Procedures & surgery prices at Goodall Witcher Hospital
Clifton, TX · every code in this section with a posted price and a Medicare benchmark.
621 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $1,157.02 | $1,652.89 | 1.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$236.60–$1,207.50 | $338–$1,725 | varies |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) | $760.90 | $1,087 | 0.2× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) | $1,178.10 | $1,683 | 0.6× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) | $1,532.30 | $2,189 | 0.7× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $1,023.40 | $1,462 | 0.3× |
| Amputate Thigh,Re-Amputatn (27596) | $520.80 | $744 | 0.2× |
| Amputation metatarsal with toe single (28810) | $910.70 | $1,301 | 0.3× |
| Amputation thigh through femur any level (27590) | $1,347.87 | $1,925.53 | 0.4× |
| Amputation toe interphalangeal joint (28825) | $392 | $560 | 0.1× |
| Amputation toe metatarsophalangeal joint (28820) | $485.80 | $694 | 0.1× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) | $473.20 | $676 | 0.1× |
| Anoscopy diagnostic (46600) | $109.90 | $157 | 0.8× |
| Anoscopy; with biopsy, single or multiple (46606) | $760.90 | $1,087 | 0.6× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) | $1,143.80 | $1,634 | 1.0× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $77 | $110 | 0.0× |
| Anterior colporraphy rpr cystocele w/cysto (57240) likely a partial charge, not the full procedure |
$481.60 | $688 | 0.1× |
| Apheresis Platelets (36513) | $71.40 | $102 | 0.2× |
| Appendectomy (44950) likely a partial charge, not the full procedure |
$1,858.50 | $2,655 | 0.3× |
| Application Finger Splint Dynamic (29131) range across 2 matching MRF lines |
$37.10–$230.30 | $53–$329 | varies |
| Application finger splint static (29130) range across 2 matching MRF lines |
$77.70–$117.60 | $111–$168 | varies |
| Application long arm splint shoulder hand (29105) | $206.93 | $295.61 | 1.3× |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$59.50–$125.30 | $85–$179 | varies |
| Application of long leg cast (29345) range across 2 matching MRF lines |
$97.30–$247.80 | $139–$354 | varies |
| Application Patellar Tendon Bearing Cast (29435) | $82.60 | $118 | 0.3× |
| Application Short Arm Splint Dynamic (29126) range across 3 matching MRF lines |
$93.80–$223.30 | $134–$319 | varies |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$76.30–$140 | $109–$200 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$95.20–$140 | $136–$200 | varies |
| Apply hand/wrist cast (29085) | $67.90 | $97 | 0.4× |
| Apply Multlay Comprs Lwr Leg (29581) | $44.80 | $64 | 0.3× |
| Apply short leg cast (29425) | $180.60 | $258 | 0.6× |
| Arterial puncture (36600) | $22.40 | $32 | 0.2× |
| Artery-vein autograft (36825) likely a partial charge, not the full procedure |
$576.80 | $824 | 0.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 6 matching MRF lines |
$22.40–$770 | $32–$1,100 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$95.20–$298.90 | $136–$427 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$102.87–$251.30 | $146.96–$359 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $69.30 | $99 | 0.2× |
| Arthrodesis great toe metatarsophalangeal joint (28750) likely a partial charge, not the full procedure |
$588.70 | $841 | 0.1× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) | $519.40 | $742 | 0.3× |
| Aspirate pleura w/ imaging (32555) | $212.10 | $303 | 0.3× |
| Aspirate Pleura W/O Imaging (32554) | $730.10 | $1,043 | 1.2× |
| Aspiration Bladder Needle (51100) | $43.40 | $62 | 0.2× |
| Av Fistula Revision Open (36832) likely a partial charge, not the full procedure |
$420 | $600 | 0.1× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$157.50–$179.20 | $225–$256 | varies |
| Axillary lymphadenectomy; complete (38745) | $4,783.10 | $6,833 | 0.8× |
| Biopsy bone open superficial (20240) | $157.50 | $225 | 0.1× |
| Biopsy external ear (69100) | $70.70 | $101 | 0.3× |
| Biopsy muscle percutaneous needle (20206) | $102.20 | $146 | 0.1× |
| Biopsy nail unit (11755) | $198.10 | $283 | 0.3× |
| Biopsy of breast; open, incisional (19101) | $550.20 | $786 | 0.1× |
| Biopsy of rectum (45100) | $2,454.20 | $3,506 | 0.9× |
| Biopsy Soft Tissue Shoulder Superficial (23065) | $294 | $420 | 0.2× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) | $182 | $260 | 0.1× |
| Biopsy Tongue Anterior Two-Thirds (41100) | $123.20 | $176 | 0.2× |
| Biopsy/removal lymph nodes (38510) | $2,478 | $3,540 | 0.6× |
| Bladder Irrigation (51700) range across 3 matching MRF lines |
$58.80–$357.70 | $84–$511 | varies |
| Blepharotomy drainage abscess eyelid (67700) | $192.50 | $275 | 0.6× |
| Blood Transfusion Service (36430) range across 4 matching MRF lines |
$24.50–$847 | $35–$1,210 | varies |
| Bone graft with microvascular anastomosis; iliac crest Facility (20956) likely a partial charge, not the full procedure |
$1,886.50 | $2,695 | 0.3× |
| Bone Marrow Biopsy (38221) | $122.50 | $175 | 0.1× |
| Bone Marrow; Aspiration Only (38220) | $2,674 | $3,820 | 1.6× |
| Bx breast 1st lesion mr imag (19085) | $723.80 | $1,034 | 0.4× |
| Bx breast 1st lesion strtctc (19081) | $2,044.63 | $2,920.90 | 1.2× |
| Bx breast 1st lesion us imag (19083) | $2,188.73 | $3,126.76 | 1.3× |
| Bx breast needle core w/o imaging guidance spx (19100) | $196.70 | $281 | 0.1× |
| Bx Cervix (57500) range across 2 matching MRF lines |
$148.40–$655.90 | $212–$937 | varies |
| Bx/exc lymph node open deep axillary node (38525) | $2,928.80 | $4,184 | 0.7× |
| Bx/exc lymph node open superficial (38500) range across 2 matching MRF lines |
$234.50–$2,478 | $335–$3,540 | varies |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) | $355.60 | $508 | 0.1× |
| Carpal Tunnel Surgery (64721) | $304.50 | $435 | 0.2× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) | $280 | $400 | 0.9× |
| Cerv artific diskectomy (22856) likely a partial charge, not the full procedure |
$1,170.40 | $1,672 | 0.1× |
| Chemical Cautery Tissue (17250) | $101.50 | $145 | 0.5× |
| Chest tube placement (32551) range across 2 matching MRF lines |
$723.80–$1,131.14 | $1,034–$1,615.91 | varies |
| Ciliary body destruction; cryotherapy Facility (66720) | $342.30 | $489 | 0.1× |
| Circumcision 28 days or older (54161) | $2,408.70 | $3,441 | 1.1× |
