Procedures & surgery prices at M Health Fairview St. John's Hospital

Maplewood, MN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 4 matching MRF lines		 $820.06–$820.53 $2,045.03–$2,046.21 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $806.01–$812.43 $2,010–$2,026 varies
Abdomen Surgery Procedure (22999) $1,734.73 $4,326 6.8×
Ablate Pulm Tumor Perq Crybl (32994) $6,028.64 $15,034 0.5×
Ablation 1/> liver tumor perq cryoablation (47383) $6,028.64 $15,034 0.5×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure		 $7,651.08 $19,080 0.4×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $7,651.08 $19,080 1.0×
Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) $2,280.89 $5,688 1.3×
Allogeneic lymphocyte infusions (38242)
range across 2 matching MRF lines		 $2,272.47–$2,307.12 $5,667–$5,753.40 varies
Amniocentesis diagnostic (59000) $737.04 $1,838 0.8×
Amniocentesis therapeutic (59001) $571.03 $1,424 1.8×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $3,442.99 $8,586 1.0×
Anal/Urinary Muscle Study (51784) $274.29 $684 2.1×
Anoscopy diagnostic (46600) $137.55 $343 1.0×
Application cast elbow finger short arm (29075) $354.49 $884 1.2×
Application finger splint static (29130)
range across 2 matching MRF lines		 $222.39–$222.96 $554.58–$556 varies
Application long arm splint shoulder hand (29105)
range across 4 matching MRF lines		 $222.86–$334.44 $555.75–$834 varies
Application Long Leg Splint (29505)
range across 3 matching MRF lines		 $222.77–$334.44 $555.53–$834 varies
Application of long leg cast (29345) $468.37 $1,168 1.6×
Application of rigid total contact leg cast (29445) $313.19 $781 1.1×
Application short arm splint forearm-hand static (29125)
range across 5 matching MRF lines		 $222.78–$334.44 $555.56–$834 varies
Application short leg splint calf foot (29515)
range across 4 matching MRF lines		 $222.79–$334.44 $555.56–$834 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 7 matching MRF lines		 $224.77–$339.85 $560.50–$847.50 varies
Apply Short Leg Cast (29405) $297.95 $743 1.0×
Arterial puncture (36600)
range across 4 matching MRF lines		 $132.51–$134.58 $330.44–$335.60 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines		 $340.35–$514.29 $848.73–$1,282.50 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 3 matching MRF lines		 $676.89–$710.98 $1,688–$1,773 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 8 matching MRF lines		 $353.29–$529.93 $881–$1,321.50 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 3 matching MRF lines		 $325.22–$487.82 $811–$1,216.50 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $323.61–$485.42 $807–$1,210.50 varies
Arthrodesis sacroiliac joint percutaneous (27279)
range across 2 matching MRF lines		 $20,291.41–$30,437.11 $50,602–$75,903 varies
Aspirate pleura w/ imaging (32555)
range across 7 matching MRF lines		 $771.81–$1,163.31 $1,924.70–$2,901 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $864.29–$866.16 $2,155.32–$2,160 varies
Aspirate/Inj Ganglion Cyst (20612) $561 $1,399 1.8×
Aspiration & Injection Treatment Bone Cyst (20615) $1,249.92 $3,117 1.7×
Aspiration and/or injection thyroid cyst (60300) $716.99 $1,788 1.0×
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines		 $2,137.89–$2,145.76 $5,331.38–$5,351 varies
Aspiration/Release Vitreous Subretinal/Choroidal (67015) $2,891.62 $7,211 1.2×
Avulsion nail plate partial/complete simple 1 (11730) $344.86 $860 1.7×
Biopsy Abdominal Mass (49180) $1,734.73 $4,326 1.0×
Biopsy bone trocar/needle deep (20225)
range across 2 matching MRF lines		 $1,734.73–$1,735.95 $4,326–$4,329.03 varies
Biopsy Bone Trocar/Needle Superficial (20220)
range across 2 matching MRF lines		 $1,732.61–$1,734.73 $4,320.72–$4,326 varies
Biopsy external ear (69100) $449.12 $1,120 1.8×
Biopsy muscle percutaneous needle (20206)
range across 3 matching MRF lines		 $1,734.73–$1,736.75 $4,326–$4,331.02 varies
Biopsy nail unit (11755) $716.99 $1,788 1.0×
Biopsy of conjunctiva (68100) $2,185.45 $5,450 0.9×
Biopsy of cornea (65410) $2,445.70 $6,099 1.0×
Biopsy of liver, needle; percutaneous (47000)
range across 3 matching MRF lines		 $1,303.54–$1,312.37 $3,250.70–$3,272.73 varies
Biopsy of rectum (45100) $2,627.36 $6,552 0.9×
Biopsy of urethra (53200) $2,615.73 $6,523 1.2×
Biopsy Pleura Percutaneous Needle (32400) $1,765.61 $4,403 1.0×
Biopsy Salivary Gland Incisional (42405) $2,031.87 $5,067 1.3×
Biopsy Salivary Gland Needle (42400) $899.85 $2,244 1.2×
Biopsy soft tissue neck/thorax (21550) $1,734.73 $4,326 1.0×
Biopsy Tongue Anterior Two-Thirds (41100)
range across 2 matching MRF lines		 $792.78–$817.24 $1,977–$2,038 varies
Biopsy Vaginal Mucosa Simple (57100)
range across 4 matching MRF lines		 $1,828.97–$1,922.28 $4,561–$4,793.69 varies
Biopsy Vulva/Perineum 1 Lesion Spx (56605)
range across 2 matching MRF lines		 $1,303.76–$1,304.86 $3,251.26–$3,254 varies
Bladder instillation anticarcinogenic agent (51720)
range across 2 matching MRF lines		 $551.38–$551.45 $1,375–$1,375.17 varies
Bladder Irrigation (51700) $372.93 $930 1.4×
Bladder Scan (51798)
range across 5 matching MRF lines		 $75.39–$76.97 $188–$191.92 varies
Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206)
range across 2 matching MRF lines		 $1,991.77–$2,099.64 $4,967–$5,236 varies
Blepharotomy drainage abscess eyelid (67700) $308.37 $769 0.9×
Blood Transfusion Service (36430)
range across 15 matching MRF lines		 $444.31–$584.66 $1,108–$1,458 varies
Blood/Lymph System Procedure (38999) $10,511.02 $26,212 23.1×
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines		 $1,734.73–$1,776.03 $4,326–$4,429 varies
Bone marrow harvest allogen (38230) $1,573.13 $3,923 1.0×
Bone Marrow; Aspiration Only (38220) $1,518.19 $3,786 0.9×
Brnchsc Brushing/Protected Brushings (31623) $1,626.86 $4,057 0.9×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652)
range across 2 matching MRF lines		 $3,404.90–$3,408.50 $8,491–$8,500 varies
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653)
range across 2 matching MRF lines		 $3,398.35–$3,408.50 $8,474.69–$8,500 varies
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $3,408.50 $8,500 0.9×
Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) $3,354.37 $8,365 0.9×
Bronchoscopy Clear Airways (31645) $1,624.97 $4,052.27 0.9×
Bronchoscopy W/Biopsy(S) (31625) $1,626.86 $4,057 0.9×
Bronchoscopy W/Removal Foreign Body (31635)
range across 2 matching MRF lines		 $1,591.77–$1,626.86 $3,969.50–$4,057 varies
Bronchoscopy w/transbronchial lung bx 1 lobe (31628)
range across 2 matching MRF lines		 $2,947.90–$2,951.36 $7,351.37–$7,360 varies
Bronchoscopy/Needle Bx Each (31629) $3,408.50 $8,500 0.9×
Bx breast 1st lesion mr imag (19085) $1,734.73 $4,326 1.0×
Bx breast 1st lesion strtctc (19081)
range across 2 matching MRF lines		 $1,734.73–$2,602.09 $4,326–$6,489 varies
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines		 $1,734.73–$2,602.09 $4,326–$6,489 varies
Bx Cervix (57500)
range across 3 matching MRF lines		 $1,654.53–$1,739.38 $4,126–$4,337.60 varies
Bx/exc lymph node open deep axillary node (38525) $3,976.72 $9,917 1.0×
Bx/exc lymph node open superficial (38500) $3,976.72 $9,917 1.0×
Car-t admn autologous (38228) $362.91 $905 1.1×
Catheter aspiration nasotracheal spx (31720) $305.97 $763 1.4×
Cessj Therapy Cath Removal (37214) $3,331.91 $8,309 1.0×
Change Cystostomy Tube Complicated (51710) $690.53 $1,722 1.0×
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $421.24–$421.86 $1,050.45–$1,052 varies
Change of Windpipe Airway (31502) $421.86 $1,052 1.7×
Change ureter stent percut (50382) $2,310.57 $5,762 1.1×
Chemical Cautery Tissue (17250)
range across 4 matching MRF lines		 $199.58–$206.82 $497.71–$515.75 varies
Chemodenerv 1 extrem 5/> mus (64644)
range across 2 matching MRF lines		 $761.86–$765.91 $1,899.89–$1,910 varies
Chemodenerv 1 extremity 1-4 (64642) $721.40 $1,799 1.0×
Chemodenerv Musc Migraine (64615)
range across 2 matching MRF lines		 $606.61–$610.33 $1,512.73–$1,522 varies
Chemodenerv musc neck dyston (64616)
range across 2 matching MRF lines		 $619.55–$929.32 $1,545–$2,317.50 varies
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $298.75 $745 0.9×
Chemodenerv trunk musc 1-5 (64646) $721.40 $1,799 1.0×
Chemodenerv trunk musc 6/> (64647) $710.98 $1,773 1.0×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 3 matching MRF lines		 $349.28–$532.33 $871–$1,327.50 varies
Chest tube placement (32551)
range across 5 matching MRF lines		 $1,430.77–$2,253.83 $3,568–$5,620.50 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688)
range across 2 matching MRF lines		 $2,145.76–$3,218.63 $5,351–$8,026.50 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $3,785.04 $9,439 1.0×
Chorionic Villus Sampling (59015)
range across 2 matching MRF lines		 $737.04–$777.14 $1,838–$1,938 varies
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $1,620.04–$1,659.74 $4,040–$4,139 varies
Clear outer ear canal (69200)
range across 3 matching MRF lines		 $128.73–$193.09 $321–$481.50 varies
