Procedures & surgery prices at Loyola Gottlieb Memorial Hospital

Melrose Park, IL · every code in this section with a posted price and a Medicare benchmark.

1451 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $375.44 $1,976 0.4×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $228 $1,200 0.2×
Ablate inf turbinate submuc (30802) $520.79 $2,741 0.3×
Ablate Pulm Tumor Perq Crybl (32994)
likely a partial charge, not the full procedure		 $1,836.92 $9,668 0.2×
Ablation 1/> liver tumor perq cryoablation (47383)
likely a partial charge, not the full procedure		 $1,938 $10,200 0.2×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
likely a partial charge, not the full procedure		 $2,477.98 $13,042 0.1×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983)
likely a partial charge, not the full procedure		 $1,487.70 $7,830 0.2×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $527.63 $2,777 0.3×
Abrasion single lesion (15786) $36.48 $192 0.2×
Acne surgery (10040) $115.71 $609 0.5×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $766.08 $4,032 0.3×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $888.06 $4,674 0.4×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $1,236.33 $6,507 0.3×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $858.23 $4,517 0.4×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $709.08 $3,732 0.3×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $708.51 $3,729 0.3×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $920.17 $4,843 0.4×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $754.30 $3,970 0.3×
Allogeneic lymphocyte infusions (38242) $726.94 $3,826 0.4×
Amniocentesis diagnostic (59000) $173.85 $915 0.2×
Amniocentesis therapeutic (59001) $104.69 $551 0.3×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $845.12 $4,448 0.2×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $833.72 $4,388 0.2×
Amputation metatarsal with toe single (28810) $1,171.92 $6,168 0.3×
Amputation toe interphalangeal joint (28825) $1,125.18 $5,922 0.3×
Amputation toe metatarsophalangeal joint (28820) $1,040.25 $5,475 0.3×
Anal Sp Inf Pmp W/Reprg&Fill (62369) $112.86 $594 0.3×
Anal/Urinary Muscle Study (51784) $207.10 $1,090 1.5×
Anoscopy Ablation Lesion (46615) $766.27 $4,033 0.3×
Anoscopy Control Bleeding (46614) $256.31 $1,349 0.2×
Anoscopy diagnostic (46600) $151.05 $795 1.1×
Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) $264.48 $1,392 0.2×
Anoscopy remove lesion (46610) $779.38 $4,102 0.3×
Anoscopy W/Rmvl Foreign Body (46608) $251.94 $1,326 0.3×
Anoscopy; with biopsy, single or multiple (46606) $246.05 $1,295 0.2×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $311.22 $1,638 0.2×
Apheresis Platelets (36513) $428.26 $2,254 0.9×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450)
range across 3 matching MRF lines		 $72.58–$108.87 $382–$573 varies
Appl cranial tong/strtctc frame w/removal spx (20660) $578.55 $3,045 0.3×
Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) $178.79 $941 0.6×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $82.65 $435 0.5×
Application cast elbow finger short arm (29075)
range across 12 matching MRF lines		 $134.71–$269.42 $709–$1,418 varies
Application Cast Finger (29086)
range across 3 matching MRF lines		 $58.14–$116.28 $306–$612 varies
Application Finger Splint Dynamic (29131) $32.49 $171 0.5×
Application finger splint static (29130) $57.38 $302 0.4×
Application long arm splint shoulder hand (29105) $119.51 $629 0.7×
Application Long Leg Cast Walker/Ambulatory Type (29355)
range across 3 matching MRF lines		 $134.14–$268.28 $706–$1,412 varies
Application Long Leg Splint (29505) $117.61 $619 0.7×
Application of cylinder cast (thigh to ankle) (29365)
range across 3 matching MRF lines		 $103.93–$207.86 $547–$1,094 varies
Application of long leg cast (29345)
range across 12 matching MRF lines		 $278.92–$557.84 $1,468–$2,936 varies
Application of rigid total contact leg cast (29445)
range across 3 matching MRF lines		 $174.99–$262.58 $921–$1,382 varies
Application Patellar Tendon Bearing Cast (29435)
range across 3 matching MRF lines		 $79.80–$159.60 $420–$840 varies
Application short arm splint forearm-hand static (29125) $116.66 $614 0.8×
Application short leg splint calf foot (29515) $102.41 $539 0.6×
Apply hand/wrist cast (29085)
range across 3 matching MRF lines		 $128.63–$193.04 $677–$1,016 varies
Apply long arm cast (29065)
range across 12 matching MRF lines		 $145.73–$291.46 $767–$1,534 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines		 $74.67–$112.10 $393–$590 varies
Apply Short Leg Cast (29405)
range across 12 matching MRF lines		 $193.61–$387.22 $1,019–$2,038 varies
Apply short leg cast (29425)
range across 12 matching MRF lines		 $148.01–$296.02 $779–$1,558 varies
Arterial puncture (36600) $34.58 $182 0.2×
Arteriovenous Anastomosis Open Direct (36821) $3,163.50 $16,650 0.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $153.14 $806 0.5×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $211.66 $1,114 0.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines		 $232.18–$348.27 $1,222–$1,833 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 3 matching MRF lines		 $277.59–$416.48 $1,461–$2,192 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $109.25 $575 0.3×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $740.24 $3,896 0.4×
Artificial insemination intra-cervical (58321) $106.02 $558 0.3×
Artificial insemination intra-uterine (58322) $93.29 $491 0.4×
Aspirate pleura w/ imaging (32555) $366.13 $1,927 0.5×
Aspirate Pleura W/O Imaging (32554) $312.36 $1,644 0.5×
Aspirate/Inj Ganglion Cyst (20612) $110.77 $583 0.3×
Aspiration & Injection Treatment Bone Cyst (20615) $162.64 $856 0.2×
Aspiration and/or injection thyroid cyst (60300) $142.69 $751 0.2×
Aspiration bladder insert suprapubic catheter (51102) $828.40 $4,360 0.4×
Aspiration Bladder Needle (51100) $124.83 $657 0.5×
Aspiration bladder trocar/intracatheter (51101) $209.19 $1,101 0.2×
Av Fistula Revision Open (36832)
unusually low: confirm this is the full procedure		 $2,112.80 $11,120 0.4×
Avulsion nail plate partial/complete simple 1 (11730) $101.46 $534 0.5×
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552)
likely a partial charge, not the full procedure		 $1,424.43 $7,497 0.2×
Biliary ndsc prq t-tube dilat strix w/stent (47556)
likely a partial charge, not the full procedure		 $1,938 $10,200 0.2×
Biliary ndsc prq t-tube w/bx single/multiple (47553)
likely a partial charge, not the full procedure		 $1,796.64 $9,456 0.3×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555)
likely a partial charge, not the full procedure		 $931.38 $4,902 0.1×
Biopsy Abdominal Mass (49180) $532.38 $2,802 0.3×
Biopsy bone open superficial (20240) $1,041.39 $5,481 0.3×
Biopsy bone trocar/needle deep (20225) $508.44 $2,676 0.3×
Biopsy Bone Trocar/Needle Superficial (20220) $334.97 $1,763 0.2×
Biopsy External Auditory Canal (69105) $578.36 $3,044 0.3×
Biopsy external ear (69100) $162.83 $857 0.6×
Biopsy muscle percutaneous needle (20206) $616.55 $3,245 0.3×
Biopsy Muscle Superficial (20200) $531.43 $2,797 0.3×
Biopsy nail unit (11755) $343.14 $1,806 0.5×
Biopsy Nasopharynx Visible Lesion Simple (42804) $683.43 $3,597 0.2×
Biopsy of breast; open, incisional (19101) $1,358.88 $7,152 0.3×
Biopsy of conjunctiva (68100) $450.11 $2,369 0.2×
Biopsy of cornea (65410) $498.75 $2,625 0.2×
Biopsy of floor of mouth (41108) $592.80 $3,120 0.3×
Biopsy of foot joint lining (28052) $1,143.04 $6,016 0.3×
Biopsy of lip (40490) $127.30 $670 0.5×
Biopsy of liver, needle; percutaneous (47000) $557.46 $2,934 0.3×
Biopsy of palate, uvula (42100) $292.98 $1,542 0.2×
Biopsy of penis (54100) $632.13 $3,327 0.4×
Biopsy of rectum (45100) $584.82 $3,078 0.2×
Biopsy of upper nose/throat (42806) $646.38 $3,402 0.2×
Biopsy of urethra (53200) $528.58 $2,782 0.2×
Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) $1,274.52 $6,708 0.3×
Biopsy Oropharynx (42800) $512.05 $2,695 0.3×
Biopsy Pleura Percutaneous Needle (32400) $538.65 $2,835 0.3×
Biopsy Salivary Gland Incisional (42405) $927.01 $4,879 0.6×
Biopsy Salivary Gland Needle (42400) $246.24 $1,296 0.3×
Biopsy soft tissue back/flank deep (21925) $631.18 $3,322 0.4×
Biopsy Soft Tissue Back/Flank Superficial (21920) $298.87 $1,573 0.2×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614) $665.57 $3,503 0.2×
Biopsy soft tissue leg/ankle area superficial (27613) $429.40 $2,260 0.2×
Biopsy soft tissue neck/thorax (21550) $559.93 $2,947 0.3×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $322.24 $1,696 0.2×
Biopsy Soft Tissue Shoulder Deep (23066) $1,111.50 $5,850 0.4×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $661.01 $3,479 0.2×
Biopsy soft tissue thigh/knee area superficial (27323) $450.68 $2,372 0.3×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $432.63 $2,277 0.2×
Biopsy Spinal Cord Percutaneous Needle (62269) $327.75 $1,725 0.2×
Biopsy Tongue Anterior Two-Thirds (41100) $393.68 $2,072 0.7×
Biopsy Tongue Posterior One-Third (41105) $673.17 $3,543 0.2×
Biopsy Vaginal Mucosa Simple (57100) $416.10 $2,190 0.4×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $192.28 $1,012 0.2×
Biopsy, vestibule of mouth (40808) $203.68 $1,072 0.4×
Biopsy/removal lymph nodes (38510) $1,516.96 $7,984 0.4×
Bladder instillation anticarcinogenic agent (51720) $133.95 $705 0.2×
Bladder Irrigation (51700) $147.44 $776 0.6×
Bladder Scan (51798) $36.67 $193 0.6×
Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) $705.28 $3,712 0.4×
Blepharoplasty Lower Eyelid (15820) $643.53 $3,387 0.3×
Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) $669.56 $3,524 0.3×
Blepharoplasty upper eyelid (15822) $546.82 $2,878 0.2×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $790.02 $4,158 0.4×
Blepharotomy drainage abscess eyelid (67700) $155.99 $821 0.5×
Blood Transfusion Service (36430) $330.22 $1,738 0.7×
Blood/Lymph System Procedure (38999) $95.38 $502 0.2×
Bone Marrow Biopsy (38221) $570 $3,000 0.3×
Bone marrow harvest allogen (38230) $960.64 $5,056 0.6×
Bone Marrow Harvest Autolog (38232) $1,088.13 $5,727 0.2×
Bone Marrow; Aspiration Only (38220) $570 $3,000 0.3×
Brnchsc Brushing/Protected Brushings (31623) $675.07 $3,553 0.4×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $998.07 $5,253 0.2×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $998.07 $5,253 0.2×
Brnchsc Removal Bronchial Valve Ea Addl (31649) $507.49 $2,671 0.3×
Brnchsc Removal Bronchial Valve Initial (31648) $785.08 $4,132 0.2×
Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638)
unusually low: confirm this is the full procedure		 $2,543.15 $13,385 0.3×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $863.74 $4,546 0.2×
Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl (31643) $600.40 $3,160 0.3×
Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) $946.20 $4,980 0.2×
Bronchial Valve Init Insert (31647)
unusually low: confirm this is the full procedure		 $2,543.15 $13,385 0.3×
Bronchoscopy Balloon Occlusion (31634)
unusually low: confirm this is the full procedure		 $2,543.15 $13,385 0.3×
Bronchoscopy Bronch Stents (31636)
unusually low: confirm this is the full procedure		 $2,543.15 $13,385 0.3×
Bronchoscopy Clear Airways (31645)
range across 2 matching MRF lines		 $476.52–$501.60 $2,508–$2,640 varies
Bronchoscopy Dilate W/Stent (31631)
unusually low: confirm this is the full procedure		 $2,543.15 $13,385 0.3×
Bronchoscopy Reclear Airway (31646) $365.18 $1,922 0.9×
Bronchoscopy W/Biopsy(S) (31625)
range across 2 matching MRF lines		 $782.80–$824.03 $4,120–$4,337 varies
Bronchoscopy W/Excision Tumor (31640) $863.74 $4,546 0.2×
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626)
unusually low: confirm this is the full procedure		 $2,543.15 $13,385 0.3×
Bronchoscopy W/Removal Foreign Body (31635) $612.94 $3,226 0.3×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $1,370.28 $7,212 0.3×
Bronchoscopy/Needle Bx Each (31629) $790.21 $4,159 0.2×
Bx Arm/Elbow Soft Tissue,Deep (24066) $521.93 $2,747 0.2×
Bx breast 1st lesion mr imag (19085)
range across 4 matching MRF lines		 $647.90–$971.85 $3,410–$5,115 varies
Bx breast 1st lesion strtctc (19081)
range across 3 matching MRF lines		 $647.90–$972.04 $3,410–$5,116 varies
Bx breast 1st lesion us imag (19083)
range across 4 matching MRF lines		 $647.90–$971.85 $3,410–$5,115 varies
Bx breast needle core w/o imaging guidance spx (19100) $592.80 $3,120 0.3×
Bx Cervix (57500) $430.16 $2,264 0.4×
Bx/exc lymph node open deep axillary node (38525) $1,295.04 $6,816 0.3×
Bx/exc lymph node open superficial (38500) $965.96 $5,084 0.2×
Canthoplasty (67950) $587.67 $3,093 0.2×
Canthotomy Separate Procedure (67715) $856.14 $4,506 0.3×
Car-t admn autologous (38228) $147.25 $775 0.4×
Carpal Tunnel Surgery (64721) $654.93 $3,447 0.3×
Cautery Cervix Cryocautery Initial/Repeat (57511) $124.83 $657 0.4×
Cerclage cervix pregnancy vaginal (59320) $1,261.60 $6,640 0.4×
