Procedures & surgery prices at Midwest Medical Center
Galena, IL · every code in this section with a posted price and a Medicare benchmark.
431 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $1,134.68 | $1,246.90 | 1.2× |
| Ablate inf turbinate submuc (30802) | $3,177.54 | $3,491.80 | 1.9× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) | $870.32 | $956.40 | 0.5× |
| Acne surgery (10040) | $92.55 | $101.70 | 0.4× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) | $7,306.84 | $8,029.50 | 1.9× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) | $5,498.40 | $6,042.20 | 2.5× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $4,929.38 | $5,416.90 | 2.2× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) | $4,774.13 | $5,246.30 | 2.2× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) | $5,338.24 | $5,866.20 | 2.4× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) | $5,173.80 | $5,685.50 | 2.3× |
| Anorectal myomectomy (45108) | $6,528.52 | $7,174.20 | 2.2× |
| Anoscopy diagnostic (46600) range across 3 matching MRF lines |
$73.71–$377.10 | $81–$414.40 | varies |
| Anoscopy W/Rmvl Foreign Body (46608) | $1,014.29 | $1,114.60 | 1.0× |
| Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
$257.53–$267.27 | $283–$293.70 | varies |
| Application Finger Splint Dynamic (29131) range across 4 matching MRF lines |
$122.30–$193.01 | $134.40–$212.10 | varies |
| Application finger splint static (29130) range across 3 matching MRF lines |
$261.26–$300.48 | $287.10–$330.20 | varies |
| Application long arm splint shoulder hand (29105) range across 4 matching MRF lines |
$122.30–$410.32 | $134.40–$450.90 | varies |
| Application Long Leg Splint (29505) | $127.40 | $140 | 0.7× |
| Application of rigid total contact leg cast (29445) | $299.21 | $328.80 | 1.0× |
| Application Short Arm Splint Dynamic (29126) | $300.48 | $330.20 | 2.1× |
| Application short arm splint forearm-hand static (29125) range across 4 matching MRF lines |
$122.30–$346.16 | $134.40–$380.40 | varies |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$127.40–$261.90 | $140–$287.80 | varies |
| Apply hand/wrist cast (29085) range across 3 matching MRF lines |
$272.54–$300.48 | $299.50–$330.20 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$198.84–$412.05 | $218.50–$452.80 | varies |
| Apply Short Leg Cast (29405) range across 3 matching MRF lines |
$267.27–$339.79 | $293.70–$373.40 | varies |
| Apply short leg cast (29425) | $340.25 | $373.90 | 1.1× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$106.38–$114.20 | $116.90–$125.50 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$427.97–$622.80 | $470.30–$684.40 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $1,252.34 | $1,376.20 | 1.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$438.98–$646.10 | $482.40–$710 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $730.28 | $802.50 | 2.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 4 matching MRF lines |
$417.14–$617.71 | $458.40–$678.80 | varies |
| Arthrodesis ankle open (27870) | $24,428.59 | $26,844.60 | 1.8× |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) range across 3 matching MRF lines |
$1,518.06–$1,918.37 | $1,668.20–$2,108.10 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $298.39 | $327.90 | 0.9× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$114.02–$474.38 | $125.30–$521.30 | varies |
| Biopsy External Auditory Canal (69105) | $1,290.11 | $1,417.70 | 0.8× |
| Biopsy external ear (69100) | $934.93 | $1,027.40 | 3.7× |
| Biopsy of lip (40490) | $1,001 | $1,100 | 3.9× |
| Biopsy Oropharynx (42800) | $2,286.19 | $2,512.30 | 1.4× |
| Biopsy Salivary Gland Needle (42400) | $1,090.36 | $1,198.20 | 1.4× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) | $959.32 | $1,054.20 | 0.5× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) | $1,500.04 | $1,648.40 | 0.5× |
| Biopsy, vestibule of mouth (40808) | $1,258.44 | $1,382.90 | 2.2× |
| Bladder Irrigation (51700) range across 4 matching MRF lines |
$233.96–$496.86 | $257.10–$546 | varies |
| Bladder Scan (51798) | $180 | $197.80 | 2.8× |
| Blepharotomy drainage abscess eyelid (67700) | $969.51 | $1,065.40 | 2.9× |
| Blood Transfusion Service (36430) | $948.04 | $1,041.80 | 2.0× |
| Bronchoscopy W/Biopsy(S) (31625) | $2,008.92 | $2,207.60 | 1.1× |
| Bx breast 1st lesion us imag (19083) range across 4 matching MRF lines |
$1,825.64–$3,281.64 | $2,006.20–$3,606.20 | varies |
| Bx breast needle core w/o imaging guidance spx (19100) | $637.64 | $700.70 | 0.4× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$211.85–$514.06 | $232.80–$564.90 | varies |
