Procedures & surgery prices at Grand Itasca Clinic and Hospital
Grand Rapids, MN · every code in this section with a posted price and a Medicare benchmark.
430 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) | $869.55 | $2,046 | 0.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$813.45–$854.25 | $1,914–$2,010 | varies |
| Anal/Urinary Muscle Study (51784) | $111.78 | $263 | 0.8× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$118.58–$145.78 | $279–$343 | varies |
| Application cast elbow finger short arm (29075) range across 5 matching MRF lines |
$125.80–$375.70 | $296–$884 | varies |
| Application finger splint static (29130) range across 2 matching MRF lines |
$61.20–$236.30 | $144–$556 | varies |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$104.55–$236.30 | $246–$556 | varies |
| Application Long Leg Splint (29505) range across 4 matching MRF lines |
$107.10–$236.30 | $252–$556 | varies |
| Application of long leg cast (29345) | $172.98 | $407 | 0.6× |
| Application of rigid total contact leg cast (29445) | $165.33 | $389 | 0.6× |
| Application Short Arm Splint Dynamic (29126) | $91.80 | $216 | 0.7× |
| Application short arm splint forearm-hand static (29125) range across 8 matching MRF lines |
$82.31–$236.30 | $193.67–$556 | varies |
| Application short leg splint calf foot (29515) range across 4 matching MRF lines |
$94.35–$354.45 | $222–$834 | varies |
| Apply long arm cast (29065) | $136.85 | $322 | 0.5× |
| Apply Multlay Comprs Lwr Leg (29581) range across 4 matching MRF lines |
$107.83–$162.57 | $253.70–$382.50 | varies |
| Apply Short Leg Cast (29405) | $118.58 | $279 | 0.4× |
| Arterial puncture (36600) range across 7 matching MRF lines |
$141.27–$147.96 | $332.40–$348.12 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 5 matching MRF lines |
$90.10–$363.38 | $212–$855 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 3 matching MRF lines |
$151.30–$753.53 | $356–$1,773 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 15 matching MRF lines |
$101.93–$561.64 | $239.81–$1,321.50 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 4 matching MRF lines |
$143.65–$344.68 | $338–$811 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 5 matching MRF lines |
$86.17–$514.47 | $202.74–$1,210.50 | varies |
| Artificial insemination intra-uterine (58322) | $121.13 | $285 | 0.6× |
| Aspirate pleura w/ imaging (32555) | $821.95 | $1,934 | 1.3× |
| Aspirate Pleura W/O Imaging (32554) | $918 | $2,160 | 1.4× |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$96.48–$101.58 | $227–$239 | varies |
| Aspiration bladder insert suprapubic catheter (51102) | $2,274.18 | $5,351 | 1.1× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$139.40–$365.50 | $328–$860 | varies |
| Biopsy Abdominal Mass (49180) | $1,838.55 | $4,326 | 1.1× |
| Biopsy bone trocar/needle deep (20225) | $1,838.55 | $4,326 | 1.1× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $1,838.55 | $4,326 | 1.1× |
| Biopsy external ear (69100) | $132.60 | $312 | 0.5× |
| Biopsy muscle percutaneous needle (20206) | $1,838.55 | $4,326 | 1.1× |
| Biopsy of lip (40490) | $156.40 | $368 | 0.6× |
| Biopsy of liver, needle; percutaneous (47000) | $1,388.90 | $3,268 | 0.8× |
| Biopsy of palate, uvula (42100) | $258.40 | $608 | 0.2× |
| Biopsy Oropharynx (42800) | $277.95 | $654 | 0.2× |
| Biopsy Tongue Anterior Two-Thirds (41100) | $269.03 | $633 | 0.5× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $167.03 | $393 | 0.2× |
| Biopsy, vestibule of mouth (40808) | $248.20 | $584 | 0.4× |
| Bladder instillation anticarcinogenic agent (51720) | $148.75 | $350 | 0.2× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$114.12–$395.25 | $268.50–$930 | varies |
| Bladder Scan (51798) range across 8 matching MRF lines |
$23.80–$82.23 | $56–$193.46 | varies |
| Blood Transfusion Service (36430) range across 15 matching MRF lines |
$71.83–$561.43 | $169–$1,321 | varies |
| Bronchoscopy W/Removal Foreign Body (31635) | $1,724.23 | $4,057 | 0.9× |
| Bx breast 1st lesion mr imag (19085) | $1,838.55 | $4,326 | 1.1× |
| Bx breast 1st lesion strtctc (19081) | $1,838.55 | $4,326 | 1.1× |
| Bx breast 1st lesion us imag (19083) range across 2 matching MRF lines |
$1,838.55–$2,757.83 | $4,326–$6,489 | varies |
| Bx Cervix (57500) | $249.48 | $587 | 0.3× |
| Bx/exc lymph node open superficial (38500) | $599.25 | $1,410 | 0.1× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) | $584.80 | $1,376 | 0.4× |