Cessj Therapy Cath Removal (37214) $1,262.74 $6,646 0.4×
Change Cystostomy Tube Complicated (51710) $209.19 $1,101 0.3×
Change Cystostomy Tube Simple (51705) $141.36 $744 0.5×
Change of Windpipe Airway (31502) $73.34 $386 0.3×
Change ureter stent percut (50382) $813.20 $4,280 0.4×
Chemical Cautery Tissue (17250) $95.95 $505 0.4×
Chemical peel, facial; epidermal (15788) $141.93 $747 0.3×
Chemical Pleurodesis (32560) $154.66 $814 0.2×
Chemodenerv 1 extrem 5/> mus (64644) $180.50 $950 0.2×
Chemodenerv 1 extremity 1-4 (64642)
range across 2 matching MRF lines		 $180.50–$203.11 $950–$1,069 varies
Chemodenerv Eccrine Glands (64650) $64.98 $342 0.2×
Chemodenerv Musc Migraine (64615) $156.37 $823 0.5×
Chemodenerv musc neck dyston (64616) $140.22 $738 0.4×
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $125.40 $660 0.4×
Chemodenerv trunk musc 1-5 (64646) $203.11 $1,069 0.3×
Chemodenerv trunk musc 6/> (64647) $227.81 $1,199 0.3×
Chemodenervation eccrine glands oth area per day (64653) $72.58 $382 0.2×
Chemodenervation Muscle Larynx Unilat W/Emg (64617)
range across 3 matching MRF lines		 $148.58–$222.87 $782–$1,173 varies
Chemodenervation of extraocular muscle (67345) $91.96 $484 0.3×
Chemodenervation of internal anal sphincter (46505) $790.78 $4,162 0.6×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 6 matching MRF lines		 $165.49–$330.98 $871–$1,742 varies
Chest tube placement (32551) $768.93 $4,047 0.5×
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $528.20 $2,780 0.2×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $862.79 $4,541 0.2×
Chorionic Villus Sampling (59015) $173.85 $915 0.2×
Ciliary body dstrj cyclophotocoag transsceral (66710) $833.15 $4,385 0.3×
Circumcision 28 days or older (54161) $723.33 $3,807 0.3×
Circumcision Neonate (54160) $712.69 $3,751 1.0×
Circumcision w/clamp/oth dev w/block (54150) $801.80 $4,220 0.4×
Cl Tx Scapular Fx; W Manip (23575) $583.68 $3,072 0.3×
Cl Tx Tib Shft Fx W Manip (27752) $583.68 $3,072 0.3×
Clear outer ear canal (69200) $58.52 $308 0.4×
Closed Rx Spontaneous Hip Disloc (27256) $87.78 $462 0.3×
Closed Treat Vert Body Fract (22310) $166.82 $878 0.6×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $153.14 $806 0.6×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $100.51 $529 0.4×
Closed Treatment Sesamoid Fracture (28530) $46.55 $245 0.2×
Closed Treatment Ulnar Styloid Fracture (25650) $62.70 $330 0.2×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $306.85 $1,615 0.2×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $65.55 $345 0.2×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $86.64 $456 0.3×
Closed tx carpal scaphoid fracture w/manj (25624) $593.56 $3,124 0.3×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $75.05 $395 0.3×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $145.54 $766 0.6×
Closed tx metatarsal fracture w/o manipulation (28470) $145.54 $766 0.6×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $580.26 $3,054 0.3×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 2 matching MRF lines		 $532.76–$587.86 $2,804–$3,094 varies
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)
range across 2 matching MRF lines		 $1,147.03–$1,158.43 $6,037–$6,097 varies
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) $1,730.71 $9,109 0.5×
Closed tx patellar dislocation w/o anesthesia (27560) $57.76 $304 0.2×
Closed Tx Patellar Fracture W/O Manipulation (27520) $107.73 $567 0.4×
Closed tx radial head/neck fx w/manipulation (24655) $578.55 $3,045 0.3×
Closed tx radial head/neck fx w/o manipulation (24650) $123.50 $650 0.5×
Closed tx radial shaft fracture w/manipulation (25505) $567.15 $2,985 0.3×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $80.37 $423 0.3×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $568.29 $2,991 0.3×
Closed tx radial&ulnar shaft fractures w/o man (25560) $80.37 $423 0.3×
Closed Tx Scapular Fracture W/O Manipulation (23570) $80.75 $425 0.3×
Closed tx septal&nose fx (21337) $1,171.54 $6,166 0.3×
Closed Tx Talus Fracture W/Manipulation (28435) $583.68 $3,072 0.3×
Closed tx talus fracture w/o manipulation (28430) $54.15 $285 0.2×
Closed tx tarsometatarsal dislocation w/o anes (28600) $69.73 $367 0.3×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $128.82 $678 0.5×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $593.56 $3,124 0.3×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $95.76 $504 0.4×
Closed tx ulnar shaft fracture w/o manipulation (25530) $90.44 $476 0.3×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $77.52 $408 0.3×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $195.89 $1,031 0.3×
Closure lacrimal punctum (68760) $110.96 $584 0.3×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $54.53 $287 0.2×
Clsd tx clavicular fracture w/o manipulation (23500) $124.07 $653 0.5×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $67.26 $354 0.3×
Clsd tx shoulder dislc w/manipulation req anes (23655) $568.29 $2,991 0.3×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $101.84 $536 0.4×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $387.22 $2,038 0.2×
Clsr Lacrimal Punctum Plug Each (68761) $152.95 $805 0.4×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $60.42 $318 0.2×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $583.68 $3,072 0.3×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $66.88 $352 0.3×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $915.42 $4,818 0.5×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $69.73 $367 0.3×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $49.78 $262 0.2×
Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) $567.15 $2,985 0.3×
Cltx dstl fibular fx lat malls w/manj (27788) $94.81 $499 0.4×
Cltx dstl fibular fx lat malls w/o manj (27786) $89.30 $470 0.3×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $90.63 $477 0.3×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $81.51 $429 0.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $583.68 $3,072 0.3×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $567.15 $2,985 0.3×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $65.74 $346 0.2×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $80.37 $423 0.3×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $474.81 $2,499 0.3×
Cltx fx grt toe phlx/phlg w/manj (28495) $92.53 $487 0.4×
Cltx fx grt toe phlx/phlg w/o manj (28490) $106.21 $559 0.4×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $103.55 $545 0.4×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $91.96 $484 0.3×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $527.44 $2,776 0.3×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $63.27 $333 0.2×
Cltx greater humeral tuberosity fx w/o manj (23620) $81.51 $429 0.3×
Cltx Greater Trochanteric Fx W/O Manj (27246) $163.59 $861 0.6×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $540.74 $2,846 0.3×
Cltx hip dislocation traumatic req anesthesia (27252) $683.43 $3,597 0.4×
Cltx hip dislocation traumatic w/o anesthesia (27250) $61.75 $325 0.2×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $95.76 $504 0.4×
Cltx humeral condylar fx medial/lateral w/manj (24577) $567.15 $2,985 0.3×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $567.15 $2,985 0.3×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $60.42 $318 0.2×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $567.15 $2,985 0.3×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $501.60 $2,640 1.7×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $153.14 $806 0.6×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $234.65 $1,235 0.8×
Cltx iphal jt dislc w/manj w/o anes (26770) $79.99 $421 0.3×
Cltx Med Ankle Fx W/Mnpj (27762) $538.08 $2,832 0.3×
Cltx Medial Ankle Fx (27760) $75.24 $396 0.3×
Cltx metacarpal fx w/manipulation each bone (26605) $165.87 $873 0.6×
Cltx metacarpal fx w/o manipulation each bone (26600) $82.27 $433 0.3×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $482.98 $2,542 0.3×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $99.18 $522 0.4×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $54.91 $289 0.2×
Cltx post hip arthrp dislc req anes (27266) $341.05 $1,795 0.2×
Cltx post hip arthrp dislc w/o anes (27265) $157.51 $829 0.6×
Cltx prox fibula/shft fx w/manj (27781) $626.81 $3,299 0.4×
Cltx prox fibula/shft fx w/o manj (27780) $73.72 $388 0.3×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $527.44 $2,776 0.3×
Cltx prox tibfib jt dislc w/o anes (27830) $76.76 $404 0.3×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $86.83 $457 0.3×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $545.30 $2,870 0.3×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $405.27 $2,133 0.2×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $688.18 $3,622 0.4×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $567.15 $2,985 0.3×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $85.12 $448 0.3×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $567.15 $2,985 0.3×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $48.26 $254 0.2×
Cltx tibial fx proximal w/o manipulation (27530) $94.62 $498 0.4×
Cltx tibial shaft fx w/o manipulation (27750) $220.40 $1,160 0.8×
Cltx trimalleolar ankle fx w/manipulation (27818) $355.49 $1,871 0.2×
Cltx trimalleolar ankle fx w/o manipulation (27816) $62.51 $329 0.2×
Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) $1,200.23 $6,317 0.3×
Collect Blood From Catheter Venous Nos (36592) $50.92 $268 0.4×
Collection of venous blood by venipuncture (36415) $11.59 $61 1.2×
Colonoscopy Flexible With Decompression (45393) $564.30 $2,970 0.4×
Colonoscopy Stoma Ablation Lesion (44401) $592.04 $3,116 0.5×
Colonoscopy Stoma Control Bleeding (44391) $401.85 $2,115 0.3×
Colonoscopy stoma w/balloon dilation (44405) $651.13 $3,427 0.5×
Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) $564.30 $2,970 0.4×
Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402)
unusually low: confirm this is the full procedure		 $2,154.22 $11,338 0.3×
Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) $538.08 $2,832 0.4×
Colonoscopy Stoma W/Submucosal Injection (44404) $564.30 $2,970 0.4×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $626.81 $3,299 0.5×
Colonoscopy thru stoma (44388) $472.72 $2,488 0.5×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $627.19 $3,301 0.5×
Colonoscopy w/ablation (45388) $605.72 $3,188 0.5×
Colonoscopy W/Band Ligation (45398) $622.25 $3,275 0.5×
Colonoscopy w/fb removal (45379) $551 $2,900 0.4×
Colonoscopy W/Resection (45390) $622.25 $3,275 0.2×
Colonoscopy w/stent plcmt (45389)
likely a partial charge, not the full procedure		 $1,240.51 $6,529 0.2×
Colonoscopy w/submucosal inj (45381) $744.61 $3,919 0.6×
Colporrhaphy (57200) $1,309.10 $6,890 0.4×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $269.23 $1,417 0.8×
Colposcopy Cervix Endocervical Curettage (57456) $203.11 $1,069 0.6×
Colposcopy cervix upper/adjacent vagina (57452) $118.18 $622 0.5×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $206.72 $1,088 0.6×
Colposcopy cervix vag eltrd conization cervix (57461) $1,112.45 $5,855 0.3×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $679.82 $3,578 0.2×
Colposcopy entire vagina w/cervix if present (57420) $118.37 $623 0.4×
Colposcopy of vulva (56820) $63.46 $334 0.3×
Colposcopy Vulva W/Biopsy (56821) $93.48 $492 0.3×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $190.76 $1,004 0.2×
Colsc Flexible W/Control Bleeding Any Method (45382) $719.15 $3,785 0.6×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $705.28 $3,712 0.5×
Colsc flx w/removal lesion by hot bx forceps (45384) $845.31 $4,449 0.7×
Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) $539.03 $2,837 0.4×
Complex Cystometrogram (51726) $271.51 $1,429 1.0×
Complex drainage wound (10180) $516.42 $2,718 0.2×
Conization cervix w/wo d&c rpr eltrd exc (57522) $791.54 $4,166 0.2×
Conization of cervix (57520) $862.60 $4,540 0.2×
Constj Intermargin Adhes/Tarsor/Canthor W/Trpos (67882) $444.60 $2,340 0.2×
Constj tracheoesophgl fstl&insj sp prosth (31611) $659.11 $3,469 0.2×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $124.07–$134.33 $653–$707 varies
Control Nasal Hemorrhage Anterior Simple (30901) $106.21 $559 0.7×
Control oropharyngeal hemorrhage simple (42960) $120.46 $634 0.2×
Conversion ext bil drg cath (47535) $1,422.72 $7,488 0.4×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $509.01 $2,679 0.2×
Convert Nephrostomy Catheter (50434) $657.02 $3,458 0.3×
Cordocentesis (59012) $84.17 $443 0.3×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 3 matching MRF lines		 $529.53–$587.10 $2,787–$3,090 varies
Cornea Scraping Diagnostic Smear &/Culture (65430) $81.32 $428 0.2×
Correction Everted Punctum Cautery (68705) $71.63 $377 0.2×
Correction of trichiasis; epilation, by forceps only (67820) $41.61 $219 0.3×
Create Eardrum Opening (69433) $288.80 $1,520 0.5×
Crnl Relaxing Inc Corrj Induced Astigmatism (65772) $472.91 $2,489 0.4×
