Procedures & surgery prices at Memorial Hospital of South Bend
South Bend, IN · every code in this section with a posted price and a Medicare benchmark.
780 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) | $1,595.75 | $2,455 | 1.7× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$1,012.05–$1,049.10 | $1,557–$1,614 | varies |
| Ablate Pulm Tumor Perq Crybl (32994) | $9,237.80 | $14,212 | 0.8× |
| Ablation 1/> liver tumor perq cryoablation (47383) | $9,147.45 | $14,073 | 0.8× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) unusually low: confirm this is the full procedure |
$8,338.20 | $12,828 | 0.4× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) | $8,405.15 | $12,931 | 1.1× |
| Acne surgery (10040) | $169.65 | $261 | 0.8× |
| Adding Walker Previously Applied Cast (29440) range across 2 matching MRF lines |
$148.20–$296.40 | $228–$456 | varies |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $1,298.70 | $1,998 | 0.6× |
| Amniocentesis diagnostic (59000) | $627.25 | $965 | 0.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $1,337.70 | $2,058 | 0.4× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $1,337.70 | $2,058 | 0.4× |
| Amputation toe interphalangeal joint (28825) | $2,253.55 | $3,467 | 0.7× |
| Amputation toe metatarsophalangeal joint (28820) | $5,556.20 | $8,548 | 1.6× |
| Anoscopy diagnostic (46600) | $124.80 | $192 | 0.9× |
| Apheresis Platelets (36513) | $1,584.05 | $2,437 | 3.4× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) | $295.10 | $454 | 1.7× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) range across 4 matching MRF lines |
$278.20–$517.40 | $428–$796 | varies |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$218.40–$436.80 | $336–$672 | varies |
| Application Cast Finger (29086) | $295.10 | $454 | 1.7× |
| Application Cast Shoulder Spica (29055) range across 2 matching MRF lines |
$243.10–$486.85 | $374–$749 | varies |
| Application Finger Splint Dynamic (29131) | $57.85 | $89 | 0.9× |
| Application finger splint static (29130) | $152.10 | $234 | 1.1× |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$152.10–$289.25 | $234–$445 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$150.15–$300.95 | $231–$463 | varies |
| Application of long leg cast (29345) range across 2 matching MRF lines |
$218.40–$436.80 | $336–$672 | varies |
| Application of rigid total contact leg cast (29445) range across 8 matching MRF lines |
$435.50–$870.35 | $670–$1,339 | varies |
| Application Short Arm Splint Dynamic (29126) | $144.95 | $223 | 1.0× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$152.10–$289.25 | $234–$445 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$150.15–$286.65 | $231–$441 | varies |
| Apply hand/wrist cast (29085) | $295.10 | $454 | 1.7× |
| Apply long arm cast (29065) range across 2 matching MRF lines |
$218.40–$436.80 | $336–$672 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 13 matching MRF lines |
$278.20–$543.40 | $428–$836 | varies |
| Apply Short Leg Cast (29405) range across 3 matching MRF lines |
$235.95–$450.45 | $363–$693 | varies |
| Apply short leg cast (29425) | $218.40 | $336 | 0.7× |
| Arterial puncture (36600) range across 3 matching MRF lines |
$121.55–$127.40 | $187–$196 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) | $343.85 | $529 | 1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 3 matching MRF lines |
$278.20–$619.45 | $428–$953 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) | $457.60 | $704 | 1.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $619.45 | $953 | 1.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $289.25 | $445 | 0.9× |
| Arthrodesis sacroiliac joint percutaneous (27279) | $10,246.60 | $15,764 | 0.6× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) | $1,337.70 | $2,058 | 0.8× |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) | $1,274 | $1,960 | 0.4× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) | $3,150.55 | $4,847 | 0.9× |
| Aspirate pleura w/ imaging (32555) range across 6 matching MRF lines |
$1,600.95–$3,201.90 | $2,463–$4,926 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 5 matching MRF lines |
$889.20–$1,811.55 | $1,368–$2,787 | varies |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$271.05–$434.85 | $417–$669 | varies |
| Aspiration and/or injection thyroid cyst (60300) | $871 | $1,340 | 1.2× |
| Aspiration bladder insert suprapubic catheter (51102) range across 2 matching MRF lines |
$2,158–$3,764.15 | $3,320–$5,791 | varies |
| Aspiration Bladder Needle (51100) | $528.45 | $813 | 2.0× |
| Aspiration bladder trocar/intracatheter (51101) | $835.25 | $1,285 | 0.9× |
| Avulsion nail plate partial/complete simple 1 (11730) | $224.90 | $346 | 1.1× |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) | $5,816.85 | $8,949 | 0.8× |
| Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) | $5,816.85 | $8,949 | 0.5× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) | $5,816.85 | $8,949 | 0.5× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) | $5,816.85 | $8,949 | 0.8× |
| Biopsy Abdominal Mass (49180) | $2,082.60 | $3,204 | 1.2× |
| Biopsy bone trocar/needle deep (20225) | $3,768.70 | $5,798 | 2.2× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $1,623.70 | $2,498 | 0.9× |
| Biopsy muscle percutaneous needle (20206) | $1,478.10 | $2,274 | 0.8× |
| Biopsy of liver, needle; percutaneous (47000) | $2,082.60 | $3,204 | 1.2× |
| Biopsy Pleura Percutaneous Needle (32400) | $1,829.10 | $2,814 | 1.0× |
| Biopsy Salivary Gland Needle (42400) | $1,478.10 | $2,274 | 2.0× |
| Bladder instillation anticarcinogenic agent (51720) | $451.10 | $694 | 0.6× |
| Bladder Irrigation (51700) | $226.85 | $349 | 0.9× |
| Bladder Scan (51798) | $135.85 | $209 | 2.2× |
| Blepharoplasty Lower Eyelid (15820) | $1,318.20 | $2,028 | 0.6× |
| Blepharotomy drainage abscess eyelid (67700) | $263.90 | $406 | 0.8× |
| Blood Transfusion Service (36430) range across 12 matching MRF lines |
$510.25–$1,502.80 | $785–$2,312 | varies |
| Blood/Lymph System Procedure (38999) | $873.60 | $1,344 | 1.9× |
| Bone Marrow Biopsy (38221) | $1,340.95 | $2,063 | 0.8× |
| Bone Marrow; Aspiration Only (38220) | $961.35 | $1,479 | 0.6× |
| Bx breast 1st lesion mr imag (19085) | $1,651.65 | $2,541 | 0.9× |
| Bx breast 1st lesion strtctc (19081) | $4,676.75 | $7,195 | 2.7× |
| Bx breast 1st lesion us imag (19083) | $4,065.75 | $6,255 | 2.3× |
| Bx Cervix (57500) | $611 | $940 | 0.6× |
| Canthotomy Separate Procedure (67715) | $1,398.80 | $2,152 | 0.6× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) | $254.80 | $392 | 0.8× |
| Cessj Therapy Cath Removal (37214) | $2,215.20 | $3,408 | 0.7× |
| Change Cystostomy Tube Complicated (51710) | $1,265.55 | $1,947 | 1.7× |
| Change Cystostomy Tube Simple (51705) | $367.90 | $566 | 1.4× |
| Change of Windpipe Airway (31502) | $152.10 | $234 | 0.6× |
| Change ureter stent percut (50382) | $4,828.85 | $7,429 | 2.2× |
| Chemical Cautery Tissue (17250) range across 3 matching MRF lines |
$183.30–$223.60 | $282–$344 | varies |
| Chemical Pleurodesis (32560) | $1,112.15 | $1,711 | 1.7× |
| Chest tube placement (32551) range across 2 matching MRF lines |
$967.85–$1,935.05 | $1,489–$2,977 | varies |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) | $2,741.70 | $4,218 | 1.2× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $7,395.05 | $11,377 | 2.0× |
| Circumcision Neonate (54160) | $150.80 | $232 | 0.2× |
| Circumcision w/clamp/oth dev w/block (54150) | $682.50 | $1,050 | 0.3× |
| Cl Tx Scapular Fx; W Manip (23575) range across 2 matching MRF lines |
$969.15–$1,938.95 | $1,491–$2,983 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) range across 2 matching MRF lines |
$1,017.90–$2,035.80 | $1,566–$3,132 | varies |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$124.80–$237.90 | $192–$366 | varies |
| Closed Rx Metacarpal Fx,Percut (26608) range across 2 matching MRF lines |
$3,169.40–$6,036.55 | $4,876–$9,287 | varies |
| Closed Rx Spontaneous Hip Disloc (27256) range across 2 matching MRF lines |
$209.95–$420.55 | $323–$647 | varies |
| Closed rx talotarsal disloc,anesth (28575) range across 2 matching MRF lines |
$3,018.60–$6,036.55 | $4,644–$9,287 | varies |
| Closed Treat Vert Body Fract (22310) | $243.75 | $375 | 0.9× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) range across 2 matching MRF lines |