| Catheter aspiration nasotracheal spx (31720) | $324.28 | $763 | 1.4× |
| Change Cystostomy Tube Complicated (51710) | $217.60 | $512 | 0.3× |
| Change Cystostomy Tube Simple (51705) range across 3 matching MRF lines |
$131.97–$439.88 | $310.50–$1,035 | varies |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$116.88–$116.97 | $275–$275.22 | varies |
| Chemodenerv Eccrine Glands (64650) | $124.53 | $293 | 0.4× |
| Chemodenerv Musc Migraine (64615) | $646.85 | $1,522 | 2.0× |
| Chemodenerv musc neck dyston (64616) | $656.63 | $1,545 | 2.1× |
| Chest tube placement (32551) range across 4 matching MRF lines |
$1,516.40–$1,592.48 | $3,568–$3,747 | varies |
| Circumcision w/clamp/oth dev w/block (54150) | $2,269.50 | $5,340 | 1.1× |
| Cl Tx Tib Shft Fx W Manip (27752) | $1,759.08 | $4,139 | 1.1× |
| Clear outer ear canal (69200) range across 6 matching MRF lines |
$93.42–$141.53 | $219.80–$333 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $755.23 | $1,777 | 3.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) range across 2 matching MRF lines |
$719.10–$755.23 | $1,692–$1,777 | varies |
| Closed Treatment Ulnar Styloid Fracture (25650) | $265.20 | $624 | 1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $733.13 | $1,725 | 2.9× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$1,674.93–$1,759.08 | $3,941–$4,139 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $263.93 | $621 | 1.0× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $229.93 | $541 | 0.9× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $255.43 | $601 | 1.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $215.48 | $507 | 0.8× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $1,799.88 | $4,235 | 1.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $665.13 | $1,565 | 2.6× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $262.23 | $617 | 1.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $238.85 | $562 | 0.9× |
| Closed tx radial shaft fracture w/manipulation (25505) | $1,759.08 | $4,139 | 1.1× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $1,759.08 | $4,139 | 1.1× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $226.95 | $534 | 0.9× |
| Closed tx talotarsal joint dislc w/o anes (28570) | $728.45 | $1,714 | 2.9× |
| Closed tx talus fracture w/o manipulation (28430) | $226.95 | $534 | 0.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $274.13 | $645 | 1.1× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $1,496.85 | $3,522 | 0.9× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $250.75 | $590 | 1.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $238.43 | $561 | 0.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $221.85 | $522 | 0.9× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $164.90 | $388 | 0.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $1,759.08 | $4,139 | 1.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$652.14–$656.63 | $1,534.43–$1,545 | varies |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $224.83 | $529 | 0.9× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $1,688.53 | $3,973 | 1.0× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $256.28 | $603 | 1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $742.05 | $1,746 | 2.9× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $257.55 | $606 | 1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $563.98 | $1,327 | 2.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $202.30 | $476 | 0.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$264.29–$265.20 | $621.86–$624 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 4 matching MRF lines |
$789.23–$2,638.62 | $1,857–$6,208.50 | varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $1,759.08 | $4,139 | 1.1× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $168.73 | $397 | 0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $501.93 | $1,181 | 2.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $153 | $360 | 0.6× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $1,759.08 | $4,139 | 1.1× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $260.95 | $614 | 1.0× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $242.68 | $571 | 1.0× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) | $284.33 | $669 | 1.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$365.50–$383.78 | $860–$903 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$249.05–$656.63 | $586–$1,545 | varies |
