Procedures & surgery prices at Melissa Memorial Hospital
Holyoke, CO · every code in this section with a posted price and a Medicare benchmark.
507 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 2 matching MRF lines |
$200–$752 | $250–$940 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$155.20–$772.80 | $194–$966 | varies |
| Acromiopl/Acromionect Partial (23130) | $6,776 | $8,470 | 2.0× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) range across 2 matching MRF lines |
$1,455.20–$5,488 | $1,819–$6,860 | varies |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) range across 2 matching MRF lines |
$1,399.20–$3,537.60 | $1,749–$4,422 | varies |
| Amputation toe metatarsophalangeal joint (28820) range across 2 matching MRF lines |
$366.40–$6,409.60 | $458–$8,012 | varies |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) range across 2 matching MRF lines |
$1,248–$9,072 | $1,560–$11,340 | varies |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) range across 2 matching MRF lines |
$224.80–$2,266.40 | $281–$2,833 | varies |
| Appendectomy (44950) | $7,390.40 | $9,238 | 1.1× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $288 | $360 | 1.7× |
| Application cast elbow finger short arm (29075) range across 4 matching MRF lines |
$121.60–$401.60 | $152–$502 | varies |
| Application Finger Splint Dynamic (29131) range across 3 matching MRF lines |
$64–$162.40 | $80–$203 | varies |
| Application finger splint static (29130) range across 4 matching MRF lines |
$64–$212.80 | $80–$266 | varies |
| Application long arm splint shoulder hand (29105) range across 4 matching MRF lines |
$130.40–$452.80 | $163–$566 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$112–$452.80 | $140–$566 | varies |
| Application of long leg cast (29345) range across 2 matching MRF lines |
$145.60–$496 | $182–$620 | varies |
| Application Patellar Tendon Bearing Cast (29435) | $255.20 | $319 | 0.9× |
| Application Short Arm Splint Dynamic (29126) | $182.40 | $228 | 1.3× |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$82.40–$346.40 | $103–$433 | varies |
| Application short leg splint calf foot (29515) range across 4 matching MRF lines |
$100–$452.80 | $125–$566 | varies |
| Apply long arm cast (29065) range across 2 matching MRF lines |
$151.20–$401.60 | $189–$502 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$88–$313.60 | $110–$392 | varies |
| Apply Short Leg Cast (29405) range across 5 matching MRF lines |
$120–$341.60 | $150–$427 | varies |
| Apply short leg cast (29425) range across 2 matching MRF lines |
$102.40–$255.20 | $128–$319 | varies |
| Arterial puncture (36600) range across 2 matching MRF lines |
$32.80–$106.40 | $41–$133 | varies |
| Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841) range across 2 matching MRF lines |
$1,586.40–$9,122.40 | $1,983–$11,403 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$83.20–$960 | $104–$1,200 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 6 matching MRF lines |
$102.40–$960 | $128–$1,200 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 4 matching MRF lines |
$140–$1,814.40 | $175–$2,268 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 4 matching MRF lines |
$78.40–$960 | $98–$1,200 | varies |
| Arthrodesis great toe interphalangeal joint (28755) range across 2 matching MRF lines |
$696–$8,637.60 | $870–$10,797 | varies |
| Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) range across 2 matching MRF lines |
$1,816–$2,116.80 | $2,270–$2,646 | varies |
| Arthroplasty glenohumeral joint total shoulder (23472) range across 2 matching MRF lines |
$2,964–$16,765.60 | $3,705–$20,957 | varies |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) range across 2 matching MRF lines |
$2,514.40–$11,340 | $3,143–$14,175 | varies |
| Arthroplasty interphalangeal joint each (26535) range across 2 matching MRF lines |
$916–$7,708.80 | $1,145–$9,636 | varies |
| Arthroplasty, patella; without prosthesis (27437) | $19,983.20 | $24,979 | 2.6× |
| Arthroscopy Ankle Surgical Debridement Limited (29897) range across 2 matching MRF lines |
$1,180–$3,276 | $1,475–$4,095 | varies |
| Arthroscopy knee synovectomy limited spx (29875) range across 2 matching MRF lines |
$1,040–$6,220 | $1,300–$7,775 | varies |
| Arthroscopy shoulder distal claviculectomy (29824) range across 2 matching MRF lines |
$1,397.60–$6,437.60 | $1,747–$8,047 | varies |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) range across 2 matching MRF lines |
$2,357.60–$11,271.20 | $2,947–$14,089 | varies |
| Arthroscopy, knee, surgical; with lateral release (29873) range across 2 matching MRF lines |
$1,105.60–$7,667.20 | $1,382–$9,584 | varies |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) range across 2 matching MRF lines |
$1,553.60–$8,688.80 | $1,942–$10,861 | varies |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) range across 2 matching MRF lines |
$1,905.60–$5,926.40 | $2,382–$7,408 | varies |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) range across 2 matching MRF lines |
$1,596–$2,080 | $1,995–$2,600 | varies |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) range across 2 matching MRF lines |
$1,329.60–$7,100.80 | $1,662–$8,876 | varies |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) range across 2 matching MRF lines |
$2,165.60–$5,144 | $2,707–$6,430 | varies |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) range across 2 matching MRF lines |
$2,212–$6,112 | $2,765–$7,640 | varies |
| Arthrotomy W/Meniscus Repair Knee (27403) range across 2 matching MRF lines |
$1,348–$8,179.20 | $1,685–$10,224 | varies |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) range across 2 matching MRF lines |
$3,014.40–$12,898.40 | $3,768–$16,123 | varies |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) range across 2 matching MRF lines |
$2,008.80–$12,792.80 | $2,511–$15,991 | varies |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) range across 2 matching MRF lines |
$524.80–$6,776 | $656–$8,470 | varies |
| Arthrs knee debridement/shaving artclr crtlg (29877) range across 2 matching MRF lines |
$1,304.80–$6,812.80 | $1,631–$8,516 | varies |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) range across 2 matching MRF lines |
