Procedures & surgery prices at Highpoint Health – Sumner with Ascension Saint Thomas

Gallatin, TN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,236.56 $5,307.14 1.4×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $704.55 $3,023.84 0.8×
Amputate metacarpal bone (26910) $5,515.65 $23,672.33 1.8×
Amputation Finger/Thumb (26951) $5,762 $24,729.61 1.8×
Amputation of penis; partial (54120) $6,722.69 $28,852.74 2.0×
Amputation toe interphalangeal joint (28825) $4,436.02 $19,038.72 1.4×
Amputation Toe Metatarsophalangeal Joint (28820) $3,891.39 $16,701.24 1.2×
Anoscopy diagnostic (46600) $79,955.25 $343,155.59 626.4×
Anrct xm surg req anes general spi/edrl dx (45990) $4,094.60 $17,573.40 1.5×
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) $5,916.77 $25,393.85 1.2×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $177.86 $773.31 1.1×
Application cast elbow finger short arm (29075) $430.59 $1,872.15 1.6×
Application Cast Hand & Lower Forearm Gauntlet (29085) $192.08 $835.11 1.2×
Application cast shoulder hand long arm (29065) $430.59 $1,872.15 1.6×
Application Finger Splint Dynamic (29131) $192.08 $835.11 3.4×
Application finger splint static (29130) $159.39 $693 1.2×
Application long arm splint shoulder hand (29105) $192.08 $835.11 1.2×
Application long leg splint thigh ankle/toes (29505) $192.08 $835.11 1.2×
Application of cylinder cast (thigh to ankle) (29365) $436.16 $1,884.60 1.6×
Application of long leg cast (29345) $436.16 $1,884.60 1.6×
Application Of Rigid Total Contact Leg Cast (29445) $443.34 $1,915.64 1.7×
Application Short Arm Splint Dynamic (29126) $192.08 $835.11 1.5×
Application short arm splint forearm-hand static (29125) $205.45 $893.24 1.6×
Application short leg splint calf foot (29515) $192.08 $835.11 1.2×
Apply multlay comprs arm/hand (29584) $184.27 $431.04 1.2×
Apply short leg cast (29405) $436.16 $1,884.60 1.6×
Arterial puncture (36600) $33.83 $145.21 0.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $381.92 $1,639.14 1.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $341.41 $1,465.26 1.2×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $425.17 $1,824.77 1.4×
Arthrodesis ankle open (27870)
likely a partial charge, not the full procedure
$2,026.51 $8,697.45 0.2×
Arthrodesis ant interbody inc discectomy, cervical below c2 (22551)
unusually low: confirm this is the full procedure
$5,436.46 $23,332.47 0.4×
Arthrodesis great toe interphalangeal joint (28755) $5,022.45 $21,555.60 0.7×
Arthrodesis sacroiliac joint percutaneous (27279) $12,527.80 $53,767.40 0.7×
Arthrodesis, anterior interbody tech, incl min diskectomy; cervical below c2 (22554)
unusually low: confirm this is the full procedure
$5,439.95 $23,347.42 0.4×
Arthrodesis, anterior interbody technique, including minimal deskectomy to prepare interspace (other than for… (22558)
unusually low: confirm this is the full procedure
$10,646.79 $45,694.39 0.4×
Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633)
likely a partial charge, not the full procedure
$5,699.63 $24,461.93 0.2×
Arthrodesis, great toe; metatarsophalangeal joint (28750) $7,757.42 $33,293.67 1.1×
Arthrodesis, posterior interbody technique, including laminectomy and/or diskectomy to prepare interspace (other than… (22630)
likely a partial charge, not the full procedure
$6,068.10 $26,043.37 0.2×
Arthrodesis, posterior or posterolateral technique, single level ; lumbar (with lateral transverse technique, when… (22612)
unusually low: confirm this is the full procedure
$5,716.38 $24,533.83 0.3×
Arthrodesis, posterior or posterotlateral technique, single level; cervical below c2 segment (22600)
unusually low: confirm this is the full procedure
$5,123.21 $21,988.03 0.3×
Arthroplasty glenohumeral joint total shoulder (23472)
unusually low: confirm this is the full procedure
$6,296.27 $27,022.63 0.4×
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) $10,517.21 $45,138.25 1.5×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) $5,874.22 $25,211.24 1.9×
Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) $6,584.01 $28,257.54 2.1×
Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) $8,561.48 $36,744.56 2.7×
Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) $7,412.08 $31,811.49 2.4×
Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) $13,797.76 $59,217.84 4.4×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $4,218.22 $18,103.94 0.6×
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) $8,224.91 $35,300.05 1.2×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $4,177.24 $17,928.06 1.3×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $8,829.45 $37,894.63 2.8×
Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) $4,799.23 $20,597.56 1.5×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $6,534.17 $28,043.63 0.9×
Arthroscopy, shoulder, surgical; synovectomy, partial (29820) $5,470.40 $23,478.11 0.8×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $8,570.41 $36,782.88 2.7×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $4,240.03 $18,197.54 0.6×
Avulsion nail plate partial/complete simple 1 (11730) $136.37 $585.30 0.7×
Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) $4,901.09 $21,034.74 4.3×
Biopsy bone open superficial (20240) $3,565.51 $15,302.61 1.3×
Biopsy bone trocar/needle deep (20225) $1,859.32 $7,979.92 1.2×
Biopsy Bone Trocar/Needle Superficial (20220) $1,754.20 $7,528.74 1.1×
Biopsy Breast Open Incisional (19101) $3,470.57 $14,895.16 0.9×
Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) $6,032.95 $25,892.50 6.8×
Biopsy external auditory canal (69105) $8,433.47 $36,195.17 5.7×
Biopsy muscle deep (20205) $9,063.21 $38,897.88 3.3×
Biopsy muscle percutaneous needle (20206) $1,353.65 $5,809.66 0.9×
Biopsy of floor of mouth (41108) $6,845.15 $29,378.34 4.3×
Biopsy of tongue (41100) $4,594.44 $19,718.61 8.9×
Biopsy or excision of lymph node(s); open, superficial (38500) $5,530 $23,733.90 1.5×
