Procedures & surgery prices at Memorial Hospital
Carthage, IL · every code in this section with a posted price and a Medicare benchmark.
634 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 |
$432–$1,333.60 | $540–$1,667 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$662.40–$756 | $828–$945 | varies |
| Abdomen Surgery Procedure (22999) | $4,362.40 | $5,453 | 16.5× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $2,437.60 | $3,047 | 0.7× |
| Amputation metatarsal with toe single (28810) | $2,449.60 | $3,062 | 0.7× |
| Amputation thigh through femur any level (27590) | $5,368 | $6,710 | 1.5× |
| Amputation toe metatarsophalangeal joint (28820) | $2,220.80 | $2,776 | 0.6× |
| Anoscopy Ablation Lesion (46615) | $1,043.20 | $1,304 | 0.4× |
| Anoscopy diagnostic (46600) | $283.20 | $354 | 2.0× |
| Anoscopy; with biopsy, single or multiple (46606) | $654.40 | $818 | 0.5× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) | $1,202.40 | $1,503 | 0.9× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $459.20 | $574 | 0.2× |
| Ant Vesicourethropexy/Urethropexy Smpl (51840) unusually low: confirm this is the full procedure |
$2,400 | $3,000 | 0.4× |
| Anterior colporraphy rpr cystocele w/cysto (57240) | $3,526.40 | $4,408 | 0.7× |
| Appendectomy (44950) unusually low: confirm this is the full procedure |
$3,407.20 | $4,259 | 0.5× |
| Application cast elbow finger short arm (29075) | $272 | $340 | 0.9× |
| Application finger splint static (29130) | $143.20 | $179 | 1.0× |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$262.40–$347.20 | $328–$434 | varies |
| Application Long Leg Splint (29505) | $567.20 | $709 | 3.3× |
| Application Short Arm Splint Dynamic (29126) | $225.60 | $282 | 1.6× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$230.40–$279.20 | $288–$349 | varies |
| Application short leg splint calf foot (29515) | $434.40 | $543 | 2.5× |
| Application uniplane external fixation system (20690) likely a partial charge, not the full procedure |
$2,084.80 | $2,606 | 0.3× |
| Apply long arm cast (29065) | $388.80 | $486 | 1.3× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$168–$229.60 | $210–$287 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$201.60–$272 | $252–$340 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$280–$366.40 | $350–$458 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$205.60–$211.20 | $257–$264 | varies |
| Arthrodesis great toe metatarsophalangeal joint (28750) likely a partial charge, not the full procedure |
$1,672.80 | $2,091 | 0.2× |
| Arthroplasty glenohumeral joint total shoulder (23472) likely a partial charge, not the full procedure |
$5,563.20 | $6,954 | 0.3× |
| Arthroplasty Patella W/Prosthesis (27438) likely a partial charge, not the full procedure |
$3,408 | $4,260 | 0.2× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) | $2,351.20 | $2,939 | 0.7× |
| Arthroscopy knee synovectomy limited spx (29875) | $4,019.20 | $5,024 | 1.1× |
| Arthroscopy shoulder distal claviculectomy (29824) | $3,086.40 | $3,858 | 0.9× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) | $4,113.60 | $5,142 | 0.5× |
| Arthroscopy, knee, surgical; with lateral release (29873) | $4,780.80 | $5,976 | 1.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) | $2,514.40 | $3,143 | 0.7× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) | $4,384 | $5,480 | 0.6× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) | $3,086.40 | $3,858 | 0.9× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | $2,857.60 | $3,572 | 0.8× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) | $4,000 | $5,000 | 0.5× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) | $5,117.60 | $6,397 | 0.7× |
| Arthrotomy, hip, with drainage (eg, infection) Facility (27030) | $4,179.20 | $5,224 | 0.5× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) | $14,147.20 | $17,684 | 1.0× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) | $10,984 | $13,730 | 1.4× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) | $2,628 | $3,285 | 0.7× |
| Arthrs knee debridement/shaving artclr crtlg (29877) | $2,514.40 | $3,143 | 0.7× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $7,539.20 | $9,424 | 2.2× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) range across 2 matching MRF lines |
$1,498.40–$2,116.80 | $1,873–$2,646 | varies |
| Aspirate pleura w/ imaging (32555) | $423.20 | $529 | 0.6× |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$689.60–$2,288.80 | $862–$2,861 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $232.80 | $291 | 0.7× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$288.80–$362.40 | $361–$453 | varies |
| Biopsy of breast; open, incisional (19101) | $1,875.20 | $2,344 | 0.4× |
| Biopsy of liver, needle; percutaneous (47000) | $988 | $1,235 | 0.6× |
| Biopsy of rectum (45100) | $1,427.20 | $1,784 | 0.5× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) | $927.20 | $1,159 | 0.5× |
| Biopsy soft tissue neck/thorax (21550) range across 2 matching MRF lines |
$919.20–$2,328.80 | $1,149–$2,911 | varies |
| Biopsy Vaginal Mucosa Simple (57100) | $550.40 | $688 | 0.6× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $536 | $670 | 0.5× |
| Biopsy/removal lymph nodes (38510) | $2,105.60 | $2,632 | 0.5× |
| Bladder instillation anticarcinogenic agent (51720) range across 2 matching MRF lines |
$523.20–$619.20 | $654–$774 | varies |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$151.20–$357.60 | $189–$447 | varies |
| Bladder Scan (51798) | $506.40 | $633 | 8.0× |
| Blood Transfusion Service (36430) | $759.20 | $949 | 1.6× |
| Bx breast 1st lesion us imag (19083) range across 2 matching MRF lines |
$1,826.40–$3,301.60 | $2,283–$4,127 | varies |
| Bx breast needle core w/o imaging guidance spx (19100) | $506.40 | $633 | 0.3× |
| Bx Cervix (57500) | $548.80 | $686 | 0.6× |
| Bx/exc lymph node open deep axillary node (38525) | $2,288 | $2,860 | 0.5× |
| Bx/exc lymph node open superficial (38500) | $1,353.60 | $1,692 | 0.3× |
| Carpal Tunnel Surgery (64721) | $3,747.20 | $4,684 | 1.8× |
| Cataract surgery complex (66982) | $5,951.20 | $7,439 | 2.4× |
| Change Cystostomy Tube Complicated (51710) | $568 | $710 | 0.8× |
| Change Cystostomy Tube Simple (51705) | $450.40 | $563 | 1.7× |
| Chemical Cautery Tissue (17250) | $300 | $375 | 1.4× |
| Chest tube placement (32551) range across 2 matching MRF lines |
$1,033.60–$1,210.40 | $1,292–$1,513 | varies |
| Circumcision 28 days or older (54161) | $1,328.80 | $1,661 | 0.6× |
