Procedures & surgery prices at Mackinac Straits Health System
Saint Ignace, MI · every code in this section with a posted price and a Medicare benchmark.
485 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $169.20 | $282 | 0.2× |
| Acne surgery (10040) range across 2 matching MRF lines |
$114–$116.40 | $190–$194 | varies |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $904.80 | $1,508 | 0.4× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$124.80–$141.60 | $208–$236 | varies |
| Anoscopy; with biopsy, single or multiple (46606) range across 2 matching MRF lines |
$105–$674.40 | $175–$1,124 | varies |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) range across 2 matching MRF lines |
$180–$1,770 | $300–$2,950 | varies |
| Application cast elbow finger short arm (29075) | $133.20 | $222 | 0.5× |
| Application finger splint static (29130) | $76.20 | $127 | 0.6× |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$163.80–$175.80 | $273–$293 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$156–$168.60 | $260–$281 | varies |
| Application of long leg cast (29345) | $216 | $360 | 0.8× |
| Application of rigid total contact leg cast (29445) | $502.20 | $837 | 1.8× |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$81–$125.40 | $135–$209 | varies |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$133.80–$298.80 | $223–$498 | varies |
| Apply long arm cast (29065) | $147 | $245 | 0.5× |
| Apply Multlay Comprs Lwr Leg (29581) | $298.80 | $498 | 1.8× |
| Apply Short Leg Cast (29405) | $130.20 | $217 | 0.5× |
| Arterial puncture (36600) range across 3 matching MRF lines |
$63.60–$76.80 | $106–$128 | varies |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) likely a partial charge, not the full procedure |
$2,783.40 | $4,639 | 0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$132–$558 | $220–$930 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $189 | $315 | 0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 3 matching MRF lines |
$165–$190.20 | $275–$317 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $217.80 | $363 | 0.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$105–$558 | $175–$930 | varies |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) likely a partial charge, not the full procedure |
$2,367 | $3,945 | 0.1× |
| Arthrodesis sacroiliac joint percutaneous (27279) likely a partial charge, not the full procedure |
$1,164 | $1,940 | 0.1× |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) likely a partial charge, not the full procedure |
$2,284.80 | $3,808 | 0.1× |
| Arthrodesis, posterior technique, atlas-axis (C1-C2) Facility (22595) likely a partial charge, not the full procedure |
$2,404.20 | $4,007 | 0.2× |
| Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280) likely a partial charge, not the full procedure |
$2,663.40 | $4,439 | 0.2× |
| Arthroplasty glenohumeral joint total shoulder (23472) likely a partial charge, not the full procedure |
$2,883 | $4,805 | 0.2× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) | $1,343.40 | $2,239 | 0.4× |
| Arthroplasty Patella W/Prosthesis (27438) likely a partial charge, not the full procedure |
$1,244.40 | $2,074 | 0.1× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) | $954 | $1,590 | 0.3× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) | $1,054.20 | $1,757 | 0.3× |
| Arthroscopy knee synovectomy limited spx (29875) | $1,018.80 | $1,698 | 0.3× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) | $897 | $1,495 | 0.3× |
| Arthroscopy shoulder distal claviculectomy (29824) | $1,092 | $1,820 | 0.3× |
| Arthroscopy, knee, surgical; with lateral release (29873) | $1,072.20 | $1,787 | 0.3× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) | $997.20 | $1,662 | 0.3× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | $1,183.20 | $1,972 | 0.4× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) likely a partial charge, not the full procedure |
$2,138.40 | $3,564 | 0.3× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) unusually low: confirm this is the full procedure |
$2,227.20 | $3,712 | 0.3× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) likely a partial charge, not the full procedure |
$2,694.60 | $4,491 | 0.2× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) likely a partial charge, not the full procedure |
$2,049 | $3,415 | 0.3× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) | $1,368.60 | $2,281 | 0.4× |
| Arthrs knee debridement/shaving artclr crtlg (29877) | $1,003.20 | $1,672 | 0.3× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $1,159.80 | $1,933 | 0.4× |
| Aspirate/Inj Ganglion Cyst (20612) | $136.80 | $228 | 0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 4 matching MRF lines |
$116.40–$375.60 | $194–$626 | varies |
| Biopsy bone trocar/needle deep (20225) | $3,062.40 | $5,104 | 1.9× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $3,062.40 | $5,104 | 1.9× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $130.80 | $218 | 0.1× |
| Biopsy/removal lymph nodes (38510) | $665.40 | $1,109 | 0.2× |
| Bladder instillation anticarcinogenic agent (51720) | $399 | $665 | 0.6× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$178.20–$358.20 | $297–$597 | varies |
