Procedures & surgery prices at Glacial Ridge Hospital

Glenwood, MN · every code in this section with a posted price and a Medicare benchmark.

910 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 4 matching MRF lines		 $530.41–$635.05 $707.21–$846.73 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $608.01 $810.68 0.6×
Abdomen Surgery Procedure (22999) $1,058.43 $1,411.24 4.2×
Ablate inf turbinate submuc (30802) $741.68 $988.91 0.5×
Acne surgery (10040) $253.52 $338.03 1.2×
Acromiopl/Acromionect Partial (23130) $2,239.34 $2,985.78 0.7×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $1,674.15 $2,232.20 0.8×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $1,828.91 $2,438.55 0.9×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $3,304.67 $4,406.23 0.9×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,652.16 $3,536.21 1.2×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $1,561.19 $2,081.59 0.7×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $2,357.06 $3,142.74 1.1×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $2,286.65 $3,048.86 0.7×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $1,589.32 $2,119.09 0.5×
Amputate Thigh,Re-Amputatn (27596) $2,965.73 $3,954.30 0.9×
Amputation foot transmetarsal (28805)
range across 2 matching MRF lines		 $2,004.61–$3,615.92 $2,672.81–$4,821.22 varies
Amputation metatarsal with toe single (28810) $1,948.04 $2,597.38 0.6×
Amputation thigh through femur any level (27590)
range across 2 matching MRF lines		 $1,040.66–$4,162.71 $1,387.55–$5,550.28 varies
Amputation toe interphalangeal joint (28825)
range across 2 matching MRF lines		 $1,247.30–$1,258.82 $1,663.07–$1,678.43 varies
Amputation toe metatarsophalangeal joint (28820)
range across 2 matching MRF lines		 $1,320.29–$1,451.60 $1,760.38–$1,935.47 varies
Amputation, leg, through tibia and fibula; (27880)
range across 2 matching MRF lines		 $1,029.38–$4,117.51 $1,372.51–$5,490.01 varies
Anoscopy Ablation Lesion (46615) $444.20 $592.26 0.2×
Anoscopy Control Bleeding (46614) $439.95 $586.60 0.4×
Anoscopy diagnostic (46600) $148.65 $198.20 1.1×
Anoscopy; with biopsy, single or multiple (46606) $270.51 $360.68 0.2×
Appendectomy (44950)
unusually low: confirm this is the full procedure		 $2,796.25 $3,728.33 0.4×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $277.74 $370.32 1.7×
Application cast elbow finger short arm (29075) $267.47 $356.62 0.9×
Application Cast Finger (29086) $196.06 $261.41 1.2×
Application finger splint static (29130) $165.81 $221.08 1.2×
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $218.27–$257.80 $291.02–$343.73 varies
Application Long Leg Cast Brace (29358) $499.71 $666.28 1.7×
Application Long Leg Splint (29505) $246.20 $328.27 1.5×
Application of long leg cast (29345) $504.72 $672.96 1.7×
Application Short Arm Splint Dynamic (29126) $204.50 $272.67 1.5×
Application short arm splint forearm-hand static (29125) $205.60 $274.13 1.5×
Application short leg splint calf foot (29515) $204.34 $272.45 1.2×
Application uniplane external fixation system (20690)
likely a partial charge, not the full procedure		 $1,907.76 $2,543.68 0.3×
Apply hand/wrist cast (29085) $305.97 $407.96 1.8×
Apply long arm cast (29065) $347.82 $463.76 1.2×
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines		 $238.96–$277.74 $318.61–$370.32 varies
Apply Short Leg Cast (29405) $347.82 $463.76 1.2×
Arterial puncture (36600) $225.44 $300.58 1.6×
Arteriovenous Anastomosis Open Direct (36821) $1,976.12 $2,634.83 0.6×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure		 $2,464.86 $3,286.48 0.2×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 5 matching MRF lines		 $52.50–$517.99 $70–$690.65 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 5 matching MRF lines		 $30.75–$294.13 $41–$392.17 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 8 matching MRF lines		 $39.45–$253.52 $52.60–$338.03 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 7 matching MRF lines		 $61.50–$339.92 $82–$453.23 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $164.14 $218.85 0.5×
Arthrodesis ankle open (27870)
range across 2 matching MRF lines		 $3,432.26–$3,863.03 $4,576.34–$5,150.71 varies
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure		 $1,319.66 $1,759.55 0.2×
Arthrodesis great toe metatarsophalangeal joint (28750)
range across 2 matching MRF lines		 $1,275.21–$2,287.80 $1,700.28–$3,050.40 varies
Arthrodesis Posterior/Posterolateral Lumbar (22612)
unusually low: confirm this is the full procedure		 $7,497.06 $9,996.08 0.4×
Arthrodesis sacroiliac joint percutaneous (27279)
likely a partial charge, not the full procedure		 $2,482.20 $3,309.60 0.1×
Arthrodesis subtalar (28725)
likely a partial charge, not the full procedure		 $2,497.97 $3,330.63 0.2×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
likely a partial charge, not the full procedure		 $6,996.38 $9,328.50 0.2×
Arthroplasty glenohumeral joint total shoulder (23472)
range across 3 matching MRF lines		 $1,318.54–$5,274.11 $1,758.05–$7,032.15 varies
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470)
unusually low: confirm this is the full procedure		 $4,237.73 $5,650.30 0.3×
Arthroplasty radial head (24365)
range across 2 matching MRF lines		 $545.74–$2,182.92 $727.65–$2,910.56 varies
Arthroscopy Ankle Surgical Debridement Extensive (29898) $2,570.72 $3,427.63 0.8×
Arthroscopy Knee Synovectomy 2/>Compartments (29876)
range across 2 matching MRF lines		 $2,562.71–$2,691.84 $3,416.95–$3,589.12 varies
Arthroscopy knee synovectomy limited spx (29875) $2,287.57 $3,050.09 0.7×
Arthroscopy shoulder distal claviculectomy (29824)
range across 2 matching MRF lines		 $584.78–$2,339.09 $779.70–$3,118.78 varies
Arthroscopy shoulder surgical capsulorrhaphy (29806)
range across 2 matching MRF lines		 $939.68–$3,758.66 $1,252.90–$5,011.55 varies
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $2,151.05 $2,868.07 0.6×
Arthroscopy, knee, surgical; with lateral release (29873) $2,150.99 $2,867.98 0.6×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
likely a partial charge, not the full procedure		 $752.34 $1,003.12 0.1×
Arthroscopy, shoulder, surgical; debridement, extensive (29823)
range across 2 matching MRF lines		 $651.95–$2,607.79 $869.27–$3,477.05 varies
Arthroscopy, shoulder, surgical; debridement, limited (29822)
range across 3 matching MRF lines		 $636.08–$2,544.31 $848.10–$3,392.41 varies
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
range across 3 matching MRF lines		 $915.76–$3,663.02 $1,221.01–$4,884.02 varies
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 3 matching MRF lines		 $1,034.81–$4,139.18 $1,379.74–$5,518.90 varies
Arthrotomy ankle w/expl drainage/removal fb (27610) $2,696.99 $3,595.98 0.8×
Arthrotomy, hip, with drainage (eg, infection) Facility (27030)
unusually low: confirm this is the full procedure		 $3,603.85 $4,805.13 0.5×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
range across 2 matching MRF lines		 $1,770–$7,079.99 $2,360–$9,439.98 varies
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $4,856.80 $6,475.73 0.6×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $2,701.40 $3,601.87 0.8×
Arthrs knee debridement/shaving artclr crtlg (29877) $2,610.81 $3,481.08 0.8×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880)
range across 2 matching MRF lines		 $2,792.19–$3,304.38 $3,722.92–$4,405.84 varies
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $1,792.20 $2,389.60 0.5×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $1,402.98 $1,870.64 0.8×
Arthrt w/synvct kne ant&post w/pop area (27335)
unusually low: confirm this is the full procedure		 $3,002.44 $4,003.25 0.4×
Aspirate pleura w/ imaging (32555)
range across 6 matching MRF lines		 $116.25–$2,116.86 $155–$2,822.48 varies
Aspirate Pleura W/O Imaging (32554)
range across 3 matching MRF lines		 $608.01–$2,046.08 $810.68–$2,728.11 varies
Aspirate/Inj Ganglion Cyst (20612) $174.75 $233 0.6×
Aspiration and/or injection thyroid cyst (60300)
range across 2 matching MRF lines		 $361.79–$401.58 $482.39–$535.44 varies
Aspiration Bladder Needle (51100) $166.37 $221.82 0.6×
Av Fistula Revision Open (36832)
unusually low: confirm this is the full procedure		 $2,305.14 $3,073.52 0.4×
Av Fuse Uppr Arm Basilic (36819)
unusually low: confirm this is the full procedure		 $2,319.39 $3,092.52 0.4×
Avulsion nail plate partial/complete simple 1 (11730) $251.85 $335.80 1.2×
Biopsy Abdominal Mass (49180)
range across 2 matching MRF lines		 $107.10–$441.95 $142.80–$589.27 varies
Biopsy bone open deep (20245) $1,850.75 $2,467.67 0.6×
Biopsy bone open superficial (20240) $723.97 $965.29 0.2×
Biopsy bone trocar/needle deep (20225) $964.22 $1,285.62 0.6×
Biopsy Bone Trocar/Needle Superficial (20220)
range across 2 matching MRF lines		 $164.25–$511.82 $219–$682.42 varies
Biopsy external ear (69100) $270.78 $361.04 1.1×
Biopsy muscle percutaneous needle (20206)
range across 3 matching MRF lines		 $84.90–$857.38 $113.20–$1,143.17 varies
Biopsy of breast; open, incisional (19101) $1,319.27 $1,759.02 0.3×
Biopsy of lip (40490)
range across 2 matching MRF lines		 $40.24–$258 $53.65–$344 varies
Biopsy of liver, needle; percutaneous (47000)
range across 3 matching MRF lines		 $132.60–$694.42 $176.80–$925.89 varies
Biopsy of penis (54100) $438.11 $584.14 0.3×
Biopsy of rectum (45100) $1,227.53 $1,636.71 0.4×
Biopsy Oropharynx (42800)
range across 2 matching MRF lines		 $430.26–$451.22 $573.68–$601.62 varies
Biopsy Pleura Percutaneous Needle (32400)
range across 3 matching MRF lines		 $87.15–$500.54 $116.20–$667.39 varies
Biopsy Salivary Gland Needle (42400) $282.47 $376.62 0.4×
Biopsy soft tissue back/flank deep (21925) $1,318.98 $1,758.64 0.8×
Biopsy soft tissue neck/thorax (21550) $653.22 $870.96 0.4×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $900.11 $1,200.15 0.5×
