Procedures & surgery prices at Intermountain Health Primary Children's Hospital
Salt Lake City, UT · every code in this section with a posted price and a Medicare benchmark.
700 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) range across 2 matching MRF lines |
$837.69–$1,012.84 | $1,116.92–$1,350.45 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $1,370.76 | $1,827.68 | 1.5× |
| Ablate Pulm Tumor Perq Crybl (32994) unusually low: confirm this is the full procedure |
$3,596.66 | $4,795.54 | 0.3× |
| Ablation 1/> liver tumor perq cryoablation (47383) unusually low: confirm this is the full procedure |
$4,856.92 | $6,475.89 | 0.5× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) likely a partial charge, not the full procedure |
$4,648.66 | $6,198.22 | 0.3× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) | $4,811.01 | $6,414.68 | 0.7× |
| Allogeneic lymphocyte infusions (38242) | $6,928.26 | $9,237.68 | 4.4× |
| Amniocentesis diagnostic (59000) | $146.25 | $195 | 0.2× |
| Amniocentesis therapeutic (59001) | $1,005.94 | $1,341.26 | 3.3× |
| Amputation toe interphalangeal joint (28825) | $4,743.78 | $6,325.04 | 1.4× |
| Amputation toe metatarsophalangeal joint (28820) | $4,743.78 | $6,325.04 | 1.4× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) | $614.16 | $818.88 | 2.0× |
| Anoscopy diagnostic (46600) | $412.89 | $550.52 | 3.1× |
| Anoscopy W/Rmvl Foreign Body (46608) | $412.89 | $550.52 | 0.4× |
| Application cast elbow finger short arm (29075) | $368.62 | $491.50 | 1.3× |
| Application Cast Finger (29086) | $412.89 | $550.52 | 2.5× |
| Application Finger Splint Dynamic (29131) | $103.72 | $138.29 | 1.7× |
| Application finger splint static (29130) | $120.80 | $161.07 | 0.9× |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$199.88–$327.08 | $266.50–$436.11 | varies |
| Application Long Leg Cast Walker/Ambulatory Type (29355) | $412.89 | $550.52 | 1.5× |
| Application Long Leg Splint (29505) | $156.48 | $208.64 | 1.0× |
| Application of long leg cast (29345) | $412.89 | $550.52 | 1.5× |
| Application of rigid total contact leg cast (29445) range across 4 matching MRF lines |
$693.72–$1,387.44 | $924.96–$1,849.92 | varies |
| Application Short Arm Splint Dynamic (29126) | $206.21 | $274.95 | 1.5× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$205.90–$238.82 | $274.53–$318.42 | varies |
| Application short leg splint calf foot (29515) | $253.35 | $337.80 | 1.5× |
| Apply hand/wrist cast (29085) range across 2 matching MRF lines |
$406.90–$412.89 | $542.53–$550.52 | varies |
| Apply long arm cast (29065) | $564.86 | $753.15 | 2.0× |
| 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) range across 3 matching MRF lines |
$388.29–$452.72 | $517.72–$603.63 | varies |
| Apply short leg cast (29425) | $412.89 | $550.52 | 1.5× |
| Arterial puncture (36600) | $863.61 | $1,151.48 | 6.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$249.97–$499.94 | $333.29–$666.59 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $716.51 | $955.35 | 1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 3 matching MRF lines |
$347.02–$694.07 | $462.70–$925.43 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$674.24–$1,348.34 | $898.99–$1,797.78 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$288.51–$577.10 | $384.68–$769.47 | varies |
| Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
$501.64–$1,896.96 | $668.86–$2,529.28 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$903.93–$1,807.86 | $1,205.24–$2,410.48 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $329.16 | $438.88 | 1.1× |
| Aspiration bladder insert suprapubic catheter (51102) | $1,110.91 | $1,481.21 | 0.5× |
| Aspiration Bladder Needle (51100) | $656.84 | $875.78 | 2.6× |
| Aspiration bladder trocar/intracatheter (51101) | $296.36 | $395.14 | 0.3× |
| 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 |
$1,556.31 | $2,075.08 | 0.1× |
| Biliary ndsc prq t-tube w/bx single/multiple (47553) likely a partial charge, not the full procedure |
$1,089.56 | $1,452.75 | 0.2× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) likely a partial charge, not the full procedure |
$1,133.64 | $1,511.52 | 0.2× |
| Biopsy Abdominal Mass (49180) | $792.68 | $1,056.90 | 0.5× |
| Biopsy bone trocar/needle deep (20225) | $785.92 | $1,047.89 | 0.5× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $652.74 | $870.32 | 0.4× |
| Biopsy muscle percutaneous needle (20206) | $515.44 | $687.25 | 0.3× |
| Biopsy of liver, needle; percutaneous (47000) | $761.26 | $1,015.01 | 0.5× |
| Biopsy Pleura Percutaneous Needle (32400) | $781.15 | $1,041.53 | 0.5× |
| Biopsy Salivary Gland Needle (42400) | $1,061.31 | $1,415.08 | 1.5× |
| Biopsy soft tissue neck/thorax (21550) | $714.30 | $952.40 | 0.4× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) | $577.23 | $769.64 | 0.3× |
| Bladder Irrigation (51700) | $413.93 | $551.91 | 1.6× |
| Bladder Scan (51798) | $162.01 | $216.02 | 2.7× |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) | $7,664.82 | $10,219.76 | 4.9× |
| Blepharotomy drainage abscess eyelid (67700) | $437.05 | $582.73 | 1.4× |
| Blood Transfusion Service (36430) | $747.46 | $996.61 | 1.7× |
| Blood/Lymph System Procedure (38999) | $586.95 | $782.60 | 1.3× |
| Bone Marrow Biopsy (38221) | $640.77 | $854.36 | 0.4× |
| Bone Marrow; Aspiration Only (38220) range across 2 matching MRF lines |
$167.80–$335.59 | $223.73–$447.45 | varies |
| 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 |
$863.61–$2,521.27 | $1,151.48–$3,361.69 | varies |
| Bx breast 1st lesion mr imag (19085) | $2,458.24 | $3,277.66 | 1.5× |
| Bx breast 1st lesion strtctc (19081) | $2,097.13 | $2,796.17 | 1.3× |
| Bx breast 1st lesion us imag (19083) | $1,194.63 | $1,592.84 | 0.7× |
| Car-t admn autologous (38228) | $39,239.89 | $52,319.85 | 117.3× |
| Catheter aspiration nasotracheal spx (31720) | $118.72 | $158.30 | 0.5× |
| Cerclage cervix pregnancy vaginal (59320) | $3,471.26 | $4,628.34 | 1.1× |
| Cessj Therapy Cath Removal (37214) | $3,884.66 | $5,179.55 | 1.2× |
| Change Cystostomy Tube Complicated (51710) | $296.36 | $395.14 | 0.4× |
| Change Cystostomy Tube Simple (51705) | $296.36 | $395.14 | 1.2× |
| Change of Windpipe Airway (31502) | $863.61 | $1,151.48 | 3.6× |
| Change ureter stent percut (50382) | $1,693.02 | $2,257.36 | 0.8× |
| Chemical Cautery Tissue (17250) | $533.18 | $710.91 | 2.6× |
| Chemodenerv 1 extremity 1-4 (64642) | $615.10 | $820.13 | 0.9× |
| Chemodenerv Musc Migraine (64615) | $436.39 | $581.85 | 1.4× |
| Chemodenerv musc neck dyston (64616) range across 2 matching MRF lines |
$272.48–$544.95 | $363.30–$726.60 | varies |
| Chemodenerv trunk musc 1-5 (64646) | $615.10 | $820.13 | 0.9× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $331.40 | $441.87 | 1.1× |
| Chest tube placement (32551) | $1,678.17 | $2,237.56 | 1.1× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $1,661.25 | $2,215 | 0.5× |
