Procedures & surgery prices at Desert Valley Hospital
Victorville, CA · every code in this section with a posted price and a Medicare benchmark.
783 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 3 matching MRF lines |
$1,160 | $3,498.95–$5,374.08 | 1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$1,160 | $3,224.45–$3,498.95 | 1.0× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $2,640 | $3,639 | 1.0× |
| Amputation metatarsal with toe single (28810) | $4,187 | $909.75 | 1.0× |
| Amputation toe interphalangeal joint (28825) | $4,187 | $3,639 | 1.0× |
| Amputation toe metatarsophalangeal joint (28820) | $4,187 | $3,639 | 1.0× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) | $393 | $1,819.50 | 1.0× |
| Anosc Rmvl Mult Tumors Cautery/Snare (46612) | $3,552 | $6,946.89 | 1.0× |
| Anoscopy diagnostic (46600) | $170 | $315.12 | 1.0× |
| Anoscopy W/Rmvl Foreign Body (46608) | $1,190 | $2,129.94 | 1.0× |
| Anterior colporraphy rpr cystocele w/cysto (57240) | $6,402 | $3,730.49 | 1.0× |
| Application finger splint static (29130) range across 3 matching MRF lines |
$170 | $358–$486 | 1.0× |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$207 | $406.26–$904.45 | 1.0× |
| Application Long Leg Splint (29505) range across 3 matching MRF lines |
$207 | $625.75–$904.45 | 1.0× |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$170 | $500.10–$738.85 | 1.0× |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$207 | $406.26–$904.45 | 1.0× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$170 | $491.25–$738.85 | 1.0× |
| Arteriovenous Anastomosis Open Direct (36821) | $4,041 | $5,458.50 | 1.0× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) | $16,431 | $5,637.55 | 1.0× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) | $16,431 | $1,516.25 | 1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 6 matching MRF lines |
$392 | $734.10–$1,308.85 | 1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $903 | $3,294.50 | 1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$392 | $1,155–$1,223.50 | 1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $392 | $1,305.85 | 1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 4 matching MRF lines |
$392 | $734.10–$1,305.85 | 1.0× |
| Arthrodesis Glenohumeral Joint (23800) | $9,286 | $3,359.48 | 1.0× |
| Arthrodesis great toe metatarsophalangeal joint (28750) | $9,286 | $3,002.18 | 1.0× |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) | $22,440 | $3,184.12 | 1.0× |
| Arthrodesis sacroiliac joint percutaneous (27279) | $22,440 | $4,548.75 | 1.0× |
| Arthroplasty glenohumeral joint total shoulder (23472) | $22,440 | $14,851.10 | 1.0× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) | $4,187 | $6,086.21 | 1.0× |
| Arthroscopy Ankle Surgical Debridement Limited (29897) | $4,187 | $3,329.03 | 1.0× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) range across 2 matching MRF lines |
$4,187 | $26,297.69–$26,297.70 | 1.0× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) | $4,187 | $3,836.44 | 1.0× |
| Arthroscopy knee synovectomy limited spx (29875) | $4,187 | $14,182.30 | 1.0× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) | $4,187 | $17,019.20 | 1.0× |
| Arthroscopy shoulder distal claviculectomy (29824) | $4,187 | $4,835.39 | 1.0× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) | $9,286 | $6,823.13 | 1.0× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) | $4,187 | $5,003.63 | 1.0× |
| Arthroscopy, knee, surgical; with lateral release (29873) | $4,187 | $6,729.70 | 1.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) | $4,187 | $4,152.07 | 1.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) | $4,187 | $4,808.68 | 1.0× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) | $9,286 | $4,134.29 | 1.0× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) | $4,187 | $8,011.38 | 1.0× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | $4,187 | $4,548.75 | 1.0× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) | $9,286 | $9,770.57 | 1.0× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) | $9,286 | $5,458.50 | 1.0× |
| Arthrotomy W/Synovectomy Ankle (27625) | $4,187 | $2,729.25 | 1.0× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) | $16,431 | $9,552.38 | 1.0× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) | $16,431 | $28,366.80 | 1.0× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) | $9,286 | $8,187.75 | 1.0× |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) | $4,187 | $8,509.60 | 1.0× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) | $4,187 | $7,269.58 | 1.0× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $4,187 | $4,548.75 | 1.0× |
| Aspirate pleura w/ imaging (32555) range across 5 matching MRF lines |
$802 | $3,350.56–$4,893.50 | 1.0× |
| Aspirate Pleura W/O Imaging (32554) range across 16 matching MRF lines |
$802 | $1,837.71–$3,420.65 | 1.0× |
| Aspirate/Inj Ganglion Cyst (20612) | $392 | $6,736.64 | 1.0× |
| Aspiration bladder insert suprapubic catheter (51102) range across 4 matching MRF lines |
$2,675 | $5,087.04–$8,857.75 | 1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$256 | $953.75–$1,138.95 | 1.0× |
| Biopsy Abdominal Mass (49180) range across 2 matching MRF lines |
$2,113 | $3,421–$8,101.20 | 1.0× |
| Biopsy bone trocar/needle deep (20225) | $2,113 | $6,719 | 1.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $2,113 | $7,035 | 1.0× |
| Biopsy muscle percutaneous needle (20206) | $2,113 | $6,740.15 | 1.0× |
| Biopsy of intestine by capsule, tube, peroral (1 or more specimens) (44100) | $1,160 | $3,428.25 | 1.0× |
| Biopsy of liver, needle; percutaneous (47000) | $2,113 | $5,572.32 | 1.0× |
| Biopsy Salivary Gland Needle (42400) | $906 | $3,139.85 | 1.0× |
| Bladder instillation anticarcinogenic agent (51720) | $892 | $1,781.60 | 1.0× |
| Bladder Irrigation (51700) range across 3 matching MRF lines |
$319 | $688.59–$1,080.20 | 1.0× |
| Bladder Scan (51798) | $75 | $272.75 | 1.0× |
| Blepharotomy drainage abscess eyelid (67700) range across 3 matching MRF lines |
$406 | $1,041.20–$2,081.40 | 1.0× |
| Blood Transfusion Service (36430) range across 5 matching MRF lines |
$564 | $1,940.20–$2,505.91 | 1.0× |
| Bone Marrow Biopsy (38221) | $2,113 | $4,044.09 | 1.0× |
| Bone Marrow Harvest Autolog (38232) range across 2 matching MRF lines |
$5,574 | $33,328.26–$33,328.30 | 1.0× |
| Bone Marrow; Aspiration Only (38220) | $2,113 | $4,044.09 | 1.0× |
| Brnchsc Brushing/Protected Brushings (31623) | $2,278 | $3,971.10 | 1.0× |
| Bronchoscopy Clear Airways (31645) | $2,278 | $9,884.64 | 1.0× |
| Bronchoscopy Reclear Airway (31646) | $500 | $4,053.20 | 1.0× |
| Bronchoscopy W/Biopsy(S) (31625) | $2,278 | $5,930.79 | 1.0× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) | $4,771 | $7,849.71 | 1.0× |
| Bx breast 1st lesion strtctc (19081) | $2,113 | $4,044.09 | 1.0× |
| Bx breast 1st lesion us imag (19083) | $2,113 | $6,470.15 | 1.0× |
| Bx Cervix (57500) | $1,178 | $14,182.30 | 1.0× |
| Bx prostate strtctc saturation sampling img gid (55706) | $4,511 | $3,639 | 1.0× |
| Bx/exc lymph node open deep axillary node (38525) | $5,011 | $3,639 | 1.0× |
| Bx/exc lymph node open superficial (38500) | $5,011 | $14,182.30 | 1.0× |
| Carpal Tunnel Surgery (64721) | $2,499 | $5,105.42 | 1.0× |
| Catheter aspiration nasotracheal spx (31720) | $280 | $2,007 | 1.0× |
| Cerv artific diskectomy (22856) range across 2 matching MRF lines |
$22,440 | $21,275.65–$21,275.70 | 1.0× |
| Cessj Therapy Cath Removal (37214) | $4,041 | $10,824.90 | 1.0× |
| Change Cystostomy Tube Simple (51705) | $319 | $1,080.20 | 1.0× |
| Change ureter stent percut (50382) | $2,675 | $8,964.95 | 1.0× |
| Chemical Cautery Tissue (17250) | $256 | $765.60 | 1.0× |
| Chest tube placement (32551) range across 6 matching MRF lines |
$2,014 | $2,948.91–$5,342.58 | 1.0× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $4,582 | $16,481.70 | 1.0× |
