Procedures & surgery prices at Legacy Meridian Park Medical Center

Tualatin, OR · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines		 $1,779.05–$1,992.25 $2,737–$3,065 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $2,345.20 $3,608 2.3×
Ablate inf turbinate submuc (30802) $2,522.65 $3,881 1.5×
Ablation 1/> liver tumor perq cryoablation (47383) $12,265.50 $18,870 1.0×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure		 $8,268 $12,720 0.4×
Ablation ire liver 1+ tumors w/img gdn perq (47384) $6,443.45 $9,913 0.5×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $14,172.60 $21,804 1.8×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $2,217.15 $3,411 1.3×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $4,391.40 $6,756 1.9×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $5,043.35 $7,759 2.2×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $5,486.65 $8,441 2.4×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $9,419.15 $14,491 4.1×
Amniocentesis diagnostic (59000) $993.20 $1,528 1.0×
Amniocentesis therapeutic (59001) $1,240.20 $1,908 3.7×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $5,791.50 $8,910 1.6×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $5,942.30 $9,142 1.6×
Amputation toe interphalangeal joint (28825) $5,503.55 $8,467 1.5×
Anal Sp Inf Pmp W/Reprg&Fill (62369) $288.60 $444 0.8×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $182.65–$386.10 $281–$594 varies
Anoscopy W/Rmvl Foreign Body (46608) $876.20 $1,348 0.8×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $891.80 $1,372 4.9×
Appl cranial tong/strtctc frame w/removal spx (20660)
range across 2 matching MRF lines		 $1,889.55–$2,116.40 $2,907–$3,256 varies
Application cast elbow finger short arm (29075) $434.20 $668 1.4×
Application Cast Finger (29086) $309.40 $476 1.7×
Application Cast Shoulder Spica (29055) $945.10 $1,454 3.0×
Application Finger Splint Dynamic (29131) $205.40 $316 3.1×
Application finger splint static (29130) $234.65 $361 1.6×
Application long arm splint shoulder hand (29105) $372.45 $573 2.1×
Application Long Leg Cast Brace (29358) $720.85 $1,109 2.3×
Application Long Leg Splint (29505) $307.45 $473 1.7×
Application of long leg cast (29345) $653.25 $1,005 2.1×
Application of rigid total contact leg cast (29445) $659.10 $1,014 2.1×
Application Short Arm Splint Dynamic (29126) $323.05 $497 2.2×
Application short arm splint forearm-hand static (29125) $369.20 $568 2.5×
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $326.95–$365.95 $503–$563 varies
Apply hand/wrist cast (29085) $403.65 $621 2.2×
Apply long arm cast (29065)
range across 2 matching MRF lines		 $354.25–$396.50 $545–$610 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines		 $308.10–$434.20 $474–$668 varies
Apply Short Leg Cast (29405)
range across 2 matching MRF lines		 $354.25–$396.50 $545–$610 varies
Apply short leg cast (29425)
range across 3 matching MRF lines		 $354.25–$529.10 $545–$814 varies
Arterial puncture (36600) $243.10 $374 1.6×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $343.85–$384.80 $529–$592 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines		 $1,346.15–$1,508 $2,071–$2,320 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines		 $349.70–$523.25 $538–$805 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $1,346.15–$1,508 $2,071–$2,320 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $349.70–$391.95 $538–$603 varies
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $2,538.25 $3,905 1.4×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $2,112.50–$2,366 $3,250–$3,640 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $1,623.05–$1,818.05 $2,497–$2,797 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $349.70–$391.95 $538–$603 varies
Aspiration and/or injection thyroid cyst (60300) $651.30 $1,002 0.8×
Aspiration bladder insert suprapubic catheter (51102) $6,224.40 $9,576 2.7×
Aspiration Bladder Needle (51100) $820.30 $1,262 3.0×
Av fistula revision (36833) $9,827.35 $15,119 1.6×
Av Fistula Revision Open (36832) $9,021.35 $13,879 1.5×
Avulsion nail plate partial/complete simple 1 (11730) $417.95 $643 1.9×
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) $4,466.15 $6,871 0.6×
Biliary ndsc prq t-tube dilat strix w/stent (47556) $7,450.95 $11,463 0.6×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555)
unusually low: confirm this is the full procedure		 $2,331.55 $3,587 0.3×
Biopsy Abdominal Mass (49180) $1,938.95 $2,983 1.1×
Biopsy bone trocar/needle deep (20225) $2,206.10 $3,394 1.2×
Biopsy Bone Trocar/Needle Superficial (20220) $1,938.95 $2,983 1.1×
Biopsy muscle percutaneous needle (20206) $1,938.95 $2,983 1.1×
Biopsy of breast; open, incisional (19101) $3,442.40 $5,296 0.8×
Biopsy of floor of mouth (41108) $2,172.95 $3,343 1.2×
Biopsy of liver, needle; percutaneous (47000) $1,938.95 $2,983 1.1×
Biopsy Pleura Percutaneous Needle (32400) $2,023.45 $3,113 1.1×
Biopsy Prostate Transrectal Ultrasound-Guided (55707) $2,132 $3,280 0.5×
Biopsy Tongue Anterior Two-Thirds (41100) $1,100.45 $1,693 1.8×
Biopsy Vaginal Mucosa Simple (57100) $692.25 $1,065 0.7×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $872.95 $1,343 0.9×
Biopsy, vestibule of mouth (40808) $976.30 $1,502 1.6×
Bladder instillation anticarcinogenic agent (51720)
range across 2 matching MRF lines		 $85.80–$651.95 $132–$1,003 varies
Bladder Irrigation (51700) $385.45 $593 1.4×
Bladder Scan (51798) $143.65 $221 2.2×
Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) $2,450.50 $3,770 1.4×
Blepharoplasty upper eyelid (15822) $8,507.85 $13,089 3.7×
Blepharotomy drainage abscess eyelid (67700) $701.35 $1,079 2.0×
Blood Transfusion Service (36430)
range across 3 matching MRF lines		 $1,054.95–$1,181.05 $1,623–$1,817 varies
Bone Marrow Biopsy (38221)
range across 3 matching MRF lines		 $2,206.10–$3,309.80 $3,394–$5,092 varies
Bone Marrow Harvest Autolog (38232) $5,398.25 $8,305 1.1×
Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl (31643) $1,372.15 $2,111 0.7×
Bronchoscopy Clear Airways (31645) $1,621.10 $2,494 0.8×
Bronchoscopy W/Removal Foreign Body (31635) $2,453.10 $3,774 1.2×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $2,453.10 $3,774 0.6×
Bx breast 1st lesion mr imag (19085) $5,879.25 $9,045 3.2×
Bx breast 1st lesion strtctc (19081) $4,605.90 $7,086 2.5×
Bx breast 1st lesion us imag (19083) $3,194.10 $4,914 1.7×
Bx Cervix (57500) $993.20 $1,528 1.0×
Canthotomy Separate Procedure (67715) $1,786.20 $2,748 0.7×
Catheter aspiration nasotracheal spx (31720) $382.20 $588 1.6×
Cautery Cervix Electro/Thermal (57510) $3,726.45 $5,733 1.0×
Cerclage cervix pregnancy vaginal (59320) $3,025.75 $4,655 0.8×
Cessj Therapy Cath Removal (37214) $7,893.60 $12,144 2.2×
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $464.10–$520 $714–$800 varies
Change of Windpipe Airway (31502) $325 $500 1.2×
Change ureter stent percut (50382) $3,352.05 $5,157 1.4×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $399.75–$447.85 $615–$689 varies
Chemodenerv 1 extrem 5/> mus (64644) $848.25 $1,305 1.1×
Chemodenerv 1 extremity 1-4 (64642) $737.75 $1,135 0.9×
Chemodenerv Musc Migraine (64615) $349.70 $538 1.0×
Chemodenerv trunk musc 1-5 (64646) $677.95 $1,043 0.9×
Chemodenerv trunk musc 6/> (64647) $848.25 $1,305 1.1×
Chest tube placement (32551)
range across 2 matching MRF lines		 $1,623.05–$1,818.05 $2,497–$2,797 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688)
range across 2 matching MRF lines		 $2,451.80–$2,746.25 $3,772–$4,225 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $3,833.05 $5,897 1.0×
Circumcision w/clamp/oth dev w/block (54150) $482.95 $743 0.2×
Cl Tx Scapular Fx; W Manip (23575) $2,256.15 $3,471 1.3×
Cl Tx Tib Shft Fx W Manip (27752) $3,536 $5,440 2.0×
Clear outer ear canal (69200) $431.60 $664 2.9×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $2,900.95 $4,463 10.6×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $3,019.25 $4,645 1.7×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $3,175.25 $4,885 11.6×
Closed Treatment Ulnar Styloid Fracture (25650) $1,663.35 $2,559 6.1×
Closed tx ankle dislocation w/o anesthesia (27840) $3,035.50 $4,670 11.1×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $2,898.35 $4,459 1.6×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $1,960.40 $3,016 7.2×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $2,001.35 $3,079 7.3×
Closed tx carpal scaphoid fracture w/manj (25624) $2,650.05 $4,077 1.5×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $1,638 $2,520 6.0×
Closed tx knee dislocation w/o anesthesia (27550) $3,331.90 $5,126 12.2×
Closed Tx Lunate Dislocation W/Manipulation (25690) $5,197.40 $7,996 2.9×
