Procedures & surgery prices at Harrison County Community Hospital

Bethany, MO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines		 $833.95–$910 $1,283–$1,400 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $833.95 $1,283 0.9×
Acne surgery (10040) $167.70 $258 0.8×
Amputation metatarsal with toe single (28810) $2,210 $3,400 0.7×
Amputation toe interphalangeal joint (28825) $2,925 $4,500 0.9×
Amputation toe metatarsophalangeal joint (28820) $2,210 $3,400 0.7×
Anoscopy diagnostic (46600) $260 $400 2.0×
Anoscopy W/Rmvl Foreign Body (46608) $796.25 $1,225 0.9×
Application cast elbow finger short arm (29075) $265.85 $409 0.9×
Application finger splint static (29130)
range across 2 matching MRF lines		 $65–$152.10 $100–$234 varies
Application long arm splint shoulder hand (29105) $152.10 $234 0.9×
Application Long Leg Splint (29505) $175.50 $270 1.1×
Application of long leg cast (29345) $265.85 $409 0.9×
Application short arm splint forearm-hand static (29125) $178.75 $275 1.3×
Application short leg splint calf foot (29515) $175.50 $270 1.1×
Apply long arm cast (29065) $308.75 $475 1.1×
Apply Multlay Comprs Lwr Leg (29581) $167.70 $258 1.0×
Apply Short Leg Cast (29405) $265.85 $409 0.9×
Arterial puncture (36600) $9.10 $14 0.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 5 matching MRF lines		 $130–$669.50 $200–$1,030 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $390 $600 0.6×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines		 $130–$572 $200–$880 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $274.30–$325 $422–$500 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 4 matching MRF lines		 $260–$669.50 $400–$1,030 varies
Arthrodesis great toe metatarsophalangeal joint (28750) $5,200 $8,000 0.7×
Arthrodesis Posterior/Posterolateral Lumbar (22612) $11,700 $18,000 0.7×
Arthrodesis sacroiliac joint percutaneous (27279) $10,075 $15,500 0.6×
Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) $9,750 $15,000 0.6×
Arthroplasty interphalangeal joint each (26535) $3,250 $5,000 1.0×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $3,347.50 $5,150 1.0×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $4,017 $6,180 1.2×
Arthroscopy knee synovectomy limited spx (29875) $4,017 $6,180 1.2×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $4,017 $6,180 1.2×
Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral… (29868) $7,364.50 $11,330 1.0×
Arthroscopy, knee, surgical; with lateral release (29873) $3,347.50 $5,150 1.0×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $4,017 $6,180 1.2×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $4,017 $6,180 1.2×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $8,034 $12,360 1.1×
Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) $8,034 $12,360 0.6×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $4,017 $6,180 1.2×
Arthrs knee debridement/shaving artclr crtlg (29877) $4,017 $6,180 1.2×
Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) $4,017 $6,180 1.2×
Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) $8,034 $12,360 1.1×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $4,017 $6,180 1.2×
Aspirate pleura w/ imaging (32555) $812.50 $1,250 1.3×
Aspirate Pleura W/O Imaging (32554) $780 $1,200 1.2×
Aspirate/Inj Ganglion Cyst (20612) $334.75 $515 1.1×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $195–$240.50 $300–$370 varies
Biopsy Bone Trocar/Needle Superficial (20220) $1,004.25 $1,545 0.6×
Biopsy nail unit (11755) $669.50 $1,030 0.9×
Biopsy of liver, needle; percutaneous (47000)
range across 3 matching MRF lines		 $975–$1,673.75 $1,500–$2,575 varies
Biopsy of palate, uvula (42100) $1,673.75 $2,575 1.1×
Biopsy Tongue Anterior Two-Thirds (41100) $669.50 $1,030 1.2×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $975 $1,500 1.1×
Biopsy, vestibule of mouth (40808) $669.50 $1,030 1.2×
Bladder Scan (51798)
range across 4 matching MRF lines		 $78–$87.75 $120–$135 varies
Blood Transfusion Service (36430)
range across 2 matching MRF lines		 $422.50–$487.50 $650–$750 varies
Bx breast 1st lesion us imag (19083) $702 $1,080 0.4×
Bx Cervix (57500) $975 $1,500 1.1×
Carpal Tunnel Surgery (64721) $2,008.50 $3,090 1.0×
Cataract surgery complex (66982) $2,730 $4,200 1.2×
Catheter aspiration nasotracheal spx (31720) $113.75 $175 0.5×
Change Cystostomy Tube Simple (51705) $253.50 $390 1.0×
Chemodenerv 1 extremity 1-4 (64642) $351 $540 0.5×
