Procedures & surgery prices at Iowa Specialty Hospital - Belmond

Belmond, IA · every code in this section with a posted price and a Medicare benchmark.

1152 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines		 $588.60–$1,047.60 $981–$1,746 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $373.80–$400.20 $623–$667 varies
Abdomen Surgery Procedure (22999) $324.60 $541 1.4×
Ablate inf turbinate submuc (30802)
range across 2 matching MRF lines		 $521.40–$558.60 $869–$931 varies
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801)
range across 2 matching MRF lines		 $396–$415.20 $660–$692 varies
Acne surgery (10040) $142.80 $238 0.7×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $1,197 $1,995 0.6×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)
range across 2 matching MRF lines		 $1,426.80–$1,521.60 $2,378–$2,536 varies
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020)
range across 2 matching MRF lines		 $1,056–$1,321.80 $1,760–$2,203 varies
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $1,332 $2,220 0.4×
Amputation foot transmetarsal (28805) $998.40 $1,664 0.3×
Amputation metatarsal with toe single (28810) $808.20 $1,347 0.3×
Amputation toe interphalangeal joint (28825)
range across 2 matching MRF lines		 $1,008–$4,980 $1,680–$8,300 varies
Amputation toe metatarsophalangeal joint (28820) $1,055.40 $1,759 0.3×
Anal/Urinary Muscle Study (51784) $70.80 $118 0.6×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $165.60–$345 $276–$575 varies
Anoscopy remove lesion (46610) $4,200 $7,000 1.6×
Anoscopy W/Rmvl Foreign Body (46608) $2,700 $4,500 3.0×
Anoscopy; with biopsy, single or multiple (46606) $4,530 $7,550 3.9×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $199.20 $332 0.1×
Anterior colporraphy rpr cystocele w/cysto (57240) $1,752 $2,920 0.4×
Apheresis Platelets (36513) $235.20 $392 0.6×
Appendectomy (44950)
likely a partial charge, not the full procedure		 $979.20 $1,632 0.2×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $178.80 $298 1.1×
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines		 $165.60–$177.60 $276–$296 varies
Application Cast Finger (29086) $142.80 $238 0.9×
Application finger splint static (29130) $88.80 $148 0.7×
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $143.40–$330 $239–$550 varies
Application Long Leg Cast Brace (29358) $301.80 $503 1.1×
Application Long Leg Splint (29505) $111 $185 0.7×
Application multiplane external fixation system (20692)
likely a partial charge, not the full procedure		 $2,167.20 $3,612 0.2×
Application of cylinder cast (thigh to ankle) (29365) $244.80 $408 0.9×
Application of long leg cast (29345) $255.60 $426 1.0×
Application of rigid total contact leg cast (29445) $256.20 $427 1.0×
Application Patellar Tendon Bearing Cast (29435) $214.80 $358 0.8×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $143.40–$153.60 $239–$256 varies
Application short leg splint calf foot (29515) $121.20 $202 0.8×
Apply hand/wrist cast (29085) $178.80 $298 1.1×
Apply long arm cast (29065)
range across 2 matching MRF lines		 $225–$241.20 $375–$402 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 4 matching MRF lines		 $174.60–$436.20 $291–$727 varies
Apply Short Leg Cast (29405)
range across 2 matching MRF lines		 $168.60–$180.60 $281–$301 varies
Apply short leg cast (29425) $185.40 $309 0.7×
Arterial puncture (36600) $79.20 $132 0.6×
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551)
likely a partial charge, not the full procedure		 $3,398.40 $5,664 0.3×
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554)
likely a partial charge, not the full procedure		 $2,385.60 $3,976 0.2×
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735)
likely a partial charge, not the full procedure		 $1,110 $1,850 0.1×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure		 $1,380 $2,300 0.1×
Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760)
likely a partial charge, not the full procedure		 $1,419.60 $2,366 0.2×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $136.20–$796.20 $227–$1,327 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $157.20 $262 0.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $138–$865.20 $230–$1,442 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $183 $305 0.6×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $121.20–$723 $202–$1,205 varies
Arthrodesis ankle open (27870)
likely a partial charge, not the full procedure		 $2,030.40 $3,384 0.2×
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure		 $948.60 $1,581 0.1×
Arthrodesis great toe metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure		 $1,525.80 $2,543 0.2×
Arthrodesis knee any technique (27580)
likely a partial charge, not the full procedure		 $2,791.80 $4,653 0.2×
Arthrodesis Pantalar (28705)
likely a partial charge, not the full procedure		 $2,287.20 $3,812 0.1×
Arthrodesis Posterior Interbody Lumbar (22630)
likely a partial charge, not the full procedure		 $2,947.20 $4,912 0.1×
Arthrodesis Posterior/Posterolateral Lumbar (22612)
likely a partial charge, not the full procedure		 $3,649.80 $6,083 0.2×
Arthrodesis Posterior/Posterolateral Thoracic (22610)
likely a partial charge, not the full procedure		 $2,424 $4,040 0.1×
Arthrodesis subtalar (28725)
likely a partial charge, not the full procedure		 $1,477.20 $2,462 0.1×
Arthrodesis triple (28715)
likely a partial charge, not the full procedure		 $1,770 $2,950 0.1×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
likely a partial charge, not the full procedure		 $3,053.40 $5,089 0.1×
Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for… (22533)
likely a partial charge, not the full procedure		 $3,151.20 $5,252 0.2×
Arthroplasty ankle revision total ankle (27703)
likely a partial charge, not the full procedure		 $2,144.40 $3,574 0.1×
Arthroplasty Ankle W/Implant (27702)
likely a partial charge, not the full procedure		 $1,720.80 $2,868 0.1×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $1,575.60 $2,626 0.5×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $1,047.60 $1,746 0.3×
Arthroscopy Ankle Surgical Debridement Limited (29897) $929.40 $1,549 0.3×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $872.40 $1,454 0.3×
Arthroscopy knee synovectomy limited spx (29875) $922.80 $1,538 0.3×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $1,120.20 $1,867 0.4×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $889.20 $1,482 0.3×
Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866)
likely a partial charge, not the full procedure		 $1,898.40 $3,164 0.3×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $1,540.80 $2,568 0.5×
Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) $1,068 $1,780 0.3×
Arthrotomy ankle w/expl drainage/removal fb (27610) $1,286.40 $2,144 0.4×
Arthrotomy Glenohumeral Joint W/Biopsy (23100) $965.40 $1,609 0.3×
Arthrotomy W/Synovectomy Ankle (27625) $1,144.80 $1,908 0.4×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $1,229.40 $2,049 0.4×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $1,204.20 $2,007 0.4×
Arthrs knee debridement/shaving artclr crtlg (29877) $2,014.80 $3,358 0.6×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $2,821.20 $4,702 0.9×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $888 $1,480 0.3×
Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) $1,032 $1,720 0.3×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024)
range across 2 matching MRF lines		 $879–$942 $1,465–$1,570 varies
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $908.40 $1,514 0.3×
Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) $1,059.60 $1,766 0.3×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $64.20–$451.20 $107–$752 varies
Aspirate Pleura W/O Imaging (32554) $363.60 $606 0.6×
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $167.40–$179.40 $279–$299 varies
Aspiration bladder insert suprapubic catheter (51102) $561 $935 0.3×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $222.60–$238.80 $371–$398 varies
Biopsy bone open superficial (20240) $289.20 $482 0.1×
Biopsy bone trocar/needle deep (20225) $966.60 $1,611 0.6×
Biopsy Bone Trocar/Needle Superficial (20220) $460.80 $768 0.3×
Biopsy External Auditory Canal (69105)
range across 2 matching MRF lines		 $256.20–$274.20 $427–$457 varies
Biopsy external ear (69100) $182.40 $304 0.8×
Biopsy nail unit (11755) $226.80 $378 0.3×
Biopsy of breast; open, incisional (19101) $630.60 $1,051 0.2×
Biopsy of floor of mouth (41108) $277.20 $462 0.2×
Biopsy of lip (40490)
range across 2 matching MRF lines		 $172.80–$185.40 $288–$309 varies
Biopsy of palate, uvula (42100) $282 $470 0.2×
Biopsy of penis (54100) $349.20 $582 0.2×
Biopsy of rectum (45100) $595.20 $992 0.2×
Biopsy Oropharynx (42800) $302.40 $504 0.2×
Biopsy Prostate Any Approach Nonimaging-Guided (55705)
range across 2 matching MRF lines		 $496.20–$2,190 $827–$3,650 varies
Biopsy Prostate Transrectal Ultrasound-Guided (55707)
range across 2 matching MRF lines		 $638.40–$2,190 $1,064–$3,650 varies
Biopsy soft tissue back/flank deep (21925) $822 $1,370 0.5×
Biopsy Tongue Anterior Two-Thirds (41100) $304.80 $508 0.6×
Biopsy Tongue Posterior One-Third (41105) $310.80 $518 0.1×
Biopsy Vaginal Mucosa Extensive (57105) $224.40 $374 0.1×
Biopsy Vaginal Mucosa Simple (57100) $213.60 $356 0.2×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $150 $250 0.2×
Biopsy, vestibule of mouth (40808)
range across 2 matching MRF lines		 $233.40–$250.20 $389–$417 varies
Biopsy/removal lymph nodes (38510) $2,103 $3,505 0.6×
Bladder instillation anticarcinogenic agent (51720) $160.80 $268 0.2×
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $135.60–$307.80 $226–$513 varies
Bladder Scan (51798)
range across 2 matching MRF lines		 $30–$145.80 $50–$243 varies
Blood Transfusion Service (36430)
range across 4 matching MRF lines		 $649.20–$1,047 $1,082–$1,745 varies
Bone Graft Any Donor Area Minor/Small (20900)
likely a partial charge, not the full procedure		 $769.20 $1,282 0.1×
Bone Marrow Harvest Autolog (38232) $370.20 $617 0.1×
Bronchoscopy W/Biopsy(S) (31625) $598.20 $997 0.3×
Bronchoscopy W/Removal Foreign Body (31635) $621.60 $1,036 0.4×
Bx breast 1st lesion mr imag (19085)
range across 2 matching MRF lines		 $1,148.40–$1,464 $1,914–$2,440 varies
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines		 $1,230–$2,595.60 $2,050–$4,326 varies
Bx Cervix (57500) $210 $350 0.2×
Bx/exc lymph node open deep axillary node (38525) $595.80 $993 0.2×
Bx/exc lymph node open superficial (38500) $643.20 $1,072 0.2×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $551.40 $919 0.2×
Capsular contracture release (23020) $1,308.60 $2,181 0.4×
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) $1,180.80 $1,968 0.8×
Carpal Tunnel Surgery (64721)
range across 2 matching MRF lines		 $1,209.60–$3,213.60 $2,016–$5,356 varies
Cautery Cervix Electro/Thermal (57510) $239.40 $399 0.1×
Cerclage cervix pregnancy vaginal (59320) $292.20 $487 0.1×
Cerv artific diskectomy (22856)
likely a partial charge, not the full procedure		 $3,261 $5,435 0.2×
Change Cystostomy Tube Complicated (51710) $432 $720 0.6×
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $177.60–$441 $296–$735 varies
Chemical Cautery Tissue (17250) $155.40 $259 0.8×
Chemodenerv 1 extremity 1-4 (64642)
range across 2 matching MRF lines		 $261.60–$280.20 $436–$467 varies
Chemodenerv Musc Migraine (64615)
range across 2 matching MRF lines		 $267–$286.20 $445–$477 varies
