Procedures & surgery prices at Memorial Medical Center
Port Lavaca, TX · every code in this section with a posted price and a Medicare benchmark.
688 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 2 matching MRF lines |
$509.60–$1,416.10 | $728–$2,023 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 4 matching MRF lines |
$321.30–$1,633.80 | $459–$2,334 | varies |
| Adding Walker Previously Applied Cast (29440) | $91 | $130 | 0.6× |
| Amniocentesis diagnostic (59000) | $665.70 | $951 | 0.7× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $1,275.75 | $1,822.50 | 0.4× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $945.70 | $1,351 | 0.3× |
| Amputation foot transmetarsal (28805) | $1,526.28 | $2,180.40 | 0.5× |
| Amputation toe interphalangeal joint (28825) | $216.30 | $309 | 0.1× |
| Amputation toe metatarsophalangeal joint (28820) | $223.30 | $319 | 0.1× |
| Amputation, leg, through tibia and fibula; (27880) likely a partial charge, not the full procedure |
$1,919.61 | $2,742.30 | 0.3× |
| Anoplasty, plastic operation for stricture; adult Facility (46700) | $1,349.82 | $1,928.31 | 0.5× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$64.40–$174.30 | $92–$249 | varies |
| Anoscopy W/Rmvl Foreign Body (46608) | $447.30 | $639 | 0.5× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $223.84 | $319.77 | 0.1× |
| Anterior colporraphy rpr cystocele w/cysto (57240) | $4,317.60 | $6,168 | 0.9× |
| Appendectomy (44950) likely a partial charge, not the full procedure |
$1,327.73 | $1,896.75 | 0.2× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) | $599.90 | $857 | 3.7× |
| Application cast elbow finger short arm (29075) | $173.60 | $248 | 0.6× |
| Application Finger Splint Dynamic (29131) | $102.20 | $146 | 1.7× |
| Application finger splint static (29130) | $93.10 | $133 | 0.7× |
| Application long arm splint shoulder hand (29105) | $299.60 | $428 | 1.8× |
| Application Long Leg Splint (29505) | $102.20 | $146 | 0.6× |
| Application of long leg cast (29345) | $274.40 | $392 | 1.0× |
| Application of rigid total contact leg cast (29445) range across 2 matching MRF lines |
$124.60–$583.10 | $178–$833 | varies |
| Application Short Arm Splint Dynamic (29126) | $149.80 | $214 | 1.1× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$133.70–$348.60 | $191–$498 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$165.20–$242.90 | $236–$347 | varies |
| Apply hand/wrist cast (29085) | $189.70 | $271 | 1.2× |
| Apply long arm cast (29065) | $192.50 | $275 | 0.7× |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$32.20–$991.20 | $46–$1,416 | varies |
| Apply Short Leg Cast (29405) | $163.80 | $234 | 0.6× |
| Arterial puncture (36600) range across 3 matching MRF lines |
$60.90–$184.80 | $87–$264 | varies |
| Arteriovenous Anastomosis Open Direct (36821) | $1,406.41 | $2,009.16 | 0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 5 matching MRF lines |
$90.30–$887.60 | $129–$1,268 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $1,441.30 | $2,059 | 2.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$54.60–$688.80 | $78–$984 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$69.30–$1,521.80 | $99–$2,174 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$96.60–$907.90 | $138–$1,297 | varies |
| Arthroplasty glenohumeral joint total shoulder (23472) | $32,182.50 | $45,975 | 1.8× |
| Arthroscopy Elbow Surgical Debridement Extensive (29838) | $5,678.40 | $8,112 | 1.7× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) | $5,678.40 | $8,112 | 1.7× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) range across 2 matching MRF lines |
$794.50–$5,678.40 | $1,135–$8,112 | varies |
| Arthroscopy shoulder distal claviculectomy (29824) | $5,678.40 | $8,112 | 1.7× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) | $12,501.30 | $17,859 | 1.7× |
| Arthroscopy, knee, surgical; with lateral release (29873) range across 2 matching MRF lines |
$704.20–$5,678.40 | $1,006–$8,112 | varies |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) | $5,678.40 | $8,112 | 1.7× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) | $12,501.30 | $17,859 | 1.7× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) range across 2 matching MRF lines |
$758.10–$5,678.40 | $1,083–$8,112 | varies |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) | $12,501.30 | $17,859 | 1.7× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) range across 2 matching MRF lines |
$1,327.20–$12,501.30 | $1,896–$17,859 | varies |
| Arthrotomy W/Meniscus Repair Knee (27403) | $12,501.30 | $17,859 | 1.7× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) range across 2 matching MRF lines |
$1,581.30–$22,516.90 | $2,259–$32,167 | varies |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) | $12,501.30 | $17,859 | 1.7× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) range across 2 matching MRF lines |
$845.60–$5,678.40 | $1,208–$8,112 | varies |
| Arthrs knee debridement/shaving artclr crtlg (29877) range across 2 matching MRF lines |
$795.90–$5,678.40 | $1,137–$8,112 | varies |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) range across 2 matching MRF lines |
$722.40–$5,678.40 | $1,032–$8,112 | varies |
| Aspirate pleura w/ imaging (32555) | $1,457.40 | $2,082 | 2.3× |
| Aspirate Pleura W/O Imaging (32554) | $181.30 | $259 | 0.3× |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$121.10–$548.80 | $173–$784 | varies |
| Av fistula revision (36833) unusually low: confirm this is the full procedure |
$1,715.34 | $2,450.49 | 0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 5 matching MRF lines |
$14–$168.70 | $20–$241 | varies |
| Axillary lymphadenectomy; complete (38745) likely a partial charge, not the full procedure |
$1,805.16 | $2,578.80 | 0.3× |
| Biopsy bone trocar/needle deep (20225) | $156.80 | $224 | 0.1× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $105.70 | $151 | 0.1× |
| Biopsy muscle percutaneous needle (20206) | $468.72 | $669.60 | 0.3× |
| Biopsy nail unit (11755) | $75.60 | $108 | 0.1× |
| Biopsy of intestine by capsule, tube, peroral (1 or more specimens) (44100) | $232.91 | $332.73 | 0.3× |
| Biopsy of liver, needle; percutaneous (47000) range across 2 matching MRF lines |
$724.98–$1,803.90 | $1,035.69–$2,577 | varies |
| Biopsy of nerve (64795) | $397.03 | $567.18 | 0.2× |
| Biopsy of rectum (45100) | $616.20 | $880.29 | 0.2× |
| Biopsy ovary uni/bi separate procedure (58900) | $842.46 | $1,203.51 | 0.3× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) | $514.58 | $735.12 | 0.3× |
| Biopsy soft tissue forearm&/wrist superficial (25065) range across 2 matching MRF lines |
$199.50–$510.09 | $285–$728.70 | varies |
| Biopsy soft tissue leg/ankle area superficial (27613) range across 2 matching MRF lines |
$206.50–$504.34 | $295–$720.48 | varies |
| Biopsy soft tissue neck/thorax (21550) range across 2 matching MRF lines |
$196.70–$527.71 | $281–$753.87 | varies |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) | $249.90 | $357 | 0.2× |
| Biopsy Soft Tissue Shoulder Superficial (23065) range across 2 matching MRF lines |
$200.90–$436.70 | $287–$623.85 | varies |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) | $808.75 | $1,155.36 | 0.3× |
| Biopsy soft tissue thigh/knee area superficial (27323) | $215.60 | $308 | 0.1× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) range across 2 matching MRF lines |
$203–$513.26 | $290–$733.23 | varies |
| Biopsy Vaginal Mucosa Simple (57100) range across 3 matching MRF lines |
