Procedures & surgery prices at Methodist Fremont Health

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

1330 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 5 matching MRF lines		 $980.13–$2,103.45 $2,649–$5,685 varies
Abrasion single lesion (15786) $170.94 $462 0.8×
Acromiopl/Acromionect Partial (23130) $1,125.54 $3,042 0.3×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)
range across 3 matching MRF lines		 $1,684.61–$4,501.42 $4,553–$12,166 varies
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $4,501.42 $12,166 2.1×
Amniocentesis diagnostic (59000) $273.80 $740 0.3×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $1,903.28 $5,144 0.6×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 2 matching MRF lines		 $2,850.48–$4,501.42 $7,704–$12,166 varies
Amputation foot transmetarsal (28805) $7,652.34 $20,682 2.3×
Amputation metatarsal with toe single (28810)
range across 2 matching MRF lines		 $1,350.87–$1,496.28 $3,651–$4,044 varies
Amputation toe interphalangeal joint (28825)
range across 2 matching MRF lines		 $1,496.28–$4,501.42 $4,044–$12,166 varies
Amputation toe metatarsophalangeal joint (28820)
range across 2 matching MRF lines		 $1,496.28–$7,652.34 $4,044–$20,682 varies
Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) $7,652.34 $20,682 2.3×
Anoplasty, plastic operation for stricture; adult Facility (46700) $355.57 $961 0.1×
Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) $355.57 $961 0.4×
Anosc Rmvl Mult Tumors Cautery/Snare (46612) $355.57 $961 0.1×
Anoscopy Ablation Lesion (46615) $355.57 $961 0.1×
Anoscopy Control Bleeding (46614) $355.57 $961 0.3×
Anoscopy diagnostic (46600)
range across 3 matching MRF lines		 $68.45–$355.57 $185–$961 varies
Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) $355.57 $961 0.3×
Anoscopy remove lesion (46610) $355.57 $961 0.1×
Anoscopy W/Rmvl Foreign Body (46608)
range across 2 matching MRF lines		 $355.57–$1,026.01 $961–$2,773 varies
Anoscopy; with biopsy, single or multiple (46606)
range across 2 matching MRF lines		 $355.57–$1,026.01 $961–$2,773 varies
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $355.57 $961 0.3×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $2,518.96 $6,808 0.9×
Anterior colporraphy rpr cystocele w/cysto (57240) $4,501.42 $12,166 0.9×
Apheresis Platelets (36513) $883.93 $2,389 1.9×
Appl cranial tong/strtctc frame w/removal spx (20660) $1,058.94 $2,862 0.6×
Application cast elbow finger short arm (29075) $163.17 $441 0.6×
Application Cast Finger (29086) $46.62 $126 0.3×
Application Finger Splint Dynamic (29131)
range across 6 matching MRF lines		 $92.87–$96.94 $251–$262 varies
Application finger splint static (29130)
range across 6 matching MRF lines		 $61.79–$89.54 $167–$242 varies
Application long arm splint shoulder hand (29105)
range across 4 matching MRF lines		 $108.04–$166.13 $292–$449 varies
Application Long Leg Splint (29505) $108.04 $292 0.6×
Application multiplane external fixation system (20692) $7,652.34 $20,682 0.6×
Application of long leg cast (29345) $163.17 $441 0.6×
Application of rigid total contact leg cast (29445) $496.54 $1,342 1.7×
Application Short Arm Splint Dynamic (29126)
range across 6 matching MRF lines		 $133.20–$157.25 $360–$425 varies
Application short arm splint forearm-hand static (29125)
range across 6 matching MRF lines		 $99.53–$129.50 $269–$350 varies
Application short leg splint calf foot (29515) $108.04 $292 0.6×
Apply hand/wrist cast (29085) $294.15 $795 1.7×
Apply long arm cast (29065) $193.51 $523 0.7×
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines		 $218.67–$327.08 $591–$884 varies
Apply Short Leg Cast (29405) $163.17 $441 0.6×
Apply short leg cast (29425) $163.17 $441 0.6×
Arterial puncture (36600)
range across 2 matching MRF lines		 $35.89–$55.87 $97–$151 varies
Arteriovenous Anastomosis Open Direct (36821) $4,501.42 $12,166 1.4×
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) $4,501.42 $12,166 0.8×
Artery-vein autograft (36825) $4,501.42 $12,166 0.8×
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) $7,652.34 $20,682 0.6×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
unusually low: confirm this is the full procedure		 $4,501.42 $12,166 0.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 7 matching MRF lines		 $192.03–$1,350.87 $519–$3,651 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $781.44 $2,112 1.1×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 9 matching MRF lines		 $198.69–$1,118.51 $537–$3,023 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 5 matching MRF lines		 $293.41–$1,176.60 $793–$3,180 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 4 matching MRF lines		 $215.71–$7,652.34 $583–$20,682 varies
Arthrodesis great toe interphalangeal joint (28755) $4,501.42 $12,166 0.6×
Arthrodesis great toe metatarsophalangeal joint (28750)
range across 2 matching MRF lines		 $4,326.78–$4,501.42 $11,694–$12,166 varies
Arthrodesis subtalar (28725)
unusually low: confirm this is the full procedure		 $4,501.42 $12,166 0.3×
Arthrodesis triple (28715)
unusually low: confirm this is the full procedure		 $4,501.42 $12,166 0.3×
Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) $4,501.42 $12,166 0.6×
Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278)
likely a partial charge, not the full procedure		 $2,518.96 $6,808 0.1×
Arthroplasty glenohumeral joint total shoulder (23472)
unusually low: confirm this is the full procedure		 $7,652.34 $20,682 0.4×
Arthroplasty interphalangeal joint each (26535) $7,652.34 $20,682 2.3×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447)
range across 2 matching MRF lines		 $2,026.12–$2,774.63 $5,476–$7,499 varies
Arthroscopy Ankle Surgical Debridement Extensive (29898) $7,652.34 $20,682 2.3×
Arthroscopy Ankle Surgical Debridement Limited (29897)
range across 2 matching MRF lines		 $1,686.83–$7,652.34 $4,559–$20,682 varies
Arthroscopy knee diagnostic w/wo synovial bx spx (29870)
range across 2 matching MRF lines		 $3,018.09–$3,421.02 $8,157–$9,246 varies
Arthroscopy Knee Synovectomy 2/>Compartments (29876)
range across 2 matching MRF lines		 $2,163.02–$4,501.42 $5,846–$12,166 varies
Arthroscopy knee synovectomy limited spx (29875)
range across 2 matching MRF lines		 $1,350.87–$1,929.92 $3,651–$5,216 varies
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $1,350.87 $3,651 0.4×
Arthroscopy shoulder distal claviculectomy (29824)
range across 2 matching MRF lines		 $1,125.54–$3,898.32 $3,042–$10,536 varies
Arthroscopy shoulder surgical capsulorrhaphy (29806)
range across 2 matching MRF lines		 $1,125.54–$3,784.73 $3,042–$10,229 varies
Arthroscopy Wrist Surgical Synovectomy Complete (29845) $4,501.42 $12,166 1.3×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895)
range across 2 matching MRF lines		 $3,421.02–$7,652.34 $9,246–$20,682 varies
Arthroscopy, knee, surgical; with lateral release (29873)
range across 2 matching MRF lines		 $1,350.87–$3,421.02 $3,651–$9,246 varies
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882)
range across 2 matching MRF lines		 $2,163.02–$3,018.09 $5,846–$8,157 varies
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
range across 2 matching MRF lines		 $1,125.54–$3,898.32 $3,042–$10,536 varies
Arthroscopy, shoulder, surgical; debridement, extensive (29823)
range across 2 matching MRF lines		 $1,125.54–$3,898.32 $3,042–$10,536 varies
Arthroscopy, shoulder, surgical; debridement, limited (29822)
range across 2 matching MRF lines		 $1,125.54–$2,003.18 $3,042–$5,414 varies
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
range across 2 matching MRF lines		 $1,125.54–$3,784.73 $3,042–$10,229 varies
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819)
range across 2 matching MRF lines		 $1,125.54–$3,784.73 $3,042–$10,229 varies
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 2 matching MRF lines		 $1,125.54–$3,898.32 $3,042–$10,536 varies
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846)
range across 2 matching MRF lines		 $3,421.02–$4,501.42 $9,246–$12,166 varies
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) $7,652.34 $20,682 0.6×
Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) $4,501.42 $12,166 1.3×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) $7,652.34 $20,682 0.6×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
range across 2 matching MRF lines		 $3,018.09–$6,481.66 $8,157–$17,518 varies
Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889)
unusually low: confirm this is the full procedure		 $6,481.66 $17,518 0.5×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891)
range across 2 matching MRF lines		 $3,898.69–$7,652.34 $10,537–$20,682 varies
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879)
range across 2 matching MRF lines		 $1,350.87–$2,163.02 $3,651–$5,846 varies
Arthrs knee debridement/shaving artclr crtlg (29877)
range across 2 matching MRF lines		 $1,350.87–$2,163.02 $3,651–$5,846 varies
Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) $3,710.73 $10,029 1.1×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880)
range across 2 matching MRF lines		 $1,350.87–$2,163.02 $3,651–$5,846 varies
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $653.42 $1,766 0.4×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $1,496.65 $4,045 0.9×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $1,496.28 $4,044 0.4×
Aspirate pleura w/ imaging (32555)
range across 5 matching MRF lines		 $521.70–$916.86 $1,410–$2,478 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $552.41–$890.22 $1,493–$2,406 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 3 matching MRF lines		 $198.69–$281.94 $537–$762 varies
Aspiration & Injection Treatment Bone Cyst (20615) $7,652.34 $20,682 10.4×
Aspiration and/or injection thyroid cyst (60300) $778.85 $2,105 1.1×
Aspiration bladder insert suprapubic catheter (51102) $1,869.24 $5,052 0.9×
Aspiration Bladder Needle (51100) $478.04 $1,292 1.8×
Aspiration/Release Vitreous Subretinal/Choroidal (67015) $1,983.57 $5,361 0.8×
Av Fistula Revision Open (36832) $4,501.42 $12,166 0.8×
Av Fuse Uppr Arm Basilic (36819) $4,501.42 $12,166 0.8×
Av fusion/forearm vein (36820) $4,501.42 $12,166 0.8×
Avulsion nail plate partial/complete simple 1 (11730)
range across 3 matching MRF lines		 $90.28–$206.09 $244–$557 varies
Biopsy Abdominal Mass (49180)
range across 3 matching MRF lines		 $1,270.58–$1,822.99 $3,434–$4,927 varies
Biopsy bone open superficial (20240)
range across 4 matching MRF lines		 $1,514.78–$1,589.89 $4,094–$4,297 varies
Biopsy bone trocar/needle deep (20225) $1,949.16 $5,268 1.1×
Biopsy Bone Trocar/Needle Superficial (20220)
range across 3 matching MRF lines		 $1,514.78–$1,729.01 $4,094–$4,673 varies
Biopsy muscle percutaneous needle (20206) $589.78 $1,594 0.3×
Biopsy of breast; open, incisional (19101) $2,518.96 $6,808 0.6×
Biopsy of lip (40490)
range across 2 matching MRF lines		 $269.36–$608.28 $728–$1,644 varies
Biopsy of liver, needle; percutaneous (47000)
range across 3 matching MRF lines		 $940.17–$1,352.72 $2,541–$3,656 varies
Biopsy of rectum (45100) $2,518.96 $6,808 0.9×
Biopsy Pleura Percutaneous Needle (32400) $1,574.72 $4,256 0.9×
Biopsy Salivary Gland Needle (42400) $786.25 $2,125 1.1×
Biopsy soft tissue back/flank deep (21925) $2,305.47 $6,231 1.3×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $1,777.48 $4,804 1.0×
Biopsy Vaginal Mucosa Simple (57100) $724.46 $1,958 0.8×
Biopsy Vulva/Perineum 1 Lesion Spx (56605)
range across 2 matching MRF lines		 $421.06–$4,501.42 $1,138–$12,166 varies
Biopsy/removal lymph nodes (38510) $1,801.16 $4,868 0.4×
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $118.77–$2,518.96 $321–$6,808 varies
Bladder Scan (51798)
range across 3 matching MRF lines		 $288.23–$297.11 $779–$803 varies
Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206)
range across 2 matching MRF lines		 $925–$1,844.45 $2,500–$4,985 varies
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $1,125.54 $3,042 0.5×
Blepharotomy drainage abscess eyelid (67700)
range across 5 matching MRF lines		 $330.41–$608.28 $893–$1,644 varies
Blood Transfusion Service (36430)
range across 3 matching MRF lines		 $363.71–$468.05 $983–$1,265 varies
Bone Graft Any Donor Area Major/Large (20902) $4,501.42 $12,166 0.6×
Bone Graft Any Donor Area Minor/Small (20900)
likely a partial charge, not the full procedure		 $2,250.71 $6,083 0.3×
Bone Marrow Biopsy (38221) $1,949.16 $5,268 1.1×
Bone Marrow; Aspiration Only (38220)
range across 4 matching MRF lines		 $1,949.16–$7,652.34 $5,268–$20,682 varies
Brnchsc Brushing/Protected Brushings (31623) $4,501.42 $12,166 2.4×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652)
range across 2 matching MRF lines		 $1,324.60–$4,501.42 $3,580–$12,166 varies
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653)
range across 2 matching MRF lines		 $1,324.60–$4,501.42 $3,580–$12,166 varies
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $4,028.93 $10,889 1.0×
Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) $403.30 $1,090 0.1×
Bronchoscopy Bronch Stents (31636) $5,050.50 $13,650 0.7×
Bronchoscopy Clear Airways (31645)
range across 2 matching MRF lines		 $947.94–$4,501.42 $2,562–$12,166 varies
Bronchoscopy W/Biopsy(S) (31625)
range across 2 matching MRF lines		 $903.17–$4,501.42 $2,441–$12,166 varies
Bronchoscopy W/Removal Foreign Body (31635) $947.94 $2,562 0.5×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $4,501.42 $12,166 1.2×
Bronchoscopy/Needle Bx Each (31629) $4,501.42 $12,166 1.2×
Bx breast 1st lesion strtctc (19081)
range across 2 matching MRF lines		 $1,475.56–$2,836.79 $3,988–$7,667 varies
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines		 $543.53–$1,086.32 $1,469–$2,936 varies
Bx Cervix (57500) $2,518.96 $6,808 2.6×
Bx prostate strtctc saturation sampling img gid (55706) $2,518.96 $6,808 0.7×
Bx/exc lymph node open deep axillary node (38525) $4,501.42 $12,166 1.1×
Bx/exc lymph node open superficial (38500)
range across 2 matching MRF lines		 $7,652.34 $487–$20,682 1.9×
