Procedures & surgery prices at Hedrick Medical Center
Chillicothe, MO · every code in this section with a posted price and a Medicare benchmark.
488 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) | $1,756.80 | $2,928 | 1.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $1,005 | $1,675 | 1.1× |
| Ablate inf turbinate submuc (30802) | $859.80 | $1,433 | 0.6× |
| Amniocentesis diagnostic (59000) | $648 | $1,080 | 0.7× |
| Anal/Urinary Muscle Study (51784) | $174.60 | $291 | 1.4× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$140.40–$142.80 | $234–$238 | varies |
| Application cast elbow finger short arm (29075) | $233.40 | $389 | 0.8× |
| Application Finger Splint Dynamic (29131) | $176.40 | $294 | 3.0× |
| Application finger splint static (29130) range across 10 matching MRF lines |
$96–$190.80 | $160–$318 | varies |
| Application long arm splint shoulder hand (29105) | $156 | $260 | 1.0× |
| Application Long Leg Splint (29505) | $169.80 | $283 | 1.0× |
| Application of long leg cast (29345) | $528.60 | $881 | 1.9× |
| Application of rigid total contact leg cast (29445) | $379.80 | $633 | 1.4× |
| Application Short Arm Splint Dynamic (29126) | $153 | $255 | 1.1× |
| Application short arm splint forearm-hand static (29125) | $153 | $255 | 1.1× |
| Application short leg splint calf foot (29515) | $156 | $260 | 1.0× |
| Apply long arm cast (29065) | $252.60 | $421 | 0.9× |
| Apply Multlay Comprs Lwr Leg (29581) range across 3 matching MRF lines |
$312.60–$4,276.80 | $521–$7,128 | varies |
| Apply Short Leg Cast (29405) | $226.80 | $378 | 0.8× |
| Apply short leg cast (29425) | $235.20 | $392 | 0.8× |
| Arterial puncture (36600) | $1,242.60 | $2,071 | 9.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) | $220.80 | $368 | 0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 2 matching MRF lines |
$436.80–$655.20 | $728–$1,092 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 12 matching MRF lines |
$321–$1,325.07 | $535–$2,208.45 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $259.20 | $432 | 0.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 28 matching MRF lines |
$187.80–$210.60 | $313–$351 | varies |
| Arthrodesis great toe metatarsophalangeal joint (28750) range across 3 matching MRF lines |
$610.20–$15,408.72 | $1,017–$25,681.20 | varies |
| Arthrodesis sacroiliac joint percutaneous (27279) | $30,320.73 | $50,534.55 | 1.7× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) | $5,487.78 | $9,146.30 | 1.7× |
| Arthroscopy knee synovectomy limited spx (29875) | $8,660.82 | $14,434.70 | 2.6× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) | $10,383.78 | $17,306.30 | 1.4× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) | $6,781.83 | $11,303.05 | 2.1× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) range across 7 matching MRF lines |
$6,691.20–$16,001.57 | $11,152–$26,669.28 | varies |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) range across 3 matching MRF lines |
$5,307.12–$5,502.90 | $8,845.20–$9,171.50 | varies |
| Aspirate pleura w/ imaging (32555) range across 4 matching MRF lines |
$582.60–$1,666.80 | $971–$2,778 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$376.80–$396 | $628–$660 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $214.80 | $358 | 0.7× |
| Aspiration and/or injection thyroid cyst (60300) | $930 | $1,550 | 1.3× |
| Aspiration bladder insert suprapubic catheter (51102) | $433.80 | $723 | 0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) | $168.60 | $281 | 0.8× |
| Biopsy bone trocar/needle deep (20225) range across 2 matching MRF lines |
$747.60–$6,833.34 | $1,246–$11,388.90 | varies |
| Biopsy Bone Trocar/Needle Superficial (20220) | $776.40 | $1,294 | 0.5× |
| Biopsy External Auditory Canal (69105) | $158.40 | $264 | 0.1× |
| Biopsy muscle percutaneous needle (20206) | $445.20 | $742 | 0.3× |
| Biopsy nail unit (11755) | $175.80 | $293 | 0.2× |
| Biopsy of breast; open, incisional (19101) | $2,487 | $4,145 | 0.6× |
| Biopsy of rectum (45100) | $372 | $620 | 0.1× |
| Biopsy Oropharynx (42800) | $559.20 | $932 | 0.4× |
| Biopsy Salivary Gland Needle (42400) | $553.80 | $923 | 0.8× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) | $358.80 | $598 | 0.2× |
| Biopsy soft tissue neck/thorax (21550) | $772.20 | $1,287 | 0.5× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) | $358.80 | $598 | 0.2× |
| Biopsy Soft Tissue Shoulder Superficial (23065) | $772.20 | $1,287 | 0.5× |
| Biopsy Vaginal Mucosa Extensive (57105) | $1,063.20 | $1,772 | 0.3× |
| Biopsy Vaginal Mucosa Simple (57100) | $215.40 | $359 | 0.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $455.40 | $759 | 0.5× |
| Biopsy, vestibule of mouth (40808) | $563.40 | $939 | 1.0× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$258.60–$259.80 | $431–$433 | varies |
| Bladder Scan (51798) | $223.20 | $372 | 3.8× |
