Procedures & surgery prices at Lake District Hospital
Lakeview, OR · every code in this section with a posted price and a Medicare benchmark.
540 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 |
$243.10–$1,683 | $286–$1,980 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$148.75–$1,949.05 | $175–$2,293 | varies |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) range across 2 matching MRF lines |
$1,224.85–$4,030.70 | $1,441–$4,742 | varies |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) range across 2 matching MRF lines |
$1,587.80–$4,030.70 | $1,868–$4,742 | varies |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) range across 2 matching MRF lines |
$2,146.25–$7,395 | $2,525–$8,700 | varies |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) range across 2 matching MRF lines |
$2,020.45–$4,030.70 | $2,377–$4,742 | varies |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) range across 2 matching MRF lines |
$1,536.80–$4,030.70 | $1,808–$4,742 | varies |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) range across 2 matching MRF lines |
$1,380.40–$4,030.70 | $1,624–$4,742 | varies |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) range across 2 matching MRF lines |
$1,886.15–$4,030.70 | $2,219–$4,742 | varies |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) range across 2 matching MRF lines |
$1,745.90–$4,030.70 | $2,054–$4,742 | varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) range across 2 matching MRF lines |
$1,150.05–$6,711.60 | $1,353–$7,896 | varies |
| Amputate Metacarpal Bone (26910) | $6,325.70 | $7,442 | 1.7× |
| Amputation metatarsal with toe single (28810) range across 2 matching MRF lines |
$1,091.40–$6,799.15 | $1,284–$7,999 | varies |
| Amputation toe interphalangeal joint (28825) range across 2 matching MRF lines |
$940.95–$6,516.95 | $1,107–$7,667 | varies |
| Amputation toe metatarsophalangeal joint (28820) range across 2 matching MRF lines |
$1,003–$7,029.50 | $1,180–$8,270 | varies |
| Amputation, leg, through tibia and fibula; (27880) | $7,194.40 | $8,464 | 0.9× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$84.15–$236.30 | $99–$278 | varies |
| Anoscopy W/Rmvl Foreign Body (46608) | $2,699.60 | $3,176 | 2.6× |
| Apheresis Platelets (36513) | $663 | $780 | 1.4× |
| Appendectomy (44950) range across 2 matching MRF lines |
$1,630.30–$7,541.20 | $1,918–$8,872 | varies |
| Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) range across 2 matching MRF lines |
$446.25–$572.90 | $525–$674 | varies |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) range across 2 matching MRF lines |
$359.55–$370.60 | $423–$436 | varies |
| Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
$115.60–$457.30 | $136–$538 | varies |
| Application finger splint static (29130) range across 5 matching MRF lines |
$58.65–$210.80 | $69–$248 | varies |
| Application Hip Spica Cast 1 Leg (29305) range across 2 matching MRF lines |
$398.65–$572.90 | $469–$674 | varies |
| Application long arm splint shoulder hand (29105) range across 4 matching MRF lines |
$40.80–$236.30 | $48–$278 | varies |
| Application Long Leg Splint (29505) range across 5 matching MRF lines |
$40.80–$344.25 | $48–$405 | varies |
| Application of long leg cast (29345) range across 3 matching MRF lines |
$68–$362.95 | $80–$427 | varies |
| Application short arm splint forearm-hand static (29125) range across 6 matching MRF lines |
$34–$352.75 | $40–$415 | varies |
| Application short leg splint calf foot (29515) range across 4 matching MRF lines |
$34–$192.95 | $40–$227 | varies |
| Apply long arm cast (29065) range across 3 matching MRF lines |
$115.60–$457.30 | $136–$538 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 4 matching MRF lines |
$166.60–$641.75 | $196–$755 | varies |
| Apply Short Leg Cast (29405) range across 3 matching MRF lines |
$62.90–$249.90 | $74–$294 | varies |
| Apply short leg cast (29425) range across 2 matching MRF lines |
$112.20–$211.65 | $132–$249 | varies |
| Arterial puncture (36600) range across 2 matching MRF lines |
$342.55–$478.55 | $403–$563 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$94.35–$519.35 | $111–$611 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $1,369.35 | $1,611 | 1.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 5 matching MRF lines |
$102.85–$634.95 | $121–$747 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$61.20–$241.40 | $72–$284 | varies |
| Arthroscopy knee synovectomy limited spx (29875) | $6,711.60 | $7,896 | 1.8× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) range across 2 matching MRF lines |
$2,129.25–$6,799.15 | $2,505–$7,999 | varies |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) | $15,559.25 | $18,305 | 1.9× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) range across 2 matching MRF lines |
$2,555.10–$15,559.25 | $3,006–$18,305 | varies |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) | $6,711.60 | $7,896 | 1.8× |
| Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
$220.15–$1,683 | $259–$1,980 | varies |
| Aspirate Pleura W/O Imaging (32554) | $1,842.80 | $2,168 | 2.6× |
| Aspirate/Inj Ganglion Cyst (20612) range across 3 matching MRF lines |
$131.75–$519.35 | $155–$611 | varies |
| Aspiration and/or injection thyroid cyst (60300) range across 2 matching MRF lines |
$70.55–$277.95 | $83–$327 | varies |
| Aspiration Bladder Needle (51100) | $733.55 | $863 | 2.6× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$144.50–$263.50 | $170–$310 | varies |
| Biopsy external ear (69100) range across 2 matching MRF lines |
$102–$405.45 | $120–$477 | varies |
| Biopsy muscle percutaneous needle (20206) range across 3 matching MRF lines |
$397.80–$2,157.30 | $468–$2,538 | varies |
| Biopsy nail unit (11755) | $301.75 | $355 | 0.4× |
| Biopsy of breast; open, incisional (19101) range across 3 matching MRF lines |
$563.55–$7,525.05 | $663–$8,853 | varies |
| Biopsy of lip (40490) range across 2 matching MRF lines |
$102–$405.45 | $120–$477 | varies |
| Biopsy of liver, needle; percutaneous (47000) range across 2 matching MRF lines |
$201.45–$2,626.50 | $237–$3,090 | varies |
| Biopsy of penis (54100) range across 2 matching MRF lines |
$682.55–$2,727.65 | $803–$3,209 | varies |
| Biopsy of rectum (45100) range across 2 matching MRF lines |
$1,165.35–$4,658 | $1,371–$5,480 | varies |
| Biopsy Soft Tissue Back/Flank Superficial (21920) range across 2 matching MRF lines |
$408–$3,519.85 | $480–$4,141 | varies |
| Biopsy soft tissue neck/thorax (21550) range across 2 matching MRF lines |
$356.15–$1,848.75 | $419–$2,175 | varies |
| Biopsy Vaginal Mucosa Extensive (57105) range across 2 matching MRF lines |