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830)
likely a partial charge, not the full procedure		 $1,292.57 $6,803 0.2×
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $29.26 $154 0.5×
Csf shunt reprogram (62252) $94.62 $498 0.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $103.93 $547 0.7×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $103.93 $547 0.4×
Curettage postpartum (59160) $1,162.23 $6,117 0.3×
Curette/treat cornea (65435) $278.92 $1,468 0.3×
Cysto Bladder W/Ureteral Catheterization (52005) $739.67 $3,893 0.3×
Cysto calibration dilat urtl strix/stenosis (52281) $865.64 $4,556 0.4×
Cysto w/insert ureteral stent (52332) $1,140.95 $6,005 0.3×
Cysto W/Simple Removal Stone & Stent (52310) $708.13 $3,727 0.3×
Cysto w/ureter stricture tx (52341) $1,169.07 $6,153 0.3×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $1,264.45 $6,655 0.3×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $879.70 $4,630 0.2×
Cystometrogram W/Up (51727) $273.98 $1,442 0.4×
Cystometrogram W/Vp (51728) $329.27 $1,733 0.4×
Cystometrogram W/Vp&Up (51729) $371.83 $1,957 0.5×
Cystoscopy implant stent (52282) $1,310.62 $6,898 0.3×
Cystostomy Cystotomy W/Drainage (51040) $687.99 $3,621 0.3×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $404.70 $2,130 0.2×
Cystourethroscopy (52000) $749.74 $3,946 1.0×
Cystourethroscopy inj chemodenervation bladder (52287) $748.22 $3,938 0.3×
Cystourethroscopy with biopsy (52204) $1,007.76 $5,304 0.4×
Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) $1,095.16 $5,764 0.3×
Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) $695.02 $3,658 0.3×
Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) $948.29 $4,991 0.3×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $135.47 $713 0.3×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $1,041.39 $5,481 0.3×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $224.96 $1,184 0.3×
Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) $1,262.93 $6,647 0.6×
Deb Musc/Fascia 20 Sq Cm/< (11043) $322.62 $1,698 0.4×
Debride nail 1-5 (11720) $33.06 $174 0.5×
Debride nail 6 or more (11721) $40.47 $213 0.6×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $553.85 $2,915 0.3×
Debridement Mastoidectomy Cavity Cmplx (69222) $654.74 $3,446 1.1×
Debridement Mastoidectomy Cavity Simple (69220)
range across 3 matching MRF lines		 $54.34–$81.51 $286–$429 varies
Debridement subcutaneous tissue 20 sq cm/< (11042) $291.65 $1,535 0.7×
Declot vascular device (36593) $202.92 $1,068 0.6×
Deep Muscle Biopsy (20205) $639.16 $3,364 0.2×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $897.37 $4,723 0.4×
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $815.67 $4,293 0.4×
Delay Flap/Sectioning Flap Scalp Arms/Legs (15610) $665.76 $3,504 0.3×
Delay Flap/Sectioning Flap Trunk (15600) $1,337.41 $7,039 0.4×
Delivery of placenta (59414) $1,140 $6,000 0.3×
Dermabrasion segmental face (15781) $203.49 $1,071 0.3×
Dermabrasion superficial any site (15783) $84.93 $447 0.2×
Destr W Neurolytic; Celiac Plexus (64680) $406.79 $2,141 0.4×
Destroy cerv/thor facet jnt (64633)
range across 3 matching MRF lines		 $437.57–$473.29 $2,303–$2,491 varies
Destroy lumb/sac facet jnt (64635)
range across 3 matching MRF lines		 $404.70–$437.76 $2,130–$2,304 varies
Destruc retinal lesn,photocoag (67210) $422.18 $2,222 0.7×
Destruct B9 Lesion 1-14 (17110) $47.69 $251 0.2×
Destruction Benign Lesions 15/> (17111) $70.49 $371 0.3×
Destruction by neurolytic agent, intercostal nerve (64620) $361.57 $1,903 0.4×
Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) $807.88 $4,252 0.4×
Destruction by neurolytic agent; plantar common digital nerve (64632) $102.98 $542 0.3×
Destruction by neurolytic agent; pudendal nerve (64630) $168.34 $886 0.2×
Destruction Internal Hemorrhoid Thermal Energy (46930) $253.27 $1,333 0.2×
Destruction Lesions Vulva Extensive (56515) $740.81 $3,899 0.3×
Destruction Lesions Vulva Simple (56501) $770.45 $4,055 0.3×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $75.43 $397 0.4×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $86.83 $457 0.4×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $124.45 $655 0.3×
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) $145.73 $767 0.2×
Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) $177.65 $935 0.2×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $76.19 $401 0.4×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $87.40 $460 0.4×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $102.60 $540 0.5×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $125.21 $659 0.3×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $129.96 $684 0.3×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $63.27 $333 0.3×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $48.83 $257 0.2×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $60.99 $321 0.3×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $70.11 $369 0.3×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $83.03 $437 0.2×
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) $96.14 $506 0.2×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $56.05 $295 0.3×
Destruction neurolytic agt genicular nerve w/img (64624) $816.62 $4,298 0.4×
Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization (65450) $215.27 $1,133 0.6×
Destruction of lesion of lid margin (up to 1 cm) (67850) $209 $1,100 0.2×
Destruction of skin lesions (17106) $133 $700 0.3×
Destruction Premalignant Lesion 15/> (17004) $135.66 $714 0.3×
Destruction premalignant lesion 1st (17000) $47.31 $249 0.2×
Destruction Vaginal Lesions Extensive (57065) $1,074.45 $5,655 0.3×
Destruction Vaginal Lesions Simple (57061) $636.69 $3,351 0.2×
Diagnostic anoscopy (46601) $119.32 $628 0.2×
Diagnostic sigmoidoscopy (45330) $317.49 $1,671 0.3×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $52.82 $278 0.4×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $37.24 $196 0.3×
Dilat rct strix spx under anes oth/thn local (45910) $575.89 $3,031 0.4×
Dilat Urethral Strix Dilator Male Sbsq (53601) $38 $200 0.3×
Dilat Xst Trc New Access Rcs (50437) $1,251.15 $6,585 0.3×
Dilate Esophagus 1/Mult Pass (43450) $206.91 $1,089 0.2×
Dilate Urethra Stricture (53620) $468.92 $2,468 0.6×
Dilate Urethra Stricture (53600) $215.08 $1,132 0.8×
Dilation & curettage dx&/ther nonobstetric (58120) $871.53 $4,587 0.3×
Dilation and catheterization of salivary duct, with or without injection (42660) $319.96 $1,684 0.6×
Dilation Cervical Canal (57800) $1,140 $6,000 0.3×
Dilation Esophagus Guide Wire (43453) $716.11 $3,769 0.3×
Dilation Lacrimal Punctum W/WO Irrgation (68801) $96.52 $508 0.2×
Dilation Salivary Duct (42650) $374.11 $1,969 0.2×
Drain ant chmbr,remv vitreous (65810) $866.78 $4,562 0.4×
Drain Cerebro Spinal Fluid (62272) $225.34 $1,186 0.3×
Drain ovary abscess open (58820) $871.91 $4,589 0.3×
Drain/inj small joint/bursa w/us (20604) $176.51 $929 0.5×
Drainage abscess parotid simple (42300) $871.72 $4,588 0.5×
Drainage external auditory canal abscess (69020) $139.84 $736 0.2×
Drainage external ear abscess/hematoma cmplx (69005) $663.10 $3,490 0.4×
Drainage External Ear Abscess/Hematoma Simple (69000) $139.84 $736 0.2×
Drainage Finger Abscess Complicated (26011) $401.09 $2,111 0.2×
Drainage Mouth Roof Lesion (42000) $159.60 $840 0.6×
Drainage of eye (65800)
range across 2 matching MRF lines		 $415.15–$457.90 $2,185–$2,410 varies
Drainage of finger abscess simple (26010) $57.19 $301 0.3×
Drainage of gum lesion (41800) $105.26 $554 0.7×
Drainage of hematoma/fluid (10140) $703.76 $3,704 0.4×
Drainage of hydrocele (55000) $141.17 $743 0.2×
Drainage of nose lesion (30000) $55.86 $294 0.2×
Drainage of rectal abscess (45005) $583.87 $3,073 0.5×
Drainage of scrotal wall abscess (55100) $419.71 $2,209 0.2×
Drainage of scrotum (54700) $531.24 $2,796 0.2×
Drainage of skene's gland abscess or cyst (53060) $452.77 $2,383 0.2×
Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) $1,074.45 $5,655 0.3×
Draw Blood Off Venous Device (36591) $68.40 $360 0.5×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $457.90 $2,410 0.8×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $146.68 $772 0.2×
Drg Absc Submaxillary/Sublingual Intraoral (42310) $143.07 $753 0.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $147.63 $777 0.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $140.60 $740 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $119.51 $629 0.6×
Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) $136.61 $719 0.2×
Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) $655.88 $3,452 0.3×
Dstrj les/scar vestibule mouth physical meths (40820) $1,081.29 $5,691 0.3×
Dstrj Lesion Anus Extensive (46924) $908.39 $4,781 0.3×
Dstrj Lesion Anus Simple Chemical (46900) $100.51 $529 0.2×
Dstrj lesion anus simple cryosurgery (46916) $49.40 $260 0.2×
Dstrj lesion anus simple surg excision (46922) $756.39 $3,981 0.3×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $887.68 $4,672 0.4×
Dstrj lesion choroid pc 1/> sess (67220) $231.80 $1,220 0.4×
Dstrj Lesion Choroid Photodynamic Therapy (67221) $327.37 $1,723 0.6×
Dstrj Lesion Penis Simple Chemical (54050) $141.93 $747 0.3×
Dstrj Lesion Penis Simple Cryosurgery (54056) $58.33 $307 0.3×
Dstrj Lesion Penis Simple Electrodesiccation (54055) $886.73 $4,667 0.4×
Dstrj lesion penis simple surg excision (54060) $453.72 $2,388 0.2×
Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) $129.96 $684 0.3×
Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) $982.87 $5,173 0.5×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $406.60 $2,140 0.4×
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $353.02 $1,858 0.4×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $461.89 $2,431 0.5×
Dx Bone Marrow Bx & Aspir (38222) $981.73 $5,167 0.3×
Dx Bronchoscope/Lavage (31624) $906.68 $4,772 0.5×
Dx Bronchoscope/Wash (31622)
range across 5 matching MRF lines		 $536.18–$564.49 $2,822–$2,971 varies
Dx gastr intub w/asp spec (43754) $115.33 $607 0.5×
Dx gastr intub w/asp specs (43755) $89.11 $469 0.6×
Dx Laryngoscopy Excl Nb (31525) $617.50 $3,250 0.3×
Dx lmbr spi pnxr w/fluor/CT (62328) $326.61 $1,719 0.4×
Dynamic Cavernosometry Njx Vasoactive Drugs (54231) $761.71 $4,009 2.8×
Egd Balloon Dil Esoph30 Mm/> (43233) $538.27 $2,833 0.3×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $736.82 $3,878 0.4×
Egd cautery tumor polyp (43250) $737.01 $3,879 0.4×
Egd control bleeding any (43255) $806.36 $4,244 0.4×
Egd dilation gastric/duodenal stricture (43245) $572.09 $3,011 0.3×
Egd endo mucosal resection (43254) $450.30 $2,370 0.2×
Egd Endoscopic Stent Place (43266)
unusually low: confirm this is the full procedure		 $2,154.22 $11,338 0.3×
Egd Flexible Foreign Body Removal (43247) $691.03 $3,637 0.7×
Egd guide wire insertion (43248) $663.48 $3,492 0.7×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $513.19 $2,701 0.2×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $1,121.19 $5,901 0.5×
Egd intrmural us needle aspirate/biopsy esophags (43238) $636.12 $3,348 0.3×
Egd lesion ablation (43270) $619.02 $3,258 0.3×
Egd Partial/Compl Esophagogastric Fundoplasty (43210)
unusually low: confirm this is the full procedure		 $3,735.02 $19,658 0.3×
Egd place gastrostomy tube (43246) $662.15 $3,485 0.3×
Egd remove lesion snare (43251) $728.84 $3,836 0.4×
Egd Tube/Cath Insertion (43241) $463.60 $2,440 0.2×
Egd us exam duodenum/jejunum (43259) $953.99 $5,021 0.5×
Egd us transmural injxn/mark (43253) $619.02 $3,258 0.3×
Egd Varices Ligation (43244) $875.52 $4,608 0.4×
Egd W/Thrml Txmnt Gerd (43257) $907.63 $4,777 0.2×
Egd W/Transmural Drain Cyst (43240)
unusually low: confirm this is the full procedure		 $2,154.22 $11,338 0.3×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $176.89 $931 0.5×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $159.98 $842 0.5×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $93.67 $493 0.3×
Electro-Uroflowmetry First (51741) $117.04 $616 0.5×
Endocervical curettage (57505) $197.79 $1,041 0.2×
Endometrial ablation, thermal, without hysteroscopic guidance (58353)
likely a partial charge, not the full procedure		 $1,055.07 $5,553 0.2×
Endometrial Biopsy (58100) $207.29 $1,091 1.0×
Endoscopic injection/implant (51715) $1,075.40 $5,660 0.3×
Endoscopic us exam esoph (43237) $699.58 $3,682 0.3×
Endoscopy Upper Small Intestine (44360)
range across 2 matching MRF lines		 $370.12–$389.50 $1,948–$2,050 varies
Endoscopy upper small intestine w/biopsy (44361) $514.33 $2,707 0.3×
Endovasc Temp Balloon Occlus,Head/Nck (61623)
likely a partial charge, not the full procedure		 $2,317.62 $12,198 0.2×
Endoven abltj incmptnt vein xtr laser 1st vein (36478)
range across 2 matching MRF lines		 $555.75–$1,151.59 $2,925–$6,061 varies
Endoven abltj incmptnt vein xtr rf 1st vein (36475)
range across 3 matching MRF lines		 $555.56–$1,487.51 $2,924–$7,829 varies
Endoven ther chem adhes 1st (36482)
