Procedures & surgery prices at Holton Community Hospital

Holton, KS · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps… (54324)
range across 2 matching MRF lines		 $1,991.25–$7,211.25 $2,655–$9,615 varies
Abd paracentesis w/imaging (49083)
range across 5 matching MRF lines		 $226.50–$783 $302–$1,044 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 4 matching MRF lines		 $155.25–$648.75 $207–$865 varies
Ablate inf turbinate submuc (30802) $348.75 $465 0.2×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $3,487.50 $4,650 2.4×
Acne surgery (10040) $131.81 $175.75 0.7×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000)
range across 2 matching MRF lines		 $1,050.75–$4,683 $1,401–$6,244 varies
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001)
range across 2 matching MRF lines		 $1,364.25–$4,824 $1,819–$6,432 varies
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301)
range across 2 matching MRF lines		 $1,770–$2,940 $2,360–$3,920 varies
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061)
range across 2 matching MRF lines		 $1,720.50–$2,490.75 $2,294–$3,321 varies
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)
range across 3 matching MRF lines		 $1,310.25–$1,983.75 $1,747–$2,645 varies
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020)
range across 2 matching MRF lines		 $1,185–$2,297.25 $1,580–$3,063 varies
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041)
range across 4 matching MRF lines		 $1,560–$2,520 $2,080–$3,360 varies
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021)
range across 2 matching MRF lines		 $1,487.25–$3,092.25 $1,983–$4,123 varies
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $1,380 $1,840 0.5×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $2,336.25 $3,115 0.8×
Amputation foot transmetarsal (28805)
range across 2 matching MRF lines		 $1,513.50–$9,862.50 $2,018–$13,150 varies
Amputation metatarsal with toe single (28810)
range across 2 matching MRF lines		 $930–$5,520.75 $1,240–$7,361 varies
Amputation thigh through femur any level (27590)
range across 2 matching MRF lines		 $1,719.75–$10,425 $2,293–$13,900 varies
Amputation toe interphalangeal joint (28825)
range across 2 matching MRF lines		 $809.25–$4,458.75 $1,079–$5,945 varies
Amputation toe metatarsophalangeal joint (28820)
range across 2 matching MRF lines		 $861.75–$4,836 $1,149–$6,448 varies
Amputation, leg, through tibia and fibula; (27880)
range across 2 matching MRF lines		 $1,871.25–$10,425 $2,495–$13,900 varies
Amputation, leg, through tibia and fibula; re-amputation (27886)
range across 2 matching MRF lines		 $1,356–$1,677 $1,808–$2,236 varies
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $85.50–$879 $114–$1,172 varies
Anoscopy; with biopsy, single or multiple (46606)
range across 2 matching MRF lines		 $158.25–$848.25 $211–$1,131 varies
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990)
range across 2 matching MRF lines		 $217.50–$6,022.50 $290–$8,030 varies
Appendectomy (44950)
likely a partial charge, not the full procedure		 $819 $1,092 0.1×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $367.50 $490 2.5×
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines		 $114.75–$486 $153–$648 varies
Application Cast Finger (29086) $83.25 $111 0.6×
Application Finger Splint Dynamic (29131) $300 $400 5.5×
Application finger splint static (29130)
range across 3 matching MRF lines		 $54.56–$300 $72.75–$400 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $117.75–$300 $157–$400 varies
Application Long Leg Cast Walker/Ambulatory Type (29355) $184.88 $246.50 0.7×
Application Long Leg Splint (29505) $102.94 $137.25 0.7×
Application of long leg cast (29345)
range across 2 matching MRF lines		 $180.19–$309.38 $240.25–$412.50 varies
Application of rigid total contact leg cast (29445)
range across 2 matching MRF lines		 $192–$225.38 $256–$300.50 varies
Application Short Arm Splint Dynamic (29126) $103.69 $138.25 0.8×
Application short arm splint forearm-hand static (29125)
range across 4 matching MRF lines		 $89.63–$300 $119.50–$400 varies
Application short leg splint calf foot (29515)
range across 4 matching MRF lines		 $92.06–$262.50 $122.75–$350 varies
Apply long arm cast (29065)
range across 2 matching MRF lines		 $124.88–$481.50 $166.50–$642 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 4 matching MRF lines		 $63–$367.50 $84–$490 varies
Apply Short Leg Cast (29405)
range across 4 matching MRF lines		 $117.75–$312.75 $157–$417 varies
Apply short leg cast (29425)
range across 3 matching MRF lines		 $121.50–$312.75 $162–$417 varies
Arterial puncture (36600)
range across 2 matching MRF lines		 $90–$112.50 $120–$150 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 6 matching MRF lines		 $38.25–$412.50 $51–$550 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines		 $105–$435 $140–$580 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 9 matching MRF lines		 $90–$615 $120–$820 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 3 matching MRF lines		 $127.50–$660 $170–$880 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 7 matching MRF lines		 $74.06–$397.50 $98.75–$530 varies
Arthrodesis great toe metatarsophalangeal joint (28750)
range across 2 matching MRF lines		 $1,192.50–$9,607.50 $1,590–$12,810 varies
Arthroplasty glenohumeral joint total shoulder (23472)
range across 2 matching MRF lines		 $3,033–$5,010.75 $4,044–$6,681 varies
Arthroplasty Patella W/Prosthesis (27438)
range across 2 matching MRF lines		 $1,816.50–$6,268.50 $2,422–$8,358 varies
Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy Facility (27443)
range across 2 matching MRF lines		 $1,758–$6,268.50 $2,344–$8,358 varies
Arthroplasty, knee, tibial plateau; Facility (27440)
range across 2 matching MRF lines		 $1,721.25–$4,249.50 $2,295–$5,666 varies
Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Facility (27441)
range across 2 matching MRF lines		 $1,781.25–$6,268.50 $2,375–$8,358 varies
Arthroplasty, patella; without prosthesis (27437)
range across 2 matching MRF lines		 $1,425.75–$4,249.50 $1,901–$5,666 varies
Arthroscopy Knee Synovectomy 2/>Compartments (29876)
range across 2 matching MRF lines		 $1,418.25–$4,319.25 $1,891–$5,759 varies
Arthroscopy knee synovectomy limited spx (29875)
range across 2 matching MRF lines		 $1,066.50–$2,605.50 $1,422–$3,474 varies
Arthroscopy shoulder distal claviculectomy (29824)
range across 2 matching MRF lines		 $1,446–$3,870 $1,928–$5,160 varies
Arthroscopy shoulder surgical capsulorrhaphy (29806)
range across 2 matching MRF lines		 $2,294.25–$8,150.25 $3,059–$10,867 varies
Arthroscopy Wrist Surgical Synovectomy Complete (29845)
range across 2 matching MRF lines		 $834.75–$2,403.75 $1,113–$3,205 varies
Arthroscopy, knee, surgical; with lateral release (29873)
range across 2 matching MRF lines		 $756–$3,393.75 $1,008–$4,525 varies
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882)
range across 3 matching MRF lines		 $262.50–$5,173.50 $350–$6,898 varies
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
range across 2 matching MRF lines		 $660–$8,943.75 $880–$11,925 varies
Arthroscopy, shoulder, surgical; debridement, extensive (29823)
range across 2 matching MRF lines		 $894–$4,115.25 $1,192–$5,487 varies
Arthroscopy, shoulder, surgical; debridement, limited (29822)
range across 2 matching MRF lines		 $1,110–$4,687.50 $1,480–$6,250 varies
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
range across 2 matching MRF lines		 $2,107.50–$12,247.50 $2,810–$16,330 varies
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 2 matching MRF lines		 $2,175–$10,432.50 $2,900–$13,910 varies
Arthrotomy ankle w/expl drainage/removal fb (27610)
range across 2 matching MRF lines		 $1,401–$6,315.75 $1,868–$8,421 varies
Arthrotomy, hip, with drainage (eg, infection) Facility (27030)
range across 2 matching MRF lines		 $1,967.25–$4,143 $2,623–$5,524 varies
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
range across 2 matching MRF lines		 $2,602.50–$20,692.50 $3,470–$27,590 varies
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)
range across 2 matching MRF lines		 $2,513.25–$10,594.50 $3,351–$14,126 varies
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
range across 2 matching MRF lines		 $2,841–$9,461.25 $3,788–$12,615 varies
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891)
range across 2 matching MRF lines		 $1,452.75–$2,427 $1,937–$3,236 varies
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879)
range across 2 matching MRF lines		 $1,431–$4,319.25 $1,908–$5,759 varies
Arthrs knee debridement/shaving artclr crtlg (29877)
range across 2 matching MRF lines		 $895.13–$4,319.25 $1,193.50–$5,759 varies
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880)
range across 2 matching MRF lines		 $1,164–$4,319.25 $1,552–$5,759 varies
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080)
range across 2 matching MRF lines		 $515.63–$1,620 $687.50–$2,160 varies
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $692.25–$970.50 $923–$1,294 varies
Aspirate Pleura W/O Imaging (32554)
range across 4 matching MRF lines		 $191.25–$1,272.75 $255–$1,697 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 3 matching MRF lines		 $79.50–$147.75 $106–$197 varies
Avulsion nail plate partial/complete simple 1 (11730)
range across 6 matching MRF lines		 $109.20–$143.25 $145.60–$191 varies
Biopsy bone trocar/needle deep (20225)
range across 2 matching MRF lines		 $236.06–$1,008.75 $314.75–$1,345 varies
Biopsy Bone Trocar/Needle Superficial (20220)
range across 2 matching MRF lines		 $158.63–$510 $211.50–$680 varies
Biopsy External Auditory Canal (69105)
