Procedures & surgery prices at Livingston Healthcare

Livingston, MT · every code in this section with a posted price and a Medicare benchmark.

1105 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 3 matching MRF lines		 $363.85–$1,429.75 $383–$1,505 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $497.80 $524 0.5×
Acne surgery (10040)
range across 2 matching MRF lines		 $164.35–$179.55 $173–$189 varies
Acromiopl/Acromionect Partial (23130) $2,084.30 $2,194 0.6×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,900 $2,000 0.9×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $1,900 $2,000 0.9×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $1,938 $2,040 0.9×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $1,944.65 $2,047 0.6×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $1,943.70 $2,046 0.6×
Amputation foot transmetarsal (28805)
range across 2 matching MRF lines		 $1,006.05–$8,424.60 $1,059–$8,868 varies
Amputation metatarsal with toe single (28810) $1,347.10 $1,418 0.4×
Amputation toe interphalangeal joint (28825) $1,665.35 $1,753 0.5×
Amputation toe metatarsophalangeal joint (28820) $1,731.85 $1,823 0.5×
Amputation, leg, through tibia and fibula; (27880)
unusually low: confirm this is the full procedure		 $2,837.65 $2,987 0.4×
Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) $1,888.60 $1,988 0.6×
Amputation, leg, through tibia and fibula; re-amputation (27886) $2,050.10 $2,158 0.6×
Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) $380 $400 0.4×
Anoscopy diagnostic (46600) $264.10 $278 1.9×
Anoscopy remove lesion (46610) $684 $720 0.2×
Anoscopy W/Rmvl Foreign Body (46608) $498.75 $525 0.5×
Anoscopy; with biopsy, single or multiple (46606) $680.20 $716 0.6×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $317.30 $334 0.1×
Anterior colporraphy rpr cystocele w/cysto (57240)
unusually low: confirm this is the full procedure		 $2,037.75 $2,145 0.4×
Anterior Tibial Tubercleplasty (27418)
unusually low: confirm this is the full procedure		 $2,453.85 $2,583 0.3×
Appendectomy (44950)
unusually low: confirm this is the full procedure		 $2,119.45 $2,231 0.3×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584)
range across 2 matching MRF lines		 $174.80–$322.05 $184–$339 varies
Appl skin cell ssp agrft t/a/l 1st 480 sq cm/< (15015) $1,738.50 $1,830 0.8×
Appl skn cll ssp agrft f/s/n/h/f/g/m/dgt 1st 480 (15017) $1,737.77 $1,829.23 0.8×
Application cast elbow finger short arm (29075) $271.70 $286 1.0×
Application Cast Finger (29086) $65.55 $69 0.4×
Application Finger Splint Dynamic (29131) $157.70 $166 2.6×
Application finger splint static (29130) $122.55 $129 0.9×
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $105.91–$263.15 $111.48–$277 varies
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $99.75–$242.25 $105–$255 varies
Application multiplane external fixation system (20692)
likely a partial charge, not the full procedure		 $3,321.20 $3,496 0.3×
Application of long leg cast (29345) $410.40 $432 1.4×
Application of rigid total contact leg cast (29445) $786.60 $828 2.8×
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines		 $138.70–$231.80 $146–$244 varies
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $99.75–$194.75 $105–$205 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $95–$214.70 $100–$226 varies
Application uniplane external fixation system (20690)
likely a partial charge, not the full procedure		 $1,755.60 $1,848 0.2×
Apply hand/wrist cast (29085) $286.90 $302 1.7×
Apply long arm cast (29065) $290.70 $306 1.0×
Apply Multlay Comprs Lwr Leg (29581)
range across 8 matching MRF lines		 $155.80–$488.30 $164–$514 varies
Apply Short Leg Cast (29405) $249.85 $263 0.9×
Apply short leg cast (29425) $288.80 $304 1.0×
Arterial puncture (36600)
range across 3 matching MRF lines		 $40.85–$191.90 $43–$202 varies
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551)
unusually low: confirm this is the full procedure		 $4,750 $5,000 0.4×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure		 $644.10 $678 0.0×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 5 matching MRF lines		 $134.90–$420.85 $142–$443 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines		 $75.05–$987.05 $79–$1,039 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 10 matching MRF lines		 $171.95–$606.10 $181–$638 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $86.45–$1,696.70 $91–$1,786 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines		 $116.85–$190 $123–$200 varies
Arthrodesis ankle open (27870)
likely a partial charge, not the full procedure		 $3,152.10 $3,318 0.2×
Arthrodesis great toe metatarsophalangeal joint (28750)
unusually low: confirm this is the full procedure		 $2,503.25 $2,635 0.3×
Arthrodesis Posterior/Posterolateral Lumbar (22612)
likely a partial charge, not the full procedure		 $4,275 $4,500 0.2×
Arthrodesis subtalar (28725)
likely a partial charge, not the full procedure		 $3,907.35 $4,113 0.3×
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810)
likely a partial charge, not the full procedure		 $2,624.85 $2,763 0.2×
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure		 $4,304.45 $4,531 0.2×
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470)
unusually low: confirm this is the full procedure		 $5,301.95 $5,581 0.4×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $2,447.20 $2,576 0.7×
Arthroplasty Patella W/Prosthesis (27438)
likely a partial charge, not the full procedure		 $2,542.20 $2,676 0.2×
Arthroscopy Ankle Surgical Debridement Extensive (29898)
range across 2 matching MRF lines		 $497.80–$1,777.45 $524–$1,871 varies
Arthroscopy Ankle Surgical Debridement Limited (29897) $2,403.50 $2,530 0.7×
Arthroscopy Ankle Surgical W/Ankle Arthrodesis (29899) $4,721.50 $4,970 0.6×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $1,787.90 $1,882 0.5×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $2,952.60 $3,108 0.9×
Arthroscopy knee synovectomy limited spx (29875) $2,578.30 $2,714 0.8×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $2,578.30 $2,714 0.8×
Arthroscopy shoulder distal claviculectomy (29824) $2,048.20 $2,156 0.6×
Arthroscopy shoulder surgical capsulorrhaphy (29806)
unusually low: confirm this is the full procedure		 $3,666.05 $3,859 0.5×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $2,302.80 $2,424 0.7×
Arthroscopy, knee, surgical; with lateral release (29873) $2,578.30 $2,714 0.8×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $2,080.50 $2,190 0.6×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $4,173.35 $4,393 0.6×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $3,401.95 $3,581 1.0×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $2,340.80 $2,464 0.7×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
unusually low: confirm this is the full procedure		 $3,159.70 $3,326 0.4×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $2,651.45 $2,791 0.8×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure		 $3,322.15 $3,497 0.4×
Arthrotomy ankle w/expl drainage/removal fb (27610) $1,932.30 $2,034 0.6×
Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) $2,171.70 $2,286 0.6×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
unusually low: confirm this is the full procedure		 $4,370 $4,600 0.3×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $5,517.60 $5,808 0.7×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $602.30 $634 0.2×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $3,153.05 $3,319 0.9×
Arthrs knee debridement/shaving artclr crtlg (29877) $2,740.75 $2,885 0.8×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $3,780.05 $3,979 1.1×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $2,238.20 $2,356 0.7×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $1,169.45 $1,231 0.7×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $978.50 $1,030 0.3×
Artificial insemination intra-uterine (58322) $265.05 $279 1.3×
Aspirate pleura w/ imaging (32555)
range across 3 matching MRF lines		 $343.43–$1,741.35 $361.50–$1,833 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $380–$527.25 $400–$555 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $99.75–$162.45 $105–$171 varies
Aspiration bladder insert suprapubic catheter (51102) $736.25 $775 0.3×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $134.90–$217.55 $142–$229 varies
Axillary lymphadenectomy; complete (38745) $3,478.90 $3,662 0.6×
Biopsy Abdominal Mass (49180)
range across 3 matching MRF lines		 $118.75–$2,308.50 $125–$2,430 varies
Biopsy bone open deep (20245) $1,901.90 $2,002 0.6×
Biopsy bone open superficial (20240) $700.15 $737 0.2×
Biopsy bone trocar/needle deep (20225)
range across 3 matching MRF lines		 $184.30–$1,779.54 $194–$1,873.20 varies
Biopsy Bone Trocar/Needle Superficial (20220)
range across 2 matching MRF lines		 $318.25–$2,308.50 $335–$2,430 varies
Biopsy muscle percutaneous needle (20206)
range across 3 matching MRF lines		 $746.70–$2,308.50 $786–$2,430 varies
Biopsy Muscle Superficial (20200) $623.20 $656 0.4×
Biopsy of breast; open, incisional (19101) $1,020.30 $1,074 0.3×
Biopsy of liver, needle; percutaneous (47000)
range across 5 matching MRF lines		 $125.40–$2,009.25 $132–$2,115 varies
Biopsy of rectum (45100) $1,763.20 $1,856 0.6×
Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) $1,660.60 $1,748 0.4×
Biopsy Oropharynx (42800) $2,952.60 $3,108 1.9×
Biopsy Pleura Percutaneous Needle (32400) $119.70 $126 0.1×
Biopsy Salivary Gland Incisional (42405) $924.35 $973 0.6×
Biopsy Salivary Gland Needle (42400)
range across 2 matching MRF lines		 $76–$712.50 $80–$750 varies
Biopsy soft tissue leg/ankle area superficial (27613) $380 $400 0.2×
Biopsy soft tissue neck/thorax (21550) $607.05 $639 0.4×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $1,031.70 $1,086 0.6×
Biopsy Soft Tissue Shoulder Superficial (23065) $665.95 $701 0.4×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $1,179.90 $1,242 0.4×
Biopsy Tongue Anterior Two-Thirds (41100) $523.45 $551 0.9×
Biopsy Vaginal Mucosa Extensive (57105) $416.10 $438 0.1×
Biopsy Vaginal Mucosa Simple (57100) $288.80 $304 0.3×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $254.60 $268 0.3×
Biopsy, vestibule of mouth (40808) $571.90 $602 1.0×
Biopsy/removal lymph nodes (38510) $1,580.80 $1,664 0.4×
Bladder Irrigation (51700) $258.40 $272 1.0×
Bladder Scan (51798) $98.80 $104 1.6×
Blepharoplasty Lower Eyelid (15820) $3,298.40 $3,472 1.6×
Blood Transfusion Service (36430) $1,302.45 $1,371 2.9×
Bone Graft Any Donor Area Minor/Small (20900)
likely a partial charge, not the full procedure		 $519.65 $547 0.1×
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines		 $100.70–$539.60 $106–$568 varies
Bone Marrow; Aspiration Only (38220)
range across 2 matching MRF lines		 $96.90–$482.60 $102–$508 varies
Bronchoscopy W/Removal Foreign Body (31635) $326.80 $344 0.2×
Bx breast 1st lesion strtctc (19081) $539.60 $568 0.3×
