Procedures & surgery prices at Jersey Community Hospital
Jerseyville, IL · every code in this section with a posted price and a Medicare benchmark.
521 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 3 matching MRF lines |
$1,062–$6,563 | $1,062–$6,563 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$769–$6,563 | $769–$6,563 | varies |
| Ablate inf turbinate submuc (30802) | $863 | $863 | 0.5× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) range across 2 matching MRF lines |
$1,854–$27,327 | $1,854–$27,327 | varies |
| Acne surgery (10040) range across 5 matching MRF lines |
$155–$552 | $155–$552 | varies |
| Amniocentesis diagnostic (59000) range across 2 matching MRF lines |
$277–$346 | $277–$346 | varies |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) range across 5 matching MRF lines |
$103–$892 | $103–$892 | varies |
| Anal/Urinary Muscle Study (51784) range across 4 matching MRF lines |
$183–$496 | $183–$496 | varies |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) range across 10 matching MRF lines |
$316–$650 | $316–$650 | varies |
| Application cast elbow finger short arm (29075) range across 10 matching MRF lines |
$191–$722 | $191–$722 | varies |
| Application Finger Splint Dynamic (29131) range across 7 matching MRF lines |
$105–$301 | $105–$301 | varies |
| Application finger splint static (29130) range across 12 matching MRF lines |
$88–$902 | $88–$902 | varies |
| Application long arm splint shoulder hand (29105) range across 12 matching MRF lines |
$131–$1,105 | $131–$1,105 | varies |
| Application Long Leg Cast Brace (29358) range across 5 matching MRF lines |
$315–$846 | $315–$846 | varies |
| Application Long Leg Cast Walker/Ambulatory Type (29355) range across 10 matching MRF lines |
$322–$853 | $322–$853 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$231–$1,105 | $231–$1,105 | varies |
| Application of cylinder cast (thigh to ankle) (29365) range across 10 matching MRF lines |
$266–$797 | $266–$797 | varies |
| Application of long leg cast (29345) range across 10 matching MRF lines |
$303–$834 | $303–$834 | varies |
| Application of rigid total contact leg cast (29445) range across 5 matching MRF lines |
$292–$823 | $292–$823 | varies |
| Application Short Arm Splint Dynamic (29126) range across 10 matching MRF lines |
$148–$406 | $148–$406 | varies |
| Application short arm splint forearm-hand static (29125) range across 10 matching MRF lines |
$120–$902 | $120–$902 | varies |
| Application short leg splint calf foot (29515) range across 12 matching MRF lines |
$151–$1,105 | $151–$1,105 | varies |
| Application uniplane external fixation system (20690) range across 4 matching MRF lines |
$1,837–$16,124 | $1,837–$16,124 | varies |
| Apply hand/wrist cast (29085) | $285 | $285 | 1.6× |
| Apply long arm cast (29065) | $211 | $211 | 0.7× |
| Apply Multlay Comprs Lwr Leg (29581) range across 10 matching MRF lines |
$76–$392 | $76–$392 | varies |
| Apply Short Leg Cast (29405) range across 10 matching MRF lines |
$177–$708 | $177–$708 | varies |
| Apply short leg cast (29425) range across 10 matching MRF lines |
$162–$693 | $162–$693 | varies |
| Arterial puncture (36600) | $262 | $262 | 1.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 17 matching MRF lines |
$110–$3,721 | $110–$3,721 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 7 matching MRF lines |
$158–$1,543 | $158–$1,543 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 21 matching MRF lines |
$138–$2,066 | $138–$2,066 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 10 matching MRF lines |
$180–$770 | $180–$770 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 13 matching MRF lines |
$107–$2,066 | $107–$2,066 | varies |
| Arthrodesis sacroiliac joint percutaneous (27279) range across 6 matching MRF lines |
$4,081–$81,064 | $4,081–$81,064 | varies |
| Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
$563–$4,328 | $563–$4,328 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$590–$4,328 | $590–$4,328 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $176 | $176 | 0.5× |
| Aspiration bladder insert suprapubic catheter (51102) | $8,112 | $8,112 | 3.6× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 8 matching MRF lines |
$158–$1,391 | $158–$1,391 | varies |
| Biopsy Abdominal Mass (49180) | $4,989 | $4,989 | 2.8× |
| Biopsy bone open deep (20245) range across 6 matching MRF lines |
$1,048–$6,772 | $1,048–$6,772 | varies |
| Biopsy bone open superficial (20240) | $472 | $472 | 0.2× |
| Biopsy muscle percutaneous needle (20206) | $8,101 | $8,101 | 4.6× |
| Biopsy of liver, needle; percutaneous (47000) | $8,072 | $8,072 | 4.6× |
| Biopsy Pleura Percutaneous Needle (32400) | $4,701 | $4,701 | 2.7× |
| Biopsy soft tissue neck/thorax (21550) range across 8 matching MRF lines |
$462–$8,072 | $462–$8,072 | varies |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) | $8,072 | $8,072 | 4.6× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) | $14,310 | $14,310 | 4.6× |
| Biopsy soft tissue thigh/knee area superficial (27323) | $8,100 | $8,100 | 4.6× |
| Bladder Scan (51798) range across 2 matching MRF lines |
$44–$416 | $44–$416 | varies |
| Blood Transfusion Service (36430) range across 8 matching MRF lines |
$969–$2,161 | $969–$2,161 | varies |
| Bone Marrow Biopsy (38221) | $353 | $353 | 0.2× |
| Bx breast 1st lesion us imag (19083) | $4,989 | $4,989 | 2.8× |
| Bx Cervix (57500) | $482 | $482 | 0.5× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) | $460 | $460 | 1.4× |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$250–$1,276 | $250–$1,276 | varies |
| Chemical Cautery Tissue (17250) | $224 | $224 | 1.0× |
| Chemodenerv Musc Migraine (64615) | $495 | $495 | 1.5× |
| Chest tube placement (32551) range across 2 matching MRF lines |
$753–$10,874 | $753–$10,874 | varies |
| Circumcision Neonate (54160) range across 5 matching MRF lines |
$434–$1,769 | $434–$1,769 | varies |
| Circumcision w/clamp/oth dev w/block (54150) | $440 | $440 | 0.2× |
| Cl Tx Tib Shft Fx W Manip (27752) range across 2 matching MRF lines |
$2,054–$11,203 | $2,054–$11,203 | varies |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$217–$902 | $217–$902 | varies |
| Closed Rx Spontaneous Hip Disloc (27256) range across 2 matching MRF lines |
$1,040–$1,679 | $1,040–$1,679 | varies |
| Closed Treat Vert Body Fract (22310) range across 6 matching MRF lines |
