Procedures & surgery prices at Jackson General Hospital
Ripley, WV · every code in this section with a posted price and a Medicare benchmark.
623 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $1,245 | $2,490 | 1.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$1,378–$1,390 | $2,756–$2,780 | varies |
| Abdomen Surgery Procedure (22999) | $303 | $606 | 1.3× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) unusually low: confirm this is the full procedure |
$6,180 | $12,360 | 0.4× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) range across 2 matching MRF lines |
$328.88–$1,137.92 | $657.75–$2,275.83 | varies |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) | $1,137.92 | $2,275.83 | 0.6× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) | $8,947.50 | $17,895 | 2.6× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $1,209.50 | $2,419 | 0.6× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) range across 2 matching MRF lines |
$449.31–$1,421.50 | $898.62–$2,843 | varies |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) | $3,413.76 | $6,827.51 | 1.7× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) | $1,137.92 | $2,275.83 | 0.6× |
| Amputation metatarsal with toe single (28810) | $2,534.50 | $5,069 | 0.8× |
| Amputation toe metatarsophalangeal joint (28820) range across 2 matching MRF lines |
$1,792.50–$2,387.50 | $3,585–$4,775 | varies |
| Anoscopy diagnostic (46600) | $179.75 | $359.50 | 1.4× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $520.50 | $1,041 | 0.2× |
| Anterior colporraphy rpr cystocele w/cysto (57240) | $5,339.50 | $10,679 | 1.1× |
| Application cast elbow finger short arm (29075) | $524 | $1,048 | 2.0× |
| Application finger splint static (29130) range across 2 matching MRF lines |
$125.50–$144.50 | $251–$289 | varies |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$304.50–$350.50 | $609–$701 | varies |
| Application Long Leg Splint (29505) range across 3 matching MRF lines |
$304.50–$350.50 | $609–$701 | varies |
| Application of long leg cast (29345) | $249 | $498 | 0.9× |
| Application of rigid total contact leg cast (29445) | $523.50 | $1,047 | 2.0× |
| Application Short Arm Splint Dynamic (29126) | $250 | $500 | 2.0× |
| Application short arm splint forearm-hand static (29125) range across 4 matching MRF lines |
$127.50–$287.50 | $255–$575 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$304.50–$350.50 | $609–$701 | varies |
| Application uniplane external fixation system (20690) likely a partial charge, not the full procedure |
$1,078.50 | $2,157 | 0.2× |
| Apply hand/wrist cast (29085) | $307 | $614 | 2.0× |
| Apply long arm cast (29065) | $524 | $1,048 | 2.0× |
| Apply Multlay Comprs Lwr Leg (29581) range across 4 matching MRF lines |
$304.50–$353.50 | $609–$707 | varies |
| Apply Short Leg Cast (29405) | $524 | $1,048 | 2.0× |
| Apply short leg cast (29425) | $524 | $1,048 | 2.0× |
| Arterial puncture (36600) range across 3 matching MRF lines |
$114–$228 | $228–$456 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 5 matching MRF lines |
$350–$1,194 | $700–$2,388 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $1,377.50 | $2,755 | 2.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 8 matching MRF lines |
$220.34–$997.50 | $440.67–$1,995 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$651.50–$657.50 | $1,303–$1,315 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$359–$718 | $718–$1,436 | varies |
| Arthrodesis great toe metatarsophalangeal joint (28750) | $5,865.26 | $11,730.52 | 0.8× |
| Arthrodesis sacroiliac joint percutaneous (27279) unusually low: confirm this is the full procedure |
$6,622.50 | $13,245 | 0.4× |
| Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) unusually low: confirm this is the full procedure |
$7,882.50 | $15,765 | 0.5× |
| Arthroplasty Patella W/Prosthesis (27438) | $7,423.50 | $14,847 | 0.6× |
| Arthroscopy knee synovectomy limited spx (29875) | $4,336.50 | $8,673 | 1.4× |
| Arthroscopy shoulder distal claviculectomy (29824) range across 3 matching MRF lines |
$1,454.94–$2,723.88 | $2,909.87–$5,447.75 | varies |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) | $15,510.50 | $31,021 | 2.2× |
| Arthroscopy, knee, surgical; with lateral release (29873) | $5,025.50 | $10,051 | 1.6× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | $2,825.83 | $5,651.66 | 0.9× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) range across 2 matching MRF lines |
$1,454.94–$7,305 | $2,909.87–$14,610 | varies |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) range across 3 matching MRF lines |
$1,454.94–$3,095.88 | $2,909.87–$6,191.75 | varies |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) range across 2 matching MRF lines |
$11,036–$12,507.50 | $22,072–$25,015 | varies |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) range across 2 matching MRF lines |
$6,519.67–$12,321.50 | $13,039.34–$24,643 | varies |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) | $4,035.50 | $8,071 | 1.3× |
| Arthrs knee debridement/shaving artclr crtlg (29877) range across 2 matching MRF lines |
$4,336.50–$4,707.50 | $8,673–$9,415 | varies |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) range across 2 matching MRF lines |
$3,259.83–$7,121.50 | $6,519.66–$14,243 | varies |
| Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
$1,144.50–$2,655.50 | $2,289–$5,311 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$579.50–$924 | $1,159–$1,848 | varies |
| Aspirate/Inj Ganglion Cyst (20612) range across 4 matching MRF lines |
$597–$693 | $1,194–$1,386 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 4 matching MRF lines |
$398.50–$458.50 | $797–$917 | varies |
| Biopsy external ear (69100) | $227 | $454 | 1.0× |
| Biopsy nail unit (11755) | $659.50 | $1,319 | 1.0× |
| Biopsy of conjunctiva (68100) | $2,087.50 | $4,175 | 0.9× |
| Biopsy Prostate Any Approach Nonimaging-Guided (55705) | $1,034.50 | $2,069 | 0.3× |
| Biopsy soft tissue leg/ankle area superficial (27613) | $1,340 | $2,680 | 0.8× |
| Biopsy Vaginal Mucosa Simple (57100) range across 2 matching MRF lines |
$816.50–$1,262.50 | $1,633–$2,525 | varies |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) range across 2 matching MRF lines |
$882–$1,164 | $1,764–$2,328 | varies |
| Bladder instillation anticarcinogenic agent (51720) | $255 | $510 | 0.4× |
| Bladder Irrigation (51700) | $435 | $870 | 1.8× |
| Bladder Scan (51798) range across 3 matching MRF lines |
$125.50–$146 | $251–$292 | varies |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) | $1,976 | $3,952 | 1.0× |
| Blood Transfusion Service (36430) range across 2 matching MRF lines |
$579–$608 | $1,158–$1,216 | varies |
| Bone Graft Any Donor Area Minor/Small (20900) unusually low: confirm this is the full procedure |
$3,190.17 | $6,380.33 | 0.5× |
| Bx breast 1st lesion us imag (19083) | $2,506 | $5,012 | 1.6× |
