Procedures & surgery prices at Logan Health - Whitefish
Whitefish, MT · every code in this section with a posted price and a Medicare benchmark.
587 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 2 matching MRF lines |
$466.54–$471.90 | $717.75–$726 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$336.70–$466.05 | $518–$717 | varies |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) likely a partial charge, not the full procedure |
$523.25 | $805 | 0.1× |
| Acne surgery (10040) | $323.70 | $498 | 1.6× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $2,260.54 | $3,477.75 | 1.1× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) | $1,623.38 | $2,497.50 | 0.8× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $2,103.72 | $3,236.50 | 0.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) range across 2 matching MRF lines |
$2,089.75–$3,688.75 | $3,215–$5,675 | varies |
| Amputation toe interphalangeal joint (28825) | $1,679.44 | $2,583.75 | 0.5× |
| Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) | $271.70 | $418 | 0.3× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$138.94–$414.21 | $213.75–$637.25 | varies |
| Anoscopy W/Rmvl Foreign Body (46608) | $683.64 | $1,051.75 | 0.7× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $160.71 | $247.25 | 0.1× |
| Appendectomy (44950) likely a partial charge, not the full procedure |
$981.82 | $1,510.50 | 0.1× |
| Application cast elbow finger short arm (29075) | $305.99 | $470.75 | 1.1× |
| Application finger splint static (29130) | $452.40 | $696 | 3.3× |
| Application long arm splint shoulder hand (29105) | $319.80 | $492 | 1.9× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) | $271.21 | $417.25 | 0.9× |
| Application Long Leg Splint (29505) | $319.80 | $492 | 1.9× |
| Application of long leg cast (29345) | $310.86 | $478.25 | 1.1× |
| Application short arm splint forearm-hand static (29125) | $227.50 | $350 | 1.7× |
| Application short leg splint calf foot (29515) | $227.50 | $350 | 1.4× |
| Apply hand/wrist cast (29085) | $416.65 | $641 | 2.5× |
| Apply long arm cast (29065) | $296.72 | $456.50 | 1.0× |
| Apply Short Leg Cast (29405) | $245.86 | $378.25 | 0.9× |
| Apply short leg cast (29425) | $266.99 | $410.75 | 0.9× |
| Arterial puncture (36600) range across 3 matching MRF lines |
$38.68–$126.75 | $59.50–$195 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$82.55–$332.15 | $127–$511 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 2 matching MRF lines |
$135.20–$300.79 | $208–$462.75 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$91.98–$98.15 | $141.50–$151 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 3 matching MRF lines |
$150.80–$398.12 | $232–$612.50 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$79.30–$332.15 | $122–$511 | varies |
| Arthrotomy Wrist Joint With Biopsy (25100) | $3,236.51 | $4,979.25 | 1.0× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) | $1,826.50 | $2,810 | 1.1× |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$499.85–$792.02 | $769–$1,218.50 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 3 matching MRF lines |
$136.18–$1,039.35 | $209.50–$1,599 | varies |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$91.32–$274.46 | $140.50–$422.25 | varies |
| Aspiration bladder insert suprapubic catheter (51102) range across 2 matching MRF lines |
$374.40–$1,882.56 | $576–$2,896.25 | varies |
| Biopsy Abdominal Mass (49180) range across 2 matching MRF lines |
$267.80–$836.71 | $412–$1,287.25 | varies |
| Biopsy bone trocar/needle deep (20225) | $632.45 | $973 | 0.4× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $384.15 | $591 | 0.2× |
| Biopsy external ear (69100) | $151.45 | $233 | 0.6× |
| Biopsy muscle percutaneous needle (20206) | $370.50 | $570 | 0.2× |
| Biopsy Muscle Superficial (20200) | $348.40 | $536 | 0.2× |
| Biopsy of liver, needle; percutaneous (47000) range across 2 matching MRF lines |
$484.25–$955.99 | $745–$1,470.75 | varies |
| Biopsy of rectum (45100) | $455.65 | $701 | 0.2× |
| Biopsy Pleura Percutaneous Needle (32400) | $249.60 | $384 | 0.1× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) | $405.60 | $624 | 0.2× |
| Biopsy soft tissue neck/thorax (21550) | $401.05 | $617 | 0.2× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) | $538.20 | $828 | 0.3× |
| Biopsy Vaginal Mucosa Simple (57100) | $156 | $240 | 0.2× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$95.71–$99.78 | $147.25–$153.50 | varies |
| Bladder Scan (51798) range across 2 matching MRF lines |
$151.94–$159.58 | $233.75–$245.50 | varies |
| Blepharotomy drainage abscess eyelid (67700) | $264.55 | $407 | 0.8× |
| Blood Transfusion Service (36430) range across 2 matching MRF lines |
$313.30–$337.68 | $482–$519.50 | varies |
| Bone Marrow Biopsy (38221) | $247 | $380 | 0.1× |
| Bone Marrow; Aspiration Only (38220) | $257.40 | $396 | 0.2× |
| Bx breast 1st lesion mr imag (19085) | $1,349.40 | $2,076 | 0.8× |
| Bx breast 1st lesion strtctc (19081) | $877.50 | $1,350 | 0.5× |
| Bx breast 1st lesion us imag (19083) range across 3 matching MRF lines |
$878.80–$2,157.35 | $1,352–$3,319 | varies |
| Cautery Cervix Electro/Thermal (57510) | $445.09 | $684.75 | 0.1× |
| Cessj Therapy Cath Removal (37214) | $185.25 | $285 | 0.1× |
| Change Cystostomy Tube Simple (51705) range across 4 matching MRF lines |
$148.85–$392.92 | $229–$604.50 | varies |
| Chemical Cautery Tissue (17250) | $292.01 | $449.25 | 1.4× |
| Chemodenerv trunk musc 1-5 (64646) | $248.95 | $383 | 0.3× |
| Chest tube placement (32551) range across 3 matching MRF lines |
$237.90–$611.65 | $366–$941 | varies |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $506.35 | $779 | 0.1× |
| Circumcision Neonate (54160) | $312 | $480 | 0.4× |
