Procedures & surgery prices at Johnson County Healthcare Center
Buffalo, WY · every code in this section with a posted price and a Medicare benchmark.
383 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 2 matching MRF lines |
$268–$1,300 | $268–$1,300 | varies |
| Acne surgery (10040) range across 2 matching MRF lines |
$56.25–$178.11 | $56.25–$178.11 | varies |
| Amputation metatarsal with toe single (28810) | $457.74 | $457.74 | 0.1× |
| Amputation toe metatarsophalangeal joint (28820) | $190.44 | $190.44 | 0.1× |
| Anoscopy diagnostic (46600) range across 3 matching MRF lines |
$44.77–$397 | $44.77–$397 | varies |
| Anoscopy; with biopsy, single or multiple (46606) | $80.88 | $80.88 | 0.1× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) range across 2 matching MRF lines |
$112.83–$1,634 | $112.83–$1,634 | varies |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $84 | $84 | 0.5× |
| Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
$71.02–$193 | $71.02–$193 | varies |
| Application finger splint static (29130) | $75 | $75 | 0.6× |
| Application long arm splint shoulder hand (29105) | $952 | $952 | 5.7× |
| Application Long Leg Splint (29505) | $132 | $132 | 0.8× |
| Application of rigid total contact leg cast (29445) | $259 | $259 | 0.9× |
| Application short arm splint forearm-hand static (29125) | $103 | $103 | 0.8× |
| Application short leg splint calf foot (29515) | $126 | $126 | 0.8× |
| Apply long arm cast (29065) range across 3 matching MRF lines |
$73.92–$216 | $73.92–$216 | varies |
| Apply Multlay Comprs Lwr Leg (29581) | $148 | $148 | 0.9× |
| Apply Short Leg Cast (29405) range across 3 matching MRF lines |
$63.49–$230 | $63.49–$230 | varies |
| Arterial puncture (36600) range across 3 matching MRF lines |
$106–$163 | $106–$163 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 5 matching MRF lines |
$39.95–$185 | $39.95–$185 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 2 matching MRF lines |
$56–$376 | $56–$376 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 8 matching MRF lines |
$48.69–$244 | $48.69–$244 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 4 matching MRF lines |
$155–$413 | $155–$413 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$38.26–$169 | $38.26–$169 | varies |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) likely a partial charge, not the full procedure |
$2,213 | $2,213 | 0.3× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) unusually low: confirm this is the full procedure |
$2,575 | $2,575 | 0.3× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) unusually low: confirm this is the full procedure |
$5,326 | $5,326 | 0.4× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) range across 3 matching MRF lines |
$2,400–$31,000 | $2,400–$31,000 | varies |
| Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
$191–$2,107 | $191–$2,107 | varies |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$44.40–$196 | $44.40–$196 | varies |
| Aspiration and/or injection thyroid cyst (60300) range across 3 matching MRF lines |
$396–$901 | $396–$901 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 4 matching MRF lines |
$58.09–$318 | $58.09–$318 | varies |
| Axillary lymphadenectomy; complete (38745) likely a partial charge, not the full procedure |
$942.94 | $942.94 | 0.2× |
| Biopsy Abdominal Mass (49180) range across 2 matching MRF lines |
$386–$2,420 | $386–$2,420 | varies |
| Biopsy bone trocar/needle deep (20225) range across 2 matching MRF lines |
$1,154–$2,188 | $1,154–$2,188 | varies |
| Biopsy Bone Trocar/Needle Superficial (20220) range across 2 matching MRF lines |
$508–$2,188 | $508–$2,188 | varies |
| Biopsy muscle percutaneous needle (20206) range across 2 matching MRF lines |
$508–$2,177 | $508–$2,177 | varies |
| Biopsy of liver, needle; percutaneous (47000) range across 3 matching MRF lines |
$675–$2,310 | $675–$2,310 | varies |
| Biopsy of rectum (45100) range across 2 matching MRF lines |
$329.48–$1,133 | $329.48–$1,133 | varies |
| Biopsy Pleura Percutaneous Needle (32400) range across 2 matching MRF lines |
$458–$1,945 | $458–$1,945 | varies |
| Biopsy Salivary Gland Needle (42400) range across 4 matching MRF lines |
$339–$948 | $339–$948 | varies |
| Biopsy soft tissue neck/thorax (21550) | $169.40 | $169.40 | 0.1× |
| Biopsy Tongue Anterior Two-Thirds (41100) range across 2 matching MRF lines |
$121.26–$402 | $121.26–$402 | varies |
| Biopsy Tongue Posterior One-Third (41105) range across 2 matching MRF lines |
$117.01–$416 | $117.01–$416 | varies |
| Biopsy Vaginal Mucosa Simple (57100) range across 2 matching MRF lines |