| Cltx Medial Ankle Fx (27760) | $262.65 | $618 | 1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$263.50–$602.23 | $620–$1,417 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $252.88 | $595 | 1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $642.60 | $1,512 | 2.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $209.10 | $492 | 0.8× |
| Cltx post hip arthrp dislc req anes (27266) | $1,759.08 | $4,139 | 1.1× |
| Cltx post hip arthrp dislc w/o anes (27265) | $782.85 | $1,842 | 3.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $665.13 | $1,565 | 2.6× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $1,759.08 | $4,139 | 1.1× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $279.65 | $658 | 1.1× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) | $293.25 | $690 | 1.2× |
| Cltx tibial fx proximal w/o manipulation (27530) | $255.43 | $601 | 1.0× |
| Cltx tibial shaft fx w/o manipulation (27750) | $269.45 | $634 | 1.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $1,759.08 | $4,139 | 1.1× |
| Collect Blood From Catheter Venous Nos (36592) range across 2 matching MRF lines |
$56.53–$147.48 | $133–$347 | varies |
| Collection of venous blood by venipuncture (36415) range across 5 matching MRF lines |
$8.50–$25.08 | $20–$59 | varies |
| Colonoscopy Flexible With Decompression (45393) | $1,124.13 | $2,645 | 0.9× |
| Colonoscopy w/ablation (45388) | $1,124.13 | $2,645 | 0.9× |
| Colonoscopy w/submucosal inj (45381) | $1,120.73 | $2,637 | 0.9× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $213.78 | $503 | 0.7× |
| Colposcopy Cervix Endocervical Curettage (57456) | $199.33 | $469 | 0.6× |
| Colposcopy cervix upper/adjacent vagina (57452) | $149.60 | $352 | 0.7× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) range across 2 matching MRF lines |
$204.94–$206.98 | $482.20–$487 | varies |
| Colposcopy of vulva (56820) | $148.33 | $349 | 0.7× |
| Colposcopy Vulva W/Biopsy (56821) | $212.50 | $500 | 0.7× |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $1,293.70 | $3,044 | 1.0× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) | $1,412.28 | $3,323 | 1.1× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $1,120.73 | $2,637 | 0.9× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $535.08 | $1,259 | 0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 6 matching MRF lines |
$193.38–$304.73 | $455–$717 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 7 matching MRF lines |
$135.58–$227.59 | $319–$535.50 | varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $1,871.28 | $4,403 | 1.1× |
| Create Eardrum Opening (69433) range across 2 matching MRF lines |
$284.33–$426.49 | $669–$1,003.50 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 4 matching MRF lines |
$279.87–$286.88 | $658.50–$675 | varies |
| Cysto calibration dilat urtl strix/stenosis (52281) | $539.75 | $1,270 | 0.3× |
| Cysto W/Simple Removal Stone & Stent (52310) | $528.70 | $1,244 | 0.2× |
| Cystometrogram W/Vp (51728) | $359.98 | $847 | 0.5× |
| Cystometrogram W/Vp&Up (51729) | $431.38 | $1,015 | 0.6× |
| Cystourethroscopy (52000) | $339.15 | $798 | 0.5× |
| Cystourethroscopy inj chemodenervation bladder (52287) | $626.88 | $1,475 | 0.3× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $324.28 | $763 | 0.4× |
| Debride nail 1-5 (11720) | $40.80 | $96 | 0.7× |
| Debride nail 6 or more (11721) range across 5 matching MRF lines |
$48.63–$48.99 | $114.41–$115.25 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $498.95 | $1,174 | 0.3× |
| Debridement Mastoidectomy Cavity Cmplx (69222) | $298.35 | $702 | 0.5× |
| Debridement Mastoidectomy Cavity Simple (69220) range across 3 matching MRF lines |
$107.27–$162.57 | $252.40–$382.50 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$185.45–$473.88 | $436.35–$1,115 | varies |
| Declot vascular device (36593) range across 3 matching MRF lines |
$62.05–$342.98 | $146–$807 | varies |
| Destroy cerv/thor facet jnt (64633) | $2,203.63 | $5,185 | 1.1× |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$2,228.28–$3,342.42 | $5,243–$7,864.50 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 4 matching MRF lines |
$137.65–$208.25 | $323.88–$490 | varies |
| Destruction Benign Lesions 15/> (17111) | $151.30 | $356 | 0.7× |
