Procedures & surgery prices at Franklin Hospital
Benton, IL · every code in this section with a posted price and a Medicare benchmark.
399 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $516.38 | $688.50 | 0.5× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) | $1,995.38 | $2,660.50 | 0.9× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $1,330.88 | $1,774.50 | 0.6× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) | $665.63 | $887.50 | 0.3× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) | $3,326.25 | $4,435 | 1.5× |
| Amputation toe interphalangeal joint (28825) | $755.25 | $1,007 | 0.2× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) | $1,094.25 | $1,459 | 0.9× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $665.63 | $887.50 | 0.2× |
| Appendectomy (44950) | $6,862.88 | $9,150.50 | 1.0× |
| Application finger splint static (29130) | $53.25 | $71 | 0.4× |
| Application long arm splint shoulder hand (29105) | $126.75 | $169 | 0.7× |
| Application Long Leg Splint (29505) | $87.75 | $117 | 0.5× |
| Application of rigid total contact leg cast (29445) range across 3 matching MRF lines |
$349.88–$447.38 | $466.50–$596.50 | varies |
| Application short arm splint forearm-hand static (29125) | $100.13 | $133.50 | 0.7× |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$91.50–$347.25 | $122–$463 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 4 matching MRF lines |
$61.13–$592.88 | $81.50–$790.50 | varies |
| Arterial puncture (36600) | $100.13 | $133.50 | 0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 6 matching MRF lines |
$232.50–$3,459.38 | $310–$4,612.50 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$232.50–$237.38 | $310–$316.50 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 8 matching MRF lines |
$166.88–$643.50 | $222.50–$858 | varies |
| Arthrodesis great toe metatarsophalangeal joint (28750) range across 2 matching MRF lines |
$2,187.75–$9,426.75 | $2,917–$12,569 | varies |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) | $992.63 | $1,323.50 | 0.3× |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$142.13–$469.13 | $189.50–$625.50 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 8 matching MRF lines |
$218.63–$441.38 | $291.50–$588.50 | varies |
| Biopsy bone open superficial (20240) | $348.75 | $465 | 0.1× |
| Biopsy bone trocar/needle deep (20225) range across 2 matching MRF lines |
$642–$2,594.63 | $856–$3,459.50 | varies |
| Biopsy Bone Trocar/Needle Superficial (20220) range across 2 matching MRF lines |
$2,594.63–$3,459.38 | $3,459.50–$4,612.50 | varies |
| Biopsy of breast; open, incisional (19101) | $1,064.25 | $1,419 | 0.3× |
| Biopsy of liver, needle; percutaneous (47000) | $1,592.25 | $2,123 | 0.9× |
| Biopsy of nerve (64795) | $523.88 | $698.50 | 0.3× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) | $822 | $1,096 | 0.5× |
| Bladder Irrigation (51700) | $123 | $164 | 0.5× |
| Blepharotomy drainage abscess eyelid (67700) | $423.75 | $565 | 1.2× |
| Blood Transfusion Service (36430) range across 5 matching MRF lines |
$424.88–$566.63 | $566.50–$755.50 | varies |
| Bone Marrow Biopsy (38221) range across 2 matching MRF lines |
$148.50–$248.25 | $198–$331 | varies |
| Bone Marrow; Aspiration Only (38220) | $594 | $792 | 0.3× |
| Bx breast 1st lesion strtctc (19081) | $3,140.25 | $4,187 | 1.8× |
| Bx breast needle core w/o imaging guidance spx (19100) | $875.25 | $1,167 | 0.5× |
| Bx/exc lymph node open superficial (38500) | $1,330.88 | $1,774.50 | 0.3× |
| Change of Windpipe Airway (31502) range across 2 matching MRF lines |
$70.13–$139.50 | $93.50–$186 | varies |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$331.13–$3,459.38 | $441.50–$4,612.50 | varies |
| Chest tube placement (32551) range across 2 matching MRF lines |
$426.75–$2,372.25 | $569–$3,163 | varies |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$100.13–$323.25 | $133.50–$431 | varies |
| Closed rx talotarsal disloc,anesth (28575) | $1,336.50 | $1,782 | 0.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $1,452.38 | $1,936.50 | 5.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$1,163.63–$1,175.63 | $1,551.50–$1,567.50 | varies |
| Closed tx patellar dislocation w/anesthesia (27562) | $1,242.75 | $1,657 | 4.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$949.88–$1,234.13 | $1,266.50–$1,645.50 | varies |