$1,176–$8,008.80 | $1,470–$10,011 | varies |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) range across 2 matching MRF lines |
$700–$6,486.40 | $875–$8,108 | varies |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) range across 2 matching MRF lines |
$624–$3,401.60 | $780–$4,252 | varies |
| Aspirate pleura w/ imaging (32555) | $228 | $285 | 0.3× |
| Aspirate Pleura W/O Imaging (32554) range across 3 matching MRF lines |
$187.20–$359.20 | $234–$449 | varies |
| Aspirate/Inj Ganglion Cyst (20612) range across 3 matching MRF lines |
$86.40–$379.20 | $18–$474 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 4 matching MRF lines |
$109.60–$170.40 | $137–$213 | varies |
| Biopsy external ear (69100) | $327.20 | $409 | 1.3× |
| Biopsy of lip (40490) | $327.20 | $409 | 1.3× |
| Biopsy Tongue Anterior Two-Thirds (41100) | $1,162.40 | $1,453 | 2.0× |
| Biopsy/removal lymph nodes (38510) range across 2 matching MRF lines |
$880–$6,557.60 | $1,100–$8,197 | varies |
| Bladder instillation anticarcinogenic agent (51720) | $365.60 | $457 | 0.5× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$84.80–$327.20 | $106–$409 | varies |
| Bladder Scan (51798) range across 2 matching MRF lines |
$85.60–$162.40 | $107–$203 | varies |
| Blood Transfusion Service (36430) | $704 | $880 | 1.5× |
| Bone Marrow Biopsy (38221) | $946.40 | $1,183 | 0.5× |
| Buttock fasciotomy (27027) range across 2 matching MRF lines |
$1,856.80–$4,490.40 | $2,321–$5,613 | varies |
| Bx/exc lymph node open deep axillary node (38525) range across 2 matching MRF lines |
$1,029.60–$6,068 | $1,287–$7,585 | varies |
| Bx/exc lymph node open superficial (38500) range across 2 matching MRF lines |
$565.60–$5,249.60 | $707–$6,562 | varies |
| Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie,… (27036) range across 2 matching MRF lines |
$2,125.60–$7,124 | $2,657–$8,905 | varies |
| Carpal Tunnel Surgery (64721) range across 2 matching MRF lines |
$946.40–$3,537.60 | $1,183–$4,422 | varies |
| Cataract surgery complex (66982) | $7,614.40 | $9,518 | 3.1× |
| Change Cystostomy Tube Simple (51705) | $783.20 | $979 | 3.0× |
| Chemical Cautery Tissue (17250) range across 3 matching MRF lines |
$76.80–$349.60 | $96–$437 | varies |
| Chemodenerv Musc Migraine (64615) | $211.20 | $264 | 0.7× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $592 | $740 | 1.8× |
| Chest tube placement (32551) | $879.20 | $1,099 | 0.5× |
| Cl Tx Tib Shft Fx W Manip (27752) | $1,032 | $1,290 | 0.6× |
| Claviculectomy partial (23120) range across 2 matching MRF lines |
$1,226.40–$7,111.20 | $1,533–$8,889 | varies |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$97.60–$225.60 | $122–$282 | varies |
| Closed Rx Metacarpal Fx,Percut (26608) range across 2 matching MRF lines |
$1,001.60–$2,751.20 | $1,252–$3,439 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $883.20 | $1,104 | 0.5× |
| Closed tx knee dislocation w/o anesthesia (27550) | $1,007.20 | $1,259 | 3.9× |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$776–$1,280 | $970–$1,600 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $1,028 | $1,285 | 0.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 3 matching MRF lines |
$702.40–$1,965.60 | $878–$2,457 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $636 | $795 | 2.4× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $1,032 | $1,290 | 0.6× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) range across 2 matching MRF lines |
$274.40–$878.40 | $343–$1,098 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $688.80 | $861 | 2.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $1,281.60 | $1,602 | 0.8× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $1,423.20 | $1,779 | 0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $297.60 | $372 | 1.1× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $144 | $180 | 0.6× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) range across 2 matching MRF lines |
$573.60–$736 | $717–$920 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $531.20 | $664 | 2.0× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $804.80 | $1,006 | 0.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$402.40–$636.80 | $503–$796 | varies |
| Cltx post hip arthrp dislc req anes (27266) range across 2 matching MRF lines |
$1,221.60–$3,928.80 | $1,527–$4,911 | varies |
| Cltx prox fibula/shft fx w/manj (27781) | $836 | $1,045 | 0.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $162.40 | $203 | 0.6× |
| Collect Blood From Catheter Venous Nos (36592) range across 2 matching MRF lines |
$165.60–$188.80 | $207–$236 | varies |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$33.60–$40 | $42–$50 | varies |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) range across 2 matching MRF lines |
$348.80–$1,814.40 | $436–$2,268 | varies |
| Colonoscopy thru stoma (44388) range across 2 matching MRF lines |
$316.80–$2,948 | $396–$3,685 | varies |
| Colonoscopy w/ablation (45388) range across 2 matching MRF lines |
$1,965.60–$2,976.80 | $2,457–$3,721 | varies |
| Colonoscopy w/fb removal (45379) range across 2 matching MRF lines |
$508.80–$1,965.60 | $636–$2,457 | varies |
| Colonoscopy w/submucosal inj (45381) range across 2 matching MRF lines |
$419.20–$2,476.80 | $524–$3,096 | varies |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $770.40 | $963 | 2.4× |
| Colposcopy Cervix Endocervical Curettage (57456) | $536.80 | $671 | 1.7× |
| Colposcopy cervix upper/adjacent vagina (57452) | $506.40 | $633 | 2.4× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $610.40 | $763 | 1.9× |
| Colsc flx w/removal lesion by hot bx forceps (45384) range across 2 matching MRF lines |
$1,060–$2,544 | $1,325–$3,180 | varies |
| Complex drainage wound (10180) range across 2 matching MRF lines |
$372–$5,400.80 | $465–$6,751 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) | $492 | $615 | 3.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$114.40–$268.80 | $143–$336 | varies |
| Correction hammertoe (28285) range across 2 matching MRF lines |
$794.40–$4,722.40 | $993–$5,903 | varies |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) range across 2 matching MRF lines |