| Destruction Lesions Vulva Simple (56501) | $338.30 | $796 | 0.2× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $236.73 | $557 | 1.1× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $258.83 | $609 | 1.2× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) | $300.48 | $707 | 0.7× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $161.50 | $380 | 0.8× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $179.35 | $422 | 0.9× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $155.98 | $367 | 0.8× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $163.20 | $384 | 0.8× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $172.55 | $406 | 0.8× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $127.50 | $300 | 0.6× |
| Destruction Premalignant Lesion 15/> (17004) | $227.38 | $535 | 0.5× |
| Destruction premalignant lesion 1st (17000) range across 3 matching MRF lines |
$95.83–$96.11 | $225.48–$226.13 | varies |
| Diagnostic sigmoidoscopy (45330) | $860.20 | $2,024 | 0.9× |
| Drain/inj small joint/bursa w/us (20604) range across 5 matching MRF lines |
$122.40–$344.68 | $288–$811 | varies |
| Drainage Mouth Roof Lesion (42000) | $381.65 | $898 | 1.6× |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$239.70–$268.60 | $564–$632 | varies |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$167.03–$244.38 | $393–$575 | varies |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$294.10–$1,838.55 | $692–$4,326 | varies |
| Drainage of hydrocele (55000) | $197.20 | $464 | 0.3× |
| Drainage of scrotal wall abscess (55100) range across 2 matching MRF lines |
$386.33–$1,838.55 | $909–$4,326 | varies |
| Draw Blood Off Venous Device (36591) range across 4 matching MRF lines |
$49.30–$147.48 | $116–$347 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $313.23 | $737 | 1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$114.75–$217.60 | $270–$512 | varies |
| Dstrj lesion anus simple surg excision (46922) | $546.55 | $1,286 | 0.2× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $158.10 | $372 | 0.8× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 2 matching MRF lines |
$1,235.05–$1,852.58 | $2,906–$4,359 | varies |
| Dx Bone Marrow Bx & Aspir (38222) | $316.20 | $744 | 0.1× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $989.40 | $2,328 | 1.4× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) range across 2 matching MRF lines |
$1,879.24–$1,887.43 | $4,421.73–$4,441 | varies |
| Egd control bleeding any (43255) | $1,887.43 | $4,441 | 1.0× |
| Egd Flexible Foreign Body Removal (43247) | $1,226.13 | $2,885 | 1.3× |
| Egd place gastrostomy tube (43246) | $1,887.43 | $4,441 | 1.0× |
| Electro-Uroflowmetry First (51741) | $14.03 | $33 | 0.1× |
| Endocervical curettage (57505) | $251.60 | $592 | 0.3× |
| Endometrial Biopsy (58100) range across 2 matching MRF lines |
$130.05–$218.03 | $306–$513 | varies |
| Endoven ther chem adhes 1st (36482) | $6,300.63 | $14,825 | 1.1× |
| Epidural Blood Patch (62273) | $762.03 | $1,793 | 1.0× |
| Evacuation of subungual hematoma (11740) | $142.80 | $336 | 1.0× |
| Exc arm/elbow les sc < 3 cm (24075) | $775.63 | $1,825 | 0.5× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $208.25 | $490 | 0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $349.35 | $822 | 0.2× |
| Exc Back Les Sc < 3 Cm (21930) | $739.50 | $1,740 | 0.4× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $339.15 | $798 | 0.5× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 3 matching MRF lines |
$361.68–$372.84 | $851–$877.25 | varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $600.95 | $1,414 | 0.4× |
| Exc Face Les Sbq 2 Cm/> (21012) | $541.88 | $1,275 | 0.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$217.60–$228.65 | $512–$538 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $267.75 | $630 | 0.4× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $291.13 | $685 | 0.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $384.63 | $905 | 0.2× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $462.83 | $1,089 | 0.3× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $227.80 | $536 | 0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $250.75 | $590 | 0.3× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $311.10 | $732 | 0.2× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) | $592.45 | $1,394 | 0.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 3 matching MRF lines |