$148.85–$297.70 | $229–$458 | varies |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) range across 2 matching MRF lines |
$1,526.85–$2,908.10 | $2,349–$4,474 | varies |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) range across 2 matching MRF lines |
$256.10–$488.15 | $394–$751 | varies |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) range across 2 matching MRF lines |
$209.95–$420.55 | $323–$647 | varies |
| Closed Treatment Sesamoid Fracture (28530) range across 2 matching MRF lines |
$209.95–$420.55 | $323–$647 | varies |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 2 matching MRF lines |
$220.35–$420.55 | $339–$647 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$218.40–$436.80 | $336–$672 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$1,017.90–$1,938.95 | $1,566–$2,983 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 2 matching MRF lines |
$230.75–$460.85 | $355–$709 | varies |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) range across 2 matching MRF lines |
$209.95–$420.55 | $323–$647 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 2 matching MRF lines |
$276.90–$554.45 | $426–$853 | varies |
| Closed tx carpal scaphoid fracture w/manj (25624) range across 2 matching MRF lines |
$969.15–$1,938.95 | $1,491–$2,983 | varies |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 2 matching MRF lines |
$209.95–$420.55 | $323–$647 | varies |
| Closed tx femoral fracture prox head w/o manj (27267) range across 2 matching MRF lines |
$3,018.60–$6,036.55 | $4,644–$9,287 | varies |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) range across 2 matching MRF lines |
$209.95–$420.55 | $323–$647 | varies |
| Closed tx fx orbit except blowout w/manipulation (21401) range across 2 matching MRF lines |
$1,407.25–$2,815.15 | $2,165–$4,331 | varies |
| Closed Tx Knee Dislocation W/Anesthesia (27552) range across 2 matching MRF lines |
$1,527.50–$3,055 | $2,350–$4,700 | varies |
| Closed tx knee dislocation w/o anesthesia (27550) range across 2 matching MRF lines |
$243.75–$488.15 | $375–$751 | varies |
| Closed Tx Lunate Dislocation W/Manipulation (25690) range across 2 matching MRF lines |
$1,084.20–$2,168.40 | $1,668–$3,336 | varies |
| Closed tx mandibular fracture w/manipulation (21451) | $1,407.25 | $2,165 | 0.9× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) | $462.80 | $712 | 0.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
$238.55–$477.10 | $367–$734 | varies |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) range across 2 matching MRF lines |
$1,441.70–$2,884.05 | $2,218–$4,437 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $1,411.80 | $2,172 | 0.9× |
| Closed tx patellar dislocation w/anesthesia (27562) range across 2 matching MRF lines |
$209.95–$420.55 | $323–$647 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$229.45–$436.80 | $353–$672 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 2 matching MRF lines |
$217.10–$434.20 | $334–$668 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) range across 2 matching MRF lines |
$969.15–$1,938.95 | $1,491–$2,983 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 2 matching MRF lines |
$220.35–$420.55 | $339–$647 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$1,017.90–$2,035.80 | $1,566–$3,132 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$209.95–$420.55 | $323–$647 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$1,017.90–$2,035.80 | $1,566–$3,132 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines |
$229.45–$436.80 | $353–$672 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 2 matching MRF lines |
$209.95–$420.55 | $323–$647 | varies |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) range across 2 matching MRF lines |
$209.95–$420.55 | $323–$647 | varies |
| Closed tx talotarsal joint dislc w/o anes (28570) range across 2 matching MRF lines |
$188.50–$377 | $290–$580 | varies |
| Closed Tx Talus Fracture W/Manipulation (28435) range across 2 matching MRF lines |
$969.15–$1,938.95 | $1,491–$2,983 | varies |
| Closed tx talus fracture w/o manipulation (28430) range across 2 matching MRF lines |
$220.35–$441.35 | $339–$679 | varies |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) range across 2 matching MRF lines |
$209.95–$420.55 | $323–$647 | varies |
| Closed tx tarsometatarsal dislocation w/o anes (28600) range across 2 matching MRF lines |
$209.95–$420.55 | $323–$647 | varies |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) | $1,407.25 | $2,165 | 0.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $178.10 | $274 | 0.7× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) range across 2 matching MRF lines |
$1,017.90–$1,938.95 | $1,566–$2,983 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 2 matching MRF lines |
$209.95–$420.55 | $323–$647 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 2 matching MRF lines |
$209.95–$420.55 | $323–$647 | varies |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $307.45 | $473 | 1.2× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $641.55 | $987 | 1.1× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) range across 2 matching MRF lines |
$209.95–$420.55 | $323–$647 | varies |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) range across 2 matching MRF lines |
$200.85–$401.70 | $309–$618 | varies |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) range across 2 matching MRF lines |
$1,454.70–$2,909.40 | $2,238–$4,476 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$238.55–$477.10 | $367–$734 | varies |
| Clsd tx fx orbit except blowout w/o manipulation (21400) range across 2 matching MRF lines |
$462.80–$926.25 | $712–$1,425 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$1,187.55–$2,262 | $1,827–$3,480 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$229.45–$458.90 | $353–$706 | varies |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) range across 2 matching MRF lines |
$1,454.70–$2,909.40 | $2,238–$4,476 | varies |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) range across 2 matching MRF lines |
$209.95–$420.55 | $323–$647 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) range across 2 matching MRF lines |
$1,454.70–$2,909.40 | $2,238–$4,476 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 2 matching MRF lines |
$1,017.90–$2,035.80 | $1,566–$3,132 | varies |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) range across 2 matching MRF lines |
$220.35–$420.55 | $339–$647 | varies |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) range across 2 matching MRF lines |
$1,525.55–$3,051.75 | $2,347–$4,695 | varies |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 2 matching MRF lines |
$228.15–$434.20 | $351–$668 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) range across 2 matching MRF lines |
$243.75–$488.15 | $375–$751 | varies |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) range across 2 matching MRF lines |
$969.15–$1,938.95 | $1,491–$2,983 | varies |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) range across 2 matching MRF lines |
$209.95–$420.55 | $323–$647 | varies |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) range across 2 matching MRF lines |
$1,454.70–$2,909.40 | $2,238–$4,476 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$243.75–$488.15 | $375–$751 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$217.10–$434.20 | $334–$668 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $703.95 | $1,083 | 2.7× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $228.15 | $351 | 0.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$243.75–$488.15 | $375–$751 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,017.90–$1,938.95 | $1,566–$2,983 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) range across 2 matching MRF lines |
$1,454.70–$2,909.40 | $2,238–$4,476 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) range across 2 matching MRF lines |
$209.95–$420.55 | $323–$647 | varies |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) range across 2 matching MRF lines |
$209.95–$420.55 | $323–$647 | varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) range across 2 matching MRF lines |
