Procedures & surgery prices at Faith Community Hospital
Jacksboro, TX · every code in this section with a posted price and a Medicare benchmark.
592 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) | $3.50 | $5 | 0.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 3 matching MRF lines |
$63.11–$3,500 | $90.16–$5,000 | varies |
| Acromiopl/Acromionect Partial (23130) | $13,300 | $19,000 | 4.0× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) | $1,442 | $2,060 | 0.7× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) range across 2 matching MRF lines |
$153.57–$7,976.50 | $219.38–$11,395 | varies |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) | $1,925 | $2,750 | 0.9× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) range across 2 matching MRF lines |
$2,488.18–$11,873.52 | $3,554.54–$16,962.17 | varies |
| Amputation foot transmetarsal (28805) | $11,900 | $17,000 | 3.6× |
| Amputation metatarsal with toe single (28810) range across 2 matching MRF lines |
$13,370–$13,752.20 | $19,100–$19,646 | varies |
| Amputation toe interphalangeal joint (28825) range across 2 matching MRF lines |
$5,023.90 | $181.60–$7,177 | 1.5× |
| Amputation toe metatarsophalangeal joint (28820) range across 2 matching MRF lines |
$5,024.60–$13,370 | $7,178–$19,100 | varies |
| Anoscopy diagnostic (46600) | $269.50 | $385 | 2.0× |
| Appendectomy (44950) unusually low: confirm this is the full procedure |
$3,244.50 | $4,635 | 0.5× |
| Application cast elbow finger short arm (29075) | $300.55 | $429.36 | 1.1× |
| Application Cast Finger (29086) | $132.48 | $189.26 | 0.8× |
| Application finger splint static (29130) | $132.48 | $189.26 | 1.0× |
| Application long arm splint shoulder hand (29105) | $132.48 | $189.26 | 0.8× |
| Application Long Leg Cast Brace (29358) | $330.83 | $472.62 | 1.2× |
| Application Long Leg Splint (29505) | $148.38 | $211.97 | 0.9× |
| Application of rigid total contact leg cast (29445) | $5.82 | $8.32 | 0.0× |
| Application short arm splint forearm-hand static (29125) | $132.48 | $189.26 | 1.0× |
| Application short leg splint calf foot (29515) | $148.38 | $211.97 | 0.9× |
| Apply hand/wrist cast (29085) | $132.48 | $189.26 | 0.8× |
| Apply long arm cast (29065) | $300.55 | $429.36 | 1.1× |
| Apply Multlay Comprs Lwr Leg (29581) | $5.96 | $8.51 | 0.0× |
| Apply Short Leg Cast (29405) | $318.72 | $455.31 | 1.1× |
| Apply short leg cast (29425) | $349.69 | $499.55 | 1.2× |
| Arterial puncture (36600) | $55.52 | $79.31 | 0.4× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) | $56,910 | $81,300 | 4.4× |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) | $56,700 | $81,000 | 4.4× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) range across 2 matching MRF lines |
$2,485–$60,340 | $3,550–$86,200 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) | $5.51 | $7.87 | 0.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $175 | $250 | 0.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$345.98–$1,207.50 | $494.25–$1,725 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $249.20 | $356 | 0.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $5.40 | $7.71 | 0.0× |
| Arthrodesis ankle open (27870) | $60,200 | $86,000 | 4.7× |
| Arthrodesis great toe metatarsophalangeal joint (28750) | $28,945 | $41,350 | 4.0× |
| Arthrodesis Posterior Interbody Lumbar (22630) | $73,311 | $104,730 | 2.7× |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) | $56,893.90 | $81,277 | 3.2× |
| Arthrodesis Posterior/Posterolateral Thoracic (22610) | $73,325 | $104,750 | 4.2× |
| Arthrodesis sacroiliac joint percutaneous (27279) | $74,644.88 | $106,635.54 | 4.2× |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) range across 2 matching MRF lines |
$56,001.40–$73,311 | $80,002–$104,730 | varies |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22556) | $73,500 | $105,000 | 4.2× |
| Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments Facility (22808) | $58,100 | $83,000 | 3.3× |
| Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments Facility (22810) | $56,000 | $80,000 | 3.2× |
| Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments Facility (22800) | $56,000 | $80,000 | 3.2× |
| Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) | $74,644.88 | $106,635.54 | 4.2× |
| Arthroplasty glenohumeral joint total shoulder (23472) | $56,700 | $81,000 | 3.2× |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) | $58,100 | $83,000 | 4.5× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) | $11,873.52 | $16,962.17 | 3.6× |
| Arthroscopy knee synovectomy limited spx (29875) | $13,076 | $18,680 | 4.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) | $13,300 | $19,000 | 4.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) | $13,300 | $19,000 | 4.0× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) | $13,300 | $19,000 | 4.0× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | $13,300 | $19,000 | 4.0× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) range across 3 matching MRF lines |
$2,625–$60,284 | $3,750–$86,120 | varies |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $13,090 | $18,700 | 4.0× |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) | $2,012.24 | $2,874.63 | 0.6× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) | $13,752.20 | $19,646 | 4.2× |
| Aspirate pleura w/ imaging (32555) | $1,540 | $2,200 | 2.4× |
| Aspirate Pleura W/O Imaging (32554) range across 3 matching MRF lines |
$75.60–$2,590 | $108–$3,700 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $661.50 | $945 | 2.1× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$102.96–$840 | $147.08–$1,200 | varies |
| Biopsy bone open superficial (20240) | $4,554.90 | $6,507 | 1.6× |
| Biopsy bone trocar/needle deep (20225) | $6,650 | $9,500 | 4.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $2,634.10 | $3,763 | 1.6× |
| Biopsy of breast; open, incisional (19101) range across 2 matching MRF lines |
$763–$15,890 | $1,090–$22,700 | varies |
| Biopsy of lip (40490) | $295.52 | $422.17 | 1.2× |
| Biopsy Vaginal Mucosa Simple (57100) | $3,255 | $4,650 | 3.5× |
| Bladder Irrigation (51700) | $325.08 | $464.40 | 1.3× |
| Bladder Scan (51798) | $272.54 | $389.34 | 4.6× |
| Blood Transfusion Service (36430) | $1,750 | $2,500 | 3.9× |