$296.23–$1,206.15 | $697–$2,838 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $395.25 | $930 | 0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $569.50 | $1,340 | 0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $512.55 | $1,206 | 0.3× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $480.25 | $1,130 | 0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $672.78 | $1,583 | 0.4× |
| Exc thigh/knee les sc 3 cm/> (27337) | $708.05 | $1,666 | 0.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 2 matching MRF lines |
$348.08–$2,231.04 | $819–$5,249.50 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $215.05 | $506 | 0.5× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $264.78 | $623 | 0.4× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$378.22–$379.53 | $889.93–$893 | varies |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $686.80 | $1,616 | 0.2× |
| Excis Mouth Mucosa/Sub,No Repair (40810) | $393.55 | $926 | 0.1× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $458.15 | $1,078 | 0.3× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $382.08 | $899 | 0.5× |
| Excision Lesion Tongue W/O Closure (41110) | $416.08 | $979 | 0.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $329.80 | $776 | 0.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $288.58 | $679 | 0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $412.68 | $971 | 0.6× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $301.75 | $710 | 0.4× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $506.18 | $1,191 | 0.3× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $824.50 | $1,940 | 0.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $354.88 | $835 | 0.5× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $535.50 | $1,260 | 0.3× |
| Excision Multiple External Papillae/Tags Anus (46230) | $542.73 | $1,277 | 0.2× |
| Excision nasal polyp(s) simple (30110) | $413.53 | $973 | 0.3× |
| Excision of single external papilla or tag, anus (46220) | $1,573.35 | $3,702 | 1.3× |
| Excision of vaginal cyst or tumor (57135) | $445.83 | $1,049 | 0.1× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $646.85 | $1,522 | 0.4× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $739.50 | $1,740 | 0.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $583.95 | $1,374 | 0.3× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $692.75 | $1,630 | 0.2× |
| Excision/destruction intranasal lesion int appr (30117) | $1,426.73 | $3,357 | 0.4× |
| Excision/destruction lesion pharynx any method (42808) | $399.93 | $941 | 0.1× |
| External cephalic version (59412) | $3,271.23 | $7,697 | 1.0× |
| Fetal non-stress test (59025) range across 9 matching MRF lines |
$44.63–$345.53 | $105–$813 | varies |
| Fine needle aspiration without imaging guidance (10021) | $155.98 | $367 | 0.4× |
| Fluid Pressure Muscle (20950) | $759.90 | $1,788 | 1.0× |
| Fluoro exam of g/colon tube (49465) | $598.83 | $1,409 | 2.4× |
| Fna bx w/us gdn 1st les (10005) | $818.98 | $1,927 | 1.1× |
| Foreskin manipulation (54450) | $560.58 | $1,319 | 2.2× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) range across 2 matching MRF lines |
$788.38–$2,852.18 | $1,855–$6,711 | varies |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 2 matching MRF lines |
$415.65–$860.20 | $978–$2,024 | varies |
| I&d abscess peritonsillar (42700) | $381.65 | $898 | 1.6× |
| I&d abscess simple (10060) range across 6 matching MRF lines |
$138.98–$311.95 | $327–$734 | varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $3,167.10 | $7,452 | 1.1× |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$362.53–$860.20 | $853–$2,024 | varies |
| I&d pilonidal cyst complicated (10081) | $1,524.05 | $3,586 | 2.1× |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$354.88–$706.35 | $835–$1,662 | varies |
| I&d vaginal hematoma obstetrical/postpartum (57022) | $3,757.85 | $8,842 | 1.3× |
| Image Cath Fluid Peri/Retro (49406) | $1,838.55 | $4,326 | 1.1× |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$215.90–$312.38 | $508–$735 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$263.93–$436.90 | $621–$1,028 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $436.48 | $1,027 | 0.3× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$209.10–$633.68 | $492–$1,491 | varies |
| Incision and drainage of vulva or perineal abscess (56405) | $349.78 | $823 | 1.1× |
| Incision of eardrum (69420) range across 3 matching MRF lines |