| Circumcision w/clamp/oth dev w/block (54150) | $324.90 | $433.20 | 0.2× |
| Cl Tx Scapular Fx; W Manip (23575) | $863.61 | $1,151.48 | 0.5× |
| Cl Tx Tib Shft Fx W Manip (27752) | $863.61 | $1,151.48 | 0.5× |
| Clear outer ear canal (69200) | $412.89 | $550.52 | 3.1× |
| Closed rx talotarsal disloc,anesth (28575) | $863.61 | $1,151.48 | 0.3× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $412.89 | $550.52 | 1.7× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $863.61 | $1,151.48 | 0.5× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $412.89 | $550.52 | 1.7× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $863.61 | $1,151.48 | 3.5× |
| Closed Treatment Sesamoid Fracture (28530) | $412.89 | $550.52 | 1.7× |
| Closed Treatment Sternum Fracture (21820) | $412.89 | $550.52 | 1.7× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $412.89 | $550.52 | 1.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $412.89 | $550.52 | 1.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $863.61 | $1,151.48 | 0.5× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $412.89 | $550.52 | 1.7× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) | $412.89 | $550.52 | 1.7× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $412.89 | $550.52 | 1.7× |
| Closed tx carpal scaphoid fracture w/manj (25624) | $863.61 | $1,151.48 | 0.5× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $412.89 | $550.52 | 1.7× |
| Closed Tx Craniofacial Separation (21431) likely a partial charge, not the full procedure |
$863.61 | $1,151.48 | 0.1× |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) | $863.61 | $1,151.48 | 0.5× |
| Closed tx femoral fracture prox head w/o manj (27267) | $863.61 | $1,151.48 | 0.3× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) | $412.89 | $550.52 | 1.7× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $863.61 | $1,151.48 | 0.5× |
| Closed tx knee dislocation w/o anesthesia (27550) | $412.89 | $550.52 | 1.7× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $863.61 | $1,151.48 | 0.5× |
| Closed tx mandibular fracture w/manipulation (21451) | $863.61 | $1,151.48 | 0.5× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) | $296.36 | $395.14 | 0.5× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) likely a partial charge, not the full procedure |
$412.89 | $550.52 | 0.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $412.89 | $550.52 | 1.7× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $863.61 | $1,151.48 | 0.5× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $863.61 | $1,151.48 | 0.5× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $863.61 | $1,151.48 | 0.3× |
| Closed Tx Nasomaxillary Complex Fracture (21345) | $863.61 | $1,151.48 | 0.5× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) | $863.61 | $1,151.48 | 0.3× |
| Closed tx patellar dislocation w/anesthesia (27562) | $412.89 | $550.52 | 1.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $412.89 | $550.52 | 1.7× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $412.89 | $550.52 | 1.7× |
| Closed tx radial head/neck fx w/manipulation (24655) | $863.61 | $1,151.48 | 0.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $412.89 | $550.52 | 1.7× |
| Closed tx radial shaft fracture w/manipulation (25505) | $863.61 | $1,151.48 | 0.5× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $412.89 | $550.52 | 1.7× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $863.61 | $1,151.48 | 0.5× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $412.89 | $550.52 | 1.7× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $412.89 | $550.52 | 1.7× |
| Closed tx septal&nose fx (21337) | $863.61 | $1,151.48 | 0.3× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) | $412.89 | $550.52 | 1.7× |
| Closed tx talotarsal joint dislc w/o anes (28570) | $412.89 | $550.52 | 1.7× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $863.61 | $1,151.48 | 0.5× |
| Closed tx talus fracture w/o manipulation (28430) | $412.89 | $550.52 | 1.7× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) | $412.89 | $550.52 | 1.7× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $412.89 | $550.52 | 1.7× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) range across 2 matching MRF lines |
$296.36–$863.61 | $395.14–$1,151.48 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $412.89 | $550.52 | 1.7× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $863.61 | $1,151.48 | 0.5× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $412.89 | $550.52 | 1.7× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $412.89 | $550.52 | 1.7× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $339.52 | $452.69 | 1.4× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $744.55 | $992.73 | 1.4× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $412.89 | $550.52 | 1.7× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $412.89 | $550.52 | 1.7× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $863.61 | $1,151.48 | 0.5× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $412.89 | $550.52 | 1.7× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) | $296.36 | $395.14 | 0.5× |
| Clsd Tx Pelvic Ring Fx (27198) | $412.89 | $550.52 | 1.7× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $412.89 | $550.52 | 1.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $863.61 | $1,151.48 | 0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $412.89 | $550.52 | 1.7× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) | $863.61 | $1,151.48 | 0.5× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) | $412.89 | $550.52 | 1.7× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $863.61 | $1,151.48 | 0.5× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $863.61 | $1,151.48 | 0.5× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $412.89 | $550.52 | 1.7× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $863.61 | $1,151.48 | 0.5× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $412.89 | $550.52 | 1.7× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $412.89 | $550.52 | 1.7× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) | $412.89 | $550.52 | 1.7× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) | $863.61 | $1,151.48 | 0.5× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $412.89 | $550.52 | 1.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $412.89 | $550.52 | 1.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $412.89 | $550.52 | 1.7× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $412.89 | $550.52 | 1.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $412.89 | $550.52 | 1.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $863.61 | $1,151.48 | 0.5× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $863.61 | $1,151.48 | 0.5× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $412.89 | $550.52 | 1.7× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) | $296.36 | $395.14 | 0.2× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) | $412.89 | $550.52 | 1.7× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $863.61 | $1,151.48 | 0.5× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $412.89 | $550.52 | 1.7× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $412.89 | $550.52 | 1.