range across 3 matching MRF lines		 $132–$150 $176–$200 varies
Biopsy external ear (69100)
range across 6 matching MRF lines		 $99–$174.75 $132–$233 varies
Biopsy muscle percutaneous needle (20206)
range across 2 matching MRF lines		 $122.25–$717.75 $163–$957 varies
Biopsy nail unit (11755)
range across 2 matching MRF lines		 $130.50–$390 $174–$520 varies
Biopsy of conjunctiva (68100) $200.25 $267 0.1×
Biopsy of lip (40490)
range across 2 matching MRF lines		 $147–$1,347 $196–$1,796 varies
Biopsy of liver, needle; percutaneous (47000) $1,297.50 $1,730 0.9×
Biopsy of penis (54100)
range across 4 matching MRF lines		 $127.50–$2,933.25 $170–$3,911 varies
Biopsy of rectum (45100)
range across 2 matching MRF lines		 $646.50–$909 $862–$1,212 varies
Biopsy Vaginal Mucosa Simple (57100)
range across 2 matching MRF lines		 $125.63–$138.75 $167.50–$185 varies
Biopsy Vulva/Perineum 1 Lesion Spx (56605)
range across 4 matching MRF lines		 $122.44–$187.50 $163.25–$250 varies
Biopsy, vestibule of mouth (40808)
range across 2 matching MRF lines		 $184.50–$390 $246–$520 varies
Bladder instillation anticarcinogenic agent (51720) $909 $1,212 1.4×
Bladder Irrigation (51700)
range across 3 matching MRF lines		 $31.50–$412.50 $42–$550 varies
Bladder Scan (51798)
range across 3 matching MRF lines		 $27.75–$90 $37–$120 varies
Blepharoplasty upper eyelid (15822) $1,290 $1,720 0.7×
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $150–$300 $200–$400 varies
Blood Transfusion Service (36430)
range across 2 matching MRF lines		 $675–$1,008 $900–$1,344 varies
Bx Arm/Elbow Soft Tissue,Deep (24066) $603.75 $805 0.2×
Bx breast 1st lesion us imag (19083) $1,845 $2,460 1.2×
Bx breast needle core w/o imaging guidance spx (19100) $507.75 $677 0.3×
Bx Cervix (57500)
range across 2 matching MRF lines		 $192–$1,278 $256–$1,704 varies
Bx/exc lymph node open deep axillary node (38525)
range across 2 matching MRF lines		 $1,065–$4,957.50 $1,420–$6,610 varies
Bx/exc lymph node open superficial (38500)
range across 2 matching MRF lines		 $534–$2,482.50 $712–$3,310 varies
Capsulotomy Iphal Joint Each Joint Spx (28272) $4,524.75 $6,033 3.1×
Carpal Tunnel Surgery (64721)
range across 2 matching MRF lines		 $614.63–$1,811.25 $819.50–$2,415 varies
Cataract surgery complex (66982) $2,932.50 $3,910 1.4×
Cautery Cervix Cryocautery Initial/Repeat (57511)
range across 2 matching MRF lines		 $209.25–$4,215.75 $279–$5,621 varies
Change Cystostomy Tube Complicated (51710)
range across 2 matching MRF lines		 $165–$405 $220–$540 varies
Change Cystostomy Tube Simple (51705)
range across 3 matching MRF lines		 $75.75–$177 $101–$236 varies
Chemical Cautery Tissue (17250)
range across 3 matching MRF lines		 $79.50–$438.75 $106–$585 varies
Chest tube placement (32551)
range across 2 matching MRF lines		 $343.50–$459 $458–$612 varies
Circumcision 28 days or older (54161)
range across 4 matching MRF lines		 $203.44–$3,067.50 $271.25–$4,090 varies
Circumcision w/clamp/oth dev w/block (54150)
range across 3 matching MRF lines		 $205.50–$326.25 $274–$435 varies
Claviculectomy partial (23120)
range across 2 matching MRF lines		 $1,239–$4,074.75 $1,652–$5,433 varies
Clear outer ear canal (69200)
range across 3 matching MRF lines		 $101.25–$271.50 $135–$362 varies
Closed Rx Metacarpal Fx,Percut (26608)
range across 2 matching MRF lines		 $997.50–$3,292.50 $1,330–$4,390 varies
Closed Treat Vert Body Fract (22310) $357.19 $476.25 1.6×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $633.75 $845 2.8×
Closed Treatment Sternum Fracture (21820) $203.25 $271 0.9×
Closed Treatment Ulnar Styloid Fracture (25650) $403.31 $537.75 1.8×
Closed tx ankle dislocation w/o anesthesia (27840) $810 $1,080 3.6×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $909 $1,212 0.6×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $429 $572 1.9×
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 3 matching MRF lines		 $324.56–$489.75 $432.75–$653 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 3 matching MRF lines		 $386.06–$1,905 $514.75–$2,540 varies
Closed tx knee dislocation w/o anesthesia (27550) $841.13 $1,121.50 3.7×
Closed Tx Lunate Dislocation W/Manipulation (25690) $484.13 $645.50 0.3×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 4 matching MRF lines		 $317.25–$1,636.50 $423–$2,182 varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $329.25 $439 0.2×
Closed tx patellar dislocation w/o anesthesia (27560) $537.38 $716.50 2.4×
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 3 matching MRF lines		 $465–$1,636.50 $620–$2,182 varies
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines		 $570–$1,260 $760–$1,680 varies
Closed tx radial head/neck fx w/o manipulation (24650) $333 $444 1.5×
Closed tx radial shaft fracture w/manipulation (25505) $634.88 $846.50 0.4×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $336.94 $449.25 1.5×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 3 matching MRF lines		 $605.25–$1,635 $807–$2,180 varies
Closed tx radial&ulnar shaft fractures w/o man (25560) $342.38 $456.50 1.5×
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 3 matching MRF lines		 $296.44–$2,062.50 $395.25–$2,750 varies
Closed tx talus fracture w/o manipulation (28430)
range across 2 matching MRF lines		 $306.56–$442.50 $408.75–$590 varies
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines		 $64.50–$155.25 $86–$207 varies
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $401.25 $535 1.8×
Closed tx ulnar shaft fracture w/o manipulation (25530) $327.56 $436.75 1.4×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $460.13 $613.50 0.3×
Clsd tx clavicular fracture w/o manipulation (23500)
range across 5 matching MRF lines		 $278.44–$1,065 $371.25–$1,420 varies
Clsd tx shoulder dislc w/manipulation req anes (23655) $497.63 $663.50 0.3×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $395.44 $527.25 1.7×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740)
range across 5 matching MRF lines		 $465–$911.25 $620–$1,215 varies
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 4 matching MRF lines		 $396.94–$607.50 $529.25–$810 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $540 $720 2.4×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 4 matching MRF lines		 $286.50–$1,636.50 $382–$2,182 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 3 matching MRF lines		 $300–$585.75 $400–$781 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 3 matching MRF lines		 $233.25–$486 $311–$648 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 4 matching MRF lines		 $445.50–$1,636.50 $594–$2,182 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 3 matching MRF lines		 $769.13–$1,613.25 $1,025.50–$2,151 varies
Cltx fx grt toe phlx/phlg w/manj (28495) $194.25 $259 0.9×
Cltx fx grt toe phlx/phlg w/o manj (28490) $174 $232 0.8×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 3 matching MRF lines		 $194.25–$570 $259–$760 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 2 matching MRF lines		 $152.06–$255 $202.75–$340 varies
Cltx greater humeral tuberosity fx w/o manj (23620) $339.38 $452.50 1.5×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $487.50 $650 2.1×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560)
range across 3 matching MRF lines		 $450–$1,912.50 $600–$2,550 varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $96.75–$862.50 $129–$1,150 varies
Cltx Iphal Jt Dislc W/Manj Req Anes (26775)
range across 2 matching MRF lines		 $499.13–$499.88 $665.50–$666.50 varies
Cltx iphal jt dislc w/manj w/o anes (26770) $555 $740 2.4×
Cltx Medial Ankle Fx (27760)
range across 4 matching MRF lines		 $432.19–$1,638.75 $576.25–$2,185 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $630–$907.50 $840–$1,210 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 3 matching MRF lines		 $288.75–$486 $385–$648 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $455.44 $607.25 2.0×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 4 matching MRF lines		 $247.31–$910.50 $329.75–$1,214 varies
Cltx prox fibula/shft fx w/o manj (27780) $383.81 $511.75 1.7×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $170.06 $226.75 0.7×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 3 matching MRF lines		 $525.75–$1,636.50 $701–$2,182 varies
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $266.06 $354.75 1.2×
Cltx tibial fx proximal w/o manipulation (27530)
range across 3 matching MRF lines		 $432.75–$1,905 $577–$2,540 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 3 matching MRF lines		 $448.50–$1,905 $598–$2,540 varies
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines		 $161.25–$187.50 $215–$250 varies
Collection of venous blood by venipuncture (36415)
range across 4 matching MRF lines		 $1.50–$13.50 $2–$18 varies
Colonoscopy thru stoma (44388)
range across 2 matching MRF lines		 $345.75–$1,121.25 $461–$1,495 varies
Colonoscopy w/ablation (45388) $750 $1,000 0.7×
Colonoscopy W/Band Ligation (45398)
range across 2 matching MRF lines		 $496.50–$1,637.25 $662–$2,183 varies
Colonoscopy w/fb removal (45379) $681 $908 0.6×
Colonoscopy w/stent plcmt (45389)
likely a partial charge, not the full procedure		 $450 $600 0.1×
Colonoscopy w/submucosal inj (45381)
range across 2 matching MRF lines		 $210.38–$1,473.75 $280.50–$1,965 varies
Colpopexy extraperitoneal (57282) $6,339.62 $8,452.83 0.9×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454)
range across 2 matching MRF lines		 $225.75–$921.75 $301–$1,229 varies
Colposcopy Cervix Endocervical Curettage (57456) $197.25 $263 0.7×
Colposcopy cervix upper/adjacent vagina (57452)
range across 2 matching MRF lines		 $156.75–$1,730.25 $209–$2,307 varies
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455)
