Procedures & surgery prices at Davis County Hospital

Bloomfield, IA · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines		 $208–$1,892 $208–$1,892 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $177 $177 0.2×
Adding Walker Previously Applied Cast (29440) $122 $122 0.8×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,100 $2,100 1.1×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $1,377 $1,377 0.4×
Amputation toe interphalangeal joint (28825) $1,377 $1,377 0.4×
Amputation toe metatarsophalangeal joint (28820) $1,252 $1,252 0.4×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $211–$213 $211–$213 varies
Appendectomy (44950)
likely a partial charge, not the full procedure		 $1,576 $1,576 0.3×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450)
range across 2 matching MRF lines		 $422–$844 $422–$844 varies
Application cast elbow finger short arm (29075) $171 $171 0.6×
Application Finger Splint Dynamic (29131) $140 $140 2.5×
Application finger splint static (29130) $73 $73 0.6×
Application long arm splint shoulder hand (29105) $176 $176 1.1×
Application Long Leg Cast Walker/Ambulatory Type (29355) $407 $407 1.5×
Application Long Leg Splint (29505) $172 $172 1.1×
Application of long leg cast (29345) $387 $387 1.4×
Application Patellar Tendon Bearing Cast (29435) $325 $325 1.2×
Application Short Arm Splint Dynamic (29126) $184 $184 1.4×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $144–$148 $144–$148 varies
Application short leg splint calf foot (29515) $153 $153 1.0×
Apply hand/wrist cast (29085) $681 $681 4.4×
Apply long arm cast (29065) $184 $184 0.7×
Apply Short Leg Cast (29405) $227 $227 0.8×
Apply short leg cast (29425) $211 $211 0.8×
Arterial puncture (36600) $102 $102 0.8×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $142–$213 $142–$213 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines		 $243–$365 $243–$365 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines		 $184–$828 $184–$828 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $247–$370 $247–$370 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $132–$198 $132–$198 varies
Arthrodesis great toe metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure		 $1,955 $1,955 0.3×
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure		 $4,447 $4,447 0.3×
Arthroscopy shoulder distal claviculectomy (29824) $2,049 $2,049 0.7×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure		 $2,825 $2,825 0.4×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $1,870 $1,870 0.6×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $1,715 $1,715 0.5×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
unusually low: confirm this is the full procedure		 $4,198 $4,198 0.3×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $2,066 $2,066 0.7×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $1,736 $1,736 0.6×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $1,437–$1,866 $1,437–$1,866 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $1,440–$1,557 $1,440–$1,557 varies
Aspirate/Inj Ganglion Cyst (20612) $139 $139 0.5×
Aspiration bladder insert suprapubic catheter (51102) $680 $680 0.3×
Avulsion nail plate partial/complete simple 1 (11730) $229 $229 1.2×
Biopsy external ear (69100) $229 $229 1.0×
Biopsy of breast; open, incisional (19101) $877 $877 0.2×
Biopsy of lip (40490) $234 $234 1.0×
Biopsy of palate, uvula (42100) $295 $295 0.2×
Biopsy of penis (54100) $544 $544 0.3×
Biopsy, vestibule of mouth (40808) $459 $459 0.9×
Bladder instillation anticarcinogenic agent (51720)
range across 2 matching MRF lines		 $221–$716 $221–$716 varies
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $213–$683 $213–$683 varies
Bladder Scan (51798)
range across 2 matching MRF lines		 $47–$219 $47–$219 varies
Blepharotomy drainage abscess eyelid (67700) $482 $482 1.6×
Blood Transfusion Service (36430) $1,243 $1,243 2.9×
Bone Marrow Biopsy (38221) $1,099 $1,099 0.7×
Bronchoscopy Clear Airways (31645) $749 $749 0.4×
Bronchoscopy W/Biopsy(S) (31625) $837 $837 0.5×
Bronchoscopy W/Removal Foreign Body (31635) $859 $859 0.5×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $782 $782 0.2×
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines		 $903–$3,986 $903–$3,986 varies
Bx breast needle core w/o imaging guidance spx (19100) $348 $348 0.2×
Bx Cervix (57500) $322 $322 0.4×
Bx/exc lymph node open deep axillary node (38525) $1,046 $1,046 0.3×
Bx/exc lymph node open superficial (38500) $1,043 $1,043 0.3×
Carpal Tunnel Surgery (64721) $1,331 $1,331 0.7×
Catheter aspiration nasotracheal spx (31720) $180 $180 0.9×
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $255–$750 $255–$750 varies
Chemical Cautery Tissue (17250) $186 $186 1.0×
Chemodenerv 1 extremity 1-4 (64642) $426 $426 0.6×
Chemodenerv Musc Migraine (64615) $313 $313 1.1×
Chemodenerv musc neck dyston (64616)
range across 2 matching MRF lines		 $355–$533 $355–$533 varies
Chemodenerv trunk musc 1-5 (64646) $447 $447 0.7×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 2 matching MRF lines		 $326–$489 $326–$489 varies
Chest tube placement (32551)
range across 2 matching MRF lines		 $438–$1,202 $438–$1,202 varies
Circumcision 28 days or older (54161) $622 $622 0.3×
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $1,040–$1,655 $1,040–$1,655 varies
Claviculectomy partial (23120) $1,912 $1,912 0.6×