Chemodenerv musc neck dyston (64616)
range across 2 matching MRF lines		 $227.40–$243.60 $379–$406 varies
Chemodenervation of internal anal sphincter (46505) $534 $890 0.5×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $256.80 $428 0.9×
Chest tube placement (32551) $455.40 $759 0.3×
Circumcision 28 days or older (54161) $372 $620 0.2×
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines		 $341.40–$724.80 $569–$1,208 varies
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $162.60–$174 $271–$290 varies
Closed Rx Metacarpal Fx,Percut (26608) $1,051.20 $1,752 0.3×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $922.20 $1,537 3.9×
Closed Treatment Ulnar Styloid Fracture (25650) $444 $740 1.9×
Closed tx ankle dislocation w/o anesthesia (27840) $686.40 $1,144 2.9×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $643.80 $1,073 0.4×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $583.20 $972 2.5×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $1,002 $1,670 4.2×
Closed tx metatarsal fracture w/o manipulation (28470) $372.60 $621 1.6×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $283.80 $473 0.2×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $418.80 $698 0.1×
Closed tx patellar dislocation w/o anesthesia (27560) $757.20 $1,262 3.2×
Closed tx radial head/neck fx w/o manipulation (24650) $407.40 $679 1.7×
Closed tx radial shaft fracture w/manipulation (25505) $768.60 $1,281 0.5×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $352.20 $587 1.5×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,002.60 $1,671 0.6×
Closed tx radial&ulnar shaft fractures w/o man (25560) $458.40 $764 1.9×
Closed Tx Scapular Fracture W/O Manipulation (23570) $454.20 $757 1.9×
Closed tx septal&nose fx (21337) $748.20 $1,247 0.2×
Closed Tx Talus Fracture W/Manipulation (28435) $588.60 $981 0.4×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $162 $270 0.7×
Closed tx ulnar shaft fracture w/o manipulation (25530) $334.80 $558 1.4×
Clsd tx clavicular fracture w/o manipulation (23500) $433.20 $722 1.8×
Clsd tx shoulder dislc w/manipulation req anes (23655) $466.80 $778 0.3×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $466.20 $777 2.0×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $713.40 $1,189 0.5×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $326.40 $544 1.4×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $580.80 $968 2.4×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $621.60 $1,036 2.6×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $829.80 $1,383 0.5×
Cltx dstl fibular fx lat malls w/o manj (27786) $431.40 $719 1.8×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $279 $465 1.2×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $422.40 $704 1.8×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $1,005–$1,076.40 $1,675–$1,794 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $1,204.80 $2,008 0.8×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,351.80 $2,253 0.9×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $1,007.40 $1,679 4.2×
Cltx fx grt toe phlx/phlg w/manj (28495) $339 $565 1.4×
Cltx fx grt toe phlx/phlg w/o manj (28490) $259.80 $433 1.1×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $288 $480 1.2×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $231.60 $386 1.0×
Cltx hip dislocation traumatic req anesthesia (27252) $1,265.40 $2,109 0.8×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $297 $495 1.1×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $219.60 $366 0.9×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $712.80 $1,188 2.7×
Cltx iphal jt dislc w/manj w/o anes (26770) $194.40 $324 0.8×
Cltx Med Ankle Fx W/Mnpj (27762) $912 $1,520 0.6×
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines		 $467.40–$498 $779–$830 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $783.60 $1,306 0.5×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $630.60 $1,051 2.7×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $289.80 $483 1.2×
Cltx post hip arthrp dislc req anes (27266) $726.60 $1,211 0.5×
Cltx post hip arthrp dislc w/o anes (27265) $759 $1,265 3.2×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $745.20 $1,242 3.1×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $213.60 $356 0.9×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $807 $1,345 0.5×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,093.80 $1,823 0.7×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,189.20 $1,982 0.8×
Cltx tibial fx proximal w/o manipulation (27530) $579.60 $966 2.4×
Cltx trimalleolar ankle fx w/manipulation (27818) $918.60 $1,531 0.6×
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) $1,613.40 $2,689 0.3×
Coccygectomy, primary (27080) $892.80 $1,488 0.3×
Collect Blood From Catheter Venous Nos (36592) $180 $300 1.4×
Collection of venous blood by venipuncture (36415)
range across 4 matching MRF lines		 $2.40–$20.40 $4–$34 varies
Colonoscopy Flexible With Decompression (45393) $489 $815 0.4×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $777.60 $1,296 0.7×
Colonoscopy w/ablation (45388) $3,655.20 $6,092 3.2×
Colonoscopy W/Band Ligation (45398) $1,383.60 $2,306 1.2×
Colonoscopy w/fb removal (45379) $904.20 $1,507 0.8×
Colonoscopy W/Resection (45390) $680.40 $1,134 0.3×
Colonoscopy w/stent plcmt (45389)
likely a partial charge, not the full procedure		 $556.80 $928 0.1×
Colonoscopy w/submucosal inj (45381) $748.80 $1,248 0.7×
Colpocleisis (le fort type) (57120) $924.60 $1,541 0.2×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $525.60 $876 0.2×
Colpopexy extraperitoneal (57282)
likely a partial charge, not the full procedure		 $946.20 $1,577 0.1×
Colpopexy vaginal intraperitoneal approach (57283)
likely a partial charge, not the full procedure		 $868.80 $1,448 0.1×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $245.40 $409 0.8×
Colposcopy Cervix Endocervical Curettage (57456) $228 $380 0.8×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $228 $380 0.8×
Colposcopy cervix vag eltrd conization cervix (57461) $677.40 $1,129 0.2×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $561 $935 0.2×
Colposcopy entire vagina w/cervix if present (57420)
range across 2 matching MRF lines		 $256.20–$274.20 $427–$457 varies
Colposcopy of vulva (56820) $212.40 $354 1.1×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421)
range across 2 matching MRF lines		 $315–$337.20 $525–$562 varies
Colsc Flexible W/Control Bleeding Any Method (45382) $1,486.20 $2,477 1.3×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $1,202.40 $2,004 1.0×
Colsc flx w/removal lesion by hot bx forceps (45384) $809.40 $1,349 0.7×
Combined anteroposterior colporrhaphy; (57260) $1,449.60 $2,416 0.3×
Complex Cystometrogram (51726)
range across 2 matching MRF lines		 $277.80–$529.80 $463–$883 varies
Complex drainage wound (10180) $496.80 $828 0.2×
Conization cervix w/wo d&c rpr eltrd exc (57522) $405.60 $676 0.1×
Conization of cervix (57520) $630.60 $1,051 0.2×
Contour cranial bone lesion (21181)
likely a partial charge, not the full procedure		 $1,175.40 $1,959 0.2×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $411.60–$440.40 $686–$734 varies
Control Nasal Hemorrhage Anterior Simple (30901) $298.80 $498 2.3×
Control nose/throat bleeding (42972) $1,003.80 $1,673 0.3×
Correction hammertoe (28285) $1,015.80 $1,693 0.3×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $714 $1,190 0.2×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $1,801.20 $3,002 0.6×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
likely a partial charge, not the full procedure		 $1,980.60 $3,301 0.2×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
likely a partial charge, not the full procedure		 $1,635 $2,725 0.2×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $1,413 $2,355 0.4×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299)
likely a partial charge, not the full procedure		 $1,887 $3,145 0.3×
Create Eardrum Opening (69433)
range across 2 matching MRF lines		 $321.60–$344.40 $536–$574 varies
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $460.80 $768 3.6×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $708.60 $1,181 3.1×
Cysto Bladder W/Ureteral Catheterization (52005) $637.20 $1,062 0.3×
Cysto calibration dilat urtl strix/stenosis (52281) $525.60 $876 0.3×
Cysto w/complex removal stone & stent (52315) $847.20 $1,412 0.4×
Cysto w/destruction of lesions (52214) $1,143 $1,905 0.3×
Cysto w/insert ureteral stent (52332) $910.80 $1,518 0.3×
Cysto w/irrig & evac multple obstructing clots (52001) $672.60 $1,121 0.2×
Cysto w/removal of tumors small (52234) $462.60 $771 0.1×
Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) $540 $900 0.2×
Cysto W/Simple Removal Stone & Stent (52310) $466.20 $777 0.2×
Cysto w/ureter stricture tx (52341) $495.60 $826 0.1×
Cysto w/ureteroscopy w/lithotripsy (52353)
likely a partial charge, not the full procedure		 $761.40 $1,269 0.1×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $671.40 $1,119 0.2×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $582.60 $971 0.2×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
likely a partial charge, not the full procedure		 $643.80 $1,073 0.1×
Cysto/uretero w/lithotripsy (52356)
likely a partial charge, not the full procedure		 $788.40 $1,314 0.2×
Cystometrogram W/Up (51727) $411 $685 0.6×
Cystometrogram W/Vp (51728)
range across 2 matching MRF lines		 $198–$468 $330–$780 varies
Cystometrogram W/Vp&Up (51729)
range across 2 matching MRF lines		 $417–$535.20 $695–$892 varies
Cystoscopy implant stent (52282) $841.20 $1,402 0.2×
Cystostomy Cystotomy W/Drainage (51040) $556.20 $927 0.3×
Cystouretero w/renal strict (52346)
likely a partial charge, not the full procedure		 $885 $1,475 0.2×
Cystourethroscopy (52000) $350.40 $584 0.5×
Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325)
range across 2 matching MRF lines		 $610.20–$5,866.80 $1,017–$9,778 varies
Cystourethroscopy inj chemodenervation bladder (52287) $594.60 $991 0.3×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $559.20 $932 0.2×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240)
likely a partial charge, not the full procedure		 $718.20 $1,197 0.1×
Cystourethroscopy w/dil bladder general anesth (52260) $490.80 $818 0.2×
Cystourethroscopy with biopsy (52204) $714 $1,190 0.4×
Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) $470.40 $784 0.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $71.40–$289.20 $119–$482 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $1,089 $1,815 0.4×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $888.60 $1,481 1.3×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $1,209.60 $2,016 1.8×
Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) $1,554 $2,590 0.5×
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $766.80 $1,278 0.2×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $324.60–$435 $541–$725 varies
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $58.80–$63 $98–$105 varies
Debride nail 6 or more (11721)
range across 3 matching MRF lines		 $39–$83.40 $65–$139 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $571.20–$612 $952–$1,020 varies
Debridement Mastoidectomy Cavity Cmplx (69222) $400.20 $667 0.8×
Debridement Mastoidectomy Cavity Simple (69220)
range across 2 matching MRF lines		 $226.80–$243 $378–$405 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $361.20–$387 $602–$645 varies