$1,241–$4,964.85 | $1,460–$5,841 | varies |
| Biopsy Vaginal Mucosa Simple (57100) range across 2 matching MRF lines |
$317.90–$1,270.75 | $374–$1,495 | varies |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) range across 3 matching MRF lines |
$30.60–$223.55 | $36–$263 | varies |
| Biopsy, vestibule of mouth (40808) range across 2 matching MRF lines |
$391.85–$878.90 | $461–$1,034 | varies |
| Bladder instillation anticarcinogenic agent (51720) | $645.15 | $759 | 0.8× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$59.50–$221 | $70–$260 | varies |
| Bladder Scan (51798) | $165.75 | $195 | 2.5× |
| Blood Transfusion Service (36430) | $980.90 | $1,154 | 2.0× |
| Bx breast 1st lesion us imag (19083) range across 2 matching MRF lines |
$355.30–$2,325.60 | $418–$2,736 | varies |
| Bx breast needle core w/o imaging guidance spx (19100) range across 3 matching MRF lines |
$319.60–$1,275.85 | $376–$1,501 | varies |
| Bx Cervix (57500) range across 3 matching MRF lines |
$315.35–$1,258.85 | $371–$1,481 | varies |
| Carpal Tunnel Surgery (64721) range across 2 matching MRF lines |
$1,097.35–$4,173.50 | $1,291–$4,910 | varies |
| Cataract surgery complex (66982) range across 2 matching MRF lines |
$1,894.65–$5,202.85 | $2,229–$6,121 | varies |
| Cautery Cervix Cryocautery Initial/Repeat (57511) range across 2 matching MRF lines |
$147.90–$588.20 | $174–$692 | varies |
| Change Cystostomy Tube Simple (51705) | $660.45 | $777 | 2.4× |
| Change of Windpipe Airway (31502) | $526.15 | $619 | 2.0× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$92.65–$435.20 | $109–$512 | varies |
| Chest tube placement (32551) | $1,364.25 | $1,605 | 0.8× |
| Circumcision 28 days or older (54161) range across 2 matching MRF lines |
$164.90–$504.90 | $194–$594 | varies |
| Circumcision Neonate (54160) range across 2 matching MRF lines |
$164.90–$372.30 | $194–$438 | varies |
| Circumcision w/clamp/oth dev w/block (54150) | $164.90 | $194 | 0.1× |
| Cl Tx Tib Shft Fx W Manip (27752) | $1,259.70 | $1,482 | 0.7× |
| Clear outer ear canal (69200) | $328.95 | $387 | 2.2× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $656.20 | $772 | 2.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,071 | $1,260 | 0.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $515.10 | $606 | 1.9× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $492.15 | $579 | 1.8× |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) | $515.10 | $606 | 0.3× |
| Closed tx knee dislocation w/o anesthesia (27550) | $515.10 | $606 | 1.9× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) | $1,247.80 | $1,468 | 2.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $725.90 | $854 | 2.6× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $531.25 | $625 | 1.9× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $558.45 | $657 | 2.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $1,185.75 | $1,395 | 0.7× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) | $513.40 | $604 | 1.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $772.65 | $909 | 2.8× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $558.45 | $657 | 2.0× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $1,558.05 | $1,833 | 0.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $492.15 | $579 | 1.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$983.45–$3,457.80 | $1,157–$4,068 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$641.75–$736.10 | $755–$866 | varies |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) range across 2 matching MRF lines |
$1,739.95–$3,366.85 | $2,047–$3,961 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $730.15 | $859 | 2.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $776.05 | $913 | 2.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $1,300.50 | $1,530 | 0.7× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) range across 2 matching MRF lines |
$1,749.30–$3,262.30 | $2,058–$3,838 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $1,044.65 | $1,229 | 3.8× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $266.90 | $314 | 1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $3,359.20 | $3,952 | 1.9× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $558.45 | $657 | 2.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $231.20 | $272 | 0.8× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $759.05 | $893 | 2.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 3 matching MRF lines |
$83.30–$653.65 | $98–$769 | varies |
| Cltx Medial Ankle Fx (27760) | $660.45 | $777 | 2.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $744.60 | $876 | 2.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $619.65 | $729 | 2.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $735.25 | $865 | 2.7× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $409.70 | $482 | 1.5× |
| Cltx post hip arthrp dislc req anes (27266) | $1,474.75 | $1,735 | 0.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $515.10 | $606 | 1.9× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $752.25 | $885 | 2.7× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) range across 2 matching MRF lines |
$2,027.25–$3,366.85 | $2,385–$3,961 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$999.60–$1,111.80 | $1,176–$1,308 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $68.85 | $81 | 0.5× |
| Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$5.10–$26.35 | $6–$31 | varies |
| Colonoscopy W/Band Ligation (45398) | $615.40 | $724 | 0.5× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) range across 3 matching MRF lines |
$139.40–$561 | $164–$660 | varies |
| Colposcopy cervix upper/adjacent vagina (57452) | $289.85 | $341 | 1.3× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $381.65 | $449 | 1.1× |
| Colposcopy entire vagina w/cervix if present (57420) | $235.45 | $277 | 0.7× |
| Colposcopy Vulva W/Biopsy (56821) range across 4 matching MRF lines |
$85.85–$699.55 | $101–$823 | varies |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) range across 2 matching MRF lines |
$315.35–$1,394 | $371–$1,640 | varies |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $2,300.95 | $2,707 | 1.7× |
| Complex drainage wound (10180) range across 2 matching MRF lines |
$448.80–$5,760.45 | $528–$6,777 | varies |
| Conization cervix w/wo d&c rpr eltrd exc (57522) range across 3 matching MRF lines |
$627.30–$6,041.80 | $738–$7,108 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) | $545.70 | $642 | 3.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$146.20–$255 | $172–$300 | varies |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) | $137.70 | $162 | 2.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $684.25 | $805 | 4.6× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $746.30 | $878 | 2.8× |