Clear outer ear canal (69200)
range across 3 matching MRF lines		 $136–$593 $136–$593 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $856 $856 3.6×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $968 $968 4.1×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $1,147 $1,147 4.8×
Closed Treatment Sternum Fracture (21820) $157 $157 0.7×
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines		 $709–$1,026 $709–$1,026 varies
Closed tx ankle dislocation w/o anesthesia (27840) $785 $785 3.3×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $638 $638 2.7×
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 2 matching MRF lines		 $485–$935 $485–$935 varies
Closed tx carpal scaphoid fracture w/manj (25624) $1,572 $1,572 1.0×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $979 $979 4.1×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $1,022 $1,022 4.3×
Closed tx knee dislocation w/o anesthesia (27550) $983 $983 4.1×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $1,050 $1,050 2.0×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines		 $410–$680 $410–$680 varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 2 matching MRF lines		 $506–$521 $506–$521 varies
Closed tx patellar dislocation w/o anesthesia (27560) $1,054 $1,054 4.4×
Closed Tx Patellar Fracture W/O Manipulation (27520) $1,035 $1,035 4.4×
Closed tx radial head/neck fx w/manipulation (24655) $855 $855 0.6×
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $505–$915 $505–$915 varies
Closed tx radial shaft fracture w/manipulation (25505) $982 $982 0.6×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $525 $525 2.2×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $1,009–$1,572 $1,009–$1,572 varies
Closed tx radial&ulnar shaft fractures w/o man (25560) $523 $523 2.2×
Closed Tx Scapular Fracture W/O Manipulation (23570) $503 $503 2.1×
Closed tx talus fracture w/o manipulation (28430) $760 $760 3.2×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $171 $171 0.7×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,475 $1,475 1.0×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $554 $554 2.3×
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines		 $499–$854 $499–$854 varies
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $479 $479 2.0×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $699 $699 0.5×
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines		 $525–$712 $525–$712 varies
Clsd tx fx orbit except blowout w/o manipulation (21400) $336 $336 0.6×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $417 $417 1.8×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $843–$1,295 $843–$1,295 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $603 $603 2.5×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $1,003 $1,003 4.2×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,041 $1,041 0.7×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740)
range across 2 matching MRF lines		 $433–$492 $433–$492 varies
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 2 matching MRF lines		 $593–$974 $593–$974 varies
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $1,647 $1,647 6.9×
Cltx dstl fibular fx lat malls w/manj (27788) $1,200 $1,200 5.1×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $609–$976 $609–$976 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $707 $707 3.0×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $387–$597 $387–$597 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 3 matching MRF lines		 $561–$1,060 $561–$1,060 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $1,424–$1,672 $1,424–$1,672 varies
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,492 $1,492 1.0×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508)
range across 2 matching MRF lines		 $1,054–$1,400 $1,054–$1,400 varies
Cltx Fem Fx Prox End Nck W/O Manj (27230) $1,003 $1,003 4.2×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,560 $1,560 1.0×
Cltx fx grt toe phlx/phlg w/manj (28495) $327 $327 1.4×
Cltx fx grt toe phlx/phlg w/o manj (28490) $267 $267 1.1×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $382 $382 1.6×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $256 $256 1.1×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,065 $1,065 0.7×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $645 $645 2.7×
Cltx greater humeral tuberosity fx w/o manj (23620) $542 $542 2.3×
Cltx hip dislocation traumatic req anesthesia (27252) $2,268 $2,268 1.5×
Cltx hip dislocation traumatic w/o anesthesia (27250) $576 $576 2.4×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $643 $643 2.7×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $607 $607 2.6×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $192 $192 0.8×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $864 $864 3.2×
Cltx iphal jt dislc w/manj w/o anes (26770) $539 $539 2.3×
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $648–$1,036 $648–$1,036 varies
Cltx metacarpal fx w/manipulation each bone (26605) $685 $685 2.9×
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 3 matching MRF lines		 $547–$942 $547–$942 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $314 $314 0.2×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $725–$1,077 $725–$1,077 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $388–$424 $388–$424 varies