| Circumcision 28 days or older (54161) | $2,675 | $3,639 | 1.0× |
| Circumcision w/clamp/oth dev w/block (54150) range across 2 matching MRF lines |
$2,675 | $11,625.49–$11,625.50 | 1.0× |
| Cl Tx Tib Shft Fx W Manip (27752) | $2,058 | $8,042.40 | 1.0× |
| Claviculectomy partial (23120) | $4,187 | $6,368.25 | 1.0× |
| Clear outer ear canal (69200) | $170 | $500.10 | 1.0× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $315 | $1,149.42 | 1.0× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $2,058 | $4,049.82 | 1.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $315 | $782.20 | 1.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $315 | $1,125.45 | 1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 3 matching MRF lines |
$315 | $644.70–$1,055 | 1.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $2,058 | $4,049.82 | 1.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $315 | $644.70 | 1.0× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $315 | $644.70 | 1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) | $315 | $1,247.50 | 1.0× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) range across 3 matching MRF lines |
$2,058 | $8,028.20–$12,042.30 | 1.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $2,058 | $4,049.82 | 1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 3 matching MRF lines |
$315 | $644.70–$1,374.99 | 1.0× |
| Closed tx radial head/neck fx w/manipulation (24655) | $2,058 | $4,049.82 | 1.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $315 | $644.70 | 1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) | $2,058 | $8,002.05 | 1.0× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $315 | $644.70 | 1.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $2,058 | $4,049.82 | 1.0× |
| Closed tx septal&nose fx (21337) | $4,243 | $6,597.18 | 1.0× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) | $315 | $1,030.95 | 1.0× |
| Closed tx talotarsal joint dislc w/o anes (28570) | $315 | $1,123.45 | 1.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $2,058 | $4,049.82 | 1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 3 matching MRF lines |
$315 | $644.70–$999.15 | 1.0× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $2,058 | $6,087.10 | 1.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $315 | $782.20 | 1.0× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) range across 2 matching MRF lines |
$690 | $1,379.61–$2,411.20 | 1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 3 matching MRF lines |
$2,058 | $4,049.82–$4,485.55 | 1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 3 matching MRF lines |
$315 | $644.70–$999.15 | 1.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $2,058 | $4,049.82 | 1.0× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $2,058 | $4,049.82 | 1.0× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $315 | $644.70 | 1.0× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $315 | $644.70 | 1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 3 matching MRF lines |
$315 | $644.70–$1,374.99 | 1.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 3 matching MRF lines |
$315 | $644.70–$735 | 1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $315 | $1,187.50 | 1.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $315 | $999.15 | 1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $315 | $644.70 | 1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 3 matching MRF lines |
$2,058 | $4,049.82–$5,504.12 | 1.0× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $2,058 | $4,049.82 | 1.0× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) range across 3 matching MRF lines |
$2,058 | $4,178.95–$5,051.80 | 1.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $2,058 | $4,049.82 | 1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $315 | $644.70 | 1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $315 | $644.70 | 1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $315 | $644.70 | 1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 3 matching MRF lines |
$2,058 | $6,776.95–$7,958.90 | 1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 3 matching MRF lines |
$315 | $644.70–$1,374.99 | 1.0× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $2,058 | $4,049.82 | 1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $315 | $999.15 | 1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $315 | $999.15 | 1.0× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $2,058 | $4,049.82 | 1.0× |
| Cltx Medial Ankle Fx (27760) range across 3 matching MRF lines |
$315 | $644.70–$656 | 1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $315 | $644.70 | 1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $315 | $1,187.50 | 1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) | $315 | $644.70 | 1.0× |
| Cltx prox fibula/shft fx w/manj (27781) | $2,058 | $8,042.40 | 1.0× |
| Cltx prox fibula/shft fx w/o manj (27780) range across 3 matching MRF lines |
$315 | $644.70–$691 | 1.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $2,058 | $8,042.40 | 1.0× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $315 | $644.70 | 1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
$315 | $644.70–$1,187.50 | 1.0× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $2,058 | $4,049.82 | 1.0× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $2,058 | $4,049.82 | 1.0× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 3 matching MRF lines |
$315 | $338.16–$734 | 1.0× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) | $2,058 | $4,049.82 | 1.0× |
| Cltx tibial shaft fx w/o manipulation (27750) range across 3 matching MRF lines |
$315 | $644.70–$824.99 | 1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $2,058 | $4,049.82 | 1.0× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 3 matching MRF lines |
$315 | $644.70–$790 | 1.0× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) | $6,402 | $4,964.04 | 1.0× |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$9 | $43–$118.65 | 1.0× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) | $1,531 | $2,809.17 | 1.0× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) | $1,531 | $2,809.17 | 1.0× |
| Colonoscopy thru stoma (44388) range across 2 matching MRF lines |
$1,190 | $3,639–$3,763.80 | 1.0× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) | $1,531 | $5,414.55 | 1.0× |
| Colonoscopy w/ablation (45388) | $1,531 | $4,630.40 | 1.0× |
| Colonoscopy w/fb removal (45379) | $1,531 | $4,388 | 1.0× |
| Colonoscopy w/submucosal inj (45381) | $1,531 | $4,388 | 1.0× |
| Colpopexy vaginal intraperitoneal approach (57283) | $9,490 | $5,318.69 | 1.0× |
| Colporrhaphy (57200) | $4,143 | $14,182.30 | 1.0× |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $1,531 | $4,388 | 1.0× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) | $1,531 | $4,388 | 1.0× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $1,531 | $4,388 | 1.0× |
| Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) | $1,531 | $2,809.17 | 1.0× |
| Complex drainage wound (10180) | $3,717 | $3,500.90 | 1.0× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $4,143 | $3,942.25 | 1.0× |
| Conization of cervix (57520) | $4,143 | $3,639 | 1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 3 matching MRF lines |
$170 | $367–$500.10 | 1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$170 | $500.10–$738.85 | 1.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $2,113 | $5,572.32 | 1.0× |
| Correction hammertoe (28285) range across 2 matching MRF lines |
$4,187 | $7,153.43–$11,130 | 1.0× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) | $4,187 | $3,639 | 1.0× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) | $4,187 | $1,091.70 | 1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) | $16,431 | $6,368.25 | 1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) | $9,286 | $3,639 | 1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) | $4,187 | $3,639 | 1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) | $9,286 | $5,458.50 | 1.0× |
