Procedures & surgery prices at Faith Health

Norfolk, NE · every code in this section with a posted price and a Medicare benchmark.

1098 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 3 matching MRF lines		 $1,329.60–$3,026.99 $2,169–$4,938 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $1,340.63–$1,407.45 $2,187–$2,296 varies
Ablate inf turbinate submuc (30802) $1,481.62 $2,417 0.9×
Ablate Pulm Tumor Perq Crybl (32994) $16,915.74 $27,595 1.5×
Ablation 1/> liver tumor perq cryoablation (47383) $16,915.74 $27,595 1.5×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
likely a partial charge, not the full procedure		 $1,125.06 $1,835.34 0.1×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $11,547.08 $18,837 1.5×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801)
range across 4 matching MRF lines		 $1,279.02–$3,449.35 $2,086.50–$5,627 varies
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $2,606.48 $4,252 1.2×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $4,736.65 $7,727 1.3×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $3,214.57 $5,244 1.5×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)
range across 2 matching MRF lines		 $1,471.20–$1,748.28 $2,400–$2,852 varies
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $733.15 $1,196 0.3×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $3,720.91 $6,070 1.7×
Amniocentesis diagnostic (59000) $1,401.32 $2,286 1.5×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 6 matching MRF lines		 $722.29–$2,890.54 $1,178.28–$4,715.40 varies
Amputate Metacarpal Bone (26910) $4,025.57 $6,567 1.2×
Amputation foot transmetarsal (28805)
range across 2 matching MRF lines		 $1,198.82–$2,551.31 $1,955.66–$4,162 varies
Amputation toe interphalangeal joint (28825)
range across 8 matching MRF lines		 $682.51–$2,554.37 $1,113.40–$4,167 varies
Amputation toe metatarsophalangeal joint (28820)
range across 7 matching MRF lines		 $1,487.75–$2,665.94 $2,427–$4,349 varies
Anal/Urinary Muscle Study (51784) $204.74 $334 1.5×
Anoscopy diagnostic (46600) $589.71 $962 4.3×
Anterior colporraphy rpr cystocele w/cysto (57240) $3,480 $5,677 0.7×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $479.37 $782 2.8×
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines		 $407.03–$427.26 $664–$697 varies
Application Cast Finger (29086) $254.40 $415 1.5×
Application Finger Splint Dynamic (29131)
range across 2 matching MRF lines		 $107.89–$114.02 $176–$186 varies
Application finger splint static (29130)
range across 4 matching MRF lines		 $96.24–$158.77 $157–$259 varies
Application long arm splint shoulder hand (29105)
range across 4 matching MRF lines		 $247.04–$259.30 $403–$423 varies
Application Long Leg Splint (29505) $445.65 $727 2.6×
Application of long leg cast (29345) $334.09 $545 1.2×
Application of rigid total contact leg cast (29445)
range across 4 matching MRF lines		 $198–$785.87 $323–$1,282 varies
Application Short Arm Splint Dynamic (29126) $207.81 $339 1.5×
Application short arm splint forearm-hand static (29125)
range across 4 matching MRF lines		 $181.75–$228.65 $296.50–$373 varies
Application short leg splint calf foot (29515)
range across 4 matching MRF lines		 $213.32–$234.17 $348–$382 varies
Apply hand/wrist cast (29085) $258.07 $421 1.5×
Apply long arm cast (29065) $416.23 $679 1.4×
Apply Multlay Comprs Lwr Leg (29581)
range across 4 matching MRF lines		 $451.78–$1,252.97 $737–$2,044 varies
Apply Short Leg Cast (29405) $424.81 $693 1.5×
Apply short leg cast (29425)
range across 4 matching MRF lines		 $425.42–$748.47 $694–$1,221 varies
Arterial puncture (36600)
range across 4 matching MRF lines		 $184.51–$369.03 $301–$602 varies
Arteriovenous Anastomosis Open Direct (36821)
range across 2 matching MRF lines		 $3,204.15–$6,453.05 $5,227–$10,527 varies
Artery-vein autograft (36825) $8,030.30 $13,100 1.4×
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551)
likely a partial charge, not the full procedure		 $1,602.54 $2,614.25 0.1×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
range across 3 matching MRF lines		 $2,343.09–$4,145.72 $3,822.33–$6,763 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 6 matching MRF lines		 $251.94–$886.40 $411–$1,446 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $196.77 $321 0.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 12 matching MRF lines		 $337.76–$1,286.07 $551–$2,098 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 3 matching MRF lines		 $363.20–$475.08 $592.50–$775 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 7 matching MRF lines		 $221.91–$465.88 $362–$760 varies
Arthrodesis ankle open (27870)
range across 2 matching MRF lines		 $7,376.84–$16,250.63 $12,034–$26,510 varies
Arthrodesis great toe interphalangeal joint (28755)
range across 2 matching MRF lines		 $4,192.92–$4,420.34 $6,840–$7,211 varies
Arthrodesis great toe metatarsophalangeal joint (28750)
range across 4 matching MRF lines		 $2,254–$4,892.97 $3,677–$7,982 varies
Arthrodesis sacroiliac joint percutaneous (27279)
likely a partial charge, not the full procedure		 $2,366.79 $3,861 0.1×
Arthrodesis subtalar (28725)
range across 2 matching MRF lines		 $2,929.68–$3,775.16 $4,779.25–$6,158.50 varies
Arthrodesis Wrist Complete W/O Bone Graft (25800)
unusually low: confirm this is the full procedure		 $2,340.13 $3,817.50 0.3×
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810)
likely a partial charge, not the full procedure		 $1,136.13 $1,853.40 0.1×
Arthroplasty ankle revision total ankle (27703) $9,208.18 $15,021.50 0.5×
Arthroplasty Ankle W/Implant (27702)
range across 2 matching MRF lines		 $3,634.17–$8,947.35 $5,928.50–$14,596 varies
Arthroplasty glenohumeral joint total shoulder (23472)
range across 2 matching MRF lines		 $10,046.46–$12,122.69 $16,389–$19,776 varies
Arthroplasty Radial Head W/Implant (24366)
likely a partial charge, not the full procedure		 $1,495.11 $2,439 0.1×
Arthroscopy Ankle Surgical Debridement Extensive (29898)
range across 2 matching MRF lines		 $3,107.60–$5,233.18 $5,069.50–$8,537 varies
Arthroscopy Knee Synovectomy 2/>Compartments (29876)
range across 2 matching MRF lines		 $2,188.10–$2,295.38 $3,569.50–$3,744.50 varies
Arthroscopy knee synovectomy limited spx (29875)
range across 2 matching MRF lines		 $4,248.09–$4,314.91 $6,930–$7,039 varies
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $3,579.31 $5,839 1.1×
Arthroscopy shoulder distal claviculectomy (29824)
range across 2 matching MRF lines		 $3,268.52–$4,866.61 $5,332–$7,939 varies
Arthroscopy shoulder surgical capsulorrhaphy (29806)
range across 2 matching MRF lines		 $6,638.18–$7,196.01 $10,829–$11,739 varies
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $1,942.90 $3,169.50 0.6×
Arthroscopy, knee, surgical; with lateral release (29873) $1,729.58 $2,821.50 0.5×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883)
range across 2 matching MRF lines		 $3,846.88–$5,142.46 $6,275.50–$8,389 varies
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882)
range across 3 matching MRF lines		 $1,988.88–$5,906.87 $3,244.50–$9,636 varies
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
range across 3 matching MRF lines		 $1,734.58–$3,073.89 $2,829.66–$5,014.50 varies
Arthroscopy, shoulder, surgical; debridement, extensive (29823)
range across 4 matching MRF lines		 $1,638.09–$5,111.81 $2,672.25–$8,339 varies
Arthroscopy, shoulder, surgical; debridement, limited (29822)
range across 2 matching MRF lines		 $3,487.66–$3,955.69 $5,689.50–$6,453 varies
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
range across 2 matching MRF lines		 $3,365.98–$7,511.70 $5,491–$12,254 varies
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 3 matching MRF lines		 $1,734.58–$2,722.12 $2,829.66–$4,440.66 varies
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846)
range across 2 matching MRF lines		 $1,714.15–$1,724.98 $2,796.33–$2,814 varies
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
range across 2 matching MRF lines		 $9,400.97–$10,615.32 $15,336–$17,317 varies
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
range across 2 matching MRF lines		 $4,447.93–$7,238.92 $7,256–$11,809 varies
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $1,659.19 $2,706.68 0.5×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879)
range across 2 matching MRF lines		 $1,729.58–$3,426.06 $2,821.50–$5,589 varies
Arthrs knee debridement/shaving artclr crtlg (29877) $3,609.96 $5,889 1.1×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880)
range across 2 matching MRF lines		 $4,378.05–$5,224.60 $7,142–$8,523 varies
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $5,221.53 $8,518 1.5×
Artificial insemination intra-cervical (58321)
range across 2 matching MRF lines		 $457.30–$484.88 $746–$791 varies
Artificial insemination intra-uterine (58322) $321.83 $525 1.5×
Aspirate pleura w/ imaging (32555)
range across 4 matching MRF lines		 $1,283.01–$1,911.95 $2,093–$3,119 varies
Aspirate Pleura W/O Imaging (32554) $928.08 $1,514 1.4×
Aspirate/Inj Ganglion Cyst (20612) $475.08 $775 1.5×
Aspiration and/or injection thyroid cyst (60300) $1,132.21 $1,847 1.5×
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines		 $3,074.81–$3,609.96 $5,016–$5,889 varies
Av Fistula Revision Open (36832) $8,057.27 $13,144 1.4×
Avulsion nail plate partial/complete simple 1 (11730)
range across 6 matching MRF lines		 $275.85–$1,160.72 $450–$1,893.50 varies
Biopsy Abdominal Mass (49180)
range across 3 matching MRF lines		 $1,827.97–$3,655.93 $2,982–$5,964 varies
Biopsy bone open deep (20245) $2,711.91 $4,424 0.9×
Biopsy bone open superficial (20240)
range across 2 matching MRF lines		 $6,093.22–$6,397.88 $9,940–$10,437 varies
Biopsy bone trocar/needle deep (20225)
range across 2 matching MRF lines		 $2,431.77–$2,628.54 $3,967–$4,288 varies
Biopsy Bone Trocar/Needle Superficial (20220) $2,628.54 $4,288 1.5×
Biopsy external ear (69100) $291.18 $475 1.2×
Biopsy muscle percutaneous needle (20206)
range across 2 matching MRF lines		 $2,483.26–$2,607.70 $4,051–$4,254 varies
Biopsy Muscle Superficial (20200) $2,607.70 $4,254 1.5×
Biopsy of floor of mouth (41108) $1,471.20 $2,400 0.9×
Biopsy of lip (40490) $120.15 $196 0.5×
Biopsy of liver, needle; percutaneous (47000)
range across 5 matching MRF lines		 $1,409.29–$2,818.57 $2,299–$4,598 varies
Biopsy of palate, uvula (42100)
range across 2 matching MRF lines		 $792–$1,226 $1,292–$2,000 varies
Biopsy Oropharynx (42800)
range across 3 matching MRF lines		 $693.61–$2,468.55 $1,131.50–$4,027 varies
Biopsy Pleura Percutaneous Needle (32400)
range across 2 matching MRF lines		 $1,061.72–$1,115.05 $1,732–$1,819 varies
Biopsy Prostate Transrectal Ultrasound-Guided (55707) $2,243.58 $3,660 0.6×
Biopsy Salivary Gland Incisional (42405) $2,579.50 $4,208 1.6×
Biopsy Soft Tissue Back/Flank Superficial (21920) $2,431.77 $3,967 1.4×
Biopsy soft tissue neck/thorax (21550) $2,431.77 $3,967 1.4×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $1,233.97 $2,013 0.7×
Biopsy soft tissue thigh/knee area superficial (27323) $2,607.70 $4,254 1.5×
Biopsy Tongue Anterior Two-Thirds (41100)
range across 2 matching MRF lines		 $613–$834.29 $1,000–$1,361 varies
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $1,401.32 $2,286 1.5×
Biopsy, vestibule of mouth (40808) $363.51 $593 0.6×
Biopsy/removal lymph nodes (38510)
range across 2 matching MRF lines		 $1,711.70–$2,136.31 $2,792.33–$3,485 varies
Bladder instillation anticarcinogenic agent (51720)
range across 3 matching MRF lines		 $1,134.66–$2,429.01 $1,851–$3,962.50 varies
Bladder Irrigation (51700) $365.35 $596 1.4×
Bladder Scan (51798)
range across 2 matching MRF lines		 $155.70–$177.16 $254–$289 varies
Blood Transfusion Service (36430)
range across 3 matching MRF lines		 $772.38–$1,622 $1,260–$2,646 varies
Blood/Lymph System Procedure (38999)
range across 2 matching MRF lines		 $1,134.66–$2,551.92 $1,851–$4,163 varies
Bone Graft Any Donor Area Minor/Small (20900)
unusually low: confirm this is the full procedure		 $3,024.24 $4,933.50 0.4×
Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Facility (20962)
range across 2 matching MRF lines		 $2,202.75–$3,691.29 $3,593.40–$6,021.68 varies
Bone Marrow Biopsy (38221)