Canthotomy Separate Procedure (67715) $2,727.27 $7,371 1.1×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $4,501.42 $12,166 1.3×
Carpal Tunnel Surgery (64721)
range across 2 matching MRF lines		 $1,229.88–$1,350.87 $3,324–$3,651 varies
Carpectomy All Bones Proximal Row (25215)
range across 2 matching MRF lines		 $3,006.25–$7,652.34 $8,125–$20,682 varies
Cataract surg w/iol 1 stage (66983) $1,125.54 $3,042 0.5×
Cataract surgery complex (66982)
range across 2 matching MRF lines		 $1,125.54–$2,504.16 $3,042–$6,768 varies
Cautery Cervix Cryocautery Initial/Repeat (57511) $127.28 $344 0.4×
Cautery Cervix Electro/Thermal (57510) $1,765.64 $4,772 0.5×
Cerv artific diskectomy (22856)
unusually low: confirm this is the full procedure		 $7,652.34 $20,682 0.4×
Change Cystostomy Tube Complicated (51710)
range across 2 matching MRF lines		 $514.30–$2,518.96 $1,390–$6,808 varies
Change Cystostomy Tube Simple (51705)
range across 3 matching MRF lines		 $194.25–$2,518.96 $525–$6,808 varies
Change of Windpipe Airway (31502) $131.35 $355 0.5×
Change ureter stent percut (50382) $1,821.88 $4,924 0.8×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $91.76–$280.46 $248–$758 varies
Chest tube placement (32551)
range across 2 matching MRF lines		 $1,316.46–$1,396.01 $3,558–$3,773 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $3,300.77 $8,921 0.9×
Circumcision 28 days or older (54161) $2,518.96 $6,808 1.2×
Circumcision Neonate (54160)
range across 3 matching MRF lines		 $778.11–$2,193.36 $2,103–$5,928 varies
Circumcision w/clamp/oth dev w/block (54150)
range across 4 matching MRF lines		 $778.11–$2,518.96 $2,103–$6,808 varies
Cl Tx Scapular Fx; W Manip (23575) $1,434.49 $3,877 0.9×
Cl Tx Tib Shft Fx W Manip (27752) $137.64 $372 0.1×
Claviculectomy partial (23120)
range across 2 matching MRF lines		 $2,288.82–$7,652.34 $6,186–$20,682 varies
Clear outer ear canal (69200) $124.32 $336 0.9×
Closed Rx Metacarpal Fx,Percut (26608) $7,652.34 $20,682 2.3×
Closed rx talotarsal disloc,anesth (28575) $1,724.57 $4,661 0.5×
Closed Treat Vert Body Fract (22310) $549.08 $1,484 2.1×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $152.81 $413 0.6×
Closed Treatment Sternum Fracture (21820) $143.19 $387 0.6×
Closed Treatment Ulnar Styloid Fracture (25650) $228.29 $617 0.9×
Closed tx ankle dislocation w/o anesthesia (27840) $175.01 $473 0.7×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $137.64–$4,501.42 $372–$12,166 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines		 $137.64–$7,652.34 $372–$20,682 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $137.64 $372 0.5×
Closed Tx Knee Dislocation W/Anesthesia (27552) $1,434.49 $3,877 0.9×
Closed tx knee dislocation w/o anesthesia (27550) $137.64 $372 0.5×
Closed Tx Lunate Dislocation W/Manipulation (25690) $1,773.04 $4,792 1.1×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $155.40 $420 0.3×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $4,691.60 $12,680 0.8×
Closed tx metatarsal fracture w/o manipulation (28470) $137.64 $372 0.5×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $152.81 $413 0.1×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 2 matching MRF lines		 $155.40–$1,686.46 $420–$4,558 varies
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)
range across 2 matching MRF lines		 $601.62–$1,082.62 $1,626–$2,926 varies
Closed tx patellar dislocation w/anesthesia (27562) $1,388.98 $3,754 5.4×
Closed tx patellar dislocation w/o anesthesia (27560) $151.70 $410 0.6×
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines		 $228.29–$7,652.34 $617–$20,682 varies
Closed tx radial head/neck fx w/manipulation (24655) $152.81 $413 0.1×
Closed tx radial head/neck fx w/o manipulation (24650) $137.64 $372 0.5×
Closed tx radial shaft fracture w/manipulation (25505) $152.81 $413 0.1×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $137.64 $372 0.5×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $152.81–$935.36 $413–$2,528 varies
Closed tx radial&ulnar shaft fractures w/o man (25560) $137.64 $372 0.5×
Closed Tx Scapular Fracture W/O Manipulation (23570) $137.64 $372 0.5×
Closed tx talotarsal joint dislc w/o anes (28570) $137.64 $372 0.5×
Closed Tx Talus Fracture W/Manipulation (28435) $1,724.57 $4,661 1.0×
Closed tx talus fracture w/o manipulation (28430) $137.64 $372 0.5×
Closed tx tarsometatarsal dislocation w/o anes (28600) $149.11 $403 0.6×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $236.80 $640 0.9×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,165.50 $3,150 0.7×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $137.64 $372 0.5×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $166.87 $451 0.7×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $601.62 $1,626 1.1×
Clsd tx acromioclavicular dislc w/manipulation (23545) $137.64 $372 0.5×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $228.29 $617 0.9×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $152.81 $413 0.1×
Clsd tx clavicular fracture w/o manipulation (23500) $137.64 $372 0.5×
Clsd tx fx orbit except blowout w/o manipulation (21400) $672.66 $1,818 1.2×
Clsd tx shoulder dislc w/manipulation req anes (23655) $687.46 $1,858 0.4×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $137.64 $372 0.5×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $1,648.35 $4,455 1.0×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,469.27 $3,971 0.9×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $137.64 $372 0.1×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $137.64 $372 0.5×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $137.64 $372 0.5×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $137.64 $372 0.5×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $1,165.50 $3,150 0.7×
Cltx dstl fibular fx lat malls w/manj (27788) $137.64 $372 0.5×
Cltx dstl fibular fx lat malls w/o manj (27786) $137.64 $372 0.5×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $137.64 $372 0.5×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $137.64 $372 0.5×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $137.64 $372 0.5×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 3 matching MRF lines		 $1,480–$4,501.42 $4,000–$12,166 varies
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $417.36 $1,128 0.2×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $956.45 $2,585 0.6×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $137.64 $372 0.1×
Cltx fx grt toe phlx/phlg w/manj (28495) $145.41 $393 0.6×
Cltx fx grt toe phlx/phlg w/o manj (28490) $143.19 $387 0.6×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $137.64 $372 0.5×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $137.64 $372 0.5×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 2 matching MRF lines		 $1,773.04–$2,518.96 $4,792–$6,808 varies
Cltx greater humeral tuberosity fx w/o manj (23620) $143.19 $387 0.6×
Cltx hip dislocation traumatic req anesthesia (27252) $687.46 $1,858 0.4×
Cltx hip dislocation traumatic w/o anesthesia (27250) $745.18 $2,014 2.9×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $137.64 $372 0.5×
Cltx humeral condylar fx medial/lateral w/manj (24577) $152.81 $413 0.1×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,434.49 $3,877 0.9×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $143.19 $387 0.6×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $268.62 $726 1.0×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $1,186.22 $3,206 0.7×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,388.98 $3,754 4.8×
Cltx iphal jt dislc w/manj w/o anes (26770) $137.64 $372 0.5×
Cltx Med Ankle Fx W/Mnpj (27762) $137.64 $372 0.1×
Cltx Medial Ankle Fx (27760) $137.64 $372 0.5×
Cltx metacarpal fx w/manipulation each bone (26605) $152.81 $413 0.6×
Cltx metacarpal fx w/o manipulation each bone (26600) $137.64 $372 0.5×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $1,165.50 $3,150 0.7×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $1,434.49 $3,877 0.9×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $137.64 $372 0.5×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $137.64 $372 0.5×
Cltx post hip arthrp dislc req anes (27266)
range across 2 matching MRF lines		 $665.63–$2,518.96 $1,799–$6,808 varies
Cltx post hip arthrp dislc w/o anes (27265) $184.63 $499 0.7×
Cltx prox fibula/shft fx w/manj (27781) $1,765.64 $4,772 1.1×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $152.81 $413 0.1×
Cltx prox tibfib jt dislc w/o anes (27830) $143.19 $387 0.6×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $228.29 $617 0.9×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $137.64 $372 0.5×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $177.97 $481 0.1×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,165.50 $3,150 0.7×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $152.81 $413 0.1×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $152.81 $413 0.6×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $1,195.47 $3,231 0.7×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $143.19 $387 0.6×
Cltx tibial shaft fx w/o manipulation (27750) $137.64 $372 0.5×
Cltx trimalleolar ankle fx w/manipulation (27818) $137.64 $372 0.1×
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 2 matching MRF lines		 $143.19–$4,501.42 $387–$12,166 varies
Collect Blood From Catheter Venous Nos (36592) $80.29 $217 0.6×
Collection of venous blood by venipuncture (36415)
range across 4 matching MRF lines		 $11.84–$14.43 $32–$39 varies
Colonoscopy Flexible With Decompression (45393) $1,140.34 $3,082 0.9×
Colonoscopy Stoma Ablation Lesion (44401) $1,140.34 $3,082 0.9×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $1,140.34 $3,082 0.9×
Colonoscopy stoma w/balloon dilation (44405) $1,140.34 $3,082 0.9×
Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) $1,140.34 $3,082 0.9×
Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402)
likely a partial charge, not the full procedure		 $1,140.34 $3,082 0.2×
Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) $1,140.34 $3,082 0.9×
Colonoscopy Stoma W/Submucosal Injection (44404) $1,140.34 $3,082 0.9×
Colonoscopy Through Stoma With Decompression (44408) $1,140.34 $3,082 1.2×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $1,140.34 $3,082 0.9×
Colonoscopy thru stoma (44388) $1,140.34 $3,082 1.2×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $1,140.34 $3,082 0.9×
Colonoscopy w/ablation (45388) $1,140.34 $3,082 0.9×
Colonoscopy W/Band Ligation (45398) $1,140.34 $3,082 0.9×
Colonoscopy w/fb removal (45379) $1,140.34 $3,082 0.9×
Colonoscopy w/ndl aspir/bx (44407) $1,140.34 $3,082 0.9×
Colonoscopy W/Resection (45390) $1,140.34 $3,082 0.4×
Colonoscopy w/stent plcmt (45389)
likely a partial charge, not the full procedure		 $1,140.34 $3,082 0.2×
Colonoscopy w/submucosal inj (45381)
range across 3 matching MRF lines		 $241.61–$1,140.34 $653–$3,082 varies
Colpocleisis (le fort type) (57120) $4,501.42 $12,166 0.9×
Colpopexy extraperitoneal (57282) $4,501.42 $12,166 0.6×
Colpopexy vaginal intraperitoneal approach (57283) $9,368.03 $25,319 1.2×
Colporrhaphy (57200)
range across 2 matching MRF lines		 $2,680.28–$9,368.03 $7,244–$25,319 varies
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454)
range across 2 matching MRF lines		 $305.25–$4,501.42 $825–$12,166 varies
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $2,518.96 $6,808 8.0×
Colposcopy entire vagina w/cervix if present (57420) $2,518.96 $6,808 8.0×
Colpotomy; with drainage of pelvic abscess (57010) $1,765.64 $4,772 0.5×
Colsc Flexible W/Control Bleeding Any Method (45382) $1,140.34 $3,082 0.9×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $1,140.34 $3,082 0.9×
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 3 matching MRF lines		 $608.28–$1,140.34 $1,644–$3,082 varies
Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) $1,140.34 $3,082 0.9×
Combined anteroposterior colporrhaphy; (57260) $4,501.42 $12,166 0.9×
Complex drainage wound (10180)
range across 3 matching MRF lines		 $707.07–$4,501.42 $1,911–$12,166 varies
Conization cervix w/wo d&c rpr eltrd exc (57522) $2,518.96 $6,808 0.7×
Conization of cervix (57520)
range across 2 matching MRF lines		 $2,518.96–$2,582.60 $6,808–$6,980 varies
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $133.94–$267.88 $362–$724 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $128.39–$561.66 $347–$1,518 varies
Control oropharyngeal hemorrhage simple (42960)
range across 2 matching MRF lines		 $128.39–$2,518.96 $347–$6,808 varies
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 2 matching MRF lines		 $2,518.96–$2,932.25 $6,808–$7,925 varies
Correction hammertoe (28285)
range across 2 matching MRF lines		 $1,496.65–$1,514.78 $4,045–$4,094 varies
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296)
range across 2 matching MRF lines		 $2,026.12–$2,323.23 $5,476–$6,279 varies
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $2,026.12 $5,476 0.6×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
range across 2 matching MRF lines		 $2,026.12–$7,475.48 $5,476–$20,204 varies
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
range across 2 matching MRF lines		 $2,026.12–$2,323.23 $5,476–$6,279 varies
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292)
range across 2 matching MRF lines		 $2,026.12–$2,323.23 $5,476–$6,279 varies
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299)
range across 2 matching MRF lines		 $2,026.12–$2,323.23 $5,476–$6,279 varies
Create Eardrum Opening (69433) $409.22 $1,106 0.7×
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) $4,501.42 $12,166 0.8×
Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873)
range across 2 matching MRF lines		 $4,501.42–$10,403.66 $12,166–$28,118 varies
Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) $99.53 $269 0.4×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $139.12 $376 1.0×
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962)
range across 2 matching MRF lines		 $2,498.98–$2,518.96 $6,754–$6,808 varies
