Procedures & surgery prices at Daviess Community Hospital
Washington, IN · every code in this section with a posted price and a Medicare benchmark.
719 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 3 matching MRF lines |
$149.45–$1,968.75 | $213.50–$2,812.50 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$882.35–$1,202.60 | $1,260.50–$1,718 | varies |
| Amniocentesis diagnostic (59000) | $1,104.60 | $1,578 | 1.1× |
| Amniocentesis therapeutic (59001) | $269.68 | $385.25 | 0.8× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) range across 2 matching MRF lines |
$984.20–$2,018.10 | $1,406–$2,883 | varies |
| Amputation metatarsal with toe single (28810) | $590.80 | $844 | 0.2× |
| Amputation toe metatarsophalangeal joint (28820) | $251.65 | $359.50 | 0.1× |
| Anoscopy diagnostic (46600) | $115.50 | $165 | 0.8× |
| Anoscopy W/Rmvl Foreign Body (46608) | $235.55 | $336.50 | 0.2× |
| Anterior colporraphy rpr cystocele w/cysto (57240) likely a partial charge, not the full procedure |
$862.40 | $1,232 | 0.2× |
| Appendectomy (44950) likely a partial charge, not the full procedure |
$851.20 | $1,216 | 0.1× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $20.30 | $29 | 0.1× |
| Application finger splint static (29130) | $82.25 | $117.50 | 0.6× |
| Application long arm splint shoulder hand (29105) | $276.50 | $395 | 1.6× |
| Application Long Leg Splint (29505) | $234.85 | $335.50 | 1.4× |
| Application of rigid total contact leg cast (29445) range across 3 matching MRF lines |
$149.10–$581.70 | $213–$831 | varies |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$35–$185.85 | $50–$265.50 | varies |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$41.65–$242.90 | $59.50–$347 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 3 matching MRF lines |
$190.40–$246.05 | $272–$351.50 | varies |
| Arterial puncture (36600) range across 3 matching MRF lines |
$19.60–$121.80 | $28–$174 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 7 matching MRF lines |
$32.55–$1,014.30 | $46.50–$1,449 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 8 matching MRF lines |
$44.45–$1,694.70 | $63.50–$2,421 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 12 matching MRF lines |
$39.55–$1,122.45 | $56.50–$1,603.50 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 9 matching MRF lines |
$72.45–$1,345.75 | $103.50–$1,922.50 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 7 matching MRF lines |
$31.50–$1,998.15 | $45–$2,854.50 | varies |
| Arthroplasty glenohumeral joint total shoulder (23472) range across 2 matching MRF lines |
$1,248.10–$1,937.60 | $1,783–$2,768 | varies |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) range across 3 matching MRF lines |
$720.65–$1,155 | $1,029.50–$1,650 | varies |
| Arthroscopy Knee Osteochondral Allograft (29867) range across 2 matching MRF lines |
$1,102.15–$1,763.30 | $1,574.50–$2,519 | varies |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) range across 2 matching MRF lines |
$535.50–$856.45 | $765–$1,223.50 | varies |
| Arthroscopy shoulder distal claviculectomy (29824) range across 2 matching MRF lines |
$586.95–$938.70 | $838.50–$1,341 | varies |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) range across 2 matching MRF lines |
$889.35–$1,422.75 | $1,270.50–$2,032.50 | varies |
| Arthroscopy, knee, surgical; with lateral release (29873) | $745.15 | $1,064.50 | 0.2× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) range across 2 matching MRF lines |
$596.75–$954.80 | $852.50–$1,364 | varies |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) range across 2 matching MRF lines |
$793.10–$1,268.75 | $1,133–$1,812.50 | varies |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) range across 2 matching MRF lines |
$513.80–$822.15 | $734–$1,174.50 | varies |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) range across 2 matching MRF lines |
$469.35–$750.75 | $670.50–$1,072.50 | varies |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) likely a partial charge, not the full procedure |
$1,429.05 | $2,041.50 | 0.2× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) range across 2 matching MRF lines |
$924.35–$1,478.75 | $1,320.50–$2,112.50 | varies |
| Arthrotomy W/Meniscus Repair Knee (27403) range across 2 matching MRF lines |
$446.95–$894.25 | $638.50–$1,277.50 | varies |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) range across 2 matching MRF lines |
$1,106.35–$1,769.95 | $1,580.50–$2,528.50 | varies |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) range across 2 matching MRF lines |
$845.25–$1,352.05 | $1,207.50–$1,931.50 | varies |
| Arthrs knee debridement/shaving artclr crtlg (29877) range across 2 matching MRF lines |
$859.95–$860.65 | $1,228.50–$1,229.50 | varies |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $779.10 | $1,113 | 0.2× |
| Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
$156.10–$2,675.05 | $223–$3,821.50 | varies |
| Aspirate Pleura W/O Imaging (32554) | $862.40 | $1,232 | 1.3× |
| Aspirate/Inj Ganglion Cyst (20612) range across 3 matching MRF lines |
$100.45–$450.45 | $143.50–$643.50 | varies |
| Aspiration bladder insert suprapubic catheter (51102) range across 3 matching MRF lines |
$199.15–$4,285.75 | $284.50–$6,122.50 | varies |
| Aspiration Bladder Needle (51100) range across 2 matching MRF lines |
$47.60–$759.15 | $68–$1,084.50 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 4 matching MRF lines |
$47.60–$275.10 | $68–$393 | varies |
| Biopsy Abdominal Mass (49180) range across 2 matching MRF lines |
$113.40–$2,086 | $162–$2,980 | varies |
| Biopsy bone open superficial (20240) range across 2 matching MRF lines |
$195.30–$3,046.05 | $279–$4,351.50 | varies |
| Biopsy bone trocar/needle deep (20225) | $3,061.80 | $4,374 | 1.8× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $2,227.75 | $3,182.50 | 1.3× |
| Biopsy external ear (69100) | $65.45 | $93.50 | 0.3× |
| Biopsy muscle percutaneous needle (20206) range across 2 matching MRF lines |
$2,154.60 | $114.50–$3,078 | 1.2× |
| Biopsy of liver, needle; percutaneous (47000) range across 2 matching MRF lines |
$138.60–$1,911 | $198–$2,730 | varies |
| Biopsy Pleura Percutaneous Needle (32400) | $1,208.55 | $1,726.50 | 0.7× |
| Biopsy Salivary Gland Needle (42400) | $1,740.90 | $2,487 | 2.3× |
| Biopsy Soft Tissue Leg/Ankle Area Deep (27614) | $578.55 | $826.50 | 0.2× |
| Biopsy soft tissue neck/thorax (21550) | $217.35 | $310.50 | 0.1× |
| Biopsy, vestibule of mouth (40808) | $717.15 | $1,024.50 | 1.3× |
| Biopsy/removal lymph nodes (38510) | $551.25 | $787.50 | 0.1× |
| Bladder Irrigation (51700) | $389.90 | $557 | 1.5× |
| Blepharotomy drainage abscess eyelid (67700) | $332.15 | $474.50 | 1.0× |
| Blood Transfusion Service (36430) | $483 | $690 | 1.0× |
| Bone Marrow Biopsy (38221) | $2,227.75 | $3,182.50 | 1.3× |
| Bone Marrow; Aspiration Only (38220) | $1,503.25 | $2,147.50 | 0.9× |
| Bx breast 1st lesion us imag (19083) range across 2 matching MRF lines |
$219.10–$2,986.55 | $313–$4,266.50 | varies |
| Bx/exc lymph node open deep axillary node (38525) | $605.85 | $865.50 | 0.1× |
| Bx/exc lymph node open superficial (38500) | $339.85 | $485.50 | 0.1× |
| Ca vi psp&sp1 igg igm&iga antb cl semiql blood (0522U) | $207.20 | $296 | 0.8× |
| Carpal Tunnel Surgery (64721) range across 2 matching MRF lines |
$377.30–$603.40 | $539–$862 | varies |
| Catheter aspiration nasotracheal spx (31720) | $290.85 | $415.50 | 1.3× |
| Change Cystostomy Tube Simple (51705) range across 4 matching MRF lines |
$71.75–$892.15 | $102.50–$1,274.50 | varies |
| Chemical Cautery Tissue (17250) range across 3 matching MRF lines |
$92.05–$281.05 | $131.50–$401.50 | varies |
| Chemodenerv 1 extremity 1-4 (64642) | $155.40 | $222 | 0.2× |
| Chemodenerv Musc Migraine (64615) | $172.55 | $246.50 | 0.5× |
| Chemodenerv musc neck dyston (64616) | $153.30 | $219 | 0.5× |
| Chemodenerv trunk musc 1-5 (64646) | $165.55 | $236.50 | 0.2× |
| Chest tube placement (32551) | $1,135.05 | $1,621.50 | 0.7× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $4,326 | $6,180 | 1.1× |
| Circumcision 28 days or older (54161) | $267.40 | $382 | 0.1× |
| Circumcision w/clamp/oth dev w/block (54150) range across 2 matching MRF lines |