| Bone Graft Any Donor Area Minor/Small (20900) range across 2 matching MRF lines |
$616–$30,590 | $880–$43,700 | varies |
| Bx breast 1st lesion us imag (19083) range across 2 matching MRF lines |
$134.23–$6,930 | $191.75–$9,900 | varies |
| Bx/exc lymph node open deep axillary node (38525) range across 2 matching MRF lines |
$1,491–$15,890 | $2,130–$22,700 | varies |
| Bx/exc lymph node open superficial (38500) | $14,899.50 | $21,285 | 3.8× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) | $1,141 | $1,630 | 0.3× |
| Carpal Tunnel Surgery (64721) | $8,104.60 | $11,578 | 4.1× |
| Cerclage cervix pregnancy vaginal (59320) | $1,721.53 | $2,459.33 | 0.5× |
| Change Cystostomy Tube Simple (51705) | $289.19 | $413.13 | 1.2× |
| Change of Windpipe Airway (31502) | $165.04 | $235.77 | 0.7× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$5.23–$21.99 | $7.47–$31.41 | varies |
| Chest tube placement (32551) | $645.01 | $921.44 | 0.4× |
| Circumcision 28 days or older (54161) range across 2 matching MRF lines |
$3,392.90–$4,885.75 | $4,847–$6,979.64 | varies |
| Circumcision Neonate (54160) | $493.50 | $705 | 0.7× |
| Circumcision w/clamp/oth dev w/block (54150) | $3,392.90 | $4,847 | 1.6× |
| Cl Tx Tib Shft Fx W Manip (27752) | $1,844.32 | $2,634.74 | 1.1× |
| Clear outer ear canal (69200) | $76.46 | $109.23 | 0.6× |
| Closed Rx Metacarpal Fx,Percut (26608) | $13,300 | $19,000 | 4.0× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $403.76 | $576.80 | 1.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $175.64 | $250.91 | 0.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$1,844.32–$6,650 | $2,634.74–$9,500 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $328.56 | $469.37 | 1.3× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $175.64 | $250.91 | 0.7× |
| Closed tx carpal scaphoid fracture w/manj (25624) | $595.80 | $851.14 | 0.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $128.70 | $183.86 | 0.5× |
| Closed tx radial head/neck fx w/manipulation (24655) | $2,595.60 | $3,708 | 1.6× |
| Closed tx radial shaft fracture w/manipulation (25505) | $6,580 | $9,400 | 4.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $217.74 | $311.06 | 0.9× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $5,895.62 | $8,422.32 | 3.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $2,621.66 | $3,745.23 | 1.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $175.64 | $250.91 | 0.7× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $175.64 | $250.91 | 0.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $431.10 | $615.85 | 1.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $175.64 | $250.91 | 0.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $175.64 | $250.91 | 0.7× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $205.16 | $293.09 | 0.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $595.80 | $851.14 | 0.4× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) | $6,433 | $9,190 | 4.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $6,580 | $9,400 | 4.1× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $175.64 | $250.91 | 0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $175.64 | $250.91 | 0.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $1,050 | $1,500 | 4.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $235.45 | $336.35 | 1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $175.64 | $250.91 | 0.7× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $2,242.38 | $3,203.40 | 1.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $175.64 | $250.91 | 0.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $175.64 | $250.91 | 0.7× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $205.16 | $293.09 | 0.8× |
| Cltx post hip arthrp dislc req anes (27266) | $1,225.70 | $1,751 | 0.8× |
| Cltx post hip arthrp dislc w/o anes (27265) | $1,103.20 | $1,576 | 4.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $235.45 | $336.35 | 1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $595.80 | $851.14 | 0.4× |
| Coccygectomy, primary (27080) | $8,400 | $12,000 | 2.6× |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$4.45–$63 | $6.36–$90 | varies |
| Colonoscopy w/ablation (45388) range across 2 matching MRF lines |
$910–$1,249.14 | $1,300–$1,784.48 | varies |
| Colonoscopy w/submucosal inj (45381) range across 2 matching MRF lines |
$674.10–$1,876.70 | $963–$2,681 | varies |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) range across 2 matching MRF lines |
$34.40–$514.50 | $49.14–$735 | varies |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) range across 2 matching MRF lines |
$77.90–$1,400 | $111.29–$2,000 | varies |
| Colposcopy cervix vag eltrd conization cervix (57461) | $7,973.70 | $11,391 | 2.5× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | $4,522 | $6,460 | 1.4× |
| Colposcopy of vulva (56820) | $3.50 | $5 | 0.0× |
| Colsc flx w/removal lesion by hot bx forceps (45384) range across 2 matching MRF lines |
$109.47–$5,075 | $156.38–$7,250 | varies |
| Complex drainage wound (10180) | $11,025 | $15,750 | 3.8× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $4,784.50 | $6,835 | 1.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $159.74 | $228.20 | 1.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $169.58 | $242.26 | 1.3× |
| Correction hammertoe (28285) range across 2 matching MRF lines |
$437.28–$13,300 | $624.69–$19,000 | varies |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) range across 2 matching MRF lines |
$13,300–$13,370 | $19,000–$19,100 | varies |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) | $29,575 | $42,250 | 4.1× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) | $13,300 | $19,000 | 4.0× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) | $29,575 | $42,250 | 4.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $170.34 | $243.34 | 1.3× |
| Curettage postpartum (59160) | $12,390 | $17,700 | 3.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $755.61 | $1,079.44 | 1.9× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) range across 3 matching MRF lines |
$264.60–$11,970 | $378–$17,100 | varies |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $924.70 | $1,321 | 1.2× |
| Debride nail 1-5 (11720) | $3.91 | $5.58 | 0.1× |