Cysto Bladder W/Ureteral Catheterization (52005) $4,501.42 $12,166 2.1×
Cysto calibration dilat urtl strix/stenosis (52281)
range across 2 matching MRF lines		 $1,625.41–$4,501.42 $4,393–$12,166 varies
Cysto w/destruction of lesions (52214) $4,501.42 $12,166 1.2×
Cysto w/dilat rx balo cath urtl strix/sten male (52284) $4,501.42 $12,166 0.8×
Cysto w/insert ureteral stent (52332) $4,501.42 $12,166 1.2×
Cysto w/irrig & evac multple obstructing clots (52001) $2,518.96 $6,808 0.7×
Cysto w/removal of lesions small (52224) $4,501.42 $12,166 1.2×
Cysto w/removal of tumors small (52234) $4,501.42 $12,166 1.2×
Cysto W/Simple Removal Stone & Stent (52310)
range across 2 matching MRF lines		 $1,676.84–$4,501.42 $4,532–$12,166 varies
Cysto w/ureter stricture tx (52341) $4,501.42 $12,166 1.2×
Cysto w/ureteroscopy w/lithotripsy (52353) $4,501.42 $12,166 0.8×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $4,501.42 $12,166 1.2×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $4,501.42 $12,166 1.2×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $4,501.42 $12,166 1.2×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) $4,501.42 $12,166 0.8×
Cysto/uretero w/lithotripsy (52356) $4,501.42 $12,166 0.8×
Cystolithotomy (51050)
unusually low: confirm this is the full procedure		 $2,518.96 $6,808 0.5×
Cystostomy Cystotomy W/Drainage (51040) $1,118.51 $3,023 0.5×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $1,464.09 $3,957 0.7×
Cystourethroscopy (52000)
range across 3 matching MRF lines		 $660.45–$2,518.96 $1,785–$6,808 varies
Cystourethroscopy inj chemodenervation bladder (52287) $2,518.96 $6,808 1.2×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $4,501.42 $12,166 1.2×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $4,501.42 $12,166 0.8×
Cystourethroscopy w/rmvl ureteral calculus (52320) $4,501.42 $12,166 1.2×
Cystourethroscopy with biopsy (52204) $4,501.42 $12,166 2.1×
Cystourethroscopy with direct vision internal urethrotomy (52276) $4,501.42 $12,166 2.1×
Cystourethroscopy, with internal urethrotomy; male Facility (52275) $4,501.42 $12,166 2.1×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $85.10 $230 0.2×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 2 matching MRF lines		 $646.76–$2,642.17 $1,748–$7,141 varies
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $4,501.42 $12,166 1.3×
Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) $7,652.34 $20,682 2.3×
Dcmprn perq prtl rmvl liga flavm bi 1ntrspc lmbr (62330) $4,501.42 $12,166 0.6×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 4 matching MRF lines		 $532.80–$4,501.42 $1,440–$12,166 varies
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $61.42–$177.97 $166–$481 varies
Debride nail 6 or more (11721) $177.97 $481 2.9×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 4 matching MRF lines		 $1,014.54–$4,501.42 $2,742–$12,166 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 4 matching MRF lines		 $203.87–$4,501.42 $551–$12,166 varies
Declot vascular device (36593) $303.77 $821 0.9×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $4,501.42 $12,166 2.1×
Delivery of placenta (59414) $1,765.64 $4,772 0.5×
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $166.87–$421.06 $451–$1,138 varies
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $223.85 $605 1.1×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 3 matching MRF lines		 $2,123.06–$2,194.84 $5,738–$5,932 varies
Destruction of skin lesions (17106) $361.86 $978 0.9×
Destruction premalignant lesion 1st (17000) $52.54 $142 0.3×
Destruction Vaginal Lesions Simple (57061) $2,433.49 $6,577 0.7×
Diagnostic anoscopy (46601) $355.57 $961 0.8×
Diagnostic sigmoidoscopy (45330)
range across 4 matching MRF lines		 $608.28–$988.64 $1,644–$2,672 varies
Dilate Esophagus 1/Mult Pass (43450)
range across 3 matching MRF lines		 $374.81–$2,518.96 $1,013–$6,808 varies
Dilate Urethra Stricture (53620) $1,787.10 $4,830 2.5×
Dilation & curettage dx&/ther nonobstetric (58120)
range across 2 matching MRF lines		 $2,449.03–$4,501.42 $6,619–$12,166 varies
Dilation Cervical Canal (57800) $4,501.42 $12,166 1.3×
Drain Cerebro Spinal Fluid (62272)
range across 2 matching MRF lines		 $347.43–$445.11 $939–$1,203 varies
Drain Hand Tendon Sheath (26020) $4,501.42 $12,166 1.3×
Drainage abscess parotid simple (42300) $1,561.03 $4,219 1.0×
Drainage Abscess/Hematoma Nasal Septum (30020) $385.54 $1,042 0.7×
Drainage external auditory canal abscess (69020) $127.28 $344 0.2×
Drainage external ear abscess/hematoma cmplx (69005) $1,729.38 $4,674 1.0×
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $128.76–$4,501.42 $348–$12,166 varies
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $437.71–$1,532.17 $1,183–$4,141 varies
Drainage Mouth Roof Lesion (42000) $333.74 $902 1.4×
Drainage of eye (65800) $1,236.54 $3,342 0.5×
Drainage of finger abscess simple (26010)
range across 3 matching MRF lines		 $133.20–$4,501.42 $360–$12,166 varies
Drainage of gum lesion (41800) $140.23 $379 1.0×
Drainage of hematoma/fluid (10140)
range across 4 matching MRF lines		 $506.53–$4,501.42 $1,369–$12,166 varies
Drainage of hydrocele (55000) $472.49 $1,277 0.6×
Drainage of nose lesion (30000) $295.26 $798 1.2×
Drainage of rectal abscess (45005)
range across 2 matching MRF lines		 $1,144.41–$2,518.96 $3,093–$6,808 varies
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $1,471.86–$1,783.03 $3,978–$4,819 varies
Drainage of scrotum (54700)
range across 2 matching MRF lines		 $2,037.59–$4,501.42 $5,507–$12,166 varies
Drainage of skene's gland abscess or cyst (53060) $1,788.21 $4,833 0.8×
Draw Blood Off Venous Device (36591) $80.29 $217 0.6×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $715.58 $1,934 1.3×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $140.23 $379 0.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $152.81–$219.41 $413–$593 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $106.56–$183.89 $288–$497 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $98.79–$152.44 $267–$412 varies
Dstrj lesion anus simple surg excision (46922) $4,501.42 $12,166 1.6×
Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) $2,123.06 $5,738 1.0×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $786.99 $2,127 0.9×
Dx Bone Marrow Bx & Aspir (38222)
range across 5 matching MRF lines		 $1,532.17–$3,155.36 $4,141–$8,528 varies
Dx Bronchoscope/Lavage (31624)
range across 2 matching MRF lines		 $1,655.75–$4,501.42 $4,475–$12,166 varies
Dx Bronchoscope/Wash (31622)
range across 2 matching MRF lines		 $1,252.45–$1,324.60 $3,385–$3,580 varies
Dx Laryngoscopy Excl Nb (31525) $1,643.54 $4,442 0.9×
Dx lmbr spi pnxr w/fluor/CT (62328)
range across 2 matching MRF lines		 $259.74–$1,373.44 $702–$3,712 varies
Egd Balloon Dil Esoph30 Mm/> (43233) $1,116.66 $3,018 0.6×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $1,116.66 $3,018 0.6×
Egd cautery tumor polyp (43250)
range across 3 matching MRF lines		 $1,093.72–$1,622.45 $2,956–$4,385 varies
Egd control bleeding any (43255) $1,093.72 $2,956 0.5×
Egd dilation gastric/duodenal stricture (43245) $1,093.72 $2,956 0.5×
Egd endo mucosal resection (43254) $1,778.59 $4,807 0.9×
Egd Endoscopic Stent Place (43266)
likely a partial charge, not the full procedure		 $1,116.66 $3,018 0.2×
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $1,079.29–$1,093.72 $2,917–$2,956 varies
Egd guide wire insertion (43248) $1,116.66 $3,018 1.2×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $1,093.72 $2,956 0.5×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $1,093.72 $2,956 0.5×
Egd intrmural us needle aspirate/biopsy esophags (43238)
range across 2 matching MRF lines		 $1,061.90–$1,093.72 $2,870–$2,956 varies
Egd lesion ablation (43270) $2,058.31 $5,563 1.0×
Egd Partial/Compl Esophagogastric Fundoplasty (43210)
likely a partial charge, not the full procedure		 $1,093.72 $2,956 0.1×
Egd place gastrostomy tube (43246)
range across 2 matching MRF lines		 $1,093.72–$4,501.42 $2,956–$12,166 varies
Egd remove lesion snare (43251)
range across 2 matching MRF lines		 $608.28–$1,093.72 $1,644–$2,956 varies
Egd Tube/Cath Insertion (43241) $1,093.72 $2,956 0.5×
Egd us exam duodenum/jejunum (43259) $1,184.37 $3,201 0.6×
Egd us transmural injxn/mark (43253) $1,093.72 $2,956 0.5×
Egd Varices Ligation (43244) $1,093.72 $2,956 0.5×
Egd W/Thrml Txmnt Gerd (43257) $1,093.72 $2,956 0.3×
Egd W/Transmural Drain Cyst (43240)
likely a partial charge, not the full procedure		 $1,093.72 $2,956 0.2×
Endocervical curettage (57505) $2,518.96 $6,808 2.6×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $4,501.42 $12,166 0.9×
Endometrial Biopsy (58100)
range across 2 matching MRF lines		 $297.48–$4,501.42 $804–$12,166 varies
Endoscopic injection/implant (51715) $2,518.96 $6,808 0.7×
Endoscopic us exam esoph (43237) $2,099.75 $5,675 1.1×
Endovasc Temp Balloon Occlus,Head/Nck (61623) $12,958.88 $35,024 1.1×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $4,918.04 $13,292 1.5×
Endoven abltj incmptnt vein xtr rf 1st vein (36475)
range across 2 matching MRF lines		 $7,301.21–$7,593.51 $19,733–$20,523 varies
Endoven ther chem adhes 1st (36482)
likely a partial charge, not the full procedure		 $175.75 $475 0.0×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $2,114.55 $5,715 1.1×
Epidural Blood Patch (62273)
range across 4 matching MRF lines		 $595.33–$714.47 $1,609–$1,931 varies
Episiotomy or vaginal repair (59300) $2,266.99 $6,127 0.7×
Esophagogastroduodenoscopy Submucosal Injection (43236) $1,093.72 $2,956 1.2×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $374.81 $1,013 0.2×
Esophagoscopy Flexible Guide Wire Dilation (43226) $374.81 $1,013 0.2×
Esophagoscopy Flexible Transoral Diagnostic (43200) $1,633.55 $4,415 1.7×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $2,114.55 $5,715 1.1×
Ethmoidectomy Extranasal Total (31205) $2,799.05 $7,565 0.8×
Evacuate mole of uterus (59870) $2,241.09 $6,057 0.7×
Evacuation of subungual hematoma (11740) $61.42 $166 0.4×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $698.93 $1,889 0.4×
Exc abdl tum deep 5 cm/> (22901) $4,501.42 $12,166 1.5×
Exc arm/elbow les sc < 3 cm (24075) $4,501.42 $12,166 2.6×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $354.83–$4,501.42 $959–$12,166 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 3 matching MRF lines		 $1,018.98–$2,518.96 $2,754–$6,808 varies
Exc Back Les Sc < 3 Cm (21930) $4,501.42 $12,166 2.6×
Exc Back Tum Deep 5 Cm/> (21933) $4,501.42 $12,166 1.5×
Exc back tum deep < 5 cm (21932) $4,501.42 $12,166 1.5×
Exc Benign Tumor/Cyst Mndbl Intra-Oral Osteot (21046) $4,501.42 $12,166 0.7×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $2,518.96 $6,808 0.6×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $569.80 $1,540 0.8×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 2 matching MRF lines		 $675.62–$4,501.42 $1,826–$12,166 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644)
range across 2 matching MRF lines		 $1,018.98–$4,501.42 $2,754–$12,166 varies
Exc Face Les Sbq 2 Cm/> (21012)
range across 2 matching MRF lines		 $1,639.47–$2,518.96 $4,431–$6,808 varies
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines		 $421.06–$4,501.42 $1,138–$12,166 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $675.62 $1,826 0.9×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines		 $762.57–$4,501.42 $2,061–$12,166 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 2 matching MRF lines		 $1,639.47–$4,501.42 $4,431–$12,166 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $675.62 $1,826 0.4×
Exc Forearm Les Sc 3 Cm/> (25071) $1,143.67 $3,091 0.7×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 3 matching MRF lines		 $675.62–$4,501.42 $1,826–$12,166 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 3 matching MRF lines		 $514.30–$2,518.96 $1,390–$6,808 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 3 matching MRF lines		 $514.30–$2,518.96 $1,390–$6,808 varies
Exc Hand Les Sc < 1.5 Cm (26115)
range across 2 matching MRF lines		 $698.93–$1,532.17 $1,889–$4,141 varies
Exc hand tum deep < 1.5 cm (26116)
range across 2 matching MRF lines		 $1,639.47–$4,501.42 $4,431–$12,166 varies
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $1,014.54 $2,742 1.0×
Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) $4,501.42 $12,166 1.3×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090)
range across 2 matching MRF lines		 $1,496.65–$4,501.42 $4,045–$12,166 varies
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $1,514.78 $4,094 0.9×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825)
range across 2 matching MRF lines		 $1,603.21–$4,501.42 $4,333–$12,166 varies
Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) $4,501.42 $12,166 1.3×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $1,818.92 $4,916 0.9×
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) $4,501.42 $12,166 0.7×
Exc Rct Tum Not Incl Muscularis Propria (45171) $4,501.42 $12,166 1.6×
Exc Shoulder Tum Deep 5 Cm/> (23073) $4,501.42 $12,166 1.5×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $569.80–$4,501.42 $1,540–$12,166 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 2 matching MRF lines		 $1,018.98–$4,501.42 $2,754–$12,166 varies
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 2 matching MRF lines		 $1,543.64–$4,501.42 $4,172–$12,166 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 3 matching MRF lines		 $1,503.68–$4,501.42 $4,064–$12,166 varies
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $2,518.96 $6,808 1.5×
Exc Skin Malig >4 Cm Remaindr Body (11626) $4,501.42 $12,166 1.5×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 3 matching MRF lines		 $1,822.62–$2,518.96 $4,926–$6,808 varies
Exc tendon shth lesion leg/ankle (27630) $1,350.87 $3,651 0.4×
Exc thigh/knee les sc 3 cm/> (27337)
range across 2 matching MRF lines		 $1,303.88–$4,501.42 $3,524–$12,166 varies
