Procedures & surgery prices at Memorial Hospital

Seward, NE · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,052 $1,052 1.1×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $427 $427 0.5×
Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) $443 $443 0.3×
Abortion (59841) $831 $831 0.2×
Acne Surgery (10040) $237 $237 1.1×
Adding Walker Previously Applied Cast (29440) $89 $89 0.5×
Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) $1,429 $1,429 0.7×
Amniocentesis diagnostic (59000) $230 $230 0.2×
Amputate metacarpal bone (26910) $1,540 $1,540 0.5×
Amputate Thigh,Re-Amputatn (27596) $1,388 $1,388 0.4×
Amputation Finger/Thumb (26951) $1,426 $1,426 0.4×
Amputation metatarsal with toe single (28810) $855 $855 0.3×
Amputation of finger/thumb (26952) $1,387 $1,387 0.4×
Amputation toe interphalangeal joint (28825) $593 $593 0.2×
Amputation Toe Metatarsophalangeal Joint (28820) $602 $602 0.2×
Amputation, foot; transmetatarsal (28805) $1,434 $1,434 0.4×
Anosc rmvl mult tumors cautery/snare (46612) $660 $660 0.2×
Anoscopy Ablation Lesion (46615) $358 $358 0.1×
Anoscopy control bleeding (46614) $339 $339 0.3×
Anoscopy diagnostic (46600) $238 $238 1.7×
Anoscopy W/Rmvl Foreign Body (46608) $578 $578 0.6×
Anoscopy w/rmvl lesion cautery (46610) $551 $551 0.2×
Anoscopy; with biopsy, single or multiple (46606) $564 $564 0.5×
Ant Vesicourethropexy/Urethropexy Smpl (51840)
likely a partial charge, not the full procedure		 $1,407 $1,407 0.3×
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240)
likely a partial charge, not the full procedure		 $1,239 $1,239 0.2×
Appendectomy (44950)
likely a partial charge, not the full procedure		 $1,250 $1,250 0.2×
Application cast elbow finger short arm (29075) $179 $179 0.6×
Application Cast Hand & Lower Forearm Gauntlet (29085) $197 $197 1.2×
Application cast shoulder hand long arm (29065) $198 $198 0.7×
Application Cast Shoulder Spica (29055) $462 $462 1.6×
Application Finger Splint Dynamic (29131) $110 $110 1.8×
Application finger splint static (29130) $85 $85 0.6×
Application long arm splint shoulder hand (29105) $169 $169 1.0×
Application Long Leg Cast Walker/Ambulatory Type (29355) $287 $287 1.0×
Application long leg splint thigh ankle/toes (29505) $184 $184 1.1×
Application of long leg cast (29345) $275 $275 0.9×
Application Short Arm Splint Dynamic (29126) $161 $161 1.2×
Application short arm splint forearm-hand static (29125) $137 $137 1.0×
Application short leg splint calf foot (29515) $148 $148 0.9×
Apply short leg cast (29405) $164 $164 0.6×
Apply short leg cast (29425) $155 $155 0.5×
Arterial puncture (36600) $106.50 $106.50 0.8×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $112 $112 0.4×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $225.50 $225.50 0.7×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $109 $109 0.3×
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure		 $1,026 $1,026 0.1×
Artl Cathj Prolng Nfs Ther Chemotx Cutdown (36640) $241 $241 0.1×
Aspirat/Injection Ganglion Cyst(S) (20612) $131 $131 0.4×
Aspiration Bladder Insert Suprapubic Catheter (51102) $485 $485 0.2×
Avulsion nail plate partial/complete simple 1 (11730) $235 $235 1.1×
Axillary lymphadenectomy superficial 38740 (38740)
likely a partial charge, not the full procedure		 $1,374 $1,374 0.2×
Axillary lymphadenectomy; complete (38745)
likely a partial charge, not the full procedure		 $1,723 $1,723 0.3×
Biopsy bone open superficial (20240) $284 $284 0.1×
Biopsy Bone Trocar/Needle Superficial (20220) $470 $470 0.3×
Biopsy Breast Open Incisional (19101) $650 $650 0.2×
Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) $310 $310 0.3×
Biopsy muscle deep (20205) $601 $601 0.2×
Biopsy muscle percutaneous needle (20206) $443 $443 0.3×
Biopsy Muscle Superficial (20200) $430 $430 0.3×
Biopsy of epididymis (54800) $252 $252 0.1×
Biopsy of floor of mouth (41108) $341 $341 0.2×
Biopsy of lip (40490) $249 $249 1.0×
Biopsy of mouth lesion (40808) $344 $344 0.6×
Biopsy of ovary(s) (58900) $883 $883 0.3×
Biopsy of tongue (41100) $381 $381 0.7×
Biopsy of uterus lining (58100) $204 $204 1.0×
Biopsy or excision of lymph node(s); open, superficial (38500) $667 $667 0.2×
Biopsy Salivary Gland Incisional (42405) $620 $620 0.4×
Biopsy soft tissue leg/ankle area superficial (27613) $515 $515 0.3×
Biopsy soft tissue neck/thorax (21550) $541 $541 0.3×
Biopsy soft tissue thigh/knee area superficial (27323) $557 $557 0.3×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $526 $526 0.3×
Biopsy Vaginal Mucosa Extensive (57105) $359 $359 0.1×
Biopsy/removal lymph nodes (38525) $866 $866 0.2×
Biopsy/removal lymph nodes (38510) $1,056 $1,056 0.3×
Bladder Instillation Anticarcinogenic Agent (51720) $582 $582 0.8×
Bladder Irrigation Simple (51700) $155 $155 0.6×
Bladder Scan (51798) $116.50 $116.50 1.9×
Blepharoplasty lower eyelid (15820) $1,192 $1,192 0.6×
Blood transfusion service (36430) $1,095 $1,095 2.4×
Bone marrow aspiration only (38220) $321 $321 0.2×
Bone Marrow Biopsy (38221) $332 $332 0.2×
Bronchoscopy W/Biopsy(S) (31625) $709 $709 0.4×
Bx abdl/retroperitoneal mass prq needle (49180) $353 $353 0.2×
Bx anorectal wall anal approach (45100) $610 $610 0.2×
Bx breast 1st lesion us imag (19083) $3,009 $3,009 1.8×
Bx breast needle core w/o imaging guidance spx (19100) $295 $295 0.2×
Bx/exc lymph node needle superficial (38505) $353 $353 0.2×
Bx/Exc Lymph Node Opn Dp Crv Node W/Exc Fat Pad (38520) $928 $928 0.2×
Catheter Aspiration Nasotracheal Spx (31720) $312 $312 1.4×
Cautery Cervix Cryocautery Initial or Repeat (57511) $404 $404 1.3×
Cautery Cervix Electro/Thermal (57510) $338 $338 0.1×
Chemical Cautery Tissue (17250) $176 $176 0.8×
Chemical exfoliation for acne (17360) $251 $251 1.2×
Chest tube placement (32551) $304 $304 0.2×
Chg Collect Blood From Catheter Venous Nos (36592) $148 $148 1.1×
Circum 28 days or older (54161) $401 $401 0.2×
Circumcision (54150) $301 $301 0.1×
Claviculectomy; partial (23120) $1,191 $1,191 0.4×
