Procedures & surgery prices at Mammoth Hospital

Mammoth Lakes, CA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $445.90 $637 0.4×
Acne surgery (10040) $200.20 $286 0.8×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $366.80 $524 0.1×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $475.30 $679 0.2×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $1,889.30 $2,699 0.7×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,016.40 $1,452 0.4×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $761.60 $1,088 0.3×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $1,766.80 $2,524 0.7×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $1,351.70 $1,931 0.3×
Amputation Foot Midtarsal (28800) $1,563.80 $2,234 0.4×
Amputation foot transmetarsal (28805) $1,210.30 $1,729 0.3×
Anal/Urinary Muscle Study (51784) $385 $550 2.3×
Anoscopy diagnostic (46600) $168 $240 1.0×
Apheresis Platelets (36513) $1,365 $1,950 2.4×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $156.80 $224 0.8×
Application cast elbow finger short arm (29075) $164.50 $235 0.5×
Application Cast Finger (29086) $119.70 $171 0.6×
Application finger splint static (29130) $79.10 $113 0.5×
Application Hip Spica Cast 1 Leg (29305) $522.20 $746 1.5×
Application long arm splint shoulder hand (29105) $137.20 $196 0.7×
Application Long Leg Cast Walker/Ambulatory Type (29355) $311.50 $445 0.9×
Application Long Leg Splint (29505) $193.90 $277 0.9×
Application of long leg cast (29345) $282.10 $403 0.8×
Application of rigid total contact leg cast (29445) $463.40 $662 1.3×
Application Patellar Tendon Bearing Cast (29435) $357 $510 1.0×
Application short arm splint forearm-hand static (29125) $118.30 $169 0.7×
Application short leg splint calf foot (29515) $126.70 $181 0.6×
Application uniplane external fixation system (20690)
likely a partial charge, not the full procedure
$1,889.30 $2,699 0.2×
Apply hand/wrist cast (29085) $156.80 $224 0.8×
Apply long arm cast (29065) $214.90 $307 0.6×
Apply Short Leg Cast (29405) $233.80 $334 0.6×
Apply short leg cast (29425) $273 $390 0.8×
Arterial puncture (36600)
range across 2 matching MRF lines
$59.50–$77 $85–$110 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 6 matching MRF lines
$113.40–$464.80 $162–$664 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines
$264.60–$520.10 $378–$743 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 8 matching MRF lines
$138.60–$487.90 $198–$697 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines
$289.80–$520.10 $414–$743 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 6 matching MRF lines
$107.10–$464.80 $153–$664 varies
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
likely a partial charge, not the full procedure
$4,375 $6,250 0.1×
Arthroscopy shoulder surgical capsulorrhaphy (29806)
likely a partial charge, not the full procedure
$2,442.30 $3,489 0.3×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
likely a partial charge, not the full procedure
$2,479.40 $3,542 0.3×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
likely a partial charge, not the full procedure
$2,149.70 $3,071 0.2×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $2,172.10 $3,103 0.5×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $2,596.30 $3,709 0.6×
Artificial insemination intra-cervical (58321) $186.90 $267 0.5×
Artificial insemination intra-uterine (58322) $217.70 $311 0.8×
Aspirate pleura w/ imaging (32555)
range across 3 matching MRF lines
$450.10–$522.20 $643–$746 varies
Aspirate/Inj Ganglion Cyst (20612) $96.60 $138 0.2×
Aspiration & Injection Treatment Bone Cyst (20615) $484.40 $692 0.5×
Aspiration bladder insert suprapubic catheter (51102) $872.90 $1,247 0.3×
Avulsion nail plate partial/complete simple 1 (11730) $167.30 $239 0.6×
Biopsy Abdominal Mass (49180)
range across 2 matching MRF lines
$641.90–$663.60 $917–$948 varies
Biopsy bone trocar/needle deep (20225) $684.60 $978 0.3×
Biopsy Bone Trocar/Needle Superficial (20220) $684.60 $978 0.3×
Biopsy External Auditory Canal (69105) $414.64 $592.34 0.2×
Biopsy external ear (69100) $109.20 $156 0.4×
Biopsy muscle percutaneous needle (20206) $1,589 $2,270 0.7×
Biopsy nail unit (11755) $151.20 $216 0.2×
Biopsy Nasopharynx Visible Lesion Simple (42804) $580.76 $829.66 0.1×
Biopsy of lip (40490) $164.50 $235 0.5×
Biopsy of liver, needle; percutaneous (47000) $380.10 $543 0.2×
Biopsy of penis (54100) $297.50 $425 0.1×
Biopsy Oropharynx (42800) $467.40 $667.72 0.2×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614) $571.90 $817 0.2×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $1,589 $2,270 0.7×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $1,589 $2,270 0.7×
Biopsy Soft Tissue Shoulder Superficial (23065) $162.40 $232 0.1×
Biopsy soft tissue thigh/knee area superficial (27323) $525.70 $751 0.2×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $174.30 $249 0.1×
Biopsy Tongue Anterior Two-Thirds (41100) $273.70 $391 0.4×
Biopsy Vaginal Mucosa Extensive (57105) $377.30 $539 0.1×
Biopsy Vaginal Mucosa Simple (57100) $152.60 $218 0.1×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $174.30 $249 0.1×
Biopsy, vestibule of mouth (40808) $247.80 $354 0.4×
Bladder instillation anticarcinogenic agent (51720) $1,326.50 $1,895 1.5×
Bladder Irrigation (51700) $154 $220 0.5×
Bladder Scan (51798)
range across 4 matching MRF lines
$128.10–$198.80 $183–$284 varies
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $1,616.30 $2,309 0.6×
Blepharotomy drainage abscess eyelid (67700) $148.40 $212 0.4×