range across 2 matching MRF lines		 $209.81–$2,310 $279.75–$3,080 varies
Colposcopy cervix vag eltrd conization cervix (57461) $527.25 $703 0.2×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $478.50 $638 0.2×
Colposcopy entire vagina w/cervix if present (57420)
range across 3 matching MRF lines		 $166.50–$1,730.25 $222–$2,307 varies
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $228.75 $305 0.3×
Colsc Flexible W/Control Bleeding Any Method (45382) $846.75 $1,129 0.8×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $921 $1,228 0.8×
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 3 matching MRF lines		 $507.75–$1,473.75 $677–$1,965 varies
Complex drainage wound (10180)
range across 2 matching MRF lines		 $381.75–$4,260 $509–$5,680 varies
Control Nasal Hemorrhage Anterior Complex (30903) $233.25 $311 1.9×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines		 $142.69–$549.75 $190.25–$733 varies
Correction hammertoe (28285)
range across 2 matching MRF lines		 $802.50–$2,709.75 $1,070–$3,613 varies
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $3,740.25 $4,987 1.2×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $3,885.75 $5,181 1.3×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
range across 2 matching MRF lines		 $1,245–$8,977.50 $1,660–$11,970 varies
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $3,375.75 $4,501 1.1×
Create Eardrum Opening (69433) $618.75 $825 1.2×
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $104.25 $139 1.9×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $141.94 $189.25 1.2×
Curettage postpartum (59160) $352.50 $470 0.1×
Cysto Bladder W/Ureteral Catheterization (52005) $279 $372 0.1×
Cysto calibration dilat urtl strix/stenosis (52281)
range across 4 matching MRF lines		 $157.50–$1,878.75 $210–$2,505 varies
Cysto w/destruction of lesions (52214)
range across 2 matching MRF lines		 $371.25–$3,072 $495–$4,096 varies
Cysto w/insert ureteral stent (52332)
range across 2 matching MRF lines		 $345–$3,975.75 $460–$5,301 varies
Cysto w/irrig & evac multple obstructing clots (52001)
range across 4 matching MRF lines		 $604.50–$2,996.25 $806–$3,995 varies
Cysto w/removal of lesions small (52224)
range across 4 matching MRF lines		 $212.63–$3,750 $283.50–$5,000 varies
Cysto w/removal of tumors small (52234)
range across 2 matching MRF lines		 $502.50–$3,765 $670–$5,020 varies
Cysto W/Simple Removal Stone & Stent (52310)
range across 3 matching MRF lines		 $157.50–$5,206.50 $210–$6,942 varies
Cystostomy Cystotomy W/Drainage (51040)
range across 2 matching MRF lines		 $600–$4,612.50 $800–$6,150 varies
Cystourethroscopy (52000)
range across 4 matching MRF lines		 $96.75–$1,256.25 $129–$1,675 varies
Cystourethroscopy inj chemodenervation bladder (52287)
range across 2 matching MRF lines		 $345–$3,195 $460–$4,260 varies
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235)
range across 3 matching MRF lines		 $279–$3,869.25 $372–$5,159 varies
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240)
range across 2 matching MRF lines		 $407.93–$3,262.50 $543.90–$4,350 varies
Cystourethroscopy w/dil bladder general anesth (52260)
range across 2 matching MRF lines		 $217.69–$3,262.50 $290.25–$4,350 varies
Cystourethroscopy with biopsy (52204)
range across 2 matching MRF lines		 $157.50–$2,471.25 $210–$3,295 varies
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 3 matching MRF lines		 $72.56–$367.50 $96.75–$490 varies
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 5 matching MRF lines		 $168.75–$725.25 $225–$967 varies
Debride nail 1-5 (11720)
range across 4 matching MRF lines		 $33–$86.25 $44–$115 varies
Debride nail 6 or more (11721)
range across 4 matching MRF lines		 $55.50–$352.50 $74–$470 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 5 matching MRF lines		 $311.25–$1,869 $415–$2,492 varies
Debridement Mastoidectomy Cavity Simple (69220) $525.75 $701 2.8×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 6 matching MRF lines		 $102.19–$467.25 $136.25–$623 varies
Declot vascular device (36593)
range across 2 matching MRF lines		 $52.50–$299.25 $70–$399 varies
Decompressive fasciotomy hand (26037)
range across 2 matching MRF lines		 $1,184.25–$5,307 $1,579–$7,076 varies
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620)
range across 2 matching MRF lines		 $684.75–$3,216 $913–$4,288 varies
Delivery of placenta (59414) $129.75 $173 0.0×
Destr penis lesion(s) (54065) $361.50 $482 0.2×
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines		 $405–$1,852.50 $540–$2,470 varies
Destroy lumb/sac facet jnt (64635)
range across 3 matching MRF lines		 $405–$4,087.50 $540–$5,450 varies
Destruct B9 Lesion 1-14 (17110)
range across 6 matching MRF lines		 $112.50–$1,116.75 $150–$1,489 varies
Destruction Benign Lesions 15/> (17111)
range across 4 matching MRF lines		 $169.31–$2,025 $225.75–$2,700 varies
Destruction Lesions Vulva Extensive (56515) $453 $604 0.2×
Destruction Lesions Vulva Simple (56501)
range across 2 matching MRF lines		 $187.50–$283.50 $250–$378 varies
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281)
range across 4 matching MRF lines		 $78.75–$286.50 $105–$382 varies
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282)
range across 2 matching MRF lines		 $278.44–$287.25 $371.25–$383 varies
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283)
range across 2 matching MRF lines		 $318.75–$359.25 $425–$479 varies
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) $375 $500 0.6×
Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286)
range across 2 matching MRF lines		 $412.50–$569.25 $550–$759 varies
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261)
range across 2 matching MRF lines		 $78.75–$182.25 $105–$243 varies
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262)
range across 3 matching MRF lines		 $78.75–$231.75 $105–$309 varies
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263)
range across 2 matching MRF lines		 $78.75–$257.25 $105–$343 varies
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280)
range across 4 matching MRF lines		 $78–$187.13 $104–$249.50 varies
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270)
range across 3 matching MRF lines		 $78.75–$199.50 $105–$266 varies
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271)
range across 3 matching MRF lines		 $78.75–$225 $105–$300 varies
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272)
range across 4 matching MRF lines		 $78.75–$262.50 $105–$350 varies
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273)
range across 3 matching MRF lines		 $78.75–$300 $105–$400 varies
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) $337.50 $450 0.9×
Destruction malignant lesion t/a/l 0.5 cm/< (17260)
range across 3 matching MRF lines		 $78.75–$149.25 $105–$199 varies
Destruction neurolytic agt genicular nerve w/img (64624)
range across 3 matching MRF lines		 $300–$1,852.50 $400–$2,470 varies
Destruction of skin lesions (17106)
range across 2 matching MRF lines		 $325.50–$580.50 $434–$774 varies
Destruction Premalignant Lesion 15/> (17004)
range across 5 matching MRF lines		 $206.25–$910.50 $275–$1,214 varies
Destruction premalignant lesion 1st (17000)
range across 5 matching MRF lines		 $114.75–$341.25 $153–$455 varies
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines		 $177–$900 $236–$1,200 varies
Dilate Esophagus 1/Mult Pass (43450)
range across 2 matching MRF lines		 $224.25–$915 $299–$1,220 varies
Dilate Urethra Stricture (53600)
range across 2 matching MRF lines		 $140.25–$2,228.25 $187–$2,971 varies
Dilation & curettage dx&/ther nonobstetric (58120) $341.25 $455 0.1×
Drain Cerebro Spinal Fluid (62272)
range across 4 matching MRF lines		 $187.50–$1,672.50 $250–$2,230 varies
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines		 $97.50–$637.50 $130–$850 varies
Drainage External Ear Abscess/Hematoma Simple (69000) $236.25 $315 0.4×
Drainage Finger Abscess Complicated (26011) $525 $700 0.3×
Drainage of finger abscess simple (26010) $138.75 $185 0.8×
Drainage of gum lesion (41800) $152.25 $203 1.2×
Drainage of hematoma/fluid (10140)
range across 7 matching MRF lines		 $116.25–$1,338.75 $155–$1,785 varies
Drainage of scrotal wall abscess (55100) $306.75 $409 0.2×
Drainage of scrotum (54700) $2,981.25 $3,975 1.6×
Draw Blood Off Venous Device (36591)
range across 3 matching MRF lines		 $131.25–$165 $175–$220 varies
Dressing Change Under Anesthesia (15852) $450 $600 0.7×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines		 $247.50–$303 $330–$404 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $289.13–$420 $385.50–$560 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 3 matching MRF lines		 $201.94–$415.88 $269.25–$554.50 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 6 matching MRF lines		 $112.50–$420 $150–$560 varies
Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107)
range across 2 matching MRF lines		 $390–$755.25 $520–$1,007 varies
Dstrj les/scar vestibule mouth physical meths (40820) $380.25 $507 0.1×
Dstrj Lesion Anus Extensive (46924) $381 $508 0.1×
Dstrj Lesion Anus Simple Chemical (46900)
range across 2 matching MRF lines		 $71.25–$289.50 $95–$386 varies
Dstrj lesion anus simple cryosurgery (46916)
range across 3 matching MRF lines		 $300–$325.50 $400–$434 varies
Dstrj Lesion Anus Smpl Eltrdsiccation (46910)
range across 2 matching MRF lines		 $285.75–$2,025.75 $381–$2,701 varies
Dstrj Lesion Penis Simple Chemical (54050) $222 $296 0.6×
Dstrj Lesion Penis Simple Cryosurgery (54056)
range across 2 matching MRF lines		 $180.19–$231.75 $240.25–$309 varies
Dstrj Lesion Penis Simple Electrodesiccation (54055) $199.50 $266 0.1×