Chemodenerv Musc Migraine (64615) $227.50 $350 0.7×
Chemodenerv musc neck dyston (64616) $325 $500 1.1×
Chemodenervation of extraocular muscle (67345) $334.75 $515 1.1×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $334.75 $515 1.1×
Chest tube placement (32551)
range across 2 matching MRF lines		 $1,102.40–$1,208.35 $1,696–$1,859 varies
Cl Tx Tib Shft Fx W Manip (27752) $1,513.85 $2,329 0.9×
Clear outer ear canal (69200) $117.65 $181 0.9×
Closed Rx Spontaneous Hip Disloc (27256) $241.15 $371 1.0×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,513.85 $2,329 0.9×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $241.15 $371 1.0×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $248.95 $383 1.0×
Closed tx ankle dislocation w/o anesthesia (27840) $241.15 $371 1.0×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,513.85 $2,329 0.9×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $248.95 $383 1.0×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $248.95 $383 1.0×
Closed tx knee dislocation w/o anesthesia (27550) $241.15 $371 1.0×
Closed tx metatarsal fracture w/o manipulation (28470) $248.95 $383 1.0×
Closed tx patellar dislocation w/anesthesia (27562) $247 $380 1.0×
Closed tx patellar dislocation w/o anesthesia (27560) $241.15 $371 1.0×
Closed tx radial head/neck fx w/manipulation (24655) $1,513.85 $2,329 0.9×
Closed tx radial head/neck fx w/o manipulation (24650) $248.95 $383 1.0×
Closed tx radial shaft fracture w/manipulation (25505) $1,513.85 $2,329 0.9×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $248.95 $383 1.0×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,513.85 $2,329 0.9×
Closed tx radial&ulnar shaft fractures w/o man (25560) $248.95 $383 1.0×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,513.85 $2,329 0.9×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $248.95 $383 1.0×
Closed tx ulnar shaft fracture w/o manipulation (25530) $248.95 $383 1.0×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $1,513.85 $2,329 0.9×
Clsd tx clavicular fracture w/o manipulation (23500) $248.95 $383 1.0×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,495 $2,300 0.9×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $241.15 $371 1.0×
Cltx dstl fibular fx lat malls w/manj (27788) $241.15 $371 1.0×
Cltx dstl fibular fx lat malls w/o manj (27786) $248.95 $383 1.0×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $241.15 $371 1.0×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $248.95 $383 1.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $260 $400 1.1×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,513.85 $2,329 0.9×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,513.85 $2,329 0.9×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $248.95 $383 1.0×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,513.85 $2,329 0.9×
Cltx fx grt toe phlx/phlg w/manj (28495) $241.15 $371 1.0×
Cltx fx grt toe phlx/phlg w/o manj (28490) $248.95 $383 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $241.15 $371 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $248.95 $383 1.0×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,513.85 $2,329 0.9×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $248.95 $383 1.0×
Cltx hip dislocation traumatic w/o anesthesia (27250) $241.15 $371 1.0×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $241.15 $371 1.0×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $250.25–$334.75 $385–$515 varies
Cltx Med Ankle Fx W/Mnpj (27762) $1,513.85 $2,329 0.9×
Cltx Medial Ankle Fx (27760) $248.95 $383 1.0×
Cltx metacarpal fx w/manipulation each bone (26605) $241.15 $371 1.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $241.15 $371 1.0×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $248.95 $383 1.0×
Cltx post hip arthrp dislc w/o anes (27265) $241.15 $371 1.0×
Cltx prox fibula/shft fx w/manj (27781) $1,513.85 $2,329 0.9×
Cltx prox fibula/shft fx w/o manj (27780) $248.95 $383 1.0×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,513.85 $2,329 0.9×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $241.15 $371 1.0×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,513.85 $2,329 0.9×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $248.95 $383 1.0×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $1,513.85 $2,329 0.9×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $248.95 $383 1.0×
Cltx tibial shaft fx w/o manipulation (27750) $248.95 $383 1.0×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,513.85 $2,329 0.9×
