Procedures & surgery prices at Grand Lake Health System
Saint Marys, OH · every code in this section with a posted price and a Medicare benchmark.
373 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) range across 4 matching MRF lines |
$174.60–$1,706.40 | $194–$1,896 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 4 matching MRF lines |
$120.60–$1,015.20 | $134–$1,128 | varies |
| Abrasion single lesion (15786) | $334.80 | $372 | 1.7× |
| Amniocentesis diagnostic (59000) | $514.80 | $572 | 0.6× |
| Amputation toe metatarsophalangeal joint (28820) | $7,671.60 | $8,524 | 2.4× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$123.30–$243.90 | $137–$271 | varies |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $447.30 | $497 | 2.8× |
| Application cast elbow finger short arm (29075) | $418.50 | $465 | 1.5× |
| Application Finger Splint Dynamic (29131) range across 3 matching MRF lines |
$152.10–$226.80 | $169–$252 | varies |
| Application finger splint static (29130) range across 7 matching MRF lines |
$115.20–$243.90 | $128–$271 | varies |
| Application long arm splint shoulder hand (29105) range across 8 matching MRF lines |
$228.60–$391.50 | $254–$435 | varies |
| Application Long Leg Splint (29505) range across 4 matching MRF lines |
$86.40–$294.30 | $96–$327 | varies |
| Application of long leg cast (29345) | $418.50 | $465 | 1.5× |
| Application of rigid total contact leg cast (29445) | $586.80 | $652 | 2.1× |
| Application Short Arm Splint Dynamic (29126) range across 3 matching MRF lines |
$228.60–$342 | $254–$380 | varies |
| Application short arm splint forearm-hand static (29125) range across 7 matching MRF lines |
$120.60–$275.40 | $134–$306 | varies |
| Application short leg splint calf foot (29515) range across 4 matching MRF lines |
$228.60–$328.50 | $254–$365 | varies |
| Apply long arm cast (29065) | $418.50 | $465 | 1.5× |
| Apply Multlay Comprs Lwr Leg (29581) range across 4 matching MRF lines |
$328.50–$655.20 | $365–$728 | varies |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$418.50–$437.40 | $465–$486 | varies |
| Apply short leg cast (29425) | $883.80 | $982 | 3.2× |
| Arterial puncture (36600) range across 4 matching MRF lines |
$24.30–$243.90 | $27–$271 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 7 matching MRF lines |
$74.70–$922.50 | $83–$1,025 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 10 matching MRF lines |
$147.60–$922.50 | $164–$1,025 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $988.20 | $1,098 | 3.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 7 matching MRF lines |
$68.40–$922.50 | $76–$1,025 | varies |
| Aspirate pleura w/ imaging (32555) range across 4 matching MRF lines |
$181.80–$1,655.10 | $202–$1,839 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 6 matching MRF lines |
$146.70–$1,015.20 | $163–$1,128 | varies |
| Aspirate/Inj Ganglion Cyst (20612) range across 3 matching MRF lines |
$125.10–$661.50 | $139–$735 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 7 matching MRF lines |
$184.50–$345.60 | $205–$384 | varies |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) | $5,580 | $6,200 | 0.5× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) | $5,580 | $6,200 | 0.9× |
| Biopsy Abdominal Mass (49180) | $2,363.40 | $2,626 | 1.4× |
| Biopsy bone open superficial (20240) | $7,764.30 | $8,627 | 2.7× |
| Biopsy bone trocar/needle deep (20225) | $2,363.40 | $2,626 | 1.4× |
| Biopsy Bone Trocar/Needle Superficial (20220) range across 3 matching MRF lines |
$2,363.40–$2,618.10 | $2,626–$2,909 | varies |
| Biopsy muscle percutaneous needle (20206) | $2,363.40 | $2,626 | 1.4× |
| Biopsy of liver, needle; percutaneous (47000) | $2,250 | $2,500 | 1.4× |
| Biopsy Pleura Percutaneous Needle (32400) | $2,196 | $2,440 | 1.3× |
| Biopsy Salivary Gland Needle (42400) | $328.50 | $365 | 0.5× |
| Biopsy soft tissue forearm&/wrist superficial (25065) range across 2 matching MRF lines |
$243.90–$2,006.10 | $271–$2,229 | varies |
| Biopsy soft tissue neck/thorax (21550) | $2,500.20 | $2,778 | 1.5× |
| Bladder instillation anticarcinogenic agent (51720) | $457.20 | $508 | 0.7× |
| Bladder Irrigation (51700) range across 3 matching MRF lines |
$343.80–$457.20 | $382–$508 | varies |
| Bladder Scan (51798) range across 4 matching MRF lines |
$96.30–$167.40 | $107–$186 | varies |
| Blood Transfusion Service (36430) | $911.70 | $1,013 | 2.1× |
| Bx breast 1st lesion strtctc (19081) | $6,020.10 | $6,689 | 3.7× |