$480–$1,390 | $480–$1,390 | varies |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) range across 2 matching MRF lines |
$1,835–$11,203 | $1,835–$11,203 | varies |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) range across 2 matching MRF lines |
$1,679–$1,871 | $1,679–$1,871 | varies |
| Closed Treatment Ulnar Styloid Fracture (25650) | $1,038 | $1,038 | 3.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$1,595–$1,679 | $1,595–$1,679 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$1,941–$11,203 | $1,941–$11,203 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 10 matching MRF lines |
$480–$1,414 | $480–$1,414 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 8 matching MRF lines |
$480–$1,171 | $480–$1,171 | varies |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $939 | $939 | 3.6× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) range across 2 matching MRF lines |
$2,597–$11,203 | $2,597–$11,203 | varies |
| Closed tx knee dislocation w/o anesthesia (27550) range across 2 matching MRF lines |
$1,679–$2,017 | $1,679–$2,017 | varies |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 8 matching MRF lines |
$480–$1,092 | $480–$1,092 | varies |
| Closed tx patellar dislocation w/anesthesia (27562) range across 2 matching MRF lines |
$1,679–$1,871 | $1,679–$1,871 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$1,419–$1,679 | $1,419–$1,679 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 8 matching MRF lines |
$480–$1,404 | $480–$1,404 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) range across 2 matching MRF lines |
$1,830–$11,203 | $1,830–$11,203 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 5 matching MRF lines |
$480–$1,240 | $480–$1,240 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 3 matching MRF lines |
$1,588–$11,203 | $1,588–$11,203 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 5 matching MRF lines |
$480–$1,275 | $480–$1,275 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$2,124–$11,203 | $2,124–$11,203 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $908 | $908 | 3.4× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $726 | $726 | 2.7× |
| Closed tx talus fracture w/o manipulation (28430) range across 8 matching MRF lines |
$480–$1,118 | $480–$1,118 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 2 matching MRF lines |
$328–$1,679 | $328–$1,679 | varies |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) range across 2 matching MRF lines |
$1,722–$11,203 | $1,722–$11,203 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 5 matching MRF lines |
$480–$1,228 | $480–$1,228 | varies |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) range across 2 matching MRF lines |
$1,481–$11,203 | $1,481–$11,203 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 5 matching MRF lines |
$480–$1,187 | $480–$1,187 | varies |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $399 | $399 | 1.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$1,666–$11,203 | $1,666–$11,203 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 3 matching MRF lines |
$941–$1,679 | $941–$1,679 | varies |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) range across 10 matching MRF lines |
$480–$1,752 | $480–$1,752 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) range across 2 matching MRF lines |
$2,018–$11,203 | $2,018–$11,203 | varies |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) range across 6 matching MRF lines |
$480–$1,157 | $480–$1,157 | varies |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 3 matching MRF lines |
$940–$1,739 | $940–$1,739 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $987 | $987 | 3.7× |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$1,595–$1,679 | $1,595–$1,679 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 10 matching MRF lines |
$480–$1,353 | $480–$1,353 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 2 matching MRF lines |
$1,317–$1,679 | $1,317–$1,679 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 5 matching MRF lines |
$480–$1,068 | $480–$1,068 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 3 matching MRF lines |
$1,027–$1,764 | $1,027–$1,764 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$2,215–$11,203 | $2,215–$11,203 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) range across 2 matching MRF lines |
$2,875–$11,203 | $2,875–$11,203 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) range across 10 matching MRF lines |
$480–$2,012 | $480–$2,012 | varies |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) range across 5 matching MRF lines |
$480–$1,945 | $480–$1,945 | varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) range across 2 matching MRF lines |
$3,225–$11,203 | $3,225–$11,203 | varies |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 7 matching MRF lines |
$447–$1,679 | $447–$1,679 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 10 matching MRF lines |
$373–$853 | $373–$853 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 4 matching MRF lines |
$570–$1,679 | $570–$1,679 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 8 matching MRF lines |
$360–$840 | $360–$840 | varies |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 2 matching MRF lines |
$2,070–$11,203 | $2,070–$11,203 | varies |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 10 matching MRF lines |
$480–$1,418 | $480–$1,418 | varies |
| Cltx greater humeral tuberosity fx w/o manj (23620) range across 5 matching MRF lines |
$480–$1,277 | $480–$1,277 | varies |
| Cltx Greater Trochanteric Fx W/O Manj (27246) range across 8 matching MRF lines |
$480–$1,673 | $480–$1,673 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) range across 2 matching MRF lines |
$3,074–$11,203 | $3,074–$11,203 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 3 matching MRF lines |
$663–$1,679 | $663–$1,679 | varies |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) range across 5 matching MRF lines |
$480–$1,441 | $480–$1,441 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) range across 6 matching MRF lines |
$480–$1,386 | $480–$1,386 | varies |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) range across 10 matching MRF lines |
$1,436–$4,637 | $1,436–$4,637 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$501–$1,679 | $501–$1,679 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$1,196–$1,679 | $1,196–$1,679 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) range across 2 matching MRF lines |
