Procedures & surgery prices at Evergreen Medical Center
Evergreen, AL · every code in this section with a posted price and a Medicare benchmark.
433 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $856.70 | $1,318 | 1.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $663.65 | $1,021 | 0.8× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $1,636.70 | $2,518 | 0.6× |
| Amputation foot transmetarsal (28805) | $3,130.40 | $4,816 | 1.1× |
| Amputation metatarsal with toe single (28810) | $2,129.40 | $3,276 | 0.8× |
| Amputation thigh through femur any level (27590) | $1,950 | $3,000 | 0.7× |
| Amputation toe metatarsophalangeal joint (28820) | $2,073.50 | $3,190 | 0.7× |
| Amputation, leg, through tibia and fibula; (27880) | $3,644.55 | $5,607 | 0.6× |
| Anoscopy diagnostic (46600) | $180.05 | $277 | 1.6× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $1,714.91 | $2,638.33 | 0.7× |
| Application finger splint static (29130) range across 2 matching MRF lines |
$29.25–$141.70 | $45–$218 | varies |
| Application long arm splint shoulder hand (29105) | $183.95 | $283 | 1.3× |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$55.25–$178.75 | $85–$275 | varies |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$32.50–$170.95 | $50–$263 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$42.25–$174.20 | $65–$268 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$42.90–$191.75 | $66–$295 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$42.90–$200.85 | $66–$309 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 4 matching MRF lines |
$44.85–$163.80 | $69–$252 | varies |
| Aspirate pleura w/ imaging (32555) | $601.25 | $925 | 1.1× |
| Aspirate Pleura W/O Imaging (32554) range across 3 matching MRF lines |
$243.75–$644.15 | $375–$991 | varies |
| Aspiration bladder insert suprapubic catheter (51102) | $1,793.35 | $2,759 | 1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$78–$128.70 | $120–$198 | varies |
| Biopsy nail unit (11755) | $345.15 | $531 | 0.6× |
| Biopsy of breast; open, incisional (19101) range across 2 matching MRF lines |
$2,063.75–$2,304.90 | $3,175–$3,546 | varies |
| Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) | $3,019.25 | $4,645 | 0.9× |
| Biopsy ovary uni/bi separate procedure (58900) | $845 | $1,300 | 0.3× |
| Biopsy Soft Tissue Leg/Ankle Area Deep (27614) | $2,235.35 | $3,439 | 0.9× |
| Biopsy soft tissue leg/ankle area superficial (27613) | $923 | $1,420 | 0.6× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) | $2,238.60 | $3,444 | 0.9× |
| Biopsy soft tissue thigh/knee area superficial (27323) | $1,012.70 | $1,558 | 0.7× |
| Biopsy Testis Incisional Separate Procedure (54505) | $2,003.30 | $3,082 | 0.7× |
| Biopsy Tongue Anterior Two-Thirds (41100) | $841.10 | $1,294 | 1.8× |
| Biopsy/removal lymph nodes (38510) | $2,668.90 | $4,106 | 0.8× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$65–$204.10 | $100–$314 | varies |
| Blood Transfusion Service (36430) | $516.10 | $794 | 1.4× |
| Bx breast needle core w/o imaging guidance spx (19100) | $551.85 | $849 | 0.4× |
| Bx/exc lymph node open deep axillary node (38525) | $1,758.25 | $2,705 | 0.5× |
| Bx/exc lymph node open superficial (38500) | $1,948.70 | $2,998 | 0.6× |
| Carpal Tunnel Surgery (64721) | $2,225.60 | $3,424 | 1.3× |
| Cataract surgery complex (66982) | $2,275 | $3,500 | 1.1× |
| Change Cystostomy Tube Complicated (51710) | $535.60 | $824 | 0.9× |
| Change Cystostomy Tube Simple (51705) | $212.55 | $327 | 1.0× |
| Change of Windpipe Airway (31502) range across 2 matching MRF lines |
$175.50–$290.55 | $270–$447 | varies |
| Chemical Cautery Tissue (17250) | $189.15 | $291 | 1.1× |
| Chemodenerv musc neck dyston (64616) | $492.70 | $758 | 1.9× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) range across 2 matching MRF lines |
$175.50–$287.95 | $270–$443 | varies |
| Chest tube placement (32551) range across 2 matching MRF lines |
$351–$586.30 | $540–$902 | varies |
| Circumcision 28 days or older (54161) | $2,674.75 | $4,115 | 1.5× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$81.25–$120.25 | $125–$185 | varies |
| Closed Treat Vert Body Fract (22310) range across 2 matching MRF lines |
$276.25–$334.10 | $425–$514 | varies |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $213.20 | $328 | 1.0× |
| Closed Treatment Sternum Fracture (21820) range across 2 matching MRF lines |
$91.65–$124.15 | $141–$191 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) | $189.80 | $292 | 0.9× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $225.55 | $347 | 1.1× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $236.60 | $364 | 1.1× |