| Blood Transfusion Service (36430) | $1,007.10 | $1,678.50 | 2.3× |
| Bone Marrow Biopsy (38221) | $264 | $440 | 0.2× |
| Bone Marrow; Aspiration Only (38220) | $198.60 | $331 | 0.1× |
| Bx breast 1st lesion us imag (19083) | $2,100 | $3,500 | 1.3× |
| Bx breast needle core w/o imaging guidance spx (19100) | $185.40 | $309 | 0.1× |
| Bx Cervix (57500) | $215.40 | $359 | 0.2× |
| Bx/exc lymph node open superficial (38500) | $1,101.60 | $1,836 | 0.3× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) | $1,378.20 | $2,297 | 0.9× |
| Cataract surgery complex (66982) range across 3 matching MRF lines |
$6,195.30–$6,315.03 | $10,325.50–$10,525.05 | varies |
| Catheter aspiration nasotracheal spx (31720) | $243.60 | $406 | 1.1× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) | $123 | $205 | 0.4× |
| Change Cystostomy Tube Complicated (51710) | $400.80 | $668 | 0.6× |
| Change Cystostomy Tube Simple (51705) range across 3 matching MRF lines |
$120–$282 | $200–$470 | varies |
| Change of Windpipe Airway (31502) | $137.40 | $229 | 0.6× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$196.20–$429 | $327–$715 | varies |
| Chemodenervation of internal anal sphincter (46505) | $1,299.60 | $2,166 | 1.1× |
| Chest tube placement (32551) range across 2 matching MRF lines |
$353.40–$1,687.20 | $589–$2,812 | varies |
| Chorionic Villus Sampling (59015) | $438 | $730 | 0.5× |
| Clear outer ear canal (69200) | $119.40 | $199 | 0.9× |
| Closed Treatment Sesamoid Fracture (28530) | $252.60 | $421 | 1.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $252.60 | $421 | 1.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $794.40 | $1,324 | 0.5× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $1,285.80 | $2,143 | 0.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $252.60 | $421 | 1.0× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $222 | $370 | 0.8× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $288 | $480 | 1.2× |
| Collect Blood From Catheter Venous Nos (36592) | $385.20 | $642 | 2.9× |
| Collection of venous blood by venipuncture (36415) range across 4 matching MRF lines |
$314.40–$679.20 | $524–$1,132 | varies |
| Colonoscopy thru stoma (44388) | $2,101.80 | $3,503 | 2.3× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) | $2,577.60 | $4,296 | 2.2× |
| Colonoscopy w/ablation (45388) | $2,262 | $3,770 | 1.9× |
| Colonoscopy W/Band Ligation (45398) range across 2 matching MRF lines |
$3,020.94–$8,447.01 | $5,034.90–$14,078.35 | varies |
| Colonoscopy w/fb removal (45379) | $1,882.20 | $3,137 | 1.6× |
| Colonoscopy w/submucosal inj (45381) range across 3 matching MRF lines |
$5,730.54–$6,664.11 | $9,550.90–$11,106.85 | varies |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $454.80 | $758 | 1.5× |
| Colposcopy Cervix Endocervical Curettage (57456) | $123 | $205 | 0.4× |
| Colposcopy cervix upper/adjacent vagina (57452) | $268.80 | $448 | 1.3× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $123 | $205 | 0.4× |
| Colposcopy cervix vag eltrd conization cervix (57461) | $1,063.20 | $1,772 | 0.3× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | $753.60 | $1,256 | 0.2× |
| Colposcopy entire vagina w/cervix if present (57420) | $123 | $205 | 0.4× |
| Colposcopy of vulva (56820) | $238.80 | $398 | 1.2× |
| Colposcopy Vulva W/Biopsy (56821) | $123 | $205 | 0.4× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $652.80 | $1,088 | 0.7× |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $1,414.80 | $2,358 | 1.2× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) | $2,016 | $3,360 | 1.7× |
| Colsc flx w/removal lesion by hot bx forceps (45384) range across 4 matching MRF lines |
$3,661.74–$7,201.74 | $6,102.90–$12,002.90 | varies |
| Complex Cystometrogram (51726) | $273 | $455 | 1.1× |
| Complex drainage wound (10180) | $838.20 | $1,397 | 0.3× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $1,904.49 | $3,174.15 | 0.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$191.40–$287.40 | $319–$479 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 4 matching MRF lines |
$129.60–$158.40 | $216–$264 | varies |
| Correction hammertoe (28285) range across 8 matching MRF lines |
$532.80–$16,959.15 | $888–$28,265.25 | varies |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) | $10,453.86 | $17,423.10 | 0.8× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) range across 3 matching MRF lines |
$1,441.80–$9,440.55 | $2,403–$15,734.25 | varies |
| Create Eardrum Opening (69433) range across 2 matching MRF lines |
$497.40–$870.60 | $829–$1,451 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $191.40 | $319 | 1.4× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $1,164 | $1,940 | 0.6× |
| Cysto w/removal of lesions small (52224) | $459 | $765 | 0.1× |
| Cysto W/Simple Removal Stone & Stent (52310) | $459 | $765 | 0.2× |
