Procedures & surgery prices at Jamestown Regional Medical Center
Jamestown, ND · every code in this section with a posted price and a Medicare benchmark.
704 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps… (54324) | $2,217 | $2,771 | 0.6× |
| Abd paracentesis w/imaging (49083) | $1,616 | $2,020 | 1.7× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $1,200 | $1,500 | 1.3× |
| Ablate inf turbinate submuc (30802) | $656 | $820 | 0.4× |
| Acetabuloplasty (27120) likely a partial charge, not the full procedure |
$2,999 | $3,749 | 0.2× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) | $2,866 | $3,582 | 0.8× |
| Amniocentesis diagnostic (59000) | $1,058 | $1,322 | 1.1× |
| Amputation foot transmetarsal (28805) | $1,654 | $2,068 | 0.5× |
| Anal/Urinary Muscle Study (51784) range across 2 matching MRF lines |
$326–$394 | $407–$492 | varies |
| Anoscopy diagnostic (46600) | $190 | $237 | 1.4× |
| Anterior colporraphy rpr cystocele w/cysto (57240) likely a partial charge, not the full procedure |
$1,423 | $1,779 | 0.3× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) | $327 | $409 | 2.0× |
| Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) | $619 | $774 | 2.2× |
| Application cast elbow finger short arm (29075) | $254 | $317 | 0.9× |
| Application Cast Finger (29086) | $175 | $219 | 1.1× |
| Application finger splint static (29130) range across 2 matching MRF lines |
$94–$178 | $118–$222 | varies |
| Application Hip Spica Cast 1 Leg (29305) | $562 | $702 | 2.0× |
| Application long arm splint shoulder hand (29105) | $281 | $351 | 1.7× |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$199–$226 | $249–$282 | varies |
| Application of cylinder cast (thigh to ankle) (29365) | $278 | $347 | 1.0× |
| Application of long leg cast (29345) | $308 | $385 | 1.1× |
| Application of rigid total contact leg cast (29445) | $376 | $470 | 1.3× |
| Application Patellar Tendon Bearing Cast (29435) | $260 | $325 | 0.9× |
| Application Short Arm Splint Dynamic (29126) | $161 | $201 | 1.2× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$185–$263 | $231–$329 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$178–$226 | $223–$282 | varies |
| Apply hand/wrist cast (29085) | $226 | $283 | 1.4× |
| Apply long arm cast (29065) | $226 | $283 | 0.8× |
| Apply Multlay Comprs Lwr Leg (29581) range across 3 matching MRF lines |
$208–$244 | $260–$305 | varies |
| Apply Short Leg Cast (29405) | $312 | $390 | 1.1× |
| Apply short leg cast (29425) | $173 | $216 | 0.6× |
| Arterial puncture (36600) | $220 | $275 | 1.6× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) likely a partial charge, not the full procedure |
$1,690 | $2,112 | 0.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$174–$390 | $217–$487 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 2 matching MRF lines |
$224–$951 | $280–$1,189 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$188–$390 | $235–$487 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$245–$458 | $306–$572 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$174–$408 | $218–$510 | varies |
| Arthrodesis ankle open (27870) likely a partial charge, not the full procedure |
$2,340 | $2,925 | 0.2× |
| Arthrodesis great toe metatarsophalangeal joint (28750) unusually low: confirm this is the full procedure |
$2,938 | $3,672 | 0.4× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) | $2,397 | $2,996 | 0.7× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) | $1,291 | $1,614 | 0.4× |
| Arthroscopy ankle w/removal loose/foreign body (29894) | $1,149 | $1,436 | 0.3× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) | $1,593 | $1,991 | 0.5× |
| Arthroscopy shoulder distal claviculectomy (29824) | $2,222 | $2,778 | 0.7× |
| Arthroscopy, knee, surgical; with lateral release (29873) | $1,240 | $1,550 | 0.4× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) unusually low: confirm this is the full procedure |
$3,107 | $3,884 | 0.4× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) | $1,631 | $2,039 | 0.5× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | $2,102 | $2,628 | 0.6× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) unusually low: confirm this is the full procedure |
$2,387 | $2,984 | 0.3× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) unusually low: confirm this is the full procedure |
$3,506 | $4,382 | 0.5× |
| Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body Facility (29904) | $1,634 | $2,042 | 0.5× |
| Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral Facility (27333) | $1,365 | $1,706 | 0.4× |
| Arthrs knee debridement/shaving artclr crtlg (29877) | $1,438 | $1,798 | 0.4× |
| Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) | $1,673 | $2,091 | 0.5× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) | $1,136 | $1,420 | 0.3× |
| Artificial insemination intra-uterine (58322) | $221 | $276 | 1.1× |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$1,430–$1,694 | $1,787–$2,118 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$915–$995 | $1,144–$1,244 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $151 | $189 | 0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) | $279 | $349 | 1.4× |
| Biopsy Abdominal Mass (49180) | $2,167 | $2,709 | 1.3× |
| Biopsy external ear (69100) | $228 | $285 | 0.9× |
| Biopsy nail unit (11755) | $292 | $365 | 0.4× |
| Biopsy of floor of mouth (41108) | $387 | $484 | 0.2× |
| Biopsy of liver, needle; percutaneous (47000) | $2,167 | $2,709 | 1.3× |
| Biopsy of palate, uvula (42100) | $353 | $441 | 0.2× |
| Biopsy Oropharynx (42800) | $367 | $459 | 0.2× |
| Biopsy Prostate Any Approach Nonimaging-Guided (55705) | $3,317 | $4,146 | 0.9× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) range across 2 matching MRF lines |
$609–$3,541 | $761–$4,426 | varies |
| Biopsy Salivary Gland Needle (42400) | $1,653 | $2,066 | 2.3× |
| Biopsy Tongue Anterior Two-Thirds (41100) | $433 | $541 | 0.8× |
| Biopsy Vaginal Mucosa Simple (57100) | $293 | $366 | 0.3× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $320 | $400 | 0.3× |
| Biopsy, vestibule of mouth (40808) | $420 | $525 | 0.8× |
| Bladder instillation anticarcinogenic agent (51720) range across 2 matching MRF lines |
$261–$370 | $326–$462 | varies |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$182–$343 | $228–$429 | varies |
| Bladder Scan (51798) range across 3 matching MRF lines |
$82–$136 | $103–$170 | varies |
| Blood Transfusion Service (36430) range across 5 matching MRF lines |
$690–$1,342 | $863–$1,678 | varies |
| Bone Graft Any Donor Area Minor/Small (20900) likely a partial charge, not the full procedure |
$948 | $1,185 | 0.1× |
| Bx breast 1st lesion us imag (19083) | $2,782 | $3,478 | 1.6× |
| Bx Cervix (57500) | $357 | $446 | 0.4× |
| Bx prostate strtctc saturation sampling img gid (55706) | $856 | $1,070 | 0.2× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) | $1,138 | $1,423 | 0.3× |
