Procedures & surgery prices at Intermountain Health Fillmore Community Hospital
Fillmore, UT · every code in this section with a posted price and a Medicare benchmark.
670 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $1,721.83 | $2,295.77 | 1.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $792.59 | $1,056.79 | 0.9× |
| Ablate Pulm Tumor Perq Crybl (32994) | $6,114.32 | $8,152.42 | 0.6× |
| Ablation 1/> liver tumor perq cryoablation (47383) | $8,256.75 | $11,009 | 0.8× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) unusually low: confirm this is the full procedure |
$7,902.73 | $10,536.97 | 0.4× |
| Amniocentesis diagnostic (59000) | $248.62 | $331.49 | 0.3× |
| Amputation toe interphalangeal joint (28825) | $830.92 | $1,107.89 | 0.3× |
| Amputation toe metatarsophalangeal joint (28820) | $4,743.78 | $6,325.04 | 1.4× |
| Anoscopy diagnostic (46600) | $441.69 | $588.92 | 3.3× |
| Anoscopy W/Rmvl Foreign Body (46608) | $440.66 | $587.54 | 0.5× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) range across 2 matching MRF lines |
$327.52–$446.96 | $436.69–$595.95 | varies |
| Application cast elbow finger short arm (29075) | $446.96 | $595.95 | 1.6× |
| Application Cast Finger (29086) | $440.66 | $587.54 | 2.7× |
| Application Finger Splint Dynamic (29131) | $91.52 | $122.02 | 1.5× |
| Application finger splint static (29130) | $120.80 | $161.07 | 0.9× |
| Application long arm splint shoulder hand (29105) | $327.08 | $436.11 | 2.0× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) | $440.66 | $587.54 | 1.6× |
| Application Long Leg Splint (29505) | $156.48 | $208.64 | 1.0× |
| Application of long leg cast (29345) | $440.66 | $587.54 | 1.6× |
| Application of rigid total contact leg cast (29445) range across 4 matching MRF lines |
$616.64–$1,411.59 | $822.18–$1,882.12 | varies |
| Application short arm splint forearm-hand static (29125) | $293.83 | $391.78 | 2.2× |
| Application short leg splint calf foot (29515) | $342.77 | $457.03 | 2.1× |
| Apply hand/wrist cast (29085) | $440.66 | $587.54 | 2.7× |
| Apply long arm cast (29065) range across 2 matching MRF lines |
$446.96–$502.11 | $595.95–$669.48 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$255.54–$508.24 | $340.72–$677.65 | varies |
| Apply Short Leg Cast (29405) | $402.42 | $536.56 | 1.4× |
| Apply short leg cast (29425) | $440.66 | $587.54 | 1.6× |
| Arterial puncture (36600) | $891.05 | $1,188.07 | 6.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$424.94–$849.89 | $566.59–$1,133.19 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $1,218.08 | $1,624.10 | 1.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$589.94–$1,179.92 | $786.59–$1,573.22 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$1,146.20–$2,292.17 | $1,528.27–$3,056.23 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$490.47–$981.08 | $653.96–$1,308.10 | varies |
| Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
$852.80–$3,224.84 | $1,137.06–$4,299.78 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$1,014.39–$2,028.77 | $1,352.52–$2,705.03 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $559.57 | $746.09 | 1.8× |
| Aspiration bladder insert suprapubic catheter (51102) | $1,888.54 | $2,518.06 | 0.9× |
| Aspiration bladder trocar/intracatheter (51101) | $400.96 | $534.61 | 0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) | $290.51 | $387.35 | 1.4× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) likely a partial charge, not the full procedure |
$2,645.72 | $3,527.63 | 0.2× |
| Biliary ndsc prq t-tube w/bx single/multiple (47553) likely a partial charge, not the full procedure |
$1,852.25 | $2,469.67 | 0.3× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) likely a partial charge, not the full procedure |
$1,927.18 | $2,569.58 | 0.3× |
| Biopsy Abdominal Mass (49180) | $1,347.55 | $1,796.73 | 0.8× |
| Biopsy bone trocar/needle deep (20225) | $1,336.05 | $1,781.40 | 0.8× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $1,109.66 | $1,479.54 | 0.7× |
| Biopsy muscle percutaneous needle (20206) | $876.24 | $1,168.32 | 0.5× |
| Biopsy of liver, needle; percutaneous (47000) | $1,294.13 | $1,725.51 | 0.8× |
| Biopsy soft tissue neck/thorax (21550) | $1,214.31 | $1,619.08 | 0.7× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) | $981.28 | $1,308.38 | 0.6× |
| Bladder Irrigation (51700) | $366.86 | $489.14 | 1.5× |
| Bladder Scan (51798) | $265.11 | $353.48 | 4.4× |
| Blepharotomy drainage abscess eyelid (67700) range across 2 matching MRF lines |
$76.84–$124.82 | $102.45–$166.42 | varies |
| Blood Transfusion Service (36430) | $898.88 | $1,198.51 | 2.0× |
| Blood/Lymph System Procedure (38999) | $1,056.50 | $1,408.67 | 2.4× |
| Bone Marrow; Aspiration Only (38220) | $285.25 | $380.33 | 0.2× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) | $8,299.24 | $11,065.65 | 2.2× |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) | $9,259.64 | $12,346.18 | 2.5× |
| Bronchoscopy W/Removal Foreign Body (31635) range across 2 matching MRF lines |
$891.05–$2,521.27 | $1,188.07–$3,361.69 | varies |
| Bx breast 1st lesion mr imag (19085) | $4,179.01 | $5,572.01 | 2.5× |
| Bx breast 1st lesion strtctc (19081) | $3,565.11 | $4,753.48 | 2.1× |
| Bx breast 1st lesion us imag (19083) | $2,030.86 | $2,707.82 | 1.2× |
| Cerclage cervix pregnancy vaginal (59320) | $3,085.56 | $4,114.08 | 0.9× |
| Cessj Therapy Cath Removal (37214) | $6,603.93 | $8,805.24 | 2.1× |
| Change Cystostomy Tube Complicated (51710) | $400.96 | $534.61 | 0.6× |
| Change Cystostomy Tube Simple (51705) | $400.96 | $534.61 | 1.6× |
| Change of Windpipe Airway (31502) | $891.05 | $1,188.07 | 3.7× |
| Change ureter stent percut (50382) | $2,878.12 | $3,837.50 | 1.4× |
| Chemical Cautery Tissue (17250) | $473.93 | $631.91 | 2.3× |
| Chemodenerv musc neck dyston (64616) | $743.79 | $991.72 | 2.4× |
| Chest tube placement (32551) | $2,852.89 | $3,803.85 | 1.8× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $2,824.12 | $3,765.50 | 0.8× |
| Circumcision w/clamp/oth dev w/block (54150) | $406.12 | $541.50 | 0.2× |
| Cl Tx Scapular Fx; W Manip (23575) | $891.05 | $1,188.07 | 0.5× |
| Cl Tx Tib Shft Fx W Manip (27752) | $891.05 | $1,188.07 | 0.5× |
| Clear outer ear canal (69200) | $440.66 | $587.54 | 3.3× |
| Closed rx talotarsal disloc,anesth (28575) | $891.05 | $1,188.07 | 0.3× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $440.66 | $587.54 | 1.8× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $891.05 | $1,188.07 | 0.5× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $440.66 | $587.54 | 1.8× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $891.05 | $1,188.07 | 3.6× |
| Closed Treatment Sesamoid Fracture (28530) | $440.66 | $587.54 | 1.8× |