Biopsy Salivary Gland Incisional (42405) $8,439.37 $36,220.46 5.7×
Biopsy Salivary Gland,Needle (42400) $919.65 $3,946.98 1.4×
Biopsy soft tissue neck/thorax (21550) $2,079.11 $8,923.20 1.3×
Biopsy/removal lymph nodes (38525) $5,281.30 $22,666.51 1.4×
Bladder Instillation Anticarcinogenic Agent (51720) $1,623.71 $6,968.73 2.4×
Bladder Irrigation Simple (51700) $268.94 $1,154.24 1.1×
Bladder Scan (51798) $85.66 $367.62 1.5×
Blood patch (62273) $642.87 $2,759.12 0.9×
Blood transfusion service (36430) $514.70 $2,209 1.2×
Bone Marrow Biopsy (38221) $3,177.83 $13,638.76 2.0×
Bronchosc dx w/w/o fluor&wash (31622) $1,655.48 $7,105.07 1.0×
Bronchoscopy,Diagnostic W Lavage (31624) $1,866.68 $8,011.49 1.1×
Bx abdl/retroperitoneal mass prq needle (49180) $1,031.23 $4,425.89 0.7×
Bx breast 1st lesion strtctc (19081) $1,066.70 $4,578.11 0.7×
Bx breast 1st lesion us imag (19083) $1,370.33 $5,881.25 0.9×
Bx vulva/perineum 1 lesion (56605) $2,757.94 $11,836.64 3.1×
Bx/exc lymph node needle superficial (38505) $1,019.88 $4,377.18 0.6×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $2,059.18 $8,837.67 0.7×
Capsulorrhaphy anterior w/labral repair (23455) $5,317.85 $22,823.41 0.8×
Cerv artific diskectomy (22856) $14,309.19 $61,412.83 0.9×
Change Cystostomy Tube Simple (51705) $213.80 $917.61 0.9×
Chemical Cautery Tissue (17250) $244.29 $1,048.44 1.3×
Chest tube placement (32551) $5,358.22 $22,996.64 3.5×
Chromotubation of oviduct, including materials (58350) $4,679.21 $20,082.46 1.0×
Circum 28 days or older (54161) $5,482.63 $23,530.60 2.7×
Circumcision (54150) $3,175.09 $13,626.99 1.6×
Close Rx Fingr Articular Fx,Manip (26742) $188.57 $809.31 0.1×
Closed Rx Humer Epicondylr Fx,Manip (24565) $319.95 $1,373.16 0.2×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $639.13 $2,743.04 0.4×
Closed treatment nasal fracture w/stabilization (21320) $3,679.02 $15,789.79 1.2×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $172.87 $741.93 0.7×
Closed tx patellar dislocation w/anesthesia (27562) $327.60 $1,405.99 1.4×
Closed tx patellar dislocation w/o anesthesia (27560) $188.57 $809.31 0.8×
Closed tx radial head/neck fx w/manipulation (24655) $668.27 $2,868.10 0.4×
Closed tx radial shaft fracture w/manipulation (25505) $2,878.63 $12,354.65 1.9×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $157.73 $676.94 0.7×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,764.05 $7,571.01 1.1×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $207.25 $889.47 0.9×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $205.28 $881.03 0.9×
Cltx dstl fibular fx lat malls w/manj (27788) $94.20 $404.31 0.4×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $206.36 $885.66 0.1×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $180.25 $773.60 0.8×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $3,761.32 $16,143 2.4×
Cltx hip dislocation traumatic w/o anesthesia (27250) $195.84 $840.53 0.8×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $197.20 $846.35 0.8×
Cltx iphal jt dislc w/manj w/o anes (26770) $208.06 $892.98 0.9×
Cltx metacarpal fx w/manipulation each bone (26605) $182.76 $784.38 0.8×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $327.27 $1,404.61 1.4×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $171.43 $735.74 0.7×
Cltx Post Hip Arthrp Dislc Req Anes (27266) $1,648.85 $7,076.62 1.1×
Cltx post hip arthrp dislc w/o anes (27265) $203.12 $871.74 0.9×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $2,190.27 $9,400.32 1.4×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $197.06 $845.75 0.8×
Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) $1,609.35
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $2.70 $11.60 0.0×
Cltx trimalleolar ankle fx w/manipulation (27818) $733.06 $3,146.18 0.5×
Colonoscopy flex w/rem forcep (45384) $1,705.08 $7,317.93 1.5×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $1,537.74 $6,599.74 1.3×
Colonoscopy stoma w/biopsy (44389) $1,691.71 $7,260.55 1.5×
Colonoscopy stoma w/snare (44394) $1,368.58 $5,873.73 1.2×
Colonoscopy thru stoma (44388) $1,092.65 $4,689.48 1.2×
Colonoscopy w/ablation (45388) $1,693.94 $7,270.11 1.5×
Colonoscopy w/band ligation (45398) $1,692.64 $7,264.54 1.5×
Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) (57283) $8,750.03 $37,553.78 1.2×
Colposcopy cervix vag loop eltrd bx cervix (57460) $3,611.40 $15,499.59 1.2×
Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) $1,495.20 $6,417.15 1.3×
Colsc flx with directed submucosal njx any sbst (45381) $1,692.64 $7,264.54 1.5×
Conization of cervix (57520) $5,585.75 $23,973.18 1.8×
Conization of cervix (57522) $4,137.85 $17,759.02 1.3×
Contrast Inj Cent Ven Cath, Inc Flouro (36598) $312.65 $1,341.86 1.5×
Control Nasal Hemorrhage Anterior Complex (30903) $235.72 $1,011.68 1.8×
Control Nasal Hemorrhage Anterior Simple (30901) $226.64 $972.69 1.8×
Control Oropharyngeal Hemorrhage Simple (42960) $4,765.30 $20,451.93 9.2×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,364.70 $5,857.07 0.9×
Correction hammertoe (28285) $4,611.99 $19,793.96 1.5×
Correction of bunion (28298)
unusually low: confirm this is the full procedure
$2,914.39 $12,508.10 0.4×
Correction of bunion (28292) $11,664.26 $50,061.20 3.7×
Correction of bunion (28299)
unusually low: confirm this is the full procedure
$2,914.39 $12,508.10 0.4×
Correction of bunion (28297) $9,323.28 $40,014.08 0.8×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $3,642.65 $15,633.69 1.2×
Create eardrum opening (69436) $2,076.17 $8,910.61 1.4×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $162.41 $697.02 1.3×
Cysto Bladder W/Ureteral Catheterization (52005) $1,450.21 $6,224.08 0.7×
Cysto w fulgertn lg bladder tumor(s) (52240) $7,459.93 $32,016.87 1.5×
Cysto w/destruction of lesions (52214) $3,409.41 $14,632.68 1.0×
Cysto w/removal of tumors small (52234) $3,890.31 $16,696.62 1.2×
Cysto W/Simple Removal Stone & Stent (52310) $1,922.18 $8,249.69 1.0×