$69.97–$320 | $69.97–$320 | varies |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) range across 2 matching MRF lines |
$64.14–$392 | $64.14–$392 | varies |
| Biopsy/removal lymph nodes (38510) | $449.01 | $449.01 | 0.1× |
| Bladder Irrigation (51700) | $222 | $222 | 0.9× |
| Blepharotomy drainage abscess eyelid (67700) | $785 | $785 | 2.4× |
| Blood Transfusion Service (36430) range across 4 matching MRF lines |
$454–$1,357 | $454–$1,357 | varies |
| Bx breast 1st lesion us imag (19083) | $2,310 | $2,310 | 1.4× |
| Bx Cervix (57500) range across 2 matching MRF lines |
$80.96–$427 | $80.96–$427 | varies |
| Bx/exc lymph node open deep axillary node (38525) | $473.82 | $473.82 | 0.1× |
| Bx/exc lymph node open superficial (38500) | $273.77 | $273.77 | 0.1× |
| Cautery Cervix Electro/Thermal (57510) range across 2 matching MRF lines |
$121.99–$128 | $121.99–$128 | varies |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$41–$133 | $41–$133 | varies |
| Chemodenerv trunk musc 1-5 (64646) range across 3 matching MRF lines |
$416–$938 | $416–$938 | varies |
| Chest tube placement (32551) range across 3 matching MRF lines |
$163.26–$2,602 | $163.26–$2,602 | varies |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$51.35–$245 | $51.35–$245 | varies |
| Closed Rx Spontaneous Hip Disloc (27256) | $610 | $610 | 2.4× |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 3 matching MRF lines |
$345.31–$853 | $345.31–$853 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$323–$962 | $323–$962 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 4 matching MRF lines |
$476.12–$2,472 | $476.12–$2,472 | varies |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 2 matching MRF lines |
$322.06–$643 | $322.06–$643 | varies |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 3 matching MRF lines |
$231.20–$536 | $231.20–$536 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) range across 2 matching MRF lines |
$1,706–$4,548 | $1,706–$4,548 | varies |
| Closed tx patellar dislocation w/anesthesia (27562) range across 2 matching MRF lines |
$356–$1,273 | $356–$1,273 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$282–$898 | $282–$898 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) range across 2 matching MRF lines |
$1,085–$2,135 | $1,085–$2,135 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 2 matching MRF lines |
$302.98–$709 | $302.98–$709 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) | $604 | $604 | 2.4× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $145.20 | $145.20 | 0.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$1,062–$2,472 | $1,062–$2,472 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$393–$786 | $393–$786 | varies |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) range across 2 matching MRF lines |
$250.78–$629 | $250.78–$629 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$393–$1,007 | $393–$1,007 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 4 matching MRF lines |
$323.79–$756 | $323.79–$756 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$216.69–$419 | $216.69–$419 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 4 matching MRF lines |
$368.17–$857 | $368.17–$857 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 4 matching MRF lines |
$567.92–$2,472 | $567.92–$2,472 | varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) range across 2 matching MRF lines |
$1,623–$2,242 | $1,623–$2,242 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$374–$393 | $374–$393 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 3 matching MRF lines |
$136.18–$712 | $136.18–$712 | varies |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $1,276 | $1,276 | 0.8× |
| Cltx greater humeral tuberosity fx w/o manj (23620) range across 2 matching MRF lines |
$294.10–$694 | $294.10–$694 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) range across 2 matching MRF lines |
$1,926–$2,472 | $1,926–$2,472 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$239–$356 | $239–$356 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 4 matching MRF lines |
$297–$1,851 | $297–$1,851 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$393–$785 | $393–$785 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 3 matching MRF lines |
$326.01–$758 | $326.01–$758 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$342.90–$826 | $342.90–$826 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines |
$215.59–$484 | $215.59–$484 | varies |
| Cltx post hip arthrp dislc req anes (27266) range across 2 matching MRF lines |
$1,506–$2,033 | $1,506–$2,033 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) range across 2 matching MRF lines |
