Procedures & surgery prices at Legacy Silverton Medical Center

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

655 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
$1,624.35–$1,819.35 $2,499–$2,799 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,628.25 $2,505 1.6×
Ablate inf turbinate submuc (30802) $1,296.75 $1,995 0.7×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
likely a partial charge, not the full procedure
$3,890.25 $5,985 0.2×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $1,138.15 $1,751 0.7×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $4,520.10 $6,954 2.0×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $2,589.60 $3,984 1.1×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $5,012.15 $7,711 2.2×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $8,604.05 $13,237 3.7×
Amniocentesis diagnostic (59000) $699.40 $1,076 0.7×
Amniocentesis therapeutic (59001) $637 $980 1.9×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $2,531.75 $3,895 0.7×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $2,531.75 $3,895 0.7×
Anoscopy diagnostic (46600) $100.75 $155 0.7×
Anoscopy W/Rmvl Foreign Body (46608) $1,210.30 $1,862 1.2×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $457.60 $704 2.5×
Appl cranial tong/strtctc frame w/removal spx (20660) $1,220.70 $1,878 0.7×
Application cast elbow finger short arm (29075) $371.15 $571 1.2×
Application Cast Finger (29086) $149.50 $230 0.8×
Application Cast Shoulder Spica (29055) $484.90 $746 1.5×
Application Finger Splint Dynamic (29131) $167.05 $257 2.5×
Application finger splint static (29130) $167.05 $257 1.1×
Application long arm splint shoulder hand (29105) $167.05 $257 0.9×
Application Long Leg Cast Brace (29358) $371.15 $571 1.2×
Application Long Leg Splint (29505) $167.05 $257 0.9×
Application of long leg cast (29345) $371.15 $571 1.2×
Application Short Arm Splint Dynamic (29126) $167.05 $257 1.1×
Application short arm splint forearm-hand static (29125) $167.05 $257 1.1×
Application short leg splint calf foot (29515) $167.05 $257 0.9×
Apply hand/wrist cast (29085) $149.50 $230 0.8×
Apply long arm cast (29065) $371.15 $571 1.2×
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines
$110.50–$165.75 $170–$255 varies
Apply Short Leg Cast (29405) $371.15 $571 1.2×
Apply short leg cast (29425) $371.15 $571 1.2×
Arterial puncture (36600)
range across 2 matching MRF lines
$192.40–$215.15 $296–$331 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines
$546.65–$612.30 $841–$942 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines
$579.15–$648.05 $891–$997 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines
$456.95–$572.65 $703–$881 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines
$509.60–$570.70 $784–$878 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $380.90 $586 1.1×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $1,303.90 $2,006 0.7×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines
$814.45–$911.95 $1,253–$1,403 varies
Aspirate Pleura W/O Imaging (32554) $814.45 $1,253 1.2×
Aspirate/Inj Ganglion Cyst (20612) $380.90 $586 1.1×
Aspiration and/or injection thyroid cyst (60300) $537.55 $827 0.7×
Aspiration bladder insert suprapubic catheter (51102) $3,053.70 $4,698 1.3×
Aspiration Bladder Needle (51100) $387.40 $596 1.4×
Avulsion nail plate partial/complete simple 1 (11730) $152.10 $234 0.7×
Biopsy Abdominal Mass (49180) $939.25 $1,445 0.5×
Biopsy bone trocar/needle deep (20225) $1,253.85 $1,929 0.7×
Biopsy Bone Trocar/Needle Superficial (20220) $995.80 $1,532 0.5×
Biopsy muscle percutaneous needle (20206) $963.30 $1,482 0.5×
Biopsy of breast; open, incisional (19101) $2,972.45 $4,573 0.7×
Biopsy of floor of mouth (41108) $1,561.30 $2,402 0.8×
Biopsy of liver, needle; percutaneous (47000) $968.50 $1,490 0.5×
Biopsy Pleura Percutaneous Needle (32400) $1,848.60 $2,844 1.0×
Biopsy Prostate Transrectal Ultrasound-Guided (55707) $2,132 $3,280 0.5×
Biopsy Tongue Anterior Two-Thirds (41100) $565.50 $870 0.9×
Biopsy Vaginal Mucosa Simple (57100) $699.40 $1,076 0.7×
Biopsy, vestibule of mouth (40808) $501.80 $772 0.8×
Bladder instillation anticarcinogenic agent (51720) $583.05 $897 0.7×
Bladder Irrigation (51700) $286.65 $441 1.0×
Bladder Scan (51798) $98.80 $152 1.5×
Blepharoplasty upper eyelid (15822) $4,369.95 $6,723 1.9×
Blepharotomy drainage abscess eyelid (67700) $482.30 $742 1.4×
Blood Transfusion Service (36430)
range across 2 matching MRF lines
$312–$349.70 $480–$538 varies
Bone Marrow Biopsy (38221) $1,132.95 $1,743 0.6×
Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl (31643) $1,351.35 $2,079 0.7×
Bronchoscopy Clear Airways (31645) $1,351.35 $2,079 0.7×
Bronchoscopy W/Removal Foreign Body (31635) $1,725.10 $2,654 0.9×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $2,094.95 $3,223 0.5×
Bx breast 1st lesion mr imag (19085) $5,369.65 $8,261 2.9×
Bx breast 1st lesion strtctc (19081) $2,627.95 $4,043 1.4×
Bx breast 1st lesion us imag (19083) $2,607.80 $4,012 1.4×
Bx Cervix (57500) $699.40 $1,076 0.7×
Canthotomy Separate Procedure (67715) $1,805.05 $2,777 0.7×
Cautery Cervix Electro/Thermal (57510) $2,457 $3,780 0.7×
Cerclage cervix pregnancy vaginal (59320) $2,202.85 $3,389 0.6×
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines
$238.55–$267.15 $367–$411 varies
Change of Windpipe Airway (31502) $205.40 $316 0.8×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines
$232.05–$260 $357–$400 varies
Chest tube placement (32551)