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $412.89 | $550.52 | 1.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $412.89 | $550.52 | 1.7× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $863.61 | $1,151.48 | 0.5× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $412.89 | $550.52 | 1.7× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $412.89 | $550.52 | 1.7× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) | $412.89 | $550.52 | 1.7× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) | $863.61 | $1,151.48 | 0.5× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $863.61 | $1,151.48 | 0.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $412.89 | $550.52 | 1.7× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $412.89 | $550.52 | 1.7× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) range across 2 matching MRF lines |
$1,287.05–$2,574.10 | $1,716.07–$3,432.14 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $863.61 | $1,151.48 | 0.5× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $863.61 | $1,151.48 | 3.5× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) | $863.61 | $1,151.48 | 0.5× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $412.89 | $550.52 | 1.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $412.89 | $550.52 | 1.7× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) | $863.61 | $1,151.48 | 0.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $412.89 | $550.52 | 1.7× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $863.61 | $1,151.48 | 0.5× |
| Cltx Medial Ankle Fx (27760) | $412.89 | $550.52 | 1.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $412.89 | $550.52 | 1.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $412.89 | $550.52 | 1.7× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) | $863.61 | $1,151.48 | 0.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $412.89 | $550.52 | 1.7× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $412.89 | $550.52 | 1.7× |
| Cltx post hip arthrp dislc req anes (27266) | $296.36 | $395.14 | 0.2× |
| Cltx post hip arthrp dislc w/o anes (27265) | $412.89 | $550.52 | 1.7× |
| Cltx prox fibula/shft fx w/manj (27781) | $863.61 | $1,151.48 | 0.5× |
| Cltx prox fibula/shft fx w/o manj (27780) | $412.89 | $550.52 | 1.7× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $863.61 | $1,151.48 | 0.5× |
| Cltx prox tibfib jt dislc req anes (27831) | $863.61 | $1,151.48 | 0.3× |
| Cltx prox tibfib jt dislc w/o anes (27830) | $412.89 | $550.52 | 1.7× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $412.89 | $550.52 | 1.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $412.89 | $550.52 | 1.7× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) | $863.61 | $1,151.48 | 0.5× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $863.61 | $1,151.48 | 0.5× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $863.61 | $1,151.48 | 0.5× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $412.89 | $550.52 | 1.7× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) | $863.61 | $1,151.48 | 0.5× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) | $412.89 | $550.52 | 1.7× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) | $863.61 | $1,151.48 | 0.3× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) | $412.89 | $550.52 | 1.7× |
| Cltx tibial fx proximal w/o manipulation (27530) | $412.89 | $550.52 | 1.7× |
| Cltx tibial shaft fx w/o manipulation (27750) | $412.89 | $550.52 | 1.7× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) | $412.89 | $550.52 | 1.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $863.61 | $1,151.48 | 0.5× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $412.89 | $550.52 | 1.7× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) | $863.61 | $1,151.48 | 0.3× |
| Collect Blood From Catheter Venous Nos (36592) | $148.61 | $198.15 | 1.1× |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$17.06–$99.02 | $22.74–$132.03 | varies |
| Complex drainage wound (10180) | $4,184.46 | $5,579.28 | 1.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $412.89 | $550.52 | 3.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $188.46 | $251.28 | 1.4× |
| Conversion ext bil drg cath (47535) | $2,433.26 | $3,244.34 | 0.7× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $1,256.78 | $1,675.70 | 0.6× |
| Convert Nephrostomy Catheter (50434) range across 2 matching MRF lines |
$2,816.08–$5,632.17 | $3,754.78–$7,509.56 | varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $692.20 | $922.93 | 0.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $863.61 | $1,151.48 | 6.4× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $412.89 | $550.52 | 1.7× |
| Cystometrogram W/Vp (51728) | $1,299.60 | $1,732.80 | 1.8× |
| Cystourethroscopy (52000) | $871.34 | $1,161.79 | 1.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $412.89 | $550.52 | 1.0× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) | $2,584.85 | $3,446.47 | 1.3× |
| 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) | $516.13 | $688.17 | 1.5× |
| Destr W Neurolytic; Celiac Plexus (64680) | $490.50 | $654 | 0.5× |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$1,140.77–$2,281.54 | $1,521.03–$3,042.06 | varies |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$1,418.60–$2,837.18 | $1,891.46–$3,782.91 | varies |
| Destruct B9 Lesion 1-14 (17110) | $418.65 | $558.20 | 2.1× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) | $1,059.55 | $1,412.73 | 3.4× |
| Destruction by neurolytic agent; pudendal nerve (64630) | $940.18 | $1,253.57 | 1.0× |
| Destruction of skin lesions (17106) | $2,717.92 | $3,623.89 | 6.6× |
| Dilat Xst Trc New Access Rcs (50437) | $2,921.80 | $3,895.73 | 0.8× |
| Drain Cerebro Spinal Fluid (62272) | $520.82 | $694.43 | 0.7× |
| Drain Spinal Cord Cyst (62268) | $586.54 | $782.06 | 0.7× |
| Drain/inj small joint/bursa w/us (20604) range across 2 matching MRF lines |
$563.45–$1,127 | $751.26–$1,502.67 | varies |
| Drainage external ear abscess/hematoma cmplx (69005) | $2,368.87 | $3,158.49 | 1.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $412.89 | $550.52 | 0.6× |
| Drainage Finger Abscess Complicated (26011) | $2,368.87 | $3,158.49 | 1.4× |
| Drainage lymph node lesion (38305) | $552.99 | $737.32 | 0.2× |
| Drainage Mouth Roof Lesion (42000) | $339.52 | $452.69 | 1.4× |
| Drainage of finger abscess simple (26010) | $290.51 | $387.35 | 1.4× |
| Drainage of gum lesion (41800) | $412.89 | $550.52 | 3.1× |
| Drainage of hematoma/fluid (10140) | $2,368.87 | $3,158.49 | 1.4× |
| Drainage of nose lesion (30000) | $412.89 | $550.52 | 1.7× |
| Drainage of rectal abscess (45005) | $1,723.87 | $2,298.49 | 1.4× |