| Debride nail 6 or more (11721) | $3.91 | $5.59 | 0.1× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $2,649.70 | $3,785.28 | 1.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$20.79–$1,135.58 | $29.70–$1,622.25 | varies |
| Declot vascular device (36593) | $3.50 | $5 | 0.0× |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) | $584.44 | $834.92 | 0.3× |
| Delivery of placenta (59414) | $80.87 | $115.53 | 0.0× |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$151.20–$567.70 | $216–$811 | varies |
| Destruction Benign Lesions 15/> (17111) range across 2 matching MRF lines |
$69.63–$840 | $99.47–$1,200 | varies |
| Destruction Lesions Vulva Simple (56501) | $3,920 | $5,600 | 1.9× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $3.50 | $5 | 0.0× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $338.10 | $483 | 1.7× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) | $3.50 | $5 | 0.0× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $338.10 | $483 | 1.7× |
| Destruction Premalignant Lesion 15/> (17004) | $1,044.40 | $1,492 | 2.6× |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$185.50–$443.94 | $265–$634.20 | varies |
| Diagnostic sigmoidoscopy (45330) | $1,428 | $2,040 | 1.5× |
| Dilation & curettage dx&/ther nonobstetric (58120) range across 2 matching MRF lines |
$787.50–$2,034.19 | $1,125–$2,905.99 | varies |
| Drainage Finger Abscess Complicated (26011) | $1,536.05 | $2,194.36 | 0.9× |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$166.55–$847 | $237.93–$1,210 | varies |
| Drainage of gum lesion (41800) | $206.50 | $295 | 1.5× |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$1,228.69–$6,650 | $1,755.27–$9,500 | varies |
| Drainage of nose lesion (30000) | $364.90 | $521.28 | 1.5× |
| Drainage of scrotal wall abscess (55100) | $6,930 | $9,900 | 4.2× |
| Drainage of scrotum (54700) range across 2 matching MRF lines |
$785.71–$7,471.54 | $1,122.44–$10,673.63 | varies |
| Draw Blood Off Venous Device (36591) | $3.50 | $5 | 0.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $108.15 | $154.50 | 0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$113.56–$193.43 | $162.23–$276.33 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 4 matching MRF lines |
$21.55–$829.50 | $30.78–$1,185 | varies |
| Dstrj lesion anus simple surg excision (46922) | $11,200 | $16,000 | 4.0× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) | $7,700 | $11,000 | 3.7× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) range across 2 matching MRF lines |
$126–$8,050 | $180–$11,500 | varies |
| Egd cautery tumor polyp (43250) range across 2 matching MRF lines |
$4,511.56–$8,050 | $6,445.08–$11,500 | varies |
| Egd control bleeding any (43255) | $1,810.20 | $2,586 | 0.9× |
| Egd Flexible Foreign Body Removal (43247) | $1,461.60 | $2,088 | 1.6× |
| Egd remove lesion snare (43251) | $2,982.70 | $4,261 | 1.5× |
| Endometrial Biopsy (58100) | $299.60 | $428 | 1.5× |
| Endoscopic plantar fasciotomy (29893) | $13,370 | $19,100 | 4.1× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) | $1,935.02 | $2,764.31 | 1.0× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) | $4.73 | $6.75 | 0.0× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) | $4.73 | $6.75 | 0.0× |
| Epidural Blood Patch (62273) | $385 | $550 | 0.5× |
| Episiotomy or vaginal repair (59300) | $105 | $150 | 0.0× |
| Evacuate mole of uterus (59870) | $2,328.55 | $3,326.50 | 0.7× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$4.06–$45.42 | $5.80–$64.89 | varies |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) range across 2 matching MRF lines |
$177.72–$6,930 | $253.89–$9,900 | varies |
| Exc arm/elbow les sc < 3 cm (24075) range across 2 matching MRF lines |
$1,268.14–$6,930 | $1,811.63–$9,900 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$280–$1,925 | $400–$2,750 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$532–$931.18 | $760–$1,330.25 | varies |
| Exc Back Les Sc < 3 Cm (21930) | $2,603.51 | $3,719.30 | 1.6× |
| Exc Back Tum Deep 5 Cm/> (21933) range across 2 matching MRF lines |
$1,586.84–$11,935 | $2,266.92–$17,050 | varies |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 3 matching MRF lines |
$525–$1,125.60 | $750–$1,608 | varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 3 matching MRF lines |
$166.47–$1,109.50 | $237.82–$1,585 | varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $3,395.70 | $4,851 | 2.0× |
| Exc Face Les Sbq 2 Cm/> (21012) | $3.50 | $5 | 0.0× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 3 matching MRF lines |
$364–$1,109.50 | $520–$1,585 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$455–$3,010 | $650–$4,300 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 3 matching MRF lines |
$185.09–$2,580.89 | $264.42–$3,686.98 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $5,947.29 | $8,496.13 | 3.6× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $795.98 | $1,137.12 | 0.5× |
| Exc Forearm Les Sc 3 Cm/> (25071) range across 2 matching MRF lines |
$6,930–$29,587.63 | $9,900–$42,268.04 | varies |
| Exc ganglion wrist recurrent (25112) range across 2 matching MRF lines |
$6,580 | $108.59–$9,400 | 4.1× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 3 matching MRF lines |
$208.03–$969.02 | $297.18–$1,384.32 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $1,109.50 | $1,585 | 1.6× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $483 | $690 | 0.3× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $6,580 | $9,400 | 4.1× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) | $8,050 | $11,500 | 4.1× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) range across 2 matching MRF lines |
$3,150.15–$7,082.58 | $4,500.21–$10,117.97 | varies |
| Exc Shoulder Tum Deep 5 Cm/> (23073) | $4,554.90 | $6,507 | 1.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$58.09–$527.10 | $82.98–$753 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $3.50 | $5 | 0.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 2 matching MRF lines |
$899.50–$4,554.90 | $1,285–$6,507 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$840–$2,650.20 | $1,200–$3,786 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $6,650 | $9,500 | 4.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $3,220 | $4,600 | 1.9× |
| Exc thigh/knee les sc 3 cm/> (27337) | $5,859 | $8,370 | 2.0× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 3 matching MRF lines |
