Procedures & surgery prices at Jefferson County Health Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines		 $782.40–$1,180.80 $1,304–$1,968 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $408–$796.80 $680–$1,328 varies
Abdomen Surgery Procedure (22999) $1,453.20 $2,422 6.1×
Acne surgery (10040)
range across 2 matching MRF lines		 $83.40–$161.40 $139–$269 varies
Acromiopl/Acromionect Partial (23130) $966.60 $1,611 0.3×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $1,725 $2,875 0.5×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,198.20 $1,997 0.6×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $1,137 $1,895 0.6×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $1,450.80 $2,418 0.7×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $702 $1,170 0.4×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $856.80 $1,428 0.3×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 2 matching MRF lines		 $964.80–$1,020 $1,608–$1,700 varies
Amputation foot transmetarsal (28805) $1,453.80 $2,423 0.5×
Amputation metatarsal with toe single (28810) $734.40 $1,224 0.2×
Amputation toe interphalangeal joint (28825)
range across 2 matching MRF lines		 $703.20–$1,451.40 $1,172–$2,419 varies
Amputation toe metatarsophalangeal joint (28820)
range across 2 matching MRF lines		 $643.20–$928.20 $1,072–$1,547 varies
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure		 $1,816.80 $3,028 0.3×
Amputation, leg, through tibia and fibula; re-amputation (27886) $1,302.60 $2,171 0.4×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $79.80–$145.20 $133–$242 varies
Anoscopy W/Rmvl Foreign Body (46608) $383.40 $639 0.4×
Anoscopy; with biopsy, single or multiple (46606) $373.20 $622 0.3×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $210 $350 0.1×
Appendectomy (44950)
likely a partial charge, not the full procedure		 $1,187.40 $1,979 0.2×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $177 $295 1.1×
Application cast elbow finger short arm (29075)
range across 3 matching MRF lines		 $108–$140.40 $180–$234 varies
Application Finger Splint Dynamic (29131)
range across 2 matching MRF lines		 $19.80–$103.20 $33–$172 varies
Application finger splint static (29130)
range across 2 matching MRF lines		 $64.80–$79.80 $108–$133 varies
Application long arm splint shoulder hand (29105)
range across 3 matching MRF lines		 $105–$150 $175–$250 varies
Application Long Leg Splint (29505)
range across 3 matching MRF lines		 $103.20–$135.60 $172–$226 varies
Application of long leg cast (29345) $220.20 $367 0.8×
Application Patellar Tendon Bearing Cast (29435) $72.60 $121 0.3×
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines		 $63.60–$118.20 $106–$197 varies
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $81.60–$120.60 $136–$201 varies
Application short leg splint calf foot (29515)
range across 3 matching MRF lines		 $93.60–$190.80 $156–$318 varies
Application uniplane external fixation system (20690)
likely a partial charge, not the full procedure		 $985.80 $1,643 0.1×
Apply hand/wrist cast (29085)
range across 2 matching MRF lines		 $153.60–$248.40 $256–$414 varies
Apply long arm cast (29065) $155.40 $259 0.6×
Apply Multlay Comprs Lwr Leg (29581) $177 $295 1.1×
Apply Short Leg Cast (29405)
range across 3 matching MRF lines		 $86.40–$216.60 $144–$361 varies
Apply short leg cast (29425)
range across 2 matching MRF lines		 $118.20–$127.80 $197–$213 varies
Arterial puncture (36600)
range across 2 matching MRF lines		 $31.20–$79.80 $52–$133 varies
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure		 $1,973.40 $3,289 0.2×
Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760)
likely a partial charge, not the full procedure		 $1,064.40 $1,774 0.2×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines		 $97.20–$346.20 $162–$577 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines		 $186–$493.80 $310–$823 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $162.60–$397.20 $271–$662 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $168–$595.80 $280–$993 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $111.60–$182.40 $186–$304 varies
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure		 $639 $1,065 0.1×
Arthrodesis great toe metatarsophalangeal joint (28750)
unusually low: confirm this is the full procedure		 $2,181 $3,635 0.3×
Arthrodesis subtalar (28725)
likely a partial charge, not the full procedure		 $2,044.80 $3,408 0.2×
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure		 $2,382.60 $3,971 0.1×
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470)
likely a partial charge, not the full procedure		 $1,931.40 $3,219 0.2×
Arthroplasty interphalangeal joint each (26535) $696.60 $1,161 0.2×
Arthroplasty Patella W/Prosthesis (27438)
likely a partial charge, not the full procedure		 $528 $880 0.0×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $1,068 $1,780 0.3×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $270 $450 0.1×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $1,252.20 $2,087 0.4×
Arthroscopy knee synovectomy limited spx (29875) $952.80 $1,588 0.3×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $1,132.20 $1,887 0.4×
Arthroscopy shoulder distal claviculectomy (29824) $854.40 $1,424 0.3×
Arthroscopy, knee, surgical; with lateral release (29873) $949.20 $1,582 0.3×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
likely a partial charge, not the full procedure		 $987 $1,645 0.1×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $748.80 $1,248 0.2×
Arthroscopy, shoulder, surgical; debridement, limited (29822)
range across 2 matching MRF lines		 $928.20–$1,509.60 $1,547–$2,516 varies
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
likely a partial charge, not the full procedure		 $757.20 $1,262 0.1×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
range across 2 matching MRF lines		 $2,179.20–$2,250.60 $3,632–$3,751 varies
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)
likely a partial charge, not the full procedure		 $1,854.60 $3,091 0.2×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $1,273.20 $2,122 0.4×
Arthrs knee debridement/shaving artclr crtlg (29877)
range across 2 matching MRF lines		 $1,192.20–$1,633.20 $1,987–$2,722 varies
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880)
range across 2 matching MRF lines		 $1,067.40–$1,078.20 $1,779–$1,797 varies
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620)
range across 2 matching MRF lines		 $854.40–$1,113.60 $1,424–$1,856 varies
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $615.60 $1,026 0.4×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $522.60 $871 0.2×
Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) $1,043.40 $1,739 0.3×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $588 $980 0.4×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $178.20–$660 $297–$1,100 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $246.60–$563.40 $411–$939 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 3 matching MRF lines		 $91.80–$120.60 $153–$201 varies
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines		 $108–$279.60 $180–$466 varies
Aspiration Bladder Needle (51100) $46.80 $78 0.2×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $123–$359.40 $205–$599 varies
Biopsy Abdominal Mass (49180) $300 $500 0.2×
Biopsy bone open deep (20245) $1,004.40 $1,674 0.4×
Biopsy bone open superficial (20240) $357 $595 0.1×
Biopsy bone trocar/needle deep (20225) $212.40 $354 0.1×
Biopsy Bone Trocar/Needle Superficial (20220) $264.60 $441 0.2×
Biopsy external ear (69100) $174 $290 0.8×
Biopsy muscle percutaneous needle (20206) $1,998.60 $3,331 1.3×
Biopsy Muscle Superficial (20200) $63 $105 0.0×
Biopsy nail unit (11755) $213.60 $356 0.3×
Biopsy of breast; open, incisional (19101)
range across 2 matching MRF lines		 $231–$446.40 $385–$744 varies
Biopsy of lip (40490) $232.80 $388 1.0×
Biopsy of liver, needle; percutaneous (47000)
range across 2 matching MRF lines		 $177.60–$300 $296–$500 varies
Biopsy of penis (54100) $303.60 $506 0.2×
Biopsy of rectum (45100) $612 $1,020 0.2×
Biopsy Pleura Percutaneous Needle (32400) $300 $500 0.2×
Biopsy Salivary Gland Needle (42400) $478.20 $797 0.7×
Biopsy Soft Tissue Back/Flank Superficial (21920) $108 $180 0.1×
Biopsy soft tissue leg/ankle area superficial (27613)
range across 2 matching MRF lines		 $108–$427.20 $180–$712 varies
Biopsy soft tissue neck/thorax (21550) $1,622.40 $2,704 1.0×
Biopsy soft tissue thigh/knee area superficial (27323) $438.60 $731 0.3×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $415.80 $693 0.3×
Biopsy Tongue Anterior Two-Thirds (41100) $276.60 $461 0.5×
Biopsy Tongue Posterior One-Third (41105) $281.40 $469 0.1×
Biopsy Vaginal Mucosa Simple (57100) $140.40 $234 0.2×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $138 $230 0.2×
Biopsy, vestibule of mouth (40808) $315 $525 0.6×
Biopsy/removal lymph nodes (38510) $499.80 $833 0.1×
Bladder instillation anticarcinogenic agent (51720)
range across 2 matching MRF lines		 $64.20–$196.80 $107–$328 varies
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $138.60–$150 $231–$250 varies
Bladder Scan (51798)
range across 2 matching MRF lines		 $43.80–$93.60 $73–$156 varies
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $250.20–$436.80 $417–$728 varies
Blood Transfusion Service (36430)
range across 5 matching MRF lines		 $57.60–$694.20 $96–$1,157 varies
Blood/Lymph System Procedure (38999)
range across 2 matching MRF lines		 $169.80–$330 $283–$550 varies
Bone Graft Any Donor Area Major/Large (20902)
likely a partial charge, not the full procedure		 $568.80 $948 0.1×
Bone Graft Any Donor Area Minor/Small (20900)
likely a partial charge, not the full procedure		 $368.40 $614 0.1×
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines		 $294.60–$429 $491–$715 varies
Bone Marrow; Aspiration Only (38220)
range across 2 matching MRF lines		 $294.60–$421.20 $491–$702 varies
Bx breast 1st lesion strtctc (19081) $1,753.20 $2,922 1.1×
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines		 $330.60–$1,507.80 $551–$2,513 varies