Biopsy soft tissue thigh/knee area superficial (27323) $679.46 $905.95 0.4×
Biopsy Tongue Anterior Two-Thirds (41100)
range across 2 matching MRF lines		 $148.16–$441.87 $197.55–$589.16 varies
Biopsy Vaginal Mucosa Simple (57100) $412.70 $550.26 0.4×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $386.89 $515.85 0.4×
Biopsy, vestibule of mouth (40808)
range across 3 matching MRF lines		 $137.51–$444.78 $183.35–$593.04 varies
Biopsy/removal lymph nodes (38510)
range across 2 matching MRF lines		 $341.58–$1,366.27 $455.44–$1,821.69 varies
Bladder instillation anticarcinogenic agent (51720) $716.69 $955.59 1.0×
Bladder Irrigation (51700) $285.77 $381.02 1.1×
Bladder Scan (51798) $104.79 $139.72 1.7×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $2,104.59 $2,806.12 1.0×
Blepharotomy drainage abscess eyelid (67700) $376.43 $501.91 1.1×
Blood Transfusion Service (36430)
range across 6 matching MRF lines		 $454.34–$1,429.29 $605.78–$1,905.72 varies
Bone Marrow Biopsy (38221)
range across 5 matching MRF lines		 $302.85–$504.94 $403.80–$673.25 varies
Bone Marrow; Aspiration Only (38220)
range across 2 matching MRF lines		 $503.11–$533.91 $670.81–$711.88 varies
Bx breast 1st lesion strtctc (19081)
range across 2 matching MRF lines		 $402.75–$1,646.04 $537–$2,194.72 varies
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines		 $1,646.04–$2,024.20 $2,194.72–$2,698.93 varies
Bx breast needle core w/o imaging guidance spx (19100) $436.58 $582.10 0.3×
Bx Cervix (57500)
range across 2 matching MRF lines		 $368.80–$386.89 $491.73–$515.85 varies
Bx/exc lymph node open deep axillary node (38525)
range across 2 matching MRF lines		 $1,262.93–$1,913.48 $1,683.90–$2,551.31 varies
Bx/exc lymph node open superficial (38500) $945.28 $1,260.37 0.2×
Canthotomy Separate Procedure (67715) $634.01 $845.34 0.3×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $1,138.19 $1,517.58 0.3×
Capsulotomy Iphal Joint Each Joint Spx (28272) $766.69 $1,022.25 0.5×
Carpal Tunnel Surgery (64721)
range across 2 matching MRF lines		 $1,595.66–$3,083 $2,127.54–$4,110.67 varies
Cataract surgery complex (66982) $2,608.61 $3,478.15 1.1×
Cautery Cervix Cryocautery Initial/Repeat (57511) $511.83 $682.44 1.6×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $186.71–$261.82 $248.95–$349.09 varies
Chemical Pleurodesis (32560)
range across 3 matching MRF lines		 $116.25–$600.45 $155–$800.60 varies
Chemodenerv Musc Migraine (64615) $573.69 $764.92 1.8×
Chest tube placement (32551) $1,108.54 $1,478.05 0.7×
Circumcision Neonate (54160) $693.65 $924.86 1.0×
Circumcision w/clamp/oth dev w/block (54150) $380.03 $506.71 0.2×
Cl Tx Tib Shft Fx W Manip (27752) $2,193.54 $2,924.72 1.3×
Claviculectomy partial (23120) $2,082.80 $2,777.06 0.6×
Clear outer ear canal (69200)
range across 3 matching MRF lines		 $64.98–$258.59 $86.64–$344.79 varies
Closed Rx Metacarpal Fx,Percut (26608)
range across 2 matching MRF lines		 $428–$1,711.98 $570.67–$2,282.64 varies
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,526 $2,034.66 6.0×
Closed tx ankle dislocation w/o anesthesia (27840) $302.10 $402.80 1.2×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,879.04 $2,505.38 1.1×
Closed tx knee dislocation w/o anesthesia (27550) $1,800.70 $2,400.93 7.1×
Closed tx patellar dislocation w/anesthesia (27562) $1,363.36 $1,817.81 5.4×
Closed tx patellar dislocation w/o anesthesia (27560) $882.17 $1,176.22 3.5×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,691.24 $2,254.99 1.0×
Closed Tx Talus Fracture W/Manipulation (28435) $1,036.73 $1,382.30 0.6×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $567.83 $757.10 2.2×
Closure Gastrostomy Surg (43870) $2,064.53 $2,752.70 0.5×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $637.61 $850.14 2.6×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $233.77 $311.69 0.4×
Clsd tx acromioclavicular dislc w/manipulation (23545) $1,018 $1,357.33 4.0×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $1,128.70 $1,504.93 0.7×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,151.34 $1,535.12 0.7×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $784.46 $1,045.94 3.1×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,113.17 $1,484.23 0.7×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,303.68 $1,738.24 0.8×
Cltx dstl fibular fx lat malls w/manj (27788) $1,404.21 $1,872.28 5.5×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $1,029.84 $1,373.12 4.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $915.67 $1,220.89 3.6×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,370.38 $1,827.17 0.8×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $2,345 $3,126.67 1.4×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $470.57 $627.43 1.8×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $2,854.09 $3,805.45 1.7×
Cltx hip dislocation traumatic req anesthesia (27252) $3,498.06 $4,664.08 2.1×
Cltx hip dislocation traumatic w/o anesthesia (27250) $115.58 $154.11 0.5×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $367.64 $490.18 1.4×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,204.50 $1,606 4.2×
Cltx iphal jt dislc w/manj w/o anes (26770) $663.87 $885.16 2.6×
Cltx metacarpal fx w/manipulation each bone (26605) $820.55 $1,094.06 3.2×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $847.64 $1,130.19 0.5×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $762.37 $1,016.49 3.0×
Cltx post hip arthrp dislc req anes (27266) $2,333.61 $3,111.48 1.4×
Cltx post hip arthrp dislc w/o anes (27265) $1,459.30 $1,945.73 5.7×
Cltx prox fibula/shft fx w/manj (27781) $1,392.87 $1,857.16 0.8×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $445.57 $594.09 1.8×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,298.16 $1,730.88 0.8×
Cltx trimalleolar ankle fx w/manipulation (27818) $2,102.06 $2,802.75 1.3×
Collect Blood From Catheter Venous Nos (36592) $83.93 $111.91 0.6×
Collection of venous blood by venipuncture (36415) $25.56 $34.08 2.7×
Colonoscopy Flexible With Decompression (45393) $912.07 $1,216.09 0.7×
Colonoscopy Stoma W/Submucosal Injection (44404) $988.68 $1,318.24 0.8×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $1,183.79 $1,578.39 1.0×
Colonoscopy thru stoma (44388) $1,260.29 $1,680.38 1.3×
Colonoscopy w/ablation (45388)
range across 2 matching MRF lines		 $1,497.24–$2,431.55 $1,996.32–$3,242.07 varies
Colonoscopy W/Band Ligation (45398)
range across 2 matching MRF lines		 $1,517.80–$1,577.07 $2,023.73–$2,102.76 varies
Colonoscopy w/submucosal inj (45381)
range across 2 matching MRF lines		 $1,122.77–$1,711.09 $1,497.03–$2,281.45 varies
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $651.33 $868.44 2.1×
Colposcopy Cervix Endocervical Curettage (57456) $505.67 $674.23 1.6×
Colposcopy cervix upper/adjacent vagina (57452) $448.47 $597.96 2.1×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $578.15 $770.87 1.8×
Colposcopy cervix vag eltrd conization cervix (57461)
range across 2 matching MRF lines		 $1,002.30–$1,586.30 $1,336.40–$2,115.06 varies
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $1,379.18 $1,838.90 0.4×
Colposcopy entire vagina w/cervix if present (57420) $470.49 $627.32 1.5×
Colposcopy of vulva (56820) $355.38 $473.84 1.7×
Colposcopy Vulva W/Biopsy (56821) $449.51 $599.35 1.4×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $575.69 $767.59 0.6×
Colsc Flexible W/Control Bleeding Any Method (45382)
range across 2 matching MRF lines		 $1,380.12–$1,855.22 $1,840.16–$2,473.63 varies
Colsc flx w/removal lesion by hot bx forceps (45384) $1,801.52 $2,402.02 1.5×
Complex Cystometrogram (51726) $896.19 $1,194.92 3.5×
Conization cervix w/wo d&c rpr eltrd exc (57522)
range across 2 matching MRF lines		 $993.29–$1,054.04 $1,324.38–$1,405.39 varies
Conization of cervix (57520) $1,894.57 $2,526.09 0.6×
Control Nasal Hemorrhage Anterior Complex (30903) $459.29 $612.39 3.3×
Control Nasal Hemorrhage Anterior Simple (30901) $347.82 $463.76 2.5×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $791.21 $1,054.95 0.4×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 5 matching MRF lines		 $150–$24,306 $200–$32,408 varies
Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) $3,055.70 $4,074.27 0.8×
Correction hammertoe (28285)
range across 2 matching MRF lines		 $1,211.29–$1,443.33 $1,615.05–$1,924.44 varies
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296)
range across 2 matching MRF lines		 $1,943.96–$3,334.72 $2,591.94–$4,446.29 varies
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $2,048.87 $2,731.82 0.6×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
range across 2 matching MRF lines		 $2,231.62–$2,244.09 $2,975.49–$2,992.12 varies
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
likely a partial charge, not the full procedure		 $1,805.48 $2,407.31 0.2×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $1,823.10 $2,430.80 0.5×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299)
range across 2 matching MRF lines		 $2,293.09–$2,584.44 $3,057.45–$3,445.92 varies
Create Eardrum Opening (69433)
range across 4 matching MRF lines		 $159.95–$847.73 $213.26–$1,130.30 varies
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830)
unusually low: confirm this is the full procedure		 $2,678.36 $3,571.15 0.5×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $786.95 $1,049.27 5.7×
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $1,528.41 $2,037.88 0.4×
Curettage postpartum (59160) $1,363.03 $1,817.37 0.4×
Cystorrhaphy suture of bladder wound injury or rupture simple (51860)
unusually low: confirm this is the full procedure		 $3,526.33 $4,701.77 0.4×
Cystourethroscopy (52000) $880.72 $1,174.29 1.2×