| Circumcision w/clamp/oth dev w/block (54150) range across 3 matching MRF lines |
$163.10–$219.10 | $233–$313 | varies |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$72.80–$200.20 | $104–$286 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $429.80 | $614 | 1.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $378.70 | $541 | 1.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $410.90 | $587 | 1.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$256.20–$408.10 | $366–$583 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) | $463.40 | $662 | 0.3× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $280 | $400 | 1.1× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$368.20–$828.10 | $526–$1,183 | varies |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) | $271.60 | $388 | 1.1× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $268.10 | $383 | 1.1× |
| Closure Gastrostomy Surg (43870) | $503.30 | $719 | 0.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $1,593.20 | $2,276 | 1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$222.60–$472.50 | $318–$675 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $266 | $380 | 1.1× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) | $2,132.40 | $3,046.29 | 1.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $191.10 | $273 | 0.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $159.60 | $228 | 0.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$555.80–$633.50 | $794–$905 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$945–$2,012.50 | $1,350–$2,875 | varies |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) | $350 | $500 | 0.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $212.80 | $304 | 0.9× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $1,593.20 | $2,276 | 5.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$226.10–$372.40 | $323–$532 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$330.47–$392 | $472.10–$560 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $290.50 | $415 | 1.2× |
| Cltx post hip arthrp dislc w/o anes (27265) | $189 | $270 | 0.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $420.70 | $601 | 1.7× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $302.40 | $432 | 0.2× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $488.60 | $698 | 2.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $585.20 | $836 | 0.4× |
| Collect Blood From Catheter Venous Nos (36592) | $18.90 | $27 | 0.1× |
| Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$9.10–$212.80 | $13–$304 | varies |
| Colonoscopy Flexible With Decompression (45393) | $1,590.83 | $2,272.62 | 1.3× |
| Colonoscopy Stoma Control Bleeding (44391) | $354.90 | $507 | 0.3× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) | $313.60 | $448 | 0.3× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) | $954.80 | $1,364 | 0.8× |
| Colonoscopy thru stoma (44388) range across 2 matching MRF lines |
$954.80–$1,103.95 | $1,364–$1,577.07 | varies |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) | $954.80 | $1,364 | 0.8× |
| Colonoscopy W/Band Ligation (45398) | $1,520.37 | $2,171.96 | 1.3× |
| Colonoscopy w/submucosal inj (45381) | $331.80 | $474 | 0.3× |
| Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) | $264.60 | $378 | 0.1× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $409.50 | $585 | 1.3× |
| Colposcopy cervix upper/adjacent vagina (57452) | $303.10 | $433 | 1.5× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $338.10 | $483 | 1.1× |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $1,213.80 | $1,734 | 1.0× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) | $476 | $680 | 0.4× |
| Colsc flx w/removal lesion by hot bx forceps (45384) range across 2 matching MRF lines |
$330.40–$1,327.90 | $472–$1,897 | varies |
| Complex drainage wound (10180) | $408.80 | $584 | 0.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $161.70 | $231 | 1.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$121.10–$156.80 | $173–$224 | varies |
| Correction hammertoe (28285) | $385.70 | $551 | 0.1× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) | $8,474.42 | $12,106.31 | 0.7× |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) | $37.10 | $53 | 0.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$184.80–$312.90 | $264–$447 | varies |
| Curettage postpartum (59160) | $146.30 | $209 | 0.0× |
| Cystometrogram W/Up (51727) | $77.70 | $111 | 0.1× |
| Cystometrogram W/Vp (51728) | $222.60 | $318 | 0.3× |
| Cystometrogram W/Vp&Up (51729) | $241.50 | $345 | 0.3× |
| Cystourethroscopy tx female urethral syndrome (52285) | $196.70 | $281 | 0.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $125.30 | $179 | 0.3× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $261.10 | $373 | 0.4× |
| Debride nail 1-5 (11720) | $54.03 | $77.18 | 0.9× |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$85.40–$90.20 | $122–$128.85 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $629.30 | $899 | 0.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $104.04 | $148.63 | 0.3× |
| Deep Muscle Biopsy (20205) | $203 | $290 | 0.1× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) | $324.80 | $464 | 0.2× |
| Delivery of placenta (59414) | $66.50 | $95 | 0.0× |
| Derm autograft face/nck/hnd/ft/gen <100 sqcm (15135) | $607.60 | $868 | 0.2× |
| Destr penis lesion(s) (54065) | $256.20 | $366 | 0.1× |
| Destroy cerv/thor facet jnt (64633) | $311.50 | $445 | 0.2× |
| Destroy lumb/sac facet jnt (64635) | $2,537.37 | $3,624.82 | 1.3× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $276.50 | $395 | 1.4× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) | $196 | $280 | 0.3× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) | $252.70 | $361 | 0.3× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $187.60 | $268 | 0.9× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $300.30 | $429 | 1.5× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) | $133.70 | $191 | 0.7× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) | $143.50 | $205 | 0.4× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) | $163.10 | $233 | 0.4× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $178.50 | $255 | 0.9× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $114.80 | $164 | 0.6× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) | $330.40 | $472 | 0.8× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) | $172.20 | $246 | 0.4× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $203 | $290 | 1.0× |