| Bx Cervix (57500) range across 2 matching MRF lines |
$1,456–$1,689 | $2,912–$3,378 | varies |
| Canthotomy Separate Procedure (67715) | $2,643.50 | $5,287 | 1.2× |
| Carpal Tunnel Surgery (64721) range across 2 matching MRF lines |
$1,845.50–$1,898.50 | $3,691–$3,797 | varies |
| Cataract surgery complex (66982) range across 2 matching MRF lines |
$1,321.50–$1,495.50 | $2,643–$2,991 | varies |
| Change Cystostomy Tube Simple (51705) | $190 | $380 | 0.8× |
| Chemical Cautery Tissue (17250) range across 3 matching MRF lines |
$318–$358 | $636–$716 | varies |
| Chemodenerv Musc Migraine (64615) | $294 | $588 | 1.0× |
| Chemodenerv musc neck dyston (64616) range across 2 matching MRF lines |
$364.50–$729 | $729–$1,458 | varies |
| Chemodenerv trunk musc 1-5 (64646) | $1,556 | $3,112 | 2.3× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $566.50 | $1,133 | 1.9× |
| Chest tube placement (32551) | $784.50 | $1,569 | 0.5× |
| Chg onc prst8 ca alys all PSA structural isoforms (0359U) | $249 | $498 | 0.3× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $2,712.50 | $5,425 | 0.8× |
| Circumcision 28 days or older (54161) | $6,244.50 | $12,489 | 3.1× |
| Claviculectomy partial (23120) | $3,505.17 | $7,010.33 | 1.1× |
| Clear outer ear canal (69200) range across 5 matching MRF lines |
$127.50–$362 | $255–$724 | varies |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $446.50 | $893 | 1.9× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $422 | $844 | 1.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $205.50 | $411 | 0.9× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$1,540.50–$2,473 | $3,081–$4,946 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $983.50 | $1,967 | 4.2× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $491.50 | $983 | 2.1× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $491.50 | $983 | 2.1× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $1,443.50 | $2,887 | 0.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $205.50 | $411 | 0.9× |
| Closed tx patellar dislocation w/anesthesia (27562) | $281 | $562 | 1.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $346 | $692 | 1.5× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $491.50 | $983 | 2.1× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $491.50 | $983 | 2.1× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $491.50 | $983 | 2.1× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 5 matching MRF lines |
$1,315.50–$3,552 | $2,631–$7,104 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $491.50 | $983 | 2.1× |
| Closed tx talus fracture w/o manipulation (28430) | $491.50 | $983 | 2.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 3 matching MRF lines |
$325–$1,300 | $650–$2,600 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $491.50 | $983 | 2.1× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $491.50 | $983 | 2.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $491.50 | $983 | 2.1× |
| Clsd Tx Pelvic Ring Fx (27198) | $211 | $422 | 0.9× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $491.50 | $983 | 2.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $2,249 | $4,498 | 1.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$491.50–$565.50 | $983–$1,131 | varies |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) | $305 | $610 | 1.3× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $3,022.50 | $6,045 | 2.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $2,505.50 | $5,011 | 1.6× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $491.50 | $983 | 2.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $314.50 | $629 | 1.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $491.50 | $983 | 2.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $491.50 | $983 | 2.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $491.50 | $983 | 2.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 5 matching MRF lines |
$1,053.67–$2,132.50 | $2,107.34–$4,265 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $491.50 | $983 | 2.1× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $3,161.50 | $6,323 | 2.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $491.50 | $983 | 2.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $491.50 | $983 | 2.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $491.50 | $983 | 2.1× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 2 matching MRF lines |
$2,249–$4,813.50 | $4,498–$9,627 | varies |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $491.50 | $983 | 2.1× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $491.50 | $983 | 2.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$236.50–$491.50 | $473–$983 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$491.50–$565.50 | $983–$1,131 | varies |
| Cltx Medial Ankle Fx (27760) | $491.50 | $983 | 2.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $491.50 | $983 | 2.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 6 matching MRF lines |
$236.50–$2,920.17 | $473–$5,840.33 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $491.50 | $983 | 2.1× |
| Cltx post hip arthrp dislc req anes (27266) range across 2 matching MRF lines |
$1,540–$2,249 | $3,080–$4,498 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) | $565.50 | $1,131 | 2.4× |
| Cltx prox fibula/shft fx w/o manj (27780) | $491.50 | $983 | 2.1× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $1,526.50 | $3,053 | 1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $491.50 | $983 | 2.1× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) | $1,262.50 | $2,525 | 0.8× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $491.50 | $983 | 2.1× |
| Cltx tibial fx proximal w/o manipulation (27530) | $491.50 | $983 | 2.1× |
| Cltx tibial shaft fx w/o manipulation (27750) range across 3 matching MRF lines |
$491.50–$2,772.50 | $983–$5,545 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 3 matching MRF lines |
$1,297–$2,357.67 | $2,594–$4,715.33 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $120 | $240 | 0.9× |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$8.50–$9 | $17–$18 | varies |
| Colonoscopy w/submucosal inj (45381) range across 5 matching MRF lines |
$477.75–$1,764.50 | $955.50–$3,529 | varies |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) range across 2 matching MRF lines |
$475–$551 | $950–$1,102 | varies |
| Colposcopy Cervix Endocervical Curettage (57456) | $475 | $950 | 1.6× |
| Colposcopy entire vagina w/cervix if present (57420) | $493.50 | $987 | 1.7× |
| Colposcopy Vulva W/Biopsy (56821) | $292 | $584 | 1.0× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $1,456 | $2,912 | 1.6× |
| Colsc flx w/removal lesion by hot bx forceps (45384) range across 7 matching MRF lines |
$515.67–$2,320.50 | $1,031.33–$4,641 | varies |
| Complex drainage wound (10180) range across 2 matching MRF lines |
