Procedures & surgery prices at Minneola District Hospital Nbr 2

Minneola, KS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 3 matching MRF lines		 $262.50–$656.60 $375–$938 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 3 matching MRF lines		 $217–$539 $310–$770 varies
Acne surgery (10040) $65.80 $94 0.4×
Adding Walker Previously Applied Cast (29440) $84 $120 0.6×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001)
range across 2 matching MRF lines		 $1,293.60–$4,312 $1,848–$6,160 varies
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $504 $720 0.3×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $577.50 $825 0.3×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021)
range across 2 matching MRF lines		 $829.50–$2,765 $1,185–$3,950 varies
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $591.50 $845 0.2×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $1,015 $1,450 0.3×
Amputation metatarsal with toe single (28810)
range across 3 matching MRF lines		 $630–$4,606 $900–$6,580 varies
Amputation thigh through femur any level (27590) $1,750 $2,500 0.6×
Amputation toe interphalangeal joint (28825)
range across 2 matching MRF lines		 $490–$3,720.50 $700–$5,315 varies
Amputation toe metatarsophalangeal joint (28820)
range across 2 matching MRF lines		 $420–$4,035.50 $600–$5,765 varies
Ankle Arthroscopy/Surgery (29892)
unusually low: confirm this is the full procedure		 $2,026.50 $2,895 0.3×
Anoscopy Control Bleeding (46614) $231 $330 0.2×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $42–$140 $60–$200 varies
Anoscopy; with biopsy, single or multiple (46606)
range across 2 matching MRF lines		 $231–$770 $330–$1,100 varies
Anterior colporraphy rpr cystocele w/cysto (57240) $70 $100 0.0×
Appendectomy (44950)
likely a partial charge, not the full procedure		 $662.20 $946 0.1×
Application cast elbow finger short arm (29075) $122.50 $175 0.5×
Application Cast Finger (29086) $21 $30 0.1×
Application Finger Splint Dynamic (29131) $217 $310 4.0×
Application finger splint static (29130) $66.50 $95 0.5×
Application long arm splint shoulder hand (29105) $66.50 $95 0.4×
Application Long Leg Splint (29505) $66.50 $95 0.4×
Application of cylinder cast (thigh to ankle) (29365) $122.50 $175 0.5×
Application of long leg cast (29345) $107.80 $154 0.4×
Application of rigid total contact leg cast (29445) $84 $120 0.3×
Application Short Arm Splint Dynamic (29126) $115.50 $165 0.9×
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines		 $66.50–$229.60 $95–$328 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $77.70–$217 $111–$310 varies
Apply hand/wrist cast (29085) $122.50 $175 0.8×
Apply long arm cast (29065) $122.50 $175 0.5×
Apply Multlay Comprs Lwr Leg (29581) $262.50 $375 1.8×
Apply Short Leg Cast (29405)
range across 2 matching MRF lines		 $80.50–$280 $115–$400 varies
Apply short leg cast (29425) $80.50 $115 0.3×
Arterial puncture (36600)
range across 3 matching MRF lines		 $21–$90.30 $30–$129 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 5 matching MRF lines		 $68.60–$630 $98–$900 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 3 matching MRF lines		 $315–$630 $450–$900 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 6 matching MRF lines		 $94.50–$775.60 $135–$1,108 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 3 matching MRF lines		 $346.50–$1,079.40 $495–$1,542 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 6 matching MRF lines		 $94.50–$630 $135–$900 varies
Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) $5,841.50 $8,345 4.0×
Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856)
likely a partial charge, not the full procedure		 $2,148.30 $3,069 0.2×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $4,676 $6,680 1.6×
Arthroscopy Ankle Surgical Debridement Limited (29897) $4,028.50 $5,755 1.3×
Arthroscopy ankle w/removal loose/foreign body (29894) $4,049.50 $5,785 1.3×
Arthroscopy Elbow Surgical Debridement Extensive (29838) $2,426.90 $3,467 0.8×
Arthroscopy Elbow Surgical Debridement Limited (29837) $2,148.30 $3,069 0.7×
Arthroscopy Elbow Surgical Synovectomy Partial (29835) $2,148.30 $3,069 0.7×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $3,087 $4,410 1.0×
Arthroscopy Knee Osteochondral Allograft (29867)
unusually low: confirm this is the full procedure		 $5,026 $7,180 0.4×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $3,823.40 $5,462 1.3×
Arthroscopy knee synovectomy limited spx (29875) $2,173.50 $3,105 0.7×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $4,179 $5,970 1.4×
Arthroscopy shoulder distal claviculectomy (29824) $3,227 $4,610 1.1×
Arthroscopy shoulder surgical capsulorrhaphy (29806) $6,797 $9,710 1.0×
Arthroscopy Wrist Surgical Synovectomy Complete (29845) $2,148.30 $3,069 0.7×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $7,826 $11,180 2.6×
Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836)
unusually low: confirm this is the full procedure		 $2,148.30 $3,069 0.3×
Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) $2,148.30 $3,069 0.7×
Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Facility (29860)
unusually low: confirm this is the full procedure		 $2,148.30 $3,069 0.3×
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) $7,017.50 $10,025 1.1×
Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861)
unusually low: confirm this is the full procedure		 $2,148.30 $3,069 0.3×
Arthroscopy, hip, surgical; with synovectomy Facility (29863) $2,148.30 $3,069 0.7×
Arthroscopy, knee, surgical; with lateral release (29873) $2,831.50 $4,045 0.9×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $3,823.40 $5,462 1.3×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $4,315.50 $6,165 1.4×
Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy Facility (29900) $2,148.30 $3,069 0.7×
Arthroscopy, metacarpophalangeal joint, surgical; with debridement Facility (29901) $2,148.30 $3,069 0.7×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $7,458.50 $10,655 1.1×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $3,433.50 $4,905 1.1×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $3,909.50 $5,585 1.3×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $8,753.50 $12,505 1.3×
Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) $2,148.30 $3,069 0.7×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $2,148.30 $3,069 0.7×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $7,458.50 $10,655 1.1×
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) $2,981.30 $4,259 1.0×
Arthroscopy, wrist, surgical; for infection, lavage and drainage Facility (29843) $2,148.30 $3,069 0.7×
Arthroscopy, wrist, surgical; internal fixation for fracture or instability Facility (29847)
unusually low: confirm this is the full procedure		 $2,981.30 $4,259 0.4×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $7,889 $11,270 1.2×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $3,823.40 $5,462 1.3×
Arthrs knee debridement/shaving artclr crtlg (29877) $3,823.40 $5,462 1.3×
Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) $3,823.40 $5,462 1.3×
Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) $6,548.50 $9,355 1.0×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $3,823.40 $5,462 1.3×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $409.50 $585 0.3×
Aspirate pleura w/ imaging (32555)
range across 4 matching MRF lines		 $245–$1,040.90 $350–$1,487 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $210–$696.50 $300–$995 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $42–$136.50 $60–$195 varies
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines		 $184.10–$1,753.50 $263–$2,505 varies
Avulsion nail plate partial/complete simple 1 (11730) $206.50 $295 1.1×
Biopsy bone open superficial (20240)
range across 2 matching MRF lines		 $350–$826 $500–$1,180 varies
Biopsy bone trocar/needle deep (20225) $843.50 $1,205 0.6×
Biopsy Bone Trocar/Needle Superficial (20220) $423.50 $605 0.3×
Biopsy external ear (69100) $38.50 $55 0.2×
Biopsy muscle percutaneous needle (20206)
range across 2 matching MRF lines		 $182–$598.50 $260–$855 varies
Biopsy of breast; open, incisional (19101)
range across 2 matching MRF lines		 $427–$1,417.50 $610–$2,025 varies
Biopsy of lip (40490) $364 $520 1.7×
Biopsy of liver, needle; percutaneous (47000)
range across 2 matching MRF lines		 $280–$920.50 $400–$1,315 varies
Biopsy of penis (54100) $144.90 $207 0.1×
Biopsy Soft Tissue Back/Flank Superficial (21920) $169.40 $242 0.1×
Biopsy soft tissue neck/thorax (21550) $280 $400 0.2×
Biopsy Tongue Anterior Two-Thirds (41100)
range across 2 matching MRF lines		 $353.50–$941.50 $505–$1,345 varies
Biopsy Vaginal Mucosa Simple (57100) $525 $750 0.6×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $69.30 $99 0.1×