Closed tx mandibular fracture w/manipulation (21451) $3,626.35 $5,579 2.1×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $1,617.85 $2,489 2.7×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $6,981 $10,740 1.1×
Closed tx metatarsal fracture w/o manipulation (28470) $1,545.70 $2,378 5.6×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $3,970.85 $6,109 2.2×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $2,522.65 $3,881 1.5×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $4,044.95 $6,223 1.1×
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) $6,603.35 $10,159 1.8×
Closed tx patellar dislocation w/anesthesia (27562) $3,354.65 $5,161 12.2×
Closed tx patellar dislocation w/o anesthesia (27560) $2,236.65 $3,441 8.2×
Closed Tx Patellar Fracture W/O Manipulation (27520) $1,792.70 $2,758 6.5×
Closed tx radial head/neck fx w/manipulation (24655) $2,825.55 $4,347 1.6×
Closed tx radial head/neck fx w/o manipulation (24650) $1,459.25 $2,245 5.3×
Closed tx radial shaft fracture w/manipulation (25505) $3,183.05 $4,897 1.8×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $1,541.80 $2,372 5.6×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $3,368.30 $5,182 1.9×
Closed tx radial&ulnar shaft fractures w/o man (25560) $1,521.65 $2,341 5.5×
Closed Tx Scapular Fracture W/O Manipulation (23570) $1,434.55 $2,207 5.2×
Closed tx septal&nose fx (21337) $4,044.95 $6,223 1.1×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $2,016.95 $3,103 7.4×
Closed tx talotarsal joint dislc w/o anes (28570) $1,157.65 $1,781 4.2×
Closed Tx Talus Fracture W/Manipulation (28435) $2,282.80 $3,512 1.3×
Closed tx talus fracture w/o manipulation (28430) $1,663.35 $2,559 6.1×
Closed tx tarsometatarsal dislocation w/o anes (28600) $1,129.70 $1,738 4.1×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $318.50 $490 1.2×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $2,735.20 $4,208 1.5×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $1,631.50 $2,510 6.0×
Closed tx ulnar shaft fracture w/o manipulation (25530) $1,434.55 $2,207 5.2×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $1,130.35 $1,739 4.3×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $1,480.05 $2,277 2.5×
Clsd tx acromioclavicular dislc w/manipulation (23545) $1,622.40 $2,496 5.9×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $1,375.40 $2,116 5.0×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $2,496.65 $3,841 1.4×
Clsd tx clavicular fracture w/o manipulation (23500) $1,342.25 $2,065 4.9×
Clsd tx shoulder dislc w/manipulation req anes (23655) $3,059.55 $4,707 1.7×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $1,979.25 $3,045 7.2×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $2,282.80 $3,512 1.3×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $3,324.10 $5,114 1.9×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $2,412.15 $3,711 1.3×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $1,315.60 $2,024 4.8×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $2,390.70 $3,678 1.3×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $1,735.50 $2,670 6.3×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $2,390.70 $3,678 8.7×
Cltx dstl fibular fx lat malls w/manj (27788) $2,666.30 $4,102 9.7×
Cltx dstl fibular fx lat malls w/o manj (27786) $1,913.60 $2,944 7.0×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $1,788.15 $2,751 6.5×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $1,170 $1,800 4.3×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $1,526.20 $2,348 5.6×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $3,507.40 $5,396 2.0×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $4,186 $6,440 2.3×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $3,300.70 $5,078 12.0×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $3,442.40 $5,296 12.6×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $6,713.85 $10,329 3.8×
Cltx fx grt toe phlx/phlg w/manj (28495) $1,019.85 $1,569 3.7×
Cltx fx grt toe phlx/phlg w/o manj (28490) $923 $1,420 3.4×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $973.05 $1,497 3.5×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $921.70 $1,418 3.4×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $3,288.35 $5,059 1.8×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $2,149.55 $3,307 7.8×
Cltx greater humeral tuberosity fx w/o manj (23620) $1,686.10 $2,594 6.1×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $2,774.85 $4,269 1.6×
Cltx hip dislocation traumatic req anesthesia (27252) $5,727.15 $8,811 3.2×
Cltx hip dislocation traumatic w/o anesthesia (27250) $3,844.10 $5,914 14.0×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $1,781 $2,740 6.5×
Cltx humeral condylar fx medial/lateral w/manj (24577) $3,388.45 $5,213 1.9×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $3,021.85 $4,649 1.7×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $1,713.40 $2,636 6.2×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $3,486.60 $5,364 2.0×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $1,979.25 $3,045 6.4×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $952.90 $1,466 3.5×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $5,824.65 $8,961 3.3×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $2,058.55 $3,167 6.6×
Cltx iphal jt dislc w/manj w/o anes (26770) $1,506.05 $2,317 5.5×
Cltx Med Ankle Fx W/Mnpj (27762) $3,218.80 $4,952 1.8×
Cltx Medial Ankle Fx (27760) $1,983.15 $3,051 7.2×
Cltx metacarpal fx w/manipulation each bone (26605) $2,083.90 $3,206 7.6×
Cltx metacarpal fx w/o manipulation each bone (26600) $1,375.40 $2,116 5.0×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $2,470 $3,800 1.4×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $2,426.45 $3,733 1.4×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $1,913.60 $2,944 7.0×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $967.85 $1,489 3.5×
Cltx post hip arthrp dislc req anes (27266) $4,406.35 $6,779 2.5×
Cltx post hip arthrp dislc w/o anes (27265) $3,250 $5,000 11.9×
Cltx prox fibula/shft fx w/o manj (27780) $1,818.70 $2,798 6.6×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $3,363.75 $5,175 1.9×
Cltx prox tibfib jt dislc req anes (27831) $3,657.55 $5,627 1.0×
Cltx prox tibfib jt dislc w/o anes (27830) $1,847.95 $2,843 6.7×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $2,946.45 $4,533 10.7×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $789.10 $1,214 2.9×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $3,467.75 $5,335 1.9×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $3,004.30 $4,622 1.7×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $3,742.05 $5,757 2.1×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $3,848.65 $5,921 2.2×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $2,241.20 $3,448 8.2×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $4,933.50 $7,590 2.8×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $3,657.55 $5,627 1.0×
Cltx tibial fx proximal w/o manipulation (27530) $2,191.80 $3,372 8.0×
Cltx tibial shaft fx w/o manipulation (27750) $1,937.65 $2,981 7.1×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $3,560.05 $5,477 13.0×
Cltx trimalleolar ankle fx w/manipulation (27818) $3,331.90 $5,126 1.9×
Cltx trimalleolar ankle fx w/o manipulation (27816) $2,143.70 $3,298 7.8×
Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) $4,319.90 $6,646 1.2×
Collect Blood From Catheter Venous Nos (36592)
range across 3 matching MRF lines		 $277.55–$310.70 $427–$478 varies
Collection of venous blood by venipuncture (36415)
range across 5 matching MRF lines		 $6.33–$23.40 $9.74–$36 varies
Colporrhaphy (57200)
range across 2 matching MRF lines		 $4,283.50–$4,797.65 $6,590–$7,381 varies
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $600.60 $924 1.8×
Colposcopy cervix upper/adjacent vagina (57452) $386.10 $594 1.7×
Colposcopy of vulva (56820) $386.10 $594 1.7×
Colpotomy; with exploration (57000) $4,799.60 $7,384 1.3×
Colsc Flexible W/Control Bleeding Any Method (45382) $898.95 $1,383 0.7×
Complex drainage wound (10180) $3,753.10 $5,774 1.2×
Composite Skin Graft (15760) $4,427.15 $6,811 1.9×
Control Nasal Hemorrhage Anterior Complex (30903) $647.40 $996 4.4×
Control Nasal Hemorrhage Anterior Simple (30901) $479.70 $738 3.2×
Control oropharyngeal hemorrhage simple (42960) $1,251.25 $1,925 2.1×
Conversion ext bil drg cath (47535) $4,516.85 $6,949 1.1×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $1,875.25 $2,885 0.9×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,675.40 $4,116 1.5×
Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) $5,587.40 $8,596 1.4×
Correction of trichiasis; epilation, by forceps only (67820) $390.65 $601 2.6×