| Closed Treatment Sternum Fracture (21820) | $440.66 | $587.54 | 1.8× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $440.66 | $587.54 | 1.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $440.66 | $587.54 | 1.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $891.05 | $1,188.07 | 0.5× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $440.66 | $587.54 | 1.8× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) | $440.66 | $587.54 | 1.8× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $440.66 | $587.54 | 1.8× |
| Closed tx carpal scaphoid fracture w/manj (25624) | $891.05 | $1,188.07 | 0.5× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $440.66 | $587.54 | 1.8× |
| Closed Tx Craniofacial Separation (21431) likely a partial charge, not the full procedure |
$891.05 | $1,188.07 | 0.1× |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) | $891.05 | $1,188.07 | 0.5× |
| Closed tx femoral fracture prox head w/o manj (27267) | $891.05 | $1,188.07 | 0.3× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) | $440.66 | $587.54 | 1.8× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $891.05 | $1,188.07 | 0.5× |
| Closed tx knee dislocation w/o anesthesia (27550) | $440.66 | $587.54 | 1.8× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $891.05 | $1,188.07 | 0.5× |
| Closed tx mandibular fracture w/manipulation (21451) | $891.05 | $1,188.07 | 0.6× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) | $400.96 | $534.61 | 0.7× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) likely a partial charge, not the full procedure |
$440.66 | $587.54 | 0.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $440.66 | $587.54 | 1.8× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $891.05 | $1,188.07 | 0.5× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $891.05 | $1,188.07 | 0.6× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $891.05 | $1,188.07 | 0.3× |
| Closed Tx Nasomaxillary Complex Fracture (21345) | $891.05 | $1,188.07 | 0.6× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) | $891.05 | $1,188.07 | 0.3× |
| Closed tx patellar dislocation w/anesthesia (27562) | $440.66 | $587.54 | 1.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $440.66 | $587.54 | 1.8× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $440.66 | $587.54 | 1.8× |
| Closed tx radial head/neck fx w/manipulation (24655) | $891.05 | $1,188.07 | 0.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $440.66 | $587.54 | 1.8× |
| Closed tx radial shaft fracture w/manipulation (25505) | $891.05 | $1,188.07 | 0.5× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $440.66 | $587.54 | 1.8× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $891.05 | $1,188.07 | 0.5× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $440.66 | $587.54 | 1.8× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $440.66 | $587.54 | 1.8× |
| Closed tx septal&nose fx (21337) | $891.05 | $1,188.07 | 0.3× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) | $440.66 | $587.54 | 1.8× |
| Closed tx talotarsal joint dislc w/o anes (28570) | $440.66 | $587.54 | 1.8× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $891.05 | $1,188.07 | 0.5× |
| Closed tx talus fracture w/o manipulation (28430) | $440.66 | $587.54 | 1.8× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) | $440.66 | $587.54 | 1.8× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $440.66 | $587.54 | 1.8× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) range across 2 matching MRF lines |
$400.96–$891.05 | $534.61–$1,188.07 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $440.66 | $587.54 | 1.8× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $891.05 | $1,188.07 | 0.5× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $440.66 | $587.54 | 1.8× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $440.66 | $587.54 | 1.8× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $4,481.93 | $5,975.91 | 18.7× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $409.58 | $546.11 | 0.8× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $440.66 | $587.54 | 1.8× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $440.66 | $587.54 | 1.8× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $891.05 | $1,188.07 | 0.5× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $440.66 | $587.54 | 1.8× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) | $400.96 | $534.61 | 0.7× |
| Clsd Tx Pelvic Ring Fx (27198) | $440.66 | $587.54 | 1.8× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $440.66 | $587.54 | 1.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $891.05 | $1,188.07 | 0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $440.66 | $587.54 | 1.8× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) | $891.05 | $1,188.07 | 0.5× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) | $440.66 | $587.54 | 1.8× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $891.05 | $1,188.07 | 0.5× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $891.05 | $1,188.07 | 0.5× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $440.66 | $587.54 | 1.8× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $891.05 | $1,188.07 | 0.5× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $440.66 | $587.54 | 1.8× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $440.66 | $587.54 | 1.8× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) | $440.66 | $587.54 | 1.8× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) | $891.05 | $1,188.07 | 0.5× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $440.66 | $587.54 | 1.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $440.66 | $587.54 | 1.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $440.66 | $587.54 | 1.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $440.66 | $587.54 | 1.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $440.66 | $587.54 | 1.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $891.05 | $1,188.07 | 0.5× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $891.05 | $1,188.07 | 0.5× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $440.66 | $587.54 | 1.8× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) | $400.96 | $534.61 | 0.2× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) | $440.66 | $587.54 | 1.8× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $891.05 | $1,188.07 | 0.5× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $440.66 | $587.54 | 1.8× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $440.66 | $587.54 | 1.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $440.66 | $587.54 | 1.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $440.66 | $587.54 | 1.8× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $891.05 | $1,188.07 | 0.5× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $440.66 | $587.54 | 1.8× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $440.66 | $587.54 | 1.8× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) | $440.66 | $587.54 | 1.8× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) | $891.05 | $1,188.07 | 0.5× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $891.05 | $1,188.07 | 0.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $440.66 | $587.54 | 1.8× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $440.66 | $587.54 | 1.8× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) range across 2 matching MRF lines |
