677 | $1,677 | 0.5× |
| Punch biopsy skin single lesion (11104) range across 3 matching MRF lines |
$311–$644.55 | $311–$644.55 | varies |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) | $942.65 | $942.65 | 1.4× |
| Removal Embedded Foreign Body Eyelid (67938) range across 2 matching MRF lines |
$149.78–$266.70 | $149.78–$266.70 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$307.98–$374.85 | $307.98–$374.85 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $77.45 | $77.45 | 1.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
$68.25–$143.65 | $68.25–$143.65 | varies |
| Removal Implant Deep (20680) | $1,910.55 | $1,910.55 | 0.7× |
| Removal Implant Superficial Separate Procedure (20670) range across 2 matching MRF lines |
$334.10–$417 | $334.10–$417 | varies |
| Removal implantable contraceptive capsules (11976) | $246.20 | $246.20 | 0.4× |
| Removal of anal fissure (46200) | $2,354.90 | $2,354.90 | 0.9× |
| Removal of foreign body from pharynx (42809) | $459 | $459 | 1.1× |
| Removal of nail bed (11750) | $694.95 | $694.95 | 1.8× |
| Removal of sperm cord lesion (55520) | $1,621.40 | $1,621.40 | 0.5× |
| Removal or bivalving full arm or full leg cast (29705) range across 3 matching MRF lines |
$101.30–$284.48 | $101.30–$284.48 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $303.75 | $303.75 | 1.6× |
| Removal/bivalving gauntlet boot/body cast (29700) range across 3 matching MRF lines |
$74.30–$256.03 | $74.30–$256.03 | varies |
| Remove drug implant device (11982) | $237.90 | $237.90 | 0.5× |
| Remove Forearm Foreign Body (25248) | $1,738.45 | $1,738.45 | 1.1× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$66.75–$149.78 | $66.75–$149.78 | varies |
| Remove Intrauterine Device (58301) | $187.75 | $187.75 | 0.6× |
| Remove Nasal Foreign Body (30300) | $612.95 | $612.95 | 4.7× |
| Remove/Insert Drug Implant (11983) | $359.60 | $359.60 | 0.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$733.15–$1,761.34 | $733.15–$1,761.34 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$748.15–$1,861.34 | $748.15–$1,861.34 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$552.08–$1,561.34 | $552.08–$1,561.34 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$689.93–$1,661.34 | $689.93–$1,661.34 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
$527.30–$1,361.34 | $527.30–$1,361.34 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 3 matching MRF lines |
$588.88–$1,461.34 | $588.88–$1,461.34 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) range across 2 matching MRF lines |
$628.15–$1,061.31 | $628.15–$1,061.31 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$643.15–$1,161.34 | $643.15–$1,161.34 | varies |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) | $1,506.90 | $1,506.90 | 0.5× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $2,341.70 | $2,341.70 | 0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$426.28–$905.35 | $426.28–$905.35 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 4 matching MRF lines |
$457.28–$806 | $457.28–$806 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 3 matching MRF lines |
$488.28–$1,258.60 | $488.28–$1,258.60 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$519.28–$520.15 | $519.28–$520.15 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) range across 2 matching MRF lines |
$612.28–$613.15 | $612.28–$613.15 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 3 matching MRF lines |
$512.38–$1,236.55 | $512.38–$1,236.55 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 4 matching MRF lines |
$419.38–$750.80 | $419.38–$750.80 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 4 matching MRF lines |
$450.38–$806 | $450.38–$806 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$481.38–$595.64 | $481.38–$595.64 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) range across 2 matching MRF lines |
$574.38–$689.64 | $574.38–$689.64 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$545.23–$691.95 | $545.23–$691.95 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 4 matching MRF lines |
$348.48–$622.95 | $348.48–$622.95 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 4 matching MRF lines |
$439.08–$803.40 | $439.08–$803.40 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$576.23–$722.95 | $576.23–$722.95 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
$469.63–$861.15 | $469.63–$861.15 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 2 matching MRF lines |
$607.23–$753.95 | $607.23–$753.95 | varies |