| Drainage of scrotal wall abscess (55100) | $2,368.87 | $3,158.49 | 1.4× |
| Drainage of scrotum (54700) | $2,995.03 | $3,993.37 | 1.4× |
| Draw Blood Off Venous Device (36591) range across 2 matching MRF lines |
$154.30–$209.40 | $205.74–$279.20 | varies |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $412.89 | $550.52 | 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) | $290.51 | $387.35 | 1.4× |
| 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) | $257.20 | $342.93 | 0.3× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) | $3,061.27 | $4,081.69 | 1.5× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $670.54 | $894.06 | 0.7× |
| Dx Bone Marrow Bx & Aspir (38222) range across 2 matching MRF lines |
$894.69–$1,789.38 | $1,192.92–$2,385.84 | varies |
| Dx Bronchoscope/Wash (31622) range across 2 matching MRF lines |
$559.57–$863.61 | $746.09–$1,151.48 | varies |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $748.12 | $997.50 | 1.0× |
| Egd place gastrostomy tube (43246) | $2,021.51 | $2,695.35 | 1.0× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) | $644.86 | $859.82 | 2.1× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) | $584.91 | $779.88 | 1.9× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) | $2,377.84 | $3,170.46 | 0.7× |
| Epidural Blood Patch (62273) | $828.71 | $1,104.95 | 1.2× |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) | $3,680.96 | $4,907.94 | 0.6× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $353.78 | $471.70 | 0.2× |
| Evacuation of subungual hematoma (11740) | $188.46 | $251.28 | 1.4× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $825.92 | $1,101.23 | 1.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $825.92 | $1,101.23 | 0.5× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $825.92 | $1,101.23 | 0.5× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $93.97 | $125.29 | 0.1× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $412.89 | $550.52 | 0.3× |
| 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) | $825.92 | $1,101.23 | 1.2× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $1,645.43 | $2,193.91 | 0.5× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) range across 2 matching MRF lines |
$2,899.36–$5,798.72 | $3,865.81–$7,731.63 | varies |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $1,171.56 | $1,562.08 | 0.6× |
| Explo/Drain Breast Abscess (19020) | $2,368.87 | $3,158.49 | 1.4× |
| Extensive Retinopathy 1/> Sess Preterm Infant (67229) | $2,017.04 | $2,689.38 | 3.6× |
| Fetal Contraction Stress Test (59020) | $125.74 | $167.65 | 0.6× |
| Fetal non-stress test (59025) | $363.53 | $484.71 | 1.8× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $1,328.38 | $1,771.18 | 1.9× |
| Fine needle aspiration without imaging guidance (10021) | $534.32 | $712.43 | 1.3× |
| Finger tendon transfer (26497) | $58,830.30 | $78,440.40 | 17.8× |
| Fluoro exam of g/colon tube (49465) | $220.24 | $293.65 | 0.9× |
| Fna bx w/us gdn 1st les (10005) | $885.47 | $1,180.63 | 1.2× |
| Guide Cathet Fluid Drainage (10030) | $1,722.28 | $2,296.37 | 2.4× |
| I&d abscess peritonsillar (42700) | $412.89 | $550.52 | 1.7× |
| I&d abscess simple (10060) | $366.84 | $489.12 | 1.8× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $4,184.46 | $5,579.28 | 1.4× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $4,184.46 | $5,579.28 | 1.4× |
| I&d perianal abscess superficial (46050) | $1,332.97 | $1,777.29 | 1.4× |
| I&d pilonidal cyst complicated (10081) | $412.89 | $550.52 | 0.6× |
| I&d pilonidal cyst simple (10080) | $1,028.68 | $1,371.58 | 1.4× |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $4,184.46 | $5,579.28 | 1.4× |
| Icd Pocket Revision (33223) | $3,285.72 | $4,380.96 | 1.6× |
| Image Cath Fluid Colxn Visc (49405) | $1,674.72 | $2,232.96 | 1.0× |
| Image Cath Fluid Peri/Retro (49406) | $1,576.41 | $2,101.88 | 0.9× |
| Image Cath Fluid Trns/Vgnl (49407) | $1,576.41 | $2,101.88 | 0.9× |
| Implant neuroelectrodes (63650) | $7,423.64 | $9,898.19 | 1.2× |
| Incise external hemorrhoid (46083) | $355.59 | $474.12 | 1.4× |
| Incision & drainage abscess complicated/multiple (10061) | $488.50 | $651.33 | 1.2× |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $4,184.46 | $5,579.28 | 1.4× |
| Incision & removal foreign body subq tiss compl (10121) | $647.45 | $863.26 | 0.4× |
| Incision & removal foreign body subq tiss simple (10120) | $1,493.71 | $1,991.61 | 3.6× |
| Incision and drainage of bartholin's gland abscess (56420) | $294.13 | $392.17 | 1.4× |
| Incision and drainage of vulva or perineal abscess (56405) | $444.74 | $592.99 | 1.4× |
| Incision of lingual frenum (frenotomy) (41010) | $1,611.13 | $2,148.17 | 1.0× |
| Incision of rectal abscess (46040) | $1,723.87 | $2,298.49 | 1.4× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $2,368.87 | $3,158.49 | 1.4× |
| Incisional biopsy skin single lesion (11106) | $586.28 | $781.70 | 0.8× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $290.51 | $387.35 | 1.4× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$844.20–$1,714.41 | $1,125.60–$2,285.88 | varies |
| Inj W/Fluor Eval Cv Device (36598) | $270.10 | $360.14 | 1.3× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $796.34 | $1,061.79 | 0.9× |
| Inject Intravitreal Pharmcologic (67028) | $449.75 | $599.67 | 1.3× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $176.36 | $235.14 | 0.6× |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $1,301.65 | $1,735.53 | 1.5× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $614.90 | $819.87 | 0.7× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $1,012.50 | $1,350 | 1.4× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $253.22 | $337.63 | 0.8× |
| Injection Anes Superior Hypogastric Plexus (64517) | $727.79 | $970.39 | 0.8× |
| Injection anesthetic agent suprascapular nerve (64418) | $461.48 | $615.30 | 0.6× |
| Injection for identification of sentinel node (38792) range across 2 matching MRF lines |
$195.50–$210.62 | $260.66–$280.82 | varies |
| Injection Into Brain Canal (61055) | $748.70 | $998.26 | 2.4× |
| Injection single tendon origin/insertion (20551) | $353.46 | $471.28 | 1.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$207.38–$228.11 | $276.50–$304.15 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) | $298.05 | $397.40 | 1.0× |
| Injection Sinus Tract Therapeutic Separate Proc (20500) | $677.42 | $903.22 | 0.4× |
| Injection therapeutic carpal tunnel (20526) | $213.73 | $284.97 | 0.7× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $1,012.50 | $1,350 | 1.4× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 5 matching MRF lines |
$77.08–$827.28 | $102.77–$1,103.04 | varies |
| Ins cath ren art 1st bilat (36252) | $2,752.63 | $3,670.17 | 0.9× |
| Ins cath ren art 1st unilat (36251) | $2,402.98 | $3,203.97 | 0.8× |
| Ins cath ren art 2nd+ bilat (36254) | $4,175.20 | $5,566.93 | 1.3× |