Exc thigh/knee tum dep 5cm/> (27339) $2,518.96 $6,808 0.8×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines		 $2,069.04–$4,501.42 $5,592–$12,166 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 3 matching MRF lines		 $367.04–$4,501.42 $992–$12,166 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 3 matching MRF lines		 $403.30–$4,501.42 $1,090–$12,166 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines		 $1,495.91–$4,501.42 $4,043–$12,166 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $4,501.42 $12,166 1.5×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $2,518.96 $6,808 0.8×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $4,501.42 $12,166 2.6×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075)
range across 2 matching MRF lines		 $1,143.67–$4,501.42 $3,091–$12,166 varies
Exc tumor soft tissue leg/ankle subq <3cm (27618) $2,518.96 $6,808 1.5×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $1,695.34 $4,582 0.6×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $2,518.96 $6,808 1.5×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $4,501.42 $12,166 1.5×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $4,501.42 $12,166 1.5×
Exc urethral diverticulum spx female (53230) $7,652.34 $20,682 1.4×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $1,496.65 $4,045 0.4×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108)
range across 2 matching MRF lines		 $1,496.65–$7,652.34 $4,045–$20,682 varies
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $2,949.27 $7,971 0.8×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 4 matching MRF lines		 $833.24–$2,305.10 $2,252–$6,230 varies
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423)
range across 3 matching MRF lines		 $1,022.31–$1,946.57 $2,763–$5,261 varies
Excis Mouth Mucosa/Sub,No Repair (40810) $4,501.42 $12,166 1.3×
Excis Mouth Mucosa/Sub,Simpl Repair (40812)
range across 2 matching MRF lines		 $1,082.62–$4,501.42 $2,926–$12,166 varies
Excise excessive skin arm (15836) $4,501.42 $12,166 1.5×
Excise Wrist Tendon Sheath (25118) $4,501.42 $12,166 2.7×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $4,501.42 $12,166 6.1×
Excision & Repair Eyelid < One-Fourth Lid Margin (67961) $2,365.04 $6,392 1.0×
Excision Chalazion Multiple Same Lid (67801) $918.71 $2,483 0.9×
Excision Chalazion Single (67800) $561.66 $1,518 1.7×
Excision Distal Ulna Partial/Complete (25240)
range across 2 matching MRF lines		 $2,288.82–$4,501.42 $6,186–$12,166 varies
Excision lesion mouth roof (42104) $2,026.12 $5,476 0.6×
Excision Lingual Frenum Frenectomy (41115) $675.62 $1,826 0.4×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $4,501.42 $12,166 6.1×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $4,501.42 $12,166 6.1×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 2 matching MRF lines		 $283.42–$4,501.42 $766–$12,166 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $4,501.42 $12,166 6.1×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $4,501.42 $12,166 6.1×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 2 matching MRF lines		 $675.62–$4,501.42 $1,826–$12,166 varies
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $4,501.42 $12,166 1.5×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 2 matching MRF lines		 $701.52–$4,501.42 $1,896–$12,166 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $4,501.42 $12,166 2.6×
Excision nasal polyp(s) simple (30110)
range across 3 matching MRF lines		 $1,514.78–$1,704.96 $4,094–$4,608 varies
Excision of chalazion; multiple, different lids (67805) $263.07 $711 0.8×
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 2 matching MRF lines		 $1,457.06–$2,518.96 $3,938–$6,808 varies
Excision of hydrocele; bilateral (55041) $4,501.42 $12,166 1.2×
Excision of hydrocele; unilateral (55040) $4,501.42 $12,166 1.2×
Excision of neuroma; digital nerve, 1 or both, same digit (64776) $1,125.54 $3,042 0.6×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) $4,501.42 $12,166 0.7×
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) $4,501.42 $12,166 0.7×
Excision of pilonidal cyst or sinus; simple (11770) $4,501.42 $12,166 1.5×
Excision of submandibular (submaxillary) gland (42440)
likely a partial charge, not the full procedure		 $653.42 $1,766 0.1×
Excision of vaginal cyst or tumor (57135) $4,501.42 $12,166 1.3×
Excision olecranon bursa (24105)
range across 2 matching MRF lines		 $2,288.82–$4,501.42 $6,186–$12,166 varies
Excision or curettage of bone cyst or benign tumor of femur; (27355) $1,800.79 $4,867 0.5×
Excision Pilonidal Cyst/Sinus Complicated (11772) $4,501.42 $12,166 1.5×
Excision Pilonidal Cyst/Sinus Extensive (11771) $4,501.42 $12,166 1.5×
Excision prepatellar bursa (27340)
range across 2 matching MRF lines		 $1,457.06–$7,652.34 $3,938–$20,682 varies
Excision Radial Head (24130) $7,652.34 $20,682 2.3×
Excision soft tissue lesion, external auditory canal (69145) $2,984.05 $8,065 1.0×
Excision spermatocele w/wo epididymectomy (54840) $4,501.42 $12,166 2.1×
Excision Thyroglossal Duct Cyst/Sinus Recurrent (60281) $4,588.74 $12,402 0.7×
Excision tumor soft tis back/flank subq 3 cm/> (21931)
range across 2 matching MRF lines		 $1,715.69–$4,501.42 $4,637–$12,166 varies
Excision tumor soft tissue foot/toe subq <1.5cm (28043)
range across 2 matching MRF lines		 $1,018.98–$2,518.96 $2,754–$6,808 varies
Excision tumor soft tissue shoulder subq 3 cm/> (23071)
range across 2 matching MRF lines		 $1,543.64–$4,501.42 $4,172–$12,166 varies
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327)
range across 2 matching MRF lines		 $1,543.64–$2,518.96 $4,172–$6,808 varies
Excision, interdigital (morton) neuroma, single, each (28080)
range across 2 matching MRF lines		 $1,496.28–$2,518.96 $4,044–$6,808 varies
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $7,652.34 $20,682 2.5×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $4,501.42 $12,166 2.6×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632)
range across 2 matching MRF lines		 $2,897.84–$4,501.42 $7,832–$12,166 varies
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $2,518.96 $6,808 0.8×
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) $4,501.42 $12,166 1.5×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $4,501.42 $12,166 2.6×
Excision/Transposition Pterygium W/Grafg (65426) $2,418.69 $6,537 1.0×
Excision; trochanteric bursa or calcification (27062) $4,501.42 $12,166 1.3×
Expl penetrating wound spx abdomen/flank/back (20102)
range across 2 matching MRF lines		 $2,029.82–$4,501.42 $5,486–$12,166 varies
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines		 $1,823.73–$2,518.96 $4,929–$6,808 varies
Exploration of knee joint (27310) $4,501.42 $12,166 1.3×
Exploration penetrating wound spx chest (20101) $1,879.60 $5,080 0.9×
Exploration Penetrating Wound Spx Neck (20100) $717.80 $1,940 1.3×
External cephalic version (59412)
range across 3 matching MRF lines		 $2,028.71–$2,091.98 $5,483–$5,654 varies
Extraction of lens (66940) $1,999.11 $5,403 0.8×
Eye Surg Ant Sgmt Proc Unlisted (66999) $1,657.60 $4,480 0.7×
Fasciectomy Palm Only (26121) $4,501.42 $12,166 1.3×
Fasciectomy Plantar Fascia Partial Spx (28060)
range across 2 matching MRF lines		 $1,496.28–$4,501.42 $4,044–$12,166 varies
Fasciotomy Iliotibial Open (27305) $7,652.34 $20,682 2.3×
Fasciotomy palmar open partial (26045)
range across 2 matching MRF lines		 $1,125.54–$1,980.61 $3,042–$5,353 varies
Fasciotomy palmar percutaneous (26040) $4,501.42 $12,166 2.7×
Fasciotomy, foot and/or toe (28008)
range across 3 matching MRF lines		 $1,490.73–$2,518.96 $4,029–$6,808 varies
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123)
range across 2 matching MRF lines		 $1,642.43–$4,501.42 $4,439–$12,166 varies
Fetal non-stress test (59025)
range across 2 matching MRF lines		 $158.73–$211.64 $429–$572 varies
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,971.73 $5,329 2.7×
Fine needle aspiration bx w/mr gdn 1st lesion (10011) $648.61 $1,753 0.9×
Fine needle aspiration without imaging guidance (10021) $254.19 $687 0.6×
Fluid Pressure Muscle (20950) $122.10 $330 0.2×
Fluoro exam of g/colon tube (49465)
range across 2 matching MRF lines		 $190.92–$219.78 $516–$594 varies
Fna Bx W/Fluor Gdn 1St Les (10007) $557.59 $1,507 0.8×
Fna bx w/us gdn 1st les (10005) $564.99 $1,527 0.8×
Foreskin manipulation (54450) $281.57 $761 1.1×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260)
range across 2 matching MRF lines		 $1,218.41–$4,501.42 $3,293–$12,166 varies
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $4,501.42 $12,166 2.1×
Fuse hand bones with graft (25825) $4,501.42 $12,166 0.6×
Fusion Finger Joint (26860)
range across 2 matching MRF lines		 $1,980.61–$4,501.42 $5,353–$12,166 varies
Fusion of foot bones (28740)
likely a partial charge, not the full procedure		 $2,026.12 $5,476 0.3×
Fusion of knuckle (26850)
range across 2 matching MRF lines		 $4,501.42–$6,816.51 $12,166–$18,423 varies
Gastrocnemius recession (27687) $4,501.42 $12,166 1.3×
Goniotomy (65820) $1,125.54 $3,042 0.3×
Graft Ear Crtlg Autogenous Nose/Ear (21235) $4,680.13 $12,649 0.8×
Grafting of autologous soft tiss by direct exc (15769) $4,501.42 $12,166 1.2×
Guide Cathet Fluid Drainage (10030)
range across 4 matching MRF lines		 $552.78–$569.43 $1,494–$1,539 varies
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $2,518.96 $6,808 0.9×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $2,518.96 $6,808 0.9×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $2,518.96 $6,808 0.9×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) $2,518.96 $6,808 0.9×
Hymenotomy Simple Incision (56442) $3,437.30 $9,290 1.0×
Hysteroscopy Biopsy (58558)
range across 2 matching MRF lines		 $1,566.95–$4,501.42 $4,235–$12,166 varies
Hysteroscopy Dx Sep Proc (58555) $4,501.42 $12,166 1.3×
Hysteroscopy Endometrial Ablation (58563)
range across 2 matching MRF lines		 $2,504.16–$4,501.42 $6,768–$12,166 varies
Hysteroscopy Lysis Intrauterine Adhesions (58559) $4,501.42 $12,166 0.9×
Hysteroscopy Removal Impacted Foreign Body (58562) $4,501.42 $12,166 1.3×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $4,501.42 $12,166 0.9×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $168.35–$267.88 $455–$724 varies
I&d abscess simple (10060)
range across 6 matching MRF lines		 $126.54–$4,501.42 $342–$12,166 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $653.42 $1,766 0.4×
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 3 matching MRF lines		 $1,575.46–$4,501.42 $4,258–$12,166 varies
I&D Deep Absc/Hematoma Neck/Chest (21501)
range across 3 matching MRF lines		 $2,496.02–$4,501.42 $6,746–$12,166 varies
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $4,501.42 $12,166 1.3×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $4,501.42 $12,166 1.6×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $236.06–$4,501.42 $638–$12,166 varies
I&d pilonidal cyst complicated (10081) $4,501.42 $12,166 6.1×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $132.83–$4,501.42 $359–$12,166 varies
I&d upper arm/elbow deep abscess/hematoma (23930)
range across 2 matching MRF lines		 $653.42–$1,287.97 $1,766–$3,481 varies
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $1,215.82 $3,286 1.3×
Image Cath Fluid Colxn Visc (49405) $2,141.19 $5,787 1.2×
Image Cath Fluid Peri/Retro (49406)
range across 5 matching MRF lines		 $1,609.87–$2,005.77 $4,351–$5,421 varies
Implant neuroelectrodes (63650) $4,501.42 $12,166 0.7×
Implant Neuroelectrodes (64561) $7,652.34 $20,682 1.2×
Implant Periph/Gastric Neurostim/Receiver (64590)
unusually low: confirm this is the full procedure		 $7,652.34 $20,682 0.4×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $236.06–$2,518.96 $638–$6,808 varies
Incise finger tendon sheath (26055)
range across 2 matching MRF lines		 $1,111.85–$1,125.54 $3,005–$3,042 varies
Incision & drainage abscess complicated/multiple (10061)
range across 4 matching MRF lines		 $132.83–$4,501.42 $359–$12,166 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $7,652.34 $20,682 2.5×
Incision & removal foreign body subq tiss compl (10121)
range across 3 matching MRF lines		 $649.72–$4,501.42 $1,756–$12,166 varies
Incision & removal foreign body subq tiss simple (10120)
range across 5 matching MRF lines		 $117.66–$4,501.42 $318–$12,166 varies
Incision and drainage of bartholin's gland abscess (56420) $175.38 $474 0.8×
Incision and drainage of vulva or perineal abscess (56405)
range across 3 matching MRF lines		 $193.88–$4,501.42 $524–$12,166 varies
Incision extensor tendon sheath wrist (25000)
range across 2 matching MRF lines		 $1,457.06–$4,501.42 $3,938–$12,166 varies
Incision of eardrum (69421) $2,911.16 $7,868 0.8×
Incision of eardrum (69420) $653.42 $1,766 2.7×
Incision of Foot Tendon (28234)
range across 2 matching MRF lines		 $1,514.78–$1,767.12 $4,094–$4,776 varies
Incision of labial frenum (frenotomy) (40806) $573.13 $1,549 1.0×
Incision of lingual frenum (frenotomy) (41010)
range across 3 matching MRF lines		 $675.62–$1,514.78 $1,826–$4,094 varies
Incision of rectal abscess (46040)
range across 4 matching MRF lines		 $866.91–$4,501.42 $2,343–$12,166 varies
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 3 matching MRF lines		 $653.42–$1,715.32 $1,766–$4,636 varies
Incisional biopsy skin single lesion (11106)
range across 3 matching MRF lines		 $113.22–$351.87 $306–$951 varies
Initial Tx 1st Degree Burn Local Tx (16000) $68.82 $186 0.3×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 3 matching MRF lines		 $881.34–$907.24 $2,382–$2,452 varies
Inj W/Fluor Eval Cv Device (36598) $183.52 $496 0.8×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $680.06 $1,838 0.7×
Inject Intravitreal Pharmcologic (67028)
range across 2 matching MRF lines		 $294.52–$340.03 $796–$919 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 4 matching MRF lines		 $214.97–$415.88 $581–$1,124 varies
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 4 matching MRF lines		 $555.74–$1,002.70 $1,502–$2,710 varies
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $561.66 $1,518 0.6×