| Chest tube placement (32551) | $1,386.20 | $1,523.30 | 0.8× |
| Cl Tx Scapular Fx; W Manip (23575) | $206.30 | $226.70 | 0.1× |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$73.71–$426.88 | $81–$469.10 | varies |
| Closed Rx Spontaneous Hip Disloc (27256) | $390.12 | $428.70 | 1.5× |
| Closed rx talotarsal disloc,anesth (28575) | $3,445.90 | $3,786.70 | 1.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $493.49 | $542.30 | 1.9× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $1,119.66 | $1,230.40 | 4.2× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $431.61 | $474.30 | 1.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $443.26 | $487.10 | 1.7× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $1,228.59 | $1,350.10 | 4.6× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $174.81 | $192.10 | 0.7× |
| Closed tx carpal scaphoid fracture w/manj (25624) | $1,741.38 | $1,913.60 | 1.0× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $1,119.66 | $1,230.40 | 4.2× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $4,170.26 | $4,582.70 | 2.4× |
| Closed tx knee dislocation w/o anesthesia (27550) | $493.95 | $542.80 | 1.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $883.52 | $970.90 | 3.3× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $2,950.22 | $3,242 | 1.7× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) range across 2 matching MRF lines |
$1,873.33–$2,048.77 | $2,058.60–$2,251.40 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $2,652.01 | $2,914.30 | 0.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $206.30 | $226.70 | 0.8× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $834.29 | $916.80 | 3.2× |
| Closed tx radial head/neck fx w/manipulation (24655) | $206.30 | $226.70 | 0.1× |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 3 matching MRF lines |
$206.30–$962.78 | $226.70–$1,058 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) | $1,660.39 | $1,824.60 | 1.0× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$492.22–$632.45 | $540.90–$695 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $206.30 | $226.70 | 0.1× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $926.74 | $1,018.40 | 3.5× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $744.47 | $818.10 | 2.8× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) | $1,259.08 | $1,383.60 | 4.8× |
| Closed tx talus fracture w/o manipulation (28430) | $174.81 | $192.10 | 0.7× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $291.29 | $320.10 | 1.1× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $930.11 | $1,022.10 | 3.5× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 2 matching MRF lines |
$493.49–$854.58 | $542.30–$939.10 | varies |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $206.30 | $226.70 | 0.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 3 matching MRF lines |
$206.30–$804.80 | $226.70–$884.40 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $1,720.54 | $1,890.70 | 1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $206.30 | $226.70 | 0.8× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $3,015.65 | $3,313.90 | 1.8× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $560.47 | $615.90 | 0.3× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $842.02 | $925.30 | 3.2× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $964.05 | $1,059.40 | 3.6× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $206.30 | $226.70 | 0.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $206.30 | $226.70 | 0.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 3 matching MRF lines |
$456.82–$678.40 | $502–$745.50 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$206.30–$1,205.57 | $226.70–$1,324.80 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 3 matching MRF lines |
$206.30–$2,370.19 | $226.70–$2,604.60 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $206.30 | $226.70 | 0.1× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) range across 2 matching MRF lines |
$3,439.07–$5,742.10 | $3,779.20–$6,310 | varies |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $472.11 | $518.80 | 1.8× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 3 matching MRF lines |
$206.30–$447.99 | $226.70–$492.30 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $206.30 | $226.70 | 0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 3 matching MRF lines |