Biopsy/removal lymph nodes (38510)
range across 2 matching MRF lines		 $476–$3,717 $680–$5,310 varies
Bladder Irrigation (51700) $294 $420 1.3×
Bladder Scan (51798)
range across 2 matching MRF lines		 $38.50–$66.50 $55–$95 varies
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $1,599.50 $2,285 0.8×
Blepharotomy drainage abscess eyelid (67700) $113.40 $162 0.4×
Blood Transfusion Service (36430)
range across 5 matching MRF lines		 $306.60–$1,102.50 $438–$1,575 varies
Bone Marrow Biopsy (38221) $140 $200 0.1×
Bone Marrow; Aspiration Only (38220) $70.70 $101 0.0×
Bronchoscopy Clear Airways (31645) $458.50 $655 0.3×
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines		 $462–$1,540 $660–$2,200 varies
Bx breast needle core w/o imaging guidance spx (19100)
range across 2 matching MRF lines		 $129.50–$449.40 $185–$642 varies
Bx Cervix (57500)
range across 2 matching MRF lines		 $329–$1,088.50 $470–$1,555 varies
Bx/exc lymph node open deep axillary node (38525)
range across 2 matching MRF lines		 $360.50–$3,545.50 $515–$5,065 varies
Bx/exc lymph node open superficial (38500)
range across 2 matching MRF lines		 $630–$2,089.50 $900–$2,985 varies
Carpal Tunnel Surgery (64721)
range across 2 matching MRF lines		 $458.50–$1,526 $655–$2,180 varies
Cataract surgery complex (66982) $2,471 $3,530 1.2×
Cautery Cervix Cryocautery Initial/Repeat (57511) $318.50 $455 1.1×
Cautery Cervix Electro/Thermal (57510) $318.50 $455 0.1×
Change Cystostomy Tube Complicated (51710) $294 $420 0.5×
Change Cystostomy Tube Simple (51705)
range across 5 matching MRF lines		 $66.50–$287 $95–$410 varies
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $112–$367.50 $160–$525 varies
Chemodenerv 1 extrem 5/> mus (64644)
range across 2 matching MRF lines		 $462–$812 $660–$1,160 varies
Chemodenerv 1 extremity 1-4 (64642)
range across 2 matching MRF lines		 $462–$812 $660–$1,160 varies
Chemodenerv Musc Migraine (64615)
range across 2 matching MRF lines		 $240.80–$591.50 $344–$845 varies
Chest tube placement (32551)
range across 3 matching MRF lines		 $378–$1,820 $540–$2,600 varies
Circumcision 28 days or older (54161)
range across 2 matching MRF lines		 $777–$2,800 $1,110–$4,000 varies
Circumcision Neonate (54160)
range across 2 matching MRF lines		 $161.70–$1,050 $231–$1,500 varies
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines		 $633.50–$2,107 $905–$3,010 varies
Clear outer ear canal (69200)
range across 3 matching MRF lines		 $70–$227.50 $100–$325 varies
Closed Treat Vert Body Fract (22310) $282.80 $404 1.2×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $231 $330 1.0×
Closed Treatment Sternum Fracture (21820) $137.90 $197 0.6×
Closed Treatment Ulnar Styloid Fracture (25650) $409.50 $585 1.8×
Closed tx ankle dislocation w/o anesthesia (27840) $357.70 $511 1.6×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $409.50 $585 1.8×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $228.20 $326 1.0×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $409.50 $585 1.8×
Closed tx knee dislocation w/o anesthesia (27550) $231 $330 1.0×
Closed tx metatarsal fracture w/o manipulation (28470) $409.50 $585 1.8×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $612.50 $875 0.4×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $553 $790 0.4×
Closed tx patellar dislocation w/anesthesia (27562) $714 $1,020 3.1×
Closed tx patellar dislocation w/o anesthesia (27560) $338.10 $483 1.5×
Closed Tx Patellar Fracture W/O Manipulation (27520) $409.50 $585 1.8×
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines		 $396.20–$528.50 $566–$755 varies
Closed tx radial head/neck fx w/o manipulation (24650) $231 $330 1.0×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $409.50 $585 1.8×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $481.60 $688 0.3×
Closed tx radial&ulnar shaft fractures w/o man (25560) $409.50 $585 1.8×
Closed Tx Scapular Fracture W/O Manipulation (23570) $231 $330 1.0×
Closed tx talus fracture w/o manipulation (28430) $409.50 $585 1.8×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $38.50 $55 0.2×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $409.50 $585 1.8×
Closed tx ulnar shaft fracture w/o manipulation (25530) $409.50 $585 1.8×
Clsd tx acromioclavicular dislc w/manipulation (23545) $759.50 $1,085 3.3×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $330.40 $472 0.2×
Clsd tx clavicular fracture w/o manipulation (23500) $231 $330 1.0×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 3 matching MRF lines		 $394.10–$759.50 $563–$1,085 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $268.10 $383 1.2×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $710.50 $1,015 0.5×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $231 $330 1.0×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 2 matching MRF lines		 $154–$274.40 $220–$392 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $231 $330 1.0×
Cltx dstl fibular fx lat malls w/manj (27788) $410.20 $586 1.8×
Cltx dstl fibular fx lat malls w/o manj (27786) $409.50 $585 1.8×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $269.50 $385 1.2×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $176.40 $252 0.8×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $296.10 $423 1.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $587.30 $839 0.4×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $502.60 $718 2.2×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $1,050 $1,500 4.6×
Cltx fx grt toe phlx/phlg w/manj (28495) $525 $750 2.3×
Cltx fx grt toe phlx/phlg w/o manj (28490) $409.50 $585 1.8×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $142.80 $204 0.6×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $122.50 $175 0.5×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $409.50 $585 1.8×
Cltx hip dislocation traumatic req anesthesia (27252)
range across 2 matching MRF lines		 $105–$175 $150–$250 varies
Cltx hip dislocation traumatic w/o anesthesia (27250) $154 $220 0.7×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $409.50 $585 1.8×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $304.50 $435 1.2×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $262.50 $375 1.2×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $338.80 $484 1.3×
Cltx iphal jt dislc w/manj w/o anes (26770) $240.80 $344 1.1×
Cltx Med Ankle Fx W/Mnpj (27762) $409.50 $585 0.3×
Cltx Medial Ankle Fx (27760) $409.50 $585 1.8×
Cltx metacarpal fx w/manipulation each bone (26605) $286.30 $409 1.3×
Cltx metacarpal fx w/o manipulation each bone (26600) $221.20 $316 1.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $322 $460 1.4×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $231 $330 1.0×
Cltx prox fibula/shft fx w/o manj (27780) $409.50 $585 1.8×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $784 $1,120 0.5×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $204.40–$231 $292–$330 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $515.20 $736 0.3×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $409.50 $585 1.8×
Cltx tibial fx proximal w/o manipulation (27530) $409.50 $585 1.8×
Cltx tibial shaft fx w/o manipulation (27750) $409.50 $585 1.8×
Cltx trimalleolar ankle fx w/manipulation (27818) $542.50 $775 0.4×
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines		 $73.50–$136.50 $105–$195 varies
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines		 $10.50–$11.90 $15–$17 varies
Colonoscopy Flexible With Decompression (45393) $442.40 $632 0.4×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392)
range across 2 matching MRF lines		 $494.20–$1,190 $706–$1,700 varies
Colonoscopy through stoma; with biopsy, single or multiple (44389)
range across 2 matching MRF lines		 $392–$1,162 $560–$1,660 varies
Colonoscopy thru stoma (44388)
range across 2 matching MRF lines		 $283.50–$945 $405–$1,350 varies
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394)
range across 2 matching MRF lines		 $350–$945 $500–$1,350 varies
Colonoscopy W/Band Ligation (45398)
range across 2 matching MRF lines		 $413–$1,368.50 $590–$1,955 varies
Colonoscopy w/fb removal (45379) $374.50 $535 0.3×
Colonoscopy W/Resection (45390)
range across 2 matching MRF lines		 $374.50–$1,239 $535–$1,770 varies
Colonoscopy w/submucosal inj (45381)
range across 2 matching MRF lines		 $490–$1,242.50 $700–$1,775 varies
Colpocleisis (le fort type) (57120) $652.40 $932 0.1×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $241.50 $345 0.9×
Colposcopy cervix upper/adjacent vagina (57452)
range across 2 matching MRF lines		 $434–$1,445.50 $620–$2,065 varies
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $105 $150 0.4×