$1,980–$11,203 | $1,980–$11,203 | varies |
| Cltx Medial Ankle Fx (27760) range across 8 matching MRF lines |
$480–$1,422 | $480–$1,422 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$1,338–$1,679 | $1,338–$1,679 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 7 matching MRF lines |
$480–$1,764 | $480–$1,764 | varies |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) range across 2 matching MRF lines |
$1,779–$11,203 | $1,779–$11,203 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$1,373–$1,679 | $1,373–$1,679 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 5 matching MRF lines |
$480–$1,062 | $480–$1,062 | varies |
| Cltx post hip arthrp dislc req anes (27266) range across 2 matching MRF lines |
$2,381–$11,203 | $2,381–$11,203 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$1,679–$1,861 | $1,679–$1,861 | varies |
| Cltx prox fibula/shft fx w/manj (27781) range across 2 matching MRF lines |
$1,779–$11,203 | $1,779–$11,203 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) range across 10 matching MRF lines |
$480–$1,353 | $480–$1,353 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 2 matching MRF lines |
$1,764–$11,203 | $1,764–$11,203 | varies |
| Cltx prox tibfib jt dislc w/o anes (27830) range across 2 matching MRF lines |
$1,242–$1,863 | $1,242–$1,863 | varies |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) range across 2 matching MRF lines |
$1,679–$1,841 | $1,679–$1,841 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
$351–$1,679 | $351–$1,679 | varies |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) range across 2 matching MRF lines |
$2,359–$11,203 | $2,359–$11,203 | varies |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 5 matching MRF lines |
$480–$1,557 | $480–$1,557 | varies |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) range across 2 matching MRF lines |
$3,285–$11,203 | $3,285–$11,203 | varies |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) range across 10 matching MRF lines |
$480–$2,012 | $480–$2,012 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) range across 8 matching MRF lines |
$480–$1,361 | $480–$1,361 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) range across 10 matching MRF lines |
$480–$1,679 | $480–$1,679 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$2,023–$11,203 | $2,023–$11,203 | varies |
| Collect Blood From Catheter Venous Nos (36592) range across 2 matching MRF lines |
$196–$902 | $196–$902 | varies |
| Collection of venous blood by venipuncture (36415) | $41 | $41 | 4.4× |
| Colporrhaphy (57200) | $991 | $991 | 0.3× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $490 | $490 | 1.5× |
| Colposcopy Cervix Endocervical Curettage (57456) | $427 | $427 | 1.3× |
| Colposcopy cervix upper/adjacent vagina (57452) | $342 | $342 | 1.6× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $452 | $452 | 1.4× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | $899 | $899 | 0.3× |
| Colposcopy entire vagina w/cervix if present (57420) | $365 | $365 | 1.1× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $494 | $494 | 0.5× |
| Complex drainage wound (10180) range across 10 matching MRF lines |
$547–$6,271 | $547–$6,271 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 3 matching MRF lines |
$378–$902 | $378–$902 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$272–$902 | $272–$902 | varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $8,072 | $8,072 | 4.6× |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) | $148 | $148 | 2.3× |
| Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) | $1,255 | $1,255 | 4.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 3 matching MRF lines |
$378–$902 | $378–$902 | varies |
| Curettage postpartum (59160) | $694 | $694 | 0.2× |
| Curette/treat cornea (65435) range across 2 matching MRF lines |
$278–$6,780 | $278–$6,780 | varies |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 12 matching MRF lines |
$79–$4,285 | $79–$4,285 | varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) range across 10 matching MRF lines |
$1,276–$7,000 | $1,276–$7,000 | varies |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) range across 4 matching MRF lines |
$838–$2,245 | $838–$2,245 | varies |
| Dcmprn perq prtl rmvl liga flavm bi 1ntrspc lmbr (62330) range across 2 matching MRF lines |
$2,645–$24,871 | $2,645–$24,871 | varies |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 7 matching MRF lines |
$468–$4,285 | $468–$4,285 | varies |
| Debride nail 1-5 (11720) range across 8 matching MRF lines |
$43–$416 | $43–$416 | varies |
| Debride nail 6 or more (11721) | $139 | $139 | 2.2× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 7 matching MRF lines |
$686–$11,342 | $686–$11,342 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$298–$2,797 | $298–$2,797 | varies |
| Declot vascular device (36593) | $2,322 | $2,322 | 6.6× |
| Delivery of placenta (59414) range across 2 matching MRF lines |
$414–$22,257 | $414–$22,257 | varies |
| Destroy cerv/thor facet jnt (64633) range across 6 matching MRF lines |
$1,077–$11,170 | $1,077–$11,170 | varies |
| Destroy lumb/sac facet jnt (64635) range across 9 matching MRF lines |
$565–$11,170 | $565–$11,170 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 4 matching MRF lines |
$326–$1,391 | $326–$1,391 | varies |
| Destruction Benign Lesions 15/> (17111) | $385 | $385 | 1.8× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $680 | $680 | 3.2× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $620 | $620 | 2.9× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) range across 6 matching MRF lines |
$503–$1,302 | $503–$1,302 | varies |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) | $676 | $676 | 0.9× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) | $1,081 | $1,081 | 1.4× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $444 | $444 | 2.1× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $745 | $745 | 3.5× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) | $627 | $627 | 2.9× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) | $435 | $435 | 1.0× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) | $507 | $507 | 1.2× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $421 | $421 | 2.0× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $313 | $313 | 1.5× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $640 | $640 | 3.0× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) | $565 | $565 | 2.6× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) | $457 | $457 | 1.0× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) | $559 | $559 | 1.3× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $211 | $211 | 1.0× |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 6 matching MRF lines |