$14–$161.70 | $20–$231 | varies |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) range across 3 matching MRF lines |
$14–$172.90 | $20–$247 | varies |
| Biopsy/removal lymph nodes (38510) | $1,061.49 | $1,516.41 | 0.3× |
| Bladder Irrigation (51700) | $167.30 | $239 | 0.7× |
| Bladder Scan (51798) | $130.20 | $186 | 2.2× |
| Blepharotomy drainage abscess eyelid (67700) | $239.74 | $342.48 | 0.8× |
| Blood Transfusion Service (36430) | $763.70 | $1,091 | 1.7× |
| Brnchsc Brushing/Protected Brushings (31623) | $666.79 | $952.56 | 0.4× |
| Bx breast needle core w/o imaging guidance spx (19100) | $303.16 | $433.08 | 0.2× |
| Bx Cervix (57500) range across 3 matching MRF lines |
$14–$268.10 | $20–$383 | varies |
| Bx/exc lymph node open deep axillary node (38525) | $896.45 | $1,280.64 | 0.2× |
| Bx/exc lymph node open superficial (38500) | $671.98 | $959.97 | 0.2× |
| Carpal Tunnel Surgery (64721) range across 2 matching MRF lines |
$571.90–$3,417.40 | $817–$4,882 | varies |
| Catheter aspiration nasotracheal spx (31720) | $168 | $240 | 0.8× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) range across 3 matching MRF lines |
$276.50–$290.50 | $20–$415 | varies |
| Change of Windpipe Airway (31502) | $73.50 | $105 | 0.3× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$48.30–$448.70 | $69–$641 | varies |
| Chemodenerv Musc Migraine (64615) | $724.50 | $1,035 | 2.3× |
| Chest tube placement (32551) range across 2 matching MRF lines |
$630–$1,988 | $900–$2,840 | varies |
| Circumcision 28 days or older (54161) | $406.81 | $581.16 | 0.2× |
| Circumcision Neonate (54160) range across 2 matching MRF lines |
$444.11–$504 | $634.44–$720 | varies |
| Circumcision w/clamp/oth dev w/block (54150) | $312.96 | $447.09 | 0.1× |
| Cl Tx Tib Shft Fx W Manip (27752) | $1,057 | $1,510 | 0.7× |
| Claviculectomy partial (23120) | $5,678.40 | $8,112 | 1.7× |
| Clear outer ear canal (69200) | $90.30 | $129 | 0.7× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $855.40 | $1,222 | 3.5× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $1,237.60 | $1,768 | 0.8× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $955.50 | $1,365 | 3.9× |
| Closed Treatment Sesamoid Fracture (28530) | $223.30 | $319 | 0.9× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $623.70 | $891 | 2.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $182 | $260 | 0.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $927.50 | $1,325 | 0.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $284.20 | $406 | 1.1× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) | $757.40 | $1,082 | 3.1× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $389.90 | $557 | 1.6× |
| Closed tx carpal scaphoid fracture w/manj (25624) | $919.80 | $1,314 | 0.6× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $441.70 | $631 | 1.8× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) | $1,015.70 | $1,451 | 4.1× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $1,234.80 | $1,764 | 0.8× |
| Closed tx knee dislocation w/o anesthesia (27550) | $354.20 | $506 | 1.4× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $935.90 | $1,337 | 0.6× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) | $1,178.10 | $1,683 | 2.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $270.20 | $386 | 1.1× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $956.90 | $1,367 | 0.6× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $555.10 | $793 | 0.4× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $515.20 | $736 | 0.2× |
| Closed tx patellar dislocation w/anesthesia (27562) | $940.80 | $1,344 | 3.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $448.70 | $641 | 1.8× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 2 matching MRF lines |
$544.60–$1,047.20 | $778–$1,496 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) | $857.50 | $1,225 | 0.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 2 matching MRF lines |
$416.50–$674.10 | $595–$963 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$903–$982.10 | $1,290–$1,403 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $429.80 | $614 | 1.7× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $1,019.90 | $1,457 | 0.6× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines |
$448.70–$531.30 | $641–$759 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $449.40 | $642 | 1.8× |
| Closed tx septal&nose fx (21337) | $416.50 | $595 | 0.1× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) | $765.10 | $1,093 | 3.1× |
| Closed tx talotarsal joint dislc w/o anes (28570) | $321.30 | $459 | 1.3× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $564.90 | $807 | 0.3× |
| Closed tx talus fracture w/o manipulation (28430) | $389.90 | $557 | 1.6× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $422.80 | $604 | 1.7× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $280 | $400 | 1.1× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $892.50 | $1,275 | 0.6× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $563.50 | $805 | 2.3× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $448.70 | $641 | 1.8× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $200.20 | $286 | 0.8× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) range across 2 matching MRF lines |
$373.80–$690.20 | $534–$986 | varies |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $653.80 | $934 | 2.6× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $435.40 | $622 | 1.8× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $679 | $970 | 0.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$149.10–$329.70 | $213–$471 | varies |
| Clsd tx fx orbit except blowout w/o manipulation (21400) | $373.80 | $534 | 0.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$774.20–$1,290.80 | $1,106–$1,844 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $602 | $860 | 2.4× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $974.40 | $1,392 | 0.6× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $721 | $1,030 | 0.4× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $442.40 | $632 | 1.8× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $877.10 | $1,253 | 0.5× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $461.30 | $659 | 1.9× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $646.10 | $923 | 2.6× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) | $943.60 | $1,348 | 3.8× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) | $1,351 | $1,930 | 0.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$1,015.70–$1,269.10 | $1,451–$1,813 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $515.20 | $736 | 2.1× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $613.90 | $877 | 2.5× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $354.90 | $507 | 1.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $478.10 | $683 | 1.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 3 matching MRF lines |
$742–$2,800.70 | $1,060–$4,001 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $1,029.70 | $1,471 | 4.2× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) | $777.70 | $1,111 | 3.1× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $2,063.60 | $2,948 | 1.3× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $347.90 | $497 | 1.4× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $193.20 | $276 | 0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $311.50 | $445 | 1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $179.20 | $256 | 0.7× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $1,076.60 | $1,538 | 0.7× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $366.10 | $523 | 1.5× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $522.90 | $747 | 2.1× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) range across 2 matching MRF lines |
