Procedures & surgery prices at Graham Regional Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $3,037 $3,037 3.3×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $2,806 $2,806 3.1×
Acromiopl/Acromionect Partial (23130) $3,500 $3,500 1.1×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $6,127 $6,127 3.0×
Amniocentesis diagnostic (59000)
range across 3 matching MRF lines
$250–$1,693 $250–$1,693 varies
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $9,773 $9,773 3.0×
Amputation foot transmetarsal (28805) $11,569 $11,569 3.5×
Amputation toe interphalangeal joint (28825) $11,569 $11,569 3.5×
Amputation toe metatarsophalangeal joint (28820)
range across 2 matching MRF lines
$14,372–$17,246 $14,372–$17,246 varies
Anoplasty, plastic operation for stricture; adult Facility (46700) $10,480 $10,480 3.8×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines
$35–$389 $35–$389 varies
Anoscopy W/Rmvl Foreign Body (46608) $3,268 $3,268 3.5×
Anoscopy; with biopsy, single or multiple (46606) $4,449 $4,449 3.7×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $8,369 $8,369 3.0×
Application cast elbow finger short arm (29075) $657 $657 2.3×
Application Finger Splint Dynamic (29131) $196 $196 3.3×
Application finger splint static (29130)
range across 3 matching MRF lines
$25–$196 $25–$196 varies
Application long arm splint shoulder hand (29105) $445 $445 2.7×
Application Long Leg Splint (29505)
range across 2 matching MRF lines
$55–$445 $55–$445 varies
Application of long leg cast (29345) $85 $85 0.3×
Application Short Arm Splint Dynamic (29126) $489 $489 3.7×
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines
$50–$459 $50–$459 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines
$60–$445 $60–$445 varies
Application uniplane external fixation system (20690) $20,545 $20,545 2.8×
Apply long arm cast (29065)
range across 2 matching MRF lines
$70–$657 $70–$657 varies
Apply Short Leg Cast (29405) $70 $70 0.2×
Apply short leg cast (29425)
range across 2 matching MRF lines
$75–$657 $75–$657 varies
Arterial puncture (36600) $459 $459 3.4×
Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) $25,588 $25,588 3.5×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 5 matching MRF lines
$45–$1,131 $45–$1,131 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 5 matching MRF lines
$65–$1,600 $65–$1,600 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $473 $473 1.5×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $1,121 $1,121 3.6×
Arthrodesis ankle open (27870) $8,500 $8,500 0.7×
Arthrodesis great toe metatarsophalangeal joint (28750) $25,588 $25,588 3.5×
Arthrodesis Posterior Interbody Lumbar (22630) $43,838 $43,838 1.6×
Arthrodesis Posterior/Posterolateral Lumbar (22612) $43,838 $43,838 2.5×
Arthrodesis triple (28715)
likely a partial charge, not the full procedure
$10 $10 0.0×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
likely a partial charge, not the full procedure
$7,576 $7,576 0.3×
Arthroplasty glenohumeral joint total shoulder (23472)
range across 2 matching MRF lines
$39,669–$52,892 $39,669–$52,892 varies
Arthroplasty Patella W/Prosthesis (27438) $43,838 $43,838 3.4×
Arthroplasty Radial Head W/Implant (24366) $43,568 $43,568 3.4×
Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy Facility (27443) $43,838 $43,838 3.4×
Arthroplasty, patella; without prosthesis (27437)
likely a partial charge, not the full procedure
$93 $93 0.0×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870)
range across 2 matching MRF lines
$9,734–$13,189 $9,734–$13,189 varies
Arthroscopy knee synovectomy limited spx (29875) $14,372 $14,372 4.4×
Arthroscopy shoulder distal claviculectomy (29824) $10,763 $10,763 3.3×
Arthroscopy shoulder surgical capsulorrhaphy (29806) $31,406 $31,406 4.3×
Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Facility (29860) $31,406 $31,406 4.3×
Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral… (29868) $31,406 $31,406 4.3×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $13,756 $13,756 4.2×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $13,189 $13,189 4.0×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $21,432 $21,432 2.9×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $14,372 $14,372 4.4×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $9,734 $9,734 3.0×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $31,406 $31,406 4.3×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $21,432 $21,432 2.9×
Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) $3 $3 0.0×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
range across 2 matching MRF lines
$39,669–$43,838 $39,669–$43,838 varies
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) $43,838 $43,838 3.4×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $31,406 $31,406 4.3×
Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) $43,838 $43,838 3.4×
Arthrs knee debridement/shaving artclr crtlg (29877) $9,734 $9,734 3.0×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $14,372 $14,372 4.4×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $9,650 $9,650 2.9×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines
$2,251–$3,311 $2,251–$3,311 varies
Aspirate Pleura W/O Imaging (32554)
range across 3 matching MRF lines
$2,097–$2,251 $2,097–$2,251 varies
Aspirate/Inj Ganglion Cyst (20612) $1,575 $1,575 5.1×
Aspiration Bladder Needle (51100) $176 $176 0.7×
Avulsion nail plate partial/complete simple 1 (11730)
range across 23 matching MRF lines