$321.96–$543 | $321.96–$543 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $206 | $206 | 0.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$1,145–$2,242 | $1,145–$2,242 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $60,004.68 | $60,004.68 | 441.4× |
| Collection of venous blood by venipuncture (36415) | $81,833.36 | $81,833.36 | 8761.6× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) range across 2 matching MRF lines |
$238.71–$1,893 | $238.71–$1,893 | varies |
| Colonoscopy w/ablation (45388) range across 3 matching MRF lines |
$286.26–$2,594 | $286.26–$2,594 | varies |
| Colonoscopy w/submucosal inj (45381) range across 2 matching MRF lines |
$212.53–$315 | $212.53–$315 | varies |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) range across 2 matching MRF lines |
$143.33–$534 | $143.33–$534 | varies |
| Colposcopy cervix upper/adjacent vagina (57452) range across 2 matching MRF lines |
$97.82–$302 | $97.82–$302 | varies |
| Complex drainage wound (10180) range across 2 matching MRF lines |
$192.79–$497 | $192.79–$497 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$164–$195 | $164–$195 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 5 matching MRF lines |
$134.89–$331 | $134.89–$331 | varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) range across 4 matching MRF lines |
$458–$1,945 | $458–$1,945 | varies |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) range across 2 matching MRF lines |
$53.65–$79.35 | $53.65–$79.35 | varies |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 2 matching MRF lines |
$29.31–$110 | $29.31–$110 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$15.61–$58.89 | $15.61–$58.89 | varies |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$25.60–$79 | $25.60–$79 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$64.60–$295 | $64.60–$295 | varies |
| Destroy cerv/thor facet jnt (64633) range across 3 matching MRF lines |
$464–$3,600 | $464–$3,600 | varies |
| Destroy lumb/sac facet jnt (64635) range across 3 matching MRF lines |
$464–$3,600 | $464–$3,600 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$75.24–$153 | $75.24–$153 | varies |
| Destruction Benign Lesions 15/> (17111) range across 2 matching MRF lines |
$91.09–$178 | $91.09–$178 | varies |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) range across 2 matching MRF lines |
$128–$234 | $128–$234 | varies |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) range across 2 matching MRF lines |
$94.47–$198 | $94.47–$198 | varies |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 4 matching MRF lines |
$105–$2,708 | $105–$2,708 | varies |
| Destruction of skin lesions (17106) range across 2 matching MRF lines |
$300.64–$636 | $300.64–$636 | varies |
| Destruction Premalignant Lesion 15/> (17004) range across 2 matching MRF lines |
$106.75–$229 | $106.75–$229 | varies |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$59.89–$105 | $59.89–$105 | varies |
| Diagnostic sigmoidoscopy (45330) range across 2 matching MRF lines |
$60.54–$397 | $60.54–$397 | varies |
| Dilation & curettage dx&/ther nonobstetric (58120) range across 2 matching MRF lines |
$253.18–$1,123 | $253.18–$1,123 | varies |
| Dilation Cervical Canal (57800) range across 2 matching MRF lines |
$51.64–$214 | $51.64–$214 | varies |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$155.11–$535 | $155.11–$535 | varies |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$164–$377 | $164–$377 | varies |
| Drainage of hematoma/fluid (10140) range across 4 matching MRF lines |
$128.91–$534 | $128.91–$534 | varies |
| Draw Blood Off Venous Device (36591) | $177 | $177 | 1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $324 | $324 | 0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $324 | $324 | 1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$60.17–$141 | $60.17–$141 | varies |
| Dstrj lesion anus simple surg excision (46922) | $149.49 | $149.49 | 0.1× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) | $146.93 | $146.93 | 0.1× |
| Dx Bone Marrow Bx & Aspir (38222) range across 2 matching MRF lines |
$80.29–$571.36 | $80.29–$571.36 | varies |
| Dx Laryngoscopy Excl Nb (31525) range across 3 matching MRF lines |
$171.93–$678 | $171.93–$678 | varies |
| Dx lmbr spi pnxr w/fluor/CT (62328) range across 2 matching MRF lines |
$600–$1,072 | $600–$1,072 | varies |
| Egd lesion ablation (43270) range across 2 matching MRF lines |
$237.91–$1,583 | $237.91–$1,583 | varies |
| Egd remove lesion snare (43251) range across 2 matching MRF lines |
$207.95–$1,663 | $207.95–$1,663 | varies |
| Endometrial Biopsy (58100) range across 2 matching MRF lines |
$68.13–$360 | $68.13–$360 | varies |