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines		 $218.50–$1,692.90 $230–$1,782 varies
Bx breast needle core w/o imaging guidance spx (19100) $448.40 $472 0.3×
Bx Cervix (57500) $397.10 $418 0.4×
Bx/exc lymph node open deep axillary node (38525) $1,305.30 $1,374 0.3×
Bx/exc lymph node open superficial (38500) $997.50 $1,050 0.2×
Canthotomy Separate Procedure (67715) $730.55 $769 0.3×
Capsulectomy/capsulotomy mtcarphlngl joint each (26520) $2,005.45 $2,111 0.6×
Carpal Tunnel Surgery (64721)
range across 2 matching MRF lines		 $946.20–$1,890.50 $996–$1,990 varies
Catheter aspiration nasotracheal spx (31720) $374.30 $394 1.7×
Cautery Cervix Cryocautery Initial/Repeat (57511) $448.40 $472 1.4×
Cautery Cervix Electro/Thermal (57510) $382.85 $403 0.1×
Cerv artific diskectomy (22856)
likely a partial charge, not the full procedure		 $4,275 $4,500 0.2×
Change Cystostomy Tube Simple (51705) $266 $280 1.0×
Chemical Cautery Tissue (17250) $164.35 $173 0.8×
Chemical Pleurodesis (32560) $561.45 $591 0.9×
Chemodenerv Musc Migraine (64615)
range across 2 matching MRF lines		 $205.20–$439.85 $216–$463 varies
Chemodenerv musc neck dyston (64616)
range across 2 matching MRF lines		 $358.15–$714.40 $377–$752 varies
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $160.55 $169 0.5×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 2 matching MRF lines		 $305.90–$561.45 $322–$591 varies
Chest tube placement (32551)
range across 2 matching MRF lines		 $561.45–$731.50 $591–$770 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490)
range across 3 matching MRF lines		 $456.95–$5,029.30 $481–$5,294 varies
Ciliary body dstrj cyclophotocoag transsceral (66710) $2,031.10 $2,138 0.8×
Circumcision 28 days or older (54161) $890.15 $937 0.4×
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines		 $385.70–$1,885.75 $406–$1,985 varies
Cl Tx Tib Shft Fx W Manip (27752) $1,621.65 $1,707 1.0×
Claviculectomy partial (23120) $2,498.50 $2,630 0.7×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $99.75–$386.65 $105–$407 varies
Closed Rx Metacarpal Fx,Percut (26608) $1,601.70 $1,686 0.5×
Closed Treat Vert Body Fract (22310) $1,202.70 $1,266 4.8×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,467.75 $1,545 5.8×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $861.65 $907 3.4×
Closed Treatment Ulnar Styloid Fracture (25650) $456.95 $481 1.8×
Closed tx ankle dislocation w/o anesthesia (27840) $1,170.40 $1,232 4.6×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,423.10 $1,498 0.9×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $1,002.25 $1,055 4.0×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $1,038.35 $1,093 4.1×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $1,416.45 $1,491 5.6×
Closed tx knee dislocation w/o anesthesia (27550) $687.80 $724 2.7×
Closed tx metatarsal fracture w/o manipulation (28470) $603.25 $635 2.4×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,660.60 $1,748 1.0×
Closed tx patellar dislocation w/o anesthesia (27560) $675.45 $711 2.7×
Closed Tx Patellar Fracture W/O Manipulation (27520) $969.95 $1,021 3.8×
Closed tx radial head/neck fx w/manipulation (24655) $669.75 $705 0.4×
Closed tx radial head/neck fx w/o manipulation (24650) $633.65 $667 2.5×
Closed tx radial shaft fracture w/manipulation (25505) $760 $800 0.5×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $808.45 $851 3.2×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,427.85 $1,503 0.9×
Closed tx radial&ulnar shaft fractures w/o man (25560) $819.85 $863 3.3×
Closed Tx Talus Fracture W/Manipulation (28435) $240.35 $253 0.1×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $369.55 $389 1.5×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $679.25 $715 0.4×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $870.20 $916 3.5×
Clsd tx clavicular fracture w/o manipulation (23500) $655.50 $690 2.6×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,185.60 $1,248 0.7×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $674.50 $710 2.7×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,488.65 $1,567 0.9×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,030.75 $1,085 0.6×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $683.05 $719 2.7×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $914.85 $963 3.6×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $530.10 $558 2.1×
Cltx dstl fibular fx lat malls w/manj (27788) $1,273.95 $1,341 5.1×
Cltx dstl fibular fx lat malls w/o manj (27786) $950 $1,000 3.8×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $943.35 $993 3.7×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $539.60 $568 2.1×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $955.70 $1,006 3.8×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,672 $1,760 1.0×
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $1,444.95 $1,521 0.9×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $920.55 $969 0.6×
Cltx fx grt toe phlx/phlg w/manj (28495) $535.80 $564 2.1×
Cltx fx grt toe phlx/phlg w/o manj (28490) $433.20 $456 1.7×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $165.30–$479.75 $174–$505 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $367.65 $387 1.5×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,705.25 $1,795 1.0×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $343.90 $362 1.4×
Cltx hip dislocation traumatic req anesthesia (27252) $2,291.40 $2,412 1.4×
Cltx hip dislocation traumatic w/o anesthesia (27250) $484.50 $510 1.9×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,015.55 $1,069 0.6×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $146.30–$346.75 $154–$365 varies
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,149.50 $1,210 4.0×
Cltx iphal jt dislc w/manj w/o anes (26770) $816.05 $859 3.2×
Cltx Med Ankle Fx W/Mnpj (27762) $1,449.70 $1,526 0.9×
Cltx metacarpal fx w/manipulation each bone (26605) $963.30 $1,014 3.8×
Cltx metacarpal fx w/o manipulation each bone (26600) $874 $920 3.5×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $329.65 $347 0.2×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $1,014.60 $1,068 4.0×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $591.85 $623 2.3×
Cltx post hip arthrp dislc req anes (27266) $1,790.75 $1,885 1.1×
Cltx post hip arthrp dislc w/o anes (27265) $1,408.85 $1,483 5.6×
Cltx prox fibula/shft fx w/manj (27781) $950 $1,000 0.6×
Cltx prox fibula/shft fx w/o manj (27780) $916.75 $965 3.6×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,396.50 $1,470 0.9×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660)
range across 2 matching MRF lines		 $660.25–$1,223.60 $695–$1,288 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $237.50–$406.60 $250–$428 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,652.05 $1,739 1.0×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,639.70 $1,726 1.0×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $837.90 $882 0.5×
Cltx tibial fx proximal w/o manipulation (27530) $929.10 $978 3.7×
Cltx tibial shaft fx w/o manipulation (27750) $1,038.35 $1,093 4.1×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,462.05 $1,539 0.9×
Cltx trimalleolar ankle fx w/o manipulation (27816) $952.85 $1,003 3.8×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines		 $9.50–$18.05 $10–$19 varies
Colonoscopy Flexible With Decompression (45393) $722 $760 0.6×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $1,368 $1,440 1.1×
Colonoscopy Stoma W/Submucosal Injection (44404) $412.30 $434 0.3×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $1,241.65 $1,307 1.0×
Colonoscopy thru stoma (44388) $1,091.55 $1,149 1.1×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $1,555.15 $1,637 1.3×
Colonoscopy w/ablation (45388) $1,387.95 $1,461 1.1×
Colonoscopy W/Band Ligation (45398) $740.05 $779 0.6×
Colonoscopy w/fb removal (45379) $1,557.05 $1,639 1.3×
Colonoscopy W/Resection (45390) $203.30 $214 0.1×
Colonoscopy w/submucosal inj (45381) $1,143.80 $1,204 0.9×
Colpocleisis (le fort type) (57120)
likely a partial charge, not the full procedure		 $1,486.75 $1,565 0.3×
Colpopexy vaginal intraperitoneal approach (57283)
likely a partial charge, not the full procedure		 $2,057.70 $2,166 0.3×
Colporrhaphy (57200)
range across 2 matching MRF lines		 $790.40–$1,092.50 $832–$1,150 varies
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $470.25 $495 1.5×
Colposcopy Cervix Endocervical Curettage (57456) $416.10 $438 1.3×
Colposcopy cervix upper/adjacent vagina (57452) $334.40 $352 1.6×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $384.75 $405 1.2×
Colposcopy cervix vag eltrd conization cervix (57461) $1,048.80 $1,104 0.3×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $883.50 $930 0.3×
Colposcopy entire vagina w/cervix if present (57420) $356.25 $375 1.1×
Colposcopy of vulva (56820) $340.10 $358 1.6×
Colposcopy Vulva W/Biopsy (56821) $451.25 $475 1.4×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $478.80 $504 0.5×
Colsc Flexible W/Control Bleeding Any Method (45382) $1,387.95 $1,461 1.1×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $2,081.45 $2,191 1.7×
Colsc flx w/removal lesion by hot bx forceps (45384) $931.95 $981 0.8×
Combined anteroposterior colporrhaphy; (57260) $2,852.85 $3,003 0.6×
Complex drainage wound (10180) $663.10 $698 0.2×
Conization cervix w/wo d&c rpr eltrd exc (57522) $764.75 $805 0.2×
Conization of cervix (57520) $939.55 $989 0.3×
Control Nasal Hemorrhage Anterior Complex (30903) $624.15 $657 4.6×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $134.90–$233.70 $142–$246 varies
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132)
unusually low: confirm this is the full procedure		 $5,090.10 $5,358 0.4×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 2 matching MRF lines		 $215.65–$2,308.50 $227–$2,430 varies
Correction hammertoe (28285) $1,575.10 $1,658 0.5×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $2,152.70 $2,266 0.6×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
likely a partial charge, not the full procedure		 $1,856.30 $1,954 0.1×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $1,491.50 $1,570 0.4×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299)
unusually low: confirm this is the full procedure		 $3,059 $3,220 0.4×
Create Eardrum Opening (69433)
range across 2 matching MRF lines		 $684–$1,367.05 $720–$1,439 varies
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $775.20 $816 5.7×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $864.50 $910 3.6×
Curettage postpartum (59160) $663.10 $698 0.2×
Cysto Bladder W/Ureteral Catheterization (52005) $852.15 $897 0.4×
Cystostomy Cystotomy W/Drainage (51040) $2,965.90 $3,122 1.4×
Cystourethroscopy (52000) $628.90 $662 0.9×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $98.80–$99.75 $104–$105 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $2,149.85 $2,263 0.7×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $1,486.75 $1,565 2.1×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $1,624.50 $1,710 2.2×