Csf shunt reprogram (62252) $699.40 $1,076 2.0×
Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) $339.30 $522 1.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $791.05 $1,217 5.3×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $1,047.15 $1,611 4.0×
Curettage postpartum (59160) $5,845.45 $8,993 1.6×
Curette/treat cornea (65435) $786.50 $1,210 0.7×
Cysto Bladder W/Ureteral Catheterization (52005)
range across 2 matching MRF lines		 $260–$1,742.65 $400–$2,681 varies
Cysto calibration dilat urtl strix/stenosis (52281)
range across 2 matching MRF lines		 $298.35–$4,826.90 $459–$7,426 varies
Cysto w/complex removal stone & stent (52315)
range across 3 matching MRF lines		 $403–$1,570.40 $620–$2,416 varies
Cysto w/insert ureteral stent (52332)
range across 2 matching MRF lines		 $1,053–$2,618.85 $1,620–$4,029 varies
Cysto w/irrig & evac multple obstructing clots (52001)
range across 2 matching MRF lines		 $562.25–$4,604.60 $865–$7,084 varies
Cysto W/Simple Removal Stone & Stent (52310)
range across 2 matching MRF lines		 $297.05–$1,699.10 $457–$2,614 varies
Cysto w/urtroscopy w/tx ureteral stricture (52344) $665.60 $1,024 0.2×
Cysto/uretero w/lithotripsy (52356)
range across 2 matching MRF lines		 $177.45–$708.50 $273–$1,090 varies
Cystorrhaphy suture of bladder wound injury or rupture simple (51860)
likely a partial charge, not the full procedure		 $2,050.75 $3,155 0.2×
Cystostomy Cystotomy W/Drainage (51040) $577.85 $889 0.2×
Cystourethroscopy (52000)
range across 2 matching MRF lines		 $158.60–$676.65 $244–$1,041 varies
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235)
range across 2 matching MRF lines		 $79.95–$318.50 $123–$490 varies
Cystourethroscopy w/dil bladder general anesth (52260) $413.40 $636 0.2×
Cystourethroscopy with biopsy (52204) $276.90 $426 0.1×
Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Facility (52305)
likely a partial charge, not the full procedure		 $544.05 $837 0.1×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $677.95 $1,043 1.5×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $3,753.10 $5,774 1.2×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $1,794.65 $2,761 2.3×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $2,193.75 $3,375 2.8×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $1,164.80–$1,304.55 $1,792–$2,007 varies
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $155.35–$174.20 $239–$268 varies
Debride nail 6 or more (11721) $299.65 $461 4.6×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $2,311.40–$2,588.95 $3,556–$3,983 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 3 matching MRF lines		 $564.85–$1,304.55 $869–$2,007 varies
Declot vascular device (36593)
range across 4 matching MRF lines		 $397.80–$695.50 $612–$1,070 varies
Decompress Fingers/Hand (26035) $4,689.10 $7,214 1.3×
Delivery of placenta (59414) $3,726.45 $5,733 1.0×
Destr W Neurolytic; Celiac Plexus (64680) $2,515.50 $3,870 2.6×
Destroy cerv/thor facet jnt (64633) $2,856.75 $4,395 1.3×
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines		 $2,856.75–$3,126.50 $4,395–$4,810 varies
Destruct B9 Lesion 1-14 (17110) $315.90 $486 1.4×
Destruction by neurolytic agent; plantar common digital nerve (64632) $349.70 $538 1.0×
Destruction neurolytic agt genicular nerve w/img (64624) $2,068.95 $3,183 1.0×
Destruction of skin lesions (17106) $669.50 $1,030 1.5×
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines		 $250.25–$280.15 $385–$431 varies
Destruction Vaginal Lesions Simple (57061) $4,064.45 $6,253 1.1×
Diagnostic sigmoidoscopy (45330) $876.20 $1,348 0.8×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $81.90 $126 0.6×
Dilat Urethral Strix Dilator Male Sbsq (53601) $104 $160 0.7×
Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621)
range across 2 matching MRF lines		 $141.70–$512.20 $218–$788 varies
Dilat Xst Trc New Access Rcs (50437) $4,451.85 $6,849 1.1×
Dilate Urethra Stricture (53620) $171.60 $264 0.2×
Dilate Urethra Stricture (53600) $124.15 $191 0.4×
Dilation Cervical Canal (57800) $3,726.45 $5,733 1.0×
Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) $124.80 $192 0.0×
Drain Cerebro Spinal Fluid (62272) $913.25 $1,405 1.2×
Drain Hand Tendon Sheath (26020) $4,139.85 $6,369 1.1×
Drain/inj small joint/bursa w/us (20604) $1,353.30 $2,082 4.0×
Drainage Abscess/Hematoma Nasal Septum (30020) $768.95 $1,183 1.3×
Drainage external auditory canal abscess (69020) $923 $1,420 1.2×
Drainage external ear abscess/hematoma cmplx (69005) $2,493.40 $3,836 1.4×
Drainage External Ear Abscess/Hematoma Simple (69000) $913.25 $1,405 1.2×
Drainage Finger Abscess Complicated (26011) $1,938.95 $2,983 1.1×
Drainage Mouth Roof Lesion (42000) $781.30 $1,202 3.0×
Drainage of eye (65800) $1,867.45 $2,873 0.7×
Drainage of finger abscess simple (26010) $993.20 $1,528 4.5×
Drainage of gum lesion (41800) $714.35 $1,099 4.8×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $2,695.55–$3,019.25 $4,147–$4,645 varies
Drainage of mouth lesion (41017) $3,536.65 $5,441 1.0×
Drainage of nose lesion (30000) $742.95 $1,143 2.8×
Drainage of rectal abscess (45020) $3,683.55 $5,667 1.2×
Drainage of rectal abscess (45005) $2,959.45 $4,553 2.2×
Drainage of scrotal wall abscess (55100) $1,938.95 $2,983 1.1×
Drainage of scrotum (54700) $3,277.30 $5,042 1.4×
Drainage of throat abscess (42725) $6,981 $10,740 1.1×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines		 $207.35–$232.05 $319–$357 varies
Dressing Change Under Anesthesia (15852) $677.95 $1,043 0.8×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $1,346.15 $2,071 2.2×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $921.05 $1,417 1.2×
Drg Absc Submaxillary/Sublingual Intraoral (42310) $865.15 $1,331 1.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 3 matching MRF lines		 $571.35–$639.60 $879–$984 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 3 matching MRF lines		 $556.40–$623.35 $856–$959 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 4 matching MRF lines		 $357.50–$400.40 $550–$616 varies
Dstrj Lesion Penis Simple Cryosurgery (54056) $720.85 $1,109 3.2×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,244.75 $1,915 1.3×
Dx Bone Marrow Bx & Aspir (38222)
range across 3 matching MRF lines		 $2,734.55–$4,101.50 $4,207–$6,310 varies
Dx Bronchoscope/Lavage (31624) $1,337.70 $2,058 0.7×
Dx Bronchoscope/Wash (31622) $2,396.55 $3,687 1.2×
Dx Laryngoscopy Excl Nb (31525) $2,113.80 $3,252 1.1×
Dx lmbr spi pnxr w/fluor/CT (62328) $982.15 $1,511 1.3×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $413.40 $636 1.2×
Endocervical curettage (57505) $993.20 $1,528 1.0×
Endometrial Biopsy (58100) $533 $820 2.4×
Endovasc Temp Balloon Occlus,Head/Nck (61623) $15,903.55 $24,467 1.2×
Endoven abltj incmptnt vein xtr laser 1st vein (36478)
range across 2 matching MRF lines		 $3,883.75–$4,093.05 $5,975–$6,297 varies
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $6,522.75 $10,035 1.9×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $3,770.65 $5,801 1.6×
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $1,165.45–$1,305.20 $1,793–$2,008 varies
Episiotomy or vaginal repair (59300)
range across 2 matching MRF lines		 $3,025.75–$3,389.10 $4,655–$5,214 varies
Escharotomy; initial incision (16035) $1,075.10 $1,654 2.4×
Evacuation of subungual hematoma (11740) $252.85 $389 1.7×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $913.25 $1,405 1.2×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $3,175.90 $4,886 1.7×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $683.15 $1,051 0.9×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $865.80 $1,332 1.1×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $913.25 $1,405 1.2×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $2,169.70 $3,338 1.2×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $1,753.70 $2,698 2.2×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $2,169.70 $3,338 1.2×
Exc Hand Les Sc < 1.5 Cm (26115) $2,774.85 $4,269 1.5×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $3,139.50 $4,830 0.9×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $3,536.65 $5,441 1.0×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,469 $2,260 1.9×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $3,584.75 $5,515 2.0×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $4,719.65 $7,261 2.6×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $2,959.45 $4,553 2.2×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $751.40 $1,156 1.7×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines		 $718.25–$804.05 $1,105–$1,237 varies