| Destruction of skin lesions (17106) | $238 | $340 | 0.6× |
| Destruction Premalignant Lesion 15/> (17004) | $172.90 | $247 | 0.4× |
| Destruction premalignant lesion 1st (17000) | $70.70 | $101 | 0.4× |
| Diagnostic sigmoidoscopy (45330) | $550.20 | $786 | 0.6× |
| Dilation & curettage dx&/ther nonobstetric (58120) range across 2 matching MRF lines |
$185.50–$2,052.40 | $265–$2,932 | varies |
| Drain Cerebro Spinal Fluid (62272) | $381.50 | $545 | 0.5× |
| Drain Spinal Cord Cyst (62268) | $189.70 | $271 | 0.2× |
| Drain/inj small joint/bursa w/us (20604) | $397.31 | $567.58 | 1.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 2 matching MRF lines |
$151.90–$179.20 | $217–$256 | varies |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$88.20–$179.90 | $126–$257 | varies |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$160.30–$196.70 | $229–$281 | varies |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$198.80–$1,247.40 | $284–$1,782 | varies |
| Drainage of rectal abscess (45020) | $405.30 | $579 | 0.1× |
| Drainage of scrotal wall abscess (55100) | $154 | $220 | 0.1× |
| Drainage of scrotum (54700) | $221.20 | $316 | 0.1× |
| Draw Blood Off Venous Device (36591) | $16.80 | $24 | 0.1× |
| Dressing Change Under Anesthesia (15852) | $33.60 | $48 | 0.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) range across 2 matching MRF lines |
$151.90–$155.40 | $217–$222 | varies |
| Drg Absc Submaxillary/Sublingual Intraoral (42310) | $118.30 | $169 | 0.2× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) | $1,247.40 | $1,782 | 0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $133 | $190 | 0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $158.20 | $226 | 0.8× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) | $308 | $440 | 0.4× |
| Dstrj Lesion Anus Extensive (46924) | $2,148.30 | $3,069 | 0.8× |
| Dstrj lesion anus simple surg excision (46922) | $2,148.30 | $3,069 | 0.8× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) | $182 | $260 | 0.1× |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) | $143.50 | $205 | 0.1× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) | $199.50 | $285 | 0.5× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $95.90 | $137 | 0.1× |
| Dx Laryngoscopy Excl Nb (31525) | $269.50 | $385 | 0.2× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) range across 2 matching MRF lines |
$917.70–$2,317.58 | $1,311–$3,310.83 | varies |
| Egd dilation gastric/duodenal stricture (43245) | $442.40 | $632 | 0.2× |
| Egd Flexible Foreign Body Removal (43247) range across 2 matching MRF lines |
$917.70–$1,207.17 | $1,311–$1,724.53 | varies |
| Egd guide wire insertion (43248) | $917.70 | $1,311 | 1.0× |
| Egd place gastrostomy tube (43246) range across 2 matching MRF lines |
$1,297.80–$3,166.16 | $1,854–$4,523.08 | varies |
| Egd remove lesion snare (43251) | $917.70 | $1,311 | 0.5× |
| Egd Tube/Cath Insertion (43241) | $109.90 | $157 | 0.1× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) | $954.10 | $1,363 | 0.3× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) | $1,198.40 | $1,712 | 0.4× |
| Enterorrhaphy single perforation (44602) | $2,122.40 | $3,032 | 0.5× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) | $612.50 | $875 | 0.3× |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$157.50–$487.90 | $225–$697 | varies |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) | $917.70 | $1,311 | 0.5× |
| Esophagoscopy Flexible Guide Wire Dilation (43226) | $273.70 | $391 | 0.1× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) | $917.70 | $1,311 | 1.0× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $917.70 | $1,311 | 0.5× |
| Evacuation of subungual hematoma (11740) | $90.17 | $128.82 | 0.7× |
| Exc abdl tum deep 5 cm/> (22901) | $886.90 | $1,267 | 0.3× |
| Exc arm/elbow les sc < 3 cm (24075) | $472.50 | $675 | 0.3× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$126–$464.80 | $180–$664 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $262.50 | $375 | 0.2× |
| Exc Back Les Sc < 3 Cm (21930) | $1,045.80 | $1,494 | 0.6× |
| Exc Back Tum Deep 5 Cm/> (21933) | $520.10 | $743 | 0.2× |
| Exc back tum deep < 5 cm (21932) | $466.90 | $667 | 0.2× |
| Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) | $284.20 | $406 | 0.1× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $1,299.20 | $1,856 | 0.3× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $629.30 | $899 | 0.9× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $786.80 | $1,124 | 1.1× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $866.60 | $1,238 | 0.5× |
| Exc Face Les Sbq 2 Cm/> (21012) | $2,006.99 | $2,867.13 | 1.2× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $220.50 | $315 | 0.3× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $243.60 | $348 | 0.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 2 matching MRF lines |
$263.20–$378 | $376–$540 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $318.50 | $455 | 0.2× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $301 | $430 | 0.2× |
| Exc Forearm Tum Deep 3 Cm/> (25073) | $376.60 | $538 | 0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $135.80 | $194 | 0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $172.20 | $246 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $228.90 | $327 | 0.1× |
| Exc Hand Les Sc < 1.5 Cm (26115) | $470.40 | $672 | 0.3× |
| Exc hand tum deep < 1.5 cm (26116) | $373.80 | $534 | 0.2× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $641.20 | $916 | 0.4× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) | $1,948.10 | $2,783 | 1.0× |
| Exc Rct Tum Incl Muscularis Propria (45172) | $2,732.10 | $3,903 | 1.0× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) | $2,271.50 | $3,245 | 0.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $236.60 | $338 | 0.3× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $301.70 | $431 | 0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $457.10 | $653 | 0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$415.80–$1,737.40 | $594–$2,482 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) range across 2 matching MRF lines |