| Circumcision w/clamp/oth dev w/block (54150) | $916 | $1,145 | 0.4× |
| Claviculectomy partial (23120) | $2,628 | $3,285 | 0.7× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$140.80–$452.80 | $176–$566 | varies |
| Closed Rx Metacarpal Fx,Percut (26608) | $2,276.80 | $2,846 | 0.6× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) range across 2 matching MRF lines |
$1,675.20–$1,679.20 | $2,094–$2,099 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,609.60 | $2,012 | 0.9× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $2,411.20 | $3,014 | 1.4× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $1,911.20 | $2,389 | 1.1× |
| Closed tx patellar dislocation w/anesthesia (27562) | $1,792.80 | $2,241 | 6.8× |
| Closed tx radial shaft fracture w/manipulation (25505) | $2,044 | $2,555 | 1.2× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$1,375.20–$2,063.20 | $1,719–$2,579 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $380.80 | $476 | 1.4× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $1,199.20 | $1,499 | 0.7× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $992.80 | $1,241 | 3.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$1,489.60–$1,638.40 | $1,862–$2,048 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $334.40 | $418 | 1.3× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $1,921.60 | $2,402 | 1.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $2,170.40 | $2,713 | 8.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $1,178.40 | $1,473 | 4.5× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $420.80 | $526 | 1.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,240–$1,870.40 | $1,550–$2,338 | varies |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) | $2,230.40 | $2,788 | 1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$455.20–$599.20 | $569–$749 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $450.40 | $563 | 1.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $507.20 | $634 | 1.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $1,239.20 | $1,549 | 4.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $1,443.20 | $1,804 | 5.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $609.60 | $762 | 2.3× |
| Cltx post hip arthrp dislc req anes (27266) | $2,607.20 | $3,259 | 1.5× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $1,565.60 | $1,957 | 0.9× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $896 | $1,120 | 3.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $500 | $625 | 1.9× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) | $1,885.60 | $2,357 | 1.1× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $1,582.40 | $1,978 | 6.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $1,663.20 | $2,079 | 1.0× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $211.20 | $264 | 0.8× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) unusually low: confirm this is the full procedure |
$2,531.20 | $3,164 | 0.5× |
| Collect Blood From Catheter Venous Nos (36592) | $227.20 | $284 | 1.6× |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$30.40–$32.80 | $38–$41 | varies |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) | $2,065.60 | $2,582 | 1.6× |
| Colonoscopy thru stoma (44388) | $1,720 | $2,150 | 1.7× |
| Colonoscopy w/ablation (45388) | $3,717.60 | $4,647 | 2.9× |
| Colonoscopy W/Band Ligation (45398) | $1,073.60 | $1,342 | 0.8× |
| Colonoscopy W/Resection (45390) | $1,591.20 | $1,989 | 0.5× |
| Colonoscopy w/submucosal inj (45381) | $1,747.20 | $2,184 | 1.4× |
| Colporrhaphy (57200) | $976 | $1,220 | 0.3× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $862.40 | $1,078 | 2.6× |
| Colposcopy Cervix Endocervical Curettage (57456) | $755.20 | $944 | 2.3× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $916 | $1,145 | 2.8× |
| Colposcopy cervix vag eltrd conization cervix (57461) | $2,025.60 | $2,532 | 0.6× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | $1,558.40 | $1,948 | 0.4× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $832.80 | $1,041 | 0.8× |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $2,278.40 | $2,848 | 1.8× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $2,736 | $3,420 | 2.1× |
| Combined anteroposterior colporrhaphy; (57260) | $4,900 | $6,125 | 0.9× |
| Complex Cystometrogram (51726) | $320.80 | $401 | 1.2× |
| Complex drainage wound (10180) range across 2 matching MRF lines |
$640.80–$1,046.40 | $801–$1,308 | varies |
| Conization of cervix (57520) | $2,283.20 | $2,854 | 0.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $532 | $665 | 3.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$109.60–$409.60 | $137–$512 | varies |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) | $8,229.60 | $10,287 | 0.6× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) likely a partial charge, not the full procedure |
$1,828.80 | $2,286 | 0.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $364 | $455 | 2.6× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $233.60 | $292 | 0.9× |
| Curettage postpartum (59160) | $1,497.60 | $1,872 | 0.4× |
| Cysto Bladder W/Ureteral Catheterization (52005) | $1,712 | $2,140 | 0.8× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $2,135.20 | $2,669 | 1.0× |
| Cysto w/complex removal stone & stent (52315) | $2,253.60 | $2,817 | 1.0× |
| Cysto w/destruction of lesions (52214) | $1,462.40 | $1,828 | 0.4× |
| Cysto w/insert ureteral stent (52332) | $1,864.80 | $2,331 | 0.5× |
| Cysto w/irrig & evac multple obstructing clots (52001) | $1,514.40 | $1,893 | 0.4× |
| Cysto w/removal of lesions small (52224) | $3,974.40 | $4,968 | 1.1× |
| Cysto w/removal of tumors small (52234) | $1,478.40 | $1,848 | 0.4× |
| Cysto W/Simple Removal Stone & Stent (52310) | $1,465.60 | $1,832 | 0.7× |
| Cysto w/ureteroscopy w/lithotripsy (52353) unusually low: confirm this is the full procedure |
$2,545.60 | $3,182 | 0.4× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) | $3,176.80 | $3,971 | 0.8× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) | $2,388 | $2,985 | 0.6× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) unusually low: confirm this is the full procedure |
$2,356 | $2,945 | 0.4× |
| Cysto/uretero w/lithotripsy (52356) likely a partial charge, not the full procedure |
$1,672.80 | $2,091 | 0.3× |
| Cystorrhaphy suture of bladder wound injury or rupture simple (51860) likely a partial charge, not the full procedure |
$2,744 | $3,430 | 0.3× |
| Cystostomy Cystotomy W/Drainage (51040) | $1,144 | $1,430 | 0.5× |
| Cystouretero w/excise tumor (52355) unusually low: confirm this is the full procedure |