$206.30–$451.45 | $226.70–$496.10 | varies |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $1,074.16 | $1,180.40 | 4.1× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $993.36 | $1,091.60 | 3.8× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $1,720.54 | $1,890.70 | 1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $206.30 | $226.70 | 0.8× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $206.30 | $226.70 | 0.1× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $1,212.12 | $1,332 | 4.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $206.30 | $226.70 | 0.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 3 matching MRF lines |
$206.30–$677.59 | $226.70–$744.60 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) | $434.98 | $478 | 1.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $886.07 | $973.70 | 3.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 3 matching MRF lines |
$431.61–$1,242.70 | $474.30–$1,365.60 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 3 matching MRF lines |
$389.75–$749.48 | $428.30–$823.60 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) | $403.31 | $443.20 | 1.5× |
| Cltx prox fibula/shft fx w/manj (27781) | $206.30 | $226.70 | 0.1× |
| Cltx prox fibula/shft fx w/o manj (27780) | $948.22 | $1,042 | 3.6× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $206.30 | $226.70 | 0.1× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $505.50 | $555.50 | 1.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
$206.30–$718.72 | $226.70–$789.80 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $206.30 | $226.70 | 0.1× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $1,397.30 | $1,535.50 | 5.3× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) | $1,613.43 | $1,773 | 6.1× |
| Cltx tibial fx proximal w/o manipulation (27530) | $1,177.72 | $1,294.20 | 4.5× |
| Cltx tibial shaft fx w/o manipulation (27750) | $1,275.46 | $1,401.60 | 4.8× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) | $206.30 | $226.70 | 0.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $1,235.42 | $1,357.60 | 0.7× |
| Collect Blood From Catheter Venous Nos (36592) | $272.45 | $299.40 | 1.9× |
| Collection of venous blood by venipuncture (36415) | $25.21 | $27.70 | 2.7× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $1,674.67 | $1,840.30 | 1.3× |
| Complex drainage wound (10180) | $2,134.50 | $2,345.60 | 0.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 3 matching MRF lines |
$131.40–$781.42 | $144.40–$858.70 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$131.40–$422.79 | $144.40–$464.60 | varies |
| Control oropharyngeal hemorrhage simple (42960) | $559.74 | $615.10 | 1.0× |
| Create Eardrum Opening (69433) | $1,163.89 | $1,279 | 2.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 3 matching MRF lines |
$131.40–$892.71 | $144.40–$981 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) range across 3 matching MRF lines |
$131.40–$1,062.88 | $144.40–$1,168 | varies |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $231.50 | $254.40 | 0.5× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $1,485.39 | $1,632.30 | 1.9× |
| Debride nail 1-5 (11720) range across 3 matching MRF lines |
$114.02–$127.67 | $125.30–$140.30 | varies |
| Debride nail 6 or more (11721) range across 3 matching MRF lines |
$114.02–$127.67 | $125.30–$140.30 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $4,101.55 | $4,507.20 | 2.3× |
| Debridement Mastoidectomy Cavity Simple (69220) | $513.97 | $564.80 | 2.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$289.11–$945.67 | $317.70–$1,039.20 | varies |
| Declot vascular device (36593) | $629.72 | $692 | 1.8× |
| Delivery of placenta (59414) | $2,216.12 | $2,435.30 | 0.6× |
| Destruct B9 Lesion 1-14 (17110) | $331.79 | $364.60 | 1.5× |
| Destruction Benign Lesions 15/> (17111) | $481.94 | $529.60 | 2.2× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $528.16 | $580.40 | 2.5× |
| Destruction Premalignant Lesion 15/> (17004) | $1,098.19 | $1,206.80 | 2.5× |
| Destruction premalignant lesion 1st (17000) | $243.79 | $267.90 | 1.1× |
| Diagnostic sigmoidoscopy (45330) | $566.02 | $622 | 0.6× |
| Drain/inj small joint/bursa w/us (20604) | $527.44 | $579.60 | 1.6× |
| Drainage external auditory canal abscess (69020) | $1,033.94 | $1,136.20 | 1.4× |
| Drainage external ear abscess/hematoma cmplx (69005) | $3,322.14 | $3,650.70 | 1.9× |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 3 matching MRF lines |
$164.26–$934.84 | $180.50–$1,027.30 | varies |
| Drainage Finger Abscess Complicated (26011) range across 2 matching MRF lines |
$1,346.98–$1,721.63 | $1,480.20–$1,891.90 | varies |
