Procedures & surgery prices at Mercy Hospital Northwest Arkansas

Rogers, AR · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines		 $1,380.60–$2,877.81 $2,124–$4,427.40 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $987.35 $1,519 1.2×
Abdomen Surgery Procedure (22999) $3,832.40 $5,896 16.6×
Ablate inf turbinate submuc (30802) $7,604.36 $11,699.02 5.3×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure		 $5,463.90 $8,406 0.3×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $4,971.85 $7,649 0.7×
Abrasion single lesion (15786) $223.60 $344 1.2×
Amniocentesis diagnostic (59000) $663.65 $1,021 0.8×
Amniocentesis therapeutic (59001) $857.35 $1,319 3.0×
Anal Sp Inf Pmp W/Reprg&Fill (62369) $693.55 $1,067 2.4×
Ankle Arthroscopy/Surgery (29892) $9,234.65 $14,207.15 1.4×
Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) $6,616.05 $10,178.54 5.9×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $2,990.13 $4,600.20 2.7×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $6,015.28 $9,254.27 2.3×
Anterior colporraphy rpr cystocele w/cysto (57240) $14,744.01 $22,683.10 3.2×
Application of rigid total contact leg cast (29445) $469.95 $723 1.8×
Application short leg splint calf foot (29515) $313.95 $483 2.1×
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines		 $258.70–$388.05 $398–$597 varies
Arterial puncture (36600)
range across 2 matching MRF lines		 $69.55–$18,192.99 $107–$27,989.21 varies
Arteriovenous Anastomosis Open Direct (36821) $9,965.03 $15,330.81 3.4×
Artery-vein autograft (36825) $11,773.49 $18,113.06 2.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 4 matching MRF lines		 $35.75–$573.95 $55–$883 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines		 $542.10–$1,028.30 $834–$1,582 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 5 matching MRF lines		 $40.95–$676.65 $63–$1,041 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $704.60 $1,084 2.5×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 4 matching MRF lines		 $26.65–$392.60 $41–$604 varies
Arthroscopy Ankle Surgical Debridement Extensive (29898) $7,666.22 $11,794.18 2.5×
Arthroscopy Elbow Surgical Debridement Extensive (29838) $12,623.29 $19,420.45 4.1×
Arthroscopy Elbow Surgical Synovectomy Partial (29835) $14,451 $22,232.31 4.7×
Arthroscopy hip w/femoroplasty (29914) $20,129.34 $30,968.22 3.0×
Arthroscopy knee synovectomy limited spx (29875) $8,190.50 $12,600.77 2.7×
Arthroscopy shoulder distal claviculectomy (29824) $14,493.27 $22,297.34 4.7×
Arthroscopy Wrist Surgical Synovectomy Complete (29845) $14,113.53 $21,713.13 4.6×
Arthroscopy, knee, surgical; with lateral release (29873) $8,615.65 $13,254.84 2.8×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $22,143.93 $34,067.59 7.3×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $14,925.51 $22,962.32 4.9×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $15,453.36 $23,774.40 2.3×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $19,132.75 $29,435 6.3×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $9,749.65 $14,999.46 3.2×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $15,133.58 $23,282.43 2.2×
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) $11,148.87 $17,152.11 3.7×
Arthrotomy W/Biopsy Hip Joint (27052) $1,559.35 $2,399 1.0×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $16,881.49 $25,971.52 2.5×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $8,201.28 $12,617.36 2.7×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $13,156.26 $20,240.40 4.3×
Arthrs knee debridement/shaving artclr crtlg (29877) $7,628.98 $11,736.89 2.5×
Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) $11,906.06 $18,317.02 3.9×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $8,894.18 $13,683.36 2.9×
Aspirate pleura w/ imaging (32555)
range across 3 matching MRF lines		 $1,337.05–$2,401.75 $2,057–$3,695 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $1,028.30–$2,207.83 $1,582–$3,396.66 varies
Aspirate/Inj Ganglion Cyst (20612) $375.05 $577 1.3×
Aspiration & Injection Treatment Bone Cyst (20615) $860.60 $1,324 1.3×
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines		 $1,825.20–$5,271.62 $2,808–$8,110.19 varies
Av fusion/forearm vein (36820) $10,322.14 $15,880.21 2.0×
Avulsion nail plate partial/complete simple 1 (11730) $282.10 $434 1.5×
Axillary lymphadenectomy; complete (38745) $18,769.28 $28,875.82 3.3×
Biliary ndsc prq t-tube dilat strix w/stent (47556)
unusually low: confirm this is the full procedure		 $3,421.60 $5,264 0.3×
Biopsy Abdominal Mass (49180)
range across 2 matching MRF lines		 $1,084.85–$4,003.44 $1,669–$6,159.14 varies
Biopsy bone open superficial (20240) $3,220.10 $4,954 1.2×
Biopsy bone trocar/needle deep (20225) $1,389.05 $2,137 0.9×
Biopsy Bone Trocar/Needle Superficial (20220) $1,101.75 $1,695 0.7×
Biopsy muscle percutaneous needle (20206) $1,090.05 $1,677 0.7×
Biopsy of liver, needle; percutaneous (47000)
range across 2 matching MRF lines		 $1,227.20–$4,234.16 $1,888–$6,514.09 varies
Biopsy of rectum (45100) $5,817.33 $8,949.74 2.2×
Biopsy Pleura Percutaneous Needle (32400) $1,107.60 $1,704 0.7×
Biopsy Prostate Transrectal Ultrasound-Guided (55707) $9,668.01 $14,873.86 2.9×
Biopsy Salivary Gland Needle (42400) $970.45 $1,493 1.5×
Biopsy soft tissue back/flank deep (21925) $2,221.70 $3,418 1.4×
Biopsy soft tissue neck/thorax (21550) $1,645.15 $2,531 1.1×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $1,433.25 $2,205 0.9×
Biopsy Tongue Anterior Two-Thirds (41100) $728.65 $1,121 1.4×
Biopsy Vaginal Mucosa Simple (57100) $13,769.84 $21,184.37 16.0×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $3,631.87 $5,587.49 4.2×
Biopsy/removal lymph nodes (38510) $8,395.31 $12,915.86 2.3×
Bladder instillation anticarcinogenic agent (51720)
range across 2 matching MRF lines		 $759.20–$6,914.32 $1,168–$10,637.41 varies
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $508.30–$5,584.55 $782–$8,591.61 varies
Bladder Scan (51798)
range across 3 matching MRF lines		 $154.05–$13,782.20 $237–$21,203.38 varies
Blood Transfusion Service (36430)
range across 3 matching MRF lines		 $514.15–$2,149.55 $791–$3,307 varies
Blood/Lymph System Procedure (38999) $516.75 $795 1.3×
Bone Marrow Biopsy (38221)
range across 3 matching MRF lines		 $117.65–$1,062.75 $181–$1,635 varies
Brnchsc Brushing/Protected Brushings (31623) $13,368.74 $20,567.30 8.0×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652)
range across 2 matching MRF lines		 $5,701.15–$19,776 $8,771–$30,424.62 varies
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653)
range across 2 matching MRF lines		 $6,127.55–$21,468.21 $9,427–$33,028.01 varies
Brnchsc Removal Bronchial Valve Ea Addl (31649) $2,896.40 $4,456 1.7×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $20,690.40 $31,831.39 5.9×
Bronchoscopy Clear Airways (31645) $4,362.55 $6,711.62 2.6×
Bronchoscopy W/Biopsy(S) (31625) $11,533.70 $17,744.16 6.9×
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) $19,960.73 $30,708.81 3.0×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $20,911.26 $32,171.17 6.0×
Bronchoscopy/Needle Bx Each (31629) $20,980.90 $32,278.31 6.0×
Bx breast 1st lesion mr imag (19085) $2,141.75 $3,295 1.4×
Bx breast 1st lesion strtctc (19081) $2,157.35 $3,319 1.4×
Bx breast 1st lesion us imag (19083) $1,080.30 $1,662 0.7×
Bx breast needle core w/o imaging guidance spx (19100) $1,235 $1,900 0.8×
Bx Cervix (57500) $5,600.85 $8,616.70 6.5×
Bx prostate strtctc saturation sampling img gid (55706) $11,963.54 $18,405.45 3.6×
Bx prostate tprnl MRI-us gid trgt les 1st (55712) $10,549.81 $16,230.47 3.2×
Bx prostate transperineal ultrasound-guided (55709) $9,433.05 $14,512.39 2.9×
Bx prst8 tprn us w/MRI fus 1 (55710) $12,392.33 $19,065.13 3.8×
Bx prst8 trct us w/MRI fus 1 (55708) $10,950.93 $16,847.59 3.3×
Bx/exc lymph node open deep axillary node (38525) $15,982.52 $24,588.49 4.4×
Bx/exc lymph node open superficial (38500) $13,464.80 $20,715.08 3.7×
Carpal Tunnel Surgery (64721) $7,144.04 $10,990.83 3.9×
Catheter aspiration nasotracheal spx (31720) $165.10 $254 0.8×
Cerclage cervix pregnancy vaginal (59320) $2,455.45 $3,777.62 0.8×
Cessj Therapy Cath Removal (37214) $3,250.65 $5,001 1.1×
Change Cystostomy Tube Complicated (51710) $4,589.24 $7,060.37 7.1×
Change Cystostomy Tube Simple (51705) $3,711.86 $5,710.56 15.9×
Change of Windpipe Airway (31502) $408.85 $629 1.8×
Chemical Cautery Tissue (17250) $276.90 $426 1.5×
Chemodenerv 1 extrem 5/> mus (64644)
range across 4 matching MRF lines		 $107.25–$778.70 $165–$1,198 varies
Chemodenerv 1 extremity 1-4 (64642)
range across 4 matching MRF lines		 $94.90–$689 $146–$1,060 varies
Chemodenerv Musc Migraine (64615)