| Closed tx femoral fracture prox head w/o manj (27267) | $813.80 | $1,252 | 0.3× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) range across 2 matching MRF lines |
$390–$609.70 | $600–$938 | varies |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
$146.25–$207.35 | $225–$319 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $236.60 | $364 | 1.1× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines |
$240.50–$242.45 | $370–$373 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 2 matching MRF lines |
$175.50–$318.50 | $270–$490 | varies |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $185.90 | $286 | 0.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 2 matching MRF lines |
$130–$250.25 | $200–$385 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 2 matching MRF lines |
$141.70–$224.90 | $218–$346 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 2 matching MRF lines |
$193.70–$195 | $298–$300 | varies |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $472.55 | $727 | 1.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$122.20–$213.85 | $188–$329 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$341.25–$739.05 | $525–$1,137 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$312–$325 | $480–$500 | varies |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) range across 2 matching MRF lines |
$126.75–$813.80 | $195–$1,252 | varies |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) range across 2 matching MRF lines |
$164.45–$396.50 | $253–$610 | varies |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 2 matching MRF lines |
$197.60–$492.70 | $304–$758 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) | $292.50 | $450 | 1.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$239.85–$253.50 | $369–$390 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $191.75 | $295 | 0.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$227.50–$464.75 | $350–$715 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) range across 2 matching MRF lines |
$189.80–$338 | $292–$520 | varies |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) range across 2 matching MRF lines |
$325–$353.60 | $500–$544 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$78–$178.75 | $120–$275 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $175.50 | $270 | 0.8× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $215.15 | $331 | 1.0× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) range across 2 matching MRF lines |
$260–$311.35 | $400–$479 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $214.50 | $330 | 1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$185.25–$255.45 | $285–$393 | varies |
| Cltx Medial Ankle Fx (27760) range across 2 matching MRF lines |
$186.55–$331.50 | $287–$510 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$146.25–$213.85 | $225–$329 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines |
$193.05–$208 | $297–$320 | varies |
| Cltx prox tibfib jt dislc w/o anes (27830) | $189.80 | $292 | 0.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$120.90–$241.15 | $186–$371 | varies |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) | $185.90 | $286 | 0.9× |
| Cltx tibial shaft fx w/o manipulation (27750) range across 2 matching MRF lines |
$247.65–$435.50 | $381–$670 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 2 matching MRF lines |
$221.65–$807.95 | $341–$1,243 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $61.10 | $94 | 0.5× |
| Collection of venous blood by venipuncture (36415) | $9.75 | $15 | 1.0× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) | $1,268.80 | $1,952 | 1.2× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) | $1,350.70 | $2,078 | 1.3× |
| Colonoscopy thru stoma (44388) | $1,263.60 | $1,944 | 1.6× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) | $1,299.35 | $1,999 | 1.3× |
| Colonoscopy w/ablation (45388) | $1,042.60 | $1,604 | 1.0× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $1,359.15 | $2,091 | 1.3× |
| Complex drainage wound (10180) | $1,382.55 | $2,127 | 0.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$97.50–$217.10 | $150–$334 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$68.25–$200.85 | $105–$309 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$175.50–$210.60 | $270–$324 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $187.85 | $289 | 0.9× |