$210–$2,798.60 | $300–$3,998 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) range across 3 matching MRF lines |
$418.60–$2,289.70 | $598–$3,271 | varies |
| Claviculectomy partial (23120) | $497.70 | $711 | 0.1× |
| Clear outer ear canal (69200) | $211.75 | $302.50 | 1.5× |
| Closed Rx Metacarpal Fx,Percut (26608) | $672.35 | $960.50 | 0.2× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $1,168.30 | $1,669 | 4.5× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $623 | $890 | 0.4× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $1,318.45 | $1,883.50 | 5.1× |
| Closed Treatment Sternum Fracture (21820) | $422.80 | $604 | 1.6× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $883.40 | $1,262 | 3.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $1,098.30 | $1,569 | 4.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,226.40 | $1,752 | 0.7× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $661.15 | $944.50 | 2.5× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $820.75 | $1,172.50 | 3.1× |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) | $916.30 | $1,309 | 0.5× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $1,004.68 | $1,435.25 | 0.6× |
| Closed tx knee dislocation w/o anesthesia (27550) | $335.83 | $479.75 | 1.3× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $2,289.70 | $3,271 | 1.3× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) | $1,426.60 | $2,038 | 2.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $593.60 | $848 | 2.3× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $948.68 | $1,355.25 | 0.6× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $451.50 | $645 | 0.3× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $3,645.60 | $5,208 | 1.0× |
| Closed tx patellar dislocation w/anesthesia (27562) | $1,360.45 | $1,943.50 | 5.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $995.75 | $1,422.50 | 3.8× |
| Closed tx radial head/neck fx w/manipulation (24655) | $661.50 | $945 | 0.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $709.45 | $1,013.50 | 2.7× |
| Closed tx radial shaft fracture w/manipulation (25505) | $1,324.40 | $1,892 | 0.8× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $744.80 | $1,064 | 2.9× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 3 matching MRF lines |
$406.70–$1,813.70 | $581–$2,591 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $747.95 | $1,068.50 | 2.9× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $699.30 | $999 | 2.7× |
| Closed tx septal&nose fx (21337) | $864.50 | $1,235 | 0.2× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) | $1,042.30 | $1,489 | 4.0× |
| Closed tx talotarsal joint dislc w/o anes (28570) | $561.75 | $802.50 | 2.2× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $1,886.50 | $2,695 | 1.1× |
| Closed tx talus fracture w/o manipulation (28430) | $609.70 | $871 | 2.3× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $535.50 | $765 | 2.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $88.20 | $126 | 0.3× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $773.50 | $1,105 | 3.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $700.35 | $1,000.50 | 2.7× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $540.75 | $772.50 | 2.2× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $657.30 | $939 | 1.2× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $906.50 | $1,295 | 3.5× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $676.55 | $966.50 | 2.6× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $961.80 | $1,374 | 0.6× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $657.30 | $939 | 2.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $1,174.25 | $1,677.50 | 0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $851.90 | $1,217 | 3.3× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) | $989.45 | $1,413.50 | 0.6× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $782.60 | $1,118 | 0.5× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $942.55 | $1,346.50 | 0.6× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $822.50 | $1,175 | 3.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $903 | $1,290 | 3.5× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) | $689.50 | $985 | 0.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $1,113.70 | $1,591 | 4.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $835.45 | $1,193.50 | 3.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $796.25 | $1,137.50 | 3.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $933.45 | $1,333.50 | 3.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 3 matching MRF lines |
$446.25–$1,472.10 | $637.50–$2,103 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $1,081.50 | $1,545 | 0.6× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $2,158.45 | $3,083.50 | 1.3× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $428.75 | $612.50 | 1.6× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $358.05 | $511.50 | 1.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $410.55 | $586.50 | 1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $346.50 | $495 | 1.3× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $1,408.40 | $2,012 | 0.8× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $426.65 | $609.50 | 1.6× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $750.75 | $1,072.50 | 2.9× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) | $1,012.55 | $1,446.50 | 0.6× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $2,093.70 | $2,991 | 1.2× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $905.10 | $1,293 | 3.5× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $1,455.65 | $2,079.50 | 0.9× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $854.70 | $1,221 | 3.3× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $363.65 | $519.50 | 1.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $265.30 | $379 | 1.0× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $582.75 | $832.50 | 2.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $753.55 | $1,076.50 | 2.9× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $1,207.15 | $1,724.50 | 0.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $857.85 | $1,225.50 | 3.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $826.70 | $1,181 | 3.2× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $1,111.25 | $1,587.50 | 0.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $879.20 | $1,256 | 3.4× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $541.45 | $773.50 | 2.1× |
| Cltx post hip arthrp dislc req anes (27266) | $1,622.25 | $2,317.50 | 1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) | $1,176.35 | $1,680.50 | 4.5× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $2,174.55 | $3,106.50 | 1.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $235.20 | $336 | 0.9× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $1,748.95 | $2,498.50 | 1.0× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $1,437.10 | $2,053 | 0.8× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $1,011.15 | $1,444.50 | 3.9× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) | $506.80 | $724 | 1.9× |
| Cltx tibial shaft fx w/o manipulation (27750) | $451.50 | $645 | 1.7× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) | $1,515.15 | $2,164.50 | 5.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$376.25–$1,258.25 | $537.50–$1,797.50 | varies |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) likely a partial charge, not the full procedure |
$1,224.65 | $1,749.50 | 0.2× |
| Collect Blood From Catheter Venous Nos (36592) range across 2 matching MRF lines |
$143.50–$192.50 | $205–$275 | varies |
| Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$10.50–$12.95 | $15–$18.50 | varies |
| Colonoscopy thru stoma (44388) | $217 | $310 | 0.2× |
| Colonoscopy w/ablation (45388) | $377.65 | $539.50 | 0.3× |
| Colonoscopy W/Band Ligation (45398) | $327.25 | $467.50 | 0.3× |
| Colpocentesis (57020) likely a partial charge, not the full procedure |
$230.65 | $329.50 | 0.0× |
| Colpopexy extraperitoneal (57282) likely a partial charge, not the full procedure |
$976.15 | $1,394.50 | 0.1× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $317.80 | $454 | 0.3× |