$1,376.80–$7,636 | $1,721–$9,545 | varies |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) | $18,983.20 | $23,729 | 1.4× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) range across 2 matching MRF lines |
$1,100–$6,437.60 | $1,375–$8,047 | varies |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) range across 2 matching MRF lines |
$994.40–$6,776 | $1,243–$8,470 | varies |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) range across 2 matching MRF lines |
$1,222.40–$3,301.60 | $1,528–$4,127 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $492 | $615 | 3.5× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $492 | $615 | 2.0× |
| Cystourethroscopy (52000) range across 2 matching MRF lines |
$957.60–$1,196.80 | $1,197–$1,496 | varies |
| Cystourethroscopy inj chemodenervation bladder (52287) | $2,581.60 | $3,227 | 1.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $1,153.60 | $1,442 | 2.7× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$323.20–$5,402.40 | $404–$6,753 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$30.40–$110.40 | $38–$138 | varies |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$57.60–$176 | $72–$220 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$478.40–$6,486.40 | $598–$8,108 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 4 matching MRF lines |
$144–$6,616 | $180–$8,270 | varies |
| Declot vascular device (36593) | $497.60 | $622 | 1.4× |
| Decompression of tibia nerve (28035) range across 2 matching MRF lines |
$744–$3,900.80 | $930–$4,876 | varies |
| Deep Muscle Biopsy (20205) | $5,388.80 | $6,736 | 1.8× |
| Delivery of placenta (59414) | $2,602.40 | $3,253 | 0.8× |
| Destr penis lesion(s) (54065) | $467.20 | $584 | 0.2× |
| Destruct B9 Lesion 1-14 (17110) range across 3 matching MRF lines |
$88–$143.20 | $110–$179 | varies |
| Destruction Benign Lesions 15/> (17111) | $175.20 | $219 | 0.8× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $289.60 | $362 | 1.4× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $347.20 | $434 | 1.6× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) | $416.80 | $521 | 1.0× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $149.60 | $187 | 0.7× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $179.20 | $224 | 0.8× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) | $264.80 | $331 | 1.3× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) | $317.60 | $397 | 0.7× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $264.80 | $331 | 1.3× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) | $317.60 | $397 | 1.5× |
| Destruction Premalignant Lesion 15/> (17004) | $469.60 | $587 | 1.1× |
| Destruction premalignant lesion 1st (17000) range across 3 matching MRF lines |
$88–$124 | $110–$155 | varies |
| Diagnostic sigmoidoscopy (45330) range across 2 matching MRF lines |
$118.40–$1,417.60 | $148–$1,772 | varies |
| Dilate Esophagus 1/Mult Pass (43450) | $876.80 | $1,096 | 0.9× |
| Drain Cerebro Spinal Fluid (62272) | $76.80 | $96 | 0.1× |
| Drainage Finger Abscess Complicated (26011) range across 2 matching MRF lines |
$385.60–$864 | $482–$1,080 | varies |
| Drainage of finger abscess simple (26010) | $294.40 | $368 | 1.4× |
| Drainage of gum lesion (41800) | $369.60 | $462 | 2.6× |
| Drainage of hematoma/fluid (10140) range across 5 matching MRF lines |
$244–$6,682.40 | $305–$8,353 | varies |
| Drainage of rectal abscess (45020) | $5,056 | $6,320 | 1.7× |
| Drainage of scrotum (54700) range across 2 matching MRF lines |
$202.40–$480 | $253–$600 | varies |
| Draw Blood Off Venous Device (36591) range across 2 matching MRF lines |
$117.60–$180 | $147–$225 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $113.60 | $142 | 0.5× |
| Dstrj lesion anus simple surg excision (46922) range across 2 matching MRF lines |
$300.80–$3,537.60 | $376–$4,422 | varies |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) range across 2 matching MRF lines |
$313.60–$3,317.60 | $392–$4,147 | varies |
| Egd cautery tumor polyp (43250) range across 2 matching MRF lines |
$268.80–$2,842.40 | $336–$3,553 | varies |
| Egd control bleeding any (43255) range across 2 matching MRF lines |
$243.20–$2,176.80 | $304–$2,721 | varies |
| Egd place gastrostomy tube (43246) range across 2 matching MRF lines |
$404.80–$4,449.60 | $506–$5,562 | varies |
| Egd remove lesion snare (43251) range across 2 matching MRF lines |
$410.40–$2,927.20 | $513–$3,659 | varies |
| Endocervical curettage (57505) | $663.20 | $829 | 0.7× |
| Endometrial Biopsy (58100) | $324 | $405 | 1.5× |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$240–$1,209.60 | $300–$1,512 | varies |
| Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
$26.40–$116.80 | $33–$146 | varies |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) | $8,481.60 | $10,602 | 4.9× |
| Exc arm/elbow les sc < 3 cm (24075) | $1,186.40 | $1,483 | 0.7× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $344.80 | $431 | 0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 3 matching MRF lines |
$192.80–$2,041.60 | $241–$2,552 | varies |
| Exc Back Les Sc < 3 Cm (21930) range across 2 matching MRF lines |
$1,120–$4,490.40 | $1,400–$5,613 | varies |
| Exc Back Tum Deep 5 Cm/> (21933) range across 3 matching MRF lines |
$1,282.40–$2,095.20 | $1,603–$2,619 | varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $2,188.80 | $2,736 | 2.9× |
| Exc Face Les Sbq 2 Cm/> (21012) range across 2 matching MRF lines |
$556–$2,471.20 | $695–$3,089 | varies |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$216–$3,628 | $270–$4,535 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$270.40–$440.80 | $338–$551 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 3 matching MRF lines |
$365.60–$1,965.60 | $457–$2,457 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 2 matching MRF lines |
$416.80–$4,324 | $521–$5,405 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $84 | $105 | 0.0× |
| Exc ganglion wrist recurrent (25112) range across 2 matching MRF lines |
$800.80–$809.60 | $1,001–$1,012 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$170.40–$866.40 | $213–$1,083 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 3 matching MRF lines |
$228–$1,889.60 | $285–$2,362 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $1,255.20 | $1,569 | 0.7× |