Closed Rx Acetabular Fx,Manipulatn (27222) $1,956 $1,956 7.6×
Closed Rx Gr Tuberosity Hum Fx (23620) $567 $567 2.2×
Closed Rx Humeral Supracondylar Fx (24530) $798 $798 3.1×
Closed Rx Med Malleolus Fx (27760) $697 $697 2.7×
Closed Rx Med Malleolus Fx,Manip (27762) $1,005 $1,005 0.6×
Closed Rx Mid Humerus Fx,Manipulatn (24505) $1,041 $1,041 0.6×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $1,069 $1,069 0.6×
Closed Rx Radial Shaft Fx (25500) $597 $597 2.3×
Closed Rx Shldr Disloc,Gr Tub Fx (23665) $900 $900 0.5×
Closed Rx Tibia Shaft Fx (27750) $724 $724 2.8×
Closed Rx Tibial Plateau Fx (27530) $643 $643 2.5×
Closed Rx Trauma Hip Disloc,Anesth (27252) $1,496 $1,496 0.9×
Closed Rx Trimalleolar Fx (27816) $692 $692 2.7×
Closed Treat Vert Body Fract (22310) $629 $629 2.5×
Closed Treatment Coccygeal Fracture (27200) $393 $393 1.5×
Closed treatment nasal fracture w/stabilization (21320) $438 $438 0.1×
Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) $737 $737 2.9×
Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) $695 $695 2.7×
Closed treatment of talus fracture; without manipulation (28430) $500 $500 2.0×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,023 $1,023 4.0×
Closed Treatment Sesamoid Fracture (28530) $245 $245 1.0×
Closed Treatment Sternum Fracture (21820) $310 $310 1.2×
Closed Treatment Ulnar Styloid Fracture (25650) $688 $688 2.7×
Closed tx ankle dislocation w/o anesthesia (27840) $794 $794 3.1×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $978 $978 0.6×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $702 $702 2.7×
Closed tx calcaneal fracture w/o manipulation (28400) $517 $517 2.0×
Closed tx carpal scaphoid fracture w/manj (25624) $1,017 $1,017 0.6×
Closed tx femoral fracture prox head w/o manj (27267) $900 $900 0.3×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $1,064 $1,064 4.2×
Closed tx knee dislocation w/anesthesia (27552) $1,284 $1,284 0.8×
Closed tx knee dislocation w/o anesthesia (27550) $1,048 $1,048 4.1×
Closed Tx Lunate Dislocation W/Manipulation (25690) $1,007 $1,007 0.6×
Closed tx metatarsal fracture w/o manipulation (28470) $456 $456 1.8×
Closed tx nasal fracture w/o stabilization (21315) $308 $308 0.2×
Closed tx patellar dislocation w/anesthesia (27562) $999 $999 3.9×
Closed tx patellar dislocation w/o anesthesia (27560) $774 $774 3.0×
Closed tx patellar fracture w/o manipulation (27520) $680 $680 2.7×
Closed tx radial head/neck fx w/manipulation (24655) $933 $933 0.6×
Closed tx radial head/neck fx w/o manipulation (24650) $554 $554 2.2×
Closed tx radial shaft fracture w/manipulation (25505) $1,050 $1,050 0.6×
Closed tx scapular fracture w/o manipulation (23570) $490 $490 1.9×
Closed tx septal&nose fx (21337) $848 $848 0.2×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $825 $825 3.2×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $285 $285 1.1×
Closed tx ulnar fracture prox end w/o manipulate (24670) $612 $612 2.4×
Closed tx ulnar shaft fracture w/o manipulation (25530) $556 $556 2.2×
Closure of gastrostomy surgical (43870) $1,386 $1,386 0.3×
Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) $455 $455 1.9×
Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) $1,236 $1,236 0.4×
Clsd tx acromioclavicular dislc w/manipulation (23545) $749 $749 2.9×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $498 $498 1.9×
Clsd tx clavicular fracture w/manipulation (23505) $746 $746 0.4×
Clsd tx clavicular fracture w/o manipulation (23500) $467 $467 1.8×
Clsd tx shoulder dislc w/manipulation req anes (23655) $835 $835 0.5×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $691 $691 2.7×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,002 $1,002 0.6×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $490 $490 1.9×
Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) $869 $869 3.4×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $729 $729 2.8×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $955 $955 0.6×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $1,064 $1,064 4.2×
Cltx dstl fibular fx lat malls w/manj (27788) $879 $879 3.4×
Cltx dstl fibular fx lat malls w/o manj (27786) $655 $655 2.6×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $666 $666 2.6×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $395 $395 1.5×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $710 $710 2.8×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,111 $1,111 0.7×
Cltx fem fx dstl end medial/lat condyle w/manj (27510) $1,369 $1,369 0.8×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $1,074 $1,074 4.2×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $993 $993 3.9×
Cltx fx grt toe phlx/phlg w/o manj (28490) $296 $296 1.2×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $345 $345 1.3×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $254 $254 1.0×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,115 $1,115 0.7×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $657 $657 2.6×
Cltx greater trochanteric fx w/o manj (27246) $797 $797 3.1×
Cltx hip dislocation traumatic w/o anesthesia (27250) $349 $349 1.4×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $952 $952 0.6×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $257 $257 1.0×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $1,901 $1,901 1.1×
Cltx iphal jt dislc w/manj w/o anes (26770) $603 $603 2.4×
Cltx metacarpal fx w/manipulation each bone (26605) $689 $689 2.7×
Cltx metacarpal fx w/o manipulation each bone (26600) $632 $632 2.5×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $706 $706 2.8×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $353 $353 0.2×
Cltx metatarsophlngl jt dislc w/o anes (28630) $317 $317 1.2×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $712 $712 2.8×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $423 $423 1.7×
Cltx Post Hip Arthrp Dislc Req Anes (27266) $1,175 $1,175 0.7×
Cltx prox fibula/shft fx w/o manj (27780) $646 $646 2.5×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $969 $969 0.6×