Cysto w/ureter stricture tx (52341) $3,202.34 $13,743.93 0.9×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $1,548.57 $6,646.21 0.5×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
unusually low: confirm this is the full procedure
$1,580.28 $6,782.32 0.3×
Cysto/uretero w/lithotripsy (52356) $4,432.44 $19,023.36 0.9×
Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) $2,726.07 $11,699.89 0.5×
Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860) $17,464.89 $74,956.63 1.9×
Cystoscopy w/biopsy (52204) $4,402.86 $18,896.38 2.2×
Cystoscopy,Dil Urethral Stricture (52281) $3,371.42 $14,469.61 1.7×
Cystoscopy,insert ureteral stent (52332) $3,136.37 $13,460.83 0.9×
Cystostomy Cystotomy W/Drainage (51040) $3,920.70 $16,827.06 2.0×
Cystourethroscopy (52000) $5,666.11 $24,318.06 8.5×
Cystourethroscopy Inj Chemodenervation Bladder (52287) $4,471.70 $19,191.85 2.2×
Cystourethroscopy w/dil bladder general anesth (52260) $4,665.26 $20,022.58 2.3×
Cystourethroscopy W/Irrig & Evac Clots (52001) $1,997.75 $8,574.02 0.6×
Cystourethroscopy with direct vision internal urethrotomy (52276) $3,451.57 $14,813.59 1.7×
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) $2,646.05 $11,356.43 0.8×
Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) $4,680.78 $20,089.20 1.4×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $2,253.23 $9,670.52 0.8×
Debride Assoc Open Fx/Disloc Skin/Subq (11010) $2,643.80 $11,346.79 3.9×
Debridement subcutaneous tissue 20 sq cm/< (11042) $577.68 $2,479.33 1.5×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $581.16 $2,494.23 0.8×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $1,550.23 $6,653.34 1.0×
Declot vascular device (36593) $354.13 $1,519.88 1.1×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $409.94 $1,759.41 0.6×
Diagnostic sigmoidoscopy (45330) $1,065.77 $4,574.12 1.2×
Dilation & curettage dx&/ther nonobstetric (58120) $4,968.43 $21,323.72 1.6×
Dilation esoph unguided sound/bougie 1/mult pass (43450) $1,248.20 $5,357.06 1.4×
Dilation Esophagus Guide Wire (43453) $1,292.51 $5,547.27 0.7×
Diskectomy, anterior, with decompression of spinal cord and/ or nerve root(s), including osteophytectomy; cervical,… (63075) $15,272.28 $65,546.26 2.2×
Drainage External Ear Abscess/Hematoma Simple (69000) $175.90 $754.94 0.3×
Drainage Finger Abscess Simple (26010) $173.73 $745.63 0.9×
Drainage of gum lesion (41800) $193.49 $830.44 1.5×
Drainage of hematoma/fluid (10140) $1,488.32 $6,387.65 0.9×
Drainage of scrotal wall abscess (55100) $1,589.71 $6,822.81 1.0×
Draw blood off venous device (36591) $84.13 $361.06 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $229.39 $984.49 0.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $229.39 $984.49 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $229.39 $984.49 1.2×
Dry Needling 3+ Muscles (20561) $15.64 $67.11 0.6×
Dstrj lesion anus simple surg excision (46922) $7,457.15 $32,004.92 2.8×
Dx bone marrow bx & aspir (38222) $3,505.57 $15,045.36 1.3×
Egd Balloon Dil Esoph30 Mm/> (43233) $1,562.50 $6,706.02 0.8×
Egd balloon dilation esophagus <30 mm diam (43249) $1,531.25 $6,571.88 0.8×
Egd Dilation Gastric/Duodenal Stricture - Egd (43245) $1,581.87 $6,789.14 0.9×
Egd endoscopic stent place (43266)
unusually low: confirm this is the full procedure
$2,293.27 $9,842.35 0.4×
Egd flexible foreign body removal (43247) $1,644.67 $7,058.66 1.9×
Egd guide wire insertion (43248) $1,562.50 $6,706.02 1.8×
Egd place gastrostomy tube (43246) $1,458.21 $6,258.40 0.8×
Egd rem tumr/polyp forcep (43250) $1,241.41 $5,327.93 0.7×
Egd remove lesion snare (43251) $2,422.26 $10,395.97 1.3×
Egd Transoral Control Bleeding Any Method - Egd (43255) $1,425.35 $6,117.39 0.8×
Egd Varices Ligation (43244) $1,497.36 $6,426.42 0.8×
Endometrial abltj thermal w/o hysteroscopic guid (58353) $2,425.07 $10,408.05 0.5×
Endoscopic Injection/Implant (51715) $3,484.53 $14,955.08 1.0×
Endoven ther chem adhes 1st (36482) $9,393.76 $40,316.58 1.8×
Endovenous rf 1st vein (36475) $3,350.07 $14,565.50 1.1×
Episiotomy or vaginal repair (59300) $6,231.59 $26,745.03 2.0×
Ercp Duct Stent Placement (43274) $3,676.03 $15,776.93 0.6×
Ercp ea duct/ampulla dilate (43277) $3,240.95 $13,909.64 0.9×
Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) $3,458.49 $14,843.29 0.9×
Ercp w/sphincterotomy/papillotomy (43262) $3,569 $15,317.60 1.0×
Esophagogastroduodenoscopy submucosal injection (43236) $1,273.95 $5,467.61 1.5×
Esophagoscopy flexible removal foreign body (43215) $1,883.09 $8,081.95 1.0×
Evacuation of subungual hematoma (11740) $52.48 $225.24 0.4×
Exc abd les sc 3 cm/> (22903) $12,328.70 $52,912.90 4.4×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $3,021.50 $12,967.81 1.9×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $5,467.04 $23,463.69 3.5×
Exc face les sbq 2 cm/> (21012) $2,085.73 $8,951.63 1.3×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $4,790.76 $20,561.21 3.0×
Exc foot/toe tum sc < 1.5 cm (28043) $4,475.23 $19,207 2.8×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $6,178.73 $26,518.15 9.1×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $2,114.72 $9,076.07 5.4×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $4,318.37 $18,533.79 6.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $5,033.67 $21,603.75 7.4×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $5,920.67 $25,410.60 3.7×
Exc Skin Benig >4 Cm Face,Facial (11446) $2,028.56 $8,706.27 0.7×
Exc Skin Benig >4 Cm Remaindr Body (11426) $5,585.85 $23,973.61 2.0×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $6,447.32 $27,670.89 4.1×
Exc Skin Malig >4 Cm Face,Facial (11646) $3,770.99 $16,184.50 1.4×
Exc Skin Malig >4 Cm Remaindr Body (11626) $5,335.93 $22,900.98 1.9×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $8,957.96 $38,446.19 5.7×
Exc thigh/knee les sc 3 cm/> (27337) $4,734.46 $20,319.58 1.7×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $3,033.76 $13,020.44 2.6×
Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) $7,397.83 $31,750.33 2.7×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $6,079.24 $26,091.15 2.2×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $1,559.66 $6,693.83 0.6×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $3,547.87 $15,226.92 2.2×
Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) $3,743.53 $16,066.66 1.3×
Excise lesion testis (54512) $3,824.68 $16,414.94 1.1×
Excise pharynx lesion (42808) $4,184.60 $17,959.68 1.3×
Excision Breast Lesion (19125) $4,720.08 $20,257.87 1.3×
Excision hidradenitis inguinal smpl/intrm rpr (11462) $8,735.16 $37,489.96 3.1×
Excision hydrocele bilateral (55041) $8,366.86 $35,909.27 2.4×
Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) $2,586.84 $11,102.33 3.8×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $3,770.99 $16,184.50 5.6×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $10,004.84 $42,939.22 14.7×
Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) $5,534.36 $23,752.60 3.5×
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) $4,773.17 $20,485.73 3.0×
Excision Multiple External Papillae/Tags Anus (46230) $4,796.02 $20,583.78 1.8×
Excision of hydrocele; unilateral (55040) $3,978.59 $17,075.50 1.2×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $5,406.86 $23,205.39 3.4×
Excision of lesion other than skin tag </= 0.5 cm (11420) $3,985.43 $17,104.86 2.5×
Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) $2,694.27 $11,563.41 1.7×
Excision of local lesion of epididymis (54830) $5,820.76 $24,981.79 1.7×
Excision of neuroma; hand or foot, except digital nerve (64782) $6,006.23 $25,777.79 3.2×
Excision of pilonidal cyst or sinus; simple (11770) $6,672.46 $28,637.17 2.4×
Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) $3,237.07 $13,892.99 1.2×
Excision of spermatocele, with or without epididymectomy (54840) $3,824.68 $16,414.94 1.9×
Excision of vaginal cyst or tumor (57135) $3,619.21 $15,533.10 1.2×
Excision olecranon bursa (24105) $10,579.60 $45,406.03 3.4×
Excision pilonidal cyst/sinus complicated (11772) $10,257.14 $44,022.06 3.7×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $5,867.95 $25,184.35 3.7×
Excision, interdigital (Morton) neuroma, single, each (28080) $5,380.38 $23,091.77 3.5×
Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) $6,943.79 $29,801.66 2.5×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $2,085.73 $8,951.63 1.3×
Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) $3,765.33 $16,160.23 1.4×
Explo/Drain Breast Abscess (19020) $3,470.57 $14,895.16 2.2×
Exploration of spinal fusion (22830) $5,725.39 $24,572.48 0.8×
Explore parathyroid glands (60500) $10,693.14 $45,893.30 1.9×
Fetal Contraction Stress Test (59020) $246.50 $1,065.10 1.3×
Fetal non-stress test (59025) $236.82 $1,023.28 1.2×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $871.31 $3,739.52 1.3×
Fixation of knee joint (27570) $856.63 $3,676.51 0.6×
Fixation of shoulder (23700) $4,567.87 $19,604.59 3.0×
Fracture nasal inferior turbinate(s), therapeutic (30930) $3,936.63 $16,895.42 1.2×
Frenulotomy of penis (54164) $3,736.55 $16,036.69 1.9×
Fusion of foot bones (28730) $7,882.97 $33,832.49 0.6×
Gastrocnemius Recession (27687) $2,605.45 $11,182.17 0.8×
Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) (15769) $10,337.89 $44,368.64 3.0×
Guide Cathet Fluid Drainage (10030) $962.03 $4,128.88 1.4×
Hysteroscopy ablation (58563) $5,319.31 $22,829.67 1.1×
Hysteroscopy biopsy (58558) $4,881.98 $20,952.72 1.6×
Hysteroscopy dx sep proc (58555) $1,618.73 $6,947.34 0.5×
Hysteroscopy Removal Impacted Foreign Body (58562) $4,438.71 $19,050.25 1.4×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $6,816.10 $29,253.66 1.4×
I&D Abscess Peritonsillar (42700) $178.16 $764.65 0.8×
I&d abscess simple (10060) $182.75 $784.33 0.9×
I&d below fascia foot 1 bursal space (28002) $1,482.89 $6,364.34 1.0×
I&D Deep Absc/Hematoma Neck/Chest (21501) $2,699.23 $11,584.66 1.0×
I&d perianal abscess superficial (46050) $782.35 $3,357.74 0.9×
I&d pilonidal cyst simple (10080) $197.86 $849.21 0.3×
Image Cath Fluid Peri/Retro (49406) $2,490.25 $10,687.75 1.6×
Implant neuroelectrodes (63650) $8,654.47 $37,143.65 1.4×
Incise finger tendon sheath (26055) $3,275.88 $14,059.55 2.1×
Incision & drainage abscess complicated/multiple (10061) $209.19 $897.80 0.5×
Incision & removal foreign body subq tiss compl (10121) $5,781.32 $24,812.55 3.6×
Incision & removal foreign body subq tiss simple (10120) $456.82 $1,960.61 1.2×
Incision and drainage of abscess of pelvis (57010) $32.29 $138.60 0.0×
Incision and drainage of bartholin's gland abscess (56420) $252.45 $1,083.48 1.3×
Incision and drainage of vulva or perineal abscess (56405) $246.49 $1,057.89 0.8×
Incision bone cortex foot (28005) $2,763.76 $11,861.62 0.9×
Incision of eardrum (69421) $2,845.70 $12,213.30 0.9×
Incision of heel bone (28300)
unusually low: confirm this is the full procedure
$2,769.16 $11,884.79 0.4×
Incision of metatarsal (28308) $3,642.65 $15,633.69 1.2×
Incision of rectal abscess (46045) $2,823.45 $12,117.79 1.1×
Incision of rectal abscess (46040) $3,390.82 $14,552.86 3.0×
Incision thrombosed hemorrhoid external (46083) $269.25 $1,155.56 1.1×
Incisional biopsy skin single lesion (11106) $453.01 $1,944.24 0.6×
Initial tx 1st degree burn local tx (16000) $134.39 $576.76 0.7×
Inj,Anes Agent,Brachial Plexus,Single (64415) $4,527.84 $19,432.79 5.3×
Inj,Anes Agent,Femoral Nerve,Single (64447) $7,335.98 $31,484.91 10.8×
Injection aa&/strd sciatic nerve w/img gdn (64445) $2,779.51 $11,929.22 4.1×
Injection aa&/strd trigeminal nerve each branch (64400) $379.79 $1,630.02 1.3×
Injection anes other peripheral nerve/branch (64450) $537.85 $2,308.38 0.8×
Injection single/mlt trigger point 1/2 muscles (20552) $353.78 $1,518.36 1.2×
Injection, anesthetic agent; greater occipital nerve (64405) $504.57 $2,165.52 1.7×