| Bladder Scan (51798) range across 2 matching MRF lines |
$49.20–$82.20 | $82–$137 | varies |
| Blepharotomy drainage abscess eyelid (67700) | $372 | $620 | 1.2× |
| Blood Transfusion Service (36430) | $270 | $450 | 0.6× |
| Bone Marrow Biopsy (38221) | $174 | $290 | 0.1× |
| Bone Marrow; Aspiration Only (38220) | $167.40 | $279 | 0.1× |
| Bx Cervix (57500) | $178.20 | $297 | 0.2× |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) | $1,060.20 | $1,767 | 0.7× |
| Carpal Tunnel Surgery (64721) | $697.80 | $1,163 | 0.4× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) | $276.60 | $461 | 0.9× |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$82.80–$135 | $138–$225 | varies |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$110.40–$375.60 | $184–$626 | varies |
| Chemodenerv Musc Migraine (64615) range across 2 matching MRF lines |
$219–$263.40 | $365–$439 | varies |
| Chemodenerv musc neck dyston (64616) | $311.40 | $519 | 1.0× |
| Chest tube placement (32551) | $297.60 | $496 | 0.2× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) | $3,087 | $5,145 | 1.5× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$133.20–$134.40 | $222–$224 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $639.60 | $1,066 | 2.6× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $704.40 | $1,174 | 2.9× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $466.80 | $778 | 1.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $357.60 | $596 | 1.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $627 | $1,045 | 0.4× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $333 | $555 | 1.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $303 | $505 | 1.2× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $906.60 | $1,511 | 0.6× |
| Closed tx patellar dislocation w/anesthesia (27562) | $601.80 | $1,003 | 2.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $392.40 | $654 | 1.6× |
| Closed tx radial head/neck fx w/manipulation (24655) | $470.40 | $784 | 0.3× |
| Closed tx radial shaft fracture w/manipulation (25505) | $675 | $1,125 | 0.4× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $680.40 | $1,134 | 0.4× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $363.60 | $606 | 1.5× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $480.60 | $801 | 0.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $217.80 | $363 | 0.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $748.80 | $1,248 | 0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $582 | $970 | 2.4× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $480 | $800 | 0.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $410.40 | $684 | 0.3× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $357.60 | $596 | 1.5× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $564 | $940 | 2.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $499.80 | $833 | 2.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $1,008.60 | $1,681 | 0.6× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $223.80 | $373 | 0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $137.40 | $229 | 0.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $218.40 | $364 | 0.9× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $709.20 | $1,182 | 2.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $508.20 | $847 | 2.1× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $641.40 | $1,069 | 0.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $384.60 | $641 | 1.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $475.20 | $792 | 1.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $392.40 | $654 | 1.6× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines |
$297–$408.60 | $495–$681 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) | $420 | $700 | 1.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$217.20–$231 | $362–$385 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $615 | $1,025 | 0.4× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) range across 2 matching MRF lines |
$781.20–$820.20 | $1,302–$1,367 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $898.80 | $1,498 | 0.6× |
| Collect Blood From Catheter Venous Nos (36592) range across 2 matching MRF lines |
$59.40–$72 | $99–$120 | varies |
| Collection of venous blood by venipuncture (36415) | $15 | $25 | 1.6× |
| Colonoscopy w/ablation (45388) | $679.80 | $1,133 | 0.6× |
| Colonoscopy W/Band Ligation (45398) | $336 | $560 | 0.3× |
| Colonoscopy W/Resection (45390) | $432 | $720 | 0.2× |
| Colonoscopy w/submucosal inj (45381) | $695.40 | $1,159 | 0.6× |
| Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) | $561 | $935 | 0.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $327.60 | $546 | 1.1× |
| Colposcopy Cervix Endocervical Curettage (57456) | $210.60 | $351 | 0.7× |
| Colposcopy cervix upper/adjacent vagina (57452) | $238.20 | $397 | 1.2× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $210.60 | $351 | 0.7× |
| Colposcopy of vulva (56820) | $180 | $300 | 0.9× |
| Colposcopy Vulva W/Biopsy (56821) | $288.60 | $481 | 1.0× |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $374.40 | $624 | 0.3× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $357.60 | $596 | 0.3× |
| Complex drainage wound (10180) range across 2 matching MRF lines |
