Procedures & surgery prices at Eisenhower Medical Center

Rancho Mirage, CA · every code in this section with a posted price and a Medicare benchmark.

1317 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $577.43 $3,076 0.5×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $577.43 $2,000 0.5×
Abdomen Surgery Procedure (22999) $388.05 $597 1.2×
Ablate Pulm Tumor Perq Crybl (32994) — $1,279.62 —
Ablation 1/> liver tumor perq cryoablation (47383)
unusually low: confirm this is the full procedure		 $4,913.04 $14,888 0.4×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
likely a partial charge, not the full procedure		 $5,712.63 $17,311 0.3×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983)
unusually low: confirm this is the full procedure		 $4,619.69 $14,675 0.5×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $1,313.59 $10,936 0.5×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $1,313.59 $9,686 0.5×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,313.59 $10,040 0.5×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041)
range across 2 matching MRF lines		 $2,525.90 $1,204.51–$3,886 1.0×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $1,313.59 $11,158 0.5×
Amniocentesis diagnostic (59000) $586.39 $2,548 0.5×
Amniocentesis therapeutic (59001) $194.01 $3,893 0.5×
Amputation metatarsal with toe single (28810) $2,083.13 $10,044 0.5×
Amputation toe interphalangeal joint (28825) $2,083.13 $10,328 0.5×
Amputation toe metatarsophalangeal joint (28820) $2,083.13 $7,669 0.5×
Amputation, leg, through tibia and fibula; (27880) — $2,365 —
Anal/Urinary Muscle Study (51784) $68.21 $206.71 0.4×
Anoscopy diagnostic (46600) $84.70 $557 0.5×
Anoscopy dx w/hra &chem agnts enhancement w/bx (46607)
range across 3 matching MRF lines		 — $127.43–$1,602 —
Anoscopy W/Rmvl Foreign Body (46608) $592.06 $4,078 0.5×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) — $280 —
Anterior colporraphy rpr cystocele w/cysto (57240) — $1,532 —
Apheresis Platelets (36513) $280.88 $2,761 0.5×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450)
range across 2 matching MRF lines		 $297.70 $260.67–$458 1.4×
Appl cranial tong/strtctc frame w/removal spx (20660) $1,023.73 $25,785 0.5×
Application cast elbow finger short arm (29075) $178.07 $809 0.5×
Application Cast Finger (29086) $103.46 $573 0.5×
Application Finger Splint Dynamic (29131) $37.56 $444 0.5×
Application finger splint static (29130) $84.70 $585 0.5×
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $103.46–$155.19 $618 varies
Application Long Leg Cast Walker/Ambulatory Type (29355) $178.07 $952 0.5×
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $103.46–$155.19 $685 varies
Application of long leg cast (29345) $178.07 $949 0.5×
Application of rigid total contact leg cast (29445) $178.07 $996 0.5×
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines		 $163.80 $177.23–$252 1.0×
Application short arm splint forearm-hand static (29125) $84.70 $580 0.5×
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $103.46–$155.19 $596 varies
Apply hand/wrist cast (29085) $103.46 $618 0.5×
Apply long arm cast (29065) $178.07 $692 0.5×
Apply Multlay Comprs Lwr Leg (29581) $103.46 $549 0.5×
Apply Short Leg Cast (29405) $178.07 $615 0.5×
Apply short leg cast (29425) $178.07 $918 0.5×
Arterial puncture (36600) $84.70 $287 0.5×
Arteriovenous Anastomosis Open Direct (36821) — $1,717 —
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) — $1,996 —
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) — $4,407 —
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines		 $195.42 $1,348–$1,404 0.5×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $449.40 $1,516 0.5×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 9 matching MRF lines		 $195.42–$293.13 $1,404–$1,460 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 6 matching MRF lines		 $195.42–$293.13 $1,572 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $195.42 $1,292 0.5×
Arthrodesis Posterior/Posterolateral Lumbar (22612)
likely a partial charge, not the full procedure		 $2,678.65 $4,121 0.1×
Arthrodesis Posterior/Posterolateral Thoracic (22610)
likely a partial charge, not the full procedure		 $2,132.65 $3,281 0.1×
Arthrodesis sacroiliac joint percutaneous (27279) — $2,450 —
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
likely a partial charge, not the full procedure		 $2,588.95 $3,983 0.1×
Arthrodesis, posterior technique, craniocervical (occiput-C2) Facility (22590) — $4,042 —
Arthrotomy biopsy interphalangeal joint each (26110) $1,023.73 $9,711 0.5×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $816.42 $2,474 0.4×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $1,023.73 $8,699 0.5×
Aspirate pleura w/ imaging (32555)
range across 8 matching MRF lines		 $399.37–$599.06 $2,406 varies
Aspirate Pleura W/O Imaging (32554) $399.37 $2,350 0.5×
Aspirate/Inj Ganglion Cyst (20612) $195.42 $651 0.5×
Aspiration bladder insert suprapubic catheter (51102) $1,330.85 $5,459 0.5×
Aspiration Bladder Needle (51100) $159.07 $1,770 0.5×
Aspiration bladder trocar/intracatheter (51101) $527.01 $1,597 0.5×
Av fistula revision (36833) — $2,100 —
Av Fistula Revision Open (36832) — $1,957 —
Av Fuse Uppr Arm Basilic (36819) — $1,888 —
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $127.73 $502–$562 0.5×
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552)
likely a partial charge, not the full procedure		 $1,467.18 $4,446 0.2×
Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554)
likely a partial charge, not the full procedure		 $1,959.87 $5,939 0.1×
Biliary ndsc prq t-tube dilat strix w/stent (47556)
likely a partial charge, not the full procedure		 $2,545.29 $7,713 0.2×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555)
likely a partial charge, not the full procedure		 $1,311.75 $3,975 0.2×
Biopsy Abdominal Mass (49180)
range across 2 matching MRF lines		 $1,051.50 $3,226–$3,613 0.5×
Biopsy bone open superficial (20240) $1,849.29 $6,288 0.5×
Biopsy bone trocar/needle deep (20225) $1,051.50 $4,492 0.5×
Biopsy Bone Trocar/Needle Superficial (20220)
range across 2 matching MRF lines		 $720.06–$806.52 $2,182–$2,444 varies
Biopsy external ear (69100)
range across 3 matching MRF lines		 — $58.24–$666 —
Biopsy muscle percutaneous needle (20206) $1,036.20 $3,140 0.5×
Biopsy Muscle Superficial (20200) — $243 —
Biopsy nail unit (11755) $450.83 $2,044 0.5×
Biopsy of breast; open, incisional (19101)
unusually low: confirm this is the full procedure		 $2,492.77 $7,683 0.5×
Biopsy of liver, needle; percutaneous (47000) $1,051.50 $3,387 0.5×
Biopsy of penis (54100) — $1,707 —
Biopsy of rectum (45100) — $791 —
Biopsy of toe joint lining (28054) $2,083.13 $10,307 0.5×
Biopsy Pleura Percutaneous Needle (32400) $970.20 $2,940 0.5×
Biopsy Prostate Any Approach Nonimaging-Guided (55705) $2,244.19 $13,602 0.5×
Biopsy Prostate Transrectal Ultrasound-Guided (55707) $2,244.19 $13,602 0.5×
Biopsy Salivary Gland Needle (42400) $450.83 $3,769 0.5×
Biopsy soft tissue neck/thorax (21550) $1,051.50 $5,566 0.5×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $792.66 $2,402 0.4×
Biopsy Vaginal Mucosa Simple (57100)
range across 3 matching MRF lines		 — $66.87–$1,072 —
Biopsy Vulva/Perineum 1 Lesion Spx (56605)
range across 3 matching MRF lines		 — $175.98–$2,388.70 —
Biopsy/removal lymph nodes (38510) — $1,087 —
Bladder instillation anticarcinogenic agent (51720) $443.94 $2,983 0.5×
Bladder Irrigation (51700) $159.07 $818 0.5×
Bladder Scan (51798) $37.56 $335 0.5×
Blepharotomy drainage abscess eyelid (67700) $202.08 $1,580 0.5×
Blood Transfusion Service (36430)
range across 3 matching MRF lines		 $280.88 $1,873–$2,098 0.5×
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines		 $1,051.50 $4,758–$5,329 0.5×
Bone Marrow; Aspiration Only (38220) $1,051.50 $4,758 0.5×
Brnchsc Brushing/Protected Brushings (31623)
range across 2 matching MRF lines		 $1,133.18 $5,319–$5,369 0.5×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $2,019.27 $6,119 0.4×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $2,052.27 $6,219 0.4×
Brnchsc Removal Bronchial Valve Ea Addl (31649) $952.05 $2,885 0.4×
Brnchsc Removal Bronchial Valve Initial (31648) $2,373.66 $8,076 0.5×
Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638)
unusually low: confirm this is the full procedure		 $2,987.16 $9,052 0.3×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $1,986.27 $6,019 0.4×
Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl (31643) $1,133.18 $5,569 0.5×
Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) $1,903.77 $5,769 0.4×
Bronch Thermoplsty 1 Lobe (31660)
unusually low: confirm this is the full procedure		 $2,987.16 $9,052 0.3×
Bronchial Valve Init Insert (31647)
unusually low: confirm this is the full procedure		 $3,193.08 $9,676 0.4×
Bronchoscopic Thermoplasty 2/> Lobes (31661)
unusually low: confirm this is the full procedure		 $2,987.16 $9,052 0.3×
Bronchoscopy Balloon Occlusion (31634)
unusually low: confirm this is the full procedure		 $3,193.08 $9,676 0.4×
Bronchoscopy Bronch Stents (31636)
unusually low: confirm this is the full procedure		 $3,193.08 $9,676 0.4×
Bronchoscopy Clear Airways (31645) $1,133.18 $6,069 0.5×
Bronchoscopy Dilate W/Stent (31631)
unusually low: confirm this is the full procedure		 $3,130.38 $9,486 0.3×
Bronchoscopy Reclear Airway (31646) $249.01 $2,885 0.5×
Bronchoscopy W/Biopsy(S) (31625) $1,133.18 $5,319 0.5×
Bronchoscopy W/Excision Tumor (31640) $1,771.77 $5,369 0.4×
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626)
unusually low: confirm this is the full procedure		 $3,783.12 $11,464 0.4×
Bronchoscopy W/Removal Foreign Body (31635) $1,133.18 $5,919 0.5×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628)
range across 2 matching MRF lines		 $1,788.27–$1,870.77 $5,419–$5,669 varies
Bronchoscopy/Needle Bx Each (31629) $1,887.27 $5,719 0.4×
Bx breast 1st lesion strtctc (19081) $887.70 $2,690 0.4×
Bx breast 1st lesion us imag (19083) $887.70 $2,690 0.4×
Bx Cervix (57500) $310.86 $942 0.3×
Bx prostate in-bore CT/MRI trgt les only 1st (55714)
unusually low: confirm this is the full procedure		 $3,413.60 $20,689 0.5×
Bx prostate tprnl MRI-us gid trgt les 1st (55712) $315.41 $485.25 0.1×
Bx prostate transperineal ultrasound-guided (55709) $2,244.19 $13,602 0.5×
Bx prostate transrectal MRI-us gid trgt les 1st (55711) $2,244.19 $13,602 0.5×
Bx prst8 tprn us w/MRI fus 1 (55710) $2,244.19 $13,602 0.5×
Bx prst8 trct us w/MRI fus 1 (55708) $2,244.19 $13,602 0.5×
Bx/exc lymph node open deep axillary node (38525)
range across 3 matching MRF lines		 — $1,136–$1,704 —
Bx/exc lymph node open superficial (38500)
unusually low: confirm this is the full procedure		 $2,195.49 $6,653 0.4×
Canthotomy Separate Procedure (67715) $1,478.07 $4,479 0.5×
Carpal Tunnel Surgery (64721) $1,243.21 $10,435 0.5×
Catheter aspiration nasotracheal spx (31720) $130.35 $395 0.5×
Cessj Therapy Cath Removal (37214) $2,010.22 $10,087 0.5×
Change Cystostomy Tube Complicated (51710) $443.94 $2,442 0.5×
Change Cystostomy Tube Simple (51705) $159.07 $1,800 0.5×
Change of Windpipe Airway (31502) $150.79 $662 0.5×
Change ureter stent percut (50382) $1,330.85 $7,251 0.5×
Chemical Cautery Tissue (17250) $127.73 $618 0.5×
Chemical Pleurodesis (32560) $399.37 $2,892 0.5×
Chemodenerv 1 extrem 5/> mus (64644)
range across 3 matching MRF lines		 — $153.22–$942 —
Chemodenerv 1 extremity 1-4 (64642)
range across 3 matching MRF lines		 — $138.64–$917 —
Chemodenerv Musc Migraine (64615)
range across 5 matching MRF lines		 — $185.96–$627.06 —
Chemodenerv musc neck dyston (64616)
range across 6 matching MRF lines		 — $161.51–$853.50 —
Chemodenerv Parotid&Submandibl Salivary Glnds (64611)
range across 3 matching MRF lines		 — $151.73–$555 —
Chemodenerv trunk musc 1-5 (64646)
range across 3 matching MRF lines		 — $119.09–$984 —
Chemodenervation of internal anal sphincter (46505) — $678 —
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 6 matching MRF lines		 — $179.70–$892.50 —