Cystourethroscopy with biopsy (52204) $1,103.05 $1,470.73 0.5×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $244.53 $326.04 0.6×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $1,077.37 $1,436.49 1.5×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $858.85–$1,116.71 $1,145.13–$1,488.95 varies
Debride nail 1-5 (11720) $148.56 $198.08 2.4×
Debride nail 6 or more (11721) $207.69 $276.92 3.4×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $140.52–$887.38 $187.36–$1,183.17 varies
Debridement Mastoidectomy Cavity Cmplx (69222)
range across 2 matching MRF lines		 $176.34–$489.34 $235.12–$652.45 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $399.04–$627.76 $532.05–$837.01 varies
Declot vascular device (36593)
range across 2 matching MRF lines		 $99.98–$681.80 $133.31–$909.06 varies
Decompress Spinal Cord Lmbr (63056) $7,242.44 $9,656.59 1.0×
Decompression of tibia nerve (28035)
range across 2 matching MRF lines		 $1,462.89–$1,554.32 $1,950.52–$2,072.43 varies
Deep Muscle Biopsy (20205) $857.38 $1,143.17 0.3×
Delivery of placenta (59414) $403.88 $538.51 0.1×
Destroy cerv/thor facet jnt (64633)
range across 4 matching MRF lines		 $125.41–$2,450.87 $167.21–$3,267.82 varies
Destroy lumb/sac facet jnt (64635)
range across 6 matching MRF lines		 $125.85–$9,734.53 $167.80–$12,979.37 varies
Destruct B9 Lesion 1-14 (17110) $242.88 $323.84 1.2×
Destruction Benign Lesions 15/> (17111) $346.44 $461.92 1.7×
Destruction by neurolytic agent, intercostal nerve (64620)
range across 5 matching MRF lines		 $696.02–$3,480.11 $928.03–$4,640.15 varies
Destruction by neurolytic agent; plantar common digital nerve (64632) $233.83 $311.77 0.7×
Destruction Lesions Vulva Extensive (56515) $1,035.06 $1,380.08 0.5×
Destruction Lesions Vulva Simple (56501) $372.85 $497.13 0.2×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $331.26 $441.68 1.6×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $386.91 $515.88 1.9×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $256.43 $341.91 1.2×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $343.15 $457.53 1.7×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $253.50 $338 1.2×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $344.24 $458.99 1.7×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $197.36 $263.14 1.0×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 3 matching MRF lines		 $192.93–$910.54 $257.24–$1,214.05 varies
Destruction of skin lesions (17106) $882.19 $1,176.25 2.1×
Destruction Premalignant Lesion 15/> (17004) $917.39 $1,223.19 2.2×
Destruction premalignant lesion 1st (17000) $201.02 $268.02 1.0×
Destruction Vaginal Lesions Simple (57061) $779.72 $1,039.62 0.2×
Diagnostic sigmoidoscopy (45330) $392.39 $523.18 0.4×
Diaphragm or cervical cap fitting with instructions (57170) $169.72 $226.29 0.8×
Dilation & curettage dx&/ther nonobstetric (58120) $1,465.61 $1,954.14 0.4×
Drain Cerebro Spinal Fluid (62272)
range across 6 matching MRF lines		 $180.60–$587.62 $240.80–$783.49 varies
Drain Hand Tendon Sheath (26020) $1,549.37 $2,065.83 0.5×
Drain Spinal Cord Cyst (62268) $1,151.26 $1,535.01 1.3×
Drainage external auditory canal abscess (69020) $498.52 $664.69 0.7×
Drainage External Ear Abscess/Hematoma Simple (69000) $301.59 $402.12 0.4×
Drainage of finger abscess simple (26010) $530.51 $707.34 2.6×
Drainage of gum lesion (41800) $389.73 $519.64 2.8×
Drainage of hematoma/fluid (10140)
range across 3 matching MRF lines		 $282.13–$330.28 $376.17–$440.37 varies
Drainage of hydrocele (55000) $325.64 $434.19 0.4×
Drainage of scrotal wall abscess (55100) $662.20 $882.93 0.4×
Drainage of scrotum (54700) $661.80 $882.40 0.3×
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) $1,476.77 $1,969.03 0.4×
Draw Blood Off Venous Device (36591) $68.06 $90.75 0.5×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $401.57 $535.42 0.5×
Drg Absc Submaxillary/Sublingual Intraoral (42310) $131.40 $175.20 0.2×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $470.17 $626.89 0.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $530.97–$567.83 $707.96–$757.10 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $375.79–$394.43 $501.05–$525.91 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $201.02–$204.23 $268.02–$272.30 varies
Dstrj Lesion Anus Extensive (46924) $1,582.58 $2,110.10 0.6×
Dstrj Lesion Anus Simple Chemical (46900) $552.34 $736.45 1.3×
Dstrj lesion anus simple cryosurgery (46916) $577.91 $770.54 2.8×
Dstrj lesion anus simple surg excision (46922) $780.59 $1,040.78 0.3×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $605.74 $807.65 0.3×
Dstrj Lesion Penis Simple Cryosurgery (54056) $394.55 $526.06 1.9×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 9 matching MRF lines		 $198.72–$993.59 $264.96–$1,324.79 varies
Dx Bone Marrow Bx & Aspir (38222)
range across 3 matching MRF lines		 $456.68–$1,527.98 $608.91–$2,037.30 varies
Dx Bronchoscope/Wash (31622) $724.49 $965.98 0.4×
Dx Laryngoscopy Excl Nb (31525)
range across 3 matching MRF lines		 $197.12–$651.54 $262.83–$868.72 varies
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 2 matching MRF lines		 $857.24–$1,281.38 $1,142.99–$1,708.51 varies
Egd cautery tumor polyp (43250) $1,058.43 $1,411.24 0.5×
Egd control bleeding any (43255) $1,563.47 $2,084.62 0.8×
Egd dilation gastric/duodenal stricture (43245)
range across 2 matching MRF lines		 $959.69–$1,403.60 $1,279.58–$1,871.46 varies
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $877.73–$1,368.87 $1,170.31–$1,825.16 varies
Egd intrmural us needle aspirate/biopsy esophags (43238) $1,086.22 $1,448.29 0.5×
Egd place gastrostomy tube (43246) $3,343.04 $4,457.39 1.7×
Egd remove lesion snare (43251)
range across 2 matching MRF lines		 $958.87–$1,664.12 $1,278.49–$2,218.83 varies
Egd Varices Ligation (43244)
range across 2 matching MRF lines		 $889.21–$990.66 $1,185.61–$1,320.88 varies
Endocervical curettage (57505) $411.37 $548.49 0.4×
Endometrial ablation, thermal, without hysteroscopic guidance (58353)
unusually low: confirm this is the full procedure		 $2,332.89 $3,110.52 0.5×
Endometrial Biopsy (58100) $420.36 $560.48 2.0×
Endoscopic plantar fasciotomy (29893) $1,631.41 $2,175.21 0.5×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $3,778.54 $5,038.05 1.2×
Endoven ther chem adhes 1st (36482)
unusually low: confirm this is the full procedure		 $1,931.25 $2,575 0.3×
Enterorrhaphy single perforation (44602) $3,984.72 $5,312.96 1.0×
Epidural Blood Patch (62273)
range across 4 matching MRF lines		 $150–$714.81 $200–$953.08 varies
Episiotomy or vaginal repair (59300)
range across 2 matching MRF lines		 $151.28–$937.38 $201.70–$1,249.84 varies
Esc i p ulcer w ostect & flap (15946) $4,757.04 $6,342.72 2.2×
Esophagogastroduodenoscopy Submucosal Injection (43236) $1,352.48 $1,803.30 1.4×
Esophagoscopy Flexible Transoral Diagnostic (43200) $711.17 $948.23 0.8×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $1,080.70 $1,440.93 0.5×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $1,269.81 $1,693.08 0.6×
Evacuation of subungual hematoma (11740) $178.09 $237.45 1.3×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $1,545.93 $2,061.24 0.9×
Exc abdl tum deep 5 cm/> (22901) $1,972.88 $2,630.51 0.7×
Exc arm/elbow les sc < 3 cm (24075) $1,261.72 $1,682.29 0.7×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $276.64 $368.85 0.4×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $733.68 $978.24 0.4×
Exc Back Les Sc < 3 Cm (21930) $1,105.50 $1,474 0.6×
Exc Back Tum Deep 5 Cm/> (21933) $2,065.59 $2,754.12 0.7×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125)
range across 2 matching MRF lines		 $1,417.82–$2,027.60 $1,890.42–$2,703.46 varies
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $900.10 $1,200.13 1.2×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $1,170.91 $1,561.21 1.6×
Exc Face Les Sbq 2 Cm/> (21012) $1,084.89 $1,446.52 0.6×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines		 $283.56–$367.64 $378.08–$490.18 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines		 $346.67–$484.07 $462.22–$645.43 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines		 $389.29–$598.25 $519.05–$797.66 varies
Exc Forearm Les Sc 3 Cm/> (25071)
range across 2 matching MRF lines		 $405.05–$1,620.23 $540.07–$2,160.30 varies
Exc Frenum Labial/Buccal (40819) $798.82 $1,065.09 0.5×
Exc ganglion wrist recurrent (25112) $1,881.55 $2,508.73 1.1×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $232.76–$342.26 $310.34–$456.35 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $302.41–$414.29 $403.21–$552.39 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines		 $351.59–$567.83 $468.78–$757.10 varies
Exc Hand Les Sc < 1.5 Cm (26115) $1,866.52 $2,488.69 1.1×
Exc hydrocele sprmatic cord uni spx (55500) $2,027.33 $2,703.10 0.6×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $681.63 $908.84 0.7×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090)
range across 3 matching MRF lines		 $1,006.40–$1,706.42 $1,341.87–$2,275.23 varies
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $938.14 $1,250.85 0.6×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112)
range across 3 matching MRF lines		 $275.84–$835.94 $367.78–$1,114.58 varies
Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) $880.19 $1,173.58 0.3×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $2,064.26 $2,752.34 1.0×
Exc neuroma hand/foot xcp digital nerve (64782)
range across 2 matching MRF lines		 $1,271.12–$1,322.45 $1,694.82–$1,763.26 varies
Exc Rct Tum Incl Muscularis Propria (45172) $2,612.72 $3,483.62 0.9×
Exc Rct Tum Not Incl Muscularis Propria (45171) $2,350.19 $3,133.59 0.8×
Exc Shoulder Tum Deep 5 Cm/> (23073) $2,356.75 $3,142.33 0.8×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $387.65–$609.68 $516.86–$812.90 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 2 matching MRF lines		 $504.84–$923.21 $673.12–$1,230.94 varies