Colposcopy entire vagina w/cervix if present (57420) $434 $620 1.5×
Colsc Flexible W/Control Bleeding Any Method (45382)
range across 2 matching MRF lines		 $784–$1,242.50 $1,120–$1,775 varies
Colsc Flexible W/Transendoscopic Balloon Dilat (45386)
range across 2 matching MRF lines		 $682.50–$1,365 $975–$1,950 varies
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 2 matching MRF lines		 $581–$1,242.50 $830–$1,775 varies
Combined anteroposterior colporrhaphy; (57260) $70 $100 0.0×
Complex drainage wound (10180)
range across 2 matching MRF lines		 $322–$3,552.50 $460–$5,075 varies
Conization of cervix (57520) $318.50 $455 0.1×
Control Nasal Hemorrhage Anterior Complex (30903) $168 $240 1.4×
Control Nasal Hemorrhage Anterior Simple (30901) $140 $200 1.1×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $329 $470 0.2×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $111.30 $159 0.9×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $111.30 $159 0.5×
Curettage postpartum (59160)
range across 2 matching MRF lines		 $434–$1,445.50 $620–$2,065 varies
Cysto Bladder W/Ureteral Catheterization (52005) $2,450 $3,500 1.3×
Cysto calibration dilat urtl strix/stenosis (52281)
range across 2 matching MRF lines		 $472.50–$1,568 $675–$2,240 varies
Cysto w/insert ureteral stent (52332) $3,633 $5,190 1.1×
Cysto w/removal of lesions small (52224) $2,914.10 $4,163 0.9×
Cysto W/Simple Removal Stone & Stent (52310) $4,550 $6,500 2.4×
Cystostomy Cystotomy W/Drainage (51040) $2,415 $3,450 1.3×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $464.80 $664 0.2×
Cystourethroscopy (52000)
range across 2 matching MRF lines		 $213.50–$1,122.80 $305–$1,604 varies
Cystourethroscopy inj chemodenervation bladder (52287) $2,800 $4,000 1.5×
Cystourethroscopy with biopsy (52204)
range across 2 matching MRF lines		 $630–$2,100 $900–$3,000 varies
Cystourethroscopy with direct vision internal urethrotomy (52276) $2,800 $4,000 1.5×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $80.50–$350 $115–$500 varies
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $304.50 $435 0.5×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 3 matching MRF lines		 $427–$700 $610–$1,000 varies
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $66.50–$70 $95–$100 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $66.50–$290.50 $95–$415 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $420–$1,694 $600–$2,420 varies
Debridement Mastoidectomy Cavity Simple (69220) $133 $190 0.7×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 3 matching MRF lines		 $129.50–$700 $185–$1,000 varies
Declot vascular device (36593) $52.50 $75 0.2×
Delivery of placenta (59414) $700 $1,000 0.2×
Destr penis lesion(s) (54065) $283.50 $405 0.1×
Destroy cerv/thor facet jnt (64633)
range across 5 matching MRF lines		 $756–$2,940 $1,080–$4,200 varies
Destroy lumb/sac facet jnt (64635)
range across 5 matching MRF lines		 $756–$2,940 $1,080–$4,200 varies
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $105–$924 $150–$1,320 varies
Destruction Benign Lesions 15/> (17111) $507.50 $725 2.8×
Destruction by neurolytic agent, intercostal nerve (64620)
range across 2 matching MRF lines		 $518–$1,312.50 $740–$1,875 varies
Destruction by neurolytic agent; plantar common digital nerve (64632)
range across 2 matching MRF lines		 $350–$1,312.50 $500–$1,875 varies
Destruction Internal Hemorrhoid Thermal Energy (46930) $570.50 $815 0.5×
Destruction Lesions Vulva Extensive (56515) $161 $230 0.1×
Destruction Lesions Vulva Simple (56501) $126 $180 0.1×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $122.50 $175 0.7×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $156.10 $223 0.8×
Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) $305.20 $436 0.4×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $96.60 $138 0.5×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $24.50 $35 0.1×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $95.20 $136 0.5×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $103.60 $148 0.6×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $116.90 $167 0.6×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $135.10 $193 0.7×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $73.50 $105 0.4×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 4 matching MRF lines		 $1,470–$5,600 $2,100–$8,000 varies
Destruction Premalignant Lesion 15/> (17004) $227.50 $325 0.6×
Destruction premalignant lesion 1st (17000)
range across 3 matching MRF lines		 $94.50–$560 $135–$800 varies
Destruction Vaginal Lesions Simple (57061) $329 $470 0.1×
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines		 $231–$759.50 $330–$1,085 varies
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $329 $470 2.8×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $329 $470 2.7×
Dilate Urethra Stricture (53600) $560 $800 2.4×
Dilation & curettage dx&/ther nonobstetric (58120)
range across 2 matching MRF lines		 $539–$1,792 $770–$2,560 varies
Dilation Cervical Canal (57800) $434 $620 0.1×
Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605)
range across 2 matching MRF lines		 $731.50–$2,432.50 $1,045–$3,475 varies
Dissection, deep jugular node(s) Facility (38542)
range across 2 matching MRF lines		 $528.50–$1,753.50 $755–$2,505 varies
Drain Cerebro Spinal Fluid (62272)
range across 3 matching MRF lines		 $126–$665 $180–$950 varies
Drain/inj small joint/bursa w/us (20604)
range across 3 matching MRF lines		 $315–$630 $450–$900 varies
Drainage external auditory canal abscess (69020) $91 $130 0.1×
Drainage External Ear Abscess/Hematoma Simple (69000) $105 $150 0.2×
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $301–$997.50 $430–$1,425 varies
Drainage of finger abscess simple (26010) $135.10 $193 0.7×
Drainage of gum lesion (41800)
range across 3 matching MRF lines		 $98–$157.50 $140–$225 varies
Drainage of hematoma/fluid (10140)
range across 3 matching MRF lines		 $126–$1,116.50 $180–$1,595 varies
Drainage of hydrocele (55000)
range across 3 matching MRF lines		 $106.40–$1,557.50 $152–$2,225 varies
Drainage of mouth lesion (41017) $420 $600 0.1×
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $234.50–$857.50 $335–$1,225 varies
Drainage of scrotum (54700)
range across 2 matching MRF lines		 $258.30–$2,166.50 $369–$3,095 varies
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805)
range across 2 matching MRF lines		 $556.50–$1,848 $795–$2,640 varies
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines		 $14–$119 $20–$170 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $137.90–$350 $197–$500 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $119–$350 $170–$500 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $105–$350 $150–$500 varies
Dstrj Lesion Anus Extensive (46924) $221.90 $317 0.1×
Dstrj lesion anus simple surg excision (46922)
range across 2 matching MRF lines		 $521.50–$1,732.50 $745–$2,475 varies
Dstrj Lesion Anus Smpl Eltrdsiccation (46910)
range across 2 matching MRF lines		 $546–$1,809.50 $780–$2,585 varies
Dstrj Lesion Penis Simple Chemical (54050) $154.70 $221 0.4×
Dstrj Lesion Penis Simple Cryosurgery (54056) $115.50 $165 0.6×
Dstrj lesion penis simple surg excision (54060) $193.20 $276 0.1×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 4 matching MRF lines		 $203–$1,312.50 $290–$1,875 varies
Dx Bronchoscope/Wash (31622)
range across 2 matching MRF lines		 $413–$1,372 $590–$1,960 varies
Dx lmbr spi pnxr w/fluor/CT (62328)
range across 2 matching MRF lines		 $525–$630 $750–$900 varies
Egd Balloon Dil Esoph30 Mm/> (43233)
range across 2 matching MRF lines		 $290.50–$959 $415–$1,370 varies
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 2 matching MRF lines		 $441–$1,470 $630–$2,100 varies
Egd cautery tumor polyp (43250)
range across 2 matching MRF lines		 $332.50–$1,102.50 $475–$1,575 varies
Egd control bleeding any (43255) $591.50 $845 0.3×
Egd dilation gastric/duodenal stricture (43245)
range across 2 matching MRF lines		 $448–$1,484 $640–$2,120 varies
Egd endo mucosal resection (43254) $672 $960 0.4×
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $371–$1,228.50 $530–$1,755 varies
Egd guide wire insertion (43248)
range across 2 matching MRF lines		 $353.50–$1,025.50 $505–$1,465 varies
Egd place gastrostomy tube (43246)
range across 2 matching MRF lines		 $602–$2,002 $860–$2,860 varies
Egd remove lesion snare (43251)
range across 2 matching MRF lines		 $381.50–$1,270.50 $545–$1,815 varies
Egd Tube/Cath Insertion (43241) $350 $500 0.2×
Egd Varices Ligation (43244)
range across 2 matching MRF lines		 $521.50–$1,736 $745–$2,480 varies
Endocervical curettage (57505)
range across 2 matching MRF lines		 $101.50–$805 $145–$1,150 varies
Endometrial ablation, thermal, without hysteroscopic guidance (58353)