| Exc hand tum deep < 1.5 cm (26116) range across 2 matching MRF lines |
$1,103.20–$4,490.40 | $1,379–$5,613 | varies |
| Exc hydrocele sprmatic cord uni spx (55500) range across 2 matching MRF lines |
$1,038.40–$3,744 | $1,298–$4,680 | varies |
| Exc neuroma hand/foot xcp digital nerve (64782) | $3,537.60 | $4,422 | 1.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 4 matching MRF lines |
$332.80–$1,965.60 | $416–$2,457 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 4 matching MRF lines |
$220–$2,874.40 | $275–$3,593 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 2 matching MRF lines |
$4,280–$5,530.40 | $5,350–$6,913 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 3 matching MRF lines |
$552.80–$4,580 | $691–$5,725 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) | $2,080 | $2,600 | 0.7× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 3 matching MRF lines |
$438.40–$2,721.60 | $548–$3,402 | varies |
| Exc Skin Malig >4 Cm Remaindr Body (11626) range across 2 matching MRF lines |
$3,904–$4,490.40 | $4,880–$5,613 | varies |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$711.20–$2,834.40 | $889–$3,543 | varies |
| Exc tendon shth lesion leg/ankle (27630) range across 2 matching MRF lines |
$448–$5,000 | $560–$6,250 | varies |
| Exc thigh/knee les sc 3 cm/> (27337) range across 2 matching MRF lines |
$879.20–$3,944.80 | $1,099–$4,931 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 4 matching MRF lines |
$206.40–$706.40 | $258–$883 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 3 matching MRF lines |
$304.80–$4,580 | $381–$5,725 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 4 matching MRF lines |
$332–$4,410.40 | $415–$5,513 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) range across 2 matching MRF lines |
$955.20–$5,273.60 | $1,194–$6,592 | varies |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) range across 2 matching MRF lines |
$1,072–$1,171.20 | $1,340–$1,464 | varies |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) range across 2 matching MRF lines |
$1,143.20–$6,486.40 | $1,429–$8,108 | varies |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $4,000 | $5,000 | 2.3× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) range across 2 matching MRF lines |
$595.20–$891.20 | $744–$1,114 | varies |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) | $4,490.40 | $5,613 | 1.5× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) range across 2 matching MRF lines |
$572–$654.40 | $715–$818 | varies |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 2 matching MRF lines |
$1,032.80–$1,093.60 | $1,291–$1,367 | varies |
| Excision lesion tendon sheath forearm&/wrist (25110) range across 2 matching MRF lines |
$716.80–$3,537.60 | $896–$4,422 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 2 matching MRF lines |
$280–$308.80 | $350–$386 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$342.40–$626.40 | $428–$783 | varies |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $1,151.20 | $1,439 | 1.5× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $2,950.40 | $3,688 | 1.7× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) range across 2 matching MRF lines |
$624–$4,406.40 | $780–$5,508 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $866.40 | $1,083 | 0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) range across 2 matching MRF lines |
$311.20–$384 | $389–$480 | varies |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $1,232.80 | $1,541 | 1.7× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 2 matching MRF lines |
$676–$3,824.80 | $845–$4,781 | varies |
| Excision of pilonidal cyst or sinus; simple (11770) range across 2 matching MRF lines |
$1,075.20–$2,508 | $1,344–$3,135 | varies |
| Excision of single external papilla or tag, anus (46220) range across 2 matching MRF lines |
$249.60–$3,064.80 | $312–$3,831 | varies |
| Excision olecranon bursa (24105) range across 2 matching MRF lines |
$743.20–$6,586.40 | $929–$8,233 | varies |
| Excision Pilonidal Cyst/Sinus Complicated (11772) range across 2 matching MRF lines |
$1,349.60–$2,947.20 | $1,687–$3,684 | varies |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) range across 2 matching MRF lines |
$761.60–$2,446.40 | $952–$3,058 | varies |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) range across 2 matching MRF lines |
$656.80–$3,708 | $821–$4,635 | varies |
| Excision, interdigital (morton) neuroma, single, each (28080) | $3,995.20 | $4,994 | 2.4× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) range across 2 matching MRF lines |
$546.40–$4,843.20 | $683–$6,054 | varies |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) range across 2 matching MRF lines |
$864.80–$2,798.40 | $1,081–$3,498 | varies |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) range across 2 matching MRF lines |
$380–$5,200 | $475–$6,500 | varies |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) range across 2 matching MRF lines |
$268–$3,400 | $335–$4,250 | varies |
| Excision/Transposition Pterygium W/Grafg (65426) range across 2 matching MRF lines |
$3,537.60–$5,289.60 | $4,422–$6,612 | varies |
| Excision/Transposition Pterygium W/O Graft (65420) | $2,751.20 | $3,439 | 1.1× |
| Exploration penetrating wound spx chest (20101) | $5,056 | $6,320 | 2.3× |
| Exploration penetrating wound spx extremity (20103) | $724.80 | $906 | 0.4× |
| Exploration Penetrating Wound Spx Neck (20100) | $2,753.60 | $3,442 | 4.8× |
| Explore/Treat Hand Joint (26070) | $4,490.40 | $5,613 | 2.6× |
| Fasciotomy, foot and/or toe (28008) range across 2 matching MRF lines |
$618.40–$3,834.40 | $773–$4,793 | varies |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) | $3,537.60 | $4,422 | 1.0× |
| Fetal Contraction Stress Test (59020) | $471.20 | $589 | 2.2× |
| Fetal non-stress test (59025) | $448 | $560 | 2.1× |
| Foreskin manipulation (54450) range across 2 matching MRF lines |
$120–$508 | $150–$635 | varies |
| Fusion Finger Joint (26860) range across 2 matching MRF lines |
$1,236–$3,492 | $1,545–$4,365 | varies |
| Fusion of knuckle (26850) range across 2 matching MRF lines |
$1,512–$3,492 | $1,890–$4,365 | varies |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) range across 2 matching MRF lines |