$281.40–$5,409.60 | $469–$9,016 | varies |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $412.20 | $687 | 0.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $228 | $380 | 1.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$159–$176.40 | $265–$294 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $408.60 | $681 | 3.1× |
| Cysto Bladder W/Ureteral Catheterization (52005) | $210.60 | $351 | 0.1× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $241.80 | $403 | 0.1× |
| Cysto w/destruction of lesions (52214) | $255.60 | $426 | 0.1× |
| Cysto w/insert ureteral stent (52332) | $247.80 | $413 | 0.1× |
| Cysto w/irrig & evac multple obstructing clots (52001) | $408 | $680 | 0.1× |
| Cysto w/removal of lesions small (52224) | $330 | $550 | 0.1× |
| Cysto w/removal of tumors small (52234) | $396 | $660 | 0.1× |
| Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) range across 2 matching MRF lines |
$342.60–$446.40 | $571–$744 | varies |
| Cysto W/Simple Removal Stone & Stent (52310) range across 2 matching MRF lines |
$216.60–$453 | $361–$755 | varies |
| Cysto w/ureteroscopy w/lithotripsy (52353) range across 2 matching MRF lines |
$556.80–$7,282.80 | $928–$12,138 | varies |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) range across 2 matching MRF lines |
$563.40–$564 | $939–$940 | varies |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) | $525.60 | $876 | 0.1× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) | $441 | $735 | 0.1× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) likely a partial charge, not the full procedure |
$612.60 | $1,021 | 0.1× |
| Cysto/uretero w/lithotripsy (52356) range across 2 matching MRF lines |
$671.40–$8,347.80 | $1,119–$13,913 | varies |
| Cystourethroscopy (52000) range across 2 matching MRF lines |
$374.40–$408 | $624–$680 | varies |
| Cystourethroscopy inj chemodenervation bladder (52287) | $250.20 | $417 | 0.1× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) | $553.80 | $923 | 0.2× |
| Cystourethroscopy w/dil bladder general anesth (52260) | $337.80 | $563 | 0.2× |
| Cystourethroscopy with biopsy (52204) | $227.40 | $379 | 0.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $108.60 | $181 | 0.3× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $1,157.40 | $1,929 | 1.6× |
| Debride nail 1-5 (11720) range across 3 matching MRF lines |
$21–$112.80 | $35–$188 | varies |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$72–$112.80 | $120–$188 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $3,062.40 | $5,104 | 1.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$250.20–$755.40 | $417–$1,259 | varies |
| Decompress Spinal Cord Lmbr (63056) unusually low: confirm this is the full procedure |
$2,188.20 | $3,647 | 0.3× |
| Destroy cerv/thor facet jnt (64633) range across 3 matching MRF lines |
$370.20–$3,087 | $617–$5,145 | varies |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$369.60–$3,087 | $616–$5,145 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$135–$139.20 | $225–$232 | varies |
| Destruction Benign Lesions 15/> (17111) | $129.60 | $216 | 0.6× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $231.60 | $386 | 1.2× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $187.20 | $312 | 0.9× |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 2 matching MRF lines |
$237.60–$2,874 | $396–$4,790 | varies |
| Destruction Premalignant Lesion 15/> (17004) | $373.20 | $622 | 0.9× |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$90.60–$116.40 | $151–$194 | varies |
| Destruction Vaginal Lesions Simple (57061) | $337.20 | $562 | 0.1× |
| Diagnostic sigmoidoscopy (45330) | $174.60 | $291 | 0.2× |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) | $267.60 | $446 | 0.2× |
| Dilat Xst Trc New Access Rcs (50437) | $357.60 | $596 | 0.1× |
| Dilate Esophagus 1/Mult Pass (43450) | $111.60 | $186 | 0.1× |
| Drain/inj small joint/bursa w/us (20604) | $156.60 | $261 | 0.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $229.20 | $382 | 0.3× |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$244.80–$255 | $408–$425 | varies |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$209.40–$287.40 | $349–$479 | varies |
| Drainage of hematoma/fluid (10140) range across 4 matching MRF lines |
$183–$3,062.40 | $305–$5,104 | varies |
| Drainage of scrotal wall abscess (55100) range across 3 matching MRF lines |
$245.40–$354.60 | $409–$591 | varies |
| Drainage of scrotum (54700) | $430.20 | $717 | 0.2× |
| Draw Blood Off Venous Device (36591) range across 3 matching MRF lines |
$59.40–$76.80 | $99–$128 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$192–$755.40 | $320–$1,259 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $375.60 | $626 | 1.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 4 matching MRF lines |
$104.40–$375.60 | $174–$626 | varies |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $202.80 | $338 | 1.0× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 4 matching MRF lines |
$190.80–$1,045.80 | $318–$1,743 | varies |
| Dx Bone Marrow Bx & Aspir (38222) range across 2 matching MRF lines |
$129–$268.80 | $215–$448 | varies |
| Egd Balloon Dil Esoph30 Mm/> (43233) | $359.40 | $599 | 0.2× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $330.60 | $551 | 0.2× |