$203.46–$307.28 | $478.71–$723 | varies |
| Incision of lingual frenum (frenotomy) (41010) | $368.90 | $868 | 0.2× |
| Incision of rectal abscess (46040) | $1,902.73 | $4,477 | 1.5× |
| Incisional biopsy skin single lesion (11106) | $236.98 | $557.60 | 0.3× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$1,235.05–$1,852.58 | $2,906–$4,359 | varies |
| Inj W/Fluor Eval Cv Device (36598) | $646.85 | $1,522 | 2.9× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $1,219.75 | $2,870 | 1.3× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$93.08–$139.62 | $219–$328.50 | varies |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) | $1,410.15 | $3,318 | 1.9× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $961.78 | $2,263 | 1.3× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) range across 2 matching MRF lines |
$316.63–$474.94 | $745–$1,117.50 | varies |
| Injection for identification of sentinel node (38792) | $467.08 | $1,099 | 1.1× |
| Injection single tendon origin/insertion (20551) range across 3 matching MRF lines |
$88.40–$93.08 | $208–$219 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 4 matching MRF lines |
$86.70–$327.25 | $204–$770 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$97.75–$476.85 | $230–$1,122 | varies |
| Injection therapeutic carpal tunnel (20526) | $123.68 | $291 | 0.4× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $1,291.58 | $3,039 | 1.4× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $827.05 | $1,946 | 1.1× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 4 matching MRF lines |
$130.05–$1,937.37 | $306–$4,558.50 | varies |
| Injection, anesthetic agent; vagus nerve (64408) | $123.68 | $291 | 0.4× |
| Injection, intralesional; up to and including 7 lesions (11900) | $85 | $200 | 0.4× |
| Insert Bladder Cath Complex (51703) | $150.60 | $354.33 | 1.1× |
| Insert cath pleura w/o image (32556) | $1,887.43 | $4,441 | 1.0× |
| Insert Drug Implant Device (11981) range across 2 matching MRF lines |
$107.72–$108.38 | $253.44–$255 | varies |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$2,190.61–$2,198.10 | $5,154.36–$5,172 | varies |
| Insert pessary/other device (57160) | $104.98 | $247 | 0.5× |
| Insert Temp Bladder Cath (51702) range across 5 matching MRF lines |
$79.05–$143.65 | $186–$338 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$63.75–$143.65 | $150–$338 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $1,824.53 | $4,293 | 1.1× |
| Int hrhc by ligation single hroid w/o img gdn (46945) | $2,784.60 | $6,552 | 1.0× |
| Intraoral i&d tongue/floor lingual (41000) | $646.85 | $1,522 | 1.2× |
| Intro Gastrointestinal Tube (44500) | $847.88 | $1,995 | 0.9× |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$356.59–$358.28 | $839.03–$843 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $312.38 | $735 | 1.2× |
| Laryngoscopy flexible diagnostic (31575) range across 3 matching MRF lines |
$149.98–$557.18 | $352.89–$1,311 | varies |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) | $447.95 | $1,054 | 0.2× |
| Ligation of hemorrhoids (46946) | $2,652 | $6,240 | 0.9× |
| Myelography Lumbar Injection (62304) | $766.70 | $1,804 | 0.9× |
| Myelography via lumbar injection rs&i cervical (62302) | $766.70 | $1,804 | 0.9× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $798.15 | $1,878 | 1.0× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $1,115.63 | $2,625 | 1.5× |
| N block inj intercost sng (64420) | $792.20 | $1,864 | 1.1× |
| N Block Inj Plantar Digit (64455) range across 2 matching MRF lines |
$81.60–$122.40 | $192–$288 | varies |
| N Block Inj Pudendal (64430) | $1,092.68 | $2,571 | 1.2× |
| Nasal Endoscopy Dx (31231) range across 2 matching MRF lines |
$184.88–$184.96 | $435–$435.19 | varies |
| Nasal surgery procedure (30999) | $2,600.15 | $6,118 | 10.6× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) | $420.75 | $990 | 0.2× |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) unusually low: confirm this is the full procedure |
$2,600.15 | $6,118 | 0.4× |
| Needle Biopsy Lymph Nodes (38505) | $1,838.55 | $4,326 | 1.1× |
| Neuroeltrd Stim Post Tibial (64566) | $161.16 | $379.18 | 0.5× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 7 matching MRF lines |
$655.04–$994.50 | $1,541.25–$2,340 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 4 matching MRF lines |