Declot vascular device (36593) $574.20 $957 1.8×
Decomp forearm,1 compart,w/o debride (25020) $1,074.60 $1,791 0.7×
Decompress Fingers/Hand (26035) $1,608.60 $2,681 0.5×
Decompress Spinal Cord Lmbr (63056)
unusually low: confirm this is the full procedure		 $2,964.60 $4,941 0.4×
Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) $1,042.20 $1,737 0.3×
Decompression fasciotomy, thigh and/or knee, multiple compartments; Facility (27498) $1,221.60 $2,036 0.8×
Decompression of leg (27892) $1,003.80 $1,673 0.3×
Decompression of tibia nerve (28035) $971.40 $1,619 0.5×
Deep Muscle Biopsy (20205) $561 $935 0.2×
Delivery of placenta (59414) $227.40 $379 0.1×
Destr W Neurolytic; Celiac Plexus (64680) $687.60 $1,146 0.8×
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines		 $757.20–$2,521.20 $1,262–$4,202 varies
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines		 $789.60–$2,781 $1,316–$4,635 varies
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $200.40–$214.20 $334–$357 varies
Destruction Benign Lesions 15/> (17111) $237.60 $396 1.2×
Destruction Lesions Vulva Extensive (56515) $417 $695 0.2×
Destruction Lesions Vulva Simple (56501) $196.80 $328 0.1×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $341.40 $569 1.8×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $392.40 $654 2.0×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $477.60 $796 1.2×
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) $543 $905 0.8×
Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) $700.20 $1,167 1.0×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $284.40 $474 1.5×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $330.60 $551 1.7×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $375 $625 1.9×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $401.40 $669 1.0×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $457.20 $762 1.2×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $265.80 $443 1.4×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $284.40 $474 1.5×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $313.20 $522 1.6×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $358.20 $597 1.9×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $406.80 $678 1.0×
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) $480 $800 1.2×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $187.80 $313 1.0×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 2 matching MRF lines		 $795.60–$3,275.40 $1,326–$5,459 varies
Destruction Premalignant Lesion 15/> (17004) $298.20 $497 0.8×
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines		 $115.20–$118.20 $192–$197 varies
Diagnostic sigmoidoscopy (45330) $771 $1,285 0.9×
Dilate Urethra Stricture (53600)
range across 2 matching MRF lines		 $166.20–$171 $277–$285 varies
Dilation & curettage dx&/ther nonobstetric (58120) $420.60 $701 0.1×
Dilation and catheterization of salivary duct, with or without injection (42660)
range across 2 matching MRF lines		 $243–$260.40 $405–$434 varies
Dilation Salivary Duct (42650) $113.40 $189 0.1×
Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) $184.20 $307 0.1×
Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130)
likely a partial charge, not the full procedure		 $1,401 $2,335 0.2×
Drain Cerebro Spinal Fluid (62272) $360 $600 0.5×
Drain Hand Tendon Sheath (26020) $2,103 $3,505 0.7×
Drain/inj small joint/bursa w/us (20604) $145.20 $242 0.5×
Drainage abscess parotid simple (42300) $325.20 $542 0.2×
Drainage Abscess/Hematoma Nasal Septum (30020) $439.20 $732 0.8×
Drainage external auditory canal abscess (69020)
range across 2 matching MRF lines		 $432–$462.60 $720–$771 varies
Drainage external ear abscess/hematoma cmplx (69005) $414.60 $691 0.3×
Drainage External Ear Abscess/Hematoma Simple (69000) $256.20 $427 0.4×
Drainage Finger Abscess Complicated (26011) $781.20 $1,302 0.5×
Drainage of finger abscess simple (26010) $483 $805 2.5×
Drainage of gum lesion (41800) $538.80 $898 4.2×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $287.40–$307.80 $479–$513 varies
Drainage of hydrocele (55000) $700.80 $1,168 1.0×
Drainage of nose lesion (30000) $426.60 $711 1.9×
Drainage of salivary cyst (42409) $775.80 $1,293 0.2×
Drainage of scrotal wall abscess (55100) $432.60 $721 0.3×
Drainage of urethra abscess (53040) $664.20 $1,107 0.2×
Draw Blood Off Venous Device (36591) $186 $310 1.5×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $556.20 $927 1.1×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $355.80 $593 0.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $381.60 $636 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $294 $490 1.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $108.60–$124.80 $181–$208 varies
Dstrj les/scar vestibule mouth physical meths (40820) $502.80 $838 0.2×
Dstrj lesion anus simple cryosurgery (46916) $498 $830 2.6×
Dstrj lesion anus simple surg excision (46922) $499.80 $833 0.2×
Dstrj Lesion Penis Simple Chemical (54050) $248.40 $414 0.6×
Dstrj Lesion Penis Simple Cryosurgery (54056) $270.60 $451 1.4×
Dstrj Lesion Penis Simple Electrodesiccation (54055) $258.60 $431 0.1×
Dstrj lesion penis simple surg excision (54060) $369.60 $616 0.2×
Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) $555 $925 1.4×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines		 $244.20–$2,058 $407–$3,430 varies
Dx Bronchoscope/Wash (31622) $557.40 $929 0.3×
Dx laryngoscopy w/oper scope (31526) $279.60 $466 0.2×
Dx lmbr spi pnxr w/fluor/CT (62328) $142.80 $238 0.2×
Egd Balloon Dil Esoph30 Mm/> (43233) $454.80 $758 0.2×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $2,053.80 $3,423 1.1×
Egd cautery tumor polyp (43250) $853.20 $1,422 0.5×
Egd control bleeding any (43255) $1,258.20 $2,097 0.7×
Egd dilation gastric/duodenal stricture (43245) $1,144.80 $1,908 0.6×
Egd Flexible Foreign Body Removal (43247) $723.60 $1,206 0.8×
Egd place gastrostomy tube (43246) $841.20 $1,402 0.5×
Egd remove lesion snare (43251) $937.20 $1,562 0.5×
Egd Varices Ligation (43244) $486.60 $811 0.3×
Electro-Uroflowmetry First (51741)
range across 2 matching MRF lines		 $102–$141.60 $170–$236 varies
Endocervical curettage (57505) $294.60 $491 0.3×
Endometrial Biopsy (58100) $154.80 $258 0.8×
Endoscopic injection/implant (51715) $550.20 $917 0.2×
Endoscopic plantar fasciotomy (29893) $1,071 $1,785 0.3×
Endoscopy upper small intestine w/biopsy (44361) $305.40 $509 0.2×
Endoven abltj incmptnt vein xtr laser 1st vein (36478)
range across 2 matching MRF lines		 $2,232.60–$4,224 $3,721–$7,040 varies
Endoven abltj incmptnt vein xtr rf 1st vein (36475)
range across 2 matching MRF lines		 $2,118–$6,300 $3,530–$10,500 varies
Enterorrhaphy single perforation (44602) $2,021.40 $3,369 0.5×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $441 $735 0.2×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $1,497 $2,495 0.8×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $1,567.80 $2,613 0.8×
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $545.40–$1,500 $909–$2,500 varies
Esophagogastroduodenoscopy Submucosal Injection (43236) $780 $1,300 0.9×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $2,005.80 $3,343 1.1×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $676.80 $1,128 0.4×
Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) $257.40 $429 0.1×
Evacuate mole of uterus (59870) $896.40 $1,494 0.3×
Evacuation of subungual hematoma (11740) $63 $105 0.5×
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $751.20 $1,252 0.5×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $783.60 $1,306 0.5×
Exc abdl tum deep 5 cm/> (22901) $1,183.80 $1,973 0.4×
Exc arm/elbow les sc < 3 cm (24075) $630.60 $1,051 0.4×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $249.60–$342.60 $416–$571 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $376.80 $628 0.2×
Exc Back Les Sc < 3 Cm (21930) $946.20 $1,577 0.6×
Exc Back Tum Deep 5 Cm/> (21933) $1,378.80 $2,298 0.5×
Exc back tum deep < 5 cm (21932) $1,230 $2,050 0.4×
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815)
likely a partial charge, not the full procedure		 $1,097.40 $1,829 0.2×
Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) $757.20 $1,262 0.2×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $1,080 $1,800 0.3×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $398.40 $664 0.6×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 2 matching MRF lines		 $333–$356.40 $555–$594 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $490.20 $817 0.3×
Exc Face Les Sbq 2 Cm/> (21012) $668.40 $1,114 0.4×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $248.40 $414 0.4×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines		 $245.40–$261 $409–$435 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $315 $525 0.5×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $419.40 $699 0.3×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $525.60 $876 0.3×
Exc Forearm Les Sc 3 Cm/> (25071) $796.80 $1,328 0.5×
Exc Forearm Tum Deep 3 Cm/> (25073) $1,009.20 $1,682 0.4×
Exc ganglion wrist recurrent (25112) $633 $1,055 0.4×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $231 $385 0.1×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $293.40 $489 0.4×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $330.60 $551 0.2×
Exc Hand Les Sc < 1.5 Cm (26115) $905.40 $1,509 0.6×
Exc hand tum deep < 1.5 cm (26116) $1,056 $1,760 0.7×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $655.20 $1,092 0.4×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $603 $1,005 0.4×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $666.60 $1,111 0.2×
Exc lesion tongue w/clsr w/local tongue flap (41114) $1,161 $1,935 0.4×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $405 $675 0.1×
Exc neuroma hand/foot xcp digital nerve (64782) $583.80 $973 0.3×
Exc Rct Tum Not Incl Muscularis Propria (45171) $1,163.40 $1,939 0.4×
Exc Shoulder Tum Deep 5 Cm/> (23073) $1,239 $2,065 0.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $354–$379.20 $590–$632 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $436.80 $728 0.3×
Exc Skin Benig >4 Cm Remaindr Body (11426) $627 $1,045 0.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines		 $589.20–$631.20 $982–$1,052 varies
Exc Skin Benig >4cm Face,Facial (11446) $728.40 $1,214 0.3×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $377.40 $629 0.2×
Exc Skin Malig >4 Cm Remaindr Body (11626) $420 $700 0.2×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 2 matching MRF lines		 $840.60–$900.60 $1,401–$1,501 varies
Exc tendon shth lesion leg/ankle (27630) $1,088.40 $1,814 0.3×
Exc thigh/knee les sc 3 cm/> (27337) $790.80 $1,318 0.3×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $338.40 $564 0.3×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines		 $280.20–$288.60 $467–$481 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines		 $312–$334.20 $520–$557 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $409.20 $682 0.3×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $817.80 $1,363 0.3×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $999.60 $1,666 0.4×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $609.60 $1,016 0.2×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $964.80 $1,608 0.3×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $1,502.40 $2,504 0.5×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $991.80 $1,653 0.4×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $1,002 $1,670 0.4×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $817.20 $1,362 0.5×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $861 $1,435 0.3×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $933 $1,555 0.3×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $888 $1,480 0.6×
