Procedures & surgery prices at Glen Rose Medical Center

Glen Rose, TX · every code in this section with a posted price and a Medicare benchmark.

1207 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 3 matching MRF lines		 $1,437–$2,988 $1,437–$2,988 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $2,859–$2,988 $2,859–$2,988 varies
Ablate inf turbinate submuc (30802) $4,780 $4,780 3.1×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $4,780 $4,780 3.1×
Acromiopl/Acromionect Partial (23130) $10,007 $10,007 3.0×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $6,329 $6,329 3.1×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $6,329 $6,329 3.1×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $121 $121 0.0×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $7,294 $7,294 3.5×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $6,329 $6,329 3.1×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $10,007 $10,007 3.0×
Amputate Thigh,Re-Amputatn (27596) $22,133 $22,133 6.7×
Amputation foot transmetarsal (28805) $10,007 $10,007 3.0×
Amputation metatarsal with toe single (28810) $10,007 $10,007 3.0×
Amputation toe interphalangeal joint (28825) $10,007 $10,007 3.0×
Amputation toe metatarsophalangeal joint (28820) $10,007 $10,007 3.0×
Amputation, leg, through tibia and fibula; re-amputation (27886) $11,556 $11,556 3.5×
Anoscopy diagnostic (46600) $398 $398 3.0×
Anoscopy; with biopsy, single or multiple (46606) $3,664 $3,664 3.0×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $8,633 $8,633 3.1×
Ant Vesicourethropexy/Urethropexy Smpl (51840) $6,824 $6,824 1.4×
Anterior colporraphy rpr cystocele w/cysto (57240) $15,582 $15,582 3.1×
Anterior Tibial Tubercleplasty (27418) $22,134 $22,134 3.0×
Appendectomy (44950) $11,243 $11,243 1.7×
Application cast elbow finger short arm (29075) $862 $862 3.1×
Application Cast Finger (29086) $499 $499 3.1×
Application finger splint static (29130) $398 $398 3.0×
Application long arm splint shoulder hand (29105) $499 $499 3.1×
Application Long Leg Cast Walker/Ambulatory Type (29355) $862 $862 3.1×
Application Long Leg Splint (29505) $499 $499 3.1×
Application multiplane external fixation system (20692) $43,573 $43,573 3.4×
Application of long leg cast (29345) $862 $862 3.1×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $398–$403 $398–$403 varies
Application short leg splint calf foot (29515) $499 $499 3.1×
Application uniplane external fixation system (20690) $22,134 $22,134 3.0×
Apply long arm cast (29065) $862 $862 3.1×
Apply Multlay Comprs Lwr Leg (29581) $546 $546 3.3×
Apply Short Leg Cast (29405) $862 $862 3.1×
Apply short leg cast (29425) $862 $862 3.1×
Arterial puncture (36600) $90 $90 0.7×
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) $43,573 $43,573 3.4×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) $43,573 $43,573 3.4×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $925–$1,618 $925–$1,618 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $2,244 $2,244 3.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $925–$2,207 $925–$2,207 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $976 $976 3.2×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $925–$1,688 $925–$1,688 varies
Arthrodesis ankle open (27870) $43,573 $43,573 3.4×
Arthrodesis great toe metatarsophalangeal joint (28750) $22,134 $22,134 3.0×
Arthrodesis Posterior/Posterolateral Lumbar (22612) $63,630 $63,630 3.6×
Arthrodesis sacroiliac joint percutaneous (27279) $75,767 $75,767 4.3×
Arthrodesis subtalar (28725) $43,573 $43,573 3.4×
Arthrodesis triple (28715) $43,573 $43,573 3.4×
Arthroplasty glenohumeral joint total shoulder (23472) $43,573 $43,573 2.5×
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) $43,573 $43,573 3.4×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $10,007 $10,007 3.0×
Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) $4,922 $4,922 3.0×
Arthroscopy Knee Osteochondral Allograft (29867) $43,573 $43,573 3.4×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $10,007 $10,007 3.0×
Arthroscopy shoulder distal claviculectomy (29824) $11,226 $11,226 3.4×
Arthroscopy shoulder surgical capsulorrhaphy (29806) $22,134 $22,134 3.0×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $10,007 $10,007 3.0×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $10,007 $10,007 3.0×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $11,226 $11,226 3.4×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $24,717 $24,717 3.4×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $11,566 $11,566 3.5×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $10,253 $10,253 3.1×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $22,134 $22,134 3.0×
Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) $10,253 $10,253 3.1×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $24,717 $24,717 3.4×
Arthrotomy ankle w/expl drainage/removal fb (27610) $10,007 $10,007 3.0×
Arthrotomy, hip, with drainage (eg, infection) Facility (27030)
likely a partial charge, not the full procedure		 $1,600 $1,600 0.2×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) $43,573 $43,573 3.4×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) $43,573 $43,573 3.4×
Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) $22,134 $22,134 3.0×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $24,717 $24,717 3.4×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $10,007 $10,007 3.0×
Arthrs knee debridement/shaving artclr crtlg (29877) $10,007 $10,007 3.0×
Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) $22,134 $22,134 3.0×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $11,226 $11,226 3.4×
Arthrt Acromclav Strnclav Jt Expl/Drg/Rmvl FB (23044) $10,007 $10,007 3.0×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $10,007 $10,007 3.0×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $4,922 $4,922 3.0×
Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) $10,007 $10,007 3.0×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $10,007 $10,007 3.0×
Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) $10,007 $10,007 3.0×
Aspirate pleura w/ imaging (32555)
range across 4 matching MRF lines		 $1,539–$2,071 $1,539–$2,071 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $2,071–$2,759 $2,071–$2,759 varies
Aspirate/Inj Ganglion Cyst (20612) $932 $932 3.0×
Aspiration & Injection Treatment Bone Cyst (20615) $2,245 $2,245 3.2×
Aspiration and/or injection thyroid cyst (60300) $2,199 $2,199 3.1×
Aspiration bladder insert suprapubic catheter (51102) $6,327 $6,327 3.0×
Avulsion nail plate partial/complete simple 1 (11730) $635 $635 3.2×
Axillary lymphadenectomy; complete (38745) $17,880 $17,880 2.9×
Biopsy Abdominal Mass (49180) $5,263 $5,263 3.2×
Biopsy bone open superficial (20240) $8,379 $8,379 2.9×
Biopsy External Auditory Canal (69105) $4,780 $4,780 3.1×
Biopsy external ear (69100) $748 $748 3.1×
Biopsy Muscle Superficial (20200) $4,972 $4,972 3.0×
Biopsy of breast; open, incisional (19101) $11,159 $11,159 2.8×
Biopsy of epididymis (54800) $4,972 $4,972 3.0×
Biopsy of foot joint lining (28052) $10,007 $10,007 3.0×
Biopsy of liver, needle; percutaneous (47000) $4,987 $4,987 3.0×
Biopsy of nerve (64795) $6,205 $6,205 3.2×
Biopsy of palate, uvula (42100) $4,780 $4,780 3.1×
Biopsy of rectum (45100) $8,633 $8,633 3.1×
Biopsy of urethra (53200) $6,327 $6,327 3.0×
Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) $11,159 $11,159 2.8×
Biopsy Prostate Any Approach Nonimaging-Guided (55705) $10,865 $10,865 3.1×
Biopsy soft tissue back/flank deep (21925) $5,838 $5,838 3.5×
Biopsy soft tissue neck/thorax (21550) $4,972 $4,972 3.0×
Biopsy Tongue Anterior Two-Thirds (41100) $1,680 $1,680 3.1×
Biopsy Tongue Posterior One-Third (41105) $9,667 $9,667 2.9×
Biopsy Vaginal Mucosa Simple (57100) $2,256 $2,256 2.4×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $3,013 $3,013 3.3×
Biopsy/removal lymph nodes (38510) $11,159 $11,159 2.8×
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $815–$940 $815–$940 varies
Bladder Scan (51798)
range across 2 matching MRF lines		 $197–$202 $197–$202 varies
Blepharoplasty upper eyelid (15822) $6,052 $6,052 2.9×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $6,052 $6,052 2.9×
Blepharotomy drainage abscess eyelid (67700) $1,152 $1,152 3.6×
Blood Transfusion Service (36430) $1,430 $1,430 3.2×
Blood/Lymph System Procedure (38999) $1,403 $1,403 3.2×
Bone Graft Any Donor Area Minor/Small (20900) $22,134 $22,134 3.0×
Breast augmentation with implant (19325) $31,508 $31,508 3.8×
Breast Reduction (19318) $19,556 $19,556 2.9×
Bx Cervix (57500) $2,434 $2,434 2.6×
Bx prostate strtctc saturation sampling img gid (55706) $10,865 $10,865 3.1×
Bx/exc lymph node open deep axillary node (38525) $11,159 $11,159 2.8×
Bx/exc lymph node open superficial (38500) $11,159 $11,159 2.8×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $10,007 $10,007 3.0×
Capsulorrhaphy Anterior W/Labral Repair (23455) $22,134 $22,134 3.0×
Carpal Tunnel Surgery (64721) $6,205 $6,205 3.2×
Cautery Cervix Electro/Thermal (57510) $9,271 $9,271 2.9×
Change Cystostomy Tube Simple (51705) $940 $940 3.7×
Chemical Cautery Tissue (17250) $635 $635 3.2×
Chemodenerv Musc Migraine (64615) $925 $925 3.0×
Chemodenerv musc neck dyston (64616) $1,687 $1,687 5.5×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $925 $925 3.0×
Chest tube placement (32551)
range across 2 matching MRF lines		 $4,969–$5,280 $4,969–$5,280 varies
Circumcision 28 days or older (54161) $6,698 $6,698 3.2×
Circumcision w/clamp/oth dev w/block (54150) $6,632 $6,632 3.2×
Cl Tx Tib Shft Fx W Manip (27752) $4,922 $4,922 3.0×
Claviculectomy partial (23120) $10,007 $10,007 3.0×
Clear outer ear canal (69200) $398 $398 3.0×
Closed Rx Metacarpal Fx,Percut (26608) $10,007 $10,007 3.0×
Closed Rx Spontaneous Hip Disloc (27256) $728 $728 2.9×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $4,922 $4,922 3.0×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $825 $825 3.3×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $728 $728 2.9×
Closed Treatment Ulnar Styloid Fracture (25650) $1,192 $1,192 4.8×
