Procedures & surgery prices at Grant Memorial Hospital
Petersburg, WV · every code in this section with a posted price and a Medicare benchmark.
515 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 3 matching MRF lines |
$1,406.40–$1,651.20 | $1,758–$2,064 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $1,389.60 | $1,737 | 1.6× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $1,206.40 | $1,508 | 0.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $2,745.60 | $3,432 | 0.9× |
| Amputation toe interphalangeal joint (28825) range across 3 matching MRF lines |
$3,078.40–$5,014.40 | $3,848–$6,268 | varies |
| Amputation toe metatarsophalangeal joint (28820) range across 6 matching MRF lines |
$3,993.60–$5,014.40 | $4,992–$6,268 | varies |
| Amputation, leg, through tibia and fibula; (27880) | $9,651.20 | $12,064 | 1.4× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) | $6,739.20 | $8,424 | 2.1× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$102.40–$204 | $128–$255 | varies |
| Ant Vesicourethropexy/Urethropexy Smpl (51840) | $9,900.80 | $12,376 | 2.1× |
| Anterior colporraphy rpr cystocele w/cysto (57240) | $2,863.20 | $3,579 | 0.6× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$384–$428.80 | $480–$536 | varies |
| Application finger splint static (29130) | $204 | $255 | 1.6× |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$321.60–$354.40 | $402–$443 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$321.60–$354.40 | $402–$443 | varies |
| Application of long leg cast (29345) | $580.80 | $726 | 2.2× |
| Application of rigid total contact leg cast (29445) | $428.80 | $536 | 1.6× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$256–$281.60 | $320–$352 | varies |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$248.80–$354.40 | $311–$443 | varies |
| Apply long arm cast (29065) | $428.80 | $536 | 1.6× |
| Apply Multlay Comprs Lwr Leg (29581) range across 4 matching MRF lines |
$247.20–$499.20 | $309–$624 | varies |
| Apply Short Leg Cast (29405) | $428.80 | $536 | 1.6× |
| Arterial puncture (36600) range across 3 matching MRF lines |
$182.40–$547.20 | $228–$684 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 6 matching MRF lines |
$465.60–$1,053.86 | $582–$1,317.33 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 9 matching MRF lines |
$423.20–$2,470.66 | $529–$3,088.33 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$444.80–$470.40 | $556–$588 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 5 matching MRF lines |
$465.60–$931.20 | $582–$1,164 | varies |
| Arthrodesis great toe metatarsophalangeal joint (28750) | $14,661.60 | $18,327 | 2.1× |
| Arthroplasty glenohumeral joint total shoulder (23472) range across 2 matching MRF lines |
$2,706.80–$10,612.80 | $3,383.50–$13,266 | varies |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) range across 2 matching MRF lines |
$6,079.20–$6,988 | $7,599–$8,735 | varies |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) | $5,602.14 | $7,002.67 | 1.8× |
| Arthroscopy knee synovectomy limited spx (29875) range across 2 matching MRF lines |
$3,577.60–$4,659.20 | $4,472–$5,824 | varies |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) | $6,317.60 | $7,897 | 0.9× |
| Arthroscopy, knee, surgical; with lateral release (29873) | $7,867.20 | $9,834 | 2.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) | $7,654.40 | $9,568 | 2.4× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) range across 2 matching MRF lines |
$1,591.40–$3,052.26 | $1,989.25–$3,815.33 | varies |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) | $7,390.40 | $9,238 | 2.4× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) range across 2 matching MRF lines |
$1,125.20–$1,746 | $1,406.50–$2,182.50 | varies |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) unusually low: confirm this is the full procedure |
$3,400.80 | $4,251 | 0.5× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) | $5,391.83 | $6,739.79 | 0.8× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) range across 3 matching MRF lines |
$5,354.40–$16,480.80 | $6,693–$20,601 | varies |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) range across 2 matching MRF lines |
$7,527.20–$8,979.74 | $9,409–$11,224.67 | varies |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) range across 2 matching MRF lines |
$1,684.80–$6,853.60 | $2,106–$8,567 | varies |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) range across 2 matching MRF lines |
$3,411.20–$8,735.20 | $4,264–$10,919 | varies |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$961.60–$1,388 | $1,202–$1,735 | varies |
| Aspirate Pleura W/O Imaging (32554) | $973.60 | $1,217 | 1.6× |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$444.80–$470.40 | $556–$588 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$300.80–$603.20 | $376–$754 | varies |
| Biopsy Abdominal Mass (49180) | $3,464.80 | $4,331 | 2.2× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $2,531.20 | $3,164 | 1.6× |
| Biopsy muscle percutaneous needle (20206) range across 2 matching MRF lines |
$3,299.20–$3,464.80 | $4,124–$4,331 | varies |
| Biopsy nail unit (11755) range across 2 matching MRF lines |
$1,055.20–$1,085.60 | $1,319–$1,357 | varies |
| Biopsy of liver, needle; percutaneous (47000) range across 2 matching MRF lines |
$2,430.40–$2,552 | $3,038–$3,190 | varies |
| Biopsy Salivary Gland Needle (42400) | $1,108.80 | $1,386 | 1.6× |
| Biopsy soft tissue neck/thorax (21550) range across 2 matching MRF lines |
$2,430.40–$2,552 | $3,038–$3,190 | varies |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $1,411.20 | $1,764 | 1.6× |
| Bladder instillation anticarcinogenic agent (51720) | $408 | $510 | 0.6× |
| Bladder Scan (51798) range across 2 matching MRF lines |
$92–$96.80 | $115–$121 | varies |