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) $1,275 $2,125 0.5×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $1,121.40 $1,869 0.4×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $736.20 $1,227 0.5×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $1,293.60 $2,156 0.5×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555)
range across 2 matching MRF lines		 $757.20–$810.60 $1,262–$1,351 varies
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $958.80 $1,598 0.3×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $742.20 $1,237 0.3×
Exc urethral diverticulum spx female (53230)
likely a partial charge, not the full procedure		 $1,144.80 $1,908 0.2×
Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638)
likely a partial charge, not the full procedure		 $1,398 $2,330 0.2×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $1,050.60 $1,751 0.3×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $549 $915 0.4×
Excise intraspinal lesion (63267)
unusually low: confirm this is the full procedure		 $2,730.60 $4,551 0.4×
Excise Wrist Tendon Sheath (25118) $733.80 $1,223 0.5×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $528 $880 0.8×
Excision Aural Polyp (69540) $393.60 $656 0.3×
Excision Chest Wall Tumor Including Ribs (21601) $2,265.60 $3,776 0.8×
Excision exostosis(es), external auditory canal Facility (69140)
unusually low: confirm this is the full procedure		 $1,714.20 $2,857 0.3×
Excision External Ear Partial Simple Repair (69110)
range across 2 matching MRF lines		 $849.60–$910.20 $1,416–$1,517 varies
Excision H/P/P/U Simple/Intermediate Repair (11470) $786 $1,310 0.3×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $742.80 $1,238 0.3×
Excision inferior turbinate partial/complete (30130) $687 $1,145 0.2×
Excision lesion mouth roof (42104)
range across 2 matching MRF lines		 $350.40–$375 $584–$625 varies
Excision Lesion Tongue W/O Closure (41110) $400.80 $668 0.1×
Excision Lingual Frenum Frenectomy (41115) $291 $485 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $361.20 $602 0.5×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $425.40 $709 0.6×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $461.40 $769 1.2×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $584.40 $974 0.9×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $258.60 $431 0.4×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $385.80 $643 0.2×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $841.20 $1,402 0.3×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $427.20 $712 0.3×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $426.60 $711 0.6×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $494.40 $824 0.7×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $420 $700 0.3×
Excision Multiple External Papillae/Tags Anus (46230) $543 $905 0.2×
Excision of bartholin's gland or cyst (56740) $2,172.60 $3,621 0.7×
Excision of bulbourethral gland (Cowper's gland) Facility (53250) $1,081.80 $1,803 0.3×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $634.20 $1,057 0.4×
Excision of hydrocele; unilateral (55040) $561 $935 0.2×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415)
unusually low: confirm this is the full procedure		 $1,980 $3,300 0.3×
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420)
unusually low: confirm this is the full procedure		 $2,162.40 $3,604 0.4×
Excision of pilonidal cyst or sinus; simple (11770) $561 $935 0.2×
Excision of single external papilla or tag, anus (46220) $370.20 $617 0.3×
Excision of submandibular (submaxillary) gland (42440)
likely a partial charge, not the full procedure		 $751.80 $1,253 0.1×
Excision of vaginal cyst or tumor (57135) $346.80 $578 0.1×
Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Facility (55535)
likely a partial charge, not the full procedure		 $813 $1,355 0.1×
Excision olecranon bursa (24105) $515.40 $859 0.2×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $1,213.20 $2,022 0.4×
Excision Pilonidal Cyst/Sinus Complicated (11772) $1,369.20 $2,282 0.5×
Excision Pilonidal Cyst/Sinus Extensive (11771) $700.80 $1,168 0.3×
Excision prepatellar bursa (27340) $716.40 $1,194 0.2×
Excision soft tissue lesion, external auditory canal (69145) $732.60 $1,221 0.3×
Excision spermatocele w/wo epididymectomy (54840) $616.80 $1,028 0.3×
Excision tendon finger flexor/extensor each (26180) $858 $1,430 0.6×
Excision Thyroglossal Duct Cyst/Sinus (60280)
likely a partial charge, not the full procedure		 $814.20 $1,357 0.1×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $872.40 $1,454 0.5×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $967.20 $1,612 0.3×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $741.60 $1,236 0.5×
Excision tumor soft tissue shoulder subq 3 cm/> (23071)
range across 2 matching MRF lines		 $438–$469.20 $730–$782 varies
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $1,752 $2,920 1.1×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg Facility (15833) $1,632 $2,720 0.6×
Excision, interdigital (morton) neuroma, single, each (28080) $994.20 $1,657 0.6×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $825 $1,375 0.3×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $706.20 $1,177 0.4×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $774 $1,290 0.3×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $885.60 $1,476 0.3×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $967.20 $1,612 0.6×
Excision/curettage cyst/tumor phalanx finger (26210) $852.60 $1,421 0.6×
Excision/destruction intranasal lesion int appr (30117)
range across 2 matching MRF lines		 $1,623.60–$1,738.80 $2,706–$2,898 varies
Excision/destruction lesion pharynx any method (42808) $415.20 $692 0.1×
Exploration of spinal fusion (22830)
likely a partial charge, not the full procedure		 $1,626.60 $2,711 0.2×
Exploration penetrating wound spx extremity (20103) $895.20 $1,492 0.6×
Exploration Penetrating Wound Spx Neck (20100) $1,132.20 $1,887 2.2×
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010)
likely a partial charge, not the full procedure		 $1,684.20 $2,807 0.3×
Exploratory elbow surgery (24000) $889.20 $1,482 0.3×
Explore/Treat Elbow Joint (24101) $230.40 $384 0.1×
Fascia lata graft; by incision and area exposure, complex or sheet Facility (20922) $1,168.80 $1,948 0.6×
Fasciectomy Palm Only (26121) $1,170 $1,950 0.4×
Fasciotomy, foot and/or toe (28008) $840 $1,400 0.3×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $2,014.80 $3,358 0.6×
Fetal non-stress test (59025) $67.20 $112 0.3×
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $280.20–$300.60 $467–$501 varies
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines		 $240.60–$615.60 $401–$1,026 varies
Foreskin manipulation (54450) $131.40 $219 0.5×
Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Facility (15572) $1,605.60 $2,676 0.5×
Frenulotomy of penis (54164) $376.20 $627 0.2×
Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) $1,642.80 $2,738 0.8×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $1,873.80 $3,123 0.9×
Fusion Finger Joint (26860) $1,174.20 $1,957 0.4×
Fusion of foot bones (28740)
likely a partial charge, not the full procedure		 $1,558.80 $2,598 0.2×
Fusion of knuckle (26850)
likely a partial charge, not the full procedure		 $1,405.20 $2,342 0.2×
Gastrocnemius recession (27687) $901.80 $1,503 0.3×
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) $2,577.60 $4,296 0.7×
Graft Ear Crtlg Autogenous Nose/Ear (21235)
likely a partial charge, not the full procedure		 $1,304.40 $2,174 0.2×
Grafting of autologous soft tiss by direct exc (15769) $903.60 $1,506 0.3×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $1,051.20 $1,752 0.4×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $525.60 $876 0.2×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $918 $1,530 0.3×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 2 matching MRF lines		 $841.20–$1,699.20 $1,402–$2,832 varies
Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) $3,163.20 $5,272 0.7×
Hysteroscopy Biopsy (58558) $561 $935 0.2×
Hysteroscopy Div/Rescj Intrauterine Septum (58560) $605.40 $1,009 0.1×
Hysteroscopy Dx Sep Proc (58555) $525.60 $876 0.2×
Hysteroscopy Endometrial Ablation (58563) $1,962.60 $3,271 0.4×
Hysteroscopy Removal Impacted Foreign Body (58562) $486.60 $811 0.2×
Hysterotomy Abdominal (59100) $1,624.20 $2,707 0.3×
I&d abscess peritonsillar (42700) $346.80 $578 1.5×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $178.20–$190.80 $297–$318 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $840.60 $1,401 0.5×
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,033.80 $1,723 0.4×
I&D Intramural Im/Absc Transanal Anes (46045) $822 $1,370 0.3×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $232.20–$248.40 $387–$414 varies
I&d pilonidal cyst complicated (10081) $421.80 $703 0.6×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $213.60–$228.60 $356–$381 varies
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $369.60 $616 0.4×
Image Cath Fluid Colxn Visc (49405) $1,386 $2,310 0.9×
Implant neuroelectrodes (63650)
range across 2 matching MRF lines		 $1,429.80–$6,241.80 $2,383–$10,403 varies
Implant Neuroelectrodes (64561)
likely a partial charge, not the full procedure		 $1,557.60 $2,596 0.3×
Implant Periph/Gastric Neurostim/Receiver (64590)
likely a partial charge, not the full procedure		 $454.20 $757 0.0×
Incise external hemorrhoid (46083) $325.80 $543 1.4×
Incise finger tendon sheath (26055)
range across 2 matching MRF lines		 $909–$2,892 $1,515–$4,820 varies
Incision & drainage abscess complicated/multiple (10061) $389.40 $649 1.0×
Incision & drainage leg/ankle abscess/hematoma (27603) $1,121.40 $1,869 0.4×
Incision & drainage leg/ankle infected bursa (27604) $893.40 $1,489 0.3×
Incision & removal foreign body subq tiss compl (10121) $427.20 $712 0.3×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $376.20–$403.20 $627–$672 varies
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) $594 $990 0.2×
Incision and drainage of vulva or perineal abscess (56405) $194.40 $324 0.7×
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015)
likely a partial charge, not the full procedure		 $1,791.60 $2,986 0.3×
Incision bone cortex foot (28005) $1,116 $1,860 0.4×
Incision extensor tendon sheath wrist (25000) $828.60 $1,381 0.5×
Incision of eardrum (69421) $231 $385 0.1×
Incision of eardrum (69420)
range across 2 matching MRF lines		 $304.80–$326.40 $508–$544 varies
Incision of fibula (27707) $762.60 $1,271 0.2×
Incision of Foot Tendon (28234)
range across 2 matching MRF lines		 $813–$870.60 $1,355–$1,451 varies
Incision of labial frenum (frenotomy) (40806) $198.60 $331 0.4×
Incision of lingual frenum (frenotomy) (41010)
range across 2 matching MRF lines		 $395.40–$423.60 $659–$706 varies
Incision of rectal abscess (46040) $630.60 $1,051 0.5×
Incision of urethra (53020) $185.40 $309 0.1×
Incision&drainage bursa foot (28001) $527.40 $879 0.3×
Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) Facility (27303) $1,249.80 $2,083 0.4×
Incisional biopsy eyelid skin & lid margin (67810) $353.40 $589 1.2×