range across 2 matching MRF lines		 $1,575–$5,250 $2,250–$7,500 varies
Endometrial Biopsy (58100) $105 $150 0.6×
Endoscopic plantar fasciotomy (29893) $2,981.30 $4,259 1.0×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115)
range across 2 matching MRF lines		 $353.50–$1,403.50 $505–$2,005 varies
Epididymectomy unilateral (54860)
range across 2 matching MRF lines		 $325.50–$1,085 $465–$1,550 varies
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110)
range across 2 matching MRF lines		 $920.50–$3,405.50 $1,315–$4,865 varies
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $563.50–$924 $805–$1,320 varies
Esophagogastroduodenoscopy Submucosal Injection (43236)
range across 2 matching MRF lines		 $544.60–$3,304 $778–$4,720 varies
Esophagoscopy Flexible Transoral Diagnostic (43200)
range across 2 matching MRF lines		 $220.50–$1,291.50 $315–$1,845 varies
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $259 $370 0.1×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215)
range across 2 matching MRF lines		 $259–$910 $370–$1,300 varies
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $63–$108.50 $90–$155 varies
Exc abdl tum deep 5 cm/> (22901) $1,015 $1,450 0.4×
Exc arm/elbow les sc < 3 cm (24075)
range across 2 matching MRF lines		 $364–$1,207.50 $520–$1,725 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 3 matching MRF lines		 $220.50–$1,158.50 $315–$1,655 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines		 $462–$1,540 $660–$2,200 varies
Exc Back Les Sc < 3 Cm (21930)
range across 2 matching MRF lines		 $423.50–$1,403.50 $605–$2,005 varies
Exc Back Tum Deep 5 Cm/> (21933)
range across 2 matching MRF lines		 $952–$3,164 $1,360–$4,520 varies
Exc back tum deep < 5 cm (21932) $840 $1,200 0.3×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 2 matching MRF lines		 $189–$619.50 $270–$885 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 2 matching MRF lines		 $224–$745.50 $320–$1,065 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644)
range across 2 matching MRF lines		 $450.80–$1,235.50 $644–$1,765 varies
Exc Face Les Sbq 2 Cm/> (21012) $1,267 $1,810 0.8×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines		 $220.50–$735 $315–$1,050 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines		 $220.50–$1,046.50 $315–$1,495 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 3 matching MRF lines		 $346.50–$1,270.50 $495–$1,815 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 2 matching MRF lines		 $399–$1,323 $570–$1,890 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444)
range across 3 matching MRF lines		 $542.50–$2,348.50 $775–$3,355 varies
Exc Forearm Les Sc 3 Cm/> (25071)
range across 2 matching MRF lines		 $504–$1,680 $720–$2,400 varies
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $511–$1,694 $730–$2,420 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 3 matching MRF lines		 $220.50–$1,106 $315–$1,580 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines		 $511–$1,694 $730–$2,420 varies
Exc hydrocele sprmatic cord uni spx (55500)
range across 2 matching MRF lines		 $525–$3,850 $750–$5,500 varies
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $136.50 $195 0.1×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $808.50 $1,155 0.5×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $808.50 $1,155 0.5×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112)
range across 2 matching MRF lines		 $294–$3,227 $420–$4,610 varies
Exc Lesion Tongue W/Clsr Posterior One-Third (41113)
range across 2 matching MRF lines		 $294–$3,227 $420–$4,610 varies
Exc Shoulder Tum Deep 5 Cm/> (23073)
range across 2 matching MRF lines		 $630–$3,934 $900–$5,620 varies
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $220.50–$1,190 $315–$1,700 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 2 matching MRF lines		 $507.50–$1,697.50 $725–$2,425 varies
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 2 matching MRF lines		 $532–$1,767.50 $760–$2,525 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines		 $588–$1,949.50 $840–$2,785 varies
Exc Skin Benig >4cm Face,Facial (11446)
range across 2 matching MRF lines		 $815.50–$2,712.50 $1,165–$3,875 varies
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)
range across 2 matching MRF lines		 $511–$1,694 $730–$2,420 varies
Exc Skin Malig >4 Cm Remaindr Body (11626)
range across 2 matching MRF lines		 $871.50–$2,894.50 $1,245–$4,135 varies
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 2 matching MRF lines		 $563.50–$1,876 $805–$2,680 varies
Exc tendon shth lesion leg/ankle (27630) $665 $950 0.2×
Exc thigh/knee les sc 3 cm/> (27337)
range across 2 matching MRF lines		 $805–$2,677.50 $1,150–$3,825 varies
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines		 $479.50–$1,589 $685–$2,270 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 3 matching MRF lines		 $140–$756 $200–$1,080 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 3 matching MRF lines		 $220.50–$801.50 $315–$1,145 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines		 $427–$1,421 $610–$2,030 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552)
range across 2 matching MRF lines		 $868–$2,891 $1,240–$4,130 varies
Exc tumor soft tiss neck/thorax subfascial <5cm (21556)
range across 2 matching MRF lines		 $794.50–$2,639 $1,135–$3,770 varies
Exc tumor soft tiss shoulder subfasc <5cm (23076) $770 $1,100 0.3×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073)
range across 2 matching MRF lines		 $1,085–$2,880.50 $1,550–$4,115 varies
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $472.50 $675 0.2×
Exc tumor soft tissue abdominal wall subq <3cm (22902)
range across 2 matching MRF lines		 $665–$2,212 $950–$3,160 varies
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075)
range across 2 matching MRF lines		 $339.50–$1,564.50 $485–$2,235 varies
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) $1,113.70 $1,591 0.4×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $774.20 $1,106 0.3×
Exc tumor soft tissue leg/ankle subq <3cm (27618)
range across 2 matching MRF lines		 $105–$294 $150–$420 varies
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554)
range across 2 matching MRF lines		 $1,130.50–$5,124 $1,615–$7,320 varies
Exc tumor soft tissue neck/ant thorax subq <3cm (21555)
range across 2 matching MRF lines		 $595–$1,977.50 $850–$2,825 varies
Exc tumor soft tissue pelvis & hip subq <3cm (27047)
range across 2 matching MRF lines		 $140–$945 $200–$1,350 varies
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071)
range across 2 matching MRF lines		 $605.50–$2,138.50 $865–$3,055 varies
Exc Varicocele/Ligation Spermatic Veins Spx (55530)
range across 2 matching MRF lines		 $1,263.50–$4,207 $1,805–$6,010 varies
Exc/fulguration urethral caruncle (53265) $2,803.50 $4,005 1.5×
Excis Mouth Mucosa/Sub,Simpl Repair (40812)
range across 2 matching MRF lines		 $266–$885.50 $380–$1,265 varies
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 2 matching MRF lines		 $220.50–$1,043 $315–$1,490 varies
Excision Chalazion Single (67800) $231 $330 0.8×
Excision H/P/P/U Simple/Intermediate Repair (11470)
range across 2 matching MRF lines		 $871.50–$2,894.50 $1,245–$4,135 varies
Excision Hidradenitis Axillary Complex Repair (11451)
range across 2 matching MRF lines		 $1,680–$4,200 $2,400–$6,000 varies
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $840 $1,200 0.3×
Excision Lingual Frenum Frenectomy (41115)
range across 2 matching MRF lines		 $213.50–$493.50 $305–$705 varies
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600)
range across 2 matching MRF lines		 $220.50–$735 $315–$1,050 varies
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $220.50 $315 0.3×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 3 matching MRF lines		 $168.70–$840 $241–$1,200 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604)
range across 2 matching MRF lines		 $220.50–$1,830.50 $315–$2,615 varies
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $143.50 $205 0.2×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 2 matching MRF lines		 $348.60–$2,114 $498–$3,020 varies
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646)
range across 3 matching MRF lines		 $535.50–$2,033.50 $765–$2,905 varies
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $511 $730 0.3×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621)
range across 2 matching MRF lines		 $220.50–$735 $315–$1,050 varies
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 2 matching MRF lines		 $220.50–$735 $315–$1,050 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624)
range across 2 matching MRF lines		 $511–$1,694 $730–$2,420 varies
