Procedures & surgery prices at Hopedale Hospital

Hopedale, IL · every code in this section with a posted price and a Medicare benchmark.

1127 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $425.60 $608 0.4×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $392 $560 0.4×
Acne surgery (10040) $175 $250 0.8×
Acromiopl/Acromionect Partial (23130) $1,628.90 $2,327 0.5×
Adding Walker Previously Applied Cast (29440) $90.30 $129 0.5×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $1,192.80 $1,704 0.5×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $1,495.90 $2,137 0.7×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,294.30 $1,849 0.6×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $1,475.60 $2,108 0.7×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $1,745.10 $2,493 0.5×
Amputate Metacarpal Bone (26910) $1,894.20 $2,706 0.5×
Amputate Thigh,Re-Amputatn (27596) $1,891.40 $2,702 0.5×
Amputation foot transmetarsal (28805) $1,673 $2,390 0.5×
Amputation metatarsal with toe single (28810) $972.30 $1,389 0.3×
Amputation thigh through femur any level (27590) $2,074.80 $2,964 0.6×
Amputation toe interphalangeal joint (28825) $1,050.70 $1,501 0.3×
Amputation toe metatarsophalangeal joint (28820) $1,101.80 $1,574 0.3×
Amputation, leg, through tibia and fibula; (27880)
range across 2 matching MRF lines		 $612.50–$2,242.80 $875–$3,204 varies
Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) $1,682.10 $2,403 0.5×
Amputation, leg, through tibia and fibula; re-amputation (27886) $1,822.10 $2,603 0.5×
Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) $1,456.70 $2,081 0.4×
Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Facility (27881) $2,244.20 $3,206 0.6×
Amputation, thigh, through femur, any level; immediate fitting technique including first cast Facility (27591) $2,491.30 $3,559 0.7×
Anoplasty, plastic operation for stricture; adult Facility (46700) $1,614.20 $2,306 0.5×
Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) $371.70 $531 0.4×
Anosc Rmvl Mult Tumors Cautery/Snare (46612) $605.50 $865 0.2×
Anoscopy Ablation Lesion (46615) $371 $530 0.1×
Anoscopy diagnostic (46600) $212.80 $304 1.5×
Anoscopy remove lesion (46610) $441.70 $631 0.1×
Anoscopy; with biopsy, single or multiple (46606) $522.20 $746 0.4×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $1,031.10 $1,473 0.8×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $283.50 $405 0.1×
Ant Vesicourethropexy/Urethropexy Smpl (51840)
unusually low: confirm this is the full procedure		 $1,742.30 $2,489 0.3×
Anterior colporraphy rpr cystocele w/cysto (57240)
likely a partial charge, not the full procedure		 $1,488.20 $2,126 0.3×
Appendectomy (44950)
likely a partial charge, not the full procedure		 $1,506.40 $2,152 0.2×
Application cast elbow finger short arm (29075)
range across 3 matching MRF lines		 $207.90–$554.17 $297–$791.67 varies
Application Finger Splint Dynamic (29131)
range across 2 matching MRF lines		 $146.09–$207.20 $208.70–$296 varies
Application finger splint static (29130)
range across 3 matching MRF lines		 $100.10–$283.70 $143–$405.29 varies
Application long arm splint shoulder hand (29105)
range across 3 matching MRF lines		 $211.40–$350 $302–$500 varies
Application Long Leg Splint (29505)
range across 3 matching MRF lines		 $186.20–$350 $266–$500 varies
Application of cylinder cast (thigh to ankle) (29365) $305.20 $436 1.0×
Application of long leg cast (29345)
range across 3 matching MRF lines		 $317.10–$596.46 $453–$852.08 varies
Application of rigid total contact leg cast (29445) $317.10 $453 1.1×
Application Patellar Tendon Bearing Cast (29435)
range across 2 matching MRF lines		 $343.38–$615.70 $490.54–$879.57 varies
Application risser jacket localizer body only (29010) $506.10 $723 1.7×
Application Short Arm Splint Dynamic (29126) $195.30 $279 1.4×
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines		 $166.60–$283.70 $238–$405.29 varies
Application short leg splint calf foot (29515)
range across 3 matching MRF lines		 $161–$350 $230–$500 varies
Apply hand/wrist cast (29085) $230.30 $329 1.3×
Apply long arm cast (29065)
range across 3 matching MRF lines		 $231–$620.14 $330–$885.91 varies
Apply Short Leg Cast (29405)
range across 2 matching MRF lines		 $207.90–$279.71 $297–$399.58 varies
Apply short leg cast (29425)
range across 2 matching MRF lines		 $203–$632.54 $290–$903.63 varies
Arterial puncture (36600)
range across 2 matching MRF lines		 $75.60–$271.79 $108–$388.27 varies
Arteriovenous Anastomosis Open Direct (36821)
range across 2 matching MRF lines		 $424.90–$1,733.20 $607–$2,476 varies
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818)
range across 2 matching MRF lines		 $420–$1,682.10 $600–$2,403 varies
Artery-vein autograft (36825)
likely a partial charge, not the full procedure		 $1,778.70 $2,541 0.3×
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551)
range across 3 matching MRF lines		 $1,516.20–$6,064.80 $2,166–$8,664 varies
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554)
range across 3 matching MRF lines		 $1,131.20–$4,525.50 $1,616–$6,465 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines		 $132.30–$581.96 $189–$831.37 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines		 $174.30–$581.96 $249–$831.37 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $266.70 $381 0.8×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $114.10–$1,032.13 $163–$1,474.47 varies
Arthrodesis Posterior Interbody Lumbar (22630)
range across 3 matching MRF lines		 $1,275.40–$5,100.20 $1,822–$7,286 varies
Arthrodesis Posterior/Posterolateral Lumbar (22612)
range across 2 matching MRF lines		 $1,390.20–$5,559.40 $1,986–$7,942 varies
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
range across 2 matching MRF lines		 $1,323–$5,291.30 $1,890–$7,559 varies
Arthroscopy knee synovectomy limited spx (29875)
range across 2 matching MRF lines		 $428.40–$1,713.60 $612–$2,448 varies
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $2,964.50 $4,235 0.8×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882)
range across 2 matching MRF lines		 $602.70–$2,410.80 $861–$3,444 varies
Arthroscopy, shoulder, surgical; debridement, extensive (29823)
range across 2 matching MRF lines		 $564.20–$2,257.50 $806–$3,225 varies
Arthroscopy, shoulder, surgical; debridement, limited (29822) $1,833.30 $2,619 0.5×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 2 matching MRF lines		 $846.30–$3,385.20 $1,209–$4,836 varies
Arthrotomy, hip, with drainage (eg, infection) Facility (27030)
unusually low: confirm this is the full procedure		 $2,698.50 $3,855 0.3×
Arthrotomy, knee; with synovial biopsy only Facility (27330) $1,261.40 $1,802 0.4×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
range across 2 matching MRF lines		 $1,211.70–$4,846.80 $1,731–$6,924 varies
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
range across 2 matching MRF lines		 $873.60–$3,495.10 $1,248–$4,993 varies
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879)
range across 2 matching MRF lines		 $552.30–$2,209.20 $789–$3,156 varies
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880)
range across 2 matching MRF lines		 $582.40–$2,330.30 $832–$3,329 varies
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $476.70–$1,265 $681–$1,807.14 varies
Aspirate Pleura W/O Imaging (32554) $567.70 $811 0.8×
Aspirate/Inj Ganglion Cyst (20612) $131.60 $188 0.4×
Aspiration & Injection Treatment Bone Cyst (20615) $457.80 $654 0.6×
Aspiration and/or injection thyroid cyst (60300) $277.90 $397 0.4×
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines		 $588.70–$4,490.78 $841–$6,415.40 varies
Av fistula revision (36833)
unusually low: confirm this is the full procedure		 $1,806 $2,580 0.3×
Av Fistula Revision Open (36832)
range across 2 matching MRF lines		 $431.90–$1,726.90 $617–$2,467 varies
Av Fuse Uppr Arm Basilic (36819)
unusually low: confirm this is the full procedure		 $1,935.50 $2,765 0.3×
Av fusion/forearm vein (36820)
range across 2 matching MRF lines		 $487.90–$1,950.20 $697–$2,786 varies
Avulsion nail plate partial/complete simple 1 (11730)
range across 3 matching MRF lines		 $149.80–$306.45 $214–$437.79 varies
Axillary lymphadenectomy; complete (38745)
unusually low: confirm this is the full procedure		 $2,159.50 $3,085 0.3×
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552)
likely a partial charge, not the full procedure		 $865.90 $1,237 0.1×
Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554)
likely a partial charge, not the full procedure		 $1,465.80 $2,094 0.1×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555)
likely a partial charge, not the full procedure		 $1,074.50 $1,535 0.2×
Biopsy Abdominal Mass (49180) $456.40 $652 0.3×
Biopsy bone open superficial (20240) $492.10 $703 0.2×
Biopsy bone trocar/needle deep (20225) $751.80 $1,074 0.4×
Biopsy Bone Trocar/Needle Superficial (20220) $398.30 $569 0.2×
Biopsy external ear (69100) $165.90 $237 0.7×
Biopsy muscle percutaneous needle (20206) $342.30 $489 0.2×
Biopsy nail unit (11755) $189 $270 0.2×
Biopsy of breast; open, incisional (19101) $711.20 $1,016 0.2×
Biopsy of floor of mouth (41108) $331.10 $473 0.2×
Biopsy of lip (40490) $210 $300 0.8×
Biopsy of liver, needle; percutaneous (47000) $508.90 $727 0.3×
Biopsy of nerve (64795) $591.50 $845 0.3×
Biopsy of palate, uvula (42100) $378 $540 0.2×
Biopsy of penis (54100) $361.90 $517 0.2×
Biopsy of rectum (45100) $710.50 $1,015 0.2×
Biopsy of urethra (53200) $406.70 $581 0.2×
Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) $1,115.10 $1,593 0.3×
Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530)
range across 2 matching MRF lines		 $405.30–$1,621.90 $579–$2,317 varies
Biopsy Oropharynx (42800) $359.10 $513 0.2×
Biopsy Pleura Percutaneous Needle (32400) $389.90 $557 0.2×
Biopsy Salivary Gland Incisional (42405) $651.70 $931 0.4×
Biopsy Salivary Gland Needle (42400) $242.90 $347 0.3×
Biopsy soft tissue back/flank deep (21925) $947.10 $1,353 0.5×
Biopsy Soft Tissue Back/Flank Superficial (21920) $398.30 $569 0.2×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614) $1,262.10 $1,803 0.4×
Biopsy soft tissue leg/ankle area superficial (27613) $467.60 $668 0.3×
Biopsy soft tissue neck/thorax (21550) $525.70 $751 0.3×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $1,776.60 $2,538 1.0×
Biopsy Soft Tissue Shoulder Deep (23066) $1,232 $1,760 0.4×
Biopsy Soft Tissue Shoulder Superficial (23065) $340.90 $487 0.2×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $1,055.60 $1,508 0.3×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $463.40 $662 0.3×
Biopsy Testis Incisional Separate Procedure (54505) $571.20 $816 0.2×
Biopsy Tongue Anterior Two-Thirds (41100) $379.40 $542 0.7×
Biopsy Vaginal Mucosa Extensive (57105) $392.70 $561 0.1×
Biopsy Vaginal Mucosa Simple (57100) $236.60 $338 0.2×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $210 $300 0.2×
Biopsy, vestibule of mouth (40808) $382.20 $546 0.7×
Biopsy/removal lymph nodes (38510) $1,178.80 $1,684 0.3×
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $200.20–$247.63 $286–$353.75 varies
Bladder Scan (51798)
range across 3 matching MRF lines		 $145.54–$149.18 $207.92–$213.12 varies
Blood Transfusion Service (36430) $964.12 $1,377.32 2.0×
Bone Marrow Biopsy (38221) $397.60 $568 0.2×
Bone Marrow; Aspiration Only (38220) $415.80 $594 0.2×
Brnchsc Brushing/Protected Brushings (31623) $558.60 $798 0.3×