| Closed tx talotarsal joint dislc w/o anes (28570) | $742.13 | $989.50 | 2.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $120.75 | $161 | 0.5× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $777.75 | $1,037 | 3.1× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $210 | $280 | 0.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $1,623 | $2,164 | 0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $665.63 | $887.50 | 2.5× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $1,126.50 | $1,502 | 0.7× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $1,196.63 | $1,595.50 | 4.5× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $1,146.75 | $1,529 | 4.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $808.13 | $1,077.50 | 3.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $1,882.50 | $2,510 | 1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $514.88 | $686.50 | 1.9× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $1,836 | $2,448 | 1.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $1,032.75 | $1,377 | 3.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $429.38 | $572.50 | 1.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $865.88 | $1,154.50 | 3.3× |
| Cltx post hip arthrp dislc w/o anes (27265) | $1,047.38 | $1,396.50 | 4.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $329.25 | $439 | 1.2× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $715.88 | $954.50 | 0.4× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $1,239.38 | $1,652.50 | 0.7× |
| Collect Blood From Catheter Venous Nos (36592) | $116.63 | $155.50 | 0.8× |
| Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$18–$21.75 | $24–$29 | varies |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) | $421.88 | $562.50 | 0.3× |
| Colonoscopy W/Band Ligation (45398) | $2,072.63 | $2,763.50 | 1.6× |
| Colonoscopy W/Resection (45390) | $931.50 | $1,242 | 0.3× |
| Colonoscopy w/submucosal inj (45381) | $1,288.50 | $1,718 | 1.0× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $3,801 | $5,068 | 3.0× |
| Complex drainage wound (10180) range across 2 matching MRF lines |
$850.13–$2,526.38 | $1,133.50–$3,368.50 | varies |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $3,408.38 | $4,544.50 | 1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $158.63 | $211.50 | 1.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$122.25–$284.63 | $163–$379.50 | varies |
| Correction hammertoe (28285) | $931.50 | $1,242 | 0.3× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) | $1,284 | $1,712 | 0.4× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) likely a partial charge, not the full procedure |
$1,468.50 | $1,958 | 0.1× |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) | $123.38 | $164.50 | 2.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $395.63 | $527.50 | 2.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 6 matching MRF lines |
$87.75–$150.38 | $117–$200.50 | varies |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $576.75 | $769 | 0.8× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 6 matching MRF lines |
$586.88–$3,459.38 | $782.50–$4,612.50 | varies |
| Debride nail 1-5 (11720) range across 6 matching MRF lines |
$69.38–$136.88 | $92.50–$182.50 | varies |
| Debride nail 6 or more (11721) range across 6 matching MRF lines |
$34.88–$441.38 | $46.50–$588.50 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 6 matching MRF lines |
$848.25–$3,926.25 | $1,131–$5,235 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 8 matching MRF lines |
$228.38–$1,288.88 | $304.50–$1,718.50 | varies |
| Declot vascular device (36593) | $102.38 | $136.50 | 0.3× |
| Destruct B9 Lesion 1-14 (17110) range across 5 matching MRF lines |
$147–$294.75 | $196–$393 | varies |
| Destruction Benign Lesions 15/> (17111) range across 5 matching MRF lines |
$238.50–$340.50 | $318–$454 | varies |
| Destruction by neurolytic agent; plantar common digital nerve (64632) range across 3 matching MRF lines |
$274.88–$331.88 | $366.50–$442.50 | varies |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $472.13 | $629.50 | 2.2× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $321.38 | $428.50 | 1.5× |
| Destruction Premalignant Lesion 15/> (17004) range across 3 matching MRF lines |
$283.88–$328.50 | $378.50–$438 | varies |
| Destruction premalignant lesion 1st (17000) range across 4 matching MRF lines |
$165.75–$209.63 | $221–$279.50 | varies |