$1,060–$20,973 | $1,060–$20,973 | varies |
| Destruction of skin lesions (17106) | $875 | $875 | 2.0× |
| Destruction Premalignant Lesion 15/> (17004) | $1,140 | $1,140 | 2.6× |
| Destruction premalignant lesion 1st (17000) range across 6 matching MRF lines |
$157–$554 | $157–$554 | varies |
| Dilation & curettage dx&/ther nonobstetric (58120) | $875 | $875 | 0.3× |
| Dilation Cervical Canal (57800) | $219 | $219 | 0.1× |
| Drain/inj small joint/bursa w/us (20604) range across 5 matching MRF lines |
$141–$731 | $141–$731 | varies |
| Drainage Abscess/Hematoma Nasal Septum (30020) | $368 | $368 | 0.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 3 matching MRF lines |
$602–$3,656 | $602–$3,656 | varies |
| Drainage Finger Abscess Complicated (26011) | $1,448 | $1,448 | 0.8× |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$675–$1,391 | $675–$1,391 | varies |
| Drainage of gum lesion (41800) range across 4 matching MRF lines |
$457–$1,111 | $457–$1,111 | varies |
| Drainage of hematoma/fluid (10140) range across 12 matching MRF lines |
$351–$11,342 | $351–$11,342 | varies |
| Drainage of scrotal wall abscess (55100) range across 2 matching MRF lines |
$805–$11,342 | $805–$11,342 | varies |
| Draw Blood Off Venous Device (36591) range across 2 matching MRF lines |
$342–$902 | $342–$902 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 3 matching MRF lines |
$436–$2,797 | $436–$2,797 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 3 matching MRF lines |
$367–$1,391 | $367–$1,391 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 8 matching MRF lines |
$167–$1,391 | $167–$1,391 | varies |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) | $1,114 | $1,114 | 1.4× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) | $1,858 | $1,858 | 0.8× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) | $673 | $673 | 1.5× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 8 matching MRF lines |
$361–$10,010 | $361–$10,010 | varies |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,559 | $1,559 | 2.1× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) range across 5 matching MRF lines |
$138–$892 | $138–$892 | varies |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) range across 5 matching MRF lines |
$102–$892 | $102–$892 | varies |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) range across 3 matching MRF lines |
$73–$673 | $73–$673 | varies |
| Electro-Uroflowmetry First (51741) range across 4 matching MRF lines |
$42–$665 | $42–$665 | varies |
| Endometrial Biopsy (58100) | $348 | $348 | 1.6× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) | $877 | $877 | 0.2× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) | $1,196 | $1,196 | 0.3× |
| Escharotomy; initial incision (16035) range across 4 matching MRF lines |
$600–$1,399 | $600–$1,399 | varies |
| Evacuation of subungual hematoma (11740) range across 8 matching MRF lines |
$94–$902 | $94–$902 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 6 matching MRF lines |
$247–$1,654 | $247–$1,654 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $603 | $603 | 0.3× |
| Exc Back Les Sc < 3 Cm (21930) range across 6 matching MRF lines |
$1,121–$4,361 | $1,121–$4,361 | varies |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $711 | $711 | 0.9× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 6 matching MRF lines |
$537–$1,944 | $537–$1,944 | varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) range across 6 matching MRF lines |
$842–$4,082 | $842–$4,082 | varies |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $390 | $390 | 0.5× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $495 | $495 | 0.7× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $561 | $561 | 0.7× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $550 | $550 | 0.3× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $351 | $351 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 3 matching MRF lines |
$445–$4,925 | $445–$4,925 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $517 | $517 | 0.3× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) | $560 | $560 | 0.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $564 | $564 | 0.7× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 6 matching MRF lines |
$545–$3,785 | $545–$3,785 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $931 | $931 | 0.5× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 6 matching MRF lines |
$620–$3,860 | $620–$3,860 | varies |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $941 | $941 | 0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $1,403 | $1,403 | 0.8× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $436 | $436 | 1.0× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $487 | $487 | 0.6× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $643 | $643 | 0.4× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $843 | $843 | 1.1× |
| Excision Excessive Skin & Subq Tissue Buttock (15835) range across 6 matching MRF lines |
$2,824–$8,548 | $2,824–$8,548 | varies |
| Excision H/P/P/U Simple/Intermediate Repair (11470) range across 4 matching MRF lines |
$875–$6,599 | $875–$6,599 | varies |
| Excision Hidradenitis Inguinal Complex Repair (11463) | $1,515 | $1,515 | 0.5× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) range across 3 matching MRF lines |
$764–$6,488 | $764–$6,488 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) range across 5 matching MRF lines |
$359–$1,766 | $359–$1,766 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 6 matching MRF lines |
$437–$1,844 | $437–$1,844 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 4 matching MRF lines |
$704–$1,156 | $704–$1,156 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $974 | $974 | 1.3× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 6 matching MRF lines |
$372–$1,779 | $372–$1,779 | varies |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $729 | $729 | 0.4× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $1,182 | $1,182 | 0.4× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) range across 6 matching MRF lines |