| Combined anteroposterior colporrhaphy; (57260) likely a partial charge, not the full procedure |
$1,094.45 | $1,563.50 | 0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $300.30 | $429 | 2.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$78.75–$211.05 | $112.50–$301.50 | varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) range across 2 matching MRF lines |
$216.30–$1,904.35 | $309–$2,720.50 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $300.30 | $429 | 2.1× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $392 | $560 | 1.6× |
| Curette/treat cornea (65435) | $1,002.05 | $1,431.50 | 1.0× |
| Cysto Bladder W/Ureteral Catheterization (52005) | $177.80 | $254 | 0.1× |
| Cysto calibration dilat urtl strix/stenosis (52281) range across 2 matching MRF lines |
$208.95–$211.05 | $298.50–$301.50 | varies |
| Cysto w/destruction of lesions (52214) | $245 | $350 | 0.1× |
| Cysto w/insert ureteral stent (52332) | $215.60 | $308 | 0.1× |
| Cysto w/removal of lesions small (52224) | $283.15 | $404.50 | 0.1× |
| Cysto w/removal of tumors small (52234) | $341.25 | $487.50 | 0.1× |
| Cysto W/Simple Removal Stone & Stent (52310) | $210 | $300 | 0.1× |
| Cysto w/up stricture tx (52342) | $414.40 | $592 | 0.1× |
| Cysto w/ureteroscopy w/lithotripsy (52353) range across 2 matching MRF lines |
$544.25–$9,384.90 | $777.50–$13,407 | varies |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) | $491.40 | $702 | 0.1× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) | $512.75 | $732.50 | 0.1× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) | $419.65 | $599.50 | 0.1× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) likely a partial charge, not the full procedure |
$578.90 | $827 | 0.1× |
| Cysto/uretero w/lithotripsy (52356) likely a partial charge, not the full procedure |
$577.15 | $824.50 | 0.1× |
| Cystourethroscopy (52000) | $112.35 | $160.50 | 0.2× |
| Cystourethroscopy inj chemodenervation bladder (52287) | $235.20 | $336 | 0.1× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) | $399.70 | $571 | 0.1× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) likely a partial charge, not the full procedure |
$544.25 | $777.50 | 0.1× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) | $330.05 | $471.50 | 0.1× |
| Cystourethroscopy with biopsy (52204) | $196.35 | $280.50 | 0.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 3 matching MRF lines |
$105–$818.65 | $150–$1,169.50 | varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) range across 2 matching MRF lines |
$500.50–$3,705.10 | $715–$5,293 | varies |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) range across 3 matching MRF lines |
$238–$1,186.85 | $340–$1,695.50 | varies |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) range across 2 matching MRF lines |
$408.10–$840.35 | $583–$1,200.50 | varies |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 4 matching MRF lines |
$213.50–$1,082.90 | $305–$1,547 | varies |
| Debride nail 1-5 (11720) range across 3 matching MRF lines |
$23.28–$170.10 | $33.25–$243 | varies |
| Debride nail 6 or more (11721) | $205.10 | $293 | 3.3× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 3 matching MRF lines |
$1,056.65–$2,956.45 | $1,509.50–$4,223.50 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 5 matching MRF lines |
$81.20–$779.10 | $116–$1,113 | varies |
| Declot vascular device (36593) range across 2 matching MRF lines |
$493.15–$566.65 | $704.50–$809.50 | varies |
| Delivery of placenta (59414) | $137.20 | $196 | 0.0× |
| Destroy cerv/thor facet jnt (64633) | $4,394.95 | $6,278.50 | 2.1× |
| Destroy lumb/sac facet jnt (64635) | $3,591.70 | $5,131 | 1.7× |
| Destruct B9 Lesion 1-14 (17110) | $92.40 | $132 | 0.4× |
| Destruction by neurolytic agent, intercostal nerve (64620) | $1,209.25 | $1,727.50 | 1.3× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) range across 2 matching MRF lines |
$143.50–$540.40 | $205–$772 | varies |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) range across 2 matching MRF lines |
$165.90–$540.40 | $237–$772 | varies |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) range across 2 matching MRF lines |
$206.85–$540.40 | $295.50–$772 | varies |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) range across 2 matching MRF lines |
$242.20–$818.65 | $346–$1,169.50 | varies |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) range across 2 matching MRF lines |
$327.95–$818.65 | $468.50–$1,169.50 | varies |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) range across 2 matching MRF lines |
$105–$280.70 | $150–$401 | varies |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) range across 2 matching MRF lines |
$133.70–$280.70 | $191–$401 | varies |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) range across 2 matching MRF lines |
$148.40–$280.70 | $212–$401 | varies |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) range across 2 matching MRF lines |
$158.55–$540.40 | $226.50–$772 | varies |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) range across 2 matching MRF lines |
$186.20–$540.40 | $266–$772 | varies |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) range across 2 matching MRF lines |
$104.65–$280.70 | $149.50–$401 | varies |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) range across 2 matching MRF lines |
$114.80–$280.70 | $164–$401 | varies |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) range across 2 matching MRF lines |
$127.05–$280.70 | $181.50–$401 | varies |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) range across 2 matching MRF lines |
$147–$280.70 | $210–$401 | varies |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) range across 2 matching MRF lines |
$165.90–$540.40 | $237–$772 | varies |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) range across 2 matching MRF lines |
$203.70–$540.40 | $291–$772 | varies |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) range across 2 matching MRF lines |
$86.10–$280.70 | $123–$401 | varies |
| Destruction of skin lesions (17106) range across 2 matching MRF lines |
$333.90–$540.40 | $477–$772 | varies |
| Destruction Premalignant Lesion 15/> (17004) range across 2 matching MRF lines |
$506.10–$540.40 | $723–$772 | varies |
| Destruction premalignant lesion 1st (17000) | $76.30 | $109 | 0.4× |
| Diagnostic sigmoidoscopy (45330) | $78.05 | $111.50 | 0.1× |
| Dilate Esophagus 1/Mult Pass (43450) | $226.80 | $324 | 0.2× |
| Dilate Urethra Stricture (53620) | $252.35 | $360.50 | 0.3× |
| Dilation Esophagus Guide Wire (43453) | $246.40 | $352 | 0.1× |
| Drain Cerebro Spinal Fluid (62272) | $245.35 | $350.50 | 0.3× |
| Drain/inj small joint/bursa w/us (20604) range across 6 matching MRF lines |
$68.25–$1,811.60 | $97.50–$2,588 | varies |
| Drainage Abscess/Hematoma Nasal Septum (30020) | $353.85 | $505.50 | 0.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $360.50 | $515 | 0.5× |
| Drainage Finger Abscess Complicated (26011) | $1,866.55 | $2,666.50 | 1.1× |
| Drainage Mouth Roof Lesion (42000) | $312.55 | $446.50 | 1.2× |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$195.65–$474.60 | $279.50–$678 | varies |
| Drainage of gum lesion (41800) | $457.80 | $654 | 3.3× |
| Drainage of hematoma/fluid (10140) range across 4 matching MRF lines |
$175–$4,271.05 | $250–$6,101.50 | varies |
| Drainage of hydrocele (55000) | $245.35 | $350.50 | 0.3× |
| Drainage of nose lesion (30000) | $350.35 | $500.50 | 1.4× |
| Drainage of scrotal wall abscess (55100) range across 2 matching MRF lines |
$226.10–$487.55 | $323–$696.50 | varies |
| Drainage of scrotum (54700) | $287.70 | $411 | 0.1× |
| Draw Blood Off Venous Device (36591) range across 2 matching MRF lines |
$191.80–$227.50 | $274–$325 | varies |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $424.90 | $607 | 0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $372.40 | $532 | 0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $352.10 | $503 | 1.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$225.05–$233.80 | $321.50–$334 | varies |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) range across 2 matching MRF lines |