$88.59–$538.27 | $126.55–$768.95 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 3 matching MRF lines |
$124.74–$559.46 | $178.20–$799.23 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$732.21–$4,480 | $1,046.01–$6,400 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $10,949.40 | $15,642 | 3.8× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $5,921.30 | $8,459 | 2.0× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) range across 2 matching MRF lines |
$2,025.76–$10,423.30 | $2,893.94–$14,890.43 | varies |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) range across 2 matching MRF lines |
$11,900 | $157.54–$17,000 | 4.1× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) | $11,200 | $16,000 | 3.8× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) range across 2 matching MRF lines |
$162.73–$6,510 | $232.47–$9,300 | varies |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) range across 2 matching MRF lines |
$1,589–$11,935 | $2,270–$17,050 | varies |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) range across 2 matching MRF lines |
$1,050–$6,930 | $1,500–$9,900 | varies |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) range across 2 matching MRF lines |
$1,225–$11,935 | $1,750–$17,050 | varies |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) range across 2 matching MRF lines |
$1,507.03–$11,935 | $2,152.90–$17,050 | varies |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) | $13,300 | $19,000 | 4.0× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 2 matching MRF lines |
$824.82–$969.02 | $1,178.32–$1,384.32 | varies |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) | $5,921.30 | $8,459 | 2.0× |
| Excision lesion mouth roof (42104) | $12,915 | $18,450 | 3.9× |
| Excision Lingual Frenum Frenectomy (41115) | $2,584.40 | $3,692 | 1.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $3,134.60 | $4,478 | 4.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $1,109.50 | $1,585 | 1.6× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$517.83–$1,599.50 | $739.75–$2,285 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $189.27 | $270.38 | 0.3× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $1,125.60 | $1,608 | 1.6× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 2 matching MRF lines |
$969.02–$2,634.45 | $1,384.32–$3,763.50 | varies |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) range across 2 matching MRF lines |
$1,449–$10,423 | $2,070–$14,890 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $3,397.80 | $4,854 | 2.0× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $9.63 | $13.76 | 0.0× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 2 matching MRF lines |
$969.02–$2,936.50 | $1,384.32–$4,195 | varies |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $2,649.50 | $3,785 | 1.6× |
| Excision nasal polyp(s) simple (30110) | $3.50 | $5 | 0.0× |
| Excision of bartholin's gland or cyst (56740) | $6,379.10 | $9,113 | 2.0× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $2,031.06 | $2,901.51 | 1.3× |
| Excision of pilonidal cyst or sinus; simple (11770) | $10,955 | $15,650 | 3.8× |
| Excision of single external papilla or tag, anus (46220) range across 2 matching MRF lines |
$214.20–$5,005 | $306–$7,150 | varies |
| Excision olecranon bursa (24105) | $13,370 | $19,100 | 4.1× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) range across 2 matching MRF lines |
$13,752.20 | $181.77–$19,646 | 4.2× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) range across 2 matching MRF lines |
$1,058.40–$11,935 | $1,512–$17,050 | varies |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $1,577.80 | $2,254 | 0.5× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) range across 2 matching MRF lines |
$1,736–$6,510 | $2,480–$9,300 | varies |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) range across 2 matching MRF lines |
$151.20–$6,930 | $216–$9,900 | varies |
| Excision, interdigital (morton) neuroma, single, each (28080) range across 2 matching MRF lines |
$1,288–$6,650 | $1,840–$9,500 | varies |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $1,216.60 | $1,738 | 0.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) range across 2 matching MRF lines |
$889–$6,930 | $1,270–$9,900 | varies |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) range across 2 matching MRF lines |
$1,582–$11,935 | $2,260–$17,050 | varies |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) range across 2 matching MRF lines |
$262.20–$6,930 | $374.57–$9,900 | varies |
| Excision/curettage cyst/tumor carpal bones (25130) | $1,561 | $2,230 | 0.5× |
| Explo/Drain Breast Abscess (19020) range across 2 matching MRF lines |
$1,071–$6,930 | $1,530–$9,900 | varies |
| Exploration of spinal fusion (22830) | $56,000 | $80,000 | 7.7× |
| Exploration penetrating wound spx extremity (20103) range across 2 matching MRF lines |
$1,521.67–$1,536.05 | $2,173.82–$2,194.36 | varies |
| Exploratory elbow surgery (24000) | $12,950 | $18,500 | 3.9× |
| External cephalic version (59412) | $12,379.50 | $17,685 | 3.8× |
| Fasciectomy Plantar Fascia Partial Spx (28060) range across 2 matching MRF lines |
$1,225–$13,090 | $1,750–$18,700 | varies |
| Fasciotomy palmar open partial (26045) | $13,300 | $19,000 | 4.0× |
| Fetal non-stress test (59025) | $3.50 | $5 | 0.0× |
| Fine needle aspiration without imaging guidance (10021) | $379.25 | $541.78 | 0.9× |
| Fna bx w/us gdn 1st les (10005) range across 2 matching MRF lines |
$73.33–$1,138.90 | $104.76–$1,627 | varies |
| Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) | $584.44 | $834.92 | 0.3× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) range across 2 matching MRF lines |
$1,211–$11,872 | $1,730–$16,960 | varies |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $11,200 | $16,000 | 4.0× |
| Hysteroscopy Biopsy (58558) range across 2 matching MRF lines |
$481.64–$4,522.70 | $688.05–$6,461 | varies |
| Hysteroscopy Removal Impacted Foreign Body (58562) | $11,900 | $17,000 | 3.7× |
| I&d abscess peritonsillar (42700) | $962.50 | $1,375 | 4.0× |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$37.58–$332.09 | $53.68–$474.41 | varies |