| Egd dilation gastric/duodenal stricture (43245) | $255.60 | $426 | 0.1× |
| Egd guide wire insertion (43248) | $259.20 | $432 | 0.3× |
| Egd place gastrostomy tube (43246) range across 2 matching MRF lines |
$285–$453 | $475–$755 | varies |
| Egd remove lesion snare (43251) range across 2 matching MRF lines |
$388.20–$407.40 | $647–$679 | varies |
| Endocervical curettage (57505) | $180 | $300 | 0.2× |
| Endometrial Biopsy (58100) | $160.80 | $268 | 0.8× |
| Endoscopic injection/implant (51715) | $285.60 | $476 | 0.1× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) | $3,457.80 | $5,763 | 1.7× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) | $3,457.80 | $5,763 | 1.7× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) | $226.80 | $378 | 0.1× |
| Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
$69–$244.20 | $115–$407 | varies |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) | $616.20 | $1,027 | 0.4× |
| Exc arm/elbow les sc < 3 cm (24075) | $732 | $1,220 | 0.4× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$123.60–$158.40 | $206–$264 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $942 | $1,570 | 0.6× |
| Exc Back Les Sc < 3 Cm (21930) | $705.60 | $1,176 | 0.4× |
| Exc Back Tum Deep 5 Cm/> (21933) | $1,179.60 | $1,966 | 0.4× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $327.60 | $546 | 0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $153 | $255 | 0.2× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $58.80 | $98 | 0.1× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $387.60 | $646 | 0.5× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $446.40 | $744 | 0.3× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $493.80 | $823 | 0.3× |
| Exc Forearm Tum Deep 3 Cm/> (25073) | $779.40 | $1,299 | 0.3× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$130.20–$159 | $217–$265 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $199.20 | $332 | 0.3× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $256.20 | $427 | 0.2× |
| Exc hand tum deep < 1.5 cm (26116) | $1,063.80 | $1,773 | 0.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$248.40–$317.40 | $414–$529 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 2 matching MRF lines |
$463.20–$902.40 | $772–$1,504 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$621.60–$720.60 | $1,036–$1,201 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $493.80 | $823 | 0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$487.80–$651.60 | $813–$1,086 | varies |
| Exc thigh/knee les sc 3 cm/> (27337) | $691.80 | $1,153 | 0.2× |
| Exc thigh/knee tum dep 5cm/> (27339) | $1,206.60 | $2,011 | 0.4× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 2 matching MRF lines |
$176.40–$390 | $294–$650 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$172.80–$193.80 | $288–$323 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$231–$380.40 | $385–$634 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $374.40 | $624 | 0.2× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) | $753.60 | $1,256 | 0.5× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $466.80 | $778 | 0.3× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $605.40 | $1,009 | 0.4× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $367.80 | $613 | 0.5× |
| Excision Lingual Frenum Frenectomy (41115) | $485.40 | $809 | 0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $342.60 | $571 | 0.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $343.80 | $573 | 0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $435 | $725 | 0.6× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $317.40 | $529 | 0.4× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $441 | $735 | 0.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $361.80 | $603 | 0.5× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $520.80 | $868 | 0.3× |
| Excision of hydrocele; bilateral (55041) | $693 | $1,155 | 0.2× |
| Excision of hydrocele; unilateral (55040) | $498 | $830 | 0.1× |
| Excision olecranon bursa (24105) | $708 | $1,180 | 0.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $717.60 | $1,196 | 0.4× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $642.60 | $1,071 | 0.2× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | $711 | $1,185 | 0.2× |
| Explo/Drain Breast Abscess (19020) | $639.60 | $1,066 | 0.4× |
| Exploration of knee joint (27310) | $1,201.80 | $2,003 | 0.4× |
| Exploration of spinal fusion (22830) likely a partial charge, not the full procedure |
$1,232.40 | $2,054 | 0.2× |
| Exploration penetrating wound spx extremity (20103) | $496.80 | $828 | 0.3× |
| Explore/Treat Knee Joint (27331) | $723.60 | $1,206 | 0.2× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) | $4,333.20 | $7,222 | 1.3× |
| Fine needle aspiration without imaging guidance (10021) range across 3 matching MRF lines |
$205.80–$490.20 | $343–$817 | varies |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $292.80 | $488 | 0.3× |
| Hysteroscopy Biopsy (58558) | $458.40 | $764 | 0.1× |
| Hysteroscopy Endometrial Ablation (58563) | $534.60 | $891 | 0.1× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) | $593.40 | $989 | 0.1× |
