Procedures & surgery prices at First Care Health Center
Park River, ND · every code in this section with a posted price and a Medicare benchmark.
438 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 2 matching MRF lines |
$773–$1,640 | $773–$1,640 | varies |
| Adding Walker Previously Applied Cast (29440) range across 2 matching MRF lines |
$107–$153 | $107–$153 | varies |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) range across 2 matching MRF lines |
$1,853–$3,097 | $1,853–$3,097 | varies |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) range across 2 matching MRF lines |
$2,932–$6,843 | $2,932–$6,843 | varies |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) range across 2 matching MRF lines |
$2,553–$3,097 | $2,553–$3,097 | varies |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) range across 3 matching MRF lines |
$1,820–$3,354 | $1,820–$3,354 | varies |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) range across 2 matching MRF lines |
$1,598–$3,097 | $1,598–$3,097 | varies |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) range across 3 matching MRF lines |
$2,163–$3,354 | $2,163–$3,354 | varies |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) range across 2 matching MRF lines |
$2,154–$3,354 | $2,154–$3,354 | varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $1,787 | $1,787 | 0.5× |
| Amputation toe metatarsophalangeal joint (28820) | $1,595 | $1,595 | 0.5× |
| Anoscopy diagnostic (46600) range across 3 matching MRF lines |
$114–$278 | $114–$278 | varies |
| Anoscopy W/Rmvl Foreign Body (46608) | $662 | $662 | 0.7× |
| Anoscopy; with biopsy, single or multiple (46606) | $607 | $607 | 0.5× |
| Appendectomy (44950) likely a partial charge, not the full procedure |
$1,770 | $1,770 | 0.3× |
| Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
$175–$493 | $175–$493 | varies |
| Application finger splint static (29130) range across 3 matching MRF lines |
$83–$222 | $83–$222 | varies |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$178–$327 | $178–$327 | varies |
| Application Long Leg Cast Walker/Ambulatory Type (29355) range across 3 matching MRF lines |
$306–$607 | $306–$607 | varies |
| Application Long Leg Splint (29505) range across 3 matching MRF lines |
$146–$327 | $146–$327 | varies |
| Application of long leg cast (29345) range across 2 matching MRF lines |
$370–$570 | $370–$570 | varies |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$125–$327 | $125–$327 | varies |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$142–$327 | $142–$327 | varies |
| Apply hand/wrist cast (29085) range across 2 matching MRF lines |
$187–$253 | $187–$253 | varies |
| Apply long arm cast (29065) range across 3 matching MRF lines |
$193–$570 | $193–$570 | varies |
| Apply Short Leg Cast (29405) range across 3 matching MRF lines |
$179–$570 | $179–$570 | varies |
| Apply short leg cast (29425) range across 2 matching MRF lines |
$199–$262 | $199–$262 | varies |
| Arterial puncture (36600) | $247 | $247 | 1.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$119–$553 | $119–$553 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 3 matching MRF lines |
$148–$553 | $148–$553 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$112–$525 | $112–$525 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 4 matching MRF lines |
$175–$416 | $175–$416 | varies |
| Biopsy of breast; open, incisional (19101) range across 3 matching MRF lines |
$615–$5,624 | $615–$5,624 | varies |
| Biopsy of rectum (45100) range across 2 matching MRF lines |
$809–$810 | $809–$810 | varies |
| Biopsy soft tissue neck/thorax (21550) | $3,085 | $3,085 | 1.8× |
| Biopsy Tongue Anterior Two-Thirds (41100) | $471 | $471 | 0.9× |
| Biopsy Vaginal Mucosa Extensive (57105) range across 2 matching MRF lines |
$355–$382 | $355–$382 | varies |
| Biopsy Vaginal Mucosa Simple (57100) | $251 | $251 | 0.3× |
| Biopsy, vestibule of mouth (40808) | $515 | $515 | 0.9× |
| Biopsy/removal lymph nodes (38510) range across 2 matching MRF lines |
$1,194–$1,440 | $1,194–$1,440 | varies |
| Bladder instillation anticarcinogenic agent (51720) range across 2 matching MRF lines |
$330–$573 | $330–$573 | varies |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$245–$515 | $245–$515 | varies |
| Bladder Scan (51798) | $243 | $243 | 4.0× |
| Bx breast needle core w/o imaging guidance spx (19100) | $402 | $402 | 0.2× |
| Bx Cervix (57500) range across 3 matching MRF lines |
$214–$1,261 | $214–$1,261 | varies |
| Bx/exc lymph node open superficial (38500) | $713 | $713 | 0.2× |
| Carpal Tunnel Surgery (64721) range across 2 matching MRF lines |
$1,168–$1,172 | $1,168–$1,172 | varies |
| Cataract surgery complex (66982) | $1,767 | $1,767 | 0.7× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) range across 2 matching MRF lines |
$412–$647 | $412–$647 | varies |
| Change Cystostomy Tube Complicated (51710) range across 3 matching MRF lines |
$278–$1,275 | $278–$1,275 | varies |