Excision Multiple External Papillae/Tags Anus (46230) $262.50 $375 0.1×
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 3 matching MRF lines		 $658–$2,187.50 $940–$3,125 varies
Excision of hydrocele; bilateral (55041)
range across 2 matching MRF lines		 $738.50–$2,457 $1,055–$3,510 varies
Excision of hydrocele; unilateral (55040)
range across 2 matching MRF lines		 $413.70–$3,804.50 $591–$5,435 varies
Excision of local lesion of epididymis (54830) $454.30 $649 0.1×
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420)
range across 2 matching MRF lines		 $1,899.10–$3,755.50 $2,713–$5,365 varies
Excision of pilonidal cyst or sinus; simple (11770)
range across 2 matching MRF lines		 $483–$1,610 $690–$2,300 varies
Excision of single external papilla or tag, anus (46220)
range across 2 matching MRF lines		 $420–$1,389.50 $600–$1,985 varies
Excision of submandibular (submaxillary) gland (42440)
range across 2 matching MRF lines		 $1,305.50–$3,265.50 $1,865–$4,665 varies
Excision of vaginal cyst or tumor (57135) $563.50 $805 0.2×
Excision olecranon bursa (24105)
range across 2 matching MRF lines		 $738.50–$2,453.50 $1,055–$3,505 varies
Excision or curettage of bone cyst or benign tumor of femur; (27355) $1,073.10 $1,533 0.4×
Excision Pilonidal Cyst/Sinus Complicated (11772)
range across 2 matching MRF lines		 $434–$3,958.50 $620–$5,655 varies
Excision Pilonidal Cyst/Sinus Extensive (11771)
range across 2 matching MRF lines		 $864.50–$2,880.50 $1,235–$4,115 varies
Excision spermatocele w/wo epididymectomy (54840) $2,803.50 $4,005 1.5×
Excision synovial cyst popliteal space (27345) $924 $1,320 0.3×
Excision Thyroglossal Duct Cyst/Sinus (60280)
likely a partial charge, not the full procedure		 $1,547 $2,210 0.3×
Excision tumor soft tis back/flank subq 3 cm/> (21931)
range across 2 matching MRF lines		 $609–$2,422 $870–$3,460 varies
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $287 $410 0.2×
Excision tumor soft tissue shoulder subq 3 cm/> (23071)
range across 2 matching MRF lines		 $637–$1,816.50 $910–$2,595 varies
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $91 $130 0.1×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903)
range across 2 matching MRF lines		 $665–$2,212 $950–$3,160 varies
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011)
range across 2 matching MRF lines		 $350–$850.50 $500–$1,215 varies
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632)
range across 2 matching MRF lines		 $175–$350 $250–$500 varies
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $630 $900 0.4×
Expl penetrating wound spx abdomen/flank/back (20102) $294 $420 0.2×
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines		 $500.50–$1,659 $715–$2,370 varies
Exploration of knee joint (27310) $808.50 $1,155 0.3×
Exploration penetrating wound spx chest (20101) $448 $640 0.2×
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines		 $375.20–$700 $536–$1,000 varies
Explore/Treat Hand Joint (26070) $409.50 $585 0.3×
Fasciotomy, hip or thigh, any type (27025)
range across 2 matching MRF lines		 $1,512–$3,783.50 $2,160–$5,405 varies
Fetal Contraction Stress Test (59020) $339.50 $485 1.8×
Fetal non-stress test (59025)
range across 2 matching MRF lines		 $105–$339.50 $150–$485 varies
Fna Bx W/Fluor Gdn 1St Les (10007) $605.50 $865 0.9×
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines		 $182–$605.50 $260–$865 varies
Fth/gft free w/direct closure s/a/l 20 cm/< (15220)
range across 2 matching MRF lines		 $329–$763 $470–$1,090 varies
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255)
range across 2 matching MRF lines		 $640.50–$2,135 $915–$3,050 varies
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $3,020.50 $4,315 1.2×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260)
range across 2 matching MRF lines		 $808.50–$2,695 $1,155–$3,850 varies
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 2 matching MRF lines		 $462–$1,533 $660–$2,190 varies
Hemorrhoidopexy by stapling (46947) $350 $500 0.1×
Hysteroscopy Biopsy (58558) $966 $1,380 0.3×
I&d abscess peritonsillar (42700) $170.10 $243 0.8×
I&d abscess simple (10060)
range across 4 matching MRF lines		 $126–$738.50 $180–$1,055 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $1,365 $1,950 0.9×
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines		 $515.90–$3,444 $737–$4,920 varies
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028)
range across 2 matching MRF lines		 $350–$602 $500–$860 varies
I&D Ischiorct/Intramural Absc W/WO Seton (46060)
range across 2 matching MRF lines		 $686–$2,166.50 $980–$3,095 varies
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $262.50–$864.50 $375–$1,235 varies
I&d pilonidal cyst complicated (10081) $273 $390 0.4×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $98.70–$924 $141–$1,320 varies
I&d upper arm/elbow deep abscess/hematoma (23930)
range across 2 matching MRF lines		 $353.50–$1,377.60 $505–$1,968 varies
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380)
range across 2 matching MRF lines		 $343–$854 $490–$1,220 varies
Image Cath Fluid Trns/Vgnl (49407)
range across 2 matching MRF lines		 $73.50–$353.50 $105–$505 varies
Incise external hemorrhoid (46083) $149.80 $214 0.7×
Incise finger tendon sheath (26055)
range across 2 matching MRF lines		 $420–$1,396.50 $600–$1,995 varies
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $175.70–$1,393 $251–$1,990 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $405.30 $579 0.2×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $193.90–$1,424.50 $277–$2,035 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $112–$1,011.50 $160–$1,445 varies
Incision and drainage of vulva or perineal abscess (56405) $118.30 $169 0.4×
Incision of Foot Tendon (28234)
range across 2 matching MRF lines		 $322–$1,326.50 $460–$1,895 varies
Incision of labial frenum (frenotomy) (40806)
range across 2 matching MRF lines		 $128.10–$451.50 $183–$645 varies
Incision of lingual frenum (frenotomy) (41010)
range across 2 matching MRF lines		 $238.70–$752.50 $341–$1,075 varies
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $658–$2,187.50 $940–$3,125 varies
Incision&drainage bursa foot (28001) $1,365 $1,950 0.9×
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 2 matching MRF lines		 $163.10–$703.50 $233–$1,005 varies
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $182–$602 $260–$860 varies
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $53.90–$168 $77–$240 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 4 matching MRF lines		 $504–$2,520 $720–$3,600 varies
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448)
range across 2 matching MRF lines		 $105–$346.50 $150–$495 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines		 $647.50–$682.50 $925–$975 varies
Inject Intravitreal Pharmcologic (67028) $267.40 $382 0.9×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $136.50–$315 $195–$450 varies
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines		 $294–$462 $420–$660 varies
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416)
range across 2 matching MRF lines		 $91–$294 $130–$420 varies
Injection aa&/strd genicular nrv branches w/img (64454)
range across 4 matching MRF lines		 $1,312.50–$2,912 $1,875–$4,160 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines		 $714–$840 $1,020–$1,200 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 2 matching MRF lines		 $514.50–$1,645 $735–$2,350 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 3 matching MRF lines		 $245–$735 $350–$1,050 varies
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446)
range across 2 matching MRF lines		 $105–$346.50 $150–$495 varies
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 5 matching MRF lines		 $371–$1,848 $530–$2,640 varies
Injection Anes Superior Hypogastric Plexus (64517)
range across 2 matching MRF lines		 $423.50–$1,312.50 $605–$1,875 varies
Injection anesthetic agent suprascapular nerve (64418)
range across 4 matching MRF lines		 $294–$1,330 $420–$1,900 varies
Injection for identification of sentinel node (38792) $1,400 $2,000 3.8×
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $136.50–$315 $195–$450 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines		 $94.50–$525 $135–$750 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 4 matching MRF lines		 $94.50–$630 $135–$900 varies
Injection therapeutic carpal tunnel (20526)
range across 5 matching MRF lines		 $83.30–$630 $119–$900 varies
Injection, anesthetic agent; brachial plexus, single (64415)
range across 3 matching MRF lines		 $294–$623.70 $420–$891 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 4 matching MRF lines		 $346.50–$1,470 $495–$2,100 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $245–$882 $350–$1,260 varies