range across 2 matching MRF lines
$715.65–$801.45 $1,101–$1,233 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $2,542.80 $3,912 1.1×
Circumcision w/clamp/oth dev w/block (54150) $240.50 $370 0.1×
Cl Tx Scapular Fx; W Manip (23575) $1,220.70 $1,878 0.7×
Cl Tx Tib Shft Fx W Manip (27752) $3,029 $4,660 1.7×
Clear outer ear canal (69200) $98.80 $152 0.7×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $244.40 $376 0.9×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,220.70 $1,878 0.7×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $244.40 $376 0.9×
Closed Treatment Ulnar Styloid Fracture (25650) $244.40 $376 0.9×
Closed tx ankle dislocation w/o anesthesia (27840) $937.95 $1,443 3.4×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $2,804.10 $4,314 1.6×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $244.40 $376 0.9×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $244.40 $376 0.9×
Closed tx carpal scaphoid fracture w/manj (25624) $1,220.70 $1,878 0.7×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $244.40 $376 0.9×
Closed tx knee dislocation w/o anesthesia (27550) $244.40 $376 0.9×
Closed Tx Lunate Dislocation W/Manipulation (25690) $3,029 $4,660 1.7×
Closed tx mandibular fracture w/manipulation (21451) $1,861.60 $2,864 1.1×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $505.05 $777 0.8×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $4,493.45 $6,913 0.7×
Closed tx metatarsal fracture w/o manipulation (28470) $244.40 $376 0.9×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $3,029 $4,660 1.7×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $2,540.20 $3,908 1.5×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $2,627.95 $4,043 0.7×
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) $6,032 $9,280 1.6×
Closed tx patellar dislocation w/anesthesia (27562) $2,373.15 $3,651 8.6×
Closed tx patellar dislocation w/o anesthesia (27560) $244.40 $376 0.9×
Closed Tx Patellar Fracture W/O Manipulation (27520) $244.40 $376 0.9×
Closed tx radial head/neck fx w/manipulation (24655) $2,804.10 $4,314 1.6×
Closed tx radial head/neck fx w/o manipulation (24650) $244.40 $376 0.9×
Closed tx radial shaft fracture w/manipulation (25505) $2,804.10 $4,314 1.6×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $244.40 $376 0.9×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $2,804.10 $4,314 1.6×
Closed tx radial&ulnar shaft fractures w/o man (25560) $244.40 $376 0.9×
Closed Tx Scapular Fracture W/O Manipulation (23570) $244.40 $376 0.9×
Closed tx septal&nose fx (21337) $2,540.20 $3,908 0.7×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $937.95 $1,443 3.4×
Closed tx talotarsal joint dislc w/o anes (28570) $937.95 $1,443 3.4×
Closed Tx Talus Fracture W/Manipulation (28435) $1,220.70 $1,878 0.7×
Closed tx talus fracture w/o manipulation (28430) $244.40 $376 0.9×
Closed tx tarsometatarsal dislocation w/o anes (28600) $244.40 $376 0.9×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $187.20 $288 0.7×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,220.70 $1,878 0.7×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $244.40 $376 0.9×
Closed tx ulnar shaft fracture w/o manipulation (25530) $244.40 $376 0.9×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $505.05 $777 1.9×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $1,148.55 $1,767 1.9×
Clsd tx acromioclavicular dislc w/manipulation (23545) $937.95 $1,443 3.4×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $244.40 $376 0.9×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $3,029 $4,660 1.7×
Clsd tx clavicular fracture w/o manipulation (23500) $244.40 $376 0.9×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,373.15 $3,651 1.3×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $244.40 $376 0.9×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $1,220.70 $1,878 0.7×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $2,373.15 $3,651 1.3×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $2,804.10 $4,314 1.6×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $244.40 $376 0.9×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $1,220.70 $1,878 0.7×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $244.40 $376 0.9×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $244.40 $376 0.9×
Cltx dstl fibular fx lat malls w/manj (27788) $244.40 $376 0.9×
Cltx dstl fibular fx lat malls w/o manj (27786) $244.40 $376 0.9×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $244.40 $376 0.9×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $244.40 $376 0.9×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $244.40 $376 0.9×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $2,804.10 $4,314 1.6×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,712.10 $2,634 0.9×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $244.40 $376 0.9×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $244.40 $376 0.9×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $5,623.15 $8,651 3.1×
Cltx fx grt toe phlx/phlg w/manj (28495) $244.40 $376 0.9×
Cltx fx grt toe phlx/phlg w/o manj (28490) $244.40 $376 0.9×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $244.40 $376 0.9×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $244.40 $376 0.9×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,220.70 $1,878 0.7×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $244.40 $376 0.9×