| Cysto w/irrig & evac multple obstructing clots (52001) | $1,524.25 | $2,345 | 0.5× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $186.55 | $287 | 0.5× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $514.80 | $792 | 0.8× |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$18.85–$37.70 | $29–$58 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $1,067.95 | $1,643 | 0.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $426.40 | $656 | 1.2× |
| Declot vascular device (36593) | $291.85 | $449 | 1.0× |
| Delivery of placenta (59414) range across 2 matching MRF lines |
$74.10–$893.75 | $114–$1,375 | varies |
| Destr W Neurolytic; Celiac Plexus (64680) range across 2 matching MRF lines |
$289.25–$1,136.85 | $445–$1,749 | varies |
| Destroy cerv/thor facet jnt (64633) | $1,362.40 | $2,096 | 0.8× |
| Destroy lumb/sac facet jnt (64635) | $1,422.20 | $2,188 | 0.8× |
| Destruct B9 Lesion 1-14 (17110) | $178.75 | $275 | 1.0× |
| Destruction Benign Lesions 15/> (17111) | $133.90 | $206 | 0.8× |
| Destruction by neurolytic agent, intercostal nerve (64620) range across 2 matching MRF lines |
$182–$1,296.75 | $280–$1,995 | varies |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $180.70 | $278 | 1.0× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $206.05 | $317 | 1.2× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) | $220.35 | $339 | 0.6× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) | $240.50 | $370 | 0.4× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) | $321.10 | $494 | 0.5× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $175.50 | $270 | 1.0× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $175.50 | $270 | 1.0× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) | $178.75 | $275 | 1.0× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) | $325 | $500 | 0.9× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) | $325 | $500 | 0.9× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $126.10 | $194 | 0.7× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $175.50 | $270 | 1.0× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $175.50 | $270 | 1.0× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) | $175.50 | $270 | 1.0× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) | $325 | $500 | 0.9× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) | $325 | $500 | 0.9× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $175.50 | $270 | 1.0× |
| Destruction of skin lesions (17106) range across 2 matching MRF lines |
$317.85–$691.60 | $489–$1,064 | varies |
| Destruction Premalignant Lesion 15/> (17004) | $229.45 | $353 | 0.7× |
| Destruction premalignant lesion 1st (17000) | $72.80 | $112 | 0.4× |
| Diagnostic sigmoidoscopy (45330) range across 2 matching MRF lines |
$895.05–$953.55 | $1,377–$1,467 | varies |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) | $1,676.35 | $2,579 | 1.6× |
| Dilate Esophagus 1/Mult Pass (43450) | $741.65 | $1,141 | 0.9× |
| Drain Cerebro Spinal Fluid (62272) range across 2 matching MRF lines |
$143–$545.35 | $220–$839 | varies |
| Drain ovary abscess open (58820) | $2,437.50 | $3,750 | 0.9× |
| Drain penis lesion (54015) | $1,158.95 | $1,783 | 0.8× |
| Drain shoulder bursa (23031) | $2,526.55 | $3,887 | 1.0× |
| Drainage external auditory canal abscess (69020) range across 2 matching MRF lines |
$146.25–$212.55 | $225–$327 | varies |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$146.25–$221 | $225–$340 | varies |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$187.85–$1,479.40 | $289–$2,276 | varies |
| Drainage of mouth lesion (41017) | $1,681.55 | $2,587 | 0.6× |
| Drainage of rectal abscess (45020) | $2,359.50 | $3,630 | 1.0× |
| Drainage of scrotal wall abscess (55100) | $853.45 | $1,313 | 0.6× |
| Drainage of scrotum (54700) range across 3 matching MRF lines |
$254.80–$1,861.60 | $392–$2,864 | varies |
| Draw Blood Off Venous Device (36591) | $65.65 | $101 | 0.6× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $243.75 | $375 | 0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $244.40 | $376 | 0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $216.45 | $333 | 1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$50.70–$185.25 | $78–$285 | varies |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) | $970.45 | $1,493 | 0.5× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) | $462.80 | $712 | 1.3× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 2 matching MRF lines |
$169–$806 | $260–$1,240 | varies |
| Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) range across 2 matching MRF lines |
$286–$1,371.50 | $440–$2,110 | varies |
| Dx gastr intub w/asp spec (43754) | $97.50 | $150 | 0.5× |