Dcmprn fasct leg post compartment only (27601) $635.55 $669 0.2×
Deb Musc/Fascia 20 Sq Cm/< (11043) $534.85 $563 0.7×
Debride nail 1-5 (11720) $62.70 $66 1.0×
Debride nail 6 or more (11721)
range across 3 matching MRF lines		 $45.60–$251.75 $48–$265 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $665–$1,069.70 $700–$1,126 varies
Debridement Mastoidectomy Cavity Simple (69220)
range across 2 matching MRF lines		 $204.25–$406.60 $215–$428 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 3 matching MRF lines		 $190–$339.15 $200–$357 varies
Declot vascular device (36593) $190 $200 0.6×
Decomp forearm,1 compart,w/o debride (25020) $1,750.85 $1,843 1.1×
Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle… (25025) $3,644.20 $3,836 2.2×
Decompressive fasciotomy hand (26037) $1,726.15 $1,817 0.5×
Deep Muscle Biopsy (20205) $846.45 $891 0.3×
Delivery of placenta (59414)
range across 2 matching MRF lines		 $285.95–$4,530.55 $301–$4,769 varies
Destroy cerv/thor facet jnt (64633)
range across 4 matching MRF lines		 $1,122.90–$2,243.90 $1,182–$2,362 varies
Destroy lumb/sac facet jnt (64635)
range across 4 matching MRF lines		 $1,390.80–$3,670.80 $1,464–$3,864 varies
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $134.90–$160.55 $142–$169 varies
Destruction Benign Lesions 15/> (17111) $242.25 $255 1.2×
Destruction Lesions Vulva Extensive (56515) $805.60 $848 0.4×
Destruction Lesions Vulva Simple (56501) $401.85 $423 0.2×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $539.60 $568 2.6×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $276.45 $291 1.3×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $742.90 $782 1.8×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $428.45 $451 2.1×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $497.80 $524 2.4×
Destruction Premalignant Lesion 15/> (17004) $521.55 $549 1.3×
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines		 $97.85–$99.75 $103–$105 varies
Destruction Vaginal Lesions Extensive (57065) $589.95 $621 0.2×
Destruction Vaginal Lesions Simple (57061) $350.55 $369 0.1×
Diagnostic sigmoidoscopy (45330) $432.25 $455 0.5×
Diaphragm or cervical cap fitting with instructions (57170) $191.90 $202 0.9×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $497.80 $524 0.4×
Dilat female urethra general/cndj spinal anes (53665) $114.95 $121 0.1×
Dilate Esophagus 1/Mult Pass (43450) $483.55 $509 0.5×
Dilation & curettage dx&/ther nonobstetric (58120)
range across 2 matching MRF lines		 $342–$786.60 $360–$828 varies
Drain Cerebro Spinal Fluid (62272) $607.05 $639 0.8×
Drain Hand Tendon Sheath (26020) $1,306.25 $1,375 0.4×
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines		 $66.50–$372.40 $70–$392 varies
Drainage external auditory canal abscess (69020)
range across 2 matching MRF lines		 $142.50–$299.25 $150–$315 varies
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $196.65–$408.50 $207–$430 varies
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $180.50–$1,351.85 $190–$1,423 varies
Drainage Mouth Roof Lesion (42000) $876.85 $923 3.6×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $99.75–$786.60 $105–$828 varies
Drainage of gum lesion (41800) $802.75 $845 5.9×
Drainage of hematoma/fluid (10140) $458.85 $483 0.3×
Drainage of hydrocele (55000) $361.95 $381 0.5×
Drainage of rectal abscess (45005) $501.60 $528 0.4×
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $236.55–$634.60 $249–$668 varies
Drainage of scrotum (54700) $661.20 $696 0.3×
Draw Blood Off Venous Device (36591) $59.85 $63 0.4×
Dressing Change Under Anesthesia (15852) $143.45 $151 0.2×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $399.95 $421 0.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $305.90 $322 1.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $99.75–$179.55 $105–$189 varies
Dstrj Lesion Anus Simple Chemical (46900) $720.10 $758 1.7×
Dstrj lesion anus simple surg excision (46922) $1,233.10 $1,298 0.4×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $397.10 $418 0.2×
Dstrj Lesion Penis Simple Cryosurgery (54056) $429.40 $452 2.1×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $276.45 $291 0.3×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $1,203.65 $1,267 1.3×
Dx Bone Marrow Bx & Aspir (38222)
range across 2 matching MRF lines		 $621.30–$4,078.35 $654–$4,293 varies
Dx Bronchoscope/Wash (31622) $964.25 $1,015 0.5×
Dx Laryngoscopy Excl Nb (31525) $780.90 $822 0.4×
Dx laryngoscopy w/oper scope (31526) $2,854.75 $3,005 1.6×
Dx lmbr spi pnxr w/fluor/CT (62328)
range across 2 matching MRF lines		 $123.50–$1,177.05 $130–$1,239 varies
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $913.90 $962 0.5×
Egd cautery tumor polyp (43250) $1,077.30 $1,134 0.5×
Egd control bleeding any (43255) $1,103.90 $1,162 0.6×
Egd dilation gastric/duodenal stricture (43245) $579.50 $610 0.3×
Egd Flexible Foreign Body Removal (43247) $976.60 $1,028 1.1×
Egd guide wire insertion (43248) $793.25 $835 0.9×
Egd place gastrostomy tube (43246) $1,439.25 $1,515 0.7×
Egd remove lesion snare (43251) $1,076.35 $1,133 0.5×
Egd Varices Ligation (43244) $984.20 $1,036 0.5×
Endocervical curettage (57505) $314.45 $331 0.3×
Endometrial Biopsy (58100) $338.20 $356 1.6×
Enterorrhaphy single perforation (44602) $4,222.75 $4,445 1.1×
Enteroscopy > 2nd prtn conv gstrst tube (44373) $895.85 $943 0.5×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $989.90 $1,042 0.5×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $1,187.50 $1,250 0.6×
Epidural Blood Patch (62273) $820.80 $864 1.1×
Episiotomy or vaginal repair (59300) $595.65 $627 0.2×
Ercp remove forgn body duct (43275) $1,427.85 $1,503 0.7×
Escharotomy; initial incision (16035) $608 $640 1.5×
Esophagogastroduodenoscopy Submucosal Injection (43236) $1,328.10 $1,398 1.4×
Esophagoscopy Flexible Transoral Diagnostic (43200) $789.45 $831 0.9×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $1,000.35 $1,053 0.5×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $477.85 $503 0.2×
Evacuate mole of uterus (59870) $1,470.60 $1,548 0.4×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $109.25–$134.90 $115–$142 varies
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $1,235 $1,300 0.7×
Exc abdl tum deep 5 cm/> (22901) $2,023.50 $2,130 0.7×
Exc arm/elbow les sc < 3 cm (24075) $1,485.80 $1,564 0.9×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $242.25 $255 0.3×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $570 $600 0.3×
Exc Back Les Sc < 3 Cm (21930) $1,285.35 $1,353 0.8×
Exc Back Tum Deep 5 Cm/> (21933) $2,317.05 $2,439 0.8×
Exc back tum deep < 5 cm (21932) $949.05 $999 0.3×
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815)
likely a partial charge, not the full procedure		 $1,737.55 $1,829 0.3×
Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) $1,295.80 $1,364 0.4×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $1,622.60 $1,708 0.4×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $427.50 $450 0.6×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $557.65 $587 0.8×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $1,543.75 $1,625 0.9×
Exc Face Les Sbq 2 Cm/> (21012) $487.35 $513 0.3×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines		 $95.95–$255.55 $101–$269 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $344.85 $363 0.5×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $385.70 $406 0.5×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $675.45 $711 0.4×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $846.45 $891 0.5×
Exc Forearm Les Sc 3 Cm/> (25071) $786.60 $828 0.5×
Exc Forearm Tum Deep 3 Cm/> (25073) $5,567 $5,860 1.9×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $99.75–$285.95 $105–$301 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $99.75–$426.55 $105–$449 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $415.15 $437 0.2×
Exc Hand Les Sc < 1.5 Cm (26115) $1,610.25 $1,695 1.0×
Exc hydrocele sprmatic cord uni spx (55500) $1,208.40 $1,272 0.3×
Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) $832.20 $876 0.2×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $665 $700 0.4×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $1,026.95 $1,081 0.3×
Exc Lesion Tongue W/Clsr Posterior One-Third (41113) $1,344.25 $1,415 0.4×
Exc Rct Tum Incl Muscularis Propria (45172) $2,611.55 $2,749 0.9×
Exc Rct Tum Not Incl Muscularis Propria (45171) $3,160.65 $3,327 1.1×
Exc Shoulder Tum Deep 5 Cm/> (23073) $855 $900 0.3×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $284.05–$445.55 $299–$469 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $548.15 $577 0.3×
Exc Skin Benig >4 Cm Remaindr Body (11426) $798 $840 0.3×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $646 $680 0.4×
Exc Skin Benig >4cm Face,Facial (11446) $1,232.15 $1,297 0.4×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $907.25 $955 0.5×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $571.90 $602 0.3×
Exc tendon shth lesion leg/ankle (27630) $1,132.40 $1,192 0.3×
Exc thigh/knee les sc 3 cm/> (27337) $1,142.85 $1,203 0.4×
Exc thigh/knee tum dep 5cm/> (27339) $3,576.75 $3,765 1.2×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $548.15 $577 0.4×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $280.25 $295 0.7×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines		 $237.50–$339.15 $250–$357 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $648.85 $683 0.4×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552)
range across 2 matching MRF lines		 $642.20–$1,203.65 $676–$1,267 varies
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $1,376.55 $1,449 0.5×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $1,614.05 $1,699 1.0×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $1,515.25 $1,595 0.5×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $1,938.95 $2,041 0.7×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $1,628.30 $1,714 0.5×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $1,519.05 $1,599 0.5×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,102.95 $1,161 0.7×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $1,476.30 $1,554 0.5×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,083.95 $1,141 0.6×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $2,253.40 $2,372 0.8×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $969.95 $1,021 0.6×
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) $1,821.15 $1,917 0.6×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $1,835.40 $1,932 0.6×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $3,289.85 $3,463 1.1×
Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638)
unusually low: confirm this is the full procedure		 $2,732.20 $2,876 0.4×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $1,173.25 $1,235 0.7×
Excise Wrist Tendon Sheath (25118) $1,125.75 $1,185 0.7×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $536.75 $565 0.7×