Cltx greater humeral tuberosity fx w/o manj (23620) $244.40 $376 0.9×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $3,029 $4,660 1.7×
Cltx hip dislocation traumatic req anesthesia (27252) $4,404.40 $6,776 2.4×
Cltx hip dislocation traumatic w/o anesthesia (27250) $244.40 $376 0.9×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $244.40 $376 0.9×
Cltx humeral condylar fx medial/lateral w/manj (24577) $1,220.70 $1,878 0.7×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,220.70 $1,878 0.7×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $244.40 $376 0.9×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $1,220.70 $1,878 0.7×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $2,373.15 $3,651 7.6×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $244.40 $376 0.9×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $3,972.15 $6,111 2.2×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $2,373.15 $3,651 7.6×
Cltx iphal jt dislc w/manj w/o anes (26770) $244.40 $376 0.9×
Cltx Med Ankle Fx W/Mnpj (27762) $3,029 $4,660 1.7×
Cltx Medial Ankle Fx (27760) $244.40 $376 0.9×
Cltx metacarpal fx w/manipulation each bone (26605) $244.40 $376 0.9×
Cltx metacarpal fx w/o manipulation each bone (26600) $244.40 $376 0.9×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $2,804.10 $4,314 1.6×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $2,373.15 $3,651 1.3×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $244.40 $376 0.9×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $244.40 $376 0.9×
Cltx post hip arthrp dislc req anes (27266) $2,262 $3,480 1.3×
Cltx post hip arthrp dislc w/o anes (27265) $244.40 $376 0.9×
Cltx prox fibula/shft fx w/o manj (27780) $244.40 $376 0.9×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $3,029 $4,660 1.7×
Cltx prox tibfib jt dislc req anes (27831) $2,546.05 $3,917 0.7×
Cltx prox tibfib jt dislc w/o anes (27830) $244.40 $376 0.9×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $244.40 $376 0.9×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $244.40 $376 0.9×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $1,712.10 $2,634 0.9×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $2,803.45 $4,313 1.6×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,220.70 $1,878 0.7×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $2,104.70 $3,238 1.2×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $244.40 $376 0.9×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $1,712.10 $2,634 0.9×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $2,483.65 $3,821 0.7×
Cltx tibial fx proximal w/o manipulation (27530) $244.40 $376 0.9×
Cltx tibial shaft fx w/o manipulation (27750) $244.40 $376 0.9×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $244.40 $376 0.9×
Cltx trimalleolar ankle fx w/manipulation (27818) $2,804.10 $4,314 1.6×
Cltx trimalleolar ankle fx w/o manipulation (27816) $244.40 $376 0.9×
Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) $5,434 $8,360 1.5×
Collect Blood From Catheter Venous Nos (36592)
range across 3 matching MRF lines
$100.75–$113.10 $155–$174 varies
Collection of venous blood by venipuncture (36415) $6.33 $9.74 0.7×
Colporrhaphy (57200)
range across 2 matching MRF lines
$5,597.15–$6,268.60 $8,611–$9,644 varies
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $422.50 $650 1.2×
Colpotomy; with exploration (57000) $4,384.25 $6,745 1.2×
Colsc Flexible W/Control Bleeding Any Method (45382) $810.55 $1,247 0.6×
Complex drainage wound (10180) $2,856.75 $4,395 0.9×
Composite Skin Graft (15760) $4,044.30 $6,222 1.7×
Control Nasal Hemorrhage Anterior Complex (30903) $170.95 $263 1.1×
Control Nasal Hemorrhage Anterior Simple (30901) $170.95 $263 1.1×
Control oropharyngeal hemorrhage simple (42960) $372.45 $573 0.6×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,426.75 $2,195 0.8×
Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) $5,103.80 $7,852 1.3×
Correction of trichiasis; epilation, by forceps only (67820) $200.85 $309 1.3×
Csf shunt reprogram (62252) $639.60 $984 1.9×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $170.95 $263 1.1×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $170.95 $263 0.6×
Curettage postpartum (59160) $5,597.15 $8,611 1.5×
Curette/treat cornea (65435) $1,235.65 $1,901 1.1×
Cysto calibration dilat urtl strix/stenosis (52281) $3,395.60 $5,224 1.4×
Cysto w/complex removal stone & stent (52315) $1,586.65 $2,441 0.7×
Cysto w/insert ureteral stent (52332) $1,737.45 $2,673 0.4×
Cysto w/irrig & evac multple obstructing clots (52001) $3,238.95 $4,983 0.8×
Cystourethroscopy (52000) $475.80 $732 0.6×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $882.05 $1,357 1.9×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $4,828.85 $7,429 1.5×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $683.15 $1,051 0.9×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $683.15 $1,051 0.9×
Deb Musc/Fascia 20 Sq Cm/< (11043) $560.95 $863 0.7×
Debride nail 1-5 (11720) $126.75 $195 1.9×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,253.85 $1,929 0.7×
Debridement subcutaneous tissue 20 sq cm/< (11042) $416.65 $641 0.9×
Declot vascular device (36593)
range across 4 matching MRF lines
$260–$397.80 $400–$612 varies
Decompress Fingers/Hand (26035) $2,408.25 $3,705 0.7×
Delivery of placenta (59414) $2,914.60 $4,484 0.8×
Destr W Neurolytic; Celiac Plexus (64680) $1,291.55 $1,987 1.3×
Destruct B9 Lesion 1-14 (17110) $152.10 $234 0.7×
Destruction of skin lesions (17106) $344.50 $530 0.8×