| Dx Laryngoscopy Excl Nb (31525) | $1,444.95 | $2,223 | 0.9× |
| Egd Balloon Dil Esoph30 Mm/> (43233) | $1,643.20 | $2,528 | 1.0× |
| Egd cautery tumor polyp (43250) | $1,270.75 | $1,955 | 0.8× |
| Egd Flexible Foreign Body Removal (43247) | $1,318.20 | $2,028 | 1.7× |
| Egd lesion ablation (43270) | $806 | $1,240 | 0.5× |
| Egd place gastrostomy tube (43246) | $1,554.15 | $2,391 | 0.9× |
| Egd remove lesion snare (43251) | $1,287 | $1,980 | 0.8× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) range across 2 matching MRF lines |
$44.20–$309.40 | $68–$476 | varies |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$221–$664.95 | $340–$1,023 | varies |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$35.75–$98.80 | $55–$152 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$74.75–$408.85 | $115–$629 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $933.40 | $1,436 | 0.7× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $2,417.35 | $3,719 | 0.7× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $497.25 | $765 | 0.8× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $536.90 | $826 | 0.9× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $1,267.50 | $1,950 | 0.9× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $367.90 | $566 | 0.6× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $397.80 | $612 | 0.7× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $592.15 | $911 | 1.0× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $648.05 | $997 | 0.5× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $620.10 | $954 | 0.4× |
| Exc ganglion wrist recurrent (25112) | $1,935.70 | $2,978 | 1.4× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $715 | $1,100 | 0.5× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $624 | $960 | 1.0× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $716.95 | $1,103 | 0.5× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $1,971.45 | $3,033 | 1.4× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) | $1,564.55 | $2,407 | 1.1× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $689 | $1,060 | 1.1× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $973.05 | $1,497 | 0.7× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $1,313 | $2,020 | 0.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $1,284.40 | $1,976 | 0.9× |
| Exc Skin Benig >4cm Face,Facial (11446) | $1,139.45 | $1,753 | 0.5× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $1,181.70 | $1,818 | 0.8× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $1,374.10 | $2,114 | 0.5× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $1,134.90 | $1,746 | 0.8× |
| Exc tendon shth lesion leg/ankle (27630) | $2,052.05 | $3,157 | 0.7× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $323.70 | $498 | 0.9× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $432.90 | $666 | 0.7× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $912.60 | $1,404 | 0.6× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $422.50 | $650 | 0.2× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) | $1,528.15 | $2,351 | 1.1× |
| Excise excessive skin arm (15836) | $1,960.40 | $3,016 | 0.8× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $624 | $960 | 1.0× |
| Excision Excessive Skin & Subq Tissue Buttock (15835) | $1,833 | $2,820 | 0.7× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) | $1,643.20 | $2,528 | 0.7× |
| Excision External Ear Partial Simple Repair (69110) | $1,218.10 | $1,874 | 0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $712.40 | $1,096 | 1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $395.85 | $609 | 0.6× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $395.85 | $609 | 1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $847.60 | $1,304 | 1.4× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $585 | $900 | 1.0× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $815.10 | $1,254 | 0.6× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $1,326.65 | $2,041 | 0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $998.40 | $1,536 | 0.7× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $447.20 | $688 | 0.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $651.30 | $1,002 | 1.1× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $1,439.10 | $2,214 | 1.0× |
| Excision of bartholin's gland or cyst (56740) | $2,889.90 | $4,446 | 1.0× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $1,937 | $2,980 | 1.4× |
| Excision of hydrocele; bilateral (55041) | $3,405.35 | $5,239 | 1.1× |
| Excision of hydrocele; unilateral (55040) | $2,746.25 | $4,225 | 0.9× |