Excision Distal Ulna Partial/Complete (25240) $1,337.60 $1,408 0.4×
Excision Excessive Skin & Subq Tissue Other Area (15839) $2,182.15 $2,297 0.7×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $920.55 $969 0.3×
Excision lesion meniscus/capsule knee (27347) $1,590.30 $1,674 0.5×
Excision Lesion Tongue W/O Closure (41110) $664.05 $699 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $329.65 $347 0.5×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $383.80 $404 0.5×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $483.55 $509 1.2×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $552.90 $582 0.8×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $399 $420 0.6×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $969.95 $1,021 0.6×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $498.75 $525 0.3×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $433.20 $456 0.6×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $774.25 $815 1.1×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $719.15 $757 0.4×
Excision Multiple External Papillae/Tags Anus (46230) $817 $860 0.3×
Excision of bartholin's gland or cyst (56740) $913.90 $962 0.3×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $1,164.70 $1,226 0.7×
Excision of hydrocele; bilateral (55041) $1,558 $1,640 0.4×
Excision of hydrocele; unilateral (55040) $1,036.45 $1,091 0.3×
Excision of neuroma; digital nerve, 1 or both, same digit (64776) $1,184.65 $1,247 0.6×
Excision of pilonidal cyst or sinus; simple (11770) $820.80 $864 0.3×
Excision of single external papilla or tag, anus (46220) $615.60 $648 0.5×
Excision of vaginal cyst or tumor (57135) $589 $620 0.2×
Excision of vaginal septum (57130) $515.85 $543 0.2×
Excision olecranon bursa (24105) $1,140 $1,200 0.3×
Excision or curettage of bone cyst or benign tumor of femur; (27355) $1,780.30 $1,874 0.5×
Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) Facility (27357)
unusually low: confirm this is the full procedure		 $2,546 $2,680 0.3×
Excision Pilonidal Cyst/Sinus Complicated (11772) $1,749.90 $1,842 0.6×
Excision Pilonidal Cyst/Sinus Extensive (11771) $1,697.65 $1,787 0.6×
Excision prepatellar bursa (27340) $1,425.95 $1,501 0.4×
Excision soft tissue lesion, external auditory canal (69145)
range across 2 matching MRF lines		 $1,747.05–$3,493.15 $1,839–$3,677 varies
Excision spermatocele w/wo epididymectomy (54840) $983.25 $1,035 0.5×
Excision tendon finger flexor/extensor each (26180) $1,305.30 $1,374 0.8×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,449.70 $1,526 0.9×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $1,069.70 $1,126 0.4×
Excision tumor soft tissue shoulder subq 3 cm/> (23071)
range across 2 matching MRF lines		 $570–$2,107.10 $600–$2,218 varies
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $1,366.10 $1,438 0.8×
Excision, interdigital (morton) neuroma, single, each (28080) $1,133.35 $1,193 0.7×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $1,295.80 $1,364 0.4×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $1,881.95 $1,981 0.6×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $1,296.75 $1,365 0.4×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075)
range across 2 matching MRF lines		 $867.35–$1,102.95 $913–$1,161 varies
Excision/curettage cyst/tumor carpal bones (25130) $950 $1,000 0.3×
Excision/curettage cyst/tumor phalanx finger (26210) $1,330.95 $1,401 0.8×
Excision/destruction intranasal lesion int appr (30117) $2,698.95 $2,841 0.8×
Excision; trochanteric bursa or calcification (27062) $1,372.75 $1,445 0.4×
Expl penetrating wound spx abdomen/flank/back (20102) $1,437.35 $1,513 0.7×
Expl Po Hemrrg Thrombosis/Infctj Nck (35800)
unusually low: confirm this is the full procedure		 $2,158.40 $2,272 0.4×
Explo/Drain Breast Abscess (19020) $888.25 $935 0.5×
Exploration of hip joint (27033)
unusually low: confirm this is the full procedure		 $2,946.90 $3,102 0.4×
Exploration of knee joint (27310) $2,204.95 $2,321 0.7×
Exploration penetrating wound spx extremity (20103) $2,589.70 $2,726 1.5×
Exploration Penetrating Wound Spx Neck (20100) $1,807.85 $1,903 3.3×
Exploratory elbow surgery (24000) $1,410.75 $1,485 0.4×
Explore/Treat Elbow Joint (24101) $2,306.60 $2,428 0.7×
Explore/Treat Hand Joint (26070) $830.30 $874 0.5×
Explore/Treat Knee Joint (27331) $1,433.55 $1,509 0.4×
Explore/Treat Wrist Joint (25040) $1,706.20 $1,796 0.5×
External cephalic version (59412)
range across 2 matching MRF lines		 $652.65–$4,530.55 $687–$4,769 varies
Fasciectomy Palm Only (26121) $1,841.10 $1,938 0.6×
Fasciotomy Iliotibial Open (27305) $1,471.55 $1,549 0.4×
Fasciotomy, hip or thigh, any type (27025) $2,775.90 $2,922 0.8×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $2,508.95 $2,641 0.8×
Fetal non-stress test (59025)
range across 3 matching MRF lines		 $149.15–$475 $157–$500 varies
Fine needle aspiration without imaging guidance (10021)
range across 3 matching MRF lines		 $73.15–$349.60 $77–$368 varies
Fluid Pressure Muscle (20950)
range across 2 matching MRF lines		 $126.35–$864.50 $133–$910 varies
Fna bx w/us gdn 1st les (10005)
range across 3 matching MRF lines		 $105.45–$1,059.25 $111–$1,115 varies
Foreskin manipulation (54450) $215.65 $227 0.8×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $1,898.10 $1,998 0.9×
Fuse hand bones with graft (25825)
likely a partial charge, not the full procedure		 $1,900 $2,000 0.3×
Fusion Finger Joint (26860) $1,562.75 $1,645 0.5×
Fusion of foot bones (28740)
likely a partial charge, not the full procedure		 $1,846.80 $1,944 0.2×
Fusion of knuckle (26850)
likely a partial charge, not the full procedure		 $1,900 $2,000 0.3×
Fusion of knuckle with graft (26852)
unusually low: confirm this is the full procedure		 $2,375 $2,500 0.3×
Gastrocnemius recession (27687) $1,344.25 $1,415 0.4×
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) $4,055.55 $4,269 1.0×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $2,088.10 $2,198 1.1×
Guide Cathet Fluid Drainage (10030)
range across 2 matching MRF lines		 $191.90–$1,203.65 $202–$1,267 varies
Hemiarthroplasty hip partial (27125)
likely a partial charge, not the full procedure		 $3,424.75 $3,605 0.3×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $1,508.60 $1,588 0.5×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $1,370.85 $1,443 0.5×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $1,416.45 $1,491 0.5×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $800.85 $843 0.8×
Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) $1,223.60 $1,288 0.4×
Hrv skin for skin cell ssp agrft 1st 25 sq cm/< (15011) $1,737.77 $1,829.23 0.8×
Hysteroscopy Biopsy (58558) $1,400.30 $1,474 0.4×
Hysteroscopy Dx Sep Proc (58555) $1,051.65 $1,107 0.3×
Hysteroscopy Endometrial Ablation (58563)
unusually low: confirm this is the full procedure		 $2,039.65 $2,147 0.4×
Hysteroscopy Lysis Intrauterine Adhesions (58559)
likely a partial charge, not the full procedure		 $1,362.30 $1,434 0.3×
Hysteroscopy Removal Impacted Foreign Body (58562) $2,076.70 $2,186 0.6×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $4,315.85 $4,543 0.8×
I&d abscess peritonsillar (42700) $593.75 $625 2.5×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $134.90–$275.50 $142–$290 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $951.90 $1,002 0.6×
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines		 $1,304.35–$2,022.55 $1,373–$2,129 varies
I&D Deep Absc/Hematoma Neck/Chest (21501) $1,237.85 $1,303 0.4×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $1,576.05 $1,659 0.5×
I&d forearm/wrist bursa (25031) $1,108.65 $1,167 0.7×
I&D Intramural Im/Absc Transanal Anes (46045) $1,285.35 $1,353 0.5×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $1,880.05 $1,979 0.6×
I&d perianal abscess superficial (46050) $1,017.45 $1,071 1.1×
I&d pilonidal cyst complicated (10081) $694.45 $731 1.0×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $196.65–$509.20 $207–$536 varies
I&d upper arm/elbow deep abscess/hematoma (23930) $1,070.65 $1,127 0.4×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $254.60 $268 0.3×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $1,091.55 $1,149 1.2×
Image Cath Fluid Colxn Visc (49405)
range across 3 matching MRF lines		 $274.55–$2,216.54 $289–$2,333.20 varies
Image Cath Fluid Peri/Retro (49406)
range across 3 matching MRF lines		 $268.85–$2,572.60 $283–$2,708 varies
Immediate breast prosthesis (19340)
unusually low: confirm this is the full procedure		 $2,979.20 $3,136 0.4×
Implant neuroelectrodes (63650) $4,164.80 $4,384 0.6×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $134.90–$534.85 $142–$563 varies
Incise finger tendon sheath (26055) $1,703.35 $1,793 1.0×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $196.65–$438.90 $207–$462 varies
Incision & drainage leg/ankle abscess/hematoma (27603)
range across 2 matching MRF lines		 $517.75–$1,626.40 $545–$1,712 varies
Incision & removal foreign body subq tiss compl (10121) $583.30 $614 0.3×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $134.90–$361 $142–$380 varies
Incision and drainage of bartholin's gland abscess (56420) $376.20 $396 1.8×
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $252.70–$338.20 $266–$356 varies
Incision bone cortex foot (28005) $1,778.40 $1,872 0.5×
Incision extensor tendon sheath wrist (25000) $1,083 $1,140 0.7×
Incision of Foot Tendon (28234) $782.80 $824 0.5×
Incision of labial frenum (frenotomy) (40806) $404.70 $426 0.7×
Incision of lingual frenum (frenotomy) (41010) $643.15 $677 0.4×
Incision of rectal abscess (46040) $1,584.60 $1,668 1.3×
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 2 matching MRF lines		 $570–$896.80 $600–$944 varies
Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) Facility (27303) $1,895.25 $1,995 0.6×
Incisional biopsy skin single lesion (11106) $193.80 $204 0.3×
Initial Tx 1st Degree Burn Local Tx (16000) $164.35 $173 0.8×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 4 matching MRF lines		 $799.90–$2,032.05 $842–$2,139 varies
Inj W/Fluor Eval Cv Device (36598)
range across 2 matching MRF lines		 $137.75–$793.63 $145–$835.40 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 4 matching MRF lines		 $535.80–$1,362.30 $564–$1,434 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 3 matching MRF lines		 $142.50–$420.85 $150–$443 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $742.90 $782 0.8×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $1,544.70 $1,626 1.7×
Injection aa&/strd genicular nrv branches w/img (64454) $593.75 $625 0.8×
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines		 $442.70–$459.80 $466–$484 varies
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) $1,103.90 $1,162 1.2×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $522.50 $550 0.7×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $171 $180 0.2×