| Bx breast 1st lesion us imag (19083) | $3,518.10 | $3,909 | 2.1× |
| Catheter aspiration nasotracheal spx (31720) | $190.80 | $212 | 0.9× |
| Change Cystostomy Tube Simple (51705) range across 3 matching MRF lines |
$107.10–$457.20 | $119–$508 | varies |
| Change of Windpipe Airway (31502) range across 2 matching MRF lines |
$56.70–$352.80 | $63–$392 | varies |
| Chemical Cautery Tissue (17250) range across 4 matching MRF lines |
$73.80–$429.30 | $82–$477 | varies |
| Chemodenerv 1 extrem 5/> mus (64644) | $1,363.50 | $1,515 | 1.9× |
| Chemodenerv 1 extremity 1-4 (64642) | $1,628.10 | $1,809 | 2.3× |
| Chemodenerv Musc Migraine (64615) | $922.50 | $1,025 | 3.0× |
| Chemodenerv musc neck dyston (64616) range across 2 matching MRF lines |
$661.50–$922.50 | $735–$1,025 | varies |
| Chemodenerv trunk musc 1-5 (64646) | $1,628.10 | $1,809 | 2.3× |
| Chemodenerv trunk musc 6/> (64647) | $1,404.90 | $1,561 | 2.0× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) range across 2 matching MRF lines |
$602.10–$990 | $669–$1,100 | varies |
| Chest tube placement (32551) range across 3 matching MRF lines |
$274.50–$2,035.80 | $305–$2,262 | varies |
| Clear outer ear canal (69200) range across 4 matching MRF lines |
$111.60–$936 | $124–$1,040 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$389.70–$621.90 | $433–$691 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$965.70–$1,929.60 | $1,073–$2,144 | varies |
| Closed tx knee dislocation w/o anesthesia (27550) range across 2 matching MRF lines |
$389.70–$828.90 | $433–$921 | varies |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) range across 2 matching MRF lines |
$1,019.70–$1,929.60 | $1,133–$2,144 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) range across 2 matching MRF lines |
$148.50–$2,452.50 | $165–$2,725 | varies |
| Closed tx patellar dislocation w/anesthesia (27562) range across 2 matching MRF lines |
$389.70–$970.20 | $433–$1,078 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$389.70–$905.40 | $433–$1,006 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$836.10–$1,929.60 | $929–$2,144 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$389.70–$396 | $433–$440 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$893.70–$1,929.60 | $993–$2,144 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 2 matching MRF lines |
$204.30–$389.70 | $227–$433 | varies |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) range across 2 matching MRF lines |
$685.80–$1,929.60 | $762–$2,144 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$958.50–$1,929.60 | $1,065–$2,144 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$389.70–$871.20 | $433–$968 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) range across 2 matching MRF lines |
$1,183.50–$1,929.60 | $1,315–$2,144 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) range across 2 matching MRF lines |
$389.70–$580.50 | $433–$645 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$389.70–$860.40 | $433–$956 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 4 matching MRF lines |
$378.90–$638.10 | $421–$709 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$389.70–$411.30 | $433–$457 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,278–$1,929.60 | $1,420–$2,144 | varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) range across 2 matching MRF lines |
$1,929.60–$1,962.90 | $2,144–$2,181 | varies |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 2 matching MRF lines |
$268.20–$389.70 | $298–$433 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 4 matching MRF lines |
$357.30–$389.70 | $397–$433 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 2 matching MRF lines |
$226.80–$389.70 | $252–$433 | varies |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 2 matching MRF lines |
$875.70–$1,929.60 | $973–$2,144 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) range across 2 matching MRF lines |
$1,475.10–$1,929.60 | $1,639–$2,144 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$389.70–$992.70 | $433–$1,103 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$265.50–$389.70 | $295–$433 | varies |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) range across 2 matching MRF lines |
$418.50–$825.30 | $465–$917 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 4 matching MRF lines |
$378.90–$577.80 | $421–$642 | varies |
| Cltx Medial Ankle Fx (27760) range across 2 matching MRF lines |
