Procedures & surgery prices at Medina Regional Hospital

Hondo, TX · every code in this section with a posted price and a Medicare benchmark.

877 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 3 matching MRF lines		 $1,381.65–$2,967.82 $1,535.16–$3,297.57 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $2,083.23–$2,967.82 $2,314.69–$3,297.57 varies
Acne surgery (10040)
range across 2 matching MRF lines		 $127.33–$539.36 $141.47–$599.28 varies
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $2,269.71 $2,521.89 1.1×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $2,833.78 $3,148.64 1.4×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $3,368.53 $3,742.81 0.9×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $5,006.97 $5,563.29 2.4×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,833.78 $3,148.64 1.4×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $5,006.97 $5,563.29 2.4×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $3,156.10 $3,506.77 1.5×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $3,063.30 $3,403.66 1.5×
Amniocentesis diagnostic (59000) $848.73 $943.03 0.9×
Amputation Foot Midtarsal (28800) $6,737.33 $7,485.92 2.0×
Amputation foot transmetarsal (28805) $8,444.48 $9,382.75 2.6×
Amputation metatarsal with toe single (28810) $8,444.48 $9,382.75 2.6×
Amputation toe interphalangeal joint (28825) $4,309.48 $4,788.31 1.3×
Amputation toe metatarsophalangeal joint (28820) $4,309.48 $4,788.31 1.3×
Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) $2,266.51 $2,518.34 2.4×
Anosc Rmvl Mult Tumors Cautery/Snare (46612) $7,392.28 $8,213.64 2.7×
Anoscopy Ablation Lesion (46615) $7,392.28 $8,213.64 2.7×
Anoscopy Control Bleeding (46614) $2,633.78 $2,926.42 2.2×
Anoscopy diagnostic (46600)
range across 3 matching MRF lines		 $100.26–$1,790.41 $111.39–$1,989.34 varies
Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) $2,989.28 $3,321.42 2.5×
Anoscopy remove lesion (46610) $7,392.28 $8,213.64 2.7×
Anoscopy W/Rmvl Foreign Body (46608) $2,360.88 $2,623.20 2.5×
Anoscopy; with biopsy, single or multiple (46606) $2,170.15 $2,411.27 1.8×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $2,257.83 $2,508.70 1.9×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $7,185.16 $7,983.51 2.6×
Apheresis Platelets (36513) $3,157.42 $3,508.24 7.1×
Appendectomy (44950) $9,293.40 $10,326 1.4×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $307.53 $341.70 1.9×
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines		 $108.28–$583.49 $120.31–$648.32 varies
Application Cast Finger (29086)
range across 2 matching MRF lines		 $87.23–$285.06 $96.92–$316.73 varies
Application finger splint static (29130) $51.14 $56.82 0.4×
Application long arm splint shoulder hand (29105) $107.28 $119.20 0.7×
Application Long Leg Cast Walker/Ambulatory Type (29355)
range across 2 matching MRF lines		 $177.46–$583.49 $197.17–$648.32 varies
Application Long Leg Splint (29505) $93.24 $103.59 0.6×
Application of long leg cast (29345)
range across 2 matching MRF lines		 $170.44–$583.49 $189.37–$648.32 varies
Application short arm splint forearm-hand static (29125) $82.21 $91.34 0.6×
Application short leg splint calf foot (29515) $88.23 $98.03 0.5×
Application, cast; figure-of-eight Facility (29049) $262.75 $291.94 0.9×
Apply hand/wrist cast (29085)
range across 2 matching MRF lines		 $116.29–$262.75 $129.21–$291.94 varies
Apply long arm cast (29065)
range across 2 matching MRF lines		 $117.31–$583.49 $130.34–$648.32 varies
Apply Multlay Comprs Lwr Leg (29581) $412.89 $458.76 2.5×
Apply Short Leg Cast (29405)
range across 2 matching MRF lines		 $111.29–$583.49 $123.65–$648.32 varies
Apply short leg cast (29425)
range across 2 matching MRF lines		 $121.32–$583.49 $134.79–$648.32 varies
Arterial puncture (36600) $50.59 $56.21 0.4×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) $32,315.81 $35,906.45 2.5×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 4 matching MRF lines		 $77.20–$676.64 $85.77–$751.82 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 5 matching MRF lines		 $133.85–$1,134.92 $148.72–$1,261.02 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $465.19–$711.34 $516.87–$790.37 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 4 matching MRF lines		 $72.19–$676.64 $80.21–$751.82 varies
Arthrodesis great toe interphalangeal joint (28755) $17,897.61 $19,886.23 2.5×
Arthrodesis great toe metatarsophalangeal joint (28750) $17,897.61 $19,886.23 2.5×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $10,170.80 $11,300.88 3.1×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $10,170.80 $11,300.88 3.1×
Arthroscopy knee synovectomy limited spx (29875) $10,170.80 $11,300.88 3.1×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $10,170.80 $11,300.88 3.1×
Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) $9,851.56 $10,946.17 1.4×
Arthroscopy, knee, surgical; with lateral release (29873) $10,170.80 $11,300.88 3.1×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $10,170.80 $11,300.88 3.1×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $10,170.80 $11,300.88 3.1×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $10,170.80 $11,300.88 3.1×
Arthrs knee debridement/shaving artclr crtlg (29877) $10,170.80 $11,300.88 3.1×
Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) $10,170.80 $11,300.88 3.1×
Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) $20,880.03 $23,200.03 2.9×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $8,444.48 $9,382.75 2.6×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $4,424.31 $4,915.89 2.7×
Aspirate pleura w/ imaging (32555) $1,381.65 $1,535.16 2.2×
Aspirate Pleura W/O Imaging (32554) $1,381.65 $1,535.16 2.2×
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $77.20–$115.88 $85.77–$128.75 varies
Avulsion nail plate partial/complete simple 1 (11730)
range across 3 matching MRF lines		 $126.32–$526.50 $140.35–$585 varies
Biopsy Abdominal Mass (49180) $2,481.41 $2,757.12 1.5×
Biopsy bone open deep (20245) $5,650.45 $6,278.27 1.9×
Biopsy bone open superficial (20240) $5,650.45 $6,278.27 1.9×
Biopsy bone trocar/needle deep (20225) $2,921 $3,245.55 1.8×
Biopsy Bone Trocar/Needle Superficial (20220) $3,123.18 $3,470.19 1.9×
Biopsy muscle percutaneous needle (20206) $1,881.25 $2,090.27 1.1×
Biopsy Muscle Superficial (20200) $4,424.31 $4,915.89 2.7×
Biopsy Nasopharynx Visible Lesion Simple (42804) $8,188.38 $9,098.19 2.5×
Biopsy of breast; open, incisional (19101) $8,708.21 $9,675.78 2.2×
Biopsy of epididymis (54800) $1,168.22 $1,298.02 0.7×
Biopsy of liver, needle; percutaneous (47000) $4,303.38 $4,781.53 2.6×
Biopsy of upper nose/throat (42806) $8,188.38 $9,098.19 2.5×
Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) $7,800.71 $8,667.45 2.0×
Biopsy Oropharynx (42800) $7,395.59 $8,217.32 4.7×
Biopsy Salivary Gland Needle (42400) $240.30 $267 0.3×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614) $4,799.16 $5,332.40 1.6×
Biopsy soft tissue leg/ankle area superficial (27613) $2,458.10 $2,731.22 1.5×
Biopsy soft tissue neck/thorax (21550) $4,151.38 $4,612.64 2.5×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $3,032.73 $3,369.70 1.8×
Biopsy Testis Needle Separate Procedure (54500) $4,002.42 $4,447.13 1.4×
Biopsy Tongue Anterior Two-Thirds (41100) $1,367.39 $1,519.32 2.5×
Biopsy Vaginal Mucosa Simple (57100)
range across 2 matching MRF lines		 $120.36–$140.81 $133.73–$156.45 varies
Biopsy Vulva/Perineum 1 Lesion Spx (56605)
range across 2 matching MRF lines		 $124.74–$260.49 $138.60–$289.43 varies
Biopsy, vestibule of mouth (40808) $527.59 $586.21 1.0×
Biopsy/removal lymph nodes (38510) $9,863.19 $10,959.10 2.5×
Bladder Irrigation (51700) $502.08 $557.86 2.0×
Bladder Scan (51798) $180.24 $200.26 3.0×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $5,006.97 $5,563.29 2.4×
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $131.36–$803.08 $145.95–$892.31 varies
Blood Transfusion Service (36430) $635.31 $705.89 1.4×
Bone Marrow Biopsy (38221) $794.13 $882.36 0.5×
Bx Arm/Elbow Soft Tissue,Deep (24066) $4,948.14 $5,497.93 1.7×
Bx breast 1st lesion us imag (19083) $2,597.97 $2,886.63 1.6×
Bx Cervix (57500)
range across 2 matching MRF lines		 $176.72–$347.33 $196.35–$385.92 varies
Bx/exc lymph node open deep axillary node (38525) $8,708.21 $9,675.78 2.2×
Bx/exc lymph node open superficial (38500) $8,368.28 $9,298.08 2.1×
Carpal Tunnel Surgery (64721) $4,957.70 $5,508.55 2.5×
Cataract surgery complex (66982) $6,132.78 $6,814.19 2.6×
Cautery Cervix Cryocautery Initial/Repeat (57511) $1,006.03 $1,117.81 3.3×
Cautery Cervix Electro/Thermal (57510) $3,825.50 $4,250.55 1.2×
Cerclage cervix pregnancy vaginal (59320) $7,618.01 $8,464.45 2.3×