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 2 matching MRF lines		 $156.75–$288.80 $165–$304 varies
Injection anesthetic agent suprascapular nerve (64418) $481.65 $507 0.7×
Injection for identification of sentinel node (38792) $2,193.74 $2,309.20 5.4×
Injection single tendon origin/insertion (20551)
range across 3 matching MRF lines		 $145.35–$420.85 $153–$443 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 6 matching MRF lines		 $137.75–$786.60 $145–$828 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 3 matching MRF lines		 $148.20–$654.55 $156–$689 varies
Injection Sinus Tract Therapeutic Separate Proc (20500) $129.20 $136 0.1×
Injection therapeutic carpal tunnel (20526) $228 $240 0.7×
Injection, anesthetic agent; brachial plexus, single (64415) $926.25 $975 1.0×
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $758.10–$787.55 $798–$829 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $95–$870.20 $100–$916 varies
Injection, intralesional; up to and including 7 lesions (11900) $105.45 $111 0.5×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $240.35 $253 0.3×
Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) $722 $760 0.8×
Ins endovas vena cava filtr (37191) $8,077.85 $8,503 1.4×
Insert Bladder Cath Complex (51703) $198.55 $209 1.5×
Insert cath pleura w/ image (32557) $2,213.50 $2,330 1.4×
Insert cath pleura w/o image (32556) $1,173.25 $1,235 0.6×
Insert cervical dilator (59200)
range across 2 matching MRF lines		 $275.50–$552.90 $290–$582 varies
Insert Drug Implant Device (11981) $286.90 $302 2.1×
Insert Gastrostomy Tube Percutaneous (49440) $617.50 $650 0.3×
Insert non-tunnel cv cath (36556)
range across 4 matching MRF lines		 $565.54–$4,484.95 $595.30–$4,721 varies
Insert pessary/other device (57160) $235.60 $248 1.1×
Insert Temp Bladder Cath (51702) $223.25 $235 1.6×
Insert tunneled cv cath (36561) $3,662.25 $3,855 1.1×
Insert,Non-Indwelling Bladder Catheter (51701) $174.80 $184 1.3×
Insertion indwelling tunneled pleural catheter (32550) $605.15 $637 0.2×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 4 matching MRF lines		 $119.70–$2,650.03 $126–$2,789.50 varies
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $1,127.65 $1,187 0.3×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555)
range across 2 matching MRF lines		 $255.27–$4,484.95 $268.70–$4,721 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $504.45 $531 0.3×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines		 $749.55–$2,432.95 $789–$2,561 varies
Int hrhc by ligation single hroid w/o img gdn (46945) $913.90 $962 0.3×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,194.15 $1,257 2.9×
Intranasal Biopsy (30100) $204.25 $215 0.1×
Intro Gastrointestinal Tube (44500) $27.55 $29 0.0×
Intubation endotracheal emergency procedure (31500) $399 $420 1.6×
Irrigation of corpora cavernosa for priapism (54220) $348.65 $367 1.4×
Knee arthroscopy/drainage (29871) $1,552.30 $1,634 0.5×
Labyrinthotomy Transcanal (69801) $1,962.70 $2,066 1.2×
Lam facetec & foramot lumbar (63047)
likely a partial charge, not the full procedure		 $1,900 $2,000 0.3×
Laminotomy Single Lumbar (63042)
unusually low: confirm this is the full procedure		 $3,325 $3,500 0.4×
Lap insert tunnel ip cath (49324)
likely a partial charge, not the full procedure		 $1,311 $1,380 0.2×
Lap paraesoph her rpr w/mesh (43282)
unusually low: confirm this is the full procedure		 $5,266.80 $5,544 0.5×
Lap paraesophag hern repair (43281)
unusually low: confirm this is the full procedure		 $4,698.70 $4,946 0.4×
Lap revision perm ip cath (49325)
likely a partial charge, not the full procedure		 $1,237.85 $1,303 0.2×
Laparo-vag hyst incl t/o (58552)
likely a partial charge, not the full procedure		 $3,211.95 $3,381 0.3×
Laparoscopic myomectomy (58545) $4,282.60 $4,508 0.7×
Laparoscopy aspiration (49322)
likely a partial charge, not the full procedure		 $1,133.35 $1,193 0.2×
Laparoscopy Enterolysis Separate Procedure (44180)
unusually low: confirm this is the full procedure		 $2,765.45 $2,911 0.4×
Laparoscopy fulguration oviducts (58670)
likely a partial charge, not the full procedure		 $1,589.35 $1,673 0.3×
Laparoscopy gastrostomy (43653)
unusually low: confirm this is the full procedure		 $2,096.65 $2,207 0.3×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure		 $1,282.50 $1,350 0.2×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573)
unusually low: confirm this is the full procedure		 $5,206 $5,480 0.5×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
unusually low: confirm this is the full procedure		 $3,870.30 $4,074 0.4×
Laparoscopy W/Lysis Of Adhesions (58660)
unusually low: confirm this is the full procedure		 $2,566.90 $2,702 0.4×
Laparoscopy w/rmvl adnexal structures (58661)
unusually low: confirm this is the full procedure		 $2,628.65 $2,767 0.4×
Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323)
unusually low: confirm this is the full procedure		 $1,945.60 $2,048 0.3×
Laparoscopy, surgical, appendectomy (44970)
unusually low: confirm this is the full procedure		 $2,026.35 $2,133 0.3×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
unusually low: confirm this is the full procedure		 $3,666.05 $3,859 0.3×
Laparoscopy, surgical, splenectomy (38120)
likely a partial charge, not the full procedure		 $3,084.65 $3,247 0.3×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
unusually low: confirm this is the full procedure		 $3,870.30 $4,074 0.4×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) $3,563.45 $3,751 0.6×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $3,254.70 $3,426 0.5×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
unusually low: confirm this is the full procedure		 $3,282.25 $3,455 0.3×
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186)
unusually low: confirm this is the full procedure		 $1,965.55 $2,069 0.3×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure		 $1,669.15 $1,757 0.3×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
likely a partial charge, not the full procedure		 $1,765.10 $1,858 0.3×
Laparoscopy, Tubal Block (58671)
likely a partial charge, not the full procedure		 $1,590.30 $1,674 0.3×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure		 $1,577 $1,660 0.3×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
unusually low: confirm this is the full procedure		 $2,814.85 $2,963 0.5×
Laps Gastric Restrictive Px Remove Device & Port (43774) $1,342.35 $1,413 0.3×
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150)
unusually low: confirm this is the full procedure		 $2,389.25 $2,515 0.4×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554)
unusually low: confirm this is the full procedure		 $4,282.60 $4,508 0.4×
Laryngoscopy diagnostic (31505) $258.40 $272 1.3×
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $269.80–$358.15 $284–$377 varies
Laryngoscopy W/Foreign Body Removal (31530) $613.70 $646 0.3×
Late closure of wound (13160) $2,451 $2,580 0.7×
Ligamentous Reconstruction Knee Extra-Articular (27427)
likely a partial charge, not the full procedure		 $1,909.50 $2,010 0.3×
Ligation Major Artery Abdomen (37617) $4,445.05 $4,679 0.8×
Ligation of a-v fistula (37607) $1,197.95 $1,261 0.4×
Ligation or biopsy temporal artery (37609) $961.40 $1,012 0.6×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $716.30 $754 0.2×
Low Back Disk Surgery (63030)
unusually low: confirm this is the full procedure		 $2,375 $2,500 0.3×
Lumbar spine fusion combined (22633)
likely a partial charge, not the full procedure		 $4,275 $4,500 0.2×
Lysis of labial adhesions (56441) $443.65 $467 0.1×
Manipulation Elbow Under Anesthesia (24300) $1,231.20 $1,296 0.7×
Manipulation knee joint under general anesthesia (27570) $729.60 $768 0.4×
Manipulation, finger joint, under anesthesia, each joint (26340) $1,019.35 $1,073 0.6×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $763.80 $804 0.5×
Marsupialization of bartholin's gland cyst (56440) $584.25 $615 0.2×
Mast mod rad (19307) $3,561.55 $3,749 0.5×
Mastectomy for gynecomastia (19300) $1,561.80 $1,644 0.4×
Mastectomy partial (19301) $1,935.15 $2,037 0.5×
Mastectomy partial w/axillary lymphadenectomy (19302)
unusually low: confirm this is the full procedure		 $2,676.15 $2,817 0.4×
Mastectomy simple complete (19303) $3,496 $3,680 0.5×
Mastopexy (19316)
unusually low: confirm this is the full procedure		 $2,276.20 $2,396 0.3×
Metatarsectomy (28140) $782.80 $824 0.2×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $1,900 $2,000 0.5×
Muscle-skin graft trunk (15734) $5,709.50 $6,010 1.6×
Myelography Lumbar Injection (62305)
range across 2 matching MRF lines		 $174.80–$3,494.29 $184–$3,678.20 varies
Myelography Lumbar Injection (62304)
range across 2 matching MRF lines		 $168.15–$2,166.67 $177–$2,280.70 varies
Myelography via lumbar injection rs&i cervical (62302) $170.05 $179 0.2×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $170.05 $179 0.2×
Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) $816.05 $859 0.2×
N Block Inj Ilio-Ing/Hypogi (64425) $487.35 $513 0.7×
N block inj intercost sng (64420)
range across 2 matching MRF lines		 $381.90–$987.05 $402–$1,039 varies
N Block Inj Paracervical (64435) $298.30 $314 0.4×
N Block Inj Plantar Digit (64455) $140.60 $148 0.4×
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines		 $710.60–$1,003.20 $748–$1,056 varies
Nasal Endoscopy Dx (31231) $382.85 $403 1.9×
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines		 $138.70–$945.73 $146–$995.50 varies
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $380 $400 0.2×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $711.55 $749 0.7×
Needle Biopsy Lymph Nodes (38505)
range across 3 matching MRF lines		 $122.55–$2,308.50 $129–$2,430 varies
Needle Biopsy Pancreas (48102)
range across 2 matching MRF lines		 $334.40–$2,308.50 $352–$2,430 varies
Needle insertion w/o injection 1 or 2 muscles (20560)
range across 2 matching MRF lines		 $19–$21.85 $20–$23 varies
Needle insertion w/o injection 3 or more muscles (20561)
range across 2 matching MRF lines		 $32.30–$35.15 $34–$37 varies
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $2,851.90 $3,002 1.4×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $2,677.10 $2,818 1.3×
Nipple Exploration (19110) $1,446.85 $1,523 0.4×
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines		 $684–$1,012.70 $720–$1,066 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $134.90–$358.15 $142–$377 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531)
range across 2 matching MRF lines		 $475–$3,364.90 $500–$3,542 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 6 matching MRF lines		 $117.80–$2,111.85 $124–$2,223 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 6 matching MRF lines		 $304–$2,169.80 $320–$2,284 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 6 matching MRF lines		 $790.40–$2,211.60 $832–$2,328 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $606.10 $638 0.7×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $1,140.95 $1,201 1.6×