Exc Skin Benig >4 Cm Remaindr Body (11426) $1,175 $1,566.66 0.4×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines		 $662.20–$1,058.60 $882.93–$1,411.47 varies
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $1,148.81 $1,531.75 0.7×
Exc Skin Malig >4 Cm Remaindr Body (11626) $905.97 $1,207.96 0.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 2 matching MRF lines		 $910.52–$1,525.38 $1,214.02–$2,033.84 varies
Exc tendon shth lesion leg/ankle (27630) $1,468.76 $1,958.34 0.4×
Exc thigh/knee les sc 3 cm/> (27337) $1,474.37 $1,965.82 0.5×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines		 $519.59–$547.72 $692.79–$730.29 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines		 $289.31–$358.49 $385.74–$477.99 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines		 $324.54–$509.86 $432.72–$679.81 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $774.68 $1,032.91 0.5×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $1,297.59 $1,730.12 0.4×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $1,978.47 $2,637.96 0.7×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $1,788.54 $2,384.72 0.6×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $1,401.56 $1,868.75 0.5×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,093.98 $1,458.64 0.6×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $1,184.24 $1,578.99 0.4×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $1,202.69 $1,603.59 0.4×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,081.06 $1,441.41 0.6×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $1,396.50 $1,862 0.5×
Exc tumor soft tissue leg/ankle subq <3cm (27618)
range across 2 matching MRF lines		 $1,228.50–$1,266.47 $1,638–$1,688.62 varies
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $2,310.63 $3,080.84 0.8×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,079.03 $1,438.70 0.6×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071)
range across 2 matching MRF lines		 $1,104.74–$1,207.19 $1,472.99–$1,609.58 varies
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104)
range across 2 matching MRF lines		 $1,274.36–$1,285.87 $1,699.14–$1,714.49 varies
Excis Mouth Mucosa/Sub,No Repair (40810) $419.32 $559.09 0.1×
Excis Mouth Mucosa/Sub,Simpl Repair (40812)
range across 2 matching MRF lines		 $623.01–$690.13 $830.68–$920.17 varies
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		 $543.36–$900.10 $724.48–$1,200.13 varies
Excision Chalazion Single (67800) $379.94 $506.58 1.2×
Excision External Ear Partial Simple Repair (69110)
range across 2 matching MRF lines		 $1,138.19–$1,449.31 $1,517.58–$1,932.41 varies
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $2,067.05 $2,756.07 0.7×
Excision Infected Graft Extremity (35903) $2,637.62 $3,516.83 0.8×
Excision Lesion Conjunctiva </1 Cm (68110) $184.82 $246.42 0.1×
Excision lesion mouth roof (42104) $563.03 $750.71 0.2×
Excision Lesion Tongue W/O Closure (41110) $604.67 $806.22 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $471.82 $629.09 0.6×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $581.83 $775.77 0.8×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 2 matching MRF lines		 $463.04–$702.38 $617.39–$936.51 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,205.45 $1,607.26 1.6×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $711.38 $948.50 1.0×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,441.65 $1,922.20 0.8×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $1,983.29 $2,644.39 0.7×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $575.12 $766.82 0.3×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $781.18 $1,041.57 1.1×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $932.20 $1,242.93 1.3×
Excision Multiple External Papillae/Tags Anus (46230) $697.62 $930.16 0.2×
Excision Nasal Polyp Extensive (30115) $1,683.22 $2,244.29 0.5×
Excision nasal polyp(s) simple (30110) $622.01 $829.35 0.4×
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 2 matching MRF lines		 $1,046.56–$1,758.53 $1,395.41–$2,344.70 varies
Excision of hydrocele; unilateral (55040) $2,110.37 $2,813.83 0.6×
Excision of local lesion of epididymis (54830) $1,198.76 $1,598.34 0.3×
Excision of pilonidal cyst or sinus; simple (11770) $1,423.76 $1,898.34 0.5×
Excision of single external papilla or tag, anus (46220) $532.92 $710.56 0.4×
Excision of vaginal cyst or tumor (57135) $1,288.02 $1,717.36 0.4×
Excision olecranon bursa (24105) $1,182.86 $1,577.14 0.4×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $1,486.77 $1,982.36 0.4×
Excision Pilonidal Cyst/Sinus Complicated (11772) $1,060.10 $1,413.47 0.4×
Excision Pilonidal Cyst/Sinus Extensive (11771)
range across 2 matching MRF lines		 $1,320.29–$1,655.39 $1,760.38–$2,207.18 varies
Excision prepatellar bursa (27340) $1,433.42 $1,911.23 0.4×
Excision spermatocele w/wo epididymectomy (54840) $2,225.46 $2,967.28 1.0×
Excision Thyroglossal Duct Cyst/Sinus (60280) $3,527.26 $4,703.01 0.6×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,467.86 $1,957.15 0.9×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $1,271.20 $1,694.93 0.4×
Excision tumor soft tissue foot/toe subq <1.5cm (28043)
range across 2 matching MRF lines		 $886.75–$975.73 $1,182.33–$1,300.97 varies
Excision tumor soft tissue shoulder subq 3 cm/> (23071)
range across 2 matching MRF lines		 $317.12–$1,268.53 $422.83–$1,691.37 varies
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $1,163.57 $1,551.43 0.7×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand Facility (15837) $3,545.60 $4,727.47 1.2×
Excision, interdigital (morton) neuroma, single, each (28080) $1,461.44 $1,948.58 0.9×
Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) $3,026.05 $4,034.73 0.8×
Excision, trochanteric pressure ulcer, with skin flap closure; Facility (15952) $2,594.22 $3,458.96 1.2×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $1,421.48 $1,895.31 0.5×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $952.85 $1,270.46 0.6×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $1,218.50 $1,624.66 0.4×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $1,516.34 $2,021.78 0.5×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $1,092.09 $1,456.12 0.6×
Excision/curettage cyst/tumor carpal bones (25130) $1,571.78 $2,095.70 0.5×
Excision/curettage cyst/tumor phalanx finger (26210) $1,532.48 $2,043.30 0.9×
Excision/destruction intranasal lesion int appr (30117) $2,005.43 $2,673.90 0.6×
Explo/Drain Breast Abscess (19020) $1,011.76 $1,349.01 0.6×
Exploration of knee joint (27310)
range across 2 matching MRF lines		 $679.58–$2,718.33 $906.11–$3,624.44 varies
Exploration penetrating wound spx extremity (20103) $1,987.21 $2,649.61 1.2×
Explore/Treat Knee Joint (27331) $2,111.18 $2,814.90 0.6×
External cephalic version (59412)
range across 3 matching MRF lines		 $239.24–$957.08 $318.98–$1,276.10 varies
Fasciectomy Palm Only (26121) $2,285.72 $3,047.63 0.7×
Fasciectomy Plantar Fascia Partial Spx (28060) $1,311.30 $1,748.40 0.4×
Fasciotomy palmar open partial (26045) $1,747.04 $2,329.39 0.5×
Fasciotomy, foot and/or toe (28008)
range across 2 matching MRF lines		 $979.36–$1,092.09 $1,305.81–$1,456.12 varies
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $3,144.49 $4,192.65 0.9×
Fetal non-stress test (59025)
range across 3 matching MRF lines		 $98.70–$294.18 $131.60–$392.24 varies
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,589.45 $2,119.27 2.2×
Fine needle aspiration without imaging guidance (10021)
range across 3 matching MRF lines		 $32.27–$318.75 $43.03–$425 varies
Flap; neurovascular pedicle (15750) $3,238.85 $4,318.46 0.9×
Fluid Pressure Muscle (20950) $637.61 $850.14 0.9×
Fluoro exam of g/colon tube (49465) $185.30 $247.06 0.8×
Fna Bx W/Fluor Gdn 1St Les (10007) $971.24 $1,294.98 1.3×
Fna bx w/us gdn 1st les (10005)
range across 5 matching MRF lines		 $75–$452.91 $100–$603.88 varies
Forehead flap w/vasc pedicle (15731) $4,030.51 $5,374.01 1.1×
Foreskin manipulation (54450) $466.09 $621.45 1.8×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $2,597.15 $3,462.86 1.2×
Fusion of foot bones (28740)
range across 2 matching MRF lines		 $2,189.82–$2,393.65 $2,919.76–$3,191.53 varies
Gastrocnemius recession (27687) $1,674.05 $2,232.06 0.5×
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840)
range across 3 matching MRF lines		 $946.12–$3,788.76 $1,261.49–$5,051.68 varies
Grafting of autologous soft tiss by direct exc (15769) $1,491.75 $1,989 0.4×
Guide Cathet Fluid Drainage (10030) $817.24 $1,089.65 1.1×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $1,854.03 $2,472.04 0.6×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $1,502.51 $2,003.34 0.5×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260)
range across 2 matching MRF lines		 $1,422.73–$2,867.09 $1,896.97–$3,822.79 varies
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 2 matching MRF lines		 $578.48–$636.54 $771.31–$848.72 varies
Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) $1,392.82 $1,857.09 0.5×
Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) $3,969.88 $5,293.17 0.8×
Hysteroscopy Biopsy (58558)
range across 2 matching MRF lines		 $1,804.64–$2,220.58 $2,406.18–$2,960.77 varies
Hysteroscopy Dx Sep Proc (58555)
range across 2 matching MRF lines		 $1,011.32–$1,185.65 $1,348.42–$1,580.86 varies
Hysteroscopy Endometrial Ablation (58563)
range across 2 matching MRF lines		 $3,707.63–$4,614.35 $4,943.50–$6,152.46 varies
Hysteroscopy Removal Impacted Foreign Body (58562) $1,913.78 $2,551.71 0.6×
Hysteroscopy, surgical; with removal of leiomyomata (58561)
range across 2 matching MRF lines		 $1,857.91–$1,991.05 $2,477.21–$2,654.73 varies
I&d abscess peritonsillar (42700)
range across 3 matching MRF lines		 $490.91–$515.36 $654.54–$687.15 varies
I&d abscess simple (10060) $236.03 $314.71 1.1×
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,745.63 $2,327.51 0.6×
