Procedures & surgery prices at Elkhart General Hospital
Elkhart, IN · every code in this section with a posted price and a Medicare benchmark.
771 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 2 matching MRF lines |
$1,568.45–$1,674.40 | $2,413–$2,576 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$932.10–$1,728.35 | $1,434–$2,659 | varies |
| Ablate Pulm Tumor Perq Crybl (32994) | $8,106.80 | $12,472 | 0.7× |
| Ablation 1/> liver tumor perq cryoablation (47383) unusually low: confirm this is the full procedure |
$4,872.40 | $7,496 | 0.4× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) unusually low: confirm this is the full procedure |
$8,338.20 | $12,828 | 0.4× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) | $6,033.30 | $9,282 | 0.8× |
| Acne surgery (10040) | $366.60 | $564 | 1.7× |
| Adding Walker Previously Applied Cast (29440) range across 2 matching MRF lines |
$295.10–$590.85 | $454–$909 | varies |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $3,675.10 | $5,654 | 1.7× |
| Amniocentesis diagnostic (59000) | $485.55 | $747 | 0.5× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $4,555.20 | $7,008 | 1.3× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $2,806.70 | $4,318 | 0.8× |
| Amputation toe interphalangeal joint (28825) | $4,184.70 | $6,438 | 1.2× |
| Amputation toe metatarsophalangeal joint (28820) | $5,556.20 | $8,548 | 1.6× |
| Anoscopy diagnostic (46600) | $235.30 | $362 | 1.7× |
| Apheresis Platelets (36513) | $826.80 | $1,272 | 1.8× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$486.85–$973.70 | $749–$1,498 | varies |
| Application Cast Shoulder Spica (29055) range across 2 matching MRF lines |
$486.85–$973.70 | $749–$1,498 | varies |
| Application Finger Splint Dynamic (29131) range across 2 matching MRF lines |
$122.85–$202.15 | $189–$311 | varies |
| Application finger splint static (29130) range across 2 matching MRF lines |
$128.70–$202.15 | $198–$311 | varies |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$212.55–$404.30 | $327–$622 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$212.55–$404.30 | $327–$622 | varies |
| Application of long leg cast (29345) range across 2 matching MRF lines |
$486.85–$973.70 | $749–$1,498 | varies |
| Application of rigid total contact leg cast (29445) range across 3 matching MRF lines |
$435.50–$870.35 | $670–$1,339 | varies |
| Application Short Arm Splint Dynamic (29126) range across 2 matching MRF lines |
$202.15–$234.65 | $311–$361 | varies |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$212.55–$404.30 | $327–$622 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$212.55–$404.30 | $327–$622 | varies |
| Apply long arm cast (29065) range across 2 matching MRF lines |
$486.85–$973.70 | $749–$1,498 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 4 matching MRF lines |
$278.20–$543.40 | $428–$836 | varies |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$212.55–$404.30 | $327–$622 | varies |
| Apply short leg cast (29425) | $202.15 | $311 | 0.7× |
| Arterial puncture (36600) range across 3 matching MRF lines |
$221.65–$233.35 | $341–$359 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$339.30–$460.85 | $522–$709 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 3 matching MRF lines |
$1,297.40–$1,306.50 | $1,996–$2,010 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) | $457.60 | $704 | 1.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 3 matching MRF lines |
$579.15–$1,423.50 | $891–$2,190 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$301.60–$551.85 | $464–$849 | varies |
| Arthrodesis sacroiliac joint percutaneous (27279) | $10,087.35 | $15,519 | 0.5× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) | $3,264.95 | $5,023 | 1.9× |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) | $2,578.55 | $3,967 | 0.7× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) | $4,168.45 | $6,413 | 1.2× |
| Aspirate pleura w/ imaging (32555) range across 4 matching MRF lines |
$1,231.75–$2,347.15 | $1,895–$3,611 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 4 matching MRF lines |
$774.15–$2,054 | $1,191–$3,160 | varies |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$551.85–$906.75 | $849–$1,395 | varies |
| Aspiration and/or injection thyroid cyst (60300) | $499.85 | $769 | 0.7× |
| Aspiration bladder insert suprapubic catheter (51102) range across 2 matching MRF lines |
$2,309.45–$3,722.55 | $3,553–$5,727 | varies |
| Aspiration Bladder Needle (51100) | $323.05 | $497 | 1.2× |
| Aspiration bladder trocar/intracatheter (51101) | $257.40 | $396 | 0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$209.95–$224.90 | $323–$346 | varies |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) likely a partial charge, not the full procedure |
$2,621.45 | $4,033 | 0.2× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) unusually low: confirm this is the full procedure |
$2,171 | $3,340 | 0.3× |
| Biopsy Abdominal Mass (49180) | $924.30 | $1,422 | 0.5× |
| Biopsy bone trocar/needle deep (20225) | $1,648.40 | $2,536 | 0.9× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $1,623.70 | $2,498 | 0.9× |
| Biopsy muscle percutaneous needle (20206) | $915.85 | $1,409 | 0.5× |
| Biopsy of liver, needle; percutaneous (47000) | $1,118 | $1,720 | 0.6× |
| Biopsy Pleura Percutaneous Needle (32400) | $891.15 | $1,371 | 0.5× |
| Biopsy Salivary Gland Needle (42400) | $816.40 | $1,256 | 1.1× |
| Bladder instillation anticarcinogenic agent (51720) | $525.85 | $809 | 0.7× |
| Bladder Irrigation (51700) range across 3 matching MRF lines |
$436.15–$520.65 | $671–$801 | varies |
| Bladder Scan (51798) | $131.95 | $203 | 2.1× |
| Blepharoplasty Lower Eyelid (15820) | $3,500.25 | $5,385 | 1.6× |
| Blepharotomy drainage abscess eyelid (67700) | $536.90 | $826 | 1.6× |
| Blood Transfusion Service (36430) range across 11 matching MRF lines |
$669.50–$1,502.80 | $1,030–$2,312 | varies |
| Bone Marrow Biopsy (38221) | $1,313.65 | $2,021 | 0.8× |
| Bone Marrow; Aspiration Only (38220) | $1,148.55 | $1,767 | 0.7× |
| Bx breast 1st lesion mr imag (19085) | $1,651.65 | $2,541 | 0.9× |
| Bx breast 1st lesion strtctc (19081) | $4,676.75 | $7,195 | 2.7× |
| Bx breast 1st lesion us imag (19083) | $4,065.75 | $6,255 | 2.3× |
| Bx Cervix (57500) range across 2 matching MRF lines |
$502.45–$1,497.60 | $773–$2,304 | varies |
| Bx/exc lymph node open superficial (38500) | $3,969.55 | $6,107 | 1.0× |
| Canthotomy Separate Procedure (67715) | $2,122.25 | $3,265 | 0.8× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) | $592.15 | $911 | 1.8× |
| Cessj Therapy Cath Removal (37214) | $3,473.60 | $5,344 | 1.0× |
| Change Cystostomy Tube Complicated (51710) | $1,086.80 | $1,672 | 1.5× |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$382.85–$555.10 | $589–$854 | varies |
| Change of Windpipe Airway (31502) | $421.20 | $648 | 1.7× |
| Change ureter stent percut (50382) | $2,626.65 | $4,041 | 1.2× |
| Chemical Cautery Tissue (17250) range across 3 matching MRF lines |
$183.30–$384.80 | $282–$592 | varies |
| Chemical Pleurodesis (32560) | $975 | $1,500 | 1.5× |
| Chest tube placement (32551) range across 2 matching MRF lines |
$835.25–$1,670.50 | $1,285–$2,570 | varies |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) range across 2 matching MRF lines |
$1,457.95–$2,065.70 | $2,243–$3,178 | varies |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $2,520.70 | $3,878 | 0.7× |
| Circumcision Neonate (54160) | $252.85 | $389 | 0.3× |
| Circumcision w/clamp/oth dev w/block (54150) | $682.50 | $1,050 | 0.3× |
| Cl Tx Scapular Fx; W Manip (23575) range across 2 matching MRF lines |
$1,017.90–$2,035.80 | $1,566–$3,132 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) range across 2 matching MRF lines |
$995.80–$1,991.60 | $1,532–$3,064 | varies |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$153.40–$291.85 | $236–$449 | varies |