Change Cystostomy Tube Complicated (51710) $1,586.43 $1,762.70 2.3×
Change of Windpipe Airway (31502) $630.91 $701.01 2.7×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $84.11–$2,639.41 $93.45–$2,932.67 varies
Chest tube placement (32551) $1,381.65 $1,535.16 0.9×
Circumcision 28 days or older (54161) $3,139.15 $3,487.94 1.5×
Circumcision Neonate (54160) $3,139.15 $3,487.94 4.5×
Circumcision w/clamp/oth dev w/block (54150) $3,139.15 $3,487.94 1.5×
Cl Tx Scapular Fx; W Manip (23575) $4,581.15 $5,090.16 2.8×
Cl Tx Tib Shft Fx W Manip (27752) $592.14 $657.93 0.4×
Clear outer ear canal (69200)
range across 3 matching MRF lines		 $149.38–$420.33 $165.97–$467.03 varies
Closed Treatment Sesamoid Fracture (28530) $412.04 $457.82 1.7×
Closed tx ankle dislocation w/o anesthesia (27840) $1,192.90 $1,325.44 4.8×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,192.90 $1,325.44 0.7×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $412.04 $457.82 1.7×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $412.04 $457.82 1.7×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $461.08 $512.31 1.9×
Closed tx knee dislocation w/o anesthesia (27550) $412.04 $457.82 1.7×
Closed tx metatarsal fracture w/o manipulation (28470) $412.04 $457.82 1.7×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $4,964.64 $5,516.26 3.1×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $4,276.89 $4,752.09 2.7×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $7,020.16 $7,800.17 2.1×
Closed tx patellar dislocation w/anesthesia (27562) $1,661.36 $1,845.95 6.7×
Closed tx patellar dislocation w/o anesthesia (27560) $412.04 $457.82 1.7×
Closed Tx Patellar Fracture W/O Manipulation (27520) $412.04 $457.82 1.7×
Closed tx radial head/neck fx w/o manipulation (24650) $412.04 $457.82 1.7×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $412.04 $457.82 1.7×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,192.90 $1,325.44 0.7×
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $320.82–$412.04 $356.46–$457.82 varies
Closed Tx Scapular Fracture W/O Manipulation (23570) $412.04 $457.82 1.7×
Closed tx septal&nose fx (21337) $7,020.16 $7,800.17 2.1×
Closed tx talus fracture w/o manipulation (28430) $412.04 $457.82 1.7×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $286.20 $317.99 1.2×
Closed tx ulnar shaft fracture w/o manipulation (25530) $412.04 $457.82 1.7×
Closure Gastrostomy Surg (43870) $9,920.06 $11,022.28 2.6×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $1,896.05 $2,106.72 3.5×
Clsd tx acromioclavicular dislc w/manipulation (23545) $1,192.90 $1,325.44 4.8×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $412.04 $457.82 1.7×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $4,577.88 $5,086.53 2.8×
Clsd tx clavicular fracture w/o manipulation (23500) $412.04 $457.82 1.7×
Clsd tx shoulder dislc w/manipulation req anes (23655) $3,805.67 $4,228.52 2.4×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $412.04 $457.82 1.7×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $412.04 $457.82 0.3×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $1,192.90 $1,325.44 0.7×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $412.04 $457.82 1.7×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $412.04 $457.82 1.7×
Cltx dstl fibular fx lat malls w/manj (27788) $412.04 $457.82 1.7×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $381.78–$412.04 $424.20–$457.82 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $412.04 $457.82 1.7×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $216.55–$412.04 $240.61–$457.82 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 3 matching MRF lines		 $349.89–$845.98 $388.76–$939.97 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $1,192.90–$4,251.14 $1,325.44–$4,723.48 varies
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $412.04 $457.82 1.7×
Cltx fx grt toe phlx/phlg w/manj (28495) $412.04 $457.82 1.7×
Cltx fx grt toe phlx/phlg w/o manj (28490) $412.04 $457.82 1.7×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $412.04 $457.82 1.7×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $412.04 $457.82 1.7×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $412.04 $457.82 1.7×
Cltx hip dislocation traumatic w/o anesthesia (27250) $697 $774.44 2.8×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $379.97 $422.18 1.5×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $412.04 $457.82 1.7×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $3,805.67 $4,228.52 13.5×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $340.20–$412.04 $378–$457.82 varies
Cltx metacarpal fx w/manipulation each bone (26605) $412.04 $457.82 1.7×
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines		 $331.85–$412.04 $368.72–$457.82 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $732.77 $814.18 0.5×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $412.04 $457.82 1.7×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $230.59–$412.04 $256.21–$457.82 varies
Cltx post hip arthrp dislc w/o anes (27265) $277.54 $308.37 1.1×
Cltx prox fibula/shft fx w/o manj (27780) $412.04 $457.82 1.7×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $176.72–$412.04 $196.35–$457.82 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,192.90 $1,325.44 0.7×
Cltx tibial fx proximal w/o manipulation (27530) $673.56 $748.39 2.7×
Cltx tibial shaft fx w/o manipulation (27750) $412.04 $457.82 1.7×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,192.90 $1,325.44 0.7×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines		 $8.02–$13.84 $8.91–$15.37 varies
Colonoscopy Stoma Ablation Lesion (44401) $2,949.30 $3,277 2.5×
Colonoscopy Stoma Control Bleeding (44391) $2,949.30 $3,277 2.5×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $2,949.30 $3,277 2.5×
Colonoscopy Stoma W/Rmvl Foreign Body (44390) $2,949.30 $3,277 3.2×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $2,953.70 $3,281.88 2.5×
Colonoscopy thru stoma (44388) $2,235.60 $2,484 2.4×
Colonoscopy w/ablation (45388) $3,284.92 $3,649.91 2.7×
Colonoscopy w/submucosal inj (45381) $2,989.28 $3,321.42 2.5×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $324.27 $360.29 1.1×
Colposcopy Cervix Endocervical Curettage (57456) $303.92 $337.68 1.0×
Colposcopy cervix upper/adjacent vagina (57452) $149.28 $165.86 0.7×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $347.33 $385.92 1.1×
Colposcopy cervix vag eltrd conization cervix (57461) $2,797.13 $3,107.92 0.9×
Colposcopy entire vagina w/cervix if present (57420) $347.33 $385.92 1.1×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $752.28 $835.86 0.8×
Colsc Flexible W/Control Bleeding Any Method (45382) $2,139.30 $2,377 1.8×
Colsc flx w/removal lesion by hot bx forceps (45384) $2,989.28 $3,321.42 2.5×
Complex drainage wound (10180)
range across 2 matching MRF lines		 $4,829.55–$7,421.78 $5,366.16–$8,246.42 varies
Conization cervix w/wo d&c rpr eltrd exc (57522) $7,140.21 $7,933.56 2.2×
Conization of cervix (57520) $7,255.46 $8,061.62 2.2×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $286.20–$716.17 $317.99–$795.74 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines		 $133.35–$764.54 $148.16–$849.48 varies
Corneal wedge resection for correction of surgically induced astigmatism Facility (65775) $5,782.45 $6,424.94 2.4×
Correction hammertoe (28285) $2,695.52 $2,995.02 0.8×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $9,851.56 $10,946.17 3.0×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $9,851.56 $10,946.17 3.0×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) $17,552.56 $19,502.84 1.4×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $2,496.80 $2,774.22 0.8×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $9,851.56 $10,946.17 1.4×
Create Eardrum Opening (69433) $635.22 $705.79 1.2×
Crnl Relaxing Inc Corrj Induced Astigmatism (65772) $2,580.59 $2,867.32 2.6×
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $64.17 $71.30 1.1×
Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) $286.20 $317.99 1.2×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $286.20–$426.82 $317.99–$474.24 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $286.20 $317.99 1.2×
Curettage postpartum (59160) $5,905.84 $6,562.04 1.8×
Cysto w/insert ureteral stent (52332) $8,608.98 $9,565.53 2.4×
Cysto w/removal of tumors small (52234) $2,419.81 $2,688.67 0.7×
Cystostomy Cystotomy W/Drainage (51040) $5,413.18 $6,014.64 2.6×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $5,413.18 $6,014.64 2.6×