range across 3 matching MRF lines		 $98.15–$522.60 $151–$804 varies
Chemodenerv musc neck dyston (64616)
range across 4 matching MRF lines		 $84.50–$503.10 $130–$774 varies
Chemodenerv Parotid&Submandibl Salivary Glnds (64611)
range across 3 matching MRF lines		 $76.05–$196.95 $117–$303 varies
Chemodenerv trunk musc 1-5 (64646) $733.20 $1,128 1.1×
Chemodenerv trunk musc 6/> (64647) $878.80 $1,352 1.3×
Chemodenervation Muscle Larynx Unilat W/Emg (64617) $508.30 $782 0.8×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 3 matching MRF lines		 $68.25–$196.95 $105–$303 varies
Chest tube placement (32551)
range across 2 matching MRF lines		 $1,074.45–$23,394.31 $1,653–$35,991.24 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $2,154.10 $3,314 0.6×
Circumcision 28 days or older (54161) $6,025.95 $9,270.69 3.1×
Circumcision w/clamp/oth dev w/block (54150) $649.35 $999 0.3×
Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) $10,820.78 $16,647.36 3.6×
Clsr Anal Fstl W/Rct Advmnt Flap (46288) $7,986.99 $12,287.68 3.1×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,188.20 $1,828 0.8×
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) $20,374.18 $31,344.90 4.4×
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines		 $120.25–$240.50 $185–$370 varies
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines		 $9.75–$4,556.16 $15–$7,009.47 varies
Colonoscopy through stoma; with biopsy, single or multiple (44389) $2,699.89 $4,153.68 2.4×
Colonoscopy thru stoma (44388) $2,355.14 $3,623.30 2.7×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $2,812.74 $4,327.30 2.5×
Colonoscopy w/ablation (45388) $3,350.14 $5,154.06 3.0×
Colonoscopy w/fb removal (45379) $3,890.94 $5,986.06 3.5×
Colonoscopy w/submucosal inj (45381)
range across 2 matching MRF lines		 $981.50–$3,794.50 $1,510–$5,837.69 varies
Colpocleisis (le fort type) (57120) $12,732.67 $19,588.72 2.7×
Colpopexy extraperitoneal (57282) $16,798.92 $25,844.50 2.4×
Colpopexy vaginal intraperitoneal approach (57283) $14,671.71 $22,571.86 2.1×
Colporrhaphy (57200) $20,396.63 $31,379.43 6.8×
Colposcopy entire vagina w/cervix if present (57420) $7,048.91 $10,844.48 24.8×
Colsc Flexible W/Control Bleeding Any Method (45382) $3,019.70 $4,645.69 2.7×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $3,221.85 $4,956.69 2.9×
Combined anteroposterior colporrhaphy; (57260) $17,465.60 $26,870.16 3.7×
Complex drainage wound (10180) $2,266.55 $3,487 0.8×
Conization cervix w/wo d&c rpr eltrd exc (57522) $5,989.42 $9,214.49 2.0×
Conization of cervix (57520) $5,799.80 $8,922.77 1.9×
Control Nasal Hemorrhage Anterior Simple (30901) $5,220.62 $8,031.72 42.0×
Conversion ext bil drg cath (47535) $3,009.50 $4,630 0.9×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $1,285.70 $1,978 0.7×
Convert Nephrostomy Catheter (50434) $1,667.90 $2,566 0.9×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 2 matching MRF lines		 $2,613–$6,974.56 $4,020–$10,730.09 varies
Create Eardrum Opening (69433) $768.95 $1,183 1.5×
Curettage postpartum (59160) $6,618.49 $10,182.29 2.2×
Cysto Bladder W/Ureteral Catheterization (52005) $7,591.45 $11,679.15 3.9×
Cysto calibration dilat urtl strix/stenosis (52281) $5,272.13 $8,110.97 2.7×
Cysto w/destruction of lesions (52214) $8,315.30 $12,792.77 2.5×
Cysto w/insert ureteral stent (52332) $8,852.60 $13,619.38 2.7×
Cysto w/removal of lesions small (52224) $7,602.84 $11,696.67 2.3×
Cysto w/removal of tumors small (52234) $7,796.80 $11,995.08 2.4×
Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) $4,685.06 $7,207.79 1.4×
Cysto W/Simple Removal Stone & Stent (52310) $5,751.79 $8,848.91 2.9×
Cysto w/ureteroscopy w/lithotripsy (52353) $12,999.89 $19,999.83 2.6×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $5,603.97 $8,621.49 1.7×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $6,806.82 $10,472.03 2.1×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $6,024.69 $9,268.76 1.8×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) $6,742.44 $10,372.98 1.3×
Cysto/uretero w/lithotripsy (52356) $13,542.24 $20,834.21 2.7×
Cystostomy Cystotomy W/Drainage (51040) $5,199.30 $7,998.92 2.7×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $9,575.99 $14,732.30 4.9×
Cystouretero W/Congen Repr (52400) $4,923.55 $7,574.70 1.5×
Cystourethroscopy (52000) $4,579.47 $7,045.34 7.0×
Cystourethroscopy inj chemodenervation bladder (52287) $6,142.16 $9,449.47 3.1×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $7,738.35 $11,905.16 2.4×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $9,809.61 $15,091.71 2.0×
Cystourethroscopy w/dil bladder general anesth (52260) $4,676.78 $7,195.05 2.4×
Cystourethroscopy w/rmvl ureteral calculus (52320) $23,372.22 $35,957.26 7.1×
Cystourethroscopy with biopsy (52204) $6,025.10 $9,269.39 3.1×
Cystourethroscopy with direct vision internal urethrotomy (52276) $5,230.65 $8,047.15 2.7×
Cystourethroscopy, with internal urethrotomy; male Facility (52275) $5,141.06 $7,909.33 2.6×
Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) $2,941.90 $4,526 1.6×
Deb Musc/Fascia 20 Sq Cm/< (11043) $939.90 $1,446 1.4×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,318.85 $2,029 0.9×
Debridement subcutaneous tissue 20 sq cm/< (11042) $737.75 $1,135 1.9×
Declot vascular device (36593)
range across 2 matching MRF lines		 $438.75–$929.47 $675–$1,429.95 varies
Delivery of placenta (59414) $1,909.70 $2,938 0.6×
Destr W Neurolytic; Celiac Plexus (64680) $1,749.15 $2,691 2.1×
Destroy cerv/thor facet jnt (64633)
range across 3 matching MRF lines		 $1,740.70–$3,494.35 $2,678–$5,375.92 varies
Destroy lumb/sac facet jnt (64635)
range across 3 matching MRF lines		 $1,662.70–$5,425.63 $2,558–$8,347.12 varies
Destruction by neurolytic agent, intercostal nerve (64620) $1,164.15 $1,791 1.4×
Destruction by neurolytic agent; plantar common digital nerve (64632) $812.50 $1,250 2.8×
Destruction by neurolytic agent; pudendal nerve (64630) $863.85 $1,329 1.0×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 3 matching MRF lines		 $2,572.05–$3,857.75 $3,957–$5,935 varies
Destruction premalignant lesion 1st (17000) $144.95 $223 0.8×
Destruction Vaginal Lesions Simple (57061) $5,950.30 $9,154.31 2.0×
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines		 $1,237.60–$2,379.84 $1,904–$3,661.30 varies
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $2,371.85 $3,649 2.1×
Dilat rct strix spx under anes oth/thn local (45910) $2,682.55 $4,127 2.4×
Dilat Xst Trc New Access Rcs (50437) $24,208.40 $37,243.70 7.4×
Dilate Esophagus 1/Mult Pass (43450)
range across 2 matching MRF lines		 $1,708.85–$3,015.54 $2,629–$4,639.30 varies
Dilate Urethra Stricture (53600) $460.20 $708 2.0×
Dilation & curettage dx&/ther nonobstetric (58120) $6,036.13 $9,286.36 2.0×
Dilation Esophagus Guide Wire (43453) $2,042.30 $3,142 1.1×
Dir Rpr Ruptd Aneurysm Radial/Ulnar Artery (35045) $18,908.01 $29,089.24 3.6×
Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) $4,201.62 $6,464.03 2.5×
Dissection, deep jugular node(s) Facility (38542) $18,851.96 $29,003.02 3.3×
Drain Cerebro Spinal Fluid (62272) $719.55 $1,107 1.1×
Drain/inj small joint/bursa w/us (20604)
range across 3 matching MRF lines		 $55.25–$408.85 $85–$629 varies
Drainage of hematoma/fluid (10140) $1,760.20 $2,708 1.1×
Drainage of scrotum (54700) $7,001.98 $10,772.27 3.6×
Draw Blood Off Venous Device (36591)
range across 3 matching MRF lines		 $126.10–$260.65 $194–$401 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $404.95 $623 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $334.10 $514 1.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $245.70 $378 1.3×
Dstrj Lesion Anus Extensive (46924) $5,905.48 $9,085.35 2.3×
Dstrj lesion anus simple cryosurgery (46916) $9,880.92 $15,201.41 52.8×
Dstrj lesion anus simple surg excision (46922) $5,480.76 $8,431.94 2.1×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $6,616.05 $10,178.54 3.4×
Dstrj lesion penis simple surg excision (54060) $4,149.45 $6,383.77 2.2×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 5 matching MRF lines		 $650–$3,090.52 $1,000–$4,754.64 varies
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $1,898.65 $2,921 2.3×
Dx Bone Marrow Bx & Aspir (38222)
range across 4 matching MRF lines		 $2,033.20–$8,011.90 $187–$12,326 varies
Dx Bronchoscope/Lavage (31624) $20,115.84 $30,947.45 12.1×
Dx Bronchoscope/Wash (31622)
range across 3 matching MRF lines		 $1,395.55–$20,885.10 $2,147–$32,130.93 varies
Dx Laryngoscopy Excl Nb (31525)
range across 2 matching MRF lines		 $1,789.45–$5,955.20 $2,753–$9,161.85 varies
Dx lmbr spi pnxr w/fluor/CT (62328)
range across 2 matching MRF lines		 $875.55–$2,484.62 $1,347–$3,822.50 varies