| Change Cystostomy Tube Simple (51705) range across 4 matching MRF lines |
$197–$618 | $197–$618 | varies |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$214–$330 | $214–$330 | varies |
| Chest tube placement (32551) range across 2 matching MRF lines |
$493–$2,668 | $493–$2,668 | varies |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $856 | $856 | 0.2× |
| Circumcision Neonate (54160) | $659 | $659 | 0.9× |
| Circumcision w/clamp/oth dev w/block (54150) | $475 | $475 | 0.2× |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$170–$345 | $170–$345 | varies |
| Closed Treat Vert Body Fract (22310) | $697 | $697 | 2.8× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $840 | $840 | 3.3× |
| Closed Treatment Sternum Fracture (21820) | $411 | $411 | 1.6× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $857 | $857 | 3.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$711–$988 | $711–$988 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 3 matching MRF lines |
$1,180–$2,741 | $1,180–$2,741 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 2 matching MRF lines |
$814–$901 | $814–$901 | varies |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) range across 2 matching MRF lines |
$993–$1,066 | $993–$1,066 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 3 matching MRF lines |
$472–$666 | $472–$666 | varies |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 3 matching MRF lines |
$711–$814 | $711–$814 | varies |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) range across 2 matching MRF lines |
$1,314–$1,410 | $1,314–$1,410 | varies |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $1,722 | $1,722 | 1.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 3 matching MRF lines |
$489–$572 | $489–$572 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) range across 2 matching MRF lines |
$386–$4,658 | $386–$4,658 | varies |
| Closed tx patellar dislocation w/anesthesia (27562) | $1,302 | $1,302 | 5.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 3 matching MRF lines |
$397–$1,021 | $397–$1,021 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 3 matching MRF lines |
$711–$865 | $711–$865 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 3 matching MRF lines |
$642–$711 | $642–$711 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$1,257–$1,359 | $1,257–$1,359 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 3 matching MRF lines |
$412–$726 | $412–$726 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 3 matching MRF lines |
$1,292–$2,741 | $1,292–$2,741 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 4 matching MRF lines |
$397–$734 | $397–$734 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 2 matching MRF lines |
$397–$627 | $397–$627 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 3 matching MRF lines |
$93–$471 | $93–$471 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 2 matching MRF lines |
$397–$773 | $397–$773 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $694 | $694 | 2.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$397–$585 | $397–$585 | varies |
| Clsd tx fx orbit except blowout w/o manipulation (21400) range across 2 matching MRF lines |
$524–$1,017 | $524–$1,017 | varies |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $1,294 | $1,294 | 5.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$1,067–$3,171 | $1,067–$3,171 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 3 matching MRF lines |
$711–$826 | $711–$826 | varies |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) | $1,441 | $1,441 | 5.7× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 2 matching MRF lines |
$901–$988 | $901–$988 | varies |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) range across 3 matching MRF lines |
$573–$711 | $573–$711 | varies |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 2 matching MRF lines |
$748–$821 | $748–$821 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) range across 2 matching MRF lines |
$496–$882 | $496–$882 | varies |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) range across 2 matching MRF lines |
$1,877–$2,741 | $1,877–$2,741 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 3 matching MRF lines |
$711–$851 | $711–$851 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 4 matching MRF lines |
$399–$849 | $399–$849 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 3 matching MRF lines |
$399–$494 | $399–$494 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 3 matching MRF lines |
$711–$859 | $711–$859 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 3 matching MRF lines |
$1,604–$2,796 | $1,604–$2,796 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $1,456 | $1,456 | 5.8× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) | $1,320 | $1,320 | 5.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 3 matching MRF lines |
$397–$478 | $397–$478 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 3 matching MRF lines |