Closed tx ankle dislocation w/o anesthesia (27840) $825 $825 3.3×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $4,922 $4,922 3.0×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $728 $728 2.9×
Closed tx carpal scaphoid fracture w/manj (25624) $4,922 $4,922 3.0×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $825 $825 3.3×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $728 $728 2.9×
Closed Tx Knee Dislocation W/Anesthesia (27552) $4,922 $4,922 3.0×
Closed tx knee dislocation w/o anesthesia (27550) $825 $825 3.3×
Closed tx metatarsal fracture w/o manipulation (28470) $825 $825 3.3×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $4,922 $4,922 3.0×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $4,780 $4,780 3.1×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $9,667 $9,667 2.9×
Closed tx patellar dislocation w/anesthesia (27562) $728 $728 2.9×
Closed tx patellar dislocation w/o anesthesia (27560) $728 $728 2.9×
Closed Tx Patellar Fracture W/O Manipulation (27520) $825 $825 3.3×
Closed tx radial head/neck fx w/manipulation (24655) $4,922 $4,922 3.0×
Closed tx radial head/neck fx w/o manipulation (24650) $825 $825 3.3×
Closed tx radial shaft fracture w/manipulation (25505) $4,922 $4,922 3.0×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $729 $729 2.9×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $4,922 $4,922 3.0×
Closed tx radial&ulnar shaft fractures w/o man (25560) $728 $728 2.9×
Closed tx septal&nose fx (21337) $9,667 $9,667 2.9×
Closed Tx Talus Fracture W/Manipulation (28435)
range across 2 matching MRF lines		 $4,922–$5,065 $4,922–$5,065 varies
Closed tx temporomandibular dislocation 1st/sbsq (21480) $728 $728 2.9×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $4,922 $4,922 3.0×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $728 $728 2.9×
Closed tx ulnar shaft fracture w/o manipulation (25530) $728 $728 2.9×
Clsd Tx Clavicular Fracture W/Manipulation (23505)
range across 2 matching MRF lines		 $117–$4,922 $117–$4,922 varies
Clsd tx clavicular fracture w/o manipulation (23500) $728 $728 2.9×
Clsd tx shoulder dislc w/manipulation req anes (23655) $4,922 $4,922 3.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $762–$1,304 $762–$1,304 varies
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $4,922 $4,922 3.0×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $806 $806 3.3×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $4,922 $4,922 3.0×
Cltx dstl fibular fx lat malls w/manj (27788) $825 $825 3.3×
Cltx dstl fibular fx lat malls w/o manj (27786) $728 $728 2.9×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $728 $728 2.9×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $728 $728 2.9×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $825 $825 3.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $4,922 $4,922 3.0×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $4,922 $4,922 3.0×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $728 $728 2.9×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $825 $825 3.3×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $4,922 $4,922 3.0×
Cltx fx grt toe phlx/phlg w/manj (28495) $728 $728 2.9×
Cltx fx grt toe phlx/phlg w/o manj (28490) $728 $728 2.9×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $728 $728 2.9×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $728 $728 2.9×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $4,922 $4,922 3.0×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $728 $728 2.9×
Cltx hip dislocation traumatic req anesthesia (27252) $4,922 $4,922 3.0×
Cltx hip dislocation traumatic w/o anesthesia (27250) $728 $728 2.9×
Cltx humeral condylar fx medial/lateral w/manj (24577) $4,922 $4,922 3.0×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $4,922 $4,922 3.0×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $852 $852 3.0×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $762 $762 3.1×
Cltx iphal jt dislc w/manj w/o anes (26770) $728 $728 2.9×
Cltx Med Ankle Fx W/Mnpj (27762) $4,922 $4,922 3.0×
Cltx Medial Ankle Fx (27760) $728 $728 2.9×
Cltx metacarpal fx w/manipulation each bone (26605) $825 $825 3.3×
Cltx metacarpal fx w/o manipulation each bone (26600) $825 $825 3.3×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $4,922 $4,922 3.0×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $4,922 $4,922 3.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $728 $728 2.9×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $728 $728 2.9×
Cltx post hip arthrp dislc req anes (27266) $4,922 $4,922 3.0×
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $728–$762 $728–$762 varies
Cltx prox fibula/shft fx w/manj (27781) $4,922 $4,922 3.0×
Cltx prox fibula/shft fx w/o manj (27780) $728 $728 2.9×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 2 matching MRF lines		 $4,922–$6,411 $4,922–$6,411 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $825 $825 3.3×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $4,922 $4,922 3.0×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $4,922 $4,922 3.0×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $728 $728 2.9×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $4,922 $4,922 3.0×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $728 $728 2.9×
Cltx tibial fx proximal w/o manipulation (27530) $825 $825 3.3×
Cltx tibial shaft fx w/o manipulation (27750) $825 $825 3.3×
Cltx trimalleolar ankle fx w/manipulation (27818) $4,922 $4,922 3.0×
Cltx trimalleolar ankle fx w/o manipulation (27816) $728 $728 2.9×
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) $15,582 $15,582 3.1×
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines		 $398–$421 $398–$421 varies
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines		 $10–$14 $10–$14 varies
Colonoscopy Stoma Ablation Lesion (44401) $3,664 $3,664 3.0×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $3,664 $3,664 3.0×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $3,664 $3,664 3.0×
Colonoscopy thru stoma (44388) $3,049 $3,049 3.3×
Colonoscopy w/ablation (45388) $3,664 $3,664 3.0×
Colonoscopy W/Band Ligation (45398) $4,230 $4,230 3.5×
Colonoscopy w/fb removal (45379) $3,664 $3,664 3.0×
Colonoscopy w/submucosal inj (45381) $3,664 $3,664 3.0×
Colpocleisis (le fort type) (57120) $15,582 $15,582 3.1×
Colpopexy extraperitoneal (57282) $23,989 $23,989 3.2×
Colporrhaphy (57200) $9,271 $9,271 2.9×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $997 $997 3.3×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $9,271 $9,271 2.9×
Colposcopy entire vagina w/cervix if present (57420) $997 $997 3.3×
Colposcopy Vulva W/Biopsy (56821) $997 $997 3.3×
Colsc Flexible W/Control Bleeding Any Method (45382) $3,664 $3,664 3.0×
Colsc flx w/removal lesion by hot bx forceps (45384) $3,664 $3,664 3.0×
Combined anteroposterior colporrhaphy; (57260) $15,582 $15,582 3.1×
Complex drainage wound (10180) $8,379 $8,379 2.9×
Composite Skin Graft (15760) $6,052 $6,052 2.9×
Conization cervix w/wo d&c rpr eltrd exc (57522) $9,271 $9,271 2.9×
Conization of cervix (57520) $9,271 $9,271 2.9×
Conjunctival Flap Total (68362) $7,071 $7,071 3.0×
Control Nasal Hemorrhage Anterior Complex (30903) $501 $501 3.7×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $561–$562 $561–$562 varies
Correction hammertoe (28285) $10,007 $10,007 3.0×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $10,007 $10,007 3.0×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) $22,134 $22,134 1.7×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) $22,134 $22,134 3.0×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $10,090 $10,090 3.1×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $22,134 $22,134 3.0×
Create Eardrum Opening (69433) $1,680 $1,680 3.1×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $578 $578 4.3×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $748 $748 3.1×
Curettage postpartum (59160) $9,271 $9,271 2.9×
Curette/treat cornea (65435) $2,862 $2,862 2.9×
Cysto calibration dilat urtl strix/stenosis (52281) $6,632 $6,632 3.2×
Cysto w/irrig & evac multple obstructing clots (52001) $10,865 $10,865 3.1×
Cysto w/removal of tumors small (52234) $10,865 $10,865 3.1×
Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) $10,865 $10,865 3.1×
Cysto w/ureteroscopy w/lithotripsy (52353) $15,590 $15,590 2.9×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $10,865 $10,865 3.1×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $12,461 $12,461 3.5×
Cysto/uretero w/lithotripsy (52356) $15,590 $15,590 2.9×
Cystolithotomy (51050) $15,590 $15,590 2.9×
Cystorrhaphy suture of bladder wound injury or rupture simple (51860) $15,590 $15,590 1.6×
Cystoscopy implant stent (52282) $10,865 $10,865 3.1×
Cystostomy Cystotomy W/Drainage (51040) $6,327 $6,327 3.0×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $6,327 $6,327 3.0×
Cystouretero W/Congen Repr (52400) $10,865 $10,865 3.1×
Cystourethroscopy (52000) $2,309 $2,309 3.3×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $10,865 $10,865 3.1×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $15,590 $15,590 2.9×
Cystourethroscopy w/dil bladder general anesth (52260) $6,632 $6,632 3.2×
Cystourethroscopy with biopsy (52204) $6,632 $6,632 3.2×
Cystourethroscopy with direct vision internal urethrotomy (52276) $6,327 $6,327 3.0×
Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) $10,865 $10,865 3.1×
Cystourethroscopy with transurethral resection or incision of ejaculatory ducts Facility (52402) $10,865 $10,865 3.1×
Cystourethroscopy, with internal urethrotomy; female Facility (52270) $6,632 $6,632 3.2×
Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral Facility (52301) $121 $121 0.0×
Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) $6,327 $6,327 3.0×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $1,851 $1,851 4.5×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $8,379 $8,379 2.9×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines		 $2,199–$2,474 $2,199–$2,474 varies