range across 2 matching MRF lines		 $925.30–$2,030.15 $4,870–$10,685 varies
Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) $528.20 $2,780 0.3×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) $374.68 $1,972 0.2×
Enteroscopy > 2nd prtn conv gstrst tube (44373) $520.79 $2,741 0.3×
Enteroscopy > 2nd prtn ileum control bleeding (44378) $751.64 $3,956 0.4×
Enteroscopy > 2nd prtn tndsc stent plmt (44370)
likely a partial charge, not the full procedure		 $1,810.70 $9,530 0.3×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $520.79 $2,741 0.3×
Enteroscopy > 2nd prtn w/rmvl foreign body (44363) $545.30 $2,870 0.3×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) $670.89 $3,531 0.3×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $565.06 $2,974 0.3×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $913.71 $4,809 0.4×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $823.27 $4,333 0.4×
Epidural Blood Patch (62273) $213.94 $1,126 0.3×
Episiotomy or vaginal repair (59300) $1,121.57 $5,903 0.3×
Ercp Destruction/Lithotripsy Calculi Any Method (43265)
unusually low: confirm this is the full procedure		 $2,154.22 $11,338 0.3×
Ercp duct stent placement (43274)
likely a partial charge, not the full procedure		 $1,308.72 $6,888 0.2×
Ercp Dx Collection Specimen Brushing/Washing (43260)
range across 2 matching MRF lines		 $983.06–$1,034.55 $5,174–$5,445 varies
Ercp ea duct/ampulla dilate (43277) $1,062.86 $5,594 0.3×
Ercp remove calculi/debris biliary/pancreas duct (43264) $1,330 $7,000 0.3×
Ercp remove forgn body duct (43275) $1,181.23 $6,217 0.6×
Ercp Stent Exchange W/Dilate (43276)
likely a partial charge, not the full procedure		 $1,299.41 $6,839 0.2×
Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) $885.97 $4,663 0.2×
Ercp W/Biopsy Single/Multiple (43261) $1,105.42 $5,818 0.3×
Ercp w/pressure measurement sphincter of oddi (43263) $1,051.46 $5,534 0.5×
Ercp,Sphincterotomy (43262) $1,345.01 $7,079 0.3×
Esoph Scope W/Submucous Inj (43201) $491.15 $2,585 0.2×
Esophagogastroduodenoscopy Submucosal Injection (43236) $628.33 $3,307 0.6×
Esophagosc Dilate Balloon 30 (43214) $538.27 $2,833 0.3×
Esophagoscop Mucosal Resect (43211) $373.73 $1,967 0.2×
Esophagoscop Stent Placement (43212)
unusually low: confirm this is the full procedure		 $2,154.22 $11,338 0.3×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $546.44 $2,876 0.3×
Esophagoscopy Flex Transoral Lesion Ablation (43229) $1,045.95 $5,505 0.3×
Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) $600.40 $3,160 0.3×
Esophagoscopy Flexible Guide Wire Dilation (43226) $604.96 $3,184 0.3×
Esophagoscopy Flexible Transnasal Diagnostic (43197) $356.06 $1,874 0.4×
Esophagoscopy Flexible Transnasal With Biopsy (43198) $356.06 $1,874 0.4×
Esophagoscopy Flexible Transoral Diagnostic (43200) $328.89 $1,731 0.3×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $667.09 $3,511 0.3×
Esophagoscopy Flexible W/Bleeding Control (43227) $629.47 $3,313 0.3×
Esophagoscopy Retro Balloon (43213) $538.27 $2,833 0.3×
Esophagoscopy rig transoral removal foreign body (43194) $538.27 $2,833 0.3×
Esophagoscopy Rigid Balloon (43195) $1,340.26 $7,054 0.3×
Esophagoscopy rigid trnso dx (43191) $373.73 $1,967 0.2×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $524.78 $2,762 0.3×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $618.83 $3,257 0.3×
Esophagoscp Guide Wire Dilat (43196) $1,340.26 $7,054 0.7×
Esophagoscp Rig Trnso Biopsy (43193) $538.27 $2,833 0.3×
Esophagoscp Rig Trnso Inject (43192) $538.27 $2,833 0.3×
Evacuation of subungual hematoma (11740) $38.95 $205 0.3×
Exc abdl tum deep 5 cm/> (22901) $636.88 $3,352 0.2×
Exc arm/elbow les sc < 3 cm (24075) $431.68 $2,272 0.2×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $262.01 $1,379 0.3×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $432.63 $2,277 0.2×
Exc Back Les Sc < 3 Cm (21930) $888.06 $4,674 0.5×
Exc Back Tum Deep 5 Cm/> (21933) $1,020.68 $5,372 0.3×
Exc back tum deep < 5 cm (21932) $888.06 $4,674 0.3×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $294.31 $1,549 0.4×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $362.90 $1,910 0.5×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $581.78 $3,062 0.3×
Exc Face Les Sbq 2 Cm/> (21012) $615.79 $3,241 0.3×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $218.31 $1,149 0.3×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $255.17 $1,343 0.3×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $276.26 $1,454 0.4×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $464.55 $2,445 0.3×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $674.88 $3,552 0.4×
Exc Forearm Les Sc 3 Cm/> (25071)
range across 3 matching MRF lines		 $1,002.25–$1,503.47 $5,275–$7,913 varies
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $570 $3,000 0.3×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $301.72 $1,588 0.4×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $331.74 $1,746 0.2×
Exc Hand Les Sc < 1.5 Cm (26115) $526.49 $2,771 0.3×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $261.82 $1,378 0.2×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $620.16 $3,264 0.2×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $457.90 $2,410 0.6×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $542.83 $2,857 0.3×
Exc Skin Benig >4 Cm Remaindr Body (11426) $694.45 $3,655 0.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $552.14 $2,906 0.3×
Exc Skin Benig >4cm Face,Facial (11446) $718.20 $3,780 0.2×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $523.64 $2,756 0.3×
Exc Skin Malig >4 Cm Remaindr Body (11626) $913.33 $4,807 0.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $739.86 $3,894 0.4×
Exc thigh/knee les sc 3 cm/> (27337) $885.02 $4,658 0.3×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $667.66 $3,514 0.5×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $275.50 $1,450 0.6×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $359.10 $1,890 0.5×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $494.57 $2,603 0.3×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $1,616.33 $8,507 0.5×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $1,087.75 $5,725 0.3×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $991.04 $5,216 0.6×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $981.35 $5,165 0.3×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $620.16 $3,264 0.2×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $578.93 $3,047 0.2×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $570.38 $3,002 0.3×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $589.95 $3,105 0.3×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $1,140 $6,000 0.6×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $1,067.61 $5,619 0.3×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $909.91 $4,789 0.5×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $799.90 $4,210 0.3×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $915.04 $4,816 0.2×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $657.02 $3,458 0.3×
Exchange Transfusion (36455) $152.95 $805 0.3×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $741.19 $3,901 0.4×
Excis Mouth Mucosa/Sub,No Repair (40810) $736.82 $3,878 0.2×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $736.82 $3,878 0.4×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $438.71 $2,309 0.6×
Excision & Repair Eyelid < One-Fourth Lid Margin (67961) $646 $3,400 0.3×
Excision Aural Polyp (69540) $270.75 $1,425 0.2×
Excision Chalazion Multiple Same Lid (67801) $309.13 $1,627 0.3×
Excision Chalazion Single (67800) $186.01 $979 0.5×
Excision Chest Wall Tumor Including Ribs (21601) $1,191.49 $6,271 0.4×
Excision Excessive Skin & Subq Tissue Other Area (15839) $561.45 $2,955 0.2×
Excision External Ear Partial Simple Repair (69110) $981.73 $5,167 0.3×
Excision Hidradenitis Axillary Complex Repair (11451) $605.91 $3,189 0.2×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $578.55 $3,045 0.2×
Excision Infected Graft Extremity (35903) $2,050.48 $10,792 0.6×
Excision Lesion Conjunctiva </1 Cm (68110) $618.64 $3,256 0.2×
Excision lesion conjunctiva > 1 cm (68115) $656.83 $3,457 0.3×
Excision Lesion Cornea Xcp Pterygium (65400) $390.07 $2,053 0.4×
Excision lesion mouth roof (42104) $699.20 $3,680 0.2×
Excision Lesion Tongue W/O Closure (41110) $625.10 $3,290 0.2×
Excision Lingual Frenum Frenectomy (41115) $304.76 $1,604 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $223.82 $1,178 0.3×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $264.10 $1,390 0.3×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $356.06 $1,874 0.8×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $497.04 $2,616 0.7×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $280.63 $1,477 0.4×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $523.26 $2,754 0.3×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $921.31 $4,849 0.3×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $310.84 $1,636 0.2×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $336.30 $1,770 0.4×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $353.78 $1,862 0.5×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $567.15 $2,985 0.3×
Excision Multiple External Papillae/Tags Anus (46230) $926.06 $4,874 0.3×
Excision nasal polyp(s) simple (30110)
range across 3 matching MRF lines		 $394.82–$592.23 $2,078–$3,117 varies
Excision of chalazion; multiple, different lids (67805) $208.24 $1,096 0.6×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $615.03 $3,237 0.4×
Excision of lacrimal gland tumor; involving osteotomy Facility (68550) $739.29 $3,891 0.2×
Excision of lingual tonsil (42870)
unusually low: confirm this is the full procedure		 $2,029.20 $10,680 0.3×
Excision of pilonidal cyst or sinus; simple (11770) $981.73 $5,167 0.3×
Excision of sublingual salivary cyst (ranula) (42408) $1,061.72 $5,588 0.3×
Excision of vaginal cyst or tumor (57135) $911.24 $4,796 0.3×
Excision olecranon bursa (24105) $610.09 $3,211 0.2×
Excision Pilonidal Cyst/Sinus Extensive (11771) $554.99 $2,921 0.2×
Excision soft tissue lesion, external auditory canal (69145) $1,480.48 $7,792 0.5×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,104.09 $5,811 0.6×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,123.85 $5,915 0.6×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $1,079.39 $5,681 0.6×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $750.88 $3,952 0.4×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $1,988.35 $10,465 0.6×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $513.19 $2,701 0.3×
Excision/destruction intranasal lesion int appr (30117) $569.05 $2,995 0.2×
Excision/destruction lesion pharynx any method (42808) $952.47 $5,013 0.3×
Expl penetrating wound spx abdomen/flank/back (20102) $690.27 $3,633 0.3×
Explo/Drain Breast Abscess (19020) $428.64 $2,256 0.2×
Exploration maxillary sinus (31020) $961.59 $5,061 0.3×
Exploration penetrating wound spx chest (20101) $680.58 $3,582 0.3×
Exploration penetrating wound spx extremity (20103) $425.22 $2,238 0.2×
Exploration Penetrating Wound Spx Neck (20100) $329.46 $1,734 0.6×
External cephalic version (59412) $1,074.45 $5,655 0.3×
Fasciotomy palmar percutaneous (26040) $429.40 $2,260 0.2×
Fetal Contraction Stress Test (59020) $102.98 $542 0.5×
Fetal non-stress test (59025) $148.77 $783 0.7×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $687.61 $3,619 0.9×
Fine needle aspiration bx w/mr gdn 1st lesion (10011) $734.54 $3,866 1.0×
Fine needle aspiration without imaging guidance (10021) $208.81 $1,099 0.5×
Fluid Pressure Muscle (20950) $139.84 $736 0.2×
Fluoro exam of g/colon tube (49465) $107.35 $565 0.4×
Fna Bx W/Fluor Gdn 1St Les (10007) $407.36 $2,144 0.5×
Fna bx w/us gdn 1st les (10005) $431.11 $2,269 0.6×
Foreskin manipulation (54450) $94.62 $498 0.4×
Frenulotomy of penis (54164) $662.53 $3,487 0.3×
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) $735.11 $3,869 0.3×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $700.91 $3,689 0.3×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $708.32 $3,728 0.3×
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $658.92 $3,468 0.3×
Graft Ear Crtlg Autogenous Nose/Ear (21235)
unusually low: confirm this is the full procedure		 $2,029.20 $10,680 0.3×
Grafting of autologous soft tiss by direct exc (15769) $1,529.69 $8,051 0.4×
Guide Cathet Fluid Drainage (10030) $212.80 $1,120 0.3×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $784.32 $4,128 0.3×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $688.18 $3,622 0.2×
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) $787.36 $4,144 0.3×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $336.30 $1,770 0.3×
Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) $1,252.48 $6,592 0.4×
Hysteroscopy Biopsy (58558) $974.32 $5,128 0.3×
Hysteroscopy Dx Sep Proc (58555) $697.49 $3,671 0.2×
Hysteroscopy Endometrial Ablation (58563)
likely a partial charge, not the full procedure		 $1,040.44 $5,476 0.2×