| Ins cath ren art 2nd+ unilat (36253) unusually low: confirm this is the full procedure |
$2,699.62 | $3,599.50 | 0.5× |
| Ins endovas vena cava filtr (37191) | $4,893.65 | $6,524.87 | 0.9× |
| Ins/Rep Subq Defibrillator (33270) | $61,490.09 | $81,986.79 | 1.9× |
| Insert 1 Electrode Pm-Defib (33216) | $14,044.30 | $18,725.74 | 1.7× |
| Insert Bladder Cath Complex (51703) | $519.98 | $693.30 | 4.0× |
| Insert cath pleura w/ image (32557) range across 2 matching MRF lines |
$1,565.12–$3,130.23 | $2,086.82–$4,173.64 | varies |
| Insert cath pleura w/o image (32556) | $863.61 | $1,151.48 | 0.4× |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) | $815.71 | $1,087.61 | 0.7× |
| Insert Drug Implant Device (11981) | $146.49 | $195.32 | 1.1× |
| Insert Gastrostomy Tube Percutaneous (49440) | $1,533.54 | $2,044.72 | 0.8× |
| Insert Heart Pm Atrial (33206) | $16,269.35 | $21,692.47 | 1.5× |
| Insert Heart Pm Ventricular (33207) | $17,773.24 | $23,697.65 | 1.7× |
| Insert hepatic shunt (tips) (37182) | $12,980.48 | $17,307.30 | 0.7× |
| Insert non-tunnel cv cath (36556) | $777.88 | $1,037.18 | 0.2× |
| Insert Pacing Lead & Connect (33224) | $21,646.45 | $28,861.93 | 2.0× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $1,246.11 | $1,661.48 | 0.8× |
| Insert pulse gen dual leads (33213) | $20,421.16 | $27,228.22 | 1.9× |
| Insert pulse gen mult leads (33221) | $39,050.54 | $52,067.38 | 2.0× |
| Insert Pulse Gen Sngl Lead (33212) unusually low: confirm this is the full procedure |
$2,801.28 | $3,735.04 | 0.3× |
| Insert Temp Bladder Cath (51702) | $394.78 | $526.38 | 2.9× |
| Insert tun ip cath perc (49418) | $2,803.12 | $3,737.50 | 0.8× |
| Insert tunneled cv cath (36561) | $1,863.06 | $2,484.08 | 0.6× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) likely a partial charge, not the full procedure |
$1,181.33 | $1,575.11 | 0.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $233.01 | $310.68 | 1.7× |
| Insertion indwelling tunneled pleural catheter (32550) | $2,152.44 | $2,869.92 | 0.6× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $1,519.43 | $2,025.91 | 1.0× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $16,204.61 | $21,606.15 | 1.9× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) | $2,822.19 | $3,762.92 | 0.8× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $16,368.08 | $21,824.10 | 2.0× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $1,531.82 | $2,042.42 | 0.5× |
| Insj Picc Rs&I <5 Yr (36572) | $1,879.40 | $2,505.87 | 3.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $1,681.93 | $2,242.57 | 0.5× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) | $1,850.23 | $2,466.97 | 0.6× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $1,678.17 | $2,237.56 | 1.1× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) | $1,279.43 | $1,705.91 | 0.4× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $1,444.69 | $1,926.25 | 0.5× |
| Insj/Rplcmt Defib W/Lead(S) (33249) | $68,498.96 | $91,331.94 | 2.2× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $16,307.18 | $21,742.90 | 1.9× |
| Insrt heart pm atrial & vent (33208) | $19,413.85 | $25,885.13 | 1.8× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) | $885.02 | $1,180.02 | 0.6× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $584.13 | $778.84 | 1.4× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $584.13 | $778.84 | 1.4× |
| Intraoral i&d tongue/floor submndblr space (41008) | $4,741.53 | $6,322.04 | 1.4× |
| Intro cath dialysis circuit (36901) | $3,104.02 | $4,138.69 | 1.9× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $11,261.30 | $15,015.07 | 1.0× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $7,140.84 | $9,521.12 | 1.2× |
| Intro Gastrointestinal Tube (44500) | $501.89 | $669.19 | 0.5× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$339.52–$341.54 | $452.69–$455.39 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $448.16 | $597.55 | 1.8× |
| Laryngoscopy flexible diagnostic (31575) | $663.82 | $885.09 | 3.3× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) | $747.30 | $996.40 | 1.9× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) | $280.51 | $374.01 | 0.4× |
| Marsupialization of bartholin's gland cyst (56440) | $368.62 | $491.50 | 0.1× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) | $711.74 | $948.99 | 0.4× |
| Mech remov tunneled cv cath (36595) | $647.19 | $862.92 | 0.2× |
| Medial Canthopexy Separate Procedure (21280) | $412.89 | $550.52 | 0.1× |
| Myelography Lumbar Injection (62305) | $1,226.06 | $1,634.74 | 1.5× |
| Myelography Lumbar Injection (62304) | $1,131.07 | $1,508.09 | 1.4× |
| Myelography via lumbar injection rs&i cervical (62302) | $1,000.72 | $1,334.29 | 1.3× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $1,094.60 | $1,459.47 | 1.4× |
| N Block Inj Celiac Pelus (64530) | $517.78 | $690.38 | 0.6× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $1,012.50 | $1,350 | 1.4× |
| N block inj intercost sng (64420) | $493.38 | $657.84 | 0.7× |
| N Block Inj Paracervical (64435) | $1,012.50 | $1,350 | 1.4× |
| N Block Lumbar/Thoracic (64520) | $732.12 | $976.16 | 0.8× |
| Nasal/Orogastric W/Tube Plmt (43752) | $444.52 | $592.70 | 1.0× |
| 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 |
$502.72–$1,005.44 | $670.29–$1,340.58 | varies |
| Needle Biopsy Pancreas (48102) | $982.78 | $1,310.37 | 0.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $32.37 | $43.16 | 1.1× |
| Needle insertion w/o injection 3 or more muscles (20561) range across 2 matching MRF lines |
$39.98–$45.31 | $53.31–$60.41 | varies |
| Nfct ds bact&fng gram neg org id & rx resist DNA (0142U) | $894.93 | $1,193.24 | 5.7× |
| Nfct ds bact&fng gram pos org id & rx resist DNA (0141U) range across 2 matching MRF lines |
$854.52–$1,022.88 | $1,139.36–$1,363.84 | varies |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $314.98 | $419.97 | 0.8× |
| Nfct ds fungal pathogen id DNA 15 fungal targets (0140U) | $894.93 | $1,193.24 | 5.7× |
| Njx anes stellate ganglion crv sympathetic (64510) | $646.98 | $862.64 | 0.7× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $431.58 | $575.44 | 1.4× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $586.93 | $782.57 | 0.2× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $1,203.13 | $1,604.17 | 0.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$1,079.58–$2,159.29 | $1,439.44–$2,879.05 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $951.74 | $1,268.99 | 1.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $984.96 | $1,313.28 | 1.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,044.44 | $1,392.58 | 1.5× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) range across 2 matching MRF lines |
$567.37–$1,134.74 | $756.49–$1,512.99 | varies |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) range across 2 matching MRF lines |
$1,100.96–$2,201.92 | $1,467.94–$2,935.89 | varies |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) | $1,039.68 | $1,386.24 | 2.5× |