Cltx trimalleolar ankle fx w/o manipulation (27816) $248.95 $383 1.0×
Collection of venous blood by venipuncture (36415) $9.10 $14 1.0×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394)
range across 2 matching MRF lines		 $167.70–$1,339 $258–$2,060 varies
Colonoscopy w/ablation (45388)
range across 2 matching MRF lines		 $167.70–$1,339 $258–$2,060 varies
Colonoscopy W/Band Ligation (45398)
range across 2 matching MRF lines		 $167.70–$1,606.80 $258–$2,472 varies
Colonoscopy W/Resection (45390) $2,008.50 $3,090 0.7×
Colonoscopy w/submucosal inj (45381)
range across 2 matching MRF lines		 $167.70–$1,673.75 $258–$2,575 varies
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $399.75 $615 1.3×
Colposcopy Cervix Endocervical Curettage (57456) $399.75 $615 1.3×
Colposcopy cervix upper/adjacent vagina (57452) $240.50 $370 1.2×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $399.75 $615 1.3×
Colposcopy cervix vag eltrd conization cervix (57461) $2,925 $4,500 0.9×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $2,925 $4,500 0.9×
Colposcopy entire vagina w/cervix if present (57420) $399.75 $615 1.3×
Colposcopy of vulva (56820) $260 $400 1.3×
Colposcopy Vulva W/Biopsy (56821) $399.75 $615 1.3×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $975 $1,500 1.1×
Colsc Flexible W/Control Bleeding Any Method (45382)
range across 2 matching MRF lines		 $167.70–$1,339 $258–$2,060 varies
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 2 matching MRF lines		 $167.70–$1,339 $258–$2,060 varies
Control Nasal Hemorrhage Anterior Complex (30903) $117.65 $181 0.9×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $162.50–$167.70 $250–$258 varies
Correction hammertoe (28285)
range across 2 matching MRF lines		 $1,950–$3,250 $3,000–$5,000 varies
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $3,347.50 $5,150 1.0×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
likely a partial charge, not the full procedure		 $3,347.50 $5,150 0.3×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $3,380 $5,200 1.0×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $5,356 $8,240 0.7×
Create Eardrum Opening (69433)
range across 2 matching MRF lines		 $669.50–$1,105 $1,030–$1,700 varies
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $130 $200 1.0×
Curette/treat cornea (65435) $906.10 $1,394 0.9×
Cysto calibration dilat urtl strix/stenosis (52281) $2,080 $3,200 1.0×
Cystometrogram W/Vp&Up (51729) $812.50 $1,250 1.2×
Cystourethroscopy (52000) $1,625 $2,500 2.3×
Cystourethroscopy inj chemodenervation bladder (52287) $2,210 $3,400 1.1×
Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) $5,356 $8,240 2.7×
Deb Musc/Fascia 20 Sq Cm/< (11043) $780 $1,200 1.1×
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $63.05–$162.50 $97–$250 varies
Debride nail 6 or more (11721) $169 $260 2.9×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $1,511.25–$1,556.75 $2,325–$2,395 varies
Debridement Mastoidectomy Cavity Simple (69220) $227.50 $350 1.1×
Debridement subcutaneous tissue 20 sq cm/< (11042) $357.50 $550 0.9×
Delivery of placenta (59414) $2,548.65 $3,921 0.8×
Destroy cerv/thor facet jnt (64633) $2,008.50 $3,090 1.0×
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines		 $1,625–$2,405 $2,500–$3,700 varies
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $167.70–$206.05 $258–$317 varies
Destruction Benign Lesions 15/> (17111) $334.75 $515 1.7×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $435.50 $670 2.2×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $334.75 $515 1.7×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $334.75 $515 1.7×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $334.75 $515 1.7×
Destruction neurolytic agt genicular nerve w/img (64624) $2,008.50 $3,090 1.0×
Destruction Premalignant Lesion 15/> (17004) $520 $800 1.3×
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines		 $167.70–$308.75 $258–$475 varies
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines		 $167.70–$1,056.25 $258–$1,625 varies
Dilate Esophagus 1/Mult Pass (43450)
range across 2 matching MRF lines		 $167.70–$1,111.50 $258–$1,710 varies
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines		 $274.30–$325 $422–$500 varies
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $162.50–$167.70 $250–$258 varies
Drainage of finger abscess simple (26010) $189.15 $291 0.9×
