Procedures & surgery prices at Madison County Health Care System

Winterset, IA · every code in this section with a posted price and a Medicare benchmark.

921 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 2 matching MRF lines		 $672–$1,556.80 $840–$1,946 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $227.20–$486.40 $284–$608 varies
Abdomen Surgery Procedure (22999)
range across 2 matching MRF lines		 $763.20–$4,244 $954–$5,305 varies
Ablate inf turbinate submuc (30802) $3,745.60 $4,682 2.5×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $1,768.80 $2,211 1.2×
Acne surgery (10040)
range across 2 matching MRF lines		 $259.20–$1,592.80 $324–$1,991 varies
Acromiopl/Acromionect Partial (23130)
range across 2 matching MRF lines		 $1,384.80–$3,172 $1,731–$3,965 varies
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $841.60 $1,052 0.4×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $5,904 $7,380 1.7×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $4,474.40 $5,593 2.2×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)
range across 2 matching MRF lines		 $1,674.40–$5,904 $2,093–$7,380 varies
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $1,683.20 $2,104 0.8×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $5,904 $7,380 3.0×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $5,904 $7,380 3.0×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 2 matching MRF lines		 $1,586.40–$3,814.40 $1,983–$4,768 varies
Amputation metatarsal with toe single (28810) $8,720.80 $10,901 2.8×
Amputation toe interphalangeal joint (28825)
range across 2 matching MRF lines		 $651.20–$5,334.40 $814–$6,668 varies
Amputation toe metatarsophalangeal joint (28820)
range across 2 matching MRF lines		 $668–$5,475.20 $835–$6,844 varies
Ankle Arthroscopy/Surgery (29892)
range across 2 matching MRF lines		 $1,437.60–$6,186.40 $1,797–$7,733 varies
Anoscopy diagnostic (46600) $274.40 $343 2.1×
Anoscopy remove lesion (46610) $642.40 $803 0.2×
Anoscopy W/Rmvl Foreign Body (46608) $680.80 $851 0.8×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $2,059.20 $2,574 0.8×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $320.80 $401 2.0×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $576.80 $721 3.7×
Application cast elbow finger short arm (29075) $190.40 $238 0.7×
Application Cast Finger (29086) $167.20 $209 1.1×
Application Finger Splint Dynamic (29131) $116 $145 2.0×
Application finger splint static (29130) $91.20 $114 0.7×
Application long arm splint shoulder hand (29105) $179.20 $224 1.1×
Application Long Leg Cast Walker/Ambulatory Type (29355) $312 $390 1.2×
Application Long Leg Splint (29505) $191.20 $239 1.2×
Application of long leg cast (29345) $298.40 $373 1.1×
Application of rigid total contact leg cast (29445)
range across 2 matching MRF lines		 $286.40–$536 $358–$670 varies
Application Short Arm Splint Dynamic (29126) $168.80 $211 1.3×
Application short arm splint forearm-hand static (29125) $144 $180 1.1×
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $156–$576.80 $195–$721 varies
Apply hand/wrist cast (29085) $210.40 $263 1.3×
Apply long arm cast (29065) $212 $265 0.8×
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines		 $199.20–$1,153.60 $249–$1,442 varies
Apply Short Leg Cast (29405)
range across 2 matching MRF lines		 $175.20–$390.40 $219–$488 varies
Apply short leg cast (29425) $164.80 $206 0.6×
Arterial puncture (36600)
range across 2 matching MRF lines		 $57.60–$64 $72–$80 varies
Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841)
range across 2 matching MRF lines		 $1,754.40–$6,794.40 $2,193–$8,493 varies
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
range across 2 matching MRF lines		 $1,623.20–$10,985.60 $2,029–$13,732 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines		 $120.80–$858.40 $151–$1,073 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 3 matching MRF lines		 $187.20–$1,333.60 $234–$1,667 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines		 $135.20–$736.80 $169–$921 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $210.40–$2,126.40 $263–$2,658 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines		 $118.40–$817.60 $148–$1,022 varies
Arthrodesis great toe interphalangeal joint (28755)
range across 2 matching MRF lines		 $1,126.40–$5,474.40 $1,408–$6,843 varies
Arthrodesis great toe metatarsophalangeal joint (28750)
range across 2 matching MRF lines		 $1,744–$8,720.80 $2,180–$10,901 varies
Arthrodesis subtalar (28725)
range across 2 matching MRF lines		 $1,724–$13,732 $2,155–$17,165 varies
Arthrodesis Wrist Complete W/O Bone Graft (25800)
range across 2 matching MRF lines		 $1,652.80–$7,157.60 $2,066–$8,947 varies
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810)
range across 2 matching MRF lines		 $1,923.20–$11,772 $2,404–$14,715 varies
Arthroplasty glenohumeral joint total shoulder (23472)
range across 2 matching MRF lines		 $3,072.80–$28,575.20 $3,841–$35,719 varies
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470)
range across 2 matching MRF lines		 $2,551.20–$28,575.20 $3,189–$35,719 varies
Arthroplasty interphalangeal joint each (26535)
range across 3 matching MRF lines		 $934.40–$12,086.40 $1,168–$15,108 varies
Arthroplasty interposition intercarpal or carpometacarpal joints (25447)
range across 2 matching MRF lines		 $1,771.20–$10,883.20 $2,214–$13,604 varies
Arthroplasty Radial Head W/Implant (24366)
range across 2 matching MRF lines		 $1,456.80–$28,575.20 $1,821–$35,719 varies
Arthroscopy Ankle Surgical Debridement Extensive (29898)
range across 2 matching MRF lines		 $1,192.80–$5,634.40 $1,491–$7,043 varies
Arthroscopy Ankle Surgical W/Ankle Arthrodesis (29899)
range across 2 matching MRF lines		 $2,160–$10,924.80 $2,700–$13,656 varies
Arthroscopy ankle w/removal loose/foreign body (29894)
range across 2 matching MRF lines		 $1,072.80–$6,186.40 $1,341–$7,733 varies
Arthroscopy Elbow Surgical Debridement Extensive (29838)
range across 2 matching MRF lines		 $1,268–$6,186.40 $1,585–$7,733 varies
Arthroscopy Elbow Surgical Debridement Limited (29837)
range across 2 matching MRF lines		 $1,131.20–$6,186.40 $1,414–$7,733 varies
Arthroscopy Elbow Surgical Synovectomy Partial (29835)
range across 2 matching MRF lines		 $1,090.40–$6,186.40 $1,363–$7,733 varies
Arthroscopy knee diagnostic w/wo synovial bx spx (29870)
range across 2 matching MRF lines		 $1,184.80–$6,186.40 $1,481–$7,733 varies
Arthroscopy Knee Synovectomy 2/>Compartments (29876)
range across 2 matching MRF lines		 $1,394.40–$6,186.40 $1,743–$7,733 varies
Arthroscopy knee synovectomy limited spx (29875)
range across 2 matching MRF lines		 $1,060–$2,817.60 $1,325–$3,522 varies
Arthroscopy shoulder distal claviculectomy (29824)
range across 2 matching MRF lines		 $1,446.40–$5,634.40 $1,808–$7,043 varies
Arthroscopy shoulder surgical capsulorrhaphy (29806)
range across 2 matching MRF lines		 $2,256–$10,924.80 $2,820–$13,656 varies
Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836)
range across 2 matching MRF lines		 $1,251.20–$6,186.40 $1,564–$7,733 varies
Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834)
range across 2 matching MRF lines		 $1,052–$6,186.40 $1,315–$7,733 varies
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883)
range across 2 matching MRF lines		 $1,792–$6,186.40 $2,240–$7,733 varies
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882)
range across 2 matching MRF lines		 $1,468.80–$5,634.40 $1,836–$7,043 varies
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
range across 2 matching MRF lines		 $1,952.80–$2,817.60 $2,441–$3,522 varies
Arthroscopy, shoulder, surgical; debridement, extensive (29823)
range across 2 matching MRF lines		 $1,266.40–$2,817.60 $1,583–$3,522 varies
Arthroscopy, shoulder, surgical; debridement, limited (29822)
range across 2 matching MRF lines		 $1,156.80–$2,817.60 $1,446–$3,522 varies
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
range across 2 matching MRF lines		 $2,200.80–$10,924.80 $2,751–$13,656 varies
Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821)
range across 2 matching MRF lines		 $1,271.20–$6,186.40 $1,589–$7,733 varies
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819)
range across 2 matching MRF lines		 $1,254.40–$5,892 $1,568–$7,365 varies
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 3 matching MRF lines		 $2,275.20–$10,836 $2,844–$13,545 varies
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846)
range across 2 matching MRF lines		 $1,115.20–$6,186.40 $1,394–$7,733 varies
Arthrotomy wrist joint with synovectomy (25105)
range across 2 matching MRF lines		 $1,088–$4,456 $1,360–$5,570 varies
Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448)
range across 2 matching MRF lines		 $3,283.20–$20,966.40 $4,104–$26,208 varies
Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531)
range across 2 matching MRF lines		 $1,348.80–$10,243.20 $1,686–$12,804 varies
Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332)
range across 2 matching MRF lines		 $1,800.80–$10,243.20 $2,251–$12,804 varies
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
range across 2 matching MRF lines		 $2,080–$10,924.80 $2,600–$13,656 varies
Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889)
likely a partial charge, not the full procedure		 $2,604.80 $3,256 0.2×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891)
range across 2 matching MRF lines		 $1,426.40–$6,186.40 $1,783–$7,733 varies
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879)
range across 2 matching MRF lines		 $1,411.20–$6,186.40 $1,764–$7,733 varies
Arthrs knee debridement/shaving artclr crtlg (29877)
range across 2 matching MRF lines		 $1,327.20–$2,817.60 $1,659–$3,522 varies
Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887)
range across 2 matching MRF lines		 $1,606.40–$6,186.40 $2,008–$7,733 varies
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880)
range across 2 matching MRF lines		 $1,200–$5,634.40 $1,500–$7,043 varies
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080)
range across 2 matching MRF lines		 $892.80–$3,814.40 $1,116–$4,768 varies
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075)
range across 2 matching MRF lines		 $756–$4,501.60 $945–$5,627 varies
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022)
range across 2 matching MRF lines		 $1,080–$6,460.80 $1,350–$8,076 varies
Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101)
range across 2 matching MRF lines		 $908–$5,020.80 $1,135–$6,276 varies
Aspirate pleura w/ imaging (32555) $724 $905 1.2×
Aspirate Pleura W/O Imaging (32554)
range across 4 matching MRF lines		 $434.40–$540 $543–$675 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $142.40–$1,652.80 $178–$2,066 varies