Blood Transfusion Service (36430)
range across 4 matching MRF lines
$275.80–$311.50 $394–$445 varies
Bone Graft Any Donor Area Minor/Small (20900)
likely a partial charge, not the full procedure
$576.80 $824 0.1×
Bone Marrow Biopsy (38221) $1,978.20 $2,826 0.9×
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines
$2,104.90–$2,209.90 $3,007–$3,157 varies
Bx breast needle core w/o imaging guidance spx (19100) $223.30 $319 0.1×
Bx Cervix (57500) $223.30 $319 0.2×
Bx/exc lymph node open superficial (38500)
likely a partial charge, not the full procedure
$774.20 $1,106 0.2×
Cautery Cervix Cryocautery Initial/Repeat (57511) $223.30 $319 0.6×
Change Cystostomy Tube Complicated (51710) $683.90 $977 0.8×
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines
$165.90–$294 $237–$420 varies
Chemical Cautery Tissue (17250) $61.60 $88 0.2×
Chemical exfoliation for acne (17360) $221.90 $317 0.9×
Chemical peel face dermal (15789) $963.20 $1,376 1.0×
Chemical peel nonfacial dermal (15793) $855.40 $1,222 1.6×
Chemical peel nonfacial epidermal (15792) $632.10 $903 0.7×
Chemical peel, facial; epidermal (15788) $602.70 $861 1.2×
Chemodenerv 1 extrem 5/> mus (64644) $331.10 $473 0.4×
Chemodenerv 1 extremity 1-4 (64642) $310.80 $444 0.3×
Chemodenerv Eccrine Glands (64650) $80.50 $115 0.2×
Chemodenerv Musc Migraine (64615) $413.70 $591 1.0×
Chemodenerv musc neck dyston (64616) $369.60 $528 0.9×
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $270.20 $386 0.7×
Chemodenerv trunk musc 1-5 (64646) $273 $390 0.3×
Chemodenerv trunk musc 6/> (64647) $377.30 $539 0.4×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $422.10 $603 1.1×
Chest tube placement (32551)
range across 2 matching MRF lines
$870.80–$914.20 $1,244–$1,306 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $656.60 $938 0.2×
Circumcision 28 days or older (54161) $574 $820 0.2×
Circumcision Neonate (54160)
range across 2 matching MRF lines
$261.10–$437.50 $373–$625 varies
Circumcision w/clamp/oth dev w/block (54150)
range across 3 matching MRF lines
$218.40–$261.10 $312–$373 varies
Cl Tx Scapular Fx; W Manip (23575) $634.20 $906 0.3×
Cl Tx Tib Shft Fx W Manip (27752) $1,209.60 $1,728 0.6×
Clear outer ear canal (69200) $145.60 $208 0.9×
Closed rx talotarsal disloc,anesth (28575) $592.20 $846 0.1×
Closed Treat Vert Body Fract (22310) $557.20 $796 1.8×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $878.50 $1,255 2.8×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $726.60 $1,038 2.3×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $460.60 $658 1.5×
Closed Treatment Ulnar Styloid Fracture (25650) $570.50 $815 1.8×
Closed tx ankle dislocation w/o anesthesia (27840) $405.30 $579 1.3×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $622.30 $889 0.3×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $604.80 $864 1.9×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $459.20 $656 1.4×
Closed tx carpal scaphoid fracture w/manj (25624) $758.80 $1,084 0.4×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $639.80 $914 2.0×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $982.10 $1,403 3.1×
Closed tx knee dislocation w/o anesthesia (27550) $459.90 $657 1.4×
Closed Tx Lunate Dislocation W/Manipulation (25690) $848.40 $1,212 0.4×
Closed tx metatarsal fracture w/o manipulation (28470) $363.30 $519 1.1×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $457.10 $653 0.2×
Closed tx patellar dislocation w/anesthesia (27562) $1,044.40 $1,492 3.3×
Closed Tx Patellar Fracture W/O Manipulation (27520) $505.40 $722 1.6×
Closed tx radial head/neck fx w/manipulation (24655) $738.50 $1,055 0.4×
Closed tx radial head/neck fx w/o manipulation (24650) $424.90 $607 1.3×
Closed tx radial shaft fracture w/manipulation (25505) $780.50 $1,115 0.4×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $444.50 $635 1.4×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $984.90 $1,407 0.5×
Closed tx radial&ulnar shaft fractures w/o man (25560) $519.40 $742 1.6×
Closed Tx Scapular Fracture W/O Manipulation (23570) $366.80 $524 1.2×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $496.30 $709 1.6×
Closed Tx Talus Fracture W/Manipulation (28435) $507.50 $725 0.2×
Closed tx talus fracture w/o manipulation (28430) $490.70 $701 1.5×
Closed tx tarsometatarsal dislocation w/o anes (28600) $380.10 $543 1.2×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $172.20 $246 0.5×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $665.70 $951 0.3×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $615.30 $879 1.9×
Closed tx ulnar shaft fracture w/o manipulation (25530) $415.10 $593 1.3×
Clsd tx acromioclavicular dislc w/manipulation (23545) $441 $630 1.4×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $369.60 $528 1.2×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $647.50 $925 0.3×
Clsd tx clavicular fracture w/o manipulation (23500) $349.30 $499 1.1×
Clsd tx shoulder dislc w/manipulation req anes (23655) $633.50 $905 0.3×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $517.30 $739 1.6×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $581.70 $831 0.3×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $648.20 $926 0.3×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $476 $680 1.5×
Cltx dstl fibular fx lat malls w/manj (27788) $720.30 $1,029 2.3×
Cltx dstl fibular fx lat malls w/o manj (27786) $524.30 $749 1.7×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $491.40 $702 1.5×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $357 $510 1.1×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $573.30 $819 1.8×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,056.30 $1,509 0.5×