I&D Deep Absc/Hematoma Neck/Chest (21501) $1,284.77 $1,713.02 0.4×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $1,603.01 $2,137.35 0.5×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $438.24–$575.32 $584.32–$767.09 varies
I&d pilonidal cyst complicated (10081) $708.87 $945.16 1.0×
I&d pilonidal cyst simple (10080) $323.33 $431.10 0.4×
Image Cath Fluid Peri/Retro (49406)
range across 3 matching MRF lines		 $600–$1,049.37 $800–$1,399.16 varies
Implant Periph/Gastric Neurostim/Receiver (64590)
likely a partial charge, not the full procedure		 $785.07 $1,046.76 0.0×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
unusually low: confirm this is the full procedure		 $3,479.58 $4,639.44 0.4×
Incise external hemorrhoid (46083) $390.53 $520.70 1.5×
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines		 $385.19–$571.93 $513.58–$762.57 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $1,412.14 $1,882.85 0.5×
Incision & removal foreign body subq tiss compl (10121) $681.14 $908.19 0.4×
Incision & removal foreign body subq tiss simple (10120) $279.79 $373.05 0.7×
Incision and drainage of bartholin's gland abscess (56420) $409.19 $545.58 2.0×
Incision and drainage of vulva or perineal abscess (56405) $467.85 $623.80 1.5×
Incision extensor tendon sheath wrist (25000) $1,287.68 $1,716.91 0.8×
Incision of eardrum (69421) $444.78 $593.04 0.1×
Incision of eardrum (69420)
range across 3 matching MRF lines		 $155.85–$477.29 $207.80–$636.38 varies
Incision of Foot Tendon (28234) $1,004.49 $1,339.32 0.6×
Incision of labial frenum (frenotomy) (40806) $470.98 $627.97 0.8×
Incision of lingual frenum (frenotomy) (41010) $526.19 $701.59 0.3×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $1,136.49–$1,427.65 $1,515.32–$1,903.53 varies
Incision&Drainage Upper Arm/Elbow Bursa (23931) $790.34 $1,053.78 0.5×
Incisional biopsy skin single lesion (11106)
range across 3 matching MRF lines		 $91.34–$303.23 $121.79–$404.31 varies
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $175.05–$176.42 $233.40–$235.22 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 6 matching MRF lines		 $147–$756.28 $196–$1,008.37 varies
Inj W/Fluor Eval Cv Device (36598)
range across 4 matching MRF lines		 $105–$497.90 $140–$663.86 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 4 matching MRF lines		 $172.95–$890.69 $230.60–$1,187.59 varies
Inject Intravitreal Pharmcologic (67028) $137.71 $183.61 0.4×
Injection 1 tendon sheath/ligament aponeurosis (20550) $201.02 $268.02 0.6×
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines		 $572.96–$713.72 $763.95–$951.63 varies
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines		 $138.80–$553.75 $185.07–$738.33 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 4 matching MRF lines		 $75–$867.66 $100–$1,156.88 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 2 matching MRF lines		 $172.35–$272.24 $229.80–$362.99 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines		 $373.38–$391.11 $497.84–$521.48 varies
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines		 $391.25–$397.04 $521.67–$529.39 varies
Injection for identification of sentinel node (38792)
range across 4 matching MRF lines		 $42–$750.22 $56–$1,000.29 varies
Injection Into Brain Canal (61055) $644.56 $859.41 2.0×
Injection medication/other subst tenon capsule (67515) $260.03 $346.71 0.8×
Injection single tendon origin/insertion (20551)
range across 3 matching MRF lines		 $45–$221.29 $60–$295.05 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 4 matching MRF lines		 $52.50–$236.08 $70–$314.77 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 5 matching MRF lines		 $52.50–$270.17 $70–$360.23 varies
Injection therapeutic carpal tunnel (20526) $207.69 $276.92 0.7×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 3 matching MRF lines		 $108.67–$595.16 $144.89–$793.55 varies
Injection, anesthetic agent; femoral nerve, single (64447) $405.65 $540.86 0.6×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 4 matching MRF lines		 $236.57–$320.44 $315.43–$427.25 varies
Injection, Intralesional; More Than 7 Lesions (11901) $136.13 $181.50 0.7×
Injection, intralesional; up to and including 7 lesions (11900) $167.49 $223.32 0.8×
Insert 1 Electrode Pm-Defib (33216)
likely a partial charge, not the full procedure		 $1,553.99 $2,071.98 0.2×
Insert cath pleura w/ image (32557)
range across 3 matching MRF lines		 $105.75–$807.89 $141–$1,077.19 varies
Insert cath pleura w/o image (32556) $893.09 $1,190.78 0.5×
Insert cervical dilator (59200) $513.53 $684.70 1.6×
Insert Drug Implant Device (11981) $485.44 $647.25 3.5×
Insert Gastrostomy Tube Percutaneous (49440) $1,391.87 $1,855.83 0.7×
Insert Heart Pm Ventricular (33207)
likely a partial charge, not the full procedure		 $2,916.14 $3,888.19 0.3×
Insert non-tunnel cv cath (36556) $630.93 $841.24 0.2×
Insert pessary/other device (57160) $192.08 $256.10 0.9×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,071.23 $1,428.31 0.7×
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines		 $201.62–$285.91 $268.82–$381.21 varies
Insert tunneled cv cath (36561)
range across 3 matching MRF lines		 $1,046.57–$2,279.97 $1,395.43–$3,039.96 varies
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
unusually low: confirm this is the full procedure		 $2,001.33 $2,668.44 0.3×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 3 matching MRF lines		 $158.17–$207.72 $210.89–$276.96 varies
Insertion indwelling tunneled pleural catheter (32550) $1,890.66 $2,520.88 0.5×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 3 matching MRF lines		 $186.19–$387.46 $248.25–$516.61 varies
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
range across 3 matching MRF lines		 $900–$9,909.12 $1,200–$13,212.16 varies
Insj prph ctr vad w/subq port age 5 yr/> (36571)
range across 2 matching MRF lines		 $3,003.65–$3,392.92 $4,004.87–$4,523.89 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 7 matching MRF lines		 $67.50–$668.09 $90–$890.79 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines		 $627.83–$1,541.45 $837.11–$2,055.27 varies
Insj/Rplcmt Defib W/Lead(S) (33249)
range across 2 matching MRF lines		 $849.65–$3,398.63 $1,132.86–$4,531.50 varies
Insrt heart pm atrial & vent (33208)
range across 4 matching MRF lines		 $1,047.87–$4,191.52 $1,397.16–$5,588.69 varies
Intranasal Biopsy (30100) $332.18 $442.90 0.2×
Intraoral i&d tongue/floor sublngl supfc (41005) $537.91 $717.21 2.2×
Intro Gastrointestinal Tube (44500) $103.62 $138.16 0.1×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $538.28–$727.25 $717.71–$969.66 varies
Knee Arthroscopy/Surgery (29874) $2,119.73 $2,826.30 0.6×
Lap paraesoph her rpr w/mesh (43282)
range across 2 matching MRF lines		 $2,118.49–$8,473.95 $2,824.65–$11,298.60 varies
Lap paraesophag hern repair (43281)
range across 2 matching MRF lines		 $1,977.71–$7,910.87 $2,636.95–$10,547.83 varies
Laparo-vag hyst incl t/o (58552)
range across 2 matching MRF lines		 $1,201.69–$4,577.82 $1,602.25–$6,103.76 varies
Laparoscopy aspiration (49322) $3,181.10 $4,241.46 0.5×
Laparoscopy Enterolysis Separate Procedure (44180) $4,097.15 $5,462.86 0.7×
Laparoscopy fulguration oviducts (58670)
unusually low: confirm this is the full procedure		 $2,981.12 $3,974.82 0.5×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 3 matching MRF lines		 $803.79–$3,061.46 $1,071.72–$4,081.95 varies
Laparoscopy W/Lysis Of Adhesions (58660) $3,567.78 $4,757.04 0.6×
Laparoscopy w/rmvl adnexal structures (58661)
range across 3 matching MRF lines		 $990.91–$3,964.25 $1,321.21–$5,285.67 varies
Laparoscopy, surgical, appendectomy (44970)
range across 3 matching MRF lines		 $877.37–$3,509.55 $1,169.82–$4,679.40 varies
Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284)
likely a partial charge, not the full procedure		 $2,130.50 $2,840.66 0.2×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
range across 3 matching MRF lines		 $751.67–$3,497.82 $1,002.22–$4,663.76 varies
Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) $7,068.21 $9,424.28 0.6×
Laparoscopy, surgical, splenectomy (38120)
unusually low: confirm this is the full procedure		 $3,738.11 $4,984.14 0.3×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550)
range across 2 matching MRF lines		 $1,495.50–$5,981.96 $1,994–$7,975.94 varies
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
range across 2 matching MRF lines		 $2,483.23–$5,069.48 $3,310.97–$6,759.30 varies
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $3,306.02 $4,408.02 0.5×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
likely a partial charge, not the full procedure		 $1,297.34 $1,729.78 0.2×
Laparoscopy, Tubal Block (58671)
unusually low: confirm this is the full procedure		 $2,484.85 $3,313.13 0.4×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
unusually low: confirm this is the full procedure		 $2,768.38 $3,691.17 0.4×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $3,964.25 $5,285.67 0.6×
Laps Gastric Restrictive Px Remove Device & Port (43774) $4,813.76 $6,418.34 1.2×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554)
unusually low: confirm this is the full procedure		 $5,122.80 $6,830.40 0.5×
Laryngoscopy diagnostic (31505) $305.97 $407.96 1.5×
Laryngoscopy flexible diagnostic (31575)
range across 3 matching MRF lines		 $111.29–$539.96 $148.38–$719.94 varies
Late closure of wound (13160) $2,259.07 $3,012.09 0.6×
Lig&div long saph vein saphfem junct/interrupj (37700) $975.64 $1,300.85 0.3×
Ligation of a-v fistula (37607) $1,329.15 $1,772.20 0.4×
Ligation or biopsy temporal artery (37609)
range across 2 matching MRF lines		 $838.40–$1,115.05 $1,117.86–$1,486.73 varies
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $1,170.91 $1,561.21 0.4×
Lysis of labial adhesions (56441) $419.69 $559.59 0.1×