| Catheter aspiration nasotracheal spx (31720) | $256 | $320 | 1.1× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) | $443 | $554 | 1.4× |
| Change Cystostomy Tube Complicated (51710) | $392 | $490 | 0.6× |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$224–$339 | $280–$424 | varies |
| Chemical Cautery Tissue (17250) | $303 | $379 | 1.5× |
| Chemodenerv Musc Migraine (64615) | $332 | $415 | 1.1× |
| Chest tube placement (32551) | $1,486 | $1,857 | 0.9× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $4,652 | $5,815 | 1.3× |
| Circumcision Neonate (54160) | $238 | $298 | 0.3× |
| Circumcision w/clamp/oth dev w/block (54150) range across 3 matching MRF lines |
$238–$352 | $298–$440 | varies |
| Cl Tx Scapular Fx; W Manip (23575) | $2,006 | $2,507 | 1.2× |
| Cl Tx Tib Shft Fx W Manip (27752) | $1,976 | $2,470 | 1.2× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$225–$232 | $281–$290 | varies |
| Closed rx talotarsal disloc,anesth (28575) range across 2 matching MRF lines |
$874–$4,006 | $1,092–$5,008 | varies |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $2,062 | $2,578 | 1.3× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $344 | $430 | 1.4× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $705 | $881 | 2.8× |
| Closed Treatment Sesamoid Fracture (28530) | $262 | $328 | 1.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $767 | $959 | 3.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $343 | $429 | 1.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$1,095–$2,062 | $1,369–$2,578 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 2 matching MRF lines |
$295–$782 | $369–$977 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $571 | $714 | 2.3× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $714 | $893 | 2.8× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $2,062 | $2,578 | 1.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $506 | $632 | 2.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $362 | $452 | 0.2× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $1,765 | $2,206 | 0.5× |
| Closed tx patellar dislocation w/anesthesia (27562) | $344 | $430 | 1.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $344 | $430 | 1.4× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $758 | $947 | 3.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $616 | $770 | 2.4× |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$1,173–$2,092 | $1,466–$2,615 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $659 | $824 | 2.6× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $2,062 | $2,578 | 1.3× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $872 | $1,090 | 3.5× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $546 | $683 | 2.2× |
| Closed tx talus fracture w/o manipulation (28430) | $556 | $695 | 2.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $344 | $430 | 1.4× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $681 | $851 | 2.7× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $617 | $771 | 2.4× |
| Closure of cystostomy (separate procedure) Facility (51880) | $1,068 | $1,335 | 0.3× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $549 | $686 | 2.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $517 | $646 | 2.1× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $321 | $401 | 1.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $2,062 | $2,578 | 1.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $677 | $846 | 2.7× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) | $1,076 | $1,345 | 4.3× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $2,062 | $2,578 | 1.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $2,006 | $2,507 | 1.2× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $2,062 | $2,578 | 1.3× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $713 | $891 | 2.8× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $344 | $430 | 1.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$344–$1,106 | $430–$1,382 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $762 | $952 | 3.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $344 | $430 | 1.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $434 | $543 | 1.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $815 | $1,019 | 3.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,606–$2,145 | $2,007–$2,681 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $1,730 | $2,162 | 1.1× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $1,222 | $1,527 | 4.8× |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 2 matching MRF lines |
$293–$409 | $366–$511 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $326 | $407 | 1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$344–$374 | $430–$467 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $279 | $349 | 1.1× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $982 | $1,228 | 3.9× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $628 | $785 | 2.5× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $2,062 | $2,578 | 1.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $293 | $366 | 1.2× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $816 | $1,020 | 3.2× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $776 | $970 | 3.1× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $360 | $450 | 1.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $344 | $430 | 1.4× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) range across 2 matching MRF lines |
$363–$912 | $454–$1,140 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $344 | $430 | 1.4× |
| Cltx Med Ankle Fx W/Mnpj (27762) range across 2 matching MRF lines |
$1,111–$2,062 | $1,389–$2,578 | varies |
| Cltx Medial Ankle Fx (27760) | $774 | $968 | 3.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$392–$766 | $490–$958 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $698 | $872 | 2.8× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) | $2,062 | $2,578 | 1.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $344 | $430 | 1.4× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $464 | $580 | 1.8× |
| Cltx post hip arthrp dislc req anes (27266) | $2,630 | $3,287 | 1.6× |
| Cltx post hip arthrp dislc w/o anes (27265) | $789 | $986 | 3.1× |
| Cltx prox fibula/shft fx w/o manj (27780) | $719 | $899 | 2.9× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $2,062 | $2,578 | 1.3× |
| Cltx prox tibfib jt dislc w/o anes (27830) | $907 | $1,134 | 3.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $344 | $430 | 1.4× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $1,095 | $1,369 | 0.7× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $2,006 | $2,507 | 1.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $1,446 | $1,807 | 0.9× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $890 | $1,112 | 3.5× |
| Cltx tibial fx proximal w/o manipulation (27530) | $714 | $893 | 2.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$1,135–$2,062 | $1,419–$2,578 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $767 | $959 | 3.0× |