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $919.10 $1,313 0.4×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $807.10 $1,153 2.5×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,345.40 $1,922 0.7×
Cltx fx grt toe phlx/phlg w/o manj (28490) $218.40 $312 0.7×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $241.50 $345 0.8×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $186.20 $266 0.6×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $577.50 $825 1.8×
Cltx greater humeral tuberosity fx w/o manj (23620) $452.90 $647 1.4×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $588.70 $841 0.3×
Cltx hip dislocation traumatic w/o anesthesia (27250) $696.50 $995 2.2×
Cltx humeral condylar fx medial/lateral w/manj (24577) $579.60 $828 0.3×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $737.80 $1,054 0.4×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $597.80 $854 1.9×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $2,445.10 $3,493 1.2×
Cltx iphal jt dislc w/manj w/o anes (26770) $476 $680 1.5×
Cltx Med Ankle Fx W/Mnpj (27762) $917 $1,310 0.4×
Cltx Medial Ankle Fx (27760) $548.10 $783 1.7×
Cltx metacarpal fx w/manipulation each bone (26605) $511 $730 1.6×
Cltx metacarpal fx w/o manipulation each bone (26600) $469.70 $671 1.5×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $586.60 $838 1.8×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $357 $510 1.1×
Cltx post hip arthrp dislc req anes (27266) $1,131.90 $1,617 0.5×
Cltx post hip arthrp dislc w/o anes (27265) $686.70 $981 2.2×
Cltx prox fibula/shft fx w/manj (27781) $708.40 $1,012 0.3×
Cltx prox fibula/shft fx w/o manj (27780) $480.90 $687 1.5×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $784 $1,120 0.4×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $751.10 $1,073 2.4×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $168 $240 0.5×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $661.50 $945 0.3×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $670.60 $958 0.3×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $906.50 $1,295 0.4×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $986.30 $1,409 0.5×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $593.60 $848 1.9×
Cltx tibial fx proximal w/o manipulation (27530) $589.40 $842 1.9×
Cltx tibial shaft fx w/o manipulation (27750) $700.70 $1,001 2.2×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $819 $1,170 2.6×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,199.80 $1,714 0.6×
Collect Blood From Catheter Venous Nos (36592) $108.50 $155 0.6×
Collection of venous blood by venipuncture (36415)
range across 6 matching MRF lines
$14.70–$221.20 $21–$316 varies
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $273.70 $391 0.7×
Colposcopy Cervix Endocervical Curettage (57456) $122.50 $175 0.3×
Colposcopy cervix upper/adjacent vagina (57452) $186.20 $266 0.7×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $238 $340 0.6×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $765.80 $1,094 0.2×
Complex drainage wound (10180) $543.20 $776 0.1×
Conization cervix w/wo d&c rpr eltrd exc (57522) $985.60 $1,408 0.2×
Control Nasal Hemorrhage Anterior Complex (30903) $353.50 $505 2.1×
Control Nasal Hemorrhage Anterior Simple (30901) $228.90 $327 1.3×
Control oropharyngeal hemorrhage simple (42960) $331.10 $473 0.5×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $721.70 $1,031 0.3×
Convert Nephrostomy Catheter (50434) $1,311.80 $1,874 0.5×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $240.80 $344 0.1×
Create Eardrum Opening (69433) $354.20 $506 0.5×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $507.50 $725 3.0×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $553 $790 1.8×
Cysto calibration dilat urtl strix/stenosis (52281) $592.20 $846 0.2×
Cysto W/Simple Removal Stone & Stent (52310) $498.40 $712 0.2×
Cystometrogram W/Vp&Up (51729) $823.20 $1,176 0.9×
Cystourethroscopy (52000) $406 $580 0.5×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $86.10 $123 0.2×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $937.30 $1,339 0.3×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $651 $930 0.7×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $756 $1,080 0.8×
Deb Musc/Fascia 20 Sq Cm/< (11043) $523.60 $748 0.6×
Debride nail 1-5 (11720) $52.50 $75 0.7×
Debride nail 6 or more (11721) $66.50 $95 0.9×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $641.90 $917 0.3×
Debridement Mastoidectomy Cavity Simple (69220) $240.80 $344 0.9×
Debridement subcutaneous tissue 20 sq cm/< (11042) $291.20 $416 0.6×
Declot vascular device (36593) $218.40 $312 0.5×
Destr penis lesion(s) (54065) $393.40 $562 0.1×
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines
$74.90–$166.60 $107–$238 varies
Destruction Benign Lesions 15/> (17111) $195.30 $279 0.8×
Destruction Lesions Vulva Extensive (56515) $773.50 $1,105 0.3×
Destruction Lesions Vulva Simple (56501) $280.70 $401 0.1×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $265.30 $379 1.0×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $303.10 $433 1.2×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $323.40 $462 0.6×