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $2,199 $2,199 3.1×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,851 $1,851 2.5×
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $197–$306 $197–$306 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $4,972 $4,972 3.0×
Debridement Mastoidectomy Cavity Cmplx (69222) $1,598 $1,598 2.9×
Debridement Mastoidectomy Cavity Simple (69220) $635 $635 3.2×
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,221 $1,221 3.0×
Declot vascular device (36593)
range across 2 matching MRF lines		 $1,116–$1,127 $1,116–$1,127 varies
Decompression of tibia nerve (28035) $6,205 $6,205 3.2×
Deep Muscle Biopsy (20205) $8,379 $8,379 2.9×
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $6,052 $6,052 2.9×
Delivery of placenta (59414) $9,271 $9,271 2.9×
Derma-fat-fascia graft (15770) $12,443 $12,443 3.5×
Dermabrasion superficial any site (15783) $1,221 $1,221 3.0×
Destroy cerv/thor facet jnt (64633) $6,219 $6,219 3.2×
Destroy lumb/sac facet jnt (64635) $6,205 $6,205 3.2×
Destruct B9 Lesion 1-14 (17110) $635 $635 3.2×
Destruction Benign Lesions 15/> (17111) $635 $635 3.2×
Destruction Lesions Vulva Extensive (56515) $6,052 $6,052 2.9×
Destruction Lesions Vulva Simple (56501) $6,052 $6,052 2.9×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $1,221 $1,221 3.0×
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) $1,851 $1,851 2.5×
Destruction neurolytic agt genicular nerve w/img (64624) $6,219 $6,219 3.2×
Destruction of skin lesions (17106) $1,221 $1,221 3.0×
Destruction premalignant lesion 1st (17000) $635 $635 3.2×
Destruction Vaginal Lesions Simple (57061) $9,271 $9,271 2.9×
Diagnostic sigmoidoscopy (45330) $2,804 $2,804 3.0×
Dilat female urethra general/cndj spinal anes (53665) $6,327 $6,327 3.0×
Dilate Esophagus 1/Mult Pass (43450) $42,044 $42,044 46.1×
Dilation & curettage dx&/ther nonobstetric (58120) $9,271 $9,271 2.9×
Dilation Salivary Duct (42650) $4,780 $4,780 3.1×
Drain Cerebro Spinal Fluid (62272)
range across 2 matching MRF lines		 $2,280–$3,736 $2,280–$3,736 varies
Drain Spinal Cord Cyst (62268) $2,909 $2,909 3.3×
Drain/inj small joint/bursa w/us (20604) $976 $976 3.2×
Drainage abscess parotid simple (42300) $4,780 $4,780 3.1×
Drainage Abscess/Hematoma Nasal Septum (30020) $1,598 $1,598 2.9×
Drainage External Ear Abscess/Hematoma Simple (69000) $2,199 $2,199 3.1×
Drainage Finger Abscess Complicated (26011) $4,972 $4,972 3.0×
Drainage lymph node lesion (38305) $8,379 $8,379 2.9×
Drainage Mouth Roof Lesion (42000) $1,402 $1,402 5.9×
Drainage of finger abscess simple (26010) $635 $635 3.2×
Drainage of hematoma/fluid (10140) $4,987 $4,987 3.0×
Drainage of hydrocele (55000) $2,199 $2,199 3.1×
Drainage of nose lesion (30000) $748 $748 3.1×
Drainage of scrotal wall abscess (55100) $5,838 $5,838 3.5×
Drainage of scrotum (54700) $6,327 $6,327 3.0×
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) $9,271 $9,271 2.9×
Draw Blood Off Venous Device (36591) $421 $421 3.2×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $5,000 $5,000 9.2×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $2,199 $2,199 3.1×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $8,379 $8,379 2.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $1,221 $1,221 3.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $635 $635 3.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $635 $635 3.2×
Dstrj Lesion Anus Extensive (46924) $8,633 $8,633 3.1×
Dstrj lesion anus simple surg excision (46922) $8,633 $8,633 3.1×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $6,052 $6,052 2.9×
Dstrj lesion penis simple laser (54057) $6,052 $6,052 2.9×
Dstrj lesion penis simple surg excision (54060) $6,052 $6,052 2.9×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $2,909 $2,909 3.3×
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $2,909 $2,909 3.3×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $2,909 $2,909 3.3×
Dx Laryngoscopy Excl Nb (31525) $5,287 $5,287 3.0×
Dx laryngoscopy w/oper scope (31526) $5,287 $5,287 3.0×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $5,739 $5,739 3.0×
Egd cautery tumor polyp (43250) $5,739 $5,739 3.0×
Egd control bleeding any (43255) $5,739 $5,739 3.0×
Egd dilation gastric/duodenal stricture (43245) $5,739 $5,739 3.0×
Egd Flexible Foreign Body Removal (43247) $2,859 $2,859 3.1×
Egd guide wire insertion (43248)
range across 2 matching MRF lines		 $2,859–$2,878 $2,859–$2,878 varies
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $5,739 $5,739 3.0×
Egd intrmural us needle aspirate/biopsy esophags (43238) $5,739 $5,739 3.0×
Egd lesion ablation (43270) $5,739 $5,739 3.0×
Egd place gastrostomy tube (43246)
range across 2 matching MRF lines		 $5,739–$6,273 $5,739–$6,273 varies
Egd remove lesion snare (43251)
range across 2 matching MRF lines		 $5,739–$5,741 $5,739–$5,741 varies
Egd Varices Ligation (43244) $5,739 $5,739 3.0×
Emblc/thrmbc ax brach innominate subcla art (34101)
likely a partial charge, not the full procedure		 $153 $153 0.0×
Endocervical curettage (57505) $2,256 $2,256 2.4×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $15,582 $15,582 3.1×
Endometrial Biopsy (58100) $648 $648 3.2×
Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Facility (58356) $15,582 $15,582 3.1×
Endoscopic injection/implant (51715) $10,865 $10,865 3.1×
Endoscopic plantar fasciotomy (29893) $10,007 $10,007 3.0×
Endoscopy of ureter (50953) $10,865 $10,865 3.1×
Endoscopy upper small intestine w/biopsy (44361) $5,739 $5,739 3.0×
Enterorrhaphy single perforation (44602) $3,886 $3,886 1.0×
Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) $5,739 $5,739 3.0×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) $5,739 $5,739 3.0×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $5,739 $5,739 3.0×
Epididymectomy unilateral (54860) $10,865 $10,865 3.1×
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $2,244–$2,280 $2,244–$2,280 varies
Ercp remove calculi/debris biliary/pancreas duct (43264) $10,850 $10,850 2.8×
Ercp,Sphincterotomy (43262) $10,850 $10,850 2.8×
Esophagoscopy Flexible Guide Wire Dilation (43226) $5,739 $5,739 3.0×
Esophagoscopy Flexible Transoral Diagnostic (43200) $2,859 $2,859 3.1×
Esophagoscopy Retro Balloon (43213) $5,739 $5,739 3.0×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $5,739 $5,739 3.0×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $5,739 $5,739 3.0×
Evacuation of subungual hematoma (11740) $398 $398 3.0×
Exc abdl tum deep 5 cm/> (22901) $8,379 $8,379 2.9×
Exc arm/elbow les sc < 3 cm (24075) $5,188 $5,188 3.1×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $2,199 $2,199 3.1×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $4,972 $4,972 3.0×
Exc Back Les Sc < 3 Cm (21930) $4,972 $4,972 3.0×
Exc Back Tum Deep 5 Cm/> (21933) $8,666 $8,666 3.0×
Exc back tum deep < 5 cm (21932) $8,666 $8,666 3.0×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $11,159 $11,159 2.8×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $2,474 $2,474 3.5×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $2,474 $2,474 3.5×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $4,972 $4,972 3.0×
Exc Face Les Sbq 2 Cm/> (21012) $4,972 $4,972 3.0×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $2,199 $2,199 3.1×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $2,199 $2,199 3.1×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $2,474 $2,474 3.5×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $4,972 $4,972 3.0×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $4,972 $4,972 3.0×
Exc Frenum Labial/Buccal (40819) $4,780 $4,780 3.1×
Exc ganglion wrist recurrent (25112) $4,972 $4,972 3.1×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $4,972 $4,972 3.0×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $2,474 $2,474 3.5×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $4,972 $4,972 3.0×
Exc Hand Les Sc < 1.5 Cm (26115) $4,972 $4,972 3.0×
Exc hand tum deep < 1.5 cm (26116) $4,972 $4,972 3.0×
Exc hydrocele sprmatic cord uni spx (55500) $10,865 $10,865 3.1×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $2,862 $2,862 2.9×
Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) $9,667 $9,667 2.9×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $4,922 $4,922 3.0×
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) $9,667 $9,667 2.9×
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) $17,972 $17,972 3.0×
Exc Rct Tum Incl Muscularis Propria (45172) $8,633 $8,633 3.1×
Exc Rct Tum Not Incl Muscularis Propria (45171) $9,489 $9,489 3.4×
Exc Shoulder Tum Deep 5 Cm/> (23073) $8,379 $8,379 2.9×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $2,199 $2,199 3.1×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $4,987 $4,987 3.0×
Exc Skin Benig >4 Cm Remaindr Body (11426) $8,379 $8,379 2.9×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $4,972 $4,972 3.0×
Exc Skin Benig >4cm Face,Facial (11446) $8,379 $8,379 2.9×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $4,972 $4,972 3.0×
Exc Skin Malig >4 Cm Remaindr Body (11626) $8,379 $8,379 2.9×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $4,972 $4,972 3.0×
Exc thigh/knee les sc 3 cm/> (27337) $8,379 $8,379 2.9×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $3,664 $3,664 3.0×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $1,221 $1,221 3.0×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $2,199 $2,199 3.1×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $4,972 $4,972 3.0×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $8,379 $8,379 2.9×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $8,379 $8,379 2.9×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $8,379 $8,379 2.9×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $8,379 $8,379 2.9×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $8,633 $8,633 3.0×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $8,379 $8,379 2.9×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $8,192 $8,192 4.9×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $8,379 $8,379 2.9×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $8,379 $8,379 2.9×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $4,972 $4,972 3.0×