| Drainage Mouth Roof Lesion (42000) | $291.29 | $320.10 | 1.1× |
| Drainage of finger abscess simple (26010) | $164.26 | $180.50 | 0.8× |
| Drainage of gum lesion (41800) range across 3 matching MRF lines |
$368.73–$839.48 | $405.20–$922.50 | varies |
| Drainage of hematoma/fluid (10140) range across 4 matching MRF lines |
$1,346.98–$2,033.03 | $1,480.20–$2,234.10 | varies |
| Drainage of rectal abscess (45005) | $1,271.72 | $1,397.50 | 1.0× |
| Drainage of scrotum (54700) | $2,601.24 | $2,858.50 | 1.2× |
| Draw Blood Off Venous Device (36591) | $272.45 | $299.40 | 1.9× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $368.73 | $405.20 | 0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 3 matching MRF lines |
$310.13–$996.45 | $340.80–$1,095 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 3 matching MRF lines |
$310.13–$539.45 | $340.80–$592.80 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 4 matching MRF lines |
$170.35–$514.06 | $187.20–$564.90 | varies |
| Dstrj les/scar vestibule mouth physical meths (40820) | $3,479.93 | $3,824.10 | 1.0× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $799.16 | $878.20 | 0.8× |
| Dx Bronchoscope/Lavage (31624) | $2,782.60 | $3,057.80 | 1.5× |
| Dx Bronchoscope/Wash (31622) | $2,260.99 | $2,484.60 | 1.2× |
| Egd Tube/Cath Insertion (43241) | $2,381.74 | $2,617.30 | 1.2× |
| Epidural Blood Patch (62273) | $1,939.03 | $2,130.80 | 2.6× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) | $4,894.89 | $5,379 | 2.4× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) | $2,293.66 | $2,520.50 | 2.4× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) | $2,487.85 | $2,733.90 | 1.2× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $3,397.94 | $3,734 | 1.7× |
| Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
$85.36–$157.07 | $93.80–$172.60 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $569.84 | $626.20 | 0.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $2,483.94 | $2,729.60 | 1.4× |
| Exc Back Les Sc < 3 Cm (21930) | $1,579.94 | $1,736.20 | 0.9× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $549.91 | $604.30 | 0.7× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $1,837.29 | $2,019 | 2.4× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $3,204.29 | $3,521.20 | 1.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $317.68 | $349.10 | 0.4× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $616.34 | $677.30 | 0.8× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $469.38 | $515.80 | 0.6× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $1,105.56 | $1,214.90 | 0.6× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $2,779.14 | $3,054 | 1.6× |
| Exc Forearm Tum Deep 3 Cm/> (25073) | $2,297.93 | $2,525.20 | 0.7× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $521.43 | $573 | 0.3× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $351.90 | $386.70 | 0.5× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $870.69 | $956.80 | 0.5× |
| Exc Hand Les Sc < 1.5 Cm (26115) | $1,838.66 | $2,020.50 | 1.0× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) | $4,450.81 | $4,891 | 1.3× |
| Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) | $5,436.89 | $5,974.60 | 1.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $702.06 | $771.50 | 0.9× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $870.96 | $957.10 | 0.5× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $3,758.57 | $4,130.30 | 1.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $783.42 | $860.90 | 0.4× |
| Exc Skin Benig >4cm Face,Facial (11446) | $4,108.83 | $4,515.20 | 1.3× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $1,236.96 | $1,359.30 | 0.7× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $1,084.26 | $1,191.50 | 0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $1,435.25 | $1,577.20 | 0.8× |
| Exc thigh/knee les sc 3 cm/> (27337) | $3,966.78 | $4,359.10 | 1.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 3 matching MRF lines |
$680.59–$4,516.24 | $747.90–$4,962.90 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$554.19–$598.42 | $609–$657.60 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 3 matching MRF lines |
$501.59–$607.24 | $551.20–$667.30 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $910.91 | $1,001 | 0.5× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $1,669.76 | $1,834.90 | 0.5× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $1,656.20 | $1,820 | 0.5× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $1,657.11 | $1,821 | 0.9× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $1,236.42 | $1,358.70 | 0.7× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $1,485.21 | $1,632.10 | 0.5× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $4,345.16 | $4,774.90 | 2.6× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $625.08 | $686.90 | 0.8× |