| Epidural Blood Patch (62273) | $938 | $938 | 1.3× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$34.87–$98 | $34.87–$98 | varies |
| Exc arm/elbow les sc < 3 cm (24075) | $359.96 | $359.96 | 0.2× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$92.37–$171 | $92.37–$171 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$171.25–$249 | $171.25–$249 | varies |
| Exc Back Les Sc < 3 Cm (21930) | $396.74 | $396.74 | 0.2× |
| Exc Back Tum Deep 5 Cm/> (21933) | $792.38 | $792.38 | 0.3× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $497.26 | $497.26 | 0.1× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 2 matching MRF lines |
$168.31–$389 | $168.31–$389 | varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 2 matching MRF lines |
$196.62–$515 | $196.62–$515 | varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) range across 2 matching MRF lines |
$302.49–$694 | $302.49–$694 | varies |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$117.77–$170 | $117.77–$170 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$145.88–$279 | $145.88–$279 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 2 matching MRF lines |
$160.53–$331 | $160.53–$331 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 2 matching MRF lines |
$194.97–$381 | $194.97–$381 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$89.99–$164 | $89.99–$164 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$119.03–$209 | $119.03–$209 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 3 matching MRF lines |
$148.36–$8,300 | $148.36–$8,300 | varies |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$163.18–$245 | $163.18–$245 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 2 matching MRF lines |
$196.69–$423 | $196.69–$423 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 2 matching MRF lines |
$290–$646 | $290–$646 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$268.36–$403 | $268.36–$403 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 2 matching MRF lines |
$225.38–$449 | $225.38–$449 | varies |
| Exc Skin Malig >4 Cm Remaindr Body (11626) range across 2 matching MRF lines |
$311.33–$781 | $311.33–$781 | varies |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$338.60–$691 | $338.60–$691 | varies |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 3 matching MRF lines |
$123.01–$693 | $123.01–$693 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$115.46–$199 | $115.46–$199 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$126.17–$220 | $126.17–$220 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$178.92–$329 | $178.92–$329 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $482.84 | $482.84 | 0.2× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) range across 2 matching MRF lines |
$573.60–$1,235 | $573.60–$1,235 | varies |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $334.78 | $334.78 | 0.2× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $439.47 | $439.47 | 0.1× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) range across 2 matching MRF lines |
$198.49–$519 | $198.49–$519 | varies |
| 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 |
$208.35–$386 | $208.35–$386 | varies |
| Excision External Ear Partial Simple Repair (69110) range across 2 matching MRF lines |
$358.46–$1,366 | $358.46–$1,366 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) range across 2 matching MRF lines |
$132.85–$267 | $132.85–$267 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 2 matching MRF lines |
$160.81–$341 | $160.81–$341 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$174.74–$327 | $174.74–$327 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 2 matching MRF lines |
$228.86–$427 | $228.86–$427 | varies |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 2 matching MRF lines |
$137.72–$322 | $137.72–$322 | varies |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 2 matching MRF lines |
$244.61–$561 | $244.61–$561 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) range across 2 matching MRF lines |
$133.86–$286 | $133.86–$286 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) range across 2 matching MRF lines |
$161.44–$329 | $161.44–$329 | varies |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 2 matching MRF lines |
$183.15–$467 | $183.15–$467 | varies |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) range across 2 matching MRF lines |
$255.77–$574 | $255.77–$574 | varies |
| Excision of submandibular (submaxillary) gland (42440) range across 2 matching MRF lines |
$453.64–$491 | $453.64–$491 | varies |