Chest tube placement (32551) $914.10 $2,770 0.5×
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $1,330.85 $5,881 0.5×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $2,265.45 $6,865 0.5×
Chorionic Villus Sampling (59015) $586.39 $2,279 0.5×
Circumcision 28 days or older (54161) — $522 —
Circumcision w/clamp/oth dev w/block (54150) $1,330.85 $11,766 0.5×
Cl Tx Scapular Fx; W Manip (23575) $1,023.73 $3,944 0.5×
Cl Tx Tib Shft Fx W Manip (27752) $930.27 $2,819 0.4×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $42.35–$84.70 $473 varies
Closed rx talotarsal disloc,anesth (28575) $2,083.13 $11,171 0.5×
Closed Treat Vert Body Fract (22310) $157.04 $1,208 0.5×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $157.04 $941 0.5×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,023.73 $5,495 0.5×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $157.04 $7,249 0.5×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $157.04 $813 0.5×
Closed Treatment Sesamoid Fracture (28530) $157.04 $813 0.5×
Closed Treatment Sternum Fracture (21820) $157.04 $726 0.5×
Closed Treatment Ulnar Styloid Fracture (25650) $157.04 $1,493 0.5×
Closed tx ankle dislocation w/o anesthesia (27840) $157.04 $1,590 0.5×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,023.73 $4,387 0.5×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $157.04 $1,240 0.5×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $157.04 $914 0.5×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $157.04 $858 0.5×
Closed tx carpal scaphoid fracture w/manj (25624) $1,023.73 $5,495 0.5×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $157.04 $1,346 0.5×
Closed Tx Craniofacial Separation (21431)
unusually low: confirm this is the full procedure		 $3,768.88 $17,926 0.5×
Closed Tx Femoral Fracture Prox Head W/Manj (27268) $1,023.73 $9,974 0.5×
Closed tx femoral fracture prox head w/o manj (27267) $2,083.13 $9,974 0.5×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $157.04 $813 0.5×
Closed Tx Knee Dislocation W/Anesthesia (27552) $1,023.73 $5,594 0.5×
Closed tx knee dislocation w/o anesthesia (27550) $157.04 $998 0.5×
Closed Tx Lunate Dislocation W/Manipulation (25690) $1,023.73 $5,495 0.5×
Closed tx mandibular fracture w/manipulation (21451) $987.82 $5,339 0.5×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $343.37 $1,786 0.5×
Closed Tx Mandibular Fx W/Interdental Fixation (21453)
unusually low: confirm this is the full procedure		 $3,768.88 $23,483 0.5×
Closed tx metatarsal fracture w/o manipulation (28470) $157.04 $1,033 0.5×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $855.03 $2,591 0.4×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $987.82 $3,288 0.5×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $2,110.80 $8,855 0.5×
Closed Tx Nasomaxillary Complex Fracture (21345) $987.82 $4,767 0.5×
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) $2,110.80 $9,644 0.5×
Closed tx patellar dislocation w/anesthesia (27562) $157.04 $1,108 0.5×
Closed tx patellar dislocation w/o anesthesia (27560) $157.04 $1,052 0.5×
Closed Tx Patellar Fracture W/O Manipulation (27520) $157.04 $892 0.5×
Closed tx radial head/neck fx w/manipulation (24655) $783.09 $2,373 0.4×
Closed tx radial head/neck fx w/o manipulation (24650) $157.04 $839 0.5×
Closed tx radial shaft fracture w/manipulation (25505) $1,023.73 $5,337 0.5×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $157.04 $767 0.5×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,023.73 $4,387 0.5×
Closed tx radial&ulnar shaft fractures w/o man (25560) $157.04 $1,135 0.5×
Closed Tx Scapular Fracture W/O Manipulation (23570) $157.04 $1,067 0.5×
Closed tx septal&nose fx (21337) $2,110.80 $9,001 0.5×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $157.04 $813 0.5×
Closed tx talotarsal joint dislc w/o anes (28570) $157.04 $813 0.5×
Closed Tx Talus Fracture W/Manipulation (28435) $1,023.73 $5,495 0.5×
Closed tx talus fracture w/o manipulation (28430) $157.04 $735 0.5×
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $157.04 $813 0.5×
Closed tx tarsometatarsal dislocation w/o anes (28600) $157.04 $813 0.5×
Closed tx temporomandibular dislc comp 1st/sbsq (21485) $987.82 $5,339 0.5×
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines		 $157.04–$235.56 $793 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,023.73 $3,172 0.5×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $157.04 $875 0.5×
Closed tx ulnar shaft fracture w/o manipulation (25530) $157.04 $1,081 0.5×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $150.79 $903 0.5×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $343.37 $2,796 0.5×
Closure of cystostomy (separate procedure) Facility (51880)
range across 3 matching MRF lines		 $2,366.65 $493.81–$3,641 0.5×
Clsd tx acromioclavicular dislc w/manipulation (23545) $157.04 $690 0.5×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $157.04 $690 0.5×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $855.03 $2,591 0.4×
Clsd tx clavicular fracture w/o manipulation (23500) $157.04 $916 0.5×
Clsd tx fx orbit except blowout w/o manipulation (21400) $343.37 $1,786 0.5×
Clsd Tx Pelvic Ring Fx (27198) $157.04 $813 0.5×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $157.04 $1,082 0.5×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,023.73 $5,150 0.5×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $157.04 $1,234 0.5×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $1,023.73 $5,495 0.5×
Clsr Anal Fstl W/Rct Advmnt Flap (46288) — $1,446 —
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $157.04 $876 0.5×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,023.73 $5,281 0.5×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,023.73 $4,192 0.5×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $157.04 $853 0.5×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $1,023.73 $5,495 0.5×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $157.04 $1,127 0.5×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $157.04 $1,096 0.5×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $157.04 $813 0.5×
Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) $1,023.73 $4,906 0.5×
Cltx dstl fibular fx lat malls w/manj (27788) $157.04 $1,497 0.5×
Cltx dstl fibular fx lat malls w/o manj (27786) $157.04 $1,441 0.5×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $157.04 $1,072 0.5×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $157.04 $652 0.5×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $157.04 $1,154 0.5×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,023.73 $5,337 0.5×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $752.73 $2,281 0.4×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $157.04 $1,290 0.5×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $1,023.73 $4,906 0.5×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $157.04 $813 0.5×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $791.01 $2,397 0.4×
Cltx fx grt toe phlx/phlg w/manj (28495) $157.04 $1,375 0.5×
Cltx fx grt toe phlx/phlg w/o manj (28490) $157.04 $688 0.5×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $157.04 $921 0.5×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $157.04 $795 0.5×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,023.73 $6,396 0.5×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $157.04 $827 0.5×
Cltx greater humeral tuberosity fx w/o manj (23620) $157.04 $813 0.5×
Cltx Greater Trochanteric Fx W/O Manj (27246) $157.04 $1,412 0.5×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $774.84 $2,348 0.4×
Cltx hip dislocation traumatic req anesthesia (27252) $1,023.73 $4,333 0.5×
Cltx hip dislocation traumatic w/o anesthesia (27250) $157.04 $849 0.5×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $157.04 $1,167 0.5×
Cltx humeral condylar fx medial/lateral w/manj (24577) $775.50 $2,350 0.4×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,023.73 $5,495 0.5×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $157.04 $992 0.5×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $1,023.73 $3,956 0.5×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $178.07 $952 0.5×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $157.04 $831 0.5×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $1,023.73 $3,582 0.5×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $178.07 $3,391 0.5×
Cltx iphal jt dislc w/manj w/o anes (26770) $157.04 $1,284 0.5×
Cltx Med Ankle Fx W/Mnpj (27762) $886.05 $2,685 0.4×
Cltx Medial Ankle Fx (27760) $157.04 $1,046 0.5×
Cltx metacarpal fx w/manipulation each bone (26605) $157.04 $1,242 0.5×
Cltx metacarpal fx w/o manipulation each bone (26600) $157.04 $682 0.5×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $1,023.73 $5,495 0.5×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $157.04 $1,233 0.5×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $157.04 $840 0.5×
Cltx post hip arthrp dislc req anes (27266) $1,023.73 $7,249 0.5×
Cltx post hip arthrp dislc w/o anes (27265) $157.04 $1,690 0.5×
Cltx prox fibula/shft fx w/manj (27781) $775.83 $2,351 0.4×
Cltx prox fibula/shft fx w/o manj (27780) $157.04 $1,084 0.5×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $976.47 $2,959 0.5×
Cltx prox tibfib jt dislc req anes (27831) $2,083.13 $11,171 0.5×
Cltx prox tibfib jt dislc w/o anes (27830) $157.04 $813 0.5×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $157.04 $961 0.5×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $157.04 $1,017 0.5×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $1,023.73 $3,476 0.5×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,023.73 $4,387 0.5×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,023.73 $4,387 0.5×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $157.04 $1,342 0.5×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $1,023.73 $4,906 0.5×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $157.04 $726 0.5×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $2,083.13 $11,171 0.5×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $157.04 $813 0.5×
Cltx tibial fx proximal w/o manipulation (27530) $157.04 $1,317 0.5×
Cltx tibial shaft fx w/o manipulation (27750) $157.04 $953 0.5×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $157.04 $2,034 0.5×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,023.73 $4,387 0.5×
Cltx trimalleolar ankle fx w/o manipulation (27816) $157.04 $1,618 0.5×
Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) $2,083.13 $9,974 0.5×
Collect Blood From Catheter Venous Nos (36592) $84.70 $594 0.5×
Collection of venous blood by venipuncture (36415) $4.62 $38 0.5×
Colonoscopy Flexible With Decompression (45393) $761.84 $3,782 0.5×
Colonoscopy Stoma Ablation Lesion (44401) $761.84 $3,490 0.5×
Colonoscopy Stoma Control Bleeding (44391) $761.84 $3,640 0.5×
Colonoscopy stoma w/balloon dilation (44405) $761.84 $3,540 0.5×
Colonoscopy Stoma W/Rmvl Foreign Body (44390) $592.06 $3,590 0.5×
Colonoscopy Stoma W/Submucosal Injection (44404) $761.84 $3,390 0.5×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $761.84 $3,440 0.5×
Colonoscopy thru stoma (44388) $592.06 $3,340 0.5×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $761.84 $3,690 0.5×
Colonoscopy w/ablation (45388) $761.84 $3,532 0.5×
Colonoscopy W/Band Ligation (45398) $761.84 $3,832 0.5×
Colonoscopy w/fb removal (45379) $761.84 $3,382 0.5×
Colonoscopy W/Resection (45390) $1,297.56 $3,932 0.4×
Colonoscopy w/stent plcmt (45389)
likely a partial charge, not the full procedure		 $1,281.06 $3,882 0.2×
Colonoscopy w/submucosal inj (45381) $761.84 $3,432 0.5×
Colpocleisis (le fort type) (57120) — $1,339 —
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $151.35 $458.63 0.4×
Colposcopy Cervix Endocervical Curettage (57456)
range across 3 matching MRF lines		 — $146.55–$579 —
Colposcopy cervix upper/adjacent vagina (57452) — $428 —
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455)