$434.70–$818.65 | $621–$1,169.50 | varies |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) range across 2 matching MRF lines |
$635.25–$2,676.45 | $907.50–$3,823.50 | varies |
| Dstrj lesion anus simple surg excision (46922) range across 2 matching MRF lines |
$185.85–$390.95 | $265.50–$558.50 | varies |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) range across 2 matching MRF lines |
$245.70–$540.40 | $351–$772 | varies |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $1,242.50 | $1,775 | 1.3× |
| Dx Bone Marrow Bx & Aspir (38222) | $3,904.25 | $5,577.50 | 1.3× |
| Dx Laryngoscopy Excl Nb (31525) | $2,482.90 | $3,547 | 1.3× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $214.55 | $306.50 | 0.1× |
| Egd cautery tumor polyp (43250) | $236.25 | $337.50 | 0.1× |
| Egd control bleeding any (43255) | $140.70 | $201 | 0.1× |
| Egd dilation gastric/duodenal stricture (43245) | $244.65 | $349.50 | 0.1× |
| Egd Flexible Foreign Body Removal (43247) | $247.10 | $353 | 0.3× |
| Egd place gastrostomy tube (43246) | $278.60 | $398 | 0.1× |
| Egd remove lesion snare (43251) | $274.05 | $391.50 | 0.1× |
| Endoscopic injection/implant (51715) | $268.80 | $384 | 0.1× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) range across 2 matching MRF lines |
$834.40–$2,676.45 | $1,192–$3,823.50 | varies |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) range across 2 matching MRF lines |
$856.80–$2,676.45 | $1,224–$3,823.50 | varies |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$629.30–$1,563.45 | $899–$2,233.50 | varies |
| Esophagogastroduodenoscopy Submucosal Injection (43236) | $185.50 | $265 | 0.2× |
| Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
$47.25–$176.40 | $67.50–$252 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 4 matching MRF lines |
$113.75–$972.65 | $162.50–$1,389.50 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 4 matching MRF lines |
$215.60–$2,545.20 | $308–$3,636 | varies |
| Exc Back Les Sc < 3 Cm (21930) | $488.95 | $698.50 | 0.3× |
| Exc Back Tum Deep 5 Cm/> (21933) | $985.25 | $1,407.50 | 0.3× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $629.65 | $899.50 | 0.2× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $252 | $360 | 0.3× |
| Exc Face Les Sbq 2 Cm/> (21012) | $456.75 | $652.50 | 0.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$147.70–$976.15 | $211–$1,394.50 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$376.25–$893.55 | $537.50–$1,276.50 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $938.35 | $1,340.50 | 1.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $2,102.10 | $3,003 | 1.2× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $2,102.10 | $3,003 | 1.2× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 3 matching MRF lines |
$168.35–$2,198.70 | $240.50–$3,141 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 4 matching MRF lines |
$151.90–$2,008.30 | $217–$2,869 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 5 matching MRF lines |
$187.95–$2,344.65 | $268.50–$3,349.50 | varies |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $430.85 | $615.50 | 0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 4 matching MRF lines |
$205.45–$972.65 | $293.50–$1,389.50 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 3 matching MRF lines |
$414.75–$2,207.10 | $592.50–$3,153 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 4 matching MRF lines |
$376.60–$3,705.10 | $538–$5,293 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 4 matching MRF lines |
$341.95–$4,888.10 | $488.50–$6,983 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) range across 2 matching MRF lines |
$438.90–$3,625.30 | $627–$5,179 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $283.50 | $405 | 0.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $404.25 | $577.50 | 0.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $438.20 | $626 | 0.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 2 matching MRF lines |
$157.85–$4,203.50 | $225.50–$6,005 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 3 matching MRF lines |
$205.80–$733.25 | $294–$1,047.50 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 5 matching MRF lines |
$160.30–$972.65 | $229–$1,389.50 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 4 matching MRF lines |
$226.45–$2,198.70 | $323.50–$3,141 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $612.85 | $875.50 | 0.2× |
| Exc Varicocele/Ligation Spermatic Veins Spx (55530) | $477.40 | $682 | 0.1× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $2,614.50 | $3,735 | 1.3× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $267.75 | $382.50 | 0.4× |
| Excision external ear; complete amputation Facility (69120) range across 2 matching MRF lines |
$480.55–$7,947.10 | $686.50–$11,353 | varies |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) | $342.65 | $489.50 | 0.1× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $380.80 | $544 | 0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $294.70 | $421 | 0.4× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $315.35 | $450.50 | 0.2× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $234.50 | $335 | 0.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $329.70 | $471 | 0.2× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $451.15 | $644.50 | 0.3× |
| Excision of hydrocele; bilateral (55041) | $693.70 | $991 | 0.2× |
| Excision of hydrocele; unilateral (55040) | $473.20 | $676 | 0.1× |
| Excision of local lesion of epididymis (54830) | $506.45 | $723.50 | 0.1× |
| Excision of single external papilla or tag, anus (46220) | $345.10 | $493 | 0.3× |
| Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Facility (55535) likely a partial charge, not the full procedure |
$598.85 | $855.50 | 0.1× |
| Excision olecranon bursa (24105) | $500.15 | $714.50 | 0.1× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $620.20 | $886 | 0.2× |
| Excision spermatocele w/wo epididymectomy (54840) | $448.35 | $640.50 | 0.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $648.20 | $926 | 0.4× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $580.30 | $829 | 0.3× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $607.60 | $868 | 0.2× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $564.90 | $807 | 0.2× |
| Expl penetrating wound spx abdomen/flank/back (20102) range across 2 matching MRF lines |
$345.80–$2,522.80 | $494–$3,604 | varies |
| Exploration of knee joint (27310) range across 2 matching MRF lines |
$507.15–$1,014.30 | $724.50–$1,449 | varies |
| Exploration penetrating wound spx chest (20101) | $2,522.80 | $3,604 | 1.2× |
| Exploration penetrating wound spx extremity (20103) | $1,962.80 | $2,804 | 1.1× |
| Exploration Penetrating Wound Spx Neck (20100) | $1,710.80 | $2,444 | 3.0× |
| External cephalic version (59412) | $156.10 | $223 | 0.0× |
| Fetal Contraction Stress Test (59020) | $55.65 | $79.50 | 0.3× |
| Fetal non-stress test (59025) range across 2 matching MRF lines |
$44.63–$850.15 | $63.75–$1,214.50 | varies |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $2,276.40 | $3,252 | 3.0× |
| Fine needle aspiration without imaging guidance (10021) range across 3 matching MRF lines |
$67.20–$540.40 | $96–$772 | varies |
| Fixation contralateral testis separate procedure (54620) | $417.20 | $596 | 0.1× |
| Fluoro exam of g/colon tube (49465) | $495.60 | $708 | 2.0× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $802.20 | $1,146 | 1.1× |
| Fna bx w/us gdn 1st les (10005) range across 2 matching MRF lines |
$104.30–$1,088.15 | $149–$1,554.50 | varies |
| Foreskin manipulation (54450) | $165.55 | $236.50 | 0.6× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) | $843.50 | $1,205 | 0.4× |
| Guide Cathet Fluid Drainage (10030) | $1,983.10 | $2,833 | 2.6× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $649.25 | $927.50 | 0.2× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $261.10 | $373 | 0.3× |
| I&d abscess peritonsillar (42700) | $396.90 | $567 | 1.6× |
| I&d abscess simple (10060) range across 6 matching MRF lines |
$143.50–$611.80 | $205–$874 | varies |
| I&D Below Fascia Foot 1 Bursal Space (28002) range across 2 matching MRF lines |