| Collect Blood From Catheter Venous Nos (36592) | $148 | $185 | 1.1× |
| Collection of venous blood by venipuncture (36415) | $25 | $31 | 2.7× |
| Colonoscopy w/submucosal inj (45381) | $1,776 | $2,220 | 1.5× |
| Colpopexy extraperitoneal (57282) likely a partial charge, not the full procedure |
$1,244 | $1,555 | 0.2× |
| Colpopexy vaginal intraperitoneal approach (57283) likely a partial charge, not the full procedure |
$1,868 | $2,335 | 0.2× |
| Colporrhaphy (57200) | $3,316 | $4,145 | 1.0× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $388 | $485 | 1.2× |
| Colposcopy Cervix Endocervical Curettage (57456) | $346 | $433 | 1.1× |
| Colposcopy cervix upper/adjacent vagina (57452) | $288 | $360 | 1.4× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $369 | $461 | 1.2× |
| Colposcopy cervix vag eltrd conization cervix (57461) | $826 | $1,033 | 0.2× |
| Colposcopy Vulva W/Biopsy (56821) | $381 | $476 | 1.2× |
| Combined anteroposterior colporrhaphy; (57260) unusually low: confirm this is the full procedure |
$1,794 | $2,243 | 0.4× |
| Complex drainage wound (10180) | $609 | $761 | 0.2× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $693 | $866 | 0.2× |
| Conization of cervix (57520) | $806 | $1,007 | 0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $378 | $472 | 2.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$352–$379 | $440–$474 | varies |
| Control oropharyngeal hemorrhage simple (42960) | $378 | $473 | 0.7× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $2,668 | $3,335 | 1.6× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) likely a partial charge, not the full procedure |
$2,446 | $3,057 | 0.2× |
| Create Eardrum Opening (69433) | $593 | $741 | 1.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $486 | $607 | 3.6× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $1,230 | $1,538 | 0.6× |
| Cysto w/destruction of lesions (52214) | $1,799 | $2,249 | 0.5× |
| Cysto w/insert ureteral stent (52332) | $1,720 | $2,150 | 0.5× |
| Cysto w/removal of lesions small (52224) | $2,643 | $3,304 | 0.7× |
| Cysto w/removal of tumors small (52234) | $887 | $1,109 | 0.2× |
| Cysto w/ureteroscopy w/lithotripsy (52353) likely a partial charge, not the full procedure |
$937 | $1,171 | 0.2× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) | $1,294 | $1,617 | 0.4× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) | $836 | $1,045 | 0.2× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) | $1,093 | $1,366 | 0.3× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) likely a partial charge, not the full procedure |
$1,193 | $1,491 | 0.2× |
| Cysto/uretero w/lithotripsy (52356) likely a partial charge, not the full procedure |
$1,514 | $1,893 | 0.3× |
| Cystolithotomy (51050) likely a partial charge, not the full procedure |
$1,080 | $1,350 | 0.2× |
| Cystometrogram W/Vp (51728) range across 2 matching MRF lines |
$543–$850 | $679–$1,062 | varies |
| Cystometrogram W/Vp&Up (51729) range across 2 matching MRF lines |
$850–$977 | $1,062–$1,221 | varies |
| Cystorrhaphy suture of bladder wound injury or rupture simple (51860) likely a partial charge, not the full procedure |
$1,709 | $2,136 | 0.2× |
| Cystostomy Cystotomy W/Drainage (51040) | $665 | $831 | 0.3× |
| Cystourethroscopy (52000) | $794 | $993 | 1.1× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) | $1,417 | $1,771 | 0.4× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) | $1,043 | $1,304 | 0.3× |
| Cystourethroscopy w/dil bladder general anesth (52260) | $478 | $597 | 0.2× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) | $558 | $698 | 0.2× |
| Cystourethroscopy with biopsy (52204) | $1,167 | $1,459 | 0.5× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) | $600 | $750 | 0.3× |
| Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Facility (52305) likely a partial charge, not the full procedure |
$650 | $812 | 0.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 2 matching MRF lines |
$134–$682 | $167–$853 | varies |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $1,104 | $1,380 | 1.5× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $1,197 | $1,496 | 1.7× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $793 | $991 | 1.1× |
| Debride nail 1-5 (11720) | $86 | $107 | 1.4× |
| Debride nail 6 or more (11721) | $124 | $155 | 2.1× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $915 | $1,144 | 0.5× |
| Debridement Mastoidectomy Cavity Simple (69220) | $290 | $363 | 1.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$493–$743 | $616–$929 | varies |
| Declot vascular device (36593) | $490 | $613 | 1.5× |
| Decompression of tibia nerve (28035) | $1,232 | $1,540 | 0.6× |
| Destroy cerv/thor facet jnt (64633) | $1,070 | $1,337 | 0.5× |
| Destroy lumb/sac facet jnt (64635) | $722 | $902 | 0.4× |
| Destruct B9 Lesion 1-14 (17110) | $271 | $339 | 1.3× |
| Destruction Benign Lesions 15/> (17111) | $318 | $397 | 1.6× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) | $204 | $255 | 0.7× |
| Destruction Lesions Vulva Simple (56501) | $423 | $529 | 0.2× |
| Destruction neurolytic agt genicular nerve w/img (64624) | $952 | $1,190 | 0.5× |
| Destruction of skin lesions (17106) | $730 | $913 | 1.8× |
| Destruction premalignant lesion 1st (17000) | $174 | $217 | 0.8× |
| Destruction Vaginal Lesions Simple (57061) | $368 | $460 | 0.1× |
| Dilat Urethral Strix Dilator Male Sbsq (53601) | $196 | $245 | 1.4× |
| Dilat Xst Trc New Access Rcs (50437) | $4,330 | $5,413 | 1.2× |
| Dilate Urethra Stricture (53600) | $203 | $254 | 0.8× |
| Dilation & curettage dx&/ther nonobstetric (58120) | $680 | $850 | 0.2× |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) | $146 | $183 | 0.0× |
| Drain/inj small joint/bursa w/us (20604) | $482 | $603 | 1.5× |
| Drainage Abscess/Hematoma Nasal Septum (30020) | $623 | $779 | 1.1× |
| Drainage external auditory canal abscess (69020) | $520 | $650 | 0.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 3 matching MRF lines |
$352–$1,090 | $440–$1,362 | varies |
| Drainage of finger abscess simple (26010) | $377 | $471 | 1.8× |
| Drainage of gum lesion (41800) | $400 | $500 | 2.9× |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$561–$2,000 | $701–$2,500 | varies |
| Drainage of scrotal wall abscess (55100) | $1,932 | $2,415 | 1.1× |
| Drainage of scrotum (54700) | $2,486 | $3,107 | 1.2× |
| Draw Blood Off Venous Device (36591) | $148 | $185 | 1.1× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $913 | $1,141 | 1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$449–$504 | $561–$630 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$250–$359 | $313–$449 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$312–$454 | $390–$567 | varies |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $735 | $919 | 0.8× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,586 | $1,982 | 2.2× |
| Elbow arthroscopy (29830) | $1,173 | $1,466 | 0.4× |