Bronchoscopy Clear Airways (31645) $626.50 $895 0.3×
Bronchoscopy Dilate W/Stent (31631)
likely a partial charge, not the full procedure		 $843.50 $1,205 0.1×
Bronchoscopy W/Biopsy(S) (31625) $644.70 $921 0.3×
Bronchoscopy W/Removal Foreign Body (31635) $813.40 $1,162 0.4×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $767.20 $1,096 0.2×
Bronchoscopy/Needle Bx Each (31629) $1,000.30 $1,429 0.3×
Bx Arm/Elbow Soft Tissue,Deep (24066) $1,298.50 $1,855 0.4×
Bx breast 1st lesion strtctc (19081) $1,802.50 $2,575 1.0×
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines		 $1,739.50–$3,239.89 $2,485–$4,628.42 varies
Bx breast needle core w/o imaging guidance spx (19100)
range across 2 matching MRF lines		 $333.90–$2,529.66 $477–$3,613.80 varies
Bx Cervix (57500) $308 $440 0.3×
Bx/exc lymph node open deep axillary node (38525)
range across 2 matching MRF lines		 $263.90–$1,054.20 $377–$1,506 varies
Bx/exc lymph node open superficial (38500)
range across 2 matching MRF lines		 $171.50–$686 $245–$980 varies
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) $1,789.90 $2,557 1.0×
Carpal Tunnel Surgery (64721) $1,331.40 $1,902 0.6×
Catheter aspiration nasotracheal spx (31720) $486.19 $694.55 2.1×
Cerv artific diskectomy (22856)
range across 3 matching MRF lines		 $1,367.80–$5,470.50 $1,954–$7,815 varies
Cessj Therapy Cath Removal (37214)
range across 2 matching MRF lines		 $362.60–$5,716.42 $518–$8,166.32 varies
Change Cystostomy Tube Complicated (51710) $337.40 $482 0.5×
Change Cystostomy Tube Simple (51705)
range across 3 matching MRF lines		 $240.80–$561.88 $344–$802.68 varies
Change of Windpipe Airway (31502) $155.40 $222 0.6×
Chemical Cautery Tissue (17250)
range across 3 matching MRF lines		 $113.41–$314.13 $162.02–$448.75 varies
Chemodenerv Musc Migraine (64615) $401.10 $573 1.2×
Chemodenerv trunk musc 1-5 (64646) $374.50 $535 0.5×
Chemodenerv trunk musc 6/> (64647) $429.80 $614 0.6×
Chemodenervation of internal anal sphincter (46505) $683.90 $977 0.5×
Chest tube placement (32551) $545.30 $779 0.3×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $1,256.50 $1,795 0.3×
Circumcision 28 days or older (54161) $506.10 $723 0.2×
Cl Tx Tib Shft Fx W Manip (27752) $1,476.30 $2,109 0.9×
Claviculectomy partial (23120)
range across 2 matching MRF lines		 $410.20–$1,640.10 $586–$2,343 varies
Clear outer ear canal (69200)
range across 3 matching MRF lines		 $221.20–$279.99 $316–$399.98 varies
Closed Treatment Sternum Fracture (21820) $526.40 $752 2.0×
Closed tx ankle dislocation w/o anesthesia (27840) $1,349.60 $1,928 5.1×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,522.50 $2,175 0.9×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $844.90 $1,207 3.2×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $629.30 $899 2.4×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $821.80 $1,174 3.1×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $1,341.20 $1,916 5.1×
Closed tx metatarsal fracture w/o manipulation (28470) $522.20 $746 2.0×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,626.10 $2,323 0.9×
Closed tx patellar dislocation w/o anesthesia (27560)
range across 3 matching MRF lines		 $532.70–$1,152.20 $761–$1,646 varies
Closed tx radial head/neck fx w/o manipulation (24650) $683.20 $976 2.6×
Closed tx radial shaft fracture w/manipulation (25505) $1,323.70 $1,891 0.8×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $716.80 $1,024 2.7×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $1,438.50–$3,528.13 $2,055–$5,040.18 varies
Closed tx radial&ulnar shaft fractures w/o man (25560) $749.70 $1,071 2.8×
Closed Tx Scapular Fracture W/O Manipulation (23570) $625.10 $893 2.4×
Closed tx septal&nose fx (21337) $965.30 $1,379 0.3×
Closed tx tarsometatarsal dislocation w/o anes (28600) $443.10 $633 1.7×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $750.40 $1,072 2.8×
Closed tx ulnar shaft fracture w/o manipulation (25530) $678.30 $969 2.6×
Closure Gastrostomy Surg (43870) $1,784.30 $2,549 0.4×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $704.20 $1,006 2.7×
Clsd tx clavicular fracture w/o manipulation (23500) $653.10 $933 2.5×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 3 matching MRF lines		 $869.45–$3,482.14 $1,242.07–$4,974.49 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 3 matching MRF lines		 $448.19–$877.80 $640.27–$1,254 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $984.90 $1,407 0.6×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $609.70 $871 2.3×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $792.40 $1,132 3.0×
Cltx dstl fibular fx lat malls w/manj (27788) $1,161.30 $1,659 4.4×
Cltx dstl fibular fx lat malls w/o manj (27786) $790.30 $1,129 3.0×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 3 matching MRF lines		 $532.71–$893.26 $761.01–$1,276.09 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $518 $740 2.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $861.70 $1,231 3.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 3 matching MRF lines		 $1,406.30–$3,244.03 $2,009–$4,634.33 varies
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 2 matching MRF lines		 $506.09–$532.70 $722.98–$761 varies
Cltx fx grt toe phlx/phlg w/o manj (28490) $368.90 $527 1.4×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $412.30 $589 1.6×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $338.10 $483 1.3×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,489.60 $2,128 0.9×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $855.40 $1,222 3.2×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $975.80 $1,394 3.3×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 3 matching MRF lines		 $459.40–$801.50 $656.29–$1,145 varies
Cltx Medial Ankle Fx (27760) $840.70 $1,201 3.2×
Cltx metacarpal fx w/manipulation each bone (26605) $829.50 $1,185 3.1×
Cltx metacarpal fx w/o manipulation each bone (26600) $685.30 $979 2.6×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $1,013.60 $1,448 0.6×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $905.10 $1,293 3.4×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $531.30 $759 2.0×
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $561.65–$719.73 $802.35–$1,028.18 varies
Cltx prox fibula/shft fx w/o manj (27780) $747.60 $1,068 2.8×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 3 matching MRF lines		 $310.10–$572.89 $443–$818.41 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $942.90 $1,347 3.6×
Cltx tibial fx proximal w/o manipulation (27530) $898.80 $1,284 3.4×
Cltx tibial shaft fx w/o manipulation (27750) $925.40 $1,322 3.5×
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 3 matching MRF lines		 $1,571.50–$3,245.42 $2,245–$4,636.31 varies
Coccygectomy, primary (27080) $1,460.20 $2,086 0.4×
Collection of venous blood by venipuncture (36415)
range across 4 matching MRF lines		 $12.52–$86.08 $17.89–$122.97 varies
Colonoscopy Stoma Control Bleeding (44391) $954.80 $1,364 0.7×
Colonoscopy Stoma W/Submucosal Injection (44404) $786.10 $1,123 0.6×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $903.70 $1,291 0.7×
Colonoscopy thru stoma (44388) $762.30 $1,089 0.8×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $951.30 $1,359 0.7×
Colonoscopy w/ablation (45388) $1,038.80 $1,484 0.8×
Colonoscopy W/Band Ligation (45398) $1,266.30 $1,809 1.0×
Colonoscopy w/fb removal (45379) $1,033.20 $1,476 0.8×
Colonoscopy w/submucosal inj (45381) $936.60 $1,338 0.7×
Colpopexy extraperitoneal (57282)
range across 2 matching MRF lines		 $364.35–$1,457.40 $520.50–$2,082 varies
Colporrhaphy (57200) $782.60 $1,118 0.2×
Colposcopy Cervix Endocervical Curettage (57456) $342.30 $489 1.0×
Colposcopy cervix upper/adjacent vagina (57452) $275.10 $393 1.3×
Colposcopy entire vagina w/cervix if present (57420) $296.80 $424 0.9×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $385 $550 0.4×
Colpotomy; with drainage of pelvic abscess (57010) $1,047.90 $1,497 0.3×
Colsc Flexible W/Control Bleeding Any Method (45382) $1,151.50 $1,645 0.9×
Colsc flx w/removal lesion by hot bx forceps (45384) $968.10 $1,383 0.8×
Combined anteroposterior colporrhaphy; (57260)
unusually low: confirm this is the full procedure		 $1,910.30 $2,729 0.4×
Complex drainage wound (10180) $528.50 $755 0.2×
Conization of cervix (57520) $864.50 $1,235 0.2×
Control Nasal Hemorrhage Anterior Complex (30903) $420.70 $601 3.0×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines		 $250.60–$294.48 $358–$420.69 varies
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $700 $1,000 0.4×
Cricopharyngeal myotomy (43030)
likely a partial charge, not the full procedure		 $1,762.60 $2,518 0.3×
Cross-over vein graft (34520)
unusually low: confirm this is the full procedure		 $2,861.60 $4,088 0.5×
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830)
unusually low: confirm this is the full procedure		 $1,835.40 $2,622 0.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 3 matching MRF lines		 $274.53–$590.80 $392.19–$844 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 2 matching MRF lines		 $538.76–$594.28 $769.65–$848.97 varies
Curette/treat cornea (65435) $154 $220 0.1×
Cysto Bladder W/Ureteral Catheterization (52005) $646.80 $924 0.3×
Cysto calibration dilat urtl strix/stenosis (52281) $772.10 $1,103 0.3×
Cysto w/complex removal stone & stent (52315) $1,113 $1,590 0.5×
Cysto w/destruction of lesions (52214) $1,953.70 $2,791 0.5×
Cysto w/dilat rx balo cath urtl strix/sten male (52284)
likely a partial charge, not the full procedure		 $772.10 $1,103 0.1×
Cysto w/insert ureteral stent (52332) $1,090.60 $1,558 0.3×
Cysto w/irrig & evac multple obstructing clots (52001) $847.70 $1,211 0.2×
Cysto w/removal of lesions small (52224) $1,987.30 $2,839 0.5×
Cysto w/removal of tumors small (52234) $781.90 $1,117 0.2×
Cysto W/Simple Removal Stone & Stent (52310) $679.70 $971 0.3×
Cysto w/ureter stricture tx (52341) $753.90 $1,077 0.2×
Cysto w/ureteroscopy w/lithotripsy (52353)
range across 3 matching MRF lines		 $1,253.70–$17,378.21 $1,791–$24,826.01 varies
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $1,096.90 $1,567 0.3×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $941.50 $1,345 0.2×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
range across 2 matching MRF lines		 $331.10–$1,323 $473–$1,890 varies
Cysto/uretero w/lithotripsy (52356)
likely a partial charge, not the full procedure		 $1,232 $1,760 0.2×
Cysto/uretero w/up stricture (52345) $1,031.80 $1,474 0.3×
Cystorrhaphy suture of bladder wound injury or rupture simple (51860)
likely a partial charge, not the full procedure		 $1,890.70 $2,701 0.2×
Cystostomy Cystotomy W/Drainage (51040) $911.40 $1,302 0.4×
Cystouretero W/Congen Repr (52400) $1,104.60 $1,578 0.3×
Cystourethroscopy (52000) $490.70 $701 0.7×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $1,016.40 $1,452 0.3×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240)
likely a partial charge, not the full procedure		 $1,475.60 $2,108 0.3×
Cystourethroscopy w/dil bladder general anesth (52260) $555.10 $793 0.2×
Cystourethroscopy with biopsy (52204) $915.60 $1,308 0.4×
Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) $774.90 $1,107 0.3×
Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) $1,026.90 $1,467 0.3×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 3 matching MRF lines		 $88.90–$1,178.42 $127–$1,683.45 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $1,552.60 $2,218 0.5×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $949.20 $1,356 1.3×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $1,067.50 $1,525 1.4×
Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) $2,037 $2,910 0.6×
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $1,127.70 $1,611 0.3×
Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) $1,299.20 $1,856 0.4×
Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) $1,734.60 $2,478 0.8×
Deb Musc/Fascia 20 Sq Cm/< (11043) $459.90 $657 0.6×
Debride nail 1-5 (11720) $47.60 $68 0.8×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $664.30 $949 0.4×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $222.60–$847.13 $318–$1,210.19 varies
Declot vascular device (36593)
range across 4 matching MRF lines		 $83.30–$900.89 $119–$1,286.98 varies
Decompress Spinal Cord Lmbr (63056)
range across 2 matching MRF lines		 $1,329.30–$5,317.90 $1,899–$7,597 varies
Decompression fasciotomy, forearm, with brachial artery exploration Facility (24495)
likely a partial charge, not the full procedure		 $1,813.70 $2,591 0.2×
Decompression of leg (27892) $1,470 $2,100 0.4×
Decompression of tibia nerve (28035) $1,220.80 $1,744 0.6×
Deep Muscle Biopsy (20205) $681.80 $974 0.2×
Derm autograft face/nck/hnd/ft/gen <100 sqcm (15135) $1,882.30 $2,689 0.5×
Destr penis lesion(s) (54065) $513.10 $733 0.2×
Destr W Neurolytic; Celiac Plexus (64680) $835.80 $1,194 0.9×
Destroy cerv/thor facet jnt (64633)
range across 3 matching MRF lines		 $1,056.30–$4,531.11 $1,509–$6,473.01 varies
Destroy lumb/sac facet jnt (64635)
range across 3 matching MRF lines		 $1,079.40–$6,795.52 $1,542–$9,707.88 varies
Destruct B9 Lesion 1-14 (17110) $177.10 $253 0.8×
Destruction Benign Lesions 15/> (17111) $216.30 $309 1.0×
Destruction Internal Hemorrhoid Thermal Energy (46930)
range across 2 matching MRF lines		 $445.90–$2,721.12 $637–$3,887.32 varies
Destruction Lesions Vulva Simple (56501) $303.80 $434 0.1×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $254.80 $364 1.2×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 2 matching MRF lines		 $926.10–$3,554.36 $1,323–$5,077.66 varies
Destruction of skin lesions (17106) $639.80 $914 1.5×
Destruction premalignant lesion 1st (17000) $119.70 $171 0.6×
Destruction Vaginal Lesions Extensive (57065) $528.50 $755 0.2×
Destruction Vaginal Lesions Simple (57061) $311.50 $445 0.1×
Diagnostic sigmoidoscopy (45330) $338.80 $484 0.3×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $429.80 $614 0.3×
Dilat female urethra general/cndj spinal anes (53665) $112.70 $161 0.1×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $167.30 $239 1.2×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $156.10 $223 1.1×
Dilat rct strix spx under anes oth/thn local (45910) $550.90 $787 0.4×
Dilate Esophagus 1/Mult Pass (43450) $323.40 $462 0.3×
Dilate Urethra Stricture (53620) $282.80 $404 0.4×
Dilate Urethra Stricture (53600) $217 $310 0.8×
Dilation & curettage dx&/ther nonobstetric (58120) $697.90 $997 0.2×
Dilation and catheterization of salivary duct, with or without injection (42660) $287.70 $411 0.5×
Dilation Esophagus Guide Wire (43453) $579.60 $828 0.3×
Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) $178.50 $255 0.0×
Disarticulation At Knee (27598) $1,971.90 $2,817 0.6×
Dissection, deep jugular node(s) Facility (38542)
likely a partial charge, not the full procedure		 $1,260 $1,800 0.2×
Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Facility (36838)
unusually low: confirm this is the full procedure		 $2,761.50 $3,945 0.5×
Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130)
range across 2 matching MRF lines		 $508.90–$2,034.20 $727–$2,906 varies
Division of scalenus anticus; without resection of cervical rib Facility (21700)
range across 2 matching MRF lines		 $284.90–$1,138.20 $407–$1,626 varies
Division of stricture of rectum Facility (45150) $981.40 $1,402 0.8×
Drain Cerebro Spinal Fluid (62272)
range across 2 matching MRF lines		 $490.70–$1,619.33 $701–$2,313.33 varies
Drain Hand Tendon Sheath (26020) $1,231.30 $1,759 0.4×
Drainage external ear abscess/hematoma cmplx (69005) $504.70 $721 0.3×
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 3 matching MRF lines		 $362.60–$1,514.13 $518–$2,163.04 varies
Drainage Finger Abscess Complicated (26011) $878.50 $1,255 0.5×
Drainage of finger abscess simple (26010)
range across 3 matching MRF lines		 $185.93–$588 $265.62–$840 varies
Drainage of hematoma/fluid (10140) $275.80 $394 0.2×
Drainage of hydrocele (55000) $286.30 $409 0.4×
Drainage of palmar bursa single bursa (26025) $1,284.50 $1,835 0.4×
Drainage of rectal abscess (45020) $1,243.20 $1,776 0.4×
Drainage of rectal abscess (45005) $511 $730 0.4×
Drainage of scrotal wall abscess (55100) $552.30 $789 0.3×
Drainage of scrotum (54700) $552.30 $789 0.2×
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) $1,050.70 $1,501 0.3×
Draw Blood Off Venous Device (36591) $243.07 $347.24 1.7×
Dressing Change Under Anesthesia (15852) $126.70 $181 0.2×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $567.70 $811 0.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 3 matching MRF lines		 $399.70–$780.07 $571–$1,114.38 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $308 $440 1.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 3 matching MRF lines		 $169.40–$314.13 $242–$448.75 varies
Dstrj Lesion Anus Extensive (46924) $1,075.20 $1,536 0.4×
Dstrj lesion anus simple surg excision (46922) $583.10 $833 0.2×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $537.60 $768 0.2×
Dstrj Lesion Penis Simple Electrodesiccation (54055) $302.40 $432 0.1×
Dstrj lesion penis simple surg excision (54060) $443.10 $633 0.2×
Dx Bone Marrow Bx & Aspir (38222) $399.70 $571 0.1×
Dx Bronchoscope/Lavage (31624) $603.40 $862 0.3×
Dx Bronchoscope/Wash (31622) $604.80 $864 0.3×
Dx gastr intub w/asp spec (43754) $193.20 $276 0.8×
Dx Laryngoscopy Excl Nb (31525) $543.90 $777 0.3×
Dx lmbr spi pnxr w/fluor/CT (62328) $342.30 $489 0.5×
Egd Balloon Dil Esoph30 Mm/> (43233) $684.60 $978 0.3×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $715.40 $1,022 0.3×
Egd cautery tumor polyp (43250) $746.90 $1,067 0.4×
Egd control bleeding any (43255) $850.50 $1,215 0.4×
Egd dilation gastric/duodenal stricture (43245) $800.80 $1,144 0.4×
Egd Endoscopic Stent Place (43266)
likely a partial charge, not the full procedure		 $683.90 $977 0.1×
Egd Flexible Foreign Body Removal (43247) $732.20 $1,046 0.8×
Egd guide wire insertion (43248) $683.20 $976 0.7×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $695.10 $993 0.3×
Egd Partial/Compl Esophagogastric Fundoplasty (43210)
range across 2 matching MRF lines		 $1,136.10–$23,776.36 $1,623–$33,966.23 varies
Egd place gastrostomy tube (43246) $749 $1,070 0.4×
Egd remove lesion snare (43251) $800.10 $1,143 0.4×
Egd Tube/Cath Insertion (43241) $612.50 $875 0.3×
Egd Varices Ligation (43244) $742 $1,060 0.4×
Emblc/thrmbc ax brach innominate subcla art (34101)
likely a partial charge, not the full procedure		 $1,582.70 $2,261 0.3×
Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201)
range across 2 matching MRF lines		 $644.70–$2,578.80 $921–$3,684 varies
Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203)
range across 2 matching MRF lines		 $599.90–$2,400.30 $857–$3,429 varies
Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision Facility (34111)
likely a partial charge, not the full procedure		 $1,650.60 $2,358 0.3×
Endocervical curettage (57505) $270.20 $386 0.3×
Endometrial Biopsy (58100) $268.10 $383 1.2×
Endoscopic us exam esoph (43237) $656.60 $938 0.3×
Endoscopy Upper Small Intestine (44360) $550.20 $786 0.3×
Endoven abltj incmptnt vein mchnchem 1st vein (36473)
range across 2 matching MRF lines		 $3,620.40–$6,839.95 $5,172–$9,771.36 varies
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $3,744.30 $5,349 1.1×
Enterorrhaphy single perforation (44602)
range across 2 matching MRF lines		 $814.80–$3,257.80 $1,164–$4,654 varies
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $777.70 $1,111 0.4×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $1,815.10 $2,593 0.8×
Epidural Blood Patch (62273) $528.50 $755 0.7×
Ercp Dx Collection Specimen Brushing/Washing (43260) $938.70 $1,341 0.2×
Ercp remove calculi/debris biliary/pancreas duct (43264) $1,295.70 $1,851 0.3×
Ercp W/Biopsy Single/Multiple (43261) $991.20 $1,416 0.2×
Ercp,Sphincterotomy (43262) $1,121.40 $1,602 0.3×
Esophagogastroduodenoscopy Submucosal Injection (43236) $763.70 $1,091 0.8×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $763.70 $1,091 0.4×
Esophagoscopy Flex Transoral Injection Varices (43204) $574 $820 0.3×
Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) $803.60 $1,148 0.4×
Esophagoscopy Flexible Guide Wire Dilation (43226) $693 $990 0.3×
Esophagoscopy Flexible Transoral Diagnostic (43200) $559.30 $799 0.6×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $699.30 $999 0.3×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $686.70 $981 0.3×
Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) $590.10 $843 0.3×
Evacuation of subungual hematoma (11740)
range across 3 matching MRF lines		 $80.50–$145.36 $115–$207.66 varies
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $1,490.30 $2,129 0.8×
Exc abdl tum deep 5 cm/> (22901) $1,512.70 $2,161 0.5×
Exc arm/elbow les sc < 3 cm (24075) $975.10 $1,393 0.6×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $205.80 $294 0.3×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $350.70 $501 0.2×
Exc Back Les Sc < 3 Cm (21930) $1,005.90 $1,437 0.6×
Exc Back Tum Deep 5 Cm/> (21933) $1,707.30 $2,439 0.5×
Exc back tum deep < 5 cm (21932) $1,491.70 $2,131 0.5×
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815)
range across 2 matching MRF lines		 $342.30–$1,368.50 $489–$1,955 varies
Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) $762.30 $1,089 0.2×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $1,183 $1,690 0.3×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $392 $560 0.5×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $469 $670 0.6×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $693.70 $991 0.4×
Exc Face Les Sbq 2 Cm/> (21012) $730.80 $1,044 0.4×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $236.60 $338 0.3×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $289.10 $413 0.4×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $324.80 $464 0.4×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $403.20 $576 0.2×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $471.80 $674 0.3×
Exc Forearm Les Sc 3 Cm/> (25071)
range across 2 matching MRF lines		 $266–$1,063.30 $380–$1,519 varies
Exc Frenum Labial/Buccal (40819) $604.80 $864 0.4×
Exc ganglion wrist recurrent (25112) $1,035.30 $1,479 0.6×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 3 matching MRF lines		 $193.90–$2,449.90 $277–$3,499.85 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $252.70 $361 0.3×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $293.30 $419 0.2×
Exc Hand Les Sc < 1.5 Cm (26115) $1,167.60 $1,668 0.7×
Exc hand tum deep < 1.5 cm (26116) $1,418.90 $2,027 0.8×
Exc hydrocele sprmatic cord uni spx (55500) $979.30 $1,399 0.3×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $490 $700 0.5×
Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) $793.80 $1,134 0.2×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $840 $1,200 0.5×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $759.50 $1,085 0.4×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $697.90 $997 0.2×