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $3,138.78 $4,828.89 1.8×
Egd control bleeding any (43255) $2,892.95 $4,450.69 1.6×
Egd dilation gastric/duodenal stricture (43245) $3,558.95 $5,475.31 2.0×
Egd Flexible Foreign Body Removal (43247) $2,724.99 $4,192.30 3.2×
Egd guide wire insertion (43248) $3,543.34 $5,451.30 4.2×
Egd lesion ablation (43270) $3,093.60 $4,759.39 1.7×
Egd place gastrostomy tube (43246)
range across 2 matching MRF lines		 $2,481.70–$5,544.25 $3,818–$8,529.61 varies
Egd remove lesion snare (43251) $4,731.72 $7,279.57 2.6×
Egd Varices Ligation (43244) $3,245.20 $4,992.61 1.8×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370)
range across 3 matching MRF lines		 $70.85–$200.20 $109–$308 varies
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $542.75 $835 1.9×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $497.90 $766 1.7×
Embedded ip cath exit-site (49436) $6,772.44 $10,419.14 3.8×
Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) $4,414.80 $6,792 0.9×
Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) $4,184.70 $6,438 0.8×
Endometrial Biopsy (58100) $5,449.06 $8,383.17 28.9×
Endoscopic injection/implant (51715) $5,982.37 $9,203.64 1.8×
Endoscopy Upper Small Intestine (44360) $1,456.65 $2,241 0.8×
Endoven abltj incmptnt vein xtr rf 1st vein (36475)
range across 2 matching MRF lines		 $4,634.50–$5,665.39 $7,130–$8,715.99 varies
Epididymectomy unilateral (54860) $6,823.66 $10,497.94 2.1×
Epidural Blood Patch (62273) $845.65 $1,301 1.3×
Episiotomy or vaginal repair (59300) $2,785.90 $4,286 0.9×
Ercp duct stent placement (43274) $9,844.63 $15,145.59 1.7×
Ercp Dx Collection Specimen Brushing/Washing (43260) $2,195.70 $3,378 0.6×
Ercp remove calculi/debris biliary/pancreas duct (43264) $6,779.41 $10,429.86 1.9×
Ercp remove forgn body duct (43275) $6,469.89 $9,953.67 3.6×
Ercp Stent Exchange W/Dilate (43276) $8,367.26 $12,872.71 1.5×
Ercp W/Biopsy Single/Multiple (43261) $6,572.10 $10,110.93 1.8×
Ercp,Sphincterotomy (43262) $6,856.52 $10,548.50 1.9×
Esophagogastroduodenoscopy Submucosal Injection (43236) $2,855.47 $4,393.03 3.4×
Esophagoscopy Flexible Transoral Diagnostic (43200) $1,690 $2,600 2.0×
Evacuate mole of uterus (59870) $6,804.67 $10,468.73 2.3×
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) $10,193.19 $15,681.83 1.8×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $2,351.70 $3,618 0.6×
Exc hydrocele sprmatic cord uni spx (55500) $17,302.16 $26,618.71 5.3×
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) $18,851.96 $29,003.02 3.4×
Exc Rct Tum Incl Muscularis Propria (45172) $6,499.14 $9,998.67 2.5×
Exc Rct Tum Not Incl Muscularis Propria (45171) $5,352.80 $8,235.08 2.1×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $4,874.99 $7,499.98 4.4×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $719.55 $1,107 1.9×
Exc Varicocele/Ligation Spermatic Veins Spx (55530) $6,506.30 $10,009.70 2.0×
Exc/fulguration urethral caruncle (53265) $6,333.50 $9,743.84 3.2×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536)
range across 2 matching MRF lines		 $2,308.80–$3,418.22 $3,552–$5,258.80 varies
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines		 $1,816.10–$4,739.79 $2,794–$7,291.98 varies
Exchange Transfusion (36455) $702.65 $1,081 1.7×
Exchange Transfusion Blood Newborn (36450) $594.75 $915 1.4×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423)
range across 2 matching MRF lines		 $1,587.95–$9,587.78 $2,443–$14,750.43 varies
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $5,086.97 $7,826.11 3.5×
Excis penile plaque (54110) $31,601.61 $48,617.86 9.6×
Excise intraspinal lesion (63267) $25,570.51 $39,339.25 3.8×
Excision exostosis(es), external auditory canal Facility (69140) $16,217.94 $24,950.67 2.9×
Excision External Ear Partial Simple Repair (69110) $16,102.92 $24,773.72 5.9×
Excision external ear; complete amputation Facility (69120) $15,915.94 $24,486.06 2.9×
Excision inferior turbinate partial/complete (30130) $10,629.03 $16,352.35 3.4×
Excision lesion mouth roof (42104) $6,190.12 $9,523.26 2.0×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $848.25 $1,305 2.2×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,309.75 $2,015 0.8×
Excision Multiple External Papillae/Tags Anus (46230) $5,781.06 $8,893.94 2.2×
Excision of bartholin's gland or cyst (56740) $6,757.24 $10,395.75 2.2×
Excision of extraparenchymal lesion of testis (54512) $7,018.99 $10,798.44 2.1×
Excision of hydrocele; bilateral (55041) $6,643.60 $10,220.93 2.0×
Excision of hydrocele; unilateral (55040) $6,838.54 $10,520.83 2.0×
Excision of local lesion of epididymis (54830) $6,285.53 $9,670.04 1.9×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) $15,381.35 $23,663.61 2.8×
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) $15,824.29 $24,345.06 2.9×
Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length Facility (54112) $15,232.23 $23,434.20 1.7×
Excision of penile plaque (Peyronie disease); with graft to 5 cm in length Facility (54111) $34,591.47 $53,217.64 6.9×
Excision of urethral diverticulum (separate procedure); male Facility (53235) $9,828.45 $15,120.69 2.0×
Excision of vaginal cyst or tumor (57135) $5,455.16 $8,392.55 1.8×
Excision Thyroglossal Duct Cyst/Sinus (60280) $11,642.01 $17,910.78 2.1×
Excision/destruction intranasal lesion int appr (30117) $6,190.12 $9,523.26 2.0×
External cephalic version (59412)
range across 2 matching MRF lines		 $1,444.95–$3,153.25 $2,223–$4,851.16 varies
Fetal Contraction Stress Test (59020) $438.75 $675 2.3×
Fetal non-stress test (59025)
range across 2 matching MRF lines		 $567.45–$1,040.65 $873–$1,601 varies
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $690.95 $1,063 1.0×
Fine needle aspiration bx w/mr gdn 1st lesion (10011) $690.95 $1,063 1.0×
Fluoro exam of g/colon tube (49465) $219.05 $337 1.0×
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines		 $690.95–$1,359.55 $1,063–$2,091.62 varies
Foreskin manipulation (54450) $6,056.07 $9,317.03 26.0×
Frenulotomy of penis (54164) $5,878.23 $9,043.43 3.0×
Guide Cathet Fluid Drainage (10030) $967.85 $1,489 1.5×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $7,202.75 $11,081.15 2.8×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $7,071.85 $10,879.77 2.7×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) $8,984.36 $13,822.09 3.5×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 2 matching MRF lines		 $1,476.80–$6,788.13 $2,272–$10,443.27 varies
Hip arthro w/labral repair (29916) $20,129.34 $30,968.22 3.0×
Hysteroscopy Biopsy (58558) $7,453.66 $11,467.17 2.5×
Hysteroscopy Endometrial Ablation (58563) $8,695.48 $13,377.66 1.9×
Hysteroscopy Lysis Intrauterine Adhesions (58559) $5,697.11 $8,764.78 1.2×
Hysteroscopy Removal Impacted Foreign Body (58562) $7,600.42 $11,692.95 2.5×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $7,384.75 $11,361.16 1.6×
I&d abscess simple (10060) $352.95 $543 1.9×
I&d deep absc bursa/hematoma thigh/knee region (27301) $2,514.85 $3,869 0.9×
I&d perianal abscess superficial (46050) $7,699.99 $11,846.14 8.9×
Icd Pocket Revision (33223) $1,661.40 $2,556 0.9×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $2,886.19 $4,440.30 3.4×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $1,281.80 $1,972 1.5×
Image Cath Fluid Colxn Visc (49405)
range across 2 matching MRF lines		 $1,661.40–$2,261.41 $2,556–$3,479.09 varies
Image Cath Fluid Peri/Retro (49406)
range across 2 matching MRF lines		 $1,891.50–$3,198.65 $2,910–$4,921 varies
Image Cath Fluid Trns/Vgnl (49407)
range across 2 matching MRF lines		 $2,037.10–$4,616.36 $3,134–$7,102.09 varies
Implant cochlear device (69930) $60,105.58 $92,470.13 2.0×
Implant neuroelectrodes (63650)
range across 2 matching MRF lines		 $3,426.80–$6,146.05 $5,272–$9,455.46 varies
Implant Neuroelectrodes (64561) $28,723.53 $44,190.05 4.8×
Implant Periph/Gastric Neurostim/Receiver (64590) $29,096.64 $44,764.06 1.6×
Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69716) $31,324.53 $48,191.58 2.6×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
unusually low: confirm this is the full procedure		 $3,948.75 $6,075 0.5×
Incise external hemorrhoid (46083) $408.20 $628 1.8×
Incision & drainage abscess complicated/multiple (10061) $653.90 $1,006 1.7×
Incision & removal foreign body subq tiss simple (10120) $596.70 $918 1.6×
Incision of eardrum (69421) $3,815.29 $5,869.67 1.2×
Incision of eardrum (69420) $3,465.24 $5,331.14 15.7×
Incision of labial frenum (frenotomy) (40806) $3,628.91 $5,582.94 7.2×
Incision of lingual frenum (frenotomy) (41010)
range across 2 matching MRF lines		 $1,167.40–$3,355.07 $1,796–$5,161.64 varies