$2,106.08–$4,212.16 | $2,808.11–$5,616.22 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $891.05 | $1,188.07 | 0.5× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $891.05 | $1,188.07 | 3.6× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) | $891.05 | $1,188.07 | 0.5× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $440.66 | $587.54 | 1.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $440.66 | $587.54 | 1.8× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) | $891.05 | $1,188.07 | 0.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $440.66 | $587.54 | 1.8× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $891.05 | $1,188.07 | 0.5× |
| Cltx Medial Ankle Fx (27760) | $440.66 | $587.54 | 1.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $440.66 | $587.54 | 1.8× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $440.66 | $587.54 | 1.8× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) | $891.05 | $1,188.07 | 0.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $440.66 | $587.54 | 1.8× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $440.66 | $587.54 | 1.8× |
| Cltx post hip arthrp dislc req anes (27266) | $400.96 | $534.61 | 0.2× |
| Cltx post hip arthrp dislc w/o anes (27265) | $440.66 | $587.54 | 1.8× |
| Cltx prox fibula/shft fx w/manj (27781) | $891.05 | $1,188.07 | 0.5× |
| Cltx prox fibula/shft fx w/o manj (27780) | $440.66 | $587.54 | 1.8× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $891.05 | $1,188.07 | 0.5× |
| Cltx prox tibfib jt dislc req anes (27831) | $891.05 | $1,188.07 | 0.3× |
| Cltx prox tibfib jt dislc w/o anes (27830) | $440.66 | $587.54 | 1.8× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $440.66 | $587.54 | 1.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $440.66 | $587.54 | 1.8× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) | $891.05 | $1,188.07 | 0.5× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $891.05 | $1,188.07 | 0.5× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $891.05 | $1,188.07 | 0.5× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $440.66 | $587.54 | 1.8× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) | $891.05 | $1,188.07 | 0.5× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) | $440.66 | $587.54 | 1.8× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) | $891.05 | $1,188.07 | 0.3× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) | $440.66 | $587.54 | 1.8× |
| Cltx tibial fx proximal w/o manipulation (27530) | $440.66 | $587.54 | 1.8× |
| Cltx tibial shaft fx w/o manipulation (27750) | $440.66 | $587.54 | 1.8× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) | $440.66 | $587.54 | 1.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $891.05 | $1,188.07 | 0.5× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $440.66 | $587.54 | 1.8× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) | $891.05 | $1,188.07 | 0.3× |
| Collect Blood From Catheter Venous Nos (36592) | $178.72 | $238.30 | 1.3× |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$20.72–$147.68 | $27.62–$196.91 | varies |
| Complex drainage wound (10180) | $4,184.46 | $5,579.28 | 1.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $440.66 | $587.54 | 3.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $198.93 | $265.24 | 1.5× |
| Conversion ext bil drg cath (47535) | $4,136.54 | $5,515.38 | 1.1× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $2,136.52 | $2,848.69 | 1.1× |
| Convert Nephrostomy Catheter (50434) | $9,574.68 | $12,766.24 | 4.5× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $1,176.73 | $1,568.97 | 0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $891.05 | $1,188.07 | 6.6× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $440.66 | $587.54 | 1.8× |
| Cystometrogram W/Vp (51728) | $1,624.50 | $2,166 | 2.3× |
| Cystourethroscopy (52000) | $1,425.83 | $1,901.11 | 2.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $440.66 | $587.54 | 1.1× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) | $4,652.73 | $6,203.64 | 2.4× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $908.25 | $1,211 | 1.2× |
| Debride nail 1-5 (11720) | $366.48 | $488.64 | 6.1× |
| Debride nail 6 or more (11721) | $175.56 | $234.08 | 2.9× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $1,758.59 | $2,344.79 | 1.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $657.15 | $876.20 | 1.6× |
| Declot vascular device (36593) | $562.57 | $750.09 | 1.7× |
| Delivery of placenta (59414) | $781.21 | $1,041.61 | 0.2× |
| Destr W Neurolytic; Celiac Plexus (64680) | $833.85 | $1,111.80 | 0.9× |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$1,939.31–$3,878.62 | $2,585.75–$5,171.50 | varies |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$2,411.60–$4,823.21 | $3,215.47–$6,430.95 | varies |
| Destruct B9 Lesion 1-14 (17110) | $372.14 | $496.18 | 1.8× |
| Destruction of skin lesions (17106) | $4,620.45 | $6,160.60 | 11.2× |
| Dilat Xst Trc New Access Rcs (50437) | $4,967.05 | $6,622.73 | 1.4× |
| Drain Cerebro Spinal Fluid (62272) | $885.39 | $1,180.52 | 1.2× |
| Drain Spinal Cord Cyst (62268) | $1,055.77 | $1,407.69 | 1.2× |
| Drain/inj small joint/bursa w/us (20604) range across 2 matching MRF lines |
$957.85–$1,915.90 | $1,277.13–$2,554.53 | varies |
| Drainage Abscess/Hematoma Nasal Septum (30020) | $830.92 | $1,107.89 | 1.5× |
| Drainage external auditory canal abscess (69020) | $201.41 | $268.55 | 0.3× |
| Drainage external ear abscess/hematoma cmplx (69005) | $327.52 | $436.69 | 0.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $440.66 | $587.54 | 0.6× |
| Drainage Finger Abscess Complicated (26011) | $327.52 | $436.69 | 0.2× |
| Drainage lymph node lesion (38305) | $904.90 | $1,206.53 | 0.3× |
| Drainage Mouth Roof Lesion (42000) | $316 | $421.33 | 1.3× |
| Drainage of finger abscess simple (26010) | $306.64 | $408.86 | 1.5× |
| Drainage of gum lesion (41800) | $440.66 | $587.54 | 3.3× |
| Drainage of hematoma/fluid (10140) | $2,368.87 | $3,158.49 | 1.4× |
| Drainage of nose lesion (30000) | $440.66 | $587.54 | 1.8× |
| Drainage of rectal abscess (45005) | $199.06 | $265.41 | 0.2× |
| Drainage of scrotal wall abscess (55100) | $327.52 | $436.69 | 0.2× |
| Drainage of scrotum (54700) | $506.91 | $675.88 | 0.2× |