Occipital Nerve Block (64405) $293.55 $309 0.9×
Occlusion flp tube dev vag/suprapubic appr (58615) $796.10 $838 0.2×
Omntc Epiploectomy Rescj Omentum Spx (49255)
unusually low: confirm this is the full procedure		 $2,378.80 $2,504 0.4×
Open biopsy/excision inguinofemoral nodes (38531) $1,311 $1,380 0.3×
Open rdl shaft fx closed rad/uln jt dislocate (25525)
unusually low: confirm this is the full procedure		 $2,375.95 $2,501 0.3×
Open Repair of Rotator Cuff Acute (23410)
unusually low: confirm this is the full procedure		 $3,356.35 $3,533 0.5×
Open Treatment Bimalleolar Ankle Fracture (27814)
unusually low: confirm this is the full procedure		 $2,701.80 $2,844 0.4×
Open treatment calcaneal fracture (28415)
unusually low: confirm this is the full procedure		 $3,277.50 $3,450 0.4×
Open Treatment Fracture Distal Tibia & Fibula (27828)
unusually low: confirm this is the full procedure		 $4,048.90 $4,262 0.3×
Open treatment fracture distal tibia only (27827)
likely a partial charge, not the full procedure		 $3,287 $3,460 0.3×
Open treatment greater trochanteric fracture (27248)
likely a partial charge, not the full procedure		 $2,202.10 $2,318 0.3×
Open Treatment Humeral Condylar Fracture (24579)
likely a partial charge, not the full procedure		 $2,520.35 $2,653 0.2×
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure		 $1,890.50 $1,990 0.3×
Open treatment metatarsal fracture each (28485)
range across 2 matching MRF lines		 $514.90–$1,596.95 $542–$1,681 varies
Open treatment of acromioclavicular dislocation acute or chronic (23550)
likely a partial charge, not the full procedure		 $2,202.10 $2,318 0.3×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure		 $2,171.70 $2,286 0.3×
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) $4,223.70 $4,446 0.6×
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) $4,051.75 $4,265 0.5×
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513)
likely a partial charge, not the full procedure		 $3,787.65 $3,987 0.3×
Open Treatment of Ulnar Shaft Fracture (25545)
unusually low: confirm this is the full procedure		 $2,297.10 $2,418 0.3×
Open treatment of ulnar styloid fracture (25652)
unusually low: confirm this is the full procedure		 $2,327.50 $2,450 0.3×
Open treatment posterior malleolus fracture (27769)
unusually low: confirm this is the full procedure		 $2,943.10 $3,098 0.4×
Open Treatment Proximal Fibula/Shaft Fracture (27784)
likely a partial charge, not the full procedure		 $2,108.05 $2,219 0.3×
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure		 $3,137.85 $3,303 0.2×
Open Treatment Radial Shaft Fracture (25515)
likely a partial charge, not the full procedure		 $1,957.95 $2,061 0.3×
Open Tx Acute/Chronic Elbow Dislocation (24615)
likely a partial charge, not the full procedure		 $2,099.50 $2,210 0.3×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $2,684.70 $2,826 0.8×
Open tx carpal scaphoid navicular fracture (25628)
likely a partial charge, not the full procedure		 $2,214.45 $2,331 0.3×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure		 $2,090 $2,200 0.3×
Open Tx Distal Phalangeal Fracture Each (26765) $1,495.30 $1,574 0.4×
Open Tx Distal Radioulnar Dislc Acute/Chronic (25676)
likely a partial charge, not the full procedure		 $1,897.15 $1,997 0.3×
Open Tx Distal Tibiofibular Joint Disruption (27829)
likely a partial charge, not the full procedure		 $2,068.15 $2,177 0.3×
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514)
unusually low: confirm this is the full procedure		 $4,007.10 $4,218 0.3×
Open tx femoral supracondylar fracture w/o xtn (27511)
likely a partial charge, not the full procedure		 $2,961.15 $3,117 0.2×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $1,177.05 $1,239 0.4×
Open Tx Humeral Epicondylar Fracture (24575)
likely a partial charge, not the full procedure		 $2,159.35 $2,273 0.2×
Open tx interphalangeal joint dislocation (26785) $1,626.40 $1,712 0.5×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $1,768.90 $1,862 0.5×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $1,789.80 $1,884 0.5×
Open Tx Radial Head/Neck Fracture (24665)
likely a partial charge, not the full procedure		 $1,927.55 $2,029 0.3×
Open Tx Radial Head/Neck Fracture Prosth (24666)
likely a partial charge, not the full procedure		 $2,147 $2,260 0.2×
Open Tx Tibial Fracture Proximal Unicondylar (27535)
unusually low: confirm this is the full procedure		 $2,730.30 $2,874 0.4×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
unusually low: confirm this is the full procedure		 $2,556.45 $2,691 0.3×
Open tx ulnar fx proximal end (24685)
unusually low: confirm this is the full procedure		 $2,414.90 $2,542 0.3×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $5,708.55 $6,009 0.8×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
unusually low: confirm this is the full procedure		 $3,190.10 $3,358 0.4×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236) $4,828.85 $5,083 0.7×
Optx tibial fx prox bicondylar w/wo int fixj (27536)
unusually low: confirm this is the full procedure		 $3,604.30 $3,794 0.5×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758)
likely a partial charge, not the full procedure		 $3,477 $3,660 0.3×
Ostc prtl exostc/condylc metar head (28288) $1,792.65 $1,887 0.5×
Ostectomy calcaneus (28118) $1,219.80 $1,284 0.4×
Ostectomy of sternum, partial Facility (21620) $2,243.90 $2,362 0.7×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $617.50 $650 0.2×
Osteochondral allograft knee open (27415)
unusually low: confirm this is the full procedure		 $4,180 $4,400 0.3×
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure		 $1,248.30 $1,314 0.2×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $1,120.05 $1,179 0.3×
Osteotomy calcaneus w/wo internal fixation (28300)
unusually low: confirm this is the full procedure		 $2,364.55 $2,489 0.3×
Osteotomy Phalanx Finger Each (26567) $2,334.15 $2,457 0.7×
Osteotomy Tibia (27705)
likely a partial charge, not the full procedure		 $1,995 $2,100 0.3×
Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450)
unusually low: confirm this is the full procedure		 $3,087.50 $3,250 0.4×
Ovarian cystectomy, unilateral or bilateral (58925)
unusually low: confirm this is the full procedure		 $2,339.85 $2,463 0.5×
Parathyroidectomy or exploration of parathyroid(s); (60500)
unusually low: confirm this is the full procedure		 $2,922.20 $3,076 0.5×
Part remv talus or calcaneus (28120) $2,019.70 $2,126 0.6×
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Facility (23184)
unusually low: confirm this is the full procedure		 $2,709.40 $2,852 0.4×
Partial Excision Distal Phalanx Finger (26236) $1,350.90 $1,422 0.8×
Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27071) $2,712.25 $2,855 0.8×
Partial hymenectomy or revision of hymenal ring (56700) $617.50 $650 0.2×
Partial removal of fibula (27641) $1,969.35 $2,073 0.6×
Partial removal of thyroid (60220)
unusually low: confirm this is the full procedure		 $2,991.55 $3,149 0.5×
Partial removal of tibia (27640) $2,965.90 $3,122 0.9×
Partical Excision Bone Phalanx Toe (28124) $973.75 $1,025 0.3×
Patellectomy or hemipatellectomy (27350)
likely a partial charge, not the full procedure		 $1,966.50 $2,070 0.3×
Pelvic examination under anesthesia (other than local) (57410) $350.55 $369 0.1×
Penile Injection (54235) $218.50 $230 0.9×
Percut Drain/Inject Renal Cyst (50390) $133.95 $141 0.2×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $1,300.55 $1,369 0.4×
Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582)
unusually low: confirm this is the full procedure		 $2,363.60 $2,488 0.3×
Percutaneous skeletal fixation of ulnar styloid fracture (25651) $2,327.50 $2,450 0.7×
Peri-Implant Capsulectomy Breast Complete (19371) $2,326.55 $2,449 0.6×
Pericardiocentesis W/Imaging (33016)
range across 2 matching MRF lines		 $250.90–$2,213.50 $264.10–$2,330 varies
Perineoplasty rpr perineum nonobstetrical spx (56810) $798 $840 0.2×
Peritoneal Lavage (49084) $393.30 $414 0.4×
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines		 $120.65–$1,002.25 $127–$1,055 varies
Perq device breast 1st imag (19281) $2,308.50 $2,430 1.4×
Perq skel fixj distal radial fx/epiphysl sep (25606) $1,999.75 $2,105 0.6×
Pin hand dislocation (26676) $1,509.55 $1,589 0.5×
Place Duod/Jej Tube Perc (49441) $1,425 $1,500 0.7×
Placement of needle for intraosseous infusion (36680) $569.05 $599 1.2×
Placement of seton (46020) $879.70 $926 0.3×
Plastic Repair Introitus (56800) $760 $800 0.2×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
unusually low: confirm this is the full procedure		 $2,063.40 $2,172 0.4×
Preparation skin cell ssp agrft 1st 25 sq cm/< (15013)
likely a partial charge, not the full procedure		 $1,900 $2,000 0.3×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $367.65 $387 0.4×
Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) $591.85 $623 0.2×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $686.85 $723 0.2×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $215.65 $227 0.2×
Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495)
unusually low: confirm this is the full procedure		 $3,416.20 $3,596 0.5×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533)
range across 2 matching MRF lines		 $371.45–$1,425 $391–$1,500 varies
Prq skel fixj femoral fx prox end neck (27235) $4,329.15 $4,557 0.6×
Prq skel fixj metar fx w/manj (28476) $848.35 $893 0.3×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
likely a partial charge, not the full procedure		 $2,174.55 $2,289 0.3×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) $1,627.35 $1,713 0.5×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $1,826.85 $1,923 0.5×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $134.90–$193.80 $142–$204 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines		 $70.11–$285.95 $73.80–$301 varies
Puncture Aspiration Cyst Breast (19000)
range across 3 matching MRF lines		 $116.85–$1,002.25 $123–$1,055 varies
Pvb Thoracic Single Injection Site W/Img Gid (64461)
range across 2 matching MRF lines		 $380–$494.95 $400–$521 varies
Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) $2,337 $2,460 1.4×
Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm Facility (22904) $3,197.70 $3,366 1.1×
Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) $3,701.20 $3,896 1.2×
Realignment extensor tendon hand each tendon (26437) $2,262.90 $2,382 0.7×
Reconstruct Finger Joint (26548) $2,659.05 $2,799 0.8×
Reconstruct ulna/radioulnar (25337)
unusually low: confirm this is the full procedure		 $3,669.85 $3,863 0.5×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
unusually low: confirm this is the full procedure		 $2,246.75 $2,365 0.3×
Removal Anal Seton Other Marker (46030) $318.25 $335 0.3×
Removal Embedded Foreign Body Eyelid (67938) $724.85 $763 2.2×
Removal Foreign Body Deep Thigh/Knee (27372)