$1,531.40–$3,062.15 | $2,356–$4,711 | varies |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $198.25 | $305 | 0.8× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $209.95 | $323 | 0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $256.10 | $394 | 1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $238.55 | $367 | 0.9× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 2 matching MRF lines |
$969.15–$1,938.95 | $1,491–$2,983 | varies |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 2 matching MRF lines |
$209.95–$420.55 | $323–$647 | varies |
| Cltx greater humeral tuberosity fx w/o manj (23620) range across 2 matching MRF lines |
$209.95–$420.55 | $323–$647 | varies |
| Cltx Greater Trochanteric Fx W/O Manj (27246) range across 2 matching MRF lines |
$209.95–$420.55 | $323–$647 | varies |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) range across 2 matching MRF lines |
$1,454.70–$2,909.40 | $2,238–$4,476 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) range across 2 matching MRF lines |
$1,454.70–$2,909.40 | $2,238–$4,476 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$401.70–$765.05 | $618–$1,177 | varies |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) range across 2 matching MRF lines |
$209.95–$420.55 | $323–$647 | varies |
| Cltx humeral condylar fx medial/lateral w/manj (24577) range across 2 matching MRF lines |
$969.15–$1,938.95 | $1,491–$2,983 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) range across 2 matching MRF lines |
$969.15–$1,938.95 | $1,491–$2,983 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) range across 2 matching MRF lines |
$209.95–$420.55 | $323–$647 | varies |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) range across 2 matching MRF lines |
$1,454.70–$2,909.40 | $2,238–$4,476 | varies |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $382.85 | $589 | 1.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $229.45 | $353 | 0.9× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $1,131 | $1,740 | 3.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $229.45 | $353 | 0.9× |
| Cltx Med Ankle Fx W/Mnpj (27762) range across 2 matching MRF lines |
$969.15–$1,938.95 | $1,491–$2,983 | varies |
| Cltx Medial Ankle Fx (27760) range across 2 matching MRF lines |
$209.95–$420.55 | $323–$647 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$256.10–$488.15 | $394–$751 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$228.15–$434.20 | $351–$668 | varies |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) range across 2 matching MRF lines |
$969.15–$1,938.95 | $1,491–$2,983 | varies |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) range across 2 matching MRF lines |
$1,131–$2,262 | $1,740–$3,480 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $256.10 | $394 | 1.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $238.55 | $367 | 0.9× |
| Cltx post hip arthrp dislc req anes (27266) range across 2 matching MRF lines |
$1,952.60–$3,719.30 | $3,004–$5,722 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$256.10–$512.85 | $394–$789 | varies |
| Cltx prox fibula/shft fx w/manj (27781) range across 2 matching MRF lines |
$969.15–$1,938.95 | $1,491–$2,983 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) range across 2 matching MRF lines |
$209.95–$420.55 | $323–$647 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 2 matching MRF lines |
$1,274–$2,548.65 | $1,960–$3,921 | varies |
| Cltx prox tibfib jt dislc req anes (27831) range across 2 matching MRF lines |
$3,018.60–$6,036.55 | $4,644–$9,287 | varies |
| Cltx prox tibfib jt dislc w/o anes (27830) range across 2 matching MRF lines |
$209.95–$420.55 | $323–$647 | varies |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) range across 2 matching MRF lines |
$243.75–$488.15 | $375–$751 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$243.75–$488.15 | $375–$751 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) range across 2 matching MRF lines |
$969.15–$1,938.95 | $1,491–$2,983 | varies |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) range across 2 matching MRF lines |
$1,017.90–$2,035.80 | $1,566–$3,132 | varies |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) range across 2 matching MRF lines |
$969.15–$1,938.95 | $1,491–$2,983 | varies |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 2 matching MRF lines |
$209.95–$420.55 | $323–$647 | varies |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) range across 2 matching MRF lines |
$969.15–$1,938.95 | $1,491–$2,983 | varies |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) range across 2 matching MRF lines |
$209.95–$420.55 | $323–$647 | varies |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) range across 2 matching MRF lines |
$3,018.60–$6,036.55 | $4,644–$9,287 | varies |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) range across 2 matching MRF lines |
$209.95–$420.55 | $323–$647 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) range across 2 matching MRF lines |
$217.10–$434.20 | $334–$668 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) range across 2 matching MRF lines |
$384.80–$769.60 | $592–$1,184 | varies |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) range across 2 matching MRF lines |
$209.95–$420.55 | $323–$647 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$1,017.90–$2,035.80 | $1,566–$3,132 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 2 matching MRF lines |
$209.95–$420.55 | $323–$647 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $198.25 | $305 | 1.4× |
| Collection of venous blood by venipuncture (36415) range across 7 matching MRF lines |
$18.85–$20.15 | $29–$31 | varies |
| Colporrhaphy (57200) | $1,698.45 | $2,613 | 0.5× |
| Colpotomy; with exploration (57000) | $3,157.05 | $4,857 | 0.9× |
| Complex drainage wound (10180) range across 2 matching MRF lines |
$2,737.15–$2,788.50 | $4,211–$4,290 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$193.05–$367.90 | $297–$566 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$193.05–$367.90 | $297–$566 | varies |
| Control oropharyngeal hemorrhage simple (42960) | $183.95 | $283 | 0.3× |
| Conversion ext bil drg cath (47535) | $2,896.40 | $4,456 | 0.8× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $1,736.80 | $2,672 | 0.9× |
| Convert Nephrostomy Catheter (50434) | $3,384.55 | $5,207 | 1.5× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $3,366.35 | $5,179 | 1.9× |
| Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) | $2,564.90 | $3,946 | 0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $193.05 | $297 | 1.4× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $147.55 | $227 | 0.6× |
| Curettage postpartum (59160) | $2,178.15 | $3,351 | 0.6× |
| Curette/treat cornea (65435) | $631.15 | $971 | 0.6× |
| Cysto w/irrig & evac multple obstructing clots (52001) | $3,412.50 | $5,250 | 0.9× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) | $5,070 | $7,800 | 1.4× |
| Cystourethroscopy (52000) | $536.25 | $825 | 0.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $404.95 | $623 | 0.9× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $2,291.25 | $3,525 | 0.7× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $1,523.60 | $2,344 | 2.0× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) | $7,053.15 | $10,851 | 3.4× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 3 matching MRF lines |
$894.40–$1,089.40 | $1,376–$1,676 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$130–$131.95 | $200–$203 | varies |
| Debride nail 6 or more (11721) | $103.35 | $159 | 1.7× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 3 matching MRF lines |
$1,633.45–$1,904.50 | $2,513–$2,930 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 4 matching MRF lines |
$837.20–$920.40 | $1,288–$1,416 | varies |
| Declot vascular device (36593) range across 3 matching MRF lines |
$418.60–$425.75 | $644–$655 | varies |
| Delivery of placenta (59414) | $1,617.85 | $2,489 | 0.5× |
| Destr W Neurolytic; Celiac Plexus (64680) | $1,912.95 | $2,943 | 2.0× |
| Destroy cerv/thor facet jnt (64633) | $2,505.75 | $3,855 | 1.2× |
| Destroy lumb/sac facet jnt (64635) | $2,505.75 | $3,855 | 1.2× |
| Destruction neurolytic agt genicular nerve w/img (64624) | $3,382.60 | $5,204 | 1.6× |
| Destruction of skin lesions (17106) | $404.95 | $623 | 0.9× |
| Dilat Xst Trc New Access Rcs (50437) | $4,828.85 | $7,429 | 1.3× |
| Dilate Urethra Stricture (53620) | $675.35 | $1,039 | 0.9× |