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) $1,082.90 $1,547 0.3×
Exc neuroma major peripheral nrv xcp sciatic (64784) $1,996.40 $2,852 1.0×
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410)
likely a partial charge, not the full procedure		 $1,552.60 $2,218 0.2×
Exc Rct Tum Incl Muscularis Propria (45172) $1,994.30 $2,849 0.7×
Exc Rct Tum Not Incl Muscularis Propria (45171)
range across 2 matching MRF lines		 $365.40–$1,460.90 $522–$2,087 varies
Exc Shoulder Tum Deep 5 Cm/> (23073)
range across 2 matching MRF lines		 $463.40–$1,853.60 $662–$2,648 varies
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $323.40 $462 0.4×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $421.40 $602 0.2×
Exc Skin Benig >4 Cm Remaindr Body (11426) $580.30 $829 0.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $552.30 $789 0.3×
Exc Skin Benig >4cm Face,Facial (11446) $749.70 $1,071 0.2×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $487.90 $697 0.3×
Exc Skin Malig >4 Cm Remaindr Body (11626) $725.20 $1,036 0.2×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $759.50 $1,085 0.4×
Exc tendon shth lesion leg/ankle (27630) $1,157.10 $1,653 0.3×
Exc thigh/knee les sc 3 cm/> (27337) $1,086.40 $1,552 0.3×
Exc thigh/knee tum dep 5cm/> (27339)
range across 2 matching MRF lines		 $503.30–$2,012.50 $719–$2,875 varies
Exc Thrombosed Hemorrhoid Xtrnl (46320) $433.30 $619 0.3×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $241.50 $345 0.6×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 3 matching MRF lines		 $270.90–$1,577.91 $387–$2,254.16 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $372.40 $532 0.2×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $1,019.90 $1,457 0.3×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $1,232.70 $1,761 0.7×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $1,199.10 $1,713 0.4×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $1,365.70 $1,951 0.4×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $1,169.70 $1,671 0.4×
Exc tumor soft tissue abdl wall subfascial <5cm (22900)
range across 2 matching MRF lines		 $311.50–$1,244.60 $445–$1,778 varies
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,007.30 $1,439 0.6×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $953.40 $1,362 0.5×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $1,165.50 $1,665 0.4×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $1,731.10 $2,473 0.6×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $883.40 $1,262 0.5×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $1,108.80 $1,584 0.4×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $1,487.50 $2,125 0.5×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071)
range across 2 matching MRF lines		 $239.40–$958.30 $342–$1,369 varies
Exc Varicocele/Ligation Spermatic Veins Spx (55530) $931 $1,330 0.2×
Exc/fulguration urethral caruncle (53265) $560.70 $801 0.3×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $574.70 $821 0.3×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $535.50 $765 0.3×
Excise intraspinal lesion (63267)
range across 3 matching MRF lines		 $1,104.60–$4,417 $1,578–$6,310 varies
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $453.60 $648 0.6×
Excision Chalazion Single (67800) $236.60 $338 0.7×
Excision Excessive Skin & Subq Tissue Other Area (15839) $2,093 $2,990 0.7×
Excision External Ear Partial Simple Repair (69110) $872.20 $1,246 0.3×
Excision gum each quadrant (41820) $690.90 $987 0.2×
Excision H/P/P/U Complex Repair (11471) $1,036 $1,480 0.3×
Excision H/P/P/U Simple/Intermediate Repair (11470) $868 $1,240 0.3×
Excision Hidradenitis Axillary Complex Repair (11451) $1,019.20 $1,456 0.3×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $872.90 $1,247 0.3×
Excision Infected Graft Extremity (35903) $1,522.50 $2,175 0.4×
Excision Lesion Cornea Xcp Pterygium (65400) $1,298.50 $1,855 1.2×
Excision lesion mouth roof (42104) $478.80 $684 0.1×
Excision lesion tendon sheath forearm&/wrist (25110) $945.70 $1,351 0.5×
Excision Lingual Frenum Frenectomy (41115) $473.20 $676 0.3×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $308 $440 0.4×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $350 $500 0.5×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $386.40 $552 0.9×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $512.40 $732 0.7×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $330.40 $472 0.4×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $553 $790 0.3×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $959 $1,370 0.3×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $333.90 $477 0.2×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $361.20 $516 0.5×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $409.50 $585 0.5×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $599.20 $856 0.3×
Excision Multiple External Papillae/Tags Anus (46230) $559.30 $799 0.2×
Excision of bartholin's gland or cyst (56740) $756 $1,080 0.2×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $873.60 $1,248 0.5×
Excision of hydrocele; unilateral (55040) $891.10 $1,273 0.2×
Excision of neuroma; digital nerve, 1 or both, same digit (64776) $1,005.90 $1,437 0.5×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415)
range across 2 matching MRF lines		 $742–$2,968 $1,060–$4,240 varies
Excision of pilonidal cyst or sinus; simple (11770) $582.40 $832 0.2×
Excision of single external papilla or tag, anus (46220) $431.20 $616 0.3×
Excision of submandibular (submaxillary) gland (42440)
likely a partial charge, not the full procedure		 $1,316 $1,880 0.2×
Excision of vaginal cyst or tumor (57135) $570.50 $815 0.2×
Excision olecranon bursa (24105) $893.90 $1,277 0.3×
Excision or curettage of bone cyst or benign tumor of femur; (27355) $1,890.70 $2,701 0.5×
Excision Pilonidal Cyst/Sinus Complicated (11772) $1,430.80 $2,044 0.5×
Excision Pilonidal Cyst/Sinus Extensive (11771) $1,101.80 $1,574 0.4×
Excision Skin Abd Infraumbilical Panniculectomy (15830)
range across 2 matching MRF lines		 $882–$3,528.70 $1,260–$5,041 varies
Excision spermatocele w/wo epididymectomy (54840) $849.10 $1,213 0.4×
Excision Thyroglossal Duct Cyst/Sinus (60280)
likely a partial charge, not the full procedure		 $1,337.70 $1,911 0.2×
Excision tumor soft tis back/flank subq 3 cm/> (21931)
range across 2 matching MRF lines		 $256.20–$1,024.80 $366–$1,464 varies
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $975.10 $1,393 0.3×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $739.90 $1,057 0.4×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $954.80 $1,364 0.5×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $999.60 $1,428 0.6×
Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture Facility (15920) $1,353.10 $1,933 0.4×
Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) $2,154.60 $3,078 1.0×
Excision, sacral pressure ulcer, with primary suture; Facility (15931) $1,521.80 $2,174 0.5×
Excision, sacral pressure ulcer, with primary suture; with ostectomy Facility (15933) $1,928.50 $2,755 0.6×
Excision, sacral pressure ulcer, with skin flap closure; Facility (15934) $2,174.90 $3,107 0.6×
Excision, sacral pressure ulcer, with skin flap closure; with ostectomy Facility (15935) $2,746.10 $3,923 0.7×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903)
range across 2 matching MRF lines		 $258.30–$1,032.50 $369–$1,475 varies
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $713.30 $1,019 0.4×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $861.70 $1,231 0.5×
Excision/curettage cyst/tumor phalanx finger (26210) $1,187.90 $1,697 0.7×
Excision/destruction lesion pharynx any method (42808) $563.50 $805 0.2×
Expl penetrating wound spx abdomen/flank/back (20102) $1,104.60 $1,578 0.5×
Expl Po Hemrrg Thrombosis/Infctj Nck (35800)
likely a partial charge, not the full procedure		 $1,670.20 $2,386 0.3×
Expl po hemrrg thrombosis/infctj xtr (35860)
range across 2 matching MRF lines		 $476.70–$1,906.80 $681–$2,724 varies
Explo/Drain Breast Abscess (19020) $1,015.70 $1,451 0.6×
Exploration of spinal fusion (22830)
range across 2 matching MRF lines		 $875.70–$3,501.40 $1,251–$5,002 varies
Exploration penetrating wound spx extremity (20103)
range across 3 matching MRF lines		 $1,380.40–$3,007.56 $1,972–$4,296.52 varies
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010)
unusually low: confirm this is the full procedure		 $2,583.70 $3,691 0.4×
Explore/Treat Hand Joint (26070) $851.20 $1,216 0.5×
Fasciotomy Iliotibial Open (27305) $1,225.70 $1,751 0.3×
Fasciotomy palmar open partial (26045) $1,269.10 $1,813 0.4×
Fasciotomy palmar percutaneous (26040) $886.90 $1,267 0.5×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $2,354.80 $3,364 0.7×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,095.50 $1,565 1.4×
Fine needle aspiration without imaging guidance (10021)
range across 3 matching MRF lines		 $275.80–$820.86 $394–$1,172.66 varies
Finger tendon transfer (26497) $2,374.40 $3,392 0.7×
Fixation contralateral testis separate procedure (54620) $756.70 $1,081 0.2×
Fluid Pressure Muscle (20950) $532 $760 0.7×
Fluoro exam of g/colon tube (49465) $159.60 $228 0.6×
Fna bx w/us gdn 1st les (10005) $329 $470 0.4×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $1,859.20 $2,656 0.8×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $1,474.90 $2,107 0.7×
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $1,757.70 $2,511 0.8×
Fusion Finger Joint (26860) $1,006.60 $1,438 0.3×
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840)
range across 2 matching MRF lines		 $790.30–$3,161.90 $1,129–$4,517 varies
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830)
range across 2 matching MRF lines		 $415.80–$1,663.20 $594–$2,376 varies
Graft (Thiersch operation) for rectal incontinence and/or prolapse Facility (46753) $1,283.10 $1,833 0.4×
Guide Cathet Fluid Drainage (10030) $658.70 $941 0.9×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $1,028.30 $1,469 0.3×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $867.30 $1,239 0.3×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $1,187.20 $1,696 0.4×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) $1,246 $1,780 0.4×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) $1,316 $1,880 0.4×
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) $983.50 $1,405 0.3×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $547.40 $782 0.5×
I&d abscess simple (10060)
range across 3 matching MRF lines		 $196.70–$314.13 $281–$448.75 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $812.70 $1,161 0.5×
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,456.70 $2,081 0.5×
I&D Deep Absc/Hematoma Neck/Chest (21501) $1,051.40 $1,502 0.3×
I&D Intramural Im/Absc Transanal Anes (46045) $929.60 $1,328 0.3×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $1,166.20 $1,666 0.4×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $1,677.20 $2,396 0.5×
I&d perianal abscess superficial (46050) $480.20 $686 0.5×
I&d pilonidal cyst complicated (10081) $508.90 $727 0.7×
I&d pilonidal cyst simple (10080) $365.40 $522 0.5×
I&d upper arm/elbow deep abscess/hematoma (23930) $770.70 $1,101 0.2×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $462.70 $661 0.5×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $364.70 $521 0.4×