$1,108.40–$1,669.36 | $2,608–$3,927.90 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $753.53 | $1,773 | 1.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $796.88 | $1,875 | 1.1× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$864.45–$1,296.68 | $2,034–$3,051 | varies |
| Open Tx Distal Phalangeal Fracture Each (26765) | $3,649.05 | $8,586 | 1.1× |
| Partical Excision Bone Phalanx Toe (28124) | $787.53 | $1,853 | 0.2× |
| Penile Injection (54235) | $126.23 | $297 | 0.5× |
| Perq dev breast 1st strtctc (19283) | $773.08 | $1,819 | 1.1× |
| Perq dev breast 1st us imag (19285) range across 3 matching MRF lines |
$736.10–$847.03 | $1,732–$1,993 | varies |
| Perq device breast 1st imag (19281) | $916.30 | $2,156 | 0.5× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $8,109 | $19,080 | 1.1× |
| Perq Vertebral Augmentation (22513) | $8,109 | $19,080 | 1.1× |
| Placement of needle for intraosseous infusion (36680) | $438.60 | $1,032 | 1.0× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) | $2,784.60 | $6,552 | 1.0× |
| Punch biopsy skin single lesion (11104) range across 3 matching MRF lines |
$183.32–$375.70 | $431.32–$884 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$188.28–$384.63 | $443–$905 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 2 matching MRF lines |
$171.70–$773.08 | $404–$1,819 | varies |
| Removal foreign body foot deep (28192) | $677.45 | $1,594 | 0.4× |
| Removal Foreign Body Foot Subcutaneous (28190) | $341.28 | $803 | 0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 11 matching MRF lines |
$29.84–$123.04 | $70.20–$289.50 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 7 matching MRF lines |
$51.38–$203.37 | $120.88–$478.50 | varies |
| Removal of foreign body from pharynx (42809) | $672.35 | $1,582 | 1.5× |
| Removal of nail bed (11750) range across 5 matching MRF lines |
$205.70–$324.49 | $484–$763.50 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $119.43 | $281 | 0.6× |
| Removal subcutaneous cardiac rhythm monitor (33286) | $215.05 | $506 | 0.3× |
| Remove drug implant device (11982) | $169.58 | $399 | 0.4× |
| Remove foreign body from eye (65205) | $139.40 | $328 | 1.0× |
| Remove Intrauterine Device (58301) range across 4 matching MRF lines |
$150.88–$399.50 | $355–$940 | varies |
| Remove Nasal Foreign Body (30300) | $374.85 | $882 | 2.7× |
| Remove/Insert Drug Implant (11983) range across 2 matching MRF lines |
$214.84–$215.90 | $505.50–$508 | varies |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $680.43 | $1,601 | 0.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $712.30 | $1,676 | 0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $716.98 | $1,687 | 1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $672.35 | $1,582 | 1.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $712.30 | $1,676 | 1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 5 matching MRF lines |
$301.33–$436.90 | $709–$1,028 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$336.18–$436.90 | $791–$1,028 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$362.95–$584.80 | $854–$1,376 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $579.28 | $1,363 | 1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$303.45–$579.28 | $714–$1,363 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$331.93–$646.85 | $781–$1,522 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $712.30 | $1,676 | 0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $726.75 | $1,710 | 1.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$302.60–$478.98 | $712–$1,127 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$326.81–$436.90 | $768.94–$1,028 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
$346.38–$553.35 | $815–$1,302 | varies |
| Repair of nail bed (11760) | $712.30 | $1,676 | 0.9× |
| Replantation digit complete (20822) | $4,759.15 | $11,198 | 2.9× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $283.05 | $666 | 0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $337.45 | $794 | 0.7× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $144.08 | $339 | 1.0× |
| Rmvl fecal impaction/fb spx under anes (45915) | $1,120.73 | $2,637 | 0.9× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $770.95 | $1,814 | 0.3× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $367.63 | $865 | 0.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $377.40 | $888 | 0.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $855.95 | $2,014 | 1.3× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$225.68–$355.40 | $531–$836.21 | varies |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $273.70 | $644 | 1.3× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) range across 2 matching MRF lines |