$1,902.40 | $2,378 | 0.3× |
| Cystourethroscopy (52000) range across 2 matching MRF lines |
$772.80–$954.40 | $966–$1,193 | varies |
| Cystourethroscopy inj chemodenervation bladder (52287) | $1,440 | $1,800 | 0.6× |
| Cystourethroscopy tx female urethral syndrome (52285) | $1,146.40 | $1,433 | 1.5× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) | $1,739.20 | $2,174 | 0.5× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) unusually low: confirm this is the full procedure |
$1,943.20 | $2,429 | 0.3× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) | $2,408.80 | $3,011 | 0.6× |
| Cystourethroscopy with biopsy (52204) | $1,837.60 | $2,297 | 0.8× |
| Cystourethroscopy, with resection of external sphincter (sphincterotomy) Facility (52277) | $1,471.20 | $1,839 | 0.4× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) range across 2 matching MRF lines |
$580.80–$3,210.40 | $726–$4,013 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $1,655.20 | $2,069 | 0.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$696–$884 | $870–$1,105 | varies |
| Deep Muscle Biopsy (20205) | $1,279.20 | $1,599 | 0.4× |
| Destruction of lesion of lid margin (up to 1 cm) (67850) | $821.60 | $1,027 | 0.8× |
| Destruction premalignant lesion 1st (17000) | $224.80 | $281 | 1.0× |
| Diagnostic sigmoidoscopy (45330) | $578.40 | $723 | 0.6× |
| Dilat rct strix spx under anes oth/thn local (45910) | $746.40 | $933 | 0.6× |
| Dilat Urethral Strix Dilator Male Sbsq (53601) | $317.60 | $397 | 2.2× |
| Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) | $560 | $700 | 2.1× |
| Dilate Urethra Stricture (53600) | $298.40 | $373 | 1.1× |
| Dilation & curettage dx&/ther nonobstetric (58120) | $1,776 | $2,220 | 0.5× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) | $231.20 | $289 | 0.1× |
| Drainage abscess parotid simple (42300) | $633.60 | $792 | 0.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $568.80 | $711 | 0.7× |
| Drainage Finger Abscess Complicated (26011) | $925.60 | $1,157 | 0.5× |
| Drainage of hematoma/fluid (10140) | $444 | $555 | 0.3× |
| Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) | $1,271.20 | $1,589 | 0.4× |
| Draw Blood Off Venous Device (36591) | $335.20 | $419 | 2.4× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $492.80 | $616 | 0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $168.80 | $211 | 0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $131.20 | $164 | 0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $91.20 | $114 | 0.4× |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) | $589.60 | $737 | 0.3× |
| Dstrj lesion penis simple surg excision (54060) | $956.80 | $1,196 | 0.4× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,726.40 | $2,158 | 2.3× |
| Egd Balloon Dil Esoph30 Mm/> (43233) | $1,881.60 | $2,352 | 0.9× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $1,685.60 | $2,107 | 0.8× |
| Egd control bleeding any (43255) | $2,154.40 | $2,693 | 1.0× |
| Egd dilation gastric/duodenal stricture (43245) | $715.20 | $894 | 0.3× |
| Egd Flexible Foreign Body Removal (43247) | $1,816 | $2,270 | 1.9× |
| Egd place gastrostomy tube (43246) | $2,308.80 | $2,886 | 1.1× |
| Egd remove lesion snare (43251) | $1,914.40 | $2,393 | 0.9× |
| Endocervical curettage (57505) | $506.40 | $633 | 0.5× |
| Endometrial Biopsy (58100) | $523.20 | $654 | 2.4× |
| Endoscopic us exam esoph (43237) | $819.20 | $1,024 | 0.4× |
| Enterorrhaphy single perforation (44602) | $2,265.60 | $2,832 | 0.5× |
| Epididymectomy unilateral (54860) | $1,659.20 | $2,074 | 0.4× |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$229.60–$1,112 | $287–$1,390 | varies |
| Episiotomy or vaginal repair (59300) | $1,065.60 | $1,332 | 0.3× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) | $1,544.80 | $1,931 | 0.8× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $1,802.40 | $2,253 | 0.9× |
| Exc abdl tum deep 5 cm/> (22901) | $2,695.20 | $3,369 | 0.9× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $363.20 | $454 | 0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $932.80 | $1,166 | 0.5× |
| Exc Back Les Sc < 3 Cm (21930) | $3,608.80 | $4,511 | 2.0× |
| Exc Back Tum Deep 5 Cm/> (21933) | $2,872 | $3,590 | 0.9× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $2,551.20 | $3,189 | 0.6× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $1,408 | $1,760 | 1.9× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $1,940.80 | $2,426 | 1.1× |
| Exc Face Les Sbq 2 Cm/> (21012) | $1,233.60 | $1,542 | 0.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $486.40 | $608 | 0.6× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $856 | $1,070 | 1.1× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $1,036 | $1,295 | 0.6× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $1,000.80 | $1,251 | 0.6× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $1,704 | $2,130 | 1.0× |
| Exc Forearm Tum Deep 3 Cm/> (25073) | $1,904.80 | $2,381 | 0.6× |
| Exc Frenum Labial/Buccal (40819) | $74.40 | $93 | 0.0× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $430.40 | $538 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $510.40 | $638 | 0.7× |
| Exc Hand Les Sc < 1.5 Cm (26115) | $2,012 | $2,515 | 1.1× |
| Exc hand tum deep < 1.5 cm (26116) | $2,517.60 | $3,147 | 1.4× |
| Exc hydrocele sprmatic cord uni spx (55500) | $2,290.40 | $2,863 | 0.6× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $1,823.20 | $2,279 | 1.1× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) | $2,146.40 | $2,683 | 0.7× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) | $2,793.60 | $3,492 | 0.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $757.60 | $947 | 1.0× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $1,368 | $1,710 | 0.8× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $1,713.60 | $2,142 | 0.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $1,544.80 | $1,931 | 0.9× |
| Exc Skin Benig >4cm Face,Facial (11446) | $1,712 | $2,140 | 0.5× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $1,378.40 | $1,723 | 0.8× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $1,864 | $2,330 | 0.6× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $2,142.40 | $2,678 | 1.2× |
| Exc tendon shth lesion leg/ankle (27630) | $1,975.20 | $2,469 | 0.6× |