Drainage of hematoma/fluid (10140) $650 $1,000 0.4×
Drainage of scrotal wall abscess (55100) $1,511.25 $2,325 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $348.40 $536 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $189.15 $291 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $189.15–$334.75 $291–$515 varies
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,004.25 $1,545 1.1×
Egd Balloon Dil Esoph30 Mm/> (43233)
range across 2 matching MRF lines		 $167.70–$1,673.75 $258–$2,575 varies
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 2 matching MRF lines		 $167.70–$1,673.75 $258–$2,575 varies
Egd control bleeding any (43255)
range across 2 matching MRF lines		 $167.70–$1,673.75 $258–$2,575 varies
Egd dilation gastric/duodenal stricture (43245) $1,673.75 $2,575 0.9×
Egd Flexible Foreign Body Removal (43247) $1,170 $1,800 1.3×
Egd guide wire insertion (43248)
range across 2 matching MRF lines		 $167.70–$1,111.50 $258–$1,710 varies
Egd lesion ablation (43270) $1,673.75 $2,575 0.9×
Egd place gastrostomy tube (43246)
range across 2 matching MRF lines		 $167.70–$1,673.75 $258–$2,575 varies
Egd remove lesion snare (43251)
range across 2 matching MRF lines		 $167.70–$1,673.75 $258–$2,575 varies
Endometrial Biopsy (58100) $260 $400 1.3×
Esophagogastroduodenoscopy Submucosal Injection (43236) $1,004.25 $1,545 1.1×
Esophagosc Dilate Balloon 30 (43214)
range across 2 matching MRF lines		 $167.70–$1,673.75 $258–$2,575 varies
Evacuation of subungual hematoma (11740) $117.65 $181 0.9×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $650 $1,000 0.9×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,004.25 $1,545 0.6×
Exc Back Les Sc < 3 Cm (21930) $1,339 $2,060 0.8×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $669.50 $1,030 0.9×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $669.50 $1,030 0.9×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $1,673.75 $2,575 1.0×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $669.50 $1,030 0.9×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $669.50 $1,030 0.9×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $669.50 $1,030 0.9×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,339 $2,060 0.8×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $1,339 $2,060 0.8×
Exc Forearm Les Sc 3 Cm/> (25071) $2,275 $3,500 1.4×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $669.50 $1,030 0.4×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $669.50 $1,030 0.9×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $1,004.25 $1,545 0.6×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $1,339 $2,060 0.8×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,105 $1,700 1.6×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $1,339 $2,060 0.8×
Exc Skin Benig >4 Cm Remaindr Body (11426) $1,339 $2,060 0.5×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,339 $2,060 0.8×
Exc Skin Benig >4cm Face,Facial (11446) $2,008.50 $3,090 0.7×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $1,339 $2,060 0.8×
Exc Skin Malig >4 Cm Remaindr Body (11626) $2,008.50 $3,090 0.7×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $2,008.50 $3,090 1.2×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $1,049.75 $1,615 0.9×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $780 $1,200 1.9×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $975 $1,500 1.4×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,170 $1,800 0.7×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,673.75 $2,575 1.0×
Excis Mouth Mucosa/Sub,No Repair (40810) $1,339 $2,060 0.4×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $1,004.25 $1,545 1.4×
Excision External Ear Partial Simple Repair (69110) $3,250 $5,000 1.1×
Excision Lesion Cornea Xcp Pterygium (65400) $1,004.25 $1,545 1.0×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $669.50 $1,030 0.9×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $669.50 $1,030 0.9×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $669.50 $1,030 1.6×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,004.25 $1,545 1.4×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $669.50 $1,030 0.9×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,339 $2,060 0.8×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $2,008.50 $3,090 0.7×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $669.50 $1,030 0.4×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $669.50 $1,030 0.9×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $1,004.25 $1,545 1.4×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,673.75 $2,575 1.0×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $1,852.50 $2,850 1.2×