Cltx prox tibfib jt dislc req anes (27831) $838 $838 0.2×
Cltx prox tibfib jt dislc w/o anes (27830) $807 $807 3.2×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $216 $216 0.8×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,278 $1,278 0.8×
Cltx sprcndylr/trnscndylr fem fx w/manj (27503) $1,602 $1,602 1.0×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $413 $413 1.6×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $1,096 $1,096 0.7×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,014 $1,014 0.6×
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265)
unusually low: confirm this is the full procedure		 $1,751 $1,751 0.3×
Coccygectomy Primary (27080) $1,011 $1,011 0.3×
Colonoscopy flex w/rem forcep (45384) $1,095 $1,095 0.9×
Colonoscopy stoma w/snare (44394) $885 $885 0.7×
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282)
likely a partial charge, not the full procedure		 $1,399 $1,399 0.2×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $340 $340 1.1×
Colposcopy cervix upper/adjacent vagina (57452) $256 $256 1.2×
Colposcopy cervix vag eltrd conization cervix (57461) $705 $705 0.2×
Colposcopy cervix vag loop eltrd bx cervix (57460) $633 $633 0.2×
Colposcopy,Cervix W/Adj Vagina, Curettag (57456) $308 $308 1.0×
Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) $1,363 $1,363 1.1×
Complex Drainage, Wound (10180) $525 $525 0.2×
Conization of cervix (57520) $716 $716 0.2×
Conization of cervix (57522) $614 $614 0.2×
Control Nasal Hemorrhage Anterior Complex (30903) $491 $491 3.6×
Control Nasal Hemorrhage Anterior Simple (30901) $315 $315 2.3×
Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy);simple, with posterior nasal packs,… (42970) $838 $838 3.4×
Control Oropharyngeal Hemorrhage Simple (42960) $326 $326 0.6×
Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132)
likely a partial charge, not the full procedure		 $3,302 $3,302 0.2×
Cryotherapy of skin (17340) $107 $107 1.7×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $705 $705 5.1×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $757 $757 3.1×
Curettage postpartum (59160) $537 $537 0.2×
Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860)
likely a partial charge, not the full procedure		 $1,497 $1,497 0.2×
Cystoscopy and treatment (52290) $487 $487 0.2×
Cystoscopy,Dil Urethral Stricture (52281) $661 $661 0.3×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) (51045) $1,000 $1,000 0.5×
Cystotomy/cystostomy fulg&/insj radact matrl (51020) $959 $959 0.3×
Cystourethroscopy (52000) $485 $485 0.7×
Cystourethroscopy, with internal urethrotomy; female Other Surgical Services (52270) $851 $851 0.4×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $121 $121 0.3×
Debride Assoc Open Fx/Disloc Skin/Subq (11010) $898 $898 1.2×
Debride nail 1-5 (11720) $67 $67 1.1×
Debride nail 6 or more (11721) $91 $91 1.5×
Debridement subcutaneous tissue 20 sq cm/< (11042) $263 $263 0.6×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $469 $469 0.6×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $626 $626 0.4×
Declot vascular device (36593) $597 $597 1.7×
Decompression; unspecified nerve(s) (specify) (64722) $743 $743 0.4×
Delivery placenta separate procedure (59414) $171 $171 0.1×
Destroy internal hemorrhoids (46930) $439 $439 0.4×
Destruc Benign/Premal,15+ Lesions (17004) $341 $341 0.8×
Destruction anal lesion(s) (46924) $1,124 $1,124 0.4×
Destruction benign lesions 15 or more (17111) $271 $271 1.3×
Destruction Benign Lesions Up To 14 (17110) $232 $232 1.1×
Destruction by neurolytic agent, intercostal nerve (64620) $428 $428 0.5×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $515 $515 0.6×
Destruction Lesions Vulva Simple (56501) $391 $391 0.2×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $368 $368 1.8×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $421 $421 2.0×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $497 $497 1.2×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $288 $288 1.4×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $306 $306 1.5×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $340 $340 1.6×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $204 $204 1.0×
Destruction premalignant lesion 1st (17000) $138 $138 0.7×
Destruction vaginal lesions simple (57061) $340 $340 0.1×
Diagnostic sigmoidoscopy (45330) $379 $379 0.4×
Dilate Urethra Stricture (53600) $180 $180 0.7×
Dilation & curettage dx&/ther nonobstetric (58120) $603 $603 0.2×
Dilation of anal sphincter (45905) $342 $342 0.3×
Dilation of cervical canal (57800) $157 $157 0.0×
Dilation of female urethra including suppository and/or instillation; initial (53660) $154 $154 1.2×
Dilation of salivary duct (42650) $151 $151 0.1×
Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) $174 $174 1.3×
Dissection, deep jugular node(s) (38542)
likely a partial charge, not the full procedure		 $1,052 $1,052 0.2×
Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130)
likely a partial charge, not the full procedure		 $1,587 $1,587 0.3×
Division of fallopian tube (58600) $748 $748 0.2×
Drain Ext Ear Absc/Blood,Complic (69005) $445 $445 0.3×
Drainage External Ear Abscess/Hematoma Simple (69000) $377 $377 0.5×
Drainage Finger Abscess Simple (26010) $696 $696 3.3×
Drainage of deep rectal abscess (45020) $1,134 $1,134 0.4×
Drainage of hematoma/fluid (10140) $345 $345 0.2×
Drainage of hydrocele (55000) $244 $244 0.3×
Drainage of lymph node abscess or lymphadenitis; extensive (38305) $975 $975 0.3×
Drainage of lymph node abscess or lymphadenitis; simple (38300) $674 $674 0.2×
Drainage of pelvic abscess (45000) $859 $859 0.7×
Drainage of salivary gland (42305) $882 $882 0.3×
Drainage of scrotal wall abscess (55100) $469 $469 0.3×
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) $865 $865 0.3×
Draw blood off venous device (36591) $172 $172 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $394 $394 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $317 $317 1.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $173 $173 0.8×