$363–$3,603 | $363–$3,603 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) range across 6 matching MRF lines |
$442–$1,849 | $442–$1,849 | varies |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $768 | $768 | 1.0× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $1,022 | $1,022 | 0.6× |
| Excision of pilonidal cyst or sinus; simple (11770) | $753 | $753 | 0.2× |
| Excision of vaginal cyst or tumor (57135) | $699 | $699 | 0.2× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $2,032 | $2,032 | 0.7× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $1,849 | $1,849 | 0.6× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) range across 4 matching MRF lines |
$3,588–$16,631 | $3,588–$16,631 | varies |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $1,358 | $1,358 | 0.8× |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) | $2,208 | $2,208 | 0.7× |
| Excision, sacral pressure ulcer, with primary suture; with ostectomy Facility (15933) | $2,831 | $2,831 | 0.9× |
| Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with… (15958) | $3,758 | $3,758 | 1.0× |
| Excision, trochanteric pressure ulcer, with primary suture; Facility (15950) | $1,913 | $1,913 | 1.1× |
| Excision, trochanteric pressure ulcer, with skin flap closure; Facility (15952) | $2,765 | $2,765 | 1.3× |
| Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy Facility (15953) | $3,044 | $3,044 | 0.8× |
| Exploration penetrating wound spx extremity (20103) range across 2 matching MRF lines |
$1,467–$11,342 | $1,467–$11,342 | varies |
| Fasciotomy, foot and/or toe (28008) range across 10 matching MRF lines |
$874–$7,363 | $874–$7,363 | varies |
| Fine needle aspiration without imaging guidance (10021) range across 12 matching MRF lines |
$168–$2,797 | $168–$2,797 | varies |
| Fna bx w/us gdn 1st les (10005) | $3,661 | $3,661 | 4.8× |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) | $2,125 | $2,125 | 1.0× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) | $2,712 | $2,712 | 1.2× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) | $1,949 | $1,949 | 0.9× |
| I&d abscess simple (10060) range across 12 matching MRF lines |
$309–$1,391 | $309–$1,391 | varies |
| I&d perianal abscess superficial (46050) range across 3 matching MRF lines |
$415–$6,382 | $415–$6,382 | varies |
| I&d pilonidal cyst complicated (10081) range across 4 matching MRF lines |
$523–$1,930 | $523–$1,930 | varies |
| I&d pilonidal cyst simple (10080) range across 12 matching MRF lines |
$311–$3,656 | $311–$3,656 | varies |
| Implant neuroelectrodes (63650) range across 2 matching MRF lines |
$1,851–$19,418 | $1,851–$19,418 | varies |
| Implant Spine Infusion Pump (62362) range across 2 matching MRF lines |
$1,752–$43,898 | $1,752–$43,898 | varies |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) range across 2 matching MRF lines |
$1,782–$24,312 | $1,782–$24,312 | varies |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$783–$1,702 | $783–$1,702 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 12 matching MRF lines |
$540–$2,797 | $540–$2,797 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 12 matching MRF lines |
$549–$11,342 | $549–$11,342 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 12 matching MRF lines |
$307–$2,797 | $307–$2,797 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$699–$1,408 | $699–$1,408 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 5 matching MRF lines |
$378–$2,129 | $378–$2,129 | varies |
| Incision of Foot Tendon (28234) range across 6 matching MRF lines |
$798–$3,999 | $798–$3,999 | varies |
| Incision of labial frenum (frenotomy) (40806) | $288 | $288 | 0.5× |
| Incision of rectal abscess (46040) range across 3 matching MRF lines |
$1,642–$8,254 | $1,642–$8,254 | varies |
| Incision&drainage bursa foot (28001) range across 10 matching MRF lines |
$286–$3,526 | $286–$3,526 | varies |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 2 matching MRF lines |
$484–$8,101 | $484–$8,101 | varies |
| Incisional biopsy skin single lesion (11106) range across 10 matching MRF lines |
$170–$1,394 | $170–$1,394 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 3 matching MRF lines |
$198–$1,391 | $198–$1,391 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 6 matching MRF lines |
$3,044–$4,567 | $3,044–$4,567 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 3 matching MRF lines |
$3,044–$4,567 | $3,044–$4,567 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 10 matching MRF lines |
$119–$709 | $119–$709 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 3 matching MRF lines |
$10,487–$20,974 | $10,487–$20,974 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 2 matching MRF lines |
$424–$3,065 | $424–$3,065 | varies |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) range across 4 matching MRF lines |
$7,064–$14,127 | $7,064–$14,127 | varies |
| Injection single tendon origin/insertion (20551) range across 6 matching MRF lines |
$115–$705 | $115–$705 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 7 matching MRF lines |
$108–$1,754 | $108–$1,754 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 12 matching MRF lines |
$123–$2,733 | $123–$2,733 | varies |
| Injection therapeutic carpal tunnel (20526) range across 6 matching MRF lines |
$173–$763 | $173–$763 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 6 matching MRF lines |
$191–$2,479 | $191–$2,479 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 10 matching MRF lines |
$122–$4,848 | $122–$4,848 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $171 | $171 | 0.8× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) range across 2 matching MRF lines |
$468–$6,353 | $468–$6,353 | varies |
| Insert cath pleura w/ image (32557) | $1,938 | $1,938 | 1.1× |
| Insert Drug Implant Device (11981) range across 8 matching MRF lines |
$195–$453 | $195–$453 | varies |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$915–$22,033 | $915–$22,033 | varies |
| Insert pessary/other device (57160) | $239 | $239 | 1.1× |
| Insert spine infusion device (62360) range across 2 matching MRF lines |
$1,375–$43,155 | $1,375–$43,155 | varies |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$392–$902 | $392–$902 | varies |
| Insert tunneled cv cath (36561) | $9,442 | $9,442 | 2.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 3 matching MRF lines |