range across 2 matching MRF lines		 $583.30–$1,824.95 $614–$1,921 varies
Removal foreign body foot deep (28192) $764.75 $805 0.5×
Removal Foreign Body Foot Subcutaneous (28190) $764.75 $805 1.1×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $457.90 $482 0.3×
Removal foreign body upper arm/elbow deep (24201) $1,274.90 $1,342 0.4×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines		 $38–$199.50 $40–$210 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $65.55 $69 1.1×
Removal Implant Deep (20680) $1,867.70 $1,966 0.6×
Removal Implant Superficial Separate Procedure (20670) $1,020.30 $1,074 0.6×
Removal implantable contraceptive capsules (11976) $441.75 $465 0.6×
Removal of adenoids (42831) $3,466.55 $3,649 1.0×
Removal of adenoids (42830) $3,466.55 $3,649 1.0×
Removal of ankle implant (27704) $1,696.70 $1,786 0.5×
Removal of bladder cyst (51500) $3,106.50 $3,270 0.5×
Removal of foot joint lining (28072) $1,552.30 $1,634 0.5×
Removal of heel spur (28119) $1,070.65 $1,127 0.3×
Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091)
unusually low: confirm this is the full procedure		 $4,840.25 $5,095 0.4×
Removal of knee prosthesis (27488)
likely a partial charge, not the full procedure		 $3,638.50 $3,830 0.3×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $196.65–$524.40 $207–$552 varies
Removal of sesamoid bone (28315) $1,425 $1,500 0.4×
Removal of sperm cord lesion (55520) $1,359.45 $1,431 0.4×
Removal of tendon for graft (20924)
likely a partial charge, not the full procedure		 $1,358.50 $1,430 0.2×
Removal of tonsils (42825)
range across 2 matching MRF lines		 $4,583.75–$5,301 $4,825–$5,580 varies
Removal of tonsils (42826)
range across 2 matching MRF lines		 $3,118.85–$3,737.30 $3,283–$3,934 varies
Removal of tunneled intraperitoneal catheter (49422) $1,349 $1,420 0.4×
Removal of wrist bone (25210) $1,482 $1,560 0.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $195.70–$196.65 $206–$207 varies
Removal Sutures/Staples Requiring Anesthesia (15851) $137.75 $145 0.1×
Removal, under anesthesia, of external fixation system (20694) $1,410.75 $1,485 0.9×
Removal/bivalving gauntlet boot/body cast (29700)
range across 2 matching MRF lines		 $62.70–$197.60 $66–$208 varies
Remove drug implant device (11982) $376.20 $396 0.8×
Remove elbow lesion (24120) $1,590.30 $1,674 0.5×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $134.90–$165.30 $142–$174 varies
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $69.35–$293.55 $73–$309 varies
Remove lamina/facets lumbar (63012)
unusually low: confirm this is the full procedure		 $3,040 $3,200 0.4×
Remove Lower Leg Bone Lesion (27635) $2,753.10 $2,898 0.8×
Remove lung catheter (32552)
range across 2 matching MRF lines		 $3,287.95–$3,844.75 $3,461–$4,047.10 varies
Remove Nasal Foreign Body (30300) $160.55 $169 1.2×
Remove Peritoneal Foreign Body (49402) $2,603.95 $2,741 0.7×
Remove Tendon Sheath Lesion (26160) $1,738.50 $1,830 1.1×
Remove/graft finger lesion (26215) $1,425 $1,500 0.4×
Remove/Insert Drug Implant (11983) $507.30 $534 1.1×
Renal Biopsy Perq (50200)
range across 2 matching MRF lines		 $179.55–$2,308.50 $189–$2,430 varies
Reopen fallopian tube (58350)
likely a partial charge, not the full procedure		 $298.30 $314 0.1×
Repair Achilles Tendon (27650)
unusually low: confirm this is the full procedure		 $2,753.10 $2,898 0.4×
Repair Anorectal Fistula Plug (46707) $1,558 $1,640 0.5×
Repair arm/leg nerve (64857) $3,203.40 $3,372 0.9×
Repair Blood Vessel Direct Hand Finger (35207) $4,093.55 $4,309 1.3×
Repair blood vessel direct neck (35201)
unusually low: confirm this is the full procedure		 $1,900 $2,000 0.3×
Repair Blood Vessel Direct Upper Extremity (35206)
range across 2 matching MRF lines		 $725.80–$3,541.60 $764–$3,728 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $854.05 $899 1.1×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,354.70 $1,426 1.8×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 3 matching MRF lines		 $196.65–$1,094.40 $207–$1,152 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,190.35 $1,253 2.9×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $658.35 $693 1.6×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 3 matching MRF lines		 $196.65–$734.35 $207–$773 varies
Repair complex trunk 1.1-2.5 cm (13100)
range across 2 matching MRF lines		 $592.80–$646 $624–$680 varies
Repair complex trunk 2.6-7.5 cm (13101) $754.30 $794 1.0×
Repair Extensor Tendon Finger W/Graft Each (26420) $2,564.05 $2,699 0.8×
Repair extensor tendon finger w/o graft each (26418) $1,737.55 $1,829 1.1×
Repair Finger/Hand Tendon (26350) $2,568.80 $2,704 0.8×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658)
range across 2 matching MRF lines		 $339.15–$1,101.05 $357–$1,159 varies
Repair Hallux Rigidus (28289) $2,215.40 $2,332 0.7×
Repair Hand Joint (26540) $1,977.90 $2,082 0.6×
Repair Hand Tendon (26410) $1,733.75 $1,825 1.1×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $2,567.85 $2,703 0.7×
Repair initial femoral hernia, any age; reducible (49550) $1,727.10 $1,818 0.5×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $1,864.85 $1,963 0.5×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $506.35 $533 1.2×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 3 matching MRF lines		 $166.25–$898.70 $175–$946 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $776.15 $817 1.9×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $941.45 $991 2.3×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $971.85 $1,023 1.3×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $609.90 $642 1.5×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $247–$654.55 $260–$689 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $776.15 $817 1.0×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $914.85 $963 2.2×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $196.65–$448.40 $207–$472 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $196.65–$570.95 $207–$601 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $914.85 $963 1.2×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $587.10 $618 1.4×
Repair lower leg tendons (27676)
likely a partial charge, not the full procedure		 $1,796.45 $1,891 0.2×
Repair Nonunion Hand (26546)
unusually low: confirm this is the full procedure		 $3,364.90 $3,542 0.5×
Repair of anal fistula with fibrin glue (46706) $431.30 $454 0.2×
Repair of fibula nonunion and/or malunion with internal fixation (27726)
unusually low: confirm this is the full procedure		 $3,088.45 $3,251 0.4×
Repair of metatarsals (28322)
unusually low: confirm this is the full procedure		 $2,370.25 $2,495 0.3×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $285–$606.10 $300–$638 varies
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400)
unusually low: confirm this is the full procedure		 $2,375.95 $2,501 0.3×
Repair of Ruptured Tendon (24342)
unusually low: confirm this is the full procedure		 $2,279.05 $2,399 0.3×
Repair of shoulder (23420) $4,152.45 $4,371 0.6×
Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) $2,158.40 $2,272 0.6×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
unusually low: confirm this is the full procedure		 $2,152.70 $2,266 0.3×
Repair Rotator Cuff Chronic (23412)
unusually low: confirm this is the full procedure		 $2,297.10 $2,418 0.3×
Repair secondary achilles tendon w/wo graft (27654)
likely a partial charge, not the full procedure		 $2,175.50 $2,290 0.3×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $1,395.55 $1,469 0.4×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
unusually low: confirm this is the full procedure		 $2,978.25 $3,135 0.4×
Repair Toe Dislocation (28645) $1,432.60 $1,508 0.4×
Repair tongue laceration (41252) $655.50 $690 2.7×
Repair tongue laceration (41250) $786.60 $828 1.7×
Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) $3,722.10 $3,918 0.5×
Repair, primary, disrupted ligament, ankle; collateral (27695)
unusually low: confirm this is the full procedure		 $2,277.15 $2,397 0.3×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
unusually low: confirm this is the full procedure		 $2,422.50 $2,550 0.3×
Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) $2,123.25 $2,235 0.6×
Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263)
likely a partial charge, not the full procedure		 $1,932.30 $2,034 0.3×
Reposition Gastrostomy Tube (43761) $149.15 $157 0.6×
Reposition Venous Catheter (36597) $292.60 $308 0.2×
Rerepair ing hernia reduce (49520) $1,990.25 $2,095 0.5×
Resect forarm/wrist tum 3cm> (25078) $1,233.10 $1,298 0.4×
Resection, partial or complete, phalangeal base, each toe (28126) $997.50 $1,050 0.3×
Revise hernia & sperm veins (55540) $1,620.70 $1,706 0.4×
Revise knuckle joint (26530)
unusually low: confirm this is the full procedure		 $2,548.85 $2,683 0.3×
Revise ulnar nerve at wrist (64719) $1,203.65 $1,267 0.6×
Revise/Repair Finger/Toe Nerve (64702) $1,478.20 $1,556 0.7×
Revision including removal of prosthetic vaginal graft vaginal approach (57295) $1,456.35 $1,533 0.4×
Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) $3,162.55 $3,329 0.9×
Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) $3,650.85 $3,843 1.0×
Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) $3,114.10 $3,278 0.9×
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) $9,038.30 $9,514 0.7×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $1,545.65 $1,627 0.4×
Revj Ileostomy Simple Rls Superficial Scar Spx (44312) $1,784.10 $1,878 0.5×
Revj tot hip arthrp bth w/wo agrft/algrft (27134)
unusually low: confirm this is the full procedure		 $5,833.95 $6,141 0.4×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
unusually low: confirm this is the full procedure		 $7,610.45 $8,011 0.4×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486)
unusually low: confirm this is the full procedure		 $4,581.85 $4,823 0.3×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $1,114.35 $1,173 0.3×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $498.75 $525 0.3×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $62.70–$174.80 $66–$184 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $228.95 $241 1.7×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $196.65 $207 0.4×
Rmvl fecal impaction/fb spx under anes (45915) $979.45 $1,031 0.8×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $1,278.70 $1,346 0.4×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $610.85 $643 0.4×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $511.10 $538 0.8×
Rplc Gtube No Revj Trc (43762) $1,401.25 $1,475 5.5×
Rplc gtube revj gstrst trc (43763) $1,401.25 $1,475 5.5×
Rplcmt cath ctr vad subq port/pmp (36578) $1,355.65 $1,427 0.4×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $83.60 $88 0.1×
Rplcmt compl tun ctr vad w/subq port (36582) $3,416.20 $3,596 1.1×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $3,445.65 $3,627 0.6×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $2,030.15 $2,137 0.6×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595)