Destruction premalignant lesion 1st (17000) $152.10 $234 0.7×
Destruction Vaginal Lesions Simple (57061) $2,457 $3,780 0.7×
Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) $263.25 $405 0.9×
Dilation Cervical Canal (57800) $2,457 $3,780 0.7×
Drain Cerebro Spinal Fluid (62272) $557.05 $857 0.7×
Drain Hand Tendon Sheath (26020) $2,447.25 $3,765 0.7×
Drain/inj small joint/bursa w/us (20604) $393.25 $605 1.1×
Drainage Abscess/Hematoma Nasal Septum (30020) $487.50 $750 0.8×
Drainage external auditory canal abscess (69020) $537.55 $827 0.7×
Drainage external ear abscess/hematoma cmplx (69005) $2,954.90 $4,546 1.6×
Drainage External Ear Abscess/Hematoma Simple (69000) $1,190.80 $1,832 1.5×
Drainage Finger Abscess Complicated (26011) $1,856.40 $2,856 1.0×
Drainage Mouth Roof Lesion (42000) $505.05 $777 1.9×
Drainage of eye (65800) $1,751.75 $2,695 0.7×
Drainage of finger abscess simple (26010) $217.75 $335 1.0×
Drainage of gum lesion (41800) $217.75 $335 1.5×
Drainage of hematoma/fluid (10140) $1,920.10 $2,954 1.0×
Drainage of mouth lesion (41017) $2,516.80 $3,872 0.7×
Drainage of nose lesion (30000) $505.05 $777 1.9×
Drainage of rectal abscess (45020) $2,107.30 $3,242 0.7×
Drainage of rectal abscess (45005) $1,861.60 $2,864 1.4×
Drainage of scrotal wall abscess (55100) $1,856.40 $2,856 1.0×
Drainage of scrotum (54700) $3,481.40 $5,356 1.5×
Drainage of throat abscess (42725) $4,493.45 $6,913 0.7×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines
$100.75–$113.10 $155–$174 varies
Dressing Change Under Anesthesia (15852) $560.95 $863 0.7×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $1,148.55 $1,767 1.9×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $537.55 $827 0.7×
Drg Absc Submaxillary/Sublingual Intraoral (42310) $505.05 $777 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $308.75 $475 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $232.05 $357 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $232.05 $357 1.0×
Dstrj Lesion Penis Simple Cryosurgery (54056) $369.85 $569 1.6×
Dx Bone Marrow Bx & Aspir (38222) $1,589.90 $2,446 0.5×
Dx Bronchoscope/Lavage (31624) $1,351.35 $2,079 0.7×
Dx Bronchoscope/Wash (31622) $1,686.10 $2,594 0.8×
Dx Laryngoscopy Excl Nb (31525) $2,441.40 $3,756 1.2×
Dx lmbr spi pnxr w/fluor/CT (62328) $505.05 $777 0.6×
Endocervical curettage (57505) $699.40 $1,076 0.7×
Endometrial Biopsy (58100) $273.65 $421 1.2×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $3,346.20 $5,148 0.9×
Epidural Blood Patch (62273)
range across 2 matching MRF lines
$609.05–$681.85 $937–$1,049 varies
Episiotomy or vaginal repair (59300)
range across 2 matching MRF lines
$2,202.85–$2,467.40 $3,389–$3,796 varies
Escharotomy; initial incision (16035) $277.55 $427 0.6×
Evacuation of subungual hematoma (11740) $219.05 $337 1.5×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $659.75 $1,015 0.8×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $2,422.55 $3,727 1.3×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $659.75 $1,015 0.8×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $564.85 $869 0.7×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $622.05 $957 0.8×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,216.80 $1,872 0.7×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $1,259.70 $1,938 1.6×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $1,216.80 $1,872 0.7×
Exc Hand Les Sc < 1.5 Cm (26115) $1,424.80 $2,192 0.8×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $2,516.80 $3,872 0.7×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $2,516.80 $3,872 0.7×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $2,422.55 $3,727 1.3×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $3,534.05 $5,437 2.6×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $659.75 $1,015 0.8×
Exchange Transfusion (36455) $591.50 $910 1.2×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $1,705.60 $2,624 1.0×
Excise excessive skin arm (15836) $4,345.90 $6,686 1.3×
Excision Lingual Frenum Frenectomy (41115) $1,177.80 $1,812 0.7×
Excision Pilonidal Cyst/Sinus Extensive (11771) $2,204.80 $3,392 0.7×
Expl penetrating wound spx abdomen/flank/back (20102) $3,210.35 $4,939 1.4×
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines
$1,329.25–$1,488.50 $2,045–$2,290 varies
Exploration penetrating wound spx chest (20101) $3,210.35 $4,939 1.4×
Exploration penetrating wound spx extremity (20103) $2,434.90 $3,746 1.3×
Exploration Penetrating Wound Spx Neck (20100) $1,148.55 $1,767 1.9×
External cephalic version (59412) $4,223.70 $6,498 1.2×
Eye Surg Ant Sgmt Proc Unlisted (66999) $1,751.75 $2,695 0.7×
Fetal Contraction Stress Test (59020)
range across 2 matching MRF lines
$154.05–$190.45 $237–$293 varies
Fetal non-stress test (59025) $287.30 $442 1.3×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $419.90 $646 0.5×
Fine needle aspiration without imaging guidance (10021) $308.75 $475 0.7×
Fluid Pressure Muscle (20950) $537.55 $827 0.7×
Fluoro exam of g/colon tube (49465) $220.35 $339 0.8×
Fna Bx W/Fluor Gdn 1St Les (10007) $419.90 $646 0.5×
Fna bx w/us gdn 1st les (10005) $537.55 $827 0.7×
Foreskin manipulation (54450) $441.35 $679 1.6×
Guide Cathet Fluid Drainage (10030) $932.10 $1,434 1.2×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $2,958.15 $4,551 0.9×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $2,516.80 $3,872 0.7×
I&d abscess peritonsillar (42700) $505.05 $777 1.9×
I&d abscess simple (10060) $217.75 $335 1.0×