| Closed Rx Metacarpal Fx,Percut (26608) range across 2 matching MRF lines |
$3,169.40–$6,036.55 | $4,876–$9,287 | varies |
| Closed Rx Spontaneous Hip Disloc (27256) range across 2 matching MRF lines |
$440.70–$881.40 | $678–$1,356 | varies |
| Closed rx talotarsal disloc,anesth (28575) range across 2 matching MRF lines |
$3,018.60–$6,036.55 | $4,644–$9,287 | varies |
| Closed Treat Vert Body Fract (22310) | $419.90 | $646 | 1.6× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) range across 2 matching MRF lines |
$440.70–$881.40 | $678–$1,356 | varies |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) range across 2 matching MRF lines |
$1,068.60–$2,035.80 | $1,644–$3,132 | varies |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Closed Treatment Sesamoid Fracture (28530) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$440.70–$881.40 | $678–$1,356 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$758.55–$1,443.65 | $1,167–$2,221 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Closed tx carpal scaphoid fracture w/manj (25624) range across 2 matching MRF lines |
$1,017.90–$2,035.80 | $1,566–$3,132 | varies |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Closed tx femoral fracture prox head w/o manj (27267) range across 2 matching MRF lines |
$3,018.60–$6,036.55 | $4,644–$9,287 | varies |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Closed tx fx orbit except blowout w/manipulation (21401) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Closed Tx Knee Dislocation W/Anesthesia (27552) range across 2 matching MRF lines |
$1,527.50–$3,055 | $2,350–$4,700 | varies |
| Closed tx knee dislocation w/o anesthesia (27550) range across 2 matching MRF lines |
$440.70–$881.40 | $678–$1,356 | varies |
| Closed Tx Lunate Dislocation W/Manipulation (25690) range across 2 matching MRF lines |
$1,017.90–$2,035.80 | $1,566–$3,132 | varies |
| Closed tx mandibular fracture w/manipulation (21451) | $538.20 | $828 | 0.3× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) | $538.20 | $828 | 0.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) range across 2 matching MRF lines |
$1,017.90–$2,035.80 | $1,566–$3,132 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $538.20 | $828 | 0.3× |
| Closed tx patellar dislocation w/anesthesia (27562) range across 2 matching MRF lines |
$440.70–$881.40 | $678–$1,356 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$440.70–$881.40 | $678–$1,356 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) range across 2 matching MRF lines |
$3,012.10–$6,024.20 | $4,634–$9,268 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$1,068.60–$2,035.80 | $1,644–$3,132 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$2,835.95–$5,671.90 | $4,363–$8,726 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) range across 2 matching MRF lines |
$440.70–$881.40 | $678–$1,356 | varies |
| Closed tx talotarsal joint dislc w/o anes (28570) range across 2 matching MRF lines |
$440.70–$881.40 | $678–$1,356 | varies |
| Closed Tx Talus Fracture W/Manipulation (28435) range across 2 matching MRF lines |
$1,173.90–$2,348.45 | $1,806–$3,613 | varies |
| Closed tx talus fracture w/o manipulation (28430) range across 2 matching MRF lines |
$564.85–$1,130.35 | $869–$1,739 | varies |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) range across 2 matching MRF lines |
$440.70–$881.40 | $678–$1,356 | varies |
| Closed tx tarsometatarsal dislocation w/o anes (28600) range across 2 matching MRF lines |
$440.70–$881.40 | $678–$1,356 | varies |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) | $440.70 | $678 | 0.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $440.70 | $678 | 1.7× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) range across 2 matching MRF lines |
$1,068.60–$2,035.80 | $1,644–$3,132 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $421.20 | $648 | 1.7× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $926.25 | $1,425 | 1.6× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) range across 2 matching MRF lines |
$440.70–$881.40 | $678–$1,356 | varies |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) range across 2 matching MRF lines |
$440.70–$881.40 | $678–$1,356 | varies |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) range across 2 matching MRF lines |
$1,454.70–$2,909.40 | $2,238–$4,476 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Clsd tx fx orbit except blowout w/o manipulation (21400) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$2,835.95–$5,671.90 | $4,363–$8,726 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$462.80–$925.60 | $712–$1,424 | varies |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) range across 2 matching MRF lines |
$1,454.70–$2,909.40 | $2,238–$4,476 | varies |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) range across 2 matching MRF lines |
$1,454.70–$2,909.40 | $2,238–$4,476 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 2 matching MRF lines |
$1,068.60–$2,137.85 | $1,644–$3,289 | varies |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) range across 2 matching MRF lines |
$1,017.90–$2,035.80 | $1,566–$3,132 | varies |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) range across 2 matching MRF lines |
$440.70–$881.40 | $678–$1,356 | varies |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) range across 2 matching MRF lines |
$1,017.90–$2,035.80 | $1,566–$3,132 | varies |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) range across 2 matching MRF lines |
$1,454.70–$2,909.40 | $2,238–$4,476 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $564.85 | $869 | 2.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $538.20 | $828 | 2.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,684.80–$3,368.95 | $2,592–$5,183 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) range across 2 matching MRF lines |
$1,454.70–$2,909.40 | $2,238–$4,476 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) range across 2 matching MRF lines |
$2,909.40–$5,237.05 | $4,476–$8,057 | varies |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $538.20 | $828 | 2.1× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $538.20 | $828 | 2.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $538.20 | $828 | 2.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $538.20 | $828 | 2.1× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 2 matching MRF lines |
$1,017.90–$2,035.80 | $1,566–$3,132 | varies |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Cltx greater humeral tuberosity fx w/o manj (23620) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Cltx Greater Trochanteric Fx W/O Manj (27246) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) range across 2 matching MRF lines |
$1,454.70–$2,909.40 | $2,238–$4,476 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) range across 2 matching MRF lines |
$1,280.50–$2,561 | $1,970–$3,940 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$462.80–$881.40 | $712–$1,356 | varies |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Cltx humeral condylar fx medial/lateral w/manj (24577) range across 2 matching MRF lines |
$1,017.90–$2,035.80 | $1,566–$3,132 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) range across 2 matching MRF lines |
$1,017.90–$2,035.80 | $1,566–$3,132 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) range across 2 matching MRF lines |
$1,454.70–$2,909.40 | $2,238–$4,476 | varies |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $440.70 | $678 | 1.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $462.80 | $712 | 1.8× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $440.70 | $678 | 1.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $462.80 | $712 | 1.8× |
| Cltx Med Ankle Fx W/Mnpj (27762) range across 2 matching MRF lines |
$1,173.25–$2,347.15 | $1,805–$3,611 | varies |