| Draw Blood Off Venous Device (36591) range across 2 matching MRF lines |
$185.55–$261.75 | $247.40–$349 | varies |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) | $3,179.05 | $4,238.73 | 5.8× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $440.66 | $587.54 | 0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $584.13 | $778.84 | 1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $353.18 | $470.91 | 1.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $290.51 | $387.35 | 1.4× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) | $437.23 | $582.97 | 0.6× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) | $5,204.15 | $6,938.87 | 2.5× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $1,139.92 | $1,519.89 | 1.3× |
| Dx Bone Marrow Bx & Aspir (38222) range across 2 matching MRF lines |
$1,520.97–$3,041.95 | $2,027.96–$4,055.93 | varies |
| Dx Bronchoscope/Wash (31622) range across 2 matching MRF lines |
$59.96–$891.05 | $79.94–$1,188.07 | varies |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,271.80 | $1,695.74 | 1.8× |
| Egd place gastrostomy tube (43246) | $2,021.50 | $2,695.34 | 1.0× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) | $648.64 | $864.85 | 2.1× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) | $4,042.33 | $5,389.77 | 1.3× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) | $2,464.28 | $3,285.70 | 1.2× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) | $327.52 | $436.69 | 0.2× |
| Epidural Blood Patch (62273) | $1,408.82 | $1,878.42 | 2.0× |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) | $3,680.96 | $4,907.94 | 0.6× |
| Evacuation of subungual hematoma (11740) | $188.46 | $251.28 | 1.4× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $2,368.87 | $3,158.49 | 1.4× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $93.97 | $125.29 | 0.1× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $440.66 | $587.54 | 0.4× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $517.93 | $690.57 | 1.3× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $1,028.68 | $1,371.58 | 1.4× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $2,797.23 | $3,729.64 | 0.8× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) range across 2 matching MRF lines |
$4,928.91–$9,857.82 | $6,571.88–$13,143.76 | varies |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $1,991.66 | $2,655.54 | 1.0× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) range across 2 matching MRF lines |
$440.66–$830.92 | $587.54–$1,107.89 | varies |
| Explo/Drain Breast Abscess (19020) | $830.92 | $1,107.89 | 0.5× |
| External cephalic version (59412) | $1,380.11 | $1,840.15 | 0.4× |
| Fetal Contraction Stress Test (59020) | $111.76 | $149.02 | 0.5× |
| Fetal non-stress test (59025) range across 2 matching MRF lines |
$305.79–$611.57 | $407.72–$815.42 | varies |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $2,258.25 | $3,011 | 3.1× |
| Fine needle aspiration without imaging guidance (10021) | $327.52 | $436.69 | 0.8× |
| Finger tendon transfer (26497) | $52,148.96 | $69,531.95 | 15.7× |
| Fluoro exam of g/colon tube (49465) | $374.41 | $499.21 | 1.5× |
| Fna bx w/us gdn 1st les (10005) | $1,505.30 | $2,007.06 | 2.1× |
| Guide Cathet Fluid Drainage (10030) | $2,927.86 | $3,903.82 | 4.1× |
| I&d abscess peritonsillar (42700) | $440.66 | $587.54 | 1.8× |
| I&d abscess simple (10060) | $290.51 | $387.35 | 1.4× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $327.52 | $436.69 | 0.1× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $327.52 | $436.69 | 0.1× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) range across 2 matching MRF lines |
$327.52–$792.59 | $436.69–$1,056.79 | varies |
| I&d forearm/wrist bursa (25031) | $830.92 | $1,107.89 | 0.5× |
| I&D Mouth/Tong Intra,Masticator (41009) | $42.31 | $56.41 | 0.1× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) | $327.52 | $436.69 | 0.1× |
| I&d perianal abscess superficial (46050) | $1,407.02 | $1,876.03 | 1.5× |
| I&d pilonidal cyst complicated (10081) | $440.66 | $587.54 | 0.6× |
| I&d pilonidal cyst simple (10080) | $1,157.27 | $1,543.03 | 1.6× |
| I&d shoulder deep abscess/hematoma (23030) | $830.92 | $1,107.89 | 0.3× |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $4,184.46 | $5,579.28 | 1.4× |
| Image Cath Fluid Colxn Visc (49405) | $2,847.02 | $3,796.02 | 1.7× |
| Image Cath Fluid Peri/Retro (49406) | $2,679.89 | $3,573.19 | 1.6× |
| Implant neuroelectrodes (63650) | $12,620.19 | $16,826.92 | 2.0× |
| Incise external hemorrhoid (46083) | $327.52 | $436.69 | 1.3× |
| Incise/Drain Conjunctiva (68020) | $327.52 | $436.69 | 0.3× |
| Incision & drainage abscess complicated/multiple (10061) | $584.13 | $778.84 | 1.4× |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $4,184.46 | $5,579.28 | 1.4× |
| Incision & removal foreign body subq tiss compl (10121) | $3,888.85 | $5,185.13 | 2.3× |
| Incision & removal foreign body subq tiss simple (10120) | $2,539.30 | $3,385.73 | 6.2× |
| Incision and drainage of bartholin's gland abscess (56420) | $327.52 | $436.69 | 1.6× |
| Incision and drainage of vulva or perineal abscess (56405) | $327.52 | $436.69 | 1.1× |
| Incision of lingual frenum (frenotomy) (41010) | $1,611.13 | $2,148.17 | 1.0× |
| Incision of rectal abscess (46040) | $174.18 | $232.24 | 0.1× |
| Incision&drainage bursa foot (28001) | $830.92 | $1,107.89 | 0.5× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $3,150.60 | $4,200.80 | 1.9× |
| Incisional biopsy skin single lesion (11106) | $521.14 | $694.85 | 0.7× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $306.64 | $408.86 | 1.5× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$1,435.14–$2,805.38 | $1,913.52–$3,740.51 | varies |
| Inj W/Fluor Eval Cv Device (36598) | $459.18 | $612.24 | 2.1× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $1,353.77 | $1,805.03 | 1.5× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $299.80 | $399.73 | 1.0× |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $506.91 | $675.88 | 0.6× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $1,045.34 | $1,393.78 | 1.2× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $17.90 | $23.86 | 0.0× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $430.48 | $573.97 | 1.4× |
| Injection Anes Superior Hypogastric Plexus (64517) | $1,237.24 | $1,649.65 | 1.4× |
| Injection anesthetic agent suprascapular nerve (64418) | $784.51 | $1,046.01 | 1.1× |
| Injection for identification of sentinel node (38792) range across 2 matching MRF lines |
$332.33–$358.04 | $443.11–$477.39 | varies |
| Injection single tendon origin/insertion (20551) | $636.22 | $848.30 | 2.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $352.54 | $470.05 | 1.1× |
| Injection single/mlt trigger point 3/> muscles (20553) | $506.68 | $675.57 | 1.6× |