Closed Treat Vert Body Fract (22310) $619.55 $1,545 2.4×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $712.58 $1,777 2.8×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $712.58 $1,777 2.8×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $541.76 $1,351 2.1×
Closed Treatment Sternum Fracture (21820) $362.11 $903 1.4×
Closed Treatment Ulnar Styloid Fracture (25650) $609.93 $1,521 2.4×
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $658.45–$691.73 $1,642–$1,725 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,659.74 $4,139 1.0×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $627.57 $1,565 2.5×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $473.59 $1,181 1.9×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $513.28 $1,280 2.0×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500)
range across 2 matching MRF lines		 $623.16–$638.40 $1,554–$1,592 varies
Closed tx knee dislocation w/o anesthesia (27550) $638.40 $1,592 2.5×
Closed Tx Lunate Dislocation W/Manipulation (25690) $1,659.74 $4,139 1.0×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $779.55 $1,944 1.4×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 3 matching MRF lines		 $621.55–$627.57 $1,550–$1,565 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,659.74 $4,139 1.0×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,698.24 $4,235 1.1×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $3,291.01 $8,207 1.0×
Closed tx patellar dislocation w/anesthesia (27562) $895.04 $2,232 3.5×
Closed tx patellar dislocation w/o anesthesia (27560) $627.57 $1,565 2.5×
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines		 $626.41–$627.57 $1,562.12–$1,565 varies
Closed tx radial head/neck fx w/manipulation (24655) $1,501.35 $3,744 0.9×
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $627.57–$941.35 $1,565–$2,347.50 varies
Closed tx radial shaft fracture w/manipulation (25505) $1,659.74 $4,139 1.0×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 2 matching MRF lines		 $456.80–$459.95 $1,139.14–$1,147 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $1,657.10–$1,659.74 $4,132.40–$4,139 varies
Closed tx radial&ulnar shaft fractures w/o man (25560) $522.91 $1,304 2.1×
Closed Tx Scapular Fracture W/O Manipulation (23570) $451.93 $1,127 1.8×
Closed Tx Talus Fracture W/Manipulation (28435) $1,659.74 $4,139 1.0×
Closed tx talus fracture w/o manipulation (28430) $415.84 $1,037 1.6×
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 3 matching MRF lines		 $254.51–$378.65 $634.67–$944.25 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,483.30 $3,699 0.9×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $498.85 $1,244 2.0×
Closed tx ulnar shaft fracture w/o manipulation (25530) $507.67 $1,266 2.0×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $370.53 $924 1.5×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $704.16 $1,756 1.3×
Closure lacrimal punctum (68760)
range across 4 matching MRF lines		 $419.85–$645.41 $1,047–$1,609.50 varies
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines		 $618.65–$619.55 $1,542.76–$1,545 varies
Clsd tx fx orbit except blowout w/o manipulation (21400) $725.81 $1,810 1.3×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $411.83 $1,027 1.6×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,659.74 $4,139 1.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 3 matching MRF lines		 $618.72–$619.55 $1,542.93–$1,545 varies
Clsr Lacrimal Punctum Plug Each (68761)
range across 5 matching MRF lines		 $589.88–$914.49 $1,471–$2,280.50 varies
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $734.64 $1,832 2.9×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,483.30 $3,699 0.9×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $1,593.18 $3,973 1.0×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $527.72 $1,316 2.1×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $579.85 $1,446 2.3×
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $696.41–$700.15 $1,736.67–$1,746 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 4 matching MRF lines		 $620.05–$627.57 $1,546.25–$1,565 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $532.13 $1,327 2.1×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 3 matching MRF lines		 $617.90–$621.83 $1,540.89–$1,550.69 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 5 matching MRF lines		 $617.54–$941.35 $1,540–$2,347.50 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 4 matching MRF lines		 $1,658.20–$2,489.61 $4,135.14–$6,208.50 varies
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,659.74 $4,139 1.0×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $638.40 $1,592 2.5×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $638.40 $1,592 2.5×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,659.74 $4,139 1.0×
Cltx fx grt toe phlx/phlg w/manj (28495) $619.55 $1,545 2.4×
Cltx fx grt toe phlx/phlg w/o manj (28490) $362.11 $903 1.4×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $473.59 $1,181 1.9×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $619.55 $1,545 2.4×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,659.74 $4,139 1.0×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $627.57 $1,565 2.5×
Cltx greater humeral tuberosity fx w/o manj (23620)
range across 2 matching MRF lines		 $625.06–$627.57 $1,558.75–$1,565 varies
Cltx Greater Trochanteric Fx W/O Manj (27246) $696.54 $1,737 2.7×
Cltx hip dislocation traumatic req anesthesia (27252) $1,817.34 $4,532 1.1×
Cltx hip dislocation traumatic w/o anesthesia (27250) $627.57 $1,565 2.5×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $627.57 $1,565 2.5×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,545.86 $3,855 0.9×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $619.55 $1,545 2.4×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238)
range across 2 matching MRF lines		 $1,580.35–$1,659.74 $3,941–$4,139 varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $344.86–$362.11 $860–$903 varies
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 3 matching MRF lines		 $613.62–$619.55 $1,530.20–$1,545 varies
Cltx Med Ankle Fx W/Mnpj (27762) $1,676.59 $4,181 1.0×
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $583.81–$585.46 $1,455.88–$1,460 varies
Cltx metacarpal fx w/manipulation each bone (26605) $568.22 $1,417 2.2×
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 3 matching MRF lines		 $626.07–$627.57 $1,561.25–$1,565 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $606.32 $1,512 2.4×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 4 matching MRF lines		 $385.50–$410.63 $961.33–$1,024 varies
Cltx post hip arthrp dislc req anes (27266) $1,659.74 $4,139 1.0×
Cltx post hip arthrp dislc w/o anes (27265)
range across 4 matching MRF lines		 $703.36–$923.31 $1,754–$2,302.50 varies
Cltx prox fibula/shft fx w/manj (27781) $1,659.74 $4,139 1.0×
Cltx prox fibula/shft fx w/o manj (27780)
range across 3 matching MRF lines		 $624.84–$627.57 $1,558.18–$1,565 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 2 matching MRF lines		 $1,946.86–$2,013.43 $4,855–$5,021 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 3 matching MRF lines		 $623.27–$627.57 $1,554.29–$1,565 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,659.74 $4,139 1.0×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,483.30 $3,699 0.9×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,659.74 $4,139 1.0×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $644.01 $1,606 2.5×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $668.07 $1,666 2.6×
Cltx tibial fx proximal w/o manipulation (27530)
range across 2 matching MRF lines		 $645.45–$648.02 $1,609.58–$1,616 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $625.56–$627.57 $1,560–$1,565 varies
Cltx trimalleolar ankle fx w/manipulation (27818) $1,659.74 $4,139 1.0×
Cltx trimalleolar ankle fx w/o manipulation (27816) $550.98 $1,374 2.2×
Collect Blood From Catheter Venous Nos (36592)
range across 4 matching MRF lines		 $136.75–$157.87 $341–$393.67 varies
Collection of venous blood by venipuncture (36415)
range across 10 matching MRF lines		 $18.32–$22.70 $45.67–$56.60 varies
Colonoscopy Flexible With Decompression (45393) $1,054.33 $2,629.25 0.9×
Colonoscopy Stoma Ablation Lesion (44401) $1,261.95 $3,147 1.0×
Colonoscopy Stoma W/Submucosal Injection (44404) $1,057.44 $2,637 0.9×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $1,262.75 $3,149 1.0×
Colonoscopy thru stoma (44388) $929.12 $2,317 1.0×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394)
range across 2 matching MRF lines		 $1,053.83–$1,057.44 $2,628–$2,637 varies
Colonoscopy w/ablation (45388) $1,060.65 $2,645 0.9×
Colonoscopy w/fb removal (45379) $1,057.44 $2,637 0.9×
Colonoscopy W/Resection (45390)
range across 2 matching MRF lines		 $1,998.99–$2,498.74 $4,985–$6,231.25 varies
Colonoscopy w/submucosal inj (45381)
range across 4 matching MRF lines		 $1,056.86–$1,057.93 $2,635.55–$2,638.22 varies
Colporrhaphy (57200) $3,270.56 $8,156 1.0×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454)
range across 2 matching MRF lines		 $778.06–$778.35 $1,940.29–$1,941 varies