Injection, anesthetic agent; paracervical (uterine) nerve (64435) $1,886.08 $8,094.77 2.8×
Ins cath ren art 1st bilat (36252) $4,297.62 $18,444.72 1.4×
Ins endovas vena cava filtr (37191) $7,117.57 $30,547.50 1.3×
Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) $16,742.48 $71,856.15 1.7×
Insert Bladder Cath Complex (51703) $145.61 $624.92 1.2×
Insert Gastrostomy Tube Percutaneous (49440) $687.52 $2,950.71 0.4×
Insert non-tunnel cv cath (36556) $1,504.26 $6,456.05 0.5×
Insert picc cath (36569) $605.33 $2,597.98 0.4×
Insert Temp Bladder Cath (51702) $85.66 $367.62 0.7×
Insert tun ip cath perc (49418) $7,335.63 $31,483.37 2.1×
Insert tunneled cv cath (36561) $4,838.89 $20,767.77 1.6×
Insert,Non-Indwelling Bladder Catheter (51701) $85.66 $367.62 0.7×
Insertion indwelling tunneled pleural catheter (32550) $3,654.40 $15,684.14 1.1×
Insertion of wire and dilation of esophagus using an endoscope (43196) $3,730.56 $16,010.97 2.0×
Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590)
likely a partial charge, not the full procedure
$4,688.37 $20,121.74 0.3×
Insertion Picc W/Rs&I 5 Yr/> (36573) $459.85 $1,973.61 0.3×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $8,413.73 $36,110.42 1.1×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $3,538.30 $15,185.83 1.2×
Insj/rplcmt defib w/lead(s) (33249) $64,204.02 $275,553.73 2.1×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) $12,302.90 $52,802.13 1.5×
Insrt pulse gen w/mult leads (33231) $20,857.54 $89,517.33 0.7×
Insrt/redo spine n generator (63685)
unusually low: confirm this is the full procedure
$10,991.61 $47,174.30 0.4×
Intubation endotracheal emergency procedure (31500) $590.91 $2,536.12 2.6×
Irrigate corpora cavernosa for priapism (54220) $298.81 $1,282.46 1.2×
Irrigation maxillary sinus (31000) $2,694.21 $11,563.15 11.9×
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar (63267) $10,212.06 $43,828.58 1.5×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63005) $7,183.63
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) $14,701.35 $63,095.94 2.1×
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) $14,419.43 $61,885.95 2.1×
Lap ing hernia repair init (49650) $16,465.16 $70,665.94 2.8×
Lap insert tunnel ip cath (49324) $8,335.62 $35,775.18 1.4×
Laparoscopy appendectomy (44970) $7,446.46 $31,959.05 1.3×
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure
$721.39 $3,096.09 0.1×
Laparoscopy Remove Adnexa (58661) $12,917.23 $55,438.77 2.2×
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) $19,490.14 $83,648.69 1.9×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $16,934.27 $72,679.28 1.7×
Laparoscopy w/lysis of adhesions (58660) $5,177.50 $22,221.01 0.9×
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) $8,297.23 $35,610.42 1.4×
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) $19,904.53 $85,427.18 2.0×
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) $11,043.58 $47,397.32 1.9×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) $25,700.28 $110,301.64 2.5×
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) $9,419.36 $40,426.45 2.5×
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282) $39,351.34 $168,889.86 3.9×
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281) $23,694.27 $101,692.13 2.3×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) $8,953.95 $38,428.97 0.9×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $14,457.54 $62,049.52 2.5×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $8,427.74 $36,170.55 1.5×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $13,718.87 $58,879.25 2.4×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) $13,255.34 $56,889.86 1.3×
Laps surg bilateral total pelvic lmphadectomy (38571) $13,257.34 $56,898.47 1.3×
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) $4,985.41 $21,396.62 0.9×
Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) $16,341.21 $70,133.93 1.6×
Laps W/Revision Intraperitoneal Catheter (49325) $8,290.56 $35,581.82 1.4×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $3,830.76 $16,441.03 1.1×
Laryngoscopy Flexible Diagnostic (31575) $252.78 $1,092.24 1.3×
Laryngoscopy w/biopsy (31535) $4,654.90 $19,978.10 1.3×
Laryngoscopy w/bx op scope (31536) $3,900.64 $16,740.93 1.1×
Laryngoscopy,Direct,Diagnostic (31525) $3,726.69 $15,994.39 2.2×
Laser vaporization surgery prostate, complete (52648) $9,137.19 $39,215.42 1.8×
Lefort i-3/> piece w/o graft (21143) $19,461.23 $83,524.58 3.4×
Ligamentous reconstruction (augmentation), knee; extra-articular (27427) $7,853 $33,703.85 1.1×
Ligation or biopsy temporal artery (37609) $7,799.34 $33,473.57 4.9×
Litholapaxy smpl/sm <2.5 cm (52317) $4,113.31 $17,653.67 1.2×
Lithotripsy (50590) $3,990.31 $17,125.80 1.2×
Liver Biopsy (47000) $1,411.76 $6,059.06 0.9×
Marsup Bartholin Gland Cyst (56440) $6,395.36 $27,447.91 2.1×
Mastectomy partial (19301) $6,363.90 $27,312.86 1.7×
Mastectomy simple complete (19303) $17,343.37 $74,435.08 2.7×
Myelography Lumbar Injection (62305) $1,150.61 $4,938.22 1.5×
Myelography Lumbar Injection (62304) $999.30 $4,288.86 1.3×
Myelography Via Lumbar Injection Rs&I Cervical (62302) $966.41 $4,147.69 1.3×
Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) $2,142.73 $9,196.28 0.7×
Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276)
unusually low: confirm this is the full procedure
$2,046.27 $8,782.26 0.3×
Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267)
unusually low: confirm this is the full procedure
$2,981.01 $12,794.01 0.4×
Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) $3,851.95 $16,531.97 1.1×
Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) $2,332.83 $10,012.13 1.4×
Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via… (31295)
unusually low: confirm this is the full procedure
$3,223.56 $13,835.02 0.5×
Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254)
unusually low: confirm this is the full procedure