| Create Eardrum Opening (69433) | $690 | $1,379.61 | 1.0× |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) | $7,121 | $7,278 | 1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $170 | $515.30 | 1.0× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) range across 3 matching MRF lines |
$303 | $535.50–$885.45 | 1.0× |
| Cysto Bladder W/Ureteral Catheterization (52005) | $2,675 | $3,639 | 1.0× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $2,675 | $4,508.80 | 1.0× |
| Cysto w/insert ureteral stent (52332) | $4,511 | $5,003.63 | 1.0× |
| Cysto w/removal of lesions small (52224) | $4,511 | $3,942.25 | 1.0× |
| Cysto w/removal of tumors small (52234) | $4,511 | $3,639 | 1.0× |
| Cysto W/Simple Removal Stone & Stent (52310) | $2,675 | $3,639 | 1.0× |
| Cysto w/ureteroscopy w/lithotripsy (52353) | $6,862 | $4,366.80 | 1.0× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) | $4,511 | $5,300.50 | 1.0× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) | $6,862 | $4,548.75 | 1.0× |
| Cysto/uretero w/lithotripsy (52356) | $6,862 | $5,458.50 | 1.0× |
| Cystostomy Cystotomy W/Drainage (51040) | $2,675 | $3,639 | 1.0× |
| Cystourethroscopy (52000) range across 2 matching MRF lines |
$892 | $3,126.70–$3,639 | 1.0× |
| Cystourethroscopy inj chemodenervation bladder (52287) | $2,675 | $3,639 | 1.0× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) | $4,511 | $3,639 | 1.0× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) | $6,862 | $5,458.50 | 1.0× |
| Cystourethroscopy w/dil bladder general anesth (52260) | $2,675 | $3,639 | 1.0× |
| Cystourethroscopy with biopsy (52204) | $2,675 | $4,321.31 | 1.0× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) | $2,675 | $3,639 | 1.0× |
| Cystourethroscopy, with internal urethrotomy; female Facility (52270) | $2,675 | $3,639 | 1.0× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $945 | $2,992 | 1.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $2,113 | $7,497.55 | 1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 5 matching MRF lines |
$520 | $932.40–$3,639 | 1.0× |
| Declot vascular device (36593) | $422 | $909.43 | 1.0× |
| Decompression of tibia nerve (28035) | $2,499 | $2,956.69 | 1.0× |
| Decompressive fasciotomy hand (26037) | $4,187 | $909.75 | 1.0× |
| Delivery of placenta (59414) range across 2 matching MRF lines |
$4,143 | $6,818.31–$14,137.20 | 1.0× |
| Destruct B9 Lesion 1-14 (17110) | $256 | $19,211.10 | 1.0× |
| Diagnostic sigmoidoscopy (45330) | $1,190 | $2,129.94 | 1.0× |
| Dilate Esophagus 1/Mult Pass (43450) | $1,160 | $5,374.08 | 1.0× |
| Dilation & curettage dx&/ther nonobstetric (58120) | $4,143 | $3,639 | 1.0× |
| Drain Cerebro Spinal Fluid (62272) range across 2 matching MRF lines |
$903 | $1,630.14–$3,727.60 | 1.0× |
| Drain/inj small joint/bursa w/us (20604) | $392 | $1,305.85 | 1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $906 | $1,718.55 | 1.0× |
| Drainage Finger Abscess Complicated (26011) | $2,113 | $4,044.09 | 1.0× |
| Drainage Mouth Roof Lesion (42000) | $303 | $1,371.75 | 1.0× |
| Drainage of finger abscess simple (26010) | $256 | $1,141.35 | 1.0× |
| Drainage of gum lesion (41800) | $170 | $588 | 1.0× |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$2,113 | $3,639–$8,101.20 | 1.0× |
| Drainage of scrotal wall abscess (55100) | $2,113 | $6,183.10 | 1.0× |
| Drainage of skene's gland abscess or cyst (53060) | $2,675 | $5,252.97 | 1.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $906 | $1,718.55 | 1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $520 | $932.40 | 1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $256 | $506.85 | 1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $256 | $765.60 | 1.0× |
| Dstrj lesion anus simple surg excision (46922) | $3,552 | $1,819.50 | 1.0× |
| Duodenal intubat w/imag guided multiple specimen (43757) | $1,160 | $2,230.47 | 1.0× |
| Dx Bone Marrow Bx & Aspir (38222) | $3,717 | $16,405.20 | 1.0× |
| Dx Bronchoscope/Lavage (31624) range across 3 matching MRF lines |
$2,278 | $8,085.70–$9,884.64 | 1.0× |
| Dx Bronchoscope/Wash (31622) | $2,278 | $5,930.79 | 1.0× |
| Dx duod intub w/asp spec (43756) | $1,160 | $2,230.47 | 1.0× |
| Dx gastr intub w/asp spec (43754) | $276 | $746.49 | 1.0× |
| Dx gastr intub w/asp specs (43755) | $164 | $408.96 | 1.0× |
| Dx Laryngoscopy Excl Nb (31525) | $2,278 | $3,971.10 | 1.0× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $903 | $3,172.95 | 1.0× |
| Egd Balloon Dil Esoph30 Mm/> (43233) range across 2 matching MRF lines |
$2,455 | $3,639–$4,282.17 | 1.0× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) range across 3 matching MRF lines |
$2,455 | $3,639–$7,787 | 1.0× |
| Egd cautery tumor polyp (43250) | $2,455 | $4,282.17 | 1.0× |
| Egd control bleeding any (43255) | $2,455 | $6,524.12 | 1.0× |
| Egd dilation gastric/duodenal stricture (43245) | $2,455 | $4,282.17 | 1.0× |
| Egd Flexible Foreign Body Removal (43247) range across 3 matching MRF lines |
$1,160 | $3,639–$3,929.60 | 1.0× |
| Egd guide wire insertion (43248) | $1,160 | $3,726.80 | 1.0× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) | $2,455 | $4,282.17 | 1.0× |
| Egd lesion ablation (43270) | $2,455 | $6,674.15 | 1.0× |
| Egd place gastrostomy tube (43246) | $2,455 | $6,524.12 | 1.0× |
| Egd remove lesion snare (43251) | $2,455 | $6,524.12 | 1.0× |
| Egd Varices Ligation (43244) | $2,455 | $6,524.12 | 1.0× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) | $393 | $8,509.60 | 1.0× |
| Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) | $7,121 | $30,985.40 | 1.0× |
| Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) | $7,121 | $18,591.30 | 1.0× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) | $6,402 | $3,639 | 1.0× |
| Endoscopic injection/implant (51715) | $4,511 | $3,729.98 | 1.0× |
| Endoscopic plantar fasciotomy (29893) | $4,187 | $1,364.62 | 1.0× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) | $2,455 | $4,282.17 | 1.0× |
| Epidural Blood Patch (62273) | $903 | $2,929.15 | 1.0× |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) | $7,769 | $12,880.90 | 1.0× |
| Ercp duct stent placement (43274) | $7,769 | $12,880.90 | 1.0× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) | $4,934 | $8,230.32 | 1.0× |
| Ercp ea duct/ampulla dilate (43277) | $4,934 | $8,230.32 | 1.0× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) | $4,934 | $8,230.32 | 1.0× |
| Ercp remove forgn body duct (43275) | $2,455 | $8,230.32 | 1.0× |
| Ercp Stent Exchange W/Dilate (43276) | $7,769 | $12,880.90 | 1.0× |
| Ercp W/Biopsy Single/Multiple (43261) | $4,934 | $8,230.32 | 1.0× |
| Ercp,Sphincterotomy (43262) | $4,934 | $8,230.32 | 1.0× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) | $1,160 | $2,760 | 1.0× |
| Esophagosc Dilate Balloon 30 (43214) | $2,455 | $4,282.17 | 1.0× |
| Esophagoscopy Flexible Guide Wire Dilation (43226) | $2,455 | $4,282.17 | 1.0× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) | $1,160 | $2,230.47 | 1.0× |
| Esophagoscopy Retro Balloon (43213) | $2,455 | $4,282.17 | 1.0× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) | $2,455 | $8,125.10 | 1.0× |
| Evacuation of subungual hematoma (11740) | $170 | $315.12 | 1.0× |
| Exc abdl tum deep 5 cm/> (22901) | $3,717 | $3,639 | 1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $2,113 | $3,639 | 1.0× |
| Exc Back Les Sc < 3 Cm (21930) range across 2 matching MRF lines |
$2,113 | $20,907.06–$20,907.10 | 1.0× |
| Exc Back Tum Deep 5 Cm/> (21933) range across 2 matching MRF lines |
$3,717 | $31,304.30–$31,304.34 | 1.0× |