| Electro-Uroflowmetry First (51741) range across 3 matching MRF lines |
$84–$108 | $105–$135 | varies |
| Endocervical curettage (57505) | $339 | $424 | 0.4× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) unusually low: confirm this is the full procedure |
$2,371 | $2,964 | 0.5× |
| Endometrial Biopsy (58100) | $282 | $353 | 1.4× |
| Endoscopic injection/implant (51715) | $900 | $1,125 | 0.2× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) | $5,466 | $6,832 | 1.7× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) | $7,988 | $9,985 | 2.5× |
| Endoven ther chem adhes 1st (36482) | $7,960 | $9,950 | 1.4× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) | $2,129 | $2,661 | 1.0× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) | $1,898 | $2,372 | 0.9× |
| Epidural Blood Patch (62273) | $1,066 | $1,332 | 1.5× |
| Evacuation of subungual hematoma (11740) | $155 | $194 | 1.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $474 | $593 | 0.3× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $780 | $975 | 1.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $332 | $415 | 0.5× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $551 | $689 | 0.8× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $518 | $648 | 0.7× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $298 | $372 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $472 | $590 | 0.7× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $612 | $765 | 0.4× |
| Exc hydrocele sprmatic cord uni spx (55500) | $903 | $1,129 | 0.3× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $1,084 | $1,355 | 0.7× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) | $788 | $985 | 0.2× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) | $1,683 | $2,104 | 0.8× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) | $1,596 | $1,995 | 0.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $509 | $636 | 0.7× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $545 | $681 | 0.3× |
| Exc thigh/knee tum dep 5cm/> (27339) | $1,802 | $2,252 | 0.6× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $376 | $470 | 0.9× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $820 | $1,025 | 1.1× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $537 | $671 | 0.3× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) | $1,244 | $1,555 | 0.4× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) | $1,037 | $1,296 | 0.3× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $1,134 | $1,417 | 0.7× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $1,048 | $1,310 | 0.6× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) | $1,440 | $1,800 | 0.5× |
| Exc/fulguration urethral caruncle (53265) | $527 | $659 | 0.2× |
| Excis Mouth Mucosa/Sub,No Repair (40810) | $506 | $632 | 0.1× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $686 | $858 | 0.4× |
| Excision Aural Polyp (69540) | $511 | $639 | 0.3× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) | $1,684 | $2,105 | 0.6× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) | $1,158 | $1,448 | 0.4× |
| Excision lesion mouth roof (42104) | $505 | $631 | 0.1× |
| Excision Lesion Tongue W/O Closure (41110) | $535 | $669 | 0.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $780 | $975 | 0.5× |
| Excision Nasal Polyp Extensive (30115) | $1,162 | $1,453 | 0.3× |
| Excision of bartholin's gland or cyst (56740) | $786 | $982 | 0.2× |
| Excision of hydrocele; bilateral (55041) | $1,171 | $1,464 | 0.3× |
| Excision of hydrocele; unilateral (55040) | $815 | $1,019 | 0.2× |
| Excision of local lesion of epididymis (54830) | $852 | $1,065 | 0.2× |
| Excision Radial Head (24130) | $1,242 | $1,552 | 0.4× |
| Excision soft tissue lesion, external auditory canal (69145) | $960 | $1,200 | 0.3× |
| Excision/destruction intranasal lesion int appr (30117) | $2,398 | $2,998 | 0.7× |
| Exploration of hip joint (27033) unusually low: confirm this is the full procedure |
$2,250 | $2,812 | 0.3× |
| Exploration penetrating wound spx extremity (20103) | $885 | $1,106 | 0.5× |
| Exploratory elbow surgery (24000) | $1,158 | $1,447 | 0.3× |
| Explore/Treat Elbow Joint (24101) | $1,167 | $1,459 | 0.3× |
| Explore/Treat Wrist Joint (25040) | $1,297 | $1,621 | 0.4× |
| External cephalic version (59412) range across 2 matching MRF lines |
$236–$3,548 | $295–$4,435 | varies |
| Fasciotomy Plantar Fascia Radical Spx (28062) | $1,345 | $1,681 | 0.4× |
| Fetal Contraction Stress Test (59020) | $280 | $350 | 1.4× |
| Fetal non-stress test (59025) | $407 | $509 | 2.0× |
| Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) | $1,565 | $1,956 | 0.7× |
| Fine needle aspiration without imaging guidance (10021) | $462 | $577 | 1.1× |
| Fluid Pressure Muscle (20950) | $885 | $1,106 | 1.2× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $994 | $1,243 | 1.4× |
| Fna bx w/us gdn 1st les (10005) | $1,034 | $1,293 | 1.4× |
| Foreskin manipulation (54450) | $158 | $197 | 0.6× |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) | $280 | $350 | 0.1× |
| Frenulotomy of penis (54164) | $440 | $550 | 0.2× |
| Gastrocnemius recession (27687) | $1,589 | $1,986 | 0.5× |
| Guide Cathet Fluid Drainage (10030) | $1,439 | $1,799 | 2.0× |
| Hymenotomy Simple Incision (56442) | $200 | $250 | 0.1× |
| Hysteroscopy Biopsy (58558) | $4,789 | $5,986 | 1.4× |
| Hysteroscopy Endometrial Ablation (58563) | $5,066 | $6,333 | 1.0× |
| I&d abscess peritonsillar (42700) | $320 | $400 | 1.3× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$250–$318 | $312–$398 | varies |
| I&D Below Fascia Foot 1 Bursal Space (28002) range across 2 matching MRF lines |
$1,012–$2,120 | $1,265–$2,650 | varies |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) | $1,541 | $1,926 | 0.5× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) | $1,564 | $1,955 | 0.5× |
| I&d pilonidal cyst simple (10080) | $820 | $1,025 | 1.1× |
| Image Cath Fluid Colxn Visc (49405) | $2,139 | $2,674 | 1.3× |
| Image Cath Fluid Peri/Retro (49406) | $2,425 | $3,031 | 1.4× |
| Image Cath Fluid Trns/Vgnl (49407) | $2,648 | $3,310 | 1.6× |
| Implant Neuroelectrodes (64561) unusually low: confirm this is the full procedure |
$2,534 | $3,167 | 0.4× |
| Implant Periph/Gastric Neurostim/Receiver (64590) likely a partial charge, not the full procedure |
$1,002 | $1,253 | 0.1× |
| Incise external hemorrhoid (46083) | $367 | $459 | 1.4× |
| Incise finger tendon sheath (26055) | $2,273 | $2,841 | 1.4× |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$687–$2,110 | $859–$2,637 | varies |
| Incision & removal foreign body subq tiss simple (10120) | $642 | $802 | 1.5× |
| Incision and drainage of bartholin's gland abscess (56420) | $234 | $292 | 1.1× |
| Incision and drainage of vulva or perineal abscess (56405) | $402 | $503 | 1.3× |
| Incision of eardrum (69420) | $422 | $527 | 1.7× |
| Incision of Foot Tendon (28234) | $956 | $1,195 | 0.6× |
| Incision of labial frenum (frenotomy) (40806) | $238 | $298 | 0.4× |