Aspiration Bladder Needle (51100) $164 $205 0.7×
Avulsion nail plate partial/complete simple 1 (11730)
range across 3 matching MRF lines		 $256.80–$745.60 $321–$932 varies
Biopsy bone open superficial (20240)
range across 2 matching MRF lines		 $287.20–$4,162.40 $359–$5,203 varies
Biopsy bone trocar/needle deep (20225)
range across 2 matching MRF lines		 $815.20–$1,524.80 $1,019–$1,906 varies
Biopsy Bone Trocar/Needle Superficial (20220)
range across 4 matching MRF lines		 $496–$1,600.80 $620–$2,001 varies
Biopsy nail unit (11755)
range across 2 matching MRF lines		 $254.40–$1,600.80 $318–$2,001 varies
Biopsy of liver, needle; percutaneous (47000) $778.40 $973 0.5×
Biopsy of nerve (64795)
range across 2 matching MRF lines		 $422.40–$1,537.60 $528–$1,922 varies
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $3,802.40 $4,753 2.4×
Biopsy Soft Tissue Shoulder Deep (23066) $1,171.20 $1,464 0.4×
Biopsy Soft Tissue Shoulder Superficial (23065) $468 $585 0.3×
Biopsy soft tissue thigh/knee area superficial (27323) $566.40 $708 0.4×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $200.80 $251 0.2×
Biopsy, vestibule of mouth (40808) $348.80 $436 0.7×
Bladder instillation anticarcinogenic agent (51720) $2,472 $3,090 3.7×
Bladder Irrigation (51700) $172 $215 0.7×
Bladder Scan (51798) $23.20 $29 0.4×
Blepharotomy drainage abscess eyelid (67700) $642.40 $803 2.1×
Blood Transfusion Service (36430) $624 $780 1.5×
Bone Graft Any Donor Area Minor/Small (20900)
range across 2 matching MRF lines		 $879.20–$7,515.20 $1,099–$9,394 varies
Breast Reduction (19318) $9,227.20 $11,534 1.4×
Bx Cervix (57500) $352 $440 0.4×
Bx/exc lymph node open deep axillary node (38525) $5,078.40 $6,348 1.3×
Bx/exc lymph node open superficial (38500)
range across 2 matching MRF lines		 $759.20–$6,969.60 $949–$8,712 varies
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270)
range across 2 matching MRF lines		 $1,078.40–$5,474.40 $1,348–$6,843 varies
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525)
range across 2 matching MRF lines		 $1,562.40–$1,707.20 $1,953–$2,134 varies
Capsulorrhaphy Anterior W/Labral Repair (23455)
range across 2 matching MRF lines		 $2,210.40–$11,772 $2,763–$14,715 varies
Capsulotomy Iphal Joint Each Joint Spx (28272)
range across 2 matching MRF lines		 $848.80–$4,708.80 $1,061–$5,886 varies
Carpal Tunnel Surgery (64721)
range across 2 matching MRF lines		 $991.20–$3,525.60 $1,239–$4,407 varies
Carpectomy All Bones Proximal Row (25215)
range across 2 matching MRF lines		 $1,380.80–$7,134.40 $1,726–$8,918 varies
Cautery Cervix Cryocautery Initial/Repeat (57511) $454.40 $568 1.5×
Cautery Cervix Electro/Thermal (57510) $380 $475 0.1×
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $216–$373.60 $270–$467 varies
Change of Windpipe Airway (31502) $76.80 $96 0.3×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $184.80–$642.40 $231–$803 varies
Chemodenerv musc neck dyston (64616) $636.80 $796 2.1×
Chest tube placement (32551)
range across 2 matching MRF lines		 $266.40–$344.80 $333–$431 varies
Circumcision 28 days or older (54161) $2,686.40 $3,358 1.3×
Circumcision w/clamp/oth dev w/block (54150) $331.20 $414 0.2×
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $1,204–$3,083.20 $1,505–$3,854 varies
Claviculectomy partial (23120)
range across 2 matching MRF lines		 $1,312–$7,515.20 $1,640–$9,394 varies
Clear outer ear canal (69200) $178.40 $223 1.4×
Closed Rx Metacarpal Fx,Percut (26608)
range across 2 matching MRF lines		 $1,080.80–$10,264.80 $1,351–$12,831 varies
Closed Rx Spontaneous Hip Disloc (27256) $686.40 $858 2.9×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $180 $225 0.8×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $180 $225 0.8×
Closed Treatment Ulnar Styloid Fracture (25650) $746.40 $933 3.1×
Closed tx ankle dislocation w/o anesthesia (27840) $859.20 $1,074 3.6×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $1,062.40–$3,083.20 $1,328–$3,854 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $756.80 $946 3.2×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $554.40 $693 2.3×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $694.40 $868 2.9×
Closed Tx Knee Dislocation W/Anesthesia (27552) $1,419.20 $1,774 0.9×
Closed tx knee dislocation w/o anesthesia (27550) $1,159.20 $1,449 4.9×
Closed Tx Lunate Dislocation W/Manipulation (25690) $1,104.80 $1,381 0.7×
Closed tx metatarsal fracture w/o manipulation (28470) $488 $610 2.0×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,264 $1,580 0.8×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $338.40 $423 0.2×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $3,745.60 $4,682 1.2×
Closed tx patellar dislocation w/anesthesia (27562) $1,099.20 $1,374 4.6×
Closed tx patellar dislocation w/o anesthesia (27560) $684.80 $856 2.9×
Closed Tx Patellar Fracture W/O Manipulation (27520) $734.40 $918 3.1×
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines		 $1,008–$3,083.20 $1,260–$3,854 varies
Closed tx radial head/neck fx w/o manipulation (24650) $594.40 $743 2.5×
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $1,138.40–$3,083.20 $1,423–$3,854 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $642.40 $803 2.7×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $1,171.20–$3,083.20 $1,464–$3,854 varies
Closed tx radial&ulnar shaft fractures w/o man (25560) $655.20 $819 2.8×
Closed Tx Scapular Fracture W/O Manipulation (23570) $530.40 $663 2.2×
Closed tx talus fracture w/o manipulation (28430) $539.20 $674 2.3×
Closed tx tarsometatarsal dislocation w/o anes (28600) $2,715.20 $3,394 11.4×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $180 $225 0.1×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $660.80 $826 2.8×
Closed tx ulnar shaft fracture w/o manipulation (25530) $594.40 $743 2.5×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $528.80 $661 2.3×
Clsd tx acromioclavicular dislc w/manipulation (23545)
range across 2 matching MRF lines		 $828.80–$2,916 $1,036–$3,645 varies
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $539.20 $674 2.3×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $180 $225 0.1×
Clsd tx clavicular fracture w/o manipulation (23500) $500.80 $626 2.1×
Clsd tx shoulder dislc w/manipulation req anes (23655) $920 $1,150 0.6×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $736.80 $921 3.1×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 2 matching MRF lines		 $844.80–$3,083.20 $1,056–$3,854 varies
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $524.80 $656 2.2×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $688.80 $861 2.9×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $802.40 $1,003 3.4×
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $956.80–$3,083.20 $1,196–$3,854 varies
Cltx dstl fibular fx lat malls w/o manj (27786) $708.80 $886 3.0×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $722.40 $903 3.0×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $422.40 $528 1.8×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $764 $955 3.2×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $1,216–$3,083.20 $1,520–$3,854 varies
Cltx Fem Fx Prox End Nck W/O Manj (27230) $180 $225 0.8×
Cltx fx grt toe phlx/phlg w/o manj (28490) $315.20 $394 1.3×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $363.20 $454 1.5×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $267.20 $334 1.1×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $716 $895 3.0×
Cltx greater humeral tuberosity fx w/o manj (23620) $133.60 $167 0.6×
Cltx hip dislocation traumatic w/o anesthesia (27250) $180 $225 0.8×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $793.60 $992 3.3×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $752 $940 3.2×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $180 $225 0.1×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $274.40–$280.80 $343–$351 varies
Cltx Iphal Jt Dislc W/Manj Req Anes (26775)
range across 2 matching MRF lines		 $338.40–$886.40 $423–$1,108 varies
Cltx iphal jt dislc w/manj w/o anes (26770) $644 $805 2.7×
Cltx Med Ankle Fx W/Mnpj (27762) $1,086.40 $1,358 0.7×
Cltx Medial Ankle Fx (27760) $748.80 $936 3.1×
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $748–$3,083.20 $935–$3,854 varies
Cltx metacarpal fx w/o manipulation each bone (26600) $679.20 $849 2.9×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $772 $965 3.2×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $451.20–$3,158.40 $564–$3,948 varies
Cltx post hip arthrp dislc w/o anes (27265) $920 $1,150 3.9×
Cltx prox fibula/shft fx w/o manj (27780) $699.20 $874 2.9×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $180 $225 0.8×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $232.80 $291 1.0×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $180 $225 0.1×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $180 $225 0.1×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $862.40 $1,078 3.6×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $180 $225 0.8×
Cltx tibial fx proximal w/o manipulation (27530) $695.20 $869 2.9×
Cltx tibial shaft fx w/o manipulation (27750) $783.20 $979 3.3×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,100 $1,375 0.7×
Cltx trimalleolar ankle fx w/o manipulation (27816) $746.40 $933 3.1×
Collection of venous blood by venipuncture (36415) $17.60 $22 1.9×
Colonoscopy w/submucosal inj (45381)
range across 2 matching MRF lines		 $1,066.40–$1,436.80 $1,333–$1,796 varies
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $380 $475 1.3×
Colposcopy Cervix Endocervical Curettage (57456) $340 $425 1.2×
Colposcopy cervix upper/adjacent vagina (57452) $284 $355 1.5×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $363.20 $454 1.2×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $716.80 $896 0.2×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $396.80 $496 0.4×
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 2 matching MRF lines		 $1,176–$2,872 $1,470–$3,590 varies
Complex drainage wound (10180)
range across 2 matching MRF lines		 $591.20–$4,835.20 $739–$6,044 varies
Control Nasal Hemorrhage Anterior Complex (30903) $558.40 $698 4.3×
Control Nasal Hemorrhage Anterior Simple (30901) $356.80 $446 2.8×
Control oropharyngeal hemorrhage simple (42960) $331.20 $414 0.6×
Correction hammertoe (28285)
range across 2 matching MRF lines		 $1,188.80–$5,334.40 $1,486–$6,668 varies
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296)
range across 2 matching MRF lines		 $1,976.80–$7,626.40 $2,471–$9,533 varies