$2,428.50–$2,749.67 | $4,857–$5,499.34 | varies |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $5,693.50 | $11,387 | 1.8× |
| Conjunctivorhinostomy Insj Tube/Stent (68750) | $2,994 | $5,988 | 0.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $287.50 | $575 | 2.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 4 matching MRF lines |
$250–$500 | $500–$1,000 | varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $2,560 | $5,120 | 1.6× |
| Correction hammertoe (28285) range across 4 matching MRF lines |
$1,606.38–$5,323.50 | $3,212.75–$10,647 | varies |
| Correction Trichiasis Inccision Lid Margin (67830) | $482.50 | $965 | 0.5× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) range across 2 matching MRF lines |
$4,129–$7,338.34 | $8,258–$14,676.67 | varies |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) | $3,117.50 | $6,235 | 1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) unusually low: confirm this is the full procedure |
$3,212.75 | $6,425.50 | 0.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $287.50 | $575 | 2.3× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $227 | $454 | 1.0× |
| Cysto Bladder W/Ureteral Catheterization (52005) range across 6 matching MRF lines |
$711.83–$2,046.17 | $1,423.66–$4,092.33 | varies |
| Cysto calibration dilat urtl strix/stenosis (52281) | $2,537.67 | $5,075.34 | 1.3× |
| Cysto w/destruction of lesions (52214) | $2,325.50 | $4,651 | 0.7× |
| Cysto w/insert ureteral stent (52332) range across 3 matching MRF lines |
$924.88–$3,170.50 | $1,849.75–$6,341 | varies |
| Cysto w/irrig & evac multple obstructing clots (52001) | $2,881 | $5,762 | 0.9× |
| Cysto W/Simple Removal Stone & Stent (52310) range across 3 matching MRF lines |
$1,920.50–$3,671 | $3,841–$7,342 | varies |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) range across 2 matching MRF lines |
$739.88–$924.88 | $1,479.75–$1,849.75 | varies |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) range across 2 matching MRF lines |
$1,479.75–$5,997.50 | $2,959.50–$11,995 | varies |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) range across 2 matching MRF lines |
$1,803–$1,911 | $3,606–$3,822 | varies |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) unusually low: confirm this is the full procedure |
$1,849.75 | $3,699.50 | 0.4× |
| Cysto/uretero w/lithotripsy (52356) range across 4 matching MRF lines |
$4,002–$7,333.50 | $8,004–$14,667 | varies |
| Cystourethroscopy (52000) range across 2 matching MRF lines |
$610–$2,040.50 | $1,220–$4,081 | varies |
| Cystourethroscopy inj chemodenervation bladder (52287) | $1,683.50 | $3,367 | 0.8× |
| Cystourethroscopy tx female urethral syndrome (52285) | $626 | $1,252 | 0.9× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) | $2,746.50 | $5,493 | 0.8× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) | $4,092.34 | $8,184.67 | 0.8× |
| Cystourethroscopy w/dil bladder general anesth (52260) | $1,819.50 | $3,639 | 0.9× |
| Cystourethroscopy with biopsy (52204) range across 2 matching MRF lines |
$2,515.50–$2,994.50 | $5,031–$5,989 | varies |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) | $4,702 | $9,404 | 2.5× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$708–$3,173.67 | $1,416–$6,347.34 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$125.50–$146 | $251–$292 | varies |
| Debride nail 6 or more (11721) range across 3 matching MRF lines |
$125.50–$494.50 | $251–$989 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$1,582–$3,594.50 | $3,164–$7,189 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$306.50–$4,230.50 | $613–$8,461 | varies |
| Declot vascular device (36593) | $819 | $1,638 | 2.6× |
| Deep Muscle Biopsy (20205) | $2,883.50 | $5,767 | 1.0× |
| Delivery of placenta (59414) | $3,100.50 | $6,201 | 1.0× |
| Destroy cerv/thor facet jnt (64633) range across 3 matching MRF lines |
$2,020–$3,223 | $4,040–$6,446 | varies |
| Destroy lumb/sac facet jnt (64635) range across 3 matching MRF lines |
$2,132.50–$3,451 | $4,265–$6,902 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 5 matching MRF lines |
$318–$1,198.17 | $636–$2,396.33 | varies |
| Destruction by neurolytic agent; plantar common digital nerve (64632) range across 2 matching MRF lines |
$426.50–$853 | $853–$1,706 | varies |
| Destruction Internal Hemorrhoid Thermal Energy (46930) | $1,056 | $2,112 | 0.9× |
| Destruction Lesions Vulva Extensive (56515) | $3,170.50 | $6,341 | 1.6× |
| Destruction Lesions Vulva Simple (56501) range across 2 matching MRF lines |
$213–$247.50 | $426–$495 | varies |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $449.31 | $898.62 | 2.3× |
| Destruction neurolytic agt genicular nerve w/img (64624) | $4,011.50 | $8,023 | 2.1× |
| Destruction premalignant lesion 1st (17000) range across 5 matching MRF lines |
$355.38–$510.75 | $710.75–$1,021.50 | varies |
| Diagnostic anoscopy (46601) | $170 | $340 | 0.4× |
| Diagnostic sigmoidoscopy (45330) | $1,046.50 | $2,093 | 1.2× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) | $146.50 | $293 | 1.2× |
| Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) | $228 | $456 | 1.0× |
| Dilate Esophagus 1/Mult Pass (43450) | $257.83 | $515.66 | 0.3× |
| Dilate Urethra Stricture (53620) | $626 | $1,252 | 0.9× |
| Dilate Urethra Stricture (53600) range across 2 matching MRF lines |
$228–$474.50 | $456–$949 | varies |
| Drain Cerebro Spinal Fluid (62272) | $624 | $1,248 | 0.9× |
| Drain Spinal Cord Cyst (62268) | $855.50 | $1,711 | 1.0× |
| Drain/inj small joint/bursa w/us (20604) range across 2 matching MRF lines |
$276.50–$566.50 | $553–$1,133 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 2 matching MRF lines |
$584.50–$1,370 | $1,169–$2,740 | varies |
| Drainage of finger abscess simple (26010) range across 4 matching MRF lines |
$390–$448.50 | $780–$897 | varies |
| Drainage of gum lesion (41800) | $250 | $500 | 2.0× |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$1,368.50–$2,704.50 | $2,737–$5,409 | varies |
| Drainage of hydrocele (55000) | $1,046 | $2,092 | 1.5× |
| Drainage of rectal abscess (45005) | $1,574 | $3,148 | 1.4× |
| Draw Blood Off Venous Device (36591) | $112 | $224 | 0.9× |
| Dressing Change Under Anesthesia (15852) | $813 | $1,626 | 1.1× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $1,017.50 | $2,035 | 1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$302.50–$348 | $605–$696 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$398.50–$462.50 | $797–$925 | varies |
| Dstrj lesion anus simple surg excision (46922) | $663 | $1,326 | 0.2× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) | $1,219 | $2,438 | 0.6× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $1,739.50 | $3,479 | 9.0× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 2 matching MRF lines |
$579.83–$1,336 | $1,159.66–$2,672 | varies |