| Excision Chalazion Single (67800) | $472.93 | $519.70 | 1.4× |
| Excision lesion mouth roof (42104) | $4,377.83 | $4,810.80 | 1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $501.86 | $551.50 | 0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $543.09 | $596.80 | 1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $696.70 | $765.60 | 0.9× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $441.90 | $485.60 | 0.6× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $1,631.27 | $1,792.60 | 0.9× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $1,316.04 | $1,446.20 | 0.4× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $644.37 | $708.10 | 0.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $1,020.02 | $1,120.90 | 1.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $1,121.12 | $1,232 | 0.6× |
| Excision of sublingual salivary cyst (ranula) (42408) | $1,431.34 | $1,572.90 | 0.4× |
| Excision of submandibular (submaxillary) gland (42440) | $6,763.21 | $7,432.10 | 1.1× |
| Excision soft tissue lesion, external auditory canal (69145) | $6,167.34 | $6,777.30 | 2.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $1,724.63 | $1,895.20 | 1.0× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $1,689.69 | $1,856.80 | 1.0× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $1,292.47 | $1,420.30 | 0.7× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $1,006.37 | $1,105.90 | 0.6× |
| Excision/destruction intranasal lesion int appr (30117) | $4,259.98 | $4,681.30 | 1.2× |
| Exploration penetrating wound spx extremity (20103) | $3,489.58 | $3,834.70 | 2.0× |
| Explore/Treat Hand Joint (26070) | $1,918.37 | $2,108.10 | 1.1× |
| Fine needle aspiration without imaging guidance (10021) range across 4 matching MRF lines |
$418.05–$788.15 | $459.40–$866.10 | varies |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) | $2,307.85 | $2,536.10 | 0.6× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) | $5,493.22 | $6,036.50 | 2.5× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $2,051.69 | $2,254.60 | 0.7× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $618.16 | $679.30 | 0.6× |
| I&d abscess peritonsillar (42700) range across 3 matching MRF lines |
$291.29–$1,142.60 | $320.10–$1,255.60 | varies |
| I&d abscess simple (10060) range across 4 matching MRF lines |
$222.77–$514.06 | $244.80–$564.90 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $5,080.62 | $5,583.10 | 1.6× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) | $2,478.20 | $2,723.30 | 0.7× |
| I&d perianal abscess superficial (46050) range across 3 matching MRF lines |
$748.48–$1,271.72 | $822.50–$1,397.50 | varies |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$432.16–$1,291.29 | $474.90–$1,419 | varies |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $2,134.50 | $2,345.60 | 0.7× |
| Incise external hemorrhoid (46083) range across 3 matching MRF lines |
$528.71–$650.10 | $581–$714.40 | varies |
| Incise flexor carpi radialis (25001) | $2,478.20 | $2,723.30 | 0.7× |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$380.65–$745.11 | $418.30–$818.80 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $2,134.50 | $2,345.60 | 0.7× |
| Incision & removal foreign body subq tiss compl (10121) | $1,007.92 | $1,107.60 | 0.6× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$222.77–$518.06 | $244.80–$569.30 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 3 matching MRF lines |
$157.70–$450.36 | $173.30–$494.90 | varies |
| Incision and drainage of vulva or perineal abscess (56405) | $321.50 | $353.30 | 1.0× |
| Incision extensor tendon sheath wrist (25000) | $1,697.60 | $1,865.50 | 1.0× |
| Incision of eardrum (69420) | $1,138.59 | $1,251.20 | 4.5× |
| Incision of lingual frenum (frenotomy) (41010) | $2,813.99 | $3,092.30 | 1.7× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $5,602.23 | $6,156.30 | 3.2× |
| Incisional biopsy skin single lesion (11106) | $955.68 | $1,050.20 | 1.2× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $92.55 | $101.70 | 0.4× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $206.48 | $226.90 | 0.6× |
| Injection anesthetic agent suprascapular nerve (64418) | $1,267.90 | $1,393.30 | 1.7× |