| Curettage postpartum (59160) range across 2 matching MRF lines |
$459–$6,205 | $540–$7,300 | varies |
| Cysto w/complex removal stone & stent (52315) | $715.70 | $842 | 0.3× |
| Cysto W/Simple Removal Stone & Stent (52310) | $396.10 | $466 | 0.2× |
| Cystourethroscopy (52000) range across 2 matching MRF lines |
$211.65–$1,975.40 | $249–$2,324 | varies |
| Cystourethroscopy with biopsy (52204) | $4,454 | $5,240 | 1.9× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 4 matching MRF lines |
$37.40–$1,303.05 | $44–$1,533 | varies |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $192.10 | $226 | 0.2× |
| Debride nail 1-5 (11720) range across 3 matching MRF lines |
$7.65–$81.60 | $9–$96 | varies |
| Debride nail 6 or more (11721) range across 3 matching MRF lines |
$13.60–$113.90 | $16–$134 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$579.70–$3,519.85 | $682–$4,141 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$156.40–$781.15 | $184–$919 | varies |
| Declot vascular device (36593) | $639.20 | $752 | 1.7× |
| Deep Muscle Biopsy (20205) range across 2 matching MRF lines |
$385.90–$6,083.45 | $454–$7,157 | varies |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) range across 2 matching MRF lines |
$841.50–$4,030.70 | $990–$4,742 | varies |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) range across 2 matching MRF lines |
$795.60–$4,030.70 | $936–$4,742 | varies |
| Delay Flap/Sectioning Flap Scalp Arms/Legs (15610) range across 2 matching MRF lines |
$590.75–$4,030.70 | $695–$4,742 | varies |
| Delivery of placenta (59414) range across 2 matching MRF lines |
$235.45–$6,041.80 | $277–$7,108 | varies |
| Destr penis lesion(s) (54065) range across 2 matching MRF lines |
$807.50–$3,224.90 | $950–$3,794 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 3 matching MRF lines |
$86.70–$349.35 | $102–$411 | varies |
| Destruction Benign Lesions 15/> (17111) range across 3 matching MRF lines |
$186.15–$396.10 | $219–$466 | varies |
| Destruction Lesions Vulva Extensive (56515) range across 3 matching MRF lines |
$414.80–$3,224.90 | $488–$3,794 | varies |
| Destruction Lesions Vulva Simple (56501) range across 2 matching MRF lines |
$807.50–$3,224.90 | $950–$3,794 | varies |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) range across 3 matching MRF lines |
$60.35–$437.75 | $71–$515 | varies |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) range across 3 matching MRF lines |
$310.25–$835.55 | $365–$983 | varies |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) range across 3 matching MRF lines |
$86.70–$599.25 | $102–$705 | varies |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) range across 3 matching MRF lines |
$101.15–$683.40 | $119–$804 | varies |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) range across 3 matching MRF lines |
$136.85–$878.90 | $161–$1,034 | varies |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) range across 3 matching MRF lines |
$43.35–$357 | $51–$420 | varies |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) range across 3 matching MRF lines |
$56.95–$433.50 | $67–$510 | varies |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) range across 3 matching MRF lines |
$62.05–$470.90 | $73–$554 | varies |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) range across 3 matching MRF lines |
$102–$504.05 | $120–$593 | varies |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) range across 2 matching MRF lines |
$575.45–$630.70 | $677–$742 | varies |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) range across 3 matching MRF lines |
$44.20–$340.85 | $52–$401 | varies |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) range across 3 matching MRF lines |
$47.60–$365.50 | $56–$430 | varies |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) range across 3 matching MRF lines |
$53.55–$402.05 | $63–$473 | varies |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) range across 3 matching MRF lines |
$62.05–$459.85 | $73–$541 | varies |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) range across 3 matching MRF lines |
$70.55–$511.70 | $83–$602 | varies |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) range across 3 matching MRF lines |
$85–$602.65 | $100–$709 | varies |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) range across 3 matching MRF lines |
$35.70–$237.15 | $42–$279 | varies |
| Destruction of skin lesions (17106) range across 3 matching MRF lines |
$158.95–$901 | $187–$1,060 | varies |
| Destruction Premalignant Lesion 15/> (17004) range across 3 matching MRF lines |
$223.55–$835.55 | $263–$983 | varies |
| Destruction premalignant lesion 1st (17000) range across 3 matching MRF lines |
$86.70–$349.35 | $102–$411 | varies |
| Diagnostic sigmoidoscopy (45330) range across 2 matching MRF lines |
$147.05–$1,906.55 | $173–$2,243 | varies |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) | $453.90 | $534 | 0.3× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) | $106.25 | $125 | 0.7× |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) | $104.55 | $123 | 0.7× |
| Dilat Urethral Strix Dilator Male Sbsq (53601) | $137.70 | $162 | 0.9× |
| Dilate Urethra Stricture (53600) | $164.90 | $194 | 0.6× |
| Dilation & curettage dx&/ther nonobstetric (58120) | $570.35 | $671 | 0.2× |
| Drain Cerebro Spinal Fluid (62272) | $1,369.35 | $1,611 | 1.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $307.70 | $362 | 0.4× |
| Drainage Mouth Roof Lesion (42000) | $385.90 | $454 | 1.5× |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$306–$3,519.85 | $360–$4,141 | varies |
| Drainage of scrotum (54700) | $548.25 | $645 | 0.2× |
| Draw Blood Off Venous Device (36591) | $283.05 | $333 | 1.9× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $334.05 | $393 | 0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$561.85–$606.90 | $661–$714 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 3 matching MRF lines |
$227.80–$492.15 | $268–$579 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$139.40–$488.75 | $164–$575 | varies |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) range across 2 matching MRF lines |
$246.50–$989.40 | $290–$1,164 | varies |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) range across 2 matching MRF lines |
$807.50–$3,224.90 | $950–$3,794 | varies |
| Dstrj Lesion Anus Extensive (46924) range across 2 matching MRF lines |
$1,165.35–$4,658 | $1,371–$5,480 | varies |
| Dstrj lesion anus simple cryosurgery (46916) range across 2 matching MRF lines |