range across 3 matching MRF lines		 $983.25–$1,032.29 $1,604–$1,684 varies
Bone Marrow; Aspiration Only (38220) $2,607.70 $4,254 1.5×
Breast Reduction (19318)
range across 3 matching MRF lines		 $1,780.97–$8,934.48 $2,905.33–$14,575 varies
Brnchsc Brushing/Protected Brushings (31623)
range across 3 matching MRF lines		 $700.78–$3,069.87 $1,143.20–$5,007.95 varies
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652)
range across 3 matching MRF lines		 $1,763.60–$5,470.99 $2,877–$8,924.95 varies
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $5,081.16 $8,289 1.3×
Bronchoscopy W/Biopsy(S) (31625) $5,787.92 $9,441.95 3.1×
Bronchoscopy W/Removal Foreign Body (31635) $2,775.66 $4,528 1.5×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628)
range across 2 matching MRF lines		 $2,153.47–$2,168.49 $3,513–$3,537.50 varies
Bronchoscopy/Needle Bx Each (31629) $700.76 $1,143.16 0.2×
Bx breast 1st lesion mr imag (19085) $2,431.77 $3,967 1.4×
Bx breast 1st lesion strtctc (19081)
range across 4 matching MRF lines		 $1,480.40–$2,607.70 $2,415–$4,254 varies
Bx breast 1st lesion us imag (19083) $2,607.70 $4,254 1.5×
Bx Cervix (57500) $1,340.02 $2,186 1.4×
Bx prostate in-bore CT/MRI trgt les only 1st (55714) $3,413.18 $5,568 0.6×
Bx prostate tprnl MRI-us gid trgt les 1st (55712) $2,243.58 $3,660 0.6×
Bx prostate transperineal ultrasound-guided (55709) $2,243.58 $3,660 0.6×
Bx prostate transrectal MRI-us gid trgt les 1st (55711) $2,243.58 $3,660 0.6×
Bx prst8 in-bore CT/MRI bx 1 (55713) $3,413.18 $5,568 0.6×
Bx prst8 tprn us w/MRI fus 1 (55710) $2,243.58 $3,660 0.6×
Bx prst8 trct us w/MRI fus 1 (55708) $2,243.58 $3,660 0.6×
Bx/exc lymph node open deep axillary node (38525)
range across 4 matching MRF lines		 $425.73–$3,315.72 $694.50–$5,409 varies
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270)
range across 5 matching MRF lines		 $742.12–$2,437.08 $1,210.63–$3,975.66 varies
Capsulectomy/capsulotomy mtcarphlngl joint each (26520) $2,286.03 $3,729.25 0.7×
Capsulotomy wrist (25085) $1,174.97 $1,916.75 0.3×
Carpal Tunnel Surgery (64721)
range across 5 matching MRF lines		 $860.96–$2,049.26 $1,404.50–$3,343 varies
Catheter aspiration nasotracheal spx (31720) $305.89 $499 1.3×
Cessj Therapy Cath Removal (37214) $4,724.39 $7,707 1.4×
Change Cystostomy Tube Complicated (51710) $2,905.62 $4,740 4.0×
Change Cystostomy Tube Simple (51705)
range across 3 matching MRF lines		 $375.16–$1,845.44 $612–$3,010.50 varies
Chemical Cautery Tissue (17250)
range across 3 matching MRF lines		 $319.99–$515.53 $522–$841 varies
Chemodenerv 1 extrem 5/> mus (64644) $615.45 $1,004 0.8×
Chemodenerv 1 extremity 1-4 (64642) $610.55 $996 0.8×
Chemodenerv Musc Migraine (64615) $473.24 $772 1.5×
Chemodenerv musc neck dyston (64616)
range across 3 matching MRF lines		 $473.24–$561.92 $772–$916.68 varies
Chemodenerv Parotid&Submandibl Salivary Glnds (64611)
range across 2 matching MRF lines		 $473.24–$497.14 $772–$811 varies
Chemodenerv trunk musc 1-5 (64646)
range across 2 matching MRF lines		 $561.91–$601.97 $916.66–$982 varies
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $234.78 $383 0.7×
Chest tube placement (32551)
range across 2 matching MRF lines		 $2,684.33–$2,818.57 $4,379–$4,598 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $5,296.32 $8,640 1.4×
Circumcision 28 days or older (54161) $2,184.73 $3,564 1.0×
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines		 $1,330.21–$2,928.30 $2,170–$4,777 varies
Cl Tx Tib Shft Fx W Manip (27752) $1,416.03 $2,310 0.8×
Claviculectomy partial (23120)
range across 2 matching MRF lines		 $2,157.36–$2,242.66 $3,519.34–$3,658.50 varies
Clear outer ear canal (69200) $193.71 $316 1.4×
Closed Rx Metacarpal Fx,Percut (26608) $1,796.70 $2,931 0.5×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)
range across 2 matching MRF lines		 $891.92–$946.17 $1,455–$1,543.50 varies
Closed treatment of posterior malleolus fracture; with manipulation (27768) $2,575.83 $4,202 1.5×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $386.19 $630 1.5×
Closed Treatment Ulnar Styloid Fracture (25650) $386.19 $630 1.5×
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $343.28–$360.44 $560–$588 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $2,402.35 $3,919 1.4×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines		 $364.12–$382.51 $594–$624 varies
Closed tx knee dislocation w/o anesthesia (27550) $360.44 $588 1.4×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $3,769.64 $6,149.50 1.1×
Closed tx patellar dislocation w/anesthesia (27562) $1,733.56 $2,828 6.8×
Closed tx patellar dislocation w/o anesthesia (27560)
range across 3 matching MRF lines		 $343.28–$360.44 $560–$588 varies
Closed tx radial head/neck fx w/manipulation (24655) $2,575.83 $4,202 1.5×
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $344.51–$361.67 $562–$590 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $392.32 $640 1.5×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $2,402.35 $3,919 1.4×
Closed tx radial&ulnar shaft fractures w/o man (25560) $386.19 $630 1.5×
Closed Tx Scapular Fracture W/O Manipulation (23570) $135.47 $221 0.5×
Closed tx talotarsal joint dislc w/o anes (28570) $360.44 $588 1.4×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $399.06 $651 1.6×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 3 matching MRF lines		 $419.29–$440.13 $684–$718 varies
Closed tx ulnar shaft fracture w/o manipulation (25530) $343.28 $560 1.3×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830)
range across 2 matching MRF lines		 $373.93–$1,479.37 $610–$2,413.33 varies
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $841.65 $1,373 1.5×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $1,099.11–$2,575.83 $1,793–$4,202 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $360.44 $588 1.4×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $2,575.83 $4,202 1.5×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $964.25 $1,573 3.8×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 3 matching MRF lines		 $3,339.01–$3,505.75 $5,447–$5,719 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $386.19 $630 1.5×
Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) $2,575.83 $4,202 1.5×
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $367.80–$386.19 $600–$630 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $360.44 $588 1.4×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $367.80–$386.19 $600–$630 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $543.12 $886 2.1×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 3 matching MRF lines		 $1,072.14–$2,402.35 $1,749–$3,919 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432)
range across 2 matching MRF lines		 $3,109.75–$3,265.45 $5,073–$5,327 varies
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $2,575.83 $4,202 1.5×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $386.19 $630 1.5×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $2,575.83 $4,202 1.5×
Cltx hip dislocation traumatic req anesthesia (27252) $2,402.35 $3,919 1.4×
Cltx hip dislocation traumatic w/o anesthesia (27250) $360.44 $588 1.4×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $647.94 $1,057 2.5×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $571.32 $932 2.2×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $360.44 $588 1.4×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,666.13 $2,718 5.7×
Cltx iphal jt dislc w/manj w/o anes (26770) $388.64 $634 1.5×
Cltx metacarpal fx w/manipulation each bone (26605) $264.82 $432 1.0×
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 4 matching MRF lines		 $701.89–$1,473.65 $1,145–$2,404 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $474.46 $774 1.9×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 3 matching MRF lines		 $309.57–$380.67 $505–$621 varies
Cltx post hip arthrp dislc req anes (27266)
range across 3 matching MRF lines		 $660.81–$2,402.35 $1,078–$3,919 varies
Cltx post hip arthrp dislc w/o anes (27265) $360.44 $588 1.4×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $360.44 $588 1.4×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $2,575.83 $4,202 1.5×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $2,575.83 $4,202 1.5×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines		 $565.19–$593.38 $922–$968 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $2,575.83 $4,202 1.5×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $5,221.53 $8,518 1.5×
Cltx tibial fx proximal w/o manipulation (27530) $386.19 $630 1.5×
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $2,287.72–$2,402.35 $3,732–$3,919 varies
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines		 $123.21–$184.51 $201–$301 varies
Collection of venous blood by venipuncture (36415)
range across 4 matching MRF lines		 $32.49–$68.66 $53–$112 varies
Colonoscopy thru stoma (44388) $2,542.72 $4,148 2.6×
Colonoscopy W/Band Ligation (45398)
range across 4 matching MRF lines		 $718.94–$2,168.18 $1,172.82–$3,537 varies
Colonoscopy w/fb removal (45379) $2,859.65 $4,665 2.3×
Colonoscopy W/Resection (45390)
range across 3 matching MRF lines		 $642.33–$3,946.49 $1,047.85–$6,438 varies
Colonoscopy w/submucosal inj (45381)
range across 4 matching MRF lines		 $450.92–$2,116.48 $735.60–$3,452.66 varies
Colporrhaphy (57200) $2,913.90 $4,753.50 0.9×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454)
range across 2 matching MRF lines		 $484.27–$1,121.79 $790–$1,830 varies
Colposcopy Cervix Endocervical Curettage (57456) $183.90 $300 0.6×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $3,218.25 $5,250 10.2×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $1,636.71 $2,670 0.5×
Colposcopy entire vagina w/cervix if present (57420) $589.71 $962 1.9×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $2,680.65 $4,373 2.8×
Colsc Flexible W/Control Bleeding Any Method (45382)
range across 4 matching MRF lines		 $627.93–$1,156.12 $1,024.35–$1,886 varies
Colsc Flexible W/Transendoscopic Balloon Dilat (45386)
range across 2 matching MRF lines		 $608.72–$877.06 $993.01–$1,430.77 varies
Combined anteroposterior colporrhaphy; (57260) $3,970.40 $6,477 0.8×
Complex drainage wound (10180)
range across 2 matching MRF lines		 $5,737.68–$5,743.81 $9,360–$9,370 varies
Conization cervix w/wo d&c rpr eltrd exc (57522)
range across 2 matching MRF lines		 $2,109.33–$3,865.58 $3,441–$6,306 varies
Conization of cervix (57520) $2,078.68 $3,391 0.6×
Control Nasal Hemorrhage Anterior Complex (30903) $217.62 $355 1.6×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 6 matching MRF lines		 $174.09–$1,843.29 $284–$3,007 varies
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132)
range across 2 matching MRF lines		 $8,312.28–$8,341.09 $13,560–$13,607 varies
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $2,847.39 $4,645 1.4×
Convert Nephrostomy Catheter (50434) $3,074.81 $5,016 1.4×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 3 matching MRF lines		 $1,599.93–$2,628.54 $2,610–$4,288 varies
Correction hammertoe (28285)
range across 9 matching MRF lines		 $742.12–$4,270.77 $1,210.63–$6,967 varies
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $5,895.22 $9,617 1.7×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
range across 4 matching MRF lines		 $2,149.69–$5,557.46 $3,506.83–$9,066 varies
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
likely a partial charge, not the full procedure		 $803.64 $1,311 0.1×
Create Eardrum Opening (69433)
range across 2 matching MRF lines		 $346.35–$627.10 $565–$1,023 varies
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) $3,011.98 $4,913.50 0.5×
Cryosurgical Ablation Fibroadenoma, Each (19105) $6,230.53 $10,164 1.5×
Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) $15,064.48 $24,575 1.5×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $193.71 $316 1.4×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $373.93 $610 1.5×
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $1,728.66 $2,820 0.5×
Curettage postpartum (59160) $1,261.55 $2,058 0.4×
Cysto Bladder W/Ureteral Catheterization (52005) $3,143.46 $5,128 1.4×
Cysto calibration dilat urtl strix/stenosis (52281)
range across 2 matching MRF lines		 $3,152.05–$4,347.40 $5,142–$7,092 varies
Cysto w/destruction of lesions (52214) $3,063.16 $4,997 0.8×