$201–$734 $201–$734 varies
Axillary lymphadenectomy; complete (38745) $17,798 $17,798 2.9×
Biopsy Abdominal Mass (49180) $5,281 $5,281 3.2×
Biopsy bone open superficial (20240) $4,500 $4,500 1.5×
Biopsy Bone Trocar/Needle Superficial (20220) $7,206 $7,206 4.3×
Biopsy muscle percutaneous needle (20206) $5,583 $5,583 3.4×
Biopsy of liver, needle; percutaneous (47000) $7,207 $7,207 4.3×
Biopsy soft tissue back/flank deep (21925) $5,769 $5,769 3.5×
Biopsy soft tissue neck/thorax (21550) $3,500 $3,500 2.1×
Biopsy soft tissue thigh/knee area superficial (27323)
range across 2 matching MRF lines
$1,751–$6,142 $1,751–$6,142 varies
Bladder Irrigation (51700) $744 $744 3.0×
Blepharotomy drainage abscess eyelid (67700) $1,038 $1,038 3.3×
Blood Transfusion Service (36430)
range across 17 matching MRF lines
$70–$943 $70–$943 varies
Bone Graft Any Donor Area Minor/Small (20900) $22,717 $22,717 3.1×
Bx breast 1st lesion strtctc (19081) $5,181 $5,181 3.1×
Bx breast 1st lesion us imag (19083) $5,281 $5,281 3.2×
Bx breast needle core w/o imaging guidance spx (19100) $1,168 $1,168 0.7×
Bx/exc lymph node open deep axillary node (38525) $13,545 $13,545 3.4×
Bx/exc lymph node open superficial (38500)
range across 2 matching MRF lines
$12,600–$12,679 $12,600–$12,679 varies
Canthotomy Separate Procedure (67715) $6,909 $6,909 2.9×
Carpal Tunnel Surgery (64721)
range across 2 matching MRF lines
$7,532–$10,200 $7,532–$10,200 varies
Cataract surgery complex (66982) $8,908 $8,908 3.8×
Change Cystostomy Tube Simple (51705) $511 $511 2.0×
Change of Windpipe Airway (31502) $727 $727 3.1×
Chemical Cautery Tissue (17250) $624 $624 3.1×
Chemodenerv Musc Migraine (64615) $450 $450 1.5×
Chemodenervation of internal anal sphincter (46505) $4,449 $4,449 3.7×
Chest tube placement (32551) $5,823 $5,823 3.7×
Circumcision w/clamp/oth dev w/block (54150) $7,681 $7,681 3.7×
Cl Tx Tib Shft Fx W Manip (27752) $4,839 $4,839 3.0×
Claviculectomy partial (23120) $9,650 $9,650 2.9×
Clear outer ear canal (69200) $396 $396 3.0×
Closed Rx Spontaneous Hip Disloc (27256) $859 $859 3.5×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $1,032 $1,032 4.2×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $919 $919 3.7×
Closed Treatment Sesamoid Fracture (28530) $465 $465 1.9×
Closed Treatment Sternum Fracture (21820) $770 $770 3.1×
Closed Treatment Ulnar Styloid Fracture (25650) $603 $603 2.4×
Closed tx ankle dislocation w/o anesthesia (27840) $770 $770 3.1×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $4,760 $4,760 2.9×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $770 $770 3.1×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $2,902 $2,902 11.7×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $1,032 $1,032 4.2×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $603 $603 2.4×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $1,386 $1,386 5.6×
Closed Tx Knee Dislocation W/Anesthesia (27552) $4,760 $4,760 2.9×
Closed tx knee dislocation w/o anesthesia (27550) $1,032 $1,032 4.2×
Closed tx metatarsal fracture w/o manipulation (28470) $603 $603 2.4×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $4,839 $4,839 3.0×
Closed tx patellar dislocation w/anesthesia (27562) $3,609 $3,609 14.6×
Closed tx patellar dislocation w/o anesthesia (27560) $770 $770 3.1×
Closed Tx Patellar Fracture W/O Manipulation (27520) $770 $770 3.1×
Closed tx radial head/neck fx w/manipulation (24655) $7,116 $7,116 4.4×
Closed tx radial head/neck fx w/o manipulation (24650) $603 $603 2.4×
Closed tx radial shaft fracture w/manipulation (25505) $4,760 $4,760 2.9×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $465 $465 1.9×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $4,760 $4,760 2.9×
Closed tx radial&ulnar shaft fractures w/o man (25560) $465 $465 1.9×
Closed Tx Scapular Fracture W/O Manipulation (23570) $770 $770 3.1×
Closed tx talus fracture w/o manipulation (28430) $465 $465 1.9×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $770 $770 3.1×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 2 matching MRF lines
$900–$6,500 $900–$6,500 varies
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $770 $770 3.1×
Closed tx ulnar shaft fracture w/o manipulation (25530) $465 $465 1.9×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $770 $770 3.1×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $4,760 $4,760 2.9×
Clsd tx clavicular fracture w/o manipulation (23500) $770 $770 3.1×
Clsd tx shoulder dislc w/manipulation req anes (23655) $4,760 $4,760 2.9×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $770 $770 3.1×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $4,839 $4,839 3.0×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $4,760 $4,760 2.9×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $603 $603 2.4×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $465 $465 1.9×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $4,760 $4,760 2.9×
Cltx dstl fibular fx lat malls w/manj (27788) $1,032 $1,032 4.2×
Cltx dstl fibular fx lat malls w/o manj (27786) $1,032 $1,032 4.2×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $1,032 $1,032 4.2×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $465 $465 1.9×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $603 $603 2.4×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $4,760 $4,760 2.9×