| Blood Transfusion Service (36430) range across 2 matching MRF lines |
$293.60–$360.80 | $367–$451 | varies |
| Bx breast 1st lesion us imag (19083) range across 3 matching MRF lines |
$2,531.20–$2,883.20 | $3,164–$3,604 | varies |
| Bx/exc lymph node open deep axillary node (38525) | $3,303.20 | $4,129 | 0.9× |
| Carpal Tunnel Surgery (64721) range across 6 matching MRF lines |
$2,218.67–$5,907.20 | $2,773.34–$7,384 | varies |
| Cerclage cervix pregnancy vaginal (59320) | $2,481.60 | $3,102 | 0.8× |
| Change Cystostomy Tube Simple (51705) | $424 | $530 | 1.8× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$301.60–$308 | $377–$385 | varies |
| Chemodenerv Musc Migraine (64615) | $470.40 | $588 | 1.6× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) range across 2 matching MRF lines |
$470.40–$1,254.40 | $588–$1,568 | varies |
| Chest tube placement (32551) | $3,601.60 | $4,502 | 2.4× |
| Circumcision Neonate (54160) range across 2 matching MRF lines |
$1,068.80–$1,202.40 | $1,336–$1,503 | varies |
| Circumcision w/clamp/oth dev w/block (54150) | $1,202.40 | $1,503 | 0.6× |
| Cl Tx Scapular Fx; W Manip (23575) | $2,641.60 | $3,302 | 1.7× |
| Cl Tx Tib Shft Fx W Manip (27752) range across 2 matching MRF lines |
$2,868.80–$3,156 | $3,586–$3,945 | varies |
| Clear outer ear canal (69200) range across 4 matching MRF lines |
$200.80–$401.60 | $251–$502 | varies |
| Closed Rx Metacarpal Fx,Percut (26608) range across 3 matching MRF lines |
$2,741.60–$5,483.20 | $3,427–$6,854 | varies |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $378.40 | $473 | 1.6× |
| Closed Treatment Sesamoid Fracture (28530) | $378.40 | $473 | 1.6× |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 2 matching MRF lines |
$360–$378.40 | $450–$473 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) | $501.60 | $627 | 2.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $3,472.80 | $4,341 | 2.3× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $378.40 | $473 | 1.6× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 2 matching MRF lines |
$299.20–$378.40 | $374–$473 | varies |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) | $396 | $495 | 1.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 3 matching MRF lines |
$213.60–$378.40 | $267–$473 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $2,444 | $3,055 | 1.6× |
| Closed tx patellar dislocation w/anesthesia (27562) | $449.60 | $562 | 1.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $501.60 | $627 | 2.1× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 3 matching MRF lines |
$318.40–$378.40 | $398–$473 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) | $378.40 | $473 | 1.6× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$360–$378.40 | $450–$473 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$3,156.80–$3,472.80 | $3,946–$4,341 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $378.40 | $473 | 1.6× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $396 | $495 | 1.7× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $2,641.60 | $3,302 | 1.7× |
| Closed tx talus fracture w/o manipulation (28430) | $378.40 | $473 | 1.6× |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$336.80–$378.40 | $421–$473 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $1,747.20 | $2,184 | 1.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 3 matching MRF lines |
$456–$501.60 | $570–$627 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $2,779.20 | $3,474 | 1.8× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 3 matching MRF lines |
$378.40–$381.60 | $473–$477 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) | $420 | $525 | 1.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$305.60–$378.40 | $382–$473 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $378.40 | $473 | 1.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$336–$378.40 | $420–$473 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 3 matching MRF lines |
$2,464.80–$2,869.60 | $3,081–$3,587 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $2,641.60 | $3,302 | 1.7× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $378.40 | $473 | 1.6× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$370.40–$378.40 | $463–$473 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 3 matching MRF lines |
$196–$378.40 | $245–$473 | varies |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $2,641.60 | $3,302 | 1.7× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 2 matching MRF lines |
$325.60–$378.40 | $407–$473 | varies |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $378.40 | $473 | 1.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $670.40 | $838 | 2.8× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $438.40 | $548 | 1.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$456–$501.60 | $570–$627 | varies |
| Cltx Medial Ankle Fx (27760) | $378.40 | $473 | 1.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $378.40 | $473 | 1.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$299.20–$378.40 | $374–$473 | varies |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $2,641.60 | $3,302 | 1.7× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) | $2,641.60 | $3,302 | 1.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 4 matching MRF lines |
$360–$396 | $450–$495 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 3 matching MRF lines |
$209.60–$378.40 | $262–$473 | varies |
| Cltx post hip arthrp dislc req anes (27266) range across 3 matching MRF lines |
$2,464–$2,779.20 | $3,080–$3,474 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) range across 3 matching MRF lines |
$456–$501.60 | $570–$627 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) | $378.40 | $473 | 1.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
