Procedures & surgery prices at Mercy Health - Defiance Hospital
Defiance, OH · every code in this section with a posted price and a Medicare benchmark.
638 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $1,912.80 | $3,188 | 2.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $1,401.60 | $2,336 | 1.6× |
| Acne surgery (10040) | $396 | $660 | 2.0× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $1,314.60 | $2,191 | 0.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $5,580.60 | $9,301 | 1.7× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $5,705.40 | $9,509 | 1.8× |
| Amputation toe interphalangeal joint (28825) | $5,536.80 | $9,228 | 1.7× |
| Amputation toe metatarsophalangeal joint (28820) range across 2 matching MRF lines |
$10,828.62–$16,290.36 | $18,047.70–$27,150.60 | varies |
| Anoscopy diagnostic (46600) | $201.60 | $336 | 1.5× |
| Anterior colporraphy rpr cystocele w/cysto (57240) | $13,744.74 | $22,907.90 | 2.8× |
| Application cast elbow finger short arm (29075) | $1,292.40 | $2,154 | 4.6× |
| Application Finger Splint Dynamic (29131) | $106.20 | $177 | 1.8× |
| Application finger splint static (29130) | $201.60 | $336 | 1.5× |
| Application Halo Cranial Including Removal (20661) | $3,746.40 | $6,244 | 2.3× |
| Application long arm splint shoulder hand (29105) | $364.20 | $607 | 2.3× |
| Application Long Leg Splint (29505) | $364.20 | $607 | 2.3× |
| Application of long leg cast (29345) | $411.60 | $686 | 1.5× |
| Application Short Arm Splint Dynamic (29126) | $364.20 | $607 | 2.8× |
| Application short arm splint forearm-hand static (29125) | $134.40 | $224 | 1.0× |
| Application short leg splint calf foot (29515) | $364.20 | $607 | 2.3× |
| Apply long arm cast (29065) | $547.20 | $912 | 2.0× |
| Apply Multlay Comprs Lwr Leg (29581) | $253.20 | $422 | 1.6× |
| Apply Short Leg Cast (29405) | $411.60 | $686 | 1.5× |
| Apply short leg cast (29425) | $492 | $820 | 1.8× |
| Arterial puncture (36600) | $85.20 | $142 | 0.6× |
| Arteriovenous Anastomosis Open Direct (36821) | $14,484.48 | $24,140.80 | 4.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 6 matching MRF lines |
$624–$771.60 | $1,040–$1,286 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $823.80 | $1,373 | 1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 24 matching MRF lines |
$279–$1,899.90 | $465–$3,166.50 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $1,020 | $1,700 | 3.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$670.80–$5,825.88 | $1,118–$9,709.80 | varies |
| Arthrodesis great toe metatarsophalangeal joint (28750) range across 2 matching MRF lines |
$24,451.17–$89,265.68 | $40,751.95–$148,776.13 | varies |
| Arthroplasty glenohumeral joint total shoulder (23472) range across 2 matching MRF lines |
$43,642.32–$44,203.27 | $72,737.20–$73,672.12 | varies |
| Arthroscopy knee synovectomy limited spx (29875) range across 4 matching MRF lines |
$12,171.90–$16,075.32 | $20,286.50–$26,792.20 | varies |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) | $41,856.31 | $69,760.52 | 5.8× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) range across 2 matching MRF lines |
$33,057.70–$34,395.49 | $55,096.17–$57,325.82 | varies |
| Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) range across 3 matching MRF lines |
$17,483.30–$21,054.66 | $29,138.83–$35,091.10 | varies |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) | $46,091.36 | $76,818.93 | 6.4× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) range across 3 matching MRF lines |
$12,205.08–$12,772.20 | $20,341.80–$21,287 | varies |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) | $2,769.60 | $4,616 | 1.7× |
| Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) | $14,584.32 | $24,307.20 | 4.5× |
| Aspirate pleura w/ imaging (32555) | $986.40 | $1,644 | 1.6× |
| Aspirate Pleura W/O Imaging (32554) | $1,082.40 | $1,804 | 1.7× |
| Aspirate/Inj Ganglion Cyst (20612) | $1,045.80 | $1,743 | 3.4× |
| Aspiration bladder insert suprapubic catheter (51102) | $10,513.74 | $17,522.90 | 5.1× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$141.60–$142.80 | $236–$238 | varies |
| Biopsy Abdominal Mass (49180) | $1,075.20 | $1,792 | 0.7× |
| Biopsy bone trocar/needle deep (20225) | $4,917.60 | $8,196 | 3.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $2,748.60 | $4,581 | 1.7× |
| Biopsy muscle percutaneous needle (20206) | $2,737.20 | $4,562 | 1.7× |
| Biopsy of liver, needle; percutaneous (47000) | $1,075.20 | $1,792 | 0.7× |
| Biopsy Pleura Percutaneous Needle (32400) | $1,335 | $2,225 | 0.8× |
| Biopsy Soft Tissue Leg/Ankle Area Deep (27614) | $4,485.60 | $7,476 | 1.6× |
| Biopsy soft tissue neck/thorax (21550) | $2,907.60 | $4,846 | 1.8× |
| Biopsy Soft Tissue Shoulder Superficial (23065) | $2,620.20 | $4,367 | 1.6× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) | $4,537.80 | $7,563 | 1.6× |
| Biopsy Tongue Posterior One-Third (41105) | $5,094 | $8,490 | 1.5× |
| Bladder instillation anticarcinogenic agent (51720) range across 3 matching MRF lines |
$1,259.40–$14,248.55 | $2,099–$23,747.58 | varies |
| Bladder Irrigation (51700) | $192.60 | $321 | 0.8× |
| Bladder Scan (51798) | $226.20 | $377 | 3.9× |
| Blepharotomy drainage abscess eyelid (67700) | $580.20 | $967 | 1.8× |
| Blood Transfusion Service (36430) | $476.40 | $794 | 1.1× |
| Bone Marrow Biopsy (38221) | $2,440.20 | $4,067 | 1.5× |
| Bx breast 1st lesion mr imag (19085) | $1,740.60 | $2,901 | 1.1× |
| Bx breast 1st lesion strtctc (19081) | $2,592.60 | $4,321 | 1.6× |
| Bx breast 1st lesion us imag (19083) | $2,769 | $4,615 | 1.7× |
| Bx prostate strtctc saturation sampling img gid (55706) | $10,388.88 | $17,314.80 | 3.0× |
| Bx/exc lymph node open deep axillary node (38525) range across 2 matching MRF lines |
$23,370.70–$26,038.78 | $38,951.17–$43,397.97 | varies |
| Canthotomy Separate Procedure (67715) | $3,834 | $6,390 | 1.6× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) | $32,978.80 | $54,964.67 | 10.1× |
| Carpal Tunnel Surgery (64721) range across 2 matching MRF lines |
$7,375.44–$7,807.44 | $12,292.40–$13,012.40 | varies |
| Change Cystostomy Tube Complicated (51710) | $1,542 | $2,570 | 2.2× |
| Change Cystostomy Tube Simple (51705) | $423 | $705 | 1.7× |
| Change of Windpipe Airway (31502) | $292.80 | $488 | 1.2× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$142.80–$356.40 | $238–$594 | varies |