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $279–$299.40 $465–$499 varies
Initial Tx 1st Degree Burn Local Tx (16000) $106.20 $177 0.6×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $389.40–$1,909.20 $649–$3,182 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines		 $498–$2,966.40 $830–$4,944 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $139.20–$148.80 $232–$248 varies
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines		 $219.60–$1,915.80 $366–$3,193 varies
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines		 $519–$1,730.40 $865–$2,884 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines		 $455.40–$1,260 $759–$2,100 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451) $163.20 $272 0.2×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $229.20 $382 0.3×
Injection Anes Superior Hypogastric Plexus (64517) $389.40 $649 0.5×
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines		 $220.80–$1,050.60 $368–$1,751 varies
Injection enzyme palmar fascial cord (20527) $165 $275 0.6×
Injection for identification of sentinel node (38792)
range across 2 matching MRF lines		 $60–$951 $100–$1,585 varies
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $113.40–$121.80 $189–$203 varies
Injection single/mlt trigger point 1/2 muscles (20552) $162 $270 0.5×
Injection single/mlt trigger point 3/> muscles (20553) $162 $270 0.5×
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines		 $141–$150.60 $235–$251 varies
Injection, anesthetic agent; brachial plexus, single (64415)
range across 3 matching MRF lines		 $350.40–$2,688.60 $584–$4,481 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $292.20–$465 $487–$775 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $227.40–$243.60 $379–$406 varies
Injection, intralesional; up to and including 7 lesions (11900) $100.80 $168 0.5×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $238.20–$342 $397–$570 varies
Insert Drug Implant Device (11981)
range across 2 matching MRF lines		 $255–$493.80 $425–$823 varies
Insert non-tunnel cv cath (36556) $394.80 $658 0.1×
Insert pessary/other device (57160) $140.40 $234 0.7×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $170.40 $284 0.1×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $140.40–$184.20 $234–$307 varies
Insert tunneled cv cath (36561) $2,055 $3,425 0.7×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $136.80–$187.20 $228–$312 varies
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $741.60–$2,464.80 $1,236–$4,108 varies
Insertion Vascular Pedicle Carpal Bone (25430) $1,394.40 $2,324 0.4×
Insj Picc Rs&I <5 Yr (36572) $789 $1,315 1.3×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines		 $455.40–$1,950 $759–$3,250 varies
Insj Stablj Dev W/Dcmprn (22867)
likely a partial charge, not the full procedure		 $1,789.80 $2,983 0.1×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $1,892.40 $3,154 0.6×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
range across 2 matching MRF lines		 $687.60–$8,805.60 $1,146–$14,676 varies
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $867 $1,445 2.2×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $301.80–$720 $503–$1,200 varies
Irrigation of corpora cavernosa for priapism (54220) $430.20 $717 1.8×
Knee Arthroscopy/Surgery (29874) $2,014.80 $3,358 0.6×
Lam facetec & foramot lumbar (63047)
unusually low: confirm this is the full procedure		 $2,146.80 $3,578 0.3×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015)
unusually low: confirm this is the full procedure		 $2,943.60 $4,906 0.4×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045)
unusually low: confirm this is the full procedure		 $2,409.60 $4,016 0.3×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046)
unusually low: confirm this is the full procedure		 $2,296.20 $3,827 0.3×
Laminotomy Single Lumbar (63042)
unusually low: confirm this is the full procedure		 $2,431.80 $4,053 0.3×
Lap paraesoph her rpr w/mesh (43282)
unusually low: confirm this is the full procedure		 $3,334.80 $5,558 0.3×
Lap paraesophag hern repair (43281)
likely a partial charge, not the full procedure		 $2,773.20 $4,622 0.3×
Laparo-vag hyst incl t/o (58552)
likely a partial charge, not the full procedure		 $1,542 $2,570 0.2×
Laparoscopy aspiration (49322)
likely a partial charge, not the full procedure		 $910.80 $1,518 0.2×
Laparoscopy Enterolysis Separate Procedure (44180)
likely a partial charge, not the full procedure		 $1,712.40 $2,854 0.3×
Laparoscopy fulguration oviducts (58670)
likely a partial charge, not the full procedure		 $666 $1,110 0.1×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure		 $822.60 $1,371 0.1×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
likely a partial charge, not the full procedure		 $1,828.80 $3,048 0.2×
Laparoscopy W/Lysis Of Adhesions (58660)
likely a partial charge, not the full procedure		 $1,230 $2,050 0.2×
Laparoscopy w/rmvl adnexal structures (58661)
likely a partial charge, not the full procedure		 $1,191 $1,985 0.2×
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure		 $700.80 $1,168 0.1×
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425)
likely a partial charge, not the full procedure		 $1,962.60 $3,271 0.2×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure		 $2,020.20 $3,367 0.2×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
likely a partial charge, not the full procedure		 $1,524.60 $2,541 0.1×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550)
likely a partial charge, not the full procedure		 $1,471.80 $2,453 0.3×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure		 $1,462.20 $2,437 0.3×
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186)
likely a partial charge, not the full procedure		 $1,224 $2,040 0.2×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure		 $970.20 $1,617 0.2×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
likely a partial charge, not the full procedure		 $841.20 $1,402 0.1×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure		 $771 $1,285 0.1×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure		 $1,261.80 $2,103 0.2×
Laps Gastric Restrictive Px Remove Device & Port (43774) $1,467 $2,445 0.4×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542)
likely a partial charge, not the full procedure		 $1,711.20 $2,852 0.2×
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150)
likely a partial charge, not the full procedure		 $1,439.40 $2,399 0.2×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554)
likely a partial charge, not the full procedure		 $2,449.80 $4,083 0.2×
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $187.80–$201.60 $313–$336 varies
Laryngoscopy flexible rmvl lesion(s) non-laser (31578) $561 $935 0.2×
Laryngoscopy W/Biopsy (31535) $355.20 $592 0.1×
Larynscop w/tumr exc + scope (31541) $417.60 $696 0.1×
Laser vaporization of prostate (52648) $3,493.20 $5,822 0.7×
Late closure of wound (13160) $1,511.40 $2,519 0.4×
Lig&div long saph vein saphfem junct/interrupj (37700) $474 $790 0.2×
Ligamentous Reconstruction Knee Extra-Articular (27427)
likely a partial charge, not the full procedure		 $1,336.20 $2,227 0.2×
Ligate/strip long leg vein (37722) $888 $1,480 0.3×
Ligation or biopsy temporal artery (37609)
range across 2 matching MRF lines		 $577.20–$618 $962–$1,030 varies
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $702 $1,170 0.2×
Litholapaxy comp/lg > 2.5 cm (52318) $898.20 $1,497 0.3×
Litholapaxy smpl/sm <2.5 cm (52317) $1,537.20 $2,562 0.5×
Lithotripsy, extracorporeal shock wave (50590) $1,351.80 $2,253 0.4×
Low Back Disk Surgery (63030)
likely a partial charge, not the full procedure		 $1,894.80 $3,158 0.3×
Lrt iad 18bct/8vir&7arg RNA (0528U) $807 $1,345 1.3×
Lsh uterus 250 g or less (58541)
likely a partial charge, not the full procedure		 $1,535.40 $2,559 0.2×
Lumbar spine fusion combined (22633)
likely a partial charge, not the full procedure		 $3,694.80 $6,158 0.1×
Lysis/excision penile postcircumcision adhesions (54162)
range across 2 matching MRF lines		 $357–$382.80 $595–$638 varies
Maniplatn palar fascial crd post inj single cord (26341) $220.20 $367 0.9×
Manipulation knee joint under general anesthesia (27570) $357.60 $596 0.2×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $363 $605 0.2×
Mast mod rad (19307)
unusually low: confirm this is the full procedure		 $2,595.60 $4,326 0.4×
Mastectomy for gynecomastia (19300) $1,102.80 $1,838 0.3×
Mastectomy partial (19301) $1,243.20 $2,072 0.3×
Mastectomy partial w/axillary lymphadenectomy (19302)
likely a partial charge, not the full procedure		 $1,706.40 $2,844 0.3×
Mastectomy simple complete (19303)
likely a partial charge, not the full procedure		 $1,801.80 $3,003 0.3×
Maternity Care Procedure (59899) $1,168.20 $1,947 6.0×
Metatarsectomy (28140) $1,025.40 $1,709 0.3×
Middle ear surgery proc unlisted (69799) $973.20 $1,622 4.3×
Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) $2,515.80 $4,193 0.7×
Muscle-skin graft trunk (15734) $2,885.40 $4,809 0.8×
Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) $1,059 $1,765 0.3×
Myringoplasty (69620) $1,250.40 $2,084 0.4×
N Block Inj Celiac Pelus (64530)
range across 2 matching MRF lines		 $389.40–$1,792.20 $649–$2,987 varies
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines		 $389.40–$1,471.20 $649–$2,452 varies
N block inj intercost sng (64420)
range across 2 matching MRF lines		 $389.40–$1,158.60 $649–$1,931 varies
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines		 $90–$324.60 $150–$541 varies
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines		 $249–$2,039.40 $415–$3,399 varies
Nasal Endoscopy Dx (31231)
range across 2 matching MRF lines		 $315–$337.20 $525–$562 varies
Nasal surgery procedure (30999) $467.40 $779 2.1×
Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) $475.20 $792 1.3×
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $347.40 $579 0.1×
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287)
likely a partial charge, not the full procedure		 $426 $710 0.1×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $511.80 $853 0.3×
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $292.80 $488 0.2×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)
range across 2 matching MRF lines		 $598.80–$641.40 $998–$1,069 varies
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296)
likely a partial charge, not the full procedure		 $947.40 $1,579 0.1×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
likely a partial charge, not the full procedure		 $775.80 $1,293 0.1×
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297)
likely a partial charge, not the full procedure		 $759.60 $1,266 0.1×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
likely a partial charge, not the full procedure		 $1,135.80 $1,893 0.2×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259)
likely a partial charge, not the full procedure		 $1,051.20 $1,752 0.2×
Nasal/sinus ndsc total with sphenoidotomy (31257)
likely a partial charge, not the full procedure		 $1,015.80 $1,693 0.1×
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
likely a partial charge, not the full procedure		 $494.40 $824 0.1×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276)
likely a partial charge, not the full procedure		 $885.60 $1,476 0.1×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)
likely a partial charge, not the full procedure		 $701.40 $1,169 0.1×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $605.40 $1,009 0.7×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $972.60 $1,621 0.6×