Cysto w/insert ureteral stent (52332)
range across 6 matching MRF lines		 $2,692.91–$3,330.43 $4,393–$5,433 varies
Cysto w/removal of tumors small (52234) $2,193.31 $3,578 0.6×
Cysto W/Simple Removal Stone & Stent (52310)
range across 2 matching MRF lines		 $2,839.42–$3,182.39 $4,632–$5,191.50 varies
Cysto w/ureteroscopy w/rmvl/manj stones (52352)
range across 4 matching MRF lines		 $1,578.84–$3,240.93 $2,575.60–$5,287 varies
Cysto w/urtroscopy w/tx ureteral stricture (52344) $5,550.10 $9,054 1.5×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351)
range across 2 matching MRF lines		 $2,629.16–$2,887.84 $4,289–$4,711 varies
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
range across 2 matching MRF lines		 $2,480.20–$2,613.01 $4,046–$4,262.66 varies
Cysto/uretero w/lithotripsy (52356)
range across 3 matching MRF lines		 $5,312.87–$7,730.54 $8,667–$12,611 varies
Cystometrogram W/Vp (51728) $1,109.53 $1,810 1.5×
Cystouretero w/renal strict (52346)
unusually low: confirm this is the full procedure		 $2,112.40 $3,446 0.4×
Cystourethroscopy (52000)
range across 3 matching MRF lines		 $1,099.11–$2,735.82 $1,793–$4,463 varies
Cystourethroscopy inj chemodenervation bladder (52287) $2,680.65 $4,373 1.2×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $4,624.47 $7,544 1.3×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $4,920.55 $8,027 0.9×
Cystourethroscopy with biopsy (52204)
range across 2 matching MRF lines		 $2,123.43–$2,613.02 $3,464–$4,262.68 varies
Cystourethroscopy with direct vision internal urethrotomy (52276) $3,987.57 $6,505 1.8×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 4 matching MRF lines		 $858.20–$1,969.88 $1,400–$3,213.50 varies
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $671.24 $1,095 0.9×
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $5,221.53 $8,518 1.5×
Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) $4,869.67 $7,944 1.4×
Dcmprn fasct leg post compartment only (27601)
range across 2 matching MRF lines		 $803.64–$851.84 $1,311–$1,389.62 varies
Dcmprn perq prtl rmvl liga flavm bi 1ntrspc lmbr (62330) $11,547.08 $18,837 1.5×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 4 matching MRF lines		 $1,926.66–$2,864.55 $3,143–$4,673 varies
Debride nail 1-5 (11720)
range across 3 matching MRF lines		 $99.31–$185.74 $162–$303 varies
Debride nail 6 or more (11721) $185.74 $303 3.0×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 3 matching MRF lines		 $4,113.84–$4,123.04 $6,711–$6,726 varies
Debridement Mastoidectomy Cavity Cmplx (69222) $858.20 $1,400 1.5×
Debridement Mastoidectomy Cavity Simple (69220) $126.28 $206 0.6×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 8 matching MRF lines		 $751.23–$2,770.15 $1,225.50–$4,519 varies
Declot vascular device (36593) $548.02 $894 1.6×
Decomp forearm,1 compart,w/o debride (25020) $2,575.83 $4,202 1.5×
Decompress Spinal Cord Lmbr (63056)
unusually low: confirm this is the full procedure		 $3,462.53 $5,648.50 0.5×
Deep Muscle Biopsy (20205)
range across 2 matching MRF lines		 $4,386.63–$4,606.08 $7,156–$7,514 varies
Destroy cerv/thor facet jnt (64633) $1,658.78 $2,706 0.8×
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines		 $664.80–$1,193.20 $1,084.50–$1,946.50 varies
Destruct B9 Lesion 1-14 (17110) $104.82 $171 0.5×
Destruction neurolytic agt genicular nerve w/img (64624) $3,142.24 $5,126 1.5×
Destruction premalignant lesion 1st (17000) $144.67 $236 0.7×
Dilat Urethral Strix Dilator Male Sbsq (53601) $310.79 $507 2.2×
Dilate Urethra Stricture (53600) $391.71 $639 1.5×
Dilation & curettage dx&/ther nonobstetric (58120) $1,387.22 $2,263 0.4×
Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075)
likely a partial charge, not the full procedure		 $1,018.98 $1,662.28 0.1×
Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975)
range across 2 matching MRF lines		 $1,466.91–$2,775.66 $2,393–$4,528 varies
Drain Hand Tendon Sheath (26020) $2,074.39 $3,384 0.6×
Drain/inj small joint/bursa w/us (20604) $522.89 $853 1.6×
Drainage external auditory canal abscess (69020) $1,126.69 $1,838 1.5×
Drainage external ear abscess/hematoma cmplx (69005)
range across 2 matching MRF lines		 $1,593.80–$2,628.54 $2,600–$4,288 varies
Drainage External Ear Abscess/Hematoma Simple (69000) $1,056.20 $1,723 1.4×
Drainage Finger Abscess Complicated (26011) $693.61 $1,131.50 0.4×
Drainage Mouth Roof Lesion (42000) $377 $615 1.5×
Drainage of finger abscess simple (26010) $298.53 $487 1.4×
Drainage of gum lesion (41800) $248.88 $406 1.8×
Drainage of hematoma/fluid (10140)
range across 3 matching MRF lines		 $1,461.55–$4,113.84 $2,384.25–$6,711 varies
Drainage of scrotal wall abscess (55100) $2,607.70 $4,254 1.5×
Drainage of scrotum (54700) $2,529.85 $4,127 1.2×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines		 $120.15–$126.28 $196–$206 varies
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $1,056.20 $1,723 1.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $994.90 $1,623 2.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $319.99–$515.53 $522–$841 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $319.99–$515.53 $522–$841 varies
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 3 matching MRF lines		 $689.01–$2,067.04 $1,124–$3,372 varies
Dx Bone Marrow Bx & Aspir (38222) $2,428.71 $3,962 0.8×
Dx Bronchoscope/Lavage (31624)
range across 3 matching MRF lines		 $3,223.77–$4,571.11 $5,259–$7,456.95 varies
Dx Bronchoscope/Wash (31622) $2,775.66 $4,528 1.5×
Dx Laryngoscopy Excl Nb (31525) $2,659.19 $4,338 1.4×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,039.65 $1,696 1.4×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $2,615.06 $4,266 1.3×
Egd control bleeding any (43255)
range across 4 matching MRF lines		 $249.69–$1,086.54 $407.33–$1,772.50 varies
Egd dilation gastric/duodenal stricture (43245) $2,208.70 $3,603.10 1.1×
Egd Flexible Foreign Body Removal (43247) $2,468 $4,026.10 2.6×
Egd intrmural us needle aspirate/biopsy esophags (43238) $806.74 $1,316.05 0.4×
Egd lesion ablation (43270) $726.63 $1,185.36 0.4×
Egd place gastrostomy tube (43246) $1,911.06 $3,117.55 1.0×
Egd remove lesion snare (43251)
range across 2 matching MRF lines		 $726.63–$4,455.90 $1,185.36–$7,269 varies
Egd us exam duodenum/jejunum (43259) $2,197.91 $3,585.50 1.1×
Egd Varices Ligation (43244) $717.03 $1,169.70 0.4×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $335.92 $548 1.1×
Electro-Uroflowmetry First (51741) $818.97 $1,336 3.7×
Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) $8,674.56 $14,151 1.5×
Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) $8,113.06 $13,235 1.4×
Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision Facility (34111) $8,699.08 $14,191 1.5×
Endometrial Biopsy (58100)
range across 3 matching MRF lines		 $179.61–$1,902.35 $293–$3,103.34 varies
Endoscopic plantar fasciotomy (29893)
range across 4 matching MRF lines		 $1,082.19–$2,558.05 $1,765.40–$4,173 varies
Endoscopic us exam esoph (43237) $3,704.97 $6,044 1.9×
Endoscopy upper small intestine w/biopsy (44361) $818.36 $1,335 0.4×
Endoven abltj incmptnt vein xtr rf 1st vein (36475)
range across 3 matching MRF lines		 $6,319.42–$13,431.44 $10,309–$21,911 varies
Endoven ther chem adhes 1st (36482) $8,699.08 $14,191 1.5×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $4,937.10 $8,054 2.3×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $4,749.52 $7,748 2.2×
Epidural Blood Patch (62273)
range across 3 matching MRF lines		 $307.11–$1,039.65 $501–$1,696 varies
Episiotomy or vaginal repair (59300) $5,116.10 $8,346 1.5×
Ercp duct stent placement (43274)
likely a partial charge, not the full procedure		 $1,579.70 $2,577 0.3×
Ercp remove calculi/debris biliary/pancreas duct (43264) $1,579.70 $2,577 0.4×
Ercp remove forgn body duct (43275) $918.27 $1,498 0.5×
Ercp Stent Exchange W/Dilate (43276)
likely a partial charge, not the full procedure		 $830.62 $1,355 0.1×
Ercp W/Biopsy Single/Multiple (43261)
range across 3 matching MRF lines		 $724.98–$1,579.70 $1,182.68–$2,577 varies
Ercp,Sphincterotomy (43262)
range across 2 matching MRF lines		 $498.06–$918.27 $812.50–$1,498 varies
Esc i p ulcer w ostect & flap (15946) $2,206.19 $3,599 1.0×
Esophagogastroduodenoscopy Submucosal Injection (43236) $682.12 $1,112.75 0.7×
Esophagoscp Rig Trnso Inject (43192) $4,238.90 $6,915 2.1×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $184.51–$193.71 $301–$316 varies
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $1,862.29 $3,038 1.1×
Exc abdl tum deep 5 cm/> (22901) $3,220.70 $5,254 1.1×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $1,083.78–$1,720.28 $1,768–$2,806.33 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines		 $1,761.76–$2,628.54 $2,874–$4,288 varies
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125)
range across 3 matching MRF lines		 $1,529.13–$2,165.12 $2,494.50–$3,532 varies
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 2 matching MRF lines		 $1,127.92–$1,716.40 $1,840–$2,800 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 2 matching MRF lines		 $1,127.92–$3,504.52 $1,840–$5,717 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644)
range across 3 matching MRF lines		 $1,483.15–$2,628.54 $2,419.50–$4,288 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $1,766.05 $2,881 2.4×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $2,049.87 $3,344 2.8×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $2,628.54 $4,288 1.5×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,319.79 $2,153 0.8×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $1,234.89–$1,766.05 $2,014.50–$2,881 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $2,628.54 $4,288 1.5×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $1,433.19 $2,338 0.9×
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) $3,202.31 $5,224 0.9×
Exc neuroma hand/foot xcp digital nerve (64782) $1,484.89 $2,422.33 0.7×
Exc neuroma major peripheral nrv xcp sciatic (64784) $1,065.09 $1,737.50 0.5×
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410)
range across 2 matching MRF lines		 $3,633.25–$7,525.80 $5,927–$12,277 varies
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,234.89 $2,014.50 1.7×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,934.63 $3,156 1.1×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $3,711.10 $6,054 2.2×
Exc Skin Malig >4 Cm Remaindr Body (11626)
range across 2 matching MRF lines		 $459.44–$2,557.74 $749.50–$4,172.50 varies
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,969.88 $3,213.50 1.1×
Exc thigh/knee les sc 3 cm/> (27337) $1,557.94 $2,541.50 0.5×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $2,039.45 $3,327 1.6×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines		 $416.84–$1,169.60 $680–$1,908 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $1,319.79 $2,153 1.8×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $3,720.91 $6,070 1.2×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $1,417.87 $2,313 0.8×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $1,916.85 $3,127 0.6×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,387.22 $2,263 0.8×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041)
range across 2 matching MRF lines		 $1,106.88–$1,423.54 $1,805.68–$2,322.25 varies
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $1,441.78 $2,352 0.5×
Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103)
unusually low: confirm this is the full procedure		 $2,306.72 $3,763 0.3×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $5,634.08 $9,191 1.5×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $3,074.81 $5,016 1.4×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $2,847.39 $4,645 1.4×
Excis Mouth Mucosa/Sub,No Repair (40810) $3,259.93 $5,318 0.9×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $2,469.16 $4,028 1.5×
Excise excessive skin arm (15836) $4,606.08 $7,514 1.5×
Excise Wrist Tendon Sheath (25118) $2,256.45 $3,681 1.4×
Excision & Repair Eyelid < One-Fourth Lid Margin (67961) $3,754.63 $6,125 1.5×
Excision Chest Wall Tumor Including Ribs (21601) $4,606.08 $7,514 1.5×
Excision Distal Ulna Partial/Complete (25240) $1,136.13 $1,853.40 0.3×