| Cystometrogram W/Up (51727) | $228 | $380 | 0.3× |
| Cystometrogram W/Vp (51728) | $273 | $455 | 0.4× |
| Cystometrogram W/Vp&Up (51729) | $163.20 | $272 | 0.2× |
| Cystourethroscopy (52000) | $228 | $380 | 0.3× |
| Cystourethroscopy inj chemodenervation bladder (52287) | $479.40 | $799 | 0.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $138.60 | $231 | 0.3× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $451.80 | $753 | 0.6× |
| Debride nail 1-5 (11720) range across 7 matching MRF lines |
$42.60–$347.40 | $71–$579 | varies |
| Debride nail 6 or more (11721) | $75.60 | $126 | 1.3× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $415.80 | $693 | 0.3× |
| Debridement Mastoidectomy Cavity Cmplx (69222) | $147.60 | $246 | 0.3× |
| Debridement Mastoidectomy Cavity Simple (69220) range across 2 matching MRF lines |
$84–$84.60 | $140–$141 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$262.80–$482.40 | $438–$804 | varies |
| Declot vascular device (36593) | $135 | $225 | 0.4× |
| Destr penis lesion(s) (54065) | $1,369.20 | $2,282 | 0.7× |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$4,795.77–$4,801.83 | $7,992.95–$8,003.05 | varies |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$5,248.89–$6,343.92 | $8,748.15–$10,573.20 | varies |
| Destruct B9 Lesion 1-14 (17110) | $91.80 | $153 | 0.5× |
| Destruction Benign Lesions 15/> (17111) | $201.60 | $336 | 1.0× |
| Destruction Lesions Vulva Extensive (56515) | $1,035.60 | $1,726 | 0.5× |
| Destruction Lesions Vulva Simple (56501) | $925.20 | $1,542 | 0.4× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $85.20 | $142 | 0.4× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $85.20 | $142 | 0.4× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $85.20 | $142 | 0.4× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $85.20 | $142 | 0.4× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $85.20 | $142 | 0.4× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $85.20 | $142 | 0.4× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $56.40 | $94 | 0.3× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) | $85.20 | $142 | 0.4× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $85.20 | $142 | 0.4× |
| Destruction neurolytic agt genicular nerve w/img (64624) | $3,760.50 | $6,267.50 | 1.9× |
| Destruction Premalignant Lesion 15/> (17004) | $165 | $275 | 0.4× |
| Destruction premalignant lesion 1st (17000) | $66.60 | $111 | 0.3× |
| Destruction Vaginal Lesions Extensive (57065) | $1,063.20 | $1,772 | 0.3× |
| Destruction Vaginal Lesions Simple (57061) | $14,226.93 | $23,711.55 | 4.4× |
| Diagnostic sigmoidoscopy (45330) range across 2 matching MRF lines |
$2,047.68–$5,108.64 | $3,412.80–$8,514.40 | varies |
| Diaphragm or cervical cap fitting with instructions (57170) | $10.80 | $18 | 0.1× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) | $159.60 | $266 | 1.2× |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) | $79.80 | $133 | 0.6× |
| Dilat Urethral Strix Dilator Male Sbsq (53601) | $240.60 | $401 | 1.8× |
| Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) | $458.40 | $764 | 1.8× |
| Dilate Esophagus 1/Mult Pass (43450) | $1,020 | $1,700 | 1.1× |
| Dilate Urethra Stricture (53620) | $916.80 | $1,528 | 1.3× |
| Dilate Urethra Stricture (53600) | $481.20 | $802 | 1.9× |
| Dilation and catheterization of salivary duct, with or without injection (42660) | $787.20 | $1,312 | 1.5× |
| Dilation Cervical Canal (57800) | $753.60 | $1,256 | 0.2× |
| Drain Cerebro Spinal Fluid (62272) | $438.60 | $731 | 0.6× |
| Drain/inj small joint/bursa w/us (20604) | $418.80 | $698 | 1.4× |
| Drainage external auditory canal abscess (69020) | $415.20 | $692 | 0.6× |
| Drainage external ear abscess/hematoma cmplx (69005) | $312 | $520 | 0.2× |
| Drainage of hematoma/fluid (10140) | $601.20 | $1,002 | 0.4× |
| Drainage of hydrocele (55000) | $480.60 | $801 | 0.7× |
| Drainage of skene's gland abscess or cyst (53060) | $123 | $205 | 0.1× |
| Draw Blood Off Venous Device (36591) | $683.40 | $1,139 | 5.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $447.60 | $746 | 1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $367.80 | $613 | 1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$273–$288 | $455–$480 | varies |
| Dstrj Lesion Penis Simple Chemical (54050) | $201.60 | $336 | 0.5× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $45.60 | $76 | 0.2× |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) | $297.60 | $496 | 0.1× |
| Dstrj lesion penis simple laser (54057) | $507 | $845 | 0.2× |
| Dstrj lesion penis simple surg excision (54060) | $736.20 | $1,227 | 0.4× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $778.20 | $1,297 | 1.1× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $5,070.03 | $8,450.05 | 2.6× |
| Egd cautery tumor polyp (43250) | $2,058.60 | $3,431 | 1.1× |