$1,025.60–$7,580 | $1,282–$9,475 | varies |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) range across 2 matching MRF lines |
$748–$4,490.40 | $935–$5,613 | varies |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) range across 2 matching MRF lines |
$1,216.80–$3,608 | $1,521–$4,510 | varies |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) range across 2 matching MRF lines |
$523.20–$4,990.40 | $654–$6,238 | varies |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 2 matching MRF lines |
$401.60–$2,080 | $502–$2,600 | varies |
| Hysteroscopy Biopsy (58558) | $6,486.40 | $8,108 | 1.9× |
| Hysteroscopy Endometrial Ablation (58563) | $4,490.40 | $5,613 | 0.9× |
| I&d abscess simple (10060) range across 6 matching MRF lines |
$204.80–$652.80 | $256–$816 | varies |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) range across 2 matching MRF lines |
$1,337.60–$6,340.80 | $1,672–$7,926 | varies |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$213.60–$1,012.80 | $267–$1,266 | varies |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$446.40–$568.80 | $558–$711 | varies |
| Incise finger tendon sheath (26055) range across 2 matching MRF lines |
$687.20–$4,490.40 | $859–$5,613 | varies |
| Incise flexor carpi radialis (25001) range across 2 matching MRF lines |
$721.60–$2,278.40 | $902–$2,848 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$248–$416 | $310–$520 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $761.60 | $952 | 0.4× |
| Incision & removal foreign body subq tiss simple (10120) range across 4 matching MRF lines |
$215.20–$322.40 | $269–$403 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$157.60–$224.80 | $197–$281 | varies |
| Incision extensor tendon sheath wrist (25000) range across 2 matching MRF lines |
$708–$3,537.60 | $885–$4,422 | varies |
| Incision of eardrum (69421) | $1,965.60 | $2,457 | 0.6× |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$890.40–$2,118.40 | $1,113–$2,648 | varies |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $536 | $670 | 0.3× |
| Incisional biopsy skin single lesion (11106) range across 3 matching MRF lines |
$126.40–$307.20 | $158–$384 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$1,280–$1,965.60 | $1,600–$2,457 | varies |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) range across 2 matching MRF lines |
$1,164–$1,920 | $1,455–$2,400 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 2 matching MRF lines |
$1,965.60–$2,560 | $2,457–$3,200 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 4 matching MRF lines |
$78.40–$436.80 | $98–$546 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 2 matching MRF lines |
$1,280–$2,751.20 | $1,600–$3,439 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 2 matching MRF lines |
$1,280–$2,080 | $1,600–$2,600 | varies |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) range across 2 matching MRF lines |
$165.60–$1,324.80 | $207–$1,656 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 2 matching MRF lines |
$1,120–$1,656 | $1,400–$2,070 | varies |
| Injection for identification of sentinel node (38792) | $88 | $110 | 0.2× |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$94.40–$274.40 | $118–$343 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 4 matching MRF lines |
$84–$669.60 | $105–$837 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 3 matching MRF lines |
$68–$270.40 | $85–$338 | varies |
| Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines |
$100–$232 | $125–$290 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 2 matching MRF lines |
$1,280–$1,656 | $1,600–$2,070 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$1,120–$1,656 | $1,400–$2,070 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 4 matching MRF lines |
$106.40–$2,004.80 | $133–$2,506 | varies |
| Injection, Intralesional; More Than 7 Lesions (11901) | $151.20 | $189 | 0.7× |
| Injection, intralesional; up to and including 7 lesions (11900) | $88 | $110 | 0.4× |
| Insert Anter Drainage Dev W/O Extraoc Reservoir (66183) | $3,492 | $4,365 | 0.8× |
| Insert Bladder Cath Complex (51703) | $492.80 | $616 | 3.6× |
| Insert cath pleura w/ image (32557) | $304 | $380 | 0.2× |
| Insert cath pleura w/o image (32556) | $251.20 | $314 | 0.1× |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$170.40–$4,314.40 | $213–$5,393 | varies |
| Insert pessary/other device (57160) | $216.80 | $271 | 1.0× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$308.80–$346.40 | $386–$433 | varies |
| Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$803.20–$5,434.40 | $1,004–$6,793 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) | $346.40 | $433 | 2.5× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 3 matching MRF lines |
$177.60–$2,663.20 | $222–$3,329 | varies |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) range across 3 matching MRF lines |
$652–$6,392.80 | $815–$7,991 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$800–$1,995.20 | $1,000–$2,494 | varies |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 3 matching MRF lines |
$528–$5,336 | $660–$6,670 | varies |
| Int hrhc by ligation single hroid w/o img gdn (46945) range across 2 matching MRF lines |
$840–$960 | $1,050–$1,200 | varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $1,100 | $1,375 | 2.6× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $1,209.60 | $1,512 | 2.8× |
| Intubation endotracheal emergency procedure (31500) range across 4 matching MRF lines |
$194.40–$644 | $243–$805 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $270.40 | $338 | 1.0× |
| Laparoscopy Enterolysis Separate Procedure (44180) range across 2 matching MRF lines |
$2,175.20–$6,995.20 | $2,719–$8,744 | varies |
| Laparoscopy, surgical, appendectomy (44970) range across 2 matching MRF lines |
$1,420–$8,154.40 | $1,775–$10,193 | varies |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) range across 2 matching MRF lines |
$3,343.20–$9,767.20 | $4,179–$12,209 | varies |
| Laryngoscopy flexible diagnostic (31575) | $207.20 | $259 | 1.0× |
| Late closure of wound (13160) range across 2 matching MRF lines |
$1,768.80–$4,490.40 | $2,211–$5,613 | varies |
| Lateral retinacular release open (27425) range across 2 matching MRF lines |