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $3,916.25 $6,025 1.2×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $4,516.85 $6,949 1.1×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines		 $4,677.40–$7,014.80 $7,196–$10,792 varies
Exchange Transfusion (36455) $646.75 $995 1.3×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $1,955.20 $3,008 0.9×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $3,522.35 $5,419 2.0×
Excise excessive skin arm (15836) $4,757.35 $7,319 1.5×
Excision Chalazion Single (67800) $371.80 $572 1.1×
Excision Lingual Frenum Frenectomy (41115) $2,018.25 $3,105 1.2×
Excision olecranon bursa (24105) $7,273.50 $11,190 2.0×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $3,265.60 $5,024 0.9×
Excision Pilonidal Cyst/Sinus Extensive (11771) $3,753.10 $5,774 1.2×
Expl penetrating wound spx abdomen/flank/back (20102) $2,669.55 $4,107 1.2×
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines		 $2,588.30–$2,899 $3,982–$4,460 varies
Exploration penetrating wound spx chest (20101) $3,333.85 $5,129 1.5×
Exploration penetrating wound spx extremity (20103) $2,416.05 $3,717 1.3×
Exploration Penetrating Wound Spx Neck (20100) $4,118.40 $6,336 6.9×
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) $5,864.30 $9,022 0.8×
External cephalic version (59412) $3,157.70 $4,858 0.9×
Eye Surg Ant Sgmt Proc Unlisted (66999) $2,002.65 $3,081 0.8×
Fetal Contraction Stress Test (59020)
range across 2 matching MRF lines		 $299.65–$370.50 $461–$570 varies
Fetal non-stress test (59025) $491.40 $756 2.2×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $821.60 $1,264 1.0×
Fine needle aspiration without imaging guidance (10021) $503.10 $774 1.1×
Fluid Pressure Muscle (20950) $913.25 $1,405 1.2×
Fluoro exam of g/colon tube (49465) $429.65 $661 1.6×
Fna Bx W/Fluor Gdn 1St Les (10007) $816.40 $1,256 1.0×
Fna bx w/us gdn 1st les (10005) $821.60 $1,264 1.0×
Foreskin manipulation (54450) $453.05 $697 1.6×
Guide Cathet Fluid Drainage (10030) $1,686.10 $2,594 2.1×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $5,759.65 $8,861 1.9×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $3,536.65 $5,441 1.0×
I&d abscess peritonsillar (42700) $985.40 $1,516 3.7×
I&d abscess simple (10060)
range across 3 matching MRF lines		 $468–$664.30 $720–$1,022 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $5,925.40 $9,116 1.8×
I&D Deep Absc/Hematoma Neck/Chest (21501) $3,753.10 $5,774 1.2×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $3,857.10 $5,934 1.1×
I&D Intramural Im/Absc Transanal Anes (46045) $3,532.75 $5,435 1.1×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $3,511.95 $5,403 1.0×
I&d perianal abscess superficial (46050) $2,570.10 $3,954 2.5×
I&d pilonidal cyst complicated (10081) $1,591.20 $2,448 2.0×
I&d pilonidal cyst simple (10080) $921.05 $1,417 1.2×
I&d shoulder deep abscess/hematoma (23030) $3,753.10 $5,774 1.2×
I&d upper arm/elbow deep abscess/hematoma (23930) $3,061.50 $4,710 0.9×
Icd Pocket Revision (33223) $5,144.10 $7,914 2.2×
Image Cath Fluid Colxn Visc (49405) $3,622.45 $5,573 2.0×
Image Cath Fluid Peri/Retro (49406)
range across 3 matching MRF lines		 $334.10–$3,622.45 $514–$5,573 varies
Image Cath Fluid Trns/Vgnl (49407) $4,236.70 $6,518 2.3×
Implant neuroelectrodes (63650) $8,834.15 $13,591 1.2×
Implant Neuroelectrodes (64561)
range across 2 matching MRF lines		 $8,834.15–$13,104.65 $13,591–$20,161 varies
Implant Periph/Gastric Neurostim/Receiver (64590) $23,621.65 $36,341 1.1×
Implant Spine Infusion Pump (62362) $20,075.90 $30,886 1.0×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
range across 2 matching MRF lines		 $6,594.25–$7,385.30 $10,145–$11,362 varies
Incise external hemorrhoid (46083) $826.80 $1,272 3.0×
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines		 $717.60–$1,203.15 $1,104–$1,851 varies
Incision & removal foreign body subq tiss compl (10121) $2,206.10 $3,394 1.2×
Incision & removal foreign body subq tiss simple (10120) $502.45 $773 1.1×
Incision and drainage of bartholin's gland abscess (56420) $754 $1,160 3.4×
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) $3,753.10 $5,774 1.2×
Incision and drainage of vulva or perineal abscess (56405) $763.75 $1,175 2.3×
Incision of rectal abscess (46040) $4,556.50 $7,010 3.4×
Incision of urethra (53000) $3,498.30 $5,382 1.5×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $2,609.75 $4,015 1.4×
Incisional biopsy skin single lesion (11106) $606.45 $933 0.7×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 3 matching MRF lines		 $250.25–$280.15 $385–$431 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $2,115.10–$3,175.25 $3,254–$4,885 varies
Inj W/Fluor Eval Cv Device (36598) $1,035.45 $1,593 4.4×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines		 $1,563.90–$2,345.85 $2,406–$3,609 varies
Inject Intravitreal Pharmcologic (67028) $800.15 $1,231 2.2×
Injection 1 tendon sheath/ligament aponeurosis (20550) $349.70 $538 1.0×
Injection aa&/strd axillary nerve w/img gdn (64417) $1,085.50 $1,670 1.1×
Injection aa&/strd genicular nrv branches w/img (64454) $916.50 $1,410 1.2×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $2,357.55 $3,627 2.4×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $732.55 $1,127 0.9×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,064.70 $1,638 1.4×
Injection Anes Superior Hypogastric Plexus (64517) $1,199.25 $1,845 1.2×
Injection for identification of sentinel node (38792) $523.25 $805 1.2×
Injection into spinal artery (62294) $4,649.45 $7,153 4.7×
Injection single tendon origin/insertion (20551) $349.70 $538 1.0×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $349.70–$391.95 $538–$603 varies
Injection single/mlt trigger point 3/> muscles (20553) $644.15 $991 1.9×
Injection therapeutic carpal tunnel (20526)
range across 3 matching MRF lines		 $349.70–$391.95 $538–$603 varies
Injection, anesthetic agent; brachial plexus, single (64415) $1,282.45 $1,973 1.3×
Injection, anesthetic agent; femoral nerve, single (64447) $913.25 $1,405 1.2×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $947.70–$1,061.45 $1,458–$1,633 varies
Injection, intralesional; up to and including 7 lesions (11900) $250.25 $385 1.1×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $2,624.70 $4,038 2.7×
Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) $2,515.50 $3,870 2.6×
Injx/Infusion Neurolytic Substance Subarachnoid (62280) $1,337.70 $2,058 1.4×
Ins cath ren art 1st bilat (36252) $9,541.35 $14,679 2.7×
Ins cath ren art 1st unilat (36251) $7,448.35 $11,459 2.1×
Ins cath ren art 2nd+ bilat (36254) $5,101.20 $7,848 1.5×
Ins cath ren art 2nd+ unilat (36253) $5,528.25 $8,505 0.9×
Ins endovas vena cava filtr (37191) $11,442.60 $17,604 1.9×
Ins Vag Brachytx Device (57156) $1,553.50 $2,390 4.6×
Ins/Rep Subq Defibrillator (33270) $34,856.25 $53,625 1.0×
Insert 1 Electrode Pm-Defib (33216) $6,479.20 $9,968 0.7×
Insert and remove bone pin (20650) $4,454.45 $6,853 1.2×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $151.45–$583.05 $233–$897 varies
Insert cath pleura w/ image (32557) $1,623.05 $2,497 0.9×
Insert cath pleura w/o image (32556)
range across 2 matching MRF lines		 $2,091.05–$2,341.95 $3,217–$3,603 varies
Insert cervical dilator (59200) $393.25 $605 1.2×
Insert Drug Implant Device (11981) $482.30 $742 3.3×
Insert Gastrostomy Tube Percutaneous (49440) $3,044.60 $4,684 1.4×
Insert Heart Pm Atrial (33206) $10,464.35 $16,099 0.9×
Insert Heart Pm Ventricular (33207) $10,464.35 $16,099 0.9×
Insert hepatic shunt (tips) (37182) $11,584.30 $17,822 0.6×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $3,300.70–$3,696.55 $5,078–$5,687 varies
Insert Pacing Lead & Connect (33224) $12,734.80 $19,592 1.1×
Insert Picc W/O Sub-Q Port <5 Y/O (36568)
range across 3 matching MRF lines		 $1,548.95–$1,635.40 $2,383–$2,516 varies
Insert pulse gen dual leads (33213) $14,669.85 $22,569 1.3×
Insert pulse gen mult leads (33221) $18,173.35 $27,959 0.8×
Insert Pulse Gen Sngl Lead (33212) $8,702.20 $13,388 0.9×
Insert Temp Bladder Cath (51702)
range across 4 matching MRF lines		 $50.70–$180.05 $78–$277 varies
Insert tun ip cath perc (49418) $9,922.25 $15,265 2.5×
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $6,056.70–$6,783.40 $9,318–$10,436 varies
Insert tunneled cv cath (36563) $5,502.90 $8,466 0.9×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $5,502.90 $8,466 0.9×
Insert,Non-Indwelling Bladder Catheter (51701) $217.10 $334 1.5×
Insertion indwelling tunneled pleural catheter (32550) $5,232.50 $8,050 1.3×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,725.45 $4,193 1.6×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $6,478.55 $9,967 0.7×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421)
range across 2 matching MRF lines		 $2,266.55–$2,414.10 $3,487–$3,714 varies