$735–$1,034.60 | $1,050–$1,478 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) | $1,505.70 | $2,151 | 0.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $488.60 | $698 | 2.0× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $786.80 | $1,124 | 3.2× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $1,063.30 | $1,519 | 0.7× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $1,373.40 | $1,962 | 0.9× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $742 | $1,060 | 3.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $179.20 | $256 | 0.7× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $746.90 | $1,067 | 2.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $263.20 | $376 | 1.1× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $945 | $1,350 | 0.6× |
| Cltx Medial Ankle Fx (27760) | $416.50 | $595 | 1.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $625.10 | $893 | 2.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $248.50 | $355 | 1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $1,039.50 | $1,485 | 4.2× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $266.70 | $381 | 1.1× |
| Cltx post hip arthrp dislc w/o anes (27265) | $810.60 | $1,158 | 3.3× |
| Cltx prox fibula/shft fx w/manj (27781) | $833 | $1,190 | 0.5× |
| Cltx prox fibula/shft fx w/o manj (27780) | $593.60 | $848 | 2.4× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $908.60 | $1,298 | 0.6× |
| Cltx prox tibfib jt dislc req anes (27831) | $776.30 | $1,109 | 0.2× |
| Cltx prox tibfib jt dislc w/o anes (27830) | $732.20 | $1,046 | 3.0× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $800.10 | $1,143 | 3.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $422.10 | $603 | 1.7× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) | $1,099 | $1,570 | 0.7× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $826 | $1,180 | 0.5× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $1,204.70 | $1,721 | 0.7× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $891.80 | $1,274 | 3.6× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) | $1,081.50 | $1,545 | 4.4× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) | $179.20 | $256 | 0.7× |
| Cltx tibial fx proximal w/o manipulation (27530) | $608.30 | $869 | 2.5× |
| Cltx tibial shaft fx w/o manipulation (27750) | $746.20 | $1,066 | 3.0× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) | $931 | $1,330 | 3.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $954.10 | $1,363 | 0.6× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $574 | $820 | 2.3× |
| Collection of venous blood by venipuncture (36415) range across 4 matching MRF lines |
$14–$16.80 | $20–$24 | varies |
| Colonoscopy thru stoma (44388) | $708.41 | $1,012.02 | 0.8× |
| Colpocentesis (57020) likely a partial charge, not the full procedure |
$112 | $160 | 0.0× |
| Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) | $304.50 | $435 | 0.1× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) range across 3 matching MRF lines |
$14–$217.70 | $20–$311 | varies |
| Colposcopy cervix upper/adjacent vagina (57452) range across 3 matching MRF lines |
$14–$152.60 | $20–$218 | varies |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $91.70 | $131 | 0.3× |
| Colposcopy cervix vag eltrd conization cervix (57461) | $221.90 | $317 | 0.1× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) range across 3 matching MRF lines |
$193.90–$549.50 | $277–$785 | varies |
| Colposcopy entire vagina w/cervix if present (57420) | $111.30 | $159 | 0.4× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $935.26 | $1,336.08 | 0.8× |
| Combined anteroposterior colporrhaphy; (57260) | $4,497.50 | $6,425 | 0.9× |
| Complex drainage wound (10180) range across 3 matching MRF lines |
$239.40–$493 | $342–$704.28 | varies |
| Conization cervix w/wo d&c rpr eltrd exc (57522) range across 2 matching MRF lines |
$315–$595.70 | $450–$851 | varies |
| Conization of cervix (57520) | $4,815.30 | $6,879 | 1.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $238.70 | $341 | 1.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $143.50 | $205 | 1.1× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $1,368.50 | $1,955 | 0.8× |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) likely a partial charge, not the full procedure |
$1,414.56 | $2,020.80 | 0.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $280 | $400 | 2.1× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $560 | $800 | 2.4× |
| Curettage postpartum (59160) range across 2 matching MRF lines |
$227.50–$2,578.10 | $325–$3,683 | varies |
| Curette/treat cornea (65435) | $185.50 | $265 | 0.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 2 matching MRF lines |
$33.87–$34.30 | $48.38–$49 | varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) range across 2 matching MRF lines |
$1,415.40–$5,008.50 | $2,022–$7,155 | varies |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $966.70 | $1,381 | 1.4× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $1,231.30 | $1,759 | 1.7× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 4 matching MRF lines |
$190.40–$1,725.50 | $272–$2,465 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$18.20–$36.40 | $26–$52 | varies |
| Debride nail 6 or more (11721) | $30.10 | $43 | 0.5× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 3 matching MRF lines |
$277.20–$4,188.80 | $396–$5,984 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 4 matching MRF lines |
$77–$1,352.40 | $110–$1,932 | varies |
| Deep Muscle Biopsy (20205) | $578.61 | $826.59 | 0.2× |
| Delivery of placenta (59414) range across 2 matching MRF lines |
$284.20–$2,338.70 | $406–$3,341 | varies |
| Destroy cerv/thor facet jnt (64633) range across 3 matching MRF lines |
$236.60–$3,511.90 | $338–$5,017 | varies |
| Destroy lumb/sac facet jnt (64635) range across 3 matching MRF lines |
$237.30–$3,299.10 | $339–$4,713 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 3 matching MRF lines |
$14–$74.90 | $20–$107 | varies |
| Destruction by neurolytic agent, intercostal nerve (64620) | $3,069.50 | $4,385 | 3.5× |
| Destruction Lesions Vulva Extensive (56515) | $648.20 | $926 | 0.3× |
| Destruction Lesions Vulva Simple (56501) range across 3 matching MRF lines |
$14–$189.70 | $20–$271 | varies |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 2 matching MRF lines |
$182.70–$5,535.60 | $261–$7,908 | varies |
| Destruction premalignant lesion 1st (17000) | $66.50 | $95 | 0.3× |
| Destruction Vaginal Lesions Simple (57061) range across 2 matching MRF lines |
$333.90–$335.30 | $477–$479 | varies |
| Diagnostic sigmoidoscopy (45330) | $274.76 | $392.52 | 0.3× |
| Diaphragm or cervical cap fitting with instructions (57170) range across 3 matching MRF lines |
$14–$67.20 | $20–$96 | varies |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) | $348.66 | $498.09 | 0.3× |
| Dilate Urethra Stricture (53620) | $236.36 | $337.65 | 0.3× |
| Dilation & curettage dx&/ther nonobstetric (58120) range across 2 matching MRF lines |
$551.60–$2,685.20 | $788–$3,836 | varies |
| Drain/inj small joint/bursa w/us (20604) | $1,491.70 | $2,131 | 4.8× |