| Injection Sinus Tract Therapeutic Separate Proc (20500) | $1,151.60 | $1,535.47 | 0.7× |
| Injection therapeutic carpal tunnel (20526) | $363.34 | $484.45 | 1.2× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $506.91 | $675.88 | 0.6× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $506.91 | $675.88 | 0.7× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 4 matching MRF lines |
$703.18–$1,406.37 | $937.58–$1,875.16 | varies |
| Injection, anesthetic agent; vagus nerve (64408) | $506.91 | $675.88 | 1.6× |
| Injection, Intralesional; More Than 7 Lesions (11901) | $446.96 | $595.95 | 2.2× |
| Ins cath ren art 1st bilat (36252) | $4,679.47 | $6,239.29 | 1.5× |
| Ins cath ren art 1st unilat (36251) | $4,085.06 | $5,446.75 | 1.3× |
| Ins cath ren art 2nd+ bilat (36254) | $7,097.83 | $9,463.77 | 2.2× |
| Ins cath ren art 2nd+ unilat (36253) | $4,589.35 | $6,119.14 | 0.8× |
| Ins endovas vena cava filtr (37191) | $8,319.20 | $11,092.27 | 1.5× |
| Insert Bladder Cath Complex (51703) | $519.98 | $693.30 | 4.0× |
| Insert cath pleura w/ image (32557) range across 2 matching MRF lines |
$2,660.69–$5,321.38 | $3,547.59–$7,095.18 | varies |
| Insert cath pleura w/o image (32556) range across 2 matching MRF lines |
$2,773.49–$5,546.98 | $3,697.99–$7,395.98 | varies |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) | $1,386.70 | $1,848.94 | 1.1× |
| Insert Drug Implant Device (11981) | $130.22 | $173.62 | 1.0× |
| Insert Gastrostomy Tube Percutaneous (49440) | $2,607.02 | $3,476.02 | 1.3× |
| Insert Heart Pm Atrial (33206) | $18,358.48 | $24,477.97 | 1.7× |
| Insert Heart Pm Ventricular (33207) | $20,124.48 | $26,832.64 | 1.9× |
| Insert hepatic shunt (tips) (37182) | $22,066.80 | $29,422.40 | 1.2× |
| Insert non-tunnel cv cath (36556) | $1,272.97 | $1,697.29 | 0.4× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $2,118.39 | $2,824.52 | 1.3× |
| Insert pulse gen mult leads (33221) | $43,389.50 | $57,852.67 | 2.2× |
| Insert Temp Bladder Cath (51702) | $394.78 | $526.38 | 2.9× |
| Insert tun ip cath perc (49418) | $4,765.31 | $6,353.75 | 1.3× |
| Insert tunneled cv cath (36561) | $3,167.20 | $4,222.93 | 1.0× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) unusually low: confirm this is the full procedure |
$2,008.27 | $2,677.69 | 0.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $396.11 | $528.15 | 2.9× |
| Insertion indwelling tunneled pleural catheter (32550) | $3,659.14 | $4,878.86 | 1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $2,583.04 | $3,444.05 | 1.6× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $16,924.42 | $22,565.89 | 2.0× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) | $4,797.72 | $6,396.96 | 1.3× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $18,436.01 | $24,581.35 | 2.2× |
| Insj Picc Rs&I <5 Yr (36572) | $3,194.98 | $4,259.98 | 5.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $2,859.28 | $3,812.37 | 0.9× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) | $3,027.64 | $4,036.85 | 0.9× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $2,852.89 | $3,803.85 | 1.8× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) | $2,175.03 | $2,900.04 | 0.7× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $2,455.97 | $3,274.63 | 0.8× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $18,546.83 | $24,729.11 | 2.2× |
| Insrt heart pm atrial & vent (33208) | $21,950.92 | $29,267.89 | 2.1× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) | $1,504.52 | $2,006.03 | 1.1× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $446.96 | $595.95 | 1.1× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $446.96 | $595.95 | 1.1× |
| Intraoral i&d tongue/floor lingual (41000) | $288.62 | $384.83 | 0.5× |
| Intraoral i&d tongue/floor sublngl supfc (41005) | $303.56 | $404.75 | 1.3× |
| Intraoral i&d tongue/floor submental space (41007) | $306.37 | $408.49 | 0.2× |
| Intraoral i&d tongue/floor submndblr space (41008) | $3,194.63 | $4,259.51 | 1.0× |
| Intro cath dialysis circuit (36901) | $5,276.82 | $7,035.76 | 3.3× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $19,144.22 | $25,525.62 | 1.6× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $12,139.42 | $16,185.90 | 2.1× |
| Intro Gastrointestinal Tube (44500) | $853.21 | $1,137.61 | 0.9× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$327.52–$339.52 | $436.69–$452.69 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $504.25 | $672.33 | 2.0× |
| Laryngoscopy diagnostic (31505) | $262.06 | $349.41 | 1.3× |
| Laryngoscopy flexible diagnostic (31575) | $663.82 | $885.09 | 3.3× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) | $42.31 | $56.41 | 0.1× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) | $663.22 | $884.30 | 1.7× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) | $42.31 | $56.41 | 0.2× |
| Laryngoscopy W/Foreign Body Removal (31530) | $62.20 | $82.94 | 0.0× |
| Late closure of wound (13160) | $830.92 | $1,107.89 | 0.2× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) | $504.95 | $673.27 | 0.7× |
| Marsupialization of bartholin's gland cyst (56440) | $368.62 | $491.50 | 0.1× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) | $1,209.95 | $1,613.27 | 0.8× |
| Mech remov tunneled cv cath (36595) | $1,100.22 | $1,466.96 | 0.3× |
| Medial Canthopexy Separate Procedure (21280) | $440.66 | $587.54 | 0.1× |
| Myelography Lumbar Injection (62305) | $2,084.29 | $2,779.05 | 2.6× |
| Myelography Lumbar Injection (62304) | $1,922.80 | $2,563.74 | 2.4× |
| Myelography via lumbar injection rs&i cervical (62302) | $1,701.21 | $2,268.28 | 2.1× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $1,860.82 | $2,481.10 | 2.3× |
| N Block Inj Celiac Pelus (64530) | $847.27 | $1,129.69 | 0.9× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $506.91 | $675.88 | 0.7× |
| N block inj intercost sng (64420) | $838.74 | $1,118.32 | 1.2× |
| N Block Inj Paracervical (64435) range across 2 matching MRF lines |
$81.74–$182.32 | $108.99–$243.09 | varies |
| N Block Inj Pudendal (64430) | $506.91 | $675.88 | 0.6× |
| N Block Lumbar/Thoracic (64520) | $1,244.60 | $1,659.46 | 1.4× |
| Nasal/Orogastric W/Tube Plmt (43752) | $755.69 | $1,007.59 | 1.7× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) | $187.44 | $249.92 | 0.7× |
| Needle Biopsy Lymph Nodes (38505) range across 2 matching MRF lines |
$854.62–$1,709.24 | $1,139.49–$2,278.99 | varies |
| Needle Biopsy Pancreas (48102) | $1,670.72 | $2,227.62 | 1.0× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $28.56 | $38.08 | 1.0× |
| Needle insertion w/o injection 3 or more muscles (20561) | $39.98 | $53.31 | 1.4× |
| Nfct ds bact&fng gram neg org id & rx resist DNA (0142U) | $1,329.75 | $1,773 | 8.5× |