| Dx gastr intub w/asp spec (43754) | $419 | $838 | 2.0× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,583 | $3,166 | 2.3× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $1,433.25 | $2,866.50 | 0.8× |
| Egd dilation gastric/duodenal stricture (43245) | $788.67 | $1,577.34 | 0.4× |
| Egd Flexible Foreign Body Removal (43247) | $1,001 | $2,002 | 1.2× |
| Egd place gastrostomy tube (43246) | $2,177 | $4,354 | 1.2× |
| Egd remove lesion snare (43251) | $606.67 | $1,213.34 | 0.3× |
| Electro-Uroflowmetry First (51741) | $303.50 | $607 | 1.5× |
| Endocervical curettage (57505) | $816.50 | $1,633 | 0.9× |
| Endometrial Biopsy (58100) range across 2 matching MRF lines |
$378–$438.50 | $756–$877 | varies |
| Endoscopic injection/implant (51715) | $1,365 | $2,730 | 0.4× |
| Endoscopic plantar fasciotomy (29893) range across 2 matching MRF lines |
$1,606.38–$2,618 | $3,212.75–$5,236 | varies |
| Epididymectomy bilateral (54861) | $6,077.50 | $12,155 | 1.8× |
| Epidural Blood Patch (62273) | $676 | $1,352 | 1.0× |
| Evacuation of subungual hematoma (11740) | $250 | $500 | 2.0× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$678.50–$1,017.88 | $1,357–$2,035.75 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 3 matching MRF lines |
$1,523.50–$1,845.50 | $3,047–$3,691 | varies |
| Exc back tum deep < 5 cm (21932) | $2,782 | $5,564 | 1.0× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 2 matching MRF lines |
$1,112–$1,145.17 | $2,224–$2,290.33 | varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 2 matching MRF lines |
$1,252.50–$2,852.50 | $2,505–$5,705 | varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) range across 2 matching MRF lines |
$1,442.34–$1,582 | $2,884.67–$3,164 | varies |
| Exc Face Les Sbq 2 Cm/> (21012) | $2,958.50 | $5,917 | 1.9× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 4 matching MRF lines |
$678.50–$1,686.50 | $1,357–$3,373 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 3 matching MRF lines |
$678.50–$2,080 | $1,357–$4,160 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 2 matching MRF lines |
$678.50–$1,427.67 | $1,357–$2,855.34 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 2 matching MRF lines |
$1,313–$1,582 | $2,626–$3,164 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) range across 2 matching MRF lines |
$1,336.34–$1,582 | $2,672.67–$3,164 | varies |
| Exc ganglion wrist recurrent (25112) range across 2 matching MRF lines |
$2,216.50–$2,249 | $4,433–$4,498 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 4 matching MRF lines |
$1,582–$3,011.50 | $3,164–$6,023 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 5 matching MRF lines |
$678.50–$1,262.50 | $1,357–$2,525 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$1,313–$1,660.50 | $2,626–$3,321 | varies |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $1,435.50 | $2,871 | 0.9× |
| Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) | $3,983.50 | $7,967 | 1.3× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) | $1,724.50 | $3,449 | 0.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$584.50–$3,382.50 | $1,169–$6,765 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 3 matching MRF lines |
$891.50–$1,582 | $1,783–$3,164 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 2 matching MRF lines |
$1,159.67–$2,782 | $2,319.34–$5,564 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$1,582–$3,435.50 | $3,164–$6,871 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) | $2,782 | $5,564 | 1.0× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $2,502.50 | $5,005 | 1.6× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$2,431.67–$3,129.50 | $4,863.34–$6,259 | varies |
| Exc tendon shth lesion leg/ankle (27630) | $2,820.34 | $5,640.67 | 0.9× |
| Exc thigh/knee les sc 3 cm/> (27337) range across 3 matching MRF lines |
$898.63–$2,683 | $1,797.25–$5,366 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 3 matching MRF lines |
$374.50–$1,209.50 | $749–$2,419 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 3 matching MRF lines |
$584.50–$1,262.50 | $1,169–$2,525 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$1,313–$1,368.50 | $2,626–$2,737 | varies |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $328.88 | $657.75 | 0.2× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $771 | $1,542 | 0.5× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $5,661.50 | $11,323 | 2.0× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $657.75 | $1,315.50 | 0.4× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) | $2,683 | $5,366 | 1.0× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $2,640.50 | $5,281 | 0.9× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) | $1,686.50 | $3,373 | 1.1× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $1,485.50 | $2,971 | 0.7× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 4 matching MRF lines |
$710.75–$2,698.67 | $1,421.50–$5,397.34 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $2,220.50 | $4,441 | 3.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 3 matching MRF lines |
$678.50–$3,117.50 | $1,357–$6,235 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$728.50–$3,382.50 | $1,457–$6,765 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 2 matching MRF lines |
$1,390.50–$4,010.67 | $2,781–$8,021.34 | varies |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $355.38 | $710.75 | 0.5× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 2 matching MRF lines |
$1,619–$2,502.50 | $3,238–$5,005 | varies |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $3,912.50 | $7,825 | 1.4× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $1,313 | $2,626 | 0.8× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $1,390.50 | $2,781 | 2.0× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 2 matching MRF lines |
$1,390.50–$2,693.50 | $2,781–$5,387 | varies |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $1,582 | $3,164 | 1.0× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $2,587.50 | $5,175 | 1.7× |
| Excision of hydrocele; bilateral (55041) | $3,846.67 | $7,693.34 | 1.1× |
| Excision of hydrocele; unilateral (55040) | $2,905.50 | $5,811 | 0.8× |
| Excision of pilonidal cyst or sinus; simple (11770) | $2,905.50 | $5,811 | 1.0× |
| Excision of vaginal cyst or tumor (57135) | $5,577 | $11,154 | 1.8× |
| Excision olecranon bursa (24105) | $3,912.50 | $7,825 | 1.2× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $2,184.34 | $4,368.67 | 0.8× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $9,275.50 | $18,551 | 3.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $898.63 | $1,797.25 | 0.6× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) | $3,556 | $7,112 | 2.2× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $1,845.50 | $3,691 | 1.2× |
| Fetal non-stress test (59025) | $199.50 | $399 | 1.0× |
| Fine needle aspiration without imaging guidance (10021) | $374.50 | $749 | 1.0× |
| Fna bx w/us gdn 1st les (10005) | $1,488 | $2,976 | 2.2× |