| Injection single tendon origin/insertion (20551) | $663.21 | $728.80 | 2.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$207.84–$537.26 | $228.40–$590.40 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$237.15–$537.17 | $260.60–$590.30 | varies |
| Injection therapeutic carpal tunnel (20526) | $227.04 | $249.50 | 0.7× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$305.85–$477.39 | $336.10–$524.60 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $473.38 | $520.20 | 2.2× |
| Insert and remove bone pin (20650) | $5,777.59 | $6,349 | 1.6× |
| Insert Drug Implant Device (11981) | $534.44 | $587.30 | 3.7× |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$2,857.95–$3,107.29 | $3,140.60–$3,414.60 | varies |
| Insert pessary/other device (57160) | $455.91 | $501 | 2.1× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$311.49–$330.51 | $342.30–$363.20 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 5 matching MRF lines |
$103.38–$330.51 | $113.60–$363.20 | varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $1,554.92 | $1,708.70 | 3.6× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $1,483.94 | $1,630.70 | 3.4× |
| Intubation endotracheal emergency procedure (31500) | $787.51 | $865.40 | 3.1× |
| Irrigation of corpora cavernosa for priapism (54220) | $533.53 | $586.30 | 2.0× |
| Laryngoscopy diagnostic (31505) | $265.90 | $292.20 | 1.2× |
| Laryngoscopy flexible diagnostic (31575) | $577.76 | $634.90 | 2.7× |
| Laryngoscopy w/biopsy microscope/telescope (31536) | $3,938.66 | $4,328.20 | 1.0× |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) | $5,604.60 | $6,158.90 | 13.4× |
| Larynscop w/tumr exc + scope (31541) | $4,470.92 | $4,913.10 | 1.1× |
| Late closure of wound (13160) | $3,873.42 | $4,256.50 | 1.0× |
| Nasal Endoscopy Dx (31231) | $375.01 | $412.10 | 1.8× |
| Nasal/Orogastric W/Tube Plmt (43752) range across 4 matching MRF lines |
$154.70–$591.96 | $170–$650.50 | varies |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) | $3,420.14 | $3,758.40 | 1.8× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) | $3,420.87 | $3,759.20 | 1.8× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $30.76 | $33.80 | 1.0× |
| Needle insertion w/o injection 3 or more muscles (20561) | $43.04 | $47.30 | 1.4× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $581.94 | $639.50 | 1.8× |
| Occipital Nerve Block (64405) | $540.54 | $594 | 1.6× |
| Open treatment metatarsal fracture each (28485) likely a partial charge, not the full procedure |
$2,013.74 | $2,212.90 | 0.3× |
| Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) | $8,102.55 | $8,903.90 | 1.3× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) | $3,498.04 | $3,844 | 1.0× |
| Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) | $3,991.08 | $4,385.80 | 1.1× |
| Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) | $6,383.56 | $7,014.90 | 1.0× |
| Open Tx Depressed Malar Fracture (21360) | $5,091.63 | $5,595.20 | 0.8× |
| Open Tx Distal Phalangeal Fracture Each (26765) range across 2 matching MRF lines |
$3,042.86–$3,573.93 | $3,343.80–$3,927.40 | varies |
| Palatopharyngoplasty (42145) | $6,707.06 | $7,370.40 | 1.1× |
| Placement of needle for intraosseous infusion (36680) | $130.68 | $143.60 | 0.3× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $278.82 | $306.40 | 0.3× |
| Punch biopsy skin single lesion (11104) | $536.90 | $590 | 1.2× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 4 matching MRF lines |
$164.26–$945.67 | $180.50–$1,039.20 | varies |
| Puncture Aspiration Cyst Breast (19000) | $510.24 | $560.70 | 0.7× |
| Removal Embedded Foreign Body Eyelid (67938) | $254.07 | $279.20 | 0.7× |
| Removal Foreign Body Deep Thigh/Knee (27372) | $1,753.93 | $1,927.40 | 0.6× |
| Removal Foreign Body Foot Complicated (28193) | $1,503.87 | $1,652.60 | 0.8× |
| Removal foreign body foot deep (28192) range across 3 matching MRF lines |
$1,747.20–$1,876.15 | $1,920–$2,061.70 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$501.59–$626.54 | $551.20–$688.50 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $501.59 | $551.20 | 0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$142.78–$154.06 | $156.90–$169.30 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 4 matching MRF lines |
$65.88–$152.15 | $72.40–$167.20 | varies |
| Removal implantable contraceptive capsules (11976) | $555.92 | $610.90 | 0.7× |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$501.59–$583.58 | $551.20–$641.30 | varies |
| Removal or bivalving full arm or full leg cast (29705) | $127.40 | $140 | 0.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 3 matching MRF lines |
$114.02–$291.20 | $125.30–$320 | varies |