| I&d abscess peritonsillar (42700) | $206.40 | $344 | 0.9× |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$147.60–$375.60 | $246–$626 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $828.60 | $1,381 | 0.3× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) | $1,087.20 | $1,812 | 0.3× |
| I&d perianal abscess superficial (46050) | $374.40 | $624 | 0.4× |
| I&d pilonidal cyst simple (10080) range across 3 matching MRF lines |
$177–$1,330.20 | $295–$2,217 | varies |
| Implant neuroelectrodes (63650) likely a partial charge, not the full procedure |
$663.60 | $1,106 | 0.1× |
| Implant Neuroelectrodes (64561) likely a partial charge, not the full procedure |
$434.40 | $724 | 0.1× |
| Implant Periph/Gastric Neurostim/Receiver (64590) likely a partial charge, not the full procedure |
$423 | $705 | 0.0× |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$167.40–$219.60 | $279–$366 | varies |
| Incise finger tendon sheath (26055) | $468.60 | $781 | 0.3× |
| Incision & drainage abscess complicated/multiple (10061) range across 4 matching MRF lines |
$198.60–$755.40 | $331–$1,259 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$337.20–$356.40 | $562–$594 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 4 matching MRF lines |
$185.40–$755.40 | $309–$1,259 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$223.80–$235.80 | $373–$393 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$208.80–$249.60 | $348–$416 | varies |
| Incision extensor tendon sheath wrist (25000) | $556.80 | $928 | 0.3× |
| Incision of rectal abscess (46040) | $427.20 | $712 | 0.4× |
| Incision&drainage bursa foot (28001) | $3,062.40 | $5,104 | 1.9× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $245.64 | $409.40 | 0.1× |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$193.20–$1,157.40 | $322–$1,929 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 4 matching MRF lines |
$91.80–$375.60 | $153–$626 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 3 matching MRF lines |
$204–$2,755.20 | $340–$4,592 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 2 matching MRF lines |
$253.20–$1,449 | $422–$2,415 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 3 matching MRF lines |
$128.40–$145.20 | $214–$242 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 2 matching MRF lines |
$219–$567 | $365–$945 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 3 matching MRF lines |
$160.80–$2,124.60 | $268–$3,541 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 3 matching MRF lines |
$48–$1,062.60 | $80–$1,771 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 2 matching MRF lines |
$103.80–$1,330.80 | $173–$2,218 | varies |
| Injection anesthetic agent suprascapular nerve (64418) range across 2 matching MRF lines |
$108.60–$129 | $181–$215 | varies |
| Injection single tendon origin/insertion (20551) | $136.80 | $228 | 0.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$150–$151.20 | $250–$252 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) | $162.60 | $271 | 0.5× |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 2 matching MRF lines |
$184.80–$1,101.60 | $308–$1,836 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$87–$1,033.20 | $145–$1,722 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$82.20–$969.60 | $137–$1,616 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $79.20 | $132 | 0.4× |
| Insert cath pleura w/o image (32556) | $241.80 | $403 | 0.1× |
| Insert Drug Implant Device (11981) | $181.20 | $302 | 1.4× |
| Insert multi-comp penis pros (54405) likely a partial charge, not the full procedure |
$1,161 | $1,935 | 0.1× |
| Insert non-tunnel cv cath (36556) | $138 | $230 | 0.0× |
| Insert pessary/other device (57160) | $149.40 | $249 | 0.7× |
| Insert self-contd prosthesis (54401) likely a partial charge, not the full procedure |
$952.20 | $1,587 | 0.0× |
| Insert semi-rigid prosthesis (54400) likely a partial charge, not the full procedure |
$765 | $1,275 | 0.1× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$167.40–$189 | $279–$315 | varies |
| Insert tunneled cv cath (36561) | $640.80 | $1,068 | 0.2× |
| Insert tunneled cv cath (36563) likely a partial charge, not the full procedure |
$519 | $865 | 0.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$82.20–$103.20 | $137–$172 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $162 | $270 | 0.1× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $447 | $745 | 0.1× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $152.40 | $254 | 0.1× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) likely a partial charge, not the full procedure |
$584.40 | $974 | 0.0× |
| Intraoral i&d tongue/floor submndblr space (41008) | $613.20 | $1,022 | 0.2× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$265.20–$278.40 | $442–$464 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $193.80 | $323 | 0.8× |
| Knee arthroscopy/drainage (29871) | $831.60 | $1,386 | 0.3× |
| Knee Arthroscopy/Surgery (29874) | $856.80 | $1,428 | 0.3× |
| Lam facetec & foramot lumbar (63047) likely a partial charge, not the full procedure |
$1,662 | $2,770 | 0.2× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001) likely a partial charge, not the full procedure |