Dstrj lesion anus simple chemical (46900) $489 $489 1.2×
Dstrj lesion anus simple surg excision (46922) $632 $632 0.2×
Dstrj lesion anus smpl eltrdsiccation (46910) $534 $534 0.2×
Dstrj lesion penis simple surg excision (54060) $401 $401 0.2×
Egd flexible foreign body removal (43247) $783 $783 0.8×
Egd rem tumr/polyp forcep (43250) $920 $920 0.5×
Egd remove lesion snare (43251) $1,014 $1,014 0.5×
Endocervical Curettage (57505) $314 $314 0.3×
Enterorrhaphy single perforation (44602) $2,716 $2,716 0.7×
Episiotomy or vaginal repair (59300) $450 $450 0.1×
Escharotomy initial incision (16035) $389 $389 0.9×
Evacuation of subungual hematoma (11740) $118 $118 0.9×
Exc arm/elbow les sc 3 cm/> (24071) $807 $807 0.3×
Exc arm/elbow les sc < 3 cm (24075) $1,065 $1,065 0.6×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $418 $418 0.2×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $482 $482 0.3×
Exc coccygeal pressure ulcer (15920) $1,250 $1,250 0.4×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $293 $293 0.4×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $463 $463 0.3×
Exc foot/toe tum sc < 1.5 cm (28043) $783 $783 0.5×
Exc forearm les sc < 3 cm (25075) $1,044 $1,044 0.6×
Exc hand les sc < 1.5 cm (26115) $1,113 $1,113 0.6×
Exc hydrocele sprmatic cord uni spx (55500) $793 $793 0.2×
Exc ischial pressure ulcer w/primary suture (15940) $1,404 $1,404 0.5×
Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) $441 $441 0.1×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $862 $862 0.5×
Exc neck tum deep < 5 cm (21556) $1,061 $1,061 0.4×
Exc parotid tumor or gland lateral lobe w/dissec. preserve facial nerve 42415 (42415)
unusually low: confirm this is the full procedure		 $2,140 $2,140 0.3×
Exc Sacr Press Ulc Bone & Suture (15933) $1,728 $1,728 0.6×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $326 $326 0.4×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $318 $318 0.8×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $350 $350 0.5×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $402 $402 0.5×
Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) $575 $575 0.3×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $453 $453 0.3×
Exc Skin Benig >4 Cm Face,Facial (11446) $779 $779 0.3×
Exc Skin Benig >4 Cm Remaindr Body (11426) $663 $663 0.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $641 $641 0.4×
Exc Skin Malig 2.1-3 Cm Face,Facial (11643) $639 $639 0.4×
Exc Skin Malig >4 Cm Face,Facial (11646) $1,016 $1,016 0.3×
Exc Skin Malig >4 Cm Remaindr Body (11626) $817 $817 0.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $901 $901 0.5×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $431 $431 0.3×
Exc tr-ext b9+marg 0.5 cm or less (11400) $261 $261 0.4×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $1,097 $1,097 0.4×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $1,119 $1,119 0.4×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $872 $872 0.5×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $1,242 $1,242 0.4×
Excis Tendon Sheath Lesion, Hand/Finger (26160) $1,245 $1,245 0.7×
Excise parotid gland/lesion (42410)
likely a partial charge, not the full procedure		 $1,274 $1,274 0.2×
Excise/repair mouth lesion (40812) $564 $564 0.4×
Excision brach clft cyst,superficial (42810) $795 $795 0.2×
Excision Breast Lesion (19125) $1,133 $1,133 0.3×
Excision Chalazion Single (67800) $264 $264 0.8×
Excision external ear partial simple repair (69110) $954 $954 0.3×
Excision h/p/p/u simple/intermediate repair (11470) $913 $913 0.3×
Excision hidradenitis axillary complex repair (11451) $1,050 $1,050 0.3×
Excision hidradenitis inguinal smpl/intrm rpr (11462) $838 $838 0.3×
Excision Lingual Frenum Frenectomy (41115) $530 $530 0.3×
Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) $401 $401 0.5×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $466 $466 0.6×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $499 $499 1.2×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $567 $567 0.8×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $631 $631 0.9×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $414 $414 0.6×
Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) $482 $482 0.7×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $545 $545 0.7×
Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) $787 $787 0.5×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $403 $403 0.2×
Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) $467 $467 0.6×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $516 $516 0.7×
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) $602 $602 0.4×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $683 $683 0.4×
Excision Multiple External Papillae/Tags Anus (46230) $630 $630 0.2×
Excision of bartholin's gland or cyst (56740) $634 $634 0.2×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $355 $355 0.5×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $393 $393 0.5×
Excision of ganglion, wrist (dorsal or volar); recurrent (25112) $800 $800 0.5×
Excision of hydrocele; unilateral (55040) $690 $690 0.2×
Excision of lesion of tongue without closure (41110) $467 $467 0.1×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $365 $365 0.2×
Excision of lesion other than skin tag </= 0.5 cm (11420) $259 $259 0.2×
Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) $951 $951 0.6×
Excision Of Lip; Transverse Wedge Excision With Primary Closure (40510) $996 $996 0.3×
Excision of local lesion of epididymis (54830) $760 $760 0.2×
Excision of nail fold toe (11765) $340 $340 0.8×
Excision of pilonidal cyst or sinus; simple (11770) $708 $708 0.2×
Excision of rib partial (21600)
likely a partial charge, not the full procedure		 $1,127 $1,127 0.1×
Excision of single external papilla or tag, anus (46220) $506 $506 0.4×
Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair (11463) $1,066 $1,066 0.4×
Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) $861 $861 0.3×
Excision of spermatocele, with or without epididymectomy (54840) $657 $657 0.3×
Excision of sublingual salivary cyst (ranula) (42408) $1,105 $1,105 0.3×
Excision of submandibular (submaxillary) gland (42440)
likely a partial charge, not the full procedure		 $846 $846 0.1×
Excision of tongue lesion (41112) $689 $689 0.2×
Excision of vaginal cyst or tumor (57135) $501 $501 0.1×
Excision olecranon bursa (24105) $739 $739 0.2×
Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) $1,172 $1,172 0.3×
Excision pilonidal cyst/sinus complicated (11772) $1,539 $1,539 0.5×
Excision Synovial Cyst Popliteal Space (27345) $987 $987 0.3×
Excision tumor soft tissue thigh/knee subq <3cm (27327) $1,005 $1,005 0.6×
Excision, interdigital (Morton) neuroma, single, each (28080) $1,088 $1,088 0.7×
Excision, lesion of tendon sheath, forearm and/or wrist (25110) $709 $709 0.4×
Excision, nasal polyp(s), simple (30110) $506 $506 0.3×
Excision, sacral pressure ulcer, with primary suture; (15931) $1,387 $1,387 0.5×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $757 $757 0.4×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $1,035 $1,035 0.6×
Excision/curettage cyst/tumor talus/calcaneus (28100) $1,239 $1,239 0.4×
Excision/fulguration urethral prolapse (53275) $531 $531 0.1×
Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) $859 $859 0.5×
Explo/Drain Breast Abscess (19020) $938 $938 0.5×
Exploration of knee joint (27310) $1,472 $1,472 0.4×
Exploration penetrating wound spx extremity (20103) $1,130 $1,130 0.7×
Explore/treat elbow joint (24101) $1,023 $1,023 0.3×
Explore/treat hand joint (26070) $663 $663 0.4×
Explore/Treat Interphalangeal Jt,Ea (26080) $818 $818 0.5×
Fetal non-stress test (59025) $248 $248 1.2×
Filleted finger/toe flap (14350) $1,384 $1,384 0.6×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $1,352 $1,352 1.8×
Fine needle aspiration without imaging guidance (10021) $205 $205 0.5×
Fitting of diaphragm/cap (57170) $156 $156 0.7×
Fixation of shoulder (23700) $395 $395 0.2×
Fluoro exam of g/colon tube (49465) $479 $479 1.9×
Fth/gft free w/direct closure trunk 20 cm/< (15200) $1,689 $1,689 0.8×
Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) $2,636 $2,636 0.7×
Gastrostomy opn w/o constj gstr tube spx (43830) $1,375 $1,375 0.7×
Hemiarthroplasty Hip Partial (27125)
likely a partial charge, not the full procedure		 $2,250 $2,250 0.2×
Hemorrhoidectomy (46255) $1,044 $1,044 0.4×
Hemorrhoidectomy external complete (46250) $961 $961 0.3×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy (46261) $1,069 $1,069 0.4×
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) $848 $848 0.3×
Hysteroscopy biopsy (58558) $2,661 $2,661 0.8×
I&D Abscess Peritonsillar (42700) $391 $391 1.6×
I&d abscess simple (10060) $259 $259 1.2×
I&d below fascia foot 1 bursal space (28002) $502 $502 0.3×
I&D Deep Absc/Hematoma Neck/Chest (21501) $983 $983 0.3×
I&d epididymis tstis&/scrotal space (54700) $432 $432 0.2×
I&d perianal abscess superficial (46050) $477 $477 0.5×
I&d pilonidal cyst simple (10080) $507 $507 0.7×
I&D Rectal Abscess + Fistulectomy (46060) $978 $978 0.3×
I&d submucosal abscess rectum (45005) $628 $628 0.5×
I&d thyroglossal duct cyst infected (60000) $380 $380 0.2×
I&D Upper Arm/Elbow Bursa (23931) $613 $613 0.4×
I&d upper arm/elbow deep abscess/hematoma (23930) $721 $721 0.2×
Immediate breast prosthesis (19340)
likely a partial charge, not the full procedure		 $1,513 $1,513 0.2×
Incise finger tendon sheath (26055) $1,193 $1,193 0.7×
Incision & drainage abscess complicated/multiple (10061) $436 $436 1.0×
Incision & drainage pilonidal cyst complicated (10081) $692 $692 0.9×
Incision & removal foreign body subq tiss compl (10121) $536 $536 0.3×
Incision & removal foreign body subq tiss simple (10120) $310 $310 0.7×
Incision and drainage of abscess of pelvis (57010) $924 $924 0.3×
Incision and drainage of bartholin's gland abscess (56420) $377 $377 1.8×
Incision and drainage of vulva or perineal abscess (56405) $297 $297 0.9×
Incision labial frenum frenotomy (40806) $202 $202 0.4×
Incision of lingual frenum (41010) $439 $439 0.3×
Incision of lymph channels (38308) $926 $926 0.2×
Incision of rectal abscess (46045) $879 $879 0.3×
Incision of rectal abscess (46040) $1,109 $1,109 0.9×
Incision of urethra (53000) $302 $302 0.1×
Incision of urethra (53020) $194 $194 0.1×
Incision thrombosed hemorrhoid external (46083) $419 $419 1.6×
Incision&drainage bursa foot (28001) $350 $350 0.2×
Induced abortion by d&c (59840) $489 $489 0.1×
Inguinofem Lmphadec Supfc W/Cloquets Nod (38760)
likely a partial charge, not the full procedure		 $1,653 $1,653 0.2×
Initial tx 1st degree burn local tx (16000) $161 $161 0.8×
Inj tendon sheath/ligament (20550) $117 $117 0.4×
Inject Anes/Steroid Plantar Common Digital Nerve (64455) $103 $103 0.3×
Inject Nerv Blck,Ilioingu/Iliohyp (64425) $225 $225 0.3×
Inject Nerv Blck,Intercost,Multpl (64421) $68 $68 0.1×
Inject Nerv Blck,Intercostal,One (64420) $200 $200 0.3×
Inject Nerv Blck,Pudendal (64430) $199 $199 0.2×
Inject Rx Celiac Plexus Nerve (64680) $694 $694 0.8×
Inject Tendon Origin/Insert (20551) $117 $117 0.4×
Injection aa&/strd trigeminal nerve each branch (64400) $225 $225 0.7×
Injection anes other peripheral nerve/branch (64450) $152 $152 0.2×
Injection single/mlt trigger point 1/2 muscles (20552) $107 $107 0.3×
Injection single/mlt trigger point 3/> muscles (20553) $123 $123 0.4×
Injection therapeutic carpal tunnel (20526) $165 $165 0.5×
Injection(s) spider veins (36468) $326 $326 0.8×
Injection, anesthetic agent; greater occipital nerve (64405) $148 $148 0.5×
Injection, anesthetic agent; paracervical (uterine) nerve (64435) $161 $161 0.2×
Injection, anesthetic agent; sphenopalatine ganglion (64505) $286 $286 0.9×
Injection, Intralesional; More Than 7 Lesions (11901) $143 $143 0.7×
Injection, intralesional; up to and including 7 lesions (11900) $117 $117 0.6×