range across 3 matching MRF lines		 — $159.95–$599 —
Colposcopy entire vagina w/cervix if present (57420)
range across 3 matching MRF lines		 — $128.23–$551 —
Colposcopy of vulva (56820)
range across 3 matching MRF lines		 — $132.55–$411 —
Colposcopy,Entire Vagina,W/Biopsy(S) (57421)
range across 3 matching MRF lines		 — $158.82–$992 —
Colsc Flexible W/Control Bleeding Any Method (45382) $761.84 $3,482 0.5×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $761.84 $3,682 0.5×
Colsc flx w/removal lesion by hot bx forceps (45384) $761.84 $3,582 0.5×
Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) $761.84 $3,982 0.5×
Complex drainage wound (10180) $1,849.29 $8,206 0.5×
Conization cervix w/wo d&c rpr eltrd exc (57522) — $3,285 —
Conization of cervix (57520) — $3,370 —
Control Nasal Hemorrhage Anterior Complex (30903) $84.70 $810 0.5×
Control Nasal Hemorrhage Anterior Simple (30901) $84.70 $823 0.5×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $1,221.68 $4,976 0.5×
Convert Nephrostomy Catheter (50434) $1,330.85 $5,985 0.5×
Cordocentesis (59012) $194.01 $968 0.5×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,051.50 $5,553 0.5×
Correction hammertoe (28285) $2,083.13 $8,870 0.5×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299)
unusually low: confirm this is the full procedure		 $4,254.36 $12,892 0.5×
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) — $1,722 —
Cryosurgical Ablation Fibroadenoma, Each (19105)
unusually low: confirm this is the full procedure		 $2,492.77 $15,374 0.5×
Cryotherapy Co2 Slush Liquid N2 Acne (17340)
range across 3 matching MRF lines		 $195.30 $149.52–$300.46 2.6×
Csf shunt reprogram (62252)
range across 3 matching MRF lines		 — $56.54–$424 —
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $84.70 $1,092 0.5×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $150.79 $475 0.5×
Cysto Bladder W/Ureteral Catheterization (52005) $1,330.85 $5,840 0.5×
Cysto calibration dilat urtl strix/stenosis (52281) $1,330.85 $9,514 0.5×
Cysto w/complex removal stone & stent (52315)
range across 3 matching MRF lines		 — $345.67–$2,704 —
Cysto w/destruction of lesions (52214) — $2,443 —
Cysto w/dilat rx balo cath urtl strix/sten male (52284) — $201 —
Cysto w/insert ureteral stent (52332)
range across 3 matching MRF lines		 — $3,559–$5,338.50 —
Cysto w/irrig & evac multple obstructing clots (52001)
range across 3 matching MRF lines		 — $343.67–$3,906 —
Cysto w/removal of lesions small (52224) $748.97 $2,269.62 0.2×
Cysto w/removal of tumors small (52234) $1,110.12 $3,364 0.2×
Cysto W/Simple Removal Stone & Stent (52310) $1,330.85 $8,223.60 0.5×
Cysto w/up stricture tx (52342) — $817 —
Cysto w/ureter stricture tx (52341) — $3,880 —
Cysto w/ureteroscopy w/lithotripsy (52353) — $1,036 —
Cysto w/ureteroscopy w/rmvl/manj stones (52352) — $937 —
Cysto w/urtroscopy w/tx ureteral stricture (52344) — $977 —
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) — $3,899 —
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) — $1,103 —
Cysto/uretero w/lithotripsy (52356)
unusually low: confirm this is the full procedure		 $3,413.60 $13,314 0.5×
Cystometrogram W/Vp (51728) $264.64 $801.95 0.3×
Cystometrogram W/Vp&Up (51729)
range across 3 matching MRF lines		 — $150.80–$1,170 —
Cystorrhaphy suture of bladder wound injury or rupture simple (51860)
likely a partial charge, not the full procedure		 $1,274 $1,960 0.1×
Cystostomy Cystotomy W/Drainage (51040) — $772 —
Cystouretero w/excise tumor (52355) — $1,235 —
Cystourethroscopy (52000)
range across 3 matching MRF lines		 — $238.26–$1,934.44 —
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) $2,244.19 $7,368 0.5×
Cystourethroscopy inj chemodenervation bladder (52287) $800.25 $2,425 0.3×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235)
range across 3 matching MRF lines		 — $299.33–$3,884 —
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) — $1,036 —
Cystourethroscopy w/dil bladder general anesth (52260) — $2,535 —
Cystourethroscopy with biopsy (52204) $722.04 $2,188 0.3×
Cystourethroscopy with direct vision internal urethrotomy (52276) — $2,678 —
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $258.81 $1,531 0.5×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $1,575.09 $4,773 0.4×
Deb Musc/Fascia 20 Sq Cm/< (11043) $385.77 $1,169 0.4×
Debride nail 1-5 (11720) $37.56 $271 0.5×
Debride nail 6 or more (11721) $37.56 $324 0.5×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,020.03 $3,091 0.5×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $258.81 $1,012–$1,247 0.5×
Declot vascular device (36593) $210.29 $1,839 0.5×
Decompression of leg (27894) $1,423.50 $2,190 0.3×
Deep Muscle Biopsy (20205) — $403 —
Destr W Neurolytic; Celiac Plexus (64680) $563.10 $3,263 0.5×
Destroy cerv/thor facet jnt (64633) $1,243.21 $5,588 0.5×
Destroy lumb/sac facet jnt (64635) $1,243.21 $4,536 0.5×
Destruct B9 Lesion 1-14 (17110) $127.73 $607 0.5×
Destruction by neurolytic agent, intercostal nerve (64620) $563.10 $3,154 0.5×
Destruction Internal Hemorrhoid Thermal Energy (46930)
range across 3 matching MRF lines		 — $478.50–$3,474.78 —
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281)
range across 3 matching MRF lines		 — $184.69–$693 —
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) — $440 —
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262)
range across 3 matching MRF lines		 — $193.82–$505 —
Destruction neurolytic agt genicular nerve w/img (64624) $1,243.21 $7,762 0.5×
Destruction of rectal tumor transanal approach (45190) — $3,682 —
Destruction of skin lesions (17106) $258.81 $4,296 0.5×
Destruction Premalignant Lesion 15/> (17004)
range across 3 matching MRF lines		 — $302.46–$1,317.74 —
Destruction premalignant lesion 1st (17000) $97.02 $294 0.4×
Diagnostic sigmoidoscopy (45330) $592.06 $3,512 0.5×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) — $447 —
Dilat Female Urethra W/Suppository&/Instlj Ini (53660)
range across 2 matching MRF lines		 $175.50 $58.81–$270 1.1×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661)
range across 3 matching MRF lines		 $150.15 $60.11–$231 0.9×
Dilat Urethral Strix Dilator Male Sbsq (53601) — $265 —
Dilat Xst Trc New Access Rcs (50437) $2,244.19 $10,182 0.5×
Dilate Esophagus 1/Mult Pass (43450) $577.43 $3,195 0.5×
Dilate Urethra Stricture (53600) — $437 —
Dilation & curettage dx&/ther nonobstetric (58120)
range across 3 matching MRF lines		 — $243.43–$4,150 —
Dilation Cervical Canal (57800) — $2,779 —
Dir Rpr Ruptd Aneurysm Radial/Ulnar Artery (35045) — $2,619 —
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) — $2,641 —
Drain penis lesion (54015) — $801 —
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines		 $195.42 $1,474–$1,516 0.5×
Drainage Abscess/Hematoma Nasal Septum (30020) $343.37 $4,534 0.5×
Drainage external auditory canal abscess (69020) $450.83 $2,072 0.5×
Drainage external ear abscess/hematoma cmplx (69005) $1,051.50 $8,626 0.5×
Drainage External Ear Abscess/Hematoma Simple (69000) $422.07 $1,279 0.5×
Drainage Finger Abscess Complicated (26011) $1,051.50 $5,042 0.5×
Drainage Mouth Roof Lesion (42000) $150.79 $750 0.5×
Drainage of finger abscess simple (26010) $127.73 $670 0.5×
Drainage of gum lesion (41800) $84.70 $685 0.5×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $1,051.50 $4,284–$4,798 0.5×
Drainage of hydrocele (55000)
range across 4 matching MRF lines		 — $106.07–$1,341 —
Drainage of nose lesion (30000) $150.79 $1,456 0.5×
Drainage of rectal abscess (45005) $761.84 $6,804 0.5×
Drainage of scrotal wall abscess (55100) $1,051.50 $5,015 0.5×
Drainage of scrotum (54700) $1,330.85 $6,974 0.5×
Drainage of skene's gland abscess or cyst (53060) $1,330.85 $7,127 0.5×
Draw Blood Off Venous Device (36591) $84.70 $324 0.5×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $343.37 $2,031 0.5×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $450.83 $1,975 0.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $230.01 $697 0.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $127.73 $718 0.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $127.73 $652 0.5×
Dstrj Lesion Anus Extensive (46924) — $4,106 —
Dstrj Lesion Anus Simple Chemical (46900)
range across 3 matching MRF lines		 — $425.55–$1,440.83 —
Dstrj lesion anus simple surg excision (46922) — $2,845 —
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) — $2,038 —
Dstrj lesion penis simple surg excision (54060) — $1,969 —
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $563.10 $2,288 0.5×
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $462.99 $1,403 0.4×
Dx Bone Marrow Bx & Aspir (38222) $1,758.57 $5,329 0.5×
Dx Bronchoscope/Lavage (31624)
range across 3 matching MRF lines		 $1,133.18 $5,369–$6,169 0.5×
Dx Bronchoscope/Wash (31622) $1,133.18 $5,269 0.5×
Dx lmbr spi pnxr w/fluor/CT (62328)
range across 2 matching MRF lines		 $224.70–$449.40 $2,547 varies
Egd Balloon Dil Esoph30 Mm/> (43233) $1,221.68 $4,444 0.5×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $1,219.02 $3,694 0.5×
Egd cautery tumor polyp (43250) $1,221.68 $4,394 0.5×
Egd control bleeding any (43255) $1,221.68 $3,794 0.5×
Egd dilation gastric/duodenal stricture (43245) $1,221.68 $4,144 0.5×
Egd endo mucosal resection (43254) $1,221.68 $4,794 0.5×
Egd Endoscopic Stent Place (43266)
unusually low: confirm this is the full procedure		 $3,744.18 $11,346 0.5×
Egd Flexible Foreign Body Removal (43247) $577.43 $3,744 0.5×
Egd guide wire insertion (43248) $577.43 $3,844 0.5×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $1,221.68 $4,044 0.5×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $1,221.68 $4,694 0.5×
Egd intrmural us needle aspirate/biopsy esophags (43238) $1,221.68 $4,494 0.5×
Egd lesion ablation (43270) $1,221.68 $4,344 0.5×
Egd Optical Endomicroscopy (43252) $1,221.68 $4,544 0.5×
Egd Partial/Compl Esophagogastric Fundoplasty (43210)
unusually low: confirm this is the full procedure		 $6,767.51 $24,355 0.5×
Egd place gastrostomy tube (43246) $1,221.68 $4,194 0.5×
Egd remove lesion snare (43251) $1,221.68 $4,244 0.5×
Egd Tube/Cath Insertion (43241) $1,221.68 $3,894 0.5×
Egd us exam duodenum/jejunum (43259) $1,221.68 $4,844 0.5×
Egd us transmural injxn/mark (43253) $1,221.68 $4,744 0.5×
Egd Varices Ligation (43244) $1,221.68 $4,094 0.5×
Egd W/Thrml Txmnt Gerd (43257) $2,454.60 $8,214 0.5×
Egd W/Transmural Drain Cyst (43240)
unusually low: confirm this is the full procedure		 $3,744.18 $11,346 0.5×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $195.54 $767 0.5×
Electro-Uroflowmetry First (51741) $56.91 $172.45 0.2×
Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) — $2,648 —
Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203)
likely a partial charge, not the full procedure		 $1,595.10 $2,454 0.2×
Endocervical curettage (57505)
range across 3 matching MRF lines		 — $115.11–$914 —
Endometrial Biopsy (58100)
range across 3 matching MRF lines		 — $134.55–$414 —
Endoscopic us exam esoph (43237) $1,221.68 $3,944 0.5×
Endoscopy Upper Small Intestine (44360) $1,221.68 $4,026 0.5×
Endoscopy upper small intestine w/biopsy (44361) $1,221.68 $4,276 0.5×
Endovasc Temp Balloon Occlus,Head/Nck (61623)
unusually low: confirm this is the full procedure		 $5,346.99 $16,203 0.4×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $2,010.22 $10,816 0.5×
Endoven ther chem adhes 1st (36482)
range across 3 matching MRF lines		 — $476.73–$14,790.45 —
Enterorrhaphy single perforation (44602) — $3,640 —
Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) $1,221.68 $4,215 0.5×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) $1,221.68 $3,904 0.5×
Enteroscopy > 2nd prtn conv gstrst tube (44373) $1,221.68 $4,226 0.5×
Enteroscopy > 2nd prtn ileum control bleeding (44378) $1,221.68 $4,934 0.5×
Enteroscopy > 2nd prtn tndsc stent plmt (44370)
likely a partial charge, not the full procedure		 $1,477.08 $4,476 0.2×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $1,221.68 $4,176 0.5×