Needle insertion w/o injection 1 or 2 muscles (20560) $187.80 $313 6.8×
Needle insertion w/o injection 3 or more muscles (20561) $231 $385 8.3×
Neuroeltrd Stim Post Tibial (64566)
range across 2 matching MRF lines		 $236.40–$436.20 $394–$727 varies
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $1,402.80 $2,338 0.7×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $737.40 $1,229 1.8×
Njx anes stellate ganglion crv sympathetic (64510) $389.40 $649 0.5×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $234.60 $391 0.8×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $389.40–$1,977.60 $649–$3,296 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $840.60 $1,401 1.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines		 $876–$1,878.60 $1,460–$3,131 varies
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320)
range across 2 matching MRF lines		 $389.40–$448.20 $649–$747 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324)
range across 2 matching MRF lines		 $315–$423 $525–$705 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $613.20 $1,022 0.7×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines		 $805.20–$1,792.20 $1,342–$2,987 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326)
range across 2 matching MRF lines		 $309–$315 $515–$525 varies
Njx Sclrsnt 1 Incmptnt Vein (36470)
range across 2 matching MRF lines		 $272.40–$414 $454–$690 varies
Njx Sclrsnt Mlt Incmptnt Vn (36471)
range across 2 matching MRF lines		 $375–$386.40 $625–$644 varies
Njx Sclrsnt Spider Veins (36468)
range across 2 matching MRF lines		 $97.20–$103.80 $162–$173 varies
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
likely a partial charge, not the full procedure		 $556.80 $928 0.1×
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288)
likely a partial charge, not the full procedure		 $487.80 $813 0.1×
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 $389.40–$417 $649–$695 varies
Open biopsy/excision inguinofemoral nodes (38531) $851.40 $1,419 0.2×
Open Implantation Nea Sacral Nerve (64581)
unusually low: confirm this is the full procedure		 $1,947 $3,245 0.3×
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568)
range across 2 matching MRF lines		 $1,163.40–$12,660 $1,939–$21,100 varies
Open impltj hpglsl nrv nstim ra pg&respir sensor (64582)
likely a partial charge, not the full procedure		 $1,555.80 $2,593 0.1×
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure		 $1,519.80 $2,533 0.2×
Open treatment calcaneal fracture (28415)
unusually low: confirm this is the full procedure		 $2,105.40 $3,509 0.3×
Open Treatment Fracture Distal Tibia & Fibula (27828)
likely a partial charge, not the full procedure		 $2,541 $4,235 0.2×
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure		 $1,157.40 $1,929 0.2×
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure		 $1,033.20 $1,722 0.1×
Open treatment of hip dislocation, traumatic, without internal fixation Facility (27253) $1,772.40 $2,954 0.6×
Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) $1,316.40 $2,194 0.4×
Open treatment of nasal septal fracture, with or without stabilization Facility (21336) $1,323 $2,205 0.4×
Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve… (21423)
likely a partial charge, not the full procedure		 $1,499.40 $2,499 0.3×
Open Treatment of Ulnar Shaft Fracture (25545)
likely a partial charge, not the full procedure		 $1,752 $2,920 0.3×
Open treatment posterior malleolus fracture (27769)
likely a partial charge, not the full procedure		 $1,374 $2,290 0.2×
Open Treatment Proximal Fibula/Shaft Fracture (27784)
likely a partial charge, not the full procedure		 $1,352.40 $2,254 0.2×
Open Tx Carpometacarpal Dislocate Not Thumb (26685) $1,078.20 $1,797 0.3×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure		 $1,283.40 $2,139 0.2×
Open Tx Distal Phalangeal Fracture Each (26765) $633 $1,055 0.2×
Open Tx Distal Tibiofibular Joint Disruption (27829)
likely a partial charge, not the full procedure		 $1,357.20 $2,262 0.2×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $1,180.80 $1,968 0.4×
Open tx humeral supracondylar fracture w/o xtn (24545)
likely a partial charge, not the full procedure		 $1,846.80 $3,078 0.1×
Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540)
likely a partial charge, not the full procedure		 $1,611 $2,685 0.2×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $1,092 $1,820 0.3×
Open tx tarsal fracture xcp talus & calcaneus ea (28465)
likely a partial charge, not the full procedure		 $1,197 $1,995 0.2×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
likely a partial charge, not the full procedure		 $1,674 $2,790 0.2×
Opn tx orbit fx combined (21387)
likely a partial charge, not the full procedure		 $1,329 $2,215 0.2×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
likely a partial charge, not the full procedure		 $1,567.80 $2,613 0.2×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
likely a partial charge, not the full procedure		 $1,989 $3,315 0.3×
Orchiopexy Ingun/Scrot Appr (54640) $919.20 $1,532 0.3×
Ostc prtl exostc/condylc metar head (28288) $1,141.80 $1,903 0.4×
Ostectomy calcaneus (28118) $1,191 $1,985 0.4×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $973.20 $1,622 0.3×
Ostectomy, complete excision; fifth metatarsal head (28113) $1,129.20 $1,882 0.4×
Ostectomy, complete excision; first metatarsal head (28111) $969 $1,615 0.3×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $891 $1,485 0.3×
Osteochondral knee autograft (27416)
likely a partial charge, not the full procedure		 $1,081.20 $1,802 0.2×
Osteochondral talus autogrft (28446)
unusually low: confirm this is the full procedure		 $2,304.60 $3,841 0.3×
Osteoplasty Radius/Ulna Shortening (25390)
likely a partial charge, not the full procedure		 $1,456.20 $2,427 0.2×
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure		 $1,144.20 $1,907 0.2×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $1,131.60 $1,886 0.4×
Osteotomy calcaneus w/wo internal fixation (28300)
likely a partial charge, not the full procedure		 $1,293 $2,155 0.2×
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar Facility (22214)
unusually low: confirm this is the full procedure		 $2,856.60 $4,761 0.4×
Osteotomy talus (28302)
likely a partial charge, not the full procedure		 $1,356.60 $2,261 0.2×
Osteotomy tarsal bones oth/thn calcaneus/talus (28304)
likely a partial charge, not the full procedure		 $1,624.20 $2,707 0.2×
Osteotomy, femur, shaft or supracondylar; without fixation Facility (27448)
likely a partial charge, not the full procedure		 $1,480.80 $2,468 0.2×
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307)
likely a partial charge, not the full procedure		 $1,474.80 $2,458 0.2×
Palatopharyngoplasty (42145)
likely a partial charge, not the full procedure		 $1,316.40 $2,194 0.2×
Parathyroidectomy or exploration of parathyroid(s); (60500)
unusually low: confirm this is the full procedure		 $1,740 $2,900 0.3×
Part remv talus or calcaneus (28120) $1,295.40 $2,159 0.4×
Partial Excision Distal Phalanx Finger (26236) $839.40 $1,399 0.5×
Partial hymenectomy or revision of hymenal ring (56700) $349.80 $583 0.1×
Partial removal of fibula (27641) $1,248.60 $2,081 0.4×
Partial removal of lip (40530) $1,011.60 $1,686 0.3×
Partial removal of thyroid (60220)
likely a partial charge, not the full procedure		 $1,299 $2,165 0.2×
Partial removal of toe (28160) $799.20 $1,332 0.3×
Partial removal of tongue (41120)
unusually low: confirm this is the full procedure		 $1,903.20 $3,172 0.3×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
likely a partial charge, not the full procedure		 $1,367.40 $2,279 0.2×
Partical Excision Bone Phalanx Toe (28124) $918.60 $1,531 0.3×
Pelvic examination under anesthesia (other than local) (57410) $211.80 $353 0.1×
Penile Injection (54235) $174.60 $291 0.7×
Perineoplasty rpr perineum nonobstetrical spx (56810) $102.60 $171 0.0×
Peritoneal Lavage (49084) $209.40 $349 0.2×
Perq device breast 1st imag (19281)
range across 2 matching MRF lines		 $438.60–$589.20 $731–$982 varies
Perq Lumbosacral Injection (22511) $3,098.40 $5,164 1.0×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $13,419 $22,365 1.9×
Perq Vertebral Augmentation (22513) $13,461 $22,435 1.9×
Phleb Veins - Extrem 20+ (37766) $1,424.40 $2,374 0.5×
Placement of seton (46020) $549.60 $916 0.2×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $778.80 $1,298 0.2×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $194.40 $324 0.2×
Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495)
unusually low: confirm this is the full procedure		 $2,127.60 $3,546 0.3×
Prostatic Rf Thermotx (53852) $3,560.40 $5,934 1.1×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555)
likely a partial charge, not the full procedure		 $392.40 $654 0.1×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) $922.20 $1,537 0.3×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $1,182 $1,970 0.4×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $135.60–$222.60 $226–$371 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $205.20–$465 $342–$775 varies
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines		 $192–$1,836.60 $320–$3,061 varies
Pvb Thoracic Single Injection Site W/Img Gid (64461) $238.80 $398 0.4×
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430)
likely a partial charge, not the full procedure		 $386.40 $644 0.1×
Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) $154.80 $258 0.1×
Rad resection tumor soft tiss face/scalp 2 cm/> (21016) $1,794.60 $2,991 0.6×
Rad resection tumor soft tissue abdl wall 5 cm/> (22905) $2,504.40 $4,174 0.9×
Radical resection of tumor; tibia Facility (27645) $3,351.60 $5,586 1.1×
Rcnstj angular dfrm toe soft tiss px only (28313) $355.20 $592 0.1×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) $1,590.60 $2,651 0.5×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238)
likely a partial charge, not the full procedure		 $1,297.80 $2,163 0.2×
Rdctj torsion tstis w/wo fixj clat testis (54600) $871.80 $1,453 0.3×
Realignment of knee (27457)
likely a partial charge, not the full procedure		 $1,810.80 $3,018 0.3×
Realignment of knee (27455)
likely a partial charge, not the full procedure		 $1,771.80 $2,953 0.3×
Reinsert spinal fixation (22849)
likely a partial charge, not the full procedure		 $2,442 $4,070 0.2×
Release of big toe (28240) $889.20 $1,482 0.3×
Removal Embedded Foreign Body Eyelid (67938) $554.40 $924 1.8×
Removal Foreign Body Deep Thigh/Knee (27372) $693.60 $1,156 0.2×
Removal foreign body foot deep (28192) $832.80 $1,388 0.5×
Removal Foreign Body Foot Subcutaneous (28190) $471 $785 0.7×
Removal foreign body, intranasal; requiring general anesthesia (30310) $381.60 $636 0.1×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $26.40–$28.20 $44–$47 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $90–$96.60 $150–$161 varies
Removal Implant Deep (20680) $1,149.60 $1,916 0.4×
Removal Implant Superficial Separate Procedure (20670) $301.80 $503 0.2×
Removal of adenoids (42835) $375.60 $626 0.1×
Removal of adenoids (42831) $432 $720 0.1×
Removal of adenoids (42830) $432 $720 0.1×
Removal of anal fissure (46200) $931.20 $1,552 0.3×
Removal of ankle implant (27704) $1,057.20 $1,762 0.3×
Removal of anterior instrumentation (22855)
likely a partial charge, not the full procedure		 $2,087.40 $3,479 0.3×