Incision of rectal abscess (46040) $5,871.02 $9,032.34 5.3×
Incisional biopsy skin single lesion (11106) $629.20 $968 0.9×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 3 matching MRF lines		 $926.90–$3,062.07 $1,426–$4,710.87 varies
Inj W/Fluor Eval Cv Device (36598)
range across 2 matching MRF lines		 $412.75–$460.58 $635–$708.59 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines		 $1,599.65–$2,429.70 $2,461–$3,738 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 5 matching MRF lines		 $31.85–$865.15 $49–$1,331 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $1,007.98 $1,550.74 1.2×
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines		 $964.60–$1,297.32 $1,484–$1,995.87 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines		 $734.50–$1,124.91 $1,130–$1,730.63 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 2 matching MRF lines		 $1,260.35–$5,593.82 $1,939–$8,605.87 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 3 matching MRF lines		 $724.10–$13,450.51 $1,114–$20,693.09 varies
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 2 matching MRF lines		 $569.40–$1,665.46 $876–$2,562.25 varies
Injection Anes Superior Hypogastric Plexus (64517) $1,016.60 $1,564 1.2×
Injection anesthetic agent suprascapular nerve (64418)
range across 3 matching MRF lines		 $522.60–$783.90 $804–$1,206 varies
Injection for identification of sentinel node (38792) $842.40 $1,296 2.3×
Injection single tendon origin/insertion (20551) $350.35 $539 1.2×
Injection single/mlt trigger point 1/2 muscles (20552) $367.90 $566 1.3×
Injection single/mlt trigger point 3/> muscles (20553) $397.80 $612 1.4×
Injection therapeutic carpal tunnel (20526) $396.50 $610 1.4×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 3 matching MRF lines		 $763.10–$11,313.66 $1,174–$17,405.63 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 3 matching MRF lines		 $752.05–$23,287.76 $1,157–$35,827.32 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $447.85–$1,209.01 $689–$1,860.02 varies
Injx/Infusion Neurolytic Substance Subarachnoid (62280) $807.95 $1,243 1.0×
Ins cath ren art 1st bilat (36252)
range across 2 matching MRF lines		 $4,496.05–$19,873.80 $6,917–$30,575.07 varies
Ins cath ren art 1st unilat (36251)
range across 2 matching MRF lines		 $2,809.30–$9,426.19 $4,322–$14,501.83 varies
Ins cath ren art 2nd+ bilat (36254) $6,364.15 $9,791 2.2×
Ins cath ren art 2nd+ unilat (36253) $2,832.70 $4,358 0.5×
Ins endovas vena cava filtr (37191)
range across 2 matching MRF lines		 $5,989.10–$11,065.20 $9,214–$17,023.38 varies
Ins/Rep Subq Defibrillator (33270)
unusually low: confirm this is the full procedure		 $10,587.85 $16,289 0.4×
Insert 1 Electrode Pm-Defib (33216)
range across 2 matching MRF lines		 $3,127.80–$4,412.42 $4,812–$6,788.34 varies
Insert Bladder Cath Complex (51703) $386.75 $595 3.2×
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines		 $1,632.80–$3,871.21 $2,512–$5,955.71 varies
Insert cath pleura w/o image (32556) $1,343.55 $2,067 0.8×
Insert cervical dilator (59200)
range across 2 matching MRF lines		 $319.80–$2,209.44 $492–$3,399.14 varies
Insert Gastrostomy Tube Percutaneous (49440)
range across 2 matching MRF lines		 $1,405.95–$4,418.82 $2,163–$6,798.18 varies
Insert Heart Pm Atrial (33206)
unusually low: confirm this is the full procedure		 $4,696.90 $7,226 0.5×
Insert Heart Pm Ventricular (33207)
range across 2 matching MRF lines		 $4,219.15–$13,241.37 $6,491–$20,371.34 varies
Insert hepatic shunt (tips) (37182)
range across 2 matching MRF lines		 $8,605.35–$33,431.76 $13,239–$51,433.48 varies
Insert multi-comp penis pros (54405) $31,439.76 $48,368.86 1.6×
Insert non-tunnel cv cath (36556) $1,948.05 $2,997 0.7×
Insert Pacing Lead & Connect (33224)
unusually low: confirm this is the full procedure		 $3,443.70 $5,298 0.4×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,522.95 $2,343 1.0×
Insert pulse gen dual leads (33213)
range across 2 matching MRF lines		 $4,918.55–$15,201.34 $7,567–$23,386.67 varies
Insert pulse gen mult leads (33221)
unusually low: confirm this is the full procedure		 $6,566.95 $10,103 0.4×
Insert Pulse Gen Sngl Lead (33212) $4,470.05 $6,877 0.6×
Insert spine infusion device (62360)
likely a partial charge, not the full procedure		 $3,948.75 $6,075 0.2×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $268.45–$17,348.14 $413–$26,689.44 varies
Insert tun ip cath perc (49418) $3,616.60 $5,564 1.1×
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $2,323.10–$4,894.59 $3,574–$7,530.14 varies
Insert tunneled cv cath (36563) $3,547.05 $5,457 0.7×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
unusually low: confirm this is the full procedure		 $1,859 $2,860 0.4×
Insert Uro/Ves Nck Sphincter (53445) $37,959.63 $58,399.43 2.0×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $254.15–$7,323.34 $391–$11,266.67 varies
Insertion indwelling tunneled pleural catheter (32550)
range across 2 matching MRF lines		 $3,643.25–$6,884.85 $5,605–$10,592.08 varies
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $2,680.60–$3,199.30 $4,124–$4,922 varies
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
range across 2 matching MRF lines		 $8,146.45–$14,420.90 $12,533–$22,186 varies
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $4,005.95 $6,163 1.2×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $5,225.35 $8,039 0.7×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $1,426.10 $2,194 0.5×
Insj prph ctr vad w/subq port age 5 yr/> (36571)
range across 2 matching MRF lines		 $2,323.75–$2,640.30 $3,575–$4,062 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $2,364.05–$2,680.60 $3,637–$4,124 varies
Insj Subq Impltbl Dfb Elctrd (33271) $7,965.10 $12,254 1.0×
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $4,192.50 $6,450 1.4×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines		 $2,458.30–$5,395.66 $3,782–$8,301.02 varies
Insj/Rplcmt Cranial Neurostim Gener 2/> Eltrds (61886) $44,602.45 $68,619.15 1.5×
Insj/Rplcmt Defib W/Lead(S) (33249)
range across 3 matching MRF lines		 $12,049.70–$41,960.40 $18,538–$64,554.46 varies
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $42,053.60 $64,697.84 1.5×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $4,877.60 $7,504 0.6×
Insrt heart pm atrial & vent (33208)
range across 2 matching MRF lines		 $4,854.85–$13,121.69 $7,469–$20,187.21 varies
Insrt Pulse Gen W/Dual Leads (33230) $11,116.95 $17,103 0.5×
Insrt Pulse Gen W/Mult Leads (33231)
unusually low: confirm this is the full procedure		 $11,670.75 $17,955 0.4×
Insrt Pulse Gen W/Singl Lead (33240)
likely a partial charge, not the full procedure		 $5,464.55 $8,407 0.3×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $1,892.15 $2,911 1.5×
Intro cath dialysis circuit (36901)
range across 2 matching MRF lines		 $1,428.70–$2,847.48 $2,198–$4,380.74 varies
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $12,619.75 $19,415 1.2×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902)
range across 2 matching MRF lines		 $5,972.85–$8,533.34 $9,189–$13,128.21 varies
Intubation endotracheal emergency procedure (31500) $709.80 $1,092 3.2×
Irrigation maxillary sinus (31000) $14,729.78 $22,661.20 66.6×
Knee Arthroscopy/Surgery (29874) $7,457.57 $11,473.18 2.4×
Knee Arthroscopy/Surgery (29850) $16,547.48 $25,457.66 11.0×
Lam facetec & foramot lumbar (63047) $21,713.19 $33,404.91 3.2×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) $24,470.41 $37,646.79 3.6×
Laminotomy Single Lumbar (63042) $15,586.68 $23,979.51 2.3×
Lap impl electrode antrum (43647) $44,184.86 $67,976.71 4.2×
Lap insert tunnel ip cath (49324) $10,910.19 $16,784.91 1.9×
Lap paraesoph her rpr w/mesh (43282) $17,119.45 $26,337.62 1.7×
Lap paraesophag hern repair (43281) $16,782.38 $25,819.04 1.7×
Lap revision perm ip cath (49325) $9,403.84 $14,467.44 1.7×
Laparo-vag hyst incl t/o (58552) $14,137.76 $21,750.40 1.4×
Laparoscopic myomectomy (58545) $17,394.28 $26,760.43 3.1×
Laparoscopy aspiration (49322) $10,059.87 $15,476.72 1.8×
Laparoscopy Enterolysis Separate Procedure (44180) $10,633.40 $16,359.08 1.9×
Laparoscopy gastrostomy (43653) $8,528.97 $13,121.50 1.5×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) $13,807.92 $21,242.96 2.4×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $18,628.41 $28,659.10 1.9×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) $17,869.57 $27,491.64 1.8×
Laparoscopy W/Lysis Of Adhesions (58660) $11,191.41 $17,217.55 2.0×
Laparoscopy w/rmvl adnexal structures (58661) $13,221.29 $20,340.44 2.3×
Laparoscopy, surgical, appendectomy (44970) $11,464.39 $17,637.52 2.0×