| Goniotomy (65820) range across 2 matching MRF lines |
$842.34–$881 | $1,684.67–$1,762 | varies |
| Guide Cathet Fluid Drainage (10030) | $822.50 | $1,645 | 1.2× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $515.67 | $1,031.33 | 0.6× |
| Hysteroscopy Biopsy (58558) range across 3 matching MRF lines |
$4,105.50–$7,569.50 | $8,211–$15,139 | varies |
| Hysteroscopy Endometrial Ablation (58563) | $1,097.38 | $2,194.75 | 0.2× |
| I&d abscess peritonsillar (42700) | $326 | $652 | 1.4× |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$168.50–$2,481.50 | $337–$4,963 | varies |
| I&d perianal abscess superficial (46050) | $1,534.50 | $3,069 | 1.7× |
| I&d pilonidal cyst complicated (10081) | $584.50 | $1,169 | 0.9× |
| I&d pilonidal cyst simple (10080) range across 4 matching MRF lines |
$584.50–$1,957 | $1,169–$3,914 | varies |
| Implant neuroelectrodes (63650) range across 2 matching MRF lines |
$3,612.50–$29,986 | $7,225–$59,972 | varies |
| Implant Periph/Gastric Neurostim/Receiver (64590) range across 2 matching MRF lines |
$3,493.50–$3,521 | $6,987–$7,042 | varies |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) unusually low: confirm this is the full procedure |
$4,193 | $8,386 | 0.5× |
| Incise external hemorrhoid (46083) | $535 | $1,070 | 2.2× |
| Incise finger tendon sheath (26055) range across 4 matching MRF lines |
$968.50–$5,149.50 | $1,937–$10,299 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 4 matching MRF lines |
$583.50–$1,470.50 | $1,167–$2,941 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 5 matching MRF lines |
$356–$1,421.50 | $712–$2,843 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 3 matching MRF lines |
$244.50–$758.08 | $489–$1,516.16 | varies |
| Incision and drainage of vulva or perineal abscess (56405) | $278 | $556 | 1.0× |
| Incision of Foot Tendon (28234) | $1,540 | $3,080 | 1.0× |
| Incision of rectal abscess (46040) range across 3 matching MRF lines |
$2,162–$2,633 | $4,324–$5,266 | varies |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $1,750.50 | $3,501 | 1.1× |
| Incisional biopsy skin single lesion (11106) | $728.50 | $1,457 | 1.0× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 6 matching MRF lines |
$966–$3,703 | $1,932–$7,406 | varies |
| Inj W/Fluor Eval Cv Device (36598) | $403 | $806 | 2.0× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 5 matching MRF lines |
$469–$1,194 | $938–$2,388 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) | $1,364.50 | $2,729 | 2.0× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $1,425 | $2,850 | 2.1× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) range across 2 matching MRF lines |
$597–$1,018 | $1,194–$2,036 | varies |
| Injection anesthetic agent suprascapular nerve (64418) range across 3 matching MRF lines |
$1,067.50–$1,228 | $2,135–$2,456 | varies |
| Injection enzyme palmar fascial cord (20527) | $395.50 | $791 | 1.3× |
| Injection medication/other subst tenon capsule (67515) | $280 | $560 | 0.9× |
| Injection procedure for peyronie disease (54200) | $321 | $642 | 1.3× |
| Injection single tendon origin/insertion (20551) | $597 | $1,194 | 2.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$597–$687 | $1,194–$1,374 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) | $597 | $1,194 | 2.0× |
| Injection therapeutic carpal tunnel (20526) range across 4 matching MRF lines |
$566.50–$1,133 | $1,133–$2,266 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 3 matching MRF lines |
$1,480.50–$1,717.50 | $2,961–$3,435 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$1,639–$1,653 | $3,278–$3,306 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 4 matching MRF lines |
$598–$1,196 | $1,196–$2,392 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $200.50 | $401 | 1.0× |
| Ins/Rep Subq Defibrillator (33270) likely a partial charge, not the full procedure |
$8,735 | $17,470 | 0.3× |
| Insert 1 Electrode Pm-Defib (33216) unusually low: confirm this is the full procedure |
$2,502.50 | $5,005 | 0.3× |
| Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
$449–$516.50 | $898–$1,033 | varies |
| Insert cath pleura w/o image (32556) range across 2 matching MRF lines |
$2,730.50–$3,140.50 | $5,461–$6,281 | varies |
| Insert Drug Implant Device (11981) | $250 | $500 | 2.0× |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$2,310.50–$2,686 | $4,621–$5,372 | varies |
| Insert Pacing Lead & Connect (33224) unusually low: confirm this is the full procedure |
$4,157 | $8,314 | 0.4× |
| Insert pessary/other device (57160) | $378 | $756 | 1.9× |
| Insert pulse gen dual leads (33213) unusually low: confirm this is the full procedure |
$4,157 | $8,314 | 0.4× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$126.50–$147 | $253–$294 | varies |
| Insert tunneled cv cath (36561) range across 3 matching MRF lines |
$4,453.50–$6,398 | $8,907–$12,796 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 4 matching MRF lines |
$121–$290 | $242–$580 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $1,495 | $2,990 | 1.0× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) unusually low: confirm this is the full procedure |
$2,619.50 | $5,239 | 0.3× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) unusually low: confirm this is the full procedure |
$2,502.50 | $5,005 | 0.3× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$1,057.50–$1,067 | $2,115–$2,134 | varies |
| Insj Subq Impltbl Dfb Elctrd (33271) unusually low: confirm this is the full procedure |
$2,502.50 | $5,005 | 0.3× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $2,387.50 | $4,775 | 0.8× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) likely a partial charge, not the full procedure |
$5,145 | $10,290 | 0.2× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) unusually low: confirm this is the full procedure |
$2,502.50 | $5,005 | 0.3× |
| Intraoral i&d tongue/floor sublngl supfc (41005) | $227 | $454 | 1.0× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$353.50–$407 | $707–$814 | varies |
| Laparo-vag hyst incl t/o (58552) | $7,436 | $14,872 | 0.7× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 2 matching MRF lines |
$8,892–$11,596 | $17,784–$23,192 | varies |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) | $14,976 | $29,952 | 1.5× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) | $12,480 | $24,960 | 1.2× |
| Laparoscopy w/rmvl adnexal structures (58661) range across 2 matching MRF lines |
$3,068–$5,497.50 | $6,136–$10,995 | varies |
| Laparoscopy, surgical, appendectomy (44970) | $7,121.50 | $14,243 | 1.2× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) | $9,672 | $19,344 | 0.9× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $7,275.50 | $14,551 | 1.3× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) | $18,044 | $36,088 | 3.1× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) | $4,972.50 | $9,945 | 0.9× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) | $3,103 | $6,206 | 0.5× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) | $5,598.34 | $11,196.67 | 1.5× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) | $8,470 | $16,940 | 0.8× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) | $9,620 | $19,240 | 0.9× |