Injection, anesthetic agent; vagus nerve (64408)
range across 2 matching MRF lines		 $91–$294 $130–$420 varies
Injection, Intralesional; More Than 7 Lesions (11901)
range across 3 matching MRF lines		 $55.30–$1,053.50 $79–$1,505 varies
Injection, intralesional; up to and including 7 lesions (11900)
range across 3 matching MRF lines		 $37.10–$315 $53–$450 varies
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $52.50–$175 $75–$250 varies
Insert cath pleura w/ image (32557)
range across 3 matching MRF lines		 $245–$1,087.80 $350–$1,554 varies
Insert cath pleura w/o image (32556) $210 $300 0.1×
Insert Drug Implant Device (11981) $178.50 $255 1.5×
Insert Gastrostomy Tube Percutaneous (49440)
range across 2 matching MRF lines		 $245–$898.10 $350–$1,283 varies
Insert multi-comp penis pros (54405)
likely a partial charge, not the full procedure		 $4,903.50 $7,005 0.3×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $752.50–$2,502.50 $1,075–$3,575 varies
Insert pessary/other device (57160) $56 $80 0.3×
Insert self-contd prosthesis (54401)
likely a partial charge, not the full procedure		 $3,503.50 $5,005 0.2×
Insert semi-rigid prosthesis (54400)
likely a partial charge, not the full procedure		 $2,803.50 $4,005 0.2×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $42–$136.50 $60–$195 varies
Insert tun ip cath perc (49418)
range across 2 matching MRF lines		 $1,067.50–$3,549 $1,525–$5,070 varies
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $386.40–$3,363.50 $552–$4,805 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $42–$136.50 $60–$195 varies
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $672–$1,239 $960–$1,770 varies
Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) $2,695 $3,850 1.3×
Insj Picc Rs&I <5 Yr (36572) $62.30 $89 0.1×
Insj prph ctr vad w/subq port age 5 yr/> (36571)
range across 3 matching MRF lines		 $1,078–$3,594.50 $1,540–$5,135 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $105–$1,242.50 $150–$1,775 varies
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) $1,316 $1,880 0.5×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines		 $1,151.50–$2,880.50 $1,645–$4,115 varies
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $385 $550 1.0×
Intraoral i&d tongue/floor lingual (41000) $136.50 $195 0.3×
Intubation endotracheal emergency procedure (31500)
range across 3 matching MRF lines		 $124.60–$1,074.50 $178–$1,535 varies
Knee arthroscopy/drainage (29871) $2,148.30 $3,069 0.7×
Knee Arthroscopy/Surgery (29885) $3,823.40 $5,462 0.6×
Knee Arthroscopy/Surgery (29874) $2,677.50 $3,825 0.9×
Knee Arthroscopy/Surgery (29850) $2,148.30 $3,069 1.5×
Lap paraesophag hern repair (43281)
likely a partial charge, not the full procedure		 $2,450 $3,500 0.3×
Laparo-vag hyst incl t/o (58552)
unusually low: confirm this is the full procedure		 $3,640 $5,200 0.4×
Laparoscopy aspiration (49322)
likely a partial charge, not the full procedure		 $417.20 $596 0.1×
Laparoscopy Enterolysis Separate Procedure (44180)
range across 2 matching MRF lines		 $525–$4,592 $750–$6,560 varies
Laparoscopy fulguration oviducts (58670)
range across 3 matching MRF lines		 $1,435–$4,781 $2,050–$6,830 varies
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 2 matching MRF lines		 $2,026.50–$6,751.50 $2,895–$9,645 varies
Laparoscopy W/Lysis Of Adhesions (58660)
range across 2 matching MRF lines		 $1,354.50–$3,367 $1,935–$4,810 varies
Laparoscopy w/rmvl adnexal structures (58661)
range across 2 matching MRF lines		 $695.10–$5,862.50 $993–$8,375 varies
Laparoscopy, surgical, appendectomy (44970)
range across 2 matching MRF lines		 $611.80–$5,117 $874–$7,310 varies
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure		 $2,100 $3,000 0.2×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550)
unusually low: confirm this is the full procedure		 $2,215.50 $3,165 0.4×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
range across 2 matching MRF lines		 $1,085–$6,114.50 $1,550–$8,735 varies
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) $7,266 $10,380 0.7×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
range across 2 matching MRF lines		 $2,667–$8,890 $3,810–$12,700 varies
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) $2,803.50 $4,005 0.5×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
range across 2 matching MRF lines		 $525–$4,865 $750–$6,950 varies
Laparoscopy, Tubal Block (58671)
range across 2 matching MRF lines		 $406–$4,771.90 $580–$6,817 varies
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure		 $367.50 $525 0.1×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure		 $1,400 $2,000 0.3×
Laps surg retroperitoneal lymph node bx 1/mlt (38570)
likely a partial charge, not the full procedure		 $1,081.50 $1,545 0.2×
Laryngoscopy diagnostic (31505) $95.90 $137 0.5×
Laryngoscopy W/Biopsy (31535)
range across 3 matching MRF lines		 $1,169.70–$3,899 $1,671–$5,570 varies
Late closure of wound (13160) $577.50 $825 0.2×
Ligation Major Artery Abdomen (37617)
unusually low: confirm this is the full procedure		 $1,753.50 $2,505 0.3×
Ligation or biopsy temporal artery (37609)
range across 2 matching MRF lines		 $353.50–$703.50 $505–$1,005 varies
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785)
range across 2 matching MRF lines		 $318.50–$3,377.50 $455–$4,825 varies
Lysis/excision penile postcircumcision adhesions (54162)
range across 2 matching MRF lines		 $280–$325.50 $400–$465 varies
Mast mod rad (19307)
range across 2 matching MRF lines		 $3,122–$7,805 $4,460–$11,150 varies
Mastectomy for gynecomastia (19300)
range across 2 matching MRF lines		 $913.50–$3,045 $1,305–$4,350 varies
Mastectomy partial (19301)
range across 2 matching MRF lines		 $711.20–$5,253.50 $1,016–$7,505 varies
Mastectomy simple complete (19303)
range across 2 matching MRF lines		 $2,040.50–$6,797 $2,915–$9,710 varies
N Block Inj Celiac Pelus (64530)
range across 2 matching MRF lines		 $294–$1,312.50 $420–$1,875 varies
N Block Inj Ilio-Ing/Hypogi (64425)
range across 4 matching MRF lines		 $485.10–$1,050 $693–$1,500 varies
N block inj intercost sng (64420)
range across 3 matching MRF lines		 $91–$525 $130–$750 varies
N Block Inj Paracervical (64435)
range across 2 matching MRF lines		 $105–$346.50 $150–$495 varies
N Block Inj Plantar Digit (64455)
range across 3 matching MRF lines		 $105–$525 $150–$750 varies
N Block Inj Pudendal (64430)
range across 4 matching MRF lines		 $465.50–$3,087 $665–$4,410 varies
N Block Lumbar/Thoracic (64520)
range across 5 matching MRF lines		 $133–$1,680 $190–$2,400 varies
Nasal/Orogastric W/Tube Plmt (43752) $49.70 $71 0.1×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $283.50 $405 0.3×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $2,695 $3,850 1.8×
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines		 $210–$630 $300–$900 varies
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines		 $672–$1,260 $960–$1,800 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 3 matching MRF lines		 $105–$1,312.50 $150–$1,875 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 5 matching MRF lines		 $449.40–$2,100 $642–$3,000 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines		 $1,074.50–$1,155 $1,535–$1,650 varies
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320)
range across 2 matching MRF lines		 $553–$1,022 $790–$1,460 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 3 matching MRF lines		 $1,050–$1,143.10 $1,500–$1,633 varies
Njx Sclrsnt Spider Veins (36468) $115.50 $165 0.3×
Occipital Nerve Block (64405)
range across 4 matching MRF lines		 $301–$1,890 $430–$2,700 varies
Occlusion flp tube dev vag/suprapubic appr (58615) $665 $950 0.2×
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure		 $984.90 $1,407 0.2×
Open biopsy/excision inguinofemoral nodes (38531) $304.50 $435 0.1×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $609 $870 0.2×
Orchiectomy radical tumor inguinal approach (54530) $3,503.50 $5,005 1.1×
Orchiopexy Ingun/Scrot Appr (54640) $2,803.50 $4,005 0.9×
Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Facility (54650) $3,503.50 $5,005 1.1×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112)
range across 2 matching MRF lines		 $609–$2,026.50 $870–$2,895 varies
Ovarian cystectomy, unilateral or bilateral (58925) $472.50 $675 0.1×
Partial Excision Distal Phalanx Finger (26236)
range across 2 matching MRF lines		 $631.40–$1,879.50 $902–$2,685 varies
Partial removal of tongue (41120)
range across 2 matching MRF lines		 $591.50–$1,470 $845–$2,100 varies
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
range across 2 matching MRF lines		 $1,050–$3,430 $1,500–$4,900 varies