$179–$902 | $179–$902 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $4,784 | $4,784 | 2.8× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) range across 2 matching MRF lines |
$532–$22,033 | $532–$22,033 | varies |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) range across 4 matching MRF lines |
$938–$9,521 | $938–$9,521 | varies |
| Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) range across 4 matching MRF lines |
$1,797–$39,148 | $1,797–$39,148 | varies |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) range across 2 matching MRF lines |
$1,652–$60,953 | $1,652–$60,953 | varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 2 matching MRF lines |
$1,264–$2,797 | $1,264–$2,797 | varies |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) range across 2 matching MRF lines |
$1,606–$2,797 | $1,606–$2,797 | varies |
| Intraoral i&d tongue/floor lingual (41000) | $483 | $483 | 0.8× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$619–$2,533 | $619–$2,533 | varies |
| Laryngoscopy diagnostic (31505) | $248 | $248 | 1.2× |
| Laryngoscopy flexible diagnostic (31575) | $399 | $399 | 1.9× |
| Late closure of wound (13160) | $2,427 | $2,427 | 0.6× |
| Myelography Lumbar Injection (62305) | $3,819 | $3,819 | 4.5× |
| Myelography Lumbar Injection (62304) | $3,819 | $3,819 | 4.5× |
| N Block Inj Celiac Pelus (64530) | $2,750 | $2,750 | 2.9× |
| N block inj intercost sng (64420) range across 4 matching MRF lines |
$311–$2,143 | $311–$2,143 | varies |
| N Block Inj Plantar Digit (64455) | $150 | $150 | 0.5× |
| N Block Lumbar/Thoracic (64520) | $2,750 | $2,750 | 2.9× |
| Nasal Endoscopy Dx (31231) | $563 | $563 | 2.6× |
| Needle Biopsy Lymph Nodes (38505) range across 2 matching MRF lines |
$3,440–$8,435 | $3,440–$8,435 | varies |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $25 | $25 | 0.8× |
| Needle insertion w/o injection 3 or more muscles (20561) | $25 | $25 | 0.8× |
| Njx anes stellate ganglion crv sympathetic (64510) | $2,750 | $2,750 | 2.9× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$339–$2,066 | $339–$2,066 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 6 matching MRF lines |
$3,044–$4,567 | $3,044–$4,567 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $2,418 | $2,418 | 3.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $7,085 | $7,085 | 7.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 6 matching MRF lines |
$293–$2,418 | $293–$2,418 | varies |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $2,142 | $2,142 | 2.9× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$258–$1,119 | $258–$1,119 | varies |
| Open Treatment Medial Malleolus Fracture (27766) range across 10 matching MRF lines |
$1,843–$16,130 | $1,843–$16,130 | varies |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) range across 6 matching MRF lines |
$2,763–$2,895 | $2,763–$2,895 | varies |
| Perq Cervicothoracic Inject (22510) range across 2 matching MRF lines |
$1,400–$4,479 | $1,400–$4,479 | varies |
| Perq dev breast 1st us imag (19285) range across 3 matching MRF lines |
$255–$2,226 | $255–$2,226 | varies |
| Perq device breast 1st imag (19281) | $3,422 | $3,422 | 1.9× |
| Perq Lumbosacral Injection (22511) range across 2 matching MRF lines |
$2,154–$4,479 | $2,154–$4,479 | varies |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $2,597 | $2,597 | 3.4× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) range across 2 matching MRF lines |
$2,686–$27,328 | $2,686–$27,328 | varies |
| Perq Vertebral Augmentation (22513) range across 2 matching MRF lines |
$2,645–$27,328 | $2,645–$27,328 | varies |
| Place Rt Device/Marker Pros (55876) | $4,104 | $4,104 | 2.8× |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$317–$2,793 | $317–$2,793 | varies |
| Prq Skel Fixj Talotarsal Jt Dislc W/Manj (28576) range across 4 matching MRF lines |
$1,198–$50,006 | $1,198–$50,006 | varies |
| Punch biopsy skin single lesion (11104) range across 10 matching MRF lines |
$140–$939 | $140–$939 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 13 matching MRF lines |
$284–$2,797 | $284–$2,797 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 3 matching MRF lines |
$327–$3,661 | $327–$3,661 | varies |
| Puncture shunt tube/reservoir aspiration/inj px (61070) range across 2 matching MRF lines |
$175–$2,479 | $175–$2,479 | varies |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) range across 2 matching MRF lines |
$591–$6,673 | $591–$6,673 | varies |
| Removal Embedded Foreign Body Eyelid (67938) range across 2 matching MRF lines |
$606–$2,093 | $606–$2,093 | varies |
| Removal Foreign Body Foot Complicated (28193) range across 2 matching MRF lines |
$1,508–$11,342 | $1,508–$11,342 | varies |
| Removal foreign body foot deep (28192) range across 11 matching MRF lines |
$925–$11,342 | $925–$11,342 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 12 matching MRF lines |
$391–$4,925 | $391–$4,925 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 6 matching MRF lines |
$441–$3,681 | $441–$3,681 | varies |
| Removal Foreign Body Pelvis/Hip Deep (27087) range across 2 matching MRF lines |
$2,611–$22,712 | $2,611–$22,712 | varies |
| Removal foreign body upper arm/elbow deep (24201) range across 2 matching MRF lines |
$2,370–$20,034 | $2,370–$20,034 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$142–$416 | $142–$416 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$142–$416 | $142–$416 | varies |
| Removal impacted vag fb spx w/anes oth/thn local (57415) | $525 | $525 | 0.2× |
| Removal implantable contraceptive capsules (11976) | $455 | $455 | 0.6× |
| Removal of foreign body from pharynx (42809) range across 2 matching MRF lines |
$516–$2,793 | $516–$2,793 | varies |
| Removal of nail bed (11750) range across 10 matching MRF lines |
$297–$2,797 | $297–$2,797 | varies |
| Removal or bivalving full arm or full leg cast (29705) | $200 | $200 | 0.7× |
| Removal shoulder foreign body deep subfascial/im (23333) range across 2 matching MRF lines |
$1,945–$20,034 | $1,945–$20,034 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 3 matching MRF lines |
$254–$1,435 | $254–$1,435 | varies |
| Removal sweat gland lesion (11450) range across 4 matching MRF lines |
$801–$6,525 | $801–$6,525 | varies |
| Removal/bivalving gauntlet boot/body cast (29700) range across 5 matching MRF lines |
$102–$633 | $102–$633 | varies |