| Diagnostic sigmoidoscopy (45330) | $1,330.88 | $1,774.50 | 1.3× |
| Dilation & curettage dx&/ther nonobstetric (58120) | $606 | $808 | 0.2× |
| Drain Hand Tendon Sheath (26020) | $1,330.88 | $1,774.50 | 0.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 2 matching MRF lines |
$390.38–$598.50 | $520.50–$798 | varies |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$448.13–$820.88 | $597.50–$1,094.50 | varies |
| Drainage of gum lesion (41800) | $620.63 | $827.50 | 4.4× |
| Drainage of hematoma/fluid (10140) range across 4 matching MRF lines |
$188.63–$2,594.63 | $251.50–$3,459.50 | varies |
| Drainage of scrotal wall abscess (55100) | $576.38 | $768.50 | 0.3× |
| Drainage of scrotum (54700) | $747.38 | $996.50 | 0.3× |
| Draw Blood Off Venous Device (36591) | $100.13 | $133.50 | 0.7× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $634.13 | $845.50 | 0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 3 matching MRF lines |
$441.38–$637.88 | $588.50–$850.50 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 3 matching MRF lines |
$331.13–$850.13 | $441.50–$1,133.50 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$226.50–$441.38 | $302–$588.50 | varies |
| Dstrj Lesion Anus Extensive (46924) | $1,330.88 | $1,774.50 | 0.4× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) | $374.25 | $499 | 0.2× |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) | $1,094.25 | $1,459 | 0.5× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $3,636.38 | $4,848.50 | 1.8× |
| Egd cautery tumor polyp (43250) | $496.50 | $662 | 0.2× |
| Egd Flexible Foreign Body Removal (43247) | $1,245.38 | $1,660.50 | 1.3× |
| Egd guide wire insertion (43248) | $1,995.38 | $2,660.50 | 2.1× |
| Egd place gastrostomy tube (43246) | $2,394.38 | $3,192.50 | 1.2× |
| Egd remove lesion snare (43251) | $1,223.25 | $1,631 | 0.6× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) range across 2 matching MRF lines |
$3,163.13–$8,659.50 | $4,217.50–$11,546 | varies |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) range across 2 matching MRF lines |
$3,163.13–$4,217.25 | $4,217.50–$5,623 | varies |
| Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
$134.25–$850.13 | $179–$1,133.50 | varies |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) | $1,250.63 | $1,667.50 | 0.7× |
| Exc abdl tum deep 5 cm/> (22901) | $2,736.38 | $3,648.50 | 0.9× |
| Exc arm/elbow les sc < 3 cm (24075) | $1,246.13 | $1,661.50 | 0.7× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $266.25 | $355 | 0.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$485.25–$593.25 | $647–$791 | varies |
| Exc Back Les Sc < 3 Cm (21930) range across 2 matching MRF lines |
$1,082.25–$2,455.88 | $1,443–$3,274.50 | varies |
| Exc back tum deep < 5 cm (21932) | $1,330.88 | $1,774.50 | 0.4× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $1,995.38 | $2,660.50 | 2.6× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) range across 2 matching MRF lines |
$997.13–$1,332.38 | $1,329.50–$1,776.50 | varies |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$172.88–$231.75 | $230.50–$309 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $1,064.25 | $1,419 | 1.4× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $1,330.88 | $1,774.50 | 1.8× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 3 matching MRF lines |
$485.25–$2,493.38 | $647–$3,324.50 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $634.13 | $845.50 | 0.4× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 4 matching MRF lines |
$300.75–$387.38 | $401–$516.50 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$366–$461.25 | $488–$615 | varies |
| Exc Hand Les Sc < 1.5 Cm (26115) | $1,330.88 | $1,774.50 | 0.8× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) | $581.63 | $775.50 | 0.5× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $1,092 | $1,456 | 0.6× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) | $1,234.88 | $1,646.50 | 0.7× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) | $1,094.25 | $1,459 | 0.3× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) | $665.63 | $887.50 | 0.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$487.13–$2,415.75 | $649.50–$3,221 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $1,330.88 | $1,774.50 | 0.8× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $1,330.88 | $1,774.50 | 0.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$710.63–$877.50 | $947.50–$1,170 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) | $871.13 | $1,161.50 | 0.3× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $992.63 | $1,323.50 | 0.6× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$932.25–$1,259.25 | $1,243–$1,679 | varies |