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) $8,379 $8,379 2.9×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $8,379 $8,379 2.9×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $4,972 $4,972 3.0×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $8,379 $8,379 2.9×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $4,972 $4,972 3.0×
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) $8,379 $8,379 2.9×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $8,379 $8,379 2.9×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $8,379 $8,379 2.9×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $8,672 $8,672 3.0×
Exc Varicocele/Ligation Spermatic Veins Spx (55530) $10,865 $10,865 3.1×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $10,007 $10,007 3.0×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $4,922 $4,922 3.0×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $4,780 $4,780 3.1×
Excis penile plaque (54110) $10,865 $10,865 3.1×
Excise Wrist Tendon Sheath (25118) $4,922 $4,922 3.0×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $2,199 $2,199 3.1×
Excision & Repair Eyelid < One-Fourth Lid Margin (67961) $7,071 $7,071 3.0×
Excision Chalazion Single (67800) $924 $924 2.9×
Excision Excessive Skin & Subq Tissue Other Area (15839) $8,379 $8,379 2.9×
Excision External Ear Partial Simple Repair (69110) $8,379 $8,379 2.9×
Excision H/P/P/U Complex Repair (11471) $9,367 $9,367 3.2×
Excision inferior turbinate partial/complete (30130) $9,667 $9,667 2.9×
Excision Lesion Conjunctiva </1 Cm (68110) $7,071 $7,071 3.0×
Excision lesion mouth roof (42104) $9,667 $9,667 2.9×
Excision Lesion Tongue W/O Closure (41110) $9,667 $9,667 2.9×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600)
range across 2 matching MRF lines		 $635–$2,199 $635–$2,199 varies
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $2,199 $2,199 3.1×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $1,221 $1,221 3.0×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $2,199 $2,199 3.1×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $2,199 $2,199 3.1×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $4,972 $4,972 3.0×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $8,379 $8,379 2.9×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $2,199 $2,199 3.1×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $2,474 $2,474 3.5×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $4,972 $4,972 3.0×
Excision Multiple External Papillae/Tags Anus (46230) $8,633 $8,633 3.1×
Excision Nasal Polyp Extensive (30115) $9,667 $9,667 2.9×
Excision of bartholin's gland or cyst (56740) $9,271 $9,271 2.9×
Excision of extraparenchymal lesion of testis (54512) $10,865 $10,865 3.1×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $4,972 $4,972 3.1×
Excision of hydrocele; unilateral (55040) $11,243 $11,243 3.1×
Excision of lingual tonsil (42870) $17,972 $17,972 3.0×
Excision of local lesion of epididymis (54830) $10,865 $10,865 3.1×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) $17,972 $17,972 3.0×
Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve Facility (42425) $17,972 $17,972 3.0×
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) $17,972 $17,972 3.0×
Excision of pilonidal cyst or sinus; simple (11770) $8,379 $8,379 2.9×
Excision of single external papilla or tag, anus (46220) $3,664 $3,664 3.0×
Excision of sublingual salivary cyst (ranula) (42408) $9,667 $9,667 2.9×
Excision of submandibular (submaxillary) gland (42440) $17,972 $17,972 3.0×
Excision of tonsil tags (42860) $9,667 $9,667 2.9×
Excision of vaginal cyst or tumor (57135) $9,271 $9,271 2.9×
Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Facility (55535) $11,243 $11,243 1.7×
Excision olecranon bursa (24105) $10,007 $10,007 3.0×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $10,007 $10,007 3.0×
Excision Pilonidal Cyst/Sinus Complicated (11772) $8,379 $8,379 2.9×
Excision Pilonidal Cyst/Sinus Extensive (11771) $8,666 $8,666 3.0×
Excision prepatellar bursa (27340) $10,007 $10,007 3.0×
Excision Skin Abd Infraumbilical Panniculectomy (15830) $19,556 $19,556 2.9×
Excision soft tissue lesion, external auditory canal (69145) $8,379 $8,379 2.9×
Excision spermatocele w/wo epididymectomy (54840) $6,327 $6,327 3.0×
Excision synovial cyst popliteal space (27345) $10,007 $10,007 3.0×
Excision Thyroglossal Duct Cyst/Sinus (60280) $17,880 $17,880 2.9×
Excision Thyroglossal Duct Cyst/Sinus Recurrent (60281) $17,880 $17,880 2.9×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $4,972 $4,972 3.0×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $4,972 $4,972 3.0×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $4,972 $4,972 3.0×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $5,240 $5,240 3.2×
Excision, interdigital (morton) neuroma, single, each (28080) $4,922 $4,922 3.0×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $8,379 $8,379 2.9×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $8,379 $8,379 2.9×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $10,268 $10,268 3.5×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $4,972 $4,972 3.0×
Excision/curettage cyst/tumor phalanx finger (26210) $7,592 $7,592 4.7×
Excision/destruction intranasal lesion int appr (30117) $9,667 $9,667 2.9×
Excision; trochanteric bursa or calcification (27062) $10,007 $10,007 3.0×
Expl penetrating wound spx abdomen/flank/back (20102) $2,513 $2,513 1.2×
Explo/Drain Breast Abscess (19020) $4,972 $4,972 3.0×
Exploration maxillary sinus (31020) $9,667 $9,667 2.9×
Exploration of knee joint (27310) $10,007 $10,007 3.0×
Exploration penetrating wound spx chest (20101) $1,950 $1,950 0.9×
Exploration penetrating wound spx extremity (20103) $3,342 $3,342 2.0×
Explore/Treat Elbow Joint (24101) $10,007 $10,007 3.0×
Fasciectomy Palm Only (26121) $10,007 $10,007 3.0×
Fasciectomy Plantar Fascia Partial Spx (28060) $10,007 $10,007 3.0×
Fasciotomy Plantar Fascia Radical Spx (28062) $10,007 $10,007 3.0×
Fasciotomy, foot and/or toe (28008) $10,007 $10,007 3.0×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $10,007 $10,007 3.0×
Fine needle aspiration without imaging guidance (10021) $1,315 $1,315 3.2×
Fracture Nasal Inferior Turbinate Therapeutic (30930) $9,667 $9,667 2.9×
Fusion Finger Joint (26860) $10,007 $10,007 3.0×
Fusion of foot bones (28740) $22,134 $22,134 3.0×
Gastrocnemius recession (27687) $10,007 $10,007 3.0×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $5,846 $5,846 3.0×
Graft Bone Nasal/Maxillary/Malar Areas (21210) $17,972 $17,972 3.0×
Hemiarthroplasty hip partial (27125) $11,696 $11,696 0.9×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $8,633 $8,633 3.1×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $8,633 $8,633 3.1×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $8,633 $8,633 3.1×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $2,804 $2,804 3.0×
Hemorrhoidopexy by stapling (46947) $8,633 $8,633 3.1×
Hymenotomy Simple Incision (56442) $9,271 $9,271 2.9×
Hysteroscopy Biopsy (58558) $11,001 $11,001 3.4×
Hysteroscopy Endometrial Ablation (58563) $17,080 $17,080 3.4×
Hysteroscopy Lysis Intrauterine Adhesions (58559) $16,038 $16,038 3.2×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $15,582 $15,582 3.1×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $748–$1,402 $748–$1,402 varies
I&d abscess simple (10060)
range across 3 matching MRF lines		 $617–$635 $617–$635 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $8,379 $8,379 2.9×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $10,007 $10,007 3.0×
I&d perianal abscess superficial (46050) $2,804 $2,804 3.0×
I&d pilonidal cyst complicated (10081) $2,199 $2,199 3.1×
I&d pilonidal cyst simple (10080) $2,199 $2,199 3.1×
I&d shoulder deep abscess/hematoma (23030) $8,379 $8,379 2.9×
I&d upper arm/elbow deep abscess/hematoma (23930) $8,379 $8,379 2.9×
Image Cath Fluid Peri/Retro (49406) $4,972 $4,972 3.0×
Implant neuroelectrodes (63650) $21,859 $21,859 3.4×
Implant Neuroelectrodes (64561) $21,859 $21,859 3.4×
Implant Periph/Gastric Neurostim/Receiver (64590) $72,357 $72,357 3.7×
Incise external hemorrhoid (46083) $940 $940 3.7×
Incise finger tendon sheath (26055) $4,922 $4,922 3.0×
Incise flexor carpi radialis (25001) $124 $124 0.0×
Incision & drainage abscess complicated/multiple (10061) $1,221 $1,221 3.0×
Incision & drainage leg/ankle abscess/hematoma (27603) $8,379 $8,379 2.9×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $4,972–$5,177 $4,972–$5,177 varies
Incision & removal foreign body subq tiss simple (10120) $1,222 $1,222 3.0×
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $602–$614 $602–$614 varies
Incision and drainage of vulva or perineal abscess (56405) $1,112 $1,112 3.6×
Incision extensor tendon sheath wrist (25000) $4,922 $4,922 3.0×
Incision of eardrum (69421) $9,667 $9,667 2.9×
Incision of eardrum (69420) $748 $748 3.1×
Incision of Foot Tendon (28234) $4,978 $4,978 3.1×
Incision of hip tendon (27001)
range across 3 matching MRF lines		 $116–$596 $116–$596 varies
Incision of lingual frenum (frenotomy) (41010) $4,780 $4,780 3.1×
Incision of rectal abscess (46040) $4,080 $4,080 3.4×
Incision of urethra (53020) $6,632 $6,632 3.2×
Incision&drainage bursa foot (28001)
range across 2 matching MRF lines		 $125–$251 $125–$251 varies
Incision&Drainage Upper Arm/Elbow Bursa (23931) $4,987 $4,987 3.0×
Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) Facility (27303) $9,671 $9,671 2.9×
Initial Tx 1st Degree Burn Local Tx (16000) $635 $635 3.2×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $2,909 $2,909 3.3×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $2,909 $2,909 3.3×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $925–$1,688 $925–$1,688 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $3,005 $3,005 3.4×
Injection aa&/strd genicular nrv branches w/img (64454) $2,229 $2,229 3.1×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $2,909 $2,909 3.3×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $2,244 $2,244 3.2×