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) $375.20 $536 0.4×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $218.40 $312 0.8×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $262.50 $375 1.0×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $284.20 $406 1.1×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $249.20 $356 0.5×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $347.20 $496 0.7×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $207.20 $296 0.8×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $221.20 $316 0.9×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $245.70 $351 1.0×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $277.20 $396 1.1×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $260.40 $372 0.5×
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) $317.80 $454 0.6×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $158.20 $226 0.6×
Destruction neurolytic agt genicular nerve w/img (64624) $631.40 $902 0.3×
Destruction of skin lesions (17106) $618.10 $883 1.2×
Destruction Premalignant Lesion 15/> (17004) $328.30 $469 0.6×
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines
$73.50–$100.80 $105–$144 varies
Destruction Vaginal Lesions Extensive (57065) $851.90 $1,217 0.2×
Destruction Vaginal Lesions Simple (57061) $382.20 $546 0.1×
Diaphragm or cervical cap fitting with instructions (57170) $54.60 $78 0.2×
Dilat Xst Trc New Access Rcs (50437) $645.40 $922 0.1×
Dilate Esophagus 1/Mult Pass (43450) $469.70 $671 0.4×
Dilate Urethra Stricture (53620) $117.60 $168 0.1×
Dilation Cervical Canal (57800) $137.20 $196 0.0×
Drain Hand Tendon Sheath (26020) $1,073.10 $1,533 0.3×
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines
$258.30–$460.60 $369–$658 varies
Drainage abscess parotid simple (42300) $581.70 $831 0.3×
Drainage Abscess/Hematoma Nasal Septum (30020) $221.90 $317 0.3×
Drainage external auditory canal abscess (69020) $232.40 $332 0.3×
Drainage external ear abscess/hematoma cmplx (69005) $546.70 $781 0.3×
Drainage External Ear Abscess/Hematoma Simple (69000) $270.90 $387 0.3×
Drainage of finger abscess simple (26010) $492.10 $703 1.9×
Drainage of gum lesion (41800) $442.40 $632 2.6×
Drainage of hematoma/fluid (10140) $249.20 $356 0.1×
Drainage of hydrocele (55000) $197.40 $282 0.2×
Drainage of rectal abscess (45020) $1,094.80 $1,564 0.3×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines
$72.80–$94.50 $104–$135 varies
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $180.60 $258 0.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $293.30 $419 0.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $103.60 $148 0.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $126.70 $181 0.5×
Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) $796.60 $1,138 0.8×
Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) $1,180.20 $1,686 0.4×
Dstrj les/scar vestibule mouth physical meths (40820) $422.80 $604 0.1×
Dstrj Lesion Anus Extensive (46924) $504 $720 0.1×
Dstrj lesion anus simple cryosurgery (46916) $329 $470 1.3×
Dstrj Lesion Penis Simple Chemical (54050) $102.20 $146 0.2×
Dstrj Lesion Penis Simple Cryosurgery (54056) $229.60 $328 0.9×
Dstrj Lesion Penis Simple Electrodesiccation (54055) $210.70 $301 0.1×
Dstrj lesion penis simple laser (54057) $214.90 $307 0.1×
Dstrj lesion penis simple surg excision (54060) $291.90 $417 0.1×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $227.50 $325 0.2×
Dx Bronchoscope/Lavage (31624) $513.80 $734 0.2×
Dx Bronchoscope/Wash (31622) $395.50 $565 0.2×
Dx Laryngoscopy Excl Nb (31525) $573.30 $819 0.3×
Dx lmbr spi pnxr w/fluor/CT (62328) $557.90 $797 0.6×
Electro-Uroflowmetry First (51741) $219.80 $314 0.8×
Endocervical curettage (57505) $158.20 $226 0.1×
Endometrial Biopsy (58100) $184.10 $263 0.7×
Epidural Blood Patch (62273) $1,577.80 $2,254 1.7×
Esophagoscopy Flexible Transoral Diagnostic (43200) $544.60 $778 0.5×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $597.10 $853 0.2×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $733.60 $1,048 0.3×
Evacuation of subungual hematoma (11740) $84.70 $121 0.5×
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $1,600.90 $2,287 0.8×
Exc arm/elbow les sc < 3 cm (24075) $778.40 $1,112 0.4×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $128.80 $184 0.1×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $338.80 $484 0.2×
Exc Back Les Sc < 3 Cm (21930) $1,147.30 $1,639 0.5×
Exc back tum deep < 5 cm (21932) $1,847.30 $2,639 0.5×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125)
likely a partial charge, not the full procedure
$1,031.10 $1,473 0.2×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $388.50 $555 0.4×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $394.80 $564 0.4×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $460.60 $658 0.2×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $168 $240 0.2×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $222.60 $318 0.2×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $295.40 $422 0.3×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $375.20 $536 0.2×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $483 $690 0.2×
Exc Forearm Les Sc 3 Cm/> (25071) $918.40 $1,312 0.4×
Exc ganglion wrist recurrent (25112) $979.30 $1,399 0.5×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $142.80 $204 0.1×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $234.50 $335 0.3×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $263.90 $377 0.1×
Exc Hand Les Sc < 1.5 Cm (26115) $668.50 $955 0.3×
Exc hand tum deep < 1.5 cm (26116) $1,089.90 $1,557 0.5×
Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) $350 $500 0.1×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $292.60 $418 0.3×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $429.10 $613 0.2×