Enteroscopy > 2nd prtn w/rmvl foreign body (44363) $1,221.68 $4,076 0.5×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) $1,221.68 $4,126 0.5×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $1,221.68 $4,326 0.5×
Epidural Blood Patch (62273) $449.40 $2,132 0.5×
Ercp Destruction/Lithotripsy Calculi Any Method (43265)
unusually low: confirm this is the full procedure		 $3,744.18 $11,346 0.5×
Ercp duct stent placement (43274)
likely a partial charge, not the full procedure		 $2,203.74 $6,678 0.3×
Ercp Dx Collection Specimen Brushing/Washing (43260) $2,055.24 $6,228 0.4×
Ercp ea duct/ampulla dilate (43277) $2,137.74 $6,478 0.4×
Ercp remove calculi/debris biliary/pancreas duct (43264) $2,104.74 $6,378 0.4×
Ercp remove forgn body duct (43275) $1,221.68 $6,428 0.5×
Ercp Stent Exchange W/Dilate (43276)
likely a partial charge, not the full procedure		 $2,220.24 $6,728 0.3×
Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) $2,170.74 $6,578 0.4×
Ercp W/Biopsy Single/Multiple (43261) $2,071.74 $6,278 0.4×
Ercp w/pressure measurement sphincter of oddi (43263) $1,221.68 $6,528 0.5×
Ercp,Sphincterotomy (43262) $2,088.24 $6,328 0.4×
Escharotomy; initial incision (16035) $258.81 $1,366 0.5×
Esoph Optical Endomicroscopy (43206) $1,221.68 $4,189 0.5×
Esoph Scope W/Submucous Inj (43201) $1,221.68 $4,125 0.5×
Esophagogastroduodenoscopy Submucosal Injection (43236) $577.43 $3,994 0.5×
Esophagosc Dilate Balloon 30 (43214) $1,221.68 $5,811 0.5×
Esophagoscop Mucosal Resect (43211) $1,221.68 $5,504 0.5×
Esophagoscop Stent Placement (43212)
unusually low: confirm this is the full procedure		 $3,744.18 $11,346 0.5×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $1,221.68 $4,325 0.5×
Esophagoscopy Flex Transoral Injection Varices (43204) $1,221.68 $4,189 0.5×
Esophagoscopy Flex Transoral Lesion Ablation (43229) $1,958.88 $5,936 0.4×
Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) $1,221.68 $4,202 0.5×
Esophagoscopy Flexible Guide Wire Dilation (43226) $1,221.68 $5,184 0.5×
Esophagoscopy Flexible Transoral Diagnostic (43200) $577.43 $4,278 0.5×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $1,221.68 $5,188 0.5×
Esophagoscopy Flexible W/Bleeding Control (43227) $1,221.68 $4,995 0.5×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) $1,221.68 $6,168 0.5×
Esophagoscopy Retro Balloon (43213) $1,221.68 $5,234 0.5×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $918.39 $2,783 0.4×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $845.46 $2,562 0.3×
Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180)
unusually low: confirm this is the full procedure		 $3,697.65 $11,205 0.5×
Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) $1,221.68 $4,682 0.5×
Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) $1,221.68 $4,189 0.5×
Evacuation of subungual hematoma (11740) $84.70 $1,068 0.5×
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $1,051.50 $10,837 0.5×
Exc abdl tum deep 5 cm/> (22901) $1,200.21 $3,637 0.3×
Exc arm/elbow les sc < 3 cm (24075) $1,051.50 $7,223 0.5×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $450.83 $6,673 0.5×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,051.50 $7,633 0.5×
Exc Back Les Sc < 3 Cm (21930) $1,051.50 $8,653 0.5×
Exc Back Tum Deep 5 Cm/> (21933) $1,849.29 $13,210 0.5×
Exc back tum deep < 5 cm (21932) $1,849.29 $12,705 0.5×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) — $1,189 —
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 3 matching MRF lines		 — $213.97–$1,081 —
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $450.83 $5,912 0.5×
Exc Face Les Sbq 2 Cm/> (21012) $1,051.50 $11,538 0.5×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) — $779 —
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $450.83 $3,328 0.5×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 3 matching MRF lines		 — $187.48–$1,003 —
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,051.50 $7,465 0.5×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $450.83 $7,521 0.5×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $1,051.50 $7,577 0.5×
Exc Hand Les Sc < 1.5 Cm (26115) $1,051.50 $9,923 0.5×
Exc hand tum deep < 1.5 cm (26116) $1,051.50 $9,518 0.5×
Exc neurofibroma/neurolemmoma major prph nrv (64790) $1,699.10 $2,614 0.7×
Exc Rct Tum Incl Muscularis Propria (45172) — $2,140 —
Exc Rct Tum Not Incl Muscularis Propria (45171) — $1,589 —
Exc Shoulder Tum Deep 5 Cm/> (23073) $1,849.29 $14,257 0.5×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $450.83 $6,841 0.5×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $1,051.50 $7,689 0.5×
Exc Skin Benig >4 Cm Remaindr Body (11426) — $3,001 —
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines		 $1,051.50–$1,849.29 $6,953 varies
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,051.50 $9,619 0.5×
Exc thigh/knee les sc 3 cm/> (27337) $1,849.29 $11,028 0.5×
Exc thigh/knee tum dep 5cm/> (27339) $1,849.29 $18,358 0.5×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $761.84 $7,981 0.5×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $258.81 $6,729 0.5×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $450.83 $6,785 0.5×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,051.50 $6,897 0.5×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $1,320 $4,000 0.4×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $1,849.29 $12,631 0.5×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $1,051.50 $9,535 0.5×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $1,849.29 $15,124 0.5×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $1,849.29 $11,736 0.5×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $2,938.65 $4,521 0.8×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $1,849.29 $13,988 0.5×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $1,849.29 $12,979 0.5×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,051.50 $7,575 0.5×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,051.50 $8,494 0.5×
Exc tumor soft tissue leg/ankle subq <3cm (27618) — $2,387 —
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $1,849.29 $14,340 0.5×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,051.50 $10,571 0.5×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $1,849.29 $9,099 0.5×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $1,849.29 $12,170 0.5×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $1,849.29 $11,646 0.5×
Exc urethral diverticulum spx female (53230) — $1,604 —
Exc Varicocele/Ligation Spermatic Veins Spx (55530) — $936 —
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $2,083.13 $9,935 0.5×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $2,279.47 $7,902 0.5×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $1,330.85 $6,703 0.5×
Exchange Transfusion (36455) $280.88 $2,290 0.5×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $1,221.68 $3,958 0.5×
Excise intraspinal lesion (63267) — $3,529 —
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $450.83 $4,455 0.5×
Excision External Ear Partial Simple Repair (69110) — $3,568 —
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $215.16 $652 0.4×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604)
range across 3 matching MRF lines		 — $313.22–$1,236 —
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 2 matching MRF lines		 $1,180.40 $242.46–$1,816 0.6×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646)
range across 3 matching MRF lines		 $2,435.55 $495.68–$3,747 0.7×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624)
range across 4 matching MRF lines		 $1,186.90 $252.78–$1,826 0.6×
Excision Multiple External Papillae/Tags Anus (46230) — $2,883 —
Excision of ganglion, wrist (dorsal or volar); primary (25111) $1,023.73 $10,559 0.5×
Excision of hydrocele; unilateral (55040) — $899 —
Excision olecranon bursa (24105) $2,083.13 $14,711 0.5×
Excision Pilonidal Cyst/Sinus Complicated (11772) — $3,656 —
Excision Pilonidal Cyst/Sinus Extensive (11771) — $3,450 —
Excision spermatocele w/wo epididymectomy (54840) — $855 —
Excision tendon finger flexor/extensor each (26180) $1,023.73 $5,782 0.5×
Excision tendon palm flexor/extensor single each (26170) $1,023.73 $5,391 0.5×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,051.50 $11,767 0.5×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $1,849.29 $10,752 0.5×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,051.50 $8,117 0.5×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) — $2,669 —
Excision, interdigital (morton) neuroma, single, each (28080) $1,023.73 $9,801 0.5×
Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) — $2,316 —
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $1,849.29 $12,778 0.5×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $1,051.50 $11,527 0.5×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) — $1,084 —
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $1,200.21 $3,637 0.3×
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) $1,849.29 $18,996 0.5×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $1,051.50 $10,638 0.5×
Excision/curettage cyst/tumor phalanx finger (26210) $1,023.73 $6,956 0.5×
Explo/Drain Breast Abscess (19020) $1,051.50 $9,063 0.5×
Exploration penetrating wound spx extremity (20103) — $1,581 —
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) — $2,411 —
External cephalic version (59412)
range across 2 matching MRF lines		 $1,030.46–$2,060.93 $9,248 varies
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $2,083.13 $11,623.70 0.5×
Fetal Contraction Stress Test (59020) $128.71 $1,215 0.5×
Fetal Fluid Drainage W/Ultrasound Guidance (59074) $194.01 $768 0.5×
Fetal non-stress test (59025) $128.71 $1,322 0.5×
Fetal Shunt Placement W/Ultrasound Guidance (59076) $194.01 $698 0.5×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $450.83 $2,258 0.5×
Fine needle aspiration bx w/mr gdn 1st lesion (10011) $450.83 $2,258 0.5×
Fine needle aspiration without imaging guidance (10021) $258.81 $1,620 0.5×
Fluid Pressure Muscle (20950) $450.83 $2,264 0.5×
Fluoro exam of g/colon tube (49465) $151.91 $680 0.5×
Fna Bx W/Fluor Gdn 1St Les (10007) $450.83 $2,258 0.5×
Fna bx w/us gdn 1st les (10005) $450.83 $2,258 0.5×
Foreskin manipulation (54450) $159.07 $2,444 0.5×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260)
range across 3 matching MRF lines		 — $1,363.77–$4,106 —
Fth/gft free w/direct closure s/a/l 20 cm/< (15220)
range across 3 matching MRF lines		 $2,246.40 $905.89–$3,456 0.8×
Fusion Finger Joint (26860) $2,083.13 $12,507 0.5×
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) — $3,511 —
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) — $1,818 —
Guide Cathet Fluid Drainage (10030) $450.83 $3,769 0.5×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) — $929 —
Hemorrhoidectomy, external, 2 or more columns/groups (46250) — $831 —
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) — $1,250 —
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $592.06 $2,625 0.5×
Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) — $1,204 —
Hysteroscopy Biopsy (58558) $1,252.35 $3,795 0.3×
Hysteroscopy Dx Sep Proc (58555) $2,219.75 $3,415 0.5×
Hysteroscopy Endometrial Ablation (58563) — $646 —
Hysteroscopy, surgical; with removal of leiomyomata (58561) — $937 —
I&d abscess peritonsillar (42700) $150.79 $1,216 0.5×
I&d abscess simple (10060)
range across 3 matching MRF lines		 $127.73 $607–$1,137 0.5×
I&D Below Fascia Foot 1 Bursal Space (28002) $1,023.73 $7,078 0.5×
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,849.29 $13,307 0.5×
I&D Deep Absc/Hematoma Neck/Chest (21501) $1,849.29 $17,884 0.5×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $2,083.13 $10,177 0.5×
I&d forearm/wrist bursa (25031) $1,023.73 $4,906 0.5×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) — $1,258 —
I&D Mouth/Tong Intra,Masticator (41009) $343.37 $1,786 0.5×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $2,083.13 $18,070 0.5×
I&d perianal abscess superficial (46050) $592.06 $1,805 0.5×