| Exc back tum deep < 5 cm (21932) | $3,717 | $3,639 | 1.0× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $5,011 | $3,942.25 | 1.0× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $906 | $3,639 | 1.0× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $906 | $14,182.30 | 1.0× |
| Exc ganglion wrist recurrent (25112) | $2,058 | $14,182.30 | 1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$2,113 | $3,639–$4,044.09 | 1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $906 | $2,896.70 | 1.0× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$2,113 | $12,211–$12,211.03 | 1.0× |
| Exc Hand Les Sc < 1.5 Cm (26115) | $2,113 | $3,639 | 1.0× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $2,058 | $3,639 | 1.0× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) | $2,058 | $3,639 | 1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $906 | $3,639 | 1.0× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $2,113 | $6,863 | 1.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $2,113 | $3,639 | 1.0× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $2,113 | $3,639 | 1.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $2,113 | $3,639 | 1.0× |
| Exc tendon shth lesion leg/ankle (27630) | $4,187 | $1,819.50 | 1.0× |
| Exc thigh/knee les sc 3 cm/> (27337) range across 2 matching MRF lines |
$3,717 | $20,164.38–$20,164.40 | 1.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $1,531 | $4,595.28 | 1.0× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$906 | $2,461–$3,639 | 1.0× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $2,113 | $3,639 | 1.0× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $3,717 | $1,213 | 1.0× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $3,717 | $3,639 | 1.0× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $2,113 | $3,639 | 1.0× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) | $3,717 | $14,182.30 | 1.0× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) range across 2 matching MRF lines |
$2,113 | $18,651.20–$18,651.23 | 1.0× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $2,113 | $3,639 | 1.0× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) | $3,717 | $14,182.30 | 1.0× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $3,717 | $20,295.40 | 1.0× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) | $4,187 | $3,639 | 1.0× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) | $2,058 | $1,819.50 | 1.0× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $2,675 | $5,087.04 | 1.0× |
| Exchange Transfusion Blood Newborn (36450) | $564 | $1,940.20 | 1.0× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $2,455 | $4,282.17 | 1.0× |
| Excise Wrist Tendon Sheath (25118) | $2,058 | $14,182.30 | 1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $906 | $3,639 | 1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $906 | $3,639 | 1.0× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $2,113 | $20,506.30 | 1.0× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $906 | $3,639 | 1.0× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 2 matching MRF lines |
$2,058 | $12,519.60–$12,519.62 | 1.0× |
| Excision of hydrocele; unilateral (55040) range across 2 matching MRF lines |
$4,582 | $17,349.40–$17,349.44 | 1.0× |
| Excision of pilonidal cyst or sinus; simple (11770) | $3,717 | $9,224.75 | 1.0× |
| Excision of submandibular (submaxillary) gland (42440) | $7,576 | $5,458.50 | 1.0× |
| Excision of vaginal cyst or tumor (57135) | $4,143 | $14,182.30 | 1.0× |
| Excision olecranon bursa (24105) | $4,187 | $3,639 | 1.0× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $3,717 | $5,458.50 | 1.0× |
| Excision spermatocele w/wo epididymectomy (54840) | $2,675 | $3,639 | 1.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $2,113 | $4,093.88 | 1.0× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) | $3,717 | $3,639 | 1.0× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $2,113 | $3,639 | 1.0× |
| Excision, interdigital (morton) neuroma, single, each (28080) | $2,058 | $8,156.57 | 1.0× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) range across 2 matching MRF lines |
$2,113 | $19,982.30–$19,982.32 | 1.0× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $3,717 | $3,639 | 1.0× |
| Excision/curettage cyst/tumor phalanx finger (26210) | $2,058 | $4,727.44 | 1.0× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $2,640 | $4,705.29 | 1.0× |
| Explo/Drain Breast Abscess (19020) | $2,113 | $4,256.52 | 1.0× |
| Exploration penetrating wound spx chest (20101) | $2,640 | $4,705.29 | 1.0× |
| Exploration penetrating wound spx extremity (20103) | $2,113 | $5,276 | 1.0× |
| Exploration Penetrating Wound Spx Neck (20100) | $690 | $1,379.61 | 1.0× |
| Fasciectomy Plantar Fascia Partial Spx (28060) range across 2 matching MRF lines |
$4,187 | $24,576.10–$24,576.11 | 1.0× |
| Fasciotomy palmar open partial (26045) | $4,187 | $1,819.50 | 1.0× |
| Fasciotomy, foot and/or toe (28008) | $4,187 | $9,748.36 | 1.0× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) | $4,187 | $3,639 | 1.0× |
| Fetal Contraction Stress Test (59020) | — | $817.83 | — |
| Fetal non-stress test (59025) range across 2 matching MRF lines |
$258 | $482.10–$1,153.10 | 1.0× |
| Fna bx w/us gdn 1st les (10005) range across 2 matching MRF lines |
$906 | $2,896.70–$4,410 | 1.0× |
| Foreskin manipulation (54450) | $319 | $1,106 | 1.0× |
| Frenulotomy of penis (54164) | $2,675 | $3,639 | 1.0× |
| Fusion of foot bones (28740) | $9,286 | $3,639 | 1.0× |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) range across 2 matching MRF lines |
$2,455 | $5,729.85–$6,437.85 | 1.0× |
| Guide Cathet Fluid Drainage (10030) | $906 | $2,448 | 1.0× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) range across 2 matching MRF lines |
$3,552 | $18,437.65–$18,437.70 | 1.0× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) range across 2 matching MRF lines |
$3,552 | $20,801.70–$20,801.73 | 1.0× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $1,190 | $3,639 | 1.0× |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) | $3,552 | $6,946.89 | 1.0× |
| Hysteroscopy Biopsy (58558) | $4,143 | $4,810.48 | 1.0× |
| Hysteroscopy Dx Sep Proc (58555) | $4,143 | $2,122.75 | 1.0× |
| Hysteroscopy Endometrial Ablation (58563) | $6,402 | $3,734.76 | 1.0× |
| Hysteroscopy Removal Impacted Foreign Body (58562) | $4,143 | $3,639 | 1.0× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) | $6,402 | $3,639 | 1.0× |
| I&d abscess peritonsillar (42700) | $303 | $1,341.10 | 1.0× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$256 | $953.75–$1,138.95 | 1.0× |
| I&d perianal abscess superficial (46050) | $1,190 | $6,208.40 | 1.0× |
| I&d pilonidal cyst complicated (10081) | $906 | $3,157 | 1.0× |
| I&d pilonidal cyst simple (10080) | $906 | $1,718.55 | 1.0× |
| Icd Pocket Revision (33223) range across 2 matching MRF lines |
$2,640 | $4,705.29–$6,586.35 | 1.0× |
| Image Cath Fluid Colxn Visc (49405) | $2,113 | $8,101.20 | 1.0× |
| Implant Neuroelectrodes (64561) range across 2 matching MRF lines |
$8,156 | $28,763.90–$28,763.93 | 1.0× |
| Implant Periph/Gastric Neurostim/Receiver (64590) range across 2 matching MRF lines |
$24,829 | $28,763.90–$28,763.94 | 1.0× |
| Implant Spine Infusion Pump (62362) | $23,068 | $5,164.55 | 1.0× |
| Incise external hemorrhoid (46083) | $319 | $1,228.80 | 1.0× |
| Incise finger tendon sheath (26055) | $2,058 | $3,639 | 1.0× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$520 | $1,463.10–$3,639 | 1.0× |
| Incision & removal foreign body subq tiss simple (10120) | $520 | $1,463.10 | 1.0× |
| Incision and drainage of bartholin's gland abscess (56420) | $258 | $780.05 | 1.0× |
| Incision and drainage of vulva or perineal abscess (56405) | $390 | $1,378.80 | 1.0× |
| Incision bone cortex foot (28005) | $4,187 | $3,622.56 | 1.0× |
| Incision Drainage Lacrimal Sac (68420) | $3,042 | $9,063.40 | 1.0× |
| Incision extensor tendon sheath wrist (25000) | $2,058 | $9,304.30 | 1.0× |