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $6,318 $6,318 3.9×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $10 $10 0.0×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $1,032 $1,032 4.2×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $770 $770 3.1×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $4,839 $4,839 3.0×
Cltx fx grt toe phlx/phlg w/manj (28495) $603 $603 2.4×
Cltx fx grt toe phlx/phlg w/o manj (28490) $465 $465 1.9×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $744 $744 3.0×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $465 $465 1.9×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $39,669 $39,669 24.6×
Cltx greater humeral tuberosity fx w/o manj (23620) $706 $706 2.8×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $4,839 $4,839 3.0×
Cltx hip dislocation traumatic req anesthesia (27252) $4,760 $4,760 2.9×
Cltx hip dislocation traumatic w/o anesthesia (27250) $770 $770 3.1×
Cltx humeral condylar fx medial/lateral w/manj (24577) $4,760 $4,760 2.9×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $770 $770 3.1×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $465 $465 1.9×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $3,609 $3,609 12.8×
Cltx iphal jt dislc w/manj w/o anes (26770) $770 $770 3.1×
Cltx Med Ankle Fx W/Mnpj (27762) $4,839 $4,839 3.0×
Cltx Medial Ankle Fx (27760) $770 $770 3.1×
Cltx metacarpal fx w/manipulation each bone (26605) $1,032 $1,032 4.2×
Cltx metacarpal fx w/o manipulation each bone (26600) $465 $465 1.9×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $744 $744 3.0×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $465 $465 1.9×
Cltx post hip arthrp dislc req anes (27266) $4,760 $4,760 2.9×
Cltx post hip arthrp dislc w/o anes (27265) $1,032 $1,032 4.2×
Cltx prox fibula/shft fx w/o manj (27780) $770 $770 3.1×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $6,318 $6,318 3.9×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $1,032 $1,032 4.2×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 3 matching MRF lines
$603–$744 $603–$744 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $4,760 $4,760 2.9×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $4,760 $4,760 2.9×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $4,760 $4,760 2.9×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $1,032 $1,032 4.2×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $4,744 $4,744 2.9×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $1,032 $1,032 4.2×
Cltx tibial fx proximal w/o manipulation (27530) $770 $770 3.1×
Cltx tibial shaft fx w/o manipulation (27750) $1,032 $1,032 4.2×
Cltx trimalleolar ankle fx w/manipulation (27818) $4,760 $4,760 2.9×
Cltx trimalleolar ankle fx w/o manipulation (27816) $1,032 $1,032 4.2×
Collection of venous blood by venipuncture (36415)
range across 5 matching MRF lines
$8–$21 $8–$21 varies
Colonoscopy w/submucosal inj (45381) $900 $900 0.7×
Complex drainage wound (10180)
range across 2 matching MRF lines
$8,278–$9,686 $8,278–$9,686 varies
Control Nasal Hemorrhage Anterior Complex (30903) $469 $469 3.5×
Control Nasal Hemorrhage Anterior Simple (30901) $459 $459 3.4×
Control oropharyngeal hemorrhage simple (42960) $1,577 $1,577 2.9×
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) $8,230 $8,230 0.6×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $4,284 $4,284 2.6×
Correction hammertoe (28285) $9,734 $9,734 3.0×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $14,372 $14,372 4.4×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) $25,588 $25,588 2.0×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) $31,406 $31,406 4.3×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $14,372 $14,372 4.4×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $31,406 $31,406 4.3×
Cross Intrinsic Transfer Each Tendon (26510) $9,773 $9,773 3.0×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $452 $452 3.4×
Curette/treat cornea (65435) $2,139 $2,139 2.1×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $2,247 $2,247 5.5×
Deb Musc/Fascia 20 Sq Cm/< (11043) $2,140 $2,140 2.9×
Debride nail 6 or more (11721) $227 $227 3.8×
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,141 $1,141 2.8×
Declot vascular device (36593) $844 $844 2.5×
Deep Muscle Biopsy (20205) $5,847 $5,847 2.0×
Delivery of placenta (59414) $8,918 $8,918 2.7×
Destroy cerv/thor facet jnt (64633) $6,815 $6,815 3.5×
Destroy lumb/sac facet jnt (64635) $6,815 $6,815 3.5×
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines
$55–$143 $55–$143 varies
Destruction by neurolytic agent, intercostal nerve (64620) $3,201 $3,201 3.6×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 2 matching MRF lines
$6,815–$8,000 $6,815–$8,000 varies
Diagnostic sigmoidoscopy (45330) $2,735 $2,735 2.9×
Dilat female urethra general/cndj spinal anes (53665) $7,315 $7,315 3.5×
Drain Cerebro Spinal Fluid (62272) $3,282 $3,282 4.6×
Drainage external ear abscess/hematoma cmplx (69005) $2,934 $2,934 1.8×
Drainage External Ear Abscess/Hematoma Simple (69000) $555 $555 0.8×
Drainage Finger Abscess Complicated (26011) $5,198 $5,198 3.1×
Drainage of finger abscess simple (26010) $555 $555 2.8×
Drainage of gum lesion (41800) $555 $555 4.2×
Drainage of hematoma/fluid (10140) $4,294 $4,294 2.6×
Drainage of mouth lesion (41017) $9,660 $9,660 2.9×
Drainage of scrotal wall abscess (55100) $4,900 $4,900 3.0×
Drainage of scrotum (54700) $9,301 $9,301 4.4×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $563 $563 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $1,141 $1,141 2.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $980 $980 4.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $624 $624 3.1×