Cltx post hip arthrp dislc req anes (27266) $1,886 $1,886 1.2×
Cltx post hip arthrp dislc w/o anes (27265) $1,665 $1,665 7.0×
Cltx prox fibula/shft fx w/o manj (27780) $961 $961 4.1×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $908 $908 0.6×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $279 $279 1.2×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $1,134 $1,134 0.7×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $950 $950 0.6×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,031 $1,031 0.7×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines		 $815–$1,215 $815–$1,215 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $1,720 $1,720 1.1×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $1,066 $1,066 4.5×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $402 $402 1.7×
Cltx tibial fx proximal w/o manipulation (27530) $708 $708 3.0×
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $674–$1,080 $674–$1,080 varies
Cltx trimalleolar ankle fx w/manipulation (27818) $1,403 $1,403 0.9×
Cltx trimalleolar ankle fx w/o manipulation (27816) $607 $607 2.6×
Collect Blood From Catheter Venous Nos (36592) $203 $203 1.6×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines		 $9.09–$22 $9.09–$22 varies
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $1,082 $1,082 0.9×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $988 $988 0.9×
Colonoscopy thru stoma (44388) $836 $836 0.9×
Colonoscopy w/ablation (45388) $1,420 $1,420 1.2×
Colonoscopy w/submucosal inj (45381) $1,109 $1,109 1.0×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $430 $430 0.5×
Colsc Flexible W/Control Bleeding Any Method (45382) $1,513 $1,513 1.3×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $1,594 $1,594 1.4×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,220 $1,220 1.1×
Complex drainage wound (10180) $561 $561 0.2×
Composite Skin Graft (15760) $2,450 $2,450 1.2×
Conization of cervix (57520) $730 $730 0.2×
Control Nasal Hemorrhage Anterior Complex (30903) $325 $325 2.5×
Control Nasal Hemorrhage Anterior Simple (30901) $228 $228 1.8×
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132)
unusually low: confirm this is the full procedure		 $5,333 $5,333 0.4×
Correction hammertoe (28285) $1,087 $1,087 0.3×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $1,618 $1,618 0.5×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
unusually low: confirm this is the full procedure		 $2,285 $2,285 0.3×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $1,772 $1,772 0.6×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299)
unusually low: confirm this is the full procedure		 $2,745 $2,745 0.4×
Create Eardrum Opening (69433)
range across 2 matching MRF lines		 $403–$605 $403–$605 varies
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $415 $415 3.2×
Cysto Bladder W/Ureteral Catheterization (52005) $756 $756 0.4×
Cysto calibration dilat urtl strix/stenosis (52281) $877 $877 0.4×
Cysto w/destruction of lesions (52214) $1,724 $1,724 0.5×
Cysto w/dilat rx balo cath urtl strix/sten male (52284)
likely a partial charge, not the full procedure		 $334 $334 0.1×
Cysto w/insert ureteral stent (52332) $1,051 $1,051 0.3×
Cysto w/irrig & evac multple obstructing clots (52001) $1,173 $1,173 0.3×
Cysto w/removal of lesions small (52224) $1,820 $1,820 0.5×
Cysto w/removal of tumors small (52234) $774 $774 0.2×
Cysto W/Simple Removal Stone & Stent (52310) $795 $795 0.4×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $1,118 $1,118 0.3×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $953 $953 0.3×
Cystostomy Cystotomy W/Drainage (51040) $1,486 $1,486 0.7×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $1,028 $1,028 0.5×
Cystourethroscopy (52000) $461 $461 0.7×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $901 $901 0.3×
Cystourethroscopy w/dil bladder general anesth (52260)
range across 2 matching MRF lines		 $631–$665 $631–$665 varies
Cystourethroscopy with biopsy (52204) $957 $957 0.5×
Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) $1,170 $1,170 0.3×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $1,775 $1,775 0.6×
Deb Musc/Fascia 20 Sq Cm/< (11043) $671 $671 0.9×
Debride nail 1-5 (11720) $72 $72 1.3×
Debride nail 6 or more (11721) $101 $101 1.8×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $827 $827 0.5×
Debridement Mastoidectomy Cavity Simple (69220) $314 $314 1.6×
Debridement subcutaneous tissue 20 sq cm/< (11042) $185 $185 0.5×
Declot vascular device (36593) $194 $194 0.6×
Delivery of placenta (59414) $247 $247 0.1×
Destroy lumb/sac facet jnt (64635)
range across 4 matching MRF lines		 $1,113–$5,427 $1,113–$5,427 varies
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $260–$290 $260–$290 varies
Destruction Benign Lesions 15/> (17111) $311 $311 1.6×
Destruction by neurolytic agent; plantar common digital nerve (64632) $250 $250 0.8×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 4 matching MRF lines		 $983–$5,258 $983–$5,258 varies
Destruction Premalignant Lesion 15/> (17004) $422 $422 1.1×
Destruction premalignant lesion 1st (17000) $185 $185 1.0×
Diagnostic sigmoidoscopy (45330) $272 $272 0.3×
Dilate Esophagus 1/Mult Pass (43450) $344 $344 0.4×
Dilate Urethra Stricture (53600) $171 $171 0.7×
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines		 $218–$327 $218–$327 varies
Drainage external auditory canal abscess (69020) $673 $673 1.0×