Colposcopy Cervix Endocervical Curettage (57456)
range across 2 matching MRF lines		 $448.63–$449.12 $1,118.77–$1,120 varies
Colposcopy cervix upper/adjacent vagina (57452) $510.88 $1,274 2.4×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $628.77 $1,568 2.0×
Colposcopy cervix vag eltrd conization cervix (57461) $3,270.56 $8,156 1.0×
Colposcopy entire vagina w/cervix if present (57420)
range across 2 matching MRF lines		 $448.22–$449.12 $1,117.75–$1,120 varies
Colposcopy of vulva (56820)
range across 2 matching MRF lines		 $234.82–$234.99 $585.56–$586 varies
Colposcopy Vulva W/Biopsy (56821) $407.84 $1,017.04 1.3×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $814.03 $2,030 0.9×
Colsc Flexible W/Control Bleeding Any Method (45382)
range across 2 matching MRF lines		 $1,220.65–$1,222.97 $3,044–$3,049.80 varies
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $1,332.53 $3,323 1.1×
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 3 matching MRF lines		 $1,057.44–$1,065.86 $2,637–$2,658 varies
Complex Cystometrogram (51726) $591.03 $1,473.89 2.3×
Complex drainage wound (10180) $2,988.26 $7,452 1.0×
Conization cervix w/wo d&c rpr eltrd exc (57522) $3,350.36 $8,355 1.0×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 6 matching MRF lines		 $182.46–$287.52 $455–$717 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 4 matching MRF lines		 $136.34–$214.74 $340–$535.50 varies
Control oropharyngeal hemorrhage simple (42960) $550.18 $1,372 1.0×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446)
range across 3 matching MRF lines		 $1,779.41–$1,781.38 $4,437.41–$4,442.33 varies
Convert Nephrostomy Catheter (50434) $1,501.35 $3,744 0.7×
Cordocentesis (59012) $627.57 $1,565 2.0×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,765.61 $4,403 1.0×
Cornea Scraping Diagnostic Smear &/Culture (65430) $469.17 $1,170 1.0×
Correction of trichiasis; epilation, by forceps only (67820) $128.73 $321 0.9×
Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical,… (61791)
range across 3 matching MRF lines		 $2,687.71–$2,760.17 $6,702.50–$6,883.21 varies
Csf shunt reprogram (62252)
range across 3 matching MRF lines		 $413.84–$434.69 $1,032–$1,084 varies
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $257.45–$270.68 $642–$675 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $234.99 $586 1.0×
Curette/treat cornea (65435) $964.01 $2,404 0.9×
Cysto calibration dilat urtl strix/stenosis (52281) $2,145.76 $5,351 1.0×
Cysto w/insert ureteral stent (52332) $3,707.65 $9,246 1.0×
Cysto w/irrig & evac multple obstructing clots (52001) $3,707.65 $9,246 1.0×
Cysto W/Simple Removal Stone & Stent (52310)
range across 2 matching MRF lines		 $2,140.56–$2,145.76 $5,338.03–$5,351 varies
Cystometrogram W/Vp (51728) $642.81 $1,603 0.9×
Cystostomy Cystotomy W/Drainage (51040) $2,381.94 $5,940 1.1×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $2,145.76 $5,351 1.0×
Cystourethroscopy (52000) $746.67 $1,862 1.0×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $647.62 $1,615 1.5×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $641.94–$642.01 $1,600.83–$1,601 varies
Debride nail 1-5 (11720) $141.16 $352 2.3×
Debride nail 6 or more (11721) $159.60 $398 2.6×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $1,734.73–$1,735.33 $4,326–$4,327.50 varies
Debridement Mastoidectomy Cavity Simple (69220) $263.06 $656 1.3×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 4 matching MRF lines		 $445.85–$468.77 $1,111.82–$1,169 varies
Declot vascular device (36593)
range across 5 matching MRF lines		 $321.82–$346.87 $802.54–$865 varies
Delivery of placenta (59414) $2,095.63 $5,226 0.6×
Destroy cerv/thor facet jnt (64633)
range across 4 matching MRF lines		 $1,991.15–$3,118.78 $4,965.44–$7,777.50 varies
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines		 $2,102.45–$3,153.67 $5,243–$7,864.50 varies
Destruc retinal lesn,photocoag (67210) $773.53 $1,929 1.4×
Destruct B9 Lesion 1-14 (17110) $196.18 $489.22 0.9×
Destruction Benign Lesions 15/> (17111) $263.06 $656 1.3×
Destruction by neurolytic agent, intercostal nerve (64620)
range across 2 matching MRF lines		 $1,030.98–$1,546.46 $2,571–$3,856.50 varies
Destruction Internal Hemorrhoid Thermal Energy (46930) $1,237.49 $3,086 1.0×
Destruction Lesions Vulva Simple (56501) $2,154.18 $5,372 1.0×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $260.25 $649 1.3×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $610.33 $1,522 2.9×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $610.33 $1,522 2.9×
Destruction neurolytic agt genicular nerve w/img (64624) $2,102.45 $5,243 1.0×
Destruction of skin lesions (17106) $1,591.17 $3,968 3.8×
Destruction premalignant lesion 1st (17000) $200.50 $500 1.0×
Destruction Vaginal Lesions Simple (57061) $3,270.56 $8,156 1.0×
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines		 $811.63–$811.86 $2,024–$2,024.57 varies
Dilate Esophagus 1/Mult Pass (43450) $862.96 $2,152 0.9×
Dilate Urethra Stricture (53600) $429.07 $1,070 1.7×
Dilation & curettage dx&/ther nonobstetric (58120) $3,270.56 $8,156 1.0×
Dilation Esophagus Guide Wire (43453) $1,502.55 $3,747 0.8×
Dilation Lacrimal Punctum W/WO Irrgation (68801) $619.55 $1,545 1.3×
Drain Cerebro Spinal Fluid (62272) $710.98 $1,773 1.0×
Drain Spinal Cord Cyst (62268) $992.48 $2,475 1.1×
Drain/inj small joint/bursa w/us (20604) $325.22 $811 1.0×
Drainage external ear abscess/hematoma cmplx (69005) $1,734.73 $4,326 1.0×
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $607.02–$614.34 $1,513.75–$1,532 varies
Drainage Mouth Roof Lesion (42000)
range across 2 matching MRF lines		 $351.48–$360.10 $876.50–$898 varies
Drainage of eye (65800)
range across 2 matching MRF lines		 $2,378.74–$2,497.83 $5,932–$6,229 varies
Drainage of finger abscess simple (26010) $253.44 $632 1.2×
Drainage of gum lesion (41800)
range across 2 matching MRF lines		 $230.32–$230.58 $574.36–$575 varies
Drainage of hematoma/fluid (10140) $1,734.73 $4,326 1.0×
Drainage of hydrocele (55000) $731.43 $1,824 1.0×
Drainage of nose lesion (30000) $271.48 $677 1.1×
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $1,724.41–$1,734.73 $4,300.25–$4,326 varies
Drainage of scrotum (54700) $2,296.53 $5,727 1.1×
Draw Blood Off Venous Device (36591)
range across 5 matching MRF lines		 $131.67–$139.31 $328.33–$347.39 varies
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $610.33 $1,522 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $400.20 $998 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $295.54 $737 1.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 4 matching MRF lines		 $195.29–$208.66 $487–$520.33 varies
Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) $1,625.66 $4,054 2.1×
Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) $1,845.41 $4,602 0.9×
Dstrj Lesion Anus Simple Chemical (46900) $610.33 $1,522 1.5×
Dstrj lesion anus simple surg excision (46922) $2,691.12 $6,711 0.9×
Dstrj lesion choroid pc 1/> sess (67220) $1,200.60 $2,994 2.1×
Dstrj Lesion Choroid Photodynamic Therapy (67221) $782.76 $1,952 1.4×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines		 $1,109.57–$1,165.31 $2,767–$2,906 varies
Duodenal intubat w/imag guided multiple specimen (43757) $844.51 $2,106 0.9×
Dx Bone Marrow Bx & Aspir (38222)
range across 6 matching MRF lines		 $2,587.72–$3,889.30 $6,453.17–$9,699 varies
Dx Bronchoscope/Lavage (31624)
range across 3 matching MRF lines		 $1,626.18–$1,626.86 $4,055.29–$4,057 varies
Dx Bronchoscope/Wash (31622)
range across 2 matching MRF lines		 $1,626.99–$1,628.42 $4,057.32–$4,060.89 varies
Dx Laryngoscopy Excl Nb (31525) $1,626.86 $4,057 0.9×
Dx lmbr spi pnxr w/fluor/CT (62328) $933.53 $2,328 1.3×
Egd Balloon Dil Esoph30 Mm/> (43233) $1,809.18 $4,511.67 0.9×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 2 matching MRF lines		 $1,780.37–$1,780.85 $4,439.82–$4,441 varies
Egd cautery tumor polyp (43250) $1,780.85 $4,441 0.9×
Egd control bleeding any (43255)
range across 2 matching MRF lines		 $1,780.15–$1,780.85 $4,439.26–$4,441 varies
Egd dilation gastric/duodenal stricture (43245) $1,780.85 $4,441 0.9×
Egd endo mucosal resection (43254)
range across 2 matching MRF lines		 $1,771.40–$1,780.85 $4,417.44–$4,441 varies
Egd Endoscopic Stent Place (43266) $5,493.30 $13,699 0.9×
Egd Flexible Foreign Body Removal (43247) $1,156.89 $2,885 1.2×
Egd guide wire insertion (43248) $876.34 $2,185.38 0.9×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $1,780.85 $4,441 0.9×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $1,962.10 $4,893 1.0×
Egd intrmural us needle aspirate/biopsy esophags (43238) $1,780.85 $4,441 0.9×
Egd lesion ablation (43270) $1,780.85 $4,441 0.9×
Egd place gastrostomy tube (43246) $1,780.85 $4,441 0.9×
Egd remove lesion snare (43251)
range across 4 matching MRF lines		 $1,695.83–$1,780.85 $4,229–$4,441 varies
Egd Tube/Cath Insertion (43241) $1,778.77 $4,435.83 0.9×
Egd us exam duodenum/jejunum (43259)
range across 2 matching MRF lines		 $1,889.92–$1,891.92 $4,713–$4,718 varies
Egd us transmural injxn/mark (43253) $1,780.85 $4,441 0.9×