| Exc thigh/knee les sc 3 cm/> (27337) | $1,690.40 | $2,113 | 0.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $702.40 | $878 | 0.5× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $532 | $665 | 1.2× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $630.40 | $788 | 0.8× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $1,006.40 | $1,258 | 0.6× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $1,700 | $2,125 | 0.5× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) | $2,806.40 | $3,508 | 0.9× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) | $2,621.60 | $3,277 | 0.8× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) | $2,928 | $3,660 | 0.9× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $1,511.20 | $1,889 | 0.9× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $1,264.80 | $1,581 | 0.7× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $3,128 | $3,910 | 1.0× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $1,562.40 | $1,953 | 0.9× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) | $2,300.80 | $2,876 | 0.7× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) | $1,605.60 | $2,007 | 0.5× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $1,062.40 | $1,328 | 1.4× |
| Excision External Ear Partial Simple Repair (69110) | $2,059.20 | $2,574 | 0.7× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) | $1,744 | $2,180 | 0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $1,378.40 | $1,723 | 1.8× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $835.20 | $1,044 | 1.1× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $1,710.40 | $2,138 | 1.0× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $2,285.60 | $2,857 | 0.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $1,175.20 | $1,469 | 1.5× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $1,644.80 | $2,056 | 0.9× |
| Excision Multiple External Papillae/Tags Anus (46230) | $914.40 | $1,143 | 0.3× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $2,313.60 | $2,892 | 1.3× |
| Excision of hydrocele; bilateral (55041) | $3,568.80 | $4,461 | 0.9× |
| Excision of hydrocele; unilateral (55040) | $2,772 | $3,465 | 0.7× |
| Excision of pilonidal cyst or sinus; simple (11770) | $1,668 | $2,085 | 0.5× |
| Excision of single external papilla or tag, anus (46220) | $700 | $875 | 0.5× |
| Excision olecranon bursa (24105) | $2,084 | $2,605 | 0.6× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $3,118.40 | $3,898 | 1.0× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $2,886.40 | $3,608 | 0.9× |
| Excision prepatellar bursa (27340) | $1,536 | $1,920 | 0.4× |
| Excision Radial Head (24130) | $2,172 | $2,715 | 0.6× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) | $11,144.80 | $13,931 | 1.6× |
| Excision spermatocele w/wo epididymectomy (54840) | $2,649.60 | $3,312 | 1.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $2,095.20 | $2,619 | 1.2× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $1,515.20 | $1,894 | 0.9× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $2,135.20 | $2,669 | 0.7× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $1,285.60 | $1,607 | 0.7× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $1,984.80 | $2,481 | 0.6× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | $1,897.60 | $2,372 | 0.6× |
| Excision; trochanteric bursa or calcification (27062) | $1,984.80 | $2,481 | 0.6× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $3,608.80 | $4,511 | 1.6× |
| Explo/Drain Breast Abscess (19020) | $1,439.20 | $1,799 | 0.8× |
| Exploration of knee joint (27310) | $4,357.60 | $5,447 | 1.2× |
| Exploration penetrating wound spx extremity (20103) | $2,464 | $3,080 | 1.4× |
| Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) | $3,689.60 | $4,612 | 0.5× |
| Exploratory elbow surgery (24000) | $1,271.20 | $1,589 | 0.4× |
| Explore/Treat Elbow Joint (24101) | $1,746.40 | $2,183 | 0.5× |
| External cephalic version (59412) range across 2 matching MRF lines |
$348.80–$1,163.20 | $436–$1,454 | varies |
| Fasciectomy Palm Only (26121) | $6,157.60 | $7,697 | 1.8× |
| Fasciectomy Plantar Fascia Partial Spx (28060) | $1,510.40 | $1,888 | 0.4× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) | $3,192 | $3,990 | 0.9× |
| Fetal non-stress test (59025) | $408 | $510 | 1.9× |
| Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) | $3,476.80 | $4,346 | 1.6× |
| Fine needle aspiration without imaging guidance (10021) range across 3 matching MRF lines |
$415.20–$486.40 | $519–$608 | varies |
| Fixation contralateral testis separate procedure (54620) | $1,492 | $1,865 | 0.4× |
| Frenulotomy of penis (54164) | $736.80 | $921 | 0.3× |
| Fusion of foot bones (28740) unusually low: confirm this is the full procedure |
$2,640.80 | $3,301 | 0.3× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $2,692 | $3,365 | 0.9× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $1,952 | $2,440 | 0.7× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $2,272 | $2,840 | 0.8× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $776 | $970 | 0.8× |
| Hysteroscopy Biopsy (58558) | $2,940.80 | $3,676 | 0.8× |
| Hysteroscopy Dx Sep Proc (58555) | $1,947.20 | $2,434 | 0.6× |
| Hysteroscopy Endometrial Ablation (58563) | $5,218.40 | $6,523 | 1.0× |
| Hysteroscopy Removal Impacted Foreign Body (58562) | $2,635.20 | $3,294 | 0.8× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) unusually low: confirm this is the full procedure |
$2,587.20 | $3,234 | 0.5× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$355.20–$380.80 | $444–$476 | varies |
| I&D Below Fascia Foot 1 Bursal Space (28002) | $1,499.20 | $1,874 | 0.9× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $2,817.60 | $3,522 | 0.9× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) | $2,165.60 | $2,707 | 0.6× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) | $3,295.20 | $4,119 | 1.1× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) | $2,747.20 | $3,434 | 0.8× |
| I&d perianal abscess superficial (46050) | $636.80 | $796 | 0.6× |
| I&d pilonidal cyst complicated (10081) | $1,006.40 | $1,258 | 1.3× |
| I&d pilonidal cyst simple (10080) | $501.60 | $627 | 0.7× |
| I&d shoulder deep abscess/hematoma (23030) | $1,471.20 | $1,839 | 0.5× |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $1,531.20 | $1,914 | 0.5× |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$380.80–$584.80 | $476–$731 | varies |
| Incise finger tendon sheath (26055) | $3,260 | $4,075 | 1.9× |
| Incision & drainage abscess complicated/multiple (10061) | $844 | $1,055 | 1.9× |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $2,183.20 | $2,729 | 0.7× |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$892–$1,018.40 | $1,115–$1,273 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$395.20–$540 | $494–$675 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $371.20 | $464 | 1.7× |