I&d pilonidal cyst complicated (10081) $450.83 $3,940 0.5×
I&d pilonidal cyst simple (10080) $450.83 $1,962 0.5×
I&d shoulder deep abscess/hematoma (23030) $1,849.29 $11,171 0.5×
I&d upper arm/elbow deep abscess/hematoma (23930) $1,849.29 $12,464 0.5×
Ileoscopy Stoma W/Balloon Dilation (44381) $1,221.66 $3,702 0.5×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $577.43 $2,854 0.5×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $577.43 $2,565 0.5×
Image Cath Fluid Colxn Visc (49405) $1,051.50 $4,538 0.5×
Image Cath Fluid Peri/Retro (49406) $1,051.50 $4,685 0.5×
Image Cath Fluid Trns/Vgnl (49407) $1,051.50 $4,342 0.5×
Implant Spine Infusion Pump (62362)
unusually low: confirm this is the full procedure		 $8,151.66 $24,702 0.4×
Incise external hemorrhoid (46083) $159.07 $932 0.5×
Incise finger tendon sheath (26055) $1,023.73 $6,222 0.5×
Incise/Drain Conjunctiva (68020) $634.67 $2,231 0.5×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $181.48–$258.81 $549.94–$1,193 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $1,849.29 $6,653 0.5×
Incision & removal foreign body subq tiss compl (10121) $1,051.50 $11,171 0.5×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $129.40–$258.81 $995 varies
Incision and drainage of bartholin's gland abscess (56420) $128.71 $1,285 0.5×
Incision and drainage of vulva or perineal abscess (56405) $194.01 $878 0.5×
Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010) — $2,476 —
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) — $2,459 —
Incision extensor tendon sheath wrist (25000) $1,023.73 $7,652 0.5×
Incision of rectal abscess (46040) $761.84 $5,512 0.5×
Incision&drainage bursa foot (28001) $1,051.50 $4,959 0.5×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,051.50 $6,168 0.5×
Incisional biopsy skin single lesion (11106) $403.59 $1,223 0.4×
Initial Tx 1st Degree Burn Local Tx (16000) $127.73 $786 0.5×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $563.10–$659.01 $1,997 varies
Inj W/Fluor Eval Cv Device (36598) $135.42 $1,528 0.5×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines		 $563.10–$692.34 $2,098 varies
Injection 1 tendon sheath/ligament aponeurosis (20550) $195.42 $911 0.5×
Injection aa&/strd axillary nerve w/img gdn (64417) $563.10 $5,152 0.5×
Injection aa&/strd genicular nrv branches w/img (64454) $449.40 $2,454 0.5×
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines		 $563.10–$640.20 $1,940 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 2 matching MRF lines		 $449.40–$674.10 $2,453 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $449.40 $4,151 0.5×
Injection Anes Superior Hypogastric Plexus (64517) $563.10 $3,944 0.5×
Injection anesthetic agent suprascapular nerve (64418) $449.40 $6,384 0.5×
Injection enzyme palmar fascial cord (20527)
range across 2 matching MRF lines		 $299.66 $389.65–$461.01 0.8×
Injection for identification of sentinel node (38792) $254.52 $1,917 0.5×
Injection single tendon origin/insertion (20551) $149.16 $452 0.4×
Injection single/mlt trigger point 1/2 muscles (20552) $195.42 $899 0.5×
Injection single/mlt trigger point 3/> muscles (20553) $195.42 $964 0.5×
Injection therapeutic carpal tunnel (20526)
range across 4 matching MRF lines		 — $171.03–$1,125.21 —
Injection, anesthetic agent; brachial plexus, single (64415) $563.10 $5,084 0.5×
Injection, anesthetic agent; femoral nerve, single (64447) $449.40 $2,341 0.5×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $428.01 $1,297 0.5×
Injection, anesthetic agent; vagus nerve (64408) $195.42 $1,006 0.5×
Injection, Intralesional; More Than 7 Lesions (11901)
range across 3 matching MRF lines		 — $66.86–$325 —
Injection, intralesional; up to and including 7 lesions (11900)
range across 3 matching MRF lines		 — $39.97–$280 —
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $563.10 $2,382 0.5×
Ins cath ren art 1st bilat (36252) $2,010.22 $15,385 0.5×
Ins cath ren art 1st unilat (36251) $2,010.22 $9,336 0.5×
Ins cath ren art 2nd+ bilat (36254) $2,010.22 $12,835 0.5×
Ins cath ren art 2nd+ unilat (36253)
unusually low: confirm this is the full procedure		 $3,542.65 $15,121 0.5×
Ins endovas vena cava filtr (37191)
unusually low: confirm this is the full procedure		 $3,542.65 $28,987 0.5×
Ins Vag Brachytx Device (57156)
range across 2 matching MRF lines		 $130.35–$194.01 $395–$2,278 varies
Insert and remove bone pin (20650) $2,083.13 $12,740 0.5×
Insert Bladder Cath Complex (51703) $81.92 $959 0.5×
Insert cath pleura w/ image (32557) $1,002.19 $3,382 0.5×
Insert cath pleura w/o image (32556)
range across 2 matching MRF lines		 $610.84–$1,097.58 $3,326 varies
Insert cervical dilator (59200) $194.01 $2,162 0.5×
Insert Drug Implant Device (11981)
range across 3 matching MRF lines		 — $140.09–$339 —
Insert Gastrostomy Tube Percutaneous (49440) $1,221.68 $4,197 0.5×
Insert Heart Pm Ventricular (33207)
unusually low: confirm this is the full procedure		 $6,654.29 $21,482 0.5×
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure		 $6,735.63 $20,411 0.3×
Insert multi-comp penis pros (54405) — $2,140 —
Insert non-tunnel cv cath (36556) $1,913.34 $5,798 0.5×
Insert Pacing Lead & Connect (33224) — $1,334 —
Insert pessary/other device (57160)
range across 3 matching MRF lines		 — $63.30–$309 —
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,002.19 $5,369 0.5×
Insert pulse gen dual leads (33213) — $873 —
Insert pulse gen mult leads (33221)
likely a partial charge, not the full procedure		 $610.35 $939 0.0×
Insert Pulse Gen Sngl Lead (33212) — $836 —
Insert Temp Bladder Cath (51702) $84.70 $903 0.5×
Insert tun ip cath perc (49418) $2,279.47 $8,108 0.5×
Insert tunneled cv cath (36561) $2,010.22 $10,695 0.5×
Insert Uro/Ves Nck Sphincter (53445) — $1,998 —
Insert,Non-Indwelling Bladder Catheter (51701) $84.70 $604 0.5×
Insertion indwelling tunneled pleural catheter (32550) $2,279.47 $8,483 0.5×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,002.19 $4,260 0.5×
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
unusually low: confirm this is the full procedure		 $5,268.55 $21,288 0.5×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $2,167.11 $6,567 0.5×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $1,651.98 $5,006 0.4×
Insj Picc Rs&I <5 Yr (36572) $399.37 $2,139 0.5×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,002.19 $4,216 0.5×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $2,010.22 $9,193 0.5×
Insj/Rplcmt Defib W/Lead(S) (33249)
unusually low: confirm this is the full procedure		 $19,983.81 $76,470 0.5×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) — $950 —
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
unusually low: confirm this is the full procedure		 $4,686 $14,200 0.4×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
unusually low: confirm this is the full procedure		 $5,268.55 $24,189 0.5×
Insrt heart pm atrial & vent (33208)
unusually low: confirm this is the full procedure		 $6,654.29 $24,200 0.5×
Insrt Pulse Gen W/Dual Leads (33230) — $995 —
Insrt Pulse Gen W/Mult Leads (33231) — $1,045 —
Insrt Pulse Gen W/Singl Lead (33240)
unusually low: confirm this is the full procedure		 $14,161.43 $46,186 0.5×
Int hrhc by ligation single hroid w/o img gdn (46945) — $3,879 —
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $258.81 $1,360 0.5×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $258.81 $1,416 0.5×
Intraoral i&d tongue/floor lingual (41000) $259.38 $786 0.4×
Intraoral i&d tongue/floor sublngl supfc (41005) $121.11 $367 0.4×
Intraoral i&d tongue/floor submental space (41007) $775.50 $2,350 0.4×
Intraoral i&d tongue/floor submndblr space (41008) $2,110.80 $10,362 0.5×
Intro cath dialysis circuit (36901) $840.18 $2,546 0.4×
Intro cath dialysis circuit w/tcat plmt IV stent (36903)
unusually low: confirm this is the full procedure		 $7,349.64 $43,132 0.5×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902)
unusually low: confirm this is the full procedure		 $3,623.55 $28,167 0.5×
Intro Gastrointestinal Tube (44500) $553.41 $1,677 0.5×
Intubation endotracheal emergency procedure (31500) $150.79 $1,392 0.5×
Irrigation of corpora cavernosa for priapism (54220) $159.07 $652 0.5×
IV injection test vascular flow flap/graft (15860) $432.90 $666 0.8×
Lam facetec & foramot lumbar (63047) — $2,857 —
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic Facility (63266) — $4,411 —
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001)
likely a partial charge, not the full procedure		 $2,122.90 $3,266 0.2×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015) — $3,810 —
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045)
likely a partial charge, not the full procedure		 $2,155.40 $3,316 0.2×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046)
likely a partial charge, not the full procedure		 $2,059.20 $3,168 0.2×
Laminotomy Single Lumbar (63042)
likely a partial charge, not the full procedure		 $2,186.60 $3,364 0.2×
Lap insert tunnel ip cath (49324) — $1,008 —
Lap paraesophag hern repair (43281) — $3,980 —
Laparo ablate renal cyst (50541) — $2,446 —
Laparo-vag hyst incl t/o (58552) — $2,626 —
Laparoscopy aspiration (49322) — $965 —
Laparoscopy Enterolysis Separate Procedure (44180) — $2,381 —
Laparoscopy gastrostomy (43653)
likely a partial charge, not the full procedure		 $986.05 $1,517 0.1×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 3 matching MRF lines		 — $1,116–$1,674 —
Laparoscopy W/Lysis Of Adhesions (58660) — $1,734 —
Laparoscopy w/rmvl adnexal structures (58661)
range across 4 matching MRF lines		 — $1,673–$2,509.50 —
Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323) — $1,619 —
Laparoscopy, surgical, appendectomy (44970) — $1,560 —
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
unusually low: confirm this is the full procedure		 $4,945.71 $14,987 0.4×
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) — $2,527 —
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) — $2,276 —
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) — $1,849 —
Laparoscopy, surgical; partial nephrectomy (50543) — $3,970 —
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
range across 2 matching MRF lines		 — $1,445–$2,167.50 —
Laparoscopy, surgical; ureterolithotomy Facility (50945) — $2,537 —
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) — $1,752 —
Laparoscopy, surgical; with biopsy (single or multiple) (49321) — $899 —
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) — $851 —
Laps fulg/exc ovary viscera/peritoneal surface (58662) — $1,831 —
Laps Gastric Restrictive Px Remove Device & Port (43774) — $2,557 —
Laps Surg Prst8ect Rpbic Rad W/Bi Pel Lymphadec (55869) — $4,068.06 —
Laps Surg Prst8ect Rpbic Radical W/Lymph Node Bx (55868) — $3,395.31 —
Laps surg prst8ect smpl stot robotic assistance (55867) — $2,627 —
Laps surg retroperitoneal lymph node bx 1/mlt (38570) — $1,327 —
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) — $3,412 —
Laryngoscopy diagnostic (31505) — $131 —
Laryngoscopy flexible diagnostic (31575) $127.08 $494 0.5×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $249.01 $2,530 0.5×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) — $750 —
Laryngoscopy Indirect W/Removal Foreign Body (31511) $127.08 $478 0.5×
Laryngoscopy W/Foreign Body Removal (31530) $1,133.18 $5,576 0.5×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $249.01 $4,396 0.5×
Laser vaporization of prostate (52648) — $1,829 —
Late closure of wound (13160) — $3,920 —
Ligation of a-v fistula (37607) $2,010.22 $12,968 0.5×
Ligation of hemorrhoids (46946)
range across 3 matching MRF lines		 — $239.86–$2,942 —
Ligation or biopsy temporal artery (37609)
range across 2 matching MRF lines		 $1,051.50–$1,849.29 $14,168 varies
Litholapaxy comp/lg > 2.5 cm (52318) — $1,250 —
Litholapaxy smpl/sm <2.5 cm (52317) $1,344.77 $4,075.05 0.3×
Lithotripsy, extracorporeal shock wave (50590) $2,244.19 $20,180 0.5×
Low Back Disk Surgery (63030)
range across 2 matching MRF lines