| Cl Tx Tib Shft Fx W Manip (27752) | $1,818.05 | $2,797 | 1.1× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $1,264.09 | $1,944.75 | 5.0× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $2,863.74 | $4,405.75 | 1.7× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $1,192.59 | $1,834.75 | 4.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $795.11 | $1,223.25 | 3.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $2,170.68 | $3,339.50 | 1.3× |
| Closed tx knee dislocation w/o anesthesia (27550) | $318.34 | $489.75 | 1.3× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $1,555.29 | $2,392.75 | 0.9× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $2,074.31 | $3,191.25 | 1.3× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $1,160.74 | $1,785.75 | 0.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$351.32–$467.35 | $540.50–$719 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $577.04 | $887.75 | 2.3× |
| Closed tx radial head/neck fx w/manipulation (24655) | $894.40 | $1,376 | 0.5× |
| Closed tx radial shaft fracture w/manipulation (25505) | $1,340.30 | $2,062 | 0.8× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $419.90 | $646 | 1.7× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $513.01 | $789.25 | 2.0× |
| Closed tx septal&nose fx (21337) | $765.86 | $1,178.25 | 0.2× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) | $273.81 | $421.25 | 1.1× |
| Closed tx talotarsal joint dislc w/o anes (28570) | $726.54 | $1,117.75 | 2.9× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $578.50 | $890 | 2.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $527.80 | $812 | 2.1× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $428.51 | $659.25 | 1.8× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $1,020.01 | $1,569.25 | 1.9× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $273.81 | $421.25 | 1.1× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $691.11 | $1,063.25 | 0.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $273.81 | $421.25 | 1.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $1,221.02 | $1,878.50 | 0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $326.79 | $502.75 | 1.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $1,059.99 | $1,630.75 | 0.6× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $797.39 | $1,226.75 | 3.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $1,337.38 | $2,057.50 | 5.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $401.21 | $617.25 | 1.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $501.48 | $771.50 | 2.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $472.55 | $727 | 1.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $466.86 | $718.25 | 1.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $1,543.59 | $2,374.75 | 0.9× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $1,800.50 | $2,770 | 1.1× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $2,001.84 | $3,079.75 | 1.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $655.04 | $1,007.75 | 2.6× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $472.55 | $727 | 1.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $371.48 | $571.50 | 1.5× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) | $1,228.82 | $1,890.50 | 0.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $311.35 | $479 | 1.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $352.30 | $542 | 1.4× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) | $2,986.10 | $4,594 | 1.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $647.24 | $995.75 | 2.6× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $1,342.90 | $2,066 | 0.8× |
| Cltx Medial Ankle Fx (27760) | $371.48 | $571.50 | 1.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $401.38 | $617.50 | 1.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $728.16 | $1,120.25 | 2.9× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $503.10 | $774 | 0.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $326.79 | $502.75 | 1.3× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $489.29 | $752.75 | 1.9× |
| Cltx post hip arthrp dislc w/o anes (27265) | $317.52 | $488.50 | 1.3× |
| Cltx prox fibula/shft fx w/manj (27781) | $1,340.46 | $2,062.25 | 0.8× |
| Cltx prox fibula/shft fx w/o manj (27780) | $348.72 | $536.50 | 1.4× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $892.94 | $1,373.75 | 0.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $362.21 | $557.25 | 1.4× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $1,221.02 | $1,878.50 | 0.7× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $1,996.31 | $3,071.25 | 1.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $1,754.84 | $2,699.75 | 1.1× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) | $3,256.18 | $5,009.50 | 2.0× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) | $718.58 | $1,105.50 | 2.9× |
| Cltx tibial shaft fx w/o manipulation (27750) | $478.08 | $735.50 | 1.9× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) | $1,934.72 | $2,976.50 | 7.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $1,294.15 | $1,991 | 0.8× |
| Collect Blood From Catheter Venous Nos (36592) range across 3 matching MRF lines |
$40.30–$110.18 | $62–$169.50 | varies |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$13.65–$14.14 | $21–$21.75 | varies |
| Colonoscopy w/fb removal (45379) | $646.26 | $994.25 | 0.5× |
| Colonoscopy w/submucosal inj (45381) | $914.55 | $1,407 | 0.7× |
| Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) | $2,229.99 | $3,430.75 | 0.7× |
| Colporrhaphy (57200) | $1,872.32 | $2,880.50 | 0.6× |
| Colpotomy; with drainage of pelvic abscess (57010) | $443.95 | $683 | 0.1× |
| Complex drainage wound (10180) range across 3 matching MRF lines |
$357.82–$411.45 | $550.50–$633 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) | $298.35 | $459 | 2.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $266.66 | $410.25 | 2.0× |
| Control oropharyngeal hemorrhage simple (42960) range across 2 matching MRF lines |