Dstrj lesion penis simple surg excision (54060)
range across 4 matching MRF lines		 $255–$1,575 $340–$2,100 varies
Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) $375 $500 1.0×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines		 $247.50–$1,110 $330–$1,480 varies
Dx lmbr spi pnxr w/fluor/CT (62328)
range across 2 matching MRF lines		 $180–$757.50 $240–$1,010 varies
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 3 matching MRF lines		 $246–$1,745.25 $328–$2,327 varies
Egd control bleeding any (43255)
range across 2 matching MRF lines		 $900–$1,278.75 $1,200–$1,705 varies
Egd dilation gastric/duodenal stricture (43245)
range across 2 matching MRF lines		 $196.50–$1,778.25 $262–$2,371 varies
Egd Flexible Foreign Body Removal (43247)
range across 3 matching MRF lines		 $293.25–$1,458.75 $391–$1,945 varies
Egd Partial/Compl Esophagogastric Fundoplasty (43210)
likely a partial charge, not the full procedure		 $1,020 $1,360 0.1×
Egd place gastrostomy tube (43246)
range across 2 matching MRF lines		 $438.75–$2,400.75 $585–$3,201 varies
Egd remove lesion snare (43251)
range across 2 matching MRF lines		 $416.25–$1,522.50 $555–$2,030 varies
Endocervical curettage (57505) $137.25 $183 0.2×
Endometrial Biopsy (58100)
range across 2 matching MRF lines		 $161.25–$1,713.75 $215–$2,285 varies
Endoscopic injection/implant (51715) $900 $1,200 0.3×
Endoscopic plantar fasciotomy (29893) $3,367.50 $4,490 1.1×
Endoven abltj incmptnt vein xtr rf 1st vein (36475)
range across 2 matching MRF lines		 $547.50–$5,608.53 $730–$7,478.04 varies
Endoven ther chem adhes 1st (36482)
range across 2 matching MRF lines		 $352.50–$4,099.50 $470–$5,466 varies
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115)
range across 2 matching MRF lines		 $1,498.69–$3,485.25 $1,998.25–$4,647 varies
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110)
range across 2 matching MRF lines		 $1,498.88–$3,485.25 $1,998.50–$4,647 varies
Epidural Blood Patch (62273)
range across 3 matching MRF lines		 $250.50–$918.75 $334–$1,225 varies
Esophagoscopy Flexible Transoral Diagnostic (43200)
range across 2 matching MRF lines		 $242.25–$1,533.75 $323–$2,045 varies
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202)
range across 2 matching MRF lines		 $285–$1,020 $380–$1,360 varies
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215)
range across 2 matching MRF lines		 $984–$1,028.25 $1,312–$1,371 varies
Evacuation of subungual hematoma (11740)
range across 4 matching MRF lines		 $62.44–$239.63 $83.25–$319.50 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 5 matching MRF lines		 $154.50–$706.50 $206–$942 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 5 matching MRF lines		 $252–$1,845 $336–$2,460 varies
Exc Back Les Sc < 3 Cm (21930)
range across 2 matching MRF lines		 $127.50–$780 $170–$1,040 varies
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $665.25 $887 0.2×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 5 matching MRF lines		 $305.06–$739.50 $406.75–$986 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 5 matching MRF lines		 $350.25–$885 $467–$1,180 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644)
range across 2 matching MRF lines		 $621–$1,479.75 $828–$1,973 varies
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 5 matching MRF lines		 $177–$896.25 $236–$1,195 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 7 matching MRF lines		 $207.56–$1,306.50 $276.75–$1,742 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 4 matching MRF lines		 $234–$919.50 $312–$1,226 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 6 matching MRF lines		 $278.44–$1,586.25 $371.25–$2,115 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444)
range across 4 matching MRF lines		 $397.50–$2,159.25 $530–$2,879 varies
Exc Frenum Labial/Buccal (40819) $450.75 $601 0.3×
Exc ganglion wrist recurrent (25112) $555.38 $740.50 0.4×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 5 matching MRF lines		 $82.50–$964.50 $110–$1,286 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 7 matching MRF lines		 $203.25–$1,437 $271–$1,916 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 7 matching MRF lines		 $218.44–$1,539.75 $291.25–$2,053 varies
Exc Hand Les Sc < 1.5 Cm (26115) $1,350 $1,800 0.9×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840)
range across 2 matching MRF lines		 $361.50–$542.25 $482–$723 varies
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $3,195 $4,260 2.2×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $624.75 $833 0.2×
Exc Shoulder Tum Deep 5 Cm/> (23073) $1,410 $1,880 0.5×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 7 matching MRF lines		 $233.25–$1,485 $311–$1,980 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 4 matching MRF lines		 $292.50–$2,027.25 $390–$2,703 varies
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 5 matching MRF lines		 $279–$2,100 $372–$2,800 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 5 matching MRF lines		 $375.94–$2,337 $501.25–$3,116 varies
Exc Skin Benig >4cm Face,Facial (11446)
range across 3 matching MRF lines		 $475.88–$3,035.25 $634.50–$4,047 varies
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)
range across 3 matching MRF lines		 $374.44–$1,041.75 $499.25–$1,389 varies
Exc Skin Malig >4 Cm Remaindr Body (11626)
range across 3 matching MRF lines		 $513.94–$2,517.75 $685.25–$3,357 varies
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 3 matching MRF lines		 $391.50–$2,248.50 $522–$2,998 varies
Exc thigh/knee les sc 3 cm/> (27337)
range across 2 matching MRF lines		 $897.75–$3,210 $1,197–$4,280 varies
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 3 matching MRF lines		 $210.75–$1,776 $281–$2,368 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 6 matching MRF lines		 $181.69–$1,590 $242.25–$2,120 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 6 matching MRF lines		 $225–$999 $300–$1,332 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 5 matching MRF lines		 $265.13–$1,687.50 $353.50–$2,250 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552)
range across 2 matching MRF lines		 $956.25–$3,464.25 $1,275–$4,619 varies
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $3,135 $4,180 1.2×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $903.75 $1,205 0.3×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $1,440 $1,920 0.5×
Exc tumor soft tissue abdominal wall subq <3cm (22902)
range across 2 matching MRF lines		 $708.75–$2,625 $945–$3,500 varies
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554)
range across 2 matching MRF lines		 $1,533.75–$6,144 $2,045–$8,192 varies
Exc tumor soft tissue neck/ant thorax subq <3cm (21555)
range across 3 matching MRF lines		 $645.75–$2,347.50 $861–$3,130 varies
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048)
range across 2 matching MRF lines		 $1,065–$1,245 $1,420–$1,660 varies
Exc tumor soft tissue pelvis & hip subq <3cm (27047)
range across 2 matching MRF lines		 $363.75–$697.50 $485–$930 varies
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $1,050 $1,400 0.7×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 5 matching MRF lines		 $283.13–$1,261.50 $377.50–$1,682 varies
Excision lesion tendon sheath forearm&/wrist (25110) $2,208.75 $2,945 1.5×
Excision Lingual Frenum Frenectomy (41115) $300 $400 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600)
range across 3 matching MRF lines		 $228.56–$679.50 $304.75–$906 varies
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)
range across 4 matching MRF lines		 $211.31–$926.25 $281.75–$1,235 varies
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 5 matching MRF lines		 $241.88–$1,017 $322.50–$1,356 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604)
range across 5 matching MRF lines		 $318.19–$1,419 $424.25–$1,892 varies
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)
range across 4 matching MRF lines		 $247.31–$531.75 $329.75–$709 varies
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 5 matching MRF lines		 $408–$1,165.50 $544–$1,554 varies
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646)
range across 5 matching MRF lines		 $653.25–$2,137.50 $871–$2,850 varies
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620)
range across 4 matching MRF lines		 $131.25–$588.75 $175–$785 varies
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621)
range across 4 matching MRF lines		 $291.75–$746.25 $389–$995 varies
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 4 matching MRF lines		 $330.75–$807 $441–$1,076 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $426.75 $569 0.3×
Excision Multiple External Papillae/Tags Anus (46230) $329.25 $439 0.1×
Excision of bartholin's gland or cyst (56740) $337.50 $450 0.1×
Excision of extraparenchymal lesion of testis (54512)
range across 2 matching MRF lines		 $1,110–$7,470 $1,480–$9,960 varies
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 2 matching MRF lines		 $456.38–$2,598.75 $608.50–$3,465 varies
Excision of hydrocele; unilateral (55040)
range across 2 matching MRF lines		 $746.25–$5,274.75 $995–$7,033 varies
Excision of pilonidal cyst or sinus; simple (11770)
range across 2 matching MRF lines		 $375–$1,912.50 $500–$2,550 varies
Excision of single external papilla or tag, anus (46220)
range across 3 matching MRF lines		 $255–$1,664.25 $340–$2,219 varies
Excision olecranon bursa (24105)
range across 4 matching MRF lines		 $504.75–$2,913.75 $673–$3,885 varies
Excision or curettage of bone cyst or benign tumor of femur; (27355)
range across 2 matching MRF lines		 $1,042.50–$1,215 $1,390–$1,620 varies