Excision Pilonidal Cyst/Sinus Complicated (11772) $2,678 $4,120 0.9×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,673.75 $2,575 1.0×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $2,678 $4,120 0.9×
Excision, interdigital (morton) neuroma, single, each (28080) $1,673.75 $2,575 1.0×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $2,600 $4,000 0.9×
Exploration penetrating wound spx extremity (20103) $1,170 $1,800 0.7×
Fasciectomy Plantar Fascia Partial Spx (28060) $3,347.50 $5,150 1.0×
Fasciotomy Plantar Fascia Radical Spx (28062) $3,347.50 $5,150 1.0×
Fna bx w/us gdn 1st les (10005) $1,495 $2,300 2.1×
Fusion Finger Joint (26860) $1,950 $3,000 0.6×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $2,600 $4,000 0.9×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $1,300 $2,000 1.4×
Hemorrhoidopexy by stapling (46947) $4,686.50 $7,210 1.7×
Hysteroscopy Dx Sep Proc (58555) $3,705 $5,700 1.1×
I&d abscess simple (10060)
range across 4 matching MRF lines		 $167.70–$208 $258–$320 varies
I&d perianal abscess superficial (46050) $796.25 $1,225 0.9×
I&d pilonidal cyst complicated (10081) $1,004.25 $1,545 1.4×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $642.20–$669.50 $988–$1,030 varies
Implant neuroelectrodes (63650) $6,825 $10,500 1.1×
Incise external hemorrhoid (46083) $669.50 $1,030 2.7×
Incise finger tendon sheath (26055) $2,145 $3,300 1.3×
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines		 $348.40–$669.50 $536–$1,030 varies
Incision & removal foreign body subq tiss compl (10121) $1,365 $2,100 0.8×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $334.75–$348.40 $515–$536 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $180.05–$399.75 $277–$615 varies
Incision and drainage of vulva or perineal abscess (56405) $399.75 $615 1.3×
Incision bone cortex foot (28005) $3,250 $5,000 1.0×
Incision of Foot Tendon (28234) $1,673.75 $2,575 1.0×
Incision of rectal abscess (46040) $1,049.75 $1,615 0.9×
Incisional biopsy skin single lesion (11106) $167.70 $258 0.2×
Initial Tx 1st Degree Burn Local Tx (16000) $189.15 $291 0.9×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $1,072.50 $1,650 1.2×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,004.25 $1,545 1.1×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 3 matching MRF lines		 $309.40–$568.75 $476–$875 varies
Injection aa&/strd genicular nrv branches w/img (64454) $1,105 $1,700 1.6×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,004.25 $1,545 1.1×
Injection Anes Agent Sphenopalatine Ganglion (64505) $162.50 $250 0.5×
Injection anesthetic agent suprascapular nerve (64418) $669.50 $1,030 0.9×
Injection single tendon origin/insertion (20551) $260 $400 0.8×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines		 $65–$334.75 $100–$515 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 3 matching MRF lines		 $84.50–$334.75 $130–$515 varies
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines		 $334.75–$455 $515–$700 varies
Injection, anesthetic agent; femoral nerve, single (64447) $669.50 $1,030 0.9×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $609.05–$669.50 $937–$1,030 varies
Injection, intralesional; up to and including 7 lesions (11900) $334.75 $515 1.7×
Insert Bladder Cath Complex (51703) $152.75 $235 1.2×
Insert Drug Implant Device (11981)
range across 2 matching MRF lines		 $159.25–$240.50 $245–$370 varies
Insert non-tunnel cv cath (36556) $1,102.40 $1,696 0.3×
Insert pessary/other device (57160)
range across 2 matching MRF lines		 $111.36–$240.50 $171.32–$370 varies
Insert Temp Bladder Cath (51702) $113.75 $175 0.9×
Insert tunneled cv cath (36561) $3,055 $4,700 1.0×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $120.25–$159.25 $185–$245 varies
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $1,235–$1,272.05 $1,900–$1,957 varies
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $4,686.50 $7,210 0.6×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $1,102.40 $1,696 0.3×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
likely a partial charge, not the full procedure		 $6,025.50 $9,270 0.2×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $455 $700 1.1×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $520 $800 1.3×