| Egd control bleeding any (43255) | $2,114.40 | $3,524 | 1.1× |
| Egd dilation gastric/duodenal stricture (43245) | $2,016 | $3,360 | 1.0× |
| Egd Flexible Foreign Body Removal (43247) | $1,686 | $2,810 | 1.9× |
| Egd guide wire insertion (43248) | $2,114.40 | $3,524 | 2.3× |
| Egd place gastrostomy tube (43246) | $1,896.60 | $3,161 | 1.0× |
| Egd remove lesion snare (43251) | $1,879.80 | $3,133 | 1.0× |
| Egd Tube/Cath Insertion (43241) | $1,896.60 | $3,161 | 1.0× |
| Electro-Uroflowmetry First (51741) | $57.60 | $96 | 0.3× |
| Endocervical curettage (57505) | $123 | $205 | 0.1× |
| Endometrial Biopsy (58100) range across 3 matching MRF lines |
$204.60–$3,379.71 | $341–$5,632.85 | varies |
| Endoscopic injection/implant (51715) | $891 | $1,485 | 0.3× |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$472.20–$609.60 | $787–$1,016 | varies |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) | $2,276.40 | $3,794 | 1.2× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) | $1,125.60 | $1,876 | 1.2× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) | $2,047.80 | $3,413 | 1.1× |
| Evacuation of subungual hematoma (11740) | $154.80 | $258 | 1.2× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) | $358.80 | $598 | 0.2× |
| Exc arm/elbow les sc < 3 cm (24075) | $358.80 | $598 | 0.2× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $214.20 | $357 | 0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $772.20 | $1,287 | 0.5× |
| Exc Back Les Sc < 3 Cm (21930) | $358.80 | $598 | 0.2× |
| Exc Back Tum Deep 5 Cm/> (21933) | $648 | $1,080 | 0.2× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $358.80 | $598 | 0.5× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $358.80 | $598 | 0.5× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $772.20 | $1,287 | 0.5× |
| Exc Face Les Sbq 2 Cm/> (21012) | $1,047.60 | $1,746 | 0.6× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $214.20 | $357 | 0.3× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $214.20 | $357 | 0.3× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $358.80 | $598 | 0.5× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $358.80 | $598 | 0.2× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $358.80 | $598 | 0.2× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $772.20 | $1,287 | 0.5× |
| Exc Frenum Labial/Buccal (40819) | $627.60 | $1,046 | 0.4× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $358.80 | $598 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $358.80 | $598 | 0.5× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $358.80 | $598 | 0.2× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) | $1,171.80 | $1,953 | 0.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $804 | $1,340 | 1.1× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $772.20 | $1,287 | 0.5× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $1,005.60 | $1,676 | 0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $772.20 | $1,287 | 0.5× |
| Exc Skin Benig >4cm Face,Facial (11446) | $1,005.60 | $1,676 | 0.3× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $772.20 | $1,287 | 0.5× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $1,005.60 | $1,676 | 0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $772.20 | $1,287 | 0.5× |
| Exc thigh/knee les sc 3 cm/> (27337) | $772.20 | $1,287 | 0.3× |
| Exc thigh/knee tum dep 5cm/> (27339) | $1,136.40 | $1,894 | 0.4× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $300 | $500 | 0.3× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $456 | $760 | 1.1× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $804 | $1,340 | 1.1× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $772.20 | $1,287 | 0.5× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $1,098 | $1,830 | 0.4× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) | $543.60 | $906 | 0.3× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) | $1,220.40 | $2,034 | 0.4× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $933 | $1,555 | 0.6× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $933 | $1,555 | 0.6× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) | $358.80 | $598 | 0.1× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $772.20 | $1,287 | 0.3× |
| Exchange Intraocular Lens (66986) | $5,984.10 | $9,973.50 | 2.6× |
| Excis Mouth Mucosa/Sub,No Repair (40810) | $826.20 | $1,377 | 0.2× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $153 | $255 | 0.1× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $358.80 | $598 | 0.5× |
| Excision lesion mouth roof (42104) | $1,089.60 | $1,816 | 0.3× |
| Excision Lesion Tongue W/O Closure (41110) | $150 | $250 | 0.0× |