| I&D Below Fascia Foot 1 Bursal Space (28002) | $6,650 | $9,500 | 4.1× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $4,440.80 | $6,344 | 1.5× |
| I&d perianal abscess superficial (46050) | $1,113.95 | $1,591.35 | 1.2× |
| I&d pilonidal cyst complicated (10081) | $2,940 | $4,200 | 4.1× |
| I&d pilonidal cyst simple (10080) | $362.63 | $518.04 | 0.5× |
| Incise external hemorrhoid (46083) | $2,857.11 | $4,081.58 | 11.4× |
| Incise finger tendon sheath (26055) | $6,300 | $9,000 | 3.9× |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$227.12–$865.20 | $324.45–$1,236 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $1,237.78 | $1,768.25 | 0.4× |
| Incision & removal foreign body subq tiss compl (10121) | $2,628.50 | $3,755 | 1.6× |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$323.26–$610.91 | $24.90–$872.73 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $424.20 | $606 | 2.1× |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$185.48–$1,400 | $264.97–$2,000 | varies |
| Incision bone cortex foot (28005) | $13,300 | $19,000 | 4.0× |
| Incision extensor tendon sheath wrist (25000) range across 2 matching MRF lines |
$189–$6,629 | $270–$9,470 | varies |
| Incision of lingual frenum (frenotomy) (41010) range across 3 matching MRF lines |
$252–$6,370 | $360–$9,100 | varies |
| Incision of rectal abscess (46040) | $2,857.11 | $4,081.58 | 2.4× |
| Incision&drainage bursa foot (28001) | $6,650 | $9,500 | 4.0× |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$196–$2,683.80 | $280–$3,834 | varies |
| Induced abortion dilation and curettage (59840) | $1,877.48 | $2,682.12 | 0.6× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $102.96 | $147.08 | 0.5× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $1,470 | $2,100 | 1.7× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) range across 2 matching MRF lines |
$525–$3,500 | $750–$5,000 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$383.07–$486.50 | $547.24–$695 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 2 matching MRF lines |
$525–$3,815 | $750–$5,450 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 2 matching MRF lines |
$525–$3,500 | $750–$5,000 | varies |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) | $2,940 | $4,200 | 4.1× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 2 matching MRF lines |
$252–$2,905 | $360–$4,150 | varies |
| Injection anesthetic agent suprascapular nerve (64418) range across 2 matching MRF lines |
$192.50–$2,240 | $275–$3,200 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$22.08–$473.90 | $31.54–$677 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$166.55–$480.90 | $237.93–$687 | varies |
| Injection therapeutic carpal tunnel (20526) | $486.50 | $695 | 1.6× |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 2 matching MRF lines |
$260.40–$690.90 | $372–$987 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$315–$3,198.30 | $450–$4,569 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 7 matching MRF lines |
$371–$2,136.40 | $530–$3,052 | varies |
| Insert Bladder Cath Complex (51703) | $139.30 | $199 | 1.1× |
| Insert cath pleura w/o image (32556) | $780.52 | $1,115.03 | 0.4× |
| Insert cervical dilator (59200) | $3.50 | $5 | 0.0× |
| Insert Drug Implant Device (11981) | $280 | $400 | 2.1× |
| Insert non-tunnel cv cath (36556) | $2,450 | $3,500 | 0.8× |
| Insert pessary/other device (57160) | $539 | $770 | 2.7× |
| Insert Temp Bladder Cath (51702) | $94.63 | $135.19 | 0.7× |
| Insert tunneled cv cath (36561) | $5,059.60 | $7,228 | 1.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $76.46 | $109.23 | 0.6× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $2,094.40 | $2,992 | 1.3× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $3.50 | $5 | 0.0× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) range across 2 matching MRF lines |
$120,190.43 | $1,777–$171,700.61 | 3.9× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $442.12 | $631.60 | 1.1× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $449.69 | $642.41 | 1.1× |
| Intubation endotracheal emergency procedure (31500) | $392 | $560 | 1.6× |
| Lam facetec & foramot lumbar (63047) | $29,050 | $41,500 | 4.0× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015) | $26,242.87 | $37,489.82 | 3.6× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) | $30,590 | $43,700 | 4.2× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) | $31,500 | $45,000 | 4.3× |
| Laminotomy Single Lumbar (63042) | $30,590 | $43,700 | 4.2× |
| Laparoscopy aspiration (49322) range across 2 matching MRF lines |
$1,260–$24,080 | $1,800–$34,400 | varies |
| Laparoscopy fulguration oviducts (58670) range across 2 matching MRF lines |
$381.85–$6,729.72 | $545.50–$9,613.89 | varies |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 2 matching MRF lines |
$1,980.66–$24,080 | $2,829.51–$34,400 | varies |
| Laparoscopy w/rmvl adnexal structures (58661) range across 2 matching MRF lines |
$2,229.50–$24,080 | $3,185–$34,400 | varies |
| Laparoscopy, surgical, appendectomy (44970) | $8,802.50 | $12,575 | 1.4× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $7,059.75 | $10,085.35 | 1.2× |
| Laparoscopy, Tubal Block (58671) | $24,080 | $34,400 | 4.0× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) range across 2 matching MRF lines |
$1,050–$12,342.40 | $1,500–$17,632 | varies |
| Laryngoscopy flexible diagnostic (31575) | $3.50 | $5 | 0.0× |
| Late closure of wound (13160) | $8,050 | $11,500 | 2.3× |
| Lateral retinacular release open (27425) | $13,090 | $18,700 | 4.0× |
| Ligation of hemorrhoids (46946) | $11,200 | $16,000 | 4.0× |
| Low Back Disk Surgery (63030) | $29,050 | $41,500 | 4.0× |
| Lumbar spine fusion combined (22633) | $56,893.90 | $81,277 | 2.1× |
| Marsupialization of bartholin's gland cyst (56440) | $4,522 | $6,460 | 1.4× |
| Maternity Care Procedure (59899) | $805 | $1,150 | 4.0× |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines |
$525–$2,940 | $750–$4,200 | varies |
| N Block Lumbar/Thoracic (64520) | $3,937.50 | $5,625 | 4.4× |
| Neck spine fusion (22600) | $28,000 | $40,000 | 1.6× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) | $8,050 | $11,500 | 4.1× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 4 matching MRF lines |