Exc Skin Benig >4 Cm Remaindr Body (11426) $556.50 $795 0.1×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $556.50 $795 0.3×
Exc Skin Benig >4cm Face,Facial (11446) $562.80 $804 0.2×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $435.40 $622 0.2×
Exc Skin Malig >4 Cm Remaindr Body (11626) $760.20 $1,086 0.2×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $684.60 $978 0.3×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $410.20 $586 0.3×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $228.90 $327 0.4×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $252.70 $361 0.3×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $394.10 $563 0.2×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $837.90 $1,197 0.2×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $781.20 $1,116 0.3×
Excis Mouth Mucosa/Sub,No Repair (40810) $181.30 $259 0.0×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $223.30 $319 0.1×
Excis uppr jaw cyst w/repair (21049)
unusually low: confirm this is the full procedure
$3,786.30 $5,409 0.5×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $410.90 $587 0.5×
Excision Chalazion Single (67800) $304.50 $435 0.7×
Excision Lesion Tongue W/O Closure (41110) $369.60 $528 0.1×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $221.90 $317 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $212.10 $303 0.2×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $360.50 $515 0.7×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $463.40 $662 0.5×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $300.30 $429 0.3×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $605.50 $865 0.3×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $600.60 $858 0.2×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $276.50 $395 0.1×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $325.50 $465 0.4×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $371.70 $531 0.4×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $402.50 $575 0.2×
Excision Multiple External Papillae/Tags Anus (46230) $627.90 $897 0.2×
Excision of pilonidal cyst or sinus; simple (11770) $697.20 $996 0.2×
Excision of vaginal cyst or tumor (57135) $532 $760 0.1×
Excision olecranon bursa (24105) $814.80 $1,164 0.2×
Excision Pilonidal Cyst/Sinus Complicated (11772) $1,089.90 $1,557 0.3×
Excision Pilonidal Cyst/Sinus Extensive (11771) $1,000.30 $1,429 0.3×
Excision Radial Head (24130) $1,297.80 $1,854 0.3×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $889.70 $1,271 0.4×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $338.10 $483 0.2×
Excision/destruction lesion pharynx any method (42808) $666.28 $951.83 0.2×
Explo/Drain Breast Abscess (19020) $543.90 $777 0.3×
Exploration penetrating wound spx extremity (20103) $1,584.80 $2,264 0.7×
Exploratory elbow surgery (24000) $1,495.20 $2,136 0.4×
Fasciotomy, hip or thigh, any type (27025) $3,090.50 $4,415 0.7×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $2,681.70 $3,831 0.6×
Fetal Contraction Stress Test (59020) $348.60 $498 1.3×
Fetal non-stress test (59025) $356.30 $509 1.4×
Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) $1,588.30 $2,269 0.6×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $302.40 $432 0.3×
Fine needle aspiration bx w/mr gdn 1st lesion (10011) $302.40 $432 0.3×
Fine needle aspiration without imaging guidance (10021) $510.30 $729 1.0×
Fluid Pressure Muscle (20950) $212.10 $303 0.2×
Fna Bx W/Fluor Gdn 1St Les (10007) $172.20 $246 0.2×
Fna bx w/us gdn 1st les (10005) $370.30 $529 0.4×
Fracture Nasal Inferior Turbinate Therapeutic (30930) $358.40 $512 0.1×
Guide Cathet Fluid Drainage (10030) $1,910.30 $2,729 2.1×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $359.10 $513 0.3×
I&d abscess peritonsillar (42700) $283.50 $405 0.9×
I&d abscess simple (10060) $188.30 $269 0.7×
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,700.30 $2,429 0.5×
I&D Deep Absc/Hematoma Neck/Chest (21501) $754.60 $1,078 0.2×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $1,018.50 $1,455 0.2×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $1,326.50 $1,895 0.3×
I&d perianal abscess superficial (46050) $345.10 $493 0.3×
I&d pilonidal cyst complicated (10081) $428.40 $612 0.5×
I&d pilonidal cyst simple (10080) $361.20 $516 0.4×
I&d upper arm/elbow deep abscess/hematoma (23930) $604.10 $863 0.2×
Image Cath Fluid Colxn Visc (49405) $747.60 $1,068 0.4×
Image Cath Fluid Peri/Retro (49406) $747.60 $1,068 0.4×
Incise external hemorrhoid (46083) $166.60 $238 0.5×
Incision & drainage abscess complicated/multiple (10061) $357 $510 0.7×
Incision & removal foreign body subq tiss compl (10121) $354.20 $506 0.2×
Incision & removal foreign body subq tiss simple (10120) $223.30 $319 0.4×
Incision and drainage of bartholin's gland abscess (56420) $324.10 $463 1.2×
Incision and drainage of vulva or perineal abscess (56405) $214.90 $307 0.5×
Incision of eardrum (69421) $431.90 $617 0.1×
Incision of eardrum (69420) $565.68 $808.12 1.9×
Incision of lingual frenum (frenotomy) (41010) $610.40 $872 0.3×
Incision of rectal abscess (46040) $826.70 $1,181 0.5×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $597.80 $854 0.3×
Incisional biopsy skin single lesion (11106) $163.80 $234 0.2×
Initial Tx 1st Degree Burn Local Tx (16000) $118.30 $169 0.5×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $835.80 $1,194 0.7×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines
$856.80–$1,070.30 $1,224–$1,529 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 4 matching MRF lines