Excision Pilonidal Cyst/Sinus Extensive (11771) $3,420 $4,560 1.3×
Excision Skin Abd Infraumbilical Panniculectomy (15830)
range across 2 matching MRF lines		 $2,454.75–$7,920.75 $3,273–$10,561 varies
Excision soft tissue lesion, external auditory canal (69145) $352.50 $470 0.1×
Excision spermatocele w/wo epididymectomy (54840)
range across 2 matching MRF lines		 $332.25–$5,094 $443–$6,792 varies
Excision tumor soft tis back/flank subq 3 cm/> (21931)
range across 2 matching MRF lines		 $1,008.75–$2,345.25 $1,345–$3,127 varies
Excision tumor soft tissue shoulder subq 3 cm/> (23071)
range across 2 matching MRF lines		 $900.75–$2,178 $1,201–$2,904 varies
Excision, interdigital (morton) neuroma, single, each (28080)
range across 2 matching MRF lines		 $787.50–$2,662.50 $1,050–$3,550 varies
Excision, sacral pressure ulcer, with primary suture; Facility (15931) $3,521.25 $4,695 1.3×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903)
range across 2 matching MRF lines		 $942–$2,625 $1,256–$3,500 varies
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043)
range across 2 matching MRF lines		 $363.75–$697.50 $485–$930 varies
Expl po hemrrg thrombosis/infctj xtr (35860)
range across 2 matching MRF lines		 $1,722.75–$2,265 $2,297–$3,020 varies
Exploration for undescended testis with abdominal exploration (54560)
range across 2 matching MRF lines		 $1,512.75–$3,038.25 $2,017–$4,051 varies
Exploration of knee joint (27310)
range across 2 matching MRF lines		 $1,053–$3,195 $1,404–$4,260 varies
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines		 $348.75–$725.25 $465–$967 varies
Explore for undescended testis (54550)
range across 2 matching MRF lines		 $1,012.50–$1,950 $1,350–$2,600 varies
Fasciotomy, foot and/or toe (28008) $2,268.75 $3,025 0.8×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123)
range across 2 matching MRF lines		 $1,803.75–$2,208.75 $2,405–$2,945 varies
Fetal non-stress test (59025) $68.25 $91 0.4×
Fine needle aspiration without imaging guidance (10021) $187.13 $249.50 0.5×
Fna Bx W/Fluor Gdn 1St Les (10007) $847.50 $1,130 1.3×
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines		 $723.75–$847.50 $965–$1,130 varies
Foreskin manipulation (54450)
range across 3 matching MRF lines		 $64.50–$979.50 $86–$1,306 varies
Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574)
range across 2 matching MRF lines		 $1,350–$1,557 $1,800–$2,076 varies
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260)
range across 2 matching MRF lines		 $1,551.75–$1,779.75 $2,069–$2,373 varies
Fth/gft free w/direct closure s/a/l 20 cm/< (15220)
range across 2 matching MRF lines		 $366–$1,279.50 $488–$1,706 varies
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $1,407 $1,876 0.7×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830)
range across 2 matching MRF lines		 $1,512.75–$2,370 $2,017–$3,160 varies
Guide Cathet Fluid Drainage (10030) $540.05 $720.06 0.8×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255)
range across 2 matching MRF lines		 $756.75–$2,387.25 $1,009–$3,183 varies
Hemorrhoidectomy, external, 2 or more columns/groups (46250)
range across 3 matching MRF lines		 $537.75–$3,622.50 $717–$4,830 varies
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 4 matching MRF lines		 $323.25–$1,836 $431–$2,448 varies
Hysteroscopy Biopsy (58558) $2,962.50 $3,950 1.0×
Hysteroscopy Dx Sep Proc (58555)
range across 2 matching MRF lines		 $367.50–$2,631.75 $490–$3,509 varies
Hysteroscopy Endometrial Ablation (58563) $3,954 $5,272 0.9×
I&d abscess simple (10060)
range across 7 matching MRF lines		 $152.25–$892.50 $203–$1,190 varies
I&D Deep Absc/Hematoma Neck/Chest (21501) $3,521.25 $4,695 1.3×
I&d perianal abscess superficial (46050)
range across 5 matching MRF lines		 $210–$1,035 $280–$1,380 varies
I&d pilonidal cyst simple (10080)
range across 5 matching MRF lines		 $217.50–$1,290 $290–$1,720 varies
Incise external hemorrhoid (46083)
range across 3 matching MRF lines		 $120.75–$216 $161–$288 varies
Incise finger tendon sheath (26055)
range across 2 matching MRF lines		 $666.75–$1,657.50 $889–$2,210 varies
Incision & drainage abscess complicated/multiple (10061)
range across 7 matching MRF lines		 $260.25–$1,672.50 $347–$2,230 varies
Incision & removal foreign body subq tiss compl (10121) $1,691.25 $2,255 1.1×
Incision & removal foreign body subq tiss simple (10120)
range across 5 matching MRF lines		 $186.38–$1,410 $248.50–$1,880 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $174–$222.75 $232–$297 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 4 matching MRF lines		 $150–$935.25 $200–$1,247 varies
Incision extensor tendon sheath wrist (25000) $2,436 $3,248 1.6×
Incision of lingual frenum (frenotomy) (41010)
range across 2 matching MRF lines		 $112.50–$250.31 $150–$333.75 varies
Incision of rectal abscess (46040)
range across 3 matching MRF lines		 $444.75–$2,595 $593–$3,460 varies
Incision of urethra (53020)
range across 3 matching MRF lines		 $213.75–$1,290 $285–$1,720 varies
Incision&drainage bursa foot (28001)
range across 2 matching MRF lines		 $376.50–$1,638.75 $502–$2,185 varies
Incision&Drainage Upper Arm/Elbow Bursa (23931) $168.38 $224.50 0.1×
Incisional biopsy eyelid skin & lid margin (67810)
range across 2 matching MRF lines		 $144.75–$453.75 $193–$605 varies
Incisional biopsy skin single lesion (11106)
range across 5 matching MRF lines		 $120.75–$720 $161–$960 varies
Initial Tx 1st Degree Burn Local Tx (16000)
range across 4 matching MRF lines		 $90–$281.25 $120–$375 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $217.50–$651.75 $290–$869 varies
Inj W/Fluor Eval Cv Device (36598)
range across 2 matching MRF lines		 $62.25–$152.25 $83–$203 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,326.75 $1,769 1.6×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 8 matching MRF lines		 $82.50–$281.25 $110–$375 varies
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 4 matching MRF lines		 $135–$796.50 $180–$1,062 varies
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $1,058.25 $1,411 1.3×
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines		 $172.50–$615 $230–$820 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 4 matching MRF lines		 $52.50–$855 $70–$1,140 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 2 matching MRF lines		 $172.50–$615 $230–$820 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 3 matching MRF lines		 $150–$352.50 $200–$470 varies
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 2 matching MRF lines		 $217.50–$1,110 $290–$1,480 varies
Injection Anes Superior Hypogastric Plexus (64517)
range across 2 matching MRF lines		 $262.50–$810 $350–$1,080 varies
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines		 $120–$352.50 $160–$470 varies
Injection for identification of sentinel node (38792)
range across 2 matching MRF lines		 $70.50–$5,345.25 $94–$7,127 varies
Injection single tendon origin/insertion (20551)
range across 5 matching MRF lines		 $41.25–$282.75 $55–$377 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 6 matching MRF lines		 $82.50–$406.50 $110–$542 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 6 matching MRF lines		 $90–$397.50 $120–$530 varies
Injection therapeutic carpal tunnel (20526)
range across 5 matching MRF lines		 $107.63–$480 $143.50–$640 varies
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines		 $514.26–$956.25 $685.68–$1,275 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 6 matching MRF lines		 $127.50–$1,485 $170–$1,980 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 7 matching MRF lines		 $45.75–$975 $61–$1,300 varies
Injection, Intralesional; More Than 7 Lesions (11901) $97.50 $130 0.5×
Injection, intralesional; up to and including 7 lesions (11900)
range across 2 matching MRF lines		 $63–$75.75 $84–$101 varies
Insert Bladder Cath Complex (51703)
range across 3 matching MRF lines		 $80.25–$240 $107–$320 varies
Insert cath pleura w/o image (32556)
range across 4 matching MRF lines		 $127.88–$836.25 $170.50–$1,115 varies
Insert Drug Implant Device (11981)
range across 4 matching MRF lines		 $127.50–$277.50 $170–$370 varies
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $188.25–$2,970 $251–$3,960 varies
Insert pessary/other device (57160)
range across 2 matching MRF lines		 $97.50–$427.50 $130–$570 varies
Insert Temp Bladder Cath (51702)
range across 4 matching MRF lines		 $56.25–$187.50 $75–$250 varies
Insert tun ip cath perc (49418) $4,254 $5,672 1.3×
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $702–$3,531.75 $936–$4,709 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 4 matching MRF lines		 $37.50–$187.50 $50–$250 varies
Insertion indwelling tunneled pleural catheter (32550) $4,549.50 $6,066 1.4×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,100 $2,800 1.5×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $1,012.50–$1,425 $1,350–$1,900 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $4,027.50 $5,370 1.4×
Int hrhc by ligation single hroid w/o img gdn (46945) $367.50 $490 0.1×
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 3 matching MRF lines		 $624–$1,431.75 $832–$1,909 varies
Intmd Rpr Face/Mm 20.1-30.0 (12056)
range across 3 matching MRF lines		 $656.25–$1,686 $875–$2,248 varies
Intranasal Biopsy (30100)
range across 2 matching MRF lines		 $142.50–$325.50 $190–$434 varies
Intubation endotracheal emergency procedure (31500)
range across 5 matching MRF lines		 $159.75–$408.75 $213–$545 varies
Island pedicle flap graft (15740) $1,764 $2,352 0.9×
Knee Arthroscopy/Surgery (29874)
range across 2 matching MRF lines		 $1,158.75–$3,207.75 $1,545–$4,277 varies
Labyrinthotomy Transcanal (69801) $1,406.25 $1,875 1.0×