| Excision olecranon bursa (24105) | $401 | $401 | 0.1× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $506.53 | $506.53 | 0.3× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) range across 2 matching MRF lines |
$454.74–$1,207 | $454.74–$1,207 | varies |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) range across 2 matching MRF lines |
$963.18–$2,271 | $963.18–$2,271 | varies |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $474.66 | $474.66 | 0.2× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $285.21 | $285.21 | 0.2× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $442.61 | $442.61 | 0.1× |
| Exploration penetrating wound spx extremity (20103) | $876 | $876 | 0.5× |
| Exploration Penetrating Wound Spx Neck (20100) | $638.60 | $638.60 | 1.2× |
| External cephalic version (59412) | $4,555 | $4,555 | 1.4× |
| Fna bx w/us gdn 1st les (10005) range across 4 matching MRF lines |
$386–$918 | $386–$918 | varies |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) | $661.20 | $661.20 | 0.3× |
| Guide Cathet Fluid Drainage (10030) range across 2 matching MRF lines |
$345–$1,945 | $345–$1,945 | varies |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) range across 2 matching MRF lines |
$384.24–$693 | $384.24–$693 | varies |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) range across 2 matching MRF lines |
$453.90–$693 | $453.90–$693 | varies |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 2 matching MRF lines |
$209.36–$928 | $209.36–$928 | varies |
| I&d abscess simple (10060) range across 5 matching MRF lines |
$116.85–$333 | $116.85–$333 | varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $368.05 | $368.05 | 0.1× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) | $1,657 | $1,657 | 0.5× |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$114.71–$387.29 | $114.71–$387.29 | varies |
| Image Cath Fluid Colxn Visc (49405) | $1,138 | $1,138 | 0.7× |
| Image Cath Fluid Peri/Retro (49406) range across 2 matching MRF lines |
$1,138–$3,251 | $1,138–$3,251 | varies |
| Incise external hemorrhoid (46083) range across 4 matching MRF lines |
$119.54–$543 | $119.54–$543 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$200.84–$330.16 | $200.84–$330.16 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 6 matching MRF lines |
$115.55–$503 | $115.55–$503 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 3 matching MRF lines |
$138.80–$355 | $138.80–$355 | varies |
| Incision of rectal abscess (46040) | $1,089 | $1,089 | 0.9× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $416 | $416 | 0.2× |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$60.91–$357 | $60.91–$357 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $1,218 | $1,218 | 1.3× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $2,079 | $2,079 | 2.3× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 4 matching MRF lines |
$42.18–$413 | $42.18–$413 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $1,279 | $1,279 | 1.4× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 2 matching MRF lines |
$190–$1,301 | $190–$1,301 | varies |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) range across 3 matching MRF lines |
$196–$938 | $196–$938 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 3 matching MRF lines |
$77–$1,238 | $77–$1,238 | varies |
| Injection anesthetic agent suprascapular nerve (64418) range across 3 matching MRF lines |
$59–$985 | $59–$985 | varies |
| Injection single tendon origin/insertion (20551) range across 4 matching MRF lines |
$42.18–$413 | $42.18–$413 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 4 matching MRF lines |
$40.11–$413 | $40.11–$413 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 3 matching MRF lines |
$45.88–$413 | $45.88–$413 | varies |
| Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines |
$61.54–$239 | $61.54–$239 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 3 matching MRF lines |
$852–$1,295 | $852–$1,295 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 3 matching MRF lines |
$68.02–$985 | $68.02–$985 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$45.29–$1,279 | $45.29–$1,279 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) range across 2 matching MRF lines |
$32.49–$85 | $32.49–$85 | varies |
| Insert cath pleura w/ image (32557) range across 4 matching MRF lines |
$329–$2,066 | $329–$2,066 | varies |
| Insert Drug Implant Device (11981) range across 2 matching MRF lines |
$67.31–$236 | $67.31–$236 | varies |
| Insert non-tunnel cv cath (36556) | $211 | $211 | 0.1× |
| Insert pessary/other device (57160) range across 2 matching MRF lines |
$49.64–$235 | $49.64–$235 | varies |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$26.94–$249 | $26.94–$249 | varies |