| Cltx Medial Ankle Fx (27760) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) range across 2 matching MRF lines |
$1,017.90–$2,035.80 | $1,566–$3,132 | varies |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) range across 2 matching MRF lines |
$1,017.90–$2,035.80 | $1,566–$3,132 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $538.20 | $828 | 2.1× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $538.20 | $828 | 2.1× |
| Cltx post hip arthrp dislc req anes (27266) range across 2 matching MRF lines |
$2,275–$4,332.90 | $3,500–$6,666 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$462.80–$881.40 | $712–$1,356 | varies |
| Cltx prox fibula/shft fx w/manj (27781) range across 2 matching MRF lines |
$1,017.90–$2,035.80 | $1,566–$3,132 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 2 matching MRF lines |
$1,068.60–$2,035.80 | $1,644–$3,132 | varies |
| Cltx prox tibfib jt dislc req anes (27831) range across 2 matching MRF lines |
$3,018.60–$6,036.55 | $4,644–$9,287 | varies |
| Cltx prox tibfib jt dislc w/o anes (27830) range across 2 matching MRF lines |
$440.70–$881.40 | $678–$1,356 | varies |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) range across 2 matching MRF lines |
$440.70–$881.40 | $678–$1,356 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) range across 2 matching MRF lines |
$1,366.30–$2,732.60 | $2,102–$4,204 | varies |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) range across 2 matching MRF lines |
$3,121.95–$5,946.20 | $4,803–$9,148 | varies |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) range across 2 matching MRF lines |
$1,017.90–$2,035.80 | $1,566–$3,132 | varies |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) range across 2 matching MRF lines |
$1,017.90–$2,035.80 | $1,566–$3,132 | varies |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) range across 2 matching MRF lines |
$3,018.60–$6,036.55 | $4,644–$9,287 | varies |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) range across 2 matching MRF lines |
$440.70–$881.40 | $678–$1,356 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) range across 2 matching MRF lines |
$440.70–$881.40 | $678–$1,356 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$1,336.40–$2,673.45 | $2,056–$4,113 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $151.45 | $233 | 1.1× |
| Collection of venous blood by venipuncture (36415) | $14.30 | $22 | 1.5× |
| Colporrhaphy (57200) | $1,537.90 | $2,366 | 0.4× |
| Colpotomy; with exploration (57000) | $3,157.05 | $4,857 | 0.9× |
| Complex drainage wound (10180) range across 2 matching MRF lines |
$2,737.15–$4,096.30 | $4,211–$6,302 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$263.25–$501.80 | $405–$772 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$246.35–$469.30 | $379–$722 | varies |
| Control oropharyngeal hemorrhage simple (42960) | $926.25 | $1,425 | 1.6× |
| Conversion ext bil drg cath (47535) | $3,149.25 | $4,845 | 0.8× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $1,675.05 | $2,577 | 0.8× |
| Convert Nephrostomy Catheter (50434) | $2,961.40 | $4,556 | 1.3× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $2,697.50 | $4,150 | 1.5× |
| Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) | $2,564.90 | $3,946 | 0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $273 | $420 | 1.9× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $421.20 | $648 | 1.7× |
| Curettage postpartum (59160) | $2,178.15 | $3,351 | 0.6× |
| Curette/treat cornea (65435) | $1,769.95 | $2,723 | 1.7× |
| Cysto w/irrig & evac multple obstructing clots (52001) | $6,511.05 | $10,017 | 1.7× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) | $2,412.15 | $3,711 | 0.6× |
| Cystourethroscopy (52000) | $1,261 | $1,940 | 1.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $1,178.45 | $1,813 | 2.7× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $2,995.20 | $4,608 | 1.0× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $1,316.25 | $2,025 | 1.8× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) | $3,577.60 | $5,504 | 1.7× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 3 matching MRF lines |
$1,089.40–$1,213.55 | $1,676–$1,867 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$116.35–$130 | $179–$200 | varies |
| Debride nail 6 or more (11721) | $103.35 | $159 | 1.7× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 3 matching MRF lines |
$1,904.50–$2,420.60 | $2,930–$3,724 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$779.35–$920.40 | $1,199–$1,416 | varies |
| Declot vascular device (36593) range across 4 matching MRF lines |
$377–$674.70 | $580–$1,038 | varies |
| Delivery of placenta (59414) | $2,541.50 | $3,910 | 0.7× |
| Destr W Neurolytic; Celiac Plexus (64680) | $1,819.35 | $2,799 | 1.9× |
| Destruction by neurolytic agent, intercostal nerve (64620) | $1,693.25 | $2,605 | 1.8× |
| Destruction neurolytic agt genicular nerve w/img (64624) | $3,890.25 | $5,985 | 1.9× |
| Destruction of skin lesions (17106) | $756.60 | $1,164 | 1.8× |
| Dilat Xst Trc New Access Rcs (50437) | $6,139.25 | $9,445 | 1.6× |
| Dilate Urethra Stricture (53620) | $1,029.60 | $1,584 | 1.4× |
| Dilate Urethra Stricture (53600) | $458.25 | $705 | 1.7× |
| Dilation Cervical Canal (57800) | $3,188.90 | $4,906 | 0.9× |
| Drain Cerebro Spinal Fluid (62272) range across 2 matching MRF lines |
$580.45–$1,306.50 | $893–$2,010 | varies |
| Drain Hand Tendon Sheath (26020) | $3,791.45 | $5,833 | 1.1× |
| Drain penis lesion (54015) | $1,387.10 | $2,134 | 0.8× |
| Drain/inj small joint/bursa w/us (20604) | $1,290.25 | $1,985 | 4.0× |
| Drainage abscess parotid simple (42300) | $1,255.15 | $1,931 | 0.8× |
| Drainage Abscess/Hematoma Nasal Septum (30020) | $995.80 | $1,532 | 1.7× |
| Drainage external auditory canal abscess (69020) | $1,316.25 | $2,025 | 1.8× |
| Drainage external ear abscess/hematoma cmplx (69005) | $1,275.30 | $1,962 | 0.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $1,359.80 | $2,092 | 1.8× |
| Drainage Finger Abscess Complicated (26011) | $1,807.65 | $2,781 | 1.0× |
| Drainage Mouth Roof Lesion (42000) | $421.20 | $648 | 1.7× |
| Drainage of eye (65800) | $2,332.85 | $3,589 | 1.0× |
| Drainage of finger abscess simple (26010) | $403.65 | $621 | 1.9× |
| Drainage of gum lesion (41800) | $371.15 | $571 | 2.6× |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$1,723.15–$1,845.35 | $2,651–$2,839 | varies |
| Drainage of nose lesion (30000) | $421.20 | $648 | 1.7× |
| Drainage of rectal abscess (45020) | $1,823.90 | $2,806 | 0.6× |
| Drainage of rectal abscess (45005) | $2,196.35 | $3,379 | 1.7× |
| Drainage of scrotal wall abscess (55100) | $1,436.50 | $2,210 | 0.8× |
| Drainage of scrotum (54700) | $2,589.60 | $3,984 | 1.2× |
| Drainage of skene's gland abscess or cyst (53060) | $2,613.65 | $4,021 | 1.2× |
| Draw Blood Off Venous Device (36591) | $151.45 | $233 | 1.1× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) | $926.25 | $1,425 | 1.6× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $1,316.25 | $2,025 | 1.8× |
| Drg Absc Submaxillary/Sublingual Intraoral (42310) | $926.25 | $1,425 | 1.6× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) | $2,619.50 | $4,030 | 0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$285.35–$637.65 | $439–$981 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$241.15–$358.15 | $371–$551 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$202.80–$410.15 | $312–$631 | varies |
| Dx Bone Marrow Bx & Aspir (38222) | $3,042 | $4,680 | 1.0× |
| Dx Bronchoscope/Lavage (31624) | $2,659.80 | $4,092 | 1.4× |
| Dx Bronchoscope/Wash (31622) | $1,444.30 | $2,222 | 0.8× |
| Dx Laryngoscopy Excl Nb (31525) | $2,724.80 | $4,192 | 1.4× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,376.05 | $2,117 | 1.8× |
| Egd Flexible Foreign Body Removal (43247) | $1,758.25 | $2,705 | 1.8× |