| Chest tube placement (32551) | $2,583.60 | $4,306 | 1.6× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $3,379.20 | $5,632 | 0.9× |
| Circumcision 28 days or older (54161) | $11,689.86 | $19,483.10 | 5.6× |
| Cl Tx Scapular Fx; W Manip (23575) | $2,724 | $4,540 | 1.7× |
| Cl Tx Tib Shft Fx W Manip (27752) | $1,395 | $2,325 | 0.9× |
| Clear outer ear canal (69200) | $84 | $140 | 0.6× |
| Closed Rx Spontaneous Hip Disloc (27256) | $394.20 | $657 | 1.6× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $604.80 | $1,008 | 2.5× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $2,667 | $4,445 | 1.7× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $672.60 | $1,121 | 2.7× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $360 | $600 | 1.5× |
| Closed Treatment Sesamoid Fracture (28530) | $372 | $620 | 1.5× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $394.20 | $657 | 1.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $672.60 | $1,121 | 2.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,395 | $2,325 | 0.9× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $433.80 | $723 | 1.8× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) | $496.80 | $828 | 2.0× |
| Closed tx carpal scaphoid fracture w/manj (25624) | $1,077.60 | $1,796 | 0.7× |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) | $4,153.80 | $6,923 | 2.6× |
| Closed tx knee dislocation w/o anesthesia (27550) | $604.80 | $1,008 | 2.5× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $1,077.60 | $1,796 | 0.7× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $1,077.60 | $1,796 | 0.7× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $1,506.60 | $2,511 | 1.0× |
| Closed tx patellar dislocation w/anesthesia (27562) | $604.80 | $1,008 | 2.5× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $604.80 | $1,008 | 2.5× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $360 | $600 | 1.5× |
| Closed tx radial head/neck fx w/manipulation (24655) | $3,020.40 | $5,034 | 1.9× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $394.20 | $657 | 1.6× |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$1,077.60–$1,332.60 | $1,796–$2,221 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $1,077.60 | $1,796 | 0.7× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $394.20 | $657 | 1.6× |
| Closed tx talotarsal joint dislc w/o anes (28570) | $672.60 | $1,121 | 2.7× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $476.40 | $794 | 1.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $879 | $1,465 | 3.6× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $1,077.60 | $1,796 | 0.7× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $486.60 | $811 | 2.1× |
| Closure lacrimal punctum (68760) | $250.80 | $418 | 0.8× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $394.20 | $657 | 1.6× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $1,077.60 | $1,796 | 0.7× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) | $865.80 | $1,443 | 1.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $2,777.40 | $4,629 | 1.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $604.80 | $1,008 | 2.5× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) | $360 | $600 | 1.5× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $1,077.60 | $1,796 | 0.7× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $198 | $330 | 0.8× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $604.80 | $1,008 | 2.5× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $1,107.60 | $1,846 | 4.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $604.80 | $1,008 | 2.5× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $394.20 | $657 | 1.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $218.40 | $364 | 0.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $1,077.60 | $1,796 | 0.7× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) | $1,332.60 | $2,221 | 0.8× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $2,847 | $4,745 | 1.8× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $383.40 | $639 | 1.6× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) | $372 | $620 | 1.5× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $1,395 | $2,325 | 0.9× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $604.80 | $1,008 | 2.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $604.80 | $1,008 | 2.5× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $3,746.40 | $6,244 | 2.3× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $383.40 | $639 | 1.6× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $394.20 | $657 | 1.6× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) | $394.20 | $657 | 1.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $620.40 | $1,034 | 2.5× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $2,847 | $4,745 | 1.8× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $1,077.60 | $1,796 | 0.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $604.80 | $1,008 | 2.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$378–$604.80 | $630–$1,008 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) | $1,395 | $2,325 | 0.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $604.80 | $1,008 | 2.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $496.80 | $828 | 2.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $604.80 | $1,008 | 2.5× |
| Cltx post hip arthrp dislc req anes (27266) | $2,520.60 | $4,201 | 1.6× |
| Cltx post hip arthrp dislc w/o anes (27265) | $1,107.60 | $1,846 | 4.5× |
| Cltx prox fibula/shft fx w/manj (27781) | $2,442.60 | $4,071 | 1.5× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $1,357.20 | $2,262 | 0.8× |
| Cltx prox tibfib jt dislc w/o anes (27830) | $394.20 | $657 | 1.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$378–$604.80 | $630–$1,008 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $1,077.60 | $1,796 | 0.7× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $1,077.60 | $1,796 | 0.7× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $1,077.60 | $1,796 | 0.7× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $218.40 | $364 | 0.9× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) | $1,395 | $2,325 | 0.9× |
| Cltx tibial shaft fx w/o manipulation (27750) | $394.20 | $657 | 1.6× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) | $394.20 | $657 | 1.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $1,395 | $2,325 | 0.9× |