Egd Varices Ligation (43244) $1,779.94 $4,438.74 0.9×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367)
range across 2 matching MRF lines		 $427.74–$434.69 $1,066.67–$1,084 varies
Electro-Uroflowmetry First (51741) $231.61 $577.57 1.0×
Endocervical curettage (57505) $1,246.19 $3,107.69 1.3×
Endometrial Biopsy (58100)
range across 4 matching MRF lines		 $190.08–$217.45 $474–$542.25 varies
Endoscopic us exam esoph (43237)
range across 2 matching MRF lines		 $1,779.43–$1,780.85 $4,437.47–$4,441 varies
Endoscopy Upper Small Intestine (44360) $1,780.85 $4,441 0.9×
Endoscopy upper small intestine w/biopsy (44361) $1,780.85 $4,441 0.9×
Endovasc Temp Balloon Occlus,Head/Nck (61623) $12,277.82 $30,618 1.0×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $3,446.20 $8,594 1.1×
Endoven abltj incmptnt vein xtr rf 1st vein (36475)
range across 3 matching MRF lines		 $3,444.77–$5,150.33 $8,590.43–$12,843.69 varies
Endoven ther chem adhes 1st (36482)
range across 5 matching MRF lines		 $5,756.09–$8,704.91 $14,354.33–$21,708 varies
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $1,780.85 $4,441 0.9×
Epidural Blood Patch (62273)
range across 3 matching MRF lines		 $715.55–$719 $1,784.40–$1,793 varies
Episiotomy or vaginal repair (59300)
range across 2 matching MRF lines		 $3,049.71–$3,086.50 $7,605.25–$7,697 varies
Ercp remove forgn body duct (43275) $3,080.09 $7,681 1.6×
Esophagogastroduodenoscopy Submucosal Injection (43236)
range across 3 matching MRF lines		 $1,054.76–$1,061.45 $2,630.31–$2,647 varies
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $1,780.85 $4,441 0.9×
Esophagoscopy Flexible Transoral Diagnostic (43200) $899.45 $2,243 1.0×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $1,780.85 $4,441 0.9×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $133.14–$134.74 $332–$336 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $1,001.70 $2,498 1.4×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines		 $1,652.12–$1,734.73 $4,120–$4,326 varies
Exc back tum deep < 5 cm (21932) $2,988.26 $7,452 1.0×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $843.21 $2,102.75 1.2×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $907.87 $2,264 1.2×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,734.73 $4,326 1.0×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $1,218.64 $3,039 1.7×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $1,734.73 $4,326 1.0×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840)
range across 2 matching MRF lines		 $917.89–$964.01 $2,289–$2,404 varies
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 3 matching MRF lines		 $1,083.51–$1,139.86 $2,702–$2,842.53 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $1,734.73 $4,326 1.0×
Exc Skin Benig >4 Cm Remaindr Body (11426) $2,988.26 $7,452 1.0×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,734.73 $4,326 1.0×
Exc thigh/knee les sc 3 cm/> (27337) $2,988.26 $7,452 1.0×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $2,073.17 $5,170 1.7×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $521.30 $1,300 1.2×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $826.87 $2,062 1.1×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,734.73 $4,326 1.0×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,734.73 $4,326 1.0×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536)
range across 3 matching MRF lines		 $3,782.42–$3,792.57 $9,432.46–$9,457.77 varies
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 6 matching MRF lines		 $2,139.23–$3,218.63 $5,334.72–$8,026.50 varies
Exchange Transfusion (36455) $1,317.29 $3,285 2.9×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423)
range across 2 matching MRF lines		 $1,774.77–$1,780.85 $4,425.86–$4,441 varies
Excision Aural Polyp (69540) $1,713.08 $4,272 1.1×
Excision Chalazion Multiple Same Lid (67801) $964.01 $2,404 0.9×
Excision Chalazion Single (67800) $331.23 $826 1.0×
Excision Lesion Conjunctiva </1 Cm (68110) $2,445.70 $6,099 1.0×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $1,320.90 $3,294 1.8×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $541.35 $1,350 1.3×
Excision Multiple External Papillae/Tags Anus (46230) $2,627.36 $6,552 0.9×
Excision of chalazion; multiple, different lids (67805) $634.39 $1,582 1.9×
Excision of pilonidal cyst or sinus; simple (11770) $2,988.26 $7,452 1.0×
Excision of single external papilla or tag, anus (46220) $1,484.51 $3,702 1.2×
Excision of vaginal cyst or tumor (57135) $3,270.56 $8,156 1.0×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $2,128.11 $5,307 1.2×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $2,044.30 $5,098 1.2×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $2,988.26 $7,452 1.0×
Explo/Drain Breast Abscess (19020) $2,013.43 $5,021 1.2×
External cephalic version (59412)
range across 2 matching MRF lines		 $3,084.88–$3,086.50 $7,692.97–$7,697 varies
Fasciotomy, foot and/or toe (28008)
range across 2 matching MRF lines		 $3,360.99–$3,442.99 $8,381.50–$8,586 varies
Fetal non-stress test (59025)
range across 11 matching MRF lines		 $267.79–$280.50 $667.80–$699.48 varies
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $882.20 $2,200 1.2×
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $360.90–$368.82 $900–$919.75 varies
Fluid Pressure Muscle (20950) $716.99 $1,788 1.0×
Fluoro exam of g/colon tube (49465)
range across 2 matching MRF lines		 $564.21–$565.01 $1,407–$1,409 varies
Fna bx w/us gdn 1st les (10005)
range across 3 matching MRF lines		 $772.20–$1,183.46 $1,925.67–$2,951.25 varies
Foreskin manipulation (54450) $528.92 $1,319 2.1×
Gi ibd ia quan deter ifx levels venous serum (0515U) $676.89 $1,688 17.5×
Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) $396.99 $990 10.9×
Guide Cathet Fluid Drainage (10030) $729.42 $1,819 1.0×
Hem vw ds vw factor & collagen IV binding elisa (0280U) $404.01 $1,007.50 23.4×
Hem vw factor&clgn iii bndg (0279U) $175.44 $437.50 15.2×
Hem Vwd Propeptide Ag Lvl (0281U) $216.54 $540 12.5×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 2 matching MRF lines		 $811.63–$815.17 $2,024–$2,032.82 varies
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $359.60–$360.10 $896.74–$898 varies
I&d abscess simple (10060)
range across 4 matching MRF lines		 $285.88–$294.34 $712.90–$734 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $2,845.90 $7,097 0.9×
I&D Deep Absc/Hematoma Neck/Chest (21501) $2,988.26 $7,452 1.0×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $810.22–$811.63 $2,020.49–$2,024 varies
I&d pilonidal cyst complicated (10081) $1,437.99 $3,586 2.0×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $665.56–$666.47 $1,659.75–$1,662 varies
Icd Pocket Revision (33223) $1,985.76 $4,952 0.9×
Ileoscopy Stoma W/Balloon Dilation (44381) $1,607.61 $4,009 0.8×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $1,381.85 $3,446 1.5×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $929.12 $2,317 1.0×
Image Cath Fluid Colxn Visc (49405) $1,797.69 $4,483 1.1×
Image Cath Fluid Peri/Retro (49406)
range across 2 matching MRF lines		 $1,734.37–$1,734.73 $4,325.09–$4,326 varies
Image Cath Fluid Trns/Vgnl (49407) $1,734.73 $4,326 1.0×
Implant neuroelectrodes (63650) $7,446.98 $18,571 1.1×
Incise external hemorrhoid (46083) $294.74 $735 1.1×
Incise tendon(s) & muscle(s) (23406) $8,850.07 $22,070 1.2×
Incise/Drain Conjunctiva (68020) $964.01 $2,404 0.9×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $410.92–$412.23 $1,024.73–$1,028 varies
Incision & removal foreign body subq tiss compl (10121) $1,734.73 $4,326 1.0×
Incision & removal foreign body subq tiss simple (10120) $597.90 $1,491 1.4×
Incision and drainage of bartholin's gland abscess (56420) $201.71 $503 1.0×
Incision and drainage of vulva or perineal abscess (56405)
range across 4 matching MRF lines		 $324.01–$330.03 $808–$823 varies
Incision of eardrum (69421) $4,017.62 $10,019 1.2×
Incision of lingual frenum (frenotomy) (41010) $1,591.57 $3,969 1.0×
Incision of rectal abscess (46040) $1,795.28 $4,477 1.5×
Incision of urethra (53020) $2,145.76 $5,351 1.0×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,765.61 $4,403 1.0×
Incisional biopsy eyelid skin & lid margin (67810) $318.80 $795 1.0×
Incisional biopsy skin single lesion (11106)
range across 3 matching MRF lines		 $589.07–$621.22 $1,469–$1,549.17 varies
Initial Tx 1st Degree Burn Local Tx (16000) $198.10 $494 1.0×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 3 matching MRF lines		 $1,156.02–$1,747.96 $2,882.83–$4,359 varies
Inj W/Fluor Eval Cv Device (36598)
range across 2 matching MRF lines		 $610.33–$610.83 $1,522–$1,523.24 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,150.87 $2,870 1.3×
Inject Intravitreal Pharmcologic (67028)
range across 4 matching MRF lines		 $465.57–$700.95 $1,161–$1,748 varies
Injection 1 tendon sheath/ligament aponeurosis (20550) $579.85 $1,446 1.8×
Injection aa&/strd axillary nerve w/img gdn (64417) $1,519.79 $3,790 1.7×