Bx breast needle core w/o imaging guidance spx (19100)
range across 2 matching MRF lines		 $99–$1,140 $165–$1,900 varies
Bx Cervix (57500) $207 $345 0.2×
Bx/exc lymph node open deep axillary node (38525) $868.80 $1,448 0.2×
Bx/exc lymph node open superficial (38500)
range across 2 matching MRF lines		 $529.20–$5,100 $882–$8,500 varies
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $1,293.60 $2,156 0.4×
Capsulotomy, midfoot; medial release only (separate procedure) Facility (28260) $990.60 $1,651 0.3×
Carpal Tunnel Surgery (64721)
range across 2 matching MRF lines		 $696.60–$1,119.60 $1,161–$1,866 varies
Cataract surgery complex (66982) $1,449.60 $2,416 0.7×
Cautery Cervix Cryocautery Initial/Repeat (57511) $232.80 $388 0.8×
Cautery Cervix Electro/Thermal (57510) $210 $350 0.1×
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $93.60–$382.80 $156–$638 varies
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $123–$127.80 $205–$213 varies
Chemical peel nonfacial epidermal (15792) $696.60 $1,161 1.0×
Chemical peel, facial; epidermal (15788) $734.40 $1,224 1.9×
Chemical Pleurodesis (32560) $147 $245 0.2×
Chemodenerv 1 extremity 1-4 (64642) $241.20 $402 0.4×
Chemodenerv Eccrine Glands (64650) $132.60 $221 0.4×
Chemodenerv Musc Migraine (64615)
range across 2 matching MRF lines		 $198.60–$390 $331–$650 varies
Chemodenerv musc neck dyston (64616)
range across 2 matching MRF lines		 $271.80–$390 $453–$650 varies
Chemodenerv trunk musc 1-5 (64646)
range across 2 matching MRF lines		 $226.80–$523.20 $378–$872 varies
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 2 matching MRF lines		 $210–$309 $350–$515 varies
Chest tube placement (32551)
range across 2 matching MRF lines		 $267.60–$334.20 $446–$557 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $670.20 $1,117 0.2×
Circumcision 28 days or older (54161) $286.20 $477 0.1×
Circumcision Neonate (54160)
range across 2 matching MRF lines		 $339.60–$343.80 $566–$573 varies
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines		 $286.20–$341.40 $477–$569 varies
Cl Tx Scapular Fx; W Manip (23575) $293.40 $489 0.2×
Cl Tx Tib Shft Fx W Manip (27752) $853.80 $1,423 0.6×
Claviculectomy partial (23120) $928.20 $1,547 0.3×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $94.20–$201.60 $157–$336 varies
Closed Rx Metacarpal Fx,Percut (26608) $792.60 $1,321 0.3×
Closed Treat Vert Body Fract (22310)
range across 2 matching MRF lines		 $530.40–$990 $884–$1,650 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $704.40 $1,174 3.0×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $777.60 $1,296 3.3×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767)
range across 2 matching MRF lines		 $169.80–$270 $283–$450 varies
Closed Treatment Sesamoid Fracture (28530) $184.20 $307 0.8×
Closed Treatment Sternum Fracture (21820) $228.60 $381 1.0×
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines		 $511.20–$523.20 $852–$872 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $250.20–$589.20 $417–$982 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $865.20–$988.80 $1,442–$1,648 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 4 matching MRF lines		 $215.40–$866.40 $359–$1,444 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 2 matching MRF lines		 $199.80–$403.20 $333–$672 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 3 matching MRF lines		 $461.40–$786 $769–$1,310 varies
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $850.80 $1,418 3.6×
Closed tx knee dislocation w/o anesthesia (27550)
range across 2 matching MRF lines		 $673.80–$1,092.60 $1,123–$1,821 varies
Closed Tx Lunate Dislocation W/Manipulation (25690) $250.20 $417 0.2×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 4 matching MRF lines		 $165.60–$555 $276–$925 varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 2 matching MRF lines		 $250.20–$459 $417–$765 varies
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)
range across 2 matching MRF lines		 $120.60–$1,995 $201–$3,325 varies
Closed tx patellar dislocation w/anesthesia (27562)
range across 2 matching MRF lines		 $319.80–$321.60 $533–$536 varies
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines		 $215.40–$582 $359–$970 varies
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines		 $236.40–$519.60 $394–$866 varies
Closed tx radial head/neck fx w/manipulation (24655) $697.80 $1,163 0.5×
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $207.60–$418.80 $346–$698 varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $799.80–$2,049 $1,333–$3,415 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 2 matching MRF lines		 $433.80–$440.40 $723–$734 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $828–$988.80 $1,380–$1,648 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $165.60–$446.40 $276–$744 varies
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 2 matching MRF lines		 $174–$369.60 $290–$616 varies
Closed tx septal&nose fx (21337) $222 $370 0.1×
Closed tx talus fracture w/o manipulation (28430)
range across 2 matching MRF lines		 $375–$379.80 $625–$633 varies
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines		 $61.20–$159.60 $102–$266 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 2 matching MRF lines		 $303–$988.80 $505–$1,648 varies
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 2 matching MRF lines		 $436.80–$466.20 $728–$777 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines		 $418.80–$556.80 $698–$928 varies
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $215.40 $359 0.9×
Clsd tx acromioclavicular dislc w/manipulation (23545) $556.20 $927 2.3×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $215.40 $359 0.9×
Clsd tx clavicular fracture w/o manipulation (23500)
range across 4 matching MRF lines		 $165.60–$567 $276–$945 varies
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197)
range across 2 matching MRF lines		 $72–$168 $120–$280 varies
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $633–$694.20 $1,055–$1,157 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $435–$676.80 $725–$1,128 varies
Clsr Lacrimal Punctum Plug Each (68761) $218.40 $364 0.7×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $325.20 $542 0.2×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740)
range across 2 matching MRF lines		 $243–$365.40 $405–$609 varies
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 2 matching MRF lines		 $236.40–$486 $394–$810 varies
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $398.40–$877.20 $664–$1,462 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 3 matching MRF lines		 $511.80–$822.60 $853–$1,371 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $250.20–$501.60 $417–$836 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $165.60–$294.60 $276–$491 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 3 matching MRF lines		 $525.60–$827.40 $876–$1,379 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $988.80–$1,087.20 $1,648–$1,812 varies
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510)
range across 2 matching MRF lines		 $1,302.60–$1,993.20 $2,171–$3,322 varies
Cltx fem fx dstl end medial/lat condyle w/o manj (27508)
range across 2 matching MRF lines		 $357.60–$834.60 $596–$1,391 varies
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 2 matching MRF lines		 $178.80–$236.40 $298–$394 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $205.20–$261 $342–$435 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 3 matching MRF lines		 $148.20–$321.60 $247–$536 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $889.80 $1,483 0.6×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 2 matching MRF lines		 $165.60–$497.40 $276–$829 varies
Cltx greater humeral tuberosity fx w/o manj (23620)
range across 2 matching MRF lines		 $202.80–$421.20 $338–$702 varies
Cltx Greater Trochanteric Fx W/O Manj (27246)
range across 2 matching MRF lines		 $415.80–$637.80 $693–$1,063 varies
Cltx hip dislocation traumatic req anesthesia (27252) $531.60 $886 0.3×
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines		 $123.60–$387 $206–$645 varies
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $545.40 $909 2.3×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560)
range across 2 matching MRF lines		 $280.80–$515.40 $468–$859 varies
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238)
range across 2 matching MRF lines		 $318–$1,200 $530–$2,000 varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $103.20–$187.80 $172–$313 varies
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $1,545 $2,575 1.0×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $254.40 $424 0.9×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $223.80–$441.60 $373–$736 varies
Cltx Med Ankle Fx W/Mnpj (27762)
range across 2 matching MRF lines		 $300–$799.80 $500–$1,333 varies
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $215.40–$536.40 $359–$894 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $512.40–$714.60 $854–$1,191 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines		 $463.80–$470.40 $773–$784 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $205.20–$536.40 $342–$894 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 4 matching MRF lines		 $165.60–$511.80 $276–$853 varies
Cltx post hip arthrp dislc req anes (27266)
range across 2 matching MRF lines		 $786–$966.60 $1,310–$1,611 varies
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $609.60–$880.20 $1,016–$1,467 varies
Cltx prox fibula/shft fx w/o manj (27780)
range across 2 matching MRF lines		 $182.40–$414 $304–$690 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $832.80 $1,388 0.5×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $228.60–$427.20 $381–$712 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $928.20 $1,547 0.6×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 2 matching MRF lines		 $818.40–$1,068 $1,364–$1,780 varies