Intubation endotracheal emergency procedure (31500) $243.75 $375 1.0×
Iridotomy/irridectomy laser surg per session (66761)
range across 3 matching MRF lines		 $470.14–$703.50 $723.29–$1,082.30 varies
Knee arthroscopy/drainage (29871) $3,347.50 $5,150 1.0×
Knee Arthroscopy/Surgery (29885) $7,800 $12,000 1.1×
Knee Arthroscopy/Surgery (29874) $3,347.50 $5,150 1.0×
Laparoscopy Enterolysis Separate Procedure (44180) $5,070 $7,800 0.8×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) $6,175 $9,500 1.0×
Laparoscopy, surgical, appendectomy (44970) $6,695 $10,300 1.1×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $7,029.75 $10,815 1.2×
Laryngoscopy flexible diagnostic (31575) $334.75 $515 1.7×
Myringoplasty (69620) $1,339 $2,060 0.4×
N Block Inj Celiac Pelus (64530) $975 $1,500 1.1×
N Block Inj Ilio-Ing/Hypogi (64425) $669.50 $1,030 0.9×
N block inj intercost sng (64420) $669.50 $1,030 0.9×
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines		 $334.75–$585 $515–$900 varies
N Block Lumbar/Thoracic (64520) $1,004.25 $1,545 1.1×
Nasal Endoscopy Dx (31231) $167.70 $258 0.8×
Needle insertion w/o injection 1 or 2 muscles (20560) $19.50 $30 0.7×
Needle insertion w/o injection 3 or more muscles (20561)
range across 2 matching MRF lines		 $22.75–$26 $35–$40 varies
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $2,340 $3,600 1.2×
Njx anes stellate ganglion crv sympathetic (64510) $715 $1,100 0.8×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $274.30–$334.75 $422–$515 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,072.50 $1,650 1.2×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $796.25 $1,225 1.1×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,004.25 $1,545 1.4×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,004.25 $1,545 1.4×
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 $334.75–$568.75 $515–$875 varies
Ostectomy calcaneus (28118) $3,347.50 $5,150 1.0×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $1,950 $3,000 0.6×
Ostectomy, complete excision; fifth metatarsal head (28113) $1,950 $3,000 0.6×
Osteot w/wo lngth shrt/corrj 1st metar (28306) $7,029.75 $10,815 1.0×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $3,900 $6,000 1.2×
Penile Injection (54235) $234 $360 0.9×
Pericardiocentesis W/Imaging (33016)
range across 2 matching MRF lines		 $1,102.40–$1,755 $1,696–$2,700 varies
Peritoneal Lavage (49084) $833.95 $1,283 0.9×
Perq Cervicothoracic Inject (22510) $4,017 $6,180 1.2×
Perq Lumbosacral Injection (22511) $4,017 $6,180 1.2×
Placement of needle for intraosseous infusion (36680) $218.40 $336 0.5×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) $7,364.50 $11,330 1.2×
Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) $1,004.25 $1,545 1.1×
Punch biopsy skin single lesion (11104) $167.70 $258 0.4×
Puncture aspiration abscess hematoma bulla/cyst (10160) $334.75 $515 0.8×
Puncture Aspiration Cyst Breast (19000) $455 $700 0.6×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $2,008.50 $3,090 1.0×
Removal Embedded Foreign Body Eyelid (67938) $300.30 $462 0.9×
Removal Foreign Body Foot Complicated (28193) $1,511.25 $2,325 0.9×
Removal foreign body foot deep (28192) $1,511.25 $2,325 0.9×
Removal Foreign Body Foot Subcutaneous (28190) $642.20 $988 0.9×
Removal Foreign Body Pelvis/Hip Deep (27087) $2,965.95 $4,563 0.9×
Removal foreign body upper arm/elbow deep (24201) $2,606.50 $4,010 0.9×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $61.75–$162.50 $95–$250 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines		 $61.75–$167.70 $95–$258 varies
Removal Implant Deep (20680) $2,678 $4,120 0.9×
Removal Implant Superficial Separate Procedure (20670) $669.50 $1,030 0.4×
Removal of adenoids (42831) $3,347.50 $5,150 1.0×
Removal of adenoids (42830) $3,347.50 $5,150 1.0×
Removal of foreign body from pharynx (42809) $369.85 $569 0.8×
Removal of nail bed (11750) $334.75 $515 0.8×
Removal of tonsils (42825) $3,347.50 $5,150 0.6×
Removal of tonsils (42826) $3,347.50 $5,150 1.0×
Removal shoulder foreign body deep subfascial/im (23333) $1,511.25 $2,325 0.5×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $148.85–$167.70 $229–$258 varies
Remove drug implant device (11982)
range across 2 matching MRF lines		 $302.25–$383.50 $465–$590 varies
Remove foreign body from eye (65205) $117.65 $181 0.9×
Remove Intrauterine Device (58301) $399.75 $615 1.3×