Removal of calcium deposits (23000) $976.80 $1,628 0.3×
Removal of cervix (57530) $650.40 $1,084 0.1×
Removal of foot joint lining (28072) $941.40 $1,569 0.3×
Removal of heel spur (28119) $1,040.40 $1,734 0.3×
Removal of humerus lesion (23150) $1,309.20 $2,182 0.4×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $297–$318 $495–$530 varies
Removal of nose lesion (30124) $517.80 $863 0.3×
Removal of posterior segmental instrumentation Facility (22852)
likely a partial charge, not the full procedure		 $1,393.80 $2,323 0.2×
Removal of residual cervix (57550) $817.80 $1,363 0.2×
Removal of sesamoid bone (28315) $956.40 $1,594 0.3×
Removal of sperm cord lesion (55520) $880.80 $1,468 0.3×
Removal of tonsils (42825)
likely a partial charge, not the full procedure		 $444 $740 0.1×
Removal of tonsils (42826) $354.60 $591 0.1×
Removal of wrist bone (25210) $939.60 $1,566 0.3×
Removal or bivalving full arm or full leg cast (29705) $118.80 $198 0.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $172.20 $287 0.9×
Removal sweat gland lesion (11450) $734.40 $1,224 0.3×
Removal/bivalving gauntlet boot/body cast (29700) $115.20 $192 0.4×
Remove Ankle Joint Lining (27626) $1,143 $1,905 0.4×
Remove drug implant device (11982) $292.20 $487 0.7×
Remove Elbow Joint Lining (24102) $1,140 $1,900 0.4×
Remove Forearm Foreign Body (25248) $1,114.80 $1,858 0.7×
Remove foreign body from eye (65235) $1,299 $2,165 0.6×
Remove foreign body from eye (65205) $97.20 $162 0.8×
Remove humerus lesion (23174)
likely a partial charge, not the full procedure		 $1,509 $2,515 0.2×
Remove Intrauterine Device (58301) $140.40 $234 0.5×
Remove lamina/facets lumbar (63012)
unusually low: confirm this is the full procedure		 $2,376 $3,960 0.3×
Remove Lower Leg Bone Lesion (27635) $1,153.80 $1,923 0.4×
Remove muti-comp penis pros (54406) $1,356.60 $2,261 0.4×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $418.80–$448.80 $698–$748 varies
Remove part lumbar vertebra (22102)
likely a partial charge, not the full procedure		 $1,467 $2,445 0.2×
Remove Shoulder Foreign Body (23330) $510 $850 0.3×
Remove spine eltrd plate (63662) $1,593 $2,655 0.5×
Remove spine lamina 1/2 thrc (63003)
unusually low: confirm this is the full procedure		 $2,404.80 $4,008 0.3×
Remove Tendon Sheath Lesion (26160) $1,217.40 $2,029 0.8×
Remove/graft foot lesion (28102)
likely a partial charge, not the full procedure		 $1,176 $1,960 0.2×
Remove/graft leg bone lesion (27637)
likely a partial charge, not the full procedure		 $1,485.60 $2,476 0.2×
Remove/Insert Drug Implant (11983)
range across 2 matching MRF lines		 $421.80–$494.40 $703–$824 varies
Reopen fallopian tube (58350) $358.20 $597 0.1×
Repair Achilles Tendon (27650)
likely a partial charge, not the full procedure		 $1,254 $2,090 0.2×
Repair Collat Ankle Ligmnt,Secondary (27698)
likely a partial charge, not the full procedure		 $1,204.20 $2,007 0.2×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $793.20 $1,322 1.1×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $937.20 $1,562 1.3×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $733.20 $1,222 1.9×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $889.20 $1,482 2.3×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $802.80 $1,338 2.1×
Repair complex trunk 1.1-2.5 cm (13100) $643.80 $1,073 0.9×
Repair complex trunk 2.6-7.5 cm (13101) $715.20 $1,192 1.0×
Repair extensor tendon finger w/o graft each (26418) $1,401.60 $2,336 0.9×
Repair Finger/Hand Tendon (26350) $1,237.20 $2,062 0.4×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $731.40 $1,219 0.2×
Repair Foot Dislocation (28615)
likely a partial charge, not the full procedure		 $1,563 $2,605 0.2×
Repair Hallux Rigidus (28289) $1,413 $2,355 0.4×
Repair incomplete circumcision (54163) $412.80 $688 0.2×
Repair inguinal hernia, sliding, any age (49525) $1,095.60 $1,826 0.3×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $1,261.20 $2,102 0.4×
Repair initial femoral hernia, any age; reducible (49550) $1,102.20 $1,837 0.3×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $2,733 $4,555 0.8×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $399–$427.80 $665–$713 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $309 $515 0.8×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $456.60 $761 1.2×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $702 $1,170 1.8×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $420.60 $701 0.6×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $326.40 $544 0.8×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $369.60–$396 $616–$660 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $372 $620 0.5×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $371.40 $619 1.0×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $313.80–$336 $523–$560 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $333–$387 $555–$645 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $474.60 $791 0.7×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $386.40 $644 1.0×
Repair intermediate s/a/t/e >30.0 cm (12037) $963.60 $1,606 0.5×
Repair lower leg tendons (27676)
likely a partial charge, not the full procedure		 $1,144.20 $1,907 0.2×
Repair mouth/nose fistula (30600)
likely a partial charge, not the full procedure		 $1,101.60 $1,836 0.2×
Repair Nasal Vestibular Stenosis (30465)
unusually low: confirm this is the full procedure		 $1,768.20 $2,947 0.3×
Repair Nonunion/Malunion Tarsal Bones (28320)
likely a partial charge, not the full procedure		 $1,160.40 $1,934 0.1×
Repair Nonunion/Malunion Tibia W/O Graft (27720)
likely a partial charge, not the full procedure		 $1,733.40 $2,889 0.2×
Repair of enterocele, vaginal approach (separate procedure) (57268) $649.20 $1,082 0.1×
Repair of metatarsals (28322)
likely a partial charge, not the full procedure		 $1,578.60 $2,631 0.2×
Repair of nail bed (11760) $314.40 $524 0.4×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400)
likely a partial charge, not the full procedure		 $1,594.20 $2,657 0.2×
Repair paravag defect vag (57285)
likely a partial charge, not the full procedure		 $1,752 $2,920 0.2×
Repair recurrent femoral hernia; reducible Facility (49555) $1,164 $1,940 0.3×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
likely a partial charge, not the full procedure		 $1,372.20 $2,287 0.2×
Repair secondary achilles tendon w/wo graft (27654)
likely a partial charge, not the full procedure		 $1,407.60 $2,346 0.2×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $905.40 $1,509 0.3×
Repair tongue laceration (41252) $622.80 $1,038 2.7×
Repair tongue laceration (41250) $291 $485 0.7×
Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665)
likely a partial charge, not the full procedure		 $789.60 $1,316 0.1×
Repair, primary, disrupted ligament, ankle; collateral (27695)
likely a partial charge, not the full procedure		 $940.20 $1,567 0.1×
Repair/graft achilles tendon (27652)
likely a partial charge, not the full procedure		 $1,246.20 $2,077 0.2×
Reposition Gastrostomy Tube (43761) $214.20 $357 0.9×
Repr torn cruciate knee ligam (27407)
likely a partial charge, not the full procedure		 $1,440 $2,400 0.2×
Rerepair ing hernia reduce (49520) $1,121.40 $1,869 0.3×
Resection/transplantation long tendon biceps (23440)
likely a partial charge, not the full procedure		 $1,418.40 $2,364 0.2×
Rev/rmv prph sac/gstr npg/r (64595) $324.60 $541 0.1×
Revis reconst shoulder joint (23473)
likely a partial charge, not the full procedure		 $2,962.80 $4,938 0.2×
Revise Hand/Foot Nerve (64704) $636.60 $1,061 0.3×
Revise lower leg tendon (27690)
likely a partial charge, not the full procedure		 $1,202.40 $2,004 0.2×
Revise ulnar nerve at wrist (64719) $909.60 $1,516 0.5×
Revise/Implant Finger Joint (26536)
unusually low: confirm this is the full procedure		 $2,172.60 $3,621 0.3×
Revise/Repair Finger/Toe Nerve (64702) $971.40 $1,619 0.5×
Revision including removal of prosthetic vaginal graft vaginal approach (57295) $897.60 $1,496 0.3×
Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) $1,962 $3,270 0.6×
Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) $2,271.60 $3,786 0.7×
Revision of reconstructed breast (19380)
likely a partial charge, not the full procedure		 $1,455 $2,425 0.2×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $1,181.40 $1,969 0.3×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663)
likely a partial charge, not the full procedure		 $1,490.40 $2,484 0.2×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688)
range across 2 matching MRF lines		 $700.80–$5,438.40 $1,168–$9,064 varies
Revj/rmvl peripheral neurostimulator electrode (64585) $389.40 $649 0.1×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $183.60 $306 0.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $211.20 $352 0.5×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $124.20 $207 1.0×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $840 $1,400 0.3×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $384.60 $641 0.2×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $1,108.80 $1,848 0.6×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $841.20–$901.20 $1,402–$1,502 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines		 $561–$600.60 $935–$1,001 varies
Rmvl/revj sling stress incontinence (57287) $1,962.60 $3,271 0.6×
Rplc Gtube No Revj Trc (43762) $418.20 $697 1.7×
Rplc gtube revj gstrst trc (43763) $620.40 $1,034 2.6×
Rplcmt cath ctr vad subq port/pmp (36578) $846 $1,410 0.3×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure		 $1,080 $1,800 0.2×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $810 $1,350 0.2×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595)
likely a partial charge, not the full procedure		 $1,740 $2,900 0.3×
Rpr aa hernia recr 3-10 cm reducible (49615)
likely a partial charge, not the full procedure		 $1,380 $2,300 0.2×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
likely a partial charge, not the full procedure		 $1,200 $2,000 0.2×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $852 $1,420 0.2×
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure		 $1,260 $2,100 0.2×
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure		 $960 $1,600 0.2×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) $938.40 $1,564 0.3×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $340.80 $568 1.8×
Rpr flexor tendon leg secondary w/o graft each (27659)
likely a partial charge, not the full procedure		 $931.80 $1,553 0.1×
Rpr ing hernia init reduce (49500)
likely a partial charge, not the full procedure		 $786.60 $1,311 0.1×
Rpr Lip Full Thickness Vermilion Only (40650) $459 $765 0.9×
Rpr Nsl Vlv Collapse W/Implt (30468)
likely a partial charge, not the full procedure		 $372 $620 0.1×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696)
likely a partial charge, not the full procedure		 $1,107 $1,845 0.2×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $979.80 $1,633 0.3×
Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202)
likely a partial charge, not the full procedure		 $1,200 $2,000 0.2×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $1,211.40 $2,019 0.4×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $480 $800 0.5×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $555 $925 0.5×