Injection aa&/strd genicular nrv branches w/img (64454) $759.98 $2,054 1.0×
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 3 matching MRF lines		 $667.48–$769.60 $1,804–$2,080 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 2 matching MRF lines		 $784.40–$1,568.06 $2,120–$4,238 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 3 matching MRF lines		 $595.33–$7,652.34 $1,609–$20,682 varies
Injection Anes Agent Sphenopalatine Ganglion (64505) $187.22 $506 0.6×
Injection for identification of sentinel node (38792)
range across 3 matching MRF lines		 $165.39–$4,501.42 $447–$12,166 varies
Injection Into Brain Canal (61055) $418.84 $1,132 1.3×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 4 matching MRF lines		 $214.97–$407.74 $581–$1,102 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $370.37–$407.74 $1,001–$1,102 varies
Injection, anesthetic agent; brachial plexus, single (64415)
range across 3 matching MRF lines		 $561.66–$1,125.54 $1,518–$3,042 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 6 matching MRF lines		 $561.66–$7,652.34 $1,518–$20,682 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 4 matching MRF lines		 $333.74–$7,652.34 $902–$20,682 varies
Injection, intralesional; up to and including 7 lesions (11900) $220.15 $595 1.1×
Ins cath ren art 1st bilat (36252) $2,525.62 $6,826 0.8×
Ins cath ren art 1st unilat (36251) $2,525.62 $6,826 0.8×
Ins cath ren art 2nd+ unilat (36253) $3,228.62 $8,726 0.6×
Ins endovas vena cava filtr (37191)
range across 2 matching MRF lines		 $3,761.05–$4,515.48 $10,165–$12,204 varies
Insert 1 Electrode Pm-Defib (33216)
range across 2 matching MRF lines		 $3,746.62–$3,933.47 $10,126–$10,631 varies
Insert Anter Drainage Dev W/O Extraoc Reservoir (66183) $1,125.54 $3,042 0.3×
Insert Bladder Cath Complex (51703)
range across 3 matching MRF lines		 $118.77–$4,501.42 $321–$12,166 varies
Insert cath pleura w/ image (32557) $889.48 $2,404 0.5×
Insert cath pleura w/o image (32556) $2,134.16 $5,768 1.1×
Insert Drug Implant Device (11981) $7,652.34 $20,682 55.4×
Insert Gastrostomy Tube Percutaneous (49440) $1,762.68 $4,764 0.9×
Insert Heart Pm Ventricular (33207)
range across 2 matching MRF lines		 $8,378.28–$8,796.75 $22,644–$23,775 varies
Insert hepatic shunt (tips) (37182) $18,485.94 $49,962 1.0×
Insert multi-comp penis pros (54405)
likely a partial charge, not the full procedure		 $2,518.96 $6,808 0.1×
Insert non-tunnel cv cath (36556)
range across 4 matching MRF lines		 $788.10–$4,501.42 $2,130–$12,166 varies
Insert Pacing Lead & Connect (33224)
range across 3 matching MRF lines		 $1,988.75–$7,612.38 $5,375–$20,574 varies
Insert pulse gen dual leads (33213)
range across 2 matching MRF lines		 $5,994–$6,765.82 $16,200–$18,286 varies
Insert pulse gen mult leads (33221)
range across 3 matching MRF lines		 $10,718.16–$11,253.55 $28,968–$30,415 varies
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines		 $121.73–$2,518.96 $329–$6,808 varies
Insert tun ip cath perc (49418)
range across 3 matching MRF lines		 $2,188.55–$4,324.56 $5,915–$11,688 varies
Insert tunneled cv cath (36561)
range across 4 matching MRF lines		 $3,462.83–$4,593.92 $9,359–$12,416 varies
Insert,Non-Indwelling Bladder Catheter (51701) $99.90 $270 0.7×
Insertion indwelling tunneled pleural catheter (32550) $3,089.13 $8,349 0.8×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 3 matching MRF lines		 $711.51–$1,652.42 $1,923–$4,466 varies
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
range across 2 matching MRF lines		 $2,088.65–$8,846.70 $5,645–$23,910 varies
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217)
unusually low: confirm this is the full procedure		 $3,933.47 $10,631 0.5×
Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) $2,183.37 $5,901 0.9×
Insj Picc Rs&I <5 Yr (36572)
range across 2 matching MRF lines		 $778.11–$801.79 $2,103–$2,167 varies
Insj prph ctr vad w/subq port age 5 yr/> (36571)
range across 2 matching MRF lines		 $3,722.94–$7,035.55 $10,062–$19,015 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $1,138.86–$2,520.44 $3,078–$6,812 varies
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869)
unusually low: confirm this is the full procedure		 $4,501.42 $12,166 0.3×
Insj Subq Impltbl Dfb Elctrd (33271) $8,033.44 $21,712 0.9×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 5 matching MRF lines		 $2,497.87–$4,501.42 $6,751–$12,166 varies
Insj/Rplcmt Defib W/Lead(S) (33249)
range across 2 matching MRF lines		 $23,516.46–$25,432.32 $63,558–$68,736 varies
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
likely a partial charge, not the full procedure		 $2,518.96 $6,808 0.1×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
range across 3 matching MRF lines		 $2,088.65–$4,503.64 $5,645–$12,172 varies
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
range across 3 matching MRF lines		 $2,088.65–$9,964.84 $5,645–$26,932 varies
Insrt heart pm atrial & vent (33208)
range across 2 matching MRF lines		 $2,088.65–$7,918.74 $5,645–$21,402 varies
Insrt Pulse Gen W/Dual Leads (33230) $23,201.22 $62,706 1.0×
Interdental fixation (21110) $487.29 $1,317 0.3×
Interdental Wiring Other Than Fracture (21497) $1,565.10 $4,230 1.0×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $1,636.88 $4,424 1.1×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $272.32 $736 0.6×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $313.76 $848 0.7×
Intro cath dialysis circuit (36901)
range across 2 matching MRF lines		 $1,072.26–$1,761.20 $2,898–$4,760 varies
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902)
range across 2 matching MRF lines		 $1,467.79–$6,376.58 $3,967–$17,234 varies
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $227.92–$389.61 $616–$1,053 varies
Irrigation of corpora cavernosa for priapism (54220)
range across 2 matching MRF lines		 $167.24–$294.15 $452–$795 varies
Knee Arthroscopy/Surgery (29874)
range across 2 matching MRF lines		 $1,350.87–$2,964.81 $3,651–$8,013 varies
Lap insert tunnel ip cath (49324)
unusually low: confirm this is the full procedure		 $2,518.96 $6,808 0.4×
Laparo ablate renal cyst (50541) $9,368.03 $25,319 0.8×
Laparo-vag hyst incl t/o (58552)
unusually low: confirm this is the full procedure		 $4,501.42 $12,166 0.4×
Laparoscopy aspiration (49322)
range across 2 matching MRF lines		 $2,604.43–$4,501.42 $7,039–$12,166 varies
Laparoscopy Enterolysis Separate Procedure (44180)
range across 2 matching MRF lines		 $3,242.68–$4,501.42 $8,764–$12,166 varies
Laparoscopy fulguration oviducts (58670)
range across 2 matching MRF lines		 $3,242.68–$4,501.42 $8,764–$12,166 varies
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) $4,501.42 $12,166 0.7×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $9,368.03 $25,319 0.8×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) $9,368.03 $25,319 0.8×
Laparoscopy W/Lysis Of Adhesions (58660)
range across 2 matching MRF lines		 $3,029.93–$4,501.42 $8,189–$12,166 varies
Laparoscopy w/rmvl adnexal structures (58661)
range across 2 matching MRF lines		 $3,242.68–$4,501.42 $8,764–$12,166 varies
Laparoscopy, surgical, appendectomy (44970) $4,501.42 $12,166 0.7×
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) $9,368.03 $25,319 0.8×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) $9,368.03 $25,319 0.8×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) $4,501.42 $12,166 0.7×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) $9,368.03 $25,319 0.8×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $9,368.03 $25,319 1.5×
Laparoscopy, surgical; partial nephrectomy (50543) $9,368.03 $25,319 0.8×
Laparoscopy, surgical; pyeloplasty (50544) $9,368.03 $25,319 0.8×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $4,501.42 $12,166 0.7×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) $9,368.03 $25,319 0.8×
Laparoscopy, surgical; with biopsy (single or multiple) (49321) $4,501.42 $12,166 0.7×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
range across 2 matching MRF lines		 $2,604.43–$4,501.42 $7,039–$12,166 varies
Laps fulg/exc ovary viscera/peritoneal surface (58662)
range across 2 matching MRF lines		 $3,242.68–$4,501.42 $8,764–$12,166 varies
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) $9,368.03 $25,319 0.8×
Laps Surg Prst8ect Rpbic Rad W/Bi Pel Lymphadec (55869) $9,368.03 $25,319 0.8×
Laps surg prst8ect smpl stot robotic assistance (55867) $9,368.03 $25,319 0.8×
Laps surg retroperitoneal lymph node bx 1/mlt (38570) $4,501.42 $12,166 0.7×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554)
unusually low: confirm this is the full procedure		 $4,501.42 $12,166 0.4×
Laryngoscopy diagnostic (31505) $74.74 $202 0.4×
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $161.32–$190.18 $436–$514 varies
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $421.06 $1,138 1.0×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $104.71 $283 0.5×
Laryngoscopy Indirect W/Removal Lesion (31512) $3,576.05 $9,665 0.9×
Laryngoscopy W/Biopsy (31535) $1,670.92 $4,516 0.4×
Laryngoscopy w/biopsy microscope/telescope (31536)
range across 2 matching MRF lines		 $1,125.54–$3,181.26 $3,042–$8,598 varies
Laryngoscopy W/Foreign Body Removal (31530) $2,088.28 $5,644 1.1×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $1,643.54 $4,442 4.0×
Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) $486.92 $1,316 1.2×
Laryngotomy (thyrotomy, laryngofissure), with removal of tumor or laryngocele, cordectomy Facility (31300) $1,866.28 $5,044 0.5×
Larynscop w/tumr exc + scope (31541) $3,576.05 $9,665 0.9×
Laser vaporization of prostate (52648) $4,501.42 $12,166 0.8×
Late closure of wound (13160) $7,652.34 $20,682 2.1×
Ligamentous Reconstruction Knee Extra-Articular (27427)
unusually low: confirm this is the full procedure		 $3,018.09 $8,157 0.4×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $2,973.32 $8,036 0.9×
Litholapaxy comp/lg > 2.5 cm (52318) $4,501.42 $12,166 1.2×
Litholapaxy smpl/sm <2.5 cm (52317) $4,501.42 $12,166 1.2×
Lithotripsy, extracorporeal shock wave (50590) $2,518.96 $6,808 0.7×
Low Back Disk Surgery (63030) $4,501.42 $12,166 0.6×
Lsh uterus 250 g or less (58541) $9,368.03 $25,319 0.8×
Male sling procedure (53440) $7,652.34 $20,682 0.6×
Manipulation knee joint under general anesthesia (27570)
range across 3 matching MRF lines		 $935.73–$2,518.96 $2,529–$6,808 varies
Manipulation tmj therapeutic require anesthesia (21073) $563.14 $1,522 0.3×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $2,518.96 $6,808 1.5×
Marsupialization of bartholin's gland cyst (56440)
range across 2 matching MRF lines		 $1,222.48–$4,501.42 $3,304–$12,166 varies
Mastectomy for gynecomastia (19300) $4,501.42 $12,166 1.1×
Mastectomy partial (19301) $4,501.42 $12,166 1.1×
Mastectomy simple complete (19303) $7,652.34 $20,682 1.1×
Maternity Care Procedure (59899) $3,318.53 $8,969 15.8×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $1,007.88 $2,724 0.6×
Mech remov tunneled cv cath (36595) $2,016.50 $5,450 0.6×
Metatarsectomy (28140) $4,501.42 $12,166 1.3×
Myelography Lumbar Injection (62305) $876.16 $2,368 1.1×
Myelography Lumbar Injection (62304) $522.07 $1,411 0.6×
Myelography via lumbar injection rs&i cervical (62302) $497.28 $1,344 0.6×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $889.11 $2,403 1.1×
N Block Inj Ilio-Ing/Hypogi (64425) $561.66 $1,518 0.8×
N block inj intercost sng (64420) $503.94 $1,362 0.7×
N Block Inj Pudendal (64430) $694.86 $1,878 0.8×
Nasal Endoscopy Dx (31231)
range across 2 matching MRF lines		 $101.75–$675.62 $275–$1,826 varies
Nasal/Orogastric W/Tube Plmt (43752)
range across 4 matching MRF lines		 $137.27–$164.28 $371–$444 varies
Nasal/sinus endoscopy w/maxillary antrostomy (31256)
range across 2 matching MRF lines		 $1,125.54–$1,670.92 $3,042–$4,516 varies
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237)
range across 2 matching MRF lines		 $1,081.51–$2,161.91 $2,923–$5,843 varies
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $1,670.92 $4,516 0.9×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)
range across 2 matching MRF lines		 $1,129.98–$1,514.78 $3,054–$4,094 varies
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
range across 2 matching MRF lines		 $1,514.78–$2,486.03 $4,094–$6,719 varies
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276)
unusually low: confirm this is the full procedure		 $2,712.10 $7,330 0.4×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)
range across 2 matching MRF lines		 $1,514.78–$2,712.10 $4,094–$7,330 varies
Ndsc wrst surg w/rls transvrs carpl ligm (29848)
range across 2 matching MRF lines		 $1,694.60–$4,501.42 $4,580–$12,166 varies
Needle Biopsy Lymph Nodes (38505) $1,574.72 $4,256 0.9×
Needle Biopsy Pancreas (48102) $894.66 $2,418 0.5×
Needle insertion w/o injection 1 or 2 muscles (20560) $113.22 $306 3.8×
Needle insertion w/o injection 3 or more muscles (20561) $113.22 $306 3.8×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 2 matching MRF lines		 $1,259.11–$4,501.42 $3,403–$12,166 varies
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $1,044.88 $2,824 0.5×
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $788.84 $2,132 0.4×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 3 matching MRF lines		 $187.22–$328.56 $506–$888 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531)
range across 4 matching MRF lines		 $1,942.87–$2,000.59 $5,251–$5,407 varies
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $589.04 $1,592 0.2×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $832.50 $2,250 0.9×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $907.24 $2,452 1.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines		 $907.24–$2,207.79 $2,452–$5,967 varies
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320)