| Excision of submandibular (submaxillary) gland (42440) | $4,334.20 | $6,668 | 0.8× |
| Excision olecranon bursa (24105) | $2,535 | $3,900 | 0.9× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) | $3,846.05 | $5,917 | 0.7× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand Facility (15837) | $1,849.90 | $2,846 | 0.7× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip Facility (15834) | $621.40 | $956 | 0.2× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg Facility (15833) | $2,705.95 | $4,163 | 1.1× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad Facility (15838) | $1,114.75 | $1,715 | 0.4× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) | $3,894.80 | $5,992 | 1.6× |
| Excision/curettage cyst/tumor phalanx finger (26210) | $1,402.05 | $2,157 | 1.0× |
| Exploration penetrating wound spx extremity (20103) range across 2 matching MRF lines |
$325–$623.35 | $500–$959 | varies |
| Fasciotomy palmar open partial (26045) | $2,135.25 | $3,285 | 0.8× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $2,250.95 | $3,463 | 0.9× |
| Hemorrhoidopexy by stapling (46947) | $2,643.55 | $4,067 | 1.1× |
| I&d abscess peritonsillar (42700) | $287.95 | $443 | 1.4× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$96.20–$217.75 | $148–$335 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $1,766.70 | $2,718 | 0.7× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $2,150.20 | $3,308 | 0.9× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) | $2,149.55 | $3,307 | 0.8× |
| I&d forearm/wrist bursa (25031) | $2,639 | $4,060 | 1.9× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) | $2,924.35 | $4,499 | 1.0× |
| I&d perianal abscess superficial (46050) range across 3 matching MRF lines |
$112.45–$796.90 | $173–$1,226 | varies |
| I&d pilonidal cyst complicated (10081) | $360.10 | $554 | 0.6× |
| I&d pilonidal cyst simple (10080) | $226.85 | $349 | 0.4× |
| I&d shoulder deep abscess/hematoma (23030) range across 3 matching MRF lines |
$267.15–$2,551.25 | $411–$3,925 | varies |
| I&d upper arm/elbow deep abscess/hematoma (23930) range across 3 matching MRF lines |
$247–$2,145 | $380–$3,300 | varies |
| Implant neuroelectrodes (63650) range across 2 matching MRF lines |
$708.50–$2,135.90 | $1,090–$3,286 | varies |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) range across 2 matching MRF lines |
$617.50–$2,570.75 | $950–$3,955 | varies |
| Incise external hemorrhoid (46083) range across 3 matching MRF lines |
$265.85–$318.50 | $409–$490 | varies |
| Incise finger tendon sheath (26055) | $1,292.20 | $1,988 | 0.9× |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$130–$274.30 | $200–$422 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $1,865.50 | $2,870 | 0.7× |
| Incision & drainage leg/ankle infected bursa (27604) | $3,435.25 | $5,285 | 1.2× |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$191.10–$1,780.35 | $294–$2,739 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$156.65–$270.40 | $241–$416 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 3 matching MRF lines |
$81.25–$240.50 | $125–$370 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$290.55–$321.75 | $447–$495 | varies |
| Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) | $3,094 | $4,760 | 2.2× |
| Incision of lingual frenum (frenotomy) (41010) | $954.85 | $1,469 | 0.7× |
| Incision of rectal abscess (46040) | $1,736.80 | $2,672 | 1.7× |
| Incision of urethra (53020) | $1,703 | $2,620 | 0.9× |
| Incision&drainage bursa foot (28001) | $486.20 | $748 | 0.3× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $1,019.20 | $1,568 | 0.7× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$52–$137.15 | $80–$211 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $993.85 | $1,529 | 1.3× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 2 matching MRF lines |
$302.25–$1,091.35 | $465–$1,679 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$42.90–$157.30 | $66–$242 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 2 matching MRF lines |
$172.25–$780.65 | $265–$1,201 | varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) range across 2 matching MRF lines |
$94.25–$382.85 | $145–$589 | varies |
| Injection anesthetic agent suprascapular nerve (64418) range across 2 matching MRF lines |
$104–$510.25 | $160–$785 | varies |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$43.55–$157.30 | $67–$242 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 4 matching MRF lines |
$42.25–$267.15 | $65–$411 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$75.40–$280.15 | $116–$431 | varies |