Excision H/P/P/U Simple/Intermediate Repair (11470) $1,066.31 $1,739.50 0.4×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $1,066.31 $1,739.50 0.4×
Excision Infected Graft Extremity (35903) $7,528.87 $12,282 2.3×
Excision Lesion Tongue W/O Closure (41110) $613 $1,000 0.2×
Excision Lingual Frenum Frenectomy (41115) $2,383.96 $3,889 1.5×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,051.30 $1,715 1.4×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,588.90 $2,592 0.9×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $1,711.70 $2,792.34 0.6×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $1,234.89 $2,014.50 1.7×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,051.30 $1,715 0.6×
Excision of bartholin's gland or cyst (56740) $3,394.18 $5,537 1.0×
Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy Facility (21602)
likely a partial charge, not the full procedure		 $1,957.92 $3,194 0.3×
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 4 matching MRF lines		 $765.94–$1,761.76 $1,249.50–$2,874 varies
Excision of hydrocele; unilateral (55040) $1,449.33 $2,364.33 0.4×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) $6,974.10 $11,377 1.1×
Excision of submandibular (submaxillary) gland (42440)
range across 2 matching MRF lines		 $4,483.48–$5,440.38 $7,314–$8,875 varies
Excision olecranon bursa (24105)
range across 2 matching MRF lines		 $2,025.76–$2,046.50 $3,304.66–$3,338.50 varies
Excision Pilonidal Cyst/Sinus Complicated (11772) $2,798.96 $4,566 0.9×
Excision Pilonidal Cyst/Sinus Extensive (11771) $2,337.98 $3,814 0.8×
Excision prepatellar bursa (27340) $2,453.23 $4,002 0.7×
Excision soft tissue lesion, external auditory canal (69145) $4,945.99 $8,068.50 1.6×
Excision tendon palm flexor/extensor single each (26170) $733.15 $1,196 0.4×
Excision Thyroglossal Duct Cyst/Sinus (60280) $5,840.05 $9,527 0.9×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,761.76 $2,874 1.0×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $1,173.07 $1,913.66 0.4×
Excision tumor soft tissue foot/toe subq <1.5cm (28043)
range across 2 matching MRF lines		 $919.50–$2,383.96 $1,500–$3,889 varies
Excision tumor soft tissue shoulder subq 3 cm/> (23071)
range across 2 matching MRF lines		 $1,557.94–$1,728.51 $2,541.50–$2,819.75 varies
Excision, interdigital (morton) neuroma, single, each (28080) $1,886.20 $3,077 1.1×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $1,291.59 $2,107 0.4×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $1,591.96 $2,597 0.9×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $1,483.31 $2,419.75 0.5×
Excision/destruction intranasal lesion int appr (30117)
range across 3 matching MRF lines		 $2,452.61–$4,433.22 $4,001–$7,232 varies
Expl penetrating wound spx abdomen/flank/back (20102) $2,944.24 $4,803 1.4×
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines		 $2,694.14–$2,740.11 $4,395–$4,470 varies
Exploration of knee joint (27310) $2,315.30 $3,777 0.7×
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines		 $2,483.26–$2,607.70 $4,051–$4,254 varies
External cephalic version (59412) $2,425.03 $3,956 0.7×
Fasciectomy Plantar Fascia Partial Spx (28060) $803.64 $1,311 0.2×
Fetal non-stress test (59025)
range across 2 matching MRF lines		 $157.54–$300.37 $257–$490 varies
Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) $1,079.49 $1,761 0.5×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,132.21 $1,847 1.5×
Fine needle aspiration without imaging guidance (10021) $461.59 $753 1.1×
Fluoro exam of g/colon tube (49465) $362.90 $592 1.5×
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines		 $777.90–$1,604.83 $1,269–$2,618 varies
Foreskin manipulation (54450)
range across 2 matching MRF lines		 $373.32–$391.71 $609–$639 varies
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260)
range across 2 matching MRF lines		 $1,665.52–$1,716.40 $2,717–$2,800 varies
Fuse hand bones with graft (25825)
likely a partial charge, not the full procedure		 $1,015.74 $1,657 0.1×
Fusion of foot bones (28740)
range across 3 matching MRF lines		 $2,149.69–$2,929.68 $3,506.83–$4,779.25 varies
Fusion of knuckle with graft (26852)
likely a partial charge, not the full procedure		 $860.96 $1,404.50 0.1×
Gastrocnemius recession (27687)
range across 2 matching MRF lines		 $2,281.79–$3,266.06 $3,722.33–$5,328 varies
Graft Ear Crtlg Autogenous Nose/Ear (21235)
range across 5 matching MRF lines		 $2,409.34–$4,358.43 $3,930.40–$7,110 varies
Grafting of autologous fat by lipo 50 cc or less (15771) $1,889.11 $3,081.75 0.5×
Grafting of autologous soft tiss by direct exc (15769) $4,329.62 $7,063 1.2×
Guide Cathet Fluid Drainage (10030)
range across 3 matching MRF lines		 $461.59–$738.25 $753–$1,204.33 varies
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $1,934.63 $3,156 0.7×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $2,741.34 $4,472 1.0×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $2,256.45 $3,681 0.8×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 2 matching MRF lines		 $734.78–$1,992.25 $1,198.66–$3,250 varies
Hymenotomy Simple Incision (56442) $5,115.49 $8,345 1.5×
Hysteroscopy Biopsy (58558) $4,023.73 $6,564 1.2×
Hysteroscopy Dx Sep Proc (58555) $2,950.98 $4,814 0.9×
Hysteroscopy Endometrial Ablation (58563) $3,467.13 $5,656 0.7×
I&d abscess peritonsillar (42700) $404.58 $660 1.6×
I&d abscess simple (10060)
range across 5 matching MRF lines		 $318.76–$1,848.20 $520–$3,015 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $1,325 $2,161.50 0.8×
I&d deep absc bursa/hematoma thigh/knee region (27301) $2,078.68 $3,391 0.7×
I&d perianal abscess superficial (46050) $1,368.22 $2,232 1.4×
I&d pilonidal cyst complicated (10081) $1,132.21 $1,847 1.5×
I&d pilonidal cyst simple (10080) $1,056.20 $1,723 1.4×
Icd Pocket Revision (33223) $2,944.24 $4,803 1.4×
Image Cath Fluid Colxn Visc (49405)
range across 2 matching MRF lines		 $1,576.94–$1,870.88 $2,572.50–$3,052 varies
Image Cath Fluid Peri/Retro (49406) $2,607.70 $4,254 1.5×
Image Cath Fluid Trns/Vgnl (49407) $2,607.70 $4,254 1.5×
Immediate breast prosthesis (19340)
likely a partial charge, not the full procedure		 $1,887.06 $3,078.40 0.2×
Implant cochlear device (69930)
likely a partial charge, not the full procedure		 $10,186.22 $16,617 0.3×
Implant neuroelectrodes (63650)
range across 2 matching MRF lines		 $1,183.70–$2,840.03 $1,931–$4,633 varies
Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69716)
range across 4 matching MRF lines		 $4,563.17–$20,704.69 $7,444–$33,776 varies
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
unusually low: confirm this is the full procedure		 $2,885.39 $4,707 0.3×
Incise external hemorrhoid (46083) $365.35 $596 1.4×
Incise finger tendon sheath (26055)
range across 3 matching MRF lines		 $654.48–$755.22 $1,067.66–$1,232 varies
Incise Wrist/Forearm Tendon (25290) $898.05 $1,465 0.3×
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines		 $600.13–$1,732.95 $979–$2,827 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $600.13–$994.90 $979–$1,623 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 3 matching MRF lines		 $308.34–$871.07 $503–$1,421 varies
Incision and drainage of vulva or perineal abscess (56405) $491.01 $801 1.6×
Incision of eardrum (69420)
range across 3 matching MRF lines		 $342.67–$359.83 $559–$587 varies
Incision of Foot Tendon (28234)
range across 2 matching MRF lines		 $1,082.19–$2,193.47 $1,765.40–$3,578.25 varies
Incision of labial frenum (frenotomy) (40806) $761.96 $1,243 1.4×
Incision of lingual frenum (frenotomy) (41010)
range across 2 matching MRF lines		 $1,042.10–$2,735.82 $1,700–$4,463 varies
Incision of rectal abscess (46040) $2,189.64 $3,572 1.8×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $2,607.70 $4,254 1.5×
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $941.57–$1,057.43 $1,536–$1,725 varies
Inj W/Fluor Eval Cv Device (36598)
range across 2 matching MRF lines		 $437.07–$459.14 $713–$749 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,432.58 $2,337 1.6×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 7 matching MRF lines		 $147.73–$337.76 $241–$551 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $1,432.58 $2,337 1.6×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $1,432.58 $2,337 1.6×
Injection aa&/strd genicular nrv branches w/img (64454) $1,115.05 $1,819 1.5×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $3,215.80 $5,246 3.5×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,115.05 $1,819 1.5×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines		 $2,509.01–$2,634.67 $4,093–$4,298 varies
Injection Anes Agent Sphenopalatine Ganglion (64505) $475.08 $775 1.5×
Injection anesthetic agent suprascapular nerve (64418) $1,123.02 $1,832 1.5×
Injection for identification of sentinel node (38792) $549.86 $897 1.3×
Injection single tendon origin/insertion (20551)
range across 3 matching MRF lines		 $354.01–$475.08 $577.50–$775 varies
Injection single/mlt trigger point 1/2 muscles (20552) $513.08 $837 1.6×
Injection single/mlt trigger point 3/> muscles (20553) $683.50 $1,115 2.1×
Injection Sinus Tract Therapeutic Separate Proc (20500) $1,194.74 $1,949 0.7×
Injection therapeutic carpal tunnel (20526)
range across 4 matching MRF lines		 $453.01–$951.38 $739–$1,552 varies
Injection Turbinate Therapeutic (30200) $858.20 $1,400 1.5×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 3 matching MRF lines		 $2,148.57–$4,092.39 $3,505–$6,676 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 6 matching MRF lines		 $2,046.19–$5,393.17 $3,338–$8,798 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 5 matching MRF lines		 $1,124.86–$8,878.69 $1,835–$14,484 varies
Injection, anesthetic agent; vagus nerve (64408) $488.56 $797 1.5×
Injection, intralesional; up to and including 7 lesions (11900) $104.82 $171 0.5×
Ins cath ren art 1st bilat (36252) $4,927.91 $8,039 1.5×
Ins cath ren art 1st unilat (36251) $5,116.10 $8,346 1.6×
Ins cath ren art 2nd+ unilat (36253) $8,113.06 $13,235 1.4×
Ins endovas vena cava filtr (37191) $8,113.06 $13,235 1.4×
Insert 1 Electrode Pm-Defib (33216) $12,421.22 $20,263 1.4×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $281.37–$3,330.43 $459–$5,433 varies
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines		 $1,748.89–$2,331.85 $2,853–$3,804 varies
Insert cath pleura w/o image (32556) $2,847.39 $4,645 1.4×
Insert Drug Implant Device (11981)
range across 2 matching MRF lines		 $71.11–$1,188.76 $116–$1,939.25 varies
Insert Gastrostomy Tube Percutaneous (49440) $3,052.74 $4,980 1.5×
Insert Heart Pm Ventricular (33207) $15,706.29 $25,622 1.4×
Insert Nasal Septal Button (30220) $792 $1,292 0.5×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $4,499.42–$4,724.39 $7,340–$7,707 varies
Insert Pacing Lead & Connect (33224) $16,155.62 $26,355 1.5×
Insert pessary/other device (57160) $196.16 $320 0.9×
Insert pulse gen mult leads (33221) $30,688.01 $50,062 1.5×
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines		 $179–$369.03 $292–$602 varies
Insert tun ip cath perc (49418)
range across 2 matching MRF lines		 $5,409.11–$5,679.45 $8,824–$9,265 varies
Insert tunneled cv cath (36561)
range across 3 matching MRF lines		 $2,943.01–$4,724.39 $4,801–$7,707 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 3 matching MRF lines		 $133.02–$253.78 $217–$414 varies
Insertion indwelling tunneled pleural catheter (32550)
range across 3 matching MRF lines		 $5,044.38–$5,296.32 $8,229–$8,640 varies
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $2,221.51–$2,332.47 $3,624–$3,805 varies
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $12,421.22 $20,263 1.4×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $13,317.43 $21,725 1.5×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $5,064.61 $8,262 1.5×
Insj Picc Rs&I <5 Yr (36572) $994.90 $1,623 1.5×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $2,331.85 $3,804 1.4×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 3 matching MRF lines		 $3,699.46–$4,724.39 $6,035–$7,707 varies
Insj/rplcmt breast implant sep day mastectomy (19342)
likely a partial charge, not the full procedure		 $2,371.70 $3,869 0.3×
Insj/Rplcmt Cranial Neurostim Gener 2/> Eltrds (61886) $49,035.71 $79,993 1.5×
Insj/Rplcmt Defib W/Lead(S) (33249)
range across 2 matching MRF lines		 $45,826.65–$48,118.05 $74,758–$78,496 varies