Injection Anes Agent Sphenopalatine Ganglion (64505) $925 $925 3.0×
Injection Anes Superior Hypogastric Plexus (64517) $2,909 $2,909 3.3×
Injection anesthetic agent suprascapular nerve (64418) $2,244 $2,244 3.2×
Injection for identification of sentinel node (38792) $1,343 $1,343 3.3×
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $925–$1,688 $925–$1,688 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $925–$1,688 $925–$1,688 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $925–$1,688 $925–$1,688 varies
Injection therapeutic carpal tunnel (20526) $925 $925 3.0×
Injection, anesthetic agent; brachial plexus, single (64415) $2,909 $2,909 3.3×
Injection, anesthetic agent; femoral nerve, single (64447) $2,244 $2,244 3.2×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $2,244 $2,244 3.2×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $2,909 $2,909 3.3×
Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) $2,909 $2,909 3.3×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $513–$515 $513–$515 varies
Insert cath pleura w/ image (32557) $5,054 $5,054 3.2×
Insert cath pleura w/o image (32556) $5,739 $5,739 3.0×
Insert Nasal Septal Button (30220) $4,780 $4,780 3.1×
Insert non-tunnel cv cath (36556)
range across 3 matching MRF lines		 $10,116–$10,508 $10,116–$10,508 varies
Insert pessary/other device (57160) $602 $602 3.0×
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines		 $398–$421 $398–$421 varies
Insert testicular prosthesis (54660) $15,590 $15,590 2.9×
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $10,116–$10,508 $10,116–$10,508 varies
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $18,116 $18,116 3.2×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 4 matching MRF lines		 $421–$827 $421–$827 varies
Insertion indwelling tunneled pleural catheter (32550) $11,248 $11,248 3.1×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $1,127–$5,280 $1,127–$5,280 varies
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $28,830 $28,830 3.5×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $10,116 $10,116 3.2×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines		 $4,555–$5,280 $4,555–$5,280 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $10,116 $10,116 3.2×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $104,020 $104,020 3.4×
Insrt heart pm atrial & vent (33208) $36,743 $36,743 3.5×
Int hrhc by ligation single hroid w/o img gdn (46945) $8,633 $8,633 3.1×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,221 $1,221 3.0×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,221 $1,221 3.0×
Intranasal Biopsy (30100) $4,780 $4,780 3.1×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $748–$805 $748–$805 varies
Irrigation maxillary sinus (31000) $748 $748 3.1×
Irrigation of corpora cavernosa for priapism (54220) $883 $883 3.5×
Island pedicle flap graft (15740) $6,052 $6,052 2.9×
Jaw arthroscopy/surgery (29800) $10,007 $10,007 3.0×
Kidney endoscopy (50553) $14,950 $14,950 2.8×
Knee Arthroscopy/Surgery (29874) $10,007 $10,007 3.0×
Lam facetec & foramot lumbar (63047) $23,585 $23,585 3.2×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001)
likely a partial charge, not the full procedure		 $74 $74 0.0×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) $23,585 $23,585 3.2×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) $23,585 $23,585 3.2×
Laparo-vag hyst incl t/o (58552) $31,474 $31,474 2.9×
Laparoscopic myomectomy (58545) $20,187 $20,187 3.3×
Laparoscopy aspiration (49322) $17,880 $17,880 2.9×
Laparoscopy Enterolysis Separate Procedure (44180) $17,880 $17,880 2.9×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) $17,880 $17,880 2.9×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $31,474 $31,474 2.9×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) $31,474 $31,474 2.9×
Laparoscopy W/Lysis Of Adhesions (58660) $17,880 $17,880 2.9×
Laparoscopy w/rmvl adnexal structures (58661) $17,880 $17,880 2.9×
Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323) $21,371 $21,371 3.5×
Laparoscopy, surgical, appendectomy (44970) $20,187 $20,187 3.3×
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) $31,474 $31,474 2.9×
Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) $31,442 $31,442 2.9×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) $31,474 $31,474 2.9×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $20,187 $20,187 3.3×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) $17,880 $17,880 1.7×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $17,880 $17,880 2.9×
Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990) $17,880 $17,880 2.9×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) $31,474 $31,474 2.9×
Laparoscopy, surgical; with biopsy (single or multiple) (49321) $17,880 $17,880 2.9×
Laparoscopy, Tubal Block (58671) $17,880 $17,880 2.9×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $17,880 $17,880 2.9×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $17,880 $17,880 2.9×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) $31,442 $31,442 2.9×
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) $21,371 $21,371 3.5×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) $31,474 $31,474 2.9×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $10,946 $10,946 2.9×
Laryngoscope Injection Vocal Cord Therapeutic (31570) $10,946 $10,946 2.9×
Laryngoscopy flexible ablatj destj lesion(s) uni (31572) $10,946 $10,946 2.9×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $1,491 $1,491 3.8×
Laryngoscopy w/biopsy microscope/telescope (31536) $10,946 $10,946 2.9×
Laryngoscopy w/wo tracheoscopy aspiration (31515)
range across 2 matching MRF lines		 $1,335–$4,862 $1,335–$4,862 varies
Laryngotomy (thyrotomy, laryngofissure), with removal of tumor or laryngocele, cordectomy Facility (31300) $9,667 $9,667 2.9×
Larynscop w/tumr exc + scope (31541) $10,946 $10,946 2.9×
Laser vaporization of prostate (52648) $15,590 $15,590 2.9×
Late closure of wound (13160) $6,052 $6,052 1.7×
Lateral retinacular release open (27425) $10,007 $10,007 3.0×
Lavage cannulation sphenoid sinus (31002) $34 $34 0.0×
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429) $43,573 $43,573 3.4×
Ligamentous Reconstruction Knee Extra-Articular (27427) $22,134 $22,134 3.0×
Ligamentous reconstruction knee intra-articular (27428) $43,573 $43,573 3.4×
Ligation of hemorrhoids (46946) $8,633 $8,633 3.1×
Ligation or biopsy temporal artery (37609) $4,972 $4,972 3.0×
Litholapaxy smpl/sm <2.5 cm (52317) $10,865 $10,865 3.1×
Lithotripsy, extracorporeal shock wave (50590) $10,865 $10,865 3.1×
Low Back Disk Surgery (63030) $23,585 $23,585 3.2×
Lsh w/t/o uterus above 250 g (58544) $36,023 $36,023 3.4×
Lumbar spine fusion combined (22633) $63,630 $63,630 2.3×
Lysis Intranasal Synechia (30560) $1,598 $1,598 2.9×
Manipulation hip joint general anesthesia (27275) $4,922 $4,922 3.0×
Manipulation knee joint under general anesthesia (27570) $4,922 $4,922 3.0×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $4,922 $4,922 3.0×
Marsupialization of bartholin's gland cyst (56440) $9,271 $9,271 2.9×
Mast mod rad (19307) $19,556 $19,556 2.9×
Mastectomy for gynecomastia (19300) $11,159 $11,159 2.8×
Mastectomy partial (19301) $11,159 $11,159 2.8×
Mastectomy partial w/axillary lymphadenectomy (19302) $19,556 $19,556 2.9×
Mastectomy simple complete (19303) $19,556 $19,556 2.9×
Mastoidectomy (69501)
likely a partial charge, not the full procedure		 $86 $86 0.0×
Mastopexy (19316) $19,556 $19,556 2.9×
Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) $9,271 $9,271 2.9×
Myringoplasty (69620) $9,667 $9,667 2.9×
N Block Inj Celiac Pelus (64530) $2,909 $2,909 3.3×
N Block Inj Ilio-Ing/Hypogi (64425) $2,244 $2,244 3.2×
N block inj intercost sng (64420) $2,244 $2,244 3.2×
N Block Inj Plantar Digit (64455) $925 $925 3.0×
N Block Inj Pudendal (64430) $2,909 $2,909 3.3×
N Block Lumbar/Thoracic (64520) $2,909 $2,909 3.3×
Nasal surgery procedure (30999) $748 $748 3.1×
Nasal/Orogastric W/Tube Plmt (43752) $959 $959 2.1×
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) $20,578 $20,578 2.9×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $5,287 $5,287 3.0×
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $5,287 $5,287 3.0×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $5,287 $5,287 3.0×
Nasal/Sinus Ndsc Surg W/Dacryocystorhinostomy (31239) $10,946 $10,946 2.9×
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) $20,578 $20,578 2.9×
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) $20,578 $20,578 2.9×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) $20,578 $20,578 2.9×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) $20,578 $20,578 2.9×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $4,922 $4,922 3.0×
Needle Biopsy Lymph Nodes (38505) $5,838 $5,838 3.5×
Needle Biopsy Pancreas (48102) $110 $110 0.1×
Needle insertion w/o injection 1 or 2 muscles (20560) $84 $84 2.9×
Needle insertion w/o injection 3 or more muscles (20561) $84 $84 2.9×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $6,305 $6,305 3.2×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $6,205 $6,205 3.2×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $159 $159 0.4×
Nipple/areola reconstruction (19350) $11,159 $11,159 2.8×
Njx anes stellate ganglion crv sympathetic (64510) $2,909 $2,909 3.3×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $923–$925 $923–$925 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $2,909 $2,909 3.3×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $2,909 $2,909 3.3×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $2,244 $2,244 3.2×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $2,909 $2,909 3.3×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $2,244 $2,244 3.2×
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) $20,578 $20,578 2.9×
Obstructive material removal from gi tube (49460) $2,859 $2,859 3.1×
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 $923–$925 $923–$925 varies
Occlusion flp tube dev vag/suprapubic appr (58615) $9,271 $9,271 2.9×
Open biopsy/excision inguinofemoral nodes (38531) $11,159 $11,159 2.8×