$2,124.62 $9,118.55 0.3×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259)
likely a partial charge, not the full procedure
$1,967.91 $8,445.97 0.3×
Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral (69705)
unusually low: confirm this is the full procedure
$2,511.49 $10,778.93 0.4×
Needle insertion w/o injection 1 or 2 muscles (20560) $15.64 $67.11 0.6×
Neuroplasty; nerve of hand or foot (64704) $3,127.66 $13,423.44 1.7×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,076.91 $4,621.95 1.3×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $922.38 $3,958.71 1.4×
Njx noncmpnd sclerosant multiple incmptnt veins (36466) $3,117.30 $13,378.98 1.6×
Njx noncmpnd sclerosant single incmptnt vein (36465) $3,117.30 $13,378.98 1.6×
Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) $371.11 $1,592.74 0.6×
Njx Sclrsnt 1 Incmptnt Vein (36470) $681.61 $2,925.38 1.7×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $681.61 $2,925.38 1.7×
Nsl/sins ndsc surg frnt&sphn (31298)
unusually low: confirm this is the full procedure
$3,223.56 $13,835.02 0.5×
Open biopsy/excision inguinofemoral nodes (38531) $5,939.91 $25,493.17 1.6×
Open rx distal radius fx, intra-articular, 2 frag (25608) $8,521.45 $36,572.74 1.2×
Open Treatment Bimalleolar Ankle Fracture (27814) $16,200.04 $69,528.06 2.3×
Open treatment metatarsal fracture each (28485) $5,975.65 $25,646.58 0.9×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $8,395.55 $36,032.39 1.2×
Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) $7,112.86 $30,527.31 1.0×
Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) $15,328.58 $65,787.89 2.2×
Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) $14,924.53 $64,053.76 2.1×
Open Treatment Radial Shaft Fracture (25515) $7,290.84 $31,291.18 1.0×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $7,013.57 $30,101.15 2.2×
Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) $10,635.57 $45,646.22 1.5×
Open tx fracture great toe/phalanx/phalanges (28505) $6,346.34 $27,237.50 2.0×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $6,087.46 $26,126.44 1.9×
Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) $6,417.28 $27,541.98 0.9×
Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) $3,560.58 $15,281.45 0.5×
Open tx phalangeal shaft fracture prox/middle ea (26735) $2,253.23 $9,670.52 0.7×
Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) $8,517.70 $36,556.67 0.7×
Open/Perq Place Stent Same (37238) $6,321.41 $27,130.52 0.6×
Open/Perq Placement Intravascular Stent Initial (37236) $8,248.24 $35,400.15 0.7×
Orchiectomy radical tumor inguinal approach (54530) $7,176.75 $30,801.50 2.1×
Orchiectomy, partial (54522) $2,079.55 $8,925.10 0.6×
Ostectomy, complete excision; fifth metatarsal head (28113) $4,569.30 $19,610.73 1.5×
Ostectomy, complete excision; first metatarsal head (28111) $3,368.57 $14,457.37 1.1×
Osteochondral allograft, knee, open (27415)
unusually low: confirm this is the full procedure
$5,525.55 $23,714.80 0.4×
Osteoplasty, radius OR ulna; shortening (25390) $4,521.16 $19,404.11 0.6×
Osteot w/wo lngth shrt/corrj 1st metar (28306) $3,912.18 $16,790.46 0.6×
Osteotomy, tarsal bones, other than calcaneus or talus; (28304)
unusually low: confirm this is the full procedure
$2,769.16 $11,884.79 0.4×
Partial excision bone talus/calcaneus (28120) $2,775.17 $11,910.61 0.9×
Partial Excision Distal Phalanx Finger (26236) $3,643.20 $15,636.07 2.4×
Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) $2,775.17 $11,910.61 0.9×
Partial hymenectomy or revision of hymenal ring (56700) $8,040.33 $34,507.86 2.6×
Partial Removal Foot Fascia (28060) $4,281.35 $18,374.91 1.4×
Partial removal of thyroid (60220) $15,740.64 $67,556.39 2.7×
Partical Excision Bone Phalanx Toe (28124) $3,274.63 $14,054.20 1.0×
Percut Drain/Inject Renal Cyst (50390) $1,039.74 $4,462.41 1.5×
Percut Mech Thrombectomy, Venous (37187)
likely a partial charge, not the full procedure
$3,047.99 $13,081.51 0.3×
Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) $3,836.66 $16,466.33 1.2×
Peri-implant capsulectomy breast complete (19371) $9,840.68 $42,234.66 2.6×
Perq dev breast 1st strtctc (19283) $877.69 $3,766.93 1.3×
Perq dev breast 1st us imag (19285) $877.67 $3,766.81 1.3×
Perq device breast 1st imag (19281) $862.50 $3,701.73 0.5×
Perq replacement gtube not req revj gstrst trc (43762) $313.20 $1,344.20 1.3×
Perq vert agmntj cavity crtj uni/bi cannulation (22513) $12,237.71 $52,522.37 1.8×
Phleb Veins - Extrem 20+ (37766) $5,448.70 $23,384.98 1.8×
Placement of needle for intraosseous infusion (36680) $673.81 $2,891.89 1.6×
Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238) $3,847.95 $16,514.81 0.7×
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure
$4,566.26 $19,597.68 0.3×
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methyl methacrylate, femur (27495) $10,213.21 $43,833.53 1.5×
Prostatectomy (turp) (52601) $6,976.35 $29,941.43 1.4×
Prq impltj neurostim eltrd sacral nrve w/imaging (64561)
unusually low: confirm this is the full procedure
$2,489.88 $10,686.18 0.4×
Punch biopsy skin single lesion (11104) $266.16 $1,142.30 0.7×
Puncture Aspiration (10160) $447.80 $1,921.87 1.1×
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) $6,071.90 $26,059.66 0.9×
Reconstr disloc patella w mscl adv (27422) $8,442.78 $36,235.12 1.2×
Reconstruct extra finger (26587) $4,494.31 $19,288.88 1.4×
Reconstruct of mandibular rami, horiz, vert, "c", or "l" osteotomy;w/o graft (21193) $19,461.23 $83,524.58 3.4×
Reduce testis torsion (54600) $2,991.40 $12,838.62 0.9×
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) $10,452.10 $44,858.82 1.5×
Rem endovas vena cava filter (37193) $2,998.16 $12,867.64 1.0×
Removal fb intranasal (30300) $89.99 $386.23 0.7×
Removal foreign body foot subcutaneous (28190) $1,071.57 $4,599.03 1.6×
Removal impacted cerumen irrigation/lvg unilat (69209) $89.99 $386.23 1.6×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $89.99 $386.23 1.6×