| Collection of venous blood by venipuncture (36415) | $11.40 | $19 | 1.2× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) | $5,783.10 | $9,638.50 | 4.9× |
| Colonoscopy W/Band Ligation (45398) | $9,596.94 | $15,994.90 | 8.1× |
| Colporrhaphy (57200) | $4,705.20 | $7,842 | 1.5× |
| Colposcopy entire vagina w/cervix if present (57420) | $540 | $900 | 1.8× |
| Colposcopy of vulva (56820) | $1,936.80 | $3,228 | 9.6× |
| Colsc flx w/removal lesion by hot bx forceps (45384) range across 8 matching MRF lines |
$6,002.16–$10,684.68 | $10,003.60–$17,807.80 | varies |
| Complex drainage wound (10180) | $5,772.60 | $9,621 | 2.0× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $12,530.46 | $20,884.10 | 3.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $525.60 | $876 | 4.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $525.60 | $876 | 4.0× |
| Control oropharyngeal hemorrhage simple (42960) | $730.20 | $1,217 | 1.4× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $2,577.60 | $4,296 | 1.6× |
| Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) | $5,061 | $8,435 | 1.4× |
| Correction hammertoe (28285) range across 4 matching MRF lines |
$8,827.68–$32,978.80 | $14,712.80–$54,964.67 | varies |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) range across 2 matching MRF lines |
$10,167.84–$10,560.66 | $16,946.40–$17,601.10 | varies |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) | $32,978.80 | $54,964.67 | 2.6× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) range across 2 matching MRF lines |
$11,118.60–$11,838.06 | $18,531–$19,730.10 | varies |
| Create Eardrum Opening (69433) | $444 | $740 | 0.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $176.40 | $294 | 1.3× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $405.60 | $676 | 1.7× |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) | $2,176.80 | $3,628 | 0.7× |
| Cysto Bladder W/Ureteral Catheterization (52005) range across 2 matching MRF lines |
$8,694.57–$9,543.30 | $14,490.95–$15,905.50 | varies |
| Cysto calibration dilat urtl strix/stenosis (52281) | $10,397.79 | $17,329.65 | 5.0× |
| Cysto w/complex removal stone & stent (52315) | $3,454.20 | $5,757 | 1.7× |
| Cysto w/insert ureteral stent (52332) range across 7 matching MRF lines |
$10,006.67–$16,797.87 | $16,677.78–$27,996.45 | varies |
| Cysto w/removal of lesions small (52224) | $9,166.98 | $15,278.30 | 2.6× |
| Cysto w/removal of tumors small (52234) | $9,974.28 | $16,623.80 | 2.8× |
| Cysto W/Simple Removal Stone & Stent (52310) range across 2 matching MRF lines |
$1,802.40–$8,960.76 | $3,004–$14,934.60 | varies |
| Cysto w/ureteroscopy w/lithotripsy (52353) | $14,331.77 | $23,886.28 | 2.7× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) range across 3 matching MRF lines |
$10,579.67–$13,406.77 | $17,632.78–$22,344.62 | varies |
| Cysto/uretero w/lithotripsy (52356) range across 3 matching MRF lines |
$13,891.01–$16,338.50 | $23,151.68–$27,230.83 | varies |
| Cystotomy for excision, incision, or repair of ureterocele Facility (51535) | $15,253.45 | $25,422.42 | 4.3× |
| Cystourethroscopy (52000) range across 3 matching MRF lines |
$561.60–$9,449.14 | $936–$15,748.57 | varies |
| Cystourethroscopy inj chemodenervation bladder (52287) | $11,055.42 | $18,425.70 | 5.3× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) | $11,256.36 | $18,760.60 | 3.2× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) | $14,342.27 | $23,903.78 | 2.7× |
| Cystourethroscopy with biopsy (52204) range across 2 matching MRF lines |
$9,974.28–$10,619.58 | $16,623.80–$17,699.30 | varies |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $1,054.80 | $1,758 | 2.6× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $5,014.80 | $8,358 | 1.7× |
| Dcmprn fasct leg post compartment only (27601) | $14,584.32 | $24,307.20 | 4.5× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 4 matching MRF lines |
$412.20–$795.60 | $687–$1,326 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 4 matching MRF lines |
$1,137–$2,053.80 | $1,895–$3,423 | varies |
| Debridement Mastoidectomy Cavity Simple (69220) | $210.60 | $351 | 1.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 13 matching MRF lines |
$340.80–$17,230.20 | $568–$28,717 | varies |
| Declot vascular device (36593) | $439.20 | $732 | 1.3× |
| Decompression of tibia nerve (28035) | $14,584.32 | $24,307.20 | 7.5× |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$5,832.12–$6,521.52 | $9,720.20–$10,869.20 | varies |
| Destroy lumb/sac facet jnt (64635) range across 3 matching MRF lines |
$4,918.80–$5,851.50 | $8,198–$9,752.50 | varies |
| Destruct B9 Lesion 1-14 (17110) | $135 | $225 | 0.7× |
| Destruction Benign Lesions 15/> (17111) | $207 | $345 | 1.0× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) | $10,497.06 | $17,495.10 | 8.8× |
| Destruction Lesions Vulva Extensive (56515) | $3,152.40 | $5,254 | 1.5× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $331.20 | $552 | 1.7× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) | $501.60 | $836 | 0.7× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) | $648 | $1,080 | 1.6× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $334.80 | $558 | 1.7× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) | $175.80 | $293 | 0.9× |
| Destruction premalignant lesion 1st (17000) | $142.80 | $238 | 0.7× |
| Diagnostic sigmoidoscopy (45330) | $7,537.38 | $12,562.30 | 8.1× |
| Dilate Urethra Stricture (53620) | $1,251.60 | $2,086 | 1.8× |
| Dilation Cervical Canal (57800) | $4,885.80 | $8,143 | 1.5× |
| Drain/inj small joint/bursa w/us (20604) range across 2 matching MRF lines |
$472.80–$771.60 | $788–$1,286 | varies |
| Drainage Abscess/Hematoma Nasal Septum (30020) | $843 | $1,405 | 1.6× |
| Drainage external auditory canal abscess (69020) | $457.20 | $762 | 0.6× |
| Drainage external ear abscess/hematoma cmplx (69005) | $2,694.60 | $4,491 | 1.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $457.20 | $762 | 0.6× |
| Drainage Finger Abscess Complicated (26011) | $2,907.60 | $4,846 | 1.8× |
| Drainage Mouth Roof Lesion (42000) | $879 | $1,465 | 3.7× |
| Drainage of finger abscess simple (26010) | $316.20 | $527 | 1.6× |
| Drainage of gum lesion (41800) | $316.20 | $527 | 2.4× |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$1,075.20–$1,137 | $1,792–$1,895 | varies |
| Drainage of rectal abscess (45005) | $1,985.40 | $3,309 | 1.7× |
| Drainage of scrotal wall abscess (55100) | $1,075.20 | $1,792 | 0.7× |