$518.70–$546 | $741–$780 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $817.60 | $1,168 | 0.5× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $1,115.10 | $1,593 | 0.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $631.40 | $902 | 0.4× |
| Exc thigh/knee les sc 3 cm/> (27337) range across 2 matching MRF lines |
$296.10–$705.51 | $423–$1,007.87 | varies |
| Exc thigh/knee tum dep 5cm/> (27339) | $531.30 | $759 | 0.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $2,454.20 | $3,506 | 2.0× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $156.80 | $224 | 0.4× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$189–$4,518.08 | $270–$6,454.40 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $282.10 | $403 | 0.2× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $825.30 | $1,179 | 0.3× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) | $368.90 | $527 | 0.1× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) | $648.20 | $926 | 0.4× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $790.30 | $1,129 | 0.3× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) | $786.10 | $1,123 | 0.3× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) | $924 | $1,320 | 0.3× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) | $786.10 | $1,123 | 0.3× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) | $786.10 | $1,123 | 0.3× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) | $331.80 | $474 | 0.1× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $480.20 | $686 | 0.3× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) | $485.80 | $694 | 0.2× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) | $1,084.30 | $1,549 | 0.4× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $833 | $1,190 | 0.5× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $517.30 | $739 | 0.2× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $921.90 | $1,317 | 0.6× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $3,488.03 | $4,982.90 | 1.2× |
| Excis urethral prolapse (53275) | $186.90 | $267 | 0.1× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $392 | $560 | 0.6× |
| Excision Lesion Tongue W/O Closure (41110) | $156.80 | $224 | 0.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $164.50 | $235 | 0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $298.90 | $427 | 0.4× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $275.16 | $393.09 | 0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $362.99 | $518.55 | 0.5× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $470.40 | $672 | 0.7× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $943.60 | $1,348 | 0.6× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $1,257.20 | $1,796 | 0.4× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $308 | $440 | 0.4× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $819.70 | $1,171 | 0.5× |
| Excision Multiple External Papillae/Tags Anus (46230) | $2,454.20 | $3,506 | 0.9× |
| Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection Facility (38550) | $358.40 | $512 | 0.1× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $708.40 | $1,012 | 0.4× |
| Excision of hydrocele; unilateral (55040) | $3,310.30 | $4,729 | 0.9× |
| Excision of submandibular (submaxillary) gland (42440) | $4,302.90 | $6,147 | 0.7× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $1,256.50 | $1,795 | 0.4× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $843.50 | $1,205 | 0.3× |
| Excision spermatocele w/wo epididymectomy (54840) | $228.90 | $327 | 0.1× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $332.50 | $475 | 0.2× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) | $370.30 | $529 | 0.1× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) | $596.40 | $852 | 0.4× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $919.10 | $1,313 | 0.6× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $786.80 | $1,124 | 0.5× |
| Excision, interdigital (morton) neuroma, single, each (28080) | $716.10 | $1,023 | 0.4× |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) | $1,367.10 | $1,953 | 0.7× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $306.60 | $438 | 0.1× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $294 | $420 | 0.1× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | $331.10 | $473 | 0.1× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $1,036 | $1,480 | 0.6× |
| Excision/curettage cyst/tumor phalanx finger (26210) | $312.90 | $447 | 0.2× |
| Expl Po Hemrrg Thrombosis/Infctj Nck (35800) likely a partial charge, not the full procedure |
$520.80 | $744 | 0.1× |
| Explo/Drain Breast Abscess (19020) | $555.80 | $794 | 0.3× |
| Exploration of knee joint (27310) | $520.10 | $743 | 0.2× |
| Exploration penetrating wound spx extremity (20103) | $1,099.70 | $1,571 | 0.7× |
| Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) likely a partial charge, not the full procedure |
$1,809.50 | $2,585 | 0.3× |
| External cephalic version (59412) | $74.90 | $107 | 0.0× |
| Fasciectomy Plantar Fascia Partial Spx (28060) | $373.80 | $534 | 0.1× |
| Fetal Contraction Stress Test (59020) | $223.30 | $319 | 1.1× |
| Fetal non-stress test (59025) range across 3 matching MRF lines |
$95.90–$133.70 | $137–$191 | varies |
| Fine needle aspiration without imaging guidance (10021) | $105.70 | $151 | 0.3× |
| Fna bx w/us gdn 1st les (10005) | $236.60 | $338 | 0.3× |
| Foreskin manipulation (54450) | $49.70 | $71 | 0.2× |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) | $89.60 | $128 | 0.0× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) | $2,228.80 | $3,184 | 1.1× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) | $990.50 | $1,415 | 0.5× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) | $959.70 | $1,371 | 0.2× |
| Graft (Thiersch operation) for rectal incontinence and/or prolapse Facility (46753) | $421.40 | $602 | 0.2× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $2,454.20 | $3,506 | 0.9× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) range across 2 matching MRF lines |
$337.40–$2,900.10 | $482–$4,143 | varies |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $518 | $740 | 0.6× |
| I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
$240.80–$270.90 | $344–$387 | varies |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$106.40–$370.30 | $152–$529 | varies |
| I&D Below Fascia Foot 1 Bursal Space (28002) | $322 | $460 | 0.2× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $1,976.80 | $2,824 | 0.7× |