| Exc thigh/knee tum dep 5cm/> (27339) | $3,991.50 | $5,322 | 1.3× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$363.38–$493.88 | $484.50–$658.50 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $1,182.75 | $1,577 | 1.6× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 3 matching MRF lines |
$461.25–$2,580.38 | $615–$3,440.50 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $1,114.50 | $1,486 | 0.4× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) | $1,330.88 | $1,774.50 | 0.4× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $1,267.13 | $1,689.50 | 0.4× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) | $1,900.88 | $2,534.50 | 0.6× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $1,780.13 | $2,373.50 | 1.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $1,900.88 | $2,534.50 | 0.6× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $1,326 | $1,768 | 0.4× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 2 matching MRF lines |
$531–$736.13 | $708–$981.50 | varies |
| Excision Chalazion Single (67800) | $2,380.50 | $3,174 | 7.0× |
| Excision External Ear Partial Simple Repair (69110) | $1,995.38 | $2,660.50 | 0.6× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) | $1,330.88 | $1,774.50 | 0.4× |
| Excision Lesion Cornea Xcp Pterygium (65400) | $1,711.50 | $2,282 | 1.6× |
| Excision lesion mouth roof (42104) | $665.63 | $887.50 | 0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $523.13 | $697.50 | 0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $1,585.88 | $2,114.50 | 3.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $592.88 | $790.50 | 0.8× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 2 matching MRF lines |
$78.38–$485.25 | $104.50–$647 | varies |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) range across 3 matching MRF lines |
$932.25–$1,259.25 | $1,243–$1,679 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) range across 2 matching MRF lines |
$407.25–$600 | $543–$800 | varies |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $677.25 | $903 | 0.9× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) range across 2 matching MRF lines |
$663.75–$898.13 | $885–$1,197.50 | varies |
| Excision Multiple External Papillae/Tags Anus (46230) | $975.38 | $1,300.50 | 0.3× |
| Excision of single external papilla or tag, anus (46220) | $774.75 | $1,033 | 0.6× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $1,995.38 | $2,660.50 | 0.6× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $1,117.50 | $1,490 | 0.4× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $185.25 | $247 | 0.1× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) | $1,246.88 | $1,662.50 | 0.4× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) range across 3 matching MRF lines |
$1,290.38–$3,507.38 | $1,720.50–$4,676.50 | varies |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $223.88 | $298.50 | 0.1× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $1,017 | $1,356 | 0.3× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $866.63 | $1,155.50 | 0.5× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | $1,250.63 | $1,667.50 | 0.4× |
| Excision/Transposition Pterygium W/Grafg (65426) | $569.25 | $759 | 0.2× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $446.25 | $595 | 0.2× |
| Explo/Drain Breast Abscess (19020) | $1,013.63 | $1,351.50 | 0.6× |
| Exploration penetrating wound spx chest (20101) | $1,241.25 | $1,655 | 0.6× |
| Exploration penetrating wound spx extremity (20103) | $663.38 | $884.50 | 0.4× |
| Exploration Penetrating Wound Spx Neck (20100) | $1,791.38 | $2,388.50 | 3.1× |
| Fine needle aspiration without imaging guidance (10021) range across 4 matching MRF lines |
$137.25–$348 | $183–$464 | varies |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) | $2,534.25 | $3,379 | 1.2× |