Insertion Uterine Tandem&/Vaginal Ovoids (57155) $3,758.95 $5,783 0.7×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $6,479.20 $9,968 0.7×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555)
range across 2 matching MRF lines		 $3,302–$3,698.50 $5,080–$5,690 varies
Insj Picc Rs&I <5 Yr (36572) $1,384.50 $2,130 2.0×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $3,302 $5,080 0.9×
Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) $3,302 $5,080 0.9×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 5 matching MRF lines		 $2,725.45–$3,222.05 $4,193–$4,957 varies
Insj Subq Impltbl Dfb Elctrd (33271) $6,479.20 $9,968 0.7×
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $3,909.10 $6,014 1.1×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $5,502.90 $8,466 0.9×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) $3,909.10 $6,014 1.1×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines		 $5,935.15–$6,647.55 $9,131–$10,227 varies
Insj/Rplcmt Defib W/Lead(S) (33249) $37,086.40 $57,056 1.1×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $43,211.35 $66,479 1.3×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $6,478.55 $9,967 0.7×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) $7,995 $12,300 0.9×
Insrt heart pm atrial & vent (33208) $12,443.60 $19,144 1.1×
Insrt Pulse Gen W/Dual Leads (33230) $35,045.40 $53,916 1.4×
Insrt Pulse Gen W/Mult Leads (33231) $35,045.40 $53,916 1.0×
Insrt Pulse Gen W/Singl Lead (33240) $28,952.95 $44,543 1.2×
Interdental fixation (21110) $4,018.30 $6,182 2.3×
Interdental Wiring Other Than Fracture (21497) $2,191.80 $3,372 1.3×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,897.35 $2,919 4.2×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $2,355.60 $3,624 5.2×
Intraoral i&d tongue/floor lingual (41000) $1,145.95 $1,763 1.9×
Intraoral i&d tongue/floor submental space (41007) $3,476.85 $5,349 2.0×
Intraoral i&d tongue/floor submndblr space (41008) $4,044.95 $6,223 1.1×
Intro cath dialysis circuit (36901) $1,118 $1,720 0.6×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $11,308.05 $17,397 0.9×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $10,928.45 $16,813 1.7×
Intro Gastrointestinal Tube (44500) $934.70 $1,438 0.9×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $831.35–$930.80 $1,279–$1,432 varies
Irrigation of corpora cavernosa for priapism (54220) $923 $1,420 3.3×
Kidney endoscopy (50553)
likely a partial charge, not the full procedure		 $670.80 $1,032 0.1×
Laparo ablate renal cyst (50541)
likely a partial charge, not the full procedure		 $1,810.25 $2,785 0.2×
Laparo new ureter/bladder (50947)
likely a partial charge, not the full procedure		 $2,377.70 $3,658 0.2×
Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323)
range across 2 matching MRF lines		 $3,235.05–$4,314.05 $4,977–$6,637 varies
Laparoscopy, surgical; partial nephrectomy (50543)
likely a partial charge, not the full procedure		 $2,939.95 $4,523 0.2×
Laparoscopy, surgical; pyeloplasty (50544)
likely a partial charge, not the full procedure		 $2,449.85 $3,769 0.2×
Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Facility (50948)
likely a partial charge, not the full procedure		 $2,188.55 $3,367 0.2×
Laryngoscopy diagnostic (31505)
range across 2 matching MRF lines		 $156–$174.85 $240–$269 varies
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $232.70–$260.65 $358–$401 varies
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $586.30 $902 1.3×
Laryngoscopy W/Foreign Body Removal (31530) $2,721.55 $4,187 1.4×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $1,667.90 $2,566 3.8×
Late closure of wound (13160) $6,882.20 $10,588 1.7×
Lateral Canthopexy (21282) $3,690.70 $5,678 1.0×
Lip Surgery Procedure (40799) $672.75 $1,035 2.6×
Lithotripsy, extracorporeal shock wave (50590) $1,130.35 $1,739 0.3×
Lyse chest fibrin init day (32561) $435.50 $670 0.6×
Lyse Chest Fibrin Subq Day (32562) $435.50 $670 0.6×
Marsupialization of bartholin's gland cyst (56440) $3,390.40 $5,216 0.9×
Maternity Care Procedure (59899)
range across 2 matching MRF lines		 $395.20–$659.75 $608–$1,015 varies
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $1,623.05 $2,497 0.9×
Mech remov tunneled cv cath (36595) $4,687.80 $7,212 1.3×
Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) $5,888.35 $9,059 1.5×
Myelography Lumbar Injection (62305) $2,785.25 $4,285 3.2×
Myelography Lumbar Injection (62304) $1,656.20 $2,548 1.9×
Myelography via lumbar injection rs&i cervical (62302) $1,656.20 $2,548 1.9×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $1,656.20 $2,548 1.9×
N Block Inj Celiac Pelus (64530) $1,282.45 $1,973 1.3×
N block inj intercost sng (64420)
range across 2 matching MRF lines		 $843.05–$944.45 $1,297–$1,453 varies
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines		 $349.70–$391.95 $538–$603 varies
N Block Inj Pudendal (64430)
range across 2 matching MRF lines		 $949–$1,369.55 $1,460–$2,107 varies
N Block Lumbar/Thoracic (64520) $1,090.70 $1,678 1.1×
Nasal Endoscopy Dx (31231) $451.10 $694 2.0×
Nasal surgery procedure (30999) $362.70 $558 1.4×
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines		 $581.10–$650.65 $894–$1,001 varies
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $2,113.80 $3,252 1.1×
Needle Biopsy Lymph Nodes (38505) $1,938.95 $2,983 1.1×
Needle Biopsy Pancreas (48102) $2,023.45 $3,113 1.1×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U)
range across 2 matching MRF lines		 $371.34–$427.05 $571.29–$657 varies
Nfct Ds Dna&Rna 21 Targets Sars-Cov-2 Amp Probe (0225U) $301.78 $464.28 0.7×
Njx anes stellate ganglion crv sympathetic (64510) $1,199.25 $1,845 1.2×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $763.75 $1,175 2.2×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $3,690.70 $5,678 0.9×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $3,690.70 $5,678 0.9×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $2,212.60–$3,319.55 $3,404–$5,107 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $2,056.60 $3,164 2.6×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $2,056.60 $3,164 2.6×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 2 matching MRF lines		 $128.70–$850.20 $198–$1,308 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430)
range across 2 matching MRF lines		 $302.25–$850.20 $465–$1,308 varies
Njx Sclrsnt 1 Incmptnt Vein (36470) $399.10 $614 0.9×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $509.60 $784 1.1×
Obstructive material removal from gi tube (49460) $975 $1,500 1.0×
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 $629.20–$704.60 $968–$1,084 varies
Open Implantation Nea Sacral Nerve (64581) $9,139.65 $14,061 1.3×
Open treatment of nasal fracture; uncomplicated Facility (21325) $3,536.65 $5,441 1.0×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $4,219.80 $6,492 1.2×
Open tx carpal bone fracture oth/thn scaphoid ea (25645) $7,265.70 $11,178 2.0×
Open Tx Distal Phalangeal Fracture Each (26765) $3,657.55 $5,627 1.0×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $4,139.85 $6,369 1.1×
Open tx interphalangeal joint dislocation (26785) $4,139.85 $6,369 1.1×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $7,580.95 $11,663 2.1×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $4,257.50 $6,550 1.2×
Open/Perq Place Stent 1St (37236) $13,068.25 $20,105 1.0×
Open/Perq Place Stent Same (37238)
range across 2 matching MRF lines		 $13,068.25–$19,604 $20,105–$30,160 varies
Ostectomy, complete excision; fifth metatarsal head (28113) $4,037.80 $6,212 1.1×
Partial hymenectomy or revision of hymenal ring (56700) $3,888.30 $5,982 1.1×
Perc Cryo Ablate Renal Tum (50593) $11,754.60 $18,084 1.0×
Perc Rf Ablate Renal Tumor (50592)
range across 2 matching MRF lines		 $7,101.25–$10,383.10 $10,925–$15,974 varies
Percut Ablate Liver Rf (47382) $7,410 $11,400 1.1×
Percut Cath Occlusn Non Cns Lesn (61626) $15,903.55 $24,467 1.2×
Percut Drain/Inject Renal Cyst (50390) $1,667.90 $2,566 2.1×
Percut Mech Thrombectomy, Venous, Repeat (37188) $5,677.75 $8,735 1.6×
Pericardiocentesis W/Imaging (33016) $1,118 $1,720 0.6×
Peritoneal Lavage (49084)
range across 2 matching MRF lines		 $1,483.95–$1,662.05 $2,283–$2,557 varies
Perm Occlusion/Embolization,Percut,Cns (61624) $19,334.25 $29,745 0.9×
Perq av fistula creation uxtr sep access sites (36837) $15,074.15 $23,191 0.7×
Perq av fistula creation uxtr single access (36836) $11,334.70 $17,438 0.6×
Perq Cervicothoracic Inject (22510) $7,663.50 $11,790 2.1×
Perq dev breast 1st mr guide (19287) $3,879.20 $5,968 4.9×
Perq dev breast 1st strtctc (19283) $2,602.60 $4,004 3.3×
Perq dev breast 1st us imag (19285) $2,094.30 $3,222 2.7×
Perq device breast 1st imag (19281) $1,808.95 $2,783 1.0×