$386.91–$452.40 | $595.25–$696 | varies |
| Conversion ext bil drg cath (47535) | $1,502.80 | $2,312 | 0.4× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $1,362.40 | $2,096 | 0.7× |
| Convert Nephrostomy Catheter (50434) | $1,466.40 | $2,256 | 0.7× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) range across 2 matching MRF lines |
$735.80–$1,441.05 | $1,132–$2,217 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $343.04 | $527.75 | 2.5× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $674.21 | $1,037.25 | 2.8× |
| Cysto W/Simple Removal Stone & Stent (52310) | $2,111.85 | $3,249 | 1.0× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $1,485.90 | $2,286 | 0.5× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $1,346.64 | $2,071.75 | 1.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$183.95–$353.76 | $283–$544.25 | varies |
| Declot vascular device (36593) | $331.82 | $510.50 | 1.0× |
| Deep Muscle Biopsy (20205) | $481 | $740 | 0.2× |
| Destr W Neurolytic; Celiac Plexus (64680) | $542.10 | $834 | 0.6× |
| Destruct B9 Lesion 1-14 (17110) | $203.94 | $313.75 | 1.0× |
| Destruction of skin lesions (17106) | $768.46 | $1,182.25 | 1.9× |
| Destruction premalignant lesion 1st (17000) | $179.72 | $276.50 | 0.9× |
| Diagnostic sigmoidoscopy (45330) | $288.76 | $444.25 | 0.3× |
| Dilate Urethra Stricture (53600) | $243.75 | $375 | 1.0× |
| Drain Cerebro Spinal Fluid (62272) | $302.41 | $465.25 | 0.4× |
| Drain penis lesion (54015) | $1,533.51 | $2,359.25 | 0.9× |
| Drain Spinal Cord Cyst (62268) | $392.60 | $604 | 0.4× |
| Drainage external auditory canal abscess (69020) | $309.08 | $475.50 | 0.4× |
| Drainage external ear abscess/hematoma cmplx (69005) | $620.42 | $954.50 | 0.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $319.80 | $492 | 0.4× |
| Drainage Finger Abscess Complicated (26011) | $899.11 | $1,383.25 | 0.5× |
| Drainage Mouth Roof Lesion (42000) | $349.21 | $537.25 | 1.4× |
| Drainage of finger abscess simple (26010) | $291.20 | $448 | 1.4× |
| Drainage of gum lesion (41800) | $319.80 | $492 | 2.4× |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$249.28–$366.92 | $383.50–$564.50 | varies |
| Drainage of mouth lesion (41006) | $995.80 | $1,532 | 0.6× |
| Drainage of rectal abscess (45020) | $856.70 | $1,318 | 0.3× |
| Drainage of scrotal wall abscess (55100) | $546.98 | $841.50 | 0.3× |
| Draw Blood Off Venous Device (36591) range across 4 matching MRF lines |
$87.26–$104.81 | $134.25–$161.25 | varies |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $325.32 | $500.50 | 0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $481.65 | $741 | 1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $366.92 | $564.50 | 1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$182.81–$225.06 | $281.25–$346.25 | varies |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) | $792.68 | $1,219.50 | 0.4× |
| Dx Bone Marrow Bx & Aspir (38222) | $270.40 | $416 | 0.1× |
| Dx Laryngoscopy Excl Nb (31525) | $743.60 | $1,144 | 0.4× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $399.10 | $614 | 0.6× |
| Egd remove lesion snare (43251) | $711.59 | $1,094.75 | 0.4× |
| Endoscopy upper small intestine w/biopsy (44361) | $239.69 | $368.75 | 0.1× |
| Enterorrhaphy single perforation (44602) | $2,152.96 | $3,312.25 | 0.5× |
| Epidural Blood Patch (62273) | $924.30 | $1,422 | 1.3× |
| Escharotomy; initial incision (16035) | $181.19 | $278.75 | 0.4× |
| Evacuation of subungual hematoma (11740) | $232.21 | $357.25 | 1.7× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) | $591.01 | $909.25 | 0.4× |
| Exc arm/elbow les sc < 3 cm (24075) | $891.96 | $1,372.25 | 0.5× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $192.08 | $295.50 | 0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $307.78 | $473.50 | 0.2× |
| Exc Back Les Sc < 3 Cm (21930) | $722.48 | $1,111.50 | 0.4× |
| Exc back tum deep < 5 cm (21932) | $1,004.41 | $1,545.25 | 0.3× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $399.10 | $614 | 0.6× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $579.48 | $891.50 | 0.3× |
| Exc Face Les Sbq 2 Cm/> (21012) | $504.56 | $776.25 | 0.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $206.38 | $317.50 | 0.3× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $273.16 | $420.25 | 0.4× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $274.46 | $422.25 | 0.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $338.49 | $520.75 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $187.36 | $288.25 | 0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$239.69–$770.41 | $368.75–$1,185.25 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $291.52 | $448.50 | 0.2× |
| Exc Rct Tum Incl Muscularis Propria (45172) | $1,231.75 | $1,895 | 0.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $301.76 | $464.25 | 0.4× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $352.14 | $541.75 | 0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $497.74 | $765.75 | 0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $469.95 | $723 | 0.3× |
| Exc Skin Benig >4cm Face,Facial (11446) | $582.89 | $896.75 | 0.2× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $441.35 | $679 | 0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $604.01 | $929.25 | 0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $663.98 | $1,021.50 | 0.4× |
| Exc thigh/knee les sc 3 cm/> (27337) | $628.55 | $967 | 0.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 2 matching MRF lines |