| Excision Lingual Frenum Frenectomy (41115) | $150 | $250 | 0.1× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $214.20 | $357 | 0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $358.80 | $598 | 0.5× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $358.80 | $598 | 0.5× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $358.80 | $598 | 0.2× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $1,005.60 | $1,676 | 0.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $358.80 | $598 | 0.5× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $772.20 | $1,287 | 0.5× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $987 | $1,645 | 0.6× |
| Excision of pilonidal cyst or sinus; simple (11770) | $772.20 | $1,287 | 0.3× |
| Excision of single external papilla or tag, anus (46220) | $214.20 | $357 | 0.2× |
| Excision of vaginal cyst or tumor (57135) | $1,063.20 | $1,772 | 0.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $772.20 | $1,287 | 0.5× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $1,136.40 | $1,894 | 0.7× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $358.80 | $598 | 0.2× |
| Excision, interdigital (morton) neuroma, single, each (28080) | $5,009.88 | $8,349.80 | 3.1× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $1,100.40 | $1,834 | 0.4× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $6,202.80 | $10,338 | 2.1× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | $772.20 | $1,287 | 0.3× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $772.20 | $1,287 | 0.5× |
| Excision/destruction intranasal lesion int appr (30117) | $645 | $1,075 | 0.2× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $1,264.80 | $2,108 | 0.6× |
| Explo/Drain Breast Abscess (19020) | $1,018.80 | $1,698 | 0.6× |
| External cephalic version (59412) | $149.40 | $249 | 0.0× |
| Fasciectomy Plantar Fascia Partial Spx (28060) range across 4 matching MRF lines |
$4,797.48–$9,829.83 | $7,995.80–$16,383.05 | varies |
| Fetal non-stress test (59025) range across 5 matching MRF lines |
$277.80–$1,153.20 | $463–$1,922 | varies |
| Fine needle aspiration without imaging guidance (10021) | $772.20 | $1,287 | 1.9× |
| Fluoro exam of g/colon tube (49465) | $145.80 | $243 | 0.6× |
| Fna bx w/us gdn 1st les (10005) | $777.60 | $1,296 | 1.1× |
| Gastrocnemius recession (27687) range across 2 matching MRF lines |
$1,545–$2,001.60 | $2,575–$3,336 | varies |
| Goniotomy (65820) | $7,958.91 | $13,264.85 | 1.9× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $972.60 | $1,621 | 1.0× |
| Hysteroscopy Dx Sep Proc (58555) | $706.20 | $1,177 | 0.2× |
| I&d abscess peritonsillar (42700) | $452.40 | $754 | 1.9× |
| I&d abscess simple (10060) | $238.80 | $398 | 1.2× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $1,018.80 | $1,698 | 0.4× |
| I&d perianal abscess superficial (46050) | $663 | $1,105 | 0.7× |
| I&d pilonidal cyst complicated (10081) | $762.60 | $1,271 | 1.1× |
| I&d pilonidal cyst simple (10080) | $844.20 | $1,407 | 1.2× |
| Implant neuroelectrodes (63650) range across 4 matching MRF lines |
$18,448.68–$18,815.31 | $30,747.80–$31,358.85 | varies |
| Implant Neuroelectrodes (64561) likely a partial charge, not the full procedure |
$1,195.80 | $1,993 | 0.2× |
| Incise external hemorrhoid (46083) | $180.60 | $301 | 0.7× |
| Incision & drainage abscess complicated/multiple (10061) | $312 | $520 | 0.8× |
| Incision & removal foreign body subq tiss compl (10121) | $298.20 | $497 | 0.2× |
| Incision & removal foreign body subq tiss simple (10120) | $480 | $800 | 1.2× |
| Incision and drainage of bartholin's gland abscess (56420) | $295.20 | $492 | 1.5× |
| Incision and drainage of vulva or perineal abscess (56405) | $366.60 | $611 | 1.2× |
| Incision of eardrum (69420) | $408.60 | $681 | 1.7× |
| Incision of labial frenum (frenotomy) (40806) | $7,055.46 | $11,759.10 | 13.1× |
| Incision of lingual frenum (frenotomy) (41010) | $361.20 | $602 | 0.2× |
| Incision of rectal abscess (46040) | $1,191 | $1,985 | 1.0× |
| Incisional biopsy skin single lesion (11106) | $150 | $250 | 0.2× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $114 | $190 | 0.6× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$2,461.02–$2,497.35 | $4,101.70–$4,162.25 | varies |
| Inj W/Fluor Eval Cv Device (36598) | $246 | $410 | 1.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 2 matching MRF lines |
$944.40–$1,416.60 | $1,574–$2,361 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 14 matching MRF lines |
$441.75–$20,891.10 | $736.25–$34,818.50 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $668.40 | $1,114 | 0.8× |
| Injection aa&/strd genicular nrv branches w/img (64454) | $1,028.64 | $1,714.40 | 1.5× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $430.20 | $717 | 0.5× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 6 matching MRF lines |
$7,853.19–$17,827.32 | $13,088.65–$29,712.20 | varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $349.80 | $583 | 1.1× |
| Injection anesthetic agent suprascapular nerve (64418) | $430.20 | $717 | 0.6× |