Perq dilation xst trc endourologic px w/img (50436) $3,703.70 $5,698 0.9×
Perq Lumbosacral Injection (22511) $7,663.50 $11,790 2.1×
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080)
range across 2 matching MRF lines		 $1,714.05–$14,646.45 $2,637–$22,533 varies
Perq p-art revsc 1 nm nt uni (33900) $11,363.95 $17,483 0.9×
Perq p-art revsc st 1st abnor connj unilateral (33902) $11,363.95 $17,483 0.6×
Perq p-art revsc st 1st abnormal connj bilateral (33903) $20,463.30 $31,482 1.6×
Perq p-art revsc st 1st nml native connj bi (33901) $20,463.30 $31,482 1.6×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $2,017.60 $3,104 2.6×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $17,537 $26,980 1.4×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $12,025 $18,500 1.9×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $12,611.30 $19,402 1.6×
Perq Vertebral Augmentation (22513) $12,611.30 $19,402 1.6×
Place Cath Subclavian Art (36225)
range across 2 matching MRF lines		 $11,855.35–$17,332.25 $18,239–$26,665 varies
Place Cath Thoracic Aorta (36221) $8,243.30 $12,682 2.3×
Place Cath Vertebral Art (36226)
range across 2 matching MRF lines		 $11,855.35–$17,332.25 $18,239–$26,665 varies
Place Duod/Jej Tube Perc (49441) $1,875.25 $2,885 0.9×
Place Rt Device/Marker Pros (55876) $2,687.10 $4,134 1.7×
Placement Needle Pelvic Organ Radioelement Appl (55920) $10,905.70 $16,778 2.0×
Placement of needle for intraosseous infusion (36680) $517.40 $796 1.0×
Placement of seton (46020) $4,859.40 $7,476 1.6×
Plmt expandable cath brst following prtl mast (19296) $12,329.20 $18,968 1.4×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $5,497.70 $8,458 2.4×
Plmt Nephroureteral Catheter (50433) $5,497.70 $8,458 1.4×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695)
range across 2 matching MRF lines		 $7,904.65–$11,856 $12,161–$18,240 varies
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693)
range across 4 matching MRF lines		 $274.30–$11,856 $422–$18,240 varies
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694)
range across 2 matching MRF lines		 $7,904.65–$11,856 $12,161–$18,240 varies
Prim art mech thrombectomy (37184) $12,088.05 $18,597 0.6×
Proctopexy Perineal Approach (45541) $5,486 $8,440 1.8×
Proctosgmdsc Rigid Control Bleeding (45317) $2,023.45 $3,113 1.5×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $5,179.20 $7,968 1.3×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $5,179.20 $7,968 1.3×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $4,139.85 $6,369 1.1×
Pseudoaneurysm Injection Trt (36002) $709.80 $1,092 1.0×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $457.60–$512.20 $704–$788 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $457.60–$512.20 $704–$788 varies
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines		 $821.60–$920.40 $1,264–$1,416 varies
Puncture shunt tube/reservoir aspiration/inj px (61070)
range across 3 matching MRF lines		 $843.70–$945.10 $1,298–$1,454 varies
Pvb Thoracic Single Injection Site W/Img Gid (64461) $837.85 $1,289 1.1×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $2,024.10 $3,114 0.9×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Local Tiss (26542) $4,115.80 $6,332 1.1×
Redo Endovas Vena Cava Filtr (37192) $7,097.35 $10,919 2.0×
Reduction of rectal prolapse (45900) $1,209 $1,860 1.2×
Reinsert ocular implant (65150) $3,107 $4,780 0.7×
Relocation Pocket Pacemaker (33222) $3,169.40 $4,876 1.4×
Rem Endovas Vena Cava Filter (37193) $7,097.35 $10,919 2.0×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $975 $1,500 1.0×
Removal Embedded Foreign Body Eyelid (67938) $352.30 $542 1.0×
Removal Foreign Body Deep Thigh/Knee (27372) $3,753.10 $5,774 1.2×
Removal Foreign Body Foot Complicated (28193) $3,548.35 $5,459 1.9×
Removal foreign body foot deep (28192) $2,924.35 $4,499 1.6×
Removal Foreign Body Foot Subcutaneous (28190) $1,506.70 $2,318 1.9×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $1,938.95 $2,983 1.1×
Removal Foreign Body Scrotum (55120) $3,277.30 $5,042 1.4×
Removal foreign body upper arm/elbow deep (24201) $3,753.10 $5,774 1.2×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines		 $78.65–$132.60 $121–$204 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines		 $85.15–$174.85 $131–$269 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $3,888.30 $5,982 1.1×
Removal Implant Superficial Separate Procedure (20670) $2,978.30 $4,582 1.6×
Removal of foreign body from pharynx (42809) $998.40 $1,536 2.0×
Removal of kidney stone (50081)
likely a partial charge, not the full procedure		 $2,521.35 $3,879 0.2×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $768.95–$861.25 $1,183–$1,325 varies
Removal of testis (54520) $651.95 $1,003 0.2×
Removal of tunneled intraperitoneal catheter (49422)
range across 2 matching MRF lines		 $443.95–$5,965.70 $683–$9,178 varies
Removal or bivalving full arm or full leg cast (29705) $395.20 $608 1.3×
Removal Pacemaker Electrode (33235) $2,734.55 $4,207 0.7×
Removal ppm generator only (33233) $6,478.55 $9,967 0.7×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $294.45–$329.55 $453–$507 varies
Removal subcutaneous cardiac rhythm monitor (33286) $1,353.95 $2,083 1.7×
Removal Sutures/Staples Requiring Anesthesia (15851) $2,285.40 $3,516 1.0×
Removal tong/halo applied by another individual (20665)
range across 2 matching MRF lines		 $491.40–$550.55 $756–$847 varies
Removal/bivalving gauntlet boot/body cast (29700) $332.15 $511 1.1×
Remove Brain Cavity Fluid (61020) $1,207.05 $1,857 1.2×
Remove cerclage suture (59871) $3,025.75 $4,655 0.8×
Remove drug implant device (11982) $569.40 $876 1.1×
Remove Elctrd Transvenously (33244) $4,068.35 $6,259 1.0×
Remove Forearm Foreign Body (25248) $3,617.25 $5,565 2.0×
Remove foreign body from eye (65235) $2,644.85 $4,069 1.0×
Remove foreign body from eye (65205) $166.40 $256 1.1×
Remove Intrauterine Device (58301) $517.40 $796 1.5×
Remove intrvas foreign body (37197) $6,795.75 $10,455 1.9×
Remove lung catheter (32552) $876.20 $1,348 1.3×
Remove Nasal Foreign Body (30300) $404.95 $623 2.7×
Remove Peritoneal Foreign Body (49402) $3,131.70 $4,818 0.8×
Remove prostate regrowth (52630)
likely a partial charge, not the full procedure		 $801.45 $1,233 0.1×
Remove Pulse Generator (33241) $2,734.55 $4,207 0.7×
Remove renal tube w/fluoro (50389) $1,277.90 $1,966 1.6×
Remove Shoulder Foreign Body (23330) $1,469 $2,260 0.8×
Remove ureter stent percut (50384) $2,451.80 $3,772 1.1×
Remove&replace pm gen singl (33227) $12,230.40 $18,816 1.3×
Remv&replc cvd gen dual lead (33263) $36,996.05 $56,917 1.5×
Remv&replc cvd gen mult lead (33264) $36,996.05 $56,917 1.1×
Remv&replc cvd gen sing lead (33262) $36,996.05 $56,917 1.5×
Remv&replc pm gen dual lead (33228) $12,782.90 $19,666 1.1×
Remv&replc pm gen mult leads (33229) $18,173.35 $27,959 0.8×
Renal Biopsy Perq (50200)
range across 2 matching MRF lines		 $1,206.40–$2,206.10 $1,856–$3,394 varies
Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561)
likely a partial charge, not the full procedure		 $772.85 $1,189 0.1×
Repair arm/leg nerve (64857) $7,684.30 $11,822 2.0×
Repair Blood Vessel Direct Hand Finger (35207) $4,122.95 $6,343 1.2×
Repair Blood Vessel Direct Upper Extremity (35206)
range across 2 matching MRF lines		 $4,087.85–$4,745.65 $6,289–$7,301 varies
Repair blood vessel lesion (35190) $4,758.65 $7,321 0.8×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $2,122.25 $3,265 2.6×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $2,901.60 $4,464 3.5×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,700.40 $2,616 3.8×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $2,586.35 $3,979 5.7×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,473.55 $2,267 3.3×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,897.35 $2,919 4.2×
Repair complex trunk 1.1-2.5 cm (13100) $2,200.90 $3,386 2.7×
Repair complex trunk 2.6-7.5 cm (13101) $1,749.15 $2,691 2.1×
Repair extensor tendon finger w/o graft each (26418) $5,673.20 $8,728 3.2×
Repair Eyelid Wound (67935) $2,139.80 $3,292 0.8×
Repair finger deformity (26590) $10,426.65 $16,041 5.8×
Repair Finger Tendon (26433) $4,199.65 $6,461 1.2×
Repair Finger/Hand Tendon (26350) $7,274.80 $11,192 2.0×
Repair Hand Joint (26540) $6,020.95 $9,263 1.7×