I&d deep absc bursa/hematoma thigh/knee region (27301) $2,954.90 $4,546 0.9×
I&D Deep Absc/Hematoma Neck/Chest (21501) $2,856.75 $4,395 0.9×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $3,320.20 $5,108 0.9×
I&D Intramural Im/Absc Transanal Anes (46045) $2,107.30 $3,242 0.7×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $2,901.60 $4,464 0.8×
I&d perianal abscess superficial (46050) $1,861.60 $2,864 1.8×
I&d pilonidal cyst complicated (10081) $1,920.10 $2,954 2.4×
I&d pilonidal cyst simple (10080) $1,190.80 $1,832 1.5×
I&d shoulder deep abscess/hematoma (23030) $2,856.75 $4,395 0.9×
I&d upper arm/elbow deep abscess/hematoma (23930) $2,569.45 $3,953 0.8×
Image Cath Fluid Colxn Visc (49405) $3,457.35 $5,319 1.9×
Image Cath Fluid Peri/Retro (49406) $3,308.50 $5,090 1.8×
Image Cath Fluid Trns/Vgnl (49407) $3,869.45 $5,953 2.1×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
range across 2 matching MRF lines
$6,661.85–$7,461.35 $10,249–$11,479 varies
Incise external hemorrhoid (46083) $286.65 $441 1.0×
Incision & drainage abscess complicated/multiple (10061) $388.70 $598 0.9×
Incision & removal foreign body subq tiss compl (10121) $2,422.55 $3,727 1.3×
Incision & removal foreign body subq tiss simple (10120) $416.65 $641 0.9×
Incision and drainage of bartholin's gland abscess (56420) $219.05 $337 1.0×
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) $2,204.80 $3,392 0.7×
Incision and drainage of vulva or perineal abscess (56405) $236.60 $364 0.7×
Incision of rectal abscess (46040) $3,534.05 $5,437 2.6×
Incision of urethra (53000) $1,797.25 $2,765 0.8×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $5,485.35 $8,439 3.0×
Initial Tx 1st Degree Burn Local Tx (16000) $152.10 $234 0.7×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines
$1,329.90–$1,630.20 $2,046–$2,508 varies
Inject Intravitreal Pharmcologic (67028) $653.90 $1,006 1.8×
Injection aa&/strd axillary nerve w/img gdn (64417) $671.45 $1,033 0.7×
Injection for identification of sentinel node (38792) $341.90 $526 0.8×
Injection single/mlt trigger point 1/2 muscles (20552) $417.30 $642 1.2×
Injection single/mlt trigger point 3/> muscles (20553) $331.50 $510 1.0×
Injection therapeutic carpal tunnel (20526) $218.40 $336 0.6×
Injection, anesthetic agent; brachial plexus, single (64415) $658.45 $1,013 0.7×
Injection, anesthetic agent; femoral nerve, single (64447) $535.60 $824 0.7×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $557.05 $857 0.7×
Insert and remove bone pin (20650) $2,287.35 $3,519 0.6×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines
$102.70–$115.05 $158–$177 varies
Insert cath pleura w/ image (32557) $898.30 $1,382 0.5×
Insert cath pleura w/o image (32556)
range across 2 matching MRF lines
$1,456.65–$1,631.50 $2,241–$2,510 varies
Insert cervical dilator (59200) $211.25 $325 0.6×
Insert Drug Implant Device (11981) $247.65 $381 1.7×
Insert Gastrostomy Tube Percutaneous (49440) $1,555.45 $2,393 0.7×
Insert non-tunnel cv cath (36556) $2,396.55 $3,687 0.7×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,194.70 $1,838 0.7×
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines
$100.10–$112.45 $154–$173 varies
Insert tunneled cv cath (36561) $3,482.70 $5,358 1.0×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 3 matching MRF lines
$100.75–$113.10 $155–$174 varies
Insertion indwelling tunneled pleural catheter (32550) $2,687.10 $4,134 0.7×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $2,396.55 $3,687 0.7×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 4 matching MRF lines
$1,226.55–$1,373.45 $1,887–$2,113 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $3,679 $5,660 1.0×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) $11,763.05 $18,097 1.3×
Interdental fixation (21110) $2,063.75 $3,175 1.2×
Interdental Wiring Other Than Fracture (21497) $1,125.15 $1,731 0.6×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,567.80 $2,412 3.4×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,946.10 $2,994 4.3×
Intraoral i&d tongue/floor lingual (41000) $2,627.95 $4,043 4.3×
Intraoral i&d tongue/floor submental space (41007) $1,785.55 $2,747 1.0×
Intraoral i&d tongue/floor submndblr space (41008) $2,516.80 $3,872 0.7×
Intro Gastrointestinal Tube (44500) $464.10 $714 0.5×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines
$685.75–$768.30 $1,055–$1,182 varies
Irrigation of corpora cavernosa for priapism (54220) $286.65 $441 1.0×
Laryngoscopy diagnostic (31505) $151.45 $233 0.7×
Laryngoscopy flexible diagnostic (31575) $241.15 $371 1.1×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $581.75 $895 1.3×
Laryngoscopy W/Foreign Body Removal (31530) $3,102.45 $4,773 1.6×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $2,441.40 $3,756 5.6×
Late closure of wound (13160) $3,210.35 $4,939 0.8×
Lateral Canthopexy (21282) $3,370.25 $5,185 0.9×
Lip Surgery Procedure (40799) $614.90 $946 2.3×
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) $2,457 $3,780 0.7×
Maternity Care Procedure (59899)
range across 2 matching MRF lines
$361.40–$602.55 $556–$927 varies
Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) $5,378.10 $8,274 1.4×
Myelography Lumbar Injection (62305) $1,416.35 $2,179 1.6×
Myelography Lumbar Injection (62304) $850.85 $1,309 1.0×
Myelography via lumbar injection rs&i cervical (62302) $850.85 $1,309 1.0×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $850.85 $1,309 1.0×
N Block Inj Celiac Pelus (64530) $658.45 $1,013 0.7×