Remove Nasal Foreign Body (30300) $117.65 $181 0.9×
Remove Shoulder Foreign Body (23330) $642.20 $988 0.4×
Remove/Insert Drug Implant (11983)
range across 2 matching MRF lines		 $302.25–$383.50 $465–$590 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $547.30 $842 0.7×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $547.30 $842 0.7×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $325 $500 0.8×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $507 $780 1.2×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $547.30 $842 1.3×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $780 $1,200 1.9×
Repair complex trunk 1.1-2.5 cm (13100) $547.30 $842 0.7×
Repair complex trunk 2.6-7.5 cm (13101) $547.30 $842 0.7×
Repair extensor tendon finger w/o graft each (26418) $1,513.85 $2,329 0.9×
Repair Hand Tendon (26410) $1,513.85 $2,329 0.9×
Repair inguinal hernia, sliding, any age (49525) $4,017 $6,180 1.1×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $344.50 $530 0.8×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $348.40 $536 0.9×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $348.40 $536 0.9×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $348.40 $536 0.9×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $585 $900 1.4×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $455 $700 0.6×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $348.40 $536 0.9×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $377 $580 0.9×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $348.40 $536 0.5×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $585 $900 0.3×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $455 $700 1.1×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $334.75–$348.40 $515–$536 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $377 $580 0.9×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $520 $800 0.7×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $383.50 $590 0.9×
Repair intermediate s/a/t/e >30.0 cm (12037) $585 $900 0.3×
Repair of nail bed (11760) $547.30 $842 0.7×
Repair tongue laceration (41252) $515.45 $793 2.2×
Repair tongue laceration (41250) $117.65 $181 0.3×
Rerepair ing hernia reduce (49520) $3,900 $6,000 1.1×
Revision of big toe (28310) $6,175 $9,500 0.8×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $3,347.50 $5,150 1.0×
Rmvl embedded fb vestibule mouth comp (40805) $515.45 $793 1.0×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $325 $500 0.4×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $369.85 $569 0.8×
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $117.65–$120.25 $181–$185 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $369.85 $569 0.8×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $1,511.25 $2,325 0.5×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $1,511.25 $2,325 0.9×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $2,008.50 $3,090 1.0×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,989 $3,060 1.3×
Rplc Gtube No Revj Trc (43762) $257.40 $396 1.0×
Rplc gtube revj gstrst trc (43763) $257.40 $396 1.0×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $4,777.50 $7,350 0.8×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $3,347.50 $5,150 0.9×
Rpr aa hrn 1st 3-10 rdc (49593) $3,900 $6,000 0.6×
Rpr aa hrn 1st < 3 ncr/strn (49592) $6,025.50 $9,270 1.0×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $189.15 $291 0.9×
Rpr flexor tendon leg secondary w/o graft each (27659) $7,364.50 $11,330 1.0×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $520 $800 0.7×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $200.20 $308 0.8×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $3,347.50 $5,150 1.0×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $2,925 $4,500 0.9×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $1,004.25 $1,545 1.1×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,004.25 $1,545 0.8×
Shave skin lesion 0.5 cm/< (11300) $167.70 $258 0.4×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $167.70 $258 0.8×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $334.75 $515 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $167.70 $258 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $167.70 $258 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $167.70 $258 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $334.75 $515 0.8×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $167.70 $258 0.8×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $334.75 $515 0.8×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $167.70 $258 0.8×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $334.75 $515 0.8×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302)