$389.70–$423 | $433–$470 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$378.90–$400.50 | $421–$445 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$389.70–$513 | $433–$570 | varies |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) range across 2 matching MRF lines |
$943.20–$1,929.60 | $1,048–$2,144 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 4 matching MRF lines |
$378.90–$766.80 | $421–$852 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines |
$389.70–$391.50 | $433–$435 | varies |
| Cltx post hip arthrp dislc req anes (27266) range across 2 matching MRF lines |
$1,163.70–$1,929.60 | $1,293–$2,144 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$389.70–$884.70 | $433–$983 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 2 matching MRF lines |
$972–$1,929.60 | $1,080–$2,144 | varies |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) range across 2 matching MRF lines |
$389.70–$745.20 | $433–$828 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 4 matching MRF lines |
$230.40–$389.70 | $256–$433 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) range across 2 matching MRF lines |
$612–$1,929.60 | $680–$2,144 | varies |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) range across 2 matching MRF lines |
$496.80–$4,127.40 | $552–$4,586 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$1,099.80–$1,929.60 | $1,222–$2,144 | varies |
| Collect Blood From Catheter Venous Nos (36592) range across 4 matching MRF lines |
$164.70–$243.90 | $183–$271 | varies |
| Collection of venous blood by venipuncture (36415) range across 4 matching MRF lines |
$26.10–$55.80 | $29–$62 | varies |
| Complex drainage wound (10180) range across 3 matching MRF lines |
$516.60–$4,419.90 | $574–$4,911 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$340.20–$412.20 | $378–$458 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 4 matching MRF lines |
$215.10–$340.20 | $239–$378 | varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $3,488.40 | $3,876 | 2.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$340.20–$646.20 | $378–$718 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) range across 3 matching MRF lines |
$352.80–$423.90 | $392–$471 | varies |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $982.80 | $1,092 | 2.4× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) range across 2 matching MRF lines |
$1,570.50–$3,235.50 | $1,745–$3,595 | varies |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) range across 3 matching MRF lines |
$475.20–$1,163.70 | $528–$1,293 | varies |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $1,570.50 | $1,745 | 2.2× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $1,219.50 | $1,355 | 1.7× |
| Debride nail 1-5 (11720) range across 5 matching MRF lines |
$96.30–$113.40 | $107–$126 | varies |
| Debride nail 6 or more (11721) | $105.30 | $117 | 1.8× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $3,364.20 | $3,738 | 2.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 4 matching MRF lines |
$165.60–$784.80 | $184–$872 | varies |
| Declot vascular device (36593) | $457.20 | $508 | 1.4× |
| Delivery of placenta (59414) | $1,475.10 | $1,639 | 0.5× |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$4,513.50–$6,719.40 | $5,015–$7,466 | varies |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$4,513.50–$6,719.40 | $5,015–$7,466 | varies |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 2 matching MRF lines |
$4,513.50–$6,719.40 | $5,015–$7,466 | varies |
| Destruction premalignant lesion 1st (17000) | $334.80 | $372 | 1.7× |
| Diagnostic sigmoidoscopy (45330) | $92.70 | $103 | 0.1× |
| Drain Hand Tendon Sheath (26020) range across 2 matching MRF lines |
$741.60–$4,127.40 | $824–$4,586 | varies |
| Drainage external auditory canal abscess (69020) range across 2 matching MRF lines |
$257.40–$1,003.50 | $286–$1,115 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 4 matching MRF lines |
$230.40–$1,003.50 | $256–$1,115 | varies |
| Drainage of finger abscess simple (26010) range across 4 matching MRF lines |
$328.50–$541.80 | $365–$602 | varies |
| Drainage of gum lesion (41800) range across 4 matching MRF lines |
$215.10–$243.90 | $239–$271 | varies |
| Drainage of hematoma/fluid (10140) range across 6 matching MRF lines |
$173.70–$4,009.50 | $193–$4,455 | varies |
| Draw Blood Off Venous Device (36591) range across 3 matching MRF lines |
$164.70–$243.90 | $183–$271 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 3 matching MRF lines |