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) $33,409.54 $51,399.29 3.4×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) $13,605.62 $20,931.72 1.4×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) $14,823.59 $22,805.53 1.5×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) $12,648.01 $19,458.47 2.2×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $11,397.74 $17,534.98 2.0×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) $25,204.93 $38,776.81 2.5×
Laparoscopy, surgical; partial nephrectomy (50543) $23,885.47 $36,746.88 2.4×
Laparoscopy, surgical; pyeloplasty (50544) $23,858.07 $36,704.72 2.4×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $14,447.82 $22,227.42 2.6×
Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum Facility (43648) $18,041.17 $27,755.65 1.8×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) $19,642.01 $30,218.47 2.0×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) $19,721.38 $30,340.59 2.0×
Laparoscopy, surgical; with biopsy (single or multiple) (49321) $17,058.83 $26,244.36 3.0×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $10,883.87 $16,744.42 1.9×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $13,324.94 $20,499.91 2.4×
Laps Gastric Restrictive Px Remove Device & Port (43774) $16,838.22 $25,904.96 4.7×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) $32,410.38 $49,862.13 3.3×
Laps Surg Prst8ect Rpbic Rad W/Bi Pel Lymphadec (55869) $24,339.30 $37,445.07 2.5×
Laps Surg Prst8ect Rpbic Radical W/Lymph Node Bx (55868) $25,703.53 $39,543.89 2.6×
Laps surg retroperitoneal lymph node bx 1/mlt (38570) $17,416.09 $26,793.98 3.1×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) $14,811.73 $22,787.27 1.5×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $6,671.64 $10,264.06 1.9×
Laryngoscopy and dilation (31528) $8,158.46 $12,551.47 2.3×
Laryngoscopy flexible diagnostic (31575)
range across 3 matching MRF lines		 $413.40–$5,274.86 $636–$8,115.17 varies
Laryngoscopy W/Biopsy (31535) $6,378.81 $9,813.56 1.8×
Laryngoscopy w/biopsy microscope/telescope (31536) $7,576.15 $11,655.62 2.2×
Larynscop w/tumr exc + scope (31541) $6,112.70 $9,404.15 1.8×
Laser vaporization of prostate (52648) $13,989.53 $21,522.35 2.8×
Late closure of wound (13160) $7,885.83 $12,132.04 2.4×
Ligation of a-v fistula (37607)
range across 2 matching MRF lines		 $5,110.05–$6,540.30 $7,861.62–$10,062 varies
Ligation Of Neck Artery (37615) $11,077.10 $17,041.69 3.8×
Ligation or biopsy temporal artery (37609) $5,250.56 $8,077.79 3.4×
Litholapaxy comp/lg > 2.5 cm (52318) $8,617.34 $13,257.44 2.6×
Litholapaxy smpl/sm <2.5 cm (52317) $10,330.83 $15,893.58 3.1×
Lithotripsy, extracorporeal shock wave (50590) $7,720.38 $11,877.51 2.3×
Low Back Disk Surgery (63030) $19,012.42 $29,249.87 2.8×
Lrt iad 18bct/8vir&7arg RNA (0528U) $400.40 $616 0.6×
Lsh w/t/o uterus above 250 g (58544) $32,420.84 $49,878.22 3.3×
Lysis of labial adhesions (56441) $7,113.29 $10,943.52 2.4×
Lysis/excision penile postcircumcision adhesions (54162) $6,494.58 $9,991.66 3.3×
Marsupialization of bartholin's gland cyst (56440) $6,425.62 $9,885.57 2.1×
Maternity Care Procedure (59899)
range across 3 matching MRF lines		 $221–$707.20 $340–$1,088 varies
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $1,033.50 $1,590 0.7×
Myelography Lumbar Injection (62305)
range across 2 matching MRF lines		 $941.85–$5,259.42 $1,449–$8,091.42 varies
Myelography Lumbar Injection (62304)
range across 2 matching MRF lines		 $583.70–$3,509.98 $898–$5,399.97 varies
Myelography via lumbar injection rs&i cervical (62302)
range across 2 matching MRF lines		 $583.70–$3,156.67 $898–$4,856.42 varies
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $687.05 $1,057 0.9×
Myringoplasty (69620) $4,853.85 $7,467.46 1.6×
N Block Inj Celiac Pelus (64530)
range across 2 matching MRF lines		 $923–$3,283.36 $1,420–$5,051.32 varies
N Block Inj Ilio-Ing/Hypogi (64425)
range across 3 matching MRF lines		 $462.15–$734.48 $711–$1,129.97 varies
N block inj intercost sng (64420)
range across 2 matching MRF lines		 $674.70–$1,172.29 $1,038–$1,803.52 varies
N Block Inj Plantar Digit (64455) $412.10 $634 1.4×
N Block Inj Pudendal (64430) $1,106.95 $1,703 1.3×
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines		 $1,167.40–$1,670.39 $1,796–$2,569.83 varies
Nasal Endoscopy Dx (31231) $3,407.59 $5,242.44 18.3×
Nasal/Orogastric W/Tube Plmt (43752) $666.25 $1,025 1.6×
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $15,625.98 $24,039.97 4.5×
Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) $6,803.84 $10,467.45 1.2×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $6,616.88 $10,179.81 4.0×
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $19,267.99 $29,643.06 11.6×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)
range across 2 matching MRF lines		 $1,674.40–$5,407.32 $2,576–$8,318.95 varies
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) $18,396.55 $28,302.39 2.8×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) $18,737.18 $28,826.43 2.8×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) $21,001.34 $32,309.76 3.2×
Nasal/sinus ndsc total with sphenoidotomy (31257) $17,854.62 $27,468.64 2.7×
Nasal/sinus ndsc w/partial ethmoidectomy (31254) $12,975.37 $19,962.11 2.0×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) $21,001.34 $32,309.76 3.2×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) $14,027.38 $21,580.59 2.1×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $4,577.77 $7,042.72 3.1×
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines		 $1,079.65–$3,437.85 $1,661–$5,289 varies
Needle Biopsy Pancreas (48102) $1,046.50 $1,610 0.7×
Needle insertion w/o injection 1 or 2 muscles (20560)
range across 2 matching MRF lines		 $52–$57.85 $80–$89 varies
Needle insertion w/o injection 3 or more muscles (20561)
range across 2 matching MRF lines		 $55.90–$56.55 $86–$87 varies
Nerve repair w/conduit each nerve (64910) $24,103.77 $37,082.73 2.9×
Nerve Repair W/Nerve Allograft First Strand (64912) $13,124.65 $20,191.77 1.6×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $7,003.58 $10,774.74 3.8×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $7,071.32 $10,878.95 3.9×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $590.85 $909 1.4×
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines		 $1,109.55–$1,667.43 $1,707–$2,565.28 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 3 matching MRF lines		 $445.25–$834.57 $685–$1,283.96 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531)
range across 2 matching MRF lines		 $1,172.60–$1,654.29 $1,804–$2,545.06 varies
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $1,420.25 $2,185 0.4×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 3 matching MRF lines		 $1,017.90–$3,288.73 $1,566–$5,059.58 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325)
range across 2 matching MRF lines		 $1,038.70–$1,415.95 $1,598–$2,178.38 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines		 $696.15–$1,074.53 $1,071–$1,653.12 varies
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320)
range across 2 matching MRF lines		 $1,052.35–$1,114.83 $1,619–$1,715.12 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324)
range across 2 matching MRF lines		 $1,191.45–$2,265.98 $1,833–$3,486.12 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $1,403.35 $2,159 1.7×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines		 $696.15–$1,077.78 $1,071–$1,658.12 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326)
range across 2 matching MRF lines		 $988.65–$6,241.44 $1,521–$9,602.22 varies
Njx Noncmpnd Sclrsnt 1 Vein (36465) $3,701.10 $5,694 1.9×
Njx Noncmpnd Sclrsnt Mlt Vn (36466) $3,270.80 $5,032 1.7×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 2 matching MRF lines		 $1,365.65–$2,110.93 $2,101–$3,247.59 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430)
range across 2 matching MRF lines		 $1,428.70–$10,901.38 $2,198–$16,771.35 varies
Njx Sclrsnt 1 Incmptnt Vein (36470) $584.35 $899 1.5×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $1,049.75 $1,615 2.8×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) $14,827.34 $22,811.30 2.3×
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) $9,432.22 $14,511.11 1.4×
Occipital Nerve Block (64405)
range across 3 matching MRF lines		 $492.05–$1,209.01 $757–$1,860.02 varies
Open biopsy/excision inguinofemoral nodes (38531)
range across 2 matching MRF lines		 $4,269.85–$9,174.03 $6,569–$14,113.90 varies
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568) $42,998.31 $66,151.25 1.0×
Open implantation of neurostimulator electrode array; neuromuscular Facility (64580) $23,756.24 $36,548.06 1.3×
Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) $44,068.21 $67,797.24 1.5×
Open/Perq Place Stent 1St (37236)
range across 2 matching MRF lines		 $8,899.80–$18,952.03 $13,692–$29,156.97 varies
Open/Perq Place Stent Same (37238)
range across 2 matching MRF lines		 $8,576.75–$25,474.44 $13,195–$39,191.45 varies
Orchiectomy radical tumor inguinal approach (54530) $6,571.40 $10,109.84 2.0×
Orchiopexy Ingun/Scrot Appr (54640) $8,697.53 $13,380.82 2.6×
Parathyroidectomy or exploration of parathyroid(s); (60500) $12,651.22 $19,463.41 2.3×
Partial removal of thyroid (60220) $11,990.78 $18,447.35 2.1×
Partial removal of tongue (41120) $15,206.02 $23,393.88 2.8×
Pelvic examination under anesthesia (other than local) (57410) $3,097.80 $4,765.85 1.0×
Penis plastic surgery (54360) $7,137.87 $10,981.34 2.2×
Perc Cryo Ablate Renal Tum (50593)
range across 2 matching MRF lines		 $6,748.30–$16,709.78 $10,382–$25,707.36 varies
Percut Drain/Inject Renal Cyst (50390)
range across 2 matching MRF lines		 $880.10–$3,416.46 $1,354–$5,256.09 varies
Percut Mech Thrombectomy, Venous, Repeat (37188) $4,876.95 $7,503 1.7×
Pericardiocentesis W/Imaging (33016) $1,316.25 $2,025 0.9×
Perineoplasty rpr perineum nonobstetrical spx (56810) $12,852.85 $19,773.62 4.3×
Peritoneal Lavage (49084) $1,222.65 $1,881 1.4×
Perq av fistula creation uxtr single access (36836) $13,115.70 $20,178 0.8×
Perq Cervicothoracic Inject (22510) $3,107.65 $4,781 1.0×
Perq dev breast 1st mr guide (19287) $2,332.20 $3,588 3.5×
Perq dev breast 1st strtctc (19283) $1,532.70 $2,358 2.3×
Perq dev breast 1st us imag (19285) $1,121.90 $1,726 1.7×
Perq device breast 1st imag (19281) $1,032.85 $1,589 0.7×
Perq dilation xst trc endourologic px w/img (50436) $24,274.45 $37,345.31 7.4×
Perq Lumbosacral Injection (22511) $3,449.55 $5,307 1.1×
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) $19,063.95 $29,329.16 2.2×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $843.05 $1,297 1.3×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $11,417.90 $17,566 1.1×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $7,855.25 $12,085 1.5×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $5,567.25 $8,565 0.8×
Perq Vertebral Augmentation (22513) $5,532.80 $8,512 0.8×
Phleb Veins - Extrem 20+ (37766) $4,087.20 $6,288 1.4×
Place Cath Subclavian Art (36225)
range across 2 matching MRF lines		 $5,077.80–$6,254.95 $7,812–$9,623 varies
Place Cath Thoracic Aorta (36221)
range across 2 matching MRF lines		 $3,619.20–$22,520.90 $5,568–$34,647.54 varies
Place Cath Vertebral Art (36226)
range across 3 matching MRF lines		 $5,467.80–$8,242 $8,412–$12,680 varies
Place Duod/Jej Tube Perc (49441) $1,989.65 $3,061 1.1×
Place Rt Device/Marker Pros (55876) $10,722.89 $16,496.75 8.3×
Placement of seton (46020) $5,365.87 $8,255.18 2.1×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541) $3,751.15 $5,771 0.6×
Plmt Bile Duct Stent Prq Existing Access (47538) $3,380 $5,200 0.6×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $4,057.95 $6,243 0.7×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $4,724.85 $7,269 0.8×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 2 matching MRF lines		 $3,266.90–$7,671.43 $5,026–$11,802.20 varies
Plmt Nephroureteral Catheter (50433)
range across 2 matching MRF lines		 $2,274.35–$19,063.95 $3,499–$29,329.16 varies
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $3,716.70 $5,718 1.1×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693)
range across 2 matching MRF lines		 $2,505.75–$4,192.38 $3,855–$6,449.82 varies
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694)
range across 2 matching MRF lines		 $4,358.90–$9,953.45 $6,706–$15,313 varies
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $16,570.72 $25,493.41 3.5×
Prim art mech thrombectomy (37184)
range across 2 matching MRF lines		 $5,604.30–$46,261.11 $8,622–$71,170.94 varies
Prostate laser enucleation (52649) $15,900.33 $24,462.04 3.2×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $1,129.70 $1,738 1.7×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555)
range across 3 matching MRF lines		 $4,436.90–$11,129.90 $6,826–$17,122.92 varies
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $2,294.50 $3,530 0.7×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $3,279.90 $5,046 1.0×
Pseudoaneurysm Injection Trt (36002) $465.40 $716 0.8×
Punch biopsy skin single lesion (11104) $512.85 $789 1.4×
Puncture aspiration abscess hematoma bulla/cyst (10160) $326.95 $503 0.9×
Puncture Aspiration Cyst Breast (19000) $468 $720 0.7×
Puncture shunt tube/reservoir aspiration/inj px (61070) $642.85 $989 1.0×
Push Transfusion Blood 2 Yr/Under (36440) $507 $780 1.2×
Pvb thoracic cont infusion (64463) $1,162.85 $1,789 1.8×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $1,162.85 $1,789 1.8×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $3,621.15 $5,571 2.0×
Rdctj torsion tstis w/wo fixj clat testis (54600) $3,642.60 $5,604 1.1×
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) $16,673.10 $25,650.92 3.0×
Redo Endovas Vena Cava Filtr (37192) $4,154.15 $6,391 1.4×
Relocation Pocket Pacemaker (33222)
range across 2 matching MRF lines		 $1,663.35–$4,353.11 $2,559–$6,697.09 varies
Rem Endovas Vena Cava Filter (37193)
range across 2 matching MRF lines		 $3,162.25–$6,297.47 $4,865–$9,688.42 varies
Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447) $37,432.65 $57,588.69 1.9×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $701.35 $1,079 0.8×
Removal foreign body, intranasal; requiring general anesthesia (30310) $3,468.25 $5,335.77 1.1×
Removal Hypoglossal Nerve Nstim Ra Pg&Respir Snr (64584) $12,861.17 $19,786.42 4.0×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $111.15–$182.65 $171–$281 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines		 $174.20–$3,427.45 $268–$5,273 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $4,475.30 $6,885.07 1.5×
Removal of adenoids (42835) $5,484.86 $8,438.25 1.8×
Removal of adenoids (42831) $5,636.79 $8,671.99 1.8×
Removal of adenoids (42830) $5,137.23 $7,903.43 1.7×
Removal of anal fissure (46200) $6,723.02 $10,343.11 2.6×
Removal of kidney stone (50081) $24,208.40 $37,243.70 2.7×
Removal of nail bed (11750) $807.30 $1,242 2.1×
Removal of sperm cord lesion (55520) $28,425.83 $43,732.05 8.6×
Removal of testis (54520) $7,472.17 $11,495.65 2.3×
Removal of tonsils (42825) $5,423.96 $8,344.56 1.0×
Removal of tonsils (42826) $6,469.19 $9,952.60 2.1×
Removal of tunneled intraperitoneal catheter (49422)
range across 2 matching MRF lines		 $4,743.05–$5,541.36 $7,297–$8,525.17 varies
Removal Pacemaker Electrode (33235)
range across 2 matching MRF lines		 $2,182.70–$55,725.81 $3,358–$85,732.02 varies
Removal ppm generator only (33233)
range across 2 matching MRF lines		 $2,670.85–$51,954.15 $4,109–$79,929.46 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200) $230.75 $355 1.2×
Removal subcutaneous cardiac rhythm monitor (33286)
range across 2 matching MRF lines		 $1,333.15–$2,087.27 $2,051–$3,211.19 varies
Remove armpit lymph nodes (38740) $34,334.91 $52,822.94 6.1×
Remove cerclage suture (59871) $2,731.30 $4,202 0.9×
Remove drug implant device (11982) $1,197.30 $1,842 2.9×
Remove Elctrd Transvenously (33244) $2,272.40 $3,496 0.7×
Remove Intrauterine Device (58301) $5,455.16 $8,392.55 19.2×
Remove intrvas foreign body (37197)
range across 2 matching MRF lines		 $2,249–$27,911.01 $3,460–$42,940.02 varies
Remove lung catheter (32552)
range across 2 matching MRF lines		 $1,275.95–$3,871.21 $1,963–$5,955.71 varies
Remove prostate regrowth (52630) $8,349.22 $12,844.95 1.7×
Remove Pulse Generator (33241)
range across 2 matching MRF lines		 $2,186.60–$35,415.54 $3,364–$54,485.45 varies
Remove renal tube w/fluoro (50389)
range across 2 matching MRF lines		 $599.95–$4,192.38 $923–$6,449.82 varies
Remove spine eltrd plate (63662)
range across 2 matching MRF lines		 $2,641.60–$12,513.84 $4,064–$19,252.06 varies
Remove ureter stent percut (50384) $2,727.40 $4,196 1.4×
Remove&replace pm gen singl (33227) $6,126.25 $9,425 0.8×
Remove/replace penis prosth (54410) $28,424.36 $43,729.79 1.5×
Remv&replc cvd gen dual lead (33263)
range across 2 matching MRF lines		 $9,084.40–$29,871.24 $13,976–$45,955.76 varies
Remv&replc cvd gen mult lead (33264)
range across 2 matching MRF lines		 $9,990.50–$36,047.44 $15,370–$55,457.60 varies
Remv&replc cvd gen sing lead (33262)
range across 2 matching MRF lines		 $8,258.25–$25,647.37 $12,705–$39,457.49 varies
Remv&replc pm gen dual lead (33228)
range across 2 matching MRF lines		 $6,707.35–$14,520.14 $10,319–$22,338.67 varies
Remv&replc pm gen mult leads (33229)
range across 2 matching MRF lines		 $9,990.50–$29,066.47 $15,370–$44,717.65 varies