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $868.80 $1,448 0.6×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $972.60 $1,621 0.6×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines		 $215.40–$604.80 $359–$1,008 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503)
range across 2 matching MRF lines		 $406.20–$4,729.80 $677–$7,883 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501)
range across 2 matching MRF lines		 $321.60–$850.80 $536–$1,418 varies
Cltx tibial fx proximal w/o manipulation (27530)
range across 4 matching MRF lines		 $337.80–$802.80 $563–$1,338 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $377.40–$554.40 $629–$924 varies
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $809.40–$988.80 $1,349–$1,648 varies
Cltx trimalleolar ankle fx w/o manipulation (27816) $510 $850 2.2×
Collect Blood From Catheter Venous Nos (36592) $87.60 $146 0.7×
Collection of venous blood by venipuncture (36415)
range across 6 matching MRF lines		 $8.40–$43.80 $14–$73 varies
Colonoscopy thru stoma (44388) $340.20 $567 0.4×
Colonoscopy W/Band Ligation (45398) $736.20 $1,227 0.6×
Colonoscopy w/fb removal (45379) $1,132.20 $1,887 1.0×
Colonoscopy w/submucosal inj (45381) $772.80 $1,288 0.7×
Colporrhaphy (57200)
range across 2 matching MRF lines		 $831.60–$2,091.60 $1,386–$3,486 varies
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $244.20 $407 0.8×
Colposcopy Cervix Endocervical Curettage (57456) $259.20 $432 0.9×
Colposcopy cervix upper/adjacent vagina (57452) $172.80 $288 0.9×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $235.20 $392 0.8×
Colposcopy cervix vag eltrd conization cervix (57461) $528.60 $881 0.2×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $468 $780 0.2×
Colposcopy entire vagina w/cervix if present (57420) $184.20 $307 0.6×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $250.80 $418 0.3×
Colsc Flexible W/Control Bleeding Any Method (45382) $772.80 $1,288 0.7×
Colsc flx w/removal lesion by hot bx forceps (45384) $772.80 $1,288 0.7×
Combined anteroposterior colporrhaphy; (57260) $1,379.40 $2,299 0.3×
Complex drainage wound (10180) $395.40 $659 0.1×
Conization cervix w/wo d&c rpr eltrd exc (57522) $438.60 $731 0.1×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $147–$150 $245–$250 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $171.60–$194.40 $286–$324 varies
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $300 $500 0.2×
Correction hammertoe (28285)
range across 2 matching MRF lines		 $589.20–$1,387.80 $982–$2,313 varies
Correction of trichiasis; epilation, by forceps only (67820) $82.20 $137 0.6×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $1,020 $1,700 0.3×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
likely a partial charge, not the full procedure		 $1,195.80 $1,993 0.1×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
likely a partial charge, not the full procedure		 $949.20 $1,582 0.1×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $966 $1,610 0.3×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299)
unusually low: confirm this is the full procedure		 $2,382.60 $3,971 0.3×
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $82.20 $137 1.4×
Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) $658.20 $1,097 2.9×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $151.80–$418.80 $253–$698 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $151.80 $253 0.7×
Cystourethroscopy (52000) $385.20 $642 0.6×
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) $772.80 $1,288 0.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $87–$141 $145–$235 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $1,120.80 $1,868 0.4×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $772.80 $1,288 1.1×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $247.20–$372 $412–$620 varies
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $45.60–$51 $76–$85 varies
Debride nail 6 or more (11721) $85.80 $143 1.5×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $511.80 $853 0.3×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $187.80–$247.20 $313–$412 varies
Declot vascular device (36593) $205.20 $342 0.6×
Decompression of tibia nerve (28035)
range across 2 matching MRF lines		 $676.80–$1,382.40 $1,128–$2,304 varies
Deep Muscle Biopsy (20205) $465 $775 0.2×
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $643.20 $1,072 0.3×
Delay Flap/Sectioning Flap Scalp Arms/Legs (15610) $515.40 $859 0.3×
Delivery of placenta (59414)
range across 2 matching MRF lines		 $72.60–$132.60 $121–$221 varies
Destr penis lesion(s) (54065)
range across 2 matching MRF lines		 $321.60–$349.80 $536–$583 varies
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines		 $366.60–$2,079.60 $611–$3,466 varies
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines		 $1,030.80–$2,079.60 $1,718–$3,466 varies
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $99.60–$179.40 $166–$299 varies
Destruction Benign Lesions 15/> (17111) $211.80 $353 1.1×
Destruction Internal Hemorrhoid Thermal Energy (46930) $147.60 $246 0.1×
Destruction Lesions Vulva Simple (56501) $210 $350 0.1×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $283.20 $472 1.5×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $324.60 $541 1.7×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $386.40 $644 1.0×
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) $453.60 $756 0.6×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $231.60 $386 1.2×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $280.20 $467 1.5×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $309.60 $516 1.6×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $325.80 $543 0.8×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $226.20 $377 1.2×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $241.20 $402 1.3×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $261.60 $436 1.4×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $195 $325 1.0×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $330 $550 0.8×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $150.60 $251 0.8×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 2 matching MRF lines		 $241.20–$2,554.20 $402–$4,257 varies
Destruction of skin lesions (17106) $541.80 $903 1.4×
Destruction Premalignant Lesion 15/> (17004) $252 $420 0.6×
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines		 $76.20–$121.80 $127–$203 varies
Destruction Vaginal Lesions Extensive (57065) $309.60 $516 0.1×
Destruction Vaginal Lesions Simple (57061) $184.20 $307 0.1×
Diagnostic sigmoidoscopy (45330) $247.80 $413 0.3×
Diaphragm or cervical cap fitting with instructions (57170) $99.60 $166 0.5×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $114 $190 0.9×
Dilate Esophagus 1/Mult Pass (43450) $102 $170 0.1×
Dilate Urethra Stricture (53600)
range across 2 matching MRF lines		 $74.40–$134.40 $124–$224 varies
Dilation Cervical Canal (57800) $100.80 $168 0.0×
Drain Cerebro Spinal Fluid (62272)
range across 2 matching MRF lines		 $357.60–$557.40 $596–$929 varies
Drain Hand Tendon Sheath (26020) $1,057.80 $1,763 0.3×
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines		 $84–$204 $140–$340 varies
Drainage external ear abscess/hematoma cmplx (69005) $348.60 $581 0.2×
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $307.20–$435 $512–$725 varies
Drainage Mouth Roof Lesion (42000)
range across 2 matching MRF lines		 $144–$201.60 $240–$336 varies
Drainage of eye (65800) $162 $270 0.1×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $312–$429 $520–$715 varies
Drainage of gum lesion (41800)
range across 2 matching MRF lines		 $215.40–$294.60 $359–$491 varies
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $260.40–$1,792.80 $434–$2,988 varies
Drainage of hydrocele (55000)
range across 2 matching MRF lines		 $117–$193.80 $195–$323 varies
Drainage of rectal abscess (45005) $5,064 $8,440 4.4×
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $364.20–$1,989 $607–$3,315 varies
Drainage of scrotum (54700)
range across 2 matching MRF lines		 $348.60–$2,895 $581–$4,825 varies
Draw Blood Off Venous Device (36591) $79.80 $133 0.6×
Dressing Change Under Anesthesia (15852) $91.20 $152 0.1×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $339 $565 0.7×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines		 $271.80–$879.60 $453–$1,466 varies
Drg Absc Submaxillary/Sublingual Intraoral (42310) $190.20 $317 0.4×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $456.60 $761 0.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $143.40–$292.20 $239–$487 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $181.80–$312.60 $303–$521 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $139.20–$240 $232–$400 varies
Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) $696 $1,160 1.0×
Dstrj les/scar vestibule mouth physical meths (40820) $433.20 $722 0.1×
Dstrj Lesion Anus Simple Chemical (46900) $391.80 $653 1.0×
Dstrj lesion anus simple cryosurgery (46916) $388.80 $648 2.0×
Dstrj lesion anus simple surg excision (46922) $265.20 $442 0.1×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $159 $265 0.1×
Dstrj Lesion Penis Simple Chemical (54050) $210.60 $351 0.5×
Dstrj Lesion Penis Simple Cryosurgery (54056) $227.40 $379 1.2×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines		 $291.60–$1,249.20 $486–$2,082 varies
Dx Bone Marrow Bx & Aspir (38222)
range across 2 matching MRF lines		 $453–$1,768.80 $755–$2,948 varies
Dx Bronchoscope/Wash (31622) $511.80 $853 0.3×
Dx Laryngoscopy Excl Nb (31525) $321.60 $536 0.2×
Dx lmbr spi pnxr w/fluor/CT (62328) $990 $1,650 1.5×
Egd Balloon Dil Esoph30 Mm/> (43233) $160.80 $268 0.1×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $748.20 $1,247 0.4×
Egd cautery tumor polyp (43250) $772.80 $1,288 0.4×
Egd control bleeding any (43255) $719.40 $1,199 0.4×
Egd dilation gastric/duodenal stricture (43245) $246 $410 0.1×
Egd Flexible Foreign Body Removal (43247) $577.80 $963 0.7×
Egd guide wire insertion (43248) $672 $1,120 0.8×
Egd intrmural us needle aspirate/biopsy esophags (43238) $688.80 $1,148 0.4×