| Insert tunneled cv cath (36561) | $350.58 | $350.58 | 0.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 4 matching MRF lines |
$27.23–$9,665.08 | $27.23–$9,665.08 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 4 matching MRF lines |
$122–$2,310 | $122–$2,310 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 3 matching MRF lines |
$647–$852 | $647–$852 | varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $781 | $781 | 1.9× |
| Intubation endotracheal emergency procedure (31500) | $969 | $969 | 4.0× |
| Laparoscopy, surgical, appendectomy (44970) likely a partial charge, not the full procedure |
$644.32 | $644.32 | 0.1× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) likely a partial charge, not the full procedure |
$766.32 | $766.32 | 0.1× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) likely a partial charge, not the full procedure |
$352.86 | $352.86 | 0.1× |
| Laryngoscopy diagnostic (31505) range across 2 matching MRF lines |
$53.80–$197 | $53.80–$197 | varies |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) range across 2 matching MRF lines |
$119.46–$682 | $119.46–$682 | varies |
| Ligate/strip long leg vein (37722) | $480.42 | $480.42 | 0.1× |
| Ligation or biopsy temporal artery (37609) range across 2 matching MRF lines |
$217.95–$632.18 | $217.95–$632.18 | varies |
| Mast mod rad (19307) likely a partial charge, not the full procedure |
$1,260.19 | $1,260.19 | 0.2× |
| Mastectomy for gynecomastia (19300) | $467.45 | $467.45 | 0.1× |
| Mastectomy partial (19301) | $706.40 | $706.40 | 0.2× |
| Mastectomy partial w/axillary lymphadenectomy (19302) likely a partial charge, not the full procedure |
$969.51 | $969.51 | 0.1× |
| Mastectomy simple complete (19303) likely a partial charge, not the full procedure |
$1,023.04 | $1,023.04 | 0.2× |
| Myelography Lumbar Injection (62304) range across 2 matching MRF lines |
$1,094–$1,343 | $1,094–$1,343 | varies |
| Myelography via lumbar injection rs&i cervical (62302) | $1,094 | $1,094 | 1.4× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $1,094 | $1,094 | 1.4× |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 3 matching MRF lines |
$58–$1,641 | $58–$1,641 | varies |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$150–$962 | $150–$962 | varies |
| N Block Inj Plantar Digit (64455) range across 3 matching MRF lines |
$36.19–$423 | $36.19–$423 | varies |
| N Block Lumbar/Thoracic (64520) range across 2 matching MRF lines |
$188–$1,453 | $188–$1,453 | varies |
| Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$155–$612 | $155–$612 | varies |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) | $397 | $397 | 0.4× |
| Needle Biopsy Lymph Nodes (38505) range across 2 matching MRF lines |
$849–$2,177 | $849–$2,177 | varies |
| Needle Biopsy Pancreas (48102) range across 2 matching MRF lines |
$386–$2,420 | $386–$2,420 | varies |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $79 | $79 | 2.7× |
| Needle insertion w/o injection 3 or more muscles (20561) | $128 | $128 | 4.3× |
| Njx anes stellate ganglion crv sympathetic (64510) range across 2 matching MRF lines |
$83–$984 | $83–$984 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 4 matching MRF lines |
$55–$413 | $55–$413 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) range across 4 matching MRF lines |
$201–$4,921 | $201–$4,921 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $2,018 | $2,018 | 2.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $2,254 | $2,254 | 3.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 5 matching MRF lines |
$256–$1,852 | $256–$1,852 | varies |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) | $972 | $972 | 1.4× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) range across 2 matching MRF lines |
$77.91–$472 | $77.91–$472 | varies |
| Occipital Nerve Block (64405) range across 3 matching MRF lines |
$56.43–$687 | $56.43–$687 | varies |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) | $20,000 | $20,000 | 2.7× |
| Open Tx Distal Phalangeal Fracture Each (26765) range across 2 matching MRF lines |
$556.89–$1,386 | $556.89–$1,386 | varies |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) range across 2 matching MRF lines |
$633.63–$1,601 | $633.63–$1,601 | varies |
| Partial excision of lip (40520) range across 2 matching MRF lines |
$389.55–$1,166 | $389.55–$1,166 | varies |
| Perq dev breast 1st us imag (19285) | $1,225 | $1,225 | 1.7× |
| Perq device breast 1st imag (19281) | $890 | $890 | 0.5× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 3 matching MRF lines |
$319–$2,339 | $319–$2,339 | varies |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) range across 2 matching MRF lines |