Lap paraesophag hern repair (43281) $10,115.25 $13,487 1.0×
Laparo-vag hyst incl t/o (58552)
likely a partial charge, not the full procedure		 $1,362 $1,816 0.1×
Laparoscopy aspiration (49322)
range across 2 matching MRF lines		 $805–$3,765 $1,073.33–$5,020 varies
Laparoscopy Enterolysis Separate Procedure (44180)
range across 2 matching MRF lines		 $1,845–$5,390.25 $2,460–$7,187 varies
Laparoscopy fulguration oviducts (58670) $4,827.75 $6,437 0.9×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 2 matching MRF lines		 $927–$8,094.75 $1,236–$10,793 varies
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) $11,949 $15,932 1.2×
Laparoscopy w/rmvl adnexal structures (58661)
range across 3 matching MRF lines		 $927–$7,031.25 $1,236–$9,375 varies
Laparoscopy, surgical, appendectomy (44970)
range across 3 matching MRF lines		 $757.50–$6,133.50 $1,010–$8,178 varies
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) $8,232 $10,976 0.8×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550)
likely a partial charge, not the full procedure		 $1,227.75 $1,637 0.2×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553)
likely a partial charge, not the full procedure		 $1,599.75 $2,133 0.2×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
range across 2 matching MRF lines		 $1,544.25–$6,621.75 $2,059–$8,829 varies
Laparoscopy, surgical; orchiopexy for intra-abdominal testis Facility (54692)
range across 2 matching MRF lines		 $1,554.75–$8,246.25 $2,073–$10,995 varies
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
range across 2 matching MRF lines		 $1,182.75–$9,949.50 $1,577–$13,266 varies
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
range across 2 matching MRF lines		 $697.50–$7,732.50 $930–$10,310 varies
Laparoscopy, Tubal Block (58671)
likely a partial charge, not the full procedure		 $505.50 $674 0.1×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
range across 2 matching MRF lines		 $697.50–$7,732.50 $930–$10,310 varies
Laps fulg/exc ovary viscera/peritoneal surface (58662) $5,694 $7,592 1.0×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554)
likely a partial charge, not the full procedure		 $1,834.50 $2,446 0.2×
Laryngoscopy flexible diagnostic (31575) $1,513.13 $2,017.50 8.2×
Late closure of wound (13160)
range across 3 matching MRF lines		 $1,155.75–$2,292.75 $1,541–$3,057 varies
Ligation of hemorrhoids (46946) $387 $516 0.2×
Ligation or biopsy temporal artery (37609)
range across 2 matching MRF lines		 $427.50–$3,521.25 $570–$4,695 varies
Lysis of labial adhesions (56441)
range across 3 matching MRF lines		 $213.75–$3,180 $285–$4,240 varies
Lysis/excision penile postcircumcision adhesions (54162)
range across 4 matching MRF lines		 $220.50–$2,981.25 $294–$3,975 varies
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700)
range across 3 matching MRF lines		 $412.50–$1,185 $550–$1,580 varies
Mastectomy for gynecomastia (19300)
range across 2 matching MRF lines		 $900.75–$3,651 $1,201–$4,868 varies
Mastectomy partial (19301)
range across 2 matching MRF lines		 $1,380.75–$6,298.50 $1,841–$8,398 varies
Mastectomy partial w/axillary lymphadenectomy (19302) $8,085.75 $10,781 1.3×
Mastectomy simple complete (19303) $8,148 $10,864 1.3×
Muscle-skin graft trunk (15734)
range across 2 matching MRF lines		 $3,140.25–$4,451.25 $4,187–$5,935 varies
Myringoplasty (69620) $4,215.75 $5,621 1.4×
N Block Inj Celiac Pelus (64530)
range across 2 matching MRF lines		 $202.50–$352.50 $270–$470 varies
N Block Inj Ilio-Ing/Hypogi (64425)
range across 3 matching MRF lines		 $210–$352.50 $280–$470 varies
N block inj intercost sng (64420)
range across 4 matching MRF lines		 $127.50–$494.25 $170–$659 varies
N Block Inj Plantar Digit (64455)
range across 4 matching MRF lines		 $72–$360 $96–$480 varies
N Block Inj Pudendal (64430)
range across 2 matching MRF lines		 $112.50–$1,852.50 $150–$2,470 varies
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines		 $180–$651.75 $240–$869 varies
Nasal Endoscopy Dx (31231) $1,566 $2,088 8.5×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $4,501.50 $6,002 2.8×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)
range across 2 matching MRF lines		 $5,211.75–$5,212.50 $6,949–$6,950 varies
Needle Biopsy Lymph Nodes (38505) $842.25 $1,123 0.6×
Needle insertion w/o injection 1 or 2 muscles (20560)
range across 2 matching MRF lines		 $26.25–$52.50 $35–$70 varies
Needle insertion w/o injection 3 or more muscles (20561)
range across 2 matching MRF lines		 $26.25–$52.50 $35–$70 varies
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 2 matching MRF lines		 $851.63–$2,763.75 $1,135.50–$3,685 varies
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,454.25 $1,939 3.5×
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines		 $165–$810 $220–$1,080 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 3 matching MRF lines		 $105–$412.50 $140–$550 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $187.50–$660 $250–$880 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $999.75 $1,333 1.2×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 3 matching MRF lines		 $225–$1,087.50 $300–$1,450 varies
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320)
range across 3 matching MRF lines		 $660–$890.25 $880–$1,187 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $669.19 $892.25 0.8×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $999.75 $1,333 1.2×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 4 matching MRF lines		 $210–$1,182 $280–$1,576 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $669.19 $892.25 0.8×
Njx Sclrsnt 1 Incmptnt Vein (36470)
range across 2 matching MRF lines		 $78.75–$423 $105–$564 varies
Njx Sclrsnt Mlt Incmptnt Vn (36471)
range across 2 matching MRF lines		 $157.50–$423 $210–$564 varies
Occipital Nerve Block (64405)
range across 3 matching MRF lines		 $112.50–$360 $150–$480 varies
Open Treatment Bimalleolar Ankle Fracture (27814)
range across 2 matching MRF lines		 $1,567.50–$5,362.50 $2,090–$7,150 varies
Open treatment fracture distal tibia only (27827)
range across 2 matching MRF lines		 $1,530–$6,090 $2,040–$8,120 varies
Open Treatment Medial Malleolus Fracture (27766)
range across 2 matching MRF lines		 $1,746.75–$13,355.25 $2,329–$17,807 varies
Open treatment metatarsal fracture each (28485) $6,315 $8,420 0.9×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
range across 2 matching MRF lines		 $1,477.50–$6,682.50 $1,970–$8,910 varies
Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532)
range across 2 matching MRF lines		 $892.13–$3,337.50 $1,189.50–$4,450 varies
Open Treatment Radial Shaft Fracture (25515)
range across 2 matching MRF lines		 $1,439.25–$4,589.25 $1,919–$6,119 varies
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
range across 2 matching MRF lines		 $1,872.75–$5,418 $2,497–$7,224 varies
Open Tx Distal Tibiofibular Joint Disruption (27829)
range across 2 matching MRF lines		 $1,508.25–$7,263 $2,011–$9,684 varies
Open Tx Metacarpal Fracture Single Ea Bone (26615)
range across 2 matching MRF lines		 $795–$2,137.50 $1,060–$2,850 varies
Open Tx Tibial Fracture Proximal Unicondylar (27535)
range across 2 matching MRF lines		 $1,822.50–$4,320 $2,430–$5,760 varies
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
likely a partial charge, not the full procedure		 $1,785 $2,380 0.3×
Open tx ulnar fx proximal end (24685)
range across 2 matching MRF lines		 $1,379.25–$4,319.25 $1,839–$5,759 varies
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
range across 2 matching MRF lines		 $1,742.25–$6,726.75 $2,323–$8,969 varies
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
range across 2 matching MRF lines		 $2,268.75–$6,992.25 $3,025–$9,323 varies
Orchiopexy Ingun/Scrot Appr (54640)
range across 2 matching MRF lines		 $528.75–$5,274.75 $705–$7,033 varies
Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Facility (54650) $5,274.75 $7,033 1.6×
Ostc prtl exostc/condylc metar head (28288)
range across 2 matching MRF lines		 $907.50–$3,172.50 $1,210–$4,230 varies
Ostectomy calcaneus (28118) $7,357.50 $9,810 2.4×
Ostectomy, complete excision; fifth metatarsal head (28113)
range across 2 matching MRF lines		 $892.50–$4,837.50 $1,190–$6,450 varies
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $2,403.75 $3,205 0.8×
Partial Excision Distal Phalanx Finger (26236) $3,971.63 $5,295.50 2.7×
Partial hymenectomy or revision of hymenal ring (56700) $2,632.50 $3,510 0.9×
Partical Excision Bone Phalanx Toe (28124) $2,427 $3,236 0.8×
Pelvic examination under anesthesia (other than local) (57410)
range across 3 matching MRF lines		 $162.19–$1,713.75 $216.25–$2,285 varies
Penile Injection (54235)
range across 2 matching MRF lines		 $81–$979.50 $108–$1,306 varies
Perineoplasty rpr perineum nonobstetrical spx (56810) $4,002.75 $5,337 1.3×
Perq dev breast 1st us imag (19285) $448.50 $598 0.7×
Perq skel fixj distal radial fx/epiphysl sep (25606)
range across 2 matching MRF lines		 $1,424.25–$2,426.25 $1,899–$3,235 varies
Placement of needle for intraosseous infusion (36680) $123.75 $165 0.3×
Placement of seton (46020)
range across 2 matching MRF lines		 $240–$6,022.50 $320–$8,030 varies
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $6,733.50 $8,978 1.5×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300)
range across 2 matching MRF lines		 $97.50–$1,957.50 $130–$2,610 varies
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267)
range across 2 matching MRF lines		 $351–$450.75 $468–$601 varies
Punch biopsy skin single lesion (11104)
range across 8 matching MRF lines		 $99.75–$720 $133–$960 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 6 matching MRF lines		 $159.19–$1,068.75 $212.25–$1,425 varies