Remvl Inflatable Urethral/Bladder Neck Sphincter (53446) $10,795.15 $16,607.92 2.2×
Renal Biopsy Perq (50200)
range across 2 matching MRF lines		 $1,457.30–$6,308.96 $2,242–$9,706.09 varies
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50555) $15,847.73 $24,381.12 1.8×
Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) $23,359.69 $35,937.98 4.7×
Reopen fallopian tube (58350) $11,310.94 $17,401.44 2.4×
Repair arm/leg nerve (64857) $16,237.58 $24,980.89 5.1×
Repair Blood Vessel Direct Hand Finger (35207) $11,693.39 $17,989.83 4.0×
Repair Blood Vessel Direct Upper Extremity (35206) $16,237.58 $24,980.89 5.5×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $6,608.73 $10,167.27 9.6×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $13,590.54 $20,908.52 35.8×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $10,565.41 $16,254.47 27.8×
Repair complex trunk 1.1-2.5 cm (13100) $16,938.78 $26,059.66 24.6×
Repair complex trunk 2.6-7.5 cm (13101) $12,704.71 $19,545.71 18.4×
Repair incomplete circumcision (54163) $5,990.70 $9,216.46 3.1×
Repair inguinal hernia, sliding, any age (49525) $8,350.50 $12,846.92 2.5×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $8,513.71 $13,098.02 2.5×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $11,112.37 $17,095.95 29.3×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $6,745.42 $10,377.57 17.8×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $386.75 $595 1.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $5,748.70 $8,844.16 15.2×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $15,568.96 $23,952.25 41.0×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $5,607.82 $8,627.41 14.8×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $6,113.87 $9,405.95 16.1×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $11,540.70 $17,754.93 30.4×
Repair intermediate s/a/t/e >30.0 cm (12037) $12,515.72 $19,254.95 6.5×
Repair lead pace-defib dual (33220) $3,224 $4,960 0.9×
Repair Lead Pace-Defib One (33218) $2,497.30 $3,842 0.7×
Repair of enterocele, vaginal approach (separate procedure) (57268) $13,176.27 $20,271.18 2.8×
Repair of hydrocele (55060) $7,018.99 $10,798.44 2.1×
Repair of rectocele (45560) $7,437.59 $11,442.44 2.9×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) $11,187.81 $17,212.01 1.9×
Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks… (49496) $3,063.45 $4,713 0.9×
Replace duodenostomy/jejunostomy tube perq (49451)
range across 2 matching MRF lines		 $1,232.40–$2,967.41 $1,896–$4,565.25 varies
Replace G-J Tube Perc (49452)
range across 2 matching MRF lines		 $907.40–$2,115.55 $1,396–$3,254.69 varies
Replace g/c tube perc (49450)
range across 2 matching MRF lines		 $644.15–$1,678.83 $991–$2,582.82 varies
Repos Previously Implanted Subq Implantable Dfb (33273) $3,010.80 $4,632 0.9×
Reposition Gastrostomy Tube (43761) $905.45 $1,393 3.9×
Reposition L Ventric Lead (33226) $1,906.45 $2,933 0.6×
Reposition Pacing-Defib Lead (33215)
range across 2 matching MRF lines		 $2,151.50–$7,040.14 $3,310–$10,830.99 varies
Reposition Venous Catheter (36597) $1,117.35 $1,719 0.8×
Rerepair ing hernia reduce (49520) $12,611.87 $19,402.88 3.8×
Resection of scrotum (55150) $5,527.17 $8,503.34 1.7×
Rev/rmv prph sac/gstr npg/r (64595) $7,551.30 $11,617.39 2.3×
Revise Hand/Foot Nerve (64704) $5,858.51 $9,013.10 3.2×
Revise Spine Eltrd Plate (63664)
unusually low: confirm this is the full procedure		 $3,675.75 $5,655 0.4×
Revise ulnar nerve at wrist (64719) $8,141.07 $12,524.73 4.5×
Revise/remove neuroelectrode (61880) $44,602.45 $68,619.15 13.7×
Revise/Repair Finger/Toe Nerve (64702) $7,036.91 $10,826.01 3.9×
Revision including removal of prosthetic vaginal graft vaginal approach (57295) $13,479.99 $20,738.44 4.5×
Revision of penis (54304) $7,065.03 $10,869.28 2.1×
Revision of urethra (57220) $15,283.92 $23,513.72 3.3×
Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode… (64583) $40,446.88 $62,225.97 3.9×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663)
range across 2 matching MRF lines		 $3,675.75–$41,038.54 $5,655–$63,136.22 varies
Revj Transvns Intrahepatic Portosystemic Shunt (37183)
range across 2 matching MRF lines		 $8,794.50–$13,621.42 $13,530–$20,956.03 varies
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688)
range across 2 matching MRF lines		 $5,360.55–$36,922.03 $8,247–$56,803.13 varies
Revj/rmvl neurostimulator pulse generator (61888) $44,602.45 $68,619.15 4.3×
Revj/rmvl peripheral neurostimulator electrode (64585) $7,101.07 $10,924.72 2.2×
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265)
range across 2 matching MRF lines		 $10,816–$18,755.89 $16,640–$28,855.21 varies
Revsc evasc fpvt angiop uni sf les 1st vsl (37263)
range across 2 matching MRF lines		 $8,563.10–$21,933.50 $13,174–$33,743.84 varies
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) $14,181.70 $21,818 0.8×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271)
range across 2 matching MRF lines		 $11,061.70–$36,225.57 $17,018–$55,731.64 varies
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277)
range across 2 matching MRF lines		 $8,287.50–$30,438.89 $12,750–$46,829.06 varies
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275)
range across 2 matching MRF lines		 $14,181.70–$34,837.57 $21,818–$53,596.26 varies
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269)
range across 2 matching MRF lines		 $11,061.70–$16,600.62 $17,018–$25,539.42 varies
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267)
range across 2 matching MRF lines		 $10,816–$19,217.85 $16,640–$29,565.93 varies
Revsc evasc imvt angiop uni cplx les 1st vsl (37298) $8,852.35 $13,619 0.8×
Revsc evasc imvt angiop uni sf les 1st vsl (37296) $13,863.85 $21,329 1.3×
Revsc evasc ivt angiop uni cplx les 1st vsl (37256) $7,350.20 $11,308 1.4×
Revsc evasc ivt angiop uni sf les 1st vsl (37254)
range across 2 matching MRF lines		 $7,350.20–$26,015.36 $11,308–$40,023.63 varies
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260)
range across 2 matching MRF lines		 $9,455.55–$26,104.51 $14,547–$40,160.79 varies
Revsc evasc ivt st plmt uni sf les 1st vsl (37258)
range across 2 matching MRF lines		 $9,455.55–$32,582.75 $14,547–$50,127.31 varies
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282)
range across 2 matching MRF lines		 $10,388.95–$29,605.17 $15,983–$45,546.42 varies
Revsc evasc tpvt angiop uni sf les 1st vsl (37280)
range across 2 matching MRF lines		 $8,916.05–$24,537.66 $13,717–$37,750.25 varies
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) $13,863.85 $21,329 0.8×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $13,204.75 $20,315 0.8×
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) $13,863.85 $21,329 0.8×
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) $13,863.85 $21,329 0.8×
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) $13,204.75 $20,315 0.8×
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) $10,388.95 $15,983 0.6×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $3,407.59 $5,242.44 2.2×
Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) $9,403.52 $14,466.95 6.5×
Rmvl of subq implantable defibrillator electrode (33272) $6,199.05 $9,537 1.8×
Rmvl Previously Implted Ithcl/Edrl Cath (62355) $6,817.91 $10,489.09 3.7×
Rmvl spinal nstim eltrd prq array incl fluor (63661)
range across 2 matching MRF lines		 $2,333.50–$36,922.03 $3,590–$56,803.13 varies
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $6,817.91 $10,489.09 2.1×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $2,016.30 $3,102 0.6×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $1,248–$2,915.65 $1,920–$4,485.62 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines		 $761.15–$1,616.32 $1,171–$2,486.64 varies
Rplc Gtube No Revj Trc (43762)
range across 3 matching MRF lines		 $146.90–$334.75 $226–$515 varies
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $1,479.40 $2,276 1.0×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,747.85 $2,689 1.2×
Rplcmt compl tun ctr vad w/subq port (36582)
range across 2 matching MRF lines		 $2,934.75–$7,241.08 $4,515–$11,140.13 varies
Rplcmt compl tun cvc w/o subq port/pmp (36581) $2,388.10 $3,674 0.8×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $16,929.86 $26,045.94 3.0×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $7,981.73 $12,279.58 2.4×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) $17,295.09 $26,607.83 2.9×
Rpr aa hernia recr 3-10 cm reducible (49615) $14,293.22 $21,989.57 2.4×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $7,467.66 $11,488.71 1.3×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $8,980.68 $13,816.43 2.7×