$992.80–$6,776 | $1,241–$8,470 | varies |
| Ligamentous reconstruction knee intra-articular (27428) | $19,983.20 | $24,979 | 1.5× |
| Ligation of hemorrhoids (46946) range across 2 matching MRF lines |
$889.60–$1,228.80 | $1,112–$1,536 | varies |
| Manipulation knee joint under general anesthesia (27570) range across 2 matching MRF lines |
$312–$342.40 | $390–$428 | varies |
| Manipulation, finger joint, under anesthesia, each joint (26340) | $1,380 | $1,725 | 0.8× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) range across 2 matching MRF lines |
$403.20–$2,494.40 | $504–$3,118 | varies |
| Mast mod rad (19307) range across 2 matching MRF lines |
$2,815.20–$14,364 | $3,519–$17,955 | varies |
| Mastectomy partial (19301) range across 2 matching MRF lines |
$1,445.60–$8,481.60 | $1,807–$10,602 | varies |
| Mastectomy simple complete (19303) range across 2 matching MRF lines |
$2,128–$12,473.60 | $2,660–$15,592 | varies |
| Muscle/tendon transfer upper arm/elbow single (24301) range across 2 matching MRF lines |
$1,520–$1,732 | $1,900–$2,165 | varies |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$800–$1,965.60 | $1,000–$2,457 | varies |
| N Block Inj Plantar Digit (64455) range across 2 matching MRF lines |
$80.80–$421.60 | $101–$527 | varies |
| Nasal Endoscopy Dx (31231) | $328.80 | $411 | 1.6× |
| Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$81.60–$766.40 | $102–$958 | varies |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) | $2,137.60 | $2,672 | 1.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $8 | $10 | 0.3× |
| Needle insertion w/o injection 3 or more muscles (20561) | $16 | $20 | 0.5× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) range across 2 matching MRF lines |
$1,314.40–$4,490.40 | $1,643–$5,613 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $375.20 | $469 | 1.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$1,280–$1,965.60 | $1,600–$2,457 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$1,920–$2,004.80 | $2,400–$2,506 | varies |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) range across 2 matching MRF lines |
$160–$1,572.80 | $200–$1,966 | varies |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$1,572.80–$1,923.20 | $1,966–$2,404 | varies |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$800–$1,965.60 | $1,000–$2,457 | varies |
| Omntc Epiploectomy Rescj Omentum Spx (49255) range across 2 matching MRF lines |
$1,628–$1,743.20 | $2,035–$2,179 | varies |
| Open Repair of Rotator Cuff Acute (23410) range across 2 matching MRF lines |
$1,722.40–$13,352.80 | $2,153–$16,691 | varies |
| Open Treatment Bimalleolar Ankle Fracture (27814) range across 2 matching MRF lines |
$1,708.80–$5,748.80 | $2,136–$7,186 | varies |
| Open Treatment Medial Malleolus Fracture (27766) range across 2 matching MRF lines |
$1,254.40–$7,560 | $1,568–$9,450 | varies |
| Open treatment metatarsal fracture each (28485) range across 2 matching MRF lines |
$1,158.40–$11,980 | $1,448–$14,975 | varies |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) | $14,056 | $17,570 | 1.8× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) range across 2 matching MRF lines |
$1,487.20–$6,357.60 | $1,859–$7,947 | varies |
| Open treatment of nasal fracture; uncomplicated Facility (21325) | $688.80 | $861 | 0.2× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) range across 2 matching MRF lines |
$1,363.20–$4,710.40 | $1,704–$5,888 | varies |
| Open Tx Distal Tibiofibular Joint Disruption (27829) range across 2 matching MRF lines |
$1,546.40–$8,110.40 | $1,933–$10,138 | varies |
| Open tx interphalangeal joint dislocation (26785) range across 2 matching MRF lines |
$1,144.80–$3,976.80 | $1,431–$4,971 | varies |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) range across 2 matching MRF lines |
$2,513.60–$8,016.80 | $3,142–$10,021 | varies |
| Ostc prtl exostc/condylc metar head (28288) | $3,132 | $3,915 | 0.9× |
| Ostectomy calcaneus (28118) range across 2 matching MRF lines |
$876–$7,648.80 | $1,095–$9,561 | varies |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) range across 2 matching MRF lines |
$654.40–$3,102.40 | $818–$3,878 | varies |
| Osteochondral allograft knee open (27415) | $19,983.20 | $24,979 | 1.5× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) unusually low: confirm this is the full procedure |
$3,132 | $3,915 | 0.4× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) range across 2 matching MRF lines |
$795.20–$3,050.40 | $994–$3,813 | varies |
| Osteotomy Clavicle W Bone Graft (23485) range across 2 matching MRF lines |
$1,520–$20,000 | $1,900–$25,000 | varies |
| Part remv talus or calcaneus (28120) | $6,776 | $8,470 | 2.0× |
| Partical Excision Bone Phalanx Toe (28124) range across 2 matching MRF lines |
$773.60–$2,316.80 | $967–$2,896 | varies |
| Perineoplasty rpr perineum nonobstetrical spx (56810) | $7,428 | $9,285 | 2.2× |
| Perq device breast 1st imag (19281) range across 2 matching MRF lines |
$223.20–$462.40 | $279–$578 | varies |
| Perq skel fixj distal radial fx/epiphysl sep (25606) range across 2 matching MRF lines |
$1,469.60–$6,437.60 | $1,837–$8,047 | varies |
| Place Amniotic Membrane Ocular Surface Sutured (65779) | $5,170.40 | $6,463 | 1.2× |
| Placement of needle for intraosseous infusion (36680) | $271.20 | $339 | 0.6× |
| Prostatic microwave thermotx (53850) | $7,121.60 | $8,902 | 1.9× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $3,911.20 | $4,889 | 1.1× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$104–$608 | $130–$760 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $210.40 | $263 | 0.5× |
| Puncture Aspiration Cyst Breast (19000) range across 2 matching MRF lines |
$698.40–$739.20 | $873–$924 | varies |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) range across 2 matching MRF lines |
$328.80–$428.80 | $411–$536 | varies |
| Rcnstj angular dfrm toe soft tiss px only (28313) range across 2 matching MRF lines |
$741.60–$2,110.40 | $927–$2,638 | varies |
| Rcnstj Dislocating Patella (27420) range across 2 matching MRF lines |
$1,558.40–$5,772.80 | $1,948–$7,216 | varies |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) | $6,437.60 | $8,047 | 0.8× |