range across 2 matching MRF lines		 $167.70–$273 $258–$420 varies
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $1,040 $1,600 0.9×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $1,004.25 $1,545 1.1×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $348.40 $536 0.9×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $214.50 $330 1.1×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $240.50 $370 1.2×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $348.40 $536 0.9×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $189.15 $291 0.9×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $390 $600 1.9×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $214.50–$243.75 $330–$375 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $390 $600 1.9×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $188.50–$195 $290–$300 varies
Skin sub graft face/nk/hf/g (15275) $1,300 $2,000 1.8×
Skin sub graft trnk/arm/leg (15271) $1,300 $2,000 1.8×
Skin sub grft t/arm/lg child (15273) $4,875 $7,500 2.4×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $162.50–$240.50 $250–$370 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $348.40 $536 0.9×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $348.40 $536 0.9×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $609.05–$1,004.25 $937–$1,545 varies
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $2,275 $3,500 1.1×
Strapping ankle (29540) $152.10 $234 0.9×
Strapping elbow or wrist (29260) $45.50 $70 0.8×
Strapping hand/finger (29280) $45.50 $70 0.8×
Strapping knee (29530) $117.65 $181 0.9×
Strapping shoulder (29240) $117.65 $181 0.9×
Strapping toes (29550) $63.05 $97 1.1×
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $162.50–$334.75 $250–$515 varies
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $2,925 $4,500 0.9×
Tangential biopsy skin single lesion (11102) $167.70 $258 0.4×
Tenolysis flexor foot single tendon (28220) $1,004.25 $1,545 0.6×
Tenotomy Percutaneous Toe Single Tendon (28010) $975 $1,500 0.6×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $1,625 $2,500 1.0×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) $11,375 $17,500 0.9×
Thrombolytic Therapy Stroke (37195) $266.50 $410 0.8×
Thyroid biopsy (60100) $962 $1,480 1.4×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $3,347.50 $5,150 1.0×
Trabeculoplasty by laser surgery (65855)
range across 3 matching MRF lines		 $401.51–$609.47 $617.70–$937.64 varies
Tracheostomy Emergency Cricothyroid Membrane (31605) $515.45 $793 2.2×
Treat humerus fracture (24500) $248.95 $383 1.0×
Treat Humerus Fracture (24505) $1,513.85 $2,329 0.9×
Treat humerus fracture (23600) $248.95 $383 1.0×
Treat Knuckle Dislocation (26700) $241.15 $371 1.0×
Treat Metatarsal Fracture (28475) $241.15 $371 1.0×
Treat toe dislocation (28630) $241.15 $371 1.0×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,430 $2,200 0.9×
Treatment closed elbow dislocation w/o anes (24600) $241.15 $371 1.0×
Trim skin lesion (11055) $97.50 $150 0.5×
Trim skin lesions 2 to 4 (11056) $130 $200 0.6×
Trim skin lesions over 4 (11057) $178.75 $275 0.9×
Tx Gastro Intub W/Asp (43753) $278.85 $429 1.3×
Tx open tendon flexor toe 1 tendon spx (28232)
range across 2 matching MRF lines		 $1,673.75–$2,600 $2,575–$4,000 varies
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $1,673.75 $2,575 1.0×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $1,339 $2,060 0.9×
Tympanostomy general anesthesia (69436)
range across 2 matching MRF lines		 $1,339–$2,080 $2,060–$3,200 varies
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) $4,017 $6,180 1.1×
Unlisted laparoscopy procedure, lymphatic system (38589) $3,250 $5,000 0.5×
Unlisted procedure foot or toes (28899) $1,820 $2,800 7.4×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $1,004.25 $1,545 1.1×
Vaginal delivery only (59409) $2,548.65 $3,921 0.8×
Vasectomy uni/bi spx w/postop semen exams (55250) $2,008.50 $3,090 1.0×
Vein Access Cutdown < 1 Yr (36420) $63.05 $97 0.5×
Venous Cutdown >1 Y/O (36425) $369.85 $569 0.8×
Ventilating tube removal requiring general anesthesia (69424) $3,347.50 $5,150 1.0×

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.