Insert cervical dilator (59200) $207 $207 0.7×
Insert Drug Implant Device (11981) $201 $201 1.5×
Insert non-tunnel cv cath (36556) $428 $428 0.1×
Insert pessary/other device (57160) $150 $150 0.7×
Insert picc cath (36569) $186 $186 0.1×
Insert Temp Bladder Cath (51702) $126 $126 0.9×
Insert,Non-Indwelling Bladder Catheter (51701) $90 $90 0.7×
Insertion of tunneled intraperitoneal catheter for dialysis, open (49421) $434 $434 0.1×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $2,473 $2,473 0.8×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure		 $308 $308 0.0×
Intraoral i&d tongue/floor lingual (41000) $296 $296 0.5×
Intraoral I&D Tongue/Floor Sublngl Supfc (41005) $463 $463 1.9×
Intubation endotracheal emergency procedure (31500) $531.50 $531.50 2.2×
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure		 $1,178 $1,178 0.2×
Laparoscopy Remove Adnexa (58661)
likely a partial charge, not the full procedure		 $1,308 $1,308 0.2×
Laparoscopy Tubal Cautery (58670)
likely a partial charge, not the full procedure		 $749 $749 0.1×
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
likely a partial charge, not the full procedure		 $646 $646 0.1×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure		 $1,431 $1,431 0.2×
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure		 $736 $736 0.1×
Laps vaginal hysterectomy uterus 250 gm/< (58550)
likely a partial charge, not the full procedure		 $1,772 $1,772 0.3×
Laryngoscopy Flexible Diagnostic (31575) $261 $261 1.3×
Laryngoscopy Indirect Diagnostic Spx (31505) $182 $182 0.9×
Laryngoscopy,Direct,Diagnostic (31525) $507 $507 0.3×
Late closure of wound (13160) $1,591 $1,591 0.4×
Lengthening or shortening of tendon, leg or ankle; multiple tendons (through same incision), each Other Surgical… (27686) $1,083 $1,083 0.3×
Ligation of hemorrhoid(s) (46221) $574 $574 0.6×
Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) $685 $685 0.2×
Liver Biopsy (47000) $604 $604 0.4×
Marsup Bartholin Gland Cyst (56440) $366 $366 0.1×
Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) $506 $506 0.3×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $80 $80 0.2×
Nipple exploration (19110) $968 $968 0.2×
Njx Sclrsnt 1 Incmptnt Vein (36470) $231 $231 0.5×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $399 $399 0.9×
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure		 $1,564 $1,564 0.2×
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure		 $1,537 $1,537 0.2×
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure		 $1,223 $1,223 0.2×
Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236)
unusually low: confirm this is the full procedure		 $2,373 $2,373 0.3×
Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515)
likely a partial charge, not the full procedure		 $1,766 $1,766 0.1×
Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823)
likely a partial charge, not the full procedure		 $1,976 $1,976 0.3×
Open Tx Distal Phalangeal Fracture Each (26765) $1,029 $1,029 0.3×
Ovarian cystectomy (58925)
likely a partial charge, not the full procedure		 $1,533 $1,533 0.3×
Partial excision of lip (40520) $1,021 $1,021 0.3×
Partial hymenectomy or revision of hymenal ring (56700) $411 $411 0.1×
Partial removal of thyroid (60220)
likely a partial charge, not the full procedure		 $1,409 $1,409 0.2×
Pelvic exam under anesthesia (57410) $212 $212 0.1×
Percut Drain/Inject Renal Cyst (50390) $189 $189 0.3×
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235)
likely a partial charge, not the full procedure		 $1,810 $1,810 0.2×
Preputial Stretching (54450) $140 $140 0.5×
Proctosgmdsc Rigid Control Bleeding (45317) $445 $445 0.4×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $424 $424 0.1×
Proctosigmoidoscopy (45303) $1,891 $1,891 1.5×
Proctosigmoidoscopy removal (45315) $451 $451 0.4×
Proctosigmoidoscopy w/bx (45305) $364 $364 0.3×
Proctosigmoidoscopy, rigid; with decompression of volvulus (45321) $200 $200 0.1×
Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) $258 $258 0.3×
Punch biopsy skin single lesion (11104) $254 $254 0.6×
Puncture Aspiration (10160) $264 $264 0.6×
Puncture Aspiration Cyst Breast (19000) $550 $550 0.7×
Reconstruction of nail bed with graft (11762) $587 $587 0.3×
Reduce testis torsion (54600) $923 $923 0.3×
Reduction of Large Breast (19318)
unusually low: confirm this is the full procedure		 $2,177 $2,177 0.3×
Reforearm tend/musc,exten,second (25272) $1,133 $1,133 0.3×
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342)
likely a partial charge, not the full procedure		 $1,556 $1,556 0.2×
Removal Anal Seton Other Marker (46030) $511 $511 0.4×
Removal Cyst Hygroma Neurovasc Diss (38555)
likely a partial charge, not the full procedure		 $1,999 $1,999 0.3×
Removal fb intranasal (30300) $427 $427 3.1×
Removal Foreign Body Deep Thigh/Knee (27372) $1,177 $1,177 0.4×
Removal Foreign Body Foot Complicated (28193) $1,065 $1,065 0.6×
Removal foreign body foot deep (28192) $937 $937 0.5×
Removal foreign body foot subcutaneous (28190) $490 $490 0.7×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $442 $442 0.3×
Removal foreign body pharynx (42809) $420 $420 0.9×
Removal foreign body, intranasal; requiring general anesthesia (30310) $424 $424 0.1×
Removal impacted cerumen irrigation/lvg unilat (69209) $31 $31 0.5×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $97 $97 1.6×
Removal impacted vag fb spx w/anes oth/thn local (57415) $356 $356 0.1×
Removal Implant Deep (20680) $1,210 $1,210 0.4×
Removal Implant Superficial Separate Procedure (20670) $719 $719 0.4×
Removal Implantable Contraceptive Capsules (11976) $292 $292 0.4×
Removal of adenoids (42831) $474 $474 0.1×
Removal of adenoids (42830) $436 $436 0.1×
Removal of anal fissure (46200) $961 $961 0.3×
Removal of arm foreign body (24200) $444 $444 0.3×
Removal of bone lesion (23140) $1,123 $1,123 0.3×
Removal of intrauterine device (iud) (58301) $222 $222 0.7×
Removal of knee cartilage (27332) $1,303 $1,303 0.4×
Removal of nail bed (11750) $330 $330 0.8×