$316.06–$412.26 | $486.25–$634.25 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$227.50–$293.80 | $350–$452 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $260.81 | $401.25 | 0.4× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $317.36 | $488.25 | 0.2× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $800.15 | $1,231 | 0.3× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) | $841.59 | $1,294.75 | 0.3× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $657.80 | $1,012 | 0.4× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $733.36 | $1,128.25 | 0.4× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $1,088.10 | $1,674 | 0.4× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $691.92 | $1,064.50 | 0.4× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) | $710.29 | $1,092.75 | 0.2× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $1,073.15 | $1,651 | 0.3× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $944.45 | $1,453 | 0.4× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $968.50 | $1,490 | 0.5× |
| Excise excessive skin arm (15836) | $760.50 | $1,170 | 0.3× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $427.70 | $658 | 0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $347.26 | $534.25 | 0.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $375.86 | $578.25 | 0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $475.31 | $731.25 | 0.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $305.82 | $470.50 | 0.4× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $469.95 | $723 | 0.3× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $723.78 | $1,113.50 | 0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $297.70 | $458 | 0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) range across 2 matching MRF lines |
$349.38–$542.75 | $537.50–$835 | varies |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 2 matching MRF lines |
$388.21–$577.04 | $597.25–$887.75 | varies |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $500.50 | $770 | 0.3× |
| Excision Multiple External Papillae/Tags Anus (46230) | $409.99 | $630.75 | 0.1× |
| Excision of hydrocele; unilateral (55040) | $498.55 | $767 | 0.1× |
| Excision of pilonidal cyst or sinus; simple (11770) | $482.14 | $741.75 | 0.2× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $1,047.96 | $1,612.25 | 0.4× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $990.76 | $1,524.25 | 0.3× |
| Excision prepatellar bursa (27340) | $1,206.08 | $1,855.50 | 0.4× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $704.11 | $1,083.25 | 0.4× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $627.90 | $966 | 0.4× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $702.81 | $1,081.25 | 0.4× |
| Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) | $682.82 | $1,050.50 | 0.2× |
| Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy Facility (15953) | $737.75 | $1,135 | 0.2× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $721.18 | $1,109.50 | 0.2× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $530.56 | $816.25 | 0.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | $704.11 | $1,083.25 | 0.2× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $717.76 | $1,104.25 | 0.4× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $1,896.54 | $2,917.75 | 0.9× |
| Explo/Drain Breast Abscess (19020) | $1,213.22 | $1,866.50 | 0.7× |
| Exploration penetrating wound spx extremity (20103) | $1,370.52 | $2,108.50 | 0.8× |
| Fetal Contraction Stress Test (59020) | $55.25 | $85 | 0.3× |
| Fetal non-stress test (59025) range across 3 matching MRF lines |
$80.92–$288.92 | $124.50–$444.50 | varies |
| Fine needle aspiration without imaging guidance (10021) | $357.82 | $550.50 | 0.9× |
| Fluoro exam of g/colon tube (49465) | $226.85 | $349 | 0.9× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $462.80 | $712 | 0.6× |
| Fna bx w/us gdn 1st les (10005) | $208 | $320 | 0.3× |
| Fusion Finger Joint (26860) | $2,955.22 | $4,546.50 | 0.9× |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) | $1,113.94 | $1,713.75 | 0.6× |
| Guide Cathet Fluid Drainage (10030) | $1,015.95 | $1,563 | 1.4× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $773.50 | $1,190 | 0.3× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $706.88 | $1,087.50 | 0.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $3,307.04 | $5,087.75 | 1.2× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $445.41 | $685.25 | 0.5× |
| Hymenotomy Simple Incision (56442) | $238.71 | $367.25 | 0.1× |
| I&d abscess peritonsillar (42700) | $587.76 | $904.25 | 2.4× |
| I&d abscess simple (10060) | $193.38 | $297.50 | 0.9× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $1,720.88 | $2,647.50 | 0.6× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $936.81 | $1,441.25 | 0.3× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) | $2,230.80 | $3,432 | 0.7× |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$313.30–$400.08 | $482–$615.50 | varies |
| I&d pilonidal cyst complicated (10081) | $575.09 | $884.75 | 0.8× |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$279.99–$301.44 | $430.75–$463.75 | varies |
| Ileoscopy Stoma W/Balloon Dilation (44381) | $3,079.21 | $4,737.25 | 1.6× |
| Image Cath Fluid Colxn Visc (49405) | $1,420.90 | $2,186 | 0.8× |
| Image Cath Fluid Peri/Retro (49406) | $1,421.55 | $2,187 | 0.8× |
| Image Cath Fluid Trns/Vgnl (49407) | $1,180.40 | $1,816 | 0.7× |
| Incise external hemorrhoid (46083) | $664.95 | $1,023 | 2.6× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$300.95–$331.50 | $463–$510 | varies |
| Incision & drainage leg/ankle infected bursa (27604) | $727.35 | $1,119 | 0.2× |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$452.89–$941.52 | $696.75–$1,448.50 | varies |
| Incision & removal foreign body subq tiss simple (10120) | $311.35 | $479 | 0.7× |
| Incision and drainage of bartholin's gland abscess (56420) | $474.82 | $730.50 | 2.3× |
| Incision and drainage of vulva or perineal abscess (56405) | $390.81 | $601.25 | 1.3× |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$814.45–$1,021.48 | $1,253–$1,571.50 | varies |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $1,365.32 | $2,100.50 | 0.8× |