Dstrj Lesion Anus Extensive (46924) $8,768 $8,768 3.1×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $5,488 $5,488 2.6×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $3,201 $3,201 3.6×
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $105 $105 0.1×
Egd dilation gastric/duodenal stricture (43245) $5,500 $5,500 2.9×
Egd place gastrostomy tube (43246)
range across 2 matching MRF lines
$3,100–$5,560 $3,100–$5,560 varies
Elbow arthroscopy (29830) $9,734 $9,734 3.0×
Endometrial Biopsy (58100) $158 $158 0.8×
Endoscopic plantar fasciotomy (29893) $11,569 $11,569 3.5×
Epidural Blood Patch (62273) $2,335 $2,335 3.3×
Esophagoscopy rig transoral removal foreign body (43194) $5,560 $5,560 2.9×
Evacuation of subungual hematoma (11740)
range across 8 matching MRF lines
$182–$389 $182–$389 varies
Exc abdl tum deep 5 cm/> (22901) $8,610 $8,610 3.0×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines
$125–$1,846 $125–$1,846 varies
Exc Back Les Sc < 3 Cm (21930) $4,900 $4,900 3.0×
Exc Back Tum Deep 5 Cm/> (21933) $8,663 $8,663 3.0×
Exc back tum deep < 5 cm (21932) $8,500 $8,500 2.9×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $11,603 $11,603 2.9×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $417 $417 0.6×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $2,111 $2,111 3.0×
Exc Forearm Les Sc 3 Cm/> (25071) $4,861 $4,861 2.9×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $1,828 $1,828 2.6×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $4,294 $4,294 2.6×
Exc Hand Les Sc < 1.5 Cm (26115) $4,980 $4,980 3.0×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $5,690 $5,690 3.5×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $3,100 $3,100 1.9×
Exc Rct Tum Not Incl Muscularis Propria (45171) $8,450 $8,450 3.0×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines
$1,846–$2,171 $1,846–$2,171 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $6,036 $6,036 3.6×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines
$5,198–$6,500 $5,198–$6,500 varies
Exc thigh/knee les sc 3 cm/> (27337) $8,586 $8,586 2.9×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $4,442 $4,442 3.7×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $95 $95 0.1×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $5,880 $5,880 3.5×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $8,610 $8,610 3.0×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $8,768 $8,768 3.0×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $9,400 $9,400 3.2×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $5,198 $5,198 3.1×
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) $5,500 $5,500 1.9×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $12,174 $12,174 4.2×
Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103)
likely a partial charge, not the full procedure
$7 $7 0.0×
Exchange Intraocular Lens (66986) $8,483 $8,483 3.7×
Excis Mouth Mucosa/Sub,No Repair (40810) $3,985 $3,985 1.2×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $850 $850 1.2×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $2,800 $2,800 3.9×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $20 $20 0.0×
Excision Multiple External Papillae/Tags Anus (46230) $8,228 $8,228 3.0×
Excision of hydrocele; unilateral (55040) $16,324 $16,324 4.5×
Excision of pilonidal cyst or sinus; simple (11770) $8,768 $8,768 3.0×
Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)… (23155)
likely a partial charge, not the full procedure
$76 $76 0.0×
Excision spermatocele w/wo epididymectomy (54840) $7,681 $7,681 3.7×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $4,900 $4,900 3.0×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $4,861 $4,861 2.9×
Excision, interdigital (morton) neuroma, single, each (28080) $4,802 $4,802 3.0×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $8,587 $8,587 2.9×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $4,500 $4,500 1.5×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $5,500 $5,500 3.3×
Excision/curettage cyst/tumor phalanx finger (26210) $5,690 $5,690 3.5×
Expl penetrating wound spx abdomen/flank/back (20102) $6,127 $6,127 3.0×
Explo/Drain Breast Abscess (19020) $6,140 $6,140 3.7×
Exploration of knee joint (27310) $11,569 $11,569 3.5×
Exploration penetrating wound spx chest (20101) $9,280 $9,280 4.5×
Exploration penetrating wound spx extremity (20103) $4,090 $4,090 2.5×
Exploration Penetrating Wound Spx Neck (20100) $2,994 $2,994 5.5×
Eye Surg Ant Sgmt Proc Unlisted (66999) $8,908 $8,908 3.8×
Fasciectomy Palm Only (26121) $10,133 $10,133 3.1×
Fasciotomy palmar percutaneous (26040) $5,690 $5,690 3.5×
Fetal Contraction Stress Test (59020) $455 $455 2.2×
Fetal non-stress test (59025)
range across 2 matching MRF lines
$393–$455 $393–$455 varies
Fna bx w/us gdn 1st les (10005) $2,336 $2,336 3.3×
Fusion of foot bones (28740) $25,588 $25,588 3.5×
Goniotomy (65820) $15,998 $15,998 3.9×
Hemiarthroplasty hip partial (27125)
unusually low: confirm this is the full procedure
$5,557 $5,557 0.4×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $5,759 $5,759 2.1×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $8,490 $8,490 3.0×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $8,500 $8,500 3.0×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) $8,510 $8,510 3.1×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 2 matching MRF lines
$750–$1,915 $750–$1,915 varies
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $9,351 $9,351 2.8×