| Drainage external ear abscess/hematoma cmplx (69005) range across 2 matching MRF lines |
$420–$434.70 | $600–$621 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $225.40 | $322 | 0.3× |
| Drainage Finger Abscess Complicated (26011) range across 2 matching MRF lines |
$247.80–$396.20 | $354–$566 | varies |
| Drainage lymph node lesion (38305) | $949.85 | $1,356.93 | 0.3× |
| Drainage Mouth Roof Lesion (42000) | $356.30 | $509 | 1.5× |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$252–$525.19 | $360–$750.27 | varies |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$382.20–$514.50 | $546–$735 | varies |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$158.20–$313.60 | $226–$448 | varies |
| Drainage of hydrocele (55000) | $1,173.20 | $1,676 | 1.6× |
| Drainage of rectal abscess (45020) | $1,174.40 | $1,677.72 | 0.4× |
| Drainage of rectal abscess (45005) | $530.60 | $758 | 0.4× |
| Drainage of scrotal wall abscess (55100) range across 2 matching MRF lines |
$434.70–$435.81 | $621–$622.59 | varies |
| Drainage of scrotum (54700) | $1,510.60 | $2,158 | 0.7× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) | $850.50 | $1,215 | 0.3× |
| Draw Blood Off Venous Device (36591) | $149.10 | $213 | 1.1× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) | $650.83 | $929.76 | 1.2× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $413 | $590 | 0.6× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) | $547.40 | $782 | 0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 3 matching MRF lines |
$168.70–$500.50 | $241–$715 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 3 matching MRF lines |
$140–$447.30 | $200–$639 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$74.20–$293.30 | $106–$419 | varies |
| Dstrj lesion anus simple surg excision (46922) | $535.96 | $765.66 | 0.2× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 2 matching MRF lines |
$152.60–$2,657.20 | $218–$3,796 | varies |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $2,157.12 | $3,081.60 | 1.1× |
| Egd control bleeding any (43255) | $874.73 | $1,249.62 | 0.5× |
| Egd Flexible Foreign Body Removal (43247) | $824.59 | $1,177.98 | 0.9× |
| Egd guide wire insertion (43248) | $832.04 | $1,188.63 | 0.9× |
| Egd place gastrostomy tube (43246) | $439.72 | $628.17 | 0.2× |
| Egd Varices Ligation (43244) | $541.78 | $773.97 | 0.3× |
| Endocervical curettage (57505) range across 3 matching MRF lines |
$14–$200.90 | $20–$287 | varies |
| Endometrial Biopsy (58100) range across 3 matching MRF lines |
$14–$217.70 | $20–$311 | varies |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) | $891.80 | $1,274 | 0.4× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) | $917.70 | $1,311 | 0.4× |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$352.80–$1,895.60 | $504–$2,708 | varies |
| Episiotomy or vaginal repair (59300) | $329.70 | $471 | 0.1× |
| Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) | $313.17 | $447.39 | 0.2× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$43.40–$68.60 | $62–$98 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $246.98 | $352.83 | 0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $263.20 | $376 | 0.2× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $1,108.17 | $1,583.10 | 0.3× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $336.38 | $480.54 | 0.5× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $123.90 | $177 | 0.1× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) | $1,423.53 | $2,033.61 | 0.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $383.17 | $547.38 | 0.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $567 | $810 | 0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $805.70 | $1,151 | 0.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $354.90 | $507 | 0.3× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $175.70 | $251 | 0.4× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $434.09 | $620.13 | 0.3× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) | $1,157.29 | $1,653.27 | 0.4× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $565.87 | $808.38 | 0.8× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) | $1,783.76 | $2,548.23 | 0.6× |
| Excision Hidradenitis Axillary Complex Repair (11451) | $968.21 | $1,383.15 | 0.3× |
| Excision Hidradenitis Inguinal Complex Repair (11463) | $986.94 | $1,409.91 | 0.3× |
| Excision Lingual Frenum Frenectomy (41115) | $1,266.30 | $1,809 | 0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $383.19 | $547.41 | 0.5× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $1,040.72 | $1,486.74 | 0.4× |
| Excision Multiple External Papillae/Tags Anus (46230) | $551.78 | $788.25 | 0.2× |
| Excision of bartholin's gland or cyst (56740) | $616.62 | $880.89 | 0.2× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 2 matching MRF lines |
$433.30–$648.19 | $619–$925.98 | varies |
| Excision of hydrocele; unilateral (55040) | $697.87 | $996.96 | 0.2× |
| Excision of pilonidal cyst or sinus; simple (11770) range across 2 matching MRF lines |
$247.10–$553.50 | $353–$790.71 | varies |
| Excision olecranon bursa (24105) range across 2 matching MRF lines |
$485.45–$5,678.40 | $693.50–$8,112 | varies |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $1,220.10 | $1,743 | 0.4× |
| Excision prepatellar bursa (27340) | $5,678.40 | $8,112 | 1.7× |
| Excision synovial cyst popliteal space (27345) | $5,678.40 | $8,112 | 1.7× |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) | $1,404.92 | $2,007.03 | 0.5× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $849.87 | $1,214.10 | 0.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | $963.10 | $1,375.86 | 0.3× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $132.30 | $189 | 0.1× |
| Explo/Drain Breast Abscess (19020) | $943.15 | $1,347.36 | 0.6× |
| Exploration penetrating wound spx chest (20101) | $158.90 | $227 | 0.1× |
| Exploration penetrating wound spx extremity (20103) | $287.70 | $411 | 0.2× |
| Fetal Contraction Stress Test (59020) | $206.50 | $295 | 1.0× |
| Fetal non-stress test (59025) range across 3 matching MRF lines |
$14–$388.50 | $20–$555 | varies |
| Fetal Scalp Blood Sampling (59030) | $219.10 | $313 | 0.7× |
| Fine needle aspiration without imaging guidance (10021) | $699.30 | $999 | 1.7× |
| Frenulotomy of penis (54164) | $397.34 | $567.63 | 0.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $977.70 | $1,396.71 | 0.4× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $535.50 | $765 | 0.6× |
| Hemorrhoidopexy by stapling (46947) | $784.10 | $1,120.14 | 0.3× |
| Hysteroscopy Biopsy (58558) range across 2 matching MRF lines |
$280–$1,595.30 | $400–$2,279 | varies |
| Hysteroscopy Dx Sep Proc (58555) range across 4 matching MRF lines |
$580.30–$2,338.70 | $829–$3,341 | varies |
| Hysteroscopy Endometrial Ablation (58563) range across 3 matching MRF lines |
$297.50–$3,236.10 | $425–$4,623 | varies |
| Hysteroscopy Removal Impacted Foreign Body (58562) range across 3 matching MRF lines |
$267.40–$2,387 | $382–$3,410 | varies |
| I&d abscess peritonsillar (42700) | $388.50 | $555 | 1.6× |
| I&d abscess simple (10060) range across 7 matching MRF lines |
$14–$684.60 | $20–$978 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) range across 3 matching MRF lines |
$798–$1,338.14 | $1,140–$1,911.63 | varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) range across 2 matching MRF lines |