| Obstructive material removal from gi tube (49460) | $471.58 | $628.77 | 0.5× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$302.89–$605.77 | $403.85–$807.69 | varies |
| Open/Perq Place Stent 1St (37236) | $13,594.82 | $18,126.43 | 1.2× |
| Open/Perq Place Stent Same (37238) | $9,103.28 | $12,137.71 | 0.8× |
| Perc Cryo Ablate Renal Tum (50593) | $6,080.06 | $8,106.74 | 0.6× |
| Perc Rf Ablate Renal Tumor (50592) | $6,199.42 | $8,265.89 | 1.0× |
| Percut Ablate Liver Rf (47382) | $4,843.44 | $6,457.92 | 0.8× |
| Percut Cath Occlusn Non Cns Lesn (61626) likely a partial charge, not the full procedure |
$2,353.96 | $3,138.62 | 0.2× |
| Percut Drain/Inject Renal Cyst (50390) range across 2 matching MRF lines |
$870.82–$1,741.63 | $1,161.09–$2,322.17 | varies |
| Percut Mech Thrombectomy, Venous, Repeat (37188) range across 2 matching MRF lines |
$2,758.27–$5,516.53 | $3,677.69–$7,355.37 | varies |
| Pericardiocentesis W/Imaging (33016) | $1,798.97 | $2,398.63 | 1.1× |
| Peritoneal Lavage (49084) | $639.88 | $853.17 | 0.7× |
| Perm Occlusion/Embolization,Percut,Cns (61624) likely a partial charge, not the full procedure |
$3,263.39 | $4,351.19 | 0.2× |
| Perq Cervicothoracic Inject (22510) | $4,301.56 | $5,735.42 | 1.3× |
| Perq dev breast 1st strtctc (19283) | $868.75 | $1,158.33 | 1.2× |
| Perq dev breast 1st us imag (19285) | $755.63 | $1,007.51 | 1.1× |
| Perq device breast 1st imag (19281) | $742.71 | $990.28 | 0.4× |
| Perq Lumbosacral Injection (22511) | $4,520.66 | $6,027.54 | 1.4× |
| 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 | $34,497.57 | 1.4× |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) | $34,606.72 | $46,142.30 | 3.0× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) range across 3 matching MRF lines |
$5,318.07–$10,636.13 | $7,090.76–$14,181.51 | varies |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $937.16 | $1,249.54 | 1.3× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $6,736.39 | $8,981.85 | 0.6× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $5,417.80 | $7,223.74 | 0.9× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $8,633.20 | $11,510.94 | 1.2× |
| Perq Vertebral Augmentation (22513) | $8,516.70 | $11,355.60 | 1.2× |
| Photopheresis extracorporeal (36522) | $8,166.38 | $10,888.50 | 1.9× |
| Place Cath Subclavian Art (36225) range across 2 matching MRF lines |
$3,867.36–$5,369 | $5,156.48–$7,158.67 | varies |
| Place Cath Thoracic Aorta (36221) | $3,098.63 | $4,131.51 | 1.0× |
| Place Cath Vertebral Art (36226) range across 2 matching MRF lines |
$3,657.04–$7,314.10 | $4,876.06–$9,752.13 | varies |
| Place Duod/Jej Tube Perc (49441) | $1,607.02 | $2,142.70 | 0.8× |
| Placement of needle for intraosseous infusion (36680) | $496.68 | $662.24 | 1.1× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) likely a partial charge, not the full procedure |
$575.91 | $767.88 | 0.1× |
| Plmt Bile Duct Stent Prq Existing Access (47538) | $4,609.46 | $6,145.94 | 0.8× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) | $3,505.28 | $4,673.71 | 0.6× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) | $6,168.40 | $8,224.54 | 1.0× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 2 matching MRF lines |
$2,287.59–$4,575.18 | $3,050.12–$6,100.24 | varies |
| Plmt Nephroureteral Catheter (50433) range across 2 matching MRF lines |
$2,886.82–$5,773.63 | $3,849.09–$7,698.17 | varies |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) range across 2 matching MRF lines |
$3,327.81–$6,655.61 | $4,437.08–$8,874.15 | varies |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) range across 2 matching MRF lines |
$2,820.98–$5,641.96 | $3,761.31–$7,522.62 | varies |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) range across 2 matching MRF lines |
$3,164.81–$6,329.63 | $4,219.75–$8,439.51 | varies |
| Prim art mech thrombectomy (37184) range across 2 matching MRF lines |
$2,873.90–$5,624.80 | $3,831.86–$7,499.73 | varies |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) | $863.61 | $1,151.48 | 0.3× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $1,374.44 | $1,832.58 | 1.9× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $2,350.89 | $3,134.52 | 0.6× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $2,429.66 | $3,239.54 | 0.7× |
| Pseudoaneurysm Injection Trt (36002) range across 2 matching MRF lines |
$451.18–$902.37 | $601.58–$1,203.16 | varies |
| Punch biopsy skin single lesion (11104) | $385.15 | $513.53 | 0.9× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$412.18–$431.61 | $549.58–$575.48 | varies |
| Puncture Aspiration Cyst Breast (19000) | $411.86 | $549.15 | 0.6× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $360.42 | $480.56 | 0.5× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) | $296.36 | $395.14 | 0.4× |
| Redo Endovas Vena Cava Filtr (37192) | $2,234.08 | $2,978.78 | 0.7× |
| Relocation Pocket Pacemaker (33222) | $3,482.87 | $4,643.83 | 1.7× |
| Rem Endovas Vena Cava Filter (37193) | $3,648.46 | $4,864.61 | 1.1× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $628.68 | $838.24 | 0.7× |
| Removal Embedded Foreign Body Eyelid (67938) | $412.89 | $550.52 | 1.3× |
| Removal Foreign Body Foot Complicated (28193) | $296.36 | $395.14 | 0.2× |
| Removal foreign body foot deep (28192) | $863.61 | $1,151.48 | 0.5× |
| Removal Foreign Body Foot Subcutaneous (28190) | $760.09 | $1,013.45 | 1.1× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $2,368.87 | $3,158.49 | 1.4× |
| Removal Foreign Body Pelvis/Hip Deep (27087) | $863.61 | $1,151.48 | 0.3× |
| Removal foreign body upper arm/elbow deep (24201) | $863.61 | $1,151.48 | 0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$113.02–$226.05 | $150.70–$301.40 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$76.64–$153.29 | $102.19–$204.39 | varies |
| Removal impacted vag fb spx w/anes oth/thn local (57415) | $863.61 | $1,151.48 | 0.3× |
| Removal of foreign body from pharynx (42809) | $296.36 | $395.14 | 0.7× |
| Removal of nail bed (11750) | $584.13 | $778.84 | 1.4× |
| Removal of tunneled intraperitoneal catheter (49422) | $2,220.74 | $2,960.98 | 0.7× |
| Removal Pacemaker Electrode (33235) | $6,344.92 | $8,459.89 | 1.7× |
| Removal ppm generator only (33233) | $16,307.18 | $21,742.90 | 1.9× |
| Removal shoulder foreign body deep subfascial/im (23333) | $863.61 | $1,151.48 | 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) | $1,259.37 | $1,679.16 | 1.8× |
| Remove brain canal fluid (61050) | $527.63 | $703.51 | 1.7× |
| Remove drug implant device (11982) | $312.60 | $416.80 | 0.7× |
| Remove Elctrd Transvenously (33244) | $6,368.61 | $8,491.48 | 1.7× |
| Remove Forearm Foreign Body (25248) | $863.61 | $1,151.48 | 0.5× |
| Remove foreign body from eye (65205) | $412.89 | $550.52 | 3.1× |
| Remove Intrauterine Device (58301) | $444.74 | $592.99 | 1.4× |
| Remove intrvas foreign body (37197) | $4,682.38 | $6,243.17 | 1.5× |