| Incision and drainage of vulva or perineal abscess (56405) | $607.20 | $759 | 1.9× |
| Incision bone cortex foot (28005) | $2,370.40 | $2,963 | 0.7× |
| Incision extensor tendon sheath wrist (25000) | $2,060 | $2,575 | 1.2× |
| Incision of rectal abscess (46040) | $2,169.60 | $2,712 | 1.7× |
| Incisional biopsy skin single lesion (11106) | $593.60 | $742 | 0.7× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) | $229.60 | $287 | 0.2× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$136.80–$269.60 | $171–$337 | varies |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) | $224.80 | $281 | 0.2× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) range across 2 matching MRF lines |
$229.60–$911.20 | $287–$1,139 | varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $229.60 | $287 | 0.7× |
| Injection for identification of sentinel node (38792) | $445.60 | $557 | 1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$229.60–$301.60 | $287–$377 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$229.60–$801.60 | $287–$1,002 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) | $229.60 | $287 | 0.2× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $229.60 | $287 | 0.3× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$229.60–$844.80 | $287–$1,056 | varies |
| Insert Bladder Cath Complex (51703) | $794.40 | $993 | 5.8× |
| Insert cath pleura w/ image (32557) | $3,936 | $4,920 | 2.3× |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$229.60–$2,079.20 | $287–$2,599 | varies |
| Insert pessary/other device (57160) | $438.40 | $548 | 2.0× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$221.60–$381.60 | $277–$477 | varies |
| Insert tunneled cv cath (36561) | $4,329.60 | $5,412 | 1.3× |
| Insert tunneled cv cath (36563) | $9,568 | $11,960 | 1.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $74.40 | $93 | 0.5× |
| Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure… (36815) unusually low: confirm this is the full procedure |
$1,869.60 | $2,337 | 0.3× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) range across 2 matching MRF lines |
$968–$4,556.80 | $1,210–$5,696 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$1,668–$2,538.40 | $2,085–$3,173 | varies |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $2,298.40 | $2,873 | 0.7× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $850.40 | $1,063 | 2.0× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$229.60–$488.80 | $287–$611 | varies |
| Knee arthroscopy/drainage (29871) | $2,503.20 | $3,129 | 0.7× |
| Knee Arthroscopy/Surgery (29874) | $2,220 | $2,775 | 0.6× |
| Laparo-vag hyst incl t/o (58552) | $6,821.60 | $8,527 | 0.6× |
| Laparoscopy aspiration (49322) unusually low: confirm this is the full procedure |
$2,465.60 | $3,082 | 0.4× |
| Laparoscopy Enterolysis Separate Procedure (44180) | $5,003.20 | $6,254 | 0.8× |
| Laparoscopy fulguration oviducts (58670) | $3,488.80 | $4,361 | 0.5× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) | $3,512.80 | $4,391 | 0.5× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) unusually low: confirm this is the full procedure |
$5,458.40 | $6,823 | 0.5× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) unusually low: confirm this is the full procedure |
$3,630.40 | $4,538 | 0.3× |
| Laparoscopy W/Lysis Of Adhesions (58660) unusually low: confirm this is the full procedure |
$2,711.20 | $3,389 | 0.4× |
| Laparoscopy w/rmvl adnexal structures (58661) | $5,308 | $6,635 | 0.8× |
| Laparoscopy, surgical, appendectomy (44970) | $4,320 | $5,400 | 0.7× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) unusually low: confirm this is the full procedure |
$4,024.80 | $5,031 | 0.4× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $6,516.80 | $8,146 | 1.0× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) | $6,983.20 | $8,729 | 0.6× |
| Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) | $4,770.40 | $5,963 | 0.7× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) | $3,560.80 | $4,451 | 0.5× |
| Laparoscopy, Tubal Block (58671) | $3,488.80 | $4,361 | 0.5× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) | $3,332.80 | $4,166 | 0.5× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) | $5,477.60 | $6,847 | 0.8× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) | $4,921.60 | $6,152 | 0.8× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) | $5,755.20 | $7,194 | 0.5× |
| Laser vaporization of prostate (52648) range across 2 matching MRF lines |
$8,465.60–$8,768.80 | $10,582–$10,961 | varies |
| Ligation of hemorrhoids (46946) | $956 | $1,195 | 0.3× |
| Ligation or biopsy temporal artery (37609) | $1,413.60 | $1,767 | 0.8× |
| Litholapaxy comp/lg > 2.5 cm (52318) | $3,999.20 | $4,999 | 1.1× |
| Litholapaxy smpl/sm <2.5 cm (52317) | $5,427.20 | $6,784 | 1.4× |
| Lithotripsy, extracorporeal shock wave (50590) range across 2 matching MRF lines |
$5,368–$8,176 | $6,710–$10,220 | varies |
| Lysis of labial adhesions (56441) | $511.20 | $639 | 0.1× |
| Lysis/excision penile postcircumcision adhesions (54162) | $1,246.40 | $1,558 | 0.6× |
| Manipulation knee joint under general anesthesia (27570) | $686.40 | $858 | 0.4× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) | $1,241.60 | $1,552 | 0.7× |
| Mast mod rad (19307) | $8,171.20 | $10,214 | 1.1× |
| Mastectomy partial (19301) | $3,203.20 | $4,004 | 0.8× |
| Mastectomy partial w/axillary lymphadenectomy (19302) | $3,727.20 | $4,659 | 0.5× |
| Mastectomy simple complete (19303) | $3,768 | $4,710 | 0.5× |
| Nasal/Orogastric W/Tube Plmt (43752) | $224.80 | $281 | 0.5× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) | $3,632 | $4,540 | 2.1× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) | $4,221.60 | $5,277 | 2.0× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) | $4,783.20 | $5,979 | 2.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $467.20 | $584 | 1.1× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$224.80–$1,360 | $281–$1,700 | varies |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) range across 2 matching MRF lines |
$224.80–$488 | $281–$610 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $224.80 | $281 | 0.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$224.80–$1,360 | $281–$1,700 | varies |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $224.80 | $281 | 0.2× |
| Occlusion flp tube dev vag/suprapubic appr (58615) | $2,818.40 | $3,523 | 0.8× |