| Incisional biopsy skin single lesion (11106) range across 3 matching MRF lines |
$208.98–$243.10 | $321.50–$374 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $279.82 | $430.50 | 1.4× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $297.70 | $458 | 0.3× |
| Inj W/Fluor Eval Cv Device (36598) | $190.45 | $293 | 0.9× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $410.15 | $631 | 0.5× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$85.80–$313.30 | $132–$482 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $208.65 | $321 | 0.2× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $104 | $160 | 0.1× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $208.65 | $321 | 0.7× |
| Injection anesthetic agent suprascapular nerve (64418) | $136.50 | $210 | 0.2× |
| Injection for identification of sentinel node (38792) | $128.05 | $197 | 0.3× |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$87.75–$309.08 | $135–$475.50 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$83.20–$275.11 | $128–$423.25 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) | $275.11 | $423.25 | 0.9× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $631.15 | $971 | 0.9× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $119.60 | $184 | 0.2× |
| Ins cath ren art 1st unilat (36251) | $2,164.50 | $3,330 | 0.7× |
| Ins cath ren art 2nd+ bilat (36254) | $3,332.55 | $5,127 | 1.0× |
| Ins cath ren art 2nd+ unilat (36253) | $3,393.65 | $5,221 | 0.6× |
| Ins endovas vena cava filtr (37191) | $3,590.60 | $5,524 | 0.6× |
| Insert Bladder Cath Complex (51703) | $321.59 | $494.75 | 2.4× |
| Insert cath pleura w/ image (32557) range across 3 matching MRF lines |
$1,030.90–$2,593.50 | $1,586–$3,990 | varies |
| Insert cath pleura w/o image (32556) | $808.28 | $1,243.50 | 0.4× |
| Insert Gastrostomy Tube Percutaneous (49440) | $1,414.40 | $2,176 | 0.7× |
| Insert hepatic shunt (tips) (37182) likely a partial charge, not the full procedure |
$1,225.90 | $1,886 | 0.1× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$341.25–$1,344.20 | $525–$2,068 | varies |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $1,206.72 | $1,856.50 | 0.8× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$137.31–$155.51 | $211.25–$239.25 | varies |
| Insert tun ip cath perc (49418) | $1,750.45 | $2,693 | 0.5× |
| Insert tunneled cv cath (36561) | $1,658.80 | $2,552 | 0.5× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) unusually low: confirm this is the full procedure |
$1,821.30 | $2,802 | 0.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$162.82–$179.72 | $250.50–$276.50 | varies |
| Insertion indwelling tunneled pleural catheter (32550) | $1,281.15 | $1,971 | 0.4× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $632.45 | $973 | 0.4× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $141.70 | $218 | 0.1× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 2 matching MRF lines |
$1,328.60–$2,203.18 | $2,044–$3,389.50 | varies |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) likely a partial charge, not the full procedure |
$907.56 | $1,396.25 | 0.1× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) | $767 | $1,180 | 0.5× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $1,509.79 | $2,322.75 | 3.6× |
| Intro cath dialysis circuit (36901) | $1,127.75 | $1,735 | 0.7× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $7,677.80 | $11,812 | 0.7× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) unusually low: confirm this is the full procedure |
$2,026.05 | $3,117 | 0.3× |
| Intubation endotracheal emergency procedure (31500) | $566.96 | $872.25 | 2.3× |
| Laparoscopy aspiration (49322) likely a partial charge, not the full procedure |
$570.70 | $878 | 0.1× |
| Laparoscopy Enterolysis Separate Procedure (44180) likely a partial charge, not the full procedure |
$1,370.69 | $2,108.75 | 0.2× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) likely a partial charge, not the full procedure |
$695.99 | $1,070.75 | 0.1× |
| Laparoscopy, surgical, appendectomy (44970) likely a partial charge, not the full procedure |
$1,013.19 | $1,558.75 | 0.2× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) likely a partial charge, not the full procedure |
$1,204.61 | $1,853.25 | 0.2× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) likely a partial charge, not the full procedure |
$936.98 | $1,441.50 | 0.2× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) likely a partial charge, not the full procedure |
$547.46 | $842.25 | 0.1× |
| Laryngoscopy diagnostic (31505) | $371.48 | $571.50 | 1.8× |
| Laryngoscopy flexible diagnostic (31575) | $361.72 | $556.50 | 1.8× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) | $636.51 | $979.25 | 3.1× |
| Laryngoscopy W/Foreign Body Removal (31530) | $2,183.02 | $3,358.50 | 1.2× |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) | $2,107.62 | $3,242.50 | 5.3× |
| Late closure of wound (13160) | $1,573.32 | $2,420.50 | 0.4× |
| Mastectomy for gynecomastia (19300) | $948.51 | $1,459.25 | 0.2× |
| Mastectomy simple complete (19303) likely a partial charge, not the full procedure |
$1,889.55 | $2,907 | 0.3× |
| Mech remov tunneled cv cath (36595) | $981.50 | $1,510 | 0.3× |
| Myelography Lumbar Injection (62305) | $435.50 | $670 | 0.5× |
| Myelography Lumbar Injection (62304) | $400.40 | $616 | 0.5× |
| Myelography via lumbar injection rs&i cervical (62302) | $405.60 | $624 | 0.5× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $412.10 | $634 | 0.5× |
| N Block Inj Plantar Digit (64455) | $70.85 | $109 | 0.2× |
| N Block Inj Pudendal (64430) range across 2 matching MRF lines |
$148.85–$2,457.65 | $229–$3,781 | varies |
| Nasal Endoscopy Dx (31231) | $448.34 | $689.75 | 2.2× |
| Nasal/Orogastric W/Tube Plmt (43752) | $61.75 | $95 | 0.1× |
| Needle Biopsy Lymph Nodes (38505) | $187.85 | $289 | 0.1× |