$52.01–$1,189 | $52.01–$1,189 | varies |
| Proctosgmdsc rigid w/dilation (45303) | $397 | $397 | 0.3× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) range across 2 matching MRF lines |
$1,006–$1,286 | $1,006–$1,286 | varies |
| Punch biopsy skin single lesion (11104) range across 4 matching MRF lines |
$50.69–$318 | $50.69–$318 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$105.19–$247 | $105.19–$247 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 3 matching MRF lines |
$45.80–$349 | $45.80–$349 | varies |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) range across 3 matching MRF lines |
$425–$852 | $425–$852 | varies |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) range across 3 matching MRF lines |
$471–$3,600 | $471–$3,600 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 6 matching MRF lines |
$16.88–$9,155.95 | $16.88–$9,155.95 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 4 matching MRF lines |
$35.29–$85 | $35.29–$85 | varies |
| Removal intact breast implant (19328) | $599.22 | $599.22 | 0.1× |
| Removal of anal fissure (46200) | $693 | $693 | 0.2× |
| Removal of nail bed (11750) range across 4 matching MRF lines |
$110.98–$528 | $110.98–$528 | varies |
| Removal of tunneled intraperitoneal catheter (49422) range across 2 matching MRF lines |
$243–$4,180 | $243–$4,180 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$83.85–$102 | $83.85–$102 | varies |
| Remove foreign body from eye (65205) range across 3 matching MRF lines |
$31.53–$79 | $31.53–$79 | varies |
| Remove Intrauterine Device (58301) range across 3 matching MRF lines |
$70.60–$259 | $70.60–$259 | varies |
| Remove Nasal Foreign Body (30300) range across 4 matching MRF lines |
$137.54–$396 | $137.54–$396 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$582–$613 | $582–$613 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$799–$906 | $799–$906 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 3 matching MRF lines |
$249.58–$709 | $249.58–$709 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $680 | $680 | 1.6× |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$265.90–$648 | $265.90–$648 | varies |
| Repair extensor tendon finger w/o graft each (26418) range across 2 matching MRF lines |
$578–$690.03 | $578–$690.03 | varies |
| Repair inguinal hernia, sliding, any age (49525) | $614.48 | $614.48 | 0.2× |
| Repair initial femoral hernia, any age; reducible (49550) | $619.06 | $619.06 | 0.2× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $629.87 | $629.87 | 0.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 4 matching MRF lines |
$183.33–$554 | $183.33–$554 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 4 matching MRF lines |
$215.59–$894 | $215.59–$894 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$232.34–$311 | $232.34–$311 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$554–$558 | $554–$558 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$157.05–$415 | $157.05–$415 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$211.75–$410 | $211.75–$410 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 3 matching MRF lines |
$259.48–$611 | $259.48–$611 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 5 matching MRF lines |
$153–$582 | $153–$582 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 4 matching MRF lines |
$206.26–$611 | $206.26–$611 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 4 matching MRF lines |
$221.74–$582 | $221.74–$582 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $350.72 | $350.72 | 0.2× |
| Replace g/c tube perc (49450) | $70.88 | $70.88 | 0.1× |
| Rerepair ing hernia reduce (49520) | $677.71 | $677.71 | 0.2× |
| Revision of reconstructed breast (19380) likely a partial charge, not the full procedure |
$871.63 | $871.63 | 0.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$44.77–$163 | $44.77–$163 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 2 matching MRF lines |
$38.94–$189 | $38.94–$189 | varies |
| Rmvl fecal impaction/fb spx under anes (45915) range across 3 matching MRF lines |
$246.71–$1,830 | $246.71–$1,830 | varies |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 3 matching MRF lines |
$200.94–$759 | $200.94–$759 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines |
$344–$1,049 | $344–$1,049 | varies |
| Rplc Gtube No Revj Trc (43762) range across 4 matching MRF lines |
$39–$1,129 | $39–$1,129 | varies |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $361.64 | $361.64 | 0.1× |
| Rpr aa hrn 1st 3-10 rdc (49593) likely a partial charge, not the full procedure |