| Repair of nail bed (11760) range across 3 matching MRF lines |
$251.95–$1,061.55 | $251.95–$1,061.55 | varies |
| Repair tongue laceration (41250) | $942.65 | $942.65 | 2.2× |
| Repair/graft achilles tendon (27652) likely a partial charge, not the full procedure |
$1,462.85 | $1,462.85 | 0.2× |
| Replace G-J Tube Perc (49452) | $304.83 | $304.83 | 0.3× |
| Rerepair ing hernia reduce (49520) | $2,273.20 | $2,273.20 | 0.7× |
| Revision of lower leg tendon (27685) | $2,107.70 | $2,107.70 | 0.7× |
| Revision of reconstructed breast (19380) | $3,779.85 | $3,779.85 | 0.6× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) range across 2 matching MRF lines |
$208.89–$273.75 | $208.89–$273.75 | varies |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $403.85 | $403.85 | 0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 3 matching MRF lines |
$92.83–$298.20 | $92.83–$298.20 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$227.40–$231.95 | $227.40–$231.95 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 2 matching MRF lines |
$83.40–$205.50 | $83.40–$205.50 | varies |
| Rmvl fecal impaction/fb spx under anes (45915) range across 2 matching MRF lines |
$984.40–$1,014.40 | $984.40–$1,014.40 | varies |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) | $723.25 | $723.25 | 0.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 3 matching MRF lines |
$948.75–$1,059.90 | $948.75–$1,059.90 | varies |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) range across 3 matching MRF lines |
$183.18–$370.65 | $183.18–$370.65 | varies |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$1,096.40–$1,115.15 | $1,096.40–$1,115.15 | varies |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $476.65 | $476.65 | 0.3× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) range across 2 matching MRF lines |
$1,987.20–$2,087.80 | $1,987.20–$2,087.80 | varies |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $1,432.95 | $1,432.95 | 0.4× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) | $2,601 | $2,601 | 0.7× |
| Rpr aa hrn 1st 3-10 rdc (49593) unusually low: confirm this is the full procedure |
$2,080 | $2,080 | 0.3× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) likely a partial charge, not the full procedure |
$902.05 | $902.05 | 0.2× |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) | $1,149.73 | $1,149.73 | 0.4× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$204.10–$384.81 | $204.10–$384.81 | varies |
| Rpr flexor tendon leg secondary w/o graft each (27659) likely a partial charge, not the full procedure |
$1,094.60 | $1,094.60 | 0.2× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) range across 2 matching MRF lines |
$543.38–$658.64 | $543.38–$658.64 | varies |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) | $2,002.30 | $2,002.30 | 0.6× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $902.05 | $902.05 | 0.8× |
| Shave skin lesion 0.5 cm/< (11300) | $207.50 | $207.50 | 0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $247.70 | $247.70 | 1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $178.15 | $178.15 | 0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $259.20 | $259.20 | 1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $308.60 | $308.60 | 1.6× |
| Shoulder Arthroscopy/Surgery (29825) | $2,519.90 | $2,519.90 | 0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $312.25 | $312.25 | 1.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $247.70 | $247.70 | 1.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $328.20 | $328.20 | 0.8× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $294.30 | $294.30 | 1.5× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $613.95 | $613.95 | 0.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$276.33–$415.81 | $276.33–$415.81 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$122.33–$569.45 | $122.33–$569.45 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$125.98–$693.75 | $125.98–$693.75 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 2 matching MRF lines |
$307.33–$446.81 | $307.33–$446.81 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 3 matching MRF lines |
$162.08–$448.25 | $162.08–$448.25 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) range across 2 matching MRF lines |
$338.33–$477.81 | $338.33–$477.81 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$98.53–$471.95 | $98.53–$471.95 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$315.30–$468.08 | $315.30–$468.08 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$160.33–$707.10 | $160.33–$707.10 | varies |