| Injection enzyme palmar fascial cord (20527) | $215.40 | $359 | 0.7× |
| Injection of sclerosing solution, hemorrhoids (46500) | $972.60 | $1,621 | 1.0× |
| Injection procedure for peyronie disease (54200) | $150 | $250 | 0.6× |
| Injection single tendon origin/insertion (20551) | $222 | $370 | 0.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$256.80–$305.91 | $428–$509.85 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) | $277.20 | $462 | 0.9× |
| Injection therapeutic carpal tunnel (20526) range across 4 matching MRF lines |
$338.40–$507.60 | $564–$846 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 6 matching MRF lines |
$6,858.72–$11,097.84 | $11,431.20–$18,496.40 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 3 matching MRF lines |
$10,212.60–$17,827.32 | $17,021–$29,712.20 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 6 matching MRF lines |
$559.35–$14,631.41 | $932.25–$24,385.68 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $67.80 | $113 | 0.3× |
| Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
$154.80–$162.60 | $258–$271 | varies |
| Insert Drug Implant Device (11981) | $2,790.81 | $4,651.35 | 20.9× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$1,956.60–$2,054.40 | $3,261–$3,424 | varies |
| Insert pessary/other device (57160) range across 4 matching MRF lines |
$302.40–$1,359 | $504–$2,265 | varies |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$148.20–$721.80 | $247–$1,203 | varies |
| Insert tun ip cath perc (49418) | $15,697.41 | $26,162.35 | 4.4× |
| Insert tunneled cv cath (36561) range across 3 matching MRF lines |
$6,393.93–$6,944.94 | $10,656.55–$11,574.90 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) | $432 | $720 | 3.2× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $1,485.60 | $2,476 | 0.9× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $1,602 | $2,670 | 1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $7,623.09 | $12,705.15 | 2.4× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) | $37,585.92 | $62,643.20 | 1.2× |
| Intraoral i&d tongue/floor submndblr space (41008) | $663 | $1,105 | 0.2× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$325.80–$329.40 | $543–$549 | varies |
| Irrigation of corpora cavernosa for priapism (54220) range across 2 matching MRF lines |
$280.20–$294 | $467–$490 | varies |
| Laryngoscopy diagnostic (31505) | $127.80 | $213 | 0.6× |
| Laryngoscopy flexible diagnostic (31575) | $174 | $290 | 0.9× |
| Late closure of wound (13160) | $675 | $1,125 | 0.2× |
| Marsupialization of bartholin's gland cyst (56440) | $1,063.20 | $1,772 | 0.3× |
| N Block Inj Celiac Pelus (64530) | $840 | $1,400 | 0.9× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $8,346.51 | $13,910.85 | 11.8× |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$430.20–$645.60 | $717–$1,076 | varies |
| N Block Inj Plantar Digit (64455) range across 6 matching MRF lines |
$174.60–$262.20 | $291–$437 | varies |
| N Block Lumbar/Thoracic (64520) | $840 | $1,400 | 0.9× |
| Nasal Endoscopy Dx (31231) | $205.80 | $343 | 1.0× |
| Nasal/Orogastric W/Tube Plmt (43752) | $232.20 | $387 | 0.5× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) | $489 | $815 | 0.3× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) | $397.20 | $662 | 0.2× |
| Needle Biopsy Lymph Nodes (38505) | $675 | $1,125 | 0.4× |
| Needle insertion w/o injection 1 or 2 muscles (20560) range across 2 matching MRF lines |
$27–$36 | $45–$60 | varies |
| Needle insertion w/o injection 3 or more muscles (20561) | $36 | $60 | 1.2× |
| Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) | $331.80 | $553 | 0.5× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $358.80 | $598 | 0.9× |
| Njx anes stellate ganglion crv sympathetic (64510) | $349.80 | $583 | 0.4× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $1,946.40 | $3,244 | 0.5× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 4 matching MRF lines |
$1,658.37–$1,717.17 | $2,763.95–$2,861.95 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,003.80 | $1,673 | 1.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $417.60 | $696 | 0.6× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $795 | $1,325 | 0.9× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $993.60 | $1,656 | 1.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $417.60 | $696 | 0.5× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) | $124.80 | $208 | 0.3× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$430.20–$645.60 | $717–$1,076 | varies |
| Open Treatment Medial Malleolus Fracture (27766) | $16,533.06 | $27,555.10 | 2.3× |
| Open treatment metatarsal fracture each (28485) range across 2 matching MRF lines |
$9,440.64–$14,069.34 | $15,734.40–$23,448.90 | varies |
| Open Tx Distal Tibiofibular Joint Disruption (27829) | $16,533.06 | $27,555.10 | 2.3× |