Open Implantation Nea Peripheral Nerve (64575) $68,112 $68,112 6.1×
Open Implantation Nea Sacral Nerve (64581) $21,859 $21,859 3.4×
Open Repair of Rotator Cuff Acute (23410) $22,134 $22,134 3.0×
Open Treatment Bimalleolar Ankle Fracture (27814) $22,134 $22,134 3.0×
Open treatment calcaneal fracture (28415) $22,134 $22,134 3.0×
Open treatment fracture distal tibia only (27827) $43,573 $43,573 3.4×
Open Treatment Humeral Condylar Fracture (24579) $43,573 $43,573 3.4×
Open Treatment Medial Malleolus Fracture (27766) $22,134 $22,134 3.0×
Open treatment metatarsal fracture each (28485) $22,134 $22,134 3.0×
Open treatment of acromioclavicular dislocation acute or chronic (23550) $22,134 $22,134 3.0×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $22,134 $22,134 3.0×
Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) $17,972 $17,972 3.0×
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) $17,140 $17,140 2.9×
Open Treatment of Ulnar Shaft Fracture (25545) $22,134 $22,134 3.0×
Open treatment of ulnar styloid fracture (25652) $22,134 $22,134 3.0×
Open Treatment Proximal Humeral Fracture (23615) $43,573 $43,573 3.4×
Open Treatment Radial Shaft Fracture (25515) $22,134 $22,134 3.0×
Open tx acute shoulder dislocation (23660) $22,134 $22,134 3.0×
Open tx carpal bone fracture oth/thn scaphoid ea (25645) $10,007 $10,007 3.0×
Open tx carpal scaphoid navicular fracture (25628) $22,134 $22,134 3.0×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $22,134 $22,134 3.0×
Open Tx Distal Tibiofibular Joint Disruption (27829) $22,134 $22,134 3.0×
Open tx femoral supracondylar fracture w/o xtn (27511) $11,196 $11,196 0.9×
Open tx interphalangeal joint dislocation (26785) $10,007 $10,007 3.0×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $10,671 $10,671 3.2×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $10,007 $10,007 3.0×
Open Tx Radial Head/Neck Fracture (24665) $22,134 $22,134 3.0×
Open Tx Radial Head/Neck Fracture Prosth (24666) $43,573 $43,573 3.4×
Open tx tarsal fracture xcp talus & calcaneus ea (28465) $22,134 $22,134 3.0×
Open Tx Tibial Fracture Proximal Unicondylar (27535) $4,615 $4,615 0.6×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $22,134 $22,134 3.0×
Open tx ulnar fx proximal end (24685) $22,134 $22,134 3.0×
Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) $10,007 $10,007 3.0×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $22,134 $22,134 3.0×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $22,134 $22,134 3.0×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236) $22,133 $22,133 3.0×
Optx humeral shft fx w/plate/screws w/wocerclage (24515) $43,573 $43,573 3.4×
Orchiectomy partial (54522) $10,865 $10,865 3.1×
Orchiectomy radical tumor inguinal approach (54530) $11,243 $11,243 3.1×
Orchiopexy Ingun/Scrot Appr (54640) $11,243 $11,243 3.1×
Ostc compl all metar heads w/prtl prox phalangc (28114) $10,007 $10,007 3.0×
Ostc prtl exostc/condylc metar head (28288) $10,007 $10,007 3.0×
Ostectomy calcaneus (28118) $10,007 $10,007 3.0×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $10,007 $10,007 3.0×
Ostectomy, complete excision; fifth metatarsal head (28113) $10,007 $10,007 3.0×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $10,007 $10,007 3.0×
Osteochondral allograft knee open (27415) $43,573 $43,573 3.4×
Osteoplasty Radius/Ulna Shortening (25390) $22,134 $22,134 3.0×
Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) $22,134 $22,134 3.0×
Osteot w/wo lngth shrt/corrj 1st metar (28306) $22,134 $22,134 3.0×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $10,007 $10,007 3.0×
Osteotomy calcaneus w/wo internal fixation (28300) $22,134 $22,134 3.0×
Osteotomy Metacarpal Each (26565) $10,007 $10,007 3.0×
Osteotomy tarsal bones oth/thn calcaneus/talus (28304) $22,134 $22,134 3.0×
Ovarian cystectomy, unilateral or bilateral (58925) $15,582 $15,582 3.1×
Parathyroidectomy or exploration of parathyroid(s); (60500) $17,972 $17,972 3.0×
Part remv talus or calcaneus (28120) $10,007 $10,007 3.0×
Partial Excision Bone Humerus (24140) $10,007 $10,007 3.0×
Partial excision of lip (40520) $9,667 $9,667 2.9×
Partial removal of fibula (27641) $10,007 $10,007 3.0×
Partial removal of lip (40530) $9,667 $9,667 2.9×
Partial removal of thyroid (60220) $17,880 $17,880 2.9×
Partial removal of toe (28160) $10,007 $10,007 3.0×
Partial thyroid excision (60212) $42,044 $42,044 6.9×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) $17,880 $17,880 2.9×
Partical Excision Bone Phalanx Toe (28124) $10,007 $10,007 3.0×
Patellectomy or hemipatellectomy (27350) $22,134 $22,134 3.0×
Pelvic examination under anesthesia (other than local) (57410) $9,271 $9,271 2.9×
Percutaneous skeletal fixation of ulnar styloid fracture (25651) $10,299 $10,299 3.1×
Pericardiocentesis W/Imaging (33016) $4,969 $4,969 3.1×
Peritoneal Lavage (49084) $2,859 $2,859 3.1×
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) $29,164 $29,164 3.1×
Perq skel fixj distal radial fx/epiphysl sep (25606) $10,007 $10,007 3.0×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $22,887 $22,887 3.1×
Perq Vertebral Augmentation (22513) $22,887 $22,887 3.1×
Pin hand dislocation (26676) $10,007 $10,007 3.0×
Placement of needle for intraosseous infusion (36680) $959 $959 2.1×
Placement of seton (46020) $8,633 $8,633 3.1×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $15,582 $15,582 3.1×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $2,804 $2,804 3.0×
Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) $8,633 $8,633 3.1×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $3,664 $3,664 3.0×
Prostate laser enucleation (52649) $15,590 $15,590 2.9×
Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) $2,909 $2,909 3.3×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $10,007 $10,007 3.0×
Prq skel fixj femoral fx prox end neck (27235) $22,134 $22,134 3.0×
Prq skel fixj metar fx w/manj (28476) $10,007 $10,007 3.0×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) $22,134 $22,134 3.0×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $10,007 $10,007 3.0×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $1,146–$1,221 $1,146–$1,221 varies
Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)… (42844) $17,972 $17,972 3.0×
Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure Facility (42842) $17,972 $17,972 3.0×
Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) $9,903 $9,903 3.4×
Radical Resection Tumor Metatarsal (28173) $10,007 $10,007 3.0×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $6,205 $6,205 3.2×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) $22,134 $22,134 3.0×
Rdctj torsion tstis w/wo fixj clat testis (54600) $10,865 $10,865 3.1×
Re-explore parathyroids (60502) $17,972 $17,972 3.0×
Reconstruct finger joint (26545) $10,007 $10,007 3.0×
Reconstruct lip with flap (40527) $17,972 $17,972 3.0×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) $22,134 $22,134 3.0×
Release foot/toe nerve (64726) $6,205 $6,205 3.2×
Release of shoulder ligament (23415) $22,134 $22,134 3.0×
Relieve Pressure on Nerve(S) (64722) $6,205 $6,205 3.2×
Removal Embedded Foreign Body Eyelid (67938) $1,152 $1,152 3.6×
Removal Foreign Body Foot Complicated (28193) $4,972 $4,972 3.0×
Removal foreign body foot deep (28192) $4,972 $4,972 3.0×
Removal Foreign Body Foot Subcutaneous (28190) $2,199 $2,199 3.1×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $4,972 $4,972 3.0×
Removal Foreign Body Pelvis/Hip Deep (27087) $10,007 $10,007 3.0×
Removal foreign body upper arm/elbow deep (24201) $8,379 $8,379 2.9×
Removal foreign body, intranasal; requiring general anesthesia (30310) $9,667 $9,667 2.9×
Removal impacted cerumen irrigation/lvg unilat (69209) $197 $197 3.3×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $197–$341 $197–$341 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $9,271 $9,271 2.9×
Removal Implant Deep (20680) $8,379 $8,379 2.9×
Removal Implant Superficial Separate Procedure (20670) $4,972 $4,972 3.0×
Removal of adenoids (42835) $9,667 $9,667 2.9×
Removal of adenoids (42831) $9,667 $9,667 2.9×
Removal of adenoids (42830) $13,759 $13,759 4.1×
Removal of ankle implant (27704) $10,007 $10,007 3.0×
Removal of cervix (57530) $15,582 $15,582 3.1×
Removal of foreign body from pharynx (42809) $959 $959 2.1×
Removal of heel spur (28119) $10,007 $10,007 3.0×
Removal of hip joint lining (27054) $1,600 $1,600 0.5×
Removal of knee prosthesis (27488)
unusually low: confirm this is the full procedure		 $4,609 $4,609 0.4×
Removal of mammary implant material (19330) $13,249 $13,249 3.4×
Removal of nail bed (11750) $1,461 $1,461 3.6×
Removal of sesamoid bone (28315) $10,007 $10,007 3.0×
Removal of sperm cord lesion (55520) $10,865 $10,865 3.1×
Removal of tendon for graft (20924) $24,717 $24,717 3.4×
Removal of testis (54520) $10,865 $10,865 3.1×
Removal of tonsils (42825) $17,972 $17,972 3.0×
Removal of tonsils (42826) $9,667 $9,667 2.9×
Removal shoulder foreign body deep subfascial/im (23333) $8,379 $8,379 2.9×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $635 $635 3.2×
Removal subcutaneous cardiac rhythm monitor (33286) $2,199 $2,199 3.1×
Removal Submand Stone,Complicated (42335) $9,667 $9,667 2.9×
Removal Sutures/Staples Requiring Anesthesia (15851) $6,052 $6,052 2.9×
Removal sweat gland lesion (11450) $8,379 $8,379 2.9×
Removal, under anesthesia, of external fixation system (20694) $4,972 $4,972 3.1×
Remove drug implant device (11982) $1,381 $1,381 3.1×
Remove elbow lesion (24120) $10,007 $10,007 3.0×
Remove Forearm Foreign Body (25248) $4,922 $4,922 3.0×
Remove foreign body from eye (65205) $403 $403 3.0×
Remove Hand Bone Lesion (26200) $4,922 $4,922 3.0×
Remove Int Dwell Ureteral Stent Transurethral (50386) $6,327 $6,327 3.0×
Remove Intrauterine Device (58301) $997 $997 3.3×
Remove knee joint lining (27334) $10,007 $10,007 3.0×
Remove Lower Leg Bone Lesion (27635) $11,226 $11,226 3.4×
Remove lung catheter (32552) $2,071 $2,071 3.3×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $398–$508 $398–$508 varies
Remove part lumbar vertebra (22102) $23,585 $23,585 3.2×