Removal Implant Deep (20680) $6,739.53 $28,925.03 2.4×
Removal of adenoids (42835) $2,618.73 $11,239.20 0.8×
Removal of adenoids (42830) $3,091.85 $13,269.75 1.0×
Removal of heel bone (28118) $4,044.27 $17,357.38 1.3×
Removal of indwelling tunneled pleural catheter with cuff (32552) $434.11 $1,863.11 0.7×
Removal of intrauterine device (iud) (58301) $186.69 $801.26 0.6×
Removal of nail bed (11750) $614.60 $2,637.76 1.6×
Removal of sesamoid bone (28315) $2,934.77 $12,595.59 0.9×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $2,891.10 $12,408.13 15.0×
Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) $1,847.12 $7,927.56 1.0×
Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) $3,491.11 $14,983.29 1.0×
Removal of testis (54520) $7,637.60 $32,779.39 2.3×
Removal of tonsils (42825) $3,994.03 $17,141.75 0.7×
Removal of tonsils (42826) $4,784.52 $20,534.41 1.5×
Removal ppm generator only (33233) $20,857.54 $89,517.33 2.6×
Removal subq cardiac rhythm monitor (33286) $1,950.60 $8,371.67 2.9×
Removal Tunneled Intraperitoneal Catheter (49422) $5,145.57 $22,083.97 1.7×
Removal/bivalving gauntlet boot/body cast (29700) $187.44 $804.46 0.7×
Remove anal fist subq (46270) $6,307.17 $27,069.39 2.4×
Remove bladder stone (52318) $5,403.25 $23,189.92 1.6×
Remove foreign body from eye (65210) $24.31 $104.33 0.1×
Remove in/ex hem groups 2+ (46260) $6,322.16 $27,133.73 2.4×
Remove Pilonidal Cyst Exten (11771) $7,571.51 $32,495.74 2.7×
Remove renal tube w/fluoro (50389) $821.35 $3,525.09 1.2×
Remove wrist tendon lesion (25111) $5,150.01 $22,103.07 3.3×
Remv Ext Canal Foreign Body (69200) $89.99 $386.23 0.7×
Remv F.B.,Eye,Superf Conjunc (65205) $164.28 $705.05 1.3×
Remv&replc pm gen dual lead (33228) $10,770.71 $46,226.22 1.1×
Renal biopsy (50200) $1,177.96 $5,055.61 0.7×
Repair achilles tendon (27650) $14,676.42 $62,988.91 2.1×
Repair arm tendon/muscle (24341) $9,910.98 $42,536.40 1.4×
Repair collat ankle ligmnt,secondary (27698) $5,506.64 $23,633.65 0.8×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $462.25 $1,983.90 1.2×
Repair complex trunk 2.6-7.5 cm (13101) $1,559.66 $6,693.83 2.2×
Repair elbow deb/attch open (24359) $4,384.51 $18,817.63 1.4×
Repair extensor tendon finger w/o graft each (26418) $2,253.23 $9,670.52 1.5×
Repair hallux rigidus (28289) $1,029.57 $4,418.76 0.3×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $7,280.03 $31,244.78 2.1×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $457.48 $1,963.43 1.2×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $386.28 $1,657.87 1.0×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $150.34 $645.23 0.4×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $208.55 $895.06 0.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $184.49 $791.79 0.5×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $332.98 $1,429.10 0.9×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $314.28 $1,348.83 0.4×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $448.94 $1,926.77 1.2×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $189.70 $814.16 0.5×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $368.73 $1,582.53 0.9×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $510.36 $2,190.38 1.3×
Repair lumbar hernia (49540) $8,111.14 $34,811.77 1.4×
Repair of anal fistula with fibrin glue (46706) $6,058.82 $26,003.52 2.3×
Repair of ankle ligament (27695) $6,247.85 $26,814.81 0.9×
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) $10,079.94 $43,261.56 1.6×
Repair of nail bed (11760) $171.28 $735.10 0.2×
Repair of nasal septum (30520) $3,588.85 $15,402.77 1.1×
Repair of thigh musc (27385) $7,928.82 $34,029.29 1.1×
Repair of tibia (27720) $3,882.53 $16,663.21 0.6×
Repair of vagina (57260) $9,195.75 $39,466.74 1.9×
Repair rectum & vagina (57250) $8,185.05 $35,128.99 1.7×
Repair secondary achilles tendon w/wo graft (27654)
unusually low: confirm this is the full procedure
$2,850.63 $12,234.46 0.4×
Repair Tongue Laceration (41250) $537.61 $2,307.34 1.3×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) $8,561.48 $36,744.56 1.2×
Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) $2,026.51 $8,697.45 0.6×
Repr elbow lat ligmnt w/tiss (24343) $4,384.51 $18,817.63 1.4×
Rerepair ing hernia reduce (49520) $12,802.54 $54,946.52 3.7×
Resect Inferior Turbinate (30140) $4,954.82 $21,265.34 1.6×
Revise median n/carpal tunnel surg (64721) $4,246.47 $18,225.20 2.3×
Revise ulnar nerve at elbow (64718) $11,222.50 $48,165.23 6.0×
Revision of lower leg tendon (27685) $2,763.76 $11,861.62 0.9×
Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) $3,539.48 $15,190.89 1.1×
Revision spinal neurostim electrode perc array, incl fluoro (63663) $4,755.79 $20,411.13 0.8×
Revision/Rmvl Peripheral/Gastric Npgr (64595) $1,403.36 $6,023 0.4×
Revj/rmvl peripheral neurostimulator electrode (64585) $1,403.36 $6,023 0.4×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $162.80 $698.72 0.4×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $167.92 $720.69 1.3×
Rmvl fecal impaction/fb spx under anes (45915) $5,306.67 $22,775.41 4.6×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,937.54 $8,315.64 1.3×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $884.79 $3,797.38 1.5×
Rplcmt compl tun ctr vad w/subq port (36582) $3,859.16 $16,562.92 1.3×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $2,199.01 $9,437.83 0.7×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $15,289.74 $65,621.18 2.6×
Rpr aa hernia 1st 3-10 cm reducible (49593) $9,783.55 $41,989.48 1.6×
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) $20,894.30 $89,675.09 3.6×
Rpr aa hernia 1st < 3 cm reducible (49591) $7,629.62 $32,745.15 2.2×
Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) $8,531.11 $36,614.23 1.4×
Rpr flexor tendon leg secondary w/o graft each (27659)
unusually low: confirm this is the full procedure