$265.50–$784.80 | $295–$872 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 3 matching MRF lines |
$308.70–$429.30 | $343–$477 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 7 matching MRF lines |
$241.20–$429.30 | $268–$477 | varies |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 2 matching MRF lines |
$2,046.60–$2,890.80 | $2,274–$3,212 | varies |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,559.70 | $1,733 | 2.2× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) range across 2 matching MRF lines |
$397.80–$2,546.10 | $442–$2,829 | varies |
| Egd Flexible Foreign Body Removal (43247) range across 2 matching MRF lines |
$459–$1,015.20 | $510–$1,128 | varies |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) | $10,003.50 | $11,115 | 3.2× |
| Epidural Blood Patch (62273) range across 6 matching MRF lines |
$125.10–$1,557.90 | $139–$1,731 | varies |
| Escharotomy; initial incision (16035) | $501.30 | $557 | 1.2× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) | $2,903.40 | $3,226 | 3.2× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) range across 2 matching MRF lines |
$321.30–$2,546.10 | $357–$2,829 | varies |
| Evacuation of subungual hematoma (11740) range across 6 matching MRF lines |
$101.70–$243.90 | $113–$271 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 3 matching MRF lines |
$255.60–$1,163.70 | $284–$1,293 | varies |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $1,571.40 | $1,746 | 2.2× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $1,570.50 | $1,745 | 2.2× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 3 matching MRF lines |
$158.40–$2,618.10 | $176–$2,909 | varies |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 2 matching MRF lines |
$297.90–$1,540.80 | $331–$1,712 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 3 matching MRF lines |
$194.40–$608.40 | $216–$676 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 3 matching MRF lines |
$169.20–$1,570.50 | $188–$1,745 | varies |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $702 | $780 | 1.0× |
| Expl penetrating wound spx abdomen/flank/back (20102) range across 2 matching MRF lines |
$432.90–$2,304 | $481–$2,560 | varies |
| Explo/Drain Breast Abscess (19020) | $1,624.50 | $1,805 | 1.0× |
| Exploration penetrating wound spx extremity (20103) range across 2 matching MRF lines |
$978.30–$2,178.90 | $1,087–$2,421 | varies |
| External cephalic version (59412) | $1,488.60 | $1,654 | 0.5× |
| Fetal non-stress test (59025) | $313.20 | $348 | 1.6× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $2,506.50 | $2,785 | 3.6× |
| Fine needle aspiration without imaging guidance (10021) range across 3 matching MRF lines |
$308.70–$512.10 | $343–$569 | varies |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $1,630.80 | $1,812 | 2.3× |
| Fna bx w/us gdn 1st les (10005) | $1,630.80 | $1,812 | 2.3× |
| Foreskin manipulation (54450) range across 2 matching MRF lines |
$94.50–$457.20 | $105–$508 | varies |
| Guide Cathet Fluid Drainage (10030) | $3,479.40 | $3,866 | 5.0× |
| I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
$265.50–$352.80 | $295–$392 | varies |
| I&d abscess simple (10060) range across 8 matching MRF lines |
$186.30–$441 | $207–$490 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) range across 2 matching MRF lines |
$419.40–$4,092.30 | $466–$4,547 | varies |
| I&d perianal abscess superficial (46050) range across 5 matching MRF lines |
$297.90–$1,456.20 | $331–$1,618 | varies |
| I&d pilonidal cyst complicated (10081) range across 3 matching MRF lines |
$429.30–$1,163.70 | $477–$1,293 | varies |
| I&d pilonidal cyst simple (10080) range across 5 matching MRF lines |
$199.80–$1,163.70 | $222–$1,293 | varies |
| Image Cath Fluid Colxn Visc (49405) | $3,395.70 | $3,773 | 2.1× |
| Image Cath Fluid Peri/Retro (49406) | $3,395.70 | $3,773 | 2.1× |
| Image Cath Fluid Trns/Vgnl (49407) | $3,672 | $4,080 | 2.2× |
| Implant neuroelectrodes (63650) | $14,847.30 | $16,497 | 2.3× |
| Incise external hemorrhoid (46083) range across 6 matching MRF lines |
$204.30–$457.20 | $227–$508 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 7 matching MRF lines |
$404.10–$608.40 | $449–$676 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $5,722.20 | $6,358 | 2.0× |
| Incision & removal foreign body subq tiss compl (10121) range across 3 matching MRF lines |
$348.30–$2,946.60 | $387–$3,274 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 7 matching MRF lines |