| Egd place gastrostomy tube (43246) | $2,666.30 | $4,102 | 1.3× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) | $560.95 | $863 | 1.7× |
| Endometrial Biopsy (58100) | $360.75 | $555 | 1.7× |
| Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Facility (58356) | $9,241.05 | $14,217 | 1.7× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) | $4,548.70 | $6,998 | 1.4× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) | $3,484 | $5,360 | 1.0× |
| Endoven ther chem adhes 1st (36482) | $8,563.75 | $13,175 | 1.5× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) | $2,091.70 | $3,218 | 1.0× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) | $2,091.70 | $3,218 | 1.0× |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$848.25–$1,414.40 | $1,305–$2,176 | varies |
| Escharotomy; initial incision (16035) | $756.60 | $1,164 | 1.8× |
| Esophagoscop Stent Placement (43212) | $4,108.65 | $6,321 | 0.6× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$127.40–$136.50 | $196–$210 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $1,316.25 | $2,025 | 1.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $2,171 | $3,340 | 1.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $1,316.25 | $2,025 | 1.8× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $1,316.25 | $2,025 | 1.8× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $1,316.25 | $2,025 | 1.8× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $1,758.25 | $2,705 | 1.0× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $1,853.80 | $2,852 | 1.1× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$2,050.75–$2,791.75 | $3,155–$4,295 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $1,316.25 | $2,025 | 1.8× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $1,937 | $2,980 | 1.1× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) | $1,858.35 | $2,859 | 1.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $1,316.25 | $2,025 | 1.8× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $2,977.65 | $4,581 | 1.7× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $2,306.20 | $3,548 | 1.8× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $1,670.50 | $2,570 | 0.4× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $1,584.70 | $2,438 | 0.7× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $1,402.70 | $2,158 | 0.7× |
| Excision Multiple External Papillae/Tags Anus (46230) | $3,309.15 | $5,091 | 1.1× |
| Excision of submandibular (submaxillary) gland (42440) | $8,437.65 | $12,981 | 1.3× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $3,500.25 | $5,385 | 1.6× |
| Explo/Drain Breast Abscess (19020) | $2,670.85 | $4,109 | 1.5× |
| Exploration penetrating wound spx chest (20101) | $3,500.25 | $5,385 | 1.6× |
| Exploration penetrating wound spx extremity (20103) | $2,458.30 | $3,782 | 1.4× |
| Exploration Penetrating Wound Spx Neck (20100) | $926.25 | $1,425 | 1.6× |
| External cephalic version (59412) | $3,250 | $5,000 | 0.9× |
| Fetal Contraction Stress Test (59020) | $252.85 | $389 | 1.2× |
| Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) | $3,294.20 | $5,068 | 1.5× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $1,536.60 | $2,364 | 2.1× |
| Fine needle aspiration without imaging guidance (10021) | $234.65 | $361 | 0.5× |
| Fluid Pressure Muscle (20950) | $1,316.25 | $2,025 | 1.8× |
| Fluoro exam of g/colon tube (49465) | $514.15 | $791 | 2.0× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $624.65 | $961 | 0.8× |
| Fna bx w/us gdn 1st les (10005) | $1,453.40 | $2,236 | 1.9× |
| Foreskin manipulation (54450) | $525.85 | $809 | 2.0× |
| Guide Cathet Fluid Drainage (10030) | $975.65 | $1,501 | 1.3× |
| Hymenotomy Simple Incision (56442) | $2,007.20 | $3,088 | 0.6× |
| I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) | $2,018.90 | $3,106 | 0.6× |
| I&d abscess peritonsillar (42700) | $466.70 | $718 | 1.9× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$353.60–$371.15 | $544–$571 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $3,844.75 | $5,915 | 1.3× |
| I&D Intramural Im/Absc Transanal Anes (46045) | $2,536.95 | $3,903 | 0.9× |
| I&D Mouth/Tong Intra,Masticator (41009) | $926.25 | $1,425 | 1.6× |
| I&d perianal abscess superficial (46050) | $1,684.80 | $2,592 | 1.7× |
| I&d pilonidal cyst complicated (10081) | $377.65 | $581 | 0.5× |
| I&d pilonidal cyst simple (10080) | $377.65 | $581 | 0.5× |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $3,553.55 | $5,467 | 1.2× |
| Image Cath Fluid Colxn Visc (49405) | $3,058.25 | $4,705 | 1.8× |
| Image Cath Fluid Peri/Retro (49406) | $3,211 | $4,940 | 1.8× |
| Image Cath Fluid Trns/Vgnl (49407) | $3,058.25 | $4,705 | 1.8× |
| Incise external hemorrhoid (46083) | $525.85 | $809 | 2.0× |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$353.60–$389.35 | $544–$599 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $2,460.25 | $3,785 | 1.4× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$386.10–$735.80 | $594–$1,132 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $387.40 | $596 | 1.8× |
| Incision and drainage of vulva or perineal abscess (56405) | $400.40 | $616 | 1.2× |
| Incision of rectal abscess (46040) | $2,306.20 | $3,548 | 1.8× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $2,587.65 | $3,981 | 1.5× |
| Incisional biopsy skin single lesion (11106) | $637.65 | $981 | 0.8× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $166.40 | $256 | 0.8× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $1,229.15 | $1,891 | 1.3× |
| Inj W/Fluor Eval Cv Device (36598) | $285.35 | $439 | 1.3× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $1,120.60 | $1,724 | 1.2× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$360.75–$551.85 | $555–$849 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) | $1,485.90 | $2,286 | 2.0× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $979.55 | $1,507 | 1.0× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) | $1,485.90 | $2,286 | 2.0× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $590.20 | $908 | 1.8× |
| Injection Anes Superior Hypogastric Plexus (64517) | $1,740.05 | $2,677 | 1.9× |
| Injection for identification of sentinel node (38792) | $1,212.25 | $1,865 | 2.9× |
| Injection Into Brain Canal (61055) | $698.75 | $1,075 | 2.2× |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$253.50–$551.85 | $390–$849 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$551.85–$865.15 | $849–$1,331 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$399.10–$551.85 | $614–$849 | varies |
| Injection Sinus Tract Therapeutic Separate Proc (20500) | $631.15 | $971 | 0.4× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $1,814.80 | $2,792 | 1.9× |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$1,372.15–$1,381.25 | $2,111–$2,125 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$1,353.30–$2,707.25 | $2,082–$4,165 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $395.20 | $608 | 1.9× |
| Ins cath ren art 1st bilat (36252) | $5,820.10 | $8,954 | 1.7× |
| Ins cath ren art 1st unilat (36251) | $4,258.80 | $6,552 | 1.3× |
| Ins cath ren art 2nd+ bilat (36254) | $6,774.30 | $10,422 | 2.0× |
| Ins cath ren art 2nd+ unilat (36253) | $4,648.80 | $7,152 | 0.8× |
| Ins endovas vena cava filtr (37191) | $6,074.25 | $9,345 | 1.0× |
| Insert and remove bone pin (20650) | $3,108.30 | $4,782 | 0.9× |
| Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
$304.20–$328.90 | $468–$506 | varies |
| Insert cath pleura w/ image (32557) range across 4 matching MRF lines |
$1,584.05–$3,664.05 | $2,437–$5,637 | varies |
| Insert cath pleura w/o image (32556) range across 4 matching MRF lines |
$1,074.45–$2,472.60 | $1,653–$3,804 | varies |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) | $1,660.10 | $2,554 | 1.3× |
| Insert Gastrostomy Tube Percutaneous (49440) | $1,982.50 | $3,050 | 1.0× |
| Insert hepatic shunt (tips) (37182) unusually low: confirm this is the full procedure |