range across 2 matching MRF lines		 $595.33–$907.24 $1,609–$2,452 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $907.24 $2,452 1.0×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $907.24 $2,452 1.0×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 5 matching MRF lines		 $711.88–$907.24 $1,924–$2,452 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $907.24 $2,452 1.0×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 4 matching MRF lines		 $703.37–$1,406 $1,901–$3,800 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430)
range across 2 matching MRF lines		 $703.37–$1,406 $1,901–$3,800 varies
Njx Sclrsnt 1 Incmptnt Vein (36470) $103.97 $281 0.2×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $123.21 $333 0.3×
Njx Sclrsnt Spider Veins (36468) $132.83 $359 0.3×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
range across 2 matching MRF lines		 $1,514.78–$5,527.06 $4,094–$14,938 varies
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288)
unusually low: confirm this is the full procedure		 $2,712.10 $7,330 0.4×
Occipital Nerve Block (64405)
range across 3 matching MRF lines		 $398.86–$561.66 $1,078–$1,518 varies
Open biopsy/excision inguinofemoral nodes (38531) $2,518.96 $6,808 0.6×
Open Repair of Rotator Cuff Acute (23410)
unusually low: confirm this is the full procedure		 $3,360.34 $9,082 0.4×
Open Treatment Bimalleolar Ankle Fracture (27814) $7,652.34 $20,682 1.0×
Open Treatment Fracture Distal Tibia & Fibula (27828) $7,652.34 $20,682 0.6×
Open treatment fracture distal tibia only (27827) $7,652.34 $20,682 0.6×
Open treatment greater trochanteric fracture (27248) $7,652.34 $20,682 1.0×
Open Treatment Medial Malleolus Fracture (27766) $7,652.34 $20,682 1.0×
Open treatment metatarsal fracture each (28485)
range across 2 matching MRF lines		 $1,800.79–$3,665.22 $4,867–$9,906 varies
Open treatment of acromioclavicular dislocation acute or chronic (23550)
unusually low: confirm this is the full procedure		 $3,665.22 $9,906 0.5×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $7,652.34 $20,682 1.0×
Open Treatment of Ulnar Shaft Fracture (25545) $7,435.89 $20,097 1.0×
Open treatment of ulnar styloid fracture (25652) $7,652.34 $20,682 1.0×
Open treatment posterior malleolus fracture (27769) $7,652.34 $20,682 1.0×
Open Treatment Proximal Fibula/Shaft Fracture (27784) $7,652.34 $20,682 1.0×
Open Treatment Proximal Humeral Fracture (23615) $7,652.34 $20,682 0.6×
Open Treatment Radial Shaft Fracture (25515)
likely a partial charge, not the full procedure		 $2,250.71 $6,083 0.3×
Open Tx Acute/Chronic Elbow Dislocation (24615)
likely a partial charge, not the full procedure		 $2,026.12 $5,476 0.3×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $7,652.34 $20,682 2.3×
Open tx carpal scaphoid navicular fracture (25628)
range across 2 matching MRF lines		 $4,983.16–$7,652.34 $13,468–$20,682 varies
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $7,652.34 $20,682 1.0×
Open Tx Distal Phalangeal Fracture Each (26765) $3,006.25 $8,125 0.9×
Open Tx Distal Tibiofibular Joint Disruption (27829) $7,652.34 $20,682 1.0×
Open Tx Humeral Epicondylar Fracture (24575) $7,652.34 $20,682 0.6×
Open tx interphalangeal joint dislocation (26785) $1,815.22 $4,906 0.5×
Open Tx Metacarpal Fracture Single Ea Bone (26615)
range across 2 matching MRF lines		 $3,665.22–$7,652.34 $9,906–$20,682 varies
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735)
range across 2 matching MRF lines		 $1,788.21–$4,501.42 $4,833–$12,166 varies
Open Tx Tibial Fracture Proximal Unicondylar (27535) $7,652.34 $20,682 1.0×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
range across 2 matching MRF lines		 $3,665.22–$7,652.34 $9,906–$20,682 varies
Open tx ulnar fx proximal end (24685) $6,370.66 $17,218 0.8×
Open/Perq Place Stent 1St (37236)
range across 2 matching MRF lines		 $10,141.70–$11,321.26 $27,410–$30,598 varies
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
range across 2 matching MRF lines		 $6,348.09–$7,652.34 $17,157–$20,682 varies
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
range across 2 matching MRF lines		 $3,887.59–$7,652.34 $10,507–$20,682 varies
Optx humeral shft fx w/plate/screws w/wocerclage (24515) $7,652.34 $20,682 0.6×
Orchiectomy radical tumor inguinal approach (54530) $4,501.42 $12,166 1.2×
Ostc prtl exostc/condylc metar head (28288)
range across 2 matching MRF lines		 $1,496.65–$1,514.78 $4,045–$4,094 varies
Ostectomy calcaneus (28118) $7,652.34 $20,682 2.3×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $3,423.24 $9,252 1.0×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110)
range across 2 matching MRF lines		 $1,514.78–$2,433.86 $4,094–$6,578 varies
Osteochondral allograft knee open (27415)
range across 2 matching MRF lines		 $7,652.34–$14,871.04 $20,682–$40,192 varies
Osteochondral talus autogrft (28446) $7,652.34 $20,682 1.0×
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure		 $1,496.28 $4,044 0.2×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308)
range across 2 matching MRF lines		 $1,350.87–$1,496.65 $3,651–$4,045 varies
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) $4,984.64 $13,472 0.7×
Parathyroidectomy or exploration of parathyroid(s); (60500) $4,501.42 $12,166 0.7×
Part remv talus or calcaneus (28120)
range across 2 matching MRF lines		 $2,182.63–$7,652.34 $5,899–$20,682 varies
Partial Excision Distal Phalanx Finger (26236) $1,586.56 $4,288 1.0×
Partial removal of penis (54120) $4,501.42 $12,166 1.2×
Partial removal of thyroid (60220) $4,501.42 $12,166 0.7×
Partial removal of tibia (27640) $7,652.34 $20,682 2.3×
Partial removal of toe (28160)
range across 2 matching MRF lines		 $1,350.87–$1,686.46 $3,651–$4,558 varies
Partial removal of tongue (41120) $7,652.34 $20,682 1.2×
Partical Excision Bone Phalanx Toe (28124)
range across 2 matching MRF lines		 $1,496.65–$7,652.34 $4,045–$20,682 varies
Pelvic examination under anesthesia (other than local) (57410) $2,518.96 $6,808 0.7×
Penile Injection (54235) $281.57 $761 1.1×
Perc Cryo Ablate Renal Tum (50593) $11,713.09 $31,657 1.1×
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) $1,539.20 $4,160 1.1×
Percut Drain/Inject Renal Cyst (50390) $1,339.03 $3,619 1.8×
Percut Mech Thrombectomy, Venous, Repeat (37188) $3,790.28 $10,244 1.2×
Pericardiocentesis W/Imaging (33016)
range across 2 matching MRF lines		 $1,893.29–$1,999.85 $5,117–$5,405 varies
Perm Occlusion/Embolization,Percut,Cns (61624)
unusually low: confirm this is the full procedure		 $7,989.41 $21,593 0.4×
Perq av fistula creation uxtr single access (36836)
likely a partial charge, not the full procedure		 $4,501.42 $12,166 0.2×
Perq Cervicothoracic Inject (22510)
range across 4 matching MRF lines		 $2,817.92–$3,668.55 $7,616–$9,915 varies
Perq dev breast 1st strtctc (19283)
range across 4 matching MRF lines		 $734.82–$1,676.47 $1,986–$4,531 varies
Perq dev breast 1st us imag (19285)
range across 3 matching MRF lines		 $435.12–$2,518.96 $1,176–$6,808 varies
Perq device breast 1st imag (19281)
range across 2 matching MRF lines		 $904.28–$1,738.63 $2,444–$4,699 varies
Perq dilation xst trc endourologic px w/img (50436) $2,814.59 $7,607 0.8×
Perq Lumbosacral Injection (22511)
range across 3 matching MRF lines		 $1,814.48–$3,161.65 $4,904–$8,545 varies
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $469.16 $1,268 0.6×
Perq skel fixj distal radial fx/epiphysl sep (25606)
range across 2 matching MRF lines		 $1,686.83–$2,518.96 $4,559–$6,808 varies
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
range across 2 matching MRF lines		 $5,409.77–$7,681.57 $14,621–$20,761 varies
Perq Vertebral Augmentation (22513)
range across 3 matching MRF lines		 $4,501.42–$7,681.57 $12,166–$20,761 varies
Phleb Veins - Extrem 20+ (37766)
range across 3 matching MRF lines		 $1,801.53–$4,501.42 $4,869–$12,166 varies
Photopheresis extracorporeal (36522) $3,068.04 $8,292 0.7×
Place Cath Subclavian Art (36225)
range across 2 matching MRF lines		 $1,978.76–$6,179.37 $5,348–$16,701 varies
Place Cath Vertebral Art (36226)
range across 2 matching MRF lines		 $3,298.18–$10,293.40 $8,914–$27,820 varies
Place Duod/Jej Tube Perc (49441) $1,412.29 $3,817 0.7×
Place Rt Device/Marker Pros (55876) $2,518.96 $6,808 1.8×
Placement of needle for intraosseous infusion (36680) $75.11 $203 0.2×
Placement of seton (46020) $2,518.96 $6,808 0.9×
Plastic Repair Introitus (56800) $9,368.03 $25,319 2.8×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 4 matching MRF lines		 $2,018.72–$4,037.07 $5,456–$10,911 varies
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $9,368.03 $25,319 1.8×
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure		 $4,596.51 $12,423 0.2×
Probe nasolacrimal duct w/wo irrig req gen anes (68811) $1,288.34 $3,482 0.5×
Proctopexy Perineal Approach (45541) $3,291.89 $8,897 1.1×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300)
range across 3 matching MRF lines		 $871.35–$2,518.96 $2,355–$6,808 varies
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $2,181.15 $5,895 0.8×
Prostatotomy external drg abscess simple (55720) $3,731.08 $10,084 1.0×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $591.26 $1,598 0.8×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $7,652.34 $20,682 2.3×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122)
range across 2 matching MRF lines		 $1,496.28–$1,514.78 $4,044–$4,094 varies
Pseudoaneurysm Injection Trt (36002)
range across 4 matching MRF lines		 $170.94–$594.59 $462–$1,607 varies
Punch biopsy skin single lesion (11104)
range across 5 matching MRF lines		 $197.95–$230.14 $535–$622 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 5 matching MRF lines		 $247.90–$399.60 $670–$1,080 varies
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines		 $194.25–$585.71 $525–$1,583 varies
Puncture shunt tube/reservoir aspiration/inj px (61070) $658.97 $1,781 0.9×
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) $7,652.34 $20,682 1.0×
Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) $1,647.98 $4,454 1.0×
Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) $1,642.43 $4,439 0.5×
Radical styloidectomy separate procedure (25230) $2,518.96 $6,808 0.7×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $2,157.10 $5,830 1.1×
Rcnstj angular dfrm toe soft tiss px only (28313) $1,496.28 $4,044 0.4×
Realignment extensor tendon hand each tendon (26437)
range across 2 matching MRF lines		 $3,422.87–$7,652.34 $9,251–$20,682 varies
Reconstruct extra finger (26587) $2,936.69 $7,937 0.9×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
range across 2 matching MRF lines		 $3,018.09–$3,671.14 $8,157–$9,922 varies
Reduction of rectal prolapse (45900) $580.53 $1,569 0.6×
Relieve Pressure on Nerve(S) (64722) $4,501.42 $12,166 2.2×
Relocation Pocket Pacemaker (33222) $2,057.94 $5,562 1.0×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $668.22 $1,806 0.7×
Removal Embedded Foreign Body Eyelid (67938) $192.40 $520 0.6×
Removal Foreign Body Deep Thigh/Knee (27372) $1,948.79 $5,267 0.6×
Removal Foreign Body Foot Complicated (28193) $1,895.14 $5,122 1.1×
Removal foreign body foot deep (28192)
range across 2 matching MRF lines		 $649.72–$1,800.79 $1,756–$4,867 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $332.63–$653.42 $899–$1,766 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $332.63 $899 0.2×
Removal foreign body, intranasal; requiring general anesthesia (30310) $1,082.62 $2,926 0.3×
Removal impacted cerumen irrigation/lvg unilat (69209) $73.26 $198 1.2×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines		 $74–$881.71 $200–$2,383 varies
Removal Implant Deep (20680)
range across 2 matching MRF lines		 $1,543.64–$4,501.42 $4,172–$12,166 varies
Removal Implant Superficial Separate Procedure (20670)
range across 2 matching MRF lines		 $1,018.98–$1,800.79 $2,754–$4,867 varies
Removal intact breast implant (19328) $3,290.04 $8,892 0.8×
Removal of adenoids (42830)
range across 2 matching MRF lines		 $698.93–$2,799.05 $1,889–$7,565 varies
Removal of foot joint lining (28072) $7,652.34 $20,682 2.3×
Removal of foreign body from pharynx (42809) $113.59 $307 0.2×
Removal of nail bed (11750)
range across 4 matching MRF lines		 $367.04–$991.97 $992–$2,681 varies
Removal of sesamoid bone (28315)
range across 2 matching MRF lines		 $1,350.87–$1,642.43 $3,651–$4,439 varies
Removal of sperm cord lesion (55520) $4,501.42 $12,166 1.2×
Removal of testis (54520) $4,501.42 $12,166 1.2×
Removal of thyroid (60271) $7,652.34 $20,682 1.2×
Removal of tonsils (42825) $3,167.57 $8,561 0.5×
Removal of tonsils (42826)
range across 2 matching MRF lines		 $2,518.96–$3,167.57 $6,808–$8,561 varies
Removal of tunneled intraperitoneal catheter (49422)
range across 2 matching MRF lines		 $1,206.20–$2,518.96 $3,260–$6,808 varies
Removal of wrist bone (25210) $3,422.87 $9,251 1.0×
Removal or bivalving full arm or full leg cast (29705) $78.81 $213 0.3×
Removal Pacemaker Electrode (33235)
range across 2 matching MRF lines		 $3,837.64–$4,028.93 $10,372–$10,889 varies
Removal ppm generator only (33233)
unusually low: confirm this is the full procedure		 $3,247.12 $8,776 0.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 3 matching MRF lines		 $93.98–$4,501.42 $254–$12,166 varies
Removal subcutaneous cardiac rhythm monitor (33286)
range across 2 matching MRF lines		 $1,989.12–$2,088.65 $5,376–$5,645 varies
Removal, under anesthesia, of external fixation system (20694) $7,652.34 $20,682 4.6×
Removal/bivalving gauntlet boot/body cast (29700) $79.92 $216 0.3×
Remove Ankle Joint Lining (27626) $7,652.34 $20,682 2.3×
Remove cranial cavity fluid (61000) $639.73 $1,729 0.9×
Remove drug implant device (11982)
range across 3 matching MRF lines		 $123.58–$4,501.42 $334–$12,166 varies
Remove elbow lesion (24120) $1,686.83 $4,559 0.5×
Remove Elctrd Transvenously (33244) $1,992.82 $5,386 0.5×
Remove foreign body from eye (65235) $1,570.65 $4,245 0.7×
Remove foreign body from eye (65205) $112.11 $303 0.8×
Remove humerus lesion (24110) $4,501.42 $12,166 1.3×
Remove Int Dwell Ureteral Stent Transurethral (50386) $4,501.42 $12,166 2.1×
Remove Intrauterine Device (58301)
range across 3 matching MRF lines		 $163.54–$4,501.42 $442–$12,166 varies
Remove intrvas foreign body (37197)