| Removal/bivalving gauntlet boot/body cast (29700) | $127.40 | $140 | 0.4× |
| Remove brain canal fluid (61050) | $993.54 | $1,091.80 | 3.0× |
| Remove drug implant device (11982) | $452.63 | $497.40 | 0.9× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$246.43–$314.86 | $270.80–$346 | varies |
| Remove Intrauterine Device (58301) | $352.08 | $386.90 | 1.1× |
| Remove Nasal Foreign Body (30300) range across 3 matching MRF lines |
$73.62–$615.25 | $80.90–$676.10 | varies |
| Remove Tendon Sheath Lesion (26160) | $2,120.85 | $2,330.60 | 1.2× |
| Remove/Insert Drug Implant (11983) | $395.58 | $434.70 | 0.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $1,918.92 | $2,108.70 | 2.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $2,110.74 | $2,319.50 | 2.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 3 matching MRF lines |
$888.25–$1,448.17 | $976.10–$1,591.40 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $527.53 | $579.70 | 1.2× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $1,752.75 | $1,926.10 | 4.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 3 matching MRF lines |
$527.53–$1,924.10 | $579.70–$2,114.40 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) | $527.53 | $579.70 | 0.7× |
| Repair Finger/Hand Tendon (26350) | $7,296.29 | $8,017.90 | 2.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$379.29–$777.69 | $416.80–$854.60 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 4 matching MRF lines |
$245.43–$1,169.44 | $269.70–$1,285.10 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 3 matching MRF lines |
$373.37–$1,278.91 | $410.30–$1,405.40 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 3 matching MRF lines |
$245.43–$1,069.07 | $269.70–$1,174.80 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) range across 2 matching MRF lines |
$760.21–$1,780.96 | $835.40–$1,957.10 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
$245.43–$583.22 | $269.70–$640.90 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines |
$245.43–$1,058.69 | $269.70–$1,163.40 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $245.43 | $269.70 | 0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 3 matching MRF lines |
$245.43–$1,365.18 | $269.70–$1,500.20 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$245.43–$711.16 | $269.70–$781.50 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$245.43–$910.91 | $269.70–$1,001 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 3 matching MRF lines |
$868.32–$1,918.92 | $954.20–$2,108.70 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
$245.43–$731.28 | $269.70–$803.60 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 2 matching MRF lines |
$2,339.34–$4,290.29 | $2,570.70–$4,714.60 | varies |
| Repair of nail bed (11760) range across 3 matching MRF lines |
$282.56–$647.92 | $310.50–$712 | varies |
| Repair tongue laceration (41250) | $291.29 | $320.10 | 0.6× |
| Rhinoplasty primary w/major septal repair (30420) | $7,024.74 | $7,719.50 | 1.1× |
| Rhinp Prim Complete Xtrnl Parts (30410) | $6,200.92 | $6,814.20 | 1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 3 matching MRF lines |
$101.65–$223.77 | $111.70–$245.90 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $124.85 | $137.20 | 0.9× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $101.65 | $111.70 | 0.2× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $501.59 | $551.20 | 0.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $1,028.66 | $1,130.40 | 0.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 3 matching MRF lines |
$149.06–$633 | $163.80–$695.60 | varies |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) | $4,038.22 | $4,437.60 | 1.1× |
| Shave skin lesion 0.5 cm/< (11300) | $252.25 | $277.20 | 0.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $391.66 | $430.40 | 1.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $269.27 | $295.90 | 1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $467.28 | $513.50 | 2.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $409.68 | $450.20 | 1.9× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $391.66 | $430.40 | 1.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $397.49 | $436.80 | 0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $343.25 | $377.20 | 1.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $287.92 | $316.40 | 0.7× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $408.59 | $449 | 1.9× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $436.44 | $479.60 | 0.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 3 matching MRF lines |