| Dilate Urethra Stricture (53600) | $264.55 | $407 | 1.0× |
| Dilation and catheterization of salivary duct, with or without injection (42660) | $1,170.65 | $1,801 | 2.1× |
| Dilation Cervical Canal (57800) range across 2 matching MRF lines |
$2,938–$3,588.65 | $4,520–$5,521 | varies |
| Dilation Esophagus Guide Wire (43453) | $1,128.40 | $1,736 | 0.6× |
| Drain Cerebro Spinal Fluid (62272) | $666.25 | $1,025 | 0.9× |
| Drain Hand Tendon Sheath (26020) | $1,539.20 | $2,368 | 0.4× |
| Drain penis lesion (54015) | $1,387.10 | $2,134 | 0.8× |
| Drain/inj small joint/bursa w/us (20604) | $655.20 | $1,008 | 2.0× |
| Drainage abscess parotid simple (42300) | $1,255.15 | $1,931 | 0.8× |
| Drainage Abscess/Hematoma Nasal Septum (30020) | $507 | $780 | 0.9× |
| Drainage external auditory canal abscess (69020) | $235.30 | $362 | 0.3× |
| Drainage external ear abscess/hematoma cmplx (69005) | $1,275.30 | $1,962 | 0.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $247 | $380 | 0.3× |
| Drainage Finger Abscess Complicated (26011) | $1,405.95 | $2,163 | 0.8× |
| Drainage Mouth Roof Lesion (42000) | $307.45 | $473 | 1.2× |
| Drainage of eye (65800) | $2,189.20 | $3,368 | 0.9× |
| Drainage of finger abscess simple (26010) | $247 | $380 | 1.2× |
| Drainage of gum lesion (41800) | $178.10 | $274 | 1.3× |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$1,632.80–$1,757.60 | $2,512–$2,704 | varies |
| Drainage of nose lesion (30000) | $196.95 | $303 | 0.8× |
| Drainage of rectal abscess (45020) | $1,448.85 | $2,229 | 0.5× |
| Drainage of rectal abscess (45005) | $1,448.85 | $2,229 | 1.1× |
| Drainage of scrotal wall abscess (55100) | $921.70 | $1,418 | 0.5× |
| Drainage of scrotum (54700) | $4,117.10 | $6,334 | 1.9× |
| Drainage of skene's gland abscess or cyst (53060) | $1,441.70 | $2,218 | 0.7× |
| Draw Blood Off Venous Device (36591) | $197.60 | $304 | 1.4× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) | $641.55 | $987 | 1.1× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $235.30 | $362 | 0.3× |
| Drg Absc Submaxillary/Sublingual Intraoral (42310) | $307.45 | $473 | 0.5× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) | $1,434.55 | $2,207 | 0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$245.70–$637.65 | $378–$981 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$245.70–$358.15 | $378–$551 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$154.70–$410.15 | $238–$631 | varies |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) | $2,371.85 | $3,649 | 2.5× |
| Dx Bone Marrow Bx & Aspir (38222) | $4,447.95 | $6,843 | 1.4× |
| Dx Bronchoscope/Lavage (31624) | $1,675.05 | $2,577 | 0.9× |
| Dx Bronchoscope/Wash (31622) | $922.35 | $1,419 | 0.5× |
| Dx Laryngoscopy Excl Nb (31525) | $1,151.15 | $1,771 | 0.6× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,291.55 | $1,987 | 1.7× |
| Egd Flexible Foreign Body Removal (43247) | $952.90 | $1,466 | 1.0× |
| Egd place gastrostomy tube (43246) | $1,010.10 | $1,554 | 0.5× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) | $536.25 | $825 | 1.7× |
| Endometrial Biopsy (58100) | $169.65 | $261 | 0.8× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) | $17,657.90 | $27,166 | 1.4× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) | $4,421.95 | $6,803 | 1.3× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) | $8,517.60 | $13,104 | 2.5× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) | $2,091.70 | $3,218 | 1.0× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) | $2,091.70 | $3,218 | 1.0× |
| Epidural Blood Patch (62273) | $537.55 | $827 | 0.7× |
| Escharotomy; initial incision (16035) | $404.95 | $623 | 0.9× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) | $1,736.80 | $2,672 | 0.9× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$127.40–$137.80 | $196–$212 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $449.15 | $691 | 0.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $1,851.20 | $2,848 | 1.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $520.65 | $801 | 0.7× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $520.65 | $801 | 0.7× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $841.10 | $1,294 | 1.1× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $1,498.25 | $2,305 | 0.9× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $863.20 | $1,328 | 0.5× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$841.10–$2,791.75 | $1,294–$4,295 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $841.10 | $1,294 | 1.1× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $841.10 | $1,294 | 0.5× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) | $663 | $1,020 | 0.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $841.10 | $1,294 | 1.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $1,505.40 | $2,316 | 0.9× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $1,521 | $2,340 | 1.2× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $3,041.35 | $4,679 | 0.8× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $3,071.25 | $4,725 | 1.4× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $2,896.40 | $4,456 | 1.4× |
| Excision Multiple External Papillae/Tags Anus (46230) | $1,448.85 | $2,229 | 0.5× |
| Excision of submandibular (submaxillary) gland (42440) | $5,711.55 | $8,787 | 0.9× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $1,758.90 | $2,706 | 0.8× |
| Explo/Drain Breast Abscess (19020) | $1,413.10 | $2,174 | 0.8× |
| Exploration penetrating wound spx chest (20101) | $1,750.45 | $2,693 | 0.8× |
| Exploration penetrating wound spx extremity (20103) | $841.10 | $1,294 | 0.5× |
| Exploration Penetrating Wound Spx Neck (20100) | $626.60 | $964 | 1.1× |
| External cephalic version (59412) | $3,250 | $5,000 | 0.9× |
| Fetal Contraction Stress Test (59020) | $308.75 | $475 | 1.4× |
| Fetal non-stress test (59025) | $300.95 | $463 | 1.4× |
| Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) | $3,294.20 | $5,068 | 1.5× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $991.90 | $1,526 | 1.3× |
| Fluid Pressure Muscle (20950) | $449.15 | $691 | 0.6× |
| Fluoro exam of g/colon tube (49465) | $514.15 | $791 | 2.0× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $871 | $1,340 | 1.2× |
| Fna bx w/us gdn 1st les (10005) | $1,167.40 | $1,796 | 1.6× |
| Foreskin manipulation (54450) | $336.05 | $517 | 1.3× |
| Guide Cathet Fluid Drainage (10030) | $1,560 | $2,400 | 2.1× |
| Hymenotomy Simple Incision (56442) | $1,617.85 | $2,489 | 0.5× |
| I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) | $1,411.80 | $2,172 | 0.4× |
| I&d abscess peritonsillar (42700) | $323.05 | $497 | 1.3× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$349.70–$371.15 | $538–$571 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $3,602.95 | $5,543 | 1.2× |
| I&D Intramural Im/Absc Transanal Anes (46045) | $2,390.05 | $3,677 | 0.8× |
| I&D Mouth/Tong Intra,Masticator (41009) | $474.50 | $730 | 0.8× |
| I&d perianal abscess superficial (46050) | $481 | $740 | 0.5× |
| I&d pilonidal cyst complicated (10081) | $943.15 | $1,451 | 1.3× |
| I&d pilonidal cyst simple (10080) | $258.70 | $398 | 0.3× |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $1,704.30 | $2,622 | 0.6× |
| Image Cath Fluid Colxn Visc (49405) | $2,150.85 | $3,309 | 1.2× |
| Image Cath Fluid Peri/Retro (49406) | $4,299.75 | $6,615 | 2.5× |
| Image Cath Fluid Trns/Vgnl (49407) | $2,272.40 | $3,496 | 1.3× |
| Incise external hemorrhoid (46083) | $313.95 | $483 | 1.2× |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$381.55–$389.35 | $587–$599 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $1,300.65 | $2,001 | 0.7× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$486.20–$926.25 | $748–$1,425 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $240.50 | $370 | 1.1× |
| Incision and drainage of vulva or perineal abscess (56405) | $267.80 | $412 | 0.8× |
| Incision of rectal abscess (46040) | $1,521 | $2,340 | 1.2× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $1,238.90 | $1,906 | 0.7× |
| Incisional biopsy skin single lesion (11106) | $637.65 | $981 | 0.8× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $154.70 | $238 | 0.7× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $844.35 | $1,299 | 0.9× |