$340–$397 | $340–$397 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 3 matching MRF lines |
$393–$711 | $393–$711 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 3 matching MRF lines |
$327–$397 | $327–$397 | varies |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 4 matching MRF lines |
$390–$843 | $390–$843 | varies |
| Cltx greater humeral tuberosity fx w/o manj (23620) range across 3 matching MRF lines |
$397–$726 | $397–$726 | varies |
| Cltx Greater Trochanteric Fx W/O Manj (27246) | $1,059 | $1,059 | 4.2× |
| Cltx hip dislocation traumatic req anesthesia (27252) range across 2 matching MRF lines |
$2,138–$3,146 | $2,138–$3,146 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$379–$435 | $379–$435 | varies |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) range across 2 matching MRF lines |
$819–$906 | $819–$906 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$251–$308 | $251–$308 | varies |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) range across 2 matching MRF lines |
$926–$1,021 | $926–$1,021 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 3 matching MRF lines |
$397–$729 | $397–$729 | varies |
| Cltx Medial Ankle Fx (27760) range across 2 matching MRF lines |
$818–$896 | $818–$896 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 3 matching MRF lines |
$711–$860 | $711–$860 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 3 matching MRF lines |
$397–$785 | $397–$785 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 4 matching MRF lines |
$399–$909 | $399–$909 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 3 matching MRF lines |
$397–$529 | $397–$529 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) | $1,071 | $1,071 | 4.2× |
| Cltx prox fibula/shft fx w/o manj (27780) range across 3 matching MRF lines |
$411–$818 | $411–$818 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
$268–$739 | $268–$739 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) range across 2 matching MRF lines |
$1,068–$2,796 | $1,068–$2,796 | varies |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 2 matching MRF lines |
$489–$1,018 | $489–$1,018 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) range across 2 matching MRF lines |
$1,000–$1,068 | $1,000–$1,068 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) range across 3 matching MRF lines |
$402–$930 | $402–$930 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 3 matching MRF lines |
$1,206–$2,796 | $1,206–$2,796 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 3 matching MRF lines |
$764–$851 | $764–$851 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $197 | $197 | 1.4× |
| Collection of venous blood by venipuncture (36415) | $23 | $23 | 2.5× |
| Colonoscopy W/Band Ligation (45398) | $597 | $597 | 0.5× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) range across 2 matching MRF lines |
$388–$431 | $388–$431 | varies |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $289 | $289 | 0.9× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) range across 2 matching MRF lines |
$470–$819 | $470–$819 | varies |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $770 | $770 | 0.6× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) range across 2 matching MRF lines |
$687–$746 | $687–$746 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 3 matching MRF lines |
$227–$562 | $227–$562 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 4 matching MRF lines |
$174–$373 | $174–$373 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 4 matching MRF lines |
$188–$889 | $188–$889 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) range across 3 matching MRF lines |
$347–$923 | $347–$923 | varies |
| Curettage postpartum (59160) | $595 | $595 | 0.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 3 matching MRF lines |
$100–$955 | $100–$955 | varies |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$431–$839 | $431–$839 | varies |
| Debride nail 1-5 (11720) | $85 | $85 | 1.4× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$702–$2,392 | $702–$2,392 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$164–$732 | $164–$732 | varies |
| Declot vascular device (36593) | $670 | $670 | 2.0× |
| Delivery of placenta (59414) range across 2 matching MRF lines |
$264–$5,217 | $264–$5,217 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 3 matching MRF lines |
$173–$341 | $173–$341 | varies |
| Destruction Benign Lesions 15/> (17111) | $364 | $364 | 1.8× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $494 | $494 | 2.4× |
| Destruction of skin lesions (17106) | $945 | $945 | 2.3× |
| Destruction Premalignant Lesion 15/> (17004) | $479 | $479 | 1.2× |
| Destruction premalignant lesion 1st (17000) range across 3 matching MRF lines |
$158–$341 | $158–$341 | varies |
| Destruction Vaginal Lesions Simple (57061) | $322 | $322 | 0.1× |
| Diagnostic sigmoidoscopy (45330) | $179 | $179 | 0.2× |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) | $466 | $466 | 0.4× |