Shave skin lesion 0.5 cm/< (11300) $203.40 $339 0.5×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $220.80 $368 1.1×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $291.60 $486 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $207.60 $346 1.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $226.80 $378 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $232.20 $387 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $281.40 $469 0.7×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $262.80 $438 1.4×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $298.20 $497 0.8×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $226.80 $378 1.2×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $286.80 $478 0.7×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $259.20 $432 1.3×
Sigmoidoscopy & Polypectomy (45333) $624 $1,040 0.7×
Sigmoidoscopy flx tndsc balo dilat (45340) $867.60 $1,446 0.8×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $997.20 $1,662 0.9×
Sigmoidoscopy W/Resection (45349) $417 $695 0.2×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $541.80 $903 0.6×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $1,053.60 $1,756 0.9×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $396 $660 1.0×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $211.20 $352 1.1×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $232.20 $387 1.2×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $418.20 $697 1.1×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $262.20 $437 1.4×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $455.40 $759 2.4×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $214.20 $357 1.1×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $436.80 $728 2.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $250.20 $417 1.3×
Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision Facility (31086)
unusually low: confirm this is the full procedure		 $2,083.80 $3,473 0.4×
Skin graft, harvest cultured tissue (15040) $469.80 $783 0.2×
Skin Pinch Graft (15050) $1,119.60 $1,866 1.6×
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines		 $277.20–$2,163 $462–$3,605 varies
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines		 $267–$1,915.80 $445–$3,193 varies
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines		 $534–$3,028.20 $890–$5,047 varies
Skn sub grft f/n/hf/g child (15277) $2,533.80 $4,223 1.3×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $1,622.40 $2,704 0.3×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $216 $360 1.1×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $310.80 $518 0.8×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $373.80 $623 1.0×
Sphincterotomy anal division sphincter spx (46080) $323.40 $539 0.1×
Spinal puncture lumbar diagnostic (62270) $315 $525 0.5×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $1,536.60 $2,561 0.5×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $1,638 $2,730 0.8×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765)
range across 2 matching MRF lines		 $1,200–$3,180 $2,000–$5,300 varies
Strapping ankle (29540)
range across 2 matching MRF lines		 $49.20–$52.80 $82–$88 varies
Strapping shoulder (29240) $109.20 $182 0.9×
Strapping Unna Boot (29580)
range across 2 matching MRF lines		 $119.40–$148.20 $199–$247 varies
Subcutaneous Hormone Pellet Implantation (11980) $172.20 $287 0.4×
Subcutaneous Injection Filling Material 1 Cc/< (11950) $144.60 $241 0.7×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $787.20 $1,312 0.2×
Surg Implnt Neuroelect,Epidural (63655)
likely a partial charge, not the full procedure		 $1,590 $2,650 0.1×
Surg nasopharyngoscopy dilat eustachian tube bi (69706)
likely a partial charge, not the full procedure		 $480 $800 0.1×
Surg tx anal fistula subq (46270) $1,044.60 $1,741 0.4×
Suture digital nerve hand/foot 1 nerve (64831) $1,229.40 $2,049 0.7×
Synovectomy Tendon Sheath Foot Flexor (28086) $1,065.60 $1,776 0.3×
Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070)
likely a partial charge, not the full procedure		 $947.40 $1,579 0.1×
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines		 $178.80–$191.40 $298–$319 varies
Tendon lengthening upper arm/elbow ea tendon (24305) $1,100.40 $1,834 0.3×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) $1,182 $1,970 0.4×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $780 $1,300 0.2×
Tenotomy Percutaneous Toe Single Tendon (28010)
range across 2 matching MRF lines		 $355.20–$380.40 $592–$634 varies
Tenotomy, open, elbow to shoulder, each tendon Facility (24310) $871.20 $1,452 0.3×
Ther Spi Pnxr Csf Fluor/Ct (62329) $149.40 $249 0.2×
Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy Facility (32606)
likely a partial charge, not the full procedure		 $839.40 $1,399 0.1×
Thorsc dx lungs/pericar/med/pleural space w/o bx (32601)
likely a partial charge, not the full procedure		 $563.40 $939 0.1×
Thyroidectomy, total or complete (60240)
likely a partial charge, not the full procedure		 $1,618.20 $2,697 0.3×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252)
unusually low: confirm this is the full procedure		 $2,467.20 $4,112 0.4×
Tibial Arthroscopy/Surgery (29855)
likely a partial charge, not the full procedure		 $1,430.40 $2,384 0.2×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $1,448.40 $2,414 0.7×
Tnot elbow lateral/medial debride open (24358) $1,006.80 $1,678 0.3×
Tnot elbow lateral/medial debride open tdn rpr (24359) $1,263.60 $2,106 0.4×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $600 $1,000 0.2×
Tooth extraction (41899) $194.40 $324 0.9×
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857)
likely a partial charge, not the full procedure		 $3,367.20 $5,612 0.2×
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225)
likely a partial charge, not the full procedure		 $1,678.80 $2,798 0.3×
Tracheobrnchsc Thru Est Trachs Inc (31615) $324.60 $541 0.6×
Tracheostoma Revj Cplx W/Flap Rotation (31614)
likely a partial charge, not the full procedure		 $1,401.60 $2,336 0.2×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $1,090.80 $1,818 0.6×
Transfer skin pedicle flap (15650) $889.80 $1,483 0.4×
Transplant hand tendon (26480) $1,502.40 $2,504 0.5×
Treat ankle fracture (28445)
likely a partial charge, not the full procedure		 $1,905.60 $3,176 0.3×
Treat Big Toe Fracture (28505) $1,321.80 $2,203 0.4×
Treat dislocation/fracture (23680)
likely a partial charge, not the full procedure		 $1,288.20 $2,147 0.1×
Treat Elbow Fracture (24635)
likely a partial charge, not the full procedure		 $1,264.80 $2,108 0.2×
Treat Finger Fracture Each (26727) $907.80 $1,513 0.3×
Treat forearm bone lesion (25035)
unusually low: confirm this is the full procedure		 $2,229 $3,715 0.3×
Treat Fx Rad Extra-Articul (25607)
likely a partial charge, not the full procedure		 $1,405.20 $2,342 0.2×
Treat humerus fracture (24500) $441.60 $736 1.9×
Treat humerus fracture (23600) $523.20 $872 2.2×
Treat kneecap dislocation (27566)
likely a partial charge, not the full procedure		 $1,777.20 $2,962 0.3×
Treat Knuckle Dislocation (26700) $457.80 $763 1.9×
Treat metacarpal fracture (26607) $967.80 $1,613 0.3×
Treat Metatarsal Fracture (28475) $375.60 $626 1.6×
Treat Thumb Dislocation (26641) $794.40 $1,324 3.4×
Treat toe dislocation (28630) $301.80 $503 1.3×
Treatment Closed Elbow Dislocation Req Anes (24605) $600 $1,000 0.4×
Treatment of ankle fracture (27823)
likely a partial charge, not the full procedure		 $1,849.20 $3,082 0.3×
Treatment of foot infection (28003) $826.20 $1,377 0.3×
Trim skin lesion (11055)
range across 2 matching MRF lines		 $59.40–$135 $99–$225 varies
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines		 $101.40–$155.40 $169–$259 varies
Trim skin lesions over 4 (11057)
range across 2 matching MRF lines		 $103.80–$168.60 $173–$281 varies
Trimming Nondystrophic Nails Any Number (11719) $31.20 $52 0.6×
Tubal ligation (58600) $765.60 $1,276 0.2×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $929.40 $1,549 0.3×
Tx Missed Abortion First Trimester Surgical (59820) $519 $865 0.2×
Tx open tendon flexor toe 1 tendon spx (28232)
range across 2 matching MRF lines		 $763.80–$818.40 $1,273–$1,364 varies
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230)
range across 2 matching MRF lines		 $788.40–$844.80 $1,314–$1,408 varies
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $675.60 $1,126 0.4×
Tx Superficial Wound Dehiscence Simple Closure (12020) $573 $955 0.8×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $360.60 $601 1.5×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $695.40 $1,159 0.5×
Tympanoplasty (69631)
likely a partial charge, not the full procedure		 $1,588.20 $2,647 0.3×
Tympanostomy general anesthesia (69436) $276 $460 0.2×
Unlisted laparoscopic procedure liver (47379)
unusually low: confirm this is the full procedure		 $2,333.40 $3,889 0.4×
Unlisted laparoscopy procedure appendix (44979)
likely a partial charge, not the full procedure		 $1,184.40 $1,974 0.2×
Unlisted laparoscopy procedure stomach (43659)
likely a partial charge, not the full procedure		 $1,297.80 $2,163 0.2×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
likely a partial charge, not the full procedure		 $1,051.20 $1,752 0.2×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
likely a partial charge, not the full procedure		 $1,261.80 $2,103 0.2×
Unlisted laparoscopy procedure, intestine (except rectum) (44238)
unusually low: confirm this is the full procedure		 $2,725.80 $4,543 0.5×
Unlisted Procedure Accessory Sinuses (31299) $504.60 $841 2.2×
Unlisted procedure arthroscopy (29999) $1,272 $2,120 5.4×
Unlisted Procedure Esophagus (43499) $1,471.20 $2,452 1.7×
Unlisted procedure foot or toes (28899) $1,816.80 $3,028 7.7×
Unlisted Procedure Hands/Fingers (26989) $1,528.80 $2,548 6.4×
Unlisted Procedure Leg/Ankle (27899) $3,180.60 $5,301 13.4×
Unlisted procedure nervous system (64999)
range across 4 matching MRF lines		 $241.20–$2,781 $402–$4,635 varies
Unlisted Procedure Vascular Surgery (37799)
range across 2 matching MRF lines		 $1,622.40–$2,400 $2,704–$4,000 varies
Unlisted procedure, abdomen, peritoneum and omentum (49999) $1,265.40 $2,109 1.5×
Unlisted px female genital system nonobstetrical (58999) $1,947 $3,245 10.0×
Urethrlys Transvag W/ Scope (53500) $1,431.60 $2,386 0.4×
Urethromeatoplasty W/Mucosal Advancement (53450) $690 $1,150 0.2×
Urethroplasty, reconstruction of female urethra Facility (53430)
unusually low: confirm this is the full procedure		 $1,828.20 $3,047 0.4×
Uvulectomy excision of uvula (42140) $463.80 $773 0.1×
Vaginal delivery only (59409)
range across 2 matching MRF lines		 $1,002.60–$1,760.40 $1,671–$2,934 varies
Vaginal hysterectomy, for uterus 250 g or less; (58260) $1,471.80 $2,453 0.3×
Vaginectomy, partial removal of vaginal wall; (57106) $924.60 $1,541 0.3×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 2 matching MRF lines		 $750–$799.80 $1,250–$1,333 varies
Ventilating tube removal requiring general anesthesia (69424)
range across 2 matching MRF lines		 $242.40–$2,820 $404–$4,700 varies
Vulvectomy simple partial (56620) $1,144.20 $1,907 0.4×
Vulvectomy, radical, partial; Facility (56630) $1,806 $3,010 0.4×
Wedge excision skin nail fold (11765) $322.80 $538 0.8×
Windowing of cast (29730) $121.80 $203 0.8×
Wound Prep F/N/Hf/G (15004) $695.40 $1,159 1.8×
Wound Prep Trk/Arm/Leg (15002)
range across 2 matching MRF lines		 $610.20–$701.40 $1,017–$1,169 varies
Xfer Single Deep Low Leg Tendon (27691)
likely a partial charge, not the full procedure		 $1,477.20 $2,462 0.2×

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.