N block inj intercost sng (64420) $557.05 $857 0.7×
Nasal Endoscopy Dx (31231) $241.15 $371 1.1×
Nasal surgery procedure (30999) $293.15 $451 1.1×
Nasal/Orogastric W/Tube Plmt (43752) $333.45 $513 0.7×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $2,441.40 $3,756 1.2×
Needle Biopsy Lymph Nodes (38505) $1,253.85 $1,929 0.7×
Needle Biopsy Pancreas (48102) $1,832.35 $2,819 1.0×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $371.34 $571.29 0.9×
Nfct Ds Dna&Rna 21 Targets Sars-Cov-2 Amp Probe (0225U) $301.78 $464.28 0.7×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $380.90 $586 1.1×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $167.05 $257 0.0×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $2,235.35 $3,439 0.6×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines
$1,136.20–$1,704.95 $1,748–$2,623 varies
Occipital Nerve Block (64405) $357.50 $550 1.0×
Open treatment of nasal fracture; uncomplicated Facility (21325) $3,280.55 $5,047 0.9×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $2,483.65 $3,821 0.7×
Open tx carpal bone fracture oth/thn scaphoid ea (25645) $3,730.35 $5,739 1.0×
Open Tx Distal Phalangeal Fracture Each (26765) $2,483.65 $3,821 0.7×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $2,483.65 $3,821 0.7×
Open tx interphalangeal joint dislocation (26785) $2,483.65 $3,821 0.7×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $6,925.10 $10,654 1.9×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $2,483.65 $3,821 0.7×
Partial hymenectomy or revision of hymenal ring (56700) $3,350.10 $5,154 0.9×
Perc Cryo Ablate Renal Tum (50593)
unusually low: confirm this is the full procedure
$5,602.35 $8,619 0.5×
Perc Rf Ablate Renal Tumor (50592)
range across 2 matching MRF lines
$3,646.50–$5,331.95 $5,610–$8,203 varies
Percut Ablate Liver Rf (47382) $6,769.10 $10,414 1.0×
Percut Drain/Inject Renal Cyst (50390) $856.70 $1,318 1.1×
Peritoneal Lavage (49084) $1,573 $2,420 1.5×
Perq dev breast 1st mr guide (19287) $3,478.15 $5,351 4.4×
Perq dev breast 1st strtctc (19283) $2,377.70 $3,658 3.0×
Perq dev breast 1st us imag (19285) $1,913.60 $2,944 2.4×
Perq device breast 1st imag (19281) $1,103.70 $1,698 0.6×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,316.90 $2,026 1.7×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
unusually low: confirm this is the full procedure
$3,183.05 $4,897 0.4×
Perq Vertebral Augmentation (22513) $11,519.95 $17,723 1.4×
Placement of needle for intraosseous infusion (36680) $339.30 $522 0.7×
Placement of seton (46020) $2,494.70 $3,838 0.8×
Proctopexy Perineal Approach (45541) $5,010.85 $7,709 1.6×
Proctosgmdsc Rigid Control Bleeding (45317) $2,161.25 $3,325 1.6×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $2,483.65 $3,821 0.7×
Pseudoaneurysm Injection Trt (36002) $810.55 $1,247 1.2×
Punch biopsy skin single lesion (11104) $308.75 $475 0.7×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines
$388.70–$435.50 $598–$670 varies
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines
$537.55–$601.90 $827–$926 varies
Puncture shunt tube/reservoir aspiration/inj px (61070)
range across 2 matching MRF lines
$409.50–$458.90 $630–$706 varies
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Local Tiss (26542) $2,113.80 $3,252 0.6×
Reduction of rectal prolapse (45900) $893.75 $1,375 0.9×
Reinsert ocular implant (65150) $2,984.15 $4,591 0.7×
Removal Embedded Foreign Body Eyelid (67938) $347.75 $535 1.0×
Removal Foreign Body Foot Complicated (28193) $1,259.70 $1,938 0.7×
Removal foreign body foot deep (28192) $2,422.55 $3,727 1.3×
Removal Foreign Body Foot Subcutaneous (28190) $1,259.70 $1,938 1.6×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $2,800.85 $4,309 1.5×
Removal Foreign Body Scrotum (55120) $1,682.85 $2,589 0.7×
Removal foreign body upper arm/elbow deep (24201) $2,341.95 $3,603 0.7×
Removal impacted cerumen irrigation/lvg unilat (69209) $116.35 $179 1.8×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $98.80 $152 1.5×
Removal of foreign body from pharynx (42809) $687.05 $1,057 1.4×
Removal of nail bed (11750) $656.50 $1,010 1.4×
Removal or bivalving full arm or full leg cast (29705) $212.55 $327 0.7×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $152.10 $234 0.7×
Removal Sutures/Staples Requiring Anesthesia (15851) $1,566.50 $2,410 0.7×
Removal/bivalving gauntlet boot/body cast (29700) $212.55 $327 0.7×
Remove cerclage suture (59871) $2,202.85 $3,389 0.6×
Remove drug implant device (11982) $339.30 $522 0.7×
Remove foreign body from eye (65205) $150.80 $232 1.0×
Remove Intrauterine Device (58301) $219.05 $337 0.6×
Remove Nasal Foreign Body (30300) $98.80 $152 0.7×
Remove Shoulder Foreign Body (23330) $1,259.70 $1,938 0.7×
Renal Biopsy Perq (50200) $1,132.95 $1,743 0.6×
Repair arm/leg nerve (64857) $7,019.35 $10,799 1.8×
Repair Blood Vessel Direct Upper Extremity (35206) $4,658.55 $7,167 1.3×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $676 $1,040 0.8×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $676 $1,040 0.8×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $505.70 $778 1.1×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $525.85 $809 1.2×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $525.85 $809 1.2×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $525.85 $809 1.2×
Repair complex trunk 1.1-2.5 cm (13100) $676 $1,040 0.8×
Repair complex trunk 2.6-7.5 cm (13101) $676 $1,040 0.8×
Repair extensor tendon finger w/o graft each (26418) $2,531.75 $3,895 1.4×