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) $7,985.60 $9,982 0.6×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) $7,626.40 $9,533 1.1×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292)
range across 3 matching MRF lines		 $1,537.60–$7,626.40 $1,922–$9,533 varies
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $7,985.60 $9,982 1.1×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $799.20 $999 6.2×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $839.20 $1,049 3.7×
Cysto Bladder W/Ureteral Catheterization (52005) $2,472 $3,090 1.2×
Cysto calibration dilat urtl strix/stenosis (52281)
range across 2 matching MRF lines		 $740.80–$2,472 $926–$3,090 varies
Cysto w/removal of tumors small (52234) $2,472 $3,090 0.7×
Cysto W/Simple Removal Stone & Stent (52310) $2,472 $3,090 1.2×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $5,052.80 $6,316 2.5×
Cystourethroscopy (52000) $2,472 $3,090 3.7×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $2,472 $3,090 0.7×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $5,894.40 $7,368 1.1×
Cystourethroscopy with biopsy (52204) $1,236.80 $1,546 0.6×
Cystourethroscopy with direct vision internal urethrotomy (52276) $5,894.40 $7,368 2.9×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $130.40 $163 0.3×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 2 matching MRF lines		 $1,340–$4,162.40 $1,675–$5,203 varies
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines		 $939.20–$4,162.40 $1,174–$5,203 varies
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $180 $225 0.3×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 4 matching MRF lines		 $475.20–$3,247.20 $594–$4,059 varies
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $72–$262.40 $90–$328 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $96.80–$262.40 $121–$328 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 4 matching MRF lines		 $688.80–$4,604.80 $861–$5,756 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 3 matching MRF lines		 $290.40–$642.40 $363–$803 varies
Declot vascular device (36593) $180 $225 0.6×
Decompression of tibia nerve (28035)
range across 2 matching MRF lines		 $1,163.20–$3,525.60 $1,454–$4,407 varies
Delivery of placenta (59414) $127.20 $159 0.0×
Destr W Neurolytic; Celiac Plexus (64680)
range across 2 matching MRF lines		 $731.20–$3,678.40 $914–$4,598 varies
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines		 $920–$1,477.60 $1,150–$1,847 varies
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines		 $928–$1,477.60 $1,160–$1,847 varies
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $232.80–$580.80 $291–$726 varies
Destruction Benign Lesions 15/> (17111) $272 $340 1.4×
Destruction Internal Hemorrhoid Thermal Energy (46930)
range across 2 matching MRF lines		 $492–$4,116.80 $615–$5,146 varies
Destruction Lesions Vulva Simple (56501) $436.80 $546 0.2×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $461 $576.25 2.4×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $642.40 $803 3.3×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $400.80 $501 2.1×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $310.40 $388 1.6×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $330.40 $413 1.7×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $368 $460 1.9×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $222.40 $278 1.1×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 2 matching MRF lines		 $817.60–$1,680 $1,022–$2,100 varies
Destruction of skin lesions (17106) $698.40 $873 1.8×
Destruction Premalignant Lesion 15/> (17004) $346.40 $433 0.9×
Destruction premalignant lesion 1st (17000) $138.40 $173 0.7×
Destruction Vaginal Lesions Simple (57061) $380.80 $476 0.1×
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines		 $424.80–$1,642.40 $531–$2,053 varies
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $167.20 $209 1.3×
Dilate Esophagus 1/Mult Pass (43450) $2,086.40 $2,608 2.4×
Dilate Urethra Stricture (53600) $1,065.60 $1,332 4.4×
Dilation & curettage dx&/ther nonobstetric (58120) $4,542.40 $5,678 1.5×
Drain Hand Tendon Sheath (26020) $1,243.20 $1,554 0.4×
Drain/inj small joint/bursa w/us (20604)
range across 3 matching MRF lines		 $173.60–$1,333.60 $217–$1,667 varies
Drainage Abscess/Hematoma Nasal Septum (30020) $614.40 $768 1.2×
Drainage external auditory canal abscess (69020) $531.20 $664 0.8×
Drainage External Ear Abscess/Hematoma Simple (69000) $420.80 $526 0.6×
Drainage Finger Abscess Complicated (26011) $1,104 $1,380 0.7×
Drainage of finger abscess simple (26010) $791.20 $989 4.1×
Drainage of gum lesion (41800) $656.80 $821 5.1×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $380–$1,542.40 $475–$1,928 varies
Drainage of hydrocele (55000) $268 $335 0.4×
Drainage of salivary gland (42305) $4,080.80 $5,101 1.3×
Draw Blood Off Venous Device (36591) $133.60 $167 1.0×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $647.20 $809 1.2×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $423.20 $529 0.6×
Drg Absc Submaxillary/Sublingual Intraoral (42310) $384 $480 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $388.80–$440 $486–$550 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $351.20–$388.80 $439–$486 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $188–$388.80 $235–$486 varies
Dstrj lesion anus simple cryosurgery (46916) $586.40 $733 3.0×
Dstrj Lesion Penis Simple Chemical (54050) $314.40 $393 0.8×
Dstrj Lesion Penis Simple Cryosurgery (54056) $315.20 $394 1.6×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines		 $1,652.80–$1,680 $2,066–$2,100 varies
Egd Balloon Dil Esoph30 Mm/> (43233) $2,438.40 $3,048 1.3×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 2 matching MRF lines		 $2,438.40–$2,556 $3,048–$3,195 varies
Egd dilation gastric/duodenal stricture (43245) $2,438.40 $3,048 1.3×
Egd Flexible Foreign Body Removal (43247) $2,438.40 $3,048 2.8×
Egd place gastrostomy tube (43246)
range across 2 matching MRF lines		 $440–$2,788.80 $550–$3,486 varies
Egd remove lesion snare (43251)
range across 3 matching MRF lines		 $972–$2,656 $1,215–$3,320 varies
Elbow arthroscopy (29830)
range across 2 matching MRF lines		 $971.20–$6,186.40 $1,214–$7,733 varies
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $194.40 $243 0.7×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $92 $115 0.3×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $67.20 $84 0.2×
Endocervical curettage (57505) $352.80 $441 0.4×
Endometrial Biopsy (58100) $230.40 $288 1.2×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115)
range across 2 matching MRF lines		 $1,794.40–$3,292 $2,243–$4,115 varies
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110)
range across 2 matching MRF lines		 $1,867.20–$4,261.60 $2,334–$5,327 varies
Epidural Blood Patch (62273)
range across 3 matching MRF lines		 $297.60–$683.20 $372–$854 varies
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $2,788.80 $3,486 1.5×
Esophagoscopy Flexible Transoral Diagnostic (43200) $2,324.80 $2,906 2.7×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $2,324.80 $2,906 1.3×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $127.20–$262.40 $159–$328 varies
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113)
range across 2 matching MRF lines		 $1,216.80–$3,814.40 $1,521–$4,768 varies
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111)
range across 2 matching MRF lines		 $926.40–$4,501.60 $1,158–$5,627 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $264–$1,650.40 $330–$2,063 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines		 $422.40–$1,650.40 $528–$2,063 varies
Exc Back Les Sc < 3 Cm (21930)
range across 2 matching MRF lines		 $1,145.60–$3,964 $1,432–$4,955 varies
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 2 matching MRF lines		 $487.20–$1,650.40 $609–$2,063 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 2 matching MRF lines		 $550.40–$1,650.40 $688–$2,063 varies
Exc Face Les Sbq 2 Cm/> (21012) $4,080.80 $5,101 2.6×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines		 $296–$1,650.40 $370–$2,063 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines		 $360–$1,650.40 $450–$2,063 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines		 $398.40–$1,650.40 $498–$2,063 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 2 matching MRF lines		 $470.40–$3,802.40 $588–$4,753 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $4,162.40 $5,203 2.6×
Exc Forearm Les Sc 3 Cm/> (25071)
range across 2 matching MRF lines		 $896–$1,524.80 $1,120–$1,906 varies
Exc Forearm Tum Deep 3 Cm/> (25073)
range across 2 matching MRF lines		 $1,102.40–$1,600.80 $1,378–$2,001 varies
Exc ganglion wrist recurrent (25112)
range across 2 matching MRF lines		 $872.80–$3,412.80 $1,091–$4,266 varies
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $263.20–$825.60 $329–$1,032 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $330.40–$1,650.40 $413–$2,063 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines		 $370.40–$1,650.40 $463–$2,063 varies
Exc Hand Les Sc < 1.5 Cm (26115)
range across 2 matching MRF lines		 $1,146.40–$3,802.40 $1,433–$4,753 varies
Exc hand tum deep < 1.5 cm (26116)
range across 2 matching MRF lines		 $1,079.20–$4,162.40 $1,349–$5,203 varies
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $5,334.40 $6,668 3.4×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $5,334.40 $6,668 3.4×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $4,080.80 $5,101 1.3×
Exc neuroma major peripheral nrv xcp sciatic (64784)
range across 2 matching MRF lines		 $1,674.40–$3,357.60 $2,093–$4,197 varies
Exc Shoulder Tum Deep 5 Cm/> (23073)
range across 2 matching MRF lines		 $1,469.60–$1,524.80 $1,837–$1,906 varies
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $407.20–$1,650.40 $509–$2,063 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 2 matching MRF lines		 $483.20–$3,802.40 $604–$4,753 varies
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 2 matching MRF lines		 $686.40–$3,802.40 $858–$4,753 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines		 $658.40–$3,802.40 $823–$4,753 varies
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)
range across 2 matching MRF lines		 $622.40–$1,650.40 $778–$2,063 varies
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 2 matching MRF lines		 $918.40–$3,802.40 $1,148–$4,753 varies
Exc tendon shth lesion leg/ankle (27630)
range across 2 matching MRF lines		 $1,213.60–$5,020.80 $1,517–$6,276 varies
Exc thigh/knee les sc 3 cm/> (27337)
range across 2 matching MRF lines		 $938.40–$8,868.80 $1,173–$11,086 varies