| Incision of lingual frenum (frenotomy) (41010) | $511 | $639 | 0.3× |
| Incision of rectal abscess (46040) range across 3 matching MRF lines |
$1,306–$1,544 | $1,632–$1,930 | varies |
| Incision of urethra (53020) | $220 | $275 | 0.1× |
| Incisional biopsy skin single lesion (11106) | $376 | $470 | 0.5× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$478–$2,248 | $598–$2,810 | varies |
| Inj W/Fluor Eval Cv Device (36598) | $620 | $775 | 2.9× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $1,725 | $2,156 | 1.9× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 3 matching MRF lines |
$164–$394 | $205–$492 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) | $542 | $678 | 0.8× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 2 matching MRF lines |
$389–$1,182 | $486–$1,477 | varies |
| Injection anesthetic agent suprascapular nerve (64418) | $214 | $268 | 0.3× |
| Injection enzyme palmar fascial cord (20527) | $193 | $241 | 0.6× |
| Injection for identification of sentinel node (38792) | $845 | $1,056 | 2.1× |
| Injection single tendon origin/insertion (20551) | $173 | $216 | 0.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$199–$442 | $249–$553 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 3 matching MRF lines |
$323–$575 | $404–$719 | varies |
| Injection therapeutic carpal tunnel (20526) | $193 | $241 | 0.6× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 4 matching MRF lines |
$270–$1,134 | $337–$1,418 | varies |
| Injection, Intralesional; More Than 7 Lesions (11901) | $157 | $196 | 0.8× |
| Injection, intralesional; up to and including 7 lesions (11900) | $130 | $162 | 0.6× |
| Insert and remove bone pin (20650) | $505 | $631 | 0.2× |
| Insert Bladder Cath Complex (51703) | $427 | $534 | 3.2× |
| Insert cath pleura w/ image (32557) | $2,085 | $2,606 | 1.3× |
| Insert cath pleura w/o image (32556) | $2,320 | $2,900 | 1.2× |
| Insert cervical dilator (59200) range across 3 matching MRF lines |
$233–$438 | $291–$548 | varies |
| Insert Drug Implant Device (11981) | $310 | $388 | 2.3× |
| Insert multi-comp penis pros (54405) likely a partial charge, not the full procedure |
$1,846 | $2,308 | 0.1× |
| Insert Nasal Septal Button (30220) | $780 | $975 | 0.5× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$1,858–$2,369 | $2,322–$2,961 | varies |
| Insert pessary/other device (57160) | $247 | $309 | 1.2× |
| Insert self-contd prosthesis (54401) likely a partial charge, not the full procedure |
$1,511 | $1,889 | 0.1× |
| Insert semi-rigid prosthesis (54400) likely a partial charge, not the full procedure |
$1,217 | $1,521 | 0.1× |
| Insert Temp Bladder Cath (51702) range across 4 matching MRF lines |
$146–$242 | $183–$302 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 3 matching MRF lines |
$106–$220 | $132–$275 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $2,683 | $3,354 | 1.7× |
| Insj Picc Rs&I <5 Yr (36572) | $1,223 | $1,529 | 1.9× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $2,369 | $2,961 | 1.5× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $4,486 | $5,608 | 1.4× |
| Intranasal Biopsy (30100) | $334 | $418 | 0.2× |
| Intraoral i&d tongue/floor lingual (41000) | $768 | $960 | 1.4× |
| Intubation endotracheal emergency procedure (31500) | $664 | $830 | 2.7× |
| Kidney endoscopy (50551) likely a partial charge, not the full procedure |
$831 | $1,039 | 0.2× |
| Labyrinthotomy Transcanal (69801) | $513 | $641 | 0.3× |
| Laparo-vag hyst incl t/o (58552) likely a partial charge, not the full procedure |
$2,265 | $2,831 | 0.2× |
| Laparoscopy fulguration oviducts (58670) likely a partial charge, not the full procedure |
$858 | $1,073 | 0.1× |
| Laparoscopy w/rmvl adnexal structures (58661) likely a partial charge, not the full procedure |
$1,704 | $2,130 | 0.3× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) unusually low: confirm this is the full procedure |
$2,037 | $2,546 | 0.3× |
| Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) unusually low: confirm this is the full procedure |
$1,927 | $2,409 | 0.3× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) likely a partial charge, not the full procedure |
$1,104 | $1,380 | 0.2× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) likely a partial charge, not the full procedure |
$970 | $1,213 | 0.2× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) likely a partial charge, not the full procedure |
$3,023 | $3,779 | 0.3× |
| Laryngoscopy diagnostic (31505) | $210 | $263 | 1.0× |
| Laryngoscopy flexible diagnostic (31575) range across 2 matching MRF lines |
$239–$306 | $299–$383 | varies |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) | $649 | $811 | 1.6× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) | $433 | $541 | 1.1× |
| Laryngoscopy w/biopsy microscope/telescope (31536) | $474 | $592 | 0.1× |
| Laryngoscopy W/Foreign Body Removal (31530) | $496 | $620 | 0.3× |
| Laser vaporization of prostate (52648) | $5,662 | $7,078 | 1.0× |
| Late closure of wound (13160) | $1,992 | $2,490 | 0.6× |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429) likely a partial charge, not the full procedure |
$2,902 | $3,628 | 0.2× |
| Ligation or biopsy temporal artery (37609) | $738 | $923 | 0.4× |
| Litholapaxy comp/lg > 2.5 cm (52318) | $1,083 | $1,354 | 0.3× |
| Litholapaxy smpl/sm <2.5 cm (52317) | $2,639 | $3,299 | 0.7× |
| Lithotripsy, extracorporeal shock wave (50590) | $2,190 | $2,737 | 0.6× |
| Lysis/excision penile postcircumcision adhesions (54162) | $601 | $751 | 0.3× |
| Male sling procedure (53440) likely a partial charge, not the full procedure |
$1,724 | $2,155 | 0.1× |
| Maniplatn palar fascial crd post inj single cord (26341) | $281 | $351 | 1.1× |
| Maternity Care Procedure (59899) | $245 | $306 | 1.2× |
| Metatarsectomy (28140) | $1,368 | $1,710 | 0.4× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) | $3,065 | $3,831 | 0.8× |
| Myelography Lumbar Injection (62305) | $1,820 | $2,275 | 2.3× |
| Myelography Lumbar Injection (62304) | $2,927 | $3,659 | 3.7× |
| Myelography via lumbar injection rs&i cervical (62302) | $1,306 | $1,633 | 1.6× |
| N block inj intercost sng (64420) | $245 | $306 | 0.3× |
| N Block Inj Plantar Digit (64455) | $116 | $145 | 0.4× |
| N Block Lumbar/Thoracic (64520) | $561 | $701 | 0.6× |
| Nasal Endoscopy Dx (31231) | $472 | $590 | 2.3× |
| Nasal surgery procedure (30999) | $360 | $450 | 1.5× |
| Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$690–$863 | $863–$1,079 | varies |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) | $811 | $1,014 | 0.4× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) range across 2 matching MRF lines |
$578–$1,860 | $722–$2,325 | varies |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) | $4,394 | $5,492 | 0.6× |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) | $4,334 | $5,418 | 0.6× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) likely a partial charge, not the full procedure |