Cystourethroscopy (52000) $1,805.59 $2,006.21 2.6×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $8,608.98 $9,565.53 2.4×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $383.66–$2,040.41 $426.28–$2,267.12 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $7,421.78 $8,246.42 2.5×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines		 $1,085.58–$2,740.10 $1,206.19–$3,044.55 varies
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $2,777.34 $3,085.93 3.9×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $695.76–$2,016.50 $773.06–$2,240.55 varies
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $40.11–$218.35 $44.56–$242.61 varies
Debride nail 6 or more (11721) $175.50 $195 3.0×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,479.73 $1,644.14 0.9×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 3 matching MRF lines		 $96.25–$1,985.63 $106.94–$2,206.25 varies
Declot vascular device (36593)
range across 3 matching MRF lines		 $80.82–$595.83 $89.79–$662.03 varies
Deep Muscle Biopsy (20205) $7,617.29 $8,463.65 2.6×
Delivery of placenta (59414) $4,988.68 $5,542.97 1.5×
Destruct B9 Lesion 1-14 (17110)
range across 3 matching MRF lines		 $104.87–$246.60 $116.52–$274 varies
Destruction Benign Lesions 15/> (17111)
range across 3 matching MRF lines		 $131.40–$323.34 $145.99–$359.26 varies
Destruction Internal Hemorrhoid Thermal Energy (46930) $1,529.05 $1,698.94 1.3×
Destruction Lesions Vulva Extensive (56515) $240.98 $267.75 0.1×
Destruction Lesions Vulva Simple (56501) $174.45 $193.83 0.1×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $218.56 $242.84 1.1×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282)
range across 2 matching MRF lines		 $227.61–$253.65 $252.90–$281.83 varies
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $333.07 $370.07 1.7×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $170.44 $189.37 0.8×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $89.78 $99.75 0.4×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $157.42 $174.91 0.8×
Destruction Premalignant Lesion 15/> (17004)
range across 2 matching MRF lines		 $208.47–$220.57 $231.63–$245.07 varies
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines		 $85.76–$97.26 $95.28–$108.06 varies
Destruction Vaginal Lesions Simple (57061) $199.52 $221.68 0.1×
Diagnostic anoscopy (46601) $335.33 $372.58 0.7×
Diagnostic sigmoidoscopy (45330) $442.46 $491.62 0.5×
Diaphragm or cervical cap fitting with instructions (57170) $163.49 $181.65 0.8×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $104.27 $115.85 0.8×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $100.77 $111.96 0.8×
Dilation & curettage dx&/ther nonobstetric (58120) $7,255.46 $8,061.62 2.2×
Drain Cerebro Spinal Fluid (62272)
range across 3 matching MRF lines		 $563.76–$926.45 $626.39–$1,029.38 varies
Drain/inj small joint/bursa w/us (20604) $175.50 $195 0.6×
Drainage external auditory canal abscess (69020) $362.70 $402.99 0.5×
Drainage external ear abscess/hematoma cmplx (69005) $449.37 $499.29 0.3×
Drainage External Ear Abscess/Hematoma Simple (69000) $362.70 $402.99 0.5×
Drainage Mouth Roof Lesion (42000) $495.09 $550.10 2.1×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $304.78–$362.67 $338.64–$402.96 varies
Drainage of gum lesion (41800) $362.70 $402.99 2.7×
Drainage of hematoma/fluid (10140)
range across 3 matching MRF lines		 $195.50–$3,140.75 $217.22–$3,489.72 varies
Drainage of scrotal wall abscess (55100) $4,729.28 $5,254.75 2.9×
Drainage of scrotum (54700)
range across 2 matching MRF lines		 $338.17–$4,431.66 $375.74–$4,924.06 varies
Dressing Change Under Anesthesia (15852) $1,713.17 $1,903.52 2.3×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines		 $243.63–$362.70 $270.69–$402.99 varies
Drg Absc Submaxillary/Sublingual Intraoral (42310) $852.40 $947.11 1.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $60.15–$383.66 $66.83–$426.28 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $383.66 $426.28 1.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $265.84–$383.66 $295.37–$426.28 varies
Dstrj Lesion Anus Simple Chemical (46900) $516.85 $574.27 1.3×
Dstrj lesion anus simple cryosurgery (46916)
range across 2 matching MRF lines		 $165.38–$484.18 $183.75–$537.97 varies
Dstrj lesion anus simple surg excision (46922) $7,392.28 $8,213.64 2.7×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $3,782.93 $4,203.25 1.8×
Dstrj Lesion Penis Simple Chemical (54050) $168.43 $187.14 0.4×
Dstrj Lesion Penis Simple Cryosurgery (54056) $181.66 $201.84 0.9×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $920.79 $1,023.09 0.5×
Egd cautery tumor polyp (43250) $3,595.50 $3,995 1.9×
Egd control bleeding any (43255) $4,818.15 $5,353.50 2.5×
Egd dilation gastric/duodenal stricture (43245) $4,537.67 $5,041.85 2.4×
Egd endo mucosal resection (43254) $4,537.67 $5,041.85 2.4×
Egd Flexible Foreign Body Removal (43247) $2,793.79 $3,104.21 3.1×
Egd guide wire insertion (43248) $848.04 $942.26 0.9×
Egd lesion ablation (43270) $5,160.43 $5,733.81 2.7×
Egd place gastrostomy tube (43246) $5,315.26 $5,905.84 2.8×
Egd remove lesion snare (43251) $683.28 $759.19 0.4×
Egd Varices Ligation (43244) $5,160.43 $5,733.81 2.7×
Endocervical curettage (57505)
range across 2 matching MRF lines		 $136.35–$434.16 $151.49–$482.39 varies
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $8,826.66 $9,807.39 1.8×
Endometrial Biopsy (58100)
range across 2 matching MRF lines		 $150.39–$384.16 $167.10–$426.84 varies
Endoscopic plantar fasciotomy (29893) $2,601.29 $2,890.32 0.8×
Epididymectomy bilateral (54861) $8,608.98 $9,565.53 2.4×
Epididymectomy unilateral (54860) $5,282.91 $5,869.90 1.5×
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $563.76–$926.45 $626.39–$1,029.38 varies
Esc i p ulcer w ostect & flap (15946) $8,145.80 $9,050.88 3.9×
Esophagogastroduodenoscopy Submucosal Injection (43236) $2,497.50 $2,775 2.7×
Esophagoscopy Flexible Transoral Diagnostic (43200) $2,688.19 $2,986.87 3.0×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $5,160.43 $5,733.81 2.7×
Ethmoidectomy Extranasal Total (31205) $6,650.73 $7,389.69 2.0×
Ethmoidectomy Intranasal Anterior (31200) $9,390.80 $10,434.22 1.6×
Ethmoidectomy; intranasal, total Facility (31201) $6,650.73 $7,389.69 4.3×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $44.73–$109.81 $49.70–$122.01 varies
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $4,881.09 $5,423.43 2.9×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $4,303.38 $4,781.53 2.6×
Exc abdl tum deep 5 cm/> (22901) $7,667.39 $8,519.32 2.6×
Exc arm/elbow les sc < 3 cm (24075) $2,846.52 $3,162.79 1.7×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 3 matching MRF lines		 $141.37–$2,993.26 $157.07–$3,325.84 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 3 matching MRF lines		 $247.63–$2,479.02 $275.14–$2,754.46 varies
Exc Back Les Sc < 3 Cm (21930)
range across 2 matching MRF lines		 $596.52–$4,732.29 $662.80–$5,258.10 varies
Exc Back Tum Deep 5 Cm/> (21933) $7,421.78 $8,246.42 2.5×
Exc back tum deep < 5 cm (21932) $7,421.78 $8,246.42 2.5×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $8,708.21 $9,675.78 2.2×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 2 matching MRF lines		 $321.11–$2,144.19 $356.78–$2,382.43 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 3 matching MRF lines		 $334.86–$657.21 $372.06–$730.23 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $3,304.08 $3,671.19 2.0×
Exc Face Les Sbq 2 Cm/> (21012) $1,832.46 $2,036.06 1.1×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines		 $157.41–$826.34 $174.89–$918.15 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines		 $201.51–$1,925.70 $223.90–$2,139.66 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines		 $227.58–$556.98 $252.86–$618.86 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 2 matching MRF lines		 $275.71–$2,586.96 $306.34–$2,874.39 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444)
range across 2 matching MRF lines		 $349.89–$4,303.38 $388.76–$4,781.53 varies
Exc Forearm Les Sc 3 Cm/> (25071) $5,020.49 $5,578.32 3.0×
Exc Forearm Tum Deep 3 Cm/> (25073) $8,658.69 $9,620.76 3.0×
Exc Frenum Labial/Buccal (40819) $393.74 $437.48 0.3×
Exc ganglion wrist recurrent (25112) $5,304.60 $5,894 3.3×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 3 matching MRF lines		 $144.37–$1,233.62 $160.41–$1,370.68 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 3 matching MRF lines		 $157.50–$1,298.99 $175–$1,443.32 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines		 $211.54–$3,029.91 $235.04–$3,366.56 varies
Exc Hand Les Sc < 1.5 Cm (26115) $4,303.38 $4,781.53 2.6×
Exc hand tum deep < 1.5 cm (26116) $4,303.38 $4,781.53 2.6×
Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) $6,517.70 $7,241.88 2.0×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $4,309.48 $4,788.31 2.7×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $4,739.31 $5,265.90 2.9×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112)
range across 2 matching MRF lines		 $407.05–$6,069.58 $452.27–$6,743.97 varies
Exc Lesion Tongue W/Clsr Posterior One-Third (41113) $6,069.58 $6,743.97 1.8×
Exc lesion tongue w/clsr w/local tongue flap (41114) $6,069.58 $6,743.97 1.8×
Exc Shoulder Tum Deep 5 Cm/> (23073) $7,614.35 $8,460.38 2.6×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $228.59–$1,298.99 $253.98–$1,443.32 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 2 matching MRF lines		 $286.74–$4,303.38 $318.59–$4,781.53 varies
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 2 matching MRF lines		 $416.06–$7,421.78 $462.28–$8,246.42 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines		 $370.95–$4,571.06 $412.16–$5,078.95 varies
Exc Skin Benig >4cm Face,Facial (11446)
range across 2 matching MRF lines		 $479.23–$6,017.57 $532.47–$6,686.18 varies
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)
range across 2 matching MRF lines		 $365.94–$2,867.80 $406.59–$3,186.44 varies
Exc Skin Malig >4 Cm Remaindr Body (11626) $7,421.78 $8,246.42 2.5×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 2 matching MRF lines		 $536.37–$4,303.38 $595.96–$4,781.53 varies
Exc thigh/knee les sc 3 cm/> (27337) $8,658.69 $9,620.76 3.0×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 3 matching MRF lines		 $274.05–$8,623.57 $304.50–$9,581.74 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines		 $176.46–$342.38 $196.06–$380.42 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines		 $197.51–$657.21 $219.45–$730.23 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $774.09 $860.09 0.5×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552)
range across 2 matching MRF lines		 $6,147.34–$7,421.78 $6,830.37–$8,246.42 varies
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $5,020.49 $5,578.32 3.0×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $7,421.78 $8,246.42 2.5×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $3,032.73 $3,369.70 1.0×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $2,926.32 $3,251.46 1.0×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $9,829.66 $10,921.84 3.4×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $4,303.38 $4,781.53 2.6×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $5,020.49 $5,578.32 3.0×
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) $7,294.50 $8,105 2.5×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $8,128.54 $9,031.71 2.8×
Exc tumor soft tissue leg/ankle subq <3cm (27618)
range across 2 matching MRF lines		 $622.59–$2,497.43 $691.76–$2,774.92 varies
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $6,147.34 $6,830.37 2.1×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $5,020.49 $5,578.32 3.0×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $5,134.35 $5,704.83 1.8×
Exc Varicocele/Ligation Spermatic Veins Spx (55530) $8,608.98 $9,565.53 2.4×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $6,569.84 $7,299.82 2.0×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $4,309.48 $4,788.31 2.7×
Exc/fulguration urethral caruncle (53265) $5,413.18 $6,014.64 2.6×
Excis Mouth Mucosa/Sub,No Repair (40810) $4,127.70 $4,586.33 1.2×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $4,415.01 $4,905.56 2.8×
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		 $340.88–$2,144.19 $378.75–$2,382.43 varies
Excision Aural Polyp (69540) $1,101.78 $1,224.19 0.7×
Excision Chalazion Single (67800) $304.32 $338.13 1.0×
Excision Excessive Skin & Subq Tissue Other Area (15839) $1,095.79 $1,217.54 0.4×
Excision inferior turbinate partial/complete (30130) $7,020.16 $7,800.17 2.1×
Excision Lingual Frenum Frenectomy (41115) $495.81 $550.89 0.3×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600)
range across 2 matching MRF lines		 $219.57–$1,452.52 $243.96–$1,613.91 varies
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)
range across 2 matching MRF lines		 $271.70–$1,452.52 $301.88–$1,613.91 varies
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 2 matching MRF lines		 $298.77–$1,697.27 $331.96–$1,885.85 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,928.13 $2,142.36 2.7×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)
range across 2 matching MRF lines		 $234.60–$1,697.27 $260.66–$1,885.85 varies
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 2 matching MRF lines		 $203.18–$1,356.95 $225.75–$1,507.72 varies
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $3,777.62 $4,197.35 1.3×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $2,601.76 $2,890.84 1.6×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621)
range across 2 matching MRF lines		 $274.70–$2,708.17 $305.22–$3,009.07 varies
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 2 matching MRF lines		 $310.79–$2,708.17 $345.32–$3,009.07 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624)
range across 2 matching MRF lines		 $413.05–$3,304.08 $458.94–$3,671.19 varies
Excision Multiple External Papillae/Tags Anus (46230) $7,392.28 $8,213.64 2.7×
Excision Nasal Polyp Extensive (30115) $7,020.16 $7,800.17 2.1×
Excision nasal polyp(s) simple (30110) $790.69 $878.54 0.5×
Excision of bartholin's gland or cyst (56740) $7,255.46 $8,061.62 2.2×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $4,246.87 $4,718.74 2.6×
Excision of hydrocele; bilateral (55041) $9,293.40 $10,326 2.6×
Excision of hydrocele; unilateral (55040) $9,293.40 $10,326 2.6×
Excision of pilonidal cyst or sinus; simple (11770)
range across 2 matching MRF lines		 $5,820.13–$7,421.78 $6,466.81–$8,246.42 varies
Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach Facility (45160) $7,392.28 $8,213.64 2.7×
Excision of single external papilla or tag, anus (46220) $3,052.47 $3,391.63 2.5×
Excision of sublingual salivary cyst (ranula) (42408) $7,020.16 $7,800.17 2.1×
Excision of vaginal cyst or tumor (57135) $5,741.05 $6,378.94 1.8×
Excision Pilonidal Cyst/Sinus Complicated (11772) $7,421.78 $8,246.42 2.5×
Excision Pilonidal Cyst/Sinus Extensive (11771) $7,421.78 $8,246.42 2.5×
Excision Skin Abd Infraumbilical Panniculectomy (15830) $13,887.16 $15,430.17 2.1×
Excision spermatocele w/wo epididymectomy (54840) $5,413.18 $6,014.64 2.6×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $4,303.38 $4,781.53 2.6×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $4,303.38 $4,781.53 2.6×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $4,303.38 $4,781.53 2.6×
Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure Facility (15922) $10,614.53 $11,793.92 3.0×
Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture Facility (15920) $9,863.27 $10,959.18 3.4×
Excision, interdigital (morton) neuroma, single, each (28080) $4,309.48 $4,788.31 2.7×
Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) $10,614.53 $11,793.92 3.0×
Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) $8,145.80 $9,050.88 3.9×
Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) $5,490.83 $6,100.92 2.6×
Excision, sacral pressure ulcer, with primary suture; Facility (15931) $8,145.80 $9,050.88 2.8×
Excision, sacral pressure ulcer, with primary suture; with ostectomy Facility (15933) $9,863.27 $10,959.18 3.4×
Excision, sacral pressure ulcer, with skin flap closure; Facility (15934) $10,614.53 $11,793.92 3.0×
Excision, sacral pressure ulcer, with skin flap closure; with ostectomy Facility (15935) $10,614.53 $11,793.92 3.0×
Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with… (15958) $10,614.53 $11,793.92 3.0×
Excision, trochanteric pressure ulcer, with primary suture; Facility (15950) $6,943.35 $7,714.83 4.2×
Excision, trochanteric pressure ulcer, with skin flap closure; Facility (15952) $8,145.80 $9,050.88 3.9×
Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy Facility (15953) $10,614.53 $11,793.92 3.0×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $7,421.78 $8,246.42 2.5×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $5,748.35 $6,387.05 3.5×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $5,730.25 $6,366.94 2.0×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $8,161.65 $9,068.49 2.8×
Excision/destruction intranasal lesion int appr (30117) $1,149.67 $1,277.41 0.3×
Excision/Transposition Pterygium W/Grafg (65426) $5,782.45 $6,424.94 2.4×
Excision/Transposition Pterygium W/O Graft (65420) $5,782.45 $6,424.94 2.4×
Explo/Drain Breast Abscess (19020) $4,303.38 $4,781.53 2.6×
Exploration maxillary sinus (31020) $6,650.73 $7,389.69 2.0×