| Skin sub graft face/nk/hf/g (15275) range across 4 matching MRF lines |
$213.95–$1,760.38 | $213.95–$1,760.38 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$189.60–$1,200.68 | $189.60–$1,200.68 | varies |
| Skin sub grft t/arm/lg child (15273) | $3,099.90 | $3,099.90 | 1.5× |
| Skn sub grft f/n/hf/g child (15277) | $1,735.10 | $1,735.10 | 0.9× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) | $2,761 | $2,761 | 0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 4 matching MRF lines |
$129.03–$569.45 | $129.03–$569.45 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$205.35–$406.08 | $205.35–$406.08 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$129.03–$437.08 | $129.03–$437.08 | varies |
| Sphincterotomy anal division sphincter spx (46080) | $778.05 | $778.05 | 0.3× |
| Spinal puncture lumbar diagnostic (62270) range across 4 matching MRF lines |
$139.43–$720.10 | $139.43–$720.10 | varies |
| Strapping ankle (29540) | $164.55 | $164.55 | 1.0× |
| Strapping elbow or wrist (29260) | $100.95 | $100.95 | 1.8× |
| Strapping hand/finger (29280) | $89.20 | $89.20 | 1.6× |
| Strapping Hip (29520) | $164.55 | $164.55 | 1.3× |
| Strapping knee (29530) | $164.55 | $164.55 | 1.3× |
| Strapping shoulder (29240) | $164.55 | $164.55 | 1.3× |
| Strapping thorax (29200) | $164.55 | $164.55 | 1.0× |
| Strapping toes (29550) | $164.55 | $164.55 | 2.9× |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$59.25–$118.65 | $59.25–$118.65 | varies |
| Surg tx anal fistula subq (46270) | $1,647 | $1,647 | 0.6× |
| Tangential biopsy skin single lesion (11102) | $311 | $311 | 0.8× |
| Tenodesis long tendon biceps (23430) unusually low: confirm this is the full procedure |
$2,400 | $2,400 | 0.3× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) | $981.95 | $981.95 | 0.3× |
| Tenotomy Percutaneous Single Each Digit (26060) | $992.90 | $992.90 | 0.6× |
| Thyroidectomy, total or complete (60240) unusually low: confirm this is the full procedure |
$2,043.60 | $2,043.60 | 0.3× |
| Tooth extraction (41899) | $2,550 | $2,550 | 11.1× |
| Total Knee Arthroplasty (27447) | $6,274.20 | $6,274.20 | 0.5× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) range across 2 matching MRF lines |
$1,031.05–$1,051.70 | $1,031.05–$1,051.70 | varies |
| Treat ankle dislocation (27848) unusually low: confirm this is the full procedure |
$2,941.95 | $2,941.95 | 0.4× |
| Treat Fx Rad Extra-Articul (25607) unusually low: confirm this is the full procedure |
$2,684 | $2,684 | 0.4× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $1,782.15 | $1,782.15 | 1.1× |
| Treatment closed elbow dislocation w/o anes (24600) | $1,663.05 | $1,663.05 | 6.9× |
| Trim skin lesion (11055) range across 3 matching MRF lines |
$35.30–$139.15 | $35.30–$139.15 | varies |
| Trim skin lesions 2 to 4 (11056) range across 3 matching MRF lines |
$50.80–$87.15 | $50.80–$87.15 | varies |
| Trim skin lesions over 4 (11057) range across 2 matching MRF lines |
$65.25–$87.15 | $65.25–$87.15 | varies |
| Trimming Nondystrophic Nails Any Number (11719) range across 3 matching MRF lines |
$17.10–$106.15 | $17.10–$106.15 | varies |
| Tx Gastro Intub W/Asp (43753) range across 2 matching MRF lines |
$66.10–$86.20 | $66.10–$86.20 | varies |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $1,744.35 | $1,744.35 | 0.6× |
| Tx Missed Abortion First Trimester Surgical (59820) | $2,646.40 | $2,646.40 | 0.8× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $2,036.40 | $2,036.40 | 1.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$369.33–$508.81 | $369.33–$508.81 | varies |
| Tx superficial wound dehiscence w/packing (12021) range across 4 matching MRF lines |
$400.33–$552.10 | $400.33–$552.10 | varies |
| Unlisted procedure nervous system (64999) | $837.90 | $837.90 | 2.8× |
| Unlisted Procedure, Urinary System (53899) | $3,190.65 | $3,190.65 | 13.1× |
| Vag hyst complex (58290) | $6,630 | $6,630 | 0.9× |
| Vaginal delivery only (59409) | $2,846.40 | $2,846.40 | 0.9× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) | $3,162 | $3,162 | 0.7× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $1,810.65 | $1,810.65 | 0.9× |
| Vulvectomy simple partial (56620) | $1,334.78 | $1,334.78 | 0.4× |
| Wound Prep Trk/Arm/Leg (15002) | $1,156.65 | $1,156.65 | 1.6× |
| Xfer Single Deep Low Leg Tendon (27691) unusually low: confirm this is the full procedure |
$2,838.90 | $2,838.90 | 0.4× |
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.