$175–$13,752.20 | $250–$19,646 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $218.46 | $312.09 | 0.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 3 matching MRF lines |
$315–$1,697.50 | $450–$2,425 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$65.35–$3,010 | $93.35–$4,300 | varies |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$420–$1,177.40 | $600–$1,682 | varies |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) range across 2 matching MRF lines |
$294–$1,750 | $420–$2,500 | varies |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$210–$6,125 | $300–$8,750 | varies |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) | $31,500 | $45,000 | 4.3× |
| Open Repair of Rotator Cuff Acute (23410) | $30,800 | $44,000 | 4.2× |
| Open Treatment Bimalleolar Ankle Fracture (27814) | $28,700 | $41,000 | 3.9× |
| Open treatment calcaneal fracture (28415) range across 2 matching MRF lines |
$29,400–$58,100 | $42,000–$83,000 | varies |
| Open Treatment Fracture Distal Tibia & Fibula (27828) | $56,910 | $81,300 | 4.4× |
| Open treatment fracture distal tibia only (27827) | $58,100 | $83,000 | 4.5× |
| Open Treatment Medial Malleolus Fracture (27766) | $28,700 | $41,000 | 3.9× |
| Open treatment metatarsal fracture each (28485) range across 2 matching MRF lines |
$29,400–$29,575 | $42,000–$42,250 | varies |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) range across 2 matching MRF lines |
$1,970.50–$30,562 | $2,815–$43,660 | varies |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) | $28,700 | $41,000 | 3.9× |
| Open treatment posterior malleolus fracture (27769) | $30,590 | $43,700 | 4.2× |
| Open Treatment Proximal Humeral Fracture (23615) range across 2 matching MRF lines |
$56,893.90–$62,066.42 | $81,277–$88,666.32 | varies |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) | $29,540 | $42,200 | 4.1× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $13,076 | $18,680 | 4.0× |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) | $28,910 | $41,300 | 2.2× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) | $13,300 | $19,000 | 4.0× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) | $60,284 | $86,120 | 8.3× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) | $30,800 | $44,000 | 4.2× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) | $30,800 | $44,000 | 4.2× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) | $31,500 | $45,000 | 4.3× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) | $56,893.90 | $81,277 | 4.4× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) | $60,284 | $86,120 | 8.3× |
| Ostectomy calcaneus (28118) | $13,370 | $19,100 | 4.1× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) | $13,300 | $19,000 | 4.0× |
| Ostectomy, complete excision; fifth metatarsal head (28113) range across 2 matching MRF lines |
$1,456–$13,300 | $2,080–$19,000 | varies |
| Ostectomy, complete excision; first metatarsal head (28111) range across 2 matching MRF lines |
$1,092–$13,790 | $1,560–$19,700 | varies |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) range across 2 matching MRF lines |
$13,752.20 | $181.86–$19,646 | 4.2× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) range across 2 matching MRF lines |
$397.34–$13,300 | $567.63–$19,000 | varies |
| Osteotomy radius distal third (25350) | $30,562 | $43,660 | 4.2× |
| Part remv talus or calcaneus (28120) | $13,300 | $19,000 | 4.0× |
| Partial excision bone olecranon process (24147) | $13,300 | $19,000 | 4.0× |
| Partial Excision Bone Ulna (25150) | $13,300 | $19,000 | 4.0× |
| Partial removal of toe (28160) | $13,300 | $19,000 | 4.0× |
| Partical Excision Bone Phalanx Toe (28124) | $13,370 | $19,100 | 4.1× |
| Patellectomy or hemipatellectomy (27350) | $29,050 | $41,500 | 4.0× |
| Perq Cervicothoracic Inject (22510) | $13,090 | $18,700 | 4.0× |
| Perq Lumbosacral Injection (22511) | $13,755 | $19,650 | 4.2× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) | $13,090 | $18,700 | 4.0× |
| Perq Vertebral Augmentation (22513) | $28,700 | $41,000 | 3.9× |
| Placement of needle for intraosseous infusion (36680) | $101.44 | $144.92 | 0.2× |
| Prq skel fixj femoral fx prox end neck (27235) | $30,590 | $43,700 | 4.2× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) | $30,800 | $44,000 | 4.2× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) range across 2 matching MRF lines |
$2,502.46–$13,752.20 | $3,574.94–$19,646 | varies |
| Punch biopsy skin single lesion (11104) range across 3 matching MRF lines |
$21.20–$612.50 | $30.28–$875 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$181.69–$610.91 | $29.61–$872.73 | varies |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) range across 4 matching MRF lines |
$462–$2,380 | $660–$3,400 | varies |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) | $29,400 | $42,000 | 4.0× |
| Reinsert spinal fixation (22849) | $56,000 | $80,000 | 4.3× |
| Release of shoulder ligament (23415) | $29,050 | $41,500 | 4.0× |
| Removal Foreign Body Deep Thigh/Knee (27372) | $4,441.15 | $6,344.50 | 1.5× |
| Removal Foreign Body Foot Complicated (28193) | $6,650 | $9,500 | 4.0× |
| Removal foreign body foot deep (28192) | $6,650 | $9,500 | 4.0× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$968.27–$1,125.99 | $1,383.24–$1,608.56 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $94.45 | $134.93 | 1.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $76.46 | $109.23 | 1.3× |
| Removal Implant Deep (20680) | $10,949.40 | $15,642 | 3.8× |
| Removal intact breast implant (19328) | $5,393.50 | $7,705 | 1.4× |
| Removal of anterior instrumentation (22855) | $14,000 | $20,000 | 1.9× |
| Removal of foreign body from pharynx (42809) | $76.46 | $109.23 | 0.2× |
| Removal of heel spur (28119) | $3,957.86 | $5,654.08 | 1.2× |
| Removal of mammary implant material (19330) | $886 | $1,265.71 | 0.2× |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$69.18–$610.91 | $98.83–$872.73 | varies |
| Removal of posterior segmental instrumentation Facility (22852) | $56,000 | $80,000 | 7.7× |
| Removal of sesamoid bone (28315) range across 2 matching MRF lines |
$1,120–$13,755 | $1,600–$19,650 | varies |
| Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical Facility (22864) | $56,700 | $81,000 | 7.8× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$102.96–$244.66 | $147.08–$349.52 | varies |