I&d abscess peritonsillar (42700) $1,070 $1,070 4.5×
I&d abscess simple (10060)
range across 3 matching MRF lines
$65–$734 $65–$734 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $8,278 $8,278 2.8×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $10,480 $10,480 3.8×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $14,372 $14,372 4.4×
I&d perianal abscess superficial (46050) $2,727 $2,727 2.9×
I&d pilonidal cyst complicated (10081) $1,850 $1,850 2.6×
I&d pilonidal cyst simple (10080) $1,846 $1,846 2.6×
I&d thyroglossal duct cyst infected (60000) $4,817 $4,817 3.1×
I&d upper arm/elbow deep abscess/hematoma (23930)
range across 4 matching MRF lines
$6,140–$16,556 $6,140–$16,556 varies
Image Cath Fluid Colxn Visc (49405) $5,281 $5,281 3.2×
Image Cath Fluid Peri/Retro (49406) $5,300 $5,300 3.2×
Implant neuroelectrodes (63650) $32,483 $32,483 5.1×
Implant Spine Infusion Pump (62362) $69,621 $69,621 3.8×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) $14,044 $14,044 1.6×
Incise external hemorrhoid (46083) $734 $734 2.9×
Incise finger tendon sheath (26055) $5,975 $5,975 3.7×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines
$85–$1,006 $85–$1,006 varies
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines
$5,748–$6,140 $5,748–$6,140 varies
Incision & removal foreign body subq tiss simple (10120) $1,006 $1,006 2.5×
Incision and drainage of bartholin's gland abscess (56420) $412 $412 2.0×
Incision and drainage of vulva or perineal abscess (56405) $787 $787 2.6×
Incision bone cortex foot (28005) $11,569 $11,569 3.5×
Incision of Foot Tendon (28234) $5,145 $5,145 3.2×
Incision of rectal abscess (46040) $7,213 $7,213 6.0×
Incision&drainage bursa foot (28001) $5,748 $5,748 3.5×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $4,900 $4,900 3.0×
Initial Tx 1st Degree Burn Local Tx (16000) $624 $624 3.1×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines
$3,583–$4,264 $3,583–$4,264 varies
Inj W/Fluor Eval Cv Device (36598) $467 $467 2.2×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $3,201 $3,201 3.6×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $3,201 $3,201 3.6×
Injection 1 tendon sheath/ligament aponeurosis (20550) $635 $635 2.1×
Injection aa&/strd axillary nerve w/img gdn (64417) $3,201 $3,201 3.6×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $3,201 $3,201 3.6×
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines
$650–$2,434 $650–$2,434 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421) $3,201 $3,201 3.6×
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) $3,201 $3,201 3.6×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $2,434 $2,434 3.4×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $3,201 $3,201 3.6×
Injection Anes Agent Sphenopalatine Ganglion (64505) $350 $350 1.1×
Injection anesthetic agent suprascapular nerve (64418) $2,438 $2,438 3.4×
Injection for identification of sentinel node (38792) $1,933 $1,933 4.8×
Injection single tendon origin/insertion (20551) $473 $473 1.5×
Injection single/mlt trigger point 1/2 muscles (20552) $653 $653 2.1×
Injection single/mlt trigger point 3/> muscles (20553) $693 $693 2.2×
Injection, anesthetic agent; brachial plexus, single (64415) $3,201 $3,201 3.6×
Injection, anesthetic agent; femoral nerve, single (64447) $2,434 $2,434 3.4×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $2,078 $2,078 2.9×
Insert Bladder Cath Complex (51703) $734 $734 5.7×
Insert cath pleura w/o image (32556) $5,560 $5,560 2.9×
Insert cervical dilator (59200) $1,152 $1,152 3.8×
Insert Gastrostomy Tube Percutaneous (49440)
range across 2 matching MRF lines
$172–$5,560 $172–$5,560 varies
Insert non-tunnel cv cath (36556) $5,823 $5,823 1.8×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines
$176–$459 $176–$459 varies
Insert tunneled cv cath (36561) $12,280 $12,280 3.9×
Insert,Non-Indwelling Bladder Catheter (51701) $459 $459 3.4×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines
$6,032–$8,563 $6,032–$8,563 varies
Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) $8,483 $8,483 3.7×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $5,823 $5,823 3.7×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $9,756 $9,756 3.1×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $152,874 $152,874 4.9×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $1,890 $1,890 1.4×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,141 $1,141 2.8×
Intranasal Biopsy (30100) $1,363 $1,363 0.9×
Intubation endotracheal emergency procedure (31500) $727 $727 3.1×
Knee arthroscopy/drainage (29871) $10,133 $10,133 3.1×
Lam facetec & foramot lumbar (63047) $31,406 $31,406 4.3×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001) $44,500 $44,500 6.1×
Lap paraesoph her rpr w/mesh (43282) $38,206 $38,206 3.6×
Laparoscopy fulguration oviducts (58670) $17,256 $17,256 2.8×
Laparoscopy W/Lysis Of Adhesions (58660) $20,671 $20,671 3.4×
Laparoscopy, surgical, appendectomy (44970) $21,705 $21,705 3.6×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $20,475 $20,475 3.4×
Laparoscopy, Tubal Block (58671) $20,671 $20,671 3.4×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $20,671 $20,671 3.4×
Laps Gastric Restrictive Px Remove Device & Port (43774) $13,171 $13,171 3.4×
Late closure of wound (13160) $9,280 $9,280 2.6×
Ligamentous Reconstruction Knee Extra-Articular (27427) $43,838 $43,838 6.0×
Ligamentous reconstruction knee intra-articular (27428) $43,838 $43,838 3.4×