$456–$501.60 | $570–$627 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $2,641.60 | $3,302 | 1.7× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $2,641.60 | $3,302 | 1.7× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $378.40 | $473 | 1.6× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) | $396 | $495 | 1.7× |
| Cltx tibial fx proximal w/o manipulation (27530) | $378.40 | $473 | 1.6× |
| Cltx tibial shaft fx w/o manipulation (27750) range across 2 matching MRF lines |
$342.40–$378.40 | $428–$473 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $3,706.40 | $4,633 | 2.4× |
| Collect Blood From Catheter Venous Nos (36592) range across 2 matching MRF lines |
$204–$224 | $255–$280 | varies |
| Collection of venous blood by venipuncture (36415) | $9.60 | $12 | 1.0× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) range across 2 matching MRF lines |
$2,486.40–$3,492 | $3,108–$4,365 | varies |
| Colonoscopy w/submucosal inj (45381) range across 4 matching MRF lines |
$515.20–$851.20 | $644–$1,064 | varies |
| Colposcopy Vulva W/Biopsy (56821) | $467.20 | $584 | 1.6× |
| Combined anteroposterior colporrhaphy; (57260) range across 2 matching MRF lines |
$2,246.40–$2,359.73 | $2,808–$2,949.66 | varies |
| Conjunctivorhinostomy Insj Tube/Stent (68750) | $5,297.60 | $6,622 | 1.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $281.60 | $352 | 2.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 4 matching MRF lines |
$204–$512 | $255–$640 | varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) range across 2 matching MRF lines |
$2,114.40–$2,531.20 | $2,643–$3,164 | varies |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) | $4,409.60 | $5,512 | 1.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $281.60 | $352 | 2.2× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $363.20 | $454 | 1.6× |
| Cysto w/irrig & evac multple obstructing clots (52001) | $4,609.60 | $5,762 | 1.4× |
| Cystourethroscopy (52000) | $913.60 | $1,142 | 1.4× |
| Dcmprn perq prtl rmvl liga flavm bi 1ntrspc lmbr (62330) | $7,734.40 | $9,668 | 1.1× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 6 matching MRF lines |
$603.20–$4,825.60 | $754–$6,032 | varies |
| Debride nail 1-5 (11720) range across 3 matching MRF lines |
$87.20–$91.20 | $109–$114 | varies |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$96–$183.20 | $120–$229 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 3 matching MRF lines |
$2,432.80–$4,090.14 | $3,041–$5,112.67 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 4 matching MRF lines |
$598.40–$1,246.40 | $748–$1,558 | varies |
| Declot vascular device (36593) range across 2 matching MRF lines |
$508–$533.60 | $635–$667 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 3 matching MRF lines |
$300.80–$308 | $376–$385 | varies |
| Destruction Benign Lesions 15/> (17111) | $247.20 | $309 | 1.3× |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 6 matching MRF lines |
$1,312–$7,358.40 | $1,640–$9,198 | varies |
| Destruction premalignant lesion 1st (17000) | $308 | $385 | 1.6× |
| Diagnostic sigmoidoscopy (45330) | $739.20 | $924 | 0.8× |
| Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) | $383.20 | $479 | 1.6× |
| Dilate Urethra Stricture (53620) | $1,068.80 | $1,336 | 1.6× |
| Dilate Urethra Stricture (53600) | $383.20 | $479 | 1.6× |
| Dilation & curettage dx&/ther nonobstetric (58120) | $3,412.80 | $4,266 | 1.1× |
| Drain Cerebro Spinal Fluid (62272) | $1,595.20 | $1,994 | 2.4× |
| Drain/inj small joint/bursa w/us (20604) | $470.40 | $588 | 1.6× |
| Drainage Finger Abscess Complicated (26011) | $2,673.60 | $3,342 | 1.7× |
| Drainage of finger abscess simple (26010) range across 3 matching MRF lines |
$300.80–$308 | $376–$385 | varies |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$244–$268.80 | $305–$336 | varies |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$2,432.80–$2,531.20 | $3,041–$3,164 | varies |
| Drainage of rectal abscess (45005) | $1,946.40 | $2,433 | 1.7× |
| Drainage of scrotal wall abscess (55100) | $2,673.60 | $3,342 | 1.7× |
| Draw Blood Off Venous Device (36591) range across 2 matching MRF lines |
$204–$224 | $255–$280 | varies |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) | $840.80 | $1,051 | 1.6× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $1,160.80 | $1,451 | 1.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$308–$347.20 | $385–$434 | varies |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 6 matching MRF lines |
$437.33–$5,340.80 | $546.66–$6,676 | varies |
| Dx Bone Marrow Bx & Aspir (38222) range across 2 matching MRF lines |
$4,264–$4,477.60 | $5,330–$5,597 | varies |
| Dx Laryngoscopy Excl Nb (31525) | $2,845.60 | $3,557 | 1.7× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,142.40 | $1,428 | 1.7× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $985.60 | $1,232 | 0.5× |
| Egd Flexible Foreign Body Removal (43247) | $313.60 | $392 | 0.4× |
| Egd remove lesion snare (43251) | $1,579.20 | $1,974 | 0.9× |
| Endoscopic plantar fasciotomy (29893) | $3,933.60 | $4,917 | 1.3× |
| Epidural Blood Patch (62273) | $1,081.60 | $1,352 | 1.6× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$256–$281.60 | $320–$352 | varies |
| Exc arm/elbow les sc < 3 cm (24075) | $1,486.60 | $1,858.25 | 0.9× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 6 matching MRF lines |
$1,005.60–$2,496 | $1,257–$3,120 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$2,080–$2,531.20 | $2,600–$3,164 | varies |
| Exc back tum deep < 5 cm (21932) | $4,451.20 | $5,564 | 1.6× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 3 matching MRF lines |
$1,085.60–$3,078.40 | $1,357–$3,848 | varies |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$1,085.60–$1,664 | $1,357–$2,080 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $1,085.60 | $1,357 | 1.6× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $1,085.60 | $1,357 | 1.6× |