$6,189.30 | $9,522 | 0.3× |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$1,047.15–$2,118.35 | $1,611–$3,259 | varies |
| Insert pessary/other device (57160) | $378.95 | $583 | 1.8× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) range across 3 matching MRF lines |
$1,028.30–$2,118.35 | $1,582–$3,259 | varies |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$133.90–$238.55 | $206–$367 | varies |
| Insert tun ip cath perc (49418) | $3,874 | $5,960 | 1.0× |
| Insert tunneled cv cath (36561) | $2,697.50 | $4,150 | 0.8× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) | $3,959.15 | $6,091 | 0.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$229.45–$238.55 | $353–$367 | varies |
| Insertion indwelling tunneled pleural catheter (32550) | $5,790.20 | $8,908 | 1.5× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $1,635.40 | $2,516 | 1.0× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) | $3,755.05 | $5,777 | 1.0× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) range across 2 matching MRF lines |
$1,280.50–$2,118.35 | $1,970–$3,259 | varies |
| Insj Picc Rs&I <5 Yr (36572) | $1,017.90 | $1,566 | 1.5× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $4,070.30 | $6,262 | 1.2× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 3 matching MRF lines |
$1,288.95–$2,224.30 | $1,983–$3,422 | varies |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $2,200.25 | $3,385 | 0.7× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $6,798.35 | $10,459 | 0.8× |
| Interdental fixation (21110) | $2,527.20 | $3,888 | 1.5× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $298.35 | $459 | 0.7× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $284.05 | $437 | 0.7× |
| Intraoral i&d tongue/floor lingual (41000) | $926.25 | $1,425 | 1.6× |
| Intro cath dialysis circuit (36901) | $1,506.05 | $2,317 | 0.9× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $15,414.75 | $23,715 | 1.3× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $10,660 | $16,400 | 1.8× |
| Intro Gastrointestinal Tube (44500) range across 2 matching MRF lines |
$611–$1,674.40 | $940–$2,576 | varies |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$472.55–$476.45 | $727–$733 | varies |
| Iridotomy/irridectomy laser surg per session (66761) | $1,130.35 | $1,739 | 1.9× |
| Irrigation maxillary sinus (31000) | $421.20 | $648 | 1.7× |
| Irrigation of corpora cavernosa for priapism (54220) | $586.30 | $902 | 2.2× |
| Laparoscopy, surgical, appendectomy (44970) | $4,915.30 | $7,562 | 0.8× |
| Laryngoscopy diagnostic (31505) | $362.05 | $557 | 1.7× |
| Laryngoscopy flexible diagnostic (31575) | $351 | $540 | 1.7× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) | $764.40 | $1,176 | 1.8× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) | $362.05 | $557 | 1.7× |
| Laryngoscopy W/Foreign Body Removal (31530) | $3,189.55 | $4,907 | 1.7× |
| Late closure of wound (13160) | $2,912 | $4,480 | 0.8× |
| Ligation Major Artery Abdomen (37617) unusually low: confirm this is the full procedure |
$1,927.25 | $2,965 | 0.3× |
| Ligation of a-v fistula (37607) | $2,220.40 | $3,416 | 0.7× |
| Lip Surgery Procedure (40799) | $421.20 | $648 | 1.7× |
| Lyse chest fibrin init day (32561) | $640.90 | $986 | 1.0× |
| Lyse Chest Fibrin Subq Day (32562) | $640.90 | $986 | 1.0× |
| Marsupialization of bartholin's gland cyst (56440) | $3,686.80 | $5,672 | 1.1× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) | $1,043.25 | $1,605 | 0.6× |
| Mech remov tunneled cv cath (36595) | $2,083.90 | $3,206 | 0.6× |
| Myelography Lumbar Injection (62305) | $1,182.35 | $1,819 | 1.4× |
| Myelography Lumbar Injection (62304) | $952.90 | $1,466 | 1.1× |
| Myelography via lumbar injection rs&i cervical (62302) | $1,096.55 | $1,687 | 1.3× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $960.70 | $1,478 | 1.2× |
| N Block Inj Celiac Pelus (64530) | $1,732.90 | $2,666 | 1.9× |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines |
$583.70–$1,306.50 | $898–$2,010 | varies |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$653.25–$1,306.50 | $1,005–$2,010 | varies |
| N Block Inj Pudendal (64430) range across 2 matching MRF lines |
$1,728.35–$1,812.20 | $2,659–$2,788 | varies |
| N Block Lumbar/Thoracic (64520) | $1,552.20 | $2,388 | 1.7× |
| Nasal Endoscopy Dx (31231) | $362.05 | $557 | 1.7× |
| Nasal/Orogastric W/Tube Plmt (43752) | $322.40 | $496 | 0.7× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) | $3,047.20 | $4,688 | 1.6× |
| Needle Biopsy Lymph Nodes (38505) | $1,398.15 | $2,151 | 0.8× |
| Needle Biopsy Pancreas (48102) | $1,491.10 | $2,294 | 0.9× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $58.50 | $90 | 1.9× |
| Needle insertion w/o injection 3 or more muscles (20561) | $71.50 | $110 | 2.3× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) | $4,145.05 | $6,377 | 1.9× |
| Nipple Exploration (19110) | $4,420.65 | $6,801 | 1.1× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$564.85–$1,130.35 | $869–$1,739 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $5,974.80 | $9,192 | 1.6× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $1,080.95 | $1,663 | 0.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$1,728.35–$2,058.55 | $2,659–$3,167 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) | $888.55 | $1,367 | 0.9× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,370.20 | $2,108 | 1.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $705.25 | $1,085 | 0.9× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $888.55 | $1,367 | 0.9× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $888.55 | $1,367 | 0.9× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $740.35 | $1,139 | 1.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $888.55 | $1,367 | 0.9× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $735.15 | $1,131 | 1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) | $1,348.10 | $2,074 | 1.8× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) | $761.80 | $1,172 | 1.8× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) | $813.80 | $1,252 | 1.9× |
| Obstructive material removal from gi tube (49460) | $620.75 | $955 | 0.6× |
| Occipital Nerve Block (64405) | $551.85 | $849 | 1.7× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $3,123.25 | $4,805 | 0.9× |
| Open/Perq Place Stent 1St (37236) | $13,131.30 | $20,202 | 1.1× |
| Open/Perq Place Stent Same (37238) | $13,211.25 | $20,325 | 1.1× |
| Partial Excision Distal Phalanx Finger (26236) | $3,120 | $4,800 | 1.8× |
| Penile Injection (54235) | $436.15 | $671 | 1.6× |
| Perc Cryo Ablate Renal Tum (50593) unusually low: confirm this is the full procedure |
$4,984.20 | $7,668 | 0.4× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) | $1,688.05 | $2,597 | 1.2× |
| Perc Rf Ablate Renal Tumor (50592) | $6,838 | $10,520 | 1.1× |
| Percut Ablate Liver Rf (47382) | $5,972.85 | $9,189 | 0.9× |
| Percut Cath Occlusn Non Cns Lesn (61626) | $16,420.30 | $25,262 | 1.3× |
| Percut Drain/Inject Renal Cyst (50390) | $891.15 | $1,371 | 1.2× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) | $6,661.85 | $10,249 | 2.0× |
| Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) range across 2 matching MRF lines |
$3,018.60–$6,036.55 | $4,644–$9,287 | varies |
| Percutaneous skeletal fixation of talus fracture, with manipulation Facility (28436) range across 2 matching MRF lines |
$6,707.35–$13,414.70 | $10,319–$20,638 | varies |
| Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation Facility (28546) range across 2 matching MRF lines |
$1,454.70–$2,909.40 | $2,238–$4,476 | varies |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) range across 2 matching MRF lines |
$3,018.60–$6,036.55 | $4,644–$9,287 | varies |
| Pericardiocentesis W/Imaging (33016) range across 3 matching MRF lines |
$3,017.95–$4,065.10 | $4,643–$6,254 | varies |
| Perm Occlusion/Embolization,Percut,Cns (61624) | $17,733.95 | $27,283 | 0.9× |