Low Back Disk Surgery (63030) $31,406 $31,406 4.3×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $7,116 $7,116 4.4×
Mast mod rad (19307) $18,750 $18,750 2.8×
Mastectomy partial (19301) $11,445 $11,445 2.9×
Mastectomy partial w/axillary lymphadenectomy (19302) $19,248 $19,248 2.9×
Maternity Care Procedure (59899) $872 $872 4.3×
Metatarsectomy (28140) $11,569 $11,569 3.5×
Muscle-skin graft trunk (15734) $15,630 $15,630 4.4×
N Block Inj Ilio-Ing/Hypogi (64425) $2,434 $2,434 3.4×
N block inj intercost sng (64420) $2,434 $2,434 3.4×
N Block Inj Pudendal (64430) $3,201 $3,201 3.6×
N Block Lumbar/Thoracic (64520) $3,363 $3,363 3.8×
Nasal surgery procedure (30999) $727 $727 3.1×
Nasal/Orogastric W/Tube Plmt (43752) $1,298 $1,298 2.9×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $5,107 $5,107 2.9×
Neck spine fusion (22600)
unusually low: confirm this is the full procedure
$6,383 $6,383 0.4×
Needle Biopsy Lymph Nodes (38505) $5,748 $5,748 3.5×
Needle insertion w/o injection 1 or 2 muscles (20560)
range across 2 matching MRF lines
$40–$111 $40–$111 varies
Neurectomy Popliteal (27326) $5,858 $5,858 3.0×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $7,532 $7,532 3.8×
Njx anes stellate ganglion crv sympathetic (64510) $3,363 $3,363 3.8×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $1,040 $1,040 3.4×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $11,100 $11,100 3.1×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $4,200 $4,200 4.7×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $2,434 $2,434 3.4×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines
$2,409–$2,438 $2,409–$2,438 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $4,263 $4,263 4.8×
Occipital Nerve Block (64405) $400 $400 1.3×
Open Treatment Bimalleolar Ankle Fracture (27814) $31,405 $31,405 4.3×
Open treatment calcaneal fracture (28415) $25,588 $25,588 3.5×
Open Treatment Medial Malleolus Fracture (27766) $21,432 $21,432 2.9×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $31,406 $31,406 4.3×
Open treatment of nasal fracture; uncomplicated Facility (21325) $9,351 $9,351 2.8×
Open Treatment of Ulnar Shaft Fracture (25545) $22,575 $22,575 3.1×
Open Treatment Proximal Humeral Fracture (23615) $62,479 $62,479 4.8×
Open tx carpal scaphoid navicular fracture (25628) $31,406 $31,406 4.3×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $15,000 $15,000 2.1×
Open Tx Distal Phalangeal Fracture Each (26765) $9,773 $9,773 3.0×
Open Tx Distal Tibiofibular Joint Disruption (27829) $5,500 $5,500 0.8×
Open tx interphalangeal joint dislocation (26785) $10,400 $10,400 3.2×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $3,100 $3,100 0.9×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $31,406 $31,406 4.3×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $31,406 $31,406 4.3×
Ostectomy calcaneus (28118) $14,372 $14,372 4.4×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $14,372 $14,372 4.4×
Partial Excision Distal Phalanx Finger (26236) $5,500 $5,500 3.4×
Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27071) $3,848 $3,848 1.2×
Partical Excision Bone Phalanx Toe (28124) $11,569 $11,569 3.5×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $10,133 $10,133 3.1×
Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) $10,000 $10,000 3.0×
Peri-Implant Capsulectomy Breast Complete (19371) $10,815 $10,815 2.7×
Perq dev breast 1st us imag (19285) $3,203 $3,203 4.5×
Perq device breast 1st imag (19281)
range across 5 matching MRF lines
$1,987–$4,356 $1,987–$4,356 varies
Perq skel fixj distal radial fx/epiphysl sep (25606) $10,185 $10,185 3.1×
Perq Vertebral Augmentation (22513) $25,588 $25,588 3.5×
Placement of needle for intraosseous infusion (36680) $1,298 $1,298 2.9×
Placement of seton (46020) $8,369 $8,369 3.0×
Plastic Repair Introitus (56800) $10,718 $10,718 3.3×
Proctopexy Perineal Approach (45541) $10,101 $10,101 3.6×
Prq skel fixj femoral fx prox end neck (27235) $8,104 $8,104 1.1×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines
$1,412–$1,483 $1,412–$1,483 varies
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines
$340–$1,694 $340–$1,694 varies
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) $25,588 $25,588 3.5×
Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) $2,500 $2,500 1.5×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $9,027 $9,027 4.6×
Rdctj torsion tstis w/wo fixj clat testis (54600) $10,776 $10,776 3.0×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) $31,406 $31,406 4.3×
Removal Embedded Foreign Body Eyelid (67938) $632 $632 2.0×
Removal Foreign Body Foot Complicated (28193) $6,140 $6,140 3.7×
Removal foreign body foot deep (28192) $5,748 $5,748 3.5×
Removal Foreign Body Foot Subcutaneous (28190) $2,027 $2,027 2.8×
Removal impacted cerumen irrigation/lvg unilat (69209) $196 $196 3.3×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines
$20–$30 $20–$30 varies
Removal Implant Deep (20680) $9,686 $9,686 3.3×
Removal of foreign body from pharynx (42809) $1,298 $1,298 2.9×
Removal of mammary implant material (19330) $10,815 $10,815 2.7×
Removal of nail bed (11750)
range across 6 matching MRF lines
$75–$1,412 $75–$1,412 varies
Removal of sesamoid bone (28315)
range across 2 matching MRF lines
$1,127–$14,372 $1,127–$14,372 varies
Removal of sperm cord lesion (55520) $11,813 $11,813 3.3×
Removal or bivalving full arm or full leg cast (29705)
range across 2 matching MRF lines
$30–$329 $30–$329 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200) $624 $624 3.1×