| Exc Forearm Tum Deep 3 Cm/> (25073) | $8,400.80 | $10,501 | 3.0× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 4 matching MRF lines |
$1,164.80–$3,089.60 | $1,456–$3,862 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 3 matching MRF lines |
$998.40–$1,085.60 | $1,248–$1,357 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 3 matching MRF lines |
$1,872–$2,531.20 | $2,340–$3,164 | varies |
| Exc Hand Les Sc < 1.5 Cm (26115) | $2,606.94 | $3,258.67 | 1.6× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) | $4,624.80 | $5,781 | 1.7× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) | $8,403.20 | $10,504 | 3.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$1,085.60–$2,632 | $1,357–$3,290 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $2,531.20 | $3,164 | 1.6× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $2,939.74 | $3,674.67 | 1.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$1,664–$2,531.20 | $2,080–$3,164 | varies |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $2,531.20 | $3,164 | 1.6× |
| Exc thigh/knee les sc 3 cm/> (27337) | $4,452 | $5,565 | 1.6× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 2 matching MRF lines |
$1,834.40–$2,163.20 | $2,293–$2,704 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 5 matching MRF lines |
$569.60–$2,068 | $712–$2,585 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 3 matching MRF lines |
$1,005.60–$4,092.53 | $1,257–$5,115.66 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$2,481.60–$2,531.20 | $3,102–$3,164 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $9,926.40 | $12,408 | 3.6× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) range across 3 matching MRF lines |
$2,246.40–$2,531.20 | $2,808–$3,164 | varies |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) | $4,452 | $5,565 | 1.6× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $1,085.60 | $1,357 | 1.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) range across 2 matching MRF lines |
$1,055.20–$1,085.60 | $1,319–$1,357 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 2 matching MRF lines |
$1,085.60–$6,073.60 | $1,357–$7,592 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 3 matching MRF lines |
$169.60–$936 | $212–$1,170 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $1,085.60 | $1,357 | 1.6× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 2 matching MRF lines |
$1,085.60–$2,579.20 | $1,357–$3,224 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $1,719.47 | $2,149.34 | 1.1× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $2,496 | $3,120 | 3.7× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $2,531.20 | $3,164 | 1.6× |
| Excision Multiple External Papillae/Tags Anus (46230) | $832 | $1,040 | 0.3× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $1,664 | $2,080 | 1.1× |
| Excision of pilonidal cyst or sinus; simple (11770) range across 2 matching MRF lines |
$4,722.40–$6,607.20 | $5,903–$8,259 | varies |
| Excision olecranon bursa (24105) | $4,492.80 | $5,616 | 1.4× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $6,890.40 | $8,613 | 2.5× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $5,657.60 | $7,072 | 2.0× |
| Excision prepatellar bursa (27340) | $4,568.80 | $5,711 | 1.5× |
| Excision spermatocele w/wo epididymectomy (54840) | $2,995.20 | $3,744 | 1.5× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $2,773.34 | $3,466.67 | 1.8× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) | $3,586.67 | $4,483.34 | 1.3× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $3,869.60 | $4,837 | 2.4× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) range across 2 matching MRF lines |
$2,973.20–$4,076.80 | $3,716.50–$5,096 | varies |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $2,828.80 | $3,536 | 1.0× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $2,359.20 | $2,949 | 1.5× |
| Exploration penetrating wound spx extremity (20103) | $2,673.60 | $3,342 | 1.7× |
| Fetal Contraction Stress Test (59020) range across 2 matching MRF lines |
$366.40–$384.80 | $458–$481 | varies |
| Fetal non-stress test (59025) range across 3 matching MRF lines |
$310.40–$384.80 | $388–$481 | varies |
| Fine needle aspiration without imaging guidance (10021) | $623.20 | $779 | 1.6× |
| Fna bx w/us gdn 1st les (10005) range across 2 matching MRF lines |
$1,085.60–$1,343.20 | $1,357–$1,679 | varies |
| Fusion Finger Joint (26860) | $6,913.60 | $8,642 | 2.2× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $5,241.60 | $6,552 | 2.0× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $1,664 | $2,080 | 0.6× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) range across 2 matching MRF lines |
$3,993.60–$4,247.20 | $4,992–$5,309 | varies |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 3 matching MRF lines |
$915.20–$1,436.80 | $1,144–$1,796 | varies |
| Hysteroscopy Biopsy (58558) range across 2 matching MRF lines |
$1,040–$1,580.80 | $1,300–$1,976 | varies |
| Hysteroscopy Endometrial Ablation (58563) | $2,579.20 | $3,224 | 0.5× |
| Hysteroscopy Removal Impacted Foreign Body (58562) | $1,747.20 | $2,184 | 0.6× |
| I&d abscess simple (10060) range across 5 matching MRF lines |
$308–$1,321.60 | $385–$1,652 | varies |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$1,425.60–$1,436.80 | $1,782–$1,796 | varies |
| I&d pilonidal cyst complicated (10081) range across 2 matching MRF lines |
$1,055.20–$1,160.80 | $1,319–$1,451 | varies |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$950.40–$1,085.60 | $1,188–$1,357 | varies |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$388.80–$408.80 | $486–$511 | varies |
| Incise finger tendon sheath (26055) range across 5 matching MRF lines |