likely a partial charge, not the full procedure		 $1,900 $2,000 0.3×
Rpr aa hernia recr 3-10 cm reducible (49615)
unusually low: confirm this is the full procedure		 $2,709.40 $2,852 0.4×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $1,958.90 $2,062 0.5×
Rpr aa hrn 1st 3-10 rdc (49593)
unusually low: confirm this is the full procedure		 $2,548.85 $2,683 0.4×
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure		 $673.55 $709 0.1×
Rpr blood vessel direct lower extremity (35226) $3,743 $3,940 5.2×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) $1,439.25 $1,515 0.4×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664)
likely a partial charge, not the full procedure		 $1,101.05 $1,159 0.1×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $152.95 $161 0.7×
Rpr flexor tendon leg secondary w/o graft each (27659)
likely a partial charge, not the full procedure		 $950 $1,000 0.1×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,354.70 $1,426 1.8×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $962.35 $1,013 1.7×
Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) $4,352.90 $4,582 0.6×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696)
range across 2 matching MRF lines		 $484.50–$3,034.30 $510–$3,194 varies
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $1,950.35 $2,053 0.6×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $3,286.05 $3,459 1.0×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) $2,600.15 $2,737 0.8×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $380 $400 0.4×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $993.70 $1,046 0.8×
Shave skin lesion 0.5 cm/< (11300) $195.70 $206 0.5×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $209.95 $221 1.0×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $305.90 $322 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $165.30 $174 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $165.30 $174 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $152.95 $161 0.7×
Shoulder Arthroscopy/Surgery (29825) $2,740.75 $2,885 0.8×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $260.30 $274 1.3×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $172.90 $182 0.8×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $329.65 $347 1.6×
Sigmoidoscopy & decompress (45337) $162.45 $171 0.2×
Sigmoidoscopy flx tndsc balo dilat (45340) $1,444 $1,520 1.2×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $518.70 $546 0.5×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $503.50 $530 0.4×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $666.90 $702 1.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $196.65–$340.10 $207–$358 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $196.65–$341.05 $207–$359 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $190–$437 $200–$460 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $134.90–$301.15 $142–$317 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $204.25 $215 1.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $196.65–$399 $207–$420 varies
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines		 $533.90–$2,606.80 $562–$2,744 varies
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines		 $437–$2,677.10 $460–$2,818 varies
Skin sub grft t/arm/lg child (15273) $3,728.75 $3,925 1.8×
Skin Tissue Procedure (17999) $475 $500 2.3×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $196.65–$339.15 $207–$357 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $196.65–$514.90 $207–$542 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $786.60 $828 1.9×
Sphincterotomy anal division sphincter spx (46080) $742.90 $782 0.3×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $190.95–$419.90 $201–$442 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $2,064.35 $2,173 0.6×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $2,623.90 $2,762 1.2×
Strapping ankle (29540)
range across 3 matching MRF lines		 $82.65–$152 $87–$160 varies
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $155.80–$668.80 $164–$704 varies
Surg tx anal fistula subq (46270) $1,501 $1,580 0.5×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $1,589.35 $1,673 0.6×
Suture digital nerve hand/foot 1 nerve (64831) $2,073.85 $2,183 1.0×
Suture infrapatellar tendon primary (27380)
likely a partial charge, not the full procedure		 $1,792.65 $1,887 0.2×
Suture of quadriceps or hamstring muscle rupture primary (27385)
unusually low: confirm this is the full procedure		 $2,299 $2,420 0.3×
Tangential biopsy skin single lesion (11102) $193.80 $204 0.5×
Tendon lengthening upper arm/elbow ea tendon (24305) $1,748 $1,840 0.5×
Tenodesis long tendon biceps (23430)
unusually low: confirm this is the full procedure		 $3,420.95 $3,601 0.5×
Tenolysis flexor tendon palm&finger each tendo (26442) $2,922.20 $3,076 0.9×
Tenolysis flexor tendon palm/finger each tendon (26440) $1,425 $1,500 0.9×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $1,425 $1,500 0.4×
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $2,213.50 $2,330 0.7×
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) $2,352.20 $2,476 0.7×
Tenotomy Flexor Finger Open Each Tendon (26455) $950 $1,000 0.6×
Tenotomy Percutaneous Toe Single Tendon (28010) $619.40 $652 0.4×
Tenotomy shoulder area single tendon (23405)
unusually low: confirm this is the full procedure		 $2,605.85 $2,743 0.4×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $994.65 $1,047 0.6×
Ther Spi Pnxr Csf Fluor/Ct (62329)
range across 2 matching MRF lines		 $154.85–$987.05 $163–$1,039 varies
Thrombolytic Therapy Stroke (37195) $930.05 $979 2.8×
Thyroid biopsy (60100) $110.20 $116 0.2×
Thyroidectomy, total or complete (60240) $3,828.50 $4,030 0.6×
Tnot elbow lateral/medial debride open (24358) $1,650.15 $1,737 0.5×
Tnot elbow lateral/medial debride open tdn rpr (24359) $2,037.75 $2,145 0.6×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $3,661.30 $3,854 1.1×
Total Knee Arthroplasty (27447) $6,645.25 $6,995 0.5×
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225)
unusually low: confirm this is the full procedure		 $3,079.90 $3,242 0.5×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $946.20 $996 0.3×
Tracheostomy Emergency Cricothyroid Membrane (31605) $562.40 $592 2.3×
Tracheostomy Emergency Procedure Transtracheal (31603) $683.05 $719 0.4×
Tracheostomy planned (31600) $1,306.25 $1,375 0.4×
Treat ankle fracture (28445)
unusually low: confirm this is the full procedure		 $3,243.30 $3,414 0.4×
Treat dislocation/fracture (23680)
likely a partial charge, not the full procedure		 $2,728.40 $2,872 0.2×
Treat ectopic pregnancy (59151)
unusually low: confirm this is the full procedure		 $2,364.55 $2,489 0.4×
Treat Elbow Fracture (24635)
likely a partial charge, not the full procedure		 $1,972.20 $2,076 0.3×
Treat Finger Fracture Each (26727) $1,413.60 $1,488 0.4×
Treat fracture radius/ulna (25575)
unusually low: confirm this is the full procedure		 $2,661.90 $2,802 0.4×
Treat Fx Rad Extra-Articul (25607)
likely a partial charge, not the full procedure		 $2,207.80 $2,324 0.3×
Treat Humerus Fracture (24505) $1,501 $1,580 0.9×
Treat humerus fracture (23600) $972.80 $1,024 3.9×
Treat knee fracture (27532) $1,854.40 $1,952 0.6×
Treat Kneecap Fracture (27524)
unusually low: confirm this is the full procedure		 $2,275.25 $2,395 0.3×
Treat Knuckle Dislocation (26700) $954.75 $1,005 3.8×
Treat lower leg bone lesion (27607) $1,425 $1,500 0.4×
Treat thumb fracture (26665) $2,210.65 $2,327 0.7×
Treat toe dislocation (28630)
range across 2 matching MRF lines		 $157.70–$464.55 $166–$489 varies
Treatment Closed Elbow Dislocation Req Anes (24605) $1,406.95 $1,481 0.9×
Treatment closed elbow dislocation w/o anes (24600) $1,391.75 $1,465 5.5×
Treatment of ankle fracture (27823)
unusually low: confirm this is the full procedure		 $3,004.85 $3,163 0.4×
Treatment of foot infection (28003) $1,689.10 $1,778 0.5×
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
unusually low: confirm this is the full procedure		 $3,660.35 $3,853 0.5×
Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) $2,663.80 $2,804 0.8×
Trim skin lesion (11055)
range across 2 matching MRF lines		 $98.80–$134.90 $104–$142 varies
Trim skin lesions 2 to 4 (11056) $132.05 $139 0.6×
Trim skin lesions over 4 (11057) $249.61 $262.75 1.2×
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines		 $19–$33.25 $20–$35 varies
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $1,849.65 $1,947 0.7×
Tx Gastro Intub W/Asp (43753) $63.65 $67 0.3×
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
likely a partial charge, not the full procedure		 $2,671.40 $2,812 0.2×
Tx Incomplete Abortion Any Trimester Surgical (59812) $877.80 $924 0.3×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) $4,929.55 $5,189 0.7×
Tx Missed Abortion First Trimester Surgical (59820) $1,173.25 $1,235 0.4×
Tx Missed Abortion Second Trimester Surgical (59821) $1,183.70 $1,246 0.4×
Tx open tendon flexor toe 1 tendon spx (28232) $1,178 $1,240 0.7×
Tx Superficial Wound Dehiscence Simple Closure (12020) $646 $680 0.9×
Tx superficial wound dehiscence w/packing (12021) $403.75 $425 1.0×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
likely a partial charge, not the full procedure		 $3,714.50 $3,910 0.3×
Tympanostomy general anesthesia (69436) $836 $880 0.5×
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) $1,754.65 $1,847 0.5×
Unlisted hysteroscopy procedure, uterus (58579) $574.75 $605 2.8×
Unlisted laparoscopy procedure appendix (44979)
unusually low: confirm this is the full procedure		 $2,375 $2,500 0.4×
Unlisted Procedure Intestine (44799) $2,600.15 $2,737 2.8×
Unlisted procedure nervous system (64999) $190.95 $201 0.6×
Vag hyst complex (58290)
unusually low: confirm this is the full procedure		 $3,534.95 $3,721 0.5×
Vag hyst incl t/o complex (58291) $3,725.90 $3,922 0.7×
Vag hyst w/t/o & vag repair (58263) $3,762.95 $3,961 0.7×
Vaginal Delivery After Cesarean Delivery (59612) $2,836.70 $2,986 0.9×
Vaginal delivery only (59409) $2,520.35 $2,653 0.8×
Vaginal hysterectomy, for uterus 250 g or less; (58260) $2,854.75 $3,005 0.6×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $3,243.30 $3,414 0.6×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 2 matching MRF lines		 $1,597.90–$1,973.15 $1,682–$2,077 varies
Ventilating tube removal requiring general anesthesia (69424) $3,466.55 $3,649 1.0×
Vulvectomy simple partial (56620) $1,548.50 $1,630 0.5×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $134.90–$244.15 $142–$257 varies
Wound Prep F/N/Hf/G (15004)
range across 2 matching MRF lines		 $190–$557.65 $200–$587 varies
Wound Prep Trk/Arm/Leg (15002) $1,038.35 $1,093 1.4×
Xfer Single Deep Low Leg Tendon (27691)
likely a partial charge, not the full procedure		 $2,220.15 $2,337 0.3×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.