Exploration penetrating wound spx extremity (20103) $3,140.75 $3,489.72 1.9×
Eye Surg Ant Sgmt Proc Unlisted (66999) $6,132.78 $6,814.19 2.6×
Fasciectomy Plantar Fascia Partial Spx (28060) $8,444.48 $9,382.75 2.6×
Fasciotomy Plantar Fascia Radical Spx (28062) $8,444.48 $9,382.75 2.6×
Fetal Contraction Stress Test (59020) $379.96 $422.17 1.9×
Fetal non-stress test (59025)
range across 2 matching MRF lines		 $240.56–$379.96 $267.28–$422.17 varies
Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) $2,833.78 $3,148.64 1.4×
Fine needle aspiration without imaging guidance (10021) $105.84 $117.60 0.3×
Fna Bx W/Fluor Gdn 1St Les (10007) $952.38 $1,058.20 1.3×
Fna bx w/us gdn 1st les (10005) $952.38 $1,058.20 1.3×
Foreskin manipulation (54450) $854.49 $949.43 3.4×
Fracture Nasal Inferior Turbinate Therapeutic (30930) $7,020.16 $7,800.17 2.1×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $5,006.97 $5,563.29 2.4×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $5,006.97 $5,563.29 2.4×
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $5,006.97 $5,563.29 2.4×
Fusion of foot bones (28740) $17,897.61 $19,886.23 2.5×
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) $4,926.69 $5,474.10 1.3×
Goniotomy (65820) $5,015.15 $5,572.38 1.2×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $7,589.20 $8,432.44 2.7×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $8,372.42 $9,302.68 3.0×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $3,825 $4,250 1.4×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) $3,825 $4,250 1.4×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) $3,825 $4,250 1.4×
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) $7,589.20 $8,432.44 2.7×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 2 matching MRF lines		 $631–$1,334.76 $701.11–$1,483.06 varies
Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) $7,189.98 $7,988.86 2.6×
Hysteroscopy Biopsy (58558) $7,255.46 $8,061.62 2.2×
Hysteroscopy Div/Rescj Intrauterine Septum (58560) $10,215 $11,350 2.0×
Hysteroscopy Dx Sep Proc (58555) $7,979.11 $8,865.67 2.5×
Hysteroscopy Endometrial Ablation (58563) $13,126.31 $14,584.78 2.6×
Hysteroscopy Lysis Intrauterine Adhesions (58559) $11,428.74 $12,698.60 2.3×
Hysteroscopy Removal Impacted Foreign Body (58562) $5,737.50 $6,375 1.8×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $10,215 $11,350 2.0×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $233.60–$852.40 $259.55–$947.11 varies
I&d abscess simple (10060)
range across 4 matching MRF lines		 $138.35–$2,223.31 $153.72–$2,470.34 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $4,309.48 $4,788.31 2.7×
I&D Deep Absc/Hematoma Neck/Chest (21501) $4,829.55 $5,366.16 1.7×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028)
range across 2 matching MRF lines		 $656.67–$5,478.40 $729.63–$6,087.11 varies
I&D Intramural Im/Absc Transanal Anes (46045) $7,392.28 $8,213.64 2.7×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $5,478.40 $6,087.11 1.7×
I&d perianal abscess superficial (46050)
range across 3 matching MRF lines		 $215.55–$3,512.07 $239.49–$3,902.29 varies
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines		 $556.23–$3,140.75 $618.03–$3,489.72 varies
I&d pilonidal cyst simple (10080)
range across 3 matching MRF lines		 $201.51–$1,103.01 $223.90–$1,225.56 varies
I&d shoulder deep abscess/hematoma (23030) $4,829.55 $5,366.16 1.7×
I&d upper arm/elbow deep abscess/hematoma (23930) $4,829.55 $5,366.16 1.7×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $214.55–$502.08 $238.38–$557.86 varies
Incise finger tendon sheath (26055) $4,527.81 $5,030.90 2.8×
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines		 $241.62–$1,335.74 $268.46–$1,484.15 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $4,829.55 $5,366.16 1.7×
Incision & removal foreign body subq tiss compl (10121)
range across 3 matching MRF lines		 $330.85–$4,354.61 $367.61–$4,838.45 varies
Incision & removal foreign body subq tiss simple (10120)
range across 3 matching MRF lines		 $168.43–$1,694.59 $187.14–$1,882.87 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $167.43–$379.96 $186.03–$422.17 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 3 matching MRF lines		 $147.38–$2,203.57 $163.75–$2,448.41 varies
Incision bone cortex foot (28005) $8,444.48 $9,382.75 2.6×
Incision extensor tendon sheath wrist (25000) $4,738.32 $5,264.79 2.9×
Incision of eardrum (69421) $511.64 $568.48 0.2×
Incision of lingual frenum (frenotomy) (41010)
range across 2 matching MRF lines		 $242.63–$3,633.47 $269.58–$4,037.18 varies
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $2,989.28–$5,964.46 $3,321.42–$6,627.17 varies
Incision&drainage bursa foot (28001)
range across 3 matching MRF lines		 $342.88–$3,140.75 $380.97–$3,489.72 varies
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $132.30–$420.33 $147–$467.03 varies
Induced abortion, by dilation and evacuation (59841) $5,922.48 $6,580.53 1.8×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $88.23–$218.35 $98.03–$242.61 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $563.76 $626.39 0.6×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 3 matching MRF lines		 $77.20–$636.54 $85.77–$707.26 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421) $563.76 $626.39 0.6×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $487.29 $541.43 0.7×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $363.92 $404.35 0.4×
Injection anesthetic agent suprascapular nerve (64418) $189.36 $210.40 0.3×
Injection single tendon origin/insertion (20551) $189.36 $210.40 0.6×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines		 $68.18–$636.54 $75.75–$707.26 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 3 matching MRF lines		 $76.20–$354.04 $84.66–$393.37 varies
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines		 $100.26–$189.36 $111.39–$210.40 varies
Injection, anesthetic agent; femoral nerve, single (64447) $165.94 $184.37 0.2×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $160.65–$926.45 $178.50–$1,029.38 varies
Injection, intralesional; up to and including 7 lesions (11900)
range across 2 matching MRF lines		 $49.33–$278.78 $54.81–$309.75 varies
Inner ear surgery proc unlisted (69949) $6,356.19 $7,062.43 26.7×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $338.63–$339.25 $376.25–$376.94 varies
Insert cervical dilator (59200) $379.96 $422.17 1.2×
Insert Drug Implant Device (11981) $198.13 $220.14 1.5×
Insert non-tunnel cv cath (36556) $2,778.08 $3,086.75 0.9×
Insert pessary/other device (57160) $105.84 $117.60 0.5×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $206.64–$344.25 $229.60–$382.49 varies
Insert tunneled cv cath (36561) $7,957.69 $8,841.87 2.5×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 3 matching MRF lines		 $85.23–$166.56 $94.69–$185.06 varies
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $445.50–$2,401.71 $495–$2,668.56 varies
Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) $6,132.78 $6,814.19 2.6×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $2,778.08 $3,086.75 0.9×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $2,778.08 $3,086.75 1.8×
Insj Rx Eluting Implt Punctal Dilat Lac Canal Ea (68841) $1,398.46 $1,553.84 0.6×
Int hrhc by ligation single hroid w/o img gdn (46945) $721.73 $801.92 0.3×
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 2 matching MRF lines		 $784.57–$1,098.84 $871.74–$1,220.93 varies
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,122.09 $1,246.76 2.7×
Intubation endotracheal emergency procedure (31500) $610.64 $678.48 2.6×
Irdec Crnlsclrl/Crnl Sctj Prph Glc Spx (66625) $6,132.78 $6,814.19 2.6×
Irrigation maxillary sinus (31000) $1,454.66 $1,616.28 6.1×
Knee arthroscopy/drainage (29871) $10,170.80 $11,300.88 3.1×
Knee Arthroscopy/Surgery (29885) $20,880.03 $23,200.03 2.9×
Knee Arthroscopy/Surgery (29874) $10,170.80 $11,300.88 3.1×
Laparo-vag hyst incl t/o (58552) $24,247.17 $26,941.30 2.3×
Laparoscopy aspiration (49322) $6,766.94 $7,518.82 1.1×
Laparoscopy Enterolysis Separate Procedure (44180) $14,329.41 $15,921.56 2.4×
Laparoscopy fulguration oviducts (58670) $14,329.41 $15,921.56 2.4×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) $14,329.41 $15,921.56 2.4×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $24,247.17 $26,941.30 2.3×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) $24,247.17 $26,941.30 2.3×
Laparoscopy W/Lysis Of Adhesions (58660) $14,329.41 $15,921.56 2.4×
Laparoscopy w/rmvl adnexal structures (58661) $14,329.41 $15,921.56 2.4×
Laparoscopy, surgical, appendectomy (44970)