$790.40–$2,412.80 | $988–$3,016 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 4 matching MRF lines |
$569.60–$3,744 | $712–$4,680 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $2,676.80 | $3,346 | 1.7× |
| Incision & removal foreign body subq tiss simple (10120) range across 5 matching MRF lines |
$598.40–$2,828.80 | $748–$3,536 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $432.80 | $541 | 2.2× |
| Incision and drainage of vulva or perineal abscess (56405) range across 3 matching MRF lines |
$467.20–$520 | $584–$650 | varies |
| Incision extensor tendon sheath wrist (25000) range across 3 matching MRF lines |
$1,109.33–$1,580.80 | $1,386.66–$1,976 | varies |
| Incision of Foot Tendon (28234) | $2,464 | $3,080 | 1.6× |
| Incision of rectal abscess (46040) | $2,621.60 | $3,277 | 2.3× |
| Incisional biopsy skin single lesion (11106) range across 3 matching MRF lines |
$987.20–$1,604 | $1,234–$2,005 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $1,402.40 | $1,753 | 1.7× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 5 matching MRF lines |
$423.20–$846.40 | $529–$1,058 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 3 matching MRF lines |
$1,335.20–$1,402.40 | $1,669–$1,753 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 9 matching MRF lines |
$942.93–$2,412.53 | $1,178.66–$3,015.66 | varies |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) | $1,356 | $1,695 | 1.6× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 2 matching MRF lines |
$1,038.40–$1,082.40 | $1,298–$1,353 | varies |
| Injection anesthetic agent suprascapular nerve (64418) | $1,142.40 | $1,428 | 1.7× |
| Injection medication/other subst tenon capsule (67515) | $487.20 | $609 | 1.6× |
| Injection single tendon origin/insertion (20551) | $470.40 | $588 | 1.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$423.20–$846.40 | $529–$1,058 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) | $470.40 | $588 | 1.6× |
| Injection therapeutic carpal tunnel (20526) range across 6 matching MRF lines |
$236.80–$790.40 | $296–$988 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 6 matching MRF lines |
$1,125.20–$2,706.80 | $1,406.50–$3,383.50 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 3 matching MRF lines |
$1,037.60–$2,374.13 | $1,297–$2,967.66 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 12 matching MRF lines |
$540.80–$2,552 | $676–$3,190 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $572.80 | $716 | 3.0× |
| Ins/Rep Subq Defibrillator (33270) unusually low: confirm this is the full procedure |
$14,675.20 | $18,344 | 0.5× |
| Insert 1 Electrode Pm-Defib (33216) | $4,004 | $5,005 | 0.5× |
| Insert cath pleura w/ image (32557) | $2,564 | $3,205 | 1.7× |
| Insert cath pleura w/o image (32556) | $3,290.40 | $4,113 | 1.8× |
| Insert cervical dilator (59200) | $642.40 | $803 | 2.2× |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$3,696.80–$3,736.80 | $4,621–$4,671 | varies |
| Insert Pacing Lead & Connect (33224) | $6,651.20 | $8,314 | 0.7× |
| Insert pessary/other device (57160) | $332 | $415 | 1.7× |
| Insert pulse gen dual leads (33213) | $6,651.20 | $8,314 | 0.7× |
| Insert Temp Bladder Cath (51702) range across 6 matching MRF lines |
$204–$264 | $255–$330 | varies |
| Insert tunneled cv cath (36561) range across 3 matching MRF lines |
$5,006.40–$5,602.40 | $6,258–$7,003 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$192–$204 | $240–$255 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 3 matching MRF lines |
$2,412.80–$3,437.60 | $3,016–$4,297 | varies |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $4,191.20 | $5,239 | 0.5× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $4,004 | $5,005 | 0.5× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $5,194.40 | $6,493 | 1.7× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $3,437.60 | $4,297 | 2.3× |
| Insj Subq Impltbl Dfb Elctrd (33271) | $4,004 | $5,005 | 0.5× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $3,820 | $4,775 | 1.3× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) | $4,004 | $5,005 | 0.5× |
| Intraoral i&d tongue/floor sublngl supfc (41005) | $363.20 | $454 | 1.6× |
| Intro Gastrointestinal Tube (44500) | $1,547.20 | $1,934 | 1.8× |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$408–$428.80 | $510–$536 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $401.60 | $502 | 1.7× |
| Laparoscopy fulguration oviducts (58670) | $5,840.80 | $7,301 | 1.0× |
| Laparoscopy w/rmvl adnexal structures (58661) range across 2 matching MRF lines |
$4,688.54–$6,675.20 | $5,860.67–$8,344 | varies |
| Laparoscopy, surgical, appendectomy (44970) | $8,701.60 | $10,877 | 1.5× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $8,463.20 | $10,579 | 1.5× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) | $3,577.60 | $4,472 | 0.6× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) range across 2 matching MRF lines |
$2,674.40–$3,964.63 | $3,343–$4,955.79 | varies |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) | $3,827.20 | $4,784 | 0.7× |
| Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) | $612 | $765 | 1.6× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) unusually low: confirm this is the full procedure |
$3,369.60 | $4,212 | 0.5× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) | $4,067.20 | $5,084 | 1.3× |
| Manipulation knee joint under general anesthesia (27570) | $2,481.60 | $3,102 | 1.6× |
| Maternity Care Procedure (59899) | $356 | $445 | 1.8× |
| Myelography Lumbar Injection (62305) | $1,201.60 | $1,502 | 1.6× |
| Myelography Lumbar Injection (62304) | $1,711.20 | $2,139 | 2.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 6 matching MRF lines |
$1,038.40–$4,714.66 | $1,298–$5,893.33 | varies |
| N block inj intercost sng (64420) | $1,006.66 | $1,258.33 | 1.5× |