$86.70–$349.35 | $102–$411 | varies |
| Dstrj Lesion Penis Simple Cryosurgery (54056) range across 2 matching MRF lines |
$86.70–$349.35 | $102–$411 | varies |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) range across 3 matching MRF lines |
$102.85–$698.70 | $121–$822 | varies |
| Dx Bronchoscope/Wash (31622) | $3,717.05 | $4,373 | 1.9× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) range across 2 matching MRF lines |
$311.10–$4,036.65 | $366–$4,749 | varies |
| Egd dilation gastric/duodenal stricture (43245) range across 2 matching MRF lines |
$459.85–$4,628.25 | $541–$5,445 | varies |
| Egd Flexible Foreign Body Removal (43247) | $465.80 | $548 | 0.5× |
| Egd place gastrostomy tube (43246) range across 3 matching MRF lines |
$513.40–$4,850.95 | $604–$5,707 | varies |
| Endometrial Biopsy (58100) range across 6 matching MRF lines |
$83.30–$424.15 | $98–$499 | varies |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) | $708.05 | $833 | 0.2× |
| Epidural Blood Patch (62273) | $293.25 | $345 | 0.4× |
| Esophagosc Dilate Balloon 30 (43214) range across 2 matching MRF lines |
$504.05–$3,795.25 | $593–$4,465 | varies |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) range across 2 matching MRF lines |
$362.10–$3,869.20 | $426–$4,552 | varies |
| Evacuation of subungual hematoma (11740) | $215.90 | $254 | 1.5× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 3 matching MRF lines |
$207.40–$1,516.40 | $244–$1,784 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 3 matching MRF lines |
$402.05–$3,417 | $473–$4,020 | varies |
| Exc Back Les Sc < 3 Cm (21930) | $995.35 | $1,171 | 0.5× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 3 matching MRF lines |
$384.20–$1,516.40 | $452–$1,784 | varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 4 matching MRF lines |
$389.30–$1,516.40 | $458–$1,784 | varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) range across 3 matching MRF lines |
$700.40–$3,411.05 | $824–$4,013 | varies |
| Exc Face Les Sbq 2 Cm/> (21012) range across 2 matching MRF lines |
$183.60–$730.15 | $216–$859 | varies |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 3 matching MRF lines |
$255–$1,516.40 | $300–$1,784 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 3 matching MRF lines |
$321.30–$1,516.40 | $378–$1,784 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 3 matching MRF lines |
$356.15–$1,516.40 | $419–$1,784 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 2 matching MRF lines |
$456.45–$587.35 | $537–$691 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) range across 3 matching MRF lines |
$558.45–$3,411.05 | $657–$4,013 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 3 matching MRF lines |
$203.15–$3,411.05 | $239–$4,013 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 3 matching MRF lines |
$272–$1,516.40 | $320–$1,784 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 4 matching MRF lines |
$290.70–$3,411.05 | $342–$4,013 | varies |
| Exc Hand Les Sc < 1.5 Cm (26115) | $838.10 | $986 | 0.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 5 matching MRF lines |
$283.90–$1,516.40 | $334–$1,784 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 5 matching MRF lines |
$438.60–$3,411.05 | $516–$4,013 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 3 matching MRF lines |
$674.90–$5,760.45 | $794–$6,777 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 3 matching MRF lines |
$634.95–$5,906.65 | $747–$6,949 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) range across 3 matching MRF lines |
$795.60–$5,760.45 | $936–$6,777 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 3 matching MRF lines |
$520.20–$3,411.05 | $612–$4,013 | varies |
| Exc Skin Malig >4 Cm Remaindr Body (11626) range across 3 matching MRF lines |
$722.50–$5,760.45 | $850–$6,777 | varies |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 5 matching MRF lines |
$700.40–$3,411.05 | $824–$4,013 | varies |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $487.90 | $574 | 0.4× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 3 matching MRF lines |
$256.70–$794.75 | $302–$935 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 3 matching MRF lines |
$281.35–$1,516.40 | $331–$1,784 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 3 matching MRF lines |
$400.35–$3,411.05 | $471–$4,013 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $1,193.40 | $1,404 | 0.4× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) range across 2 matching MRF lines |
$1,423.75–$5,760.45 | $1,675–$6,777 | varies |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) range across 2 matching MRF lines |
$782–$3,417 | $920–$4,020 | varies |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) range across 2 matching MRF lines |
$1,039.55–$6,083.45 | $1,223–$7,157 | varies |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 5 matching MRF lines |
$283.90–$1,516.40 | $334–$1,784 | varies |
| Excision External Ear Partial Simple Repair (69110) range across 2 matching MRF lines |
$797.30–$5,760.45 | $938–$6,777 | varies |
| Excision H/P/P/U Simple/Intermediate Repair (11470) range across 2 matching MRF lines |
$713.15–$5,760.45 | $839–$6,777 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) range across 3 matching MRF lines |
$298.35–$1,516.40 | $351–$1,784 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 3 matching MRF lines |
$366.35–$1,516.40 | $431–$1,784 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 5 matching MRF lines |
$167.45–$794.75 | $197–$935 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 3 matching MRF lines |
$527.85–$1,516.40 | $621–$1,784 | varies |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 3 matching MRF lines |
$310.25–$1,516.40 | $365–$1,784 | varies |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 3 matching MRF lines |
$563.55–$3,411.05 | $663–$4,013 | varies |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) range across 3 matching MRF lines |
$969–$5,760.45 | $1,140–$6,777 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) range across 4 matching MRF lines |
$279.65–$3,411.05 | $329–$4,013 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) range across 3 matching MRF lines |
$368.90–$1,516.40 | $434–$1,784 | varies |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 3 matching MRF lines |
$419.05–$1,516.40 | $493–$1,784 | varies |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) range across 3 matching MRF lines |
$590.75–$3,411.05 | $695–$4,013 | varies |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $3,048.10 | $3,586 | 1.7× |
| Excision of hydrocele; bilateral (55041) | $1,310.70 | $1,542 | 0.3× |