Partical Excision Bone Phalanx Toe (28124) $2,148.30 $3,069 0.7×
Pelvic examination under anesthesia (other than local) (57410) $434 $620 0.1×
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) $9,100 $13,000 1.0×
Perq sft tiss loc device plmt 1st les w/gdnce (10035)
range across 2 matching MRF lines		 $203–$420 $290–$600 varies
Placement of needle for intraosseous infusion (36680) $108.50 $155 0.3×
Probing nasolacrimal duct (68810)
range across 2 matching MRF lines		 $210–$294 $300–$420 varies
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300)
range across 2 matching MRF lines		 $231–$759.50 $330–$1,085 varies
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305)
range across 2 matching MRF lines		 $231–$770 $330–$1,100 varies
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $129.50–$595 $185–$850 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $112–$889 $160–$1,270 varies
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines		 $126–$492.80 $180–$704 varies
Pvb Thoracic Single Injection Site W/Img Gid (64461)
range across 4 matching MRF lines		 $423.50–$924 $605–$1,320 varies
Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Facility (24079)
range across 2 matching MRF lines		 $770–$2,212 $1,100–$3,160 varies
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625)
range across 2 matching MRF lines		 $507.50–$2,625 $725–$3,750 varies
Rdctj torsion tstis w/wo fixj clat testis (54600) $3,503.50 $5,005 1.1×
Removal Embedded Foreign Body Eyelid (67938) $109.90 $157 0.4×
Removal foreign body foot deep (28192) $353.50 $505 0.2×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $563.50–$1,869 $805–$2,670 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $194.60 $278 0.1×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $168–$875 $240–$1,250 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $154–$511 $220–$730 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $1,532.30 $2,189 0.5×
Removal Implant Deep (20680) $2,642.50 $3,775 1.0×
Removal implantable contraceptive capsules (11976) $143.50 $205 0.2×
Removal of adenoids (42830) $3,227 $4,610 1.1×
Removal of bladder cyst (51500)
range across 2 matching MRF lines		 $416.50–$1,389.50 $595–$1,985 varies
Removal of kidney stone (50081) $6,650 $9,500 0.8×
Removal of nail bed (11750)
range across 4 matching MRF lines		 $193.90–$490 $277–$700 varies
Removal of nose lesion (30124) $1,403.50 $2,005 1.0×
Removal of testis (54520) $399.70 $571 0.1×
Removal of tonsils (42825)
range across 2 matching MRF lines		 $1,799–$5,992 $2,570–$8,560 varies
Removal of tonsils (42826)
range across 2 matching MRF lines		 $787.50–$2,614.50 $1,125–$3,735 varies
Removal of tunneled intraperitoneal catheter (49422) $304.50 $435 0.1×
Removal or bivalving full arm or full leg cast (29705) $80.50 $115 0.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $75.60–$1,470 $108–$2,100 varies
Removal Sutures/Staples Requiring Anesthesia (15851) $644.70 $921 0.3×
Removal sweat gland lesion (11450)
range across 3 matching MRF lines		 $350–$2,894.50 $500–$4,135 varies
Removal/bivalving gauntlet boot/body cast (29700) $262.50 $375 1.0×
Remove armpit lymph nodes (38740)
range across 2 matching MRF lines		 $143.50–$1,753.50 $205–$2,505 varies
Remove drug implant device (11982) $178.50 $255 0.4×
Remove foreign body from eye (65205) $159.60 $228 1.3×
Remove groin lymph nodes (38760)
range across 2 matching MRF lines		 $175–$2,460.50 $250–$3,515 varies
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $86.10–$193.20 $123–$276 varies
Remove Nasal Foreign Body (30300) $266 $380 2.2×
Remove Tendon Sheath Lesion (26160)
range across 2 matching MRF lines		 $584.50–$1,946 $835–$2,780 varies
Remove/Insert Drug Implant (11983) $325.50 $465 0.8×
Repair Blood Vessel Direct Upper Extremity (35206) $1,144.50 $1,635 0.4×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $371 $530 0.5×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $525 $750 0.8×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $224–$742 $320–$1,060 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $524.30–$948.50 $749–$1,355 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $214.20–$290.50 $306–$415 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $420–$507.50 $600–$725 varies
Repair complex trunk 1.1-2.5 cm (13100)
range across 2 matching MRF lines		 $140–$294 $200–$420 varies
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $365.40–$507.50 $522–$725 varies
Repair Ectropion Suture (67914) $1,292.90 $1,847 0.6×
Repair extensor tendon finger w/o graft each (26418) $850.50 $1,215 0.6×
Repair initial femoral hernia, any age; reducible (49550)
range across 2 matching MRF lines		 $1,400–$3,745 $2,000–$5,350 varies
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507)
range across 2 matching MRF lines		 $653.80–$3,678.50 $934–$5,255 varies
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $203–$2,254 $290–$3,220 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $277.20–$840 $396–$1,200 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $276.50 $395 0.7×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $301 $430 0.8×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $308 $440 0.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $182–$500.50 $260–$715 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $315–$700 $450–$1,000 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $231 $330 0.3×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $514.50 $735 1.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 4 matching MRF lines		 $423.50–$1,295 $605–$1,850 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 3 matching MRF lines		 $239.40–$1,221.50 $342–$1,745 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $623 $890 0.9×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $437.50–$1,991.50 $625–$2,845 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $735 $1,050 0.4×
Repair of nail bed (11760) $105 $150 0.2×
Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557)
range across 2 matching MRF lines		 $570.50–$1,900.50 $815–$2,715 varies
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) $5,544 $7,920 0.9×
Repair tongue laceration (41250) $178.50 $255 0.4×
Replace g/c tube perc (49450) $350 $500 0.4×
Rerepair ing hernia reduce (49520) $700 $1,000 0.2×
Revise hernia & sperm veins (55540) $812 $1,160 0.2×
Revise knuckle joint (26530)
likely a partial charge, not the full procedure		 $1,858.50 $2,655 0.3×
Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) $1,235.50 $1,765 0.4×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $528.50 $755 0.2×
Revj Ileostomy Simple Rls Superficial Scar Spx (44312) $659.40 $942 0.2×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $164.50 $235 0.2×
Rmvl FB Xtrnl Auditory Canal Anes (69205)
range across 2 matching MRF lines		 $255.50–$843.50 $365–$1,205 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $154 $220 0.4×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $147 $210 1.2×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $91 $130 0.2×
Rmvl fecal impaction/fb spx under anes (45915) $241.50 $345 0.2×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)
range across 2 matching MRF lines		 $647.50–$2,149 $925–$3,070 varies
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $206.50 $295 0.1×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $2,475.90 $3,537 0.8×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $539–$1,792 $770–$2,560 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $273 $390 0.5×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $133–$434 $190–$620 varies
Rplc gtube revj gstrst trc (43763)
range across 2 matching MRF lines		 $133–$434 $190–$620 varies
Rplcmt compl tun ctr vad w/subq pmp (36583)
range across 2 matching MRF lines		 $458.50–$1,344 $655–$1,920 varies
Rplcmt compl tun ctr vad w/subq port (36582)
range across 2 matching MRF lines		 $443.80–$1,242.50 $634–$1,775 varies
Rplcmt compl tun cvc w/o subq port/pmp (36581) $1,242.50 $1,775 0.4×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
range across 2 matching MRF lines		 $1,470–$3,678.50 $2,100–$5,255 varies
Rpr Aa Hernia 1st < 3 Cm Reducible (49591)
range across 2 matching MRF lines		 $1,431.50–$3,577 $2,045–$5,110 varies
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
range across 2 matching MRF lines		 $1,666–$5,544 $2,380–$7,920 varies
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $1,260 $1,800 0.4×
Rpr aa hrn 1st 3-10 rdc (49593)
range across 2 matching MRF lines		 $1,074.50–$3,577 $1,535–$5,110 varies
Rpr aa hrn 1st < 3 ncr/strn (49592)
range across 2 matching MRF lines		 $1,470–$3,678.50 $2,100–$5,255 varies
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576)