| Perq Cervicothoracic Inject (22510) | $3,331.90 | $5,126 | 1.0× |
| Perq dev breast 1st mr guide (19287) | $1,573 | $2,420 | 2.1× |
| Perq dev breast 1st strtctc (19283) | $1,185.60 | $1,824 | 1.6× |
| Perq dev breast 1st us imag (19285) | $1,184.95 | $1,823 | 1.6× |
| Perq device breast 1st imag (19281) | $1,185.60 | $1,824 | 0.7× |
| Perq dilation xst trc endourologic px w/img (50436) | $2,781.35 | $4,279 | 0.7× |
| Perq Lumbosacral Injection (22511) | $3,222.70 | $4,958 | 0.9× |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) | $5,948.15 | $9,151 | 0.6× |
| Perq p-art revsc 1 nm nt uni (33900) | $18,061.55 | $27,787 | 1.5× |
| Perq p-art revsc st 1st abnor connj unilateral (33902) | $29,226.60 | $44,964 | 1.5× |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) | $29,226.60 | $44,964 | 2.4× |
| Perq p-art revsc st 1st nml native connj bi (33901) | $18,061.55 | $27,787 | 1.5× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) | $7,752.55 | $11,927 | 1.2× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $978.90 | $1,506 | 1.3× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $16,087.50 | $24,750 | 1.3× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $5,526.30 | $8,502 | 0.9× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $7,361.25 | $11,325 | 1.0× |
| Perq Vertebral Augmentation (22513) | $7,582.90 | $11,666 | 1.0× |
| Pin hand dislocation (26676) range across 2 matching MRF lines |
$3,018.60–$6,036.55 | $4,644–$9,287 | varies |
| Pin knuckle dislocation (26706) range across 2 matching MRF lines |
$3,018.60–$6,036.55 | $4,644–$9,287 | varies |
| Place Cath Subclavian Art (36225) | $6,676.15 | $10,271 | 2.0× |
| Place Cath Thoracic Aorta (36221) | $5,051.80 | $7,772 | 1.5× |
| Place Cath Vertebral Art (36226) range across 4 matching MRF lines |
$7,772.70–$7,995 | $11,958–$12,300 | varies |
| Place Duod/Jej Tube Perc (49441) | $1,196 | $1,840 | 0.6× |
| Placement of needle for intraosseous infusion (36680) | $750.75 | $1,155 | 1.6× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) likely a partial charge, not the full procedure |
$1,080.95 | $1,663 | 0.2× |
| Plmt Bile Duct Stent Prq Existing Access (47538) | $3,281.20 | $5,048 | 0.5× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) unusually low: confirm this is the full procedure |
$3,183.70 | $4,898 | 0.5× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) unusually low: confirm this is the full procedure |
$3,183.70 | $4,898 | 0.5× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $2,099.50 | $3,230 | 0.9× |
| Plmt Nephroureteral Catheter (50433) | $2,961.40 | $4,556 | 0.8× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) | $4,820.40 | $7,416 | 1.3× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) | $2,961.40 | $4,556 | 0.8× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) | $2,961.40 | $4,556 | 0.8× |
| Prim art mech thrombectomy (37184) likely a partial charge, not the full procedure |
$4,727.45 | $7,273 | 0.2× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $848.90 | $1,306 | 1.1× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $2,975.05 | $4,577 | 0.8× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $3,246.10 | $4,994 | 0.9× |
| Prq skel fixj metar fx w/manj (28476) range across 2 matching MRF lines |
$3,169.40–$6,338.15 | $4,876–$9,751 | varies |
| Prq Skel Fixj Talotarsal Jt Dislc W/Manj (28576) range across 2 matching MRF lines |
$6,707.35–$13,414.70 | $10,319–$20,638 | varies |
| Prq Skel Fixj Tars Jt Dislc W/Manj (28606) range across 2 matching MRF lines |
$3,018.60–$6,036.55 | $4,644–$9,287 | varies |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) range across 2 matching MRF lines |
$3,018.60–$6,036.55 | $4,644–$9,287 | varies |
| Prq Skeletal Fixj Calcaneal Fracture W/Manj (28406) range across 2 matching MRF lines |
$6,707.35–$13,414.70 | $10,319–$20,638 | varies |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) range across 2 matching MRF lines |
$6,707.35–$13,414.70 | $10,319–$20,638 | varies |
| Pseudoaneurysm Injection Trt (36002) | $639.60 | $984 | 1.0× |
| Punch biopsy skin single lesion (11104) | $390.65 | $601 | 0.9× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$254.15–$374.40 | $391–$576 | varies |
| Puncture Aspiration Cyst Breast (19000) | $1,167.40 | $1,796 | 1.6× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) range across 2 matching MRF lines |
$477.75–$1,372.15 | $735–$2,111 | varies |
| Pvb thoracic cont infusion (64463) | $1,187.55 | $1,827 | 1.6× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) | $1,246.70 | $1,918 | 1.7× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) | $3,890.25 | $5,985 | 1.9× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) | $4,612.40 | $7,096 | 1.2× |
| Reconstruction Nail Bed W/Graft (11762) | $1,363.70 | $2,098 | 0.6× |
| Redo Endovas Vena Cava Filtr (37192) | $3,172 | $4,880 | 0.9× |
| Reduction of rectal prolapse (45900) | $1,685.45 | $2,593 | 1.7× |
| Rem Endovas Vena Cava Filter (37193) | $4,728.10 | $7,274 | 1.4× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $2,686.45 | $4,133 | 2.8× |
| Removal Embedded Foreign Body Eyelid (67938) range across 2 matching MRF lines |
$536.90–$1,073.80 | $826–$1,652 | varies |
| Removal Foreign Body Deep Thigh/Knee (27372) range across 2 matching MRF lines |
$1,833–$3,666.65 | $2,820–$5,641 | varies |
| Removal Foreign Body Foot Complicated (28193) range across 2 matching MRF lines |
$1,064.70–$2,129.40 | $1,638–$3,276 | varies |
| Removal foreign body foot deep (28192) range across 2 matching MRF lines |
$1,064.70–$2,129.40 | $1,638–$3,276 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$1,316.25–$2,632.50 | $2,025–$4,050 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $1,300 | $2,000 | 0.7× |
| Removal foreign body upper arm/elbow deep (24201) range across 2 matching MRF lines |
$4,719–$8,988.20 | $7,260–$13,828 | varies |
| Removal foreign body, intranasal; requiring general anesthesia (30310) | $2,018.90 | $3,106 | 0.6× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 3 matching MRF lines |
$116.35–$310.70 | $179–$478 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$132.60–$252.85 | $204–$389 | varies |
| Removal Implant Superficial Separate Procedure (20670) | $2,819.05 | $4,337 | 1.6× |
| Removal of foreign body from pharynx (42809) | $784.55 | $1,207 | 1.7× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$644.15–$724.75 | $991–$1,115 | varies |
| Removal of tunneled intraperitoneal catheter (49422) | $2,767.70 | $4,258 | 0.8× |
| Removal or bivalving full arm or full leg cast (29705) range across 3 matching MRF lines |
$225.55–$973.70 | $347–$1,498 | varies |
| Removal shoulder foreign body deep subfascial/im (23333) range across 2 matching MRF lines |
$2,619.50–$5,239 | $4,030–$8,060 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $683.15 | $1,051 | 3.2× |
| Removal subcutaneous cardiac rhythm monitor (33286) | $1,391 | $2,140 | 1.9× |
| Removal/bivalving gauntlet boot/body cast (29700) range across 3 matching MRF lines |
$225.55–$973.70 | $347–$1,498 | varies |
| Remove drug implant device (11982) | $765.70 | $1,178 | 1.6× |
| Remove Forearm Foreign Body (25248) range across 2 matching MRF lines |
$1,068.60–$2,137.85 | $1,644–$3,289 | varies |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$212.55–$404.30 | $327–$622 | varies |
| Remove Intrauterine Device (58301) | $612.95 | $943 | 1.9× |
| Remove intrvas foreign body (37197) | $4,103.45 | $6,313 | 1.2× |
| Remove lung catheter (32552) range across 2 matching MRF lines |
$1,129.05–$1,224.60 | $1,737–$1,884 | varies |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$140.40–$267.80 | $216–$412 | varies |
| Remove renal tube w/fluoro (50389) | $764.40 | $1,176 | 1.0× |
| Remove Shoulder Foreign Body (23330) range across 2 matching MRF lines |
$1,064.70–$2,129.40 | $1,638–$3,276 | varies |
| Remove ureter stent percut (50384) | $3,365.70 | $5,178 | 1.5× |