$599.90–$912.66 | $857–$1,303.80 | varies |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) | $1,043 | $1,490 | 0.4× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) | $982.80 | $1,404 | 0.3× |
| I&d perianal abscess superficial (46050) range across 3 matching MRF lines |
$140.70–$403.64 | $201–$576.63 | varies |
| I&d pilonidal cyst complicated (10081) range across 3 matching MRF lines |
$205.10–$538.13 | $293–$768.75 | varies |
| I&d pilonidal cyst simple (10080) range across 3 matching MRF lines |
$143.50–$356.92 | $205–$509.88 | varies |
| I&d shoulder deep abscess/hematoma (23030) | $887.31 | $1,267.59 | 0.3× |
| I&d upper arm/elbow deep abscess/hematoma (23930) range across 2 matching MRF lines |
$469.70–$705.50 | $671–$1,007.85 | varies |
| Incise external hemorrhoid (46083) | $260.40 | $372 | 1.0× |
| Incise finger tendon sheath (26055) range across 2 matching MRF lines |
$388.50–$2,800.70 | $555–$4,001 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 6 matching MRF lines |
$236.60–$1,075.90 | $338–$1,537 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) range across 2 matching MRF lines |
$662.20–$1,057 | $946–$1,510 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 5 matching MRF lines |
$235.20–$490.70 | $336–$701 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 5 matching MRF lines |
$139.30–$469 | $199–$670 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 4 matching MRF lines |
$14–$245.70 | $20–$351 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 6 matching MRF lines |
$208.60–$290.50 | $20–$415 | varies |
| Incision of rectal abscess (46040) range across 3 matching MRF lines |
$499.10–$916.30 | $713–$1,309 | varies |
| Incisional biopsy skin single lesion (11106) | $64.40 | $92 | 0.1× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 3 matching MRF lines |
$87.50–$205.10 | $125–$293 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 3 matching MRF lines |
$129.50–$2,279.20 | $185–$3,256 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $2,279.20 | $3,256 | 2.6× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 3 matching MRF lines |
$117.60–$742 | $168–$1,060 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 2 matching MRF lines |
$84.70–$1,899.80 | $121–$2,714 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 2 matching MRF lines |
$100.80–$1,729 | $144–$2,470 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $1,747.90 | $2,497 | 2.0× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) | $1,585.50 | $2,265 | 2.2× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 2 matching MRF lines |
$91–$1,325.80 | $130–$1,894 | varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $1,207.50 | $1,725 | 3.9× |
| Injection anesthetic agent suprascapular nerve (64418) | $1,729 | $2,470 | 2.4× |
| Injection for identification of sentinel node (38792) | $81.44 | $116.34 | 0.2× |
| Injection Into Brain Canal (61055) | $212.80 | $304 | 0.7× |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$63.70–$579.60 | $91–$828 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$49–$532.70 | $70–$761 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 3 matching MRF lines |
$56–$816.20 | $80–$1,166 | varies |
| Injection therapeutic carpal tunnel (20526) | $893.90 | $1,277 | 2.9× |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 2 matching MRF lines |
$91.70–$2,184.70 | $131–$3,121 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) | $1,729 | $2,470 | 2.4× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$244.30–$540.40 | $349–$772 | varies |
| Injection, anesthetic agent; vagus nerve (64408) | $956.20 | $1,366 | 3.1× |
| Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
$118.30–$254.80 | $169–$364 | varies |
| Insert Drug Implant Device (11981) range across 4 matching MRF lines |
$14–$163.10 | $20–$233 | varies |
| Insert non-tunnel cv cath (36556) | $558.60 | $798 | 0.2× |
| Insert pessary/other device (57160) range across 3 matching MRF lines |
$14–$78.40 | $20–$112 | varies |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $592.90 | $847 | 0.4× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$94.50–$238 | $135–$340 | varies |
| Insert tun ip cath perc (49418) | $2,836.07 | $4,051.53 | 0.8× |
| Insert tunneled cv cath (36561) | $2,343.22 | $3,347.46 | 0.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$112–$205.80 | $160–$294 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $3,257.80 | $4,654 | 2.1× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) | $480.35 | $686.22 | 0.1× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) range across 2 matching MRF lines |
$218.40–$515.90 | $312–$737 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$496.30–$1,608.60 | $709–$2,298 | varies |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) | $4,019.40 | $5,742 | 0.7× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) | $2,269.40 | $3,242 | 0.7× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $1,565.13 | $2,235.90 | 0.5× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) range across 2 matching MRF lines |
$370.30–$541.10 | $529–$773 | varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $567 | $810 | 1.4× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) range across 2 matching MRF lines |
$802.90–$1,089.20 | $1,147–$1,556 | varies |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$332.50–$789.60 | $475–$1,128 | varies |
| Knee Arthroscopy/Surgery (29874) | $5,678.40 | $8,112 | 1.7× |
| Laparo-vag hyst incl t/o (58552) range across 2 matching MRF lines |
$1,199.10–$1,614.90 | $1,713–$2,307 | varies |
| Laparoscopy aspiration (49322) likely a partial charge, not the full procedure |
$483.70 | $691 | 0.1× |
| Laparoscopy fulguration oviducts (58670) range across 3 matching MRF lines |
$454.30–$4,754.40 | $649–$6,792 | varies |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) range across 2 matching MRF lines |
$1,895.60–$7,678.30 | $2,708–$10,969 | varies |
| Laparoscopy W/Lysis Of Adhesions (58660) range across 3 matching MRF lines |
$856.10–$4,754.40 | $1,223–$6,792 | varies |
| Laparoscopy w/rmvl adnexal structures (58661) range across 2 matching MRF lines |
$800.80–$1,281.70 | $1,144–$1,831 | varies |
| Laparoscopy, surgical, appendectomy (44970) likely a partial charge, not the full procedure |
$1,239.15 | $1,770.21 | 0.2× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) likely a partial charge, not the full procedure |
$2,240.66 | $3,200.94 | 0.2× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) | $7,678.30 | $10,969 | 0.7× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) range across 2 matching MRF lines |
$1,921.50–$4,367.30 | $2,745–$6,239 | varies |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) likely a partial charge, not the full procedure |
$1,474.26 | $2,106.09 | 0.2× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) likely a partial charge, not the full procedure |
$1,220.10 | $1,743 | 0.2× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) likely a partial charge, not the full procedure |
$710.93 | $1,015.62 | 0.1× |
| Laparoscopy, Tubal Block (58671) likely a partial charge, not the full procedure |
$758.10 | $1,083 | 0.1× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) range across 2 matching MRF lines |
$926.10–$4,754.40 | $1,323–$6,792 | varies |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) range across 2 matching MRF lines |
$1,456.33–$1,472.10 | $2,080.47–$2,103 | varies |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) | $422.80 | $604 | 2.1× |