Drainage external ear abscess/hematoma cmplx (69005) $650 $650 0.4×
Drainage External Ear Abscess/Hematoma Simple (69000) $547 $547 0.8×
Drainage of finger abscess simple (26010) $411 $411 2.1×
Drainage of gum lesion (41800) $330 $330 2.6×
Drainage of hematoma/fluid (10140) $371 $371 0.2×
Drainage of hydrocele (55000) $920 $920 1.4×
Drainage of scrotal wall abscess (55100) $506 $506 0.3×
Draw Blood Off Venous Device (36591) $218 $218 1.7×
Dressing Change Under Anesthesia (15852) $115 $115 0.2×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $567 $567 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $455 $455 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $347–$428 $347–$428 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $402 $402 2.1×
Dstrj Lesion Penis Simple Cryosurgery (54056) $338 $338 1.8×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 19 matching MRF lines		 $145.20–$1,287 $145.20–$1,287 varies
Dx Bone Marrow Bx & Aspir (38222) $2,707 $2,707 1.0×
Dx Bronchoscope/Lavage (31624) $782 $782 0.5×
Dx Bronchoscope/Wash (31622) $776 $776 0.5×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $879 $879 0.5×
Egd cautery tumor polyp (43250) $493 $493 0.3×
Egd control bleeding any (43255) $741 $741 0.4×
Egd dilation gastric/duodenal stricture (43245) $493 $493 0.3×
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $524–$970 $524–$970 varies
Egd guide wire insertion (43248) $931 $931 1.1×
Egd lesion ablation (43270) $699 $699 0.4×
Egd place gastrostomy tube (43246) $660 $660 0.4×
Egd remove lesion snare (43251) $571 $571 0.3×
Endometrial Biopsy (58100) $225 $225 1.2×
Endoscopic injection/implant (51715) $928 $928 0.3×
Enteroscopy > 2nd prtn conv gstrst tube (44373) $796 $796 0.4×
Epidural Blood Patch (62273) $1,328 $1,328 2.0×
Episiotomy or vaginal repair (59300) $602 $602 0.2×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $2,082 $2,082 1.1×
Esophagoscopy Flexible Transoral Diagnostic (43200) $844 $844 1.0×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $698 $698 0.4×
Evacuation of subungual hematoma (11740) $108 $108 0.8×
Exc arm/elbow les sc < 3 cm (24075) $1,318 $1,318 0.8×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $278 $278 0.4×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $473 $473 0.3×
Exc Back Les Sc < 3 Cm (21930) $1,344 $1,344 0.8×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $563 $563 0.8×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $646 $646 0.9×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $912 $912 0.6×
Exc Face Les Sbq 2 Cm/> (21012) $957 $957 0.6×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $309 $309 0.5×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $389 $389 0.6×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $438 $438 0.6×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $526 $526 0.3×
Exc Frenum Labial/Buccal (40819) $801 $801 0.5×
Exc ganglion wrist recurrent (25112) $1,231 $1,231 0.8×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $279 $279 0.2×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $363 $363 0.5×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $406 $406 0.3×
Exc Hand Les Sc < 1.5 Cm (26115) $1,800 $1,800 1.1×
Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) $742 $742 0.2×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $1,076 $1,076 0.7×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $1,001 $1,001 0.3×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $441 $441 0.6×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $546 $546 0.3×
Exc Skin Benig >4 Cm Remaindr Body (11426) $786 $786 0.3×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $719 $719 0.5×
Exc Skin Benig >4cm Face,Facial (11446) $1,016 $1,016 0.4×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $729 $729 0.5×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $836 $836 0.5×
Exc thigh/knee les sc 3 cm/> (27337) $969 $969 0.3×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $426 $426 0.4×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $342 $342 0.9×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $378 $378 0.6×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $501 $501 0.3×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $1,611 $1,611 0.6×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,277 $1,277 0.8×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $985 $985 0.6×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $1,855 $1,855 0.6×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $1,032 $1,032 0.7×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $671 $671 0.4×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $664 $664 1.0×
Excision lesion meniscus/capsule knee (27347) $1,614 $1,614 0.5×
Excision lesion mouth roof (42104) $582 $582 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $531 $531 0.8×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $582 $582 1.5×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $735 $735 1.1×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $449 $449 0.7×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $876 $876 0.6×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $606 $606 0.9×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $799 $799 0.5×
Excision Multiple External Papillae/Tags Anus (46230) $617 $617 0.2×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $1,012 $1,012 0.7×