| N Block Inj Plantar Digit (64455) range across 3 matching MRF lines |
$444.80–$889.60 | $556–$1,112 | varies |
| Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$597.60–$684.80 | $747–$856 | varies |
| Needle Biopsy Lymph Nodes (38505) range across 2 matching MRF lines |
$3,299.20–$3,464.80 | $4,124–$4,331 | varies |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) range across 2 matching MRF lines |
$348–$854.40 | $435–$1,068 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 3 matching MRF lines |
$465.60–$512.80 | $582–$641 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$1,449.60–$1,522.40 | $1,812–$1,903 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $1,355.20 | $1,694 | 1.6× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$1,417.60–$1,488.80 | $1,772–$1,861 | varies |
| Occipital Nerve Block (64405) | $487.20 | $609 | 1.7× |
| Onc pncrs DNA&mrna seq 74 (0313U) | $1,200 | $1,500 | 0.3× |
| Onc Sld Org Neo Trgt Gen Seq Dna Alys 505 Genes (0250U) | $3,600 | $4,500 | 1.2× |
| Open Repair of Rotator Cuff Acute (23410) range across 2 matching MRF lines |
$1,552–$5,975.20 | $1,940–$7,469 | varies |
| Open Treatment Bimalleolar Ankle Fracture (27814) range across 2 matching MRF lines |
$7,509.60–$9,407.20 | $9,387–$11,759 | varies |
| Open Treatment Fracture Distal Tibia & Fibula (27828) | $23,601.60 | $29,502 | 1.9× |
| Open treatment fracture distal tibia only (27827) | $12,901.60 | $16,127 | 1.0× |
| Open Treatment Humeral Condylar Fracture (24579) unusually low: confirm this is the full procedure |
$4,450.14 | $5,562.67 | 0.4× |
| Open Treatment Medial Malleolus Fracture (27766) | $7,986.40 | $9,983 | 1.1× |
| Open treatment metatarsal fracture each (28485) | $8,197.60 | $10,247 | 1.2× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) range across 2 matching MRF lines |
$12,039.20–$15,615.20 | $15,049–$19,519 | varies |
| Open Treatment of Ulnar Shaft Fracture (25545) | $5,778.40 | $7,223 | 0.8× |
| Open Treatment Proximal Humeral Fracture (23615) range across 3 matching MRF lines |
$9,401.60–$12,873.60 | $11,752–$16,092 | varies |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) | $6,079.20 | $7,599 | 1.9× |
| Open tx carpal scaphoid navicular fracture (25628) | $7,390.40 | $9,238 | 1.1× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) unusually low: confirm this is the full procedure |
$2,423.73 | $3,029.66 | 0.3× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) | $5,354.40 | $6,693 | 1.7× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $4,529.60 | $5,662 | 1.4× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) | $11,684.80 | $14,606 | 1.7× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) | $11,920 | $14,900 | 1.7× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) range across 3 matching MRF lines |
$4,648.80–$4,887.20 | $5,811–$6,109 | varies |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) | $3,933.60 | $4,917 | 0.6× |
| Ostectomy, complete excision; fifth metatarsal head (28113) range across 2 matching MRF lines |
$4,280.80–$5,014.40 | $5,351–$6,268 | varies |
| Osteochondral allograft knee open (27415) likely a partial charge, not the full procedure |
$1,684.80 | $2,106 | 0.1× |
| Partial Excision Distal Phalanx Finger (26236) | $5,241.60 | $6,552 | 3.4× |
| Partical Excision Bone Phalanx Toe (28124) range across 2 matching MRF lines |
$4,247.20–$4,530.40 | $5,309–$5,663 | varies |
| Penile Injection (54235) | $401.60 | $502 | 1.7× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) range across 2 matching MRF lines |
$3,099.20–$5,354.40 | $3,874–$6,693 | varies |
| Placement of needle for intraosseous infusion (36680) | $684.80 | $856 | 1.6× |
| Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) | $3,644 | $4,555 | 1.6× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) | $4,172 | $5,215 | 1.3× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $3,993.60 | $4,992 | 1.3× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$531.20–$623.20 | $664–$779 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$598.40–$623.20 | $748–$779 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 2 matching MRF lines |
$1,085.60–$1,220.80 | $1,357–$1,526 | varies |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) | $1,082.40 | $1,353 | 1.6× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) | $17,760.80 | $22,201 | 2.6× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) | $5,691.20 | $7,114 | 1.7× |
| Relocation Pocket Pacemaker (33222) | $2,744 | $3,430 | 1.4× |
| Removal Anal Seton Other Marker (46030) | $1,834.40 | $2,293 | 1.6× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 4 matching MRF lines |
$1,055.20–$3,680.80 | $1,319–$4,601 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $2,673.60 | $3,342 | 1.7× |
| Removal foreign body upper arm/elbow deep (24201) | $4,722.40 | $5,903 | 1.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 4 matching MRF lines |
$87.20–$174.40 | $109–$218 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 4 matching MRF lines |
$87.20–$174.40 | $109–$218 | varies |
| Removal impacted vag fb spx w/anes oth/thn local (57415) | $5,247.20 | $6,559 | 1.7× |
| Removal Implant Deep (20680) range across 4 matching MRF lines |
$2,264.80–$4,678.40 | $2,831–$5,848 | varies |
| Removal Implant Superficial Separate Procedure (20670) | $2,665.60 | $3,332 | 1.7× |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$569.60–$1,664 | $712–$2,080 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 3 matching MRF lines |
$286.40–$1,774.94 | $358–$2,218.67 | varies |
| Remove cerclage suture (59871) | $1,466.40 | $1,833 | 0.5× |
| Remove drug implant device (11982) | $1,643.20 | $2,054 | 3.8× |
| Remove foreign body from eye (65205) | $249.60 | $312 | 2.0× |
| Remove Intrauterine Device (58301) range across 3 matching MRF lines |