| Laryngoscopy flexible diagnostic (31575) | $316.50 | $633 | 1.7× |
| Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) | $364 | $728 | 1.0× |
| Late closure of wound (13160) | $3,394 | $6,788 | 1.0× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) range across 2 matching MRF lines |
$8,090.34–$8,107.50 | $16,180.67–$16,215 | varies |
| Litholapaxy smpl/sm <2.5 cm (52317) | $1,446.88 | $2,893.75 | 0.4× |
| Low Back Disk Surgery (63030) | $4,702 | $9,404 | 0.7× |
| Manipulation knee joint under general anesthesia (27570) range across 2 matching MRF lines |
$330.50–$1,608 | $661–$3,216 | varies |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) range across 2 matching MRF lines |
$473–$758 | $946–$1,516 | varies |
| Maternity Care Procedure (59899) | $187 | $374 | 1.0× |
| Myringoplasty (69620) | $2,876 | $5,752 | 0.9× |
| N Block Inj Celiac Pelus (64530) | $1,130 | $2,260 | 1.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $1,151 | $2,302 | 1.7× |
| N Block Inj Plantar Digit (64455) range across 2 matching MRF lines |
$410–$820 | $820–$1,640 | varies |
| N Block Inj Pudendal (64430) | $1,336 | $2,672 | 1.6× |
| N Block Lumbar/Thoracic (64520) | $1,359.50 | $2,719 | 1.6× |
| Nasal Endoscopy Dx (31231) | $191 | $382 | 1.0× |
| Nasal/Orogastric W/Tube Plmt (43752) | $592 | $1,184 | 1.4× |
| Needle Biopsy Lymph Nodes (38505) | $2,178 | $4,356 | 1.4× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $68.50 | $137 | 2.5× |
| Needle insertion w/o injection 3 or more muscles (20561) | $82.50 | $165 | 3.0× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) | $5,954.50 | $11,909 | 3.2× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) range across 2 matching MRF lines |
$531.50–$558.50 | $1,063–$1,117 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 3 matching MRF lines |
$247.50–$285 | $495–$570 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 3 matching MRF lines |
$966–$3,703 | $1,932–$7,406 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 3 matching MRF lines |
$795.50–$1,653 | $1,591–$3,306 | varies |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $1,425 | $2,850 | 2.1× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $847 | $1,694 | 1.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$1,405–$1,630 | $2,810–$3,260 | varies |
| Occipital Nerve Block (64405) range across 3 matching MRF lines |
$520–$1,194 | $1,040–$2,388 | varies |
| Onc Sld Org Neo Trgt Gen Seq Dna Alys 505 Genes (0250U) | $2,239 | $4,478 | 0.8× |
| Open Treatment Bimalleolar Ankle Fracture (27814) | $5,845.50 | $11,691 | 0.8× |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) | $12,540.50 | $25,081 | 1.8× |
| Open Treatment Medial Malleolus Fracture (27766) | $4,575.75 | $9,151.50 | 0.7× |
| Open treatment metatarsal fracture each (28485) | $6,031.50 | $12,063 | 0.9× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) | $7,875.50 | $15,751 | 1.1× |
| Open Treatment of Ulnar Shaft Fracture (25545) | $11,645.50 | $23,291 | 1.7× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) unusually low: confirm this is the full procedure |
$2,287.88 | $4,575.75 | 0.3× |
| Open Treatment Proximal Humeral Fracture (23615) range across 3 matching MRF lines |
$8,745.50–$12,941.50 | $17,491–$25,883 | varies |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) range across 2 matching MRF lines |
$8,861.50–$9,615.50 | $17,723–$19,231 | varies |
| Open Tx Distal Tibiofibular Joint Disruption (27829) range across 2 matching MRF lines |
$2,897.67–$5,211.67 | $5,795.33–$10,423.34 | varies |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) range across 2 matching MRF lines |
$6,657.50–$7,613 | $13,315–$15,226 | varies |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $5,840.34 | $11,680.67 | 1.9× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) | $10,853 | $21,706 | 1.6× |
| Open tx ulnar fx proximal end (24685) | $10,853 | $21,706 | 1.6× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) | $6,195.50 | $12,391 | 0.9× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) range across 2 matching MRF lines |
$5,845.50–$5,903.50 | $11,691–$11,807 | varies |
| Orchiectomy radical tumor inguinal approach (54530) | $3,011.50 | $6,023 | 0.9× |
| Ostc prtl exostc/condylc metar head (28288) range across 2 matching MRF lines |
$2,168.25–$3,912.50 | $4,336.50–$7,825 | varies |
| Ostectomy, complete excision; fifth metatarsal head (28113) | $2,675.50 | $5,351 | 0.9× |
| Pericardiocentesis W/Imaging (33016) | $2,234.50 | $4,469 | 1.5× |
| Perq Cervicothoracic Inject (22510) | $3,039 | $6,078 | 1.0× |
| Perq device breast 1st imag (19281) | $517.50 | $1,035 | 0.3× |
| Perq Lumbosacral Injection (22511) | $3,039 | $6,078 | 1.0× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $665 | $1,330 | 1.0× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $4,702 | $9,404 | 0.7× |
| Perq Vertebral Augmentation (22513) | $4,702 | $9,404 | 0.7× |
| Place Rt Device/Marker Pros (55876) | $1,477.67 | $2,955.34 | 1.1× |
| Placement of needle for intraosseous infusion (36680) | $611.50 | $1,223 | 1.4× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) | $5,608.50 | $11,217 | 1.2× |
| Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) | $2,187 | $4,374 | 1.0× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) unusually low: confirm this is the full procedure |
$2,949 | $5,898 | 0.5× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) range across 2 matching MRF lines |
$3,833–$3,855 | $7,666–$7,710 | varies |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) range across 2 matching MRF lines |
$2,157–$4,232.50 | $4,314–$8,465 | varies |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $2,771.50 | $5,543 | 0.9× |
| Punch biopsy skin single lesion (11104) range across 5 matching MRF lines |
$318–$2,057.50 | $636–$4,115 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $233 | $466 | 0.6× |
| Puncture Aspiration Cyst Breast (19000) | $801.50 | $1,603 | 1.2× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) | $1,851.50 | $3,703 | 2.7× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) | $3,718.50 | $7,437 | 2.0× |
| Rbc DNA gntyp 12 bld grp gen (0282U) | $285 | $570 | 0.4× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) | $3,233.50 | $6,467 | 1.0× |
| Reduction Overcorrection Ptosis (67909) | $2,087.50 | $4,175 | 0.9× |
| Relocation Pocket Pacemaker (33222) | $1,715 | $3,430 | 0.9× |
| Removal Anal Seton Other Marker (46030) | $1,146.50 | $2,293 | 1.0× |
| Removal Embedded Foreign Body Eyelid (67938) range across 2 matching MRF lines |