$1,142 | $1,428 | 0.2× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) likely a partial charge, not the full procedure |
$1,076 | $1,345 | 0.1× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) likely a partial charge, not the full procedure |
$1,010 | $1,262 | 0.1× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) likely a partial charge, not the full procedure |
$853 | $1,066 | 0.1× |
| Needle Biopsy Lymph Nodes (38505) | $2,054 | $2,567 | 1.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $28 | $35 | 0.9× |
| Needle insertion w/o injection 3 or more muscles (20561) | $28 | $35 | 0.9× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) | $1,248 | $1,560 | 0.6× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $858 | $1,072 | 2.1× |
| Njx anes stellate ganglion crv sympathetic (64510) | $358 | $448 | 0.4× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$570–$652 | $712–$815 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$442–$2,291 | $552–$2,864 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) | $1,926 | $2,407 | 2.1× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$644–$2,002 | $805–$2,503 | varies |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $1,042 | $1,302 | 1.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 3 matching MRF lines |
$632–$2,002 | $790–$2,503 | varies |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) likely a partial charge, not the full procedure |
$532 | $665 | 0.1× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$184–$458 | $230–$572 | varies |
| Open Implantation Nea Sacral Nerve (64581) unusually low: confirm this is the full procedure |
$2,193 | $2,741 | 0.3× |
| Open treatment fracture distal tibia only (27827) likely a partial charge, not the full procedure |
$2,590 | $3,237 | 0.2× |
| Open treatment interphalangeal joint dislocation (28675) | $1,432 | $1,790 | 0.4× |
| Open treatment metatarsal fracture each (28485) likely a partial charge, not the full procedure |
$1,225 | $1,531 | 0.2× |
| Open treatment of sesamoid fracture, with or without internal fixation Facility (28531) likely a partial charge, not the full procedure |
$772 | $965 | 0.1× |
| Open Treatment of Ulnar Shaft Fracture (25545) likely a partial charge, not the full procedure |
$1,445 | $1,806 | 0.2× |
| Open treatment of ulnar styloid fracture (25652) likely a partial charge, not the full procedure |
$1,442 | $1,802 | 0.2× |
| Open Treatment Proximal Humeral Fracture (23615) likely a partial charge, not the full procedure |
$2,043 | $2,554 | 0.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $4,042 | $5,052 | 1.2× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) | $1,330 | $1,663 | 0.4× |
| Open tx humeral supracondylar fracture w/o xtn (24545) likely a partial charge, not the full procedure |
$2,146 | $2,682 | 0.2× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) likely a partial charge, not the full procedure |
$1,522 | $1,902 | 0.2× |
| Orchiectomy radical tumor inguinal approach (54530) | $1,163 | $1,454 | 0.3× |
| Ostectomy calcaneus (28118) | $1,405 | $1,756 | 0.4× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) | $1,158 | $1,448 | 0.3× |
| Osteochondral allograft knee open (27415) likely a partial charge, not the full procedure |
$3,258 | $4,072 | 0.2× |
| Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) likely a partial charge, not the full procedure |
$1,532 | $1,915 | 0.2× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) likely a partial charge, not the full procedure |
$1,388 | $1,735 | 0.2× |
| Osteotomy calcaneus w/wo internal fixation (28300) likely a partial charge, not the full procedure |
$1,497 | $1,871 | 0.2× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) likely a partial charge, not the full procedure |
$1,917 | $2,396 | 0.3× |
| Osteotomy Tibia (27705) likely a partial charge, not the full procedure |
$1,747 | $2,184 | 0.2× |
| Palatopharyngoplasty (42145) likely a partial charge, not the full procedure |
$1,563 | $1,954 | 0.3× |
| Part exc bone femur prox tibia (27360) | $2,078 | $2,597 | 0.6× |
| Partial excision bone olecranon process (24147) | $1,608 | $2,010 | 0.5× |
| Partial Excision Bone Ulna (25150) | $1,315 | $1,644 | 0.4× |
| Partial Excision Distal Phalanx Finger (26236) | $2,062 | $2,578 | 1.3× |
| Partial hymenectomy or revision of hymenal ring (56700) | $486 | $608 | 0.1× |
| Partial removal of tibia (27640) | $1,920 | $2,400 | 0.6× |
| Penile Injection (54235) | $208 | $260 | 0.8× |
| Percut Drain/Inject Renal Cyst (50390) | $1,686 | $2,108 | 2.3× |
| Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) | $747 | $934 | 0.2× |
| Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation Facility (28546) | $788 | $985 | 0.5× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) | $1,116 | $1,395 | 0.3× |
| Perq dev breast 1st us imag (19285) | $1,730 | $2,162 | 2.4× |
| Perq device breast 1st imag (19281) | $1,242 | $1,553 | 0.7× |
| Perq dilation xst trc endourologic px w/img (50436) | $3,935 | $4,919 | 1.1× |
| Placement of needle for intraosseous infusion (36680) | $592 | $740 | 1.3× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $2,574 | $3,218 | 1.2× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) unusually low: confirm this is the full procedure |
$1,877 | $2,346 | 0.4× |
| Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) unusually low: confirm this is the full procedure |
$2,610 | $3,262 | 0.4× |
| Prosthesis Removal Humeral/Glenoid Component (23334) unusually low: confirm this is the full procedure |
$2,580 | $3,225 | 0.3× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) | $962 | $1,202 | 0.3× |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) | $428 | $535 | 0.1× |
| Prq Skel Fixj Tars Jt Dislc W/Manj (28606) | $883 | $1,104 | 0.3× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $1,510 | $1,888 | 0.5× |
| Punch biopsy skin single lesion (11104) range across 3 matching MRF lines |
$461–$524 | $576–$655 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$359–$462 | $449–$578 | varies |
| Puncture Aspiration Cyst Breast (19000) | $853 | $1,066 | 1.2× |
| Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) likely a partial charge, not the full procedure |
$1,718 | $2,148 | 0.2× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) | $1,512 | $1,890 | 0.5× |
| Rad resect elbow caps/sr bone w rels (24149) unusually low: confirm this is the full procedure |
$2,800 | $3,500 | 0.4× |
| Rad resection tumor soft tis thigh/knee 5 cm/> (27364) | $3,602 | $4,502 | 1.2× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Facility (24079) | $3,312 | $4,140 | 1.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) | $2,584 | $3,230 | 0.9× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) | $1,037 | $1,296 | 0.3× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$580–$885 | $725–$1,106 | varies |
| Removal Foreign Body Scrotum (55120) | $810 | $1,013 | 0.4× |