| Neuro alz ds beta amyl&tau prtn bld lc-ms/ms alg (0503U) | $1,295.45 | $1,993 | 1.7× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $686.56 | $1,056.25 | 2.2× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $660.40 | $1,016 | 0.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $273 | $420 | 0.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $408.20 | $628 | 0.6× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $474.50 | $730 | 0.7× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) range across 7 matching MRF lines |
$522.76–$966.55 | $804.25–$1,487 | varies |
| Njx Sclrsnt 1 Incmptnt Vein (36470) | $175.50 | $270 | 0.4× |
| Obstructive material removal from gi tube (49460) | $1,134.25 | $1,745 | 1.2× |
| Occipital Nerve Block (64405) | $448.34 | $689.75 | 1.4× |
| Open biopsy/excision inguinofemoral nodes (38531) | $700.70 | $1,078 | 0.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $2,532.08 | $3,895.50 | 0.8× |
| Open tx humeral supracondylar fracture w/o xtn (24545) | $13,094.58 | $20,145.50 | 1.0× |
| Open tx interphalangeal joint dislocation (26785) | $1,213.22 | $1,866.50 | 0.4× |
| Open/Perq Place Stent 1St (37236) unusually low: confirm this is the full procedure |
$4,944.55 | $7,607 | 0.4× |
| Open/Perq Place Stent Same (37238) | $5,927.35 | $9,119 | 0.5× |
| Osteotomy Radius Middle/Proximal Third (25355) | $1,839.66 | $2,830.25 | 0.6× |
| Partial Excision Distal Phalanx Finger (26236) | $1,345.99 | $2,070.75 | 0.8× |
| Partical Excision Bone Phalanx Toe (28124) | $1,084.69 | $1,668.75 | 0.3× |
| Perc Cryo Ablate Renal Tum (50593) likely a partial charge, not the full procedure |
$702.65 | $1,081 | 0.1× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) | $826.80 | $1,272 | 0.6× |
| Perc Rf Ablate Renal Tumor (50592) | $4,898.40 | $7,536 | 0.8× |
| Percut Ablate Liver Rf (47382) | $6,479.85 | $9,969 | 1.0× |
| Percut Drain/Inject Renal Cyst (50390) | $143.65 | $221 | 0.2× |
| Perq dev breast 1st us imag (19285) | $659.75 | $1,015 | 0.9× |
| Perq device breast 1st imag (19281) | $377 | $580 | 0.2× |
| Perq Lumbosacral Injection (22511) | $2,922.40 | $4,496 | 0.9× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) unusually low: confirm this is the full procedure |
$3,805.75 | $5,855 | 0.3× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $2,977 | $4,580 | 0.5× |
| Place Cath Subclavian Art (36225) | $2,461.55 | $3,787 | 0.8× |
| Place Cath Thoracic Aorta (36221) | $1,546.35 | $2,379 | 0.5× |
| Plmt Bile Duct Stent Prq Existing Access (47538) | $6,553.95 | $10,083 | 1.1× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $1,442.35 | $2,219 | 0.7× |
| Plmt Nephroureteral Catheter (50433) | $1,830.40 | $2,816 | 0.5× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) | $2,196.35 | $3,379 | 0.6× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) | $308.75 | $475 | 0.1× |
| Prim art mech thrombectomy (37184) likely a partial charge, not the full procedure |
$2,948.40 | $4,536 | 0.2× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $184.60 | $284 | 0.2× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) | $419.90 | $646 | 0.1× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $415.35 | $639 | 0.6× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $1,944.15 | $2,991 | 0.5× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $2,154.75 | $3,315 | 0.6× |
| Pseudoaneurysm Injection Trt (36002) | $231.40 | $356 | 0.4× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$177.45–$193.38 | $273–$297.50 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$199.55–$205.24 | $307–$315.75 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 3 matching MRF lines |
$165.10–$476.29 | $254–$732.75 | varies |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $85.80 | $132 | 0.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm Facility (22904) | $1,567.48 | $2,411.50 | 0.5× |
| Rem Endovas Vena Cava Filter (37193) | $2,476.50 | $3,810 | 0.8× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $765.05 | $1,177 | 0.8× |
| Removal Embedded Foreign Body Eyelid (67938) | $276.09 | $424.75 | 0.9× |
| Removal Foreign Body Deep Thigh/Knee (27372) range across 2 matching MRF lines |
$995.80–$1,903.20 | $1,532–$2,928 | varies |
| Removal foreign body foot deep (28192) | $1,559.51 | $2,399.25 | 0.9× |
| Removal Foreign Body Foot Subcutaneous (28190) | $401.38 | $617.50 | 0.6× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$309.24–$430.46 | $475.75–$662.25 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $60.29 | $92.75 | 1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $144.14 | $221.75 | 2.4× |
| Removal Implant Superficial Separate Procedure (20670) | $955.34 | $1,469.75 | 0.6× |
| Removal of anal fissure (46200) | $683.64 | $1,051.75 | 0.2× |
| Removal of foreign body from pharynx (42809) range across 2 matching MRF lines |
$209.79–$380.58 | $322.75–$585.50 | varies |
| Removal of nail bed (11750) | $656.34 | $1,009.75 | 1.6× |
| Removal of tunneled intraperitoneal catheter (49422) | $339.95 | $523 | 0.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$149.18–$184.44 | $229.50–$283.75 | varies |
| Remove Intrauterine Device (58301) | $250.58 | $385.50 | 0.8× |
| Remove intrvas foreign body (37197) | $2,549.95 | $3,923 | 0.8× |
| Remove lung catheter (32552) | $281.45 | $433 | 0.4× |
| Remove Nasal Foreign Body (30300) | $212.71 | $327.25 | 1.6× |
| Remove Pulse Generator (33241) | $330.20 | $508 | 0.1× |
| Remove renal tube w/fluoro (50389) | $650 | $1,000 | 0.9× |
| Remove ureter stent percut (50384) | $1,416.35 | $2,179 | 0.7× |
| Remove wrist joint cartilage (25107) | $3,593.20 | $5,528 | 1.1× |
| Renal Biopsy Perq (50200) range across 2 matching MRF lines |
$836.71–$847.60 | $1,287.25–$1,304 | varies |
| Repair Achilles Tendon (27650) unusually low: confirm this is the full procedure |