range across 2 matching MRF lines		 $3,265.99–$3,298.55 $8,827–$8,915 varies
Remove Lower Leg Bone Lesion (27635)
range across 2 matching MRF lines		 $3,006.25–$7,652.34 $8,125–$20,682 varies
Remove lung catheter (32552)
range across 3 matching MRF lines		 $643.43–$700.04 $1,739–$1,892 varies
Remove muti-comp penis pros (54406) $4,501.42 $12,166 1.2×
Remove Nasal Foreign Body (30300) $71.41 $193 0.5×
Remove Pulse Generator (33241) $1,953.97 $5,281 0.5×
Remove renal tube w/fluoro (50389)
range across 4 matching MRF lines		 $815.85–$4,501.42 $2,205–$12,166 varies
Remove spine eltrd plate (63662) $2,518.96 $6,808 0.7×
Remove Tendon Sheath Lesion (26160)
range across 2 matching MRF lines		 $698.93–$1,259.11 $1,889–$3,403 varies
Remove&replace pm gen singl (33227) $6,410.25 $17,325 0.7×
Remove/Insert Drug Implant (11983) $2,518.96 $6,808 5.4×
Remove/replace penis prosth (54410)
likely a partial charge, not the full procedure		 $2,518.96 $6,808 0.1×
Remv&replc cvd gen dual lead (33263) $19,874.18 $53,714 0.9×
Remv&replc cvd gen mult lead (33264) $19,874.18 $53,714 0.6×
Remv&replc cvd gen sing lead (33262)
range across 3 matching MRF lines		 $18,921.06–$19,874.18 $51,138–$53,714 varies
Remv&replc pm gen dual lead (33228)
range across 3 matching MRF lines		 $8,252.85–$8,665.40 $22,305–$23,420 varies
Remv&replc pm gen mult leads (33229) $10,405.88 $28,124 0.5×
Remvl Inflatable Urethral/Bladder Neck Sphincter (53446) $4,501.42 $12,166 0.8×
Renal Biopsy Perq (50200)
range across 3 matching MRF lines		 $1,300.18–$1,339.03 $3,514–$3,619 varies
Reopen fallopian tube (58350) $4,501.42 $12,166 0.9×
Repair Achilles Tendon (27650)
range across 2 matching MRF lines		 $3,675.95–$4,501.42 $9,935–$12,166 varies
Repair arm/leg nerve (64857) $4,501.42 $12,166 1.3×
Repair Blood Vessel Direct Hand Finger (35207)
range across 2 matching MRF lines		 $3,596.40–$4,501.42 $9,720–$12,166 varies
Repair Blood Vessel Direct Upper Extremity (35206) $1,067.45 $2,885 0.3×
Repair Collat Ankle Ligmnt,Secondary (27698) $7,652.34 $20,682 1.0×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $178.34 $482 0.2×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $396.64–$2,518.96 $1,072–$6,808 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 3 matching MRF lines		 $178.34–$7,652.34 $482–$20,682 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $207.57 $561 0.5×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $574.61–$4,501.42 $1,553–$12,166 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $197.58–$4,501.42 $534–$12,166 varies
Repair complex trunk 1.1-2.5 cm (13100) $1,891.07 $5,111 2.5×
Repair complex trunk 2.6-7.5 cm (13101) $395.53 $1,069 0.5×
Repair Elbow Perc (24357) $2,281.05 $6,165 0.7×
Repair Extensor Tendon Finger W/Graft Each (26420) $2,026.12 $5,476 0.6×
Repair extensor tendon finger w/o graft each (26418)
range across 3 matching MRF lines		 $749.25–$2,026.12 $2,025–$5,476 varies
Repair Finger/Hand Tendon (26350) $7,652.34 $20,682 2.3×
Repair Hallux Rigidus (28289)
range across 2 matching MRF lines		 $1,496.28–$2,026.12 $4,044–$5,476 varies
Repair Hand Joint (26540) $2,026.12 $5,476 0.6×
Repair Hand Tendon (26410) $749.25 $2,025 0.4×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $4,501.42 $12,166 1.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 3 matching MRF lines		 $224.59–$4,501.42 $607–$12,166 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 3 matching MRF lines		 $234.95–$2,518.96 $635–$6,808 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $245.31–$2,518.96 $663–$6,808 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $261.59–$4,501.42 $707–$12,166 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $254.19 $687 0.3×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $219.78–$421.06 $594–$1,138 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 3 matching MRF lines		 $230.88–$2,518.96 $624–$6,808 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $242.72 $656 0.3×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $259–$4,501.42 $700–$12,166 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $214.97–$2,518.96 $581–$6,808 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 3 matching MRF lines		 $236.06–$4,501.42 $638–$12,166 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $286.75 $775 0.4×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $303.03–$4,501.42 $819–$12,166 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $358.53 $969 0.2×
Repair Laceration Palate </2 Cm (42180) $295.26 $798 0.5×
Repair Nasal Vestibular Stenosis (30465) $5,275.83 $14,259 0.9×
Repair Non/Malunion Humerus W/O Graft (24430) $7,652.34 $20,682 0.6×
Repair of anal fistula with fibrin glue (46706) $3,017.35 $8,155 1.0×
Repair of nail bed (11760) $103.60 $280 0.1×
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405)
likely a partial charge, not the full procedure		 $2,250.71 $6,083 0.3×
Repair of rectocele (45560) $4,501.42 $12,166 1.6×
Repair of Ruptured Tendon (24342)
range across 2 matching MRF lines		 $3,360.34–$4,501.42 $9,082–$12,166 varies
Repair of shoulder (23420) $7,652.34 $20,682 1.0×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) $4,501.42 $12,166 0.7×
Repair Rotator Cuff Chronic (23412)
unusually low: confirm this is the full procedure		 $3,360.34 $9,082 0.4×
Repair secondary achilles tendon w/wo graft (27654) $4,501.42 $12,166 0.6×
Repair Spica/Body/Jacket Cast (29720) $87.32 $236 0.5×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208)
range across 2 matching MRF lines		 $653.42–$955.71 $1,766–$2,583 varies
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
range across 2 matching MRF lines		 $3,360.34–$4,501.42 $9,082–$12,166 varies
Repair tongue laceration (41252) $543.90 $1,470 2.2×
Repair tongue laceration (41250) $196.47 $531 0.4×
Repair Tooth Socket (41874) $4,501.42 $12,166 1.3×
Repair, primary, disrupted ligament, ankle; collateral (27695)
range across 2 matching MRF lines		 $7,475.48–$7,652.34 $20,204–$20,682 varies
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) $7,652.34 $20,682 1.0×
Repair/graft finger tendon (26428) $4,501.42 $12,166 1.3×
Repair/Graft Wrist Bone (25440) $4,983.16 $13,468 0.7×
Replace G-J Tube Perc (49452) $164.65 $445 0.2×
Replace g/c tube perc (49450) $409.59 $1,107 0.4×
Reposition Gastrostomy Tube (43761) $566.47 $1,531 2.2×
Reposition Pacing-Defib Lead (33215)
range across 3 matching MRF lines		 $1,989.12–$2,088.65 $5,376–$5,645 varies
Reposition Venous Catheter (36597) $976.80 $2,640 0.6×
Repr elbow lat ligmnt w/tiss (24343) $2,026.12 $5,476 0.6×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $3,650.42 $9,866 1.1×
Retrobulbar injection (67500) $267.88 $724 0.8×
Rev/rmv prph sac/gstr npg/r (64595) $2,518.96 $6,808 0.7×
Revise knuckle joint (26530) $4,501.42 $12,166 0.6×
Revise ulnar nerve at wrist (64719) $4,501.42 $12,166 2.2×
Revise Wrist/Forearm Tendon (25280) $4,501.42 $12,166 1.3×
Revise/Implant Finger Joint (26536) $4,122.17 $11,141 0.5×
Revision including removal of prosthetic vaginal graft vaginal approach (57295) $9,368.03 $25,319 2.8×
Revision of big toe (28310)
likely a partial charge, not the full procedure		 $1,496.28 $4,044 0.2×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
unusually low: confirm this is the full procedure		 $7,652.34 $20,682 0.4×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) $7,652.34 $20,682 0.6×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $14,109.58 $38,134 2.4×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $2,518.96 $6,808 0.7×
Revj/rmvl peripheral neurostimulator electrode (64585) $2,518.96 $6,808 0.7×
Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) $4,186.55 $11,315 0.7×
Rmvl embedded fb vestibule mouth comp (40805) $672.66 $1,818 1.2×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $59.94 $162 0.1×
Rmvl FB Xtrnl Auditory Canal Anes (69205)
range across 3 matching MRF lines		 $653.42–$1,948.42 $1,766–$5,266 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $126.54 $342 0.3×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $132.09 $357 1.0×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $126.54 $342 0.3×
Rmvl fecal impaction/fb spx under anes (45915)
range across 2 matching MRF lines		 $1,213.23–$4,501.42 $3,279–$12,166 varies
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)
range across 2 matching MRF lines		 $332.63–$4,501.42 $899–$12,166 varies
Rmvl Lens Material Phacofragmentation Aspir (66850) $2,500.83 $6,759 1.0×
Rmvl of subq implantable defibrillator electrode (33272) $4,247.97 $11,481 1.1×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234)
range across 2 matching MRF lines		 $3,074.70–$3,227.88 $8,310–$8,724 varies
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 3 matching MRF lines		 $2,518.96–$3,045.10 $6,808–$8,230 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 6 matching MRF lines		 $549.82–$2,518.96 $1,486–$6,808 varies
Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010)
range across 2 matching MRF lines		 $1,125.54–$2,719.13 $3,042–$7,349 varies
Rmvl/revj sling stress incontinence (57287) $4,501.42 $12,166 1.3×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $210.16–$311.91 $568–$843 varies
Rplc gtube revj gstrst trc (43763)
range across 2 matching MRF lines		 $210.16–$299.33 $568–$809 varies
Rplcmt cath ctr vad subq port/pmp (36578) $4,419.65 $11,945 1.3×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $3,833.57 $10,361 2.3×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584)
range across 2 matching MRF lines		 $1,816.70–$2,519.70 $4,910–$6,810 varies
Rplcmt compl tun ctr vad w/subq pmp (36583) $6,496.83 $17,559 1.1×
Rplcmt compl tun ctr vad w/subq port (36582)
range across 2 matching MRF lines		 $4,501.42–$6,496.83 $12,166–$17,559 varies
Rplcmt compl tun cvc w/o subq port/pmp (36581)
range across 2 matching MRF lines		 $3,541.27–$3,989.34 $9,571–$10,782 varies
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $9,368.03 $25,319 1.5×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $4,501.42 $12,166 1.2×
Rpr aa hernia recr 3-10 cm reducible (49615) $7,652.34 $20,682 1.1×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $7,652.34 $20,682 1.2×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $4,501.42 $12,166 1.2×
Rpr aa hrn 1st 3-10 rdc (49593) $9,368.03 $25,319 1.4×
Rpr aa hrn 1st < 3 ncr/strn (49592) $4,501.42 $12,166 0.7×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576)
range across 2 matching MRF lines		 $4,148.44–$4,501.42 $11,212–$12,166 varies
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675)
range across 2 matching MRF lines		 $3,421.02–$7,652.34 $9,246–$20,682 varies
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) $4,501.42 $12,166 0.6×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $231.62 $626 1.1×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $302.66 $818 0.4×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $473.60 $1,280 1.9×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $543.90 $1,470 1.0×
Rpr Lip Full Thickness Vermilion Only (40650) $601.62 $1,626 1.1×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $601.62 $1,626 0.4×
Rpr Nsl Vlv Collapse W/Implt (30468)
range across 2 matching MRF lines		 $2,026.12–$6,424.31 $5,476–$17,363 varies
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260)
range across 2 matching MRF lines		 $1,147–$7,652.34 $3,100–$20,682 varies
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $2,026.12 $5,476 0.6×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $1,031.93 $2,789 1.6×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356)
range across 2 matching MRF lines		 $3,421.02–$4,501.42 $9,246–$12,166 varies
Sclerotx Fluid Collection (49185) $1,166.24 $3,152 0.7×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520)
range across 2 matching MRF lines		 $1,514.78–$1,652.42 $4,094–$4,466 varies
Sgmdsc flx dired sbmcsl njx any sbst (45335) $988.64 $2,672 1.0×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $916.86 $2,478 0.7×
Shave skin lesion 0.5 cm/< (11300) $180.19 $487 0.4×
Shoulder arthroscopy diagnostic (29805) $7,652.34 $20,682 2.3×
Shoulder Arthroscopy/Surgery (29825)
range across 2 matching MRF lines		 $3,898.32–$7,652.34 $10,536–$20,682 varies
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $137.27 $371 0.7×
Sigmoidoscopy & decompress (45337) $916.86 $2,478 0.9×
Sigmoidoscopy & Polypectomy (45333) $916.86 $2,478 0.9×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $916.86 $2,478 0.7×
Sigmoidoscopy flx tndsc balo dilat (45340) $916.86 $2,478 0.7×
Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) $916.86 $2,478 0.7×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $916.86 $2,478 0.7×
Sigmoidoscopy w/fb removal (45332) $916.86 $2,478 0.7×
Sigmoidoscopy w/plcmt stent (45347)
likely a partial charge, not the full procedure		 $916.86 $2,478 0.1×
Sigmoidoscopy W/Resection (45349) $916.86 $2,478 0.3×
Sigmoidoscopy W/Ultrasound (45341) $916.86 $2,478 0.9×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 3 matching MRF lines		 $606.80–$916.86 $1,640–$2,478 varies
Sigmoidoscopy,Flex,W/Control,Bleeding (45334)
range across 2 matching MRF lines		 $916.86–$1,026.01 $2,478–$2,773 varies
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $268.62 $726 0.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $200.91–$208.31 $543–$563 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $192.03–$219.41 $519–$593 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $158.36 $428 0.4×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $233.84 $632 1.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $204.24 $552 1.0×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $277.50 $750 1.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $228.66 $618 1.1×
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032)
unusually low: confirm this is the full procedure		 $2,945.94 $7,962 0.5×
Skin Full Grft Face/Genit/Hf (15240)
range across 2 matching MRF lines		 $647.13–$4,501.42 $1,749–$12,166 varies