Repair Hand Tendon (26410) $5,840.90 $8,986 3.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $1,101.75 $1,695 2.4×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $1,174.55 $1,807 2.6×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,323.40 $2,036 2.9×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,456 $2,240 3.2×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,591.20 $2,448 1.9×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $921.05 $1,417 2.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $1,174.55 $1,807 2.6×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,354.60 $2,084 1.6×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $2,657.20 $4,088 1.2×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,468.35 $2,259 3.2×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $829.40 $1,276 1.8×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $1,058.20 $1,628 2.3×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,890.20 $2,908 2.3×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $1,244.75 $1,915 2.8×
Repair intermediate s/a/t/e >30.0 cm (12037) $2,536.95 $3,903 1.1×
Repair intrinsic muscles hand each muscle (26591) $4,941.30 $7,602 1.4×
Repair Laceration Palate </2 Cm (42180) $1,105 $1,700 1.8×
Repair Laceration Palate >2 Cm/Complex (42182) $7,518.55 $11,567 1.1×
Repair lead pace-defib dual (33220) $9,406.15 $14,471 2.3×
Repair Lead Pace-Defib One (33218) $5,160.35 $7,939 1.2×
Repair of nail bed (11760) $816.40 $1,256 1.0×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $4,139.85 $6,369 1.1×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $8,994.05 $13,837 1.1×
Repair tongue laceration (41252) $1,573 $2,420 6.0×
Repair tongue laceration (41250) $1,026.35 $1,579 2.1×
Repair Tooth Socket (41874) $3,690.70 $5,678 1.0×
Replace duodenostomy/jejunostomy tube perq (49451)
range across 2 matching MRF lines		 $1,844.70–$2,066.35 $2,838–$3,179 varies
Replace G-J Tube Perc (49452) $1,595.10 $2,454 1.6×
Replace g/c tube perc (49450)
range across 2 matching MRF lines		 $2,128.10–$2,383.55 $3,274–$3,667 varies
Replantation digit complete (20822) $19,051.50 $29,310 10.7×
Repos Previously Implanted Subq Implantable Dfb (33273) $2,734.55 $4,207 0.7×
Reposition Gastrostomy Tube (43761)
range across 2 matching MRF lines		 $1,180.40–$1,322.10 $1,816–$2,034 varies
Reposition L Ventric Lead (33226) $2,275 $3,500 0.6×
Reposition Pacing-Defib Lead (33215) $3,901.30 $6,002 1.1×
Reposition Venous Catheter (36597) $1,623.05 $2,497 0.9×
Rerepair ing hernia reduce (49520) $9,170.85 $14,109 2.3×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $3,407.95 $5,243 0.9×
Respir iadna 18 viral&2 bact (0115U)
range across 2 matching MRF lines		 $294.68–$390 $453.36–$600 varies
Rev/rmv prph sac/gstr npg/r (64595) $3,778.45 $5,813 1.0×
Revise knuckle joint (26530) $8,093.80 $12,452 1.0×
Revision of lower leg tendon (27685) $6,006 $9,240 1.7×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $4,748.90 $7,306 1.2×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $15,187.90 $23,366 2.4×
Revj/rmvl peripheral neurostimulator electrode (64585) $3,778.45 $5,813 1.0×
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) $9,651.85 $14,849 1.5×
Revsc evasc fpvt angiop uni sf les 1st vsl (37263) $8,774.35 $13,499 1.4×
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) $23,236.85 $35,749 1.1×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271) $21,124.35 $32,499 1.0×
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) $31,953.35 $49,159 1.6×
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) $29,048.50 $44,690 1.4×
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) $20,058.35 $30,859 1.6×
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) $18,235.10 $28,054 1.4×
Revsc evasc imvt angiop uni cplx les 1st vsl (37298) $12,159.55 $18,707 0.9×
Revsc evasc imvt angiop uni sf les 1st vsl (37296) $11,053.90 $17,006 0.9×
Revsc evasc ivt angiop uni cplx les 1st vsl (37256) $11,150.75 $17,155 1.8×
Revsc evasc ivt angiop uni sf les 1st vsl (37254) $10,136.75 $15,595 1.6×
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) $18,039.45 $27,753 1.4×
Revsc evasc ivt st plmt uni sf les 1st vsl (37258) $16,399.50 $25,230 1.3×
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) $12,159.55 $18,707 0.9×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280) $11,053.90 $17,006 0.9×
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) $23,236.85 $35,749 1.1×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $21,124.35 $32,499 1.0×
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) $20,429.50 $31,430 1.0×
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) $18,572.45 $28,573 0.9×
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) $18,747.95 $28,843 0.9×
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) $17,043.65 $26,221 0.8×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $2,451.80 $3,772 1.1×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $3,476.85 $5,349 2.0×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $1,047.15 $1,611 1.0×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $3,208.40 $4,936 1.7×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $364.65 $561 0.7×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $314.60 $484 2.1×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $364.65 $561 0.7×
Rmvl fecal impaction/fb spx under anes (45915) $2,590.90 $3,986 1.9×
Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) $3,476.85 $5,349 2.0×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $3,753.10 $5,774 1.2×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $3,061.50 $4,710 0.9×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $1,938.95 $2,983 1.1×
Rmvl of subq implantable defibrillator electrode (33272) $2,734.55 $4,207 0.7×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $7,010.25 $10,785 1.8×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $2,789.80 $4,292 0.7×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $2,646.15 $4,071 1.5×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 3 matching MRF lines		 $298.35–$1,475.50 $459–$2,270 varies
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $692.90–$776.10 $1,066–$1,194 varies
Rplc gtube revj gstrst trc (43763) $905.45 $1,393 3.3×
Rplcmt cath ctr vad subq port/pmp (36578)
range across 2 matching MRF lines		 $3,302–$3,698.50 $5,080–$5,690 varies
Rplcmt compl non-tun cvc w/o subq port/pmp (36580)
range across 2 matching MRF lines		 $1,623.05–$1,818.05 $2,497–$2,797 varies
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $3,302 $5,080 0.9×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584)
range across 3 matching MRF lines		 $1,623.05–$1,628.25 $2,497–$2,505 varies
Rplcmt compl tun ctr vad w/subq pmp (36583) $5,502.90 $8,466 0.9×
Rplcmt compl tun ctr vad w/subq port (36582) $6,938.10 $10,674 2.0×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $5,571.80 $8,572 1.6×
Rplcmt Irrigation/Revj Lumbosarach Shunt (63744) $7,684.30 $11,822 2.0×
Rpr blood vessel direct lower extremity (35226) $4,547.40 $6,996 5.8×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $1,934.40 $2,976 1.1×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $1,275.95 $1,963 5.7×
Rpr ing hernia init reduce (49500) $4,864.60 $7,484 0.7×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $1,017.90 $1,566 3.9×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $3,114.15 $4,791 5.2×
Rpr Lip Full Thickness Vermilion Only (40650) $2,379 $3,660 4.0×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $3,612.05 $5,557 2.1×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $7,037.55 $10,827 1.9×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $4,955.60 $7,624 1.4×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575)
range across 4 matching MRF lines		 $1,859–$2,081.95 $2,860–$3,203 varies
Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) $3,107 $4,780 0.7×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $4,135.95 $6,363 1.1×
Sclerotx Fluid Collection (49185) $1,312.35 $2,019 0.7×
Shave skin lesion 0.5 cm/< (11300) $334.10 $514 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $399.10 $614 1.8×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $3,536.65 $5,441 1.0×
Sigmoidoscopy w/fb removal (45332) $1,305.85 $2,009 1.0×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $1,575.60 $2,424 3.5×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $706.55 $1,087 3.2×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $846.30 $1,302 3.8×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $1,511.25 $2,325 3.3×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $1,017.90 $1,566 4.6×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $1,903.20 $2,928 8.5×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $517.40–$579.80 $796–$892 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $1,725.10 $2,654 7.7×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $941.20 $1,448 4.2×
Skin Full Grft Face/Genit/Hf (15240) $4,778.15 $7,351 2.1×
Skin Pinch Graft (15050)
range across 2 matching MRF lines		 $1,863.55–$2,087.15 $2,867–$3,211 varies