| Renal Biopsy Perq (50200) | $1,133.60 | $1,744 | 0.6× |
| Repair Achilles Tendon (27650) | $6,037.20 | $9,288 | 0.8× |
| Repair Blood Vessel Direct Hand Finger (35207) | $3,738.80 | $5,752 | 1.1× |
| Repair Blood Vessel Direct Upper Extremity (35206) | $3,519.75 | $5,415 | 1.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $298.35 | $459 | 0.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $298.35 | $459 | 0.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $298.35 | $459 | 0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $298.35 | $459 | 0.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $284.05 | $437 | 0.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $298.35 | $459 | 0.7× |
| Repair complex trunk 1.1-2.5 cm (13100) | $298.35 | $459 | 0.4× |
| Repair complex trunk 2.6-7.5 cm (13101) | $298.35 | $459 | 0.4× |
| Repair extensor tendon finger w/o graft each (26418) | $3,162.90 | $4,866 | 1.9× |
| Repair Eyelid Wound (67935) | $3,517.15 | $5,411 | 1.4× |
| Repair Forearm Tendon Sheath (25275) | $2,112.50 | $3,250 | 0.6× |
| Repair Hand Tendon (26410) | $3,182.40 | $4,896 | 1.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $298.35 | $459 | 0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $298.35 | $459 | 0.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $298.35 | $459 | 0.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $298.35 | $459 | 0.7× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $284.05 | $437 | 0.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $284.05 | $437 | 0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $298.35 | $459 | 0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $298.35 | $459 | 0.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $298.35 | $459 | 0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $298.35 | $459 | 0.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $298.35 | $459 | 0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $298.35 | $459 | 0.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $298.35 | $459 | 0.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $298.35 | $459 | 0.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $3,500.25 | $5,385 | 1.6× |
| Repair of nail bed (11760) | $418.60 | $644 | 0.5× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $2,219.10 | $3,414 | 0.6× |
| Repair tongue laceration (41252) | $987.35 | $1,519 | 3.9× |
| Repair tongue laceration (41250) | $357.50 | $550 | 0.8× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $1,208.35 | $1,859 | 1.3× |
| Replace G-J Tube Perc (49452) range across 2 matching MRF lines |
$1,208.35–$1,674.40 | $1,859–$2,576 | varies |
| Replace g/c tube perc (49450) range across 2 matching MRF lines |
$1,092–$1,674.40 | $1,680–$2,576 | varies |
| Reposition Gastrostomy Tube (43761) | $679.25 | $1,045 | 2.6× |
| Reposition Venous Catheter (36597) | $1,329.25 | $2,045 | 0.8× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) | $7,774 | $11,960 | 1.3× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) | $1,635.40 | $2,516 | 0.7× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $1,674.40 | $2,576 | 1.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$247.65–$494.65 | $381–$761 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$229.45–$458.25 | $353–$705 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 2 matching MRF lines |
$260–$519.35 | $400–$799 | varies |
| Rmvl fecal impaction/fb spx under anes (45915) | $2,321.80 | $3,572 | 1.8× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) range across 2 matching MRF lines |
$1,118–$2,236 | $1,720–$3,440 | varies |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $2,770.95 | $4,263 | 1.7× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $899.60 | $1,384 | 1.4× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$462.80–$500.50 | $712–$770 | varies |
| Rplc gtube revj gstrst trc (43763) range across 2 matching MRF lines |
$462.80–$525.85 | $712–$809 | varies |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $1,530.10 | $2,354 | 0.9× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $838.50 | $1,290 | 0.5× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $2,273.05 | $3,497 | 0.7× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $2,230.80 | $3,432 | 0.7× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $3,149.90 | $4,846 | 1.9× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $298.35 | $459 | 1.4× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $284.05 | $437 | 0.4× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $932.75 | $1,435 | 1.6× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $926.25 | $1,425 | 1.6× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $1,820 | $2,800 | 1.1× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $833.95 | $1,283 | 1.3× |
| Sclerotx Fluid Collection (49185) | $1,909.70 | $2,938 | 1.1× |
| Shave skin lesion 0.5 cm/< (11300) | $756.60 | $1,164 | 1.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $366.60 | $564 | 1.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $366.60 | $564 | 1.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $289.90 | $446 | 1.4× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) | $2,119.65 | $3,261 | 0.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $284.05 | $437 | 0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $298.35 | $459 | 1.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $298.35 | $459 | 1.4× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $284.05 | $437 | 0.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $298.35 | $459 | 1.4× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $284.05 | $437 | 1.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$223.60–$358.15 | $344–$551 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $245.70 | $378 | 1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $223.60 | $344 | 1.1× |
| Skin sub graft face/nk/hf/g (15275) | $2,964.65 | $4,561 | 3.8× |
| Skin sub graft trnk/arm/leg (15271) | $2,964.65 | $4,561 | 3.8× |
| Skin sub grft t/arm/lg child (15273) | $4,704.05 | $7,237 | 2.2× |
| Skin Tissue Procedure (17999) range across 2 matching MRF lines |
$151.45–$4,746.95 | $233–$7,303 | varies |
| Skn sub grft f/n/hf/g child (15277) | $2,718.30 | $4,182 | 1.2× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) range across 7 matching MRF lines |
$10,702.25–$20,385.30 | $16,465–$31,362 | varies |
| Slctv cath carotid/innom art angio xtrcranl art (36222) | $7,977.45 | $12,273 | 2.4× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) | $11,799.45 | $18,153 | 2.0× |
| Slitting of prepuce (54001) | $3,354 | $5,160 | 1.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$223.60–$358.15 | $344–$551 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $223.60 | $344 | 0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $223.60 | $344 | 0.5× |
| Spinal puncture lumbar diagnostic (62270) range across 3 matching MRF lines |
$273–$486.85 | $420–$749 | varies |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $4,991.35 | $7,679 | 1.3× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $2,845.05 | $4,377 | 1.3× |
| Strapping ankle (29540) range across 3 matching MRF lines |
$147.55–$590.85 | $227–$909 | varies |
| Strapping elbow or wrist (29260) range across 2 matching MRF lines |
$116.35–$232.70 | $179–$358 | varies |
| Strapping hand/finger (29280) range across 2 matching MRF lines |
$116.35–$232.70 | $179–$358 | varies |
| Strapping Hip (29520) range across 2 matching MRF lines |
$235.30–$470.60 | $362–$724 | varies |
| Strapping knee (29530) range across 2 matching MRF lines |
$235.30–$470.60 | $362–$724 | varies |
| Strapping shoulder (29240) range across 2 matching MRF lines |
$247.65–$494.65 | $381–$761 | varies |
| Strapping thorax (29200) | $295.10 | $454 | 1.7× |
| Strapping toes (29550) | $122.20 | $188 | 2.0× |