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 3 matching MRF lines		 $480.80–$4,428 $601–$5,535 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines		 $323.20–$1,600.80 $404–$2,001 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines		 $355.20–$1,650.40 $444–$2,063 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines		 $463.20–$1,650.40 $579–$2,063 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552)
range across 2 matching MRF lines		 $922.40–$1,572 $1,153–$1,965 varies
Exc tumor soft tiss shoulder subfasc <5cm (23076)
range across 2 matching MRF lines		 $1,148.80–$3,964 $1,436–$4,955 varies
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073)
range across 2 matching MRF lines		 $1,427.20–$1,600.80 $1,784–$2,001 varies
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076)
range across 2 matching MRF lines		 $1,124–$4,911.20 $1,405–$6,139 varies
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $3,802.40 $4,753 1.4×
Exc tumor soft tissue abdominal wall subq <3cm (22902)
range across 2 matching MRF lines		 $987.20–$2,081.60 $1,234–$2,602 varies
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075)
range across 2 matching MRF lines		 $1,090.40–$4,162.40 $1,363–$5,203 varies
Exc tumor soft tissue neck/ant thorax subq <3cm (21555)
range across 2 matching MRF lines		 $920–$3,964 $1,150–$4,955 varies
Exc tumor soft tissue thigh/knee subfasc <5cm (27328)
range across 2 matching MRF lines		 $1,282.40–$1,901.60 $1,603–$2,377 varies
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071)
range across 2 matching MRF lines		 $836.80–$1,600.80 $1,046–$2,001 varies
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108)
range across 2 matching MRF lines		 $961.60–$5,474.40 $1,202–$6,843 varies
Exc/fulguration urethral caruncle (53265) $4,340 $5,425 2.1×
Excis Mouth Mucosa/Sub,No Repair (40810) $4,080.80 $5,101 1.3×
Excise tendon forearm/wrist (25109)
range across 2 matching MRF lines		 $1,196–$4,456 $1,495–$5,570 varies
Excise Wrist Tendon Sheath (25118)
range across 2 matching MRF lines		 $856.80–$4,456 $1,071–$5,570 varies
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 2 matching MRF lines		 $571.20–$1,650.40 $714–$2,063 varies
Excision & Repair Eyelid < One-Fourth Lid Margin (67961) $4,132 $5,165 1.8×
Excision Distal Ulna Partial/Complete (25240)
range across 2 matching MRF lines		 $960.80–$7,515.20 $1,201–$9,394 varies
Excision Lesion Tongue W/O Closure (41110) $3,745.60 $4,682 1.2×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $408.80 $511 0.6×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)
range across 2 matching MRF lines		 $471.20–$1,650.40 $589–$2,063 varies
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 2 matching MRF lines		 $502.40–$1,650.40 $628–$2,063 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604)
range across 3 matching MRF lines		 $636.80–$1,650.40 $796–$2,063 varies
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $420 $525 0.6×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $3,802.40 $4,753 2.4×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621)
range across 2 matching MRF lines		 $472–$825.60 $590–$1,032 varies
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 2 matching MRF lines		 $519.20–$1,650.40 $649–$2,063 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $710.40 $888 0.4×
Excision Multiple External Papillae/Tags Anus (46230) $706.40 $883 0.3×
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 2 matching MRF lines		 $724.80–$3,412.80 $906–$4,266 varies
Excision of neuroma; digital nerve, 1 or both, same digit (64776)
range across 2 matching MRF lines		 $874.40–$3,862.40 $1,093–$4,828 varies
Excision of pilonidal cyst or sinus; simple (11770) $3,802.40 $4,753 1.4×
Excision of single external papilla or tag, anus (46220)
range across 2 matching MRF lines		 $571.20–$821.60 $714–$1,027 varies
Excision olecranon bursa (24105)
range across 2 matching MRF lines		 $806.40–$4,456 $1,008–$5,570 varies
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $13,611.20 $17,014 4.3×
Excision Pilonidal Cyst/Sinus Complicated (11772) $3,802.40 $4,753 1.4×
Excision Pilonidal Cyst/Sinus Extensive (11771) $3,802.40 $4,753 1.4×
Excision prepatellar bursa (27340)
range across 2 matching MRF lines		 $840–$2,510.40 $1,050–$3,138 varies
Excision Radial Head (24130)
range across 2 matching MRF lines		 $1,140.80–$7,515.20 $1,426–$9,394 varies
Excision tendon palm flexor/extensor single each (26170)
range across 2 matching MRF lines		 $914.40–$3,815.20 $1,143–$4,769 varies
Excision tumor soft tis back/flank subq 3 cm/> (21931)
range across 2 matching MRF lines		 $991.20–$3,964 $1,239–$4,955 varies
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039)
range across 2 matching MRF lines		 $1,089.60–$5,334.40 $1,362–$6,668 varies
Excision tumor soft tissue foot/toe subq <1.5cm (28043)
range across 2 matching MRF lines		 $784–$3,802.40 $980–$4,753 varies
Excision tumor soft tissue shoulder subq 3 cm/> (23071)
range across 2 matching MRF lines		 $867.20–$1,890.40 $1,084–$2,363 varies
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327)
range across 2 matching MRF lines		 $1,064–$4,162.40 $1,330–$5,203 varies
Excision, interdigital (morton) neuroma, single, each (28080)
range across 2 matching MRF lines		 $1,186.40–$5,213.60 $1,483–$6,517 varies
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903)
range across 2 matching MRF lines		 $928.80–$3,964 $1,161–$4,955 varies
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632)
range across 2 matching MRF lines		 $920–$4,456 $1,150–$5,570 varies
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075)
range across 3 matching MRF lines		 $1,085.60–$1,524.80 $1,357–$1,906 varies
Excision/curettage cyst/tumor carpal bones (25130)
range across 2 matching MRF lines		 $1,025.60–$7,157.60 $1,282–$8,947 varies
Excision/curettage cyst/tumor phalanx finger (26210) $1,000 $1,250 0.6×
Excision/destruction intranasal lesion int appr (30117) $3,745.60 $4,682 1.2×
Excision; trochanteric bursa or calcification (27062)
range across 2 matching MRF lines		 $1,018.40–$4,456 $1,273–$5,570 varies
Exploration penetrating wound spx extremity (20103) $1,270.40 $1,588 0.8×
Explore/Treat Elbow Joint (24101)
range across 2 matching MRF lines		 $1,128–$7,515.20 $1,410–$9,394 varies
Explore/Treat Hand Joint (26070) $718.40 $898 0.5×
Expression of conjunctival follicles (eg, for trachoma) Facility (68040) $136 $170 0.4×
Fasciectomy Palm Only (26121)
range across 2 matching MRF lines		 $1,338.40–$5,627.20 $1,673–$7,034 varies
Fasciectomy Plantar Fascia Partial Spx (28060)
range across 2 matching MRF lines		 $1,154.40–$5,474.40 $1,443–$6,843 varies
Fasciotomy palmar percutaneous (26040)
range across 2 matching MRF lines		 $707.20–$3,814.40 $884–$4,768 varies
Fasciotomy, foot and/or toe (28008) $5,334.40 $6,668 1.7×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123)
range across 2 matching MRF lines		 $1,863.20–$7,134.40 $2,329–$8,918 varies
Fine needle aspiration without imaging guidance (10021) $209.60 $262 0.5×
Fna bx w/us gdn 1st les (10005) $2,100 $2,625 3.1×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $5,904 $7,380 3.0×
Fuse hand bones with graft (25825)
range across 2 matching MRF lines		 $1,775.20–$7,134.40 $2,219–$8,918 varies
Fusion Finger Joint (26860)
range across 2 matching MRF lines		 $1,392–$3,814.40 $1,740–$4,768 varies
Fusion of foot bones (28740)
range across 2 matching MRF lines		 $2,400–$11,535.20 $3,000–$14,419 varies
Fusion of hand bones (25820)
range across 2 matching MRF lines		 $1,456–$8,418.40 $1,820–$10,523 varies
Fusion of knuckle (26850)
range across 2 matching MRF lines		 $1,673.60–$5,627.20 $2,092–$7,034 varies
Fusion/graft of hand joint (26844)
range across 2 matching MRF lines		 $1,954.40–$7,134.40 $2,443–$8,918 varies
Gastrocnemius recession (27687)
range across 3 matching MRF lines		 $1,008–$8,868.80 $1,260–$11,086 varies
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255)
range across 2 matching MRF lines		 $1,183.20–$5,483.20 $1,479–$6,854 varies
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $1,087.20 $1,359 0.4×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 2 matching MRF lines		 $595.20–$825.60 $744–$1,032 varies
Hysteroscopy Biopsy (58558) $5,942.40 $7,428 1.9×
I&d abscess peritonsillar (42700) $432 $540 1.9×
I&d abscess simple (10060)
range across 3 matching MRF lines		 $276.80–$1,592.80 $346–$1,991 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $2,136 $2,670 1.4×
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines		 $1,512.80–$5,076.80 $1,891–$6,346 varies
I&D Deep Absc/Hematoma Neck/Chest (21501) $1,092.80 $1,366 0.4×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028)
range across 2 matching MRF lines		 $1,584.80–$7,157.60 $1,981–$8,947 varies
I&d forearm/wrist bursa (25031)
range across 2 matching MRF lines		 $837.60–$4,244 $1,047–$5,305 varies
I&d perianal abscess superficial (46050) $539.20 $674 0.6×
I&d pilonidal cyst complicated (10081) $784.80 $981 1.1×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $578.40–$1,542.40 $723–$1,928 varies
Implant neuroelectrodes (63650)
range across 4 matching MRF lines		 $3,600–$13,864 $4,500–$17,330 varies
Implant Spine Infusion Pump (62362)
range across 2 matching MRF lines		 $44,024.80 $1,014–$55,031 2.5×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
range across 2 matching MRF lines		 $835.20–$17,210.40 $1,044–$21,513 varies
Incise external hemorrhoid (46083)
range across 3 matching MRF lines		 $468.80–$1,542.40 $586–$1,928 varies
Incise finger tendon sheath (26055)
range across 2 matching MRF lines		 $1,344.80–$3,412.80 $1,681–$4,266 varies
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $474.40–$1,542.40 $593–$1,928 varies
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $546.40–$1,650.40 $683–$2,063 varies
Incision & removal foreign body subq tiss simple (10120)
range across 3 matching MRF lines		 $334.40–$1,592.80 $418–$1,991 varies
Incision and drainage of bartholin's gland abscess (56420) $423.20 $529 2.2×
Incision and drainage of vulva or perineal abscess (56405) $335.20 $419 1.1×
Incision extensor tendon sheath wrist (25000)
range across 3 matching MRF lines		 $772–$5,020.80 $965–$6,276 varies
Incision of eardrum (69421) $1,873.60 $2,342 0.6×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $1,258.40–$4,604.80 $1,573–$5,756 varies
Incision of urethra (53020) $4,340 $5,425 2.1×
Incision&drainage bursa foot (28001)
range across 2 matching MRF lines		 $382.40–$1,542.40 $478–$1,928 varies
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 2 matching MRF lines		 $686.40–$5,991.20 $858–$7,489 varies
Incisional biopsy skin single lesion (11106)
range across 3 matching MRF lines		 $328.80–$1,524.80 $411–$1,906 varies