$175.70–$2,176.65 | $251–$3,109.50 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $701.75 | $1,002.50 | 0.2× |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$139.65–$1,047.20 | $199.50–$1,496 | varies |
| I&d pilonidal cyst complicated (10081) | $1,288.70 | $1,841 | 1.7× |
| I&d pilonidal cyst simple (10080) range across 4 matching MRF lines |
$141.05–$972.65 | $201.50–$1,389.50 | varies |
| I&d thyroglossal duct cyst infected (60000) | $453.95 | $648.50 | 0.3× |
| Image Cath Fluid Colxn Visc (49405) | $3,258.15 | $4,654.50 | 1.9× |
| Image Cath Fluid Peri/Retro (49406) range across 3 matching MRF lines |
$305.90–$3,574.55 | $437–$5,106.50 | varies |
| Image Cath Fluid Trns/Vgnl (49407) range across 2 matching MRF lines |
$2,021.95–$2,089.85 | $2,888.50–$2,985.50 | varies |
| Implant Neuroelectrodes (64561) likely a partial charge, not the full procedure |
$424.20 | $606 | 0.1× |
| Implant Periph/Gastric Neurostim/Receiver (64590) likely a partial charge, not the full procedure |
$224 | $320 | 0.0× |
| Incise external hemorrhoid (46083) | $316.75 | $452.50 | 1.2× |
| Incise finger tendon sheath (26055) | $404.60 | $578 | 0.2× |
| Incision & drainage abscess complicated/multiple (10061) range across 4 matching MRF lines |
$255.50–$540.40 | $365–$772 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) range across 2 matching MRF lines |
$619.15–$2,136.75 | $884.50–$3,052.50 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 5 matching MRF lines |
$159.60–$2,257.15 | $228–$3,224.50 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$224.70–$554.40 | $321–$792 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $318.15 | $454.50 | 1.5× |
| Incision and drainage of vulva or perineal abscess (56405) | $561.75 | $802.50 | 1.7× |
| Incision of lingual frenum (frenotomy) (41010) range across 3 matching MRF lines |
$210–$2,095.45 | $300–$2,993.50 | varies |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$590.80–$2,129.40 | $844–$3,042 | varies |
| Incision of urethra (53020) | $134.40 | $192 | 0.1× |
| Incision&drainage bursa foot (28001) range across 2 matching MRF lines |
$120.75–$2,198.70 | $172.50–$3,141 | varies |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $459.55 | $656.50 | 0.3× |
| Incisional biopsy skin single lesion (11106) range across 4 matching MRF lines |
$282.45–$818.65 | $403.50–$1,169.50 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $272.65 | $389.50 | 1.3× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 3 matching MRF lines |
$1,322.30–$2,650.90 | $1,889–$3,787 | varies |
| Inj W/Fluor Eval Cv Device (36598) range across 2 matching MRF lines |
$50.05–$764.40 | $71.50–$1,092 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $2,017.75 | $2,882.50 | 2.2× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 4 matching MRF lines |
$75.95–$450.45 | $108.50–$643.50 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $1,563.45 | $2,233.50 | 1.7× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $988.75 | $1,412.50 | 1.3× |
| Injection anesthetic agent suprascapular nerve (64418) | $988.75 | $1,412.50 | 1.3× |
| Injection for identification of sentinel node (38792) range across 3 matching MRF lines |
$46.55–$962.50 | $66.50–$1,375 | varies |
| Injection single tendon origin/insertion (20551) | $450.45 | $643.50 | 1.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$443.80–$693 | $634–$990 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$443.80–$563.15 | $634–$804.50 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) | $1,245.65 | $1,779.50 | 1.3× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $988.75 | $1,412.50 | 1.3× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 6 matching MRF lines |
$374.15–$992.25 | $534.50–$1,417.50 | varies |
| Injection, Intralesional; More Than 7 Lesions (11901) range across 2 matching MRF lines |
$56.35–$280.70 | $80.50–$401 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) range across 2 matching MRF lines |
$72.10–$280.70 | $103–$401 | varies |
| Insert Bladder Cath Complex (51703) | $254.10 | $363 | 1.9× |
| Insert cath pleura w/ image (32557) | $1,262.80 | $1,804 | 0.8× |
| Insert Gastrostomy Tube Percutaneous (49440) | $2,112.25 | $3,017.50 | 1.0× |
| Insert multi-comp penis pros (54405) likely a partial charge, not the full procedure |
$1,130.50 | $1,615 | 0.1× |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$183.40–$2,187.85 | $169.50–$3,125.50 | varies |
| Insert self-contd prosthesis (54401) likely a partial charge, not the full procedure |
$899.50 | $1,285 | 0.0× |
| Insert Temp Bladder Cath (51702) range across 5 matching MRF lines |
$31.50–$254.45 | $45–$363.50 | varies |
| Insert tissue expander(s) (11960) range across 2 matching MRF lines |
$1,227.10–$5,502.35 | $1,753–$7,860.50 | varies |
| Insert tun ip cath perc (49418) | $6,392.05 | $9,131.50 | 1.7× |
| Insert tunneled cv cath (36561) range across 3 matching MRF lines |
$462.35–$4,803.40 | $660.50–$6,862 | varies |
| Insert tunneled cv cath (36563) unusually low: confirm this is the full procedure |
$1,956.15 | $2,794.50 | 0.3× |
| Insert Uro/Ves Nck Sphincter (53445) likely a partial charge, not the full procedure |
$1,056.65 | $1,509.50 | 0.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 3 matching MRF lines |
$31.50–$227.50 | $45–$325 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 2 matching MRF lines |
$131.78–$1,956.15 | $188.25–$2,794.50 | varies |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) range across 3 matching MRF lines |
$1,255.10–$1,836.45 | $1,793–$2,623.50 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 3 matching MRF lines |
$140.35–$1,734.95 | $200.50–$2,478.50 | varies |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) | $1,075.20 | $1,536 | 0.3× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $5,366.55 | $7,666.50 | 1.6× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $6,357.05 | $9,081.50 | 0.7× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $851.90 | $1,217 | 2.0× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $1,089.90 | $1,557 | 2.5× |
| Intro Gastrointestinal Tube (44500) | $1,245.65 | $1,779.50 | 1.3× |
| Intubation endotracheal emergency procedure (31500) range across 4 matching MRF lines |
$174.65–$595.70 | $249.50–$851 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $385 | $550 | 1.5× |
| Knee arthroscopy/drainage (29871) | $713.30 | $1,019 | 0.2× |
| Laparoscopy aspiration (49322) likely a partial charge, not the full procedure |
$512.05 | $731.50 | 0.1× |
| Laparoscopy fulguration oviducts (58670) likely a partial charge, not the full procedure |
$586.95 | $838.50 | 0.1× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) likely a partial charge, not the full procedure |
$596.75 | $852.50 | 0.1× |
| Laparoscopy, surgical, appendectomy (44970) likely a partial charge, not the full procedure |
$830.20 | $1,186 | 0.1× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) likely a partial charge, not the full procedure |
$989.80 | $1,414 | 0.2× |
| Laparoscopy, surgical; partial nephrectomy (50543) likely a partial charge, not the full procedure |
$2,058.35 | $2,940.50 | 0.2× |
| Laparoscopy, surgical; pyeloplasty (50544) likely a partial charge, not the full procedure |
$1,674.05 | $2,391.50 | 0.1× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) likely a partial charge, not the full procedure |
$918.05 | $1,311.50 | 0.1× |
| Laps surg prst8ect smpl stot robotic assistance (55867) likely a partial charge, not the full procedure |
$1,452.85 | $2,075.50 | 0.1× |
| Laryngoscopy diagnostic (31505) | $141.05 | $201.50 | 0.7× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) | $382.55 | $546.50 | 1.8× |
| Laryngoscopy W/Foreign Body Removal (31530) | $572.25 | $817.50 | 0.3× |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) | $319.55 | $456.50 | 0.8× |
| Late closure of wound (13160) range across 4 matching MRF lines |
$690.90–$2,676.45 | $987–$3,823.50 | varies |
| Litholapaxy comp/lg > 2.5 cm (52318) | $649.95 | $928.50 | 0.2× |
| Litholapaxy smpl/sm <2.5 cm (52317) | $464.80 | $664 | 0.1× |
| Lithotripsy, extracorporeal shock wave (50590) range across 2 matching MRF lines |