Repair Eyelid Wound (67935) $1,805.05 $2,777 0.7×
Repair finger deformity (26590) $9,523.80 $14,652 5.3×
Repair Finger Tendon (26433) $2,483.65 $3,821 0.7×
Repair Finger/Hand Tendon (26350) $4,265.95 $6,563 1.2×
Repair Hand Joint (26540) $3,091.40 $4,756 0.8×
Repair Hand Tendon (26410) $2,531.75 $3,895 1.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $910.65 $1,401 2.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $970.45 $1,493 2.1×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,093.30 $1,682 2.4×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,203.15 $1,851 2.6×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,314.95 $2,023 1.6×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $761.15 $1,171 1.7×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $970.45 $1,493 2.1×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,119.30 $1,722 1.3×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $1,566.50 $2,410 0.7×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,212.90 $1,866 2.7×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $685.75 $1,055 1.5×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $874.90 $1,346 1.9×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,561.95 $2,403 1.9×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $1,028.30 $1,582 2.3×
Repair intermediate s/a/t/e >30.0 cm (12037) $2,096.25 $3,225 0.9×
Repair intrinsic muscles hand each muscle (26591) $4,512.95 $6,943 1.2×
Repair Laceration Palate </2 Cm (42180) $505.05 $777 0.8×
Repair Laceration Palate >2 Cm/Complex (42182) $6,380.40 $9,816 1.0×
Repair of nail bed (11760) $1,014 $1,560 1.2×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $3,185.65 $4,901 0.9×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $7,667.40 $11,796 0.9×
Repair tongue laceration (41252) $2,131.35 $3,279 8.0×
Repair tongue laceration (41250) $339.30 $522 0.7×
Repair Tooth Socket (41874) $3,370.90 $5,186 0.9×
Replace duodenostomy/jejunostomy tube perq (49451) $982.80 $1,512 1.0×
Replace G-J Tube Perc (49452) $819 $1,260 0.8×
Replace g/c tube perc (49450) $1,223.30 $1,882 1.2×
Replantation digit complete (20822) $17,402.45 $26,773 9.6×
Reposition Gastrostomy Tube (43761) $1,320.15 $2,031 4.7×
Rerepair ing hernia reduce (49520) $8,376.55 $12,887 2.1×
Respir iadna 18 viral&2 bact (0115U) $294.68 $453.36 1.1×
Revise knuckle joint (26530) $4,156.75 $6,395 0.5×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $4,337.45 $6,673 1.1×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $688.35 $1,059 0.7×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $722.15 $1,111 1.4×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $150.80 $232 1.0×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $339.30 $522 0.7×
Rmvl fecal impaction/fb spx under anes (45915) $1,861.60 $2,864 1.4×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $2,204.80 $3,392 0.7×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $1,253.85 $1,929 0.7×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $982.80 $1,512 1.4×
Rplcmt cath ctr vad subq port/pmp (36578) $2,396.55 $3,687 0.7×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $1,194.70 $1,838 0.7×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,194.70 $1,838 0.7×
Rplcmt Irrigation/Revj Lumbosarach Shunt (63744) $7,019.35 $10,799 1.8×
Rpr blood vessel direct lower extremity (35226) $1,932.45 $2,973 2.4×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $1,054.30 $1,622 4.7×
Rpr ing hernia init reduce (49500) $4,470.05 $6,877 0.6×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $505.05 $777 1.9×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $1,148.55 $1,767 1.9×
Rpr Lip Full Thickness Vermilion Only (40650) $1,148.55 $1,767 1.9×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $1,148.55 $1,767 0.7×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $4,553.90 $7,006 1.2×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $2,544.75 $3,915 0.7×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575)
range across 3 matching MRF lines
$476.45–$533.65 $733–$821 varies
Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) $2,984.15 $4,591 0.7×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $3,778.45 $5,813 1.0×
Shave skin lesion 0.5 cm/< (11300) $276.25 $425 0.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $205.40 $316 0.9×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $2,516.80 $3,872 0.7×
Sigmoidoscopy w/fb removal (45332) $1,395.55 $2,147 1.0×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $1,301.95 $2,003 2.9×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $583.70 $898 2.6×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $699.40 $1,076 3.1×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $1,248.65 $1,921 2.7×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $841.10 $1,294 3.7×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $1,572.35 $2,419 7.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $469.95 $723 2.1×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $1,425.45 $2,193 6.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $778.05 $1,197 3.5×
Skin Full Grft Face/Genit/Hf (15240) $4,364.75 $6,715 1.9×
Skin Pinch Graft (15050) $676 $1,040 0.8×
Skin sub graft face/nk/hf/g (15275) $2,651.35 $4,079 3.2×
Skin Tissue Procedure (17999) $540.15 $831 2.4×