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
likely a partial charge, not the full procedure		 $2,840.03 $4,633 0.1×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $12,421.22 $20,263 1.4×
Insrt heart pm atrial & vent (33208)
range across 3 matching MRF lines		 $14,958.43–$15,706.29 $24,402–$25,622 varies
Int hrhc by ligation single hroid w/o img gdn (46945) $734.78 $1,198.66 0.3×
Intranasal Biopsy (30100) $1,918.08 $3,129 1.2×
Intraoral i&d tongue/floor lingual (41000) $820.19 $1,338 1.5×
Intraoral i&d tongue/floor submndblr space (41008) $5,808.79 $9,476 1.7×
Intro cath dialysis circuit (36901)
range across 2 matching MRF lines		 $2,331.85–$5,620.29 $3,804–$9,168.50 varies
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $18,001.97 $29,367 1.5×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902)
range across 2 matching MRF lines		 $1,543.23–$8,908.73 $2,517.50–$14,533 varies
Intro Gastrointestinal Tube (44500) $1,508.59 $2,461 1.6×
Intubation endotracheal emergency procedure (31500) $606.26 $989 2.5×
Irrigation of corpora cavernosa for priapism (54220) $365.35 $596 1.4×
Island pedicle flap graft (15740) $1,987.14 $3,241.66 0.9×
IV injection test vascular flow flap/graft (15860) $2,529.12 $4,125.80 5.5×
Knee Arthroscopy/Surgery (29850) $2,575.83 $4,202 1.5×
Labyrinthotomy Transcanal (69801)
range across 2 matching MRF lines		 $753.99–$792 $1,230–$1,292 varies
Lam facetec & foramot lumbar (63047)
range across 2 matching MRF lines		 $3,031.49–$4,133.46 $4,945.33–$6,743 varies
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045)
unusually low: confirm this is the full procedure		 $3,491.95 $5,696.50 0.5×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046)
unusually low: confirm this is the full procedure		 $3,031.49 $4,945.34 0.4×
Laparo-vag hyst incl t/o (58552) $9,826.39 $16,030 0.9×
Laparoscopy aspiration (49322)
unusually low: confirm this is the full procedure		 $2,106.88 $3,437 0.3×
Laparoscopy Enterolysis Separate Procedure (44180) $3,960.59 $6,461 0.6×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 2 matching MRF lines		 $5,909.93–$7,474.31 $9,641–$12,193 varies
Laparoscopy w/rmvl adnexal structures (58661)
range across 3 matching MRF lines		 $4,796.11–$9,388.10 $7,824–$15,315 varies
Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical Facility (47371) $16,915.74 $27,595 1.5×
Laparoscopy, surgical, appendectomy (44970) $6,304.09 $10,284 1.0×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) $5,310.42 $8,663 0.8×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $9,009.87 $14,698 1.4×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
unusually low: confirm this is the full procedure		 $2,290.78 $3,737 0.4×
Laparoscopy, surgical; with biopsy (single or multiple) (49321) $3,685.97 $6,013 0.6×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
range across 2 matching MRF lines		 $3,960.59–$5,447.73 $6,461–$8,887 varies
Laps fulg/exc ovary viscera/peritoneal surface (58662)
range across 2 matching MRF lines		 $4,673.51–$4,766.08 $7,624–$7,775 varies
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) $8,406.68 $13,714 0.8×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $5,933.23 $9,679 1.5×
Laryngoscopy flexible diagnostic (31575)
range across 4 matching MRF lines		 $275.85–$426.04 $450–$695 varies
Laryngoscopy W/Biopsy (31535) $3,752.79 $6,122 1.0×
Laryngoscopy w/biopsy microscope/telescope (31536) $3,153.27 $5,144 0.8×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $2,255.23 $3,679 5.6×
Late closure of wound (13160) $2,366.79 $3,861 0.6×
Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) $5,064.61 $8,262 1.5×
Lig&div long saph vein saphfem junct/interrupj (37700)
range across 2 matching MRF lines		 $4,412.37–$5,043.15 $7,198–$8,227 varies
Ligamentous Reconstruction Knee Extra-Articular (27427)
likely a partial charge, not the full procedure		 $1,497.15 $2,442.33 0.2×
Ligate leg veins open (37761) $5,064.61 $8,262 1.5×
Ligate/strip long leg vein (37722)
range across 2 matching MRF lines		 $1,264.93–$2,566.63 $2,063.50–$4,187 varies
Ligation of a-v fistula (37607)
range across 2 matching MRF lines		 $3,011.98–$5,385.82 $4,913.50–$8,786 varies
Ligation or biopsy temporal artery (37609)
range across 3 matching MRF lines		 $1,892.33–$4,124.26 $3,087–$6,728 varies
Litholapaxy comp/lg > 2.5 cm (52318)
range across 2 matching MRF lines		 $1,574.49–$3,041.71 $2,568.50–$4,962 varies
Litholapaxy smpl/sm <2.5 cm (52317)
range across 3 matching MRF lines		 $1,578.84–$3,182.39 $2,575.60–$5,191.50 varies
Lithotripsy, extracorporeal shock wave (50590)
range across 4 matching MRF lines		 $9,278.98–$12,446.97 $15,137–$20,305 varies
Low Back Disk Surgery (63030)
range across 4 matching MRF lines		 $4,133.46–$46,342.80 $6,743–$75,600 varies
Lrt iad 18bct/8vir&7arg RNA (0528U) $483.66 $789 0.8×
Lumbar spine fusion combined (22633)
likely a partial charge, not the full procedure		 $1,662.01 $2,711.28 0.1×
Lyse chest fibrin init day (32561) $1,245 $2,031 1.9×
Lyse Chest Fibrin Subq Day (32562) $1,245 $2,031 1.9×
Lysis Intranasal Synechia (30560)
range across 3 matching MRF lines		 $438.30–$2,697.81 $715–$4,401 varies
Manipulation knee joint under general anesthesia (27570)
range across 3 matching MRF lines		 $570.70–$1,156.73 $931–$1,887 varies
Manipulation, finger joint, under anesthesia, each joint (26340) $2,575.83 $4,202 1.5×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700)
range across 2 matching MRF lines		 $1,028–$3,407.36 $1,677–$5,558.50 varies
Mast mod rad (19307) $6,237.28 $10,175 0.9×
Mastectomy partial (19301)
range across 5 matching MRF lines		 $425.73–$3,853.93 $694.50–$6,287 varies
Mastectomy simple complete (19303)
range across 4 matching MRF lines		 $1,646.41–$7,115.09 $2,685.83–$11,607 varies
Mastopexy (19316)
range across 2 matching MRF lines		 $1,889.11–$1,893.96 $3,081.75–$3,089.66 varies
Musc myocutaneous/fasciocutaneous flap uxtr (15736)
range across 3 matching MRF lines		 $933.40–$2,199.14 $1,522.68–$3,587.50 varies
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738)
range across 2 matching MRF lines		 $1,136.01–$5,891.54 $1,853.20–$9,611 varies
Muscle-skin graft trunk (15734) $2,206.19 $3,599 0.6×
Myelography Lumbar Injection (62305)
range across 2 matching MRF lines		 $1,628.13–$1,709.66 $2,656–$2,789 varies
Myelography Lumbar Injection (62304) $1,352.89 $2,207 1.7×
Myelography via lumbar injection rs&i cervical (62302) $1,271.98 $2,075 1.6×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $1,271.98 $2,075 1.6×
Myringoplasty (69620)
range across 3 matching MRF lines		 $1,875.78–$4,865.38 $3,060–$7,937 varies
N block inj intercost sng (64420) $2,330.63 $3,802 3.2×
N Block Inj Plantar Digit (64455) $189.42 $309 0.6×
N Block Lumbar/Thoracic (64520) $1,432.58 $2,337 1.6×
Nasal Endoscopy Dx (31231)
range across 5 matching MRF lines		 $100.53–$1,073.06 $164–$1,750.50 varies
Nasal/sinus endoscopy w/maxillary antrostomy (31256)
range across 2 matching MRF lines		 $1,170.01–$2,697.81 $1,908.66–$4,401 varies
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237)
range across 4 matching MRF lines		 $1,235.20–$2,835.74 $2,015–$4,626 varies
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240)
range across 2 matching MRF lines		 $1,456.08–$2,391.31 $2,375.33–$3,901 varies
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)
range across 4 matching MRF lines		 $1,119.95–$2,971.21 $1,827–$4,847 varies
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) $4,628.76 $7,551 0.6×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259)
range across 2 matching MRF lines		 $2,306.72–$3,157.37 $3,763–$5,150.68 varies
Nasal/sinus ndsc total with sphenoidotomy (31257)
range across 2 matching MRF lines		 $1,762.58–$2,575.02 $2,875.33–$4,200.68 varies
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
range across 3 matching MRF lines		 $1,170.01–$2,076.84 $1,908.66–$3,388 varies
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276)
range across 4 matching MRF lines		 $1,762.58–$3,157.35 $2,875.33–$5,150.66 varies
Ndsc wrst surg w/rls transvrs carpl ligm (29848)
range across 2 matching MRF lines		 $2,150.71–$2,625.79 $3,508.50–$4,283.50 varies
Neck spine disk surgery (63020) $46,342.80 $75,600 6.2×
Needle Biopsy Lymph Nodes (38505)
range across 3 matching MRF lines		 $1,527.60–$2,133.55 $2,492–$3,480.50 varies
Needle Biopsy Pancreas (48102) $2,607.70 $4,254 1.5×
Needle insertion w/o injection 1 or 2 muscles (20560) $38.01 $62 1.3×
Needle insertion w/o injection 3 or more muscles (20561) $36.17 $59 1.2×
Nerve Pedicle Transfer First Stage (64905)
likely a partial charge, not the full procedure		 $787.95 $1,285.40 0.1×
Nerve Repair W/Nerve Allograft First Strand (64912)
unusually low: confirm this is the full procedure		 $2,890.54 $4,715.40 0.3×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 3 matching MRF lines		 $860.96–$2,202.75 $1,404.50–$3,593.40 varies
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708)
range across 5 matching MRF lines		 $851.84–$2,805.70 $1,389.62–$4,577 varies
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $1,373.12 $2,240 0.6×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $422.36–$443.20 $689–$723 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $5,296.32 $8,640 1.4×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $504.19–$1,406.84 $822.50–$2,295 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,347.99 $2,199 1.8×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,303.85 $2,127 1.8×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 3 matching MRF lines		 $1,283.62–$1,347.99 $2,094–$2,199 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $1,002.26 $1,635 1.4×
Njx Sclrsnt 1 Incmptnt Vein (36470)
range across 2 matching MRF lines		 $571.32–$600.13 $932–$979 varies
Njx Sclrsnt Mlt Incmptnt Vn (36471)
range across 3 matching MRF lines		 $571.32–$5,331.57 $932–$8,697.50 varies
Njx Sclrsnt Spider Veins (36468) $1,407.86 $2,296.68 3.3×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
range across 5 matching MRF lines		 $1,170.01–$6,738.10 $1,908.66–$10,992 varies
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) $4,169.63 $6,802 0.6×
Obstructive material removal from gi tube (49460) $2,470.39 $4,030 2.6×
Occipital Nerve Block (64405)
range across 3 matching MRF lines		 $422.36–$458.22 $689–$747.50 varies
Open biopsy/excision inguinofemoral nodes (38531) $1,221.30 $1,992.33 0.3×
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568)
likely a partial charge, not the full procedure		 $6,158.73 $10,046.87 0.1×
Open impltj hpglsl nrv nstim ra pg&respir sensor (64582)
range across 3 matching MRF lines		 $3,736.24–$49,035.71 $6,095–$79,993 varies
Open Repair of Rotator Cuff Acute (23410)
range across 2 matching MRF lines		 $3,960.59–$4,083.19 $6,461–$6,661 varies
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure		 $1,251.59 $2,041.75 0.2×
Open treatment calcaneal fracture (28415) $5,864.57 $9,567 0.8×
Open Treatment Grter Humeral Tuberosity Fracture (23630) $6,079.12 $9,917 0.8×
Open Treatment Medial Malleolus Fracture (27766)
range across 2 matching MRF lines		 $2,231.01–$3,627.12 $3,639.50–$5,917 varies
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure		 $1,543.23 $2,517.50 0.2×
Open treatment of acromioclavicular dislocation acute or chronic (23550) $5,871.93 $9,579 0.8×
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552)
range across 2 matching MRF lines		 $2,242.66–$4,552.75 $3,658.50–$7,427 varies
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
range across 2 matching MRF lines		 $5,217.86–$6,569.52 $8,512–$10,717 varies
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546)
unusually low: confirm this is the full procedure		 $4,162.27 $6,790 0.3×
Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve… (21423) $3,769.64 $6,149.50 0.6×
Open Treatment of Ulnar Shaft Fracture (25545)
likely a partial charge, not the full procedure		 $2,058.76 $3,358.50 0.3×
Open Treatment Radial Shaft Fracture (25515)
likely a partial charge, not the full procedure		 $2,181.36 $3,558.50 0.3×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746)
range across 2 matching MRF lines		 $677.06–$3,657.77 $1,104.50–$5,967 varies