$1,926.60 | $3,211 | 0.3× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015) unusually low: confirm this is the full procedure |
$2,199 | $3,665 | 0.3× |
| Laminotomy Single Lumbar (63042) likely a partial charge, not the full procedure |
$1,940.40 | $3,234 | 0.3× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) likely a partial charge, not the full procedure |
$663 | $1,105 | 0.1× |
| Laparoscopy, surgical, appendectomy (44970) likely a partial charge, not the full procedure |
$981 | $1,635 | 0.2× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) likely a partial charge, not the full procedure |
$1,073.40 | $1,789 | 0.2× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) likely a partial charge, not the full procedure |
$1,558.80 | $2,598 | 0.1× |
| Laparoscopy, surgical; pyeloplasty (50544) likely a partial charge, not the full procedure |
$1,713 | $2,855 | 0.2× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) likely a partial charge, not the full procedure |
$950.40 | $1,584 | 0.1× |
| Laps surg prst8ect smpl stot robotic assistance (55867) likely a partial charge, not the full procedure |
$1,405.20 | $2,342 | 0.1× |
| Late closure of wound (13160) | $1,315.20 | $2,192 | 0.4× |
| Lateral retinacular release open (27425) | $660 | $1,100 | 0.2× |
| Litholapaxy comp/lg > 2.5 cm (52318) | $645.60 | $1,076 | 0.2× |
| Lithotripsy, extracorporeal shock wave (50590) | $7,516.20 | $12,527 | 2.1× |
| Low Back Disk Surgery (63030) likely a partial charge, not the full procedure |
$1,486.20 | $2,477 | 0.2× |
| Lumbar spine fusion combined (22633) likely a partial charge, not the full procedure |
$2,673 | $4,455 | 0.1× |
| Manipulation knee joint under general anesthesia (27570) | $242.40 | $404 | 0.2× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) | $399 | $665 | 0.2× |
| Mastectomy for gynecomastia (19300) | $654.60 | $1,091 | 0.2× |
| N block inj intercost sng (64420) range across 3 matching MRF lines |
$114–$1,121.40 | $190–$1,869 | varies |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) range across 2 matching MRF lines |
$832.20–$2,325 | $1,387–$3,875 | varies |
| Neck spine fusion (22600) likely a partial charge, not the full procedure |
$1,920 | $3,200 | 0.1× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) | $980.40 | $1,634 | 0.5× |
| Njx anes stellate ganglion crv sympathetic (64510) range across 2 matching MRF lines |
$147.60–$1,378.20 | $246–$2,297 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $238.20 | $397 | 0.8× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 3 matching MRF lines |
$173.40–$2,755.20 | $289–$4,592 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$207–$1,121.40 | $345–$1,869 | varies |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$192–$1,121.40 | $320–$1,869 | varies |
| Occipital Nerve Block (64405) range across 4 matching MRF lines |
$103.80–$874.80 | $173–$1,458 | varies |
| Open Repair of Rotator Cuff Acute (23410) likely a partial charge, not the full procedure |
$1,693.80 | $2,823 | 0.2× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) likely a partial charge, not the full procedure |
$1,345.80 | $2,243 | 0.2× |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) likely a partial charge, not the full procedure |
$1,602 | $2,670 | 0.1× |
| Open tx interphalangeal joint dislocation (26785) | $870 | $1,450 | 0.3× |
| Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar Facility (22214) unusually low: confirm this is the full procedure |
$2,263.80 | $3,773 | 0.3× |
| Partial Excision Bone Humerus (24140) | $1,092.60 | $1,821 | 0.3× |
| Patellectomy or hemipatellectomy (27350) likely a partial charge, not the full procedure |
$1,058.40 | $1,764 | 0.1× |
| Pelvic examination under anesthesia (other than local) (57410) | $176.40 | $294 | 0.1× |
| Penis plastic surgery (54360) | $1,035 | $1,725 | 0.3× |
| Perq Cervicothoracic Inject (22510) | $619.20 | $1,032 | 0.2× |
| Perq dilation xst trc endourologic px w/img (50436) | $214.20 | $357 | 0.1× |
| Perq Lumbosacral Injection (22511) | $582 | $970 | 0.2× |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) likely a partial charge, not the full procedure |
$997.80 | $1,663 | 0.1× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) likely a partial charge, not the full procedure |
$711 | $1,185 | 0.1× |
| Perq Vertebral Augmentation (22513) likely a partial charge, not the full procedure |
$732 | $1,220 | 0.1× |
| Place Duod/Jej Tube Perc (49441) | $1,027.20 | $1,712 | 0.5× |
| Placement of needle for intraosseous infusion (36680) | $93.60 | $156 | 0.2× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $288 | $480 | 0.1× |
| Prostate laser enucleation (52649) likely a partial charge, not the full procedure |
$1,017 | $1,695 | 0.2× |
| Punch biopsy skin single lesion (11104) range across 3 matching MRF lines |
$172.80–$755.40 | $288–$1,259 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 4 matching MRF lines |
$172.80–$755.40 | $288–$1,259 | varies |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) | $1,221 | $2,035 | 0.8× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) likely a partial charge, not the full procedure |
$799.20 | $1,332 | 0.1× |
| Removal Embedded Foreign Body Eyelid (67938) | $288.60 | $481 | 0.9× |