$2,293.02 $9,841.29 0.3×
Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) $481.76 $2,067.63 2.1×
Rpr Lip Full Thickness Vermilion Only (40650) $217.37 $932.93 0.4×
Shldr arthroscop,lyse adhesns (29825) $5,781.24 $24,812.17 1.8×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $4,825.68 $20,711.09 25.1×
Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) $1,693.18 $7,266.87 1.5×
Sigmoidoscopy flx w/biopsy single/multiple (45331) $1,066.69 $4,578.07 1.2×
Simple drainage of abscess of saliva gland (42300) $9,817.69 $42,136.01 6.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $188.04 $807.06 1.0×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $216.37 $928.63 1.1×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $212.84 $913.47 1.1×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $208.55 $895.06 1.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $189.84 $814.76 1.0×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $183.43 $787.25 1.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $226.55 $972.30 1.2×
Sinus endo w/balloon dil (31297)
unusually low: confirm this is the full procedure
$2,124.62 $9,118.55 0.3×
Skin sub graft face/nk/hf/g (15275) $1,221.81 $5,243.80 1.7×
Skin sub graft trnk/arm/leg (15271) $1,223.38 $5,250.58 1.7×
Skin Tissue Procedure (17999) $134.22 $576.07 0.7×
Skin tissue rearrangement (14040) $1,771.82 $7,604.40 0.9×
Skn splt a-grft fac/nck/hf/g (15120) $2,177.43 $9,345.18 0.6×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $6,102.33 $26,190.26 1.3×
Slitting of prepuce (54001) $6,848.66 $29,393.38 3.4×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $209.37 $898.57 1.1×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $227.63 $976.97 0.6×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $4,906.68 $21,058.71 12.6×
Spinal puncture lumbar diagnostic (62270) $524.32 $2,250.30 0.8×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $5,448.70 $23,384.98 1.8×
Strapping ankle (29540) $194.56 $840.66 1.2×
Strapping elbow/wrist (29260) $194.56 $840.66 3.4×
Strapping hand/finger (29280) $194.56 $840.66 3.4×
Strapping Hip (29520) $194.56 $840.66 1.5×
Strapping knee (29530) $194.56 $840.66 1.5×
Strapping shoulder (29240) $194.56 $840.66 1.5×
Strapping thorax (29200) $194.56 $840.66 1.2×
Strapping toes (29550) $194.56 $840.66 3.4×
Strapping unna boot (29580) $281.83 $1,225.33 1.8×
Surg nasopharyngoscopy dilat eustachian tube bi (69706)
unusually low: confirm this is the full procedure
$2,778.19 $11,923.58 0.5×
Suspension of testis (54640) $7,051.30 $30,263.10 2.1×
Tangential biopsy skin single lesion (11102) $255.77 $1,097.73 0.7×
Tendon excision palm/finger (26145) $4,809.43 $20,641.31 3.1×
Tenodesis long tendon biceps (23430) $7,108.62 $30,509.12 1.0×
Tenotomy Percutaneous Toe Single Tendon (28010) $1,841.95 $7,905.38 1.2×
Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) $2,914.39 $12,508.10 1.9×
Ther Apheresis,Plasma Pheresis (36514) $1,463.01 $6,279 1.0×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $1,029.28 $4,417.52 1.7×
Thoracentesis needle/cath pleura w/o imaging (32554) $799.90 $3,433.03 1.3×
Throat Surgery Procedure (42999) $422.71 $1,814.19 1.9×
Thrombolytic Therapy, Stroke (37195) $303.13 $1,301 1.0×
Thyroid biopsy (60100) $903.77 $3,878.84 1.3×
Thyroidectomy, total or complete (60240) $15,998.68 $68,663.88 2.8×
Tissue expander placement breast reconstruction (19357) $8,358.56 $35,873.64 0.6×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $3,903.10 $16,751.49 1.2×
Total hip arthroplasty (27130) $17,366.64 $74,534.92 1.4×
Total knee arthroplasty (27447) $18,465.02 $79,249.01 1.5×
Total thyroid lobectomy unilateral (60225) $15,480.53 $66,440.05 2.7×
Transurethral incision of prostate (52450) $3,603.75 $15,466.73 1.1×
Treat ectopic pregnancy (59151) $7,329.95 $31,459.01 1.3×
Treat Finger Fracture Each (26727) $2,672.26 $11,468.92 0.9×
Treat fx rad extra-articul (25607) $5,174.90 $22,209.86 0.7×
Treat humerus fracture (23630) $11,548.52 $49,564.48 1.7×
Treat kneecap dislocation (27566) $5,525.55 $23,714.80 0.8×
Treat Lower Leg Fracture (27827)
unusually low: confirm this is the full procedure
$3,761.32 $16,143 0.3×
Treat scapula fracture (23585) $4,136.26 $17,752.19 0.6×
Treat ulnar fracture (24685) $12,556.87 $53,892.13 1.8×
Treatment closed elbow dislocation w/o anes (24600) $197.07 $845.80 0.8×
Treatment of ankle fracture (27822)
unusually low: confirm this is the full procedure
$2,615.88 $11,226.95 0.4×
Treatment of ankle fracture (27792) $6,059.53 $26,006.55 0.9×
Treatment of fibula fracture (27784) $3,761.32 $16,143 0.5×
Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245) $6,816.61 $29,255.83 1.0×
Trim skin lesion (11055) $199.36 $855.61 1.0×
Trim skin lesions 2 to 4 (11056) $201.66 $865.48 1.0×
Trlml balo angiop open/perq w/img s&i 1st vein (37248) $3,983.49 $17,096.51 0.7×
Tx Incomplete Abortion Any Trimester Surgical (59812) $3,281.89 $14,085.35 1.1×
Tx Missed Abortion First Trimester Surgical (59820) $3,101.13 $13,309.59 1.0×
Tx Superficial Wound Dehiscence Simple Closure (12020) $672.86 $2,887.79 0.9×
Unlisted laparoscopy px abd pertoneum & omentum (49329) $3,257.47 $13,980.56 0.6×
Unlisted procedure anus (46999) $855.13 $3,670.10 1.0×
Unlisted Procedure Casting/Strapping (29799) $194.56 $840.66 1.2×
Unlisted Procedure Dentoalveolar Structures (41899) $7,702.08 $33,056.15 33.9×
Unlisted Procedure Small Intestine (44799) $1,093.21 $4,691.90 1.3×
Unlisted procedure spine (22899) $8,754.87 $37,574.54 37.0×
Unlisted Procedure Vascular Surgery (37799) $534.26 $2,292.97 0.9×
Vaginal hysterectomy (58260) $11,001.93 $47,218.60 2.3×
Vasc embolize/occlude organ (37243) $8,008.82 $34,372.60 0.7×
Venipuncture (36415) $9.98 $42.85 1.1×
Ventilating tube removal requiring general anesthesia (69424) $1,821.38 $7,817.08 0.6×
Vulvectomy simple partial (56620) $10,688.04 $45,871.41 3.4×
Wound Prep F/N/Hf/G (15004) $2,177.43 $9,345.18 5.6×