$247.50–$430.50 | $495–$861 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$660–$2,042.67 | $1,320–$4,085.33 | varies |
| Removal foreign body upper arm/elbow deep (24201) | $4,719.50 | $9,439 | 1.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 5 matching MRF lines |
$55.50–$129 | $111–$258 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
$54–$108 | $108–$216 | varies |
| Removal impacted vag fb spx w/anes oth/thn local (57415) | $2,981 | $5,962 | 1.0× |
| Removal Implant Deep (20680) range across 3 matching MRF lines |
$3,669.17–$5,790.50 | $7,338.33–$11,581 | varies |
| Removal implantable contraceptive capsules (11976) | $1,350 | $2,700 | 2.0× |
| Removal of anal fissure (46200) range across 2 matching MRF lines |
$1,159.67–$2,809 | $2,319.34–$5,618 | varies |
| Removal of foreign body from pharynx (42809) | $541 | $1,082 | 1.3× |
| Removal of heel spur (28119) range across 2 matching MRF lines |
$2,326–$2,905.50 | $4,652–$5,811 | varies |
| Removal of nail bed (11750) range across 5 matching MRF lines |
$306.50–$758 | $613–$1,516 | varies |
| Removal of residual cervix (57550) | $11,752 | $23,504 | 2.4× |
| Removal of sperm cord lesion (55520) range across 2 matching MRF lines |
$1,798.83–$2,735.17 | $3,597.66–$5,470.33 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$166.50–$897.83 | $333–$1,795.66 | varies |
| Remove drug implant device (11982) range across 2 matching MRF lines |
$348.50–$404.50 | $697–$809 | varies |
| Remove foreign body from eye (65235) | $2,394 | $4,788 | 1.1× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$199–$229 | $398–$458 | varies |
| Remove Gastric Port Open (43887) | $693.33 | $1,386.66 | 0.4× |
| Remove Intrauterine Device (58301) range across 3 matching MRF lines |
$258–$1,503.83 | $516–$3,007.66 | varies |
| Remove Lower Leg Bone Lesion (27635) | $6,128 | $12,256 | 2.0× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$272–$313 | $544–$626 | varies |
| Remove prostate regrowth (52630) | $2,893.75 | $5,787.50 | 0.6× |
| Remove Tendon Sheath Lesion (26160) | $1,421.50 | $2,843 | 0.9× |
| Remove/Insert Drug Implant (11983) | $587 | $1,174 | 1.4× |
| Reopen fallopian tube (58350) range across 2 matching MRF lines |
$758.08–$2,855.67 | $1,516.16–$5,711.34 | varies |
| Repair Blood Vessel Direct Upper Extremity (35206) | $2,310.50 | $4,621 | 0.8× |
| Repair Collat Ankle Ligmnt,Secondary (27698) range across 2 matching MRF lines |
$2,605.83–$3,456.34 | $5,211.66–$6,912.67 | varies |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $708 | $1,416 | 1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$708–$1,133.50 | $1,416–$2,267 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $751 | $1,502 | 1.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$880.50–$1,013 | $1,761–$2,026 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
$389.50–$456.17 | $779–$912.33 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$1,138–$1,309 | $2,276–$2,618 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $708 | $1,416 | 1.0× |
| Repair complex trunk 2.6-7.5 cm (13101) | $708 | $1,416 | 1.0× |
| Repair Ectropion Excision Tarsal Wedge (67916) | $2,187 | $4,374 | 1.0× |
| Repair extensor tendon finger w/o graft each (26418) | $2,249 | $4,498 | 1.5× |
| Repair Foot Dislocation (28615) | $6,541.50 | $13,083 | 0.9× |
| Repair Hallux Rigidus (28289) | $3,488.50 | $6,977 | 1.1× |
| Repair Hand Tendon (26410) | $1,538.50 | $3,077 | 1.0× |
| Repair initial femoral hernia, any age; reducible (49550) | $2,396.34 | $4,792.67 | 0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 4 matching MRF lines |
$721.17–$845.50 | $1,442.33–$1,691 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 3 matching MRF lines |
$728.50–$838 | $1,457–$1,676 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$585–$673 | $1,170–$1,346 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $585 | $1,170 | 1.5× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $964 | $1,928 | 1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$728.50–$838 | $1,457–$1,676 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$728.50–$838 | $1,457–$1,676 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$910.50–$1,047.50 | $1,821–$2,095 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $673 | $1,346 | 1.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 5 matching MRF lines |
$208.83–$677 | $417.66–$1,354 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 5 matching MRF lines |
$363.50–$1,349.33 | $727–$2,698.66 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $585 | $1,170 | 1.5× |
| Repair Laceration Palate >2 Cm/Complex (42182) | $7,475.50 | $14,951 | 1.3× |
| Repair lead pace-defib dual (33220) | $2,537.50 | $5,075 | 0.7× |
| Repair Lead Pace-Defib One (33218) | $2,537.50 | $5,075 | 0.7× |
| Repair of nail bed (11760) | $1,013 | $2,026 | 1.4× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) | $10,659.50 | $21,319 | 1.5× |
| Repair Rotator Cuff Chronic (23412) | $3,652.50 | $7,305 | 0.5× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) | $7,702 | $15,404 | 1.1× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) | $6,350.50 | $12,701 | 0.9× |
| Repos Previously Implanted Subq Implantable Dfb (33273) | $2,537.50 | $5,075 | 0.7× |
| Rerepair ing hernia reduce (49520) range across 2 matching MRF lines |
$1,716–$3,597.67 | $3,432–$7,195.34 | varies |
| Revision of big toe (28310) | $5,671.50 | $11,343 | 0.8× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) unusually low: confirm this is the full procedure |
$2,949 | $5,898 | 0.5× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | $3,696 | $7,392 | 1.1× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $1,294.50 | $2,589 | 1.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$660.50–$760 | $1,321–$1,520 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 3 matching MRF lines |
$199–$229 | $398–$458 | varies |
| Rmvl fecal impaction/fb spx under anes (45915) | $1,137.50 | $2,275 | 1.0× |
| Rmvl of subq implantable defibrillator electrode (33272) | $2,537.50 | $5,075 | 0.7× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) | $2,561.50 | $5,123 | 1.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$1,265–$2,879.50 | $2,530–$5,759 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $1,149.50 | $2,299 | 1.9× |
| Rplc Gtube No Revj Trc (43762) | $591.50 | $1,183 | 2.5× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) range across 2 matching MRF lines |
$8,311.50–$15,241.50 | $16,623–$30,483 | varies |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $3,276.50 | $6,553 | 1.0× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) | $3,679 | $7,358 | 0.6× |
| Rpr aa hrn 1st 3-10 rdc (49593) | $8,152.50 | $16,305 | 1.3× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) unusually low: confirm this is the full procedure |