| Injection therapeutic carpal tunnel (20526) range across 4 matching MRF lines |
$48.75–$176.15 | $75–$271 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$91–$379.60 | $140–$584 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$59.80–$399.75 | $92–$615 | varies |
| Injection, Intralesional; More Than 7 Lesions (11901) | $81.25 | $125 | 0.5× |
| Injection, intralesional; up to and including 7 lesions (11900) | $85.80 | $132 | 0.5× |
| Injx/Infusion Neurolytic Substance Subarachnoid (62280) range across 2 matching MRF lines |
$243.10–$1,078.35 | $374–$1,659 | varies |
| Insert Bladder Cath Complex (51703) | $167.05 | $257 | 1.5× |
| Insert Temp Bladder Cath (51702) range across 4 matching MRF lines |
$55.25–$112.45 | $85–$173 | varies |
| Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$355.55–$2,635.10 | $547–$4,054 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 3 matching MRF lines |
$48.75–$97.50 | $75–$150 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $1,413.75 | $2,175 | 1.0× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) range across 2 matching MRF lines |
$650–$3,907.15 | $1,000–$6,011 | varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 3 matching MRF lines |
$278.20–$375.05 | $428–$577 | varies |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) range across 3 matching MRF lines |
$302.90–$397.80 | $466–$612 | varies |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$192.40–$375.70 | $296–$578 | varies |
| Laparoscopy Enterolysis Separate Procedure (44180) | $4,073.55 | $6,267 | 0.8× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) | $3,449.55 | $5,307 | 0.7× |
| Laparoscopy W/Lysis Of Adhesions (58660) range across 2 matching MRF lines |
$3,097.90–$3,181.10 | $4,766–$4,894 | varies |
| Laparoscopy, surgical, appendectomy (44970) | $4,050.80 | $6,232 | 0.8× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $3,648.45 | $5,613 | 0.7× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) | $3,003.65 | $4,621 | 0.6× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) | $3,019.90 | $4,646 | 0.6× |
| Laryngoscopy W/Biopsy (31535) | $2,372.50 | $3,650 | 0.7× |
| Late closure of wound (13160) | $2,445.95 | $3,763 | 0.8× |
| Ligation of hemorrhoids (46946) | $1,877.85 | $2,889 | 0.8× |
| Ligation or biopsy temporal artery (37609) | $2,429.70 | $3,738 | 1.7× |
| Lysis/excision penile postcircumcision adhesions (54162) | $1,895.40 | $2,916 | 1.1× |
| Mastectomy for gynecomastia (19300) | $2,822.30 | $4,342 | 0.8× |
| N Block Inj Celiac Pelus (64530) range across 2 matching MRF lines |
$165.75–$829.40 | $255–$1,276 | varies |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines |
$100.75–$462.80 | $155–$712 | varies |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$113.75–$481.65 | $175–$741 | varies |
| N Block Lumbar/Thoracic (64520) range across 2 matching MRF lines |
$204.75–$885.30 | $315–$1,362 | varies |
| Njx anes stellate ganglion crv sympathetic (64510) | $850.20 | $1,308 | 1.1× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $310.70 | $478 | 1.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $975 | $1,500 | 1.3× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$84.50–$425.75 | $130–$655 | varies |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $1,904.50 | $2,930 | 0.7× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$107.90–$217.75 | $166–$335 | varies |
| Puncture Aspiration Cyst Breast (19000) | $358.80 | $552 | 0.6× |
| Removal Foreign Body Deep Thigh/Knee (27372) range across 2 matching MRF lines |
$357.50–$2,316.60 | $550–$3,564 | varies |
| Removal foreign body foot deep (28192) range across 2 matching MRF lines |
$341.25–$1,827.15 | $525–$2,811 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$149.50–$585 | $230–$900 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 3 matching MRF lines |
$97.50–$867.10 | $150–$1,334 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$32.50–$55.25 | $50–$85 | varies |
| Removal Implant Deep (20680) | $2,755.35 | $4,239 | 1.1× |
| Removal of foreign body from pharynx (42809) range across 2 matching MRF lines |
$205.40–$325 | $316–$500 | varies |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$195–$346.45 | $300–$533 | varies |
| Removal of tonsils (42825) unusually low: confirm this is the full procedure |
$2,424.50 | $3,730 | 0.5× |
| Removal of tonsils (42826) | $2,184.65 | $3,361 | 0.8× |
| Removal or bivalving full arm or full leg cast (29705) range across 2 matching MRF lines |
$91–$143 | $140–$220 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $76.70 | $118 | 0.4× |