| I&d forearm/wrist bursa (25031) | $258.30 | $369 | 0.2× |
| I&d perianal abscess superficial (46050) | $1,177.40 | $1,682 | 1.3× |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$151.90–$172.20 | $217–$246 | varies |
| Incise external hemorrhoid (46083) range across 3 matching MRF lines |
$148.40–$256.90 | $212–$367 | varies |
| Incise finger tendon sheath (26055) | $818.30 | $1,169 | 0.5× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$212.80–$258.30 | $304–$369 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $310.80 | $444 | 0.2× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$154–$483.81 | $220–$691.15 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 3 matching MRF lines |
$145.60–$251.67 | $208–$359.53 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 3 matching MRF lines |
$79.10–$356.30 | $113–$509 | varies |
| Incision bone cortex foot (28005) | $419.30 | $599 | 0.1× |
| Incision extensor tendon sheath wrist (25000) | $238 | $340 | 0.1× |
| Incision of lingual frenum (frenotomy) (41010) range across 2 matching MRF lines |
$220.50–$804.30 | $315–$1,149 | varies |
| Incision of rectal abscess (46040) range across 3 matching MRF lines |
$438.20–$2,730.70 | $626–$3,901 | varies |
| Incision&drainage bursa foot (28001) | $255.50 | $365 | 0.2× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $392 | $560 | 0.2× |
| Incisional biopsy skin single lesion (11106) | $659.40 | $942 | 0.9× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $89.60 | $128 | 0.4× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $1,036.96 | $1,481.37 | 1.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $172.20 | $246 | 0.2× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $65.10 | $93 | 0.2× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $109.90 | $157 | 0.1× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $233.10 | $333 | 0.3× |
| Injection for identification of sentinel node (38792) | $540.58 | $772.25 | 1.3× |
| Injection single tendon origin/insertion (20551) | $43.40 | $62 | 0.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $251.30 | $359 | 0.8× |
| Injection single/mlt trigger point 3/> muscles (20553) | $381.95 | $545.64 | 1.2× |
| Injection therapeutic carpal tunnel (20526) | $54.60 | $78 | 0.2× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $522.90 | $747 | 0.7× |
| Injection, intralesional; up to and including 7 lesions (11900) | $39.20 | $56 | 0.2× |
| Ins endovas vena cava filtr (37191) unusually low: confirm this is the full procedure |
$1,899.80 | $2,714 | 0.3× |
| Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
$112–$220.50 | $160–$315 | varies |
| Insert cath pleura w/o image (32556) range across 2 matching MRF lines |
$248.30–$383.60 | $354.72–$548 | varies |
| Insert cervical dilator (59200) range across 2 matching MRF lines |
$51.80–$297.50 | $74–$425 | varies |
| Insert Drug Implant Device (11981) | $196.70 | $281 | 1.5× |
| Insert Gastrostomy Tube Percutaneous (49440) | $917.70 | $1,311 | 0.5× |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$1,110.32–$1,177.40 | $1,586.17–$1,682 | varies |
| Insert pessary/other device (57160) | $55.30 | $79 | 0.3× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$49.70–$228.90 | $71–$327 | varies |
| Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$3,115.70–$4,047.34 | $4,451–$5,781.91 | varies |
| Insert tunneled cv cath (36563) likely a partial charge, not the full procedure |
$943.60 | $1,348 | 0.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$67.90–$165.38 | $97–$236.25 | varies |
| Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver) Facility (36260) likely a partial charge, not the full procedure |
$442.40 | $632 | 0.1× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $1,775.67 | $2,536.67 | 1.1× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $183.40 | $262 | 0.1× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) range across 2 matching MRF lines |
$934.50–$2,893.10 | $1,335–$4,133 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$178.50–$1,596 | $255–$2,280 | varies |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $322 | $460 | 0.1× |
| Int hrhc by ligation single hroid w/o img gdn (46945) range across 2 matching MRF lines |
$217–$1,177.40 | $310–$1,682 | varies |
| Intubation endotracheal emergency procedure (31500) range across 5 matching MRF lines |
$265.30–$396.77 | $379–$566.81 | varies |
| Island pedicle flap graft (15740) | $1,729.70 | $2,471 | 0.8× |
| Lap paraesoph her rpr w/mesh (43282) likely a partial charge, not the full procedure |
$1,226.40 | $1,752 | 0.1× |
| Lap paraesophag hern repair (43281) | $11,311.79 | $16,159.70 | 1.1× |
| Lap revision perm ip cath (49325) likely a partial charge, not the full procedure |
$296.80 | $424 | 0.0× |
| Laparoscopy aspiration (49322) | $3,711.40 | $5,302 | 0.6× |
| Laparoscopy Enterolysis Separate Procedure (44180) range across 2 matching MRF lines |
$650.30–$4,912.60 | $929–$7,018 | varies |
| Laparoscopy fulguration oviducts (58670) likely a partial charge, not the full procedure |
$263.90 | $377 | 0.0× |
| Laparoscopy gastrostomy (43653) likely a partial charge, not the full procedure |
$405.30 | $579 | 0.1× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 2 matching MRF lines |
$4,912.60–$7,287.98 | $7,018–$10,411.40 | varies |
| Laparoscopy w/rmvl adnexal structures (58661) range across 2 matching MRF lines |
$466.20–$4,912.60 | $666–$7,018 | varies |
| Laparoscopy, surgical, appendectomy (44970) range across 2 matching MRF lines |
$4,912.60–$7,288.04 | $7,018–$10,411.49 | varies |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) likely a partial charge, not the full procedure |
$765.10 | $1,093 | 0.1× |
| Laparoscopy, surgical, splenectomy (38120) likely a partial charge, not the full procedure |
$744.10 | $1,063 | 0.1× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) range across 2 matching MRF lines |
$504–$5,805.80 | $720–$8,294 | varies |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) unusually low: confirm this is the full procedure |
$4,912.60 | $7,018 | 0.5× |
| Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) likely a partial charge, not the full procedure |