$467.20–$1,580.80 | $584–$1,976 | varies |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$256–$281.60 | $320–$352 | varies |
| Repair Blood Vessel Direct Hand Finger (35207) | $5,194.40 | $6,493 | 1.7× |
| Repair blood vessel direct neck (35201) | $3,397.60 | $4,247 | 0.6× |
| Repair Blood Vessel Direct Upper Extremity (35206) | $4,067.20 | $5,084 | 1.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $1,162.40 | $1,453 | 1.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$1,132.80–$1,162.40 | $1,416–$1,453 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $1,406.40 | $1,758 | 3.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $1,010.40 | $1,263 | 2.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $1,406.40 | $1,758 | 3.6× |
| Repair complex trunk 1.1-2.5 cm (13100) | $1,132.80 | $1,416 | 1.6× |
| Repair complex trunk 2.6-7.5 cm (13101) | $1,232 | $1,540 | 1.7× |
| Repair Ectropion Excision Tarsal Wedge (67916) | $3,644 | $4,555 | 1.6× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) range across 3 matching MRF lines |
$10,566.40–$13,478.40 | $13,208–$16,848 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$820.80–$970.66 | $1,026–$1,213.33 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$820.80–$903.20 | $1,026–$1,129 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $903.20 | $1,129 | 2.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $1,132.80 | $1,416 | 1.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 5 matching MRF lines |
$693.33–$1,793.33 | $866.66–$2,241.66 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$820.80–$903.20 | $1,026–$1,129 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$1,278.40–$1,406.40 | $1,598–$1,758 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 3 matching MRF lines |
$599.20–$1,386.66 | $749–$1,733.33 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 5 matching MRF lines |
$665.60–$2,481.60 | $832–$3,102 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$820.80–$1,128 | $1,026–$1,410 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $903.20 | $1,129 | 2.3× |
| Repair Laceration Palate </2 Cm (42180) | $840.80 | $1,051 | 1.6× |
| Repair lead pace-defib dual (33220) | $4,060 | $5,075 | 1.1× |
| Repair Lead Pace-Defib One (33218) | $4,060 | $5,075 | 1.1× |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$1,343.20–$5,096.80 | $1,679–$6,371 | varies |
| Repair of Ruptured Tendon (24342) range across 2 matching MRF lines |
$4,908.80–$4,992 | $6,136–$6,240 | varies |
| Repair of shoulder (23420) | $6,104.54 | $7,630.67 | 0.9× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) | $17,746.40 | $22,183 | 2.9× |
| Repair Rotator Cuff Chronic (23412) range across 2 matching MRF lines |
$2,250.40–$3,182.80 | $2,813–$3,978.50 | varies |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) | $11,787.20 | $14,734 | 1.7× |
| Replace g/c tube perc (49450) | $1,547.20 | $1,934 | 1.8× |
| Repos Previously Implanted Subq Implantable Dfb (33273) | $4,060 | $5,075 | 1.1× |
| Repr Elbw Med Ligmnt W/Tiss (24345) unusually low: confirm this is the full procedure |
$2,225.06 | $2,781.33 | 0.3× |
| Revise ulnar nerve at wrist (64719) | $4,076.80 | $5,096 | 2.2× |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) | $7,654.40 | $9,568 | 0.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 3 matching MRF lines |
$597.60–$684.80 | $747–$856 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$213.60–$248.80 | $267–$311 | varies |
| Rmvl of subq implantable defibrillator electrode (33272) | $4,060 | $5,075 | 1.1× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$2,246.40–$2,412.80 | $2,808–$3,016 | varies |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$473.60–$521.60 | $592–$652 | varies |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $5,491.20 | $6,864 | 1.6× |
| Rpr aa hernia recr 3-10 cm reducible (49615) | $6,905.60 | $8,632 | 1.1× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) | $11,315.20 | $14,144 | 2.0× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) | $6,489.60 | $8,112 | 1.1× |
| Rpr blood vessel direct lower extremity (35226) | $1,160.80 | $1,451 | 1.7× |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) | $3,644 | $4,555 | 1.6× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $840.80 | $1,051 | 1.6× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $5,354.40 | $6,693 | 1.7× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) | $470.40 | $588 | 0.5× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $1,612.80 | $2,016 | 1.4× |
| Shave skin lesion 0.5 cm/< (11300) range across 2 matching MRF lines |
$623.20–$626.40 | $779–$783 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $331.20 | $414 | 1.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 2 matching MRF lines |
$300.80–$308 | $376–$385 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) range across 2 matching MRF lines |
$308–$511.20 | $385–$639 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $308 | $385 | 1.6× |
| Shoulder Arthroscopy/Surgery (29825) | $2,551.47 | $3,189.34 | 0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) range across 2 matching MRF lines |
$314.40–$330.40 | $393–$413 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $308 | $385 | 1.6× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 2 matching MRF lines |
$582.40–$604.80 | $728–$756 | varies |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $659.20 | $824 | 1.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$397.60–$437.60 | $497–$547 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 4 matching MRF lines |