Egd place gastrostomy tube (43246) $384 $640 0.2×
Egd remove lesion snare (43251) $850.80 $1,418 0.5×
Egd Tube/Cath Insertion (43241) $98.40 $164 0.1×
Endocervical curettage (57505) $164.40 $274 0.2×
Endometrial Biopsy (58100) $174 $290 0.9×
Endoscopic plantar fasciotomy (29893) $1,489.80 $2,483 0.5×
Enterorrhaphy single perforation (44602) $2,259.60 $3,766 0.6×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $1,299 $2,165 0.7×
Epidural Blood Patch (62273) $557.40 $929 0.8×
Episiotomy or vaginal repair (59300)
range across 2 matching MRF lines		 $108–$294.60 $180–$491 varies
Esophagogastroduodenoscopy Submucosal Injection (43236) $644.40 $1,074 0.7×
Esophagoscopy rig transoral removal foreign body (43194) $238.20 $397 0.1×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $280.20 $467 0.2×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $73.80–$190.80 $123–$318 varies
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $824.40 $1,374 0.5×
Exc abdl tum deep 5 cm/> (22901) $1,273.20 $2,122 0.5×
Exc arm/elbow les sc < 3 cm (24075) $789.60 $1,316 0.5×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $111–$198 $185–$330 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines		 $322.80–$1,816.20 $538–$3,027 varies
Exc Back Les Sc < 3 Cm (21930) $772.80 $1,288 0.5×
Exc Back Tum Deep 5 Cm/> (21933) $777 $1,295 0.3×
Exc back tum deep < 5 cm (21932) $1,063.80 $1,773 0.4×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $853.80 $1,423 0.2×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $379.80 $633 0.6×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 2 matching MRF lines		 $63–$432 $105–$720 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $625.20 $1,042 0.4×
Exc Face Les Sbq 2 Cm/> (21012) $557.40 $929 0.4×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines		 $115.20–$218.40 $192–$364 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines		 $268.20–$492 $447–$820 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines		 $268.80–$299.40 $448–$499 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 2 matching MRF lines		 $357–$912 $595–$1,520 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $445.80 $743 0.3×
Exc Forearm Les Sc 3 Cm/> (25071) $841.20 $1,402 0.5×
Exc Forearm Tum Deep 3 Cm/> (25073) $1,012.20 $1,687 0.4×
Exc Frenum Labial/Buccal (40819) $403.80 $673 0.3×
Exc ganglion wrist recurrent (25112) $717.60 $1,196 0.5×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $70.80–$197.40 $118–$329 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $178.80–$250.80 $298–$418 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines		 $280.20–$1,001.40 $467–$1,669 varies
Exc Hand Les Sc < 1.5 Cm (26115) $228 $380 0.1×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $448.80 $748 0.5×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $765 $1,275 0.5×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $781.20 $1,302 0.4×
Exc neuroma hand/foot xcp digital nerve (64782) $873.60 $1,456 0.5×
Exc neuroma major peripheral nrv xcp sciatic (64784) $1,396.80 $2,328 0.7×
Exc Rct Tum Not Incl Muscularis Propria (45171) $985.80 $1,643 0.4×
Exc Shoulder Tum Deep 5 Cm/> (23073) $1,003.80 $1,673 0.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $306–$435 $510–$725 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 2 matching MRF lines		 $369.60–$911.40 $616–$1,519 varies
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 2 matching MRF lines		 $273–$476.40 $455–$794 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines		 $452.40–$1,001.40 $754–$1,669 varies
Exc Skin Benig >4cm Face,Facial (11446) $614.40 $1,024 0.2×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)
range across 2 matching MRF lines		 $252–$477.60 $420–$796 varies
Exc Skin Malig >4 Cm Remaindr Body (11626) $646.80 $1,078 0.2×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 2 matching MRF lines		 $342.60–$713.40 $571–$1,189 varies
Exc thigh/knee les sc 3 cm/> (27337) $696.60 $1,161 0.2×
Exc thigh/knee tum dep 5cm/> (27339) $1,236.60 $2,061 0.4×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $297 $495 0.3×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines		 $238.20–$247.20 $397–$412 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines		 $264–$435 $440–$725 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines		 $346.20–$1,001.40 $577–$1,669 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $742.20 $1,237 0.3×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $1,159.20 $1,932 0.4×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $989.40 $1,649 0.4×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $651.60 $1,086 0.4×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $770.40 $1,284 0.5×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $204 $340 0.1×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $1,439.40 $2,399 0.5×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555)
range across 2 matching MRF lines		 $360.60–$447 $601–$745 varies
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $790.80 $1,318 0.3×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $1,303.20 $2,172 0.4×
Exchange Intraocular Lens (66986) $1,503 $2,505 0.7×
Excis Mouth Mucosa/Sub,No Repair (40810) $343.20 $572 0.1×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $286.20 $477 0.2×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 2 matching MRF lines		 $435–$448.80 $725–$748 varies
Excision Chalazion Single (67800) $208.20 $347 0.7×
Excision External Ear Partial Simple Repair (69110) $694.20 $1,157 0.2×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $479.40 $799 0.2×
Excision lesion mouth roof (42104) $357 $595 0.1×
Excision Lesion Tongue W/O Closure (41110) $154.80 $258 0.0×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $307.80 $513 0.5×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $364.80 $608 0.5×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 2 matching MRF lines		 $396–$1,467 $660–$2,445 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604)
range across 2 matching MRF lines		 $435–$499.80 $725–$833 varies
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)
range across 2 matching MRF lines		 $139.20–$322.20 $232–$537 varies
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 2 matching MRF lines		 $236.40–$511.80 $394–$853 varies
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $812.40 $1,354 0.3×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $310.80 $518 0.2×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $366.60 $611 0.5×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 2 matching MRF lines		 $409.80–$504 $683–$840 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $536.40 $894 0.3×
Excision Multiple External Papillae/Tags Anus (46230) $444.60 $741 0.2×
Excision of bartholin's gland or cyst (56740) $472.80 $788 0.2×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $507.60 $846 0.3×
Excision of pilonidal cyst or sinus; simple (11770) $513 $855 0.2×
Excision of single external papilla or tag, anus (46220)
range across 2 matching MRF lines		 $335.40–$636.60 $559–$1,061 varies
Excision of vaginal cyst or tumor (57135) $304.80 $508 0.1×
Excision olecranon bursa (24105) $556.20 $927 0.2×
Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with autograft (includes obtaining graft)… (23145) $1,139.40 $1,899 0.4×
Excision Pilonidal Cyst/Sinus Complicated (11772) $747.60 $1,246 0.3×
Excision Pilonidal Cyst/Sinus Extensive (11771) $907.20 $1,512 0.3×
Excision prepatellar bursa (27340) $711 $1,185 0.2×
Excision Skin Abd Infraumbilical Panniculectomy (15830) $3,301.20 $5,502 0.5×
Excision synovial cyst popliteal space (27345) $758.40 $1,264 0.2×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $772.80 $1,288 0.5×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $520.80 $868 0.3×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $696.60 $1,161 0.4×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $568.80 $948 0.4×
Excision, sacral pressure ulcer, with skin flap closure; Facility (15934) $1,434 $2,390 0.4×
Excision, sacral pressure ulcer, with skin flap closure; with ostectomy Facility (15935) $2,067 $3,445 0.6×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $715.20 $1,192 0.3×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $564.60 $941 0.4×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $676.80 $1,128 0.2×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $787.80 $1,313 0.3×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $754.20 $1,257 0.5×
Excision/curettage cyst/tumor phalanx finger (26210) $853.80 $1,423 0.6×
Expl po hemrrg thrombosis/infctj xtr (35860) $571.80 $953 0.2×
Explo/Drain Breast Abscess (19020) $859.20 $1,432 0.5×
Exploration of knee joint (27310) $1,407.60 $2,346 0.4×
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines		 $178.80–$693 $298–$1,155 varies
Exploratory elbow surgery (24000) $928.80 $1,548 0.3×
Explore/Treat Hand Joint (26070) $495 $825 0.3×
Explore/Treat Knee Joint (27331) $772.80 $1,288 0.2×
Fasciectomy Palm Only (26121) $1,177.20 $1,962 0.4×
Fasciectomy Plantar Fascia Partial Spx (28060) $696.60 $1,161 0.2×
Fasciotomy palmar open partial (26045) $882.60 $1,471 0.3×
Fasciotomy, foot and/or toe (28008) $582.60 $971 0.2×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $1,618.80 $2,698 0.5×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $876 $1,460 1.3×
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $69.60–$134.40 $116–$224 varies
Fna Bx W/Fluor Gdn 1St Les (10007) $876 $1,460 1.3×
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines		 $93–$679.80 $155–$1,133 varies
Foreskin manipulation (54450) $114.60 $191 0.5×
Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) $1,514.40 $2,524 0.8×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $1,200 $2,000 0.6×
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $1,263.60 $2,106 0.6×
Fusion of foot bones (28740)
range across 2 matching MRF lines		 $1,218.60–$2,253 $2,031–$3,755 varies
Gastrocnemius recession (27687) $882.60 $1,471 0.3×