| Drainage of scrotum (54700) | $4,080 | $6,800 | 2.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) | $843 | $1,405 | 1.6× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $518.40 | $864 | 0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $648 | $1,080 | 1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $210.60 | $351 | 1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$141.60–$178.80 | $236–$298 | varies |
| Dstrj Lesion Anus Extensive (46924) | $4,549.80 | $7,583 | 1.6× |
| Dstrj lesion anus simple surg excision (46922) | $17,230.20 | $28,717 | 6.2× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $5,898.96 | $9,831.60 | 6.7× |
| Dx Bone Marrow Bx & Aspir (38222) | $3,991.20 | $6,652 | 1.4× |
| Dx Laryngoscopy Excl Nb (31525) | $2,772.60 | $4,621 | 1.6× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $6,972.47 | $11,620.78 | 3.7× |
| Egd dilation gastric/duodenal stricture (43245) | $6,200.57 | $10,334.28 | 3.2× |
| Egd Flexible Foreign Body Removal (43247) | $8,172.84 | $13,621.40 | 9.1× |
| Egd remove lesion snare (43251) range across 2 matching MRF lines |
$6,481.92–$9,151.68 | $10,803.20–$15,252.80 | varies |
| Endocervical curettage (57505) | $1,180.80 | $1,968 | 1.3× |
| Endometrial Biopsy (58100) | $279 | $465 | 1.4× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) range across 2 matching MRF lines |
$14,780.42–$15,159.86 | $24,634.03–$25,266.43 | varies |
| Epidural Blood Patch (62273) | $716.40 | $1,194 | 1.0× |
| Esc i p ulcer w ostect & flap (15946) | $14,423.02 | $24,038.37 | 7.0× |
| Escharotomy; initial incision (16035) | $663 | $1,105 | 1.6× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) | $1,526.40 | $2,544 | 0.8× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $2,395.20 | $3,992 | 1.3× |
| Evacuation of subungual hematoma (11740) | $100.20 | $167 | 0.8× |
| Exc arm/elbow les sc < 3 cm (24075) | $2,554.80 | $4,258 | 1.6× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $1,265.40 | $2,109 | 1.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 3 matching MRF lines |
$3,202.80–$12,481.38 | $5,338–$20,802.30 | varies |
| Exc Back Les Sc < 3 Cm (21930) | $2,554.80 | $4,258 | 1.6× |
| Exc Back Tum Deep 5 Cm/> (21933) | $15,897.66 | $26,496.10 | 5.5× |
| Exc back tum deep < 5 cm (21932) | $10,832.28 | $18,053.80 | 3.7× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $612.60 | $1,021 | 0.9× |
| Exc Face Les Sbq 2 Cm/> (21012) | $2,734.20 | $4,557 | 1.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $1,265.40 | $2,109 | 1.8× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $612.60 | $1,021 | 0.9× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $2,694.60 | $4,491 | 1.6× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $13,309.98 | $22,183.30 | 8.1× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$1,380.60–$10,452.78 | $2,301–$17,421.30 | varies |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $11,838.06 | $19,730.10 | 7.4× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) | $2,619.60 | $4,366 | 0.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$746.40–$12,819 | $1,244–$21,365 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $1,358.40 | $2,264 | 0.8× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $14,185.50 | $23,642.50 | 8.6× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $2,620.20 | $4,367 | 1.6× |
| Exc tendon shth lesion leg/ankle (27630) | $9,938.28 | $16,563.80 | 3.1× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $1,985.40 | $3,309 | 1.7× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $1,283.40 | $2,139 | 3.2× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $10,393.86 | $17,323.10 | 6.3× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) | $12,693.66 | $21,156.10 | 4.4× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) | $10,026.90 | $16,711.50 | 3.5× |
| Excision & Repair Eyelid < One-Fourth Lid Margin (67961) | $3,823.20 | $6,372 | 1.6× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) | $4,415.40 | $7,359 | 1.5× |
| Excision Lingual Frenum Frenectomy (41115) | $1,295.40 | $2,159 | 0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $1,158.60 | $1,931 | 1.6× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $1,158.60 | $1,931 | 1.6× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $10,934.10 | $18,223.50 | 6.8× |
| Excision of hydrocele; unilateral (55040) range across 3 matching MRF lines |
$13,539.12–$37,319.14 | $22,565.20–$62,198.57 | varies |
| Excision of pilonidal cyst or sinus; simple (11770) | $4,537.80 | $7,563 | 1.6× |
| Excision soft tissue lesion, external auditory canal (69145) | $4,415.40 | $7,359 | 1.5× |
| Excision spermatocele w/wo epididymectomy (54840) | $13,161.06 | $21,935.10 | 6.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $2,554.80 | $4,258 | 1.6× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) | $14,388.90 | $23,981.50 | 5.0× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) range across 2 matching MRF lines |
$9,965.46–$10,189.20 | $16,609.10–$16,982 | varies |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) range across 2 matching MRF lines |
$9,897.30–$11,642.22 | $16,495.50–$19,403.70 | varies |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $2,554.80 | $4,258 | 1.6× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $13,133.82 | $21,889.70 | 4.5× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $2,554.80 | $4,258 | 1.6× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) range across 2 matching MRF lines |
$11,869.26–$13,189.56 | $19,782.10–$21,982.60 | varies |
| Excision/destruction lesion pharynx any method (42808) | $2,619.60 | $4,366 | 0.8× |
| Explo/Drain Breast Abscess (19020) | $1,317.60 | $2,196 | 0.8× |
| Exploration penetrating wound spx extremity (20103) | $2,604 | $4,340 | 1.6× |
| Fasciotomy Plantar Fascia Radical Spx (28062) | $14,584.32 | $24,307.20 | 4.5× |
| Fetal non-stress test (59025) | $140.40 | $234 | 0.7× |
| Fine needle aspiration without imaging guidance (10021) | $784.80 | $1,308 | 1.9× |
| Fluid Pressure Muscle (20950) | $457.20 | $762 | 0.6× |
| Fluoro exam of g/colon tube (49465) | $388.20 | $647 | 1.6× |
| Foreskin manipulation (54450) | $489 | $815 | 2.0× |
| Guide Cathet Fluid Drainage (10030) | $2,381.40 | $3,969 | 3.4× |