Remove prostate regrowth (52630) $15,590 $15,590 2.9×
Remove Shoulder Foreign Body (23330) $2,199 $2,199 1.3×
Remove Skin Nerve Lesion (64774) $6,757 $6,757 3.4×
Remove Tendon Sheath Lesion (26160) $4,922 $4,922 3.0×
Remove thyroid lesion (60200) $17,880 $17,880 2.9×
Remv&replc pm gen dual lead (33228) $36,743 $36,743 3.5×
Remvl Inflatable Urethral/Bladder Neck Sphincter (53446) $15,590 $15,590 2.9×
Reopen fallopian tube (58350) $15,582 $15,582 3.1×
Repair Achilles Tendon (27650) $22,134 $22,134 3.0×
Repair Collat Ankle Ligmnt,Secondary (27698) $22,134 $22,134 3.0×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,851 $1,851 2.5×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,851 $1,851 2.5×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,604 $1,604 3.9×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,851 $1,851 4.5×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,851 $1,851 4.5×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,851 $1,851 4.5×
Repair complex trunk 1.1-2.5 cm (13100) $1,851 $1,851 2.5×
Repair complex trunk 2.6-7.5 cm (13101) $1,851 $1,851 2.5×
Repair Detached Retina (67101) $80 $80 0.0×
Repair extensor tendon finger w/o graft each (26418) $4,922 $4,922 3.0×
Repair Finger/Hand Tendon (26350) $10,007 $10,007 3.0×
Repair Fistula Oromaxillary (30580) $17,972 $17,972 3.0×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $10,007 $10,007 3.0×
Repair Hallux Rigidus (28289) $10,007 $10,007 3.0×
Repair Hand Joint (26540) $10,007 $10,007 3.0×
Repair Hand Tendon (26410) $4,922 $4,922 3.0×
Repair inguinal hernia, sliding, any age (49525) $11,247 $11,247 3.1×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $11,243 $11,243 3.1×
Repair initial femoral hernia, any age; reducible (49550) $11,243 $11,243 3.1×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $11,243 $11,243 3.1×
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) $132 $132 0.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $1,221 $1,221 3.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $1,221 $1,221 3.0×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,221 $1,221 3.0×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,221 $1,221 3.0×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,221 $1,221 3.0×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,851 $1,851 2.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $1,221 $1,221 3.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $1,290 $1,290 3.2×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,851 $1,851 2.5×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $6,052 $6,052 2.9×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $1,290–$1,660 $1,290–$1,660 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031) $1,221 $1,221 3.0×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $1,221 $1,221 3.0×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,851 $1,851 2.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $1,221 $1,221 3.0×
Repair intermediate s/a/t/e >30.0 cm (12037) $6,052 $6,052 2.9×
Repair mouth/nose fistula (30600) $17,972 $17,972 3.0×
Repair Non/Malunion Humerus W/O Graft (24430) $43,573 $43,573 3.4×
Repair of enterocele, vaginal approach (separate procedure) (57268) $15,582 $15,582 3.1×
Repair of hammertoe (28286) $10,007 $10,007 3.0×
Repair of hydrocele (55060) $10,865 $10,865 3.1×
Repair of nail bed (11760) $1,851 $1,851 2.5×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) $22,134 $22,134 3.0×
Repair of rectocele (45560) $8,633 $8,633 3.1×
Repair of Ruptured Tendon (24342) $22,134 $22,134 3.0×
Repair of shoulder (23420) $22,134 $22,134 3.0×
Repair paravag defect vag (57285) $23,989 $23,989 3.2×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) $11,243 $11,243 1.7×
Repair Rotator Cuff Chronic (23412) $22,134 $22,134 3.0×
Repair secondary achilles tendon w/wo graft (27654) $22,134 $22,134 3.0×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $10,007 $10,007 3.0×
Repair tongue laceration (41252) $748 $748 3.1×
Repair tongue laceration (41250) $959 $959 2.1×
Repair webbed toe(s) (28345) $4,978 $4,978 3.1×
Repair, primary, disrupted ligament, ankle; collateral (27695) $22,134 $22,134 3.0×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) $22,134 $22,134 3.0×
Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263) $22,134 $22,134 3.0×
Repair/graft achilles tendon (27652) $25,650 $25,650 3.5×
Repair/Graft Wrist Bone (25440) $22,134 $22,134 3.0×
Reposition Venous Catheter (36597) $5,763 $5,763 3.6×
Rerepair ing hernia reduce (49520) $11,243 $11,243 3.1×
Resect enlarged toe (28341) $10,007 $10,007 3.0×
Resection, partial or complete, phalangeal base, each toe (28126) $10,007 $10,007 3.0×
Rev/rmv prph sac/gstr npg/r (64595) $11,576 $11,576 3.3×
Revise Hand/Foot Nerve (64704) $6,205 $6,205 3.2×
Revise ulnar nerve at wrist (64719) $6,205 $6,205 3.2×
Revision (including removal) of prosthetic vaginal graft, laparoscopic approach Facility (57426) $23,989 $23,989 3.2×
Revision of foot (28116) $10,007 $10,007 3.0×
Revision of foot bones (28737) $43,573 $43,573 3.4×
Revision of lower leg tendon (27685) $10,007 $10,007 3.0×
Revision of reconstructed breast (19380) $19,556 $19,556 2.9×
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) $11,696 $11,696 0.9×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $21,859 $21,859 3.4×
Revj Mastoidectomy Rsltg Compl Mastoidectomy (69601)
likely a partial charge, not the full procedure		 $126 $126 0.0×
Revj tot hip arthrp bth w/wo agrft/algrft (27134) $10,477 $10,477 0.8×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
unusually low: confirm this is the full procedure		 $6,928 $6,928 0.4×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) $15,074 $15,074 1.2×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $11,576 $11,576 3.3×
Revj/rmvl peripheral neurostimulator electrode (64585) $11,576 $11,576 3.3×
Rhinoplasty primary w/major septal repair (30420) $17,972 $17,972 3.0×
Rhinoplasty Secondary Major Revision (30450) $17,972 $17,972 3.0×
Rhinp Prim Complete Xtrnl Parts (30410) $17,972 $17,972 3.0×
Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) $17,972 $17,972 3.0×
Rhytidectomy Cheek Chin & Neck (15828) $12,443 $12,443 3.5×
Rmvl embedded fb vestibule mouth comp (40805)
range across 2 matching MRF lines		 $1,598–$1,680 $1,598–$1,680 varies
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $2,988 $2,988 3.3×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $5,240 $5,240 3.2×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $1,063 $1,063 2.4×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $398 $398 3.0×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $959 $959 2.1×
Rmvl fecal impaction/fb spx under anes (45915) $3,890 $3,890 3.2×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $8,379 $8,379 2.9×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $8,379 $8,379 2.9×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $4,972 $4,972 3.0×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $6,205 $6,205 3.2×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $20,151 $20,151 5.9×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $4,969 $4,969 3.1×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $2,228 $2,228 3.5×
Rmvl/revj sling stress incontinence (57287) $9,271 $9,271 2.9×
Rplc Gtube No Revj Trc (43762) $940 $940 3.7×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $5,280 $5,280 3.3×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $5,280 $5,280 3.3×
Rplcmt compl tun ctr vad w/subq port (36582) $10,116 $10,116 3.2×
Rplcmt compl tun cvc w/o subq port/pmp (36581)
range across 2 matching MRF lines		 $10,116–$10,508 $10,116–$10,508 varies
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $18,034 $18,034 3.0×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $12,255 $12,255 3.4×
Rpr aa hernia recr 3-10 cm reducible (49615) $21,590 $21,590 3.3×
Rpr aa hrn 1st 3-10 rdc (49593) $12,255 $12,255 1.9×
Rpr aa hrn 1st < 3 ncr/strn (49592) $18,034 $18,034 3.0×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $635 $635 3.2×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,851 $1,851 2.5×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $748 $748 3.1×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) $22,134 $22,134 3.0×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $10,007 $10,007 3.0×
Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) $22,134 $22,134 3.0×
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $10,007 $10,007 3.0×
Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352) $22,134 $22,134 3.0×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $10,007 $10,007 3.0×
Salpingostomy (salpingoneostomy) (58770) $9,271 $9,271 2.9×
Scrotal exploration (55110) $10,865 $10,865 3.1×
Scrotoplasty Simple (55175) $10,865 $10,865 3.1×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $9,667 $9,667 2.9×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $2,804 $2,804 3.0×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $3,664 $3,664 3.0×
Shave skin lesion 0.5 cm/< (11300) $1,221 $1,221 3.0×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $635 $635 3.2×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $1,221 $1,221 3.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $635 $635 3.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $635 $635 3.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $635 $635 3.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $1,221 $1,221 3.0×
Shoulder arthroscopy diagnostic (29805) $11,226 $11,226 3.4×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $635 $635 3.2×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $1,221 $1,221 3.0×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $635 $635 3.2×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $1,221 $1,221 3.0×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $635 $635 3.2×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $9,667 $9,667 2.9×
Sigmoidoscopy & Polypectomy (45333) $2,804 $2,804 3.0×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $3,664 $3,664 3.0×