| Incision of rectal abscess (46040) | $1,531 | $6,843.90 | 1.0× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $256 | $765.60 | 1.0× |
| Inj W/Fluor Eval Cv Device (36598) | $272 | $935.90 | 1.0× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $392 | $734.10 | 1.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) | $903 | $10,658.20 | 1.0× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $903 | $9,675.43 | 1.0× |
| Injection for identification of sentinel node (38792) | $511 | $1,048.32 | 1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $392 | $1,029.95 | 1.0× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $1,132 | $4,342.25 | 1.0× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $903 | $5,157.87 | 1.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $903 | $1,630.14 | 1.0× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) range across 2 matching MRF lines |
$1,132 | $3,194.65–$4,060.25 | 1.0× |
| Ins cath ren art 1st bilat (36252) range across 2 matching MRF lines |
$4,041 | $7,478.22–$11,803 | 1.0× |
| Ins cath ren art 1st unilat (36251) range across 2 matching MRF lines |
$4,041 | $7,478.22–$12,618.80 | 1.0× |
| Ins cath ren art 2nd+ bilat (36254) | $4,041 | $11,653.90 | 1.0× |
| Ins cath ren art 2nd+ unilat (36253) | $7,121 | $12,794.90 | 1.0× |
| Ins endovas vena cava filtr (37191) range across 2 matching MRF lines |
$7,121 | $17,291.50–$17,293.80 | 1.0× |
| Ins Vag Brachytx Device (57156) | $390 | $1,397.30 | 1.0× |
| Insert 1 Electrode Pm-Defib (33216) range across 2 matching MRF lines |
$10,591 | $22,113–$28,462.70 | 1.0× |
| Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
$164 | $408.96–$635.50 | 1.0× |
| Insert cath pleura w/ image (32557) range across 3 matching MRF lines |
$2,014 | $2,948.91–$7,439.25 | 1.0× |
| Insert cath pleura w/o image (32556) | $2,455 | $4,282.17 | 1.0× |
| Insert cervical dilator (59200) | — | $1,378.80 | — |
| Insert Drug Implant Device (11981) | $170 | $2,274.38 | 1.0× |
| Insert Heart Pm Atrial (33206) | $13,377 | $43,778.70 | 1.0× |
| Insert Heart Pm Ventricular (33207) range across 2 matching MRF lines |
$13,377 | $29,244–$35,992.30 | 1.0× |
| Insert multi-comp penis pros (54405) | $26,526 | $6,368.25 | 1.0× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$4,041 | $10,824.90–$18,041.40 | 1.0× |
| Insert Pacing Lead & Connect (33224) | $13,377 | $29,244 | 1.0× |
| Insert pulse gen dual leads (33213) | $13,377 | $29,244 | 1.0× |
| Insert pulse gen mult leads (33221) | $24,652 | $52,756.60 | 1.0× |
| Insert Pulse Gen Sngl Lead (33212) | $10,591 | $22,113 | 1.0× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$170 | $500.10–$738.85 | 1.0× |
| Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$4,041 | $5,508.56–$15,185 | 1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $170 | $500.10 | 1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $2,014 | $7,629.65 | 1.0× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $10,591 | $37,020.60 | 1.0× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) range across 2 matching MRF lines |
$10,591 | $22,113–$28,462.70 | 1.0× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $4,041 | $3,655 | 1.0× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$2,014 | $4,312.55–$8,904.30 | 1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $4,041 | $18,041.40 | 1.0× |
| Insj/Rplcmt Defib W/Lead(S) (33249) range across 2 matching MRF lines |
$40,173 | $110,266–$183,777 | 1.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) range across 2 matching MRF lines |
$10,591 | $22,113–$36,854.90 | 1.0× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) | $10,591 | $22,113 | 1.0× |
| Insrt heart pm atrial & vent (33208) range across 2 matching MRF lines |
$13,377 | $35,992.30–$59,987.20 | 1.0× |
| Insrt Pulse Gen W/Dual Leads (33230) | $28,468 | $66,331.60 | 1.0× |
| Insrt Pulse Gen W/Mult Leads (33231) | $40,173 | $92,886.40 | 1.0× |
| Insrt Pulse Gen W/Singl Lead (33240) | $28,468 | $66,331.60 | 1.0× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $520 | $1,220.45 | 1.0× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $520 | $1,597.55 | 1.0× |
| Intro cath dialysis circuit (36901) range across 4 matching MRF lines |
$2,014 | $1,837.71–$4,312.55 | 1.0× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $14,775 | $45,921.50 | 1.0× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) range across 4 matching MRF lines |
$7,284 | $15,255–$25,425 | 1.0× |
| Intubation endotracheal emergency procedure (31500) | $303 | $1,331.08 | 1.0× |
| Irrigation of corpora cavernosa for priapism (54220) | $319 | $836.45 | 1.0× |
| Lam facetec & foramot lumbar (63047) | $9,286 | $3,184.13 | 1.0× |
| Lap insert tunnel ip cath (49324) | $7,737 | $3,639 | 1.0× |
| Lap revision perm ip cath (49325) | $7,737 | $4,548.75 | 1.0× |
| Laparoscopy aspiration (49322) | $7,737 | $7,186.76 | 1.0× |
| Laparoscopy fulguration oviducts (58670) | $7,737 | $2,426 | 1.0× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) | $7,737 | $10,234.70 | 1.0× |
| Laparoscopy w/rmvl adnexal structures (58661) range across 2 matching MRF lines |
$7,737 | $10,390.30–$10,390.34 | 1.0× |
| Laparoscopy, surgical, appendectomy (44970) | $7,737 | $3,942.25 | 1.0× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) | $13,604 | $10,917 | 1.0× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) | $13,604 | $19,104.80 | 1.0× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) | $7,737 | $6,150.11 | 1.0× |
| Laparoscopy, Tubal Block (58671) | $7,737 | $3,639 | 1.0× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) | $7,737 | $5,458.50 | 1.0× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) | $13,604 | $3,153.80 | 1.0× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) | $2,278 | $8,320.30 | 1.0× |
| Laryngoscopy Indirect W/Biopsy (31510) | $4,771 | $7,849.71 | 1.0× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) | $255 | $630 | 1.0× |
| Laryngoscopy W/Foreign Body Removal (31530) | $2,278 | $8,470.60 | 1.0× |
| Laser vaporization of prostate (52648) | $6,862 | $3,639 | 1.0× |
| Late closure of wound (13160) | $4,535 | $3,639 | 1.0× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) | $9,286 | $4,548.75 | 1.0× |
| Ligation Major Artery Abdomen (37617) | $7,121 | $7,729.80 | 1.0× |
| Ligation Of Inf Vena Cava (37619) | $7,121 | $18,591.30 | 1.0× |
| Litholapaxy comp/lg > 2.5 cm (52318) | $4,511 | $4,245.50 | 1.0× |
| Lithotripsy, extracorporeal shock wave (50590) range across 2 matching MRF lines |
$4,511 | $4,873.28–$15,256.70 | 1.0× |
| Lumbar spine fusion combined (22633) | $34,727 | $14,182.30 | 1.0× |
| Manipulation knee joint under general anesthesia (27570) | $2,058 | $14,336.90 | 1.0× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) range across 2 matching MRF lines |
$2,058 | $10,516.20–$10,516.24 | 1.0× |
| Mastectomy partial (19301) | $5,011 | $3,639 | 1.0× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) | $2,014 | $2,948.91 | 1.0× |
| Myelography Lumbar Injection (62305) | $1,003 | $2,717.17 | 1.0× |
| Myelography Lumbar Injection (62304) | $1,003 | $3,575.90 | 1.0× |
| Myelography via lumbar injection rs&i cervical (62302) | $1,003 | $3,575.90 | 1.0× |
| N Block Inj Plantar Digit (64455) | $392 | $1,819.50 | 1.0× |
| N Block Inj Pudendal (64430) | $1,132 | $1,819.50 | 1.0× |
| N Block Lumbar/Thoracic (64520) | $1,132 | $3,194.65 | 1.0× |
| Needle Biopsy Lymph Nodes (38505) | $2,113 | $4,044.10 | 1.0× |
| Needle Biopsy Pancreas (48102) | $2,113 | $4,044.09 | 1.0× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) | $2,499 | $4,093.88 | 1.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $392 | $734.10 | 1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $4,582 | $16,246.80 | 1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $4,582 | $10,885.50 | 1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $1,132 | $2,016.54 | 1.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $903 | $3,172.95 | 1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) range across 3 matching MRF lines |