Lysis/excision penile postcircumcision adhesions (54162) $849.11 $1,132.15 0.4×
Manipulation knee joint under general anesthesia (27570) $701.79 $935.72 0.4×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $708.61 $944.81 0.4×
Mast mod rad (19307) $5,342.31 $7,123.08 0.8×
Mastectomy partial (19301) $1,688.57 $2,251.43 0.4×
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure		 $2,996.34 $3,995.12 0.4×
Metatarsectomy (28140) $1,298.06 $1,730.75 0.4×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $5,781.16 $7,708.21 1.6×
Muscle-skin graft trunk (15734) $4,760.84 $6,347.79 1.3×
Myelography Lumbar Injection (62304)
range across 2 matching MRF lines		 $180–$735.95 $240–$981.27 varies
Myelography via lumbar injection rs&i cervical (62302)
range across 2 matching MRF lines		 $105.75–$806.15 $141–$1,074.86 varies
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines		 $461.41–$474 $615.21–$632 varies
N block inj intercost sng (64420)
range across 3 matching MRF lines		 $84–$466.09 $112–$621.45 varies
N Block Inj Paracervical (64435) $420.36 $560.48 0.6×
N Block Inj Plantar Digit (64455) $418.76 $558.35 1.3×
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines		 $90–$1,907.36 $120–$2,543.14 varies
Nasal Endoscopy Dx (31231)
range across 3 matching MRF lines		 $153.69–$497.93 $204.92–$663.90 varies
Nasal/Orogastric W/Tube Plmt (43752) $401.71 $535.61 0.9×
Nasal/sinus endoscopy w/maxillary antrostomy (31256)
range across 2 matching MRF lines		 $787.18–$803.15 $1,049.57–$1,070.87 varies
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $744.75 $993 0.4×
Needle Biopsy Lymph Nodes (38505)
range across 4 matching MRF lines		 $74.70–$378.63 $99.60–$504.84 varies
Needle Biopsy Pancreas (48102) $943.13 $1,257.51 0.6×
Needle insertion w/o injection 1 or 2 muscles (20560) $43.48 $57.97 1.5×
Needle insertion w/o injection 3 or more muscles (20561) $43.48 $57.97 1.5×
Neurectomy, Intrinsic Musculature Of Foot (28055) $974.66 $1,299.55 0.5×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 2 matching MRF lines		 $2,159.50–$2,554.76 $2,879.33–$3,406.34 varies
Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus Facility (64714) $2,712.76 $3,617.01 1.3×
Njx anes stellate ganglion crv sympathetic (64510)
range across 3 matching MRF lines		 $115.05–$560.14 $153.40–$746.85 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $536.78 $715.70 1.7×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532)
range across 2 matching MRF lines		 $25.18–$306.01 $33.57–$408.01 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 7 matching MRF lines		 $25.18–$417.92 $33.57–$557.23 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 5 matching MRF lines		 $205.50–$1,049.22 $274–$1,398.96 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $1,546.58 $2,062.10 1.7×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 7 matching MRF lines		 $90–$1,080.70 $120–$1,440.93 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $1,211.90 $1,615.87 1.3×
Njx Sclrsnt 1 Incmptnt Vein (36470) $434.56 $579.41 1.0×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $533.30 $711.06 1.3×
Njx Sclrsnt Spider Veins (36468) $387.20 $516.27 0.9×
Occipital Nerve Block (64405)
range across 4 matching MRF lines		 $112.50–$360.08 $150–$480.10 varies
Occlusion flp tube dev vag/suprapubic appr (58615)
range across 2 matching MRF lines		 $1,001.04–$2,002.10 $1,334.72–$2,669.47 varies
Omntc Epiploectomy Rescj Omentum Spx (49255)
unusually low: confirm this is the full procedure		 $2,160.94 $2,881.25 0.3×
Open biopsy/excision inguinofemoral nodes (38531) $1,295.70 $1,727.60 0.3×
Open Treatment Bimalleolar Ankle Fracture (27814)
range across 2 matching MRF lines		 $2,518.46–$3,066.88 $3,357.95–$4,089.17 varies
Open treatment calcaneal fracture (28415) $3,818.58 $5,091.44 0.5×
Open Treatment Humeral Condylar Fracture (24579)
range across 2 matching MRF lines		 $695.78–$2,783.10 $927.70–$3,710.80 varies
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure		 $2,029.31 $2,705.74 0.3×
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure		 $1,550.07 $2,066.76 0.2×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
unusually low: confirm this is the full procedure		 $2,302.79 $3,070.39 0.3×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
range across 2 matching MRF lines		 $2,107.05–$2,374.03 $2,809.40–$3,165.37 varies
Open Tx Distal Phalangeal Fracture Each (26765) $1,802.90 $2,403.87 0.5×
Open Tx Distal Tibiofibular Joint Disruption (27829)
range across 3 matching MRF lines		 $603.29–$2,413.19 $804.39–$3,217.59 varies
Open Tx Metacarpal Fracture Single Ea Bone (26615) $1,775.15 $2,366.87 0.5×
Open Tx Radial Head/Neck Fracture Prosth (24666)
range across 2 matching MRF lines		 $632.47–$2,529.87 $843.29–$3,373.16 varies
Open Tx Tibial Fracture Proximal Unicondylar (27535)
range across 2 matching MRF lines		 $779.47–$3,117.87 $1,039.29–$4,157.16 varies
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
range across 3 matching MRF lines		 $813.20–$3,252.80 $1,084.27–$4,337.06 varies
Open tx ulnar fx proximal end (24685)
unusually low: confirm this is the full procedure		 $2,397.99 $3,197.32 0.3×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
unusually low: confirm this is the full procedure		 $2,590.87 $3,454.49 0.3×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
unusually low: confirm this is the full procedure		 $3,432.62 $4,576.83 0.5×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
range across 3 matching MRF lines		 $1,142.71–$4,570.83 $1,523.61–$6,094.44 varies
Ostc prtl exostc/condylc metar head (28288)
range across 2 matching MRF lines		 $1,313.73–$1,378.82 $1,751.64–$1,838.43 varies
Ostectomy calcaneus (28118) $1,471.37 $1,961.83 0.4×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112)
range across 2 matching MRF lines		 $1,146.55–$1,265.56 $1,528.73–$1,687.41 varies
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110)
range across 2 matching MRF lines		 $1,078.52–$1,264.32 $1,438.02–$1,685.76 varies
Osteochondral talus autogrft (28446) $3,829.96 $5,106.61 0.5×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308)
range across 2 matching MRF lines		 $1,309.64–$1,348.16 $1,746.18–$1,797.55 varies
Part exc bone femur prox tibia (27360) $3,385.55 $4,514.06 1.0×
Part remv talus or calcaneus (28120)
range across 2 matching MRF lines		 $1,662.05–$1,742.45 $2,216.06–$2,323.26 varies
Partial Excision Bone Humerus (24140) $2,730.50 $3,640.66 0.8×
Partial excision bone metacarpal (26230)
range across 2 matching MRF lines		 $1,524.35–$1,570.08 $2,032.47–$2,093.44 varies
Partial removal of fibula (27641) $2,327.27 $3,103.03 0.7×
Partial removal of thyroid (60220) $3,940.64 $5,254.19 0.6×
Partial removal of tibia (27640) $3,788.99 $5,051.99 1.1×
Partial removal of toe (28160) $967.61 $1,290.14 0.3×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
unusually low: confirm this is the full procedure		 $2,198.51 $2,931.35 0.4×
Partical Excision Bone Phalanx Toe (28124)
range across 2 matching MRF lines		 $1,054.91–$1,062.95 $1,406.55–$1,417.27 varies
Pelvic examination under anesthesia (other than local) (57410) $571.25 $761.67 0.2×
Perq av fistula creation uxtr single access (36836)
range across 2 matching MRF lines		 $420.28–$2,101.38 $560.37–$2,801.84 varies
Perq dev breast 1st us imag (19285)
range across 5 matching MRF lines		 $102.75–$1,646.04 $137–$2,194.72 varies
Perq device breast 1st imag (19281)
range across 2 matching MRF lines		 $105–$341.98 $140–$455.97 varies
Perq skel fixj distal radial fx/epiphysl sep (25606) $2,158.59 $2,878.12 0.6×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
likely a partial charge, not the full procedure		 $2,149.70 $2,866.27 0.3×
Perq Vertebral Augmentation (22513)
unusually low: confirm this is the full procedure		 $2,351.69 $3,135.59 0.3×
Phleb Veins - Extrem 20+ (37766) $388.75 $518.33 0.1×
Place Duod/Jej Tube Perc (49441) $1,573.64 $2,098.19 0.8×
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines		 $300.59–$395.87 $400.78–$527.82 varies
Probe lacrimal canaliculi w/wo irrigation (68840) $321.26 $428.35 1.0×
Probe nasolacrimal duct w/wo irrig req gen anes (68811) $498.29 $664.38 0.2×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $540.42 $720.56 0.2×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $412.61 $550.14 0.3×
Prq skel fixj femoral fx prox end neck (27235)
unusually low: confirm this is the full procedure		 $3,682.24 $4,909.65 0.5×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $1,706.65 $2,275.53 0.5×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $190.02–$253.52 $253.36–$338.03 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines		 $66.80–$306.51 $89.07–$408.68 varies
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines		 $282.47–$288.08 $376.63–$384.10 varies
Pvb Thoracic Single Injection Site W/Img Gid (64461) $654.64 $872.85 0.9×
Radical Resection Tumor Metatarsal (28173) $2,036.03 $2,714.70 0.6×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $223.89 $298.52 0.1×
Rcnstj angular dfrm toe soft tiss px only (28313)
range across 2 matching MRF lines		 $1,192.44–$1,301.51 $1,589.92–$1,735.35 varies
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238)
likely a partial charge, not the full procedure		 $1,691.97 $2,255.96 0.2×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
unusually low: confirm this is the full procedure		 $3,482.05 $4,642.73 0.5×
Release of shoulder ligament (23415)
unusually low: confirm this is the full procedure		 $2,452.68 $3,270.24 0.3×
Removal Embedded Foreign Body Eyelid (67938) $397.21 $529.61 1.2×
Removal Foreign Body Foot Subcutaneous (28190) $566.16 $754.88 0.8×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $496.65–$620.33 $662.20–$827.10 varies