unusually low: confirm this is the full procedure		 $2,795.97 $3,106.63 0.5×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) $24,247.17 $26,941.30 2.3×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) $14,329.41 $15,921.56 2.4×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $4,861.62 $5,401.79 0.8×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) $14,394.43 $15,993.81 1.3×
Laparoscopy, Tubal Block (58671) $14,329.41 $15,921.56 2.4×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $14,329.41 $15,921.56 2.4×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $16,230.32 $18,033.68 2.7×
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) $14,329.41 $15,921.56 2.4×
Laser Surgery Anal Lesions (46917) $7,392.28 $8,213.64 2.7×
Laser Surgery of Cervix (57513) $3,825.50 $4,250.55 1.2×
Late closure of wound (13160) $4,941.85 $5,490.94 1.4×
Lavage cannulation sphenoid sinus (31002) $1,892.71 $2,103.01 1.2×
Ligation or biopsy temporal artery (37609) $5,231 $5,812.22 3.2×
Lysis of labial adhesions (56441) $373.28 $414.75 0.1×
Lysis/excision penile postcircumcision adhesions (54162) $344.93 $383.25 0.2×
Marsupialization of bartholin's gland cyst (56440) $4,988.68 $5,542.97 1.5×
Mast mod rad (19307) $17,924.99 $19,916.65 2.7×
Mastectomy for gynecomastia (19300) $10,159.10 $11,287.88 2.6×
Mastectomy partial (19301) $8,708.21 $9,675.78 2.2×
Mastectomy partial w/axillary lymphadenectomy (19302) $15,361.16 $17,067.95 2.3×
Mastectomy simple complete (19303) $17,920.74 $19,911.93 2.7×
Middle ear surgery proc unlisted (69799) $1,982.56 $2,202.84 8.3×
Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) $662.70 $736.33 0.9×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $9,800.17 $10,889.07 2.8×
Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) $7,250.14 $8,055.71 2.2×
N Block Inj Ilio-Ing/Hypogi (64425) $199.85 $222.05 0.3×
N block inj intercost sng (64420) $563.76 $626.39 0.8×
N Block Inj Plantar Digit (64455) $68.99 $76.65 0.2×
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $8,352.99 $9,281.09 2.2×
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $4,225.70 $4,695.22 2.4×
Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298) $15,528.09 $17,253.43 2.2×
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) $5,809 $6,454.44 0.8×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) $5,809 $6,454.44 0.8×
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) $5,809 $6,454.44 0.8×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) $15,528.09 $17,253.43 2.2×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) $15,528.09 $17,253.43 2.2×
Nasal/sinus ndsc total with sphenoidotomy (31257) $15,528.09 $17,253.43 2.2×
Nasal/sinus ndsc w/partial ethmoidectomy (31254) $15,528.09 $17,253.43 2.2×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) $15,528.09 $17,253.43 2.2×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) $15,528.09 $17,253.43 2.2×
Needle Biopsy Lymph Nodes (38505) $1,944.16 $2,160.17 1.2×
Needle Biopsy Pancreas (48102) $2,481.41 $2,757.12 1.5×
Needle insertion w/o injection 1 or 2 muscles (20560)
range across 2 matching MRF lines		 $22.50–$49.50 $25–$55 varies
Needle insertion w/o injection 3 or more muscles (20561)
range across 2 matching MRF lines		 $27–$54 $30–$60 varies
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $4,957.70 $5,508.55 2.5×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $189.36–$377.77 $210.40–$419.74 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $563.76 $626.39 0.6×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $2,312.33 $2,569.25 3.3×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) $15,528.09 $17,253.43 2.2×
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) $15,528.09 $17,253.43 2.2×
Occipital Nerve Block (64405)
range across 3 matching MRF lines		 $140.81–$926.45 $156.45–$1,029.38 varies
Open biopsy/excision inguinofemoral nodes (38531) $9,575.93 $10,639.92 2.4×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $15,553.62 $17,281.80 2.1×
Open Tx Distal Phalangeal Fracture Each (26765)
range across 2 matching MRF lines		 $818.01–$5,538.83 $908.89–$6,154.25 varies
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $9,851.56 $10,946.17 3.0×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $2,695.41 $2,994.90 0.8×
Open Tx Radial Head/Neck Fracture (24665) $17,504.68 $19,449.64 2.4×
Open Tx Radial Head/Neck Fracture Prosth (24666) $32,088.33 $35,653.70 2.5×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $20,880.03 $23,200.03 2.9×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $20,880.03 $23,200.03 2.9×
Orchiectomy radical tumor inguinal approach (54530) $9,293.40 $10,326 2.6×
Ostc compl all metar heads w/prtl prox phalangc (28114) $10,533.66 $11,704.06 3.2×
Ostc prtl exostc/condylc metar head (28288) $8,443.74 $9,381.93 2.6×
Ostectomy calcaneus (28118) $9,851.56 $10,946.17 3.0×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $10,490.03 $11,655.58 3.2×
Ostectomy, complete excision; fifth metatarsal head (28113) $8,444.48 $9,382.75 2.6×
Ostectomy, complete excision; first metatarsal head (28111) $10,347.44 $11,497.15 3.1×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $8,444.48 $9,382.75 2.6×
Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) $17,897.61 $19,886.23 2.5×
Osteot w/wo lngth shrt/corrj 1st metar (28306) $17,897.61 $19,886.23 2.5×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $8,444.48 $9,382.75 2.6×
Osteotomy calcaneus w/wo internal fixation (28300)
likely a partial charge, not the full procedure		 $1,119.15 $1,243.49 0.2×
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) $8,444.48 $9,382.75 1.2×
Ovarian cystectomy, unilateral or bilateral (58925) $13,126.31 $14,584.78 2.6×
Palatopharyngoplasty (42145) $13,850.90 $15,389.88 2.3×
Part remv talus or calcaneus (28120) $8,444.48 $9,382.75 2.6×
Partial Excision Distal Phalanx Finger (26236) $4,252.32 $4,724.79 2.6×
Partial hymenectomy or revision of hymenal ring (56700) $4,942.82 $5,492.02 1.5×
Partical Excision Bone Phalanx Toe (28124)
range across 2 matching MRF lines		 $594.52–$3,756.33 $660.57–$4,173.69 varies
Pelvic examination under anesthesia (other than local) (57410) $5,767.42 $6,408.24 1.8×
Perineoplasty rpr perineum nonobstetrical spx (56810) $7,255.46 $8,061.62 2.2×
Peritoneal Lavage (49084) $3,314.72 $3,683.02 3.6×
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines		 $1,565.81–$1,777.50 $1,739.78–$1,975 varies
Perq device breast 1st imag (19281) $1,569.21 $1,743.56 0.9×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,924.09 $2,137.87 2.7×
Perq skel fixj distal radial fx/epiphysl sep (25606) $9,851.56 $10,946.17 3.0×
Placement of needle for intraosseous infusion (36680) $376.28 $418.08 0.8×
Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) $2,989.28 $3,321.42 2.5×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $8,444.48 $9,382.75 2.6×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $103.95–$292.64 $115.50–$325.15 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines		 $158.40–$548.02 $176–$608.91 varies
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines		 $142.37–$1,144.78 $158.18–$1,271.97 varies
Rad resect hand tumor 3 cm/> (26118) $7,421.78 $8,246.42 2.5×
Rad resect tumor soft tissue hand/finger <3cm (26117) $7,421.78 $8,246.42 2.5×
Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) $6,932.70 $7,703 2.4×
Rcnstj Dislocating Patella (27420) $17,717.49 $19,686.10 2.4×
Realignment of knee (27455)
unusually low: confirm this is the full procedure		 $3,629.70 $4,032.99 0.5×
Removal Foreign Body Deep Thigh/Knee (27372) $7,667.39 $8,519.32 2.6×
Removal foreign body foot deep (28192) $4,354.61 $4,838.45 2.6×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $300.77–$2,041.62 $334.18–$2,268.46 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $240.62–$1,085.58 $267.35–$1,206.19 varies
Removal Foreign Body Pelvis/Hip Deep (27087) $5,478.40 $6,087.11 1.7×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines		 $55.76–$207.51 $61.95–$230.56 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines		 $64.17–$260.72 $71.30–$289.68 varies
Removal Implant Deep (20680) $4,174.15 $4,637.94 1.4×
Removal Implant Superficial Separate Procedure (20670) $4,354.61 $4,838.45 2.6×
Removal implantable contraceptive capsules (11976)
range across 3 matching MRF lines		 $120.57–$228.06 $133.96–$253.40 varies
Removal of adenoids (42831) $665.45 $739.38 0.2×
Removal of adenoids (42830) $896.19 $995.76 0.3×
Removal of foreign body from pharynx (42809) $166.56 $185.06 0.4×
Removal of heel spur (28119) $9,851.56 $10,946.17 3.0×
Removal of nail bed (11750)
range across 3 matching MRF lines		 $271.70–$1,085.58 $301.88–$1,206.19 varies
Removal of sesamoid bone (28315) $7,894.80 $8,772 2.4×