I&d abscess peritonsillar (42700) $119.32 $628 0.5×
I&d abscess simple (10060) $137.94 $726 0.6×
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,041.39 $5,481 0.3×
I&D Deep Absc/Hematoma Neck/Chest (21501)
range across 2 matching MRF lines		 $846.83–$952.66 $4,457–$5,014 varies
I&D Intramural Im/Absc Transanal Anes (46045) $1,037.02 $5,458 0.3×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $666.90 $3,510 0.2×
I&d perianal abscess superficial (46050) $329.65 $1,735 0.3×
I&d pilonidal cyst complicated (10081) $359.67 $1,893 0.5×
I&d pilonidal cyst simple (10080) $157.51 $829 0.2×
I&d upper arm/elbow deep abscess/hematoma (23930) $558.22 $2,938 0.2×
Icd Pocket Revision (33223) $736.44 $3,876 0.3×
Ileoscopy Stoma W/Balloon Dilation (44381) $629.28 $3,312 0.3×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $581.40 $3,060 0.6×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $522.31 $2,749 0.5×
Image Cath Fluid Colxn Visc (49405) $711.74 $3,746 0.4×
Image Cath Fluid Peri/Retro (49406) $736.25 $3,875 0.4×
Image Cath Fluid Trns/Vgnl (49407) $474.24 $2,496 0.3×
Implant neuroelectrodes (63650)
unusually low: confirm this is the full procedure		 $2,236.49 $11,771 0.3×
Implantation intrastromal corneal ring segments (65785) $1,416.26 $7,454 0.3×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
likely a partial charge, not the full procedure		 $2,213.12 $11,648 0.2×
Incise external hemorrhoid (46083) $136.04 $716 0.5×
Incise finger tendon sheath (26055) $629.66 $3,314 0.4×
Incision & drainage abscess complicated/multiple (10061) $169.67 $893 0.4×
Incision & drainage leg/ankle abscess/hematoma (27603) $779 $4,100 0.3×
Incision & removal foreign body subq tiss compl (10121) $528.58 $2,782 0.3×
Incision & removal foreign body subq tiss simple (10120) $215.08 $1,132 0.5×
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $139.46–$153.90 $734–$810 varies
Incision and drainage of vulva or perineal abscess (56405) $213.18 $1,122 0.7×
Incision Drainage Lacrimal Sac (68420) $549.86 $2,894 0.2×
Incision of eardrum (69420) $145.92 $768 0.6×
Incision of labial frenum (frenotomy) (40806) $118.37 $623 0.2×
Incision of lingual frenum (frenotomy) (41010) $304.76 $1,604 0.2×
Incision of rectal abscess (46040) $828.97 $4,363 0.6×
Incision of urethra (53025) $452.77 $2,383 0.2×
Incision of urethra (53020) $449.73 $2,367 0.2×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $510.53 $2,687 0.3×
Incisional biopsy eyelid skin & lid margin (67810) $226.10 $1,190 0.7×
Incisional biopsy skin single lesion (11106) $129.39 $681 0.2×
Induced abortion dilation and curettage (59840) $1,078.44 $5,676 0.3×
Initial Tx 1st Degree Burn Local Tx (16000) $64.79 $341 0.3×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $281.77 $1,483 0.3×
Inj W/Fluor Eval Cv Device (36598) $86.64 $456 0.4×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $361.57 $1,903 0.4×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $365.75 $1,925 0.4×
Inject Intravitreal Pharmcologic (67028) $266.38 $1,402 0.8×
Injection 1 tendon sheath/ligament aponeurosis (20550) $188.10 $990 0.6×
Injection aa&/strd axillary nerve w/img gdn (64417) $178.60 $940 0.2×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $176.32 $928 0.2×
Injection aa&/strd genicular nrv branches w/img (64454) $296.97 $1,563 0.4×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $252.89 $1,331 0.3×
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) $255.74 $1,346 0.3×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $327.94 $1,726 0.4×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $202.54 $1,066 0.3×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $317.49 $1,671 0.3×
Injection Anes Agent Sphenopalatine Ganglion (64505) $128.82 $678 0.4×
Injection Anes Superior Hypogastric Plexus (64517) $202.35 $1,065 0.2×
Injection anesthetic agent suprascapular nerve (64418) $154.47 $813 0.2×
Injection enzyme palmar fascial cord (20527) $104.50 $550 0.3×
Injection into spinal artery (62294) $231.04 $1,216 0.2×
Injection medication/other subst tenon capsule (67515) $266.19 $1,401 0.8×
Injection of sclerosing solution, hemorrhoids (46500) $432.82 $2,278 0.4×
Injection procedure for peyronie disease (54200) $61.18 $322 0.2×
Injection single tendon origin/insertion (20551) $250.99 $1,321 0.8×
Injection single/mlt trigger point 1/2 muscles (20552) $133.76 $704 0.4×
Injection single/mlt trigger point 3/> muscles (20553) $201.21 $1,059 0.6×
Injection Sinus Tract Therapeutic Separate Proc (20500) $310.08 $1,632 0.2×
Injection therapeutic carpal tunnel (20526)
range across 4 matching MRF lines		 $111.15–$166.82 $585–$878 varies
Injection Turbinate Therapeutic (30200) $182.40 $960 0.3×
Injection, anesthetic agent; brachial plexus, single (64415) $178.60 $940 0.2×
Injection, anesthetic agent; femoral nerve, single (64447) $343.14 $1,806 0.5×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $161.69 $851 0.2×
Injection, anesthetic agent; vagus nerve (64408) $160.36 $844 0.5×
Injection, Intralesional; More Than 7 Lesions (11901) $49.02 $258 0.2×
Injection, intralesional; up to and including 7 lesions (11900) $44.65 $235 0.2×
Injx anterior chamber eye air/liquid spx (66020) $901.93 $4,747 0.4×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $361.57 $1,903 0.4×
Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) $361.57 $1,903 0.4×
Injx/Infusion Neurolytic Substance Subarachnoid (62280) $323.95 $1,705 0.3×
Ins cath ren art 1st bilat (36252) $1,755.41 $9,239 0.5×
Ins cath ren art 1st unilat (36251) $1,404.29 $7,391 0.4×
Ins cath ren art 2nd+ bilat (36254) $1,970.49 $10,371 0.6×
Ins cath ren art 2nd+ unilat (36253)
likely a partial charge, not the full procedure		 $1,313.66 $6,914 0.2×
Ins endovas vena cava filtr (37191)
unusually low: confirm this is the full procedure		 $2,554.36 $13,444 0.4×
Ins Vag Brachytx Device (57156) $81.51 $429 0.2×
Ins/Rep Subq Defibrillator (33270)
unusually low: confirm this is the full procedure		 $12,752.99 $67,121 0.4×
Insert 1 Electrode Pm-Defib (33216)
likely a partial charge, not the full procedure		 $1,952.63 $10,277 0.2×
Insert and remove bone pin (20650) $812.63 $4,277 0.2×
Insert Bladder Cath Complex (51703)
range across 5 matching MRF lines		 $82.46–$91.01 $434–$479 varies
Insert cath pleura w/ image (32557) $559.74 $2,946 0.3×
Insert cath pleura w/o image (32556) $716.11 $3,769 0.3×
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $595.46 $3,134 0.5×
Insert cervical dilator (59200) $66.50 $350 0.2×
Insert Drug Implant Device (11981) $37.43 $197 0.3×
Insert Gastrostomy Tube Percutaneous (49440) $453.91 $2,389 0.2×
Insert Heart Pm Atrial (33206)
unusually low: confirm this is the full procedure		 $4,723.78 $24,862 0.4×
Insert Heart Pm Ventricular (33207)
unusually low: confirm this is the full procedure		 $4,976.86 $26,194 0.4×
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure		 $5,061.22 $26,638 0.3×
Insert Nasal Septal Button (30220) $340.10 $1,790 0.2×
Insert non-tunnel cv cath (36556)
range across 7 matching MRF lines		 $648.47–$682.67 $3,413–$3,593 varies
Insert Pacing Lead & Connect (33224) $6,272.85 $33,015 0.6×
Insert pessary/other device (57160) $58.14 $306 0.3×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $365.94 $1,926 0.2×
Insert pulse gen dual leads (33213)
unusually low: confirm this is the full procedure		 $4,074.93 $21,447 0.4×
Insert pulse gen mult leads (33221)
likely a partial charge, not the full procedure		 $5,241.72 $27,588 0.3×
Insert Pulse Gen Sngl Lead (33212)
unusually low: confirm this is the full procedure		 $4,000.07 $21,053 0.5×
Insert Temp Bladder Cath (51702)
range across 7 matching MRF lines		 $53.58–$59.09 $282–$311 varies
Insert tun ip cath perc (49418) $1,213.72 $6,388 0.3×
Insert tunneled cv cath (36561) $1,290.86 $6,794 0.4×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
likely a partial charge, not the full procedure		 $1,149.31 $6,049 0.2×
Insert,Non-Indwelling Bladder Catheter (51701) $42.94 $226 0.3×
Insertion indwelling tunneled pleural catheter (32550) $1,281.36 $6,744 0.3×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 9 matching MRF lines		 $687.04–$716.87 $3,616–$3,773 varies
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
likely a partial charge, not the full procedure		 $2,099.31 $11,049 0.2×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $1,013.08 $5,332 0.3×
Insertion Tunnel Intraperitoneal Cath W Subq Port (49419)
likely a partial charge, not the full procedure		 $1,238.04 $6,516 0.2×
Insertion Uterine Tandem&/Vaginal Ovoids (57155)
unusually low: confirm this is the full procedure		 $1,761.49 $9,271 0.3×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217)
likely a partial charge, not the full procedure		 $1,952.63 $10,277 0.2×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $682.67 $3,593 0.2×
Insj Picc Rs&I <5 Yr (36572) $494.38 $2,602 0.7×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $915.80 $4,820 0.3×
Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) $690.65 $3,635 0.2×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 9 matching MRF lines		 $567.91–$597.93 $2,989–$3,147 varies
Insj Subq Impltbl Dfb Elctrd (33271)
likely a partial charge, not the full procedure		 $1,918.43 $10,097 0.2×
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $1,686.82 $8,878 0.5×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) $947.53 $4,987 0.3×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $988.95 $5,205 0.3×
Insj/Rplcmt Defib W/Lead(S) (33249) $17,426.42 $91,718 0.5×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
likely a partial charge, not the full procedure		 $8,204.77 $43,183 0.2×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
unusually low: confirm this is the full procedure		 $2,781.79 $14,641 0.3×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
unusually low: confirm this is the full procedure		 $2,857.98 $15,042 0.3×
Insrt heart pm atrial & vent (33208)
unusually low: confirm this is the full procedure		 $5,005.17 $26,343 0.4×
Insrt Pulse Gen W/Dual Leads (33230) $13,810.72 $72,688 0.6×
Insrt Pulse Gen W/Mult Leads (33231)
unusually low: confirm this is the full procedure		 $13,810.72 $72,688 0.4×
Insrt Pulse Gen W/Singl Lead (33240) $14,887.07 $78,353 0.6×
Instlj ther agent renal pelvis&/ureter via tub (50391) $58.90 $310 0.2×
Int hrhc by ligation single hroid w/o img gdn (46945) $602.68 $3,172 0.2×
Interdental fixation (21110) $559.93 $2,947 0.3×
Interdental Wiring Other Than Fracture (21497) $492.29 $2,591 0.3×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $484.12 $2,548 0.3×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $153.14 $806 0.4×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $160.74 $846 0.4×
Intranasal Biopsy (30100) $548.91 $2,889 0.3×
Intraoral i&d tongue/floor submental space (41007) $546.25 $2,875 0.3×
Intraoral i&d tongue/floor submndblr space (41008) $713.45 $3,755 0.2×
Intro cath dialysis circuit (36901) $546.06 $2,874 0.3×
Intro cath dialysis circuit w/tcat plmt IV stent (36903)
likely a partial charge, not the full procedure		 $2,317.62 $12,198 0.2×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902)
unusually low: confirm this is the full procedure		 $1,998.42 $10,518 0.3×
Intro Gastrointestinal Tube (44500) $182.21 $959 0.2×
Intubation endotracheal emergency procedure (31500) $240.92 $1,268 0.9×
Iridoplasty photocoagulation 1/> sessions (66762) $291.27 $1,533 0.5×
Iridotomy/irridectomy laser surg per session (66761) $292.98 $1,542 0.5×
Irrigation of corpora cavernosa for priapism (54220) $67.83 $357 0.3×
Island pedicle flap graft (15740) $484.50 $2,550 0.2×
Labyrinthotomy Transcanal (69801) $556.32 $2,928 0.3×
Laparo ablate liver tumor rf (47370)
likely a partial charge, not the full procedure		 $2,547.71 $13,409 0.2×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $1,009.47 $5,313 0.3×
Laryngoscope Injection Vocal Cord Therapeutic (31570) $928.15 $4,885 0.2×
Laryngoscopy diagnostic (31505) $52.25 $275 0.2×
Laryngoscopy flexible ablatj destj lesion(s) uni (31572) $858.04 $4,516 0.2×
Laryngoscopy flexible diagnostic (31575) $126.54 $666 0.6×
Laryngoscopy flexible rmvl lesion(s) non-laser (31578) $1,202.32 $6,328 0.3×
Laryngoscopy Flexible Therapeutic Injection Uni (31573) $520.41 $2,739 0.3×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $778.81 $4,099 0.4×
Laryngoscopy Flexible W/Injection Agmntj Uni (31574) $543.78 $2,862 0.3×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $179.36 $944 0.4×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $261.25 $1,375 0.6×
Laryngoscopy Indirect W/Biopsy (31510) $1,317.65 $6,935 0.3×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $61.37 $323 0.3×
Laryngoscopy Indirect W/Removal Lesion (31512) $804.46 $4,234 0.2×
Laryngoscopy Indirect W/Vocal Cord Injection (31513) $123.50 $650 0.3×
Laryngoscopy W/Biopsy (31535) $900.60 $4,740 0.2×