likely a partial charge, not the full procedure		 $2,457.98 $2,521–$3,781.50 0.3×
Lumbar spine fusion combined (22633) — $4,793 —
Lyse chest fibrin init day (32561) $399.37 $2,088 0.5×
Lyse Chest Fibrin Subq Day (32562) $399.37 $1,578 0.5×
Male sling procedure (53440) — $1,995 —
Maniplatn palar fascial crd post inj single cord (26341)
range across 2 matching MRF lines		 $554.43 $609.58–$852.97 1.7×
Manipulation tmj therapeutic require anesthesia (21073) $987.82 $4,763 0.5×
Marsupialization of bartholin's gland cyst (56440) $2,060.93 $10,544 0.5×
Mast mod rad (19307) — $3,093 —
Mastectomy partial (19301)
range across 2 matching MRF lines		 $2,492.77–$3,838.56 $11,632 varies
Mastectomy partial w/axillary lymphadenectomy (19302) — $2,320 —
Mastectomy simple complete (19303)
range across 2 matching MRF lines		 — $2,476–$3,714 —
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $1,002.19 $3,879 0.5×
Mech remov tunneled cv cath (36595) $1,762.86 $5,342 0.4×
Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed Facility (39401) — $799 —
Metatarsectomy (28140) — $1,159 —
Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) $334.29 $1,013 0.4×
Mohs trunk/arm/leg 1st stage 5 blocks (17313)
range across 3 matching MRF lines		 — $561.35–$1,460 —
Multifetal Pregnancy Reduction (59866) $194.01 $645 0.5×
Muscle-skin graft trunk (15734) — $3,942 —
Myelography Lumbar Injection (62305) $499.09 $2,048 0.5×
Myelography Lumbar Injection (62304) $499.09 $2,048 0.5×
Myelography via lumbar injection rs&i cervical (62302) $499.09 $2,048 0.5×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $499.09 $2,048 0.5×
N Block Inj Celiac Pelus (64530) $563.10 $2,978 0.5×
N Block Inj Ilio-Ing/Hypogi (64425) $449.40 $2,341 0.5×
N block inj intercost sng (64420)
range across 3 matching MRF lines		 $449.40–$674.10 $2,341 varies
N Block Inj Paracervical (64435) $449.40 $1,447 0.5×
N Block Inj Plantar Digit (64455) $195.42 $839 0.5×
N Block Inj Pudendal (64430) $563.10 $4,704 0.5×
N Block Lumbar/Thoracic (64520) $563.10 $1,725 0.5×
Nasal Endoscopy Dx (31231)
range across 3 matching MRF lines		 — $193.14–$686.48 —
Nasal/Orogastric W/Tube Plmt (43752) $284.41 $1,222 0.5×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $592.06 $3,471 0.5×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $592.06 $2,848 0.5×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $1,023.73 $9,483 0.5×
Neck spine fusion (22600) — $3,337 —
Needle Biopsy Lymph Nodes (38505) $1,051.50 $6,703 0.5×
Needle Biopsy Pancreas (48102) $890.67 $2,699 0.4×
Neuroeltrd Stim Post Tibial (64566) $108.60 $329.08 0.3×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $1,023.10 $1,574 0.4×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $170.94 $518 0.4×
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines		 $563.10–$627.66 $1,902 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $195.42 $949 0.5×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $2,279.47 $9,340 0.5×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $2,279.47 $7,184 0.5×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $563.10–$692.34 $2,098 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $563.10 $1,997 0.5×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines		 $224.70–$449.40 $1,997 varies
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $449.40 $1,997 0.5×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $563.10 $1,997 0.5×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $449.40 $2,004 0.5×
Njx Noncmpnd Sclrsnt 1 Vein (36465)
range across 3 matching MRF lines		 — $347.88–$4,953.52 —
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $443.94 $1,730 0.5×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $443.94 $1,730 0.5×
Njx Sclrsnt 1 Incmptnt Vein (36470)
range across 3 matching MRF lines		 $726.69 $112.05–$1,117.99 1.4×
Obstructive material removal from gi tube (49460) $577.43 $1,923 0.5×
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 $195.42–$293.13 $1,824 varies
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure		 $1,338.35 $2,059 0.2×
Open biopsy/excision inguinofemoral nodes (38531) — $1,143 —
Open bowel to skin (44300) — $2,181 —
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568)
likely a partial charge, not the full procedure		 $997.10 $1,534 0.0×
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325)
likely a partial charge, not the full procedure		 $2,427.10 $3,734 0.1×
Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21811)
likely a partial charge, not the full procedure		 $998.40 $1,536 0.1×
Open Tx Distal Phalangeal Fracture Each (26765) $2,083.13 $7,209 0.5×
Open tx interphalangeal joint dislocation (26785) $2,083.13 $12,435 0.5×
Open/Perq Place Stent 1St (37236)
unusually low: confirm this is the full procedure		 $7,349.64 $27,347 0.5×
Open/Perq Place Stent Same (37238)
unusually low: confirm this is the full procedure		 $7,349.64 $26,188 0.5×
Orchiectomy radical tumor inguinal approach (54530) — $1,342 —
Orchiopexy Ingun/Scrot Appr (54640)
range across 2 matching MRF lines		 — $1,272–$1,908 —
Ostectomy, complete excision; fifth metatarsal head (28113) $2,083.13 $9,083 0.5×
Ostectomy, complete excision; first metatarsal head (28111) — $980.25 —
Partial Excision Distal Phalanx Finger (26236) $1,023.73 $8,978 0.5×
Partical Excision Bone Phalanx Toe (28124) $2,083.13 $8,207 0.5×
Pelvic examination under anesthesia (other than local) (57410) — $280 —
Penile Injection (54235) $159.07 $652 0.5×
Perc Cryo Ablate Renal Tum (50593)
unusually low: confirm this is the full procedure		 $6,348.21 $19,237 0.5×
Perc Rf Ablate Renal Tumor (50592)
unusually low: confirm this is the full procedure		 $3,848.90 $18,973 0.5×
Percut Ablate Liver Rf (47382)
unusually low: confirm this is the full procedure		 $3,027.09 $9,173 0.4×
Percut Cath Occlusn Non Cns Lesn (61626)
unusually low: confirm this is the full procedure		 $7,349.64 $22,695 0.5×
Percut Drain/Inject Renal Cyst (50390) $450.83 $2,883 0.5×
Percut Mech Thrombectomy, Venous, Repeat (37188) $2,010.22 $6,755 0.5×
Pericardiocentesis W/Imaging (33016) $1,002.19 $4,725 0.5×
Perm Occlusion/Embolization,Percut,Cns (61624)
unusually low: confirm this is the full procedure		 $11,670.89 $56,620 0.5×
Perq dev breast 1st strtctc (19283) $450.83 $4,376 0.5×
Perq dev breast 1st us imag (19285) $450.83 $1,717 0.5×
Perq device breast 1st imag (19281) $1,051.50 $3,412 0.5×
Perq dilation xst trc endourologic px w/img (50436) $1,997.49 $6,053 0.4×
Perq Lumbosacral Injection (22511) $2,083.13 $7,367 0.5×
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080)
unusually low: confirm this is the full procedure		 $4,562.58 $13,826 0.4×
Perq Radiofreq Ablation Tx, Pul Tumor (32998)
unusually low: confirm this is the full procedure		 $3,848.90 $17,559 0.5×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $450.83 $2,859 0.5×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905)
unusually low: confirm this is the full procedure		 $7,349.64 $43,132 0.5×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904)
unusually low: confirm this is the full procedure		 $3,623.55 $28,167 0.5×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
unusually low: confirm this is the full procedure		 $4,559.94 $13,818 0.5×
Perq Vertebral Augmentation (22513)
unusually low: confirm this is the full procedure		 $4,619.69 $14,320 0.5×
Place Cath Subclavian Art (36225) $1,698.18 $5,146 0.4×
Place Cath Thoracic Aorta (36221) $1,653.30 $5,010 0.4×
Place Cath Vertebral Art (36226)
unusually low: confirm this is the full procedure		 $2,939.31 $8,907 0.4×
Place Duod/Jej Tube Perc (49441) $1,221.68 $5,285 0.5×
Place Rt Device/Marker Pros (55876) $881.21 $6,222 0.5×
Placement of needle for intraosseous infusion (36680) $219.12 $664 0.4×
Placement of seton (46020) — $3,133 —
Plmt Bile Duct Stent Prq Existing Access (47538)
unusually low: confirm this is the full procedure		 $3,848.90 $16,743 0.5×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540)
unusually low: confirm this is the full procedure		 $3,848.90 $14,949 0.5×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 2 matching MRF lines		 $1,330.85–$1,804.44 $5,468 varies
Plmt Nephroureteral Catheter (50433) $1,804.44 $5,468 0.4×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $2,244.19 $7,601 0.5×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $2,244.19 $7,601 0.5×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $2,244.19 $7,601 0.5×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) — $1,538 —
Prim art mech thrombectomy (37184)
unusually low: confirm this is the full procedure		 $11,293.92 $34,224 0.5×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $149.49 $453 0.1×
Proctosgmdsc Rigid Control Bleeding (45317) $191.75 $295 0.1×
Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) $1,767.13 $7,919 0.5×
Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) $761.84 $6,329 0.5×
Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) $761.84 $3,099 0.5×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $1,032.90 $3,130 0.3×
Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) $1,767.13 $9,286 0.5×
Prostate laser enucleation (52649) — $2,181 —
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $450.83 $1,534 0.5×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $2,279.47 $8,850 0.5×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $2,279.47 $8,850 0.5×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $2,083.13 $8,793 0.5×
Pseudoaneurysm Injection Trt (36002) $363 $1,100 0.4×
Punch biopsy skin single lesion (11104) $227.37 $689 0.4×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines		 $258.81 $1,330–$1,490 0.5×
Puncture Aspiration Cyst Breast (19000) $443.19 $1,343 0.5×
Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) $2,083.13 $8,218 0.5×
Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) — $3,482 —
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $1,243.21 $8,533 0.5×
Rem Endovas Vena Cava Filter (37193) $2,010.22 $13,831 0.5×
Removal Anal Seton Other Marker (46030) — $3,258.15 —
Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same… (54416) — $1,886 —
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $577.43 $1,752 0.5×
Removal Embedded Foreign Body Eyelid (67938) $202.08 $2,143 0.5×
Removal Foreign Body Foot Complicated (28193) $1,051.50 $5,554 0.5×
Removal foreign body foot deep (28192) $1,051.50 $14,337 0.5×
Removal Foreign Body Foot Subcutaneous (28190)
range across 3 matching MRF lines		 $225.42–$676.25 $5,031 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $525.75–$1,051.50 $11,810 varies
Removal Foreign Body Pelvis/Hip Deep (27087) $2,083.13 $15,210 0.5×
Removal Foreign Body Scrotum (55120) $1,027.95 $3,115 0.4×
Removal foreign body upper arm/elbow deep (24201) $1,849.29 $10,933 0.5×
Removal impacted cerumen irrigation/lvg unilat (69209) $37.56 $269 0.5×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $37.56 $470 0.5×
Removal impacted vag fb spx w/anes oth/thn local (57415) $2,060.93 $9,502 0.5×
Removal Implant Deep (20680) $1,849.29 $15,126 0.5×
Removal Implant Superficial Separate Procedure (20670) $1,051.50 $3,359 0.5×
Removal of anal fissure (46200) — $870 —
Removal of foreign body from pharynx (42809) $284.41 $1,282 0.5×
Removal of heel spur (28119)
range across 3 matching MRF lines		 $3,242.20 $425.68–$4,988 0.8×
Removal of kidney stone (50081)
unusually low: confirm this is the full procedure		 $5,017.32 $15,204 0.4×
Removal of nail bed (11750) $258.81 $1,669 0.5×
Removal of sesamoid bone (28315) $2,083.13 $8,747 0.5×
Removal of sperm cord lesion (55520) — $1,186 —
Removal of testis (54520) — $867 —
Removal of tunneled intraperitoneal catheter (49422) $1,753.29 $5,313 0.4×
Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) Facility (53442) — $2,077 —
Removal Pacemaker Electrode (33235) — $1,663 —
Removal ppm generator only (33233)
likely a partial charge, not the full procedure		 $393.25 $605 0.0×