$461.30 | $659 | 0.1× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) | $4,912.60 | $7,018 | 0.8× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) range across 2 matching MRF lines |
$246.40–$3,711.40 | $352–$5,302 | varies |
| Laparoscopy, Tubal Block (58671) likely a partial charge, not the full procedure |
$264.60 | $378 | 0.0× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) | $3,711.40 | $5,302 | 0.6× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) | $4,912.60 | $7,018 | 0.8× |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) | $320.60 | $458 | 0.8× |
| Late closure of wound (13160) | $714 | $1,020 | 0.2× |
| Ligation Major Artery Abdomen (37617) likely a partial charge, not the full procedure |
$958.30 | $1,369 | 0.2× |
| Ligation of hemorrhoids (46946) | $1,367.10 | $1,953 | 0.5× |
| Ligation or biopsy temporal artery (37609) | $1,998.50 | $2,855 | 1.2× |
| Manipulation spine requiring anesthesia (22505) | $87.50 | $125 | 0.1× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) | $139.30 | $199 | 0.1× |
| Manometric studies through ureterostomy or indwelling ureteral catheter Facility (50686) | $109.20 | $156 | 0.8× |
| Mast mod rad (19307) likely a partial charge, not the full procedure |
$840.70 | $1,201 | 0.1× |
| Mastectomy partial (19301) | $7,276.50 | $10,395 | 1.8× |
| Mastectomy partial w/axillary lymphadenectomy (19302) unusually low: confirm this is the full procedure |
$2,671.20 | $3,816 | 0.4× |
| Mastectomy simple complete (19303) | $13,047.80 | $18,639.72 | 2.0× |
| Muscle-skin graft trunk (15734) | $1,064.70 | $1,521 | 0.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $95.90 | $137 | 0.1× |
| N block inj intercost sng (64420) | $81.20 | $116 | 0.1× |
| N Block Inj Pudendal (64430) | $761.60 | $1,088 | 0.9× |
| Nasal sinus therapy (30210) | $108.50 | $155 | 0.1× |
| Nasal/Orogastric W/Tube Plmt (43752) | $30.10 | $43 | 0.1× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) | $1,975.82 | $2,822.60 | 1.2× |
| Needle Biopsy Lymph Nodes (38505) | $267.40 | $382 | 0.2× |
| Nipple Exploration (19110) | $340.90 | $487 | 0.1× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$88.90–$256.20 | $127–$366 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $1,036.96 | $1,481.37 | 1.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $838.60 | $1,198 | 1.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $241.50 | $345 | 0.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $166.59 | $237.98 | 0.2× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) | $108.50 | $155 | 0.3× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$119.70–$138.60 | $171–$198 | varies |
| Occlusion flp tube dev vag/suprapubic appr (58615) | $2,052.40 | $2,932 | 0.6× |
| Omntc Epiploectomy Rescj Omentum Spx (49255) range across 2 matching MRF lines |
$562.10–$2,094.40 | $803–$2,992 | varies |
| Open bowel to skin (44300) | $595.70 | $851 | 0.3× |
| Open treatment metatarsal fracture each (28485) likely a partial charge, not the full procedure |
$377.30 | $539 | 0.1× |
| Open treatment of nasomaxillary complex fracture (lefort ii type); requiring multiple open approaches (21347) likely a partial charge, not the full procedure |
$796.60 | $1,138 | 0.1× |
| Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of… (27259) | $1,105.30 | $1,579 | 0.3× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) likely a partial charge, not the full procedure |
$466.20 | $666 | 0.1× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) likely a partial charge, not the full procedure |
$585.20 | $836 | 0.1× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) likely a partial charge, not the full procedure |
$744.10 | $1,063 | 0.1× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) | $354.20 | $506 | 0.1× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) | $406.70 | $581 | 0.1× |
| Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic Facility (22222) likely a partial charge, not the full procedure |
$1,113.70 | $1,591 | 0.2× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) likely a partial charge, not the full procedure |
$687.40 | $982 | 0.1× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) | $349.30 | $499 | 0.2× |
| Partial removal of thyroid (60220) likely a partial charge, not the full procedure |
$507.50 | $725 | 0.1× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) likely a partial charge, not the full procedure |
$504 | $720 | 0.1× |
| Partical Excision Bone Phalanx Toe (28124) | $345.10 | $493 | 0.1× |
| Pelvic examination under anesthesia (other than local) (57410) | $77.70 | $111 | 0.0× |
| Penile Injection (54235) | $64.40 | $92 | 0.3× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) | $187.60 | $268 | 0.1× |
| Peritoneal Lavage (49084) | $73.50 | $105 | 0.1× |
| Perq dev breast 1st us imag (19285) | $334.60 | $478 | 0.5× |
| Perq device breast 1st imag (19281) | $173.60 | $248 | 0.1× |
| Phalangectomy toe each toe (28150) | $309.40 | $442 | 0.1× |
| Phleb Veins - Extrem 20+ (37766) | $564.90 | $807 | 0.2× |
| Place breast rad tube/caths (19298) likely a partial charge, not the full procedure |
$742.70 | $1,061 | 0.1× |
| Place Duod/Jej Tube Perc (49441) | $847.70 | $1,211 | 0.4× |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$98.70–$204.40 | $141–$292 | varies |
| Placement of seton (46020) | $2,900.10 | $4,143 | 1.0× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) | $4,758.60 | $6,798 | 0.9× |
| Prim art mech thrombectomy (37184) likely a partial charge, not the full procedure |
$1,620.50 | $2,315 | 0.1× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $432.60 | $618 | 0.1× |
| Punch biopsy skin single lesion (11104) | $370.30 | $529 | 0.9× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$95.20–$483.81 | $136–$691.15 | varies |
| Puncture Aspiration Cyst Breast (19000) | $875 | $1,250 | 1.2× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Facility (21015) | $1,256.50 | $1,795 | 0.4× |
| Reconstruct finger joint (26545) | $484.40 | $692 | 0.1× |
| Relieve Pressure on Nerve(S) (64722) | $262.50 | $375 | 0.1× |
| Relocation Pocket Pacemaker (33222) | $247.80 | $354 | 0.1× |
| Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field… (54411) likely a partial charge, not the full procedure |
$730.80 | $1,044 | 0.0× |
| Removal Foreign Body Deep Thigh/Knee (27372) | $431.90 | $617 | 0.1× |
| Removal foreign body foot deep (28192) | $857.50 | $1,225 | 0.5× |