| Inj W/Fluor Eval Cv Device (36598) | $655.20 | $1,008 | 2.9× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $1,550.90 | $2,386 | 1.7× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$466.70–$484.25 | $718–$745 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) | $1,291.55 | $1,987 | 1.7× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $1,362.40 | $2,096 | 1.5× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) | $1,291.55 | $1,987 | 1.7× |
| Injection Anes Superior Hypogastric Plexus (64517) | $1,385.80 | $2,132 | 1.5× |
| Injection for identification of sentinel node (38792) | $1,454.70 | $2,238 | 3.4× |
| Injection Into Brain Canal (61055) | $1,362.40 | $2,096 | 4.2× |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$466.70–$484.25 | $718–$745 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) | $238.55 | $367 | 0.7× |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$257.40–$417.95 | $396–$643 | varies |
| Injection Sinus Tract Therapeutic Separate Proc (20500) | $1,441.05 | $2,217 | 0.9× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $775.45 | $1,193 | 0.8× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $564.20 | $868 | 0.8× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$243.10–$485.55 | $374–$747 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $200.85 | $309 | 0.9× |
| Ins cath ren art 1st bilat (36252) | $7,457.45 | $11,473 | 2.2× |
| Ins cath ren art 1st unilat (36251) | $6,610.50 | $10,170 | 2.0× |
| Ins cath ren art 2nd+ bilat (36254) | $10,361 | $15,940 | 3.1× |
| Ins cath ren art 2nd+ unilat (36253) | $7,933.25 | $12,205 | 1.3× |
| Ins endovas vena cava filtr (37191) | $14,904.50 | $22,930 | 2.5× |
| Insert and remove bone pin (20650) | $3,166.80 | $4,872 | 0.9× |
| Insert Bladder Cath Complex (51703) | $152.10 | $234 | 1.1× |
| Insert cath pleura w/ image (32557) range across 6 matching MRF lines |
$1,396.20–$3,017.95 | $2,148–$4,643 | varies |
| Insert cath pleura w/o image (32556) range across 4 matching MRF lines |
$1,429.35–$2,858.05 | $2,199–$4,397 | varies |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) | $2,668.90 | $4,106 | 2.1× |
| Insert cervical dilator (59200) | $518.05 | $797 | 1.6× |
| Insert Gastrostomy Tube Percutaneous (49440) | $1,736.80 | $2,672 | 0.9× |
| Insert hepatic shunt (tips) (37182) unusually low: confirm this is the full procedure |
$8,112 | $12,480 | 0.4× |
| Insert non-tunnel cv cath (36556) | $2,535 | $3,900 | 0.8× |
| Insert pessary/other device (57160) | $169.65 | $261 | 0.8× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) range across 4 matching MRF lines |
$1,508.65–$1,958.45 | $2,321–$3,013 | varies |
| Insert Temp Bladder Cath (51702) | $139.10 | $214 | 1.0× |
| Insert tun ip cath perc (49418) | $7,341.10 | $11,294 | 1.9× |
| Insert tunneled cv cath (36561) | $4,475.90 | $6,886 | 1.3× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) | $6,084 | $9,360 | 1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $135.20 | $208 | 1.0× |
| Insertion indwelling tunneled pleural catheter (32550) | $5,402.15 | $8,311 | 1.4× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $2,258.10 | $3,474 | 1.4× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $10,266.75 | $15,795 | 1.2× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) | $6,050.20 | $9,308 | 1.6× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) range across 2 matching MRF lines |
$803.40–$2,113.15 | $1,236–$3,251 | varies |
| Insj Picc Rs&I <5 Yr (36572) | $2,150.85 | $3,309 | 3.2× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $5,387.20 | $8,288 | 1.6× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $2,137.20 | $3,288 | 1.3× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $5,070 | $7,800 | 1.5× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) range across 2 matching MRF lines |
$6,830.85–$8,276.45 | $10,509–$12,733 | varies |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) | $6,505.85 | $10,009 | 0.7× |
| Interdental fixation (21110) | $1,240.85 | $1,909 | 0.8× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) | $2,733.25 | $4,205 | 1.9× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $245.70 | $378 | 0.6× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $271.70 | $418 | 0.6× |
| Intraoral i&d tongue/floor lingual (41000) | $1,151.15 | $1,771 | 2.0× |
| Intro cath dialysis circuit (36901) | $1,733.55 | $2,667 | 1.0× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $21,050.25 | $32,385 | 1.7× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $17,570.15 | $27,031 | 2.9× |
| Intro Gastrointestinal Tube (44500) range across 2 matching MRF lines |
$450.45–$1,017.25 | $693–$1,565 | varies |
| Intubation endotracheal emergency procedure (31500) range across 4 matching MRF lines |
$408.20–$501.15 | $628–$771 | varies |
| Iridotomy/irridectomy laser surg per session (66761) | $436.80 | $672 | 0.8× |
| Irrigation maxillary sinus (31000) | $307.45 | $473 | 1.2× |
| Irrigation of corpora cavernosa for priapism (54220) | $228.80 | $352 | 0.9× |
| Laparoscopy, surgical, appendectomy (44970) | $4,915.30 | $7,562 | 0.8× |
| Laryngoscopy diagnostic (31505) | $161.85 | $249 | 0.8× |
| Laryngoscopy flexible diagnostic (31575) | $161.85 | $249 | 0.8× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) | $359.45 | $553 | 0.9× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) | $848.25 | $1,305 | 2.0× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) | $161.85 | $249 | 0.8× |
| Laryngoscopy W/Foreign Body Removal (31530) | $1,517.75 | $2,335 | 0.8× |
| Late closure of wound (13160) | $2,912 | $4,480 | 0.8× |
| Ligation Major Artery Abdomen (37617) unusually low: confirm this is the full procedure |
$1,927.25 | $2,965 | 0.3× |
| Ligation of a-v fistula (37607) | $2,078.70 | $3,198 | 0.6× |
| Lip Surgery Procedure (40799) | $152.10 | $234 | 0.6× |
| Lyse chest fibrin init day (32561) | $1,049.10 | $1,614 | 1.6× |
| Lyse Chest Fibrin Subq Day (32562) | $1,049.10 | $1,614 | 1.6× |
| Marsupialization of bartholin's gland cyst (56440) | $1,617.85 | $2,489 | 0.5× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) | $2,113.15 | $3,251 | 1.3× |
| Mech remov tunneled cv cath (36595) | $4,793.10 | $7,374 | 1.4× |
| Myelography Lumbar Injection (62305) | $2,074.15 | $3,191 | 2.5× |
| Myelography Lumbar Injection (62304) | $1,851.85 | $2,849 | 2.2× |
| Myelography via lumbar injection rs&i cervical (62302) | $1,763.45 | $2,713 | 2.1× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $1,975.35 | $3,039 | 2.4× |
| N Block Inj Celiac Pelus (64530) | $1,710.80 | $2,632 | 1.8× |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines |
$712.40–$739.70 | $1,096–$1,138 | varies |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$678.60–$704.60 | $1,044–$1,084 | varies |
| N Block Inj Pudendal (64430) | $740.35 | $1,139 | 0.8× |
| N Block Lumbar/Thoracic (64520) | $1,362.40 | $2,096 | 1.5× |
| Nasal Endoscopy Dx (31231) | $161.85 | $249 | 0.8× |
| Nasal/Orogastric W/Tube Plmt (43752) | $427.05 | $657 | 0.9× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) | $1,030.90 | $1,586 | 0.5× |
| Needle Biopsy Lymph Nodes (38505) | $1,489.80 | $2,292 | 0.9× |
| Needle Biopsy Pancreas (48102) | $1,730.95 | $2,663 | 1.0× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $58.50 | $90 | 1.9× |
| Needle insertion w/o injection 3 or more muscles (20561) | $71.50 | $110 | 2.3× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) | $4,145.05 | $6,377 | 1.9× |
| Nipple Exploration (19110) | $1,894.10 | $2,914 | 0.5× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$290.55–$554.45 | $447–$853 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $5,974.80 | $9,192 | 1.6× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $4,762.55 | $7,327 | 1.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$1,040.65–$2,058.55 | $1,601–$3,167 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) | $1,384.50 | $2,130 | 1.5× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,362.40 | $2,096 | 1.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $1,362.40 | $2,096 | 1.8× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $1,384.50 | $2,130 | 1.5× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $1,384.50 | $2,130 | 1.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,362.40 | $2,096 | 1.8× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $1,384.50 | $2,130 | 1.5× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $176.15 | $271 | 0.2× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) | $176.15 | $271 | 0.2× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) | $317.85 | $489 | 0.7× |