Removal shoulder foreign body deep subfascial/im (23333) $1,849.29 $9,354 0.5×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $127.73 $544 0.5×
Removal subcutaneous cardiac rhythm monitor (33286) $450.83 $1,666 0.5×
Removal/bivalving gauntlet boot/body cast (29700) $178.07 $831 0.5×
Remove drug implant device (11982)
range across 3 matching MRF lines		 — $136.41–$644 —
Remove Elctrd Transvenously (33244) — $2,239 —
Remove Forearm Foreign Body (25248) $1,023.73 $10,665 0.5×
Remove foreign body from eye (65205) $84.70 $438 0.5×
Remove groin lymph nodes (38760) — $2,185 —
Remove Hand Bone Lesion (26200) $1,023.73 $6,975 0.5×
Remove Intrauterine Device (58301) $194.01 $756 0.5×
Remove intrvas foreign body (37197) $2,010.22 $7,268 0.5×
Remove lung catheter (32552) $399.37 $4,179 0.5×
Remove muti-comp penis pros (54406) — $1,936 —
Remove Nasal Foreign Body (30300) $84.70 $568 0.5×
Remove Peritoneal Foreign Body (49402) — $2,217 —
Remove prostate regrowth (52630) — $1,065 —
Remove Pulse Generator (33241) — $565 —
Remove renal tube w/fluoro (50389) $443.94 $1,753 0.5×
Remove sacrum pressure sore (15937) — $4,524 —
Remove self-contd penis pros (54415) — $1,404 —
Remove Shoulder Foreign Body (23330) $810.15 $2,455 0.4×
Remove spine eltrd plate (63662) — $2,171 —
Remove spine lamina 1/2 lmbr (63005) — $3,064 —
Remove Tendon Sheath Lesion (26160) $1,023.73 $9,360 0.5×
Remove ureter stent percut (50384) $1,330.85 $6,720 0.5×
Remove&replace pm gen singl (33227) — $881 —
Remove/Insert Drug Implant (11983) — $847 —
Remove/replace penis prosth (54410) — $2,277 —
Remv&replc cvd gen mult lead (33264) — $1,054 —
Remv&replc cvd gen sing lead (33262) — $971 —
Remv&replc pm gen dual lead (33228) — $922 —
Remv&replc pm gen mult leads (33229) — $977 —
Renal Biopsy Perq (50200) $1,051.50 $3,836 0.5×
Repair Anorectal Fistula Plug (46707) — $1,319 —
Repair Blood Vessel Direct Upper Extremity (35206) — $2,022 —
Repair blood vessel lesion (35266) — $2,229 —
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $470.53 $2,258 0.5×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $470.53 $4,591 0.5×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $258.81 $1,444 0.5×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $258.81 $1,617 0.5×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $258.81 $1,831 0.5×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $258.81 $1,887 0.5×
Repair complex trunk 1.1-2.5 cm (13100) $470.53 $5,879 0.5×
Repair complex trunk 2.6-7.5 cm (13101) $336.93 $1,021 0.4×
Repair Elbow Perc (24357) — $4,033 —
Repair extensor tendon finger w/o graft each (26418) $1,023.73 $5,495 0.5×
Repair Eyelid Wound (67935) $1,513.63 $5,887 0.5×
Repair Hand Tendon (26410) $1,020.69 $3,093 0.5×
Repair inguinal hernia, sliding, any age (49525) — $1,484 —
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) — $1,637 —
Repair initial femoral hernia, any age; reducible (49550) — $1,492 —
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) — $1,520 —
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $258.81 $1,136 0.5×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $258.81 $1,192 0.5×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $258.81 $1,248 0.5×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $258.81 $1,304 0.5×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $258.81 $1,472 0.5×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $470.53 $2,390 0.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $258.81 $2,222 0.5×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $258.81 $2,278 0.5×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $470.53 $2,334 0.5×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $825.66 $2,502 0.3×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $258.81 $1,177–$1,936 0.5×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $258.81 $1,768 0.5×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $258.81 $1,824 0.5×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $470.53 $1,992 0.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $258.81 $1,880 0.5×
Repair intermediate s/a/t/e >30.0 cm (12037) $1,313.59 $4,675 0.5×
Repair Laceration Palate </2 Cm (42180) $259.05 $785 0.4×
Repair Laceration Palate >2 Cm/Complex (42182)
unusually low: confirm this is the full procedure		 $3,768.88 $20,077 0.5×
Repair lead pace-defib dual (33220) — $1,022 —
Repair of enterocele, vaginal approach (separate procedure) (57268) — $1,256 —
Repair of nail bed (11760) $289.74 $878 0.3×
Repair of rectocele (45560) — $1,807 —
Repair of rectum (45505) — $1,561 —
Repair of sternum separation (21750)
likely a partial charge, not the full procedure		 $1,144.65 $1,761 0.1×
Repair of traumatic corporeal tear(s) (54437) $1,244.43 $1,914.51 0.3×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
unusually low: confirm this is the full procedure		 $4,619.69 $19,557 0.5×
Repair tongue laceration (41252) $150.79 $2,626 0.5×
Repair tongue laceration (41250) $236.94 $718 0.4×
Replace duodenostomy/jejunostomy tube perq (49451) $577.43 $3,344 0.5×
Replace G-J Tube Perc (49452) $495.66 $1,502 0.4×
Replace g/c tube perc (49450) $495.66 $1,502 0.4×
Reposition Gastrostomy Tube (43761) $159.07 $2,849 0.5×
Reposition Pacing-Defib Lead (33215) $2,010.22 $9,724 0.5×
Reposition Venous Catheter (36597) $1,002.19 $3,284 0.5×
Rerepair ing hernia reduce (49520) — $1,636 —
Revise Spine Eltrd Plate (63664) — $2,345 —
Revise/Repair Finger/Toe Nerve (64702) $1,243.21 $7,345 0.5×
Revj Transvns Intrahepatic Portosystemic Shunt (37183)
unusually low: confirm this is the full procedure		 $3,623.55 $16,434 0.5×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) — $974 —
Revj/rmvl peripheral neurostimulator electrode (64585) — $3,740 —
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265)
unusually low: confirm this is the full procedure		 $3,623.55 $21,961 0.5×
Revsc evasc fpvt angiop uni sf les 1st vsl (37263)
unusually low: confirm this is the full procedure		 $3,623.55 $21,961 0.5×
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273)
unusually low: confirm this is the full procedure		 $11,670.89 $70,733 0.5×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271)
unusually low: confirm this is the full procedure		 $11,670.89 $70,733 0.5×
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277)
unusually low: confirm this is the full procedure		 $11,670.89 $70,733 0.5×
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275)
unusually low: confirm this is the full procedure		 $11,670.89 $70,733 0.5×
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269)
unusually low: confirm this is the full procedure		 $7,349.64 $44,543 0.5×
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267)
unusually low: confirm this is the full procedure		 $7,349.64 $44,543 0.5×
Revsc evasc imvt angiop uni cplx les 1st vsl (37298)
unusually low: confirm this is the full procedure		 $7,349.64 $44,543 0.5×
Revsc evasc imvt angiop uni sf les 1st vsl (37296)
unusually low: confirm this is the full procedure		 $7,349.64 $44,543 0.5×
Revsc evasc ivt angiop uni cplx les 1st vsl (37256)
unusually low: confirm this is the full procedure		 $3,623.55 $21,961 0.5×
Revsc evasc ivt angiop uni sf les 1st vsl (37254)
unusually low: confirm this is the full procedure		 $3,623.55 $21,961 0.5×
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260)
unusually low: confirm this is the full procedure		 $7,349.64 $44,543 0.5×
Revsc evasc ivt st plmt uni sf les 1st vsl (37258)
unusually low: confirm this is the full procedure		 $7,349.64 $44,543 0.5×
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282)
unusually low: confirm this is the full procedure		 $7,349.64 $44,543 0.5×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280)
unusually low: confirm this is the full procedure		 $7,349.64 $44,543 0.5×
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290)
unusually low: confirm this is the full procedure		 $11,670.89 $70,733 0.5×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288)
unusually low: confirm this is the full procedure		 $11,670.89 $70,733 0.5×
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294)
unusually low: confirm this is the full procedure		 $11,670.89 $70,733 0.5×
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292)
unusually low: confirm this is the full procedure		 $11,670.89 $70,733 0.5×
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286)
unusually low: confirm this is the full procedure		 $11,670.89 $70,733 0.5×
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284)
unusually low: confirm this is the full procedure		 $11,670.89 $70,733 0.5×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $1,330.85 $5,412 0.5×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $987.82 $4,499 0.5×
Rmvl embedded fb vestibule mouth comp (40805) $343.37 $1,786 0.5×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $472.23 $1,431 0.4×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $142.20–$152.46 $462 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $42.35–$84.70 $485 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $162.69 $493 0.3×
Rmvl fecal impaction/fb spx under anes (45915) $761.84 $4,094 0.5×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $1,849.29 $14,184 0.5×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $1,849.29 $9,354 0.5×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $1,051.50 $10,877 0.5×
Rmvl spinal nstim eltrd prq array incl fluor (63661) — $868 —
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) — $1,263 —
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,002.19 $7,251 0.5×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $399.37 $3,956 0.5×
Rmvl/revj sling stress incontinence (57287) — $1,780 —
Rplc Gtube No Revj Trc (43762) $159.07 $902 0.5×
Rplc gtube revj gstrst trc (43763) $159.07 $902 0.5×
Rplcmt cath ctr vad subq port/pmp (36578) $2,010.22 $12,312 0.5×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $1,002.19 $4,805 0.5×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,002.19 $6,530 0.5×
Rplcmt compl tun ctr vad w/subq port (36582) $2,010.22 $11,033 0.5×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $2,010.22 $6,736 0.5×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) — $1,925 —
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) — $885 —
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) — $1,939 —
Rpr aa hernia recr 3-10 cm reducible (49615) — $1,651 —
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) — $1,439 —
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) — $1,090 —
Rpr aa hrn 1st 3-10 rdc (49593) — $1,443 —
Rpr aa hrn 1st < 3 ncr/strn (49592) — $1,199 —
Rpr blood vessel direct lower extremity (35226) — $2,151 —
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $1,002.19 $6,404 0.5×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $127.73 $1,090 0.5×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $470.53 $2,446 0.5×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $150.79 $833 0.5×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $343.37 $1,796 0.5×
Rpr Lip Full Thickness Vermilion Only (40650) $343.37 $3,423 0.5×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $987.82 $5,546 0.5×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $2,083.13 $10,100 0.5×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $2,083.13 $11,171 0.5×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $2,083.13 $10,004 0.5×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $399.37 $2,299 0.5×
Sclerotx Fluid Collection (49185) $1,051.50 $5,151 0.5×
Scrotal exploration (55110) — $1,030 —
Sgmdsc flx dired sbmcsl njx any sbst (45335) $592.06 $3,912 0.5×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $761.84 $3,962 0.5×
Shave skin lesion 0.5 cm/< (11300)
range across 3 matching MRF lines		 — $46.16–$291 —
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310)
range across 2 matching MRF lines		 — $65.04–$322 —
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306)