| Removal Foreign Body Foot Subcutaneous (28190) | $548.80 | $784 | 0.8× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $144.90 | $207 | 0.1× |
| Removal foreign body upper arm/elbow deep (24201) | $397.60 | $568 | 0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$107.80–$132.30 | $154–$189 | varies |
| Removal Implant Deep (20680) | $441 | $630 | 0.2× |
| Removal Implant Superficial Separate Procedure (20670) | $270.20 | $386 | 0.2× |
| Removal implantable contraceptive capsules (11976) | $315 | $450 | 0.4× |
| Removal of anal fissure (46200) | $2,900.10 | $4,143 | 1.0× |
| Removal of nail bed (11750) | $392 | $560 | 1.0× |
| Removal of thyroid (60271) likely a partial charge, not the full procedure |
$1,588.30 | $2,269 | 0.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $248.50 | $355 | 1.2× |
| Removal Sutures/Staples Requiring Anesthesia (15851) | $70.70 | $101 | 0.0× |
| Removal/bivalving gauntlet boot/body cast (29700) | $364.99 | $521.42 | 1.3× |
| Remove drug implant device (11982) | $196.70 | $281 | 0.4× |
| Remove Forearm Foreign Body (25248) | $294 | $420 | 0.2× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$109.90–$125.30 | $157–$179 | varies |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$113.40–$172.90 | $162–$247 | varies |
| Remove lung catheter (32552) | $136.50 | $195 | 0.2× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$179.20–$184.80 | $256–$264 | varies |
| Remove Peritoneal Foreign Body (49402) | $604.10 | $863 | 0.2× |
| Remove tissue expander (11971) | $334.60 | $478 | 0.1× |
| Remove/Insert Drug Implant (11983) | $153.30 | $219 | 0.3× |
| Repair blood vessel with vein graft; neck Facility (35231) | $882 | $1,260 | 0.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $629.30 | $899 | 0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $640.50 | $915 | 0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $502.60 | $718 | 1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $819.70 | $1,171 | 2.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $392 | $560 | 1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$504.70–$711.20 | $721–$1,016 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) range across 2 matching MRF lines |
$234.50–$489.30 | $335–$699 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) | $471.10 | $673 | 0.6× |
| Repair inguinal hernia, sliding, any age (49525) range across 2 matching MRF lines |
$403.90–$3,310.30 | $577–$4,729 | varies |
| Repair initial femoral hernia, any age; reducible (49550) | $3,310.30 | $4,729 | 0.9× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $3,310.30 | $4,729 | 0.9× |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) | $426.30 | $609 | 0.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$282.10–$379.40 | $403–$542 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$427–$445.20 | $610–$636 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$242.90–$534.80 | $347–$764 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$266–$357 | $380–$510 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $347.90 | $497 | 0.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$424.20–$480.20 | $606–$686 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$271.60–$610.40 | $388–$872 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $220.50 | $315 | 0.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$298.90–$399 | $427–$570 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$445.20–$483.81 | $636–$691.15 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $3,161.71 | $4,516.73 | 1.5× |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$212.10–$392 | $303–$560 | varies |
| Repair tongue laceration (41250) | $194.60 | $278 | 0.4× |
| Replace g/c tube perc (49450) range across 2 matching MRF lines |
$480.20–$1,207.17 | $686–$1,724.53 | varies |
| Replacement or irrigation, subarachnoid/subdural catheter Facility (62194) | $311.50 | $445 | 0.2× |
| Rerepair ing hernia reduce (49520) | $3,913 | $5,590 | 1.1× |
| Resect back tum < 5 cm (21935) | $2,071.30 | $2,959 | 0.7× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) | $298.90 | $427 | 0.1× |
| Resection, partial or complete, phalangeal base, each toe (28126) | $287.70 | $411 | 0.1× |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) | $2,228.80 | $3,184 | 0.6× |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) | $841.40 | $1,202 | 0.2× |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) | $717.50 | $1,025 | 0.2× |
| Revj Colostomy Smpl Rls Supfc Scar Spx (44340) | $443.80 | $634 | 0.1× |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) | $420 | $600 | 0.1× |
| Revj/rpr oprative wound anterior segment (66250) | $550.20 | $786 | 0.2× |
| Rhinoplasty Secondary Intermediate Revision (30435) likely a partial charge, not the full procedure |
$798.70 | $1,141 | 0.1× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $160.30 | $229 | 0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$148.40–$435.84 | $212–$622.63 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $49.70 | $71 | 0.4× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $50.40 | $72 | 0.1× |
| Rmvl fecal impaction/fb spx under anes (45915) | $1,177.40 | $1,682 | 1.0× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $416.17 | $594.53 | 0.1× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $287 | $410 | 0.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$210.70–$1,177.40 | $301–$1,682 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $611.10 | $873 | 1.0× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $146.30 | $209 | 0.1× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $7,420 | $10,600 | 2.1× |
| Rpr aa hernia recr 3-10 cm reducible (49615) | $7,438.20 | $10,626 | 1.1× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) likely a partial charge, not the full procedure |
$1,148 | $1,640 | 0.2× |