| Removal foreign body upper arm/elbow deep (24201) | $1,293 | $1,616 | 0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $113 | $141 | 1.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $114 | $142 | 1.9× |
| Removal Implant Deep (20680) | $2,270 | $2,838 | 0.8× |
| Removal Implant Superficial Separate Procedure (20670) range across 2 matching MRF lines |
$878–$1,996 | $1,097–$2,495 | varies |
| Removal of a lesion from the floor of the mouth (41116) | $786 | $982 | 0.2× |
| Removal of ankle implant (27704) | $1,360 | $1,700 | 0.4× |
| Removal of bone lesion (23140) | $1,329 | $1,661 | 0.4× |
| Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) likely a partial charge, not the full procedure |
$3,674 | $4,592 | 0.3× |
| Removal of intranasal lesion (30118) | $1,823 | $2,279 | 0.5× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$476–$658 | $595–$822 | varies |
| Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) unusually low: confirm this is the full procedure |
$3,080 | $3,850 | 0.4× |
| Removal of testis (54520) | $751 | $939 | 0.2× |
| Removal of tonsils (42826) | $578 | $722 | 0.2× |
| Removal or bivalving full arm or full leg cast (29705) | $158 | $198 | 0.6× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$250–$252 | $312–$315 | varies |
| Remove Ankle Joint Lining (27626) | $1,516 | $1,895 | 0.5× |
| Remove drug implant device (11982) | $346 | $433 | 0.8× |
| Remove foreign body from eye (65205) | $191 | $239 | 1.4× |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$236–$250 | $295–$313 | varies |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$150–$512 | $188–$640 | varies |
| Remove prostate regrowth (52630) likely a partial charge, not the full procedure |
$1,082 | $1,352 | 0.2× |
| Remove renal tube w/fluoro (50389) | $979 | $1,224 | 1.4× |
| Remove/graft foot lesion (28102) likely a partial charge, not the full procedure |
$1,414 | $1,768 | 0.2× |
| Remove/Insert Drug Implant (11983) | $514 | $642 | 1.1× |
| Renal Biopsy Perq (50200) | $2,221 | $2,776 | 1.3× |
| Repair blood vessel lesion (35190) unusually low: confirm this is the full procedure |
$1,756 | $2,195 | 0.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $916 | $1,145 | 1.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$821–$1,188 | $1,026–$1,485 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$639–$910 | $799–$1,137 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$774–$1,146 | $967–$1,433 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $708 | $885 | 1.7× |
| Repair extensor tendon finger w/o graft each (26418) | $3,850 | $4,812 | 2.3× |
| Repair Finger/Hand Tendon (26350) | $4,006 | $5,008 | 1.2× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) | $852 | $1,065 | 0.3× |
| Repair Foot Dislocation (28615) likely a partial charge, not the full procedure |
$1,898 | $2,373 | 0.3× |
| Repair Hand Tendon (26410) range across 2 matching MRF lines |
$1,406–$3,850 | $1,757–$4,812 | varies |
| Repair incomplete circumcision (54163) | $498 | $623 | 0.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $461 | $576 | 1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $569 | $711 | 1.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $556 | $695 | 1.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $564 | $705 | 1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $480 | $600 | 1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$642–$717 | $803–$896 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $506 | $632 | 1.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $471 | $589 | 1.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$574–$682 | $717–$852 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $730 | $913 | 1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$681–$776 | $851–$970 | varies |
| Repair Nonunion/Malunion Tarsal Bones (28320) likely a partial charge, not the full procedure |
$1,506 | $1,883 | 0.1× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) likely a partial charge, not the full procedure |
$2,194 | $2,742 | 0.3× |
| Repair of hydrocele (55060) | $870 | $1,088 | 0.2× |
| Repair of metatarsals (28322) likely a partial charge, not the full procedure |
$1,830 | $2,288 | 0.2× |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$450–$682 | $562–$853 | varies |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) likely a partial charge, not the full procedure |
$1,724 | $2,155 | 0.2× |
| Repair tongue laceration (41250) | $452 | $565 | 1.0× |
| Replace elbow joint (24363) likely a partial charge, not the full procedure |
$3,342 | $4,178 | 0.2× |
| Replace g/c tube perc (49450) | $1,380 | $1,725 | 1.5× |
| Repr torn cruciate knee ligam (27407) likely a partial charge, not the full procedure |
$1,844 | $2,305 | 0.2× |
| Resect thigh/knee tum < 5 cm (27329) | $2,488 | $3,110 | 0.8× |
| Resection of elbow joint (arthrectomy) Facility (24155) | $1,952 | $2,440 | 0.6× |
| Rev/rmv prph sac/gstr npg/r (64595) | $562 | $702 | 0.2× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) unusually low: confirm this is the full procedure |
$4,258 | $5,322 | 0.3× |
| Revise Lower Leg Tendons (27686) | $1,238 | $1,547 | 0.4× |
| Revise ulnar nerve at wrist (64719) | $1,023 | $1,279 | 0.5× |
| Revision including removal of prosthetic vaginal graft vaginal approach (57295) | $1,256 | $1,570 | 0.4× |
| Revision of foot (28116) | $1,777 | $2,221 | 0.5× |
| Revision of lower leg tendon (27685) | $1,540 | $1,925 | 0.5× |
| Revj/rmvl peripheral neurostimulator electrode (64585) | $628 | $785 | 0.2× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $218 | $273 | 0.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $638 | $797 | 1.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $191 | $239 | 1.4× |
| Rmvl fecal impaction/fb spx under anes (45915) | $1,556 | $1,945 | 1.3× |
| Rmvl/revj sling stress incontinence (57287) | $1,734 | $2,168 | 0.5× |
| Rplc Gtube No Revj Trc (43762) | $574 | $717 | 2.2× |
| Rplc gtube revj gstrst trc (43763) | $574 | $717 | 2.2× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $394 | $492 | 1.9× |
| Rpr flexor tendon leg secondary w/o graft each (27659) likely a partial charge, not the full procedure |
$1,082 | $1,352 | 0.1× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $1,158 | $1,448 | 2.1× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) | $4,006 | $5,008 | 1.2× |
| Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) likely a partial charge, not the full procedure |
$1,391 | $1,739 | 0.2× |
| Scrotal exploration (55110) | $980 | $1,225 | 0.3× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) | $1,936 | $2,420 | 0.6× |
| Shave skin lesion 0.5 cm/< (11300) | $247 | $309 | 0.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $274 | $342 | 1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $250 | $312 | 1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $289 | $361 | 1.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $334 | $417 | 1.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $354 | $443 | 0.9× |