| Graft (Thiersch operation) for rectal incontinence and/or prolapse Facility (46753) | $1,330.88 | $1,774.50 | 0.4× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $1,728.75 | $2,305 | 0.6× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $1,579.88 | $2,106.50 | 0.5× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $1,646.63 | $2,195.50 | 0.6× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) | $1,608.75 | $2,145 | 0.5× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $399.38 | $532.50 | 0.4× |
| Hysteroscopy Biopsy (58558) range across 2 matching MRF lines |
$859.88–$3,695.63 | $1,146.50–$4,927.50 | varies |
| Hysteroscopy Endometrial Ablation (58563) | $7,686.75 | $10,249 | 1.4× |
| I&d abscess simple (10060) range across 13 matching MRF lines |
$156.75–$850.13 | $209–$1,133.50 | varies |
| I&D Below Fascia Foot 1 Bursal Space (28002) | $1,172.63 | $1,563.50 | 0.7× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) range across 2 matching MRF lines |
$1,137–$1,620.38 | $1,516–$2,160.50 | varies |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) | $1,471.13 | $1,961.50 | 0.4× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) | $1,064.25 | $1,419 | 0.4× |
| I&d pilonidal cyst complicated (10081) | $1,013.63 | $1,351.50 | 1.3× |
| I&d pilonidal cyst simple (10080) range across 3 matching MRF lines |
$171.38–$1,146.75 | $228.50–$1,529 | varies |
| I&d shoulder deep abscess/hematoma (23030) | $197.63 | $263.50 | 0.1× |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $634.13 | $845.50 | 0.2× |
| Incise external hemorrhoid (46083) | $433.13 | $577.50 | 1.6× |
| Incision & drainage abscess complicated/multiple (10061) range across 6 matching MRF lines |
$487.50–$1,529.25 | $650–$2,039 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $758.25 | $1,011 | 0.4× |
| Incision & removal foreign body subq tiss simple (10120) range across 5 matching MRF lines |
$375.38–$3,459.38 | $500.50–$4,612.50 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $366.38 | $488.50 | 1.7× |
| Incision and drainage of vulva or perineal abscess (56405) | $409.13 | $545.50 | 1.3× |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$665.63–$1,623.38 | $887.50–$2,164.50 | varies |
| Incision&drainage bursa foot (28001) range across 2 matching MRF lines |
$2,594.63–$3,459.38 | $3,459.50–$4,612.50 | varies |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$966.38–$1,288.88 | $1,288.50–$1,718.50 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$331.13–$441.38 | $441.50–$588.50 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $687 | $916 | 0.7× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 4 matching MRF lines |
$190.88–$232.50 | $254.50–$310 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $529.50 | $706 | 0.6× |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$204.38–$232.50 | $272.50–$310 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 5 matching MRF lines |
$109.88–$190.13 | $146.50–$253.50 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 4 matching MRF lines |
$158.63–$216 | $211.50–$288 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $196.13 | $261.50 | 0.3× |
| Insert non-tunnel cv cath (36556) | $1,028.25 | $1,371 | 0.3× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $776.63 | $1,035.50 | 0.5× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$100.13–$153.38 | $133.50–$204.50 | varies |
| Insert tunneled cv cath (36561) | $2,978.25 | $3,971 | 0.9× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $897.75 | $1,197 | 0.5× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $4,552.13 | $6,069.50 | 1.3× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $3,994.88 | $5,326.50 | 2.4× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $1,064.25 | $1,419 | 0.3× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 2 matching MRF lines |
$504–$1,008.38 | $672–$1,344.50 | varies |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $634.13 | $845.50 | 1.5× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$448.13–$570.38 | $597.50–$760.50 | varies |
| Iridotomy/irridectomy laser surg per session (66761) | $933.38 | $1,244.50 | 1.6× |
| Irrigation of corpora cavernosa for priapism (54220) | $509.63 | $679.50 | 1.9× |
| Laparoscopy fulguration oviducts (58670) likely a partial charge, not the full procedure |
$1,563.38 | $2,084.50 | 0.2× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) likely a partial charge, not the full procedure |
$1,203.75 | $1,605 | 0.2× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) likely a partial charge, not the full procedure |