| Obstructive material removal from gi tube (49460) | $1,205.10 | $1,854 | 1.3× |
| Occipital Nerve Block (64405) | $231.40 | $356 | 0.7× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $2,477.15 | $3,811 | 0.7× |
| Open/Perq Place Stent 1St (37236) | $24,336 | $37,440 | 2.0× |
| Open/Perq Place Stent Same (37238) | $22,328.80 | $34,352 | 1.8× |
| Partial Excision Distal Phalanx Finger (26236) | $1,527.50 | $2,350 | 0.9× |
| Penile Injection (54235) | $265.20 | $408 | 1.0× |
| Perc Cryo Ablate Renal Tum (50593) | $18,406.05 | $28,317 | 1.6× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) | $2,733.25 | $4,205 | 1.9× |
| Perc Rf Ablate Renal Tumor (50592) | $8,675.55 | $13,347 | 1.4× |
| Percut Ablate Liver Rf (47382) | $9,716.85 | $14,949 | 1.5× |
| Percut Cath Occlusn Non Cns Lesn (61626) | $17,657.90 | $27,166 | 1.4× |
| Percut Drain/Inject Renal Cyst (50390) | $1,829.10 | $2,814 | 2.4× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) | $7,738.90 | $11,906 | 2.3× |
| Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) range across 2 matching MRF lines |
$3,018.60–$6,036.55 | $4,644–$9,287 | varies |
| Percutaneous skeletal fixation of talus fracture, with manipulation Facility (28436) range across 2 matching MRF lines |
$6,707.35–$13,414.70 | $10,319–$20,638 | varies |
| Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation Facility (28546) range across 2 matching MRF lines |
$1,454.70–$2,909.40 | $2,238–$4,476 | varies |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) range across 2 matching MRF lines |
$3,018.60–$6,036.55 | $4,644–$9,287 | varies |
| Pericardiocentesis W/Imaging (33016) range across 2 matching MRF lines |
$1,584.05–$2,115.10 | $2,437–$3,254 | varies |
| Peritoneal Lavage (49084) | $1,674.40 | $2,576 | 1.7× |
| Perm Occlusion/Embolization,Percut,Cns (61624) range across 2 matching MRF lines |
$16,711.50–$18,048.55 | $25,710–$27,767 | varies |
| Perq Cervicothoracic Inject (22510) | $6,158.10 | $9,474 | 1.8× |
| Perq dev breast 1st mr guide (19287) | $1,573 | $2,420 | 2.1× |
| Perq dev breast 1st strtctc (19283) | $1,185.60 | $1,824 | 1.6× |
| Perq dev breast 1st us imag (19285) | $1,184.95 | $1,823 | 1.6× |
| Perq device breast 1st imag (19281) | $1,185.60 | $1,824 | 0.7× |
| Perq dilation xst trc endourologic px w/img (50436) | $4,527.25 | $6,965 | 1.2× |
| Perq Lumbosacral Injection (22511) | $6,568.90 | $10,106 | 1.9× |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) | $9,272.25 | $14,265 | 0.9× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) | $10,202.40 | $15,696 | 1.6× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $1,049.75 | $1,615 | 1.4× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $26,871 | $41,340 | 2.2× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $10,647 | $16,380 | 1.8× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $15,470.65 | $23,801 | 2.0× |
| Perq Vertebral Augmentation (22513) | $15,470.65 | $23,801 | 2.0× |
| Photopheresis extracorporeal (36522) | $4,435.60 | $6,824 | 1.0× |
| Pin hand dislocation (26676) range across 2 matching MRF lines |
$3,018.60–$6,036.55 | $4,644–$9,287 | varies |
| Pin knuckle dislocation (26706) range across 2 matching MRF lines |
$3,018.60–$6,036.55 | $4,644–$9,287 | varies |
| Place Cath Subclavian Art (36225) | $14,995.50 | $23,070 | 4.5× |
| Place Cath Thoracic Aorta (36221) | $10,153.65 | $15,621 | 3.0× |
| Place Cath Vertebral Art (36226) range across 4 matching MRF lines |
$14,264.25–$14,671.80 | $21,945–$22,572 | varies |
| Place Duod/Jej Tube Perc (49441) | $1,654.25 | $2,545 | 0.8× |
| Place Rt Device/Marker Pros (55876) | $2,423.85 | $3,729 | 1.7× |
| Placement of needle for intraosseous infusion (36680) | $169 | $260 | 0.4× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) | $4,761.25 | $7,325 | 0.7× |
| Plmt Bile Duct Stent Prq Existing Access (47538) | $3,878.55 | $5,967 | 0.6× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) | $3,693.95 | $5,683 | 0.6× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) | $3,693.95 | $5,683 | 0.6× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $3,384.55 | $5,207 | 1.5× |
| Plmt Nephroureteral Catheter (50433) | $3,194.10 | $4,914 | 0.9× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) | $3,223.35 | $4,959 | 0.9× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) | $3,021.20 | $4,648 | 0.8× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) | $3,384.55 | $5,207 | 0.9× |
| Prim art mech thrombectomy (37184) unusually low: confirm this is the full procedure |
$7,300.80 | $11,232 | 0.4× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $915.85 | $1,409 | 1.2× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $5,816.85 | $8,949 | 1.5× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $6,107.40 | $9,396 | 1.6× |
| Prq skel fixj metar fx w/manj (28476) range across 2 matching MRF lines |
$3,169.40–$6,338.15 | $4,876–$9,751 | varies |
| Prq Skel Fixj Talotarsal Jt Dislc W/Manj (28576) range across 2 matching MRF lines |
$6,707.35–$13,414.70 | $10,319–$20,638 | varies |
| Prq Skel Fixj Tars Jt Dislc W/Manj (28606) range across 2 matching MRF lines |
$3,018.60–$6,036.55 | $4,644–$9,287 | varies |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) range across 2 matching MRF lines |
$3,018.60–$6,036.55 | $4,644–$9,287 | varies |
| Prq Skeletal Fixj Calcaneal Fracture W/Manj (28406) range across 2 matching MRF lines |
$6,707.35–$13,414.70 | $10,319–$20,638 | varies |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) range across 2 matching MRF lines |
$6,707.35–$13,414.70 | $10,319–$20,638 | varies |
| Pseudoaneurysm Injection Trt (36002) | $458.25 | $705 | 0.7× |
| Punch biopsy skin single lesion (11104) | $390.65 | $601 | 0.9× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $374.40 | $576 | 0.9× |
| Puncture Aspiration Cyst Breast (19000) | $1,167.40 | $1,796 | 1.6× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) range across 2 matching MRF lines |
$1,190.80–$1,235.65 | $1,832–$1,901 | varies |
| Pvb thoracic cont infusion (64463) | $1,281.15 | $1,971 | 1.7× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) | $1,281.15 | $1,971 | 1.7× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) | $3,382.60 | $5,204 | 1.6× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) | $1,940.90 | $2,986 | 0.5× |
| Reconstruction Nail Bed W/Graft (11762) | $1,750.45 | $2,693 | 0.8× |
| Redo Endovas Vena Cava Filtr (37192) | $8,904.35 | $13,699 | 2.7× |
| Reduction of rectal prolapse (45900) | $570.05 | $877 | 0.6× |
| Rem Endovas Vena Cava Filter (37193) | $7,950.15 | $12,231 | 2.4× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $2,896.40 | $4,456 | 3.0× |
| Removal Embedded Foreign Body Eyelid (67938) range across 2 matching MRF lines |
$263.90–$527.15 | $406–$811 | varies |
| Removal Foreign Body Deep Thigh/Knee (27372) range across 2 matching MRF lines |
$2,445.30–$4,889.95 | $3,762–$7,523 | varies |
| Removal Foreign Body Foot Complicated (28193) range across 2 matching MRF lines |
$1,238.90–$2,478.45 | $1,906–$3,813 | varies |
| Removal foreign body foot deep (28192) range across 2 matching MRF lines |
$1,238.90–$2,478.45 | $1,906–$3,813 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$1,519.05–$3,285.10 | $2,337–$5,054 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $841.10 | $1,294 | 0.5× |
| Removal foreign body upper arm/elbow deep (24201) range across 2 matching MRF lines |
$2,900.95–$5,801.90 | $4,463–$8,926 | varies |
| Removal foreign body, intranasal; requiring general anesthesia (30310) | $1,411.80 | $2,172 | 0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 3 matching MRF lines |
$70.85–$135.20 | $109–$208 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$161.85–$323.05 | $249–$497 | varies |
| Removal Implant Superficial Separate Procedure (20670) | $1,238.90 | $1,906 | 0.7× |
| Removal of foreign body from pharynx (42809) | $139.75 | $215 | 0.3× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$644.15–$698.10 | $991–$1,074 | varies |
| Removal of tunneled intraperitoneal catheter (49422) | $4,557.15 | $7,011 | 1.4× |
| Removal or bivalving full arm or full leg cast (29705) range across 3 matching MRF lines |
$170.95–$341.90 | $263–$526 | varies |