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines		 $887.02–$1,330.52 $2,212–$3,318 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,119.20 $2,791 1.2×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 5 matching MRF lines		 $864.16–$1,361.20 $2,155–$3,394.50 varies
Injection Anes Agent Sphenopalatine Ganglion (64505) $298.75 $745 0.9×
Injection Anes Superior Hypogastric Plexus (64517)
range across 2 matching MRF lines		 $1,006.31–$1,030.98 $2,509.50–$2,571 varies
Injection anesthetic agent suprascapular nerve (64418) $710.98 $1,773 1.0×
Injection for identification of sentinel node (38792)
range across 8 matching MRF lines		 $419.45–$661.05 $1,046–$1,648.50 varies
Injection medication/other subst tenon capsule (67515) $647.62 $1,615 2.0×
Injection single tendon origin/insertion (20551) $382.56 $954 1.2×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines		 $293.94–$309.21 $733–$771.09 varies
Injection single/mlt trigger point 3/> muscles (20553) $449.93 $1,122 1.4×
Injection Sinus Tract Therapeutic Separate Proc (20500) $1,606.01 $4,005 1.0×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 7 matching MRF lines		 $1,178.54–$1,807.91 $2,939–$4,508.50 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 9 matching MRF lines		 $743.06–$1,170.52 $1,853–$2,919 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 12 matching MRF lines		 $1,178.54–$1,827.96 $2,939–$4,558.50 varies
Injection, Intralesional; More Than 7 Lesions (11901) $266.67 $665 1.3×
Injection, intralesional; up to and including 7 lesions (11900)
range across 3 matching MRF lines		 $253.84–$287.52 $633–$717 varies
Injx anterior chamber eye air/liquid spx (66020) $2,497.83 $6,229 1.0×
Injx Anterior Chamber Eye Medication Spx (66030)
range across 2 matching MRF lines		 $2,378.74–$3,746.75 $5,932–$9,343.50 varies
Ins cath ren art 1st bilat (36252) $3,470.66 $8,655 1.1×
Ins cath ren art 1st unilat (36251)
range across 2 matching MRF lines		 $3,470.66–$3,572.11 $8,655–$8,908 varies
Ins cath ren art 2nd+ bilat (36254) $3,470.66 $8,655 1.1×
Ins cath ren art 2nd+ unilat (36253)
range across 5 matching MRF lines		 $5,661.72–$5,944.83 $14,119–$14,825 varies
Ins endovas vena cava filtr (37191) $5,944.83 $14,825 1.0×
Ins Vag Brachytx Device (57156) $559.80 $1,396 1.8×
Ins/Rep Subq Defibrillator (33270) $36,025.84 $89,840 1.1×
Insert 1 Electrode Pm-Defib (33216) $9,250.27 $23,068 1.1×
Insert Bladder Cath Complex (51703) $348.87 $870 2.6×
Insert cath pleura w/ image (32557)
range across 3 matching MRF lines		 $1,721.27–$2,582.24 $4,292.42–$6,439.50 varies
Insert cath pleura w/o image (32556)
range across 2 matching MRF lines		 $1,780.85–$2,671.27 $4,441–$6,661.50 varies
Insert cervical dilator (59200)
range across 3 matching MRF lines		 $489.84–$491.84 $1,221.53–$1,226.51 varies
Insert Drug Implant Device (11981)
range across 2 matching MRF lines		 $624.74–$625.56 $1,557.95–$1,560 varies
Insert Gastrostomy Tube Percutaneous (49440)
range across 2 matching MRF lines		 $1,780.85–$1,781.09 $4,441–$4,441.60 varies
Insert Heart Pm Atrial (33206) $12,350.80 $30,800 1.1×
Insert Heart Pm Ventricular (33207)
range across 2 matching MRF lines		 $12,309.76–$12,350.80 $30,697.65–$30,800 varies
Insert hepatic shunt (tips) (37182)
unusually low: confirm this is the full procedure		 $8,622.71 $21,503 0.5×
Insert non-tunnel cv cath (36556)
range across 4 matching MRF lines		 $2,072.81–$2,082.98 $5,169.09–$5,194.45 varies
Insert Pacing Lead & Connect (33224)
range across 2 matching MRF lines		 $11,627–$11,876.42 $28,995–$29,617 varies
Insert pessary/other device (57160) $197.30 $492 0.9×
Insert Picc W/O Sub-Q Port <5 Y/O (36568)
range across 3 matching MRF lines		 $178.85–$1,725.51 $446–$4,303 varies
Insert pulse gen dual leads (33213) $12,231.11 $30,501.50 1.1×
Insert Pulse Gen Sngl Lead (33212) $9,441.55 $23,545 1.1×
Insert Temp Bladder Cath (51702)
range across 9 matching MRF lines		 $134.41–$169.43 $335.17–$422.50 varies
Insert tun ip cath perc (49418) $3,785.04 $9,439 1.0×
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $3,281.79–$3,446.20 $8,184–$8,594 varies
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
range across 2 matching MRF lines		 $5,534.55–$5,537.01 $13,801.85–$13,808 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $135.35–$135.54 $337.51–$338 varies
Insertion indwelling tunneled pleural catheter (32550)
range across 2 matching MRF lines		 $3,785.04–$5,677.56 $9,439–$14,158.50 varies
Insertion phrenic nerve stimulator system (33276) $39,954.44 $99,637 0.9×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,721.50 $4,293 1.1×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $9,320.05 $23,242 1.1×
Insertion Uterine Tandem&/Vaginal Ovoids (57155)
range across 3 matching MRF lines		 $2,643.40–$2,713.02 $6,592–$6,765.63 varies
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $9,250.27 $23,068 1.1×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555)
range across 2 matching MRF lines		 $2,614.12–$2,732.97 $6,519–$6,815.36 varies
Insj Picc Rs&I <5 Yr (36572) $816.84 $2,037 1.3×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 9 matching MRF lines		 $178.85–$1,747.45 $446–$4,357.71 varies
Insj Subq Impltbl Dfb Elctrd (33271) $9,250.27 $23,068 1.1×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) $3,446.20 $8,594 1.1×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 3 matching MRF lines		 $3,795.92–$3,797.86 $9,466.12–$9,470.95 varies
Insj/Rplcmt Defib W/Lead(S) (33249) $29,085.34 $72,532 0.9×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
range across 2 matching MRF lines		 $9,249.57–$9,250.27 $23,066.24–$23,068 varies
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) $9,441.55 $23,545 1.1×
Insrt heart pm atrial & vent (33208)
range across 3 matching MRF lines		 $12,618.51–$12,738.66 $31,467.60–$31,767.21 varies
Insrt Pulse Gen W/Mult Leads (33231) $35,821.33 $89,330 1.1×
Insrt Pulse Gen W/Singl Lead (33240) $25,665.21 $64,003 1.1×
Instlj ther agent renal pelvis&/ureter via tub (50391) $283.11 $706 1.1×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $1,575.93 $3,930 1.1×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $427.47 $1,066 1.0×
Intranasal Biopsy (30100) $1,606.01 $4,005 1.0×
Intraoral i&d tongue/floor sublngl supfc (41005) $240.60 $600 1.0×
Intraoral i&d tongue/floor submndblr space (41008) $3,291.01 $8,207 1.0×
Intro cath dialysis circuit (36901)
range across 2 matching MRF lines		 $1,721.50–$1,722.89 $4,293–$4,296.47 varies
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $12,277.82 $30,618 1.0×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $5,922.37 $14,769 1.0×
Intro Gastrointestinal Tube (44500)
range across 3 matching MRF lines		 $780.95–$800 $1,947.50–$1,995 varies
Intubation endotracheal emergency procedure (31500)
range across 7 matching MRF lines		 $321.61–$354.49 $802–$884 varies
Iridoplasty photocoagulation 1/> sessions (66762) $744.66 $1,857 1.3×
Iridotomy/irridectomy laser surg per session (66761)
range across 2 matching MRF lines		 $782.76–$1,174.13 $1,952–$2,928 varies
Irrigation of corpora cavernosa for priapism (54220) $294.74 $735 1.1×
Laryngoscopy diagnostic (31505) $236.59 $590 1.1×
Laryngoscopy flexible diagnostic (31575)
range across 3 matching MRF lines		 $525.72–$529.02 $1,311–$1,319.23 varies
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $534.54 $1,333 1.3×
Laser Surgery,Sever Vitreous Strands (67031) $782.76 $1,952 1.4×
Ligation of hemorrhoids (46946) $2,502.24 $6,240 0.9×
Ligation or biopsy temporal artery (37609) $1,974.53 $4,924 1.2×
Lyse chest fibrin init day (32561) $717.39 $1,789 1.1×
Lysis of labial adhesions (56441) $3,270.56 $8,156 1.0×
Lysis/excision penile postcircumcision adhesions (54162) $2,398.39 $5,981 1.1×
Maple syrup urine disease monitoring by patient-collected blood card sample, quantitative measurement of… (0381U) $306.77 $765 7.0×
Maternity Care Procedure (59899) $3,270.56 $8,156 15.7×
Mech remov tunneled cv cath (36595) $3,446.20 $8,594 1.1×
Multifetal Pregnancy Reduction (59866) $444.71 $1,109 1.4×
Myelography Lumbar Injection (62305) $671.28 $1,674 0.8×
Myelography Lumbar Injection (62304) $723.41 $1,804 0.9×
Myelography via lumbar injection rs&i cervical (62302) $723.41 $1,804 0.9×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $753.08 $1,878 0.9×
N Block Inj Celiac Pelus (64530) $1,413.93 $3,526 1.5×
N Block Inj Ilio-Ing/Hypogi (64425) $1,052.63 $2,625 1.4×
N block inj intercost sng (64420) $747.47 $1,864 1.0×
N Block Inj Paracervical (64435)
range across 3 matching MRF lines		 $786.70–$793.84 $1,961.83–$1,979.64 varies
N Block Inj Pudendal (64430)
range across 2 matching MRF lines		 $1,030.98–$1,546.46 $2,571–$3,856.50 varies
N Block Lumbar/Thoracic (64520) $1,030.98 $2,571 1.1×
Nasal Endoscopy Dx (31231)
range across 3 matching MRF lines		 $518.90–$643.61 $1,294–$1,605 varies
Nasal/Orogastric W/Tube Plmt (43752) $681.70 $1,700 1.5×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)
range across 2 matching MRF lines		 $2,187.46–$3,281.19 $5,455–$8,182.50 varies
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $929.12 $2,317 1.0×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $1,225.86 $3,057 1.3×