| Remove drug implant device (11982) range across 8 matching MRF lines |
$224–$1,022 | $224–$1,022 | varies |
| Remove foreign body from eye (65205) range across 3 matching MRF lines |
$83–$902 | $83–$902 | varies |
| Remove Intrauterine Device (58301) | $303 | $303 | 0.9× |
| Remove Nasal Foreign Body (30300) range across 3 matching MRF lines |
$668–$902 | $668–$902 | varies |
| Remove Shoulder Foreign Body (23330) range across 2 matching MRF lines |
$688–$11,342 | $688–$11,342 | varies |
| Remove thigh pressure sore (15951) | $2,707 | $2,707 | 0.9× |
| Remove thigh pressure sore (15956) | $3,693 | $3,693 | 1.7× |
| Remove/Insert Drug Implant (11983) range across 2 matching MRF lines |
$429–$683 | $429–$683 | varies |
| Renal Biopsy Perq (50200) | $8,072 | $8,072 | 4.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 3 matching MRF lines |
$1,205–$4,285 | $1,205–$4,285 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$1,390–$4,285 | $1,390–$4,285 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$1,197–$2,797 | $1,197–$2,797 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$1,381–$4,285 | $1,381–$4,285 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
$949–$4,285 | $949–$4,285 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$1,176–$4,285 | $1,176–$4,285 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) range across 2 matching MRF lines |
$830–$4,285 | $830–$4,285 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$1,012–$4,285 | $1,012–$4,285 | varies |
| Repair extensor tendon finger w/o graft each (26418) range across 2 matching MRF lines |
$2,385–$11,203 | $2,385–$11,203 | varies |
| Repair Foot Dislocation (28615) unusually low: confirm this is the full procedure |
$2,599 | $2,599 | 0.3× |
| Repair Hand Tendon (26410) range across 2 matching MRF lines |
$2,313–$11,203 | $2,313–$11,203 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 8 matching MRF lines |
$497–$2,797 | $497–$2,797 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 8 matching MRF lines |
$589–$2,797 | $589–$2,797 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 3 matching MRF lines |
$787–$2,797 | $787–$2,797 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 3 matching MRF lines |
$721–$2,797 | $721–$2,797 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) range across 2 matching MRF lines |
$1,782–$2,797 | $1,782–$2,797 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$1,123–$4,285 | $1,123–$4,285 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 8 matching MRF lines |
$431–$2,797 | $431–$2,797 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 8 matching MRF lines |
$576–$2,797 | $576–$2,797 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$889–$4,285 | $889–$4,285 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) range across 2 matching MRF lines |
$1,507–$12,805 | $1,507–$12,805 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 8 matching MRF lines |
$731–$2,797 | $731–$2,797 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 7 matching MRF lines |
$443–$2,797 | $443–$2,797 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 8 matching MRF lines |
$557–$2,797 | $557–$2,797 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 3 matching MRF lines |
$873–$4,285 | $873–$4,285 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 8 matching MRF lines |
$608–$2,797 | $608–$2,797 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 2 matching MRF lines |
$1,409–$12,805 | $1,409–$12,805 | varies |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$568–$4,285 | $568–$4,285 | varies |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) range across 5 matching MRF lines |
$954–$7,443 | $954–$7,443 | varies |
| Repair tongue laceration (41252) range across 2 matching MRF lines |
$869–$1,626 | $869–$1,626 | varies |
| Repair tongue laceration (41250) range across 2 matching MRF lines |
$698–$2,793 | $698–$2,793 | varies |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) range across 2 matching MRF lines |
$1,677–$12,264 | $1,677–$12,264 | varies |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) range across 2 matching MRF lines |
$2,025–$26,188 | $2,025–$26,188 | varies |
| Rmvl embedded fb vestibule mouth comp (40805) range across 2 matching MRF lines |
$858–$3,565 | $858–$3,565 | varies |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) range across 2 matching MRF lines |
$480–$6,563 | $480–$6,563 | varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 3 matching MRF lines |
$191–$2,793 | $191–$2,793 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 2 matching MRF lines |
$177–$2,793 | $177–$2,793 | varies |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) range across 6 matching MRF lines |
$756–$6,480 | $756–$6,480 | varies |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) range across 2 matching MRF lines |
$723–$20,034 | $723–$20,034 | varies |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) range across 8 matching MRF lines |
$433–$11,342 | $433–$11,342 | varies |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) range across 2 matching MRF lines |
$1,107–$10,234 | $1,107–$10,234 | varies |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) range across 2 matching MRF lines |
$1,454–$8,430 | $1,454–$8,430 | varies |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) range across 2 matching MRF lines |
$1,213–$33,231 | $1,213–$33,231 | varies |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$289–$1,702 | $289–$1,702 | varies |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 8 matching MRF lines |
$300–$1,391 | $300–$1,391 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) range across 2 matching MRF lines |
$1,344–$4,285 | $1,344–$4,285 | varies |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) range across 2 matching MRF lines |
$766–$1,626 | $766–$1,626 | varies |
| Shave skin lesion 0.5 cm/< (11300) range across 6 matching MRF lines |
$100–$899 | $100–$899 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $253 | $253 | 1.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $562 | $562 | 1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 6 matching MRF lines |
$110–$507 | $110–$507 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $284 | $284 | 1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $338 | $338 | 1.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $373 | $373 | 0.9× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $321 | $321 | 1.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $375 | $375 | 0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 6 matching MRF lines |