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines		 $45.08–$73.20 $60.10–$97.60 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $107.19–$122.93 $142.92–$163.91 varies
Removal Implant Deep (20680)
range across 2 matching MRF lines		 $1,555.50–$1,699.79 $2,074–$2,266.38 varies
Removal Implant Superficial Separate Procedure (20670) $742.59 $990.12 0.4×
Removal of a lesion from the floor of the mouth (41116) $1,044.69 $1,392.92 0.3×
Removal of adenoids (42831) $756.44 $1,008.59 0.2×
Removal of adenoids (42830)
range across 2 matching MRF lines		 $669.57–$710.17 $892.76–$946.89 varies
Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091)
unusually low: confirm this is the full procedure		 $6,613.65 $8,818.20 0.5×
Removal of nail bed (11750) $742.59 $990.12 1.8×
Removal of sesamoid bone (28315)
range across 2 matching MRF lines		 $1,069.50–$1,096.40 $1,426–$1,461.86 varies
Removal of sperm cord lesion (55520) $1,477.58 $1,970.10 0.4×
Removal of testis (54520) $2,042.83 $2,723.77 0.6×
Removal of tonsils (42826)
range across 2 matching MRF lines		 $870.36–$1,497.56 $1,160.48–$1,996.74 varies
Removal or bivalving full arm or full leg cast (29705) $173.99 $231.99 0.6×
Removal ppm generator only (33233)
likely a partial charge, not the full procedure		 $1,255.88 $1,674.51 0.1×
Removal shoulder foreign body deep subfascial/im (23333)
range across 2 matching MRF lines		 $1,548.71–$1,555.50 $2,064.95–$2,074 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $175.38–$229.77 $233.84–$306.36 varies
Removal subcutaneous cardiac rhythm monitor (33286) $386.82 $515.76 0.5×
Removal Sutures/Staples Requiring Anesthesia (15851) $277.32 $369.76 0.1×
Remove drug implant device (11982) $558.98 $745.30 1.2×
Remove foreign body from eye (65235) $2,885.52 $3,847.36 1.2×
Remove foreign body from eye (65205) $253.52 $338.03 1.8×
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $222.26–$288.48 $296.34–$384.64 varies
Remove lung catheter (32552) $621.36 $828.48 1.0×
Remove Nasal Foreign Body (30300) $279.79 $373.05 2.0×
Remove Peritoneal Foreign Body (49402) $2,409.15 $3,212.20 0.7×
Remove Pulse Generator (33241)
range across 2 matching MRF lines		 $224.47–$897.83 $299.29–$1,197.11 varies
Remove Tendon Sheath Lesion (26160) $1,454.26 $1,939.01 0.9×
Remove&replace pm gen singl (33227)
range across 3 matching MRF lines		 $303.36–$1,213.45 $404.48–$1,617.93 varies
Remove/graft foot lesion (28107)
likely a partial charge, not the full procedure		 $1,317.02 $1,756.02 0.2×
Remove/Insert Drug Implant (11983) $752.39 $1,003.19 1.6×
Remv&replc cvd gen mult lead (33264)
likely a partial charge, not the full procedure		 $1,101.43 $1,468.57 0.0×
Remv&replc cvd gen sing lead (33262)
likely a partial charge, not the full procedure		 $1,231.78 $1,642.37 0.1×
Remv&replc pm gen dual lead (33228)
range across 4 matching MRF lines		 $370.35–$1,278.03 $493.80–$1,704.04 varies
Remv&replc pm gen mult leads (33229)
range across 2 matching MRF lines		 $315.90–$1,263.61 $421.20–$1,684.81 varies
Renal Biopsy Perq (50200) $905.38 $1,207.17 0.5×
Repair Achilles Tendon (27650)
range across 2 matching MRF lines		 $2,131.64–$2,377.04 $2,842.18–$3,169.38 varies
Repair Blood Vessel Direct Upper Extremity (35206) $2,966.46 $3,955.28 0.9×
Repair Collat Ankle Ligmnt,Secondary (27698)
unusually low: confirm this is the full procedure		 $2,517.95 $3,357.26 0.3×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,221.05 $1,628.07 1.6×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $827.41 $1,103.21 2.0×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,682.87 $2,243.83 4.0×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $877.22–$895.76 $1,169.62–$1,194.35 varies
Repair complex trunk 1.1-2.5 cm (13100) $672.86 $897.14 0.9×
Repair complex trunk 2.6-7.5 cm (13101) $1,016.73 $1,355.64 1.3×
Repair Ectropion Extensive (67917) $1,731.39 $2,308.52 0.7×
Repair Entropion Extensive (67924) $1,618.61 $2,158.14 0.7×
Repair extensor tendon finger w/o graft each (26418) $1,956.20 $2,608.27 1.2×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $1,904.51 $2,539.34 0.6×
Repair Hallux Rigidus (28289)
range across 2 matching MRF lines		 $1,659.58–$1,926.83 $2,212.77–$2,569.10 varies
Repair Hand Tendon (26410) $1,961.96 $2,615.94 1.2×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $2,741.61 $3,655.48 0.7×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $2,817.52 $3,756.69 0.8×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $593.35–$603.05 $791.13–$804.06 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $801.79 $1,069.05 1.9×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $931.36 $1,241.81 2.2×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $140.24 $186.99 0.3×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $498.08 $664.11 1.2×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $654.88 $873.17 1.6×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $795.13 $1,060.17 1.0×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $917.36 $1,223.15 2.2×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $499.10–$526.78 $665.47–$702.37 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $585.15–$604.82 $780.20–$806.43 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $681.05–$717.96 $908.06–$957.28 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $1,563.98 $2,085.31 0.7×
Repair intrinsic muscles hand each muscle (26591) $355.39 $473.85 0.1×
Repair of biceps tendon (24340)
range across 2 matching MRF lines		 $134.74–$538.96 $179.65–$718.61 varies
Repair of fibula nonunion and/or malunion with internal fixation (27726)
unusually low: confirm this is the full procedure		 $3,416.48 $4,555.30 0.5×
Repair of metatarsals (28322)
range across 2 matching MRF lines		 $1,870.20–$2,105.36 $2,493.60–$2,807.15 varies
Repair of nail bed (11760) $654.10 $872.13 0.9×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
unusually low: confirm this is the full procedure		 $2,730.11 $3,640.14 0.4×
Repair Rotator Cuff Chronic (23412)
range across 2 matching MRF lines		 $806.61–$3,226.48 $1,075.48–$4,301.97 varies
Repair secondary achilles tendon w/wo graft (27654)
range across 2 matching MRF lines		 $2,293.91–$2,633.47 $3,058.54–$3,511.29 varies
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $1,093.26 $1,457.68 0.3×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
range across 2 matching MRF lines		 $607.64–$2,430.53 $810.18–$3,240.71 varies
Repair tongue laceration (41252) $1,115.51 $1,487.35 4.6×
Repair tongue laceration (41250) $609.68 $812.90 1.3×
Repair, primary, disrupted ligament, ankle; collateral (27695)
likely a partial charge, not the full procedure		 $2,243.30 $2,991.06 0.3×
Repair/graft achilles tendon (27652)
range across 2 matching MRF lines		 $2,267.69–$2,502.49 $3,023.58–$3,336.65 varies
Replace duodenostomy/jejunostomy tube perq (49451)
range across 2 matching MRF lines		 $354.51–$4,208.69 $472.68–$5,611.58 varies
Replace G-J Tube Perc (49452) $5,158.34 $6,877.79 5.5×
Replace g/c tube perc (49450) $388.13 $517.51 0.4×
Reposition Gastrostomy Tube (43761) $360.92 $481.23 1.4×
Reposition Pacing-Defib Lead (33215) $1,049.84 $1,399.78 0.3×
Rerepair ing hernia reduce (49520) $3,381.84 $4,509.12 0.9×
Retrobulbar injection (67500)
range across 2 matching MRF lines		 $55.50–$111.40 $74–$148.53 varies
Revise Hand/Foot Nerve (64704) $1,161.59 $1,548.79 0.6×
Revision of foot bones (28737)
likely a partial charge, not the full procedure		 $2,212.47 $2,949.96 0.2×
Revision of lower leg tendon (27685) $1,851.27 $2,468.36 0.5×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $2,559.54 $3,412.72 0.7×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486)
unusually low: confirm this is the full procedure		 $5,509.53 $7,346.04 0.4×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $2,119.93 $2,826.57 0.6×
Rmvl FB Xtrnl Auditory Canal Anes (69205)
range across 3 matching MRF lines		 $75.40–$405.06 $100.53–$540.08 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $348.87 $465.16 0.8×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $311.93 $415.90 2.3×
Rmvl fecal impaction/fb spx under anes (45915) $690.13 $920.17 0.6×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $1,120.32 $1,493.76 0.4×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $2,046.65 $2,728.86 1.0×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,253.57 $1,671.43 0.8×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,005.53 $1,340.70 1.6×
Rplc Gtube No Revj Trc (43762)
range across 3 matching MRF lines		 $87.51–$432.93 $116.68–$577.24 varies
Rplc gtube revj gstrst trc (43763)
range across 2 matching MRF lines		 $164.52–$343.93 $219.36–$458.57 varies
Rplcmt compl tun ctr vad w/subq port (36582) $1,327.10 $1,769.46 0.4×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
range across 2 matching MRF lines		 $2,003.79–$4,566.69 $2,671.72–$6,088.92 varies
Rpr Aa Hernia 1st < 3 Cm Reducible (49591)
range across 2 matching MRF lines		 $949.40–$4,566.69 $1,265.87–$6,088.92 varies
Rpr aa hernia recr 3-10 cm reducible (49615)
range across 2 matching MRF lines		 $529.62–$4,566.69 $706.16–$6,088.92 varies
Rpr aa hrn 1st 3-10 rdc (49593)
range across 2 matching MRF lines		 $1,835.78–$4,566.69 $2,447.71–$6,088.92 varies
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) $2,241.46 $2,988.61 0.9×
Rpr blood vessel direct lower extremity (35226) $3,105.80 $4,141.06 4.2×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664)
likely a partial charge, not the full procedure		 $1,319.39 $1,759.18 0.2×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $801.79 $1,069.05 3.9×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $828.30 $1,104.40 3.4×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $261.23 $348.31 0.5×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $285.27 $380.36 0.2×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $1,252.83 $1,670.44 0.4×
Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202)
likely a partial charge, not the full procedure		 $1,570.85 $2,094.47 0.2×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520)
range across 2 matching MRF lines		 $2,129.18–$2,278.34 $2,838.91–$3,037.78 varies
Sgmdsc flx dired sbmcsl njx any sbst (45335) $760.17 $1,013.56 0.8×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338)
range across 2 matching MRF lines		 $812.17–$979.10 $1,082.89–$1,305.47 varies
Shave skin lesion 0.5 cm/< (11300) $194.52 $259.36 0.5×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $251.04 $334.72 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $228.95 $305.26 1.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $300.41 $400.55 1.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $225.38 $300.51 1.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $448.07 $597.42 1.1×
Shoulder arthroscopy (29820)
range across 3 matching MRF lines		 $554.80–$2,307.02 $739.73–$3,076.02 varies
Shoulder Arthroscopy/Surgery (29825) $2,261.31 $3,015.08 0.7×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $337.28 $449.70 1.6×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $409.49 $545.98 1.0×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $251.85 $335.80 1.2×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $460.33 $613.77 1.1×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $309.53 $412.70 1.5×
Sigmoidoscopy w/fb removal (45332) $809.10 $1,078.80 0.7×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $1,036.82 $1,382.42 1.1×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $389.53 $519.37 0.3×
Simple Cystometrogram (51725) $686.18 $914.90 2.7×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $1,030.67 $1,374.23 2.5×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $419.40 $559.20 2.0×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $480.77 $641.02 2.3×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $592.41 $789.88 2.9×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $722.52 $963.36 3.5×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $365.19–$377.15 $486.92–$502.87 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $1,144.66 $1,526.21 5.5×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $550.55 $734.07 2.7×
Skin Full Grft Face/Genit/Hf (15240) $1,891.20 $2,521.60 0.9×
Skin sub graft face/nk/hf/g (15275)
range across 3 matching MRF lines		 $395.84–$964.89 $527.78–$1,286.52 varies
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines		 $393.34–$1,123.76 $524.45–$1,498.34 varies
Skin sub grft t/arm/lg child (15273) $1,106.42 $1,475.23 0.5×
Skin Tissue Procedure (17999) $270.17 $360.23 1.3×
Skn sub grft f/n/hf/g child (15277)
range across 2 matching MRF lines		 $964.89–$986.98 $1,286.52–$1,315.97 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $423.40 $564.53 2.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $687.27 $916.36 1.6×
Sphincterotomy anal division sphincter spx (46080) $1,262.06 $1,682.74 0.4×
Spinal puncture lumbar diagnostic (62270)
range across 6 matching MRF lines		 $98.25–$1,046.50 $131–$1,395.33 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $2,523.11 $3,364.14 0.7×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $2,483.02 $3,310.69 1.2×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $331.41 $441.88 0.1×
Strapping Unna Boot (29580)
range across 4 matching MRF lines		 $128.67–$318.47 $171.56–$424.63 varies
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $1,176.86 $1,569.15 0.3×
Surg nasopharyngoscopy dilat eustachian tube bi (69706) $7,623.41 $10,164.54 1.2×
Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) $6,567.50 $8,756.67 1.1×
Surg tx anal fistula subq (46270)
range across 2 matching MRF lines		 $1,288.32–$1,417.25 $1,717.76–$1,889.67 varies
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $1,400.69 $1,867.59 0.5×
Suture infrapatellar tendon primary (27380)
likely a partial charge, not the full procedure		 $2,084.16 $2,778.88 0.3×
Suture of quadriceps or hamstring muscle rupture primary (27385)
range across 2 matching MRF lines		 $623.25–$2,493.01 $831–$3,324.01 varies
Tangential biopsy skin single lesion (11102) $253.52 $338.03 0.6×
Tenodesis long tendon biceps (23430)
range across 2 matching MRF lines		 $682.59–$2,730.32 $910.12–$3,640.42 varies
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $1,961.03 $2,614.70 0.6×
Tenotomy Percutaneous Toe Single Tendon (28010) $678.16 $904.21 0.4×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $1,063.72 $1,418.29 0.6×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $761.65 $1,015.53 0.5×
Thyroid biopsy (60100) $333.70 $444.93 0.5×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $3,264.13 $4,352.17 1.5×
Tnot elbow lateral/medial debride open (24358) $1,637.45 $2,183.27 0.5×
Tnot elbow lateral/medial debride open tdn rpr (24359) $2,175.67 $2,900.89 0.6×
Tonsillectomy and adenoidectomy; age 12 or over (42821)
range across 2 matching MRF lines		 $1,004.76–$1,715.82 $1,339.68–$2,287.76 varies
Tooth extraction (41899) $810.33 $1,080.44 3.3×
Total Knee Arthroplasty (27447)
range across 3 matching MRF lines		 $1,582.11–$6,328.48 $2,109.48–$8,437.97 varies
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) $4,064.94 $5,419.92 0.7×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $1,591.43 $2,121.91 0.5×
Transfer skin pedicle flap (15650) $1,743.36 $2,324.48 0.8×
Treat ectopic pregnancy (59151) $4,302.89 $5,737.18 0.7×
Treat Fx Rad Extra-Articul (25607)
range across 3 matching MRF lines		 $608.30–$2,590.87 $811.06–$3,454.49 varies
Treat Humerus Fracture (24505) $1,816.92 $2,422.56 1.1×
Treat Kneecap Fracture (27524)
unusually low: confirm this is the full procedure		 $2,676.18 $3,568.24 0.4×
Treat Knuckle Dislocation (26700) $759.87 $1,013.16 3.0×
Treat Metatarsal Fracture (28475) $934.80 $1,246.40 3.7×
Treat toe dislocation (28630) $527.47 $703.29 2.1×
Treat/graft heel fracture (28420)
unusually low: confirm this is the full procedure		 $4,167.30 $5,556.40 0.3×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,568.09 $2,090.79 0.9×
Treatment closed elbow dislocation w/o anes (24600) $787.77 $1,050.36 3.1×
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
range across 2 matching MRF lines		 $1,142.39–$4,324.76 $1,523.18–$5,766.34 varies
Trim skin lesion (11055) $109.15 $145.53 0.5×
Trim skin lesions 2 to 4 (11056) $141.02 $188.03 0.7×
Trim skin lesions over 4 (11057) $186.71 $248.95 0.9×
Trimming Nondystrophic Nails Any Number (11719) $72.68 $96.91 1.2×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280)
range across 2 matching MRF lines		 $1,489.94–$1,737.21 $1,986.58–$2,316.28 varies
Tx Incomplete Abortion Any Trimester Surgical (59812)
range across 2 matching MRF lines		 $990.02–$1,382.60 $1,320.02–$1,843.47 varies
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245)
range across 2 matching MRF lines		 $1,229.63–$4,243.61 $1,639.51–$5,658.14 varies
Tx Missed Abortion First Trimester Surgical (59820) $1,485.23 $1,980.30 0.4×
Tx open tendon flexor toe 1 tendon spx (28232) $855.91 $1,141.21 0.5×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $1,822.12 $2,429.49 1.1×
Tx Superficial Wound Dehiscence Simple Closure (12020) $635.54 $847.38 0.8×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $862.16 $1,149.55 0.5×
Tympanoplasty (69631)
unusually low: confirm this is the full procedure		 $2,752.50 $3,670 0.5×
Tympanostomy general anesthesia (69436)
range across 2 matching MRF lines		 $504.84–$1,055.27 $673.12–$1,407.03 varies
Unlisted hysteroscopy procedure, uterus (58579) $2,208.25 $2,944.33 10.6×
Unlisted laparoscopic procedure liver (47379) $3,276.41 $4,368.55 0.5×
Unlisted laparoscopy procedure stomach (43659)
unusually low: confirm this is the full procedure		 $2,567.23 $3,422.97 0.4×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
unusually low: confirm this is the full procedure		 $2,421.41 $3,228.55 0.4×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
likely a partial charge, not the full procedure		 $709.43 $945.91 0.1×
Unlisted procedure anus (46999)
range across 2 matching MRF lines		 $587.15–$3,687.95 $782.87–$4,917.27 varies
Unlisted Procedure Casting/Strapping (29799) $134.78 $179.70 0.8×
Unlisted Procedure Esophagus (43499) $4,567.33 $6,089.77 4.9×
Unlisted procedure femur or knee (27599)
range across 2 matching MRF lines		 $1,639.09–$1,844.80 $2,185.45–$2,459.73 varies
Unlisted procedure foot or toes (28899) $1,092.09 $1,456.12 4.3×
Unlisted Procedure Intestine (44799) $598.19 $797.58 0.6×
Unlisted Procedure Leg/Ankle (27899) $2,001.82 $2,669.09 7.9×
Unlisted procedure liver (47399) $3,825.61 $5,100.81 5.2×
Unlisted procedure nervous system (64999)
range across 4 matching MRF lines		 $566.30–$2,708.25 $755.07–$3,611 varies
Unlisted procedure shoulder (23929) $1,536.33 $2,048.44 6.0×
Unlisted Procedure Vascular Surgery (37799) $273.56 $364.74 0.4×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $3,852.95 $5,137.26 4.1×
Unlisted px female genital system nonobstetrical (58999) $1,513.03 $2,017.37 7.3×
Vaginal delivery only (59409) $3,243.83 $4,325.10 1.0×
Vasc Embolize/Occlude Bleed (37244) $17,478.44 $23,304.58 1.5×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 2 matching MRF lines		 $927–$1,139.99 $1,236–$1,519.98 varies
Ventilating tube removal requiring general anesthesia (69424)
range across 2 matching MRF lines		 $313.88–$430.89 $418.51–$574.52 varies
Vermilionectomy lip shv w/mucosal advmnt (40500) $2,407.57 $3,210.09 0.7×
Wedge excision skin nail fold (11765) $436.58 $582.10 1.0×
Wound Prep F/N/Hf/G (15004) $9,301.88 $12,402.50 22.2×
Wound Prep Trk/Arm/Leg (15002)
range across 2 matching MRF lines		 $932.74–$1,123.76 $1,243.65–$1,498.34 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.