Image Cath Fluid Colxn Visc (49405) $858.20 $1,226 0.5×
Image Cath Fluid Peri/Retro (49406) $825.30 $1,179 0.5×
Implant neuroelectrodes (63650) $3,658.90 $5,227 0.5×
Incise external hemorrhoid (46083)
range across 3 matching MRF lines		 $377.30–$611.88 $539–$874.11 varies
Incise finger tendon sheath (26055) $1,263.50 $1,805 0.7×
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines		 $321.30–$608.53 $459–$869.33 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $1,218.70 $1,741 0.4×
Incision & removal foreign body subq tiss compl (10121) $472.50 $675 0.3×
Incision & removal foreign body subq tiss simple (10120)
range across 3 matching MRF lines		 $250.60–$576.52 $358–$823.60 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $354.90–$468.93 $507–$669.90 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 3 matching MRF lines		 $310.80–$735.12 $444–$1,050.17 varies
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015)
unusually low: confirm this is the full procedure		 $2,590.70 $3,701 0.3×
Incision bone cortex foot (28005) $1,215.90 $1,737 0.3×
Incision extensor tendon sheath wrist (25000) $1,001 $1,430 0.6×
Incision of Foot Tendon (28234) $687.40 $982 0.4×
Incision of lingual frenum (frenotomy) (41010) $427.70 $611 0.3×
Incision of lymph channels (38308) $1,194.90 $1,707 0.3×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $1,191.40–$2,662.54 $1,702–$3,803.63 varies
Incision&Drainage Upper Arm/Elbow Bursa (23931) $634.20 $906 0.4×
Incisional biopsy eyelid skin & lid margin (67810) $333.20 $476 1.0×
Incisional biopsy skin single lesion (11106) $252.70 $361 0.3×
Initial Tx 1st Degree Burn Local Tx (16000) $151.90 $217 0.7×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $612.50 $875 0.6×
Inj W/Fluor Eval Cv Device (36598)
range across 2 matching MRF lines		 $268.80–$919.60 $384–$1,313.72 varies
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $2,008.73 $2,869.62 2.1×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $765.10 $1,093 0.8×
Injection 1 tendon sheath/ligament aponeurosis (20550) $130.20 $186 0.4×
Injection aa&/strd genicular nrv branches w/img (64454) $515.90 $737 0.7×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $465.50 $665 0.5×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $473.90 $677 0.6×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $343.70 $491 0.5×
Injection anesthetic agent suprascapular nerve (64418) $338.80 $484 0.4×
Injection for identification of sentinel node (38792) $159.60 $228 0.4×
Injection single tendon origin/insertion (20551) $128.80 $184 0.4×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines		 $137.90–$600.79 $197–$858.27 varies
Injection single/mlt trigger point 3/> muscles (20553) $178.50 $255 0.5×
Injection therapeutic carpal tunnel (20526) $186.90 $267 0.6×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines		 $464.80–$2,123.81 $664–$3,034.02 varies
Injection, anesthetic agent; femoral nerve, single (64447) $861.70 $1,231 1.1×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $215.72–$1,352.06 $308.17–$1,931.52 varies
Injection, intralesional; up to and including 7 lesions (11900) $96.60 $138 0.4×
Ins cath ren art 1st bilat (36252)
range across 2 matching MRF lines		 $1,893.50–$10,747.23 $2,705–$15,353.19 varies
Ins cath ren art 1st unilat (36251)
range across 2 matching MRF lines		 $1,199.10–$6,747.08 $1,713–$9,638.68 varies
Ins cath ren art 2nd+ bilat (36254)
range across 2 matching MRF lines		 $1,611.40–$6,839.95 $2,302–$9,771.36 varies
Ins cath ren art 2nd+ unilat (36253)
range across 2 matching MRF lines		 $1,677.20–$11,344.12 $2,396–$16,205.89 varies
Ins endovas vena cava filtr (37191)
range across 2 matching MRF lines		 $1,381.80–$11,797.81 $1,974–$16,854.01 varies
Insert Bladder Cath Complex (51703) $326.90 $467 2.4×
Insert cath pleura w/ image (32557) $699.30 $999 0.4×
Insert cath pleura w/o image (32556) $770 $1,100 0.4×
Insert Drug Implant Device (11981) $304.50 $435 2.1×
Insert Gastrostomy Tube Percutaneous (49440)
range across 3 matching MRF lines		 $279.30–$2,921.78 $399–$4,173.97 varies
Insert non-tunnel cv cath (36556) $585.90 $837 0.2×
Insert prost urethral stent (53855) $1,579.20 $2,256 0.7×
Insert Temp Bladder Cath (51702)
range across 4 matching MRF lines		 $179.90–$245.73 $257–$351.04 varies
Insert tun ip cath perc (49418) $942.20 $1,346 0.2×
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $476–$1,902.60 $680–$2,718 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 4 matching MRF lines		 $132.30–$243.07 $189–$347.24 varies
Insertion indwelling tunneled pleural catheter (32550) $1,334.20 $1,906 0.3×
Insertion of cannula (36800)
likely a partial charge, not the full procedure		 $397.60 $568 0.1×
Insertion Picc W/Rs&I 5 Yr/> (36573) $355.60 $508 0.2×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $593.60 $848 0.2×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $2,272.20 $3,246 0.7×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $457.80 $654 0.3×
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) $51,243.42 $73,204.88 3.7×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $1,312.50 $1,875 0.4×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
range across 2 matching MRF lines		 $385.70–$1,541.40 $551–$2,202 varies
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure		 $508.90 $727 0.1×
Int hrhc by ligation single hroid w/o img gdn (46945) $623.70 $891 0.2×
Intro cath dialysis circuit (36901)
range across 2 matching MRF lines		 $1,367.80–$3,981.46 $1,954–$5,687.80 varies
Intro cath dialysis circuit w/tcat plmt IV stent (36903)
range across 2 matching MRF lines		 $11,339.30–$24,455.70 $16,199–$34,936.71 varies
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902)
range across 2 matching MRF lines		 $2,819.60–$12,227.03 $4,028–$17,467.19 varies
Intubation endotracheal emergency procedure (31500)
range across 6 matching MRF lines		 $472.08–$760.06 $674.40–$1,085.80 varies
Knee Arthroscopy/Surgery (29874) $1,750.70 $2,501 0.5×
Lam facetec & foramot lumbar (63047)
range across 3 matching MRF lines		 $1,146.60–$4,585.70 $1,638–$6,551 varies
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001)
range across 2 matching MRF lines		 $1,095.50–$4,218.20 $1,565–$6,026 varies
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) $4,750.20 $6,786 0.6×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046)
range across 3 matching MRF lines		 $1,198.40–$4,794.30 $1,712–$6,849 varies
Laminotomy Single Lumbar (63042)
range across 3 matching MRF lines		 $1,263.50–$5,054 $1,805–$7,220 varies
Lap insert tunnel ip cath (49324)
range across 2 matching MRF lines		 $242.90–$970.90 $347–$1,387 varies
Lap paraesoph her rpr w/mesh (43282)
range across 2 matching MRF lines		 $1,060.50–$4,242.70 $1,515–$6,061 varies
Lap paraesophag hern repair (43281)
range across 2 matching MRF lines		 $1,001–$4,004 $1,430–$5,720 varies
Lap revision perm ip cath (49325)
likely a partial charge, not the full procedure		 $994 $1,420 0.2×
Laparoscopy aspiration (49322)
range across 2 matching MRF lines		 $270.90–$1,082.90 $387–$1,547 varies
Laparoscopy Enterolysis Separate Procedure (44180)
range across 2 matching MRF lines		 $543.20–$2,173.50 $776–$3,105 varies
Laparoscopy fulguration oviducts (58670)
likely a partial charge, not the full procedure		 $1,047.90 $1,497 0.2×
Laparoscopy gastrostomy (43653)
likely a partial charge, not the full procedure		 $1,603 $2,290 0.2×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 2 matching MRF lines		 $286.30–$1,145.20 $409–$1,636 varies
Laparoscopy W/Lysis Of Adhesions (58660)
likely a partial charge, not the full procedure		 $1,789.20 $2,556 0.3×
Laparoscopy w/rmvl adnexal structures (58661)
range across 2 matching MRF lines		 $464.10–$1,856.40 $663–$2,652 varies
Laparoscopy, surgical, appendectomy (44970)
range across 2 matching MRF lines		 $366.80–$1,467.20 $524–$2,096 varies
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425)
range across 2 matching MRF lines		 $576.10–$2,305.10 $823–$3,293 varies
Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284)
likely a partial charge, not the full procedure		 $1,703.10 $2,433 0.1×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
range across 3 matching MRF lines		 $730.10–$23,336.99 $1,043–$33,338.55 varies
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
range across 2 matching MRF lines		 $518–$2,072 $740–$2,960 varies
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
range across 2 matching MRF lines		 $679–$2,716.70 $970–$3,881 varies
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
range across 2 matching MRF lines		 $362.60–$1,450.40 $518–$2,072 varies
Laparoscopy, surgical; transection of vagus nerves, selective or highly selective Facility (43652)
range across 2 matching MRF lines		 $492.10–$1,967.70 $703–$2,811 varies
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
range across 2 matching MRF lines		 $270.20–$1,080.80 $386–$1,544 varies
Laparoscopy, Tubal Block (58671)
likely a partial charge, not the full procedure		 $1,086.40 $1,552 0.2×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
range across 2 matching MRF lines		 $242.90–$971.60 $347–$1,388 varies
Laps fulg/exc ovary viscera/peritoneal surface (58662)
range across 2 matching MRF lines		 $461.30–$1,845.90 $659–$2,637 varies
Laps surg retroperitoneal lymph node bx 1/mlt (38570)
range across 2 matching MRF lines		 $383.60–$1,533.70 $548–$2,191 varies
Laryngoscopy diagnostic (31505) $166.60 $238 0.8×
Laryngoscopy flexible diagnostic (31575) $280 $400 1.3×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $647.50 $925 0.3×
Laryngoscopy Indirect W/Biopsy (31510) $435.40 $622 0.1×
Laryngoscopy W/Biopsy (31535) $671.30 $959 0.2×
Laryngoscopy W/Foreign Body Removal (31530) $602 $860 0.3×
Late closure of wound (13160) $1,740.90 $2,487 0.5×
Lateral retinacular release open (27425)
range across 2 matching MRF lines		 $378–$1,512 $540–$2,160 varies
Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) $1,735.30 $2,479 0.5×
Lig&div long saph vein saphfem junct/interrupj (37700) $674.10 $963 0.2×
Ligate leg veins open (37761) $1,404.90 $2,007 0.4×
Ligate/strip long leg vein (37722) $1,232 $1,760 0.4×
Ligate/strip short leg vein (37718)
range across 2 matching MRF lines		 $291.20–$1,165.50 $416–$1,665 varies
Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin… (37735) $1,533 $2,190 0.5×
Ligation Major Artery Abdomen (37617) $3,423.70 $4,891 0.6×
Ligation of a-v fistula (37607) $975.10 $1,393 0.3×
Ligation of femoral vein (37650) $1,165.50 $1,665 0.3×
Ligation of hemorrhoids (46946) $648.20 $926 0.2×
Ligation or biopsy temporal artery (37609) $699.30 $999 0.4×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $858.90 $1,227 0.3×
Litholapaxy smpl/sm <2.5 cm (52317) $1,825.60 $2,608 0.5×
Lithotripsy, extracorporeal shock wave (50590) $1,992.20 $2,846 0.5×
Lmtd lmphadec staging spx pel&para-aortic (38562)
likely a partial charge, not the full procedure		 $1,824.20 $2,606 0.2×
Low Back Disk Surgery (63030)
range across 2 matching MRF lines		 $920.50–$3,682 $1,315–$5,260 varies
Lumbar spine fusion combined (22633)
range across 3 matching MRF lines		 $1,640.10–$6,559.70 $2,343–$9,371 varies
Lysis of labial adhesions (56441) $351.40 $502 0.1×
Manipulation knee joint under general anesthesia (27570) $520.10 $743 0.3×
Marsupialization of bartholin's gland cyst (56440) $509.60 $728 0.1×
Mast mod rad (19307)
range across 2 matching MRF lines		 $717.50–$2,869.30 $1,025–$4,099 varies