$153–$550 | $153–$550 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) range across 6 matching MRF lines |
$213–$1,012 | $213–$1,012 | varies |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) range across 6 matching MRF lines |
$178–$575 | $178–$575 | varies |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 3 matching MRF lines |
$505–$2,797 | $505–$2,797 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$289–$1,391 | $289–$1,391 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 8 matching MRF lines |
$184–$1,391 | $184–$1,391 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 3 matching MRF lines |
$561–$2,797 | $561–$2,797 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 3 matching MRF lines |
$330–$1,391 | $330–$1,391 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) range across 3 matching MRF lines |
$558–$1,391 | $558–$1,391 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 9 matching MRF lines |
$242–$1,391 | $242–$1,391 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 3 matching MRF lines |
$551–$1,391 | $551–$1,391 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 8 matching MRF lines |
$230–$1,391 | $230–$1,391 | varies |
| Skin sub graft face/nk/hf/g (15275) | $308 | $308 | 0.4× |
| Skin sub graft trnk/arm/leg (15271) | $436 | $436 | 0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 8 matching MRF lines |
$184–$1,391 | $184–$1,391 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 8 matching MRF lines |
$300–$2,797 | $300–$2,797 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 4 matching MRF lines |
$472–$2,797 | $472–$2,797 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 3 matching MRF lines |
$492–$4,848 | $492–$4,848 | varies |
| Strapping ankle (29540) range across 3 matching MRF lines |
$79–$1,105 | $79–$1,105 | varies |
| Strapping elbow or wrist (29260) range across 2 matching MRF lines |
$130–$416 | $130–$416 | varies |
| Strapping hand/finger (29280) range across 2 matching MRF lines |
$134–$416 | $134–$416 | varies |
| Strapping knee (29530) range across 2 matching MRF lines |
$130–$902 | $130–$902 | varies |
| Strapping shoulder (29240) range across 2 matching MRF lines |
$134–$902 | $134–$902 | varies |
| Strapping thorax (29200) range across 2 matching MRF lines |
$78–$1,105 | $78–$1,105 | varies |
| Strapping toes (29550) range across 8 matching MRF lines |
$33–$416 | $33–$416 | varies |
| Strapping Unna Boot (29580) range across 7 matching MRF lines |
$79–$1,105 | $79–$1,105 | varies |
| Tangential biopsy skin single lesion (11102) range across 10 matching MRF lines |
$110–$507 | $110–$507 | varies |
| Tenotomy Percutaneous Toe Single Tendon (28010) range across 9 matching MRF lines |
$614–$3,815 | $614–$3,815 | varies |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) range across 11 matching MRF lines |
$831–$5,017 | $831–$5,017 | varies |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) range across 2 matching MRF lines |
$2,686–$41,599 | $2,686–$41,599 | varies |
| Thrombolytic Therapy Stroke (37195) range across 2 matching MRF lines |
$1,628–$2,220 | $1,628–$2,220 | varies |
| Tracheostomy Emergency Cricothyroid Membrane (31605) range across 2 matching MRF lines |
$1,467–$1,626 | $1,467–$1,626 | varies |
| Treat humerus fracture (24500) range across 5 matching MRF lines |
$480–$1,505 | $480–$1,505 | varies |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
$1,862–$11,203 | $1,862–$11,203 | varies |
| Treat humerus fracture (23600) range across 5 matching MRF lines |
$480–$1,449 | $480–$1,449 | varies |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$1,405–$1,679 | $1,405–$1,679 | varies |
| Treat Metatarsal Fracture (28475) range across 6 matching MRF lines |
$480–$1,679 | $480–$1,679 | varies |
| Treat Tail Bone Fracture (27200) | $593 | $593 | 2.2× |
| Treat Thumb Dislocation (26641) range across 2 matching MRF lines |
$1,679–$1,708 | $1,679–$1,708 | varies |
| Treat Thumb Fracture (26645) range across 4 matching MRF lines |
$1,219–$11,203 | $1,219–$11,203 | varies |
| Treat toe dislocation (28630) range across 12 matching MRF lines |
$339–$1,679 | $339–$1,679 | varies |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines |
$1,976–$11,203 | $1,976–$11,203 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 3 matching MRF lines |
$1,087–$1,679 | $1,087–$1,679 | varies |
| Trim skin lesion (11055) range across 10 matching MRF lines |
$46–$443 | $46–$443 | varies |
| Trim skin lesions 2 to 4 (11056) range across 10 matching MRF lines |
$66–$463 | $66–$463 | varies |
| Trim skin lesions over 4 (11057) range across 10 matching MRF lines |
$83–$480 | $83–$480 | varies |
| Trimming Nondystrophic Nails Any Number (11719) range across 8 matching MRF lines |
$22–$416 | $22–$416 | varies |
| Tx Gastro Intub W/Asp (43753) range across 2 matching MRF lines |
$328–$2,180 | $328–$2,180 | varies |
| Tx open tendon flexor toe 1 tendon spx (28232) | $1,181 | $1,181 | 0.7× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) range across 2 matching MRF lines |
$1,488–$11,203 | $1,488–$11,203 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 8 matching MRF lines |
$567–$3,775 | $567–$3,775 | varies |
| Tx superficial wound dehiscence w/packing (12021) range across 4 matching MRF lines |
$419–$1,218 | $419–$1,218 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) range across 8 matching MRF lines |
$480–$1,054 | $480–$1,054 | varies |
| Unlisted Procedure Casting/Strapping (29799) range across 2 matching MRF lines |
$470–$1,105 | $470–$1,105 | varies |
| Vaginal delivery only (59409) range across 3 matching MRF lines |
$2,576–$22,257 | $2,576–$22,257 | varies |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $809 | $809 | 0.4× |
| Ventilating tube removal requiring general anesthesia (69424) | $295 | $295 | 0.1× |
| Wedge excision skin nail fold (11765) range across 3 matching MRF lines |
$443–$2,076 | $443–$2,076 | varies |
| Wound Prep F/N/Hf/G (15004) range across 6 matching MRF lines |
$785–$2,009 | $785–$2,009 | varies |
| Wound Prep Trk/Arm/Leg (15002) range across 5 matching MRF lines |
$672–$4,330 | $672–$4,330 | varies |
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.