$191.70–$608.40 | $213–$676 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$284.40–$289.80 | $316–$322 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$284.40–$537.30 | $316–$597 | varies |
| Incision of lingual frenum (frenotomy) (41010) | $422.10 | $469 | 0.3× |
| Incision of rectal abscess (46040) range across 3 matching MRF lines |
$1,071–$1,915.20 | $1,190–$2,128 | varies |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 2 matching MRF lines |
$378–$2,178.90 | $420–$2,421 | varies |
| Incisional biopsy skin single lesion (11106) | $1,359 | $1,510 | 1.9× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 6 matching MRF lines |
$199.80–$345.60 | $222–$384 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$2,046.60–$2,890.80 | $2,274–$3,212 | varies |
| Inj W/Fluor Eval Cv Device (36598) | $678.60 | $754 | 3.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 2 matching MRF lines |
$2,046.60–$2,890.80 | $2,274–$3,212 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $661.50 | $735 | 2.2× |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 3 matching MRF lines |
$297.90–$2,046.60 | $331–$2,274 | varies |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) range across 2 matching MRF lines |
$567–$2,090.70 | $630–$2,323 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 4 matching MRF lines |
$297.90–$2,442.60 | $331–$2,714 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 2 matching MRF lines |
$2,046.60–$2,890.80 | $2,274–$3,212 | varies |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) range across 2 matching MRF lines |
$1,557.90–$2,442.60 | $1,731–$2,714 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 4 matching MRF lines |
$297.90–$2,442.60 | $331–$2,714 | varies |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) range across 2 matching MRF lines |
$567–$2,090.70 | $630–$2,323 | varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) range across 4 matching MRF lines |
$162–$922.50 | $180–$1,025 | varies |
| Injection Anes Superior Hypogastric Plexus (64517) | $2,046.60 | $2,274 | 2.3× |
| Injection anesthetic agent suprascapular nerve (64418) range across 3 matching MRF lines |
$297.90–$1,557.90 | $331–$1,731 | varies |
| Injection single tendon origin/insertion (20551) | $661.50 | $735 | 2.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$64.80–$661.50 | $72–$735 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) | $661.50 | $735 | 2.2× |
| Injection therapeutic carpal tunnel (20526) | $661.50 | $735 | 2.2× |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 4 matching MRF lines |
$297.90–$2,890.80 | $331–$3,212 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 5 matching MRF lines |
$297.90–$1,820.70 | $331–$2,023 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 7 matching MRF lines |
$187.20–$2,442.60 | $208–$2,714 | varies |
| Ins endovas vena cava filtr (37191) | $7,812 | $8,680 | 1.4× |
| Insert Bladder Cath Complex (51703) range across 3 matching MRF lines |
$201.60–$215.10 | $224–$239 | varies |
| Insert cath pleura w/ image (32557) | $961.20 | $1,068 | 0.6× |
| Insert cervical dilator (59200) | $252 | $280 | 0.8× |
| Insert Gastrostomy Tube Percutaneous (49440) | $1,924.20 | $2,138 | 1.0× |
| Insert non-tunnel cv cath (36556) range across 5 matching MRF lines |
$274.50–$4,576.50 | $305–$5,085 | varies |
| Insert Temp Bladder Cath (51702) range across 6 matching MRF lines |
$105.30–$270 | $117–$300 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 6 matching MRF lines |
$215.10–$243.90 | $239–$271 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 3 matching MRF lines |
$290.70–$3,181.50 | $323–$3,535 | varies |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) range across 3 matching MRF lines |
$305.10–$4,576.50 | $339–$5,085 | varies |
| Insj Picc Rs&I <5 Yr (36572) | $290.70 | $323 | 0.5× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $2,035.80 | $2,262 | 1.3× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) range across 2 matching MRF lines |
$483.30–$12,631.50 | $537–$14,035 | varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 2 matching MRF lines |
$510.30–$512.10 | $567–$569 | varies |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) range across 2 matching MRF lines |
$512.10–$575.10 | $569–$639 | varies |
| Intro Gastrointestinal Tube (44500) | $657 | $730 | 0.7× |
| Intubation endotracheal emergency procedure (31500) range across 4 matching MRF lines |
$237.60–$587.70 | $264–$653 | varies |