$308–$437.60 | $385–$547 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$397.60–$437.60 | $497–$547 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$397.60–$417.60 | $497–$522 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$397.60–$437.60 | $497–$547 | varies |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$1,132.80–$2,606.40 | $1,416–$3,258 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$1,132.80–$2,606.40 | $1,416–$3,258 | varies |
| Skin Tissue Procedure (17999) | $308 | $385 | 1.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 4 matching MRF lines |
$308–$740.80 | $385–$926 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$820.80–$903.20 | $1,026–$1,129 | varies |
| Spinal puncture lumbar diagnostic (62270) | $1,089.60 | $1,362 | 1.6× |
| Strapping ankle (29540) range across 4 matching MRF lines |
$247.20–$494.40 | $309–$618 | varies |
| Strapping toes (29550) | $91.20 | $114 | 1.6× |
| Strapping Unna Boot (29580) range across 4 matching MRF lines |
$247.20–$499.20 | $309–$624 | varies |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) | $4,530.40 | $5,663 | 1.7× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) | $4,160 | $5,200 | 0.6× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) | $9,178.40 | $11,473 | 1.3× |
| Tangential biopsy skin single lesion (11102) range across 3 matching MRF lines |
$300.80–$887.46 | $376–$1,109.33 | varies |
| Tenodesis long tendon biceps (23430) range across 2 matching MRF lines |
$3,104–$12,726.40 | $3,880–$15,908 | varies |
| Tenotomy Percutaneous Toe Single Tendon (28010) range across 3 matching MRF lines |
$2,464.80–$3,156 | $3,081–$3,945 | varies |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) range across 3 matching MRF lines |
$2,464–$3,528 | $3,080–$4,410 | varies |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) | $10,131.20 | $12,664 | 0.8× |
| Thrombolytic Therapy Stroke (37195) range across 2 matching MRF lines |
$497.60–$548 | $622–$685 | varies |
| Thyroid biopsy (60100) | $1,108.80 | $1,386 | 1.6× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) | $2,013.34 | $2,516.67 | 0.6× |
| Total Knee Arthroplasty (27447) range across 3 matching MRF lines |
$10,708.80–$12,493.60 | $13,386–$15,617 | varies |
| Tracheostoma revj smpl w/o flap rotation (31613) | $5,080.80 | $6,351 | 1.6× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $383.20 | $479 | 1.7× |
| Tracheostomy planned (31600) | $5,080.80 | $6,351 | 1.6× |
| Transplant hand tendon (26480) | $4,529.60 | $5,662 | 1.4× |
| Treat ectopic pregnancy (59151) range across 2 matching MRF lines |
$3,744–$5,663.20 | $4,680–$7,079 | varies |
| Treat Finger Fracture Each (26727) range across 2 matching MRF lines |
$1,271.46–$3,814.40 | $1,589.33–$4,768 | varies |
| Treat Fx Rad Extra-Articul (25607) range across 3 matching MRF lines |
$7,390.40–$17,522.40 | $9,238–$21,903 | varies |
| Treat humerus fracture (24500) | $378.40 | $473 | 1.6× |
| Treat humerus fracture (23600) range across 2 matching MRF lines |
$332.80–$378.40 | $416–$473 | varies |
| Treat Kneecap Fracture (27524) range across 2 matching MRF lines |
$5,960–$14,423.20 | $7,450–$18,029 | varies |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$360–$396 | $450–$495 | varies |
| Treat thumb fracture (26665) | $4,291.20 | $5,364 | 1.4× |
| Treat toe dislocation (28630) | $396 | $495 | 1.7× |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$456–$501.60 | $570–$627 | varies |
| Trim skin lesion (11055) range across 3 matching MRF lines |
$286.40–$308 | $358–$385 | varies |
| Trim skin lesions 2 to 4 (11056) range across 3 matching MRF lines |
$308–$840 | $385–$1,050 | varies |
| Trim skin lesions over 4 (11057) range across 2 matching MRF lines |
$308–$315.20 | $385–$394 | varies |
| Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$87.20–$91.20 | $109–$114 | varies |
| Tx Gastro Intub W/Asp (43753) | $679.20 | $849 | 3.3× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $2,030.40 | $2,538 | 0.7× |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) | $8,582.40 | $10,728 | 1.2× |
| Tx Missed Abortion First Trimester Surgical (59820) | $2,256 | $2,820 | 0.7× |
| Tx open tendon flexor toe 1 tendon spx (28232) | $3,600 | $4,500 | 2.3× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $2,641.60 | $3,302 | 1.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $1,132.80 | $1,416 | 1.6× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $378.40 | $473 | 1.6× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) | $9,297.60 | $11,622 | 0.8× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) | $5,990.40 | $7,488 | 1.7× |
| Unlisted hysteroscopy procedure, uterus (58579) | $1,913.60 | $2,392 | 9.9× |
| Unlisted laparoscopic procedure liver (47379) | $8,344 | $10,430 | 1.4× |
| Unlisted procedure arthroscopy (29999) | $2,582.66 | $3,228.33 | 10.9× |
| Unlisted procedure colon (45399) range across 2 matching MRF lines |
$1,367.20–$1,425.60 | $1,709–$1,782 | varies |
| Unlisted Procedure Conjunctiva (68399) | $486.40 | $608 | 1.6× |
| Unlisted procedure femur or knee (27599) | $1,996.80 | $2,496 | 8.4× |
| Unlisted Procedure Hands/Fingers (26989) | $2,246.40 | $2,808 | 9.5× |
| Unlisted procedure nervous system (64999) range across 3 matching MRF lines |
$442.40–$4,185.60 | $553–$5,232 | varies |
| Unlisted Procedure Rectum (45999) | $3,078.40 | $3,848 | 3.5× |
| Unlisted Procedure Vascular Surgery (37799) range across 2 matching MRF lines |
$927.20–$1,020 | $1,159–$1,275 | varies |
| Upgrade of pacemaker system (33214) | $6,651.20 | $8,314 | 0.7× |
| Vaginal Delivery After Cesarean Delivery (59612) | $5,247.20 | $6,559 | 1.7× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) | $7,488 | $9,360 | 1.6× |
| Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) | $6,418.40 | $8,023 | 1.3× |
| Wedge excision skin nail fold (11765) range across 3 matching MRF lines |
$598.40–$1,196.80 | $748–$1,496 | varies |
| Wound Prep F/N/Hf/G (15004) | $623.20 | $779 | 1.6× |
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.