Excision of hydrocele; unilateral (55040) $1,065 $1,065 0.3×
Excision of pilonidal cyst or sinus; simple (11770) $740 $740 0.3×
Excision olecranon bursa (24105) $1,235 $1,235 0.4×
Excision Pilonidal Cyst/Sinus Extensive (11771) $1,583 $1,583 0.6×
Excision prepatellar bursa (27340) $1,171 $1,171 0.4×
Excision spermatocele w/wo epididymectomy (54840) $1,016 $1,016 0.5×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,172 $1,172 0.7×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $864 $864 0.5×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $1,278 $1,278 0.8×
Excision, interdigital (morton) neuroma, single, each (28080) $1,400 $1,400 0.9×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $1,340 $1,340 0.5×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $791 $791 0.5×
Expl penetrating wound spx abdomen/flank/back (20102) $1,612 $1,612 0.8×
Exploration penetrating wound spx extremity (20103) $1,193 $1,193 0.8×
Fasciotomy, foot and/or toe (28008) $974 $974 0.3×
Fine needle aspiration without imaging guidance (10021) $341 $341 0.9×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $1,442 $1,442 0.5×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $1,797 $1,797 0.7×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $580 $580 0.6×
Hysteroscopy Biopsy (58558) $714 $714 0.2×
Hysteroscopy Dx Sep Proc (58555) $793 $793 0.3×
Hysteroscopy Endometrial Ablation (58563) $3,556 $3,556 0.7×
I&d abscess simple (10060) $261 $261 1.4×
I&D Below Fascia Foot 1 Bursal Space (28002) $946 $946 0.6×
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 3 matching MRF lines		 $1,249–$2,008 $1,249–$2,008 varies
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $1,126 $1,126 0.4×
I&d perianal abscess superficial (46050) $464 $464 0.5×
I&d pilonidal cyst complicated (10081) $481 $481 0.7×
I&d pilonidal cyst simple (10080) $393 $393 0.6×
I&d upper arm/elbow deep abscess/hematoma (23930) $677 $677 0.2×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $296 $296 0.3×
Implant Neuroelectrodes (64561)
unusually low: confirm this is the full procedure		 $1,894 $1,894 0.3×
Incise external hemorrhoid (46083) $352 $352 1.5×
Incise finger tendon sheath (26055) $1,430 $1,430 0.9×
Incision & drainage abscess complicated/multiple (10061) $448 $448 1.1×
Incision & removal foreign body subq tiss compl (10121) $626 $626 0.4×
Incision & removal foreign body subq tiss simple (10120) $323 $323 0.8×
Incision and drainage of bartholin's gland abscess (56420) $236 $236 1.2×
Incision and drainage of vulva or perineal abscess (56405)
range across 3 matching MRF lines		 $247–$472 $247–$472 varies
Incision of eardrum (69420) $506 $506 2.2×
Incision of lingual frenum (frenotomy) (41010) $358 $358 0.2×
Incision of rectal abscess (46040) $1,126 $1,126 1.0×
Incisional biopsy skin single lesion (11106) $336 $336 0.5×
Initial Tx 1st Degree Burn Local Tx (16000) $132 $132 0.7×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $790–$850 $790–$850 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $111–$167 $111–$167 varies
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 3 matching MRF lines		 $421–$1,887 $421–$1,887 varies
Injection aa&/strd genicular nrv branches w/img (64454)
range across 4 matching MRF lines		 $196–$840 $196–$840 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines		 $97–$146 $97–$146 varies
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449)
range across 2 matching MRF lines		 $288–$432 $288–$432 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 3 matching MRF lines		 $407–$690 $407–$690 varies
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 2 matching MRF lines		 $361–$542 $361–$542 varies
Injection anesthetic agent suprascapular nerve (64418)
range across 3 matching MRF lines		 $286–$1,495 $286–$1,495 varies
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $134–$162 $134–$162 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $128–$1,238 $128–$1,238 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $169–$696 $169–$696 varies
Injection therapeutic carpal tunnel (20526) $238 $238 0.8×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 3 matching MRF lines		 $360–$1,754 $360–$1,754 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 3 matching MRF lines		 $260–$1,050 $260–$1,050 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $188–$1,453 $188–$1,453 varies
Injection, anesthetic agent; vagus nerve (64408)
range across 2 matching MRF lines		 $230–$345 $230–$345 varies
Injection, intralesional; up to and including 7 lesions (11900) $135 $135 0.7×
Insert Bladder Cath Complex (51703) $328 $328 2.7×
Insert cath pleura w/ image (32557) $1,457 $1,457 1.0×
Insert cath pleura w/o image (32556) $1,549 $1,549 0.8×
Insert Drug Implant Device (11981)
range across 2 matching MRF lines		 $245–$285 $245–$285 varies
Insert Gastrostomy Tube Percutaneous (49440) $685 $685 0.4×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $587–$2,017 $587–$2,017 varies
Insert pessary/other device (57160) $111 $111 0.6×
Insert Temp Bladder Cath (51702) $153 $153 1.2×
Insert tunneled cv cath (36561) $2,017 $2,017 0.7×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $56–$105 $56–$105 varies
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $986–$2,306 $986–$2,306 varies