Skin sub graft face/nk/hf/g (15275)
range across 3 matching MRF lines		 $1,964.70–$4,501.42 $5,310–$12,166 varies
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines		 $616.79–$2,518.96 $1,667–$6,808 varies
Skin sub grft t/arm/lg child (15273) $3,394.38 $9,174 1.6×
Skin Tissue Procedure (17999)
range across 3 matching MRF lines		 $201.28–$589.78 $544–$1,594 varies
Skn sub grft f/n/hf/g child (15277) $1,964.70 $5,310 0.9×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 2 matching MRF lines		 $10,097.67–$10,293.40 $27,291–$27,820 varies
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 2 matching MRF lines		 $1,978.76–$6,179.37 $5,348–$16,701 varies
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 2 matching MRF lines		 $3,298.18–$10,293.40 $8,914–$27,820 varies
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $9,368.03 $25,319 1.8×
Slitting of prepuce (54001) $1,900.32 $5,136 0.9×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $213.12 $576 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $239.02 $646 0.6×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $277.50 $750 0.7×
Spinal puncture lumbar diagnostic (62270)
range across 5 matching MRF lines		 $347.43–$480.26 $939–$1,298 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $7,652.34 $20,682 2.1×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $7,652.34 $20,682 3.6×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765)
range across 2 matching MRF lines		 $1,351.24–$1,405.63 $3,652–$3,799 varies
Strapping ankle (29540) $87.32 $236 0.5×
Strapping elbow or wrist (29260) $88.06 $238 1.4×
Strapping hand/finger (29280) $73.26 $198 1.2×
Strapping Hip (29520) $87.32 $236 0.6×
Strapping knee (29530) $87.32 $236 0.6×
Strapping shoulder (29240)
range across 5 matching MRF lines		 $66.60–$74 $180–$200 varies
Strapping toes (29550) $79.92 $216 1.3×
Strapping Unna Boot (29580)
range across 4 matching MRF lines		 $108.78–$327.08 $294–$884 varies
Subconjunctival injection (68200) $230.88 $624 0.5×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $1,652.42 $4,466 0.5×
Surg Implnt Neuroelect,Epidural (63655)
likely a partial charge, not the full procedure		 $2,518.96 $6,808 0.1×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $1,723.83 $4,659 0.7×
Suture 1 Nerve Ulnar Motor (64836) $7,652.34 $20,682 2.2×
Suture digital nerve hand/foot 1 nerve (64831) $4,501.42 $12,166 2.2×
Suture infrapatellar tendon primary (27380)
likely a partial charge, not the full procedure		 $1,350.87 $3,651 0.2×
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381)
likely a partial charge, not the full procedure		 $1,350.87 $3,651 0.2×
Suture of quadriceps or hamstring muscle rupture primary (27385) $7,652.34 $20,682 1.0×
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) $7,652.34 $20,682 1.0×
Syndactylization toes (28280)
range across 2 matching MRF lines		 $1,496.65–$1,514.78 $4,045–$4,094 varies
Synovectomy carpometacarpal joint (26130) $4,501.42 $12,166 1.3×
Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070) $4,501.42 $12,166 0.6×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $1,647.98 $4,454 1.0×
Tangential biopsy skin single lesion (11102)
range across 3 matching MRF lines		 $109.89–$197.95 $297–$535 varies
Tendon lengthening upper arm/elbow ea tendon (24305) $2,412.77 $6,521 0.7×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310)
range across 2 matching MRF lines		 $2,288.82–$4,501.42 $6,186–$12,166 varies
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) $2,026.12 $5,476 0.6×
Tenodesis long tendon biceps (23430)
range across 2 matching MRF lines		 $7,475.48–$7,652.34 $20,204–$20,682 varies
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $7,652.34 $20,682 2.3×
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $4,501.42 $12,166 1.3×
Tenotomy Adductor Hip Percutaneous Spx (27000) $1,472.60 $3,980 0.9×
Tenotomy Percutaneous Toe Single Tendon (28010) $1,812.26 $4,898 1.1×
Tenotomy Prq Achilles Tendon Spx General Anes (27606)
range across 2 matching MRF lines		 $1,472.60–$7,652.34 $3,980–$20,682 varies
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $2,220.37 $6,001 1.3×
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) $1,472.60 $3,980 0.4×
Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) $2,306.95 $6,235 0.7×
Tenotomy shoulder area single tendon (23405)
range across 2 matching MRF lines		 $2,281.05–$7,652.34 $6,165–$20,682 varies
Thaw preserved stem cells (38208) $833.98 $2,254 1.8×
Ther Apheresis,Red Blood Cells (36512) $883.93 $2,389 0.5×
Therapeutic Apheresis White Blood Cells (36511) $883.93 $2,389 0.5×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628)
likely a partial charge, not the full procedure		 $2,518.96 $6,808 0.2×
Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) $4,501.42 $12,166 0.8×
Thromblytic art/ven therapy (37213) $1,874.42 $5,066 0.6×
Thrombolytic Therapy Stroke (37195) $192.40 $520 0.6×
Thyroid biopsy (60100) $525.03 $1,419 0.7×
Thyroidectomy Post Prev Thyr Surg (60260) $7,652.34 $20,682 1.2×
Thyroidectomy, total or complete (60240) $7,652.34 $20,682 1.2×
Tibial Arthroscopy/Surgery (29855)
range across 2 matching MRF lines		 $1,350.87–$5,641.02 $3,651–$15,246 varies
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $4,501.42 $12,166 2.1×
Tnot elbow lateral/medial debride open (24358)
range across 2 matching MRF lines		 $2,334.33–$4,501.42 $6,309–$12,166 varies
Tnot elbow lateral/medial debride open tdn rpr (24359) $4,501.42 $12,166 1.3×
Tonsillectomy and adenoidectomy; age 12 or over (42821)
range across 2 matching MRF lines		 $2,026.12–$2,799.05 $5,476–$7,565 varies
Tooth extraction (41899)
range across 3 matching MRF lines		 $166.87–$950.53 $451–$2,569 varies
Total Knee Arthroplasty (27447) $7,652.34 $20,682 0.6×
Tprnl Plmt Biodegrdabl Matrl (55874)
unusually low: confirm this is the full procedure		 $2,518.96 $6,808 0.5×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $2,426.46 $6,558 0.7×
Tracheobrnchsc Thru Est Trachs Inc (31615) $474.71 $1,283 0.8×
Tracheostoma revj smpl w/o flap rotation (31613) $2,362.82 $6,386 0.7×
Tracheostomy Emergency Cricothyroid Membrane (31605) $648.24 $1,752 2.6×
Tracheostomy Emergency Procedure Transtracheal (31603) $648.24 $1,752 0.4×
Transcatheter biopsy (37200) $3,265.99 $8,827 0.6×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $7,652.34 $20,682 3.8×
Translum Dil Eye Canal (66174) $1,125.54 $3,042 0.3×
Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent Facility (66175)
likely a partial charge, not the full procedure		 $1,125.54 $3,042 0.2×
Transoral lower esophageal myotomy (43497) $3,313.72 $8,956 0.5×
Transplant hand tendon (26480) $1,980.61 $5,353 0.6×
Transur electr resection of prostate (52601) $4,501.42 $12,166 0.8×
Treat Dental Ridge Fracture (21440) $2,408.70 $6,510 0.7×
Treat ectopic pregnancy (59151) $4,501.42 $12,166 0.7×
Treat elbow fracture (24586) $7,652.34 $20,682 0.6×
Treat Finger Fracture Each (26727) $3,006.25 $8,125 0.9×
Treat fracture radius/ulna (25575)
likely a partial charge, not the full procedure		 $2,250.71 $6,083 0.3×
Treat Fx Rad Extra-Articul (25607)
range across 2 matching MRF lines		 $478.78–$7,652.34 $1,294–$20,682 varies
Treat Hand Bone Lesion (26034) $4,501.42 $12,166 2.7×
Treat humerus fracture (24500) $137.64 $372 0.5×
Treat Humerus Fracture (24505) $152.81 $413 0.1×
Treat knee fracture (27532) $1,724.57 $4,661 0.5×
Treat Kneecap Fracture (27524)
unusually low: confirm this is the full procedure		 $3,675.95 $9,935 0.5×
Treat Knuckle Dislocation (26700) $137.64 $372 0.5×
Treat metacarpal fracture (26607) $1,514.78 $4,094 0.4×
Treat Metatarsal Fracture (28475) $137.64 $372 0.5×
Treat skull fracture (62000) $2,208.53 $5,969 0.6×
Treat Tail Bone Fracture (27200) $143.19 $387 0.6×
Treat Thumb Dislocation (26641) $137.64 $372 0.5×
Treat Thumb Fracture (26645) $1,165.50 $3,150 0.7×
Treat toe dislocation (28630) $137.64 $372 0.5×
Treat Trigeminal Nerve (61790) $2,216.67 $5,991 1.1×
Treat Vaginal Bleeding (57180) $127.28 $344 0.6×
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 2 matching MRF lines		 $687.46–$2,518.96 $1,858–$6,808 varies
Treatment closed elbow dislocation w/o anes (24600) $137.64 $372 0.5×
Treatment of ankle fracture (27823) $6,348.09 $17,157 0.8×
Trim skin lesion (11055)
range across 3 matching MRF lines		 $177.97–$4,501.42 $481–$12,166 varies
Trim skin lesions 2 to 4 (11056) $177.97 $481 0.9×
Trim skin lesions over 4 (11057) $177.97 $481 0.9×
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines		 $66.60–$84.73 $180–$229 varies
Trluml Balo Angiop 1St Art (37246)
range across 2 matching MRF lines		 $3,801.75–$5,817.51 $10,275–$15,723 varies
Trluml Balo Angiop 1St Vein (37248) $6,366.96 $17,208 1.1×
Trurl rescj postop bladder neck contracture (52640) $4,501.42 $12,166 1.2×
Tubal ligation (58600) $2,259.96 $6,108 0.7×
Tx Gastro Intub W/Asp (43753) $202.02 $546 0.9×
Tx Incomplete Abortion Any Trimester Surgical (59812)
range across 3 matching MRF lines		 $1,259.11–$2,518.96 $3,403–$6,808 varies
Tx Missed Abortion First Trimester Surgical (59820)
range across 3 matching MRF lines		 $1,259.11–$2,518.96 $3,403–$6,808 varies
Tx Missed Abortion Second Trimester Surgical (59821) $2,518.96 $6,808 0.7×
Tx open tendon flexor toe 1 tendon spx (28232)
range across 2 matching MRF lines		 $1,804.12–$4,501.42 $4,876–$12,166 varies
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $4,501.42 $12,166 2.7×
Tx Superficial Wound Dehiscence Simple Closure (12020) $204.24 $552 0.3×
Tx superficial wound dehiscence w/packing (12021) $204.24 $552 0.5×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $166.50 $450 0.7×
Tympanoplasty (69631)
range across 2 matching MRF lines		 $1,125.54–$3,167.57 $3,042–$8,561 varies
Tympanostomy general anesthesia (69436) $653.42 $1,766 0.4×
Unlisted Cardiac Surgery (33999)
range across 2 matching MRF lines		 $652.68–$691.16 $1,764–$1,868 varies
Unlisted laparoscopic procedure liver (47379) $4,501.42 $12,166 0.7×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
range across 2 matching MRF lines		 $2,604.43–$4,501.42 $7,039–$12,166 varies
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) $4,501.42 $12,166 0.7×
Unlisted laparoscopy procedure, uterus (58578) $4,501.42 $12,166 0.7×
Unlisted procedure anus (46999) $541.68 $1,464 0.6×
Unlisted procedure arthroscopy (29999)
range across 2 matching MRF lines		 $434.75–$1,125.54 $1,175–$3,042 varies
Unlisted Procedure Casting/Strapping (29799)
range across 2 matching MRF lines		 $84.36–$164.28 $228–$444 varies
Unlisted procedure colon (45399) $1,140.34 $3,082 1.2×
Unlisted Procedure Esophagus (43499) $882.82 $2,386 0.9×
Unlisted Procedure External Ear (69399) $155.77 $421 0.6×
Unlisted procedure femur or knee (27599) $2,518.96 $6,808 9.8×
Unlisted procedure foot or toes (28899) $1,350.87 $3,651 5.3×
Unlisted Procedure Hands/Fingers (26989) $175.75 $475 0.7×
Unlisted Procedure Intestine (44799) $604.95 $1,635 0.6×
Unlisted procedure lacrimal system (68899) $355.94 $962 1.1×
Unlisted Procedure Leg/Ankle (27899) $175.75 $475 0.7×
Unlisted Procedure Male Genital System (55899) $235.69 $637 0.9×
Unlisted Procedure Muscskeletal System General (20999)
range across 3 matching MRF lines		 $2,094.57–$4,501.42 $5,661–$12,166 varies
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines		 $285.27–$561.66 $771–$1,518 varies
Unlisted procedure pancreas (48999) $11,317.56 $30,588 15.4×
Unlisted procedure pelvis/hip joint (27299) $4,501.42 $12,166 17.6×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $104.34 $282 0.4×
Unlisted Procedure Rectum (45999) $522.81 $1,413 0.5×
Unlisted Procedure Tongue Floor Mouth (41599) $139.49 $377 0.6×
Unlisted Procedure Trachea Bronchi (31899) $909.83 $2,459 4.4×
Unlisted Procedure Vascular Surgery (37799)
range across 3 matching MRF lines		 $936.84–$4,215.41 $2,532–$11,393 varies
Unlisted procedure, orbit (67599) $281.94 $762 0.9×
Unlisted Procedure, Urinary System (53899) $270.47 $731 1.0×
Unlisted px female genital system nonobstetrical (58999)
range across 2 matching MRF lines		 $171.31–$4,501.42 $463–$12,166 varies
Unlisted Px Salivary Glands/Ducts (42699) $99.53 $269 0.4×
Upgrade of pacemaker system (33214)
likely a partial charge, not the full procedure		 $2,088.65 $5,645 0.2×
Uvulectomy excision of uvula (42140) $2,114.18 $5,714 0.6×
Vaginal Delivery After Cesarean Delivery (59612) $1,861.10 $5,030 0.6×
Vaginal delivery only (59409)
range across 5 matching MRF lines		 $1,551.04–$1,987.27 $4,192–$5,371 varies
Vaginal hysterectomy, for uterus 250 g or less; (58260) $4,501.42 $12,166 0.9×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $9,368.03 $25,319 1.8×
Vasc Embolize/Occlude Bleed (37244)
range across 3 matching MRF lines		 $12,095.30–$12,504.52 $32,690–$33,796 varies
Vasc Embolize/Occlude Organ (37243)
unusually low: confirm this is the full procedure		 $5,277.68 $14,264 0.4×
Vasc embolize/occlude venous (37241)
unusually low: confirm this is the full procedure		 $5,937.39 $16,047 0.5×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 2 matching MRF lines		 $2,214.45–$2,518.96 $5,985–$6,808 varies
Vein Access Cutdown < 1 Yr (36420) $192.03 $519 1.4×
Venous Cutdown >1 Y/O (36425) $192.03 $519 0.4×
Venous Mech Thrombectomy (37187)
unusually low: confirm this is the full procedure		 $3,790.28 $10,244 0.3×
Vitrectomy mechanical pars plana (67036) $2,719.13 $7,349 0.6×
Vulvectomy simple partial (56620) $4,501.42 $12,166 1.3×
Wedge excision skin nail fold (11765) $131.35 $355 0.3×
Windowing of cast (29730) $87.32 $236 0.5×
Wound Prep F/N/Hf/G (15004) $862.47 $2,331 2.0×
Wound Prep Trk/Arm/Leg (15002) $862.47 $2,331 1.1×
Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991)
likely a partial charge, not the full procedure		 $1,125.54 $3,042 0.2×
Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+ (66989)
likely a partial charge, not the full procedure		 $1,125.54 $3,042 0.2×
Xfer Single Deep Low Leg Tendon (27691) $4,501.42 $12,166 0.6×

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.