$798.15–$838.10 | $1,878–$1,972 | varies |
| Rpr Lip Full Thickness Vermilion Only (40650) | $801.98 | $1,887 | 1.4× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $1,122 | $2,640 | 0.9× |
| Shave skin lesion 0.5 cm/< (11300) | $155.55 | $366 | 0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $141.10 | $332 | 0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $132.18 | $311 | 0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $145.78 | $343 | 0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $157.25 | $370 | 0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $206.13 | $485 | 0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $155.55 | $366 | 0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $215.90 | $508 | 0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $144.93 | $341 | 0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $211.23 | $497 | 0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $155.13 | $365 | 0.7× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $1,200.20 | $2,824 | 1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 4 matching MRF lines |
$138.98–$194.78 | $327–$458.30 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 4 matching MRF lines |
$144.08–$258.40 | $339–$608 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $258.40 | $608 | 1.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 8 matching MRF lines |
$122.81–$231.63 | $288.96–$545 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $258.40 | $608 | 1.2× |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$280.08–$280.39 | $659–$659.73 | varies |
| Skin sub graft trnk/arm/leg (15271) | $272.43 | $641 | 0.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 6 matching MRF lines |
$132.60–$258.40 | $312–$608 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $436.90 | $1,028 | 1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$416.08–$436.90 | $979–$1,028 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$788–$792.20 | $1,854.11–$1,864 | varies |
| Strapping Unna Boot (29580) range across 7 matching MRF lines |
$81.60–$358.28 | $192–$843 | varies |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) | $525.30 | $1,236 | 0.2× |
| Surg tx anal fistula subq (46270) | $867.43 | $2,041 | 0.3× |
| Tangential biopsy skin single lesion (11102) range across 4 matching MRF lines |
$122.83–$129.35 | $289–$304.35 | varies |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $388.45 | $914 | 0.2× |
| Thrombolytic Therapy Stroke (37195) range across 2 matching MRF lines |
$591.36–$595.43 | $1,391.43–$1,401 | varies |
| Treat humerus fracture (24500) | $272.85 | $642 | 1.1× |
| Treat Humerus Fracture (24505) | $1,759.08 | $4,139 | 1.1× |
| Treat humerus fracture (23600) range across 2 matching MRF lines |
$251.60–$264.35 | $592–$622 | varies |
| Treat Knuckle Dislocation (26700) | $602.23 | $1,417 | 2.4× |
| Treat Thumb Fracture (26645) | $1,572.08 | $3,699 | 0.9× |
| Treat toe dislocation (28630) | $395.68 | $931 | 1.6× |
| Treatment closed elbow dislocation w/o anes (24600) | $665.13 | $1,565 | 2.6× |
| Trim skin lesion (11055) range across 4 matching MRF lines |
$101.05–$265.20 | $237.75–$624 | varies |
| Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines |
$111.35–$111.38 | $262–$262.07 | varies |
| Trim skin lesions over 4 (11057) | $118.15 | $278 | 0.6× |
| Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$22.53–$130.90 | $53–$308 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$389.73–$712.30 | $917–$1,676 | varies |
| Unlisted procedure anus (46999) range across 2 matching MRF lines |
$348.08–$1,573.35 | $819–$3,702 | varies |
| Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$304.73–$614.55 | $717–$1,446 | varies |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $485.78 | $1,143 | 2.0× |
| Unlisted procedure stomach (43999) | $330.23 | $777 | 0.4× |
| Urine Flow Measurement (51736) | $12.75 | $30 | 0.1× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $549.95 | $1,294 | 0.3× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$221.43–$391.43 | $521–$921 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.