| Omntc Epiploectomy Rescj Omentum Spx (49255) unusually low: confirm this is the full procedure |
$3,447.20 | $4,309 | 0.5× |
| Open Repair of Rotator Cuff Acute (23410) unusually low: confirm this is the full procedure |
$3,428.80 | $4,286 | 0.4× |
| Open Treatment Bimalleolar Ankle Fracture (27814) unusually low: confirm this is the full procedure |
$3,200.80 | $4,001 | 0.4× |
| Open Treatment Fracture Distal Tibia & Fibula (27828) unusually low: confirm this is the full procedure |
$4,420.80 | $5,526 | 0.3× |
| Open Treatment Medial Malleolus Fracture (27766) unusually low: confirm this is the full procedure |
$2,792 | $3,490 | 0.4× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) | $3,912 | $4,890 | 0.5× |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) | $3,936 | $4,920 | 0.5× |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) | $5,256.80 | $6,571 | 0.7× |
| Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) unusually low: confirm this is the full procedure |
$6,628.80 | $8,286 | 0.5× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) unusually low: confirm this is the full procedure |
$4,912.80 | $6,141 | 0.4× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) likely a partial charge, not the full procedure |
$2,052.80 | $2,566 | 0.3× |
| Open Treatment of Ulnar Shaft Fracture (25545) unusually low: confirm this is the full procedure |
$3,074.40 | $3,843 | 0.4× |
| Open Treatment Proximal Humeral Fracture (23615) likely a partial charge, not the full procedure |
$3,076.80 | $3,846 | 0.2× |
| Open Treatment Radial Shaft Fracture (25515) unusually low: confirm this is the full procedure |
$3,063.20 | $3,829 | 0.4× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) | $3,192.80 | $3,991 | 0.9× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) unusually low: confirm this is the full procedure |
$2,514.40 | $3,143 | 0.3× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $1,405.60 | $1,757 | 0.4× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) unusually low: confirm this is the full procedure |
$2,628 | $3,285 | 0.3× |
| Open tx femoral supracondylar fracture w/o xtn (27511) unusually low: confirm this is the full procedure |
$6,364 | $7,955 | 0.5× |
| Open Tx Humeral Epicondylar Fracture (24575) likely a partial charge, not the full procedure |
$3,279.20 | $4,099 | 0.2× |
| Open tx humeral supracondylar fracture w/o xtn (24545) likely a partial charge, not the full procedure |
$2,944 | $3,680 | 0.2× |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) | $4,552.80 | $5,691 | 0.6× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) | $3,088.80 | $3,861 | 0.9× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $2,633.60 | $3,292 | 0.8× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) unusually low: confirm this is the full procedure |
$3,200.80 | $4,001 | 0.4× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) unusually low: confirm this is the full procedure |
$3,313.60 | $4,142 | 0.4× |
| Open tx ulnar fx proximal end (24685) likely a partial charge, not the full procedure |
$2,286.40 | $2,858 | 0.3× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) unusually low: confirm this is the full procedure |
$2,857.60 | $3,572 | 0.4× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) unusually low: confirm this is the full procedure |
$3,656.80 | $4,571 | 0.5× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) | $7,572 | $9,465 | 1.0× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) | $4,344 | $5,430 | 0.6× |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) likely a partial charge, not the full procedure |
$3,767.20 | $4,709 | 0.3× |
| Orchiopexy Ingun/Scrot Appr (54640) | $3,715.20 | $4,644 | 1.0× |
| Ostc prtl exostc/condylc metar head (28288) | $1,428 | $1,785 | 0.4× |
| Partial excision bone clavicle (23180) unusually low: confirm this is the full procedure |
$3,091.20 | $3,864 | 0.4× |
| Partical Excision Bone Phalanx Toe (28124) | $1,896.80 | $2,371 | 0.5× |
| Pelvic examination under anesthesia (other than local) (57410) | $738.40 | $923 | 0.2× |
| Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Facility (24566) | $2,600.80 | $3,251 | 1.5× |
| Peritoneal Lavage (49084) | $451.20 | $564 | 0.5× |
| Perq dev breast 1st us imag (19285) | $1,538.40 | $1,923 | 2.0× |
| Perq device breast 1st imag (19281) | $580.80 | $726 | 0.3× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) | $3,456.80 | $4,321 | 1.0× |
| Place Rt Device/Marker Pros (55876) | $692.80 | $866 | 0.5× |
| Placement of needle for intraosseous infusion (36680) | $271.20 | $339 | 0.6× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) | $4,061.60 | $5,077 | 1.1× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) | $3,085.60 | $3,857 | 0.6× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $366.40 | $458 | 0.4× |
| Proctosgmdsc Rigid Control Bleeding (45317) | $1,141.60 | $1,427 | 0.9× |
| Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) | $872 | $1,090 | 0.7× |
| Proctosgmdsc rigid w/dilation (45303) | $431.20 | $539 | 0.3× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) | $654.40 | $818 | 0.5× |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) | $1,271.20 | $1,589 | 1.3× |
| Prq skel fixj femoral fx prox end neck (27235) unusually low: confirm this is the full procedure |
$3,428.80 | $4,286 | 0.4× |
| Prq skel fixj metar fx w/manj (28476) | $1,372 | $1,715 | 0.4× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) unusually low: confirm this is the full procedure |
$2,935.20 | $3,669 | 0.4× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$368.80–$388 | $461–$485 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 2 matching MRF lines |
$270.40–$406.40 | $338–$508 | varies |
| Removal Embedded Foreign Body Eyelid (67938) | $439.20 | $549 | 1.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $108 | $135 | 1.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$172–$216 | $215–$270 | varies |
| Removal Implant Deep (20680) | $2,351.20 | $2,939 | 0.8× |
| Removal Implant Superficial Separate Procedure (20670) | $1,791.20 | $2,239 | 1.0× |
| Removal of adenoids (42830) | $1,270.40 | $1,588 | 0.4× |
| Removal of foreign body from pharynx (42809) | $356.80 | $446 | 0.7× |
| Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) unusually low: confirm this is the full procedure |
$6,857.60 | $8,572 | 0.5× |
| Removal of implant from finger or hand (26320) | $1,239.20 | $1,549 | 0.7× |
| Removal of knee prosthesis (27488) unusually low: confirm this is the full procedure |