| Dilation & curettage dx&/ther nonobstetric (58120) range across 2 matching MRF lines |
$620–$712 | $620–$712 | varies |
| Drainage Mouth Roof Lesion (42000) range across 2 matching MRF lines |
$422–$600 | $422–$600 | varies |
| Drainage of gum lesion (41800) | $722 | $722 | 5.3× |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$339–$2,734 | $339–$2,734 | varies |
| Drainage of hydrocele (55000) | $345 | $345 | 0.5× |
| Drainage of scrotum (54700) | $620 | $620 | 0.3× |
| Draw Blood Off Venous Device (36591) | $197 | $197 | 1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 3 matching MRF lines |
$373–$640 | $373–$640 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 4 matching MRF lines |
$324–$416 | $324–$416 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$150–$416 | $150–$416 | varies |
| Dstrj lesion anus simple surg excision (46922) | $399 | $399 | 0.1× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $402 | $402 | 0.2× |
| Egd control bleeding any (43255) | $526 | $526 | 0.3× |
| Egd dilation gastric/duodenal stricture (43245) | $458 | $458 | 0.2× |
| Egd place gastrostomy tube (43246) | $712 | $712 | 0.4× |
| Egd remove lesion snare (43251) | $606 | $606 | 0.3× |
| Egd Varices Ligation (43244) | $619 | $619 | 0.3× |
| Endocervical curettage (57505) | $305 | $305 | 0.3× |
| Endometrial Biopsy (58100) range across 2 matching MRF lines |
$252–$310 | $252–$310 | varies |
| Enterorrhaphy single perforation (44602) | $3,950 | $3,950 | 1.0× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) | $1,832 | $1,832 | 2.0× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $443 | $443 | 0.2× |
| Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
$92–$206 | $92–$206 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $330 | $330 | 0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 3 matching MRF lines |
$427–$3,085 | $427–$3,085 | varies |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $650 | $650 | 0.9× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 3 matching MRF lines |
$523–$1,968 | $523–$1,968 | varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) range across 3 matching MRF lines |
$812–$3,085 | $812–$3,085 | varies |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $364 | $364 | 0.5× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 3 matching MRF lines |
$363–$1,007 | $363–$1,007 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 3 matching MRF lines |
$405–$1,968 | $405–$1,968 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 3 matching MRF lines |
$499–$2,392 | $499–$2,392 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) range across 3 matching MRF lines |
$630–$2,392 | $630–$2,392 | varies |
| Exc ganglion wrist recurrent (25112) | $1,144 | $1,144 | 0.7× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $328 | $328 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $425 | $425 | 0.6× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 3 matching MRF lines |
$379–$2,392 | $379–$2,392 | varies |
| Exc Hand Les Sc < 1.5 Cm (26115) range across 3 matching MRF lines |
$937–$3,085 | $937–$3,085 | varies |
| Exc hand tum deep < 1.5 cm (26116) | $1,465 | $1,465 | 0.9× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) | $1,799 | $1,799 | 0.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 3 matching MRF lines |
$399–$1,968 | $399–$1,968 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 3 matching MRF lines |
$499–$3,085 | $499–$3,085 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 3 matching MRF lines |
$758–$4,198 | $758–$4,198 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 3 matching MRF lines |
$675–$3,085 | $675–$3,085 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) range across 3 matching MRF lines |
$899–$4,198 | $899–$4,198 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 3 matching MRF lines |
$595–$2,392 | $595–$2,392 | varies |
| Exc Skin Malig >4 Cm Remaindr Body (11626) range across 3 matching MRF lines |
$819–$4,198 | $819–$4,198 | varies |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 3 matching MRF lines |
$895–$3,085 | $895–$3,085 | varies |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $493 | $493 | 0.4× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$400–$607 | $400–$607 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 4 matching MRF lines |
$308–$1,015 | $308–$1,015 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 3 matching MRF lines |
$445–$3,085 | $445–$3,085 | varies |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) | $1,980 | $1,980 | 0.7× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) | $1,370 | $1,370 | 0.5× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $3,550 | $3,550 | 1.7× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $789 | $789 | 0.5× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 3 matching MRF lines |
$547–$1,968 | $547–$1,968 | varies |
| Excision Chalazion Single (67800) | $785 | $785 | 2.4× |