| Removal foreign body foot deep (28192) range across 2 matching MRF lines |
$513.60–$588.60 | $856–$981 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$352.80–$1,330.20 | $588–$2,217 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $177 | $295 | 0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 3 matching MRF lines |
$21–$37.80 | $35–$63 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$73.80–$76.20 | $123–$127 | varies |
| Removal Implant Deep (20680) | $693.60 | $1,156 | 0.2× |
| Removal of anterior instrumentation (22855) likely a partial charge, not the full procedure |
$1,626 | $2,710 | 0.2× |
| Removal of bone lesion (23140) | $840 | $1,400 | 0.3× |
| Removal of kidney stone (50081) likely a partial charge, not the full procedure |
$1,608 | $2,680 | 0.2× |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$214.80–$755.40 | $358–$1,259 | varies |
| Removal ppm generator only (33233) likely a partial charge, not the full procedure |
$373.20 | $622 | 0.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 3 matching MRF lines |
$90.60–$180 | $151–$300 | varies |
| Removal subcutaneous cardiac rhythm monitor (33286) range across 2 matching MRF lines |
$146.40–$187.20 | $244–$312 | varies |
| Removal/bivalving gauntlet boot/body cast (29700) | $502.20 | $837 | 1.8× |
| Remove drug implant device (11982) range across 2 matching MRF lines |
$137.40–$228.60 | $229–$381 | varies |
| Remove elbow lesion (24120) | $871.80 | $1,453 | 0.3× |
| Remove foreign body from eye (65235) | $1,092 | $1,820 | 0.5× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$103.80–$115.80 | $173–$193 | varies |
| Remove Intrauterine Device (58301) | $162.60 | $271 | 0.5× |
| Remove knee joint lining (27334) | $1,092.60 | $1,821 | 0.3× |
| Remove Nasal Foreign Body (30300) | $237.60 | $396 | 1.8× |
| Remove Tendon Sheath Lesion (26160) range across 2 matching MRF lines |
$507–$837.60 | $845–$1,396 | varies |
| Remove&replace pm gen singl (33227) likely a partial charge, not the full procedure |
$565.20 | $942 | 0.1× |
| Remove/Insert Drug Implant (11983) | $294.60 | $491 | 0.7× |
| Remv&replc pm gen dual lead (33228) likely a partial charge, not the full procedure |
$591 | $985 | 0.1× |
| Remv&replc pm gen mult leads (33229) likely a partial charge, not the full procedure |
$625.20 | $1,042 | 0.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $440.40 | $734 | 0.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $610.80 | $1,018 | 0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$314.40–$430.20 | $524–$717 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $430.80 | $718 | 1.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $790.20 | $1,317 | 2.0× |
| Repair complex trunk 2.6-7.5 cm (13101) | $382.80 | $638 | 0.5× |
| Repair extensor tendon finger w/o graft each (26418) range across 2 matching MRF lines |
$902.40–$1,009.20 | $1,504–$1,682 | varies |
| Repair Hallux Rigidus (28289) | $758.40 | $1,264 | 0.2× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) | $903.60 | $1,506 | 0.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $987.60 | $1,646 | 0.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $286.80 | $478 | 0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$352.20–$582 | $587–$970 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $396 | $660 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $525.60 | $876 | 1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $438.60 | $731 | 1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $535.80 | $893 | 1.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $368.40 | $614 | 0.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$184.80–$213 | $308–$355 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$262.20–$374.40 | $437–$624 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $460.80 | $768 | 0.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $340.20 | $567 | 0.8× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $503.40 | $839 | 0.2× |
| Repair Nonunion/Malunion Tibia W/O Graft (27720) likely a partial charge, not the full procedure |
$1,690.80 | $2,818 | 0.2× |
| Repair tongue laceration (41250) | $240.60 | $401 | 0.5× |
| Reposition Gastrostomy Tube (43761) | $249.60 | $416 | 1.0× |
| Revis reconst shoulder joint (23473) likely a partial charge, not the full procedure |
$2,131.80 | $3,553 | 0.2× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) likely a partial charge, not the full procedure |
$2,505 | $4,175 | 0.2× |
| Revise Hand/Foot Nerve (64704) | $475.80 | $793 | 0.2× |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) likely a partial charge, not the full procedure |
$2,247 | $3,745 | 0.2× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) likely a partial charge, not the full procedure |
$3,101.40 | $5,169 | 0.2× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) likely a partial charge, not the full procedure |
$2,915.40 | $4,859 | 0.2× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) likely a partial charge, not the full procedure |
$2,328 | $3,880 | 0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 3 matching MRF lines |