| Shoulder Arthroscopy/Surgery (29825) | $1,362 | $1,702 | 0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $323 | $404 | 1.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $368 | $460 | 0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $287 | $359 | 1.4× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $328 | $410 | 1.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $445 | $556 | 1.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $408 | $510 | 2.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $437 | $546 | 2.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $349 | $436 | 1.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$295–$378 | $369–$472 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $394 | $492 | 1.9× |
| Skin sub graft face/nk/hf/g (15275) | $539 | $674 | 0.7× |
| Skin sub graft trnk/arm/leg (15271) | $569 | $711 | 0.8× |
| Skin sub grft t/arm/lg child (15273) | $733 | $916 | 0.3× |
| Skn sub grft f/n/hf/g child (15277) | $801 | $1,001 | 0.4× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) unusually low: confirm this is the full procedure |
$2,430 | $3,038 | 0.5× |
| Slitting of prepuce (54001) | $470 | $588 | 0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$350–$413 | $437–$516 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $445 | $556 | 1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $445 | $556 | 1.1× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$1,042–$1,056 | $1,302–$1,320 | varies |
| Strapping ankle (29540) | $65 | $81 | 0.4× |
| Strapping elbow or wrist (29260) | $70 | $87 | 1.2× |
| Strapping hand/finger (29280) | $68 | $85 | 1.1× |
| Strapping Hip (29520) | $82 | $103 | 0.6× |
| Strapping knee (29530) | $70 | $88 | 0.5× |
| Strapping toes (29550) | $43 | $54 | 0.7× |
| Strapping Unna Boot (29580) range across 3 matching MRF lines |
$146–$207 | $183–$259 | varies |
| Subcutaneous Hormone Pellet Implantation (11980) | $218 | $273 | 0.5× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) | $928 | $1,160 | 0.3× |
| Subtalar arthro w/deb (29906) | $1,520 | $1,900 | 0.5× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) likely a partial charge, not the full procedure |
$586 | $732 | 0.1× |
| Synovectomy Tendon Sheath Foot Extensor (28088) | $1,150 | $1,438 | 0.3× |
| Synovectomy Tendon Sheath Foot Flexor (28086) | $1,276 | $1,595 | 0.4× |
| Tangential biopsy skin single lesion (11102) | $239 | $299 | 0.6× |
| Tenodesis Wrist Extensors Fingers (25301) | $1,616 | $2,020 | 0.5× |
| Tenolysis flexor foot single tendon (28220) | $1,048 | $1,310 | 0.6× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) | $1,078 | $1,348 | 0.3× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $541 | $676 | 0.3× |
| Tenotomy shoulder area single tendon (23405) likely a partial charge, not the full procedure |
$1,474 | $1,842 | 0.2× |
| Tenotomy, hip flexor(s), open (27005) | $1,720 | $2,150 | 0.5× |
| Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg Facility (27391) | $1,291 | $1,614 | 0.4× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) | $780 | $975 | 0.5× |
| Thrombolytic Therapy Stroke (37195) | $490 | $613 | 1.5× |
| Thyroid biopsy (60100) | $1,251 | $1,564 | 1.7× |
| Transur electr resection of prostate (52601) | $2,901 | $3,626 | 0.5× |
| Treat ankle fracture (28445) unusually low: confirm this is the full procedure |
$2,367 | $2,959 | 0.3× |
| Treat dislocation/fracture (23670) likely a partial charge, not the full procedure |
$2,014 | $2,517 | 0.3× |
| Treat dislocation/fracture (23680) likely a partial charge, not the full procedure |
$2,232 | $2,790 | 0.2× |
| Treat ectopic pregnancy (59151) likely a partial charge, not the full procedure |
$1,780 | $2,225 | 0.3× |
| Treat Elbow Fracture (24635) likely a partial charge, not the full procedure |
$1,565 | $1,956 | 0.2× |
| Treat humerus fracture (24500) | $840 | $1,050 | 3.3× |
| Treat Humerus Fracture (24505) | $2,062 | $2,578 | 1.3× |
| Treat humerus fracture (23600) | $990 | $1,237 | 3.9× |
| Treat Knuckle Dislocation (26700) | $344 | $430 | 1.4× |
| Treat lower leg bone lesion (27607) | $1,420 | $1,775 | 0.4× |
| Treat Tail Bone Fracture (27200) | $431 | $539 | 1.7× |
| Treat Thumb Dislocation (26641) | $344 | $430 | 1.4× |
| Treat toe dislocation (28630) | $344 | $430 | 1.4× |
| Treat Vaginal Bleeding (57180) | $234 | $292 | 1.1× |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 3 matching MRF lines |
$1,110–$2,062 | $1,387–$2,578 | varies |
| Treatment closed elbow dislocation w/o anes (24600) | $344 | $430 | 1.4× |
| Treatment of ankle fracture (27823) unusually low: confirm this is the full procedure |
$2,282 | $2,852 | 0.3× |
| Trim skin lesion (11055) | $167 | $209 | 0.8× |
| Trim skin lesions 2 to 4 (11056) | $191 | $239 | 0.9× |
| Trim skin lesions over 4 (11057) | $202 | $253 | 1.0× |
| Trimming Nondystrophic Nails Any Number (11719) | $42 | $52 | 0.7× |
| Trnsplj autologous hematopoietic cells per donor (38241) | $40 | $50 | 0.0× |
| Trurl rescj postop bladder neck contracture (52640) | $754 | $943 | 0.2× |
| Tx Missed Abortion Second Trimester Surgical (59821) | $846 | $1,057 | 0.3× |
| Tx open tendon flexor toe 1 tendon spx (28232) | $890 | $1,112 | 0.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$698–$738 | $873–$923 | varies |
| Tx superficial wound dehiscence w/packing (12021) | $445 | $556 | 1.1× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $488 | $610 | 1.9× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) likely a partial charge, not the full procedure |
$2,306 | $2,882 | 0.2× |
| Tympanostomy general anesthesia (69436) | $362 | $452 | 0.2× |
| Unlisted hysteroscopy procedure, uterus (58579) | $834 | $1,043 | 4.0× |
| Unlisted Procedure Accessory Sinuses (31299) | $1,209 | $1,511 | 5.0× |
| Unlisted procedure foot or toes (28899) | $264 | $330 | 1.0× |
| Unlisted Procedure Leg/Ankle (27899) | $614 | $767 | 2.4× |
| Unlisted procedure pelvis/hip joint (27299) | $1,005 | $1,256 | 4.0× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $240 | $300 | 1.0× |
| Unlisted procedure shoulder (23929) | $1,288 | $1,610 | 5.1× |
| Unlisted Procedure, Urinary System (53899) | $1,520 | $1,900 | 6.0× |
| Urine Flow Measurement (51736) | $850 | $1,062 | 6.3× |
| Uvulectomy excision of uvula (42140) | $706 | $883 | 0.2× |
| Vaginal delivery only (59409) | $1,866 | $2,332 | 0.6× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) unusually low: confirm this is the full procedure |
$1,937 | $2,421 | 0.4× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $850 | $1,063 | 0.4× |
| Ventilating tube removal requiring general anesthesia (69424) | $465 | $581 | 0.1× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$407–$504 | $509–$630 | varies |
| Wedging of cast (29740) | $226 | $282 | 0.8× |
| Wound Prep Trk/Arm/Leg (15002) | $850 | $1,062 | 1.1× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.