Mastectomy for gynecomastia (19300) $1,199.80 $1,714 0.3×
Mastectomy partial (19301)
range across 2 matching MRF lines		 $386.40–$1,546.30 $552–$2,209 varies
Mastectomy partial w/axillary lymphadenectomy (19302)
range across 2 matching MRF lines		 $550.20–$2,199.40 $786–$3,142 varies
Mastectomy simple complete (19303)
range across 4 matching MRF lines		 $613.20–$22,802.28 $876–$32,574.69 varies
Metatarsectomy (28140) $1,129.80 $1,614 0.3×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $3,754.80 $5,364 1.0×
Muscle-skin graft trunk (15734)
range across 2 matching MRF lines		 $1,054.90–$4,218.20 $1,507–$6,026 varies
N Block Inj Ilio-Ing/Hypogi (64425) $385 $550 0.5×
N block inj intercost sng (64420) $356.30 $509 0.5×
N Block Lumbar/Thoracic (64520) $606.20 $866 0.6×
Nasal/Orogastric W/Tube Plmt (43752) $149.10 $213 0.3×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $679 $970 0.4×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $945 $1,350 0.9×
Neck spine fusion (22600)
range across 2 matching MRF lines		 $1,162–$4,648 $1,660–$6,640 varies
Needle Biopsy Lymph Nodes (38505) $315.70 $451 0.2×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 3 matching MRF lines		 $450.80–$1,801.80 $644–$2,574 varies
Neurp Major Prph Nrv Opn Arm/Leg Brach Plexus (64713) $2,545.20 $3,636 1.2×
Nipple Exploration (19110) $988.40 $1,412 0.2×
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines		 $514.50–$2,123.80 $735–$3,034 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $352.80 $504 1.1×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531)
range across 2 matching MRF lines		 $365.40–$7,996.50 $522–$11,423.57 varies
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $7,996.50 $11,423.57 2.1×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $588 $840 0.6×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $692.30 $989 0.7×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $669.20 $956 0.9×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $627.20 $896 0.7×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $665 $950 0.9×
Njx Sclrsnt 1 Incmptnt Vein (36470) $298.90 $427 0.7×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $410.90 $587 0.9×
Njx Sclrsnt Spider Veins (36468) $286.30 $409 0.7×
Occipital Nerve Block (64405) $270.20 $386 0.8×
Omntc Epiploectomy Rescj Omentum Spx (49255)
range across 2 matching MRF lines		 $442.40–$1,768.90 $632–$2,527 varies
Open biopsy/excision inguinofemoral nodes (38531)
range across 2 matching MRF lines		 $270.20–$1,081.50 $386–$1,545 varies
Open bowel to skin (44300)
range across 2 matching MRF lines		 $479.50–$1,918 $685–$2,740 varies
Open Treatment Bimalleolar Ankle Fracture (27814)
range across 2 matching MRF lines		 $525.70–$2,101.40 $751–$3,002 varies
Open treatment greater trochanteric fracture (27248)
likely a partial charge, not the full procedure		 $2,037 $2,910 0.3×
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507)
range across 2 matching MRF lines		 $750.40–$3,000.20 $1,072–$4,286 varies
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513)
range across 2 matching MRF lines		 $892.50–$3,568.60 $1,275–$5,098 varies
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $1,930.60 $2,758 0.6×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure		 $1,758.40 $2,512 0.2×
Open Tx Distal Phalangeal Fracture Each (26765) $1,306.20 $1,866 0.4×
Open Tx Distal Tibiofibular Joint Disruption (27829)
range across 2 matching MRF lines		 $437.50–$1,748.60 $625–$2,498 varies
Open tx interphalangeal joint dislocation (26785) $1,335.60 $1,908 0.4×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $1,526 $2,180 0.4×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $1,581.30 $2,259 0.5×
Open tx tarsal fracture xcp talus & calcaneus ea (28465)
likely a partial charge, not the full procedure		 $1,596.70 $2,281 0.2×
Open tx ulnar fx proximal end (24685)
range across 2 matching MRF lines		 $452.90–$1,812.30 $647–$2,589 varies
Open/Perq Place Stent 1St (37236)
range across 2 matching MRF lines		 $7,413.70–$25,433.93 $10,591–$36,334.18 varies
Open/Perq Place Stent Same (37238)
range across 2 matching MRF lines		 $8,356.60–$24,272.41 $11,938–$34,674.87 varies
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
range across 2 matching MRF lines		 $539–$2,156 $770–$3,080 varies
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
range across 2 matching MRF lines		 $704.90–$2,818.20 $1,007–$4,026 varies
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
range across 2 matching MRF lines		 $855.40–$3,422.30 $1,222–$4,889 varies
Orchiectomy radical tumor inguinal approach (54530)
range across 2 matching MRF lines		 $379.40–$1,516.90 $542–$2,167 varies
Ostc prtl exostc/condylc metar head (28288) $1,096.20 $1,566 0.3×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $956.90 $1,367 0.3×
Ostectomy, complete excision; fifth metatarsal head (28113) $1,088.50 $1,555 0.3×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $900.20 $1,286 0.3×
Ovarian cystectomy, unilateral or bilateral (58925)
unusually low: confirm this is the full procedure		 $1,795.50 $2,565 0.3×
Parathyroidectomy or exploration of parathyroid(s); (60500)
range across 2 matching MRF lines		 $667.10–$2,667.70 $953–$3,811 varies
Part exc bone femur prox tibia (27360) $2,825.20 $4,036 0.8×
Partial excision bone clavicle (23180)
likely a partial charge, not the full procedure		 $1,739.50 $2,485 0.2×
Partial Excision Distal Phalanx Finger (26236) $1,136.10 $1,623 0.7×
Partial excision of lip (40520) $1,053.50 $1,505 0.3×
Partial removal of thyroid (60220)
range across 2 matching MRF lines		 $492.80–$1,970.50 $704–$2,815 varies
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
likely a partial charge, not the full procedure		 $1,813.70 $2,591 0.3×
Partical Excision Bone Phalanx Toe (28124) $886.90 $1,267 0.3×
Pelvic examination under anesthesia (other than local) (57410) $288.40 $412 0.1×
Percut Drain/Inject Renal Cyst (50390) $363.30 $519 0.5×
Pericardiocentesis W/Imaging (33016) $619.50 $885 0.4×
Perineoplasty rpr perineum nonobstetrical spx (56810) $737.10 $1,053 0.2×
Peritoneal Lavage (49084) $287 $410 0.3×
Perq dev breast 1st strtctc (19283) $455 $650 0.6×
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines		 $107.10–$427.70 $153–$611 varies
Perq device breast 1st imag (19281) $478.10 $683 0.3×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $700 $1,000 0.9×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
likely a partial charge, not the full procedure		 $1,809.50 $2,585 0.2×
Perq Vertebral Augmentation (22513)
likely a partial charge, not the full procedure		 $2,078.30 $2,969 0.3×
Phleb Veins - Extrem 20+ (37766) $1,586.90 $2,267 0.5×
Place Cath Subclavian Art (36225)
range across 2 matching MRF lines		 $1,522.50–$6,839.95 $2,175–$9,771.36 varies
Place Cath Thoracic Aorta (36221)
range across 2 matching MRF lines		 $1,271.20–$6,839.95 $1,816–$9,771.36 varies
Place Cath Vertebral Art (36226)
range across 2 matching MRF lines		 $11,344.12–$17,016.19 $16,205.89–$24,308.84 varies
Place Duod/Jej Tube Perc (49441)
range across 2 matching MRF lines		 $324.80–$1,299.90 $464–$1,857 varies
Placement of seton (46020) $626.50 $895 0.2×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539)
range across 2 matching MRF lines		 $385.70–$1,541.40 $551–$2,202 varies
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $959.70 $1,371 0.4×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
likely a partial charge, not the full procedure		 $1,522.50 $2,175 0.3×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $261.80 $374 0.3×
Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) $412.30 $589 0.3×
Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) $452.20 $646 0.4×
Proctosgmdsc rigid w/dilation (45303) $1,583.40 $2,262 1.2×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $372.40 $532 0.3×
Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) $305.90 $437 0.1×
Prostate laser enucleation (52649)
unusually low: confirm this is the full procedure		 $2,615.20 $3,736 0.5×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $1,061.20 $1,516 0.3×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $1,096.90 $1,567 0.3×
Prq skel fixj femoral fx prox end neck (27235)
range across 2 matching MRF lines		 $709.80–$2,839.90 $1,014–$4,057 varies
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $1,173.20 $1,676 0.3×
Pseudoaneurysm Injection Trt (36002)
range across 2 matching MRF lines		 $368.20–$1,388.39 $526–$1,983.41 varies
Punch biopsy skin single lesion (11104) $218.40 $312 0.5×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines		 $255.50–$594.72 $365–$849.60 varies
Puncture Aspiration Cyst Breast (19000) $262.50 $375 0.3×
Rad resect hand tumor 3 cm/> (26118) $2,853.90 $4,077 0.9×
Rad resection tumor soft tissue abdl wall 5 cm/> (22905) $3,271.10 $4,673 1.1×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $1,078 $1,540 0.5×
Reinsert spinal fixation (22849)
range across 3 matching MRF lines		 $1,122.80–$4,490.50 $1,604–$6,415 varies
Removal Anal Seton Other Marker (46030) $314.30 $449 0.2×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $487.20 $696 0.5×
Removal Embedded Foreign Body Eyelid (67938)
range across 2 matching MRF lines		 $689.01–$715.74 $984.30–$1,022.49 varies
Removal Foreign Body Deep Thigh/Knee (27372) $1,206.10 $1,723 0.4×
Removal Foreign Body Foot Complicated (28193) $1,004.50 $1,435 0.6×
Removal foreign body foot deep (28192) $886.90 $1,267 0.5×
Removal Foreign Body Foot Subcutaneous (28190) $514.50 $735 0.7×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $414.40 $592 0.2×
Removal foreign body upper arm/elbow deep (24201) $1,129.80 $1,614 0.4×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $37.80–$145.43 $54–$207.76 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $102.90 $147 1.6×
Removal impacted vag fb spx w/anes oth/thn local (57415) $393.40 $562 0.1×
Removal Implant Deep (20680)
range across 2 matching MRF lines		 $324.80–$1,297.80 $464–$1,854 varies
Removal implantable contraceptive capsules (11976) $310.80 $444 0.4×
Removal intact breast implant (19328) $1,420.30 $2,029 0.3×
Removal of anal fissure (46200) $853.30 $1,219 0.3×
Removal of ankle implant (27704) $1,538.60 $2,198 0.4×
Removal of bladder cyst (51500)
likely a partial charge, not the full procedure		 $1,553.30 $2,219 0.2×
Removal of esophageal sphincter augmentation device (43285)
range across 2 matching MRF lines		 $423.50–$1,694.70 $605–$2,421 varies
Removal of heel spur (28119) $1,062.60 $1,518 0.3×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $323.40–$608.53 $462–$869.33 varies
Removal of nose lesion (30124) $582.40 $832 0.4×
Removal of posterior segmental instrumentation Facility (22852)
range across 2 matching MRF lines		 $604.80–$2,419.90 $864–$3,457 varies
Removal of rib (21615)
likely a partial charge, not the full procedure		 $2,067.10 $2,953 0.3×
Removal of sesamoid bone (28315) $892.50 $1,275 0.3×
Removal of sperm cord lesion (55520)
range across 2 matching MRF lines		 $263.90–$1,056.30 $377–$1,509 varies
Removal of testis (54520) $816.90 $1,167 0.2×
Removal of thymus gland (60520)
range across 2 matching MRF lines		 $794.50–$3,176.60 $1,135–$4,538 varies
Removal of tunneled intraperitoneal catheter (49422) $911.40 $1,302 0.3×
Removal or bivalving full arm or full leg cast (29705)
range across 3 matching MRF lines		 $168–$554.17 $240–$791.67 varies