| Remove cerclage suture (59871) | $1,564.82 | $2,235.46 | 0.5× |
| Remove elbow lesion (24120) | $13,300 | $19,000 | 4.0× |
| Remove foreign body from eye (65235) | $726.77 | $1,038.24 | 0.3× |
| Remove foreign body from eye (65205) | $162.76 | $232.52 | 1.2× |
| Remove Hand Bone Lesion (26200) | $6,580 | $9,400 | 4.1× |
| Remove Intrauterine Device (58301) range across 3 matching MRF lines |
$227.50–$1,351 | $325–$1,930 | varies |
| Remove Nasal Foreign Body (30300) | $151.41 | $216.30 | 1.1× |
| Remove spine eltrd plate (63662) | $15,400 | $22,000 | 4.4× |
| Remove spine fixation device (22850) | $35,000 | $50,000 | 4.8× |
| Remove Tendon Sheath Lesion (26160) range across 2 matching MRF lines |
$6,580 | $95.70–$9,400 | 4.1× |
| Repair Achilles Tendon (27650) | $29,540 | $42,200 | 4.1× |
| Repair Collat Ankle Ligmnt,Secondary (27698) range across 2 matching MRF lines |
$912.07–$30,590 | $1,302.95–$43,700 | varies |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $582.17 | $831.67 | 0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $639.71 | $913.87 | 0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $381.56 | $545.08 | 0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $581.41 | $830.59 | 1.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $381.56 | $545.08 | 0.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 3 matching MRF lines |
$419.41–$1,230.60 | $599.15–$1,758 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $623.05 | $890.07 | 0.8× |
| Repair complex trunk 2.6-7.5 cm (13101) | $648.03 | $925.76 | 0.9× |
| Repair Finger/Hand Tendon (26350) | $189.27 | $270.38 | 0.1× |
| Repair Foot Dislocation (28615) | $30,562 | $43,660 | 4.2× |
| Repair Hallux Rigidus (28289) | $13,090 | $18,700 | 4.0× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) range across 2 matching MRF lines |
$15,050–$15,890 | $21,500–$22,700 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$381.56–$612.15 | $545.08–$874.50 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 3 matching MRF lines |
$396.70–$777 | $566.71–$1,110 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $411.84 | $588.34 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $426.98 | $609.97 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $457.26 | $653.23 | 1.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $419.41 | $599.15 | 0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $170.34 | $243.34 | 0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$381.56–$611.10 | $545.08–$873 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $405.02 | $578.60 | 0.5× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $457.26 | $653.23 | 0.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $434.55 | $620.78 | 1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $381.56 | $545.08 | 0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $1,044.40 | $1,492 | 2.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $449.69 | $642.41 | 0.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
$611.80–$1,750 | $874–$2,500 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $457.26 | $653.23 | 0.2× |
| Repair of metatarsals (28322) range across 2 matching MRF lines |
$28,943.60–$31,575.39 | $41,348–$45,107.70 | varies |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$140.06–$2,450 | $200.08–$3,500 | varies |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) | $29,540 | $42,200 | 4.1× |
| Repair of Ruptured Tendon (24342) range across 2 matching MRF lines |
$2,861.64–$26,242.87 | $4,088.06–$37,489.82 | varies |
| Repair of shoulder (23420) | $28,700 | $41,000 | 3.9× |
| Repair Rotator Cuff Chronic (23412) | $28,700 | $41,000 | 3.9× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $13,300 | $19,000 | 4.0× |
| Repair tongue laceration (41252) | $649.60 | $928 | 2.7× |
| Repair tongue laceration (41250) | $125.67 | $179.53 | 0.3× |
| Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) | $28,945 | $41,350 | 4.0× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) | $29,540 | $42,200 | 4.1× |
| Repair/graft achilles tendon (27652) | $29,540 | $42,200 | 4.1× |
| Replace g/c tube perc (49450) | $224 | $320 | 0.2× |
| Rerepair ing hernia reduce (49520) | $14,700 | $21,000 | 4.1× |
| Resection, partial or complete, phalangeal base, each toe (28126) range across 2 matching MRF lines |
$875–$13,790 | $1,250–$19,700 | varies |
| Revis reconst shoulder joint (23473) | $45,850 | $65,500 | 3.6× |
| Revision of foot (28116) | $13,370 | $19,100 | 4.1× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) | $57,050 | $81,500 | 3.2× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) range across 2 matching MRF lines |
$15,120–$15,400 | $21,600–$22,000 | varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $162.76 | $232.52 | 0.4× |
| Rmvl fecal impaction/fb spx under anes (45915) range across 2 matching MRF lines |
$841.30–$4,328.79 | $1,201.86–$6,183.98 | varies |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $11,900 | $17,000 | 4.1× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) | $8,120 | $11,600 | 4.1× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $1,551.96 | $2,217.08 | 1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $3.50 | $5 | 0.0× |
| Rplc Gtube No Revj Trc (43762) | $270.27 | $386.10 | 1.1× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) | $24,080 | $34,400 | 4.0× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $16,450 | $23,500 | 4.6× |
| Rpr aa hrn 1st 3-10 rdc (49593) range across 2 matching MRF lines |
$1,925–$16,363.90 | $2,750–$23,377 | varies |
| Rpr aa hrn 1st < 3 ncr/strn (49592) | $24,080 | $34,400 | 4.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $302.82 | $432.60 | 1.5× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $449.69 | $642.41 | 0.6× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $2,018.29 | $2,883.27 | 3.7× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) | $29,540 | $42,200 | 4.1× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) | $13,300 | $19,000 | 4.0× |