| Removal shoulder foreign body deep subfascial/im (23333) range across 2 matching MRF lines |
$2,619.50–$5,239 | $4,030–$8,060 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $147.55 | $227 | 0.7× |
| Removal subcutaneous cardiac rhythm monitor (33286) | $783.25 | $1,205 | 1.0× |
| Removal/bivalving gauntlet boot/body cast (29700) range across 3 matching MRF lines |
$225.55–$486.85 | $347–$749 | varies |
| Remove drug implant device (11982) range across 2 matching MRF lines |
$308.75–$513.50 | $475–$790 | varies |
| Remove Forearm Foreign Body (25248) range across 2 matching MRF lines |
$1,657.50–$3,316.30 | $2,550–$5,102 | varies |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$231.40–$440.70 | $356–$678 | varies |
| Remove Intrauterine Device (58301) | $267.80 | $412 | 0.8× |
| Remove intrvas foreign body (37197) | $7,815.60 | $12,024 | 2.3× |
| Remove lung catheter (32552) range across 2 matching MRF lines |
$515.45–$612.30 | $793–$942 | varies |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$146.90–$280.15 | $226–$431 | varies |
| Remove renal tube w/fluoro (50389) | $1,417.65 | $2,181 | 1.9× |
| Remove Shoulder Foreign Body (23330) range across 2 matching MRF lines |
$841.10–$1,682.20 | $1,294–$2,588 | varies |
| Remove ureter stent percut (50384) | $3,223.35 | $4,959 | 1.5× |
| Renal Biopsy Perq (50200) | $2,082.60 | $3,204 | 1.2× |
| Repair Achilles Tendon (27650) unusually low: confirm this is the full procedure |
$2,756.65 | $4,241 | 0.4× |
| Repair Blood Vessel Direct Hand Finger (35207) | $3,081.65 | $4,741 | 0.9× |
| Repair Blood Vessel Direct Upper Extremity (35206) | $2,041.65 | $3,141 | 0.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $425.10 | $654 | 0.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $538.20 | $828 | 0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $425.10 | $654 | 1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $425.10 | $654 | 1.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $404.95 | $623 | 0.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $425.10 | $654 | 1.0× |
| Repair complex trunk 1.1-2.5 cm (13100) | $541.45 | $833 | 0.7× |
| Repair complex trunk 2.6-7.5 cm (13101) | $425.10 | $654 | 0.5× |
| Repair extensor tendon finger w/o graft each (26418) | $1,337.70 | $2,058 | 0.8× |
| Repair Eyelid Wound (67935) | $2,021.50 | $3,110 | 0.8× |
| Repair Forearm Tendon Sheath (25275) | $2,070.90 | $3,186 | 0.6× |
| Repair Hand Tendon (26410) | $1,274 | $1,960 | 0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $245.70 | $378 | 0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $245.70 | $378 | 0.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $245.70 | $378 | 0.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $213.85 | $329 | 0.5× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $378.30 | $582 | 0.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $234 | $360 | 0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $213.85 | $329 | 0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $245.70 | $378 | 0.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $245.70 | $378 | 0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $245.70 | $378 | 0.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $245.70 | $378 | 0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $245.70 | $378 | 0.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $425.10 | $654 | 0.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $245.70 | $378 | 0.6× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $1,700.40 | $2,616 | 0.8× |
| Repair of nail bed (11760) | $425.10 | $654 | 0.5× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $2,174.25 | $3,345 | 0.6× |
| Repair tongue laceration (41252) | $626.60 | $964 | 2.5× |
| Repair tongue laceration (41250) | $169.65 | $261 | 0.4× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $1,265.55 | $1,947 | 1.3× |
| Replace G-J Tube Perc (49452) | $1,198.60 | $1,844 | 1.2× |
| Replace g/c tube perc (49450) | $1,198.60 | $1,844 | 1.2× |
| Reposition Gastrostomy Tube (43761) | $1,654.25 | $2,545 | 6.3× |
| Reposition Venous Catheter (36597) | $2,219.10 | $3,414 | 1.3× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) | $16,433.95 | $25,283 | 2.7× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) | $2,896.40 | $4,456 | 1.3× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $118.95 | $183 | 0.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$220.35–$440.70 | $339–$678 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$220.35–$440.70 | $339–$678 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 2 matching MRF lines |
$231.40–$462.80 | $356–$712 | varies |
| Rmvl fecal impaction/fb spx under anes (45915) | $1,521 | $2,340 | 1.2× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) range across 2 matching MRF lines |
$471.90–$942.50 | $726–$1,450 | varies |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $2,770.95 | $4,263 | 1.7× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $1,265.55 | $1,947 | 1.9× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$319.15–$477.75 | $491–$735 | varies |
| Rplc gtube revj gstrst trc (43763) | $486.85 | $749 | 1.8× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $2,113.15 | $3,251 | 1.3× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $2,113.15 | $3,251 | 1.3× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $5,742.75 | $8,835 | 1.7× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $5,032.95 | $7,743 | 1.5× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $213.85 | $329 | 1.0× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $308.10 | $474 | 0.4× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $1,012.70 | $1,558 | 1.8× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $1,013.35 | $1,559 | 1.8× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $1,099.80 | $1,692 | 0.7× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $1,265.55 | $1,947 | 1.9× |
| Sclerotx Fluid Collection (49185) | $1,930.50 | $2,970 | 1.1× |
| Shave skin lesion 0.5 cm/< (11300) | $141.70 | $218 | 0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $141.70 | $218 | 0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $183.30 | $282 | 0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $289.90 | $446 | 1.4× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) | $1,482.65 | $2,281 | 0.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $151.45 | $233 | 0.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $213.85 | $329 | 1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $213.85 | $329 | 1.0× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $141.70 | $218 | 0.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $213.85 | $329 | 1.0× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $191.10 | $294 | 0.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$223.60–$358.15 | $344–$551 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $245.70 | $378 | 1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $223.60 | $344 | 1.1× |
| Skin sub graft face/nk/hf/g (15275) | $2,964.65 | $4,561 | 3.8× |
| Skin sub graft trnk/arm/leg (15271) | $2,964.65 | $4,561 | 3.8× |
| Skin sub grft t/arm/lg child (15273) | $4,704.05 | $7,237 | 2.2× |
| Skin Tissue Procedure (17999) range across 2 matching MRF lines |
$151.45–$158.60 | $233–$244 | varies |
| Skn sub grft f/n/hf/g child (15277) | $2,718.30 | $4,182 | 1.2× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) | $21,632 | $33,280 | 3.7× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) | $15,776.80 | $24,272 | 4.7× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) range across 4 matching MRF lines |
$20,816.25–$21,411 | $32,025–$32,940 | varies |
| Slitting of prepuce (54001) | $1,383.20 | $2,128 | 0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$309.40–$358.15 | $476–$551 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $223.60 | $344 | 0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $223.60 | $344 | 0.5× |
| Spinal puncture lumbar diagnostic (62270) range across 3 matching MRF lines |
$691.60–$771.55 | $1,064–$1,187 | varies |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $6,941.35 | $10,679 | 1.9× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $2,845.05 | $4,377 | 1.3× |
| Strapping ankle (29540) range across 3 matching MRF lines |
$147.55–$300.30 | $227–$462 | varies |