Removal peritoneal-venous shunt (49429) $1,179.50 $1,685 0.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $146.30 $209 0.7×
Removal Sutures/Staples Requiring Anesthesia (15851) $176.40 $252 0.1×
Removal sweat gland lesion (11450) $795.20 $1,136 0.3×
Removal/bivalving gauntlet boot/body cast (29700) $125.30 $179 0.4×
Remove armpit lymph nodes (38740)
likely a partial charge, not the full procedure		 $1,672.30 $2,389 0.3×
Remove drug implant device (11982) $338.80 $484 0.7×
Remove Forearm Foreign Body (25248) $1,048.60 $1,498 0.6×
Remove foreign body from eye (65205)
range across 3 matching MRF lines		 $119.70–$258.08 $171–$368.68 varies
Remove groin lymph nodes (38760)
unusually low: confirm this is the full procedure		 $2,212.70 $3,161 0.3×
Remove hip pressure sore (15940) $1,647.10 $2,353 0.5×
Remove Nasal Foreign Body (30300)
range across 3 matching MRF lines		 $289.57–$429.56 $413.67–$613.66 varies
Remove prostate regrowth (52630)
likely a partial charge, not the full procedure		 $1,369.20 $1,956 0.2×
Remove renal tube w/fluoro (50389) $367.50 $525 0.5×
Remove sacrum pressure sore (15937) $2,517.20 $3,596 1.1×
Remove spine eltrd plate (63662) $2,563.40 $3,662 0.7×
Remove spine lamina 1/2 lmbr (63005)
unusually low: confirm this is the full procedure		 $3,863.30 $5,519 0.5×
Remove Tendon Sheath Lesion (26160) $1,284.50 $1,835 0.7×
Renal Biopsy Perq (50200) $748.30 $1,069 0.4×
Repair Achilles Tendon (27650)
likely a partial charge, not the full procedure		 $1,778.70 $2,541 0.2×
Repair Anorectal Fistula Plug (46707) $1,131.20 $1,616 0.4×
Repair Bladder-Vagina Lesion (57320)
unusually low: confirm this is the full procedure		 $1,689.80 $2,414 0.3×
Repair blood vessel direct neck (35201)
unusually low: confirm this is the full procedure		 $2,538.20 $3,626 0.4×
Repair Blood Vessel Direct Upper Extremity (35206) $2,203.60 $3,148 0.7×
Repair blood vessel lesion (35190)
unusually low: confirm this is the full procedure		 $1,971.20 $2,816 0.3×
Repair blood vessel lesion (35266)
unusually low: confirm this is the full procedure		 $2,386.30 $3,409 0.4×
Repair blood vessel with vein graft; lower extremity Facility (35256)
unusually low: confirm this is the full procedure		 $2,848.30 $4,069 0.5×
Repair blood vessel with vein graft; neck Facility (35231) $3,908.10 $5,583 1.2×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $716.80 $1,024 0.9×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,000.30 $1,429 1.3×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 3 matching MRF lines		 $654.50–$1,114.88 $935–$1,592.68 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 3 matching MRF lines		 $916.30–$1,394.87 $1,309–$1,992.67 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $599.20 $856 1.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 3 matching MRF lines		 $747.60–$1,394.87 $1,068–$1,992.67 varies
Repair complex trunk 1.1-2.5 cm (13100) $574.70 $821 0.7×
Repair complex trunk 2.6-7.5 cm (13101) $697.20 $996 0.9×
Repair extensor tendon finger w/o graft each (26418)
range across 3 matching MRF lines		 $1,612.80–$6,500.14 $2,304–$9,285.92 varies
Repair Extensor Tendon Hand W/Graft Each (26412)
range across 2 matching MRF lines		 $2,248.30–$7,051.18 $3,211.86–$10,073.11 varies
Repair Finger Tendon (26433) $1,472.80 $2,104 0.4×
Repair Finger/Hand Tendon (26350) $1,913.10 $2,733 0.5×
Repair Hand Tendon (26410) $1,543.50 $2,205 0.9×
Repair inguinal hernia, sliding, any age (49525)
range across 3 matching MRF lines		 $354.20–$1,417.50 $506–$2,025 varies
Repair initial femoral hernia, any age; incarcerated or strangulated (49553)
range across 2 matching MRF lines		 $382.90–$1,531.60 $547–$2,188 varies
Repair initial femoral hernia, any age; reducible (49550) $1,374.10 $1,963 0.4×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507)
range across 2 matching MRF lines		 $368.90–$1,475.60 $527–$2,108 varies
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 3 matching MRF lines		 $494.90–$885.59 $707–$1,265.13 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 3 matching MRF lines		 $526.40–$885.59 $752–$1,265.13 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $610.40 $872 1.4×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 3 matching MRF lines		 $738.50–$936.26 $1,055–$1,337.51 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $795.20 $1,136 1.0×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 3 matching MRF lines		 $452.90–$885.59 $647–$1,265.13 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 3 matching MRF lines		 $509.60–$885.59 $728–$1,265.13 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $629.30 $899 0.8×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 3 matching MRF lines		 $735.70–$937.62 $1,051–$1,339.46 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 3 matching MRF lines		 $416.50–$885.59 $595–$1,265.13 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 3 matching MRF lines		 $504–$885.59 $720–$1,265.13 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $954.10 $1,363 1.2×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 3 matching MRF lines		 $568.40–$885.59 $812–$1,265.13 varies
Repair intrinsic muscles hand each muscle (26591) $1,325.80 $1,894 0.4×
Repair Leg Fascia Defect (27656) $1,433.60 $2,048 0.4×
Repair lumbar hernia (49540)
likely a partial charge, not the full procedure		 $1,612.10 $2,303 0.2×
Repair of enterocele, vaginal approach (separate procedure) (57268)
likely a partial charge, not the full procedure		 $1,293.60 $1,848 0.2×
Repair of hydrocele (55060) $1,004.50 $1,435 0.3×
Repair of nail bed (11760)
range across 3 matching MRF lines		 $398.30–$1,207.87 $569–$1,725.53 varies
Repair of rectocele (45560) $1,644.30 $2,349 0.6×
Repair of shoulder (23420)
range across 2 matching MRF lines		 $700–$2,801.40 $1,000–$4,002 varies
Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) $1,672.30 $2,389 0.4×
Repair recurrent femoral hernia; reducible Facility (49555) $1,476.30 $2,109 0.4×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
range across 2 matching MRF lines		 $441–$1,762.60 $630–$2,518 varies
Repair Rotator Cuff Chronic (23412)
range across 2 matching MRF lines		 $613.20–$2,452.10 $876–$3,503 varies
Repair tongue laceration (41252) $911.40 $1,302 3.6×
Repair tongue laceration (41250) $691.60 $988 1.4×
Repair, congenital arteriovenous fistula; extremities Facility (35184) $2,496.20 $3,566 0.7×
Replace duodenostomy/jejunostomy tube perq (49451) $511.70 $731 0.5×
Replace G-J Tube Perc (49452) $784.70 $1,121 0.8×
Replace g/c tube perc (49450) $375.20 $536 0.4×
Reposition Gastrostomy Tube (43761) $312.20 $446 1.2×
Reposition Venous Catheter (36597) $246.40 $352 0.1×
Rerepair ing hernia reduce (49520)
range across 2 matching MRF lines		 $388.50–$1,554.70 $555–$2,221 varies
Resect back tum < 5 cm (21935) $2,545.90 $3,637 0.8×
Revise Abdomen-Venous Shunt (49426) $1,543.50 $2,205 0.4×
Revise hernia & sperm veins (55540) $1,382.50 $1,975 0.4×
Revise ulnar nerve at wrist (64719) $1,209.60 $1,728 0.6×
Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) $2,564.80 $3,664 0.7×
Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) $2,762.90 $3,947 0.7×
Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) $2,391.20 $3,416 0.6×
Revision of leg vein (37780) $683.20 $976 0.2×
Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg,… (35883)
range across 2 matching MRF lines		 $717.50–$2,868.60 $1,025–$4,098 varies
Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty Facility (35879)
range across 2 matching MRF lines		 $569.80–$2,277.80 $814–$3,254 varies
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $1,453.20 $2,076 0.4×
Revj Ileostomy Simple Rls Superficial Scar Spx (44312) $1,483.30 $2,119 0.4×
Revj Lxtr Artl Byp Opn W/Sgmtl Vein Interpos (35881)
unusually low: confirm this is the full procedure		 $2,420.60 $3,458 0.4×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $1,292.90 $1,847 0.3×
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) $20,081.92 $28,688.45 3.3×
Revsc evasc fpvt angiop uni sf les 1st vsl (37263) $13,707.79 $19,582.56 2.2×
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) $39,994.14 $57,134.48 3.2×
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) $39,994.14 $57,134.48 3.2×
Revsc evasc imvt angiop uni cplx les 1st vsl (37298) $18,739.81 $26,771.16 1.5×
Revsc evasc imvt angiop uni sf les 1st vsl (37296) $12,719.60 $18,170.86 1.0×
Revsc evasc ivt angiop uni cplx les 1st vsl (37256) $20,081.92 $28,688.45 3.3×
Revsc evasc ivt angiop uni sf les 1st vsl (37254) $13,707.79 $19,582.56 2.2×
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) $39,994.14 $57,134.48 3.2×
Revsc evasc ivt st plmt uni sf les 1st vsl (37258) $27,677.59 $39,539.42 2.2×
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) $20,081.92 $28,688.45 1.6×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280) $13,707.79 $19,582.56 1.1×
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) $36,879.19 $52,684.56 1.9×
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) $27,677.59 $39,539.42 1.4×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 3 matching MRF lines		 $129.84–$280.53 $185.48–$400.75 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $150.50 $215 0.3×
Rmvl fecal impaction/fb spx under anes (45915) $714.70 $1,021 0.6×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $935.20 $1,336 0.3×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $389.20 $556 0.2×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $1,699.60 $2,428 0.8×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $684.60 $978 0.4×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $438.90 $627 0.7×
Rplc Gtube No Revj Trc (43762) $359.80 $514 1.3×
Rplc gtube revj gstrst trc (43763) $451.50 $645 1.7×
Rplcmt cath ctr vad subq port/pmp (36578) $682.50 $975 0.2×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $393.40 $562 0.2×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $352.80 $504 0.2×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $1,130.50 $1,615 0.3×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
range across 2 matching MRF lines		 $336.70–$1,346.10 $481–$1,923 varies
Rpr Aa Hernia 1st < 3 Cm Reducible (49591)
range across 2 matching MRF lines		 $262.50–$1,050 $375–$1,500 varies
Rpr Aa Hernia 1st > 10 Cm Reducible (49595)
range across 2 matching MRF lines		 $347.20–$1,388.10 $496–$1,983 varies
Rpr aa hernia recr 3-10 cm reducible (49615)
range across 2 matching MRF lines		 $390.60–$1,561 $558–$2,230 varies
Rpr Aa Hernia Recr < 3 Cm Reducible (49613)
range across 2 matching MRF lines		 $189.70–$758.80 $271–$1,084 varies
Rpr aa hrn 1st 3-10 rdc (49593)
range across 2 matching MRF lines		 $258.30–$1,032.50 $369–$1,475 varies
Rpr aa hrn 1st < 3 ncr/strn (49592)
range across 3 matching MRF lines		 $350–$1,400 $500–$2,000 varies
Rpr blood vessel direct lower extremity (35226) $2,280.60 $3,258 3.0×
Rpr blvsl w/grf other/than vein lower extremity (35286)
unusually low: confirm this is the full procedure		 $2,682.40 $3,832 0.4×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664)
likely a partial charge, not the full procedure		 $1,068.90 $1,527 0.1×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 3 matching MRF lines		 $444.64–$807.68 $635.20–$1,153.83 varies
Rpr ing hernia init reduce (49500)
likely a partial charge, not the full procedure		 $1,069.60 $1,528 0.2×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $1,178.80 $1,684 2.0×