| Removal Foreign Body Foot Subcutaneous (28190) | $689.60 | $862 | 0.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $29.60 | $37 | 0.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$68–$212.80 | $85–$266 | varies |
| Removal Implant Deep (20680) range across 2 matching MRF lines |
$884.80–$5,212.80 | $1,106–$6,516 | varies |
| Removal Implant Superficial Separate Procedure (20670) | $3,252.80 | $4,066 | 1.9× |
| Removal of adenoids (42830) | $11,189.60 | $13,987 | 3.2× |
| Removal of foreign body from pharynx (42809) | $373.60 | $467 | 0.8× |
| Removal of heel spur (28119) range across 2 matching MRF lines |
$756.80–$4,373.60 | $946–$5,467 | varies |
| Removal of implant from finger or hand (26320) range across 2 matching MRF lines |
$729.60–$1,808.80 | $912–$2,261 | varies |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$263.20–$464 | $329–$580 | varies |
| Removal or bivalving full arm or full leg cast (29705) | $103.20 | $129 | 0.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 3 matching MRF lines |
$153.60–$255.20 | $192–$319 | varies |
| Removal/bivalving gauntlet boot/body cast (29700) range across 2 matching MRF lines |
$133.60–$145.60 | $167–$182 | varies |
| Remove foreign body from eye (65205) | $145.60 | $182 | 1.0× |
| Remove Tendon Sheath Lesion (26160) range across 2 matching MRF lines |
$700–$2,751.20 | $875–$3,439 | varies |
| Repair Achilles Tendon (27650) range across 2 matching MRF lines |
$1,377.60–$8,976 | $1,722–$11,220 | varies |
| Repair Collat Ankle Ligmnt,Secondary (27698) range across 2 matching MRF lines |
$1,335.20–$14,844 | $1,669–$18,555 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$536–$555.20 | $670–$694 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$703.20–$772.80 | $879–$966 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $581.60 | $727 | 1.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 4 matching MRF lines |
$254.40–$1,280 | $318–$1,600 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) | $2,086.40 | $2,608 | 2.7× |
| Repair extensor tendon finger w/o graft each (26418) | $1,188 | $1,485 | 0.7× |
| Repair Foot Dislocation (28615) range across 2 matching MRF lines |
$1,034.40–$12,793.60 | $1,293–$15,992 | varies |
| Repair Forearm Tendon Sheath (25275) range across 2 matching MRF lines |
$1,408–$1,828 | $1,760–$2,285 | varies |
| Repair Hallux Rigidus (28289) range across 2 matching MRF lines |
$962.40–$5,738.40 | $1,203–$7,173 | varies |
| Repair inguinal hernia, sliding, any age (49525) | $8,481.60 | $10,602 | 2.2× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) range across 2 matching MRF lines |
$1,885.60–$9,962.40 | $2,357–$12,453 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$402.40–$751.20 | $503–$939 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 3 matching MRF lines |
$427.20–$826.40 | $534–$1,033 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$439.20–$908.80 | $549–$1,136 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $443.20 | $554 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $1,332 | $1,665 | 3.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $1,129.60 | $1,412 | 1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$296.80–$848.80 | $371–$1,061 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines |
$329.60–$933.60 | $412–$1,167 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $250.40 | $313 | 0.3× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $1,544.80 | $1,931 | 0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $649.60 | $812 | 1.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$340–$376 | $425–$470 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$444–$541.60 | $555–$677 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$622.40–$779.20 | $778–$974 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
$395.20–$541.60 | $494–$677 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $1,240 | $1,550 | 0.6× |
| Repair of nail bed (11760) | $251.20 | $314 | 0.3× |
| Repair of shoulder (23420) range across 2 matching MRF lines |
$2,036–$14,410.40 | $2,545–$18,013 | varies |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) range across 2 matching MRF lines |
$1,965.60–$8,651.20 | $2,457–$10,814 | varies |
| Repair Rotator Cuff Chronic (23412) range across 2 matching MRF lines |
$1,785.60–$9,961.60 | $2,232–$12,452 | varies |
| Repair secondary achilles tendon w/wo graft (27654) | $7,016 | $8,770 | 0.9× |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) range across 2 matching MRF lines |
$914.40–$1,668.80 | $1,143–$2,086 | varies |
| Repair, primary, disrupted ligament, ankle; collateral (27695) range across 2 matching MRF lines |
$981.60–$9,903.20 | $1,227–$12,379 | varies |
| Rerepair ing hernia reduce (49520) range across 2 matching MRF lines |
$1,405.60–$8,481.60 | $1,757–$10,602 | varies |
| Revise/Implant Finger Joint (26536) | $14,056 | $17,570 | 1.8× |
| Revision of foot (28116) | $4,932 | $6,165 | 1.4× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) range across 2 matching MRF lines |
$4,027.20–$8,908.80 | $5,034–$11,136 | varies |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) range across 2 matching MRF lines |
$3,696–$16,516 | $4,620–$20,645 | varies |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) range across 2 matching MRF lines |
$2,884.80–$8,440 | $3,606–$10,550 | varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $165.60 | $207 | 0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 3 matching MRF lines |
$106.40–$379.20 | $133–$474 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $364.80 | $456 | 0.8× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) range across 3 matching MRF lines |
$276–$1,512 | $345–$1,890 | varies |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$400–$3,668.80 | $500–$4,586 | varies |
| Rplc Gtube No Revj Trc (43762) range across 4 matching MRF lines |
$79.20–$588 | $99–$735 | varies |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) range across 2 matching MRF lines |
$2,400–$10,336 | $3,000–$12,920 | varies |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $7,856.80 | $9,821 | 2.1× |
| Rpr aa hrn 1st 3-10 rdc (49593) range across 2 matching MRF lines |
$1,529.60–$10,336 | $1,912–$12,920 | varies |
| Rpr aa hrn 1st < 3 ncr/strn (49592) range across 2 matching MRF lines |