| Remove lung catheter (32552) | $237.22 | $316.29 | 0.4× |
| Remove Nasal Foreign Body (30300) | $412.89 | $550.52 | 3.1× |
| Remove Pulse Generator (33241) | $6,368.61 | $8,491.48 | 1.7× |
| Remove renal tube w/fluoro (50389) range across 2 matching MRF lines |
$626.47–$1,252.93 | $835.29–$1,670.57 | varies |
| Remove Shoulder Foreign Body (23330) | $863.61 | $1,151.48 | 0.5× |
| Remove ureter stent percut (50384) | $1,889.12 | $2,518.83 | 0.9× |
| Remove&replace pm gen singl (33227) | $16,307.18 | $21,742.90 | 1.9× |
| Remove/Insert Drug Implant (11983) | $312.60 | $416.80 | 0.7× |
| Remv&replc cvd gen dual lead (33263) | $46,067.13 | $61,422.84 | 2.0× |
| Remv&replc cvd gen mult lead (33264) | $65,801.14 | $87,734.85 | 2.1× |
| Remv&replc cvd gen sing lead (33262) | $44,021.38 | $58,695.18 | 2.0× |
| Remv&replc pm gen dual lead (33228) | $21,565.93 | $28,754.57 | 2.0× |
| Remv&replc pm gen mult leads (33229) | $39,050.56 | $52,067.42 | 2.0× |
| Renal Biopsy Perq (50200) range across 2 matching MRF lines |
$721.96–$1,443.92 | $962.61–$1,925.22 | varies |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $894.96 | $1,193.28 | 1.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $894.96 | $1,193.28 | 1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $584.13 | $778.84 | 1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $894.96 | $1,193.28 | 2.2× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $894.96 | $1,193.28 | 2.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $894.96 | $1,193.28 | 2.2× |
| Repair complex trunk 1.1-2.5 cm (13100) | $894.96 | $1,193.28 | 1.2× |
| Repair complex trunk 2.6-7.5 cm (13101) | $894.96 | $1,193.28 | 1.2× |
| Repair extensor tendon finger w/o graft each (26418) | $2,339.88 | $3,119.84 | 1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $296.36 | $395.14 | 0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $584.13 | $778.84 | 1.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $584.13 | $778.84 | 1.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $584.13 | $778.84 | 1.4× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $584.13 | $778.84 | 1.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $894.96 | $1,193.28 | 1.2× |
| 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) | $584.13 | $778.84 | 1.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $894.96 | $1,193.28 | 1.2× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $296.36 | $395.14 | 0.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $584.13 | $778.84 | 1.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $584.13 | $778.84 | 1.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $707.91 | $943.88 | 1.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $894.96 | $1,193.28 | 1.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $584.13 | $778.84 | 1.4× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $2,674.42 | $3,565.90 | 1.3× |
| Repair Laceration Palate >2 Cm/Complex (42182) likely a partial charge, not the full procedure |
$863.61 | $1,151.48 | 0.1× |
| Repair lead pace-defib dual (33220) | $6,008.11 | $8,010.81 | 1.6× |
| Repair Lead Pace-Defib One (33218) | $6,368.61 | $8,491.48 | 1.7× |
| Repair of nail bed (11760) | $894.96 | $1,193.28 | 1.2× |
| Repair tongue laceration (41252) | $339.52 | $452.69 | 1.4× |
| Repair tongue laceration (41250) | $583.42 | $777.89 | 1.3× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $920.41 | $1,227.21 | 1.0× |
| Replace G-J Tube Perc (49452) | $1,384.44 | $1,845.92 | 1.5× |
| Replace g/c tube perc (49450) | $1,034.52 | $1,379.36 | 1.1× |
| Reposition Gastrostomy Tube (43761) | $394.04 | $525.38 | 1.6× |
| Reposition L Ventric Lead (33226) | $5,802.29 | $7,736.39 | 1.8× |
| Reposition Pacing-Defib Lead (33215) | $5,514.80 | $7,353.06 | 1.7× |
| Reposition Venous Catheter (36597) | $790.48 | $1,053.98 | 0.5× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) | $9,688.44 | $12,917.92 | 1.7× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) range across 2 matching MRF lines |
$1,588.52–$3,177.03 | $2,118.02–$4,236.04 | varies |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) | $412.89 | $550.52 | 0.3× |
| Rmvl embedded fb vestibule mouth comp (40805) | $412.89 | $550.52 | 0.8× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $412.89 | $550.52 | 0.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $412.89 | $550.52 | 0.9× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $412.89 | $550.52 | 3.1× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $296.36 | $395.14 | 0.7× |
| Rmvl fecal impaction/fb spx under anes (45915) | $393.64 | $524.85 | 0.3× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $863.61 | $1,151.48 | 0.3× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) | $863.61 | $1,151.48 | 0.3× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $412.89 | $550.52 | 0.2× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) | $1,434.96 | $1,913.28 | 0.7× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $6,368.61 | $8,491.48 | 1.7× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $1,283.28 | $1,711.04 | 0.8× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $687.61 | $916.81 | 1.1× |
| Rplc Gtube No Revj Trc (43762) | $160.70 | $214.27 | 0.6× |
| Rplc gtube revj gstrst trc (43763) | $160.70 | $214.27 | 0.6× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $1,219.93 | $1,626.57 | 0.8× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $1,134.40 | $1,512.53 | 0.7× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $1,793.18 | $2,390.91 | 0.6× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $1,795.84 | $2,394.45 | 0.6× |
| Rpr blood vessel direct lower extremity (35226) | $412.89 | $550.52 | 0.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $290.51 | $387.35 | 1.4× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $296.36 | $395.14 | 0.4× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $339.52 | $452.69 | 1.4× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $749.81 | $999.75 | 1.4× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $744.55 | $992.73 | 1.4× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $2,165.70 | $2,887.60 | 1.4× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $4,743.78 | $6,325.04 | 1.4× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $529.46 | $705.94 | 0.8× |
| Sclerotx Fluid Collection (49185) | $1,627.14 | $2,169.52 | 1.0× |
| Sigmoidoscopy w/fb removal (45332) | $296.36 | $395.14 | 0.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $584.13 | $778.84 | 1.4× |
| 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) | $274.19 | $365.59 | 1.3× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $584.13 | $778.84 | 1.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $290.51 | $387.35 | 1.4× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $290.51 | $387.35 | 1.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $322.79 | $430.38 | 1.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $290.51 | $387.35 | 1.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $290.51 | $387.35 | 1.4× |