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) $2,574 $4,290 0.7×
Hemiarthroplasty hip partial (27125)
range across 2 matching MRF lines		 $1,686.60–$1,824 $2,811–$3,040 varies
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $817.20 $1,362 0.3×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $625.80 $1,043 0.2×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $772.80 $1,288 0.3×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) $684 $1,140 0.3×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $465 $775 0.5×
Hysteroscopy Biopsy (58558) $2,243.40 $3,739 0.7×
Hysteroscopy Dx Sep Proc (58555) $446.40 $744 0.1×
Hysteroscopy Endometrial Ablation (58563) $2,622.60 $4,371 0.5×
Hysteroscopy Removal Impacted Foreign Body (58562) $563.40 $939 0.2×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $256.80–$318.60 $428–$531 varies
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines		 $879.60–$2,970 $1,466–$4,950 varies
I&D Deep Absc/Hematoma Neck/Chest (21501) $737.40 $1,229 0.3×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $758.40 $1,264 0.3×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $1,251 $2,085 0.4×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $86.40–$331.20 $144–$552 varies
I&d pilonidal cyst complicated (10081) $436.20 $727 0.6×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $289.80–$435 $483–$725 varies
I&d shoulder deep abscess/hematoma (23030) $712.80 $1,188 0.3×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $196.80–$288 $328–$480 varies
Incise finger tendon sheath (26055) $892.80 $1,488 0.6×
Incise/Drain Conjunctiva (68020) $193.80 $323 0.2×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $324.60–$883.20 $541–$1,472 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $741.60 $1,236 0.3×
Incision & removal foreign body subq tiss compl (10121) $439.80 $733 0.3×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $253.80–$289.20 $423–$482 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $108–$198.60 $180–$331 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $179.40–$187.80 $299–$313 varies
Incision bone cortex foot (28005) $1,110.60 $1,851 0.4×
Incision extensor tendon sheath wrist (25000) $653.40 $1,089 0.4×
Incision of fibula (27707) $768 $1,280 0.2×
Incision of Foot Tendon (28234) $1,000.20 $1,667 0.6×
Incision of labial frenum (frenotomy) (40806) $177.60 $296 0.3×
Incision of lingual frenum (frenotomy) (41010) $442.20 $737 0.3×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $250.20–$855.60 $417–$1,426 varies
Incision of urethra (53020) $156.60 $261 0.1×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $204.60 $341 0.1×
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $268.80–$474.60 $448–$791 varies
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $87.60–$109.80 $146–$183 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $74.40 $124 0.1×
Inj W/Fluor Eval Cv Device (36598) $299.40 $499 1.5×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 3 matching MRF lines		 $94.20–$390 $157–$650 varies
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines		 $557.40–$1,196.40 $929–$1,994 varies
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines		 $241.80–$981.60 $403–$1,636 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines		 $334.80–$639 $558–$1,065 varies
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449)
range across 2 matching MRF lines		 $357–$639 $595–$1,065 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines		 $457.80–$480 $763–$800 varies
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 2 matching MRF lines		 $210–$247.20 $350–$412 varies
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines		 $480–$551.40 $800–$919 varies
Injection for identification of sentinel node (38792)
range across 2 matching MRF lines		 $85.20–$494.40 $142–$824 varies
Injection medication/other subst tenon capsule (67515)
range across 3 matching MRF lines		 $132.60–$708 $221–$1,180 varies
Injection single tendon origin/insertion (20551)
range across 3 matching MRF lines		 $97.80–$182.40 $163–$304 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $182.40–$308.40 $304–$514 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $348.60–$390 $581–$650 varies
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines		 $124.20–$370.80 $207–$618 varies
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines		 $557.40–$639 $929–$1,065 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $361.20–$457.80 $602–$763 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $303.60–$480 $506–$800 varies
Injection, anesthetic agent; vagus nerve (64408)
range across 2 matching MRF lines		 $31.20–$210 $52–$350 varies
Injection, Intralesional; More Than 7 Lesions (11901) $111 $185 0.6×
Injection, intralesional; up to and including 7 lesions (11900) $88.80 $148 0.5×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $147.60–$243.60 $246–$406 varies
Insert cath pleura w/o image (32556) $83.40 $139 0.0×
Insert Drug Implant Device (11981) $225.60 $376 1.8×
Insert Gastrostomy Tube Percutaneous (49440) $148.20 $247 0.1×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $506.40–$1,144.80 $844–$1,908 varies
Insert pessary/other device (57160) $123 $205 0.6×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $115.80–$127.20 $193–$212 varies
Insert tunneled cv cath (36561) $222.60 $371 0.1×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $91.20–$118.20 $152–$197 varies
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $194.40–$1,652.40 $324–$2,754 varies
Insj Picc Rs&I <5 Yr (36572)
range across 2 matching MRF lines		 $279.60–$937.20 $466–$1,562 varies
Insj prph ctr vad w/subq port age 5 yr/> (36571) $172.80 $288 0.1×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $69–$279.60 $115–$466 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $1,252.20 $2,087 0.4×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $250.20 $417 0.6×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $357.60 $596 0.9×
Intubation endotracheal emergency procedure (31500) $354 $590 1.6×
Iridotomy/irridectomy laser surg per session (66761)
range across 2 matching MRF lines		 $584.40–$607.80 $974–$1,013 varies
Knee arthroscopy/drainage (29871) $986.40 $1,644 0.3×
Knee Arthroscopy/Surgery (29874) $869.40 $1,449 0.3×
Laparo-vag hyst incl t/o (58552)
likely a partial charge, not the full procedure		 $1,626 $2,710 0.2×
Laparoscopy aspiration (49322)
likely a partial charge, not the full procedure		 $712.20 $1,187 0.1×
Laparoscopy Enterolysis Separate Procedure (44180)
likely a partial charge, not the full procedure		 $1,487.40 $2,479 0.3×
Laparoscopy fulguration oviducts (58670)
likely a partial charge, not the full procedure		 $597.60 $996 0.1×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
likely a partial charge, not the full procedure		 $1,482 $2,470 0.1×
Laparoscopy W/Lysis Of Adhesions (58660)
likely a partial charge, not the full procedure		 $1,082.40 $1,804 0.2×
Laparoscopy w/rmvl adnexal structures (58661)
likely a partial charge, not the full procedure		 $1,067.40 $1,779 0.2×
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure		 $992.40 $1,654 0.2×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure		 $1,174.80 $1,958 0.2×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
unusually low: confirm this is the full procedure		 $3,430.80 $5,718 0.3×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure		 $552.60 $921 0.1×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure		 $1,391.40 $2,319 0.2×
Laryngoscopy diagnostic (31505)
range across 2 matching MRF lines		 $136.80–$238.80 $228–$398 varies
Late closure of wound (13160) $1,273.20 $2,122 0.4×
Ligation of hemorrhoids (46946) $433.20 $722 0.2×
Ligation or biopsy temporal artery (37609) $410.40 $684 0.3×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $526.80 $878 0.2×
Lip Surgery Procedure (40799) $144.60 $241 0.6×
Lithotripsy, extracorporeal shock wave (50590) $1,159.20 $1,932 0.3×
Lysis of labial adhesions (56441) $227.40 $379 0.1×
Lysis/excision penile postcircumcision adhesions (54162) $399.60 $666 0.2×
Manipulation knee joint under general anesthesia (27570) $392.40 $654 0.3×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $348.60 $581 0.2×
Marsupialization of bartholin's gland cyst (56440) $291 $485 0.1×
Mast mod rad (19307)
unusually low: confirm this is the full procedure		 $2,261.40 $3,769 0.4×
Mastectomy for gynecomastia (19300) $835.80 $1,393 0.2×
Mastectomy partial (19301)
range across 2 matching MRF lines		 $476.40–$1,058.40 $794–$1,764 varies
Mastectomy partial w/axillary lymphadenectomy (19302)
likely a partial charge, not the full procedure		 $631.80 $1,053 0.1×
Mastectomy simple complete (19303)
likely a partial charge, not the full procedure		 $1,681.20 $2,802 0.3×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $2,202 $3,670 0.6×
Muscle-skin graft trunk (15734) $2,395.20 $3,992 0.7×
Muscle/tendon transfer upper arm/elbow single (24301)
likely a partial charge, not the full procedure		 $1,236.60 $2,061 0.2×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines		 $348.60–$480 $581–$800 varies
N block inj intercost sng (64420)
range across 2 matching MRF lines		 $469.20–$480 $782–$800 varies
N Block Inj Plantar Digit (64455) $78.60 $131 0.3×
Nasal/Orogastric W/Tube Plmt (43752) $337.20 $562 0.8×
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines		 $200.40–$666 $334–$1,110 varies
Needle Biopsy Pancreas (48102) $390 $650 0.2×
Needle insertion w/o injection 1 or 2 muscles (20560) $18 $30 0.6×
Needle insertion w/o injection 3 or more muscles (20561) $21 $35 0.8×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 3 matching MRF lines		 $966.60–$1,545.60 $1,611–$2,576 varies
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $963 $1,605 0.5×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $373.80 $623 0.9×