$89.60–$791 $128–$1,130 varies
Injection aa&/strd genicular nrv branches w/img (64454) $557.90 $797 0.6×
Injection anesthetic agent suprascapular nerve (64418) $290.50 $415 0.3×
Injection enzyme palmar fascial cord (20527) $166.60 $238 0.4×
Injection procedure for peyronie disease (54200) $170.80 $244 0.5×
Injection single tendon origin/insertion (20551) $122.50 $175 0.3×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 4 matching MRF lines
$114.80–$125.30 $164–$179 varies
Injection single/mlt trigger point 3/> muscles (20553) $128.10 $183 0.3×
Injection therapeutic carpal tunnel (20526) $158.90 $227 0.4×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines
$108.50–$205.80 $155–$294 varies
Injection, Intralesional; More Than 7 Lesions (11901) $107.80 $154 0.4×
Injection, intralesional; up to and including 7 lesions (11900) $84 $120 0.3×
Ins endovas vena cava filtr (37191)
unusually low: confirm this is the full procedure
$2,551.50 $3,645 0.4×
Insert Bladder Cath Complex (51703) $260.40 $372 1.6×
Insert cath pleura w/ image (32557) $804.30 $1,149 0.4×
Insert Drug Implant Device (11981) $174.30 $249 1.0×
Insert Gastrostomy Tube Percutaneous (49440) $721.70 $1,031 0.3×
Insert Nasal Septal Button (30220) $277.90 $397 0.1×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines
$987.70–$1,201.20 $1,411–$1,716 varies
Insert pessary/other device (57160) $109.20 $156 0.4×
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines
$142.10–$186.20 $203–$266 varies
Insert tunneled cv cath (36561) $3,710 $5,300 0.9×
Insert,Non-Indwelling Bladder Catheter (51701) $102.90 $147 0.6×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,092.30 $2,989 1.0×
Insj Picc Rs&I <5 Yr (36572) $2,139.20 $3,056 2.7×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $2,678.90 $3,827 0.7×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $893.20 $1,276 0.4×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines
$1,711.50–$4,305 $2,445–$6,150 varies
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $586.60 $838 1.1×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $684.60 $978 1.3×
Intranasal Biopsy (30100) $158.90 $227 0.1×
Intro cath dialysis circuit (36901) $4,302.20 $6,146 2.1×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $7,703.50 $11,005 0.5×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $5,266.10 $7,523 0.7×
Knee Arthroscopy/Surgery (29850) $1,754.90 $2,507 0.8×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $715.40 $1,022 0.1×
Laryngoscopy diagnostic (31505) $175.70 $251 0.7×
Laryngoscopy flexible diagnostic (31575) $253.40 $362 1.0×
Laryngoscopy w/biopsy microscope/telescope (31536) $604.80 $864 0.1×
Laryngoscopy W/Foreign Body Removal (31530) $156.80 $224 0.1×
Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) $207.20 $296 0.4×
Larynscop w/tumr exc + scope (31541) $755.96 $1,079.94 0.2×
Late closure of wound (13160) $814.80 $1,164 0.2×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $453.60 $648 0.1×
Maniplatn palar fascial crd post inj single cord (26341) $212.80 $304 0.7×
Manipulation, finger joint, under anesthesia, each joint (26340) $1,043.70 $1,491 0.5×
Myelography Lumbar Injection (62305) $2,034.20 $2,906 2.0×
Myelography Lumbar Injection (62304) $2,034.20 $2,906 2.0×
Myelography via lumbar injection rs&i cervical (62302) $2,034.20 $2,906 2.0×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $2,034.20 $2,906 2.0×
N Block Inj Paracervical (64435) $156.80 $224 0.2×
N Block Inj Plantar Digit (64455) $144.90 $207 0.4×
N Block Lumbar/Thoracic (64520) $835.10 $1,193 0.7×
Nasal Endoscopy Dx (31231) $631.40 $902 2.5×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $771.40 $1,102 0.3×
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $458.50 $655 0.2×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $730.80 $1,044 0.3×
Needle Biopsy Lymph Nodes (38505) $397.60 $568 0.2×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $1,528.10 $2,183 0.6×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $539.17 $770.24 1.3×
Njx anes stellate ganglion crv sympathetic (64510) $214.90 $307 0.2×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $165.20 $236 0.4×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 3 matching MRF lines
$685.30–$856.10 $979–$1,223 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $798.70 $1,141 0.9×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 3 matching MRF lines
$760.90–$798.70 $1,087–$1,141 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $519.40 $742 0.6×
Occipital Nerve Block (64405) $253.40 $362 0.6×
Open treatment calcaneal fracture (28415)
likely a partial charge, not the full procedure
$2,111.90 $3,017 0.2×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure
$1,509.20 $2,156 0.2×
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546)
likely a partial charge, not the full procedure
$3,928.40 $5,612 0.2×
Open Treatment Proximal Fibula/Shaft Fracture (27784)
likely a partial charge, not the full procedure
$1,508.50 $2,155 0.2×
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure
$2,111.90 $3,017 0.1×
Open Tx Tibial Fracture Proximal Unicondylar (27535)
likely a partial charge, not the full procedure
$2,293.90 $3,277 0.2×
Open tx ulnar fx proximal end (24685)
likely a partial charge, not the full procedure
$1,663.90 $2,377 0.2×
Open/Perq Place Stent 1St (37236)
likely a partial charge, not the full procedure
$2,437.40 $3,482 0.2×
Open/Perq Place Stent Same (37238)