$309.95–$733.37 | $340.60–$805.90 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $149.06 | $163.80 | 0.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$149.06–$502.32 | $163.80–$552 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $634.91 | $697.70 | 1.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 3 matching MRF lines |
$149.06–$569.02 | $163.80–$625.30 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $685.59 | $753.40 | 3.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 4 matching MRF lines |
$149.06–$514.06 | $163.80–$564.90 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 3 matching MRF lines |
$149.06–$1,020.38 | $163.80–$1,121.30 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$149.06–$554.74 | $163.80–$609.60 | varies |
| Skin Full Grft Face/Genit/Hf (15240) | $5,317.86 | $5,843.80 | 2.4× |
| Skin sub graft face/nk/hf/g (15275) | $2,687.78 | $2,953.60 | 3.4× |
| Skin sub graft trnk/arm/leg (15271) | $2,687.78 | $2,953.60 | 3.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 4 matching MRF lines |
$149.06–$539.45 | $163.80–$592.80 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 3 matching MRF lines |
$149.06–$563.93 | $163.80–$619.70 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 3 matching MRF lines |
$149.06–$700.79 | $163.80–$770.10 | varies |
| Spinal puncture lumbar diagnostic (62270) | $1,154.70 | $1,268.90 | 1.5× |
| Strapping ankle (29540) | $127.40 | $140 | 0.7× |
| Strapping hand/finger (29280) | $76.99 | $84.60 | 1.2× |
| Strapping knee (29530) | $127.40 | $140 | 0.9× |
| Strapping shoulder (29240) | $122.30 | $134.40 | 0.9× |
| Strapping thorax (29200) | $122.30 | $134.40 | 0.7× |
| Strapping toes (29550) | $127.40 | $140 | 2.0× |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$298.39–$412.05 | $327.90–$452.80 | varies |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) | $524.89 | $576.80 | 2.4× |
| Subcutaneous injection filling matrl 1.1-5.0 cc (11951) | $1,260.26 | $1,384.90 | 1.6× |
| Subcutaneous Injection Filling Matrl >10.0 Cc (11954) | $1,391.21 | $1,528.80 | 1.8× |
| Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) | $1,317.50 | $1,447.80 | 1.7× |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) range across 3 matching MRF lines |
$254.07–$2,182.09 | $279.20–$2,397.90 | varies |
| Tangential biopsy skin single lesion (11102) | $536.90 | $590 | 1.2× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $4,967.96 | $5,459.30 | 2.2× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $867.78 | $953.60 | 3.4× |
| Tracheostomy planned (31600) | $3,323.78 | $3,652.50 | 0.9× |
| Treat Finger Fracture Each (26727) | $6,765.94 | $7,435.10 | 1.9× |
| Treat humerus fracture (23600) range across 3 matching MRF lines |
$206.30–$1,238.96 | $226.70–$1,361.50 | varies |
| Treat Knuckle Dislocation (26700) | $206.30 | $226.70 | 0.8× |
| Treat Metatarsal Fracture (28475) | $206.30 | $226.70 | 0.8× |
| Treat Thumb Dislocation (26641) | $206.30 | $226.70 | 0.8× |
| Treat Vaginal Bleeding (57180) | $438.53 | $481.90 | 2.0× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $1,720.54 | $1,890.70 | 1.0× |
| Treatment closed elbow dislocation w/o anes (24600) | $206.30 | $226.70 | 0.8× |
| Treatment of nose fracture (21330) unusually low: confirm this is the full procedure |
$2,805.44 | $3,082.90 | 0.4× |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$402.68–$514.06 | $442.50–$564.90 | varies |
| Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines |
$402.68–$539.45 | $442.50–$592.80 | varies |
| Trim skin lesions over 4 (11057) | $402.68 | $442.50 | 1.9× |
| Trimming Nondystrophic Nails Any Number (11719) | $127.67 | $140.30 | 2.0× |
| Tx Gastro Intub W/Asp (43753) | $161.43 | $177.40 | 0.7× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $4,203.84 | $4,619.60 | 2.4× |
| Tx superficial wound dehiscence w/packing (12021) | $527.53 | $579.70 | 1.2× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) | $206.30 | $226.70 | 0.1× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $802.44 | $881.80 | 3.0× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) | $4,117.66 | $4,524.90 | 2.5× |
| Vaginal delivery only (59409) | $2,216.12 | $2,435.30 | 0.6× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $2,353.08 | $2,585.80 | 1.1× |
| Wedge excision skin nail fold (11765) | $537.99 | $591.20 | 1.2× |
| Windowing of cast (29730) | $127.40 | $140 | 0.7× |
| Wound Prep Trk/Arm/Leg (15002) | $3,998.18 | $4,393.60 | 5.0× |
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.