| Hem vw factor&clgn iii bndg (0279U) | $211.20 | $352 | 18.3× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $8,731.98 | $14,553.30 | 3.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $13,541.82 | $22,569.70 | 4.9× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $9,262.56 | $15,437.60 | 10.0× |
| Hysteroscopy Biopsy (58558) | $10,496.76 | $17,494.60 | 3.3× |
| Hysteroscopy Endometrial Ablation (58563) | $14,867.75 | $24,779.58 | 3.0× |
| Hysteroscopy Removal Impacted Foreign Body (58562) range across 2 matching MRF lines |
$4,769.40–$5,007.60 | $7,949–$8,346 | varies |
| I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) | $4,707.60 | $7,846 | 1.4× |
| I&d abscess peritonsillar (42700) | $879 | $1,465 | 3.7× |
| I&d abscess simple (10060) range across 4 matching MRF lines |
$175.80–$16,188.52 | $293–$26,980.87 | varies |
| I&D Mouth/Tong Intra,Masticator (41009) | $802.20 | $1,337 | 1.5× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) | $11,156.34 | $18,593.90 | 3.4× |
| I&d perianal abscess superficial (46050) | $1,332.60 | $2,221 | 1.4× |
| I&d pilonidal cyst complicated (10081) | $905.40 | $1,509 | 1.3× |
| I&d pilonidal cyst simple (10080) | $457.20 | $762 | 0.6× |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $4,537.80 | $7,563 | 1.6× |
| Image Cath Fluid Peri/Retro (49406) | $2,670 | $4,450 | 1.6× |
| Implant Neuroelectrodes (64561) | $9,236.06 | $15,393.43 | 1.5× |
| Implant Periph/Gastric Neurostim/Receiver (64590) | $57,607.78 | $96,012.97 | 3.0× |
| Incise external hemorrhoid (46083) | $455.40 | $759 | 1.8× |
| Incise finger tendon sheath (26055) range across 5 matching MRF lines |
$6,834.42–$7,266.42 | $11,390.70–$12,110.70 | varies |
| Incision & drainage abscess complicated/multiple (10061) | $382.20 | $637 | 0.9× |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $5,019 | $8,365 | 1.7× |
| Incision & removal foreign body subq tiss compl (10121) | $2,980.20 | $4,967 | 1.8× |
| Incision & removal foreign body subq tiss simple (10120) | $490.80 | $818 | 1.2× |
| Incision and drainage of bartholin's gland abscess (56420) | $165.60 | $276 | 0.8× |
| Incision and drainage of vulva or perineal abscess (56405) | $235.20 | $392 | 0.8× |
| Incision of labial frenum (frenotomy) (40806) | $433.20 | $722 | 0.8× |
| Incision of lingual frenum (frenotomy) (41010) | $1,295.40 | $2,159 | 0.8× |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$768.60–$2,766 | $1,281–$4,610 | varies |
| Incision&drainage bursa foot (28001) range across 2 matching MRF lines |
$1,380.60–$2,604 | $2,301–$4,340 | varies |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $2,633.40 | $4,389 | 1.6× |
| Incisional biopsy skin single lesion (11106) | $1,008.60 | $1,681 | 1.4× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $135 | $225 | 0.7× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 3 matching MRF lines |
$4,437.54–$5,422.80 | $7,395.90–$9,038 | varies |
| Inj W/Fluor Eval Cv Device (36598) | $338.40 | $564 | 1.6× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) | $3,180 | $5,300 | 3.6× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 3 matching MRF lines |
$4,104.48–$4,648.38 | $6,840.80–$7,747.30 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $263.40 | $439 | 0.9× |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $2,442.60 | $4,071 | 2.8× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) | $3,180 | $5,300 | 3.6× |
| Injection aa&/strd genicular nrv branches w/img (64454) | $3,139.32 | $5,232.20 | 4.5× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $3,205.80 | $5,343 | 3.6× |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) | $2,850 | $4,750 | 3.2× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $3,960 | $6,600 | 5.6× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) | $3,180 | $5,300 | 3.6× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $500.40 | $834 | 1.6× |
| Injection for identification of sentinel node (38792) | $1,109.40 | $1,849 | 2.8× |
| Injection procedure for peyronie disease (54200) | $255 | $425 | 1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 9 matching MRF lines |
$263.40–$5,809.08 | $439–$9,681.80 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) | $272.40 | $454 | 0.9× |
| Injection therapeutic carpal tunnel (20526) | $524.40 | $874 | 1.7× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $1,617 | $2,695 | 1.8× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $2,442.60 | $4,071 | 3.5× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $1,119.60 | $1,866 | 1.6× |
| Insert and remove bone pin (20650) | $4,410.60 | $7,351 | 1.4× |
| Insert Bladder Cath Complex (51703) | $1,660.80 | $2,768 | 13.0× |
| Insert cath pleura w/ image (32557) | $1,098 | $1,830 | 0.7× |
| Insert cath pleura w/o image (32556) | $3,111.60 | $5,186 | 1.6× |
| Insert Drug Implant Device (11981) range across 2 matching MRF lines |
$1,885.20–$21,400.96 | $3,142–$35,668.27 | varies |
| Insert Gastrostomy Tube Percutaneous (49440) | $3,024.60 | $5,041 | 1.6× |
| Insert non-tunnel cv cath (36556) | $5,172.60 | $8,621 | 1.6× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $2,316.60 | $3,861 | 1.5× |
| Insert Temp Bladder Cath (51702) range across 6 matching MRF lines |
$84–$266.40 | $140–$444 | varies |
| Insert tun ip cath perc (49418) | $5,639.40 | $9,399 | 1.6× |
| Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$12,148.19–$12,164.57 | $20,246.98–$20,274.28 | varies |
| Insert tunneled cv cath (36563) | $5,167.80 | $8,613 | 0.9× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) | $8,924.40 | $14,874 | 1.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $87.60 | $146 | 0.7× |
| Insertion indwelling tunneled pleural catheter (32550) | $12,141.60 | $20,236 | 3.4× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 2 matching MRF lines |
$2,644.20–$2,831.40 | $4,407–$4,719 | varies |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $2,316.60 | $3,861 | 0.7× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $2,316.60 | $3,861 | 0.7× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $2,583.60 | $4,306 | 1.6× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) | $8,924.40 | $14,874 | 1.6× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) | $5,167.80 | $8,613 | 1.6× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $2,316.60 | $3,861 | 0.7× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $7,071.60 | $11,786 | 0.9× |
| Int hrhc by ligation single hroid w/o img gdn (46945) | $7,001.88 | $11,669.80 | 2.5× |