| Late closure of wound (13160) range across 2 matching MRF lines |
$1,612.10–$1,657.15 | $2,303–$2,367.36 | varies |
| Ligamentous Reconstruction Knee Extra-Articular (27427) | $12,501.30 | $17,859 | 1.7× |
| Ligamentous reconstruction knee intra-articular (27428) likely a partial charge, not the full procedure |
$1,411.90 | $2,017 | 0.1× |
| Ligation of a-v fistula (37607) | $791.57 | $1,130.82 | 0.2× |
| Ligation of hemorrhoids (46946) | $636.05 | $908.64 | 0.2× |
| Ligation or biopsy temporal artery (37609) | $629.18 | $898.83 | 0.4× |
| Manipulation knee joint under general anesthesia (27570) range across 2 matching MRF lines |
$203–$2,800.70 | $290–$4,001 | varies |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) range across 2 matching MRF lines |
$250.60–$2,800.70 | $358–$4,001 | varies |
| Mast mod rad (19307) unusually low: confirm this is the full procedure |
$2,453.45 | $3,504.93 | 0.4× |
| Mastectomy partial (19301) | $1,338.02 | $1,911.45 | 0.3× |
| Mastectomy partial w/axillary lymphadenectomy (19302) likely a partial charge, not the full procedure |
$1,846.19 | $2,637.42 | 0.3× |
| Mastectomy simple complete (19303) unusually low: confirm this is the full procedure |
$2,073.25 | $2,961.78 | 0.3× |
| Maternity Care Procedure (59899) | $14 | $20 | 0.1× |
| Myelography via lumbar injection rs&i cervical (62302) | $1,401.40 | $2,002 | 1.8× |
| N Block Inj Celiac Pelus (64530) | $1,529.50 | $2,185 | 1.7× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $1,325.80 | $1,894 | 1.9× |
| N block inj intercost sng (64420) range across 3 matching MRF lines |
$227.33–$1,585.50 | $324.75–$2,265 | varies |
| N Block Inj Paracervical (64435) | $348.60 | $498 | 0.5× |
| N Block Inj Plantar Digit (64455) | $568.40 | $812 | 1.8× |
| N Block Inj Pudendal (64430) range across 2 matching MRF lines |
$282.51–$1,747.90 | $403.59–$2,497 | varies |
| N Block Lumbar/Thoracic (64520) | $1,829.10 | $2,613 | 2.1× |
| Nasal/Orogastric W/Tube Plmt (43752) | $873.60 | $1,248 | 1.9× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $44.10 | $63 | 1.5× |
| Neurectomy Popliteal (27326) | $3,417.40 | $4,882 | 1.7× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) | $3,417.40 | $4,882 | 1.7× |
| Nfct ds pthgn-sna 11vir&4bct (0563U) | $779.10 | $1,113 | 1.9× |
| Njx anes stellate ganglion crv sympathetic (64510) | $1,414.70 | $2,021 | 1.6× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$158.90–$1,109.50 | $227–$1,585 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $3,831.10 | $5,473 | 1.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 3 matching MRF lines |
$112–$2,279.20 | $160–$3,256 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) | $2,951.90 | $4,217 | 3.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 3 matching MRF lines |
$131.60–$2,951.90 | $188–$4,217 | varies |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $2,465.40 | $3,522 | 3.5× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $2,465.40 | $3,522 | 2.8× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $2,823.10 | $4,033 | 3.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 3 matching MRF lines |
$122.50–$3,246.60 | $175–$4,638 | varies |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $2,711.80 | $3,874 | 3.1× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$280–$1,298.50 | $400–$1,855 | varies |
| Omntc Epiploectomy Rescj Omentum Spx (49255) likely a partial charge, not the full procedure |
$1,631.32 | $2,330.46 | 0.3× |
| Open Repair of Rotator Cuff Acute (23410) | $12,501.30 | $17,859 | 1.7× |
| Open Treatment Bimalleolar Ankle Fracture (27814) | $12,501.30 | $17,859 | 1.7× |
| Open Treatment Medial Malleolus Fracture (27766) | $12,501.30 | $17,859 | 1.7× |
| Open treatment metatarsal fracture each (28485) | $12,501.30 | $17,859 | 1.7× |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) | $12,501.30 | $17,859 | 1.7× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) | $12,501.30 | $17,859 | 1.7× |
| Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) likely a partial charge, not the full procedure |
$2,054.50 | $2,935 | 0.2× |
| Open Treatment of Ulnar Shaft Fracture (25545) | $12,501.30 | $17,859 | 1.7× |
| Open Treatment Proximal Humeral Fracture (23615) | $22,516.90 | $32,167 | 1.7× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) | $12,501.30 | $17,859 | 1.7× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $730.10 | $1,043 | 0.2× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) | $12,501.30 | $17,859 | 1.7× |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) range across 2 matching MRF lines |
$1,190.70–$1,612.10 | $1,701–$2,303 | varies |
| Open tx femoral supracondylar fracture w/o xtn (27511) likely a partial charge, not the full procedure |
$1,659 | $2,370 | 0.1× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) likely a partial charge, not the full procedure |
$1,497.30 | $2,139 | 0.2× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) | $12,501.30 | $17,859 | 1.7× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) likely a partial charge, not the full procedure |
$1,314.60 | $1,878 | 0.2× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) likely a partial charge, not the full procedure |
$1,991.50 | $2,845 | 0.3× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) range across 2 matching MRF lines |
$1,115.80–$22,516.90 | $1,594–$32,167 | varies |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) likely a partial charge, not the full procedure |
$1,984.50 | $2,835 | 0.3× |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) | $22,516.90 | $32,167 | 1.7× |
| Ovarian cystectomy, unilateral or bilateral (58925) range across 3 matching MRF lines |
$1,532.69–$4,227.30 | $2,189.55–$6,039 | varies |
| Part remv talus or calcaneus (28120) | $5,678.40 | $8,112 | 1.7× |
| Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Facility (24566) | $1,029.70 | $1,471 | 0.6× |
| Perq device breast 1st imag (19281) | $1,622.60 | $2,318 | 1.0× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) | $5,678.40 | $8,112 | 1.7× |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$205.10–$443.80 | $293–$634 | varies |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) likely a partial charge, not the full procedure |
$1,409.10 | $2,013 | 0.3× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) | $459.20 | $656 | 0.2× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) | $252 | $360 | 0.2× |
| Prq skel fixj femoral fx prox end neck (27235) | $12,501.30 | $17,859 | 1.7× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$53.20–$77.70 | $76–$111 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$125.30–$290.50 | $179–$415 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 2 matching MRF lines |
$79.10–$1,320.20 | $113–$1,886 | varies |
| Push Transfusion Blood 2 Yr/Under (36440) | $367.50 | $525 | 0.8× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) range across 2 matching MRF lines |
$1,064–$5,024.60 | $1,520–$7,178 | varies |
| Removal Foreign Body Deep Thigh/Knee (27372) range across 2 matching MRF lines |
$1,211–$1,224.30 | $1,730–$1,749 | varies |
| Removal Foreign Body Foot Complicated (28193) | $655.20 | $936 | 0.4× |
| Removal foreign body foot deep (28192) | $926.80 | $1,324 | 0.6× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$175–$495.60 | $250–$708 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$193.90–$343.70 | $277–$491 | varies |