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines		 $55.80–$639 $93–$1,065 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $210–$220.80 $350–$368 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $200.40 $334 0.1×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $598.80–$696.60 $998–$1,161 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $696.60 $1,161 1.0×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $766.20 $1,277 1.1×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines		 $696.60–$1,140 $1,161–$1,900 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $69 $115 0.1×
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 $348.60–$390 $581–$650 varies
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure		 $1,305.60 $2,176 0.2×
Open biopsy/excision inguinofemoral nodes (38531) $823.20 $1,372 0.2×
Open bowel to skin (44300) $1,375.20 $2,292 0.7×
Open Repair of Rotator Cuff Acute (23410)
range across 2 matching MRF lines		 $1,604.40–$2,159.40 $2,674–$3,599 varies
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure		 $1,236.60 $2,061 0.2×
Open treatment calcaneal fracture (28415)
unusually low: confirm this is the full procedure		 $2,163 $3,605 0.3×
Open Treatment Fracture Distal Tibia & Fibula (27828)
likely a partial charge, not the full procedure		 $2,318.40 $3,864 0.2×
Open treatment fracture distal tibia only (27827)
likely a partial charge, not the full procedure		 $2,127.60 $3,546 0.2×
Open treatment greater trochanteric fracture (27248)
likely a partial charge, not the full procedure		 $1,217.40 $2,029 0.2×
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure		 $1,172.40 $1,954 0.2×
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure		 $846.60 $1,411 0.1×
Open treatment of acromioclavicular dislocation acute or chronic (23550)
likely a partial charge, not the full procedure		 $1,096.80 $1,828 0.2×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure		 $1,159.20 $1,932 0.2×
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507)
likely a partial charge, not the full procedure		 $1,545 $2,575 0.2×
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513)
likely a partial charge, not the full procedure		 $2,243.40 $3,739 0.2×
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574)
likely a partial charge, not the full procedure		 $1,269 $2,115 0.2×
Open Treatment of Ulnar Shaft Fracture (25545)
likely a partial charge, not the full procedure		 $1,004.40 $1,674 0.1×
Open Treatment Proximal Fibula/Shaft Fracture (27784)
likely a partial charge, not the full procedure		 $1,159.20 $1,932 0.2×
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure		 $1,409.40 $2,349 0.1×
Open Treatment Radial Shaft Fracture (25515)
likely a partial charge, not the full procedure		 $1,302.60 $2,171 0.2×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746)
range across 2 matching MRF lines		 $722.40–$1,198.20 $1,204–$1,997 varies
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure		 $1,082.40 $1,804 0.2×
Open Tx Distal Phalangeal Fracture Each (26765) $790.80 $1,318 0.3×
Open Tx Distal Radioulnar Dislc Acute/Chronic (25676)
likely a partial charge, not the full procedure		 $819 $1,365 0.1×
Open Tx Distal Tibiofibular Joint Disruption (27829)
range across 2 matching MRF lines		 $1,339.80–$1,657.80 $2,233–$2,763 varies
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514)
range across 3 matching MRF lines		 $1,560.60–$2,574.60 $2,601–$4,291 varies
Open tx femoral supracondylar fracture w/o xtn (27511)
likely a partial charge, not the full procedure		 $1,623 $2,705 0.1×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $777 $1,295 0.2×
Open tx interphalangeal joint dislocation (26785) $873.60 $1,456 0.3×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $928.20 $1,547 0.3×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $939.60 $1,566 0.3×
Open Tx Radial Head/Neck Fracture (24665)
likely a partial charge, not the full procedure		 $1,122 $1,870 0.2×
Open Tx Tibial Fracture Proximal Unicondylar (27535)
likely a partial charge, not the full procedure		 $1,575 $2,625 0.2×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
likely a partial charge, not the full procedure		 $1,516.80 $2,528 0.2×
Open tx ulnar fx proximal end (24685)
likely a partial charge, not the full procedure		 $1,293 $2,155 0.2×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
likely a partial charge, not the full procedure		 $1,369.20 $2,282 0.2×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
likely a partial charge, not the full procedure		 $602.40 $1,004 0.1×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
likely a partial charge, not the full procedure		 $1,931.40 $3,219 0.3×
Optx tibial fx prox bicondylar w/wo int fixj (27536)
unusually low: confirm this is the full procedure		 $2,096.40 $3,494 0.3×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758)
likely a partial charge, not the full procedure		 $1,542 $2,570 0.1×
Ostectomy calcaneus (28118) $1,492.80 $2,488 0.5×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $1,194 $1,990 0.4×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110)
range across 2 matching MRF lines		 $383.40–$556.80 $639–$928 varies
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure		 $1,554.60 $2,591 0.2×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308)
range across 3 matching MRF lines		 $928.20–$1,474.80 $1,547–$2,458 varies
Osteotomy calcaneus w/wo internal fixation (28300)
likely a partial charge, not the full procedure		 $1,082.40 $1,804 0.2×
Osteotomy Tibia (27705)
likely a partial charge, not the full procedure		 $1,432.80 $2,388 0.2×
Part remv talus or calcaneus (28120)
range across 2 matching MRF lines		 $975–$1,764.60 $1,625–$2,941 varies
Partial removal of fibula (27641) $1,311 $2,185 0.4×
Partical Excision Bone Phalanx Toe (28124) $658.80 $1,098 0.2×
Patellectomy or hemipatellectomy (27350)
range across 3 matching MRF lines		 $1,063.80–$1,705.80 $1,773–$2,843 varies
Penile Injection (54235)
range across 2 matching MRF lines		 $19.20–$144.60 $32–$241 varies
Percut Drain/Inject Renal Cyst (50390) $300 $500 0.4×
Percutaneous skeletal fixation of ulnar styloid fracture (25651) $811.80 $1,353 0.3×
Perq dev breast 1st strtctc (19283) $1,712.40 $2,854 2.5×
Perq dev breast 1st us imag (19285) $1,712.40 $2,854 2.5×
Perq device breast 1st imag (19281) $898.20 $1,497 0.6×
Perq sft tiss loc device plmt 1st les w/gdnce (10035)
range across 2 matching MRF lines		 $241.20–$478.20 $402–$797 varies
Perq skel fixj distal radial fx/epiphysl sep (25606) $1,058.40 $1,764 0.3×
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines		 $118.80–$161.40 $198–$269 varies
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $1,122 $1,870 0.2×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307)
range across 2 matching MRF lines		 $3,300 $216–$5,500 1.2×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $93.60 $156 0.1×
Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495)
unusually low: confirm this is the full procedure		 $2,232.60 $3,721 0.3×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $676.80 $1,128 0.2×
Prq skel fixj femoral fx prox end neck (27235)
likely a partial charge, not the full procedure		 $1,467.60 $2,446 0.2×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) $787.80 $1,313 0.3×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122)
range across 2 matching MRF lines		 $850.80–$1,606.80 $1,418–$2,678 varies
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $212.40–$267 $354–$445 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $208.20–$384 $347–$640 varies
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines		 $145.80–$177.60 $243–$296 varies
Pvb thoracic cont infusion (64463) $1,548 $2,580 2.3×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $948 $1,580 1.4×
Radical resection of tumor, femur or knee Facility (27365) $4,100.40 $6,834 1.3×
Radical resection of tumor; scapula Facility (23210)
unusually low: confirm this is the full procedure		 $2,858.40 $4,764 0.4×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625)
range across 2 matching MRF lines		 $316.80–$2,554.20 $528–$4,257 varies
Rcnstj angular dfrm toe soft tiss px only (28313) $1,315.20 $2,192 0.4×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238)
likely a partial charge, not the full procedure		 $947.40 $1,579 0.1×
Rdctj torsion tstis w/wo fixj clat testis (54600) $754.20 $1,257 0.2×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
likely a partial charge, not the full procedure		 $1,217.40 $2,029 0.2×
Reinforce hip bones (27187)
likely a partial charge, not the full procedure		 $1,623 $2,705 0.2×
Reinforce tibia (27745)
likely a partial charge, not the full procedure		 $1,236.60 $2,061 0.2×
Removal Embedded Foreign Body Eyelid (67938)
range across 2 matching MRF lines		 $143.40–$396 $239–$660 varies
Removal Foreign Body Foot Complicated (28193) $861 $1,435 0.5×
Removal foreign body foot deep (28192)
range across 2 matching MRF lines		 $553.80–$764.40 $923–$1,274 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $417–$435 $695–$725 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $138–$324.60 $230–$541 varies
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $19.80–$37.20 $33–$62 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $57–$82.80 $95–$138 varies
Removal Implant Deep (20680) $1,185.60 $1,976 0.4×
Removal Implant Superficial Separate Procedure (20670)
range across 2 matching MRF lines		 $485.40–$618.60 $809–$1,031 varies
Removal implantable contraceptive capsules (11976) $228.60 $381 0.3×
Removal intact breast implant (19328)
range across 2 matching MRF lines		 $315–$2,724 $525–$4,540 varies
Removal of a lesion from the floor of the mouth (41116) $546.60 $911 0.2×
Removal of anal fissure (46200) $186 $310 0.1×
Removal of calcium deposits (23000) $729 $1,215 0.3×
Removal of foreign body from pharynx (42809)
range across 2 matching MRF lines		 $178.80–$282.60 $298–$471 varies
Removal of heel spur (28119) $1,492.80 $2,488 0.5×
Removal of implant from finger or hand (26320) $505.20 $842 0.3×
Removal of knee prosthesis (27488)
likely a partial charge, not the full procedure		 $1,931.40 $3,219 0.2×
Removal of nail bed (11750)