$114.60–$228 | $191–$380 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $132 | $220 | 1.0× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $107.40 | $179 | 0.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$304.80–$313.20 | $508–$522 | varies |
| Rplc Gtube No Revj Trc (43762) | $844.20 | $1,407 | 3.4× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) likely a partial charge, not the full procedure |
$1,202.40 | $2,004 | 0.2× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $512.66 | $854.44 | 0.1× |
| Rpr aa hrn 1st 3-10 rdc (49593) likely a partial charge, not the full procedure |
$937.80 | $1,563 | 0.1× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) likely a partial charge, not the full procedure |
$699 | $1,165 | 0.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $307.80 | $513 | 1.5× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $519.60 | $866 | 1.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $474.60 | $791 | 0.9× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $681.60 | $1,136 | 0.4× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) range across 2 matching MRF lines |
$761.40–$799.20 | $1,269–$1,332 | varies |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $243.60 | $406 | 0.2× |
| Shave skin lesion 0.5 cm/< (11300) | $126 | $210 | 0.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) range across 2 matching MRF lines |
$120.60–$144 | $201–$240 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 2 matching MRF lines |
$133.80–$316.20 | $223–$527 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $152.40 | $254 | 0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $171 | $285 | 0.9× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $212.40 | $354 | 0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 2 matching MRF lines |
$124.20–$151.80 | $207–$253 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) range across 2 matching MRF lines |
$189–$206.40 | $315–$344 | varies |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) range across 2 matching MRF lines |
$156–$171.60 | $260–$286 | varies |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $250.20 | $417 | 0.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $389.40 | $649 | 1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$202.20–$207 | $337–$345 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$210–$259.80 | $350–$433 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $246 | $410 | 1.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$175.80–$375.60 | $293–$626 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$236.40–$257.40 | $394–$429 | varies |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$1,131–$3,284.40 | $1,885–$5,474 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$1,131–$3,284.40 | $1,885–$5,474 | varies |
| Skin sub grft t/arm/lg child (15273) range across 2 matching MRF lines |
$3,284.40–$6,460.80 | $5,474–$10,768 | varies |
| Skn sub grft f/n/hf/g child (15277) range across 2 matching MRF lines |
$1,131–$3,284.40 | $1,885–$5,474 | varies |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) | $1,068 | $1,780 | 0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$201–$375.60 | $335–$626 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $136.20 | $227 | 0.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $333 | $555 | 0.8× |
| Spinal puncture lumbar diagnostic (62270) | $219 | $365 | 0.3× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $6,919.80 | $11,533 | 2.0× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $3,457.80 | $5,763 | 1.7× |
| Strapping ankle (29540) | $28.20 | $47 | 0.2× |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$84–$298.80 | $140–$498 | varies |
| Suture of quadriceps or hamstring muscle rupture primary (27385) likely a partial charge, not the full procedure |
$1,174.80 | $1,958 | 0.2× |
| Tangential biopsy skin single lesion (11102) range across 3 matching MRF lines |
$172.80–$375.60 | $288–$626 | varies |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) | $1,162.80 | $1,938 | 0.4× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $3,025.20 | $5,042 | 1.9× |
| Total Knee Arthroplasty (27447) likely a partial charge, not the full procedure |
$2,691.60 | $4,486 | 0.2× |
| Transur electr resection of prostate (52601) likely a partial charge, not the full procedure |
$1,178.40 | $1,964 | 0.2× |
| Treat Knuckle Dislocation (26700) | $598.20 | $997 | 2.4× |
| Treatment closed elbow dislocation w/o anes (24600) | $674.40 | $1,124 | 2.7× |
| Trim skin lesion (11055) range across 3 matching MRF lines |
$90.60–$375.60 | $151–$626 | varies |
| Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines |
$102–$375.60 | $170–$626 | varies |
| Trim skin lesions over 4 (11057) | $375.60 | $626 | 1.9× |
| Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$51.60–$112.80 | $86–$188 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $1,157.40 | $1,929 | 1.6× |
| Vasectomy uni/bi spx w/postop semen exams (55250) range across 2 matching MRF lines |
$328.80–$527.40 | $548–$879 | varies |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$120.60–$253.80 | $201–$423 | varies |
| Wound Prep F/N/Hf/G (15004) | $1,157.40 | $1,929 | 2.9× |
| Wound Prep Trk/Arm/Leg (15002) | $3,457.80 | $5,763 | 4.7× |
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.