range across 2 matching MRF lines		 $630–$2,089.50 $900–$2,985 varies
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $231 $330 1.3×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $434 $620 0.6×
Rpr Lip Full Thickness Half/< Vertical Height (40652)
range across 2 matching MRF lines		 $434–$1,088.50 $620–$1,555 varies
Rpr Lip Full Thickness Vermilion Only (40650) $567 $810 1.1×
Sgmdsc flx dired sbmcsl njx any sbst (45335)
range across 2 matching MRF lines		 $283.50–$945 $405–$1,350 varies
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338)
range across 2 matching MRF lines		 $322–$1,071 $460–$1,530 varies
Shave skin lesion 0.5 cm/< (11300) $129.50 $185 0.3×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $70 $100 0.4×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $105 $150 0.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $63 $90 0.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $73.50 $105 0.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $154 $220 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $168 $240 0.4×
Shoulder arthroscopy (29820)
unusually low: confirm this is the full procedure		 $2,148.30 $3,069 0.3×
Shoulder arthroscopy diagnostic (29805) $3,370.50 $4,815 1.1×
Shoulder Arthroscopy/Surgery (29825) $3,231.90 $4,617 1.1×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $140 $200 0.8×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $171.50 $245 0.5×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $63 $90 0.3×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $105 $150 0.3×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $67.20 $96 0.4×
Sigmoidoscopy & decompress (45337) $231 $330 0.3×
Sigmoidoscopy & Polypectomy (45333) $805 $1,150 0.9×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $280 $400 0.3×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 2 matching MRF lines		 $231–$759.50 $330–$1,085 varies
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $371 $530 0.3×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $231 $330 0.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $136.50 $195 0.7×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $157.50–$448 $225–$640 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $434 $620 1.2×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $152.60 $218 0.8×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $108.50–$360.50 $155–$515 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $434 $620 2.4×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $177.80 $254 1.0×
Skin Pinch Graft (15050)
range across 2 matching MRF lines		 $91–$315.70 $130–$451 varies
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines		 $381.50–$4,207 $545–$6,010 varies
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines		 $850.50–$2,828 $1,215–$4,040 varies
Skin sub grft t/arm/lg child (15273) $2,320.50 $3,315 1.2×
Skn sub grft f/n/hf/g child (15277) $759.50 $1,085 0.4×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $1,050 $1,500 0.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $129.50–$430.50 $185–$615 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $231 $330 0.6×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $434 $620 1.2×
Sphincterotomy anal division sphincter spx (46080) $350 $500 0.1×
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines		 $126–$525 $180–$750 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $350 $500 0.1×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100)
range across 2 matching MRF lines		 $420–$3,514 $600–$5,020 varies
Strapping ankle (29540) $80.50 $115 0.5×
Strapping elbow or wrist (29260) $80.50 $115 1.5×
Strapping hand/finger (29280)
range across 2 matching MRF lines		 $80.50–$262.50 $115–$375 varies
Strapping shoulder (29240)
range across 2 matching MRF lines		 $80.50–$262.50 $115–$375 varies
Strapping Unna Boot (29580)
range across 2 matching MRF lines		 $80.50–$262.50 $115–$375 varies
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $2,299.50 $3,285 0.8×
Surg tx anal fistula subq (46270)
range across 2 matching MRF lines		 $651–$2,170 $930–$3,100 varies
Tangential biopsy skin single lesion (11102) $595 $850 1.6×
Tenolysis Flexor Foot Multiple Tendons (28222)
range across 2 matching MRF lines		 $493.50–$3,654.70 $705–$5,221 varies
Tenotomy Percutaneous Toe Single Tendon (28010) $1,277.50 $1,825 0.9×
Ther Spi Pnxr Csf Fluor/Ct (62329)
range across 2 matching MRF lines		 $630–$665 $900–$950 varies
Thyroid biopsy (60100)
range across 2 matching MRF lines		 $245–$826 $350–$1,180 varies
Thyroidectomy, total or complete (60240)
unusually low: confirm this is the full procedure		 $2,301.60 $3,288 0.4×
Tonsillectomy and adenoidectomy; age 12 or over (42821)
range across 2 matching MRF lines		 $350–$3,227 $500–$4,610 varies
Total Knee Arthroplasty (27447)
likely a partial charge, not the full procedure		 $2,100 $3,000 0.2×
Tracheostomy planned (31600) $564.90 $807 0.2×
Transur electr resection of prostate (52601) $4,203.50 $6,005 0.9×
Transurethral incision of prostate (52450) $3,503.50 $5,005 1.1×
Transurethral resection bladder neck (52500) $5,600 $8,000 1.7×
Treat Big Toe Fracture (28505) $609 $870 0.2×
Treat Hand Bone Lesion (26034)
range across 2 matching MRF lines		 $725.90–$983.50 $1,037–$1,405 varies
Treat humerus fracture (24500) $409.50 $585 1.8×
Treat Humerus Fracture (24505) $456.40 $652 0.3×
Treat humerus fracture (23600) $409.50 $585 1.8×
Treat Kneecap Fracture (27524)
likely a partial charge, not the full procedure		 $1,260 $1,800 0.2×
Treat Knuckle Dislocation (26700) $288.40 $412 1.3×
Treat Metatarsal Fracture (28475) $458.50 $655 2.0×
Treat Thumb Dislocation (26641) $328.30 $469 1.4×
Treat toe dislocation (28630) $231 $330 1.0×
Treatment Closed Elbow Dislocation Req Anes (24605) $470.40 $672 0.3×
Treatment closed elbow dislocation w/o anes (24600) $328.30 $469 1.4×
Trim skin lesion (11055)
range across 3 matching MRF lines		 $63–$318.50 $90–$455 varies
Trim skin lesions 2 to 4 (11056)
range across 3 matching MRF lines		 $63–$290.50 $90–$415 varies
Trim skin lesions over 4 (11057)
range across 2 matching MRF lines		 $70.70–$290.50 $101–$415 varies
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines		 $21–$73.50 $30–$105 varies
Trurl dstrj prst8 tiss rf wv thermotherapy (53854) $2,800 $4,000 0.9×
Tubal ligation (58600)
range across 2 matching MRF lines		 $390.60–$3,220 $558–$4,600 varies
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280)
range across 2 matching MRF lines		 $759.50–$791.70 $1,085–$1,131 varies
Tx Gastro Intub W/Asp (43753) $38.50 $55 0.2×
Tx Incomplete Abortion Any Trimester Surgical (59812)
range across 3 matching MRF lines		 $612.50–$2,033.50 $875–$2,905 varies
Tx Missed Abortion First Trimester Surgical (59820)
range across 2 matching MRF lines		 $546–$1,813 $780–$2,590 varies
Tx Missed Abortion Second Trimester Surgical (59821)
range across 2 matching MRF lines		 $3,622.50–$9,054.50 $5,175–$12,935 varies
Tx open tendon flexor toe 1 tendon spx (28232)
range across 2 matching MRF lines		 $294–$1,326.50 $420–$1,895 varies
Tx Superficial Wound Dehiscence Simple Closure (12020) $203 $290 0.3×
Tx superficial wound dehiscence w/packing (12021)
range across 2 matching MRF lines		 $203–$560 $290–$800 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $409.50 $585 1.8×
Tympanostomy general anesthesia (69436) $1,207.50 $1,725 0.8×
Unlisted laparoscopic procedure liver (47379)
range across 2 matching MRF lines		 $1,053.50–$3,500 $1,505–$5,000 varies
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
unusually low: confirm this is the full procedure		 $1,906.10 $2,723 0.3×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
range across 2 matching MRF lines		 $840–$2,121 $1,200–$3,030 varies
Unlisted procedure anus (46999)
range across 2 matching MRF lines		 $353.50–$710.50 $505–$1,015 varies
Unlisted procedure arthroscopy (29999) $3,244.50 $4,635 14.3×
Unlisted procedure foot or toes (28899)
range across 2 matching MRF lines		 $315–$350 $450–$500 varies
Unlisted procedure nervous system (64999)
range across 3 matching MRF lines		 $525–$1,260 $750–$1,800 varies
Vag hyst complex (58290)
likely a partial charge, not the full procedure		 $1,368.50 $1,955 0.2×
Vaginal Delivery After Cesarean Delivery (59612) $2,208.50 $3,155 0.7×
Vaginal delivery only (59409) $2,103.50 $3,005 0.7×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $1,701 $2,430 0.4×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 2 matching MRF lines		 $633.50–$2,107 $905–$3,010 varies
Wedge excision skin nail fold (11765) $651 $930 1.7×
Wrist arthroscopy with partial removal of joint lining (29844) $2,148.30 $3,069 0.7×

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.