Rpr aa hrn 1st 3-10 rdc (49593) $14,894.16 $22,914.10 2.5×
Rpr aa hrn 1st < 3 ncr/strn (49592) $9,593.51 $14,759.24 1.7×
Rpr blood vessel direct lower extremity (35226) $2,243.80 $3,452 3.4×
Rpr Component Inflatable Penile Prosthesis (54408) $8,172.65 $12,573.31 1.6×
Rpr ing hern premie blocked (49492) $3,676.40 $5,656 1.1×
Rpr ing hernia init reduce (49500) $5,990.70 $9,216.46 1.0×
Sclerotx Fluid Collection (49185)
range across 2 matching MRF lines		 $1,238.90–$6,836.66 $1,906–$10,517.94 varies
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $8,057.04 $12,395.44 2.6×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $3,065.61 $4,716.32 3.5×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $3,118.49 $4,797.68 2.8×
Shoulder Arthroscopy/Surgery (29825) $9,005.87 $13,855.18 2.9×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $2,853.62 $4,390.18 3.3×
Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030) $11,817.90 $18,181.39 2.1×
Skin sub graft face/nk/hf/g (15275) $672.75 $1,035 1.0×
Skin sub graft trnk/arm/leg (15271) $747.50 $1,150 1.1×
Skin sub grft t/arm/lg child (15273) $1,046.50 $1,610 0.5×
Skn sub grft f/n/hf/g child (15277) $1,151.15 $1,771 0.6×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 2 matching MRF lines		 $4,908.15–$5,577.65 $7,551–$8,581 varies
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 3 matching MRF lines		 $4,373.85–$6,867.02 $6,729–$10,564.64 varies
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 3 matching MRF lines		 $5,013.45–$7,574.45 $7,713–$11,653 varies
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $13,521.87 $20,802.87 2.9×
Slitting of prepuce (54001) $20,816.48 $32,025.35 10.7×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $926.25–$2,575.25 $1,425–$3,961.92 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $3,472.95 $5,343 1.1×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $3,623.75 $5,575 1.9×
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $255.45–$384.15 $393–$591 varies
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $7,667.81 $11,796.63 2.5×
Surg Implnt Neuroelect,Epidural (63655) $20,382.51 $31,357.71 1.1×
Surg tx anal fistula subq (46270) $6,530.31 $10,046.63 2.5×
Suture 1 nerve hand/foot common sensory nerve (64834) $11,693.39 $17,989.83 3.7×
Suture digital nerve hand/foot 1 nerve (64831) $11,751.19 $18,078.75 6.4×
Sympathectomy; digital arteries, each digit Facility (64820) $5,871.69 $9,033.37 3.2×
Tangential biopsy skin single lesion (11102) $419.90 $646 1.1×
Tcat Insj/Rpl Perm Ldls Pm (33274)
range across 2 matching MRF lines		 $16,338.40–$35,264.40 $25,136–$54,252.93 varies
Tcat Rmvl Perm Ldls Pm (33275) $2,475.85 $3,809 0.8×
Ther Spi Pnxr Csf Fluor/Ct (62329)
range across 2 matching MRF lines		 $686.40–$2,361.45 $1,056–$3,633 varies
Therapeutic plasma exchange (36514) $2,147.60 $3,304 1.5×
Thrmbc/Nfs Dialysis Circuit (36906)
range across 2 matching MRF lines		 $15,559.70–$32,284.62 $23,938–$49,668.65 varies
Thromblytic art/ven therapy (37213) $3,433.30 $5,282 1.2×
Thrombolytic Art Therapy (37211)
range across 2 matching MRF lines		 $3,858.40–$87,319.05 $5,936–$134,337 varies
Thrombolytic Therapy Stroke (37195) $650.65 $1,001 2.1×
Thrombolytic Venous Therapy (37212) $3,212.95 $4,943 1.1×
Thyroid biopsy (60100) $699.40 $1,076 1.1×
Thyroidectomy, total or complete (60240) $14,199.13 $21,844.82 2.5×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) $17,567.43 $27,026.81 3.2×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $5,578.16 $8,581.78 1.8×
Tooth extraction (41899) $13,325.28 $20,500.43 60.3×
Tprnl Plmt Biodegrdabl Matrl (55874) $10,947.16 $16,841.79 2.2×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $5,885.81 $9,055.10 1.9×
Tracheostoma revj smpl w/o flap rotation (31613) $4,479.80 $6,892 1.4×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,248 $1,920 0.9×
Transcatheter biopsy (37200) $2,614.95 $4,023 0.5×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $11,187.81 $17,212.01 6.1×
Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) $3,918.85 $6,029 0.8×
Transur electr resection of prostate (52601) $8,107.73 $12,473.43 1.6×
Transurethral incision of prostate (52450) $6,086.62 $9,364.03 1.9×
Transurethral resection bladder neck (52500) $5,299.24 $8,152.67 1.6×
Treat ectopic pregnancy (59151) $10,891.81 $16,756.63 1.9×
Trluml Balo Angiop 1St Art (37246)
range across 2 matching MRF lines		 $8,435.05–$19,666.87 $12,977–$30,256.72 varies
Trluml Balo Angiop 1St Vein (37248)
range across 2 matching MRF lines		 $6,123.65–$27,779.36 $9,421–$42,737.47 varies
Trurl rescj postop bladder neck contracture (52640) $6,777.96 $10,427.63 2.1×
Trurl Robotic-Assisted Waterjet Resection Prst8 (52597) $15,057.60 $23,165.54 1.7×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $4,342.65 $6,681 1.7×
Tx Gastro Intub W/Asp (43753) $337.35 $519 1.7×
Tx Incomplete Abortion Any Trimester Surgical (59812) $6,268.65 $9,644.07 2.1×
Tx Missed Abortion First Trimester Surgical (59820) $6,163.48 $9,482.28 2.0×
Tx Missed Abortion Second Trimester Surgical (59821) $4,894.66 $7,530.24 1.6×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $707.85–$7,611.48 $1,089–$11,709.97 varies
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $3,849.62 $5,922.50 2.7×
Tympanoplasty (69631) $13,409.55 $20,630.08 2.4×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) $18,866.52 $29,025.42 3.4×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) $21,007.32 $32,318.96 3.8×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) $20,851.48 $32,079.20 3.8×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) $16,357.48 $25,165.36 3.0×
Tympanostomy general anesthesia (69436) $3,513.69 $5,405.67 2.4×
Unlisted Cardiac Surgery (33999)
range across 4 matching MRF lines		 $1,781–$30,364.24 $2,740–$46,714.21 varies
Unlisted laparoscopic procedure liver (47379) $10,858.84 $16,705.91 1.9×
Unlisted laparoscopy procedure appendix (44979) $17,205.23 $26,469.59 3.0×
Unlisted laparoscopy procedure oviduct ovary (58679) $9,157.13 $14,087.89 1.6×
Unlisted laparoscopy procedure stomach (43659) $28,833.30 $44,358.93 5.1×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) $16,109.44 $24,783.75 2.9×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) $14,426.85 $22,195.16 2.6×
Unlisted laparoscopy procedure, intestine (except rectum) (44238) $20,093.59 $30,913.22 3.6×
Unlisted procedure anus (46999) $16,154.72 $24,853.42 18.6×
Unlisted procedure arthroscopy (29999) $16,371.86 $25,187.48 71.1×
Unlisted Procedure Biliary Tract (47999) $2,606.29 $4,009.68 3.1×
Unlisted procedure breast (19499)
range across 2 matching MRF lines		 $747.50–$1,136.20 $1,150–$1,748 varies
Unlisted Procedure Intestine (44799) $2,391.77 $3,679.65 2.8×
Unlisted procedure nervous system (64999)
range across 6 matching MRF lines		 $262.60–$789.10 $404–$1,214 varies
Unlisted Procedure Rectum (45999)
range across 2 matching MRF lines		 $2,751.45–$16,809.70 $4,233–$25,861.07 varies
Unlisted procedure stomach (43999) $37.70 $58 0.0×
Unlisted Procedure Trachea Bronchi (31899) $4,479.80 $6,892 24.0×
Unlisted Procedure Vascular Surgery (37799)
range across 4 matching MRF lines		 $1,454.05–$31,323.48 $2,237–$48,189.97 varies
Unlisted Procedure, Urinary System (53899)
range across 2 matching MRF lines		 $1,534–$5,584.55 $2,360–$8,591.61 varies
Unlisted px female genital system nonobstetrical (58999) $11,041.28 $16,986.58 58.5×
Upgrade of pacemaker system (33214) $7,608.25 $11,705 0.8×
Vaginal delivery only (59409)
range across 2 matching MRF lines		 $170.95–$2,902.25 $263–$4,465 varies
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $19,622.99 $30,189.22 4.2×
Vaginectomy, partial removal of vaginal wall; (57106) $22,519.44 $34,645.29 7.5×
Vasc embolize/occlude artery (37242)
range across 2 matching MRF lines		 $5,175.95–$34,809.85 $7,963–$53,553.61 varies
Vasc Embolize/Occlude Bleed (37244) $7,002.45 $10,773 0.6×
Vasc Embolize/Occlude Organ (37243) $6,089.20 $9,368 0.6×
Vasc embolize/occlude venous (37241)
range across 2 matching MRF lines		 $7,002.45–$41,802.58 $10,773–$64,311.66 varies
Venous Mech Thrombectomy (37187)
range across 2 matching MRF lines		 $5,794.75–$27,779.36 $8,915–$42,737.47 varies
Ventilating tube removal requiring general anesthesia (69424) $3,805.08 $5,853.97 1.2×
Vulvectomy simple partial (56620) $7,223.98 $11,113.81 2.4×
Vulvectomy simple; complete (56625) $9,321.96 $14,341.48 3.1×
Wound Prep F/N/Hf/G (15004) $1,164.80 $1,792 3.1×
Wound Prep Trk/Arm/Leg (15002) $1,435.20 $2,208 2.1×
Wrist arthroscopy with partial removal of joint lining (29844) $6,630.44 $10,200.67 2.2×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.