$797.65–$7,052.15 | $1,139.50–$10,074.50 | varies |
| Male sling procedure (53440) likely a partial charge, not the full procedure |
$1,044.05 | $1,491.50 | 0.1× |
| Manipulation knee joint under general anesthesia (27570) | $211.05 | $301.50 | 0.1× |
| Mast mod rad (19307) likely a partial charge, not the full procedure |
$1,625.40 | $2,322 | 0.2× |
| Mastectomy partial (19301) | $909.65 | $1,299.50 | 0.2× |
| Mastectomy simple complete (19303) likely a partial charge, not the full procedure |
$1,317.40 | $1,882 | 0.2× |
| Myelography Lumbar Injection (62305) | $2,411.50 | $3,445 | 2.9× |
| Myelography Lumbar Injection (62304) | $3,073.70 | $4,391 | 3.7× |
| Myelography via lumbar injection rs&i cervical (62302) | $3,096.10 | $4,423 | 3.7× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $1,100.40 | $1,572 | 1.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines |
$76.65–$988.75 | $109.50–$1,412.50 | varies |
| N block inj intercost sng (64420) | $1,058.40 | $1,512 | 1.4× |
| N Block Inj Plantar Digit (64455) | $396.20 | $566 | 1.2× |
| Nasal/Orogastric W/Tube Plmt (43752) | $394.45 | $563.50 | 0.8× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) | $3,022.60 | $4,318 | 1.6× |
| Needle Biopsy Lymph Nodes (38505) range across 2 matching MRF lines |
$121.10–$1,753.50 | $173–$2,505 | varies |
| Needle Biopsy Pancreas (48102) | $2,607.50 | $3,725 | 1.5× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $24.85 | $35.50 | 0.8× |
| Needle insertion w/o injection 3 or more muscles (20561) | $96.95 | $138.50 | 3.2× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) | $831.60 | $1,188 | 0.4× |
| Njx anes stellate ganglion crv sympathetic (64510) | $1,245.65 | $1,779.50 | 1.3× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$388.50–$450.45 | $555–$643.50 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $4,753.35 | $6,790.50 | 1.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 4 matching MRF lines |
$1,156.05–$2,433.20 | $1,651.50–$3,476 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$1,133.30–$1,137.15 | $1,619–$1,624.50 | varies |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) range across 2 matching MRF lines |
$988.75–$1,245.30 | $1,412.50–$1,779 | varies |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 3 matching MRF lines |
$969.50–$1,137.15 | $1,385–$1,624.50 | varies |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$147–$558.60 | $210–$798 | varies |
| Open Implantation Nea Sacral Nerve (64581) likely a partial charge, not the full procedure |
$920.15 | $1,314.50 | 0.1× |
| Open Treatment Bimalleolar Ankle Fracture (27814) range across 2 matching MRF lines |
$663.25–$1,060.85 | $947.50–$1,515.50 | varies |
| Open Treatment Fracture Distal Tibia & Fibula (27828) likely a partial charge, not the full procedure |
$1,845.20 | $2,636 | 0.1× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) range across 2 matching MRF lines |
$623.70–$997.85 | $891–$1,425.50 | varies |
| Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) likely a partial charge, not the full procedure |
$1,653.40 | $2,362 | 0.1× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) range across 2 matching MRF lines |
$585.20–$935.90 | $836–$1,337 | varies |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) range across 2 matching MRF lines |
$560.70–$897.40 | $801–$1,282 | varies |
| Open Tx Distal Phalangeal Fracture Each (26765) | $4,542.48 | $6,489.25 | 1.3× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) range across 2 matching MRF lines |
$617.40–$987.35 | $882–$1,410.50 | varies |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) likely a partial charge, not the full procedure |
$834.75 | $1,192.50 | 0.1× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) | $800.10 | $1,143 | 0.2× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $826.70 | $1,181 | 0.2× |
| Open Tx Radial Head/Neck Fracture (24665) likely a partial charge, not the full procedure |
$1,885.10 | $2,693 | 0.2× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) range across 2 matching MRF lines |
$771.05–$1,233.75 | $1,101.50–$1,762.50 | varies |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) likely a partial charge, not the full procedure |
$1,220.10 | $1,743 | 0.2× |
| Open tx ulnar fx proximal end (24685) range across 2 matching MRF lines |
$567–$907.20 | $810–$1,296 | varies |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) range across 2 matching MRF lines |
$717.50–$1,148 | $1,025–$1,640 | varies |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) range across 2 matching MRF lines |
$910.35–$1,456 | $1,300.50–$2,080 | varies |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) range across 2 matching MRF lines |
$1,029.70–$1,646.40 | $1,471–$2,352 | varies |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) likely a partial charge, not the full procedure |
$1,240.40 | $1,772 | 0.1× |
| Orchiopexy Ingun/Scrot Appr (54640) | $583.80 | $834 | 0.2× |
| Partial Excision Distal Phalanx Finger (26236) range across 2 matching MRF lines |
$385–$615.30 | $550–$879 | varies |
| Partial Excision Proximal/Middle Phalanx Finger (26235) | $2,240.70 | $3,201 | 1.3× |
| Partical Excision Bone Phalanx Toe (28124) | $467.95 | $668.50 | 0.1× |
| Percut Drain/Inject Renal Cyst (50390) | $1,692.95 | $2,418.50 | 2.3× |
| Pericardiocentesis W/Imaging (33016) | $662.20 | $946 | 0.4× |
| Perq dev breast 1st us imag (19285) range across 2 matching MRF lines |
$140.35–$1,716.40 | $200.50–$2,452 | varies |
| Perq device breast 1st imag (19281) range across 2 matching MRF lines |
$164.85–$1,958.60 | $235.50–$2,798 | varies |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) range across 2 matching MRF lines |
$130.90–$3,316.25 | $187–$4,737.50 | varies |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $10,663.45 | $15,233.50 | 1.4× |
| Place Rt Device/Marker Pros (55876) | $141.75 | $202.50 | 0.1× |
| Placement of needle for intraosseous infusion (36680) | $167.30 | $239 | 0.4× |
| Placement of seton (46020) | $160.30 | $229 | 0.1× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) | $281.40 | $402 | 0.1× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $136.50 | $195 | 0.1× |
| Punch biopsy skin single lesion (11104) range across 5 matching MRF lines |
$57.75–$540.40 | $82.50–$772 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 4 matching MRF lines |
$193.90–$540.40 | $277–$772 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 2 matching MRF lines |
$60.20–$67.03 | $86–$95.75 | varies |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $156.10 | $223 | 0.2× |
| Reconstruction Nail Bed W/Graft (11762) | $545.65 | $779.50 | 0.2× |
| Reduction of rectal prolapse (45900) | $601.65 | $859.50 | 0.6× |
| Removal Embedded Foreign Body Eyelid (67938) | $336 | $480 | 1.0× |
| Removal Foreign Body Foot Complicated (28193) | $2,046.10 | $2,923 | 1.2× |
| Removal foreign body foot deep (28192) range across 2 matching MRF lines |
$436.80–$2,941.05 | $624–$4,201.50 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$180.60–$2,182.60 | $258–$3,118 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$205.10–$955.15 | $293–$1,364.50 | varies |
| Removal foreign body, intranasal; requiring general anesthesia (30310) | $326.38 | $466.25 | 0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$35–$132.30 | $50–$189 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $132.30 | $189 | 2.1× |
| Removal Implant Deep (20680) | $580.65 | $829.50 | 0.2× |
| Removal Implant Superficial Separate Procedure (20670) | $212.80 | $304 | 0.1× |
| Removal intact breast implant (19328) | $746.55 | $1,066.50 | 0.2× |
| Removal of anal fissure (46200) | $470.40 | $672 | 0.2× |
| Removal of foreign body from pharynx (42809) | $365.75 | $522.50 | 0.8× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$521.50–$3,192 | $745–$4,560 | varies |
| Removal of sperm cord lesion (55520) | $610.40 | $872 | 0.2× |
| Removal of testis (54520) | $457.80 | $654 | 0.1× |
| Removal or bivalving full arm or full leg cast (29705) range across 2 matching MRF lines |
$60.20–$128.45 | $86–$183.50 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 3 matching MRF lines |
$105–$275.10 | $150–$393 | varies |