| Nfct ds bact&fng gram pos org id & rx resist DNA (0141U) | $1,329.75 | $1,773 | 8.5× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $382.48 | $509.97 | 0.9× |
| Nfct ds fungal pathogen id DNA 15 fungal targets (0140U) | $1,329.62 | $1,772.82 | 8.5× |
| Njx anes stellate ganglion crv sympathetic (64510) | $1,099.87 | $1,466.49 | 1.2× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $455.56 | $607.41 | 1.5× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $997.77 | $1,330.36 | 0.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$1,835.29–$3,670.78 | $2,447.05–$4,894.38 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,617.96 | $2,157.28 | 2.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,775.54 | $2,367.38 | 2.5× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) range across 2 matching MRF lines |
$964.52–$1,929.05 | $1,286.03–$2,572.07 | varies |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) range across 2 matching MRF lines |
$1,871.62–$3,743.25 | $2,495.50–$4,991 | varies |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) | $1,299.60 | $1,732.80 | 3.2× |
| Obstructive material removal from gi tube (49460) | $801.68 | $1,068.90 | 0.9× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$514.90–$1,029.80 | $686.54–$1,373.07 | varies |
| Open/Perq Place Stent 1St (37236) | $23,111.19 | $30,814.92 | 2.0× |
| Open/Perq Place Stent Same (37238) | $15,475.58 | $20,634.10 | 1.3× |
| Perc Cryo Ablate Renal Tum (50593) | $10,336.09 | $13,781.45 | 1.0× |
| Perc Rf Ablate Renal Tumor (50592) | $10,539 | $14,052 | 1.7× |
| Percut Ablate Liver Rf (47382) | $8,233.84 | $10,978.46 | 1.3× |
| Percut Cath Occlusn Non Cns Lesn (61626) unusually low: confirm this is the full procedure |
$4,001.74 | $5,335.65 | 0.3× |
| Percut Drain/Inject Renal Cyst (50390) range across 2 matching MRF lines |
$1,480.38–$2,960.77 | $1,973.84–$3,947.69 | varies |
| Percut Mech Thrombectomy, Venous, Repeat (37188) range across 2 matching MRF lines |
$4,689.04–$9,378.10 | $6,252.06–$12,504.13 | varies |
| Pericardiocentesis W/Imaging (33016) | $3,679.38 | $4,905.84 | 2.3× |
| Peritoneal Lavage (49084) | $1,087.79 | $1,450.38 | 1.2× |
| Perm Occlusion/Embolization,Percut,Cns (61624) unusually low: confirm this is the full procedure |
$5,874.44 | $7,832.58 | 0.3× |
| Perq Cervicothoracic Inject (22510) | $7,312.66 | $9,750.21 | 2.2× |
| Perq dev breast 1st us imag (19285) | $1,284.57 | $1,712.76 | 1.8× |
| Perq device breast 1st imag (19281) | $1,262.60 | $1,683.47 | 0.8× |
| Perq Lumbosacral Injection (22511) | $7,685.11 | $10,246.81 | 2.3× |
| Perq p-art revsc 1 nm nt uni (33900) | $19,867.26 | $26,489.68 | 1.7× |
| Perq p-art revsc st 1st abnor connj unilateral (33902) | $25,873.18 | $34,497.58 | 1.4× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) range across 2 matching MRF lines |
$9,040.71–$18,081.42 | $12,054.28–$24,108.56 | varies |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $1,593.16 | $2,124.21 | 2.2× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $11,451.86 | $15,269.14 | 1.0× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $9,210.27 | $12,280.36 | 1.6× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $14,676.44 | $19,568.59 | 2.0× |
| Perq Vertebral Augmentation (22513) | $14,478.38 | $19,304.51 | 2.0× |
| Place Cath Subclavian Art (36225) | $9,127.30 | $12,169.74 | 2.9× |
| Place Cath Thoracic Aorta (36221) | $5,267.67 | $7,023.56 | 1.6× |
| Place Cath Vertebral Art (36226) range across 2 matching MRF lines |
$6,216.98–$12,433.96 | $8,289.30–$16,578.61 | varies |
| Place Duod/Jej Tube Perc (49441) | $2,731.94 | $3,642.58 | 1.4× |
| Place Rt Device/Marker Pros (55876) | $2,722.88 | $3,630.51 | 1.9× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) likely a partial charge, not the full procedure |
$979.04 | $1,305.39 | 0.1× |
| Plmt Bile Duct Stent Prq Existing Access (47538) | $7,836.08 | $10,448.10 | 1.3× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) | $5,958.98 | $7,945.30 | 1.0× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) | $10,486.28 | $13,981.71 | 1.7× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 2 matching MRF lines |
$3,888.90–$7,777.80 | $5,185.20–$10,370.40 | varies |
| Plmt Nephroureteral Catheter (50433) range across 2 matching MRF lines |
$4,907.58–$9,815.17 | $6,543.44–$13,086.89 | varies |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) range across 2 matching MRF lines |
$5,657.27–$11,314.54 | $7,543.03–$15,086.05 | varies |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) range across 2 matching MRF lines |
$4,795.67–$9,591.34 | $6,394.23–$12,788.45 | varies |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) range across 2 matching MRF lines |
$5,380.18–$10,760.37 | $7,173.58–$14,347.16 | varies |
| Prim art mech thrombectomy (37184) range across 2 matching MRF lines |
$4,885.61–$9,562.16 | $6,514.15–$12,749.54 | varies |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) | $891.05 | $1,188.07 | 0.3× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $2,336.54 | $3,115.39 | 3.3× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $3,996.51 | $5,328.68 | 1.1× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $4,130.42 | $5,507.22 | 1.1× |
| Pseudoaneurysm Injection Trt (36002) range across 2 matching MRF lines |
$767.02–$1,534.03 | $1,022.69–$2,045.37 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $733.74 | $978.32 | 1.8× |
| Puncture Aspiration Cyst Breast (19000) | $700.16 | $933.55 | 1.0× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $612.71 | $816.95 | 0.9× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) | $400.96 | $534.61 | 0.6× |
| Redo Endovas Vena Cava Filtr (37192) | $3,797.94 | $5,063.92 | 1.2× |
| Rem Endovas Vena Cava Filter (37193) | $6,202.37 | $8,269.83 | 1.9× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $1,068.76 | $1,425.01 | 1.2× |
| Removal Embedded Foreign Body Eyelid (67938) | $440.66 | $587.54 | 1.4× |
| Removal Foreign Body Foot Complicated (28193) | $400.96 | $534.61 | 0.2× |
| Removal foreign body foot deep (28192) | $891.05 | $1,188.07 | 0.5× |
| Removal Foreign Body Foot Subcutaneous (28190) | $1,292.14 | $1,722.86 | 1.8× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $327.52 | $436.69 | 0.2× |
| Removal Foreign Body Pelvis/Hip Deep (27087) | $891.05 | $1,188.07 | 0.3× |
| Removal Foreign Body Scrotum (55120) | $63.49 | $84.65 | 0.0× |
| Removal foreign body upper arm/elbow deep (24201) | $891.05 | $1,188.07 | 0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$86.84–$226.05 | $115.79–$301.40 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$86.84–$440.66 | $115.79–$587.54 | varies |
| Removal impacted vag fb spx w/anes oth/thn local (57415) | $891.05 | $1,188.07 | 0.3× |
| Removal of foreign body from pharynx (42809) | $400.96 | $534.61 | 0.9× |