| Removal foreign body upper arm/elbow deep (24201) | $1,112.30 | $1,589 | 0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $112.70 | $161 | 1.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 4 matching MRF lines |
$14–$118.30 | $20–$169 | varies |
| Removal Implant Deep (20680) range across 2 matching MRF lines |
$536.20–$5,008.50 | $766–$7,155 | varies |
| Removal Implant Superficial Separate Procedure (20670) range across 2 matching MRF lines |
$189.70–$2,835.70 | $271–$4,051 | varies |
| Removal of anal fissure (46200) | $900.21 | $1,286.01 | 0.3× |
| Removal of foreign body from pharynx (42809) | $171.50 | $245 | 0.4× |
| Removal of knee prosthesis (27488) likely a partial charge, not the full procedure |
$2,004.80 | $2,864 | 0.2× |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$129.50–$336.70 | $185–$481 | varies |
| Removal of tunneled intraperitoneal catheter (49422) | $786.03 | $1,122.90 | 0.2× |
| Removal or bivalving full arm or full leg cast (29705) | $130.20 | $186 | 0.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 4 matching MRF lines |
$14–$93.80 | $20–$134 | varies |
| Removal/bivalving gauntlet boot/body cast (29700) | $202.30 | $289 | 0.7× |
| Remove drug implant device (11982) range across 3 matching MRF lines |
$14–$123.90 | $20–$177 | varies |
| Remove Forearm Foreign Body (25248) | $836.50 | $1,195 | 0.5× |
| Remove foreign body from eye (65205) | $192.50 | $275 | 1.4× |
| Remove Intrauterine Device (58301) range across 6 matching MRF lines |
$14–$118.30 | $20–$169 | varies |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$92.40–$117.60 | $132–$168 | varies |
| Remove thyroid lesion (60200) likely a partial charge, not the full procedure |
$1,360.36 | $1,943.37 | 0.2× |
| Remove/Insert Drug Implant (11983) range across 3 matching MRF lines |
$14–$135.80 | $20–$194 | varies |
| Renal Biopsy Perq (50200) | $1,368.50 | $1,955 | 0.8× |
| Repair Achilles Tendon (27650) | $12,501.30 | $17,859 | 1.7× |
| Repair Collat Ankle Ligmnt,Secondary (27698) | $12,501.30 | $17,859 | 1.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $672.70 | $961 | 0.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $838.60 | $1,198 | 1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $505.40 | $722 | 1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $1,237.60 | $1,768 | 3.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $398.30 | $569 | 1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $1,166.90 | $1,667 | 2.9× |
| Repair complex trunk 1.1-2.5 cm (13100) | $361.90 | $517 | 0.5× |
| Repair complex trunk 2.6-7.5 cm (13101) | $387.10 | $553 | 0.5× |
| Repair Hand Tendon (26410) | $1,100.40 | $1,572 | 0.7× |
| Repair initial femoral hernia, any age; reducible (49550) | $1,185.93 | $1,694.19 | 0.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $1,205.74 | $1,722.48 | 0.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $383.60 | $548 | 0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $333.20 | $476 | 0.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $410.90 | $587 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $463.40 | $662 | 1.1× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) range across 2 matching MRF lines |
$952–$1,117.90 | $1,360–$1,597 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$505.40–$808.29 | $722–$1,154.70 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $249.20 | $356 | 0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $324.10 | $463 | 0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $502.60 | $718 | 0.7× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) range across 2 matching MRF lines |
$703.50–$1,038.80 | $1,005–$1,484 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $410.90 | $587 | 1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$305.90–$471.32 | $437–$673.32 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $367.50 | $525 | 0.9× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$505.40–$841.40 | $722–$1,202 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $471.10 | $673 | 1.2× |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 2 matching MRF lines |
$602.70–$948.50 | $861–$1,355 | varies |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$142.10–$244.30 | $203–$349 | varies |
| Repair secondary achilles tendon w/wo graft (27654) likely a partial charge, not the full procedure |
$919.80 | $1,314 | 0.1× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) | $12,501.30 | $17,859 | 1.7× |
| Repair tongue laceration (41252) | $407.40 | $582 | 1.7× |
| Repair tongue laceration (41250) | $322.70 | $461 | 0.7× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) | $12,501.30 | $17,859 | 1.7× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) | $12,501.30 | $17,859 | 1.7× |
| Reposition Gastrostomy Tube (43761) | $242.90 | $347 | 1.0× |
| Rerepair ing hernia reduce (49520) | $1,230.60 | $1,758 | 0.3× |
| Revis reconst shoulder joint (23473) | $22,516.90 | $32,167 | 1.7× |
| Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) likely a partial charge, not the full procedure |
$2,439.50 | $3,485 | 0.2× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) likely a partial charge, not the full procedure |
$2,916.20 | $4,166 | 0.2× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) likely a partial charge, not the full procedure |
$2,342.20 | $3,346 | 0.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $443.80 | $634 | 0.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $221.90 | $317 | 0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $175 | $250 | 1.3× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $194.60 | $278 | 0.4× |
| Rmvl fecal impaction/fb spx under anes (45915) | $637 | $910 | 0.5× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) range across 2 matching MRF lines |
$496.30–$962.79 | $709–$1,375.41 | varies |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) | $227.50 | $325 | 0.1× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) range across 2 matching MRF lines |
$195.30–$408.80 | $279–$584 | varies |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $595.75 | $851.07 | 0.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $338.63 | $483.75 | 0.5× |
| Rplc Gtube No Revj Trc (43762) | $392.70 | $561 | 1.6× |
| Rplc gtube revj gstrst trc (43763) | $350 | $500 | 1.4× |
| Rpr blood vessel direct lower extremity (35226) | $2,346.40 | $3,352 | 3.3× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $627.90 | $897 | 3.1× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) range across 2 matching MRF lines |
$616.70–$943.60 | $881–$1,348 | varies |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $336.70 | $481 | 1.4× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $980.70 | $1,401 | 1.8× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $716.10 | $1,023 | 1.3× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $1,143.80 | $1,634 | 0.7× |
| Shave skin lesion 0.5 cm/< (11300) | $38.50 | $55 | 0.1× |
| Shoulder Arthroscopy/Surgery (29825) | $750.40 | $1,072 | 0.2× |
| Shoulder joint surgery (23101) | $5,678.40 | $8,112 | 1.7× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $132.30 | $189 | 0.7× |
| Sigmoidoscopy w/fb removal (45332) | $577.50 | $825 | 0.5× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $324.10 | $463 | 0.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $554.40 | $792 | 1.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $265.30 | $379 | 1.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $268.10 | $383 | 1.3× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 2 matching MRF lines |