| Interdental fixation (21110) | $1,710.60 | $2,851 | 1.1× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $578.40 | $964 | 1.4× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $643.20 | $1,072 | 1.6× |
| Intraoral i&d tongue/floor lingual (41000) | $865.80 | $1,443 | 1.6× |
| Intraoral i&d tongue/floor submndblr space (41008) | $4,940.40 | $8,234 | 1.5× |
| Intubation endotracheal emergency procedure (31500) | $809.40 | $1,349 | 3.4× |
| Irdec Crnlsclrl/Crnl Sctj Prph Glc Spx (66625) | $2,439.60 | $4,066 | 1.1× |
| Irrigation of corpora cavernosa for priapism (54220) | $428.40 | $714 | 1.7× |
| Klhl11 antb serum/csf cell binding assay qual (0432U) | $1,017.60 | $1,696 | 27.8× |
| Lam facetec & foramot lumbar (63047) | $17,226.16 | $28,710.27 | 2.4× |
| Laparoscopy Enterolysis Separate Procedure (44180) | $32,116.87 | $53,528.12 | 5.3× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 4 matching MRF lines |
$43,114.48–$48,890 | $71,857.47–$81,483.33 | varies |
| Laparoscopy w/rmvl adnexal structures (58661) | $18,589.44 | $30,982.40 | 3.1× |
| Laparoscopy, surgical, appendectomy (44970) | $39,320.18 | $65,533.63 | 6.5× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $35,588.45 | $59,314.08 | 5.9× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) range across 4 matching MRF lines |
$36,543.88–$94,848.48 | $60,906.47–$158,080.80 | varies |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) | $29,569.99 | $49,283.32 | 4.9× |
| Laryngoscopy flexible diagnostic (31575) | $394.20 | $657 | 2.0× |
| Laser vaporization of prostate (52648) | $14,435.82 | $24,059.70 | 2.7× |
| Late closure of wound (13160) | $10,130.22 | $16,883.70 | 2.9× |
| Ligation Internal/Common Carotid Artery (37605) | $5,478.60 | $9,131 | 1.7× |
| Ligation of hemorrhoids (46946) | $6,673.14 | $11,121.90 | 2.4× |
| Lip Surgery Procedure (40799) | $376.20 | $627 | 1.6× |
| Litholapaxy comp/lg > 2.5 cm (52318) | $12,965.44 | $21,609.07 | 3.7× |
| Lithotripsy, extracorporeal shock wave (50590) range across 3 matching MRF lines |
$7,823.52–$12,596.88 | $13,039.20–$20,994.80 | varies |
| Low Back Disk Surgery (63030) | $21,711.50 | $36,185.83 | 3.0× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) | $1,364.40 | $2,274 | 2.0× |
| Mastectomy partial (19301) range across 2 matching MRF lines |
$13,987.44–$20,538.65 | $23,312.40–$34,231.08 | varies |
| Mastectomy simple complete (19303) | $30,315.76 | $50,526.27 | 4.6× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) | $2,583.60 | $4,306 | 1.6× |
| Mech remov tunneled cv cath (36595) | $2,094 | $3,490 | 0.7× |
| Myelography Lumbar Injection (62305) | $3,183.60 | $5,306 | 4.1× |
| Myelography Lumbar Injection (62304) | $3,183.60 | $5,306 | 4.1× |
| Myelography via lumbar injection rs&i cervical (62302) | $3,183.60 | $5,306 | 4.1× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $3,183.60 | $5,306 | 4.1× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $1,513.80 | $2,523 | 2.2× |
| N block inj intercost sng (64420) | $1,049.40 | $1,749 | 1.5× |
| N Block Inj Plantar Digit (64455) | $1,510.80 | $2,518 | 4.9× |
| N Block Lumbar/Thoracic (64520) | $2,653.80 | $4,423 | 3.0× |
| Nasal Endoscopy Dx (31231) | $330.60 | $551 | 1.7× |
| Nasal/Orogastric W/Tube Plmt (43752) | $399.60 | $666 | 0.9× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) | $1,438.20 | $2,397 | 0.8× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) range across 2 matching MRF lines |
$1,432.20–$2,512.80 | $2,387–$4,188 | varies |
| Needle Biopsy Lymph Nodes (38505) | $2,407.20 | $4,012 | 1.5× |
| Needle Biopsy Pancreas (48102) | $1,779.60 | $2,966 | 1.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $29.40 | $49 | 1.0× |
| Needle insertion w/o injection 3 or more muscles (20561) | $37.20 | $62 | 1.3× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) range across 3 matching MRF lines |
$11,025.06–$12,856.68 | $18,375.10–$21,427.80 | varies |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) range across 4 matching MRF lines |
$492.60–$599.40 | $821–$999 | varies |
| Njx anes stellate ganglion crv sympathetic (64510) | $2,528.40 | $4,214 | 2.9× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $822 | $1,370 | 2.7× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $6,150.60 | $10,251 | 1.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 4 matching MRF lines |
$4,893.54–$6,934.14 | $8,155.90–$11,556.90 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) | $3,409.20 | $5,682 | 3.9× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $3,715.74 | $6,192.90 | 5.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $3,267 | $5,445 | 3.7× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $4,078.32 | $6,797.20 | 5.8× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $2,262.60 | $3,771 | 3.3× |
| Occipital Nerve Block (64405) | $1,238.40 | $2,064 | 4.1× |
| Open Repair of Rotator Cuff Acute (23410) | $41,856.31 | $69,760.52 | 5.8× |
| Open treatment metatarsal fracture each (28485) | $34,283.56 | $57,139.27 | 4.7× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) range across 2 matching MRF lines |
$23,001.74–$27,236.49 | $38,336.23–$45,394.15 | varies |
| Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) | $21,400.96 | $35,668.27 | 3.0× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) | $16,758.51 | $27,930.85 | 2.3× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) range across 2 matching MRF lines |
$22,365.11–$36,480.73 | $37,275.18–$60,801.22 | varies |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) range across 2 matching MRF lines |
$32,978.80–$34,283.56 | $54,964.67–$57,139.27 | varies |
| Part exc bone femur prox tibia (27360) | $375 | $625 | 0.1× |
| Part remv talus or calcaneus (28120) | $14,388.90 | $23,981.50 | 4.4× |
| Partial Excision Distal Phalanx Finger (26236) | $2,692.80 | $4,488 | 1.7× |
| Ped Whl Gen Mthyltn Alys 50+ (0318U) | $1,687.20 | $2,812 | 1.0× |
| Percut Cath Occlusn Non Cns Lesn (61626) | $17,716.80 | $29,528 | 1.5× |
| Perq dev breast 1st strtctc (19283) | $1,477.20 | $2,462 | 2.1× |
| Perq dev breast 1st us imag (19285) | $1,894.20 | $3,157 | 2.7× |
| Perq device breast 1st imag (19281) | $1,477.20 | $2,462 | 0.9× |
| Perq Lumbosacral Injection (22511) | $21,231.31 | $35,385.52 | 6.5× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) range across 3 matching MRF lines |