| Skin sub graft face/nk/hf/g (15275) | $2,003.30 | $2,671.07 | 2.7× |
| 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 |
$290.51–$433.15 | $387.35–$577.53 | varies |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) range across 2 matching MRF lines |
$4,847.53–$6,729.70 | $6,463.37–$8,972.93 | varies |
| Slctv cath carotid/innom art angio xtrcranl art (36222) range across 2 matching MRF lines |
$3,701.09–$7,402.19 | $4,934.79–$9,869.59 | varies |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) range across 2 matching MRF lines |
$6,612.80–$13,225.59 | $8,817.06–$17,634.12 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $322.79 | $430.38 | 1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $584.13 | $778.84 | 1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $584.13 | $778.84 | 1.4× |
| Spinal puncture lumbar diagnostic (62270) | $562.50 | $750 | 0.8× |
| Strapping ankle (29540) | $240.81 | $321.08 | 1.5× |
| Strapping elbow or wrist (29260) | $412.89 | $550.52 | 6.9× |
| Strapping hand/finger (29280) | $412.89 | $550.52 | 6.9× |
| Strapping Hip (29520) | $412.89 | $550.52 | 3.1× |
| Strapping knee (29530) | $412.89 | $550.52 | 3.1× |
| Strapping shoulder (29240) | $412.89 | $550.52 | 3.1× |
| Strapping toes (29550) | $412.89 | $550.52 | 6.9× |
| Strapping Unna Boot (29580) range across 3 matching MRF lines |
$141.09–$492.20 | $188.12–$656.27 | varies |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) likely a partial charge, not the full procedure |
$6,314.30 | $8,419.06 | 0.2× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) | $29,832.29 | $39,776.39 | 1.5× |
| Tcat Rmvl Perm Ldls Pm (33275) | $4,519.34 | $6,025.78 | 1.4× |
| Thaw preserved stem cells (38208) | $5,289.79 | $7,053.05 | 11.8× |
| Ther Apheresis,Red Blood Cells (36512) | $4,701.03 | $6,268.04 | 3.0× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $520.82 | $694.43 | 0.7× |
| Therapeutic Apheresis White Blood Cells (36511) | $4,154.04 | $5,538.72 | 2.6× |
| Therapeutic plasma exchange (36514) | $5,757.86 | $7,677.15 | 3.7× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $14,357.92 | $19,143.90 | 0.8× |
| Thromblytic art/ven therapy (37213) | $3,735.38 | $4,980.51 | 1.2× |
| Thrombolytic Art Therapy (37211) range across 2 matching MRF lines |
$2,817.97–$5,708.30 | $3,757.29–$7,611.07 | varies |
| Thrombolytic Therapy Stroke (37195) | $484.94 | $646.59 | 1.5× |
| Thrombolytic Venous Therapy (37212) range across 2 matching MRF lines |
$2,669.06–$5,338.11 | $3,558.74–$7,117.48 | varies |
| Tprnl Plmt Biodegrdabl Matrl (55874) likely a partial charge, not the full procedure |
$393.11 | $524.15 | 0.1× |
| Transcatheter biopsy (37200) likely a partial charge, not the full procedure |
$1,164.83 | $1,553.11 | 0.2× |
| Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) range across 2 matching MRF lines |
$2,962.28–$5,924.54 | $3,949.70–$7,899.39 | varies |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) | $9,290.60 | $12,387.47 | 1.7× |
| Treat Dental Ridge Fracture (21440) | $863.61 | $1,151.48 | 0.3× |
| Treat Hip Socket Fracture (27222) | $863.61 | $1,151.48 | 3.5× |
| Treat humerus fracture (24500) | $412.89 | $550.52 | 1.7× |
| Treat Humerus Fracture (24505) | $863.61 | $1,151.48 | 0.5× |
| Treat humerus fracture (23600) | $412.89 | $550.52 | 1.7× |
| Treat knee fracture (27532) | $863.61 | $1,151.48 | 0.3× |
| Treat Knee Fracture(S) (27538) | $412.89 | $550.52 | 1.7× |
| Treat Knuckle Dislocation (26700) | $412.89 | $550.52 | 1.7× |
| Treat Metatarsal Fracture (28475) | $412.89 | $550.52 | 1.7× |
| Treat Tail Bone Fracture (27200) | $412.89 | $550.52 | 1.7× |
| Treat Thumb Dislocation (26641) | $412.89 | $550.52 | 1.7× |
| Treat Thumb Fracture (26645) | $863.61 | $1,151.48 | 0.5× |
| Treat toe dislocation (28630) | $412.89 | $550.52 | 1.7× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $863.61 | $1,151.48 | 0.5× |
| Treatment closed elbow dislocation w/o anes (24600) | $412.89 | $550.52 | 1.7× |
| Trim skin lesion (11055) | $309.46 | $412.62 | 1.5× |
| Trim skin lesions 2 to 4 (11056) | $583.86 | $778.48 | 2.9× |
| Trimming Nondystrophic Nails Any Number (11719) | $148.42 | $197.89 | 2.5× |
| Trluml Balo Angiop 1St Art (37246) | $4,061.49 | $5,415.32 | 0.7× |
| Trluml Balo Angiop 1St Vein (37248) | $4,921.30 | $6,561.73 | 0.9× |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) | $4,960.82 | $6,614.43 | 11.1× |
| Trnspl Prepj Hematop Progen Concentration Plsm (38215) | $9,342.06 | $12,456.08 | 20.9× |
| Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) | $7,194.08 | $9,592.10 | 16.1× |
| Trnsplj allogeneic hematopoietic cells per donor (38240) range across 2 matching MRF lines |
$6,928.26–$7,098.86 | $9,237.68–$9,465.14 | varies |
| Trnsplj autologous hematopoietic cells per donor (38241) | $5,349.70 | $7,132.93 | 3.4× |
| Trnsplj Hematopoietic Cell Boost (38243) | $1,388.35 | $1,851.13 | 0.9× |
| Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) | $4,483.62 | $5,978.16 | 2.5× |
| Tx Gastro Intub W/Asp (43753) | $658.40 | $877.86 | 3.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $894.96 | $1,193.28 | 1.2× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) | $412.89 | $550.52 | 0.3× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $412.89 | $550.52 | 1.7× |
| Unlisted Cardiac Surgery (33999) range across 2 matching MRF lines |
$38,618.05–$40,753.75 | $51,490.73–$54,338.34 | varies |
| Unlisted Procedure Casting/Strapping (29799) range across 6 matching MRF lines |
$138.07–$257.85 | $184.09–$343.80 | varies |
| Unlisted procedure nervous system (64999) range across 9 matching MRF lines |
$470.71–$1,658.89 | $627.61–$2,211.85 | varies |
| Unlisted Procedure Rectum (45999) | $296.36 | $395.14 | 0.3× |
| Unlisted procedure stomach (43999) | $6,676.53 | $8,902.04 | 7.3× |
| Unlisted Procedure Trachea Bronchi (31899) | $693.21 | $924.28 | 3.4× |
| Unlisted Procedure Vascular Surgery (37799) range across 2 matching MRF lines |
$148.28–$6,676.53 | $197.71–$8,902.04 | varies |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $615.55 | $820.73 | 0.7× |
| Upgrade of pacemaker system (33214) | $21,565.93 | $28,754.57 | 2.0× |
| Vasc embolize/occlude artery (37242) | $14,224.40 | $18,965.86 | 0.8× |
| Vasc Embolize/Occlude Bleed (37244) | $11,630.02 | $15,506.70 | 1.0× |
| Vasc Embolize/Occlude Organ (37243) | $7,905.46 | $10,540.62 | 0.7× |
| Vasc embolize/occlude venous (37241) | $9,976.66 | $13,302.21 | 0.9× |
| Venous Mech Thrombectomy (37187) likely a partial charge, not the full procedure |
$3,245.20 | $4,326.94 | 0.3× |
| Wedge excision skin nail fold (11765) | $584.13 | $778.84 | 1.4× |
| Xtrnl fixj w/strtctc adjustment exchange strut (20697) | $3,850.42 | $5,133.90 | 2.4× |
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.