$1,619.76 | $2,159.67 | 0.3× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) likely a partial charge, not the full procedure |
$1,572 | $2,096 | 0.2× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) likely a partial charge, not the full procedure |
$665.63 | $887.50 | 0.1× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) | $946.88 | $1,262.50 | 0.3× |
| Mast mod rad (19307) | $3,991.50 | $5,322 | 0.6× |
| Mastectomy for gynecomastia (19300) | $2,394.38 | $3,192.50 | 0.6× |
| Mastectomy partial (19301) | $1,904.25 | $2,539 | 0.5× |
| Mastectomy partial w/axillary lymphadenectomy (19302) unusually low: confirm this is the full procedure |
$2,661 | $3,548 | 0.4× |
| Mastectomy simple complete (19303) | $27,358.13 | $36,477.50 | 3.8× |
| N block inj intercost sng (64420) | $361.13 | $481.50 | 0.5× |
| N Block Inj Plantar Digit (64455) | $232.50 | $310 | 0.7× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $273.38 | $364.50 | 0.8× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $439.50 | $586 | 0.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$460.88–$2,006.63 | $614.50–$2,675.50 | varies |
| Occipital Nerve Block (64405) | $303 | $404 | 0.9× |
| Omntc Epiploectomy Rescj Omentum Spx (49255) unusually low: confirm this is the full procedure |
$2,218.13 | $2,957.50 | 0.3× |
| Open biopsy/excision inguinofemoral nodes (38531) | $5,553.38 | $7,404.50 | 1.3× |
| Open treatment metatarsal fracture each (28485) likely a partial charge, not the full procedure |
$1,258.50 | $1,678 | 0.2× |
| Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) | $3,907.13 | $5,209.50 | 0.5× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $1,345.13 | $1,793.50 | 0.4× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $1,916.25 | $2,555 | 0.5× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) | $1,052.85 | $1,403.79 | 0.3× |
| Perq device breast 1st imag (19281) | $248.25 | $331 | 0.1× |
| Placement of needle for intraosseous infusion (36680) | $484.13 | $645.50 | 1.0× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $3,492.75 | $4,657 | 1.0× |
| Punch biopsy skin single lesion (11104) range across 4 matching MRF lines |
$141–$850.13 | $188–$1,133.50 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 5 matching MRF lines |
$130.50–$3,368.25 | $174–$4,491 | varies |
| Puncture Aspiration Cyst Breast (19000) | $246.75 | $329 | 0.3× |
| Removal Embedded Foreign Body Eyelid (67938) range across 3 matching MRF lines |
$218.63–$783 | $291.50–$1,044 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 4 matching MRF lines |
$499.88–$1,146.75 | $666.50–$1,529 | varies |
| Removal Foreign Body Scrotum (55120) | $939.75 | $1,253 | 0.4× |
| Removal foreign body upper arm/elbow deep (24201) | $1,596 | $2,128 | 0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 6 matching MRF lines |
$34.13–$109.50 | $45.50–$146 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 4 matching MRF lines |
$97.13–$139.50 | $129.50–$186 | varies |
| Removal of heel spur (28119) | $1,419.38 | $1,892.50 | 0.4× |
| Removal of nail bed (11750) range across 6 matching MRF lines |
$441.38–$1,864.13 | $588.50–$2,485.50 | varies |
| Removal of sesamoid bone (28315) | $1,233.75 | $1,645 | 0.4× |
| Removal of sperm cord lesion (55520) | $546 | $728 | 0.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 4 matching MRF lines |
$112.88–$222.38 | $150.50–$296.50 | varies |
| Removal Sutures/Staples Requiring Anesthesia (15851) | $114 | $152 | 0.1× |
| Removal/bivalving gauntlet boot/body cast (29700) range across 2 matching MRF lines |
$258.38–$444.75 | $344.50–$593 | varies |
| Remove Forearm Foreign Body (25248) range across 2 matching MRF lines |
$1,330.88–$1,995.38 | $1,774.50–$2,660.50 | varies |
| Remove foreign body from eye (65205) range across 3 matching MRF lines |
$68.63–$550.50 | $91.50–$734 | varies |
| Remove groin lymph nodes (38760) likely a partial charge, not the full procedure |
$1,596 | $2,128 | 0.2× |
| Remove Nasal Foreign Body (30300) | $214.13 | $285.50 | 1.5× |
| Remove Shoulder Foreign Body (23330) | $491.25 | $655 | 0.3× |
| Repair Achilles Tendon (27650) likely a partial charge, not the full procedure |
$1,823.25 | $2,431 | 0.2× |
| Repair Blood Vessel Direct Upper Extremity (35206) | $3,270.38 | $4,360.50 | 1.0× |
| Repair Ectropion Suture (67914) | $1,133.63 | $1,511.50 | 0.4× |
| Repair Entropion Extensive (67924) | $788.25 | $1,051 | 0.3× |