| Excision Lingual Frenum Frenectomy (41115) | $693 | $693 | 0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $514 | $514 | 0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 3 matching MRF lines |
$412–$1,208 | $412–$1,208 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 3 matching MRF lines |
$453–$1,007 | $453–$1,007 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 3 matching MRF lines |
$600–$1,968 | $600–$1,968 | varies |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $540 | $540 | 0.7× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 3 matching MRF lines |
$654–$2,392 | $654–$2,392 | varies |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) range across 3 matching MRF lines |
$1,133–$4,198 | $1,133–$4,198 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $521 | $521 | 0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $623 | $623 | 0.9× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 3 matching MRF lines |
$478–$1,968 | $478–$1,968 | varies |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) range across 3 matching MRF lines |
$665–$3,085 | $665–$3,085 | varies |
| Excision Multiple External Papillae/Tags Anus (46230) | $476 | $476 | 0.2× |
| Excision of bartholin's gland or cyst (56740) | $839 | $839 | 0.3× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 2 matching MRF lines |
$876–$3,976 | $876–$3,976 | varies |
| Excision of hydrocele; unilateral (55040) | $1,058 | $1,058 | 0.3× |
| Excision of pilonidal cyst or sinus; simple (11770) | $810 | $810 | 0.3× |
| Excision of vaginal cyst or tumor (57135) range across 2 matching MRF lines |
$489–$542 | $489–$542 | varies |
| Excision Pilonidal Cyst/Sinus Complicated (11772) range across 2 matching MRF lines |
$1,532–$1,903 | $1,532–$1,903 | varies |
| Excision Pilonidal Cyst/Sinus Extensive (11771) range across 2 matching MRF lines |
$1,199–$1,515 | $1,199–$1,515 | varies |
| Excision tendon finger flexor/extensor each (26180) | $3,551 | $3,551 | 2.2× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $1,188 | $1,188 | 0.7× |
| Excision, sacral pressure ulcer, with skin flap closure; with ostectomy Facility (15935) | $3,027 | $3,027 | 0.8× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | $1,377 | $1,377 | 0.5× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $1,305 | $1,305 | 0.8× |
| Exploration penetrating wound spx extremity (20103) range across 3 matching MRF lines |
$999–$1,573 | $999–$1,573 | varies |
| Fasciectomy Palm Only (26121) | $1,644 | $1,644 | 0.5× |
| Fetal non-stress test (59025) range across 3 matching MRF lines |
$90–$322 | $90–$322 | varies |
| Fine needle aspiration without imaging guidance (10021) | $912 | $912 | 2.2× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) range across 2 matching MRF lines |
$2,418–$3,354 | $2,418–$3,354 | varies |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) range across 3 matching MRF lines |
$1,747–$3,354 | $1,747–$3,354 | varies |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $1,208 | $1,208 | 0.4× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $1,275 | $1,275 | 0.4× |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$263–$375 | $263–$375 | varies |
| I&d perianal abscess superficial (46050) | $600 | $600 | 0.6× |
| I&d pilonidal cyst complicated (10081) range across 2 matching MRF lines |
$475–$723 | $475–$723 | varies |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$474–$1,007 | $474–$1,007 | varies |
| Incise external hemorrhoid (46083) | $479 | $479 | 1.9× |
| Incise finger tendon sheath (26055) range across 2 matching MRF lines |
$832–$1,529 | $832–$1,529 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$460–$607 | $460–$607 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $1,465 | $1,465 | 0.5× |
| Incision & removal foreign body subq tiss compl (10121) range across 3 matching MRF lines |
$527–$3,499 | $527–$3,499 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$286–$628 | $286–$628 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$265–$353 | $265–$353 | varies |
| Incision extensor tendon sheath wrist (25000) | $991 | $991 | 0.6× |
| Incision of labial frenum (frenotomy) (40806) | $406 | $406 | 0.7× |
| Incision of lingual frenum (frenotomy) (41010) | $572 | $572 | 0.4× |
| Incision of rectal abscess (46040) | $1,415 | $1,415 | 1.2× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $765 | $765 | 0.5× |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$152–$392 | $152–$392 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$191–$341 | $191–$341 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$158–$494 | $158–$494 | varies |
| Injection single tendon origin/insertion (20551) | $159 | $159 | 0.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$108–$495 | $108–$495 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) | $171 | $171 | 0.5× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$203–$1,479 | $203–$1,479 | varies |
| Injection, Intralesional; More Than 7 Lesions (11901) | $119 | $119 | 0.6× |
| Injection, intralesional; up to and including 7 lesions (11900) | $158 | $158 | 0.8× |