$1,951.50 | $3,903 | 0.3× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $3,699.50 | $7,399 | 2.4× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $325.50 | $651 | 1.7× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $628.50 | $1,257 | 0.9× |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) | $2,277.50 | $4,555 | 1.0× |
| Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) range across 2 matching MRF lines |
$1,728.17–$1,781.17 | $3,456.33–$3,562.33 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $2,216.50 | $4,433 | 11.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $192.50 | $385 | 1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) range across 3 matching MRF lines |
$166.50–$975.75 | $333–$1,951.50 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) range across 2 matching MRF lines |
$306.50–$487.88 | $613–$975.75 | varies |
| Shoulder Arthroscopy/Surgery (29825) | $3,238.50 | $6,477 | 1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $526.83 | $1,053.66 | 2.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $438.50 | $877 | 2.3× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $166.50 | $333 | 0.9× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 2 matching MRF lines |
$1,252.50–$2,047.50 | $2,505–$4,095 | varies |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $728.50 | $1,457 | 1.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$398.50–$462.50 | $797–$925 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$398.50–$462.50 | $797–$925 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$398.50–$458.50 | $797–$917 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 4 matching MRF lines |
$398.50–$1,586.83 | $797–$3,173.66 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $188 | $376 | 1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$429.50–$494 | $859–$988 | varies |
| Skin sub graft face/nk/hf/g (15275) | $1,368.50 | $2,737 | 1.9× |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$1,368.50–$2,051 | $2,737–$4,102 | varies |
| Skin Tissue Procedure (17999) | $318 | $636 | 1.7× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) | $6,692.50 | $13,385 | 1.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 4 matching MRF lines |
$398.50–$462.50 | $797–$925 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $673 | $1,346 | 1.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $606.50 | $1,213 | 1.6× |
| Spinal puncture lumbar diagnostic (62270) | $615 | $1,230 | 0.9× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $3,394 | $6,788 | 1.0× |
| Strapping Unna Boot (29580) range across 7 matching MRF lines |
$148–$396 | $296–$792 | varies |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) | $192 | $384 | 1.0× |
| Subcutaneous injection filling matrl 1.1-5.0 cc (11951) | $708 | $1,416 | 1.0× |
| Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) | $708 | $1,416 | 1.0× |
| Suprachoroidal space njx pharmacologic agent (67516) | $452 | $904 | 1.4× |
| Tangential biopsy skin single lesion (11102) range across 3 matching MRF lines |
$318–$526.83 | $636–$1,053.66 | varies |
| Tenodesis long tendon biceps (23430) range across 4 matching MRF lines |
$5,207.50–$5,819.76 | $10,415–$11,639.52 | varies |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $1,500.50 | $3,001 | 1.0× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) | $2,143.50 | $4,287 | 1.4× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) | $6,180 | $12,360 | 0.5× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $1,421.50 | $2,843 | 0.7× |
| Total Knee Arthroplasty (27447) range across 4 matching MRF lines |
$8,849.50–$13,312 | $17,699–$26,624 | varies |
| Tprnl Plmt Biodegrdabl Matrl (55874) likely a partial charge, not the full procedure |
$738.83 | $1,477.66 | 0.1× |
| Tracheostoma revj smpl w/o flap rotation (31613) | $3,175.50 | $6,351 | 1.0× |
| Tracheostomy planned (31600) | $3,175.50 | $6,351 | 1.0× |
| Transur electr resection of prostate (52601) | $8,523.50 | $17,047 | 1.7× |
| Treat fracture radius/ulna (25575) | $9,557.50 | $19,115 | 1.4× |
| Treat Fx Rad Extra-Articul (25607) range across 4 matching MRF lines |
$5,790.50–$6,715.50 | $11,581–$13,431 | varies |
| Treat Hip Socket Fracture (27222) | $249.50 | $499 | 1.1× |
| Treat humerus fracture (24500) | $491.50 | $983 | 2.1× |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
$1,538.50–$1,769.50 | $3,077–$3,539 | varies |
| Treat humerus fracture (23600) | $491.50 | $983 | 2.1× |
| Treat Knee Fracture(S) (27538) | $491.50 | $983 | 2.1× |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$491.50–$565.50 | $983–$1,131 | varies |
| Treat Metatarsal Fracture (28475) | $205.50 | $411 | 0.9× |
| Treat toe dislocation (28630) | $446.50 | $893 | 1.9× |
| Treatment of ankle fracture (27823) | $10,891.50 | $21,783 | 1.6× |
| Trim skin lesion (11055) | $166.50 | $333 | 0.9× |
| Trim skin lesions 2 to 4 (11056) | $398.50 | $797 | 2.1× |
| Trim skin lesions over 4 (11057) | $398.50 | $797 | 2.1× |
| Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$111–$129 | $222–$258 | varies |
| Tx Gastro Intub W/Asp (43753) | $344 | $688 | 1.7× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) | $14,768 | $29,536 | 1.2× |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) range across 2 matching MRF lines |
$4,979.67–$7,759.50 | $9,959.34–$15,519 | varies |
| Tx open tendon flexor toe 1 tendon spx (28232) | $3,022.50 | $6,045 | 2.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $589 | $1,178 | 0.8× |
| Tx superficial wound dehiscence w/packing (12021) | $522.50 | $1,045 | 1.3× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $491.50 | $983 | 2.1× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) | $3,527.67 | $7,055.33 | 0.6× |
| Unlisted laparoscopy procedure, uterus (58578) | $4,548.50 | $9,097 | 0.8× |
| Unlisted procedure arthroscopy (29999) | $1,084.13 | $2,168.25 | 4.6× |
| Unlisted procedure colon (45399) | $1,148 | $2,296 | 1.3× |
| Unlisted Procedure Conjunctiva (68399) | $304 | $608 | 1.0× |
| Unlisted procedure femur or knee (27599) range across 2 matching MRF lines |
$110.17–$244.17 | $220.33–$488.33 | varies |
| Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$526–$576 | $1,052–$1,152 | varies |
| Unlisted px female genital system nonobstetrical (58999) | $234 | $468 | 1.2× |
| Upgrade of pacemaker system (33214) unusually low: confirm this is the full procedure |
$4,157 | $8,314 | 0.4× |
| Vaginal Delivery After Cesarean Delivery (59612) | $2,981 | $5,962 | 1.0× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) | $7,925.50 | $15,851 | 1.7× |
| Vasectomy uni/bi spx w/postop semen exams (55250) range across 2 matching MRF lines |
$1,185.50–$1,923.33 | $2,371–$3,846.66 | varies |
| Wedge excision skin nail fold (11765) | $583.50 | $1,167 | 1.5× |
| Wound Prep F/N/Hf/G (15004) | $574 | $1,148 | 1.5× |
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.