$2,793.70 | $4,298 | 0.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $920.72 | $1,416.50 | 1.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $1,493.05 | $2,297 | 2.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $601.90 | $926 | 1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $1,562.28 | $2,403.50 | 3.8× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $602.55 | $927 | 1.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $524.71 | $807.25 | 1.3× |
| Repair complex trunk 2.6-7.5 cm (13101) | $629.52 | $968.50 | 0.8× |
| Repair extensor tendon finger w/o graft each (26418) | $1,978.92 | $3,044.50 | 1.2× |
| Repair Eyelid Wound (67935) | $1,077.38 | $1,657.50 | 0.4× |
| Repair Finger/Hand Tendon (26350) | $3,133.49 | $4,820.75 | 0.9× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) | $1,396.85 | $2,149 | 0.4× |
| Repair inguinal hernia, sliding, any age (49525) | $1,092.16 | $1,680.25 | 0.3× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) | $1,061.61 | $1,633.25 | 0.3× |
| Repair initial femoral hernia, any age; reducible (49550) | $859.95 | $1,323 | 0.2× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $977.76 | $1,504.25 | 0.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $373.91 | $575.25 | 0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$374.56–$460.20 | $576.25–$708 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $456.95 | $703 | 1.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $340.60 | $524 | 0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $355.39 | $546.75 | 0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $373.91 | $575.25 | 0.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $357.82 | $550.50 | 0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $456.14 | $701.75 | 1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $433.88 | $667.50 | 1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $273.81 | $421.25 | 0.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $478.08 | $735.50 | 0.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $455.49 | $700.75 | 1.1× |
| Repair Leg Fascia Defect (27656) | $2,001.02 | $3,078.50 | 0.6× |
| Repair Non/Malunion Humerus W/O Graft (24430) | $9,257.79 | $14,242.75 | 0.7× |
| Repair of nail bed (11760) | $550.22 | $846.50 | 0.7× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $1,541.48 | $2,371.50 | 0.5× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) | $4,043.81 | $6,221.25 | 0.5× |
| Repair tongue laceration (41252) | $1,872.32 | $2,880.50 | 7.7× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $1,092 | $1,680 | 1.2× |
| Replace G-J Tube Perc (49452) | $1,328.60 | $2,044 | 1.4× |
| Replace g/c tube perc (49450) | $1,014.65 | $1,561 | 1.1× |
| Reposition Gastrostomy Tube (43761) | $189.15 | $291 | 0.7× |
| Reposition Venous Catheter (36597) | $189.80 | $292 | 0.1× |
| Repr elbow lat ligmnt w/tiss (24343) | $5,347.06 | $8,226.25 | 1.6× |
| Repr Elbw Med Ligmnt W/Tiss (24345) | $5,825.30 | $8,962 | 0.8× |
| Rerepair ing hernia reduce (49520) | $1,062.91 | $1,635.25 | 0.3× |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) | $1,768.98 | $2,721.50 | 0.5× |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) | $849.88 | $1,307.50 | 0.2× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) | $9,824.10 | $15,114 | 1.7× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) | $899.60 | $1,384 | 0.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $293.64 | $451.75 | 0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $440.05 | $677 | 3.2× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 2 matching MRF lines |
$37.05–$393.90 | $57–$606 | varies |
| Rmvl fecal impaction/fb spx under anes (45915) | $574.11 | $883.25 | 0.5× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $759.20 | $1,168 | 0.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$331.66–$347.75 | $510.25–$535 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 3 matching MRF lines |
$243.91–$521.62 | $375.25–$802.50 | varies |
| Rplc Gtube No Revj Trc (43762) | $743.60 | $1,144 | 2.9× |
| Rplcmt cath ctr vad subq port/pmp (36578) range across 3 matching MRF lines |
$677.95–$2,492.59 | $1,043–$3,834.75 | varies |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $325 | $500 | 0.2× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $548.60 | $844 | 0.3× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $1,285.05 | $1,977 | 0.4× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) likely a partial charge, not the full procedure |
$1,226.39 | $1,886.75 | 0.2× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $565.18 | $869.50 | 0.2× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) likely a partial charge, not the full procedure |
$1,265.88 | $1,947.50 | 0.2× |
| Rpr aa hernia recr 3-10 cm reducible (49615) likely a partial charge, not the full procedure |
$1,051.38 | $1,617.50 | 0.2× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) likely a partial charge, not the full procedure |
$939.74 | $1,445.75 | 0.2× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) | $693.88 | $1,067.50 | 0.2× |
| Rpr aa hrn 1st 3-10 rdc (49593) likely a partial charge, not the full procedure |
$943.80 | $1,452 | 0.1× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) likely a partial charge, not the full procedure |
$785.20 | $1,208 | 0.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $547.14 | $841.75 | 2.7× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) | $1,568.45 | $2,413 | 0.5× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $3,129.10 | $4,814 | 0.9× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) | $1,950 | $3,000 | 0.6× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) range across 2 matching MRF lines |
$235.30–$249.60 | $362–$384 | varies |
| Sclerotx Fluid Collection (49185) | $1,992.25 | $3,065 | 1.2× |
| Shave skin lesion 0.5 cm/< (11300) range across 2 matching MRF lines |