| Insert Bladder Cath Complex (51703) range across 3 matching MRF lines |
$241–$394 | $241–$394 | varies |
| Insert cervical dilator (59200) | $212 | $212 | 0.7× |
| Insert Drug Implant Device (11981) | $269 | $269 | 2.0× |
| Insert Gastrostomy Tube Percutaneous (49440) | $539 | $539 | 0.3× |
| Insert non-tunnel cv cath (36556) | $6,345 | $6,345 | 2.0× |
| Insert pessary/other device (57160) range across 3 matching MRF lines |
$137–$290 | $137–$290 | varies |
| Insert Temp Bladder Cath (51702) range across 4 matching MRF lines |
$208–$217 | $208–$217 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 4 matching MRF lines |
$68–$243 | $68–$243 | varies |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) likely a partial charge, not the full procedure |
$979 | $979 | 0.2× |
| Int hrhc by ligation single hroid w/o img gdn (46945) | $609 | $609 | 0.2× |
| Intubation endotracheal emergency procedure (31500) | $399 | $399 | 1.6× |
| Lap paraesophag hern repair (43281) unusually low: confirm this is the full procedure |
$4,269 | $4,269 | 0.4× |
| Laparoscopy aspiration (49322) likely a partial charge, not the full procedure |
$1,005 | $1,005 | 0.2× |
| Laparoscopy Enterolysis Separate Procedure (44180) unusually low: confirm this is the full procedure |
$2,674 | $2,674 | 0.4× |
| Laparoscopy fulguration oviducts (58670) likely a partial charge, not the full procedure |
$1,024 | $1,024 | 0.2× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) likely a partial charge, not the full procedure |
$1,156 | $1,156 | 0.2× |
| Laparoscopy, surgical, appendectomy (44970) likely a partial charge, not the full procedure |
$1,628 | $1,628 | 0.3× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) likely a partial charge, not the full procedure |
$2,965 | $2,965 | 0.3× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) likely a partial charge, not the full procedure |
$1,507 | $1,507 | 0.2× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) likely a partial charge, not the full procedure |
$1,801 | $1,801 | 0.3× |
| Late closure of wound (13160) | $2,324 | $2,324 | 0.6× |
| Ligation Major Artery Abdomen (37617) | $3,946 | $3,946 | 0.7× |
| Ligation of hemorrhoids (46946) | $864 | $864 | 0.3× |
| Ligation or biopsy temporal artery (37609) | $614 | $614 | 0.4× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) range across 2 matching MRF lines |
$776–$1,025 | $776–$1,025 | varies |
| Lysis/excision penile postcircumcision adhesions (54162) | $522 | $522 | 0.2× |
| Mastectomy partial (19301) | $1,747 | $1,747 | 0.4× |
| N Block Inj Plantar Digit (64455) | $138 | $138 | 0.4× |
| Occipital Nerve Block (64405) | $319 | $319 | 1.0× |
| Ovarian cystectomy, unilateral or bilateral (58925) unusually low: confirm this is the full procedure |
$2,072 | $2,072 | 0.4× |
| Partial Excision Distal Phalanx Finger (26236) range across 2 matching MRF lines |
$1,202–$3,122 | $1,202–$3,122 | varies |
| Partial excision of lip (40520) range across 3 matching MRF lines |
$1,024–$4,805 | $1,024–$4,805 | varies |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$128–$324 | $128–$324 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$275–$607 | $275–$607 | varies |
| Puncture Aspiration Cyst Breast (19000) | $306 | $306 | 0.4× |
| Removal Embedded Foreign Body Eyelid (67938) range across 3 matching MRF lines |
$322–$688 | $322–$688 | varies |
| Removal foreign body foot deep (28192) range across 2 matching MRF lines |
$1,272–$2,723 | $1,272–$2,723 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$355–$1,237 | $355–$1,237 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$542–$2,871 | $542–$2,871 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$151–$201 | $151–$201 | varies |
| Removal implantable contraceptive capsules (11976) | $410 | $410 | 0.6× |
| Removal of foreign body from pharynx (42809) range across 2 matching MRF lines |
$557–$751 | $557–$751 | varies |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$263–$939 | $263–$939 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 3 matching MRF lines |
$201–$341 | $201–$341 | varies |
| Removal sweat gland lesion (11450) | $1,010 | $1,010 | 0.3× |
| Remove drug implant device (11982) | $305 | $305 | 0.7× |
| Remove Forearm Foreign Body (25248) | $1,064 | $1,064 | 0.6× |
| Remove foreign body from eye (65205) range across 3 matching MRF lines |
$125–$302 | $125–$302 | varies |
| Remove Intrauterine Device (58301) range across 3 matching MRF lines |
$198–$547 | $198–$547 | varies |
| Remove Nasal Foreign Body (30300) range across 3 matching MRF lines |
$278–$497 | $278–$497 | varies |
| Remove Shoulder Foreign Body (23330) | $753 | $753 | 0.4× |
| Remove Tendon Sheath Lesion (26160) range across 3 matching MRF lines |
$896–$3,122 | $896–$3,122 | varies |
| Remove/Insert Drug Implant (11983) | $376 | $376 | 0.8× |
| Repair Blood Vessel Direct Upper Extremity (35206) | $2,290 | $2,290 | 0.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 3 matching MRF lines |