| Excision of hydrocele; unilateral (55040) | $863.60 | $1,016 | 0.2× |
| Excision of pilonidal cyst or sinus; simple (11770) | $469.20 | $552 | 0.1× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $1,459.45 | $1,717 | 0.5× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $1,114.35 | $1,311 | 0.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) range across 2 matching MRF lines |
$1,115.20–$3,495.20 | $1,312–$4,112 | varies |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) range across 2 matching MRF lines |
$1,076.10–$3,519.85 | $1,266–$4,141 | varies |
| Excision, interdigital (morton) neuroma, single, each (28080) range across 2 matching MRF lines |
$945.20–$3,361.75 | $1,112–$3,955 | varies |
| Excision/Curettage Cyst/Tumor Radius/Ulna (25120) | $6,711.60 | $7,896 | 1.8× |
| Excision/surgical planing skin nose rhinophyma (30120) range across 2 matching MRF lines |
$1,048.05–$6,505.90 | $1,233–$7,654 | varies |
| Expl penetrating wound spx abdomen/flank/back (20102) | $656.20 | $772 | 0.3× |
| Explore for undescended testis (54550) | $148.75 | $175 | 0.0× |
| External cephalic version (59412) range across 2 matching MRF lines |
$260.10–$6,040.95 | $306–$7,107 | varies |
| Fasciotomy palmar open partial (26045) | $1,190 | $1,400 | 0.3× |
| Fasciotomy palmar percutaneous (26040) | $793.90 | $934 | 0.4× |
| Fetal Contraction Stress Test (59020) | $523.60 | $616 | 2.3× |
| Fetal non-stress test (59025) | $454.75 | $535 | 2.0× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) range across 2 matching MRF lines |
$255.85–$1,558.90 | $301–$1,834 | varies |
| Fine needle aspiration without imaging guidance (10021) range across 4 matching MRF lines |
$141.95–$806.65 | $167–$949 | varies |
| Fna bx w/us gdn 1st les (10005) range across 2 matching MRF lines |
$169.15–$1,558.90 | $199–$1,834 | varies |
| Forehead flap w/vasc pedicle (15731) range across 2 matching MRF lines |
$2,459.90–$7,395 | $2,894–$8,700 | varies |
| Foreskin manipulation (54450) | $115.60 | $136 | 0.4× |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) range across 2 matching MRF lines |
$1,630.30–$4,030.70 | $1,918–$4,742 | varies |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) range across 2 matching MRF lines |
$2,086.75–$4,030.70 | $2,455–$4,742 | varies |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) range across 2 matching MRF lines |
$1,502.80–$4,030.70 | $1,768–$4,742 | varies |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) range across 2 matching MRF lines |
$1,651.55–$4,030.70 | $1,943–$4,742 | varies |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) range across 2 matching MRF lines |
$1,387.20–$12,046.20 | $1,632–$14,172 | varies |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $1,226.55 | $1,443 | 0.4× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $490.45 | $577 | 0.5× |
| Hysteroscopy Biopsy (58558) range across 3 matching MRF lines |
$595–$6,041.80 | $700–$7,108 | varies |
| I&d abscess peritonsillar (42700) | $772.65 | $909 | 2.9× |
| I&d abscess simple (10060) range across 6 matching MRF lines |
$86.70–$453.05 | $102–$533 | varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) range across 2 matching MRF lines |
$1,152.60–$4,609.55 | $1,356–$5,423 | varies |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) range across 2 matching MRF lines |
$1,233.35–$5,798.70 | $1,451–$6,822 | varies |
| I&d perianal abscess superficial (46050) range across 4 matching MRF lines |
$197.20–$1,851.30 | $232–$2,178 | varies |
| I&d pilonidal cyst simple (10080) range across 4 matching MRF lines |
$51.85–$514.25 | $61–$605 | varies |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $3,919.35 | $4,611 | 1.2× |
| Incise external hemorrhoid (46083) | $468.35 | $551 | 1.7× |
| Incise finger tendon sheath (26055) | $794.75 | $935 | 0.4× |
| Incise flexor carpi radialis (25001) | $872.10 | $1,026 | 0.2× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$463.25–$545.70 | $545–$642 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 4 matching MRF lines |
$378.25–$2,727.65 | $445–$3,209 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 5 matching MRF lines |
$158.95–$636.65 | $187–$749 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 3 matching MRF lines |
$57.80–$246.50 | $68–$290 | varies |
| Incision and drainage of vulva or perineal abscess (56405) | $302.60 | $356 | 0.9× |
| Incision extensor tendon sheath wrist (25000) range across 2 matching MRF lines |
$858.50–$3,458.65 | $1,010–$4,069 | varies |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$1,065.90–$2,507.50 | $1,254–$2,950 | varies |
| Incision of urethra (53025) | $175.10 | $206 | 0.1× |
| Incision of urethra (53020) | $249.05 | $293 | 0.1× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 2 matching MRF lines |
$396.10–$3,411.05 | $466–$4,013 | varies |
| Incisional biopsy eyelid skin & lid margin (67810) range across 2 matching MRF lines |
$135.15–$539.75 | $159–$635 | varies |
| Incisional biopsy skin single lesion (11106) range across 4 matching MRF lines |
$238.85–$1,193.40 | $281–$1,404 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $183.60 | $216 | 0.8× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$242.25–$2,926.55 | $285–$3,443 | varies |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) | $160.65 | $189 | 0.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 2 matching MRF lines |
$300.90–$2,926.55 | $354–$3,443 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 4 matching MRF lines |
$79.05–$521.05 | $93–$613 | varies |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) | $167.45 | $197 | 0.2× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $2,322.20 | $2,732 | 2.4× |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) | $162.35 | $191 | 0.2× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $139.40 | $164 | 0.2× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) | $154.70 | $182 | 0.2× |
| Injection single tendon origin/insertion (20551) range across 3 matching MRF lines |
$62.90–$249.90 | $74–$294 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 5 matching MRF lines |
$62.90–$634.95 | $74–$747 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 4 matching MRF lines |
$68–$272 | $80–$320 | varies |
| Injection therapeutic carpal tunnel (20526) range across 3 matching MRF lines |
$76.50–$436.05 | $90–$513 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) | $165.75 | $195 | 0.2× |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$123.25–$137.70 | $145–$162 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$110.50–$181.05 | $130–$213 | varies |