Insj prph ctr vad w/subq port age 5 yr/> (36571) $3,088 $3,088 1.0×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines		 $654–$1,942 $654–$1,942 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $2,017 $2,017 0.7×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $710 $710 1.8×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $904 $904 2.3×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $271–$730 $271–$730 varies
Knee arthroscopy/drainage (29871) $1,590 $1,590 0.5×
Knee Arthroscopy/Surgery (29874) $1,623 $1,623 0.5×
Labyrinthotomy Transcanal (69801) $578 $578 0.4×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure		 $1,307 $1,307 0.2×
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure		 $1,513 $1,513 0.3×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
unusually low: confirm this is the full procedure		 $1,888 $1,888 0.3×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure		 $863 $863 0.1×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
unusually low: confirm this is the full procedure		 $2,089 $2,089 0.4×
Laryngoscopy diagnostic (31505) $217 $217 1.1×
Laryngoscopy flexible diagnostic (31575) $280 $280 1.5×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $688 $688 0.4×
Late closure of wound (13160) $2,492 $2,492 0.7×
Ligamentous reconstruction knee intra-articular (27428)
likely a partial charge, not the full procedure		 $3,507 $3,507 0.3×
Lip Surgery Procedure (40799) $94 $94 0.4×
Litholapaxy comp/lg > 2.5 cm (52318) $1,494 $1,494 0.4×
Litholapaxy smpl/sm <2.5 cm (52317) $2,205 $2,205 0.7×
Lithotripsy, extracorporeal shock wave (50590) $2,150 $2,150 0.6×
Manipulation knee joint under general anesthesia (27570) $462 $462 0.3×
Mastectomy partial (19301) $1,990 $1,990 0.5×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines		 $305–$458 $305–$458 varies
N block inj intercost sng (64420)
range across 3 matching MRF lines		 $263–$395 $263–$395 varies
N Block Inj Plantar Digit (64455) $141 $141 0.5×
Nasal Endoscopy Dx (31231) $452 $452 2.4×
Nasal/Orogastric W/Tube Plmt (43752) $132 $132 0.3×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $867 $867 0.5×
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines		 $383–$575 $383–$575 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $217–$326 $217–$326 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 4 matching MRF lines		 $434–$4,418 $434–$4,418 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines		 $659–$2,029 $659–$2,029 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines		 $649–$2,029 $649–$2,029 varies
Occipital Nerve Block (64405)
range across 5 matching MRF lines		 $187–$450 $187–$450 varies
Open Implantation Nea Sacral Nerve (64581)
unusually low: confirm this is the full procedure		 $2,093 $2,093 0.3×
Open Repair of Rotator Cuff Acute (23410)
unusually low: confirm this is the full procedure		 $2,581 $2,581 0.4×
Open Treatment Bimalleolar Ankle Fracture (27814) $4,056 $4,056 0.6×
Open Treatment Fracture Distal Tibia & Fibula (27828)
unusually low: confirm this is the full procedure		 $4,180 $4,180 0.3×
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure		 $1,908 $1,908 0.3×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure		 $1,953 $1,953 0.3×
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513)
unusually low: confirm this is the full procedure		 $3,965 $3,965 0.3×
Open Treatment of Ulnar Shaft Fracture (25545)
likely a partial charge, not the full procedure		 $2,015 $2,015 0.3×
Open treatment of ulnar styloid fracture (25652)
unusually low: confirm this is the full procedure		 $2,759 $2,759 0.4×
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure		 $2,775 $2,775 0.2×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure		 $2,035 $2,035 0.3×
Open Tx Distal Tibiofibular Joint Disruption (27829) $3,710 $3,710 0.5×
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514)
likely a partial charge, not the full procedure		 $3,033 $3,033 0.2×
Open tx humeral supracondylar fracture w/o xtn (24545)
likely a partial charge, not the full procedure		 $2,264 $2,264 0.2×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $1,816 $1,816 0.6×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $1,877 $1,877 0.6×
Open Tx Tibial Fracture Proximal Unicondylar (27535)
unusually low: confirm this is the full procedure		 $2,890 $2,890 0.4×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
unusually low: confirm this is the full procedure		 $2,833 $2,833 0.4×
Open tx ulnar fx proximal end (24685)
unusually low: confirm this is the full procedure		 $2,108 $2,108 0.3×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
unusually low: confirm this is the full procedure		 $2,598 $2,598 0.4×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
unusually low: confirm this is the full procedure		 $3,302 $3,302 0.5×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236) $3,652 $3,652 0.5×
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
likely a partial charge, not the full procedure		 $2,767 $2,767 0.2×
Optx tibial fx prox bicondylar w/wo int fixj (27536) $3,804 $3,804 0.5×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $1,292 $1,292 0.4×
Penile Injection (54235) $267 $267 1.1×
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines		 $614–$1,141 $614–$1,141 varies
Perq device breast 1st imag (19281) $559 $559 0.4×