$4,571.20 | $5,714 | 0.3× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$620.80–$809.60 | $776–$1,012 | varies |
| Removal of sperm cord lesion (55520) | $2,191.20 | $2,739 | 0.6× |
| Removal of testis (54520) | $2,422.40 | $3,028 | 0.6× |
| Removal of tonsils (42825) likely a partial charge, not the full procedure |
$1,563.20 | $1,954 | 0.2× |
| Removal of tonsils (42826) | $214.40 | $268 | 0.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $311.20 | $389 | 1.4× |
| Remove drug implant device (11982) | $970.40 | $1,213 | 2.0× |
| Remove Forearm Foreign Body (25248) | $2,077.60 | $2,597 | 1.2× |
| Remove foreign body from eye (65205) | $357.60 | $447 | 2.5× |
| Remove Intrauterine Device (58301) | $433.60 | $542 | 1.3× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$139.20–$721.60 | $174–$902 | varies |
| Remove Peritoneal Foreign Body (49402) | $3,654.40 | $4,568 | 1.0× |
| Remove Tendon Sheath Lesion (26160) | $2,756.80 | $3,446 | 1.6× |
| Reopen fallopian tube (58350) likely a partial charge, not the full procedure |
$639.20 | $799 | 0.1× |
| Repair Achilles Tendon (27650) unusually low: confirm this is the full procedure |
$2,514.40 | $3,143 | 0.3× |
| Repair Blood Vessel Direct Upper Extremity (35206) | $7,076 | $8,845 | 2.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$1,629.60–$1,800.80 | $2,037–$2,251 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $2,768 | $3,460 | 3.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $1,352.80 | $1,691 | 3.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $1,488.80 | $1,861 | 3.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $1,016.80 | $1,271 | 2.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$1,118.40–$1,584 | $1,398–$1,980 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $772 | $965 | 1.0× |
| Repair complex trunk 2.6-7.5 cm (13101) | $1,281.60 | $1,602 | 1.6× |
| Repair extensor tendon finger w/o graft each (26418) | $3,359.20 | $4,199 | 1.9× |
| Repair Finger Tendon (26433) | $2,675.20 | $3,344 | 0.8× |
| Repair Hand Joint (26540) | $2,918.40 | $3,648 | 0.8× |
| Repair Hand Tendon (26410) | $2,704 | $3,380 | 1.6× |
| Repair incomplete circumcision (54163) | $1,105.60 | $1,382 | 0.5× |
| Repair inguinal hernia, sliding, any age (49525) | $3,285.60 | $4,107 | 0.9× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) | $3,776.80 | $4,721 | 1.0× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $4,237.60 | $5,297 | 1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$580.80–$766.40 | $726–$958 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$640–$1,016.80 | $800–$1,271 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$704–$1,169.60 | $880–$1,462 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $773.60 | $967 | 1.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $580.80 | $726 | 1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$640–$796.80 | $800–$996 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $704 | $880 | 0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$773.60–$1,236.80 | $967–$1,546 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$580.80–$658.40 | $726–$823 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$640–$824.80 | $800–$1,031 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $850.40 | $1,063 | 1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$704–$948 | $880–$1,185 | varies |
| Repair of enterocele, vaginal approach (separate procedure) (57268) unusually low: confirm this is the full procedure |
$1,756 | $2,195 | 0.3× |
| Repair of hydrocele (55060) | $2,021.60 | $2,527 | 0.5× |
| Repair of nail bed (11760) | $722.40 | $903 | 0.9× |
| Repair of Ruptured Tendon (24342) unusually low: confirm this is the full procedure |
$3,086.40 | $3,858 | 0.4× |
| Repair of shoulder (23420) | $7,044.80 | $8,806 | 0.9× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) | $4,399.20 | $5,499 | 0.6× |
| Repair Rotator Cuff Chronic (23412) unusually low: confirm this is the full procedure |
$3,656.80 | $4,571 | 0.5× |
| Repair tongue laceration (41252) | $715.20 | $894 | 2.8× |
| Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks… (49496) | $3,705.60 | $4,632 | 1.0× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) unusually low: confirm this is the full procedure |
$2,728 | $3,410 | 0.4× |
| Rerepair ing hernia reduce (49520) | $3,782.40 | $4,728 | 1.0× |
| Resect shoulder tumor < 5 cm (23077) | $3,868.80 | $4,836 | 1.2× |
| Revis reconst shoulder joint (23473) unusually low: confirm this is the full procedure |
$6,525.60 | $8,157 | 0.5× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) | $7,058.40 | $8,823 | 0.5× |
| Revise ulnar nerve at wrist (64719) | $1,576 | $1,970 | 0.8× |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) unusually low: confirm this is the full procedure |
$5,715.20 | $7,144 | 0.4× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) | $8,572 | $10,715 | 0.6× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) unusually low: confirm this is the full procedure |
$8,285.60 | $10,357 | 0.4× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) unusually low: confirm this is the full procedure |
$5,486.40 | $6,858 | 0.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $357.60 | $447 | 0.7× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $320 | $400 | 2.2× |
| Rmvl fecal impaction/fb spx under anes (45915) | $954.40 | $1,193 | 0.7× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $2,061.60 | $2,577 | 0.7× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $2,328 | $2,910 | 1.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines |
$193.60–$1,024.80 | $242–$1,281 | varies |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $1,244 | $1,555 | 0.7× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) unusually low: confirm this is the full procedure |
$1,992.80 | $2,491 | 0.3× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $1,062.40 | $1,328 | 0.3× |
| Rpr aa hrn 1st 3-10 rdc (49593) likely a partial charge, not the full procedure |
$1,416.80 | $1,771 | 0.2× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) likely a partial charge, not the full procedure |
$1,180 | $1,475 | 0.2× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $2,030.40 | $2,538 | 1.2× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $525.60 | $657 | 2.4× |
| Rpr ing hernia init reduce (49500) unusually low: confirm this is the full procedure |
$2,721.60 | $3,402 | 0.4× |