Slitting of prepuce (54001) $3,027.05 $4,657 1.3×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $663 $1,020 2.9×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $966.55 $1,487 2.1×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $1,240.85 $1,909 2.7×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines
$757.90–$848.90 $1,166–$1,306 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $5,968.95 $9,183 1.5×
Strapping ankle (29540) $167.05 $257 0.9×
Strapping elbow or wrist (29260) $167.05 $257 2.5×
Strapping hand/finger (29280) $167.05 $257 2.5×
Strapping Hip (29520) $167.05 $257 1.1×
Strapping knee (29530) $167.05 $257 1.1×
Strapping shoulder (29240) $167.05 $257 1.1×
Strapping thorax (29200) $167.05 $257 0.9×
Strapping toes (29550) $167.05 $257 2.5×
Strapping Unna Boot (29580)
range across 3 matching MRF lines
$110.50–$135.20 $170–$208 varies
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $1,805.05 $2,777 0.7×
Suture 1 nerve hand/foot common sensory nerve (64834) $3,782.35 $5,819 1.0×
Suture 1 Nerve Ulnar Motor (64836) $3,782.35 $5,819 1.0×
Suture digital nerve hand/foot 1 nerve (64831) $3,159 $4,860 1.4×
Suture infrapatellar tendon primary (27380) $5,508.10 $8,474 0.7×
Suture of quadriceps or hamstring muscle rupture primary (27385) $5,508.10 $8,474 0.7×
Suture/repair testicular injury (54670) $2,676.05 $4,117 0.7×
Tangential biopsy skin single lesion (11102) $308.75 $475 0.7×
Ther Spi Pnxr Csf Fluor/Ct (62329) $469.30 $722 0.6×
Therapeutic pneumothorax (32960) $879.45 $1,353 1.2×
Thrombolytic Art Therapy (37211) $6,208.80 $9,552 1.0×
Thrombolytic Therapy Stroke (37195)
range across 2 matching MRF lines
$392.60–$571.35 $604–$879 varies
Thrombolytic Venous Therapy (37212) $3,749.20 $5,768 1.1×
Thyroid biopsy (60100) $419.90 $646 0.5×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $4,388.80 $6,752 1.9×
Tooth extraction (41899)
range across 2 matching MRF lines
$321.10–$937.30 $494–$1,442 varies
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $2,877.55 $4,427 0.8×
Tracheobrnchsc Thru Est Trachs Inc (31615) $507 $780 0.8×
Tracheostomy Emergency Cricothyroid Membrane (31605) $2,131.35 $3,279 8.0×
Treat ankle fracture (28445) $8,087.30 $12,442 1.0×
Treat Big Toe Fracture (28505) $2,483.65 $3,821 0.7×
Treat Dental Ridge Fracture (21440) $3,370.25 $5,185 0.9×
Treat Hip Socket Fracture (27222) $4,056 $6,240 14.6×
Treat humerus fracture (24500) $244.40 $376 0.9×
Treat Humerus Fracture (24505) $2,804.10 $4,314 1.6×
Treat humerus fracture (23600) $244.40 $376 0.9×
Treat knee fracture (27532) $2,483.65 $3,821 0.7×
Treat Knee Fracture(S) (27538) $244.40 $376 0.9×
Treat Knuckle Dislocation (26700) $244.40 $376 0.9×
Treat metacarpal fracture (26607) $2,483.65 $3,821 0.7×
Treat Metatarsal Fracture (28475) $244.40 $376 0.9×
Treat Thumb Dislocation (26641) $244.40 $376 0.9×
Treat Thumb Fracture (26645) $1,220.70 $1,878 0.7×
Treat toe dislocation (28630) $244.40 $376 0.9×
Treat vagina infection (57150) $117 $180 1.8×
Treatment Closed Elbow Dislocation Req Anes (24605) $2,373.15 $3,651 1.3×
Treatment closed elbow dislocation w/o anes (24600) $244.40 $376 0.9×
Trim skin lesion (11055) $139.10 $214 0.6×
Trimming Nondystrophic Nails Any Number (11719) $69.55 $107 1.0×
Tx Gastro Intub W/Asp (43753) $517.40 $796 2.1×
Tx Incomplete Abortion Any Trimester Surgical (59812) $2,914.60 $4,484 0.8×
Tx Missed Abortion First Trimester Surgical (59820) $2,914.60 $4,484 0.8×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $2,373.15 $3,651 1.3×
Tx Superficial Wound Dehiscence Simple Closure (12020) $676 $1,040 0.8×
Tx superficial wound dehiscence w/packing (12021) $525.85 $809 1.2×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $1,220.70 $1,878 0.7×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $244.40 $376 0.9×
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) $3,754.40 $5,776 0.9×
Unlisted Craniofacial & Maxillofacial Procedure (21299) $391.95 $603 1.5×
Unlisted procedure anus (46999) $1,658.15 $2,551 1.6×
Unlisted Procedure Casting/Strapping (29799) $211.90 $326 1.2×
Unlisted Procedure Esophagus (43499) $4,153.50 $6,390 4.1×
Unlisted Procedure External Ear (69399) $375.05 $577 1.4×
Unlisted procedure forearm or wrist (25999) $593.45 $913 2.1×
Unlisted Procedure Hands/Fingers (26989) $375.05 $577 1.4×
Unlisted procedure humerus/elbow (24999) $535.60 $824 1.9×
Unlisted Procedure Intestine (44799) $3,883.10 $5,974 3.8×
Unlisted Procedure Leg/Ankle (27899) $430.95 $663 1.6×
Unlisted Procedure Male Genital System (55899) $328.25 $505 1.2×
Unlisted Procedure Muscskeletal System General (20999) $231.40 $356 0.8×
Unlisted procedure nervous system (64999) $705.90 $1,086 2.0×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $316.55 $487 1.2×
Unlisted Procedure Rectum (45999) $1,203.15 $1,851 1.2×
Unlisted procedure stomach (43999) $1,335.10 $2,054 1.3×
Unlisted Procedure Tongue Floor Mouth (41599) $316.55 $487 1.2×
Unlisted Procedure Trachea Bronchi (31899) $1,654.25 $2,545 7.4×
Unlisted Procedure Vascular Surgery (37799) $724.10 $1,114 1.0×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $6,624.15 $10,191 6.5×
Unlisted Procedure, Urinary System (53899) $328.25 $505 1.2×
Unlisted px female genital system nonobstetrical (58999) $248.30 $382 1.1×
Unlisted Px Salivary Glands/Ducts (42699) $180.05 $277 0.7×
Vaginal delivery only (59409) $5,597.15 $8,611 1.5×
Venous Cutdown >1 Y/O (36425) $339.30 $522 0.7×
Wedge excision skin nail fold (11765) $605.80 $932 1.3×
Windowing of cast (29730) $167.05 $257 0.9×

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.