| Removal Sutures/Staples Requiring Anesthesia (15851) range across 2 matching MRF lines |
$2,560.95 | $130–$3,658.50 | 1.2× |
| Removal/bivalving gauntlet boot/body cast (29700) range across 2 matching MRF lines |
$39.90–$376.95 | $57–$538.50 | varies |
| Remove & Replace Indwell Ureteral Stent Trurthrl (50385) | $291.55 | $416.50 | 0.1× |
| Remove drug implant device (11982) | $101.50 | $145 | 0.2× |
| Remove Forearm Foreign Body (25248) | $3,322.55 | $4,746.50 | 2.0× |
| Remove foreign body from eye (65205) | $200.55 | $286.50 | 1.4× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) | $223.30 | $319 | 0.1× |
| Remove Intrauterine Device (58301) | $476.35 | $680.50 | 1.5× |
| Remove Nasal Foreign Body (30300) | $356.65 | $509.50 | 2.5× |
| Remvl Inflatable Urethral/Bladder Neck Sphincter (53446) likely a partial charge, not the full procedure |
$891.45 | $1,273.50 | 0.2× |
| Renal Biopsy Perq (50200) | $2,457 | $3,510 | 1.4× |
| Repair Achilles Tendon (27650) likely a partial charge, not the full procedure |
$894.95 | $1,278.50 | 0.1× |
| Repair Blood Vessel Direct Hand Finger (35207) | $2,089.15 | $2,984.50 | 0.6× |
| Repair Blood Vessel Direct Upper Extremity (35206) | $2,181.20 | $3,116 | 0.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $794.85 | $1,135.50 | 1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $1,092.70 | $1,561 | 1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $814.10 | $1,163 | 1.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $895.65 | $1,279.50 | 2.1× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $668.15 | $954.50 | 1.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$358.05–$1,041.25 | $511.50–$1,487.50 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $318.85 | $455.50 | 0.4× |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$343.35–$3,425.10 | $490.50–$4,893 | varies |
| Repair extensor tendon finger w/o graft each (26418) | $881.65 | $1,259.50 | 0.5× |
| Repair Hallux Rigidus (28289) range across 2 matching MRF lines |
$401.45–$641.90 | $573.50–$917 | varies |
| Repair Hand Joint (26540) | $980.70 | $1,401 | 0.3× |
| Repair Hand Tendon (26410) | $1,757 | $2,510 | 1.0× |
| Repair inguinal hernia, sliding, any age (49525) | $791.70 | $1,131 | 0.2× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) | $873.25 | $1,247.50 | 0.2× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $810.25 | $1,157.50 | 0.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $522.20 | $746 | 1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $574.35 | $820.50 | 1.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $632.80 | $904 | 1.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $621.95 | $888.50 | 1.4× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $1,193.50 | $1,705 | 2.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $772.10 | $1,103 | 1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
$197.05–$528.85 | $281.50–$755.50 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines |
$271.60–$563.15 | $388–$804.50 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $607.60 | $868 | 0.8× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $1,129.80 | $1,614 | 0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 3 matching MRF lines |
$201.95–$683.55 | $288.50–$976.50 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$210.35–$522.20 | $300.50–$746 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$262.50–$574.35 | $375–$820.50 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$385–$800.45 | $550–$1,143.50 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$284.20–$632.80 | $406–$904 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $1,129.80 | $1,614 | 0.5× |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$94.15–$561.75 | $134.50–$802.50 | varies |
| Repair of rectum (45505) | $840.35 | $1,200.50 | 0.3× |
| Repair of Ruptured Tendon (24342) range across 2 matching MRF lines |
$670.60–$1,072.75 | $958–$1,532.50 | varies |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) likely a partial charge, not the full procedure |
$987 | $1,410 | 0.1× |
| Repair secondary achilles tendon w/wo graft (27654) range across 2 matching MRF lines |
$607.60–$972.30 | $868–$1,389 | varies |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) likely a partial charge, not the full procedure |
$632.80 | $904 | 0.1× |
| Repair tongue laceration (41252) | $605.85 | $865.50 | 2.4× |
| Repair tongue laceration (41250) | $446.25 | $637.50 | 0.9× |
| Replace g/c tube perc (49450) | $1,262.80 | $1,804 | 1.3× |
| Reposition Gastrostomy Tube (43761) | $416.85 | $595.50 | 1.6× |
| Rerepair ing hernia reduce (49520) | $862.05 | $1,231.50 | 0.2× |
| Revision including removal of prosthetic vaginal graft vaginal approach (57295) | $683.20 | $976 | 0.2× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) | $11,197.55 | $15,996.50 | 1.7× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) range across 2 matching MRF lines |
$1,508.50–$2,413.60 | $2,155–$3,448 | varies |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) range across 2 matching MRF lines |
$1,209.25–$1,934.80 | $1,727.50–$2,764 | varies |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $332.50 | $475 | 0.3× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $160.65 | $229.50 | 0.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $310.45 | $443.50 | 0.7× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $169.40 | $242 | 1.2× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $253.40 | $362 | 0.5× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) range across 2 matching MRF lines |
$340.55–$2,147.95 | $486.50–$3,068.50 | varies |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) | $480.20 | $686 | 0.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 3 matching MRF lines |
$263.20–$2,202.20 | $376–$3,146 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $1,088.85 | $1,555.50 | 1.6× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$369.95–$785.05 | $528.50–$1,121.50 | varies |
| Rplc gtube revj gstrst trc (43763) range across 2 matching MRF lines |
$239.05–$505.40 | $341.50–$722 | varies |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) likely a partial charge, not the full procedure |
$983.85 | $1,405.50 | 0.2× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $451.50 | $645 | 0.1× |
| Rpr aa hrn 1st 3-10 rdc (49593) likely a partial charge, not the full procedure |
$756 | $1,080 | 0.1× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) likely a partial charge, not the full procedure |
$627.20 | $896 | 0.1× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $243.95 | $348.50 | 0.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $430.85 | $615.50 | 2.0× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $894.25 | $1,277.50 | 1.1× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $1,025.85 | $1,465.50 | 1.8× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $1,083.60 | $1,548 | 1.9× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $1,813.35 | $2,590.50 | 0.5× |
| Sclerotx Fluid Collection (49185) | $2,340.10 | $3,343 | 1.3× |
| Scrotal exploration (55110) | $539.35 | $770.50 | 0.1× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), clavicle Facility (23170) range across 2 matching MRF lines |
$490–$783.65 | $700–$1,119.50 | varies |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $165.55 | $236.50 | 0.1× |
| Shave skin lesion 0.5 cm/< (11300) | $97.30 | $139 | 0.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $130.20 | $186 | 0.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $274.40 | $392 | 0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $110.25 | $157.50 | 0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $141.40 | $202 | 0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $182.70 | $261 | 0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $206.50 | $295 | 0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $179.55 | $256.50 | 0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $211.75 | $302.50 | 0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $145.60 | $208 | 0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $201.60 | $288 | 0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $170.10 | $243 | 0.8× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) | $215.95 | $308.50 | 0.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $381.15 | $544.50 | 0.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $334.25 | $477.50 | 1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $366.45 | $523.50 | 1.7× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $430.85 | $615.50 | 1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $402.85 | $575.50 | 1.9× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $486.85 | $695.50 | 2.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 4 matching MRF lines |