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $168.80–$388.80 $211–$486 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 4 matching MRF lines		 $400–$2,216.40 $500–$2,770.50 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines		 $557.60–$1,333.60 $697–$1,667 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $127.20–$858.40 $159–$1,073 varies
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 3 matching MRF lines		 $336–$1,333.60 $420–$1,667 varies
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines		 $465.60–$1,400 $582–$1,750 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines		 $68.80–$1,333.60 $86–$1,667 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 2 matching MRF lines		 $479.20–$1,333.60 $599–$1,667 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines		 $338.40–$1,333.60 $423–$1,667 varies
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines		 $183.20–$1,333.60 $229–$1,667 varies
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $128.80–$736.80 $161–$921 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines		 $111.20–$736.80 $139–$921 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 3 matching MRF lines		 $128–$736.80 $160–$921 varies
Injection Sinus Tract Therapeutic Separate Proc (20500) $268.80 $336 0.2×
Injection therapeutic carpal tunnel (20526)
range across 3 matching MRF lines		 $108–$817.60 $135–$1,022 varies
Injection, anesthetic agent; brachial plexus, single (64415)
range across 3 matching MRF lines		 $283.20–$1,333.60 $354–$1,667 varies
Injection, anesthetic agent; femoral nerve, single (64447) $1,477.60 $1,847 2.2×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 4 matching MRF lines		 $156.80–$1,477.60 $196–$1,847 varies
Injection, intralesional; up to and including 7 lesions (11900) $126.40 $158 0.7×
Insert and remove bone pin (20650)
range across 2 matching MRF lines		 $496.80–$4,456 $621–$5,570 varies
Insert Bladder Cath Complex (51703) $336.80 $421 2.7×
Insert cath pleura w/ image (32557) $1,536 $1,920 1.0×
Insert Drug Implant Device (11981) $226.40 $283 1.8×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $487.20–$4,760 $609–$5,950 varies
Insert pessary/other device (57160) $166.40 $208 0.9×
Insert Picc W/O Sub-Q Port <5 Y/O (36568)
range across 2 matching MRF lines		 $200–$752.80 $250–$941 varies
Insert Temp Bladder Cath (51702) $139.20 $174 1.1×
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $2,296.80–$4,760 $2,871–$5,950 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 3 matching MRF lines		 $100–$352.80 $125–$441 varies
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 4 matching MRF lines		 $781.60–$4,620 $977–$5,775 varies
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $430.40 $538 0.1×
Insj Picc Rs&I <5 Yr (36572)
range across 2 matching MRF lines		 $816–$4,620 $1,020–$5,775 varies
Insj prph ctr vad w/subq port age 5 yr/> (36571)
range across 2 matching MRF lines		 $1,569.60–$5,268.80 $1,962–$6,586 varies
Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) $1,569.60 $1,962 0.5×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines		 $204.80–$1,353.60 $256–$1,692 varies
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869)
range across 2 matching MRF lines		 $961.60–$13,475.20 $1,202–$16,844 varies
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) $4,760 $5,950 1.6×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $44,024.80 $55,031 1.5×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure		 $356.80 $446 0.0×
Int hrhc by ligation single hroid w/o img gdn (46945) $4,116.80 $5,146 1.5×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,132 $1,415 2.9×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,302.40 $1,628 3.3×
Intraoral i&d tongue/floor lingual (41000) $339.20 $424 0.7×
Intro Gastrointestinal Tube (44500) $133.60 $167 0.2×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $305.60–$311.20 $382–$389 varies
Irrigation of corpora cavernosa for priapism (54220) $488.80 $611 2.0×
Knee Arthroscopy/Surgery (29885)
likely a partial charge, not the full procedure		 $1,614.40 $2,018 0.2×
Knee Arthroscopy/Surgery (29874)
range across 2 matching MRF lines		 $1,144.80–$5,634.40 $1,431–$7,043 varies
Laparoscopy Enterolysis Separate Procedure (44180)
range across 2 matching MRF lines		 $1,968–$4,593.60 $2,460–$5,742 varies
Laparoscopy fulguration oviducts (58670) $9,188 $11,485 1.6×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 2 matching MRF lines		 $928.80–$9,188 $1,161–$11,485 varies
Laparoscopy, surgical, appendectomy (44970)
range across 2 matching MRF lines		 $1,292–$9,188 $1,615–$11,485 varies
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
range across 2 matching MRF lines		 $1,543.20–$10,526.40 $1,929–$13,158 varies
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
range across 2 matching MRF lines		 $1,212.80–$4,593.60 $1,516–$5,742 varies
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $6,672.80 $8,341 1.1×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $11,621.60 $14,527 2.0×
Laryngoscopy diagnostic (31505) $204.80 $256 1.1×
Laryngoscopy flexible diagnostic (31575) $426.40 $533 2.2×
Laryngoscopy W/Foreign Body Removal (31530) $438.40 $548 0.3×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $480 $600 1.3×
Late closure of wound (13160)
range across 2 matching MRF lines		 $1,776–$3,292 $2,220–$4,115 varies
Lateral Canthopexy (21282) $2,004.80 $2,506 0.6×
Ligamentous reconstruction knee intra-articular (27428)
range across 2 matching MRF lines		 $2,486.40–$13,891.20 $3,108–$17,364 varies
Ligation or biopsy temporal artery (37609) $1,650.40 $2,063 1.0×
Lysis/excision penile postcircumcision adhesions (54162) $2,932 $3,665 1.5×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $436.80 $546 0.3×
Metatarsectomy (28140) $2,667.20 $3,334 0.8×
N Block Inj Celiac Pelus (64530)
range across 2 matching MRF lines		 $486.40–$1,333.60 $608–$1,667 varies
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines		 $232–$1,333.60 $290–$1,667 varies
N block inj intercost sng (64420)
range across 2 matching MRF lines		 $204.80–$1,477.60 $256–$1,847 varies
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines		 $110.40–$1,333.60 $138–$1,667 varies
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines		 $481.60–$739.20 $602–$924 varies
Nasal Endoscopy Dx (31231) $218.40 $273 1.1×
Nasal/Orogastric W/Tube Plmt (43752) $88 $110 0.2×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $218.40 $273 0.1×
Ndsc wrst surg w/rls transvrs carpl ligm (29848)
range across 2 matching MRF lines		 $1,091.20–$5,634.40 $1,364–$7,043 varies
Needle insertion w/o injection 1 or 2 muscles (20560) $58.40 $73 2.1×
Needle insertion w/o injection 3 or more muscles (20561) $83.20 $104 3.0×
Nerve repair w/conduit each nerve (64910)
range across 2 matching MRF lines		 $1,703.20–$3,678.40 $2,129–$4,598 varies
Neurectomy, Intrinsic Musculature Of Foot (28055)
range across 2 matching MRF lines		 $842.40–$11,535.20 $1,053–$14,419 varies
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 2 matching MRF lines		 $1,338.40–$3,525.60 $1,673–$4,407 varies
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708)
range across 2 matching MRF lines		 $1,119.20–$3,862.40 $1,399–$4,828 varies
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines		 $307.20–$1,333.60 $384–$1,667 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $254.40 $318 0.9×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 4 matching MRF lines		 $369.60–$2,216.80 $462–$2,771 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines		 $551.20–$1,827.20 $689–$2,284 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327)
range across 2 matching MRF lines		 $565.60–$13,737.60 $707–$17,172 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 3 matching MRF lines		 $543.20–$1,827.20 $679–$2,284 varies
Occipital Nerve Block (64405)
range across 3 matching MRF lines		 $156.80–$1,477.60 $196–$1,847 varies
Open biopsy/excision inguinofemoral nodes (38531)
range across 2 matching MRF lines		 $996–$6,637.60 $1,245–$8,297 varies
Open Repair of Rotator Cuff Acute (23410)
range across 2 matching MRF lines		 $1,827.20–$11,772 $2,284–$14,715 varies
Open Treatment Bimalleolar Ankle Fracture (27814)
range across 2 matching MRF lines		 $1,704–$10,264.80 $2,130–$12,831 varies
Open treatment calcaneal fracture (28415)
range across 2 matching MRF lines		 $2,507.20–$10,264.80 $3,134–$12,831 varies
Open treatment fracture distal tibia only (27827)
range across 2 matching MRF lines		 $2,504–$11,944.80 $3,130–$14,931 varies
Open Treatment Humeral Condylar Fracture (24579)
range across 2 matching MRF lines		 $1,856.80–$10,264.80 $2,321–$12,831 varies
Open treatment interphalangeal joint dislocation (28675)
range across 2 matching MRF lines		 $1,288–$9,776 $1,610–$12,220 varies
Open Treatment Medial Malleolus Fracture (27766)
range across 2 matching MRF lines		 $1,350.40–$10,264.80 $1,688–$12,831 varies
Open treatment metacarpophalangeal dislocation (26715)
range across 2 matching MRF lines		 $1,300–$9,776 $1,625–$12,220 varies
Open treatment metatarsal fracture each (28485)
range across 2 matching MRF lines		 $1,248–$10,264.80 $1,560–$12,831 varies
Open treatment of acromioclavicular dislocation acute or chronic (23550)
range across 2 matching MRF lines		 $1,295.20–$9,776 $1,619–$12,220 varies
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
range across 2 matching MRF lines		 $1,606.40–$10,264.80 $2,008–$12,831 varies
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546)
range across 2 matching MRF lines		 $2,306.40–$12,112.80 $2,883–$15,141 varies
Open Treatment of Ulnar Shaft Fracture (25545)
range across 2 matching MRF lines		 $1,395.20–$10,264.80 $1,744–$12,831 varies
Open treatment posterior malleolus fracture (27769)
range across 2 matching MRF lines		 $1,636–$9,776 $2,045–$12,220 varies
Open Treatment Proximal Fibula/Shaft Fracture (27784)
range across 2 matching MRF lines		 $1,576.80–$10,264.80 $1,971–$12,831 varies
Open Treatment Radial Shaft Fracture (25515)
range across 2 matching MRF lines		 $1,495.20–$10,264.80 $1,869–$12,831 varies
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746)
range across 2 matching MRF lines		 $1,655.20–$10,264.80 $2,069–$12,831 varies
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
range across 2 matching MRF lines		 $1,440–$10,264.80 $1,800–$12,831 varies
Open Tx Distal Phalangeal Fracture Each (26765) $1,123.20 $1,404 0.4×
Open Tx Distal Tibiofibular Joint Disruption (27829)
range across 2 matching MRF lines		 $1,586.40–$10,264.80 $1,983–$12,831 varies
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525)
range across 2 matching MRF lines		 $1,268–$9,776 $1,585–$12,220 varies
Open tx interphalangeal joint dislocation (26785)