| Removal/bivalving gauntlet boot/body cast (29700) | $176.15 | $271 | 0.7× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$45.50–$111.15 | $70–$171 | varies |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$136.50–$138.45 | $210–$213 | varies |
| Remove Shoulder Foreign Body (23330) range across 2 matching MRF lines |
$182–$652.60 | $280–$1,004 | varies |
| Remove Tendon Sheath Lesion (26160) | $1,622.40 | $2,496 | 1.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $488.15 | $751 | 0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $525.85 | $809 | 0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$325.65–$365.95 | $501–$563 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$292.50–$440.70 | $450–$678 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $365.30 | $562 | 1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$214.50–$367.25 | $330–$565 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $603.85 | $929 | 0.9× |
| Repair complex trunk 2.6-7.5 cm (13101) | $521.30 | $802 | 0.8× |
| Repair incomplete circumcision (54163) | $1,802.45 | $2,773 | 1.0× |
| Repair inguinal hernia, sliding, any age (49525) | $3,532.10 | $5,434 | 1.1× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $2,985.45 | $4,593 | 1.0× |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) | $3,532.10 | $5,434 | 1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$136.50–$298.35 | $210–$459 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 3 matching MRF lines |
$173.55–$274.95 | $267–$423 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 3 matching MRF lines |
$196.95–$295.75 | $303–$455 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 3 matching MRF lines |
$250.90–$274.30 | $386–$422 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) range across 3 matching MRF lines |
$202.80–$542.10 | $312–$834 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 3 matching MRF lines |
$243.75–$373.10 | $375–$574 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
$146.25–$227.50 | $225–$350 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines |
$162.50–$263.90 | $250–$406 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 3 matching MRF lines |
$188.50–$290.55 | $290–$447 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) range across 3 matching MRF lines |
$269.10–$642.85 | $414–$989 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 3 matching MRF lines |
$273–$340.60 | $420–$524 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$133.25–$286.65 | $205–$441 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$178.75–$283.40 | $275–$436 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 3 matching MRF lines |
$331.50–$390 | $510–$600 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
$173.55–$318.50 | $267–$490 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 3 matching MRF lines |
$354.90–$451.75 | $546–$695 | varies |
| Repair Laceration Palate </2 Cm (42180) | $471.25 | $725 | 1.0× |
| Repair of hydrocele (55060) | $2,460.90 | $3,786 | 0.8× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) | $2,997.15 | $4,611 | 0.5× |
| Repair tongue laceration (41250) range across 2 matching MRF lines |
$130–$228.80 | $200–$352 | varies |
| Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks… (49496) | $3,532.10 | $5,434 | 1.1× |
| Reposition Venous Catheter (36597) | $1,028.95 | $1,583 | 0.8× |
| Rerepair ing hernia reduce (49520) | $2,796.95 | $4,303 | 0.9× |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) | $3,381.30 | $5,202 | 1.1× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) range across 2 matching MRF lines |
$591.50–$2,830.10 | $910–$4,354 | varies |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) range across 2 matching MRF lines |
$113.75–$1,208.35 | $175–$1,859 | varies |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $225.55 | $347 | 0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$107.25–$179.40 | $165–$276 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $188.50 | $290 | 0.5× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) range across 2 matching MRF lines |
$461.50–$2,073.50 | $710–$3,190 | varies |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) range across 2 matching MRF lines |
$141.70–$1,023.10 | $218–$1,574 | varies |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $719.55 | $1,107 | 0.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $1,266.20 | $1,948 | 0.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $938.83 | $1,444.35 | 1.7× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) | $143 | $220 | 0.6× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$130–$345.80 | $200–$532 | varies |