| Rpr aa hrn 1st 3-10 rdc (49593) | $7,420 | $10,600 | 1.1× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) | $10,920 | $15,600 | 1.8× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$122.50–$408.10 | $175–$583 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $336.70 | $481 | 0.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $316.40 | $452 | 0.6× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) | $115.50 | $165 | 0.1× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $109.90 | $157 | 0.1× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $80.08 | $114.40 | 0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $308 | $440 | 0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $132.30 | $189 | 0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $187.60 | $268 | 0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $260.40 | $372 | 1.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $198.10 | $283 | 1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $273 | $390 | 0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $242.90 | $347 | 0.6× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 2 matching MRF lines |
$345.80–$550.20 | $494–$786 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$204.40–$273.70 | $292–$391 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$236.60–$317.10 | $338–$453 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $370.30 | $529 | 1.8× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $448.70 | $641 | 2.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$157.50–$256.90 | $225–$367 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$146.30–$370.30 | $209–$529 | varies |
| Skin Full Grft Face/Genit/Hf (15240) | $1,493.10 | $2,133 | 0.7× |
| Skin sub graft face/nk/hf/g (15275) | $268.10 | $383 | 0.4× |
| Skin sub graft trnk/arm/leg (15271) | $100.80 | $144 | 0.1× |
| Skin Tissue Procedure (17999) | $168 | $240 | 0.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $182.70 | $261 | 0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $463.40 | $662 | 1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$142.10–$464.10 | $203–$663 | varies |
| Sphincterotomy anal division sphincter spx (46080) | $2,900.10 | $4,143 | 1.0× |
| Spinal puncture lumbar diagnostic (62270) range across 3 matching MRF lines |
$227.50–$522.90 | $325–$747 | varies |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $2,044.70 | $2,921 | 0.6× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $1,131.90 | $1,617 | 0.5× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) | $471.80 | $674 | 0.1× |
| Strapping knee (29530) | $118.30 | $169 | 0.9× |
| Surg tx anal fistula subq (46270) range across 2 matching MRF lines |
$359.10–$2,900.10 | $513–$4,143 | varies |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) range across 2 matching MRF lines |
$382.20–$2,454.20 | $546–$3,506 | varies |
| Tangential biopsy skin single lesion (11102) | $573.30 | $819 | 1.4× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $567 | $810 | 0.4× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) | $770.70 | $1,101 | 0.5× |
| Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) likely a partial charge, not the full procedure |
$718.20 | $1,026 | 0.1× |
| Thrombolytic Therapy Stroke (37195) | $561.88 | $802.68 | 1.7× |
| Thyroidectomy, total or complete (60240) likely a partial charge, not the full procedure |
$656.60 | $938 | 0.1× |
| Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15155) | $502.60 | $718 | 0.1× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) | $469 | $670 | 0.1× |
| Tooth extraction (41899) | $270.90 | $387 | 1.1× |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) likely a partial charge, not the full procedure |
$665 | $950 | 0.1× |
| Transrectal Drainage of Pelvic Abscess (45000) | $304.50 | $435 | 0.3× |
| Treat Fx Rad Extra-Articul (25607) likely a partial charge, not the full procedure |
$522.20 | $746 | 0.1× |
| Treat humerus fracture (23600) | $356.30 | $509 | 1.4× |
| Treat toe dislocation (28630) | $320.60 | $458 | 1.3× |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines |
$333.20–$1,593.20 | $476–$2,276 | varies |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$64.40–$86.10 | $92–$123 | varies |
| Trim skin lesions 2 to 4 (11056) | $76.30 | $109 | 0.4× |
| Trim skin lesions over 4 (11057) | $117.60 | $168 | 0.6× |
| Trimming Nondystrophic Nails Any Number (11719) | $10.50 | $15 | 0.2× |
| Trurl drainage prostatic abscess (52700) | $313.60 | $448 | 0.1× |
| Tubal ligation (58600) range across 2 matching MRF lines |
$263.90–$3,498.60 | $377–$4,998 | varies |
| Tx Gastro Intub W/Asp (43753) | $72.10 | $103 | 0.3× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) range across 2 matching MRF lines |
$228.20–$2,052.40 | $326–$2,932 | varies |
| Tx open tendon flexor toe 1 tendon spx (28232) | $281.40 | $402 | 0.2× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) | $315.70 | $451 | 0.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $489.30 | $699 | 0.7× |
| Tx superficial wound dehiscence w/packing (12021) | $118.30 | $169 | 0.3× |
| Unlisted laparoscopic procedure liver (47379) likely a partial charge, not the full procedure |
$1,593.90 | $2,277 | 0.3× |
| Unlisted laparoscopy procedure stomach (43659) unusually low: confirm this is the full procedure |
$2,167.90 | $3,097 | 0.4× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) | $3,711.40 | $5,302 | 0.6× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) likely a partial charge, not the full procedure |
$1,715 | $2,450 | 0.3× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) | $6,815.05 | $9,735.78 | 1.1× |
| Unlisted procedure anus (46999) | $1,750 | $2,500 | 1.9× |
| Unlisted procedure breast (19499) | $1,467.90 | $2,097 | 0.4× |
| Unlisted procedure colon (45399) | $1,750 | $2,500 | 1.9× |
| Unlisted Procedure Intestine (44799) | $959.70 | $1,371 | 1.1× |
| Unlisted procedure nervous system (64999) | $374.92 | $535.60 | 1.2× |
| Unlisted procedure pancreas (48999) | $1,128.77 | $1,612.53 | 1.6× |
| Unlisted Procedure Vascular Surgery (37799) | $1,006.68 | $1,438.11 | 1.6× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $1,135.73 | $1,622.47 | 1.2× |
| Vaginal Delivery After Cesarean Delivery (59612) | $660.80 | $944 | 0.2× |
| Vaginal delivery only (59409) range across 3 matching MRF lines |
$1,789.90–$2,425.50 | $2,557–$3,465 | varies |
| Vasectomy uni/bi spx w/postop semen exams (55250) range across 2 matching MRF lines |
$837.20–$2,408.70 | $1,196–$3,441 | varies |
| Venous Cutdown >1 Y/O (36425) | $53.90 | $77 | 0.1× |
| Wedge excision skin nail fold (11765) | $221.90 | $317 | 0.5× |
| Wound Prep F/N/Hf/G (15004) | $588 | $840 | 1.4× |
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.