range across 2 matching MRF lines		 $1,220.80–$10,264.80 $1,526–$12,831 varies
Open Tx Metacarpal Fracture Single Ea Bone (26615)
range across 2 matching MRF lines		 $1,284.80–$10,264.80 $1,606–$12,831 varies
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735)
range across 2 matching MRF lines		 $1,328–$10,264.80 $1,660–$12,831 varies
Open Tx Radial Head/Neck Fracture (24665)
range across 2 matching MRF lines		 $1,470.40–$12,112.80 $1,838–$15,141 varies
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
range across 2 matching MRF lines		 $1,960.80–$10,264.80 $2,451–$12,831 varies
Open tx ulnar fx proximal end (24685)
range across 2 matching MRF lines		 $1,460–$10,264.80 $1,825–$12,831 varies
Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686)
range across 2 matching MRF lines		 $1,395.20–$12,220 $1,744–$15,275 varies
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
range across 2 matching MRF lines		 $1,844–$10,264.80 $2,305–$12,831 varies
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
range across 2 matching MRF lines		 $2,340–$10,264.80 $2,925–$12,831 varies
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
range across 2 matching MRF lines		 $1,964–$12,112.80 $2,455–$15,141 varies
Ostc prtl exostc/condylc metar head (28288) $5,474.40 $6,843 1.7×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112)
range across 2 matching MRF lines		 $1,075.20–$5,213.60 $1,344–$6,517 varies
Ostectomy, complete excision; fifth metatarsal head (28113)
range across 2 matching MRF lines		 $1,292.80–$5,213.60 $1,616–$6,517 varies
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110)
range across 2 matching MRF lines		 $1,017.60–$7,626.40 $1,272–$9,533 varies
Osteot w/wo lngth shrt/corrj 1st metar (28306)
range across 2 matching MRF lines		 $1,343.20–$5,474.40 $1,679–$6,843 varies
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308)
range across 2 matching MRF lines		 $1,263.20–$5,474.40 $1,579–$6,843 varies
Osteotomy Clavicle W Bone Graft (23485)
range across 2 matching MRF lines		 $2,141.60–$11,211.20 $2,677–$14,014 varies
Osteotomy Metacarpal Each (26565) $5,627.20 $7,034 1.8×
Part remv talus or calcaneus (28120)
range across 2 matching MRF lines		 $1,498.40–$5,334.40 $1,873–$6,668 varies
Partial excision bone olecranon process (24147)
range across 2 matching MRF lines		 $1,406.40–$8,868.80 $1,758–$11,086 varies
Partial Excision Bone Radius (25151)
range across 2 matching MRF lines		 $1,306.40–$7,515.20 $1,633–$9,394 varies
Partial excision of lip (40520) $4,080.80 $5,101 1.3×
Partical Excision Bone Phalanx Toe (28124)
range across 2 matching MRF lines		 $1,052.80–$5,474.40 $1,316–$6,843 varies
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496)
range across 2 matching MRF lines		 $1,004–$12,112.80 $1,255–$15,141 varies
Pericardiocentesis W/Imaging (33016) $516.80 $646 0.3×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
range across 2 matching MRF lines		 $12,933.60–$17,210.40 $16,167–$21,513 varies
Perq Vertebral Augmentation (22513)
range across 2 matching MRF lines		 $12,996–$17,210.40 $16,245–$21,513 varies
Pin hand dislocation (26676)
range across 2 matching MRF lines		 $1,140.80–$10,264.80 $1,426–$12,831 varies
Pin knuckle dislocation (26706)
range across 2 matching MRF lines		 $1,002.40–$3,386.40 $1,253–$4,233 varies
Placement of needle for intraosseous infusion (36680) $130.40 $163 0.3×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $292 $365 0.3×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555)
range across 2 matching MRF lines		 $4,848–$13,864 $6,060–$17,330 varies
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756)
range across 2 matching MRF lines		 $954.40–$10,478.40 $1,193–$13,098 varies
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
likely a partial charge, not the full procedure		 $1,772 $2,215 0.3×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122)
range across 2 matching MRF lines		 $1,314.40–$8,720.80 $1,643–$10,901 varies
Punch biopsy skin single lesion (11104)
range across 4 matching MRF lines		 $262.40–$823.20 $328–$1,029 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines		 $288–$1,619.20 $360–$2,024 varies
Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116)
range across 2 matching MRF lines		 $1,344.80–$3,172 $1,681–$3,965 varies
Rad resect elbow caps/sr bone w rels (24149)
range across 2 matching MRF lines		 $2,652–$7,157.60 $3,315–$8,947 varies
Radical resection of tumor, radius or ulna (25170)
range across 2 matching MRF lines		 $3,280–$7,157.60 $4,100–$8,947 varies
Radical styloidectomy separate procedure (25230)
range across 2 matching MRF lines		 $983.20–$7,157.60 $1,229–$8,947 varies
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625)
range across 2 matching MRF lines		 $992–$3,678.40 $1,240–$4,598 varies
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541)
range across 2 matching MRF lines		 $1,888.80–$7,134.40 $2,361–$8,918 varies
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238)
range across 2 matching MRF lines		 $1,502.40–$10,985.60 $1,878–$13,732 varies
Realignment extensor tendon hand each tendon (26437)
range across 2 matching MRF lines		 $1,516–$3,412.80 $1,895–$4,266 varies
Reconstruction Nail Bed W/Graft (11762) $180 $225 0.1×
Reconstruction of mouth (40842) $7,312.80 $9,141 1.3×
Reconstruction Tongue Fold (41520) $1,873.60 $2,342 0.6×
Relieve Pressure on Nerve(S) (64722)
range across 2 matching MRF lines		 $802.40–$3,862.40 $1,003–$4,828 varies
Removal Embedded Foreign Body Eyelid (67938) $615.20 $769 2.0×
Removal Foreign Body Foot Complicated (28193)
range across 2 matching MRF lines		 $1,066.40–$4,162.40 $1,333–$5,203 varies
Removal foreign body foot deep (28192)
range across 2 matching MRF lines		 $940.80–$4,162.40 $1,176–$5,203 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 3 matching MRF lines		 $500–$1,600.80 $625–$2,001 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $448.80–$1,524.80 $561–$1,906 varies
Removal impacted cerumen irrigation/lvg unilat (69209) $34.40 $43 0.6×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $104.80 $131 1.8×
Removal Implant Deep (20680)
range across 2 matching MRF lines		 $1,243.20–$3,802.40 $1,554–$4,753 varies
Removal Implant Superficial Separate Procedure (20670)
range across 2 matching MRF lines		 $748–$4,162.40 $935–$5,203 varies
Removal implantable contraceptive capsules (11976) $296.80 $371 0.4×
Removal of adenoids (42835) $4,350.40 $5,438 1.4×
Removal of adenoids (42831) $3,957.60 $4,947 1.2×
Removal of adenoids (42830) $3,957.60 $4,947 1.2×
Removal of adenoids (42836) $3,957.60 $4,947 1.2×
Removal of foreign body from pharynx (42809) $456 $570 1.1×
Removal of heel spur (28119)
range across 2 matching MRF lines		 $1,164.80–$5,474.40 $1,456–$6,843 varies
Removal of nail bed (11750)
range across 2 matching MRF lines		 $328.80–$1,524.80 $411–$1,906 varies
Removal of residual cervix (57550) $967.20 $1,209 0.2×
Removal of sesamoid bone (28315)
range across 2 matching MRF lines		 $1,065.60–$5,213.60 $1,332–$6,517 varies
Removal of sperm cord lesion (55520) $2,399.20 $2,999 0.7×
Removal of tonsils (42826) $3,957.60 $4,947 1.2×
Removal of wrist bone (25210)
range across 2 matching MRF lines		 $1,100–$3,814.40 $1,375–$4,768 varies
Removal or bivalving full arm or full leg cast (29705) $139.20 $174 0.5×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $200–$593.60 $250–$742 varies
Removal/bivalving gauntlet boot/body cast (29700)
range across 2 matching MRF lines		 $136–$576.80 $170–$721 varies
Remove & graft wrist lesion (25135)
range across 2 matching MRF lines		 $1,255.20–$7,515.20 $1,569–$9,394 varies
Remove drug implant device (11982) $252.80 $316 0.6×
Remove finger bone (26185)
range across 2 matching MRF lines		 $1,244.80–$3,814.40 $1,556–$4,768 varies
Remove foreign body from eye (65205) $64 $80 0.5×
Remove Hand Bone Lesion (26200)
range across 2 matching MRF lines		 $1,004–$3,412.80 $1,255–$4,266 varies
Remove hip pressure sore (15940) $6,357.60 $7,947 2.3×
Remove Intrauterine Device (58301) $248.80 $311 0.8×
Remove knee joint lining (27334) $1,532 $1,915 0.5×
Remove lung catheter (32552) $406.40 $508 0.7×
Remove Nasal Foreign Body (30300) $475.20 $594 3.7×
Remove radius head implant (24164)
range across 2 matching MRF lines		 $1,616–$8,868.80 $2,020–$11,086 varies
Remove Skin Nerve Lesion (64774)
range across 2 matching MRF lines		 $929.60–$3,862.40 $1,162–$4,828 varies
Remove spine eltrd plate (63662)
range across 2 matching MRF lines		 $1,799.20–$13,475.20 $2,249–$16,844 varies
Remove Tendon Sheath Lesion (26160)
range across 3 matching MRF lines		 $1,142.40–$3,412.80 $1,428–$4,266 varies
Remove/Insert Drug Implant (11983) $316.80 $396 0.7×
Repair Achilles Tendon (27650)
range across 2 matching MRF lines		 $1,464.80–$6,343.20 $1,831–$7,929 varies
Repair Collat Ankle Ligmnt,Secondary (27698)
range across 2 matching MRF lines		 $1,416–$7,515.20 $1,770–$9,394 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $946.40 $1,183 1.3×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 3 matching MRF lines		 $1,111.20–$3,292 $1,389–$4,115 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $868.80–$880 $1,086–$1,100 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,054.40 $1,318 2.7×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $796.80 $996 2.0×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $952 $1,190 2.4×
Repair complex trunk 1.1-2.5 cm (13100) $764 $955 1.1×
Repair complex trunk 2.6-7.5 cm (13101) $892 $1,115 1.2×
Repair Elbow Perc (24357)
range across 2 matching MRF lines		 $936.80–$7,515.20 $1,171–$9,394 varies
Repair Extensor Tendon Finger W/Graft Each (26420)
range across 2 matching MRF lines		 $1,694.40–$8,418.40 $2,118–$10,523 varies
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $1,422.40–$3,814.40 $1,778–$4,768 varies
Repair Finger Tendon (26433)
range across 2 matching MRF lines		 $1,305.60–$1,333.60 $1,632–$1,667 varies
Repair Flexor Tendon Leg Primary W/O Graft Each (27658)
range across 2 matching MRF lines		 $831.20–$4,456 $1,039–$5,570 varies
Repair Forearm Tendon Sheath (25275)
range across 2 matching MRF lines		 $1,500–$7,515.20 $1,875–$9,394 varies
Repair Hallux Rigidus (28289)
range across 2 matching MRF lines		 $1,524–$11,535.20 $1,905–$14,419 varies
Repair Hand Joint (26540)
range across 2 matching MRF lines		 $1,590.40–$3,412.80 $1,988–$4,266 varies
Repair Hand Tendon (26410)
range across 2 matching MRF lines		 $1,371.20–$3,814.40 $1,714–$4,768 varies
Repair incomplete circumcision (54163) $2,686.40 $3,358 1.3×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553)
range across 2 matching MRF lines		 $1,420.80–$7,696.80 $1,776–$9,621 varies