| Strapping Unna Boot (29580) range across 6 matching MRF lines |
$287.30–$590.85 | $442–$909 | varies |
| Surg tx anal fistula subq (46270) | $1,914.25 | $2,945 | 0.7× |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) | $2,483.65 | $3,821 | 1.0× |
| Suture infrapatellar tendon primary (27380) | $4,929.60 | $7,584 | 0.6× |
| Tangential biopsy skin single lesion (11102) | $358.15 | $551 | 0.8× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) likely a partial charge, not the full procedure |
$5,723.90 | $8,806 | 0.2× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $2,594.15 | $3,991 | 1.5× |
| Ther Apheresis,Red Blood Cells (36512) | $2,757.95 | $4,243 | 1.7× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $1,376.05 | $2,117 | 1.8× |
| Therapeutic Apheresis White Blood Cells (36511) | $2,757.95 | $4,243 | 1.7× |
| Therapeutic plasma exchange (36514) | $2,757.95 | $4,243 | 1.7× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $15,414.75 | $23,715 | 0.8× |
| Thromblytic art/ven therapy (37213) | $4,810 | $7,400 | 1.4× |
| Thrombolytic Art Therapy (37211) | $6,084 | $9,360 | 1.0× |
| Thrombolytic Therapy Stroke (37195) range across 2 matching MRF lines |
$646.75–$706.55 | $995–$1,087 | varies |
| Thrombolytic Venous Therapy (37212) | $4,401.80 | $6,772 | 1.3× |
| Thyroid biopsy (60100) | $534.95 | $823 | 0.7× |
| Tooth extraction (41899) | $488.80 | $752 | 2.0× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) | $926.25 | $1,425 | 1.6× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $439.40 | $676 | 1.8× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $2,384.20 | $3,668 | 1.5× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) | $281.45 | $433 | 0.9× |
| Transcatheter biopsy (37200) unusually low: confirm this is the full procedure |
$2,196.35 | $3,379 | 0.4× |
| Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) | $1,607.45 | $2,473 | 0.5× |
| Treat Big Toe Fracture (28505) | $4,392.70 | $6,758 | 1.3× |
| Treat Dental Ridge Fracture (21440) | $5,769.40 | $8,876 | 1.6× |
| Treat Hip Socket Fracture (27222) range across 2 matching MRF lines |
$173.55–$347.75 | $267–$535 | varies |
| Treat humerus fracture (24500) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
$986.70–$1,879.15 | $1,518–$2,891 | varies |
| Treat humerus fracture (23600) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Treat knee fracture (27532) range across 2 matching MRF lines |
$2,112.50–$4,225 | $3,250–$6,500 | varies |
| Treat Knee Fracture(S) (27538) range across 2 matching MRF lines |
$538.20–$1,076.40 | $828–$1,656 | varies |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$462.80–$881.40 | $712–$1,356 | varies |
| Treat Metatarsal Fracture (28475) range across 2 matching MRF lines |
$564.85–$1,130.35 | $869–$1,739 | varies |
| Treat midfoot fracture (28456) range across 2 matching MRF lines |
$6,707.35–$13,414.70 | $10,319–$20,638 | varies |
| Treat Thumb Dislocation (26641) range across 2 matching MRF lines |
$440.70–$881.40 | $678–$1,356 | varies |
| Treat Thumb Fracture (26645) range across 2 matching MRF lines |
$1,017.90–$2,035.80 | $1,566–$3,132 | varies |
| Treat toe dislocation (28630) range across 2 matching MRF lines |
$440.70–$881.40 | $678–$1,356 | varies |
| Treat Vaginal Bleeding (57180) | $360.75 | $555 | 1.7× |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines |
$2,835.95–$5,671.90 | $4,363–$8,726 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$462.80–$881.40 | $712–$1,356 | varies |
| Treatment of tibia fracture (27756) range across 2 matching MRF lines |
$6,707.35–$13,414.70 | $10,319–$20,638 | varies |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$159.90–$366.60 | $246–$564 | varies |
| Trim skin lesions 2 to 4 (11056) | $159.90 | $246 | 0.8× |
| Trimming Nondystrophic Nails Any Number (11719) | $103.35 | $159 | 1.7× |
| Trluml Balo Angiop 1St Art (37246) | $12,776.40 | $19,656 | 2.1× |
| Trluml Balo Angiop 1St Vein (37248) | $11,209.90 | $17,246 | 1.9× |
| Tx Gastro Intub W/Asp (43753) | $583.05 | $897 | 2.6× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $3,764.80 | $5,792 | 1.1× |
| Tx open tendon flexor toe 1 tendon spx (28232) | $2,166.45 | $3,333 | 1.3× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) range across 2 matching MRF lines |
$1,527.50–$3,055 | $2,350–$4,700 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $1,121.25 | $1,725 | 1.4× |
| Tx superficial wound dehiscence w/packing (12021) | $756.60 | $1,164 | 1.8× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) range across 2 matching MRF lines |
$1,454.70–$2,909.40 | $2,238–$4,476 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) range across 2 matching MRF lines |
$564.85–$1,130.35 | $869–$1,739 | varies |
| Unlisted Cardiac Surgery (33999) range across 2 matching MRF lines |
$1,173.25–$1,346.80 | $1,805–$2,072 | varies |
| Unlisted procedure anus (46999) | $1,769.95 | $2,723 | 1.8× |
| Unlisted Procedure Biliary Tract (47999) | $1,891.50 | $2,910 | 2.0× |
| Unlisted procedure breast (19499) | $2,728.05 | $4,197 | 0.7× |
| Unlisted Procedure Casting/Strapping (29799) | $295.10 | $454 | 1.7× |
| Unlisted Procedure Endocrine System (60699) | $7,753.85 | $11,929 | 1.2× |
| Unlisted procedure excision pressure ulcer (15999) | $1,175.85 | $1,809 | 1.6× |
| Unlisted Procedure Hands/Fingers (26989) | $440.70 | $678 | 1.7× |
| Unlisted Procedure Intestine (44799) range across 2 matching MRF lines |
$1,758.25–$2,011.10 | $2,705–$3,094 | varies |
| Unlisted procedure lacrimal system (68899) | $2,122.25 | $3,265 | 6.3× |
| Unlisted Procedure Leg/Ankle (27899) | $440.70 | $678 | 1.7× |
| Unlisted procedure liver (47399) | $4,746.95 | $7,303 | 6.3× |
| Unlisted procedure lungs and pleura (32999) range across 2 matching MRF lines |
$627.25–$1,173.25 | $965–$1,805 | varies |
| Unlisted Procedure Male Genital System (55899) | $458.25 | $705 | 1.7× |
| Unlisted Procedure Muscskeletal System General (20999) | $440.70 | $678 | 1.7× |
| Unlisted procedure nervous system (64999) range across 3 matching MRF lines |
$453.70–$592.15 | $698–$911 | varies |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $442 | $680 | 1.8× |
| Unlisted Procedure Rectum (45999) | $1,866.80 | $2,872 | 1.9× |
| Unlisted procedure shoulder (23929) | $460.20 | $708 | 1.8× |
| Unlisted procedure spine (22899) | $4,265.30 | $6,562 | 16.3× |
| Unlisted procedure stomach (43999) | $1,674.40 | $2,576 | 1.7× |
| Unlisted Procedure Tongue Floor Mouth (41599) | $421.20 | $648 | 1.7× |
| Unlisted Procedure Vascular Surgery (37799) range across 3 matching MRF lines |
$1,227.20–$1,498.25 | $1,888–$2,305 | varies |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) range across 2 matching MRF lines |
$1,758.25–$2,388.75 | $2,705–$3,675 | varies |
| Unlisted Procedure, Urinary System (53899) | $1,801.15 | $2,771 | 6.8× |
| Unlisted px female genital system nonobstetrical (58999) | $378.95 | $583 | 1.8× |
| Vaginal delivery only (59409) | $2,849.60 | $4,384 | 0.8× |
| Vasc embolize/occlude artery (37242) | $15,562.95 | $23,943 | 0.8× |
| Vasc Embolize/Occlude Bleed (37244) range across 3 matching MRF lines |
$10,647–$14,446.90 | $16,380–$22,226 | varies |
| Vasc Embolize/Occlude Organ (37243) | $9,811.10 | $15,094 | 0.8× |
| Vasc embolize/occlude venous (37241) | $9,213.75 | $14,175 | 0.8× |
| Venous Mech Thrombectomy (37187) unusually low: confirm this is the full procedure |
$4,089.80 | $6,292 | 0.3× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$271.05–$296.40 | $417–$456 | varies |
| Wedging of cast (29740) range across 2 matching MRF lines |
$486.85–$973.70 | $749–$1,498 | varies |
| Windowing of cast (29730) range across 2 matching MRF lines |
$295.10–$590.85 | $454–$909 | varies |
| Wound Prep Trk/Arm/Leg (15002) | $2,845.05 | $4,377 | 3.6× |
| Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016) | $4,716.40 | $7,256 | 0.8× |
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.