| Repair inguinal hernia, sliding, any age (49525) | $2,661 | $3,548 | 0.7× |
| Repair initial femoral hernia, any age; reducible (49550) | $1,995.38 | $2,660.50 | 0.5× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $2,394.38 | $3,192.50 | 0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$289.13–$467.63 | $385.50–$623.50 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$312.38–$494.63 | $416.50–$659.50 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$349.88–$6,490.50 | $466.50–$8,654 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $387 | $516 | 0.9× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $739.50 | $986 | 1.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $447.38 | $596.50 | 0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
$250.88–$613.50 | $334.50–$818 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$310.88–$726.38 | $414.50–$968.50 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $360 | $480 | 0.5× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $589.88 | $786.50 | 0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$428.25–$899.25 | $571–$1,199 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$228.38–$1,815.75 | $304.50–$2,421 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 4 matching MRF lines |
$319.13–$824.25 | $425.50–$1,099 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $497.25 | $663 | 0.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $330.38 | $440.50 | 0.8× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $579 | $772 | 0.3× |
| Repair Laceration Palate </2 Cm (42180) | $764.25 | $1,019 | 1.3× |
| Repair of nail bed (11760) | $439.13 | $585.50 | 0.6× |
| Repair tongue laceration (41250) | $1,021.50 | $1,362 | 2.1× |
| Repair/graft achilles tendon (27652) likely a partial charge, not the full procedure |
$1,508.25 | $2,011 | 0.2× |
| Rerepair ing hernia reduce (49520) | $3,326.25 | $4,435 | 0.9× |
| Revj/rpr oprative wound anterior segment (66250) | $1,950 | $2,600 | 0.8× |
| Rmvl embedded fb vestibule mouth comp (40805) | $1,064.25 | $1,419 | 1.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 3 matching MRF lines |
$177–$183 | $236–$244 | varies |
| Rmvl fecal impaction/fb spx under anes (45915) | $1,212.38 | $1,616.50 | 0.9× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $1,330.88 | $1,774.50 | 0.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $1,064.25 | $1,419 | 0.6× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $591 | $788 | 0.9× |
| Rmvl Vitreous Ant Appr Partial Removal (67005) | $1,903.88 | $2,538.50 | 0.8× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $529.88 | $706.50 | 0.3× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) likely a partial charge, not the full procedure |
$1,837.50 | $2,450 | 0.3× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $826.13 | $1,101.50 | 0.2× |
| Rpr aa hernia recr 3-10 cm reducible (49615) likely a partial charge, not the full procedure |
$1,627.13 | $2,169.50 | 0.2× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) likely a partial charge, not the full procedure |
$1,296.38 | $1,728.50 | 0.2× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $345 | $460 | 1.6× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $537.75 | $717 | 0.7× |
| Shave skin lesion 0.5 cm/< (11300) range across 2 matching MRF lines |
$97.13–$247.13 | $129.50–$329.50 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) range across 2 matching MRF lines |
$190.88–$441 | $254.50–$588 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 2 matching MRF lines |
$147.38–$306 | $196.50–$408 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) range across 2 matching MRF lines |
$237.38–$467.63 | $316.50–$623.50 | varies |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) range across 2 matching MRF lines |
$201.75–$366.38 | $269–$488.50 | varies |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $1,596 | $2,128 | 1.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $426.75 | $569 | 1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$177–$403.88 | $236–$538.50 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $228.38 | $304.50 | 1.1× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $514.88 | $686.50 | 1.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $273 | $364 | 1.3× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $605.25 | $807 | 2.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 6 matching MRF lines |