Puncture Aspiration Cyst Breast (19000) $463.50 $618 0.7×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $852 $1,136 1.3×
Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) $1,620 $2,160 0.5×
Rdctj torsion tstis w/wo fixj clat testis (54600)
range across 2 matching MRF lines		 $937.50–$5,767.50 $1,250–$7,690 varies
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
range across 2 matching MRF lines		 $1,605.75–$4,249.50 $2,141–$5,666 varies
Reconstruction of urethra (54326)
range across 2 matching MRF lines		 $1,935–$7,470 $2,580–$9,960 varies
Reconstruction Tongue Fold (41520) $3,530.25 $4,707 1.2×
Removal Embedded Foreign Body Eyelid (67938) $359.63 $479.50 1.2×
Removal foreign body foot deep (28192) $1,387.50 $1,850 0.9×
Removal Foreign Body Foot Subcutaneous (28190)
range across 7 matching MRF lines		 $170.25–$2,242.50 $227–$2,990 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $263.63 $351.50 0.2×
Removal foreign body upper arm/elbow deep (24201)
range across 2 matching MRF lines		 $549.75–$607.50 $733–$810 varies
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 5 matching MRF lines		 $31.50–$772.50 $42–$1,030 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 4 matching MRF lines		 $72–$712.50 $96–$950 varies
Removal Implant Deep (20680)
range across 2 matching MRF lines		 $610.50–$3,138.75 $814–$4,185 varies
Removal implantable contraceptive capsules (11976)
range across 2 matching MRF lines		 $197.25–$548.25 $263–$731 varies
Removal of adenoids (42830) $2,349.75 $3,133 0.8×
Removal of foreign body from pharynx (42809) $220.50 $294 0.5×
Removal of nail bed (11750)
range across 5 matching MRF lines		 $217.50–$581.25 $290–$775 varies
Removal of testis (54520)
range across 2 matching MRF lines		 $695.25–$5,767.50 $927–$7,690 varies
Removal of tonsils (42826) $3,105 $4,140 1.0×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 4 matching MRF lines		 $109.50–$719.25 $146–$959 varies
Removal Sutures/Staples Requiring Anesthesia (15851) $96 $128 0.1×
Removal/bivalving gauntlet boot/body cast (29700)
range across 2 matching MRF lines		 $73.13–$315 $97.50–$420 varies
Remove drug implant device (11982)
range across 5 matching MRF lines		 $101.63–$318.75 $135.50–$425 varies
Remove foreign body from eye (65205) $89.63 $119.50 0.7×
Remove humerus lesion (24110) $611.25 $815 0.2×
Remove Intrauterine Device (58301)
range across 3 matching MRF lines		 $112.50–$594 $150–$792 varies
Remove Lower Leg Bone Lesion (27635)
range across 2 matching MRF lines		 $795–$1,012.50 $1,060–$1,350 varies
Remove Nasal Foreign Body (30300) $182.44 $243.25 1.5×
Remove Tendon Sheath Lesion (26160)
range across 2 matching MRF lines		 $652.50–$2,334 $870–$3,112 varies
Remove/Insert Drug Implant (11983)
range across 2 matching MRF lines		 $195–$325.50 $260–$434 varies
Repair Achilles Tendon (27650)
range across 2 matching MRF lines		 $1,905.75–$5,010.75 $2,541–$6,681 varies
Repair Collat Ankle Ligmnt,Secondary (27698)
range across 2 matching MRF lines		 $1,854–$6,212.25 $2,472–$8,283 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 4 matching MRF lines		 $588–$1,466.25 $784–$1,955 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 3 matching MRF lines		 $702–$1,698.75 $936–$2,265 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 6 matching MRF lines		 $253.50–$877.50 $338–$1,170 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 4 matching MRF lines		 $532.69–$1,125 $710.25–$1,500 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 3 matching MRF lines		 $325.50–$492 $434–$656 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 5 matching MRF lines		 $520.65–$603.75 $694.20–$805 varies
Repair complex trunk 1.1-2.5 cm (13100)
range across 2 matching MRF lines		 $325.50–$423 $434–$564 varies
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $523.50–$566.25 $698–$755 varies
Repair Ectropion Extensive (67917) $3,143.25 $4,191 1.4×
Repair Hallux Rigidus (28289)
range across 2 matching MRF lines		 $960–$3,735 $1,280–$4,980 varies
Repair incomplete circumcision (54163)
range across 2 matching MRF lines		 $480–$1,290 $640–$1,720 varies
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507)
range across 2 matching MRF lines		 $1,262.25–$4,408.50 $1,683–$5,878 varies
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 5 matching MRF lines		 $262.50–$804.75 $350–$1,073 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 3 matching MRF lines		 $419.25–$925.50 $559–$1,234 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 5 matching MRF lines		 $450–$1,095 $600–$1,460 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 3 matching MRF lines		 $459–$1,113.75 $612–$1,485 varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $675 $900 1.8×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 3 matching MRF lines		 $470.25–$1,140.75 $627–$1,521 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 5 matching MRF lines		 $303.75–$598.50 $405–$798 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 5 matching MRF lines		 $353.25–$795 $471–$1,060 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 6 matching MRF lines		 $218.25–$903.75 $291–$1,205 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $543.75 $725 0.3×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 3 matching MRF lines		 $476.63–$1,915.50 $635.50–$2,554 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 5 matching MRF lines		 $318–$1,173.75 $424–$1,565 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 7 matching MRF lines		 $399–$1,478.25 $532–$1,971 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 3 matching MRF lines		 $535.88–$2,315.25 $714.50–$3,087 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 5 matching MRF lines		 $400.13–$1,742.25 $533.50–$2,323 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $600 $800 0.3×
Repair of nail bed (11760)
range across 3 matching MRF lines		 $115.50–$416.25 $154–$555 varies
Repair of Ruptured Tendon (24342)
range across 2 matching MRF lines		 $1,672.50–$5,010.75 $2,230–$6,681 varies
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
range across 2 matching MRF lines		 $1,497.75–$6,202.50 $1,997–$8,270 varies
Repair tongue laceration (41252)
range across 3 matching MRF lines		 $212.25–$1,586.25 $283–$2,115 varies
Repair tongue laceration (41250)
range across 2 matching MRF lines		 $168–$322.50 $224–$430 varies
Replantation, thumb (includes distal tip to MP joint), complete amputation Facility (20827)
range across 2 matching MRF lines		 $3,803.25–$9,375 $5,071–$12,500 varies
Rerepair ing hernia reduce (49520)
range across 2 matching MRF lines		 $1,360.50–$5,046 $1,814–$6,728 varies
Resection, partial or complete, phalangeal base, each toe (28126) $3,270 $4,360 1.1×
Rev/rmv prph sac/gstr npg/r (64595)
range across 2 matching MRF lines		 $267.75–$2,850 $357–$3,800 varies
Revision of knee joint (27442)
range across 2 matching MRF lines		 $1,880.25–$6,268.50 $2,507–$8,358 varies
Revision of penis (54304)
range across 2 matching MRF lines		 $775.69–$5,094 $1,034.25–$6,792 varies
Revj tot hip arthrp bth w/wo agrft/algrft (27134)
range across 2 matching MRF lines		 $3,981–$20,347.50 $5,308–$27,130 varies
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
range across 2 matching MRF lines		 $3,547.50–$6,270 $4,730–$8,360 varies
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486)
range across 2 matching MRF lines		 $2,938.50–$5,850.75 $3,918–$7,801 varies
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $315.94 $421.25 0.2×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $252 $336 0.3×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $261 $348 0.2×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $99.75–$135 $133–$180 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $113.06 $150.75 0.9×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $89.63 $119.50 0.2×
Rmvl fecal impaction/fb spx under anes (45915)
range across 2 matching MRF lines		 $497.25–$3,735 $663–$4,980 varies
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)
range across 2 matching MRF lines		 $519–$2,574.75 $692–$3,433 varies
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $284.63 $379.50 0.2×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 4 matching MRF lines		 $399.75–$2,145 $533–$2,860 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,236 $1,648 2.1×
Rplc Gtube No Revj Trc (43762)
range across 3 matching MRF lines		 $83.25–$520.50 $111–$694 varies
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
range across 2 matching MRF lines		 $1,575–$4,875 $2,100–$6,500 varies
Rpr Aa Hernia 1st < 3 Cm Reducible (49591)
range across 2 matching MRF lines		 $1,201.50–$4,416.75 $1,602–$5,889 varies
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
range across 2 matching MRF lines		 $1,182.75–$9,949.50 $1,577–$13,266 varies
Rpr aa hrn 1st 3-10 rdc (49593)
range across 2 matching MRF lines		 $1,201.50–$4,373.25 $1,602–$5,831 varies
Rpr aa hrn 1st < 3 ncr/strn (49592)
range across 2 matching MRF lines		 $1,201.50–$4,417.50 $1,602–$5,890 varies
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) $3,143.25 $4,191 1.4×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 4 matching MRF lines		 $198–$849.75 $264–$1,133 varies
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046)
range across 3 matching MRF lines		 $506.25–$1,615.50 $675–$2,154 varies
Rpr Lip Full Thickness Half/< Vertical Height (40652) $600 $800 1.2×
Rpr Lip Full Thickness Vermilion Only (40650) $525 $700 1.1×
Scrotal exploration (55110)
range across 2 matching MRF lines		 $802.50–$7,470 $1,070–$9,960 varies
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $3,762 $5,016 1.2×