Sigmoidoscopy flx tndsc balo dilat (45340) $3,664 $3,664 3.0×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 2 matching MRF lines		 $2,699–$2,804 $2,699–$2,804 varies
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $1,221 $1,221 3.0×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $635 $635 3.2×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $779 $779 3.9×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $1,221 $1,221 3.0×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $635 $635 3.2×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $635 $635 3.2×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $635 $635 3.2×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $635 $635 3.2×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $635 $635 3.2×
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032) $17,972 $17,972 3.0×
Sinusotomy, sphenoid, with or without biopsy; Facility (31050) $17,972 $17,972 3.0×
Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s) Facility (31051) $17,972 $17,972 3.0×
Sinusotomy, unilateral, 3 or more paranasal sinuses (frontal, maxillary, ethmoid, sphenoid) Facility (31090) $17,972 $17,972 3.0×
Skin Full Grft Face/Genit/Hf (15240) $7,294 $7,294 3.5×
Skin Tissue Procedure (17999) $635 $635 3.2×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $15,582 $15,582 3.1×
Slitting of prepuce (54001)
range across 2 matching MRF lines		 $36–$42 $36–$42 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $635 $635 3.2×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $1,221 $1,221 3.0×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $1,221 $1,221 3.0×
Sphincterotomy anal division sphincter spx (46080) $8,633 $8,633 3.1×
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines		 $2,244–$3,736 $2,244–$3,736 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $12,667 $12,667 3.6×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $6,329 $6,329 3.1×
Strapping ankle (29540) $499 $499 3.1×
Strapping elbow or wrist (29260) $197 $197 3.3×
Strapping hand/finger (29280) $202 $202 3.4×
Strapping knee (29530) $398 $398 3.0×
Strapping shoulder (29240) $398 $398 3.0×
Strapping thorax (29200) $499 $499 3.1×
Strapping toes (29550) $202 $202 3.4×
Strapping Unna Boot (29580) $499 $499 3.1×
Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps Facility (61001) $28 $28 0.0×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $9,667 $9,667 2.9×
Surg Implnt Neuroelect,Epidural (63655) $72,116 $72,116 3.7×
Surg Tx Anal Fistula 2nd Stage (46285) $8,633 $8,633 3.1×
Surg tx anal fistula subq (46270) $8,633 $8,633 3.1×
Suture digital nerve hand/foot 1 nerve (64831) $6,205 $6,205 3.2×
Suture infrapatellar tendon primary (27380) $22,134 $22,134 3.0×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) $10,007 $10,007 3.0×
Tenodesis long tendon biceps (23430) $22,134 $22,134 3.0×
Tenolysis flexor foot single tendon (28220) $4,963 $4,963 3.1×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $10,007 $10,007 3.0×
Tenotomy Flexor Finger Open Each Tendon (26455) $4,922 $4,922 3.0×
Tenotomy Hip Abd/Ext Open (27006) $10,007 $10,007 3.0×
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $10,007 $10,007 3.0×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $4,922 $4,922 3.0×
Tenotomy shoulder area single tendon (23405) $22,134 $22,134 3.0×
Thrombolytic Therapy Stroke (37195) $1,127 $1,127 3.4×
Thyroidectomy, total or complete (60240) $17,880 $17,880 2.9×
Tlh uterus over 250 g (58572) $31,474 $31,474 2.9×
Tnot elbow lateral/medial debride open tdn rpr (24359) $10,007 $10,007 3.0×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $9,667 $9,667 2.9×
Tooth extraction (41899) $748 $748 3.1×
Total Knee Arthroplasty (27447) $43,573 $43,573 3.4×
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) $17,880 $17,880 2.9×
Tracheostomy Emergency Cricothyroid Membrane (31605) $748 $748 3.1×
Tracheostomy Emergency Procedure Transtracheal (31603) $4,788 $4,788 3.1×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $6,757 $6,757 3.4×
Transfer skin pedicle flap (15650) $6,052 $6,052 2.9×
Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure) Facility (27400) $22,134 $22,134 3.0×
Transplant hand tendon (26480) $10,007 $10,007 3.0×
Transur electr resection of prostate (52601) $15,590 $15,590 2.9×
Transurethral incision of prostate (52450) $10,865 $10,865 3.1×
Transurethral resection bladder neck (52500) $10,865 $10,865 3.1×
Treat Big Toe Fracture (28505) $10,007 $10,007 3.0×
Treat dislocation/fracture (23670) $22,134 $22,134 3.0×
Treat elbow fracture (24586) $43,573 $43,573 3.4×
Treat Finger Fracture Each (26727) $10,007 $10,007 3.0×
Treat fracture radius/ulna (25575) $22,134 $22,134 3.0×
Treat Fx Rad Extra-Articul (25607) $23,585 $23,585 3.2×
Treat humerus fracture (24500) $825 $825 3.3×
Treat Humerus Fracture (24505) $4,922 $4,922 3.0×
Treat humerus fracture (23600) $825 $825 3.3×
Treat knee fracture (27532) $10,007 $10,007 3.0×
Treat Knee Fracture(S) (27538) $825 $825 3.3×
Treat Kneecap Fracture (27524) $22,134 $22,134 3.0×
Treat Knuckle Dislocation (26700) $825 $825 3.3×
Treat Metatarsal Fracture (28475) $728 $728 2.9×
Treat thumb fracture (26665) $10,007 $10,007 3.0×
Treat toe dislocation (28630) $825 $825 3.3×
Treatment Closed Elbow Dislocation Req Anes (24605) $4,922 $4,922 3.0×
Treatment closed elbow dislocation w/o anes (24600) $825 $825 3.3×
Treatment of ankle fracture (27823) $22,134 $22,134 3.0×
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) $4,289 $4,289 0.6×
Trurl drainage prostatic abscess (52700) $10,865 $10,865 3.1×
Trurl rescj postop bladder neck contracture (52640) $10,865 $10,865 3.1×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $8,633 $8,633 3.1×
Tx Gastro Intub W/Asp (43753) $935 $935 4.3×
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) $43,573 $43,573 3.4×
Tx Incomplete Abortion Any Trimester Surgical (59812) $10,307 $10,307 3.2×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) $11,196 $11,196 1.5×
Tx Missed Abortion First Trimester Surgical (59820) $10,307 $10,307 3.2×
Tx Missed Abortion Second Trimester Surgical (59821) $10,307 $10,307 3.2×
Tx open tendon flexor toe 1 tendon spx (28232) $4,978 $4,978 3.1×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $4,978 $4,978 3.1×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $4,922 $4,922 3.0×
Tx superficial wound dehiscence w/packing (12021) $1,221 $1,221 3.0×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $728 $728 2.9×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) $43,573 $43,573 3.4×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $4,780 $4,780 3.1×
Tympanoplasty (69631) $17,972 $17,972 3.0×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) $17,972 $17,972 3.0×
Tympanostomy general anesthesia (69436) $4,780 $4,780 3.1×
Unlisted laparoscopic procedure liver (47379) $17,880 $17,880 2.9×
Unlisted laparoscopy procedure appendix (44979) $17,880 $17,880 2.9×
Unlisted laparoscopy procedure oviduct ovary (58679) $17,880 $17,880 2.9×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) $17,880 $17,880 2.9×
Unlisted laparoscopy procedure, biliary tract (47579) $17,880 $17,880 2.9×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) $17,880 $17,880 2.9×
Unlisted laparoscopy procedure, intestine (except rectum) (44238) $19,022 $19,022 3.1×
Unlisted laparoscopy procedure, lymphatic system (38589) $17,880 $17,880 2.9×
Unlisted laparoscopy procedure, uterus (58578) $17,880 $17,880 2.9×
Unlisted Procedure Accessory Sinuses (31299) $11,779 $11,779 49.5×
Unlisted procedure anus (46999) $2,804 $2,804 3.0×
Unlisted procedure colon (45399) $2,804 $2,804 3.0×
Unlisted Procedure Esophagus (43499) $2,859 $2,859 3.1×
Unlisted procedure femur or knee (27599) $762 $762 3.1×
Unlisted procedure foot or toes (28899) $762 $762 3.1×
Unlisted procedure forearm or wrist (25999) $762 $762 3.1×
Unlisted procedure larynx (31599) $748 $748 3.1×
Unlisted Procedure Leg/Ankle (27899) $762 $762 3.1×
Unlisted Procedure Male Genital System (55899) $940 $940 3.7×
Unlisted procedure neck or thorax (21899) $748 $748 3.1×
Unlisted procedure nervous system (64999) $925 $925 3.0×
Unlisted procedure pancreas (48999) $2,199 $2,199 3.1×
Unlisted procedure pelvis/hip joint (27299) $762 $762 3.1×
Unlisted Procedure Rectum (45999) $2,804 $2,804 3.0×
Unlisted procedure shoulder (23929) $762 $762 3.1×
Unlisted procedure stomach (43999) $2,859 $2,859 3.1×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $2,859 $2,859 3.1×
Unlisted Procedure, Urinary System (53899) $940 $940 3.7×
Unlisted px female genital system nonobstetrical (58999) $602 $602 3.0×
Unlisted vascular endoscopy procedure (37501) $80 $80 0.1×
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961) $15,590 $15,590 2.9×
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50957) $15,590 $15,590 2.9×
Urethrlys Transvag W/ Scope (53500) $10,865 $10,865 3.1×
Urethromeatoplasty W/Mucosal Advancement (53450) $10,865 $10,865 3.1×
Uvulectomy excision of uvula (42140) $9,667 $9,667 2.9×
Vag hyst complex (58290) $23,989 $23,989 3.2×
Vag hyst incl t/o complex (58291) $15,582 $15,582 3.1×
Vaginal delivery only (59409) $9,271 $9,271 2.9×
Vaginal hysterectomy, for uterus 250 g or less; (58260) $15,582 $15,582 3.1×
Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) $15,582 $15,582 3.1×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $15,582 $15,582 3.1×
Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) Facility (57107) $9,271 $9,271 2.9×
Vasectomy uni/bi spx w/postop semen exams (55250) $6,327 $6,327 3.0×
Vasovasostomy vasovasorrhaphy (55400) $10,865 $10,865 3.1×
Ventilating tube removal requiring general anesthesia (69424) $9,667 $9,667 2.9×
Vulvectomy simple partial (56620) $9,271 $9,271 2.9×
Vulvectomy simple; complete (56625) $9,271 $9,271 2.9×
Wedge excision skin nail fold (11765) $1,221 $1,221 3.0×
Wedge Rescj/Bisctj Ovary Uni/Bi (58920) $23,989 $23,989 3.2×
Xfer Single Deep Low Leg Tendon (27691) $22,134 $22,134 3.0×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.