Removal of sperm cord lesion (55520) $8,608.98 $9,565.53 2.4×
Removal of testis (54520) $9,462.58 $10,513.97 2.7×
Removal of tonsils (42825) $13,850.90 $15,389.88 2.3×
Removal of tonsils (42826) $7,020.16 $7,800.17 2.1×
Removal of tunneled intraperitoneal catheter (49422) $7,848 $8,720 2.5×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 4 matching MRF lines		 $101.26–$227.61 $112.51–$252.90 varies
Removal sweat gland lesion (11450) $7,421.78 $8,246.42 2.5×
Removal/bivalving gauntlet boot/body cast (29700)
range across 2 matching MRF lines		 $80.20–$262.75 $89.11–$291.94 varies
Remove drug implant device (11982)
range across 2 matching MRF lines		 $171.43–$439.09 $190.47–$487.87 varies
Remove foreign body from eye (65205) $238.09 $264.54 1.8×
Remove hip pressure sore (15941) $9,863.27 $10,959.18 3.4×
Remove hip pressure sore (15940) $9,863.27 $10,959.18 3.4×
Remove Intrauterine Device (58301)
range across 3 matching MRF lines		 $131.34–$1,861.69 $145.93–$2,068.54 varies
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $166.56–$189.91 $185.06–$211.01 varies
Remove sacrum pressure sore (15937) $5,490.83 $6,100.92 2.6×
Remove Shoulder Foreign Body (23330) $2,041.62 $2,268.46 1.2×
Remove Skin Nerve Lesion (64774) $5,141.26 $5,712.51 2.6×
Remove Tendon Sheath Lesion (26160)
range across 2 matching MRF lines		 $688.91–$4,252.32 $765.45–$4,724.79 varies
Remove thigh pressure sore (15951) $9,863.27 $10,959.18 3.4×
Remove thigh pressure sore (15956) $6,943.35 $7,714.83 3.3×
Remove/Insert Drug Implant (11983)
range across 2 matching MRF lines		 $212.63–$1,053.50 $236.25–$1,170.55 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $1,104.08–$1,990.70 $1,226.75–$2,211.88 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $1,104.08–$2,077.92 $1,226.75–$2,308.79 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $784.57–$1,656.97 $871.74–$1,841.07 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $1,104.08–$1,684.89 $1,226.75–$1,872.09 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $784.57–$1,558.51 $871.74–$1,731.67 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $784.57–$1,558.51 $871.74–$1,731.67 varies
Repair complex trunk 1.1-2.5 cm (13100)
range across 2 matching MRF lines		 $1,104.08–$1,558.51 $1,226.75–$1,731.67 varies
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $1,104.08–$1,558.51 $1,226.75–$1,731.67 varies
Repair Ectropion Extensive (67917) $5,782.45 $6,424.94 2.4×
Repair Ectropion Suture (67914) $5,782.45 $6,424.94 2.4×
Repair Entropion Excision Tarsal Wedge (67923) $5,198.20 $5,775.77 2.2×
Repair Entropion Extensive (67924) $5,575.96 $6,195.51 2.3×
Repair Entropion Suture (67921) $4,666.14 $5,184.60 2.0×
Repair extensor tendon finger w/o graft each (26418) $2,461.69 $2,735.21 1.5×
Repair Foot Dislocation (28615) $17,897.61 $19,886.23 2.5×
Repair forearm tendon/muscle (25265) $118.13 $131.25 0.0×
Repair Hallux Rigidus (28289) $8,444.48 $9,382.75 2.6×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $9,292.91 $10,325.45 2.6×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507)
range across 2 matching MRF lines		 $9,892.65–$10,842.25 $10,991.83–$12,046.94 varies
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 3 matching MRF lines		 $331.85–$1,052.34 $368.72–$1,169.26 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $1,017.63–$1,063.97 $1,130.69–$1,182.18 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $336.79–$1,075.57 $374.21–$1,195.07 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $336.79–$1,087.21 $374.21–$1,208.01 varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,145.35 $1,272.61 2.8×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 2 matching MRF lines		 $738.38–$784.57 $820.42–$871.74 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 3 matching MRF lines		 $308.79–$552.33 $343.10–$613.70 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 3 matching MRF lines		 $336.79–$668.61 $374.21–$742.90 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $336.79–$1,558.51 $374.21–$1,731.67 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $5,006.97 $5,563.29 2.4×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $336.79–$13,994.14 $374.21–$15,549.04 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 3 matching MRF lines		 $293.75–$1,052.34 $326.38–$1,169.26 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 3 matching MRF lines		 $375.96–$1,075.57 $417.73–$1,195.07 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $784.57–$1,558.51 $871.74–$1,731.67 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $336.79–$1,098.84 $374.21–$1,220.93 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 2 matching MRF lines		 $4,405.50–$5,006.97 $4,895–$5,563.29 varies
Repair of entropion; thermocauterization (67922) $4,878.97 $5,421.07 2.0×
Repair of hydrocele (55060) $6,130.53 $6,811.70 1.7×
Repair of metatarsals (28322) $17,413.23 $19,348.03 2.4×
Repair of nail bed (11760) $336.79 $374.21 0.5×
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) $17,413.23 $19,348.03 2.4×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) $10,842.25 $12,046.94 1.7×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $9,286.04 $10,317.82 2.8×
Repair tongue laceration (41252) $2,098.66 $2,331.84 8.8×
Repair tongue laceration (41250) $347.28 $385.86 0.8×
Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263)
likely a partial charge, not the full procedure		 $141.75 $157.50 0.0×
Repair/Revise Wrist Joint (25320) $14,512.50 $16,125 2.0×
Replace g/c tube perc (49450) $610.03 $677.81 0.7×
Reposition Gastrostomy Tube (43761) $2,176.08 $2,417.86 8.7×
Rerepair ing hernia reduce (49520) $10,842.25 $12,046.94 3.0×
Resect leg/ankle tum < 5 cm (27615) $8,220.28 $9,133.64 2.8×
Revise knuckle joint (26530) $8,444.48 $9,382.75 1.2×
Revise Lower Leg Tendons (27686) $8,444.48 $9,382.75 2.6×
Revise ulnar nerve at wrist (64719) $4,957.70 $5,508.55 2.5×
Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) $3,445.20 $3,828 1.0×
Revision of lower leg tendon (27685) $8,444.48 $9,382.75 2.6×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $281.72 $313.02 0.2×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804)
range across 2 matching MRF lines		 $70.88–$324.45 $78.75–$360.49 varies
Rmvl FB Xtrnl Auditory Canal Anes (69205) $5,160.96 $5,734.40 3.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $238.09–$1,091.48 $264.54–$1,212.75 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $92.24–$238.09 $102.48–$264.54 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $238.09 $264.54 0.5×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)
range across 2 matching MRF lines		 $5,820.13–$7,321.50 $6,466.81–$8,135 varies
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $2,041.62 $2,268.46 0.7×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)
range across 2 matching MRF lines		 $1,085.58–$4,316.62 $1,206.19–$4,796.24 varies
Rmvl Lens Material Aspir Tq 1/> Stages (66840) $6,743.36 $7,492.62 2.9×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $2,754.47 $3,060.52 1.7×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $2,073.58 $2,303.97 3.3×
Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) $1,058.66 $1,176.28 0.5×
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) $150.39 $167.10 0.5×
Rplc Gtube No Revj Trc (43762)
range across 3 matching MRF lines		 $265.55–$765 $295.05–$850 varies
Rplc gtube revj gstrst trc (43763) $886.50 $985 3.5×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $9,157.47 $10,174.96 1.5×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $9,099.60 $10,110.66 2.5×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) $9,253.91 $10,282.12 1.4×
Rpr aa hernia recr 3-10 cm reducible (49615) $9,471.29 $10,523.65 1.5×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $9,234.63 $10,260.69 1.5×
Rpr aa hrn 1st 3-10 rdc (49593) $9,157.47 $10,174.96 1.4×
Rpr aa hrn 1st < 3 ncr/strn (49592) $9,157.47 $10,174.96 1.5×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $336.79–$591.86 $374.21–$657.62 varies
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046)
range across 2 matching MRF lines		 $784.57–$992.18 $871.74–$1,102.42 varies
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $9,564.63 $10,627.36 2.9×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $439.43 $488.25 0.1×
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $8,329.50 $9,255 2.5×
Scrotal exploration (55110) $5,594.76 $6,216.39 1.6×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $7,020.16 $7,800.17 2.1×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $3,378.30 $3,753.66 2.8×