Needle Biopsy Lymph Nodes (38505)
range across 5 matching MRF lines		 $1,652.12–$2,478.18 $4,120–$6,180 varies
Needle Biopsy Pancreas (48102) $1,734.73 $4,326 1.0×
Needle insertion w/o injection 1 or 2 muscles (20560)
range across 3 matching MRF lines		 $20.91–$21.30 $52.14–$53.11 varies
Needle insertion w/o injection 3 or more muscles (20561)
range across 2 matching MRF lines		 $31.68–$31.77 $79–$79.22 varies
Neu prksn msfl a-syncln prtn (0393U) $1,052.63 $2,625 1.9×
Neuro alys b-amyl 1-42&1-40 (0358U) $737.04 $1,838 2.8×
Neuro alz ds beta amyl&tau prtn bld lc-ms/ms alg (0503U) $1,453.63 $3,625 1.9×
Nfct ds csf metagenomic ngs bioinformatic alys (0480U) $3,007.50 $7,500 1.4×
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $2,421.24 $6,038 1.1×
Njx anes stellate ganglion crv sympathetic (64510) $1,160.90 $2,895 1.3×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 4 matching MRF lines		 $595.49–$625.56 $1,485–$1,560 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $4,291.91 $10,703 1.2×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $3,785.04 $9,439 1.0×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 3 matching MRF lines		 $1,045.81–$1,568.72 $2,608–$3,912 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $710.98 $1,773 1.0×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 3 matching MRF lines		 $751.88–$1,127.82 $1,875–$2,812.50 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 4 matching MRF lines		 $694.14–$1,058.04 $1,731–$2,638.50 varies
Njx Sclrsnt 1 Incmptnt Vein (36470) $522.11 $1,302 1.2×
Njx Sclrsnt Mlt Incmptnt Vn (36471)
range across 3 matching MRF lines		 $505.53–$571.83 $1,260.67–$1,426 varies
Njx Sclrsnt Spider Veins (36468) $367.72 $917 0.9×
Obstructive material removal from gi tube (49460) $818.85 $2,042 0.9×
Occipital Nerve Block (64405)
range across 4 matching MRF lines		 $776.74–$1,223.46 $1,937–$3,051 varies
Onc pan-tumor DNA&RNA next-generation sequencing (0211U)
unusually low: confirm this is the full procedure		 $3,390.46 $8,455 0.4×
Onc pncrs DNA&mrna seq 74 (0313U) $786.97 $1,962.50 0.2×
Oncology (B-cell lymphoma classification), mRNA, gene expression profiling by fluorescent probe hybridization of 58… (0120U) $3,529.81 $8,802.50 1.4×
Open Implantation Nea Peripheral Nerve (64575) $16,720.50 $41,697 1.5×
Open Tx Distal Phalangeal Fracture Each (26765)
range across 2 matching MRF lines		 $3,278.98–$3,442.99 $8,177–$8,586 varies
Open tx interphalangeal joint dislocation (26785) $3,442.99 $8,586 1.0×
Open/Perq Place Stent 1St (37236)
range across 2 matching MRF lines		 $12,279.83–$18,419.74 $30,623–$45,934.50 varies
Open/Perq Place Stent Same (37238)
range across 2 matching MRF lines		 $11,978.68–$17,968.01 $29,872–$44,808 varies
Partial hymenectomy or revision of hymenal ring (56700) $3,270.56 $8,156 1.0×
Partical Excision Bone Phalanx Toe (28124) $3,442.99 $8,586 1.0×
Ped Whl Gen Mthyltn Alys 50+ (0318U) $1,804.50 $4,500 1.0×
Pelvic examination under anesthesia (other than local) (57410) $3,270.56 $8,156 1.0×
Penile Injection (54235) $296.34 $739 1.1×
Perc Cryo Ablate Renal Tum (50593) $10,511.02 $26,212 1.0×
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) $1,535.03 $3,828 1.1×
Percut Ablate Liver Rf (47382) $6,028.64 $15,034 1.0×
Percut Cath Occlusn Non Cns Lesn (61626) $12,277.82 $30,618 1.0×
Percut Drain/Inject Renal Cyst (50390) $1,217.44 $3,036 1.7×
Pericardiocentesis W/Imaging (33016)
range across 2 matching MRF lines		 $1,942.85–$1,962.77 $4,845–$4,894.67 varies
Perm Occlusion/Embolization,Percut,Cns (61624) $13,792.40 $34,395 0.7×
Perq Cervicothoracic Inject (22510) $3,442.99 $8,586 1.0×
Perq dev breast 1st us imag (19285)
range across 4 matching MRF lines		 $711.98–$1,094.13 $1,775.50–$2,728.50 varies
Perq device breast 1st imag (19281)
range across 4 matching MRF lines		 $823.26–$1,296.84 $2,053–$3,234 varies
Perq Lumbosacral Injection (22511)
range across 3 matching MRF lines		 $3,278.98–$3,479.44 $8,177–$8,676.89 varies
Perq p-art revsc st 1st abnor connj unilateral (33902)
unusually low: confirm this is the full procedure		 $9,308.82 $23,214 0.5×
Perq Radiofreq Ablation Tx, Pul Tumor (32998) $7,228.03 $18,025 1.2×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $716.99 $1,788 1.0×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $11,978.68 $29,872 1.0×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $6,189.04 $15,434 1.1×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
range across 2 matching MRF lines		 $7,590.33–$7,621.92 $18,928.50–$19,007.28 varies
Perq Vertebral Augmentation (22513) $7,651.08 $19,080 1.0×
Photopheresis extracorporeal (36522) $5,132.80 $12,800 1.1×
Place Amniotic Membra Ocular Surface W/O Sutures (65778)
range across 3 matching MRF lines		 $1,330.52–$1,399.38 $3,318–$3,489.72 varies
Place Amniotic Membrane Ocular Surface Sutured (65779) $4,043.29 $10,083 1.0×
Place Cath Subclavian Art (36225)
range across 5 matching MRF lines		 $3,453.75–$5,205.99 $8,612.83–$12,982.50 varies
Place Cath Thoracic Aorta (36221) $3,470.66 $8,655 1.1×
Place Cath Vertebral Art (36226)
range across 8 matching MRF lines		 $6,675.75–$10,105.81 $16,647.74–$25,201.50 varies
Place Rt Device/Marker Pros (55876) $2,046.31 $5,103 1.4×
Placement Needle Pelvic Organ Radioelement Appl (55920) $5,361.37 $13,370 1.0×
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines		 $412.29–$413.84 $1,028.15–$1,032 varies
Plastic Repair Canaliculi (68700) $2,445.70 $6,099 1.0×
Plmt Bile Duct Stent Prq Existing Access (47538) $6,028.64 $15,034 1.0×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 3 matching MRF lines		 $2,145.76–$3,218.63 $5,351–$8,026.50 varies
Plmt Nephroureteral Catheter (50433) $3,707.65 $9,246 1.0×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695)
range across 2 matching MRF lines		 $3,713.26–$5,569.89 $9,260–$13,890 varies
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693)
range across 4 matching MRF lines		 $3,713.26–$5,569.89 $9,260–$13,890 varies
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $3,707.65 $9,246 1.0×
Prim art mech thrombectomy (37184)
range across 6 matching MRF lines		 $12,180.38–$18,416.73 $30,375–$45,927 varies
Probing nasolacrimal duct (68810) $619.55 $1,545 1.9×
Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) $2,691.12 $6,711 0.9×
Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145)
range across 4 matching MRF lines		 $782.76–$1,160.15 $1,952–$2,893.13 varies
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $858.55 $2,141 1.2×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533)
range across 3 matching MRF lines		 $3,726.70–$3,791.53 $9,293.50–$9,455.17 varies
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $3,785.04 $9,439 1.0×
Pseudoaneurysm Injection Trt (36002)
range across 3 matching MRF lines		 $682.91–$728.89 $1,703–$1,817.67 varies
Punch biopsy skin single lesion (11104)
range across 4 matching MRF lines		 $337.25–$354.49 $841–$884 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 6 matching MRF lines		 $346.54–$522.11 $864.17–$1,302 varies
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines		 $729.42–$1,094.13 $1,819–$2,728.50 varies
Puncture shunt tube/reservoir aspiration/inj px (61070)
range across 2 matching MRF lines		 $709.50–$710.98 $1,769.30–$1,773 varies
Pvb Thoracic Single Injection Site W/Img Gid (64461) $699.62 $1,744.67 1.0×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $2,102.45 $5,243 1.0×
Relocation Pocket Pacemaker (33222) $1,985.76 $4,952 0.9×
Rem Endovas Vena Cava Filter (37193) $3,613.01 $9,010 1.1×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $1,030.57 $2,570 1.1×
Removal Embedded Foreign Body Eyelid (67938) $308.37 $769 0.9×
Removal Foreign Body Foot Subcutaneous (28190) $1,116.79 $2,785 1.5×
Removal Foreign Body Scrotum (55120) $2,316.18 $5,776 1.1×
Removal foreign body, intranasal; requiring general anesthesia (30310) $3,218.43 $8,026 0.9×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 4 matching MRF lines		 $76.94–$116.09 $191.87–$289.50 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 7 matching MRF lines		 $127.92–$191.88 $319–$478.50 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $3,939.03 $9,823 1.2×
Removal Implant Superficial Separate Procedure (20670) $1,789.67 $4,463 1.0×
Removal implantable contraceptive capsules (11976) $1,249.92 $3,117 1.7×
Removal of foreign body from pharynx (42809) $428.67 $1,069 0.9×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $731.03–$767.92 $1,823–$1,915 varies
Removal of tunneled intraperitoneal catheter (49422) $3,446.20 $8,594 1.1×
Removal Pacemaker Electrode (33235) $3,979.13 $9,923 1.0×
Removal ppm generator only (33233)
range across 2 matching MRF lines		 $9,226.76–$9,230.38 $23,009.36–$23,018.38 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $260.49–$263.06 $649.60–$656 varies
Removal subcutaneous cardiac rhythm monitor (33286)
range across 2 matching MRF lines		 $913.29–$913.88 $2,277.53–$2,279 varies
Removal Sutures/Staples Requiring Anesthesia (15851) $1,810.12 $4,514 0.9×