| Rplc gtube revj gstrst trc (43763) | $393.90 | $606 | 1.8× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$149.50–$265.85 | $230–$409 | varies |
| Rpr Ing Hernia Baby, Reduc (49495) | $3,532.10 | $5,434 | 1.1× |
| Rpr ing hernia init reduce (49500) | $3,532.10 | $5,434 | 0.6× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) range across 3 matching MRF lines |
$292.50–$443.95 | $450–$683 | varies |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $1,180.40 | $1,816 | 1.1× |
| Sigmoidoscopy & Polypectomy (45333) | $1,079 | $1,660 | 1.3× |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) | $1,568.45 | $2,413 | 1.5× |
| Sigmoidoscopy w/fb removal (45332) | $1,174.55 | $1,807 | 1.1× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $1,042.60 | $1,604 | 1.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$196.95–$269.10 | $303–$414 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$107.25–$228.80 | $165–$352 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$103.35–$241.80 | $159–$372 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 2 matching MRF lines |
$269.10–$369.20 | $414–$568 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$130.65–$248.30 | $201–$382 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) range across 2 matching MRF lines |
$238.55–$288.60 | $367–$444 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$89.70–$219.70 | $138–$338 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$244.40–$280.80 | $376–$432 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$103.35–$246.35 | $159–$379 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$117–$230.75 | $180–$355 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$131.95–$265.20 | $203–$408 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 3 matching MRF lines |
$249.60–$292.50 | $384–$450 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 5 matching MRF lines |
$120.25–$484.90 | $185–$746 | varies |
| Strapping ankle (29540) | $94.25 | $145 | 0.7× |
| Strapping elbow or wrist (29260) range across 2 matching MRF lines |
$29.25–$126.75 | $45–$195 | varies |
| Strapping hand/finger (29280) range across 2 matching MRF lines |
$32.50–$120.90 | $50–$186 | varies |
| Strapping Hip (29520) | $100.10 | $154 | 0.9× |
| Strapping shoulder (29240) range across 2 matching MRF lines |
$42.25–$139.10 | $65–$214 | varies |
| Strapping thorax (29200) range across 3 matching MRF lines |
$35.75–$100.10 | $55–$154 | varies |
| Strapping toes (29550) | $151.45 | $233 | 3.0× |
| Surg Implnt Neuroelect,Epidural (63655) range across 2 matching MRF lines |
$1,374.75–$3,984.50 | $2,115–$6,130 | varies |
| Tangential biopsy skin single lesion (11102) | $137.80 | $212 | 0.4× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) | $2,386.80 | $3,672 | 0.8× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $881.40 | $1,356 | 0.7× |
| Treat Dental Ridge Fracture (21440) range across 2 matching MRF lines |
$438.75–$1,600.95 | $675–$2,463 | varies |
| Treat humerus fracture (24500) | $227.50 | $350 | 1.1× |
| Treat humerus fracture (23600) range across 2 matching MRF lines |
$178.10–$243.10 | $274–$374 | varies |
| Treat Knuckle Dislocation (26700) | $245.05 | $377 | 1.2× |
| Treat toe dislocation (28630) | $190.45 | $293 | 0.9× |
| Treatment closed elbow dislocation w/o anes (24600) | $286 | $440 | 1.3× |
| Trim skin lesion (11055) | $111.80 | $172 | 0.6× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) | $2,689.05 | $4,137 | 1.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$455–$691.60 | $700–$1,064 | varies |
| Tx superficial wound dehiscence w/packing (12021) | $283.40 | $436 | 0.8× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) | $3,562.65 | $5,481 | 0.7× |
| Unlisted Procedure Esophagus (43499) | $1,643.20 | $2,528 | 2.1× |
| Unlisted Procedure Intestine (44799) | $1,372.15 | $2,111 | 1.8× |
| Vaginal delivery only (59409) range across 2 matching MRF lines |
$802.75–$1,355.25 | $1,235–$2,085 | varies |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $1,621.75 | $2,495 | 0.9× |
| Wedge excision skin nail fold (11765) | $131.30 | $202 | 0.4× |
| Xtroral i&d absc cst/hmtma floor mouth sublngl (41015) | $420.55 | $647 | 0.9× |
| Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016) likely a partial charge, not the full procedure |
$1,128.40 | $1,736 | 0.2× |
| Xtroral I&D Floor Masticator Space (41018) | $877.50 | $1,350 | 0.7× |
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.