Rpr Lip Full Thickness Vermilion Only (40650) $1,252.30 $1,789 2.2×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $1,403.50 $2,005 0.8×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $1,806.70 $2,581 0.5×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $1,371.30 $1,959 0.4×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $361.20 $516 0.5×
Sclerotx Fluid Collection (49185) $295.40 $422 0.2×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $488.60 $698 0.5×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $677.60 $968 0.5×
Shave skin lesion 0.5 cm/< (11300) $157.50 $225 0.4×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $179.20 $256 0.8×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $270.90 $387 0.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $136.50 $195 0.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $169.40 $242 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $196.70 $281 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $208.60 $298 0.5×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $199.50 $285 0.9×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $228.20 $326 0.5×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $189.70 $271 0.9×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $228.20 $326 0.5×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $208.60 $298 1.0×
Sigmoidoscopy & decompress (45337) $462.70 $661 0.5×
Sigmoidoscopy & Polypectomy (45333) $532.70 $761 0.5×
Sigmoidoscopy flx tndsc balo dilat (45340) $701.40 $1,002 0.5×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $413.70 $591 0.4×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $578.20 $826 0.5×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $847.70 $1,211 1.9×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 3 matching MRF lines		 $390.60–$487.14 $558–$695.92 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 3 matching MRF lines		 $421.40–$543.63 $602–$776.62 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 3 matching MRF lines		 $444.64–$655.17 $635.20–$935.96 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 3 matching MRF lines		 $324.10–$444.64 $463–$635.20 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $753.20 $1,076 3.5×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 3 matching MRF lines		 $444.64–$594.99 $635.20–$849.99 varies
Skin Full Grft Face/Genit/Hf (15240) $1,897.70 $2,711 0.9×
Skin Pedicle Flap Trunk (15570) $1,934.10 $2,763 0.9×
Skin Pinch Graft (15050) $1,053.50 $1,505 1.3×
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines		 $330.40–$4,197.52 $472–$5,996.46 varies
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines		 $294–$4,079.23 $420–$5,827.47 varies
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines		 $738.50–$7,484.30 $1,055–$10,691.86 varies
Skin Tissue Procedure (17999) $245 $350 1.1×
Skn sub grft f/n/hf/g child (15277) $4,079.23 $5,827.47 1.8×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 3 matching MRF lines		 $1,551.90–$17,016.19 $2,217–$24,308.84 varies
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 3 matching MRF lines		 $1,400–$10,516.43 $2,000–$15,023.47 varies
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $11,344.12 $16,205.89 1.9×
Slitting of prepuce (54001) $457.10 $653 0.2×
Small bowel endoscopy (44366) $825.30 $1,179 0.4×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 3 matching MRF lines		 $389.20–$493.77 $556–$705.39 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 3 matching MRF lines		 $603.40–$885.59 $862–$1,265.13 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $693 $990 1.6×
Sphincterotomy anal division sphincter spx (46080) $541.80 $774 0.2×
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines		 $385.70–$1,319.09 $551–$1,884.41 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $2,105.60 $3,008 0.6×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $2,060.80 $2,944 0.9×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $1,323 $1,890 0.4×
Strapping elbow or wrist (29260)
range across 3 matching MRF lines		 $81.90–$95.55 $117–$136.50 varies
Strapping hand/finger (29280)
range across 2 matching MRF lines		 $83.94–$102.13 $119.91–$145.90 varies
Strapping knee (29530)
range across 2 matching MRF lines		 $74.20–$146.57 $106–$209.38 varies
Strapping shoulder (29240)
range across 4 matching MRF lines		 $74.90–$278.29 $107–$397.56 varies
Strapping Unna Boot (29580) $107.10 $153 0.6×
Surg Implnt Neuroelect,Epidural (63655)
range across 2 matching MRF lines		 $758.80–$3,037.30 $1,084–$4,339 varies
Surg tx anal fistula subq (46270) $1,075.20 $1,536 0.4×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $1,157.10 $1,653 0.4×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $685.30 $979 0.3×
Sympathectomy, cervicothoracic Facility (64804) $3,189.20 $4,556 1.5×
Tangential biopsy skin single lesion (11102) $170.80 $244 0.4×
Tenodesis long tendon biceps (23430)
range across 2 matching MRF lines		 $548.10–$2,192.40 $783–$3,132 varies
Thoracoscopy w/bx nodule (32608)
range across 2 matching MRF lines		 $262.50–$1,061.90 $375–$1,517 varies
Thoracoscopy w/bx pleura (32609)
likely a partial charge, not the full procedure		 $727.30 $1,039 0.1×
Thoracoscopy w/dx bx of lung infiltrate unilatrl (32607)
likely a partial charge, not the full procedure		 $824.60 $1,178 0.1×
Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy Facility (32606)
range across 2 matching MRF lines		 $330.40–$1,321.60 $472–$1,888 varies
Thorsc dx lungs/pericar/med/pleural space w/o bx (32601)
likely a partial charge, not the full procedure		 $932.40 $1,332 0.1×
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875)
likely a partial charge, not the full procedure		 $1,588.30 $2,269 0.3×
Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876)
unusually low: confirm this is the full procedure		 $2,438.10 $3,483 0.4×
Thrmbc Dir/W/Cath V/C Iliac Fempop Vein Leg Inc (34421) $1,771.70 $2,531 0.5×
Thromblytic art/ven therapy (37213)
range across 2 matching MRF lines		 $657.30–$5,716.42 $939–$8,166.32 varies
Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372)
range across 2 matching MRF lines		 $673.40–$2,692.20 $962–$3,846 varies
Thrombolytic Art Therapy (37211)
range across 2 matching MRF lines		 $1,045.80–$11,627.72 $1,494–$16,611.03 varies
Thrombolytic Therapy Stroke (37195) $954.10 $1,363 2.7×
Thrombolytic Venous Therapy (37212)
range across 2 matching MRF lines		 $907.90–$7,010.96 $1,297–$10,015.65 varies
Thyroid biopsy (60100) $262.50 $375 0.3×
Thyroidectomy Post Prev Thyr Surg (60260)
range across 2 matching MRF lines		 $715.40–$2,859.50 $1,022–$4,085 varies
Thyroidectomy, total or complete (60240)
range across 2 matching MRF lines		 $653.80–$2,615.20 $934–$3,736 varies
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) $3,838.80 $5,484 0.6×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $1,505.70 $2,151 0.7×
Total Knee Arthroplasty (27447)
range across 2 matching MRF lines		 $1,127.70–$4,511.50 $1,611–$6,445 varies
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225)
unusually low: confirm this is the full procedure		 $2,362.50 $3,375 0.4×
Tracheobrnchsc Thru Est Trachs Inc (31615) $478.80 $684 0.8×
Tracheostoma revj smpl w/o flap rotation (31613) $1,086.40 $1,552 0.3×
Tracheostomy Emergency Cricothyroid Membrane (31605) $879.20 $1,256 3.5×
Tracheostomy Emergency Procedure Transtracheal (31603) $849.80 $1,214 0.5×
Tracheostomy planned (31600) $1,010.10 $1,443 0.3×
Transfer skin pedicle flap (15650) $1,288.70 $1,841 0.6×
Transur electr resection of prostate (52601)
unusually low: confirm this is the full procedure		 $1,956.50 $2,795 0.3×
Transurethral incision of prostate (52450) $1,168.30 $1,669 0.3×
Treat Fx Rad Extra-Articul (25607)
range across 2 matching MRF lines		 $451.50–$1,806.70 $645–$2,581 varies
Treat Hand Bone Lesion (26034) $1,485.40 $2,122 0.9×
Treat humerus fracture (24500) $868.70 $1,241 3.3×
Treat humerus fracture (23600) $872.20 $1,246 3.3×
Treat Knuckle Dislocation (26700) $925.40 $1,322 3.5×
Treat Metatarsal Fracture (28475) $597.80 $854 2.3×
Treat Thumb Dislocation (26641) $1,099 $1,570 4.2×
Treat Thumb Fracture (26645) $1,135.40 $1,622 0.7×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,331.40 $1,902 0.8×
Treatment closed elbow dislocation w/o anes (24600) $1,356.60 $1,938 5.1×
Treatment of anal fissure (46940) $617.40 $882 0.2×
Treatment of foot infection (28003) $1,282.40 $1,832 0.4×
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
range across 2 matching MRF lines		 $815.50–$3,260.60 $1,165–$4,658 varies
Trim skin lesion (11055) $84 $120 0.4×
Trimming Nondystrophic Nails Any Number (11719) $31.50 $45 0.5×
Trluml Balo Angiop 1St Art (37246)
range across 2 matching MRF lines		 $4,454.80–$11,984.49 $6,364–$17,120.70 varies
Trluml Balo Angiop 1St Vein (37248)
range across 2 matching MRF lines		 $3,269–$11,362.67 $4,670–$16,232.38 varies
Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) $977.90 $1,397 0.5×
Tubal ligation (58600) $987.70 $1,411 0.3×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $1,243.20 $1,776 0.4×
Tx Gastro Intub W/Asp (43753) $128.80 $184 0.6×
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
range across 2 matching MRF lines		 $597.10–$2,387 $853–$3,410 varies
Tx Incomplete Abortion Any Trimester Surgical (59812) $826 $1,180 0.2×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245)
range across 2 matching MRF lines		 $885.50–$3,541.30 $1,265–$5,059 varies
Tx Missed Abortion First Trimester Surgical (59820) $933.10 $1,333 0.3×
Tx Superficial Wound Dehiscence Simple Closure (12020) $562.10 $803 0.7×
Tx superficial wound dehiscence w/packing (12021) $330.40 $472 0.8×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $546.70 $781 2.1×
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) $1,391.60 $1,988 0.4×
Unlisted laparoscopy procedure appendix (44979)
unusually low: confirm this is the full procedure		 $2,240 $3,200 0.3×
Unlisted laparoscopy procedure oviduct ovary (58679)
likely a partial charge, not the full procedure		 $1,260 $1,800 0.2×
Unlisted laparoscopy procedure, spleen (38129)
range across 2 matching MRF lines		 $507.50–$1,540 $725–$2,200 varies
Unlisted Procedure Casting/Strapping (29799) $56 $80 0.3×
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines		 $282.80–$665.62 $404–$950.89 varies
Uvulectomy excision of uvula (42140) $515.90 $737 0.1×
Vaginal hysterectomy, for uterus 250 g or less; (58260)
unusually low: confirm this is the full procedure		 $2,184.70 $3,121 0.4×
Vasc embolize/occlude artery (37242)
range across 2 matching MRF lines		 $17,175.90–$26,069.78 $24,537–$37,242.54 varies
Vasc Embolize/Occlude Bleed (37244) $26,851.87 $38,359.81 2.2×
Vasc embolize/occlude venous (37241)
range across 3 matching MRF lines		 $8,595.30–$26,069.78 $12,279–$37,242.54 varies
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 2 matching MRF lines		 $951.30–$4,481.30 $1,359–$6,401.86 varies
Venous Cutdown >1 Y/O (36425) $74.20 $106 0.2×
Wedge excision skin nail fold (11765) $225.40 $322 0.5×
Wedge Rescj/Bisctj Ovary Uni/Bi (58920)
likely a partial charge, not the full procedure		 $1,764.70 $2,521 0.2×
Wedging of cast (29740) $198.80 $284 0.7×
Windowing of cast (29730) $136.50 $195 0.8×
Wound Prep F/N/Hf/G (15004) $863.10 $1,233 2.0×
Wound Prep Trk/Arm/Leg (15002) $762.30 $1,089 1.0×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.