| Laryngoscopy flexible diagnostic (31575) range across 3 matching MRF lines |
$186.30–$266.40 | $207–$296 | varies |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) | $266.40 | $296 | 0.2× |
| Late closure of wound (13160) | $3,021.30 | $3,357 | 0.9× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) range across 3 matching MRF lines |
$399.60–$4,524.30 | $444–$5,027 | varies |
| Myelography Lumbar Injection (62305) | $3,034.80 | $3,372 | 3.9× |
| Myelography Lumbar Injection (62304) | $2,320.20 | $2,578 | 3.0× |
| Myelography via lumbar injection rs&i cervical (62302) | $2,436.30 | $2,707 | 3.1× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $2,467.80 | $2,742 | 3.2× |
| N Block Inj Celiac Pelus (64530) | $2,046.60 | $2,274 | 2.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines |
$1,557.90–$2,442.60 | $1,731–$2,714 | varies |
| N block inj intercost sng (64420) | $1,557.90 | $1,731 | 2.2× |
| N Block Inj Pudendal (64430) | $2,046.60 | $2,274 | 2.3× |
| N Block Lumbar/Thoracic (64520) | $2,046.60 | $2,274 | 2.3× |
| Nasal Endoscopy Dx (31231) range across 2 matching MRF lines |
$177.30–$266.40 | $197–$296 | varies |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) | $1,917 | $2,130 | 1.1× |
| Needle Biopsy Lymph Nodes (38505) | $1,269.90 | $1,411 | 0.8× |
| Needle Biopsy Pancreas (48102) | $2,196 | $2,440 | 1.3× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $90 | $100 | 3.1× |
| Needle insertion w/o injection 3 or more muscles (20561) | $90 | $100 | 3.1× |
| Njx anes stellate ganglion crv sympathetic (64510) | $2,046.60 | $2,274 | 2.3× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 6 matching MRF lines |
$143.10–$922.50 | $159–$1,025 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $764.10 | $849 | 0.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$2,046.60–$2,890.80 | $2,274–$3,212 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,557.90 | $1,731 | 2.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,557.90 | $1,731 | 2.2× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) | $199.80 | $222 | 0.5× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) | $199.80 | $222 | 0.5× |
| Occipital Nerve Block (64405) range across 3 matching MRF lines |
$658.80–$922.50 | $732–$1,025 | varies |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) range across 2 matching MRF lines |
$1,363.50–$4,127.40 | $1,515–$4,586 | varies |
| Open Tx Distal Phalangeal Fracture Each (26765) range across 2 matching MRF lines |
$781.20–$4,127.40 | $868–$4,586 | varies |
| Partical Excision Bone Phalanx Toe (28124) | $2,357.10 | $2,619 | 0.7× |
| Percut Drain/Inject Renal Cyst (50390) | $1,767.60 | $1,964 | 2.5× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) | $8,867.70 | $9,853 | 2.8× |
| Pericardiocentesis W/Imaging (33016) range across 3 matching MRF lines |
$238.50–$2,035.80 | $265–$2,262 | varies |
| Peritoneal Lavage (49084) | $1,015.20 | $1,128 | 1.1× |
| Perq dev breast 1st us imag (19285) | $1,233.90 | $1,371 | 1.8× |
| Perq device breast 1st imag (19281) | $1,859.40 | $2,066 | 1.1× |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$264.60–$476.10 | $294–$529 | varies |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $4,267.80 | $4,742 | 2.1× |
| Plmt Nephroureteral Catheter (50433) | $4,651.20 | $5,168 | 1.3× |
| Punch biopsy skin single lesion (11104) | $747.90 | $831 | 1.9× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 10 matching MRF lines |
$191.70–$608.40 | $213–$676 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 4 matching MRF lines |
$109.80–$1,003.50 | $122–$1,115 | varies |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) range across 2 matching MRF lines |
$4,513.50–$6,719.40 | $5,015–$7,466 | varies |
| Removal Embedded Foreign Body Eyelid (67938) range across 2 matching MRF lines |
$232.20–$522.90 | $258–$581 | varies |
| Removal Foreign Body Foot Complicated (28193) range across 2 matching MRF lines |
$673.20–$2,178.90 | $748–$2,421 | varies |
| Removal foreign body foot deep (28192) range across 3 matching MRF lines |
$827.10–$2,618.10 | $919–$2,909 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 5 matching MRF lines |
$421.20–$1,003.50 | $468–$1,115 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$293.40–$2,006.10 | $326–$2,229 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 4 matching MRF lines |
$79.20–$113.40 | $88–$126 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 5 matching MRF lines |
$64.80–$233.10 | $72–$259 | varies |