| Removal of nail bed (11750) | $440.66 | $587.54 | 1.1× |
| Removal of tunneled intraperitoneal catheter (49422) | $3,775.24 | $5,033.66 | 1.2× |
| Removal shoulder foreign body deep subfascial/im (23333) | $891.05 | $1,188.07 | 0.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $306.64 | $408.86 | 1.5× |
| Removal subcutaneous cardiac rhythm monitor (33286) | $1,312.40 | $1,749.87 | 1.8× |
| Remove brain canal fluid (61050) | $896.97 | $1,195.96 | 2.9× |
| Remove drug implant device (11982) | $440.66 | $587.54 | 1.0× |
| Remove Forearm Foreign Body (25248) | $891.05 | $1,188.07 | 0.5× |
| Remove foreign body from eye (65205) | $440.66 | $587.54 | 3.3× |
| Remove Intrauterine Device (58301) | $446.96 | $595.95 | 1.4× |
| Remove lung catheter (32552) | $403.27 | $537.69 | 0.6× |
| Remove Nasal Foreign Body (30300) | $440.66 | $587.54 | 3.3× |
| Remove renal tube w/fluoro (50389) range across 2 matching MRF lines |
$1,064.98–$2,129.98 | $1,419.98–$2,839.97 | varies |
| Remove Shoulder Foreign Body (23330) | $891.05 | $1,188.07 | 0.5× |
| Remove ureter stent percut (50384) | $3,211.50 | $4,282 | 1.5× |
| Remv&replc pm gen dual lead (33228) | $24,973.52 | $33,298.03 | 2.4× |
| Renal Biopsy Perq (50200) range across 2 matching MRF lines |
$1,227.33–$2,454.65 | $1,636.44–$3,272.87 | varies |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $830.92 | $1,107.89 | 1.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $446.96 | $595.95 | 0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $830.92 | $1,107.89 | 2.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $830.92 | $1,107.89 | 2.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $446.96 | $595.95 | 1.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $446.96 | $595.95 | 1.1× |
| Repair complex trunk 1.1-2.5 cm (13100) | $327.52 | $436.69 | 0.4× |
| Repair complex trunk 2.6-7.5 cm (13101) | $327.52 | $436.69 | 0.4× |
| Repair extensor tendon finger w/o graft each (26418) | $830.92 | $1,107.89 | 0.5× |
| Repair Eyelid Wound (67935) range across 2 matching MRF lines |
$70.33–$71.72 | $93.78–$95.62 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $400.96 | $534.61 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $830.92 | $1,107.89 | 2.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $446.96 | $595.95 | 1.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $39.98 | $53.31 | 0.1× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $446.96 | $595.95 | 1.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $830.92 | $1,107.89 | 1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $584.13 | $778.84 | 1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $93.97 | $125.29 | 0.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $830.92 | $1,107.89 | 1.1× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $400.96 | $534.61 | 0.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $93.97 | $125.29 | 0.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $93.97 | $125.29 | 0.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $616.59 | $822.12 | 1.5× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $93.97 | $125.29 | 0.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $93.97 | $125.29 | 0.2× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $93.97 | $125.29 | 0.0× |
| Repair Laceration Palate </2 Cm (42180) | $348.34 | $464.46 | 0.6× |
| Repair Laceration Palate >2 Cm/Complex (42182) likely a partial charge, not the full procedure |
$891.05 | $1,188.07 | 0.1× |
| Repair of nail bed (11760) | $894.96 | $1,193.28 | 1.2× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) range across 2 matching MRF lines |
$327.52–$830.92 | $436.69–$1,107.89 | varies |
| Repair tongue laceration (41252) | $360.43 | $480.57 | 1.5× |
| Repair tongue laceration (41250) | $42.31 | $56.41 | 0.1× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $1,564.69 | $2,086.25 | 1.7× |
| Replace G-J Tube Perc (49452) | $2,353.54 | $3,138.06 | 2.6× |
| Replace g/c tube perc (49450) | $1,758.68 | $2,344.91 | 1.9× |
| Reposition Gastrostomy Tube (43761) | $669.86 | $893.14 | 2.6× |
| Reposition L Ventric Lead (33226) | $5,802.29 | $7,736.39 | 1.8× |
| Reposition Pacing-Defib Lead (33215) | $6,382.90 | $8,510.54 | 2.0× |
| Reposition Venous Catheter (36597) | $1,343.82 | $1,791.76 | 0.8× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) | $16,470.34 | $21,960.46 | 2.9× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) range across 2 matching MRF lines |
$2,700.47–$5,400.94 | $3,600.63–$7,201.26 | varies |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) | $440.66 | $587.54 | 0.3× |
| Rmvl embedded fb vestibule mouth comp (40805) | $440.66 | $587.54 | 0.8× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $440.66 | $587.54 | 0.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $440.66 | $587.54 | 1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $440.66 | $587.54 | 3.3× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $400.96 | $534.61 | 0.9× |
| Rmvl fecal impaction/fb spx under anes (45915) | $393.64 | $524.85 | 0.3× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $891.05 | $1,188.07 | 0.3× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) | $891.05 | $1,188.07 | 0.3× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $440.66 | $587.54 | 0.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $1,211.98 | $1,615.98 | 0.8× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $1,168.93 | $1,558.57 | 1.8× |
| Rplc Gtube No Revj Trc (43762) | $273.20 | $364.26 | 1.1× |
| Rplc gtube revj gstrst trc (43763) | $273.20 | $364.26 | 1.1× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $2,073.87 | $2,765.16 | 1.3× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $1,928.48 | $2,571.30 | 1.2× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $3,048.40 | $4,064.54 | 1.0× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $3,052.92 | $4,070.56 | 1.0× |
| Rpr blood vessel direct lower extremity (35226) | $440.66 | $587.54 | 0.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $93.97 | $125.29 | 0.5× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $400.96 | $534.61 | 0.5× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $2,629.99 | $3,506.65 | 11.0× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $3,212.42 | $4,283.22 | 5.9× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $2,415.79 | $3,221.05 | 4.4× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $3,284.16 | $4,378.88 | 2.1× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $446.96 | $595.95 | 0.1× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) | $830.92 | $1,107.89 | 0.3× |
| Sclerotx Fluid Collection (49185) | $2,766.14 | $3,688.18 | 1.7× |