| Shoulder arthroscopy diagnostic (29805) | $13,755 | $19,650 | 4.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $366.10 | $523 | 1.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $327.60 | $468 | 1.6× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $833.49 | $1,190.70 | 4.1× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $1,426.60 | $2,038 | 1.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $337.94 | $482.77 | 1.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $242.26 | $346.08 | 1.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $292.22 | $417.46 | 1.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$104.34–$332.09 | $149.05–$474.41 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $454.23 | $648.90 | 2.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$269.51 | $13.49–$385.01 | 1.3× |
| Skin sub graft face/nk/hf/g (15275) | $316.40 | $452 | 0.4× |
| Skin sub graft trnk/arm/leg (15271) | $7.14 | $10.20 | 0.0× |
| Skin sub grft t/arm/lg child (15273) | $7.25 | $10.35 | 0.0× |
| Skin Tissue Procedure (17999) | $223.33 | $319.04 | 1.1× |
| Skn sub grft f/n/hf/g child (15277) | $7.63 | $10.90 | 0.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $228.63 | $326.61 | 1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 3 matching MRF lines |
$302.82–$1,750 | $432.60–$2,500 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $427.74 | $611.05 | 1.0× |
| Spinal puncture lumbar diagnostic (62270) range across 3 matching MRF lines |
$330.37–$1,068.20 | $471.96–$1,526 | varies |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $4.89 | $6.99 | 0.0× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $4.70 | $6.71 | 0.0× |
| Strapping ankle (29540) | $132.48 | $189.26 | 0.8× |
| Strapping elbow or wrist (29260) | $132.48 | $189.26 | 2.2× |
| Strapping hand/finger (29280) | $132.48 | $189.26 | 2.2× |
| Strapping knee (29530) | $148.38 | $211.97 | 1.1× |
| Strapping shoulder (29240) | $132.48 | $189.26 | 1.0× |
| Strapping toes (29550) | $132.48 | $189.26 | 2.2× |
| Strapping Unna Boot (29580) | $5.82 | $8.32 | 0.0× |
| Surg Implnt Neuroelect,Epidural (63655) range across 2 matching MRF lines |
$3,107.03–$86,528.13 | $4,438.61–$123,611.62 | varies |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) | $4,550 | $6,500 | 1.6× |
| Suture infrapatellar tendon primary (27380) | $30,590 | $43,700 | 4.2× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) | $29,575 | $42,250 | 4.1× |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$129.50–$370.55 | $185–$529.35 | varies |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $5.73 | $8.19 | 0.0× |
| Thrombolytic Therapy Stroke (37195) range across 2 matching MRF lines |
$620.78–$630.88 | $886.83–$901.25 | varies |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) range across 2 matching MRF lines |
$189–$7,980 | $270–$11,400 | varies |
| Tnot elbow lateral/medial debride open (24358) | $13,300 | $19,000 | 4.0× |
| Total Knee Arthroplasty (27447) | $49,700 | $71,000 | 3.9× |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) range across 2 matching MRF lines |
$442.57–$4,522.70 | $632.24–$6,461 | varies |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) | $3.50 | $5 | 0.0× |
| Treat Big Toe Fracture (28505) | $13,370 | $19,100 | 4.1× |
| Treat elbow fracture (24586) | $56,893.90 | $81,277 | 4.4× |
| Treat Finger Fracture Each (26727) range across 2 matching MRF lines |
$13,076–$14,265.22 | $18,680–$20,378.88 | varies |
| Treat fracture radius/ulna (25575) | $30,590 | $43,700 | 4.2× |
| Treat Fx Rad Extra-Articul (25607) | $29,050 | $41,500 | 4.0× |
| Treat humerus fracture (23600) | $352.03 | $502.90 | 1.4× |
| Treat Kneecap Fracture (27524) | $28,945 | $41,350 | 4.0× |
| Treat Knuckle Dislocation (26700) | $394.42 | $563.46 | 1.6× |
| Treat Metatarsal Fracture (28475) | $296.01 | $422.87 | 1.2× |
| Treat toe dislocation (28630) | $175.64 | $250.91 | 0.7× |
| Treatment closed elbow dislocation w/o anes (24600) | $289.84 | $414.06 | 1.2× |
| Treatment of foot infection (28003) | $13,300 | $19,000 | 4.0× |
| Treatment of penis lesion (54115) range across 2 matching MRF lines |
$1,569.30–$10,423.30 | $2,241.86–$14,890.43 | varies |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$3.50–$20.92 | $5–$29.88 | varies |
| Trim skin lesions 2 to 4 (11056) | $3.50 | $5 | 0.0× |
| Trim skin lesions over 4 (11057) | $3.56 | $5.09 | 0.0× |
| Trimming Nondystrophic Nails Any Number (11719) | $3.65 | $5.22 | 0.1× |
| Tubal ligation (58600) | $2,611.83 | $3,731.18 | 0.8× |
| Tx Gastro Intub W/Asp (43753) | $93.88 | $134.11 | 0.4× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) | $37,800 | $54,000 | 2.9× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) range across 2 matching MRF lines |
$150.76–$2,034.19 | $215.37–$2,905.99 | varies |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) | $28,700 | $41,000 | 3.9× |
| Tx Missed Abortion First Trimester Surgical (59820) | $2,190.15 | $3,128.78 | 0.7× |
| Tx Missed Abortion Second Trimester Surgical (59821) | $2,346.86 | $3,352.65 | 0.7× |
| Tx open tendon flexor toe 1 tendon spx (28232) range across 2 matching MRF lines |
$6,580–$6,650 | $9,400–$9,500 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $581.41 | $830.59 | 0.8× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) | $56,893.90 | $81,277 | 4.4× |
| Unlisted hysteroscopy procedure, uterus (58579) | $805 | $1,150 | 4.0× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) range across 2 matching MRF lines |
$1,127–$24,080 | $1,610–$34,400 | varies |
| Unlisted procedure anus (46999) | $3,850 | $5,500 | 4.1× |
| Unlisted Procedure Casting/Strapping (29799) | $257.95 | $368.50 | 1.6× |
| Unlisted procedure nervous system (64999) range across 6 matching MRF lines |
$245–$840 | $350–$1,200 | varies |
| Unlisted procedure spine (22899) | $980 | $1,400 | 4.0× |
| Unlisted Procedure Vascular Surgery (37799) | $1,562.40 | $2,232 | 2.5× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $1,750 | $2,500 | 1.9× |
| Unlisted px female genital system nonobstetrical (58999) range across 2 matching MRF lines |
$175–$840 | $250–$1,200 | varies |
| Vaginal Delivery After Cesarean Delivery (59612) | $3.50 | $5 | 0.0× |
| Vaginal delivery only (59409) range across 2 matching MRF lines |
$3.50–$24.45 | $5–$34.93 | varies |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $8,400 | $12,000 | 4.0× |
| Wound Prep F/N/Hf/G (15004) | $863.10 | $1,233 | 2.1× |
| Wound Prep Trk/Arm/Leg (15002) | $4.43 | $6.33 | 0.0× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.