likely a partial charge, not the full procedure
$2,437.40 $3,482 0.2×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
likely a partial charge, not the full procedure
$1,483.30 $2,119 0.2×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
likely a partial charge, not the full procedure
$1,873.20 $2,676 0.2×
Osteotomy, iliac, acetabular or innominate bone; Facility (27146)
unusually low: confirm this is the full procedure
$4,050.90 $5,787 0.4×
Penile Injection (54235) $199.50 $285 0.6×
Percut Drain/Inject Renal Cyst (50390) $702.10 $1,003 0.8×
Percutaneous skeletal fixation of talus fracture, with manipulation Facility (28436)
likely a partial charge, not the full procedure
$669.90 $957 0.1×
Perq device breast 1st imag (19281) $314.30 $449 0.1×
Perq dilation xst trc endourologic px w/img (50436) $386.40 $552 0.1×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905)
unusually low: confirm this is the full procedure
$5,266.10 $7,523 0.4×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904)
unusually low: confirm this is the full procedure
$2,265.20 $3,236 0.3×
Placement of seton (46020) $173.60 $248 0.0×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $4,155.20 $5,936 1.5×
Plmt Nephroureteral Catheter (50433) $1,495.90 $2,137 0.3×
Punch biopsy skin single lesion (11104) $180.60 $258 0.3×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines
$191.80–$515.20 $274–$736 varies
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines
$142.80–$791 $204–$1,130 varies
Redo Endovas Vena Cava Filtr (37192) $1,750.70 $2,501 0.4×
Rem Endovas Vena Cava Filter (37193) $1,750.70 $2,501 0.4×
Removal Embedded Foreign Body Eyelid (67938) $376.60 $538 0.9×
Removal Foreign Body Foot Subcutaneous (28190) $348.60 $498 0.4×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $228.90 $327 0.1×
Removal foreign body, intranasal; requiring general anesthesia (30310) $380.80 $544 0.1×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 4 matching MRF lines
$28.70–$30.10 $41–$43 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 5 matching MRF lines
$58.80–$70.70 $84–$101 varies
Removal Implant Deep (20680) $882.70 $1,261 0.2×
Removal implantable contraceptive capsules (11976) $212.10 $303 0.2×
Removal of adenoids (42830) $604.10 $863 0.1×
Removal of foreign body from pharynx (42809) $258.30 $369 0.4×
Removal of implant from finger or hand (26320) $1,071 $1,530 0.5×
Removal of nail bed (11750) $352.80 $504 0.7×
Removal of tonsils (42825)
likely a partial charge, not the full procedure
$761.61 $1,088.02 0.1×
Removal of tonsils (42826) $730.80 $1,044 0.2×
Removal of tunneled intraperitoneal catheter (49422) $1,780.10 $2,543 0.4×
Removal or bivalving full arm or full leg cast (29705) $80.50 $115 0.2×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $136.50 $195 0.5×
Removal/bivalving gauntlet boot/body cast (29700) $79.10 $113 0.2×
Remove drug implant device (11982) $212.10 $303 0.4×
Remove foreign body from eye (65205) $101.50 $145 0.6×
Remove Hand Bone Lesion (26200) $1,369.20 $1,956 0.7×
Remove Intrauterine Device (58301) $161 $230 0.4×
Remove intrvas foreign body (37197) $4,872 $6,960 1.2×
Remove Lower Leg Bone Lesion (27635) $1,689.10 $2,413 0.4×
Remove Nasal Foreign Body (30300) $303.80 $434 1.8×
Remove renal tube w/fluoro (50389) $744.80 $1,064 0.8×
Remove/Insert Drug Implant (11983) $368.90 $527 0.6×
Renal Biopsy Perq (50200) $645.40 $922 0.3×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $597.80 $854 0.6×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $567.70 $811 1.1×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $924 $1,320 1.8×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $388.50 $555 0.7×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $623.70 $891 1.2×
Repair complex trunk 1.1-2.5 cm (13100) $483.70 $691 0.5×
Repair complex trunk 2.6-7.5 cm (13101) $577.50 $825 0.6×
Repair extensor tendon finger w/o graft each (26418) $1,264.20 $1,806 0.6×
Repair Finger/Hand Tendon (26350) $2,011.10 $2,873 0.5×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $413 $590 0.8×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $461.30 $659 0.9×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $427 $610 0.8×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $555.80 $794 1.1×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $718.90 $1,027 1.4×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $464.10 $663 0.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $385 $550 0.7×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $453.60 $648 0.9×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $347.90 $497 0.4×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $631.40 $902 0.2×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $572.60 $818 1.1×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $382.90 $547 0.7×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $445.20 $636 0.9×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $509.60 $728 0.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines
$304.50–$489.30 $435–$699 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $534.80 $764 0.2×
Repair of nail bed (11760) $435.40 $622 0.5×
Repair tongue laceration (41252) $207.20 $296 0.7×
Repair tongue laceration (41250) $416.50 $595 0.7×
Replace duodenostomy/jejunostomy tube perq (49451) $180.60 $258 0.2×
Replace g/c tube perc (49450) $721.70 $1,031 0.6×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $183.40 $262 0.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $156.10 $223 0.3×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $140.70 $201 0.8×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $685.30 $979 0.2×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines
$611.10–$854 $873–$1,220 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,328.60 $1,898 1.6×
Rplcmt compl tun ctr vad w/subq port (36582) $3,384.50 $4,835 0.8×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $1,948.10 $2,783 0.5×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $420 $600 1.6×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $601.30 $859 0.6×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $340.20 $486 1.1×
Shave skin lesion 0.5 cm/< (11300) $144.90 $207 0.3×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $167.30 $239 0.6×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $177.10 $253 0.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $91 $130 0.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $177.10 $253 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $200.20 $286 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $163.80 $234 0.3×
Shoulder Arthroscopy/Surgery (29825) $2,093.70 $2,991 0.5×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $199.50 $285 0.8×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $141.40 $202 0.3×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $175.70 $251 0.7×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $156.80 $224 0.3×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $199.50 $285 0.8×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $2,660 $3,800 2.2×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $533.40 $762 1.0×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $241.50 $345 0.9×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $283.50 $405 1.1×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $667.10 $953 1.3×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $299.60 $428 1.2×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $700 $1,000 2.7×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $200.20 $286 0.8×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $583.10 $833 2.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $299.60 $428 1.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $241.50 $345 0.9×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $317.10 $453 0.6×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $383.60 $548 0.7×
Sperm washing artificial insemination (58323) $158.90 $227 0.6×
Spinal puncture lumbar diagnostic (62270) $235.20 $336 0.3×
Strapping ankle (29540) $48.30 $69 0.2×
Strapping Unna Boot (29580)
range across 3 matching MRF lines
$111.30–$176.40 $159–$252 varies
Subcutaneous Hormone Pellet Implantation (11980) $196 $280 0.3×
Subcutaneous Injection Filling Material 1 Cc/< (11950) $109.90 $157 0.4×
Subcutaneous injection filling matrl 1.1-5.0 cc (11951) $165.20 $236 0.2×
Subcutaneous Injection Filling Matrl >10.0 Cc (11954) $254.10 $363 0.3×
Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) $233.10 $333 0.2×
Suture of quadriceps or hamstring muscle rupture primary (27385)
likely a partial charge, not the full procedure
$1,577.10 $2,253 0.2×
Tangential biopsy skin single lesion (11102) $144.90 $207 0.3×
Ther Spi Pnxr Csf Fluor/Ct (62329) $557.90 $797 0.6×
Thrmbc/Nfs Dialysis Circuit (36906)
unusually low: confirm this is the full procedure
$7,703.50 $11,005 0.3×
Thrombolytic Therapy Stroke (37195) $1,122.10 $1,603 2.6×
Thyroid biopsy (60100) $240.80 $344 0.3×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $1,045.80 $1,494 0.4×
Total Knee Arthroplasty (27447)
likely a partial charge, not the full procedure
$4,800.60 $6,858 0.3×
Tracheobrnchsc Thru Est Trachs Inc (31615) $492.10 $703 0.7×
Transcatheter biopsy (37200)
unusually low: confirm this is the full procedure
$2,224.60 $3,178 0.3×
Treat ankle fracture (28445)
likely a partial charge, not the full procedure
$1,971.20 $2,816 0.2×
Treat Finger Fracture Each (26727) $1,334.20 $1,906 0.3×
Treat Fx Rad Extra-Articul (25607)
likely a partial charge, not the full procedure
$1,913.10 $2,733 0.2×
Treat humerus fracture (24500) $562.80 $804 1.8×
Treat Humerus Fracture (24505) $848.40 $1,212 0.4×
Treat humerus fracture (23600) $518.70 $741 1.6×
Treat knee fracture (27532) $943.60 $1,348 0.2×
Treat Kneecap Fracture (27524)
likely a partial charge, not the full procedure
$2,067.80 $2,954 0.2×
Treat Knuckle Dislocation (26700) $527.80 $754 1.7×
Treat metacarpal fracture (26607) $990.50 $1,415 0.2×
Treat Thumb Dislocation (26641) $671.30 $959 2.1×
Treat Thumb Fracture (26645) $535.50 $765 0.3×
Treat vagina infection (57150) $45.50 $65 0.6×
Treatment closed elbow dislocation w/o anes (24600) $583.10 $833 1.8×
Trim skin lesion (11055) $102.90 $147 0.4×
Trim skin lesions 2 to 4 (11056) $119.70 $171 0.5×
Trim skin lesions over 4 (11057) $130.20 $186 0.5×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $1,199.10 $1,713 0.3×
Tx Incomplete Abortion Any Trimester Surgical (59812) $858.90 $1,227 0.2×
Tx Superficial Wound Dehiscence Simple Closure (12020) $440.30 $629 0.5×
Tx superficial wound dehiscence w/packing (12021) $230.30 $329 0.4×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $425.60 $608 1.3×
Tympanostomy general anesthesia (69436) $463.40 $662 0.2×
Uvulectomy excision of uvula (42140) $429.80 $614 0.1×
Vasectomy uni/bi spx w/postop semen exams (55250) $490.70 $701 0.2×
Wedge excision skin nail fold (11765) $242.20 $346 0.5×
Wound Prep F/N/Hf/G (15004) $686.70 $981 1.3×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.