$1,040–$8,000 | $1,300–$10,000 | varies |
| Rpr blood vessel direct lower extremity (35226) range across 2 matching MRF lines |
$1,732.80–$8,179.20 | $2,166–$10,224 | varies |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $393.60 | $492 | 1.9× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $1,242.40 | $1,553 | 1.6× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) range across 2 matching MRF lines |
$1,160–$7,868 | $1,450–$9,835 | varies |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) range across 2 matching MRF lines |
$678.40–$7,840 | $848–$9,800 | varies |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) range across 2 matching MRF lines |
$811.20–$1,534.40 | $1,014–$1,918 | varies |
| Shave skin lesion 0.5 cm/< (11300) range across 2 matching MRF lines |
$88–$262.40 | $110–$328 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $92.80 | $116 | 0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $181.60 | $227 | 0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $92.80 | $116 | 0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $354.40 | $443 | 1.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $188 | $235 | 0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $236.80 | $296 | 0.6× |
| Shoulder Arthroscopy/Surgery (29825) range across 2 matching MRF lines |
$1,228–$8,710.40 | $1,535–$10,888 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $111.20 | $139 | 0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $157.60 | $197 | 0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $96.80 | $121 | 0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $106.40 | $133 | 0.5× |
| Sigmoidoscopy & Polypectomy (45333) range across 2 matching MRF lines |
$693.60–$744 | $867–$930 | varies |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $180.80 | $226 | 0.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $240.80 | $301 | 1.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $311.20 | $389 | 1.5× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $859.20 | $1,074 | 2.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $164 | $205 | 0.8× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $944.80 | $1,181 | 4.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$93.60–$293.60 | $117–$367 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $856.80 | $1,071 | 4.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$154.40–$395.20 | $193–$494 | varies |
| Skin sub graft face/nk/hf/g (15275) range across 3 matching MRF lines |
$309.60–$540 | $387–$675 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$316.80–$417.60 | $396–$522 | varies |
| Skn sub grft f/n/hf/g child (15277) | $540 | $675 | 0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$136.80–$384 | $171–$480 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $537.60 | $672 | 1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $644.80 | $806 | 1.5× |
| Spinal puncture lumbar diagnostic (62270) range across 3 matching MRF lines |
$172.80–$900 | $216–$1,125 | varies |
| Strapping ankle (29540) range across 3 matching MRF lines |
$20–$108.80 | $25–$136 | varies |
| Strapping knee (29530) | $108 | $135 | 0.8× |
| Strapping toes (29550) | $40 | $50 | 0.6× |
| Suture/repair testicular injury (54670) | $852.80 | $1,066 | 0.2× |
| Tangential biopsy skin single lesion (11102) range across 3 matching MRF lines |
$70.40–$157.60 | $88–$197 | varies |
| Tenodesis long tendon biceps (23430) range across 2 matching MRF lines |
$1,560.80–$11,222.40 | $1,951–$14,028 | varies |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) range across 2 matching MRF lines |
$1,180.80–$8,467.20 | $1,476–$10,584 | varies |
| Tenotomy Hip Abd/Ext Open (27006) range across 2 matching MRF lines |
$1,512.80–$1,897.60 | $1,891–$2,372 | varies |
| Tenotomy Percutaneous Toe Single Tendon (28010) range across 2 matching MRF lines |
$436–$2,428 | $545–$3,035 | varies |
| Thrombolytic Therapy Stroke (37195) | $798.40 | $998 | 2.3× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) range across 2 matching MRF lines |
$780–$5,774.40 | $975–$7,218 | varies |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) | $4,574.40 | $5,718 | 1.3× |
| Total Knee Arthroplasty (27447) range across 2 matching MRF lines |
$3,012–$11,207.20 | $3,765–$14,009 | varies |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $2,753.60 | $3,442 | 11.0× |
| Treat Knuckle Dislocation (26700) | $388 | $485 | 1.5× |
| Treat vagina infection (57150) | $187.20 | $234 | 3.0× |
| Treatment closed elbow dislocation w/o anes (24600) | $428.80 | $536 | 1.6× |
| Treatment of foot infection (28003) range across 2 matching MRF lines |
$1,234.40–$4,105.60 | $1,543–$5,132 | varies |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$36–$168 | $45–$210 | varies |
| Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines |
$50.40–$249.60 | $63–$312 | varies |
| Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$17.60–$40 | $22–$50 | varies |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) range across 2 matching MRF lines |
$1,006.40–$4,990.40 | $1,258–$6,238 | varies |
| Tx Gastro Intub W/Asp (43753) | $45.60 | $57 | 0.2× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $764 | $955 | 0.5× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) | $4,490.40 | $5,613 | 2.7× |
| Tympanostomy general anesthesia (69436) | $1,965.60 | $2,457 | 1.2× |
| Unlisted procedure arthroscopy (29999) range across 2 matching MRF lines |
$412–$7,952 | $515–$9,940 | varies |
| Unlisted procedure foot or toes (28899) | $200 | $250 | 0.8× |
| Unlisted Procedure Male Genital System (55899) | $516.80 | $646 | 2.0× |
| Vaginal delivery only (59409) | $682.40 | $853 | 0.2× |
| Vasectomy uni/bi spx w/postop semen exams (55250) range across 2 matching MRF lines |
$507.20–$2,751.20 | $634–$3,439 | varies |
| Ventilating tube removal requiring general anesthesia (69424) | $1,965.60 | $2,457 | 0.6× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$218.40–$366.40 | $273–$458 | varies |
| Wound Prep F/N/Hf/G (15004) | $1,213.60 | $1,517 | 2.8× |
| Wound Prep Trk/Arm/Leg (15002) range across 2 matching MRF lines |
$502.40–$2,751.20 | $628–$3,439 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.