| Removal Implant Deep (20680) | $3,747.60 | $4,164 | 1.3× |
| Removal of foreign body from pharynx (42809) range across 2 matching MRF lines |
$205.20–$476.10 | $228–$529 | varies |
| Removal of nail bed (11750) range across 5 matching MRF lines |
$348.30–$608.40 | $387–$676 | varies |
| Removal or bivalving full arm or full leg cast (29705) range across 2 matching MRF lines |
$72–$418.50 | $80–$465 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 6 matching MRF lines |
$130.50–$422.10 | $145–$469 | varies |
| Removal/bivalving gauntlet boot/body cast (29700) range across 4 matching MRF lines |
$63.90–$418.50 | $71–$465 | varies |
| Remove foreign body from eye (65235) range across 2 matching MRF lines |
$1,547.10–$3,080.70 | $1,719–$3,423 | varies |
| Remove foreign body from eye (65205) range across 4 matching MRF lines |
$77.40–$243.90 | $86–$271 | varies |
| Remove Nasal Foreign Body (30300) range across 4 matching MRF lines |
$215.10–$308.70 | $239–$343 | varies |
| Remove renal tube w/fluoro (50389) | $1,161 | $1,290 | 1.7× |
| Remove Shoulder Foreign Body (23330) range across 2 matching MRF lines |
$268.20–$2,178.90 | $298–$2,421 | varies |
| Remove ureter stent percut (50384) | $6,809.40 | $7,566 | 3.3× |
| Renal Biopsy Perq (50200) | $2,250 | $2,500 | 1.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$750.60–$965.70 | $834–$1,073 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$512.10–$871.20 | $569–$968 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 4 matching MRF lines |
$713.70–$1,043.10 | $793–$1,159 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$750.60–$871.20 | $834–$968 | varies |
| Repair extensor tendon finger w/o graft each (26418) range across 2 matching MRF lines |
$1,476.90–$1,929.60 | $1,641–$2,144 | varies |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) range across 2 matching MRF lines |
$1,253.70–$4,492.80 | $1,393–$4,992 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 6 matching MRF lines |
$404.10–$512.10 | $449–$569 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 6 matching MRF lines |
$412.20–$615.60 | $458–$684 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$395.10–$512.10 | $439–$569 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$347.40–$512.10 | $386–$569 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$553.50–$750.60 | $615–$834 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 4 matching MRF lines |
$319.50–$512.10 | $355–$569 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 6 matching MRF lines |
$387.90–$512.10 | $431–$569 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$352.80–$750.60 | $392–$834 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$512.10–$790.20 | $569–$878 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 6 matching MRF lines |
$320.40–$512.10 | $356–$569 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 7 matching MRF lines |
$376.20–$608.40 | $418–$676 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 4 matching MRF lines |
$401.40–$513 | $446–$570 | varies |
| Repair of nail bed (11760) range across 4 matching MRF lines |
$358.20–$750.60 | $398–$834 | varies |
| Repair tongue laceration (41250) range across 4 matching MRF lines |
$332.10–$476.10 | $369–$529 | varies |
| Replace G-J Tube Perc (49452) range across 2 matching MRF lines |
$259.20–$1,015.20 | $288–$1,128 | varies |
| Replace g/c tube perc (49450) range across 2 matching MRF lines |
$1,015.20–$1,423.80 | $1,128–$1,582 | varies |
| Reposition Venous Catheter (36597) | $2,542.50 | $2,825 | 1.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 4 matching MRF lines |
$186.30–$476.10 | $207–$529 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 4 matching MRF lines |
$215.10–$284.40 | $239–$316 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 4 matching MRF lines |
$51.30–$476.10 | $57–$529 | varies |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) range across 2 matching MRF lines |
$333–$4,092.30 | $370–$4,547 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $2,153.70 | $2,393 | 3.5× |
| Rplc Gtube No Revj Trc (43762) range across 3 matching MRF lines |
$382.50–$457.20 | $425–$508 | varies |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $2,037.60 | $2,264 | 1.3× |
| Rpr blood vessel direct lower extremity (35226) | $2,775.60 | $3,084 | 4.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$345.60–$587.70 | $384–$653 | varies |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) range across 2 matching MRF lines |