$892 | $1,696.80–$6,368.25 | 1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) range across 2 matching MRF lines |
$892 | $1,696.80–$2,747.20 | 1.0× |
| Open biopsy/excision inguinofemoral nodes (38531) | $5,011 | $2,729.25 | 1.0× |
| Open Treatment Bimalleolar Ankle Fracture (27814) | $9,286 | $7,278 | 1.0× |
| Open treatment fracture distal tibia only (27827) | $16,431 | $6,368.25 | 1.0× |
| Open Treatment Medial Malleolus Fracture (27766) | $9,286 | $4,548.75 | 1.0× |
| Open treatment metacarpophalangeal dislocation (26715) | $4,187 | $9,722.95 | 1.0× |
| Open treatment metatarsal fracture each (28485) | $9,286 | $4,321.31 | 1.0× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) | $9,286 | $11,826.80 | 1.0× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) | $9,286 | $9,097.50 | 1.0× |
| Open Treatment Proximal Humeral Fracture (23615) | $16,431 | $9,097.50 | 1.0× |
| Open Treatment Radial Shaft Fracture (25515) | $9,286 | $8,187.75 | 1.0× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) | $9,286 | $34,081.70 | 1.0× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) | $9,286 | $5,841.57 | 1.0× |
| Open Tx Humeral Epicondylar Fracture (24575) | $16,431 | $5,458.50 | 1.0× |
| Open tx humeral supracondylar fracture w/o xtn (24545) | $16,431 | $9,097.50 | 1.0× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) | $4,187 | $3,639 | 1.0× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) range across 2 matching MRF lines |
$4,187 | $3,639–$13,687.30 | 1.0× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) | $9,286 | $14,182.30 | 1.0× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) | $9,286 | $6,671.50 | 1.0× |
| Open tx ulnar fx proximal end (24685) | $9,286 | $4,548.75 | 1.0× |
| Open/Perq Place Stent 1St (37236) range across 2 matching MRF lines |
$14,775 | $31,531.40–$41,900.30 | 1.0× |
| Open/Perq Place Stent Same (37238) | $14,775 | $41,900.30 | 1.0× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) | $9,286 | $6,086.16 | 1.0× |
| Orchiectomy radical tumor inguinal approach (54530) | $4,582 | $3,639 | 1.0× |
| Orchiopexy Ingun/Scrot Appr (54640) | $4,582 | $17,019.20 | 1.0× |
| Ostectomy calcaneus (28118) | $4,187 | $5,738.86 | 1.0× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) | $4,187 | $4,548.75 | 1.0× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) range across 2 matching MRF lines |
$9,286 | $11,671.78–$11,671.80 | 1.0× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) | $4,187 | $6,435.76 | 1.0× |
| Osteotomy calcaneus w/wo internal fixation (28300) | $9,286 | $7,414.18 | 1.0× |
| Part remv talus or calcaneus (28120) | $4,187 | $3,639 | 1.0× |
| Partial removal of toe (28160) | $4,187 | $3,639 | 1.0× |
| Partical Excision Bone Phalanx Toe (28124) | $4,187 | $14,182.30 | 1.0× |
| Patellectomy or hemipatellectomy (27350) | $9,286 | $9,097.50 | 1.0× |
| Perc Cryo Ablate Renal Tum (50593) | $13,604 | $49,038.80 | 1.0× |
| Percut Drain/Inject Renal Cyst (50390) | $906 | $2,864.25 | 1.0× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) | $4,041 | $14,308.30 | 1.0× |
| Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) | $9,286 | $17,019.20 | 1.0× |
| Pericardiocentesis W/Imaging (33016) range across 3 matching MRF lines |
$2,014 | $5,342.58–$7,439.25 | 1.0× |
| Peritoneal Lavage (49084) range across 3 matching MRF lines |
$1,160 | $2,230.47–$3,939.60 | 1.0× |
| Perq dev breast 1st strtctc (19283) | $906 | $1,718.55 | 1.0× |
| Perq dev breast 1st us imag (19285) range across 2 matching MRF lines |
$906 | $3,177.70–$3,351.80 | 1.0× |
| Perq device breast 1st imag (19281) | $2,113 | $1,718.55 | 1.0× |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) | $12,115 | $5,458.50 | 1.0× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $14,775 | $52,552.30 | 1.0× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $7,284 | $25,425 | 1.0× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $9,286 | $5,458.50 | 1.0× |
| Phleb Veins - Extrem 20+ (37766) | $4,041 | $12,657.30 | 1.0× |
| Place Cath Subclavian Art (36225) | $4,041 | $10,095 | 1.0× |
| Place Cath Thoracic Aorta (36221) | $4,041 | $11,803 | 1.0× |
| Place Cath Vertebral Art (36226) range across 4 matching MRF lines |
$7,121 | $12,794.90–$18,591.30 | 1.0× |
| Place Duod/Jej Tube Perc (49441) | $2,455 | $4,282.17 | 1.0× |
| Placement of needle for intraosseous infusion (36680) | $571 | $1,318.05 | 1.0× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 4 matching MRF lines |
$2,675 | $5,087.04–$11,742 | 1.0× |
| Plmt Nephroureteral Catheter (50433) | $4,511 | $16,607.90 | 1.0× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) | $4,511 | $12,712.80 | 1.0× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) | $4,511 | $16,607.90 | 1.0× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) | $6,402 | $5,458.50 | 1.0× |
| Prim art mech thrombectomy (37184) range across 2 matching MRF lines |
$23,462 | $53,076.60–$61,756.60 | 1.0× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $1,190 | $2,180.90 | 1.0× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) | $3,552 | $14,182.30 | 1.0× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) | $1,531 | $2,809.17 | 1.0× |
| Prostate laser enucleation (52649) | $6,862 | $4,912.65 | 1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $4,582 | $8,733.48 | 1.0× |
| Prq skel fixj metar fx w/manj (28476) | $4,187 | $4,548.75 | 1.0× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $4,187 | $8,047.87 | 1.0× |
| Prtl Exchange Transfuse Nb (36456) | $564 | $1,940.20 | 1.0× |
| Pseudoaneurysm Injection Trt (36002) | $802 | $1,837.71 | 1.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $520 | $1,374.06 | 1.0× |
| Rcnstj angular dfrm toe soft tiss px only (28313) | $4,187 | $5,511.50 | 1.0× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) range across 2 matching MRF lines |
$9,286 | $13,857.39–$13,857.40 | 1.0× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) | $4,511 | $9,161.90 | 1.0× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) | $9,286 | $4,093.87 | 1.0× |
| Redo Endovas Vena Cava Filtr (37192) | $4,041 | $11,859.60 | 1.0× |
| Relocation Pocket Pacemaker (33222) | $2,640 | $4,705.29 | 1.0× |
| Rem Endovas Vena Cava Filter (37193) range across 3 matching MRF lines |
$4,041 | $7,478.22–$13,114.90 | 1.0× |
| Removal Embedded Foreign Body Eyelid (67938) | $406 | $1,387.80 | 1.0× |
| Removal Foreign Body Deep Thigh/Knee (27372) range across 2 matching MRF lines |
$3,717 | $20,560.70–$20,560.72 | 1.0× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$906 | $1,718.55–$2,925 | 1.0× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$2,113 | $3,639–$4,044.09 | 1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $75 | $279.70 | 1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $75 | $281.54 | 1.0× |
| Removal Implant Deep (20680) | $3,717 | $6,636.10 | 1.0× |
| Removal of foreign body from pharynx (42809) | $571 | $990.03 | 1.0× |
| Removal of heel spur (28119) range across 2 matching MRF lines |
$4,187 | $15,334.10–$15,334.14 | 1.0× |
| Removal of kidney stone (50081) range across 2 matching MRF lines |
$12,115 | $33,642.50–$33,642.52 | 1.0× |
| Removal of nail bed (11750) | $520 | $3,915.09 | 1.0× |
| Removal of tonsils (42826) | $4,243 | $7,278 | 1.0× |
| Removal of tunneled intraperitoneal catheter (49422) | $4,041 | $14,182.30 | 1.0× |
| Removal or destruction of bladder canal (urethra) malignancy (53220) | $4,511 | $1,819.50 | 1.0× |
| Removal Pacemaker Electrode (33235) range across 2 matching MRF lines |
$4,782 | $8,603.85–$12,516.30 | 1.0× |
| Removal ppm generator only (33233) range across 2 matching MRF lines |