$604.44 | $604.44 | 0.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$249–$303 | $249–$303 | varies |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) range across 2 matching MRF lines |
$128.07–$397 | $128.07–$397 | varies |
| Shave skin lesion 0.5 cm/< (11300) range across 2 matching MRF lines |
$36.86–$168 | $36.86–$168 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) range across 2 matching MRF lines |
$49.58–$183 | $49.58–$183 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) range across 2 matching MRF lines |
$102.70–$259 | $102.70–$259 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 2 matching MRF lines |
$40.56–$179 | $40.56–$179 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) range across 2 matching MRF lines |
$53.28–$252 | $53.28–$252 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) range across 2 matching MRF lines |
$67.94–$209 | $67.94–$209 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) range across 2 matching MRF lines |
$74.67–$217 | $74.67–$217 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) range across 2 matching MRF lines |
$67.94–$226 | $67.94–$226 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) range across 2 matching MRF lines |
$79.34–$236 | $79.34–$236 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 2 matching MRF lines |
$55.51–$222 | $55.51–$222 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) range across 2 matching MRF lines |
$76.04–$228 | $76.04–$228 | varies |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) range across 2 matching MRF lines |
$64.68–$266 | $64.68–$266 | varies |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 2 matching MRF lines |
$77.41–$397 | $77.41–$397 | varies |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$320–$554 | $320–$554 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 4 matching MRF lines |
$59.17–$402 | $59.17–$402 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 4 matching MRF lines |
$62.48–$357 | $62.48–$357 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 4 matching MRF lines |
$79.08–$515 | $79.08–$515 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 4 matching MRF lines |
$48.29–$387 | $48.29–$387 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 4 matching MRF lines |
$78.25–$512 | $78.25–$512 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 4 matching MRF lines |
$63.09–$397 | $63.09–$397 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$250–$611 | $250–$611 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$292–$554 | $292–$554 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$161–$1,197 | $161–$1,197 | varies |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $770.37 | $770.37 | 0.4× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) | $282.22 | $282.22 | 0.1× |
| Strapping ankle (29540) range across 2 matching MRF lines |
$69–$84 | $69–$84 | varies |
| Strapping elbow or wrist (29260) | $84 | $84 | 1.4× |
| Strapping hand/finger (29280) | $84 | $84 | 1.4× |
| Strapping knee (29530) | $84 | $84 | 0.6× |
| Strapping shoulder (29240) | $84 | $84 | 0.6× |
| Strapping Unna Boot (29580) | $155 | $155 | 0.9× |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$40.92–$164 | $40.92–$164 | varies |
| Ther Spi Pnxr Csf Fluor/Ct (62329) range across 2 matching MRF lines |
$600–$1,477 | $600–$1,477 | varies |
| Thyroid biopsy (60100) range across 4 matching MRF lines |
$266–$1,019 | $266–$1,019 | varies |
| Tooth extraction (41899) | $33,600 | $33,600 | 138.9× |
| Total Knee Arthroplasty (27447) likely a partial charge, not the full procedure |
$3,072 | $3,072 | 0.2× |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
$993–$2,242 | $993–$2,242 | varies |
| Treat humerus fracture (23600) range across 2 matching MRF lines |
$357.78–$637 | $357.78–$637 | varies |
| Treat Knuckle Dislocation (26700) | $823 | $823 | 3.3× |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$282–$896 | $282–$896 | varies |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$17.09–$125 | $17.09–$125 | varies |
| Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines |
$23.76–$143 | $23.76–$143 | varies |
| Trim skin lesions over 4 (11057) range across 2 matching MRF lines |
$30.79–$149 | $30.79–$149 | varies |
| Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$8.06–$59 | $8.06–$59 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$203.55–$527 | $203.55–$527 | varies |
| Unlisted Procedure Vascular Surgery (37799) | $519.60 | $519.60 | 0.8× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $7,000 | $7,000 | 3.3× |
| Wound Prep Trk/Arm/Leg (15002) | $233.16 | $233.16 | 0.3× |
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.