| Scrotal exploration (55110) | $1,522.40 | $1,903 | 0.4× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) | $2,584.80 | $3,231 | 0.7× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) | $612 | $765 | 0.6× |
| Shoulder Arthroscopy/Surgery (29825) | $2,572.80 | $3,216 | 0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $388 | $485 | 0.9× |
| Sigmoidoscopy & Polypectomy (45333) | $1,186.40 | $1,483 | 1.2× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $866.40 | $1,083 | 0.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $577.60 | $722 | 1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$393.60–$613.60 | $492–$767 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$433.60–$648.80 | $542–$811 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $476.80 | $596 | 2.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $393.60 | $492 | 1.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $476.80 | $596 | 2.2× |
| Skin sub grft t/arm/lg child (15273) | $2,600 | $3,250 | 1.2× |
| Skin Tissue Procedure (17999) | $273.60 | $342 | 1.3× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) | $3,086.40 | $3,858 | 0.6× |
| Slitting of prepuce (54001) | $863.20 | $1,079 | 0.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $433.60 | $542 | 2.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $525.60 | $657 | 1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $577.60 | $722 | 1.3× |
| Sphincterotomy anal division sphincter spx (46080) | $1,636.80 | $2,046 | 0.6× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$229.60–$383.20 | $287–$479 | varies |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $3,874.40 | $4,843 | 1.0× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $3,217.60 | $4,022 | 1.5× |
| Strapping ankle (29540) | $144 | $180 | 0.8× |
| Strapping knee (29530) | $227.20 | $284 | 1.6× |
| Strapping Unna Boot (29580) | $273.60 | $342 | 1.6× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) | $2,605.60 | $3,257 | 0.7× |
| Suture infrapatellar tendon primary (27380) unusually low: confirm this is the full procedure |
$3,170.40 | $3,963 | 0.4× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) unusually low: confirm this is the full procedure |
$2,514.40 | $3,143 | 0.3× |
| Tenodesis long tendon biceps (23430) unusually low: confirm this is the full procedure |
$2,661.60 | $3,327 | 0.3× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) | $1,403.20 | $1,754 | 0.8× |
| Thyroid biopsy (60100) | $983.20 | $1,229 | 1.3× |
| Tnot elbow lateral/medial debride open (24358) | $2,611.20 | $3,264 | 0.7× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) | $2,088.80 | $2,611 | 0.6× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) | $1,950.40 | $2,438 | 0.5× |
| Total Knee Arthroplasty (27447) | $12,472.80 | $15,591 | 0.9× |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) | $6,943.20 | $8,679 | 1.1× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $708 | $885 | 2.8× |
| Translum Dil Eye Canal (66174) | $5,036 | $6,295 | 1.1× |
| Transur electr resection of prostate (52601) | $4,891.20 | $6,114 | 0.9× |
| Transurethral resection bladder neck (52500) | $3,208 | $4,010 | 0.8× |
| Treat ankle dislocation (27848) unusually low: confirm this is the full procedure |
$2,857.60 | $3,572 | 0.4× |
| Treat ectopic pregnancy (59151) | $4,982.40 | $6,228 | 0.8× |
| Treat Elbow Fracture (24635) | $4,802.40 | $6,003 | 0.6× |
| Treat Finger Fracture Each (26727) | $2,160 | $2,700 | 0.6× |
| Treat fracture radius/ulna (25575) likely a partial charge, not the full procedure |
$983.20 | $1,229 | 0.1× |
| Treat Fx Rad Extra-Articul (25607) unusually low: confirm this is the full procedure |
$2,653.60 | $3,317 | 0.3× |
| Treat Kneecap Fracture (27524) unusually low: confirm this is the full procedure |
$2,971.20 | $3,714 | 0.4× |
| Treat Knuckle Dislocation (26700) | $522.40 | $653 | 2.0× |
| Treat Thumb Dislocation (26641) | $744.80 | $931 | 2.8× |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines |
$449.60–$1,714.40 | $562–$2,143 | varies |
| Treatment of ankle fracture (27823) | $4,597.60 | $5,747 | 0.6× |
| Treatment of foot infection (28003) | $2,348 | $2,935 | 0.7× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) | $4,685.60 | $5,857 | 0.6× |
| Trurl rescj postop bladder neck contracture (52640) | $1,352.80 | $1,691 | 0.4× |
| Tubal ligation (58600) | $2,967.20 | $3,709 | 0.9× |
| Tx Gastro Intub W/Asp (43753) | $812.80 | $1,016 | 3.5× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) likely a partial charge, not the full procedure |
$3,403.20 | $4,254 | 0.2× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $1,712 | $2,140 | 0.5× |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) | $4,685.60 | $5,857 | 0.6× |
| Tx Missed Abortion First Trimester Surgical (59820) | $1,933.60 | $2,417 | 0.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $640.80 | $801 | 0.8× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) likely a partial charge, not the full procedure |
$4,000 | $5,000 | 0.3× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) | $1,351.20 | $1,689 | 0.8× |
| Tympanostomy general anesthesia (69436) | $1,156 | $1,445 | 0.7× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) | $2,594.40 | $3,243 | 0.7× |
| Unlisted laparoscopic procedure liver (47379) | $4,020.80 | $5,026 | 0.6× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) | $3,758.40 | $4,698 | 0.6× |
| Unlisted procedure neck or thorax (21899) | $3,499.20 | $4,374 | 13.8× |
| Unlisted procedure nervous system (64999) | $224.80 | $281 | 0.7× |
| Unlisted procedure pelvis/hip joint (27299) | $3,774.40 | $4,718 | 14.3× |
| Unlisted px female genital system nonobstetrical (58999) | $5,461.60 | $6,827 | 25.2× |
| Urethromeatoplasty W/Mucosal Advancement (53450) | $1,704 | $2,130 | 0.5× |
| Vaginal delivery only (59409) | $4,145.60 | $5,182 | 1.2× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) | $6,079.20 | $7,599 | 1.1× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) | $7,083.20 | $8,854 | 1.3× |
| Vasectomy uni/bi spx w/postop semen exams (55250) range across 2 matching MRF lines |
$1,415.20–$2,971.20 | $1,769–$3,714 | varies |
| Venous Cutdown >1 Y/O (36425) | $401.60 | $502 | 0.8× |
| Vulvectomy simple partial (56620) | $2,065.60 | $2,582 | 0.6× |
| Wedge excision skin nail fold (11765) | $257.60 | $322 | 0.6× |
| Wound Prep Trk/Arm/Leg (15002) | $1,563.20 | $1,954 | 2.0× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) | $5,909.60 | $7,387 | 1.0× |
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.