| Strapping elbow or wrist (29260) range across 2 matching MRF lines |
$144.95–$289.25 | $223–$445 | varies |
| Strapping hand/finger (29280) range across 2 matching MRF lines |
$144.95–$289.25 | $223–$445 | varies |
| Strapping Hip (29520) range across 2 matching MRF lines |
$117.65–$235.30 | $181–$362 | varies |
| Strapping knee (29530) range across 2 matching MRF lines |
$91.65–$183.95 | $141–$283 | varies |
| Strapping shoulder (29240) range across 2 matching MRF lines |
$144.95–$289.25 | $223–$445 | varies |
| Strapping thorax (29200) | $144.95 | $223 | 0.8× |
| Strapping toes (29550) | $96.20 | $148 | 1.5× |
| Strapping Unna Boot (29580) range across 8 matching MRF lines |
$155.35–$547.30 | $239–$842 | varies |
| Surg tx anal fistula subq (46270) | $1,780.35 | $2,739 | 0.6× |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) | $1,305.85 | $2,009 | 0.5× |
| Suture infrapatellar tendon primary (27380) likely a partial charge, not the full procedure |
$2,174.25 | $3,345 | 0.3× |
| Tangential biopsy skin single lesion (11102) | $358.15 | $551 | 0.8× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) | $40,783.60 | $62,744 | 1.3× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $2,594.15 | $3,991 | 1.5× |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) | $4,435.60 | $6,824 | 1.0× |
| Ther Apheresis,Red Blood Cells (36512) | $1,714.05 | $2,637 | 1.0× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $1,291.55 | $1,987 | 1.7× |
| Therapeutic Apheresis White Blood Cells (36511) | $1,584.05 | $2,437 | 1.0× |
| Therapeutic plasma exchange (36514) | $1,865.50 | $2,870 | 1.1× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $33,163.65 | $51,021 | 1.7× |
| Thromblytic art/ven therapy (37213) | $7,935.85 | $12,209 | 2.4× |
| Thrombolytic Art Therapy (37211) | $8,275.80 | $12,732 | 1.4× |
| Thrombolytic Therapy Stroke (37195) range across 2 matching MRF lines |
$248.95–$622.70 | $383–$958 | varies |
| Thrombolytic Venous Therapy (37212) | $7,554.95 | $11,623 | 2.3× |
| Thyroid biopsy (60100) | $914.55 | $1,407 | 1.2× |
| Tooth extraction (41899) | $1,325.35 | $2,039 | 5.3× |
| Tprnl Plmt Biodegrdabl Matrl (55874) | $4,216.55 | $6,487 | 0.7× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) | $740.35 | $1,139 | 1.3× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $808.60 | $1,244 | 3.2× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $626.60 | $964 | 0.4× |
| Transcatheter biopsy (37200) | $5,837 | $8,980 | 1.0× |
| Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) | $3,792.10 | $5,834 | 1.1× |
| Treat Big Toe Fracture (28505) | $2,887.95 | $4,443 | 0.8× |
| Treat Dental Ridge Fracture (21440) | $2,885.35 | $4,439 | 0.8× |
| Treat Hip Socket Fracture (27222) range across 2 matching MRF lines |
$173.55–$347.75 | $267–$535 | varies |
| Treat humerus fracture (24500) range across 2 matching MRF lines |
$209.95–$420.55 | $323–$647 | varies |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
$1,017.90–$1,938.95 | $1,566–$2,983 | varies |
| Treat humerus fracture (23600) range across 2 matching MRF lines |
$201.50–$403 | $310–$620 | varies |
| Treat knee fracture (27532) range across 2 matching MRF lines |
$2,132–$4,264 | $3,280–$6,560 | varies |
| Treat Knee Fracture(S) (27538) range across 2 matching MRF lines |
$209.95–$420.55 | $323–$647 | varies |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$256.10–$488.15 | $394–$751 | varies |
| Treat Metatarsal Fracture (28475) range across 2 matching MRF lines |
$198.25–$395.85 | $305–$609 | varies |
| Treat midfoot fracture (28456) range across 2 matching MRF lines |
$6,707.35–$13,414.70 | $10,319–$20,638 | varies |
| Treat Thumb Dislocation (26641) range across 2 matching MRF lines |
$243.75–$488.15 | $375–$751 | varies |
| Treat Thumb Fracture (26645) range across 2 matching MRF lines |
$969.15–$1,938.95 | $1,491–$2,983 | varies |
| Treat toe dislocation (28630) range across 2 matching MRF lines |
$216.45–$412.10 | $333–$634 | varies |
| Treat Vaginal Bleeding (57180) | $225.55 | $347 | 1.1× |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines |
$1,131–$2,262 | $1,740–$3,480 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$229.45–$458.90 | $353–$706 | varies |
| Treatment of tibia fracture (27756) range across 2 matching MRF lines |
$6,707.35–$13,414.70 | $10,319–$20,638 | varies |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$134.55–$159.90 | $207–$246 | varies |
| Trim skin lesions 2 to 4 (11056) | $159.90 | $246 | 0.8× |
| Trimming Nondystrophic Nails Any Number (11719) | $103.35 | $159 | 1.7× |
| Trluml Balo Angiop 1St Art (37246) | $29,744 | $45,760 | 4.9× |
| Trluml Balo Angiop 1St Vein (37248) | $18,252 | $28,080 | 3.0× |
| Tx Gastro Intub W/Asp (43753) | $534.30 | $822 | 2.3× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $1,617.85 | $2,489 | 0.5× |
| Tx open tendon flexor toe 1 tendon spx (28232) | $2,166.45 | $3,333 | 1.3× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) range across 2 matching MRF lines |
$1,527.50–$3,055 | $2,350–$4,700 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$425.10–$1,121.25 | $654–$1,725 | varies |
| Tx superficial wound dehiscence w/packing (12021) | $404.95 | $623 | 0.9× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) range across 2 matching MRF lines |
$1,454.70–$2,909.40 | $2,238–$4,476 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) range across 2 matching MRF lines |
$220.35–$441.35 | $339–$679 | varies |
| Unlisted Cardiac Surgery (33999) | $692.25 | $1,065 | 1.0× |
| Unlisted procedure anus (46999) | $623.35 | $959 | 0.6× |
| Unlisted procedure breast (19499) | $1,894.10 | $2,914 | 0.5× |
| Unlisted Procedure Casting/Strapping (29799) | $143 | $220 | 0.8× |
| Unlisted procedure excision pressure ulcer (15999) | $1,175.85 | $1,809 | 1.6× |
| Unlisted procedure femur or knee (27599) | $330.85 | $509 | 1.3× |
| Unlisted Procedure Hands/Fingers (26989) | $198.25 | $305 | 0.8× |
| Unlisted Procedure Intestine (44799) | $2,819.05 | $4,337 | 2.9× |
| Unlisted procedure lacrimal system (68899) | $1,398.80 | $2,152 | 4.2× |
| Unlisted Procedure Leg/Ankle (27899) | $229.45 | $353 | 0.9× |
| Unlisted procedure liver (47399) | $3,495.05 | $5,377 | 4.7× |
| Unlisted procedure lungs and pleura (32999) range across 3 matching MRF lines |
$993.20–$1,012.05 | $1,528–$1,557 | varies |
| Unlisted Procedure Male Genital System (55899) | $228.80 | $352 | 0.9× |
| Unlisted Procedure Muscskeletal System General (20999) | $1,654.25 | $2,545 | 6.3× |
| Unlisted procedure nervous system (64999) range across 3 matching MRF lines |
$297.70–$494.65 | $458–$761 | varies |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $206.70 | $318 | 0.8× |
| Unlisted Procedure Rectum (45999) | $933.40 | $1,436 | 0.9× |
| Unlisted procedure spine (22899) | $4,167.15 | $6,411 | 16.0× |
| Unlisted procedure stomach (43999) | $673.40 | $1,036 | 0.7× |
| Unlisted Procedure Tongue Floor Mouth (41599) | $171.60 | $264 | 0.7× |
| Unlisted Procedure Vascular Surgery (37799) | $835.90 | $1,286 | 1.3× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) range across 2 matching MRF lines |
$4,807.40–$5,235.10 | $7,396–$8,054 | varies |
| Unlisted Procedure, Urinary System (53899) | $237.25 | $365 | 0.9× |
| Unlisted px female genital system nonobstetrical (58999) | $169.65 | $261 | 0.8× |
| Vaginal delivery only (59409) | $2,849.60 | $4,384 | 0.8× |
| Vasc embolize/occlude artery (37242) range across 3 matching MRF lines |
$19,204.90–$20,164.95 | $29,546–$31,023 | varies |
| Vasc Embolize/Occlude Bleed (37244) range across 4 matching MRF lines |
$19,164.60–$22,122.10 | $29,484–$34,034 | varies |
| Vasc Embolize/Occlude Organ (37243) | $19,204.90 | $29,546 | 1.6× |
| Vasc embolize/occlude venous (37241) | $20,164.95 | $31,023 | 1.7× |
| Venous Mech Thrombectomy (37187) | $8,125.65 | $12,501 | 0.7× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$265.20–$296.40 | $408–$456 | varies |
| Wedging of cast (29740) range across 2 matching MRF lines |
$243.10–$486.85 | $374–$749 | varies |
| Windowing of cast (29730) range across 2 matching MRF lines |
$148.20–$296.40 | $228–$456 | varies |
| Wound Prep Trk/Arm/Leg (15002) | $2,845.05 | $4,377 | 3.6× |
| Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016) likely a partial charge, not the full procedure |
$1,411.80 | $2,172 | 0.2× |
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.