Shave skin lesion 0.5 cm/< (11300) $83.22 $92.46 0.2×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310)
range across 2 matching MRF lines		 $67.86–$104.27 $75.39–$115.85 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $193.50 $214.99 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $87.23 $96.92 0.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $120.32 $133.68 0.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $170.44 $189.37 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $161.42 $179.35 0.4×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311)
range across 2 matching MRF lines		 $133.35–$1,149.67 $148.16–$1,277.41 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $154.40 $171.55 0.4×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $115.29 $128.10 0.6×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $218.07 $242.29 0.5×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $138.35 $153.72 0.7×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $2,566.27 $2,851.41 2.7×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $516.89–$992.18 $574.32–$1,102.42 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 3 matching MRF lines		 $197.51–$539.36 $219.45–$599.28 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 3 matching MRF lines		 $218.56–$556.98 $242.84–$618.86 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017)
range across 2 matching MRF lines		 $336.79–$992.18 $374.21–$1,102.42 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $336.79–$580.23 $374.21–$644.70 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $824.42 $916.02 4.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 3 matching MRF lines		 $186.48–$539.36 $207.20–$599.28 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 2 matching MRF lines		 $336.79–$918.60 $374.21–$1,020.66 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 3 matching MRF lines		 $235.61–$598.84 $261.78–$665.37 varies
Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030) $9,390.80 $10,434.22 1.6×
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032) $9,390.80 $10,434.22 1.6×
Skin Full Grft Face/Genit/Hf (15240) $5,006.97 $5,563.29 2.4×
Skin Tissue Procedure (17999) $570.24 $633.59 2.8×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 3 matching MRF lines		 $199.52–$539.36 $221.68–$599.28 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $336.79–$992.18 $374.21–$1,102.42 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $525.52–$992.18 $583.91–$1,102.42 varies
Snip Incision Lacrimal Punctum (68440) $408.12 $453.46 1.3×
Sphincterotomy anal division sphincter spx (46080) $7,392.28 $8,213.64 2.7×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $926.45–$1,734.66 $1,029.38–$1,927.39 varies
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $5,006.97 $5,563.29 2.4×
Strapping ankle (29540) $38.75 $43.05 0.2×
Strapping elbow or wrist (29260) $41.58 $46.20 0.7×
Strapping hand/finger (29280)
range across 2 matching MRF lines		 $40.64–$262.75 $45.15–$291.94 varies
Strapping Hip (29520) $50.09 $55.65 0.4×
Strapping knee (29530) $33.08 $36.75 0.2×
Strapping shoulder (29240)
range across 2 matching MRF lines		 $34.97–$262.75 $38.85–$291.94 varies
Strapping thorax (29200)
range across 2 matching MRF lines		 $35.91–$262.75 $39.90–$291.94 varies
Strapping toes (29550) $26.46 $29.40 0.4×
Strapping Unna Boot (29580)
range across 2 matching MRF lines		 $67.17–$125.38 $74.63–$139.31 varies
Submucosal abltj tongue rf 1/> sites pr session (41530) $2,725.97 $3,028.85 0.8×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $7,020.16 $7,800.17 2.1×
Surg tx anal fistula subq (46270) $7,392.28 $8,213.64 2.7×
Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070)
unusually low: confirm this is the full procedure		 $2,479.02 $2,754.46 0.3×
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines		 $76.14–$266.04 $84.60–$295.60 varies
Tenotomy Percutaneous Toe Single Tendon (28010) $987.98 $1,097.75 0.6×
Therapeutic pneumothorax (32960) $1,381.65 $1,535.16 2.2×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $5,006.97 $5,563.29 2.4×
Tlh uterus over 250 g (58572) $24,247.17 $26,941.30 2.3×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $7,020.16 $7,800.17 2.1×
Tooth extraction (41899) $357.21 $396.90 1.5×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $7,978.09 $8,864.54 2.5×
Tracheostomy Emergency Cricothyroid Membrane (31605) $2,017.44 $2,241.59 8.5×
Transfer skin pedicle flap (15650) $5,079.76 $5,644.17 2.5×
Treat ectopic pregnancy (59151) $14,329.41 $15,921.56 2.4×
Treat Finger Fracture Each (26727) $8,332.20 $9,258 2.5×
Treat Fx Rad Extra-Articul (25607) $20,880.03 $23,200.03 2.9×
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $412.04–$424.26 $457.82–$471.40 varies
Treat Humerus Fracture (24505) $839.49 $932.76 0.5×
Treat humerus fracture (23600) $412.04 $457.82 1.7×
Treat Knuckle Dislocation (26700) $412.04 $457.82 1.7×
Treat Metatarsal Fracture (28475)
range across 2 matching MRF lines		 $560.69–$585.99 $622.98–$651.09 varies
Treat Tail Bone Fracture (27200) $412.04 $457.82 1.7×
Treat Thumb Dislocation (26641) $412.04 $457.82 1.7×
Treat Thumb Fracture (26645) $1,418.49 $1,576.10 0.9×
Treat toe dislocation (28630) $412.04 $457.82 1.7×
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 2 matching MRF lines		 $647.33–$3,805.67 $719.25–$4,228.52 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $412.04–$458.33 $457.82–$509.25 varies
Treatment of foot infection (28003) $8,444.48 $9,382.75 2.6×
Trim skin lesion (11055)
range across 3 matching MRF lines		 $69.18–$941.76 $76.86–$1,046.39 varies
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines		 $90.72–$941.76 $100.80–$1,046.39 varies
Trim skin lesions over 4 (11057)
range across 2 matching MRF lines		 $112.46–$217.08 $124.95–$241.20 varies
Trimming Nondystrophic Nails Any Number (11719) $27.07 $30.07 0.5×
Tubal ligation (58600) $7,255.46 $8,061.62 2.2×
Tx Gastro Intub W/Asp (43753) $378.72 $420.80 1.7×
Tx Incomplete Abortion Any Trimester Surgical (59812) $7,255.46 $8,061.62 2.2×
Tx Missed Abortion First Trimester Surgical (59820) $7,255.46 $8,061.62 2.2×
Tx open tendon flexor toe 1 tendon spx (28232) $1,839.92 $2,044.35 1.1×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 3 matching MRF lines		 $335.86–$1,990.70 $373.17–$2,211.88 varies
Tx superficial wound dehiscence w/packing (12021) $2,010.47 $2,233.85 4.9×
Tympanostomy general anesthesia (69436) $3,633.47 $4,037.18 2.3×
Unlisted laparoscopic procedure liver (47379) $13,663.01 $15,181.12 2.2×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) $14,329.41 $15,921.56 2.4×
Unlisted laparoscopy procedure, biliary tract (47579) $14,329.41 $15,921.56 2.4×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) $16,717.23 $18,574.69 2.8×
Unlisted laparoscopy procedure, intestine (except rectum) (44238) $15,757.58 $17,508.42 2.6×
Unlisted procedure anus (46999) $2,395.70 $2,661.88 2.6×
Unlisted procedure colon (45399) $3,235.50 $3,595 3.5×
Unlisted procedure excision pressure ulcer (15999) $3,059.33 $3,399.25 4.3×
Unlisted Procedure Male Genital System (55899) $184.28 $204.75 0.7×
Unlisted procedure neck or thorax (21899) $687.08 $763.42 2.9×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $2,609.89 $2,899.87 2.9×
Unlisted Procedure, Urinary System (53899) $441.63 $490.69 1.8×
Unlisted px female genital system nonobstetrical (58999) $505.64 $561.82 2.5×
Uvulectomy excision of uvula (42140) $948.47 $1,053.85 0.3×
Vag hyst w/t/o & vag repair (58263) $13,474.23 $14,971.36 2.7×
Vaginal delivery only (59409) $4,988.68 $5,542.97 1.5×
Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) $11,606.19 $12,895.76 2.3×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $13,126.31 $14,584.78 2.6×
Vasectomy uni/bi spx w/postop semen exams (55250) $5,413.18 $6,014.64 2.6×
Vein Access Cutdown < 1 Yr (36420) $57.98 $64.42 0.4×
Venous Cutdown >1 Y/O (36425) $57.98 $64.42 0.1×
Ventilating tube removal requiring general anesthesia (69424)
range across 2 matching MRF lines		 $3,882.96–$4,276.89 $4,314.39–$4,752.09 varies
Vitrectomy mechanical pars plana (67036) $11,526.75 $12,807.50 2.8×
Vulvectomy simple partial (56620) $5,737.50 $6,375 1.8×
Wedge excision skin nail fold (11765)
range across 3 matching MRF lines		 $156.41–$992.18 $173.78–$1,102.42 varies
Windowing of cast (29730) $262.75 $291.94 1.6×
Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991)
unusually low: confirm this is the full procedure		 $1,860.63 $2,067.36 0.3×
Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+ (66989)
unusually low: confirm this is the full procedure		 $2,422.32 $2,691.46 0.5×

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.