range across 3 matching MRF lines		 $178.80–$582 $298–$970 varies
Removal of nose lesion (30124) $458.40 $764 0.3×
Removal of sperm cord lesion (55520) $315 $525 0.1×
Removal or bivalving full arm or full leg cast (29705)
range across 2 matching MRF lines		 $106.20–$113.40 $177–$189 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $140.40–$258 $234–$430 varies
Removal Sutures/Staples Requiring Anesthesia (15851) $388.20 $647 0.2×
Removal sweat gland lesion (11450) $609 $1,015 0.2×
Removal, under anesthesia, of external fixation system (20694) $696.60 $1,161 0.5×
Removal/bivalving gauntlet boot/body cast (29700) $102 $170 0.4×
Remove drug implant device (11982) $251.40 $419 0.6×
Remove elbow lesion (24120) $1,041.60 $1,736 0.3×
Remove Forearm Foreign Body (25248) $717.60 $1,196 0.5×
Remove foreign body from eye (65235) $1,324.20 $2,207 0.6×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $120–$226.80 $200–$378 varies
Remove humerus lesion (24110) $943.80 $1,573 0.3×
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $108–$153 $180–$255 varies
Remove knee joint lining (27334) $1,312.80 $2,188 0.4×
Remove Lower Leg Bone Lesion (27635) $966.60 $1,611 0.3×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $108–$370.20 $180–$617 varies
Remove Shoulder Foreign Body (23330) $303.60 $506 0.2×
Remove Tendon Sheath Lesion (26160) $922.80 $1,538 0.6×
Remove/graft leg bone lesion (27637)
likely a partial charge, not the full procedure		 $1,462.80 $2,438 0.2×
Remove/Insert Drug Implant (11983) $351 $585 0.8×
Renal Biopsy Perq (50200) $300 $500 0.2×
Repair Achilles Tendon (27650)
likely a partial charge, not the full procedure		 $1,082.40 $1,804 0.2×
Repair arm/leg nerve (64857) $1,699.80 $2,833 0.5×
Repair Blood Vessel Direct Upper Extremity (35206)
range across 2 matching MRF lines		 $761.40–$1,568.40 $1,269–$2,614 varies
Repair blood vessel lesion (35190)
likely a partial charge, not the full procedure		 $1,143 $1,905 0.2×
Repair Collat Ankle Ligmnt,Secondary (27698)
likely a partial charge, not the full procedure		 $1,710.60 $2,851 0.2×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $385.20–$754.20 $642–$1,257 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $178.80–$614.40 $298–$1,024 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $250.20–$759 $417–$1,265 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $558 $930 1.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $378–$679.80 $630–$1,133 varies
Repair complex trunk 1.1-2.5 cm (13100) $532.20 $887 0.7×
Repair complex trunk 2.6-7.5 cm (13101) $633 $1,055 0.9×
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $795.60–$908.40 $1,326–$1,514 varies
Repair Finger Tendon (26433) $850.80 $1,418 0.3×
Repair Finger/Hand Tendon (26350) $1,139.40 $1,899 0.4×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $728.40 $1,214 0.2×
Repair Hallux Rigidus (28289)
range across 2 matching MRF lines		 $1,069.20–$1,965.60 $1,782–$3,276 varies
Repair Hand Tendon (26410)
range across 2 matching MRF lines		 $908.40–$1,054.80 $1,514–$1,758 varies
Repair humerus with graft (24435)
likely a partial charge, not the full procedure		 $1,968 $3,280 0.2×
Repair incomplete circumcision (54163) $386.40 $644 0.2×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $1,251 $2,085 0.4×
Repair initial femoral hernia, any age; reducible (49550) $966.60 $1,611 0.3×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $1,039.20 $1,732 0.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $246.60–$413.40 $411–$689 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $316.20–$454.80 $527–$758 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $242.40–$553.80 $404–$923 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $272.40–$591 $454–$985 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 2 matching MRF lines		 $157.80–$1,890.60 $263–$3,151 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $193.80–$385.80 $323–$643 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $358.80–$459 $598–$765 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $574.80–$841.80 $958–$1,403 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $878.40 $1,464 0.4×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $365.40–$618.60 $609–$1,031 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $312–$339.60 $520–$566 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $493.80–$516 $823–$860 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $250.20–$675.60 $417–$1,126 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $321.60–$497.40 $536–$829 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 2 matching MRF lines		 $636.60–$2,340 $1,061–$3,900 varies
Repair Non/Malunion Humerus W/O Graft (24430)
likely a partial charge, not the full procedure		 $1,839 $3,065 0.1×
Repair of metatarsals (28322)
range across 2 matching MRF lines		 $1,126.20–$1,534.20 $1,877–$2,557 varies
Repair of nail bed (11760)
range across 2 matching MRF lines		 $357–$378 $595–$630 varies
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405)
likely a partial charge, not the full procedure		 $1,820.40 $3,034 0.3×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400)
likely a partial charge, not the full procedure		 $1,568.40 $2,614 0.2×
Repair of shoulder (23420)
likely a partial charge, not the full procedure		 $1,864.80 $3,108 0.3×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
likely a partial charge, not the full procedure		 $1,159.20 $1,932 0.2×
Repair Rotator Cuff Chronic (23412)
range across 2 matching MRF lines		 $1,394.40–$1,674.60 $2,324–$2,791 varies
Repair secondary achilles tendon w/wo graft (27654)
range across 2 matching MRF lines		 $1,369.20–$1,888.80 $2,282–$3,148 varies
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
likely a partial charge, not the full procedure		 $1,217.40 $2,029 0.2×
Repair Toe Dislocation (28645) $946.20 $1,577 0.3×
Repair tongue laceration (41252)
range across 2 matching MRF lines		 $484.20–$517.80 $807–$863 varies
Repair tongue laceration (41250)
range across 2 matching MRF lines		 $196.80–$289.80 $328–$483 varies
Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470)
unusually low: confirm this is the full procedure		 $2,217 $3,695 0.3×
Repair, primary, disrupted ligament, ankle; collateral (27695)
likely a partial charge, not the full procedure		 $787.80 $1,313 0.1×
Replace G-J Tube Perc (49452) $1,488 $2,480 1.7×
Replace g/c tube perc (49450) $695.40 $1,159 0.8×
Repositioning Io Lens Prosthesis Req Inc Spx (66825) $1,234.20 $2,057 0.6×
Rerepair ing hernia reduce (49520) $1,043.40 $1,739 0.3×
Resection of scrotum (55150) $971.40 $1,619 0.3×
Revise ulnar nerve at wrist (64719)
range across 2 matching MRF lines		 $622.80–$673.20 $1,038–$1,122 varies
Revision of humerus (24400)
likely a partial charge, not the full procedure		 $1,609.20 $2,682 0.2×
Revision of lower leg tendon (27685) $1,660.20 $2,767 0.5×
Revj tot hip arthrp bth w/wo agrft/algrft (27134)
likely a partial charge, not the full procedure		 $1,069.20 $1,782 0.1×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
likely a partial charge, not the full procedure		 $2,820 $4,700 0.2×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486)
likely a partial charge, not the full procedure		 $2,721.60 $4,536 0.2×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $55.80 $93 0.0×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $153–$246.60 $255–$411 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $164.40–$230.40 $274–$384 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 2 matching MRF lines		 $40.80–$105 $68–$175 varies
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $777.60 $1,296 0.3×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)
range across 2 matching MRF lines		 $294–$400.80 $490–$668 varies
Rmvl Lens Material Aspir Tq 1/> Stages (66840) $1,568.40 $2,614 0.7×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $483.60–$960 $806–$1,600 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines		 $382.20–$387.60 $637–$646 varies
Rmvl Vitreous Ant Appr Partial Removal (67005) $862.80 $1,438 0.4×
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) $111.60 $186 0.4×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $82.80–$351 $138–$585 varies
Rplcmt cath ctr vad subq port/pmp (36578) $216.60 $361 0.1×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $355.20 $592 0.1×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure		 $939.60 $1,566 0.2×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $432.60 $721 0.1×
Rpr aa hernia recr 3-10 cm reducible (49615)
likely a partial charge, not the full procedure		 $447 $745 0.1×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
likely a partial charge, not the full procedure		 $324.60 $541 0.1×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $222 $370 0.1×
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure		 $389.40 $649 0.1×
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure		 $278.40 $464 0.0×
Rpr blood vessel direct lower extremity (35226)
range across 2 matching MRF lines		 $653.40–$1,471.80 $1,089–$2,453 varies
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $222.60–$270 $371–$450 varies
Rpr ing hernia init reduce (49500)
likely a partial charge, not the full procedure		 $799.80 $1,333 0.1×
Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724)
unusually low: confirm this is the full procedure		 $2,404.80 $4,008 0.3×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696)
likely a partial charge, not the full procedure		 $1,093.20 $1,822 0.2×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $1,092.60 $1,821 0.3×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260)
range across 2 matching MRF lines		 $929.40–$942.60 $1,549–$1,571 varies
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $811.80 $1,353 0.3×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $1,501.80 $2,503 0.5×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $331.20 $552 0.4×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $247.80 $413 0.2×