Laryngoscopy w/biopsy microscope/telescope (31536) $789.07 $4,153 0.2×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $531.62 $2,798 1.3×
Larynscop w/tumr exc + scope (31541) $1,266.92 $6,668 0.3×
Laser Surgery Anal Lesions (46917) $962.73 $5,067 0.3×
Laser Surgery,Sever Vitreous Strands (67031) $303.24 $1,596 0.5×
Laser treatment of retina (67040) $1,535.20 $8,080 0.3×
Laser vaporization of prostate (52648)
unusually low: confirm this is the full procedure		 $2,075.56 $10,924 0.4×
Late closure of wound (13160) $828.02 $4,358 0.2×
Ligate/strip long leg vein (37722) $1,950.35 $10,265 0.6×
Ligation of a-v fistula (37607) $1,892.02 $9,958 0.6×
Ligation of hemorrhoids (46946) $736.06 $3,874 0.2×
Ligation or biopsy temporal artery (37609) $771.21 $4,059 0.4×
Lip Surgery Procedure (40799) $262.01 $1,379 1.0×
Lithotripsy, extracorporeal shock wave (50590) $1,215.62 $6,398 0.3×
Lyse chest fibrin init day (32561) $161.50 $850 0.2×
Lyse Chest Fibrin Subq Day (32562) $161.50 $850 0.2×
Lysis Intranasal Synechia (30560) $90.25 $475 0.2×
Lysis of labial adhesions (56441) $558.22 $2,938 0.2×
Lysis/excision penile postcircumcision adhesions (54162) $800.85 $4,215 0.4×
Maniplatn palar fascial crd post inj single cord (26341) $146.87 $773 0.6×
Manipulation, finger joint, under anesthesia, each joint (26340) $608.19 $3,201 0.4×
Manometric stds thru tube/ndwellg urtrl cath (50396) $374.11 $1,969 0.5×
Marsupialization of bartholin's gland cyst (56440) $702.05 $3,695 0.2×
Maternity Care Procedure (59899) $89.11 $469 0.4×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $611.80 $3,220 0.4×
Mech remov tunneled cv cath (36595) $644.48 $3,392 0.2×
Middle ear surgery proc unlisted (69799) $57 $300 0.2×
Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) $249.85 $1,315 0.3×
Mohs trunk/arm/leg 1st stage 5 blocks (17313) $259.92 $1,368 0.3×
Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) $570.95 $3,005 0.2×
Myelography Lumbar Injection (62305) $479.37 $2,523 0.6×
Myelography Lumbar Injection (62304) $657.59 $3,461 0.8×
Myelography via lumbar injection rs&i cervical (62302) $665.19 $3,501 0.8×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $565.82 $2,978 0.7×
N Block Inj Celiac Pelus (64530)
range across 3 matching MRF lines		 $218.50–$245.86 $1,150–$1,294 varies
N Block Inj Ilio-Ing/Hypogi (64425) $139.08 $732 0.2×
N block inj intercost sng (64420) $224.20 $1,180 0.3×
N Block Inj Paracervical (64435) $129.77 $683 0.2×
N Block Inj Plantar Digit (64455) $110.20 $580 0.3×
N Block Inj Pudendal (64430) $351.69 $1,851 0.4×
N Block Lumbar/Thoracic (64520) $299.44 $1,576 0.3×
Nasal Endoscopy Dx (31231) $110.01 $579 0.5×
Nasal surgery procedure (30999) $88.92 $468 0.4×
Nasal/Orogastric W/Tube Plmt (43752)
range across 4 matching MRF lines		 $86.07–$155.42 $453–$818 varies
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287)
unusually low: confirm this is the full procedure		 $2,445.30 $12,870 0.3×
Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243)
unusually low: confirm this is the full procedure		 $2,120.40 $11,160 0.3×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $953.80 $5,020 0.5×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $592.04 $3,116 0.3×
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296)
range across 2 matching MRF lines		 $1,541.28–$2,311.92 $8,112–$12,168 varies
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
range across 2 matching MRF lines		 $1,541.28–$2,311.92 $8,112–$12,168 varies
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297)
range across 2 matching MRF lines		 $1,541.28–$2,311.92 $8,112–$12,168 varies
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $90.25 $475 0.3×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385)
range across 3 matching MRF lines		 $326.61–$472.34 $1,719–$2,486 varies
Ndsc eval intstinal pouch w/bx single/multiple (44386) $326.61 $1,719 0.3×
Needle Biopsy Lymph Nodes (38505) $383.80 $2,020 0.2×
Needle Biopsy Pancreas (48102) $628.33 $3,307 0.4×
Needle insertion w/o injection 3 or more muscles (20561) $9.69 $51 0.3×
Neuroeltrd Stim Post Tibial (64566) $89.68 $472 0.3×
Nipple/areola reconstruction (19350) $848.54 $4,466 0.2×
Njx anes stellate ganglion crv sympathetic (64510) $230.09 $1,211 0.2×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $116.28 $612 0.4×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $1,455.97 $7,663 0.4×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $1,073.69 $5,651 0.3×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $300.20 $1,580 0.3×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines		 $266.57–$300.01 $1,403–$1,579 varies
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $217.17 $1,143 0.3×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $275.12 $1,448 0.3×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $332.31 $1,749 0.4×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines		 $333.83–$375.63 $1,757–$1,977 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $301.53 $1,587 0.3×
Njx Noncmpnd Sclrsnt 1 Vein (36465) $513 $2,700 0.2×
Njx Noncmpnd Sclrsnt Mlt Vn (36466) $555.94 $2,926 0.3×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $347.89 $1,831 0.5×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $394.44 $2,076 0.5×
Njx Sclrsnt 1 Incmptnt Vein (36470)
range across 2 matching MRF lines		 $67.07–$90.06 $353–$474 varies
Njx Sclrsnt Mlt Incmptnt Vn (36471)
range across 2 matching MRF lines		 $67.07–$278.92 $353–$1,468 varies
Njx Sclrsnt Spider Veins (36468)
range across 2 matching MRF lines		 $67.07–$80.94 $353–$426 varies
Nocturnal penile tumescence and/or rigidity test Non-Facility (54250) $328.70 $1,730 1.2×
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288)
unusually low: confirm this is the full procedure		 $2,445.30 $12,870 0.3×
Obstructive material removal from gi tube (49460) $425.60 $2,240 0.4×
Occipital Nerve Block (64405) $142.69 $751 0.4×
Ocular Surface Reconstruction Amniotic Membrane (65780) $1,384.15 $7,285 0.3×
Open bone biopsy (20251)
unusually low: confirm this is the full procedure		 $2,714.53 $14,287 0.3×
Open Implantation Nea Sacral Nerve (64581)
likely a partial charge, not the full procedure		 $2,012.48 $10,592 0.3×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $767.60 $4,040 0.2×
Open Tx Distal Phalangeal Fracture Each (26765) $1,064.38 $5,602 0.3×
Open Tx Mandibular Fx W/Interdental Fixation (21462)
unusually low: confirm this is the full procedure		 $2,033.38 $10,702 0.3×
Open/Perq Place Stent 1St (37236)
likely a partial charge, not the full procedure		 $3,526.02 $18,558 0.3×
Open/Perq Place Stent Same (37238)
likely a partial charge, not the full procedure		 $3,526.02 $18,558 0.3×
Orbitotomy w/o bone flap expl w/wo biopsy (67400) $1,208.78 $6,362 0.3×
Orchiopexy Ingun/Scrot Appr (54640) $1,334.75 $7,025 0.3×
Palatopharyngoplasty (42145)
unusually low: confirm this is the full procedure		 $2,110.52 $11,108 0.3×
Part remv talus or calcaneus (28120) $645.43 $3,397 0.2×
Partial Excision Distal Phalanx Finger (26236) $437.95 $2,305 0.3×
Partial excision of lip (40520) $1,081.29 $5,691 0.3×
Partial Excision Proximal/Middle Phalanx Finger (26235) $609.33 $3,207 0.4×
Partial removal of toe (28160) $684.95 $3,605 0.2×
Partial removal of tongue (41120)
unusually low: confirm this is the full procedure		 $2,029.20 $10,680 0.3×
Penile Injection (54235)
range across 2 matching MRF lines		 $80.56–$88.92 $424–$468 varies
Penile Plethysmography (54240) $106.59 $561 0.5×
Perc Cryo Ablate Renal Tum (50593)
range across 4 matching MRF lines		 $2,453.09–$3,679.73 $12,911–$19,367 varies
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) $463.98 $2,442 0.3×
Perc Rf Ablate Renal Tumor (50592)
likely a partial charge, not the full procedure		 $1,164.70 $6,130 0.2×
Percut Ablate Liver Rf (47382)
likely a partial charge, not the full procedure		 $1,417.40 $7,460 0.2×
Percut Cath Occlusn Non Cns Lesn (61626)
likely a partial charge, not the full procedure		 $3,065.08 $16,132 0.2×
Percut Drain/Inject Renal Cyst (50390) $354.92 $1,868 0.5×
Percut Mech Thrombectomy, Venous, Repeat (37188) $1,177.62 $6,198 0.3×
Pericardiocentesis W/Imaging (33016) $347.13 $1,827 0.2×
Peritoneal Lavage (49084)
range across 3 matching MRF lines		 $189.05–$195.32 $995–$1,028 varies
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure		 $2,547.52 $13,408 0.1×
Perq Cervicothoracic Inject (22510) $928.72 $4,888 0.3×
Perq dev breast 1st mr guide (19287) $156.94 $826 0.2×
Perq dev breast 1st strtctc (19283) $156.94 $826 0.2×
Perq dev breast 1st us imag (19285) $156.94 $826 0.2×
Perq device breast 1st imag (19281) $616.55 $3,245 0.3×
Perq dilation xst trc endourologic px w/img (50436) $864.12 $4,548 0.2×
Perq Lumbosacral Injection (22511) $973.75 $5,125 0.3×
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080)
likely a partial charge, not the full procedure		 $2,208.18 $11,622 0.2×
Perq p-art revsc 1 nm nt uni (33900)
unusually low: confirm this is the full procedure		 $4,515.16 $23,764 0.4×
Perq Radiofreq Ablation Tx, Pul Tumor (32998)
likely a partial charge, not the full procedure		 $1,484.28 $7,812 0.2×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $230.47 $1,213 0.3×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905)
likely a partial charge, not the full procedure		 $2,725.17 $14,343 0.2×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904)
likely a partial charge, not the full procedure		 $1,816.78 $9,562 0.3×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
likely a partial charge, not the full procedure		 $2,212.17 $11,643 0.3×
Perq Vertebral Augmentation (22513)
likely a partial charge, not the full procedure		 $2,212.17 $11,643 0.3×
Phalangectomy toe each toe (28150) $645.43 $3,397 0.2×
Phleb Veins - Extrem 20+ (37766) $1,072.55 $5,645 0.3×
Photopheresis extracorporeal (36522) $1,461.67 $7,693 0.3×
Place Amniotic Membra Ocular Surface W/O Sutures (65778) $429.78 $2,262 0.4×
Place Cath Subclavian Art (36225)
range across 3 matching MRF lines		 $1,372.75–$2,058.84 $7,225–$10,836 varies
Place Cath Thoracic Aorta (36221) $1,452.93 $7,647 0.4×
Place Cath Vertebral Art (36226)
range across 4 matching MRF lines		 $2,244.47–$3,366.99 $11,813–$17,721 varies
Place Duod/Jej Tube Perc (49441) $514.71 $2,709 0.3×
Place Rt Device/Marker Pros (55876) $458.09 $2,411 0.3×
Placement of needle for intraosseous infusion (36680) $91.39 $481 0.2×
Placement of seton (46020) $675.07 $3,553 0.2×
Plastic Repair Canaliculi (68700) $1,117.01 $5,879 0.4×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541)
likely a partial charge, not the full procedure		 $1,424.43 $7,497 0.2×
Plmt Bile Duct Stent Prq Existing Access (47538)
likely a partial charge, not the full procedure		 $1,525.13 $8,027 0.2×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539)
likely a partial charge, not the full procedure		 $1,704.49 $8,971 0.3×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540)
likely a partial charge, not the full procedure		 $1,794.36 $9,444 0.3×
Plmt expandable cath brst following prtl mast (19296)
likely a partial charge, not the full procedure		 $1,836.73 $9,667 0.2×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $1,320.88 $6,952 0.6×
Plmt Nephroureteral Catheter (50433) $1,132.21 $5,959 0.3×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $1,173.06 $6,174 0.3×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $1,173.06 $6,174 0.3×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $1,173.06 $6,174 0.3×
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure		 $4,363.16 $22,964 0.2×
Probe lacrimal canaliculi w/wo irrigation (68840) $164.73 $867 0.5×
Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) $693.69 $3,651 0.3×
Probing nasolacrimal duct (68810) $379.62 $1,998 1.1×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $226.48 $1,192 0.2×
Proctosgmdsc Rigid Control Bleeding (45317) $262.39 $1,381 0.2×
Proctosgmdsc rigid w/dilation (45303) $794.20 $4,180 0.6×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $611.99 $3,221 0.2×
Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) $561.83 $2,957 0.2×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $258.21 $1,359 0.2×
Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) $345.80 $1,820 0.6×
Prostatic microwave thermotx (53850) $1,248.30 $6,570 0.3×
Prostatic Rf Thermotx (53852) $1,440.77 $7,583 0.4×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $142.69 $751 0.2×
Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) $317.49 $1,671 0.3×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $1,090.98 $5,742 0.3×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $1,636.28 $8,612 0.4×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
unusually low: confirm this is the full procedure		 $2,513.70 $13,230 0.3×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $645.43 $3,397 0.2×
Pseudoaneurysm Injection Trt (36002) $135.09 $711 0.2×
Punch biopsy skin single lesion (11104) $129.39 $681 0.3×