$325.80–$352.80 | $362–$392 | varies |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) range across 4 matching MRF lines |
$1,249.20–$2,203.20 | $1,388–$2,448 | varies |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$345.60–$512.10 | $384–$569 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 7 matching MRF lines |
$255.60–$345.60 | $284–$384 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 6 matching MRF lines |
$300.60–$369.90 | $334–$411 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 4 matching MRF lines |
$328.50–$441 | $365–$490 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 7 matching MRF lines |
$220.50–$345.60 | $245–$384 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$345.60–$351.90 | $384–$391 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 7 matching MRF lines |
$115.20–$412.20 | $128–$458 | varies |
| Skin sub graft face/nk/hf/g (15275) | $2,209.50 | $2,455 | 3.0× |
| Skin sub graft trnk/arm/leg (15271) | $2,209.50 | $2,455 | 3.0× |
| Skin sub grft t/arm/lg child (15273) | $6,932.70 | $7,703 | 3.4× |
| Skn sub grft f/n/hf/g child (15277) | $2,209.50 | $2,455 | 1.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 7 matching MRF lines |
$246.60–$345.60 | $274–$384 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 5 matching MRF lines |
$194.40–$608.40 | $216–$676 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$498.60–$512.10 | $554–$569 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 6 matching MRF lines |
$105.30–$1,557.90 | $117–$1,731 | varies |
| Strapping hand/finger (29280) range across 3 matching MRF lines |
$96.30–$167.40 | $107–$186 | varies |
| Strapping knee (29530) range across 3 matching MRF lines |
$215.10–$243.90 | $239–$271 | varies |
| Strapping shoulder (29240) | $243.90 | $271 | 1.8× |
| Strapping toes (29550) range across 4 matching MRF lines |
$96.30–$167.40 | $107–$186 | varies |
| Strapping Unna Boot (29580) range across 10 matching MRF lines |
$171–$493.20 | $190–$548 | varies |
| Tangential biopsy skin single lesion (11102) | $747.90 | $831 | 1.9× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $2,554.20 | $2,838 | 1.6× |
| Thrombolytic Art Therapy (37211) range across 2 matching MRF lines |
$530.10–$6,468.30 | $589–$7,187 | varies |
| Thrombolytic Therapy Stroke (37195) range across 3 matching MRF lines |
$240.30–$490.50 | $267–$545 | varies |
| Thyroid biopsy (60100) | $846 | $940 | 1.2× |
| Tracheostomy Emergency Procedure Transtracheal (31603) range across 2 matching MRF lines |
$529.20–$2,203.20 | $588–$2,448 | varies |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
$567.90–$1,929.60 | $631–$2,144 | varies |
| Treat knee fracture (27532) range across 2 matching MRF lines |
$1,109.70–$4,127.40 | $1,233–$4,586 | varies |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$389.70–$699.30 | $433–$777 | varies |
| Treat Thumb Fracture (26645) range across 2 matching MRF lines |
$646.20–$1,929.60 | $718–$2,144 | varies |
| Treat Vaginal Bleeding (57180) range across 2 matching MRF lines |
$194.40–$289.80 | $216–$322 | varies |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines |
$1,003.50–$1,929.60 | $1,115–$2,144 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$389.70–$871.20 | $433–$968 | varies |
| Trim skin lesion (11055) | $429.30 | $477 | 2.2× |
| Trim skin lesions 2 to 4 (11056) | $429.30 | $477 | 2.2× |
| Trim skin lesions over 4 (11057) | $429.30 | $477 | 2.2× |
| Trimming Nondystrophic Nails Any Number (11719) | $105.30 | $117 | 1.8× |
| Tx Gastro Intub W/Asp (43753) range across 3 matching MRF lines |
$37.80–$409.50 | $42–$455 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 5 matching MRF lines |
$319.50–$946.80 | $355–$1,052 | varies |
| Unlisted procedure anus (46999) range across 2 matching MRF lines |
$297.90–$1,161 | $331–$1,290 | varies |
| Unlisted procedure nervous system (64999) range across 9 matching MRF lines |
$111.60–$922.50 | $124–$1,025 | varies |
| Unlisted Procedure Vascular Surgery (37799) | $88.20 | $98 | 0.1× |
| Unlisted px female genital system nonobstetrical (58999) | $597.60 | $664 | 3.0× |
| Venous Cutdown >1 Y/O (36425) | $61.20 | $68 | 0.1× |
| Venous Mech Thrombectomy (37187) | $8,386.20 | $9,318 | 0.7× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$134.10–$490.50 | $149–$545 | varies |
| Wound Prep F/N/Hf/G (15004) | $1,150.20 | $1,278 | 2.9× |
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.