Repair initial femoral hernia, any age; reducible (49550)
range across 2 matching MRF lines		 $1,297.60–$6,110.40 $1,622–$7,638 varies
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $7,781.60 $9,727 2.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $312.80–$636.80 $391–$796 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $312.80–$707.20 $391–$884 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $312.80–$816.80 $391–$1,021 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $866.40 $1,083 2.2×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,374.40 $1,718 3.5×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $914.40 $1,143 1.3×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $312.80–$594.40 $391–$743 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $312.80–$695.20 $391–$869 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $854.40 $1,068 1.2×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $1,238.40 $1,548 0.6×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $551.20–$872.80 $689–$1,091 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $312.80–$592 $391–$740 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $312.80–$676.80 $391–$846 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $972.80 $1,216 1.4×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $551.20–$748.80 $689–$936 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $1,087.20 $1,359 0.5×
Repair Laceration Palate >2 Cm/Complex (42182)
likely a partial charge, not the full procedure		 $180 $225 0.0×
Repair Nasal Vestibular Stenosis (30465) $10,426.40 $13,033 1.8×
Repair Nonunion Hand (26546)
range across 2 matching MRF lines		 $2,336–$7,134.40 $2,920–$8,918 varies
Repair of metatarsals (28322)
range across 2 matching MRF lines		 $1,742.40–$11,535.20 $2,178–$14,419 varies
Repair of nail bed (11760)
range across 2 matching MRF lines		 $422.40–$745.60 $528–$932 varies
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405)
range across 2 matching MRF lines		 $2,308.80–$11,772 $2,886–$14,715 varies
Repair of Ruptured Tendon (24342)
range across 2 matching MRF lines		 $1,728.80–$7,515.20 $2,161–$9,394 varies
Repair of shoulder (23420)
range across 2 matching MRF lines		 $2,170.40–$11,772 $2,713–$14,715 varies
Repair Rotator Cuff Chronic (23412)
range across 2 matching MRF lines		 $1,898.40–$11,772 $2,373–$14,715 varies
Repair secondary achilles tendon w/wo graft (27654)
range across 2 matching MRF lines		 $1,603.20–$11,211.20 $2,004–$14,014 varies
Repair Tendon Extensor Foot 1/2 Each Tendon (28208)
range across 2 matching MRF lines		 $1,072–$6,460 $1,340–$8,075 varies
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
range across 2 matching MRF lines		 $1,660–$7,515.20 $2,075–$9,394 varies
Repair tongue laceration (41250) $639.20 $799 1.5×
Repair, primary, disrupted ligament, ankle; collateral (27695)
range across 2 matching MRF lines		 $1,066.40–$7,515.20 $1,333–$9,394 varies
Repair/Graft Wrist Bone (25440)
range across 2 matching MRF lines		 $1,710.40–$11,772 $2,138–$14,715 varies
Repair/Revise Wrist Joint (25320)
range across 2 matching MRF lines		 $2,188.80–$11,772 $2,736–$14,715 varies
Repr elbow lat ligmnt w/tiss (24343)
range across 2 matching MRF lines		 $1,594.40–$5,258.40 $1,993–$6,573 varies
Rerepair ing hernia reduce (49520)
range across 2 matching MRF lines		 $1,422.40–$7,781.60 $1,778–$9,727 varies
Revis reconst shoulder joint (23473)
range across 2 matching MRF lines		 $3,424–$28,575.20 $4,280–$35,719 varies
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
range across 2 matching MRF lines		 $3,694.40–$28,575.20 $4,618–$35,719 varies
Revise finger joint each (26140)
range across 2 matching MRF lines		 $1,135.20–$3,814.40 $1,419–$4,768 varies
Revise knuckle joint (26530)
range across 2 matching MRF lines		 $1,158.40–$10,883.20 $1,448–$13,604 varies
Revise Spine Eltrd Plate (63664)
range across 2 matching MRF lines		 $1,876–$13,475.20 $2,345–$16,844 varies
Revise ulnar nerve at wrist (64719)
range across 2 matching MRF lines		 $908–$3,525.60 $1,135–$4,407 varies
Revise Wrist/Forearm Tendon (25280) $1,320.80 $1,651 0.4×
Revise/Implant Finger Joint (26536)
range across 2 matching MRF lines		 $1,630.40–$10,243.20 $2,038–$12,804 varies
Revise/Repair Finger/Toe Nerve (64702)
range across 2 matching MRF lines		 $1,135.20–$3,862.40 $1,419–$4,828 varies
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663)
range across 2 matching MRF lines		 $1,898.40–$13,475.20 $2,373–$16,844 varies
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688)
range across 2 matching MRF lines		 $787.20–$13,475.20 $984–$16,844 varies
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $420 $525 0.5×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $1,901.60 $2,377 1.2×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $132.80 $166 0.3×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $148 $185 1.2×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $84.80 $106 0.2×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $968.80 $1,211 0.3×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $456 $570 0.3×
Rmvl spinal nstim eltrd prq array incl fluor (63661)
range across 3 matching MRF lines		 $519.20–$13,475.20 $649–$16,844 varies
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365)
range across 2 matching MRF lines		 $625.60–$13,475.20 $782–$16,844 varies
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $464–$3,802.40 $580–$4,753 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $371.20 $464 0.6×
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) $268 $335 1.0×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $524.80–$1,040.80 $656–$1,301 varies
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
range across 2 matching MRF lines		 $1,318.40–$9,536.80 $1,648–$11,921 varies
Rpr Aa Hernia 1st < 3 Cm Reducible (49591)
range across 2 matching MRF lines		 $1,174.40–$8,170.40 $1,468–$10,213 varies
Rpr Aa Hernia 1st > 10 Cm Reducible (49595)
range across 2 matching MRF lines		 $1,468–$12,300 $1,835–$15,375 varies
Rpr aa hernia recr 3-10 cm reducible (49615)
range across 2 matching MRF lines		 $1,318.40–$9,536.80 $1,648–$11,921 varies
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
range across 2 matching MRF lines		 $1,174.40–$8,170.40 $1,468–$10,213 varies
Rpr Aa Hernia Recr < 3 Cm Reducible (49613)
range across 2 matching MRF lines		 $1,174.40–$8,170.40 $1,468–$10,213 varies
Rpr aa hrn 1st 3-10 rdc (49593)
range across 2 matching MRF lines		 $1,318.40–$9,536.80 $1,648–$11,921 varies
Rpr aa hrn 1st < 3 ncr/strn (49592)
range across 2 matching MRF lines		 $1,174.40–$8,170.40 $1,468–$10,213 varies
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $384 $480 2.0×
Rpr flexor tendon leg secondary w/o graft each (27659)
range across 2 matching MRF lines		 $1,090.40–$6,040.80 $1,363–$7,551 varies
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,132 $1,415 1.6×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $704 $880 3.1×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $1,156.80 $1,446 2.2×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $1,304 $1,630 0.9×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) $7,515.20 $9,394 1.1×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200)
range across 2 matching MRF lines		 $1,117.60–$5,474.40 $1,397–$6,843 varies
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260)
range across 2 matching MRF lines		 $1,416.80–$7,515.20 $1,771–$9,394 varies
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426)
range across 2 matching MRF lines		 $1,126.40–$7,135.20 $1,408–$8,919 varies
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356)
range across 2 matching MRF lines		 $1,775.20–$7,134.40 $2,219–$8,918 varies
Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/Free Graft Ea (26372)
range across 2 matching MRF lines		 $2,083.20–$8,418.40 $2,604–$10,523 varies
Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/O Free Grf Ea (26373)
range across 2 matching MRF lines		 $2,004.80–$7,134.40 $2,506–$8,918 varies
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $5,864.80 $7,331 1.8×
Sgmdsc flx dired sbmcsl njx any sbst (45335)
range across 2 matching MRF lines		 $674.40–$2,142.40 $843–$2,678 varies
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338)
range across 2 matching MRF lines		 $687.20–$1,800.80 $859–$2,251 varies
Shave skin lesion 0.5 cm/< (11300) $228.80 $286 0.6×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $262.40 $328 1.4×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $407.20 $509 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $240.80 $301 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $276 $345 1.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $315.20 $394 1.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $334.40 $418 0.9×
Shorten radius & ulna (25392)
range across 2 matching MRF lines		 $2,259.20–$7,515.20 $2,824–$9,394 varies
Shoulder arthroscopy (29820)
range across 2 matching MRF lines		 $1,147.20–$6,186.40 $1,434–$7,733 varies
Shoulder arthroscopy diagnostic (29805)
range across 2 matching MRF lines		 $1,002.40–$5,634.40 $1,253–$7,043 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $308 $385 1.6×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $348 $435 0.9×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $274.40 $343 1.4×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $342.40 $428 0.9×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $310.40 $388 1.6×
Sigmoidoscopy & Polypectomy (45333) $762.40 $953 0.8×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $2,100 $2,625 1.8×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 2 matching MRF lines		 $662.40–$1,800.80 $828–$2,251 varies
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $492 $615 1.3×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $251.20 $314 1.3×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $262.40–$312.80 $328–$391 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $338.40 $423 0.9×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $320.80 $401 1.7×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $384 $480 2.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $210.40–$710.40 $263–$888 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $520 $650 2.7×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $292.80 $366 1.5×
Skin Full Grft Face/Genit/Hf (15240)
range across 2 matching MRF lines		 $2,052.80–$3,456.80 $2,566–$4,321 varies
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines		 $354.40–$3,292 $443–$4,115 varies
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines		 $344–$3,292 $430–$4,115 varies