Open tx carpal bone fracture oth/thn scaphoid ea (25645) $1,585.46 $2,586.40 0.5×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure		 $1,942.90 $3,169.50 0.3×
Open Tx Distal Phalangeal Fracture Each (26765)
range across 5 matching MRF lines		 $613–$5,221.53 $1,000–$8,518 varies
Open Tx Distal Tibiofibular Joint Disruption (27829)
likely a partial charge, not the full procedure		 $2,185.55 $3,565.33 0.3×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525)
range across 2 matching MRF lines		 $1,082.96–$2,144.27 $1,766.66–$3,498 varies
Open Tx Humeral Epicondylar Fracture (24575)
likely a partial charge, not the full procedure		 $1,991.64 $3,249 0.1×
Open tx humeral supracondylar fracture w/o xtn (24545)
range across 2 matching MRF lines		 $3,825.12–$6,416.27 $6,240–$10,467 varies
Open tx interphalangeal joint dislocation (26785)
range across 2 matching MRF lines		 $595.43–$1,890.19 $971.33–$3,083.50 varies
Open Tx Metacarpal Fracture Single Ea Bone (26615)
range across 2 matching MRF lines		 $1,969.88–$2,286.03 $3,213.50–$3,729.25 varies
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735)
range across 2 matching MRF lines		 $638.13–$722.29 $1,041–$1,178.28 varies
Open Tx Radial Head/Neck Fracture (24665) $4,240.12 $6,917 0.6×
Open Tx Radial Head/Neck Fracture Prosth (24666)
likely a partial charge, not the full procedure		 $1,353.20 $2,207.50 0.1×
Open tx ulnar fx proximal end (24685)
range across 2 matching MRF lines		 $1,353.20–$1,828.89 $2,207.50–$2,983.50 varies
Open/Perq Place Stent 1St (37236)
range across 2 matching MRF lines		 $8,604.68–$17,019.95 $14,037–$27,765 varies
Open/Perq Place Stent Same (37238) $17,019.95 $27,765 1.4×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
range across 2 matching MRF lines		 $2,625.79–$3,334.84 $4,283.50–$5,440.20 varies
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
range across 2 matching MRF lines		 $5,895.22–$6,600.17 $9,617–$10,767 varies
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112)
range across 2 matching MRF lines		 $1,722.22–$2,957.11 $2,809.50–$4,824 varies
Ostectomy, complete excision; fifth metatarsal head (28113)
range across 2 matching MRF lines		 $2,493.07–$2,600.04 $4,067–$4,241.50 varies
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $4,761.17 $7,767 1.4×
Osteoplasty Radius/Ulna Shortening (25390)
range across 2 matching MRF lines		 $1,724.98–$2,202.75 $2,814–$3,593.40 varies
Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309)
unusually low: confirm this is the full procedure		 $3,445.67 $5,621 0.5×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308)
range across 4 matching MRF lines		 $1,754.77–$4,470.61 $2,862.60–$7,293 varies
Osteotomy calcaneus w/wo internal fixation (28300)
range across 3 matching MRF lines		 $1,873.02–$8,506.29 $3,055.50–$13,876.49 varies
Osteotomy radius distal third (25350)
likely a partial charge, not the full procedure		 $1,174.97 $1,916.75 0.2×
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307)
unusually low: confirm this is the full procedure		 $2,901.33 $4,733 0.4×
Parathyroidectomy or exploration of parathyroid(s); (60500) $14,550.78 $23,737 2.4×
Part remv talus or calcaneus (28120)
range across 3 matching MRF lines		 $2,334.61–$3,136.11 $3,808.50–$5,116 varies
Partial Excision Bone Humerus (24140) $692.89 $1,130.33 0.2×
Partial Excision Bone Ulna (25150) $692.89 $1,130.33 0.2×
Partial hymenectomy or revision of hymenal ring (56700) $1,478.56 $2,412 0.4×
Partial removal of thyroid (60220)
range across 2 matching MRF lines		 $8,200.10–$9,003.13 $13,377–$14,687 varies
Partial removal of tibia (27640) $1,967.27 $3,209.25 0.6×
Partical Excision Bone Phalanx Toe (28124)
range across 4 matching MRF lines		 $682.51–$2,181.36 $1,113.40–$3,558.50 varies
Penile Injection (54235) $365.35 $596 1.4×
Perc Cryo Ablate Renal Tum (50593) $16,915.74 $27,595 1.5×
Perc Rf Ablate Renal Tumor (50592) $4,995.95 $8,150 0.8×
Percut Drain/Inject Renal Cyst (50390) $1,477.94 $2,411 2.0×
Percut Mech Thrombectomy, Venous, Repeat (37188) $4,724.39 $7,707 1.4×
Peri-Implant Capsulectomy Breast Complete (19371) $1,611.05 $2,628.14 0.4×
Pericardiocentesis W/Imaging (33016)
range across 2 matching MRF lines		 $2,331.85–$2,499.81 $3,804–$4,078 varies
Perq Cervicothoracic Inject (22510)
range across 2 matching MRF lines		 $4,637.96–$4,869.67 $7,566–$7,944 varies
Perq dev breast 1st strtctc (19283)
range across 2 matching MRF lines		 $411.94–$1,277.49 $672–$2,084 varies
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines		 $1,129.15–$1,868.42 $1,842–$3,048 varies
Perq device breast 1st imag (19281) $1,129.15 $1,842 0.7×
Perq Lumbosacral Injection (22511)
range across 4 matching MRF lines		 $3,049.06–$5,221.53 $4,974–$8,518 varies
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080)
range across 2 matching MRF lines		 $14,879.96–$20,307.46 $24,274–$33,128 varies
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,056.20 $1,723 1.4×
Perq skel fixj distal radial fx/epiphysl sep (25606)
range across 2 matching MRF lines		 $1,072.14–$2,860.87 $1,749–$4,667 varies
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $18,001.97 $29,367 1.5×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $8,908.73 $14,533 1.5×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
range across 2 matching MRF lines		 $2,342.89–$10,721.98 $3,822–$17,491 varies
Perq Vertebral Augmentation (22513)
range across 2 matching MRF lines		 $2,793.44–$10,721.98 $4,557–$17,491 varies
Phleb Veins - Extrem 20+ (37766)
range across 5 matching MRF lines		 $2,230.40–$5,258.93 $3,638.50–$8,579 varies
Pin Finger Dislocation (26776) $595.43 $971.34 0.2×
Place Cath Subclavian Art (36225) $6,560.94 $10,703 2.0×
Place Cath Thoracic Aorta (36221)
range across 2 matching MRF lines		 $4,499.42–$4,724.39 $7,340–$7,707 varies
Place Cath Vertebral Art (36226) $14,879.96 $24,274 2.6×
Place Rt Device/Marker Pros (55876) $1,219.87 $1,990 0.8×
Placement of needle for intraosseous infusion (36680) $642.42 $1,048 1.4×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 2 matching MRF lines		 $2,928.30–$3,074.81 $4,777–$5,016 varies
Plmt Nephroureteral Catheter (50433)
range across 3 matching MRF lines		 $3,608.12–$7,286.73 $5,886–$11,887 varies
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $5,176.17 $8,444 1.4×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $5,176.17 $8,444 1.4×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $5,550.10 $9,054 1.5×
Prim art mech thrombectomy (37184) $26,949.93 $43,964 1.4×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $606.26 $989 0.8×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533)
range across 2 matching MRF lines		 $5,044.38–$5,296.32 $8,229–$8,640 varies
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $5,296.32 $8,640 1.4×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122)
range across 3 matching MRF lines		 $2,465.69–$3,238.79 $4,022.33–$5,283.50 varies
Pseudoaneurysm Injection Trt (36002)
range across 2 matching MRF lines		 $947.70–$994.90 $1,546–$1,623 varies
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $530.25–$531.16 $865–$866.50 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $600.13–$975.90 $979–$1,592 varies
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines		 $606.26–$1,606.98 $989–$2,621.50 varies
Rad resect elbow caps/sr bone w rels (24149)
likely a partial charge, not the full procedure		 $2,199.14 $3,587.50 0.3×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $3,142.24 $5,126 1.5×
Rcnstj angular dfrm toe soft tiss px only (28313)
range across 3 matching MRF lines		 $1,496.79–$2,193.47 $2,441.75–$3,578.25 varies
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541)
range across 2 matching MRF lines		 $1,714.16–$1,770.65 $2,796.34–$2,888.50 varies
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238)
unusually low: confirm this is the full procedure		 $2,867 $4,677 0.4×
Reconstruct finger joint (26545) $1,770.65 $2,888.50 0.5×
Reconstruct ulna/radioulnar (25337)
likely a partial charge, not the full procedure		 $1,136.13 $1,853.40 0.2×
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) $4,945.99 $8,068.50 0.8×
Reconstruction of throat (42950)
likely a partial charge, not the full procedure		 $1,466.91 $2,393 0.2×
Release Intrinsic Muscles Hand Each Muscle (26593)
range across 2 matching MRF lines		 $673.69–$1,548.64 $1,099–$2,526.33 varies
Relocation Pocket Pacemaker (33222) $2,944.24 $4,803 1.4×
Rem Endovas Vena Cava Filter (37193) $4,724.39 $7,707 1.4×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $1,508.59 $2,461 1.6×
Removal Foreign Body Deep Thigh/Knee (27372)
range across 2 matching MRF lines		 $683.84–$4,606.08 $1,115.57–$7,514 varies
Removal Foreign Body Foot Complicated (28193) $2,607.70 $4,254 1.5×
Removal Foreign Body Foot Subcutaneous (28190) $1,132.21 $1,847 1.5×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $2,607.70 $4,254 1.5×
Removal foreign body, intranasal; requiring general anesthesia (30310) $1,073.06 $1,750.50 0.3×
Removal Hypoglossal Nerve Nstim Ra Pg&Respir Snr (64584) $10,305.76 $16,812 2.9×
Removal impacted cerumen irrigation/lvg unilat (69209) $89.50 $146 1.5×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines		 $91.34–$769.32 $149–$1,255 varies
Removal Implant Deep (20680)
range across 2 matching MRF lines		 $1,967.27–$3,409.51 $3,209.25–$5,562 varies
Removal Implant Superficial Separate Procedure (20670) $2,216 $3,615 1.3×
Removal intact breast implant (19328)
range across 2 matching MRF lines		 $1,432.99–$2,371.70 $2,337.66–$3,869 varies
Removal of adenoids (42831) $2,409.34 $3,930.40 0.7×
Removal of adenoids (42830) $1,193.20 $1,946.50 0.3×
Removal of foreign body from pharynx (42809) $642.42 $1,048 1.4×
Removal of heel spur (28119) $1,782.91 $2,908.50 0.5×
Removal of kidney stone (50081)
range across 3 matching MRF lines		 $14,879.96–$19,999.13 $24,274–$32,625 varies
Removal of mammary implant material (19330) $2,371.70 $3,869 0.6×
Removal of nail bed (11750)
range across 5 matching MRF lines		 $92.56–$1,329.60 $151–$2,169 varies
Removal of sperm cord lesion (55520)
range across 3 matching MRF lines		 $1,218.95–$2,084.20 $1,988.50–$3,400 varies
Removal of tonsils (42825)
unusually low: confirm this is the full procedure		 $1,992.25 $3,250 0.3×
Removal of tonsils (42826) $2,424.42 $3,955 0.7×
Removal or bivalving full arm or full leg cast (29705) $427.26 $697 1.5×
Removal Pacemaker Electrode (33235) $5,461.83 $8,910 1.4×
Removal ppm generator only (33233) $12,421.22 $20,263 1.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 3 matching MRF lines		 $134.86–$3,194.65 $220–$5,211.50 varies
Removal subcutaneous cardiac rhythm monitor (33286)
range across 2 matching MRF lines		 $1,005.93–$1,056.20 $1,641–$1,723 varies
Removal, under anesthesia, of external fixation system (20694) $2,251.55 $3,673 1.3×
Remove drug implant device (11982)
range across 3 matching MRF lines		 $642.42–$2,465.69 $1,048–$4,022.34 varies
Remove Elctrd Transvenously (33244) $5,461.83 $8,910 1.4×
Remove foreign body from eye (65205) $193.71 $316 1.4×
Remove Intrauterine Device (58301)
range across 4 matching MRF lines		 $306.50–$2,906.54 $500–$4,741.50 varies
Remove intrvas foreign body (37197) $4,780.79 $7,799 1.5×
Remove lamina/facets lumbar (63012)
likely a partial charge, not the full procedure		 $1,238.08 $2,019.71 0.2×
Remove lung catheter (32552) $928.08 $1,514 1.4×
Remove Nasal Foreign Body (30300) $205.36 $335 1.5×
Remove prostate regrowth (52630) $3,041.71 $4,962 0.5×
Remove Pulse Generator (33241)
range across 2 matching MRF lines		 $5,201.92–$5,461.83 $8,486–$8,910 varies
Remove renal tube w/fluoro (50389) $1,002.26 $1,635 1.4×
Remove sympathetic nerves (64821) $5,221.53 $8,518 1.5×
Remove tissue expander (11971)
range across 3 matching MRF lines		 $855.54–$4,606.08 $1,395.66–$7,514 varies
Remove&replace pm gen singl (33227) $13,317.43 $21,725 1.5×
Remove/graft foot lesion (28107)
likely a partial charge, not the full procedure		 $1,631.81 $2,662 0.2×
Remove/Insert Drug Implant (11983)
range across 3 matching MRF lines		 $175.93–$2,711.91 $287–$4,424 varies
Remove/replace penis prosth (54410)
unusually low: confirm this is the full procedure		 $7,933.45 $12,942 0.4×
Remv cartilage for graft nasal (20912) $1,571.12 $2,563 0.4×