Placement of needle for intraosseous infusion (36680) $379 $379 0.9×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $272 $272 0.3×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $484 $484 0.4×
Prq skel fixj femoral fx prox end neck (27235) $4,803 $4,803 0.7×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $277–$308 $277–$308 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines		 $239–$1,135 $239–$1,135 varies
Puncture Aspiration Cyst Breast (19000) $271 $271 0.4×
Pvb thoracic cont infusion (64463) $482 $482 0.7×
Rdctj torsion tstis w/wo fixj clat testis (54600) $1,430 $1,430 0.4×
Removal Foreign Body Foot Subcutaneous (28190) $540 $540 0.8×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $387–$439 $387–$439 varies
Removal impacted cerumen irrigation/lvg unilat (69209) $84 $84 1.5×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $128–$192 $128–$192 varies
Removal Implant Deep (20680) $1,682 $1,682 0.6×
Removal implantable contraceptive capsules (11976) $342 $342 0.5×
Removal of adenoids (42835) $554 $554 0.2×
Removal of adenoids (42831) $741 $741 0.2×
Removal of adenoids (42830) $505 $505 0.2×
Removal of anal fissure (46200) $95 $95 0.0×
Removal of nail bed (11750) $517 $517 1.3×
Removal of testis (54520) $1,030 $1,030 0.3×
Removal of tonsils (42825)
likely a partial charge, not the full procedure		 $922 $922 0.2×
Removal of tonsils (42826) $630 $630 0.2×
Removal or bivalving full arm or full leg cast (29705) $132 $132 0.5×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $200 $200 1.0×
Removal/bivalving gauntlet boot/body cast (29700) $113 $113 0.4×
Remove coronoid process (21070)
unusually low: confirm this is the full procedure		 $1,967 $1,967 0.3×
Remove drug implant device (11982) $337 $337 0.8×
Remove Forearm Foreign Body (25248) $1,055 $1,055 0.7×
Remove foreign body from eye (65205) $106 $106 0.8×
Remove Intrauterine Device (58301) $227 $227 0.8×
Remove Nasal Foreign Body (30300) $531 $531 4.2×
Remove Tendon Sheath Lesion (26160) $1,990 $1,990 1.3×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,395 $1,395 2.0×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $682 $682 1.7×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $1,048–$1,079 $1,048–$1,079 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $985 $985 2.5×
Repair complex trunk 2.6-7.5 cm (13101) $891 $891 1.3×
Repair extensor tendon finger w/o graft each (26418) $2,051 $2,051 1.3×
Repair Hallux Rigidus (28289) $1,956 $1,956 0.6×
Repair inguinal hernia, sliding, any age (49525) $2,140 $2,140 0.6×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $1,549 $1,549 0.5×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $456 $456 1.2×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $544 $544 1.4×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $567 $567 1.5×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $613 $613 1.6×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $947 $947 2.4×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $673 $673 0.9×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $459–$676 $459–$676 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $568 $568 1.5×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $681 $681 1.0×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $836 $836 0.4×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $829 $829 2.1×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $546 $546 1.4×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $676 $676 1.7×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $886 $886 1.2×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $673 $673 1.7×
Repair intermediate s/a/t/e >30.0 cm (12037) $921 $921 0.5×
Repair of nail bed (11760) $398 $398 0.6×
Repair of Ruptured Tendon (24342)
unusually low: confirm this is the full procedure		 $2,950 $2,950 0.4×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
likely a partial charge, not the full procedure		 $1,704 $1,704 0.3×
Repair Rotator Cuff Chronic (23412)
unusually low: confirm this is the full procedure		 $2,678 $2,678 0.4×
Repair tongue laceration (41250) $543 $543 1.3×
Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470) $3,777 $3,777 0.5×
Rerepair ing hernia reduce (49520) $1,536 $1,536 0.4×
Revise Hand/Foot Nerve (64704) $1,032 $1,032 0.5×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $1,492 $1,492 0.4×
Revj tot hip arthrp bth w/wo agrft/algrft (27134)
unusually low: confirm this is the full procedure		 $6,102 $6,102 0.5×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486)
unusually low: confirm this is the full procedure		 $4,396 $4,396 0.4×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804)
range across 2 matching MRF lines		 $391–$640 $391–$640 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $150 $150 0.3×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $198 $198 1.5×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $1,208 $1,208 0.4×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $380 $380 0.2×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $700 $700 0.5×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $428 $428 0.7×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $460–$689 $460–$689 varies
Rplc gtube revj gstrst trc (43763) $711 $711 3.0×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