| Ostc compl all metar heads w/prtl prox phalangc (28114) | $11,254.20 | $18,757 | 3.4× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) range across 5 matching MRF lines |
$532.20–$13,444.29 | $887–$22,407.15 | varies |
| Palatopharyngoplasty (42145) unusually low: confirm this is the full procedure |
$2,005.20 | $3,342 | 0.3× |
| Partial hymenectomy or revision of hymenal ring (56700) | $214.20 | $357 | 0.1× |
| Partical Excision Bone Phalanx Toe (28124) range across 3 matching MRF lines |
$454.20–$8,936.16 | $757–$14,893.60 | varies |
| Penile Injection (54235) | $150 | $250 | 0.6× |
| Place Rt Device/Marker Pros (55876) | $748.80 | $1,248 | 0.5× |
| Placement of needle for intraosseous infusion (36680) | $208.80 | $348 | 0.5× |
| Prq skel fixj metar fx w/manj (28476) | $9,341.76 | $15,569.60 | 2.9× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) range across 3 matching MRF lines |
$2,001.60–$11,834.73 | $3,336–$19,724.55 | varies |
| Punch biopsy skin single lesion (11104) | $105 | $175 | 0.3× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $204.60 | $341 | 0.5× |
| Puncture Aspiration Cyst Breast (19000) | $91.80 | $153 | 0.1× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) | $7,534.32 | $12,557.20 | 1.0× |
| Removal Foreign Body Foot Subcutaneous (28190) | $214.20 | $357 | 0.3× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $510 | $850 | 0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 4 matching MRF lines |
$63.60–$95.40 | $106–$159 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
$123.60–$185.40 | $206–$309 | varies |
| Removal Implant Deep (20680) | $192 | $320 | 0.1× |
| Removal Implant Superficial Separate Procedure (20670) range across 2 matching MRF lines |
$381–$447.36 | $635–$745.60 | varies |
| Removal implantable contraceptive capsules (11976) | $33.60 | $56 | 0.0× |
| Removal of heel spur (28119) range across 2 matching MRF lines |
$11,350.62–$20,526.90 | $18,917.70–$34,211.50 | varies |
| Removal of nail bed (11750) | $391.20 | $652 | 1.0× |
| Removal of sesamoid bone (28315) range across 2 matching MRF lines |
$1,236.60–$6,138.06 | $2,061–$10,230.10 | varies |
| Removal of tonsils (42826) | $4,929.45 | $8,215.75 | 1.5× |
| Removal or bivalving full arm or full leg cast (29705) | $216.60 | $361 | 0.8× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $56.40 | $94 | 0.3× |
| Removal subcutaneous cardiac rhythm monitor (33286) | $320.40 | $534 | 0.5× |
| Removal sweat gland lesion (11450) | $358.80 | $598 | 0.1× |
| Remove drug implant device (11982) | $189 | $315 | 0.4× |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$183–$216 | $305–$360 | varies |
| Remove Lower Leg Bone Lesion (27635) | $1,813.20 | $3,022 | 0.6× |
| Remove lung catheter (32552) | $150 | $250 | 0.2× |
| Remove Nasal Foreign Body (30300) | $148.80 | $248 | 1.1× |
| Remove/Insert Drug Implant (11983) | $2,801.01 | $4,668.35 | 6.3× |
| Repair Achilles Tendon (27650) range across 3 matching MRF lines |
$10,212.60–$23,768.82 | $17,021–$39,614.70 | varies |
| Repair Collat Ankle Ligmnt,Secondary (27698) range across 2 matching MRF lines |
$11,098.35–$11,190.93 | $18,497.25–$18,651.55 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $697.20 | $1,162 | 1.7× |
| Repair complex trunk 2.6-7.5 cm (13101) | $697.20 | $1,162 | 0.9× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) range across 2 matching MRF lines |
$6,730.77–$10,337.16 | $11,217.95–$17,228.60 | varies |
| Repair Hallux Rigidus (28289) | $4,824.48 | $8,040.80 | 1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $82.20 | $137 | 0.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $77.40 | $129 | 0.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $169.80 | $283 | 0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $82.20 | $137 | 0.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $82.20 | $137 | 0.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $82.20 | $137 | 0.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $82.20 | $137 | 0.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $261.60 | $436 | 0.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $82.20 | $137 | 0.2× |
| Repair of hammertoe (28286) | $1,236.60 | $2,061 | 0.4× |
| Repair of nail bed (11760) | $237.60 | $396 | 0.3× |
| Repair secondary achilles tendon w/wo graft (27654) | $20,526.90 | $34,211.50 | 2.8× |
| Rev/rmv prph sac/gstr npg/r (64595) | $9,322.62 | $15,537.70 | 2.7× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | $8,891.37 | $14,818.95 | 2.5× |
| Revj/rmvl peripheral neurostimulator electrode (64585) | $9,322.62 | $15,537.70 | 2.7× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) | $214.20 | $357 | 0.1× |