$62.30–$334.25 | $89–$477.50 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 3 matching MRF lines |
$280.70–$703.50 | $401–$1,005 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$280.70–$402.85 | $401–$575.50 | varies |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$139.65–$2,676.45 | $199.50–$3,823.50 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$121.80–$2,439.50 | $174–$3,485 | varies |
| Skin sub grft t/arm/lg child (15273) range across 2 matching MRF lines |
$238.70–$5,502.35 | $341–$7,860.50 | varies |
| Skin Tissue Procedure (17999) | $700.35 | $1,000.50 | 3.3× |
| Skn sub grft f/n/hf/g child (15277) range across 2 matching MRF lines |
$348.25–$2,676.45 | $497.50–$3,823.50 | varies |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) range across 2 matching MRF lines |
$1,035.30–$1,044.05 | $1,479–$1,491.50 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 4 matching MRF lines |
$51.10–$366.45 | $73–$523.50 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 3 matching MRF lines |
$378.70–$608.30 | $541–$869 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 3 matching MRF lines |
$540.40–$752.50 | $772–$1,075 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 5 matching MRF lines |
$75.60–$987 | $108–$1,410 | varies |
| Strapping ankle (29540) | $51.10 | $73 | 0.3× |
| Strapping elbow or wrist (29260) | $56.70 | $81 | 0.9× |
| Strapping hand/finger (29280) | $56.70 | $81 | 0.9× |
| Strapping knee (29530) | $53.55 | $76.50 | 0.4× |
| Strapping shoulder (29240) | $53.55 | $76.50 | 0.4× |
| Strapping toes (29550) | $32.90 | $47 | 0.5× |
| Strapping Unna Boot (29580) range across 3 matching MRF lines |
$154.70–$460.25 | $221–$657.50 | varies |
| Surg Tx Anal Fistula 2nd Stage (46285) | $589.40 | $842 | 0.2× |
| Surg tx anal fistula subq (46270) | $557.55 | $796.50 | 0.2× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) range across 2 matching MRF lines |
$529.55–$847 | $756.50–$1,210 | varies |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) range across 2 matching MRF lines |
$741.30–$1,186.15 | $1,059–$1,694.50 | varies |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$297.15–$379.75 | $424.50–$542.50 | varies |
| Tenodesis long tendon biceps (23430) likely a partial charge, not the full procedure |
$644.70 | $921 | 0.1× |
| Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) likely a partial charge, not the full procedure |
$856.80 | $1,224 | 0.1× |
| Thrombolytic Therapy Stroke (37195) | $413.35 | $590.50 | 1.2× |
| Thyroid biopsy (60100) range across 2 matching MRF lines |
$128.10–$1,220.10 | $183–$1,743 | varies |
| Thyroidectomy, total or complete (60240) likely a partial charge, not the full procedure |
$1,271.55 | $1,816.50 | 0.2× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) range across 2 matching MRF lines |
$575.75–$920.50 | $822.50–$1,315 | varies |
| Tooth extraction (41899) | $628.95 | $898.50 | 2.5× |
| Total Knee Arthroplasty (27447) range across 2 matching MRF lines |
$1,105.30–$1,768.55 | $1,579–$2,526.50 | varies |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $938.35 | $1,340.50 | 3.7× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $938.70 | $1,341 | 0.6× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) | $467.60 | $668 | 1.5× |
| Transur electr resection of prostate (52601) likely a partial charge, not the full procedure |
$1,018.15 | $1,454.50 | 0.2× |
| Transurethral incision of prostate (52450) | $658.35 | $940.50 | 0.2× |
| Transurethral resection bladder neck (52500) | $683.55 | $976.50 | 0.2× |
| Treat Finger Fracture Each (26727) range across 2 matching MRF lines |
$413.70–$661.85 | $591–$945.50 | varies |
| Treat Fx Rad Extra-Articul (25607) range across 2 matching MRF lines |
$642.60–$1,028.30 | $918–$1,469 | varies |
| Treat humerus fracture (24500) | $960.75 | $1,372.50 | 3.7× |
| Treat Humerus Fracture (24505) range across 3 matching MRF lines |
$397.25–$1,301.65 | $567.50–$1,859.50 | varies |
| Treat humerus fracture (23600) | $910.35 | $1,300.50 | 3.5× |
| Treat knee fracture (27532) | $1,650.60 | $2,358 | 0.5× |
| Treat Kneecap Fracture (27524) likely a partial charge, not the full procedure |
$652.40 | $932 | 0.1× |
| Treat Knuckle Dislocation (26700) | $897.05 | $1,281.50 | 3.4× |
| Treat Metatarsal Fracture (28475) | $656.25 | $937.50 | 2.5× |
| Treat scapula fracture (23585) range across 2 matching MRF lines |
$846.65–$1,354.50 | $1,209.50–$1,935 | varies |
| Treat Thumb Dislocation (26641) | $1,097.95 | $1,568.50 | 4.2× |
| Treat Thumb Fracture (26645) | $1,586.55 | $2,266.50 | 0.9× |
| Treat toe dislocation (28630) | $317.45 | $453.50 | 1.2× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $1,374.10 | $1,963 | 0.8× |
| Treatment closed elbow dislocation w/o anes (24600) | $976.85 | $1,395.50 | 3.7× |
| Treatment of foot infection (28003) range across 2 matching MRF lines |
$289.10–$4,425.40 | $413–$6,322 | varies |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) range across 2 matching MRF lines |
$1,053.85–$1,686.30 | $1,505.50–$2,409 | varies |
| Trim skin lesion (11055) range across 3 matching MRF lines |
$24.15–$184.10 | $34.50–$263 | varies |
| Trim skin lesions 2 to 4 (11056) range across 3 matching MRF lines |
$33.60–$196.35 | $48–$280.50 | varies |
| Trim skin lesions over 4 (11057) range across 3 matching MRF lines |
$45.68–$215.60 | $65.25–$308 | varies |
| Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$11.55–$150.15 | $16.50–$214.50 | varies |
| Tx Gastro Intub W/Asp (43753) range across 2 matching MRF lines |
$37.45–$61.95 | $53.50–$88.50 | varies |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) range across 2 matching MRF lines |
$1,057.70–$1,692.25 | $1,511–$2,417.50 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $812 | $1,160 | 1.0× |
| Tx superficial wound dehiscence w/packing (12021) | $402.15 | $574.50 | 0.9× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) | $749 | $1,070 | 0.4× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $552.65 | $789.50 | 2.1× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) likely a partial charge, not the full procedure |
$1,349.60 | $1,928 | 0.2× |
| Unlisted procedure femur or knee (27599) range across 2 matching MRF lines |
$371.35–$612.50 | $530.50–$875 | varies |
| Unlisted Procedure Male Genital System (55899) | $185.85 | $265.50 | 0.7× |
| Unlisted procedure nervous system (64999) range across 5 matching MRF lines |
$116.90–$988.75 | $167–$1,412.50 | varies |
| Unlisted procedure shoulder (23929) | $557.20 | $796 | 2.1× |
| Unlisted Procedure Trachea Bronchi (31899) | $175.35 | $250.50 | 0.8× |
| Unlisted procedure, vestibule of mouth (40899) | $376.25 | $537.50 | 1.5× |
| Unlisted px female genital system nonobstetrical (58999) | $371.35 | $530.50 | 1.7× |
| Urethromeatoplasty W/Mucosal Advancement (53450) | $572.25 | $817.50 | 0.2× |
| Vaginal Delivery After Cesarean Delivery (59612) | $1,369.20 | $1,956 | 0.4× |
| Vaginal delivery only (59409) range across 2 matching MRF lines |
$1,220.10–$2,270.45 | $1,743–$3,243.50 | varies |
| Vein Access Cutdown < 1 Yr (36420) | $133.35 | $190.50 | 0.9× |
| Venous Cutdown >1 Y/O (36425) | $253.40 | $362 | 0.5× |
| Wedge excision skin nail fold (11765) | $434 | $620 | 1.0× |
| Wound Prep F/N/Hf/G (15004) range across 2 matching MRF lines |
$318.50–$818.65 | $455–$1,169.50 | varies |
| Wound Prep Trk/Arm/Leg (15002) range across 2 matching MRF lines |
$843.15–$2,676.45 | $1,204.50–$3,823.50 | varies |
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.