| Injection, Intralesional; More Than 7 Lesions (11901) range across 2 matching MRF lines |
$86.70–$349.35 | $102–$411 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) range across 3 matching MRF lines |
$86.70–$349.35 | $102–$411 | varies |
| Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
$349.35–$360.40 | $411–$424 | varies |
| Insert Drug Implant Device (11981) range across 3 matching MRF lines |
$135.15–$310.25 | $159–$365 | varies |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$219.30–$221 | $258–$260 | varies |
| Insert pessary/other device (57160) range across 3 matching MRF lines |
$85–$339.15 | $100–$399 | varies |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $2,776.95 | $3,267 | 1.6× |
| Insert spine infusion device (62360) likely a partial charge, not the full procedure |
$724.20 | $852 | 0.0× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$201.45–$342.55 | $237–$403 | varies |
| Insert tunneled cv cath (36561) | $666.40 | $784 | 0.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$147.90–$342.55 | $174–$403 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $3,320.10 | $3,906 | 1.9× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $220.15 | $259 | 0.1× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $2,776.95 | $3,267 | 1.6× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $1,092.25 | $1,285 | 2.4× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $1,173.85 | $1,381 | 2.6× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$367.20–$681.70 | $432–$802 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $272.85 | $321 | 1.0× |
| Island pedicle flap graft (15740) range across 2 matching MRF lines |
$2,060.40–$4,030.70 | $2,424–$4,742 | varies |
| Laparoscopy aspiration (49322) range across 2 matching MRF lines |
$760.75–$11,075.50 | $895–$13,030 | varies |
| Laparoscopy Enterolysis Separate Procedure (44180) range across 2 matching MRF lines |
$2,173.45–$12,569.80 | $2,557–$14,788 | varies |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 3 matching MRF lines |
$1,090.55–$11,757.20 | $1,283–$13,832 | varies |
| Laparoscopy W/Lysis Of Adhesions (58660) range across 3 matching MRF lines |
$1,627.75–$12,569.80 | $1,915–$14,788 | varies |
| Laparoscopy w/rmvl adnexal structures (58661) range across 2 matching MRF lines |
$1,564.85–$12,569.80 | $1,841–$14,788 | varies |
| Laparoscopy, surgical, appendectomy (44970) range across 2 matching MRF lines |
$1,544.45–$11,530.25 | $1,817–$13,565 | varies |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) range across 2 matching MRF lines |
$2,257.60–$11,757.20 | $2,656–$13,832 | varies |
| Laparoscopy, Tubal Block (58671) likely a partial charge, not the full procedure |
$760.75 | $895 | 0.1× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) range across 2 matching MRF lines |
$833–$11,757.20 | $980–$13,832 | varies |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) range across 2 matching MRF lines |
$1,708.50–$12,569.80 | $2,010–$14,788 | varies |
| Laryngoscopy diagnostic (31505) | $524.45 | $617 | 2.4× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) | $1,193.40 | $1,404 | 2.7× |
| Late closure of wound (13160) range across 2 matching MRF lines |
$1,965.20–$4,030.70 | $2,312–$4,742 | varies |
| Lysis/excision penile postcircumcision adhesions (54162) | $565.25 | $665 | 0.2× |
| Mast mod rad (19307) range across 2 matching MRF lines |
$3,043–$12,574.90 | $3,580–$14,794 | varies |
| Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) (15730) range across 2 matching MRF lines |
$2,268.65–$7,395 | $2,669–$8,700 | varies |
| Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) range across 2 matching MRF lines |
$762.45–$1,235.90 | $897–$1,454 | varies |
| Mohs trunk/arm/leg 1st stage 5 blocks (17313) range across 2 matching MRF lines |
$810.90–$1,235.90 | $954–$1,454 | varies |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) range across 2 matching MRF lines |
$2,567.85–$7,395 | $3,021–$8,700 | varies |
| Myelography Lumbar Injection (62304) range across 2 matching MRF lines |
$271.15–$1,771.40 | $319–$2,084 | varies |
| N Block Inj Ilio-Ing/Hypogi (64425) | $144.50 | $170 | 0.2× |
| N block inj intercost sng (64420) | $154.70 | $182 | 0.2× |
| N Block Inj Plantar Digit (64455) | $108.80 | $128 | 0.3× |
| Nasal/Orogastric W/Tube Plmt (43752) | $105.40 | $124 | 0.2× |
| Needle Biopsy Lymph Nodes (38505) range across 3 matching MRF lines |
$459.85–$2,501.55 | $541–$2,943 | varies |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) range across 2 matching MRF lines |
$4,173.50–$4,398.75 | $4,910–$5,175 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $703.80 | $828 | 2.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$206.55–$2,926.55 | $243–$3,443 | varies |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$227.80–$1,461.15 | $268–$1,719 | varies |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) range across 2 matching MRF lines |
$139.40–$558.45 | $164–$657 | varies |
| Njx Sclrsnt Spider Veins (36468) range across 3 matching MRF lines |
$102.85–$561 | $121–$660 | varies |
| Occipital Nerve Block (64405) | $221 | $260 | 0.6× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) | $6,711.60 | $7,896 | 1.8× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) range across 2 matching MRF lines |
$3,026.85–$14,579.20 | $3,561–$17,152 | varies |
| Osteotomy Metacarpal Each (26565) range across 2 matching MRF lines |
$1,747.60–$6,799.15 | $2,056–$7,999 | varies |
| Peritoneal Lavage (49084) range across 2 matching MRF lines |
$256.70–$2,011.10 | $302–$2,366 | varies |
| Perq dev breast 1st us imag (19285) range across 3 matching MRF lines |
$170–$1,484.10 | $200–$1,746 | varies |
| Perq device breast 1st imag (19281) range across 3 matching MRF lines |
$227.80–$1,484.10 | $268–$1,746 | varies |
| Phleb Veins - Extrem 20+ (37766) | $843.20 | $992 | 0.2× |
| Place ndl musc/tis for rt (20555) | $889.95 | $1,047 | 0.2× |
| Placement of needle for intraosseous infusion (36680) | $651.95 | $767 | 1.3× |
| Punch biopsy skin single lesion (11104) range across 6 matching MRF lines |
$95.20–$630.70 | $112–$742 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$244.80–$344.25 | $288–$405 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 2 matching MRF lines |
$98.60–$1,427.15 | $116–$1,679 | varies |
| Pvb thoracic cont infusion (64463) | $215.90 | $254 | 0.3× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) | $200.60 | $236 | 0.3× |
| Rcnstj Eyelid Full Thickness Second Stage (67975) range across 2 matching MRF lines |
$685.10–$4,807.60 | $806–$5,656 | varies |
| Reconstruction Nail Bed W/Graft (11762) | $728.45 | $857 | 0.3× |