$12,306.10–$13,240.38 | $20,510.17–$22,067.30 | varies |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $26,292.82 | $43,821.37 | 3.6× |
| Perq Vertebral Augmentation (22513) | $19,514.40 | $32,524 | 2.7× |
| Placement of needle for intraosseous infusion (36680) | $263.40 | $439 | 0.6× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) | $3,619.80 | $6,033 | 1.3× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $32,978.80 | $54,964.67 | 10.1× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$262.20–$276 | $437–$460 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $568.80 | $948 | 1.4× |
| Puncture Aspiration Cyst Breast (19000) | $457.20 | $762 | 0.6× |
| Reduction of rectal prolapse (45900) | $1,572 | $2,620 | 1.7× |
| Removal Embedded Foreign Body Eyelid (67938) | $598.80 | $998 | 1.9× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$807–$1,283.40 | $1,345–$2,139 | varies |
| Removal foreign body jawbone (41806) | $2,455.20 | $4,092 | 1.6× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$2,900.40–$12,853.26 | $4,834–$21,422.10 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 4 matching MRF lines |
$55.20–$82.80 | $92–$138 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $82.80 | $138 | 1.4× |
| Removal Implant Deep (20680) range across 2 matching MRF lines |
$11,907.72–$73,683.38 | $19,846.20–$122,805.63 | varies |
| Removal Implant Superficial Separate Procedure (20670) | $2,845.20 | $4,742 | 1.7× |
| Removal of foreign body from pharynx (42809) | $263.40 | $439 | 0.6× |
| Removal of heel spur (28119) | $14,584.32 | $24,307.20 | 4.5× |
| Removal of implant from finger or hand (26320) | $2,694.60 | $4,491 | 1.6× |
| Removal of nail bed (11750) | $320.40 | $534 | 0.8× |
| Removal of tunneled intraperitoneal catheter (49422) | $2,094 | $3,490 | 0.7× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $135 | $225 | 0.7× |
| Removal Submand Stone,Complicated (42335) | $2,619.60 | $4,366 | 0.8× |
| Removal sweat gland lesion (11450) range across 2 matching MRF lines |
$4,507.80–$4,590 | $7,513–$7,650 | varies |
| Remove foreign body from eye (65235) | $3,981 | $6,635 | 1.7× |
| Remove foreign body from eye (65205) | $279 | $465 | 2.1× |
| Remove Intrauterine Device (58301) | $2,011.80 | $3,353 | 6.6× |
| Remove lung catheter (32552) | $516 | $860 | 0.8× |
| Remove Nasal Foreign Body (30300) | $84 | $140 | 0.6× |
| Remove renal tube w/fluoro (50389) | $1,060.80 | $1,768 | 1.5× |
| Renal Biopsy Perq (50200) | $1,317.60 | $2,196 | 0.8× |
| Repair Achilles Tendon (27650) | $27,978.79 | $46,631.32 | 3.9× |
| Repair Blood Vessel Direct Upper Extremity (35206) | $5,172.60 | $8,621 | 1.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $1,155 | $1,925 | 1.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $1,003.80 | $1,673 | 1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$648–$1,155 | $1,080–$1,925 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $1,155 | $1,925 | 2.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $1,003.80 | $1,673 | 2.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $1,155 | $1,925 | 2.9× |
| Repair complex trunk 1.1-2.5 cm (13100) | $1,003.80 | $1,673 | 1.4× |
| Repair complex trunk 2.6-7.5 cm (13101) | $900 | $1,500 | 1.2× |
| Repair extensor tendon finger w/o graft each (26418) | $1,357.20 | $2,262 | 0.8× |
| Repair Eyelid Wound (67935) | $3,823.20 | $6,372 | 1.6× |
| Repair Finger/Hand Tendon (26350) | $5,419.20 | $9,032 | 1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$320.40–$578.40 | $534–$964 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $578.40 | $964 | 1.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $578.40 | $964 | 1.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $578.40 | $964 | 1.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $578.40 | $964 | 0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$550.80–$578.40 | $918–$964 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $578.40 | $964 | 1.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $578.40 | $964 | 0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $669.60 | $1,116 | 1.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $578.40 | $964 | 1.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$649.80–$10,111.68 | $1,083–$16,852.80 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $702.60 | $1,171 | 1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $637.80 | $1,063 | 1.6× |
| Repair of nail bed (11760) | $578.40 | $964 | 0.8× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $5,532.60 | $9,221 | 1.7× |
| Repair Toe Dislocation (28645) | $89,265.68 | $148,776.13 | 27.4× |
| Repair tongue laceration (41252) | $3,418.20 | $5,697 | 14.5× |
| Repair tongue laceration (41250) | $879 | $1,465 | 2.0× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $769.80 | $1,283 | 0.9× |
| Replace G-J Tube Perc (49452) | $3,041.40 | $5,069 | 3.4× |
| Replace g/c tube perc (49450) | $771.60 | $1,286 | 0.9× |
| Reposition Gastrostomy Tube (43761) | $695.40 | $1,159 | 2.8× |
| Reposition Venous Catheter (36597) | $2,583.60 | $4,306 | 1.6× |
| Retrobulbar injection (67500) | $1,284 | $2,140 | 4.1× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $1,604.40 | $2,674 | 1.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $279 | $465 | 0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $631.20 | $1,052 | 4.8× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $631.20 | $1,052 | 1.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $10,093.08 | $16,821.80 | 6.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $782.40 | $1,304 | 1.3× |
| Rplc Gtube No Revj Trc (43762) | $287.40 | $479 | 1.2× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $2,316.60 | $3,861 | 1.5× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $2,316.60 | $3,861 | 1.5× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $5,167.80 | $8,613 | 1.6× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $2,316.60 | $3,861 | 0.7× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) | $46,439.50 | $77,399.17 | 7.7× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $36,026.62 | $60,044.37 | 10.1× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) | $59,260.48 | $98,767.47 | 9.9× |
| Rpr aa hrn 1st 3-10 rdc (49593) | $46,628.96 | $77,714.93 | 7.2× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) | $42,738.34 | $71,230.57 | 7.1× |