unusually low: confirm this is the full procedure		 $2,782 $2,782 0.5×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $1,334 $1,334 0.4×
Rpr aa hernia recr 3-10 cm reducible (49615)
likely a partial charge, not the full procedure		 $1,633 $1,633 0.3×
Rpr aa hrn 1st 3-10 rdc (49593)
unusually low: confirm this is the full procedure		 $2,118 $2,118 0.3×
Rpr aa hrn 1st < 3 ncr/strn (49592)
unusually low: confirm this is the full procedure		 $1,759 $1,759 0.3×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $346 $346 1.8×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $802 $802 1.1×
Rpr Lip Full Thickness Vermilion Only (40650) $860 $860 1.7×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $1,951 $1,951 0.6×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $784 $784 0.7×
Shave skin lesion 0.5 cm/< (11300) $162 $162 0.4×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $203 $203 1.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $190 $190 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $215 $215 1.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $362 $362 1.9×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $250 $250 1.3×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $221 $221 1.1×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $282 $282 0.7×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $333 $333 1.7×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $626 $626 0.2×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $887 $887 0.8×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $423 $423 0.5×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $369 $369 0.9×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $129 $129 0.7×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $285 $285 1.5×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $625 $625 1.6×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $323 $323 1.7×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $607 $607 3.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $129–$281 $129–$281 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $432 $432 2.2×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $335 $335 1.7×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $324 $324 1.7×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $355 $355 0.9×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $386 $386 1.0×
Sphincterotomy anal division sphincter spx (46080) $976 $976 0.4×
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines		 $314–$1,517 $314–$1,517 varies
Strapping ankle (29540) $79 $79 0.5×
Strapping shoulder (29240) $230 $230 1.8×
Strapping toes (29550) $230 $230 4.1×
Strapping Unna Boot (29580)
range across 2 matching MRF lines		 $59–$185 $59–$185 varies
Suture infrapatellar tendon primary (27380)
likely a partial charge, not the full procedure		 $2,031 $2,031 0.3×
Suture of quadriceps or hamstring muscle rupture primary (27385)
likely a partial charge, not the full procedure		 $1,820 $1,820 0.3×
Tangential biopsy skin single lesion (11102) $221 $221 0.6×
Tenodesis long tendon biceps (23430)
unusually low: confirm this is the full procedure		 $2,344 $2,344 0.3×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $759 $759 0.2×
Tooth extraction (41899) $64 $64 0.3×
Total Knee Arthroplasty (27447)
range across 2 matching MRF lines		 $3,924–$5,886 $3,924–$5,886 varies
Treat Fx Rad Extra-Articul (25607)
unusually low: confirm this is the full procedure		 $2,406 $2,406 0.3×
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $682–$687 $682–$687 varies
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $642–$1,042 $642–$1,042 varies
Treat Kneecap Fracture (27524)
unusually low: confirm this is the full procedure		 $2,871 $2,871 0.4×
Treat Knuckle Dislocation (26700) $722 $722 3.0×
Treat Metatarsal Fracture (28475) $502 $502 2.1×
Treat Tail Bone Fracture (27200) $394 $394 1.7×
Treat Thumb Dislocation (26641) $709 $709 3.0×
Treat Thumb Fracture (26645) $817 $817 0.5×
Treat Vaginal Bleeding (57180) $434 $434 2.2×
Treatment Closed Elbow Dislocation Req Anes (24605) $998 $998 0.6×
Treatment closed elbow dislocation w/o anes (24600) $711 $711 3.0×
Treatment of ankle fracture (27823)
unusually low: confirm this is the full procedure		 $3,181 $3,181 0.5×
Trim skin lesion (11055) $114 $114 0.6×
Trim skin lesions 2 to 4 (11056) $93 $93 0.5×
Trimming Nondystrophic Nails Any Number (11719) $32 $32 0.6×
Tx Gastro Intub W/Asp (43753) $149 $149 0.7×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245)
unusually low: confirm this is the full procedure		 $2,850 $2,850 0.4×
Tx Superficial Wound Dehiscence Simple Closure (12020) $406 $406 0.6×
Tx superficial wound dehiscence w/packing (12021) $304 $304 0.8×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 2 matching MRF lines		 $413–$619 $413–$619 varies
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $1,087 $1,087 0.7×
Tympanostomy general anesthesia (69436)
range across 2 matching MRF lines		 $383–$575 $383–$575 varies
Unlisted Procedure Casting/Strapping (29799) $64 $64 0.4×
Unlisted procedure neck or thorax (21899) $222 $222 1.0×
Vaginal delivery only (59409) $2,132 $2,132 0.7×
Vasectomy uni/bi spx w/postop semen exams (55250) $997 $997 0.5×
Ventilating tube removal requiring general anesthesia (69424) $310 $310 0.1×
Wedge excision skin nail fold (11765) $377 $377 1.0×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.