Puncture aspiration abscess hematoma bulla/cyst (10160) $141.93 $747 0.3×
Puncture Aspiration Cyst Breast (19000) $176.51 $929 0.2×
Puncture shunt tube/reservoir aspiration/inj px (61070) $140.98 $742 0.2×
Pvb thoracic cont infusion (64463) $226.67 $1,193 0.3×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $260.49 $1,371 0.3×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $816.62 $4,298 0.4×
Reconstruct extra finger (26587) $1,710 $9,000 0.5×
Reconstruction Nail Bed W/Graft (11762) $542.64 $2,856 0.2×
Reconstruction Tongue Fold (41520) $1,157.86 $6,094 0.3×
Redo Endovas Vena Cava Filtr (37192) $1,523.80 $8,020 0.5×
Reduction of rectal prolapse (45900) $182.40 $960 0.2×
Reduction Overcorrection Ptosis (67909) $597.17 $3,143 0.2×
Relocation Pocket Pacemaker (33222) $712.50 $3,750 0.3×
Rem Endovas Vena Cava Filter (37193) $1,752.75 $9,225 0.5×
Removal Anal Seton Other Marker (46030) $237.69 $1,251 0.2×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $242.06 $1,274 0.2×
Removal Embedded Foreign Body Eyelid (67938) $139.84 $736 0.4×
Removal Foreign Body Deep Thigh/Knee (27372) $782.42 $4,118 0.3×
Removal foreign body foot deep (28192) $464.55 $2,445 0.3×
Removal Foreign Body Foot Subcutaneous (28190) $280.06 $1,474 0.4×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $316.16 $1,664 0.2×
Removal foreign body upper arm/elbow deep (24201) $981.73 $5,167 0.3×
Removal impacted cerumen irrigation/lvg unilat (69209) $31.73 $167 0.5×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 5 matching MRF lines		 $19.38–$83.79 $102–$441 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $1,208.40 $6,360 0.3×
Removal Implant Deep (20680) $874.38 $4,602 0.3×
Removal Implant Superficial Separate Procedure (20670) $657.40 $3,460 0.4×
Removal of anal fissure (46200) $789.45 $4,155 0.3×
Removal of foreign body from pharynx (42809) $152.57 $803 0.3×
Removal of implant from finger or hand (26320) $521.74 $2,746 0.3×
Removal of intranasal lesion (30118) $764.18 $4,022 0.2×
Removal of kidney stone (50081)
likely a partial charge, not the full procedure		 $2,453.66 $12,914 0.2×
Removal of nail bed (11750) $255.74 $1,346 0.6×
Removal of nose lesion (30124) $478.80 $2,520 0.3×
Removal of testis (54520) $1,289.72 $6,788 0.3×
Removal of tonsils (42826) $667.85 $3,515 0.2×
Removal of tunneled intraperitoneal catheter (49422) $680.01 $3,579 0.2×
Removal or bivalving full arm or full leg cast (29705)
range across 6 matching MRF lines		 $76.95–$153.90 $405–$810 varies
Removal Pacemaker Electrode (33235) $1,068.56 $5,624 0.3×
Removal parotid stone (42340) $2,209.13 $11,627 0.6×
Removal ppm generator only (33233)
unusually low: confirm this is the full procedure		 $3,355.21 $17,659 0.4×
Removal shoulder foreign body deep subfascial/im (23333) $1,061.91 $5,589 0.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $76.38 $402 0.4×
Removal subcutaneous cardiac rhythm monitor (33286) $637.83 $3,357 0.8×
Removal Submand Stone,Complicated (42335) $1,131.26 $5,954 0.3×
Removal Sutures/Staples Requiring Anesthesia (15851) $896.99 $4,721 0.4×
Removal sweat gland lesion (11450) $578.55 $3,045 0.2×
Removal tong/halo applied by another individual (20665) $109.63 $577 0.2×
Removal/bivalving gauntlet boot/body cast (29700) $55.29 $291 0.2×
Remove & Replace Indwell Ureteral Stent Trurthrl (50385) $677.54 $3,566 0.3×
Remove Brain Cavity Fluid (61020) $494.57 $2,603 0.5×
Remove drug implant device (11982) $143.64 $756 0.3×
Remove Elctrd Transvenously (33244) $1,361.92 $7,168 0.3×
Remove Forearm Foreign Body (25248) $1,193.39 $6,281 0.7×
Remove foreign body from eye (65205) $80.18 $422 0.6×
Remove Int Dwell Ureteral Stent Transurethral (50386) $411.54 $2,166 0.2×
Remove Intrauterine Device (58301) $66.12 $348 0.2×
Remove intrvas foreign body (37197) $1,609.68 $8,472 0.5×
Remove lung catheter (32552) $155.99 $821 0.2×
Remove Nasal Foreign Body (30300) $67.26 $354 0.5×
Remove Pulse Generator (33241) $1,208.78 $6,362 0.3×
Remove renal tube w/fluoro (50389) $193.42 $1,018 0.3×
Remove Shoulder Foreign Body (23330) $570 $3,000 0.3×
Remove Tendon Sheath Lesion (26160) $640.68 $3,372 0.4×
Remove ureter stent percut (50384) $437 $2,300 0.2×
Remove&replace pm gen singl (33227) $4,651.58 $24,482 0.5×
Remove/Insert Drug Implant (11983) $143.64 $756 0.3×
Remv&replc cvd gen dual lead (33263) $16,138.79 $84,941 0.7×
Remv&replc cvd gen mult lead (33264)
unusually low: confirm this is the full procedure		 $16,138.79 $84,941 0.5×
Remv&replc cvd gen sing lead (33262) $16,138.79 $84,941 0.7×
Remv&replc pm gen dual lead (33228)
unusually low: confirm this is the full procedure		 $5,052.86 $26,594 0.5×
Remv&replc pm gen mult leads (33229)
likely a partial charge, not the full procedure		 $5,194.03 $27,337 0.3×
Renal Biopsy Perq (50200) $443.65 $2,335 0.3×
Repair Anorectal Fistula Plug (46707) $946.96 $4,984 0.3×
Repair blood vessel direct neck (35201)
likely a partial charge, not the full procedure		 $1,105.80 $5,820 0.2×
Repair Blood Vessel Direct Upper Extremity (35206) $1,084.52 $5,708 0.3×
Repair brow ptosis (67900)
range across 2 matching MRF lines		 $734.92–$1,102.38 $3,868–$5,802 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $200.26 $1,054 0.3×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $372.59 $1,961 0.5×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $208.43 $1,097 0.5×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $269.99 $1,421 0.6×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $157.13 $827 0.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $228.38 $1,202 0.5×
Repair complex trunk 1.1-2.5 cm (13100) $166.63 $877 0.2×
Repair complex trunk 2.6-7.5 cm (13101) $206.53 $1,087 0.3×
Repair Detached Retina (67101) $491.72 $2,588 0.2×
Repair detached retina (67105) $324.52 $1,708 0.6×
Repair Ectropion Excision Tarsal Wedge (67916) $562.97 $2,963 0.2×
Repair Ectropion Extensive (67917) $811.11 $4,269 0.3×
Repair Ectropion Suture (67914) $521.74 $2,746 0.2×
Repair Entropion Extensive (67924) $883.31 $4,649 0.3×
Repair Entropion Suture (67921) $604.20 $3,180 0.2×
Repair extensor tendon finger w/o graft each (26418) $794.20 $4,180 0.5×
Repair Eyelid Wound (67935) $775.20 $4,080 0.3×
Repair Hand Joint (26540) $1,200.23 $6,317 0.3×
Repair Hand Tendon (26410) $484.69 $2,551 0.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $124.45 $655 0.3×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $134.52 $708 0.3×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $138.89 $731 0.3×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $145.92 $768 0.3×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $168.72 $888 0.4×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $157.89 $831 0.2×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $120.46 $634 0.3×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $130.34 $686 0.3×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $143.45 $755 0.2×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $342.38 $1,802 0.2×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $155.42 $818 0.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $124.07 $653 0.3×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $137.94 $726 0.3×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $171 $900 0.2×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $141.36 $744 0.3×
Repair intermediate s/a/t/e >30.0 cm (12037) $342.38 $1,802 0.2×
Repair lead pace-defib dual (33220) $1,847.18 $9,722 0.5×
Repair Lead Pace-Defib One (33218) $1,847.18 $9,722 0.5×
Repair of anal fistula with fibrin glue (46706) $994.46 $5,234 0.3×
Repair of nail bed (11760) $161.12 $848 0.2×
Repair tongue laceration (41252) $66.88 $352 0.3×
Repair tongue laceration (41250) $152.57 $803 0.3×
Replace duodenostomy/jejunostomy tube perq (49451) $514.71 $2,709 0.5×
Replace G-J Tube Perc (49452) $421.61 $2,219 0.4×
Replace g/c tube perc (49450) $514.71 $2,709 0.5×
Replace/Revise Brain Shunt (62230)
likely a partial charge, not the full procedure		 $2,044.02 $10,758 0.2×
Replantation digit complete (20822) $728.84 $3,836 0.4×
Repos Previously Implanted Subq Implantable Dfb (33273) $1,011.94 $5,326 0.3×
Reposition Gastrostomy Tube (43761) $207.10 $1,090 0.8×
Reposition L Ventric Lead (33226) $798 $4,200 0.2×
Reposition Pacing-Defib Lead (33215) $971.85 $5,115 0.3×
Reposition Venous Catheter (36597) $368.41 $1,939 0.2×
Rev/rmv prph sac/gstr npg/r (64595) $809.78 $4,262 0.2×
Revise eyelashes (67825) $160.36 $844 0.5×
Revision of eyelid (67880) $407.93 $2,147 0.2×
Revj Aqueous Shunt Extraocular Reservoir W/Graft (66185) $578.36 $3,044 0.2×
Revj Shunt Extraocular Reservoir W/O Graft (66184) $578.36 $3,044 0.2×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $4,140.86 $21,794 0.7×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $1,291.62 $6,798 0.3×
Revj/rmvl peripheral neurostimulator electrode (64585) $809.78 $4,262 0.2×
Revj/rpr oprative wound anterior segment (66250) $615.41 $3,239 0.2×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $507.68 $2,672 0.2×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $333.07 $1,753 0.3×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $113.62 $598 0.2×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $160.93 $847 1.1×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $80.94 $426 0.2×
Rmvl FB/Dacryolith Lacrimal Passages (68530) $356.63 $1,877 1.0×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $638.40 $3,360 0.2×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $331.93 $1,747 0.2×
Rmvl of subq implantable defibrillator electrode (33272) $1,011.94 $5,326 0.3×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $790.21 $4,159 0.2×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $588.05 $3,095 0.3×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $410.59 $2,161 0.6×
Rplc Gtube No Revj Trc (43762) $204.44 $1,076 0.8×
Rplc gtube revj gstrst trc (43763) $245.48 $1,292 0.9×
Rplcmt cath ctr vad subq port/pmp (36578) $1,055.64 $5,556 0.3×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $388.93 $2,047 0.2×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $1,481.05 $7,795 0.4×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584)
range across 5 matching MRF lines		 $632.70–$665.95 $3,330–$3,505 varies
Rplcmt compl tun ctr vad w/subq port (36582) $906.68 $4,772 0.3×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $957.79 $5,041 0.3×
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) $1,004.72 $5,288 0.4×
Rpr blood vessel direct lower extremity (35226) $1,023.53 $5,387 1.3×
Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) $687.99 $3,621 0.3×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $387.22 $2,038 0.2×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $156.18 $822 0.7×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $173.66 $914 0.2×
Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera (65286) $456.95 $2,405 0.2×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $494.19 $2,601 0.9×
Rpr Lip Full Thickness Vermilion Only (40650) $269.80 $1,420 0.5×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $270.75 $1,425 0.2×
Rpr Retinal Dtchmnt Injection Air/Other Gas (67110) $857.47 $4,513 0.3×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $999.40 $5,260 0.3×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575)
range across 6 matching MRF lines		 $294.69–$331.55 $1,551–$1,745 varies
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $1,153.87 $6,073 0.3×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $768.17 $4,043 0.2×
Sclerotx Fluid Collection (49185) $450.49 $2,371 0.3×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $310.27 $1,633 0.3×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $441.18 $2,322 0.3×
Shave skin lesion 0.5 cm/< (11300) $141.93 $747 0.3×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $78.66 $414 0.4×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $97.85 $515 0.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $41.99 $221 0.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $45.41 $239 0.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $77.33 $407 0.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $85.69 $451 0.2×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $81.32 $428 0.4×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $85.12 $448 0.2×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $45.60 $240 0.2×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $141.93 $747 0.3×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $53.77 $283 0.3×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $558.98 $2,942 0.2×
Sigmoidoscopy & decompress (45337) $413.63 $2,177 0.4×
Sigmoidoscopy & Polypectomy (45333) $294.12 $1,548 0.3×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $413.06 $2,174 0.3×
Sigmoidoscopy flx tndsc balo dilat (45340) $470.06 $2,474 0.4×
Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) $832.77 $4,383 0.6×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $396.91 $2,089 0.3×