Shave skin lesion 0.5 cm/< (11300) $157.20 $262 0.4×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $182.40 $304 0.9×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $296.40 $494 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $157.20 $262 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306)
range across 2 matching MRF lines		 $97.20–$193.80 $162–$323 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $228.60 $381 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $243 $405 0.6×
Shoulder arthroscopy (29820)
likely a partial charge, not the full procedure		 $306 $510 0.0×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $176.40 $294 0.9×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312)
range across 2 matching MRF lines		 $162.60–$258 $271–$430 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $191.40 $319 1.0×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $249.60 $416 0.6×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $227.40 $379 1.2×
Sigmoidoscopy & Polypectomy (45333) $67.80 $113 0.1×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $327 $545 0.4×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $75 $125 0.1×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $215.40–$346.80 $359–$578 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $222.60–$234 $371–$390 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $256.80–$289.80 $428–$483 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $247.80 $413 0.6×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $232.80–$241.20 $388–$402 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $201.60–$210.60 $336–$351 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 2 matching MRF lines		 $205.20–$288.60 $342–$481 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $236.40–$251.40 $394–$419 varies
Skin Full Grft Face/Genit/Hf (15240) $1,467.60 $2,446 0.7×
Skin Pedicle Flap Trunk (15570) $1,419 $2,365 0.7×
Skin sub graft face/nk/hf/g (15275) $226.20 $377 0.3×
Skin sub graft trnk/arm/leg (15271) $204.60 $341 0.3×
Skin Tissue Procedure (17999)
range across 3 matching MRF lines		 $144–$692.40 $240–$1,154 varies
Slitting of prepuce (54001) $309.60 $516 0.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $177.60–$310.80 $296–$518 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $247.20–$295.80 $412–$493 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $247.20–$330 $412–$550 varies
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $312.60–$632.40 $521–$1,054 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $1,337.40 $2,229 0.4×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $1,359 $2,265 0.7×
Strapping ankle (29540)
range across 2 matching MRF lines		 $31.20–$57.60 $52–$96 varies
Strapping elbow or wrist (29260)
range across 2 matching MRF lines		 $43.20–$78.60 $72–$131 varies
Strapping hand/finger (29280)
range across 2 matching MRF lines		 $47.40–$77.40 $79–$129 varies
Strapping Hip (29520) $34.80 $58 0.3×
Strapping knee (29530)
range across 2 matching MRF lines		 $46.20–$79.20 $77–$132 varies
Strapping shoulder (29240)
range across 3 matching MRF lines		 $54–$86.40 $90–$144 varies
Strapping thorax (29200) $111.60 $186 0.7×
Strapping toes (29550) $28.20 $47 0.5×
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $60–$85.20 $100–$142 varies
Surg tx anal fistula subq (46270) $831.60 $1,386 0.3×
Suture infrapatellar tendon primary (27380)
likely a partial charge, not the full procedure		 $336 $560 0.0×
Suture of quadriceps or hamstring muscle rupture primary (27385)
likely a partial charge, not the full procedure		 $1,107.60 $1,846 0.2×
Syndactylization toes (28280) $1,339.80 $2,233 0.4×
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines		 $177.60–$267 $296–$445 varies
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure		 $1,198.20 $1,997 0.2×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $841.20 $1,402 0.3×
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $928.20 $1,547 0.3×
Tenotomy Flexor Finger Open Each Tendon (26455) $637.80 $1,063 0.4×
Tenotomy Percutaneous Toe Single Tendon (28010) $574.80 $958 0.4×
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $547.20 $912 0.2×
Thrombolytic Therapy Stroke (37195)
range across 2 matching MRF lines		 $330.60–$563.40 $551–$939 varies
Thyroid biopsy (60100)
range across 2 matching MRF lines		 $102.60–$174.60 $171–$291 varies
Tooth extraction (41899)
range across 2 matching MRF lines		 $58.20–$144.60 $97–$241 varies
Total Knee Arthroplasty (27447)
range across 2 matching MRF lines		 $2,163–$4,055.40 $3,605–$6,759 varies
Tracheostomy Emergency Procedure Transtracheal (31603) $395.40 $659 0.3×
Transfer skin pedicle flap (15650) $759 $1,265 0.4×
Treat Big Toe Fracture (28505) $1,070.40 $1,784 0.3×
Treat dislocation/fracture (23680)
likely a partial charge, not the full procedure		 $1,329.60 $2,216 0.1×
Treat elbow fracture (24586)
likely a partial charge, not the full procedure		 $2,083.20 $3,472 0.2×
Treat Elbow Fracture (24635)
likely a partial charge, not the full procedure		 $1,299.60 $2,166 0.2×
Treat Finger Fracture Each (26727) $772.80 $1,288 0.2×
Treat fracture radius/ulna (25575)
likely a partial charge, not the full procedure		 $1,467.60 $2,446 0.2×
Treat Fx Rad Extra-Articul (25607)
likely a partial charge, not the full procedure		 $958.20 $1,597 0.1×
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $232.80–$570.60 $388–$951 varies
Treat Humerus Fracture (24505)
range across 2 matching MRF lines		 $795–$2,011.20 $1,325–$3,352 varies
Treat humerus fracture (23600)
range across 3 matching MRF lines		 $232.80–$839.40 $388–$1,399 varies
Treat Kneecap Fracture (27524)
likely a partial charge, not the full procedure		 $1,489.80 $2,483 0.2×
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $409.20–$501.60 $682–$836 varies
Treat Metatarsal Fracture (28475) $406.20 $677 1.7×
Treat Tail Bone Fracture (27200) $288 $480 1.2×
Treat Thumb Dislocation (26641) $592.20 $987 2.5×
Treat Thumb Fracture (26645) $676.20 $1,127 0.4×
Treat thumb fracture (26665) $1,020 $1,700 0.3×
Treat toe dislocation (28630) $252 $420 1.1×
Treat vagina infection (57150) $48.60 $81 0.9×
Treatment Closed Elbow Dislocation Req Anes (24605) $742.80 $1,238 0.5×
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $205.20–$582 $342–$970 varies
Treatment of ankle fracture (27823)
likely a partial charge, not the full procedure		 $1,545 $2,575 0.2×
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
likely a partial charge, not the full procedure		 $1,955.40 $3,259 0.3×
Treatment of tibia fracture (27756)
likely a partial charge, not the full procedure		 $928.20 $1,547 0.1×
Trim skin lesion (11055)
range across 2 matching MRF lines		 $77.40–$123 $129–$205 varies
Trim skin lesions 2 to 4 (11056) $93 $155 0.5×
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines		 $16.20–$59.40 $27–$99 varies
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $330 $550 0.1×
Tx Gastro Intub W/Asp (43753) $192.60 $321 0.9×
Tx open tendon flexor toe 1 tendon spx (28232) $480 $800 0.3×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $448.80–$814.80 $748–$1,358 varies
Tx superficial wound dehiscence w/packing (12021)
range across 2 matching MRF lines		 $262.20–$499.20 $437–$832 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 2 matching MRF lines		 $348.60–$395.40 $581–$659 varies
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) $966.60 $1,611 0.3×
Unlisted laparoscopic procedure liver (47379)
unusually low: confirm this is the full procedure		 $2,284.80 $3,808 0.4×
Unlisted laparoscopy procedure appendix (44979)
likely a partial charge, not the full procedure		 $1,343.40 $2,239 0.2×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
likely a partial charge, not the full procedure		 $575.40 $959 0.1×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
unusually low: confirm this is the full procedure		 $1,776 $2,960 0.3×
Unlisted procedure anus (46999) $343.80 $573 0.4×
Unlisted procedure arthroscopy (29999) $1,004.40 $1,674 4.2×
Unlisted Procedure Biliary Tract (47999) $114 $190 0.1×
Unlisted procedure breast (19499)
range across 2 matching MRF lines		 $1,020–$3,420 $1,700–$5,700 varies
Unlisted procedure femur or knee (27599) $1,887.60 $3,146 8.0×
Unlisted procedure foot or toes (28899)
range across 2 matching MRF lines		 $268.80–$666 $448–$1,110 varies
Unlisted procedure humerus/elbow (24999) $100.80 $168 0.4×
Unlisted Procedure Intestine (44799) $478.80 $798 0.5×
Unlisted Procedure Leg/Ankle (27899) $1,015.80 $1,693 4.3×
Unlisted procedure liver (47399) $204.60 $341 0.3×
Unlisted procedure lungs and pleura (32999) $850.20 $1,417 1.4×
Unlisted Procedure Muscskeletal System General (20999) $699.60 $1,166 3.0×
Unlisted procedure neck or thorax (21899)
range across 2 matching MRF lines		 $179.40–$348 $299–$580 varies
Unlisted procedure nervous system (64999)
range across 3 matching MRF lines		 $210–$480 $350–$800 varies
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $93 $155 0.4×
Unlisted Procedure Vascular Surgery (37799) $530.40 $884 0.9×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $1,214.40 $2,024 1.4×
Vag hyst w/t/o & vag repair (58263) $1,638 $2,730 0.3×
Vaginal delivery only (59409) $988.80 $1,648 0.3×
Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) $1,461 $2,435 0.3×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $1,527 $2,545 0.3×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 2 matching MRF lines		 $618.60–$1,392 $1,031–$2,320 varies
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $141–$264.60 $235–$441 varies
Wedging of cast (29740)
range across 2 matching MRF lines		 $80.40–$124.20 $134–$207 varies
Windowing of cast (29730)
range across 2 matching MRF lines		 $80.40–$104.40 $134–$174 varies
Wound Prep F/N/Hf/G (15004)
range across 2 matching MRF lines		 $612–$642.60 $1,020–$1,071 varies
Wound Prep Trk/Arm/Leg (15002) $444.60 $741 0.6×
Xfer Single Deep Low Leg Tendon (27691)
likely a partial charge, not the full procedure		 $1,449.60 $2,416 0.2×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.