Remv&replc cvd gen dual lead (33263) $34,589.14 $56,426 1.5×
Remv&replc cvd gen mult lead (33264) $48,118.05 $78,496 1.5×
Remv&replc cvd gen sing lead (33262)
range across 2 matching MRF lines		 $32,083.19–$33,687.42 $52,338–$54,955 varies
Remv&replc pm gen dual lead (33228) $15,706.29 $25,622 1.4×
Remv&replc pm gen mult leads (33229)
range across 2 matching MRF lines		 $27,259.50–$28,622.20 $44,469–$46,692 varies
Renal Biopsy Perq (50200)
range across 4 matching MRF lines		 $1,061.72–$2,628.54 $1,732–$4,288 varies
Repair Achilles Tendon (27650) $4,353.53 $7,102 0.6×
Repair arm/leg nerve (64857)
range across 2 matching MRF lines		 $695.76–$1,241.73 $1,135–$2,025.66 varies
Repair Blood Vessel Direct Hand Finger (35207)
range across 2 matching MRF lines		 $638.13–$2,890.54 $1,041–$4,715.40 varies
Repair Blood Vessel Direct Upper Extremity (35206)
range across 2 matching MRF lines		 $695.76–$5,064.61 $1,135–$8,262 varies
Repair blood vessel lesion (35236) $2,890.54 $4,715.40 0.5×
Repair blood vessel with vein graft; lower extremity Facility (35256) $8,113.06 $13,235 1.4×
Repair Collat Ankle Ligmnt,Secondary (27698)
range across 2 matching MRF lines		 $3,321.54–$4,178.82 $5,418.50–$6,817 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $985.70 $1,608 1.3×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 3 matching MRF lines		 $918.89–$1,479.38 $1,499–$2,413.34 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 3 matching MRF lines		 $643.04–$1,635.79 $1,049–$2,668.50 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $918.89–$1,483.15 $1,499–$2,419.50 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 3 matching MRF lines		 $638.13–$1,694.33 $1,041–$2,764 varies
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $1,051.30–$1,064.01 $1,715–$1,735.75 varies
Repair extensor tendon finger w/o graft each (26418)
range across 4 matching MRF lines		 $638.13–$1,823.68 $1,041–$2,975 varies
Repair Hand Joint (26540)
range across 2 matching MRF lines		 $1,890.19–$2,678.81 $3,083.50–$4,370 varies
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507)
range across 2 matching MRF lines		 $3,638.77–$3,653.48 $5,936–$5,960 varies
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $403.97–$600.13 $659–$979 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 3 matching MRF lines		 $600.13–$2,235 $979–$3,646 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $643.04 $1,049 1.5×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $643.04 $1,049 1.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $643.04 $1,049 1.5×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $600.13 $979 1.4×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $988.66 $1,612.83 1.3×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $631.39 $1,030 1.5×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $600.13 $979 1.4×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 5 matching MRF lines		 $571.32–$2,342.89 $932–$3,822 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $985.70 $1,608 1.3×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 4 matching MRF lines		 $571.32–$1,969.88 $932–$3,213.50 varies
Repair Nasal Vestibular Stenosis (30465)
unusually low: confirm this is the full procedure		 $2,544.35 $4,150.66 0.4×
Repair of metatarsals (28322) $4,945.07 $8,067 0.7×
Repair of nail bed (11760)
range across 6 matching MRF lines		 $613–$918.89 $1,000–$1,499 varies
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405)
range across 2 matching MRF lines		 $1,346.03–$5,067.67 $2,195.80–$8,267 varies
Repair of Ruptured Tendon (24342)
range across 2 matching MRF lines		 $4,583.40–$5,037.02 $7,477–$8,217 varies
Repair Rotator Cuff Chronic (23412)
range across 2 matching MRF lines		 $2,529.45–$3,487.66 $4,126.34–$5,689.50 varies
Repair secondary achilles tendon w/wo graft (27654)
range across 3 matching MRF lines		 $1,574.18–$3,136.11 $2,568–$5,116 varies
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $1,082.96 $1,766.66 0.3×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
range across 2 matching MRF lines		 $1,353.20–$1,991.64 $2,207.50–$3,249 varies
Repair tongue laceration (41252) $373.93 $610 1.5×
Repair tongue laceration (41250) $642.42 $1,048 1.4×
Repair, primary, disrupted ligament, ankle; collateral (27695)
range across 2 matching MRF lines		 $1,251.59–$1,483.31 $2,041.75–$2,419.75 varies
Repair/Graft Wrist Bone (25440)
unusually low: confirm this is the full procedure		 $3,691.28 $6,021.66 0.5×
Replace duodenostomy/jejunostomy tube perq (49451)
range across 2 matching MRF lines		 $1,340.63–$1,407.45 $2,187–$2,296 varies
Replace G-J Tube Perc (49452) $1,407.45 $2,296 1.5×
Replace g/c tube perc (49450) $2,080.52 $3,394 2.2×
Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous… (69719) $20,704.69 $33,776 1.6×
Replacement Tissue Expander W/Permanent Implant (11970)
range across 5 matching MRF lines		 $1,224.53–$3,388.05 $1,997.60–$5,527 varies
Reposition L Ventric Lead (33226)
range across 2 matching MRF lines		 $4,823.70–$5,064.61 $7,869–$8,262 varies
Reposition Pacing-Defib Lead (33215) $4,724.39 $7,707 1.4×
Reposition Venous Catheter (36597) $2,499.81 $4,078 1.5×
Repr elbow lat ligmnt w/tiss (24343) $1,353.20 $2,207.50 0.4×
Repr Elbw Med Ligmnt W/Tiss (24345)
unusually low: confirm this is the full procedure		 $3,112.20 $5,077 0.4×
Rerepair ing hernia reduce (49520) $3,326.75 $5,427 0.9×
Revis reconst shoulder joint (23473) $6,996.78 $11,414 0.5×
Revis shoulder arthrplsty humeral&glenoid compnt (23474) $10,671.10 $17,408 0.8×
Revise Hand/Foot Nerve (64704)
range across 3 matching MRF lines		 $803.64–$2,651.23 $1,311–$4,325 varies
Revise ulnar nerve at wrist (64719) $1,065.09 $1,737.50 0.5×
Revise Wrist/Forearm Tendon (25280) $1,548.65 $2,526.34 0.5×
Revision of foot (28116) $1,873.02 $3,055.50 0.6×
Revision of lower leg tendon (27685)
range across 2 matching MRF lines		 $1,699.44–$2,127.51 $2,772.33–$3,470.66 varies
Revision of reconstructed breast (19380)
range across 2 matching MRF lines		 $2,479.79–$5,288.35 $4,045.33–$8,627 varies
Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode… (64583) $20,066.56 $32,735 1.7×
Revision Peri-Implant Capsule Breast (19370)
range across 6 matching MRF lines		 $1,064.01–$2,479.79 $1,735.75–$4,045.33 varies
Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg,… (35883) $8,699.08 $14,191 1.5×
Revj Lxtr Artl Byp Opn W/Sgmtl Vein Interpos (35881) $8,699.08 $14,191 1.5×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
range across 2 matching MRF lines		 $9,718.50–$10,580.38 $15,854–$17,260 varies
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486)
range across 2 matching MRF lines		 $5,192.72–$7,837.21 $8,471–$12,785 varies
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $1,990.10 $3,246.50 0.5×
Revj/rmvl neurostimulator pulse generator (61888)
range across 2 matching MRF lines		 $3,807.34–$20,066.56 $6,211–$32,735 varies
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) $9,501.50 $15,500 1.6×
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) $29,172.06 $47,589 1.5×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271) $29,172.06 $47,589 1.5×
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) $29,172.06 $47,589 1.5×
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) $29,172.06 $47,589 1.5×
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) $18,385.10 $29,992 1.5×
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) $18,371 $29,969 1.5×
Revsc evasc imvt angiop uni cplx les 1st vsl (37298) $18,371 $29,969 1.5×
Revsc evasc imvt angiop uni sf les 1st vsl (37296)
likely a partial charge, not the full procedure		 $681.04 $1,111 0.1×
Revsc evasc ivt angiop uni cplx les 1st vsl (37256) $9,057.08 $14,775 1.5×
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) $18,371 $29,969 1.5×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280) $29,172.06 $47,589 2.4×
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) $29,172.06 $47,589 1.5×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $29,172.06 $47,589 1.5×
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) $29,172.06 $47,589 1.5×
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) $29,172.06 $47,589 1.5×
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) $29,172.06 $47,589 1.5×
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) $29,172.06 $47,589 1.5×
Rhinoplasty primary w/major septal repair (30420) $9,519.89 $15,530 1.5×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $3,438.32 $5,609 1.6×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $1,142.63 $1,864 0.7×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 3 matching MRF lines		 $570.70–$599.51 $931–$978 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $193.71 $316 1.4×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)
range across 2 matching MRF lines		 $2,025.77–$4,606.08 $3,304.68–$7,514 varies
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $2,607.70 $4,254 1.5×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $1,990.10 $3,246.50 1.0×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $5,461.83 $8,910 1.4×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $2,551.92–$3,528.43 $4,163–$5,756 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines		 $2,420.12–$2,540.89 $3,948–$4,145 varies
Rplc Gtube No Revj Trc (43762) $525.34 $857 2.0×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $2,499.81 $4,078 1.5×
Rplcmt compl tun cvc w/o subq port/pmp (36581)
range across 2 matching MRF lines		 $3,699.46–$4,499.42 $6,035–$7,340 varies
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
range across 2 matching MRF lines		 $3,924.43–$4,275.06 $6,402–$6,974 varies
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $2,321.43 $3,787 0.6×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $1,461.55 $2,384.25 0.4×
Rpr aa hrn 1st 3-10 rdc (49593) $4,644.70 $7,577 0.7×
Rpr aa hrn 1st < 3 ncr/strn (49592) $3,419.01 $5,577.50 0.5×
Rpr blood vessel direct lower extremity (35226)
range across 2 matching MRF lines		 $1,132.21–$2,484.49 $1,847–$4,053 varies
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $304.66–$319.99 $497–$522 varies
Rpr flexor tendon leg secondary w/o graft each (27659)
range across 2 matching MRF lines		 $2,225.96–$2,906.23 $3,631.25–$4,741 varies
Rpr Lip Full Thickness Half/< Vertical Height (40652) $841.65 $1,373 1.5×
Rpr Lip Full Thickness Vermilion Only (40650) $1,094.21 $1,785 2.0×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654)
range across 2 matching MRF lines		 $2,223.35–$2,229.48 $3,627–$3,637 varies
Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469)
range across 3 matching MRF lines		 $1,279.02–$5,700.90 $2,086.50–$9,300 varies
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696)
range across 2 matching MRF lines		 $2,185.55–$3,634.17 $3,565.34–$5,928.50 varies
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260)
range across 2 matching MRF lines		 $695.76–$1,241.73 $1,135–$2,025.66 varies
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $1,947.50 $3,177 0.6×
Rpr Tendon Xtnsr Foot Sec W/Free Graft Ea Tendon (28210)
unusually low: confirm this is the full procedure		 $2,761.57 $4,505 0.4×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $1,317.34 $2,149 2.0×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $638.13 $1,041 0.2×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $3,004.31 $4,901 0.9×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $799.55 $1,304.33 0.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $104.82 $171 0.5×
Shoulder Arthroscopy/Surgery (29825) $3,407.36 $5,558.50 1.0×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $51.49 $84 0.1×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $793.85 $1,295.03 0.6×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 2 matching MRF lines		 $799.56–$2,196.99 $1,304.34–$3,584 varies
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $799.55 $1,304.33 0.6×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $612.39–$643.04 $999–$1,049 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $321.83 $525 1.5×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $359.83 $587 1.7×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $298.53 $487 1.4×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $403.35 $658 1.9×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $298.53–$677.06 $487–$1,104.50 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $319.99 $522 1.5×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $298.53 $487 1.4×