| Rmvl Lens Material Phacofragmentation Aspir (66850) | $6,114.27 | $10,190.45 | 2.6× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) | $8,891.37 | $14,818.95 | 4.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$1,972.20–$15,697.41 | $3,287–$26,162.35 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $662.40 | $1,104 | 1.1× |
| Rplc Gtube No Revj Trc (43762) | $292.80 | $488 | 1.2× |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) | $11,998.14 | $19,996.90 | 1.7× |
| Rpr flexor tendon leg secondary w/o graft each (27659) | $14,517.42 | $24,195.70 | 2.0× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) range across 2 matching MRF lines |
$9,735.39–$10,497.27 | $16,225.65–$17,495.45 | varies |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $839.40 | $1,399 | 1.3× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) | $1,602 | $2,670 | 1.7× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $2,262 | $3,770 | 1.9× |
| Shave skin lesion 0.5 cm/< (11300) | $85.20 | $142 | 0.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $456 | $760 | 1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $105 | $175 | 0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $135 | $225 | 0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $229.20 | $382 | 1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $180 | $300 | 0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $120 | $200 | 0.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $456 | $760 | 1.1× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $180 | $300 | 0.9× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) | $1,602 | $2,670 | 1.3× |
| Sigmoidoscopy w/fb removal (45332) | $1,602 | $2,670 | 1.3× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $8,487.51 | $14,145.85 | 9.1× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) | $1,551.60 | $2,586 | 1.3× |
| Simple Cystometrogram (51725) | $228 | $380 | 0.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $82.20 | $137 | 0.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $108.60 | $181 | 0.5× |
| Skin sub graft face/nk/hf/g (15275) range across 3 matching MRF lines |
$262.80–$4,830.60 | $438–$8,051 | varies |
| Skin sub graft trnk/arm/leg (15271) | $3,903.60 | $6,506 | 5.3× |
| Spinal puncture lumbar diagnostic (62270) | $417.60 | $696 | 0.6× |
| Strapping ankle (29540) | $143.40 | $239 | 0.9× |
| Strapping Unna Boot (29580) range across 11 matching MRF lines |
$82.20–$4,803.21 | $137–$8,005.35 | varies |
| Subcutaneous Hormone Pellet Implantation (11980) | $149.40 | $249 | 0.3× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) | $1,399.80 | $2,333 | 0.4× |
| Tangential biopsy skin single lesion (11102) | $60 | $100 | 0.1× |
| Tenodesis long tendon biceps (23430) | $11,037.24 | $18,395.40 | 1.5× |
| Tenotomy Percutaneous Toe Single Tendon (28010) range across 6 matching MRF lines |
$278.40–$929.40 | $464–$1,549 | varies |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) | $1,378.20 | $2,297 | 0.9× |
| Thyroid biopsy (60100) range across 2 matching MRF lines |
$553.80–$930 | $923–$1,550 | varies |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $279 | $465 | 1.2× |
| Treat vagina infection (57150) | $10.80 | $18 | 0.2× |
| Trim skin lesion (11055) range across 7 matching MRF lines |
$22.20–$305.40 | $37–$509 | varies |
| Trim skin lesions 2 to 4 (11056) range across 5 matching MRF lines |
$31.20–$457.80 | $52–$763 | varies |
| Trim skin lesions over 4 (11057) range across 5 matching MRF lines |
$271.20–$672 | $452–$1,120 | varies |
| Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$54.60–$57.60 | $91–$96 | varies |
| Tx Gastro Intub W/Asp (43753) range across 3 matching MRF lines |
$186.60–$325.20 | $311–$542 | varies |
| Tx open tendon flexor toe 1 tendon spx (28232) | $276 | $460 | 0.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $538.80 | $898 | 0.7× |
| Tx superficial wound dehiscence w/packing (12021) | $409.20 | $682 | 1.0× |
| Unlisted Procedure External Ear (69399) | $120.60 | $201 | 0.5× |
| Unlisted procedure foot or toes (28899) | $295.20 | $492 | 1.2× |
| Unlisted Procedure Intestine (44799) | $574.20 | $957 | 0.6× |
| Unlisted procedure larynx (31599) | $325.80 | $543 | 1.4× |
| Unlisted procedure nervous system (64999) | $368.25 | $613.75 | 1.2× |
| Urine Flow Measurement (51736) | $153.60 | $256 | 1.2× |
| Vaginal delivery only (59409) | $1,048.20 | $1,747 | 0.3× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $1,238.40 | $2,064 | 0.6× |
| Ventilating tube removal requiring general anesthesia (69424) | $205.20 | $342 | 0.1× |
| Wedge excision skin nail fold (11765) | $223.80 | $373 | 0.5× |
| Wedging of cast (29740) | $103.20 | $172 | 0.4× |
| Wound Prep Trk/Arm/Leg (15002) | $2,649.60 | $4,416 | 3.6× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) | $5,568 | $9,280 | 1.0× |
| Xfer Single Deep Low Leg Tendon (27691) | $20,526.90 | $34,211.50 | 2.8× |
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.