Sigmoidoscopy w/fb removal (45332) $443.65 $2,335 0.3×
Sigmoidoscopy w/plcmt stent (45347)
unusually low: confirm this is the full procedure		 $2,154.22 $11,338 0.3×
Sigmoidoscopy W/Resection (45349) $550.43 $2,897 0.2×
Sigmoidoscopy W/Ultrasound (45341) $543.78 $2,862 0.5×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $400.52 $2,108 0.4×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $452.20 $2,380 0.4×
Simple Cystometrogram (51725) $229.14 $1,206 0.9×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $119.13 $627 0.6×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $121.98 $642 0.6×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $133.19 $701 0.6×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $95.57 $503 0.4×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $115.14 $606 0.5×
Skin Full Grft Face/Genit/Hf (15240) $922.07 $4,853 0.4×
Skin Pinch Graft (15050) $190 $1,000 0.2×
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines		 $616.74–$655.88 $3,246–$3,452 varies
Skin sub graft trnk/arm/leg (15271) $655.88 $3,452 0.8×
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines		 $1,131.45–$1,236.33 $5,955–$6,507 varies
Skin Tissue Procedure (17999) $1,064.38 $5,602 5.0×
Skn sub grft f/n/hf/g child (15277)
range across 2 matching MRF lines		 $339.91–$616.74 $1,789–$3,246 varies
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 3 matching MRF lines		 $1,474.02–$2,211.41 $7,758–$11,639 varies
Slctv cath carotid/innom art angio xtrcranl art (36222) $1,247.16 $6,564 0.4×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 3 matching MRF lines		 $2,143.58–$3,215.37 $11,282–$16,923 varies
Slitting of prepuce (54001) $485.64 $2,556 0.2×
Small bowel endoscopy (44366) $820.99 $4,321 0.4×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $678.49 $3,571 0.3×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $98.80 $520 0.5×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $158.46 $834 0.4×
Snip Incision Lacrimal Punctum (68440) $343.90 $1,810 1.0×
Sperm washing artificial insemination (58323) $114 $600 0.5×
Sphincterotomy anal division sphincter spx (46080) $675.07 $3,553 0.2×
Spinal puncture lumbar diagnostic (62270) $356.06 $1,874 0.5×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $766.08 $4,032 0.2×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $861.27 $4,533 0.4×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $965.39 $5,081 0.3×
Strapping ankle (29540) $52.82 $278 0.3×
Strapping Hip (29520) $87.21 $459 0.6×
Strapping knee (29530) $88.35 $465 0.6×
Strapping shoulder (29240) $47.88 $252 0.3×
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $64.98–$97.47 $342–$513 varies
Subconjunctival injection (68200) $143.64 $756 0.3×
Subcutaneous Injection Filling Material 1 Cc/< (11950) $95.19 $501 0.4×
Subcutaneous injection filling matrl 1.1-5.0 cc (11951) $220.78 $1,162 0.3×
Subcutaneous Injection Filling Matrl >10.0 Cc (11954) $115.52 $608 0.1×
Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) $220.78 $1,162 0.3×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $998.07 $5,253 0.3×
Surg tx anal fistula subq (46270) $717.63 $3,777 0.2×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $670.13 $3,527 0.2×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $450.11 $2,369 0.2×
Suture digital nerve hand/foot 1 nerve (64831) $904.59 $4,761 0.4×
T-cell depletion of harvest (38210) $14,147.97 $74,463 29.9×
Tangential biopsy skin single lesion (11102) $129.39 $681 0.3×
Tattooing incl micropigmentation 6.0 cm/< (11920) $126.92 $668 0.2×
Tattooing incl micropigmentation 6.1-20.0 cm (11921) $139.84 $736 0.2×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289)
likely a partial charge, not the full procedure		 $7,055.46 $37,134 0.2×
Tcat Insj/Rpl Perm Ldls Pm (33274)
likely a partial charge, not the full procedure		 $4,868.56 $25,624 0.2×
Tcat Rmvl Perm Ldls Pm (33275) $777.67 $4,093 0.2×
Temporary Closure Eyelids Suture (67875) $239.78 $1,262 0.2×
Tenotomy Percutaneous Toe Single Tendon (28010) $511.86 $2,694 0.3×
Thaw preserved stem cells (38208) $108.11 $569 0.2×
Ther Apheresis W/Extracorporeal Immunoadsorption (36516)
range across 2 matching MRF lines		 $1,283.83–$1,914.63 $6,757–$10,077 varies
Ther Apheresis,Red Blood Cells (36512) $559.93 $2,947 0.3×
Ther Spi Pnxr Csf Fluor/Ct (62329) $326.61 $1,719 0.4×
Therapeutic Apheresis White Blood Cells (36511) $409.64 $2,156 0.2×
Therapeutic plasma exchange (36514) $615.98 $3,242 0.4×
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875)
unusually low: confirm this is the full procedure		 $2,112.80 $11,120 0.4×
Thrmbc/Nfs Dialysis Circuit (36906)
likely a partial charge, not the full procedure		 $4,541.57 $23,903 0.2×
Thromblytic art/ven therapy (37213) $1,815.26 $9,554 0.5×
Thrombolytic Art Therapy (37211)
unusually low: confirm this is the full procedure		 $1,940.66 $10,214 0.3×
Thrombolytic Therapy Stroke (37195) $73.34 $386 0.2×
Thrombolytic Venous Therapy (37212) $1,940.66 $10,214 0.6×
Thyroid biopsy (60100) $206.34 $1,086 0.3×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $801.23 $4,217 0.4×
Tooth extraction (41899) $87.21 $459 0.3×
Tprnl Plmt Biodegrdabl Matrl (55874)
unusually low: confirm this is the full procedure		 $1,798.35 $9,465 0.3×
Trabeculoplasty by laser surgery (65855) $365.18 $1,922 0.6×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $1,241.08 $6,532 0.4×
Tracheobrnchsc Thru Est Trachs Inc (31615) $319.39 $1,681 0.6×
Tracheostomy Emergency Cricothyroid Membrane (31605) $307.80 $1,620 1.2×
Tracheostomy Emergency Procedure Transtracheal (31603) $304.76 $1,604 0.2×
Transcatheter biopsy (37200)
unusually low: confirm this is the full procedure		 $2,112.80 $11,120 0.4×
Transoral lower esophageal myotomy (43497)
likely a partial charge, not the full procedure		 $406.98 $2,142 0.1×
Transrectal abltj mal prst8 tissue hifu w/us (55880)
unusually low: confirm this is the full procedure		 $3,931.10 $20,690 0.4×
Transrectal Drainage of Pelvic Abscess (45000) $609.33 $3,207 0.5×
Transur electr resection of prostate (52601)
unusually low: confirm this is the full procedure		 $2,036.04 $10,716 0.4×
Treat humerus fracture (24500) $86.64 $456 0.3×
Treat Humerus Fracture (24505) $567.15 $2,985 0.3×
Treat humerus fracture (23600) $188.48 $992 0.7×
Treat knee fracture (27532) $1,176.67 $6,193 0.3×
Treat Knee Fracture(S) (27538) $57 $300 0.2×
Treat Knuckle Dislocation (26700) $141.55 $745 0.5×
Treat Tail Bone Fracture (27200) $45.79 $241 0.2×
Treat toe dislocation (28630) $140.41 $739 0.5×
Treatment closed elbow dislocation w/o anes (24600) $159.22 $838 0.6×
Treatment extensive retinopathy photocoagulation (67228)
range across 6 matching MRF lines		 $475.19–$950.38 $2,501–$5,002 varies
Treatment mouth roof lesion (42160) $1,081.29 $5,691 0.3×
Treatment of foot infection (28003) $715.92 $3,768 0.2×
Treatment of retina (67141) $239.59 $1,261 0.7×
Trim skin lesion (11055) $41.80 $220 0.2×
Trim skin lesions 2 to 4 (11056) $41.80 $220 0.2×
Trim skin lesions over 4 (11057) $47.12 $248 0.2×
Trimming Nondystrophic Nails Any Number (11719) $34.58 $182 0.5×
Trluml Balo Angiop 1St Art (37246)
likely a partial charge, not the full procedure		 $1,816.78 $9,562 0.3×
Trluml Balo Angiop 1St Vein (37248)
unusually low: confirm this is the full procedure		 $2,381.84 $12,536 0.4×
Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) $729.41 $3,839 1.5×
Trnspl Prepj Hematop Progen Concentration Plsm (38215) $398.24 $2,096 0.8×
Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) $256.12 $1,348 0.5×
Trnspl Prepj Hematop Progen Pltlt Deplj (38213) $263.91 $1,389 0.6×
Trnspl Prepj Hematop Progen Red Bld Cell Rmvl (38212) $302.48 $1,592 0.6×
Trnspl prepj hematop progen tum cell deplj (38211) $14,147.97 $74,463 29.9×
Trnsplj allogeneic hematopoietic cells per donor (38240)
likely a partial charge, not the full procedure		 $17,358.40 $91,360 0.3×
Trnsplj autologous hematopoietic cells per donor (38241) $834.48 $4,392 0.5×
Trnsplj Hematopoietic Cell Boost (38243) $607.62 $3,198 0.4×
Trurl dstrj prst8 tiss rf wv thermotherapy (53854) $841.32 $4,428 0.2×
Tx Gastro Intub W/Asp (43753) $98.42 $518 0.4×
Tx Incomplete Abortion Any Trimester Surgical (59812) $722.19 $3,801 0.2×
Tx Missed Abortion First Trimester Surgical (59820) $708.32 $3,728 0.2×
Tx Missed Abortion Second Trimester Surgical (59821) $661.77 $3,483 0.2×
Tx Superficial Wound Dehiscence Simple Closure (12020) $198.93 $1,047 0.3×
Tx superficial wound dehiscence w/packing (12021) $116.85 $615 0.3×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $54.91 $289 0.2×
Unlisted Cardiac Surgery (33999)
range across 3 matching MRF lines		 $1,009.09–$5,756.43 $5,311–$30,297 varies
Unlisted Craniofacial & Maxillofacial Procedure (21299) $48.45 $255 0.2×
Unlisted laparoscopy procedure, bladder (51999)
unusually low: confirm this is the full procedure		 $2,142.44 $11,276 0.3×
Unlisted Procedure Accessory Sinuses (31299) $1,284.78 $6,762 5.1×
Unlisted procedure anus (46999)
range across 2 matching MRF lines		 $320.34–$859.18 $1,686–$4,522 varies
Unlisted Procedure Biliary Tract (47999) $658.92 $3,468 0.7×
Unlisted procedure breast (19499) $836.57 $4,403 0.2×
Unlisted Procedure Casting/Strapping (29799)
range across 3 matching MRF lines		 $55.29–$110.58 $291–$582 varies
Unlisted procedure colon (45399) $523.64 $2,756 0.5×
Unlisted Procedure Conjunctiva (68399) $497.80 $2,620 1.5×
Unlisted Procedure Esophagus (43499) $464.74 $2,446 0.5×
Unlisted procedure eyelids (67999) $87.21 $459 0.3×
Unlisted procedure foot or toes (28899) $325.28 $1,712 1.2×
Unlisted Procedure Hands/Fingers (26989) $108.87 $573 0.4×
Unlisted Procedure Intestine (44799) $731.88 $3,852 0.8×
Unlisted procedure larynx (31599) $464.36 $2,444 1.8×
Unlisted procedure liver (47399) $158.65 $835 0.2×
Unlisted procedure lungs and pleura (32999) $619.21 $3,259 0.9×
Unlisted Procedure Muscskeletal System General (20999) $2,342.32 $12,328 8.9×
Unlisted procedure nervous system (64999)
range across 7 matching MRF lines		 $77.90–$592.23 $410–$3,117 varies
Unlisted Procedure Palate Uvula (42299) $1,265.59 $6,661 5.0×
Unlisted procedure pancreas (48999)
range across 3 matching MRF lines		 $141.17–$847.02 $743–$4,458 varies
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $117.04 $616 0.5×
Unlisted Procedure Rectum (45999)
range across 3 matching MRF lines		 $660.25–$736.25 $3,475–$3,875 varies
Unlisted procedure spine (22899) $1,115.87 $5,873 4.2×
Unlisted procedure stomach (43999)
range across 8 matching MRF lines		 $187.72–$723.14 $988–$3,806 varies
Unlisted Procedure Tongue Floor Mouth (41599) $66.69 $351 0.3×
Unlisted Procedure Trachea Bronchi (31899) $673.55 $3,545 3.1×
Unlisted Procedure Vascular Surgery (37799)
range across 5 matching MRF lines		 $537.70–$730.36 $2,830–$3,844 varies
Unlisted procedure, abdomen, peritoneum and omentum (49999)
range across 2 matching MRF lines		 $921.12–$996.36 $4,848–$5,244 varies
Unlisted Procedure, Urinary System (53899)
range across 3 matching MRF lines		 $297.35–$309.51 $1,565–$1,629 varies
Unlisted procedure, vestibule of mouth (40899) $390.26 $2,054 1.5×
Unlisted px female genital system nonobstetrical (58999) $39.14 $206 0.2×
Upgrade of pacemaker system (33214)
unusually low: confirm this is the full procedure		 $4,221.61 $22,219 0.4×
Urinary Reflex Study (51792) $82.27 $433 1.3×
Urine Flow Measurement (51736) $111.53 $587 0.8×
Uvulectomy excision of uvula (42140) $1,081.29 $5,691 0.3×
Vaginal Delivery After Cesarean Delivery (59612) $762.28 $4,012 0.2×
Vaginal delivery only (59409) $1,140 $6,000 0.3×
Vasc embolize/occlude artery (37242)
likely a partial charge, not the full procedure		 $3,301.44 $17,376 0.2×
Vasc Embolize/Occlude Bleed (37244)
range across 2 matching MRF lines		 $3,369.84–$3,547.11 $17,736–$18,669 varies
Vasc Embolize/Occlude Organ (37243)
likely a partial charge, not the full procedure		 $3,378.20 $17,780 0.3×
Vasc embolize/occlude venous (37241)
likely a partial charge, not the full procedure		 $3,217.27 $16,933 0.3×
Venous Mech Thrombectomy (37187)
unusually low: confirm this is the full procedure		 $4,363.16 $22,964 0.4×
Vermilionectomy lip shv w/mucosal advmnt (40500) $1,081.29 $5,691 0.3×
Wash harvest stem cells (38209) $1,200.61 $6,319 2.5×
Wedge excision skin nail fold (11765) $102.60 $540 0.2×
Wedging of cast (29740)
range across 6 matching MRF lines		 $75.05–$150.10 $395–$790 varies
Wedging of clubfoot cast (29750)
range across 3 matching MRF lines		 $78.28–$156.56 $412–$824 varies
Windowing of cast (29730) $57.38 $302 0.3×
Wound Prep F/N/Hf/G (15004) $661.58 $3,482 1.5×
Wound Prep Trk/Arm/Leg (15002) $538.84 $2,836 0.7×
Xtrnl fixj w/strtctc adjustment exchange strut (20697) $468.35 $2,465 0.3×
Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016)
unusually low: confirm this is the full procedure		 $2,033.76 $10,704 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.