$88.88–$441.38 | $118.50–$588.50 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $463.13 | $617.50 | 2.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $253.13 | $337.50 | 1.2× |
| Skin sub graft face/nk/hf/g (15275) | $1,456.50 | $1,942 | 1.8× |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$309–$319.50 | $412–$426 | varies |
| Skin sub grft t/arm/lg child (15273) | $760.88 | $1,014.50 | 0.3× |
| Skin Tissue Procedure (17999) | $1,330.88 | $1,774.50 | 6.2× |
| Skn sub grft f/n/hf/g child (15277) | $862.50 | $1,150 | 0.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 6 matching MRF lines |
$114–$1,288.88 | $152–$1,718.50 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $316.88 | $422.50 | 0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $404.25 | $539 | 0.9× |
| Sphincterotomy anal division sphincter spx (46080) | $1,064.25 | $1,419 | 0.4× |
| Spinal puncture lumbar diagnostic (62270) | $562.88 | $750.50 | 0.7× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) range across 2 matching MRF lines |
$441.38–$6,494.63 | $588.50–$8,659.50 | varies |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) range across 2 matching MRF lines |
$3,163.13–$4,217.25 | $4,217.50–$5,623 | varies |
| Strapping ankle (29540) | $63.75 | $85 | 0.4× |
| Strapping elbow or wrist (29260) | $67.13 | $89.50 | 1.1× |
| Strapping hand/finger (29280) | $64.88 | $86.50 | 1.0× |
| Strapping Hip (29520) range across 2 matching MRF lines |
$71.63–$145.13 | $95.50–$193.50 | varies |
| Strapping knee (29530) | $70.13 | $93.50 | 0.5× |
| Strapping shoulder (29240) | $82.50 | $110 | 0.6× |
| Strapping thorax (29200) | $75.75 | $101 | 0.4× |
| Strapping toes (29550) | $58.50 | $78 | 0.9× |
| Strapping Unna Boot (29580) range across 4 matching MRF lines |
$126.75–$347.25 | $169–$463 | varies |
| Surg tx anal fistula subq (46270) | $9,768.38 | $13,024.50 | 3.3× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) | $1,423.88 | $1,898.50 | 0.5× |
| Tangential biopsy skin single lesion (11102) range across 3 matching MRF lines |
$172.88–$429.75 | $230.50–$573 | varies |
| Tenotomy Percutaneous Toe Single Tendon (28010) range across 5 matching MRF lines |
$391.88–$2,594.63 | $522.50–$3,459.50 | varies |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) | $1,055.63 | $1,407.50 | 0.6× |
| Thrombolytic Therapy Stroke (37195) | $1,952.25 | $2,603 | 5.5× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $2,394.38 | $3,192.50 | 1.1× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $832.45 | $1,109.93 | 3.3× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $826.13 | $1,101.50 | 0.5× |
| Treat Big Toe Fracture (28505) | $1,642.13 | $2,189.50 | 0.5× |
| Treat Knuckle Dislocation (26700) | $862.13 | $1,149.50 | 3.3× |
| Treat lower leg bone lesion (27607) | $1,094.25 | $1,459 | 0.3× |
| Treat Thumb Dislocation (26641) | $897.38 | $1,196.50 | 3.4× |
| Treat Vaginal Bleeding (57180) range across 2 matching MRF lines |
$429.38–$600.38 | $572.50–$800.50 | varies |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $1,708.50 | $2,278 | 1.0× |
| Treatment closed elbow dislocation w/o anes (24600) | $730.50 | $974 | 2.8× |
| Trim skin lesion (11055) range across 4 matching MRF lines |
$207.38–$441.38 | $276.50–$588.50 | varies |
| Trim skin lesions 2 to 4 (11056) range across 4 matching MRF lines |
$241.13–$441.38 | $321.50–$588.50 | varies |
| Trim skin lesions over 4 (11057) range across 4 matching MRF lines |
$263.25–$441.38 | $351–$588.50 | varies |
| Trimming Nondystrophic Nails Any Number (11719) | $55.88 | $74.50 | 0.9× |
| Tx Gastro Intub W/Asp (43753) | $102.75 | $137 | 0.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 4 matching MRF lines |
$334.50–$4,217.25 | $446–$5,623 | varies |
| Tx superficial wound dehiscence w/packing (12021) | $505.88 | $674.50 | 1.2× |
| Vaginal delivery only (59409) range across 2 matching MRF lines |
$204.75–$2,043.75 | $273–$2,725 | varies |
| Wedge excision skin nail fold (11765) range across 4 matching MRF lines |
$270.38–$450 | $360.50–$600 | varies |
| Wound Prep F/N/Hf/G (15004) range across 2 matching MRF lines |
$966.38–$4,217.25 | $1,288.50–$5,623 | varies |
| Wound Prep Trk/Arm/Leg (15002) range across 3 matching MRF lines |
$810–$3,163.13 | $1,080–$4,217.50 | 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.