$10,591 | $22,113–$28,462.70 | 1.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $256 | $506.85 | 1.0× |
| Removal subcutaneous cardiac rhythm monitor (33286) | $906 | $3,109.85 | 1.0× |
| Remove Elctrd Transvenously (33244) | $4,782 | $8,603.85 | 1.0× |
| Remove foreign body from eye (65205) range across 3 matching MRF lines |
$170 | $500.10–$738.85 | 1.0× |
| Remove Intrauterine Device (58301) | $390 | $525.90 | 1.0× |
| Remove intrvas foreign body (37197) | $4,041 | $7,478.22 | 1.0× |
| Remove lung catheter (32552) | $802 | $1,837.71 | 1.0× |
| Remove Nasal Foreign Body (30300) | $170 | $500.10 | 1.0× |
| Remove Pulse Generator (33241) range across 2 matching MRF lines |
$4,782 | $8,603.85–$8,630.65 | 1.0× |
| Remove renal tube w/fluoro (50389) | $892 | $2,754.80 | 1.0× |
| Remove Tendon Sheath Lesion (26160) range across 2 matching MRF lines |
$2,058 | $16,559.70–$16,559.71 | 1.0× |
| Remove ureter stent percut (50384) | $2,675 | $9,143.25 | 1.0× |
| Remove&replace pm gen singl (33227) range across 2 matching MRF lines |
$10,591 | $33,008.70–$34,882.80 | 1.0× |
| Remove/replace penis prosth (54410) | $26,526 | $4,548.75 | 1.0× |
| Remv&replc cvd gen dual lead (33263) | $28,468 | $110,553 | 1.0× |
| Remv&replc cvd gen mult lead (33264) | $40,173 | $121,449 | 1.0× |
| Remv&replc cvd gen sing lead (33262) | $28,468 | $66,331.60 | 1.0× |
| Remv&replc pm gen dual lead (33228) | $13,377 | $40,410.70 | 1.0× |
| Remv&replc pm gen mult leads (33229) | $24,652 | $76,783.20 | 1.0× |
| Renal Biopsy Perq (50200) | $2,113 | $4,044.09 | 1.0× |
| Reopen fallopian tube (58350) | $6,402 | $2,476.54 | 1.0× |
| Repair Achilles Tendon (27650) | $9,286 | $5,913.38 | 1.0× |
| Repair blood vessel direct neck (35201) | $7,121 | $14,083.70 | 1.0× |
| Repair Blood Vessel Direct Upper Extremity (35206) range across 3 matching MRF lines |
$4,041 | $7,478.22–$13,696 | 1.0× |
| Repair Collat Ankle Ligmnt,Secondary (27698) | $9,286 | $5,371.01 | 1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $945 | $1,464.60 | 1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $945 | $2,265.50 | 1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $520 | $932.40 | 1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $520 | $2,105.23 | 1.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $520 | $1,464.60 | 1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $520 | $2,265.50 | 1.0× |
| Repair complex trunk 2.6-7.5 cm (13101) | $945 | $2,265.50 | 1.0× |
| Repair extensor tendon finger w/o graft each (26418) | $2,058 | $4,049.82 | 1.0× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) | $4,187 | $1,213 | 1.0× |
| Repair Hallux Rigidus (28289) | $4,187 | $3,639 | 1.0× |
| Repair Hand Tendon (26410) | $2,058 | $4,049.82 | 1.0× |
| Repair inguinal hernia, sliding, any age (49525) | $4,582 | $5,458.50 | 1.0× |
| Repair initial femoral hernia, any age; reducible (49550) | $4,582 | $17,019.20 | 1.0× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $4,582 | $3,639 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $520 | $932.40 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $520 | $1,463.10 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $520 | $1,463.10 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $520 | $1,463.10 | 1.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $945 | $2,265.50 | 1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $520 | $1,463.10 | 1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $520 | $1,463.10 | 1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $945 | $2,265.50 | 1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $520 | $1,463.10 | 1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $520 | $1,463.10 | 1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $520 | $1,463.10 | 1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $945 | $2,265.50 | 1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $520 | $1,463.10 | 1.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $2,640 | $12,523.50 | 1.0× |
| Repair lead pace-defib dual (33220) | $4,782 | $10,997.30 | 1.0× |
| Repair Lead Pace-Defib One (33218) range across 2 matching MRF lines |
$4,782 | $10,997.30–$12,798 | 1.0× |
| Repair of biceps tendon (24340) | $9,286 | $9,097.50 | 1.0× |
| Repair of nail bed (11760) | $945 | $2,265.50 | 1.0× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) | $9,286 | $8,187.75 | 1.0× |
| Repair of Ruptured Tendon (24342) | $9,286 | $6,823.13 | 1.0× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) | $8,285 | $4,548.75 | 1.0× |
| Repair Rotator Cuff Chronic (23412) | $9,286 | $12,292.50 | 1.0× |
| Repair secondary achilles tendon w/wo graft (27654) | $9,286 | $17,019.20 | 1.0× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) | $9,286 | $3,639 | 1.0× |
| Repair tongue laceration (41252) | $303 | $1,593.15 | 1.0× |
| Repair tongue laceration (41250) | $571 | $1,318.05 | 1.0× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) | $9,286 | $4,321.03 | 1.0× |
| Replantation digit complete (20822) | $2,058 | $8,235.15 | 1.0× |
| Repos Previously Implanted Subq Implantable Dfb (33273) | $4,782 | $18,196.50 | 1.0× |
| Reposition Gastrostomy Tube (43761) | $319 | $1,283 | 1.0× |
| Reposition L Ventric Lead (33226) | $4,041 | $7,872.25 | 1.0× |
| Reposition Pacing-Defib Lead (33215) range across 2 matching MRF lines |
$4,041 | $7,478.22–$7,872.25 | 1.0× |
| Rerepair ing hernia reduce (49520) | $4,582 | $4,821.68 | 1.0× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) | $16,431 | $36,877.50 | 1.0× |
| Revise Hand/Foot Nerve (64704) | $2,499 | $20,088.80 | 1.0× |
| Revision of foot (28116) range across 2 matching MRF lines |
$4,187 | $19,071.16–$19,071.20 | 1.0× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) | $2,675 | $5,087.04 | 1.0× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) | $1,985 | $9,899.70 | 1.0× |
| Rmvl embedded fb vestibule mouth comp (40805) | $690 | $1,593.15 | 1.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $1,160 | $2,230.47 | 1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 3 matching MRF lines |
$571 | $990.03–$1,318.05 | 1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 3 matching MRF lines |
$170 | $500.10–$550 | 1.0× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $571 | $990.03 | 1.0× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $3,717 | $3,639 | 1.0× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) range across 2 matching MRF lines |
$4,782 | $8,603.85–$12,516.30 | 1.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $2,014 | $5,342.58 | 1.0× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$319 | $1,157.10–$1,174.50 | 1.0× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $2,014 | $2,948.91 | 1.0× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $4,041 | $8,538.45 | 1.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) | $7,737 | $4,548.75 | 1.0× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $4,582 | $4,002.90 | 1.0× |
| Rpr aa hernia recr 3-10 cm reducible (49615) | $8,285 | $4,548.75 | 1.0× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) | $4,582 | $3,639 | 1.0× |
| Rpr aa hrn 1st 3-10 rdc (49593) | $8,285 | $4,093.88 | 1.0× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) | $7,737 | $5,011 | 1.0× |
| Rpr blood vessel direct lower extremity (35226) range across 2 matching MRF lines |
$906 | $3,544.20–$10,541 | 1.0× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) range across 2 matching MRF lines |
$2,014 | $7,667.20–$7,767.20 | 1.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $256 | $765.60 | 1.0× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $945 | $1,597.55 | 1.0× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $303 | $1,369.30 | 1.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $690 | $2,213.10 | 1.0× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) | $4,187 | $6,995.74 | 1.0× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $1,531 | $2,809.17 | 1.0× |