| Removal Foreign Body Foot Complicated (28193) | $1,195.95 | $1,407 | 0.7× |
| Removal foreign body foot deep (28192) | $1,052.30 | $1,238 | 0.6× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$352.75–$575.45 | $415–$677 | varies |
| Removal foreign body upper arm/elbow deep (24201) | $5,489.30 | $6,458 | 1.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$37.40–$132.60 | $44–$156 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $132.60 | $156 | 2.0× |
| Removal Implant Deep (20680) | $1,068.45 | $1,257 | 0.3× |
| Removal Implant Superficial Separate Procedure (20670) | $370.60 | $436 | 0.2× |
| Removal implantable contraceptive capsules (11976) | $314.50 | $370 | 0.4× |
| Removal of foreign body from pharynx (42809) | $342.55 | $403 | 0.7× |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$158.95–$636.65 | $187–$749 | varies |
| Removal of testis (54520) range across 2 matching MRF lines |
$833.85–$4,452.30 | $981–$5,238 | varies |
| Removal of tonsils (42825) range across 2 matching MRF lines |
$673.20–$6,953.85 | $792–$8,181 | varies |
| Removal of tonsils (42826) range across 2 matching MRF lines |
$646.85–$6,505.90 | $761–$7,654 | varies |
| Removal or bivalving full arm or full leg cast (29705) | $180.20 | $212 | 0.6× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 3 matching MRF lines |
$86.70–$349.35 | $102–$411 | varies |
| Removal/bivalving gauntlet boot/body cast (29700) | $165.75 | $195 | 0.5× |
| Remove drug implant device (11982) range across 3 matching MRF lines |
$39.10–$350.20 | $46–$412 | varies |
| Remove foreign body from eye (65205) | $151.30 | $178 | 1.0× |
| Remove Hand Bone Lesion (26200) | $3,361.75 | $3,955 | 1.9× |
| Remove Intrauterine Device (58301) range across 4 matching MRF lines |
$134.30–$539.75 | $158–$635 | varies |
| Remove Nasal Foreign Body (30300) | $612 | $720 | 4.1× |
| Remove/Insert Drug Implant (11983) range across 3 matching MRF lines |
$221–$618.80 | $260–$728 | varies |
| Repair Collat Ankle Ligmnt,Secondary (27698) range across 2 matching MRF lines |
$1,626.05–$14,579.20 | $1,913–$17,152 | varies |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 3 matching MRF lines |
$698.70–$1,235.90 | $822–$1,454 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$842.35–$1,235.90 | $991–$1,454 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$247.35–$794.75 | $291–$935 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 3 matching MRF lines |
$761.60–$1,235.90 | $896–$1,454 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
$577.15–$1,235.90 | $679–$1,454 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$668.95–$1,235.90 | $787–$1,454 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) range across 2 matching MRF lines |
$501.50–$1,235.90 | $590–$1,454 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$617.10–$1,235.90 | $726–$1,454 | varies |
| Repair Hand Tendon (26410) range across 2 matching MRF lines |
$1,459.45–$3,366.85 | $1,717–$3,961 | varies |
| Repair initial femoral hernia, any age; reducible (49550) range across 2 matching MRF lines |
$1,461.15–$7,723.10 | $1,719–$9,086 | varies |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) range across 2 matching MRF lines |
$1,506.20–$7,906.70 | $1,772–$9,302 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$419.05–$794.75 | $493–$935 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 4 matching MRF lines |
$496.40–$794.75 | $584–$935 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$533.80–$794.75 | $628–$935 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $1,006.40 | $1,184 | 2.2× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $1,259.70 | $1,482 | 2.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $854.25 | $1,005 | 1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$374.85–$794.75 | $441–$935 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$487.90–$794.75 | $574–$935 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$529.55–$1,235.90 | $623–$1,454 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $1,717 | $2,020 | 0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$594.15–$794.75 | $699–$935 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$376.55–$794.75 | $443–$935 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 5 matching MRF lines |
$167.45–$794.75 | $197–$935 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$573.75–$1,236.75 | $675–$1,455 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$509.15–$794.75 | $599–$935 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $1,717 | $2,020 | 0.7× |
| Repair of nail bed (11760) | $477.70 | $562 | 0.6× |
| Repair tongue laceration (41252) | $2,408.90 | $2,834 | 9.2× |
| Rerepair ing hernia reduce (49520) range across 2 matching MRF lines |
$1,499.40–$7,906.70 | $1,764–$9,302 | varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$84.15–$154.70 | $99–$182 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$103.70–$178.50 | $122–$210 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $183.60 | $216 | 0.4× |
| Rmvl fecal impaction/fb spx under anes (45915) | $587.35 | $691 | 0.4× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $1,269.90 | $1,494 | 0.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$491.30–$1,587.80 | $578–$1,868 | varies |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$98.60–$593.30 | $116–$698 | varies |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) range across 2 matching MRF lines |
$673.20–$7,526.75 | $792–$8,855 | varies |
| Rpr aa hrn 1st < 3 ncr/strn (49592) range across 2 matching MRF lines |
$934.15–$11,075.50 | $1,099–$13,030 | varies |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$237.15–$435.20 | $279–$512 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $940.10 | $1,106 | 1.1× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $1,448.40 | $1,704 | 5.5× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $2,408.90 | $2,834 | 4.0× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $2,649.45 | $3,117 | 1.5× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) range across 2 matching MRF lines |
$1,034.45–$6,205.85 | $1,217–$7,301 | varies |
| Shave skin lesion 0.5 cm/< (11300) range across 3 matching MRF lines |
$86.70–$349.35 | $102–$411 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) range across 3 matching MRF lines |
$86.70–$349.35 | $102–$411 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) range across 2 matching MRF lines |
$158.95–$636.65 | $187–$749 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 3 matching MRF lines |
$86.70–$349.35 | $102–$411 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) range across 3 matching MRF lines |