$799–$1,133 | $799–$1,133 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 3 matching MRF lines |
$969–$1,393 | $969–$1,393 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 3 matching MRF lines |
$757–$991 | $757–$991 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 3 matching MRF lines |
$1,186–$1,605 | $1,186–$1,605 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
$688–$899 | $688–$899 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 4 matching MRF lines |
$682–$1,225 | $682–$1,225 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $922 | $922 | 1.2× |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$649–$2,314 | $649–$2,314 | varies |
| Repair extensor tendon finger w/o graft each (26418) range across 2 matching MRF lines |
$1,566–$3,562 | $1,566–$3,562 | varies |
| Repair Finger/Hand Tendon (26350) range across 2 matching MRF lines |
$1,947–$6,193 | $1,947–$6,193 | varies |
| Repair Hand Tendon (26410) range across 2 matching MRF lines |
$1,542–$3,551 | $1,542–$3,551 | varies |
| Repair inguinal hernia, sliding, any age (49525) | $1,663 | $1,663 | 0.5× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) | $1,695 | $1,695 | 0.5× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $1,738 | $1,738 | 0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$524–$757 | $524–$757 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 4 matching MRF lines |
$647–$894 | $647–$894 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 3 matching MRF lines |
$618–$930 | $618–$930 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$607–$630 | $607–$630 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
$488–$700 | $488–$700 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines |
$564–$799 | $564–$799 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 3 matching MRF lines |
$627–$1,019 | $627–$1,019 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 3 matching MRF lines |
$674–$1,133 | $674–$1,133 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$460–$757 | $460–$757 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$553–$844 | $553–$844 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
$580–$842 | $580–$842 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 3 matching MRF lines |
$906–$2,991 | $906–$2,991 | varies |
| Repair of nail bed (11760) range across 3 matching MRF lines |
$263–$932 | $263–$932 | varies |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $911 | $911 | 0.3× |
| Repair tongue laceration (41252) | $869 | $869 | 3.6× |
| Replace g/c tube perc (49450) | $1,645 | $1,645 | 1.8× |
| Rerepair ing hernia reduce (49520) | $1,722 | $1,722 | 0.5× |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) | $3,010 | $3,010 | 0.8× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $458 | $458 | 0.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 3 matching MRF lines |
$121–$870 | $121–$870 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$165–$209 | $165–$209 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 3 matching MRF lines |
$151–$870 | $151–$870 | varies |
| Rmvl fecal impaction/fb spx under anes (45915) | $613 | $613 | 0.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $501 | $501 | 0.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $470 | $470 | 0.7× |
| Rpr blood vessel direct lower extremity (35226) | $2,613 | $2,613 | 3.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 3 matching MRF lines |
$341–$547 | $341–$547 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) range across 2 matching MRF lines |
$819–$1,208 | $819–$1,208 | varies |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $799 | $799 | 3.3× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) range across 3 matching MRF lines |
$1,212–$2,754 | $1,212–$2,754 | varies |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $402 | $402 | 0.3× |
| Shave skin lesion 0.5 cm/< (11300) range across 2 matching MRF lines |
$269–$672 | $269–$672 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) range across 3 matching MRF lines |
$128–$341 | $128–$341 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) range across 3 matching MRF lines |
$266–$607 | $266–$607 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 3 matching MRF lines |
$103–$341 | $103–$341 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) range across 3 matching MRF lines |
$165–$341 | $165–$341 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) range across 3 matching MRF lines |
$194–$399 | $194–$399 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) range across 2 matching MRF lines |
$417–$607 | $417–$607 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) range across 3 matching MRF lines |
$190–$348 | $190–$348 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) range across 3 matching MRF lines |
$199–$607 | $199–$607 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 3 matching MRF lines |