Removal Sutures/Staples Requiring Anesthesia (15851) $955 $955 0.5×
Removal, under anesthesia, of external fixation system (20694) $5,690 $5,690 3.5×
Remove Ankle Joint Lining (27626) $10,238 $10,238 3.1×
Remove drug implant device (11982) $1,298 $1,298 2.9×
Remove elbow lesion (24120) $9,850 $9,850 3.0×
Remove foreign body from eye (65235) $7,579 $7,579 3.3×
Remove foreign body from eye (65205) $389 $389 2.9×
Remove Intrauterine Device (58301) $658 $658 2.1×
Remove Nasal Foreign Body (30300) $389 $389 2.9×
Remove Skin Nerve Lesion (64774) $7,173 $7,173 3.7×
Remove Tendon Sheath Lesion (26160) $3,200 $3,200 2.0×
Renal Biopsy Perq (50200) $7,207 $7,207 4.3×
Repair Achilles Tendon (27650) $31,405 $31,405 4.3×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines
$1,367–$1,861 $1,367–$1,861 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,861 $1,861 2.5×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,861 $1,861 4.6×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines
$1,861–$2,140 $1,861–$2,140 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,861 $1,861 4.6×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,861 $1,861 4.6×
Repair complex trunk 2.6-7.5 cm (13101) $1,861 $1,861 2.5×
Repair extensor tendon finger w/o graft each (26418) $6,318 $6,318 3.9×
Repair Finger/Hand Tendon (26350) $10,400 $10,400 3.2×
Repair Hand Tendon (26410) $6,318 $6,318 3.9×
Repair initial femoral hernia, any age; reducible (49550) $12,000 $12,000 3.3×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $11,550 $11,550 3.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $874 $874 2.1×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $874 $874 2.1×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $874 $874 2.1×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,141 $1,141 2.8×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,774 $1,774 2.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $765 $765 1.9×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines
$874–$1,412 $874–$1,412 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,774 $1,774 2.4×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,495 $1,495 3.7×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $1,006 $1,006 2.5×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $1,125 $1,125 2.8×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,861 $1,861 2.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $1,141 $1,141 2.8×
Repair intermediate s/a/t/e >30.0 cm (12037) $6,127 $6,127 3.0×
Repair of metatarsals (28322) $25,588 $25,588 3.5×
Repair of nail bed (11760) $1,861 $1,861 2.5×
Repair of Ruptured Tendon (24342) $21,000 $21,000 2.9×
Repair of shoulder (23420) $22,575 $22,575 3.1×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) $11,000 $11,000 1.7×
Repair Rotator Cuff Chronic (23412) $15,000 $15,000 2.1×
Repair secondary achilles tendon w/wo graft (27654) $31,405 $31,405 4.3×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $11,569 $11,569 3.5×
Repair tongue laceration (41252) $2,994 $2,994 12.6×
Repair tongue laceration (41250) $452 $452 1.0×
Repair, primary, disrupted ligament, ankle; collateral (27695) $31,406 $31,406 4.3×
Replace duodenostomy/jejunostomy tube perq (49451) $4,126 $4,126 4.5×
Repositioning Io Lens Prosthesis Req Inc Spx (66825) $8,483 $8,483 3.7×
Repr Elbw Med Ligmnt W/Tiss (24345) $31,406 $31,406 4.3×
Resection of scrotum (55150)
range across 2 matching MRF lines
$9–$13 $9–$13 varies
Revis Elbow Arthrplsty Humeral/Ulna Compnt (24370) $50,373 $50,373 3.9×
Revis reconst shoulder joint (23473) $42,486 $42,486 3.3×
Revise ulnar nerve at wrist (64719) $6,815 $6,815 3.5×
Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) $4,747 $4,747 1.3×
Revision of knee joint (27442) $43,838 $43,838 3.4×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $32,483 $32,483 5.1×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) $36,000 $36,000 2.8×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $4,129 $4,129 2.6×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $1,298 $1,298 2.9×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $389 $389 2.9×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $1,298 $1,298 2.9×
Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) $6,251 $6,251 4.0×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)
range across 2 matching MRF lines
$8,278–$9,686 $8,278–$9,686 varies
Rmvl Lens Material Phacofragmentation Aspir (66850) $10,615 $10,615 4.6×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $23,296 $23,296 6.8×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $2,319 $2,319 3.7×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines
$868–$1,234 $868–$1,234 varies
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $15,158 $15,158 2.5×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $18,992 $18,992 5.3×
Rpr aa hernia recr 3-10 cm reducible (49615) $11,550 $11,550 1.8×
Rpr aa hrn 1st < 3 ncr/strn (49592) $12,252 $12,252 2.0×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) $21,936 $21,936 3.0×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $624 $624 3.1×
Rpr Lip Full Thickness Vermilion Only (40650) $2,994 $2,994 5.5×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $4,817 $4,817 3.1×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) $31,406 $31,406 4.3×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $11,569 $11,569 3.5×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $14,372 $14,372 4.4×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $10,400 $10,400 3.2×