$149.18–$170.95 | $229.50–$263 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $174.36 | $268.25 | 0.9× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $283.40 | $436 | 0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $161.52 | $248.50 | 0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $184.60 | $284 | 0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $217.91 | $335.25 | 1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $236.28 | $363.50 | 0.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $211.09 | $324.75 | 1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $245.21 | $377.25 | 0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $183.30 | $282 | 0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $237.74 | $365.75 | 0.6× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $215.96 | $332.25 | 1.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$281.12–$969.96 | $432.50–$1,492.25 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $359.78 | $553.50 | 1.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $434.69 | $668.75 | 2.1× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $1,100.94 | $1,693.75 | 2.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $547.14 | $841.75 | 2.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $254.31 | $391.25 | 1.2× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$98.80–$804.21 | $152–$1,237.25 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $355.39 | $546.75 | 1.7× |
| Skin Tissue Procedure (17999) | $558.19 | $858.75 | 2.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $285.19 | $438.75 | 1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $456.95 | $703 | 1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $619.45 | $953 | 1.5× |
| Sphincterotomy anal division sphincter spx (46080) | $382.04 | $587.75 | 0.1× |
| Spinal puncture lumbar diagnostic (62270) range across 3 matching MRF lines |
$207.35–$702.32 | $319–$1,080.50 | varies |
| Strapping shoulder (29240) | $445.41 | $685.25 | 3.3× |
| Strapping thorax (29200) | $72.64 | $111.75 | 0.4× |
| Surg tx anal fistula subq (46270) range across 2 matching MRF lines |
$772.85–$922.35 | $1,189–$1,419 | varies |
| Suture infrapatellar tendon primary (27380) unusually low: confirm this is the full procedure |
$2,301.16 | $3,540.25 | 0.3× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) unusually low: confirm this is the full procedure |
$2,268.66 | $3,490.25 | 0.3× |
| Tangential biopsy skin single lesion (11102) | $194.84 | $299.75 | 0.5× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $504.40 | $776 | 0.7× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $9,620.65 | $14,801 | 0.5× |
| Thromblytic art/ven therapy (37213) | $351 | $540 | 0.1× |
| Thrombolytic Art Therapy (37211) likely a partial charge, not the full procedure |
$583.05 | $897 | 0.1× |
| Thrombolytic Therapy Stroke (37195) | $487.99 | $750.75 | 1.4× |
| Thrombolytic Venous Therapy (37212) | $509.60 | $784 | 0.2× |
| Thyroid biopsy (60100) | $169 | $260 | 0.2× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $2,579.36 | $3,968.25 | 1.2× |
| Tooth extraction (41899) | $1,465.59 | $2,254.75 | 6.1× |
| Transcatheter biopsy (37200) likely a partial charge, not the full procedure |
$325 | $500 | 0.1× |
| Treat Finger Fracture Each (26727) | $2,962.54 | $4,557.75 | 0.9× |
| Treat Humerus Fracture (24505) | $1,186.25 | $1,825 | 0.7× |
| Treat humerus fracture (23600) | $878.48 | $1,351.50 | 3.5× |
| Treat knee fracture (27532) | $1,752.56 | $2,696.25 | 0.5× |
| Treat Knuckle Dislocation (26700) | $566.96 | $872.25 | 2.2× |
| Treat Metatarsal Fracture (28475) | $913.74 | $1,405.75 | 3.6× |
| Treat Thumb Dislocation (26641) | $983.12 | $1,512.50 | 3.9× |
| Treat toe dislocation (28630) | $268.45 | $413 | 1.1× |
| Treat Vaginal Bleeding (57180) | $342.39 | $526.75 | 1.7× |
| Treatment closed elbow dislocation w/o anes (24600) | $400.72 | $616.50 | 1.6× |
| Trim skin lesion (11055) | $110.50 | $170 | 0.5× |
| Trim skin lesions 2 to 4 (11056) | $113.75 | $175 | 0.6× |
| Trim skin lesions over 4 (11057) | $125.29 | $192.75 | 0.6× |
| Trimming Nondystrophic Nails Any Number (11719) | $28.44 | $43.75 | 0.5× |
| Trluml Balo Angiop 1St Art (37246) | $3,096.60 | $4,764 | 0.5× |
| Trluml Balo Angiop 1St Vein (37248) unusually low: confirm this is the full procedure |
$2,295.15 | $3,531 | 0.4× |
| Tx Gastro Intub W/Asp (43753) | $225.06 | $346.25 | 1.0× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $2,388.75 | $3,675 | 0.7× |
| Tx Missed Abortion First Trimester Surgical (59820) | $1,641.90 | $2,526 | 0.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $449.96 | $692.25 | 0.6× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) | $900.58 | $1,385.50 | 0.5× |
| Unlisted procedure anus (46999) | $325.32 | $500.50 | 0.3× |
| Unlisted Procedure Intestine (44799) | $739.54 | $1,137.75 | 0.8× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $389.19 | $598.75 | 1.6× |
| Unlisted Procedure Rectum (45999) | $353.11 | $543.25 | 0.4× |
| Unlisted Procedure Tongue Floor Mouth (41599) | $529.26 | $814.25 | 2.2× |
| Unlisted px female genital system nonobstetrical (58999) | $575.09 | $884.75 | 2.8× |
| Vaginal delivery only (59409) | $2,457.32 | $3,780.50 | 0.7× |
| Vasc embolize/occlude artery (37242) | $12,026.30 | $18,502 | 0.6× |
| Vasc Embolize/Occlude Bleed (37244) | $11,094.20 | $17,068 | 0.9× |
| Vasc Embolize/Occlude Organ (37243) | $14,803.75 | $22,775 | 1.3× |
| Vasc embolize/occlude venous (37241) | $7,688.85 | $11,829 | 0.7× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $2,992.60 | $4,604 | 1.4× |
| Venous Mech Thrombectomy (37187) likely a partial charge, not the full procedure |
$2,942.55 | $4,527 | 0.2× |
| Wedge excision skin nail fold (11765) | $228.15 | $351 | 0.5× |
| Wound Prep Trk/Arm/Leg (15002) | $1,028.14 | $1,581.75 | 1.4× |
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.