Shave skin lesion 0.5 cm/< (11300)
range across 5 matching MRF lines		 $56.25–$285 $75–$380 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310)
range across 3 matching MRF lines		 $78.75–$111.56 $105–$148.75 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313)
range across 2 matching MRF lines		 $204–$390 $272–$520 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305)
range across 3 matching MRF lines		 $78.75–$85.88 $105–$114.50 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306)
range across 5 matching MRF lines		 $56.25–$128.63 $75–$171.50 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307)
range across 3 matching MRF lines		 $78.75–$150.56 $105–$200.75 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308)
range across 3 matching MRF lines		 $152.25–$390 $203–$520 varies
Shoulder Arthroscopy/Surgery (29825)
range across 2 matching MRF lines		 $1,200–$3,652.50 $1,600–$4,870 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311)
range across 5 matching MRF lines		 $56.25–$141.94 $75–$189.25 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312)
range across 4 matching MRF lines		 $56.25–$156.75 $75–$209 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 5 matching MRF lines		 $56.25–$123.94 $75–$165.25 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303)
range across 5 matching MRF lines		 $150.75–$418.50 $201–$558 varies
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302)
range across 4 matching MRF lines		 $71.25–$149.06 $95–$198.75 varies
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $345 $460 0.1×
Sigmoidoscopy w/fb removal (45332)
range across 2 matching MRF lines		 $222–$909 $296–$1,212 varies
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 2 matching MRF lines		 $231–$900 $308–$1,200 varies
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 3 matching MRF lines		 $281.25–$910.50 $375–$1,214 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 3 matching MRF lines		 $115.50–$499.50 $154–$666 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 5 matching MRF lines		 $122.25–$532.50 $163–$710 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $487.50 $650 1.3×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 4 matching MRF lines		 $156.75–$499.50 $209–$666 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $376.50 $502 2.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 7 matching MRF lines		 $97.31–$431.25 $129.75–$575 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $317.25 $423 1.7×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $160.50–$298.50 $214–$398 varies
Skin Full Grft Face/Genit/Hf (15240)
range across 2 matching MRF lines		 $1,669.50–$3,478.50 $2,226–$4,638 varies
Skin sub graft face/nk/hf/g (15275)
range across 4 matching MRF lines		 $99–$5,047.50 $132–$6,730 varies
Skin sub graft trnk/arm/leg (15271)
range across 3 matching MRF lines		 $86.25–$3,393.75 $115–$4,525 varies
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines		 $206.25–$2,782.50 $275–$3,710 varies
Skn sub grft f/n/hf/g child (15277)
range across 2 matching MRF lines		 $233.25–$911.25 $311–$1,215 varies
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $7,404 $9,872 1.6×
Slitting of prepuce (54001)
range across 2 matching MRF lines		 $277.50–$2,981.25 $370–$3,975 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 4 matching MRF lines		 $123.75–$517.50 $165–$690 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $207.75–$315.94 $277–$421.25 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $393.94 $525.25 1.1×
Sphincterotomy anal division sphincter spx (46080)
range across 2 matching MRF lines		 $186.75–$1,376.25 $249–$1,835 varies
Spinal puncture lumbar diagnostic (62270)
range across 5 matching MRF lines		 $135–$487.50 $180–$650 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120)
range across 5 matching MRF lines		 $1,450.50–$4,331.25 $1,934–$5,775 varies
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100)
range across 5 matching MRF lines		 $1,498.50–$4,215 $1,998–$5,620 varies
Strapping ankle (29540) $367.50 $490 2.5×
Strapping elbow or wrist (29260) $367.50 $490 6.8×
Strapping hand/finger (29280) $367.50 $490 6.8×
Strapping Hip (29520) $367.50 $490 3.0×
Strapping knee (29530) $367.50 $490 3.0×
Strapping shoulder (29240) $367.50 $490 3.0×
Strapping toes (29550) $22.50 $30 0.4×
Strapping Unna Boot (29580)
range across 7 matching MRF lines		 $60.75–$577.50 $81–$770 varies
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $2,757.75 $3,677 0.9×
Surg tx anal fistula subq (46270)
range across 2 matching MRF lines		 $852–$2,601.75 $1,136–$3,469 varies
Tangential biopsy skin single lesion (11102)
range across 6 matching MRF lines		 $80.25–$720 $107–$960 varies
Tenodesis long tendon biceps (23430)
range across 2 matching MRF lines		 $1,569–$6,914.25 $2,092–$9,219 varies
Tenodesis Wrist Flexors Fingers (25300) $1,065 $1,420 0.4×
Tenotomy Flexor Palm Open Each Tendon (26450) $567.75 $757 0.2×
Tenotomy Percutaneous Single Each Digit (26060) $267 $356 0.2×
Tenotomy Percutaneous Toe Single Tendon (28010)
range across 3 matching MRF lines		 $435–$2,955 $580–$3,940 varies
Ther Spi Pnxr Csf Fluor/Ct (62329)
range across 2 matching MRF lines		 $217.50–$757.50 $290–$1,010 varies
Thyroid biopsy (60100) $498.75 $665 0.8×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060)
range across 2 matching MRF lines		 $1,398.75–$2,004 $1,865–$2,672 varies
Tnot elbow lateral/medial debride open (24358)
range across 2 matching MRF lines		 $1,119–$5,010.75 $1,492–$6,681 varies
Tonsillectomy and adenoidectomy; age 12 or over (42821) $3,133.50 $4,178 1.0×
Tooth extraction (41899) $480 $640 2.2×
Total Knee Arthroplasty (27447)
range across 2 matching MRF lines		 $2,602.50–$20,692.50 $3,470–$27,590 varies
Transur electr resection of prostate (52601) $6,338.25 $8,451 1.3×
Treat ectopic pregnancy (59151)
range across 2 matching MRF lines		 $1,599–$6,423.75 $2,132–$8,565 varies
Treat Fx Rad Extra-Articul (25607)
range across 2 matching MRF lines		 $1,522.50–$5,625 $2,030–$7,500 varies
Treat humerus fracture (24500) $453.19 $604.25 2.0×
Treat humerus fracture (23600)
range across 3 matching MRF lines		 $308.25–$1,636.50 $411–$2,182 varies
Treat Kneecap Fracture (27524)
range across 2 matching MRF lines		 $1,620–$5,032.50 $2,160–$6,710 varies
Treat Knuckle Dislocation (26700) $322.50 $430 1.4×
Treat Metatarsal Fracture (28475) $357.19 $476.25 1.6×
Treat Thumb Dislocation (26641) $471.94 $629.25 2.1×
Treat toe dislocation (28630)
range across 2 matching MRF lines		 $186.75–$194.25 $249–$259 varies
Treatment Closed Elbow Dislocation Req Anes (24605) $675 $900 0.5×
Treatment closed elbow dislocation w/o anes (24600) $335.63 $447.50 1.5×
Trim skin lesion (11055)
range across 5 matching MRF lines		 $34.50–$266.25 $46–$355 varies
Trim skin lesions 2 to 4 (11056)
range across 7 matching MRF lines		 $48–$352.50 $64–$470 varies
Trim skin lesions over 4 (11057)
range across 3 matching MRF lines		 $62.25–$352.50 $83–$470 varies
Trimming Nondystrophic Nails Any Number (11719)
range across 3 matching MRF lines		 $17.25–$86.25 $23–$115 varies
Tubal ligation (58600) $507.75 $677 0.2×
Tx Gastro Intub W/Asp (43753) $322.50 $430 1.6×
Tx Incomplete Abortion Any Trimester Surgical (59812) $434.25 $579 0.1×
Tx Missed Abortion First Trimester Surgical (59820) $498.75 $665 0.2×
Tx open tendon flexor toe 1 tendon spx (28232)
range across 2 matching MRF lines		 $502.50–$577.50 $670–$770 varies
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 4 matching MRF lines		 $243.75–$409.13 $325–$545.50 varies
Tx superficial wound dehiscence w/packing (12021) $412.50 $550 1.1×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 3 matching MRF lines		 $263.63–$1,636.50 $351.50–$2,182 varies
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $4,215.75 $5,621 3.0×
Tympanostomy general anesthesia (69436) $1,432.50 $1,910 1.0×
Unlisted laparoscopic procedure liver (47379)
range across 2 matching MRF lines		 $2,535–$6,069.75 $3,380–$8,093 varies
Unlisted laparoscopy procedure stomach (43659)
range across 2 matching MRF lines		 $1,545–$12,367.50 $2,060–$16,490 varies
Unlisted laparoscopy procedure, intestine (except rectum) (44238)
range across 2 matching MRF lines		 $422.25–$4,827.75 $563–$6,437 varies
Unlisted procedure anus (46999)
range across 2 matching MRF lines		 $675–$1,717.50 $900–$2,290 varies
Unlisted procedure femur or knee (27599)
range across 2 matching MRF lines		 $540–$927 $720–$1,236 varies
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines		 $345–$667.50 $460–$890 varies
Unlisted procedure pelvis/hip joint (27299)
range across 2 matching MRF lines		 $540–$1,620 $720–$2,160 varies
Unlisted procedure stomach (43999)
range across 2 matching MRF lines		 $83.25–$480.75 $111–$641 varies
Unlisted Procedure Vascular Surgery (37799) $2,036.97 $2,715.96 3.5×
Unlisted Procedure, Urinary System (53899)
range across 2 matching MRF lines		 $236.25–$402.75 $315–$537 varies
Vaginal delivery only (59409) $1,397.81 $1,863.75 0.5×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $1,267.50 $1,690 0.3×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 4 matching MRF lines		 $496.50–$2,497.50 $662–$3,330 varies
Vasovasostomy vasovasorrhaphy (55400) $1,027.50 $1,370 0.3×
Ventilating tube removal requiring general anesthesia (69424) $2,182.50 $2,910 0.7×
Wedging of cast (29740) $129.56 $172.75 0.5×
Wound Prep F/N/Hf/G (15004)
range across 2 matching MRF lines		 $585.56–$1,155 $780.75–$1,540 varies
Wound Prep Trk/Arm/Leg (15002)
range across 2 matching MRF lines		 $489.19–$911.25 $652.25–$1,215 varies

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.