range across 3 matching MRF lines		 — $72.45–$334 —
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307)
range across 3 matching MRF lines		 — $97.96–$373 —
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311)
range across 3 matching MRF lines		 — $95.79–$370 —
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312)
range across 3 matching MRF lines		 $301.23 $104.57–$568 0.6×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 3 matching MRF lines		 — $74.91–$338 —
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303)
range across 3 matching MRF lines		 — $98.59–$558 —
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302)
range across 3 matching MRF lines		 — $91.31–$363 —
Sigmoidoscopy & decompress (45337) $592.06 $3,612 0.5×
Sigmoidoscopy & Polypectomy (45333) $592.06 $3,762 0.5×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $761.84 $4,212 0.5×
Sigmoidoscopy flx tndsc balo dilat (45340) $761.84 $3,812 0.5×
Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) $761.84 $4,162 0.5×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $761.84 $3,662 0.5×
Sigmoidoscopy w/fb removal (45332) $761.84 $3,712 0.5×
Sigmoidoscopy w/plcmt stent (45347)
likely a partial charge, not the full procedure		 $1,340.46 $4,062 0.2×
Sigmoidoscopy W/Resection (45349) $1,356.96 $4,112 0.4×
Sigmoidoscopy W/Ultrasound (45341) $592.06 $4,012 0.5×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $592.06 $3,862 0.5×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $761.84 $3,562 0.5×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $258.81 $1,034 0.5×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $127.73 $667–$922 0.5×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $127.73 $978 0.5×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $258.81 $1,202 0.5×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $127.73 $1,034 0.5×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $127.73 $1,258 0.5×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $127.73 $713–$751 0.5×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $127.73 $1,031 0.5×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $127.73 $863 0.5×
Skin Full Grft Face/Genit/Hf (15240)
range across 3 matching MRF lines		 $2,567.50 $1,250.62–$3,950 1.0×
Skin sub graft face/nk/hf/g (15275) $470.53 $2,573 0.5×
Skin sub graft trnk/arm/leg (15271) $470.53 $2,830 0.5×
Skin Tissue Procedure (17999) $127.73 $1,275 0.5×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
unusually low: confirm this is the full procedure		 $3,542.65 $22,735 0.5×
Slctv cath carotid/innom art angio xtrcranl art (36222) $2,010.22 $6,263 0.5×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
unusually low: confirm this is the full procedure		 $2,379.96 $7,212 0.3×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) — $1,865 —
Slitting of prepuce (54001) $1,330.85 $9,336 0.5×
Small bowel endoscopy (44384) $1,221.68 $6,810 0.5×
Small bowel endoscopy (44366) $1,221.68 $4,376 0.5×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $1,221.68 $4,426 0.5×
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379)
unusually low: confirm this is the full procedure		 $3,865.05 $12,925 0.5×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 4 matching MRF lines		 $127.73 $722–$807 0.5×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $258.81 $919 0.5×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $258.81 $975 0.5×
Spinal puncture lumbar diagnostic (62270) $449.40 $2,491 0.5×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120)
range across 3 matching MRF lines		 $3,379.35 $716.38–$5,199 0.7×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $1,313.59 $7,770 0.5×
Sternal debridement (21627) $915.85 $1,409 0.2×
Strapping ankle (29540) $103.46 $526 0.5×
Strapping elbow or wrist (29260) $37.56 $506 0.5×
Strapping hand/finger (29280) $37.56 $381 0.5×
Strapping Hip (29520) $84.70 $543 0.5×
Strapping knee (29530) $84.70 $601 0.5×
Strapping shoulder (29240) $84.70 $608 0.5×
Strapping toes (29550) $37.56 $373 0.5×
Strapping Unna Boot (29580) $103.46 $532 0.5×
Surg Implnt Neuroelect,Epidural (63655)
likely a partial charge, not the full procedure		 $1,396.20 $2,148 0.1×
Surg Tx Anal Fistula 2nd Stage (46285) — $1,099 —
Surg tx anal fistula subq (46270) — $1,035 —
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) — $1,096 —
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $1,513.63 $6,045 0.5×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $772.53 $2,341 0.4×
Tangential biopsy skin single lesion (11102) $227.37 $689 0.4×
Tattooing incl micropigmentation 6.1-20.0 cm (11921) $470.53 $1,776 0.5×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289)
unusually low: confirm this is the full procedure		 $18,261.34 $86,107 0.5×
Tcat Insj/Rpl Perm Ldls Pm (33274) — $1,275 —
Tenotomy Percutaneous Toe Single Tendon (28010)
range across 2 matching MRF lines		 $3,066.09 $4,066.96–$4,717.06 1.5×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605)
range across 2 matching MRF lines		 — $212.32–$2,479 —
Tenotomy shoulder area single tendon (23405) — $20,053.40 —
Ther Apheresis,Red Blood Cells (36512) $926.97 $2,809 0.5×
Ther Spi Pnxr Csf Fluor/Ct (62329) $449.40 $2,454 0.5×
Therapeutic Apheresis White Blood Cells (36511) $956.67 $2,899 0.5×
Therapeutic plasma exchange (36514) $926.97 $2,809 0.5×
Therapeutic pneumothorax (32960) — $957 —
Thoracoscopy w/bx pleura (32609)
unusually low: confirm this is the full procedure		 $3,848.90 $13,649 0.5×
Thoracoscopy w/dx bx of lung infiltrate unilatrl (32607) — $792 —
Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) — $1,626 —
Thrmbc/Nfs Dialysis Circuit (36906)
unusually low: confirm this is the full procedure		 $11,670.89 $43,070 0.5×
Thromblytic art/ven therapy (37213) $2,010.22 $18,632 0.5×
Thromboendarterectomy, including patch graft, if performed; axillary-brachial Facility (35321) — $2,623.11 —
Thrombolytic Art Therapy (37211)
unusually low: confirm this is the full procedure		 $2,364.12 $7,164 0.3×
Thrombolytic Therapy Stroke (37195) $210.29 $1,925 0.5×
Thrombolytic Venous Therapy (37212) $2,010.22 $7,333 0.5×
Thyroid biopsy (60100) $338.58 $1,026 0.4×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $1,313.59 $11,172 0.5×
Tooth extraction (41899) $150.79 $630 0.5×
Tprnl Plmt Biodegrdabl Matrl (55874)
range across 2 matching MRF lines		 — $4,874.67–$5,059 —
Trabeculoplasty by laser surgery (65855) $350.16 $2,663 0.5×
Tracheobrnchsc Thru Est Trachs Inc (31615) $343.37 $3,546 0.5×
Tracheostomy Emergency Cricothyroid Membrane (31605) $150.79 $2,678 0.5×
Tracheostomy Emergency Procedure Transtracheal (31603) $987.82 $4,431 0.5×
Tracheostomy planned (31600) $2,110.80 $8,789 0.5×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $194.01 $720 0.5×
Transcatheter biopsy (37200)
unusually low: confirm this is the full procedure		 $3,542.65 $13,555 0.5×
Transfusion Intrauterine Fetal (36460) $280.88 $1,532 0.5×
Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) — $4,177 —
Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) — $2,028 —
Transur electr resection of prostate (52601) — $1,930 —
Transurethral incision of prostate (52450) — $1,249 —
Transurethral resection bladder neck (52500) — $1,297 —
Treat Dental Ridge Fracture (21440) $2,110.80 $9,644 0.5×
Treat ectopic pregnancy (59151) — $1,912 —
Treat Hip Socket Fracture (27222) $157.04 $926 0.5×
Treat humerus fracture (24500) $157.04 $1,110 0.5×
Treat Humerus Fracture (24505) $1,023.73 $4,387 0.5×
Treat humerus fracture (23600) $157.04 $1,124 0.5×
Treat knee fracture (27532) $2,083.13 $7,936 0.5×
Treat Knee Fracture(S) (27538) $157.04 $813 0.5×
Treat Knuckle Dislocation (26700) $157.04 $772 0.5×
Treat Metatarsal Fracture (28475) $157.04 $1,085 0.5×
Treat Tail Bone Fracture (27200) $157.04 $813 0.5×
Treat Thumb Dislocation (26641) $157.04 $1,019 0.5×
Treat Thumb Fracture (26645) $1,023.73 $5,495 0.5×
Treat toe dislocation (28630) $157.04 $759 0.5×
Treat vagina infection (57150)
range across 2 matching MRF lines		 — $38.73–$198 —
Treat Vaginal Bleeding (57180) $128.71 $673 0.5×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,023.73 $4,228 0.5×
Treatment closed elbow dislocation w/o anes (24600) $157.04 $1,406 0.5×
Treatment of foot infection (28003) $2,083.13 $6,460 0.5×
Trim skin lesion (11055) $112.20 $340 0.4×
Trim skin lesions 2 to 4 (11056) $110.88 $336 0.4×
Trim skin lesions over 4 (11057)
range across 3 matching MRF lines		 $382.38 $83.34–$588.28 1.5×
Trimming Nondystrophic Nails Any Number (11719) $21.98 $66.61 0.3×
Trluml Balo Angiop 1St Art (37246)
unusually low: confirm this is the full procedure		 $3,623.55 $28,167 0.5×
Trluml Balo Angiop 1St Vein (37248)
unusually low: confirm this is the full procedure		 $3,623.55 $28,167 0.5×
Trurl rescj postop bladder neck contracture (52640) — $843 —
Trurl Robotic-Assisted Waterjet Resection Prst8 (52597) — $1,691.04 —
Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) $727.32 $2,204 0.3×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) — $1,242 —
Tx Gastro Intub W/Asp (43753) $137.47 $588 0.5×
Tx Incomplete Abortion Any Trimester Surgical (59812) — $820 —
Tx open tendon flexor toe 1 tendon spx (28232) $1,023.73 $4,189 0.5×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) — $750 —
Tx Superficial Wound Dehiscence Simple Closure (12020) $351.12 $1,064 0.4×
Tx superficial wound dehiscence w/packing (12021) $258.81 $2,955 0.5×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $1,023.73 $5,495 0.5×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $157.04 $1,007 0.5×
Umbilical cord occlud w/us (59072) $194.01 $645 0.5×
Unlisted Cardiac Surgery (33999) $399.37 $15,435 0.5×
Unlisted laparoscopic procedure liver (47379) — $269 —
Unlisted laparoscopy procedure stomach (43659) — $1,577 —
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) — $1,094 —
Unlisted laparoscopy procedure, bladder (51999) — $14,742 —
Unlisted laparoscopy procedure, intestine (except rectum) (44238) — $1,577 —
Unlisted Procedure Biliary Tract (47999) $577.43 $9,265 0.5×
Unlisted procedure colon (45399) $592.06 $2,688 0.5×
Unlisted Procedure Endocrine System (60699)
unusually low: confirm this is the full procedure		 $3,485.79 $10,563 0.4×
Unlisted Procedure Esophagus (43499) $577.43 $4,419 0.5×
Unlisted Procedure Intestine (44799) $577.43 $3,628 0.5×
Unlisted procedure larynx (31599) — $628 —
Unlisted procedure nervous system (64999) $195.42 $4,842 0.5×
Unlisted procedure pancreas (48999) $450.83 $11,066 0.5×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $150.79 $7,678 0.5×
Unlisted Procedure Rectum (45999) $592.06 $9,472 0.5×
Unlisted procedure stomach (43999) $577.43 $5,431 0.5×
Unlisted Procedure Trachea Bronchi (31899) $127.08 $4,636 0.5×
Unlisted Procedure Vascular Surgery (37799) $399.37 $7,682 0.5×
Vaginal delivery only (59409) $1,871.43 $5,671 0.4×
Vaginal hysterectomy, for uterus 250 g or less; (58260) — $2,127 —
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) — $2,368 —
Vasc embolize/occlude artery (37242)
unusually low: confirm this is the full procedure		 $10,590.36 $32,092 0.4×
Vasc Embolize/Occlude Bleed (37244)
unusually low: confirm this is the full procedure		 $7,349.64 $30,724 0.5×
Vasc Embolize/Occlude Organ (37243)
unusually low: confirm this is the full procedure		 $7,349.64 $30,724 0.5×
Vasc embolize/occlude venous (37241)
unusually low: confirm this is the full procedure		 $7,349.64 $31,456 0.5×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 3 matching MRF lines		 — $283.10–$2,587 —
Venous Mech Thrombectomy (37187)
unusually low: confirm this is the full procedure		 $7,349.64 $35,397 0.5×
Vulvectomy simple partial (56620) — $1,632 —
Wedge excision skin nail fold (11765) $237.93 $721 0.5×
Wound Prep F/N/Hf/G (15004) $258.81 $5,761 0.5×
Wound Prep Trk/Arm/Leg (15002)
range across 3 matching MRF lines		 $1,574.30 $277.19–$2,422 1.7×

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.