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines		 $696.80–$3,292 $871–$4,115 varies
Skin Tissue Procedure (17999)
range across 2 matching MRF lines		 $278.40–$642.40 $348–$803 varies
Skn sub grft f/n/hf/g child (15277)
range across 2 matching MRF lines		 $772.80–$3,292 $966–$4,115 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $252.80–$710.40 $316–$888 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $396 $495 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $462.40 $578 1.2×
Sphincterotomy anal division sphincter spx (46080) $4,116.80 $5,146 1.5×
Spinal puncture lumbar diagnostic (62270) $283.20 $354 0.4×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120)
range across 3 matching MRF lines		 $1,894.40–$4,261.60 $2,368–$5,327 varies
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100)
range across 2 matching MRF lines		 $1,950.40–$4,261.60 $2,438–$5,327 varies
Strapping ankle (29540) $180 $225 1.1×
Strapping elbow or wrist (29260) $180 $225 3.2×
Strapping knee (29530) $180 $225 1.4×
Strapping shoulder (29240) $180 $225 1.4×
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $142.40–$576.80 $178–$721 varies
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $1,873.60 $2,342 0.6×
Surg Implnt Neuroelect,Epidural (63655)
range across 2 matching MRF lines		 $1,893.60–$9,584.80 $2,367–$11,981 varies
Surg nasopharyngoscopy dilat eustachian tube bi (69706) $7,980 $9,975 1.4×
Suture 1 Nerve Ulnar Motor (64836)
range across 2 matching MRF lines		 $1,816–$3,862.40 $2,270–$4,828 varies
Suture digital nerve hand/foot 1 nerve (64831)
range across 2 matching MRF lines		 $1,560.80–$3,678.40 $1,951–$4,598 varies
Suture infrapatellar tendon primary (27380)
range across 2 matching MRF lines		 $1,400.80–$6,343.20 $1,751–$7,929 varies
Suture of quadriceps or hamstring muscle rupture primary (27385)
range across 2 matching MRF lines		 $1,364.80–$7,515.20 $1,706–$9,394 varies
Synovectomy carpometacarpal joint (26130)
range across 2 matching MRF lines		 $1,052–$4,768.80 $1,315–$5,961 varies
Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135)
range across 2 matching MRF lines		 $1,240–$7,134.40 $1,550–$8,918 varies
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145)
range across 3 matching MRF lines		 $1,152.80–$6,136 $1,441–$7,670 varies
Tangential biopsy skin single lesion (11102)
range across 3 matching MRF lines		 $211.20–$1,650.40 $264–$2,063 varies
Tendon lengthening upper arm/elbow ea tendon (24305)
range across 2 matching MRF lines		 $1,294.40–$7,515.20 $1,618–$9,394 varies
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310)
range across 2 matching MRF lines		 $1,384–$9,608 $1,730–$12,010 varies
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312)
range across 2 matching MRF lines		 $1,595.20–$11,772 $1,994–$14,715 varies
Tenodesis long tendon biceps (23430)
range across 2 matching MRF lines		 $1,676.80–$7,157.60 $2,096–$8,947 varies
Tenolysis cplx xtnsr tendon finger w/forearm ea (26449)
range across 2 matching MRF lines		 $1,580.80–$3,632.80 $1,976–$4,541 varies
Tenolysis flexor foot single tendon (28220)
range across 2 matching MRF lines		 $1,000.80–$5,213.60 $1,251–$6,517 varies
Tenolysis flexor tendon palm/finger each tendon (26440)
range across 2 matching MRF lines		 $1,484.80–$3,814.40 $1,856–$4,768 varies
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $4,456 $5,570 1.4×
Tenolysis, extensor tendon, hand or finger, each tendon (26445)
range across 2 matching MRF lines		 $1,388.80–$3,814.40 $1,736–$4,768 varies
Tenotomy extensor hand/finger open each tendon (26460)
range across 2 matching MRF lines		 $1,027.20–$3,599.20 $1,284–$4,499 varies
Tenotomy Flexor Finger Open Each Tendon (26455)
range across 2 matching MRF lines		 $1,044–$3,108 $1,305–$3,885 varies
Tenotomy Percutaneous Toe Single Tendon (28010)
range across 3 matching MRF lines		 $520–$4,248 $650–$5,310 varies
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $5,020.80 $6,276 1.6×
Tenotomy shoulder area single tendon (23405)
range across 2 matching MRF lines		 $1,382.40–$4,456 $1,728–$5,570 varies
Tenotomy, open, hamstring, knee to hip; single tendon Facility (27390)
range across 2 matching MRF lines		 $1,006.40–$4,456 $1,258–$5,570 varies
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $4,248 $5,310 2.7×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628)
range across 2 matching MRF lines		 $957.60–$1,333.60 $1,197–$1,667 varies
Thrombolytic Therapy Stroke (37195) $628 $785 2.0×
Thumb fusion with graft (26842)
range across 2 matching MRF lines		 $1,890.40–$7,134.40 $2,363–$8,918 varies
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $5,904 $7,380 3.0×
Tnot elbow lateral/medial debride open (24358) $1,183.20 $1,479 0.4×
Tnot elbow lateral/medial debride open tdn rpr (24359)
range across 2 matching MRF lines		 $1,479.20–$7,515.20 $1,849–$9,394 varies
Tonsillectomy and adenoidectomy; age 12 or over (42821) $3,957.60 $4,947 1.2×
Total Knee Arthroplasty (27447)
likely a partial charge, not the full procedure		 $2,724.80 $3,406 0.2×
Tracheostomy Emergency Cricothyroid Membrane (31605) $736 $920 3.2×
Tracheostomy Emergency Procedure Transtracheal (31603) $708.80 $886 0.5×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772)
range across 2 matching MRF lines		 $1,248.80–$3,862.40 $1,561–$4,828 varies
Transfer, free toe joint, with microvascular anastomosis Facility (26556)
range across 2 matching MRF lines		 $7,134.40–$7,600 $8,918–$9,500 varies
Transfer/transplant tendon palmar w/o graft each (26485)
range across 2 matching MRF lines		 $1,894.40–$7,134.40 $2,368–$8,918 varies
Transplant hand tendon (26480)
range across 2 matching MRF lines		 $1,784.80–$7,134.40 $2,231–$8,918 varies
Transplant/graft hand tendon (26483)
range across 2 matching MRF lines		 $1,975.20–$2,814.40 $2,469–$3,518 varies
Treat ankle dislocation (27848)
likely a partial charge, not the full procedure		 $1,760.80 $2,201 0.3×
Treat ankle fracture (28445)
range across 2 matching MRF lines		 $2,328–$9,776 $2,910–$12,220 varies
Treat Big Toe Fracture (28505)
range across 2 matching MRF lines		 $1,464.80–$10,264.80 $1,831–$12,831 varies
Treat elbow fracture (24587)
likely a partial charge, not the full procedure		 $2,423.20 $3,029 0.2×
Treat Finger Fracture Each (26727)
range across 2 matching MRF lines		 $1,063.20–$10,264.80 $1,329–$12,831 varies
Treat fracture radius/ulna (25575)
range across 2 matching MRF lines		 $2,014.40–$10,264.80 $2,518–$12,831 varies
Treat Fx Rad Extra-Articul (25607)
range across 2 matching MRF lines		 $1,647.20–$8,880 $2,059–$11,100 varies
Treat Hand Bone Lesion (26034)
range across 2 matching MRF lines		 $1,249.60–$3,632.80 $1,562–$4,541 varies
Treat humerus fracture (24500) $816 $1,020 3.4×
Treat humerus fracture (23600) $752 $940 3.2×
Treat Kneecap Fracture (27524)
range across 2 matching MRF lines		 $1,680.80–$12,112.80 $2,101–$15,141 varies
Treat Knuckle Dislocation (26700) $764 $955 3.2×
Treat metacarpal fracture (26607) $1,150.40 $1,438 0.4×
Treat Metatarsal Fracture (28475) $570.40 $713 2.4×
Treat Tail Bone Fracture (27200) $423.20 $529 1.8×
Treat Thumb Fracture (26645) $180 $225 0.1×
Treat toe dislocation (28630)
range across 3 matching MRF lines		 $340.80–$2,916 $426–$3,645 varies
Treatment Closed Elbow Dislocation Req Anes (24605) $1,074.40 $1,343 0.7×
Treatment closed elbow dislocation w/o anes (24600) $844.80 $1,056 3.5×
Trim skin lesion (11055)
range across 2 matching MRF lines		 $162.40–$642.40 $203–$803 varies
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines		 $184.80–$642.40 $231–$803 varies
Trim skin lesions over 4 (11057)
range across 2 matching MRF lines		 $203.20–$642.40 $254–$803 varies
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines		 $31.20–$642.40 $39–$803 varies
Tx Gastro Intub W/Asp (43753) $48.80 $61 0.2×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) $21,915.20 $27,394 3.1×
Tx open tendon flexor toe 1 tendon spx (28232)
range across 2 matching MRF lines		 $838.40–$3,108 $1,048–$3,885 varies
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $672.80–$1,353.60 $841–$1,692 varies
Tx superficial wound dehiscence w/packing (12021) $396 $495 1.0×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 2 matching MRF lines		 $180–$479.20 $225–$599 varies
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $4,010.40 $5,013 2.7×
Tympanostomy general anesthesia (69436) $3,745.60 $4,682 2.5×
Unlisted laparoscopic procedure liver (47379)
range across 2 matching MRF lines		 $1,376–$9,528 $1,720–$11,910 varies
Unlisted laparoscopy procedure appendix (44979) $4,593.60 $5,742 0.8×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) $3,336.80 $4,171 0.6×
Unlisted laparoscopy procedure, biliary tract (47579) $8,074.40 $10,093 1.4×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
range across 2 matching MRF lines		 $2,822.40–$7,689.60 $3,528–$9,612 varies
Unlisted procedure anus (46999)
range across 2 matching MRF lines		 $815.20–$2,059.20 $1,019–$2,574 varies
Unlisted procedure arthroscopy (29999)
range across 2 matching MRF lines		 $916.80–$6,186.40 $1,146–$7,733 varies
Unlisted Procedure Casting/Strapping (29799) $171.20 $214 1.1×
Unlisted procedure colon (45399) $2,472 $3,090 2.8×
Unlisted Procedure External Ear (69399) $53.60 $67 0.2×
Unlisted procedure foot or toes (28899) $184.80 $231 0.8×
Unlisted Procedure Hands/Fingers (26989)
range across 2 matching MRF lines		 $1,200–$3,610.40 $1,500–$4,513 varies
Unlisted procedure humerus/elbow (24999)
range across 2 matching MRF lines		 $1,716.80–$3,638.40 $2,146–$4,548 varies
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines		 $1,625.60–$4,557.60 $2,032–$5,697 varies
Unlisted procedure shoulder (23929)
range across 2 matching MRF lines		 $1,304–$4,244 $1,630–$5,305 varies
Unlisted Procedure, Urinary System (53899) $45.60 $57 0.2×
Vaginal delivery only (59409) $1,132 $1,415 0.4×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 2 matching MRF lines		 $750.40–$4,797.60 $938–$5,997 varies
Vein Access Cutdown < 1 Yr (36420) $104 $130 0.8×
Venous Cutdown >1 Y/O (36425) $88 $110 0.2×
Ventilating tube removal requiring general anesthesia (69424) $4,010.40 $5,013 1.3×
Wedge excision skin nail fold (11765) $371.20 $464 0.9×
Windowing of cast (29730) $140 $175 0.9×
Wound Prep F/N/Hf/G (15004)
range across 4 matching MRF lines		 $816.80–$3,964 $1,021–$4,955 varies
Wound Prep Trk/Arm/Leg (15002)
range across 2 matching MRF lines		 $727.20–$3,964 $909–$4,955 varies
Wrist arthroscopy with partial removal of joint lining (29844)
range across 2 matching MRF lines		 $1,066.40–$6,186.40 $1,333–$7,733 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.