Removal of nose lesion (30124) $622 $622 0.4×
Removal of nose polyp(s) (30115) $950 $950 0.3×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $189 $189 0.9×
Removal of sperm cord lesion (55520) $903 $903 0.2×
Removal of testis (54520) $667 $667 0.2×
Removal of tonsils (42825)
likely a partial charge, not the full procedure		 $550 $550 0.1×
Removal of tonsils (42826) $523 $523 0.2×
Removal/bivalving full arm/full leg cast (29705) $128 $128 0.4×
Remove anal fist subq (46270) $1,071 $1,071 0.4×
Remove by ligat int hem grp (46945) $688 $688 0.2×
Remove cervix/repair vagina (57555)
likely a partial charge, not the full procedure		 $1,247 $1,247 0.2×
Remove drug implant device (11982) $222 $222 0.5×
Remove Eyelid Foreign Body (67938) $549 $549 1.7×
Remove foreign body from eye (65210) $79 $79 0.2×
Remove in/ex hem groups 2+ (46260) $963 $963 0.3×
Remove in/ex hem grp w/fistu (46258) $951 $951 0.3×
Remove in/ex hem grps w/fist (46262) $1,152 $1,152 0.4×
Remove Pilonidal Cyst Exten (11771) $1,255 $1,255 0.4×
Remove shoulder foreign body (23330) $607 $607 0.4×
Remove skin nerve lesion (64774) $860 $860 0.4×
Remove wrist tendon lesion (25111) $668 $668 0.4×
Remv Ext Canal Foreign Body (69200) $162 $162 1.2×
Remv F.B.,Eye,Superf Conjunc (65205) $58 $58 0.4×
Remv for.body deep penile tiss (54115) $935 $935 0.3×
Renal biopsy (50200) $1,029 $1,029 0.6×
Repair collat ankle ligmnt,secondary (27698)
likely a partial charge, not the full procedure		 $1,294 $1,294 0.2×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $858 $858 1.1×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,007 $1,007 1.3×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $787 $787 1.9×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $956 $956 2.3×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $720 $720 1.7×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $864 $864 2.0×
Repair complex trunk 1.1-2.5 cm (13100) $691 $691 0.9×
Repair complex trunk 2.6-7.5 cm (13101) $805 $805 1.0×
Repair extensor tendon finger w/o graft each (26418) $1,272 $1,272 0.8×
Repair eyelid wound (67930) $756 $756 0.3×
Repair forearm tendon/muscle (25270) $1,006 $1,006 0.3×
Repair forearm tendon/muscle (25260) $1,288 $1,288 0.4×
Repair hand tendon (26410) $1,222 $1,222 0.7×
Repair inguinal hernia, sliding, any age (49525) $1,123 $1,123 0.3×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $1,237 $1,237 0.3×
Repair initial femoral hernia, any age; reducible (49550) $1,131 $1,131 0.3×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $1,151 $1,151 0.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $575 $575 1.4×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $641 $641 1.5×
Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) $1,163 $1,163 2.8×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $738 $738 1.7×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $774 $774 1.8×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,215 $1,215 2.9×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $830 $830 1.1×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $536 $536 1.3×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $631 $631 1.5×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $775 $775 1.0×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $782 $782 1.9×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $534 $534 1.3×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $618 $618 1.5×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $866 $866 1.1×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $679 $679 1.6×
Repair intermediate s/a/t/e >30.0 cm (12037) $971 $971 0.5×
Repair of enterocele, vaginal approach (separate procedure) (57268)
likely a partial charge, not the full procedure		 $1,025 $1,025 0.2×
Repair Of Foot Tendon (28208) $986 $986 0.3×
Repair of hydrocele (55060) $775 $775 0.2×
Repair of nail bed (11760) $376 $376 0.5×
Repair of rectocele (45560) $1,387 $1,387 0.5×
Repair of vagina (57260)
unusually low: confirm this is the full procedure		 $1,567 $1,567 0.3×
Repair rectum & vagina (57250)
likely a partial charge, not the full procedure		 $1,242 $1,242 0.2×
Repair shoulder capsule (23450)
likely a partial charge, not the full procedure		 $1,886 $1,886 0.3×
Repair Tongue Laceration (41250) $570 $570 1.2×
Rerepair fem hernia reduce (49555) $1,181 $1,181 0.3×
Rerepair ing hernia blocked (49521)
likely a partial charge, not the full procedure		 $1,398 $1,398 0.2×
Rerepair ing hernia reduce (49520) $1,238 $1,238 0.3×
Revise hernia & sperm veins (55540) $1,086 $1,086 0.3×
Revise leg vein (37700) $470 $470 0.1×
Revise median n/carpal tunnel surg (64721) $902 $902 0.4×
Revise ulnar nerve at wrist (64719) $827 $827 0.4×
Revise Urethra, 1st Stage (53400)
likely a partial charge, not the full procedure		 $1,620 $1,620 0.3×
Revision of cervix (57700) $724 $724 0.2×
Revision of leg vein (37780) $452 $452 0.1×
Revision of tracheostomy scar (31830) $1,009 $1,009 0.3×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $123 $123 0.3×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $139 $139 1.0×
Rmvl fecal impaction/fb spx under anes (45915) $709 $709 0.6×
Rmvl foreign body muscle/tendon sheath deep/comp (20525) $932 $932 0.3×
Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) $284 $284 0.6×
Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500)
likely a partial charge, not the full procedure		 $820 $820 0.1×
Rpr blood vessel direct lower extremity (35226) $1,568 $1,568 2.1×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696)
likely a partial charge, not the full procedure		 $1,122 $1,122 0.1×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $596 $596 0.6×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $611 $611 0.5×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $235 $235 1.1×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $368 $368 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $214 $214 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $250 $250 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $282 $282 1.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $298 $298 0.7×
Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) $204 $204 0.5×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $278 $278 1.3×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $316 $316 0.7×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $247 $247 1.2×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $308 $308 0.7×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $279 $279 1.3×
Sigmoidoscopy flx w/biopsy single/multiple (45331) $586 $586 0.6×
Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) $672 $672 0.7×
Sigmoidoscopy w/fb removal (45332) $565 $565 0.5×
Simple drainage of abscess of saliva gland (42300) $438 $438 0.3×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $435 $435 1.0×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $225 $225 1.1×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $234 $234 1.1×
Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) $298 $298 0.7×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $285 $285 1.4×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $344 $344 1.7×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $189 $189 0.9×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $463 $463 2.2×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $266 $266 1.3×
Skin pinch graft (15050) $1,180 $1,180 1.5×
Skin splt grft trnk/arm/leg (15100) $1,736 $1,736 0.8×
Skin tissue rearrangement (14040) $1,548 $1,548 0.7×
Slitting of prepuce (54001) $406 $406 0.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $229 $229 1.1×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $354 $354 0.8×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $408 $408 1.0×
Sphincterotomy (46080) $576 $576 0.2×
Spinal puncture lumbar diagnostic (62270) $291 $291 0.4×
Spinal Puncture Therapeutic (62272) $363 $363 0.5×
Strapping elbow/wrist (29260) $59 $59 1.0×
Strapping hand/finger (29280) $60 $60 1.0×
Strapping shoulder (29240) $61 $61 0.4×
Strapping thorax (29200) $66 $66 0.4×
Strapping unna boot (29580) $129 $129 0.8×
Surgical closure tracheostomy or fistula; without plastic repair (31820) $903 $903 0.3×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $1,137 $1,137 0.4×
Suspension of testis (54640) $872 $872 0.2×
Tangential biopsy skin single lesion (11102) $204 $204 0.5×
Tenolysis flexor foot single tendon (28220) $921 $921 0.6×
Tenolysis flexor tendon palm/finger each tendon (26440) $1,322 $1,322 0.8×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $1,101.50 $1,101.50 1.7×
Thoracentesis needle/cath pleura w/o imaging (32554) $474 $474 0.7×
Thyroid biopsy (60100) $223 $223 0.3×
Thyroidectomy, total or complete (60240)
likely a partial charge, not the full procedure		 $1,815 $1,815 0.3×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $621 $621 0.2×
Total hip arthroplasty (27130)
likely a partial charge, not the full procedure		 $2,543 $2,543 0.2×
Total thyroid lobectomy unilateral (60225)
likely a partial charge, not the full procedure		 $1,868 $1,868 0.3×
Trach Tube Change (31502) $70 $70 0.3×
Tracheostomy Emergency Procedure Transtracheal (31603) $627 $627 0.4×
Tracheostomy planned (31600) $597 $597 0.2×
Treat finger dislocation (26775) $824 $824 2.8×
Treat Finger Fracture Each (26727) $972 $972 0.3×
Treat Fracture Radius & Ulna (25560) $608 $608 2.4×
Treat fracture radius/ulna (25575)
likely a partial charge, not the full procedure		 $1,817 $1,817 0.2×
Treat humerus fracture (24500) $757 $757 3.0×
Treat humerus fracture (24577) $1,145 $1,145 0.7×
Treat humerus fracture (23600) $696 $696 2.7×
Treat knee fracture (27532) $1,263 $1,263 0.4×
Treat Metatarsal Fracture (28475) $544 $544 2.1×
Treat radius fracture (24665)
likely a partial charge, not the full procedure		 $1,331 $1,331 0.2×
Treat Vaginal Bleeding (57180) $402 $402 1.9×
Treat wrist bone fracture (25635) $965 $965 0.6×
Treat wrist bone fracture (25622) $645 $645 2.5×
Treat Wrist Bone Fracture (25630) $639 $639 2.5×
Treatment closed elbow dislocation req anes (24605) $976 $976 0.6×
Treatment closed elbow dislocation w/o anes (24600) $780 $780 3.0×
Treatment of anal fissure (46940) $541 $541 0.2×
Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
unusually low: confirm this is the full procedure		 $2,439 $2,439 0.3×
Treatment of missed abortion, completed surgically; second trimester (59821) $849 $849 0.3×
Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) $442 $442 1.7×
Trim skin lesion (11055) $145 $145 0.7×
Trim skin lesions 2 to 4 (11056) $168 $168 0.8×
Trim skin lesions over 4 (11057) $184 $184 0.9×
Trimming Of Nondystrophic Nails, Any Number (11719) $29 $29 0.5×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $968 $968 0.3×
Tx Incomplete Abortion Any Trimester Surgical (59812) $709 $709 0.2×
Tx Missed Abortion First Trimester Surgical (59820) $865 $865 0.3×
Tx Superficial Wound Dehiscence Simple Closure (12020) $606 $606 0.8×
Tx superficial wound dehiscence w/packing (12021) $358 $358 0.8×
Vag hyst w/enterocele repair (58270)
unusually low: confirm this is the full procedure		 $1,796 $1,796 0.3×
Vaginal delivery only (59409) $1,531 $1,531 0.5×
Vaginal hysterectomy (58260)
unusually low: confirm this is the full procedure		 $1,686 $1,686 0.3×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262)
unusually low: confirm this is the full procedure		 $1,864 $1,864 0.4×
Vasectomy (55250) $683 $683 0.3×
Vbac delivery only (59612) $1,711 $1,711 0.5×
Venipuncture (36415) $30 $30 3.2×
Vulvectomy simple partial (56620) $1,190 $1,190 0.4×
Wedge Rescj/Bisctj Ovary Uni/Bi (58920)
likely a partial charge, not the full procedure		 $1,436 $1,436 0.2×
Windowing of cast (29730) $132 $132 0.8×
Xtrnl Cannula Decltng Spx W/Balo Cath (36861)
likely a partial charge, not the full procedure		 $262 $262 0.0×
Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) $459 $459 0.3×