Skin Full Grft Face/Genit/Hf (15240) $1,987.14 $3,241.66 0.9×
Skin sub graft face/nk/hf/g (15275)
range across 4 matching MRF lines		 $1,175.73–$4,945.07 $1,918–$8,067 varies
Skin sub graft trnk/arm/leg (15271)
range across 3 matching MRF lines		 $692.90–$4,945.07 $1,130.34–$8,067 varies
Skin sub grft t/arm/lg child (15273)
range across 3 matching MRF lines		 $908.62–$8,285.92 $1,482.25–$13,517 varies
Skin Tissue Procedure (17999)
range across 3 matching MRF lines		 $298.53–$3,400.92 $487–$5,548 varies
Skn sub grft f/n/hf/g child (15277)
range across 2 matching MRF lines		 $582.84–$4,935.88 $950.80–$8,052 varies
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $16,774.13 $27,364 2.9×
Slctv cath carotid/innom art angio xtrcranl art (36222) $10,657.62 $17,386 3.3×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $11,055.46 $18,035 1.9×
Slitting of prepuce (54001) $3,296.71 $5,378 1.5×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $818.36 $1,335 0.4×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 3 matching MRF lines		 $307.11–$2,890.54 $501–$4,715.40 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $600.13 $979 1.4×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $600.13 $979 1.4×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $990–$1,039.65 $1,615–$1,696 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $2,557.74 $4,172.50 0.7×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100)
range across 2 matching MRF lines		 $2,222.74–$4,068.48 $3,626–$6,637 varies
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765)
range across 3 matching MRF lines		 $1,221.30–$4,724.39 $1,992.33–$7,707 varies
Strapping elbow or wrist (29260)
range across 2 matching MRF lines		 $121.37–$179 $198–$292 varies
Strapping hand/finger (29280)
range across 2 matching MRF lines		 $112.79–$334.09 $184–$545 varies
Strapping toes (29550) $95.63 $156 1.6×
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $451.78–$627.10 $737–$1,023 varies
Subcutaneous Hormone Pellet Implantation (11980) $175.93 $287 0.4×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140)
range across 2 matching MRF lines		 $2,544.37–$3,372.73 $4,150.68–$5,502 varies
Subtalar arthro w/exc (29905)
range across 2 matching MRF lines		 $1,540.47–$2,050.18 $2,513–$3,344.50 varies
Surg nasopharyngoscopy dilat eustachian tube bi (69706)
range across 2 matching MRF lines		 $4,107.10–$4,329.62 $6,700–$7,063 varies
Suture digital nerve hand/foot 1 nerve (64831)
range across 2 matching MRF lines		 $480.82–$638.13 $784.37–$1,041 varies
Suture of quadriceps or hamstring muscle rupture primary (27385) $4,154.30 $6,777 0.6×
Sympathectomy; digital arteries, each digit Facility (64820)
range across 2 matching MRF lines		 $480.82–$3,142.24 $784.37–$5,126 varies
Sympathectomy; superficial palmar arch (64823) $480.82 $784.37 0.1×
Sympathectomy; ulnar artery (64822) $1,065.09 $1,737.50 0.3×
Synovectomy Tendon Sheath Foot Flexor (28086)
range across 3 matching MRF lines		 $851.84–$1,288.89 $1,389.62–$2,102.60 varies
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $2,741.34 $4,472 1.6×
Tangential biopsy skin single lesion (11102)
range across 3 matching MRF lines		 $266.04–$530.25 $434–$865 varies
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289)
range across 2 matching MRF lines		 $43,566.52–$45,745.13 $71,071–$74,625 varies
Tcat Insj/Rpl Perm Ldls Pm (33274) $30,688.01 $50,062 1.5×
Tcat Rmvl Perm Ldls Pm (33275) $5,064.61 $8,262 1.5×
Temporary Closure Eyelids Suture (67875) $1,682.07 $2,744 1.6×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) $3,204.15 $5,227 0.9×
Tenodesis distal joint each (26474) $677.06 $1,104.50 0.4×
Tenodesis long tendon biceps (23430)
range across 3 matching MRF lines		 $3,067.15–$4,083.19 $5,003.50–$6,661 varies
Tenodesis Wrist Extensors Fingers (25301) $860.96 $1,404.50 0.3×
Tenolysis flexor tendon palm/finger each tendon (26440) $420.04 $685.22 0.3×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680)
range across 4 matching MRF lines		 $1,484.89–$2,149.70 $2,422.33–$3,506.85 varies
Tenolysis, extensor tendon, hand or finger, each tendon (26445)
range across 2 matching MRF lines		 $549.04–$673.69 $895.66–$1,099 varies
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295)
range across 2 matching MRF lines		 $420.04–$549.04 $685.22–$895.66 varies
Tenotomy Flexor Palm Open Each Tendon (26450) $1,548.64 $2,526.33 0.5×
Tenotomy Percutaneous Toe Single Tendon (28010)
range across 4 matching MRF lines		 $552.31–$2,430.55 $901–$3,965 varies
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $2,331.55 $3,803.50 0.7×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011)
range across 2 matching MRF lines		 $1,471.20–$2,430.55 $2,400–$3,965 varies
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,115.05 $1,819 1.5×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) $20,704.69 $33,776 1.6×
Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) $8,854.79 $14,445 1.5×
Thrmbc/Nfs Dialysis Circuit (36906) $27,287.08 $44,514 1.4×
Thromblytic art/ven therapy (37213) $4,724.39 $7,707 1.4×
Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) $12,527.88 $20,437 2.2×
Thrombolytic Art Therapy (37211) $8,113.06 $13,235 1.4×
Thrombolytic Venous Therapy (37212) $5,064.61 $8,262 1.5×
Thyroid biopsy (60100)
range across 2 matching MRF lines		 $738.25–$1,132.21 $1,204.33–$1,847 varies
Thyroidectomy, total or complete (60240) $12,607.57 $20,567 2.0×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060)
range across 3 matching MRF lines		 $1,593.80–$3,786.50 $2,600–$6,177 varies
Tissue Expander Placement Breast Reconstruction (19357)
range across 3 matching MRF lines		 $1,646.41–$2,365.87 $2,685.83–$3,859.50 varies
Tnot elbow lateral/medial debride open (24358) $898.05 $1,465 0.3×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $2,391.31 $3,901 0.7×
Total Knee Arthroplasty (27447)
range across 6 matching MRF lines		 $1,804.06–$20,704.69 $2,943–$33,776 varies
Tprnl Plmt Biodegrdabl Matrl (55874)
likely a partial charge, not the full procedure		 $1,219.87 $1,990 0.2×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $3,691.28 $6,021.66 1.8×
Transfer/transplant tendon palmar w/o graft each (26485)
range across 2 matching MRF lines		 $420.04–$677.06 $685.22–$1,104.50 varies
Transur electr resection of prostate (52601) $6,788.36 $11,074 1.2×
Transurethral resection bladder neck (52500) $1,281.99 $2,091.33 0.4×
Treat Ankle Dislocation (27846) $11,495.59 $18,753 1.5×
Treat ankle fracture (28445)
unusually low: confirm this is the full procedure		 $2,602.49 $4,245.50 0.3×
Treat Big Toe Fracture (28505) $1,160.72 $1,893.50 0.3×
Treat ectopic pregnancy (59151)
range across 2 matching MRF lines		 $5,189.66–$5,300.61 $8,466–$8,647 varies
Treat elbow fracture (24586)
range across 2 matching MRF lines		 $8,255.27–$10,032.97 $13,467–$16,367 varies
Treat fracture radius/ulna (25575)
range across 2 matching MRF lines		 $5,357.62–$5,802.66 $8,740–$9,466 varies
Treat Fx Rad Extra-Articul (25607)
range across 3 matching MRF lines		 $1,479.37–$4,615.28 $2,413.33–$7,529 varies
Treat Humerus Fracture (24505) $2,402.35 $3,919 1.4×
Treat humerus fracture (23600)
range across 3 matching MRF lines		 $611.16–$1,828.89 $997–$2,983.50 varies
Treat Kneecap Fracture (27524)
unusually low: confirm this is the full procedure		 $3,388.05 $5,527 0.4×
Treat Knuckle Dislocation (26700) $340.22 $555 1.3×
Treat toe dislocation (28630) $360.44 $588 1.4×
Treat Vaginal Bleeding (57180) $337.15 $550 1.6×
Treatment closed elbow dislocation w/o anes (24600)
range across 3 matching MRF lines		 $343.28–$360.44 $560–$588 varies
Treatment of ankle fracture (27823)
unusually low: confirm this is the full procedure		 $2,920.64 $4,764.50 0.4×
Treatment of foot infection (28003) $1,652.04 $2,695 0.5×
Trim skin lesion (11055)
range across 2 matching MRF lines		 $304.66–$319.99 $497–$522 varies
Trim skin lesions 2 to 4 (11056)
range across 4 matching MRF lines		 $144.06–$322.44 $235–$526 varies
Trim skin lesions over 4 (11057) $334.70 $546 1.6×
Trimming Nondystrophic Nails Any Number (11719) $185.74 $303 3.0×
Trluml Balo Angiop 1St Art (37246) $8,908.73 $14,533 1.5×
Trluml Balo Angiop 1St Vein (37248)
range across 3 matching MRF lines		 $8,484.53–$8,908.73 $13,841–$14,533 varies
Tx Gastro Intub W/Asp (43753) $501.43 $818 2.2×
Tx Incomplete Abortion Any Trimester Surgical (59812)
range across 2 matching MRF lines		 $1,848.20–$5,151.04 $3,015–$8,403 varies
Tx Missed Abortion First Trimester Surgical (59820) $2,152.86 $3,512 0.6×
Tx Superficial Wound Dehiscence Simple Closure (12020) $931.15 $1,519 1.2×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
unusually low: confirm this is the full procedure		 $5,878.67 $9,590 0.4×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610)
range across 5 matching MRF lines		 $734.37–$2,409.34 $1,198–$3,930.40 varies
Tympanoplasty (69631)
range across 3 matching MRF lines		 $1,843.29–$4,329.62 $3,007–$7,063 varies
Tympanostomy general anesthesia (69436)
range across 2 matching MRF lines		 $901.57–$3,198.63 $1,470.75–$5,218 varies
Unlisted Cardiac Surgery (33999) $13,289.84 $21,680 20.4×
Unlisted hysteroscopy procedure, uterus (58579) $1,720.69 $2,807 8.2×
Unlisted laparoscopy procedure appendix (44979) $4,306.02 $7,024.50 0.7×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) $4,258.51 $6,947 0.7×
Unlisted Procedure Accessory Sinuses (31299) $2,128.95 $3,473 8.7×
Unlisted procedure anus (46999) $1,264.93 $2,063.50 1.3×
Unlisted procedure femur or knee (27599) $3,320.62 $5,417 13.0×
Unlisted procedure foot or toes (28899) $823.50 $1,343.40 3.2×
Unlisted Procedure Hands/Fingers (26989) $365.35 $596 1.4×
Unlisted procedure lungs and pleura (32999) $4,680.26 $7,635 7.2×
Unlisted Procedure Muscskeletal System General (20999) $424.20 $692 1.7×
Unlisted procedure neck or thorax (21899) $1,578.63 $2,575.25 6.4×
Unlisted procedure nervous system (64999)
range across 3 matching MRF lines		 $443.20–$2,770.15 $723–$4,519 varies
Unlisted procedure pelvis/hip joint (27299) $2,591.15 $4,227 10.1×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $2,349.63 $3,833 9.6×
Unlisted procedure shoulder (23929) $2,788.94 $4,549.66 10.9×
Unlisted Procedure Vascular Surgery (37799)
range across 3 matching MRF lines		 $2,569.08–$5,465.51 $4,191–$8,916 varies
Unlisted procedure, abdomen, peritoneum and omentum (49999) $1,508.59 $2,461 1.6×
Unlisted px female genital system nonobstetrical (58999) $1,201.48 $1,960 5.7×
Upgrade of pacemaker system (33214) $16,840.34 $27,472 1.6×
Uvulectomy excision of uvula (42140) $693.61 $1,131.50 0.2×
Vag hyst complex (58290) $9,735.67 $15,882 1.3×
Vag hyst incl t/o complex (58291) $6,986.36 $11,397 1.3×
Vaginal delivery only (59409) $5,116.10 $8,346 1.5×
Vaginal hysterectomy, for uterus 250 g or less; (58260) $9,434.07 $15,390 1.8×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $8,974.93 $14,641 1.7×
Vasc embolize/occlude artery (37242)
range across 2 matching MRF lines		 $14,330.41–$26,949.93 $23,377.50–$43,964 varies
Vasc Embolize/Occlude Bleed (37244) $17,019.95 $27,765 1.4×
Vasc Embolize/Occlude Organ (37243)
range across 2 matching MRF lines		 $16,209.56–$17,019.95 $26,443–$27,765 varies
Vasc embolize/occlude venous (37241)
range across 3 matching MRF lines		 $16,209.56–$21,048.58 $26,443–$34,337 varies
Venous Cutdown >1 Y/O (36425) $642.42 $1,048 1.4×
Venous Mech Thrombectomy (37187) $17,019.95 $27,765 1.4×
Vulvectomy simple partial (56620)
range across 2 matching MRF lines		 $2,680.04–$4,792.43 $4,372–$7,818 varies
Wedge excision skin nail fold (11765) $643.04 $1,049 1.5×
Wound Prep F/N/Hf/G (15004)
range across 2 matching MRF lines		 $2,599.65–$3,144.69 $4,240.86–$5,130 varies
Wound Prep Trk/Arm/Leg (15002) $1,585.46 $2,586.40 2.1×
Xfer Single Deep Low Leg Tendon (27691)
range across 2 matching MRF lines		 $985.58–$1,433.19 $1,607.80–$2,338 varies

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.