$321.30–$761.60 | $459–$1,088 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $352.80 | $504 | 1.8× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) range across 2 matching MRF lines |
$363.30–$996.10 | $519–$1,423 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$60.90–$229.60 | $87–$328 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $574 | $820 | 2.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$254.10–$324.10 | $363–$463 | varies |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$116.90–$2,865.80 | $167–$4,094 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$103.60–$2,865.80 | $148–$4,094 | varies |
| Skin sub grft t/arm/lg child (15273) range across 2 matching MRF lines |
$236.60–$2,639.70 | $338–$3,771 | varies |
| Skn sub grft f/n/hf/g child (15277) | $271.60 | $388 | 0.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$79.10–$388.50 | $113–$555 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$266–$336 | $380–$480 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $405.30 | $579 | 1.0× |
| Sphincterotomy anal division sphincter spx (46080) | $500.54 | $715.05 | 0.2× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$137.90–$1,299.90 | $197–$1,857 | varies |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $841.40 | $1,202 | 0.2× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) range across 2 matching MRF lines |
$900.90–$1,733.91 | $1,287–$2,477.01 | varies |
| Strapping ankle (29540) range across 3 matching MRF lines |
$70–$116.90 | $100–$167 | varies |
| Strapping elbow or wrist (29260) range across 3 matching MRF lines |
$101.50–$187.60 | $145–$268 | varies |
| Strapping hand/finger (29280) range across 2 matching MRF lines |
$98–$210 | $140–$300 | varies |
| Strapping Hip (29520) | $143.50 | $205 | 1.1× |
| Strapping knee (29530) range across 2 matching MRF lines |
$100.10–$158.20 | $143–$226 | varies |
| Strapping shoulder (29240) range across 2 matching MRF lines |
$112–$229.60 | $160–$328 | varies |
| Strapping thorax (29200) | $173.60 | $248 | 1.1× |
| Strapping toes (29550) range across 2 matching MRF lines |
$60.20–$70 | $86–$100 | varies |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$32.90–$390.60 | $47–$558 | varies |
| Surg tx anal fistula subq (46270) | $1,028.66 | $1,469.52 | 0.4× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) | $1,092.76 | $1,561.08 | 0.4× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) | $12,501.30 | $17,859 | 1.7× |
| Tangential biopsy skin single lesion (11102) | $42 | $60 | 0.1× |
| Tenodesis long tendon biceps (23430) | $12,501.30 | $17,859 | 1.7× |
| Tenolysis extensor foot single tendon (28225) | $343.70 | $491 | 0.1× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) | $554.40 | $792 | 0.2× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) | $238 | $340 | 0.1× |
| Thyroidectomy, total or complete (60240) unusually low: confirm this is the full procedure |
$1,901.28 | $2,716.11 | 0.3× |
| Tlh uterus over 250 g (58572) likely a partial charge, not the full procedure |
$2,090.24 | $2,986.05 | 0.2× |
| Tnot elbow lateral/medial debride open (24358) | $5,678.40 | $8,112 | 1.7× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) | $5,678.40 | $8,112 | 1.7× |
| Total Knee Arthroplasty (27447) range across 2 matching MRF lines |
$1,577.80–$22,516.90 | $2,254–$32,167 | varies |
| Tracheostomy Emergency Cricothyroid Membrane (31605) range across 2 matching MRF lines |
$383.60–$567 | $548–$810 | varies |
| Tracheostomy Emergency Procedure Transtracheal (31603) range across 2 matching MRF lines |
$467.60–$622.30 | $668–$889 | varies |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) | $219.10 | $313 | 0.7× |
| Transrectal Drainage of Pelvic Abscess (45000) | $868.83 | $1,241.19 | 0.7× |
| Treat ectopic pregnancy (59151) | $4,367.30 | $6,239 | 0.7× |
| Treat elbow fracture (24586) | $22,516.90 | $32,167 | 1.7× |
| Treat fracture radius/ulna (25575) | $12,501.30 | $17,859 | 1.7× |
| Treat Fx Rad Extra-Articul (25607) | $12,501.30 | $17,859 | 1.7× |
| Treat Hand Bone Lesion (26034) | $715.40 | $1,022 | 0.4× |
| Treat humerus fracture (24500) | $357 | $510 | 1.4× |
| Treat Humerus Fracture (24505) | $976.50 | $1,395 | 0.6× |
| Treat humerus fracture (23600) range across 2 matching MRF lines |
$767.20–$840 | $1,096–$1,200 | varies |
| Treat Knee Fracture(S) (27538) | $924.70 | $1,321 | 3.7× |
| Treat Kneecap Fracture (27524) | $12,501.30 | $17,859 | 1.7× |
| Treat Knuckle Dislocation (26700) | $143.50 | $205 | 0.6× |
| Treat Metatarsal Fracture (28475) | $509.60 | $728 | 2.1× |
| Treat Tail Bone Fracture (27200) | $309.40 | $442 | 1.2× |
| Treat Thumb Dislocation (26641) | $416.50 | $595 | 1.7× |
| Treat Thumb Fracture (26645) | $823.90 | $1,177 | 0.5× |
| Treat toe dislocation (28630) | $250.60 | $358 | 1.0× |
| Treat Vaginal Bleeding (57180) | $181.30 | $259 | 0.9× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $917.70 | $1,311 | 0.6× |
| Treatment closed elbow dislocation w/o anes (24600) | $382.90 | $547 | 1.5× |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$19.60–$991.20 | $28–$1,416 | varies |
| Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines |
$28–$991.20 | $40–$1,416 | varies |
| Trim skin lesions over 4 (11057) | $35.70 | $51 | 0.2× |
| Trimming Nondystrophic Nails Any Number (11719) | $9.80 | $14 | 0.2× |
| Tx Gastro Intub W/Asp (43753) | $344.40 | $492 | 1.6× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) | $22,516.90 | $32,167 | 1.7× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) range across 2 matching MRF lines |
$379.40–$609 | $542–$870 | varies |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) likely a partial charge, not the full procedure |
$2,046.80 | $2,924 | 0.3× |
| Tx Missed Abortion First Trimester Surgical (59820) range across 3 matching MRF lines |
$475.30–$2,578.10 | $679–$3,683 | varies |
| Tx Missed Abortion Second Trimester Surgical (59821) | $2,578.10 | $3,683 | 0.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$244.30–$538.30 | $349–$769 | varies |
| Tx superficial wound dehiscence w/packing (12021) | $326.20 | $466 | 0.8× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) | $568.40 | $812 | 0.4× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $270.20 | $386 | 1.1× |
| Unlisted procedure femur or knee (27599) range across 2 matching MRF lines |
$105–$140 | $150–$200 | varies |
| Unlisted procedure nervous system (64999) range across 3 matching MRF lines |
$140–$4,176.90 | $200–$5,967 | varies |
| Unlisted procedure pelvis/hip joint (27299) | $105 | $150 | 0.4× |
| Vag hyst complex (58290) | $5,331.90 | $7,617 | 0.7× |
| Vaginal Delivery After Cesarean Delivery (59612) | $2,338.70 | $3,341 | 0.7× |
| Vaginal delivery only (59409) range across 4 matching MRF lines |
$984.90–$2,338.70 | $1,407–$3,341 | varies |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) | $3,613.40 | $5,162 | 0.7× |
| Vein Access Cutdown < 1 Yr (36420) | $149.10 | $213 | 1.1× |
| Venous Cutdown >1 Y/O (36425) | $106.40 | $152 | 0.2× |
| Vulvectomy simple partial (56620) | $1,316.70 | $1,881 | 0.4× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$121.80–$328.30 | $174–$469 | varies |
| Wedging of cast (29740) | $1,792.70 | $2,561 | 6.4× |
| Windowing of cast (29730) | $128.10 | $183 | 0.8× |
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.