$144–$341 | $144–$341 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) range across 3 matching MRF lines |
$217–$607 | $217–$607 | varies |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) range across 3 matching MRF lines |
$187–$390 | $187–$390 | varies |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) | $654 | $654 | 0.2× |
| Sigmoidoscopy & Polypectomy (45333) | $311 | $311 | 0.3× |
| Sigmoidoscopy flx tndsc balo dilat (45340) | $210 | $210 | 0.2× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $215 | $215 | 0.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$329–$672 | $329–$672 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$203–$354 | $203–$354 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$229–$375 | $229–$375 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 3 matching MRF lines |
$279–$447 | $279–$447 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$171–$341 | $171–$341 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$264–$411 | $264–$411 | varies |
| Skin Full Grft Face/Genit/Hf (15240) range across 2 matching MRF lines |
$2,236–$3,354 | $2,236–$3,354 | varies |
| Skin sub graft face/nk/hf/g (15275) | $246 | $246 | 0.3× |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$180–$222 | $180–$222 | varies |
| Skin sub grft t/arm/lg child (15273) | $477 | $477 | 0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$217–$344 | $217–$344 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 3 matching MRF lines |
$344–$607 | $344–$607 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$607–$630 | $607–$630 | varies |
| Sphincterotomy anal division sphincter spx (46080) | $435 | $435 | 0.2× |
| Spinal puncture lumbar diagnostic (62270) range across 3 matching MRF lines |
$262–$1,488 | $262–$1,488 | varies |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) range across 3 matching MRF lines |
$2,222–$6,843 | $2,222–$6,843 | varies |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $1,992 | $1,992 | 0.9× |
| Strapping ankle (29540) range across 4 matching MRF lines |
$72–$283 | $72–$283 | varies |
| Strapping elbow or wrist (29260) range across 3 matching MRF lines |
$108–$140 | $108–$140 | varies |
| Strapping hand/finger (29280) range across 3 matching MRF lines |
$104–$139 | $104–$139 | varies |
| Strapping knee (29530) range across 3 matching MRF lines |
$108–$222 | $108–$222 | varies |
| Strapping shoulder (29240) | $222 | $222 | 1.6× |
| Strapping toes (29550) range across 3 matching MRF lines |
$53–$124 | $53–$124 | varies |
| Surg tx anal fistula subq (46270) | $1,035 | $1,035 | 0.4× |
| Suture digital nerve hand/foot 1 nerve (64831) | $4,198 | $4,198 | 2.1× |
| Suture infrapatellar tendon primary (27380) likely a partial charge, not the full procedure |
$1,717 | $1,717 | 0.2× |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$102–$258 | $102–$258 | varies |
| Temporary Closure Eyelids Suture (67875) range across 2 matching MRF lines |
$466–$1,836 | $466–$1,836 | varies |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) range across 3 matching MRF lines |
$1,923–$3,354 | $1,923–$3,354 | varies |
| Treat humerus fracture (24500) range across 3 matching MRF lines |
$711–$948 | $711–$948 | varies |
| Treat humerus fracture (23600) range across 3 matching MRF lines |
$397–$869 | $397–$869 | varies |
| Treat Knee Fracture(S) (27538) | $1,193 | $1,193 | 4.7× |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$471–$868 | $471–$868 | varies |
| Treat Metatarsal Fracture (28475) range across 3 matching MRF lines |
$650–$711 | $650–$711 | varies |
| Treat Tail Bone Fracture (27200) | $483 | $483 | 1.9× |
| Treat toe dislocation (28630) range across 2 matching MRF lines |
$280–$711 | $280–$711 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 3 matching MRF lines |
$397–$968 | $397–$968 | varies |
| Trim skin lesion (11055) | $137 | $137 | 0.7× |
| Trim skin lesions 2 to 4 (11056) | $192 | $192 | 0.9× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) | $1,247 | $1,247 | 0.4× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $894 | $894 | 0.3× |
| Tx Missed Abortion First Trimester Surgical (59820) | $1,072 | $1,072 | 0.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 3 matching MRF lines |
$528–$991 | $528–$991 | varies |
| Tx superficial wound dehiscence w/packing (12021) range across 2 matching MRF lines |
$447–$665 | $447–$665 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) range across 2 matching MRF lines |
$397–$578 | $397–$578 | varies |
| Vaginal delivery only (59409) range across 3 matching MRF lines |
$1,180–$3,587 | $1,180–$3,587 | varies |
| Vasectomy uni/bi spx w/postop semen exams (55250) range across 2 matching MRF lines |
$1,202–$4,281 | $1,202–$4,281 | varies |
| Venous Cutdown >1 Y/O (36425) | $809 | $809 | 1.8× |
| Wound Prep F/N/Hf/G (15004) range across 2 matching MRF lines |
$762–$1,019 | $762–$1,019 | varies |
| Wound Prep Trk/Arm/Leg (15002) range across 2 matching MRF lines |
$628–$2,991 | $628–$2,991 | 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.