$86.70–$364.65 | $102–$429 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) range across 3 matching MRF lines |
$86.70–$349.35 | $102–$411 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) range across 2 matching MRF lines |
$158.95–$835.55 | $187–$983 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) range across 3 matching MRF lines |
$86.70–$349.35 | $102–$411 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) range across 2 matching MRF lines |
$158.95–$636.65 | $187–$749 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 3 matching MRF lines |
$86.70–$349.35 | $102–$411 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) range across 3 matching MRF lines |
$158.95–$636.65 | $187–$749 | varies |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) range across 3 matching MRF lines |
$86.70–$381.65 | $102–$449 | varies |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$320.45–$794.75 | $377–$935 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 4 matching MRF lines |
$139.40–$435.20 | $164–$512 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 4 matching MRF lines |
$147.05–$435.20 | $173–$512 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 2 matching MRF lines |
$381.65–$794.75 | $449–$935 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$187–$435.20 | $220–$512 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) range across 2 matching MRF lines |
$431.80–$435.20 | $508–$512 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 4 matching MRF lines |
$113.05–$435.20 | $133–$512 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$360.40–$435.20 | $424–$512 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 4 matching MRF lines |
$183.60–$435.20 | $216–$512 | varies |
| Skin Full Grft Face/Genit/Hf (15240) range across 2 matching MRF lines |
$1,955–$4,030.70 | $2,300–$4,742 | varies |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$239.70–$4,030.70 | $282–$4,742 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$211.65–$4,030.70 | $249–$4,742 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 4 matching MRF lines |
$147.90–$435.20 | $174–$512 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$239.70–$794.75 | $282–$935 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$293.25–$794.75 | $345–$935 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 4 matching MRF lines |
$140.25–$1,532.55 | $165–$1,803 | varies |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) range across 2 matching MRF lines |
$1,708.50–$7,395 | $2,010–$8,700 | varies |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) range across 2 matching MRF lines |
$1,755.25–$4,030.70 | $2,065–$4,742 | varies |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) | $688.50 | $810 | 0.2× |
| Strapping ankle (29540) | $175.10 | $206 | 1.0× |
| Strapping elbow or wrist (29260) | $261.80 | $308 | 4.0× |
| Strapping hand/finger (29280) | $218.45 | $257 | 3.3× |
| Strapping knee (29530) | $192.95 | $227 | 1.3× |
| Strapping shoulder (29240) | $355.30 | $418 | 2.4× |
| Strapping thorax (29200) | $252.45 | $297 | 1.4× |
| Strapping Unna Boot (29580) range across 3 matching MRF lines |
$138.55–$462.40 | $163–$544 | varies |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) | $6,068.15 | $7,139 | 2.0× |
| Tangential biopsy skin single lesion (11102) range across 3 matching MRF lines |
$86.70–$435.20 | $102–$512 | varies |
| Tenodesis long tendon biceps (23430) range across 2 matching MRF lines |
$1,831.75–$14,857.15 | $2,155–$17,479 | varies |
| Thyroid biopsy (60100) range across 4 matching MRF lines |
$271.15–$1,516.40 | $319–$1,784 | varies |
| Thyroidectomy, total or complete (60240) range across 2 matching MRF lines |
$2,324.75–$11,757.20 | $2,735–$13,832 | varies |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) range across 2 matching MRF lines |
$1,637.95–$4,030.70 | $1,927–$4,742 | varies |
| Total Knee Arthroplasty (27447) range across 2 matching MRF lines |
$3,431.45–$27,406.55 | $4,037–$32,243 | varies |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $2,637.55 | $3,103 | 10.0× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $2,637.55 | $3,103 | 1.5× |
| Transfer skin pedicle flap (15650) range across 2 matching MRF lines |
$936.70–$4,030.70 | $1,102–$4,742 | varies |
| Treat ectopic pregnancy (59151) range across 2 matching MRF lines |
$1,560.60–$12,569.80 | $1,836–$14,788 | varies |
| Treat Fx Rad Extra-Articul (25607) range across 2 matching MRF lines |
$1,770.55–$15,559.25 | $2,083–$18,305 | varies |
| Treat Humerus Fracture (24505) | $1,135.60 | $1,336 | 0.6× |
| Treat Knuckle Dislocation (26700) | $850 | $1,000 | 3.1× |
| Treat Thumb Dislocation (26641) | $814.30 | $958 | 3.0× |
| Treat toe dislocation (28630) | $515.10 | $606 | 1.9× |
| Treatment closed elbow dislocation w/o anes (24600) | $515.10 | $606 | 1.9× |
| Trim skin lesion (11055) range across 4 matching MRF lines |
$86.70–$349.35 | $102–$411 | varies |
| Trim skin lesions 2 to 4 (11056) range across 4 matching MRF lines |
$86.70–$435.20 | $102–$512 | varies |
| Trim skin lesions over 4 (11057) range across 4 matching MRF lines |
$86.70–$488.75 | $102–$575 | varies |
| Trimming Nondystrophic Nails Any Number (11719) range across 4 matching MRF lines |
$27.20–$192.95 | $32–$227 | varies |
| Tubal ligation (58600) range across 3 matching MRF lines |
$892.50–$6,516.95 | $1,050–$7,667 | varies |
| Tx Gastro Intub W/Asp (43753) | $498.10 | $586 | 2.1× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) range across 2 matching MRF lines |
$623.90–$760.75 | $734–$895 | varies |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) unusually low: confirm this is the full procedure |
$3,021.75 | $3,555 | 0.4× |
| Tx Missed Abortion First Trimester Surgical (59820) | $925.65 | $1,089 | 0.3× |
| Tx Missed Abortion Second Trimester Surgical (59821) range across 2 matching MRF lines |
$924.80–$6,205 | $1,088–$7,300 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$465.80–$1,235.90 | $548–$1,454 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $409.70 | $482 | 1.5× |
| Vaginal delivery only (59409) range across 4 matching MRF lines |
$1,058.25–$2,480.30 | $1,245–$2,918 | varies |
| Vasectomy uni/bi spx w/postop semen exams (55250) range across 3 matching MRF lines |
$582.25–$4,452.30 | $685–$5,238 | varies |
| Venous Cutdown >1 Y/O (36425) | $187 | $220 | 0.4× |
| Wedge excision skin nail fold (11765) | $415.65 | $489 | 0.9× |
| Wound Prep F/N/Hf/G (15004) range across 2 matching MRF lines |
$657.90–$1,235.90 | $774–$1,454 | 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.