Remove & Replace Indwell Ureteral Stent Trurthrl (50385)
range across 2 matching MRF lines		 $2,381.94–$3,572.91 $5,940–$8,910 varies
Remove drug implant device (11982)
range across 2 matching MRF lines		 $1,741.05–$1,745.96 $4,341.76–$4,354 varies
Remove Elctrd Transvenously (33244) $3,979.13 $9,923 1.0×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $131.53–$197.30 $328–$492 varies
Remove Intrauterine Device (58301) $376.94 $940 1.2×
Remove intrvas foreign body (37197) $4,065.34 $10,138 1.2×
Remove lung catheter (32552) $717.39 $1,789 1.1×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $352.84–$353.69 $879.90–$882 varies
Remove Pulse Generator (33241)
range across 2 matching MRF lines		 $3,789.45–$3,979.13 $9,450–$9,923 varies
Remove renal tube w/fluoro (50389)
range across 3 matching MRF lines		 $690.53–$1,035.79 $1,722–$2,583 varies
Remove ureter stent percut (50384) $2,145.76 $5,351 1.0×
Remove&replace pm gen singl (33227) $9,893.48 $24,672 1.2×
Remove/Insert Drug Implant (11983) $348.47 $869 0.8×
Remv&replc cvd gen dual lead (33263) $25,963.15 $64,746 1.1×
Remv&replc cvd gen mult lead (33264)
range across 2 matching MRF lines		 $36,008.97–$36,025.84 $89,797.91–$89,840 varies
Remv&replc cvd gen sing lead (33262) $25,963.15 $64,746 1.1×
Remv&replc pm gen dual lead (33228) $11,762.54 $29,333 1.1×
Remv&replc pm gen mult leads (33229)
range across 2 matching MRF lines		 $21,207.75–$21,216.11 $52,887.15–$52,908 varies
Renal Biopsy Perq (50200)
range across 5 matching MRF lines		 $1,721.69–$1,736.77 $4,293.47–$4,331.07 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $642.01 $1,601 0.8×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $672.08 $1,676 0.9×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $676.49 $1,687 1.6×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $634.39 $1,582 1.5×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $672.08 $1,676 1.6×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $640–$672.08 $1,596–$1,676 varies
Repair detached retina (67105) $729.82 $1,820 1.3×
Repair Elbow Perc (24357) $3,442.99 $8,586 1.0×
Repair extensor tendon finger w/o graft each (26418) $1,864.25 $4,649 1.1×
Repair Eyelid Wound (67935) $2,329.01 $5,808 0.9×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $412.23 $1,028 1.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $412.23 $1,028 1.0×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $550.02–$551.78 $1,371.60–$1,376 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $452.33–$546.57 $1,128–$1,363 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $721.80 $1,800 0.9×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $544.94–$546.57 $1,358.94–$1,363 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $610.33 $1,522 1.5×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $672.08 $1,676 0.9×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $685.71 $1,710 1.6×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 4 matching MRF lines		 $430.28–$453.74 $1,073–$1,131.50 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 3 matching MRF lines		 $410.83–$412.23 $1,024.50–$1,028 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $847.72 $2,114 1.1×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $522.11 $1,302 1.2×
Repair intermediate s/a/t/e >30.0 cm (12037) $1,985.76 $4,952 0.9×
Repair Lead Pace-Defib One (33218) $3,876.07 $9,666 1.0×
Repair of nail bed (11760)
range across 3 matching MRF lines		 $656.04–$672.08 $1,636–$1,676 varies
Repair tongue laceration (41252) $702.56 $1,752 2.9×
Repair tongue laceration (41250) $417.45 $1,041 0.9×
Repair Tooth Socket (41874) $3,505.95 $8,743 1.0×
Replace duodenostomy/jejunostomy tube perq (49451)
range across 2 matching MRF lines		 $824.74–$826.06 $2,056.70–$2,060 varies
Replace G-J Tube Perc (49452)
range across 4 matching MRF lines		 $823.66–$865.14 $2,054–$2,157.45 varies
Replace g/c tube perc (49450)
range across 4 matching MRF lines		 $815.70–$816.84 $2,034.15–$2,037 varies
Reposition Gastrostomy Tube (43761) $661.25 $1,649 2.6×
Reposition Pacing-Defib Lead (33215) $3,526.80 $8,795 1.1×
Reposition Venous Catheter (36597) $1,721.50 $4,293 1.1×
Retrobulbar injection (67500) $312.38 $779 1.0×
Revise eyelashes (67825) $398.60 $994 1.2×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $8,749.42 $21,819 1.5×
Rfc1 (replication factor c subunit 1), repeat expansion variant analysis by traditional and repeat-primed PCR, blood,… (0378U) $774.94 $1,932.50 5.7×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387)
range across 2 matching MRF lines		 $2,145.76–$3,218.63 $5,351–$8,026.50 varies
Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) $2,445.70 $6,099 1.0×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $829.67 $2,069 0.9×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $2,147.36 $5,355 1.3×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $318.40 $794 0.7×
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $135.66–$135.94 $338.29–$339 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $438.70 $1,094 1.0×
Rmvl fecal impaction/fb spx under anes (45915) $1,057.44 $2,637 0.9×
Rmvl of subq implantable defibrillator electrode (33272)
range across 2 matching MRF lines		 $3,829.86–$3,876.07 $9,550.75–$9,666 varies
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234)
range across 2 matching MRF lines		 $3,860.67–$3,876.07 $9,627.58–$9,666 varies
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $1,720.44–$1,721.50 $4,290.37–$4,293 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $807.62 $2,014 1.2×
Rmvl&rplcmt phrenic nrv stimulator pls generator (33287) $35,803.29 $89,285 1.1×
Rplc Gtube No Revj Trc (43762)
range across 3 matching MRF lines		 $337.02–$338.85 $840.44–$845 varies
Rplcmt cath ctr vad subq port/pmp (36578) $3,446.20 $8,594 1.1×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $1,721.50 $4,293 1.1×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584)
range across 2 matching MRF lines		 $1,119.60–$1,721.50 $2,792–$4,293 varies
Rplcmt compl tun ctr vad w/subq port (36582) $3,446.20 $8,594 1.1×
Rplcmt compl tun cvc w/o subq port/pmp (36581)
range across 2 matching MRF lines		 $3,443.82–$3,446.20 $8,588.06–$8,594 varies
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $258.25 $644 1.2×
Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera (65286) $2,497.83 $6,229 1.0×
Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) $2,445.70 $6,099 1.0×
Rpr Lac Cornea&/Sclera Perfor X Invg Uveal Tis (65280) $4,621.53 $11,525 0.8×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $790.78 $1,972 1.4×
Rpr Lip Full Thickness Vermilion Only (40650) $756.69 $1,887 1.4×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $1,606.01 $4,005 1.0×
Rpr Retinal Dtchmnt Injection Air/Other Gas (67110) $2,497.83 $6,229 1.0×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $717.39 $1,789 1.1×
Sclerotx Fluid Collection (49185) $1,181.35 $2,946 0.7×
Severing tarsorrhaphy (67710) $964.01 $2,404 0.9×
Sgmdsc flx dired sbmcsl njx any sbst (45335)
range across 2 matching MRF lines		 $1,234.68–$1,237.49 $3,079–$3,086 varies
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,058.64 $2,640 0.9×
Shave skin lesion 0.5 cm/< (11300) $263.06 $656 0.6×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $293.14 $731 1.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $287.92 $718 1.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $263.06 $656 1.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $634.39 $1,582 1.5×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $293.14 $731 1.4×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $412.23 $1,028 1.0×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $263.06 $656 1.3×
Sigmoidoscopy & decompress (45337) $1,484.51 $3,702 1.5×
Sigmoidoscopy & Polypectomy (45333) $1,237.49 $3,086 1.3×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $1,057.44 $2,637 0.9×
Sigmoidoscopy flx tndsc balo dilat (45340) $1,057.44 $2,637 0.9×
Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) $1,057.44 $2,637 0.9×
Sigmoidoscopy w/fb removal (45332) $1,139.25 $2,841 0.9×
Sigmoidoscopy W/Ultrasound (45341) $2,045.91 $5,102 2.1×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 2 matching MRF lines		 $1,132.43–$1,132.67 $2,824–$2,824.61 varies
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $1,057.44 $2,637 0.9×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $412.23 $1,028 1.0×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 4 matching MRF lines		 $182.46–$199.30 $455–$497 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 3 matching MRF lines		 $242.98–$243.81 $605.93–$608 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $243.81 $608 1.2×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 16 matching MRF lines		 $199.30–$218.55 $497–$545 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 2 matching MRF lines		 $370.49–$372.13 $923.91–$928 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $243.61–$243.81 $607.51–$608 varies