| Rpr blood vessel direct lower extremity (35226) | $552 | $920 | 0.8× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $578.40 | $964 | 2.9× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $439.20 | $732 | 1.9× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $931.20 | $1,552 | 1.7× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $992.40 | $1,654 | 1.8× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $5,532.60 | $9,221 | 1.7× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) | $5,274.60 | $8,791 | 1.6× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $893.40 | $1,489 | 1.4× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $6,341.21 | $10,568.68 | 5.3× |
| Shave skin lesion 0.5 cm/< (11300) | $530.40 | $884 | 1.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $648 | $1,080 | 1.6× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) | $2,619.60 | $4,366 | 0.8× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 2 matching MRF lines |
$7,367.69–$12,469.26 | $12,279.48–$20,782.10 | varies |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $578.40 | $964 | 1.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $578.40 | $964 | 2.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $578.40 | $964 | 2.9× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $578.40 | $964 | 1.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$315.60–$578.40 | $526–$964 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $578.40 | $964 | 2.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$142.80–$578.40 | $238–$964 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $1,156.80 | $1,928 | 5.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $578.40 | $964 | 2.9× |
| Skin sub graft face/nk/hf/g (15275) | $1,630.20 | $2,717 | 2.2× |
| Skin sub graft trnk/arm/leg (15271) | $1,249.20 | $2,082 | 1.7× |
| Skin sub grft t/arm/lg child (15273) | $5,649 | $9,415 | 2.8× |
| Skn sub grft f/n/hf/g child (15277) | $1,911 | $3,185 | 0.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$142.80–$578.40 | $238–$964 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $629.40 | $1,049 | 1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $1,155 | $1,925 | 2.9× |
| Spinal puncture lumbar diagnostic (62270) | $545.40 | $909 | 0.8× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) | $14,058.26 | $23,430.43 | 4.5× |
| Strapping ankle (29540) | $364.20 | $607 | 2.3× |
| Strapping elbow or wrist (29260) | $364.20 | $607 | 6.2× |
| Strapping hand/finger (29280) | $364.20 | $607 | 6.2× |
| Strapping knee (29530) | $364.20 | $607 | 2.8× |
| Strapping shoulder (29240) | $117 | $195 | 0.9× |
| Strapping Unna Boot (29580) | $316.20 | $527 | 2.0× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) | $13,147.56 | $21,912.60 | 4.8× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) | $20,589.49 | $34,315.82 | 2.9× |
| Talectomy (astragalectomy) Facility (28130) | $21,400.96 | $35,668.27 | 3.0× |
| Tangential biopsy skin single lesion (11102) | $276 | $460 | 0.7× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $6,968.40 | $11,614 | 4.4× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) | $7,317 | $12,195 | 4.6× |
| Thrombolytic Therapy Stroke (37195) | $1,178.40 | $1,964 | 3.6× |
| Thrombolytic Venous Therapy (37212) | $7,743.60 | $12,906 | 2.5× |
| Thyroid biopsy (60100) | $457.20 | $762 | 0.6× |
| Tooth extraction (41899) | $478.20 | $797 | 2.0× |
| Total Knee Arthroplasty (27447) range across 2 matching MRF lines |
$32,080.79–$32,406.29 | $53,467.98–$54,010.48 | varies |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) | $4,581 | $7,635 | 1.4× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) | $1,933.20 | $3,222 | 3.6× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $435 | $725 | 1.8× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $2,698.80 | $4,498 | 1.7× |
| Transcatheter biopsy (37200) | $4,824 | $8,040 | 0.9× |
| Transur electr resection of prostate (52601) | $13,017.35 | $21,695.58 | 2.4× |
| Treat Fx Rad Extra-Articul (25607) range across 2 matching MRF lines |
$17,942.16–$23,149.85 | $29,903.60–$38,583.08 | varies |
| Treat humerus fracture (24500) range across 2 matching MRF lines |
$378–$394.20 | $630–$657 | varies |
| Treat Humerus Fracture (24505) | $1,077.60 | $1,796 | 0.7× |
| Treat humerus fracture (23600) | $360 | $600 | 1.5× |
| Treat knee fracture (27532) | $2,110.80 | $3,518 | 0.6× |
| Treat Kneecap Fracture (27524) | $12,272.03 | $20,453.38 | 1.7× |
| Treat Knuckle Dislocation (26700) | $604.80 | $1,008 | 2.5× |
| Treat Metatarsal Fracture (28475) | $476.40 | $794 | 1.9× |
| Treat Tail Bone Fracture (27200) | $394.20 | $657 | 1.6× |
| Treat Thumb Dislocation (26641) | $569.40 | $949 | 2.3× |
| Treat Thumb Fracture (26645) | $2,769.60 | $4,616 | 1.7× |
| Treat toe dislocation (28630) | $604.80 | $1,008 | 2.5× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $3,020.40 | $5,034 | 1.9× |
| Treatment closed elbow dislocation w/o anes (24600) | $604.80 | $1,008 | 2.5× |
| Trim skin lesion (11055) | $135 | $225 | 0.7× |
| Tx Gastro Intub W/Asp (43753) | $205.80 | $343 | 1.0× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $4,617 | $7,695 | 1.4× |
| Tx Missed Abortion First Trimester Surgical (59820) | $4,984.80 | $8,308 | 1.5× |
| Tx open tendon flexor toe 1 tendon spx (28232) range across 2 matching MRF lines |
$8,726.64–$32,978.80 | $14,544.40–$54,964.67 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $1,155 | $1,925 | 1.6× |
| Tx superficial wound dehiscence w/packing (12021) | $664.20 | $1,107 | 1.6× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $218.40 | $364 | 0.9× |
| Unlisted Cardiac Surgery (33999) | $11,464.80 | $19,108 | 18.4× |
| Unlisted Procedure Hands/Fingers (26989) | $378 | $630 | 1.5× |
| Unlisted procedure humerus/elbow (24999) | $360 | $600 | 1.5× |
| Unlisted Procedure Intestine (44799) | $1,433.40 | $2,389 | 1.6× |
| Unlisted procedure nervous system (64999) | $3,534.60 | $5,891 | 11.6× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $376.20 | $627 | 1.6× |
| Unlisted Procedure Tongue Floor Mouth (41599) | $408.60 | $681 | 1.7× |
| Unlisted Procedure Vascular Surgery (37799) | $14,780.42 | $24,634.03 | 23.7× |
| Vaginal delivery only (59409) | $4,981.80 | $8,303 | 1.5× |
| Vulvectomy simple partial (56620) | $10,234.32 | $17,057.20 | 3.2× |
| Wedge excision skin nail fold (11765) | $382.80 | $638 | 0.9× |
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.