Rpr Tendon Xtnsr Foot Sec W/Free Graft Ea Tendon (28210) $21,000 $21,000 2.9×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $3,310 $3,310 5.3×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $10,080 $10,080 3.1×
Sigmoidoscopy & Polypectomy (45333) $2,940 $2,940 3.1×
Simple Cystometrogram (51725) $82 $82 0.3×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $1,141 $1,141 2.8×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $624 $624 3.1×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $624 $624 3.1×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $1,555 $1,555 3.8×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $624 $624 3.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $624 $624 3.1×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $980 $980 4.9×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $624 $624 3.1×
Skin Full Grft Face/Genit/Hf (15240) $6,997 $6,997 3.4×
Skin sub graft face/nk/hf/g (15275) $5,800 $5,800 7.8×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $624 $624 3.1×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $1,141 $1,141 2.8×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $1,141 $1,141 2.8×
Spinal puncture lumbar diagnostic (62270) $2,541 $2,541 3.6×
Strapping ankle (29540) $188 $188 1.2×
Strapping elbow or wrist (29260) $188 $188 3.2×
Strapping hand/finger (29280) $188 $188 3.2×
Strapping knee (29530) $389 $389 2.9×
Strapping shoulder (29240) $389 $389 2.9×
Strapping thorax (29200) $188 $188 1.2×
Strapping toes (29550) $196 $196 3.3×
Strapping Unna Boot (29580) $481 $481 2.9×
Surg tx anal fistula subq (46270) $10,480 $10,480 3.8×
Suture of quadriceps or hamstring muscle rupture primary (27385) $26,868 $26,868 3.7×
Tenolysis flexor tendon palm&finger each tendo (26442) $43 $43 0.0×
Tenotomy Percutaneous Toe Single Tendon (28010) $5,690 $5,690 3.5×
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) $14,372 $14,372 4.4×
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure
$10 $10 0.0×
Thyroid biopsy (60100) $1,395 $1,395 2.0×
Tibial Arthroscopy/Surgery (29855) $31,406 $31,406 4.3×
Tnot elbow lateral/medial debride open tdn rpr (24359) $3,500 $3,500 1.1×
Tooth extraction (41899) $727 $727 3.1×
Total Knee Arthroplasty (27447) $43,838 $43,838 3.4×
Tracheostomy Emergency Cricothyroid Membrane (31605) $2,994 $2,994 12.6×
Tracheostomy Emergency Procedure Transtracheal (31603) $4,817 $4,817 3.1×
Tracheostomy planned (31600) $11,176 $11,176 3.4×
Translum Dil Eye Canal (66174)
range across 2 matching MRF lines
$975–$13,631 $975–$13,631 varies
Treat ankle fracture (28445) $25,588 $25,588 3.5×
Treat Big Toe Fracture (28505)
range across 2 matching MRF lines
$10,400–$11,569 $10,400–$11,569 varies
Treat Finger Fracture Each (26727) $2,500 $2,500 0.8×
Treat humerus fracture (24500)
range across 2 matching MRF lines
$18–$1,032 $18–$1,032 varies
Treat Humerus Fracture (24505) $4,760 $4,760 2.9×
Treat humerus fracture (23600) $848 $848 3.4×
Treat Kneecap Fracture (27524) $21,937 $21,937 3.0×
Treat Knuckle Dislocation (26700) $603 $603 2.4×
Treat Metatarsal Fracture (28475) $603 $603 2.4×
Treat Tail Bone Fracture (27200) $465 $465 1.9×
Treat Thumb Fracture (26645) $4,839 $4,839 3.0×
Treat thumb fracture (26665) $13,072 $13,072 4.0×
Treat toe dislocation (28630) $744 $744 3.0×
Treatment Closed Elbow Dislocation Req Anes (24605) $4,760 $4,760 2.9×
Treatment closed elbow dislocation w/o anes (24600)
range across 4 matching MRF lines
$603–$1,540 $603–$1,540 varies
Treatment of anal fissure (46940) $7,124 $7,124 2.6×
Trim skin lesion (11055) $624 $624 3.1×
Trim skin lesions over 4 (11057) $540 $540 2.7×
Tubal ligation (58600) $315 $315 0.1×
Tx Gastro Intub W/Asp (43753) $957 $957 4.4×
Tx Missed Abortion First Trimester Surgical (59820) $315 $315 0.1×
Tx open tendon flexor toe 1 tendon spx (28232) $5,690 $5,690 3.5×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $4,760 $4,760 2.9×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,861 $1,861 2.5×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $465 $465 1.9×
Unlisted laparoscopic procedure liver (47379) $17,000 $17,000 2.8×
Unlisted procedure anus (46999) $2,736 $2,736 2.9×
Unlisted Procedure Casting/Strapping (29799) $518 $518 3.2×
Unlisted Procedure Esophagus (43499) $3,236 $3,236 3.6×
Unlisted procedure forearm or wrist (25999) $1,133 $1,133 4.6×
Unlisted Procedure Male Genital System (55899) $897 $897 3.6×
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines
$935–$1,044 $935–$1,044 varies
Unlisted procedure pelvis/hip joint (27299) $885 $885 3.6×
Unlisted Procedure Rectum (45999) $2,727 $2,727 2.9×
Unlisted Procedure Tongue Floor Mouth (41599) $727 $727 3.1×
Unlisted Procedure Trachea Bronchi (31899) $3,305 $3,305 16.5×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $3,358 $3,358 3.7×
Vaginal delivery only (59409)
range across 2 matching MRF lines
$8,918–$13,116 $8,918–$13,116 varies
Vasectomy uni/bi spx w/postop semen exams (55250) $7,681 $7,681 3.7×
Vein Access Cutdown < 1 Yr (36420) $342 $342 2.6×
Venous Cutdown >1 Y/O (36425) $1,298 $1,298 2.9×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines
$512–$1,141 $512–$1,141 varies
Wedging of cast (29740) $329 $329 1.2×
Windowing of cast (29730) $329 $329 2.0×
Wrist arthroscopy (29840) $9,734 $9,734 3.0×
Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) $18,403 $18,403 3.4×

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.