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines		 $2,591.55–$2,902.25 $3,987–$4,465 varies
Skin sub graft trnk/arm/leg (15271) $2,362.75 $3,635 2.9×
Skin Tissue Procedure (17999) $1,050.40 $1,616 4.7×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 2 matching MRF lines		 $18,995.60–$28,490.15 $29,224–$43,831 varies
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 2 matching MRF lines		 $11,166.35–$16,749.85 $17,179–$25,769 varies
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 2 matching MRF lines		 $13,471.90–$28,490.15 $20,726–$43,831 varies
Slitting of prepuce (54001) $4,139.85 $6,369 1.8×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $802.10 $1,234 3.6×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $1,170 $1,800 2.6×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $1,501.50 $2,310 3.3×
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines		 $982.15–$1,099.80 $1,511–$1,692 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $6,534.45 $10,053 1.7×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $5,124.60 $7,884 2.2×
Strapping ankle (29540) $234.65 $361 1.3×
Strapping elbow or wrist (29260) $252.20 $388 3.8×
Strapping hand/finger (29280) $239.20 $368 3.6×
Strapping Hip (29520) $275.60 $424 1.9×
Strapping knee (29530) $241.15 $371 1.6×
Strapping shoulder (29240) $289.90 $446 2.0×
Strapping thorax (29200) $280.80 $432 1.6×
Strapping toes (29550) $197.60 $304 3.0×
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $307.45–$459.55 $473–$707 varies
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $1,786.20 $2,748 0.7×
Suture 1 nerve hand/foot common sensory nerve (64834) $7,364.50 $11,330 1.9×
Suture 1 Nerve Ulnar Motor (64836) $7,364.50 $11,330 1.9×
Suture digital nerve hand/foot 1 nerve (64831) $6,470.10 $9,954 3.0×
Suture infrapatellar tendon primary (27380) $7,820.80 $12,032 1.0×
Suture of quadriceps or hamstring muscle rupture primary (27385) $8,994.05 $13,837 1.1×
Suture/repair testicular injury (54670) $3,975.40 $6,116 1.0×
Tangential biopsy skin single lesion (11102) $305.50 $470 0.7×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $29,467.10 $45,334 0.9×
Tcat Insj/Rpl Perm Ldls Pm (33274) $16,509.35 $25,399 0.8×
Tcat Rmvl Perm Ldls Pm (33275) $2,652.65 $4,081 0.8×
Thaw preserved stem cells (38208) $412.10 $634 0.8×
Ther Apheresis,Red Blood Cells (36512) $6,029.40 $9,276 3.5×
Ther Spi Pnxr Csf Fluor/Ct (62329) $913.25 $1,405 1.2×
Therapeutic Apheresis White Blood Cells (36511) $1,743.30 $2,682 1.0×
Therapeutic plasma exchange (36514) $6,029.40 $9,276 3.5×
Therapeutic pneumothorax (32960) $1,021.80 $1,572 1.5×
Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) $5,567.90 $8,566 0.9×
Thrmbc/Nfs Dialysis Circuit (36906) $19,581.90 $30,126 1.0×
Thromblytic art/ven therapy (37213) $9,347 $14,380 2.7×
Thrombolytic Art Therapy (37211)
range across 2 matching MRF lines		 $7,893.60–$8,840.65 $12,144–$13,601 varies
Thrombolytic Therapy Stroke (37195)
range across 3 matching MRF lines		 $392.60–$1,558.70 $604–$2,398 varies
Thrombolytic Venous Therapy (37212)
range across 2 matching MRF lines		 $7,893.60–$8,840.65 $12,144–$13,601 varies
Thyroid biopsy (60100) $821.60 $1,264 1.0×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $4,804.15 $7,391 2.1×
Tooth extraction (41899)
range across 2 matching MRF lines		 $889.20–$2,122.25 $1,368–$3,265 varies
Tprnl Plmt Biodegrdabl Matrl (55874) $9,862.45 $15,173 1.7×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $5,602.35 $8,619 1.6×
Tracheobrnchsc Thru Est Trachs Inc (31615) $721.50 $1,110 1.2×
Tracheostomy Emergency Cricothyroid Membrane (31605) $2,109.25 $3,245 8.0×
Transcatheter biopsy (37200) $5,742.10 $8,834 0.9×
Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) $10,513.75 $16,175 1.8×
Transur electr resection of prostate (52601)
likely a partial charge, not the full procedure		 $1,439.10 $2,214 0.2×
Transurethral incision of prostate (52450) $939.25 $1,445 0.2×
Transurethral resection bladder neck (52500) $973.05 $1,497 0.2×
Treat ankle fracture (28445) $9,385.35 $14,439 1.2×
Treat Big Toe Fracture (28505) $3,657.55 $5,627 1.0×
Treat Dental Ridge Fracture (21440) $3,690.70 $5,678 1.0×
Treat Hip Socket Fracture (27222) $6,492.85 $9,989 23.7×
Treat humerus fracture (24500) $1,903.20 $2,928 6.9×
Treat Humerus Fracture (24505) $3,532.75 $5,435 2.0×
Treat humerus fracture (23600) $1,770.60 $2,724 6.5×
Treat knee fracture (27532) $3,657.55 $5,627 1.0×
Treat Knee Fracture(S) (27538) $3,065.40 $4,716 11.2×
Treat Knuckle Dislocation (26700) $659.75 $1,015 2.4×
Treat metacarpal fracture (26607) $3,946.80 $6,072 1.1×
Treat Metatarsal Fracture (28475) $2,050.10 $3,154 7.5×
Treat Thumb Dislocation (26641) $2,310.75 $3,555 8.4×
Treat Thumb Fracture (26645) $2,217.15 $3,411 1.2×
Treat toe dislocation (28630) $1,157.65 $1,781 4.2×
Treat vagina infection (57150) $228.15 $351 3.5×
Treatment Closed Elbow Dislocation Req Anes (24605) $3,051.10 $4,694 1.7×
Treatment closed elbow dislocation w/o anes (24600) $2,466.10 $3,794 9.0×
Trim skin lesion (11055)
range across 2 matching MRF lines		 $250.25–$280.15 $385–$431 varies
Trim skin lesions 2 to 4 (11056) $352.95 $543 1.6×
Trim skin lesions over 4 (11057) $443.30 $682 2.0×
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines		 $150.15–$168.35 $231–$259 varies
Trluml Balo Angiop 1St Art (37246) $11,022.70 $16,958 1.7×
Trluml Balo Angiop 1St Vein (37248) $9,746.75 $14,995 1.5×
Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) $6,074.25 $9,345 12.4×
Trnsplj autologous hematopoietic cells per donor (38241) $1,877.85 $2,889 1.1×
Tx Gastro Intub W/Asp (43753) $399.10 $614 1.7×
Tx Incomplete Abortion Any Trimester Surgical (59812) $3,878.55 $5,967 1.1×
Tx Missed Abortion First Trimester Surgical (59820) $3,726.45 $5,733 1.0×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $2,781.35 $4,279 1.6×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $2,869.10 $4,414 1.6×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,317.55 $2,027 1.6×
Tx superficial wound dehiscence w/packing (12021) $907.40 $1,396 2.0×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $2,057.90 $3,166 1.2×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $1,583.40 $2,436 5.8×
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) $4,854.20 $7,468 1.2×
Unlisted Craniofacial & Maxillofacial Procedure (21299) $429 $660 1.6×
Unlisted procedure anus (46999) $3,586.70 $5,518 3.5×
Unlisted Procedure Casting/Strapping (29799) $228.15 $351 1.3×
Unlisted Procedure Esophagus (43499) $4,546.75 $6,995 4.5×
Unlisted Procedure External Ear (69399) $410.80 $632 1.6×
Unlisted procedure foot or toes (28899) $247 $380 0.9×
Unlisted procedure forearm or wrist (25999) $650 $1,000 2.4×
Unlisted Procedure Hands/Fingers (26989) $374.40 $576 1.4×
Unlisted procedure humerus/elbow (24999) $586.95 $903 2.1×
Unlisted Procedure Intestine (44799) $4,251.65 $6,541 4.2×
Unlisted Procedure Leg/Ankle (27899) $471.90 $726 1.7×
Unlisted Procedure Male Genital System (55899) $4,551.30 $7,002 16.4×
Unlisted Procedure Muscskeletal System General (20999) $252.85 $389 0.9×
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines		 $1,138.15–$1,274.65 $1,751–$1,961 varies
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $852.15 $1,311 3.2×
Unlisted Procedure Rectum (45999) $1,071.20 $1,648 1.0×
Unlisted procedure spine (22899)
range across 2 matching MRF lines		 $4,377.10–$7,446.40 $6,734–$11,456 varies
Unlisted procedure stomach (43999) $1,461.85 $2,249 1.5×
Unlisted Procedure Tongue Floor Mouth (41599) $362.70 $558 1.4×
Unlisted Procedure Trachea Bronchi (31899) $1,810.90 $2,786 8.2×
Unlisted Procedure Vascular Surgery (37799)
range across 4 matching MRF lines		 $927.55–$2,536.30 $1,427–$3,902 varies
Unlisted procedure, abdomen, peritoneum and omentum (49999) $4,555.20 $7,008 4.5×
Unlisted Procedure, Urinary System (53899) $4,219.15 $6,491 15.2×
Unlisted procedure, vestibule of mouth (40899) $178.10 $274 0.7×
Unlisted px female genital system nonobstetrical (58999) $273 $420 1.2×
Unlisted Px Salivary Glands/Ducts (42699) $299.65 $461 1.1×
Upgrade of pacemaker system (33214) $12,315.55 $18,947 1.1×
Vaginal delivery only (59409) $4,212.65 $6,481 1.2×
Vasc embolize/occlude artery (37242) $15,903.55 $24,467 0.8×
Vasc Embolize/Occlude Bleed (37244) $15,903.55 $24,467 1.2×
Vasc Embolize/Occlude Organ (37243) $15,903.55 $24,467 1.2×
Vasc embolize/occlude venous (37241) $15,903.55 $24,467 1.2×
Venous Cutdown >1 Y/O (36425) $549.90 $846 1.1×
Venous Mech Thrombectomy (37187) $12,088.05 $18,597 0.9×
Wedge excision skin nail fold (11765) $460.20 $708 1.0×
Windowing of cast (29730) $282.75 $435 1.6×

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.