| Sigmoidoscopy w/fb removal (45332) | $400.96 | $534.61 | 0.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $93.97 | $125.29 | 0.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $290.51 | $387.35 | 1.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $306.64 | $408.86 | 1.5× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $93.97 | $125.29 | 0.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $306.64 | $408.86 | 1.5× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $93.97 | $125.29 | 0.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $306.64 | $408.86 | 1.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $93.97 | $125.29 | 0.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $306.64 | $408.86 | 1.5× |
| Skin sub graft face/nk/hf/g (15275) | $2,397.89 | $3,197.18 | 3.2× |
| Skin sub graft trnk/arm/leg (15271) | $2,553.72 | $3,404.96 | 3.4× |
| Skin Tissue Procedure (17999) range across 2 matching MRF lines |
$433.15–$830.92 | $577.53–$1,107.89 | varies |
| Skn sub grft f/n/hf/g child (15277) | $2,550.44 | $3,400.59 | 1.2× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) | $8,240.79 | $10,987.72 | 1.5× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) range across 2 matching MRF lines |
$6,291.86–$12,583.72 | $8,389.14–$16,778.29 | varies |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) range across 2 matching MRF lines |
$11,241.75–$22,483.50 | $14,989–$29,978 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $306.64 | $408.86 | 1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $657.15 | $876.20 | 1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $93.97 | $125.29 | 0.2× |
| Spinal puncture lumbar diagnostic (62270) | $956.25 | $1,275 | 1.3× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $327.52 | $436.69 | 0.2× |
| Strapping ankle (29540) | $212.50 | $283.33 | 1.3× |
| Strapping elbow or wrist (29260) | $440.66 | $587.54 | 7.4× |
| Strapping hand/finger (29280) | $440.66 | $587.54 | 7.4× |
| Strapping Hip (29520) | $440.66 | $587.54 | 3.3× |
| Strapping knee (29530) | $440.66 | $587.54 | 3.3× |
| Strapping shoulder (29240) | $440.66 | $587.54 | 3.3× |
| Strapping thorax (29200) | $195.38 | $260.50 | 1.2× |
| Strapping toes (29550) | $440.66 | $587.54 | 7.4× |
| Strapping Unna Boot (29580) | $492.20 | $656.27 | 3.0× |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) | $506.91 | $675.88 | 0.2× |
| Tcat Rmvl Perm Ldls Pm (33275) | $4,519.34 | $6,025.78 | 1.4× |
| Tenodesis Wrist Extensors Fingers (25301) | $830.92 | $1,107.89 | 0.3× |
| Ther Apheresis,Red Blood Cells (36512) | $5,708.39 | $7,611.19 | 3.6× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $937.53 | $1,250.04 | 1.3× |
| Therapeutic Apheresis White Blood Cells (36511) | $4,154.04 | $5,538.72 | 2.6× |
| Therapeutic plasma exchange (36514) | $6,991.69 | $9,322.25 | 4.4× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $24,408.47 | $32,544.63 | 1.3× |
| Thromblytic art/ven therapy (37213) | $6,350.14 | $8,466.86 | 2.0× |
| Thrombolytic Art Therapy (37211) range across 2 matching MRF lines |
$4,790.54–$9,704.12 | $6,387.38–$12,938.82 | varies |
| Thrombolytic Therapy Stroke (37195) | $511.89 | $682.52 | 1.5× |
| Thrombolytic Venous Therapy (37212) range across 2 matching MRF lines |
$4,537.40–$9,074.78 | $6,049.86–$12,099.71 | varies |
| Transcatheter biopsy (37200) unusually low: confirm this is the full procedure |
$1,980.22 | $2,640.29 | 0.4× |
| Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) range across 2 matching MRF lines |
$4,847.35–$9,694.71 | $6,463.14–$12,926.28 | varies |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) | $8,258.32 | $11,011.09 | 1.5× |
| Treat Dental Ridge Fracture (21440) | $891.05 | $1,188.07 | 0.3× |
| Treat Hip Socket Fracture (27222) | $891.05 | $1,188.07 | 3.6× |
| Treat humerus fracture (24500) | $440.66 | $587.54 | 1.8× |
| Treat Humerus Fracture (24505) | $891.05 | $1,188.07 | 0.5× |
| Treat humerus fracture (23600) | $440.66 | $587.54 | 1.8× |
| Treat knee fracture (27532) | $891.05 | $1,188.07 | 0.3× |
| Treat Knee Fracture(S) (27538) | $440.66 | $587.54 | 1.8× |
| Treat Knuckle Dislocation (26700) | $440.66 | $587.54 | 1.8× |
| Treat Metatarsal Fracture (28475) | $440.66 | $587.54 | 1.8× |
| Treat Tail Bone Fracture (27200) | $440.66 | $587.54 | 1.8× |
| Treat Thumb Dislocation (26641) | $440.66 | $587.54 | 1.8× |
| Treat Thumb Fracture (26645) | $891.05 | $1,188.07 | 0.5× |
| Treat toe dislocation (28630) | $440.66 | $587.54 | 1.8× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $891.05 | $1,188.07 | 0.5× |
| Treatment closed elbow dislocation w/o anes (24600) | $440.66 | $587.54 | 1.8× |
| Trim skin lesions 2 to 4 (11056) | $583.86 | $778.48 | 2.9× |
| Trimming Nondystrophic Nails Any Number (11719) | $86.84 | $115.79 | 1.5× |
| Trluml Balo Angiop 1St Art (37246) | $6,904.53 | $9,206.04 | 1.2× |
| Trluml Balo Angiop 1St Vein (37248) | $8,366.20 | $11,154.93 | 1.5× |
| Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) | $5,604.52 | $7,472.70 | 3.1× |
| Tx Gastro Intub W/Asp (43753) | $1,119.27 | $1,492.36 | 5.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $93.97 | $125.29 | 0.1× |
| Tx superficial wound dehiscence w/packing (12021) | $93.97 | $125.29 | 0.2× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) | $440.66 | $587.54 | 0.3× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $440.66 | $587.54 | 1.8× |
| Unlisted Cardiac Surgery (33999) range across 2 matching MRF lines |
$38,762.24–$40,753.75 | $51,682.99–$54,338.34 | varies |
| Unlisted Procedure Casting/Strapping (29799) range across 3 matching MRF lines |
$122.24–$226.25 | $162.99–$301.67 | varies |
| Unlisted procedure nervous system (64999) range across 9 matching MRF lines |
$800.20–$2,820.10 | $1,066.93–$3,760.14 | varies |
| Unlisted Procedure Rectum (45999) | $400.96 | $534.61 | 0.4× |
| Unlisted procedure stomach (43999) | $11,350.10 | $15,133.47 | 12.4× |
| Unlisted Procedure Trachea Bronchi (31899) | $645.88 | $861.18 | 3.2× |
| Unlisted Procedure Vascular Surgery (37799) range across 2 matching MRF lines |
$252.08–$11,350.10 | $336.10–$15,133.47 | varies |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $1,046.43 | $1,395.24 | 1.1× |
| Vasc embolize/occlude artery (37242) | $24,181.47 | $32,241.96 | 1.3× |
| Vasc Embolize/Occlude Bleed (37244) | $19,771.04 | $26,361.38 | 1.7× |
| Vasc Embolize/Occlude Organ (37243) | $13,439.29 | $17,919.05 | 1.1× |
| Vasc embolize/occlude venous (37241) | $16,960.31 | $22,613.75 | 1.5× |
| Venous Mech Thrombectomy (37187) unusually low: confirm this is the full procedure |
$5,516.85 | $7,355.80 | 0.5× |
| Wedge excision skin nail fold (11765) | $446.96 | $595.95 | 1.1× |
| Xtrnl fixj w/strtctc adjustment exchange strut (20697) | $3,395.10 | $4,526.80 | 2.1× |
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.