| Shoulder arthroscopy (29820) | $9,286 | $8,509.60 | 1.0× |
| Shoulder Arthroscopy/Surgery (29825) | $4,187 | $3,184.13 | 1.0× |
| Sigmoidoscopy & Polypectomy (45333) | $1,190 | $3,113 | 1.0× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $1,190 | $3,338.35 | 1.0× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) | $1,531 | $5,895.40 | 1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $520 | $1,554 | 1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $256 | $1,138.95 | 1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $256 | $1,138.95 | 1.0× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $520 | $1,570.40 | 1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $256 | $1,138.95 | 1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $256 | $1,138.95 | 1.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $256 | $765 | 1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $256 | $1,138.95 | 1.0× |
| Skin sub graft face/nk/hf/g (15275) | $945 | $3,639 | 1.0× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) range across 2 matching MRF lines |
$7,121 | $12,794.90–$30,985.40 | 1.0× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) | $4,041 | $18,041.40 | 1.0× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) range across 4 matching MRF lines |
$7,121 | $12,794.90–$16,531 | 1.0× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) | $6,402 | $13,620.90 | 1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $256 | $1,138.95 | 1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $520 | $1,463.10 | 1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $520 | $1,463.10 | 1.0× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$903 | $2,925.85–$3,727.60 | 1.0× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $4,535 | $1,819.50 | 1.0× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) | $4,041 | $4,321.31 | 1.0× |
| Strapping knee (29530) | $170 | $354 | 1.0× |
| Strapping toes (29550) | $75 | $357 | 1.0× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) | $9,286 | $10,007.30 | 1.0× |
| Synovectomy Tendon Sheath Foot Flexor (28086) | $4,187 | $7,659.06 | 1.0× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) | $2,058 | $2,788.81 | 1.0× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) | $24,652 | $92,826.80 | 1.0× |
| Tcat Rmvl Perm Ldls Pm (33275) | $4,041 | $15,185 | 1.0× |
| Tenolysis extensor foot single tendon (28225) | $4,187 | $5,511.52 | 1.0× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $2,058 | $3,309.20 | 1.0× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) | $2,058 | $3,639 | 1.0× |
| Therapeutic plasma exchange (36514) range across 2 matching MRF lines |
$1,993 | $1,739–$10,000 | 1.0× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) | $16,431 | $4,548.75 | 1.0× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $23,462 | $48,061.20 | 1.0× |
| Thrombolytic Art Therapy (37211) | $7,121 | $12,794.90 | 1.0× |
| Thyroid biopsy (60100) | $906 | $2,896.70 | 1.0× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) | $4,187 | $2,729.25 | 1.0× |
| Total Knee Arthroplasty (27447) | $16,431 | $8,987.34 | 1.0× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $303 | $3,056.85 | 1.0× |
| Transcatheter biopsy (37200) | $7,121 | $27,028.50 | 1.0× |
| Transur electr resection of prostate (52601) | $6,862 | $5,044.98 | 1.0× |
| Transurethral resection bladder neck (52500) | $4,511 | $4,093.88 | 1.0× |
| Treat Dental Ridge Fracture (21440) | $4,243 | $13,969.90 | 1.0× |
| Treat ectopic pregnancy (59151) | $7,737 | $6,960.45 | 1.0× |
| Treat Finger Fracture Each (26727) | $4,187 | $3,639 | 1.0× |
| Treat Fx Rad Extra-Articul (25607) | $9,286 | $6,368.25 | 1.0× |
| Treat humerus fracture (24500) range across 3 matching MRF lines |
$315 | $644.70–$669 | 1.0× |
| Treat Humerus Fracture (24505) | $2,058 | $4,049.82 | 1.0× |
| Treat humerus fracture (23600) range across 3 matching MRF lines |
$315 | $589.84–$644.70 | 1.0× |
| Treat kneecap dislocation (27566) range across 2 matching MRF lines |
$9,286 | $11,346.87–$11,346.90 | 1.0× |
| Treat Kneecap Fracture (27524) | $9,286 | $8,134.54 | 1.0× |
| Treat Knuckle Dislocation (26700) | $315 | $644.70 | 1.0× |
| Treat Metatarsal Fracture (28475) | $315 | $644.70 | 1.0× |
| Treat Thumb Dislocation (26641) | $315 | $1,881.08 | 1.0× |
| Treat Thumb Fracture (26645) | $2,058 | $4,049.82 | 1.0× |
| Treat toe dislocation (28630) | $315 | $644.70 | 1.0× |
| Treatment closed elbow dislocation w/o anes (24600) range across 3 matching MRF lines |
$315 | $417.50–$999.15 | 1.0× |
| Trim skin lesion (11055) | $256 | $506.85 | 1.0× |
| Trluml Balo Angiop 1St Art (37246) range across 9 matching MRF lines |
$7,284 | $15,255–$25,425 | 1.0× |
| Trluml Balo Angiop 1St Vein (37248) range across 6 matching MRF lines |
$7,284 | $15,255–$25,425 | 1.0× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) | $3,552 | $17,019.20 | 1.0× |
| Tx Gastro Intub W/Asp (43753) | $276 | $746.49 | 1.0× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $4,143 | $3,639 | 1.0× |
| Tx Missed Abortion First Trimester Surgical (59820) | $4,143 | $3,639 | 1.0× |
| Tx open tendon flexor toe 1 tendon spx (28232) | $2,058 | $14,182.30 | 1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$945 | $2,265.50–$3,639 | 1.0× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $315 | $644.70 | 1.0× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) | $16,431 | $6,368.25 | 1.0× |
| Unlisted Cardiac Surgery (33999) | $802 | $2,708.10 | 1.0× |
| Unlisted hysteroscopy procedure, uterus (58579) | $258 | $1,819.50 | 1.0× |
| Unlisted laparoscopy procedure oviduct ovary (58679) | $7,737 | $2,274.37 | 1.0× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) | $7,737 | $2,324.91 | 1.0× |
| Unlisted procedure anus (46999) | $1,190 | $3,639 | 1.0× |
| Unlisted procedure arthroscopy (29999) | $315 | $8,548.82 | 1.0× |
| Unlisted procedure femur or knee (27599) | $315 | $9,467.36 | 1.0× |
| Unlisted procedure foot or toes (28899) | $315 | $9,597.58 | 1.0× |
| Unlisted Procedure Male Genital System (55899) | $319 | $4,727.43 | 1.0× |
| Unlisted procedure pelvis/hip joint (27299) | $315 | $22,693 | 1.0× |
| Unlisted Procedure Tongue Floor Mouth (41599) | $303 | $1,030.70 | 1.0× |
| Unlisted Procedure Vascular Surgery (37799) range across 2 matching MRF lines |
$802 | $2,892.50–$4,670 | 1.0× |
| Unlisted Px Salivary Glands/Ducts (42699) | $303 | $5,458.50 | 1.0× |
| Upgrade of pacemaker system (33214) | $13,377 | $29,244 | 1.0× |
| Vaginal Delivery After Cesarean Delivery (59612) | — | $14,137.20 | — |
| Vaginal delivery only (59409) range across 2 matching MRF lines |
$4,143 | $8,122.62–$14,137.20 | 1.0× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) range across 2 matching MRF lines |
$6,402 | $18,438.75–$18,438.80 | 1.0× |
| Vaginectomy, partial removal of vaginal wall; (57106) | $4,143 | $4,964 | 1.0× |
| Vasc embolize/occlude artery (37242) range across 3 matching MRF lines |
$23,462 | $40,627.40–$85,536.60 | 1.0× |
| Vasc Embolize/Occlude Bleed (37244) | $14,775 | $40,627.40 | 1.0× |
| Vasc Embolize/Occlude Organ (37243) range across 2 matching MRF lines |
$14,775 | $40,627.40–$53,076.60 | 1.0× |
| Vasc embolize/occlude venous (37241) | $14,775 | $46,627.40 | 1.0× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $2,675 | $3,639 | 1.0× |
| Vein Access Cutdown < 1 Yr (36420) | $170 | $167.88 | 1.0× |
| Venous Cutdown >1 Y/O (36425) | $571 | $990.03 | 1.0× |
| Venous Mech Thrombectomy (37187) range across 2 matching MRF lines |
$14,775 | $39,002.40–$53,076.60 | 1.0× |
| Wedge excision skin nail fold (11765) | $520 | $1,463.10 | 1.0× |
| Wound Prep F/N/Hf/G (15004) | $520 | $1,819.50 | 1.0× |
| Wound Prep Trk/Arm/Leg (15002) | $945 | $4,727.43 | 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.