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines		 $2,143.36–$2,144.15 $5,345.04–$5,347 varies
Skin sub graft trnk/arm/leg (15271) $2,283.07 $5,693.43 3.0×
Skin sub grft t/arm/lg child (15273) $3,842.79 $9,583 1.8×
Skin Tissue Procedure (17999)
range across 2 matching MRF lines		 $147.97–$348.07 $369–$868 varies
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 6 matching MRF lines		 $5,925.96–$8,917.24 $14,777.93–$22,237.50 varies
Slctv cath carotid/innom art angio xtrcranl art (36222) $3,470.66 $8,655 1.1×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 9 matching MRF lines		 $6,114.24–$9,232.51 $15,247.47–$23,023.71 varies
Slitting of prepuce (54001) $2,145.76 $5,351 1.0×
Small bowel endoscopy (44366) $1,780.85 $4,441 0.9×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 8 matching MRF lines		 $243.56–$244.30 $607.37–$609.21 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $411.73–$412.23 $1,026.74–$1,028 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $392.58–$412.23 $979–$1,028 varies
Spinal puncture lumbar diagnostic (62270)
range across 4 matching MRF lines		 $747–$747.47 $1,862.84–$1,864 varies
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $3,446.20 $8,594 1.1×
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $235.83–$355.49 $588.10–$886.50 varies
Subconjunctival injection (68200)
range across 2 matching MRF lines		 $285.52–$290.06 $712–$723.33 varies
Suprachoroidal space njx pharmacologic agent (67516) $349.28 $871 1.0×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $2,242 $5,591 0.9×
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines		 $252.78–$253.44 $630.37–$632 varies
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $33,985.96 $84,753 1.1×
Tcat Insj/Rpl Perm Ldls Pm (33274) $20,544.84 $51,234 1.0×
Temporary Closure Eyelids Suture (67875)
range across 3 matching MRF lines		 $917.89–$975.54 $2,289–$2,432.75 varies
Tenotomy Percutaneous Toe Single Tendon (28010) $2,044.30 $5,098 1.2×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $2,083.60 $5,196 1.3×
Tenotomy shoulder area single tendon (23405) $7,651.08 $19,080 1.0×
Thaw preserved stem cells (38208)
range across 3 matching MRF lines		 $2,853.62–$2,886.80 $7,116.25–$7,199 varies
Ther Apheresis,Red Blood Cells (36512) $1,670.97 $4,167 1.0×
Ther Spi Pnxr Csf Fluor/Ct (62329)
range across 2 matching MRF lines		 $931.51–$932.33 $2,322.94–$2,325 varies
Therapeutic Apheresis White Blood Cells (36511)
range across 2 matching MRF lines		 $1,578.34–$1,684.20 $3,936–$4,200 varies
Therapeutic plasma exchange (36514)
range across 7 matching MRF lines		 $450.73–$1,670.97 $1,124–$4,167 varies
Thrmbc/Nfs Dialysis Circuit (36906) $19,092.82 $47,613 1.0×
Thromblytic art/ven therapy (37213) $3,331.91 $8,309 1.0×
Thrombolytic Art Therapy (37211)
range across 2 matching MRF lines		 $5,153.26–$7,729.88 $12,851–$19,276.50 varies
Thrombolytic Therapy Stroke (37195)
range across 3 matching MRF lines		 $559.36–$561.81 $1,394.91–$1,401 varies
Thrombolytic Venous Therapy (37212)
range across 3 matching MRF lines		 $3,051.91–$4,592.46 $7,610.73–$11,452.50 varies
Thyroid biopsy (60100) $729.42 $1,819 1.0×
Trabeculoplasty by laser surgery (65855)
range across 3 matching MRF lines		 $782.76–$1,164.81 $1,952–$2,904.75 varies
Tracheobrnchsc Thru Est Trachs Inc (31615) $1,345.76 $3,356 2.4×
Tracheostomy Emergency Cricothyroid Membrane (31605) $801.60 $1,999 3.3×
Tracheostomy planned (31600) $3,291.01 $8,207 1.0×
Transcatheter biopsy (37200) $5,944.83 $14,825 1.0×
Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) $3,270.56 $8,156 1.0×
Transfusion Intrauterine Fetal (36460)
range across 2 matching MRF lines		 $566.35–$585.06 $1,412.33–$1,459 varies
Treat Hip Socket Fracture (27222) $2,450.52 $6,111 9.6×
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $625.69–$627.57 $1,560.31–$1,565 varies
Treat Humerus Fracture (24505) $1,659.74 $4,139 1.0×
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $627.01–$627.57 $1,563.61–$1,565 varies
Treat Knee Fracture(S) (27538) $712.58 $1,777 2.8×
Treat Knuckle Dislocation (26700) $568.22 $1,417 2.2×
Treat Metatarsal Fracture (28475) $627.57 $1,565 2.5×
Treat Thumb Dislocation (26641) $698.55 $1,742 2.7×
Treat Thumb Fracture (26645) $1,483.30 $3,699 0.9×
Treat toe dislocation (28630) $373.34 $931 1.5×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,659.74 $4,139 1.0×
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $626.07–$627.57 $1,561.25–$1,565 varies
Treatment extensive retinopathy photocoagulation (67228)
range across 4 matching MRF lines		 $1,218.44–$1,827.96 $3,038.48–$4,558.50 varies
Treatment of retina (67141) $645.21 $1,609 2.0×
Trim skin lesion (11055) $263.06 $656 1.3×
Trim skin lesions 2 to 4 (11056) $216.14 $539 1.0×
Trim skin lesions over 4 (11057) $263.06 $656 1.3×
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines		 $117.50–$126.52 $293–$315.50 varies
Trluml Balo Angiop 1St Art (37246)
range across 2 matching MRF lines		 $5,922.37–$8,883.56 $14,769–$22,153.50 varies
Trluml Balo Angiop 1St Vein (37248)
range across 4 matching MRF lines		 $5,887.09–$8,883.56 $14,681–$22,153.50 varies
Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207)
range across 7 matching MRF lines		 $1,817.10–$5,469.24 $4,531.40–$13,639 varies
Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214)
range across 5 matching MRF lines		 $1,530.62–$3,342.34 $3,817–$8,335 varies
Trnspl Prepj Hematop Progen Red Bld Cell Rmvl (38212) $5,655.71 $14,104 12.4×
Trnsplj allogeneic hematopoietic cells per donor (38240) $48,847.82 $121,815 0.8×
Trnsplj autologous hematopoietic cells per donor (38241)
range across 2 matching MRF lines		 $3,556.40–$3,560.08 $8,868.80–$8,878 varies
Tx Gastro Intub W/Asp (43753) $476.39 $1,188 2.1×
Tx Superficial Wound Dehiscence Simple Closure (12020) $672.08 $1,676 0.9×
Tx superficial wound dehiscence w/packing (12021) $441.10 $1,100 1.1×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 2 matching MRF lines		 $458.68–$462.36 $1,143.83–$1,153 varies
Tympanostomy general anesthesia (69436)
range across 2 matching MRF lines		 $1,841.80–$2,762.69 $4,593–$6,889.50 varies
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) $4,372.11 $10,903 1.2×
Unlisted Cardiac Surgery (33999)
range across 6 matching MRF lines		 $1,721.50–$18,488.11 $4,293–$46,105 varies
Unlisted fetal invasive px w/ultrasound (59897)
range across 2 matching MRF lines		 $957.19–$1,113.58 $2,387–$2,777 varies
Unlisted Procedure Endocrine System (60699)
range across 2 matching MRF lines		 $2,753.27–$10,511.02 $6,866–$26,212 varies
Unlisted Procedure External Ear (69399) $597.90 $1,491 2.4×
Unlisted procedure foot or toes (28899) $247.42 $617 1.0×
Unlisted Procedure Intestine (44799)
range across 3 matching MRF lines		 $338.85–$2,030.27 $845–$5,063 varies
Unlisted procedure lungs and pleura (32999)
range across 2 matching MRF lines		 $1,780.85–$2,301.34 $4,441–$5,739 varies
Unlisted procedure nervous system (64999)
range across 10 matching MRF lines		 $287.52–$2,079.19 $717–$5,185 varies
Unlisted procedure pancreas (48999)
range across 3 matching MRF lines		 $271.88–$11,208.36 $678–$27,951 varies
Unlisted procedure pelvis/hip joint (27299)
range across 2 matching MRF lines		 $2,721.99–$3,442.99 $6,788–$8,586 varies
Unlisted Procedure Pharynx Adenoids/Tonsils (42999)
range across 2 matching MRF lines		 $236.19–$360.10 $589–$898 varies
Unlisted procedure stomach (43999)
range across 2 matching MRF lines		 $135.54–$597.90 $338–$1,491 varies
Unlisted Procedure Trachea Bronchi (31899) $778.35 $1,941 3.8×
Unlisted Procedure Vascular Surgery (37799)
range across 7 matching MRF lines		 $128.32–$7,651.08 $320–$19,080 varies
Unlisted procedure, abdomen, peritoneum and omentum (49999) $717.39 $1,789 0.8×
Unlisted Procedure, Urinary System (53899) $3,713.26 $9,260 14.4×
Unlisted px female genital system nonobstetrical (58999)
range across 2 matching MRF lines		 $226.57–$1,737.54 $565–$4,333 varies
Upgrade of pacemaker system (33214) $11,946.60 $29,792 1.1×
Vasc embolize/occlude artery (37242)
range across 3 matching MRF lines		 $12,444.86–$12,489.58 $31,034.55–$31,146.07 varies
Vasc Embolize/Occlude Bleed (37244)
range across 3 matching MRF lines		 $12,077.52–$12,282.54 $30,118.50–$30,629.77 varies
Vasc Embolize/Occlude Organ (37243)
range across 2 matching MRF lines		 $12,194.03–$12,279.83 $30,409.05–$30,623 varies
Vasc embolize/occlude venous (37241)
range across 4 matching MRF lines		 $11,875.22–$12,300.06 $29,614–$30,673.45 varies
Venous Mech Thrombectomy (37187)
range across 3 matching MRF lines		 $11,978.68–$17,968.01 $29,872–$44,808 varies
Ventilating tube removal requiring general anesthesia (69424) $3,291.01 $8,207 1.0×
Vw factor type 2n eval plsm (0284U) $394.99 $985 22.9×
Wash harvest stem cells (38209) $5,421.52 $13,520 11.9×
Wedge excision skin nail fold (11765) $369.33 $921 0.9×
Wound Prep F/N/Hf/G (15004) $642.01 $1,601 1.5×
Wound Prep Trk/Arm/Leg (15002)
range across 2 matching MRF lines		 $1,984.26–$1,985.76 $4,948.25–$4,952 varies

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.